A grade PMID 42321916
View analysis →Finding therapies hidden in 38,964 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.
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 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.
In a retrospective multicenter cohort of 107 InO-responsive patients aged ≥15 years with relapsed/refractory B-ALL, transplantation within 50 days of the last InO dose and greater InO exposure were associated with more SOS, non-relapse mortality, and inferior survival.
The study provides observational evidence that a shorter InO-to-HCT interval and greater InO exposure identify patients at increased post-transplant risk; it supports—but does not prove—the hypothesis that delaying HCT beyond 50 days when clinically feasible, limiting InO cycles, or adapting conditioning and monitoring could reduce SOS and improve outcomes.
ANZCHOG reports an Australasian clinical practice guideline covering asparaginase product selection, serum activity monitoring, hypersensitivity management, and responses to suboptimal asparagine depletion in children, adolescents, and young adults with acute lymphoblastic leukaemia or lymphoblastic lymphoma.
The record supports standardising asparaginase monitoring and hypersensitivity management to help maintain adequate treatment exposure; it is reasonable but not demonstrated here to infer that implementation could reduce avoidable underexposure and improve outcomes or toxicity management.
This article presents updated French national treatment recommendations for pediatric and adolescent malignant non-seminomatous germ cell tumors, using age, tumor site and stage, and initial tumor-marker levels to guide surgery and risk-adapted platinum-based chemotherapy.
The record supports risk-stratified management emphasizing organ-preserving oncologic surgery and optimized platinum-based chemotherapy; it is reasonable—but not demonstrated by outcome data in this abstract—to hypothesize that this approach could maintain disease control while reducing treatment-related toxicity.
Integrated genomic, transcriptomic, and immune profiling of six primary pediatric diffuse midline gliomas identified heterogeneous pathway dependencies, a GD2-compatible tumor subset, an immune-sparse microenvironment, and predicted neoantigens that activated healthy-donor T cells and yielded clonally expanded TCRs.
The reported findings support—but do not establish—the hypothesis that molecularly selected pDMG subsets could be treated with GD2-directed CAR-T cells or TCR-T cells recognizing validated mutation-associated neoantigens; tumor-specific recognition, killing, safety, and clinical benefit remain untested in the supplied record.
This single-center retrospective cohort found no significant overall survival disadvantage with chemotherapy relative dose intensity below 85% in locoregionally advanced pediatric nasopharyngeal carcinoma, while pretreatment EBV DNA was prognostic and exploratory analysis suggested a dose-intensity association within the lower-EBV-DNA subgroup.
The reported evidence supports an association-based hypothesis—not a treatment recommendation—that pretreatment plasma EBV DNA might help identify pediatric patients in whom chemotherapy dose reduction is more or less appropriate; prospective studies must establish whether biomarker-guided dosing preserves survival and reduces toxicity.