Gotfredsenmyers6648
Data are scarce regarding both the safety and immunogenicity of the BNT162b2 mRNA COVID-19 vaccine in patients undergoing immune cell therapy; thus, we prospectively evaluated these two domains in patients receiving this vaccine after allogeneic hematopoietic cell transplantation (HCT; n = 66) or after CD19-based chimeric antigen receptor T cell (CART) therapy (n = 14). Overall, the vaccine was well tolerated, with mild non-hematologic vaccine-reported adverse events in a minority of the patients. Twelve percent of the patients after the first dose and 10% of the patients after the second dose developed cytopenia, and there were three cases of graft-versus-host disease exacerbation after each dose. A single case of impending graft rejection was summarized as possibly related. Evaluation of immunogenicity showed that 57% of patients after CART infusion and 75% patients after allogeneic HCT had evidence of humoral and/or cellular response to the vaccine. The Cox regression model indicated that longer time from infusion of cells, female sex, and higher CD19+ cells were associated with a positive humoral response, whereas a higher CD4+/CD8+ ratio was correlated with a positive cellular response, as confirmed by the ELISpot test. We conclude that the BNT162b2 mRNA COVID-19 vaccine has impressive immunogenicity in patients after allogeneic HCT or CART. Adverse events were mostly mild and transient, but some significant hematologic events were observed; hence, patients should be closely monitored.In multiple myeloma, local radiation therapy (RT) of osseous lesions before peripheral blood stem cell (PBSC) mobilization is assumed to impair the PBSC mobilization and collection. However, the results of previously published studies are inconsistent and do not evaluate detailed metrics of RT and PBSC outcome parameters. In total, 352 patients undergoing PBSC mobilizations and RT in first-line treatment were evaluated. Patients were grouped into RT (n = 283) and no RT (n = 69) before PBSC mobilization. Except for the International Staging System score, both groups were homogeneous regarding the first diagnosis characteristics, first-line treatments, and response parameters. RT metrics (RT yes versus no, volume of irradiated hematopoietic bone marrow [BM], biologically equivalent doses in 2 Gy fractions [EQD2]) were analyzed for the following PBSC outcome parameters achievement of the PBSC collection goal, CD34+ cell collection yield, duration of the mobilization phase, and number of leukapheresis (LP) sessioT had a significantly higher percentage of radiated hematopoietic BM compared to those who required only 1 LP session (mean 9.7% versus 7.2%, P = .002). Overall, our study indicates a negative impact of RT on PBSC mobilization and collection. Apart from emergency settings, it might be beneficial to postpone RT to a post-PBSC collection time point. © 2021 American Society for Blood and Marrow Transplantation. Published by Elsevier Inc. All rights reserved.Allogeneic hematopoietic cell transplantation (HCT) offers a potentially curative therapy in patients with hematologic malignancies; however, nonrelapse mortality (NRM) remains a concern. Strategies to improve neutrophil recovery and immune reconstitution are needed to decrease NRM. Murine models of allogeneic HCT suggest that fractionated hematopoietic progenitor cell (HPC) infusion may improve engraftment through improved access of HPCs to a viable hematopoietic niche. The primary objective of the present study was to determine the impact of fractionated infusion versus unfractionated (bulk) infusion of HPCs on the time to achieve neutrophil engraftment. Secondary objectives included the effect of fractionated versus bulk infusion of HPCs on platelet engraftment, immune reconstitution, the incidence of acute graft-versus-host disease (GVHD) grade II-IV, NRM, and overall survival (OS). In this randomized phase 2 study, patients with hematologic malignancies undergoing allogeneic HCT were randomized to receivt for adult recipients. © 2021 American Society for Transplantation and Cellular Therapy. Published by Elsevier Inc.Anti TNF alpha monoclonal antibodies are used in the treatment of chronic inflammatory diseases which commonly affect women of childbearing age. Due to their similar structure to native immunoglobulins, the evaluation of their placental transfer by a pharmacological approach of the mechanisms involved is an interesting source of information, useful to the risk-benefit assessment of drugs in pregnant women.Despite the widespread use of graphs, little is known about how fast and how accurately we can extract information from them. Through a series of four behavioral experiments, we characterized human performance in "mental regression", i.e. the perception of statistical trends from scatterplots. When presented with a noisy scatterplot, even as briefly as 100 ms, human adults could accurately judge if it was increasing or decreasing, fit a regression line, and extrapolate outside the original data range, for both linear and non-linear functions. Performance was highly consistent across those three tasks of trend judgment, line fitting and extrapolation. Participants' linear trend judgments took into account the slope, the noise, and the number of data points, and were tightly correlated with the t-test classically used to evaluate the significance of a linear regression. However, they overestimated the absolute value of the regression slope. This bias was inconsistent with ordinary least squares (OLS) regression, which minimizes the sum of square deviations, but consistent with the use of Deming regression, which treats the x and y axes symmetrically and minimizes the Euclidean distance to the fitting line. We speculate that this fast but biased perception of scatterplots may be based on a "neuronal recycling" of the human visual capacity to identify the medial axis of a shape.Herein, it is reported that a batch of hollow core-shell heterostructure photocatalysts were carefully fabricated using a reliable and convenient low-temperature solvothermal method, and ultra-thin ZnIn2S4 nanosheets are grown in situ on the hollow ZnSnO3 cubes to achieve efficient photocatalytic hydrogen evolution. This unique layered hollow structure utilizes multiple light scattering/reflection within the cavity to enhance light absorption, the thin shell reduces the path of charge transfer, and the irregular nanosheets-wrapped outer layer not only enhances the adsorption power, but also provides an abundant active sites to promote the efficiency of photocatalytic water splitting to produce hydrogen. Therefore, due to the matching energy band and unique structure, the ZnSnO3@ZnIn2S4 hollow core-shell heterostructure photocatalyst exhibits superior H2 production efficiency (16340.18 μmol h-1 g-1) and outstanding stability. This work emphasizes the importance of carefully designing a suitable material structure in addition to adjusting the chemical composition.Constructing nanostructures with abundant heterogeneous interfaces is highly efficient in improving microwave absorbing properties. Herein, a simple chemical vapor deposition (CVD) route for the in-situ growth of carbon nanotubes (CNTs) in the voids of MnO particles clusters skeleton has been developed to fabricate MnO/CNTs heterostructure composites with tunable dielectric properties. The optimized MnO/CNTs-1 composite with 45 wt% CNTs content exhibits comprehensive enhanced microwave absorption performance, with the minimum reflection loss (RLmin) can reach -50.6 dB (20 wt% in paraffin composite). The effective absorption bandwidth (RL less then -10 dB, 90% absorption) up to 13.7 GHz was achieved by adjusting the thickness from 2 to 5 mm, covering the entire C, X and Ku bands. Herein, the MnO particles and CNTs networks act as skeleton and crosslinker, respectively. The MnO particles attached throughout the CNTs networks can provide multiple interfacial polarization and multiple scattering/reflection. Our works provide new insights for the facile designing lightweight nanostructure to enhance the microwave absorption performance of the CNTs.
Computational fluid dynamic simulations have showed that the elevated viscosity of pulmonary fluids may increase the likelihood of airway closure, thus exacerbating inhomogeneity of regional lung ventilation. Alflutinib inhibitor Unfortunately, there have been few studies directed toward measurements of viscosity of pulmonary fluids and its effect on airway opening pressure and regional distribution of lung ventilation in acute respiratory distress syndrome.
In this study, pulmonary fluids from 8 ARDS patients were measured using a cone and plate rheometer on days 1, 3, 7 and 14 in the treatment of the disorder. Ventilator settings were simultaneously recorded, including tidal volume, positive end-expiratory pressure, fraction of inspired oxygen (FiO
), and so on. The regional distribution of lung ventilation was monitored by a bedside electrical impedance tomography system.
The results showed that rheological properties of pulmonary fluids behaved as either Newtonian or non-Newtonian across all patients studied. Significa in mechanically ventilated patients.Glioblastoma (GBM) is a challenging cancer with poor prognosis. The classical standard for treatment is safe resection, followed by concurrent chemoradiotherapy with subsequent adjuvant temozolomide (TMZ). Despite several attempts at different treatments, the 5-year survival rate remains poor. In recent years, with the continuous progress of treatment technology, tumor treating fields (TTFields) were preferable. The device could generate an intermediate frequency alternating electric field and induce apoptosis of some specific types of cancer cells with few toxic and side effects. TTFields induced apoptosis through multiple activations of the pathway. TTFields have been Food and Drug Administration (FDA)-approved for diagnosis and recurrent GBM as additional clinical trial results are revealed. This study reviewed the current status, mechanisms, correlations with immune pathways, the prospects of applying TTFields for GBM, and the adverse events.Curcumin is a bioactive ingredient found in the Rhizomes of Curcuma longa. Curcumin is well known for its chemopreventive and anti-cancer properties. Recent findings have demonstrated several pharmacological and biological impacts of curcumin, related to the control and the management of gastrointestinal cancers. Mechanistically, curcumin exerts its biological impacts via antioxidant and anti-inflammatory effects through the interaction with various transcription factors and signaling molecules. Moreover, epigenetic modulators such as microRNAs (miRNAs) have been revealed as novel targets of curcumin. Curcumin was discovered to regulate the expression of numerous pathogenic miRNAs in gastric, colorectal, esophageal and liver cancers. The present systematic review was performed to identify miRNAs that are modulated by curcumin in gastrointestinal cancers.
To investigate the therapeutic effects of vitamin A (VitA) or vitamin D (VitD) against bronchopulmonary dysplasia (BPD) and the underlying mechanism from the perspective of macrophage polarization.
A BPD model was established on rats. Hematoxylin and eosin staining was used to evaluate the pathological state of lung tissues. The expression of CD68 was determined by immunohistochemistry assay. The infiltration of M1 and M2 macrophages was marked by immunofluorescence. The expression levels of tumor necrosis factor (TNF)-α, interleukin (IL)-10, nitric oxide synthase (NOS), and arginase-1 (Arg-1) were evaluated by quantitative reverse transcription polymerase chain reaction assay, and the ratio of M1/M2 in the bronchoalveolar lavage fluid was determined by flow cytometry.
Disordered alveolar structure in the lung tissue, thickened alveolar septa, and infiltration of inflammatory cells around the alveolar cavity and pulmonary septa were observed in lipopolysaccharide (LPS)-treated rats. On day 21 post-natal (PN21), the pathological state was aggravated, alveolar simplification was observed, and the expression level of CD68 in the lung tissues was significantly elevated, and these results were dramatically alleviated in the VitA, VitD, and VitA+VitD groups.