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  1. Book ; Online ; E-Book: Tumor liquid biopsies

    Schaffner, Florence / Merlin, Jean-Louis / Von Bubnoff, Nikolas

    (Recent results in cancer research ; 215)

    2020  

    Author's details Florence Schaffner, Jean-Louis Merlin, Nikolas von Bubnoff editors
    Series title Recent results in cancer research ; 215
    Collection
    Keywords Oncology   ; Pathology ; Cancer research
    Subject code 616.994
    Language English
    Size 1 Online-Ressource (vi, 368 Seiten), Illustrationen
    Publisher Springer
    Publishing place Cham
    Publishing country Switzerland
    Document type Book ; Online ; E-Book
    Remark Zugriff für angemeldete ZB MED-Nutzerinnen und -Nutzer
    HBZ-ID HT020329211
    ISBN 978-3-030-26439-0 ; 9783030264383 ; 3-030-26439-4 ; 3030264386
    DOI 10.1007/978-3-030-26439-0
    Database ZB MED Catalogue: Medicine, Health, Nutrition, Environment, Agriculture

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  2. Article: Real-World Electronic Medical Records Data Identify Risk Factors for Myelofibrosis and Can Be Used to Validate Established Prognostic Scores.

    Kappenstein, Max / von Bubnoff, Nikolas

    Cancers

    2024  Volume 16, Issue 7

    Abstract: Myelofibrosis (MF) is a myeloproliferative neoplasia arising de novo as primary myelofibrosis (PMF) or secondary to polycythemia vera or essential thrombocythemia. Patients experience a high symptom burden and a marked reduction in life expectancy. ... ...

    Abstract Myelofibrosis (MF) is a myeloproliferative neoplasia arising de novo as primary myelofibrosis (PMF) or secondary to polycythemia vera or essential thrombocythemia. Patients experience a high symptom burden and a marked reduction in life expectancy. Despite progress in molecular understanding and treatment, the clinical and prognostic heterogeneity of MF complicates treatment decisions. The International Prognostic Scoring System (IPSS) integrates clinical factors for risk stratification in MF. This study leverages the TriNetX database with more than 64,000 MF patients to assess the impact of accessible parameters on survival and complicating events, including AML transformation, cachexia, increased systemic inflammation, thrombosis and hemorrhage. Age over 65 years correlated with increased risks of death, AML transformation, thrombosis and hemorrhage. Anemia (Hb < 10 g/dL), leukocytosis (>25 × 10
    Language English
    Publishing date 2024-04-05
    Publishing country Switzerland
    Document type Journal Article
    ZDB-ID 2527080-1
    ISSN 2072-6694
    ISSN 2072-6694
    DOI 10.3390/cancers16071416
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Liquid Biopsy: Approaches to Dynamic Genotyping in Cancer.

    von Bubnoff, Nikolas

    Oncology research and treatment

    2017  Volume 40, Issue 7-8, Page(s) 409–416

    Abstract: Malignant tumors release tumor cells and fragments of nucleic acids into the bloodstream. Liquid biopsies are non-invasive blood tests that detect circulating tumor cells (CTC) and circulating nucleic acids such as mRNA, microRNA, and cell-free ... ...

    Abstract Malignant tumors release tumor cells and fragments of nucleic acids into the bloodstream. Liquid biopsies are non-invasive blood tests that detect circulating tumor cells (CTC) and circulating nucleic acids such as mRNA, microRNA, and cell-free circulating tumor DNA, also known as ctDNA. The presence of ctDNA or CTCs in the plasma has prognostic impact. Since ctDNA contains tumor-specific mutations, its detection in the blood or other body fluids can predict response to treatment and relapse. Moreover, repeated analysis and quantitation of ctDNA can inform about changes in clonal composition over time and thus allow dynamic treatment stratification. Today, the routine clinical use of liquid biopsy diagnostic tests is limited; however, in the near future, they might become commonly used sensitive and specific biomarkers to guide cancer treatment. This review will summarize recent findings on the use of ctDNA for monitoring response to therapy and dynamic genetic treatment stratification.
    MeSH term(s) Circulating Tumor DNA/blood ; Circulating Tumor DNA/genetics ; DNA Mutational Analysis ; Forecasting ; Genotyping Techniques/methods ; Genotyping Techniques/trends ; Humans ; Liquid Biopsy/methods ; Molecular Diagnostic Techniques/methods ; Neoplasms/genetics ; Neoplasms/pathology ; Neoplasms/therapy ; Neoplastic Cells, Circulating ; Prognosis ; Treatment Outcome
    Chemical Substances Circulating Tumor DNA
    Language English
    Publishing date 2017-07-13
    Publishing country Netherlands
    Document type Journal Article ; Review
    ZDB-ID 2760274-6
    ISSN 2296-5262 ; 2296-5270
    ISSN (online) 2296-5262
    ISSN 2296-5270
    DOI 10.1159/000478864
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: The Clinical Features of Hereditary Alpha-Tryptasemia—Implications for Interdisciplinary Practice.

    von Bubnoff, Dagmar / Koch, Daniel / Stocker, Hannah / Ludwig, Ralf J / Wortmann, Friederike / von Bubnoff, Nikolas

    Deutsches Arzteblatt international

    2024  , Issue Forthcoming

    Abstract: Background: Hereditary alpha-tryptasemia (HAT) is a genetic predisposition of autosomal dominant inheritance that leads to a high normal (≥ 8-11.4 μg/L) or pathologically elevated (>11.4 μg/L) basal serum tryptase (BST) concentration. Its prevalence in ... ...

    Abstract Background: Hereditary alpha-tryptasemia (HAT) is a genetic predisposition of autosomal dominant inheritance that leads to a high normal (≥ 8-11.4 μg/L) or pathologically elevated (>11.4 μg/L) basal serum tryptase (BST) concentration. Its prevalence in the United Kingdom and France is reportedly 5%-6%; its prevalence in Germany is unknown. Symptomatic persons with HAT suffer from a complex constellation of symptoms. As described in this review, HAT is an important differential diagnosis in interdisciplinary practice.
    Methods: This review is based on publications about HAT retrieved by a selective search in PubMed, on relevant presentations at scientific meetings, and on our clinical experience. We also collected our own data on the prevalence and clinical manifestations of HAT.
    Results: According to the literature, HAT is very common among patients in medical centers with BST values of 8 μg/L or above (64-74%). HAT is most commonly associated with neuropsychiatric symptoms such as exhaustion (85%), depressive episodes (59%), sleep disturbances (69%), and memory impairment (59%-68%), followed by gastrointestinal symptoms such as irritable bowel (30%-60%), nausea (51%), and reflux (49%-77%). Typical mast cell-mediated symptoms, such as flushing (47%), itch (69%), urticaria (37%), and anaphylaxis (14%-28%), are reported as well. Less commonly reported are cardiovascular manifestations, such as hypotonia, dizziness, and tachycardia (34%), and joint hypermobility (28%). HAT is more common among patients with sytemic mastocytosis (SM; 12%-21%). It is often associated with severe anaphylaxis induced by insect toxins or unknown triggers. The therapeutic options include treatment with antihistamines, mast-cell stabilizers, or IgE antibodies.
    Conclusion: A diagnosis of hereditary alpha-tryptasemia can be strongly suspected on the basis of thorough history-taking and BST measurement and then confirmed by molecular genetic testing.
    Language English
    Publishing date 2024-03-22
    Publishing country Germany
    Document type Journal Article ; Review
    ZDB-ID 2406159-1
    ISSN 1866-0452 ; 1866-0452
    ISSN (online) 1866-0452
    ISSN 1866-0452
    DOI 10.3238/arztebl.m2023.0287
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: Near complete remission of an inoperable pancreatic acinar cell carcinoma after BRAF-/MEK-inhibitor treatment-A case report and review of the literature.

    von Fritsch, Lennart / von Bubnoff, Nikolas / Weber, Klaus / Kirfel, Jutta / Schreiber, Cleopatra / Keck, Tobias / Wellner, Ulrich

    Genes, chromosomes & cancer

    2024  Volume 63, Issue 2, Page(s) e23222

    Abstract: Introduction: Pancreatic acinar cell carcinomas are rare malignant neoplasms. High-quality evidence about the best treatment strategy is lacking. We present the case of a 52-year-old male with a BRAF: Case: The patient presented with upper abdomen ... ...

    Abstract Introduction: Pancreatic acinar cell carcinomas are rare malignant neoplasms. High-quality evidence about the best treatment strategy is lacking. We present the case of a 52-year-old male with a BRAF
    Case: The patient presented with upper abdomen pain, night sweat, and weight loss. CT scan showed a pancreatic tumor extending from the pancreas head to body. Histological workup identified an acinar cell carcinoma. As the tumor was inoperable, chemotherapy with FOFIRNIOX was initiated and initially showed a slight regression of disease. The regimen had to be discontinued due to severe side effects. Molecular analysis identified a BRAF
    Discussion: Studies suggest that up to one-fourth of PACCs carry a BRAF mutation and might therefore be susceptible to a BRAF-/MEK-inhibitor therapy. This offers a new therapeutic pathway to treat this rare but malignant neoplasm.
    MeSH term(s) Humans ; Male ; Middle Aged ; Antineoplastic Combined Chemotherapy Protocols/therapeutic use ; Carcinoma, Acinar Cell/drug therapy ; Carcinoma, Acinar Cell/genetics ; Carcinoma, Acinar Cell/chemically induced ; Mitogen-Activated Protein Kinase Kinases/antagonists & inhibitors ; Mutation ; Pancreatic Neoplasms/drug therapy ; Pancreatic Neoplasms/genetics ; Protein Kinase Inhibitors/therapeutic use ; Proto-Oncogene Proteins B-raf/antagonists & inhibitors ; Pyridones/pharmacology ; Pyrimidinones/pharmacology
    Chemical Substances BRAF protein, human (EC 2.7.11.1) ; Mitogen-Activated Protein Kinase Kinases (EC 2.7.12.2) ; Protein Kinase Inhibitors ; Proto-Oncogene Proteins B-raf (EC 2.7.11.1) ; Pyridones ; Pyrimidinones
    Language English
    Publishing date 2024-02-05
    Publishing country United States
    Document type Review ; Case Reports ; Journal Article
    ZDB-ID 1018988-9
    ISSN 1098-2264 ; 1045-2257
    ISSN (online) 1098-2264
    ISSN 1045-2257
    DOI 10.1002/gcc.23222
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article: Ponatinib: A Third-Generation Inhibitor for the Treatment of CML.

    Wehrle, Julius / von Bubnoff, Nikolas

    Recent results in cancer research. Fortschritte der Krebsforschung. Progres dans les recherches sur le cancer

    2018  Volume 212, Page(s) 109–118

    Abstract: The establishment of imatinib as the standard therapy for CML marked the beginning of a new era of treatment. Due to occurring intolerance and resistance against the drug, the development of new inhibitors was promoted. This led to the second-generation ... ...

    Abstract The establishment of imatinib as the standard therapy for CML marked the beginning of a new era of treatment. Due to occurring intolerance and resistance against the drug, the development of new inhibitors was promoted. This led to the second-generation inhibitors dasatinib, nilotinib, and bosutinib. Despite all achieved improvements, first- and second-generation inhibitors are ineffective against the BCR-ABL T315I "gatekeeper" mutation. In order to overcome this issue and to further improve the inhibitory effect, the third-generation inhibitor ponatinib was developed. Various clinical trials have been launched to study the effect of ponatinib in the clinical setting. Based on positive phase 1 and phase 2 trials, ponatinib was approved for the second-line treatment of CML and Ph
    MeSH term(s) Antineoplastic Agents/pharmacology ; Clinical Trials, Phase I as Topic ; Clinical Trials, Phase II as Topic ; Drug Resistance, Neoplasm ; Humans ; Imidazoles/pharmacology ; Leukemia, Myelogenous, Chronic, BCR-ABL Positive/drug therapy ; Protein Kinase Inhibitors/pharmacology ; Pyridazines/pharmacology
    Chemical Substances Antineoplastic Agents ; Imidazoles ; Protein Kinase Inhibitors ; Pyridazines ; ponatinib (4340891KFS)
    Language English
    Publishing date 2018-08-02
    Publishing country Germany
    Document type Journal Article
    ISSN 0080-0015
    ISSN 0080-0015
    DOI 10.1007/978-3-319-91439-8_5
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article ; Online: Ruxolitinib for Acute Graft-versus-Host Disease. Reply.

    Zeiser, Robert / von Bubnoff, Nikolas / Socié, Gérard

    The New England journal of medicine

    2020  Volume 383, Issue 5

    MeSH term(s) Graft vs Host Disease ; Hematopoietic Stem Cell Transplantation ; Humans ; Pyrazoles
    Chemical Substances Pyrazoles ; ruxolitinib (82S8X8XX8H)
    Language English
    Publishing date 2020-07-28
    Publishing country United States
    Document type Letter ; Comment
    ZDB-ID 207154-x
    ISSN 1533-4406 ; 0028-4793
    ISSN (online) 1533-4406
    ISSN 0028-4793
    DOI 10.1056/NEJMc2020763
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article ; Online: Tailored Systemic Therapy for Colorectal Cancer Liver Metastases.

    Czauderna, Carolin / Luley, Kim / von Bubnoff, Nikolas / Marquardt, Jens U

    International journal of molecular sciences

    2021  Volume 22, Issue 21

    Abstract: Liver metastases are the most common site of metastatic spread in colorectal cancer. Current treatment approaches involve effective systemic therapies in combination with surgical and/or interventional strategies. Multimodal strategies greatly improved ... ...

    Abstract Liver metastases are the most common site of metastatic spread in colorectal cancer. Current treatment approaches involve effective systemic therapies in combination with surgical and/or interventional strategies. Multimodal strategies greatly improved clinical outcomes of patients with metastatic colorectal cancer over the last decades. Identification of predictive and prognostic biomarkers helped to comprehensively refine individual targeted treatment approaches and resulted in median overall survival rates of 30 months or longer. Current guidelines, thus, recommend treatment selection according to patients' performance status, tumor localization and stage as well as the tumor's molecular and genetic status. Here, we outline the latest developments in molecular decision-making for patients with upfront resectable, potentially or initially unresectable and non/never-resectable colorectal cancer liver metastases.
    MeSH term(s) Animals ; Antineoplastic Combined Chemotherapy Protocols/therapeutic use ; Colorectal Neoplasms/diagnosis ; Colorectal Neoplasms/pathology ; Colorectal Neoplasms/therapy ; Disease Management ; Humans ; Immune Checkpoint Inhibitors/therapeutic use ; Liver/drug effects ; Liver/pathology ; Liver Neoplasms/diagnosis ; Liver Neoplasms/pathology ; Liver Neoplasms/secondary ; Liver Neoplasms/therapy ; Prognosis
    Chemical Substances Immune Checkpoint Inhibitors
    Language English
    Publishing date 2021-10-29
    Publishing country Switzerland
    Document type Journal Article ; Review
    ZDB-ID 2019364-6
    ISSN 1422-0067 ; 1422-0067 ; 1661-6596
    ISSN (online) 1422-0067
    ISSN 1422-0067 ; 1661-6596
    DOI 10.3390/ijms222111780
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article ; Online: A newly identified 45-kDa JAK2 variant with an altered kinase domain structure represents a novel mode of JAK2 kinase inhibitor resistance.

    Gorantla, Sivahari Prasad / Mueller, Tony Andreas / Albers-Leischner, Corinna / Rudelius, Martina / von Bubnoff, Nikolas / Duyster, Justus

    Molecular oncology

    2023  Volume 18, Issue 2, Page(s) 415–430

    Abstract: Tyrosine-protein kinase (janus kinase; JAK)-signal transducer and activator of transcription (STAT) signaling plays a pivotal role in the development of myeloproliferative neoplasms (MPNs). Treatment with the potent JAK1/JAK2-specific inhibitor, ... ...

    Abstract Tyrosine-protein kinase (janus kinase; JAK)-signal transducer and activator of transcription (STAT) signaling plays a pivotal role in the development of myeloproliferative neoplasms (MPNs). Treatment with the potent JAK1/JAK2-specific inhibitor, ruxolitinib, significantly reduces tumor burden; however, ruxolitinib treatment does not fully eradicate the malignant clone. As the molecular basis for the disease persistence is not well understood, we set out to gain new insights by generating ruxolitinib-resistant cell lines. Surprisingly, these cells harbor a 45 kDa JAK2 variant (FERM-JAK2) consisting of the N-terminal FERM domain directly fused to the C-terminal kinase domain in 80% of sublines resistant to ruxolitinib. At the molecular level, FERM-JAK2 is able to directly bind and activate STAT5 in the absence of cytokine receptors. Furthermore, phosphorylation of activation-loop tyrosines is dispensable for FERM-JAK2-mediated STAT5 activation and cellular transformation, in contrast to JAK2-V617F. As a result, FERM-JAK2 is highly resistant to several ATP-competitive JAK2 inhibitors, whereas it is particularly sensitive to HSP90 inhibition. A murine model of FERM-JAK2 leukemogenesis showed an accelerated MPN phenotype with pronounced splenomegaly. Notably, most current protocols for the monitoring of emerging JAK variants are unable to detect FERM-JAK2, highlighting the urgent need for implementing next-generation sequencing approaches in MPN patients receiving ruxolitinib.
    MeSH term(s) Animals ; Humans ; Mice ; Antineoplastic Agents ; Janus Kinase 2/metabolism ; Janus Kinases/metabolism ; Nitriles/pharmacology ; Protein Kinase Inhibitors/pharmacology ; Pyrazoles/pharmacology ; Pyrimidines/pharmacology ; STAT5 Transcription Factor/genetics ; STAT5 Transcription Factor/metabolism
    Chemical Substances Antineoplastic Agents ; JAK2 protein, human (EC 2.7.10.2) ; Janus Kinase 2 (EC 2.7.10.2) ; Janus Kinases (EC 2.7.10.2) ; Nitriles ; Protein Kinase Inhibitors ; Pyrazoles ; Pyrimidines ; ruxolitinib (82S8X8XX8H) ; STAT5 Transcription Factor
    Language English
    Publishing date 2023-12-20
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2415106-3
    ISSN 1878-0261 ; 1574-7891
    ISSN (online) 1878-0261
    ISSN 1574-7891
    DOI 10.1002/1878-0261.13566
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Article: Liquid Biopsy: Approaches to Dynamic Genotyping in Cancer

    von Bubnoff, Nikolas

    Oncology Research and Treatment

    2017  Volume 40, Issue 7-8, Page(s) 409–416

    Abstract: Malignant tumors release tumor cells and fragments of nucleic acids into the bloodstream. Liquid biopsies are non-invasive blood tests that detect circulating tumor cells (CTC) and circulating nucleic acids such as mRNA, microRNA, and cell-free ... ...

    Institution Department of Hematology, Oncology and Stem Cell Transplantation, Medical Center University of Freiburg, Freiburg i.Br., Germany German Cancer Consortium (DKTK) and German Cancer Research Center (DKFZ), Heidelberg, Germany
    Abstract Malignant tumors release tumor cells and fragments of nucleic acids into the bloodstream. Liquid biopsies are non-invasive blood tests that detect circulating tumor cells (CTC) and circulating nucleic acids such as mRNA, microRNA, and cell-free circulating tumor DNA, also known as ctDNA. The presence of ctDNA or CTCs in the plasma has prognostic impact. Since ctDNA contains tumor-specific mutations, its detection in the blood or other body fluids can predict response to treatment and relapse. Moreover, repeated analysis and quantitation of ctDNA can inform about changes in clonal composition over time and thus allow dynamic treatment stratification. Today, the routine clinical use of liquid biopsy diagnostic tests is limited; however, in the near future, they might become commonly used sensitive and specific biomarkers to guide cancer treatment. This review will summarize recent findings on the use of ctDNA for monitoring response to therapy and dynamic genetic treatment stratification.
    Keywords Liquid biopsy ; Biomarker ; Molecular diagnosis
    Language English
    Publishing date 2017-07-13
    Publisher S. Karger GmbH
    Publishing place Freiburg, Germany
    Document type Article
    Note Review Article
    ZDB-ID 2760274-6
    ISSN 2296-5262 ; 2296-5270
    ISSN (online) 2296-5262
    ISSN 2296-5270
    DOI 10.1159/000478864
    Database Karger publisher's database

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