Jia Luo, MD
@jia-luo.bsky.social
1.2K followers 150 following 110 posts
Thoracic medical oncologist and cancer researcher at Dana-Farber/ Harvard Cancer Center // Prev MSKCC Fellow, OHSU IM & Chief Res, Stanford Med, and UW-Madison https://t.co/Y9HwVQ1jyq
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jia-luo.bsky.social
What a great throwback!

Brings me back to middle school computer lab when - as the cool kids - we were using this little known search called "google" on our bright boxy blue iMacs when the standard at the time was Ask Jeeves
Reposted by Jia Luo, MD
carlzimmer.com
A deep dive into the destruction of US cancer research by @jonathanmahler.bsky.social “It’s an absolutely unmitigated disaster,” a former top official at NIH told him. “It will take decades to recover from this, if we ever do.” Gift link: nyti.ms/48iH3Cr
nyti.ms
jia-luo.bsky.social
What a fantastic IASLC WCLC25!

Congrats to star resident (onc-to-be!) Dr Huang &

We had a superb global multi-D discussion on ground glass/semisolid lung nodules - packed room in our last session of the day!

TY chairs Drs Naidoo Opitz Malapelle & Noemi - feeling inspired 🙏
@iaslc.bsky.social
Reposted by Jia Luo, MD
jia-luo.bsky.social
🩻 Look forward to our interactive multidisciplinary lung nodules session @ IASLC WCLC 2025 meeting next week, September 6-9 in Barcelona

It's been fantastic to plan our program with this group of experts spanning the 🗺️, meeting 6am (PT) - 11pm (AEST)!
wclc.iaslc.org #lcsm @iaslc.bsky.social #WCLC25
jia-luo.bsky.social
Congratulations, Juan!!
jia-luo.bsky.social
Fantastic to interview Dr. William Pao about his book "Breakthrough" with Dr. Jänne

So inspiring for us to hear stories about resiliency and learning from failure in research to develop transformational medicines

Special thanks to Sitara & the Chen-Huang Center #lcsm @danafarber.bsky.social
Photos of the Endowed Lecture interview with Dr Wiliam Pao, including Drs Luo, Jänne, Rotow, Barbie, Sitara and the in person crowd
jia-luo.bsky.social
Excited to host drug developer extraordinaire Dr. William Pao at Dana-Farber

Dr. Jänne and I will interview Dr. Pao tomorrow (Tuesday, August 12) about his book, Breakthrough, "a triumphant read about overcoming disease"

www.simonandschuster.com/books/Breakt... @danafarbernews.bsky.social
jia-luo.bsky.social
🩺 In NEJM, our interactive case on a common CC - evaluation of a patient with new pulmonary symptoms www.nejm.org/doi/full/10....

Congrats to star fellow Dr Joanne I. Hsu for leading & wonderful to learn from expert multi-D colleagues @anandvaidya17.bsky.social @harvardmed.bsky.social @nejm.org
nejm.org
NEJM.org @nejm.org · Jul 28
A 59-year-old woman presented to the emergency department with a 1-week history of profound fatigue, nonproductive cough, confusion, and decreased oral intake. The night before presentation, she began to have chills and night sweats. Learn more and test your skills: nej.md/4mcUHuL
Interactive Medical Case  
A Case of Crackles  

An illustration of the patient coughing in bed and her husband caring for her
jia-luo.bsky.social
Celebrating endings and new beginnings - it has been fantastic to have Dr Paoloni on our research team during his awarded American-Italian Cancer Foundation Research Fellowship grant!

@danafarber.bsky.social @danafarbernews.bsky.social #lcsm
Research group dinner. From left to right: Dr Paoloni, Huang, Sara Walton, Justin Kim, Dr Luo, and Dr Pecci Dr Paoloni (center) with Drs French and Luo
jia-luo.bsky.social
End/ Thank you to 💫 first author @justinjkim.bsky.social, Prof French, co-author experts and collaborators, our patients, and funding sources, including NIH NCI

Accompanying article: www.dana-farber.org/newsroom/new... @danafarber.bsky.social @danafarbernews.bsky.social @harvardmed.bsky.social
jia-luo.bsky.social
4/ In summary, if NUT carcinoma is suspected clinically – eg in a poorly differentiated aggressive cancer of lung, head or neck origin - clinicians should discuss with pathology colleagues whether a gold standard test for NUT carcinoma should be ordered

Our paper also includes co-mutations, fusions
jia-luo.bsky.social
3/ Using our international registry (nc-registry.org), we found that while more DNA NGS panels are including NUT carcinoma defining fusion genes, this did not improve detection

Of note, NUT IHC (turnaround time ~7 days) is 100% specific in these cases

NUT IHC/FISH and RNA fusion are gold standards
Graph from paper showing NC detection pre vs post 2020. DNA panel tests included NUT carcinoma genes more, but fewer cases were identified in those who tested. RNA fusion testing is improving. A figure reminding that NUT IHC is 100% specific.
jia-luo.bsky.social
2/ WHY does it matter?

🧬 NUT carcinoma is fusion oncogene driven and aggressive, with no FDA approved treatments

Non-metastatic diagnosis needs multi-D evaluation to give patients the best chance

Clinical trials should be considered for a metastatic diagnosis

Ref: www.jto.org/article/S155...
Initial Chemotherapy for Locally Advanced and Metastatic NUT Carcinoma
NUT carcinoma (NC) is an underdiagnosed and aggressive poorly differentiated or squamous cell cancer. A subset of NC is sensitive to chemotherapy, but the optimal regimen is unknown. Experts have reco...
www.jto.org
jia-luo.bsky.social
1/ In Clinical Cancer Research, we examined underdiagnosis of NUT carcinoma, an aggressive squamous lung, head and neck cancer, and found >75% are missed on standard of care testing (DNA panel NGS)

🫁 🗣️ doi.org/10.1158/1078... #medsky #oncsky #meded #lcsm #lungcancer @theaacr.bsky.social

🧵A thread:
Molecular characterization of NUT carcinoma: a report from the NUT carcinoma registry
Abstract
Purpose: NUT carcinoma (NC) is an underdiagnosed, poorly differentiated squamous cell cancer with a median survival of 6.7 months. Defined by NUTM1 fusions, NC enhances oncogene transcription, including MYC. We investigated the ability of standard next-generation sequencing (NGS) to identify NUTM1 fusions and describe additional molecular features of NC. Experimental Design: This study included 116 NC patients whose tumors underwent broad-panel NGS (>80 genes) of DNA, ctDNA, and/or RNA fusion sequencing between 2013-2024. NGS reports and medical records were manually reviewed. Results: Of 116 patients (median age 38, 40.5% female), 84.5% had DNA, 12.1% had ctDNA, and 51.7% had RNA fusion testing. In a subset of 100 patients with DNA/ctDNA testing, 92.9% (n=79/85) had <10 pack-years/never-smoking history, and 58.8% (n=47/80) had a BRD4::NUTM1 fusion. Median TMB was 1.0 mut/Mb (range 0.0-16.0; n=71 known), and 19.7% (n=13/66) had PD-L1 expression ≥1%. DNA, ctDNA, RNA fusion, NUT IHC, and NUTM1 FISH detected NC fusions in 21.6%, 21.4%, 83.9%, 100.0%, and 91.9% of tests, respectively. Co-occurring pathogenic mutations included oncogenes PIK3CA, RET, FGFR3, and tumor suppressors ATM and BRCA1 (n=1 each). Secondary genes altered in >5% of NCs included LRP1B (10.4%), MLL2/KMT2D (8.0%), and FAT1 (5.5%); common pathways with mutated genes were epigenetic (57.0%), cell cycle (26.0%), and DNA repair (24.0%). Conclusions: Standard DNA NGS detects less than a quarter of NUT carcinomas; RNA-based fusion testing, or NUT IHC/NUTM1 FISH, should be routine for suspected NC. NCs are enriched in co-occurring epigenetic, cell cycle, and DNA repair alterations, warranting further evaluation.
Reposted by Jia Luo, MD
jia-luo.bsky.social
🌟 Some great colleagues, including Dr Julia Rotow, and I will be discussing the latest practice changing data in oncology @ Best of ASCO Boston July 26-27!

Program and registration horizoncme.com/best-of-asco...

#oncsky @ascocancer.bsky.social @danafarbernews.bsky.social @danafarber.bsky.social
This two-day conference is an Official Annual Meeting Review of ASCO25, featuring expert faculty who will review findings, discuss potential impacts on the current standard of care, and apply the results within the clinical context of a patient case.
jia-luo.bsky.social
Encouraging news from the US FDA - a fast track designation - for our patients with NUT carcinoma!

It's been incredible team science from the preclinical, to the iterative FIH translation, to our ongoing NIH-funded NCI CTEP/ETCTN clinical trial #oncsky #lcsm
Reposted by Jia Luo, MD
nanditagarud.bsky.social
I am seeking a postdoc for my group at UCLA. We work at the intersection of population genetics x microbiome (garud.eeb.ucla.edu). If interested, please message me!
Garud Lab
garud.eeb.ucla.edu
Reposted by Jia Luo, MD
nature.com
Nature @nature.com · Jul 23
These members of the NIH Council of Councils are voicing serious concerns about NIH grant terminations, restructure, and budget cuts

go.nature.com/46Vr8t2
Protect the integrity of the US National Institutes of Health
Letter to the Editor
go.nature.com
jia-luo.bsky.social
Outstanding commencement speech by Sandra Oh fit for these times on living with discomfort. Well worth the watch.

youtu.be/P7TYeFy0JtA?...
2025 Commencement Address by Sandra Oh
YouTube video by Dartmouth
youtu.be