179 results match your criteria: "Karolinska Comprehensive Cancer Center[Affiliation]"

Background: A growing evidence base supports the use of autologous haematopoietic stem cell transplantation (aHSCT) for treatment of relapsing-remitting multiple sclerosis (RRMS), but it has not yet been integrated into most national clinical guidelines. The objective of this study was to assess efficacy and safety when aHSCT is implemented in routine healthcare.

Methods: We assessed 231 patients and the final analysis included 174 RRMS patients who were treated with aHSCT in Sweden before 1 January 2020.

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Background: Breast surgery in cases of de novo metastatic breast cancer (MBC) is associated with improved outcomes in retrospective studies, although the results of randomized controlled trials (RCTs) are conflicting. We aimed to investigate whether surgery in this context prolongs patient survival.

Methods: We performed a systematic review of the literature to identify RCTs comparing surgery of primary breast cancer to no surgery in patients with de novo MBC.

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The COVID-19 pandemic has had a significant impact on medical practices, including the delivery of allogeneic hematopoietic cell transplantation (HCT). In response, transplant centers have made changes to their procedures, including an increased use of cryopreservation for allogeneic haematopoietic progenitor cell (HPC) grafts. The use of cryopreserved grafts for allogeneic HCT has been reviewed and analysed in terms of potential benefits and drawbacks based on existing data on impact on cell subsets, hematological recovery, and clinical outcomes of approximately 2000 patients from different studies.

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Article Synopsis
  • Extracellular vesicles (EVs) are tiny particles that help cells communicate and could be used in medicine.
  • Researchers tested how different amounts of EVs from 12 types of cells affected fibroblast cells, using advanced techniques to see what happened to the cells.
  • They found that higher amounts of EVs had a bigger effect than where the EVs came from, but at lower amounts, the source of the EVs mattered more, especially when they came from immune cells.
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  • Cytomegalovirus (CMV) is a common infection that can occur after allogeneic hematopoietic cell transplant (alloHCT), and this study examines how changes in CMV-specific immune responses in the first month post-transplant can predict infection risk and mortality.
  • The study analyzed data from 226 alloHCT recipients, identifying key predictors of clinically significant CMV infection (CS-CMVi) such as decreased T-cell response to CMV antigens and factors like transplant type and use of corticosteroids.
  • Findings suggest that a decline in CMV-specific immune responses, particularly from week 2 to week 4 after transplant, is linked to a higher risk of CMV infection and increased overall mortality among
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Rough operators: sphingomyelinase inhibitors spike NK cells to kill cancer.

Signal Transduct Target Ther

August 2023

Center for Hematology and Regenerative Medicine, Department of Medicine Huddinge, Karolinska Institute, 14157, Stockholm, Sweden.

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Background: In vivo monitoring of cell biodistribution using positron emission tomography (PET) provides a quantitative non-invasive method to further optimize cell therapies and related new developments in the field. Our group has earlier optimized and evaluated the in vitro properties of two radiotracers,[Zr]Zr-(oxinate) and [Zr]Zr-DFO-NCS, for the radiolabelling of different cell types. Here, we performed a microPET study to assess the in vivo biodistribution of cells in rats using these two radiotracers.

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The Evolution of Worldwide Nurse-Led Cancer Research in the Last 2 Decades (2004-2022): A Bibliometric Mapping and Visual Analysis.

Cancer Nurs

August 2024

Author Affiliations: School of Nursing, The Hong Kong Polytechnic University (Drs Molassiotis and Abu-Odah), Hong Kong SAR; Health and Social Care Research Centre, University of Derby (Dr Molassiotis), United Kingdom; School of Health Sciences, University of Manchester (Dr Yorke), United Kingdom; The Christie NHS Foundation Trust (Dr Yorke); School of Nursing, Midwifery & Social Work, University of Queensland (Dr McCarthy), Brisbane, Australia; Division of Neurobiology, Care Sciences & Society, Karolinska Institute, Karolinska Comprehensive Cancer Center, Karolinska University Hospital (Dr Wengstrom), Stockholm, Sweden; and School of Health Sciences, University of Surrey (Dr Gibson); and Centre for Outcomes and Experience Research in Children's Health, Illness and Disability, Great Ormond Street Hospital for Children NHS Foundation Trust (Dr Gibson), London, United Kingdom.

Background: Research led by nurses has evolved rapidly over the last 2 decades globally. Assessing the work that has been conducted so far can help the specialty to strategically shape future directions of nurse-led cancer research.

Objective: The aim of this study was to provide a comprehensive, up-to-date synthesis of all nurse-led cancer research published articles over 20 years.

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Isocitrate dehydrogenase (IDH) mutations are found in 20% of acute myeloid leukemia (AML) patients. However, only 30-40% of the patients respond to IDH inhibitors (IDHi). We aimed to identify a molecular vulnerability to tailor novel therapies for AML patients with IDH mutations.

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Chimeric antigen receptor (CAR) engineering of natural killer (NK) cells is promising, with early-phase clinical studies showing encouraging responses. However, the transcriptional signatures that control the fate of CAR-NK cells after infusion and factors that influence tumor control remain poorly understood. We performed single-cell RNA sequencing and mass cytometry to study the heterogeneity of CAR-NK cells and their in vivo evolution after adoptive transfer, from the phase of tumor control to relapse.

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De novo metastatic breast cancer in men vs women: a Swedish population-based cohort study.

JNCI Cancer Spectr

July 2023

Science for Life Laboratory, Department of Immunology, Genetics and Pathology, Uppsala University, Uppsala, Sweden.

Current evidence on de novo metastatic breast cancer is based on data from women. This Swedish population-based cohort study compared the incidence over time and prognosis of de novo metastatic breast cancer between sexes using data from the Swedish National Quality Register for Breast Cancer. Joinpoint regression analysis was used to compare incidence trends in all stages (104 733 women, 648 men) and multivariate Cox regression analysis to investigate potential sex disparities in de novo metastatic breast cancer prognosis (6005 women, 41 men).

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Background: Immunocompromised patients have varying responses to SARS-CoV-2 mRNA vaccination. However, there is limited information available from prospective clinical trial cohorts with respect to long-term immunogenicity-related responses in these patient groups following three or four vaccine doses, and in applicable cases infection.

Methods: In a real-world setting, we assessed the long-term immunogenicity-related responses in patients with primary and secondary immunodeficiencies from the prospective open-label clinical trial COVAXID.

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Background: Human metapneumovirus (hMPV) epidemiology, clinical characteristics and risk factors for poor outcome after allogeneic stem cell transplantation (allo-HCT) remain a poorly investigated area.

Methods: This retrospective multicenter cohort study examined the epidemiology, clinical characteristics, and risk factors for poor outcomes associated with human metapneumovirus (hMPV) infections in recipients of allo-HCT.

Results: We included 428 allo-HCT recipients who developed 438 hMPV infection episodes between January 2012 and January 2019.

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Suboptimal immunity to SARS-CoV-2 mRNA vaccination has frequently been observed in individuals with various immunodeficiencies. Given the increased antibody evasion properties of emerging SARS-CoV-2 subvariants, it is necessary to assess whether other components of adaptive immunity generate resilient and protective responses against infection. We assessed T cell responses in 279 individuals, covering five different immunodeficiencies and healthy controls, before and after booster mRNA vaccination, as well as after Omicron infection in a subset of patients.

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Introduction: In light of the clinically meaningful results of the PI3K inhibitors in PIK3CA-mutated metastatic breast cancer (BC) patients, the reliable identification of PIK3CA mutations is of outmost importance. However, lack of evidence on the optimal site and timing of assessment, presence of temporal heterogeneity and analytical factors pose several challenges in clinical routine. We aimed to study the discordance rates of PIK3CA mutational status between primary and matched metastatic tumors.

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Risk-adjusted benchmarking of long-term overall survival in patients with HER2-positive early-stage Breast cancer: A Swedish retrospective cohort study.

Breast

August 2023

Department of Oncology-Pathology, Karolinska Institutet, Stockholm, Sweden; Breast Cancer Center, Department of Breast, Endocrine Tumours and Sarcoma, Karolinska Comprehensive Cancer Center, Karolinska University Hospital, Stockholm, Sweden.

Article Synopsis
  • The study aimed to assess the importance of risk-adjustment in comparing long-term overall survival (OS) rates for breast cancer (BC) across different regions in Sweden.
  • All patients diagnosed with HER2-positive early-stage BC between 2009 and 2016 in the Stockholm-Gotland and Skane regions were included, with the analysis using a Cox proportional hazards model for risk-adjustment.
  • The findings indicated that, while crude OS rates showed better outcomes in Stockholm-Gotland, risk-adjustment revealed no significant differences in survival between the two regions, highlighting the need for such adjustments in healthcare benchmarking.
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It is estimated that 40% of the cancer cases in Europe could be prevented if people had better information and tools to make healthier choices and thereby reduce some of the most important cancer risk factors. The aim of this study is to gain knowledge and understanding about cancer prevention literacy among people with intellectual disabilities, immigrants, young people and young cancer survivors. In this qualitative study, we conducted six online focus-group interviews, including forty participants, to explore the cancer prevention literacy of four population subgroups and determine how cancer prevention recommendations according to the European Code Against Cancer (ECAC) were perceived.

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Article Synopsis
  • Current methods for selecting breast cancer treatments, like tumor biopsies, have limitations due to variability in tumor characteristics and the invasiveness of the procedure.
  • The review highlights how molecular imaging, specifically using PET radiotracers, can help identify treatment targets in breast cancer, enhancing the accuracy of targeted therapy.
  • The conclusion suggests that PET imaging could improve precision medicine for breast cancer, while also exploring future options like theranostic trials using radioactive isotopes for treating metastatic cases.
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We previously analyzed trends in incidence and factors associated with lethal complications in ALL/AML/CML patients (causes of deaths; COD-1 study). The objective of this study was the analysis of incidence and specific causes of death after HCT, with focus on infectious deaths in two time periods, 1980-2001 (cohort-1) and 2002-2015 (cohort-2). All patients with HCT for lymphoma, plasma cell disorders, chronic leukemia (except CML), myelodysplastic/myeloproliferative disorders, registered in the EBMT-ProMISe-database were included (n = 232,618) (COD-2 study).

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Aims: Improvement in the care of patients with metastatic breast cancer (MBC) can only occur if the adequate quality of care is implemented and verified, including access to multidisciplinary, specialised care given in accordance with high-quality guidelines. To this purpose, European Society of Breast Cancer Specialists and the Advanced Breast Cancer Global Alliance joined efforts to develop the first set of quality indicators (QI) specifically for MBC that should be routinely measured and evaluated to ensure that breast cancer centres meet the required standards.

Methods: A working group of multidisciplinary European experts in breast cancer met to discuss each identified QI, reporting the definition, the minimum and target standard for breast cancer centres to achieve, and the motivation for selection.

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The ROR1 receptor tyrosine kinase is expressed in embryonic tissues but is absent in normal adult tissues. ROR1 is of importance in oncogenesis and is overexpressed in several cancers, such as NSCLC. In this study, we evaluated ROR1 expression in NSCLC patients (N = 287) and the cytotoxic effects of a small molecule ROR1 inhibitor (KAN0441571C) in NSCLC cell lines.

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