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Comparative single-cell RNA sequencing (scRNA-seq) reveals liver metastasis-specific targets in a patient with small intestinal neuroendocrine cancer [RESEARCH REPORT]

Genomic analysis of a patient's tumor is the cornerstone of precision oncology, but it does not address whether metastases should be treated differently. Here we tested whether comparative single-cell RNA sequencing (scRNA-seq) of a primary small intestinal neuroendocrine tumor to a matched liver metastasis could guide the treatment of a patient's metastatic disease. Following surgery, the patient was put on maintenance treatment with a somatostatin analog. However, the scRNA-seq analysis revealed that the neuroendocrine epithelial cells in the liver metastasis were less differentiated and expressed relatively little SSTR2, the predominant somatostatin receptor. There were also differences in the tumor microenvironments. RNA expression of vascular endothelial growth factors was higher in the primary tumor cells, reflected by an increased number of endothelial cells. Interestingly, vascular expression of the major VEGF receptors was considerably higher in the liver metastasis, indicating that the metastatic vasculature may be primed for expansion and susceptible to treatment with angiogenesis inhibitors. The patient eventually progressed on Sandostatin, and although consideration was given to adding an angiogenesis inhibitor to her regimen, her disease progression involved non-liver metastases that had not been characterized. Although in this specific case comparative scRNA-seq did not alter treatment, its potential to help guide therapy of metastatic disease was clearly demonstrated.




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Intermixed Dimethyl-Sulfoxide-Based Nonadhesive Liquid Embolic Agents Delivered Serially via the Same Microcatheter for Cerebral AVM Treatment [INTERVENTIONAL]

BACKGROUND AND PURPOSE:

Conventional nonadhesive liquid embolic agents currently are the criterion standard for endovascular embolization of cerebral AVMs. However, inadequate distal penetration into the nidus and unstable proximal plug formation are the major limitations of this approach and of the currently available embolic materials. The aim of this study was to evaluate the hypothetic efficacy of combining liquid embolic agents with different properties and viscosities for use in endovascular embolization of cerebral AVMs.

MATERIALS AND METHODS:

From March 2018 to March 2019, sixteen patients with cerebral AVMs (12 women, 4 men; age range, 33–61 years) underwent endovascular embolization with combined liquid embolic agents delivered serially via a single microcatheter. The procedure consists of initial embolization with PHIL 30%, followed by Menox 18 through the same microcatheter. According to the Spetzler-Martin scale, 11 (68.75%) AVMs were grades I–II, 4 (25%) were grade III, and 1 (6.25%) was grade IV. Angiographic, technical, and clinical outcomes were analyzed independently.

RESULTS:

Combined PHIL and Menox embolization through the same microcatheter via 21 pedicles was performed in these 16 patients. Once the length of the reflux reached approximately 2 cm, PHIL 30% was switched to Menox 18. Antegrade flow and distal penetration of the serially applied liquid embolic agents were observed in all 16 cases. The ability to completely control the flow of the materials and avoid any dangerous proximal reflux was noted in all performed embolizations. The estimated average size reduction of the treated AVMs was 85%, ranging from 50% to 100%. Complete embolization was achieved in 10/16 or 62.5% of the cases. There was no procedure-related complication during or after the embolization. No mortality or postprocedural clinical worsening was seen. Clinical success and complete obliteration were confirmed with at least 1 follow-up angiography in 10/16 patients.

CONCLUSIONS:

Serial delivery of nonadhesive liquid embolic agents via the same microcatheter was safe and effective in our study and may be a potential technique for routine AVM treatment. However, further investigations are required to validate the safety and the efficacy of the method.





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Coronavirus in India Live Updates: बीएसएफ में 35 और नए मामले, संक्रमितों की संख्या 250 के पार

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Donald Trump can't mask his message to Indian country: 'Live and let die'

The COVID-19 pandemic has hit the Diné/Navajo people hard, inflicting the highest per capita infection rate in the country after New York, New Jersey, Connecticut and Massachusetts. The Navajo Nation is the largest reservation in the country, larger than West Virginia, straddling Arizona, New Mexico, Colorado and Utah. Half of the over 300,000 enrolled members reside on the reservation. Navajo President Jonathan Nez has issued some of the strongest stay-at-home measures in the country, including a weekday evening curfew and a complete, stay-at-home curfew for the entire weekend. Nearby Gallup, New Mexico, with a large Diné population, has enacted a complete lockdown, with the National Guard prohibiting entry.

As of May 5, despite these efforts, there were 2,559 confirmed COVID-19 cases on the Navajo Nation and 79 deaths. Among the victims, 28-year-old Valentina Blackhorse, a beloved champion of Navajo culture and a community leader. She left behind her partner, Robby Jones, and their one-year-old daughter, Poet.

"She really loved her family -- her parents, her sisters, her nieces and nephews. She loved her elderly. She loved children," Jones said Tuesday on the Democracy Now! news hour. "She was a kind and hardworking lady, and she was warmhearted. She would do anything for her family."

Jones is a detention officer with the Navajo Department of Corrections, and contracted COVID-19 at work. "When she was taking care of me, I guess she contracted it," he said. "She started showing symptoms -- shortness of breath, body aches, loss of taste and smell. By the time I started feeling better … that's when she started feeling sick."

Valentina Blackhorse tested positive for COVID-19 on April 22. She died the next day. She had won numerous pageants, being named Miss Western Navajo and Miss Diné College, among others, and hoped to run for office in the Navajo Nation government one day.

Dr. Michelle Tom, a member of the Navajo Nation, is a family physician in Winslow, Arizona, just across the Navajo reservation line. She spoke about Valentina's death on Democracy Now!: "It's a reflection of what we're going through as a people, and it correlates with what this virus can do to our young and someone who was very motivated, loved our culture, spread our rich and strong culture, and our language. That's what we're trying to fight for," she said, adding, "She was going to lead our next generation. It was a hard loss for our community."

The Navajo Nation, along with the nearby Hopi, Pueblo, Zuni and Gila River Indigenous communities, have endured despite centuries of genocide, oppression and systemic racism and poverty. The novel coronavirus pandemic is afflicting them disproportionately, as it has African American and Latinx populations across the U.S. Access to water is challenging on the Navajo reservation.

"That's from a long state of histories with treaties and our relationship with the [federal] government," Dr. Michelle Tom explained. "Our infrastructure for water has never been at the capacity where we can provide water for everyone on the reservation. So, you're telling people to wash your hands for 20 seconds, and yet people are trying just to get water just to drink and to cook with."

President Donald Trump made a rare trip Tuesday, visiting an Arizona N95 mask factory, where he ignored factory rules by not wearing a mask. Guns 'N Roses blared from a factory sound system, playing the song Live and Let Die. It's not clear if it was a coincidental music choice or not.

Trump also met with elected officials, including Navajo Nation Vice President Myron Lizer. The Navajo Nation joined a lawsuit filed by numerous native tribes against Treasury Secretary Steven Mnuchin, for his abject failure in disbursing $8 billion promised to Native American tribes in the CARES Act.

"The amount of money that’s being sent to 'Indian country,' as we call it, is the largest amount in the history of the U.S. And you deserve it. And you've been through a lot," Trump said to VP Lizer. "The Navajo Nation will soon receive over $600 million. That's a lot. Should I renegotiate that? Can we renegotiate that?" (Laughter.)

There was no laughter back on the Navajo Nation. "Today, the federal government announced that they intend to release a portion of funds appropriated by Congress over one month ago to tribes to help fight COVID-19, but I'll believe it when I see it," President Jonathan Nez, who himself tested positive for the virus, replied. "We couldn't sit around and wait for those dollars, so we've had boots on the ground in nearly 20 communities giving out food, water, firewood, protective masks and other supplies … We lost many of our beloved relatives and family members to this virus, but our teachings also tell us to move forward. We will and we are."

Amy Goodman is the host of Democracy Now!, a daily international TV/radio news hour airing on more than 1,300 stations. She is the co-author, with Denis Moynihan, of The Silenced Majority, a New York Times bestseller. This column originally appeared on Democracy Now!

Image: Shealah Craighead/The White House/Flickr

May 7, 2020




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यूपी में कोरोना LIVE: मथुरा में एक ही परिवार के तीन लोग मिले कोरोना संक्रमित, प्रदेश में कुल मरीज 3246

देश के साथ-साथ उत्तर प्रदेश में भी कोरोना संक्रमितों की संख्या में इजाफा होता जा रहा है।




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एनसीआर Live: नोएडा में आज 12 नए कोरोना संक्रमित मामले सामने आए, कुल संख्या 214 हुई

दिल्ली में कोरोना वायरस के बढ़ते प्रकोप के कारण हरियाणा और उत्तर प्रदेश सरकार ने अपनी सीमाओं पर सख्ती बढ़ा दी है। लॉकडाउन के दौरान दिल्ली से सटे गुरुग्राम, नोएडा और गाजियाबाद के बॉर्डर को सील कर दिया गया है।




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Andy Serkis to Live-Read all of The Hobbit Online

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Zens Comes Closest to Delivering the Wireless Charger Apple AirPower Promised to Be

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Chelsea news LIVE: Chilwell makes transfer decision, Onana warning, target learns English



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Coronavirus in Delhi Live: 224 नए मामले आए सामने, कुल 6542 संक्रमित, अबतक 68 की मौत

दिल्ली में कोरोना वायरस के चलते हुए लॉकडाउन के तीसरे चरण का आज छठा दिन है। हालांकि अब भी दिल्ली में पॉजिटिव केसों की संख्या कम नहीं हो रही है।




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Hedi Slimane delivers masterclass in modern nostalgia for Celine

Platform sandals meet 40-denier tights as rock’n’roll goes bourgeois at Paris fashion week

At his Celine catwalk show on Friday night, the designer Hedi Slimane distilled what looks to be the most compelling trend of this season of fashion shows. Working title: rock’n’roll bourgeois.

Slim knee-length dresses were worn with slinky chain belts; towering platform sandals with sensible 40-denier semi-sheer tights; slim bootcut velvet trousers worn with Princess-line above-the-knee coats. This was a masterclass in Parisian allure: take one part Avenue Montaigne privilege, and mix with one part backstage pass. Shaken, not stirred.

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

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





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Live soccer a pandemic balm

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Haaland urged to make Liverpool move as former coach questions Man Utd & Real Madrid for missing out

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Van Dijk billed as best defender in the world as AC Milan legend Baresi salutes Liverpool’s ‘leader’

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UFC 249 live stream: How to watch Tony Ferguson vs Justin Gaethje on TV and online tonight

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Henderson to Fulham & Bale to Nottingham Forest? Ex-Liverpool director of football makes transfer claims

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Liverpool news: One OVERLOOKED player predicted to star against Man City

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Henderson, Keita and Gomez fit for Fulham says Liverpool boss Klopp

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Piers Morgan savages Boris Johnson over coronavirus leaks - 'how many lives will it cost?'



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Watch Live as the National Zoo’s Cheetah Gives Birth to a Litter of Cubs

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Deputy headteacher walks five miles a day to deliver free packed lunches to children

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Olive and Mabel: BBC Sports pundit Andrew Cotter delights Twitter with closely fought match... for toy bone

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