Publications by authors named "Geny Piro"

Background: Pancreatic ductal adenocarcinoma (PDAC) is one of the most aggressive and deadly type of cancer, with an extremely low five-year overall survival rate. To date, current treatment options primarily involve various chemotherapies, which often prove ineffective and are associated with substantial toxicity. Furthermore, immunotherapies utilizing checkpoint inhibitors have shown limited efficacy in this context, highlighting an urgent need for novel therapeutic strategies.

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  • Fibroblast heterogeneity significantly impacts cancer progression, making it crucial to understand different fibroblast types for developing effective cancer treatments.
  • In pancreatic ductal adenocarcinoma (PDAC), cancer-associated fibroblasts (CAFs) are the predominant cell type, and the study identifies how the MAPK signaling pathway influences their differentiation into specific phenotypes.
  • The study introduces a novel "mapCAF" phenotype associated with certain tumor cells and immune response characteristics, suggesting that targeting these specific CAFs could improve treatment strategies for various cancers.
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Background: Pancreatic cancer (PC) is characterised by late diagnosis, tumour heterogeneity, and a peculiar immunosuppressive microenvironment, leading to poor clinical outcomes. Local ablative techniques have been proposed to treat unresectable PC patients, although their impact on activating the host immune system and overcoming resistance to immunotherapy remains elusive.

Methods: We dissected the immune-modulatory abilities triggered by local ablation in mouse and human PC models and human specimens, integrating phenotypic and molecular technologies with functional assays.

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Hereditary transthyretin (ATTRv) amyloidosis is a rare, adult-onset, progressive, multisystemic condition caused by TTR pathogenic variants. Reliable biomarkers are needed to allow early diagnosis and to monitor disease severity and progression. We measured serum concentrations of growth differentiation factor-15 (GDF-15) and uromodulin (Umod) in ATTRv patients to evaluate correlations with standard markers of disease severity (FAP stage and PND score).

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Background: Avelumab maintenance after first-line platinum-based chemotherapy represents a cornerstone for the treatment of metastatic urothelial carcinoma (mUC). However, identifying prognostic biomarkers is paramount for optimizing patients' benefits while minimizing toxicity. Cytokines represent circulating mediators of the complex interaction between cancer, the immune system, and inflammation.

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  • The study examines the role of SEMA3A, an axon guidance cue, in pancreatic ductal adenocarcinoma (PDAC) progression, highlighting its expression in different PDAC cell types and its impact on cellular behaviors.
  • Researchers combined transcriptomic data and experimental approaches to demonstrate that SEMA3A contributes to aggressive cancer traits, including enhanced cell migration and resistance to cell death.
  • Findings suggest that SEMA3A promotes a tumor-favorable environment by attracting macrophages and skewing them towards a pro-tumor, M2-like state, while potentially inhibiting effective immune responses from T cells.
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  • Current IPMN risk stratification methods are inaccurate due to reliance on clinical and histological factors without effective molecular markers, leading to suboptimal treatment options.
  • This study identifies specific molecular markers for different IPMN subtypes using Spatial Transcriptomics technologies, confirming markers like HOXB3 and ZNF117 for Low-Grade Dysplasia and NKX6-2 for High-Grade Dysplasia in Gastric IPMN.
  • The findings enhance our understanding of gene expression and transcriptional networks in IPMN progression, which could improve patient outcomes for those at risk of pancreatic ductal adenocarcinoma (PDAC).
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  • Recent advancements in treating metastatic renal cell carcinoma (mRCC) include new immune checkpoint inhibitor (ICI) combinations, significantly changing first-line therapies.
  • The complement system has a critical role in mRCC progression, with this cancer type being termed an "aggressive complement tumor" due to its association with poor prognosis and high complement expression.
  • This review aims to investigate the complement system's potential as a prognostic and predictive marker for mRCC treatment, particularly concerning its impact on responses to ICIs.
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Background: Pancreatic ductal adenocarcinoma (PDAC) is a lethal disease. This is due to its aggressive course, late diagnosis and its intrinsic drugs resistance. The complexity of the tumor, in terms of cell components and heterogeneity, has led to the approval of few therapies with limited efficacy.

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Cancer cells favor the generation of myeloid cells with immunosuppressive and inflammatory features, including myeloid-derived suppressor cells (MDSCs), which support tumor progression. The anti-apoptotic molecule, cellular FLICE (FADD-like interleukin-1β-converting enzyme)-inhibitory protein (c-FLIP), which acts as an important modulator of caspase-8, is required for the development and function of monocytic (M)-MDSCs. Here, we assessed the effect of immune checkpoint inhibitor (ICI) therapy on systemic immunological landscape, including FLIP-expressing MDSCs, in non-small cell lung cancer (NSCLC) patients.

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  • In patients with extensive-stage small cell lung cancer (ES-SCLC) receiving maintenance immunotherapy (IT), higher levels of the adipokine leptin and a favorable leptin-to-visceral fat ratio were linked to improved progression-free survival (PFS).
  • A study using blood samples and CT scans found that clusters of patients with high leptin and low pro-inflammatory markers had better outcomes, with significantly longer PFS and overall survival (OS) compared to others.
  • The findings suggest that adipokines may influence the effectiveness of immunotherapy in cancer treatment, indicating a need for further research on metabolic immune dysfunctions in a larger patient cohort.
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  • Pancreatic ductal adenocarcinoma (PDAC) is a highly lethal cancer that mainly affects individuals with KRAS mutations, particularly KRASG12D and KRASG12V.
  • KRAS plays a crucial role in cell growth and survival by activating key pathways, contributing to both tumor development and the creation of a suppressive tumor microenvironment.
  • Recent studies have explored various inhibitors targeting KRAS signaling, revealing that cancer cells often develop compensatory mechanisms to resist these treatments, necessitating a deeper understanding of KRAS dependency in PDAC.
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Hereditary transthyretin (ATTRv) amyloidosis is a severe, progressive, and heterogeneous multisystemic condition due to mutations in the TTR gene. Although multiple aspects of its molecular pathophysiological mechanisms have been elucidated over the years, it is possible to hypothesize different pathogenetic pathways. Indeed, we extensively investigated the serum levels of several molecules involved in the immune response, in a cohort of ATTRv patients and healthy controls (HCs).

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  • The role of Aurora kinases (AURKs) in cell cycle regulation is significant, as their hyperexpression contributes to cancer progression and drug resistance in both NSCLC and SCLC.
  • This review aims to examine the evidence surrounding AURK inhibitors in lung cancer, encompassing studies from preclinical phases to ongoing clinical trials.
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  • Pancreatic ductal adenocarcinoma (PDAC) is a very dangerous type of cancer that is hard to treat, and using immunotherapy hasn't really worked well for it so far.
  • Researchers tested a drug called ladarixin, which blocks certain proteins, to see if it could help treat PDAC better, especially when used with another drug called anti-PD-1.
  • The results showed that ladarixin helped reduce tumors and worked well with anti-PD-1, suggesting it could be a strong option for treating this tough cancer.
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  • Immunogenic cell death (ICD) is a type of regulated cell death that activates immune responses by releasing damage-associated molecular patterns (DAMPs) that are recognized by the immune system.
  • Inducers of ICD, like certain chemotherapy drugs and targeted therapies, could provide a new approach to cancer treatment by boosting antitumor immunity and acting as a cancer vaccine.
  • This review focuses on the mechanisms of ICD in gastrointestinal cancers, including updates on clinical trials exploring its therapeutic potential.
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  • This study evaluated the concentration of specific biomarkers in the cerebrospinal fluid (CSF) of multiple sclerosis (MS) patients to better support diagnosis, predict disease progression, and assess treatment responses.
  • The researchers found that the levels of certain biomarkers (CHI3L1 and CXCL13) were significantly higher in both relapsing MS (RMS) and progressive MS (PMS) patients compared to control groups, while others (BAFF, APRIL) were lower in RMS.
  • The findings suggest that high CSF levels of biomarkers like CXCL13 and CHI3L1 could indicate a greater likelihood of relapse and disease activity in RMS patients, potentially aiding treatment decision-making.
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Background: In this study, we describe the generation of a fully human monoclonal antibody (named '7NP2') targeting human fibroblast activation protein (FAP), an antigen expressed in the microenvironment of different types of solid neoplasms.

Methods: 7NP2 was isolated from a synthetic antibody phage display library and was improved by one round of mutagenesis-based affinity maturation. The tumor recognition properties of the antibody were validated by immunofluorescence procedures performed on cancer biopsies from human patients.

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Hereditary and sporadic renal cell carcinomas (RCCs) are often associated with Von Hippel-Lindau (VHL)-gene inactivation. Patients with VHL disease have an increased risk of RCC, leading to bilateral nephrectomy and dialysis. In patients with advanced RCC, no standard second-lines are available after progression to immune checkpoint inhibitors (ICIs), and new agents are required to manage progression.

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  • - Nutritional habits significantly influence the health of the gastrointestinal (GI) tract and can affect the progression of GI disorders and cancers, making it crucial to adopt specific nutritional strategies for prevention and management.
  • - The nutritional status of patients with GI cancer plays a key role in their prognosis, quality of life, and ability to tolerate chemotherapy, with malnutrition being a common issue that can develop into cachexia.
  • - Clinical studies highlight the need for specialized nutritional counseling and interventions early in treatment to optimize nutrient delivery, prevent weight loss, and improve overall treatment outcomes, including exploring new methods linking nutrition, epigenetics, and metabolism.
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  • Cell lines and animal models have historically helped in understanding cancer biology and drug discovery, but they often fall short in replicating the complexity of human tumors and their interactions with the body.
  • Emerging human 3D cell culture technologies, particularly patient-derived organoids (PDOs), offer a promising alternative that maintains the unique features of human cancers while supporting extensive research possibilities.
  • PDO platforms allow for higher success rates in cancer research and can be adapted for various studies, including drug discovery and immune response, making them a valuable tool for understanding tumor behavior in a more human-relevant context.
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Non-small cell lung cancer (NSCLC) represents the perfect paradigm of 'precision medicine' due to its complex intratumoral heterogeneity. It is truly characterized by a range of molecular alterations that can deeply influence the natural history of this disease. Several molecular alterations have been found over time, paving the road to biomarker-driven therapy and radically changing the prognosis of 'oncogene addicted' NSCLC patients.

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  • Pancreatic ductal adenocarcinoma (PDAC) is resistant to immune checkpoint inhibitors due to its complex tumor and immune microenvironment, necessitating strategies to enhance immune response.
  • The study involved preclinical models of PDAC to test the effects of intratumoral injection of the Toll-like receptor 9 agonist IMO-2125, both alone and in combination with anti-PD1 therapy.
  • Results showed that IMO-2125 successfully triggered immune responses to combat local and distant tumors, particularly in high immunogenic subtypes, and that combining it with anti-PD1 improved outcomes even in less immunogenic cancers by creating a more favorable immune environment.
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A number of genes have been implicated in the pathogenesis of BCC in addition to the Hedgehog pathway, which is known to drive the initiation of this tumour. We performed in-depth analysis of 13 BCC-related genes (CSMD1, CSMD2, DPH3 promoter, PTCH1, SMO, GLI1, NOTCH1, NOTCH2, TP53, ITIH2, DPP10, STEAP4, TERT promoter) in 57 BCC lesions (26 superficial and 31 nodular) from 55 patients and their corresponding blood samples. PTCH1 and TP53 mutations were found in 71.

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