38 results on '"L. Kandalaft"'
Search Results
2. 42P Tumor-reactive CD8+ T cells in ovarian and colon cancer in tumors and cell products
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S. Bobisse, B. Navarro Rodrigo, Q-A. Ngo, J. Chiffelle, R. Genolet, A. Michel, D. Saugy, C. Sauvage, D. Tarussio, M. Arnaud, P. Guillaume, B. Stevenson, M. Bassani-Sternberg, S. Tissot, S. Rusakiewicz, J. Schmidt, D. Dangaj, L. Kandalaft, G. Coukos, and A. Harari
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Oncology ,Immunology and Allergy - Published
- 2022
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3. 27MO Integrated digital pathology and single-cell analysis identify the spatial and temporal evolution of immune cells networks in epithelial ovarian cancer
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E. Ghisoni, F. Benedetti, P. Cunnea, N. Fahr, D.C. Gulhan, A. Minasyan, M. Desbuisson, A. Grimm, D. Barras, J. Dagher, E. Fortis, S. Rusakiewicz, S. Tissot, S.A. Mastroyannis, E. Swisher, L. Kandalaft, J. Tanyi, C. Fotopoulou, G. Coukos, and D. Dangaj
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Oncology ,Hematology - Published
- 2022
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4. The Lung-Restricted Marker Napsin A Is Highly Expressed in Clear Cell Carcinomas of the Ovary
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Christina Isacson, Patricia L. Kandalaft, and Allen M. Gown
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Pathology ,medicine.medical_specialty ,endocrine system diseases ,Estrogen receptor ,Ovary ,Sensitivity and Specificity ,Diagnosis, Differential ,Biomarkers, Tumor ,medicine ,Carcinoma ,Aspartic Acid Endopeptidases ,Humans ,Retrospective Studies ,Ovarian Neoplasms ,Lung ,biology ,General Medicine ,medicine.disease ,female genital diseases and pregnancy complications ,Serous fluid ,medicine.anatomical_structure ,biology.protein ,Immunohistochemistry ,Female ,Antibody ,Carcinoma, Endometrioid ,Clear cell ,Adenocarcinoma, Clear Cell - Abstract
Objectives: We recently observed expression of the “lung” marker napsin A in ovarian clear cell carcinomas and therefore sought to determine the extent of napsin A expression in a subset of ovarian neoplasms. Methods: We identified an archival series of ovarian clear cell carcinomas (n = 36), serous borderline tumors (n = 21), high-grade serous carcinomas (n = 37), and endometrioid adenocarcinomas (n = 29). Using standard immunohistochemical techniques on whole sections of formalin-fixed, paraffin-embedded specimens, we employed a panel of antibodies: napsin A (IP64), estrogen receptor (SP1), WT-1 (6F-H2), PAX-8 (BC12), and TTF-1 (SPT24). Results: Thirty-six of 36 clear cell carcinomas showed napsin A expression, typically in a uniform pattern. None of the serous borderline tumors or high-grade serous carcinomas manifested napsin A expression. Napsin A was expressed in three (10%) of 29 endometrioid adenocarcinomas, generally in a focal pattern. Conclusions: Our study showed that napsin A is an extremely sensitive (100%) marker of ovarian clear cell carcinomas and exhibits very high specificity (100%) in distinguishing clear cell carcinomas from high-grade serous carcinomas and serous borderline tumors and 90% specificity in discriminating clear cell carcinomas from endometrioid carcinomas.
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- 2014
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5. Comparative Sensitivities and Specificities of Antibodies to Breast Markers GCDFP-15, Mammaglobin A, and Different Clones of Antibodies to GATA-3: A Study of 338 Tumors Using Whole Sections
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Allen M. Gown, Patricia L. Kandalaft, Christina Isacson, and Rochelle A. Simon
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0301 basic medicine ,Metastatic breast ,Histology ,medicine.drug_class ,Clone (cell biology) ,Breast Neoplasms ,GATA3 Transcription Factor ,Bioinformatics ,Monoclonal antibody ,Pathology and Forensic Medicine ,03 medical and health sciences ,0302 clinical medicine ,Mammaglobin ,Antibody Specificity ,Mammaglobin-A ,Formaldehyde ,Biomarkers, Tumor ,Medicine ,Humans ,Glycoproteins ,Paraffin Embedding ,biology ,business.industry ,Mammaglobin A ,Membrane Transport Proteins ,Immunohistochemistry ,Medical Laboratory Technology ,030104 developmental biology ,030220 oncology & carcinogenesis ,Cancer research ,biology.protein ,Unknown primary ,Female ,Antibody ,business ,Carrier Proteins - Abstract
GATA-3 is a transcription factor that has recently been identified by immunohistochemistry to be highly expressed in urothelial and breast carcinomas (CAs). We sought to determine the potential utility of GATA-3 in identifying metastatic breast CA, and to compare its utility with the standard breast markers, GCDFP-15, and mammaglobin A. We identified an archival series of 338 formalin-fixed paraffin-embedded whole-tissue sections of various CAs. Using standard immunohistochemical (IHC) techniques we used mouse monoclonal antibodies to GATA-3 (clones L50-823, HG3-31), GCDFP-15 (23A3), and mammaglobin A (31A5). Both clones of GATA-3 showed positivity in 96% of non-triple-negative breast carcinomas (TNBCs), L50-823 and HG3-31, demonstrating expression in 87% and 63% of TNBCs, respectively; GCDFP-15 and mammaglobin A were expressed in 69% and 61% of non-TNBCs, respectively, and 10% and 17%, of TNBCs, respectively. The L50-823 clone manifested a lower specificity in identifying breast CAs (84%) than did the HG3-31 clone (97%). Both monoclonal antibodies to GATA-3 are very sensitive reagents for the identification of breast CA, surpassing antibodies to GCDFP-15 and mammaglobin A, and offer a significant improvement in identifying TNBCs. However, the L50-823 clone showed a lower level of specificity, which may qualify its utility in the setting of CAs of unknown primary.
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- 2016
6. Determining True HER2 Gene Status in Breast Cancers With Polysomy by Using Alternative Chromosome 17 Reference Genes: Implications for Anti-HER2 Targeted Therapy
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Patricia L Kandalaft, Steven J. Kussick, Lynn C. Goldstein, Jesse C. Wiley, Chun Hing Tse, Harry C. Hwang, and Allen M. Gown
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Adult ,Cancer Research ,Receptor, ErbB-2 ,medicine.medical_treatment ,Antineoplastic Agents ,Breast Neoplasms ,Biology ,Targeted therapy ,Breast cancer ,Reference genes ,Gene duplication ,Biomarkers, Tumor ,medicine ,Humans ,Molecular Targeted Therapy ,Gene ,In Situ Hybridization, Fluorescence ,Aged ,Genetics ,Polysomy ,Gene Amplification ,Genes, erbB-2 ,Middle Aged ,Phosphoproteins ,medicine.disease ,Immunohistochemistry ,Gene Expression Regulation, Neoplastic ,Chromosome 17 (human) ,Oncology ,Retinoic acid receptor alpha ,Female ,Tumor Suppressor Protein p53 ,Microtubule-Associated Proteins ,Algorithms ,Chromosomes, Human, Pair 17 - Abstract
Purpose The ratio of human epidermal growth factor receptor 2 (HER2) to CEP17 by fluorescent in situ hybridization (FISH) with the centromeric probe CEP17 is used to determine HER2 gene status in breast cancer. Increases in CEP17 copy number have been interpreted as representing polysomy 17. However, pangenomic studies have demonstrated that polysomy 17 is rare. This study tests the hypothesis that the use of alternative chromosome 17 reference genes might more accurately assess true HER2 gene status. Patients and Methods In all, 171 patients with breast cancer who had HER2 FISH that had increased mean CEP17 copy numbers (> 2.6) were selected for additional chromosome 17 studies that used probes for Smith-Magenis syndrome (SMS), retinoic acid receptor alpha (RARA), and tumor protein p53 (TP53) genes. A eusomic copy number exhibited in one or more of these loci was used to calculate a revised HER2-to-chromosome-17 ratio by using the eusomic gene locus as the reference. Results Of 132 cases classified as nonamplified on the basis of their HER2:CEP17 ratios, 58 (43.9%) were scored as amplified by using alternative chromosome 17 reference gene probes, and 13 (92.9%) of 14 cases scored as equivocal were reclassified as amplified. Among the cases with mean HER2 copy number of 4 to 6, 41 (47.7%) of 86 had their HER2 gene status upgraded from nonamplified to amplified, and four (4.7%) of 86 were upgraded from equivocal to amplified. Conclusion Our results support the findings of recent pangenomic studies that true polysomy 17 is uncommon. Additional FISH studies that use probes to the SMS, RARA, and TP53 genes are an effective way to determine the true HER2 amplification status in patients with polysomy 17 and they have important potential implications for guiding HER2-targeted therapy in breast cancer.
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- 2011
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7. Routine pathologic parameters can predict Oncotype DXTM recurrence scores in subsets of ER positive patients: who does not always need testing?
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A. M. Gown, Kimberly H. Allison, C. M. Sitlani, S. M. Dintzis, and P. L. Kandalaft
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Adult ,Oncology ,Cancer Research ,medicine.medical_specialty ,Pathology ,Lymphovascular invasion ,Estrogen receptor ,Breast Neoplasms ,Correlation ,Breast cancer ,Internal medicine ,Progesterone receptor ,medicine ,Humans ,Aged ,medicine.diagnostic_test ,business.industry ,Cancer ,Middle Aged ,Prognosis ,medicine.disease ,Receptors, Estrogen ,Female ,Lymph Nodes ,Breast disease ,Neoplasm Recurrence, Local ,business ,Oncotype DX - Abstract
Oncotype DX(TM) is an RT-PCR-based assay used to predict chemotherapy benefit in patients with estrogen receptor (ER) positive breast cancers. We were interested if routinely available pathologic parameters could predict Oncotype DX Recurrence Scores (RS) in subsets of patients. We identified 173 breast cancers with available RSs and used 104 of these as a test set and 69 cases as a validation set. Pathologic characteristics including size, histologic type, Nottingham grade, and lymphatic invasion were recorded. Test set cases were stained for ER, progesterone receptor (PR), HER2, Ki67, CyclinD1, BCL2, D2-40, and P53. Statistical correlations with RS and regression tree analysis were performed. The validation set was subjected to analysis on the basis of grade, PR, and Ki67. In the test set, grade, PR levels and Ki67 had the strongest correlation with RS (P = 0.0002-0.0007). Regression tree analysis showed grade and PR as factors that could segregate cases into RS categories, with Ki67 adding value in certain subsets. A subset of cancers with a high likelihood of having a low RS (0-18) was identified with the following characteristics: grade 1, strong PR expression (Allred score ≥ 5) and Ki67 ≤ 10%. No cases with these characteristics had a high RS (≥ 31) and 73% had a low RS. Cancers highly likely to have a high RS were grade 3, low to absent PR expression (Allred score5) and Ki6710%. 80% of cases with these characteristics had a high RS and no cases had a low RS. Our validation set had similar findings in these two subsets. In conclusion, When cost and time are a consideration and the added value of Oncotype DX(TM) testing is in question, it may be reasonable to assume the results of this test in two specific subsets of breast cancers: (1) grade 1, high PR, low Ki67 cancers (low RS), and (2) grade 3, low PR, high Ki67 cancers (high RS).
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- 2011
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8. High concordance between immunohistochemistry and fluorescence in situ hybridization testing for HER2 status in breast cancer requires a normalized IHC scoring system
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Steven J. Kussick, Allen M. Gown, Christopher C Tse, Lynn C. Goldstein, Todd S Barry, Patricia M Kim, and Patricia L Kandalaft
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In situ ,Pathology ,medicine.medical_specialty ,Scoring system ,medicine.diagnostic_test ,Receptor, ErbB-2 ,Concordance ,Reproducibility of Results ,Breast Neoplasms ,In situ hybridization ,Genes, erbB-2 ,Biology ,medicine.disease ,Immunohistochemistry ,Laboratory testing ,Pathology and Forensic Medicine ,Breast cancer ,Practice Guidelines as Topic ,Biomarkers, Tumor ,medicine ,Humans ,Female ,In Situ Hybridization, Fluorescence ,Fluorescence in situ hybridization - Abstract
The American Society of Clinical Oncologists and College of American Pathologists have recently released new guidelines for laboratory testing of HER2 status in breast cancer, which require high levels (95%) of concordance between immunohistochemistry positive (3+) and fluorescence in situ hybridization-amplified cases, and between immunohistochemistry negative (0/1+) and fluorescence in situ hybridization-nonamplified cases; these required levels of concordance are significantly higher than those found in most published studies. We tested the hypothesis that a modification of the HER2 immunohistochemistry scoring system could significantly improve immunohistochemistry and fluorescence in situ hybridization concordance. A total of 6604 breast cancer specimens were evaluated for HER2 status by both immunohistochemistry and fluorescence in situ hybridization using standard methodologies. Results were compared when the standard immunohistochemistry scoring system was replaced by a normalized scoring system in which the HER2 score was derived by subtracting the score on the non-neoplastic breast epithelium from that on the tumor cells. Among the 6604 tumors, using a non-normalized immunohistochemistry scoring system, 267/872 (30.6%) of the immunohistochemistry 3+ cases proved to be fluorescence in situ hybridization nonamplified, whereas using the normalized scoring system only 30/562 (5.3%) of immunohistochemistry 3+ cases proved to be 'false positive'. The concordance rate between immunohistochemistry 3+ and fluorescence in situ hybridization-amplified cases using the normalized scoring method was 94.7%, whereas the concordance using the non-normalized method was only 69.4%. Extremely high concordance between immunohistochemistry and fluorescence in situ hybridization assessment of HER2 status in breast cancer is achievable, but to attain this high level of concordance, modification of the FDA-approved immunohistochemistry scoring system is required.
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- 2008
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9. Markers of metastatic carcinoma of breast origin
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Allen M. Gown, Patricia L. Kandalaft, and Regan Fulton
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0301 basic medicine ,Oncology ,medicine.medical_specialty ,Pathology ,Histology ,Breast Neoplasms ,GATA3 Transcription Factor ,Pathology and Forensic Medicine ,Metastatic carcinoma ,03 medical and health sciences ,0302 clinical medicine ,Breast cancer ,Mammaglobin ,Internal medicine ,medicine ,Biomarkers, Tumor ,Humans ,Cystic disease ,Glycoproteins ,biology ,business.industry ,Carcinoma ,Mammaglobin A ,GATA3 ,Membrane Transport Proteins ,General Medicine ,medicine.disease ,030104 developmental biology ,030220 oncology & carcinogenesis ,biology.protein ,Immunohistochemistry ,Female ,Differential diagnosis ,Antibody ,business ,Carrier Proteins - Abstract
This review summarizes the three major breast-associated markers that can be of assistance in evaluating metastatic carcinomas for which a breast primary diagnosis is entertained. These markers include gross cystic disease fluid protein-15 (GCDFP-15), mammaglobin, and GATA3. The first two are cytoplasmic markers that show comparable sensitivities for breast cancer, although relatively few of the published studies have employed the same antibodies against the target molecule, making direct comparisons challenging. GATA3 is a nuclear transcription factor that shows superior sensitivity to GCDFP-15 and mammaglobin. However, the specificity of GATA3 can pose challenges, inasmuch as carcinomas of the bladder and other sites can show significant levels of positivity. Determination of the optimal panel of antibodies employed in a given clinical setting will thus depend on the non-breast tumours included in the differential diagnosis.
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- 2016
10. Practical Applications in Immunohistochemistry: Carcinomas of Unknown Primary Site
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Allen M. Gown and Patricia L. Kandalaft
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0301 basic medicine ,business.industry ,Pathology, Surgical ,Carcinoma ,Diagnostic accuracy ,General Medicine ,Bioinformatics ,medicine.disease ,Immunohistochemistry ,Quality Improvement ,Pathology and Forensic Medicine ,03 medical and health sciences ,Medical Laboratory Technology ,030104 developmental biology ,0302 clinical medicine ,030220 oncology & carcinogenesis ,Unknown primary ,Biomarkers, Tumor ,Medicine ,Humans ,Neoplasms, Unknown Primary ,business ,Site of origin - Abstract
Context.—Identification of the site of origin of carcinoma of unknown primary using immunohistochemistry is a frequent requirement of anatomic pathologists. Diagnostic accuracy is crucial, particularly in the current era of targeted therapies and smaller sample sizes.Objectives.—To provide practical guidance and suggestions for classifying carcinoma of unknown primary using both proven and new antibodies, as well as targeting panels based on integration of morphologic and clinical features.Data Sources.—Literature review, the authors' practice experience, and authors' research.Conclusions.—With well-performed and interpreted immunohistochemistry panels, anatomic pathologists can successfully identify the site of origin of carcinoma of unknown primary. It is crucial to understand not only the diagnostic uses of the many available antibodies but also the potential limits and pitfalls.
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- 2015
11. Prognostic significance of immunohistochemical analysis of cathepsin D in low-stage breast cancer
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K. L. Chang, S T Traweek, Patricia L. Kandalaft, Hector Battifora, Parula Mehta, and Chul Ahn
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Oncology ,Cancer Research ,medicine.medical_specialty ,Pathology ,Epithelioma ,business.industry ,Mammary gland ,Cathepsin D ,medicine.disease ,Breast cancer ,medicine.anatomical_structure ,Internal medicine ,medicine ,Carcinoma ,Immunohistochemistry ,Lymph ,Stage (cooking) ,business - Abstract
Background. Cathepsin D is an estrogen-regulated lysosomal protease that may be overexpressed in breast cancer. Several studies based on biochemical analysis of tumor cytosol have shown that high levels of cathepsin D are associated with poor outcome in patients with breast cancer. In contrast, a few immunohistochemical studies have shown that cathepsin D positivity in breast cancer cells indicates a favorable prognostic outcome or is of noprognostic significance. Methods. Because of the current controversy, the authors studied, using immunohistochemistry, the distribution (0 to 3) and intensity (0 to 3) of cathepsin D in Stage I and II infiltrating ductal carcinoma of the breast from 245 patients treated at the City of Hope National Medical Center, Duarte, California, from 1970 to 1986. A commercially available rabbit antiserum to purified human cathepsin D and the standard avidin-biotin complex method were used. Statistical analysis was based on a combined low (0 or 2) or high (3 to 6) score. Results. A high cathepsin D score was associated with Stage II disease (P = 0.007), positive lymph nodes (P = 0.019), high nuclear grade (P = 0.005), and c-erbB-2 oncogene amplification (P = 0.013). Cathepsin D positivity was not an independent prognostic indicator of disease-free survival (DFS) or overall survival (OS). In a subgroup analysis, the presence of cathepsin D had only a modest association with predicting a shorter DFS in patients with negative lymph nodes (P = 0.072) or positive progesterone receptors (PR) (P = 0.086). Conclusions. Immunohistochemical analysis of cathepsin D, with the antiserum used in this study, is not an independent predictor of outcome in patients with breast cancer because of its strong associations with several well-established prognostic indicators.
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- 1993
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12. Vimentin-Negative Epithelioid Sarcoma
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Parula Mehta, Patricia L. Kandalaft, Hector Battifora, and Daniel A. Arber
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chemistry.chemical_classification ,Pathology ,medicine.medical_specialty ,integumentary system ,biology ,Epithelioid sarcoma ,CD34 ,Vimentin ,macromolecular substances ,medicine.disease ,Pathology and Forensic Medicine ,Staining ,chemistry.chemical_compound ,Immunophenotyping ,Antigen retrieval ,chemistry ,Keratin ,medicine ,biology.protein ,Immunohistochemistry ,Surgery ,Anatomy - Abstract
Virtually all reported cases of epithelioid sarcoma have been vimentin rich, and the coexpression of vimentin and keratin is considered a characteristic immunophenotype in these tumors. We report three cases of soft tissue tumors with histologic and clinical features consistent with epithelioid sarcoma, all of which failed to immunoreact by standard immunohistochemistry for vimentin using two different monoclonal antibodies. Antigen retrieval demonstrated focal vimentin staining in one case, whereas the other two remained negative. An extensive panel of immunohistochemical stains revealed strong diffuse staining with keratin and epithelial membrane antigen in all three cases as well as patchy membrane staining with an antibody to CD34. CD34 positivity is commonly seen in epithelioid sarcoma, but it is very rarely found in carcinomas. We conclude that these cases represent a unique immunophenotypic variant of epithelioid sarcoma that can be immunohistochemically confirmed, despite the lack of identifiable vimentin, by their immunoreactivity for keratin and CD34.
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- 1993
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13. Reply to Hanna et al
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Steven J. Kussick, Lynn C. Goldstein, Patricia L Kandalaft, Christopher C Tse, and Allen M. Gown
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Oncology ,medicine.medical_specialty ,Pathology ,business.industry ,Concordance ,medicine.disease ,Pathology and Forensic Medicine ,Breast cancer ,Internal medicine ,medicine ,%22">Fish ,Identification (biology) ,skin and connective tissue diseases ,business - Abstract
In reply: The ASCO-CAP Guidelines were generated in an attempt to optimize the accuracy of HER2 testing in breast cancer and to address the documented high levels of discordance between HER2 testing reported in the literature. Indeed, the identification of methods that can be employed to ensure the accuracy of HER2 testing was also the motivation of the study of HER2 IHC and FISH concordance that we have reported in this issue of Modern Pathology. Furthermore, one of the authors of our study (AG) was present at the ad hoc committee meeting that preceded the generation of the published guidelines.1
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- 2008
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14. Prognostic significance of immunohistochemical analysis of cathepsin D in low-stage breast cancer
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P L, Kandalaft, K L, Chang, C W, Ahn, S T, Traweek, P, Mehta, and H, Battifora
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Adult ,Chi-Square Distribution ,Breast Neoplasms ,Middle Aged ,Prognosis ,Cathepsin D ,Immunohistochemistry ,Carcinoma, Intraductal, Noninfiltrating ,Lymphatic Metastasis ,Humans ,Regression Analysis ,Female ,Aged ,Neoplasm Staging - Abstract
Cathepsin D is an estrogen-regulated lysosomal protease that may be overexpressed in breast cancer. Several studies based on biochemical analysis of tumor cytosol have shown that high levels of cathepsin D are associated with poor outcome in patients with breast cancer. In contrast, a few immunohistochemical studies have shown that cathepsin D positivity in breast cancer cells indicates a favorable prognostic outcome or is of no prognostic significance.Because of the current controversy, the authors studied, using immunohistochemistry, the distribution (0 to 3) and intensity (0 to 3) of cathepsin D in Stage I and II infiltrating ductal carcinoma of the breast from 245 patients treated at the City of Hope National Medical Center, Duarte, California, from 1970 to 1986. A commercially available rabbit antiserum to purified human cathepsin D and the standard avidin-biotin complex method were used. Statistical analysis was based on a combined low (0 or 2) or high (3 to 6) score.A high cathepsin D score was associated with Stage II disease (P = 0.007), positive lymph nodes (P = 0.019), high nuclear grade (P = 0.005), and c-erbB-2 oncogene amplification (P = 0.013). Cathepsin D positivity was not an independent prognostic indicator of disease-free survival (DFS) or overall survival (OS). In a subgroup analysis, the presence of cathepsin D had only a modest association with predicting a shorter DFS in patients with negative lymph nodes (P = 0.072) or positive progesterone receptors (PR) (P = 0.086).Immunohistochemical analysis of cathepsin D, with the antiserum used in this study, is not an independent predictor of outcome in patients with breast cancer because of its strong associations with several well-established prognostic indicators.
- Published
- 1993
15. Vimentin-negative epithelioid sarcoma. The value of an immunohistochemical panel that includes CD34
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D A, Arber, P L, Kandalaft, P, Mehta, and H, Battifora
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Adult ,Male ,Cytoplasm ,Membrane Glycoproteins ,Mucin-1 ,Antigens, CD34 ,Sarcoma ,Soft Tissue Neoplasms ,Middle Aged ,Immunohistochemistry ,Eosinophils ,Antigens, CD ,Humans ,Keratins ,Vimentin ,Female ,Diagnostic Errors - Abstract
Virtually all reported cases of epithelioid sarcoma have been vimentin rich, and the coexpression of vimentin and keratin is considered a characteristic immunophenotype in these tumors. We report three cases of soft tissue tumors with histologic and clinical features consistent with epithelioid sarcoma, all of which failed to immunoreact by standard immunohistochemistry for vimentin using two different monoclonal antibodies. Antigen retrieval demonstrated focal vimentin staining in one case, whereas the other two remained negative. An extensive panel of immunohistochemical stains revealed strong diffuse staining with keratin and epithelial membrane antigen in all three cases as well as patchy membrane staining with an antibody to CD34. CD34 positivity is commonly seen in epithelioid sarcoma, but it is very rarely found in carcinomas. We conclude that these cases represent a unique immunophenotypic variant of epithelioid sarcoma that can be immunohistochemically confirmed, despite the lack of identifiable vimentin, by their immunoreactivity for keratin and CD34.
- Published
- 1993
16. Improvement of the quantification of estrogen and progesterone receptors in paraffin-embedded tumors by image analysis
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Parula Mehta, Patricia L. Kandalaft, Tammy L. Odom-Maryon, Jose M. Esteban, Sara Bacus, and Hector Battifora
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Pathology ,medicine.medical_specialty ,Paraffin Embedding ,medicine.drug_class ,Assay ,Estrogen receptor ,Breast Neoplasms ,General Medicine ,Biology ,Stain ,Immunohistochemistry ,Receptors, Estrogen ,Estrogen ,Progesterone receptor ,medicine ,Image Processing, Computer-Assisted ,Humans ,Vimentin ,Female ,Prospective Studies ,Receptor ,Receptors, Progesterone ,Immunostaining - Abstract
It has been shown previously that estrogen receptors (ER) detected by immunohistochemical examination of paraffin-embedded tissue sections could be quantified by computerized image analysis. Several factors were identified that were, in part, responsible for the modest correlation obtained with biochemical assay results. In the present study, 45 formalin-fixed, paraffin-embedded breast carcinomas from a previous study were reevaluated to determine if current methods could provide a better correlation and more consistent results. Sections of the tumors were made to react with estrogen and progesterone receptor antibodies (ER-ICA and PgR-ICA) and the intensity of the stain was quantified using an image analysis system. Vimentin immunostain was used to assess the degree of antigenic loss. Quantitation was performed only on the areas with nuclear staining. The correlation of the estrogen and progesterone receptor values obtained by the dextran charcoal-coated method with the percentages of stained areas and with the intensity of the stain was excellent. The agreement between both methods was 91.1% for estrogen and 86.7% for progesterone receptor values. These results represent a significant improvement compared with those found in a previous study (87% agreement for estrogen receptor). The current approach to estrogen and progesterone receptor quantitation is simplified and eliminates subjectiveness in the selection of the fields for evaluation. The studies are reproducible because discrepancies due to sampling techniques are excluded. Finally, the method validates the technique as a substitute for cytosol-based methods. The results of the two vastly dissimilar assays, the pitfalls of the "gold standard" dextran charcaol-coated assay, and the need for retrospective studies to acquire a range of quantified ER-ICA and PgR-ICA values with clinical significance are discussed.
- Published
- 1993
17. Determining true HER2 status in breast cancers with polysomy using alternative chromosome 17 reference genes: Implications for trastuzumab therapy
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Allen M. Gown, Harry C. Hwang, Patricia L Kandalaft, Lynn C. Goldstein, and C. C. Tse
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Oncology ,Cancer Research ,medicine.medical_specialty ,Polysomy ,business.industry ,medicine.disease ,Bioinformatics ,Chromosome 17 (human) ,Breast cancer ,Trastuzumab ,Internal medicine ,Reference genes ,HER2 Gene Amplification ,medicine ,%22">Fish ,skin and connective tissue diseases ,business ,neoplasms ,medicine.drug - Abstract
10549 Background: Detection of HER2 gene amplification by FISH is a key test to predict response of breast cancer to trastuzumab. The ratio of HER2 to CEP17 signals is often used to determine HER2 ...
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- 2010
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18. Bilateral massive ovarian leiomyomata in a young woman: a case report with review of the literature
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P L, Kandalaft and J M, Esteban
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Adult ,Ovarian Neoplasms ,Leiomyoma ,Humans ,Female ,Immunohistochemistry - Abstract
We report a case of ovarian leiomyomata, bilateral and massive, in a 21-yr-old woman. Primary leiomyoma of the ovary is a very rare tumor and is usually small, unilateral, and concomitant with uterine leiomyomata. To our knowledge, this is the first report in the English literature of bilateral ovarian leiomyomata. We document the smooth muscle origin of the tumors with immunohistochemical studies that show appropriate staining with antibodies to vimentin, muscle specific actin, desmin, smooth muscle actin, and collagen type IV. The available literature is reviewed. The characteristics of both typical and atypical ovarian leiomyoma and theories of its origin are discussed.
- Published
- 1992
19. The human hematopoietic progenitor cell antigen (CD34) in vascular neoplasia
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S T Traweek, Hector Battifora, Patricia L. Kandalaft, and Parula Mehta
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Pathology ,medicine.medical_specialty ,CD34 ,Antibodies, Monoclonal ,Antigens, CD34 ,General Medicine ,Biology ,medicine.disease ,Hematopoietic Stem Cells ,Immunohistochemistry ,Sensitivity and Specificity ,Hemangioendothelioma ,Endothelial stem cell ,Antigens, CD ,Neoplasms ,Vascular Neoplasm ,medicine ,Hematopoietic Progenitor Cell Antigen CD34 ,Biomarkers, Tumor ,Humans ,Sarcoma ,Vascular Diseases ,Epithelioid hemangioendothelioma - Abstract
The human hematopoietic progenitor cell antigen CD34 is synthesized and expressed by early normal hematopoietic progenitor cells and by many acute leukemias. Anti-CD34 antibodies also have been reported to stain blood vessels in tissue sections, and, more recently, CD34 mRNA has been detected in vascular endothelial cells. Therefore, the authors studied the diagnostic utility of immunohistochemical CD34 antigen detection in tumors of endothelial cell derivation and compared the results with stains for von Willebrand (vW) factor. A wide variety of epithelial and mesenchymal neoplasms also were examined to assess the specificity of CD34 for vascular neoplasia. Seven cases of angiosarcoma (seven of seven), five cases of Kaposi's sarcoma (five of five), and eight cases of epithelioid hemangioendothelioma (eight of eight) were moderately to strongly positive for CD34. This reactivity was equally intense in frozen sections, alcohol-fixed tissue, and formalin-fixed specimens. In many cases, the malignant endothelial cells stained more strongly than adjacent benign endothelium. Moreover, in most cases CD34 positivity was quantitatively and qualitatively stronger than staining for vW factor. Two cases of hemangiopericytoma (two of two) were CD34 positive but stained less intensely than the angiosarcomas, Kaposi's sarcomas, or hemangioendotheliomas. Five of six cases of hemangioma also stained positively for CD34; the nonreactive tumor in this group was the only one among 28 vascular neoplasms studied that was not reactive for CD34. In comparison, 9 of the 28 vascular tumors did not stain for vW factor. Three hundred fifty-seven tumors of nonvascular derivation also were examined for CD34 antigen expression. Focal light staining was seen in one pulmonary squamous cell carcinoma; moderate to intense staining was observed in half of the epithelioid sarcomas studied (8 of 16) and in a minority of leiomyosarcomas (3 of 22). These findings indicate that CD34 is a sensitive and relatively specific marker for neoplasms of vascular origin.
- Published
- 1991
20. Sensitivity of immunohistochemical detection of EGFR could impact patient eligibility for anti-EGFR therapy
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Patricia L Kandalaft, Lynn C. Goldstein, Diana O. Treaba, Allen M. Gown, T. S. Barry, and Chun Hing Tse
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Oncology ,Advanced colorectal cancer ,Cancer Research ,medicine.medical_specialty ,Pathology ,business.industry ,Internal medicine ,medicine ,Immunohistochemistry ,business ,Egfr expression - Abstract
3607 Background: Immunohistochemical detection of EGFR expression has been employed for selecting patients with advanced colorectal cancer for anti-EGFR therapy. Using the FDA approved EGFR pharmDx...
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- 2005
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21. Determining True HER2 Gene Status in Breast Cancers With Polysomy by Using Alternative Chromosome 17 Reference Genes: Implications for Anti-HER2 Targeted Therapy.
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Chun Hing Tse, Harry C. Hwang, Lynn C. Goldstein, Patricia L. Kandalaft, Jesse C. Wiley, Steven J. Kussick, and Allen M. Gown
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- 2011
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22. Immunotherapy for ovarian cancer: towards a tailored immunophenotype-based approach.
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Ghisoni E, Morotti M, Sarivalasis A, Grimm AJ, Kandalaft L, Laniti DD, and Coukos G
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- Humans, Female, Lymphocytes, Tumor-Infiltrating immunology, CD8-Positive T-Lymphocytes immunology, Biomarkers, Tumor genetics, Ovarian Neoplasms immunology, Ovarian Neoplasms therapy, Ovarian Neoplasms pathology, Immunotherapy methods, Immune Checkpoint Inhibitors therapeutic use, Immunophenotyping methods, Tumor Microenvironment immunology
- Abstract
Despite documented evidence that ovarian cancer cells express immune-checkpoint molecules, such as PD-1 and PD-L1, and of a positive correlation between the presence of tumour-infiltrating lymphocytes and favourable overall survival outcomes in patients with this tumour type, the results of trials testing immune-checkpoint inhibitors (ICIs) in these patients thus far have been disappointing. The lack of response to ICIs can be attributed to tumour heterogeneity as well as inherent or acquired resistance associated with the tumour microenvironment (TME). Understanding tumour immunobiology, discovering biomarkers for patient selection and establishing optimal treatment combinations remains the hope but also a key challenge for the future application of immunotherapy in ovarian cancer. In this Review, we summarize results from trials testing ICIs in patients with ovarian cancer. We propose the implementation of a systematic CD8
+ T cell-based immunophenotypic classification of this malignancy, followed by discussions of the preclinical data providing the basis to treat such immunophenotypes with combination immunotherapies. We posit that the integration of an accurate TME immunophenotype characterization with genetic data can enable the design of tailored therapeutic approaches and improve patient recruitment in clinical trials. Lastly, we propose a roadmap incorporating tissue-based profiling to guide future trials testing adoptive cell therapy approaches and assess novel immunotherapy combinations while promoting collaborative research., (© 2024. Springer Nature Limited.)- Published
- 2024
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23. A comprehensive proteogenomic pipeline for neoantigen discovery to advance personalized cancer immunotherapy.
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Huber F, Arnaud M, Stevenson BJ, Michaux J, Benedetti F, Thevenet J, Bobisse S, Chiffelle J, Gehert T, Müller M, Pak H, Krämer AI, Altimiras ER, Racle J, Taillandier-Coindard M, Muehlethaler K, Auger A, Saugy D, Murgues B, Benyagoub A, Gfeller D, Laniti DD, Kandalaft L, Rodrigo BN, Bouchaab H, Tissot S, Coukos G, Harari A, and Bassani-Sternberg M
- Abstract
The accurate identification and prioritization of antigenic peptides is crucial for the development of personalized cancer immunotherapies. Publicly available pipelines to predict clinical neoantigens do not allow direct integration of mass spectrometry immunopeptidomics data, which can uncover antigenic peptides derived from various canonical and noncanonical sources. To address this, we present an end-to-end clinical proteogenomic pipeline, called NeoDisc, that combines state-of-the-art publicly available and in-house software for immunopeptidomics, genomics and transcriptomics with in silico tools for the identification, prediction and prioritization of tumor-specific and immunogenic antigens from multiple sources, including neoantigens, viral antigens, high-confidence tumor-specific antigens and tumor-specific noncanonical antigens. We demonstrate the superiority of NeoDisc in accurately prioritizing immunogenic neoantigens over recent prioritization pipelines. We showcase the various features offered by NeoDisc that enable both rule-based and machine-learning approaches for personalized antigen discovery and neoantigen cancer vaccine design. Additionally, we demonstrate how NeoDisc's multiomics integration identifies defects in the cellular antigen presentation machinery, which influence the heterogeneous tumor antigenic landscape., (© 2024. The Author(s).)
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- 2024
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24. Cryoablation Does Not Significantly Contribute to Systemic Effector Immune Responses in a Poorly Immunogenic B16F10 Melanoma Model.
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Yakkala C, Corria-Osorio J, Kandalaft L, Denys A, Koppolu B, and Duran R
- Subjects
- Animals, Mice, CD8-Positive T-Lymphocytes immunology, Disease Models, Animal, Cell Line, Tumor, Female, Immunotherapy methods, Mice, Inbred C57BL, Cryosurgery methods, Melanoma, Experimental immunology, Melanoma, Experimental pathology, Melanoma, Experimental surgery
- Abstract
Purpose: Cryoablation is a minimally invasive procedure implemented to destroy solid tumors. It also results in the release of tumor antigens into the systemic circulation. Preclinical studies using immunogenic tumor models have shown that cryoablation evokes antitumor immune responses. The mechanisms by which cryoablation impacts immune responses in poorly immunogenic tumors have not been sufficiently explored., Experimental Design: We used a bilateral B16F10 melanoma model devoid of strong immunogenic antigens. Cryoablation-induced effector immune responses were investigated, also in combination with a peritumoral STING agonist and systemic anti-PD-1. Selective immune cell depletion, T-cell migration arrest, in vivo T-cell transplantation, and cryoablation versus surgical removal techniques were used to determine the contribution of cryoablation and immunotherapies to systemic antitumor effector immune responses., Results: Treatment of a tumor with cryoablation + STING agonist + anti-PD-1 resulted in the rejection of unablated, contralateral tumors. Depletion studies demonstrated that tumor rejection is essentially dependent on CD8+ T cells. T-cell arrest in the lymph nodes had no effect on the rejection process. Splenic CD8+ T cells isolated from cryoablation-treated mice with B16F10 melanoma, upon transplantation into melanoma-bearing recipients, did not impact the recipient's tumor growth. Finally, comparison of cryoablation + STING agonist + anti-PD-1 versus surgery + STING agonist + anti-PD-1 in the bilateral tumor model showed no difference in the rejection of contralateral tumors., Conclusions: Cryoablation does not significantly contribute to systemic antitumor effector immune responses in a B16F10 melanoma model. Cryoablation primarily performs tumor debulking, and immunotherapy functions independently of cryoablation in eliciting antitumor effector immune responses., (©2024 American Association for Cancer Research.)
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- 2024
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25. Multiplexed high-throughput immune cell imaging in patients with high-risk triple negative early breast cancer: Analysis from the International Breast Cancer Study Group (IBCSG) Trial 22-00.
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Rusakiewicz S, Tyekucheva S, Tissot-Renaud S, Chaba K, Imbimbo M, Benedetti F, Kammler R, Hornfeld J, Munzone E, Gianni L, Thurlimann B, Láng I, Pruneri G, Gray KP, Regan MR, Loi S, Colleoni M, Viale G, Kandalaft L, Coukos G, and Curigliano G
- Subjects
- Humans, Biomarkers, Tumor analysis, Cyclophosphamide, Disease-Free Survival, Forkhead Transcription Factors, Lymphocytes, Tumor-Infiltrating, Methotrexate, Prognosis, Female, Randomized Controlled Trials as Topic, Clinical Trials, Phase III as Topic, Triple Negative Breast Neoplasms diagnostic imaging, Triple Negative Breast Neoplasms drug therapy
- Abstract
Background: Triple-negative breast cancer (TNBC) is the most aggressive breast cancer (BC) subtype, with dismal prognosis and limited option in advanced settings, yet stromal tumor infiltrating lymphocytes (sTILs) in this subtype has a predictive role., Patients and Methods: The International Breast Cancer Study Group (IBCSG) Trial 22-00 is a randomized phase III clinical trial testing the efficacy of low-dose metronomic oral Cyclophosphamide-Methotrexate (CM) maintenance following standard adjuvant chemotherapy treatment for early-stage hormone receptor-negative breast cancer patients. A case-cohort sampling was used. We characterized immune cells infiltrates in patients with TNBC by 6 plex immunofluorescence (IF) staining for CD4, FOXP3, CD3, cytokeratine and CD8 RESULTS: We confirmed that high immune CD3
+ T cells as well as stromal and intra-epithelial Tregs (CD4+ Foxp3+ T cells) infiltrates were associated with a better Distant Recurrence-Free Interval (DRFI), especially in LN+ patient, regardless of the treatment. More importantly, we showed that the spatial distribution of immune cells at baseline is crucial, as CM maintenance was detrimental for T cells excluded LN+ TNBC patients., Conclusions: immune spatial classification on immune cells infiltrates seems crucial and could help patients' selection in clinical trial and greatly improve responses to specific therapies., Competing Interests: Declaration of Competing Interest Rusakiewicz S, Tyekucheva S, Tissot-Renaud S, Chaba K, Imbimbo M, Benedetti F, Kammler R, Hornfeld J, Munzone E, Gianni L, Thurlimann B, Láng, I, Pruneri G, Gray KP, Regan MR, Loi, S, Colleoni M, Viale G, Kandalaft L, Coukos G reported no conflict of interest. Giuseppe Curigliano reports consultation fees from Roche, Seagen, Lilly, Pfizer, Novartis, Daichii Sankyo, Astra Zeneca, Exact Sciences, Menarini., (Copyright © 2024 Elsevier Ltd. All rights reserved.)- Published
- 2024
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26. CXCL9:SPP1 macrophage polarity identifies a network of cellular programs that control human cancers.
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Bill R, Wirapati P, Messemaker M, Roh W, Zitti B, Duval F, Kiss M, Park JC, Saal TM, Hoelzl J, Tarussio D, Benedetti F, Tissot S, Kandalaft L, Varrone M, Ciriello G, McKee TA, Monnier Y, Mermod M, Blaum EM, Gushterova I, Gonye ALK, Hacohen N, Getz G, Mempel TR, Klein AM, Weissleder R, Faquin WC, Sadow PM, Lin D, Pai SI, Sade-Feldman M, and Pittet MJ
- Subjects
- Humans, Prognosis, Chemokine CXCL9 analysis, Chemokine CXCL9 metabolism, Head and Neck Neoplasms immunology, Head and Neck Neoplasms pathology, Macrophages immunology, Osteopontin analysis, Osteopontin metabolism, Squamous Cell Carcinoma of Head and Neck immunology, Squamous Cell Carcinoma of Head and Neck pathology, Tumor Microenvironment, Cell Polarity immunology
- Abstract
Tumor microenvironments (TMEs) influence cancer progression but are complex and often differ between patients. Considering that microenvironment variations may reveal rules governing intratumoral cellular programs and disease outcome, we focused on tumor-to-tumor variation to examine 52 head and neck squamous cell carcinomas. We found that macrophage polarity-defined by CXCL9 and SPP1 (CS) expression but not by conventional M1 and M2 markers-had a noticeably strong prognostic association. CS macrophage polarity also identified a highly coordinated network of either pro- or antitumor variables, which involved each tumor-associated cell type and was spatially organized. We extended these findings to other cancer indications. Overall, these results suggest that, despite their complexity, TMEs coordinate coherent responses that control human cancers and for which CS macrophage polarity is a relevant yet simple variable.
- Published
- 2023
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27. Long-term benefit of lurbinectedin as palliative chemotherapy in progressive malignant pleural mesothelioma (MPM): final efficacy and translational data of the SAKK 17/16 study.
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Mark M, Rusakiewicz S, Früh M, Hayoz S, Grosso F, Pless M, Zucali P, Ceresoli GL, Maconi A, Schneider M, Froesch P, Tarussio D, Benedetti F, Dagher J, Kandalaft L, von Moos R, Tissot-Renaud S, Schmid S, and Metaxas Y
- Subjects
- Carbolines, Heterocyclic Compounds, 4 or More Rings, Humans, Palliative Care, Tumor Microenvironment, Lung Neoplasms pathology, Mesothelioma drug therapy, Mesothelioma pathology, Mesothelioma, Malignant
- Abstract
Background: The SAKK 17/16 study showed promising efficacy data with lurbinectedin as second- or third-line palliative therapy in malignant pleural mesothelioma. Here, we evaluated long-term outcome and analyzed the impact of lurbinectedin monotherapy on the tumor microenvironment at the cellular and molecular level to predict outcomes., Material and Methods: Forty-two patients were treated with lurbinectedin in this single-arm study. Twenty-nine samples were available at baseline, and seven additional matched samples at day one of cycle two of treatment. Survival curves and rates between groups were compared using the log-rank test and Kaplan-Meier method. Statistical significance was set at P value <0.05., Results: Updated median overall survival (OS) was slightly increased to 11.5 months [95% confidence interval (CI) 8.8-13.8 months]. Thirty-six patients (85%) had died. The OS rate at 12 and 18 months was 47% (95% CI 32.1% to 61.6%) and 31% (95% CI 17.8% to 45.0%), respectively. Median progression-free survival was 4.1 months (95% CI 2.6-5.5 months). No new safety signals were observed. Patients with lower frequencies of regulatory T cells, as well as lower tumor-associated macrophages (TAMs) at baseline, had a better OS. Comparing matched biopsies, a decrease of M2 macrophages was observed in five out of seven patients after exposure to lurbinectedin, and two out of four patients showed increased CD8+ T-cell infiltrates in tumor., Discussion: Lurbinectedin continues to be active in patients with progressing malignant pleural mesothelioma. According to our very small sample size, we hypothesize that baseline TAMs and regulatory T cells are associated with survival. Lurbinectedin seems to inhibit conversion of TAMs to M2 phenotype in humans., Competing Interests: Disclosure MF declared unrestricted grants from Bristol Myers Squibb (BMS) and AstraZeneca paid to his institution, advisory board roles for AstraZeneca, Merck Sharp & Dohme (MSD); Roche, BMS; Boehringer Ingelheim, Pfizer, Takeda, payment for expert testimony from Takeda and Roche, meeting support from Merck, and participation on a Data Safety Monitoring Board for Roche. FG declared outside the submitted work personal fees for advisory role, speaker engagements and travel and accommodation expenses from MSD, Novocure, BMS, Boehringer Ingelheim, Pharmamar, Novartis, and Pierre Fabre, outside the submitted work personal fees for advisory role, speaker engagements, and travel, and accommodation expenses from MSD, Novocure, BMS, Boehringer Ingelheim, Pharmamar, Novartis, and Pierre Fabre, outside the submitted work personal fees for advisory role, speaker engagements and travel and accommodation expenses from MSD, Novocure, BMS, Boehringer Ingelheim, Pharmamar, Novartis, and Pierre Fabre. MP declared consulting fees from AbbVie, AstraZeneca, BMS, Boehringer Ingelheim, Esei, MSD, Novartis, Pfizer, Roche, Takeda, Merck, speakers fee from Janssen, payment for expert testimony from Takeda and Novartis, support for attending meetings and/or travel from AstraZeneca, BMS, Boehringer Ingelheim, Roche, Vifor, and Takeda. PZ declared payment or honoraria for lectures, presentations, speakers bureaus, manuscript writing or educational events from MSD, Astellas, Janssen, Sanofi, Ipsen, Pfizer, Novartis, BMS, Amgen, AstraZeneca, Roche, and Bayer, support for attending meetings and/or travel from MSD, Astellas, Janssen, Sanofi, Ipsen, Pfizer, Novartis, BMS, Amgen, AstraZeneca, Roche, and Bayer, participation on a Data Safety Monitoring Board or Advisory Board for MSD, Astellas, Janssen, Sanofi, Ipsen, Pfizer, Novartis, BMS, Amgen, AstraZeneca, Roche, and Bayer. GLC declared payment or honoraria for lectures, presentations, speakers bureaus, manuscript writing, or educational events from Novocure, Zai Lab, MSD Oncology, AstraZeneca, BMS, and Bayer, participation on a Data Safety Monitoring Board or Advisory Board for Novocure. RvM declared advisory boards fees from AstraZeneca, MSD; Roche, Bristol-Myers Squibb; Pfizer, Pharmamar, Novartis, GlaxoSmithKline, Amgen, Gillead, and payment or honoraria for lectures, presentations, speakers bureaus, manuscript writing, or educational events from Vifor. SS declared grants from AstraZeneca, BMS paid to her institution, support for attending meetings and/or travel from Boehringer Ingelheim, Takeda, MSD, and participation on a Data Safety Monitoring Board or Advisory Board for MSD, AstraZeneca, Boehringer Ingelheim paid to her institution. YM declared consulting fees from Merck-Serono, BMS, Roche, Novartis, support for attending meetings and/or travel from PharmaMar, Merck, and participation on a Data Safety Monitoring Board or Advisory Board for Merck-Serono, BMS, Roche, Novartis, all paid to his institution. All other authors have declared no conflicts of interest., (Copyright © 2022 The Author(s). Published by Elsevier Ltd.. All rights reserved.)
- Published
- 2022
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28. Cryoablation and immunotherapy of cancer.
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Yakkala C, Denys A, Kandalaft L, and Duran R
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- Antigens, Neoplasm, Humans, Immune System, Immunotherapy, Cryosurgery, Neoplasms therapy
- Abstract
Cryoablation is a hypothermic modality exercised as a focal therapy for annihilating cancer lesions. Its application leaves the ablated tumor in situ, allowing multifarious tumor antigens to be available to the host's immune system. This ensues the activation of innate and adaptive immunity against the tumor antigens. Therefore, cryoablation can be employed as an in vivo vaccination tool to fortify the impact of immunotherapies. Application of checkpoint inhibitors, toll-like receptor agonists, adoptive cell therapies and epigenetic modulators has been shown to galvanize the immune system against tumors. Preliminary data demonstrate an excellent synergy between cryoablation and immunotherapies. Future endeavors should focus on tailoring cryo-immunotherapies based on the tumor's immune signature and testing alternative approaches to circumvent treatment-associated toxicities and maximize efficacy., (Copyright © 2020 Elsevier Ltd. All rights reserved.)
- Published
- 2020
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29. Guillain-Barré syndrome after adoptive cell therapy with tumor-infiltrating lymphocytes.
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Orcurto A, Hottinger A, Wolf B, Navarro Rodrigo B, Ochoa de Olza M, Auger A, Kuntzer T, Comte D, Zimmer V, Gannon P, Kandalaft L, Michielin O, Zimmermann S, Harari A, Trueb L, and Coukos G
- Subjects
- Guillain-Barre Syndrome pathology, Humans, Male, Middle Aged, Guillain-Barre Syndrome therapy, Immunotherapy, Adoptive methods, Lymphocytes, Tumor-Infiltrating transplantation
- Abstract
Background: Adoptive cell therapy (ACT) using tumor-infiltrating lymphocytes (TILs) is a promising experimental immunotherapy that has shown high objective responses in patients with melanoma. Current protocols use a lymphodepletive chemotherapy before infusion of ex vivo expanded TILs, followed by high-dose interleukin-2 (IL-2). Treatment-related toxicities are mainly attributable to the chemotherapy regimen and to the high-dose IL-2 and are generally reversible. Neurological side effects have rarely been described. Nevertheless, due to improvements in cell production techniques and due to combinations with other immunomodulating molecules, side effects not previously described may be encountered., Case Presentation: We report the case of a 53-year-old heavily pretreated patient with melanoma who developed Guillain-Barré syndrome (GBS) 19 days after ACT using autologous TILs, given in the context of a phase I trial. He presented with dorsal back pain, unsteady gait and numbness in hands and feet. Lumbar puncture showed albuminocytological dissociation, and nerve conduction studies revealed prolonged distal motor latencies in median, ulnar, tibial and peroneal nerves, compatible with a GBS. The patient was treated with intravenous immunoglobulins and intensive neurological rehabilitation, with progressive and full recovery at 21 months post-TIL-ACT. Concomitant to the onset of GBS, a cytomegalovirus reactivation on immunosuppression was detected and considered as the most plausible cause of this neurological side effect., Conclusion: We describe for the first time a case of GBS occurring shortly after TIL-ACT for melanoma, even though we could not identify with certainty the triggering agent. The report of such rare cases is of extreme importance to build on the knowledge of immune cellular therapies and their specific spectrum of toxicities., Competing Interests: Competing interests: GC has received grants or research support from or is coinvestigator in clinical trials by BMS, Celgene, Boehringer Ingelheim, Roche, Iovance and Kite, and has received honoraria for consultations or presentations by Roche, Genentech, BMS, AstraZeneca, Sanofi-Aventis, Nextcure and GeneosTx. SZ reports travel grants by AstraZeneca in the last 12 months., (© Author(s) (or their employer(s)) 2020. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.)
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- 2020
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30. Adenosine mediates functional and metabolic suppression of peripheral and tumor-infiltrating CD8 + T cells.
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Mastelic-Gavillet B, Navarro Rodrigo B, Décombaz L, Wang H, Ercolano G, Ahmed R, Lozano LE, Ianaro A, Derré L, Valerio M, Tawadros T, Jichlinski P, Nguyen-Ngoc T, Speiser DE, Verdeil G, Gestermann N, Dormond O, Kandalaft L, Coukos G, Jandus C, Ménétrier-Caux C, Caux C, Ho PC, Romero P, Harari A, and Vigano S
- Subjects
- Adenosine immunology, Adult, Aged, Aged, 80 and over, CD8-Positive T-Lymphocytes metabolism, Cell Line, Tumor, Cyclic AMP-Dependent Protein Kinases metabolism, Disease Progression, Female, Humans, Lymphocytes, Tumor-Infiltrating immunology, Lymphocytes, Tumor-Infiltrating metabolism, Male, Mechanistic Target of Rapamycin Complex 1 metabolism, Middle Aged, Neoplasms metabolism, Primary Cell Culture, Receptor, Adenosine A2A metabolism, Tumor Escape, Adenosine metabolism, CD8-Positive T-Lymphocytes immunology, Neoplasms immunology, Signal Transduction immunology, Tumor Microenvironment immunology
- Abstract
Background: Several mechanisms are present in the tumor microenvironment (TME) to impair cytotoxic T cell responses potentially able to control tumor growth. Among these, the accumulation of adenosine (Ado) contributes to tumor progression and represents a promising immunotherapeutic target. Ado has been shown to impair T cell effector function, but the role and mechanisms employed by Ado/Ado receptors (AdoRs) in modulating human peripheral and tumor-infiltrating lymphocyte (TIL) function are still puzzling., Methods: CD8
+ T cell cytokine production following stimulation was quantified by intracellular staining and flow cytometry. The cytotoxic capacity of tumor infiltrating lymphocytes (TILs) was quantified by the chromium release assay following co-culture with autologous or anti-CD3-loaded tumor cell lines. The CD8+ T cell metabolic fitness was evaluated by the seahorse assay and by the quantification of 2-NBDG uptake and CD71/CD98 upregulation upon stimulation. The expression of AdoRs was assessed by RNA flow cytometry, a recently developed technology that we validated by semiquantitative RT-PCR (qRT-PCR), while the impact on T cell function was evaluated by the use of selective antagonists and agonists. The influence of Ado/AdoR on the PKA and mTOR pathways was evaluated by phosphoflow staining of p-CREB and p-S6, respectively, and validated by western blot., Results: Here, we demonstrate that Ado signaling through the A2A receptor (A2AR) in human peripheral CD8+ T cells and TILs is responsible for the higher sensitivity to Ado-mediated suppression of T central memory cells. We confirmed that Ado is able to impair peripheral and tumor-expanded T cell effector functions, and we show for the first time its impact on metabolic fitness. The Ado-mediated immunosuppressive effects are mediated by increased PKA activation that results in impairment of the mTORC1 pathway., Conclusions: Our findings unveil A2AR/PKA/mTORC1 as the main Ado signaling pathway impairing the immune competence of peripheral T cells and TILs. Thus, p-CREB and p-S6 may represent useful pharmacodynamic and efficacy biomarkers of immunotherapies targeting Ado. The effect of Ado on T cell metabolic fitness reinforces the importance of the adenosinergic pathway as a target for next-generation immunotherapy.- Published
- 2019
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31. Cryoablation and Immunotherapy: An Enthralling Synergy to Confront the Tumors.
- Author
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Yakkala C, Chiang CL, Kandalaft L, Denys A, and Duran R
- Subjects
- Clinical Trials as Topic, Combined Modality Therapy, Humans, Neoplasms immunology, Treatment Outcome, Antigens, Neoplasm immunology, Cryosurgery methods, Immune System immunology, Immunotherapy methods, Neoplasms therapy
- Abstract
Treatment of solid tumors by ablation techniques has gained momentum in the recent years due to their technical simplicity and reduced morbidity as juxtaposed to surgery. Cryoablation is one of such techniques, known for its uniqueness to destroy the tumors by freezing to lethal temperatures. Freezing the tumor locally and allowing it to remain in situ unleashes an array of tumor antigens to be exposed to the immune system, paving the way for the generation of anti-tumor immune responses. However, the immune responses triggered in most cases are insufficient to eradicate the tumors with systemic spread. Therefore, combination of cryoablation and immunotherapy is a new treatment strategy currently being evaluated for its efficacy, notably in patients with metastatic disease. This article examines the mechanistic fabric of cryoablation for the generation of an effective immune response against the tumors, and various possibilities of its combination with different immunotherapies that are capable of inducing exceptional therapeutic responses. The combinatorial treatment avenues discussed in this article if explored in sufficient profundity, could reach the pinnacle of future cancer medicine., (Copyright © 2019 Yakkala, Chiang, Kandalaft, Denys and Duran.)
- Published
- 2019
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32. 50-Gy Stereotactic Body Radiation Therapy to the Dominant Intraprostatic Nodule: Results From a Phase 1a/b Trial.
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Herrera FG, Valerio M, Berthold D, Tawadros T, Meuwly JY, Vallet V, Baumgartner P, Thierry AC, De Bari B, Jichlinski P, Kandalaft L, Coukos G, Harari A, and Bourhis J
- Subjects
- Aged, Aged, 80 and over, Disease Progression, Dose Fractionation, Radiation, Humans, Immune System, Magnetic Resonance Imaging, Male, Maximum Tolerated Dose, Middle Aged, Prostate-Specific Antigen, Quality of Life, Radiometry, Radiotherapy Dosage, Radiotherapy Planning, Computer-Assisted, Radiotherapy, Intensity-Modulated, T-Lymphocytes immunology, Prostate radiation effects, Prostatic Neoplasms radiotherapy, Radiosurgery
- Abstract
Purpose: Although localized prostate cancer (PCa) is multifocal, the dominant intraprostatic nodule (DIN) is responsible for disease progression after radiation therapy. PCa expresses antigens that could be recognized by the immune system. We therefore hypothesized that stereotactic dose escalation to the DIN is safe, may increase local control, and may initiate tumor-specific immune responses., Patients and Methods: Patients with localized PCa were treated with stereotactic extreme hypofractionated doses of 36.25 Gy in 5 fractions to the whole prostate while simultaneously escalating doses to the magnetic resonance image-visible DIN (45 Gy, 47.5 Gy, and 50 Gy in 5 fractions). The phase 1a part was designed to determine the recommended phase 1b dose in a "3 + 3" cohort-based, dose-escalation design. The primary endpoint was dose-limiting toxicities defined as ≥grade 3 gastrointestinal (GI) or genitourinary (GU) toxicity (or both) by National Cancer Institute Common Terminology Criteria for Adverse Events (version 4) up to 90 days after the first radiation fraction. The secondary endpoints were prostate-specific antigen kinetics, quality of life (QoL), and blood immunologic responses., Results: Nine patients were treated in phase 1a. No dose-limiting toxicities were observed at either level, and therefore the maximum tolerated dose was not reached. Further characterization of tolerability, efficacy, and immunologic outcomes was conducted in the subsequent 11 patients irradiated at the highest dose level (50 Gy) in the phase 1b expansion cohort. Toxicity was 45% and 25% for grades 1 and 2 GU, and 20% and 5% for grades 1 and 2 GI, respectively. No grade 3 or worse toxicity was reported. The average (±standard error of the mean) of the QoL assessments at baseline and at 3-month posttreatment were 0.8 (±0.8) and 3.5 (±1.5) for the bowel (mean difference, 2.7; 95% confidence interval, 0.1-5), and 6.4 (±0.8) and 7.27 (±0.9) for the International Prostate Symptom Score (mean difference, 0.87; 95% confidence interval, 0.3-1.9), respectively. A subset of patients developed antigen-specific immune responses against prostate-specific membrane antigen (n = 2), prostatic acid phosphatase (n = 1), prostate stem cell antigen (n = 4), and prostate-specific antigen (n = 2)., Conclusions: Irradiation of the whole prostate with 36.25 Gy in 5 fractions and dose escalation to 50 Gy to the DIN was tolerable and determined as the recommended phase 1b dose. This treatment has promising antitumor activity, which will be confirmed by the ongoing phase 2 part. Preliminary QoL analysis showed minimal impact in GU, GI, and sexual domains. Stereotactic irradiation induced antigen-specific immune responses in a subset of patients., (Copyright © 2018 The Authors. Published by Elsevier Inc. All rights reserved.)
- Published
- 2019
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33. [Recent advances and future directions in CAR-T cell therapy in pediatric oncology].
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Ceppi F, Renella R, Diezi M, Ansari M, Duchosal MA, Arber C, Kandalaft L, Coukos G, and Beck-Popovic M
- Subjects
- Antigens, CD19, Child, Humans, Receptors, Antigen, T-Cell, T-Lymphocytes, Cell- and Tissue-Based Therapy, Immunotherapy, Adoptive, Precursor Cell Lymphoblastic Leukemia-Lymphoma drug therapy
- Abstract
Fighting leukemia using the immune system (antibodies, lymphocytes) is an old idea, which has already been fulfilled in allogeneic bone marrow transplantation. Indeed, the effectiveness of the transplant depends on the action of the donor lymphocytes. To limit the adverse effects on bystander organs (graft-versus-host disease), autologous T cells can be engineered to express synthetic chimeric antigen receptors (CARs) with artificially redirected antigen specificity. Autologous T cells engineered to express a CAR targeting CD19 have shown unprecedented efficacy in clinical trials for relapsed/refractory B-cell leukemias and lymphomas. In this review article, we describe the therapeutic strategies, clinical trial results, side effects and future direction of CAR T cell therapy in B cell acute lymphoblastic leukemia and other pediatric cancers and its future role in the Swiss setting., Competing Interests: Les auteurs n’ont déclaré aucun conflit d’intérêts en relation avec cet article.
- Published
- 2019
34. Emerging Opportunities of Radiotherapy Combined With Immunotherapy in the Era of Breast Cancer Heterogeneity.
- Author
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Tsoutsou PG, Zaman K, Martin Lluesma S, Cagnon L, Kandalaft L, and Vozenin MC
- Abstract
The association of radiotherapy and immunotherapy has recently emerged as an exciting combination that might improve outcomes in many solid tumor settings. In the context of breast cancer, this opportunity is promising and under investigation. Given the heterogeneity of breast cancer, it might be meaningful to study the association of radiotherapy and immunotherapy distinctly among the various breast cancer subtypes. The use of biomarkers, such as tumor infiltrating lymphocytes, which are also associated to breast cancer heterogeneity, might provide an opportunity for tailored studies. This review highlights current knowledge of the association of radiotherapy and immunotherapy in the setting of breast cancer and attempts to highlight the therapeutic opportunities among breast cancer heterogeneity.
- Published
- 2018
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35. T cell-induced CSF1 promotes melanoma resistance to PD1 blockade.
- Author
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Neubert NJ, Schmittnaegel M, Bordry N, Nassiri S, Wald N, Martignier C, Tillé L, Homicsko K, Damsky W, Maby-El Hajjami H, Klaman I, Danenberg E, Ioannidou K, Kandalaft L, Coukos G, Hoves S, Ries CH, Fuertes Marraco SA, Foukas PG, De Palma M, and Speiser DE
- Subjects
- Animals, Antigens, CD metabolism, Antigens, Differentiation, Myelomonocytic metabolism, CD8-Positive T-Lymphocytes metabolism, Cell Differentiation physiology, Cell Line, Tumor, Humans, Macrophages metabolism, Mice, Proto-Oncogene Proteins B-raf metabolism, Receptors, Cell Surface metabolism, Signal Transduction, Macrophage Colony-Stimulating Factor blood, Melanoma blood, Melanoma pathology
- Abstract
Colony-stimulating factor 1 (CSF1) is a key regulator of monocyte/macrophage differentiation that sustains the protumorigenic functions of tumor-associated macrophages (TAMs). We show that CSF1 is expressed in human melanoma, and patients with metastatic melanoma have increased CSF1 in blood compared to healthy subjects. In tumors, CSF1 expression correlated with the abundance of CD8
+ T cells and CD163+ TAMs. Human melanoma cell lines consistently produced CSF1 after exposure to melanoma-specific CD8+ T cells or T cell-derived cytokines in vitro, reflecting a broadly conserved mechanism of CSF1 induction by activated CD8+ T cells. Mining of publicly available transcriptomic data sets suggested co-enrichment of CD8+ T cells with CSF1 or various TAM-specific markers in human melanoma, which was associated with nonresponsiveness to programmed cell death protein 1 (PD1) checkpoint blockade in a smaller patient cohort. Combination of anti-PD1 and anti-CSF1 receptor (CSF1R) antibodies induced the regression of BRAFV600E -driven, transplant mouse melanomas, a result that was dependent on the effective elimination of TAMs. Collectively, these data implicate CSF1 induction as a CD8+ T cell-dependent adaptive resistance mechanism and show that simultaneous CSF1R targeting may be beneficial in melanomas refractory to immune checkpoint blockade and, possibly, other T cell-based therapies., (Copyright © 2018 The Authors, some rights reserved; exclusive licensee American Association for the Advancement of Science. No claim to original U.S. Government Works.)- Published
- 2018
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36. A cancer vaccine with dendritic cells differentiated with GM-CSF and IFNα and pulsed with a squaric acid treated cell lysate improves T cell priming and tumor growth control in a mouse model.
- Author
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Mookerjee A, Graciotti M, Kandalaft, and Kandalaft L
- Abstract
Introduction: Ovarian cancer is one of the most lethal gynecologic cancers. Relapses after remission are common, hence novel strategies are urgently needed. Our group has previously developed a vaccination approach based on dendritic cells pulsed with HOCl-oxidized tumor lysates. Here we investigate the improvement of this vaccine strategy using squaric acid treatment of cancer cells during tumor lysate preparation and by differentiating dendritic cells in the presence of GM-CSF and IFNα. Methods: Induction of cell death by squaric acid treatment was assessed with propidium iodide (PI) and Annexin V in ID8 tumor cells. High mobility group box 1 (HMGB1) immunogenic status was analyzed using a western blot-based method, as previously described. For immunological tests, ID8 cells expressing ovalbumin (ova-ID8) were treated with squaric acid before cell lysis. DCs prepared with the canonical GM-CSF and IL-4 differentiation cocktail or IFNα and GM-CSF were pulsed with tumor cell lysates and further matured in the presence of IFNγ and LPS (4-DCs and α-DCs respectively). DCs were then used in co-culture assays with ova-specific T cells and IFNγ and IL-4 secretion measured by ELISA. DC phenotypes were characterized by FACS. Finally, DCs were tested in an ovarian cancer mouse model measuring body weight and animal survival. Results: Squaric acid treatment of mouse ovarian cancer cells induced tumor cell death as well as preserve HMGB1, a crucial Damage-associated molecular pattern (DAMP) signal, in its active reduced form. Squaric acid treatment of ID8-ova cells increased IFNγ and decreased IL-4 production from ova-specific T cells in co-culture experiments, promoting a more immunogenic cytokine secretion pattern. DCs differentiated in the presence of IFNα induced a considerable decrease in IL-4 production compared to canonical 4-DCs, without affecting IFNγ release. DC phenotyping demonstrated a more mature and immunogenic phenotype for IFNα-differentiated DCs. Vaccination in tumor-bearing mice showed that IFNα-differentiated DCs pulsed with squaric acid-treated lysates were the most potent at delaying tumor growth, improving animal survival. Conclusion: We identified squaric acid as a novel immunogenic treatment of tumor cells for cancer vaccines particularly efficient in prolonging animal survival when used in combination with IFNα-differentiated DCs. These promising results support future efforts for the clinical translation of this approach.
- Published
- 2018
- Full Text
- View/download PDF
37. The era of bioengineering: how will this affect the next generation of cancer immunotherapy?
- Author
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Graciotti M, Berti C, Klok HA, and Kandalaft L
- Subjects
- Cancer Vaccines immunology, Humans, Immunologic Factors therapeutic use, Neoplasms drug therapy, Neoplastic Cells, Circulating pathology, Bioengineering, Immunotherapy, Neoplasms immunology, Neoplasms therapy
- Abstract
Background: Immunotherapy consists of activating the patient's immune system to fight cancer and has the great potential of preventing future relapses thanks to immunological memory. A great variety of strategies have emerged to harness the immune system against tumors, from the administration of immunomodulatory agents that activate immune cells, to therapeutic vaccines or infusion of previously activated cancer-specific T cells. However, despite great recent progress many difficulties still remain, which prevent the widespread use of immunotherapy. Some of these limitations include: systemic toxicity, weak immune cellular responses or persistence over time and most ultimately costly and time-consuming procedures., Main Body: Synthetic and natural biomaterials hold great potential to address these hurdles providing biocompatible systems capable of targeted local delivery, co-delivery, and controlled and/or sustained release. In this review we discuss some of the bioengineered solutions and approaches developed so far and how biomaterials can be further implemented to help and shape the future of cancer immunotherapy., Conclusion: The bioengineering strategies here presented constitute a powerful toolkit to develop safe and successful novel cancer immunotherapies.
- Published
- 2017
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38. Differential regulation of grain sucrose accumulation and metabolism in Coffea arabica (Arabica) and Coffea canephora (Robusta) revealed through gene expression and enzyme activity analysis.
- Author
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Privat I, Foucrier S, Prins A, Epalle T, Eychenne M, Kandalaft L, Caillet V, Lin C, Tanksley S, Foyer C, and Mccarthy J
- Subjects
- DNA, Complementary genetics, Fructose metabolism, Genes, Plant, Glucose metabolism, Plant Leaves genetics, Polymerase Chain Reaction, Vacuoles enzymology, beta-Fructofuranosidase antagonists & inhibitors, Coffea enzymology, Coffea genetics, Edible Grain metabolism, Gene Expression Regulation, Plant, Sucrose metabolism
- Abstract
* Coffea arabica (Arabica) and Coffea canephora (Robusta) are the two main cultivated species used for coffee bean production. Arabica genotypes generally produce a higher coffee quality than Robusta genotypes. Understanding the genetic basis for sucrose accumulation during coffee grain maturation is an important goal because sucrose is an important coffee flavor precursor. * Nine new Coffea genes encoding sucrose metabolism enzymes have been identified: sucrose phosphate synthase (CcSPS1, CcSPS2), sucrose phosphate phosphatase (CcSP1), cytoplasmic (CaInv3) and cell wall (CcInv4) invertases and four invertase inhibitors (CcInvI1, 2, 3, 4). * Activities and mRNA abundance of the sucrose metabolism enzymes were compared at different developmental stages in Arabica and Robusta grains, characterized by different sucrose contents in mature grain. * It is concluded that Robusta accumulates less sucrose than Arabica for two reasons: Robusta has higher sucrose synthase and acid invertase activities early in grain development - the expression of CcSS1 and CcInv2 appears to be crucial at this stage and Robusta has a lower SPS activity and low CcSPS1 expression at the final stages of grain development and hence has less capacity for sucrose re-synthesis. Regulation of vacuolar invertase CcInv2 activity by invertase inhibitors CcInvI2 and/or CcInvI3 during Arabica grain development is considered.
- Published
- 2008
- Full Text
- View/download PDF
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