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Prevalent and Diverse Intratumoral Oncoprotein-Specific CD8+ T Cells within Polyomavirus-Driven Merkel Cell Carcinomas

Merkel cell carcinoma (MCC) is often caused by persistent expression of Merkel cell polyomavirus (MCPyV) T-antigen (T-Ag). These non-self proteins comprise about 400 amino acids (AA). Clinical responses to immune checkpoint inhibitors, seen in about half of patients, may relate to T-Ag–specific T cells. Strategies to increase CD8+ T-cell number, breadth, or function could augment checkpoint inhibition, but vaccines to augment immunity must avoid delivery of oncogenic T-antigen domains. We probed MCC tumor-infiltrating lymphocytes (TIL) with an artificial antigen-presenting cell (aAPC) system and confirmed T-Ag recognition with synthetic peptides, HLA-peptide tetramers, and dendritic cells (DC). TILs from 9 of 12 (75%) subjects contained CD8+ T cells recognizing 1–8 MCPyV epitopes per person. Analysis of 16 MCPyV CD8+ TIL epitopes and prior TIL data indicated that 97% of patients with MCPyV+ MCC had HLA alleles with the genetic potential that restrict CD8+ T-cell responses to MCPyV T-Ag. The LT AA 70–110 region was epitope rich, whereas the oncogenic domains of T-Ag were not commonly recognized. Specific recognition of T-Ag–expressing DCs was documented. Recovery of MCPyV oncoprotein–specific CD8+ TILs from most tumors indicated that antigen indifference was unlikely to be a major cause of checkpoint inhibition failure. The myriad of epitopes restricted by diverse HLA alleles indicates that vaccination can be a rational component of immunotherapy if tumor immune suppression can be overcome, and the oncogenic regions of T-Ag can be modified without impacting immunogenicity.




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Remodeling Translation Primes CD8+ T-cell Antitumor Immunity

The requisites for protein translation in T cells are poorly understood and how translation shapes the antitumor efficacy of T cells is unknown. Here we demonstrated that IL15-conditioned T cells were primed by the metabolic energy sensor AMP-activated protein kinase to undergo diminished translation relative to effector T cells. However, we showed that IL15-conditioned T cells exhibited a remarkable capacity to enhance their protein translation in tumors, which effector T cells were unable to duplicate. Studying the modulation of translation for applications in cancer immunotherapy revealed that direct ex vivo pharmacologic inhibition of translation elongation primed robust T-cell antitumor immunity. Our work elucidates that altering protein translation in CD8+ T cells can shape their antitumor capability.




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Oxidative Catabolism of (+)-Pinoresinol Is Initiated by an Unusual Flavocytochrome Encoded by Translationally Coupled Genes within a Cluster of (+)-Pinoresinol-Coinduced Genes in Pseudomonas sp. Strain SG-MS2 [Biodegradation]

Burkholderia sp. strain SG-MS1 and Pseudomonas sp. strain SG-MS2 have previously been found to mineralize (+)-pinoresinol through a common catabolic pathway. Here, we used comparative genomics, proteomics, protein semipurification, and heterologous expression to identify a flavoprotein from the vanillyl alcohol oxidase/p-cresol methyl hydroxylase (VAO/PCMH) enzyme family in SG-MS2 that carries out the initial hydroxylation of (+)-pinoresinol at the benzylic carbon. The cognate gene is translationally coupled with a downstream cytochrome gene, and the cytochrome is required for activity. The flavoprotein has a unique combination of cofactor binding and cytochrome requirements for the VAO/PCMH family. The heterologously expressed enzyme has a Km of 1.17 μM for (+)-pinoresinol. The enzyme is overexpressed in strain SG-MS2 upon exposure to (+)-pinoresinol, along with 45 other proteins, 22 of which were found to be encoded by genes in an approximately 35.1-kb cluster also containing the flavoprotein and cytochrome genes. Homologs of 18 of these 22 genes, plus the flavoprotein and cytochrome genes, were also found in a 38.7-kb cluster in SG-MS1. The amino acid identities of four of the other proteins within the SG-MS2 cluster suggest they catalyze conversion of hydroxylated pinoresinol to protocatechuate and 2-methoxyhydroquinone. Nine other proteins upregulated in SG-MS2 on exposure to (+)-pinoresinol appear to be homologs of proteins known to comprise the protocatechuate and 2-methoxyhydroquinone catabolic pathways, but only three of the cognate genes lie within the cluster containing the flavoprotein and cytochrome genes.

IMPORTANCE (+)-Pinoresinol is an important plant defense compound, a major food lignan for humans and some other animals, and the model compound used to study degradation of the β-β' linkages in lignin. We report a gene cluster, in one strain each of Pseudomonas and Burkholderia, that is involved in the oxidative catabolism of (+)-pinoresinol. The flavoprotein component of the α-hydroxylase which heads the pathway belongs to the 4-phenol oxidizing (4PO) subgroup of the vanillyl alcohol oxidase/p-cresol methyl hydroxylase (VAO/PCMH) enzyme family but constitutes a novel combination of cofactor and electron acceptor properties for the family. It is translationally coupled with a cytochrome gene whose product is also required for activity. The work casts new light on the biology of (+)-pinoresinol and its transformation to other bioactive molecules. Potential applications of the findings include new options for deconstructing lignin into useful chemicals and the generation of new phytoestrogenic enterolactones from lignans.




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TBCRC 032 IB/II Multicenter Study: Molecular Insights to AR Antagonist and PI3K Inhibitor Efficacy in Patients with AR+ Metastatic Triple-Negative Breast Cancer

Purpose:

Preclinical data demonstrating androgen receptor (AR)–positive (AR+) triple-negative breast cancer (TNBC) cells are sensitive to AR antagonists, and PI3K inhibition catalyzed an investigator-initiated, multi-institutional phase Ib/II study TBCRC032. The trial investigated the safety and efficacy of the AR-antagonist enzalutamide alone or in combination with the PI3K inhibitor taselisib in patients with metastatic AR+ (≥10%) breast cancer.

Patients and Methods:

Phase Ib patients [estrogen receptor positive (ER+) or TNBC] with AR+ breast cancer received 160 mg enzalutamide in combination with taselisib to determine dose-limiting toxicities and the maximum tolerated dose (MTD). Phase II TNBC patients were randomized to receive either enzalutamide alone or in combination with 4 mg taselisib until disease progression. Primary endpoint was clinical benefit rate (CBR) at 16 weeks.

Results:

The combination was tolerated, and the MTD was not reached. The adverse events were hyperglycemia and skin rash. Overall, CBR for evaluable patients receiving the combination was 35.7%, and median progression-free survival (PFS) was 3.4 months. Luminal AR (LAR) TNBC subtype patients trended toward better response compared with non-LAR (75.0% vs. 12.5%, P = 0.06), and increased PFS (4.6 vs. 2.0 months, P = 0.082). Genomic analyses revealed subtype-specific treatment response, and novel FGFR2 fusions and AR splice variants.

Conclusions:

The combination of enzalutamide and taselisib increased CBR in TNBC patients with AR+ tumors. Correlative analyses suggest AR protein expression alone is insufficient for identifying patients with AR-dependent tumors and knowledge of tumor LAR subtype and AR splice variants may identify patients more or less likely to benefit from AR antagonists.




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Functional characterization of two rare BCR-FGFR1+ leukemias [RESEARCH REPORT]

8p11 myeloproliferative syndrome (EMS) represents a unique World Health Organization (WHO)-classified hematologic malignancy defined by translocations of the FGFR1 receptor. The syndrome is a myeloproliferative neoplasm characterized by eosinophilia and lymphadenopathy, with risk of progression to either acute myeloid leukemia (AML) or T- or B-lymphoblastic lymphoma/leukemia. Within the EMS subtype, translocations between breakpoint cluster region (BCR) and fibroblast growth factor receptor 1 (FGFR1) have been shown to produce a dominant fusion protein that is notoriously resistant to tyrosine kinase inhibitors (TKIs). Here, we report two cases of BCR–FGFR1+ EMS identified via RNA sequencing (RNA-seq) and confirmed by fluorescence in situ hybridization (FISH). Sanger sequencing revealed that both cases harbored the exact same breakpoint. In the first case, the patient presented with AML-like disease, and in the second, the patient progressed to B-cell acute lymphoblastic leukemia (B-ALL). Additionally, we observed that that primary leukemia cells from Case 1 demonstrated sensitivity to the tyrosine kinase inhibitors ponatinib and dovitinib that can target FGFR1 kinase activity, whereas primary cells from Case 2 were resistant to both drugs. Taken together, these results suggest that some but not all BCR–FGFR1 fusion positive leukemias may respond to TKIs that target FGFR1 kinase activity.




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[Cell Signaling] Ca2+ Signaling in Exocrine Cells

Calcium (Ca2+) and cyclic AMP (cAMP) signaling cross talk and synergize to stimulate the cardinal functions of exocrine cells, regulated exocytosis, and fluid and electrolyte secretion. This physiological process requires the organization of the two signaling pathways into complexes at defined cellular domains and close placement. Such domains are formed by membrane contact sites (MCS). This review discusses the basic properties of Ca2+ signaling in exocrine cells, the role of MCS in the organization of cell signaling and in cross talk and synergism between the Ca2+ and cAMP signaling pathways and, finally, the mechanism by which the Ca2+ and cAMP pathways synergize to stimulate epithelial fluid and electrolyte secretion.




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Còn 6 ngày! Thanh toán 18%/9 tháng+ CK 18%+ hoàn 5%+bảo hiểm 400tr khi mua căn hộ trung tâm TP biển

Thân chào quý anh/ chị. Hiện em đang có 1 căn hàng chủ đầu tư 2 phòng ngủ, 2 WC (68,9m2) cực thoáng mát view biển, tầng trung, hướng Đông Bắc giá chỉ 36,9 triệu/m2 (2.580 tỷ) hiện đang được chiết khấu chỉ còn 1.609 tỷ ( tương đương 24,6 tr/m2). Cụ thể: + Chiết khấu nội bộ 6%/ giá trị căn: Giảm ngay 154,8 triệu. + Hoàn lại 5%/ giá trị thanh toán: Tương ứng 100,6 triệu. + ...




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Villa for rent - 1 ground floor + 2 floors, 4 bedrooms, 406m2, located at Riviera Cove

Riviera Cove villa for rent in District 9,with an area of 406m2, including 1 ground floor 2 floors, 4 bedrooms, 4 bathrooms, 1 living room and 1 dining room, able to park cars within the villa premises. Price for rent:$ 2,000 / Month. Riviera Cove Villa is located in a peaceful s...




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Villa Riviera Cove for rent - 1 ground floor + 2 floors, 4 bedrooms, 500m2, fully furnished

Villa Riviera Cove for rent with an area of 500m2, architecture including 1 ground floor 2 floors, 4 bedrooms, 4 bathrooms, 1 living room and 1 dining room. Fully furnished can leave a car within the villa premises. Price for rent: $ 2,100 / Month. Riviera Cove Villa is located i...




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Hot! Saigon eco-villas for sale from 1000-1200$/m2 Call (+84) 968020129 (zalo, viber)

The project with million-dollar canal model and the Marina for all Village apartments - First appeared in Saigon. Call (+84) 968020129 (zalo, viber) Security Villa - The surrounding neighbourhoods are classy like you!- Location: P. Long Phuoc. District 9, TP. HCM. (25 minutes fro...




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Saigon eco-villas - Priced from 1000-1200$/m2 - Call (+84) 968020129 (zalo, viber)

The project with million-dollar canal model and the Marina for all Village apartments - First appeared in Saigon. Call (+84) 968020129 (zalo, viber) Security Villa - The surrounding neighbourhoods are classy like you! - Location: Long Phuoc. District 9, HCMC (25 minutes from...




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Call now! Saigon eco-villas only from 1000-1200$/m2 - Tel. (+84) 968020129 (zalo, viber)

The project with million-dollar canal model and the Marina for all Village apartments - First appeared in Saigon. Call (+84) 968020129 (zalo, viber) Security Villa - The surrounding neighbourhoods are classy like you!- Location: P. Long Phuoc. District 9, TP. HCM. (25 minutes fro...




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One Verandah - Condo for sale, 2 bedrooms, SPA 50m2, River View, contact +84 988197791

- SPA for foreigner - Foreign Developer - River view - Viento Tower - Located in the new administrative area - Easy to reach CBD and surrounding places - 30% paid - Completed handover...




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Cho thuê phòng full nội thất có gác + Có giường cực rộng - Ở 5 người được luôn - Giá rẻ thuận tiện

Cần cho thuê phòng full nội thất giá rẻ - Quận Tân Bình giáp quận 10.. Ngay Toyota Lý Thường Kiệt.- Vị trí cực đẹp xung quanh bán kính 200m có tầm 6 cái ngân hàng hoạt động (Ngân hàng thì chắc chắn sẽ chọn vị trí cực đẹp thuận lợi) Nên bạn thuê phòng sẽ yên tâm về vị trí.- Đường ...




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Phòng Ban Công Rộng + Cửa Sổ - Full Nội Thất Mới - Vị Trí Thuận Lợi đi qua quận 1 - Phú Nhuận

Cho Thuê phòng full nội thất - ban công cửa sổ đầy đủ - giờ giấc tự do - wc riêng -- Vị trí đắc địa gần Ngân hàng - Chợ, Nhà thờ, Bách Hoá Xanh, cửa hàng tiện lợi, Cạnh The Coffee House Bùi Hữu Nghĩa .... --- Nội thất y như hình, gồm: giường nệm, điều hoà, tủ lạnh, bàn ăn, t...




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Cực hot! Nhà Mặt tiền Lê Văn Việt trệt+1 lầu cực đẹp 5x15,5=77.5m2 công nhận, giá SHOCK chỉ 11 tỷ

Cơ hội hiếm có sở hữu mặt tiền Lê Văn Việt siêu đẹp Liên hệ: 0911.615.620 - vũ tâm mặt tiền - gđ công ty BĐS trí tâm - nắm tất cả mặt tiền lớn quận 9 - Thủ Đức, nắm giữ hơn 2000 khách hàng có nhu cầu mua nhà mặt tiền, kinh nghiệm 05 năm định giá nhà mặt tiền. BIDV hỗ trợ vay ...




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The Marq By Hongkong Land - your landmark of pride - 1% monthly payment - Hotline: +84911130135

THE MARQ from HongKong Land - the 7th in luxury collection where is located in District 1, HCMC."The Marq" we called you are is the best in town!Exploring the must have - contact me for further information via mobile: +84911 130 135 or email: Click to reveal email Ladu...@xxxxxx....




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Where will be another version of "Pudong" at HCMC? Let me support you to explore !!! +84911 130 135

The Metropole - A new masterpiece coming from New financial center of HCMC - Thu Thiem New Urban Developer: Sonkim Land & Quoc Loc Phat Location: Functional Area 1, Thu Thiem new urban, District 2 Project key features: - Prime location in Thu Thiem new urban. (Zone 1) - Opposite ...




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Q2 Thao Dien Project, 4Brs + 1WR, river view, foreign quota for sales - Call +84903799818

* Project: Q2 Thao Dien * Developer: Frasers Singapore ***Foreign quota with SPA.* Type: 4 Bedrooms + 1 study room/working room * Size: Gross: 200.65 sqm, net: 186.25 sqm * Price: 20.4 Bil. VND * View: River * Floor: above 25 * Spacious balcony: 8-m-widthContact: Jasmine +8490379...




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Condo with 2BR for sales at Sunwah Pearl - closing to City center - high rental yields +84911130135

DEVELOPER: Sunwah Group is a highly diversified conglomerate with businesses in seven principal areas: Seafood & Foodstuff, Real Estate, Financial Services, Technology, Media, Infrastructure and Education and training. Activities extend deep into Mainland China as well as to the ...




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THE OPERA RESIDENCE AND ITS PRIME UNIQUE LOCATION AT THUTHIEM NEW URBAN - +84911 130 135

Proudly located at a unique position that no project has - adjacent to the Opera House, another masterpiece of The Metropole Thu Thiem project named The Opera Residence is ready for REFUNDABLE BOOKING to reserve the chance at the official launch this Q3. This third masterpiece of...




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1BR luxury apartment for sales in City Center by Hongkong Land - Hotline: +84911 130 135

1 Bedroom Apartment for sale at The Marq - new masterpiece in Hochiminh City center by Hongkong LandHongkong Land announced the launch of The Marq, which will be opened for sale in the first half of 2019. Located in the heart of District 1, the development will provide 515 opulen...




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Cần thanh lý gấp nhà phố 100m2 giá chỉ 4,7 tỷ 160m2 6,3 tỷ + suất nội bộ cam kết rẻ hơn CĐT HUD 1tỷ

Cần bán nhà liên kế dự án Đông Tăng Long. Mẫu 100m giá chỉ từ 4,6 tỷ. - Xây dựng 1 trệt 2 lầu 1 mặt bằng mái. - Tổng diện tích sử dụng 256.5m2. - Nhà đang xây dựng dự kiến quý 4 năm 2020 bàn giao.MẪU 160m (biệt thự song lập) giá chỉ từ 6.2 tỷ. - Xây dựng 1 trệt 2 lầu 1 mặt bằng m...




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Chính chủ bán biệt thự sân vườn + kèm khu chung cư Mini DT đất 2.000 m2 sát sân bay Nội Bài

"Khu đất rộng 2000m2, nở hậu, cách nhà ga T1 Nội Bài 10 phút đi bộ, đường rộng oto vào tận nơi, gần nhà văn Hóa Tân Trại, chùa Kính Lâm, chợ và cây xăng Phú Cường, bao gồm một biệt thự sân vườn rộng 1600m2 và chung cư thấp tầng rộng 400m2.Biệt thự 3 tầng rộng 60 m2, mặt và ban cô...




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Nice penthouse for rent at Sky Garden, 3BRs + 3WCs, 35 million/month. Call: 0906.647.689

Design: 3 beds & 3wc Area: 325m2 The apartment is suitable for a family to live together. Rental: 35.000.000 vnd/monthFurniture: full option- Located: at Nguyen Van Linh street, next to SC Vivo City- Public amenities: schools, universities, hospitals, and shopping center- Utility...




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Hot! 3-storey shophouse for sale in Thao Dien D2, 300m2, near metro station - Call +84 948 522 889

- Sublease investor commits to profit within 6 years , plan price 25$/m2 - Area: 191.2m2 - Price: $1,060,000 -The Developer is the company of Fraser Singapore which is very famous in other countries because this is the first project in Vietnam so the Developer sells with not much...




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How to Measure Video Marketing Impact + KPIs for Every Team’s Video Program

window.addEventListener("message", function (message) { var msg = message.data && JSON.parse(message.data); if (msg.name === "hapyak_embedded_experience_aspect_ratio_available") { var hyIframe = document.getElementById("hapyak_embedded_experience_6432"); hyIframe.style.paddingTop = 100 * (1 / […]

The post How to Measure Video Marketing Impact + KPIs for Every Team’s Video Program appeared first on e-Learning Feeds.




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A Practical Guide to Personalized Video Strategy (+ 5 Interactivity Types For Your Brand’s Videos)

There’s the technical definition of personalized marketing: the collection and analysis of prospect data to implement an enterprise marketing strategy for custom segments And then […]

The post A Practical Guide to Personalized Video Strategy (+ 5 Interactivity Types For Your Brand’s Videos) appeared first on e-Learning Feeds.




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Roku’s 4K HDR Streaming Stick+ is on sale for $39 today

Dealmaster also has deals on Kindles, our top Thunderbolt 3 dock, and more.




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Epic Game Store: Totally Reliable Delivery Service FREE + Spring Sale

Totally Reliable Delivery Service FREE (download before 4/8)
 

The Spring Sale is now here with fresh offers across a range of top content! Don't forget, Epic Coupons acquired in our Holiday Sale are expiring May 1, 2020 2:59am EST and able to be used on any eligible purchase $14.99 or above!

Spring Sale - ends 4/16

 

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    Console Games, Merch Sale with Free Shipping and 50% Off 1 Month Uplay+ at Ubi Store

    Uplay+ service, with access to + 100 games is is 50% off for the 1st month!  Members can get unlimited access to + 100 games for $6.99
    https://store.ubi.com/us/uplayplus/
     
    Free shipping and +50% off on all physical games until April 19th. There's merch on sale as well.
    https://store.ubi.com/us/free-shipping-sale/






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    Amazon Prime, Disney+ and Netflix: 2020 films to watch at home while cinemas are shut

    While the lockdown continues across the UK - streaming giants Amazon Prime, Disney+ and Netflix have added a number of new movies which were originally due to premiere in cinemas.




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    The Quarantine + Pandemic Survival Map: 'It's escapism, with a lot of humour'

    No longer able to walk hundreds of miles to create his hand-drawn maps, the Beijing-based artist Fuller is charting his thoughts – and the global crisis – while stuck indoors

    I’m interested in the psychology of a place and how it makes you feel. So I don’t really see myself as a map-maker – even though I draw maps. It’s about the process of travelling through a place to capture a sense of it. First, I walk for hundreds of miles and make all sorts of notes, and then take thousands of photos to use as triggers for my memory.

    I walked more than 840 miles around Beijing when researching the map that became part of my Purposeful Wandering series. I circumnavigated the city and then walked around each ring road. Beijing (where I’ve lived for three years) is built on a Central Axis, and the map is, too. A lot of the drawing is literal, but I also built in personal experiences, references, visual puns and semiotics.

    Continue reading...




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    The Mandalorian documentary series to launch on Disney+ on Star Wars Day

    The series will give a first behind-the-scenes look at the making of 'The Mandalorian'




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    Disney+ reportedly working on new 'female-centric' Star Wars series from Russian Doll's Leslye Headland

    Report suggests the series takes place in a whole new part of the Star Wars timeline




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    Disney+ curates collection of Simpsons episodes that predict the future

    Fans think The Simpsons predicted everything from Trump's presidency to coronavirus




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    National Treasure series from Jerry Bruckheimer coming to Disney+

    A third film is also in the works




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    Meghan Markle wore Prince Harry and baby Archie's star signs on her necklaces during first interview about new Disney+ documentary

    Megha-bling




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    Manchester United redraw transfer plans after Ed Woodward's admission on £100m+ spending

    Ed Woodward says talk of nine-figure deals 'ignores the reality' of financial impact of coronavirus




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    ACTU secretary tells Q+A the Government is 'spying' on union leaders

    ACTU secretary Sally McManus tells Hamish Macdonald the Government taps the phones of union chiefs, while economist Gigi Foster causes a stir by saying the coronavirus lockdown may not be worth the cost.




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    Quick Answers to Quick Questions: Ryan Maguire, CTO & VP, KIN + Carta

    Ryan Maguire is CTO & VP of emerging capabilities and partnerships at Kin + Carta. Prior to navigating our way through social distancing, Ryan and I connected about his work at Kin + Carta, a business "built for the 2020's" - with a collaborative ecosystem of 1,600 strategists, engineers, and creatives across four continents. When we last checked in, like so many of us, Ryan and his teams are spending their time closely monitoring and manoeuvring the impacts COVID-19 on their business, clients and investors. However, here is the conversation we had in early March.

    Keep on reading: Quick Answers to Quick Questions: Ryan Maguire, CTO & VP, KIN + Carta




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    Movie props have 'undeniable charm.' A new Disney+ series spotlights the fading art

    We chat with two movie vets featured on Disney+'s "Prop Culture": the director of "Honey, I Shrunk the Kids" and the animator of "The Nightmare Before Christmas."




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    Insurers + PBMs + Specialty Pharmacies + Providers: Will Vertical Consolidation Disrupt Drug Channels in 2020? (rerun)

    This week, I’m rerunning some popular posts while I prepare for this Friday’s video webinar: Industry Update and COVID-19 Impact: PBMs & Payers.

    Life was very different when I originally published today’s article. 2020 is not turning out to be quite what any of us expected. However, the pandemic has exposed some intriguing pros and cons of vertical consolidation. Click here to see the original post and comments from December 2019.


    The largest insurers, PBMs, and specialty pharmacies have now combined into vertically-integrated organizations. As I explain below, these companies have also been rapidly integrating with healthcare providers.

    I also provide an updated look at these companies and highlight strategies that they are using—or could use—to control the channel. I believe that these insurer / PBM / specialty pharmacy / provider organizations are poised to restructure U.S. drug channels by exerting greater control over patient access, sites of care/dispensing, and pricing.

    If they can effectively coordinate their sprawling business operations, they will pose a substantial threat of disruption to the existing commercial strategies of pharma companies.

    Will they succeed by better managing care and costs, or merely by extracting higher profits from our convoluted system?
    Read more »
            




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    Express Scripts + Prime Therapeutics: Our Four Takeaways From This Market Changing Deal (rerun)

    This week, I’m rerunning some popular posts while I prepare for this Friday’s video webinar: Industry Update and COVID-19 Impact: PBMs & Payers.

    I suspect this deal will remain profitable for the participating companies even as COVID-19 alters the US. prescription payer mix. Click here to see the original post and comments from January 2020. National market shares for the largest PBMs in 2019 appears as Exhibit 88 of our 2020 Economic Report on U.S. Pharmacies and Pharmacy Benefit Managers.

    P.S. Sorry that today's meme is one day too late for Star Wars day.



    Just before the holidays, Cigna’s Express Scripts business announced a market-changing deal with Prime Therapeutics. Click here to read the press release.

    There's been very little written about this transaction, though it has potentially major implications. Below, I share my thoughts on the following topics arising from the deal:
    • Implications for manufacturers and pharmacies
    • The role of the secretive Ascent Health Services
    • What this all means for Walgreens
    • Why the Federal Trade Commission won’t challenge the deal
    A few weeks ago, I explained why integrated insurer / PBM / specialty pharmacy / provider organizations are poised to restructure U.S. drug channels. The Express Scripts / Prime deal signals that the channel will continue its amazing pace of reinvention.

    The scale, scope, and interconnectedness of today’s market participants make the system increasingly resistant to massive disruption from either external players like Amazon or a government takeover. Like it or not, the channel will continue to gain power and extract profit. Read on and see if you agree.
    Read more »
            




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    Vertex's Kalydeco seizes EU CHMP recommendation for Kalydeco in R117H+ cystic fibrosis

    The European Medicines Agency’s Committee for Medicinal Products for Human Use has given its recommendation for the approval of Kalydeco for the treatment of children and adolescents with cystic fibrosis in a new indication, Vertex has revealed.




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    NICE gives thumbs-up to Roche's Kadcyla in HER2+ breast cancer sub-population

    NICE has revealed that it has recommended the NHS use of Roche’s Kadcyla (trastuzumab emtansine) for HER2+ breast cancer in patients who have residual invasive disease in the breast or lymph nodes after receiving neoadjuvant treatment including a HER2-targeted agent.




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    NAD+ Sublingual Gel

    The U.S. Food and Drug Administration posted a photo:

    This product is promoted with unapproved claims to prevent, treat, mitigate, or cure COVID-19. FDA warns consumers to avoid unproven and potentially unsafe products. See the Warning Letter for more information:

    www.fda.gov/inspections-compliance-enforcement-and-crimin...

    More information is available at www.fda.gov/consumers/health-fraud-scams/fraudulent-coron...

    Photo by FDA's Office of Regulatory Affairs, Health Fraud Branch

    This photo is free of all copyright restrictions and available for use and redistribution without permission. Credit to FDA's Office of Regulatory Affairs, Health Fraud Branch is appreciated but not required.




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    Bausch + Lomb licenses Stada and Xbrane’s Lucentis biosimilar

    Eye health specialist Bausch + Lomb, part Bausch Health Companies, has entered into an exclusive licensing…



    • Bausch & Lomb/Bausch Health Companies/Biosimilars/Canada/Deals/Germany/Licensing/Lucentis/Ophthalmics/STADA Arzneimittel/Sweden/USA/Xbrane Biopharma AB/Xlucane