Cancer Lab · DeCure for X

DeCure for Cervical Adenosquamous Carcinoma

DeCure's autonomous Cancer AI scientist is researching a drug-repurposing hypothesis for Cervical Adenosquamous Carcinoma — screening already-approved drugs against its 36-gene Open Targets disease module to publish open-access research. Research is fast; the path to publication is funded in milestone stages.

Disease module36 genesLead labCancer
All cures
CancerDOID:5636$DeCureCancer

The disease map

Disease moduleCervical Adenosquamous Carcinoma maps to a 36-gene Open Targets module — the target space DeCure's AI scientist screens approved drugs against.
DeCure.ai methodSignature reversal (LINCS) plus network proximity (STRING) rank already-approved drugs likely to perturb this module — the same engine that produces DeCure.ai's repurposing hypotheses.
Repurposing thesisScreening approved medicines against this disease module, then publishing the evidence for the strongest candidate. Known pharmacology and human exposure data make the first question sharper — they do not establish safety or efficacy in a new indication.

Research record

01
ResearchComing soon
Candidate research + dossier — target rationale, drug-repurposing thesis and evidence pack.proof: Published dossier + on-chain hash
02
ValidationComing soon
In-vitro biological validation at a contract research org (CRO).proof: CRO contract + in-vitro report
03
Peer review & paperComing soon
Peer-reviewed paper published open-access (preprint + journal).proof: DOI + open-access link + on-chain hash

Current lead

No approved-drug candidate for cervical adenosquamous carcinoma is corroborated in the literature DeepSearch retrieved. Some conditions are managed with non-pharmacological care — a device, surgery or physical therapy — rather than a medicine; that may be the case here, or the literature we found may simply be too sparse yet to support a drug-repurposing angle.

Molecular view

transforming growth factor beta receptor 2 (TGFBR2)TGFBR2 is one of the genes genetically linked to this disease in Open Targets — shown as context, not as a drug target we're pursuing: no approved-drug candidate for this disease is yet corroborated in the literature we found.

Loading structure…
helix sheet 6-methoxypyridin-3-yldrag to rotate · scroll to zoom

RCSB Protein Data Bank · entry 5QIN · 1.57 Å · ligand N-{4-[3-(6-methoxypyridin-3-yl)-1H-pyrrolo[3,2-b]pyridin-2-yl]pyridin-2-yl}acetamide (J2V). Experimental structure, not a prediction.

What the evidence adds up to

A 1995 study of 21 patients with advanced cervical cancer (16 stage IIIB, 5 stage IIB) treated with concomitant chemoradiotherapy using etoposide, cisplatin, and bleomycin reported that all 21 achieved a complete response, sustained over a median follow-up of 12 months. All initially elevated tumour markers returned to normal. The authors described toxicity as well tolerated. They noted that long-term follow-up was mandatory and that a randomised trial would be needed to confirm superiority. This study predates modern standards and does not address adenosquamous histology specifically.

A 2020 whole-exome sequencing study of 24 mainland Chinese patients with cervical adenocarcinoma found frequent mutations in the PI3K-AKT pathway (KRAS, PIK3CA, PTEN) and the oestrogen signalling pathway (KRAS, PIK3CA, GNAS). Seven patients had HPV infection; mutation profiles were more consistent in HPV-positive tumours and more scattered in HPV-negative ones. The authors suggested that genomic information could guide individualised treatment, but no therapeutic outcomes were reported. The sample is small, and adenosquamous carcinoma is a distinct histology not covered by this adenocarcinoma cohort.

A 2013 review of cervical cancer treatments covers concurrent chemoradiation, neoadjuvant chemotherapy, single-agent and combination platinum-based and non-platinum therapy, and mentions targeted therapy, cell-based therapy, combined siRNA and chemotherapy, and immunotherapy as promising strategies. It does not provide new data and does not single out adenosquamous carcinoma.

No abstract reports a drug specifically tested in cervical adenosquamous carcinoma. The genomic data from adenocarcinoma suggest potential targets (PIK3CA, KRAS, PTEN) but no trial has tested a drug against those targets in this rare histology. What is missing is a dedicated clinical trial for adenosquamous carcinoma, funding to recruit sufficient patients, and prospective stratification by HPV status and mutational profile.

Evidence

Retrieved by DeepSearch across 234,678,978 indexed works and resolved on OpenAlex — ranked by citations, including the results that did not work.

Current Cancer Drug Targets · 2013 · 102 citations

Current and Potential Treatments for Cervical Cancer

AbstractCervical cancer is the third most common carcinoma in women worldwide. Despite increasing efforts to improve therapy in this disease, a significant proportion of women still die, mostly from recurrent or chemoresistant disease. This review discusses current treatments for early cervical cancer, advanced disease, and recurrent cervical cancer, and covers concurrent chemoradiation, neoadjuvant chemotherapy before surgery and radiation, single agent treatment, combination treatment, platinum-based and non-platinum based therapy. We also discuss promising therapeutics trategies for cervical cancer including targeted therapy, cell-based therapy, combined siRNA and chemotherapy, and immunotherapy.

https://doi.org/10.2174/1568009611313020009
Translational Cancer Research · 2020 · 3 citations · open access

Whole-exome sequencing in cervical adenocarcinoma in mainland Chinese patients

AbstractBackground: Cervical cancer is the most common gynecological malignancy worldwide. Adenocarcinoma is an important pathological type of cervical cancer. In recent years, the incidence of adenocarcinoma is rising in some countries and the prognosis of it remains poor. A precise description of the mutational landscape in cervical adenocarcinoma may provide insights into a better selection of treatments and improve prognosis. Methods: In this study, we conducted whole-exome sequencing (WES) for cervical adenocarcinomas and matched blood samples from a cohort of 24 mainland Chinese patients. Additionally, the Human-Papilloma virus (HPV) infection statuses of these tumor samples were detected, and the genes that were enriched in both HPV positive and negative samples were also analyzed. Results: The results of WES revealed the gene expression profile of cervical adenocarcinoma of women in mainland China and identified multiple genes/pathways, which are frequently mutated in these tumors, including the PI3K-AKT (KRAS, PIK3CA and PTEN), estrogen signaling (KRAS, PIK3CA and GNAS) and NK cell-mediated antibody-dependent cellular cytotoxicity pathways. Besides, seven patients had HPV infection, and the mutated genes in HPV-positive tumor tissues were relatively consistent, while the mutation profiles of HPV-negative tumor tissues were relatively scattered. Conclusions: Taken together, these findings provide novel insights into the pathogenesis of cervical adenocarcinomas. They suggest the potential for individualized treatment of cervical adenocarcinoma according to genomic information.

https://doi.org/10.21037/tcr-19-2930
International Journal of Gynecology & Obstetrics · 1995 · 0 citations

Concomitant chemoradiotherapy for advanced epidermoid carcinoma of the uterine cervix: A preliminary report

AbstractBACKGROUND: Because the prognosis of advanced carcinoma of the uterine cervix is poor, and has improved very little in the last 20 years, a prospective study was initiated to evaluate the feasibility, response and toxicities of concomitant chemoradiotherapy for such cervical cancer. METHODS: From May 1992 to December 1992, 22 patients entered the study, 21 of them completed the entire treatment. Their ages ranged from 47 to 72 years, median 57. There were 16 FIGO stage IIIB, and 5 stage IIB. Radiotherapy was administered using 1.8 Gy/day, five days a week, to the whole pelvis (50.4 Gy/28 fractions) with or without parametrial boost according to the tumor response. Intracavitary brachytherapy 5 Gy x five to six times was given after one or two weeks of rest. Chemotherapy consisted of etoposide 100 mg/m2 day 1 + cisplatin 50 mg/m2 day 1 + bleomycin 25 mg/m2/day day 2-3, repeated every two weeks during external irradiation. RESULTS: All 21 eligible patients achieved complete response, sustaining during a median follow-up time of 12 months. All the initially elevated tumor markers (SCC, CEA, CA-125) returned to normal range after treatment. The toxicity was well tolerated. CONCLUSIONS: Concomitant chemoradiotherapy for advanced cervical carcinoma is both feasible and effective, with acceptable toxicities. Long-term follow-up is mandatory, and a randomized trial to confirm the superiority of this protocol will be started soon.

https://doi.org/10.1016/0020-7292(95)90291-0

Disease module: DeepOracle (Open Targets). Structures: RDKit from PubChem SMILES. Literature: retrieved by DeepSearch across 234,678,978 indexed works (targeted per-candidate search), resolved on OpenAlex.

DeCure is a research and publication project, not medical advice and not a treatment. "DeCure for X" describes a research goal, not a claim that a cure exists. Backing a cure is a contribution to fund the research — it is not an investment, and confers no yield, royalty, equity or IP ownership. Papers are published open-access by the DeCure.ai DAO.