Publications by authors named "Janos Vasko"

Regulatory T cells (Treg) have long been considered one-sided suppressors of antitumor immune responses and hence associated with poor patient outcome in cancer. However, evidence is mounting of a paradoxical positive prognostic effect of Tregs on certain malignancies, including urinary bladder cancer (UBC). This discrepancy has partly been attributed to the shear misidentification of Tregs, but also to the inflammatory profile of the tumor.

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Article Synopsis
  • Cancer treatment often involves chemotherapy, which can weaken the immune system, but combining it with immunotherapy shows promise for better survival rates if planned carefully.
  • This study found that doxorubicin, a chemotherapy drug, boosts CD86 expression on B cells, leading to enhanced activation of CD4 T cells when exposed to superantigen, and this effect is blocked by a specific antibody.
  • Additionally, B cells from urinary bladder cancer patients treated with doxorubicin showed increased CD86 expression, indicating a potential approach to improve the effectiveness of combining chemotherapy with immunotherapy through tailored treatment schedules.
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Purpose: To determine whether sentinel node detection (SNd) in muscle-invasive urothelial bladder cancer (MIBC) can be performed in patients undergoing neoadjuvant chemotherapy (NAC) and determine whether SNd is feasible in all pT stages, including pT0.

Background: Previous published series of SNd in MIBC have not included patients undergoing NAC, and systematic reports of pT0 patients w/wo NAC were absent. Translational immunological tumor research on MIBC focusing on SNd, in the era of NAC, requires technical feasibility.

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Objective: To evaluate the feasibility of performing sentinel node detection in patients with renal cell carcinoma (RCC).

Materials And Methods: An open series of 13 arbitrarily selected patients with T1b-T3b RCC scheduled for radical nephrectomy at a single Tertiary Academic Centre were examined with different modalities of sentinel node detection. Preoperative ultrasonography-guided injection of radioactive isotope, lymphoscintigram and single photon emission computed tomography/computed tomography, followed by intraoperative gamma-probe detection and Patent Blue detection, as well as postoperative scintigram of the main specimen were the planned interventions.

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Purpose: Renal cell carcinoma (RCC) is the most common malignancy of the kidney composed of specific tumor types. The sporadic conventional RCCs are, in contrast to the other RCC types, characterized by a high rate of von Hippel-Lindau (VHL) mutations and hypermethylation. The majority of these tumors lack functional VHL protein (pVHL) that leads to increased hypoxia-inducible factor 1alpha (HIF-1alpha) expression.

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