Publications by authors named "Ilona Berestjuk"

Article Synopsis
  • Tumor progression leads to fibrosis, which involves excessive buildup of extracellular matrix and reduces immune cell infiltration, particularly affecting CD8 T cells.
  • Tumor-associated macrophages (TAMs) adapt to the stiff fibrotic environment by promoting collagen production through signaling from transforming growth factor-β.
  • This collagen production by TAMs creates a challenging metabolic environment that limits the effectiveness of CD8 T cells, hindering their ability to mount strong antitumor responses in breast cancer patients.
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Unlabelled: Fibroblastic reticular cells (FRC) are immunologically specialized myofibroblasts that control the elasticity of the lymph node, in part through their contractile properties. Swelling of tumor-draining lymph nodes is a hallmark of lymphophilic cancers such as cutaneous melanoma. Melanoma displays high intratumoral heterogeneity with the coexistence of melanoma cells with variable differentiation phenotypes from melanocytic to dedifferentiated states.

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Lineage dedifferentiation toward a mesenchymal-like state displaying myofibroblast and fibrotic features is a common mechanism of adaptive and acquired resistance to targeted therapy in melanoma. Here, we show that the anti-fibrotic drug nintedanib is active to normalize the fibrous ECM network, enhance the efficacy of MAPK-targeted therapy, and delay tumor relapse in a preclinical model of melanoma. Acquisition of this resistant phenotype and its reversion by nintedanib pointed to miR-143/-145 pro-fibrotic cluster as a driver of this mesenchymal-like phenotype.

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Article Synopsis
  • There is a big problem with treatments for advanced melanoma when patients have a specific mutation called BRAF, which makes the therapy not work as well as hoped.
  • A part of the environment around the tumor, called the extracellular matrix (ECM), helps the tumors resist these treatments and helps them survive.
  • By studying how tumors adapt, scientists found that targeting certain proteins (DDR1 and DDR2) in the ECM can make treatments more effective and slow down the growth of the tumors.
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Cladribine is an oral synthetic purine analog that depletes lymphocytes and induces a dose-dependent reduction of T and B cells. It was approved for the therapy of highly active relapsing-remitting multiple sclerosis. Given cladribine's mechanism of action, an increased risk of malignancies was suspected from the number of cancers that occurred in the 3.

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Aberrant extracellular matrix (ECM) deposition and stiffening is a physical hallmark of several solid cancers and is associated with therapy failure. BRAF-mutant melanomas treated with BRAF and MEK inhibitors almost invariably develop resistance that is frequently associated with transcriptional reprogramming and a de-differentiated cell state. Melanoma cells secrete their own ECM proteins, an event that is promoted by oncogenic BRAF inhibition.

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