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  1. Article: Immune checkpoint biology in health & disease: Immune checkpoint biology and autoimmunity in cancer patients.

    Van Mol, Pierre / Donders, Elena / Lambrechts, Diether / Wauters, Els

    International review of cell and molecular biology

    2023  Volume 382, Page(s) 181–206

    Abstract: Immune checkpoints (ICs) play a central role in maintaining immune homoeostasis. The discovery that tumours use this physiological mechanism to avoid elimination by the immune system, opened up avenues for therapeutic targeting of ICs as a novel way of ... ...

    Abstract Immune checkpoints (ICs) play a central role in maintaining immune homoeostasis. The discovery that tumours use this physiological mechanism to avoid elimination by the immune system, opened up avenues for therapeutic targeting of ICs as a novel way of treating cancer. However, this therapy a new array of autoimmune side effects, termed immune-related adverse events (irAEs). In this narrative review, we first recapitulate the physiological function of ICs that are approved targets for cancer immunotherapy (CTLA-4, PD-(L)1 and LAG-3), as the groundwork to critically discuss current knowledge on irAEs. Specifically, we summarize clinical aspects and examine a molecular classification and predisposing factors of irAEs. Finally, we discuss irAE treatment, particularly emphasizing how molecular knowledge is changing the current treatment paradigm.
    MeSH term(s) Humans ; Antineoplastic Agents, Immunological/therapeutic use ; Autoimmunity ; Neoplasms/pathology ; Immunotherapy ; Biology
    Chemical Substances Antineoplastic Agents, Immunological
    Language English
    Publishing date 2023-05-24
    Publishing country Netherlands
    Document type Review ; Journal Article
    ZDB-ID 2427220-6
    ISSN 1937-6448 ; 0074-7696
    ISSN 1937-6448 ; 0074-7696
    DOI 10.1016/bs.ircmb.2023.04.003
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article: Bronchoalveolar Lavage Fluid-Isolated Biomarkers for the Diagnostic and Prognostic Assessment of Lung Cancer.

    Kalkanis, Alexandros / Papadopoulos, Dimitrios / Testelmans, Dries / Kopitopoulou, Alexandra / Boeykens, Eva / Wauters, Els

    Diagnostics (Basel, Switzerland)

    2022  Volume 12, Issue 12

    Abstract: Lung cancer is considered one of the most fatal malignant neoplasms because of its late detection. Detecting molecular markers in samples from routine bronchoscopy, including many liquid-based cytology procedures, such as bronchoalveolar lavage fluid ( ... ...

    Abstract Lung cancer is considered one of the most fatal malignant neoplasms because of its late detection. Detecting molecular markers in samples from routine bronchoscopy, including many liquid-based cytology procedures, such as bronchoalveolar lavage fluid (BALF), could serve as a favorable technique to enhance the efficiency of a lung cancer diagnosis. BALF analysis is a promising approach to evaluating the tumor progression microenvironment. BALF's cellular and non-cellular components dictate the inflammatory response in a cancer-proliferating microenvironment. Furthermore, it is an essential material for detecting clinically significant predictive and prognostic biomarkers that may aid in guiding treatment choices and evaluating therapy-induced toxicities in lung cancer. In the present article, we have reviewed recent literature about the utility of BALF analysis for detecting markers in different stages of tumor cell metabolism, employing either specific biomarker assays or broader omics approaches.
    Language English
    Publishing date 2022-11-25
    Publishing country Switzerland
    Document type Journal Article ; Review
    ZDB-ID 2662336-5
    ISSN 2075-4418
    ISSN 2075-4418
    DOI 10.3390/diagnostics12122949
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Treatment of unresectable stage III NSCLC: Real world cohort study and literature review.

    Verfaillie, Saartje / Lambrecht, Maarten / Berkovic, Patrick / Dooms, Christophe / Nackaerts, Kristiaan / Van de Velde, Anne-Sophie / Vansteenkiste, Johan / Wauters, Els

    Cancer treatment and research communications

    2023  Volume 36, Page(s) 100727

    Abstract: Introduction: Until recently, the treatment for patients with locally advanced unresectable stage III non-small cell lung cancer (NSCLC) was combined chemoradiotherapy (CRT), delivered either concurrently (cCRT) or sequentially (sCRT). There is limited ... ...

    Abstract Introduction: Until recently, the treatment for patients with locally advanced unresectable stage III non-small cell lung cancer (NSCLC) was combined chemoradiotherapy (CRT), delivered either concurrently (cCRT) or sequentially (sCRT). There is limited data on the outcomes and safety of CRT in a real-world setting. We conducted a real-world cohort analysis of our Leuven Lung Cancer Group (LLCG) experience with CRT for unresectable stage III NSCLC, prior to the era of consolidation treatment with immunotherapy.
    Patients and methods: In this observational, real-world monocentric cohort study, a total of 163 consecutive patients were included. They were diagnosed with unresectable stage III primary NSCLC and treated with CRT between January 1st, 2011, and December 31st, 2018. Patient and tumor characteristics, treatment patterns, toxicity, and primary outcome parameters such as PFS, OS and pattern of relapse were captured.
    Results: CRT was concurrent in 108 patients, sequential in 55. Overall tolerability was good, with two thirds of patients without severe adverse events such as severe febrile neutropenia, ≥ grade 2 pneumonitis, or ≥ grade 3 esophagitis. All registered adverse events were more frequent in the cCRT group compared to the sCRT group. Median PFS was 13.2 months (95% CI 10.3-16.2), median OS was 23.3 months (95% CI 18.3-28.0), with a 47.5% survival rate at 2 years, and 29.4% at five years.
    Conclusions: This study provides a clinically relevant benchmark on the outcomes and toxicity of concurrent and sequential chemoradiotherapy in unresectable stage III NSCLC in a real-world setting in the pre-PACIFIC era.
    MeSH term(s) Humans ; Carcinoma, Non-Small-Cell Lung/pathology ; Lung Neoplasms/pathology ; Cohort Studies ; Neoplasm Staging ; Neoplasm Recurrence, Local/pathology ; Observational Studies as Topic
    Language English
    Publishing date 2023-06-07
    Publishing country England
    Document type Review ; Journal Article
    ISSN 2468-2942
    ISSN (online) 2468-2942
    DOI 10.1016/j.ctarc.2023.100727
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article: Case report: BRAF A598-T599insV mutation as a potential resistance mechanism to alectinib in ALK-rearranged lung adenocarcinoma.

    Pasau, Thomas / Wauters, Els / Wauters, Isabelle / Duplaquet, Fabrice / Pirard, Lionel / Pop-Stanciu, Claudia / D'Haene, Nicky / Dupont, Michael / Vander Borght, Thierry / Rondelet, Benoît / Ocak, Sebahat

    Frontiers in oncology

    2022  Volume 12, Page(s) 985446

    Abstract: Anaplastic lymphoma kinase (ALK) tyrosine kinase inhibitors (TKIs) have improved the prognosis of advanced-stage non-small cell lung cancer (NSCLC) with ALK rearrangement, but resistance mechanisms limit their efficacy. We describe the case of a 63-year- ... ...

    Abstract Anaplastic lymphoma kinase (ALK) tyrosine kinase inhibitors (TKIs) have improved the prognosis of advanced-stage non-small cell lung cancer (NSCLC) with ALK rearrangement, but resistance mechanisms limit their efficacy. We describe the case of a 63-year-old man with a stage cIVA
    Language English
    Publishing date 2022-11-07
    Publishing country Switzerland
    Document type Case Reports
    ZDB-ID 2649216-7
    ISSN 2234-943X
    ISSN 2234-943X
    DOI 10.3389/fonc.2022.985446
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article: Immunotherapy in non-metastatic non-small cell lung cancer: Can the benefits of stage IV therapy be translated into earlier stages?

    Deslypere, Griet / Gullentops, Dorothée / Wauters, Els / Vansteenkiste, Johan

    Therapeutic advances in medical oncology

    2018  Volume 10, Page(s) 1758835918772810

    Abstract: Over the last decade, several steps forward in the treatment of patients with stage IV non-small cell lung cancer (NCSLC) were made. Examples are the use of pemetrexed, pemetrexed maintenance therapy, or bevacizumab for patients with nonsquamous NSCLC. A ...

    Abstract Over the last decade, several steps forward in the treatment of patients with stage IV non-small cell lung cancer (NCSLC) were made. Examples are the use of pemetrexed, pemetrexed maintenance therapy, or bevacizumab for patients with nonsquamous NSCLC. A big leap forward was the use of tyrosine kinase inhibitors in patients selected on the basis of an activating oncogene, such as epidermal growth factor receptor (
    Language English
    Publishing date 2018-05-04
    Publishing country England
    Document type Journal Article ; Review
    ZDB-ID 2503443-1
    ISSN 1758-8359 ; 1758-8340
    ISSN (online) 1758-8359
    ISSN 1758-8340
    DOI 10.1177/1758835918772810
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: Proteolytic inactivation of CXCL12 in the lungs and circulation of COVID-19 patients.

    Cambier, Seppe / Beretta, Fabio / Pörtner, Noëmie / Metzemaekers, Mieke / de Carvalho, Ana Carolina / Martens, Erik / Kaes, Janne / Aelbrecht, Celine / Jacobs, Cato / Van Mol, Pierre / Wauters, Els / Meersseman, Philippe / Hermans, Greet / Marques, Rafael Elias / Vanaudenaerde, Bart / Vos, Robin / Wauters, Joost / Gouwy, Mieke / Proost, Paul

    Cellular and molecular life sciences : CMLS

    2023  Volume 80, Issue 8, Page(s) 234

    Abstract: The human chemokine stromal cell-derived factor-1 (SDF-1) or CXCL12 is involved in several homeostatic processes and pathologies through interaction with its cognate G protein-coupled receptor CXCR4. Recent research has shown that CXCL12 is present in ... ...

    Abstract The human chemokine stromal cell-derived factor-1 (SDF-1) or CXCL12 is involved in several homeostatic processes and pathologies through interaction with its cognate G protein-coupled receptor CXCR4. Recent research has shown that CXCL12 is present in the lungs and circulation of patients with coronavirus disease 2019 (COVID-19). However, the question whether the detected CXCL12 is bioactive was not addressed. Indeed, the activity of CXCL12 is regulated by NH
    MeSH term(s) Humans ; Proteolysis ; COVID-19 ; Chemokine CXCL12/metabolism ; Peptide Hydrolases ; Lung/metabolism ; Receptors, CXCR4 ; Protein Processing, Post-Translational
    Chemical Substances Chemokine CXCL12 ; Peptide Hydrolases (EC 3.4.-) ; Receptors, CXCR4 ; CXCL12 protein, human
    Language English
    Publishing date 2023-07-28
    Publishing country Switzerland
    Document type Journal Article
    ZDB-ID 1358415-7
    ISSN 1420-9071 ; 1420-682X
    ISSN (online) 1420-9071
    ISSN 1420-682X
    DOI 10.1007/s00018-023-04870-0
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article ; Online: The Role of Flexible Bronchoscopy in Swab-negative Patients During the SARS-CoV2 Pandemic.

    Yserbyt, Jonas / Wauters, Els / Testelmans, Dries / Schoemans, Hélène / Verleden, Geert / Dooms, Christophe

    Journal of bronchology & interventional pulmonology

    2020  Volume 28, Issue 3, Page(s) 241–244

    MeSH term(s) Bronchoscopy ; COVID-19 ; COVID-19 Testing ; Humans ; Pandemics ; RNA, Viral ; SARS-CoV-2
    Chemical Substances RNA, Viral
    Language English
    Publishing date 2020-11-05
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2478320-1
    ISSN 1948-8270 ; 1944-6586
    ISSN (online) 1948-8270
    ISSN 1944-6586
    DOI 10.1097/LBR.0000000000000733
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article: Unresectable stage III non-small cell lung cancer: is Tecemotide a new START for our patients?

    Wauters, Els / Vansteenkiste, Johan

    Journal of thoracic disease

    2014  Volume 6, Issue 6, Page(s) 574–577

    Language English
    Publishing date 2014-05-30
    Publishing country China
    Document type Journal Article
    ZDB-ID 2573571-8
    ISSN 2077-6624 ; 2072-1439
    ISSN (online) 2077-6624
    ISSN 2072-1439
    DOI 10.3978/j.issn.2072-1439.2014.05.16
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article: Lung Aeration in COVID-19 Pneumonia by Ultrasonography and Computed Tomography.

    Kalkanis, Alexandros / Schepers, Christophe / Louvaris, Zafeiris / Godinas, Laurent / Wauters, Els / Testelmans, Dries / Lorent, Natalie / Van Mol, Pierre / Wauters, Joost / De Wever, Walter / Dooms, Christophe

    Journal of clinical medicine

    2022  Volume 11, Issue 10

    Abstract: We conducted a prospective single-center observational study to determine lung ultrasound reliability in assessing global lung aeration in 38 hospitalized patients with non-critical COVID-19. On admission, fixed chest CT scans using visual (CTv) and ... ...

    Abstract We conducted a prospective single-center observational study to determine lung ultrasound reliability in assessing global lung aeration in 38 hospitalized patients with non-critical COVID-19. On admission, fixed chest CT scans using visual (CTv) and software-based (CTs) analyses along with lung ultrasound imaging protocols and scoring systems were applied. The primary endpoint was the correlation between global chest CTs score and global lung ultrasound score. The secondary endpoint was the association between radiographic features and clinical disease classification or laboratory indices of inflammation. Bland−Altman analysis between chest CT scores obtained visually (CTv) or using software (CTs) indicated that only 1 of the 38 paired measures was outside the 95% limits of agreement (−4 to +4 score). Global lung ultrasound score was highly and positively correlated with global software-based CTs score (r = 0.74, CI = 0.55−0.86; p < 0.0001). Significantly higher median CTs score (p = 0.01) and lung ultrasound score (p = 0.02) were found in severe compared to moderate COVID-19. Furthermore, we identified significantly lower (p < 0.05) lung ultrasound and CTs scores in those patients with a more severe clinical condition manifested by SpO2 < 92% and C-reactive protein > 58 mg/L. We concluded that lung ultrasound is a reliable bedside clinical tool to assess global lung aeration in hospitalized non-critical care patients with COVID-19 pneumonia.
    Language English
    Publishing date 2022-05-11
    Publishing country Switzerland
    Document type Journal Article
    ZDB-ID 2662592-1
    ISSN 2077-0383
    ISSN 2077-0383
    DOI 10.3390/jcm11102718
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Article ; Online: Position statement on the management of the immune checkpoint inhibitor-induced colitis via multidisciplinary modified Delphi consensus.

    Desmedt, Valérie / Jauregui-Amezaga, Aranzazu / Fierens, Liselotte / Aspeslagh, Sandrine / Dekervel, Jeroen / Wauters, Els / Peeters, Marc / Sabino, Joao / Crapé, Lara / Somers, Michael / Hoorens, Anne / Dutré, Joris / Lobatón, Triana

    European journal of cancer (Oxford, England : 1990)

    2023  Volume 187, Page(s) 36–57

    Abstract: Introduction: The use of immune checkpoint inhibitors (ICIs) in cancer immunotherapy has shown increased overall survival in a wide range of cancer types with the associated risk of developing severe immune-mediated adverse events, commonly involving ... ...

    Abstract Introduction: The use of immune checkpoint inhibitors (ICIs) in cancer immunotherapy has shown increased overall survival in a wide range of cancer types with the associated risk of developing severe immune-mediated adverse events, commonly involving the gastrointestinal tract.
    Aim: The aim of this position statement is to provide an updated practice advice to the gastroenterologists and oncologists on the diagnosis and management of ICI-induced gastrointestinal toxicity.
    Methodology: The evidence reviewed in this paper includes a comprehensive search strategy of English language publications. Consensus was reached using a three-round modified Delphi methodology and approved by the members of the Belgian Inflammatory Bowel Disease Research and Development Group (BIRD), Belgian Society of Medical Oncology (BSMO), Belgian group of Digestive Oncology (BGDO), and Belgian Respiratory Society (BeRS).
    Conclusions: The management of ICI-induced colitis requires an early multidisciplinary approach. A broad initial assessment is necessary (clinical presentation, laboratory markers, endoscopic and histologic examination) to confirm the diagnosis. Criteria for hospitalisation, management of ICIs, and initial endoscopic assessment are proposed. Even if corticosteroids are still considered the first-line therapy, biologics are recommended as an escalation therapy and as early treatment in patients with high-risk endoscopic findings.
    MeSH term(s) Humans ; Colitis/chemically induced ; Colitis/diagnosis ; Colitis/therapy ; Consensus ; Delphi Technique ; Immune Checkpoint Inhibitors/adverse effects ; Neoplasms/drug therapy
    Chemical Substances Immune Checkpoint Inhibitors
    Language English
    Publishing date 2023-03-25
    Publishing country England
    Document type Journal Article ; Review
    ZDB-ID 82061-1
    ISSN 1879-0852 ; 0277-5379 ; 0959-8049 ; 0964-1947
    ISSN (online) 1879-0852
    ISSN 0277-5379 ; 0959-8049 ; 0964-1947
    DOI 10.1016/j.ejca.2023.03.025
    Database MEDical Literature Analysis and Retrieval System OnLINE

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