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Alnajar, H; Ravichandran, H; Figueiredo, Rendeiro, A; Ohara, K; Al, Zoughbi, W; Manohar, J; Greco, N; Sigouros, M; Fox, J; Muth, E; Angiuoli, S; Faltas, B; Shusterman, M; Sternberg, CN; Elemento, O; Mosquera, JM.
Tumor-immune microenvironment revealed by Imaging Mass Cytometry in a metastatic sarcomatoid urothelial carcinoma with a prolonged response to pembrolizumab.
Cold Spring Harb Mol Case Stud. 2022; 8(3):
Doi: 10.1101/mcs.a006151
(- Case Report)
[OPEN ACCESS]
Web of Science
PubMed
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- Co-authors Med Uni Graz
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Al-Zoughbi Wael
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- Abstract:
- Sarcomatoid urothelial carcinoma (SUC) is a rare subtype of urothelial carcinoma (UC) that typically presents at an advanced stage compared to more common variants of UC. Locally advanced and metastatic UC have a poor long-term survival following progression on first-line platinum-based chemotherapy. Antibodies directed against the programmed cell death 1 protein (PD-1) or its ligand (PD-L1) are now approved to be used in these scenarios. The need for reliable biomarkers for treatment stratification is still under research. Here, we present a novel case report of the first Imaging Mass Cytometry (IMC) analysis done in SUC to investigate the immune cell repertoire and PD-L1 expression in a patient who presented with metastatic SUC and experienced a prolonged response to the anti-PD1 immune checkpoint inhibitor pembrolizumab after progression on first-line chemotherapy. This case report provides an important platform for translating these findings to a larger cohort of UC and UC variants.
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Antibodies, Monoclonal, Humanized - administration & dosage
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Antineoplastic Agents, Immunological - therapeutic use
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B7-H1 Antigen - administration & dosage
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Carcinoma, Transitional Cell - drug therapy, pathology
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Female - administration & dosage
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Humans - administration & dosage
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Image Cytometry - administration & dosage
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Male - administration & dosage
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Sarcoma - drug therapy
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Soft Tissue Neoplasms - administration & dosage
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Tumor Microenvironment - administration & dosage
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Urinary Bladder Neoplasms - drug therapy, pathology
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neoplasm of the genitourinary tract