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1.
Cancer Cell ; 42(4): 509-512, 2024 Apr 08.
Artigo em Inglês | MEDLINE | ID: mdl-38458186

RESUMO

Tumor invasion into the lymphatic vasculature represents a critical step during malignant progression of epithelial cancers. In this issue of Cancer Cell, Zheng et al. unravel how cancer-associated fibroblasts interact with lymphatic endothelial cells and the extracellular matrix to promote lymphatic tumor invasion and suggest that these processes could be treatment targets.


Assuntos
Vasos Linfáticos , Neoplasias da Bexiga Urinária , Humanos , Células Endoteliais , Metástase Linfática/patologia , Neoplasias da Bexiga Urinária/patologia , Vasos Linfáticos/patologia , Invasividade Neoplásica/patologia
2.
Oncoimmunology ; 13(1): 2316945, 2024.
Artigo em Inglês | MEDLINE | ID: mdl-38379869

RESUMO

Combinatorial strategies, such as targeting different immune checkpoint receptors, hold promise to increase the breadth and duration of the response to cancer therapy. Here we describe the preclinical evaluation of CTX-8371, a protein construct which combines PD-1 and PD-L1 targeting in one bispecific, tetravalent antibody. CTX-8371 matched or surpassed the activity of anti-PD-1 and PD-L1 benchmark antibodies in several in vitro T cell activation assays and outperformed clinically approved benchmarks in the subcutaneous MC38 colon and the B16F10 lung metastasis mouse tumor models. Investigation into the mechanism of action revealed that CTX-8371 co-engagement of PD-1 and PD-L1 induced the proteolytic cleavage and loss of cell surface PD-1, which is a novel and non-redundant mechanism that adds to the PD-1/PD-L1 signaling axis blockade. The combination of CTX-8371 and an agonistic anti-CD137 antibody further increased the anti-tumor efficacy with long-lasting curative therapeutic effect. In summary, CTX-8371 is a novel checkpoint inhibitor that might provide greater clinical benefit compared to current anti-PD-1 and PD-L1 antibodies, especially when combined with agents with orthogonal mechanisms of action, such as agonistic anti-CD137 antibodies.


Assuntos
Anticorpos Biespecíficos , Neoplasias Pulmonares , Camundongos , Animais , Antígeno B7-H1 , Receptor de Morte Celular Programada 1 , Anticorpos Biespecíficos/farmacologia , Anticorpos Biespecíficos/uso terapêutico , Ativação Linfocitária
3.
Cancer Discov ; 2024 Jan 10.
Artigo em Inglês | MEDLINE | ID: mdl-38227896

RESUMO

A substantial fraction of cancers evade immune detection by silencing STING (Stimulator of Interferon Genes)-interferon (IFN) signaling. Therapeutic reactivation of this program via STING agonists, epigenetic or DNA damaging therapies can restore anti-tumor immunity in multiple pre-clinical models. Here we show that adaptive induction of three prime exonuclease 1 (TREX1) restrains STING-dependent nucleic acid sensing in cancer cells via its catalytic function in degrading cytosolic DNA. Cancer cell TREX1 expression is coordinately induced with STING by autocrine IFN and downstream STAT1, preventing signal amplification. TREX1 inactivation in cancer cells thus unleashes STING-IFN signaling, recruiting T and NK (natural killer) cells, sensitizing to NK cell derived IFNγ, and co-operating with PD-1 blockade in multiple mouse tumor models to enhance immunogenicity. Targeting TREX1 may represent a complementary strategy to induce cytosolic DNA and amplify cancer cell STING-IFN signaling, as a means to sensitize tumors to immune checkpoint blockade (ICB) and/or cell therapies.

4.
Sci Rep ; 13(1): 18946, 2023 11 02.
Artigo em Inglês | MEDLINE | ID: mdl-37919378

RESUMO

In cancer of the uterine cervix, the role of desmoplasia, i.e., peritumoral stromal remodeling characterized by fibroblast activation and increased extracellular matrix deposition, is not established. We conducted a retrospective cohort study based on data from 438 patients who had undergone surgical treatment for cervical cancer as part of the prospective Leipzig Mesometrial Resection study between 1999 and 2021. Using non-parametric tests, Kaplan-Meier plotting, and Cox regression modeling, we calculated the prognostic impact of desmoplasia and its association with other risk factors. Desmoplasia was present in 80.6% of cases and was associated with a higher frequency of lymphovascular space involvement (76.5 vs. 56.5%, p < 0.001) and venous infiltration (14.4 vs. 2.4%, p < 0.001). Lymph node metastasis (23.0 vs. 11.8%, p < 0.05) and parametrial involvement (47.3 vs. 17.6%, p < 0.0001) were also more common in patients with desmoplasia. The presence of desmoplasia was associated with inferior overall (80.2% vs. 94.5% hazard ratio [HR] 3.8 [95% CI 1.4-10.4], p = 0.002) and recurrence-free survival (75.3% vs. 87.3%, HR 2.3 [95% CI 1.2-4.6], p = 0.008). In addition, desmoplasia was associated with significantly less peritumoral inflammation (rho - 0.43, p < 0.0001). In summary, we link desmoplasia to a more aggressive phenotype of cervical cancer, reduced peritumoral inflammation, and inferior survival.


Assuntos
Neoplasias do Colo do Útero , Feminino , Humanos , Neoplasias do Colo do Útero/patologia , Estudos Prospectivos , Estudos Retrospectivos , Prognóstico , Inflamação/patologia , Estadiamento de Neoplasias , Histerectomia
5.
Adv Sci (Weinh) ; 10(26): e2303523, 2023 09.
Artigo em Inglês | MEDLINE | ID: mdl-37553780

RESUMO

Cancer progression is caused by genetic changes and associated with various alterations in cell properties, which also affect a tumor's mechanical state. While an increased stiffness has been well known for long for solid tumors, it has limited prognostic power. It is hypothesized that cancer progression is accompanied by tissue fluidization, where portions of the tissue can change position across different length scales. Supported by tabletop magnetic resonance elastography (MRE) on stroma mimicking collagen gels and microscopic analysis of live cells inside patient derived tumor explants, an overview is provided of how cancer associated mechanisms, including cellular unjamming, proliferation, microenvironment composition, and remodeling can alter a tissue's fluidity and stiffness. In vivo, state-of-the-art multifrequency MRE can distinguish tumors from their surrounding host tissue by their rheological fingerprints. Most importantly, a meta-analysis on the currently available clinical studies is conducted and universal trends are identified. The results and conclusions are condensed into a gedankenexperiment about how a tumor can grow and eventually metastasize into its environment from a physics perspective to deduce corresponding mechanical properties. Based on stiffness, fluidity, spatial heterogeneity, and texture of the tumor front a roadmap for a prognosis of a tumor's aggressiveness and metastatic potential is presented.


Assuntos
Neoplasias , Humanos , Colágeno , Prognóstico , Microambiente Tumoral
6.
J Environ Manage ; 342: 118276, 2023 Sep 15.
Artigo em Inglês | MEDLINE | ID: mdl-37276627

RESUMO

High N-fertilizer applications to conventional vegetable production systems are associated with substantial emissions of NH3, a key substance that triggers haze pollution and ecosystem eutrophication and thus, causing considerable damage to human and ecosystem health. While N fertilization effects on NH3 volatilization from cereal crops have been relatively well studied, little is known about the magnitude and yield-scaled emissions of NH3 from vegetable systems. Here we report on a 2-year field study investigating the effect of various types and rates of fertilizer application on NH3 emissions and crop yields for a pepper-lettuce-cabbage rotation system in southwest China. Our results show that both NH3 emissions and direct emission factors of applied N varied largely across seasons over the 2-year period, highlighting the importance of measurements spanning entire cropping years. Across all treatments varying from solely applying urea fertilizers to only using organic manures, annual NH3 emissions ranged from 0.64 to 92.4 kg N ha-1 yr-1 (or 0.07-6.84 g N kg-1 dry matter), equivalent to 0.05-5.99% of the applied N. At annual scale, NH3 emissions correlated positively with soil δ15N values, indicating that soil δ15N may be used as an indicator for NH3 losses. NH3 emissions from treatments fertilized partially or fully with manure were significantly lower compared with the urea fertilized treatment, while vegetable yields remained unaffected. Moreover, full substitution of urea by manure as compared to the partial substitution further reduced the yield-scaled annual NH3 emissions by 79.0-92.4%. Across all vegetable seasons, there is a significant negative relationship between yield-scaled NH3 emissions and crop N use efficiency. Overall, our results suggest that substituting urea by manure and reducing total N inputs by 30-50% allows to reduce NH3 emissions without jeopardizing yields. Such a change in management provides a feasible option to achieve environmental sustainability and food security in conventional vegetable systems.


Assuntos
Nitrogênio , Verduras , Humanos , Agricultura/métodos , Óxido Nitroso/análise , Fertilizantes/análise , Esterco , Ecossistema , Solo , Ureia , China , Amônia
7.
Arch Gynecol Obstet ; 2023 May 15.
Artigo em Inglês | MEDLINE | ID: mdl-37184578

RESUMO

PURPOSE: The fetal membranes are essential for the maintenance of pregnancy, and their integrity until parturition is critical for both fetal and maternal health. Preterm premature rupture of the membranes (pPROM) is known to be an indicator of preterm birth, but the underlying architectural and mechanical changes that lead to fetal membrane failure are not yet fully understood. The aim of this study was to gain new insights into the anatomy of the fetal membrane and to establish a tissue processing and staining protocol suitable for future prospective cohort studies. METHODS: In this proof of principle study, we collected fetal membranes from women undergoing vaginal delivery or cesarean section. Small membrane sections were then fixed, stained for nucleic acids, actin, and collagen using fluorescent probes, and subsequently imaged in three dimensions using a spinning disk confocal microscope. RESULTS: Four fetal membranes of different types were successfully processed and imaged after establishing a suitable protocol. Cellular and nuclear outlines are clearly visible in all cases, especially in the uppermost membrane layer. Focal membrane (micro) fractures could be identified in several samples. CONCLUSION: The presented method proves to be well suited to determine whether and how the occurrence of membrane (micro) fractures and cellular jamming correlate with the timing of membrane rupture and the mode of delivery. In future measurements, this method could be combined with mechanical probing techniques to compare optical and mechanical sample information.

8.
Angew Chem Int Ed Engl ; 62(17): e202219316, 2023 Apr 17.
Artigo em Inglês | MEDLINE | ID: mdl-36786326

RESUMO

Lanthanide (Ln) tetraisobutylaluminates constitute key components in commercial 1,3-diene polymerization catalysts, and likewise are the homogeneous rare-earth-metal catalysts of prime industrial importance. Discrete divalent rare-earth-metal complexes [Ln(AliBu4 )2 ] (Ln=Sm, Eu, Yb) reported here display the first structurally characterized homoleptic metal tetraisobutylaluminates. Treatment of [Ln(AliBu4 )2 ] with C2 Cl6 gives access to SmII /SmIII mixed-valence cluster [Sm6 Cl8 (AliBu4 )6 ] and the YbII cluster [Yb4 Cl4 (AliBu4 )4 ], respectively. Reaction with B(C6 F5 )3 leads to hydride abstraction and formation of arene-coordinated hydroborates such as [Sm{HB(C6 F5 )3 }2 (toluene)2 ]. Complexes [Ln(AliBu4 )2 ] engage in single-component isoprene polymerization, affording high cis-1,4 polyisoprenes with narrow molecular weight distributions. Binary [Yb(AliBu4 )2 ]/[HNPhMe2 ][B(C6 F5 )4 ] fabricates polyisoprene in a perfectly living manner. The catalytically active species are scrutinized by NMR spectroscopy.

9.
Motiv Emot ; 46(6): 825-836, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-36439374

RESUMO

In this research, we applied a differential perspective to the study of action crises, i.e., being in an intra-psychic decisional conflict whether to pursue or abandon a goal once difficulties in its pursuit arise. In two studies, we investigated the role of individuals' levels of self-awareness when experiencing such action crises. Both among professional ballet dancers (daily diary, Study 1) and university undergraduates (preregistered experience sampling, Study 2), individuals with greater levels of (dispositional and situational) self-awareness showed an adaptive, that is, problem-solving oriented way of dealing with difficulties in the pursuit of their (training or study) goals. As a consequence, self-awareness contributed to less experience of action crisis during goal pursuit and, as a result, led to better goal performance. Supplementary Information: The online version contains supplementary material available at 10.1007/s11031-022-09942-5.

10.
J Clin Periodontol ; 49(8): 782-798, 2022 08.
Artigo em Inglês | MEDLINE | ID: mdl-35713219

RESUMO

AIM: Autologous bone grafts consolidate faster than bone graft substitutes (BGSs) but resorb over time, which compromises implant support. We hypothesized that differences in consolidation rates affected the mechanical properties of grafts and implant stability, and tested whether a pro-osteogenic protein, liposomal WNT3A (L-WNT3A), could accelerate graft consolidation. MATERIALS AND METHODS: A transgenic mouse model of sinus augmentation with immunohistochemistry, enzymatic assays, and histology were used to quantitatively evaluate the osteogenic properties of autografts and BGSs. Composite and finite element modelling compared changes in the mechanical properties of grafts during healing until consolidation, and secondary implant stability following remodelling activities. BGSs were combined with L-WNT3A and tested for its osteogenic potential. RESULTS: Compared with autografts, BGSs were bioinert and lacked osteoprogenitor cells. While in autografted sinuses, new bone arose evenly from all living autograft particles, new bone around BGSs solely initiated at the sinus floor, from the internal maxillary periosteum. WNT treatment of BGSs resulted in significantly higher expression levels of pro-osteogenic proteins (Osterix, Collagen I, alkaline phosphatase) and lower levels of bone-resorbing activity (tartrate-resistant acid phosphatase activity); together, these features culminated in faster new bone formation, comparable to that of an autograft. CONCLUSIONS: WNT-treated BGSs supported faster consolidation, and because BGSs typically resist resorption, their use may be superior to autografts for sinus augmentation.


Assuntos
Substitutos Ósseos , Levantamento do Assoalho do Seio Maxilar , Animais , Autoenxertos/transplante , Transplante Ósseo/métodos , Implantação Dentária Endóssea/métodos , Seio Maxilar/cirurgia , Camundongos , Levantamento do Assoalho do Seio Maxilar/métodos , Proteínas Wnt
11.
Microorganisms ; 10(4)2022 Apr 14.
Artigo em Inglês | MEDLINE | ID: mdl-35456869

RESUMO

We have isolated a chlorophyll-d-containing cyanobacterium from the intertidal field site at Moss Beach, on the coast of Central California, USA, where Manning and Strain (1943) originally discovered this far-red chlorophyll. Here, we present the cyanobacterium's environmental description, culturing procedure, pigment composition, ultrastructure, and full genome sequence. Among cultures of far-red cyanobacteria obtained from red algae from the same site, this strain was an epiphyte on a brown macroalgae. Its Qyin vivo absorbance peak is centered at 704-705 nm, the shortest wavelength observed thus far among the various known Acaryochloris strains. Its Chl a/Chl d ratio was 0.01, with Chl d accounting for 99% of the total Chl d and Chl a mass. TEM imagery indicates the absence of phycobilisomes, corroborated by both pigment spectra and genome analysis. The Moss Beach strain codes for only a single set of genes for producing allophycocyanin. Genomic sequencing yielded a 7.25 Mbp circular chromosome and 10 circular plasmids ranging from 16 kbp to 394 kbp. We have determined that this strain shares high similarity with strain S15, an epiphyte of red algae, while its distinct gene complement and ecological niche suggest that this strain could be the closest known relative to the original Chl d source of Manning and Strain (1943). The Moss Beach strain is designated Acaryochloris sp. (marina) strain Moss Beach.

12.
PLoS One ; 17(1): e0262257, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-34986187

RESUMO

Cervical carcinoma is a major cause of morbidity and mortality among women worldwide. Histological subtype, lymphovascular space invasion and tumor grade could have a prognostic and predictive value for patients' outcome and the knowledge of these histologic characteristics may influence clinical decision making. However, studies evaluating the diagnostic value of various biopsy techniques regarding these parameters of cervical cancer are scarce. We reviewed 318 cases of cervical carcinoma with available pathology reports from preoperative core needle biopsy (CNB) assessment and from final postoperative evaluation of the hysterectomy specimen. Setting the postoperative comprehensive pathological evaluation as reference, we analysed CNB assessment of histological tumor characteristics. In addition, we performed multivariable logistic regression to identify factors influencing the accuracy in identifying LVSI and tumor grade. CNB was highly accurate in discriminating histological subtype. Sensitivity and specificity were 98.8% and 89% for squamous cell carcinoma, 92.9% and 96.6% for adenocarcinoma, 33.3% and 100% in adenosquamous carcinoma respectively. Neuroendocrine carcinoma was always recognized correctly. The accuracy of the prediction of LVSI was 61.9% and was positively influenced by tumor size in preoperative magnetic resonance imaging and negatively influenced by strong peritumoral inflammation. High tumor grade (G3) was diagnosed accurately in 73.9% of cases and was influenced by histological tumor type. In conclusion, CNB is an accurate sampling technique for histological classification of cervical cancer and represents a reasonable alternative to other biopsy techniques.


Assuntos
Biópsia com Agulha de Grande Calibre/métodos , Neoplasias do Colo do Útero/diagnóstico , Adenocarcinoma/diagnóstico , Adenocarcinoma/patologia , Adulto , Carcinoma de Células Escamosas/diagnóstico , Carcinoma de Células Escamosas/patologia , Feminino , Humanos , Pessoa de Meia-Idade , Prognóstico , Estudos Retrospectivos , Sensibilidade e Especificidade , Neoplasias do Colo do Útero/patologia
13.
Nat Commun ; 13(1): 330, 2022 01 17.
Artigo em Inglês | MEDLINE | ID: mdl-35039512

RESUMO

Globally, tropical forests are assumed to be an important source of atmospheric nitrous oxide (N2O) and sink for methane (CH4). Yet, although the Congo Basin comprises the second largest tropical forest and is considered the most pristine large basin left on Earth, in situ N2O and CH4 flux measurements are scarce. Here, we provide multi-year data derived from on-ground soil flux (n = 1558) and riverine dissolved gas concentration (n = 332) measurements spanning montane, swamp, and lowland forests. Each forest type core monitoring site was sampled at least for one hydrological year between 2016 - 2020 at a frequency of 7-14 days. We estimate a terrestrial CH4 uptake (in kg CH4-C ha-1 yr-1) for montane (-4.28) and lowland forests (-3.52) and a massive CH4 release from swamp forests (non-inundated 2.68; inundated 341). All investigated forest types were a N2O source (except for inundated swamp forest) with 0.93, 1.56, 3.5, and -0.19 kg N2O-N ha-1 yr-1 for montane, lowland, non-inundated swamp, and inundated swamp forests, respectively.

14.
Cancers (Basel) ; 13(12)2021 Jun 13.
Artigo em Inglês | MEDLINE | ID: mdl-34199156

RESUMO

BACKGROUND: Parametrial tumor involvement is an important prognostic factor in cervical cancer and is used to guide management. Here, we investigate the diagnostic value of clinical examination under general anesthesia (EUA) and magnetic resonance imaging (MRI) in determining parametrial tumor spread. METHODS: Post-operative pathological findings of 400 patients with primary cervical cancer were compared to the respective MRI data and the results from EUA. The gynecological oncologist had access to the MR images during clinical assessment (augmented EUA, aEUA). RESULTS: Pathologically proven parametrial tumor invasion was present in 165 (41%) patients. aEUA exhibited a higher accuracy than MRI alone (83% vs. 76%; McNemar's odds ratio [OR] = 2.0, 95%CI 1.25-3.27, p = 0.003). Although accuracy was not affected by tumor size in aEUA, MRI was associated with a lower accuracy in tumors ≥2.5 cm (OR for a correct diagnosis compared to smaller tumors 0.22, p < 0.001). There was also a decrease in specificity when evaluating parametrial invasion by MRI in tumors ≥2.5 cm in diameter (p < 0.0001) compared to smaller tumors (< 2.5 cm). Body mass index had no influence on performance of either method. CONCLUSIONS: aEUA has the potential to increase the diagnostic accuracy of MRI in determining parametrial tumor involvement in cervical cancer patients.

15.
Clin Oral Implants Res ; 32(8): 916-927, 2021 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-34031931

RESUMO

OBJECTIVES: Compared to autografts, bone graft substitutes are slower to consolidate. If we understood why, this might open strategies to accelerate new bone formation and thus shorten the time to implant placement. In this study, we aimed at comparing autologous bone graft with a bovine bone graft substitute in a preclinical sinus lift model. MATERIALS AND METHODS: The mouse posterior paranasal sinus served as a recipient site for grafting. Autograft from the oral cavity was compared against bone graft substitute using molecular, cellular, and histological analyses conducted on post-grafting days (PSD) 0, 9, 18, and 120. RESULTS: Either autografts or bone graft substitutes were positioned on the sinus floor and remained in situ throughout the study. At the time of grafting and until day 9, bone graft substitutes were devoid of cells and alkaline phosphatase (ALP) activity while autografts were comprised of viable cells and showed strong ALP (mineralization) activity. Consequently, new bone formed faster in autografts compared to bone graft substitutes (140.21 ± 41.21 µm vs. 41.70 ± 10.09 µm, respectively, PSD9, p = .0143). By PSD18, osteogenesis was evident in autografted and xenografted sites. Osteoclasts identified by tartrate resistant acid phosphatase attached to, but did not resorb the bone graft substitute matrix. Autograft matrix, however, underwent extensive resorption. Transgenic mice revealed that Wnt-responsive osteoprogenitor cells originated primarily from the internal periosteum of the maxillary bone, and not from the Schneiderian membrane. CONCLUSION: Autografts produce new bone sooner, but bovine bone graft substitutes eventually consolidate and then resist resorption. Enhancing osteoprogenitor cell recruitment to a bone graft substitute constitutes a viable strategy for accelerating bone formation in a sinus lift procedure.


Assuntos
Substitutos Ósseos , Levantamento do Assoalho do Seio Maxilar , Animais , Autoenxertos , Biologia , Substitutos Ósseos/farmacologia , Transplante Ósseo , Bovinos , Implantação Dentária Endóssea , Seio Maxilar/cirurgia , Camundongos , Modelos Teóricos , Osteogênese
16.
Chem Commun (Camb) ; 57(2): 243-246, 2021 Jan 07.
Artigo em Inglês | MEDLINE | ID: mdl-33305777

RESUMO

Divalent ytterbium bis(trimethylsilyl)amides [Yb{N(SiMe3)2}2]2 and Yb[N(SiMe3)2]2(thf)2 react with purified methyllithium to amorphous dimethylytterbium [YbMe2]n. The characterisation was performed by 171Yb and 13C CP/MAS NMR spectroscopy as well as by conducting protonolysis reactions with HC5Me5 and HTptBu,Me, affording known (C5Me5)2Yb(OEt2) and new (TptBu,Me)Yb(CH3)(thf).

17.
Sci Total Environ ; 761: 143184, 2021 Mar 20.
Artigo em Inglês | MEDLINE | ID: mdl-33176934

RESUMO

Dung and urine patches on grasslands are hotspots of greenhouse gas (GHG) emissions in temperate regions, while its importance remains controversial for tropical regions as emissions seem to be lower. Here we investigated N2O, CH4 and CO2 emissions from urine and dung patches on tropical pastures in Kenya, thereby disentangling interactive and pure water, dung or urine effects. GHG fluxes were monitored with automated chambers for 42-59 days covering three seasons (short rainy season, long rainy season, dry season) for six treatments (Control; +1 L water; +1 kg dung; 1 L urine; 1 L water +1 kg dung; 1 L urine +1 kg dung). Cumulative CO2 emissions did not differ among treatments in any of the seasons. Water or urine addition alone did not affect CH4 fluxes, but these were elevated in all dung-related treatments. Scaled up on the total area covered, dung patches halve the CH4 sink strength of tropical pastures during the dry season, while during the rainy season they may turn tropical pastures into a small CH4 source. For N2O, both dung and urine alone and in combination stimulated emissions. While the N2O emission factor (EFN2O) from dung being constant across seasons, the EFN2O for urine was greater during the short rainy season than during the dry season. Combined application of urine + dung was additive on EFN2O. While the mean dung EFN2O in our study (0.06%) was similar to the IPCC Guidelines for National GHG Inventories EFN2O for dry climate (0.07%), the urine EFN2O we measured (0.03-0.25%) was lower than the IPCC value (0.32%). In addition, the IPCC Guidelines assume a urine-N: dung-N ratio of 0.66:0.34, which is higher than found for SSA (<0.50:0.50). Consequently, IPCC Guidelines still overestimate N2O emissions from excreta patches in SSA.


Assuntos
Gases de Efeito Estufa , Dióxido de Carbono , Fezes/química , Gases de Efeito Estufa/análise , Quênia , Metano/análise , Óxido Nitroso/análise , Estações do Ano
18.
Arch Gynecol Obstet ; 302(1): 191-201, 2020 07.
Artigo em Inglês | MEDLINE | ID: mdl-32430759

RESUMO

PURPOSE: To investigate patient-reported quality of life (QoL) and associated factors in vulvar cancer patients treated surgically by vulvar field resection (VFR) without adjuvant radiation. METHODS: We retrospectively evaluated patient-reported QoL as part of the prospective monocentric VFR trial using the 30-item European Organization for Research and Treatment of Cancer quality-of-life questionnaire (EORTC QLQ-C30) supplemented by a question assessing sexual activity. All patients had been treated by VFR and no participant had received adjuvant radiotherapy. The gynecologic cancer lymphedema questionnaire (GCLQ) was used to determine the presence of lymphedema. Structured telephone interviews were conducted to assess postoperative sequelae and long-term complications. RESULTS: Forty-three VFR patients (median age 63 years) were available for QoL assessment. Thirty-eight (88%) had received inguinal lymph-node dissection in addition to VFR. Mean global QoL (global health status) rating among all patients was 66.1 (± 25.5) on a scale from 0 to 100 with higher scores indicating better QoL. Higher GCLQ scores were significantly associated with lower global QoL scores (Spearman's rank correlation ρ =- 0.7, p < 0.0001). The presence of preoperative co-morbidities and postoperative wound-healing complications were also linked to reduced QoL (p < 0.01 for both). In a multivariable regression model, there was a significant interaction between preoperative co-morbidities and wound-healing complications with regard to global QoL (p < 0.05). CONCLUSION: Overall, VFR patients exhibit good quality of life postoperatively. The presence of lymphedema, wound-healing complications, and preoperative morbidities were associated with reduced QoL. Prospective longitudinal studies have to confirm our findings in the future.


Assuntos
Qualidade de Vida/psicologia , Neoplasias Vulvares/cirurgia , Feminino , Humanos , Pessoa de Meia-Idade , Estudos Retrospectivos , Inquéritos e Questionários
19.
JCI Insight ; 5(5)2020 03 12.
Artigo em Inglês | MEDLINE | ID: mdl-32161196

RESUMO

CD137 (4-1BB) is a member of the TNFR superfamily that represents a promising target for cancer immunotherapy. Recent insights into the function of TNFR agonist antibodies implicate epitope, affinity, and IgG subclass as critical features, and these observations help explain the limited activity and toxicity seen with clinically tested CD137 agonists. Here, we describe the preclinical characterization of CTX-471, a fully human IgG4 agonist of CD137 that engages a unique epitope that is shared by human, cynomolgus monkey, and mouse and is associated with a differentiated pharmacology and toxicology profile. In vitro, CTX-471 increased IFN-γ production by human T cells in an Fcγ receptor-dependent (FcγR-dependent) manner, displaying an intermediate level of activity between 2 clinical-stage anti-CD137 antibodies. In mice, CTX-471 exhibited curative monotherapy activity in various syngeneic tumor models and showed a unique ability to cure mice of very large (~500 mm3) tumors compared with validated antibodies against checkpoints and TNFR superfamily members. Extremely high doses of CTX-471 were well tolerated, with no signs of hepatic toxicity. Collectively, these data demonstrate that CTX-471 is a unique CD137 agonist that displays an excellent safety profile and an unprecedented level of monotherapy efficacy against very large tumors.


Assuntos
Anticorpos Monoclonais/imunologia , Imunoterapia/métodos , Neoplasias/terapia , Membro 9 da Superfamília de Receptores de Fatores de Necrose Tumoral/imunologia , Animais , Linfócitos T CD8-Positivos/metabolismo , Doença Hepática Induzida por Substâncias e Drogas/prevenção & controle , Mapeamento de Epitopos , Perfilação da Expressão Gênica , Células HEK293 , Humanos , Imunoterapia/efeitos adversos , Ativação Linfocitária , Linfócitos do Interstício Tumoral/metabolismo , Macaca fascicularis , Camundongos , Camundongos Nus , Neoplasias/imunologia , Linfócitos T/imunologia , Membro 9 da Superfamília de Receptores de Fatores de Necrose Tumoral/química , Ensaios Antitumorais Modelo de Xenoenxerto
20.
Cancer Converg ; 4(1): 1, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32090168

RESUMO

BACKGROUND: Cellular heterogeneity in tumor cells is a well-established phenomenon. Genetic and phenotypic cell-to-cell variability have been observed in numerous studies both within the same type of cancer cells and across different types of cancers. Another known fact for metastatic tumor cells is that they tend to be softer than their normal or non-metastatic counterparts. However, the heterogeneity of mechanical properties in tumor cells are not widely studied. RESULTS: Here we analyzed single-cell optical stretcher data with machine learning algorithms on three different breast tumor cell lines and show that similar heterogeneity can also be seen in mechanical properties of cells both within and between breast tumor cell lines. We identified two clusters within MDA-MB-231 cells, with cells in one cluster being softer than in the other. In addition, we show that MDA-MB-231 cells and MDA-MB-436 cells which are both epithelial breast cancer cell lines with a mesenchymal-like phenotype derived from metastatic cancers are mechanically more different from each other than from non-malignant epithelial MCF-10A cells. CONCLUSION: Since stiffness of tumor cells can be an indicator of metastatic potential, this result suggests that metastatic abilities could vary within the same monoclonal tumor cell line.

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