Perioperative events influence cancer recurrence take chances later surgery
Despite the achievement of locoregional control, a third of patients undergoing surgery for cancer will take affliction recurrence. In this Review, the authors draw the potential to optimize the outcomes of patients with cancer by minimizing inflammation and activation of the sympathetic nervous organisation in the perioperative period, which is often achievable with unproblematic and cost-constructive changes in patient-management strategies.
Review Article
Surgical oncology for gliomas: the state of the art
Surgery remains the mainstay of treatment for patients with gliomas, independent of tumour class, and maximal resection of the neoplasm is essential for long-term illness control. Herein, the authors discuss the current prove on associations between the extent of glioma resection and clinical outcomes. They also describe the state-of-the-art surgical oncology approaches aimed at maximizing the extent of tumour resection while minimizing patient morbidity.
Nader Sanai
Mitchel Southward. Berger
Review Article
Targeting RET-driven cancers: lessons from evolving preclinical and clinical landscapes
The receptor-tyrosine kinase RET has been identified as a potentially actionable commuter of oncogenesis. Several multikinase inhibitors with activity against RET have been explored in the clinic, but take simply modest efficacy in patients with thyroid cancers, mostly in those withRET mutations, or RET-rearranged lung cancers. Herein, the authors outline the aberrations in RET that contribute to tumorigenesis, review the electric current clinical data for inhibitors of this kinase, and discuss whether the limited clinical success achieved with these agents to date is owing to the intractability of RET as a drug target or the lack of highly specific RET inhibitors.
Alexander Drilon
Zishuo I. Hu
Daniel Southward. W. Tan
Review Article
Tumour heterogeneity and resistance to cancer therapies
The onset of acquired resistance to treatment is most inevitable in patients with solid tumours. In this Review, the authors describe the function of neoplasm heterogeneity in the development of acquired resistance, potential handling strategies that take into account the heterogeneity of patient's tumours, and how a better understanding of tumour heterogeneity might ameliorate the outcomes of patients.
Ibiayi Dagogo-Jack
Alice T. Shaw
Review Article
Drug development for noncastrate prostate cancer in a changed therapeutic mural
Clinical trials are an essential aspect of drug development; yet, in patients with non-castrate prostate cancer, the long natural history of the disease provides a major barrier to the introduction of new therapies. In this Review, the authors describe the potential of a novel, multi-arm, multistage, clinical trial project, with surrogate finish points designed to fully reverberate the effects of treatments, in transforming the treatment of patients with early on stage prostate cancer, before the development of castration-resistant disease.
Min Yuen Teo
Matthew J. O'Shaughnessy
Howard I. Scher
Review Article
Cholangiocarcinoma — evolving concepts and therapeutic strategies
Cholangiocarcinoma, the second nearly mutual form of liver cancer after hepatocellular carcinoma, is a heterogeneous disease entity with a most-universal poor prognosis. Our understanding of the epidemiology and biology of cholangiocarcinoma is increasing, and importantly, potentially actionable molecular and immunological targets for novel therapies are increasingly beingness identified. Herein, the evolving developments in the epidemiology, pathogenesis, and direction of cholangiocarcinoma are reviewed.
Sumera Rizvi
Shahid A. Khan
Gregory J. Gores
Review Commodity
Radiomics: the span between medical imaging and personalized medicine
Radiomics is the high-throughput mining of quantitative image features from standard-of-care medical imaging to enable data to exist extracted and applied inside clinical-decision support systems. The process of radiomics is described and its pitfalls, challenges, opportunities, and capacity to improve clinical decision making. The radiomics field requires standardized evaluation of scientific findings and their clinical relevance. This review provides guidance for investigations to meet this urgent need in the field of radiomics.
Philippe Lambin
Ralph T.H. Leijenaar
Sean Walsh
Review Commodity
Patient-reported outcomes in cancer care — hearing the patient phonation at greater book
In the past decade, the importance of patient-reported outcomes (PROs) equally a primal measure out of the quality of intendance delivered to patients with cancer has been best-selling. PROs were used in the context of research studies, but growing evidence indicates that the incorporation of electronic PRO (ePRO) assessments into standard health-care settings tin better the quality of care delivered to patients with cancer. The authors of this Review discuss aspects related to PROs such as measurements, implementation challenges, and outcome improvements associated with their use.
Thomas West. LeBlanc
Amy P. Abernethy
Review Article
Therapeutic targeting of p53: all mutants are equal, but some mutants are more than equal than others
TP53, encoding the tumour-suppressor p53, is the most oft mutated gene across all human cancers. Similar to other transcription factors, p53 has proved notoriously hard to target therapeutically; to date, no p53-targeted therapies have entered the clinic. The diversity ofTP53 mutations, which can be categorized across a spectrum of unlike functional classes, is increasingly recognized as an additional challenge to developing p53-directed treatments. Herein, Kanaga Sabapathy and David Lane review this 'rainbow of p53 mutants', and discuss the implications for anticancer therapies targeting p53 or directed past TP53status.
Kanaga Sabapathy
David P. Lane
Review Article
Chimeric antigen receptor T-jail cell therapy — cess and management of toxicities
Chimeric antigen receptor (CAR)-T-cell therapies are showing great hope in the handling of cancer, particularly B-cell malignancies, simply are associated with characteristic, potentially fatal toxicities, principally cytokine-release syndrome, Car-T-cell-related encephalopathy syndrome, and haemophagocytic lymphohistiocytosis/macrophage-activation syndrome. Herein, the Automobile-T-prison cell-therapy-associated TOXicity (CARTOX) Working Group, comprising multidisciplinary investigators from various institutions with clinical experience in the utilize of a range of Machine-T-cell platforms, review these acute toxicities and provide monitoring, grading, and direction recommendations.
Sattva Due south. Neelapu
Sudhakar Tummala
Elizabeth J. Shpall
Review Commodity
Chimeric antigen receptor T-prison cell therapies for lymphoma
Cell-based immunotherapies are showing bully promise in the treatment of even the most treatment-refractory of haematological malignancies. Herein, Jennifer Brudno and James Kochenderfer review the results obtained to date with CAR-T-cell therapies for lymphoma. They also discuss what has been learned regarding the limitations of Car-T-cell therapies and areas for comeback relating to toxicity management, the design of Auto-T-cell products, conditioning regimens, and combination therapies.
Jennifer North. Brudno
James Due north. Kochenderfer
Review Article
Fusions in solid tumours: diagnostic strategies, targeted therapy, and acquired resistance
A broad range of gene fusions accept been detected in solid tumours, and the products of these fusions, some of which result in constitutive activation of kinase signalling, can be targeted using tyrosine-kinase inhibitors. Withal, the development of acquired resistance is most inevitable. In this Review, the authors describe strategies used to diagnose and treat patients with fusion-positive cancers.
Alison K. Schram
Matthew T. Chang
Alexander Drilon
Review Article
HER2-positive chest cancer is lost in translation: time for patient-centered research
The development of predictive biomarkers is complex and the non-systematic approach to biomarker development in HER2-positive breast cancer challenges the mode translational enquiry is performed. Women with very favourable prognostic features will probable adopt shorter courses of handling and might ask about the possibility to forego aggressive chemotherapy. Because these legitimate needs, Gingras et al. review the results of more than a decade of translational research efforts in this disease.
Isabelle Gingras
Géraldine Gebhart
Martine Piccart-Gebhart
Review Article
The immune contexture in cancer prognosis and treatment
Most all successful treatments of cancer either create, restore or enhance the antitumour immune response. Therefore, the specific features of the immune microenvironment, both before and after handling, are important determinants of patients' outcomes. In this Review, the authors draw the influence of the immunological characteristics of the tumour microenvironment on responses to treatment in patients with a multifariousness of cancers.
Wolf H. Fridman
Laurence Zitvogel
Guido Kroemer
Review Article
Antibody–drug conjugates in glioblastoma therapy: the right drugs to the right cells
Few therapeutic options are currently available for patients with glioblastoma, which are associated with a poor prognosis. Therapies with monoclonal antibodies, alone or linked to cytotoxic payloads, are currently being explored in these patients. Herein, the authors summarize therapeutic strategies based on antibody–drug conjugates (ADCs), targeted against EGFR, and discuss central aspects such as the blood–brain barrier, resistance mechanisms, and the development of specific biomarkers.
Hui K. Gan
Martin van den Bent
Andrew M. Scott
Review Article
Precision medicine based on epigenomics: the paradigm of carcinoma of unknown primary
The identification of the tissue of origin in patients with cancer of unknown master (Cup) is an case of how epigenomics tin be incorporated in clinical settings. Epigenetic and other molecularly-based diagnostic strategies have emerged to complement traditional diagnostic procedures, thereby improving the clinical management of patients with CUP. Herein, the authors present the latest information on strategies using epigenetics and other molecular biomarkers to guide therapeutic decisions involving patients with CUP, addressing a previously unmet need.
Sebastián Moran
Anna Martinez-Cardús
Manel Esteller
Review Article
Monitoring immune-checkpoint blockade: response evaluation and biomarker development
Patients receiving anticancer therapies based on immune-checkpoint blockade (ICB) often experience clinical benefits from such treatments, but unconventional patterns of response can be observed, emphasizing the importance of using a specific approach to evaluating responses to immunotherapy. Herein, the authors review the biological mechanisms underlying the response patterns associated with ICB, depict strategies for the assessments of such responses, and highlight the ongoing efforts to identify biomarkers to guide treatment with ICB.
Mizuki Nishino
Nikhil H. Ramaiya
F. Stephen Hodi
Review Article
Clinical utility of gene-expression signatures in early on phase breast cancer
Patients with early stage chest cancer have traditionally been assigned adjuvant systemic therapies on the basis of the clinical and histological characteristics of their affliction. Nevertheless, this approach often leads to overtreatment. In this Review, the authors draw the utilize of cistron-expression signatures, some of which are already in clinical utilise, for determining the risks of recurrence and progression, and the most advisable class of adjuvant therapy.
Maryann Kwa
Andreas Makris
Francisco J. Esteva
Review Commodity
Unravelling the biology of SCLC: implications for therapy
For three decades, the handling of small-prison cell lung cancer (SCLC) has remained essentially unchanged, and patient outcomes remain dismal. In the past v years, all the same, advances in our agreement of the disease, at the molecular level, accept resulted in the development of new therapeutic strategies, encompassing immunotherapies and novel molecularly targeted agents. Herein, authors review the breakthroughs that hold the hope to improve SCLC outcomes.
Joshua Yard. Sabari
Benjamin H. Lok
Charles M. Rudin
Review Article
EMT, CSCs, and drug resistance: the mechanistic link and clinical implications
Co-ordinate to the cancer stem cell (CSC) paradigm, a pocket-size subpopulation of cancer cells with stem-cell backdrop predominantly underlies tumour progression, therapy resistance, and affliction recurrence. Notably, epithelial-to-mesenchymal transition (EMT) is implicated in these processes, and CSCs typically show markers of EMT-plan activation. Herein, the authors outline our current agreement of the links between the EMT programme, the CSC phenotype, metastasis, and drug resistance, and discuss the potential for therapeutic targeting of these facets of tumour biology.
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