New plasma proteomics model improves thrombosis risk prediction in cancer patients and identifies IL-17-driven endothelial activation as therapeutic target
By
Jeffrey I. Zwicker
Summary
This article presents research by Karagkouni and colleagues who developed a new cancer-associated venous thromboembolism (VTE) prediction model called "TOP" using Bayesian probabilistic machine learning on data from the HYPERCAN trial. The model incorporates 11 protein markers and five clinical parameters, outperforming the commonly used Khorana score in a validation cohort from the AVERT clinical trial. Approximately 75% of patients were reclassified into higher or lower risk groups by this new approach. The study identifies IL-17-driven endothelial activation as a targetable mechanism, offering potential for improved thrombosis prediction and prevention in cancer patients.
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Key quotes
· 4 pulledThe 'TOP' model outperformed the commonly used Khorana score in a validation cohort drawn from the AVERT clinical trial
About 75% of patients being reclassified into higher or lower risk groups by the newly reported approach
Thrombosis remains a major cause of morbidity and mortality in patients with cancer
Existing risk models fail to reliably predict venous thromboembolism (VTE), underscoring the need for more accurate...
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