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Intestinal microorganisms influence white blood cell levels in blood

A team of researchers discovered that the gut microbiome plays a critical role in driving granulopoiesis, a process formation of granulocytes, in mice models. The study found that alterations in the gut microbiome composition induced by neutropenia stimulate reactive granulopoiesis via interleukin 17A secreted by T cells, promoting neu...

SourceHokkaido University·JournalProceedings of the National Academy of Sciences·TypeExperimental study·DateNov 21, 2022

Standing physician orders had limited impact on guideline adherence in prescriptions to prevent febrile neutropenia

The study found that standing orders significantly raised guideline adherence for patients on intermediate FN risk regimens but did not change the FN rate among patients on chemotherapy at any risk level. Prophylactic CSF use rates were substantially below guidelines for both high-risk and low-risk regimens.

SourceSWOG Cancer Research Network·TypeRandomized controlled/clinical trial·DateMay 26, 2022

Phase III FIRST (MM-020/IFM 07-01) trial of REVLIMID (lenalidomide) plus dexamethasone in newly diagnosed multiple myeloma patients who are not candidates for stem cell transplant published in New England Journal of Medicine

A phase III trial found that continuous REVLIMID (lenalidomide) with dexamethasone improved progression-free survival and reduced risk of disease progression compared to standard treatment. Patients treated with continuous REVLIMID plus dexamethasone showed a significant reduction in risk of progression or death.

Sourcedna Communications·JournalNew England Journal of Medicine·DateSep 4, 2014

Strong association found between prevalence of low white blood count and women of African descent

Researchers at Columbia University's Mailman School of Public Health found a strong association between neutropenia, or low white blood count, and women of African descent. This association may affect disparities in disease treatment and outcomes for cancer therapy, particularly among those with breast and colon cancer.

SourceColumbia University's Mailman School of Public Health·JournalBritish Journal of Haematology·DateSep 19, 2008

Other highlights in the Aug. 28 JNCI

Researchers identify specific H. pylori strains associated with precancerous gastric lesions, potentially underestimating the risk of gastric cancer. Meanwhile, a gene called OGR1 is found to suppress prostate cancer metastasis in mice, suggesting its potential as a novel metastasis suppressor gene.

SourceJournal of the National Cancer Institute·JournalJNCI Journal of the National Cancer Institute·DateAug 28, 2007

Toxicity predicts effective chemotherapy dose

Research finds that neutropenia, a type of hematological toxicity, is associated with increased overall survival in patients with advanced non-small cell lung cancer. Prospective trials are needed to assess whether drug dosing guided by toxic effects could improve chemotherapy efficacy.

SourceThe Lancet_DELETED·JournalThe Lancet Oncology·DateAug 30, 2005

Other highlights in the December 17 issue of JNCI

Researchers identified frequent BRAF mutations in intermittent sun-exposed skin melanomas, but rare mutations in chronically sun-damaged or unseen skin. Additionally, bladder cancer cell lines showed defective checkpoint function, suggesting barriers to carcinogenesis. These findings may inform therapeutic strategies for these diseases.

SourceJournal of the National Cancer Institute·JournalJNCI Journal of the National Cancer Institute·DateDec 16, 2003