leu Zero Emission Vehicles Represent the Future of Energy Efficiency, Petroleum and Emissions Reductions in 2025-2035, New Report Says By Published On :: Wed, 31 Mar 2021 04:00:00 GMT Increased use of zero emission vehicles (ZEVs) presents the greatest opportunity to improve the energy efficiency of light-duty vehicles — i.e., passenger vehicles and light trucks — over the period of 2025-2035, says a new congressionally mandated report from the National Academies of Sciences, Engineering, and Medicine. Full Article
leu Marquis Who's Who Honors Anthony Ndah for Expertise in the Petroleum Sector By www.24-7pressrelease.com Published On :: Fri, 07 Jun 2024 08:00:00 GMT Anthony Ndah is lauded for his dedication to the field as the president and chief executive officer of Atlantic Petroleum Full Article
leu Alfa Cytology Launches Comprehensive Services for Leukemia Small Molecule Drug Development By www.24-7pressrelease.com Published On :: Fri, 25 Oct 2024 08:00:00 GMT Alfa Cytology has launched its leukemia research services, focusing on small molecule drug development. Full Article
leu Ava's Army, Sidekick of Sammy's Superheroes Foundation, Supports Alex's Lemonade Stand Foundation in Funding High-Impact Research in Pediatric Leukemia By www.24-7pressrelease.com Published On :: Fri, 26 May 2023 08:00:00 GMT The Community Organization Based out of Nebraska Grants ALSF nearly $69,000. Full Article
leu Marquis Who's Who Honors Ralph Pereira for Expertise in Technology, Energy, Finance, and Petroleum By www.24-7pressrelease.com Published On :: Tue, 25 Jun 2024 08:00:00 GMT Ralph Pereira is honored for his contributions as the president of CompHaiti S.A. and through nonprofit work Full Article
leu Kettlebell Combos Are the Hot New Trend in 2022 According to Coach Taco Fleur By www.24-7pressrelease.com Published On :: Mon, 02 May 2022 08:00:00 GMT Conventional kettlebell exercises have been gaining popularity steadily, but kettlebell coach Taco Fleur says kettlebell combos deliver faster results and are more entertaining. Full Article
leu Marquis Who's Who Honors Ronald S. Leuchter, MD, for Expertise in Health Care By www.24-7pressrelease.com Published On :: Wed, 06 Nov 2024 08:00:00 GMT Ronald S. Leuchter, MD, is an Oncologic Surgeon devoted to caring for patients with cancer and complicated surgeries Full Article
leu LUXURY FLORAL DESIGN AND GIFT COMPANY BELLA FLEUR ANNOUNCE PLANS FOR UPGRADES AND UPDATES TO ITS SERVICE DELIVERY MODEL IN DUBAI By www.24-7pressrelease.com Published On :: Thu, 23 Nov 2023 08:00:00 GMT Initiative Includes Enhanced Staffing and Training, More Personalized Service, Broader Selection, And Amazing Discounts and Deals Full Article
leu J. Daniel Arthur, PE, SPEC, CPG, FGS, QMS, Recognized for Excellence in the Field of Petroleum Engineering By www.24-7pressrelease.com Published On :: Mon, 07 Oct 2024 08:00:00 GMT J. Daniel Arthur, PE, SPEC, CPG, FGS, QMS, serves as the president and chief engineer of ALL Consulting LLC Full Article
leu R. Scot Buell Celebrated for Dedication to the Petroleum Industry By www.24-7pressrelease.com Published On :: Wed, 10 Apr 2024 08:00:00 GMT R. Scot Buell channels years of expertise into his work with Chevron Corporation Full Article
leu Widow of Worker With Leukemia Gets Award of Death Benefits By ww3.workcompcentral.com Published On :: Fri, 27 Sep 2024 00:00:00 -0700 West Virginia’s Intermediate Court of Appeals upheld an award of benefits to the widow of a worker suffering from chronic myelomonocytic leukemia before contracting COVID-19 and dying. Case: PPG Industries Inc. Full Article
leu Padoue et les couleurs d’automne By www.gino-caron.com Published On :: Sun, 22 Sep 2024 00:14:26 +0000 Cette image déploie une vue panoramique saisissante du village de Padoue niché dans la quiétude des collines automnales. Les teintes vives des arbres en dégradé d’ocre, de rouge et de jaune, rappellent la transition douce de l’été à l’automne. Au premier plan, une mer de forêts enveloppe la petite communauté, où l’on aperçoit les toits...Lire plus Full Article Aérienne Automne Padoue Paysage automne calme village
leu Couleurs d’automne à Mont-Joli By www.gino-caron.com Published On :: Tue, 01 Oct 2024 02:05:15 +0000 Cette image panoramique capture Mont-Joli sous un ciel limpide, où les teintes azurées des nuages flottants se mêlent à l’immensité bleue de l’horizon. En contrebas, les toits des maisons, bariolées de couleurs vives comme le rouge, le bleu et le jaune, se dispersent harmonieusement au milieu de la verdure des arbres d’automne. La ville semble...Lire plus Full Article Aérienne Automne Mont-Joli Paysage
leu Couleurs d’automne à Price By www.gino-caron.com Published On :: Sat, 05 Oct 2024 15:01:03 +0000 Sous un ciel azuré et lumineux, l’image dévoile un paysage grandiose du Bas-Saint-Laurent, capturé à Price. Au cœur de cette scène panoramique, une majestueuse chute d’eau se précipite avec force, enserrée par la nature qui l’entoure. La rivière, telle un ruban de satin, serpente à travers les terres verdoyantes, soulignant la tranquillité de cette région....Lire plus Full Article Aérienne Automne Paysage Price automne chute couleurs
leu Couleurs d’automne à St-Donat By www.gino-caron.com Published On :: Fri, 11 Oct 2024 11:33:07 +0000 Sur cette photo panoramique de St-Donat, on ressent l’essence même de l’automne québécois. La route sinueuse traverse le village, entourée d’arbres dont le feuillage éclatant de jaune, d’orange et de rouge crée un tableau vibrant. Les maisons, éparpillées dans ce paysage rural, sont comme des îlots de calme au milieu de la nature changeante. En...Lire plus Full Article Aérienne Automne Paysage St-Donat automne couleurs village
leu Couleurs d’automne à Rimouski By www.gino-caron.com Published On :: Fri, 11 Oct 2024 20:58:47 +0000 Cette vue aérienne de Rimouski, baignée sous un ciel bleu éclatant, dévoile une ville côtière paisible, nichée entre les rives du majestueux fleuve Saint-Laurent et les collines verdoyantes à l’horizon. Les maisons, disposées en un réseau de rues sinueuses, forment un patchwork harmonieux de toits et de jardins colorés, reflétant l’ambiance sereine de cette ville....Lire plus Full Article Aérienne Automne Paysage Rimouski Urbain
leu La porte bleue... Locked By catchycolors.blogspot.com Published On :: Wed, 27 Jun 2012 01:44:00 +0000 La porte bleue..., originally uploaded by J&S.. Full Article
leu University of Toronto’s Faculty of Applied Science & Engineering announces establishment of the Foundation CMG Research Chair in Fundamental Petroleum Rock Physics and Rock Mechanics By media.utoronto.ca Published On :: Thu, 02 Jun 2016 12:55:18 +0000 Toronto, ON – University of Toronto Professor Giovanni Grasselli, of the Department of Civil Engineering, has been named the inaugural holder of the Foundation CMG Industrial Research Chair in Fundamental Petroleum Rock Physics and Rock Mechanics. Professor Grasselli is joining 12 chairs at 12 universities, including Penn State and the University of Texas in Austin, […] Full Article Engineering Media Releases Science University of Toronto
leu Nigeria: We've Stopped Importing Refined Petroleum - NNPC GCEO Kyari By allafrica.com Published On :: Tue, 12 Nov 2024 12:33:15 GMT [Vanguard] The Nigerian National Petroleum Company (NNPC) Limited has ceased importing refined petroleum products, according to Mele Kyari, the group chief executive officer (GCEO) of NNPC. Full Article Economy Business and Finance Governance Nigeria Petroleum West Africa
leu French deli brand Fleury Michon slices stock with FuturMaster technology By www.logisticsit.com Published On :: Fleury Michon, one of France’s leading food suppliers to supermarkets, healthcare facilities and airlines, has implemented forecasting technology from FuturMaster to help anticipate future demand and the daily production requirements for its cold meats, ready meals and snacks. Full Article
leu Espace sacré, mémoire sacrée. Le culte des évêques dans leurs villes (IVe-XXe siècle): Actes du colloque international de Tours 10-12 juin 2010 By search.lib.uiowa.edu Published On :: Location: Electronic Resource- Full Article
leu Watch as Central California dust storm that caused 20-car pileup whips through Visalia By www.yahoo.com Published On :: 2024-11-12T19:21:29Z Full Article
leu West Midlands Fire Service to the rescue for Cure Leukaemia By thebirminghampress.com Published On :: Wed, 03 Jul 2013 11:09:48 +0000 Fire fighters from Highgate, Kings Norton, Ladywood and Northfield fire stations are taking on a job like no other Full Article Birmingham Emergency Services Health Kings Norton charity fire health West Midlands
leu SANAMENTE LUCHA CONTRA LA LEUCEMIA MIELOIDE AGUDA 02 DE SEPTIEMBRE By www.spreaker.com Published On :: Mon, 03 Oct 2022 21:10:36 +0000 Full Article
leu SANAMENTE - Leucemia Crónica - 27 DE OCTUBRE By www.spreaker.com Published On :: Fri, 28 Oct 2022 23:52:00 +0000 Full Article
leu Día Mundial de las Leucemias By www.spreaker.com Published On :: Fri, 08 Sep 2023 00:44:00 +0000 Full Article
leu Barreras en el diagnóstico de la leucemia linfocítica crónica By www.spreaker.com Published On :: Tue, 30 Jan 2024 20:44:00 +0000 Full Article
leu Relleu a la Taula del Tercer Sector: Enric Morist substitueix Francina Alsina By www.ara.cat Published On :: 2024-11-13T08:32:44+00:00 BarcelonaRelleu a la Taula d'Entitats del Tercer Sector. L'activista Enric Morist és el nou president de la gran plataforma d'associacions socials i federacions en substitució de Francina Alsina, que ha esgotat els dos mandats màxims. via Pocket Full Article
leu Mass Spectrometry of Human Leukocyte Antigen Class I Peptidomes Reveals Strong Effects of Protein Abundance and Turnover on Antigen Presentation By www.mcponline.org Published On :: 2015-03-01 Michal Bassani-SternbergMar 1, 2015; 14:658-673Research Full Article
leu A proteomic approach to understand the clinical significance of acute myeloid leukemia-derived extracellular vesicles reflecting essential characteristics of leukemia By www.mcponline.org Published On :: 2020-11-30 Ka-Won KangNov 30, 2020; 0:RA120.002169v1-mcp.RA120.002169Research Full Article
leu Trial of novel leukaemia drug is stopped for second time after two more deaths By www.bmj.com Published On :: Friday, November 25, 2016 - 10:46 Full Article
leu Interleukin 6 reduces allopregnanolone synthesis in the brain and contributes to age-related cognitive decline in mice [Research Articles] By www.jlr.org Published On :: 2020-10-01T00:05:17-07:00 Cognitive decline with age is a harmful process that can reduce quality of life. Multiple factors have been established to contribute to cognitive decline, but the overall etiology remains unknown. Here, we hypothesized that cognitive dysfunction is mediated, in part, by increased levels of inflammatory cytokines that alter allopregnanolone (AlloP) levels, an important neurosteroid in the brain. We assessed the levels and regulation of AlloP and the effects of AlloP supplementation on cognitive function in 4-month-old and 24-month-old male C57BL/6 mice. With age, the expression of enzymes involved in the AlloP synthetic pathway was decreased and corticosterone (CORT) synthesis increased. Supplementation of AlloP improved cognitive function. Interestingly, interleukin 6 (IL-6) infusion in young animals significantly reduced the production of AlloP compared with controls. It is notable that inhibition of IL-6 with its natural inhibitor, soluble membrane glycoprotein 130, significantly improved spatial memory in aged mice. These findings were supported by in vitro experiments in primary murine astrocyte cultures, indicating that IL-6 decreases production of AlloP and increases CORT levels. Our results indicate that age-related increases in IL-6 levels reduce progesterone substrate availability, resulting in a decline in AlloP levels and an increase in CORT. Furthermore, our results indicate that AlloP is a critical link between inflammatory cytokines and the age-related decline in cognitive function. Full Article
leu Douleurs côté droit sous les côtes : comment les soulager naturellement By www.orthodfr.org Published On :: Fri, 19 Jul 2024 16:56:45 +0000 En fonction de leurs causes, les douleurs du côté droit peuvent se manifester de différentes manières. Les symptômes de ces douleurs peuvent également varier d’une personne à une autre. Certaines personnes décrivent les douleurs du côté comme des sensations de crampes, de brûlures ou de piqûres. D’autres en revanche parlent de douleurs sourdes ou lancinantes qui irradient […] L’article Douleurs côté droit sous les côtes : comment les soulager naturellement est apparu en premier sur Ortho Doc France. Full Article Santé
leu Quelle est la meilleure recette minceur à base de biscuits aux flocons d’avoine ? By www.orthodfr.org Published On :: Thu, 26 Sep 2024 13:34:24 +0000 Pour beaucoup de personnes, la perte de poids rime obligatoirement avec une période de privation. Mais contrairement à ces idées reçues, il est bien possible d’observer un régime pour perdre du poids tout en vous faisant plaisir. Découvrez notre recette minceur de biscuits croquants sans beurre aux flocons d’avoine qui raviront vos papilles sans pour autant vous apporter […] L’article Quelle est la meilleure recette minceur à base de biscuits aux flocons d’avoine ? est apparu en premier sur Ortho Doc France. Full Article Minceur
leu A proteomic approach to understand the clinical significance of acute myeloid leukemia-derived extracellular vesicles reflecting essential characteristics of leukemia [Research] By www.mcponline.org Published On :: 2020-11-30T16:35:18-08:00 Extracellular vesicle (EV) proteins from acute myeloid leukemia (AML) cell lines were analyzed using mass spectrometry. The analyses identified 2450 proteins, including 461 differentially expressed proteins (290 upregulated and 171 downregulated). CD53 and CD47 were upregulated and were selected as candidate biomarkers. The association between survival of patients with AML and the expression levels of CD53 and CD47 at diagnosis was analyzed using mRNA expression data from The Cancer Genome Atlas database. Patients with higher expression levels showed significantly inferior survival than those with lower expression levels. Enzyme-linked immunosorbent assay results of the expression levels of CD53 and CD47 from EVs in the bone marrow of patients with AML at diagnosis and at the time of complete remission with induction chemotherapy revealed that patients with downregulated CD53 and CD47 expression appeared to relapse less frequently. Network model analysis of EV proteins revealed several upregulated kinases, including LYN, CSNK2A1, SYK, CSK, and PTK2B. The potential cytotoxicity of several clinically applicable drugs that inhibit these kinases was tested in AML cell lines. The drugs lowered the viability of AML cells. The collective data suggest that AML-derived EVs could reflect essential leukemia biology. Full Article
leu The Emission of Internal Conversion Electrons Rather Than Auger Electrons Increased the Nucleus-Absorbed Dose for 161Tb Compared with 177Lu with a Higher Dose Response for [161Tb]Tb-DOTA-LM3 Than for [161Tb]Tb-DOTATATE By jnm.snmjournals.org Published On :: 2024-10-01T04:08:08-07:00 Preclinical data have shown that 161Tb-labeled peptides targeting the somatostatin receptor are therapeutically more effective for peptide receptor radionuclide therapy than are their 177Lu-labeled counterparts. To further substantiate this enhanced therapeutic effect, we performed cellular dosimetry to quantify the absorbed dose to the cell nucleus and compared dose–response curves to evaluate differences in relative biological effectiveness in vitro. Methods: CA20948 cell survival was assessed after treatment with [161Tb]Tb- and [177Lu]Lu-DOTATATE (agonist) and with [161Tb]Tb- and [177Lu]Lu-DOTA-LM3 (antagonist) via a clonogenic assay. Cell binding, internalization, and dissociation assays were performed up to 7 d to acquire time-integrated activity coefficients. Separate S values for each type of particle emission (Auger/internal conversion [IC] electrons and β– particles) were computed via Monte Carlo simulations, while considering spheric cells. Once the absorbed dose to the cell nucleus was calculated, survival curves were fitted to the appropriate linear or linear-quadratic model and corresponding relative biological effectiveness was evaluated. Results: Although the radiopeptide uptake was independent of the radionuclide, [161Tb]Tb-DOTATATE and [161Tb]Tb-DOTA-LM3 delivered a 3.6 and 3.8 times higher dose to the nucleus, respectively, than their 177Lu-labeled counterparts on saturated receptor binding. This increased nucleus-absorbed dose was mainly due to the additional emission of IC and not Auger electrons by 161Tb. When activity concentrations were considered, both [161Tb]Tb-DOTATATE and [161Tb]Tb-DOTA-LM3 showed a lower survival fraction than did labeling with 177Lu. When the absorbed dose to the nucleus was considered, no significant difference could be observed between the dose–response curves for [161Tb]Tb- and [177Lu]Lu-DOTATATE. [161Tb]Tb-DOTA-LM3 showed a linear-quadratic dose response, whereas [161Tb]Tb-DOTATATE showed only a linear dose response within the observed dose range, suggesting additional cell membrane damage by Auger electrons. Conclusion: The IC, rather than Auger, electrons emitted by 161Tb resulted in a higher absorbed dose to the cell nucleus and lower clonogenic survival for [161Tb]Tb-DOTATATE and [161Tb]Tb-DOTA-LM3 than for the 177Lu-labeled analogs. In contrast, [161Tb]Tb-DOTATATE showed no higher dose response than [177Lu]Lu-DOTATATE, whereas for [161Tb]Tb-DOTA-LM3 an additional quadratic response was observed. Because of this quadratic response, potentially caused by cell membrane damage, [161Tb]Tb-DOTA-LM3 is a more effective radiopeptide than [161Tb]Tb-DOTATATE for labeling with 161Tb. Full Article
leu Retinal Input to Macaque Superior Colliculus Derives from Branching Axons Projecting to the Lateral Geniculate Nucleus By www.jneurosci.org Published On :: 2024-10-30T09:30:22-07:00 The superior colliculus receives a direct projection from retinal ganglion cells. In primates, it remains unknown if the same ganglion cells also supply the lateral geniculate nucleus. To address this issue, a double-label experiment was performed in two male macaques. The animals fixated a target while injection sites were scouted in the superior colliculus by recording and stimulating with a tetrode. Once suitable sites were identified, cholera toxin subunit B-Alexa Fluor 488 was injected via an adjacent micropipette. In a subsequent acute experiment, cholera toxin subunit B-Alexa Fluor 555 was injected into the lateral geniculate nucleus at matching retinotopic locations. After a brief survival period, ganglion cells were examined in retinal flatmounts. The percentage of double-labeled cells varied locally, depending on the relative efficiency of retrograde transport by each tracer and the precision of retinotopic overlap of injection sites in each target nucleus. In counting boxes with extensive overlap, 76–98% of ganglion cells projecting to the superior colliculus were double labeled. Cells projecting to the superior colliculus constituted 4.0–6.7% of the labeled ganglion cell population. In one particularly large zone, there were 5,746 cells labeled only by CTB-AF555, 561cells double labeled by CTB-AF555 and CTB-AF488, but no cell labeled only by CTB-AF488. These data indicate that retinal input to the macaque superior colliculus arises from a collateral axonal branch supplied by ~5% of the ganglion cells that project to the lateral geniculate nucleus. Surprisingly, there exist no ganglion cells that project exclusively to the SC. Full Article
leu Erratum: McCosh et al., "Norepinephrine Neurons in the Nucleus of the Solitary Tract Suppress Luteinizing Hormone Secretion in Female Mice" By www.jneurosci.org Published On :: 2024-11-06T09:30:07-08:00 Full Article
leu Ex-Penguins goalie Marc-André Fleury bids farewell to Pittsburgh fans on retirement tour By www.cbc.ca Published On :: Wed, 30 Oct 2024 11:06:22 EDT Marc-André Fleury stopped 26 shots in what will likely be his final game in Pittsburgh as the Minnesota Wild beat the Penguins 5-3 on Tuesday night. He spent 13 seasons with Pittsburgh and won Stanley Cups in 2009, 2016 and 2017. Full Article Sports/Hockey/NHL
leu AG Jennings announces suit to hold Exxon, American Petroleum Institute, 29 others accountable for climate change costs By news.delaware.gov Published On :: Thu, 10 Sep 2020 15:44:54 +0000 Claims include Negligent Failure to Warn, Trespass, Nuisance and Consumer Fraud Act violations Attorney General Kathy Jennings announced Thursday that Delaware is suing 31 fossil fuel companies on behalf of the state’s residents and businesses to hold them accountable for decades of deception about the role their products play in causing climate change, the harm […] Full Article Department of Justice Department of Justice Press Releases Department of Natural Resources and Environmental Control News
leu Matlab cannot open Pspice, to prompt orCEFSimpleUI.exe that it has stopped working! By community.cadence.com Published On :: Thu, 09 Apr 2020 12:08:58 GMT Cadence_SPB_17.4-2019 + Matlab R2019a 请参考本文档中的步骤进行操作 1,打开BJT_AMP.opj 2,设置Matlab路径 3,打开BJT_AMP_SLPS.slx 4,打开后,设置PSpiceBlock,出现或CEFSimpleUI.exe停止工作 5,添加模块 6,相同 7,打开pspsim.slx 8,相同 9,打开C: Cadence Cadence_SPB_17.4-2019 tools bin orCEFSimpleUI.exe和orCEFSimple.exe 10,相同 我想问一下如何解决,非常感谢! Full Article
leu Meilleur Smart IPTV Premium By topabonnementiptv.wordpress.com Published On :: Wed, 22 Dec 2021 08:24:12 +0000 Subscription 12 Months Smart Iptv Samsung Lg, Sony, M3u Fhd Et Hd CANAL+ propose depuis plusieurs années à l’ensemble de ses abonnés de profiter du direct et du replay de ses différents programmes via l’application myCANAL. Cette dernière est disponible sur les smartphones et les tablettes, mais aussi sur de nombreux modèles de téléviseurs connectés, … Continue reading Meilleur Smart IPTV Premium Full Article Uncategorized
leu This antimatter version of an atomic nucleus is the heaviest yet By www.newscientist.com Published On :: Wed, 21 Aug 2024 17:00:08 +0100 Smashing gold nuclei together at high speeds billions of times has resulted in 16 particles of antihyperhydrogen-4, a very exotic and heavy form of antimatter Full Article
leu Hospital Admission Day Tied to Outcomes for Children With Leukemia By www.medicinenet.com Published On :: Mon, 29 Aug 2022 00:00:00 PDT Title: Hospital Admission Day Tied to Outcomes for Children With LeukemiaCategory: Health NewsCreated: 8/25/2014 4:35:00 PMLast Editorial Review: 8/26/2014 12:00:00 AM Full Article
leu Exogenous Pregnane X Receptor Does Not Undergo Liquid-Liquid Phase Separation in Nucleus under Cell-Based In Vitro Conditions [Special Section on New and Emerging Areas and Technologies in Drug Metabolism and Disposition, Part II] By dmd.aspetjournals.org Published On :: 2024-10-16T09:02:03-07:00 Pregnane X receptor (PXR) belongs to the nuclear receptor superfamily that plays a crucial role in hepatic physiologic and pathologic conditions. Phase separation is a process in which biomacromolecules aggregate and condense into a dense phase as liquid condensates and coexist with a dilute phase, contributing to various cellular and biologic functions. Until now, whether PXR could undergo phase separation remains unclear. This study aimed to investigate whether PXR undergoes phase separation. Analysis of the intrinsically disordered regions (IDRs) using algorithm tools indicated a low propensity of PXR to undergo phase separation. Experimental assays such as hyperosmotic stress, agonist treatment, and optoDroplets assay demonstrated the absence of phase separation for PXR. OptoDroplets assay revealed the inability of the fusion protein of Cry2 with PXR to form condensates upon blue light stimulation. Moreover, phase separation of PXR did not occur even though the mRNA and protein expression levels of PXR target, cytochrome P450 3A4, changed after sorbitol treatment. In conclusion, for the first time, these findings suggested that exogenous PXR does not undergo phase separation following activation or under hyperosmotic stress in nucleus of cells. SIGNIFICANCE STATEMENT PXR plays a critical role in hepatic physiological and pathological processes. The present study clearly demonstrated that exogenous PXR does not undergo phase separation after activation by agonist or under hyperosmotic stress in nucleus. These findings may help understand PXR biology. Full Article
leu Leukemic presentation and progressive genomic alterations of MCD/C5 diffuse large B-cell lymphoma (DLBCL) [RESEARCH ARTICLE] By molecularcasestudies.cshlp.org Published On :: 2024-01-10T08:13:38-08:00 Diffuse large B-cell lymphoma (DLBCL) is a heterogenous group of lymphoid malignancies. Based on gene expression profiling, it has been subdivided into germinal center (GC)-derived and activated B-cell (ABC) types. Advances in molecular methodologies have further refined the subclassification of DLBCL, based on recurrent genetic abnormalities. Here, we describe a distinct case of DLBCL that presented in leukemic form. DNA sequencing targeting 275 genes revealed pathogenically relevant mutations of CD79B, MyD88, TP53, TBL1XR1, and PIM1 genes, indicating that this lymphoma would be best classified as MCD/C5 DLBCL, an ABC subtype. Despite an initial good clinical response to BTK inhibitor ibrutinib, anti-CD20 antibody rituxan, alkylating agent bendamustine, and hematopoietic stem-cell transplant, the lymphoma relapsed, accompanied by morphologic and molecular evidence of disease progression. Specifically, the recurrent tumor developed loss of TP53 heterozygosity (LOH) and additional chromosomal changes central to ABC DLBCL pathogenesis, such as PRDM1 loss. Acquired resistance to ibrutinib and rituxan was indicated by the emergence of BTK and FOXO1 mutations, respectively, as well as apparent activation of alternative cell-activation pathways, through copy-number alterations (CNAs), detected by high-resolution chromosomal microarrays. In vitro, studies of relapsed lymphoma cells confirmed resistance to standard BTK inhibitors but sensitivity to vecabrutinib, a noncovalent inhibitor active against both wild-type as well as mutated BTK. In summary, we provide in-depth molecular characterization of a de novo leukemic DLBCL and discuss mechanisms that may have contributed to the lymphoma establishment, progression, and development of drug resistance. Full Article
leu Con: indwelling pleural catheters cause harm to patients By breathe.ersjournals.com Published On :: 2024-11-12T00:25:08-08:00 Indwelling pleural catheters (IPCs) have rapidly grown in popularity since their introduction for the management of recurrent pleural effusions. In malignant pleural effusions especially, there has been a shift away from measuring pleurodesis success and towards more patient-centred outcomes. Multiple randomised controlled trials have shown that despite lower rates of pleurodesis, symptom control and quality of life outcomes are comparable when compared to alternatives such as talc pleurodesis. IPCs have the added benefit of minimising inpatient hospital stays and reducing the need for recurrent pleural interventions, key priorities for patients with palliative disease. As a result, IPC treatment is associated with excellent patient satisfaction coupled with acceptably low complication rates. Furthermore, in patients with a short life expectancy they confer a cost benefit for the healthcare system. Far from causing harm, IPCs are now recommended as first-line treatment by current clinical guidelines. In malignant pleural disease, guidance advocates IPCs should be offered as a first-line option with the focus on patient priorities and preferences. Ultimately IPCs provide a safe, effective, ambulatory option for managing recurrent pleural effusions. Full Article
leu Pro: indwelling pleural catheters cause harm to patients By breathe.ersjournals.com Published On :: 2024-11-12T00:25:08-08:00 Malignant pleural effusions (MPE) tend to recur and require definitive treatment with either chest drain and talc pleurodesis or indwelling pleural catheters (IPCs), which offer similar symptomatic benefits. In recent years, IPCs have become popular due to the presumed convenience of an outpatient procedure followed by home drainage leading to a misconception of IPCs being an ideal treatment for MPE. However, IPCs predispose the patient to multiple complications and have significant physical and psychological implications that are under-recognised. Patients require additional clinical reviews, hospital admissions and treatment for these complications related to IPCs. Additionally, there is a huge psychological impact of living with a home catheter that is a constant reminder of their cancer and this has been shown to affect quality of life negatively. Hence, IPCs should not be considered the "ideal" treatment for MPE management and clinicians should reflect the equipoise of the evidence for the benefits and accurately reflect the adverse effects of IPCs in their discussions with patients to facilitate informed decision making. Full Article
leu Les Penguins vont-ils congédier leur entraîneur? By www.journaldemontreal.com Published On :: Tue, 12 Nov 2024 10:11:44 EST Ça va mal pour Sidney Crosby et ses coéquipiers. Full Article
leu Sa chanson «Fake Friends» numéro 1 à la radio: «j’ai pleuré de joie» - Billie du Page By www.journaldemontreal.com Published On :: Tue, 12 Nov 2024 19:00:00 EST La jeune artiste de 20 ans domine les palmarès radio depuis trois semaines. Full Article