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  1. Article ; Online: Next-generation sequencing and molecular therapy.

    Morton, Cienne / Sarker, Debashis / Ross, Paul

    Clinical medicine (London, England)

    2024  Volume 23, Issue 1, Page(s) 65–69

    Abstract: Cancers contain a plethora of mutations, few of which are critical to maintaining a state of malignancy. With our ever-expanding understanding of the genomic complexity of cancer, potentially actionable biomarkers whose inhibition could cripple cancer ... ...

    Abstract Cancers contain a plethora of mutations, few of which are critical to maintaining a state of malignancy. With our ever-expanding understanding of the genomic complexity of cancer, potentially actionable biomarkers whose inhibition could cripple cancer growth are increasingly being elucidated. Modern cancer drug development has largely switched from cytotoxic agents to targeted therapies and immunotherapy, with noteworthy success in several cancer types including non-small-cell lung cancer (NSCLC), breast cancer and melanoma. Next-generation sequencing offers high-throughput, widescale genomic interrogation in a far more efficient and affordable manner than previous sequencing methods. This facilitates detection of potentially actionable mutations and fusions for individual patients and contributes to the identification of novel predictive and prognostic biomarkers in a population. Challenges in the technical aspects of biopsy and sequencing, interpretation, and development of targeted therapies against common genomic aberrations will need to be addressed for personalised medicine to become a reality for more patients with cancer.
    MeSH term(s) Humans ; Carcinoma, Non-Small-Cell Lung/drug therapy ; Carcinoma, Non-Small-Cell Lung/genetics ; Lung Neoplasms/drug therapy ; Lung Neoplasms/genetics ; High-Throughput Nucleotide Sequencing ; Immunotherapy ; Biomarkers
    Chemical Substances Biomarkers
    Language English
    Publishing date 2024-04-11
    Publishing country England
    Document type Journal Article
    ZDB-ID 2048646-7
    ISSN 1473-4893 ; 1470-2118
    ISSN (online) 1473-4893
    ISSN 1470-2118
    DOI 10.7861/clinmed.2022-0514
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Next-generation sequencing and molecular therapy.

    Morton, Cienne / Sarker, Debashis / Ross, Paul

    Clinical medicine (London, England)

    2023  Volume 23, Issue 1, Page(s) 65–69

    Abstract: Cancers contain a plethora of mutations, few of which are critical to maintaining a state of malignancy. With our ever-expanding understanding of the genomic complexity of cancer, potentially actionable biomarkers whose inhibition could cripple cancer ... ...

    Abstract Cancers contain a plethora of mutations, few of which are critical to maintaining a state of malignancy. With our ever-expanding understanding of the genomic complexity of cancer, potentially actionable biomarkers whose inhibition could cripple cancer growth are increasingly being elucidated. Modern cancer drug development has largely switched from cytotoxic agents to targeted therapies and immunotherapy, with noteworthy success in several cancer types including non-small-cell lung cancer (NSCLC), breast cancer and melanoma. Next-generation sequencing offers high-throughput, widescale genomic interrogation in a far more efficient and affordable manner than previous sequencing methods. This facilitates detection of potentially actionable mutations and fusions for individual patients and contributes to the identification of novel predictive and prognostic biomarkers in a population. Challenges in the technical aspects of biopsy and sequencing, interpretation, and development of targeted therapies against common genomic aberrations will need to be addressed for personalised medicine to become a reality for more patients with cancer.
    MeSH term(s) Humans ; Female ; Carcinoma, Non-Small-Cell Lung/drug therapy ; Carcinoma, Non-Small-Cell Lung/genetics ; Lung Neoplasms/drug therapy ; Lung Neoplasms/genetics ; Melanoma/drug therapy ; Melanoma/genetics ; Breast Neoplasms ; Mutation ; High-Throughput Nucleotide Sequencing ; Biomarkers, Tumor/genetics ; Molecular Targeted Therapy
    Chemical Substances Biomarkers, Tumor
    Language English
    Publishing date 2023-01-07
    Publishing country England
    Document type Journal Article
    ZDB-ID 2048646-7
    ISSN 1473-4893 ; 1470-2118
    ISSN (online) 1473-4893
    ISSN 1470-2118
    DOI 10.7861/clinmed.2022-0514
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Exploring the Effect of PAK Inhibition in a 3D Pancreatic Cancer Invasion Model

    Marianne Best / Debashis Sarker / Claire M. Wells

    Biology and Life Sciences Forum, Vol 21, Iss 32, p

    2023  Volume 32

    Abstract: Pancreatic Ductal Adenocarcinoma (PDAC) is an aggressive cancer, with over half of patients presenting with metastatic PDAC at diagnosis. Most patients receive conventional chemotherapy which invariably faces resistance, and a key facilitator in this is ... ...

    Abstract Pancreatic Ductal Adenocarcinoma (PDAC) is an aggressive cancer, with over half of patients presenting with metastatic PDAC at diagnosis. Most patients receive conventional chemotherapy which invariably faces resistance, and a key facilitator in this is the PDAC stroma which acts as a functional mediator of disease progression through bilateral crosstalk between stromal cells and cancer cells. ‘Migrastatics’ are a new drug class which target cell migration pathway effector proteins to attenuate cancer cell invasion. Improvement in PDAC treatment strategy is well-overdue and migrastatics as adjuvant therapy is one avenue gaining traction. The p21-activated kinase (PAK) family is frequently overexpressed and/or amplified in PDAC where it regulates cytoskeletal actin contractility as well as transcription. Pre-clinical PAK inhibitors have shown reduced PDAC cell invasion in vitro, yet it is unknown how the PDAC stromal cells would respond to a PAK inhibitor and how this could consequently affect PDAC invasion. My PhD project investigates the Pancreatic stellate cell response to PAK inhibition.
    Keywords pancreatic cancer ; cell migration ; cell invasion ; p21-activated kinases (PAKs) ; kinase inhibitors ; actomyosin contractility ; Plant ecology ; QK900-989 ; Animal biochemistry ; QP501-801 ; Biology (General) ; QH301-705.5
    Subject code 610
    Language English
    Publishing date 2023-04-01T00:00:00Z
    Publisher MDPI AG
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  4. Article ; Online: Revitalising cancer trials post-pandemic: time for reform.

    Morton, Cienne / Sullivan, Richard / Sarker, Debashis / Posner, John / Spicer, James

    British journal of cancer

    2023  Volume 128, Issue 8, Page(s) 1409–1414

    Abstract: The COVID-19 pandemic posed significant risk to the health of cancer patients, compromised standard cancer care and interrupted clinical cancer trials, prompting dramatic streamlining of services. From this health crisis has emerged the opportunity to ... ...

    Abstract The COVID-19 pandemic posed significant risk to the health of cancer patients, compromised standard cancer care and interrupted clinical cancer trials, prompting dramatic streamlining of services. From this health crisis has emerged the opportunity to carry forward an unexpected legacy of positive reforms to clinical cancer research, where conventionally convoluted approvals processes, inefficient trial design, procedures and data gathering could benefit from the lessons in rationalisation learned during the pandemic.
    MeSH term(s) Humans ; COVID-19/epidemiology ; Pandemics ; Neoplasms/epidemiology ; Neoplasms/therapy
    Language English
    Publishing date 2023-03-23
    Publishing country England
    Document type Journal Article ; Review
    ZDB-ID 80075-2
    ISSN 1532-1827 ; 0007-0920
    ISSN (online) 1532-1827
    ISSN 0007-0920
    DOI 10.1038/s41416-023-02224-y
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: A review of the zone broadening contributions in free-flow electrophoresis.

    Mahmud, Sakur / Ramproshad, Sarker / Deb, Rajesh / Dutta, Debashis

    Electrophoresis

    2023  Volume 44, Issue 19-20, Page(s) 1519–1538

    Abstract: The broadening of analyte streams, as they migrate through a free-flow electrophoresis (FFE) channel, often limits the resolving power of FFE separations. Under laminar flow conditions, such zonal spreading occurs due to analyte diffusion perpendicular ... ...

    Abstract The broadening of analyte streams, as they migrate through a free-flow electrophoresis (FFE) channel, often limits the resolving power of FFE separations. Under laminar flow conditions, such zonal spreading occurs due to analyte diffusion perpendicular to the direction of streamflow and variations in the lateral distance electrokinetically migrated by the analyte molecules. Although some of the factors that give rise to these contributions are inherent to the FFE method, others originate from non-idealities in the system, such as Joule heating, pressure-driven crossflows, and a difference between the electrical conductivities of the sample stream and background electrolyte. The injection process can further increase the stream width in FFE separations but normally influencing all analyte zones to an equal extent. Recently, several experimental and theoretical works have been reported that thoroughly investigate the various contributions to stream variance in an FFE device for better understanding, and potentially minimizing their magnitudes. In this review article, we carefully examine the findings from these studies and discuss areas in which more work is needed to advance our comprehension of the zone broadening contributions in FFE assays.
    MeSH term(s) Electrophoresis/methods ; Diffusion ; Electric Conductivity
    Language English
    Publishing date 2023-08-07
    Publishing country Germany
    Document type Journal Article ; Review ; Research Support, U.S. Gov't, Non-P.H.S.
    ZDB-ID 619001-7
    ISSN 1522-2683 ; 0173-0835
    ISSN (online) 1522-2683
    ISSN 0173-0835
    DOI 10.1002/elps.202300062
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: A review of the zone broadening contributions in free‐flow electrophoresis

    Mahmud, Sakur / Ramproshad, Sarker / Deb, Rajesh / Dutta, Debashis

    ELECTROPHORESIS. 2023 Oct., v. 44, no. 19-20 p.1519-1538

    2023  

    Abstract: The broadening of analyte streams, as they migrate through a free‐flow electrophoresis (FFE) channel, often limits the resolving power of FFE separations. Under laminar flow conditions, such zonal spreading occurs due to analyte diffusion perpendicular ... ...

    Abstract The broadening of analyte streams, as they migrate through a free‐flow electrophoresis (FFE) channel, often limits the resolving power of FFE separations. Under laminar flow conditions, such zonal spreading occurs due to analyte diffusion perpendicular to the direction of streamflow and variations in the lateral distance electrokinetically migrated by the analyte molecules. Although some of the factors that give rise to these contributions are inherent to the FFE method, others originate from non‐idealities in the system, such as Joule heating, pressure‐driven crossflows, and a difference between the electrical conductivities of the sample stream and background electrolyte. The injection process can further increase the stream width in FFE separations but normally influencing all analyte zones to an equal extent. Recently, several experimental and theoretical works have been reported that thoroughly investigate the various contributions to stream variance in an FFE device for better understanding, and potentially minimizing their magnitudes. In this review article, we carefully examine the findings from these studies and discuss areas in which more work is needed to advance our comprehension of the zone broadening contributions in FFE assays.
    Keywords electrolytes ; electrophoresis ; heat ; laminar flow ; stream flow ; streams ; variance
    Language English
    Dates of publication 2023-10
    Size p. 1519-1538.
    Publishing place John Wiley & Sons, Ltd
    Document type Article ; Online
    Note REVIEW
    ZDB-ID 619001-7
    ISSN 1522-2683 ; 0173-0835
    ISSN (online) 1522-2683
    ISSN 0173-0835
    DOI 10.1002/elps.202300062
    Database NAL-Catalogue (AGRICOLA)

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  7. Article ; Online: "We'll starve to death": The consequences of COVID-19 over the lives of poor people with disabilities in rural Nepal.

    Sarker, Debashis / Shrestha, Sanjana / Tamang, Santosh Kumar Baidhya

    Asian social work and policy review

    2022  Volume 16, Issue 2, Page(s) 96–103

    Abstract: There is no doubt that the sudden outbreak of COVID-19 negatively impacted billions of people worldwide, and among them, people with disabilities became most susceptible. However, little is known about the impact of COVID-19 on the lives of people with ... ...

    Abstract There is no doubt that the sudden outbreak of COVID-19 negatively impacted billions of people worldwide, and among them, people with disabilities became most susceptible. However, little is known about the impact of COVID-19 on the lives of people with disabilities in Nepal. Using empirical data from semi-structured in-depth interviews with people with disabilities, disability specialist, and community leaders, this study discusses the lived experiences of people with disabilities who have been affected by COVID-19 in Nepal. This study revealed that the outbreak of COVID-19 impacted people with disabilities by worsening their vulnerability. In particular, the majority of people with disabilities became further isolated, were disconnected from existing services such as access to information, education, and health care and many lost their income opportunities. Findings from this study further show that this pandemic affected the rights of people with disabilities guided by the United Nations Convention on the Rights of Persons with Disabilities (UNCRPD). Immediate financial and non-financial support for people with disabilities from government and other stakeholders, such as non-governmental organizations (NGOs), is needed, indicating the need for policymakers to reassess policies to ensure that they adequately protect the rights of people with disabilities.
    Language English
    Publishing date 2022-02-24
    Publishing country Australia
    Document type Journal Article
    ZDB-ID 2443077-8
    ISSN 1753-1411 ; 1753-1403
    ISSN (online) 1753-1411
    ISSN 1753-1403
    DOI 10.1111/aswp.12250
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article ; Online: Neuroendocrine neoplasms: Consensus on a patient care pathway.

    Hooper, Jessica / Jervis, Nikie / Morgan, Lucy / Beckett, Vivienne / Hand, Philippa / Higgs, Kate / Munir, Alia / Prinn, Jenny / Pritchard, D Mark / Sarker, Debashis / Srirajaskanthan, Raj / Ellis, Catherine Bouvier

    Journal of neuroendocrinology

    2024  Volume 36, Issue 4, Page(s) e13380

    Abstract: People with neuroendocrine neoplasms (NENs) face a multitude of challenges, including delayed diagnosis, low awareness of the cancer among healthcare professionals and limited access to multidisciplinary care and expert centres. We have developed the ... ...

    Abstract People with neuroendocrine neoplasms (NENs) face a multitude of challenges, including delayed diagnosis, low awareness of the cancer among healthcare professionals and limited access to multidisciplinary care and expert centres. We have developed the first patient care pathway for people living with NENs in England to guide disease management and help overcome these barriers. The pathway was developed in two phases. First, a pragmatic review of the literature was conducted, which was used to develop a draft patient care pathway. Second, the draft pathway was then updated following semi-structured interviews with carefully selected expert stakeholders. After each phase, the pathway was discussed among a multidisciplinary, expert advisory group (which comprised the authors and the Deputy Chief Operating Officer, West Suffolk NHS Foundation Trust), who reached a consensus on the ideal care pathway. This article presents the outputs of this research. The pathway identified key barriers to care and highlighted how these may be addressed, with many of the findings relevant to the rest of the UK and international audiences. NENs are increasing in incidence and prevalence in England, compounding pre-existing inequities in diagnosis and disease management. Effective integration of this pathway within NHS England will help achieve optimal, equitable care provision for all people with NENs, and should be feasible within the existing expert multidisciplinary teams across the country.
    MeSH term(s) Humans ; Consensus ; Critical Pathways ; Neuroendocrine Tumors/diagnosis ; Neuroendocrine Tumors/epidemiology ; Neuroendocrine Tumors/therapy
    Language English
    Publishing date 2024-03-12
    Publishing country United States
    Document type Review ; Journal Article
    ZDB-ID 1007517-3
    ISSN 1365-2826 ; 0953-8194
    ISSN (online) 1365-2826
    ISSN 0953-8194
    DOI 10.1111/jne.13380
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article ; Online: Correction to: Efficacy and Safety Results from a Phase 2, Randomized, Double Blind Study of Enzalutamide Versus Placebo in Advanced Hepatocellular Carcinoma.

    Ryoo, Baek-Yeol / Palmer, Daniel H / Park, Sook Ryun / Rimassa, Lorenza / Sarker, Debashis / Daniele, Bruno / Steinberg, Joyce / López, Beatriz / Lim, Ho Yeong

    Clinical drug investigation

    2022  Volume 42, Issue 3, Page(s) 283

    Language English
    Publishing date 2022-02-27
    Publishing country New Zealand
    Document type Published Erratum
    ZDB-ID 1220136-4
    ISSN 1179-1918 ; 0114-2402 ; 1173-2563
    ISSN (online) 1179-1918
    ISSN 0114-2402 ; 1173-2563
    DOI 10.1007/s40261-022-01132-y
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Article ; Online: The global leadership into malnutrition criteria reveals a high percentage of malnutrition which influences overall survival in patients with gastroenteropancreatic neuroendocrine tumours.

    Clement, Dominique S V M / van Leerdam, Monique E / Tesselaar, Margot E T / Cananea, Elmie / Martin, Wendy / Weickert, Martin O / Sarker, Debashis / Ramage, John K / Srirajaskanthan, Rajaventhan

    Journal of neuroendocrinology

    2024  Volume 36, Issue 4, Page(s) e13376

    Abstract: Patients with neuroendocrine tumours located in the gastroenteropancreatic tract (GEP-NETs) and treatment with somatostatin analogues (SSA's) are at risk of malnutrition which has been reported previously evaluating weight loss or body mass index (BMI) ... ...

    Abstract Patients with neuroendocrine tumours located in the gastroenteropancreatic tract (GEP-NETs) and treatment with somatostatin analogues (SSA's) are at risk of malnutrition which has been reported previously evaluating weight loss or body mass index (BMI) only. The global leadership into malnutrition (GLIM) criteria include weight loss, BMI, and sarcopenia, for diagnosing malnutrition. These GLIM criteria have not been assessed in patients with GEP-NETs on SSA. The effect of malnutrition on overall survival has not been explored before. The aim of this study is to describe the presence of malnutrition in patients with GEP-NET on SSA based on the GLIM criteria and associate this with overall survival. Cross-sectional study screening all patients with GEP-NETs on SSA's for malnutrition using the GLIM criteria. Body composition analysis for sarcopenia diagnosis were performed. Bloods including vitamins, minerals, and lipid profile were collected. Overall survival since the date of nutrition screening was calculated. Uni- and multivariate Cox regression analysis were performed to identify malnutrition as risk factor for overall survival. A total of 118 patients, 47% male, with median age 67 years (IQR 56.8-75.0) were included. Overall, malnutrition was present in 88 patients (75%); based on low BMI in 26 (22%) patients, based on weight loss in 35 (30%) patients, and based on sarcopenia in 83 (70%) patients. Vitamin deficiencies were present for vitamin D in 64 patients (54%), and vitamin A in 29 patients (25%). The presence of malnutrition demonstrated a significantly worse overall survival (p-value = .01). In multivariate analysis meeting 2 or 3 GLIM criteria was significantly associated with worse overall survival (HR 2.16 95% CI 1.34-3.48, p-value = .002). Weight loss was the most important risk factor out of the 3 GLIM criteria (HR 3.5 95% CI 1.14-10.85, p-value = .03) for worse overall survival. A high percentage (75%) of patients with GEP-NETs using a SSA meet the GLIM criteria for malnutrition. Meeting more than 1 GLIM criterium, especially if there is weight loss these are risk factors for worse overall survival.
    MeSH term(s) Humans ; Male ; Aged ; Female ; Cross-Sectional Studies ; Leadership ; Neuroendocrine Tumors/complications ; Sarcopenia/complications ; Malnutrition/complications ; Weight Loss ; Nutritional Status
    Language English
    Publishing date 2024-02-22
    Publishing country United States
    Document type Journal Article
    ZDB-ID 1007517-3
    ISSN 1365-2826 ; 0953-8194
    ISSN (online) 1365-2826
    ISSN 0953-8194
    DOI 10.1111/jne.13376
    Database MEDical Literature Analysis and Retrieval System OnLINE

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