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Re-Evaluating Breast Malignant Pleural Effusion: Toward Evidence-Based, Precision-Aligned Care with Organoids
Gavin Oliver
,Kshama Jaiswal
,W. Roy Smythe
,Carlton C. Barnett
Breast cancer–associated malignant pleural effusion (MPE) is a common and debilitating manifestation of advanced disease, yet current management is largely limited to indwelling pleural catheters and chemical pleurodesis and offers only transient palliation without addressing the underlying tumor biology. We propose that integrating patient-derived organoid modeling of pleural tumor cells with characterization via technologies like next-generation sequencing could shift MPE care from symptom management toward precision intervention. Organoid-based drug testing enables ex vivo evaluation of local therapeutic agents, including intrapleural chemotherapy, immune modulators, and bispecific antibodies, while paired genomic profiling may reveal actionable resistance pathways unique to pleural metastases. Together, these approaches could identify rational, localized combination therapies that improve local control, reduce effusion recurrence, and ultimately extend survival. By coupling functional and molecular analyses directly to the pleural compartment, we envision a translational framework that redefines breast MPE from a purely palliative condition to one amenable to mechanism-driven, patient-tailored therapy.
Breast cancer–associated malignant pleural effusion (MPE) is a common and debilitating manifestation of advanced disease, yet current management is largely limited to indwelling pleural catheters and chemical pleurodesis and offers only transient palliation without addressing the underlying tumor biology. We propose that integrating patient-derived organoid modeling of pleural tumor cells with characterization via technologies like next-generation sequencing could shift MPE care from symptom management toward precision intervention. Organoid-based drug testing enables ex vivo evaluation of local therapeutic agents, including intrapleural chemotherapy, immune modulators, and bispecific antibodies, while paired genomic profiling may reveal actionable resistance pathways unique to pleural metastases. Together, these approaches could identify rational, localized combination therapies that improve local control, reduce effusion recurrence, and ultimately extend survival. By coupling functional and molecular analyses directly to the pleural compartment, we envision a translational framework that redefines breast MPE from a purely palliative condition to one amenable to mechanism-driven, patient-tailored therapy.
Posted: 21 January 2026
Historical Update on the Radical Cure of Hernia, from Lister to Bassini: When Is Subcutaneous Surgery Abandoned and Dissection Surgery Initiated?
Alfredo Moreno-Egea
,Carlos Moreno Latorre
,Alfredo Moreno Latorre
Posted: 21 January 2026
Xuan-Liang Unified Field Theory: A Complete Theoretical Framework from Fundamental Formula to Cosmology and Emergent Gravity
Hou Jianchao
Posted: 21 January 2026
Optimal Power Structure and Operational Incentives in Live-Streaming Commerce: A Game-Theoretic Analysis of Streamer Influence
Yueyang Zhan
,Tao Yang
,Huajun Tang
Posted: 21 January 2026
Severe Lower Urinary Tract Dysfunction in Otherwise Healthy Children: A Three-Case Series and Narrative Review
Olivia Oana Stanciu
,Andreea Moga
,Laura Balanescu
,Mircea Andriescu
,Ruxandra Caragata
,Radu Balanescu
Posted: 21 January 2026
Design and Fabrication of Low-Threshold Inertial Switches Using Metal Droplets as Sensing Elements
Wenguo Chen
,Jiaxu Yang
,Rui Wang
,Huiying Wang
,Guifu Ding
Posted: 21 January 2026
The Influence of the COVID-19 Pandemic on Patients Admitted with Pericardial Effusion
Amir Shabtay
,Iftach Sagy
,Elizaveta Rabaev
,Hezzy Shmueli
,Leonid Barski
Posted: 21 January 2026
Worth Its Weight in Lithium? The Dynamics of Sustainability, Rare Earth Minerals and NATO
Jay Golden
,Janire Pascual-Gonzalez
,Michael J. Williams
Posted: 21 January 2026
Functions of Glucocorticoids in Breast and Other Solid Cancers
Robert T Chatterton
Posted: 21 January 2026
Transcriptome Profiling of Cold-stored Potato Tubers Revealed Similarities in the Regulation of Bud Dormancy Release, Tuberization, and Flowering Initiation
Anna V. Shchennikova
,Anastassiya V. Bykova
,Elena Z. Kochieva
Posted: 21 January 2026
Genomic Epidemiology of Carbapenem-Resistant Acinetobacter baumannii Isolated from Patients Admitted to Intensive Care Units in Network Hospitals in Southern Thailand
Arnon Chukamnerd
,Komwit Surachat
,Rattanaruji Pomwised
,Prasit Palittapongarnpim
,Kamonnut Singkhamanan
,Sarunyou Chusri
Posted: 21 January 2026
Universal Perihelion Law: Based on Desmos Constantinos Challoumis
Constantinos Challoumis
Posted: 21 January 2026
Early Detection of DMA-Level Leaks in Water Networks Using Robust Regression Ensemble Framework
Satyaki Chatterjee
,Swapnali Ghumkar
,Md Muztaba Ahbab
,Adithya Ramachandran
,Daniel Tenbrinck
,Andreas Maier
,Kilian Semmelmann
,Siming Bayer
Posted: 21 January 2026
Modulation of Macrophage Inflammatory Responses by UDP-Glucuronosyltransferase-Mediated PGE2 Glucuronidation
Dahye Lee
,Hee Young Cho
,Sangzin Ahn
,Yong-Soon Cho
,Dong Hyun Kim
,Jae-Gook Shin
,Su-Jun Lee
Posted: 21 January 2026
Comparative Analysis of Frameless Robotic Stereotactic Biopsy with Intraoperative Sodium Fluorescein Versus Frame-Based Stereotactic Technique
Utku Özgen
,Mehmet Zeki Yıldız
,Mehmet Osman Akçakaya
,Talat Kırış
Posted: 20 January 2026
Gammadelta T Cells in Autoinflammatory Diseases
Ilan Bank
Posted: 20 January 2026
Fuel Supply Chain Prospects in the On-Going Transition to Sustainable Ship Propulsion: A Multifaceted Paradigm Ahead
Helen Thanopoulou
,Alexios Panagiotis Kokkolis
Posted: 20 January 2026
Advances in Carbon Dots-integrated Optical Fiber Sensors
Kandasamy Sasikumar
,Gyeongchan Lee
,Ramar Rajamanikandan
,Heongkyu Ju
Posted: 20 January 2026
Photoluminescence of Rhodamine from Nano-Confinement Inside 3D Sculptured Coatings
Lina Grineviciute
,Hsin-Hui Huang
,Haoran Mu
,William McMahon-Puce
,James W.M. Chon
,Saulius Juodkazis
,Andrew H.A. Clayton
Posted: 20 January 2026
Linking Experiential Marketing, Perceived Value, and Satisfaction in Agritourism: Implications for Sustainable Rural Development
Hsiang-Yung Feng
,Ho-chia Chueh
,Chien-Lung Tseng
,Ting-Yuan Chang
Posted: 20 January 2026
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