Not exact matches
STAMFORD, Connecticut In record time, Loxo Oncology developed a novel drug
for a wide variety of
tumors that share a rare
mutation.
As a cancer researcher, do you think the mechanisms of
tumor growth are somehow changing to come into line with your perceptions, or is it possible that the process of our learning more about DNA
mutations and cell architecture and nutrient exchange and epigenetic effects make it possible
for us to inch ever closer to understanding that which is already going on under our noses?
Currently, many patients who acquire resistance to EGFR - targeted therapy undergo a
tumor biopsy and are designated as either positive or negative
for specific secondary
mutations.
The authors suggest that therapies targeting TP53
mutations may yield better clinical outcomes
for patients with HPV - inactive
tumors.
For example, HPV - inactive
tumors were 17 times more likely to contain disrupting TP53 gene
mutations than HPV - active cervical cancers, rendering unnecessary the expression of the HPV E6 oncogene.
In contrast, HPV - inactive
tumors often have
mutations in the PIK3CA / PTEN / AKT pathway, indicating that AKT kinase inhibitors may be effective treatment options
for these patients.»
If the silencing occurred in a gene responsible
for suppressing
tumor formation, the result would appear the same as genetic
mutations that predispose people to cancer.
Then we can look
for different treatment options, guided either by a
mutation unique to that person's cancer or perhaps unique to that subtype of
tumor.
While several techniques are currently available to assess EGFR
mutation status, these methods require
tumor biopsies and can often fail or have poor reproducibility due to insufficient material
for mutation analysis.
Unlike previously known causes, this new discovery points to a potential therapeutic approach
for those few patients whose
tumors harbor the
mutation.
Mutations in the gene BRAF are the most common mutation found in melanoma, with up to 50 percent of tumors testing positive for the m
Mutations in the gene BRAF are the most common
mutation found in melanoma, with up to 50 percent of
tumors testing positive
for the
mutationsmutations.
The approach is already routine
for some cancer patients, such as women and men with breast cancer
tumors that have high levels of a protein called HER2, or lung cancer
tumors with
mutations in the EGFR gene.
Each vaccine is essentially personalized
for the individual patient, using the patient's own
tumor which has a unique set of
mutations and thus a unique presentation to the immune system.
These results demonstrate that noninvasive imaging of EGFR activating
mutation status in primary and metastatic
tumors with 18F - MPG PET / CT is a valid strategy
for stratifying NSCLC patients
for EGFR - TKI treatment.
«Finding which mechanisms determine why melanoma is so aggressive is very complex because more than 80,000
mutations have been described
for this
tumor,» says Direna - Alonso Curbelo, the article's first author.
BRAF inhibitors are a first line of treatment
for melanoma patients who harbor the BRAF
mutation, which is an abnormal change in a gene that causes some melanoma
tumors to grow and spread more aggressively.
The latter, presented by Eric Lander of the Broad Institute in Cambridge, Massachusetts, would systematically sequence
tumor samples
for mutations involved in cancer to speed up the search
for new drugs and diagnostics.
«If we can define which types of
mutations and changes are the critical events driving
tumor growth, we will be better equipped to identify the most appropriate treatments
for individual cancers.»
The team integrated three, complementary gene sequencing approaches to look
for mutations in
tumor cells from SS patients: whole - genome sequencing in six subjects, sequencing of all protein - coding regions (exomes) in 66 subjects, and comparing variation in the number of copies of all genes across the genome in 80 subjects.
In the era of precision medicine, targeting the
mutations driving cancer growth, rather than the
tumor site itself, continues to be a successful approach
for some patients.
EGFR tyrosine kinase inhibitor (TKI) therapy is approved
for EGFR activating
mutation positive patients with advanced NSCLC, but the standard
for determining
mutation status is with DNA derived directly from
tumor tissue, which can be limited or not available.
The authors acknowledge that «
tumor tissue should be considered the preferred sample type when available, however, our encouraging results suggest that a single plasma - derived ctDNA sample may be considered appropriate
for assessment of EGFR
mutation status when
tumor tissue is unavailable or exhausted.»
They tested these drugs one at a time
for lethal interaction with 112 different
tumor - suppressor gene
mutations in human cancer cells growing in the lab.
The
tumors» genomes were then analyzed
for genetic
mutations, or alterations in their DNA, by her team and that of Bert Vogelstein, M.D., professor of oncology at the Johns Hopkins University School of Medicine and the co-director of the Ludwig Center at the Johns Hopkins Kimmel Cancer Center.
International researchers prospectively analyzed and compared
tumor and matched plasma DNA
for EGFR
mutations from 1060 patients that were screened as part of a phase IV, open - label, single - arm, first - line gefitinib in EGFR
mutation positive Caucasian patients.
«As there are no published guidelines
for the use of ctDNA
for EGFR
mutation analysis in the absence of
tumor tissue, these results may help address this current unmet need.»
«First - line immunotherapy treatment can improve survival
for subset of lung cancer patients: Results of phase III global clinical trial show that 75 percent of stage IV lung cancer patients with both complex
tumor mutations and PDL - 1 positive status respond to nivolumab.»
Samples of the
tumor are excised, examined under a microscope and, often, analyzed to pinpoint the genetic
mutations responsible
for the malignancy.
For example, drugs that target a specific BRAF gene
mutation commonly found in melanoma shrink
tumors in about half of patients with the
mutation.
For example, in colorectal cancer lab models, where a
mutation in the beta - catenin gene drives MYC to cancerous levels, eliminating PVT1 from these cells made the
tumors nearly disappear.
One project involves probing Foundation Medicine's growing database of
tumor profiles
for specific
mutations and using that information to either design drugs or to parse patients into clinical trials of the company's drugs, says Pao.
«Our discovery of germline
mutations in so many cases of Wilms
tumor means that the children and family members of these patients may be at risk
for tumor development,» said Perlman.
The role of rebiopsy and repeat analysis in the setting of post-treatment relapse, along with testing of blood samples
for mutations in circulating
tumor cells, cell free
tumor DNA, or exosomes will be considered.
These mutants will initially be used
for cancer research, determining which genetic
mutations cause
tumors to form and investigating therapies
for people whose genetic backup plan failed them.
In cases where there are lots of T cells in the vicinity of a
tumor, or where
tumor cells have undergone large numbers of
mutations, which creates additional targets
for immune sentries, T cells will signal a full - fledged immune response to the cancer.
Using biopsies of the patients»
tumors collected before the start of treatment and at the time patients developed resistance, the researchers performed large - scale genomic analyses to search
for mutations specific to the cancer cells in all of each patient's 20,000 genes.
To confirm that the missing
mutations were important
for generating an immune response, the researchers cultured a subset of the neoantigen protein fragments containing the
tumor mutations with immune cells taken from three patients» blood samples.
The new combination therapy is indicated
for melanoma patients whose
tumors express gene
mutations called BRAF V600E and V600K.
However, these
mutations can also become a weak point
for a
tumor.
But the diagnostic test, which checks to see if a patient's
tumor carries a
mutation in a gene coding
for anaplastic lymphoma kinase, called ALK, is just $ 250.
The protein products of these genes, the authors note, «represent targets
for immunotherapy, because inactivating
mutations sensitize
tumor cells to T - cell mediated attack.»
Tumor recurrence was faster and more likely among African American patients, particularly
for basal subtype
tumors or those driven by the TP53
mutation.
«We're looking
for multiple
mutations across
tumors,
mutations that turn on genes and promote cell growth,» Dias - Santagata says.
The final list of 24 questions ranges from how obesity contributes to cancer risk, to why certain
mutations promote cancer in some tissues but not others and why some
tumors lie dormant
for years before becoming malignant.
Then Rosen's team searched
for the
mutations in genetic databases that catalogued
tumors from cancer patients.
Mass General geneticist Dora Dias - Santagata explains that she and other pathologists at the hospital's Translational Research Laboratory examine patients»
tumors for more than 150 cancer - inducing
mutations.
Forde said the number of gene
mutations in the
tumor correlated closely with response to treatment and was a potential predictive marker
for future studies.
It is why, in the past few years, scientists have been using DNA sequencing of
tumors more frequently to discover the genetic
mutations responsible
for causing cancer.
To explore this idea, Hopkins oncologists Dung Le, Luis Diaz, and others looked
for mismatch repair
mutations in
tumor samples from patients with advanced colon cancer and other cancer types whose
tumors had stopped responding to other treatments.
• People with paragangliomas and those diagnosed with metastatic
tumors should be tested
for specific gene
mutations associated with those conditions;