Adolfo Aleman, PhD, MPA; Oliver Van Oekelen, MD, PhD; Patrick Brunner, MD; Joshua Brody, MD; Samir Parekh, MBBS, and colleagues
Targeted Therapy of CAR+ T-Cell Lymphoma After Anti-BCMA CAR T-Cell Therapy
New England Journal of Medicine. 2025 Aug 21. PMID: 40834307
This paper highlights the first reported case of successfully using targeted therapy for a rare and aggressive T-cell lymphoma that developed after CAR T-cell therapy for multiple myeloma. Following advanced genetic and immunologic screening, the patient received treatment with the anti-CCR4 antibody mogamulizumab in combination with liposomal doxorubicin and gemcitabine; the treatment led to complete remission. The positive results in this case show that treatment based on genomic, phenotypic, and functional profiling can provide an effective therapeutic strategy in similar rare but serious cases.
Press Release
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The International Association for the Study of Lung Cancer (IASLC) presents annual awards to clinicians and researchers who have made significant contributions to the fight against lung cancer. At the 2025 IASLC World Conference on Lung Cancer, held September 5-9 in Barcelona,
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Andrea Wolf, MD, MPH (Thoracic Surgery), received the Robert J. Ginsberg Lectureship Award for Surgery. She presented her lecture, "Tailoring Therapy for Pleural Mesothelioma," at the Plenary Session on September 7.
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Mary B. Beasley, MD (Pathology), received the Fred R. Hirsch Lectureship Award for Translational Research. The title of her lecture, presented at the Plenary Session on September 9, was “The Future of Pathology in Translational Research.”
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Saad Atiq, MD, has joined Mount Sinai as Assistant Professor of Medicine (Hematology and Medical Oncology). He sees patients with genitourinary cancers, particularly prostate and bladder cancers, at the Ruttenberg Treatment Center. Dr. Atiq completed his residency in Internal Medicine at Duke University Medical Center and a fellowship in Medical Oncology at the National Cancer Institute (NCI). He earned his MD from the University of Arkansas for Medical Sciences. Dr. Atiq has been an associate investigator on numerous NCI clinical trials for genitourinary malignancies. He was selected for the 2023 Bladder Cancer Advocacy Network’s John Quale Travel Fellowship Award. He also received a National Institutes of Health Award for Research Excellence and the NCI Herb Kotz Award for Excellence in Oncology, both in 2024.
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Dan Filipescu, PhD, in the Bernstein Laboratory, was awarded R03 funding from the National Cancer Institute for “Epigenetic Regulation of Melanoma-Associated Fibroblast Plasticity.” Dysfunction of histone variants contributes to cancer, either by driving abnormal gene expression programs in malignant cells, or by reprogramming non- malignant cells of the tumor microenvironment. Using cancer-associated fibroblasts derived from human melanoma coupled with advanced epigenomic techniques, this project aims to dissect the role of macroH2A histone variants in regulating pro-inflammatory signals produced by cancer-associated fibroblasts. The studies will elucidate how macroH2A shapes the tumor microenvironment to potentially impact melanoma initiation, response to therapy, progression, recurrence, and/or dormancy.
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Anindita Dutta, PhD in the Arriaga Lab received an Early Investigator Award from the Department of Defense for “To Investigate Tumor-Intrinsic Epigenetic Mechanisms Modulating Antitumor Immune Responses in Metastatic Prostate Cancer.” This project, focused on metastatic castration-resistant prostate cancer, aims to delineate the epigenetic regulatory pathways that facilitate tumor-mediated immune evasion and restore effective antitumor immunity. The ultimate goal is development of targeted epi-immunotherapeutic approaches to potentiate immune responsiveness and improve therapeutic outcomes in advanced prostate cancer.
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Emanuel Taioli, MD, PhD, was awarded R21 grant funding from the National Cancer Institute for
“Update of the WTC Cancer Tissue Biobank.” The biobank provides the infrastructure to address questions related to cancers in World Trade Center responders, such as the link between specific carcinogens and cancer types, molecular signatures of exposure that could be linked to cancer, and specific markers of tumor aggressiveness.
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Tingting Jiang, PhD, received R01 grant funding from the National Heart Lung and Blood Institute for “Development of a Versatile Paired Prime Editing Toolkit for CFTR Gene Correction.” This project will focus on a generalizable genome editing strategy for correction of the cystic fibrosis transmembrane conductance regulator (CFTR) gene. The goal is to develop paired prime editing-based sequence replacement strategies to correct a broad spectrum of CFTR mutations, regardless of the mutation types or locations.
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The Biostatistics Shared Resource Facility (BSRF) has transitioned its service request process to a new REDCap-based form to streamline access and improve usability, including availability outside the Sinai intranet. To request biostatistical support, please use the new form.
For information about the BSRF—services, funding models, policies, etc.—visit the BSRF website. Questions can be directed to Erin Moshier, MSc, Managing Director.
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A new Phase 3 clinical trial for metastatic non-small-cell lung cancer is now open: Radiotherapy to Block Oligoprogression in Metastatic Non-Small-Cell Lung Cancer (CURB2), NCT06686771. Sponsored by the Canadian Cancer Trials Group, the trial aims to determine if the chance of lung cancer growing or spreading can be lowered by adding targeted radiotherapy to the usual combination of drugs. Robert Samstein, MD, PhD, is the Mount Sinai Site PI. Patient enrollment will take place at The Mount Sinai Hospital, The Blavatnik Family Chelsea Medical Center and Mount Sinai West.
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Deborah Doroshow, MD, PhD, is the Mount Sinai Site PI for A Study of PRT7732, an Oral SMARCA2 Degrader, in Patients With Advanced or Metastatic Solid Tumors With a SMARCA4 Mutation, NCT06560645, an international Phase 1 trial that is halfway through dose escalation. Sponsored by Prelude Therapeutics, the study aims to determine the safety, tolerability, pharmacokinetics, pharmacodynamics, and preliminary efficacy of PRT7732 in patients with select advanced or metastatic solid tumors with a SMARCA4 mutation. Patients with lung and GI cancers are being prioritized for the study.
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Sacha Gnjatic, PhD, and colleagues
Multiparametric Cellular and Spatial Organization in Cancer Tissue Lesions With a Streamlined Pipeline
Nature Biomedical Engineering. 2025 Aug 25. PMID: 40855123
Dr. Gnjatic and colleagues have developed an open-source, user-guided automated pipeline that streamlines start-to-finish, single-cell resolution analysis of whole-slide tissue. The multiplex-imaging analysis, registration, quantification, and overlaying (MARQO) tool integrates elastic image registration, iterative nuclear segmentation, unsupervised clustering with mini-batch k-means and user-guided cell classification through a graphical interface. MARQO provides pathologists and researchers with a necessary tool to quantitatively analyze whole-slide imaging data, which can augment future discoveries and bolster the field of cancer immunology.
Press Release
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Rudra Prasad Dutta, PhD; Samir Parekh, MBBS, and colleagues
SOX11 Modulates BCR Signaling Through the PAX5/CD19 Axis for Therapeutic Targeting in BTK Resistant Mantle Cell Lymphoma
Blood Advances. 2025 Aug 22. PMID: 40845256
Mantle cell lymphoma is an incurable subtype of B-cell non-Hodgkin lymphoma that is treated with BTK inhibitors, and resistance to BTK inhibition is a significant clinical challenge. This paper focuses on the contribution of the transcription factor SOX11 to the regulation of the BCR signaling pathway and demonstrates that SOX11 contributes to BTK resistance in MCL via the PAX5/CD19 axis. Targeting SOX11 using SOX11 inhibitors developed at Mount Sinai overcomes BTK resistance by disrupting the BCR signaling pathway, leading to cell death in therapy-resistant MCL cells. Dr. Parekh and team also show efficacy of SOX11 small molecule inhibition in vivo in MCL xenograft models. SOX11 inhibition therefore offers significant potential for MCL patients, especially BTKi resistant patients, by targeting upstream resistance mechanisms.
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Matthew Galsky, MD, and colleagues
Adjuvant Nivolumab in Muscle-invasive Urothelial Carcinoma: Exploratory Biomarker Analysis of the Randomized Phase 3 CheckMate 274 Trial
Nature Medicine. 2025 Aug 7. PMID: 40775055
To assess the relevance of key biomarkers in the setting of adjuvant muscle-invasive urothelial carcinoma, extensive exploratory analyses of tumor biomarkers, including associations with disease-free survival, were performed. Overall, the results of this analysis from the CheckMate 274 trial (NCT02632409) advance an understanding of the prognostic and predictive aspects of several tumor microenvironment and cancer cell-intrinsic features, extend their application to the adjuvant setting, and identify putative predictive biomarkers, such as TGFβ signaling and CD4, for further mechanistic exploration and clinical investigation.
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Zachary Avigan, MD; Jerrel Catlett, PhD; Santiago Thibaud, MD, and colleagues
Clonal Hematopoiesis and Inflammation Predict Hematologic Toxicity and Secondary Myeloid Malignancies After BCMA-directed Chimeric Antigen Receptor T Cell Therapy
Clinical Cancer Research. 2025 Aug 13. PMID: 40801897
In this study, 213 myeloma patients treated with B-cell maturation antigen (BCMA)-directed CAR-T at Mount Sinai were analyzed to characterize clinical, inflammatory, and myeloid clonal features associated with hematologic toxicity—the study represents the largest and most detailed characterization of cytopenias following BCMA-directed CAR-T reported to date. Findings showed that the combination of clonal hematopoiesis (CH) and baseline inflammatory markers was highly associated with prolonged cytopenias compared to either risk factor alone and that progression to secondary myeloid malignancy was associated with selective expansion of pre-existing TP53-mutated myeloid clones. These findings have significant implications for risk stratification and patient selection, particularly for those with TP53 CH.
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Fred R. Hirsch, MD, PhD; Triparna Sen, PhD, and colleagues
Molecular Landscape and Therapeutic Strategies of Lung Cancer Lineage Plasticity
Journal of Thoracic Oncology. 2025 Aug 2. PMID: 40751717
The histologic transition of lung adenocarcinoma to small cell lung cancer or lung squamous cell carcinoma is increasingly recognized as a mechanism of resistance to targeted therapies. This review highlights the current knowledge of the molecular drivers, transcriptional and epigenetic programs, and immune interactions underlying the transformation process, offering insights into potential therapeutic targets to mitigate resistance mechanisms.
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Lilian Varricchio, PhD; John Mascarenhas, MD; Ronald Hoffman, MD, and colleagues
Thrombocytopenia in Myelofibrosis Is Characterized by Inflammatory Megakaryocytes With Reduced G6B Expression
Blood. 2025 Jul 10. PMID: 40643151
This study provides mechanistic insight into thrombocytopenia-associated myelofibrosis (MF), highlighting the critical role of the immunoreceptor G6B in the development of thrombocytopenia in MF. The identification of a patient harboring a germline loss-of-function mutation in G6B, accompanied by megakaryocyte (MK) dysplasia, MF, and thrombocytopenia, strengthens the link between G6B dysfunction and impaired thrombopoiesis. In thrombocytopenic MF patients, MKs showed reduced G6B expression, impaired maturation, and a pro-fibrotic cytokine loop involving TGF-β1 and YKL-40—hallmark of MKs primed for inflammation rather than platelet production. These findings supported the rationale for TGF-β1 blockade with AVID200 (NCT03895112), a first-in-human, open-label, multicenter Phase I/Ib trial, which demonstrated clinical benefit in thrombocytopenic MF patients resistant to ruxolitinib therapy.
| | Community Outreach and Engagement | |
This summer, The Tisch Cancer Institute hosted three medical students with the Robert A. Winn Clinical Investigator Pathway Program. The six-week program immerses medical students in community-based clinical research; they presented their work at a culminating event at NYU.
- Melissa Castillo – Intravoxel Incoherent Motion in Female Pelvic Tissue. Mentored by Deborah Marshall, MD
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September 16
Giorgio Inghirami, MD, Weill Cornell Medical College
“Assessing Therapeutic Avenues to Overcome the Refractorness of Diffuse Large B-clls Lymphoma Using Fully Humanized Mice Models”
Hosted by Amir Horowitz, PhD
September 23
Betty Kim, MD, PhD, MD Anderson Cancer Center/Baylor College of Medicine
“Messages in a Vesicle: mRNA Therapy for Cancer and Other Human Diseases”
Hosted by Yizhou Dong, PhD
September 30
XingXing Zang, PhD, Albert Einstein College of Medicine
“New Immune Checkpoings: From Fundamental Biology to Novel Drugs to New Clinical Trials”
Hosted by Lucas Ferrari de Andrade, PhD
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Precision Immunology Institute Seminar Series
Tuesday, September 16, 2 pm, Davis Auditorium
Kathleen H. Burns, MD, PhD, Chair, Department of Pathology, Dana-Farber Cancer Institute
“A Retrotransposon in Cancer: The Marker and the Mutator”
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The multiple myeloma team is presenting numerous abstracts at the 2025 Annual Meeting of the International Myeloma Society (September 17-20 in Toronto), including four recognized with the IMS Young Investigator Award for Exemplary Abstract:
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Tarek Mouhieddine, MD: “Baseline and Longitudinal Immune and Inflammatory Correlates of Response to Bispecific Antibodies in Relapsed/Refractory Multiple Myeloma”
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Adolfo Aleman, PhD: “TET2 and EZH2 Genetic Alterations Promote Malignant CAR-T Transformation in anti-NCMA CAR-T Therapy”
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Abigail Chutnik, MD: “Delayed Hematologic Recovery After BCMA CAR-T Is Associated With Progressive Loss of Endogenous T Cell Diversity After CAR-T Infusion”
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Do you have news for the next issue of TCI Connections?
Please send to Janet.Aronson@mountsinai.org.
Remember to share breaking news and high impact news that might be appropriate for media coverage with Diego Ortiz Quintero in the Press Office. This may include pending FDA drug/device approvals, studies/trial results being published in high-impact journals, and patient stories. The more lead time you can give Diego, the better—ideally, four weeks or when a paper is accepted by the journal. Embargoes will always be honored and news will only be released with your approval. Contact Diego at diego.ortizquintero@mountsinai.org or 201-572-5703.
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Ramon Parsons, MD, PhD, Director
Janet Aronson , Editor
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