Publications by authors named "Marhold M"

Background: Brain metastases (BMs) are common in human epidermal growth factor receptor 2 (HER2)-positive advanced breast cancer, increasing morbidity and mortality. Systemic therapy for BMs can be effective, with the triple combination of trastuzumab, capecitabine, and tucatinib being a potential standard. More recently, intracranial activity of antibody-drug conjugates has been reported, but the size of individual studies has been small.

View Article and Find Full Text PDF
Article Synopsis
  • Brain metastases (BM) are a critical issue for patients with HER2-positive metastatic breast cancer, necessitating better treatment options; the study examined the effectiveness of the antibody-drug conjugate trastuzumab deruxtecan (T-DXd) compared to trastuzumab emtansine.* -
  • In the TUXEDO-1 trial involving patients with HER2-positive BC and active BM, the results showed a median progression-free survival (PFS) of 21 months and an overall survival (OS) that had not been reached at 26.5 months of follow-up, indicating positive outcomes for T-DXd.* -
  • No new safety concerns emerged throughout the trial, with fatigue being the most reported
View Article and Find Full Text PDF
Article Synopsis
  • Breast cancer (BC) is rare in women aged ≤40 years with BRCA1/2 variants, but it often presents aggressive features; recent studies show HER2-low expression as a potential treatment target in this subset.
  • A study analyzed data from 3,547 young women with newly diagnosed HER2-negative BC, finding that 32.3% exhibited HER2-low status, which was more common in hormone receptor-positive and BRCA2 variant cases.
  • Results indicated that HER2-low BC had better disease-free survival (DFS) and overall survival (OS) compared to HER2-0, particularly in triple-negative tumors, with lower grades and more favorable outcomes linked to BRCA2 variants.
View Article and Find Full Text PDF

Based upon results of the KEYNOTE-522 trial and following approval by regulatory authorities, the addition of pembrolizumab to chemotherapy is now the standard-of-care for the treatment of early triple-negative breast cancer (eTNBC) (Clinical stage II-III). Pembrolizumab is a programmed cell death protein 1 monoclonal antibody, known to cause immune-related adverse events (irAEs) in a significant subset of patients. Real-world data on incidence, type and treatment strategies of irAEs in the setting of eTNBC treatment are sparse.

View Article and Find Full Text PDF
Article Synopsis
  • - The study investigates liver function protein level changes in breast cancer patients over a year, examining data from 104 patients with liver metastases at the Medical University of Vienna.
  • - Key findings show significant elevation of liver enzymes (AST, ALT, GGT, LDH, ALP) and decreased albumin levels six months before liver metastasis detection, indicating potential early indicators for screening.
  • - Elevated AST and reduced albumin at diagnosis correlated with shorter survival times, suggesting that monitoring these liver function indicators could improve patient outcomes and treatment options.
View Article and Find Full Text PDF

Liquid biopsy is a promising tool for therapy monitoring of cancer patients, but a need for further research in this field exists in order to improve sensitivity, specificity, standardization and minimize costs. In our present study, we evaluated two panels of transcripts related with the presence of circulating tumor cells (CTCs) (Panel 1: , , and Panel 2: , , , , and ) in two cohorts of breast cancer patients (metastatic and early). A blood cell fraction possibly containing CTCs was isolated with density gradient centrifugation, followed by RNA isolation and qPCR using TaqMan or RT-qPCR using hybridization probes.

View Article and Find Full Text PDF

Background: Triple-negative breast cancer (TNBC) is associated with poor prognosis, and new treatment options are urgently needed. About 34%-39% of primary TNBCs show a low expression of human epidermal growth factor receptor 2 (HER2-low), which is a target for new anti-HER2 drugs. However, little is known about the frequency and the prognostic value of HER2-low in metastatic TNBC.

View Article and Find Full Text PDF
Article Synopsis
  • The emergence of immunotherapies, including CAR T-cell therapy, monoclonal antibodies, and vaccines, has significantly changed how various cancers are treated.* -
  • A systematic review was conducted to explore the benefits and challenges of CAR T-cell therapy specifically for prostate cancer, resulting in 26 out of 183 records being deemed eligible.* -
  • The review highlights the complexity of the tumor microenvironment in prostate cancer, which plays a crucial role in the effectiveness of immunotherapy treatments.*
View Article and Find Full Text PDF

Purpose: IMpassion130 led to the approval of atezolizumab plus nab-paclitaxel as first-line treatment for patients with unresectable locally advanced or metastatic triple-negative, PD-L1 immune-cell positive breast cancer (BC) by the European Medicines Agency (EMA). The objective of the present study was to investigate the implementation, safety and efficacy of this combination in the initial phase after approval.

Methods: A retrospective data analysis including all BC patients who received atezolizumab and nab-paclitaxel between 1.

View Article and Find Full Text PDF
Article Synopsis
  • The study investigates how to effectively isolate circulating tumor cells (CTCs) from blood using various microfluidic techniques to improve cancer diagnosis.
  • Blood samples from breast cancer patients were processed through different methods to enhance the recovery of CTCs while minimizing contamination from other blood cells.
  • Results showed that the method used significantly influenced the yield and purity of isolated tumor cells, with a notable disparity in the presence of cancer markers between early and metastatic breast cancer samples.
View Article and Find Full Text PDF
Article Synopsis
  • - The TUXEDO-1 trial tested trastuzumab deruxtecan, an antibody-drug conjugate, on 15 patients with HER2-positive metastatic breast cancer and brain metastases, focusing on its ability to treat brain lesions.
  • - Results showed a significant intracranial response rate, with 73.3% of patients achieving a complete or partial response, which exceeded the trial's target of 61%.
  • - Safety was consistent with previous findings, and patients maintained their quality of life and cognitive function during treatment, suggesting trastuzumab deruxtecan could be a viable option for managing brain metastases in these patients.
View Article and Find Full Text PDF

Targeting testosterone signaling through androgen deprivation therapy (ADT) or antiandrogen treatment is the standard of care for advanced prostate cancer (PCa). Although the large majority of patients initially respond to ADT and/or androgen receptor (AR) blockade, most patients suffering from advanced PCa will experience disease progression. We sought to investigate drivers of primary resistance against antiandrogen treatment in the TRAMP mouse model, an SV-40 t-antigen driven model exhibiting aggressive variants of prostate cancer, castration resistance, and neuroendocrine differentiation upon antihormonal treatment.

View Article and Find Full Text PDF

Prostate cancer (PCa) is the most common non-cutaneous cancer in men in Europe and is predicted to exhibit declining mortality in the European Union (EU) due to various recent improvements in treatment. The goal of this short review is to give insight into the European treatment landscape of PCa, while focusing on improvements in care.

View Article and Find Full Text PDF

A synthetic lethal interaction between two genes is given when knock-out of either one of the two genes does not affect cell viability but knock-out of both synthetic lethal interactors leads to loss of cell viability or cell death. The best studied synthetic lethal interaction is between BRCA1/2 and PARP1, with PARP1 inhibitors being used in clinical practice to treat patients with BRCA1/2 mutated tumors. Large genetic screens in model organisms but also in haploid human cell lines have led to the identification of numerous additional synthetic lethal interaction pairs, all being potential targets of interest in the development of novel tumor therapies.

View Article and Find Full Text PDF
Article Synopsis
  • Breast cancer is the most common cancer in women and its connection to gut microbiota has been studied, revealing that microbiota imbalances can influence its development and treatment.
  • In postmenopausal breast cancer patients, differences in gut bacteria compared to healthy individuals have been noted, particularly with bacteria affecting hormone levels that could increase cancer risk.
  • The review explores how both gut and breast microbiota may contribute to cancer progression, along with the potential for using microbiome analysis to tailor more personalized treatment strategies for breast cancer.
View Article and Find Full Text PDF

Loss of hepatocellular carcinoma-related protein 1 (HCRP1) (alias VPS37A) plays a role in endocytosis of receptor tyrosine kinases as a member of the ESCRT complex and has been linked to poor patient outcome in various types of epithelial cancer. To this date, the molecular and biological mechanisms explaining how its absence would contribute to tumor progression remain unknown. Using genomic editing with CRISPR-Cas9, we generated ovarian and breast cancer cell lines with loss-of-function mutations of HCRP1.

View Article and Find Full Text PDF

Background: Novel treatment modalities like targeted therapy and immunotherapy are currently changing treatment strategies and protocols in the field of medical oncology.

Methods: Numbers of patients and patient contacts admitted to medical oncology day clinics of a large European academic cancer centre in the period from 2006 to 2018 were analysed using our patient administration system.

Results: A patient cohort of 9.

View Article and Find Full Text PDF

Purpose: To assess the prevalence of sarcopenia and whether body composition parameters are associated with disease progression and overall survival (OS) in castration-resistant prostate cancer (CRPC) patients.

Materials And Methods: This single-centre retrospective study evaluated data of 186 consecutive patients who underwent chemohormonal therapy between 2005 and 2016 as first-line systemic treatment for CRPC. Skeletal muscle and fat indices were determined using computerized tomography data before initiation of chemotherapy.

View Article and Find Full Text PDF

The advancement of immune-therapeutics in cancer treatment has proven to be promising in various malignant diseases. However, in castration resistant prostate cancer (mCRPC) major Phase III trials have been unexpectedly disappointing. To contribute to a broader understanding of the role and use of immune-therapeutics in mCRPC, we conducted a systematic review.

View Article and Find Full Text PDF

Background: Synthetic lethality describes a relationship between two genes where single loss of either gene does not trigger significant impact on cell viability, but simultaneous loss of both gene functions results in lethality. Targeting synthetic lethal interactions with drug combinations promises increased efficacy in tumor therapy.

Materials And Methods: We established a set of synthetic lethal interactions using publicly available data from yeast screens which were mapped to their respective human orthologs using information from orthology databases.

View Article and Find Full Text PDF
Article Synopsis
  • The concept of synthetic lethality is being explored as a new approach in cancer therapy, where the loss of two genes results in cell death, while the loss of one can be compensated.
  • Various compounds that target synthetic lethal pathways are being used or tested in cancers like breast cancer, focusing mainly on the interaction between PARP1 and BRCA1/2.
  • Our study utilized a machine-learning algorithm to identify novel, low-toxicity synthetic lethal drug combinations for breast cancer and demonstrated their effectiveness in reducing cancer cell viability.
View Article and Find Full Text PDF

Purpose: The aim of the present meta-analysis was to quantify effects of resistance exercise (RE) on physical performance and function, body composition, health-related quality of life (HRQoL), and fatigue in patients with prostate cancer.

Methods: Trial data were obtained from the databases PubMed, MEDLINE, EMBASE, SCOPUS, and the Cochrane Library as of inception to 31st of December 2016. Thirty-two trials with 1199 patients were included.

View Article and Find Full Text PDF

Background: DNA methylation regulates together with other epigenetic mechanisms the transcriptional activity of genes and is involved in the pathogenesis of malignant diseases including lung cancer. In non-small cell lung cancer (NSCLC) various tumor suppressor genes are already known to be tumor-specifically methylated. However, from the vast majority of a large number of genes which were identified to be tumor-specifically methylated, tumor-specific methylation was unknown so far.

View Article and Find Full Text PDF

Biologically distinct subtypes of metastatic breast cancer (MBC) have been defined by multiple efforts in recent years, showing broad heterogeneity at the molecular level of disease. Throughout this endeavour, oncogenic drivers within MBC were identified as potential therapeutic targets. With recent results from clinical trials targeting these well-known cancer-promoting pathways, this review is trying to elucidate as well as summarise current new therapeutic aspects in MBC and shed light on translational aspects within this entity.

View Article and Find Full Text PDF