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  1. Article ; Online: Maintenance therapy of childhood acute lymphoblastic leukemia: Do all roads lead to Rome?

    Schmiegelow, Kjeld

    Pediatric blood & cancer

    2020  Volume 67, Issue 11, Page(s) e28418

    MeSH term(s) Allopurinol ; Child ; Humans ; Maintenance ; Mercaptopurine ; Precursor Cell Lymphoblastic Leukemia-Lymphoma/drug therapy ; Rome
    Chemical Substances Allopurinol (63CZ7GJN5I) ; Mercaptopurine (E7WED276I5)
    Language English
    Publishing date 2020-08-15
    Publishing country United States
    Document type Journal Article ; Comment
    ZDB-ID 2131448-2
    ISSN 1545-5017 ; 1545-5009
    ISSN (online) 1545-5017
    ISSN 1545-5009
    DOI 10.1002/pbc.28418
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Have COVID-19 affected ALL epidemiology?

    Schmiegelow, Kjeld

    Acta paediatrica (Oslo, Norway : 1992)

    2020  Volume 110, Issue 2, Page(s) 387–388

    MeSH term(s) COVID-19 ; Child ; Disease Outbreaks ; Humans ; Pandemics ; Precursor Cell Lymphoblastic Leukemia-Lymphoma ; SARS-CoV-2
    Language English
    Publishing date 2020-11-20
    Publishing country Norway
    Document type Editorial ; Comment
    ZDB-ID 203487-6
    ISSN 1651-2227 ; 0365-1436 ; 0803-5253
    ISSN (online) 1651-2227
    ISSN 0365-1436 ; 0803-5253
    DOI 10.1111/apa.15631
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: [Træthed hos patienter, der er helbredt for kræft i barnealderen].

    Schmiegelow, Kjeld

    Ugeskrift for laeger

    2020  Volume 182, Issue 36

    Language Danish
    Publishing date 2020-09-30
    Publishing country Denmark
    Document type Journal Article
    ZDB-ID 124102-3
    ISSN 1603-6824 ; 0041-5782
    ISSN (online) 1603-6824
    ISSN 0041-5782
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Yet another susceptibility variant for ALL: what's next?

    Schmiegelow, Kjeld

    Blood

    2019  Volume 133, Issue 7, Page(s) 628–629

    MeSH term(s) Child ; Hispanic Americans ; Humans ; Precursor Cell Lymphoblastic Leukemia-Lymphoma ; Transcriptional Regulator ERG
    Chemical Substances ERG protein, human ; Transcriptional Regulator ERG
    Language English
    Publishing date 2019-02-14
    Publishing country United States
    Document type Journal Article ; Comment
    ZDB-ID 80069-7
    ISSN 1528-0020 ; 0006-4971
    ISSN (online) 1528-0020
    ISSN 0006-4971
    DOI 10.1182/blood-2018-12-891564
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: Treatment-related toxicities in children with acute lymphoblastic leukaemia predisposition syndromes.

    Schmiegelow, Kjeld

    European journal of medical genetics

    2016  Volume 59, Issue 12, Page(s) 654–660

    Abstract: Although most children with acute lymphoblastic leukaemia (ALL) do not harbor germline mutations that strongly predispose them to development of this malignancy, large syndrome registries and detailed mapping of exomes or whole genomes of familial ... ...

    Abstract Although most children with acute lymphoblastic leukaemia (ALL) do not harbor germline mutations that strongly predispose them to development of this malignancy, large syndrome registries and detailed mapping of exomes or whole genomes of familial leukaemia kindreds have revealed that 3-5% of all childhood ALL cases are due to such germline mutations, but the figure may be higher. Most of these syndromes are primarily characterized by their non-malignant phenotype, whereas ALL may be the dominating or even only striking manifestation of the syndrome in some families. Identification of such ALL patients is important in order to adjust therapy and offer genetic counseling and cancer surveillance to mutation carriers in the family. In the coming years large genomic screening projects are expected to reveal further hitherto unrecognised familial ALL syndromes. The treatment of ALL cases harboring cancer predisposing mutations can be challenging for both the physician and the patient due to their preexisting symptoms, their reduced tolerance to radio- and/or chemotherapy with enhanced risk of life-threatening organ toxicities, and the paucity of data from ALL patients with the same or similar syndromes being treated by contemporary protocols. Recent studies clearly indicate that many of these patients stand a good chance of cure, and that they should be offered chemotherapy with the intention to cure. Some of these syndromes are characterized by reduced tolerance to radiotherapy and/or specific anticancer agents, while others are not. This review summarises our current knowledge on the risk of acute toxicities for these ALL patients and provides guidance for treatment adjustments.
    MeSH term(s) Antineoplastic Agents/adverse effects ; Exome/genetics ; Genetic Predisposition to Disease ; Genotype ; Germ-Line Mutation/genetics ; Humans ; Precursor Cell Lymphoblastic Leukemia-Lymphoma/drug therapy ; Precursor Cell Lymphoblastic Leukemia-Lymphoma/genetics ; Precursor Cell Lymphoblastic Leukemia-Lymphoma/pathology ; Risk Factors
    Chemical Substances Antineoplastic Agents
    Language English
    Publishing date 2016-12
    Publishing country Netherlands
    Document type Journal Article ; Review
    ZDB-ID 2184135-4
    ISSN 1878-0849 ; 1769-7212
    ISSN (online) 1878-0849
    ISSN 1769-7212
    DOI 10.1016/j.ejmg.2016.02.006
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Book ; Thesis: Maintenance chemotherapy of acute lymphoblastic leukemia in children

    Schmiegelow, Kjeld

    clinical and pharmacological aspects of the monitoring and adjustment of oral methotrexate and 6-mercaptopurine

    1998  

    Author's details vorgelegt von Kjeld Schmiegelow
    Language English
    Size 93 S. : graph. Darst.
    Publishing country Denmark
    Document type Book ; Thesis
    Thesis / German Habilitation thesis København, Univ., Diss., 1998
    Note Zsfassung in dän. Sprache
    HBZ-ID HT009008366
    Database Catalogue ZB MED Medicine, Health

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  7. Article ; Online: An analysis pipeline for understanding 6-thioguanine effects on a mouse tumour genome.

    Yankilevich, Patricio / Nazerai, Loulieta / Willis, Shona Caroline / Schmiegelow, Kjeld / De Zio, Daniela / Nielsen, Morten

    Cancer immunology, immunotherapy : CII

    2024  Volume 73, Issue 2, Page(s) 22

    Abstract: Mouse tumour models are extensively used as a pre-clinical research tool in the field of oncology, playing an important role in anticancer drugs discovery. Accordingly, in cancer genomics research, the demand for next-generation sequencing (NGS) is ... ...

    Abstract Mouse tumour models are extensively used as a pre-clinical research tool in the field of oncology, playing an important role in anticancer drugs discovery. Accordingly, in cancer genomics research, the demand for next-generation sequencing (NGS) is increasing, and consequently, the need for data analysis pipelines is likewise growing. Most NGS data analysis solutions to date do not support mouse data or require highly specific configuration for their use. Here, we present a genome analysis pipeline for mouse tumour NGS data including the whole-genome sequence (WGS) data analysis flow for somatic variant discovery, and the RNA-seq data flow for differential expression, functional analysis and neoantigen prediction. The pipeline is based on standards and best practices and integrates mouse genome references and annotations. In a recent study, the pipeline was applied to demonstrate the efficacy of low dose 6-thioguanine (6TG) treatment on low-mutation melanoma in a pre-clinical mouse model. Here, we further this study and describe in detail the pipeline and the results obtained in terms of tumour mutational burden (TMB) and number of predicted neoantigens, and correlate these with 6TG effects on tumour volume. Our pipeline was expanded to include a neoantigen analysis, resulting in neopeptide prediction and MHC class I antigen presentation evaluation. We observed that the number of predicted neoepitopes were more accurate indicators of tumour immune control than TMB. In conclusion, this study demonstrates the usability of the proposed pipeline, and suggests it could be an essential robust genome analysis platform for future mouse genomic analysis.
    MeSH term(s) Animals ; Mice ; Thioguanine/pharmacology ; Genomics/methods ; Melanoma ; Mutation ; RNA-Seq
    Chemical Substances Thioguanine (FTK8U1GZNX)
    Language English
    Publishing date 2024-01-27
    Publishing country Germany
    Document type Journal Article
    ZDB-ID 195342-4
    ISSN 1432-0851 ; 0340-7004
    ISSN (online) 1432-0851
    ISSN 0340-7004
    DOI 10.1007/s00262-023-03610-4
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article ; Online: Mass spectrometry-based proteomics of cerebrospinal fluid in pediatric central nervous system malignancies: a systematic review with meta-analysis of individual patient data.

    Mirian, Christian / Thastrup, Maria / Mathiasen, René / Schmiegelow, Kjeld / Olsen, Jesper Velgaard / Østergaard, Ole

    Fluids and barriers of the CNS

    2024  Volume 21, Issue 1, Page(s) 14

    Abstract: Background: The cerebrospinal fluid (CSF) proteome could offer important insights into central nervous system (CNS) malignancies. To advance proteomic research in pediatric CNS cancer, the current study aims to (1) evaluate past mass spectrometry-based ... ...

    Abstract Background: The cerebrospinal fluid (CSF) proteome could offer important insights into central nervous system (CNS) malignancies. To advance proteomic research in pediatric CNS cancer, the current study aims to (1) evaluate past mass spectrometry-based workflows and (2) synthesize previous CSF proteomic data, focusing on both qualitative summaries and quantitative re-analysis. MAIN: In our analysis of 11 studies investigating the CSF proteome in pediatric patients with acute lymphoblastic leukemia (ALL) or primary brain tumors, we observed significant methodological variability. This variability negatively affects comparative analysis of the included studies, as per GRADE criteria for quality of evidence. The qualitative summaries covered 161 patients and 134 non-tumor controls, while the application of validation cohort varied among the studies. The quantitative re-analysis comprised 15 B-ALL vs 6 "healthy" controls and 15 medulloblastoma patients vs 22 non-tumor controls. Certain CSF proteins were identified as potential indicators of specific malignancies or stages of neurotoxicity during chemotherapy, yet definitive conclusions were impeded by inconsistent data. There were no proteins with statistically significant differences when comparing cases versus controls that were corroborated across studies where quantitative reanalysis was feasible. From a gene ontology enrichment, we observed that age disparities between unmatched case and controls may mislead to protein correlations more indicative of age-related CNS developmental stages rather than neuro-oncological disease. Despite efforts to batch correct (HarmonizR) and impute missing values, merging of dataset proved unfeasible and thereby limited meaningful data integration across different studies.
    Conclusion: Infrequent publications on rare pediatric cancer entities, which often involve small sample sizes, are inherently prone to result in heterogeneous studies-particularly when conducted within a rapidly evolving field like proteomics. As a result, obtaining clear evidence, such as CSF proteome biomarkers for CNS dissemination or early-stage neurotoxicity, is currently impractical. Our general recommendations comprise the need for standardized methodologies, collaborative efforts, and improved data sharing in pediatric CNS malignancy research. We specifically emphasize the possible importance of considering natural age-related variations in CSF due to different CNS development stages when matching cases and controls in future studies.
    MeSH term(s) Child ; Humans ; Proteome/analysis ; Proteome/metabolism ; Proteomics/methods ; Central Nervous System Neoplasms/pathology ; Mass Spectrometry ; Biomarkers/cerebrospinal fluid ; Cerebrospinal Fluid/metabolism
    Chemical Substances Proteome ; Biomarkers
    Language English
    Publishing date 2024-02-13
    Publishing country England
    Document type Meta-Analysis ; Systematic Review ; Journal Article ; Review
    ZDB-ID 2595406-4
    ISSN 2045-8118 ; 2045-8118
    ISSN (online) 2045-8118
    ISSN 2045-8118
    DOI 10.1186/s12987-024-00515-x
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article ; Online: Long-term effects of asparaginase-associated pancreatitis.

    Skipper, Mette Tiedemann / Albertsen, Birgitte Klug / Schmiegelow, Kjeld / Andrés-Jensen, Liv

    Pediatric blood & cancer

    2023  , Page(s) e30528

    Abstract: Pancreatitis is a common and severe toxicity that occurs during asparaginase treatment for acute lymphoblastic leukemia, and has received increasing attention during the last decades. However, no consensus regarding follow-up exists. In this commentary, ... ...

    Abstract Pancreatitis is a common and severe toxicity that occurs during asparaginase treatment for acute lymphoblastic leukemia, and has received increasing attention during the last decades. However, no consensus regarding follow-up exists. In this commentary, we highlight potential long-term health-related effects following asparaginase-associated pancreatitis, thereby providing clinicians with a framework when following these patients during and after cessation of therapy.
    Language English
    Publishing date 2023-06-28
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2131448-2
    ISSN 1545-5017 ; 1545-5009
    ISSN (online) 1545-5017
    ISSN 1545-5009
    DOI 10.1002/pbc.30528
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  10. Article ; Online: Flow Cytometric Detection of Malignant Blasts in Cerebrospinal Fluid: A Biomarker of Central Nervous System Involvement in Childhood Acute Lymphoblastic Leukemia.

    Thastrup, Maria / Marquart, Hanne Vibeke / Schmiegelow, Kjeld

    Biomolecules

    2022  Volume 12, Issue 6

    Abstract: Despite the excellent prognosis for children and adolescents with acute lymphoblastic lymphoma (ALL), the involvement of the central nervous system (CNS) represents a major therapeutic challenge. Patients who develop CNS relapse have a very poor ... ...

    Abstract Despite the excellent prognosis for children and adolescents with acute lymphoblastic lymphoma (ALL), the involvement of the central nervous system (CNS) represents a major therapeutic challenge. Patients who develop CNS relapse have a very poor prognosis, and since current methods cannot reliably identify patients with CNS involvement or patients at high risk of CNS relapse, all children with ALL receive CNS-directed treatment. The current golden standard for detecting CNS involvement is the assessment of cytomorphology on cytospin slides of cerebrospinal fluid (CSF). This technique is inadequate due to low sensitivity and reproducibility. Flow cytometric analysis of CSF represent a novel, highly specific and sensitive technique for the detection of leukemic cells in the CNS. In prospective studies, CSF flow cytometry demonstrated two to three times higher rates of CNS involvement at diagnosis of childhood ALL than conventional cytospin, and especially demonstrated superior sensitivity in detecting low-level CNS disease. CNS involvement determined via flow cytometry has been linked to a higher risk of CNS relapse and poor outcomes in several studies. In this review, we discuss the central analytical concepts of CSF flow cytometry and summarize the current evidence supporting the use of flow cytometric detection of malignant blasts as a biomarker of CNS involvement in childhood ALL.
    MeSH term(s) Acute Disease ; Adolescent ; Biomarkers ; Central Nervous System/pathology ; Child ; Flow Cytometry/methods ; Humans ; Precursor Cell Lymphoblastic Leukemia-Lymphoma/diagnosis ; Precursor Cell Lymphoblastic Leukemia-Lymphoma/pathology ; Prospective Studies ; Recurrence ; Reproducibility of Results
    Chemical Substances Biomarkers
    Language English
    Publishing date 2022-06-09
    Publishing country Switzerland
    Document type Journal Article ; Review ; Research Support, Non-U.S. Gov't
    ZDB-ID 2701262-1
    ISSN 2218-273X ; 2218-273X
    ISSN (online) 2218-273X
    ISSN 2218-273X
    DOI 10.3390/biom12060813
    Database MEDical Literature Analysis and Retrieval System OnLINE

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