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  1. Article ; Online: Neonatal Leukemia.

    Brown, Patrick A

    Clinics in perinatology

    2021  Volume 48, Issue 1, Page(s) 15–33

    Abstract: Neonates are at risk for 3 major forms of leukemia in the first year of life: acute leukemia, juvenile myelomonocytic leukemia, and transient abnormal myelopoiesis associated with Down syndrome. These disorders are rare but generate interest due to ... ...

    Abstract Neonates are at risk for 3 major forms of leukemia in the first year of life: acute leukemia, juvenile myelomonocytic leukemia, and transient abnormal myelopoiesis associated with Down syndrome. These disorders are rare but generate interest due to aggressive clinical presentation, suboptimal response to current therapies, and fascinating biology. Each can arise as a result of unique constitutional and acquired genetic events. Genetic insights are pointing the way toward novel therapeutic approaches. This article reviews key epidemiologic, clinical, and molecular features of neonatal leukemias, focusing on risk stratification, treatment, and strategies for developing novel molecularly targeted approaches to improve future outcomes.
    MeSH term(s) Down Syndrome/epidemiology ; Down Syndrome/genetics ; Humans ; Infant, Newborn ; Infant, Newborn, Diseases ; Leukemia/epidemiology ; Leukemia/genetics ; Leukemia/therapy ; Leukemia, Myelomonocytic, Juvenile ; Leukemoid Reaction
    Language English
    Publishing date 2021-02-14
    Publishing country United States
    Document type Journal Article ; Review
    ZDB-ID 193116-7
    ISSN 1557-9840 ; 0095-5108
    ISSN (online) 1557-9840
    ISSN 0095-5108
    DOI 10.1016/j.clp.2020.11.002
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Perspective: Correlation Between Intracranial Pressure and Venous Sinus Pressures in Idiopathic Intracranial Hypertension.

    Brown, Patrick A / Wolfe, Stacey Q / Fargen, Kyle M

    World neurosurgery

    2021  Volume 152, Page(s) 235–236

    Language English
    Publishing date 2021-07-30
    Publishing country United States
    Document type News
    ZDB-ID 2534351-8
    ISSN 1878-8769 ; 1878-8750
    ISSN (online) 1878-8769
    ISSN 1878-8750
    DOI 10.1016/j.wneu.2021.05.040
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Emerging Treatment Options for Acute Lymphoblastic Leukemia: Focus on CAR T-Cell Therapy.

    Brown, Patrick A / Shah, Bijal

    Journal of the National Comprehensive Cancer Network : JNCCN

    2018  Volume 16, Issue 5S, Page(s) 651–655

    Abstract: Acute lymphoblastic leukemia (ALL) comprises a heterogeneous group of diseases with different morphologic, cytogenetic, and molecular subgroups, some of which have significant therapeutic implications. It typically presents with an aggressive clinical ... ...

    Abstract Acute lymphoblastic leukemia (ALL) comprises a heterogeneous group of diseases with different morphologic, cytogenetic, and molecular subgroups, some of which have significant therapeutic implications. It typically presents with an aggressive clinical course, and among adults, responds poorly to standard chemotherapy, and carries a high risk for relapse. Despite the significant progress made in inducing remission, frequent relapses remain a challenge. Novel drugs, such as potent later-generation tyrosine kinase inhibitors, antibody-drug conjugates, bispecific monoclonal antibodies, and chimeric antigen receptor (CAR) T-cell therapies, are being investigated in patients with ALL. This summary describes therapies currently approved for the treatment of patients with ALL, identifies emerging targeted immunotherapies for patients with ALL, and discusses adverse events and mechanisms of resistance.
    MeSH term(s) Antibodies, Bispecific/pharmacology ; Antibodies, Bispecific/therapeutic use ; Antibodies, Monoclonal, Humanized/pharmacology ; Antibodies, Monoclonal, Humanized/therapeutic use ; Antineoplastic Agents/pharmacology ; Antineoplastic Agents/therapeutic use ; Combined Modality Therapy/adverse effects ; Combined Modality Therapy/methods ; Combined Modality Therapy/standards ; Drug Resistance, Neoplasm/immunology ; Humans ; Immunotherapy, Adoptive/adverse effects ; Immunotherapy, Adoptive/methods ; Immunotherapy, Adoptive/standards ; Neoplasm Recurrence, Local/immunology ; Neoplasm Recurrence, Local/mortality ; Neoplasm Recurrence, Local/pathology ; Neoplasm Recurrence, Local/therapy ; Practice Guidelines as Topic ; Precursor Cell Lymphoblastic Leukemia-Lymphoma/immunology ; Precursor Cell Lymphoblastic Leukemia-Lymphoma/mortality ; Precursor Cell Lymphoblastic Leukemia-Lymphoma/pathology ; Precursor Cell Lymphoblastic Leukemia-Lymphoma/therapy ; Randomized Controlled Trials as Topic ; Receptors, Antigen, T-Cell/immunology ; Remission Induction/methods ; Survival Rate ; Treatment Outcome ; Tumor Burden/immunology
    Chemical Substances Antibodies, Bispecific ; Antibodies, Monoclonal, Humanized ; Antineoplastic Agents ; Receptors, Antigen, T-Cell ; blinatumomab (4FR53SIF3A) ; Inotuzumab Ozogamicin (P93RUU11P7)
    Language English
    Publishing date 2018-05-21
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2250759-0
    ISSN 1540-1413 ; 1540-1405
    ISSN (online) 1540-1413
    ISSN 1540-1405
    DOI 10.6004/jnccn.2018.0048
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Burnout and Attrition in Nonphysician Neurointerventional Staff.

    Brown, Patrick A / Wolfe, Stacey Q / Fargen, Kyle M

    World neurosurgery

    2020  Volume 140, Page(s) 406–407

    MeSH term(s) Burnout, Professional/epidemiology ; Burnout, Professional/psychology ; Health Personnel/psychology ; Humans ; Prevalence
    Keywords covid19
    Language English
    Publishing date 2020-08-14
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2534351-8
    ISSN 1878-8769 ; 1878-8750
    ISSN (online) 1878-8769
    ISSN 1878-8750
    DOI 10.1016/j.wneu.2020.06.003
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: Advances in the Care of Adult Patients With Acute Lymphoblastic Leukemia: Optimism Tempered by Reality.

    Alvarnas, Joseph C / Brown, Patrick A

    Journal of the National Comprehensive Cancer Network : JNCCN

    2016  Volume 14, Issue 7, Page(s) 815–817

    MeSH term(s) Antineoplastic Agents/therapeutic use ; Clinical Trials as Topic ; Humans ; Precursor Cell Lymphoblastic Leukemia-Lymphoma/drug therapy ; Survival Rate
    Chemical Substances Antineoplastic Agents
    Language English
    Publishing date 2016-06-01
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2250759-0
    ISSN 1540-1413 ; 1540-1405
    ISSN (online) 1540-1413
    ISSN 1540-1405
    DOI 10.6004/jnccn.2016.0085
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: Investigational treatment options in phase I and phase II trials for relapsed or refractory acute lymphoblastic leukemia in pediatric patients.

    Asare, Julie M / Rabik, Cara A / Muller, Bradley / Brown, Patrick A / Cooper, Stacy

    Expert opinion on investigational drugs

    2021  Volume 30, Issue 6, Page(s) 611–620

    Abstract: ... ...

    Abstract Introduction
    MeSH term(s) Child ; Humans ; Immunotherapy/methods ; Immunotherapy, Adoptive/methods ; Molecular Targeted Therapy ; Precursor B-Cell Lymphoblastic Leukemia-Lymphoma/pathology ; Precursor B-Cell Lymphoblastic Leukemia-Lymphoma/therapy ; Precursor T-Cell Lymphoblastic Leukemia-Lymphoma/pathology ; Precursor T-Cell Lymphoblastic Leukemia-Lymphoma/therapy ; Recurrence ; Therapies, Investigational/methods
    Language English
    Publishing date 2021-05-04
    Publishing country England
    Document type Journal Article ; Review
    ZDB-ID 1182884-5
    ISSN 1744-7658 ; 0967-8298 ; 1354-3784
    ISSN (online) 1744-7658
    ISSN 0967-8298 ; 1354-3784
    DOI 10.1080/13543784.2021.1916466
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article: Nivolumab Plus 5-Azacitidine in Pediatric Relapsed/Refractory Acute Myeloid Leukemia (AML): Phase I/II Trial Results from the Therapeutic Advances in Childhood Leukemia and Lymphoma (TACL) Consortium.

    Verma, Anupam / Chi, Yueh-Yun / Malvar, Jemily / Lamble, Adam / Chaudhury, Sonali / Agarwal, Archana / Li, Hong-Tao / Liang, Gangning / Leong, Roy / Brown, Patrick A / Kaplan, Joel / Schafer, Eric S / Slone, Tamra / Pauly, Melinda / Chang, Bill H / Stieglitz, Elliot / Wayne, Alan S / Hijiya, Nobuko / Bhojwani, Deepa

    Cancers

    2024  Volume 16, Issue 3

    Abstract: Improvements in survival have been made over the past two decades for childhood acute myeloid leukemia (AML), but the approximately 40% of patients who relapse continue to have poor outcomes. A combination of checkpoint-inhibitor nivolumab and ... ...

    Abstract Improvements in survival have been made over the past two decades for childhood acute myeloid leukemia (AML), but the approximately 40% of patients who relapse continue to have poor outcomes. A combination of checkpoint-inhibitor nivolumab and azacitidine has demonstrated improvements in median survival in adults with AML. This phase I/II study with nivolumab and azacitidine in children with relapsed/refractory AML (NCT03825367) was conducted through the Therapeutic Advances in Childhood Leukemia & Lymphoma consortium. Thirteen patients, median age 13.7 years, were enrolled. Patients had refractory disease with multiple reinduction attempts. Twelve evaluable patients were treated at the recommended phase II dose (established at dose level 1, 3 mg/kg/dose). Four patients (33%) maintained stable disease. This combination was well tolerated, with no dose-limiting toxicities observed. Grade 3-4 adverse events (AEs) were primarily hematological. Febrile neutropenia was the most common AE ≥ grade 3. A trend to improved quality of life was noted. Increases in CD8+ T cells and reductions in CD4+/CD8+ T cells and demethylation were observed. The combination was well tolerated and had an acceptable safety profile in pediatric patients with relapsed/refractory AML. Future studies might explore this combination for the maintenance of remission in children with AML at high risk of relapse.
    Language English
    Publishing date 2024-01-24
    Publishing country Switzerland
    Document type Journal Article
    ZDB-ID 2527080-1
    ISSN 2072-6694
    ISSN 2072-6694
    DOI 10.3390/cancers16030496
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article ; Online: NSD2 E1099K drives relapse in pediatric acute lymphoblastic leukemia by disrupting 3D chromatin organization.

    Narang, Sonali / Evensen, Nikki A / Saliba, Jason / Pierro, Joanna / Loh, Mignon L / Brown, Patrick A / Kolekar, Pandurang / Mulder, Heather / Shao, Ying / Easton, John / Ma, Xiaotu / Tsirigos, Aristotelis / Carroll, William L

    Genome biology

    2023  Volume 24, Issue 1, Page(s) 64

    Abstract: Background: The NSD2 p.E1099K (EK) mutation is shown to be enriched in patients with relapsed acute lymphoblastic leukemia (ALL), indicating a role in clonal evolution and drug resistance.: Results: To uncover 3D chromatin architecture-related ... ...

    Abstract Background: The NSD2 p.E1099K (EK) mutation is shown to be enriched in patients with relapsed acute lymphoblastic leukemia (ALL), indicating a role in clonal evolution and drug resistance.
    Results: To uncover 3D chromatin architecture-related mechanisms underlying drug resistance, we perform Hi-C on three B-ALL cell lines heterozygous for NSD2 EK. The NSD2 mutation leads to widespread remodeling of the 3D genome, most dramatically in terms of compartment changes with a strong bias towards A compartment shifts. Systematic integration of the Hi-C data with previously published ATAC-seq, RNA-seq, and ChIP-seq data show an expansion in H3K36me2 and a shrinkage in H3K27me3 within A compartments as well as increased gene expression and chromatin accessibility. These results suggest that NSD2 EK plays a prominent role in chromatin decompaction through enrichment of H3K36me2. In contrast, we identify few changes in intra-topologically associating domain activity. While compartment changes vary across cell lines, a common core of decompacting loci are shared, driving the expression of genes/pathways previously implicated in drug resistance. We further perform RNA sequencing on a cohort of matched diagnosis/relapse ALL patients harboring the relapse-specific NSD2 EK mutation. Changes in patient gene expression upon relapse significantly correlate with core compartment changes, further implicating the role of NSD2 EK in genome decompaction.
    Conclusions: In spite of cell-context-dependent changes mediated by EK, there appears to be a shared transcriptional program dependent on compartment shifts which could explain phenotypic differences across EK cell lines. This core program is an attractive target for therapeutic intervention.
    MeSH term(s) Child ; Humans ; Chromatin ; Precursor Cell Lymphoblastic Leukemia-Lymphoma/genetics ; Repressor Proteins/genetics ; Repressor Proteins/metabolism
    Chemical Substances Chromatin ; Repressor Proteins ; NSD2 protein, human (EC 2.1.1.43)
    Language English
    Publishing date 2023-04-04
    Publishing country England
    Document type Journal Article ; Research Support, Non-U.S. Gov't ; Research Support, N.I.H., Extramural
    ZDB-ID 2040529-7
    ISSN 1474-760X ; 1474-760X
    ISSN (online) 1474-760X
    ISSN 1474-760X
    DOI 10.1186/s13059-023-02905-0
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  9. Article ; Online: Six Candidate miRNAs Associated With Early Relapse in Pediatric B-Cell Acute Lymphoblastic Leukemia.

    Amankwah, Ernest K / Devidas, Meenakshi / Teachey, David T / Rabin, Karen R / Brown, Patrick A

    Anticancer research

    2020  Volume 40, Issue 6, Page(s) 3147–3153

    Abstract: Background/aim: Few studies have evaluated the role of miRNAs in pediatric acute lymphoblastic leukemia (ALL) relapse and a consensus of a clinically significant miRNA signature is yet to be identified. In this study, we evaluated miRNAs associated with ...

    Abstract Background/aim: Few studies have evaluated the role of miRNAs in pediatric acute lymphoblastic leukemia (ALL) relapse and a consensus of a clinically significant miRNA signature is yet to be identified. In this study, we evaluated miRNAs associated with pediatric B-ALL early relapse in two independent sample sets.
    Materials and methods: We performed global miRNA profiling on diagnostic bone marrow specimens from six early relapse (≤3 years after diagnosis) and six age- and cytogenetics-matched prolonged remission (≥4 years) patients (first set) and an independent set of 14 early relapse and 14 matched prolonged remission specimens (second set).
    Results: Twelve and 39 top differentially expressed miRNAs were observed in the first and second sets, respectively; however, there was no overlap between the top candidates. In post-hoc analyses six miRNAs (miR-101-3p, miR-4774-5p, miR-1324, miR-631, miR-4699-5p and miR-922) among the top candidates in the second, but not the first set, were consistently upregulated in early relapse compared to remission specimens in both first (fold change=1.13-2.19, q<0.38) and second (fold change=1.48-4.78, all q<0.05) sets. Four (miR-631, mir-101-3p, miR-922 and miR-1324) of these miRNAs have been previously implicated in key functional oncogenic pathways in adult cancers.
    Conclusion: This study suggests that six candidate miRNAs, not previously implicated in pediatric ALL, are associated with early relapse in pediatric B-ALL. Validation and investigation of mechanistic roles of these miRNAs in a larger cohort are warranted, so that they may be used as prognostic markers for early relapse of pediatric B-ALL.
    MeSH term(s) Adolescent ; B-Lymphocytes/metabolism ; Child ; Child, Preschool ; Female ; Humans ; Infant ; Male ; MicroRNAs/genetics ; Precursor Cell Lymphoblastic Leukemia-Lymphoma/genetics ; Recurrence
    Chemical Substances MicroRNAs
    Language English
    Publishing date 2020-06-02
    Publishing country Greece
    Document type Journal Article
    ZDB-ID 604549-2
    ISSN 1791-7530 ; 0250-7005
    ISSN (online) 1791-7530
    ISSN 0250-7005
    DOI 10.21873/anticanres.14296
    Database MEDical Literature Analysis and Retrieval System OnLINE

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