Publications by authors named "Nicola Gaynor"

Article Synopsis
  • The phase II trial ICORG10-05 examined the effects of chemotherapy in combination with trastuzumab, lapatinib, or both on patients with HER2+ breast cancer, focusing on changes in circulating immune cells.
  • Researchers analyzed blood samples to assess immune cell cytotoxicity, phenotype, and genotype before and after neo-adjuvant treatment, along with evaluating the impact of pembrolizumab on immune activity.
  • Results showed that treatment reduced the cytotoxic capability of immune cells, altered their composition, and identified potential biomarkers for treatment response through the analysis of pembrolizumab's effects on immune cell activity.
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Purpose: Antibody-dependent cell-mediated cytotoxicity (ADCC) is one mechanism of action of the monoclonal antibody (mAb) therapies trastuzumab and pertuzumab. Tyrosine kinase inhibitors (TKIs), like lapatinib, may have added therapeutic value in combination with mAbs through enhanced ADCC activity. Using clinical data, we examined the impact of lapatinib on HER2/EGFR expression levels and natural killer (NK) cell gene signatures.

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This review focuses on immune checkpoint inhibitors - immunomodulatory agents that aim to relieve tumour-mediated immune-cell suppression. Immune checkpoint proteins can be expressed on the tumour-cell or immune-cell populations. Immune checkpoint proteins dampen the immune response by inactivating immune cells capable of tumour destruction.

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Despite trastuzumab and pertuzumab improving outcome for patients with HER2-positive metastatic breast cancer, the disease remains fatal for the majority of patients. This study evaluated the anti-proliferative effects of adding anti-HER2 tyrosine kinase inhibitors (TKIs) to trastuzumab and pertuzumab in HER2-positive breast cancer cells. Afatinib was tested alone and in combination with trastuzumab in HER2-positive breast cancer cell lines.

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