Connect with us

Diseases and Conditions

A Breakthrough Test for Lymphoma Patients: Predicting CAR T Cell Therapy Response with Machine Learning

A new article outlines a new tool that measures blood inflammation as a marker for poor CAR T therapy outcomes.

Avatar photo

Published

on

The article reports on a significant breakthrough in cancer research, as City of Hope and Memorial Sloan Kettering (MSK) researchers have developed a tool using machine learning to predict the response of non-Hodgkin lymphoma patients to chimeric antigen receptor (CAR) T cell therapy. This test, called InflaMix, assesses inflammation in the blood, which is a potential cause of CAR T failure, and can identify patients at high risk for treatment failure.

The study involved 149 patients with NHL, and the machine learning model was able to find an inflammatory biomarker from a series of unique blood tests not usually employed in standard clinical practice. By analyzing this inflammatory signature, researchers found it was associated with a high risk of CAR T treatment failing, including increased risk of death or disease relapse.

The InflaMix model is an unsupervised machine learning approach, meaning it was trained without any knowledge of clinical outcomes. The team’s studies demonstrate that by using machine learning and blood tests, they could develop a highly reliable tool that can help predict who will respond well to CAR T cell therapy.

The researchers used three independent cohorts comprising 688 patients with NHL who had a wide range of clinical characteristics and disease subtypes and used different CAR T products to validate their initial findings. The study’s results were published in Nature Medicine.

City of Hope and MSK plan to investigate whether blood inflammation defined by InflaMix directly influences CAR T cell function and learn more about the source of this inflammation. This research has the potential to improve patient outcomes and inform new clinical trials that can boost the effectiveness of CAR T with additional treatment strategies.

The team’s studies were funded in part by the National Institutes of Health, the National Cancer Institute, and an MSK Support Grant. The work was primarily done at MSK where Dr. Van den Brink worked for more than two decades before coming to City of Hope in 2024.

City of Hope has treated over 1,700 patients since its CAR T program started in the late 1990s and continues to have one of the most comprehensive CAR T cell clinical research programs in the world, with about 70 ongoing clinical trials using immune cell products.

Cell Biology

Unlocking the Secrets of Deadly Tropical Diseases: A New Target for Treatment

The efforts of a research team give hope for new treatment approaches for dangerous tropical diseases. The researchers have compiled a high-precision inventory of the membrane proteins of cell organelles of the African sleeping sickness pathogen.

Avatar photo

Published

on

The fight against deadly tropical diseases has taken a significant step forward with the discovery of a promising target for new treatments. Researchers from Bochum and Würzburg have made a groundbreaking find in their study on the African sleeping sickness pathogen Trypanosoma brucei, which also causes Chagas disease and leishmaniasis.

In a breakthrough study published in Cell Reports, the researchers compiled a high-precision inventory of the membrane proteins of the glycosomes, unique cell organelles essential for the survival of the parasites. “Some of these proteins contain components that are specific to parasites and differ significantly from those of the host cells,” explains Professor Ralf Erdmann.

The team’s success in identifying 28 glycosome membrane proteins with a high degree of reliability opens up new avenues for targeted treatment strategies against these poorly understood tropical diseases. A particular highlight was the discovery of TbPEX15, a membrane anchor for an essential protein import complex that differs significantly from its counterpart in humans.

This finding provides a valuable resource for biomedical research into glycosome biology and deepens our understanding of parasite biology. The researchers’ work gives hope for new treatment approaches for diseases that affect over 12 million people worldwide.

The study’s findings are a significant step forward in the fight against deadly tropical diseases, and further research could lead to the development of new therapies and treatments.

Continue Reading

Agriculture and Food

“Processed with Caution: Ultra-Processed Foods May Accelerate Early Signs of Parkinson’s Disease”

People who eat more ultra processed foods like cold breakfast cereal, cookies and hot dogs are more likely to have early signs of Parkinson’s disease when compared to those who eat very few ultra processed foods, according to a new study. The study does not prove that eating more ultra processed foods causes early signs of Parkinson’s disease; it only shows an association.

Avatar photo

Published

on

Eating ultra-processed foods like cold breakfast cereal, cookies, and hot dogs may speed up early signs of Parkinson’s disease, according to a recent study published in Neurology. The research found that people who consumed more of these processed foods were more likely to experience early symptoms of the disease compared to those who ate very few.

The study analyzed data from over 42,000 participants with an average age of 48, who did not have Parkinson’s disease at the start of the study. They were followed up to 26 years and completed regular medical exams and health questionnaires. Researchers also reviewed food diaries that listed what participants ate and how often.

The team looked at several types of ultra-processed foods, including sauces, spreads, or condiments; packaged sweets; snacks or desserts; artificially or sugar-sweetened beverages; animal-based products; yogurt or dairy-based desserts; and packaged savory snacks. One serving was equivalent to a single can of soda, one ounce of potato chips, one slice of packaged cake, a single hot dog, or one tablespoon of ketchup.

Researchers divided participants into five groups based on how many ultra-processed foods they ate per day on average. The highest group consumed 11 or more servings daily, while the lowest group averaged fewer than three servings daily.

After adjusting for factors like age, physical activity, and smoking, researchers found that participants who ate 11 or more servings of ultra-processed food per day had a 2.5-fold higher likelihood of having three or more early signs of Parkinson’s disease compared to those consuming fewer than three servings per day.

When looking at individual symptoms, eating more ultra-processed foods was tied to an increased risk for nearly all symptoms except constipation. The study’s author, Xiang Gao, emphasized the importance of choosing whole, nutritious foods over processed ones to maintain brain health.

While the study suggests a link between ultra-processed food consumption and early signs of Parkinson’s disease, it does not prove causation. More research is needed to confirm these findings and understand the complex relationships between diet, lifestyle, and neurodegenerative diseases.

In the meantime, individuals can take steps to reduce their exposure to ultra-processed foods by:

* Reading labels carefully
* Choosing whole grains over refined ones
* Limiting sugary drinks and snacks
* Opting for fresh fruits and vegetables instead of packaged options
* Cooking meals from scratch using fresh ingredients

By making informed food choices, individuals can contribute to a healthier brain and potentially reduce their risk of developing neurodegenerative diseases like Parkinson’s.

Continue Reading

Brain Tumor

“Revolutionizing Lymphoma Treatment: Enhanced CAR T Cell Therapy Shows Promise in Small Study”

A phase I study of a next-generation CAR T cell therapy showed a 52 percent complete remission rate for patients with relapsed/refractory lymphoma.

Avatar photo

Published

on

The article describes a groundbreaking study that has shown promising results in treating lymphoma patients who have resisted multiple rounds of other cancer treatments, including commercially available CAR T cell therapies. The new enhanced CAR T cell therapy, dubbed huCART19-IL18, was found to be highly effective in 81% of patients and resulted in complete remission in 52%. This is a significant improvement over traditional CAR T cell therapies, which have been shown to result in long-term remission in only around 50% of patients.

The study, led by researchers at the University of Pennsylvania, used a new process that shortens the manufacturing time for the CAR T cells to just three days. This means that patients with aggressive, fast-growing cancers can begin CAR T cell therapy quicker than is currently possible with standard manufacturing times of nine to 14 days.

The addition of interleukin 18 (IL18) to the CAR T cells enhanced their ability to attack cancer cells and protected them from immune suppression and T cell exhaustion. The researchers also found that the type of CAR T cell therapy patients previously received may impact the efficacy of huCART19-IL18.

This study represents a significant development in the ongoing evolution of CAR T cell therapy, as it is the first time a cytokine-enhanced CAR T has been tested in patients with blood cancer. The researchers believe that incorporating cytokine secretion into CAR T cell design will have broad implications for enhancing cellular therapies, even beyond blood cancers.

The study has already led to several other clinical trials being planned, including studies for acute lymphocytic leukemia (ALL) and chronic lymphocytic leukemia (CLL). Another trial for non-Hodgkin’s lymphoma using a similar IL18-armored CAR T cell product is currently enrolling patients. On the manufacturing side, the team is partnering with a Penn spinout company to improve the process for how these CAR T cells are created and expanded in the laboratory before being reinfused into the patient.

Overall, this study has shown promise in treating lymphoma patients who have resisted multiple rounds of other cancer treatments, and further research is needed to fully understand its potential.

Continue Reading

Trending