Left Kidney Undifferentiated Spindle Cell Sarcoma with Myeloid Cell Leukemia-1 Amplification: Therapeutic Response to Bortezomib, Venetoclax, and Dexamethasone Therapy

The overexpression of myeloid cell leukemia-1 (MCL-1) has been identified in numerous hematologic malignancies and solid tumors. Currently, there are no selective MCL-1 inhibitors. Here, we present a case of left kidney undifferentiated spindle cell sarcoma with MCL-1 amplification. The tumor showed...

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Main Authors: Cheng-Yu Tang, Chueh-Chuan Yen
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2023-10-01
Series:Journal of Cancer Research and Practice
Subjects:
Online Access:https://journals.lww.com/10.4103/ejcrp.eJCRP-D-23-00026
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author Cheng-Yu Tang
Chueh-Chuan Yen
author_facet Cheng-Yu Tang
Chueh-Chuan Yen
author_sort Cheng-Yu Tang
collection DOAJ
description The overexpression of myeloid cell leukemia-1 (MCL-1) has been identified in numerous hematologic malignancies and solid tumors. Currently, there are no selective MCL-1 inhibitors. Here, we present a case of left kidney undifferentiated spindle cell sarcoma with MCL-1 amplification. The tumor showed primary resistance to chemotherapy and immune checkpoint inhibitors. Combination therapy of bortezomib, venetoclax, and dexamethasone demonstrated a positive response, resulting in a stable tumor condition for 6 months. To our knowledge, this is the first report to mention the clinical efficacy of bortezomib, venetoclax, and dexamethasone therapy in an MCL-1-amplified solid tumor.
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institution Kabale University
issn 2311-3006
language English
publishDate 2023-10-01
publisher Wolters Kluwer Medknow Publications
record_format Article
series Journal of Cancer Research and Practice
spelling doaj-art-cebf8ea8db8b486dbb434f5963364f742025-01-23T05:09:19ZengWolters Kluwer Medknow PublicationsJournal of Cancer Research and Practice2311-30062023-10-0110415415710.4103/ejcrp.eJCRP-D-23-00026Left Kidney Undifferentiated Spindle Cell Sarcoma with Myeloid Cell Leukemia-1 Amplification: Therapeutic Response to Bortezomib, Venetoclax, and Dexamethasone TherapyCheng-Yu TangChueh-Chuan YenThe overexpression of myeloid cell leukemia-1 (MCL-1) has been identified in numerous hematologic malignancies and solid tumors. Currently, there are no selective MCL-1 inhibitors. Here, we present a case of left kidney undifferentiated spindle cell sarcoma with MCL-1 amplification. The tumor showed primary resistance to chemotherapy and immune checkpoint inhibitors. Combination therapy of bortezomib, venetoclax, and dexamethasone demonstrated a positive response, resulting in a stable tumor condition for 6 months. To our knowledge, this is the first report to mention the clinical efficacy of bortezomib, venetoclax, and dexamethasone therapy in an MCL-1-amplified solid tumor.https://journals.lww.com/10.4103/ejcrp.eJCRP-D-23-00026bortezomibmyeloid cell leukemia-1 amplificationsarcomavenetoclax
spellingShingle Cheng-Yu Tang
Chueh-Chuan Yen
Left Kidney Undifferentiated Spindle Cell Sarcoma with Myeloid Cell Leukemia-1 Amplification: Therapeutic Response to Bortezomib, Venetoclax, and Dexamethasone Therapy
Journal of Cancer Research and Practice
bortezomib
myeloid cell leukemia-1 amplification
sarcoma
venetoclax
title Left Kidney Undifferentiated Spindle Cell Sarcoma with Myeloid Cell Leukemia-1 Amplification: Therapeutic Response to Bortezomib, Venetoclax, and Dexamethasone Therapy
title_full Left Kidney Undifferentiated Spindle Cell Sarcoma with Myeloid Cell Leukemia-1 Amplification: Therapeutic Response to Bortezomib, Venetoclax, and Dexamethasone Therapy
title_fullStr Left Kidney Undifferentiated Spindle Cell Sarcoma with Myeloid Cell Leukemia-1 Amplification: Therapeutic Response to Bortezomib, Venetoclax, and Dexamethasone Therapy
title_full_unstemmed Left Kidney Undifferentiated Spindle Cell Sarcoma with Myeloid Cell Leukemia-1 Amplification: Therapeutic Response to Bortezomib, Venetoclax, and Dexamethasone Therapy
title_short Left Kidney Undifferentiated Spindle Cell Sarcoma with Myeloid Cell Leukemia-1 Amplification: Therapeutic Response to Bortezomib, Venetoclax, and Dexamethasone Therapy
title_sort left kidney undifferentiated spindle cell sarcoma with myeloid cell leukemia 1 amplification therapeutic response to bortezomib venetoclax and dexamethasone therapy
topic bortezomib
myeloid cell leukemia-1 amplification
sarcoma
venetoclax
url https://journals.lww.com/10.4103/ejcrp.eJCRP-D-23-00026
work_keys_str_mv AT chengyutang leftkidneyundifferentiatedspindlecellsarcomawithmyeloidcellleukemia1amplificationtherapeuticresponsetobortezomibvenetoclaxanddexamethasonetherapy
AT chuehchuanyen leftkidneyundifferentiatedspindlecellsarcomawithmyeloidcellleukemia1amplificationtherapeuticresponsetobortezomibvenetoclaxanddexamethasonetherapy