Publications by authors named "Shu Yongqian"

A randomized double-blind phase 3 trial (CHOICE-01, NCT03856411) demonstrated that combining toripalimab with chemotherapy substantially improves progression-free survival (PFS) in advanced non-small cell lung cancer (NSCLC) patients without pretreatment. This study presents the prespecified final analysis of overall survival (OS) and biomarkers utilizing circulating tumor DNA (ctDNA) and tissue-based sequencing. Additionally, the analysis revealed a higher median overall survival (OS, 23.

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  • A phase 3 study showed that combining camrelizumab with chemotherapy significantly improved progression-free survival in patients with advanced non-squamous non-small-cell lung cancer compared to chemotherapy alone.
  • After 5 years, overall survival rates were 31.2% for those receiving camrelizumab and chemotherapy versus 19.3% for those on chemotherapy alone, indicating a substantial benefit.
  • Patients who completed two years of treatment with camrelizumab had an impressive 5-year overall survival rate of 84.3%, reinforcing its effectiveness and safety as a first-line therapy for this cancer type.
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Background: Despite remarkable achievements in applying chimeric antigen receptor (CAR)-T cells to treat hematological malignancies, they remain much less effective against solid tumors, facing several challenges affecting their clinical use. We previously showed that multichain DNAX-activating protein (DAP) CAR structures could enhance the safety and efficacy of CAR-T cells when used against solid tumors. In particular, mesothelin (MSLN)-targeted CAR-T cell therapy has therapeutic potential in MSLN-positive solid tumors, including ovarian cancer and mesothelioma.

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  • Histone deacetylase (HDAC) plays a critical role in regulating gene expression, and its inhibitors (HDACi) have shown promise in enhancing antitumor immunity, particularly in lung adenocarcinoma (LUAD) where their exact effects remain poorly understood.
  • The study utilized mouse models to investigate the therapeutic impact and mechanisms of the pan-HDAC inhibitor vorinostat (SAHA), which was found to boost CD8+ T-cell infiltration and activity by suppressing the FGL1 ligand associated with LAG-3.
  • The combination of SAHA with anti-LAG-3 therapy demonstrated the potential for reduced tumor growth and increased T-cell effectiveness, revealing a novel pathway involving the HDAC1/JAK1
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Pleural mesothelioma (PM) is an aggressive cancer with limited treatment options. In particular, the frequent loss of tumor suppressors, a key oncogenic driver of the disease that is therapeutically intractable, has hampered the development of targeted cancer therapies. Here, we interrogate the PM genome using CRISPR-mediated gene editing to systematically uncover PM cell susceptibilities and provide an evidence-based rationale for targeted cancer drug discovery.

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  • Research seeks to improve chemotherapy and PD-1 inhibitors for advanced non-small-cell lung cancer (NSCLC) by analyzing circulating tumor DNA (ctDNA) from 460 patients in the CHOICE-01 study.
  • Key predictive markers such as ctDNA status, tumor mutational burden, and chromosomal instability were identified to tailor treatment strategies for better patient outcomes.
  • An integrated ctDNA-based stratification system, called blood-based genomic immune subtypes (bGIS), offers a new way to personalize therapies and monitor treatment responses in advanced NSCLC patients.
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  • - The study evaluated the safety and effectiveness of a combination of tislelizumab, cisplatin, and 5-fluorouracil in patients with unresectable advanced esophageal squamous cell carcinoma (ESCC) during a phase 2 clinical trial.
  • - Out of 47 patients, 40.4% achieved major pathological response (MPR), and 25.5% achieved pathological complete response (pCR), demonstrating promising surgical outcomes and manageable side effects (grade 3+ adverse events seen in 14.9% of participants).
  • - Results showed that higher tumor mutation burden correlated with better post-surgery prognosis, and those achieving pCR displayed enhanced immune attributes, indicating the treatment's potential effectiveness
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Aims: As our comprehension of the intricate relationship between cellular senescence and tumor biology continues to evolve, the therapeutic potential of cellular senescence is gaining increasing recognition. Here, we identify chromobox 4 (CBX4), a Small Ubiquitin-related Modifier (SUMO) E3 ligase, as an antagonist of cellular senescence and elucidate a novel mechanism by which CBX4 promotes drug resistance and malignant progression of gastric cancer (GC).

Methods: In vitro and in vivo models were conducted to investigate the manifestation and impact of CBX4 on cellular senescence and chemoresistance.

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  • Immunochemotherapy is the main treatment for extensive-stage small-cell lung cancer (ES-SCLC), and adding anti-angiogenesis may enhance its effectiveness.
  • The ETER701 trial tested a new treatment combining benmelstobart (a PD-L1 inhibitor) and anlotinib (an anti-angiogenic drug) with standard chemotherapy in newly diagnosed ES-SCLC patients.
  • The results showed that those receiving benmelstobart and anlotinib had significantly longer overall survival compared to the standard chemotherapy alone, with manageable side effects, indicating this combination could be a promising first-line treatment.
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Background: Gastroenteropancreatic neuroendocrine carcinomas (GEP-NECs) constitute a rare and aggressive group of malignancies usually with widespread disease. There are limited studies on GEP-NECs, and therefore, we aim to acquire more information on the clinical features, treatment regimens, and prognosis.

Methods: Data from advanced GEP-NECs patients who had not previously received systemic treatment for advanced disease at The First Affiliated Hospital of Nanjing Medical University from 2010 to 2022 were retrospectively collected.

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Background: Maintenance therapy could significantly improve the prognosis of patients with advanced non-small cell lung cancer (NSCLC) receiving chemotherapy. Anlotinib is effective, tolerable, and convenient in administration as a third-line treatment for NSCLC. This study aimed to evaluate the efficacy and safety of maintenance therapy with anlotinib after platinum-based induction chemotherapy for patients with advanced NSCLC.

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Neurofibromatosis type 2 (NF2) is a tumor suppressor gene implicated in various tumors, including mesothelioma, schwannomas, and meningioma. As a member of the ezrin, radixin, and moesin (ERM) family of proteins, merlin, which is encoded by NF2, regulates diverse cellular events and signalling pathways, such as the Hippo, mTOR, RAS, and cGAS-STING pathways. However, the biological role of NF2 in tumorigenesis has not been fully elucidated.

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  • * Results showed a significant improvement in progression-free survival (PFS) for those receiving fruquintinib (5.6 months) compared to the placebo group (2.7 months), but overall survival (OS) was not significantly different between the two groups (9.6 months vs. 8.4 months).
  • * The most common serious side effects of the treatment included neutropenia, leukopenia, and anemia, suggesting that while fruquintinib can extend
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Background: In ORIENT-15 study, sintilimab plus chemotherapy demonstrated significant improvement on overall survival (OS) versus placebo plus chemotherapy in first-line treatment of advanced esophageal squamous cell carcinoma (ESCC). Here, we report effect of sintilimab plus chemotherapy on health-related quality of life (HRQoL) in patients with advanced ESCC.

Methods: From December 14, 2018 to August 28, 2022, HRQoL was evaluated in all randomized patients using European Organization for Research and Treatment of Cancer (EORTC) Quality of Life Questionnaire Core 30 items (QLQ-C30), EORTC Quality of Life Questionnaire Oesophageal Cancer Module 18 items (QLQ-OES18), and visual analogue scale (VAS) of the EuroQol five-dimensional five-level questionnaire (EQ-5D-5L).

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Background: N6-methyladenosine (m6A) modification plays an important role in lung cancer. However, methyltransferase-like 14 (METTL14), which serves as the main component of the m6A complex, has been less reported to be involved in the immune microenvironment of lung cancer. This study aimed to analyze the relationship between METTL14 and the immune checkpoint inhibitor programmed death receptor 1 (PD-1) in lung cancer.

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  • Malignant pleural mesothelioma (MPM) is a rare and aggressive cancer with limited treatment options; recent advancements in immunotherapy using immune checkpoint inhibitors (ICIs) show varied patient responses and the need for better biomarkers.
  • Researchers analyzed data from The Cancer Genome Atlas and other cohorts to explore how BAP1 gene deficiency influences the immune environment in MPM, finding that BAP1 deficiency enhances immune pathways linked to inflammation and increased T-cell activity.
  • The study concludes that MPM tumors lacking BAP1 may respond better to immunotherapy and suggests further research into targeting these tumors with ICIs or MEK inhibitors due to their unique immune characteristics.
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  • - Fruquintinib is a treatment approved in China for metastatic colorectal cancer patients who have progressed after two rounds of chemotherapy, and a postmarketing study assessed its safety among these and other patients with solid tumors.
  • - The study included 3005 patients who started treatment between April 2019 and September 2022, with a median age of 60, finding that most began with a 5 mg dose and had a median treatment duration of 2.7 months.
  • - Results showed that 20.8% of patients had treatment-related side effects that required dose adjustments, while 15.6% had to stop treatment; however, the overall safety profile was similar to clinical trials and was considered manageable for
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The cancer cell metastasis is a major death reason for patients with non-small cell lung cancer (NSCLC). Although researchers have disclosed that interleukin 17 (IL-17) can increase matrix metalloproteinases (MMPs) induction causing NSCLC cell metastasis, the underlying mechanism remains unclear. In the study, we found that IL-17 receptor A (IL-17RA), p300, p-STAT3, Ack-STAT3, and MMP19 were up-regulated both in NSCLC tissues and NSCLC cells stimulated with IL-17.

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Gastric cancer (GC) is a common malignant tumor worldwide, especially in East Asia, with high incidence and mortality rate. Epigenetic modifications have been reported to participate in the progression of gastric cancer, among which mA is the most abundant and important chemical modification in RNAs. Fat mass and obesity-associated protein (FTO) is the first identified RNA demethylase but little is known about its role in gastric cancer.

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Patients with advanced gastric cancer typically face a grim prognosis. This phase 1a (dose escalation) and phase 1b (dose expansion) study investigated safety and efficacy of first-line camrelizumab plus apatinib and chemotherapy for advanced gastric or gastroesophageal junction adenocarcinoma. The primary endpoints included maximum tolerated dose (MTD) in phase 1a and objective response rate (ORR) across phase 1a and 1b.

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  • This study investigates the effectiveness and safety of different treatments for cancer treatment-induced thrombocytopenia (CTIT) in China, collecting data from over 1,600 patients across 33 hospitals.
  • Key findings indicate that recombinant thrombopoietin (rhTPO) was less effective in platelet recovery compared to recombinant interleukin 11 (rhIL-11), although both treatments provided similar outcomes overall.
  • The survey highlights that while there were no significant safety issues detected, many physicians preferred the thrombopoietin receptor agonist (TPO-RA) over the other treatment options.
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We aimed to examine the association between baseline platelet count (PLT) and the prognosis of adult secondary hemophagocytic lymphohistiocytosis (sHLH). Data from 292 patients with pretreatment platelet counts were retrospectively analysed from January 2016 to December 2020. We categorized platelet count into quartiles.

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Dysregulated circular RNAs (circRNAs) are significantly related with tumor initiation and progression. However, biological activity and potential molecular mechanism of circRNAs in gastric cancer (GC) deserve further exploration. We carried out total RNA sequencing and acquired the expression profiles of circRNAs.

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  • - The study investigates the safety and effectiveness of penpulimab, a PD-1 inhibitor, combined with chemotherapy for treating advanced squamous non-small-cell lung cancer (NSCLC) in patients who cannot undergo surgical resection or chemoradiotherapy.
  • - Conducted in 74 hospitals across China, this phase 3 clinical trial involved random assignment of eligible patients to receive either penpulimab plus chemotherapy or a placebo, with key assessments focusing on progression-free survival.
  • - Outcomes were analyzed based on an intention-to-treat approach, considering both the overall population and a subgroup of patients with a specific PD-L1 tumour proportion score, while ensuring masking to maintain the integrity of results.
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