A grade PMID 42321916
View analysis →Finding therapies hidden in 39,488 pediatric cancer papers.
Neurocompute scores pediatric oncology literature, surfaces overlooked therapeutic signals, and turns fragmented childhood cancer research into a living discovery terminal.
Ranked Discovery Journal Articles
A grade PMID 42690647
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All ranked pediatric cancer papers
In a prospective single-center cohort of 180 children with HLH, an integrated framework combining etiology, diagnostic and day-7 cytokine profiles, and lymphocyte subsets internally predicted mortality and treatment escalation with high discrimination.
The study provides observational evidence that etiology-specific immune phenotypes and the day-7 IFN-γ ratio are associated with mortality and escalation; if prospectively confirmed in external cohorts, these markers could support earlier risk-adapted treatment escalation, but the record does not show that biomarker-guided treatment improves outcomes.
This update reviews early clinical experience with CAR-T cells for pediatric CNS tumors, emphasizing variation in antigen targets, delivery routes, lymphodepletion, and CAR design alongside challenges from immunosuppression, toxicity, T-cell exhaustion, and antigen heterogeneity.
The supplied record indicates that pediatric CNS CAR-T trials have produced encouraging early clinical results; it is reasonable but still inferential to hypothesize that optimizing delivery, target selection, lymphodepletion, and CAR engineering could improve efficacy and manage toxicity in pediatric brain tumors.
The study reports that DHX15 R222G is associated with inferior prognosis in pediatric RUNX1::RUNX1T1-positive AML, promotes leukemia stem-cell activity and chemotherapy resistance through TFAM-linked oxidative phosphorylation, and creates preclinical sensitivity to the Complex V inhibitor S-Gboxin.
The supplied evidence supports DHX15 R222G as a candidate risk biomarker and shows anti-leukemic activity of OXPHOS inhibition in the studied leukemia setting; it remains an inference, requiring prospective validation and human testing, that patients with RUNX1::RUNX1T1-positive, DHX15-mutant AML would benefit from an OXPHOS inhibitor or its combination with chemotherapy.
This meta-analysis of 10 clinical studies reports that orthodontic intervention after childhood cancer therapy may improve occlusal outcomes and oral health-related quality of life, while survivors had a higher pooled risk of treatment-related complications than comparison groups.
The supplied evidence suggests orthodontic treatment can provide functional and quality-of-life benefits in childhood cancer survivors but may require survivor-specific risk assessment and monitoring; the inference that tailored protocols could reduce complications remains untested by this review.
In a prospective cohort of 182 pediatric patients with diverse cancers and 10 healthy controls, circulating NET-related markers and reduced DNaseI activity were associated with diagnosis, risk, and adverse outcomes, while recombinant human DNaseI restored impaired NET degradation in vitro.
The record supports reduced DNaseI activity and impaired plasma NET degradation in high-risk pediatric cancer, with in-vitro rescue by recombinant human DNaseI; it remains an inference—not demonstrated therapeutic efficacy—that DNaseI treatment could improve outcomes by enhancing NET clearance.
This review summarizes chemotherapy, allo-HSCT, antibody and cellular immunotherapies, menin inhibitors, and other molecular strategies for adults with high-risk KMT2A-rearranged B-ALL, including reported resistance through antigen loss, lineage switch, and emerging drug-resistance mechanisms.
The supplied record supports clinical and biological interest in immunotherapies and KMT2A-directed menin inhibition in adult KMT2Ar B-ALL; it is reasonable—but not established by this review—to hypothesize that rational combinations targeting both leukemic dependency and immune escape could reduce relapse, pending prospective trials.
In a retrospective cohort of 94 nutritionally at-risk children with neuroblastoma, enteral nutritional support was associated with improved nutritional and intake measures and fewer postoperative and post-chemotherapy complications than routine dietary guidance alone.
The study provides observational evidence that enteral nutritional support is associated with better nutritional status and fewer treatment-related complications; it is reasonable but unproven to hypothesize that increasing energy and protein intake improves physiologic resilience to surgery and chemotherapy and thereby reduces complications.
This report describes a 10-year-old with chemotherapy-refractory pcPTCL-NOS who received mogamulizumab before allo-HSCT, subsequently developed severe steroid-refractory acute graft-versus-host disease, and had spontaneously regressing lesions at prior lymphoma sites whose biopsy supported a graft-versus-lymphoma interpretation.
The case provides clinical evidence consistent with an alloimmune graft-versus-lymphoma effect after mogamulizumab and allo-HSCT; it raises, but does not establish, the hypothesis that transplant timing and immune management could be optimized to preserve antitumor activity while reducing severe graft-versus-host disease.
In a 17-centre retrospective cohort of 646 paediatric and adult patients with advanced-stage Hodgkin lymphoma, N-AVD and BV-AVD had comparable 2-year survival outcomes but different toxicity profiles, with more neutropenia and infections on N-AVD and more neuropathy and dose modification on BV-AVD.
The evidence shows comparable short-term real-world survival with regimen-specific toxicities; it supports the inference that N-AVD may offer a frontline efficacy and tolerability advantage for some patients, but pediatric-specific benefit, causal superiority, and optimal supportive care require prospective or age-stratified confirmation.
This best-evidence summary synthesized 2 clinical practice guidelines and 16 systematic reviews into 17 recommendations supporting supervised, individualized, multimodal exercise for children with acute leukemia across treatment phases.
The supplied synthesis reports that professionally supervised, phase-adjusted exercise is associated with improvements in bone mineral density, cardiorespiratory endurance, and quality of life; it is reasonable—but not directly established by this record—to hypothesize that standardized, individualized exercise rehabilitation could reduce treatment-related physical dysfunction and fatigue while game-based delivery may improve adherence.
In a retrospective propensity-score-matched study of adult hepatocellular carcinoma with portal vein tumor thrombus, adding intensity-modulated radiotherapy to immunotherapy plus targeted therapy was associated with longer overall and progression-free survival without a statistically significant increase in grade 3–4 adverse events.
The reported evidence supports an association, in adults with hepatocellular carcinoma and portal vein tumor thrombus, between adding IMRT to immunotherapy plus targeted therapy and improved survival; it remains an inference requiring prospective randomized testing that local radiotherapy provides causal benefit, and the record provides no evidence for extrapolation to pediatric liver cancer.
This record describes a planned 316-participant, multicenter, double-blind randomized trial comparing an herbal TSZA regimen plus psychological intervention with a low-dose active herbal control plus psychological intervention for psychoneurological symptoms in adults with ovarian cancer.
The protocol tests whether adding Compound Ciwujia Granules to psychological intervention and standard ovarian-cancer care can reduce psychoneurological symptom burden and improve quality of life; potential effects through neuroendocrine or immune pathways are exploratory hypotheses, not demonstrated mechanisms.