Adding checkpoint inhibitors to first-line chemotherapy for NUT carcinoma patients

Abstract Rare cancers present significant challenges in diagnosis, treatment, and research, accounting for up to 25% of global cancer cases. Due to their rarity and atypical presentations, they are often misdiagnosed, resulting in late-stage detection and poor outcomes. Here, we describe a patient c...

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Main Authors: Sarah Haebe, Gesa Schuebbe, Philipp Jurmeister, Michael von Bergwelt-Baildon, C. Benedikt Westphalen, Ulrich M. Lauer, Wolfgang G. Kunz, Marion Subklewe, Oliver Weigert
Format: Article
Language:English
Published: Nature Portfolio 2025-01-01
Series:npj Precision Oncology
Online Access:https://doi.org/10.1038/s41698-024-00768-7
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author Sarah Haebe
Gesa Schuebbe
Philipp Jurmeister
Michael von Bergwelt-Baildon
C. Benedikt Westphalen
Ulrich M. Lauer
Wolfgang G. Kunz
Marion Subklewe
Oliver Weigert
author_facet Sarah Haebe
Gesa Schuebbe
Philipp Jurmeister
Michael von Bergwelt-Baildon
C. Benedikt Westphalen
Ulrich M. Lauer
Wolfgang G. Kunz
Marion Subklewe
Oliver Weigert
author_sort Sarah Haebe
collection DOAJ
description Abstract Rare cancers present significant challenges in diagnosis, treatment, and research, accounting for up to 25% of global cancer cases. Due to their rarity and atypical presentations, they are often misdiagnosed, resulting in late-stage detection and poor outcomes. Here, we describe a patient case with advanced metastatic nasopharynx NUT carcinoma, one of the rarest and most aggressive cancers. We conducted a comprehensive analysis of this patient’s tumor, including Tumor Mutation Burden, Microsatellite Instability, and genetic profiling to explore further putative druggable targets. The tumor exhibited high PD-L1 expression and showed a notable response to immune checkpoint inhibitors when combined with platinum-based radio-chemotherapy. Our findings indicate that checkpoint inhibitors could play a critical role in treating NUT carcinoma, offering new therapeutic avenues and hope for patients with this challenging diagnosis. Whether PD-L1 expression may be a useful predictor of immune checkpoint inhibitor efficacy warrants further research.
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institution Kabale University
issn 2397-768X
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publishDate 2025-01-01
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series npj Precision Oncology
spelling doaj-art-f983ad34aec84644a35568bcf6f69bae2025-01-26T12:12:53ZengNature Portfolionpj Precision Oncology2397-768X2025-01-01911610.1038/s41698-024-00768-7Adding checkpoint inhibitors to first-line chemotherapy for NUT carcinoma patientsSarah Haebe0Gesa Schuebbe1Philipp Jurmeister2Michael von Bergwelt-Baildon3C. Benedikt Westphalen4Ulrich M. Lauer5Wolfgang G. Kunz6Marion Subklewe7Oliver Weigert8Department of Medicine III, LMU University HospitalDepartment of Medicine III, LMU University HospitalDepartment of Pathology, LMU University HospitalDepartment of Medicine III, LMU University HospitalDepartment of Medicine III, LMU University HospitalDepartment of Medicine VIII, University Hospital TübingenDepartment of Radiology, LMU University HospitalDepartment of Medicine III, LMU University HospitalDepartment of Medicine III, LMU University HospitalAbstract Rare cancers present significant challenges in diagnosis, treatment, and research, accounting for up to 25% of global cancer cases. Due to their rarity and atypical presentations, they are often misdiagnosed, resulting in late-stage detection and poor outcomes. Here, we describe a patient case with advanced metastatic nasopharynx NUT carcinoma, one of the rarest and most aggressive cancers. We conducted a comprehensive analysis of this patient’s tumor, including Tumor Mutation Burden, Microsatellite Instability, and genetic profiling to explore further putative druggable targets. The tumor exhibited high PD-L1 expression and showed a notable response to immune checkpoint inhibitors when combined with platinum-based radio-chemotherapy. Our findings indicate that checkpoint inhibitors could play a critical role in treating NUT carcinoma, offering new therapeutic avenues and hope for patients with this challenging diagnosis. Whether PD-L1 expression may be a useful predictor of immune checkpoint inhibitor efficacy warrants further research.https://doi.org/10.1038/s41698-024-00768-7
spellingShingle Sarah Haebe
Gesa Schuebbe
Philipp Jurmeister
Michael von Bergwelt-Baildon
C. Benedikt Westphalen
Ulrich M. Lauer
Wolfgang G. Kunz
Marion Subklewe
Oliver Weigert
Adding checkpoint inhibitors to first-line chemotherapy for NUT carcinoma patients
npj Precision Oncology
title Adding checkpoint inhibitors to first-line chemotherapy for NUT carcinoma patients
title_full Adding checkpoint inhibitors to first-line chemotherapy for NUT carcinoma patients
title_fullStr Adding checkpoint inhibitors to first-line chemotherapy for NUT carcinoma patients
title_full_unstemmed Adding checkpoint inhibitors to first-line chemotherapy for NUT carcinoma patients
title_short Adding checkpoint inhibitors to first-line chemotherapy for NUT carcinoma patients
title_sort adding checkpoint inhibitors to first line chemotherapy for nut carcinoma patients
url https://doi.org/10.1038/s41698-024-00768-7
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