4,232 results match your criteria: "Lurie Comprehensive Cancer Center[Affiliation]"

Development of injectable colloidal solution forming an hydrogel for tumor ablation.

Biomater Sci

August 2024

Department of Radiology, Feinberg School of Medicine, Northwestern University, Chicago, IL 60611, USA.

Ablation cancer therapy using percutaneous intra-tumoral injection of ethanol is a promising method for targeted and effective locoregional cancer therapy. Magnetic gelatin microsphere (MGM) colloidal ethanol solution is developed as a potential injectable tumor ablation agent. The MGM was fabricated by electrostatic interactions among gelatin, acrylic acid, and acrylic acid-coated iron oxide nanoparticles.

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Pleckstrin-2 Mediates the Activation of AKT in Prostate Cancer and Is Repressed by Androgen Receptor.

Am J Pathol

October 2024

Department of Pathology, Feinberg School of Medicine, Northwestern University, Chicago, Illinois; Robert H. Lurie Comprehensive Cancer Center, Northwestern University, Chicago, Illinois. Electronic address:

Phosphoinositide 3-kinase (PI3K)-AKT and androgen receptor (AR) pathways are commonly activated in prostate cancers. Their reciprocal regulation makes advanced prostate cancers difficult to treat. The current study shows that pleckstrin-2 (PLEK2), a proto-oncoprotein involved in the activation and stabilization of AKT, connects these two pathways.

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Article Synopsis
  • Shared decision making (SDM) involves patients and clinicians collaborating to make informed healthcare choices, with clinical dashboards providing valuable information like patient-reported outcomes to enhance this process.
  • A co-design initiative was executed over 14 sessions with multidisciplinary teams, including patients, care partners, and clinicians, aiming to develop a PRO-informed clinical dashboard tailored for patients with advanced cancer or chronic kidney disease (CKD).
  • The co-design strategy showed strong success in its implementation, with high observer-rated fidelity and adoption scores, along with robust stakeholder representation, confirming its effectiveness in promoting SDM in these patient populations.
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Merkel cell carcinoma (MCC) is an aggressive neuroendocrine skin cancer with a ∼50% response rate to immune checkpoint blockade (ICB) therapy. To identify predictive biomarkers, we integrated bulk and single-cell RNA sequencing (RNA-seq) with spatial transcriptomics from a cohort of 186 samples from 116 patients, including bulk RNA-seq from 14 matched pairs pre- and post-ICB. In nonresponders, tumors show evidence of increased tumor proliferation, neuronal stem cell markers, and IL1.

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A 48-year-old woman without obvious environmental risk factors was diagnosed with metastatic urothelial carcinoma harboring a mutation in typical of driver mutations for non-small cell lung cancer. Within a year, her cancer progressed on four standard therapies for urothelial cancer, including cancer in lungs, liver, bone, and brain. As fifth-line therapy, she received osimertinib, leading to a complete response in the brain and improvement elsewhere, and the cancer remained controlled for six months.

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The impact of next-generation sequencing for diagnosis and disease understanding of myeloid malignancies.

Expert Rev Mol Diagn

July 2024

Division of Hematology/Oncology, Department of Medicine and the Robert H. Lurie Comprehensive Cancer Center, Feinberg School of Medicine, Northwestern University, Chicago, IL, USA.

Introduction: Defining the chromosomal and molecular changes associated with myeloid neoplasms (MNs) optimizes clinical care through improved diagnosis, prognosis, treatment planning, and patient monitoring. This review will concisely describe the techniques used to profile MNs clinically today, with descriptions of challenges and emerging approaches that may soon become standard-of-care.

Areas Covered: In this review, the authors discuss molecular assessment of MNs using non-sequencing techniques, including conventional cytogenetic analysis, fluorescence in situ hybridization, chromosomal genomic microarray testing; as well as DNA- or RNA-based next-generation sequencing (NGS) assays; and sequential monitoring via digital PCR or measurable residual disease assays.

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Neoadjuvant Chemotherapy in Colon Cancer: More Than Just an Optical Illusion.

J Clin Oncol

September 2024

Robert H. Lurie Comprehensive Cancer Center, Northwestern University, Chicago, IL.

Journal Journal of Clinical Oncology.

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Article Synopsis
  • The project aimed to create a Patient-Reported Outcomes (PRO) dashboard in the electronic health record (EHR) to enhance clinical decision-making by making PROs more interpretable and useful during patient visits.
  • Using codesign principles, a diverse group of stakeholders collaborated from February 2019 to May 2020 to define the dashboard's features and layout, followed by pilot testing for usability.
  • The dashboard, which effectively integrated PRO scores and clinical data, showed good usability in evaluations conducted with both patients and clinicians, highlighting its potential for improving patient care in an academic cancer center.
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The CCL2-CCR4 axis promotes Regulatory T cell trafficking to canine glioma tissues.

J Neurooncol

September 2024

Department of Surgical and Radiological Sciences, University of California, Davis, One Shields Avenue, 2112 Tupper Hall, Davis, CA, 95616-5270, USA.

Purpose: Spontaneously occurring glioma in pet dogs is increasingly recognized as a valuable translational model for human glioblastoma. Canine high-grade glioma and human glioblastomas share many molecular similarities, including the accumulation of immunosuppressive regulatory T cells (Tregs) that inhibit anti-tumor immune responses. Identifying in dog mechanisms responsible for Treg recruitment may afford to target the cellular population driving immunosuppression, the results providing a rationale for translational clinical studies in human patients.

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  • Richter transformation is a serious form of aggressive lymphoma found in about 10% of chronic lymphocytic leukemia patients, with no approved treatments and a grim outlook.
  • Pirtobrutinib, showing good results for patients with B-cell malignancies who have relapsed or are resistant to conventional therapies, is being studied for its safety and effectiveness in treating Richter transformation.
  • The study included 82 adult patients who received pirtobrutinib daily, tracking overall response rates and safety, with results indicating the drug was well tolerated and active in this difficult subset of cancer patients.
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  • Cigarette smoking is known to alter DNA methylation at the AHRR gene, but this study investigates whether non-cigarette tobacco use, like pipe and cigar smoking, also affects AHRR methylation and health outcomes.
  • Data from four cohorts (1985-2002) revealed that exclusive non-cigarette tobacco users had lower AHRR methylation compared to those who smoked cigarettes, with non-cigarette users showing less dramatic effects.
  • The results indicate that lower AHRR methylation in non-cigarette tobacco users is linked to worse respiratory symptoms and higher mortality rates, suggesting AHRR methylation could be a marker for health risks among these smokers.
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Fc-enhanced anti-CTLA-4, anti-PD-1, doxorubicin, and ultrasound-mediated blood-brain barrier opening: A novel combinatorial immunotherapy regimen for gliomas.

Neuro Oncol

November 2024

Northwestern Medicine Malnati Brain Tumor Institute of the Lurie Comprehensive Cancer Center, Feinberg School of Medicine, Northwestern University, Chicago, Illinois, USA.

Article Synopsis
  • Glioblastoma is a challenging brain cancer that often resists standard immunotherapy, but Botensilimab, a specialized antibody, has shown potential in treating this type of cancer.
  • In preclinical studies, a mouse version of Botensilimab demonstrated effectiveness when used alone or with doxorubicin combined with ultrasound techniques, leading to significant immune responses in treatment-resistant glioblastoma.
  • Results indicated that this combination therapy not only effectively targeted and reduced tumor-associated immune cells but also fostered a strong infiltration of harmful T cells, achieving a remarkable cure rate in mice and suggesting promising implications for human treatments.
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Establishing a High-Yield Chloroplast Cell-Free System for Prototyping Genetic Parts.

ACS Synth Biol

August 2024

Department of Chemical and Biological Engineering, Northwestern University, Evanston, Illinois 60208, United States.

Plastid engineering offers the potential to carry multigene traits in plants; however, it requires reliable genetic parts to balance expression. The difficulty of chloroplast transformation and slow plant growth makes it challenging to build plants just to characterize genetic parts. To address these limitations, we developed a high-yield cell-free system from chloroplast extracts for prototyping genetic parts.

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Historically, the management of relapsed or refractory (R/R) diffuse large B-cell lymphoma (DLBCL) following first-line chemoimmunotherapy has been second-line chemotherapy, followed by high-dose chemotherapy and consolidative autologous hematopoietic stem cell transplantation (HSCT), resulting in durable remissions in approximately 40% of patients. In 2017, chimeric antigen receptor (CAR) T-cell therapy changed the landscape of treatment for patients with R/R DLBCL, with complete response rates ranging from 40-58% and long-term disease-free survival of >40% in the highest risk subgroups, including patients who relapsed after autologous HSCT. Since that time further studies have demonstrated improved overall response rates and survival outcomes in patients with primary refractory or early-relapsed (relapse within 1 year) DLBCL treated with CAR T-cell therapy compared with autologous HSCT, advancing CAR T-cell therapy into the second-line setting.

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Article Synopsis
  • Breast cancer treatment involves a team of specialists from surgical, radiation, and medical oncology fields.
  • The NCCN Guidelines provide recommendations for various types of breast cancer, including different stages and specific conditions like Paget's disease and treatment during pregnancy.
  • This issue highlights the management of systemic therapies for nonmetastatic breast cancer, both before and after surgery.
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The NCCN Guidelines for Cutaneous Melanoma (termed Melanoma: Cutaneous) provide multidisciplinary recommendations for diagnostic workup, staging, and treatment of patients. These NCCN Guidelines Insights focus on the update to neoadjuvant systemic therapy options and summarize the new clinical data evaluated by the NCCN panel for the recommended therapies in Version 2.2024 of the NCCN Guidelines for Cutaneous Melanoma.

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Systemic Therapy in Breast Cancer.

Am Soc Clin Oncol Educ Book

June 2024

Robert H. Lurie Comprehensive Cancer Center, Northwestern University, Chicago, IL.

Therapeutic advances in breast cancer have significantly improved outcomes in recent decades. In the early setting, there has been a gradual shift from adjuvant-only to neoadjuvant strategies, with a growing focus on customizing post-neoadjuvant treatments through escalation and de-escalation based on pathologic response. At the same time, the transition from a pre-genomic to a post-genomic era, utilizing specific assays in the adjuvant setting and targeted sequencing in the advanced stage, has deepened our understanding of disease biology and aided in identifying molecular markers associated with treatment benefit.

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Juvenile Dermatomyositis (JDM) is the most common inflammatory myopathy in pediatrics. This study evaluates the role of Natural Killer (NK) cells in Juvenile Dermatomyositis (JDM) pathophysiology. The study included 133 untreated JDM children with an NK cell count evaluation before treatment.

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Article Synopsis
  • Clonal cytopenia of undetermined significance (CCUS) is characterized by specific somatic mutations in patients with unexplained cytopenias but without a myeloid neoplasm, showing a risk of progressing to myeloid neoplasms, especially with high-risk mutations.
  • A study of 357 CCUS patients identified three adverse factors that contributed to a clonal cytopenia risk score (CCRS), which categorizes patients into low, intermediate, and high-risk groups based on the likelihood of developing a myeloid neoplasm over two years.
  • The CCRS demonstrated predictive validity in both the initial analysis and an independent cohort, emphasizing its utility in clinical decision-making and future research design related to CCUS management.
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Article Synopsis
  • The genomics era has led to the identification of the ERG gene as a new autosomal dominant predisposition factor for bone marrow failure (BMF) and hematological malignancies (HM), crucial for blood cell development and function.
  • Research found several rare ERG variants associated with thrombocytopenia and various forms of HM, showing onset typically before age 40.
  • Functional studies indicated that many ERG variants disrupt its role as a transcription factor, leading to ineffective blood cell production, with implications for clinical diagnosis and treatment strategies for affected patients and families.
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Heat Shock Factor 1 (HSF1) is best known as the master transcriptional regulator of the heat-shock response (HSR), a conserved adaptive mechanism critical for protein homeostasis (proteostasis). Combining a genome-wide RNAi library with an HSR reporter, we identified Jumonji domain-containing protein 6 (JMJD6) as an essential mediator of HSF1 activity. In follow-up studies, we found that JMJD6 is itself a noncanonical transcriptional target of HSF1 which acts as a critical regulator of proteostasis.

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As health care attempts to bridge the gap between evidence and practice, the concept of the learning health system (LHS) is becoming increasingly relevant. LHS integrates evidence with health systems data, driving health care quality and outcomes through updates in policy, practice, and care delivery. In addition, LHS research is becoming critically important as there are several initiatives underway to increase research capacity, expertise, and implementation, including attempts to stimulate increasing numbers of LHS researchers.

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Extracellular vesicles (EVs) play key roles in diverse biological processes, transport biomolecules between cells and have been engineered for therapeutic applications. A useful EV bioengineering strategy is to express engineered proteins on the EV surface to confer targeting, bioactivity and other properties. Measuring how incorporation varies across a population of EVs is important for characterising such materials and understanding their function, yet it remains challenging to quantitatively characterise the absolute number of engineered proteins incorporated at single-EV resolution.

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