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CDK7 is a novel therapeutic target in fibrolamellar carcinoma

Fibrolamellar carcinoma (FLC) is a rare, aggressive liver cancer primarily affecting young individuals, with limited treatment options and poor prognosis. The discovery of the DNAJB1-PRKACA gene fusion as the primary oncogenic driver in FLC over a decade ago has reshaped research efforts. The exact way the DNAJ-PKAc protein causes cancer is still unclear, but research …

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Early Experiences with Triple Immunochemotherapy in High-Risk Fibrolamellar Carcinoma

This retrospective study, led by Dr. Paul Kent and colleagues at Rush University Medical Center, evaluated whether a three-drug combination known as “triple therapy (TT)”, or “triple immunochemotherapy”, could help control advanced fibrolamellar carcinoma (FLC). This treatment combines: This is the same therapy investigated by M.D. Anderson Cancer center in a prospective clinical trial. Study …

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The oncogenic fusion protein DNAJB1-PRKACA can be specifically targeted by peptide-based immunotherapy in fibrolamellar hepatocellular carcinoma

This article describes work conducted at the University Hospital Tübingen on the creation of a therapeutic peptide vaccine for fibrolamellar carcinoma. Using FLC’s characteristic DNAJB1-PRKACA fusion protein, they designed a personalized peptide vaccine using fragments of that DNAJB1-PRKACA protein and administered it to a patient with FLC. The patient, a recipient of a liver transplant, …

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Mitochondrial calcium signaling regulates branched-chain amino acid catabolism in fibrolamellar carcinoma

This study explored how fibrolamellar carcinoma (FLC) rewires the way its cells generate energy, focusing on calcium inside mitochondria—the cell’s “power plants.” Researchers found that FLC cells have abnormally high mitochondrial calcium levels, which changes how they process nutrients like branched‑chain amino acids. A key driver of this is the mitochondrial calcium uniporter, a channel …

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A framework for fibrolamellar carcinoma research and clinical trials

This article, published in Nature Reviews Gastroenterology & Hepatology, summarizes the key advances made in understanding the disease since the 2014 discovery that nearly all FLC tumors contain the DNAJB1-PRKACA chimeric fusion transcript. The paper outlines the advances made in understanding the molecular pathways driven by the fusion protein and the potential to identify actionable …

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