Tislelizumab, a novel PD-1 monoclonal antibody in urothelial cancer: A real-world study.

OBJECTIVE: Tislelizumab, a monoclonal antibody against programed death protein-1 (PD-1), has shown encouraging antitumor activity in urothelial cancer. This study was designed to assess the efficacy and safety of tislelizumab in urotelial cancer in a real-world setting. METHODS: The study was a real-world retrospective study undertaken at Liaoning Cancer Hospital & Institute, China. Eligible patients were ≥18 years. Patients received 200-mg tislelizumab monotherapy intravenously every 3 weeks until the disease progressed to intolerable toxicity. Outcomes included an objective response rate (ORR), disease control rate (DCR), progression-free survival (PFS), overall survival (OS) and safety. RESULTS: Between March 2020 and December 2022, 33 patients were enrolled. The median follow-up was 10.17 (IQR 5.73-12.47) months. Of all 33 patients, ORR and DCR were 30.30% (95% CI 15.6%-48.7%) and 42.42% (95% CI 25.48%-60.78%), respectively. The median PFS was 5.73 (95% CI 3.27-13.00) months, with a 12-month PFS rate of 31.90% (95% CI 19.20%-53.00%). The median OS was 17.7 (95% CI 12.80-not reach) months, with a 12-month OS rate of 67.50% (95% CI 52.70%-86.40%). Eleven (33.33%) and 8 (24.24%) experienced ≥grade 3 treatment-related adverse events (TRAEs) and immune-related Aes, respectively. No treatment-related deaths occurred. CONCLUSION: The excellent efficacy and controllable safety of tislelizumab in locally advanced or metastatic urothelial cancer suggest that it may be a promising therapeutic option for this population.

The occurrence of the strongylid nematodes Kalicephalus brachycephalus, K. bungari and K. indicus in snake species from Hunan Province, China.

Kalicephalus is a genus of strongylid nematodes infecting snakes and causing serious diseases and even death when it is complicated with secondary bacterial infections. The infection of snakes with Kalicephalus has been reported in many countries in the world. However, little information is available on the prevalence of Kalicephalus in snakes in China. In the present study, the prevalence of Kalicephalus in snakes was investigated. The worms were examined, counted and identified to species according to existing keys and descriptions. Three species of Kalicephalus, namely K. indicus, K. bungari and K. brachycephalus, were found in six species of snakes (Elaphe carinata, Zaocys dhumnade, Naja najaatra, Elaphe taeniura, Bungarus multicinctus and Dinodon rufozonatum). The total prevalence of Kalicephalus in snakes in Hunan Province was 39.7%. The most common species was K. indicus, with the highest prevalence 72.8%, followed by K. bungari (24.0%). The prevalence of K. brachycephalus was 0.9%. This is the first report on the prevalence of Kalicephalus species in snakes in China, and the findings have important implications for the control of Kalicephalus infections in snakes in China.

Genetic characterization of Toxoplasma gondii from domestic animals in central China.

Toxoplasma gondii is an obligate intracellular parasite that has a remarkable ability to infect almost all warm-blooded animals, including humans. This study was aimed to determine the genetic characteristics of T. gondii isolates from domestic animals in Henan Province, central China. A total of 363 DNA samples, including 208 from hilar lymph nodes of pigs, 36 from blood samples of cats, 12 from tissues of aborted bovine fetuses and 107 from blood samples of dams with history of abortion in Henan Province, were examined for the presence of T. gondii by nested PCR based on B1 gene. The positive DNA samples were further genotyped by PCR-RFLP at 11 markers, including SAG1, (3'+ 5') SAG2, alt.SAG2, SAG3, BTUB, GRA6, c22-8, c29-2, L358, PK1, and Apico. DNA samples from 9 pigs, 5 cats, and 4 dairy cows were T. gondii B1 gene positive. Nine samples were successfully genotyped at all genetic loci, of which 5 samples from pigs, and 2 from cats were identified as ToxoDB genotype #9, and 2 samples from cows belonged to ToxoDB genotype #225. To our knowledge, the present study is the second report of genetic typing of T. gondii isolates from cattle in China, and the first report of T. gondii ToxoDB#225 from cattle.

Genetic characterization of Toxoplasma gondii from domestic animals in central China

Toxoplasma gondii is an obligate intracellular parasite that has a remarkable ability to infect almost all warm-blooded animals, including humans. This study was aimed to determine the genetic characteristics of T. gondii isolates from domestic animals in Henan Province, central China. A total of 363 DNA samples, including 208 from hilar lymph nodes of pigs, 36 from blood samples of cats, 12 from tissues of aborted bovine fetuses and 107 from blood samples of dams with history of abortion in Henan Province, were examined for the presence of T. gondii by nested PCR based on B1 gene. The positive DNA samples were further genotyped by PCR-RFLP at 11 markers, including SAG1, (3’+ 5’) SAG2, alt.SAG2, SAG3, BTUB, GRA6, c22-8, c29-2, L358, PK1, and Apico. DNA samples from 9 pigs, 5 cats, and 4 dairy cows were T. gondii B1 gene positive. Nine samples were successfully genotyped at all genetic loci, of which 5 samples from pigs, and 2 from cats were identified as ToxoDB genotype #9, and 2 samples from cows belonged to ToxoDB genotype #225. To our knowledge, the present study is the second report of genetic typing of T. gondii isolates from cattle in China, and the first report of T. gondii ToxoDB#225 from cattle.

First Report of Dollar Spot of Seashore Paspalum (Paspalum vaginatum) Caused by Sclerotinia homoeocarpa in South China.

Seashore paspalum (Paspalum vaginatum Swartz), a warm-season perennial grass, is native to tropical and subtropical regions of North and South America (1). Its fine texture and tolerance to low mowing and hypersaline environments make it a commercially promising turfgrass species for coastal regions of south China. In late March 2009, disease symptoms were observed from two golf course fairways in Shenzhen and Foshan, Guangdong Province, China. Small, round patches from 25 to 75 mm in diameter were found to be consisting of bleached, straw color leaf lesions bounded by reddish brown margins. Similar patches had previously been observed on seashore paspalum since 1997 in Guangdong Province, but this turf species has been grown in southern China only since the early 1990s. These symptoms were observed when daytime temperatures were above 25°C and with heavy dew formation at night. Greatest severity was seen in the spring and fall. Several contact and systemic fungicides were applied after first symptoms were observed and they were usually successful in suppressing disease. To confirm the disease as dollar spot, isolates from Shenzhen and Foshan were obtained by plating diseased leaf blades of P. vaginatum (cv. Salam) on potato dextrose agar media. Isolates produced white, fluffy, aerial mycelium, columnar when mature, and usually with a cinnamon base and dark brown or black substratal stroma on and in the agar. One representative isolate from each location was chosen for pathogenicity testing. Six-week-old P. vaginatum (cv. Salam) grown from seed in pots was inoculated, with 5-mm-diameter agar plugs with hyphae from 5-day-old cultures, by direct placement onto leaves and with three replicate pots per isolate. Plants treated with sterile agar plugs served as controls. Inoculated turf was incubated at 25°C with 12-h light/dark conditions. A plastic film was also placed over the pots to retain moisture. Chlorotic leaf lesions started to develop 4 days after inoculation and became a bleached straw color. The same fluffy, white fungus was reisolated from lesions, while no disease was observed on controls, thus completing Koch's postulates. The internal transcribed spacer (ITS) region of the ribosomal DNA was amplified from DNA extracted from two isolates using primers ITS5 and ITS4 (2), and the 610-bp sequences showed 98% similarity with Sclerotinia homoeocarpa F.T. Bennett in GenBank and have been deposited as Accessions GQ386985 and GU002301. Dollar spot on P. vaginatum has been commonly observed in the United States (1). To our knowledge, this is the first confirmed report of dollar spot on P. vaginatum in China or from any host plant in China. References: (1) R. R. Duncan and R. N. Carrow. Seashore Paspalum: The Environmental Turfgrass. John Wiley and Sons, Toronto, ON, Canada. 2000. (2) T. J. White et al. PCR Protocols: A Guide to Methods and Applications. Academic Press Inc., New York, 1990.