rap

NOX4 Inhibition Potentiates Immunotherapy by Overcoming Cancer-Associated Fibroblast-Mediated CD8 T-cell Exclusion from Tumors

Determining mechanisms of resistance to αPD-1/PD-L1 immune-checkpoint immunotherapy is key to developing new treatment strategies. Cancer-associated fibroblasts (CAF) have many tumor-promoting functions and promote immune evasion through multiple mechanisms, but as yet, no CAF-specific inhibitors are clinically available. Here we generated CAF-rich murine tumor models (TC1, MC38, and 4T1) to investigate how CAFs influence the immune microenvironment and affect response to different immunotherapy modalities [anticancer vaccination, TC1 (HPV E7 DNA vaccine), αPD-1, and MC38] and found that CAFs broadly suppressed response by specifically excluding CD8+ T cells from tumors (not CD4+ T cells or macrophages); CD8+ T-cell exclusion was similarly present in CAF-rich human tumors. RNA sequencing of CD8+ T cells from CAF-rich murine tumors and immunochemistry analysis of human tumors identified significant upregulation of CTLA-4 in the absence of other exhaustion markers; inhibiting CTLA-4 with a nondepleting antibody overcame the CD8+ T-cell exclusion effect without affecting Tregs. We then examined the potential for CAF targeting, focusing on the ROS-producing enzyme NOX4, which is upregulated by CAF in many human cancers, and compared this with TGFβ1 inhibition, a key regulator of the CAF phenotype. siRNA knockdown or pharmacologic inhibition [GKT137831 (Setanaxib)] of NOX4 “normalized” CAF to a quiescent phenotype and promoted intratumoral CD8+ T-cell infiltration, overcoming the exclusion effect; TGFβ1 inhibition could prevent, but not reverse, CAF differentiation. Finally, NOX4 inhibition restored immunotherapy response in CAF-rich tumors. These findings demonstrate that CAF-mediated immunotherapy resistance can be effectively overcome through NOX4 inhibition and could improve outcome in a broad range of cancers.Significance:NOX4 is critical for maintaining the immune-suppressive CAF phenotype in tumors. Pharmacologic inhibition of NOX4 potentiates immunotherapy by overcoming CAF-mediated CD8+ T-cell exclusion.Graphical Abstract:http://cancerres.aacrjournals.org/content/canres/80/9/1846/F1.large.jpg.See related commentary by Hayward, p. 1799




rap

Immunotherapeutic Response in Tumors Is Affected by Microenvironmental ROS

Carcinoma-associated fibroblasts (CAF) are a potential therapeutic target for both direct and indirect regulation of cancer progression and therapy response. In this issue of Cancer Research, Ford and colleagues investigate the influence of CAF on the immune environment of tumors, specifically focusing on the regulation of CD8+ T cells, required for immune therapy response. Their work suggests a role for stromally expressed NADPH oxidase 4 (NOX4) as a modulator of reactive oxygen species that in turn can reduce the number of CD8+ T cells locally. Inhibition of NOX4 increased CD8+ T cells and restored responsiveness to immune therapy, suggesting an indirect stromally targeted avenue for therapy resensitization.See related article by Ford et al., p. 1846




rap

Assessment of Apparent Internal Carotid Tandem Occlusion on High-Resolution Vessel Wall Imaging: Comparison with Digital Subtraction Angiography [EXTRACRANIAL VASCULAR]

BACKGROUND AND PURPOSE:

Not all tandem occlusions diagnosed on traditional vascular imaging modalities, such as MRA, represent actual complete ICA occlusion. This study aimed to explore the utility of high-resolution vessel wall imaging in identifying true ICA tandem occlusions and screening patients for their suitability for endovascular recanalization.

MATERIALS AND METHODS:

Patients with no signal in the ICA on MRA were retrospectively reviewed. Two neuroradiologists independently reviewed their high-resolution vessel wall images to assess whether there were true tandem occlusions and categorized all cases into intracranial ICA occlusion, extracranial ICA occlusion, tandem occlusion, or near-occlusion. DSA classified patient images into the same 4 categories, which were used as the comparison with high-resolution vessel wall imaging. The suitability for recanalization of occluded vessels was evaluated on high-resolution vessel wall imaging compared with DSA.

RESULTS:

Forty-five patients with no ICA signal on MRA who had available high-resolution vessel wall imaging and DSA images were included. Among the 34 patients (34/45, 75.6%) with tandem occlusions on DSA, 18 cases also showed tandem occlusions on high-resolution vessel wall imaging. The remaining 16 patients, intracranial ICA, extracranial ICA occlusions and near-occlusions were found in 2, 6, and 8 patients, respectively, on the basis of high-resolution vessel wall imaging. A total of 20 cases (20/45, 44.4%) were considered suitable for recanalization on the basis of both DSA and high-resolution vessel wall imaging. Among the 25 patients deemed unsuitable for recanalization by DSA, 11 were deemed suitable for recanalization by high-resolution vessel wall imaging.

CONCLUSIONS:

High-resolution vessel wall imaging could allow identification of true ICA tandem occlusion in patients with an absence of signal on MRA. Findings on high-resolution vessel wall imaging can be used to screen more suitable candidates for recanalization therapy.




rap

Efficacy and Safety of Flow-Diverter Therapy for Recurrent Aneurysms after Stent-Assisted Coiling [INTERVENTIONAL]

BACKGROUND AND PURPOSE:

Flow-diverter treatment for previously stented aneurysms has been reported to be less effective and prone to complications. In this study, we evaluated the effectiveness and safety of flow diverters for recurrent aneurysms after stent-assisted coiling.

MATERIALS AND METHODS:

Patients who underwent flow-diverter placement for recurrent aneurysms after stent-assisted coiling between March 2015 and March 2019 were recruited. Clinical and radiographic characteristics and clinical and angiographic outcomes were retrospectively evaluated.

RESULTS:

Among 133 patients who underwent flow-diverter insertion, 17 (male/female ratio = 5:12; mean age, 53.8 years) were treated for recurrent aneurysms after stent placement with (n = 16) or without (n = 1) coiling. Eight patients initially presented with subarachnoid hemorrhage; 7, with headache; and 2, with visual field defects. Angiographic morphology included large/giant saccular in 12 patients, dissecting in 2, fusiform in 1, traumatic pseudoaneurysm in 1, and ruptured blood blister-like aneurysm in 1. The duration between the first treatment and flow-diverter placement ranged from 2 weeks to 15 months (median, 6 months). Flow-diverter placement was successful in all cases without any complications. All patients had favorable outcomes (mRS, 0–2), without any newly appearing symptoms. Aneurysms were followed up with conventional angiography at least once in 6–18 months. Sixteen aneurysms showed complete occlusion, and 1 aneurysm was enlarged.

CONCLUSIONS:

Results from this case series investigating flow-diverter placement for recurrent aneurysms after stent-assisted coiling suggested that the procedure is safe and effective. Further study in a larger population may be warranted.




rap

Reliability of CT Angiography in Cerebral Vasospasm: A Systematic Review of the Literature and an Inter- and Intraobserver Study [INTERVENTIONAL]

BACKGROUND AND PURPOSE:

Computed tomography angiography offers a non-invasive alternative to DSA for the assessment of cerebral vasospasm following subarachnoid hemorrhage but there is limited evidence regarding its reliability. Our aim was to perform a systematic review (Part I) and to assess (Part II) the inter- and intraobserver reliability of CTA in the diagnosis of cerebral vasospasm.

MATERIALS AND METHODS:

In Part I, articles reporting the reliability of CTA up to May 2018 were systematically searched and evaluated. In Part II, 11 raters independently graded 17 arterial segments in each of 50 patients with SAH for the presence of vasospasm using a 4-category scale. Raters were additionally asked to judge the presence of any moderate/severe vasospasm (≥ 50% narrowing) and whether findings would justify augmentation of medical treatment or conventional angiography ± balloon angioplasty. Four raters took part in the intraobserver reliability study.

RESULTS:

In Part I, the systematic review revealed few studies with heterogeneous vasospasm definitions. In Part II, we found interrater reliability to be moderate at best ( ≤ 0.6), even when results were stratified according to specialty and experience. Intrarater reliability was substantial ( > 0.6) in 3/4 readers. In the per arterial segment analysis, substantial agreement was reached only for the middle cerebral arteries, and only when senior raters’ judgments were dichotomized (presence or absence of ≥50% narrowing). Agreement on the medical or angiographic management of vasospasm based on CTA alone was less than substantial ( ≤ 0.6).

CONCLUSIONS:

The diagnosis of vasospasm using CTA alone was not sufficiently repeatable among observers to support its general use to guide decisions in the clinical management of patients with SAH.




rap

CT Angiography in Evaluating Large-Vessel Occlusion in Acute Anterior Circulation Ischemic Stroke: Factors Associated with Diagnostic Error in Clinical Practice [INTERVENTIONAL]

BACKGROUND AND PURPOSE:

It is currently not completely clear how well radiologists perform in evaluating large-vessel occlusion on CTA in acute ischemic stroke. The purpose of this study was to investigate potential factors associated with diagnostic error.

MATERIALS AND METHODS:

Five hundred twenty consecutive patients with a clinical diagnosis of acute ischemic stroke (49.4% men; mean age, 72 years) who underwent CTA to evaluate large-vessel occlusion of the proximal anterior circulation were included. CTA scans were retrospectively reviewed by a consensus panel of 2 neuroradiologists. Logistic regression analysis was performed to investigate the association between several variables and missed large-vessel occlusion at the initial CTA interpretation.

RESULTS:

The prevalence of large-vessel occlusion was 16% (84/520 patients); 20% (17/84) of large-vessel occlusions were missed at the initial CTA evaluation. In multivariate analysis, non-neuroradiologists were more likely to miss large-vessel occlusion compared with neuroradiologists (OR = 5.62; 95% CI, 1.06–29.85; P = .04), and occlusions of the M2 segment were more likely to be missed compared with occlusions of the distal internal carotid artery and/or M1 segment (OR = 5.69; 95% CI, 1.44–22.57; P = .01). There were no calcified emboli in initially correctly identified large-vessel occlusions. However, calcified emboli were present in 4 of 17 (24%) initially missed or misinterpreted large-vessel occlusions.

CONCLUSIONS:

Several factors may have an association with missing a large-vessel occlusion on CTA, including the CTA interpreter (non-neuroradiologists versus neuroradiologists), large-vessel occlusion location (M2 segment versus the distal internal carotid artery and/or M1 segment), and large-vessel occlusion caused by calcified emboli. Awareness of these factors may improve the accuracy in interpreting CTA and eventually improve stroke outcome.




rap

[Infographic] 8 nguyên tắc thiết kế nội thất ít người biết

Nắm rõ và tuân theo những nguyên tắc thiết kế nội thất dưới đây sẽ giúp bạn tránh được những sai lầm không đáng có trong quá trình lập kế hoạch và triển khai dự án thiết kế nội thất.




rap

[Infographic] Nằm lòng những nguyên tắc thiết kế nhà bếp hiện đại

Infographic dưới đây giới thiệu một số nguyên tắc cơ bản trong thiết kế nhà bếp hiện đại, góp phần mang tới sự tiện nghi và cảm giác thoải mái cho người nội trợ.




rap

[Infographic] 9 sai lầm người mua nhà lần đầu hay mắc phải

Hào hứng khi mua nhà lần đầu tiên nhưng vì thiếu kinh nghiệm, chủ quan nên nhiều người đã mắc phải sai lầm đáng tiếc. Để việc mua nhà không gây hối tiếc trong tương lai, hãy đảm bảo bạn không mắc phải 9 sai lầm dưới đây:




rap

[Infographic] Để không mất sạch vốn, hãy tránh xa 7 kiểu giao dịch bất động sản này

Giao dịch bất động sản là quá trình phức tạp, trải qua nhiều công đoạn. Nếu nhà đầu tư không cẩn trọng, rất có thể bị mất sạch vốn do vướng phải những giao dịch bất chính, chụp giật.




rap

[Infographic] Những quy định pháp lý không thể bỏ qua khi mua bán bất động sản

Khi mua bán bất động sản, khách hàng cần yêu cầu bên bán cung cấp đầy đủ các giấy tờ để chứng minh pháp lý của bất động sản giao dịch. Các giấy tờ đó là gì? Các bước thực hiện giao dịch ra sao?... sẽ được Batdongsan.com.vn trả lời cụ thể qua infographic dưới đây:




rap

[Infographic] Cẩm nang dành cho người mua chung cư lần đầu

Căn hộ chung cư là loại hình nhà ở nằm trong một dự án gồm nhiều căn hộ, quá trình mua bán, chất lượng bàn giao và việc hoàn thiện đều được thực hiện theo hợp đồng ký với chủ đầu tư. Để giúp người mua chung cư lần đầu không bỡ ngỡ, Batdongsan.com.vn tổng hợp những thông tin chính mà người mua cần tìm hiểu trước khi thực hiện giao dịch như sau:




rap

[Infographic] 6 lưu ý khi mua nhà liền thổ đã qua sử dụng

Không phải ai cũng có đủ điều kiện để mua một ngôi nhà mới nên nhiều người chọn mua nhà cũ để tiết kiệm chi phí. Nếu chưa có kinh nghiệm chọn mua nhà cũ, bạn hãy xem 6 lưu ý dưới đây để chọn được ngôi nhà ưng ý:




rap

Infographic

Chủ đề tập hợp các bài infographic về kinh nghiệm mua bán, đầu tư và các lĩnh vực liên quan bất động sản do Batdongsan.com.vn dịch hoặc thực hiện.




rap

[Infographic] Khu vườn giữa phố thị làm từ chai lọ và đồ tái chế

Tự làm vườn không chỉ tiết kiệm túi tiền mà còn góp phần bảo vệ hành tinh xanh. Hãy thử tái chế những món đồ bỏ đi ở quanh nhà và tạo nên một khu vườn nhỏ gọn, phong cách, phù hợp với mọi không gian.




rap

Is Asia prepared for the challenges that come with rapid urbanisation?

It all boils down to how resilient the region is, says an urban planner and designer based in Manila.




rap

[Infographic] Conditions & Procedures for foreign homebuyers in Vietnam

The Law on Housing of Vietnam allows foreigners to purchase Vietnam property but with strict conditions and procedures as listed in the following infographic.




rap

SpeakerChat for 05/01/20: Rapid Prototyping for Your eLearning Projects

We're bringing you something new: SpeakerChat. This event is both a way to revisit some great eLearning Guild content from a recorded session while also […]

The post SpeakerChat for 05/01/20: Rapid Prototyping for Your eLearning Projects appeared first on e-Learning Feeds.




rap

Sophie Marschner turns real-world data into a digital topography in Monolith

Generative visuals and eerie sound design based on height maps of glaciers, canyons and estuaries. London-based motion graphic designer Sophie Marschner transforms real-world data into a delicate digital topography in Monolith. By using the height maps of various large-scale landmarks, including glaciers, canyons and estuaries, Marschner maps the outside world into a more intimate, digital […]

The post Sophie Marschner turns real-world data into a digital topography in Monolith appeared first on FACT Magazine.




rap

Microwaved bamboo could be used to build super-strong skyscrapers

Bamboo is a renewable material that when microwaved becomes stronger by weight than steel or concrete – which could make it ideal for constructing buildings, cars and planes




rap

Alphabet's Scrapping Its Smart City Dreams

Not because of public concerns, although there are plenty of those, but because of the pandemic-induced plunge in local real estate.




rap

RPGCast – Episode 313: “Dr. Phil’s RPG Therapy”

Today, Anna and Chris get counseled. Phil gets jealous of someone’s fishing skills. Cassandra gets every support conversation. And you, dear listener, get a podcast!




rap

RPGCast – Episode 399: “You Activated My Trap Chocobo”

Square Enix comes up with an incredibly innovative idea to make money. Kickstarter proves itself to be the answer to everyone’s needs once again. And...




rap

RPGCast – Episode 493: “Skunk Trapper”

You won’t get skunked this week with a full-fledged RPGCast! We dissect the recent Nintendo Direct (BOWSER IS TAKING OVER), discuss our Now Playing (with a love-hate CompileHeart relationship), and have a heavy dose of fun feedback.




rap

Can equine therapy de-stress a city slicker?

The Guardian’s fashion editor heads to the stables to find out whether the tranquility of horses can help slow her busy life

One cold, bright morning in January, I stood in a field in Gloucestershire with my eyes closed and imagined I had four legs. Just metres away was a herd of eight horses. Before meeting them, advised therapist Lisanne Peters, it was wise to meditate. First, she told me to focus on sensations – the smell of hay; the birdsong. Then she instructed me to imagine myself, centaur-like, “with another back and another set of legs behind you. Feel how sturdy, how grounded, you are.”

Continue reading...




rap

Killing 'sleeper cells' may enhance breast cancer therapy

The anti-cancer medicine venetoclax could improve the current therapy for estrogen receptor-positive (ER+) breast cancer, according to preclinical studies. The promising preclinical results for this 'triple therapy' have underpinned a phase 1 clinical trial in Melbourne, Australia, that is combining venetoclax with hormone therapy and CDK4/6 inhibitors in patients with ER+ breast cancer.




rap

Coronavirus live updates: FDA authorizes 1st rapid-result antigen test

The novel coronavirus pandemic has now killed more than 275,000 people worldwide. Over 3.9 million people across the world have been diagnosed with COVID-19, the disease caused by the new respiratory virus, according to data compiled by the Center for Systems Science and Engineering at Johns Hopkins University. The actual numbers are believed to be much higher due to testing shortages, many unreported cases and suspicions that some governments are hiding the scope of their nations' outbreaks.





rap

Raptorial Dinosaurs Did Not Hunt in Coordinated Packs, Paleontologists Say

An analysis of the fossilized teeth of Deinonychus antirrhopus, a species of wolf-sized dromaeosaurid dinosaur that lived between 115 and 108 million years ago (Cretaceous period) in what is now the United States, adds to the growing evidence that this and other raptors were not complex social hunters by modern mammalian standards. The image of [...]




rap

Mercury-nominated UK rapper, Ty, dies of coronavirus at 47

Mercury-nominated UK rapper, Ty, has died aged only 47 after contracting coronavirus.




rap

Tara Reade, in new interview, claims Biden used graphic language to proposition her during alleged assault

Tara Reade has claimed in a new interview that Joe Biden used graphic language to proposition her for sex when he allegedly assaulted her in 1993.



  • a73a9c45-74e3-591e-9ce0-dec6e624e7e8
  • fox-news/person/tara-reade
  • fox-news/person/joe-biden
  • fox-news/politics/2020-presidential-election
  • fox-news/politics/elections
  • fox-news/media
  • fox-news/politics/elections/democrats
  • fnc
  • fnc/politics
  • article
  • Fox News
  • Joseph Wulfsohn

rap

Framing Hope Through a Photographer's Lens

Marine biologist Cristina Mittermeier discovered that visual storytelling, rather than data sets, allowed her to be a better advocate for the ocean




rap

Repurposing existing drugs for COVID-19 offers a more rapid alternative to a vaccine

Repurposing existing medicines focused on known drug targets is likely to offer a more rapid hope of tackling COVID-19 than developing and manufacturing a vaccine, argue an international team of scientists.




rap

LG takes the wraps off its “Velvet” smartphone, priced in Korea at $738

It has a Snapdragon 765G, a headphone jack, water resistance, and wireless charging.




rap

Alphabet’s Sidewalk Labs scraps its ambitious Toronto project

Residents rebelled over plans to collect and use their data, among other things.




rap

Mexican broadcaster Televisa grapples with steamy soaps in social-distancing era

Some of the top creative minds at Mexican broadcaster Televisa are puzzling over an unexpected challenge: crafting their signature soap operas without a single love scene, or even a tender kiss.




rap

Man with 'devil gremlin' tattoo sought by police after teen dragged into bushes and raped in south-east London

A man with a 'devil gremlin' tattoo is being sought by police after a teen was dragged into the bushes and raped in south-east London.




rap

Police search for man after attempted rape of woman in Hoxton

Police are searching for a man they wish to speak to following the attempted rape of a woman in north-east London street.




rap

New York now grappling with larger Covid-19 outbreak than any country bar the US itself

Read our live updates on coronavirus HERE Coronavirus: The symptoms




rap

Woman who could only stomach crumpets during chemotherapy is sent van full of them by Warburtons

Coronavirus: the symptoms Read our LIVE updates on coronavirus here




rap

Tribute to 'kind and generous' occupational therapist who died after contracting coronavirus

Vivek Sharma was described as a gentle soul who was kind and generous




rap

Prince Charles says humans are 'rapidly destroying' biodiversity as he urges care on Earth Day

Prince Charles has warned we are "rapidly destroying" biodiversity across the planet.




rap

Prince Louis photographed making rainbow poster by mum Kate to mark second birthday

Prince Louis has shown his support for the NHS by making a rainbow poster for a series of photographs to mark his second birthday.




rap

Government urged to scrap VAT on PPE for care sector amid Covid-19 crisis

Read our live updates on coronavirus HERE Coronavirus: The symptoms




rap

Harry and Meghan 'help journalists write bombshell new biography' that risks opening new royal wounds




rap

Indian woman allegedly gang raped after getting quarantined alone in a school during coronavirus pandemic

A woman in her 40s was allegedly gang-raped after police quarantined her in a school overnight in India.




rap

Royal Mail scraps Saturday letter deliveries until further notice due to coronavirus pandemic

Royal Mail has stopped Saturday letter deliveries across the UK until further notice to "ease the additional burden" on staff caused by the coronavirus pandemic.




rap

Police search for man after alleged rape in central London

Police are searching for a man in connection with an alleged rape at Embankment in central London.




rap

Tube could be 'rapidly overwhelmed' when lockdown lifts in London

London's transport system could be "rapidly overwhelmed" by a surge in passengers needing to keep to social distancing rules after the coronavirus lockdown ends, a briefing to emergency planners has revealed.




rap

Princess Charlotte photographed delivering meals for those in need to mark fifth birthday

Princess Charlotte's fifth birthday has been marked by the release of photographs showing the young royal helping to load a van with food and delivering meals for those in need.




rap

'Ruthless and callous' rapist who targeted women leaving bars in London jailed for 16 years

Two brothers who preyed on women leaving bars and nightclubs before carrying out sexual assaults have been convicted.