Author: Oncotarget

CAR-T Cell Therapy: A Revolutionary Approach to Cancer Treatment

March 10, 2026

“Given the small percentage of patients cured from advanced-stage disease, there is still a considerable journey ahead. Nonetheless, novel therapeutic approaches have, in some cases, demonstrated remarkable success in improving patient survival and longevity.”

Cancer treatment has long been a battle of attrition—surgery, radiation, and chemotherapy have saved countless lives, but for patients with advanced or refractory malignancies, the options remain limited. In recent years, however, a new approach has emerged that harnesses the power of the patient’s own immune system to seek and destroy cancer cells with unprecedented precision.

An editorial perspective, titled “CAR-T therapy: Trailblazing CAR(ing) in cancer treatment” published in Volume 17 of Oncotarget by researchers Uzma Saqib, Monika Pandey, and Krishnan Hajela from the School of Life Sciences, Devi Ahilya Vishwavidyalaya, Indore, India, provides an overview of this revolutionary therapeutic strategy. The paper presents the current state of CAR-T therapy, its clinical successes, and the formidable challenges that remain before it can fulfill its transformative potential.

The CAR-T Model

The concept of CAR-T therapy can be understood through a simple yet powerful analogy. Imagine cancer cells as an invading enemy army at a country’s borders. The body’s natural T cells act as soldiers, but they may be ill-equipped to counter the enemy’s advanced weaponry—the antigens that shield cancer cells from immune detection.

To overcome this, oncologists “recall” these soldiers (T cells) from the battlefield and arm them with specialized weapons called chimeric antigen receptors (CARs), designed to target the enemy’s specific artillery. Once multiplied into a large, reinforced army, these enhanced soldiers are redeployed to the patient’s body, where they recognize and eliminate cancer cells with improved precision.

Clinically, this process unfolds in three main stages. First, during T cell collection, white blood cells are extracted from the patient through leukapheresis. Second, in the editing and expansion phase, the collected T cells are genetically engineered in the laboratory to express CAR genes and are then multiplied over several weeks. Finally, during infusion, the modified cells are reintroduced into the patient, typically following chemotherapy that reduces competing immune cells to give the CAR-T cells a competitive advantage. Once infused, these engineered cells bind to their target antigens and initiate targeted cancer cell destruction.

Evidence from Clinical Studies

CAR-T therapy has demonstrated remarkable success across a spectrum of hematologic malignancies. In leukemia, lymphoma, and multiple myeloma, the approach has produced responses in patients who had exhausted all other options. Recent clinical trials have even shown superior outcomes compared to standard treatment in patients with non-Hodgkin lymphoma, positioning CAR-T therapy as a potential replacement for chemotherapy as the second-line standard of care.

Beyond blood cancers, investigators are making inroads into solid tumors, where CAR-T therapy has historically faced greater obstacles. Recent phase I reports have documented measurable clinical responses in glioblastoma and breast cancers, with additional reviews supporting the growing feasibility of CAR-T strategies in solid tumors. In thoracic cancers, a clinical study demonstrated that mesothelin-targeted CAR-T cells can achieve promising safety and anti-tumor activity across multiple patient cohorts. Similarly, a pivotal phase 2 trial evaluating CT041-ST-01 in gastric and gastro-oesophageal junction cancers has shown encouraging signs of efficacy alongside an acceptable safety profile.

Challenges and Limitations

Despite its promise, CAR-T therapy faces several critical challenges that limit its widespread application. The most immediate clinical concerns include cytokine release syndrome (CRS) and neurotoxicity, both of which can be severe and even life-threatening. CRS occurs when activated CAR-T cells release massive amounts of inflammatory cytokines, triggering fever, hypotension, and in severe cases, multi-organ dysfunction.

Resistance to CAR-T therapy has also emerged as a significant obstacle. In B-cell malignancies and multiple myeloma, only a limited percentage of patients achieve long-term remission. These failures may arise from host factors, tumor-intrinsic properties, the surrounding immunosuppressive microenvironment, and intrinsic limitations of the CAR-T cells themselves.

In solid tumors, the challenges multiply. Precise tumor-specific antigens are scarce, raising the risk of on-target/off-tumor effects where CAR-T cells attack healthy tissues. The tumor microenvironment actively suppresses T-cell function, and restricted trafficking limits the number of CAR-T cells that reach the tumor site.

Perhaps the most formidable barrier is accessibility. Socioeconomic and racial disparities continue to limit the availability of CAR-T therapy, leaving only a small fraction of eligible patients able to receive it. The complex manufacturing process, which requires weeks of laboratory work and costs hundreds of thousands of dollars per patient, places this potentially life-saving treatment out of reach for many.

Future Directions

Ongoing research is actively working to overcome these obstacles through multiple parallel strategies. Next-generation CAR constructs are being designed with improved safety features, including “off switches” that allow clinicians to terminate the therapy if toxicities become severe. Optimized supportive care, including the use of tocilizumab and corticosteroids, has already reduced the mortality associated with CRS.

The development of allogeneic or “off-the-shelf” CAR-T platforms, derived from healthy donors rather than the patient themselves, promises to reduce both manufacturing time and cost. Enhanced clinical management strategies, including prophylactic measures and specialized treatment centers, could further improve safety and therapeutic outcomes.

Future Perspectives and Conclusion

CAR-T therapy does not claim to be a universal solution for all cancers. Rather, it represents a proof-of-concept for a powerful new paradigm: harnessing the adaptive immune system as a living, evolving therapy that can persist in the body and respond to cancer over time. By integrating genetic engineering, cell therapy, and immunology, this approach has already transformed outcomes for patients with previously incurable hematologic malignancies.

The editorial perspective by Saqib, Pandey, and Hajela reminds us that while the journey is far from complete, the direction is clear. Continued research will be needed to extend these successes to solid tumors, reduce toxicity, and ensure equitable access. As the authors note, the silver lining offered by CAR-T therapy is real, but realizing its full potential will require sustained effort across the scientific, clinical, and social dimensions of cancer care.

Click here to read the full Editorial Perspective published in Oncotarget.

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Oncotarget is an open-access, peer-reviewed journal that has published primarily oncology-focused research papers since 2010. These papers are available to readers (at no cost and free of subscription barriers) in a continuous publishing format at Oncotarget.com.

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Oncotarget

mRNA COVID-19 Vaccination and Cancer Risk: A Case-Based Review

February 27, 2026

“The carcinogenic risk associated with these technologies, which has long been known within the gene therapy field, represents an area of research that cannot be ignored, given the fundamental principle of medicine “primum non nocere” (first, do no harm).”

The rapid development and global deployment of mRNA vaccines for COVID-19 represented a landmark achievement in public health. However, the novel mechanism of these “genetic vaccines”—technically pro-drug gene therapies encased in lipid nanoparticles—has prompted ongoing scientific inquiry into their potential long-term effects.

A comprehensive case report and review, titled “Exploring the potential link between mRNA COVID-19 vaccinations and cancer: A case report with a review of haematopoietic malignancies with insights into pathogenic mechanisms” published in Oncotarget by an international team of researchers investigates a consequential scientific question: whether there could be a link between mRNA COVID-19 vaccines and the development of haematopoietic cancers.

Led by first author Patrizia Gentilini, along with corresponding author Panagis Polykretis of the “Allineare Sanità e Salute” Foundation and Independent Medical Scientific Commission (CMSi), Milano, the paper presents a detailed case study alongside a systematic review of existing literature. It does not claim to have proven a causal link, but instead argues that the convergence of clinical observations and proposed biological mechanisms warrants deeper, more urgent investigation.

The Case Report

The report centers on a 38-year-old, healthy, athletic woman with no significant family or medical history. Routine blood work in April 2021 showed only mild leukopenia (white blood cells at 2,450/μL), which her physician did not prioritize.

She received her first dose of the Pfizer/BioNTech (Comirnaty®) vaccine on June 20, 2021, with no immediate issues. However, the morning after her second dose on July 19, 2021, she experienced severe symptoms: fever, locked neck and jaw, tinnitus, nausea, diffuse pain, headache, and sweating. These symptoms worsened over subsequent days, accompanied by insomnia and hypersensitivity to temperature changes and noise.

Over the following months, laboratory testing revealed a pattern of progressive deterioration: persistent neutropenia, rising lymphocytosis, and a steadily climbing erythrocyte sedimentation rate (ESR) from 59 mm/hour in August to 118 mm/hour by October. A rheumatologic examination in late October suggested post-vaccination polymyalgia rheumatica. A PET scan on November 15, 2021, revealed intense uptake in the bone marrow of the entire axial and appendicular skeleton, as well as the spleen. Bone marrow biopsy on December 1, 2021, delivered the diagnosis: B-lymphoblastic leukemia/lymphoma, with approximately 95% of nucleated cells replaced by blast-like elements. The patient underwent chemotherapy and achieved remission, though she later suffered a central nervous system relapse in early 2025.

Broader Patterns: A Review of the Literature

To contextualize this single case, the authors conducted a systematic review of the medical literature from December 2020 to October 2025. They identified 30 studies documenting new-onset or rapidly recurring malignancies shortly after mRNA COVID-19 vaccination. The overwhelming majority (28 of 30) were hematolymphoproliferative disorders—cancers of the blood and lymph system.

Among the case reports, they found 9 cases of B-cell lymphoproliferative disorders, 13 involving the T-cell lineage, 6 affecting the myeloid line, and 2 cases of solid tumors. The Pfizer/BioNTech vaccine appeared most frequently (16 cases). The onset of symptoms following vaccination was often remarkably brief, in some cases occurring within days. Several lymphomas arose at the injection site itself, while others manifested in vaccine-draining lymph nodes such as the axillary and cervical regions.

One particularly instructive case involved angioimmunoblastic T-cell lymphoma, where rapid progression was observed immediately after a booster dose. A PET scan just eight days after boosting showed a dramatic increase in hypermetabolic lesions, with notably asymmetrical progression on the side of the booster injection.

Proposed Pathogenic Mechanisms

The paper’s core contribution is its detailed exploration of potential biological mechanisms by which mRNA vaccines could theoretically promote oncogenesis. These mechanisms are drawn from in-vitro, pre-clinical, and related scientific literature, and the authors emphasize that specific studies in humans remain lacking.

The first proposed mechanism involves the alteration of the PD-1/PD-L1 immune checkpoint. Studies have shown increased expression of programmed death-ligand 1 (PD-L1) on peripheral blood granulocytes and monocytes in vaccinated individuals. PD-L1 acts as an “off switch” for T-cells, suppressing their activity and potentially impairing the immune system’s ability to surveil and eliminate emerging cancer cells. This immune checkpoint alteration could create a permissive environment for malignant transformation.

A second mechanism suggests an interaction between the spike protein and tumor suppressors. The S2 subunit of the spike protein has been shown in silico to interact with critical tumor suppressor proteins including p53, BRCA1, and BRCA2. These proteins normally regulate cellular responses to stress and prevent cancer development. Interference with their function, as demonstrated in cancer cell lines where spike protein expression suppressed p53 activation, could disable fundamental safeguards against uncontrolled cell proliferation.

A third concerns the impairment of Type I interferon signaling. Type I interferons play essential roles in inflammation, immunomodulation, and tumor cell recognition. Differential gene expression analysis has revealed that while COVID-19 patients show dramatic upregulation of type I and type II interferons, vaccinated individuals do not. This suggests that the genetic vaccines may actively suppress type I interferon production, potentially blunting a key anti-tumor immune defense. Interferons normally induce cell cycle arrest, promote apoptosis, and activate natural killer cells and CD8+ T-cells—all critical for cancer surveillance.

The authors also explore additional mechanisms, including increased transforming growth factor beta production promoting epithelial-mesenchymal transition, DNA contamination with SV40 promoter elements posing insertional mutagenesis risk, reverse transcription of vaccine mRNA via LINE-1 elements, IgG4 class switching leading to immune evasion, and ribosomal frameshifting producing off-target proteins with unknown effects.

Future Perspectives and Conclusion

The proposed link between mRNA COVID-19 vaccines and cancer does not claim to provide a complete explanation of post-vaccination malignancies. Rather, it offers a structured framework for understanding how multiple mechanisms may combine to produce oncogenic outcomes in susceptible individuals. By integrating clinical observations, laboratory findings, and mechanistic insights from molecular biology, the review clarifies how vaccine components and host factors may interact.

The authors emphasize that the carcinogenic risk associated with gene therapy technologies has long been recognized and cannot be ignored in the context of genetic vaccines administered to healthy populations. They call for extensive pharmacodynamic, pharmacokinetic, and genotoxicity evaluations, as well as population-based observational studies comparing cancer incidence in vaccinated versus unvaccinated populations. Such research, they argue, is essential to assess potential carcinogenic risk and understand pathogenic mechanisms, reminding readers of the fundamental principle of medicine: primum non nocere—first, do no harm.

Click here to read the full case report published in Oncotarget.

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Oncotarget

How HPV and COVID-19 Spike Proteins May Interact to Impact Cancer Suppression

February 9, 2026

“Thus, the present hypothesis is that virally encoded proteins such as HPV-E6 or SARS-COV-2 Spike may cooperate in suppressing host defenses including tumor suppressor mechanisms involving p53.“

The p53 protein plays a central role in preventing cancer by responding to cellular stress and DNA damage. When activated, it can repair damaged DNA or trigger cell death, preventing the survival of potentially malignant cells. Loss of p53 function is a hallmark of many cancers.

HPV is well known to inactivate p53 through its E6 protein, which promotes p53 degradation. This mechanism contributes to HPV-associated cancers, including cervical, anal, and head and neck cancers. SARS-CoV-2, while not traditionally classified as an oncogenic virus, has been shown to interfere with immune function and, in some cases, with cellular pathways that involve p53.

A recent article by Dr. Wafik El-Deiry of The Warren Alpert Medical School of Brown University, published in Oncotarget, proposes a scientific hypothesis suggesting that proteins from HPV and SARS-CoV-2 may both interfere with the body’s tumor-suppressing mechanisms, potentially compounding their effects on cancer-related pathways.

The Hypothesis: HPV E6 and SARS-CoV-2 Spike Proteins May Cooperatively Suppress p53

In the paper, titled “Hypothesis: HPV E6 and COVID spike proteins cooperate in targeting tumor suppression by p53,” Dr. El-Deiry proposes that the SARS-CoV-2 spike protein, whether introduced via infection or mRNA vaccination, may suppress p53 activity in a manner that complements the effects of HPV E6. In individuals with persistent HPV infection, this combined interference could further reduce p53 function, weakening tumor suppression mechanisms.

The Mechanistic Rationale: Dual Viral Impact on p53 and Immune Regulation

The proposed mechanism involves two converging effects on p53. HPV E6 promotes the degradation of p53 protein, while the SARS-CoV-2 spike protein may suppress its transcriptional function. This dual action could further compromise the cellular ability to detect and respond to oncogenic stress.

The hypothesis also considers the broader immunological environment. SARS-CoV-2 infection has been shown to alter innate immune responses, which may indirectly accelerate progression of HPV-related neoplasia or other pre-cancerous states.

The Supporting Observations

Although the hypothesis remains untested, it is based on several converging observations. Laboratory research has shown that the SARS-CoV-2 spike protein can reduce p53-related gene activity, like p21, DR5, and MDM2, and weaken the response of cancer cells to therapy. In addition, a clinical case shared in a public interview by Dr. Patrick Soon-Shiong involved a patient with long-term remission from HPV-associated head and neck cancer who experienced recurrence and liver metastases after COVID-19 vaccination. While this does not establish causality, it illustrates the kind of clinical context in which the hypothesis could be further explored.

The Impact: Potential Implications for Cancer Risk in HPV- Positive Individuals

If validated, this hypothesis may have implications for cancer surveillance in HPV-positive individuals, particularly in the context of SARS-CoV-2 exposure or vaccination. However, as emphasized by the author, there is currently no clinical evidence linking COVID-19 vaccination to increased cancer risk.

This hypothesis is intended to encourage further epidemiological and mechanistic investigations, not to alter clinical recommendations. It proposes a framework for evaluating whether co-exposure to two common viruses may jointly impair p53-mediated tumor suppression in a subset of patients.

Future Perspectives and Conclusion

Dr. El-Deiry outlines two avenues for future research: population-based studies to assess cancer outcomes in HPV-positive individuals following SARS-CoV-2 infection or vaccination, and laboratory experiments to model the combined effects of HPV E6 and spike protein on p53 activity in human cells.

At present, the hypothesis remains speculative but biologically plausible. It highlights the importance of continued research at the intersection of oncology, virology, and immunology, particularly as we learn more about the long-term consequences of widespread viral exposure.

Click here to read the entire hypothesis published by Oncotarget.

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Oncotarget

Exploring Possible Links Between COVID-19 Vaccination, Infection, and Cancer

January 26, 2026

“These findings underscore the need for rigorous epidemiologic, longitudinal, clinical, histopathological, forensic, and mechanistic studies to assess whether and under what conditions COVID-19 vaccination or infection may be linked with cancer.“

A growing number of post-pandemic reports have described cancer diagnoses, recurrence, or progression following COVID-19 vaccination or SARS-CoV-2 infection. While no causal relationship has been established, these observations raise important questions that warrant careful, hypothesis-driven investigation.

The rapid development and global distribution of mRNA and viral vector vaccines during the pandemic was a landmark achievement in public health, essential in reducing severe COVID-19 cases and mortality. However, the novelty of these vaccines and the absence of long-term carcinogenicity or genotoxicity testing have led some researchers to ask whether rare but biologically plausible interactions with cancer pathways might exist.

At the same time, pandemic-related disruptions in routine cancer screening and treatment were anticipated to influence diagnosis patterns. Yet, some reports have described unexpected phenomena, such as rapid disease progression in previously stable cancers or tumor appearance near injection sites, that are not easily explained by delayed care alone.

The Review: Examining 69 Studies on Cancer Diagnoses After COVID-19 Vaccination or Infection

In a review published in Volume 17 of Oncotarget, titled “COVID vaccination and post-infection cancer signals: Evaluating patterns and potential biological mechanisms,” Charlotte Kuperwasser (Tufts University) and Oncotarget Editor-in-Chief Wafik S. El-Deiry (The Warren Alpert Medical School of Brown University) examined 69 peer-reviewed publications spanning January 2020 to October 2025.

The review included 66 article reports representing more than 300 individual patients from 27 countries, as well as two retrospective population-level studies (from Italy and South Korea) and one longitudinal analysis of 1.3 million U.S. military personnel. These studies collectively examined cancer diagnoses, recurrences, or unusually rapid disease progression following COVID-19 vaccination or SARS-CoV-2 infection.

Rather than stating causation or quantifying risk, the review aimed to identify recurring clinical patterns and explore plausible biological mechanisms. The authors emphasize that their findings should be viewed as hypothesis-generating, reflecting an early phase of signal detection.

The Findings: Key Clinical Patterns Observed Across Cancer Case Reports and Population Studies

Most reports reviewed (81%) were single-patient case studies or small series. Hematologic malignancies, including non-Hodgkin lymphoma, cutaneous T-cell lymphoma, and leukemia, were most frequently described. Reports also included solid tumors such as breast cancer, glioblastoma, pancreatic cancer, melanoma, and sarcoma.

In several cases, patients experienced tumor recurrence or rapid disease progression shortly after vaccination, including individuals previously in remission. A subset of cases described tumor development at or near the injection site or in regional lymph nodes.

The two population-based studies found modest associations between vaccination and increased incidence of certain cancers, including thyroid, breast, lung, and colorectal cancer. However, both studies acknowledged limitations such as short follow-up periods, potential detection bias, and confounding factors related to healthcare access.

The Hypotheses: Exploring Biological Mechanisms Linking COVID-19 Vaccination or Infection to Cancer Activation

The core insight of the review was not a determination of causality, but the recognition of rare, temporally associated patterns that deserve further investigation. One proposed mechanism involves temporary immune dysregulation following vaccination or infection. Elevated levels of cytokines such as IL-6, TNF-α, and IL-1β, well-documented after mRNA vaccination, may impair immune surveillance, allowing latent tumors to emerge or existing disease to accelerate.

Another hypothesis focuses on the SARS-CoV-2 spike protein, which may persist in certain tissues longer than initially expected. In some studies, spike protein expression was identified in tumor samples, prompting questions about its potential effects on tumor behavior or microenvironmental signaling.

The review also discusses residual plasmid DNA fragments that may be present from the mRNA vaccine manufacturing process. While no evidence currently supports genomic integration in humans, the potential for host cell uptake and biological impact remains a theoretical concern.

These mechanisms are contextualized within broader literature on how viral infections and inflammation can affect cancer initiation and progression. As the authors note, “Establishing causality between SARS-CoV-2 infection, COVID-19 vaccination, and cancer requires a level of evidence far beyond temporal association.”

The Impact: Implications for Cancer Surveillance and Vaccine Safety Research

If any association between COVID-19 vaccination or infection and cancer exists, it is likely rare and limited to specific contexts such as individuals with immune dysregulation, latent oncogenic viral infections, or undiagnosed malignancies. Nonetheless, identifying and understanding these interactions is essential for refining vaccine safety profiles and informing long-term public health strategies.

Importantly, the review does not challenge the value of COVID-19 vaccination. Rather, it calls for deeper investigation of how immune stimulation, especially when repeated over time, may intersect with cancer biology in certain individuals.

Future Perspectives and Conclusion

The authors conclude with a call for more rigorous, multidisciplinary research. Future studies should include prospective epidemiological monitoring, histopathologic tissue analysis, immune profiling, and molecular tracking of spike protein or vaccine-derived elements.

Crucially, these questions can only be answered through well-designed, transparent investigations, not assumptions. While the evidence today does not justify changing clinical practice, it does suggest that the interface between immune stimulation and tumor biology is more complex than previously understood.

As the pandemic passes, there is an opportunity to conduct systematic research into these observations using established scientific methods and long-term surveillance frameworks.

Click here to read the entire review published by Oncotarget.

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Mikhail Blagosklonny

How Aging Leads to Disease: New Two-Stage Model Explains Age-Related Illness

January 20, 2026

“Here we propose a general account of how different determinants of aging can interact to generate late-life disease.”

BUFFALO, NY — January 20, 2026 — A new review was published in Volume 17, Issue 12 of Aging-US on December 30, 2025, titled “Aging as a multifactorial disorder with two stages.”

“This article is a contribution to the special issue of Aging celebrating the life and work of Misha Blagosklonny (more formally, Mikhail Vladimirovich Blagosklonny), who died in October 2024.”

In this review, David Gems and Alexander Carver from University College London, together with Yuan Zhao from Queen Mary University of London, present a new theoretical model to explain how aging leads to the development of chronic diseases. Drawing on evolutionary theory and biological research, the authors propose that aging is driven by a combination of early-life damage and harmful genetic activity in later life. This framework helps explain why diseases such as cancer, arthritis, and infections often appear in old age and offers insight into how they might be prevented.

Aging is the biggest risk factor for most chronic diseases, but the biological reasons for this association are still debated. The authors address this by introducing a two-stage model. In the first stage, individuals experience disruptions early in life, such as infections, injuries, or genetic mutations. Although the body can often contain or repair this damage, it does not fully eliminate it. In the second stage, which begins in later life, normal genetic processes begin to act in ways that are no longer beneficial. These late-life changes weaken the body’s ability to contain earlier damage, allowing it to develop into disease.

The review emphasizes that aging is a multifactorial process, shaped by many interacting causes rather than a single underlying mechanism. The model suggests that early-life disruptions and later-life genetic activity work together to drive age-related diseases. For example, dormant viruses can re-emerge as infections like shingles due to weakened immunity in older adults. Similarly, injuries to joints in youth can lead to osteoarthritis as tissues change with age. Inherited mutations may also remain silent for decades before contributing to conditions such as cancer or fibrosis later in life.

This two-stage model builds on long-standing ideas from evolutionary biology, particularly the theory that aging occurs because natural selection has less influence in later life. The authors also draw on studies in the roundworm Caenorhabditis elegans, where early mechanical damage can lead to fatal infections in old age, suggesting similar patterns may occur in humans.

Overall, this review presents a new framework for understanding how different causes of aging interact over time. By identifying two key stages, early-life damage and late-life genetic activity, it highlights potential strategies for promoting healthier aging through prevention and targeted intervention.

Paper DOI: https://doi.org/10.18632/aging.206339

Corresponding author: David Gems – david.gems@ucl.ac.uk

Keywords: aging, C. elegans, disease, hyperfunction, multifactorial model

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Oncotarget

Overcoming Aromatase Inhibitor Resistance in Breast Cancer: A New Therapeutic Strategy

January 13, 2026

“The estrogen receptor is overexpressed in and promotes 67-80% and 90% of female and male breast cancer cases, respectively.“

Most breast cancers depend on estrogen to grow. This dependence explains why hormone-based treatments, such as aromatase inhibitors, are among the most effective therapies for estrogen receptor–positive breast cancer. Despite their success, these treatments do not work indefinitely for all patients.

Over time, many tumors adapt to estrogen deprivation and continue to survive, grow, and spread. This process, known as aromatase inhibitor resistance, represents a major clinical challenge and is often associated with more aggressive disease and poorer outcomes.

One reason resistant breast tumors are difficult to treat is that cancer cells adapt their internal signaling systems. Instead of relying on estrogen, they activate alternative growth pathways, including the MAPK and PI3K/AKT pathways. These pathways promote cell survival, movement, and resistance to therapy and are frequently driven by proteins such as KRAS and related G-proteins, which have historically been difficult to target. A recent study published in Oncotarget suggests now that a new class of compounds may offer a way to overcome this resistance.

The Study: Targeting Aromatase Inhibitor–Resistant Breast Cancer with Novel PCAI Compounds

Researchers from the Florida A&M University College of Pharmacy and Pharmaceutical Sciences, Institute of Public Health, investigated a group of experimental compounds called polyisoprenylated cysteinyl amide inhibitors, or PCAIs. Their study, titled “PCAIs stimulate MAPK, PI3K/AKT pathways and ROS-mediated apoptosis in aromatase inhibitor-resistant breast cancer cells while disrupting actin filaments and focal adhesion,” focused on breast cancer cells that had developed resistance after long-term treatment with letrozole (LTLT-Ca cells), a commonly prescribed aromatase inhibitor.

The goal was to determine whether PCAIs could disrupt key survival mechanisms in these resistant cancer cells and ultimately trigger cell death.

The Results: NSL-YHJ-2-27 Activates MAPK and PI3K/AKT Pathways to Induce Apoptosis in Resistant Breast Cancer Cells

Among the tested compounds, one PCAI, NSL-YHJ-2-27, showed strong effects. Treatment with this compound significantly reduced the survival of aromatase inhibitor-resistant breast cancer cells and caused changes in cell shape. Many cells shrank, rounded up, and detached from their growth surface. Even after the compound was removed, treated cells showed a markedly reduced ability to proliferate and form colonies, indicating long-lasting effects.

At the molecular level, NSL-YHJ-2-27 increased activation of MAPK and PI3K/AKT signaling pathways. While these pathways are often associated with cancer cell survival, their excessive activation in this context led to cellular stress rather than protection. The treatment also caused a rise in reactive oxygen species, highly reactive molecules that damage DNA, proteins, and lipids inside the cell.

In addition, NSL-YHJ-2-27 reduced the levels of key proteins involved in cell movement and structure, including RAC1 and CDC42. The compound disrupted actin filaments and decreased levels of focal adhesion proteins such as vinculin and fascin, weakening the cells’ internal framework. As a result, cancer cell migration and invasion were significantly reduced in both standard cell cultures and three-dimensional tumor-like spheroids. The treated cells also showed clear signs of apoptosis, confirming that the compound effectively triggered programmed cell death.

The Breakthrough: Targeting Cancer Cells from Within to Trigger Stress-Induced Cell Death

Rather than blocking signals at the cell surface, PCAIs act inside cancer cells by interfering with proteins that control growth, movement, and survival. By disrupting these internal systems, PCAIs place cancer cells under intense stress. This stress leads to the buildup of reactive oxygen species and ultimately leads the cells toward self-destruction.

The Impact: A Potential New Therapeutic Strategy for Hormone-Resistant Breast Cancer

These results suggest that PCAIs could represent a potential new strategy for treating breast cancers that no longer respond to hormone therapy. Because this approach does not rely on estrogen receptors or specific surface markers, it may be effective across a broader range of resistant tumors. Importantly, by weakening the structural and migratory machinery of cancer cells, PCAIs may also reduce the ability of tumors to spread to other organs.

Future Perspectives and Conclusion

Although this research was conducted using laboratory models, it provides a solid foundation for further investigation. Additional studies will be required to evaluate safety, determine appropriate dosing, and assess the effects of PCAIs in animal models and, ultimately, in clinical settings. While still at an early stage, these findings suggest a possible new approach for addressing hormone therapy resistance in breast cancer. With continued research, PCAIs may contribute to the development of additional therapeutic options for patients with treatment-resistant disease.

Click here to read the entire research paper published by Oncotarget.

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Oncotarget

Comprehensive Genomic Profiling in Cancer: Insights from Over 10,000 Tumors

December 15, 2025

“The OncoExTra^® assay (formerly GEM ExTra) is a whole exome, whole transcriptome, tumor-normal genomic profiling assay that is designed to identify somatic (tumor-specific) SNVs, CNAs, indels, gene fusions, and alternative transcripts.“

Cancer treatment is moving toward a more precision-based approach, where therapies are guided not just by the tumor’s location but also by its genetic features. Mutations in cancer cells can point to specific drugs that may be more effective for certain patients. However, detecting these mutations often requires broad and detailed analysis. This is where comprehensive genomic profiling becomes especially important.

One of the main challenges in cancer care is that many existing genetic tools focus on only a limited number of mutations. As a result, some treatment opportunities may be missed. Certain mutations are also difficult to detect because they occur at low levels or exist in complex forms, such as gene fusions. Without advanced screening methods, these changes may go unnoticed.

To address these challenges, researchers from Exact Sciences Corporation conducted a large-scale study using a broad genomic screening approach. The findings were recently published in the journal Oncotarget.

The Study: Using OncoExTra to Analyze Genetic Alterations in Advanced Solid Tumors

In this study, titled “Comprehensive genomic profiling of over 10,000 advanced solid tumors” and led by Jean-Paul De La from Exact Sciences Corporation, researchers used a method called OncoExTra to analyze over 11,000 tumor samples from more than 10,000 patients with advanced solid tumors. The goal was to understand how often genetic alterations that could guide treatment were found using this type of broad assay.

The Results: Actionable Mutations Found in Over 90% of Tumors

The study found that nearly 92 percent of the tumor samples contained at least one genetic alteration that could potentially guide treatment. About half of the samples had mutations that were linked to therapies already approved by the U.S. Food and Drug Administration, either for the cancer type being studied or for other types.

Some of these mutations were found at very low levels, which highlights the need for sensitive screening techniques. Gene fusions, alterations that can be difficult to detect with standard methods, were identified in 7.5 percent of the cases. These fusions are especially relevant in certain cancers like prostate cancer and sarcoma, where they can influence treatment and, in some cases, help clarify the diagnosis.

Mutations were also found in several key biological pathways that are involved in how cancer cells grow, divide, and repair themselves. These included the PI3K/AKT, MAPK, and DNA repair pathways. Changes in these pathways can affect how the cancer behaves and responds to treatment.

In addition, the study reported that about 8 percent of the samples had mutations in the promoter region of the TERT gene. These changes have been associated with increased tumor growth and worse patient outcomes in several cancers. Although there are no approved therapies that directly target these mutations yet, their detection may become more relevant as new treatments are developed.

The Breakthrough: A Genomic Method That Analyzes Both DNA and RNA

The OncoExTra assay stands out for its ability to analyze both DNA and RNA across all known genes. It also compares tumor tissue to the patient’s normal tissue, which helps reduce the risk of false-positive results. This broad and in-depth approach enables the detection of rare, low-level, and complex mutations that smaller screening panels might miss. The method also identifies biomarkers such as tumor mutational burden and microsatellite instability, which can help determine whether a patient is likely to benefit from certain types of immunotherapy.

The Impact: Improving Precision Oncology Through Genetic Insights

These findings suggest that comprehensive genomic profiling can provide valuable information to help guide treatment for patients with advanced cancer. By identifying relevant mutations, clinicians can make more informed decisions, whether that involves prescribing targeted therapies, recommending clinical trials, or confirming a diagnosis. This supports a more individualized approach to cancer care, aiming to match each patient with the most appropriate treatment options based on the biology of their tumor.

Future Perspectives and Conclusion

While further studies are needed to better associate genomic findings with patient outcomes, this research demonstrates the clinical value of comprehensive genomic profiling. As screening methods continue to improve and become more widely available, they may enable more patients to receive treatments guided by the biological features of their tumors rather than tumor location alone.

Overall, the study shows that large-scale genomic screening is both feasible and useful in real-world oncology practice. It supports a more precise and informed approach to cancer care, while underscoring the importance of continued research and careful integration of genomic tools into clinical decision-making.

Click here to read the full research paper published by Oncotarget.

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Oncotarget

Repurposing Statins: Exploring Anti-Tumor Effects in Colorectal Cancer

December 3, 2025

“Drug repurposing has gained traction as a viable strategy to target dysregulated oncogenic pathways.“

Colorectal cancer (CRC) remains the second leading cause of cancer-related deaths globally. While early detection significantly improves outcomes, many patients are diagnosed at advanced stages when treatment options are limited and relapse is common. To address this challenge, researchers are exploring whether existing drugs can be repurposed for cancer therapy, a strategy that could accelerate drug development while reducing associated costs and risks.

One class of drugs under investigation is statins, commonly prescribed to reduce cholesterol and prevent cardiovascular disease. Several studies have observed a potential link between elevated cholesterol and increased CRC risk. Cholesterol may support tumor growth by promoting membrane synthesis and energy metabolism in rapidly dividing cells.

Building on this connection, researchers from leading Indian institutions, including the Indian Institute of Science Education and Research and the Center of Excellence in Epigenetics at Shiv Nadar Institution of Eminence, investigated how statins influence CRC cells at the molecular level. Their goal was to determine whether these widely used drugs could have a therapeutic role in oncology.

The Study: Investigating the Molecular Impact of Statins in CRC Cells

The study, titled “Statins exhibit anti-tumor potential by modulating Wnt/β-catenin signaling in colorectal cancer,” was published in Oncotarget (Volume 16). Using a combination of lipidomics, transcriptomics, proteomics, and 3D tumor models, the researchers explored how two widely prescribed statins, atorvastatin and simvastatin, affect molecular pathways associated with CRC progression. This integrative, multi-omics strategy enabled tracing statin-induced effects across different layers of cellular function, linking lipid, transcript, and protein changes to pathway-level shifts.

The Results: Statins Suppress Wnt/β‑Catenin Signaling and Alter SATB Protein Dynamics

Treatment of CRC cells with statins led to a significant reduction in cholesterol and related lipid metabolites, consistent with the drugs’ known mechanism of action. Importantly, statin exposure also suppressed the Wnt/β-catenin signaling pathway, a key regulator of cell proliferation and tumor growth in CRC.

At the protein level, the researchers observed a decrease in SATB1, a chromatin organizer associated with oncogenic gene expression and tumor aggressiveness. At the same time, SATB2, a structurally related protein with tumor-suppressive properties, was upregulated. This inverse regulation appears to shift cancer cells from a more invasive, mesenchymal-like phenotype toward a more stable, epithelial state.

Interestingly, the levels of SATB1 and SATB2 mRNA did not change significantly, suggesting that statins affect these proteins post-transcriptionally, possibly by altering their stability. This layer of regulation may offer a more targeted and potentially safer therapeutic strategy.

The functional impact of statin treatment was further evaluated in 3D spheroid models, which better replicate the architecture of solid tumors. In these models, statins disrupted spheroid integrity and promoted the reappearance of cellular features typically associated with non-malignant epithelial tissue. SATB1 expression correlated with mesenchymal traits, while SATB2 was linked to epithelial markers, reinforcing their proposed roles in tumor phenotype regulation.

These findings were corroborated in in vivo xenograft models, where mice treated with statins exhibited significantly reduced tumor volumes compared to untreated controls. This in vivo validation supports the therapeutic potential of statins in suppressing tumor growth under physiological conditions.

The Impact: Potential Clinical Applications of Statins in Oncology

Since statins are already approved and well tolerated in humans, their potential use in oncology may benefit from an accelerated translational path. These findings suggest statins could be particularly useful in early-stage CRC or in combination with other therapies to reduce tumor growth and recurrence. By modulating a fundamental cancer-related pathway without broadly disrupting healthy cells, statins may offer a more selective and tolerable therapeutic option.

Future Perspectives and Conclusion

While the study results are encouraging, further preclinical investigations and clinical trials will be necessary to confirm the anti-tumor effects of statins in human patients. The authors note that treatment efficacy may be different depending on tumor subtype and underlying molecular characteristics. Nonetheless, the research provides strong evidence that the balance between SATB1 and SATB2 plays a critical role in CRC progression and that statin treatment can shift this balance in a therapeutically favorable direction.

Moreover, since pathways such as Wnt signaling and SATB1 regulation are implicated in several other malignancies, the findings may have relevance beyond CRC and be worth investigating in additional tumor types. This study adds to the expanding body of research supporting drug repurposing as a viable strategy in cancer therapy.

Click here to read the full research paper published by Oncotarget.

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Mikhail Blagosklonny

How Two Russian Scientists Changed the Way We Understand Aging and Cancer

December 3, 2025

“Here, conceptual similarities between Mikhail Blagosklonny’s hyperfunction theory of aging and Vladimir Dilman’s elevation theory of aging are considered.”

BUFFALO, NY — December 3, 2025 — A new essay was published in Volume 17, Issue 11 of Aging-US on November 19, 2025, titled “On the intergenerational transfer of ideas in aging and cancer research: from the hypothalamus according to V.M. Dilman to the mTOR protein complex according to M.V. Blagosklonny.”

In this work, Aleksei G. Golubev from the N.N. Petrov National Medical Research Center of Oncology reflects on the legacy of two influential Russian scientists, Vladimir M. Dilman and his son Mikhail V. Blagosklonny, who each introduced groundbreaking ideas about aging and cancer. Drawing from his own experience working in Dilman’s lab, Golubev explores how their ideas remain deeply relevant to today’s scientific understanding.

The essay connects Dilman’s “elevation theory” with Blagosklonny’s “hyperfunction theory,” two frameworks that challenge the conventional view of aging as a process of decline. Instead, both propose that aging results from continued biological processes that once supported growth but eventually become harmful when left unchecked.

Dilman believed that aging begins with reduced sensitivity in the hypothalamus, a brain region that regulates the body’s balance. This desensitization disrupts metabolism and hormone levels, setting the stage for many chronic illnesses. Decades later, Blagosklonny expanded on this idea at the molecular level. Central to his theory is the mTOR protein complex, which regulates growth and metabolism and is now a major focus in aging research.

Golubev also explores the historical and personal connections between the two scientists. Dilman, an endocrinologist trained in the Soviet Union, and Blagosklonny, a molecular biologist educated during the post-Soviet period, represent two generations shaped by a shared scientific tradition.

“Dilman’s scientific legacy is not as well recognized as it should be, partly due to bias in citation practices.”

The essay also draws attention to a troubling trend in science: the tendency to overlook early contributions, especially from non-Western scholars. Many of Dilman’s insights, such as the connection between high blood sugar, insulin resistance, and cancer, have since been validated by modern tools, yet his work is rarely cited. Golubev points out how citation practices, language barriers, and historical isolation have contributed to this lack of recognition.

Finally, Golubev encourages the scientific community to look back and acknowledge the foundational work that shaped modern aging science. It also highlights the importance of cross-generational knowledge in moving science forward. By tracing the intellectual journey from hormonal regulation in the brain to molecular pathways in cells, this essay demonstrated the relevance of old ideas in a new biological era.

Paper DOI: https://doi.org/10.18632/aging.206338

Corresponding author: Aleksei G. Golubev – lxglbv@rambler.ru

Keywords: aging, gerontology, history of science, hyperfunction, mTOR, hypothalamus, cancer, metabolism, immunity.

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Oncotarget

New Antibody Removes Tregs to Boost Immune Response Against Cancer

November 19, 2025

“Treg play a deleterious role in the tumor microenvironment by suppressing anti-tumor effector T cells.”

Cancer is a disease caused by the uncontrolled growth of cells that escape the body’s natural defenses. One way cancer protects itself is by taking advantage of certain immune cells called regulatory T cells, or Tregs. Normally, Tregs help prevent autoimmune diseases by controlling the immune system. But inside tumors, they behave differently. Instead of defending the body, they suppress the immune cells that could attack the cancer.

Many cancer treatments aim to activate the immune system to fight tumors more effectively. However, the presence of Tregs within the tumor makes this difficult. These cells act like bodyguards for the cancer, blocking the immune response that might otherwise slow or stop tumor growth.

Researchers have tried to eliminate Tregs by targeting a protein called CD25, found on their surface. However, earlier efforts often failed because these treatments also interfere with interleukin-2 (IL-2), a molecule that is essential for other immune cells to function. Blocking IL-2 weakens the entire immune response, limiting the treatment’s effectiveness.

To overcome this challenge, scientists recently developed a new antibody called 2B010. This study, titled “A novel anti-human CD25 mAb with preferential reactivity to activated T regulatory cells depletes them from the tumor microenvironment,” was published in Oncotarget (Volume 16)

The Study: Finding a New Antibody Against Tumor Tregs

To develop a more selective tool for targeting Tregs, researchers from the National Institute of Allergy and Infectious Diseases, in collaboration with Boehringer Ingelheim and led by Maja Buszko and Ethan M. Shevach, conducted an experiment using mice. The animals were exposed to human regulatory T cells that had been activated and expanded in the laboratory. This exposure triggered the mice’s immune systems to produce antibodies against the Tregs. Among the resulting hybridomas, one named 2B010 stood out for producing an antibody capable of binding to CD25, a protein commonly found on the surface of active Tregs.

The Results: 2B010 Shows Selective Treg Depletion and Immune Activation

The 2B010 antibody was effective in both cell-based and animal studies. It was able to detect and remove regulatory T cells that were actively protecting tumors, without disrupting IL-2 signaling. This allowed the rest of the immune system to stay functional.

In a mouse model of human breast cancer, treatment with 2B010 significantly reduced the number of Tregs inside the tumors. As a result, CD8+ T cells, which are responsible for killing cancer cells, became more active. While the tumors themselves did not shrink, the immune system clearly showed signs of stronger activity against the cancer.

What makes 2B010 different is its ability to distinguish between harmful and helpful immune cells. Although many immune cells express CD25 when activated, 2B010 preferentially binds to highly active Tregs within the tumor. This selectivity allows it to target only the cells that shield tumors, while sparing other important parts of the immune system.

The effect of 2B010 was not limited to the tumor site. Increased immune activity was also observed in the spleen, suggesting that this antibody may help support the body’s general immune response.

The Impact: Potential Role of 2B010 in Enhancing Cancer Immunotherapy

This discovery offers a potential direction for advancing cancer treatment. By removing the regulatory T cells that shield tumors from immune attack, the 2B010 antibody could improve the effectiveness of current immunotherapies. It may be particularly valuable when used alongside checkpoint inhibitors, drugs that help lift the immune system’s natural brakes. Together, these therapies could produce a stronger, more sustained anti-tumor response.

Since high levels of Tregs are linked to poor outcomes in many types of cancer, selectively eliminating these cells may help overcome a major obstacle in immunotherapy. In addition, because 2B010 does not interfere with IL-2 signaling, it may avoid the unintended side effects seen with earlier anti-CD25 antibodies. Together, these features make it a good candidate for more precise and better-tolerated cancer treatments.

Future Perspectives and Conclusion

While the 2B010 antibody shows strong potential in preclinical studies, its performance in human patients remains to be seen. Clinical trials will be essential to assess its safety, effectiveness, and compatibility with current cancer treatments. Researchers suggest that, with further development, 2B010 may become a valuable addition to combination immunotherapy strategies in the future.

Click here to read the full research paper published by Oncotarget.

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Oncotarget is indexed and archived by PubMed/Medline, PubMed Central, Scopus, EMBASE, META (Chan Zuckerberg Initiative) (2018-2022), and Dimensions (Digital Science).

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