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Search Results (18)
  • Open Access

    REVIEW

    Precision Pharmacology in Pediatric Congenital Heart Disease: Gene Editing and Organoid Models Addressing Developmental Challenges

    Jun He1, Jianli Luo1, Yanling Wang1,*, Dai Zhou1,*, Shuanglin Xiang2,*

    Congenital Heart Disease, Vol.20, No.5, pp. 613-623, 2025, DOI:10.32604/chd.2025.071773 - 30 November 2025

    Abstract Pediatric congenital heart disease (CHD) pharmacotherapy faces three fundamental barriers: developmental pharmacokinetic complexity, anatomic-genetic heterogeneity, and evidence chain gaps. Traditional agents exhibit critical limitations: digoxin’s narrow therapeutic index (0.5–0.9 ng/mL) is exacerbated by ABCB1 mutations (toxicity risk increases 4.1-fold), furosemide efficacy declines by 35% in neonates due to NKCC2 immaturity, and β-blocker responses vary by CYP2D6 polymorphisms (poor metabolizers require 50–75% dose reduction). Novel strategies demonstrate transformative potential—CRISPR editing achieves 81% reversal of BMPR2-associated pulmonary vascular remodeling, metabolically matured cardiac organoids replicate adult myocardial energy metabolism for drug screening, and SGLT2 inhibitors activate triple mechanisms (calcium overload More >

  • Open Access

    REVIEW

    Organoid Technology in Precision Medicine for Head and Neck Cancer

    Boxuan Han1,2,#, Shaokun Liu3,#, Ridhima Das3, Shiqian Liu4, Yang Zhang1,2,*

    Oncology Research, Vol.33, No.12, pp. 3633-3656, 2025, DOI:10.32604/or.2025.071296 - 27 November 2025

    Abstract Organoid technology, characterized by high fidelity in mimicking the in vivo microenvironment, preservation of tumor heterogeneity, and capacity for high-throughput operations, has emerged as a critical tool in head and neck cancer research. To address clinical challenges in head and neck cancer management—including marked tumor heterogeneity, therapeutic resistance, and significant prognostic variability—this review focuses on four key translational applications of organoid technology: In mechanistic studies, organoid models provide a reliable platform for investigating tumorigenesis, progression, and drug resistance mechanisms. In personalized therapy, organoid-based drug sensitivity testing enables data-driven clinical decision-making. For biomarker discovery, organoids facilitate the More >

  • Open Access

    REVIEW

    Transformers for Multi-Modal Image Analysis in Healthcare

    Sameera V Mohd Sagheer1,*, Meghana K H2, P M Ameer3, Muneer Parayangat4, Mohamed Abbas4

    CMC-Computers, Materials & Continua, Vol.84, No.3, pp. 4259-4297, 2025, DOI:10.32604/cmc.2025.063726 - 30 July 2025

    Abstract Integrating multiple medical imaging techniques, including Magnetic Resonance Imaging (MRI), Computed Tomography, Positron Emission Tomography (PET), and ultrasound, provides a comprehensive view of the patient health status. Each of these methods contributes unique diagnostic insights, enhancing the overall assessment of patient condition. Nevertheless, the amalgamation of data from multiple modalities presents difficulties due to disparities in resolution, data collection methods, and noise levels. While traditional models like Convolutional Neural Networks (CNNs) excel in single-modality tasks, they struggle to handle multi-modal complexities, lacking the capacity to model global relationships. This research presents a novel approach for… More >

  • Open Access

    ARTICLE

    Implementation of a Pediatric Oncology Precision Medicine Clinic to Personalize Approaches for Diagnosing and Treating Solid Tumors

    Madeline Keane1, Natalia Wojciechowska2, Lindsay Zumwalt1,*, Emilie Sandfeld3, Alejandra Dominguez1, Jason Wang2, Anish Ray2

    Oncology Research, Vol.33, No.8, pp. 1895-1908, 2025, DOI:10.32604/or.2025.065547 - 18 July 2025

    Abstract Background: Precision medicine is an emerging approach for treating pediatric cancer due to its ability to target tumor-specific genetic drivers rather than provide broad and aggressive treatments. The study aimed to outline the establishment and impact of a Precision Medicine Clinic (PMC) in the setting of pediatric oncology, with the objective of offering targeted treatment options within the institution and creating a scalable model for adoption by other healthcare systems to achieve a wider impact. Methods: Recognizing this need for an individualized approach to treating patients, Cook Children’s Medical Center (CCMC) established a multidisciplinary molecular… More >

  • Open Access

    ARTICLE

    Integrating Bayesian and Convolution Neural Network for Uncertainty Estimation of Cataract from Fundus Images

    Anandhavalli Muniasamy1,*, Ashwag Alasmari2

    CMES-Computer Modeling in Engineering & Sciences, Vol.143, No.1, pp. 569-592, 2025, DOI:10.32604/cmes.2025.060484 - 11 April 2025

    Abstract The effective and timely diagnosis and treatment of ocular diseases are key to the rapid recovery of patients. Today, the mass disease that needs attention in this context is cataracts. Although deep learning has significantly advanced the analysis of ocular disease images, there is a need for a probabilistic model to generate the distributions of potential outcomes and thus make decisions related to uncertainty quantification. Therefore, this study implements a Bayesian Convolutional Neural Networks (BCNN) model for predicting cataracts by assigning probability values to the predictions. It prepares convolutional neural network (CNN) and BCNN models. More > Graphic Abstract

    Integrating Bayesian and Convolution Neural Network for Uncertainty Estimation of Cataract from Fundus Images

  • Open Access

    REVIEW

    Omics sciences for cervical cancer precision medicine from the perspective of the tumor immune microenvironment

    GUANTING PANG1,5,#, YAOHAN LI2,5,#, QIWEN SHI3, JINGKUI TIAN5, HANMEI LOU4,5,*, YUE FENG4,5,*

    Oncology Research, Vol.33, No.4, pp. 821-836, 2025, DOI:10.32604/or.2024.053772 - 19 March 2025

    Abstract Immunotherapies have demonstrated notable clinical benefits in the treatment of cervical cancer (CC). However, the development of therapeutic resistance and diverse adverse effects in immunotherapy stem from complex interactions among biological processes and factors within the tumor immune microenvironment (TIME). Advanced omic technologies offer novel insights into a more expansive and thorough layer of the TIME. Furthermore, integrating multidimensional omics within the frameworks of systems biology and computational methodologies facilitates the generation of interpretable data outputs to characterize the clinical and biological trajectories of tumor behavior. In this review, we present advanced omics technologies that More >

  • Open Access

    REVIEW

    Biomarkers for predicting bladder cancer therapy response

    IOANA MARIA MIHAI1, GANG WANG1,2,*

    Oncology Research, Vol.33, No.3, pp. 533-547, 2025, DOI:10.32604/or.2024.055155 - 28 February 2025

    Abstract The advent of precision medicine has underscored the importance of biomarkers in predicting therapy response for bladder cancer, a malignancy marked by considerable heterogeneity. This review critically examines the current landscape of biomarkers to forecast treatment outcomes in bladder cancer patients. We explore a range of biomarkers, including genetic, epigenetic, proteomic, and transcriptomic indicators, from multiple sample sources, including urine, tumor tissue and blood, assessing their efficacy in predicting responses to chemotherapy, immunotherapy, and targeted therapies. Despite promising developments, the translation of these biomarkers into clinical practice faces significant challenges, such as variability in biomarker More >

  • Open Access

    REVIEW

    The genetics of pediatric inflammatory bowel disease: Towards precision medicine

    AHMAD SHAHIR MOHAMAD NAZRI, NAZIHAH MOHD YUNUS, MARAHAINI MUSA*

    BIOCELL, Vol.49, No.1, pp. 149-160, 2025, DOI:10.32604/biocell.2024.057352 - 24 January 2025

    Abstract Pediatric inflammatory bowel disease (IBD) is a chronic and heterogeneous disease. IBD is commonly classified into Crohn’s disease and ulcerative colitis. It is linked to serious symptoms and complications. The onset of IBD commonly occurs during adolescence. Despite the significant number of cases globally (~5 million), the causes of pediatric IBD, which constitutes 25% of IBD patients, are not yet fully understood. Apart from environmental factors, genetic factors contribute to a higher risk of developing IBD. The predisposition risk of IBD can be investigated using genetic testing. Genetic mechanisms of pediatric IBD are highly complex More >

  • Open Access

    REVIEW

    Research advancements in nanoparticles and cell-based drug delivery systems for the targeted killing of cancer cells

    MERYEM A. ABDESSALEM, SIRIN A. ADHAM*

    Oncology Research, Vol.33, No.1, pp. 27-44, 2025, DOI:10.32604/or.2024.056955 - 20 December 2024

    Abstract Nanotechnology in cancer therapy has significantly advanced treatment precision, effectiveness, and safety, improving patient outcomes and personalized care. Engineered smart nanoparticles and cell-based therapies are designed to target tumor cells, precisely sensing the tumor microenvironment (TME) and sparing normal cells. These nanoparticles enhance drug accumulation in tumors by solubilizing insoluble compounds or preventing their degradation, and they can also overcome therapy resistance and deliver multiple drugs simultaneously. Despite these benefits, challenges remain in patient-specific responses and regulatory approvals for cell-based or nanoparticle therapies. Cell-based drug delivery systems (DDSs) that primarily utilize the immune-recognition principle between… More > Graphic Abstract

    Research advancements in nanoparticles and cell-based drug delivery systems for the targeted killing of cancer cells

  • Open Access

    ARTICLE

    Developing risk models and subtypes of autophagy-associated LncRNAs for enhanced prognostic prediction and precision in therapeutic approaches for liver cancer patients

    LU ZHANG*, JINGUO CHU*, YUSHAN YU

    Oncology Research, Vol.32, No.4, pp. 703-716, 2024, DOI:10.32604/or.2023.030988 - 20 March 2024

    Abstract Background: Limited research has been conducted on the influence of autophagy-associated long non-coding RNAs (ARLncRNAs) on the prognosis of hepatocellular carcinoma (HCC). Methods: We analyzed 371 HCC samples from TCGA, identifying expression networks of ARLncRNAs using autophagy-related genes. Screening for prognostically relevant ARLncRNAs involved univariate Cox regression, Lasso regression, and multivariate Cox regression. A Nomogram was further employed to assess the reliability of Riskscore, calculated from the signatures of screened ARLncRNAs, in predicting outcomes. Additionally, we compared drug sensitivities in patient groups with differing risk levels and investigated potential biological pathways through enrichment analysis, using… More >

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