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Shohdy K, Pillai M, Abbas K, Allison J, Waddell T, Darlington E, Mohammad S, Hood S, Atkinson S, Simpson K, Morgan D, Nathan P, Kilgour E, Dive C, Thistlethwaite F. Immune biomarker evaluation of sequential tyrosine kinase inhibitor and nivolumab monotherapies in renal cell carcinoma: the phase I TRIBE trial. Immunooncol Technol 2024; 22:100712. [PMID: 38694705 PMCID: PMC11059457 DOI: 10.1016/j.iotech.2024.100712] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Indexed: 05/04/2024]
Abstract
Background Predictive biomarkers for immune checkpoint blockade in the second-line treatment of metastatic renal cell carcinoma (mRCC) are lacking. Materials and methods Patients with histologically confirmed RCC who started nivolumab after at least 4 months of tyrosine kinase inhibitors (TKIs) were recruited for this study. Serial tissue and blood samples were collected for immune biomarker evaluation. The primary endpoint was to determine the association of specific T-cell subsets with clinical outcomes tested using Wilcoxon rank sum for clinical benefit rate (CBR) and log-rank test for progression-free survival (PFS). Results Twenty patients were included in this trial with a median age of 64 years and followed-up for a median of 12 months. The median PFS for patients who received TKI was 13.8 months, while for those subsequently treated with nivolumab following TKI therapy, the median PFS was 2.6 months. CBR of nivolumab was 20% with two partial responses. Functionally active programmed cell death protein 1+ CD4+ T cells were enriched in non-responders (q = 0.003) and associated with worse PFS on nivolumab (P = 0.04). Responders showed a significant reduction in the effector CD4+T-cell (TEF) fraction compared to non-responders at 3 months on nivolumab (0.40 versus 0.80, P = 0.0005). CD127+CD4+ T cells were enriched in patients who developed immune-related adverse effects (q = 0.003). Using in-house validated multiplex immunohistochemistry for six markers, we measured tumour-associated immune cell densities in tissue samples. Responders to nivolumab showed a significantly higher mean of immune cell densities in tissue samples compared to non-responders (346 versus 87 cells/mm2, P = 0.04). Conclusions In this small study, analysis of tissue-based and peripheral blood immune cell subsets predicted clinical outcomes of nivolumab. Further studies are warranted with larger populations to validate these observations.
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Affiliation(s)
- K.S. Shohdy
- The Christie NHS Foundation Trust, Manchester, UK
- Division of Cancer Sciences, The University of Manchester, Manchester, UK
| | - M. Pillai
- The Christie NHS Foundation Trust, Manchester, UK
| | - K.S. Abbas
- Faculty of Medicine, Alexandria University, Alexandria, Egypt
| | - J. Allison
- The Christie NHS Foundation Trust, Manchester, UK
| | - T. Waddell
- The Christie NHS Foundation Trust, Manchester, UK
| | | | - S. Mohammad
- Cancer Biomarker Centre, Cancer Research UK Manchester Institute, Manchester, UK
| | - S. Hood
- Cancer Biomarker Centre, Cancer Research UK Manchester Institute, Manchester, UK
| | - S. Atkinson
- Cancer Biomarker Centre, Cancer Research UK Manchester Institute, Manchester, UK
| | - K. Simpson
- Cancer Biomarker Centre, Cancer Research UK Manchester Institute, Manchester, UK
| | - D. Morgan
- Cancer Biomarker Centre, Cancer Research UK Manchester Institute, Manchester, UK
| | - P. Nathan
- Mount Vernon Cancer Centre - East and North Herts NHS Trust, Northwood, Middlesex, UK
| | - E. Kilgour
- Cancer Biomarker Centre, Cancer Research UK Manchester Institute, Manchester, UK
| | - C. Dive
- Cancer Biomarker Centre, Cancer Research UK Manchester Institute, Manchester, UK
| | - F. Thistlethwaite
- The Christie NHS Foundation Trust, Manchester, UK
- Division of Cancer Sciences, The University of Manchester, Manchester, UK
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Bannett Y, Gunturkun F, Pillai M, Herrmann JE, Luo I, Huffman LC, Feldman HM. Leveraging a Large Language Model to Assess Quality-of-Care: Monitoring ADHD Medication Side Effects. medRxiv 2024:2024.04.23.24306225. [PMID: 38712037 PMCID: PMC11071552 DOI: 10.1101/2024.04.23.24306225] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/08/2024]
Abstract
Objective To assess the accuracy of a large language model (LLM) in measuring clinician adherence to practice guidelines for monitoring side effects after prescribing medications for children with attention-deficit/hyperactivity disorder (ADHD). Methods Retrospective population-based cohort study of electronic health records. Cohort included children aged 6-11 years with ADHD diagnosis and ≥2 ADHD medication encounters (stimulants or non-stimulants prescribed) between 2015-2022 in a community-based primary healthcare network (n=1247). To identify documentation of side effects inquiry, we trained, tested, and deployed an open-source LLM (LLaMA) on all clinical notes from ADHD-related encounters (ADHD diagnosis or ADHD medication prescription), including in-clinic/telehealth and telephone encounters (n=15,593 notes). Model performance was assessed using holdout and deployment test sets, compared to manual chart review. Results The LLaMA model achieved excellent performance in classifying notes that contain side effects inquiry (sensitivity= 87.2%, specificity=86.3/90.3%, area under curve (AUC)=0.93/0.92 on holdout/deployment test sets). Analyses revealed no model bias in relation to patient age, sex, or insurance. Mean age (SD) at first prescription was 8.8 (1.6) years; patient characteristics were similar across patients with and without documented side effects inquiry. Rates of documented side effects inquiry were lower in telephone encounters than in-clinic/telehealth encounters (51.9% vs. 73.0%, p<0.01). Side effects inquiry was documented in 61% of encounters following stimulant prescriptions and 48% of encounters following non-stimulant prescriptions (p<0.01). Conclusions Deploying an LLM on a variable set of clinical notes, including telephone notes, offered scalable measurement of quality-of-care and uncovered opportunities to improve psychopharmacological medication management in primary care.
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Affiliation(s)
- Yair Bannett
- Division of Developmental-Behavioral Pediatrics, Stanford University School of Medicine, Stanford, CA, USA
| | | | - Malvika Pillai
- Veterans Affairs Palo Alto Health Care System, Palo Alto, California, USA
- Biomedical Informatics Research Center, Stanford University School of Medicine, Stanford, California, USA
| | | | - Ingrid Luo
- Stanford Quantitative Sciences Unit, Stanford, CA, USA
| | - Lynne C. Huffman
- Division of Developmental-Behavioral Pediatrics, Stanford University School of Medicine, Stanford, CA, USA
| | - Heidi M. Feldman
- Division of Developmental-Behavioral Pediatrics, Stanford University School of Medicine, Stanford, CA, USA
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Pillai M, Posada J, Gardner RM, Hernandez-Boussard T, Bannett Y. Measuring quality-of-care in treatment of young children with attention-deficit/hyperactivity disorder using pre-trained language models. J Am Med Inform Assoc 2024; 31:949-957. [PMID: 38244997 PMCID: PMC10990536 DOI: 10.1093/jamia/ocae001] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/26/2023] [Revised: 12/07/2023] [Accepted: 01/03/2024] [Indexed: 01/22/2024] Open
Abstract
OBJECTIVE To measure pediatrician adherence to evidence-based guidelines in the treatment of young children with attention-deficit/hyperactivity disorder (ADHD) in a diverse healthcare system using natural language processing (NLP) techniques. MATERIALS AND METHODS We extracted structured and free-text data from electronic health records (EHRs) of all office visits (2015-2019) of children aged 4-6 years in a community-based primary healthcare network in California, who had ≥1 visits with an ICD-10 diagnosis of ADHD. Two pediatricians annotated clinical notes of the first ADHD visit for 423 patients. Inter-annotator agreement (IAA) was assessed for the recommendation for the first-line behavioral treatment (F-measure = 0.89). Four pre-trained language models, including BioClinical Bidirectional Encoder Representations from Transformers (BioClinicalBERT), were used to identify behavioral treatment recommendations using a 70/30 train/test split. For temporal validation, we deployed BioClinicalBERT on 1,020 unannotated notes from other ADHD visits and well-care visits; all positively classified notes (n = 53) and 5% of negatively classified notes (n = 50) were manually reviewed. RESULTS Of 423 patients, 313 (74%) were male; 298 (70%) were privately insured; 138 (33%) were White; 61 (14%) were Hispanic. The BioClinicalBERT model trained on the first ADHD visits achieved F1 = 0.76, precision = 0.81, recall = 0.72, and AUC = 0.81 [0.72-0.89]. Temporal validation achieved F1 = 0.77, precision = 0.68, and recall = 0.88. Fairness analysis revealed low model performance in publicly insured patients (F1 = 0.53). CONCLUSION Deploying pre-trained language models on a variable set of clinical notes accurately captured pediatrician adherence to guidelines in the treatment of children with ADHD. Validating this approach in other patient populations is needed to achieve equitable measurement of quality of care at scale and improve clinical care for mental health conditions.
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Affiliation(s)
- Malvika Pillai
- Department of Biomedical Data Science, Stanford University School of Medicine, Stanford, CA 94305, United States
| | - Jose Posada
- Computer Science Department, University of the North, Barranquilla 080020, Colombia
| | - Rebecca M Gardner
- Department of Epidemiology and Population Health, Stanford University School of Medicine, Stanford, CA 94305, United States
| | - Tina Hernandez-Boussard
- Department of Biomedical Data Science, Stanford University School of Medicine, Stanford, CA 94305, United States
| | - Yair Bannett
- Division of Developmental-Behavioral Pediatrics, Department of Pediatrics, Stanford University School of Medicine, Stanford, CA 94304, United States
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Khairat S, John R, Pillai M, McDaniel P, Edson B. Patient Characteristics Associated With Phone and Video Visits at a Tele-Urgent Care Center During the Initial COVID-19 Response: Cross-Sectional Study. Online J Public Health Inform 2024; 16:e50962. [PMID: 38241073 PMCID: PMC10802832 DOI: 10.2196/50962] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/18/2023] [Revised: 10/04/2023] [Accepted: 11/16/2023] [Indexed: 01/21/2024] Open
Abstract
BACKGROUND Health systems rapidly adopted telemedicine as an alternative health care delivery modality in response to the COVID-19 pandemic. Demographic factors, such as age and gender, may play a role in patients' choice of a phone or video visit. However, it is unknown whether there are differences in utilization between phone and video visits. OBJECTIVE This study aimed to investigate patients' characteristics, patient utilization, and service characteristics of a tele-urgent care clinic during the initial response to the pandemic. METHODS We conducted a cross-sectional study of urgent care patients using a statewide, on-demand telemedicine clinic with board-certified physicians during the initial phases of the pandemic. The study data were collected from March 3, 2020, through May 3, 2020. RESULTS Of 1803 telemedicine visits, 1278 (70.9%) patients were women, 730 (40.5%) were aged 18 to 34 years, and 1423 (78.9%) were uninsured. There were significant differences between telemedicine modalities and gender (P<.001), age (P<.001), insurance status (P<.001), prescriptions given (P<.001), and wait times (P<.001). Phone visits provided significantly more access to rural areas than video visits (P<.001). CONCLUSIONS Our findings suggest that offering patients a combination of phone and video options provided additional flexibility for various patient subgroups, particularly patients living in rural regions with limited internet bandwidth. Differences in utilization were significant based on patient gender, age, and insurance status. We also found differences in prescription administration between phone and video visits that require additional investigation.
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Affiliation(s)
- Saif Khairat
- Carolina Health Informatics Program, University of North Carolina at Chapel Hill, Chapel Hill, NC, United States
- Cecil G Sheps Center for Health Services Research, Chapel Hill, NC, United States
- School of Nursing, University North Carolina at Chapel Hill, Chapel Hill, NC, United States
| | - Roshan John
- Carolina Health Informatics Program, University of North Carolina at Chapel Hill, Chapel Hill, NC, United States
| | - Malvika Pillai
- Carolina Health Informatics Program, University of North Carolina at Chapel Hill, Chapel Hill, NC, United States
| | - Philip McDaniel
- Digital Research Services Department, University of North Carolina at Chapel Hill, Chapel Hill, NC, United States
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Pillai M, Wu D. Validation approaches for computational drug repurposing: a review. AMIA Annu Symp Proc 2024; 2023:559-568. [PMID: 38222367 PMCID: PMC10785886] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Grants] [Subscribe] [Scholar Register] [Indexed: 01/16/2024]
Affiliation(s)
- Malvika Pillai
- Stanford University, Stanford, CA
- University of North Carolina, Chapel Hill, NC
| | - Di Wu
- University of North Carolina, Chapel Hill, NC
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Pillai M, Griffin AC, Kronk CA, McCall T. Toward Community-Based Natural Language Processing (CBNLP): Cocreating With Communities. J Med Internet Res 2023; 25:e48498. [PMID: 37540551 PMCID: PMC10439463 DOI: 10.2196/48498] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/25/2023] [Revised: 06/15/2023] [Accepted: 07/21/2023] [Indexed: 08/05/2023] Open
Abstract
Rapid development and adoption of natural language processing (NLP) techniques has led to a multitude of exciting and innovative societal and health care applications. These advancements have also generated concerns around perpetuation of historical injustices and that these tools lack cultural considerations. While traditional health care NLP techniques typically include clinical subject matter experts to extract health information or aid in interpretation, few NLP tools involve community stakeholders with lived experiences. In this perspective paper, we draw upon the field of community-based participatory research, which gathers input from community members for development of public health interventions, to identify and examine ways to equitably involve communities in developing health care NLP tools. To realize the potential of community-based NLP (CBNLP), research and development teams must thoughtfully consider mechanisms and resources needed to effectively collaborate with community members for maximal societal and ethical impact of NLP-based tools.
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Affiliation(s)
- Malvika Pillai
- Center for Biomedical Informatics Research, Stanford University School of Medicine, Stanford, CA, United States
- Veterans Affairs Palo Alto Health Care System, Palo Alto, CA, United States
| | - Ashley C Griffin
- Veterans Affairs Palo Alto Health Care System, Palo Alto, CA, United States
- Department of Health Policy, Stanford University School of Medicine, Stanford, CA, United States
| | - Clair A Kronk
- Center for Medical Informatics, Yale School of Medicine, New Haven, CT, United States
| | - Terika McCall
- Center for Medical Informatics, Yale School of Medicine, New Haven, CT, United States
- Division of Health Informatics, Department of Biostatistics, Yale School of Public Health, New Haven, CT, United States
- Section of Biomedical Informatics and Data Science, Yale School of Medicine, New Haven, CT, United States
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Pillai M, Shumway JW, Adapa K, Dooley J, McGurk R, Mazur LM, Das SK, Chera BS. Augmenting Quality Assurance Measures in Treatment Review with Machine Learning in Radiation Oncology. Adv Radiat Oncol 2023; 8:101234. [DOI: 10.1016/j.adro.2023.101234] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/02/2022] [Accepted: 03/26/2023] [Indexed: 04/08/2023] Open
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McCall T, Threats M, Pillai M, Lakdawala A, Bolton CS. Recommendations for design of a mobile application to support management of anxiety and depression among Black American women. Front Digit Health 2022; 4:1028408. [PMID: 36620185 PMCID: PMC9816326 DOI: 10.3389/fdgth.2022.1028408] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/26/2022] [Accepted: 11/29/2022] [Indexed: 12/24/2022] Open
Abstract
Black American women experience adverse health outcomes due to anxiety and depression. They face systemic barriers to accessing culturally appropriate mental health care leading to the underutilization of mental health services and resources. Mobile technology can be leveraged to increase access to culturally relevant resources, however, the specific needs and preferences that Black women feel are useful in an app to support management of anxiety and depression are rarely reflected in existing digital health tools. This study aims to assess what types of content, features, and important considerations should be included in the design of a mobile app tailored to support management of anxiety and depression among Black women. Focus groups were conducted with 20 women (mean age 36.6 years, SD 17.8 years), with 5 participants per group. Focus groups were led by a moderator, with notetaker present, using an interview guide to discuss topics, such as participants' attitudes and perceptions towards mental health and use of mental health services, and content, features, and concerns for design of a mobile app to support management of anxiety and depression. Descriptive qualitative content analysis was conducted. Recommendations for content were either informational (e.g., information to find a Black woman therapist) or inspirational (e.g., encouraging stories about overcoming adversity). Suggested features allow users to monitor their progress, practice healthy coping techniques, and connect with others. The importance of feeling "a sense of community" was emphasized. Transparency about who created and owns the app, and how users' data will be used and protected was recommended to establish trust. The findings from this study were consistent with previous literature which highlighted the need for educational, psychotherapy, and personal development components for mental health apps. There has been exponential growth in the digital mental health space due to the COVID-19 pandemic; however, a one-size-fits-all approach may lead to more options but continued disparity in receiving mental health care. Designing a mental health app for and with Black women may help to advance digital health equity by providing a tool that addresses their specific needs and preferences, and increase engagement.
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Affiliation(s)
- Terika McCall
- Division of Health Informatics, Department of Biostatistics, Yale School of Public Health, New Haven, CT, United States,Center for Medical Informatics, Yale School of Medicine, New Haven, CT, United States,Center for Interdisciplinary Research on AIDS (CIRA), Yale School of Public Health, New Haven, CT, United States,Correspondence: Terika McCall
| | - Megan Threats
- Center for Interdisciplinary Research on AIDS (CIRA), Yale School of Public Health, New Haven, CT, United States,School of Information, University of Michigan, Ann Arbor, MI, United States
| | - Malvika Pillai
- Carolina Health Informatics Program, University of North Carolina at Chapel Hill, Chapel Hill, NC, United States,Department of Medicine, Stanford University, Stanford, CA, United States
| | | | - Clinton S. Bolton
- Rex Bariatric Specialists, Rex/UNC Hospitals, Raleigh, NC, United States
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Pillai M, Adapa K, Dooley J, Das S, Mazur L. Improving Interpretability of Machine Learning in Head and Neck Radiation Therapy Pretreatment Physics Plan Reviews. Int J Radiat Oncol Biol Phys 2022. [DOI: 10.1016/j.ijrobp.2022.07.944] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
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Adapa K, Pillai M, Das S, Mosaly P, Mazur L. Predicting Objective Performance Using Perceived Cognitive Workload Data in Healthcare Professionals: A Machine Learning Study. Stud Health Technol Inform 2022; 290:809-813. [PMID: 35673130 DOI: 10.3233/shti220191] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/15/2023]
Abstract
Cognitive Workload (CWL) is a fundamental concept in predicting healthcare professionals' (HCPs) objective performance. The study aims to compare the accuracy of the classical model (utilizes all six dimensions of the National Aeronautics and Space Administration Task Load Index (NASA-TLX)) and novel models (utilize four or five dimensions of NASA-TLX) in predicting HCPs' objective performance. We use a dataset from our previous human factors research studies and apply a broad selection of supervised machine learning classification techniques to develop data-driven computational models and predict objective performance. The study findings confirm that classical models are better predictors of objective performance than novel models. This has practical implications for research in health informatics, human factors and ergonomics, and human-computer interaction in healthcare. Findings, although promising, cannot be generalized as they are based on a small dataset. Future studies may investigate additional subjective and physiological measures of CWL to predict HCPs' objective performance.
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Affiliation(s)
- Karthik Adapa
- Department of Radiation Oncology, School of Medicine, UNC-Chapel Hill, NC, USA
- Carolina Health Informatics Program, UNC-Chapel Hill, NC, USA
| | - Malvika Pillai
- Carolina Health Informatics Program, UNC-Chapel Hill, NC, USA
| | - Shiva Das
- Department of Radiation Oncology, School of Medicine, UNC-Chapel Hill, NC, USA
| | | | - Lukasz Mazur
- Department of Radiation Oncology, School of Medicine, UNC-Chapel Hill, NC, USA
- Carolina Health Informatics Program, UNC-Chapel Hill, NC, USA
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Pillai M, Adapa K, Shumway JW, Dooley J, Das SK, Chera BS, Mazur L. Feature Engineering for Interpretable Machine Learning for Quality Assurance in Radiation Oncology. Stud Health Technol Inform 2022; 290:460-464. [PMID: 35673057 DOI: 10.3233/shti220118] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
Chart checking is a time intensive process with high cognitive workload for physicists. Previous studies have partially automated and standardized chart checking, but limited studies implement data-driven approaches to reduce cognitive workload for quality assurance processes. This study aims to evaluate feature selection methods to improve the interpretability and transparency of machine learning models in predicting the degree of difficulty for a pretreatment physics chart check. We compare chi-square, mutual information, feature importance thresholding, and greedy feature selection for four different classifiers. Random forest has the highest performance with SMOTE oversampling using mutual information for feature selection (accuracy 84.0%, AUC 87.0%, precision 80.0%, recall 80.0%). This study demonstrates that feature selection methods can improve model interpretability and transparency.
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Affiliation(s)
- Malvika Pillai
- Carolina Health Informatics Program, University of North Carolina, Chapel Hill, North Carolina
| | - Karthik Adapa
- Carolina Health Informatics Program, University of North Carolina, Chapel Hill, North Carolina.,Department of Radiation Oncology, University of North Carolina, Chapel Hill, North Carolina
| | - John W Shumway
- Department of Radiation Oncology, University of North Carolina, Chapel Hill, North Carolina
| | - John Dooley
- Department of Radiation Oncology, University of North Carolina, Chapel Hill, North Carolina
| | - Shiva K Das
- Department of Radiation Oncology, University of North Carolina, Chapel Hill, North Carolina
| | - Bhishamjit S Chera
- Department of Radiation Oncology, University of North Carolina, Chapel Hill, North Carolina
| | - Lukasz Mazur
- Department of Radiation Oncology, University of North Carolina, Chapel Hill, North Carolina
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12
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Adapa K, Pillai M, Foster M, Charguia N, Mazur L. Using Explainable Supervised Machine Learning to Predict Burnout in Healthcare Professionals. Stud Health Technol Inform 2022; 294:58-62. [PMID: 35612016 DOI: 10.3233/shti220396] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/15/2023]
Abstract
Burnout in healthcare professionals (HCPs) is a multi-factorial problem. There are limited studies utilizing machine learning approaches to predict HCPs' burnout during the COVID-19 pandemic. A survey consisting of demographic characteristics and work system factors was administered to 450 HCPs during the pandemic (participation rate: 59.3%). The highest performing machine learning model had an area under the receiver operating curve of 0.81. The eight key features that best predicted burnout are excessive workload, inadequate staffing, administrative burden, professional relationships, organizational culture, values and expectations, intrinsic motivation, and work-life integration. These findings provide evidence for resource allocation and implementation of interventions to reduce HCPs' burnout and improve the quality of care.
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Affiliation(s)
- Karthik Adapa
- Carolina Health Informatics Program, University of North Carolina (UNC), Chapel Hill, USA
- Division of Healthcare Engineering, Department of Radiation Oncology, School of Medicine, UNC, Chapel Hill, USA
| | - Malvika Pillai
- Carolina Health Informatics Program, University of North Carolina (UNC), Chapel Hill, USA
| | - Meagan Foster
- Carolina Health Informatics Program, University of North Carolina (UNC), Chapel Hill, USA
- Division of Healthcare Engineering, Department of Radiation Oncology, School of Medicine, UNC, Chapel Hill, USA
| | - Nadia Charguia
- Department of Psychiatry, School of Medicine, UNC, Chapel Hill, USA
| | - Lukasz Mazur
- Carolina Health Informatics Program, University of North Carolina (UNC), Chapel Hill, USA
- Division of Healthcare Engineering, Department of Radiation Oncology, School of Medicine, UNC, Chapel Hill, USA
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13
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Xie J, Cho H, Lin BM, Pillai M, Heimisdottir LH, Bandyopadhyay D, Zou F, Roach J, Divaris K, Wu D. Improved Metabolite Prediction Using Microbiome Data-Based Elastic Net Models. Front Cell Infect Microbiol 2021; 11:734416. [PMID: 34760716 PMCID: PMC8573316 DOI: 10.3389/fcimb.2021.734416] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/01/2021] [Accepted: 09/22/2021] [Indexed: 12/26/2022] Open
Abstract
Microbiome data are becoming increasingly available in large health cohorts, yet metabolomics data are still scant. While many studies generate microbiome data, they lack matched metabolomics data or have considerable missing proportions of metabolites. Since metabolomics is key to understanding microbial and general biological activities, the possibility of imputing individual metabolites or inferring metabolomics pathways from microbial taxonomy or metagenomics is intriguing. Importantly, current metabolomics profiling methods such as the HMP Unified Metabolic Analysis Network (HUMAnN) have unknown accuracy and are limited in their ability to predict individual metabolites. To address this gap, we developed a novel metabolite prediction method, and we present its application and evaluation in an oral microbiome study. The new method for predicting metabolites using microbiome data (ENVIM) is based on the elastic net model (ENM). ENVIM introduces an extra step to ENM to consider variable importance (VI) scores, and thus, achieves better prediction power. We investigate the metabolite prediction performance of ENVIM using metagenomic and metatranscriptomic data in a supragingival biofilm multi-omics dataset of 289 children ages 3-5 who were participants of a community-based study of early childhood oral health (ZOE 2.0) in North Carolina, United States. We further validate ENVIM in two additional publicly available multi-omics datasets generated from studies of gut health. We select gene family sets based on variable importance scores and modify the existing ENM strategy used in the MelonnPan prediction software to accommodate the unique features of microbiome and metabolome data. We evaluate metagenomic and metatranscriptomic predictors and compare the prediction performance of ENVIM to the standard ENM employed in MelonnPan. The newly developed ENVIM method showed superior metabolite predictive accuracy than MelonnPan when trained with metatranscriptomics data only, metagenomics data only, or both. Better metabolite prediction is achieved in the gut microbiome compared with the oral microbiome setting. We report the best-predictable compounds in all these three datasets from two different body sites. For example, the metabolites trehalose, maltose, stachyose, and ribose are all well predicted by the supragingival microbiome.
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Affiliation(s)
- Jialiu Xie
- Department of Biostatistics, Gillings School of Global Public Health, University of North Carolina at Chapel Hill, Chapel Hill, NC, United States
| | - Hunyong Cho
- Department of Biostatistics, Gillings School of Global Public Health, University of North Carolina at Chapel Hill, Chapel Hill, NC, United States
| | - Bridget M. Lin
- Department of Biostatistics, Gillings School of Global Public Health, University of North Carolina at Chapel Hill, Chapel Hill, NC, United States
| | - Malvika Pillai
- Carolina Health Informatics Program, University of North Carolina at Chapel Hill, Chapel Hill, NC, United States
| | - Lara H. Heimisdottir
- Division of Pediatric and Public Health, Adams School of Dentistry, University of North Carolina at Chapel Hill, Chapel Hill, NC, United States
| | - Dipankar Bandyopadhyay
- Department of Biostatistics, School of Medicine, Virginia Commonwealth University, Richmond, VA, United States
| | - Fei Zou
- Department of Biostatistics, Gillings School of Global Public Health, University of North Carolina at Chapel Hill, Chapel Hill, NC, United States
- Department of Genetics, University of North Carolina at Chapel Hill, Chapel Hill, NC, United States
| | - Jeffrey Roach
- Research Computing, University of North Carolina, Chapel Hill, NC, United States
| | - Kimon Divaris
- Division of Pediatric and Public Health, Adams School of Dentistry, University of North Carolina at Chapel Hill, Chapel Hill, NC, United States
- Department of Epidemiology, Gillings School of Global Public Health, University of North Carolina at Chapel Hill, Chapel Hill, NC, United States
| | - Di Wu
- Department of Biostatistics, Gillings School of Global Public Health, University of North Carolina at Chapel Hill, Chapel Hill, NC, United States
- Division of Oral and Craniofacial Health Research, Adams School of Dentistry, University of North Carolina at Chapel Hill, Chapel Hill, NC, United States
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Pillai M, Hawkins R, Jiang Y, Lorigan P, Thistlethwaite F, Thomas M, Kirillova N, Bridgeman J, Kueberuwa G, Guest R, Roberts Z. 1058P Treatment outcomes with unselected autologous tumor infiltrating lymphocytes (TILs) in patients (pts) with checkpoint inhibition–refractory advanced cutaneous melanoma. Ann Oncol 2021. [DOI: 10.1016/j.annonc.2021.08.1443] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022] Open
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15
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Shumway J, Pillai M, Dooley J, Das S, Chera B. Machine Learning to Improve the Prioritization and Effectiveness of Pre-Treatment Physics Chart Checks. Int J Radiat Oncol Biol Phys 2020. [DOI: 10.1016/j.ijrobp.2020.07.2177] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
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Abstract
Positive patient experiences are associated with illness recovery and adherence to medication. To evaluate the virtual care experience for patients with COVID-19 symptoms as their chief complaints. We conducted a cross-sectional study of the first cohort of patients with COVID-19 symptoms in a virtual clinic. The main end points of this study were visit volume, wait times, visit duration, patient diagnosis, prescriptions received, and satisfaction. Of the 1139 total virtual visits, 212 (24.6%) patients had COVID-19 symptoms. The average wait time (SD) for all visits was 75.5 (121.6) minutes. The average visit duration for visits was 10.5 (4.9) minutes. The highest volume of virtual visits was on Saturdays (39), and the lowest volume was on Friday (19). Patients experienced shorter wait times (SD) on the weekdays 67.1 (106.8) minutes compared to 90.3 (142.6) minutes on the weekends. The most common diagnoses for patients with COVID-19 symptoms were upper respiratory infection. Patient wait times for a telehealth visit varied depending on the time and day of appointment. Long wait times were a major drawback in the patient experience. Based on patient-reported experience, we proposed a list of general, provider, and patient telehealth best practices.
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Affiliation(s)
- Saif Khairat
- Carolina Health Informatics Program, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA
| | - Malvika Pillai
- Carolina Health Informatics Program, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA
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17
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Sreekumar L, Cb M, Pillai M, Ommen AT, Vishnu TC. THU0113 ANTI CARBAMYLATED PROTEIN ANTIBODY IN INDIAN POPULATION WITH RHEUMATOID ARTHRITIS – A BETTER PREDICTOR OF DISEASE OUTCOME. Ann Rheum Dis 2020. [DOI: 10.1136/annrheumdis-2020-eular.5420] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 03/15/2023]
Abstract
Background:While diagnosis of RA relies mainly on detection of RF and ACCP antibodies at present, anti carbamylated protein antibody which has strong association with severe joint damage and poorer disease outcome1can be found in even healthy individuals years before onset of symptoms of RA2,3thus enabling early initiation of DMARDs and reducing complications of RA.4Objectives:Assess prevalence of anti-CarP Ab in RA patients in India and assess correlation between joint involvement, X-ray erosions and extra articular features between anti-CarP Ab positive and negative RA patients.Methods:Cross-sectional study (2017-2019) conducted among 150 RA patients who met 2010 ACR/EULAR criteria in tertiary referral hospital. Tests for CRP, RF and ACCP were done, DAS28-CRP scores were calculated at presentation & X-ray images of hands and feet obtained.Anti-CarP Ab was tested using ELISA. Cut-off level for positivity was defined using ROC curve as 13.48 U/mL, with specificity 92.73%, sensitivity 85.26%, PPV 95.29% and NPV 78.46%.Results:Venn diagram representing overlap of sero-markersStudy population had 18% males, 82% females, 72% RF+ cases (108), 78% ACCP+ cases (117) and 47.3% anti-CarP Ab+ cases (71).48% of the 25 seronegative (RF-ACCP-) cases tested positive for anti-CarP Ab, indicating its ability in diagnosing more RA cases in conjunction with present markers.Testing association between RF and anti-CarP Ab and between ACCP and anti-CarP Ab proved to be statistically insignificant showing that anti-CarP Ab is independent of the incumbent markers in diagnosing RA.69.4% of RA patients with high disease activity (DAS >3.2) were positive for anti-CarP Ab and showed statistically significant association.Association between DAS28 CRP and anti-CarP AbAlso while 39 of 71 (54.9%) anti-CarP Ab positive RA cases had joint deformities and 23 of 71 (32.4%) of anti-CarP Ab positive cases had extra articular involvement and were statistically significant, 27 of 71 anti-CarP Ab positive cases showed joint erosions in X-ray but was not statistically significant.In comparison, only extra articular involvement showed a statistical significance in ACCP positive patients whereas joint deformities and joint erosions on X-rays showed no correlation to ACCP.Joint DeformityTotalΧ2p valueAbsentPresentanti-CarP antibodyNegative5029795.0090.02563.3%36.7%100.0%Positive32397145.1%54.9%100.0%Total8268150Extra articular featuresTotalΧ2p valueAbsentPresentanti-CarP antibodyNegative6811797.2780.00786.1%13.9%100.0%Positive48237167.6%32.4%100.0%Total11634150Conclusion:Anti-CarP antibody positivity is indicative of increased disease activity (DAS28-CRP score), joint deformities and extra articular involvement in RA patients. Aside from its presence demonstrated early in the course of RA through other studies, its ability in diagnosing RA cases in otherwise seronegative (RF and ACCP negative) population and the high sensitivity, specificity and diagnostic accuracy exhibited paves the way for its routine use as a diagnostic tool in conjunction with RF and ACCP for diagnosing RA and predicting disease outcome.References:[1]Shi J et al. Autoantibodies recognizing carbamylated proteins are present in sera of patients with rheumatoid arthritis and predict joint damage.Proc Natl Acad Sci USA. 2011;108(42):17372-17377.[2]Challener GJ et al. Anti-carbamylated Protein Antibody Levels Correlate with Anti-Sa Antibody Levels in Rheumatoid Arthritis.J Rheumatol. 2016;43(2):273-281.[3]Brink M et al. Anti-carbamylated protein antibodies in the pre-symptomatic phase of rheumatoid arthritis, their relationship with multiple anti-citrulline peptide antibodies and association with radiological damage.Arthritis Research & Therapy. 2015;17(1):25.[4]Guidelines for the management of rheumatoid arthritis. American College of Rheumatology Ad Hoc Committee on Clinical Guidelines.Arthritis Rheum. 1996;39(5):713-722.Disclosure of Interests:None declared
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18
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Savery ME, Rogers WJ, Pillai M, Mork JG, Demner-Fushman D. Chemical Entity Recognition for MEDLINE Indexing. AMIA Jt Summits Transl Sci Proc 2020; 2020:561-568. [PMID: 32477678 PMCID: PMC7233078] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Subscribe] [Scholar Register] [Indexed: 06/11/2023]
Abstract
Chemical entity recognition is essential for indexing scientific literature in the MEDLINE database at the National Library of Medicine. However, the tool currently used to suggest terms for indexing, the Medical Text Indexer, was not originally conceived as a chemical recognition tool. It has instead been adapted to the task via its use of MetaMap and the addition of in-house patterns and rules. In order to develop a tool more suitable for chemical recognition, we have created a collection of 200 MEDLINE titles and abstracts annotated with genes, proteins, inorganic and organic chemicals, as well as other biological molecules. We use this collection to evaluate eleven chemical entity recognition systems, where we seek to identify a tool that effectively recognizes chemical entities for indexing and also performs well on chemical recognition beyond the indexing task. We observe the highest performance with a SciBERT ensemble.
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Affiliation(s)
- Max E Savery
- Lister Hill National Center for Biomedical Communications, U.S. National Library of Medicine, National Institutes of Health, Bethesda, MD
| | - Willie J Rogers
- Lister Hill National Center for Biomedical Communications, U.S. National Library of Medicine, National Institutes of Health, Bethesda, MD
| | - Malvika Pillai
- Lister Hill National Center for Biomedical Communications, U.S. National Library of Medicine, National Institutes of Health, Bethesda, MD
| | - James G Mork
- Lister Hill National Center for Biomedical Communications, U.S. National Library of Medicine, National Institutes of Health, Bethesda, MD
| | - Dina Demner-Fushman
- Lister Hill National Center for Biomedical Communications, U.S. National Library of Medicine, National Institutes of Health, Bethesda, MD
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19
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Pavithran N, Kumar H, Menon A, Ragasudha P, Pillai M, Sundaram K. MON-PO442: 24-Week, Low GI Diet Decreases Truncal Fat Mass in South Indians with Type 2 Diabetes: A Randomized Study. Clin Nutr 2019. [DOI: 10.1016/s0261-5614(19)32275-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
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Pillai M, Adapa K, Das SK, Mazur L, Dooley J, Marks LB, Thompson RF, Chera BS. Using Artificial Intelligence to Improve the Quality and Safety of Radiation Therapy. J Am Coll Radiol 2019; 16:1267-1272. [DOI: 10.1016/j.jacr.2019.06.001] [Citation(s) in RCA: 13] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/29/2019] [Accepted: 06/03/2019] [Indexed: 02/06/2023]
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21
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Lixon A, Pillai M, Abdulfattah O, Weinstein M. 1076 CPAP And Bilateral Periorbital Edema: A Case Report. Sleep 2019. [DOI: 10.1093/sleep/zsz069.1073] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Affiliation(s)
- A Lixon
- NYU Winthrop University Hospital Sleep Medicine Fellowship Program, Mineola, NY
| | - M Pillai
- NYU Winthrop University Hospital Sleep Medicine Fellowship Program, Mineola, NY
| | - O Abdulfattah
- NYU Winthrop University Hospital Sleep Medicine Fellowship Program, Mineola, NY
| | - M Weinstein
- NYU Winthrop University Hospital Sleep Medicine Fellowship Program, Mineola, NY
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22
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Villa S, Pillai M, Graham D, Kilgour E, Overton N, Vasudev N, Hughes A, Walker A, Dransfield S, Thistlethwaite F. TRIBE; Tyrosine kinase inhibitor therapy in renal-cell carcinoma: Immune biomarker evaluation. Ann Oncol 2018. [DOI: 10.1093/annonc/mdy315.008] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
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23
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Chow S, Galvis V, Pillai M, Leach R, Keene E, Spencer-Shaw A, Shablak A, Shanks J, Liptrot T, Thistlethwaite F, Hawkins RE. High-dose interleukin2 - a 10-year single-site experience in the treatment of metastatic renal cell carcinoma: careful selection of patients gives an excellent outcome. J Immunother Cancer 2016; 4:67. [PMID: 27777776 PMCID: PMC5067981 DOI: 10.1186/s40425-016-0174-5] [Citation(s) in RCA: 16] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/10/2016] [Accepted: 10/07/2016] [Indexed: 01/05/2023] Open
Abstract
Background VEGF-targeted therapy has become the mainstay of treatment for majority of mRCC patients. For most patients, benefit is short-lived and therefore treatment remains palliative in intent. HD IL2 is an effective immunotherapy treatment capable of durable remission in some patients but its unselected use has been difficult due to its modest response rate and considerable adverse effects. Using set pathology criteria as a selection tool in clinical practice, we have been able to show improved outcomes in our previous report. Here, we present an updated and extended report of this treatment and seek to explore any pathological, clinical and treatment variables likely to predict better outcomes. Methods This is an extension of a previously reported clinical audit, which includes mRCC cases treated with HD IL2 between 2003 and 2013. Since 2006, tumour specimens of potential candidates were routinely reviewed prospectively and stratified into Favourable or Other categories based on constitution of histological growth pattern, namely alveolar or solid versus papillary and/or sarcomatoid architecture; clear cell versus granular cell cytoplasmic morphology. HD IL2 was preferentially offered to patients with Favourable pathology. Outcome evaluation includes response rates, survival, and treatment tolerance. Multivariate analysis was performed to explore potential prognostic and predictive factors. Results Among prospectively selected patients with Favourable pathology (n = 106), overall response rate was 48.1 % (51/106) with CR rate of 21.6 % (23/106). Median OS was 58.1 months. Factors associated with significantly better response and/or survival includes favourable pathology pattern, higher cycle 1 tolerance and lower number of metastatic organ sites (<3). CAIX (Carbonic anhydrase 9) has prognostic value but is not predictive of response. Toxicities were those expected of IL2 but were manageable on general medical wards, with no treatment-related death. Importantly most complete responses were durable with 76 % (23/30) cases remained relapse-free (median 39 months follow up) and 2 of the seven who relapsed had had long-term disease free survival after resection of oligometastatic relapse. Conclusions Our experience shows that HD IL2 remains an effective and safe treatment in well-selected cases of mRCC. The result in this single-institution patient series confirms similar outcomes to our previously reported retrospective series. Given the prospect of long-term remission, fit patients with Favourable histology and low disease burden should be considered for HD IL2 in an experienced centre. Better understanding has been gained from this in-depth analysis especially the examination of possible response predictors and strategies that can improve treatment outcome. Electronic supplementary material The online version of this article (doi:10.1186/s40425-016-0174-5) contains supplementary material, which is available to authorized users.
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Affiliation(s)
- S Chow
- The Christie NHS Foundation Trust, Manchester, UK
| | - V Galvis
- The Christie NHS Foundation Trust, Manchester, UK
| | - M Pillai
- The Christie NHS Foundation Trust, Manchester, UK
| | - R Leach
- The Christie NHS Foundation Trust, Manchester, UK
| | - E Keene
- The Christie NHS Foundation Trust, Manchester, UK ; The University of Manchester, Manchester, UK
| | | | - A Shablak
- The Christie NHS Foundation Trust, Manchester, UK
| | - J Shanks
- The Christie NHS Foundation Trust, Manchester, UK
| | - T Liptrot
- The Christie NHS Foundation Trust, Manchester, UK
| | | | - R E Hawkins
- The Christie NHS Foundation Trust, Manchester, UK ; The University of Manchester, Manchester, UK ; The Christie Clinic, Manchester, UK
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Andre E, Yaniz-Galende E, Hamilton C, Dusting GJ, Hellen N, Poulet CE, Diez Cunado M, Smits AM, Lowe V, Eckardt D, Du Pre B, Sanz Ruiz R, Moerkamp AT, Tribulova N, Smani T, Liskova YV, Greco S, Guzzolino E, Franco D, Lozano-Velasco E, Knorr M, Pavoine C, Bukowska A, Van Linthout S, Miteva K, Sulzgruber P, Latet SC, Portnychenko A, Cannavo A, Kamilova U, Sagach VF, Santin Y, Octavia Y, Haller PM, Octavia Y, Rubies C, Dei Zotti F, Wong KHK, Gonzalez Miqueo A, Kruithof BPT, Kadur Nagaraju C, Shaposhnikova Y, Songia P, Lindner D, Wilson C, Benzoni P, Fabbri A, Campostrini G, Jorge E, Casini S, Mengarelli I, Nikolov A, Bublikov DS, Kheloufi M, Rubies C, Walker RE, Van Dijk RA, Posthuma JJ, Dumitriu IE, Karshovska E, Sakic A, Alexandru N, Martin-Lorenzo M, Molica F, Taylor RF, Mcarthur L, Crocini C, Matsuyama TA, Mazzoni L, Lin WK, Owen TJ, Scigliano M, Sheehan A, Bezerra Gurgel AR, Bromage DI, Kiss A, Ikeda G, Pickard JMJ, Wirth G, Casos K, Khudiakov A, Nistal JF, Ferrantini C, Park SJ, Di Maggio S, Gentile F, Dini L, Buyandelger B, Larrasa-Alonso J, Schirmer I, Chin SH, Cimiotti D, Martini H, Hohensinner PJ, Garabito M, Zeni F, Licholai S, De Bortoli M, Sivitskaya L, Viczenczova C, Rainer PP, Smith LE, Suna G, Gambardella J, Cozma A, De Gonzalo Calvo D, Scoditti E, Clark BJ, Mansfield C, Eckardt D, Gomez L, Llucia-Valldeperas A, De Pauw A, Porporato P, Bouzin C, Draoui N, Sonveaux P, Balligand JL, Mougenot N, Formicola L, Nadaud S, Dierick F, Hajjar RJ, Marazzi G, Sassoon D, Hulot JS, Zamora VR, Burton FL, Macquaide N, Smith GL, Hernandez D, Sivakumaran P, Millard R, Wong RCB, Pebay A, Shepherd RK, Lim SY, Owen T, Jabbour RJ, Kloc M, Kodagoda T, Denning C, Harding SE, Ramos S, Terracciano C, Gorelik J, Wei K, Bushway P, Ruiz-Lozano P, Mercola M, Moerkamp AT, Vegh AMD, Dronkers E, Lodder K, Van Herwaarden T, Goumans MJ, Pellet-Many C, Zachary I, Noack K, Bosio A, Feyen DAM, Demkes EJ, Dierickx PJ, Doevendans PA, Vos MA, Van Veen AAB, Van Laake LW, Fernandez Santos ME, Suarez Sancho S, Fuentes Arroyo L, Plasencia Martin V, Velasco Sevillano P, Casado Plasencia A, Climent AM, Guillem M, Atienza Fernandez F, Fernandez-Aviles F, Dingenouts CKE, Lodder K, Kruithof BPT, Van Herwaarden T, Vegh AMD, Goumans MJ, Smits AM, Knezl V, Szeiffova Bacova B, Egan Benova T, Viczenczova C, Goncalvesova E, Slezak J, Calderon-Sanchez E, Diaz I, Ordonez A, Salikova SP, Zaccagnini G, Voellenkle C, Sadeghi I, Maimone B, Castelvecchio S, Gaetano C, Menicanti L, Martelli F, Hatcher C, D'aurizio R, Groth M, Baugmart M, Mercatanti A, Russo F, Mariani L, Magliaro C, Pitto L, Lozano-Velasco E, Jodar-Garcia A, Galiano-Torres J, Lopez-Navarrete I, Aranega A, Wagensteen R, Quesada A, Aranega A, Franco D, Finger S, Karbach S, Kossmann S, Muenzel T, Wenzel P, Keck M, Mougenot N, Favier S, Fuand A, Atassi F, Barbier C, Lompre AM, Hulot JS, Nikonova Y, Pluteanu F, Kockskaemper J, Chilukoti RK, Wolke C, Lendeckel U, Gardemann A, Goette A, Miteva K, Pappritz K, Mueller I, El-Shafeey M, Ringe J, Tschoepe C, Pappritz K, El-Shafeey M, Ringe J, Tschoepe C, Van Linthout S, Koller L, Richter B, Blum S, Koprak M, Huelsmann M, Pacher R, Goliasch G, Wojta J, Niessner A, Van Herck PL, Claeys MJ, Haine SE, Lenders GD, Miljoen HP, Segers VF, Vandendriescche TR, Hoymans VY, Vrints CJ, Lapikova-Bryhinska T, Gurianova V, Portnichenko H, Vasylenko M, Zapara Y, Portnichenko V, Liccardo D, Lymperopoulos A, Santangelo M, Leosco D, Koch WJ, Ferrara N, Rengo G, Alieva T, Rasulova Z, Masharipova D, Dorofeyeva NA, Drachuk KO, Sicard P, Yucel Y, Dutaur M, Vindis C, Parini A, Mialet-Perez J, Van Deel ED, De Boer M, De Waard MC, Duncker DJ, Nagel F, Inci M, Santer D, Hallstroem S, Podesser BK, Kararigas G, De Boer M, Kietadisorn R, Swinnen M, Duimel H, Verheyen F, Chrifi I, Brandt MM, Cheng C, Janssens S, Moens AL, Duncker DJ, Batlle M, Dantas AP, Sanz M, Sitges M, Mont L, Guasch E, Lobysheva I, Beauloye C, Balligand JL, Vanhoutte PM, Tang EHC, Beaumont J, Lopez B, Ravassa S, Hermida N, Valencia F, Gomez-Doblas JJ, San Jose G, De Teresa E, Diez J, Van De Merbel AF, Kruithof-De Julio M, Goumans MJ, Claus P, Dries E, Angelo Singh A, Vermeulen K, Roderick HL, Sipido KR, Driesen RB, Ilchenko I, Bobronnikova L, Myasoedova V, Alamanni F, Tremoli E, Poggio P, Becher PM, Gotzhein F, Klingel K, Blankenberg S, Westermann D, Zi M, Cartwright E, Campostrini G, Bonzanni M, Milanesi R, Bucchi A, Baruscotti M, Difrancesco D, Barbuti A, Fantini M, Wilders R, Severi S, Benzoni P, Dell' Era P, Serzanti M, Olesen MS, Muneretto C, Bisleri G, Difrancesco D, Baruscotti M, Bucchi A, Barbuti A, Amoros-Figueras G, Raga S, Campos B, Alonso-Martin C, Rodriguez-Font E, Vinolas X, Cinca J, Guerra JM, Mengarelli I, Schumacher CA, Veldkamp MW, Verkerk AO, Remme CA, Veerman C, Guan K, Stauske M, Tan H, Barc J, Wilde A, Verkerk A, Bezzina C, Tsinlikov I, Tsinlikova I, Nicoloff G, Blazhev A, Garev A, Andrienko AV, Lychev VG, Vorobova EN, Anchugina DA, Vion AC, Hammoutene A, Poisson J, Dupont N, Souyri M, Tedgui A, Codogno P, Boulanger CM, Rautou PE, Dantas AP, Batlle M, Guasch E, Torres M, Montserrat JM, Almendros I, Mont L, Austin CA, Holt CM, Rijs K, Wezel A, Hamming JF, Kolodgie FD, Virmani R, Schaapherder AF, Lindeman JHN, Posma JJN, Van Oerle R, Spronk HMH, Ten Cate H, Dinkla S, Kaski JC, Schober A, Chaabane C, Ambartsumian N, Grigorian M, Bochaton-Piallat ML, Dragan E, Andrei E, Niculescu L, Georgescu A, Gonzalez-Calero L, Maroto AS, Martinez PJ, Heredero A, Aldamiz-Echevarria G, Vivanco F, Alvarez-Llamas G, Meens MJ, Pelli G, Foglia B, Scemes E, Kwak BR, Caldwell JL, Eisner DA, Dibb KM, Trafford AW, Chilton L, Smith GL, Nicklin SA, Coppini R, Ferrantini C, Yan P, Loew LM, Poggesi C, Cerbai E, Pavone FS, Sacconi L, Tanaka H, Ishibashi-Ueda H, Takamatsu T, Coppini R, Ferrantini C, Gentile F, Pioner JM, Santini L, Sartiani L, Bargelli V, Poggesi C, Mugelli A, Cerbai E, Maciejewska M, Bolton EL, Wang Y, O'brien F, Ruas M, Lei M, Sitsapesan R, Galione A, Terrar DA, Smith JG, Garcia D, Barriales-Villa R, Monserrat L, Harding SE, Denning C, Marston SB, Watson S, Tkach S, Faggian G, Terracciano CM, Perbellini F, Eiros Zamora J, Papadaki M, Messer A, Marston S, Gould I, Johnston A, Dunne M, Smith G, Kemi OJ, Pillai M, Davidson SM, Yellon DM, Tratsiakovich Y, Jang J, Gonon AT, Pernow J, Matoba T, Koga J, Egashira K, Burke N, Davidson SM, Yellon DM, Korpisalo P, Hakkarainen H, Laidinen S, Yla-Herttuala S, Ferrer-Curriu G, Perez M, Permanyer E, Blasco-Lucas A, Gracia JM, Castro MA, Barquinero J, Galinanes M, Kostina D, Kostareva A, Malashicheva A, Merino D, Ruiz L, Gomez J, Juarez C, Gil A, Garcia R, Hurle MA, Coppini R, Pioner JM, Gentile F, Mazzoni L, Rossi A, Tesi C, Belardinelli L, Olivotto I, Cerbai E, Mugelli A, Poggesi C, Eun-Ji EJ, Lim BK, Choi DJ, Milano G, Bertolotti M, De Marchis F, Zollo F, Sommariva E, Capogrossi MC, Pompilio G, Bianchi ME, Raucci A, Pioner JM, Coppini R, Scellini B, Tardiff J, Tesi C, Poggesi C, Ferrantini C, Mazzoni L, Sartiani L, Coppini R, Diolaiuti L, Ferrari P, Cerbai E, Mugelli A, Mansfield C, Luther P, Knoell R, Villalba M, Sanchez-Cabo F, Lopez-Olaneta MM, Ortiz-Sanchez P, Garcia-Pavia P, Lara-Pezzi E, Klauke B, Gerdes D, Schulz U, Gummert J, Milting H, Wake E, Kocsis-Fodor G, Brack KE, Ng GA, Kostareva A, Smolina N, Majchrzak M, Moehner D, Wies A, Milting H, Stehle R, Pfitzer G, Muegge A, Jaquet K, Maggiorani D, Lefevre L, Dutaur M, Mialet-Perez J, Parini A, Cussac D, Douin-Echinard V, Ebenbauer B, Kaun C, Prager M, Wojta J, Rega-Kaun G, Costa G, Onetti Y, Jimenez-Altayo F, Vila E, Dantas AP, Milano G, Bertolotti M, Scopece A, Piacentini L, Bianchi ME, Capogrossi MC, Pompilio G, Colombo G, Raucci A, Blaz M, Kapelak B, Sanak M, Bauce B, Calore C, Lorenzon A, Calore M, Poloni G, Mazzotti E, Rigato I, Daliento L, Basso C, Thiene G, Melacini P, Corrado D, Rampazzo A, Danilenko NG, Vaikhanskaya TG, Davydenko OG, Szeiffova Bacova B, Kura B, Egan Benova T, Yin CH, Kukreja R, Slezak J, Tribulova N, Lee DI, Sorge M, Glabe C, Paolocci N, Guarnieri C, Tomaselli GF, Kass DA, Van Eyk JE, Agnetti G, Cordwell SJ, White MY, Wojakowski W, Lynch M, Barallobre-Barreiro J, Yin X, Mayr U, White S, Jahingiri M, Hill J, Mayr M, Sorriento D, Ciccarelli M, Fiordelisi A, Campiglia P, Trimarco B, Iaccarino G, Sitar Taut AV, Schiau S, Orasan O, Halloumi W, Negrean V, Zdrenghea D, Pop D, Van Der Meer RW, Rijzewijk LJ, Smit JWA, Revuelta-Lopez E, Nasarre L, Escola-Gil JC, Lamb HJ, Llorente-Cortes V, Pellegrino M, Massaro M, Carluccio MA, Calabriso N, Wabitsch M, Storelli C, De Caterina R, Church SJ, Callagy S, Begley P, Kureishy N, Mcharg S, Bishop PN, Unwin RD, Cooper GJS, Mawad D, Perbellini F, Tonkin J, Bello SO, Simonotto JD, Lyon AR, Stevens MM, Terracciano CM, Harding SE, Kernbach M, Czichowski V, Bosio A, Fuentes L, Hernandez-Redondo I, Guillem MS, Fernandez ME, Sanz R, Atienza F, Climent AM, Fernandez-Aviles F, Soler-Botija C, Prat-Vidal C, Galvez-Monton C, Roura S, Perea-Gil I, Bragos R, Bayes-Genis A. Poster session 1Cell growth, differentiation and stem cells - Heart72Understanding the metabolism of cardiac progenitor cells: a first step towards controlling their proliferation and differentiation?73Expression of pw1/peg3 identifies a new cardiac adult stem cell population involved in post-myocardial infarction remodeling74Long-term stimulation of iPS-derived cardiomyocytes using optogenetic techniques to promote phenotypic changes in E-C coupling75Benefits of electrical stimulation on differentiation and maturation of cardiomyocytes from human induced pluripotent stem cells76Constitutive beta-adrenoceptor-mediated cAMP production controls spontaneous automaticity of human induced pluripotent stem cell-derived cardiomyocytes77Formation and stability of T-tubules in cardiomyocytes78Identification of miRNAs promoting human cardiomyocyte proliferation by regulating Hippo pathway79A direct comparison of foetal to adult epicardial cell activation reveals distinct differences relevant for the post-injury response80Role of neuropilins in zebrafish heart regeneration81Highly efficient immunomagnetic purification of cardiomyocytes derived from human pluripotent stem cells82Cardiac progenitor cells posses a molecular circadian clock and display large 24-hour oscillations in proliferation and stress tolerance83Influence of sirolimus and everolimus on bone marrow-derived mesenchymal stem cell biology84Endoglin is important for epicardial behaviour following cardiac injuryCell death and apoptosis - Heart87Ultrastructural alterations reflecting Ca2+ handling and cell-to-cell coupling disorders precede occurrence of severe arrhythmias in intact animal heart88Urocortin-1 promotes cardioprotection through ERK1/2 and EPAC pathways: role in apoptosis and necrosis89Expression p38 MAPK and Cas-3 in myocardium LV of rats with experimental heart failure at melatonin and enalapril introductionTranscriptional control and RNA species - Heart92Accumulation of beta-amyloid 1-40 in HF patients: the role of lncRNA BACE1-AS93Role of miR-182 in zebrafish and mouse models of Holt-Oram syndrome94Mir-27 distinctly regulates muscle-enriched transcription factors and growth factors in cardiac and skeletal muscle cells95AF risk factors impair PITX2 expression leading to Wnt-microRNA-ion channel remodelingCytokines and cellular inflammation - Heart98Post-infarct survival depends on the interplay of monocytes, neutrophils and interferon gamma in a mouse model of myocardial Infarction99Inflammatory cd11b/c cells play a protective role in compensated cardiac hypertrophy by promoting an orai3-related pro-survival signal100Anti-inflammatory effects of endothelin receptor blockade in the atrial tissue of spontaneously hypertensive rats101Mesenchymal stromal cells reduce NLRP3 inflammasome activity in Coxsackievirus B3-induced myocarditis102Mesenchymal stromal cells modulate monocytes trafficking in Coxsackievirus B3-induced myocarditis103The impact of regulatory T lymphocytes on long-term mortality in patients with chronic heart failure104Temporal dynamics of dendritic cells after ST-elevation myocardial infarction relate with improvement of myocardial functionGrowth factors and neurohormones - Heart107Preconditioning of hypertrophied heart: miR-1 and IGF-1 crosstalk108Modulation of catecholamine secretion from human adrenal chromaffin cells by manipulation of G protein-coupled receptor kinase-2 activity109Evaluation of cyclic adenosin-3,5- monophosphate and neurohormones in patients with chronic heart failureNitric oxide and reactive oxygen species - Heart112Hydrogen sulfide donor inhibits oxidative and nitrosative stress, cardiohemodynamics disturbances and restores cNOS coupling in old rats113Role and mechanisms of action of aldehydes produced by monoamine oxidase A in cardiomyocyte death and heart failure114Exercise training has contrasting effects in myocardial infarction and pressure-overload due to different endothelial nitric oxide synthase regulation115S-Nitroso Human Serum Albumin dose-dependently leads to vasodilation and alters reactive hyperaemia in coronary arteries of an isolated mouse heart model116Modulating endothelial nitric oxide synthase with folic acid attenuates doxorubicin-induced cardiomyopathy119Effects of long-term very high intensity exercise on aortic structure and function in an animal model120Electron paramagnetic resonance spectroscopy quantification of nitrosylated hemoglobin (HbNO) as an index of vascular nitric oxide bioavailability in vivo121Deletion of repressor activator protein 1 impairs acetylcholine-induced relaxation due to production of reactive oxygen speciesExtracellular matrix and fibrosis - Heart124MicroRNA-19b is associated with myocardial collagen cross-linking in patients with severe aortic stenosis. Potential usefulness as a circulating biomarker125A new ex vivo model to study cardiac fibrosis126Heterogeneity of fibrosis and fibroblast differentiation in the left ventricle after myocardial infarction127Effect of carbohydrate metabolism degree compensation to the level of galectin-3 changes in hypertensive patients with chronic heart failure and type 2 diabetes mellitus128Statin paradox in association with calcification of bicuspid aortic valve interstitial cells129Cardiac function remains impaired despite reversible cardiac fibrosis after healed experimental viral myocarditisIon channels, ion exchangers and cellular electrophysiology - Heart132Identifying a novel role for PMCA1 (Atp2b1) in heart rhythm instability133Mutations of the caveolin-3 gene as a predisposing factor for cardiac arrhythmias134The human sinoatrial node action potential: time for a computational model135iPSC-derived cardiomyocytes as a model to dissect ion current alterations of genetic atrial fibrillation136Postextrasystolic potentiation in healthy and diseased hearts: effects of the site of origin and coupling interval of the preceding extrasystole137Absence of Nav1.8-based (late) sodium current in rabbit cardiomyocytes and human iPSC-CMs138hiPSC-derived cardiomyocytes from Brugada Syndrome patients without identified mutations do not exhibit cellular electrophysiological abnormalitiesMicrocirculation141Atherogenic indices, collagen type IV turnover and the development of microvascular complications- study in diabetics with arterial hypertension142Changes in the microvasculature and blood viscosity in women with rheumatoid arthritis, hypercholesterolemia and hypertensionAtherosclerosis145Shear stress regulates endothelial autophagy: consequences on endothelial senescence and atherogenesis146Obstructive sleep apnea causes aortic remodeling in a chronic murine model147Aortic perivascular adipose tissue displays an aged phenotype in early and late atherosclerosis in ApoE-/- mice148A systematic evaluation of the cellular innate immune response during the process of human atherosclerosis149Inhibition of Coagulation factor Xa increases plaque stability and attenuates the onset and progression of atherosclerotic plaque in apolipoprotein e-deficient mice150Regulatory CD4+ T cells from patients with atherosclerosis display pro-inflammatory skewing and enhanced suppression function151Hypoxia-inducible factor (HIF)-1alpha regulates macrophage energy metabolism by mediating miRNAs152Extracellular S100A4 is a key player of smooth muscle cell phenotypic transition: implications in atherosclerosis153Microparticles of healthy origins improve atherosclerosis-associated endothelial progenitor cell dysfunction via microRNA transfer154Arterial remodeling and metabolism impairment in early atherosclerosis155Role of pannexin1 in atherosclerotic plaque formationCalcium fluxes and excitation-contraction coupling158Amphiphysin II induces tubule formation in cardiac cells159Interleukin 1 beta regulation of connexin 43 in cardiac fibroblasts and the effects of adult cardiac myocyte:fibroblast co-culture on myocyte contraction160T-tubular electrical defects contribute to blunted beta-adrenergic response in heart failure161Beat-to-beat variability of intracellular Ca2+ dynamics of Purkinje cells in the infarct border zone of the mouse heart revealed by rapid-scanning confocal microscopy162The efficacy of late sodium current blockers in hypertrophic cardiomyopathy is dependent on genotype: a study on transgenic mouse models with different mutations163Synthesis of cADPR and NAADP by intracellular CD38 in heart: role in inotropic and arrhythmogenic effects of beta-adrenoceptor signalingContractile apparatus166Towards an engineered heart tissue model of HCM using hiPSC expressing the ACTC E99K mutation167Diastolic mechanical load delays structural and functional deterioration of ultrathin adult heart slices in culture168Structural investigation of the cardiac troponin complex by molecular dynamics169Exercise training restores myocardial and oxidative skeletal muscle function from myocardial infarction heart failure ratsOxygen sensing, ischaemia and reperfusion172A novel antibody specific to full-length stromal derived factor-1 alpha reveals that remote conditioning induces its cleavage by endothelial dipeptidyl peptidase 4173Attenuation of myocardial and vascular arginase activity by vagal nerve stimulation via a mechanism involving alpha-7 nicotinic receptor during cardiac ischemia and reperfusion174Novel nanoparticle-mediated medicine for myocardial ischemia-reperfusion injury simultaneously targeting mitochondrial injury and myocardial inflammation175Acetylcholine plays a key role in myocardial ischaemic preconditioning via recruitment of intrinsic cardiac ganglia176The role of nitric oxide and VEGFR-2 signaling in post ischemic revascularization and muscle recovery in aged hypercholesterolemic mice177Efficacy of ischemic preconditioning to protect the human myocardium: the role of clinical conditions and treatmentsCardiomyopathies and fibrosis180Plakophilin-2 haploinsufficiency leads to impaired canonical Wnt signaling in ARVC patient181Improved technique for customized, easier, safer and more reliable transverse aortic arch banding and debanding in mice as a model of pressure overload hypertrophy182Late sodium current inhibitors for the treatment of inducible obstruction and diastolic dysfunction in hypertrophic cardiomyopathy: a study on human myocardium183Angiotensin II receptor antagonist fimasartan has protective role of left ventricular fibrosis and remodeling in the rat ischemic heart184Role of High-Mobility Group Box 1 (HMGB1) redox state on cardiac fibroblasts activities and heart function after myocardial infarction185Atrial remodeling in hypertrophic cardiomyopathy: insights from mouse models carrying different mutations in cTnT186Electrophysiological abnormalities in ventricular cardiomyocytes from a Maine Coon cat with hypertrophic cardiomyopathy: effects of ranolazine187ZBTB17 is a novel cardiomyopathy candidate gene and regulates autophagy in the heart188Inhibition of SRSF4 in cardiomyocytes induces left ventricular hypertrophy189Molecular characterization of a novel cardiomyopathy related desmin frame shift mutation190Autonomic characterisation of electro-mechanical remodeling in an in-vitro leporine model of heart failure191Modulation of Ca2+-regulatory function by three novel mutations in TNNI3 associated with severe infant restrictive cardiomyopathyAging194The aging impact on cardiac mesenchymal like stromal cells (S+P+)195Reversal of premature aging markers after bariatric surgery196Sex-associated differences in vascular remodeling during aging: role of renin-angiotensin system197Role of the receptor for advanced glycation end-products (RAGE) in age dependent left ventricle dysfunctionsGenetics and epigenetics200hsa-miR-21-5p as a key factor in aortic remodeling during aneurysm formation201Co-inheritance of mutations associated with arrhythmogenic and hypertrophic cardiomyopathy in two Italian families202Lamin a/c hot spot codon 190: form various amino acid substitutions to clinical effects203Treatment with aspirin and atorvastatin attenuate cardiac injury induced by rat chest irradiation: Implication of myocardial miR-1, miR-21, connexin-43 and PKCGenomics, proteomics, metabolomics, lipidomics and glycomics206Differential phosphorylation of desmin at serines 27 and 31 drives the accumulation of preamyloid oligomers in heart failure207Potential role of kinase Akt2 in the reduced recovery of type 2 diabetic hearts subjected to ischemia / reperfusion injury208A proteomics comparison of extracellular matrix remodelling in porcine coronary arteries upon stent implantationMetabolism, diabetes mellitus and obesity211Targeting grk2 as therapeutic strategy for cancer associated to diabetes212Effects of salbutamol on large arterial stiffness in patients with metabolic syndrome213Circulating microRNA-1 and microRNA-133a: potential biomarkers of myocardial steatosis in type 2 diabetes mellitus214Anti-inflammatory nutrigenomic effects of hydroxytyrosol in human adipocytes - protective mechanisms of mediterranean diets in obesity-related inflammation215Alterations in the metal content of different cardiac regions within a rat model of diabetic cardiomyopathyTissue engineering218A novel conductive patch for application in cardiac tissue engineering219Establishment of a simplified and improved workflow from neonatal heart dissociation to cardiomyocyte purification and characterization220Effects of flexible substrate on cardiomyocytes cell culture221Mechanical stretching on cardiac adipose progenitors upregulates sarcomere-related genes. Cardiovasc Res 2016. [DOI: 10.1093/cvr/cvw135] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
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Zayer A, Smith H, Pillai M, Sekirnik R, Zak J, Lu X, Schofield C, Bix M, Ratcliffe P, Coleman M. Tumour suppression by a protein hydroxylase. Eur J Cancer 2016. [DOI: 10.1016/s0959-8049(16)61319-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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Bromage DI, Pillai M, Davidson SM, Yellon DM. 28 Remote ischaemic conditioning involves signalling via CXCR4 but does not increase circulating levels of its known ligands. Heart 2015. [DOI: 10.1136/heartjnl-2015-308734.28] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
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Preshaw J, Pillai M. Severe early onset hydramnios in a singleton pregnancy due to antenatal Bartter syndrome. J OBSTET GYNAECOL 2014; 34:274-5. [PMID: 24483758 DOI: 10.3109/01443615.2013.851658] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
Affiliation(s)
- J Preshaw
- Women's Centre, Gloucestershire Royal Hospital , Gloucester , UK
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28
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Lakshmikesari A, Radhakrishna R, Bhanumathi A, Ravi D, Srinivas G, Nair M, Pillai M. Expression of epidermal and transforming growth factors in pancreatic cancer. Oncol Rep 2012; 3:963-6. [PMID: 21594491 DOI: 10.3892/or.3.5.963] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022] Open
Abstract
Pancreatic cancer continues to be a major clinical problem and little is known of the various cellular and molecular events associated with this malignancy. Growth factors and their receptors have important functions in the process of tumor progression. We have examined by immunocytochemistry, the expression of epidermal growth factor (EGF), its receptor (EGFR) and the transforming growth factors alpha and beta (TGF alpha and beta) in various grades of pancreatic adenocarcinoma. Expression of the growth factors was compared to their distribution in apparently normal pancreas and chronic pancreatitis. EGF, TGF alpha and TGF beta was expressed in normal pancreatic tissue while the expression of EGFR was slight and restricted. In chronic pancreatitis, this expression of EGFR increased and was found to be moderate in intensity. Expression of EGF, TGF alpha and TGF beta was similar to that seen in normal pancreas. Moderate to intense expression of EGF and TGF alpha was evident in all grades of pancreatic cancer. Expression of EGFR was intense in all these lesions. However, the most significant finding was the absence of TGF beta in all pancreatic cancer lesions. These results may have significant implications for pancreatic tumor progression. EGF and TGF alpha are growth promoters influencing the expression of EGFR. TGF beta, on the other hand exerts an anti-proliferative effect and favours differentiation. It therefore appears that the balance between EGF and TGF alpha on the one hand and TGF beta on the other may be critical in the process of tumor progression, especially if one considers chronic pancreatitis as a pre-malignant condition and the growth factor expression associated with it.
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Affiliation(s)
- A Lakshmikesari
- REG CANC CTR,DIV LAB MED,TRIVANDRUM 695011,KERALA,INDIA. REG CANC CTR,DIV RADIAT ONCOL,TRIVANDRUM 695011,KERALA,INDIA. MED COLL HOSP,DEPT PATHOL,THANJAVUR,TAMIL NADU,INDIA
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Abstract
Epidermal growth factor (EGF) is an important growth factor regulating both normal and malignant cells. The present study analyzes the expression pattern of EGF and its receptor (EGF-R) in 424 cases of various stages of tumor progression in the uterine cervix. In all the samples studied, EGF and EGF-R expression was predominant in the basal or basaloid cells. Increased expression of the two proteins correlated with increasing histological abnormality (dysplasia). In invasive cancer, alteration of EGF expression was more evident than EGF-R. The expression pattern showed significant correlation in the basal and spinal cell layers. This increased expression of EGF observed in dysplastic and malignant cells may be due to overexpression of EGF-R and suggests its role in cellular proliferation.
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Affiliation(s)
- S Lakshmi
- REG CANC CTR,DIV LAB MED,THIRUVANANTHAPURAM 695011,KERALA,INDIA. REG CANC CTR,DIV RADIAT BIOL,THIRUVANANTHAPURAM 695011,KERALA,INDIA. DOCTROS DIAGNOST RES CTR,DIV PATHOL,THIRUVANANTHAPURAM,KERALA,INDIA
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Lakshmi S, Nair M, Rajalakshmi T, Jayaprakash P, Nair M, Pillai M. Proliferating cell nuclear antigen expression and the progression of cervical intraepithelial neoplasia. Oncol Rep 2012; 3:1195-8. [PMID: 21594538 DOI: 10.3892/or.3.6.1195] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/06/2022] Open
Abstract
Cell proliferation is an important biological aspect of a tumor cell population which can affect clinical outcome. In addition to other well established clinical and histopathological prognostic criteria? cell kinetic data have significant predictive value. This study evaluates the proliferative activity of benign, premalignant and malignant cervical tissue by analyzing the expression of the proliferating cell nuclear antigen (PCNA). PCNA is a 36 kD nuclear protein associated with the cell cycle and is directly involved in DNA synthesis during cell proliferation. A total of 122 subjects were included in the study. This included 30 benign tissue samples, 30 low grade lesions (CIN 1), 30 high grade lesions (CIN 2/3) and 32 invasive squamous carcinomas. There was significant difference in PCNA index between benign and high grade lesions as well as benign and invasive cancer. The percentage of PCNA positive cells were significantly higher in invasive carcinoma when compared with non malignant lesions. Moreover, there was also good correlation between increasing histological abnormality and PCNA expression. These results suggest that cell proliferation index as detected by PCNA expression may be useful in the evaluation of alterations in cell kinetics of various grades of cervical lesions. Such data could also possibly help explain the biological behaviour of these lesions and be useful in planning of radiotherapy for invasive cervical cancer.
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Affiliation(s)
- S Lakshmi
- REG CANC CTR,DIV LAB MED,THIRUVANANTHAPURAM 695011,KERALA,INDIA. REG CANC CTR,DIV RADIAT ONCOL,THIRUVANANTHAPURAM 695011,KERALA,INDIA. SAT HOSP,DIV PATHOL,THIRUVANANTHAPURAM,KERALA,INDIA. SAT HOSP,DEPT OBSTET & GYNECOL,THIRUVANANTHAPURAM,KERALA,INDIA
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Anev I, Rajasri AG, Reddy K, Pillai M. Triploidy without molar change presenting as severe pre-eclampsia and left ventricular failure at 15 weeks. J OBSTET GYNAECOL 2011; 31:659-60. [DOI: 10.3109/01443615.2011.598966] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/19/2022]
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Pillai M, O’Brien K, Hill E. The levonorgestrel intrauterine system (Mirena) for the treatment of menstrual problems in adolescents with medical disorders, or physical or learning disabilities. BJOG 2010; 117:216-21. [DOI: 10.1111/j.1471-0528.2009.02372.x] [Citation(s) in RCA: 55] [Impact Index Per Article: 3.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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Reshmi G, Pillai M. In Silico Screening of Novel Inhibitors for HPV: A Rational Structure Based Approach (Docking Versus Pharmacophore Model Generation). LETT DRUG DES DISCOV 2009. [DOI: 10.2174/157018009789108321] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022]
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Dixon J, Pillai M, Mahendran D, Brooks M. An assessment of the Down syndrome antenatal screening policies of East and West Gloucestershire between 1993 and 1999. J OBSTET GYNAECOL 2009; 24:760-4. [PMID: 15763782 DOI: 10.1080/014436104100009444] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
Abstract
This retrospective observational study of registered pregnancies in Gloucestershire between 1 April 1993 and 31 March 1999 compares the impact of different Down syndrome antenatal screening policies on detection and amniocentesis rates. The screening policies in East and West Gloucestershire are based on early second-trimester maternal serum and maternal age screening, respectively. Maternal serum screening can identify a greater proportion of pregnancies affected by Down syndrome than a programme founded on age-based amniocentesis and 20 weeks' ultrasound. In addition, maternal serum screening of women older than 34 approximately halves the number of amniocenteses performed to detect one affected fetus. However, the proportion of pregnant women who have amniocentesis is nearly doubled by offering serum screening to women aged over 24 years. These findings of the impact of established second-trimester screening policies in low-risk populations provides an useful benchmark to compare the performance of screening procedures that will be introduced in the United Kingdom over the next 3 years.
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Affiliation(s)
- J Dixon
- Department of Obstetrics and Gynaecology, Orchard Centre, Gloucestershire Royal Hospital, Great Western Road, Gloucester GL1 3NN, UK.
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Mitchell EP, Lacouture M, Shearer H, Iannotti N, Piperdi B, Pillai M, Xu F, Yassine M. Final STEPP results of prophylacatic versus reactive skin toxicity (ST) treatment (tx) for panitumumab (pmab)-related ST in patients (pts) with metastatic colorectal cancer (mCRC). J Clin Oncol 2009. [DOI: 10.1200/jco.2009.27.18_suppl.cra4027] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
Abstract
CRA4027 Background: Pmab, a fully human monoclonal antibody targeting the epidermal growth factor receptor (EGFR), is approved as monotherapy in the US for mCRC following disease progression (PD) and in the EU and Canada for tumors bearing wild-type (WT) KRAS. The most common toxicity with anti-EGFR inhibitors are ST. This study of pmab+ chemotherapy (CT) estimates the difference in the incidence of specific ≥ grade 2 ST of interest between pts receiving prophylactic (P) or reactive (R) skin tx. Methods: Pts had unresectable mCRC after PD with 1st-line fluoropyrimidine and oxaliplatin-based CT ± bevacizumab. Pts received either pmab 6.0mg/kg/FOLFIRI Q2W or pmab 9 mg/kg/irinotecan Q3W. Within each stratum, pts were randomized 1:1 to either P ST tx 24 hrs before the 1st dose daily for 6 wks or R ST tx after ST occurred. Tx for ST included: moisturizers, sunscreen, topical steroid, and doxycycline. Efficacy and safety were evaluated by P vs R tx groups, KRAS status (mutant [MT] vs WT), and chemotherapy status. Responses were assessed using modified RECIST with confirmation. Quality of life was assessed using the Dermatology Life Quality Index at screening, wks 2–7, and follow-up. Results: 95 pts were enrolled and randomized: 48 pts to P and 47 pts to R. During the 6 wk ST tx period, 29% of pts in the P group vs 62% of pts in the R group had protocol-specified ≥grade 2 ST. Of the 87 KRAS evaluable pts, 49 (56%) pts had WT KRAS and 38 (44%) pts had MT KRAS. Efficacy and safety are shown. Mean (SD) change in DLQI from baseline was 1.3 (2.6) for P and 4.2 (5.8) for R at wk 3 (when the median time to 1st ≥grade 2 ST was reached in the R group) and was 2.0 (2.8) for P and 2.6 (4.4) for R at wk 7. Conclusions: Prophylactic use of the skin tx regimen resulted in >50% reduction in the rate of specific ≥ grade 2 STs and improved QOL during the 6-week skin tx period vs R use. Numerical differences in favor of the P group were observed for all endpoints. [Table: see text] [Table: see text]
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Affiliation(s)
- E. P. Mitchell
- Thomas Jefferson University, Philadelphia, PA; Northwestern University, Chicago, IL; Piedmont Hematology Oncology Associates PLLC, Winston-Salem, NC; Hematology Oncology Associates of Treasure Coast, Port Saint Lucie, FL; University of Massachusetts Medical Center, Worcester, MA; Amgen, Inc., Thousand Oaks, CA
| | - M. Lacouture
- Thomas Jefferson University, Philadelphia, PA; Northwestern University, Chicago, IL; Piedmont Hematology Oncology Associates PLLC, Winston-Salem, NC; Hematology Oncology Associates of Treasure Coast, Port Saint Lucie, FL; University of Massachusetts Medical Center, Worcester, MA; Amgen, Inc., Thousand Oaks, CA
| | - H. Shearer
- Thomas Jefferson University, Philadelphia, PA; Northwestern University, Chicago, IL; Piedmont Hematology Oncology Associates PLLC, Winston-Salem, NC; Hematology Oncology Associates of Treasure Coast, Port Saint Lucie, FL; University of Massachusetts Medical Center, Worcester, MA; Amgen, Inc., Thousand Oaks, CA
| | - N. Iannotti
- Thomas Jefferson University, Philadelphia, PA; Northwestern University, Chicago, IL; Piedmont Hematology Oncology Associates PLLC, Winston-Salem, NC; Hematology Oncology Associates of Treasure Coast, Port Saint Lucie, FL; University of Massachusetts Medical Center, Worcester, MA; Amgen, Inc., Thousand Oaks, CA
| | - B. Piperdi
- Thomas Jefferson University, Philadelphia, PA; Northwestern University, Chicago, IL; Piedmont Hematology Oncology Associates PLLC, Winston-Salem, NC; Hematology Oncology Associates of Treasure Coast, Port Saint Lucie, FL; University of Massachusetts Medical Center, Worcester, MA; Amgen, Inc., Thousand Oaks, CA
| | - M. Pillai
- Thomas Jefferson University, Philadelphia, PA; Northwestern University, Chicago, IL; Piedmont Hematology Oncology Associates PLLC, Winston-Salem, NC; Hematology Oncology Associates of Treasure Coast, Port Saint Lucie, FL; University of Massachusetts Medical Center, Worcester, MA; Amgen, Inc., Thousand Oaks, CA
| | - F. Xu
- Thomas Jefferson University, Philadelphia, PA; Northwestern University, Chicago, IL; Piedmont Hematology Oncology Associates PLLC, Winston-Salem, NC; Hematology Oncology Associates of Treasure Coast, Port Saint Lucie, FL; University of Massachusetts Medical Center, Worcester, MA; Amgen, Inc., Thousand Oaks, CA
| | - M. Yassine
- Thomas Jefferson University, Philadelphia, PA; Northwestern University, Chicago, IL; Piedmont Hematology Oncology Associates PLLC, Winston-Salem, NC; Hematology Oncology Associates of Treasure Coast, Port Saint Lucie, FL; University of Massachusetts Medical Center, Worcester, MA; Amgen, Inc., Thousand Oaks, CA
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Mitchell EP, Lacouture M, Shearer H, Iannotti N, Piperdi B, Pillai M, Xu F, Yassine M. Final STEPP results of prophylacatic versus reactive skin toxicity (ST) treatment (tx) for panitumumab (pmab)-related ST in patients (pts) with metastatic colorectal cancer (mCRC). J Clin Oncol 2009. [DOI: 10.1200/jco.2009.27.15_suppl.cra4027] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
Abstract
CRA4027 The full, final text of this abstract will be available in Part II of the 2009 ASCO Annual Meeting Proceedings, distributed onsite at the Meeting on May 30, 2009, and as a supplement to the June 20, 2009, issue of the Journal of Clinical Oncology. [Table: see text]
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Affiliation(s)
- E. P. Mitchell
- Thomas Jefferson University, Philadelphia, PA; Northwestern University, Chicago, IL; Piedmont Hematology Oncology Associates PLLC, Winston-Salem, NC; Hematology Oncology Associates of Treasure Coast, Port Saint Lucie, FL; University of Massachusetts Medical Center, Worcester, MA; Amgen, Inc., Thousand Oaks, CA
| | - M. Lacouture
- Thomas Jefferson University, Philadelphia, PA; Northwestern University, Chicago, IL; Piedmont Hematology Oncology Associates PLLC, Winston-Salem, NC; Hematology Oncology Associates of Treasure Coast, Port Saint Lucie, FL; University of Massachusetts Medical Center, Worcester, MA; Amgen, Inc., Thousand Oaks, CA
| | - H. Shearer
- Thomas Jefferson University, Philadelphia, PA; Northwestern University, Chicago, IL; Piedmont Hematology Oncology Associates PLLC, Winston-Salem, NC; Hematology Oncology Associates of Treasure Coast, Port Saint Lucie, FL; University of Massachusetts Medical Center, Worcester, MA; Amgen, Inc., Thousand Oaks, CA
| | - N. Iannotti
- Thomas Jefferson University, Philadelphia, PA; Northwestern University, Chicago, IL; Piedmont Hematology Oncology Associates PLLC, Winston-Salem, NC; Hematology Oncology Associates of Treasure Coast, Port Saint Lucie, FL; University of Massachusetts Medical Center, Worcester, MA; Amgen, Inc., Thousand Oaks, CA
| | - B. Piperdi
- Thomas Jefferson University, Philadelphia, PA; Northwestern University, Chicago, IL; Piedmont Hematology Oncology Associates PLLC, Winston-Salem, NC; Hematology Oncology Associates of Treasure Coast, Port Saint Lucie, FL; University of Massachusetts Medical Center, Worcester, MA; Amgen, Inc., Thousand Oaks, CA
| | - M. Pillai
- Thomas Jefferson University, Philadelphia, PA; Northwestern University, Chicago, IL; Piedmont Hematology Oncology Associates PLLC, Winston-Salem, NC; Hematology Oncology Associates of Treasure Coast, Port Saint Lucie, FL; University of Massachusetts Medical Center, Worcester, MA; Amgen, Inc., Thousand Oaks, CA
| | - F. Xu
- Thomas Jefferson University, Philadelphia, PA; Northwestern University, Chicago, IL; Piedmont Hematology Oncology Associates PLLC, Winston-Salem, NC; Hematology Oncology Associates of Treasure Coast, Port Saint Lucie, FL; University of Massachusetts Medical Center, Worcester, MA; Amgen, Inc., Thousand Oaks, CA
| | - M. Yassine
- Thomas Jefferson University, Philadelphia, PA; Northwestern University, Chicago, IL; Piedmont Hematology Oncology Associates PLLC, Winston-Salem, NC; Hematology Oncology Associates of Treasure Coast, Port Saint Lucie, FL; University of Massachusetts Medical Center, Worcester, MA; Amgen, Inc., Thousand Oaks, CA
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Hecht JR, Pillai M, Gollard R, Dreiling L, Mo M, Malik I. Pegfilgrastim in colorectal cancer (CRC) patients (pts) receiving every-two-week (Q2W) chemotherapy (CT): Long-term results from a phase II, randomized, controlled study. J Clin Oncol 2009. [DOI: 10.1200/jco.2009.27.15_suppl.4072] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
Abstract
4072 Background: Survival in advanced CRC is prolonged by adding oxaliplatin (Ox) and/or irinotecan (Iri) to Q2W 5-fluorouracil/leucovorin (5FU/LV). Combination therapy, however, has a higher incidence of febrile neutropenia (FN) and related toxicities. This study evaluated pegfilgrastim dosing on day 4 of Q2W regimens in CRC. Here we present long-term follow-up of these pts. Methods: Advanced CRC pts were randomized (1:1) to pegfilgrastim 6mg or placebo, which was stratified by CT regimen received: FOIL, FOLFOX, or FOLFIRI. We previously reported grade 3/4 neutropenia (primary endpoint) in 43% placebo and 13% pegfilgrastim pts in the 4-cycle treatment phase (odds ratio = 0.19, 95% CI: 0.10–0.37; p < 0.0001). After end of treatment, pts were followed long term for ≤ 2 years (inclusive of ≤ 8 additional cycles) for serious adverse events (SAEs), overall survival (OS), and progression-free survival (PFS). Median follow-up time was 519 days. Kaplan-Meier methods estimated OS and PFS from study day 1. The study was not powered to detect PFS or OS differences between treatment groups. Results: Of 241 pts analyzed (123 pegfilgrastim, 118 placebo), 49% received FOLFOX, 26% FOLFIRI, and 25% FOIL. In the treatment period, 8% placebo and 2% pegfilgrastim pts had grade 3/4 FN ( Table ). Pegfilgrastim was well tolerated with no dose delays attributed to leukocytosis. Pegfilgrastim and placebo had similar PFS and OS ( Table ). No SAEs related to study drug were reported in the follow-up period. Conclusions: In this randomized, placebo-controlled study, pegfilgrastim significantly lowered neutropenic risk. Bone pain incidence in this CRC population was lower than in breast cancer pts treated with a taxane (Vogel J Clin Oncol 2005); the incidence in pegfilgrastim pts was modestly increased over placebo. Leukocytosis was not a concern despite the 11-day dosing interval. Long-term results suggest similar PFS and OS in the pegfilgrastim and placebo pts in this CRC study. [Table: see text] [Table: see text]
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Affiliation(s)
- J. R. Hecht
- University of California at Los Angeles, Los Angeles, CA; Virginia Oncology Care, Richlands, VA; Cancer and Blood Specialists of Nevada, Henderson, NV; Amgen, Inc., Thousand Oaks, CA; Loma Linda Oncology Medical Group, Claremont, CA
| | - M. Pillai
- University of California at Los Angeles, Los Angeles, CA; Virginia Oncology Care, Richlands, VA; Cancer and Blood Specialists of Nevada, Henderson, NV; Amgen, Inc., Thousand Oaks, CA; Loma Linda Oncology Medical Group, Claremont, CA
| | - R. Gollard
- University of California at Los Angeles, Los Angeles, CA; Virginia Oncology Care, Richlands, VA; Cancer and Blood Specialists of Nevada, Henderson, NV; Amgen, Inc., Thousand Oaks, CA; Loma Linda Oncology Medical Group, Claremont, CA
| | - L. Dreiling
- University of California at Los Angeles, Los Angeles, CA; Virginia Oncology Care, Richlands, VA; Cancer and Blood Specialists of Nevada, Henderson, NV; Amgen, Inc., Thousand Oaks, CA; Loma Linda Oncology Medical Group, Claremont, CA
| | - M. Mo
- University of California at Los Angeles, Los Angeles, CA; Virginia Oncology Care, Richlands, VA; Cancer and Blood Specialists of Nevada, Henderson, NV; Amgen, Inc., Thousand Oaks, CA; Loma Linda Oncology Medical Group, Claremont, CA
| | - I. Malik
- University of California at Los Angeles, Los Angeles, CA; Virginia Oncology Care, Richlands, VA; Cancer and Blood Specialists of Nevada, Henderson, NV; Amgen, Inc., Thousand Oaks, CA; Loma Linda Oncology Medical Group, Claremont, CA
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Affiliation(s)
- S Sengupta
- Cheltenham General Hospital, Sandford Road, Cheltenham, UK.
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Rajan B, Chacko P, Pillai M. Role of CYP17 and SULT1A1 gene polymorphisms in breast cancer. EJC Suppl 2004. [DOI: 10.1016/s1359-6349(04)90767-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022] Open
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Chen J, Dong JF, Sun C, Bergeron A, McBride L, Pillai M, Barnard MR, Salmon J, Michelson AD, Bray PF. Platelet FcgammaRIIA His131Arg polymorphism and platelet function: antibodies to platelet-bound fibrinogen induce platelet activation. J Thromb Haemost 2003; 1:355-62. [PMID: 12871511 DOI: 10.1046/j.1538-7836.2003.00054.x] [Citation(s) in RCA: 15] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
Abstract
The His131Arg polymorphism of platelet FcgammaRIIA affects the binding affinity of certain IgG subclasses. The Arg131 allele has been associated with (auto)immune thrombocytopenia and heparin-induced thrombocytopenia in some studies. Because FcgammaRIIA can transmit platelet activation signals, we studied platelet responsiveness from 73 healthy donors to determine if this polymorphism modulated platelet function. Platelet function was studied by agonist and shear-induced activation, and standard aggregation. FcgammaRIIA was genotyped by allele-specific PCR. Compared with His131, the Arg131 allele was associated with significantly greater binding of activation-dependent antibodies. This effect was most prominent for the receptor-induced binding site (RIBS) antibodies F26 (P < 0.0001) and RIBS1 (P = 0.0057), and the ligand-induced binding site antibody LIBS1 (P = 0.0367). Unexpectedly, Arg131-positive platelets did not show greater fibrinogen binding, platelet aggregation or shear-induced platelet activation. We considered whether enhanced Fc binding and FcgammaRIIA cross-linking were responsible for those discrepancies. The increased binding of the two RIBS antibodies to the Arg131 isoform was abolished by blocking FcgammaRIIA, and the FcgammaRIIA genotype effect on F26 IgG binding was lost when F26 F(ab')2 fragments were used. Furthermore, intact F26 and RIBS1 IgG directly and specifically induced P-selectin expression, and this effect was greatest in Arg131-positive platelets. We concluded that (a) the His131Arg polymorphism of FcgammaRIIA does not affect intrinsic platelet reactivity; (b) RIBS antibodies are able to cross-link FcgammaRIIA and activate platelets, and this activation has a modest effect on Arg131 platelets; and (c) flow cytometric based platelet assays may need to compensate for this FcgammaRIIA His131Arg effect on platelet activation.
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Affiliation(s)
- J Chen
- Department of Medicine, Baylor College of Medicine, Houston, Texas, USA
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Abe F, Akimoto H, Akopian A, Albrow MG, Amendolia SR, Amidei D, Antos J, Aota S, Apollinari G, Arisawa T, Asakawa T, Ashmanskas W, Atac M, Azzi-Bacchetta P, Bacchetta N, Bagdasarov S, Bailey MW, de Barbaro P, Barbaro-Galtieri A, Barnes VE, Barnett BA, Barone M, Bauer G, Bedeschi F, Behrends S, Belforte S, Bellettini G, Bellinger J, Benjamin D, Bensinger J, Beretvas A, Berge JP, Berryhill J, Bertolucci S, Bettelli S, Bevensee B, Bhatti A, Biery K, Bigongiari C, Binkley M, Bisello D, Blair RE, Blocker C, Bloom K, Blusk S, Bodek A, Bokhari W, Bolla G, Bonushkin Y, Bortoletto D, Boudreau J, Brandl A, Breccia L, Bromberg C, Bruner N, Brunetti R, Buckley-Geer E, Budd HS, Burkett K, Busetto G, Byon-Wagner A, Byrum KL, Campbell M, Caner A, Carithers W, Carlsmith D, Cassada J, Castro A, Cauz D, Cerri A, Chang PS, Chang PT, Chao HY, Chapman J, Cheng MT, Chertok M, Chiarelli G, Chiou CN, Chlebana F, Christofek L, Chu ML, Cihangir S, Clark AG, Cobal M, Cocca E, Contreras M, Conway J, Cooper J, Cordelli M, Costanzo D, Couyoumtzelis C, Cronin-Hennessy D, Cropp R, Culbertson R, Dagenhart D, Daniels T, DeJongh F, Dell'Agnello S, Dell'Orso M, Demina R, Demortier L, Dennino M, Derwent PF, Devlin T, Dittmann JR, Donati S, Done J, Dorigo T, Eddy N, Einsweiler K, Elias JE, Ely R, Engels E, Erdmann W, Errede D, Errede S, Fan Q, Feild RG, Feng Z, Ferretti C, Fiori I, Flaugher B, Foster GW, Franklin M, Freeman J, Friedman J, Frisch H, Fukui Y, Gadomski S, Galeotti S, Gallinaro M, Ganel O, Garcia-Sciveres M, Garfinkel AF, Gay C, Geer S, Gerdes DW, Giannetti P, Giokaris N, Giromini P, Giusti G, Gold M, Gordon A, Goshaw AT, Gotra Y, Goulianos K, Grassmann H, Green C, Groer L, Grosso-Pilcher C, Guillian G, Guimaraes da Costa J, Guo RS, Haber C, Hafen E, Hahn SR, Hamilton R, Handa T, Handler R, Hao W, Happacher F, Hara K, Hardman AD, Harris RM, Hartmann F, Hauser J, Hayashi E, Heinrich J, Heiss A, Hinrichsen B, Hoffman KD, Holck C, Hollebeek R, Holloway L, Huang Z, Huffman BT, Hughes R, Huston J, Huth J, Ikeda H, Incagli M, Incandela J, Introzzi G, Iwai J, Iwata Y, James E, Jensen H, Joshi U, Kajfasz E, Kambara H, Kamon T, Kaneko T, Karr K, Kasha H, Kato Y, Keaffaber TA, Kelley K, Kelly M, Kennedy RD, Kephart R, Kestenbaum D, Khazins D, Kikuchi T, Kirk M, Kim BJ, Kim HS, Kim SH, Kim YK, Kirsch L, Klimenko S, Knoblauch D, Koehn P, Köngeter A, Kondo K, Konigsberg J, Kordas K, Korytov A, Kovacs E, Kowald W, Kroll J, Kruse M, Kuhlmann SE, Kuns E, Kurino K, Kuwabara T, Laasanen AT, Lami S, Lammel S, Lamoureux JI, Lancaster M, Lanzoni M, Latino G, LeCompte T, Lee AM, Leone S, Lewis JD, Lindgren M, Liss TM, Liu JB, Liu YC, Lockyer N, Long O, Loreti M, Lucchesi D, Lukens P, Lusin S, Lys J, Maeshima K, Maksimovic P, Mangano M, Mariotti M, Marriner JP, Martignon G, Martin A, Matthews JA, Mazzanti P, McFarland K, McIntyre P, Melese P, Menguzzato M, Menzione A, Meschi E, Metzler S, Miao C, Miao T, Michail G, Miller R, Minato H, Miscetti S, Mishina M, Miyashita S, Moggi N, Moore E, Morita Y, Mukherjee A, Muller T, Munar A, Murat P, Murgia S, Musy M, Nakada H, Nakaya T, Nakano I, Nelson C, Neuberger D, Newman-Holmes C, Ngan CY, Niu H, Nodulman L, Nomerotski A, Oh SH, Ohmoto T, Ohsugi T, Oishi R, Okabe M, Okusawa T, Olsen J, Pagliarone C, Paoletti R, Papadimitriou V, Pappas SP, Parashar N, Parri A, Partos D, Patrick J, Pauletta G, Paulini M, Perazzo A, Pescara L, Peters MD, Phillips TJ, Piacentino G, Pillai M, Pitts KT, Plunkett R, Pompos A, Pondrom L, Proudfoot J, Ptohos F, Punzi G, Ragan K, Reher D, Ribon A, Rimondi F, Ristori L, Robertson WJ, Robinson A, Rodrigo T, Rolli S, Rosenson L, Roser R, Saab T, Sakumoto WK, Saltzberg D, Sansoni A, Santi L, Sato H, Savard P, Schlabach P, Schmidt EE, Schmidt MP, Scott A, Scribano A, Segler S, Seidel S, Seiya Y, Semeria F, Shah T, Shapiro MD, Shaw NM, Shepard PF, Shibayama T, Shimojima M, Shochet M, Siegrist J, Sill A, Sinervo P, Singh P, Sliwa K, Smith C, Snider FD, Spalding J, Speer T, Sphicas P, Spinella F, Spiropulu M, Spiegel L, Stanco L, Steele J, Stefanini A, Ströhmer R, Strologas J, Strumia F, Stuart D, Sumorok K, Suzuki J, Suzuki T, Takahashi T, Takano T, Takashima R, Takikawa K, Tanaka M, Tannenbaum B, Tartarelli F, Taylor W, Tecchio M, Teng PK, Teramoto Y, Terashi K, Tether S, Theriot D, Thomas TL, Thurman-Keup R, Timko M, Tipton P, Titov A, Tkaczyk S, Toback D, Tollefson K, Tollestrup A, Toyoda H, Trischuk W, de Troconiz JF, Truitt S, Tseng J, Turini N, Uchida T, Ukegawa F, Valls J, van Den Brink SC, Vejcik S, Velev G, Vidal R, Vilar R, Vologouev I, Vucinic D, Wagner RG, Wagner RL, Wahl J, Wallace NB, Walsh AM, Wang C, Wang CH, Wang MJ, Warburton A, Watanabe T, Watts T, Webb R, Wei C, Wenzel H, Wester WC, Wicklund AB, Wicklund E, Wilkinson R, Williams HH, Wilson P, Winer BL, Winn D, Wolinski D, Wolinski J, Worm S, Wu X, Wyss J, Yagil S, Yao W, Yasuoka K, Yeh GP, Yeh P, Yoh J, Yosef C, Yoshida T, Yu I, Zanetti A, Zetti F, Zucchelli S. Search for a W' boson via the decay mode W'-->munumu in 1.8 TeV pp collisions. Phys Rev Lett 2000; 84:5716-5721. [PMID: 10991038 DOI: 10.1103/physrevlett.84.5716] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/12/1999] [Indexed: 05/23/2023]
Abstract
We report the results of a search for a W' boson produced in pp collisions at a center-of-mass energy of 1.8 TeV using a 107 pb-1 data sample recorded by the Collider Detector at Fermilab. We consider the decay channel W'-->&munumu and search for anomalous production of high transverse mass munumu lepton pairs. We observe no excess of events above background and set limits on the rate of W' boson production and decay relative to standard model W boson production and decay using a fit of the transverse mass distribution observed. If we assume standard model strength couplings of the W' boson to quark and lepton pairs, we exclude a W' boson with invariant mass less than 660 GeV/c2 at 95% confidence level.
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Affiliation(s)
- F Abe
- National Laboratory for High Energy Physics (KEK), Tsukuba, Ibaraki 305, Japan
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Abstract
OBJECTIVE To review our experience with laparoscopic ureterolithotomy. PATIENTS AND METHODS Since 1993, we have performed laparoscopic ureterolithotomy in 14 patients with ureteric stones. Laparoscopy was carried out in nine patients as a salvage procedure after failed ureteroscopy (six), shock wave lithotripsy (two), or both (one), and in five patients as a primary procedure for large stones (mean 27.2 mm, range 18-40). Patients in the former group had already undergone a mean of 1.88 procedures (range 1-4). Laparoscopic ureterolithotomy was carried out via a transperitoneal approach. Associated ureteric strictures were incised at the time of ureterotomy. RESULTS All procedures were completed laparoscopically and all patients were rendered stone-free after a single procedure. The mean operative duration was 105 min. Ureteric strictures were incised in three patients, in two of whom dilatation was subsequently required; all three had a successful result. There were three minor complications. CONCLUSIONS Laparoscopic ureterolithotomy can be a safe and effective procedure; it should be considered as a primary procedure for large mid- and upper ureteric stones.
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Abe F, Albrow MG, Amendolia SR, Amidei D, Antos J, Anway-Wiese C, Apollinari G, Areti H, Atac M, Auchincloss P, Azfar F, Azzi P, Bacchetta N, Badgett W, Bailey MW, Bao J, de Barbaro P, Barbaro-Galtieri A, Barnes VE, Barnett BA, Bartalini P, Bauer G, Baumann T, Bedeschi F, Behrends S, Belforte S, Bellettin G, Bellinger J, Benjamin D, Benlloch J, Bensinger J, Benton D, Beretvas A, Berge JP, Bertolucci S, Bhatti A, Biery K, Binkley M, Bird F, Bisello D, Blair RE, Blocker C, Bodek A, Bokhari W, Bolognesi V, Bortoletto D, Boswell C, Boulos T, Brandenburg G, Bromberg C, Buckley-Geer E, Budd HS, Burkett K, Busetto G, Byon-Wagner A, Byrum KL, Cammerata J, Campagnari C, Campbell M, Caner A, Carithers W, Carlsmith D, Castro A, Cen Y, Cervelli F, Chao HY, Chapman J, Cheng MT, Chiarelli G, Chikamatsu T, Chiou CN, Christofek L, Cihangir S, Clark AG, Cobal M, Contreras M, Conway J, Cooper J, Cordelli M, Couyoumtzelis C, Crane D, Cunningham JD, Daniels T, DeJongh F, Delchamps S, Dell’Agnello S, Dell’Orso M, Demortier L, Denby B, Deninno M, Derwent PF, Devlin T, Dickson M, Dittmann JR, Donati S, Drucker RB, Dunn A, Einsweiler K, Elias JE, Ely R, Engels E, Eno S, Errede D, Errede S, Fan Q, Farhat B, Fiori I, Flaugher B, Foster GW, Franklin M, Frautschi M, Freeman J, Friedman J, Frisch H, Fry A, Fuess TA, Fukui Y, Funaki S, Gagliardi G, Galeotti S, Gallinaro M, Garfinkel AF, Geer S, Gerdes DW, Giannetti P, Giokaris N, Giromini P, Gladney L, Glenzinski D, Gold M, Gonzalez J, Gordon A, Goshaw AT, Goulianos K, Grassmann H, Grewal A, Groer L, Grosso-Pilcher C, Haber C, Hahn SR, Hamilton R, Handler R, Hans RM, Hara K, Harral B, Harris RM, Hauger SA, Hauser J, Hawk C, Heinrich J, Cronin-Hennessy D, Hollebeek R, Holloway L, Hölscher A, Hong S, Houk G, Hu P, Huffman BT, Hughes R, Hurst P, Huston J, Huth J, Hylen J, Incagli M, Incandela J, Iso H, Jensen H, Jessop CP, Joshi U, Kadel RW, Kajfasz E, Kamon T, Kaneko T, Kardelis DA, Kasha H, Kato Y, Keeble L, Kennedy RD, Kephart R, Kesten P, Kestenbaum D, Keup RM, Keutelian H, Keyvan F, Kim DH, Kim HS, Kim SB, Kim SH, Kim YK, Kirsch L, Koehn P, Kondo K, Konigsberg J, Kopp S, Kordas K, Koska W, Kovacs E, Kowald W, Krasberg M, Kroll J, Kruse M, Kuhlmann SE, Kuns E, Laasanen AT, Labanca N, Lammel S, Lamoureux JI, LeCompte T, Leone S, Lewis JD, Limon P, Lindgren M, Liss TM, Lockyer N, Loomis C, Long O, Loreti M, Low EH, Lu J, Lucchesi D, Luchini CB, Lukens P, Lys J, Maas P, Maeshima K, Maghakian A, Maksimovic P, Mangano M, Mansour J, Mariotti M, Marriner JP, Martin A, Matthews JAJ, Mattingly R, McIntyre P, Melese P, Menzione A, Meschi E, Michail G, Mikamo S, Miller M, Miller R, Mimashi T, Miscetti S, Mishina M, Mitsushio H, Miyashita S, Morita Y, Moulding S, Mueller J, Mukherjee A, Muller T, Musgrave P, Nakae LF, Nakano I, Nelson C, Neuberger D, Newman-Holmes C, Nodulman L, Ogawa S, Oh SH, Ohl KE, Oishi R, Okusawa T, Pagliarone C, Paoletti R, Papadimitriou V, Pappas SP, Park S, Patrick J, Pauletta G, Paulini M, Pescara L, Peters MD, Phillips TJ, Piacentino G, Pillai M, Plunkett R, Pondrom L, Produit N, Proudfoot J, Ptohos F, Punzi G, Ragan K, Rimondi F, Ristori L, Roach-Bellino M, Robertson WJ, Rodrigo T, Romano J, Rosenson L, Sakumoto WK, Saltzberg D, Sansoni A, Scarpine V, Schindler A, Schlabach P, Schmidt EE, Schmidt MP, Schneider O, Sciacca GF, Scribano A, Segler S, Seidel S, Seiya Y, Sganos G, Sgolacchia A, Shapiro M, Shaw NM, Shen Q, Shepard PF, Shimojima M, Shochet M, Siegrist J, Sill A, Sinervo P, Singh P, Skarha J, Sliwa K, Smith DA, Snider FD, Song L, Song T, Spalding J, Spiegel L, Sphicas P, Stanco L, Steele J, Stefanini A, Strahl K, Strait J, Stuart D, Sullivan G, Sumorok K, Swartz RL, Takahashi T, Takikawa K, Tartarelli F, Taylor W, Teng PK, Teramoto Y, Tether S, Theriot D, Thomas J, Thomas TL, Thun R, Timko M, Tipton P, Titov A, Tkaczyk S, Tollefson K, Tollestrup A, Tonnison J, de Troconiz JF, Tseng J, Turcotte M, Turini N, Uemura N, Ukegawa F, Unal G, van den Brink SC, Vejcik S, Vidal R, Vondracek M, Vucinic D, Wagner RG, Wagner RL, Wainer N, Walker RC, Wang C, Wang CH, Wang G, Wang J, Wang MJ, Wang QF, Warburton A, Watts G, Watts T, Webb R, Wei C, Wendt C, Wenzel H, Wester WC, Westhusing T, Wicklund AB, Wicklund E, Wilkinson R, Williams HH, Wilson P, Winer BL, Wolinski J, Wu DY, Wu X, Wyss J, Yagil A, Yao W, Yasuoka K, Ye Y, Yeh GP, Yeh P, Yin M, Yoh J, Yosef C, Yoshida T, Yovanovitch D, Yu I, Yun JC, Zanetti A, Zetti F, Zhang L, Zhang S, Zhang W, Zucchelli S. Measurement of the associatedγ+μ±production cross section inpp¯collisions ats=1.8TeV. Int J Clin Exp Med 1999. [DOI: 10.1103/physrevd.60.092003] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022]
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Abstract
OBJECTIVE To investigate the safety and efficacy of electrokinetic lithotripsy (EKL), a ballistic lithotripter which uses high-energy magnetic fields to propel an impactor to fragment calculi. PATIENTS AND METHODS The records and radiographs of 121 patients who underwent ureteroscopy using the EKL for stones in the upper (26), mid (28) or lower (67) ureter were reviewed retrospectively. Ureteroscopy was performed with an 8.5 F semi-rigid ureteroscope, through which a 3 F EKL probe was passed. RESULTS A total of 148 stones (mean stone size 11.5 mm, range 6-40) in 121 patients were treated using the EKL. One patient was lost to follow-up. Of 148 stones, 147 (99.3%) were fragmented, including five that had resisted fragmentation with either pulsed-dye laser or electrohydraulic lithotripsy. Despite this, only 45 of 56 patients (80%) with a single stone in the lower ureter were rendered stone-free after a single ureteroscopic procedure. Seven patients in this group (12%) required shock-wave lithotripsy for fragments that had been propelled into the kidney, while four patients (7%) required repeat ureteroscopy for retained ureteric fragments. Complications were limited to minor ureteric perforations in two patients, both of which were treated with a stent. CONCLUSION EKL is an inexpensive and reliable endoscopic method which fragments nearly all urinary calculi. Its limitations include the propulsion of fragments and the need to use an offset, semi-rigid ureteroscope. We recommend the use of a basket or graspers to remove fragments of >/=4 mm after EKL.
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Affiliation(s)
- F X Keeley
- Scottish Lithotriptor Centre, Western General Hospital, Edinburgh, UK
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Abe F, Akimoto H, Akopian A, Albrow MG, Amadon A, Amendolia SR, Amidei D, Antos J, Aota S, Apollinari G, Arisawa T, Asakawa T, Ashmanskas W, Atac M, Azzi-Bacchetta P, Bacchetta N, Bagdasarov S, Bailey MW, de Barbaro P, Barbaro-Galtieri A, Barnes VE, Barnett BA, Barone M, Bauer G, Baumann T, Bedeschi F, Behrends S, Belforte S, Bellettini G, Bellinger J, Benjamin D, Bensinger J, Beretvas A, Berge JP, Berryhill J, Bertolucci S, Bettelli S, Bevensee B, Bhatti A, Biery K, Bigongiari C, Binkley M, Bisello D, Blair RE, Blocker C, Blusk S, Bodek A, Bokhari W, Bolla G, Bonushkin Y, Bortoletto D, Boudreau J, Breccia L, Bromberg C, Bruner N, Brunetti R, Buckley-Geer E, Budd HS, Burkett K, Busetto G, Byon-Wagner A, Byrum KL, Campbell M, Caner A, Carithers W, Carlsmith D, Cassada J, Castro A, Cauz D, Cerri A, Chang PS, Chang PT, Chao HY, Chapman J, Cheng MT, Chertok M, Chiarelli G, Chiou CN, Chlebana F, Christofek L, Chu ML, Cihangir S, Clark AG, Cobal M, Cocca E, Contreras M, Conway J, Cooper J, Cordelli M, Costanzo D, Couyoumtzelis C, Cronin-Hennessy D, Culbertson R, Dagenhart D, Daniels T, DeJongh F, Dell’Agnello S, Dell’Orso M, Demina R, Demortier L, Deninno M, Derwent PF, Devlin T, Dittmann JR, Donati S, Done J, Dorigo T, Eddy N, Einsweiler K, Elias JE, Ely R, Engels E, Erdmann W, Errede D, Errede S, Fan Q, Feild RG, Feng Z, Ferretti C, Fiori I, Flaugher B, Foster GW, Franklin M, Freeman J, Friedman J, Frisch H, Fukui Y, Gadomski S, Galeotti S, Gallinaro M, Ganel O, Garcia-Sciveres M, Garfinkel AF, Gay C, Geer S, Gerdes DW, Giannetti P, Giokaris N, Giromini P, Giusti G, Gold M, Gordon A, Goshaw AT, Gotra Y, Goulianos K, Grassmann H, Groer L, Grosso-Pilcher C, Guillian G, Guimaraes da Costa J, Guo RS, Haber C, Hafen E, Hahn SR, Hamilton R, Handa T, Handler R, Happacher F, Hara K, Hardman AD, Harris RM, Hartmann F, Hauser J, Hayashi E, Heinrich J, Hao W, Hinrichsen B, Hoffman KD, Hohlmann M, Holck C, Hollebeek R, Holloway L, Huang Z, Huffman BT, Hughes R, Huston J, Huth J, Ikeda H, Incagli M, Incandela J, Introzzi G, Iwai J, Iwata Y, James E, Jensen H, Joshi U, Kajfasz E, Kambara H, Kamon T, Kaneko T, Karr K, Kasha H, Kato Y, Keaffaber TA, Kelley K, Kennedy RD, Kephart R, Kestenbaum D, Khazins D, Kikuchi T, Kim BJ, Kim HS, Kim SH, Kim YK, Kirsch L, Klimenko S, Knoblauch D, Koehn P, Köngeter A, Kondo K, Konigsberg J, Kordas K, Korytov A, Kovacs E, Kowald W, Kroll J, Kruse M, Kuhlmann SE, Kuns E, Kurino K, Kuwabara T, Laasanen AT, Nakano I, Lami S, Lammel S, Lamoureux JI, Lancaster M, Lanzoni M, Latino G, LeCompte T, Leone S, Lewis JD, Limon P, Lindgren M, Liss TM, Liu JB, Liu YC, Lockyer N, Long O, Loomis C, Loreti M, Lucchesi D, Lukens P, Lusin S, Lys J, Maeshima K, Maksimovic P, Mangano M, Mariotti M, Marriner JP, Martin A, Matthews JAJ, Mazzanti P, McIntyre P, Melese P, Menguzzato M, Menzione A, Meschi E, Metzler S, Miao C, Miao T, Michail G, Miller R, Minato H, Miscetti S, Mishina M, Miyashita S, Moggi N, Moore E, Morita Y, Mukherjee A, Muller T, Murat P, Murgia S, Nakada H, Nakano I, Nelson C, Neuberger D, Newman-Holmes C, Ngan CYP, Nodulman L, Nomerotski A, Oh SH, Ohmoto T, Ohsugi T, Oishi R, Okabe M, Okusawa T, Olsen J, Pagliarone C, Paoletti R, Papadimitriou V, Pappas SP, Parashar N, Parri A, Patrick J, Pauletta G, Paulini M, Perazzo A, Pescara L, Peters MD, Phillips TJ, Piacentino G, Pillai M, Pitts KT, Plunkett R, Pompos A, Pondrom L, Proudfoot J, Ptohos F, Punzi G, Ragan K, Reher D, Reischl M, Ribon A, Rimondi F, Ristori L, Robertson WJ, Rodrigo T, Rolli S, Rosenson L, Roser R, Saab T, Sakumoto WK, Saltzberg D, Sansoni A, Santi L, Sato H, Schlabach P, Schmidt EE, Schmidt MP, Scott A, Scribano A, Segler S, Seidel S, Seiya Y, Semeria F, Shah T, Shapiro MD, Shaw NM, Shepard PF, Shibayama T, Shimojima M, Shochet M, Siegrist J, Sill A, Sinervo P, Singh P, Sliwa K, Smith C, Snider FD, Spalding J, Speer T, Sphicas P, Spinella F, Spiropulu M, Spiegel L, Stanco L, Steele J, Stefanini A, Ströhmer R, Strologas J, Strumia F, Stuart D, Sumorok K, Suzuki J, Suzuki T, Takahashi T, Takano T, Takashima R, Takikawa K, Tanaka M, Tannenbaum B, Tartarelli F, Taylor W, Tecchio M, Teng PK, Teramoto Y, Terashi K, Tether S, Theriot D, Thomas TL, Thurman-Keup R, Timko M, Tipton P, Titov A, Tkaczyk S, Toback D, Tollefson K, Tollestrup A, Toyoda H, Trischuk W, de Troconiz JF, Truitt S, Tseng J, Turini N, Uchida T, Ukegawa F, Valls J, van den Brink SC, Vejcik S, Velev G, Vidal R, Vilar R, Vucinic D, Wagner RG, Wagner RL, Wahl J, Wallace NB, Walsh AM, Wang C, Wang CH, Wang MJ, Warburton A, Watanabe T, Watts T, Webb R, Wei C, Wenzel H, Wester WC, Wicklund AB, Wicklund E, Wilkinson R, Williams HH, Wilson P, Winer BL, Winn D, Wolinski D, Wolinski J, Worm S, Wu X, Wyss J, Yagil A, Yao W, Yasuoka K, Yeh GP, Yeh P, Yoh J, Yosef C, Yoshida T, Yu I, Zanetti A, Zetti F, Zucchelli S. Search for the rare decayW±→Ds±γinpp¯collisions ats=1.8TeV. Int J Clin Exp Med 1998. [DOI: 10.1103/physrevd.58.091101] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022]
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Abe F, Akimoto H, Akopian A, Albrow MG, Amadon A, Amendolia SR, Amidei D, Antos J, Aota S, Apollinari G, Arisawa T, Asakawa T, Ashmanskas W, Atac M, Azzi-Bacchetta P, Bacchetta N, Bagdasarov S, Bailey MW, de Barbaro P, Barbaro-Galtieri A, Barnes VE, Barnett BA, Barone M, Bauer G, Baumann T, Bedeschi F, Behrends S, Belforte S, Bellettini G, Bellinger J, Benjamin D, Bensinger J, Beretvas A, Berge JP, Berryhill J, Bertolucci S, Bettelli S, Bevensee B, Bhatti A, Biery K, Bigongiari C, Binkley M, Bisello D, Blair RE, Blocker C, Blusk S, Bodek A, Bokhari W, Bolla G, Bonushkin Y, Bortoletto D, Boudreau J, Breccia L, Bromberg C, Bruner N, Brunetti R, Buckley-Geer E, Budd HS, Burkett K, Busetto G, Byon-Wagner A, Byrum KL, Campbell M, Caner A, Carithers W, Carlsmith D, Cassada J, Castro A, Cauz D, Cerri A, Chang PS, Chang PT, Chao HY, Chapman J, Cheng MT, Chertok M, Chiarelli G, Chiou CN, Chlebana F, Christofek L, Chu ML, Cihangir S, Clark AG, Cobal M, Cocca E, Contreras M, Conway J, Cooper J, Cordelli M, Costanzo D, Couyoumtzelis C, Cronin-Hennessy D, Culbertson R, Dagenhart D, Daniels T, DeJongh F, Dell’Agnello S, Dell’Orso M, Demina R, Demortier L, Deninno M, Derwent PF, Devlin T, Dittmann JR, Donati S, Done J, Dorigo T, Eddy N, Einsweiler K, Elias JE, Ely R, Engles E, Erdmann W, Errede D, Errede S, Fan Q, Feild RG, Feng Z, Ferretti C, Fiori I, Flaugher B, Foster GW, Franklin M, Freeman J, Friedman J, Frisch H, Fukui Y, Gadomski S, Galeotti S, Gallinaro M, Ganel O, Garcia-Sciveres M, Garfinkel AF, Gay C, Geer S, Gerdes DW, Giannetti P, Giokaris N, Giromini P, Giusti G, Gold M, Gordon A, Goshaw AT, Gotra Y, Goulianos K, Grassmann H, Groer L, Grosso-Pilcher C, Guillian G, Guimaraes da Costa J, Guo RS, Haber C, Hafen E, Hahn SR, Hamilton R, Handa T, Handler R, Happacher F, Hara K, Hardman AD, Harris RM, Hartmann F, Hauser J, Hayashi E, Heinrich J, Hao W, Hinrichsen B, Hoffman KD, Hohlmann M, Holck C, Hollebeek R, Holloway L, Huang Z, Huffman BT, Hughes R, Huston J, Huth J, Ikeda H, Incagli M, Incandela J, Introzzi G, Iwai J, Iwata Y, James E, Jensen H, Joshi U, Kadel RW, Kajfasz E, Kambara H, Kamon T, Kaneko T, Karr K, Kasha H, Kato Y, Keaffaber TA, Kelley K, Kennedy RD, Kephart R, Kestenbaum D, Khazins D, Kikuchi T, Kim BJ, Kim HS, Kim SH, Kim YK, Kirsch L, Klimenko S, Knoblauch D, Koehn P, Köngeter A, Kondo K, Konigsberg J, Kordas K, Korytov A, Kovacs E, Kowald W, Kroll J, Kruse M, Kuhlmann SE, Kuns E, Kurino K, Kuwabara T, Laasanen AT, Nakano I, Lami S, Lammel S, Lamoureux JI, Lancaster M, Lanzoni M, Latino G, LeCompte T, Leone S, Lewis JD, Limon P, Lindgren M, Liss TM, Liu JB, Liu YC, Lockyer N, Long O, Loomis C, Loreti M, Lucchesi D, Lukens P, Lusin S, Lys J, Maeshima K, Maksimovic P, Mangano M, Mariotti M, Marriner JP, Martin A, Matthews JAJ, Mazzanti P, McIntyre P, Melese P, Menguzzato M, Menzione A, Meschi E, Metzler S, Miao C, Miao T, Michail G, Miller R, Minato H, Miscetti S, Mishina M, Miyashita S, Moggi N, Moore E, Morita Y, Mukherjee A, Muller T, Murat P, Murgia S, Nakada H, Nakano I, Nelson C, Neuberger D, Newman-Holmes C, Ngan CYP, Nodulman L, Nomerotski A, Oh SH, Ohmoto T, Ohsugi T, Oishi R, Okabe M, Okusawa T, Olsen J, Pagliarone C, Paoletti R, Papadimitriou V, Pappas SP, Parashar N, Parri A, Patrick J, Pauletta G, Paulini M, Perazzo A, Pescara L, Peters MD, Phillips TJ, Piacentino G, Pillai M, Pitts KT, Plunkett R, Pompos A, Pondrom L, Proudfoot J, Ptohos F, Punzi G, Ragan K, Reher D, Reischl M, Ribon A, Rimondi F, Ristori L, Robertson WJ, Rodrigo T, Rolli S, Rosenson L, Roser R, Saab T, Sakumoto WK, Saltzberg D, Sansoni A, Santi L, Sato H, Schlabach P, Schmidt EE, Schmidt MP, Scott A, Scribano A, Segler S, Seidel S, Seiya Y, Semeria F, Shah T, Shapiro MD, Shaw NM, Shepard PF, Shibayama T, Shimojima M, Shochet M, Siegrist J, Sill A, Sinervo P, Singh P, Sliwa K, Smith C, Snider FD, Spalding J, Speer T, Sphicas P, Spinella F, Spiropulu M, Spiegel L, Stanco L, Steele J, Stefanini A, Ströhmer R, Strologas J, Strumia F, Stuart D, Sumorok K, Suzuki J, Suzuki T, Takahashi T, Takano T, Takashima R, Takikawa K, Tanaka M, Tannenbaum B, Tartarelli F, Taylor W, Tecchio M, Teng PK, Teramoto Y, Terashi K, Tether S, Theriot D, Thomas TL, Thurman-Keup R, Timko M, Tipton P, Titov A, Tkaczyk S, Toback D, Tollefson K, Tollestrup A, Toyoda H, Trischuk W, de Troconiz JF, Truitt S, Tseng J, Turini N, Uchida T, Ukegawa F, Valls J, van den Brink SC, Vejcik S, Velev G, Vidal R, Vilar R, Vucinic D, Wagner RG, Wagner RL, Wahl J, Wallace NB, Walsh AM, Wang C, Wang CH, Wang MJ, Warburton A, Watanabe T, Watts T, Webb R, Wei C, Wenzel H, Wester WC, Wicklund AB, Wicklund E, Wilkinson R, Williams HH, Wilson P, Winer BL, Winn D, Wolinski D, Wolinski J, Worm S, Wu X, Wyss J, Yagil A, Yao W, Yasuoka K, Yeh GP, Yeh P, Yoh J, Yosef C, Yoshida T, Yu I, Zanetti A, Zetti F, Zucchelli S. Search for the rare decayW±→π±+γin proton-antiproton collisions ats=1.8 TeV. Int J Clin Exp Med 1998. [DOI: 10.1103/physrevd.58.031101] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022]
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Abe F, Albrow MG, Amendolia SR, Amidei D, Antos J, Anway-Wiese C, Apollinari G, Areti H, Atac M, Auchincloss P, Azfar F, Azzi P, Bacchetta N, Badgett W, Bailey MW, Bao J, de Barbaro P, Barbaro-Galtieri A, Barnes VE, Barnett BA, Bartalini P, Bauer G, Baumann T, Bedeschi F, Behrends S, Belforte S, Bellettini G, Bellinger J, Benjamin D, Benlloch J, Bensinger J, Benton D, Beretvas A, Berge JP, Bertolucci S, Bhatti A, Biery K, Binkley M, Bird F, Bisello D, Blair RE, Blocker C, Bodek A, Bokhari W, Bolognesi V, Bortoletto D, Boswell C, Boulos T, Brandenburg G, Bromberg C, Buckley-Geer E, Budd HS, Burkett K, Busetto G, Byon-Wagner A, Byrum KL, Cammerata J, Campagnari C, Campbell M, Caner A, Carithers W, Carlsmith D, Castro A, Cen Y, Cervelli F, Chao HY, Chapman J, Cheng MT, Chiarelli G, Chikamatsu T, Chiou CN, Christofek L, Cihangir S, Clark AG, Cobal M, Contreras M, Conway J, Cooper J, Cordelli M, Couyoumtzelis C, Crane D, Cunningham JD, Daniels T, DeJongh F, Delchamps S, Dell’Agnello S, Dell’Orso M, Demortier L, Denby B, Deninno M, Derwent PF, Devlin T, Dickson M, Dittmann JR, Donati S, Drucker RB, Dunn A, Einsweiler K, Elias JE, Ely R, Engels E, Eno S, Errede D, Errede S, Fan Q, Farhat B, Fiori I, Flaugher B, Foster GW, Franklin M, Frautschi M, Freeman J, Friedman J, Frisch H, Fry A, Fuess TA, Fukui Y, Funaki S, Gagliardi G, Galeotti S, Gallinaro M, Garfinkel AF, Geer S, Gerdes DW, Giannetti P, Giokaris N, Giromini P, Gladney L, Glenzinski D, Gold M, Gonzalez J, Gordon A, Goshaw AT, Goulianos K, Grassmann H, Grewal A, Groer L, Grosso-Pilcher C, Haber C, Hahn SR, Hamilton R, Handler R, Hans RM, Hara K, Harral B, Harris RM, Hauger SA, Hauser J, Hawk C, Heinrich J, Cronin-Hennessy D, Hollebeek R, Holloway L, Hölscher A, Hong S, Houk G, Hu P, Huffman BT, Hughes R, Hurst P, Huston J, Huth J, Hylen J, Incagli M, Incandela J, Iso H, Jensen H, Jessop CP, Joshi U, Kadel RW, Kajfasz E, Kamon T, Kaneko T, Kardelis DA, Kasha H, Kato Y, Keeble L, Kennedy RD, Kephart R, Kesten P, Kestenbaum D, Keup RM, Keutelian H, Keyvan F, Kim DH, Kim HS, Kim SB, Kim SH, Kim YK, Kirsch L, Koehn P, Kondo K, Konigsberg J, Kopp S, Kordas K, Koska W, Kovacs E, Kowald W, Krasberg M, Kroll J, Kruse M, Kuhlmann SE, Kuns E, Laasanen AT, Labanca N, Lammel S, Lamoureux JI, LeCompte T, Leone S, Lewis JD, Limon P, Lindgren M, Liss TM, Lockyer N, Loomis C, Long O, Loreti M, Low EH, Lu J, Lucchesi D, Luchini CB, Lukens P, Lys J, Maas P, Maeshima K, Maghakian A, Maksimovic P, Mangano M, Mansour J, Mariotti M, Marriner JP, Martin A, Matthews JAJ, Mattingly R, McIntyre P, Melese P, Menzione A, Meschi E, Michail G, Mikamo S, Miller M, Miller R, Mimashi T, Miscetti S, Mishina M, Mitsushio H, Miyashita S, Morita Y, Moulding S, Mueller J, Mukherjee A, Muller T, Musgrave P, Nakae LF, Nakano I, Nelson C, Neuberger D, Newman-Holmes C, Nodulman L, Ogawa S, Oh SH, Ohl KE, Oishi R, Okusawa T, Pagliarone C, Paoletti R, Papadimitriou V, Pappas SP, Park S, Patrick J, Pauletta G, Paulini M, Pescara L, Peters MD, Phillips TJ, Piacentino G, Pillai M, Plunkett R, Pondrom L, Produit N, Proudfoot J, Ptohos F, Punzi G, Ragan K, Rimondi F, Ristori L, Roach-Bellino M, Robertson WJ, Rodrigo T, Romano J, Rosenson L, Sakumoto WK, Saltzberg D, Sansoni A, Scarpine V, Schindler A, Schlabach P, Schmidt EE, Schmidt MP, Schneider O, Sciacca GF, Scribano A, Segler S, Seidel S, Seiya Y, Sganos G, Sgolacchia A, Shapiro M, Shaw NM, Shen Q, Shepard PF, Shimojima M, Shochet M, Siegrist J, Sill A, Sinervo P, Singh P, Skarha J, Sliwa K, Smith DA, Snider FD, Song L, Song T, Spalding J, Spiegel L, Sphicas P, Stanco L, Steele J, Stefanini A, Strahl K, Strait J, Stuart D, Sullivan G, Sumorok K, Swartz RL, Takahashi T, Takikawa K, Tartarelli F, Taylor W, Teng PK, Teramoto Y, Tether S, Theriot D, Thomas J, Thomas TL, Thun R, Timko M, Tipton P, Titov A, Tkaczyk S, Tollefson K, Tollestrup A, Tonnison J, de Troconiz JF, Tseng J, Turcotte M, Turini N, Uemura N, Ukegawa F, Unal G, van den Brink SC, Vejcik S, Vidal R, Vondracek M, Vucinic D, Wagner RG, Wagner RL, Wainer N, Walker RC, Wang C, Wang CH, Wang G, Wang J, Wang MJ, Wang QF, Warburton A, Watts G, Watts T, Webb R, Wei C, Wendt C, Wenzel H, Wester WC, Westhusing T, Wicklund AB, Wicklund E, Wilkinson R, Williams HH, Wilson P, Winer BL, Wolinski J, Wu DY, Wu X, Wyss J, Yagil A, Yao W, Yasuoka K, Ye Y, Yeh GP, Yeh P, Yin M, Yoh J, Yosef C, Yoshida T, Yovanovitch D, Yu I, Yun JC, Zanetti A, Zetti F, Zhang L, Zhang S, Zhang W, Zucchelli S. Jet pseudorapidity distribution in direct photon events inpp¯collisions ats=1.8TeV. Int J Clin Exp Med 1998. [DOI: 10.1103/physrevd.57.1359] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022]
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Pillai M, Sreelekha T, Gangadharan V, Chandran G, Nair M. De novo expression of P-glycoprotein associated with poor prognosis in high grade non-Hodgkin's lymphoma. Oncol Rep 1997; 4:1323-6. [PMID: 21590246 DOI: 10.3892/or.4.6.1323] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/06/2022] Open
Abstract
Chemotherapy has proven to be effective in the management of high grade non-Hodgkin's lymphoma (NHL). However drug resistance remains a major clinical obstacle to effective disease control. One such well documented system involves multidrug resistance (MDR), characterized by the overexpression of a 170 kDa membrane protein termed P-glycoprotein (Pgp). Analysis of P-glycoprotein was done on lymph node biopsies obtained from 109 patients with high grade NHL. Patients were followed up for time periods ranging from 7 to 26 months after chemotherapy or until recurrent/residual disease was diagnosed. Analysis of Pgp in tissue samples was carried out by immunocytochemistry and Western blot. Of the 109 patients, 36 had either residual or recurrent disease. All these patients had a second lymph node biopsy done which was also analyzed for Pgp. P-glycoprotein was detected by immunocytochemistry in only 5 of the 73 patients who remained disease-free, while it was expressed in 26 of the 36 patients with residual/recurrent disease. All the 36 tissue samples of the latter group and 42 of the 73 biopsies of the disease-free group were re-analyzed by Western blot. Only one of the 42 samples from the disease-free group showed a positive Western blot reaction while 30 of the 36 samples from patients with recurrent/residual disease gave a positive reaction. Thirty-four of the 36 repeat biopsy samples from patients with recurrent/residual disease were positive for Pgp. Correlation analysis, thus showed significant relationship between prognosis and detection of Pgp by immunocytochemistry (r=0.85, p<0.001) and Western blot (r=0.90, p<0.001). Moreover, the odds ratio of a tumor positive for Pgp not responding to chemotherapy was 35.36 (CI 11.03, 113.37). Thus evaluation for Pgp may prove to be a useful prognostic marker for high grade NHL, and may also prove useful in designing or altering chemotherapy protocols in such patients.
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Affiliation(s)
- M Pillai
- REG CANC CTR,DIV MED ONCOL,THIRUVANANTHAPURAM 695011,KERALA,INDIA. REG CANC CTR,DIV RADIAT ONCOL,THIRUVANANTHAPURAM 695011,KERALA,INDIA
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Srinivas G, Kusumakumari P, Nair M, Panicker K, Pillai M. Tumor proliferative compartment, multidrug resistance gene product and apoptosis regulatory p53 and bcl-2 proteins in pediatric acute lymphoblastic leukemia. Oncol Rep 1997; 4:1083-7. [PMID: 21590201 DOI: 10.3892/or.4.5.1083] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/06/2022] Open
Abstract
Acute lymphoblastic leukemia (ALL) is the most frequent childhood tumor. Although the cure rate has increased dramatically over the past few years, the molecular and cellular biology of this disease is still not fully understood. Important factors affecting prognosis include age, leucocyte count, cytogenetic abnormalities, immunophenotype and sex. However, the role of cell kinetics, tumor associated genes and drug resistance have rarely been investigated in pediatric ALL. This preliminary study looks at these aspects in this disease. Immunocytochemical analysis of the tumor suppressor protein p53, the anti apoptotic protein bcl-2, the multidrug resistance (MDR) gene product P-glycoprotein and the proliferation marker, Ki-67 were done using appropriate monoclonal antibodies. A total of 88 previously untreated children with confirmed ALL diagnosis and 40 age matched controls were included in the study. Ki-67 was expressed in 81% and P-glycoprotein in 68% of all cases. P53 expression was observed in 68% and Bcl-2 in 50% of cases. Fifty percent of all cases also showed concomitant expression of bcl-2 and p53. Since wild-type p53 is known to negatively regulate the expression of bcl-2, the co-expression of these two proteins having contrasting functions suggests that the p53 may be of a mutant variety. In addition, the expression of p53 also correlates to the presence of the multidrug gene product P-glycoprotein. Control samples were negative for all the four markers. P53, bcl-2 and P-glycoprotein can all influence chemotherapy resistance, the first two by regulating programmed cell death and the third by influencing intracellular drug levels. All patients are now being followed up to assess treatment response and to study the prognostic significance of the analyzed markers.
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Affiliation(s)
- G Srinivas
- REG CANC CTR,DIV LAB MED,TRIVANDRUM 695011,KERALA,INDIA. REG CANC CTR,DIV PEDIAT ONCOL,TRIVANDRUM 695011,KERALA,INDIA. REG CANC CTR,DIV RADIAT ONCOL,TRIVANDRUM 695011,KERALA,INDIA
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