| 1. |
- Kanai, M, et al.
(författare)
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- 2023
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swepub:Mat__t
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| 2. |
- Gonzalez-Ericsson, Paula, et al.
(författare)
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The path to a better biomarker: application of a risk management framework for the implementation of PD‐L1 and TILs as immuno‐oncology biomarkers into breast cancer clinical trials and daily practice
- 2020
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Ingår i: Journal of Pathology. - : Wiley. - 1096-9896 .- 0022-3417. ; 250:5, s. 667-684
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Forskningsöversikt (refereegranskat)abstract
- Immune checkpoint inhibitor therapies targeting PD‐1/PD‐L1 are now the standard of care in oncology across several hematologic and solid tumor types, including triple negative breast cancer (TNBC). Patients with metastatic or locally advanced TNBC with PD‐L1 expression on immune cells occupying ≥1% of tumor area demonstrated survival benefit with the addition of atezolizumab to nab‐paclitaxel. However, concerns regarding variability between immunohistochemical PD‐L1 assay performance and inter‐reader reproducibility have been raised. High tumor‐infiltrating lymphocytes (TILs) have also been associated with response to PD‐1/PD‐L1 inhibitors in patients with breast cancer (BC). TILs can be easily assessed on hematoxylin and eosin–stained slides and have shown reliable inter‐reader reproducibility. As an established prognostic factor in early stage TNBC, TILs are soon anticipated to be reported in daily practice in many pathology laboratories worldwide. Because TILs and PD‐L1 are parts of an immunological spectrum in BC, we propose the systematic implementation of combined PD‐L1 and TIL analyses as a more comprehensive immuno‐oncological biomarker for patient selection for PD‐1/PD‐L1 inhibition‐based therapy in patients with BC. Although practical and regulatory considerations differ by jurisdiction, the pathology community has the responsibility to patients to implement assays that lead to optimal patient selection. We propose herewith a risk‐management framework that may help mitigate the risks of suboptimal patient selection for immuno‐therapeutic approaches in clinical trials and daily practice based on combined TILs/PD‐L1 assessment in BC.
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| 3. |
- Swanson, Heather Anne, et al.
(författare)
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History as grounds for interdisciplinarity : promoting sustainable woodlands via an integrative ecological and socio-cultural perspective
- 2021
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Ingår i: One Earth. - : Elsevier. - 2590-3330 .- 2590-3322. ; 4:2, s. 226-237
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Tidskriftsartikel (refereegranskat)abstract
- While calls for interdisciplinary research in environmental contexts are common, it often remains a struggle to integrate humanities/qualitative social sciences insights with those of bio-physical approaches. We propose that cross-disciplinary historical perspectives can open new avenues for collaboration among social and natural scientists while expanding visions of possible future environments and management scenarios. We make these arguments through attention to woodlands, which are under pressure from complex socio-ecological stressors that can best be understood from interdisciplinary perspectives. By combining deep ecological and shallower social historical approaches, we show how history can both enrich our understandings of woodland pasts and provide a ground for better combining the case-based insights of humanistic history with those of deep-time ecological history. We conclude that such interdisciplinary historical approaches are important not only for research, but also for management (especially rewilding and scenario-building), as the surprisingly large range of past changes reminds us that future conditions can be more varied than typically acknowledged.
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