Publications by authors named "Shu-qiang Yuan"

Background: Long noncoding RNAs (lncRNAs) play a critical role in gastric cancer (GC) progression and metastasis. However, research comprehensively exploring tissue-derived lncRNAs for predicting peritoneal recurrence in patients with GC remains limited. This study aims to investigate the transcriptional landscape of lncRNAs in GC with peritoneal metastasis (PM) and to develop an integrated lncRNA-based score to predict peritoneal recurrence in patients with GC after radical gastrectomy.

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Based on a subanalysis of the NEOSUMMIT-01 study, it was revealed that perioperative immune checkpoint blockade (ICB) combined with chemotherapy has therapeutic effects in elderly patients with locally advanced gastric cancer, providing a new strategy for the treatment of elderly gastric cancer patients.

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Gastric cancer (GC) is one of the most common clinical malignant tumors worldwide, with high morbidity and mortality. Presently, the overall response rate to immunotherapy is low, and current methods for predicting the prognosis of GC are not optimal. Therefore, novel biomarkers with accuracy, efficiency, stability, performance ratio, and wide clinical application are needed.

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Background: GC is a highly heterogeneous tumor with different responses to immunotherapy, and the positive response depends on the unique interaction between the tumor and the tumor microenvironment (TME). However, the currently available methods for prognostic prediction are not satisfactory. Therefore, this study aims to construct a novel model that integrates relevant gene sets to predict the clinical efficacy of immunotherapy and the prognosis of GC patients based on machine learning.

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Article Synopsis
  • Perioperative chemotherapy remains the standard treatment for locally advanced gastric cancer, and a study (NEOSUMMIT-01) is exploring the effectiveness of adding a PD-1 inhibitor called toripalimab to this regimen.
  • In the study, patients were randomly assigned to receive either standard chemotherapy or a combination of toripalimab and chemotherapy, with results showing that the latter group had a significantly higher rate of tumor regression (44.4% vs. 20.4%).
  • Additionally, the combination treatment led to a greater rate of complete pathological response and had similar rates of surgical complications and treatment-related side effects compared to chemotherapy alone.
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  • Circulating tumor DNA (ctDNA) can help doctors understand if stomach cancer might come back after treatment, especially in patients with stage II/III gastric cancer.
  • In a study with 100 patients, those who had ctDNA after surgery or chemotherapy had a much higher chance of their cancer returning.
  • Using ctDNA measurements along with other tests showed better predictions for cancer recurrence than using just tissue samples alone.
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  • Sporadic synchronous colorectal cancer (SCRC) involves multiple primary colorectal tumors diagnosed at once in patients without hereditary risks, yet there's limited understanding of its genomic landscape for effective treatment.
  • A study analyzed 103 tumor samples from 51 SCRC patients through whole-exome sequencing and found significant genetic inconsistencies across tumors, highlighting higher prevalence of tumor mutation burden high (TMB-H) and microsatellite-instability high (MSI-H) compared to solitary CRC cases.
  • SCRC tumors that evolve neutrally show greater intratumoral diversity and potentially better patient outcomes, prompting a need for improved targeted and immunotherapy strategies based on these unique molecular characteristics.
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Interleukin-1β (IL-1β) is a key protein in inflammation and contributes to tumor progression. However, the role of IL-1β in cancer is ambiguous or even contradictory. Here, we found that upon IL-1β stimulation, nicotinamide nucleotide transhydrogenase (NNT) in cancer cells is acetylated at lysine (K) 1042 (NNT K1042ac) and thereby induces the mitochondrial translocation of p300/CBP-associated factor (PCAF).

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Background: Gastric cancer (GC) is one of the most common clinical malignant tumors worldwide, with high morbidity and mortality. The commonly used tumor-node-metastasis (TNM) staging and some common biomarkers have a certain value in predicting the prognosis of GC patients, but they gradually fail to meet the clinical demands. Therefore, we aim to construct a prognostic prediction model for GC patients.

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  • The study investigates the relationship between pyroptosis (a type of cell death) and the tumor immune microenvironment (TIME) in gastric cancer to better understand their interactions.
  • Researchers identified distinct groups based on pyroptosis-related characteristics and created a pyroptosis risk score to predict immunotherapy responses and identify potential cancer treatments.
  • Findings show that a low pyroptosis risk score correlates with favorable immune cell profiles and better patient outcomes, validating its effectiveness as a prognostic tool for survival and immunotherapy response in gastric cancer.
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  • The study focused on identifying predictive biomarkers for the effectiveness of anti-PD-1 monoclonal antibody treatment in advanced gastric cancer (AGC) patients, given its limited efficacy for some individuals.
  • Researchers analyzed data from 58 chemorefractory AGC patients, measuring treatment outcomes and examining immune cell presence in tumor tissues through transcriptome sequencing.
  • Results indicated that higher baseline blood neutrophil-to-lymphocyte ratio (bNLR) and its early changes (dNLR) were linked to poorer survival rates and treatment responses, highlighting their potential use as prognostic indicators in clinical settings.
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Background: Mismatch repair-deficient (dMMR) or microsatellite instability-high (MSI-H) status serves as a predictor of a poor response to adjuvant chemotherapy among stage 2 colon cancer patients. This study aimed to investigate the efficacy of adjuvant chemotherapy in dMMR/MSI-H gastric cancer (GC).

Methods: Clinical studies comparing adjuvant chemotherapy and surgery alone in dMMR/MSI-H GCs through June 2021 were retrieved to assess the survival of patients managed with both treatments.

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Background: Epstein-Barr virus (EBV)-associated gastric carcinomas (EBVaGCs) present unique molecular signatures, but the tumorigenesis of EBVaGCs and the role EBV plays during this process remain poorly understood.

Methods: We applied whole-exome sequencing, EBV genome sequencing, and whole-genome bisulfite sequencing to multiple samples (n = 123) derived from the same patients (n = 25), which covered saliva samples and different histological stages from morphologically normal epithelial tissues to dysplasia and EBVaGCs. We compared the genomic landscape between EBVaGCs and their precursor lesions and traced the clonal evolution for each patient.

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Despite that immune checkpoint inhibitors (ICIs) had tremendous improved the survival of multiple solid tumors, only a limited proportion of patients are responsive to ICIs. Therefore, effective variables are urgently needed to predict the probability of response to ICIs. Systematic searches were conducted from inception up to May, 2020.

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Recent trials have shown a promising anti-tumor activity for advanced cancer patients treated with PD-1/PD-L1 inhibitors; however, little is known on the use of PD-1/PD-L1 inhibitors in adults over 75 years of age. Here, we performed a study-level meta-analysis to compare the efficacy of anti-PD-1/PD-L1 agents between elderly (≥ 75 years) and non-elderly (< 75 years) patients. In the present study, we systematically reviewed phase 2/3 trials of PD-1/PD-L1 inhibitors of advanced solid tumors that reported treatment effect (hazard ratio [HR]) in patients based on age (≥ 75 years vs.

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Article Synopsis
  • Recent studies indicate that PD-1 and PD-L1 inhibitors can improve overall survival in 10-40% of advanced cancer patients, leading to an evaluation of how PD-L1 expression relates to the effectiveness of these treatments compared to standard options.
  • A systematic review of 24 trials involving over 14,860 patients revealed that anti-PD-1/PD-L1 therapies significantly lower the risk of death, especially in patients with PD-L1 expression of 1% or more, and showed better outcomes in nonsmall cell lung cancer.
  • While PD-L1 expression can be a useful predictive marker for selecting patients for monotherapy with PD-1/PD-L1 inhibitors, it is
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Ferroptosis is a type of cell death related to cancer; however, the characteristics of ferroptosis in cancers are still uncertain. Based on the data in The Cancer Genome Atlas, we found that most ferroptosis regulator genes (FRGs) were differentially expressed in tumors, somatic copy number alterations (SCNA) and DNA methylation contributed to their aberrant expression. We established the ferroptosis potential index (FPI) to reveal the functional roles of ferroptosis and noticed that the FPI was higher in tumors than in normal tissues in most cancers and was associated with subtypes and clinical features.

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Background: We assessed the surrogacy of objective response rate (ORR), disease control rate (DCR) and progression-free survival (PFS) for overall survival (OS) in anti-PD-1/PD-L1 trials of metastatic melanoma through a meta-analysis of randomized controlled trials (RCTs).

Methods: PubMed and EMBASE were searched for phase II/III RCTs till June 2019 investigating anti-PD-1/PD-L1 agents. Treatment effect (hazard ratio or odds ratio) on potential surrogates (ORR/DCR/PFS) and OS were collected.

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Background: The present study aims to report the surgical outcome and long-term survival of conversion surgery and clarify its role in advanced gastric cancer.

Patients And Methods: A total of 95 primary advanced gastric adenocarcinoma patients who underwent systemic chemotherapy and conversion surgery were reviewed retrospectively. The survival of conversion surgery was analyzed by Cox regression and the Kaplan-Meier method.

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Objectives: To evaluate the efficacy of immuno-oncology combinational therapy (IOCT) versus monotherapy with programmed cell death 1 (PD-1) or PD-ligand 1 (PD-L1) inhibitors or conventional therapies, i.e., non-IOCT, in patients with advanced solid tumors.

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  • - The study evaluated if disease-free survival (DFS) could be a reliable predictor of overall survival (OS) in clinical trials for pancreatic cancer after surgical removal of the tumor.
  • - Researchers reviewed 20 trials involving 5170 patients and found a strong correlation between the treatment effects on DFS and OS, confirming the reliability of DFS as a surrogate endpoint.
  • - The analysis suggested that a DFS hazard ratio of 0.96 or less would indicate a positive treatment impact on OS in future pancreatic cancer adjuvant trials.
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Dysregulation of prostate stem cell antigen (PSCA) has been implicated in human cancers. Studies have reported that PSCA expression is generally high in prostate cancer, which correlates with a worse survival. PSCA is also highly expressed in bladder, ovarian, and pancreatic cancers.

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