apa

Japan's maglev train smashes world speed record

Central Japan Railways says its magnetically levitating train has broken its previous world speed record in a test-run at a special track West of Tokyo. Rob Muir reports.




apa

Robots run the show at Japanese hotel

Robots welcome guests at the check-in counter, carry baggage and operate a locker room at a Japanese amusement park hotel. Sharon Reich reports




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A Japanese nuclear power plant created a habitat for tropical fish

A small increase in water temperature near a Japanese nuclear power plant allowed tropical fish to colonise the area, suggesting global warming will drastically alter some marine ecosystems




apa

methimazole, Tapazole

Title: methimazole, Tapazole
Category: Medications
Created: 2/24/2001 12:00:00 AM
Last Editorial Review: 10/15/2019 12:00:00 AM




apa

Secondhand Smoke Permeates Many Apartment Buildings: Study

Title: Secondhand Smoke Permeates Many Apartment Buildings: Study
Category: Health News
Created: 4/29/2012 10:05:00 AM
Last Editorial Review: 4/30/2012 12:00:00 AM




apa

Psychopaths May Lack Capacity for Empathy

Title: Psychopaths May Lack Capacity for Empathy
Category: Health News
Created: 4/26/2013 12:35:00 PM
Last Editorial Review: 4/29/2013 12:00:00 AM




apa

Japan Quake Shows How Stress Alters the Brain

Title: Japan Quake Shows How Stress Alters the Brain
Category: Health News
Created: 4/29/2014 12:35:00 PM
Last Editorial Review: 4/30/2014 12:00:00 AM




apa

How Long Does It Take to Recover from Laparoscopic Inguinal Hernia Surgery?

Title: How Long Does It Take to Recover from Laparoscopic Inguinal Hernia Surgery?
Category: Procedures and Tests
Created: 5/1/2020 12:00:00 AM
Last Editorial Review: 5/1/2020 12:00:00 AM




apa

How Long Does a Laparoscopic Nissen Fundoplication Last?

Title: How Long Does a Laparoscopic Nissen Fundoplication Last?
Category: Procedures and Tests
Created: 4/29/2020 12:00:00 AM
Last Editorial Review: 4/29/2020 12:00:00 AM




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Characterization of the Efflux Capability and Substrate Specificity of Aspergillus fumigatus PDR5-like ABC Transporters Expressed in Saccharomyces cerevisiae

ABSTRACT

This research analyzed six Aspergillus fumigatus genes encoding putative efflux proteins for their roles as transporters. The A. fumigatus genes abcA, abcC, abcF, abcG, abcH, and abcI were cloned into plasmids and overexpressed in a Saccharomyces cerevisiae strain in which the highly active endogenous ABC transporter gene PDR5 was deleted. The activity of each transporter was measured by efflux of rhodamine 6G and accumulation of alanine β-naphthylamide. The transporters AbcA, AbcC, and AbcF had the strongest efflux activities of these compounds. All of the strains with plasmid-expressed transporters had more efflux activity than did the PDR5-deleted background strain. We performed broth microdilution drug susceptibility testing and agar spot assays using an array of compounds and antifungal drugs to determine the transporter specificity and drug susceptibility of the strains. The transporters AbcC and AbcF showed the broadest range of substrate specificity, while AbcG and AbcH had the narrowest range of substrates. Strains expressing the AbcA, AbcC, AbcF, or AbcI transporter were more resistant to fluconazole than was the PDR5-deleted background strain. Strains expressing AbcC and AbcF were additionally more resistant to clotrimazole, itraconazole, ketoconazole, and posaconazole than was the background strain. Finally, we analyzed the expression levels of the genes by reverse transcription-quantitative PCR (RT-qPCR) in triazole-susceptible and -resistant A. fumigatus clinical isolates. All of these transporters are expressed at a measurable level, and transporter expression varied significantly between strains, demonstrating the high degree of phenotypic variation, plasticity, and divergence of which this species is capable.

IMPORTANCE One mechanism behind drug resistance is altered export out of the cell. This work is a multifaceted analysis of membrane efflux transporters in the human fungal pathogen A. fumigatus. Bioinformatics evidence infers that there is a relatively large number of genes in A. fumigatus that encode ABC efflux transporters. However, very few of these transporters have been directly characterized and analyzed for their potential role in drug resistance.

Our objective was to determine if these undercharacterized proteins function as efflux transporters and then to better define whether their efflux substrates include antifungal drugs used to treat fungal infections. We chose six A. fumigatus potential plasma membrane ABC transporter genes for analysis and found that all six genes produced functional transporter proteins. We used two fungal systems to look for correlations between transporter function and drug resistance. These transporters have the potential to produce drug-resistant phenotypes in A. fumigatus. Continued characterization of these and other transporters may assist in the development of efflux inhibitor drugs.




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A Chimeric Japanese Encephalitis Vaccine Protects against Lethal Yellow Fever Virus Infection without Inducing Neutralizing Antibodies

ABSTRACT

Recent outbreaks of yellow fever virus (YFV) in West Africa and Brazil resulted in rapid depletion of global vaccine emergency stockpiles and raised concerns about being unprepared against future YFV epidemics. Here we report that a live attenuated virus similar to the Japanese encephalitis virus (JEV) vaccine JE-CVax/Imojev that consists of YFV-17D vaccine from which the structural (prM/E) genes have been replaced with those of the JEV SA14-14-2 vaccine strain confers full protection in mice against lethal YFV challenge. In contrast to the YFV-17D-mediated protection against YFV, this protection is not mediated by neutralizing antibodies but correlates with YFV-specific nonneutralizing antibodies and T cell responses against cell-associated YFV NS1 and other YFV nonstructural (NS) proteins. Our findings reveal the potential of YFV NS proteins to mediate protection and demonstrate that chimeric flavivirus vaccines, such as Imojev, could confer protection against two flaviviruses. This dual protection may have implications for the possible off-label use of JE-CVax in case of emergency and vaccine shortage during YFV outbreaks. In addition, populations in Asia that have been vaccinated with Imojev may already be protected against YFV should outbreaks ever occur on that continent, as several countries/regions in the Asia-Pacific are vulnerable to international spread of the YFV.

IMPORTANCE Efficient and safe vaccines against yellow fever (e.g., YFV-17D) that provide long-lasting protection by rapidly inducing neutralizing antibody responses exist. However, the vaccine supply cannot cope with an increasing demand posed by urban outbreaks in recent years. Here we report that JE-CVax/Imojev, a YFV-17D-based chimeric Japanese encephalitis vaccine, also efficiently protects against YFV infection in mice. In case of shortage of the YFV vaccine during yellow fever outbreaks, (off-label) use of JE-CVax/Imojev may be considered. Moreover, wider use of JE-CVax/Imojev in Asia may lower the risk of the much-feared YFV spillover to the continent. More generally, chimeric vaccines that combine surface antigens and replication machineries of two distinct flaviviruses may be considered dual vaccines for the latter pathogen without induction of surface-specific antibodies. Following this rationale, novel flavivirus vaccines that do not hold a risk for antibody-dependent enhancement (ADE) of infection (inherent to current dengue vaccines and dengue vaccine candidates) could be designed.




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An EBNA3A-Mutated Epstein-Barr Virus Retains the Capacity for Lymphomagenesis in a Cord Blood-Humanized Mouse Model [Transformation and Oncogenesis]

Epstein-Barr virus (EBV) causes B cell lymphomas and transforms B cells in vitro. The EBV protein EBNA3A collaborates with EBNA3C to repress p16 expression and is required for efficient transformation in vitro. An EBNA3A deletion mutant EBV strain was recently reported to establish latency in humanized mice but not cause tumors. Here, we compare the phenotypes of an EBNA3A mutant EBV (3A) and wild-type (WT) EBV in a cord blood-humanized (CBH) mouse model. The hypomorphic 3A mutant, in which a stop codon is inserted downstream from the first ATG and the open reading frame is disrupted by a 1-bp insertion, expresses very small amounts of EBNA3A using an alternative ATG at residue 15. 3A caused B cell lymphomas at rates similar to their induction by WT EBV but with delayed onset. 3A and WT tumors expressed equivalent levels of EBNA2 and p16, but 3A tumors in some cases had reduced LMP1. Like the WT EBV tumors, 3A lymphomas were oligoclonal/monoclonal, with typically one dominant IGHV gene being expressed. Transcriptome sequencing (RNA-seq) analysis revealed small but consistent gene expression differences involving multiple cellular genes in the WT EBV- versus 3A-infected tumors and increased expression of genes associated with T cells, suggesting increased T cell infiltration of tumors. Consistent with an impact of EBNA3A on immune function, we found that the expression of CLEC2D, a receptor that has previously been shown to influence responses of T and NK cells, was markedly diminished in cells infected with EBNA3A mutant virus. Together, these studies suggest that EBNA3A contributes to efficient EBV-induced lymphomagenesis in CBH mice.

IMPORTANCE The EBV protein EBNA3A is expressed in latently infected B cells and is important for efficient EBV-induced transformation of B cells in vitro. In this study, we used a cord blood-humanized mouse model to compare the phenotypes of an EBNA3A hypomorph mutant virus (3A) and wild-type EBV. The 3A virus caused lymphomas with delayed onset compared to the onset of those caused by WT EBV, although the tumors occurred at a similar rate. The WT EBV and EBNA3A mutant tumors expressed similar levels of the EBV protein EBNA2 and cellular protein p16, but in some cases, 3A tumors had less LMP1. Our analysis suggested that 3A-infected tumors have elevated T cell infiltrates and decreased expression of the CLEC2D receptor, which may point to potential novel roles of EBNA3A in T cell and NK cell responses to EBV-infected tumors.




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Determining the Bioenergetic Capacity for Fatty Acid Oxidation in the Mammalian Nervous System [Research Article]

The metabolic state of the brain can greatly impact neurologic function. Evidence of this includes the therapeutic benefit of a ketogenic diet in neurologic diseases, including epilepsy. However, brain lipid bioenergetics remain largely uncharacterized. The existence, capacity, and relevance of mitochondrial fatty acid β-oxidation (FAO) in the brain are highly controversial, with few genetic tools available to evaluate the question. We have provided evidence for the capacity of brain FAO using a pan-brain-specific conditional knockout (KO) mouse incapable of FAO due to the loss of carnitine palmitoyltransferase 2, the product of an obligate gene for FAO (CPT2B–/–). Loss of central nervous system (CNS) FAO did not result in gross neuroanatomical changes or systemic differences in metabolism. Loss of CPT2 in the brain did not result in robustly impaired behavior. We demonstrate by unbiased and targeted metabolomics that the mammalian brain oxidizes a substantial quantity of long-chain fatty acids in vitro and in vivo. Loss of CNS FAO results in robust accumulation of long-chain acylcarnitines in the brain, suggesting that the mammalian brain mobilizes fatty acids for their oxidation, irrespective of diet or metabolic state. Together, these data demonstrate that the mammalian brain oxidizes fatty acids under normal circumstances with little influence from or on peripheral tissues.




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Diving apart together: call propagation in diving long-finned pilot whales [RESEARCH ARTICLE]

Annebelle C. M. Kok, Lisette van Kolfshoten, James A. Campbell, Alexander M. von Benda-Beckmann, Patrick J. O. Miller, Hans Slabbekoorn, and Fleur Visser

Group-living animals must communicate to stay in contact. In long-finned pilot whales, there is a trade-off between the benefits of foraging individually at depth and the formation of tight social groups at the surface. Using theoretical modelling and empirical data of tagged pairs within a group, we examined the potential of pilot whale social calls to reach dispersed group-members during foraging periods. Both theoretical predictions and empirical data of tag pairs showed a potential for communication between diving and non-diving group members over separation distances up to at least 385 m (empirical) and 1800 m (theoretical). These distances are at or exceeding pilot whale dive depths recorded across populations. Call characteristics and environmental characteristics were analysed to investigate determinants of call detectability. Longer calls with a higher sound pressure level (SPL) that were received in a quieter environment were more often detected than their shorter, lower SPL counterparts within a noisier environment. In a noisier environment, calls were louder and had a lower peak frequency, indicating mechanisms for coping with varying conditions. However, the vulnerability of pilot whales to anthropogenic noise is still of concern as the ability to cope with increasing background noise may be limited. Our study shows that combining propagation modelling and actual tag recordings provides new insights into the communicative potential for social calls in orientation and reunion with group members for deep-diving pilot whales.




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Heat dissipation capacity influences reproductive performance in an aerial insectivore [RESEARCH ARTICLE]

Simon Tapper, Joseph J. Nocera, and Gary Burness

Climatic warming is predicted to increase the frequency of extreme weather events, which may reduce an individual's capacity for sustained activity due to thermal limits. We tested whether the risk of overheating may limit parental provisioning of an aerial insectivorous bird in population decline. For many seasonally breeding birds, parents are thought to operate close to an energetic ceiling during the 2-3 week chick-rearing period. The factors determining the ceiling remain unknown, although it may be set by an individual's capacity to dissipate body heat (the heat dissipation limitation hypothesis). Over two breeding seasons we experimentally trimmed the ventral feathers of female tree swallows (Tachycineta bicolor, Vieillot, 1808) to provide a thermal window. We then monitored maternal and paternal provisioning rates, nestling growth rates, and fledging success. We found the effect of our experimental treatment was context-dependent. Females with an enhanced capacity to dissipate heat fed their nestlings at higher rates than controls when conditions were hot, but the reverse was true under cool conditions. Control females and their mates both reduced foraging under hot conditions. In contrast, male partners of trimmed females maintained a constant feeding rate across temperatures, suggesting attempts to match the feeding rate of their partners. On average, nestlings of trimmed females were heavier than controls, but did not have a higher probability of fledging. We suggest that removal of a thermal constraint allowed females to increase provisioning rates, but additionally provided nestlings with a thermal advantage via increased heat transfer during maternal brooding. Our data provide support for the heat dissipation limitation hypothesis and suggest that depending on temperature, heat dissipation capacity can influence reproductive success in aerial insectivores.




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Fish embryo vulnerability to combined acidification and warming coincides with low capacity for homeostatic regulation [RESEARCH ARTICLE]

Flemming Dahlke, Magnus Lucassen, Ulf Bickmeyer, Sylke Wohlrab, Velmurugu Puvanendran, Atle Mortensen, Melissa Chierici, Hans-Otto Pörtner, and Daniela Storch

The vulnerability of fish embryos and larvae to environmental factors is often attributed to a lack of adult-like organ systems (gills) and thus insufficient homeostatic capacity. However, experimental data supporting this hypothesis are scarce. Here, by using Atlantic cod (Gadus morhua) as a model, the relationship between embryo vulnerability (to projected ocean acidification and warming) and homeostatic capacity was explored through parallel analyses of stage-specific mortality and in vitro activity and expression of major ion pumps (ATP-Synthase, Na+/K+-ATPase, H+-ATPase) and co-transporters (NBC1, NKCC1). Immunolocalization of these transporters was used to study ionocyte morphology in newly-hatched larvae. Treatment-related embryo mortality until hatch (+20% due to acidification and warming) occurred primarily during an early period (gastrulation) characterized by extremely low ion transport capacities. Thereafter, embryo mortality decreased in parallel with an exponential increase in activity and expression of all investigated ion transporters. Significant changes in transporter activity and expression in response to acidification (+15% activity) and warming (-30% expression) indicate some potential for short-term acclimatization, although likely associated with energetic trade-offs. Interestingly, whole-larvae enzyme capacities (supported by abundant epidermal ionocytes) reached levels similar to those previously measured in gill tissue of adult cod, suggesting that early-life stages without functional gills are better equipped in terms of ion homeostasis than previously thought. This study implies that the gastrulation period represents a critical transition from inherited (maternal) defenses to active homeostatic regulation, which facilitates enhanced resilience of later stages to environmental factors.




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Oxygen supply capacity in animals evolves to meet maximum demand at the current oxygen partial pressure regardless of size or temperature [RESEARCH ARTICLE]

Brad A. Seibel and Curtis Deutsch

The capacity to extract oxygen from the environment and transport it to respiring tissues in support of metabolic demand reportedly has implications for species’ thermal tolerance, body-size, diversity and biogeography. Here we derive a quantifiable linkage between maximum and basal metabolic rate and their oxygen, temperature and size dependencies. We show that, regardless of size or temperature, the physiological capacity for oxygen supply precisely matches the maximum evolved demand at the highest persistently available oxygen pressure and this is the critical PO2 for the maximum metabolic rate. For most terrestrial and shallow-living marine species, this "Pcrit-max" is the current atmospheric pressure, 21 kPa. Any reduction in oxygen partial pressure from current values will result in a calculable decrement in maximum metabolic performance. However, oxygen supply capacity has evolved to match demand across temperatures and body sizes and so does not constrain thermal tolerance or cause the well-known reduction in mass-specific metabolic rate with increasing body mass. The critical oxygen pressure for resting metabolic rate, typically viewed as an indicator of hypoxia tolerance, is, instead, simply a rate-specific reflection of the oxygen supply capacity. A compensatory reduction in maintenance metabolic costs in warm-adapted species constrains factorial aerobic scope and the critical PO2 to a similar range, between ~2 and 6, across each species’ natural temperature range. The simple new relationship described here redefines many important physiological concepts and alters their ecological interpretation.




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Determinants of Exercise Capacity Assessed With the Modified Shuttle Test in Individuals With Cystic Fibrosis

BACKGROUND:Patients with cystic fibrosis develop decreased exercise capacity. However, the main factors responsible for this decline are still unclear. Thus, the objective of this study was to evaluate the factors influencing exercise capacity assessed with the modified shuttle test (MST) in individuals with cystic fibrosis.METHODS:A cross-sectional study was carried out in subjects with a diagnosis of cystic fibrosis who were 6–26 y old and were regularly monitored at 2 cystic fibrosis reference centers in Brazil. Individuals who were unable to perform the tests or who exhibited hemodynamic instability and exacerbation of respiratory symptoms were excluded. Anthropometric, clinical, and genotype data were collected. In addition, lung function and exercise capacity were evaluated with the MST.RESULTS:73 subjects (mean age 12.2 ± 4.9 y and FEV1 76.8 ± 23.3%) were included. The mean distance achieved in the MST was 765 ± 258 m (71.6% of predicted). The distance achieved on the MST correlated significantly with age (r = 0.49, P < .001), body mass index (r = 0.41, P < .001), resting heart rate (r = −0.51, P < .001), and FEV1 (r = 0.24, P = .042). Subjects with FEV1 > 67% of predicted (P = .02) and those with resting heart rate < 100 beats/min (P = .01) had a greater exercise capacity. Resting heart rate, age, and FEV1 (%) were found as significant variables to explain the distance achieved on the MST (R2 = 0.48, standard error = 191.0 m).CONCLUSIONS:The main determinants of exercise capacity assessed with the MST in individuals with cystic fibrosis were resting heart rate, age, and lung function.




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Characterization of Antineovascularization Activity and Ocular Pharmacokinetics of Phosphoinositide 3-Kinase/Mammalian Target of Rapamycin Inhibitor GNE-947 [Articles]

The objectives of the present study were to characterize GNE-947 for its phosphoinositide 3-kinase (PI3K) and mammalian target of rapamycin (mTOR) inhibitory activities, in vitro anti–cell migration activity in human umbilical vein endothelial cells (HUVECs), in vivo antineovascularization activity in laser-induced rat choroidal neovascular (CNV) eyes, pharmacokinetics in rabbit plasma and eyes, and ocular distribution using matrix-assisted laser desorption/ionization imaging mass spectrometry (MALDI-IMS) and autoradioluminography. Its PI3K and mTOR Ki were 0.0005 and 0.045 µM, respectively, and its HUVEC IC50 was 0.093 µM. GNE-947 prevented neovascularization in the rat CNV model at 50 or 100 µg per eye with repeat dosing. After a single intravenous injection at 2.5 and 500 μg/kg in rabbits, its plasma terminal half-lives (t1/2) were 9.11 and 9.59 hours, respectively. After a single intravitreal injection of a solution at 2.5 μg per eye in rabbits, its apparent t1/2 values were 14.4, 16.3, and 23.2 hours in the plasma, vitreous humor, and aqueous humor, respectively. After a single intravitreal injection of a suspension at 33.5, 100, 200 μg per eye in rabbits, the t1/2 were 29, 74, and 219 days in the plasma and 46, 143, and 191 days in the eyes, respectively. MALDI-IMS and autoradioluminography images show that GNE-947 did not homogenously distribute in the vitreous humor and aggregated at the injection sites after injection of the suspension, which was responsible for the long t1/2 of the suspension because of the slow dissolution process. This hypothesis was supported by pharmacokinetic modeling analyses. In conclusion, the PI3K/mTOR inhibitor GNE-947 prevented neovascularization in a rat CNV model, with t1/2 up to approximately 6 months after a single intravitreal injection of the suspension in rabbit eyes.

SIGNIFICANCE STATEMENT

GNE-947 is a potent phosphoinositide 3-kinase/mammalian target of rapamycin inhibitor and exhibits anti–choroidal neovascular activity in rat eyes. The duration of GNE-947 in the rabbit eyes after intravitreal injection in a solution is short, with a half-life (t1/2) of less than a day. However, the duration after intravitreal dose of a suspension is long, with t1/2 up to 6 months due to low solubility and slow dissolution. These results indicate that intravitreal injection of a suspension for low-solubility drugs can be used to achieve long-term drug exposure.




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Intrapartum Magnesium Sulfate




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FAK regulates actin polymerization during sperm capacitation via the ERK2/GEF-H1/RhoA signaling pathway [RESEARCH ARTICLE]

Monica L. Salgado-Lucio, Danelia Ramirez-Ramirez, Coral Y. Jorge-Cruz, Ana L. Roa-Espitia, and Enrique O. Hernandez-Gonzalez

Actin polymerization is a crucial process during sperm capacitation. We have recently described the participation of FAK during actin polymerization in guinea pig spermatozoa. However, the mechanism by which FAK mediates these processes is unknown. Our previous data have shown that MAPK1 (hereafter referred to as ERK2) is activated during the first minutes of capacitation, and inhibition of ERK2 blocked actin polymerization and the acrosome reaction. In this current study, we found that FAK is involved in ERK2 activation – as FAK was phosphorylated at tyrosine residue 925 and bound to Grb2 – and that inhibition of FAK results in a significant decrease of ERK2 activation. We also confirmed the presence of Rho guanine nucleotide exchange factor 2 (ARHGEF2, hereafter referred to as GEF-H1), which is able to associate with RhoA during capacitation. RhoA activation and its participation in actin polymerization were also analyzed. Inhibition of FAK or ERK1/2 impeded GEF-H1 phosphorylation, RhoA activation, and the association between GEF-H1 and RhoA. Finally, we observed the presence of fibronectin on the sperm surface, its role in sperm–sperm interaction as well as participation of β-integrin in the activation of ERK2. Our results show that the signaling pathway downstream of fibronectin, via integrin, FAK, Grb2, MEK1/2, ERK2, GEF-H1 and RhoA regulates the actin polymerization associated with spermatozoa capacitation.




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Deciphering the Immunomodulatory Capacity of Oncolytic Vaccinia Virus to Enhance the Immune Response to Breast Cancer

Vaccinia virus (VACV) is a double-stranded DNA virus that devotes a large portion of its 200 kbp genome to suppressing and manipulating the immune response of its host. Here, we investigated how targeted removal of immunomodulatory genes from the VACV genome impacted immune cells in the tumor microenvironment with the intention of improving the therapeutic efficacy of VACV in breast cancer. We performed a head-to-head comparison of six mutant oncolytic VACVs, each harboring deletions in genes that modulate different cellular pathways, such as nucleotide metabolism, apoptosis, inflammation, and chemokine and interferon signaling. We found that even minor changes to the VACV genome can impact the immune cell compartment in the tumor microenvironment. Viral genome modifications had the capacity to alter lymphocytic and myeloid cell compositions in tumors and spleens, PD-1 expression, and the percentages of virus-targeted and tumor-targeted CD8+ T cells. We observed that while some gene deletions improved responses in the nonimmunogenic 4T1 tumor model, very little therapeutic improvement was seen in the immunogenic HER2/neu TuBo model with the various genome modifications. We observed that the most promising candidate genes for deletion were those that interfere with interferon signaling. Collectively, this research helped focus attention on the pathways that modulate the immune response in the context of VACV oncolytic virotherapy. They also suggest that the greatest benefits to be obtained with these treatments may not always be seen in "hot tumors."




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Characterization of blaCTX-M-27/F1:A2:B20 Plasmids Harbored by Escherichia coli Sequence Type 131 Sublineage C1/H30R Isolates Spreading among Elderly Japanese in Nonacute-Care Settings [Mechanisms of Resistance]

We characterized 29 blaCTX-M-27-harboring plasmids of Escherichia coli sequence type 131 (ST131) sublineage C1/H30R isolates from healthy individuals and long-term-care facility (LTCF) residents. Most (27/29) plasmids were of the FIA, FIB, and FII multireplicon type with the same plasmid multilocus sequence typing (pMLST). Several plasmids (7/23) from LTCF residents harbored only blaCTX-M-27 as the resistance gene; however, their fundamental structures were very similar to those of previously isolated blaCTX-M-27/F1:A2:B20 plasmids, suggesting their prevalence as a newly arising public health concern.




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Total Antioxidant Capacity and Pancreatic Cancer Incidence and Mortality in the Prostate, Lung, Colorectal, and Ovarian Cancer Screening Trial

Background:

Total antioxidant capacity (TAC) reflects an individual's overall antioxidant intake. We sought to clarify whether higher TAC is associated with lower risks of pancreatic cancer incidence and mortality in the U.S. general population.

Methods:

A total of 96,018 American adults were identified from the Prostate, Lung, Colorectal, and Ovarian Cancer Screening Trial. A ferric-reducing ability of plasma score was used to reflect an individual's TAC intake from diet and/or supplements. Cox regression was used to calculate hazard ratios (HR) for pancreatic cancer incidence, and competing risk regression was used to calculate subdistribution HRs for pancreatic cancer mortality. Restricted cubic spline regression was used to test nonlinearity.

Results:

A total of 393 pancreatic cancer cases and 353 pancreatic cancer–related deaths were documented. Total (diet + supplements) TAC was found to be inversely associated with pancreatic cancer incidence (HR quartile 4 vs. quartile 1 = 0.53; 95% confidence interval, 0.39–0.72; Ptrend = 0.0002) and mortality (subdistribution HR quartile 4 vs. quartile 1 = 0.52; 95% confidence interval 0.38–0.72; Ptrend = 0.0003) in a nonlinear dose–response manner (all Pnonlinearity < 0.01). Similar results were observed for dietary TAC. No association of supplemental TAC with pancreatic cancer incidence and mortality was found.

Conclusions:

In the U.S. general population, dietary but not supplemental TAC level is inversely associated with risks of pancreatic cancer incidence and mortality in a nonlinear dose–response pattern.

Impact:

This is the first prospective study indicating that a diet rich in antioxidants may be beneficial in decreasing pancreatic cancer incidence and mortality.




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Apartment 3 bedrooms with river view fully furnished in Diamond Island for rent

Diamond Island apartment for rent, CA-XX.01, designed with 3 bedrooms, 2 bathrooms, living room, kitchen, fully furnished, total area 117m2, airy river view.Price: $ 1,500 / MonthDiamond Island apartment is the most high-class apartment project in Ho Chi Minh City at present, spe...




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Hot! Wyndham Soleil Danang apartment for sale, frontage on Pham Van Dong street

Da Nang Soleil Project Project 1- Located on YELLOW land of Danang city2- Convergence of delicate and modern essence of the world.The project of Condotel Anh Duong Soleil Da Nang was determined to become a new symbol of Danang city by the investor, An Thinh, along with the famous...




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SUNSHINE DIAMOND LUXURY APARTMENT DIS.7 FOR SALE

Luxury SUNSHINE DIAMOND Condo Location: Dao Tri street, Phu Thuan Ward, Dis.7Built by SunShine Group. Area: 107m2, 3 brs + 2 wcs. 85m2, 2 brs + 2 wcs. 54m2, 1 br + 1 wc. Price 55.000.000/m2 ( not included VAT & 2% Maintanance fee ). Handover partly furnishedUtilities: High-clas...




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Looking for an apartment in Da Nang, 1 billion VND budget

Looking for an apartment in Da Nang - Area: 50m2 and so on - High floor - Maybe new building - Budget: 1 billion VND...




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Palm Heights 3 bedroom apartment No. 7 Tower T3 for sale

Palm Heights apartment for sale, T3-xx.07, with an area of 121m2, including 3 bedrooms, 2 bathrooms, double living room. Price: VND 5.8 Billion Palm Heights South Rach Chiec apartment is located at Song Hanh highway, Long Thanh Dau Giay with full of high-class facilities: Water ...




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DO YOU WANT TO OWN AN APARTMENT IN THE HEART OF QUY NHON CITY?

DO YOU WANT TO OWN AN APARTMENT IN THE HEART OF QUY NHON CITY? - Unique and prime location, at 1 Nguyen Tat Thanh, the arterial road of Quy Nhon city, 4 facades 3 frontal face sea. - The project belongs to the segment of luxury apartments, 5-star utilities, strategic location in ...




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For Sale The Building Of Serviced Apartment - Phu My-Van Phat Hung- Dist 7- 297 sqm- 35 Billion

FOR SALE THE BUILDING OF SERVICED APARTMENT IN PHU MY RESIDENTIAL AREA- VAN PHAT HUNG- DISTRICT 7 -Location: is right at the corner, opposite the green Park in Phu My hung, it has just been planned synchronization. -Land area: 9x33 m -Usable area: 600 sqm, an elevator, spacious p...




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Thao Dien D2 - Brand new studio apartment for rent

Thao Dien D2 - Brand new studio apartment for rent- Locarion: No. 30, 60 street, Thao Dien ward, Dist. 2 Guaranteed pictures are the same as reality (Status: Available NOW)SPECIAL PROMOTION THIS MONTH: DISCOUNT 50$ for 6 months contractsApartment Description:Modern design Full fu...




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Thao Dien D2 - Brand new studio apartment for rent

Thao Dien D2 - Brand new studio apartment for rent No. 30, 60 street, Thao Dien ward, Dist. 2 GUARANTEED PICTURES ARE THE SAME AS REALITY (Status: Available NOW)SPECIAL PROMOTION THIS MONTH: DISCOUNT 50$ for 6 months contractsApartment Description:Modern design Full furniture 40 ...




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Serviced apartments for rent in Phu My Hung, from 9,5 million VND/month

Serviced apartments for rent in Hung Gia - Hung Phuoc, Phu My Hung, District 7. Area: 40 m2 (with a kitchen, depending on your needs). Nice, clean, fully furnished Rental from 9,5 million VND/month, including all fees: laundry, room cleaning, water, cable TV, reception 24/24 ...Y...




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Serviced apartments for rent in Phu My Hung, from 7millions VND/month

Serviced apartments for rent in Hung Gia - Hung Phuoc, Phu My Hung, District 7.Design: 1 bedroom, 1 toilet, 1 bathtub. Nice, clean, fully furnished Price: 7 million VND/month, including all fees: laundry, room cleaning (3 times a week), water, cable TV, reception 24/24 ...You onl...




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Serviced apartments for rent in Phu My Hung, from 7millions to 10 million VND/month

Serviced apartment for rent in the center of Phu My Hung area, District 7 Price: 7 - 10 million/month for the size: 30m to 40m One large bedroom, 1 bathroom with bathtub, new house, spacious and breezy Full interior, ready to move in All fee included: Domestic water bill, Cable T...




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Serviced apartments for rent in Hung Gia - Hung Phuoc, Phu My Hung, Dist 7

Serviced apartments for rent in Hung Gia - Hung Phuoc, Phu My Hung, District 7Area: 40 m2 (with a kitchen)Nice, clean, fully furnishedallow petsRental from 7 million VND/month for 1 person. it is including all fees: laundry, room cleaning, water, cable TV, reception 24/24 ...You ...




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Serviced apartments for rent at Nguyen Thi Minh Khai Street, District 1, HCMC

New rooms are available for rent in district 1, located in a very quiet alley, close to buildings, offices, HCM television station, Thao Cam Vien park, entertainment center, local market, Thi Nghe canal... Area: 25-32m2, fully furnished and with a small kitchenette. This room has...




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New Serviced apartment for rent in Phu My Hung, District 7, good price

Serviced apartment for rent in the center of Phu My Hung area, District 7 Price: 10 - 15 million/month Area: 30m to 40m One large bedroom, 1 bathroom, new house. Full interior, ready to move in All fee included: Domestic water bill, Cable TV fee, internet fee, cleaning & laundry...




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Serviced apartments for rent in Nguyen Thi Minh Khai Street, District 1

New rooms are available for rent in district 1, located in a very quiet alley, close to buildings, offices, HCM television station, Thao Cam Vien park, entertainment center, local market, Thi Nghe canal... Area: 22-32m2 Fully furnished and with a small kitchenette. This room has ...




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New Serviced apartment for rent in Phu My Hung, District 7, good price

Serviced apartment for rent in the center of Phu My Hung area, District 7 Price: 10 - 15 million/month Area: 30 sqm to 40 sqm One large bedroom, 1 bathroom, new room. Full interior, ready to move in All fee included: Domestic water bill, Cable TV fee, internet fee, cleaning & la...




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Serviced apartments for rent in Phu My Hung, from 9,5 million VND/month

Serviced apartments for rent in Hung Gia - Hung Phuoc, Phu My Hung, District 7. Area: 40 sqm (with a kitchen, depending on your needs). Nice, clean, fully furnished Rental from 9,5 million VND/month, including all fees: laundry, room-cleaning, water, cable TV, reception 24/24 ......




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Service apartment near BIS needs to rent 1 bedroom, discount due to corona epidemic

Serviced apartment for rent in district 2. Address: House No. 15, street 4, Thao Dien ward. This serviced apartment on 5.02 floor, area of 40 sqm can be used, including 1 bedroom, 1 bathroom (without bath), fully furnished, modern style and fully convenient. Living room with a lu...




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Best Serviced Apartment in Go Vap district (Cityland Park Hills)

+ Located in Cityland Park Hills - Central of Go Vap District - 15 mins from International Airport - Tan Son Nhat. - Clean and high security. - Having full of convenient services: large park, swimming pool, GYM center, Supermarket, Stadium, Hospital, Restaurants, Coffee shop...




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Parkland Apartments

Pakland tọa lạc tại 628A Xa Lộ Hà Nội , An Phú, Quận 2, TP.HCM, dự án cung cấp các căn hộ đầy đủ tiện nghi theo phong cách Tây Âu và những tiện ích cao cấp cách trung tâm thành phố 20 phút




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SMART APARTMENT WITH 1 BEDROOM IN CENTER DISTRICT 7 (JAMONA HEIGHT)

Recently, TTC Land has officially launched the first service office line at Jamona Heights apartment in District 7, office apartments designed according to Korean standards designed by GanSam Corporation (Korean). , with a prime location in the heart of South Saigon. Project loca...




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1 BEDROOM APARTMENT FOR SALE IN DISTRICT 7

Smart investment opportunities. - Buy 1 get 2 with TTC Land's Smartel Jamona Heights. - While doing company offices - just living. - Diverse area of 30m2 - 79m2. - OCB bank borrows 50%. - Payment in 18 months. - 650 million can still invest in real estate in the center.- 50-year ...




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1 BEDROOM APARTMENT FOR SALE IN DISTRICT 7 - JAMONA HEIGHT

Location: 210 Bui Van Ba, Tan Thuan Dong Ward, District 7. Located in the Jamona Golden Silk compound. As one of the first high-end smart lines in the heart of District 7. Owning a golden location, easily connecting external facilities such as markets, schools, hospitals, commerc...




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River view apartment, located right in the heart of Saigon, Suitable for foreigners - Picity Hight

PiCity High Park Thanh Xuan - District 12 - Apartments worth living.- Price from only 1.5 billion / unit too attractive to invest or settle down.- The golden position is only 20 minutes from Tan Son Nhat airport.- Separate pink book, MB Bank loan support 70% for 20 years.- 4 star...




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Mini apartment with an area of 30m2, 1.2 billion price, 5 star facilities, riverside habitat-Jamona

Smart 1-to-2 investment opportunity with TTC Land's Smartel Jamona Heights.Just working at the office of the company - just staying.Diverse area of 30m2 - 79m2.OCB bank borrows 50%.Payment in 18 months.There are 650 million still can invest in real estate in the center.50 year sa...