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Pharmacovigilance imbalance analysis of VEGFR-TKI-related taste and smell disorders.

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Department of pharmacy, School of Clinical Medicine, Henan Provincial People's Hospital, People's Hospital of Zhengzhou University, Henan University, No.7 Weiwu Road, Jinshui District, Zhengzhou, 450003, Henan, China.

Taste and smell disorders (TSDs) can induce diminished interest in food, inadequate nutrient intake, and emotional irregularities, particularly among cancer patients. Previous research found that the main culprits of TSD development in cancer patients are cytotoxic drugs such as taxol, fluorouracil, cyclophosphamide, and anthracycline-based drugs. The advent of targeted drugs such as vascular endothelial growth factor receptor-tyrosine kinase inhibitors (VEGFR-TKIs) has significantly extended the survival time of cancer patients, and thus widely used in clinical practice.

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New metabolic insights into the mechanism of ifosfamide encephalopathy.

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Ifosfamide causes neurotoxicity, including sometimes fatal encephalopathy, in a small number of patients. Why and how this occurs is not fully understood. It is generally believed that N-dechloroethylation of ifosfamide to 2-chloroacetaldehyde is the cause.

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Objective: To optimize the use of tyrosine kinase inhibitors (TKIs) and immune checkpoint inhibitors (ICIs) for cancer patients, we characterized and evaluated ONJ related to TKIs and ICIs by analyzing a public database and reviewing the relevant literature. TKIs and ICIs are limited to drugs that treat renal cancer recommended by the National Comprehensive Cancer Network Clinical Practice Guidelines in Oncology for Kidney Cancer.

Methods: We described a case series of patients experiencing ONJ while on TKIs or ICIs.

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Article Synopsis
  • Integrin alpha 5 (ITGA5) is linked to cancer prognosis, yet its specific role in clear cell renal cell carcinoma (ccRCC) and its influence on tumor progression and the tumor microenvironment (TME) needed further investigation.
  • Researchers used a machine learning model to analyze how ITGA5 expression impacts ccRCC, finding that higher levels are associated with adverse tumor characteristics and correlated with VHL mutations.
  • The study suggests that high ITGA5 levels create an immunosuppressive TME by reducing CD8+ T cell infiltration, and proposes that combining ITGA5 inhibitors with VEGFR-targeted drugs could be an effective treatment strategy.
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Disulfidptosis is a novel programmed cell death mode that has been reported to play a role in oncogenesis. Increasing evidences suggest that the long non-coding RNAs (lncRNAs) play crucial roles in the initiation and progression of bladder cancer (BLCA). However, the role and prognostic value of disulfidptosis-related lncRNAs in BLCA remain unknown.

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