Publications by authors named "Steven Rosen"

Cell signaling pathways are enriched for biological processes crucial for cellular communication, response to external stimuli, and metabolism. Here, a cell signaling-focused CRISPR screen identified cytochrome c oxidase subunit 4 isoform 1 (COX4I1) as a novel vulnerability in acute myeloid leukemia (AML). Depletion of COX4I1 hindered leukemia cell proliferation and impacted in vivo AML progression.

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PIK-75 (F7) is a potent multikinase inhibitor that targets p110α, DNA-PK, and p38γ. PIK-75 has shown potential as a therapy in preclinical cancer models, but it has not been used in the clinic, at least in part, due to limited solubility. We therefore developed a nanoparticle to encapsulate PIK-75 and enable targeted cellular delivery.

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Triple-negative breast cancer (TNBC) is the most aggressive breast cancer subtype. The tumor microenvironment (TME) plays a major regulatory role in TNBC progression and is highly infiltrated by suppressive immune cells that reduce anti-tumor immune activity. Although regulatory B cells (Bregs) are a key TME component, knowledge of their function in TNBC is limited.

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Cutaneous T cell lymphomas (CTCLs) are a heterogeneous group of non-Hodgkin lymphomas, with mycosis fungoides and Sézary syndrome being the two common subtypes. Despite the substantial improvement in early-stage diagnosis and treatments, some patients still progress to the advanced stage with an elusive underpinning mechanism. While this unsubstantiated disease mechanism coupled with diverse clinical outcomes poses challenges in disease management, emerging evidence has implicated the tumor microenvironment in the disease process, thus revealing a promising therapeutic potential of targeting the tumor microenvironment.

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Introduction: In May 2022, the Centers for Disease Control and Prevention disseminated an alert advising that "a few" persons with Nirmatrelvir/ritonavir (NM/R)-associated rebound of COVID-19 infection had been identified. Three case reports appearing as pre-print postings described the first cases. Analyses in March 2023 by NM/R's manufacturer and the Food and Drug Administration (FDA) reported no association between NM/R and COVID-19 rebound in a large phase 3 randomized clinical trial.

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Objectives: Spinal cord stimulation (SCS) has been challenged by the lack of neurophysiologic data to guide therapy optimization. Current SCS programming by trial-and-error results in suboptimal and variable therapeutic effects. A novel system with a physiologic closed-loop feedback mechanism using evoked-compound action potentials enables the optimization of physiologic neural dose by consistently and accurately activating spinal cord fibers.

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Article Synopsis
  • - Richter's transformation (RT) is when chronic lymphocytic leukemia (CLL) progresses to a more aggressive lymphoma type; the gene involved in this process is mutated more frequently in RT (36%) compared to CLL (3%).
  • - Researchers created a mouse model for RT using CRISPR-Cas9 to knock out this gene, finding that RT cells showed mitochondrial issues and increased oxidative phosphorylation (OXPHOS).
  • - By studying RNA sequences, the team identified a potential target that drives RT through OXPHOS modulation, suggesting that combining therapies to inhibit both MYC and a key electron transport chain component could improve survival for RT-infected mice.
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Background: Patients with mycosis fungoides (MF)/Sézary Syndrome (SS) can experience impacted health-related quality of life (HRQoL).

Objectives: To validate the CTCL-S, a novel subscale of the Functional Assessment of Cancer Therapy-General (FACT-G), in patients with MF/SS.

Methods: Qualitative interviews were conducted with expert clinicians and patients with MF/SS.

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Background: CD30 expression is universal in anaplastic large-cell lymphoma and is expressed in some other peripheral T-cell lymphoma subtypes. Incorporation of brentuximab vedotin into initial therapy for people with CD30-positive peripheral T-cell lymphomas prolonged progression-free survival, but there is room for improvement, especially for people with non-anaplastic large-cell lymphoma subtypes.

Methods: We conducted a multicentre, international, single-arm, phase 2 trial to evaluate the safety and activity of CHEP-BV (cyclophosphamide, doxorubicin, prednisone, brentuximab vedotin, and etoposide) followed by brentuximab vedotin consolidation in patients with CD30-expressing peripheral T-cell lymphomas across five academic centres in the USA and Canada.

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Article Synopsis
  • BV (brentuximab venetoclax) is an antibody-drug conjugate effective in treating relapsed or refractory Hodgkin lymphoma, but most patients develop resistance over time, a major unmet need in treatment.
  • A phase 1 study tested the combination of BV and cyclosporine in patients who had become resistant to BV, focusing on safety, tolerability, and determining the maximum tolerated dose (MTD).
  • Out of 29 patients enrolled, the study found a complete response rate of 27% and an overall response rate of 64%, but it had to halt early due to unacceptable toxicity, with treatment-related deaths in three patients.
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  • Patients with relapsed/refractory transformed diffuse large B-cell lymphoma (DLBCL) have a poor prognosis, and while PD-1/PD-L1 antibodies show modest response rates, combining them with immunogenic chemotherapies like gemcitabine and oxaliplatin (GemOx) may enhance efficacy.
  • A phase I trial evaluated the safety and effectiveness of the combination treatment, R-GemOx+Atezo, in patients who had received at least one prior therapy, with initial results indicating it was generally well tolerated despite some serious side effects.
  • The treatment resulted in an overall response rate (ORR) of 59% and a complete response rate (CRR)
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Purpose Of Review: In this review, we provide an overview of the current understanding of SLAM-family receptors in hematologic malignancies. We highlighted their contribution to the disease pathogenesis and targeting strategies to improve therapeutic outcomes.

Recent Findings: Emerging studies have reported the tumor-promoting role of SLAM-family receptors in various hematologic malignancies, including chronic lymphocytic leukemia, acute myeloid leukemia, and multiple myeloma.

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Although up to 80% small cell lung cancer (SCLC) patients' response is good for first-line chemotherapy regimen, most patients develop recurrence of the disease within weeks to months. Here, we report cytostatic effect of leflunomide (Leflu) and teriflunomide (Teri) on SCLC cell proliferation through inhibition of DRP1 phosphorylation at Ser and decreased mitochondrial fragmentation. When administered together, Teri and carboplatin (Carbo) act synergistically to significantly inhibit cell proliferation and DRP1 phosphorylation, reduce abundance of intermediates in pyrimidine pathway, and increase apoptosis and DNA damage.

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Introduction: Drawbacks of fixed-output spinal cord stimulation (SCS) screening trials may lead to compromised trial outcomes and poor predictability of long-term success. Evoked compound action potential (ECAP) dose-controlled closed-loop (CL) SCS allows objective confirmation of therapeutic neural activation and pulse-to-pulse stimulation adjustment. We report on the immediate patient-reported and neurophysiologic treatment response post-physiologic CL-SCS and feasibility of early SCS trial responder prediction.

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Introduction: Brentuximab vedotin (BV) is an antibody-drug conjugate that delivers monomethyl auristatin E (MMAE) to CD30+ cells and is safe and effective in relapsed/refractory (r/r) Hodgkin lymphoma (HL). Although most patients respond to BV, only a minority will obtain a complete response (CR), and almost all patients eventually progress. Ibrutinib is a Bruton's tyrosine kinase (BTK) inhibitor highly active in multiple subtypes of non-Hodgkin lymphoma; limited data exist regarding its use in HL.

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Targeting the metabolic dependencies of acute myeloid leukemia (AML) cells is a promising therapeutical strategy. In particular, the cysteine and methionine metabolism pathway (C/M) is significantly altered in AML cells compared to healthy blood cells. Moreover, methionine has been identified as one of the dominant amino acid dependencies of AML cells.

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Introduction: A novel, spinal cord stimulation (SCS) system with a physiologic closed-loop (CL) feedback mechanism controlled by evoked compound action potentials (ECAPs) enables the optimization of physiologic neural dose and the accuracy of the stimulation, not possible with any other commercially available SCS systems. The report of objective spinal cord measurements is essential to increase the transparency and reproducibility of SCS therapy. Here, we report a cohort of the EVOKE double-blind randomized controlled trial treated with CL-SCS for 36 months to evaluate the ECAP dose and accuracy that sustained the durability of clinical improvements.

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Recently, cancer immunotherapy has revolutionized cancer treatment. Various forms of immunotherapy have a manageable safety profile and result in prolongation of overall survival in patients with solid tumors, but only in a proportion of patients. Various factors in the tumor microenvironment play critical roles and may be responsible for this lack of therapeutic response.

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Article Synopsis
  • Epigenetic dysregulation is linked to various cancers, particularly leukemias, and the study explores the role of Tudor domains in leukemia progression and treatment.
  • Researchers used a CRISPR screen to find SGF29, a vital part of acetyltransferase complexes, which is important for gene expression and the development of leukemia.
  • The study introduced a new strategy called CRISPR-SADD for drug discovery, helping to identify a promising inhibitor that targets SGF29's Tudor domain and shows effectiveness against leukemia, suggesting broad applicability for future drug development.
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As the dynamic evolution of SARS-CoV-2 led to reduced efficacy in monoclonal neutralizing antibodies and emergence of immune escape, the role of bispecific antibodies becomes crucial in bolstering antiviral activity and suppressing immune evasion. This review extensively assesses a spectrum of representative bispecific antibodies targeting SARS-CoV-2, delving into their characteristics, design formats, mechanisms of action, and associated advantages and limitations. The analysis encompasses factors influencing the selection of parental antibodies and strategies for incorporating added benefits in bispecific antibody design.

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Article Synopsis
  • The researchers used CRISPR screens to identify critical integrin proteins, ITGAV and ITGB5, that are vital for cancer cell growth in various cancer models.* -
  • They developed a new drug discovery method called CRISPR-TICA, which combines CRISPR gene tiling and computer-aided design to find potential drug candidates like Cpd_AV2, targeting a specific pocket on ITGAV.* -
  • Treatment with Cpd_AV2 leads to the breakdown of the integrin αVβ5 complex and triggers cell death, showcasing a novel therapeutic strategy focused on disrupting integrin signaling.*
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  • - The study focuses on the role of Methyltransferase 16 (METTL16) in liver cancer stem cells (CSCs), revealing its significant involvement in the development and maintenance of hepatocellular carcinoma (HCC) while having a lesser effect on normal liver development.
  • - Using various experimental models, the researchers found that depleting METTL16 reduced CSC frequency and hindered HCC initiation and progression, indicating METTL16's essential role in cancer biology.
  • - The research highlights METTL16 as a key regulator of ribosomal RNA maturation and mRNA translation, identifying eIF3a as a target, providing insights for potential therapeutic developments against liver cancer.
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