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Golding R, Abuqubo R, Pansa CJ, Bhatta M, Shankar V, Mani K, Kleinbart E, Gelfand Y, Murthy S, De la Garza Ramos R, Krystal J, Eleswarapu A, Yassari R, Mostafa E, Fourman MS, Schlumprecht A. Immunologic and Targeted Molecular Therapies for Chordomas: A Narrative Review. J Clin Med 2024; 13:5679. [PMID: 39407739 PMCID: PMC11476405 DOI: 10.3390/jcm13195679] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/04/2024] [Revised: 09/17/2024] [Accepted: 09/20/2024] [Indexed: 10/20/2024] Open
Abstract
Chordomas are rare sarcomas arising from notochordal tissue and occur most commonly in the spine. The standard of care for chordomas without evidence of metastatic disease generally consists of en bloc resection followed by adjuvant radiotherapy. However, long-term (20-year) survival rates are approximately 30%. Chordomas are generally considered as chemo resistant. Therefore, systemic therapies have rarely been employed. Novel immunotherapies, including antibody therapy and tumor vaccines, have shown promise in early trials, leading to extended progression-free survival and symptom relief. However, the outcomes of larger trials using these vectors are heterogeneous. The aim of this review is to summarize novel chordoma treatments in immune-targeted therapies. The current merits, trial outcomes, and toxicities of these novel immune and targeted therapies, including those targeting vascular endothelial growth factor receptor (VEGFR) targets and the epidermal growth factor receptor (EGFR), will be discussed.
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Affiliation(s)
- Regina Golding
- Department of Orthopaedic Surgery, Montefiore Einstein, Bronx, NY 10461, USA; (R.G.); (J.K.); (A.E.); (E.M.); (A.S.)
| | - Rami Abuqubo
- Jacobi Medical Center, Albert Einstein College of Medicine, Bronx, NY 10461, USA; (R.A.); (C.J.P.); (M.B.); (V.S.); (K.M.); (E.K.)
| | - Christopher J. Pansa
- Jacobi Medical Center, Albert Einstein College of Medicine, Bronx, NY 10461, USA; (R.A.); (C.J.P.); (M.B.); (V.S.); (K.M.); (E.K.)
| | - Manish Bhatta
- Jacobi Medical Center, Albert Einstein College of Medicine, Bronx, NY 10461, USA; (R.A.); (C.J.P.); (M.B.); (V.S.); (K.M.); (E.K.)
| | - Vishal Shankar
- Jacobi Medical Center, Albert Einstein College of Medicine, Bronx, NY 10461, USA; (R.A.); (C.J.P.); (M.B.); (V.S.); (K.M.); (E.K.)
| | - Kyle Mani
- Jacobi Medical Center, Albert Einstein College of Medicine, Bronx, NY 10461, USA; (R.A.); (C.J.P.); (M.B.); (V.S.); (K.M.); (E.K.)
| | - Emily Kleinbart
- Jacobi Medical Center, Albert Einstein College of Medicine, Bronx, NY 10461, USA; (R.A.); (C.J.P.); (M.B.); (V.S.); (K.M.); (E.K.)
| | - Yaroslav Gelfand
- Department of Neurological Surgery, Montefiore Einstein, Bronx, NY 10461, USA; (Y.G.); (S.M.); (R.D.l.G.R.); (R.Y.)
| | - Saikiran Murthy
- Department of Neurological Surgery, Montefiore Einstein, Bronx, NY 10461, USA; (Y.G.); (S.M.); (R.D.l.G.R.); (R.Y.)
| | - Rafael De la Garza Ramos
- Department of Neurological Surgery, Montefiore Einstein, Bronx, NY 10461, USA; (Y.G.); (S.M.); (R.D.l.G.R.); (R.Y.)
| | - Jonathan Krystal
- Department of Orthopaedic Surgery, Montefiore Einstein, Bronx, NY 10461, USA; (R.G.); (J.K.); (A.E.); (E.M.); (A.S.)
| | - Ananth Eleswarapu
- Department of Orthopaedic Surgery, Montefiore Einstein, Bronx, NY 10461, USA; (R.G.); (J.K.); (A.E.); (E.M.); (A.S.)
| | - Reza Yassari
- Department of Neurological Surgery, Montefiore Einstein, Bronx, NY 10461, USA; (Y.G.); (S.M.); (R.D.l.G.R.); (R.Y.)
| | - Evan Mostafa
- Department of Orthopaedic Surgery, Montefiore Einstein, Bronx, NY 10461, USA; (R.G.); (J.K.); (A.E.); (E.M.); (A.S.)
| | - Mitchell S. Fourman
- Department of Orthopaedic Surgery, Montefiore Einstein, Bronx, NY 10461, USA; (R.G.); (J.K.); (A.E.); (E.M.); (A.S.)
| | - Anne Schlumprecht
- Department of Orthopaedic Surgery, Montefiore Einstein, Bronx, NY 10461, USA; (R.G.); (J.K.); (A.E.); (E.M.); (A.S.)
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Jailani A, Ahmed B, Lee JH, Lee J. Inhibition of Agrobacterium tumefaciens Growth and Biofilm Formation by Tannic Acid. Biomedicines 2022; 10:1619. [PMID: 35884920 PMCID: PMC9312696 DOI: 10.3390/biomedicines10071619] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/06/2022] [Revised: 07/04/2022] [Accepted: 07/04/2022] [Indexed: 12/04/2022] Open
Abstract
Agrobacterium tumefaciens underlies the pathogenesis of crown gall disease and is characterized by tumor-like gall formation on the stems and roots of a wide variety of economically important plant species. The bacterium initiates infection by colonizing and forming biofilms on plant surfaces, and thus, novel compounds are required to prevent its growth and biofilm formation. In this study, we investigated the ability of tannic acid, which is ubiquitously present in woody plants, to specifically inhibit the growth and biofilm formation of A. tumefaciens. Tannic acid showed antibacterial activity and significantly reduced the biofilm formation on polystyrene and on the roots of Raphanus sativus as determined by 3D bright-field and scanning electron microscopy (SEM) images. Furthermore, tannic acid dose-dependently reduced the virulence features of A. tumefaciens, which are swimming motility, exopolysaccharide production, protease production, and cell surface hydrophobicity. Transcriptional analysis of cells (Abs600 nm = 1.0) incubated with tannic acid for 24 h at 30 °C showed tannic acid most significantly downregulated the exoR gene, which is required for adhesion to surfaces. Tannic acid at 100 or 200 µg/mL limited the iron supply to A. tumefaciens and similarly reduced the biofilm formation to that performed by 0.1 mM EDTA. Notably, tannic acid did not significantly affect R. sativus germination even at 400 µg/mL. The findings of this study suggest that tannic acid has the potential to prevent growth and biofilm formation by A. tumefaciens and thus infections resulting from A. tumefaciens colonization.
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Affiliation(s)
| | | | | | - Jintae Lee
- School of Chemical Engineering, Yeungnam University, 280 Daehak-ro, Gyeongsan 38541, Korea; (A.J.); (B.A.); (J.-H.L.)
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