Xinghai Forum: Professors Yang Zhang and Kejing Zhang Discuss CDK4/6 Inhibitors in Adjuvant Therapy for HR+ Breast Cancer

Xinghai Forum: Professors Yang Zhang and Kejing Zhang Discuss CDK4/6 Inhibitors in Adjuvant Therapy for HR+ Breast Cancer

Cyclin-dependent kinase 4/6 (CDK4/6) inhibitors have brought transformative breakthroughs to the clinical treatment of hormone receptor-positive (HR+), human epidermal growth factor receptor 2-negative (HER2-) breast cancer patients. The combination of CDK4/6 inhibitors and endocrine therapy has become the standard regimen for HR+/HER2- locally advanced and metastatic breast cancer. In the adjuvant treatment phase for early-stage breast cancer, CDK4/6 inhibitors have also shown positive results and have been approved for indications. The 2024 ASCO conference presented multiple advancements in the adjuvant treatment of HR+/HER2- early-stage breast cancer with CDK4/6 inhibitors. At the recent 5th Comprehensive Cancer Treatment Academic Conference of the Xinghai Medical Forum, Oncology Frontier invited Professor Yang Zhang from The Second Hospital of Dalian Medical University, Professor Kejing Zhang from Xiangya Hospital of Central South University to elaborate on and discuss the research progress of CDK4/6 inhibitors in adjuvant therapy for HR+ early-stage breast cancer.
Professor Peng Hu: Active Antiviral Treatment Significantly Improves Prognosis for Patients with Indeterminate Chronic Hepatitis B

Professor Peng Hu: Active Antiviral Treatment Significantly Improves Prognosis for Patients with Indeterminate Chronic Hepatitis B

According to the World Health Organization, there are currently about 257 million chronic hepatitis B (CHB) patients worldwide, with approximately 70 million HBV (hepatitis B virus) carriers in China, making it one of the countries with a high prevalence of chronic HBV infection. Due to factors such as viral characteristics, immune status, and environmental influences, domestic and international guidelines typically classify the natural history of chronic HBV infection into four phases: immune tolerance, immune active, immune control, and reactivation. Identifying these phases is crucial for predicting patient prognosis and guiding intervention strategies. However, recent studies have shown that a considerable number of chronic HBV infection patients cannot be categorized into any of these four phases based on existing guidelines or natural history criteria, leaving them in an indeterminate phase or gray zone, which is not covered by international and domestic clinical guidelines. Recently, at the 17th National Clinical Conference on Liver Diseases in 2024, Professor Peng Hu presented a report titled "Related Research on Indeterminate Phase of Chronic Hepatitis B." Hepatology Digest conducted an interview with Professor Peng Hu regarding CHB's indeterminate phase. Here is the summarized interview for our readers.
Exosome miRNAs Profiling in Serum and Prognostic Evaluation in Patients with Multiple Myeloma

Exosome miRNAs Profiling in Serum and Prognostic Evaluation in Patients with Multiple Myeloma

In the rapidly advancing fields of hematology and oncology, understanding the intricate mechanisms of diseases like multiple myeloma (MM) is crucial for developing innovative treatment strategies. One such area of significant interest is the role of exosomal microRNAs (exo-miRNAs) in the tumor microenvironment and their potential as biomarkers for disease prognosis. The recent study led by Professor Lugui Qiu from the Institute of Hematology & Blood Diseases Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, alongside their esteemed colleagues, offers groundbreaking insights into this domain.
Heterogeneity analysis of the CEBPAdm AML based on bZIP region mutations

Heterogeneity analysis of the CEBPAdm AML based on bZIP region mutations

In the evolving landscape of hematology, a recent study led by Professor Jianxiang Wang from the Institute of Hematology & Blood Diseases Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, investigated the heterogeneity of double-mutated CEBPA (CEBPAdm) acute myeloid leukemia (AML). Analyzing 2211 newly diagnosed AML patients, the study found that 10.8% had CEBPAdm, with 94.14% exhibiting bZIP region mutations (CEBPAdmbZIP) and 5.86% without (CEBPAdmnonbZIP). The research revealed significant differences in GATA2 mutation incidence (30.29% in CEBPAdmbZIP vs. 0% in CEBPAdmnonbZIP) and shorter overall survival for patients with CEBPAdmnonbZIP. These findings highlight the necessity of considering CEBPAdm with and without bZIP mutations as distinct entities, guiding more precise treatment approaches.
Immune Checkpoint Expression Patterns on T Cell Subsets in Light-Chain Amyloidosis: VISTA, PD-1, and TIGIT as Potential Therapeutic Targets

Immune Checkpoint Expression Patterns on T Cell Subsets in Light-Chain Amyloidosis: VISTA, PD-1, and TIGIT as Potential Therapeutic Targets

In the dynamic field of hematology and oncology, innovative treatments for systemic amyloid light chain (AL) amyloidosis are essential. Recent research, led by Professor Yangqiu Li from the Institute of Hematology, School of Medicine, Jinan University, explores immune checkpoint expression patterns in AL amyloidosis. This study investigates VISTA+, PD-1+, Tim-3+, and TIGIT+ T cells in newly diagnosed patients, highlighting the immunosuppressive environment of the disease. The findings reveal the potential of targeting VISTA, PD-1, and TIGIT to reverse T-cell exhaustion, offering new therapeutic avenues.
Optimizing Antibiotic Dosage in Obese and Underweight Patients: Insights from Professor Wenxiang Huang ‘s Presentation at ESCMID Global 2024

Optimizing Antibiotic Dosage in Obese and Underweight Patients: Insights from Professor Wenxiang Huang ‘s Presentation at ESCMID Global 2024

From April 27th to 30th, 2024, the 34th European Congress of Clinical Microbiology and Infectious Diseases (ESCMID Global 2024) took place in Barcelona, Spain, known as the "Pearl of the Iberian Peninsula." ESCMID Global, formerly known as ECCMID, stands as one of the most influential international conferences in the field of infectious diseases. Often, clinical trials of antibiotics exclude special populations such as obese or underweight individuals, resulting in limited evidence for their treatment strategies. At this conference, several studies and advancements regarding antibiotic management and prescription, including interventions, monitoring, influences, decision support/predictive tools, and behavioral aspects, were reported. Below is a summary of the insights shared by Professor Wenxiang Huang  from the Department of Geriatrics at The First Affiliated Hospital of Chongqing Medical University.
Professor Hongfei Duan:Advances in Diagnosis and Treatment of Mycobacterium avium Complex (MAC) Pulmonary Disease

Professor Hongfei Duan:Advances in Diagnosis and Treatment of Mycobacterium avium Complex (MAC) Pulmonary Disease

Non-tuberculous mycobacteria (NTM) refers to all mycobacteria other than Mycobacterium tuberculosis and Mycobacterium leprae. NTM most commonly affect the lungs, causing NTM pulmonary disease (NTM-PD), which can even lead to disseminated disease in immunocompromised individuals. In recent years, with changes in the environment, updates in detection technology, and increased awareness among physicians, the incidence of NTM-PD has been steadily increasing, with Mycobacterium avium complex (MAC) pulmonary disease being the most common worldwide. At the recent Fourth National Conference of the Chinese Medical Association on Bacterial and Fungal Infections (BISC 2024), Professor Hongfei Duan from the Department of Tuberculosis, Beijing Chest Hospital, Capital Medical University, delivered a fascinating presentation titled "Advances in Diagnosis and Treatment of Mycobacterium avium Complex Pulmonary Disease," elucidating and analyzing the current status, challenges, and progress in the diagnosis and treatment of MAC pulmonary disease.
Professor Jingtao Li: Advances in Clinical Research on Traditional Chinese Medicine in the Prevention and Treatment of Liver Fibrosis

Professor Jingtao Li: Advances in Clinical Research on Traditional Chinese Medicine in the Prevention and Treatment of Liver Fibrosis

Liver fibrosis is the result of damage to the liver by pathogenic factors, leading to chronic, repeated abnormalities in liver function and the deposition of collagen and other proteins. It is a crucial factor influencing the prognosis of chronic liver disease and a necessary stage in the progression to cirrhosis. Recently, at the 25th National Conference on Traditional Chinese Medicine and Hepatobiliary Diseases organized by the Chinese Association of Traditional Chinese Medicine, Professor Jingtao Li from the Affiliated Hospital of Shaanxi University of Traditional Chinese Medicine presented the latest clinical research advancements in the prevention and treatment of liver fibrosis using Traditional Chinese Medicine (TCM). The multi-component, multi-target therapeutic features of TCM, along with the significant efficacy of several representative drugs, provide strong scientific support for the application of TCM in combating liver fibrosis.