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CANCER:

Thymoma

Related cancers:
10d
Pancancer analysis of the interactions between CTNNB1 and infiltrating immune cell populations. (PubMed, Medicine (Baltimore))
Additionally, pathway enrichment suggested that NUMB is involved in the Wnt pathway. This study highlights the predictive role of CTNNB1 across cancers, suggesting that CTNNB1 might serve as a potential biomarker for the diagnosis and prognosis evaluation of various malignant tumors.
Journal • Pan tumor • Immune cell
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CD8 (cluster of differentiation 8) • CTNNB1 (Catenin (cadherin-associated protein), beta 1) • RHOA (Ras homolog family member A)
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CTNNB1 mutation • CTNNB1 expression
19d
First reported case of thymoma-associated multiorgan autoimmunity induced by COVID-19. (PubMed, J Dermatol)
A 64-year-old female patient with a history of myasthenia gravis and thymoma treated with prednisolone (10 mg/day) and cyclosporine (150 mg/day) experienced erythema on her trunk after coronavirus disease 2019 (COVID-19) onset...During the disease course, candida fungemia and cytomegalovirus infection developed, resulting in the patient's death. The TAMA was considered to have been caused by the release of inflammatory cytokines, autoreactive T cell activation, and regulatory T cell dysfunction induced by COVID-19.
Journal
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CD8 (cluster of differentiation 8)
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CD8 positive
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cyclosporine
24d
Screening differentially expressed proteins to distinguish thymoma (B1 and B3) from thymic cysts based on tandem mass tag (TMT) technology. (PubMed, J Cardiothorac Surg)
GEPIA validated that LGALS3BP was significantly upregulated in thymoma patients. In conclusion, LGALS3BP might be an essential biomarker to identify thymoma from the thymic cyst.
Journal
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LGALS3 (Galectin 3) • LGALS3BP (Lectin galactoside-binding soluble 3-binding protein) • TNN (Tenascin N)
28d
B cell deficiency in thymoma tissues of Good's syndrome patients. (PubMed, Discov Oncol)
This is the first report of B cell deficiency in 5 thymoma tissues of GS patients.
Journal
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CD20 (Membrane Spanning 4-Domains A1) • PAX5 (Paired Box 5) • SDC1 (Syndecan 1)
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CD19 expression
28d
Enhancing preventive and therapeutic cancer vaccine efficacy through biotherapeutic ligand-associated extracellular vesicles. (PubMed, J Control Release)
This study presents a powerful and promising approach to overcoming the limitations of EV-based cancer vaccines, advancing the development of effective cancer immunotherapies. SUMMARY: Immunization with EVs that are co-associated with antigen and biotherapeutic cargo through a lyophilization-based technique elicits potent anti-cancer immunity.
Journal
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IFNG (Interferon, gamma) • CD4 (CD4 Molecule)
29d
Paclitaxel Drug-Drug Interactions in the Military Health System. (PubMed, Fed Pract)
The study provides a comprehensive overview of paclitaxel usage from 1996 through 2022 and highlights potential drug interactions that may affect treatment outcomes. While the impact of prescription drugs on paclitaxel discontinuation is uncertain, paclitaxel and antidepressants do not have significant drug-drug interactions.
Journal
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CYP3A4 (Cytochrome P450, family 3, subfamily A, polypeptide 4)
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paclitaxel
1m
Biomarkers suitable for early detection of intrathoracic cancers in primary care: a systematic review. (PubMed, Cancer Epidemiol Biomarkers Prev)
However, few were evaluated in low-prevalence settings. Further evaluation is necessary before implementing these biomarkers for intrathoracic cancers in primary care.
Review • Journal
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VEGFA (Vascular endothelial growth factor A) • MSLN (Mesothelin) • SPP1 (Secreted Phosphoprotein 1)
1m
TTF-1 is a highly sensitive but not fully specific marker for pulmonary and thyroidal cancer: a tissue microarray study evaluating more than 17,000 tumors from 152 different tumor entities. (PubMed, Virchows Arch)
A small fraction of TTF-1-positive gastrointestinal adenocarcinomas represents a pitfall mimicking enteric-type pulmonary adenocarcinoma. Combined analysis of TTF-1 and Napsin-A improves the specificity of pulmonary adenocarcinoma diagnosis.
Journal
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NKX2-1 (NK2 Homeobox 1) • NAPSA (Napsin A Aspartic Peptidase) • FABP1 (Fatty Acid Binding Protein 1)
1m
P1 data • Clinical • Metastases
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METTL3 (Methyltransferase Like 3)
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nCounter® PanCancer IO 360™ Panel
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STC-15
2ms
Identification of Potential Key Genes for the Comorbidity of Myasthenia Gravis With Thymoma by Integrated Bioinformatics Analysis and Machine Learning. (PubMed, Bioinform Biol Insights)
Finally, we found that five key genes and immune cell infiltrations presented varying degrees of correlation. Our study identified five key potential pathogenic genes that predisposed thymoma to the development of MG, which provided potential diagnostic biomarkers and promising therapeutic targets for MG patients with thymoma.
Journal • Machine learning
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EGR1 (Early Growth Response 1) • MS4A6A (Membrane Spanning 4-Domains A6A)
2ms
DNA methylation as a new tool for the differential diagnosis between T-LBL and lymphocyte-rich thymoma. (PubMed, J Pathol)
© 2024 The Author(s). The Journal of Pathology published by John Wiley & Sons Ltd on behalf of The Pathological Society of Great Britain and Ireland
Journal • Epigenetic controller
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CDC42BPB (CDC42 Binding Protein Kinase Beta) • RBM24 (RNA Binding Motif Protein 24) • CASC2 (Cancer Susceptibility 2)
2ms
Deoxypodophyllotoxin Mediates Autophagy Death through Inhibition of GRP78 in Human Osteosarcoma. (PubMed, Curr Cancer Drug Targets)
Combination treatment with the GRP78 inhibitor DPT and pharmacological autophagy inhibitors will be a meaningful method of obviating osteosarcoma cells.
Journal • IO biomarker
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mTOR (Mechanistic target of rapamycin kinase) • BAX (BCL2-associated X protein) • HSPA5 (Heat Shock Protein Family A (Hsp70) Member 5)
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HSPA5 overexpression
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sirolimus
2ms
Case report: Multi-antibody-positive myasthenia gravis concomitant myositis associated with thymoma. (PubMed, Front Immunol)
MG-concomitant IIM is often associated with thymoma. The immunopathology mechanism may be different from that of pure MG or IIM, which needs further research.
Journal
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TTN (Titin)
2ms
Development and Validation of a Multi-Omics Nomogram Based on Transfer Learning to Predict Postoperative Efficacy of Thymoma Patients with Myasthenia Gravis (ChiCTR2400087232)
P=N/A, N=0, Completed, Xiangya Hospital, Central South University, Changsha, Hunan 410000, People’s Republic of China.; The Xiangya Hospital of Central South University
New trial
2ms
Cryptococcal inflammatory pseudotumour of the lung - a diagnostic pitfall (ECP 2024)
Based on histopathological and molecular results, the diagnosis of cryptococcal inflammatory pseudotumour was made. Only a few cases of cryptococcal inflammatory pseudotumours have been reported in the literature, mainly in HIV-positive patients. Our patient was not HIV-positive but ten months before the wedge resection, she had a type B2 thymoma treated with induction chemotherapy and consecutive resection (R1) as well as adjuvant chemotherapy.
ALK (Anaplastic lymphoma kinase) • KIT (KIT proto-oncogene, receptor tyrosine kinase) • CD34 (CD34 molecule) • NKX2-1 (NK2 Homeobox 1) • SOX10 (SRY-Box 10) • STAT6 (Signal transducer and activator of transcription 6) • MYOD1 (Myogenic Differentiation 1)
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FusionPlex® Pan Solid Tumor v2 panel
2ms
Depiction of the Genetic Alterations and Molecular Landscapes of Thymic Epithelial Tumors: A Systematic Review and Meta-Analysis. (PubMed, Cancers (Basel))
The pooled estimated expression level of PD-L1 is 0.71 ([0.59-0.81]). This systematic review provides an overview of the gene alteration landscape and PD-L1 expression levels in TETs, discovers several potential confounding factors that may contribute to the high heterogeneity, and facilitates deeper investigations into the elucidation of the molecular landscape of TETs.
Retrospective data • Review • Journal • PD(L)-1 Biomarker • IO biomarker
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PD-L1 (Programmed death ligand 1) • TP53 (Tumor protein P53) • CDKN2A (Cyclin Dependent Kinase Inhibitor 2A) • TET2 (Tet Methylcytosine Dioxygenase 2)
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PD-L1 expression • TP53 mutation
2ms
Goods syndrome in chronic active SARS-CoV-2 infection: a case report (PubMed, Zhonghua Jie He He Hu Xi Za Zhi)
The patient tested negative for SARS-CoV-2, but symptoms recurred soon after. Eventually, the diagnosis of Goods syndrome was made based on the presence of B-cell loss, decreased immunoglobulin levels, an inverted CD4+/CD8+ ratio on admission, and a previous history of thymoma.
Journal
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CD8 (cluster of differentiation 8) • CD4 (CD4 Molecule)
2ms
A disintegrin and metalloproteinase domain 10 expression inhibition by the small molecules adenosine, cordycepin and N6, N6-dimethyladenosine and immune regulation in malignant cancers. (PubMed, Front Immunol)
ADAM10 is also negatively associated with tumor immunosuppression and interrelated with the immune infiltration of tumors. Overall, the present study determined ADAM10 expression by AD, CD and m6 2A, and in AD or CD/ADAM10/LAG3 signaling in cancers, and suggested a potential method for immunotherapy of cancers by targeting ADAM10 using the small molecules AD, CD and m6 2A.
Journal • IO biomarker
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LAG3 (Lymphocyte Activating 3) • HLA-B (Major Histocompatibility Complex, Class I, B) • TNFRSF4 (TNF Receptor Superfamily Member 4) • TNFRSF18 (TNF Receptor Superfamily Member 18) • CCL27 (C-C Motif Chemokine Ligand 27) • CXCR5 (C-X-C Motif Chemokine Receptor 5) • ADAM10 (ADAM Metallopeptidase Domain 10)
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cordycepin (OVI-123)
3ms
Identification of Hub Genes and Analysis of their Regulatory miRNAs in Patients with Thymoma Associated Myasthenia Gravis Based on TCGA Database. (PubMed, Microrna)
Our study identified 5 hub genes (CTNNB1, EGFR, SOX2, ERBB2, and EGF) and their 5 regulatory miRNAs in TAMG, and the hub genes were correlated with multiple immune cell infiltrations and immune checkpoint-related markers. Our findings could help partially clarify the pathophysiology of TAMG, which could be new potential targets for subsequent clinical immunotherapy.
Journal • PD(L)-1 Biomarker • IO biomarker
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EGFR (Epidermal growth factor receptor) • HER-2 (Human epidermal growth factor receptor 2) • PD-L1 (Programmed death ligand 1) • PD-1 (Programmed cell death 1) • CTNNB1 (Catenin (cadherin-associated protein), beta 1) • SOX2
3ms
ACTN4 is associated with the malignant potential of thymic epithelial tumors through the β-catenin/Slug pathway. (PubMed, Cancer Sci)
A WB and immunohistochemistry staining comparison of primary and disseminated lesions of TETs using surgical specimens showed upregulated expression of ACTN4, β-catenin, and Slug proteins in disseminated lesions. In summary, our study suggests ACTN4 is associated with malignant potential characteristics such as invasion and dissemination in TETs via the β-catenin/Slug pathway.
Journal
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SNAI2 (Snail Family Transcriptional Repressor 2) • ACTN4 (Actinin Alpha 4)
3ms
Genomic insights into molecular profiling of thymic carcinoma: a narrative review. (PubMed, Mediastinum)
Our findings revealed prognostic biomarkers such as TP53/CDKN2A and potential therapeutic targets such as KIT. Because thymic carcinoma is extremely rare, sharing molecular profiling data could provide valuable insights into the molecular mechanisms driving the development of these tumors.
Review • Journal • Tumor mutational burden • IO biomarker
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TP53 (Tumor protein P53) • TMB (Tumor Mutational Burden) • CDKN2A (Cyclin Dependent Kinase Inhibitor 2A) • ASXL1 (ASXL Transcriptional Regulator 1) • BAP1 (BRCA1 Associated Protein 1) • TET2 (Tet Methylcytosine Dioxygenase 2) • CDKN2B (Cyclin Dependent Kinase Inhibitor 2B) • SETD2 (SET Domain Containing 2, Histone Lysine Methyltransferase)
3ms
Atypical Thymoma (WHO Type B3) with Prominent Microcystic and Mucoid Changes Mimicking Thymic Mucoepidermoid Carcinoma: A Clinicopathological and Immunohistochemical Study of Five Cases. (PubMed, Int J Surg Pathol)
This report highlights histological features in atypical thymoma that may be confused with other tumors, especially thymic mucoepidermoid carcinoma. Separation of these tumors may be important for patient management and prognosis.
Journal
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TP63 (Tumor protein 63) • KRT5 (Keratin 5)
3ms
Weighted gene coexpression network analysis and machine learning for the determination of tfh cell and B cell infiltrating biomarkers in thymoma-associated myasthenia gravis. (PubMed, Heliyon)
Draggability analysis identified the therapeutic target genes PTGS2 and ALB, along with significant drugs including Firocoxib, Alclofenac, Pyridostigmine, and Stavudine...The interaction between numerous activated B cells and follicular helper T cells is closely associated with THYM-MG pathogenesis from a bioinformatics perspective. Hub genes (including SP6, SCUBE3, B3GNT7, and MAGEL2) may be downregulated in immune cells in THYM-MG and associated with progression.
Journal • Machine learning
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CD4 (CD4 Molecule) • PTGS2 (Prostaglandin-Endoperoxide Synthase 2) • PACERR (PTGS2 Antisense NFKB1 Complex-Mediated Expression Regulator RNA)
3ms
Hematopoietic stem/progenitor cell transplantation recovers immune defects and prevents lymphomas in Atm-deficient mice. (PubMed, Exp Hematol Oncol)
We can conclude that wild-type enriched HSPCs transplantation into young Atm-deficient mice can ameliorate A-T hematopoietic phenotypes and prevent tumor of hematopoietic origin.
Preclinical • Journal
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ATM (ATM serine/threonine kinase) • TRB (T Cell Receptor Beta Locus)
3ms
Clinical manifestations and immune markers of non-HIV-related CMV retinitis. (PubMed, BMC Infect Dis)
CMV retinitis is a rare disorder that can affect patients suffering any kind of immunodeficiency. It is associated with a high visual morbidity despite adequate treatment. CD4 + cell counts are usually higher than those in HIV patients, but B-cell dysfunction is common.
Retrospective data • Journal
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CD8 (cluster of differentiation 8) • CD4 (CD4 Molecule)
3ms
Immunohistochemistry for YAP1 N-terminus and C-terminus highlights metaplastic thymoma and high-grade thymic epithelial tumors by different staining patterns. (PubMed, Virchows Arch)
These results indicate that IHC of both YAP1(N) and YAP1(C) is recommended to obtain staining patterns almost unique to MT. The biological significance of YAP1 in high-grade TETs warrants further investigation.
Journal
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YAP1 (Yes associated protein 1) • MAML2 (Mastermind Like Transcriptional Coactivator 2)
3ms
Metaplastic thymoma in the middle mediastinum: a rare case report and surgical treatment analysis of a 32-year-old female patient. (PubMed, AME Case Rep)
This report underscores the critical role of a multifaceted diagnostic approach, including histopathological, immunohistochemical, and genetic analyses, in the identification of MT. The detection of the YAP1::MAML2 gene fusion through FISH analysis provides a robust diagnostic marker, highlighting the necessity for clinical and pathological vigilance for this rare tumor.
Journal
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YAP1 (Yes associated protein 1) • VIM (Vimentin) • MAML2 (Mastermind Like Transcriptional Coactivator 2)
4ms
Predictors and Prognostic Factors of Myasthenia Gravis Outcome (clinicaltrials.gov)
P=N/A, N=30, Recruiting, Assiut University | Trial completion date: Aug 2024 --> Mar 2025 | Trial primary completion date: Jun 2024 --> Dec 2024
Trial completion date • Trial primary completion date
4ms
Trophoblast Cell Surface Antigen 2 Expression in Thymic Carcinoma: Brief Report. (PubMed, JTO Clin Res Rep)
TROP2 expression in thymic carcinoma was confirmed by both RNA-seq and IHC, with high expression observed in IHC for intensity (76.9%) and proportion. TROP2 could be a potential target in thymic carcinoma.
Journal
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TACSTD2 (Tumor Associated Calcium Signal Transducer 2)
4ms
Squamous Cell Carcinoma Arising in YAP1::MAML2 Fusion-Associated Metaplastic Thymoma: A Case Report. (PubMed, Int J Surg Pathol)
In recent years, both conventional metaplastic thymomas and this subset showing malignant transformation have been associated with recurrent YAP1::MAML2 fusions. We report a metaplastic thymoma showing transformation to squamous cell carcinoma, that to our knowledge is the fourth reported in the literature with transition to overtly malignant features and the first showing pure carcinomatous transformation, and in which YAP1::MAML2 fusion was demonstrated via next generation sequencing.
Journal
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YAP1 (Yes associated protein 1) • MAML2 (Mastermind Like Transcriptional Coactivator 2)
4ms
Aberrant expression of LGALS3BP drives an unfavorable prognosis and more aggressive in HCC via regulating PI3K/AKT signaling. (PubMed, Tissue Cell)
Mechanically, upon LGALS3BP depletion, the tumor-suppressive function was dependent on inactivating Phosphatidylinositol 3-kinase (PI3K)/V-akt murine thymoma viral oncogene homolog (AKT) signaling pathway. Collectively, these findings suggest that LGALS3BP employs a pro-tumorigenic function in HCC and may be a promising HCC prognostic marker.
Journal
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LGALS3 (Galectin 3) • LGALS3BP (Lectin galactoside-binding soluble 3-binding protein)
4ms
A Pilot Study to Investigate the Safety and Clinical Activity of Avelumab (MSB0010718C) in Thymoma and Thymic Carcinoma After Progression on Platinum-Based Chemotherapy (clinicaltrials.gov)
P2, N=55, Recruiting, National Cancer Institute (NCI) | Trial completion date: Jun 2025 --> Jun 2026 | Trial primary completion date: Jun 2024 --> Jun 2025
Trial completion date • Trial primary completion date
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PD-L1 (Programmed death ligand 1)
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Bavencio (avelumab)
4ms
Severe Relapsing Autoimmune Encephalitis with GABAA Receptor, Titin, and AchR Antibodies in a Patient with Thymoma: A Case Report. (PubMed, Case Rep Neurol)
He presented multiple severe relapses despite complete thymoma resection, intravenous methylprednisolone with immunoglobulins or plasmapheresis, and mycophenolate mofetil. Second-line immunotherapy with rituximab was successful to alleviate symptoms and normalize the EEG and MRI after identification of anti-GABAA receptor antibodies on more comprehensive neural antibody testing for autoimmune encephalitis. This case demonstrates the complexity and importance of identifying pathogenic antibodies and selecting 2nd line treatment accordingly in patients with autoimmune encephalitis when multiple antibodies coexist. Despite tumor resection, aggressive immunotherapy may be needed to prevent further deterioration in anti-GABAA receptor encephalitis.
Journal
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TTN (Titin)
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Rituxan (rituximab) • methylprednisolone sodium succinate
4ms
PECATI: A phase II trial to evaluate the efficacy and safety of lenvatinib in combination with pembrolizumab in pretreated advanced B3-thymoma and thymic carcinoma (ESMO 2024)
Lenvatinib combined with pembrolizumab is a potential standard treatment in pre-treated advanced B3-thymoma and thymic carcinoma. Toxicity profile is manageable but close monitoring is advised.
Combination therapy • Late-breaking abstract • P2 data • Clinical • PD(L)-1 Biomarker • IO biomarker • Metastases
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PD-L1 (Programmed death ligand 1)
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PD-L1 expression
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PD-L1 IHC 22C3 pharmDx
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Keytruda (pembrolizumab) • Lenvima (lenvatinib)
4ms
Cardiac Rehabilitation for Patients Receiving Radiation Therapy for Thoracic Cancers (clinicaltrials.gov)
P=N/A, N=24, Terminated, Washington University School of Medicine | Trial completion date: Mar 2025 --> May 2024 | Recruiting --> Terminated | Trial primary completion date: Mar 2025 --> May 2024; Futility
Trial completion date • Trial termination • Trial primary completion date
4ms
Severe West Nile virus and Sars-CoV-2 infections in a patient with thymoma and anti-type I IFN antibodies. (PubMed, J Infect Dis)
Heterozygosity for p.Pro554Ser in the TLR3 gene, which increases susceptibility to severe COVID-19, and homozygosity for CCR5 c.554_585del, associated to severe WNV infection, were found. Neutralizing anti-IFN-α and anti-IFN-ω auto-antibodies were detected, likely induced by the underlying thymoma and increasing susceptibility to both severe COVID-19 pneumonia and West Nile encephalitis.
Journal
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TLR3 (Toll Like Receptor 3) • IFNA1 (Interferon Alpha 1)
4ms
Anti-diabetic effect of dicaffeoylquinic acids is associated with the modulation of gut microbiota and bile acid metabolism. (PubMed, J Adv Res)
Our study elucidated the anti-diabetic effects and mechanism of DiCQAs from I. kudingcha, highlighting the potential of targeting gut microbiota, particularly Acetatifactor sp011959105 and Acetatifactor muris carrying the BSH gene, as a therapeutic strategy to attenuate FXR-FGF15 signaling and ameliorate diabetes.
Journal
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FGFR4 (Fibroblast growth factor receptor 4) • AMPK (Protein Kinase AMP-Activated Catalytic Subunit Alpha 1)
4ms
Immunotherapy in thymic epithelial tumors: tissue predictive biomarkers for immune checkpoint inhibitors. (PubMed, Explor Target Antitumor Ther)
Immune checkpoint inhibitors (ICIs) are ongoing under evaluation in the advanced or metastatic diseases despite the challenges related to the very low tumor mutation burden (TMB) and the high incidence of immune-related adverse events in TETs. In this regard, predictive impact of tissue biomarkers expression such as programmed cell death ligand-1 (PD-L1), and other emerging biomarkers, as well as their optimal and shared interpretation are currently under evaluation in order to predict response rates to ICIs in TETs.
Review • Journal • Checkpoint inhibition • Tumor mutational burden • PD(L)-1 Biomarker • IO biomarker
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PD-L1 (Programmed death ligand 1) • TMB (Tumor Mutational Burden)
5ms
Expression of vascular endothelial growth factor receptor in thymic epithelial tumors. (PubMed, Oncol Lett)
Lenvatinib, a vascular endothelial growth factor receptor (VEGFR) inhibitor, is approved as a drug therapy for thymic carcinoma (TC); however, although it is a molecular targeted therapy, there are no obvious predictors of therapeutic efficacy...Furthermore, the pathological stage was the only factor significantly associated with OS in multivariate analysis. The results of the present study suggest the possibility that the indications for VEGF inhibitor therapy could be extended to type B3 thymoma.
Journal
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VEGFA (Vascular endothelial growth factor A)
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Lenvima (lenvatinib)
5ms
Successful pembrolizumab treatment for microsatellite instability-high thymoma: A case report. (PubMed, Respir Investig)
This patient had pleural dissemination and was treated with two cytotoxic chemotherapy regimens including carboplatin and paclitaxel combination therapy and pemetrexed, which did not have the desired effect. After three courses, the pleural lesions dramatically shrunk, which confirmed a partial response. Although MSI-high thymoma is rare, our results suggest the necessity to evaluate MSI status in patients with thymoma.
Clinical • Observational data • Retrospective data • Review • Clinical Trial,Phase III • Journal • Microsatellite instability • MSi-H Biomarker • PD(L)-1 Biomarker • IO biomarker
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MSI (Microsatellite instability)
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Keytruda (pembrolizumab) • carboplatin • paclitaxel • pemetrexed
5ms
Case report: A rare case of malacoplakia resembling a malignant tumor of the cervix: a case report and review of the literature. (PubMed, Front Med (Lausanne))
Following surgery, we performed vaginal lavage with antibiotics in addition to resection of local cervical and vaginal lesions. This study provides a fresh perspective on the management of genital malacoplakia.
Review • Journal
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CD163 (CD163 Molecule) • CD68 (CD68 Molecule)
5ms
RPN1: a pan-cancer biomarker and disulfidptosis regulator. (PubMed, Transl Cancer Res)
In urothelial carcinoma (UCC), RPN1 demonstrates potential in predicting the efficacy of anti-programmed cell death ligand 1 (PD-L1) immune therapy. This study underscores RPN1's role in facilitating disulfidptosis, its broad relevance as a pan-cancer biomarker, and its association with the efficacy of anti-PD-L1 immune therapy.
Journal • PD(L)-1 Biomarker • IO biomarker • Pan tumor
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SLC7A11 (Solute Carrier Family 7 Member 11)