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DRUG CLASS:

TSP1 stimulant

4ms
First-in-human phase I dose escalation trial of the first-in-class tumor microenvironment modulator VT1021 in advanced solid tumors. (PubMed, Commun Med (Lond))
VT1021 is safe and well-tolerated across all doses tested. RP2D has been selected for future clinical studies. PR and SD with tumor shrinkage are observed in multiple patients underscoring the single-agent potential of VT1021. Expansion studies in GBM, pancreatic cancer and other solid tumors at the RP2D have been completed and results will be communicated in a separate report.
P1 data • Journal • Metastases
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CD36 (thrombospondin receptor) • THBS1 (Thrombospondin 1)
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THBS1 expression
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VT1021
4ms
Thrombospondin-1 is an endogenous substrate of cereblon responsible for immunomodulatory drugs-induced thromboembolism. (PubMed, Blood Adv)
These results collectively suggest that THBS-1 represents an endogenous substrate of cereblon. This pairing is disrupted by IMiDs, and the aberrant accumulation of THBS-1 plays an important role in the pathogenesis of IMiDs-induced thromboembolism.
Journal • Immunomodulating
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CRBN (Cereblon) • THBS1 (Thrombospondin 1)
5ms
A low thrombospondin-1 serum concentration is related to increased bacteremia risk in lymphoma patients treated with BeEAM/BEAM conditioning regimen and autologous stem cell transplantation. (PubMed, Transpl Infect Dis)
Blood samples were collected from 30 patients undergoing BeEAM/BEAM (bendamustine/carmustine, etoposide, cytarabine, melphalan) conditioning regimen at subsequent time points during AHSCT. Patients with a low concentration of THBS-1 had a higher risk of bacteremia and a shorter time to febrile neutropenia, indicating its potential value as a complications biomarker. Patients with lower serum THBS-1 concentrations, indicating an increased risk, may be more suitable for an inpatient AHSCT procedure, where close monitoring and immediate intervention are accessible.
Journal
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THBS1 (Thrombospondin 1)
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cytarabine • etoposide IV • carmustine • bendamustine • melphalan
6ms
New insights into the role of thrombospondin-1 in glioblastoma development. (PubMed, Semin Cell Dev Biol)
We will discuss studies, mainly from preclinical research, which should lead to a deeper understanding of TSP1's role in GB development. We will also discuss some issues with regard to the use of this knowledge for the clinic.
Review • Journal
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THBS1 (Thrombospondin 1)
8ms
Invadopodia associated Thrombospondin-1 contributes to a post-therapy pro-invasive response in glioblastoma cells. (PubMed, Exp Cell Res)
GBM cells demonstrate augmented invasive capabilities following exposure to the current gold standard treatment of radiotherapy (RT) and concomitant and adjuvant temozolomide (TMZ), resulting in rapid disease recurrence...The preliminary data demonstrates that THBS1 is associated with invadopodia in GBM cells and is likely involved in the invadopodia-mediated invasive process in GBM cells exposed to RT/TMZ treatment. Therapeutic inhibition of THBS1-mediated invadopodia activity, which facilitates GBM cell invasion, should be further investigated as a treatment for GBM.
Journal
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THBS1 (Thrombospondin 1) • MMP2 (Matrix metallopeptidase 2)
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THBS1 overexpression • THBS1 expression
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temozolomide
10ms
STUDY THE RELATION OF A DISINTEGRIN AND METALLOPROTEINASE WITH THROMBOSPONDIN-13 AND PORTAL VEIN THROMBOSIS IN EGYPTIAN PATIENTS WITH HCV RELATED LIVER CIRRHOSIS (UEGW 2023)
Low levels of ADAMTS-13 are associated with pathogenesis of PVT in liver cirrhosis. ADAMTS-13 concentration is potential biochemical marker in diagnostic strategy of PVT in patients with cirrhosis.
Clinical
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THBS1 (Thrombospondin 1)
10ms
The Role of CD36 in Cancer Progression and Its Value as a Therapeutic Target. (PubMed, Cells)
We will also review existing approaches to targeting CD36 in pre-clinical studies, as well as discuss the only CD36-targeting drug to advance to late-stage clinical trials, VT1021. Given the roles of CD36 in the etiology of metabolic disorders, such as atherosclerosis, diabetes, and non-alcoholic fatty liver disease, the clinical implications of CD36-targeted therapy are wide-reaching, even beyond cancer.
Review • Journal
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CD36 (thrombospondin receptor)
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VT1021
11ms
Novel thrombospondin-1 transcript exhibits distinctive expression and activity in thyroid tumorigenesis. (PubMed, Oncogene)
We further found that RNA-binding motif protein 5 (RBM5) suppressed IR induced by sulindac sulfide treatment...Furthermore, trans-chalcone demethylated TSP1V, thereby preventing methyl-CpG-binding protein 2 binding to TSP1V gene. In addition, TSP1V levels were significantly lower in patients with differentiated thyroid carcinoma than in those with benign thyroid nodule, indicating its potential application as a diagnostic biomarker in tumor progression.
Journal
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THBS1 (Thrombospondin 1)
11ms
ECM stiffness-regulated exosomal thrombospondin-1 promotes tunneling nanotubes-based cellular networking in breast cancer cells. (PubMed, Arch Biochem Biophys)
At the molecular level, exosomal thrombospondin-1 was identified as a critical pro-TNT factor. These findings underline the influence of ECM stiffening on two diverse modes of cell communication and their interdependence, which may have significant implications in cancer biomedical research.
Journal
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THBS1 (Thrombospondin 1)
12ms
Phase 1 Study Evaluating VT1021 in Patients With Advanced Solid Tumors (clinicaltrials.gov)
P1, N=116, Active, not recruiting, Vigeo Therapeutics, Inc. | Trial completion date: Jun 2023 --> Jun 2024 | Trial primary completion date: Dec 2022 --> Jan 2024
Trial completion date • Trial primary completion date • Metastases
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BRCA (Breast cancer early onset) • CD36 (thrombospondin receptor)
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BRCA mutation
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VT1021
1year
CD47 expression in ovarian cancer: Dynamic correlation with lymphocyte and macrophage features as well as thrombospondin-1 (TSP-1) under neoadjuvant chemotherapy. (ASCO 2023)
Our data suggest that OC patients with the highest CD47 expression profile at baseline have greatest lymphocyte influx post-NACT and may be most likely to benefit from post-operative immunotherapy. Whether blocking the immune-suppressive CD47:TSP1 interaction in this subset would provide an alternative strategy merits investigation. Clinical trial information: NCT01583322.
Clinical • IO biomarker
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CD8 (cluster of differentiation 8) • CD47 (CD47 Molecule) • CD163 (CD163 Molecule) • THBS1 (Thrombospondin 1) • CD68 (CD68 Molecule) • FOXP3 (Forkhead Box P3)
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CD47 overexpression • CD47 expression
1year
LYN kinase programs stromal fibroblasts to facilitate leukemic survival via regulation of c-JUN and THBS1. (PubMed, Nat Commun)
Mechanistically, LYN deletion reduces inflammatory signaling including reduction of c-JUN expression, which in turn augments the expression of Thrombospondin-1, which binds to CD47 thereby impairing CLL viability. Together, our findings suggest that LYN is essential for rewiring fibroblasts towards a leukemia-supportive phenotype.
Journal • Stroma
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THBS1 (Thrombospondin 1) • LYN (LYN Proto-Oncogene Src Family Tyrosine Kinase) • JUN (Jun proto-oncogene)
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THBS1 expression
1year
In vivo therapeutic validation of NRT-YHD_001, a novel macrophage checkpoint inhibitor, in liver cancer (AACR 2023)
As a result, the NRT-YHD_001 administration group showed significant therapeutic effect compared to sorafenib. These results showed that NRT-YHD_001 had a strong anticancer effect by converting the macrophage of don't eat me into eat me signal in the tumor microenvironment of liver cancer, thereby removing or inhibiting liver cancer cells.Keywords: let-7i-5p, macrophage, phagocytosis, liver cancer, NRT-YHD_001
Preclinical • Checkpoint inhibition
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THBS1 (Thrombospondin 1) • SIRPA (Signal Regulatory Protein Alpha)
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THBS1 expression
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sorafenib • NRT-YHD_001
1year
A Neural Network Model Combining [-2]proPSA, freePSA, Total PSA, Cathepsin D, and Thrombospondin-1 Showed Increased Accuracy in the Identification of Clinically Significant Prostate Cancer. (PubMed, Cancers (Basel))
Our preliminary study suggests that combining PHI and PCLX biomarkers may help to estimate, with higher accuracy, the presence of csPCa at initial diagnosis, allowing a personalized treatment approach. Further studies training the model on larger datasets are strongly encouraged to support the efficiency of this approach.
Journal
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THBS1 (Thrombospondin 1) • CTSD (Cathepsin D)
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Proclarix®
1year
Predictive biomarkers of response to immunotherapy in triple-negative breast cancer - state of the art and future perspectives. (PubMed, Klin Onkol)
In this review, we summarize the current knowledge of mechanisms regulating PD-L1 expression, of the predictive value of TILs as well as of associated cellular and molecular components present in the TME in TNBC. Furthermore, TMB and emerging bio-markers with potential value in predicting efficacy of ICIs are discussed, and new therapeutic strategies will be outlined.
Journal • Tumor mutational burden • PD(L)-1 Biomarker • IO biomarker
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PD-L1 (Programmed death ligand 1) • TMB (Tumor Mutational Burden)
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PD-L1 expression
1year
Pterostilbene supresses inflammation-induced melanoma metastasis by impeding neutrophil elastase-mediated thrombospondin-1 degradation. (PubMed, Chin Herb Med)
In vitro, PTE at concentrations without cytotoxicity also markedly suppressed NE-triggered B16 cell migration, prevented NE-induced TSP-1 proteolysis and reversed the expression of vimentin, N-cadherin and E-cadherin. PTE could block inflammation-enhanced tumor metastasis, and the underlying mechanism might be associated with the inhibition of NE-mediated TSP-1 degradation.
Journal
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IL6 (Interleukin 6) • TNFA (Tumor Necrosis Factor-Alpha) • CDH1 (Cadherin 1) • THBS1 (Thrombospondin 1) • VIM (Vimentin) • CDH2 (Cadherin 2)
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CDH1 expression • VIM expression
1year
Serum thrombospondin-1 serves as a novel biomarker and agonist of gemcitabine-based chemotherapy in intrahepatic cholangiocarcinoma. (PubMed, Br J Cancer)
In summary, we found a key molecule-TSP1-that can predict and improve the sensitivity of ICC patients to gemcitabine chemotherapy, which is of great significance for the treatment of advanced cholangiocarcinoma.
Journal
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CD36 (thrombospondin receptor) • THBS1 (Thrombospondin 1)
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cisplatin • gemcitabine
1year
Accurate diagnosis of prostate cancer by combining Proclarix with magnetic resonance imaging. (PubMed, BJU Int)
When combined with mpMRI and prostate volume, Proclarix reliably predicted csPCa and ruled out men with no or indolent cancer. A large reduction of two thirds of unneeded biopsies was achieved. Proclarix can further be used with high confidence to reliably detect csPCa in men with an indeterminate PI-RADS 3 mpMRI. Despite these encouraging results, further validation is needed.
Journal • MRI
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Proclarix®
1year
CD47-Dependent Regulation of Immune Checkpoint Gene Expression and MYCN mRNA Splicing in Murine CD8 and Jurkat T Cells. (PubMed, Int J Mol Sci)
Thrombospondin-1 inhibited the induction of TIGIT, CD40LG, and MCL1 mRNAs following T cell activation in vitro. Increased mRNA expression of these T cell transcripts and MYCN in melanomas was associated with improved overall survival.
Preclinical • Journal • IO biomarker
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CD8 (cluster of differentiation 8) • MCL1 (Myeloid cell leukemia 1) • MYCN (MYCN Proto-Oncogene BHLH Transcription Factor) • CD47 (CD47 Molecule) • TIGIT (T Cell Immunoreceptor With Ig And ITIM Domains 2) • THBS1 (Thrombospondin 1) • CD40LG (CD40 ligand)
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CD8 expression • CD47 expression • MYCN expression
over1year
Antitumor Effects of Deep Ultraviolet Irradiation for Pancreatic Cancer. (PubMed, Anticancer Res)
Further investigations are required to reveal the precise mechanisms of the antitumor effects of DUV irradiation and to facilitate its clinical application as a new therapy for pancreatic cancer. Overall, DUV irradiation can be potentially used as a therapeutic option of pancreatic malignancy.
Journal
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TIMP1 (Tissue inhibitor of metalloproteinases 1)
over1year
MiR-3612 targeting THBS1 suppresses nasopharyngeal carcinoma progression by PI3K/AKT signaling pathway. (PubMed, Hum Exp Toxicol)
MiR-3612 retarded NPC cell migration, adhesion, and proliferation by targeting THBS1 and inactivating the PI3K/AKT signaling pathway. This provides a novel therapeutic approach for NPC intervention.
Journal
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MIR361 (MicroRNA 361)
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miR-361 expression
over1year
Thrombospondin-1 mimic peptide PKHB1 induced endoplasmic reticulum stress-mediated but CD47-independent apoptosis in non-small cell lung cancer. (PubMed, Drug Dev Res)
Furthermore, xenograft tumor models showed that PKHB1 treatment could notably inhibit NSCLC tumor growth in vivo. In conclusion, these findings suggested that PKHB1 exerted antitumor efficacy in NSCLC via triggering ER stress-mediated but CD47-independent apoptosis, potentially functioned as a promising peptide-based therapeutic agent for NSCLC.
Journal
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THBS1 (Thrombospondin 1)
over1year
Lactic acidosis induces metabolic and phenotypic reprogramming in cholangiocarcinoma cells via the upregulation of THBS1. (PubMed, Cancer Sci)
Moreover, high THBS1 expression was associated with poor survival in patients with CCA. Collectively, our study suggests that the increased expression of THBS1 by LLA promotes phenotypic alterations leading to CCA progression.
Journal
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THBS1 (Thrombospondin 1)
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THBS1 overexpression
over1year
Trial in Progress: First Report of the Phase 1/2 Study of the Safety and Efficacy of CPO107, a Bispecific Agent Targeting CD20/CD47 in CD20 Expressing Non-Hodgkin Lymphoma (NHL) (ASH 2022)
2010]CPO107 is a bispecific fusion protein based off the anti-CD20 ofatumumab antibody with one Fab fragment being replaced with a SIRPα domain, which natively binds CD47...The monoclonal antibody Magrolimab (Hu5F9-G4) in combination with rituximab induced a high rate of tolerable and durable complete responses in heavily pretreated patients (pts) with rituximab-refractory DLBCL and FL [Chao et al...Upon reaching the MTD or RP2D, Part B of the study will enroll approximately 15 pts with CD20+ NHL to explore preliminary efficacy. The study has been registered on ClinicalTrials.gov (NCT04853329).
Clinical • P1/2 data • IO biomarker
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CD19 (CD19 Molecule) • CD47 (CD47 Molecule) • SIRPA (Signal Regulatory Protein Alpha)
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CD20 expression • CD47 overexpression • CD47 expression
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Rituxan (rituximab) • Arzerra (ofatumumab) • magrolimab (GS-4721) • JMT601
over1year
Targeting the CD47/thrombospondin-1 signaling axis regulates immune cell bioenergetics in the tumor microenvironment to potentiate antitumor immune response. (PubMed, J Immunother Cancer)
CD47/TSP1 expression could serve as a marker to predict patient response to immune checkpoint blockade treatment, and targeting this pathway may preserve T cell activation, proliferation, effector function, and bioenergetics to reduce tumor burden as a monotherapy or in combination with anti-PD-1.
Journal • PD(L)-1 Biomarker • IO biomarker
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CD8 (cluster of differentiation 8) • CD47 (CD47 Molecule) • GZMB (Granzyme B)
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CD47 expression
over1year
Discrete Correlation Summation Clustering Reveals Differential Regulation of Liver Metabolism by Thrombospondin-1 in Low-Fat and High-Fat Diet-Fed Mice. (PubMed, Metabolites)
The absence of Thbs1 differentially regulated tryptophan and tricarboxylic acid cycle metabolites implicated in the progression of NAFLD. Overall, the lack of Thbs1 caused a significant shift in liver metabolism with potential implications for liver injury and the progression of NAFLD.
Preclinical • Journal
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THBS1 (Thrombospondin 1)
over1year
Construction of a transcription factor-miRNA-mRNA interactive network elucidates underlying pathogenesis for osteosarcoma and validation by qRT-PCR. (PubMed, Medicine (Baltimore))
Based on the survival analysis, a TF-miRNA-mRNA sub-network, that is TFs (SPI1, HEY1, and CEBPB)-hsa-miR-338-3p-target genes (LAMC1 and THBS1) was established. In conclusion, the construction of a potential TF-related regulatory network will help elucidate the underlying pathological mechanisms of osteosarcoma, and may provide novel insights for the diagnosis and treatment of osteosarcoma.
Journal
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SPI1 (Spi-1 Proto-Oncogene) • LAMC1 (Laminin Subunit Gamma 1)
over1year
MiR-22 Deficiency Fosters Hepatocellular Carcinoma Development in Fatty Liver. (PubMed, Cells)
At the molecular level, we provide evidence that the loss of miR-22 significantly affects the energetic metabolism and mitochondrial functions of hepatocytes, and the expression of tumor-promoting factors such as thrombospondin-1. Our study demonstrates that miR-22 acts as a hepatic tumor suppressor in vivo by restraining pro-carcinogenic metabolic deregulations through pleiotropic mechanisms and the overexpression of relevant oncogenes.
Journal
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THBS1 (Thrombospondin 1) • MIR22 (MicroRNA 22)
over1year
Supervised Exercise in Improving Physical Fitness Before Surgery in Patients With Resectable Bone Cancer (clinicaltrials.gov)
P=N/A, N=45, Active, not recruiting, M.D. Anderson Cancer Center | Recruiting --> Active, not recruiting
Enrollment closed • Surgery
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THBS1 (Thrombospondin 1)
over1year
Sunitinib Malate and Hydroxychloroquine in Treating Patients With Advanced Solid Tumors That Have Not Responded to Chemotherapy (clinicaltrials.gov)
P1, N=40, Active, not recruiting, National Cancer Institute (NCI) | Trial completion date: Sep 2022 --> Dec 2022 | Trial primary completion date: Sep 2022 --> Dec 2022
Trial completion date • Trial primary completion date • Metastases
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CD31 (Platelet and endothelial cell adhesion molecule 1) • ENG (Endoglin) • PECAM1 (Platelet And Endothelial Cell Adhesion Molecule 1) • BECN1 (Beclin 1)
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sunitinib • hydroxychloroquine
over1year
Thrombospondin-1 overexpression stimulates loss of Smad4 and accelerates malignant behavior via TGF-β signal activation in pancreatic ductal adenocarcinoma. (PubMed, Transl Oncol)
TSP-1 derived from CAFs stimulates loss of Smad4 expression in cancer cells and accelerates malignant behavior by TGF-β signal activation in PDAC. TSP-1 could be a novel therapeutic target, not only for CAFs in stiff stroma, but also for cancer cells in the PDAC microenvironment.
Journal
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SMAD4 (SMAD family member 4) • THBS1 (Thrombospondin 1) • TGFB1 (Transforming Growth Factor Beta 1)
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THBS1 overexpression • SMAD4 expression
over1year
Loss of CD47 alters CD8+ T cell activation in vitro and immunodynamics in mice. (PubMed, Oncoimmunology)
However, the frequency and effector phenotypes of Cd47 CD8+ T cells were constrained in chronic LCMV-infected as well as in mice bearing B16 melanoma tumors. Therefore, CD47 regulates CD8+ T cell activation, proliferation, and fitness in a context-dependent manner.
Preclinical • Journal
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CD8 (cluster of differentiation 8)
over1year
Identification of candidate biomarkers associated with gastric cancer prognosis based on an integrated bioinformatics analysis. (PubMed, J Gastrointest Oncol)
Finally, TCGA-STAD data set was used to validate the expression levels of COL4A1, PDGFRB, and FN1. We found that 7 upregulated genes (i.e., PDGFRB, ANGPT2, VEGFC, COL4A2, COL4A1, THBS1, and FN1) were promising markers of prognosis in GC patients.
Journal
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PDGFRB (Platelet Derived Growth Factor Receptor Beta) • FN1 (Fibronectin 1) • VEGFC (Vascular Endothelial Growth Factor C) • COL4A1 (Collagen Type IV Alpha 1 Chain) • NECTIN1 (Nectin Cell Adhesion Molecule 1)
over1year
Irradiation induces DJ-1 secretion from esophageal squamous cell carcinoma cells to accelerate metastasis of bystander cells via a TGF-β1 positive feedback loop. (PubMed, J Exp Clin Cancer Res)
Irradiation can induce ESCC cells secreting DJ-1. Secreted DJ-1 enters bystander cells to initiate activation of the TGF-β1 pathway via the DJ-1/HSC70/Smad3 signaling axis. The TSP1/TGF-β1/Smad3 positive feedback pathway constitutes the core pathway that promotes ESCC metastasis. DJ-1 is a useful biomarker for predicting the efficacy of radiotherapy and a potential therapeutic target for reversing RIBE in ESCC. Schematic diagram showing the underlying mechanism that irradiation-induced secretion of DJ-1 accelerates the metastasis of bystander ESCC cells.
Journal
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TGFB1 (Transforming Growth Factor Beta 1) • SMAD3 (SMAD Family Member 3)
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LY2109761
over1year
Apoptosis of Megakaryocytic Leukemia Cell Line Meg-01 Induced by TSP-1 Via CD36/Caspase-3 (PubMed, Zhongguo Shi Yan Xue Ye Xue Za Zhi)
TSP-1 may induce apoptosis of megakaryocytic leukemia cell line Meg-01 cells via CD36/caspase-3, which provides a potential new drug development and treatment target for clinical treatment of megakaryocytic leukemia.
Preclinical • Journal
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CD36 (thrombospondin receptor) • CASP3 (Caspase 3) • ANXA5 (Annexin A5)
over1year
miR-1246 Promotes Laryngeal Squamous Cell Carcinoma Progression by Interacting with THBS1. (PubMed, J Environ Pathol Toxicol Oncol)
Mechanically, THBS1 inhibition partially rescued the effects of the miR-1246 inhibitor on proliferation, apoptosis and migration of TU212 and AMC-HN-8 cells. This study provides an experimental basis suggesting the potential of miR-1246/THBS1 as the novel markers for LSCC.
Journal
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THBS1 (Thrombospondin 1) • MIR1246 (MicroRNA 1246)
over1year
miR-1290 contributes to oncogenesis and angiogenesis via targeting of THBS1, DKK3 and, SCAI. (PubMed, Bioimpacts)
We demonstrated that miR-1290 enhanced proliferation, migration, and angiogenesis partially through suppression of THBS1, DKK3, and SCAI in CRC. These results suggest a novel function of miR-1290 which may contribute to tumorigenesis and angiogenesis in CRC.
Journal
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DKK3 (Dickkopf WNT Signaling Pathway Inhibitor 3) • MIR1290 (MicroRNA 1290)
over1year
Matricellular proteins in intrahepatic cholangiocarcinoma. (PubMed, Adv Cancer Res)
Matricellular proteins have also shown promise as potential prognostic factors for iCCA and may provide unique therapeutic opportunities particularly in relation to targeting iCCA pre-metastatic and metastatic niches, tumor cell dormancy, and immune evasion. This review will highlight timely research and its translational implications for salient matricellular proteins in terms of their structure-function relationships, as modulators of intrahepatic cholangiocarcinoma microenvironment and progression, and potential clinical value for iCCA prognosis and therapy.
Journal
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MSLN (Mesothelin) • SPP1 (Secreted Phosphoprotein 1)
almost2years
Supervised Exercise in Improving Physical Fitness Before Surgery in Patients With Resectable Bone Cancer (clinicaltrials.gov)
P=N/A, N=45, Recruiting, M.D. Anderson Cancer Center | Unknown status --> Recruiting | Trial completion date: Aug 2021 --> Aug 2024 | Trial primary completion date: Aug 2020 --> Aug 2024
Enrollment open • Trial completion date • Trial primary completion date
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THBS1 (Thrombospondin 1)