Issues
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Cover Image
New therapeutic advances are needed for acute myeloid leukemia (AML) given low rates of cure using standard therapies. Two studies by Kornauth, Pemovska, Vladimer, and colleagues (page 372) and Malani and colleagues (page 388) deployed drug sensitivity testing to uncover efficacious individualized therapy for patients with hematologic malignancies, including AML. Kornauth, Pemovska, Vladimer, and colleagues established that functional drug profiling on a single-cell level improved response in patients with relapsed or refractory hematologic malignancies. Malani and colleagues found, using multiomic profiling of a functional and molecular tumor board in AML, potential actionable drugs for nearly all of the involved patients as well as an increased response rate upon clinical implementation of the individually tailored recommendations. For more information, see the corresponding articles at the page numbers listed above. - PDF Icon PDF LinkTable of Contents
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In This Issue
In the Spotlight
Science in Society
Reviews
Learning through a Pandemic: The Current State of Knowledge on COVID-19 and Cancer
A Summary of the Inaugural WHO Classification of Pediatric Tumors: Transitioning from the Optical into the Molecular Era
Research Brief
INK4 Tumor Suppressor Proteins Mediate Resistance to CDK4/6 Kinase Inhibitors
An inducible CDK6–INK4 complex blocks drug binding and impairs efficacy for current-generation CDK4/6 inhibitors, but harbors sensitivity to potent CDK4/6 degrader compounds that represent a promising strategy for next-generation cell-cycle inhibitors.
Research Articles
Functional Precision Medicine Provides Clinical Benefit in Advanced Aggressive Hematologic Cancers and Identifies Exceptional Responders
Analysis of data from the Extended Analysis for Leukemia/Lymphoma Treatment (EXALT) trial revealed that guidance of treatment decisions based on single-cell functional drug testing is achievable and efficacious in relapsed and refractory hematologic cancers.
Implementing a Functional Precision Medicine Tumor Board for Acute Myeloid Leukemia
Integration of ex vivo drug sensitivity testing with genomic and transcriptomic profiling via a functional and molecular tumor board in AML uncovered new opportunities for individualized patient therapy, functional taxonomy, and discovery of biomarkers.
Futibatinib, an Irreversible FGFR1–4 Inhibitor, in Patients with Advanced Solid Tumors Harboring FGF/FGFR Aberrations: A Phase I Dose-Expansion Study
In a large phase I trial, the irreversible FGFR1–4 inhibitor futibatinib demonstrated manageable safety and antitumor activity in a broad spectrum of FGFR-aberrant tumors, including FGFR2 fusion/rearrangement–positive cholangiocarcinoma.
Repurposing Vandetanib plus Everolimus for the Treatment of ACVR1-Mutant Diffuse Intrinsic Pontine Glioma
Combined vandetanib and everolimus was identified by artificial intelligence as a potential therapy for ACVR1-mutant DIPG, as they synergize in vitro and extend survival in vivo, with preliminary testing in four children suggesting this combination as a feasible clinical option.
An In Vivo CRISPR Screening Platform for Prioritizing Therapeutic Targets in AML
In vivo CRISPR screening in human AML models identified targets with high translational potential, including the myo-inositol transporter SLC5A3, which supports growth, and the E3 ligase MARCH5, which is crucial for maintenance of AML survival through apoptosis prevention.
SLC5A3-Dependent Myo-inositol Auxotrophy in Acute Myeloid Leukemia
CRISPR screens led to the identification of the inositol transporter SLC5A3 as an AML-specific dependency that stems from the loss of inositol biosynthesis capacity through an epigenetic mechanism.
Live-Cell Imaging Shows Uneven Segregation of Extrachromosomal DNA Elements and Transcriptionally Active Extrachromosomal DNA Hubs in Cancer
Mesenchymal Lineage Heterogeneity Underlies Nonredundant Functions of Pancreatic Cancer–Associated Fibroblasts
Tracking and ablation of a specific CAF population reveals that a numerically minor CAF subtype from a defined cell of origin plays unique roles in establishing the pancreatic tumor microenvironment.
Transcription Elongation Machinery Is a Druggable Dependency and Potentiates Immunotherapy in Glioblastoma Stem Cells
Sex-Biased ZRSR2 Mutations in Myeloid Malignancies Impair Plasmacytoid Dendritic Cell Activation and Apoptosis
BPDCN, a male-biased leukemia, was found to harbor frequent male-restricted ZRSR2 mutations, with loss of this X chromosome gene causing poor dendritic cell response to inflammatory stimuli and impaired subsequent cell death.
MYC Levels Regulate Metastatic Heterogeneity in Pancreatic Adenocarcinoma
MYC hyperactivation through genome amplification or transcriptional induction promotes a proinvasive tumor microenvironment and a more highly metastatic state in pancreas cancer.
Smarca4 Inactivation Promotes Lineage-Specific Transformation and Early Metastatic Features in the Lung
News in Brief
News in Depth
Research Watch
Immunotherapy
Microbiome
Lung Cancer
Tumor Microenvironment
Immunology
Tumor Heterogeneity
Colorectal Cancer
Clinical Trial
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