339 results on '"Hormone-sensitive"'
Search Results
52. Effects of Kadzu and Moringa on Hormone-Sensitive Human Prostate Cancer
- Author
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Myeong-Seon Lee
- Subjects
Moringa ,business.industry ,Cancer research ,Medicine ,Cancer ,business ,medicine.disease ,Human prostate ,Hormone-sensitive - Published
- 2019
53. Microdissecting the role of microRNAs in the pathogenesis of prostate cancer.
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Ayub, Shiekh Gazalla, Kaul, Deepak, and Ayub, Taha
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PROSTATE cancer , *DIAGNOSIS , *PROSTATE cancer prognosis , *MICRODISSECTION , *MICRORNA , *CARCINOGENESIS , *GENE expression , *PROSTATE cancer treatment , *CANCER invasiveness - Abstract
MicroRNAs (miRNAs) are naturally occurring, small, non-coding RNA molecules that post-transcriptionally regulate the expression of a large number of genes involved in various biological processes, either through mRNA degradation or through translation inhibition. Since the discovery of miRNAs, a vast amount of research has implicated the deregulated expression of miRNAs in different malignancies, including prostate cancer (PCa). Different miRNA expression profiles are reportedly associated with the development, progression, and emergence of castration-resistant PCa (CRPC), suggesting their use in the diagnosis, prognosis, and development of anti-cancer treatment models directed against this disease. However, before their exploitation in terms of therapeutics, a thorough understanding and in-depth mechanistic studies of these miRNAs and the gene networks they orchestrate are necessary for ascertaining their definitive role in the development and progression of PCa. This review attempts to extensively summarize the current knowledge of aberrantly expressed miRNAs and their mode of action in PCa, while highlighting the existing discrepancies and future research warranted. [ABSTRACT FROM AUTHOR]
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- 2015
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54. Systemic Therapy for the Treatment of Hormone-Sensitive Metastatic Prostate Cancer: from Intermittent Androgen Deprivation Therapy to Chemotherapy.
- Author
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Liaw, Bobby, Shevach, Jeffrey, and Oh, William
- Abstract
Treatment of advanced prostate cancer has changed considerably in recent years, but the vast majority of advances have been made in patients with metastatic castration-resistant disease. There have been relatively fewer advances in the earlier, hormonally responsive stage of metastatic disease. Since the empiric establishment of androgen deprivation therapy as first-line therapy for metastatic prostate cancer decades ago, there have been multiple studies looking at variations of suppressing testosterone, but the overall paradigm has not been strongly challenged until more recently. In particular, the dramatic results reported by the CHAARTED trial not only bring chemotherapy to an arena historically dominated solely by hormonal therapy but also stimulate renewed efforts into improving upon our management of metastatic hormone-sensitive prostate cancer. [ABSTRACT FROM AUTHOR]
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- 2015
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55. Incidence, prevalence, and treatment patterns in metastatic hormone-sensitive prostate cancer in Spain: ECHOS study.
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de Velasco Oria de Rueda G, Plata Bello AC, Landeira M, Mateo M, Anguita P, Pranzo A, Snijder R, Garnham A, and Hernández I
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- Male, Humans, Spain epidemiology, Incidence, Retrospective Studies, Prevalence, Hormones therapeutic use, Androgen Antagonists therapeutic use, Prostatic Neoplasms therapy, Prostatic Neoplasms drug therapy
- Abstract
Introduction and Objective: The management of patients with metastatic hormone-sensitive prostate cancer (mHSPC) has changed in recent years due to the approval of new drugs. The aim of this study was to evaluate the prevalence, incidence, and treatment patterns in mHSPC in Spain., Patients and Methods: Multicenter, observational, longitudinal, retrospective study in routine clinical practice of patients diagnosed with mHSPC treated in Spanish hospitals between 2015 and 2019 (ECHOS study). Electronic medical records were extracted from BIG-PAC database, which contains geographically representative Spanish centers., Results: Data from 379 men with mHSPC were included. The prevalence of mHSPC ranged between 12.2-14.6% per year, representing from 671 to 824 annual cases with an increasing trend. The mean incidence along the 4-year period was 2.5%, with annual incidence ranging 2.2-3.0%. New annual cases of de novo and recurrent disease ranged between 7-11 and 77-104, respectively, with no trend being observed. These patients were mostly recurrent (91%) with high-volume disease (68.6%). The most common first-line therapy was ADT combined with docetaxel (53%), followed by ADT alone (23.8%), combination of ADT and abiraterone (11.2%), and radiotherapy (8.6%). In the last 12 months before diagnosis of metastasis, most men had been submitted to radical prostatectomy (84.9%). The remaining patients had received radiotherapy (12%) or no treatment at all (3.8%)., Conclusions: The ECHOS study provides epidemiologic data and current patterns of treatment in clinical practice of patients with mHSPC in Spain. These results emphasize the medical need of targeted treatments in these clinical settings., (Copyright © 2022 AEU. Published by Elsevier España, S.L.U. All rights reserved.)
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- 2022
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56. Cancer Treatment-Induced Bone Loss in Hormone-Sensitive Cancer: The Paradigm of Cancer Survivor Bone Health Management
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Enrico Brignardello, Francesco Felicetti, Nicoletta Fortunati, and Filippo Gatti
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Oncology ,medicine.medical_specialty ,Cancer survivor ,business.industry ,MEDLINE ,Cancer ,medicine.disease ,Bone health ,Pathophysiology ,Cancer treatment ,Hormone-sensitive ,Prostate cancer ,Internal medicine ,medicine ,business - Abstract
Cancer therapy-induced bone loss (CTIBL), occurring especially in hormone-treated breast and prostate cancer patients, is a noteworthy long-term consequence of cancer treatments. Because of its negative impact on the quality life of cancer survivors, it deserves much attention. We here summarize the pathophysiology of CTIBL in breast and prostate cancer, its clinical presentation, management, and treatment.
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- 2021
57. Impact of Pretreatment Anemia on Upfront Abiraterone Acetate Therapy for Metastatic Hormone-Sensitive Prostate Cancer: A Multicenter Retrospective Study
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Jiro Shimoda, Sadafumi Kawamura, Tomonori Habuchi, Toshiaki Kawaguchi, Chikara Ohyama, Shingo Hatakeyama, Shintaro Narita, Norihiko Tsuchiya, Senji Hoshi, Koji Mitsuzuka, Toshikazu Tanaka, Shigeto Ishidoya, Akihiro Ito, Toshihiko Sakurai, Teppei Okamoto, and Daisuke Noro
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Oncology ,Male ,Cancer Research ,030232 urology & nephrology ,Abiraterone Acetate ,Steroid Synthesis Inhibitors ,urologic and male genital diseases ,Androgen deprivation therapy ,Prostate cancer ,chemistry.chemical_compound ,Hemoglobins ,0302 clinical medicine ,Surgical oncology ,hemic and lymphatic diseases ,Antineoplastic Combined Chemotherapy Protocols ,RC254-282 ,Hazard ratio ,Abiraterone acetate ,Neoplasms. Tumors. Oncology. Including cancer and carcinogens ,Steroid 17-alpha-Hydroxylase ,Anemia ,Prognosis ,Progression-Free Survival ,030220 oncology & carcinogenesis ,Disease Progression ,Research Article ,medicine.medical_specialty ,03 medical and health sciences ,Internal medicine ,Genetics ,medicine ,Humans ,cardiovascular diseases ,Aged ,Retrospective Studies ,Proportional hazards model ,business.industry ,Prostatic Neoplasms ,Retrospective cohort study ,Androgen Antagonists ,medicine.disease ,body regions ,chemistry ,Hormone-sensitive ,business ,Upfront therapy ,human activities - Abstract
Background Anemia has been a known prognostic factor in metastatic hormone-sensitive prostate cancer (mHSPC). We therefore examined the effect of anemia on the efficacy of upfront abiraterone acetate (ABI) in patients with mHSPC. Methods We retrospectively evaluated 66 mHSPC patients with high tumor burden who received upfront ABI between 2018 and 2020 (upfront ABI group). We divided these patients into two groups: the anemia-ABI group (hemoglobin n = 20) and the non-anemia-ABI group (n = 46). The primary objective was to examine the impact of anemia on the progression-free survival (PFS; clinical progression or PC death before development of castration resistant PC) of patients in the upfront ABI group. Secondary objectives included an evaluation of the prognostic significance of upfront ABI and a comparison with a historical cohort (131 mHSPC patients with high tumor burden who received androgen deprivation therapy (ADT/complete androgen blockade [CAB] group) between 2014 and 2019). Results We found that the anemia-ABI group had a significantly shorter PFS than the non-anemia-ABI group. A multivariate Cox regression analysis showed that anemia was an independent prognostic factor of PFS in the upfront ABI group (hazard ratio, 4.66; P = 0.014). Patients in the non-anemia-ABI group were determined to have a significantly longer PFS than those in the non-anemia-ADT/CAB group (n = 68) (P n = 63). Multivariate analyses showed that upfront ABI could significantly prolong the PFS of patients without anemia (hazard ratio, 0.17; P Conclusion Pretreatment anemia was a prognostic factor among mHSPC patients who received upfront ABI. Although the upfront ABI significantly improved the PFS of mHSPC patients without anemia, its efficacy in patients with anemia might be limited.
- Published
- 2020
58. Lutetium-177-PSMA-617 in low-volume hormone sensitive metastatic prostate cancer: a prospective study
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D.M. Somford, I van Oort, Patrik Zamecnik, W R Gerritsen, Sandra Heskamp, Steffie M. B. Peters, J Verzijlbergen, Bastiaan M. Privé, Constantijn H.J. Muselaers, J.A. Witjes, Tom W. J. Scheenen, Martin Gotthardt, Marcel J.R. Janssen, James Nagarajah, Mark Konijnenberg, J.P.M. Sedelaar, J.O. Barentsz, and Niven Mehra
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Oncology ,medicine.medical_specialty ,business.industry ,chemistry.chemical_element ,medicine.disease ,Lutetium ,Hormone-sensitive ,Low volume ,Prostate cancer ,chemistry ,Internal medicine ,medicine ,Prospective cohort study ,business - Published
- 2020
59. Factors to Guide Treatment Selection for Hormone-Sensitive Metastatic Prostate Cancer
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Megan E.V. Caram and Phoebe A. Tsao
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0301 basic medicine ,Oncology ,Male ,Cancer Research ,medicine.medical_specialty ,Antineoplastic Agents, Hormonal ,Clinical Decision-Making ,Docetaxel ,Medical Oncology ,Risk Assessment ,Androgen deprivation therapy ,03 medical and health sciences ,Prostate cancer ,chemistry.chemical_compound ,0302 clinical medicine ,Internal medicine ,Antineoplastic Combined Chemotherapy Protocols ,Nitriles ,Phenylthiohydantoin ,medicine ,Enzalutamide ,Humans ,Adverse effect ,Selection (genetic algorithm) ,Randomized Controlled Trials as Topic ,business.industry ,Patient Selection ,Age Factors ,Prostatic Neoplasms ,Androgen Antagonists ,medicine.disease ,Progression-Free Survival ,Hormone-sensitive ,Tumor Burden ,Abiraterone ,030104 developmental biology ,chemistry ,Thiohydantoins ,030220 oncology & carcinogenesis ,Benzamides ,Practice Guidelines as Topic ,Disease characteristics ,Androstenes ,business - Abstract
For decades, the mainstay of treatment for metastatic hormone-sensitive prostate cancer has been androgen deprivation therapy. In recent years, 4 systemic therapies-docetaxel, abiraterone, enzalutamide, and apalutamide-have improved overall survival for men with metastatic hormone-sensitive prostate cancer when combined with androgen deprivation therapy, raising the question of which treatment to choose. The role for metastasis-directed therapy with surgery or radiation among these new treatments has also yet to be defined. Thus, several factors have come into play to guide treatment selection, including disease characteristics, age, fitness, and comorbidities of the patient, potential adverse effects of therapies, and health system considerations such as access to care and financial toxicity. Careful and shared decision making between patient and provider is critical. Future directions aimed at refining our treatment selection include researching the role of novel molecular imaging techniques, biomarkers predicting therapy response, sequencing and combining therapies, and understanding the long-term and late effects of these treatments.
- Published
- 2020
60. Psychosocial aspects and life project disruption in young women diagnosed with metastatic hormone-sensitive HER2-negative breast cancer
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Mireia Margeli Vila, Rafael Villanueva Vázquez, Miguel Gil-Gil, Sonia Del Barco Berron, and Cristian Ochoa-Arnedo
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Gerontology ,Activities of daily living ,Intervenció psicològica ,Review ,Psycho-oncology ,CDK4/6 inhibitor ,Hormone-receptor-positive /HER2-Negative ,0302 clinical medicine ,Breast cancer ,Cost of Illness ,Multidisciplinary approach ,Psychological intervention ,030212 general & internal medicine ,Neoplasm Metastasis ,Open communication ,HER2 negative ,Patient satisfaction ,General Medicine ,Middle Aged ,Prognosis ,Metastatic breast cancer ,lcsh:Neoplasms. Tumors. Oncology. Including cancer and carcinogens ,Hormone-sensitive ,030220 oncology & carcinogenesis ,Female ,Psychosocial ,Adult ,Quality of life ,Antineoplastic Agents, Hormonal ,Breast Neoplasms ,Receptors, Cell Surface ,Holistic Health ,Psychiatric Rehabilitation ,lcsh:RC254-282 ,Càncer de mama ,Young Adult ,03 medical and health sciences ,medicine ,Humans ,Family ,Patient Care Team ,business.industry ,Social Support ,Premenopausal women ,medicine.disease ,Premenopause ,Satisfacció dels pacients ,Surgery ,business - Abstract
Metastatic breast cancer (MBC) diagnosis in young women negatively impacts on quality of life (QoL) and daily activities, disrupting their life project and forcing them to face new psychosocial challenges. The recently published results on the improvement of the overall survival of pre- or perimenopausal women with hormone-receptor-positive, HER2-negative MBC treated with CDK4/6 inhibitors plus endocrine therapy, while preserving, and in some items improving their QoL, will change the landscape of the management of this patient population. Their extended survival and potential improvement in QoL will, therefore, modify their specific needs in terms of psychosocial support. The complexity of the care of young women with MBC is described herein, based on an extensive literature review. Further research about the specific psychosocial requirements of these women and a new multidisciplinary holistic approach is paramount to properly address their concerns and preferences. The communication with and support of their partners, parents and children is an important factor affecting the QoL of these patients. Altogether, a multidisciplinary care, open communication and personalized support is required to address the psychosocial implications of the new prognostic expectations on these patients with the incorporation of new targeted therapies., Highlights • Life project disruption in young women with metastatic breast cancer. • Scarce research and lack of specific QoL questionnaires. • Multidisciplinary holistic approach key to address concerns of young MBC patients. • New therapies extend survival and improve quality of life of MBC patients. • Psychosocial support needs to be adapted to these new prognostic expectations.
- Published
- 2020
61. Developments in oligometastatic hormone-sensitive prostate cancer
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Niall M. Corcoran, Patrick McCoy, Ken Chow, Christopher M. Hovens, and Ryan Stuchbery
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Male ,Oncology ,medicine.medical_specialty ,Biological studies ,business.industry ,Urology ,030232 urology & nephrology ,Prostatic Neoplasms ,Cancer ,Androgen Antagonists ,medicine.disease ,Metastasis ,Hormone-sensitive ,03 medical and health sciences ,Hormone sensitive prostate cancer ,Prostate cancer ,0302 clinical medicine ,030220 oncology & carcinogenesis ,Internal medicine ,medicine ,Humans ,Neoplasm Metastasis ,Disease management (health) ,business ,Stable state - Abstract
To review the current understanding and recent developments regarding the concept of oligometastases in hormone-sensitive prostate cancer. A comprehensive literature search of electronic databases, including PubMed and Embase was conducted for the search term ‘oligometastases’ in combinations with ‘prostate cancer’, ‘hormone sensitive’, ‘genetics’, and ‘molecular’. All articles relating to these search terms have been taken into account. Prostate cancer remains a major cause of morbidity and mortality worldwide. The majority of these cancer-related deaths result from metastases. Currently, there is a dichotomy in prostate cancer management where it is only deemed curable if it is localized, while any signs of metastasis relegate patients to systemic therapies to delay their inevitable death. A growing body of evidence supports the notion that aggressive treatments during the stable ‘oligometastatic’ state can have significant clinical benefits and potentially ‘reset’ prostate cancer to an earlier time point in cancer progression. This concept of oligometastases has been adopted in other cancer settings such as colorectal and non-small-cell lung cancers. Multiple clinical and molecular biological studies have been influential in the support of a stable state in metastatic cancer progression coined ‘oligometastases’. As our understanding of oligometastases in hormone-sensitive prostate cancer develops, we will be able to molecularly define the oligometastatic state and develop clinically available diagnostic tests. In doing so, prostate cancer patients will experience significant clinical benefits and the burden of prostate cancer worldwide will likely be reduced.
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- 2018
62. mRNA expressions of androgen receptor and its variants in matched hormone-sensitive and castration-resistant prostate cancer
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Ghee Young Kwon, Hyung Kyu Park, and So Dug Lim
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Male ,Urology ,030232 urology & nephrology ,030204 cardiovascular system & hematology ,Castration resistant ,urologic and male genital diseases ,03 medical and health sciences ,Prostate cancer ,0302 clinical medicine ,Prostate ,medicine ,Humans ,splice ,RNA, Messenger ,Aged ,Messenger RNA ,business.industry ,food and beverages ,Prostatic Neoplasms ,Androgen Antagonists ,Androgen Receptor Splice Variant 7 ,Middle Aged ,medicine.disease ,Hormone-sensitive ,Androgen receptor ,Prostatic Neoplasms, Castration-Resistant ,medicine.anatomical_structure ,Nephrology ,Receptors, Androgen ,Cancer research ,business - Abstract
Objectives: Androgen receptor splice variants (AR-Vs), especially androgen receptor splice variant 7 (AR-V7), are considered as important factors in developing castration-resistance of prostate can...
- Published
- 2019
63. Combined androgen blockade achieved better oncological outcome in androgen deprivation therapy for prostate cancer: Analysis of community-based multi-institutional database across Japan using propensity score matching
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Tadaichi Kitamura, Kazuhiro Suzuki, Osamu Ogawa, Mototsugu Oya, Shiro Hinotsu, Seiji Naito, Hideyuki Akaza, Mikio Namiki, Taiji Tsukamoto, Kazuo Nishimura, Yoshihiko Hirao, and Mizuki Onozawa
- Subjects
Male ,Cancer Research ,Antineoplastic Agents, Hormonal ,medicine.drug_class ,Subgroup analysis ,computer.software_genre ,Logistic regression ,prostatic neoplasms ,Androgen deprivation therapy ,03 medical and health sciences ,Prostate cancer ,0302 clinical medicine ,Japan ,Antineoplastic Combined Chemotherapy Protocols ,medicine ,Humans ,Radiology, Nuclear Medicine and imaging ,Registries ,030212 general & internal medicine ,Propensity Score ,Original Research ,Aged ,Aged, 80 and over ,Database ,business.industry ,Hazard ratio ,Clinical Cancer Research ,Androgen Antagonists ,castration‐resistant ,nonsteroidal anti‐androgens ,medicine.disease ,Androgen ,hormone‐sensitive ,Combined Modality Therapy ,Confidence interval ,Survival Rate ,Prostatic Neoplasms, Castration-Resistant ,Logistic Models ,Treatment Outcome ,Oncology ,030220 oncology & carcinogenesis ,Propensity score matching ,disease‐free survival ,business ,computer - Abstract
Background This study investigated how differences in the method of the first‐line androgen deprivation therapy (ADT) affected the time to castration‐resistant prostate cancer. Methods The Japan Study Group of Prostate Cancer compiled a nationwide community‐based database on prostate cancer patients who underwent ADT. That database included 13 774 patients who were started on ADT by surgical or medical castration alone (monotherapy group, 5395 cases) or ADT in combination with a nonsteroidal anti‐androgen (combined androgen blockade (CAB) group, 8379 cases). We used logistic regression analysis with background factors as independent factors to calculate propensity scores in regard to selection of CAB. Next, for 8826 cases of propensity score‐matched patients, we compared the survival rates in the two groups. Results The CAB group showed a significantly better progression‐free survival (PFS) rate (65.6% vs 59.6% at 5 years; median time to progression, 11.6 vs 7.1 years; hazard ratio in the CAB group: 0.78, with a 95% confidence interval of 0.72 to 0.84; P
- Published
- 2018
64. The role of taxanes in prostate cancer: literature review
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A. K. Norsov and S. A. Reva
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Oncology ,medicine.medical_specialty ,business.industry ,Urology ,Locally advanced ,cabazitaxel ,Cancer ,prostate cancer ,medicine.disease ,Hormone-sensitive ,Prostate cancer ,Docetaxel ,Tolerability ,Nephrology ,Cabazitaxel ,Internal medicine ,medicine ,docetaxel ,Medicine ,Radiology, Nuclear Medicine and imaging ,Surgery ,business ,medicine.drug - Abstract
Prostate cancer is one of the most common causes of death from oncological diseases in men. Taxanes (including docetaxel and cabazitaxel) are microtubule-stabilizing agents which block mitotic cell division leading to apoptosis. Past data have shown promise and good tolerability for different regimens. Recent studies demonstrated that taxanes prolonged the survival both metastatic (hormone sensitive and castrationresistant) locally advanced prostate cancer. In this article, we describe current treatments for рrostate cancer in different stages with taxanes.
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- 2018
65. A pipeline for proteome-scale identification and studies on hormone sensitive lipases in Mycobacterium tuberculosis
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Durairaj Sherlin and Sharmila Anishetty
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0301 basic medicine ,Subfamily ,Tuberculosis ,Proteome ,Computational biology ,Biochemistry ,Esterase ,Mycobacterium tuberculosis ,03 medical and health sciences ,Structural Biology ,medicine ,Amino Acid Sequence ,Lipase ,Amino acid sequence homology ,biology ,Organic Chemistry ,Sterol Esterase ,biology.organism_classification ,medicine.disease ,Hormone-sensitive ,Computational Mathematics ,030104 developmental biology ,biology.protein - Abstract
Hormone sensitive lipases (HSLs) play an important role in the survival of M. tuberculosis during dormancy. They help in the utilization of fatty acids from stored lipids. The objective of the current study was to identify all HSLs from the proteome of M. tuberculosis H37Rv. We have developed a novel HSL identification pipeline, based on amino acid sequence homology, presence of conserved motifs and other sequence features deciphered from known HSL dataset. Through this pipeline, we identified 10 proteins as putative HSLs in M. tuberculosis. We have annotated a lipase LipT, as putative p-nitrobenzyl esterase and also identified a new motif "PGG" which is a possible characteristic motif of a subfamily of HSLs.
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- 2017
66. 644TiP SAABR: Single arm phase II study of abiraterone + atezolizumab + GnRH analog and stereotactic body radiotherapy (SBRT) to the prostate in men with newly diagnosed hormone-sensitive metastatic prostate cancer (mHSPC)
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P. Schum, Dana E. Rathkopf, B. Decker, and S. McBride
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Oncology ,medicine.medical_specialty ,business.industry ,Phases of clinical research ,GnRH Analog ,Hematology ,Newly diagnosed ,medicine.disease ,Hormone-sensitive ,Abiraterone ,chemistry.chemical_compound ,Prostate cancer ,medicine.anatomical_structure ,chemistry ,Prostate ,Atezolizumab ,Internal medicine ,Medicine ,business - Published
- 2021
67. Cediranib in combination with fulvestrant in hormone-sensitive metastatic breast cancer: a randomized Phase II study.
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Hyams, David, Chan, Arlene, Oliveira, Celia, Snyder, Raymond, Vinholes, Jeferson, Audeh, M., Alencar, Victor, Lombard, Janine, Mookerjee, Bijoyesh, Xu, John, Brown, Kathryn, and Klein, Paula
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ANTINEOPLASTIC agents ,PHARMACOKINETICS ,ANALYSIS of covariance ,BIOMARKERS ,BREAST tumors ,CELL receptors ,COMBINATION drug therapy ,DRUGS ,EPIDEMIOLOGY ,MEDICAL cooperation ,METASTASIS ,HEALTH outcome assessment ,REGRESSION analysis ,RESEARCH ,RESEARCH funding ,SAFETY ,VASCULAR endothelial growth factors ,RANDOMIZED controlled trials ,TREATMENT effectiveness ,PROPORTIONAL hazards models ,POSTMENOPAUSE ,DESCRIPTIVE statistics ,PHARMACODYNAMICS ,THERAPEUTICS - Abstract
Hormone receptor-positive breast cancer is treated with estrogen inhibitors. Fulvestrant (FASLODEX™), an estrogen receptor (ER) antagonist with no known agonist effects, competitively binds, blocks and degrades the ER. Vascular endothelial growth factor (VEGF) may mediate resistance to ER antagonists. Cediranib is a highly potent VEGF signaling inhibitor with activity against all three VEGF receptors. This randomized Phase II study evaluated cediranib plus fulvestrant. Postmenopausal women with hormone-sensitive metastatic breast cancer were eligible. The primary endpoint was progression-free survival (PFS). Secondary endpoints included objective response rate (ORR), duration of response, clinical benefit rate (CBR), safety/tolerability and pharmacokinetics (PK). Patients received cediranib 45 mg/day ( n = 31) or placebo ( n = 31) both plus fulvestrant. Demographic/baseline characteristics were well balanced. Patients treated with cediranib had a numerical advantage in PFS (hazard ratio = 0.867, P = 0.669; median 223 vs. 112 days, respectively) and ORR (22 vs. 8 %, respectively) vs. placebo, although not statistically significant. CBR was 42 % in both arms. The most common adverse events (AEs) in the cediranib arm were diarrhea (68 %), fatigue (61 %) and hypertension (55 %). The incidence of grade ≥3 AEs (68 % vs. 32 %), serious AEs (48 % vs. 13 %), discontinuation AEs (39 % vs. 10 %), and cediranib dose reductions/interruptions (74 % vs. 32 %) were higher in the cediranib arm. There was no evidence of a clinically relevant effect of cediranib on fulvestrant PK. Cediranib plus fulvestrant may demonstrate clinical activity in this population, but cediranib 45 mg was not sufficiently well tolerated. Investigation of lower doses of cediranib plus hormonal/chemotherapy could be considered. [ABSTRACT FROM AUTHOR]
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- 2013
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68. Ectopic Breast Tissue in the Inguinal Region: A Case Report and Suggestion of Indications for Excision.
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Choi J, Yang YB, and Oh DY
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We report a rare case of ectopic breast tissue situated in a unique location. A 50-year-old female patient came to our institution complaining of a bulge in the inguinal area. CT was unremarkable other than a benign-looking conglomeration of lymph nodes around the inguinal canal. However, excisional biopsy proved otherwise, with strong expression of breast-related immunohistochemical markers on pathology. Based on histological findings, the diagnosis of ectopic breast tissue was made. Since the vast majority of ectopic breast tissue is found around the breast mound, axilla, and along the milk line, this case is peculiar in its location. This report shares our experience and provides indications for excision of incidental ectopic breast tissue., Competing Interests: The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest., (Copyright © 2022 Choi, Yang and Oh.)
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- 2022
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69. Pathological role of the prostaglandin E2-specific type E prostanoid receptors in hormone-sensitive and castration-resistant prostate cancer
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T. Matsuda, K. Mitsunari, J. Harada, K. Ohba, Yasuyoshi Miyata, T. Matsuo, Y. Mukae, A. Otsubo, and Hideki Sakai
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business.industry ,Urology ,Prostanoid ,Castration resistant ,medicine.disease ,Hormone-sensitive ,Prostate cancer ,chemistry.chemical_compound ,chemistry ,Cancer research ,medicine ,Prostaglandin E2 ,business ,Receptor ,Pathological ,medicine.drug - Published
- 2021
70. Evaluating the role of aromatase inhibitors (AIs) in the treatment of endometrial stromal sarcomas (ESS)
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Martee L. Hensley, Karen Cadoo, Sarah Chiang, Fionnuala Crowley, Jennifer J. Mueller, and Roisin E. O'Cearbhaill
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Cancer Research ,Stromal cell ,biology ,medicine.drug_class ,business.industry ,macromolecular substances ,Hormone-sensitive ,Oncology ,Estrogen ,Cancer research ,medicine ,biology.protein ,Aromatase ,business ,Receptor - Abstract
5575 Background: Endometrial stromal sarcomas (ESS) account for < 20% of uterine sarcomas. They usually express estrogen and progesterone receptors (ER/PR) and are considered hormone sensitive. Due to the rarity of these tumors, large clinical trials studying optimal treatment have not been possible. This study represents the largest retrospective study of ESS treated with AI. Methods: The clinicopathological variables and outcomes of patients (pts) with pathologically confirmed low grade ESS treated with AI at our institution between 1998-2020 were recorded. Results: 48 pts with ESS treated with AI were identified. They had a median age of 54 years (range 23-84) and BMI of 27 (range 20-50). 79% were white. 6 (12%), 9 (19%), 14 (29%) and 19 pts (40%) had stage 1,2,3,4 ESS, respectively. 37 (77%) were ER+/PR+; 2 (4%) ER+/PR- and 9 pts (19%) had unknown ER/PR status. All pts were postmenopausal at AI initiation. 12 pts (25%) had a synchronous cancer (5 of these had breast cancer {3 of the 5 presented post tamoxifen}). 23 pts (48%) received megestrol acetate and 25 (52%) an AI as first line hormonal manipulation. During their disease course, 35 pts (73%) received letrozole, 21 (44%) anastrozole and 19 (39.6%) exemestane. 22 pts (46%) were treated with more than one AI. 28 pts (58%) reported side-effects; arthralgia (33%) being the most common. 10 pts (21%) discontinued AI due to toxicity; 12 pts (25%) switched AI for toxicity (with improved tolerance in 67% of these pts). Among the 24 pts (50%) with measurable disease there were 2 partial responses (objective response rate of 8.3%). 1-year disease control rate (DCR) was (79%) for all pts and 58% in stage 4 disease. Median PFS for 1st line AI was 161.6 months (95% CI 48.5 to 274.7). Conclusions: This study represents the largest study of AI use in ESS to date. We found the ORR to be more modest than previously reported. The majority of pts had prolonged stable disease with a DCR of 58% even in stage 4 disease. Pts who progress on one AI may benefit from trial of a 2nd AI. A phase 2 study of interruption versus maintenance AI in locally advanced/metastatic ESS is currently underway (NCT03624244).
- Published
- 2021
71. Multigene Profiling of Circulating Tumor Cells (CTCs) for Prognostic Assessment in Treatment-Naïve Metastatic Hormone-Sensitive Prostate Cancer (mHSPC).
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Reichert, Zachery R., Kasputis, Tadas, Nallandhighal, Srinivas, Abusamra, Sophia M., Kasputis, Amy, Haruray, Saloni, Wang, Yugang, Williams, Shamara, Singhal, Udit, Alva, Ajjai, Cackowski, Frank C., Caram, Megan E. V., Palmbos, Phillip L., Yentz, Sarah E., Smith, David C., Alumkal, Joshi J., and Morgan, Todd M.
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PROSTATE cancer , *ANDROGEN deprivation therapy , *PROGNOSIS , *THERAPEUTICS , *METASTASIS - Abstract
The substantial biological heterogeneity of metastatic prostate cancer has hindered the development of personalized therapeutic approaches. Therefore, it is difficult to predict the course of metastatic hormone-sensitive prostate cancer (mHSPC), with some men remaining on first-line androgen deprivation therapy (ADT) for several years while others progress more rapidly. Improving our ability to risk-stratify patients would allow for the optimization of systemic therapies and support the development of stratified prospective clinical trials focused on patients likely to have the greatest potential benefit. Here, we applied a liquid biopsy approach to identify clinically relevant, blood-based prognostic biomarkers in patients with mHSPC. Gene expression indicating the presence of CTCs was greater in CHAARTED high-volume (HV) patients (52% CTChigh) than in low-volume (LV) patients (23% CTChigh; * p = 0.03). HV disease (p = 0.005, q = 0.033) and CTC presence at baseline prior to treatment initiation (p = 0.008, q = 0.033) were found to be independently associated with the risk of nonresponse at 7 months. The pooled gene expression from CTCs of pre-ADT samples found AR, DSG2, KLK3, MDK, and PCA3 as genes predictive of nonresponse. These observations support the utility of liquid biomarker approaches to identify patients with poor initial response. This approach could facilitate more precise treatment intensification in the highest risk patients. [ABSTRACT FROM AUTHOR]
- Published
- 2022
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72. Molecular mechanism of antidiabetic zinc–allixin complexes: regulations of glucose utilization and lipid metabolism.
- Author
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Nakayama, Akihiro, Hiromura, Makoto, Adachi, Yusuke, and Sakurai, Hiromu
- Subjects
- *
MOLECULES , *HYPOGLYCEMIC agents , *LIPID metabolism , *BIOCHEMISTRY , *BIOINORGANIC chemistry - Abstract
We previously reported new zinc complexes of allixin [bis(allixinato)zinc] and its derivative bis(thioallixin- N-methyl)zinc that demonstrated excellent antidiabetic activity in type 2 diabetic mellitus KKAy mice. However, the molecular mechanism of these complexes is not fully understood. Thus, we attempted to reveal the intracellular mechanism of these complexes in 3T3-L1 adipocytes. Both zinc complexes induced Akt/protein kinase B (Akt/PKB) phosphorylation. The phosphorylation of Akt/PKB enhanced glucose transporter 4 translocation to the plasma membrane; this in turn enhanced the glucose utilization in a dose- and time-dependent manner. Glucose utilization by the complexes depended on the intracellular zinc concentration. Moreover, zinc complexes suppressed the cyclic AMP dependent protein kinase mediated phosphorylation of hormone-sensitive lipase (HSL), leading to the inhibition of free fatty acid release from the 3T3-L1 adipocytes. Such responses were inhibited by wortmannin, suggesting that the suppression of HSL by zinc complexes was dependent in the phosphoinositide 3-kinase–Akt/PKB signaling cascade. On the basis of these results, we proposed that both zinc complexes activated the Akt/PKB-mediated insulin-signaling pathway and improved both glucose utilization and lipid metabolism. [ABSTRACT FROM AUTHOR]
- Published
- 2008
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73. Rôle de la radiothérapie ablative des métastases chez les patients atteints de cancer de la prostate oligométastatique hormonosensible : un essai du Groupe d’étude des tumeurs urogénitales et de l’Association française d’urologie
- Author
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Karim Fizazi, Pierre Blanchard, Guillaume Louvel, Stéphanie Foulon, and M. Habibian
- Subjects
Gynecology ,Oncology ,medicine.medical_specialty ,business.industry ,medicine.medical_treatment ,medicine.disease ,Primary disease ,Hormone-sensitive ,Radiation therapy ,03 medical and health sciences ,Prostate cancer ,0302 clinical medicine ,030220 oncology & carcinogenesis ,Internal medicine ,medicine ,Radiology, Nuclear Medicine and imaging ,In patient ,030212 general & internal medicine ,business - Abstract
The goal of treatment of metastatic prostate cancer remains palliation. The oligometastatic state could be the right time to intensify therapy by introducing metastases directed treatments. The aim of this trial was to evaluate the benefit of radiotherapy to all macroscopic metastatic sites and to the primary disease in patients with hormone sensitive oligometastatic prostate cancer.
- Published
- 2017
74. Surface-enhanced laser desorption/ionization time-of-flight mass spectrometry (SELDI-TOF MS) for determining prognosis in advanced stage hormone relapsing prostate cancer.
- Author
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Kohli, Manish, Siegel, Eric, Bhattacharya, Sudeepa, Khan, Mir Alikhan, Shah, Rajesh, and Suva, Larry J.
- Subjects
- *
PROSTATE cancer , *SERUM , *PROTEOMICS , *CANCER treatment , *TIME-of-flight mass spectrometry - Abstract
Prostate cancer frequently progresses despite early diagnosis and appropriate treatment with radical prostatectomy and/or radiotherapy. The clinical utility of SELDI-TOF MS to identify serum biomarker patterns associated with prostate cancer progression was examined by analysis of the serum proteome of advanced prostate cancer patients receiving standard androgen deprivation therapy. Serum from advanced-stage patients receiving androgen deprivation therapy was profiled by SELDI-TOF MS. Group 1 patients (n=15) had stable prostate specific antigen (PSA) responses to treatment; Group 2 (n=16) had rising PSA levels. Spectra were subjected to peak identification following total ion current (TIC) normalization. Peak intensities with m/z between 2,000 and 20,000 were tested for group differences via Kruskal-Wallis tests, and assessed individually for PSA-independent associations with overall survival via covariate-adjusted Cox regressions. TIC normalization yielded 53 useable spectra; 119 peaks with m/z between 2,000 and 20,000 were identified. Seven peaks showed statistically significant (p<0.05) differences between PSA groups, and several other peaks showed significant associations with overall survival independent of PSA status. In summary, SELDI-TOF MS captured a specific biomarker profile associated with biochemical relapse and provided additional prognostic information regarding long-term survival, independent of clinical PSA status. [ABSTRACT FROM AUTHOR]
- Published
- 2006
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75. Chemotherapy should not yet be considered in patients with hormone-sensitive metastatic prostate cancer
- Author
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B. Miñana López
- Subjects
Oncology ,medicine.medical_specialty ,Chemotherapy ,business.industry ,medicine.medical_treatment ,General Medicine ,medicine.disease ,Hormone-sensitive ,03 medical and health sciences ,Prostate cancer ,0302 clinical medicine ,Text mining ,030220 oncology & carcinogenesis ,Internal medicine ,medicine ,In patient ,030212 general & internal medicine ,business - Published
- 2017
76. Docetaxel in prostate cancer: a familiar face as the new standard in a hormone-sensitive setting
- Author
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Enrique Grande, Javier Puente, Pablo Maroto, Jose Angel Arranz, Nuria Lainez, and Ana Medina
- Subjects
0301 basic medicine ,Oncology ,medicine.medical_specialty ,medicine.drug_class ,medicine.medical_treatment ,Reviews ,Disease ,lcsh:RC254-282 ,neoplasm metastasis ,03 medical and health sciences ,Prostate cancer ,0302 clinical medicine ,Internal medicine ,medicine ,docetaxel ,antineoplastic agents/therapeutic use ,In patient ,androgen antagonists ,hormone-sensitive ,Chemotherapy ,business.industry ,prostatic neoplasm/drug therapy ,lcsh:Neoplasms. Tumors. Oncology. Including cancer and carcinogens ,medicine.disease ,Androgen ,Hormone-sensitive ,Natural history ,030104 developmental biology ,Docetaxel ,030220 oncology & carcinogenesis ,taxoids/therapeutic use ,business ,medicine.drug - Abstract
The increasing knowledge of prostate cancer is leading to many questions about its natural history and to reconsider conventional therapeutic strategies. Androgen ablation therapy has been the standard therapy in the advanced setting. Although docetaxel has demonstrated increased survival in patients with metastatic prostate cancer who had progressed to hormone treatments, due to its potential toxicity the role of chemotherapy has been relegated to patients who were symptomatic or who had high tumor burden. Several studies have assessed whether docetaxel could have a role in hormone-sensitive disease or even in earlier stages with no distant metastases. In the CHAARTED and STAMPEDE studies, docetaxel provides an unprecedented increase in overall survival (OS). This review summarizes the evidence behind the paradigm shift to strengthening docetaxel as a new standard of treatment that prolongs survival in earlier stages of prostate cancer.
- Published
- 2017
77. Abstract P1-11-05: Influence of race and age on mastectomy rates in women with stage I, hormone-sensitive breast cancers: A SEER-based study
- Author
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Jose G. Bazan, Marisa A. Bittoni, Julia White, and James L. Fisher
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Oncology ,Cancer Research ,medicine.medical_specialty ,business.industry ,medicine.medical_treatment ,Lumpectomy ,Cancer ,medicine.disease ,law.invention ,Hormone-sensitive ,Breast cancer ,Randomized controlled trial ,law ,Internal medicine ,medicine ,Surveillance, Epidemiology, and End Results ,Stage (cooking) ,business ,Mastectomy - Abstract
Background: Breast conserving therapy (lumpectomy [L] and breast radiotherapy [RT]) results in equivalent cancer control outcomes in comparison to mastectomy (M) for early stage breast cancer (BC) based on randomized controlled trials (RCT). Since 2004, RCT support that L alone without RT yields equivalent survival and acceptable local regional outcomes in women ≥70 years old with stage I (T1N0) hormone-sensitive (HS) BC on endocrine therapy. Based on this, we hypothesized that M rates should decrease substantially in this low risk elderly population and sought to examine the influence of race on M rates in this group and how these trends compare to younger aged Stage I HS patients. Methods: We used the Surveillance Epidemiology and End Results (SEER) registry data to conduct this study. We included women with T1N0 HS BC classified as either ER-positive or PR-positive from 2000-2012 divided into 2 age groups [elderly (≥70 years old) and non-elderly (20-69 years old)] and 3 race groups [white, black, and Asian-Pacific-Islander/American Indian/Alaskan Native (API)]. We compared M rates in women diagnosed before 2004 compared to those diagnosed from 2005-2012. Statistical analyses were performed using differences in proportions (p Results: 261,079 women met the study criteria (N=87,009 elderly; N=174,070 non-elderly). In elderly Stage I HS BC, a 5.2% reduction in the M rate is seen: 32.6% before 2004 to 27.4% after 2004 (p Conclusions: In patients with favorable stage I HS BC, M rates have decreased only modestly in elderly women since 2004 when L alone w/o RT was established as appropriate treatment. In comparison, M has increased since 2004 in non-elderly women. These trends are driven mostly by white women in both the elderly and non-elderly. Further research is needed to identify why M, which is associated with higher cost and morbidity than L alone, has not changed substantially in elderly very favorable BC, particularly for non-whites. Citation Format: Bazan JG, Bittoni MA, Fisher JL, White JR. Influence of race and age on mastectomy rates in women with stage I, hormone-sensitive breast cancers: A SEER-based study [abstract]. In: Proceedings of the 2016 San Antonio Breast Cancer Symposium; 2016 Dec 6-10; San Antonio, TX. Philadelphia (PA): AACR; Cancer Res 2017;77(4 Suppl):Abstract nr P1-11-05.
- Published
- 2017
78. Breast cancer: updates and advances in 2016
- Author
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Sara B. Giordano and William J. Gradishar
- Subjects
CA15-3 ,Oncology ,medicine.medical_specialty ,Antineoplastic Agents, Hormonal ,Receptor, ErbB-2 ,medicine.medical_treatment ,Antineoplastic Agents ,Breast Neoplasms ,Risk Assessment ,Targeted therapy ,03 medical and health sciences ,0302 clinical medicine ,Breast cancer ,Internal medicine ,medicine ,Humans ,Genetic Testing ,030212 general & internal medicine ,skin and connective tissue diseases ,Randomized Controlled Trials as Topic ,Adaptive Clinical Trials as Topic ,business.industry ,Extramural ,Cyclin-Dependent Kinase 4 ,Obstetrics and Gynecology ,Cancer ,Cyclin-Dependent Kinase 6 ,medicine.disease ,Cyclin-Dependent Kinases ,Hormone-sensitive ,Epidemiologic Research Design ,030220 oncology & carcinogenesis ,Cancer genetics ,Female ,business - Abstract
Approximately 1 in 8 US women (12%) will develop invasive breast cancer over the course of her lifetime. In 2016, an estimated 246,660 new cases of invasive breast cancer are expected to be diagnosed and approximately 40,450 would die as a result of it. The global burden of breast cancer exceeds all other cancers and the incidence is increasing. The heterogeneity of breast cancer makes it a challenging solid tumor to diagnose and treat. This review focuses on the recent advances in breast cancer therapy including hormonal treatment of metastatic breast cancer, targeting cyclin-dependent kinases (CDK) 4/6 in breast cancer, updates in targeting human epidermal growth factor receptor 2 (HER2) positive breast cancer, adaptive randomization trial design and cancer genetic risk assessment.Breast cancer is a heterogeneous disease and targeted therapy is improving the outcomes of women. The use of cyclin-dependent kinase inhibitors (CDK) 4/6 have demonstrated a substantial improvement in progression-free survival in the first line setting of metastatic hormone receptor positive breast cancer. And newer agents directed at HER2 continue to revolutionize HER2-positive breast cancer treatment.This review highlights the recent updates in breast cancer treatment, new concepts in clinical trial design and provides a current overview of cancer genetic risk assessment.
- Published
- 2017
79. EFFECT OF OBESITY ON ESTRADIOL DEPLETIONIN POSTMENOPAUSAL WOMEN WITH HORMONE-SENSITIVE EARLY BREAST CANCER TREATED WITHADJUVANT ANASTRAZOLE
- Author
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LobnaA. Abdelaziz., OlaM. Elfarargy., RehamA. Salem, and EmanM. mortada.
- Subjects
Oncology ,medicine.medical_specialty ,Postmenopausal women ,business.industry ,Internal medicine ,medicine ,business ,medicine.disease ,Obesity ,Hormone-sensitive ,Early breast cancer - Published
- 2016
80. Contribution of Inherited DNA-Repair Gene Mutations to Hormone-Sensitive and Castrate-Resistant Metastatic Prostate Cancer and Implications for Clinical Outcome
- Author
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David W. Hillman, Siddhartha Yadav, Kun Y. Lee, Steven N. Hart, Manish Kohli, Jie Na, Eric C. Polley, Fergus J. Couch, Rohan Gnanaolivu, and Chunling Hu
- Subjects
0301 basic medicine ,Cancer Research ,DNA repair ,business.industry ,medicine.disease ,Hormone-sensitive ,03 medical and health sciences ,Prostate cancer ,030104 developmental biology ,0302 clinical medicine ,Castrate resistant ,Germline mutation ,Oncology ,030220 oncology & carcinogenesis ,medicine ,Cancer research ,Original Report ,business - Abstract
PURPOSE To compare the prevalence of germline mutations in metastatic hormone-sensitive prostate cancer (mHSPC) and metastatic castrate-resistant prostate cancer (mCRPC) and assess the impact of mutations on progression to castration resistance and overall survival. METHODS Targeted sequencing of germline DNA from 704 men (221 at the time of mHSPC and 483 at the time of mCRPC) enrolled in two advanced prostate cancer registries at Mayo Clinic between 2003 and 2013 was performed for 21 predisposition genes. Frequencies of pathogenic mutations were compared in patients and reference controls to identify genes enriched in metastatic prostate cancer. Multivariable Cox proportional hazards regression was used to identify predictors of progression to mCRPC and overall survival. RESULTS Sixty-eight germline mutations in 12 genes were identified in 66 men (9.4%). Mutations in ATM, BRCA2, CHEK2, FANCM, and TP53 were significantly enriched (odds ratio greater than 2.0) in the metastatic cohorts compared with reference controls. The frequency of germline mutations was similar for patients with mHSPC and mCRPC (11.8% v 8.3%; P = .16). The median time to progression from mHSPC to mCRPC was 23.1 and 32.5 months for patients with and without mutations, respectively ( P = .96). Although older age at diagnosis, Gleason score greater than 7, elevated alkaline phosphatase level, and high volume of disease were associated with shorter duration of progression to mCRPC and poor overall survival, mutation status was not (progression to mCRPC hazard ratio, 0.81; 95% CI, 0.61 to 1.09; P = .17; overall survival hazard ratio, 1.00; 95% CI, 0.75 to 1.34; P = .98). CONCLUSION Similarly elevated rates of germline predisposition gene mutations in mHSPC and mCRPC suggest that germline genetic testing may help to guide medical management for all patients with advanced metastatic prostate cancer. Mutation status was not associated with shorter progression to mCRPC or poor overall survival.
- Published
- 2019
81. Cost-effectiveness of docetaxel in high-volume hormone-sensitive metastatic prostate cancer
- Author
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Kelvin K. W. Chan, Jeffrey S Hoch, Jaclyn Beca, Habeeb Majeed, Andrew Loblaw, and S.J. Hotte
- Subjects
Urologic Diseases ,Oncology ,Comparative Effectiveness Research ,medicine.medical_specialty ,Base case analysis ,Cost effectiveness ,Urology ,medicine.medical_treatment ,Clinical Trials and Supportive Activities ,Clinical Sciences ,Oncology and Carcinogenesis ,Disease ,03 medical and health sciences ,Prostate cancer ,0302 clinical medicine ,Clinical Research ,Internal medicine ,medicine ,030212 general & internal medicine ,Cancer ,Original Research ,Chemotherapy ,business.industry ,Prostate Cancer ,Evaluation of treatments and therapeutic interventions ,Cost-effectiveness analysis ,Urology & Nephrology ,medicine.disease ,Hormone-sensitive ,Good Health and Well Being ,Cost Effectiveness Research ,Docetaxel ,6.1 Pharmaceuticals ,030220 oncology & carcinogenesis ,business ,medicine.drug - Abstract
Introduction: Three pivotal trials have considered the addition of docetaxel (D) chemotherapy to conventional androgen-deprivation therapy (ADT) for the treatment of metastatic hormone-sensitive prostate cancer (HSPC). While an initial small trial was inconclusive, two larger trials demonstrated significant clinical benefit, including pronounced survival benefits (added 17 months) among patients with high-volume metastatic disease. Given the evolving clinical evidence, the cost-effectiveness of this approach warrants exploration. Methods: The cost-effectiveness of six cycles of ADT+D compared to ADT alone to treat patients with high-volume metastatic HSPC was assessed from a Canadian public payer perspective. We included three health states: HSPC, metastatic castration-resistant prostate cancer (CRPC), and death. Survival data were obtained from the CHAARTED trial, which reported outcomes specifically for high-volume disease. We used Ontario costs data and utilities from the literature. Results: In the base case analysis, ADT+D cost an additional $25 757 and produced an extra 1.06 quality-adjusted life years (QALYs), resulting in an incremental cost-effectiveness ratio (ICER) of $24 226/QALY gained. Results from one-way sensitivity analysis across wide ranges of estimates and a range of scenarios, including an alternate model structure, produced ICERs below $35 000/QALY gained in all cases. Conclusions: The use of D with ADT in high-volume metastatic HSPC appears to be an economically attractive treatment approach. The findings were consistent with other studies and robust in sensitivity analysis across a variety of scenarios.
- Published
- 2019
82. Association of Chemerin rs17173608 and Vaspin rs2236242 Polymorphisms with Type Two Diabetes Mellitus and its Impact on their Corresponding Serum Levels in Egyptian Population
- Author
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Amr M Abdelhamid and Mai A. Zaafan
- Subjects
030213 general clinical medicine ,medicine.medical_specialty ,endocrine system diseases ,Population ,Adipose tissue ,030209 endocrinology & metabolism ,Pathogenesis ,03 medical and health sciences ,0302 clinical medicine ,Internal medicine ,Diabetes mellitus ,medicine ,Chemerin ,education ,Autoimmune disease ,education.field_of_study ,Endocrine disease ,biology ,business.industry ,nutritional and metabolic diseases ,General Medicine ,medicine.disease ,Hormone-sensitive ,Endocrinology ,biology.protein ,business - Abstract
Type-2 diabetes mellitus (T2DM) is an endocrine disease having a significant genetic component.
- Published
- 2019
83. U kojih bolesnika primijeniti hormonsku terapiju + docetaksel
- Author
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Gamulin, Marija, Bebek, Marko, and Gnjidic, Milena
- Subjects
High-volume ,Hormone-sensitive ,Prostate Cancer ,Docetaxel ,Androgen-receptor Inhibitors ,High-risk ,Professional Papers ,Hormon osjetljivi rak prostate ,Docetaksel ,Inhibicija androgenih receptora ,Visoki volumen ,Visoki rizik - Abstract
Docetaxel improved the outcome of patients with mCSPC and became standard of care after CHAARTED , STAMPEDE arm C and GET UG-AFU 15 clinical trials and after subsequent meta-analysis. Patients with high-volume (CHAARTED definition) and high-risk (LATITUDE definition) disease, who have good performance status and are fit for chemotherapy, seem to benefit the most from addition of docetaxel to the androgen deprivation therapy. Results from TITAN trial with apalutamide showed the activity in the same setting. However, predictive biomarkers are still lacking. We have direct evidence of overall survival benefit from abiraterone, apalutamide and enzalutamide for patients with high-volume disease who are not fit for chemotherapy, as well as for patients with low-volume disease. Clinical trials will show is there place for triple therapy in clinical practice. Before obtaining the results of new clinical trial results, physicians should base their treatment decision on risks and benefits of each current approach and consider the patient´s other health issues such as access, costs, patient and patient´s preferences., Uvođenje kemoterapije docetakselom je dovelo do unaprijeđenja ishoda liječenja u bolesnika s metastatskim senzitivnim rakom prostate te je dodatak docetaksela postao standard liječenja što je temeljeno na rezultatima studija CHAARTED, STAMPEDE, grane C i GET UG-AFU 15 studiji te nakon toga učinjene meta analize. Bolesnici s visokim volumenom bolesti (definicija po CHAARTED studiji) i visokog rizika (definicija prema LATIT UTDE studiji), koji imaju dobar performance status i koji su pogodni za kemoterapiju, imaju najviše koristi od dodatka docetaksela androgenoj deprivacijskoj terapiji. Rezultati TITAN studije su pokazali aktivnosti apalutamida u istoj indikaciji. Ipak, prediktivni biomarkeri još uvijek nedostaju. Postoje jasni dokazi o koristi u ukupnom preživljenju od abiraterona, apalutamida i enzalutamida u bolesnika s bolesti visokog volumena koji nisu pogodni za kemoterapiju, kao i za bolesnike s bolesti niskog volumena. Kliničke studije će pokazati mjesto za trostruku terapiju u kliničkoj praksi. Prije objave rezultata novih kliničkih studija, liječnici trebaju temeljiti svoje odluke na temelju procjene rizika i koristi svakog trenutnog pristupa i razmotriti druge parametre poput troškova liječenja, dostupnosti skrbi te preferencije bolesnika.
- Published
- 2019
84. Monitoring Patients with Metastatic Hormone-Sensitive and Metastatic Castration-Resistant Prostate Cancer: A Multidisciplinary Consensus Document
- Author
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Rolando Maria D'Angelillo, Giovanni L. Pappagallo, Alberto Lapini, Vittorio Vavassori, Orazio Caffo, Giario Conti, Sergio Bracarda, Roberto Iacovelli, Luigi F. Da Pozzo, Barbara Alicja Jereczek-Fossa, Roberta Ceccarelli, Lapini, A, Caffo, O, Pappagallo, G, Iacovelli, R, D'Angelillo, R, Vavassori, V, Ceccarelli, R, Bracarda, S, Jereczek-Fossa, B, Da Pozzo, L, and Conti, G
- Subjects
Cancer Research ,medicine.medical_specialty ,consensus conference ,medicine.medical_treatment ,castration-sensitive prostate cancer ,Castration resistant ,Bone health ,Article ,Settore MED/06 ,Androgen deprivation therapy ,03 medical and health sciences ,Prostate cancer ,0302 clinical medicine ,Settore MED/36 ,Multidisciplinary approach ,Medicine ,castration-resistant prostate cancer ,030212 general & internal medicine ,Intensive care medicine ,Chemotherapy ,business.industry ,Patient survival ,medicine.disease ,Hormone-sensitive ,Oncology ,030220 oncology & carcinogenesis ,monitoring procedures ,business - Abstract
Background: The availability of a number of agents that are efficacious in patients with metastatic prostate cancer (mPC) has led to them being used sequentially, and this has prolonged patient survival. However, in order to maximize their efficacy, clinicians need to be able to obtain a reliable picture of disease evolution by means of monitoring procedures. Methods: As the intensive monitoring protocols used in pivotal trials cannot be adopted in everyday clinical practice and there is no agreement among the available guidelines, a multidisciplinary panel of Italian experts met to develop recommendations for monitoring mPC patients using a modified Delphi method. Results: The consensus project considered methods of clinically, radiographically, and biochemically monitoring patients with metastatic hormone-sensitive and metastatic castration-resistant prostate cancer undergoing chemotherapy and/or hormonal treatment. The panelists also considered the methods and timing of monitoring castration levels, bone health, and the metabolic syndrome during androgen deprivation therapy. Conclusions: The recommendations, which were drawn up by experts following a formal and validated consensus procedure, will help clinicians face the everyday challenges of monitoring metastatic prostate cancer patients.
- Published
- 2019
85. LIPE (lipase E, hormone sensitive type)
- Author
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Seher Gök
- Subjects
Cancer Research ,Oncology ,biology ,Biochemistry ,Chemistry ,Genetics ,biology.protein ,Hematology ,Lipase ,Hormone-sensitive - Published
- 2018
86. Validation of liquid biopsy for ESR1-mutation analysis in hormone-sensitive breast cancer: a pooled meta-analysis
- Author
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O. Najim and W. Tjalma
- Subjects
Oncology ,medicine.medical_specialty ,business.industry ,General Medicine ,lcsh:Neoplasms. Tumors. Oncology. Including cancer and carcinogens ,medicine.disease ,lcsh:RC254-282 ,Hormone-sensitive ,Breast cancer ,Meta-analysis ,Internal medicine ,medicine ,Mutation testing ,Surgery ,Liquid biopsy ,business ,Estrogen receptor alpha - Published
- 2021
87. Prognostic Significance of 3-Month Prostate-specific Antigen Level Following Androgen-deprivation Therapy in Metastatic Hormone-sensitive Prostate Cancer.
- Author
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Nagata Y, Matsukawa T, Tomisaki I, and Fujimoto N
- Subjects
- Aged, Aged, 80 and over, Follow-Up Studies, Humans, Japan epidemiology, Male, Middle Aged, Neoplasm Metastasis, Predictive Value of Tests, Prognosis, Prostate-Specific Antigen analysis, Survival Analysis, Time Factors, Treatment Outcome, Adenocarcinoma diagnosis, Adenocarcinoma drug therapy, Adenocarcinoma mortality, Adenocarcinoma pathology, Androgen Antagonists therapeutic use, Prostate-Specific Antigen blood, Prostatic Neoplasms diagnosis, Prostatic Neoplasms drug therapy, Prostatic Neoplasms mortality, Prostatic Neoplasms pathology
- Abstract
Background/aim: We examined the prognostic use of the 3-month prostate-specific antigen (PSA3m) level after androgen-deprivation therapy in patients with de novo metastatic hormone-sensitive prostate cancer (mHSPC)., Patients and Methods: The present study included 145 patients with mHSPC who received primary androgen-deprivation therapy., Results: The optimal cutoff PSA3m value for prediction of 5-year overall survival was 2.56 ng/ml (area under the receiver operating characteristics curve=0.67) using a time-dependent receiver operating characteristic (survival ROC) curve. In patients with CHAARTED low-volume and LATITUDE low-risk disease, the median overall survival was longer for patients with low PSA3m than that for those with high PSA3m. Multivariate analysis revealed PSA3m (hazard ratio=1.99; p=0.006) and age ≥80 years as independent risk factors for overall survival in patients with mHSPC., Conclusion: PSA3m can be a useful prognostic biomarker to avoid excessive upfront combination therapy, particularly in elderly patients with low-volume and low-risk mHSPC., (Copyright © 2022 International Institute of Anticancer Research (Dr. George J. Delinasios), All rights reserved.)
- Published
- 2022
- Full Text
- View/download PDF
88. Oligometastatic Disease Detection with 68 Ga-PSMA-11 PET/CT in Hormone-Sensitive Prostate Cancer Patients (HSPC) with Biochemical Recurrence after Radical Prostatectomy: Predictive Factors and Clinical Impact.
- Author
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Artigas, Carlos, Diamand, Romain, Shagera, Qaid Ahmed, Plouznikoff, Nicolas, Fokoue, Fabrice, Otte, François-Xavier, Gil, Thierry, Peltier, Alexandre, Van Gestel, Dirk, and Flamen, Patrick
- Subjects
- *
PROSTATE tumors treatment , *THERAPEUTICS , *ACQUISITION of data methodology , *CONFIDENCE intervals , *RADICAL prostatectomy , *MULTIPLE regression analysis , *METASTASIS , *CANCER relapse , *RETROSPECTIVE studies , *RISK assessment , *CANCER patients , *MEDICAL records , *DESCRIPTIVE statistics , *PROSTATE-specific membrane antigen , *SALVAGE therapy , *PROSTATE tumors , *DISEASE risk factors ,RISK of metastasis - Abstract
Simple Summary: The early treatment of oligometastatic disease (OMD) is a promising therapeutic option for prostate cancer as it has the potential of delaying androgen-deprivation therapy (ADT) and disease progression. Next-generation imaging targeting the prostate-specific membrane antigen (PSMA-PET/CT) is considered the most accurate technique for recurrent prostate cancer. Finding clinico-pathological factors predicting positivity with OMD detection on PSMA-PET/CT, as well as assessing its impact on treatment management, were the main objectives of our study. We selected a homogenous population of ADT-free prostate cancer patients with a PSMA-PET/CT performed at biochemical recurrence (BCR) after radical prostatectomy (RP). OMD was detected in 44% of patients for a total positivity rate of 60%. PSA at the moment of PET, PSAdt, and the absence of previous salvage treatment were factors predicting PSMA-PET/CT positivity with OMD. A change in clinical management occurred in more than half of the patients, mostly to perform metastasis-directed therapy after OMD detection. Metastasis-directed therapy (MDT) in oligometastatic prostate cancer has the potential of delaying the start of androgen deprivation therapy (ADT) and disease progression. We aimed to analyze the efficacy of PSMA-PET/CT in detecting oligometastatic disease (OMD), to look for predictive factors of OMD, and to evaluate the impact of PSMA-PET/CT findings on clinical management. We retrospectively analyzed a homogeneous population of 196 hormone-sensitive prostate cancer patients (HSPC), considered potential candidates for MDT, with a PSMA-PET/CT performed at biochemical recurrence (BCR) after radical prostatectomy (RP). Multivariable logistic regression analysis was performed based on several clinico-pathological factors. Changes in clinical management before and after PSMA-PET/CT were analyzed. The OMD detection rate was 44% for a total positivity rate of 60%. PSMA-PET/CT positivity was independently related to PSA (OR (95% CI), p) (1.7 (1.3–2.3), p < 0.0001) and PSAdt (0.4 (0.2–0.8), p = 0.013), and OMD detection was independently related to PSA (1.6 (1.2–2.2), p = 0.001) and no previous salvage therapy (0.3 (0.1–0.9), p = 0.038). A treatment change was observed in 58% of patients, mostly to perform MDT after OMD detection (60% of changes). This study showed that PSMA-PET/CT is an excellent imaging technique to detect OMD early in HSPC patients with BCR after RP, changing therapeutic management mostly into MDT. [ABSTRACT FROM AUTHOR]
- Published
- 2021
- Full Text
- View/download PDF
89. Estrogen-Driven Growth of Focal Nodular Hyperplasia: Truth or Myth?
- Author
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Ju Dong Yang, Ashraf A. Ashhab, Ahmad Abu-Sulb, Alexander Kuo, Walid S. Ayoub, Vinay Sundaram, and Mazen Noureddin
- Subjects
Pathology ,medicine.medical_specialty ,Pregnancy ,business.industry ,medicine.drug_class ,Focal nodular hyperplasia ,Case Report ,General Medicine ,medicine.disease ,Hormone-sensitive ,03 medical and health sciences ,0302 clinical medicine ,Liver ,Estrogen ,030220 oncology & carcinogenesis ,Female patient ,medicine ,030211 gastroenterology & hepatology ,Tumor growth ,business - Abstract
The etiologic association between focal nodular hyperplasia (FNH) and estrogen has been a subject of doubt and controversy. We present a case of a female patient with FNH that had been monitored for several years with noted size stability and later regression, who developed tumor growth during pregnancy. This case suggests that a subset of FNH is indeed hormone sensitive, as opposed to what has been frequently suggested by many other reports that question the association, a finding that may have clinical implications, in terms of monitoring of patients with high estrogen statuses.
- Published
- 2021
90. SP-0141: Radiation therapy in hormone sensitive oligometastatic patients: a step towards cure?
- Author
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P. Blanchard
- Subjects
Oncology ,Radiation therapy ,medicine.medical_specialty ,business.industry ,Internal medicine ,medicine.medical_treatment ,Medicine ,Radiology, Nuclear Medicine and imaging ,Hematology ,business ,Hormone-sensitive - Published
- 2020
91. Re: Is There a Benefit of Additional Docetaxel, Abiraterone, Celecoxib, or Zoledronic Acid in Initial Treatments for Patients Older Than 70 Years with Hormone-Sensitive Advanced Prostate Cancer? A Meta-Analysis
- Author
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Tomas L. Griebling
- Subjects
Male ,Oncology ,medicine.medical_specialty ,Urology ,MEDLINE ,Docetaxel ,Zoledronic Acid ,chemistry.chemical_compound ,Prostate cancer ,Internal medicine ,medicine ,Humans ,business.industry ,Prostatic Neoplasms ,medicine.disease ,Hormone-sensitive ,Abiraterone ,Zoledronic acid ,chemistry ,Celecoxib ,Meta-analysis ,Androstenes ,business ,medicine.drug - Published
- 2020
92. It takes a seasoned bird to be a good listener: communication between the sexes
- Author
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Eliot A. Brenowitz and Luke Remage-Healey
- Subjects
0301 basic medicine ,Auditory response ,Biology ,Article ,Songbirds ,03 medical and health sciences ,Sex Factors ,0302 clinical medicine ,Cortex (anatomy) ,otorhinolaryngologic diseases ,Seasonal breeder ,medicine ,Animals ,Mating ,General Neuroscience ,Estrogens ,biology.organism_classification ,Breed ,Hormone-sensitive ,Songbird ,030104 developmental biology ,medicine.anatomical_structure ,Acoustic Stimulation ,Sex steroid ,Auditory Perception ,Seasons ,Vocalization, Animal ,Neuroscience ,030217 neurology & neurosurgery - Abstract
Birds commonly use sound for communication between the sexes. In many songbird species, only males sing and there are pronounced sex differences in the neural song control circuits. By contrast, the auditory circuitry is largely similar in males and females. Both sexes learn to recognize vocalizations heard as juveniles and this shapes auditory response selectivity. Mating vocalizations are restricted to the breeding season, when sex steroid levels are elevated. Auditory cells, from the ear to the cortex, are hormone sensitive. Estrogens are synthesized in the brain and can modulate the activity of auditory neurons. In species that breed seasonally, elevated levels of estradiol in females transiently enhance their auditory responses to conspecific vocalizations, resulting in sex differences in audition.
- Published
- 2016
93. The development of resistance to tamoxifen in patients with breast cancer: our experience
- Author
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Dusan Mileusnic, Branislava Jakovljevic, Dejan Oprić, Siniša Maksimović, Zdenka Gojkovic, and Biljana Marjanovic
- Subjects
Oncology ,medicine.medical_specialty ,Adjuvant tamoxifen ,business.industry ,Therapeutic effect ,Cancer ,medicine.disease ,3. Good health ,Hormone-sensitive ,Breast cancer ,Internal medicine ,medicine ,In patient ,Lymph ,skin and connective tissue diseases ,business ,Tamoxifen ,medicine.drug - Abstract
Background: The study used data from medical and counselling of patients who were diagnosed with hormone-dependent breast cancer. Aim: The objective of the paper is to identify within a group of patients diagnosed with hormone sensitive breast cancer and those who have received adjuvant tamoxifen, and then to isolate the patients with whom the therapeutic effect of tamoxifen stopped (resistance to tamoxifen). Methods: The study analyzed 153 patients in the period from 2005 to 2011, at the Public Health Institution Hospital, Sveti Vracevi" in Bijeljina. Resistance to tamoxifen was developed by 60 patients (39.2%) and 93 patients (60.8%) did not develop resistance to it. Results: More common emergence of resistance is in the premenopausal group of patients (p
- Published
- 2016
94. A Case of Post Menopausal Woman with Hormone-sensitive Breast Cancer Responsive to Very-low-dose Ethinyl Estradiol
- Author
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Shinsuke Sugenoya, Arano Makino, Toru Hanamura, Hiroshi Koyama, Tetsu Takeda, and Takahiro Yoshizawa
- Subjects
Gynecology ,medicine.medical_specialty ,business.industry ,010102 general mathematics ,Low dose ,Physiology ,Post menopausal ,medicine.disease ,01 natural sciences ,Hormone-sensitive ,03 medical and health sciences ,0302 clinical medicine ,Breast cancer ,030220 oncology & carcinogenesis ,medicine ,0101 mathematics ,business - Published
- 2016
95. Multigene Profiling of Circulating Tumor Cells (CTCs) for Prognostic Assessment in Treatment-Naïve Metastatic Hormone-Sensitive Prostate Cancer (mHSPC).
- Author
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Reichert ZR, Kasputis T, Nallandhighal S, Abusamra SM, Kasputis A, Haruray S, Wang Y, Williams S, Singhal U, Alva A, Cackowski FC, Caram MEV, Palmbos PL, Yentz SE, Smith DC, Alumkal JJ, and Morgan TM
- Subjects
- Androgen Antagonists pharmacology, Androgen Antagonists therapeutic use, Antigens, Neoplasm genetics, Desmoglein 2 genetics, Humans, Kallikreins genetics, Male, Midkine genetics, Multiplex Polymerase Chain Reaction, Precision Medicine, Prognosis, Prospective Studies, Prostate-Specific Antigen genetics, Prostatic Neoplasms drug therapy, Receptors, Androgen genetics, Biomarkers, Tumor genetics, Drug Resistance, Neoplasm, Gene Expression Profiling methods, Neoplastic Cells, Circulating chemistry, Prostatic Neoplasms genetics
- Abstract
The substantial biological heterogeneity of metastatic prostate cancer has hindered the development of personalized therapeutic approaches. Therefore, it is difficult to predict the course of metastatic hormone-sensitive prostate cancer (mHSPC), with some men remaining on first-line androgen deprivation therapy (ADT) for several years while others progress more rapidly. Improving our ability to risk-stratify patients would allow for the optimization of systemic therapies and support the development of stratified prospective clinical trials focused on patients likely to have the greatest potential benefit. Here, we applied a liquid biopsy approach to identify clinically relevant, blood-based prognostic biomarkers in patients with mHSPC. Gene expression indicating the presence of CTCs was greater in CHAARTED high-volume (HV) patients (52% CTC
high ) than in low-volume (LV) patients (23% CTChigh ; * p = 0.03). HV disease ( p = 0.005, q = 0.033) and CTC presence at baseline prior to treatment initiation ( p = 0.008, q = 0.033) were found to be independently associated with the risk of nonresponse at 7 months. The pooled gene expression from CTCs of pre-ADT samples found AR, DSG2, KLK3, MDK, and PCA3 as genes predictive of nonresponse. These observations support the utility of liquid biomarker approaches to identify patients with poor initial response. This approach could facilitate more precise treatment intensification in the highest risk patients.- Published
- 2021
- Full Text
- View/download PDF
96. Tamoxifen — no longer a golden standard for adjuvant therapy in the treatment of premenopausal patients with hormone-sensitive breast cancer
- Author
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Renata Duchnowska
- Subjects
Oncology ,Cancer Research ,medicine.medical_specialty ,Postmenopausal women ,Aromatase inhibitor ,business.industry ,medicine.drug_class ,medicine.medical_treatment ,Endocrine therapy ,medicine.disease ,Hormone-sensitive ,Breast cancer ,Internal medicine ,medicine ,Adjuvant therapy ,skin and connective tissue diseases ,business ,Adjuvant ,hormones, hormone substitutes, and hormone antagonists ,Tamoxifen ,medicine.drug - Abstract
For several decades, in breast cancer patients with a luminal subtype, tamoxifen has been the main endocrine therapy in adjuvant setting in both pre- and postmenopausal women. However, it may be suboptimal in some premenopausal patients. The results of prospective, randomised studies SOFT/TEXT clearly demonstrated that the combination of OFS with TAM or IA is more effective than monotherapy TAM in breast cancer premenopausal women with hormone-sensitive early breast cancer and a high risk of recurrence.
- Published
- 2017
97. Plasma markers showing differential baseline expression in relapsing versus non-relapsing patients with hormone sensitive breast tumors
- Author
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C. Van Ongeval, A Smeets, Y. Lambrechts, H. Wildiers, Christine Desmedt, Diether Lambrechts, Sigrid Hatse, Caroline Weltens, K Punie, Lieze Berben, Guiseppe Floris, Patrick Neven, and Annouschka Laenen
- Subjects
Cancer Research ,medicine.medical_specialty ,Endocrinology ,Oncology ,business.industry ,Internal medicine ,medicine ,business ,Hormone-sensitive - Published
- 2020
98. 150P Association of hormone-sensitive miRNAs expression with main clinicopathologic characteristics of ER/PR-positive breast cancer
- Author
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T. Kalinina, E. Alekseenok, L. Gulyaeva, and V. Kononchuk
- Subjects
Breast cancer ,Oncology ,business.industry ,microRNA ,Cancer research ,Medicine ,Hematology ,business ,medicine.disease ,Hormone-sensitive - Published
- 2020
99. Clinical utility of routine parathyroid hormone measurement in women commenced on endocrine therapy for hormone sensitive breast cancer
- Author
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John Wong, Yuen Chiu Kang, GB Mann, Andrew Giang, Julie A Miller, Rajiv V. Dave, and Thong Le
- Subjects
Oncology ,medicine.medical_specialty ,Breast cancer ,business.industry ,Internal medicine ,Parathyroid hormone measurement ,Endocrine therapy ,medicine ,General Medicine ,medicine.disease ,business ,Hormone-sensitive - Published
- 2020
100. Abstract 1668: Mutational landscape and pharmacological profiling of a panel of prostate PDX models including hormone-naïve, hormone-sensitive and castrate-resistant prostate cancer specimens
- Author
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Myriam Lassalle, Herve Lang, Véronique Lindner, Yves Allory, Claire Béraud, Thierry Massfelder, E. Potiron, Philippe Lluel, and Yolande Misseri
- Subjects
Cancer Research ,medicine.anatomical_structure ,Oncology ,business.industry ,Prostate ,Castrate-resistant prostate cancer ,Cancer research ,Medicine ,Hormone naive ,business ,Hormone-sensitive - Abstract
Prostate Cancer (PCa) is the second most frequent cancer in men worldwide and the fifth leading cause of cancer death with an incidence rate of 13.5%. PCa is driven by multiple genomic alterations, with distinct patterns and clinical implications. These genomic alterations occurring both early and later in the natural history of the disease (ranging from localized disease, initially responsive to androgen deprivation therapy, to Castrate Resistant Prostate Cancers -CRPC) allow classification of PCa in several molecular subtypes with potential clinical relevance. Patient-Derived Xenograft (PDX) models have become the most reliable in vivo human cancer models. Developing such models that capture the biological heterogeneity and mutational landscape of PCa, remains a challenge, but is essential for delivery of precision medicine in metastatic castrate resistant stages. In this study, we present the genomic and transcriptomic landscapes, as well as the pharmacological status of an established bank of seven (7) prostate PDX models ranging from hormone naïve to hormone-resistance PCa specimens. Samples of PCa along with normal corresponding tissues were obtained directly from patients at surgery. Fragments were subcutaneously xenografted into immunocompromised mice to establish PDX models. After the first growth in mice, they were serially passaged in vivo and considered to be established from P3. To ensure model stability, PDX tumors at multiple passages and patients' primary tumors were processed for histological, transcriptomic (Affymetrix U133 plus 2.0 microarray) and STR profile analyses. Genomic characteristics (WES, CNA) were also investigated. Finally, the responses of the PDX models to androgen deprivation and docetaxel were also evaluated. 7 PDX models were successfully established (> P3 in mice) out of 253 primary prostatic tumors collected from surgery. Within those models, one matched pair of responsive adenocarcinoma and neuroendocrine castration-resistant (NE-CRPC) models from the same patient was generated. Histological, transcriptomic and STR profiling validated the stability of the models compared to the parental tumor. The genomic analyses revealed i) the mutational burden rise with the resistance to treatments of the models, correlating with clinical results ii) an increase of metastatic genes loss in the NE-CRPC compared to the corresponding hormone sensitive adenocarcinoma. Furthermore, for all the PDX models generated, genomic and mutational analyses revealed specific molecular features and allowed molecular classification depending on tumor stage. Based on the molecular taxonomy of primary prostate cancers, the presented panel covers the different progression steps of the pathology. Considering the scarcity of useful models for PCa and the difficulties to develop such models, the prostate PDX models collection presented here should clearly help understanding disease progression and supporting precision medicine approaches for patients with advanced PCa. Citation Format: Myriam Lassalle, Claire Béraud, Hervé Lang, Véronique Lindner, Yves Allory, Eric Potiron, Thierry Massfelder, Philippe Lluel, Yolande Misseri. Mutational landscape and pharmacological profiling of a panel of prostate PDX models including hormone-naïve, hormone-sensitive and castrate-resistant prostate cancer specimens [abstract]. In: Proceedings of the Annual Meeting of the American Association for Cancer Research 2020; 2020 Apr 27-28 and Jun 22-24. Philadelphia (PA): AACR; Cancer Res 2020;80(16 Suppl):Abstract nr 1668.
- Published
- 2020
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