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In triple-negative breast cancer (TNBC), the lack of therapeutic markers and effective targeted therapies result in an incurable metastatic disease associated with a poor prognosis. Crosstalks within the tumor microenvironment (TME), including those between cancer and stromal cells, affect the tumor heterogeneity, growth, and metastasis. Previously, we have demonstrated that IL-6, IL-8, and CCL5 play a significant role in TNBC growth and metastasis. In this study, we performed a systematic analysis of cytokine factors secreted from four stromal components (fibroblasts, macrophages, lymphatic endothelial cells, and blood microvascular endothelial cells) induced by four TNBC cell types. Through bioinformatic analysis, we selected putative candidates of secreted factors from stromal cells, which are involved in EMT activity, cell proliferation, metabolism, and matrisome pathways. Among the candidates, LCN2, GM-CSF, CST3, IL-6, IL-8, and CHI3L1 are ranked highly. Significantly, Lipocalin-2 (LCN2) is upregulated in the crosstalk of stromal cells and four different TNBC cells. We validated the increase of LCN2 secreted from four stromal cells induced by TNBC cells. Using a specific LCN2 antibody, we observed the inhibition of TNBC cell growth and migration. Taken together, these results propose secreted factors as molecular targets to treat TNBC progression via crosstalk with stromal components.PURPOSE This phase I study, which to our knowledge is the first-in-human study of this kind, investigates the safety, tolerability, pharmacokinetics, and clinical activity of anetumab ravtansine, an antibody-drug conjugate of anti-mesothelin antibody linked to maytansinoid DM4, in patients with advanced, metastatic, or recurrent solid tumors known to express the tumor-differentiation antigen mesothelin. PATIENTS AND METHODS This phase I, open-label, multicenter, dose-escalation and dose-expansion study of anetumab ravtansine enrolled 148 adult patients with multiple solid tumor types. Ten dose-escalation cohorts of patients with advanced or metastatic solid tumors (0.15-7.5 mg/kg) received anetumab ravtansine once every 3 weeks, and 6 expansion cohorts of patients with advanced, recurrent ovarian cancer or malignant mesothelioma received anetumab ravtansine at the maximum tolerated dose once every 3 weeks, 1.8 mg/kg once per week, and 2.2 mg/kg once per week. RESULTS Forty-five patients were enrolled across tpretreated patients with mesothelin-expressing solid tumors. The results allowed for the determination of recommended doses, schedules, and patient populations for anetumab ravtansine in phase II studies.High salinity and waterlogging are two stress factors that often occur simultaneously in nature, particularly during the rainy season in the Yellow River Delta (YRD) of China. An attractive approach to improve the saline-alkali soil produced by waterlogging and high salt is to use plants for wetland ecosystem restoration. In this work, we examined the ecological adaptability of Elaeagnus angustifolia L. under combined waterlogging and salt stress, to evaluate the potential of this species for introduction to the YRD. We monitored the effects of salt plus waterlogging co-stress on the anatomy, physiology, and enzymatic systems in E. angustifolia seedlings. Salt alone and waterlogging alone inhibited the growth of the seedlings, while salt plus waterlogging co-stress reduced this growth inhibition. Furthermore, E. check details angustifolia seedlings resisted the salt plus waterlogging co-stress by increasing porosity, accumulating more inorganic ions and organic solutes, and increasing antioxidant enzyme activities to maintain high photosynthetic rates and membrane stability and thus avoid damage. These findings support the inclusion of E. angustifolia in the ecological restoration of the YRD.Gradual screw loosening is a well-known failure mechanism in internal fixation. Loosening is primarily due to progressive bone loss caused by stress shielding, a phenomenon in which a medical device absorbs a disproportionate amount of load within the screw-bone construct. The proximity of elastic moduli of magnesium and bone presents the potential for alleviating screw loosening by allowing optimum stress to be transferred between screw and bone, and in turn, supporting bone remodeling around the screw. In this study, the effect of thread profile on stress transfer in a magnesium fixation was simulated using a 2-D finite element model. Modified stress parameters from a previous study were used to estimate stress transfer across three thread profiles. Results showed highest stress transfer in trapezoidal-shaped magnesium screw thread. In accordance, this study corroborates the potential for magnesium as an ultimate screw material to eliminate progressive screw loosening.Advances in cancer screening and improved treatment approaches have led to an increase in survivorship and, consequently, recognition of an association between cancer treatments and the development of cardiovascular complications. In addition, as the population becomes proportionally older, comorbid cardiovascular risk factors are more prevalent in the population and compound the risk of developing cancer treatment-related cardiovascular toxicity. Cardio-oncology has emerged as a new subspecialty of medicine that provides a multidisciplinary approach, bringing together oncologists, cardiologists, and allied health care providers who are tasked with optimizing the cardiovascular health of patients exposed to potentially cardiotoxic cancer therapy. Using a case-based approach, practical advice on how to identify, monitor, and treat patients with cancer who are at risk for developing cancer treatment-related cardiovascular dysfunction is discussed. Cardiovascular risk factors (e.g., age, hypertension, diabetes) and cancer therapies (chemotherapy, targeted therapy, radiation) associated with cardiovascular toxicity are presented. Current cardiac monitoring strategies such as two- and three-dimensional echocardiography, cardiac MRI, and biomarkers (troponin and brain natriuretic peptide [BNP]) are discussed. Last, the current literature on pharmacologic (e.g., angiotensin-converting enzyme inhibitors, β-blockers, statins) and lifestyle (diet and exercise) strategies to mitigate cardiovascular toxicity during and following completion of cancer therapy are reviewed.

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