Publications by authors named "Roma Bhuta"

Extracranial germ cell tumors (GCT) are a biologically diverse group of tumors occurring in children, adolescents, and young adults. The majority of patients have excellent outcomes, but treatment-related toxicities impact their quality of survivorship. A subset of patients succumbs to the disease.

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There are limiteddata on long-term changes in the gut microbiome after acute lymphoblastic leukemia (ALL) therapy. We compared the gut microbial composition in stool samples of nine survivors of childhood ALL with 10 healthy sibling controls using 16S rRNA gene sequencing. Analysis of beta diversity within family units demonstrated a significant difference in bacterial strains between patients and healthy siblings.

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Article Synopsis
  • Vincristine is an important drug used to treat pediatric cancers, but it can cause serious nerve damage, leading to sensory, motor, and autonomic neuropathy.
  • Five patients had to stop taking vincristine due to severe neurotoxicity while being treated for acute lymphoblastic leukemia, resulting in loss of mobility and other serious side effects, like vision loss.
  • Despite earlier studies suggesting bad outcomes for those who stop vincristine during treatment, all five patients managed to achieve and maintain complete remission after discontinuation.
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The human microbiome consists of trillions of microbial cells that interact with one another and the human host to play a clinically significant role in health and disease. Gut microbial changes have been identified in cancer pathogenesis, at disease diagnosis, during therapy, and even long after completion of treatment. Alterations in the gut microbiome have been linked to treatment-related toxicity and potential long-term morbidity and mortality in children with cancer.

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