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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Wolters Kluwer Medknow Publications
2023-10-01
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Series: | Journal of Cancer Research and Practice |
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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. |
format | Article |
id | doaj-art-cebf8ea8db8b486dbb434f5963364f74 |
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 |