1,637 results match your criteria: "All authors: Sylvester Comprehensive Cancer Center[Affiliation]"

Background: There is a significant association between low vitamin D levels at diagnosis of indolent B-cell lymphomas and inferior overall survival (OS). To determine whether supplemental vitamin D improves event-free survival (EFS) in these patients, we conducted a comparative double-blind study of vitamin D vs. placebo.

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Background: The addition of IV triapine to chemoradiation appeared active in phase I and II studies but drug delivery is cumbersome. We examined PO triapine with cisplatin chemoradiation.

Methods: We implemented a 3 + 3 design for PO triapine dose escalation with expansion, starting at 100 mg, five days a week for five weeks while receiving radiation with weekly IV cisplatin for locally advanced cervical or vaginal cancer.

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Background: Racial and ethnic disparities have been reported for HCC prognosis, although few studies fully account for clinically important factors and social determinants of health, including neighborhood socioeconomic status.

Methods: We conducted a retrospective multicenter cohort study of patients newly diagnosed with HCC from January 2010 through August 2018 at 4 large health systems in the United States. We used multivariable logistic regression and cause-specific Cox proportional hazard models to identify factors associated with early-stage HCC presentation and overall survival.

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Taxanes, including paclitaxel, docetaxel, and cabazitaxel, are key agents in cancer treatment, often used as front-line chemotherapy drugs in combination with other agent(s) (commonly carboplatin) and as second-line treatments alone. Generally, taxanes are highly effective, but drug resistance unavoidably develops following repeated treatment. Taxanes work by binding to and stabilizing microtubules, leading to mitotic arrest, mitotic catastrophe, and micronucleation.

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Analysis of Physical Activity Using Wearable Health Technology in US Adults Enrolled in the All of Us Research Program: Multiyear Observational Study.

J Med Internet Res

December 2024

Division of Cancer Prevention and Control, Department of Internal Medicine, College of Medicine, The Ohio State University, Columbus, OH, United States.

Background: To date, no studies have examined adherence to the 2018 Physical Activity Guidelines for Americans (PAGA) in real-world longitudinal settings using objectively measured activity monitoring data. This study addresses this gap by using commercial activity monitoring (Fitbit) data from the All of Us dataset.

Objective: The primary objectives were to describe the prevalence of adherence to the 2018 PAGA and identify associated sociodemographic determinants.

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Blood DNA Methylation Signature for Incident Dementia: Evidence from Longitudinal Cohorts.

medRxiv

November 2024

Division of Biostatistics, Department of Public Health Sciences, University of Miami, Miller School of Medicine, Miami, FL 33136, USA.

Introduction: Distinguishing between molecular changes that precede dementia onset and those resulting from the disease is challenging with cross-sectional studies.

Methods: We studied blood DNA methylation (DNAm) differences and incident dementia in two large longitudinal cohorts: the Offspring cohort of the Framingham Heart Study (FHS) and the Alzheimer's Disease Neuroimaging Initiative (ADNI) study. We analyzed blood DNAm samples from over 1,000 cognitively unimpaired subjects.

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DNA Methylation Signature of a Lifestyle-based Resilience Index for Cognitive Health.

Res Sq

November 2024

Division of Biostatistics, Department of Public Health Sciences, University of Miami, Miller School of Medicine, Miami, FL 33136, USA.

Article Synopsis
  • Cognitive resilience (CR) plays a crucial role in determining the risk and progression of Alzheimer's disease (AD), influenced by lifestyle factors rather than just genetics.
  • The study identified specific DNA methylation changes linked to a Resilience Index (RI) based on lifestyle factors, revealing connections to pathways involved in lipid metabolism, synaptic plasticity, and neuroinflammation.
  • A new Methylation-based Resilience Score (MRS) was developed, successfully predicting future cognitive decline, suggesting that DNA methylation could serve as a potential predictive marker for AD and guiding future research.
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Association between education and allostatic load with risk of cancer mortality among Hispanic women.

Soc Sci Med

January 2025

Center for Health, Engagement, & Transformation, Department of Behavioral Science, Department of Internal Medicine, Community Impact Office, Markey Cancer Center, University of Kentucky, Lexington, Kentucky, USA. Electronic address:

Purpose: Cancer remains the leading cause of death among Hispanics in the US. While social determinants of health, such as educational attainment, have been linked to negative health outcomes, their biological mechanisms remain poorly understood. We evaluated the association between educational attainment and allostatic load (AL), a measure of chronic physiologic stress, with risk of cancer mortality in Hispanic women from the National Health and Nutrition Examination Survey (NHANES).

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Article Synopsis
  • Hematologic malignancies significantly impact the health of children, young adults, and older adults, yet their biological causes are not well understood.
  • A study revealed notable differences in clinical features and genomic mutations between children/young adults (CYAs) and older adults (OAs) in these diseases, including lower mutational burdens in CYAs for many key genes.
  • The research identified specific genes with varying mutation rates and emphasized the need for age-oriented personalized treatment options based on the distinct genetic and clinical landscapes of CYAs and OAs.
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  • * A two-part study was conducted to create and evaluate a website that hosts the TOGETHER intervention, with a focus on enhancing usability and ensuring it meets the specific needs of young adults aged 15-39 diagnosed with cancer.
  • * Usability testing indicated that the website was user-friendly, while the feasibility trial showed promising recruitment, retention, and attendance rates, confirming its potential effectiveness among participants.
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Article Synopsis
  • BAP1 mutations lead to a loss of function affecting cell cycle and DNA repair, making patients potentially responsive to PARP inhibitors like niraparib.
  • A phase II trial evaluated niraparib in patients with advanced tumors likely to have mBAP1 mutations, focusing on response rates, progression-free survival, and overall survival.
  • Despite not meeting the primary efficacy goal, some clinical benefits were observed in patients with confirmed mBAP1 mutations, suggesting the need for further research.
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Exploring prostate-specific antigen (PSA) Testing rates and screening disparities in the all of us dataset.

Urol Oncol

November 2024

Desai Sethi Urology Institute and Sylvester Comprehensive Cancer Center, University of Miami, Miami, FL. Electronic address:

Purpose: To examine prostate cancer (PCa) screening disparities among ethnic groups in the U.S. using the All of Us database.

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Article Synopsis
  • - Cancer presents significant challenges in drug development due to its complexity, including tumor diversity, drug resistance, and side effects, which traditional methods struggle to address.
  • - Recent advancements in "big data" utilize deep learning to analyze curated cancer data, enabling the prediction of effective small molecules and genetic dependencies for therapy.
  • - This new bioinformatics tool represents the first validated supervised deep learning method that predicts drug sensitivity based on gene expression patterns and response signatures in cancer cell lines.
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Esophageal adenocarcinoma models: a closer look.

Front Mol Biosci

November 2024

Department of Surgery, Miller School of Medicine, University of Miami, Miami, FL, United States.

Esophageal adenocarcinoma (EAC) is a subtype of esophageal cancer with significant morbidity and mortality rates worldwide. Despite advancements in tumor models, the underlying cellular and molecular mechanisms driving EAC pathogenesis are still poorly understood. Therefore, gaining insights into these mechanisms is crucial for improving patient outcomes.

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Health Disparities and Inequities in the Utilization of Proton Therapy for Prostate Cancer.

Cancers (Basel)

November 2024

Department of Radiation Oncology and Molecular Radiation Sciences, Johns Hopkins University School of Medicine, Baltimore, MD 21205, USA.

Our study sought to review and summarize the reported health disparities and inequities in the utilization of proton beam therapy (PBT) for prostate cancer. We queried the PubMed search engine through 12/2023 for original publications examining disparate utilization of PBT for prostate cancer. The query terms included the following: prostate cancer AND proton AND (disparities OR IMRT OR race OR insurance OR socioeconomic OR inequities)".

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Lymphoma growth, progression, and dissemination require tumor cell interaction with supporting vessels and are facilitated through tumor-promoted angiogenesis, lymphangiogenesis, and/or lymphoma vessel co-option. Vessel co-option has been shown to be responsible for tumor initiation, metastasis, and resistance to anti-angiogenic treatment but is largely uncharacterized in the setting of lymphoma. We developed an in vitro model to study lymphoma-vessel interactions and found that mantle cell lymphoma (MCL) cells co-cultured on Matrigel with human umbilical vein (HUVEC) or human lymphatic (HLEC) endothelial cells migrate to and anneal with newly formed capillary-like (CLS) or lymphatic-like (LLS) structures, consistent with lymphoma-vessel co-option.

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Growth Hormone-Releasing Hormone (GHRH) and its analogs have gained significant attention for their therapeutic potential across various domains, including oncology, regenerative medicine, and metabolic disorders. Originally recognized for its role in regulating growth hormone (GH) secretion, GHRH has since been discovered to exert broader physiological effects beyond the pituitary gland, with GHRH receptors identified in multiple extrahypothalamic tissues, including tumor cells. This review explores the development of both GHRH agonists and antagonists, focusing on their mechanisms of action, therapeutic applications, and future potential.

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Functional annotation of the Hippo pathway somatic mutations in human cancers.

Nat Commun

November 2024

Department of Developmental and Cell Biology, University of California, Irvine, Irvine, CA, USA.

The Hippo pathway is commonly altered in cancer initiation and progression; however, exactly how this pathway becomes dysregulated to promote human cancer development remains unclear. Here we analyze the Hippo somatic mutations in the human cancer genome and functionally annotate their roles in targeting the Hippo pathway. We identify a total of 85 loss-of-function (LOF) missense mutations for Hippo pathway genes and elucidate their underlying mechanisms.

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Background: Oral chemotherapy drug development and use has increased, and evidence in the literature suggests variability in practices nationally. Thus, there is a need for continuous review of the process of oral chemotherapy administration that focuses on improving adherence to national standards.

Objectives: This quality improvement project evaluated provider and staff general knowledge on oral chemotherapy and national safety standards and the implementation and ease of use of an electronic medical record (EMR)-integrated chemotherapy documentation template geared toward improving compliance with national chemotherapy administration standards.

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Measurable residual disease testing and allogeneic hematopoietic cell transplantation for AML: adapting Pre-MEASURE to clinical practice.

Bone Marrow Transplant

November 2024

Division of Transplantation and Cell Therapy, Sylvester Comprehensive Cancer Center, Miller School of Medicine, University of Miami, Miami, FL, USA.

Measurable residual disease (MRD) testing in patients with acute myelogenous leukemia (AML) represents a heterogenous assessment process designed to quantify leukemia-specific biomarkers that are not ascertainable by routine pathologic evaluation. The most common tools used to assess MRD are multiparameter flow cytometry (MPFC), and polymerase chain reaction (PCR) based tools, including quantitative or digital droplet PCR (qPCR, ddPCR), or next-generation sequencing (NGS) technologies. Collectively, MRD assessments have become an important clinical tool in the management of patients with AML.

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Article Synopsis
  • Effective cancer screening is crucial for early detection and better survival rates, especially in high-risk groups like Hispanics/Latinx, who face significant cancer mortality.
  • Despite lower tobacco use, lung cancer remains a leading cause of cancer-related deaths among Hispanic men and women, largely due to late-stage diagnoses from limited screening access.
  • Head and neck cancer survivors are particularly at risk, with many developing lung cancer; they are nearly three times more likely to get lung cancer than the general smoker population, highlighting the need for targeted lung cancer screening initiatives.
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Background: Despite United States Preventive Services Task Force (USPSTF) recommendations, low uptake of lung cancer screening (LCS) highlights the need for measures to promote adoption. This scoping review aims to outline the global landscape of mobile low-dose computed tomography (LDCT) platforms, summarizing research and evaluating efficacy in screening at-risk populations.

Methods: We comprehensively searched Cumulative Index to Nursing and Allied Health Literature (CINAHL), PubMed, Embase, Scopus, and Web of Science for articles published between 2017 and 2023.

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