• Issue

    Cancer Medicine: Volume 12, Issue 4

    3903-5173
    February 2023

ISSUE INFORMATION

Open Access

Issue Information

  • Pages: 3903-3908
  • First Published: 28 February 2023

REVIEW

Clinical Cancer Research

Open Access

Recent advances in surgical strategies and liver transplantation for hepatoblastoma

  • Pages: 3909-3918
  • First Published: 16 November 2022
Recent advances in surgical strategies and liver transplantation for hepatoblastoma

Hepatoblastoma is the most common malignant liver tumor in children. In this review, we describe the latest technologies and techniques for the surgical management of hepatoblastoma, including new imaging technologies, minimally invasive approaches, and the application of associating liver partition portal vein ligation for staged hepatectomy. We also discuss the current role of liver transplantation, liver transplant-related surgical techniques, and management of metastatic hepatoblastoma.

RESEARCH ARTICLES

Clinical Cancer Research

Open Access

Circulating cytokines allow for identification of malignant intraductal papillary mucinous neoplasms of the pancreas

  • Pages: 3919-3930
  • First Published: 24 July 2022
Circulating cytokines allow for identification of malignant intraductal papillary mucinous neoplasms of the pancreas

The serum TNF-, IL-2R, IL-6, and IL-8 in malignant IPMNs are significantly higher than benign ones. Circulating cytokine score (CCS) was calculated and proved as an independent predictor.A novel nomogram incorporating CCS showed a remarkable diagnostic performance for distinguishing malignant IPMNs.

Open Access

TNFAIP3 mutation is an independent poor overall survival factor for patients with T-cell acute lymphoblastic leukemia

  • Pages: 3952-3961
  • First Published: 03 September 2022
TNFAIP3 mutation is an independent poor overall survival factor for patients with T-cell acute lymphoblastic leukemia

TNFAIP3 mutation mainly occurred in adults T-ALL patients. TNFAIP3 mutation was associated with adverse clinical outcomes for T-ALL patients.

Open Access

Combining expression of RNF43 and infiltration level of CD163+ tumor associated macrophage predicts prognosis of clear cell renal cell carcinoma

  • Pages: 3962-3971
  • First Published: 12 September 2022
Combining expression of RNF43 and infiltration level of CD163+ tumor associated macrophage predicts prognosis of clear cell renal cell carcinoma

Searching for reliable indicators for evaluating prognosis diagnosed with clear cell renal cell carcinoma (ccRCC) is crucial for improving clinical therapies. Our study has demonstrated that combining intratumoral RNF43 expression, CD163+ TAM infiltration, and TNM stage could significantly enhance the veracity in forecasting postoperative outcomes.

Open Access

Prognostic value of circulating proteins in patients undergoing surgery for pancreatic cancer

  • Pages: 3972-3986
  • First Published: 17 October 2022
Prognostic value of circulating proteins in patients undergoing surgery for pancreatic cancer

Determining resectability and prognosis in pancreatic ductal adenocarcinoma (PDAC) can be difficult. We examined the capabilities of 92 circulating proteins for the determination of resectability and prognosis in 273 patients undergoing surgery for PDAC.

Open Access

Clinicopathologic characteristics, outcomes, and prognostic factors of angioimmunoblastic T-cell lymphoma in China

  • Pages: 3987-3998
  • First Published: 15 September 2022
Clinicopathologic characteristics, outcomes, and prognostic factors of angioimmunoblastic T-cell lymphoma in China

Patients with AITL in China are mainly treated with anthracycline-based regimens with low rate of autologous stem cell transplantation and unsatisfactory outcomes. A novel prognostic model combining 3 factors (age 〉 70 years, elevated LDH, and albumin level 〈 35 g/L) was proposed which stratified patients into the low, intermediate, and high-risk subgroups with differing outcomes.

Open Access

Phase I study of plitidepsin in combination with bortezomib and dexamethasone in patients with relapsed/refractory multiple myeloma

  • Pages: 3999-4009
  • First Published: 20 September 2022
Phase I study of plitidepsin in combination with bortezomib and dexamethasone in patients with relapsed/refractory multiple myeloma

This phase I trial evaluated antitumor activity for plitidepsin plus bortezomib (BTZ) and dexamethasone (DXM) in relapsed/refractory multiple mieloma patients (r/r MM). This triple combination of plitidepsin, BTZ, and DXM showed an acceptable safety profile and had moderate activity in adult patients with r/r MM that have failed to standard common therapeutic options, including BTZ and lenalidomide.

Open Access

Individualized number of induction chemotherapy cycles for locoregionally advanced nasopharyngeal carcinoma patients based on early tumor response

  • Pages: 4010-4022
  • First Published: 20 September 2022
Individualized number of induction chemotherapy cycles for locoregionally advanced nasopharyngeal carcinoma patients based on early tumor response

Kaplan-Meier curves for OS (A), LRRFS (B), DMFS (C), and PFS (D) stratified by IC cycles in the matched “SD/PD” group.

Open Access

The need to tailor the omission of axillary lymph node dissection to patients with good prognosis and sentinel node micro-metastases

  • Pages: 4023-4032
  • First Published: 20 September 2022
The need to tailor the omission of axillary lymph node dissection to patients with good prognosis and sentinel node micro-metastases

To investigate the impact of completion axillary lymph node dissection (ALND) omission in patients with sentinel node micro-metastases, we retrospectively analyzed a large cohort of 1421 patients with SN micro-metastases who underwent breast conservative surgery (BCS) in 15 French academic centers. We used inverse probability of treatment weighting (IPTW) to obtain adjusted Kaplan-Meier estimators representing the experience in the analysis cohort. Weighted log-rank test comparing adjusted Kaplan-Meier survival curve showed significant difference for overall survival according to completion axillary lymph node dissection (cALND) or no cALND.

Open Access

Differences in the performance of adjuvant chemotherapy between hemodialysis and nonhemodialysis patients

  • Pages: 4033-4041
  • First Published: 21 September 2022
Differences in the performance of adjuvant chemotherapy between hemodialysis and nonhemodialysis patients
LAY SUMMARY

Among patients newly diagnosed with colon cancer, gastric cancer, breast cancer, and non-small cell lung cancer at the stages where adjuvant chemotherapy is generally required, adjuvant chemotherapy was less likely performed in hemodialysis (HD) patients than for non-HD patients. HD patients tended not to receive the standard regimens compared to non-HD patients partly due to the characteristics of each drug handling. Since the appropriate regimens for HD patients remain unclear, even in the adjuvant setting, future studies should evaluate the efficacy and safety of adjuvant chemotherapy and suggest appropriate adjuvant chemotherapy regimens for patients with HD.

PRECIS

Hemodialysis (HD) patients were less likely to receive adjuvant chemotherapy than non-HD patients.

A larger proportion of non-HD patients underwent standard chemotherapy regimens compared with HD patients.

Hemodialysis (HD) patients were less likely to receive adjuvant chemotherapy than non-HD patients. This trend was consistent among the respective cancer types that we assessed: the odds of HD patients receiving adjuvant chemotherapy was approximately 0.1-0.18 times less than non-HD patients (colon cancer: OR = 0.15, 95% CI: 0.13-0.19, P < 60; 0.001; gastric cancer: OR = 0.12, 95% CI: 0.09-0.16, P < 60; 0.001; NSCLC: OR = 0.14, 95% CI: 0.09-0.20, P < 60; 0.001; and breast cancer: OR = 0.17, 95% CI: 0.09-0.31, P < 60; 0.001)

Open Access

Utilization of cytologic cell blocks for targeted sequencing of solid tumors

  • Pages: 4042-4063
  • First Published: 20 September 2022
Utilization of cytologic cell blocks for targeted sequencing of solid tumors

This is a study of the application of cytologic cell block samples for comprehensive next generation sequencing. It demonstrates the usefulness of this sample type in the clinical setting and the importance of utilizing these samples for improved clinical outcomes.

Open Access

Radium-223 dichloride treatment in metastatic castration-resistant prostate cancer in Finland: A real-world evidence multicenter study

  • Pages: 4064-4076
  • First Published: 26 September 2022
Radium-223 dichloride treatment in metastatic castration-resistant prostate cancer in Finland: A real-world evidence multicenter study

We report results of a retrospective real-world multicenter study including all patients with metastatic castration resistant prostate cancer (mCRPC) treated with radium-223 in all five university hospitals in Finland since the introduction of the treatment. In our cohort, PSA decrease, ALP normalization and pain relief correlated with improved survival. Our results support using radium-223 for mCRPC patients with symptomatic bone metastases even in the era of new generation androgen signaling targeting agents.

Open Access

Risk factors and prognostic factors for pulmonary large cell neuroendocrine carcinoma with brain metastasis

  • Pages: 4087-4099
  • First Published: 20 September 2022
Risk factors and prognostic factors for pulmonary large cell neuroendocrine carcinoma with brain metastasis

This is the first large population study for LCNEC patients with BM. The related prognostic model based on these factors can guide clinical treatment decisions and prognostic judgments.

Open Access

Clinical impact of early response to first-line VEGFR-TKI in patients with metastatic renal cell carcinoma on survival: A multi-institutional retrospective study

  • Pages: 4100-4109
  • First Published: 06 October 2022
Clinical impact of early response to first-line VEGFR-TKI in patients with metastatic renal cell carcinoma on survival: A multi-institutional retrospective study

Patients with early discontinuation of VEGFR-TKIs had a worse survival rate, regardless of the cause of cessation. Axitinib was administered with a safe profile. Patients with IMDC poor risk was at risk for early disease progression. The quantification of response as early as three months of treatment allows a prognostic stratification.

Open Access

Identifying HER2 from serum-derived exosomes in advanced gastric cancer as a promising biomarker for assessing tissue HER2 status and predicting the efficacy of trastuzumab-based therapy

  • Pages: 4110-4124
  • First Published: 08 October 2022
Identifying HER2 from serum-derived exosomes in advanced gastric cancer as a promising biomarker for assessing tissue HER2 status and predicting the efficacy of trastuzumab-based therapy

In this prospective multi-centers study, HER2 in serum-derived exosome (Exo HER2) from patients with advanced or metastatic gastric adenocarcinoma (AGC) were analyzed for its diagnostic value and predictive value for trastuzumab therapy. The results showed Exo HER2 is a promissing biomarker for assessing tissue HER2 status in AGC and predicting clinical benefits of trastuzumab based therapy.

Open Access

Study of SOX combined with intraperitoneal high-dose paclitaxel in gastric cancer with synchronous peritoneal metastasis: A phase II single-arm clinical trial

  • Pages: 4161-4169
  • First Published: 26 September 2022
Study of SOX combined with intraperitoneal high-dose paclitaxel in gastric cancer with synchronous peritoneal metastasis: A phase II single-arm clinical trial

Systemic SOX and intraperitoneal high-dose paclitaxel is an effective first-line treatment for patients with peritoneal metastatic gastric cancer and patients with sPCI≤12 scores might be recommended crowd for this regimen as conversion therapy.

Open Access

The impact of sarcopenia on survival and treatment tolerance in patients with head and neck cancer treated with chemoradiotherapy

  • Pages: 4170-4183
  • First Published: 20 October 2022

Sarcopenia in patients with head-and-neck squamous cell carcinoma treated by definitive chemoradiotherapy is an independent negative prognostic factor for disease-free survival. Sarcopenic patients did not have more grade 3+ toxicities or more treatment interruptions.

Open Access

The efficacy and cardiac toxicity of different-dose pegylated liposomal doxorubicin in elderly patients with diffuse large B lymphoma

  • Pages: 4184-4194
  • First Published: 06 October 2022
The efficacy and cardiac toxicity of different-dose pegylated liposomal doxorubicin in elderly patients with diffuse large B lymphoma

Generally, the complete remission rate of the RCDOP group was significantly higher than that of the RCdOP group. For elderly diffuse large B-cell lymphoma patients with cardiovascular disease, the effect benefit brought by pegylated liposomal doxorubicin dose was more obvious, and the progression-free survival of the RCDOP group was significantly longer than that of the RCdOP group (p = 0.043).

Open Access

Preoperative systemic inflammation response index is an independent prognostic marker for BCG immunotherapy in patients with non-muscle-invasive bladder cancer

  • Pages: 4206-4217
  • First Published: 10 October 2022
Preoperative systemic inflammation response index is an independent prognostic marker for BCG immunotherapy in patients with non-muscle-invasive bladder cancer

The Systemic Inflammatory Response Index (SIRI) is a novel prognostic biomarker based on peripheral blood counts of neutrophils, monocytes, and lymphocytes. However, the predictive value of the SIRI in non-muscle-invasive bladder cancer (NMIBC) patients treated with intravesical Bacillus Calmette-Guerin (BCG) immunotherapy remains elusive. Therefore, this study aimed to evaluate the potential of SIRI as a prognostic factor in these patients. A total of 540 patients with NMIBC who underwent BCG immunotherapy following transurethral resection of bladder tumor (TURBT) were enrolled in this study. Using receiver operating characteristic (ROC) curves and the Youden index, patients were divided into high and low SIRI groups based on the cutoff values. Univariable and multivariable logistic regression analyses were performed to identify independent predictors of BCG non-response. Thereafter, propensity score matching (PSM) was used to eliminate bias due to confounding factors between the low and high SIRI groups. Finally, the Kaplan-Meier method was used to compare recurrence-free survival (RFS) and progression-free survival (PFS) between the two groups. Multivariable logistic regression analysis revealed that high SIRI (p = 0.001), high MLR (p = 0.015), and high tumor pathological T stage (p = 0.015) were significantly correlated with non-response to BCG therapy. In addition, both RFS and PFS were shorter in the high SIRI group than in the other group before and after PSM (both p < 0.05). Pretreatment peripheral blood SIRI can be employed to predict the response to BCG immunotherapy and the prognosis of NMIBC patients. The combination of T stage and SIRI demonstrated robust performance in predicting the response to BCG immunotherapy in NMIBC patients.

Open Access

A novel integrated biomarker index for the assessment of hematological responses in MPNs during treatment with hydroxyurea and interferon-alpha2

  • Pages: 4218-4226
  • First Published: 17 October 2022
A novel integrated biomarker index for the assessment of hematological responses in MPNs during treatment with hydroxyurea and interferon-alpha2

A Novel Integrated Biomarker Index for the Assessment of Hematological Responses during Treatment with Hydroxyurea and Interferon-alpha2. This novel tool convincingly displays the superiority of interferon-alpha2 versus hydroxyurea in normalizing elevated cell counts.

Open Access

Increased lncRNA AFAP1-AS1 expression predicts poor prognosis in gastric cancer: Evidence from published studies and followed up verification

  • Pages: 4227-4235
  • First Published: 26 September 2022
Increased lncRNA AFAP1-AS1 expression predicts poor prognosis in gastric cancer: Evidence from published studies and followed up verification

Based on meta-analysis and TSA, the association between the expression of AFAP1-AS1 and the prognosis of gastric cancer was estimated. GC tissue and non-cancer tissues were determined by qRT-PCR and verified GEPIA. Kaplan–Meier and Cox proportional hazards modelswere conducted to analyze the correlation between AFAP1-AS1 expression and gastric cancer prognosis. The pooled analysisrevealed that the AFAP1-AS1 expression was significantly associated with gastric cancer OS.Compared with non-cancer tissues, AFAP1-AS1 expression level of gastric cancer tissues were significantlyupregulated, which was confirmed by the results of GEPIA. The high expressionof AFAP1-AS1 was correlated withpoor prognosis in patients with gastric cancer. Clinical grade, pTNM LODDS andAFAP1-AS1 expression were independent prognosticfactors for gastric cancer revealed by multivariate Cox-regression analysis. This study demonstrated that the AFAP1-AS1 may be a novel biomarker for the diagnosis and prognosis of gastriccancer.

Open Access

Systemic immune changes accompany combination treatment with immunotoxin LMB-100 and nab-paclitaxel

  • Pages: 4236-4249
  • First Published: 08 October 2022
Systemic immune changes accompany combination treatment with immunotoxin LMB-100 and nab-paclitaxel

LMB-100 is an immunotoxin directed against mesothelin, a surface protein expressed by over 85% of pancreatic adenocarcinomas as well as an estimated 30% of all solid tumors. Immunotoxin therapies, while potentially promising, are limited by their side effect profiles, most notably capillary leak syndrome (CLS). This study provides the most detailed assessment to date of the systemic immune and inflammatory changes occurring in patients following LMB-100 treatment and identifies those specific to patients who develop CLS. These findings illuminate the systemic effects of immunotoxin treatment in patients and could ultimately lay the groundwork for new combinations capable of harnessing the immune activating effects of immunotoxin therapy while avoiding dangerous toxicities such as CLS.

Open Access

The hepatocellular carcinoma modified Gustave Roussy Immune score (HCC-GRIm score) as a novel prognostic score for patients treated with atezolizumab and bevacizumab: A multicenter retrospective analysis

  • Pages: 4259-4269
  • First Published: 26 September 2022
The hepatocellular carcinoma modified Gustave Roussy Immune score (HCC-GRIm score) as a novel prognostic score for patients treated with atezolizumab and bevacizumab: A multicenter retrospective analysis

The hepatocellular carcinoma modified Gustave Roussy Immune score (HCC-GRIm-Score), which was based on the combination of the albumin level, lactate dehydrogenase, neutrophil-to-lymphocyte ratio, aspartate aminotransferase-to-alanine aminotransferase ratio, and total bilirubin level, serves as a novel prognostic score for HCC patients treated with atezolizumab and bevacizumab.

Open Access

Association between a single nucleotide polymorphism in the R3HCC1 gene and irinotecan toxicity

  • Pages: 4294-4305
  • First Published: 29 October 2022
Association between a single nucleotide polymorphism in the R3HCC1 gene and irinotecan toxicity

We utilized whole-exome sequencing and PCR validation with colorectal and pancreatic cancer patient data in order to identify novel biomarkers that may be predictive of adverse effects associated with irinotecan-containing chemotherapy, such as FOLFIRI, FOLFOXIRI, and modified FOLFIRINOX therapies. Among the variations identified, we found that a single nucleotide polymorphism in R3HCC1 showed a significant linear relationship with toxicity and may explain the adverse effects in patients who did not harbor known susceptibility-conferring polymorphisms in UGT1A. Our findings offer a new target to test for when deciding on chemotherapy regimen choice and dosages and improves our approach of precision medicine in colorectal and pancreatic cancer patients.

Open Access

Metabolic pathways enriched according to ERG status are associated with biochemical recurrence in Hispanic/Latino patients with prostate cancer

  • Pages: 4306-4320
  • First Published: 03 November 2022
Metabolic pathways enriched according to ERG status are associated with biochemical recurrence in Hispanic/Latino patients with prostate cancer

Differentially expressed genes (DEGs) between ERGhigh and ERGlow tumors revealed clustering of most of the non-BCR cases into de ERGhigh group and most of the BCR cases in ERGlow group. Subsequent analyses confirmed an association between ERG status with BCR, showing a worst BCR-free survival for ERGlow patients compared to the ERGhigh group. Enrichment pathway analysis of the 150 DEGs identified an important participation of metabolic-related pathways in the BCR progression.

Open Access

The factors influencing the accuracy of pre-operative endoscopic ultrasonography assessment in endoscopic treatments for gastrointestinal tumors

  • Pages: 4321-4331
  • First Published: 29 September 2022
The factors influencing the accuracy of pre-operative endoscopic ultrasonography assessment in endoscopic treatments for gastrointestinal tumors

Preoperative staging of superficial gastrointestinal tumors is crucial for choosing the most appropriate treatment. Our findings suggested that endoscopic ultrasonography (EUS) was a reliable and easy-to-use diagnostic tool in decision-making regarding appropriate endoscopic treatment for gastrointestinal tumors. However, the diagnostic accuracy of EUS appeared questionable in the presence of ulceration.

Open Access

Health-related quality-of-life analyses from a multicenter, randomized, double-blind phase 2 study of patients with differentiated thyroid cancer treated with lenvatinib 18 or 24 mg/day

  • Pages: 4332-4342
  • First Published: 04 December 2022
Health-related quality-of-life analyses from a multicenter, randomized, double-blind phase 2 study of patients with differentiated thyroid cancer treated with lenvatinib 18 or 24 mg/day

Evaluation of the impact of lenvatinib treatment on health-related quality-of-life was a secondary objective of the phase 2 double-blinded Study 211. This study compared a starting dose of lenvatinib 18 mg/day with the approved starting dose of 24 mg/day in patients with radioiodine-refractory differentiated thyroid cancer. Health-related quality-of-life of patients in the 18 mg/day arm was not statistically different from that of patients in the 24 mg/day arm. These data, combined with results from the primary analysis (where the lenvatinib starting dose of 18 mg/day did not demonstrate noninferiority to the approved starting dose of lenvatinib 24 mg/day), support the use of the approved lenvatinib starting dose of 24 mg/day in patients with radioiodine-refractory differentiated thyroid cancer.

Open Access

Oral application of magnesium-L-threonate enhances analgesia and reduces the dosage of opioids needed in advanced cancer patients—A randomized, double-blind, placebo-controlled trial

  • Pages: 4343-4351
  • First Published: 26 January 2023
Oral application of magnesium-L-threonate enhances analgesia and reduces the dosage of opioids needed in advanced cancer patients—A randomized, double-blind, placebo-controlled trial

A randomized, double-blind placebo-controlled prospective clinical trial. Oral magnesium-L-threonate enhances the analgesia and reduces the dosage of opioids needed in advanced cancer patients. Magnesium-L-threonate inhibits or eases morphine tolerance. Magnesium-L-threonate relieves opioid-induced constipation

LETTER TO THE EDITOR

Clinical Cancer Research

Open Access

A comparative study of diagnostic accuracy in 3026 pleural biopsies and matched pleural effusion cytology with clinical correlation: A methodological issue

  • Pages: 4363-4364
  • First Published: 19 December 2022
A comparative study of diagnostic accuracy in 3026 pleural biopsies and matched pleural effusion cytology with clinical correlation: A methodological issue

The comparison of SP and SE in various methods using a fixed cut-point was affected by point selection. So we proposed the utilization of AUC for displaying the overall capabilities of those methods regardless of cut-points.

REVIEWS

Cancer Biology

Open Access

Implications of estrogen and its receptors in colorectal carcinoma

  • Pages: 4367-4379
  • First Published: 07 October 2022
Implications of estrogen and its receptors in colorectal carcinoma

ERß, the predominant estrogen receptor expressed in both normal and non-malignant colonic epithelium, has a protective role in colon carcinogenesis. ERß may exert the anti-tumor effect through selective activation of pro-apoptotic signaling, increasing DNA repair, inhibiting expression of oncogenes, regulating cell cycle progression, and also by changing the micro-RNA pool and DNA-methylation.

RESEARCH ARTICLES

Cancer Biology

Open Access

IGF2BP2 promotes pancreatic carcinoma progression by enhancing the stability of B3GNT6 mRNA via m6A methylation

  • Pages: 4405-4420
  • First Published: 31 July 2022
IGF2BP2 promotes pancreatic carcinoma progression by enhancing the stability of B3GNT6 mRNA via m6A methylation

1. Bioinformatics reveals that m6A regulators are generally elevated in PC. 2. IGF2BP2 enhances the stability of B3GNT6 mRNA via m6A methylation. 3. IGF2BP2 plays a carcinogenic role, promoting tumor formation in vivo.

Open Access

The long noncoding RNA HOXA11-AS promotes lung adenocarcinoma proliferation and glycolysis via the microRNA-148b-3p/PKM2 axis

  • Pages: 4421-4433
  • First Published: 04 August 2022
The long noncoding RNA HOXA11-AS promotes lung adenocarcinoma proliferation and glycolysis via the microRNA-148b-3p/PKM2 axis

This paper elaborately explored the role of lncRNA HOXA11-AS and miR-148b-3p in glycolysis and proliferation of lung adenocarcinoma, and demonstrated that the lncRNA HOXA11-AS is involved in the regulation of PKM2, a key protein of glycolysis, through sponging miR-148b-3p, which in turn affects the proliferation and glycolysis of lung adenocarcinoma.

Open Access

Low- dose Apatinib promotes vascular normalization and hypoxia reduction and sensitizes radiotherapy in lung cancer

  • Pages: 4434-4445
  • First Published: 06 September 2022
Low- dose Apatinib promotes vascular normalization and hypoxia reduction and sensitizes radiotherapy in lung cancer

Low-dose apatinib normalizes tumor blood vessels and significantly ameliorate intratumor hypoxic level in lung cancer. Meanwhile, low-daose apatinib can sensitize radiotherapy in the xenograft mouse model, likely due to vascular normalization and hypoxia reduction.

Open Access

Genome-wide analysis of colorectal cancer based on gene-based somatic copy number alterations during neoplastic progression within the same tumor

  • Pages: 4446-4454
  • First Published: 03 August 2022
Genome-wide analysis of colorectal cancer based on gene-based somatic copy number alterations during neoplastic progression within the same tumor

We identified 51 amplified genes that potentially progression from a high-grade intramucosal lesion (HGIL) to an invasive submucosal lesion (ISL) and 6 amplified genes involved in the progression from ISL to an invasive front lesion (IFL) within the same colorectal cancer tumor.

Open Access

βIII-tubulin suppression enhances the activity of Amuvatinib to inhibit cell proliferation in c-Met positive non-small cell lung cancer cells

  • Pages: 4455-4471
  • First Published: 10 August 2022
βIII-tubulin suppression enhances the activity of Amuvatinib to inhibit cell proliferation in c-Met positive non-small cell lung cancer cells

Amuvatinib (MP-470) inhibits lung cancer cell proliferation following βIII-tubulin suppression as demonstrated by decreased Ki67 and BrdU-incorporation using ELISA. These data show that suppressing the survival factor βIII-tubulin, the activity of Amuvatinib (MP-470) is enhanced.

Open Access

BMAL1 promotes colorectal cancer cell migration and invasion through ERK- and JNK-dependent c-Myc expression

  • Pages: 4472-4485
  • First Published: 10 August 2022
BMAL1 promotes colorectal cancer cell migration and invasion through ERK- and JNK-dependent c-Myc expression

Our study demonstrate that BMAL1 plays a critical role in cell migration and invasion of CRC cells via MAPK-c-Myc pathway. Our results may deepen our understanding in the relationship of BMAL1 and tumorigenic phenotypes and be developed into a promised therapeutic target for the BMAL1-overexpression CRC.

Open Access

Mutational landscape of homologous recombination-related genes in small-cell lung cancer

  • Pages: 4486-4495
  • First Published: 26 August 2022
Mutational landscape of homologous recombination-related genes in small-cell lung cancer

Provided a comprehensive profile of HRR gene mutations in Chinese SCLC. Illuminated the relationships of HRR gene mutation patterns with TMB and PD-L1.

Open Access

The GAL/GALR2 axis promotes the perineural invasion of salivary adenoid cystic carcinoma via epithelial-to-mesenchymal transition

  • Pages: 4496-4509
  • First Published: 29 August 2022
The GAL/GALR2 axis promotes the perineural invasion of salivary adenoid cystic carcinoma via epithelial-to-mesenchymal transition

Nerve-derived galanin (GAL) could activate GALR2 and promote epithelial-to-mesenchymal transition in salivary adenoid cystic carcinoma (SACC) cells, thereby enhancing the perineural invasion (PNI) process. Interruption of the GAL/GALR2 axis might be a novel strategy for anti-PNI therapy for SACC.

Open Access

Palladin promotes cancer stem cell-like properties in lung cancer by activating Wnt/Β-Catenin signaling

  • Pages: 4510-4520
  • First Published: 01 September 2022
Palladin promotes cancer stem cell-like properties in lung cancer by activating Wnt/Β-Catenin signaling

Palladin was identified to be specifically expressed in the cytomembrane of patients with NSCLC, suggesting its potential as a cell surface marker for LCSCs identification. More importantly, we demonstrated that Palladin might serve as a tumor oncogene and promote the biological properties of LCSCs, possibly by activating the Wnt/β-catenin signaling in NSCLC for the first time. The elucidation of this new molecular mechanism for Palladin and Wnt/β-catenin signaling activation is conducive to understand the pathogenesis of NSCLC, providing a novel possibility of the development of novel therapeutic target for CSCs targeted therapy.

Open Access

CEACAM6 serves as a biomarker for leptomeningeal metastasis in lung adenocarcinoma

  • Pages: 4521-4529
  • First Published: 09 September 2022
CEACAM6 serves as a biomarker for leptomeningeal metastasis in lung adenocarcinoma

CEACAM6 in the CSF was higher in LUAD-LM than benign diseases. LUAD-LM patients had a higher level of serum CAECAM6 than healthy controls and non-LM LUAD patients. Serum CEACAM6 had a higher AUC than CEA in differentiating LM from non-LM in LUAD. CEACAM6 may serve as a potential biomarker in diagnosing LUAD-LM.

Open Access

Vaspin accelerates the proliferation, invasion and metastasis of Triple-Negative breast cancer through MiR-33a-5p/ABHD2

  • Pages: 4530-4542
  • First Published: 20 September 2022
Vaspin accelerates the proliferation, invasion and metastasis of Triple-Negative breast cancer through MiR-33a-5p/ABHD2

We found that compared with normal-weight breast cancer patients, serum vaspin levels in overweight patients were significantly increased, and vaspin could promote the progression of triple-negative breast cancer by regulating the miR-33a-5p/ABHD2 pathway

Open Access

Drug library screening identifies histone deacetylase inhibition as a novel therapeutic strategy for choriocarcinoma

  • Pages: 4543-4556
  • First Published: 15 September 2022
Drug library screening identifies histone deacetylase inhibition as a novel therapeutic strategy for choriocarcinoma

We evaluated the growth inhibitory effect of 1271 FDA-approved compounds by MTS assay and identified vorinostat, a histone deacetylase inhibitor, as one of the therapeutic candidates. Vorinostat showed a remarkable anti-cancer effect both in vitro and in vivo by inducing ferroptosis.

Open Access

Dirty necrosis in renal cell carcinoma is associated with NETosis and systemic inflammation

  • Pages: 4557-4567
  • First Published: 20 September 2022
Dirty necrosis in renal cell carcinoma is associated with NETosis and systemic inflammation

Dirty necrosis (DN) in renal cell carcinoma (RCC) is morphologically characterized by abundant neutrophil infiltration and has significant potential as an unfavorable prognostic indicator. In addition, DN in RCC is characterized by neutrophil extracellular traps production and systemic inflammation.

Open Access

Deregulation of PRDM5 promotes cell proliferation by regulating JAK/STAT signaling pathway through SOCS1 in human lung adenocarcinoma

  • Pages: 4568-4578
  • First Published: 20 September 2022
Deregulation of PRDM5 promotes cell proliferation by regulating JAK/STAT signaling pathway through SOCS1 in human lung adenocarcinoma

Our study suggests that deregulation of PRDM5 promotes the proliferation of lung adenocarcinoma cells by downregulating SOCS1 and then upregulating the JAK2/STAT3 signaling pathway. The findings will provide significant clues and evidence for targeted treatment of lung adenocarcinoma in the clinic.

Open Access

Trastuzumab-based near-infrared photoimmunotherapy in xenograft mouse of breast cancer

  • Pages: 4579-4589
  • First Published: 18 October 2022
Trastuzumab-based near-infrared photoimmunotherapy in xenograft mouse of breast cancer

In the present study, the applicability of Trastuzumab-based NIR-PIT in HER2-positive breast cancer was examined. As a result, we found Tra-IR700 accumulates BT-474 xenograft tumors and the tumors were induced diffuse necrosis by NIR-PIT.

Open Access

miR-31/QKI-5 axis facilitates cell cycle progression of non-small-cell lung cancer cells by interacting and regulating p21 and CDK4/6 expressions

  • Pages: 4590-4604
  • First Published: 29 September 2022
miR-31/QKI-5 axis facilitates cell cycle progression of non-small-cell lung cancer cells by interacting and regulating p21 and CDK4/6 expressions

miR-31 mediated QKI-5 downregulation promoted tumor growth of NSCLC through regulating p21 protein and CDK4/6 mRNAs.

Open Access

Cisplatin-induced HSF1-HSP90 axis enhances the expression of functional PD-L1 in oral squamous cell carcinoma

  • Pages: 4605-4615
  • First Published: 06 October 2022

In this report, we demonstrated that CDDP increased the cell surface expression of PD-L1 on HSC2 OSCC cells and was mediated by HSF1 and HSP90.

RESEARCH ARTICLES

Cancer Prevention

Open Access

Survival disadvantage of male children with retinoblastoma in the United States: Surveillance Epidemiology and End Results (2000–2017) Evidence

  • Pages: 4626-4637
  • First Published: 31 January 2023
Survival disadvantage of male children with retinoblastoma in the United States: Surveillance Epidemiology and End Results (2000–2017) Evidence

Retinoblastoma is a rare malignancy involving the retina, although more common among children, with genetic inheritance explaining the incidence as well as acquired forms. The incidence varies among race and sex as well as mortality and survival. The current study aimed to assess retinoblastoma cumulative incidence, mortality, and survival by sex. In a representative sample of pediatric retinoblastoma, there was a sex differential in survival with excess risk of dying identified among males relative to females, which may be explained in X-linkage in males.

Open Access

Financial burden among cancer patients: A national-level perspective

  • Pages: 4638-4646
  • First Published: 19 July 2022
Financial burden among cancer patients: A national-level perspective

Given that this study cohort is primarily senior citizens, it is especially troubling that an active working status seems to be an important requirement for managing cancer treatment without severe financial hardship. In the absence of more robust financial support for these patients, financial planning has become a vital part of the treatment process for cancer patients. Until the introduction of legislation that makes cancer treatment financially viable, health systems have a responsibility to direct resources toward the education and assistance of these patients.

Open Access

Impact of U.S. Preventive Services Task Force lung cancer screening update on drivers of disparities in screening eligibility

  • Pages: 4647-4654
  • First Published: 24 July 2022
Impact of U.S. Preventive Services Task Force lung cancer screening update on drivers of disparities in screening eligibility

Our results suggest that the 2021 USPSTF recommendation on lung cancer screening may not reduce disparities associated with socioeconomic status. These factors include educational attainment, poverty level, employment history, and transportation for medical care.

Open Access

Physical activity, polygenic risk score, and colorectal cancer risk

  • Pages: 4655-4666
  • First Published: 26 July 2022
Physical activity, polygenic risk score, and colorectal cancer risk

This study, based on a large ongoing case-control study (the DACHS study) on CRC in Germany, adds to the limited evidence of the individual and joint association of PA and polygenic risk score (PRS) with CRC risk and compares these associations using a novel metric of GRE for effective risk communication. We found that leisure time PA, in particular sports, was associated with reduced CRC risk regardless of PRS levels. The high GREs suggest that adequate sports activity can compensate for a large share of predetermined polygenic risk for CRC.

Open Access

Ex vivo NMR metabolomics approach using cerebrospinal fluid for the diagnosis of primary CNS lymphoma: Correlation with MR imaging characteristics

  • Pages: 4679-4689
  • First Published: 08 August 2022
Ex vivo NMR metabolomics approach using cerebrospinal fluid for the diagnosis of primary CNS lymphoma: Correlation with MR imaging characteristics

For the treatment and prognosis of primary central nervous system lymphoma (PCNSL), an early and precise diagnosis is critical, but brain biopsy and cerebrospinal fluid (CSF) cytology are invasive and has poor diagnostic accuracy, respectively. In our study, NMR-based analysis of CSF in PCNSL patients revealed a different metabolic profile. This is significantly correlated with magnetic resonance imaging characteristics. This approach could reduce costs, avoid invasive diagnostic procedures, and allow treatment to begin immediately for PCNSL patients.

Open Access

Behavioral beliefs about genetic counseling among high-risk Latina breast cancer survivors in Florida and Puerto Rico

  • Pages: 4701-4706
  • First Published: 08 August 2022
Behavioral beliefs about genetic counseling among high-risk Latina breast cancer survivors in Florida and Puerto Rico

Spanish-preferring Latina breast cancer survivors had high positive beliefs about genetic counseling and their reported benefits and barriers for genetic counseling were similar for survivors residing in Florida and Puerto Rico. The study findings highlight the factors that should be considered when designing culturally sensitive interventions for Latina breast cancer survivors and suggest that similar intervention contents to promote uptake of genetic counseling could be implemented in Florida and Puerto Rico.

Open Access

Effects of the different periods and magnitude of COVID-19 infection spread on cancer operations: Interrupted time series analysis of medical claims data

  • Pages: 4707-4714
  • First Published: 20 September 2022
Effects of the different periods and magnitude of COVID-19 infection spread on cancer operations: Interrupted time series analysis of medical claims data

This retrospective observational study used medical claims data in Japan to examine the effects of different COVID-19 periods and magnitudes of its spread on in-hospital cancer operations. We confirmed that cancer operations were significantly reduced in hospitals where in-hospital treatments for patients with COVID-19 were provided during the COVID-19 pandemic. Our findings suggest that a statement of emergency by the government as well as the spread of COVID-19 both have an influence on the number of cancer operations performed in Yamagata prefecture during the COVID-19 era.

Open Access

Protein and amino acid intakes in relation to prostate cancer risk and mortality—A prospective study in the European Prospective Investigation into Cancer and Nutrition

  • Pages: 4725-4738
  • First Published: 23 September 2022
Protein and amino acid intakes in relation to prostate cancer risk and mortality—A prospective study in the European Prospective Investigation into Cancer and Nutrition

In this large, prospective cohort study, we found no strong associations of protein and amino acid intakes with prostate cancer incidence or mortality. Nonetheless, the results suggested weak positive associations for dairy and yogurt protein with prostate cancer risk, and possibly for egg protein with prostate cancer death. These results deserve further investigation in large-scale, pooled analyses aimed at clarifying these associations.

Open Access

Patient-reported outcomes in childhood head and neck rhabdomyosarcoma survivors and their relation to physician-graded adverse events—A multicenter study using the FACE-Q Craniofacial module

  • Pages: 4739-4750
  • First Published: 07 October 2022

Physician graded adverse effects are not sufficient to provide tailored care for head and neck cancer survivors. Patient reported outcome scores for appearance, health related quality of life and facial function was reported negatively by many survivors. This study highlights the importance of incorporating patient reported outcome measures in follow-up clinic.

Open Access

Financial toxicity of patients with lung cancer in China: Results from a National Survey Study

  • Pages: 4751-4760
  • First Published: 21 September 2022
Financial toxicity of patients with lung cancer in China: Results from a National Survey Study

In this national survey, a relatively high prevalence of FT was observed in patients with lung cancer in China. Patients with high FT are more likely to use coping actions. Keen attention must be paid to reducing the disproportionate high financial risks of those patients with low SES.

Open Access

Genetic ancestry, differential gene expression, and survival in pediatric B-cell acute lymphoblastic leukemia

  • Pages: 4761-4772
  • First Published: 20 September 2022
Genetic ancestry, differential gene expression, and survival in pediatric B-cell acute lymphoblastic leukemia

Using genotype, gene expression, and survival data, we analyzed the relationship between race/ethnicity and survival in pediatric B-cell acute lymphoblastic leukemia (B-ALL), when accounting for genes associated with genetic ancestry. Our results suggest that genetic ancestry and its associated genes play meaningful roles in the occurrence and magnitude of racial/ethnic disparities in B-ALL.

Open Access

Patient-reported disruptions to cancer care during the COVID-19 pandemic: A national cross-sectional study

  • Pages: 4773-4785
  • First Published: 07 October 2022
Patient-reported disruptions to cancer care during the COVID-19 pandemic: A national cross-sectional study

In an analysis of National Health Interview Survey (NHIS) data from 2020, we found nearly 1/3 of patients reportedly requiring cancer treatment or other cancer care experienced disruptions due to the COVID-19 pandemic. Patients experiencing disruptions were significantly more likely to be younger or female, as well as reported higher rates of anxiety. The long term impact of these care disruptions on outcomes merits further study.

Open Access

Decision regret related to urinary diversion choices after cystectomy among Chinese bladder cancer patients

  • Pages: 4786-4793
  • First Published: 21 October 2022

Decision regret related to urinary diversion choices after cystectomy among Chinese bladder cancer patients

It is important to acknowledge that Chinese mainland culture and medical practice are distinct which presents a number of issues that need to be considered in more detail. Understanding how these distinctions influence regret and outcomes may enable us to develop patient education programs and to promote participation.

Open Access

Association between depression and anxiety status of breast cancer patients before adjuvant chemotherapy and chemotherapy-induced adverse events

  • Pages: 4794-4800
  • First Published: 26 September 2022
Association between depression and anxiety status of breast cancer patients before adjuvant chemotherapy and chemotherapy-induced adverse events

We explored the relationship between depression/anxiety status and adverse events induced by adjuvant chemotherapy. Patients with depression were more likely to develop myelosuppression. Monitoring the psychological status of breast cancer patients before chemotherapy may help to optimize the management of adverse events.

Open Access

Prognostic awareness and its association with health outcomes in the last year of life

  • Pages: 4801-4808
  • First Published: 06 October 2022
Prognostic awareness and its association with health outcomes in the last year of life

Prognostic awareness and its association with helth outcomes in the last year of life.

Open Access

Describing settings of care in the last 100 days of life for cancer decedents: a population-based descriptive study

  • Pages: 4809-4820
  • First Published: 24 October 2022
Describing settings of care in the last 100 days of life for cancer decedents: a population-based descriptive study

A population-based descriptive study using linked health administrative data in Ontario, Canada, described where patients dying of cancer spent their last 100 days of life. From 2013 to 2017, patients dying with cancer spent most of their time in either institutions (25.9 days) or at home without any care (48.3 days).

Open Access

Cognitive impairment in adolescent and young adult cancer patients: Pre-treatment findings of a longitudinal study

  • Pages: 4821-4831
  • First Published: 11 October 2022
Cognitive impairment in adolescent and young adult cancer patients: Pre-treatment findings of a longitudinal study

This study reported about pre-treatment cancer-related cognitive impairment between newly diagnosed AYAC and age-matched healthy control. There were higher proportions of subjects with impairment and elevated inflammatory marker levels among AYAC compared to controls. At the same time, lower levels of self-perceived impairment and lower baseline BDNF levels were reported in this patient group.

Open Access

Prostate cancer-related anxiety among long-term survivors after radical prostatectomy: A longitudinal study

  • Pages: 4842-4851
  • First Published: 18 October 2022
Prostate cancer-related anxiety among long-term survivors after radical prostatectomy: A longitudinal study

Findings of the current study highlight PC-related anxiety as a burden of survivors many years after diagnosis and treatment. The respective disease-specific anxiety was the strongest predictor of this anxiety 5 years later, which emphasizes the need of screening and monitoring in a timely manner for PC-related anxiety. Treating urologists should screen, identify, and monitor patients at risk for targeted referrals to psychosocial services.

Open Access

The long-term survival of esophageal cancer in elderly patients: A multi-center, retrospective study from China

  • Pages: 4852-4863
  • First Published: 10 October 2022
The long-term survival of esophageal cancer in elderly patients: A multi-center, retrospective study from China

We performed a multi-center retrospective study to assess the survival of the elderly esophageal cancer patients. Our finding revealed that age, therapy method, and pathological stage were mainly associated with the survival of esophageal cancer in elderly patients.

Bioinformatics

Open Access

Immunogenicity of small-cell lung cancer associates with STING pathway activation and is enhanced by ATR and TOP1 inhibition

  • Pages: 4864-4881
  • First Published: 11 August 2022
Immunogenicity of small-cell lung cancer associates with STING pathway activation and is enhanced by ATR and TOP1 inhibition

The combination of ATR and TOP1 inhibitors in STING-low SCLC triggered activation of the STING-IFN response and expression of pro-inflammatory factors, and thus might transform “cold” tumors into “hot” tumors, which are more likely to respond to systemic immunotherapy.

Open Access

COL3A1: Potential prognostic predictor for head and neck cancer based on immune-microenvironment alternative splicing

  • Pages: 4882-4894
  • First Published: 29 August 2022
COL3A1: Potential prognostic predictor for head and neck cancer based on immune-microenvironment alternative splicing

Expression levels of COL3A1 were correlated with HNSCC differentiation but were found to be independent factors affecting HNSCC patients CloseCurlyQuote; overall survival rates. #10;COL3A1 exhibited good performance in evaluating immune cell infiltrations, immune activities, and immune checkpoint gene expressions in HNSCC.

Open Access

Prognostic risk assessment model for alternative splicing events and splicing factors in malignant pleural mesothelioma

  • Pages: 4895-4906
  • First Published: 28 August 2022
Prognostic risk assessment model for alternative splicing events and splicing factors in malignant pleural mesothelioma

Prognostic signatures for alternative splicing events and splicing factors in malignant pleural mesothelioma.

Open Access

Clinical implication and immunological landscape analyses of ANLN in pan-cancer: A new target for cancer research

  • Pages: 4907-4920
  • First Published: 28 August 2022
Clinical implication and immunological landscape analyses of ANLN in pan-cancer: A new target for cancer research

Upregulation of ANLN was associated with worse clinical outcomes in most solid tumors. ANLN was positively related with TMB, MSI, immune cells infiltration and immune checkpoint genes in various cancers. Higher ANLN level predicted better immune responses and longer OS in BLCA patients receiving immunotherapy.

Open Access

Identification of a pyroptosis-based model for predicting clinical outcomes from immunotherapy in patients with metastatic melanoma

  • Pages: 4921-4937
  • First Published: 23 September 2022
Identification of a pyroptosis-based model for predicting clinical outcomes from immunotherapy in patients with metastatic melanoma

This study identified the pyroptosis-related model associated with multiple immune-inflamed characteristics as a reliable tool for predicting clinical benefit and survival outcomes from immunotherapy in melanoma. Preliminary data from four published cohorts consistently suggested better treatment outcomes from immunotherapy in melanoma with high pyroptosis scores, which was characterized as the immune-inflamed phenotype in TME.

Open Access

Highly expressed carbohydrate sulfotransferase 11 correlates with unfavorable prognosis and immune evasion of hepatocellular carcinoma

  • Pages: 4938-4950
  • First Published: 05 September 2022
Highly expressed carbohydrate sulfotransferase 11 correlates with unfavorable prognosis and immune evasion of hepatocellular carcinoma

This is the first study to elucidate the relationship between CHST11 expression and prognosis as well as immune infiltration in HCC. These findings are potentially valuable in advancing our current understanding of CHST11 as a biomarker for HCC prognosis predicting and a molecular target for HCC immunotherapy.

Open Access

Co-amplified with PDGFRA, IGFBP7 is a prognostic biomarker correlated with the immune infiltrations of glioma

  • Pages: 4951-4967
  • First Published: 31 August 2022
Co-amplified with PDGFRA, IGFBP7 is a prognostic biomarker correlated with the immune infiltrations of glioma

PDGFRA and IGFBP7 were co-amplifying in glioma. IGFBP7 but not PDGFRA served an ideal prognostic marker and therapeutic target of glioma. IGFBP7 was associated with the glioma immune infiltrations.

Open Access

Risk stratification and prognosis prediction based on inflammation-related gene signature in lung squamous carcinoma

  • Pages: 4968-4980
  • First Published: 03 September 2022
Risk stratification and prognosis prediction based on inflammation-related gene signature in lung squamous carcinoma

Based on a variety of bioinformatics and immune infiltration analyses, we found the expression of inflammation-related genes was associated with the prognosis. And the inflammation-related genes signature can be a potential indicator of the effectiveness of immunotherapy.

Open Access

Dynamic alteration and prognostic significance of tumor-associated CD68+ and CD68+PD-L1 macrophages in muscle-invasive bladder cancer treated with neoadjuvant chemotherapy

  • Pages: 4981-4992
  • First Published: 31 August 2022
Dynamic alteration and prognostic significance of tumor-associated CD68+ and CD68+PD-L1− macrophages in muscle-invasive bladder cancer treated with neoadjuvant chemotherapy

In this study, we performed multiplex immunofluorescence to test CD68+TAMs, FOXP3+ Treg cell, CD4+ T cell, CD8+ T cell, and PD-L1 expression in MIBC before and after NAC. The results revealed that CD68+ and CD68+PD-L1 TAM infiltration levels decreased significantly after NAC and pre-treatment TAM infiltration levels were independent prognostic factors for MIBC patients. However, there was no sufficient evidence demonstrating that pre-treatment TILs or TAMs could predict response to NAC in MIBC patients.

Open Access

Investigation on the regulatory T cells signature and relevant Foxp3/STAT3 axis in esophageal cancer

  • Pages: 4993-5008
  • First Published: 13 October 2022
Investigation on the regulatory T cells signature and relevant Foxp3/STAT3 axis in esophageal cancer

Regulatory T cells (Tregs) are well-known immunosuppression factor in most human malignancies. We gave a comprehensive analysis of Tregs disorder and observed that high Tregs accumulation potentially acted as a prognostic indicator for esophageal cancer (EC) and was associated with tumor deterioration.

Open Access

Construction of a cuproptosis-related lncRNA signature for predicting prognosis and immune landscape in osteosarcoma patients

  • Pages: 5009-5024
  • First Published: 21 September 2022
Construction of a cuproptosis-related lncRNA signature for predicting prognosis and immune landscape in osteosarcoma patients

Using the TARGET-OS database, we developed a risk score prognosis model using the cuproptosis-related lncRNAs. The novel cuproptosis-related lncRNA signature have high reliability and accuracy for predicting outcome and immunotherapy response in osteosarcoma patients.

Open Access

Application of interpretable machine learning algorithms to predict distant metastasis in osteosarcoma

  • Pages: 5025-5034
  • First Published: 09 September 2022
Application of interpretable machine learning algorithms to predict distant metastasis in osteosarcoma

We developed a machine learning-based model to predict the explore potential risk factors for metastatic disease in osteosarcoma patients according to the tumor features and the treatment duration in this study. As a result, the Random Forest model outperformed all other models in training and validation sets. To improve the interpretability of our machine learning model, we reported the SHAP values and a list of highly influential features.

Open Access

Systemic analysis of the DNA replication regulator origin recognition complex in lung adenocarcinomas identifies prognostic and expression significance

  • Pages: 5035-5054
  • First Published: 07 October 2022
Systemic analysis of the DNA replication regulator origin recognition complex in lung adenocarcinomas identifies prognostic and expression significance

From bioinformatics analysis aspect, systemic analysis of the expression and prognostic significance of ORCs in lung adenocarcinoma. This article was designed to help understand the roles of ORCs in the formation, development and progression of lung adenocarcinoma for further studies

Open Access

Identification of miR-30c-5p as a tumor suppressor by targeting the m6A reader HNRNPA2B1 in ovarian cancer

  • Pages: 5055-5070
  • First Published: 18 October 2022
Identification of miR-30c-5p as a tumor suppressor by targeting the m6A reader HNRNPA2B1 in ovarian cancer

miR-30c-5p inhibits OvCa progression by inhibiting m6A reader HNRNPA2B. Meanwhile, HNRNPA2B1 might regulate CDK19 mRNA stability to alter m6A level.

Open Access

Optimized decision support for selection of transoral robotic surgery or (chemo)radiation therapy based on posttreatment swallowing toxicity

  • Pages: 5088-5098
  • First Published: 13 October 2022
Optimized decision support for selection of transoral robotic surgery or (chemo)radiation therapy based on posttreatment swallowing toxicity

The primary aim of transoral robotic surgery (TORS) in overall toxicity level reduction in eligible oropharyngeal squamous cell cancer (OPSCC) patients may be jeopardized in the presence of postoperative extranodal extension (ENE) and/or positive margin (PM) that necessitate adjuvant therapy. Our decision analysis model shows that Moderate-to-high likelihoods associated with postoperative PM or ENE that trigger adjuvant therapy leave definitive non-surgical therapies as the optimal treatment for TORS-eligible OPSCC patients leading to less overall toxicity burden.

Open Access

Predicting survival in metastatic non-small cell lung cancer patients with poor ECOG-PS: A single-arm prospective study

  • Pages: 5099-5109
  • First Published: 26 September 2022
Predicting survival in metastatic non-small cell lung cancer patients with poor ECOG-PS: A single-arm prospective study

A machine learning (ML) model was developed to predict whether patients with advanced NSCLC and ECOG-PS >1 would have an overall survival (OS) >90 d. Thereafter, a lite model with 16 easily accessible features was created, and its prospective validation yielded a C-statistic of 0.706 (p < 0.01) and accuracy of 0.714 (p < 0.01). The features used in the ML model and network analysis of significant relations between features suggest that inflammation, QoL and cachexia play a major role in determining OS in these patients.

Open Access

Achieving tolerance modifies cancer susceptibility profiles in liver transplant recipients

  • Pages: 5150-5157
  • First Published: 07 October 2022
Achieving tolerance modifies cancer susceptibility profiles in liver transplant recipients

Achieving tolerance modifies cancer susceptibility profiles in liver transplant recipients. Liver transplant patients who weaned off sirolimus therapy have favorable changes in their molecular profiles in regard to malignancy risk.

Open Access

Biomarkers for pancreatic cancer based on tissue and serum metabolomics analysis in a multicenter study

  • Pages: 5158-5171
  • First Published: 26 September 2022
Biomarkers for pancreatic cancer based on tissue and serum metabolomics analysis in a multicenter study

We identified the metabolic features of pancreatic ductal adenocarcinoma (PDAC) and developed a metabolite biomarker panel for early detection of PDAC based on tissue and serum metabolomics analysis. This panel exhibited promising performance in distinguishing PDAC from benign pancreatic neoplasms (BP) or healthy controls (Ctr), especially in combination with CA19-9.