Development and Validation of a 28-gene Hypoxia-related Prognostic Signature for Localized Prostate Cancer

BACKGROUND

Hypoxia is associated with a poor prognosis in prostate cancer. This work aimed to derive and validate a hypoxia-related mRNA signature for localized prostate cancer.

METHOD

Hypoxia genes were identified in vitro via RNA-sequencing and combined with in vivo gene co-expression analysis to generate a signature. The signature was independently validated in eleven prostate cancer cohorts and a bladder cancer phase III randomized trial of radiotherapy alone or with carbogen and nicotinamide (CON).

RESULTS

A 28-gene signature was derived. Patients with high signature scores had poorer biochemical recurrence free survivals in six of eight independent cohorts of prostatectomy-treated patients (Log rank test P < .05), with borderline significances achieved in the other two (P < .1). The signature also predicted biochemical recurrence in patients receiving post-prostatectomy radiotherapy (n = 130, P = .007) or definitive radiotherapy alone (n = 248, P = .035). Lastly, the signature predicted metastasis events in a pooled cohort (n = 631, P = .002). Prognostic significance remained after adjusting for clinic-pathological factors and commercially available prognostic signatures. The signature predicted benefit from hypoxia-modifying therapy in bladder cancer patients (intervention-by-signature interaction test P = .0026), where carbogen and nicotinamide was associated with improved survival only in hypoxic tumours.

CONCLUSION

A 28-gene hypoxia signature has strong and independent prognostic value for prostate cancer patients.

About 8- and approximately 84-h rhythms in endotheliocytes as in endothelin-1 and effect of trauma

Population densities (PD) of capillaries (C) and endotheliocytes (E) were determined in pinnal dermis of C57BL mice before and after trauma. Moving (and overall) least-squares spectra before trauma detected in EPD (versus CPD) pronounced 3.5-day (circasemiseptan) and 8-h oscillations corresponding to components of the endothelin-1 chronome in human blood plasma reported earlier. Circadians were more pronounced in CPD. After trauma, circasemiseptan oscillations appeared also in CPD; their period gradually shortened and in two weeks split into about 2.5- and about 4.5-day oscillations; and circadian components became very pronounced. The pre-traumatic chronome was not restored within three weeks following trauma.

Contact line dynamics near the pinning threshold: a capillary rise and fall experiment

We used video microscopy to study the pinning dynamics of air/water contact lines in vertical glass capillaries. Stick-slip behavior and avalanches are observed in tubes with rough interior walls and strong pinning forces. In tubes with smooth interior walls, we find that receding contact lines in falling water columns show no evidence of pinning, but advancing contact lines in rising water columns exhibit algebraic slow down. The measured value of the critical exponent beta varies from run to run, but it is always larger than unity. Furthermore, we find that the rise dynamics varies with the waiting time preceding the experiments. These observations led us to conclude that the wetting film on the surface and other microscopic changes in the slipping region near the contact line affect the macroscopic dynamics. We discuss the differences between the real system and the existing theories that might explain the results. We also present a brief review of other studies of contact line dynamics and a numerical study of a one-dimensional model.

Nanophase-separated polymer films as high-performance antireflection coatings

Optical surfaces coated with a thin layer to improve light transmission are ubiquitous in everyday optical applications as well as in industrial and scientific instruments. Discovered first in 1817 by Fraunhofer, the coating of lenses became standard practice in the 1930s. In spite of intensive research, broad-band antireflection coatings are still limited by the lack of materials with low refractive indices. A method based on the phase separation of a macromolecular liquid to generate nanoporous polymer films is demonstrated that creates surfaces with high optical transmission.

A defect in the early phase of T-cell receptor-mediated T-cell activation in patients with common variable immunodeficiency

Common variable immunodeficiency (CVID) is characterized by an impairment of specific antibody production and a decrease in all or selected Ig isotypes. Abnormalities at the level of the B cells, T cells, and antigen-presenting cells have been described. In the present study, we have focused our attention on T-cell activation in CVID. T cells from 15 of 24 patients failed to respond to recall antigens (eg, tetanus toxoid, Escherichia coli). Of these 15 patients, 11 were studied in detail and showed significantly decreased T-cell proliferative responses and/or decreased interleukin-2 and interferon-gamma production on T-cell receptor-mediated stimulation with recall antigens and superantigens (staphylococcal enterotoxins [SE]); however, T-cell response to mitogens (anti-CD3 monoclonal antibody, phytohemagglutinin) was normal. The defect in interleukin-2 and interferon-gamma release on tetanus toxoid stimulation could also be documented in purified CD4 T cells of the patients and was present in patients with high and normal CD8 counts alike. Furthermore, patients' T cells failed to mount a significant elevation in free intracellular calcium (Ca++ flux) in response to superantigen, whereas the response to phorbol myristate acetate and ionomycin, bypassing receptor-mediated signaling, was unimpaired. These results indicate a defect in the early phase of T-cell activation after triggering of the T-cell receptor in a significant subgroup of CVID patients.