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Alonso JC, Casans I, González FM, Fuster D, Rodríguez A, Sánchez N, Oyagüez I, Williams AO, Espinoza N. Economic evaluations of radioembolization with yttrium-90 microspheres in liver metastases of colorectal cancer: a systematic review. BMC Gastroenterol 2023; 23:181. [PMID: 37226091 DOI: 10.1186/s12876-023-02793-5] [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] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/21/2022] [Accepted: 04/27/2023] [Indexed: 05/26/2023] Open
Abstract
BACKGROUND Transarterial radioembolization with yttrium-90 (Y-90 TARE) microspheres therapy has demonstrated positive clinical benefits for the treatment of liver metastases from colorectal cancer (lmCRC). This study aims to conduct a systematic review of the available economic evaluations of Y-90 TARE for lmCRC. METHODS English and Spanish publications were identified from PubMed, Embase, Cochrane, MEDES health technology assessment agencies, and scientific congress databases published up to May 2021. The inclusion criteria considered only economic evaluations; thus, other types of studies were excluded. Purchasing-power-parity exchange rates for the year 2020 ($US PPP) were applied for cost harmonisation. RESULTS From 423 records screened, seven economic evaluations (2 cost-analyses [CA] and 5 cost-utility-analyses [CUA]) were included (6 European and 1 USA). All included studies (n = 7) were evaluated from a payer and the social perspective (n = 1). Included studies evaluated patients with unresectable liver-predominant metastases of CRC, refractory to chemotherapy (n = 6), or chemotherapy-naïve (n = 1). Y-90 TARE was compared to best supportive care (BSC) (n = 4), an association of folinic acid, fluorouracil and oxaliplatin (FOLFOX) (n = 1), and hepatic artery infusion (HAI) (n = 2). Y-90 TARE increased life-years gained (LYG) versus BSC (1.12 and 1.35 LYG) and versus HAI (0.37 LYG). Y-90 TARE increased the quality-adjusted-life-year (QALY) versus BSC (0.81 and 0.83 QALY) and versus HAI (0.35 QALY). When considering a lifetime horizon, Y-90 TARE reported incremental cost compared to BSC (range 19,225 to 25,320 $US PPP) and versus HAI (14,307 $US PPP). Y-90 TARE reported incremental cost-utility ratios (ICURs) between 23,875 $US PPP/QALY to 31,185 $US PPP/QALY. The probability of Y-90 TARE being cost-effective at £ 30,000/QALY threshold was between 56% and 57%. CONCLUSIONS Our review highlights that Y-90 TARE could be a cost-effective therapy either as a monotherapy or when combined with systemic therapy for treating ImCRC. However, despite the current clinical evidence on Y-90 TARE in the treatment of ImCRC, the global economic evaluation reported for Y-90 TARE in ImCRC is limited (n = 7), therefore, we recommend future economic evaluations on Y-90 TARE versus alternative options in treating ImCRC from the societal perspective.
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Affiliation(s)
- J C Alonso
- Nuclear Medicine Department, Hospital Gregorio Marañón, Madrid, Spain
| | - I Casans
- Nuclear Medicine Department, Hospital Clínico Universitario, Valencia, Spain
| | - F M González
- Nuclear Medicine Department, Hospital Universitario Central, Asturias, Spain
| | - D Fuster
- Nuclear Medicine Department, Hospital Clinic, Barcelona, Spain
| | - A Rodríguez
- Nuclear Medicine Department, Hospital Virgen de las Nieves, Granada, Spain
| | - N Sánchez
- Nuclear Medicine Department, Hospital Clinic, Barcelona, Spain
| | - I Oyagüez
- Pharmacoeconomics & Outcomes Research Iberia (PORIB), Madrid, Spain
| | - A O Williams
- Boston Scientific Marlborough, Marlborough, MA, USA
| | - N Espinoza
- Pharmacoeconomics & Outcomes Research Iberia (PORIB), Madrid, Spain.
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2
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Rustamkulov Z, Sing DK, Mukherjee S, May EM, Kirk J, Schlawin E, Line MR, Piaulet C, Carter AL, Batalha NE, Goyal JM, López-Morales M, Lothringer JD, MacDonald RJ, Moran SE, Stevenson KB, Wakeford HR, Espinoza N, Bean JL, Batalha NM, Benneke B, Berta-Thompson ZK, Crossfield IJM, Gao P, Kreidberg L, Powell DK, Cubillos PE, Gibson NP, Leconte J, Molaverdikhani K, Nikolov NK, Parmentier V, Roy P, Taylor J, Turner JD, Wheatley PJ, Aggarwal K, Ahrer E, Alam MK, Alderson L, Allen NH, Banerjee A, Barat S, Barrado D, Barstow JK, Bell TJ, Blecic J, Brande J, Casewell S, Changeat Q, Chubb KL, Crouzet N, Daylan T, Decin L, Désert J, Mikal-Evans T, Feinstein AD, Flagg L, Fortney JJ, Harrington J, Heng K, Hong Y, Hu R, Iro N, Kataria T, Kempton EMR, Krick J, Lendl M, Lillo-Box J, Louca A, Lustig-Yaeger J, Mancini L, Mansfield M, Mayne NJ, Miguel Y, Morello G, Ohno K, Palle E, Petit Dit de la Roche DJM, Rackham BV, Radica M, Ramos-Rosado L, Redfield S, Rogers LK, Shkolnik EL, Southworth J, Teske J, Tremblin P, Tucker GS, Venot O, Waalkes WC, Welbanks L, Zhang X, Zieba S. Early Release Science of the exoplanet WASP-39b with JWST NIRSpec PRISM. Nature 2023; 614:659-663. [PMID: 36623548 PMCID: PMC9946832 DOI: 10.1038/s41586-022-05677-y] [Citation(s) in RCA: 7] [Impact Index Per Article: 7.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/22/2022] [Accepted: 12/21/2022] [Indexed: 01/11/2023]
Abstract
Transmission spectroscopy1-3 of exoplanets has revealed signatures of water vapour, aerosols and alkali metals in a few dozen exoplanet atmospheres4,5. However, these previous inferences with the Hubble and Spitzer Space Telescopes were hindered by the observations' relatively narrow wavelength range and spectral resolving power, which precluded the unambiguous identification of other chemical species-in particular the primary carbon-bearing molecules6,7. Here we report a broad-wavelength 0.5-5.5 µm atmospheric transmission spectrum of WASP-39b8, a 1,200 K, roughly Saturn-mass, Jupiter-radius exoplanet, measured with the JWST NIRSpec's PRISM mode9 as part of the JWST Transiting Exoplanet Community Early Release Science Team Program10-12. We robustly detect several chemical species at high significance, including Na (19σ), H2O (33σ), CO2 (28σ) and CO (7σ). The non-detection of CH4, combined with a strong CO2 feature, favours atmospheric models with a super-solar atmospheric metallicity. An unanticipated absorption feature at 4 µm is best explained by SO2 (2.7σ), which could be a tracer of atmospheric photochemistry. These observations demonstrate JWST's sensitivity to a rich diversity of exoplanet compositions and chemical processes.
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Affiliation(s)
- Z Rustamkulov
- Department of Earth and Planetary Sciences, Johns Hopkins University, Baltimore, MD, USA.
| | - D K Sing
- Department of Earth and Planetary Sciences, Johns Hopkins University, Baltimore, MD, USA
- Department of Physics and Astronomy, Johns Hopkins University, Baltimore, MD, USA
| | - S Mukherjee
- Department of Astronomy and Astrophysics, University of California, Santa Cruz, Santa Cruz, CA, USA
| | - E M May
- Johns Hopkins APL, Laurel, MD, USA
| | - J Kirk
- Center for Astrophysics, Harvard and Smithsonian, Cambridge, MA, USA
- Department of Physics, Imperial College London, London, UK
| | - E Schlawin
- Steward Observatory, University of Arizona, Tucson, AZ, USA
| | - M R Line
- School of Earth and Space Exploration, Arizona State University, Tempe, AZ, USA
| | - C Piaulet
- Institute of Research on Exoplanets, Department of Physics, University of Montreal, Montreal, Québec, Canada
| | - A L Carter
- Department of Astronomy and Astrophysics, University of California, Santa Cruz, Santa Cruz, CA, USA
| | - N E Batalha
- NASA Ames Research Center, Moffett Field, CA, USA
| | - J M Goyal
- School of Earth and Planetary Sciences, National Institute of Science Education and Research (NISER), HBNI, Jatani, India
| | - M López-Morales
- Center for Astrophysics, Harvard and Smithsonian, Cambridge, MA, USA
| | - J D Lothringer
- Department of Physics, Utah Valley University, Orem, UT, USA
| | - R J MacDonald
- Department of Astronomy, University of Michigan, Ann Arbor, MI, USA
- Department of Astronomy and Carl Sagan Institute, Cornell University, Ithaca, NY, USA
| | - S E Moran
- Lunar and Planetary Laboratory, University of Arizona, Tucson, AZ, USA
| | | | - H R Wakeford
- School of Physics, University of Bristol, HH Wills Physics Laboratory, Bristol, UK
| | - N Espinoza
- Space Telescope Science Institute, Baltimore, MD, USA
| | - J L Bean
- Department of Astronomy and Astrophysics, University of Chicago, Chicago, IL, USA
| | - N M Batalha
- Department of Astronomy and Astrophysics, University of California, Santa Cruz, Santa Cruz, CA, USA
| | - B Benneke
- Institute of Research on Exoplanets, Department of Physics, University of Montreal, Montreal, Québec, Canada
| | - Z K Berta-Thompson
- Department of Astrophysical and Planetary Sciences, University of Colorado, Boulder, CO, USA
| | - I J M Crossfield
- Department of Physics and Astronomy, University of Kansas, Lawrence, KS, USA
| | - P Gao
- Earth and Planets Laboratory, Carnegie Institution of Washington, Washington, DC, USA
| | - L Kreidberg
- Max Planck Institute for Astronomy, Heidelberg, Germany
| | - D K Powell
- Harvard and Smithsonian, Center for Astrophysics, Cambridge, MA, USA
| | - P E Cubillos
- INAF - Astrophysics Observatory at Turin, Turin, Italy
| | - N P Gibson
- School of Physics, Trinity College Dublin, Dublin, Ireland
| | - J Leconte
- Laboratoire d'Astrophysique de Bordeaux, CNRS, Université de Bordeaux, Pessac, France
| | - K Molaverdikhani
- University Observatory Munich, Ludwig Maximilian University, Munich, Germany
- Exzellenzcluster Origins, Garching, Germany
| | - N K Nikolov
- Space Telescope Science Institute, Baltimore, MD, USA
| | - V Parmentier
- Université Côte d'Azur, Observatoire de la Côte d'Azur, CNRS, Laboratoire Lagrange, Nice, France
- Atmospheric, Oceanic and Planetary Physics, Department of Physics, University of Oxford, Oxford, UK
| | - P Roy
- Institute of Research on Exoplanets, Department of Physics, University of Montreal, Montreal, Québec, Canada
| | - J Taylor
- Department of Physics, University of Oxford, Oxford, UK
| | - J D Turner
- Department of Astronomy and Carl Sagan Institute, Cornell University, Ithaca, NY, USA
| | - P J Wheatley
- Centre for Exoplanets and Habitability, University of Warwick, Coventry, UK
- Department of Physics, University of Warwick, Coventry, UK
| | - K Aggarwal
- Indian Institute of Technology, Indore, Indore, India
| | - E Ahrer
- Centre for Exoplanets and Habitability, University of Warwick, Coventry, UK
- Department of Physics, University of Warwick, Coventry, UK
| | - M K Alam
- Earth and Planets Laboratory, Carnegie Institution of Washington, Washington, DC, USA
| | - L Alderson
- School of Physics, University of Bristol, HH Wills Physics Laboratory, Bristol, UK
| | - N H Allen
- Department of Physics and Astronomy, Johns Hopkins University, Baltimore, MD, USA
| | - A Banerjee
- School of Physical Sciences, The Open University, Milton Keynes, UK
| | - S Barat
- Anton Pannekoek Institute for Astronomy, University of Amsterdam, Amsterdam, the Netherlands
| | - D Barrado
- Centre for Astrobiology (CSIC-INTA), European Space Astronomy Centre Campus, University of Maria de Maeztu, Madrid, Spain
| | - J K Barstow
- School of Physical Sciences, The Open University, Milton Keynes, UK
| | - T J Bell
- BAER Institute, NASA Ames Research Center, Moffet Field, Mountain View, CA, USA
| | - J Blecic
- New York University Abu Dhabi, Abu Dhabi, United Arab Emirates
- Center for Astro, Particle and Planetary Physics (CAP3), New York University Abu Dhabi, Abu Dhabi, UAE
| | - J Brande
- Department of Physics and Astronomy, University of Kansas, Lawrence, KS, USA
| | - S Casewell
- School of Physics and Astronomy, University of Leicester, Leicester, UK
| | - Q Changeat
- Space Telescope Science Institute, Baltimore, MD, USA
- European Space Agency (ESA), ESA Baltimore Office, Baltimore, MD, USA
- Department of Physics and Astronomy, University College London, London, UK
| | - K L Chubb
- Centre for Exoplanet Science, University of St Andrews, St Andrews, UK
| | - N Crouzet
- Leiden Observatory, Leiden University, Leiden, the Netherlands
| | - T Daylan
- Department of Astrophysical Sciences, Princeton University, Princeton, NJ, USA
| | - L Decin
- Department of Physics and Astronomy, KU Leuven, Leuven, Belgium
| | - J Désert
- Anton Pannekoek Institute for Astronomy, University of Amsterdam, Amsterdam, the Netherlands
| | - T Mikal-Evans
- Max Planck Institute for Astronomy, Heidelberg, Germany
| | - A D Feinstein
- Department of Astronomy and Astrophysics, University of Chicago, Chicago, IL, USA
- School of Physical Sciences, The Open University, Milton Keynes, UK
| | - L Flagg
- Department of Astronomy and Carl Sagan Institute, Cornell University, Ithaca, NY, USA
| | - J J Fortney
- Department of Astronomy and Astrophysics, University of California, Santa Cruz, Santa Cruz, CA, USA
| | - J Harrington
- Planetary Science Group, Department of Physics and Florida Space Institute, University of Central Florida, Orlando, FL, USA
| | - K Heng
- University Observatory Munich, Ludwig Maximilian University, Munich, Germany
| | - Y Hong
- Department of Astronomy and Carl Sagan Institute, Cornell University, Ithaca, NY, USA
| | - R Hu
- Jet Propulsion Laboratory, California Institute of Technology, Pasadena, CA, USA
- Division of Geological and Planetary Sciences, California Institute of Technology, Pasadena, CA, USA
| | - N Iro
- Institute for Astrophysics, University of Vienna, Vienna, Austria
| | - T Kataria
- Jet Propulsion Laboratory, California Institute of Technology, Pasadena, CA, USA
| | - E M-R Kempton
- Department of Astronomy, University of Maryland, College Park, MD, USA
| | - J Krick
- California Institute of Technology, IPAC, Pasadena, CA, USA
| | - M Lendl
- Department of Astronomy, University of Geneva, Geneva, Switzerland
| | - J Lillo-Box
- Centre for Astrobiology (CSIC-INTA), European Space Astronomy Centre Campus, University of Maria de Maeztu, Madrid, Spain
| | - A Louca
- Leiden Observatory, Leiden University, Leiden, the Netherlands
| | | | - L Mancini
- Max Planck Institute for Astronomy, Heidelberg, Germany
- INAF - Astrophysics Observatory at Turin, Turin, Italy
- Department of Physics, University of Rome 'Tor Vergata', Rome, Italy
| | - M Mansfield
- Steward Observatory, University of Arizona, Tucson, AZ, USA
| | - N J Mayne
- Department of Physics and Astronomy, Faculty of Environment, Science and Economy, University of Exeter, Exeter, UK
| | - Y Miguel
- Leiden Observatory, Leiden University, Leiden, the Netherlands
- SRON Netherlands Institute for Space Research, Leiden, the Netherlands
| | - G Morello
- Institute for Astrophysics of Canarias (IAC), La Laguna, Tenerife, Spain
- Department of Astrophysics, University of La Laguna, La Laguna, Tenerife, Spain
- INAF Äì Palermo Astronomical Observatory, Palermo, Italy
| | - K Ohno
- Department of Astronomy and Astrophysics, University of California, Santa Cruz, Santa Cruz, CA, USA
| | - E Palle
- Institute for Astrophysics of Canarias (IAC), La Laguna, Tenerife, Spain
| | | | - B V Rackham
- Department of Earth, Atmospheric and Planetary Sciences, Massachusetts Institute of Technology, Cambridge, MA, USA
- Kavli Institute for Astrophysics and Space Research, Massachusetts Institute of Technology, Cambridge, MA, USA
| | - M Radica
- Institute of Research on Exoplanets, Department of Physics, University of Montreal, Montreal, Québec, Canada
| | - L Ramos-Rosado
- Department of Physics and Astronomy, Johns Hopkins University, Baltimore, MD, USA
| | - S Redfield
- Astronomy Department and Van Vleck Observatory, Wesleyan University, Middletown, CT, USA
| | - L K Rogers
- Institute of Astronomy, University of Cambridge, Cambridgeshire, UK
| | - E L Shkolnik
- School of Earth and Space Exploration, Arizona State University, Tempe, AZ, USA
| | - J Southworth
- Astrophysics Group, Keele University, Staffordshire, UK
| | - J Teske
- Earth and Planets Laboratory, Carnegie Institution of Washington, Washington, DC, USA
| | - P Tremblin
- UVSQ, CNRS, CEA, Maison de la Simulation, Université Paris-Saclay, Gif-sur-Yvette, France
| | - G S Tucker
- Department of Physics, Brown University, Providence, RI, USA
| | - O Venot
- Université de Paris Cité and Univ Paris Est Creteil, CNRS, LISA, Paris, France
| | - W C Waalkes
- Astrophysics and Planetary Sciences, University of Colorado Boulder, Boulder, CO, USA
| | - L Welbanks
- School of Earth and Space Exploration, Arizona State University, Tempe, AZ, USA
| | - X Zhang
- Department of Earth and Planetary Sciences, University of California Santa Cruz, Santa Cruz, CA, USA
| | - S Zieba
- Max Planck Institute for Astronomy, Heidelberg, Germany
- Leiden Observatory, Leiden University, Leiden, the Netherlands
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3
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Alonso JC, Casans I, González FM, Fuster D, Rodríguez A, Sánchez N, Oyagüez I, Burgos R, Williams AO, Espinoza N. Economic evaluations of radioembolization with Itrium-90 microspheres in hepatocellular carcinoma: a systematic review. BMC Gastroenterol 2022; 22:326. [PMID: 35780112 PMCID: PMC9250253 DOI: 10.1186/s12876-022-02396-6] [Citation(s) in RCA: 5] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/29/2022] [Accepted: 06/20/2022] [Indexed: 11/20/2022] Open
Abstract
Background Transarterial radioembolization (TARE) with yttrium-90 microspheres is a clinically effective therapy for hepatocellular carcinoma (HCC) treatment. This study aimed to perform a systematic review of the available economic evaluations of TARE for the treatment of HCC. Methods The Preferred Reported Items for Systematic reviews and Meta-Analyses guidelines was followed by applying a search strategy across six databases. All studies identified as economic evaluations with TARE for HCC treatment in English or Spanish language were considered. Costs were adjusted using the 2020 US dollars based on purchasing-power-parity ($US PPP). Results Among 423 records screened, 20 studies (6 cost-analyses, 3 budget-impact-analyses, 2 cost-effectiveness-analyses, 8 cost-utility-analyses, and 1 cost-minimization analysis) met the pre-defined criteria for inclusion. Thirteen studies were published from the European perspective, six from the United States, and one from the Canadian perspectives. The assessed populations included early- (n = 4), and intermediate-advanced-stages patients (n = 15). Included studies were evaluated from a payer perspective (n = 20) and included both payer and social perspective (n = 2). TARE was compared with transarterial chemoembolization (TACE) in nine studies or sorafenib (n = 11). The life-years gained (LYG) differed by comparator: TARE versus TACE (range: 1.3 to 3.1), and TARE versus sorafenib (range: 1.1 to 2.53). Of the 20 studies, TARE was associated with lower treatment costs in ten studies. The cost of TARE treatment varied widely according to Barcelona Clinic Liver Cancer (BCLC) staging system and ranged from 1311 $US PPP/month (BCLC-A) to 71,890 $US PPP/5-years time horizon (BCLC-C). The incremental cost-utility ratio for TARE versus TACE resulted in a 17,397 $US PPP/Quality-adjusted-Life-Years (QALY), and for TARE versus sorafenib ranged from dominant (more effectiveness and lower cost) to 3363 $US PPP/QALY. Conclusions Economic evaluations of TARE for HCC treatment are heterogeneous. Overall, TARE is a cost-effective short- and long-term therapy for the treatment of intermediate-advanced HCC. Supplementary Information The online version contains supplementary material available at 10.1186/s12876-022-02396-6.
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Affiliation(s)
- J C Alonso
- Nuclear Medicine Department, Hospital Gregorio Marañón, Madrid, Spain
| | - I Casans
- Nuclear Medicine Department, Hospital Clínico Universitario, Valencia, Spain
| | - F M González
- Nuclear Medicine Department, Hospital Universitario Central, Asturias, Spain
| | - D Fuster
- Nuclear Medicine Department, Hospital Clinic, Barcelona, Spain
| | - A Rodríguez
- Nuclear Medicine Department, Hospital Virgen de las Nieves, Granada, Spain
| | - N Sánchez
- Nuclear Medicine Department, Hospital Clinic, Barcelona, Spain
| | - I Oyagüez
- Pharmacoeconomics & Outcomes Research Iberia (PORIB), P. Joaquín Rodrigo 4 - letra I, 28224, Pozuelo de Alarcón, Madrid, Spain
| | - R Burgos
- Boston Scientific Iberia, Madrid, Spain
| | | | - N Espinoza
- Pharmacoeconomics & Outcomes Research Iberia (PORIB), P. Joaquín Rodrigo 4 - letra I, 28224, Pozuelo de Alarcón, Madrid, Spain.
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Sanchez JI, Shankaran V, Unger JM, Madeleine MM, Espinoza N, Thompson B. Disparities in post-operative surveillance testing for metastatic recurrence among colorectal cancer survivors. J Cancer Surviv 2022; 16:638-649. [PMID: 34031803 PMCID: PMC10424733 DOI: 10.1007/s11764-021-01057-z] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [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: 03/19/2021] [Accepted: 05/15/2021] [Indexed: 11/29/2022]
Abstract
PURPOSE Among colorectal cancer (CRC) survivors, treatment for metastatic recurrence is most effective when malignancies are detected early through surveillance with carcinoembryonic antigen (CEA) level test and computer tomography (CT) imaging. However, utilization of these tests is low, and many survivors fail to meet the recommended guidelines. This population-based study assesses individual- and neighborhood-level factors associated with receipt of CEA and CT surveillance testing. METHODS We used the Surveillance, Epidemiology and End Results (SEER)-Medicare data to identify Medicare beneficiaries diagnosed with CRC stages II-III between 2010 and 2013. We conducted multivariate logistic regression to estimate the effect of individual and neighborhood factors on receipt of CEA and CT tests within 18 months post-surgery. RESULTS Overall, 78% and 58% of CRC survivors received CEA and CT testing, respectively. We found significant within racial/ethnic differences in receipt of these surveillance tests. Medicare-Medicaid dual coverage was associated with 39% lower odds of receipt of CEA tests among non-Hispanic Whites, and Blacks with dual coverage had almost two times the odds of receiving CEA tests compared to Blacks without dual coverage. CONCLUSIONS Although this study did not find significant differences in receipt of initial CEA and CT surveillance testing across racial/ethnic groups, the assessment of the factors that measure access to care suggests differences in access to these procedures within racial/ethnic groups. IMPLICATIONS FOR CANCER SURVIVORS Our findings have implications for developing targeted interventions focused on promoting surveillance for the early detection of metastatic recurrence among colorectal cancer survivors and improve their health outcomes.
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Affiliation(s)
- Janeth I Sanchez
- School of Public Health, Department of Health Services, University of Washington, Box 357230, Seattle, WA, 98195, USA.
- Public Health Sciences Division, Fred Hutchinson Cancer Research Center, 1100 Fairview Ave. N., M3-B232, Seattle, WA, 98166, USA.
| | - Veena Shankaran
- Public Health Sciences Division, Fred Hutchinson Cancer Research Center, 1100 Fairview Ave. N., M3-B232, Seattle, WA, 98166, USA
| | - Joseph M Unger
- School of Public Health, Department of Health Services, University of Washington, Box 357230, Seattle, WA, 98195, USA
- Public Health Sciences Division, Fred Hutchinson Cancer Research Center, 1100 Fairview Ave. N., M3-B232, Seattle, WA, 98166, USA
| | - Margaret M Madeleine
- Public Health Sciences Division, Fred Hutchinson Cancer Research Center, 1100 Fairview Ave. N., M3-B232, Seattle, WA, 98166, USA
- School of Public Health, Department of Epidemiology, University of Washington, Box 357236, Seattle, WA, 98195, USA
| | - Noah Espinoza
- Clinical Analytics, Seattle Children's Hospital, 4800 Sand Point Way NE, Seattle, WA, 98105, USA
| | - Beti Thompson
- School of Public Health, Department of Health Services, University of Washington, Box 357230, Seattle, WA, 98195, USA
- Public Health Sciences Division, Fred Hutchinson Cancer Research Center, 1100 Fairview Ave. N., M3-B232, Seattle, WA, 98166, USA
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Borca MV, Rai A, Ramirez-Medina E, Silva E, Velazquez-Salinas L, Vuono E, Pruitt S, Espinoza N, Gladue DP. A Cell Culture-Adapted Vaccine Virus against the Current African Swine Fever Virus Pandemic Strain. J Virol 2021; 95:e0012321. [PMID: 33952643 PMCID: PMC8315737 DOI: 10.1128/jvi.00123-21] [Citation(s) in RCA: 44] [Impact Index Per Article: 14.7] [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: 01/23/2021] [Accepted: 04/27/2021] [Indexed: 11/20/2022] Open
Abstract
African swine fever virus (ASFV) causes a virulent, deadly infection in wild and domestic swine and is currently causing a pandemic covering a contiguous geographical area from Central and Eastern Europe to Asia. No commercial vaccines are available to prevent African swine fever (ASF), resulting in devastating economic losses to the swine industry. The most advanced vaccine candidates are live attenuated strains developed using a genetically modified virulent parental virus. Recently, we developed a vaccine candidate, ASFV-G-ΔI177L, by deleting the I177L gene from the genome of the highly virulent ASFV pandemic strain Georgia (ASFV-G). ASFV-G-ΔI177L is safe and highly efficacious in challenge studies using parental ASFV-G. Large-scale production of ASFV-G-ΔI177L has been limited because it can replicate efficiently only in primary swine macrophages. Here, we present the development of an ASFV-G-ΔI177L derivative strain, ASFV-G-ΔI177L/ΔLVR, that replicates efficiently in a stable porcine cell line. In challenge studies, ASFV-G-ΔI177L/ΔLVR maintained the same level of attenuation, immunogenic characteristics, and protective efficacy as ASFV-G-ΔI177L. ASFV-G-ΔI177L/ΔLVR is the first rationally designed ASF vaccine candidate that can be used for large-scale commercial vaccine manufacture. IMPORTANCE African swine fever is currently causing a pandemic resulting in devastating losses to the swine industry. Experimental ASF vaccines rely on the production of vaccine in primary swine macrophages, which are difficult to use for the production of a vaccine on a commercial level. Here, we report a vaccine for ASFV with a deletion in the left variable region (LVR). This deletion allows for growth in stable cell cultures while maintaining the potency and efficacy of the parental vaccine strain. This discovery will allow for the production of an ASF vaccine on a commercial scale.
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Affiliation(s)
- M. V. Borca
- Plum Island Animal Disease Center, ARS, USDA, Greenport, New York, USA
| | - A. Rai
- Plum Island Animal Disease Center, ARS, USDA, Greenport, New York, USA
- Oak Ridge Institute for Science and Education (ORISE), Oak Ridge, Tennessee, USA
| | - E. Ramirez-Medina
- Plum Island Animal Disease Center, ARS, USDA, Greenport, New York, USA
- Department of Pathobiology and Veterinary Science, University of Connecticut, Storrs, Mansfield, Connecticut, USA
| | - E. Silva
- Plum Island Animal Disease Center, ARS, USDA, Greenport, New York, USA
- Department of Anatomy and Physiology, Kansas State University, Manhattan, Kansas, USA
| | - L. Velazquez-Salinas
- Plum Island Animal Disease Center, ARS, USDA, Greenport, New York, USA
- Department of Anatomy and Physiology, Kansas State University, Manhattan, Kansas, USA
| | - E. Vuono
- Plum Island Animal Disease Center, ARS, USDA, Greenport, New York, USA
- Department of Pathobiology and Population Medicine, Mississippi State University, Mississippi State, Mississippi, USA
| | - S. Pruitt
- Plum Island Animal Disease Center, ARS, USDA, Greenport, New York, USA
| | - N. Espinoza
- Plum Island Animal Disease Center, ARS, USDA, Greenport, New York, USA
| | - D. P. Gladue
- Plum Island Animal Disease Center, ARS, USDA, Greenport, New York, USA
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6
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Trifonov T, Caballero JA, Morales JC, Seifahrt A, Ribas I, Reiners A, Bean JL, Luque R, Parviainen H, Pallé E, Stock S, Zechmeister M, Amado PJ, Anglada-Escudé G, Azzaro M, Barclay T, Béjar VJS, Bluhm P, Casasayas-Barris N, Cifuentes C, Collins KA, Collins KI, Cortés-Contreras M, de Leon J, Dreizler S, Dressing CD, Esparza-Borges E, Espinoza N, Fausnaugh M, Fukui A, Hatzes AP, Hellier C, Henning T, Henze CE, Herrero E, Jeffers SV, Jenkins JM, Jensen ELN, Kaminski A, Kasper D, Kossakowski D, Kürster M, Lafarga M, Latham DW, Mann AW, Molaverdikhani K, Montes D, Montet BT, Murgas F, Narita N, Oshagh M, Passegger VM, Pollacco D, Quinn SN, Quirrenbach A, Ricker GR, Rodríguez López C, Sanz-Forcada J, Schwarz RP, Schweitzer A, Seager S, Shporer A, Stangret M, Stürmer J, Tan TG, Tenenbaum P, Twicken JD, Vanderspek R, Winn JN. A nearby transiting rocky exoplanet that is suitable for atmospheric investigation. Science 2021; 371:1038-1041. [PMID: 33674491 DOI: 10.1126/science.abd7645] [Citation(s) in RCA: 19] [Impact Index Per Article: 6.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/10/2020] [Accepted: 02/02/2021] [Indexed: 11/02/2022]
Abstract
Spectroscopy of transiting exoplanets can be used to investigate their atmospheric properties and habitability. Combining radial velocity (RV) and transit data provides additional information on exoplanet physical properties. We detect a transiting rocky planet with an orbital period of 1.467 days around the nearby red dwarf star Gliese 486. The planet Gliese 486 b is 2.81 Earth masses and 1.31 Earth radii, with uncertainties of 5%, as determined from RV data and photometric light curves. The host star is at a distance of ~8.1 parsecs, has a J-band magnitude of ~7.2, and is observable from both hemispheres of Earth. On the basis of these properties and the planet's short orbital period and high equilibrium temperature, we show that this terrestrial planet is suitable for emission and transit spectroscopy.
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Affiliation(s)
- T Trifonov
- Max-Planck-Institut für Astronomie, D-69117 Heidelberg, Germany.
| | - J A Caballero
- Centro de Astrobiología (Consejo Superior de Investigaciones Científicas - Instituto Nacional de Técnica Aeroespacial), E-28692 Villanueva de la Cañada, Madrid, Spain
| | - J C Morales
- Institut de Ciències de l'Espai (Consejo Superior de Investigaciones Científicas), E-08193 Bellaterra, Barcelona, Spain.,Institut d'Estudis Espacials de Catalunya, E-08034 Barcelona, Spain
| | - A Seifahrt
- Department of Astronomy and Astrophysics, University of Chicago, Chicago, IL 60637, USA
| | - I Ribas
- Institut de Ciències de l'Espai (Consejo Superior de Investigaciones Científicas), E-08193 Bellaterra, Barcelona, Spain.,Institut d'Estudis Espacials de Catalunya, E-08034 Barcelona, Spain
| | - A Reiners
- Institut für Astrophysik, Georg-August-Universität, D-37077 Göttingen, Germany
| | - J L Bean
- Department of Astronomy and Astrophysics, University of Chicago, Chicago, IL 60637, USA
| | - R Luque
- Instituto de Astrofísica de Canarias, E-38205 La Laguna, Tenerife, Spain.,Departamento de Astrofísica, Universidad de La Laguna, E-38206 La Laguna, Tenerife, Spain
| | - H Parviainen
- Instituto de Astrofísica de Canarias, E-38205 La Laguna, Tenerife, Spain.,Departamento de Astrofísica, Universidad de La Laguna, E-38206 La Laguna, Tenerife, Spain
| | - E Pallé
- Instituto de Astrofísica de Canarias, E-38205 La Laguna, Tenerife, Spain.,Departamento de Astrofísica, Universidad de La Laguna, E-38206 La Laguna, Tenerife, Spain
| | - S Stock
- Landessternwarte, Zentrum für Astronomie der Universität Heidelberg, D-69117 Heidelberg, Germany
| | - M Zechmeister
- Institut für Astrophysik, Georg-August-Universität, D-37077 Göttingen, Germany
| | - P J Amado
- Instituto de Astrofísica de Andalucía (Consejo Superior de Investigaciones Científicas), E-18008 Granada, Spain
| | - G Anglada-Escudé
- Institut de Ciències de l'Espai (Consejo Superior de Investigaciones Científicas), E-08193 Bellaterra, Barcelona, Spain.,Institut d'Estudis Espacials de Catalunya, E-08034 Barcelona, Spain
| | - M Azzaro
- Centro Astronómico Hispano-Alemán, Observatorio de Calar Alto, E-04550 Gérgal, Almería, Spain
| | - T Barclay
- NASA Goddard Space Flight Center, Greenbelt, MD 20771, USA.,University of Maryland, Baltimore County, Baltimore, MD 21250, USA
| | - V J S Béjar
- Instituto de Astrofísica de Canarias, E-38205 La Laguna, Tenerife, Spain.,Departamento de Astrofísica, Universidad de La Laguna, E-38206 La Laguna, Tenerife, Spain
| | - P Bluhm
- Landessternwarte, Zentrum für Astronomie der Universität Heidelberg, D-69117 Heidelberg, Germany
| | - N Casasayas-Barris
- Instituto de Astrofísica de Canarias, E-38205 La Laguna, Tenerife, Spain.,Departamento de Astrofísica, Universidad de La Laguna, E-38206 La Laguna, Tenerife, Spain
| | - C Cifuentes
- Centro de Astrobiología (Consejo Superior de Investigaciones Científicas - Instituto Nacional de Técnica Aeroespacial), E-28692 Villanueva de la Cañada, Madrid, Spain
| | - K A Collins
- Center for Astrophysics, Harvard & Smithsonian, Cambridge, MA 02138, USA
| | - K I Collins
- Department of Physics and Astronomy, George Mason University, Fairfax, VA 22030, USA
| | - M Cortés-Contreras
- Centro de Astrobiología (Consejo Superior de Investigaciones Científicas - Instituto Nacional de Técnica Aeroespacial), E-28692 Villanueva de la Cañada, Madrid, Spain
| | - J de Leon
- Department of Astronomy, Graduate School of Science, University of Tokyo, Tokyo 113-0033, Japan
| | - S Dreizler
- Institut für Astrophysik, Georg-August-Universität, D-37077 Göttingen, Germany
| | - C D Dressing
- Astronomy Department, University of California at Berkeley, Berkeley, CA 94720, USA
| | - E Esparza-Borges
- Instituto de Astrofísica de Canarias, E-38205 La Laguna, Tenerife, Spain.,Departamento de Astrofísica, Universidad de La Laguna, E-38206 La Laguna, Tenerife, Spain
| | - N Espinoza
- Space Telescope Science Institute, Baltimore, MD 21218, USA
| | - M Fausnaugh
- Department of Physics and Kavli Institute for Astrophysics and Space Research, Massachusetts Institute of Technology, Cambridge, MA 02139, USA
| | - A Fukui
- Department of Earth and Planetary Science, Graduate School of Science, University of Tokyo, Tokyo 113-0033, Japan.,Instituto de Astrofísica de Canarias, E-38205 La Laguna, Tenerife, Spain
| | - A P Hatzes
- Thüringer Landessternwarte Tautenburg, D-07778 Tautenburg, Germany
| | - C Hellier
- Astrophysics Group, Keele University, Staffordshire ST5 5BG, UK
| | - Th Henning
- Max-Planck-Institut für Astronomie, D-69117 Heidelberg, Germany
| | - C E Henze
- NASA Ames Research Center, Moffett Field, CA 94035, USA
| | - E Herrero
- Institut de Ciències de l'Espai (Consejo Superior de Investigaciones Científicas), E-08193 Bellaterra, Barcelona, Spain.,Institut d'Estudis Espacials de Catalunya, E-08034 Barcelona, Spain
| | - S V Jeffers
- Institut für Astrophysik, Georg-August-Universität, D-37077 Göttingen, Germany.,Max-Planck-Institut für Sonnensystemforschung, D-37077, Göttingen, Germany
| | - J M Jenkins
- NASA Ames Research Center, Moffett Field, CA 94035, USA
| | - E L N Jensen
- Department of Physics and Astronomy, Swarthmore College, Swarthmore, PA 19081, USA
| | - A Kaminski
- Landessternwarte, Zentrum für Astronomie der Universität Heidelberg, D-69117 Heidelberg, Germany
| | - D Kasper
- Department of Astronomy and Astrophysics, University of Chicago, Chicago, IL 60637, USA
| | - D Kossakowski
- Max-Planck-Institut für Astronomie, D-69117 Heidelberg, Germany
| | - M Kürster
- Max-Planck-Institut für Astronomie, D-69117 Heidelberg, Germany
| | - M Lafarga
- Institut de Ciències de l'Espai (Consejo Superior de Investigaciones Científicas), E-08193 Bellaterra, Barcelona, Spain.,Institut d'Estudis Espacials de Catalunya, E-08034 Barcelona, Spain
| | - D W Latham
- Center for Astrophysics, Harvard & Smithsonian, Cambridge, MA 02138, USA
| | - A W Mann
- Department of Physics and Astronomy, University of North Carolina at Chapel Hill, Chapel Hill, NC 27599, USA
| | - K Molaverdikhani
- Landessternwarte, Zentrum für Astronomie der Universität Heidelberg, D-69117 Heidelberg, Germany
| | - D Montes
- Departamento de Física de la Tierra y Astrofísica and Instituto de Física de Partículas y del Cosmos, Facultad de Ciencias Físicas, Universidad Complutense de Madrid, E-28040 Madrid, Spain
| | - B T Montet
- School of Physics, University of New South Wales, Sydney NSW 2052, Australia
| | - F Murgas
- Instituto de Astrofísica de Canarias, E-38205 La Laguna, Tenerife, Spain.,Departamento de Astrofísica, Universidad de La Laguna, E-38206 La Laguna, Tenerife, Spain
| | - N Narita
- Komaba Institute for Science, University of Tokyo, Tokyo 153-8902, Japan.,Japan Science and Technology Agency, Precursory Research for Embryonic Science and Technology, Tokyo 153-8902, Japan.,Astrobiology Center, Tokyo 181-8588, Japan.,Instituto de Astrofísica de Canarias, E-38205 La Laguna, Tenerife, Spain
| | - M Oshagh
- Instituto de Astrofísica de Canarias, E-38205 La Laguna, Tenerife, Spain.,Departamento de Astrofísica, Universidad de La Laguna, E-38206 La Laguna, Tenerife, Spain
| | - V M Passegger
- Hamburger Sternwarte, Universität Hamburg, D-21029 Hamburg, Germany.,Homer L. Dodge Department of Physics and Astronomy, University of Oklahoma, Norman, OK 73019, USA
| | - D Pollacco
- Department of Physics, University of Warwick, Coventry CV4 7AL, UK
| | - S N Quinn
- Center for Astrophysics, Harvard & Smithsonian, Cambridge, MA 02138, USA
| | - A Quirrenbach
- Landessternwarte, Zentrum für Astronomie der Universität Heidelberg, D-69117 Heidelberg, Germany
| | - G R Ricker
- Department of Physics and Kavli Institute for Astrophysics and Space Research, Massachusetts Institute of Technology, Cambridge, MA 02139, USA
| | - C Rodríguez López
- Instituto de Astrofísica de Andalucía (Consejo Superior de Investigaciones Científicas), E-18008 Granada, Spain
| | - J Sanz-Forcada
- Centro de Astrobiología (Consejo Superior de Investigaciones Científicas - Instituto Nacional de Técnica Aeroespacial), E-28692 Villanueva de la Cañada, Madrid, Spain
| | - R P Schwarz
- Patashnick Voorheesville Observatory, Voorheesville, NY 12186, USA
| | - A Schweitzer
- Hamburger Sternwarte, Universität Hamburg, D-21029 Hamburg, Germany
| | - S Seager
- Department of Physics and Kavli Institute for Astrophysics and Space Research, Massachusetts Institute of Technology, Cambridge, MA 02139, USA.,Department of Earth, Atmospheric and Planetary Sciences, Massachusetts Institute of Technology, Cambridge, MA 02139, USA.,Department of Aeronautics and Astronautics, Massachusetts Institute of Technology, Cambridge, MA 02139, USA
| | - A Shporer
- Department of Physics and Kavli Institute for Astrophysics and Space Research, Massachusetts Institute of Technology, Cambridge, MA 02139, USA
| | - M Stangret
- Instituto de Astrofísica de Canarias, E-38205 La Laguna, Tenerife, Spain.,Departamento de Astrofísica, Universidad de La Laguna, E-38206 La Laguna, Tenerife, Spain
| | - J Stürmer
- Landessternwarte, Zentrum für Astronomie der Universität Heidelberg, D-69117 Heidelberg, Germany
| | - T G Tan
- Perth Exoplanet Survey Telescope, Perth WA 6010, Australia
| | - P Tenenbaum
- Department of Physics and Kavli Institute for Astrophysics and Space Research, Massachusetts Institute of Technology, Cambridge, MA 02139, USA
| | - J D Twicken
- Search for Extraterrestrial Intelligence Institute, Mountain View, CA 94043, USA.,NASA Ames Research Center, Moffett Field, CA 94035, USA
| | - R Vanderspek
- Department of Physics and Kavli Institute for Astrophysics and Space Research, Massachusetts Institute of Technology, Cambridge, MA 02139, USA
| | - J N Winn
- Department of Astrophysical Sciences, Princeton University, Princeton, NJ 08544, USA
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7
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Ramakrishnan A, Joseph SS, Reynolds ND, Poncet D, Maciel M, Nunez G, Espinoza N, Nieto M, Castillo R, Royal JM, Poole S, McVeigh A, Rollenhagen JE, Heinrichs J, Prouty MG, Simons MP, Renauld-Mongénie G, Savarino SJ. Evaluation of the immunogenicity and protective efficacy of a recombinant CS6-based ETEC vaccine in an Aotus nancymaae CS6 + ETEC challenge model. Vaccine 2020; 39:487-494. [PMID: 33357957 DOI: 10.1016/j.vaccine.2020.12.034] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/23/2020] [Revised: 11/30/2020] [Accepted: 12/09/2020] [Indexed: 10/22/2022]
Abstract
Colonization factors or Coli surface antigens (CFs or CS) are important virulence factors of Enterotoxigenic E. coli (ETEC) that mediate intestinal colonization and accordingly are targets of vaccine development efforts. CS6 is a highly prevalent CF associated with symptomatic ETEC infection both in endemic populations and amongst travelers. In this study, we used an Aotus nancymaae non-human primate ETEC challenge model with a CS6 + ETEC strain, B7A, to test the immunogenicity and protective efficacy (PE) of a recombinant CS6-based subunit vaccine. Specifically, we determined the ability of dscCssBA, the donor strand complemented recombinant stabilized fusion of the two subunits of the CS6 fimbriae, CssA and CssB, to elicit protection against CS6 + ETEC mediated diarrhea when given intradermally (ID) with the genetically attenuated double mutant heat-labile enterotoxin LT(R192G/L211A) (dmLT). ID vaccination with dscCssBA + dmLT induced strong serum antibody responses against CS6 and LT. Importantly, vaccination with dscCssBA + dmLT resulted in no observed diarrheal disease (PE = 100%, p = 0.03) following B7A challenge as compared to PBS immunized animals, with an attack rate of 62.5%. These data demonstrate the potential role that CS6 may play in ETEC infection and that recombinant dscCssBA antigen can provide protection against challenge with the homologous CS6 + ETEC strain, B7A, in the Aotus nancymaae diarrheal challenge model. Combined, these data indicate that CS6, and more specifically, a recombinant engineered derivative should be considered for further clinical development.
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Affiliation(s)
- A Ramakrishnan
- Department of International Health, Johns Hopkins Bloomberg School of Public Health, 615 N Wolfe St, Baltimore, MD 21205, USA
| | - S S Joseph
- Henry M Jackson Foundation for the Advancement of Military Medicine, 6720 Rockledge Drive, Bethesda, MD 20817, USA
| | - N D Reynolds
- Department of Bacteriology, Naval Medical Research Unit No. 6, Venezuela Ave. Block 36, Bellavista, Callao, Peru
| | - D Poncet
- Sanofi Pasteur, Research and External Innovation, 1541 Av. Marcel Mérieux, 69280 Marcy L'Etoile
| | - M Maciel
- Henry M Jackson Foundation for the Advancement of Military Medicine, 6720 Rockledge Drive, Bethesda, MD 20817, USA
| | - G Nunez
- Department of Bacteriology, Naval Medical Research Unit No. 6, Venezuela Ave. Block 36, Bellavista, Callao, Peru
| | - N Espinoza
- Department of Bacteriology, Naval Medical Research Unit No. 6, Venezuela Ave. Block 36, Bellavista, Callao, Peru
| | - M Nieto
- Department of Bacteriology, Naval Medical Research Unit No. 6, Venezuela Ave. Block 36, Bellavista, Callao, Peru
| | - R Castillo
- Department of Bacteriology, Naval Medical Research Unit No. 6, Venezuela Ave. Block 36, Bellavista, Callao, Peru
| | - J M Royal
- Department of Veterinary Services, Naval Medical Research Unit No. 6, Venezuela Ave. Block 36, Bellavista, Callao, Peru
| | - S Poole
- Henry M Jackson Foundation for the Advancement of Military Medicine, 6720 Rockledge Drive, Bethesda, MD 20817, USA
| | - A McVeigh
- Henry M Jackson Foundation for the Advancement of Military Medicine, 6720 Rockledge Drive, Bethesda, MD 20817, USA
| | - J E Rollenhagen
- Henry M Jackson Foundation for the Advancement of Military Medicine, 6720 Rockledge Drive, Bethesda, MD 20817, USA
| | | | - M G Prouty
- Enteric Diseases Department, Naval Medical Research Center, 503 Robert Grant Ave, Silver Spring, MD 20910, USA.
| | - M P Simons
- Department of Bacteriology, Naval Medical Research Unit No. 6, Venezuela Ave. Block 36, Bellavista, Callao, Peru
| | - G Renauld-Mongénie
- Sanofi Pasteur, Research and External Innovation, 1541 Av. Marcel Mérieux, 69280 Marcy L'Etoile
| | - S J Savarino
- Enteric Diseases Department, Naval Medical Research Center, 503 Robert Grant Ave, Silver Spring, MD 20910, USA
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8
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Espinoza N, Galdames J, Navea D, Farfán MJ, Salas C. Frequency of the CYP2C19*17 polymorphism in a Chilean population and its effect on voriconazole plasma concentration in immunocompromised children. Sci Rep 2019; 9:8863. [PMID: 31222084 PMCID: PMC6586657 DOI: 10.1038/s41598-019-45345-2] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/13/2019] [Accepted: 06/03/2019] [Indexed: 11/09/2022] Open
Abstract
Invasive fungal infections (IFIs) are the most frequent cause of morbidity and mortality in immunocompromised children. Voriconazole is the first-line antifungal choice in the treatment of IFIs like aspergillosis. Voriconazole pharmacokinetics vary widely among patients and voriconazole is metabolized mainly in the liver by the CYP2C19 enzyme, which is highly polymorphic. The CYP2C19*17 allele is characterized by the presence of four single nucleotide polymorphisms expressing an ultra-rapid enzyme phenotype with an accelerated voriconazole metabolism, is associated with low (sub-therapeutic) plasma levels in patients treated with the standard dose. Considering that in our center a high percentage of children have sub-therapeutic levels of voriconazole when treated with standard doses, we sought to determine the frequency of the CYP2C19*17 polymorphism (rs12248560) in a Chilean population and determine the association between voriconazole concentrations and the rs12248560 variant in immunocompromised children. First, we evaluated the frequency of the rs12248560 variant in a group of 232 healthy Chilean children, and we found that 180 children (77.6%) were non-carriers of the rs12248560 variant, 49 children (21.1%) were heterozygous carriers for rs12248560 variant and only 3 children (1.3%) were homozygous carriers for rs12248560 variant, obtaining an allelic frequency of 12% for variant in a Chilean population. To determine the association between voriconazole concentrations and the rs12248560 variant, we analyzed voriconazole plasma concentrations in a second group of 33 children treated with voriconazole. In these patients, carriers of the rs12248560 variant presented significantly lower voriconazole plasma concentrations than non-carriers (p = 0,011). In this study, we show the presence of the rs12248560 variant in a Chilean population and its accelerating effect on the pharmacokinetics of voriconazole in pediatric patients. From these data, it would be advisable to consider the variant of the patient prior to calculating the dosage of voriconazole.
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Affiliation(s)
- N Espinoza
- Laboratorio Clínico, Hospital Dr. Luis Calvo Mackenna, Santiago, Chile
| | - J Galdames
- Laboratorio Clínico, Hospital Dr. Luis Calvo Mackenna, Santiago, Chile
| | - D Navea
- Laboratorio Clínico, Hospital Dr. Luis Calvo Mackenna, Santiago, Chile
| | - M J Farfán
- Laboratorio Clínico, Hospital Dr. Luis Calvo Mackenna, Santiago, Chile. .,Departamento de Pediatría y Cirugía Infantil, Campus Oriente, Hospital Dr. Luis Calvo Mackenna, Facultad de Medicina, Universidad de Chile, Santiago, Chile.
| | - C Salas
- Laboratorio Clínico, Hospital Dr. Luis Calvo Mackenna, Santiago, Chile.
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9
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Holme F, Thompson B, Holte S, Vigoren EM, Espinoza N, Ulrich A, Griffith W, Faustman EM. The role of diet in children's exposure to organophosphate pesticides. Environ Res 2016; 147:133-40. [PMID: 26870919 PMCID: PMC4821762 DOI: 10.1016/j.envres.2016.02.003] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/23/2015] [Revised: 02/01/2016] [Accepted: 02/02/2016] [Indexed: 05/22/2023]
Abstract
BACKGROUND Studies suggest that some of the greatest exposure to OPs in children occurs in agricultural communities and various pathways of exposure including the take-home pathway, proximity to orchards, and diet have been explored. However, the importance of the dietary pathway of exposure for children in agricultural communities is not well understood. OBJECTIVES Our goal was to ascertain whether there were associations between measures of OP exposure and apple juice, fruit, and vegetable consumption across growing seasons by children of farmworkers and non-farmworkers in a rural agricultural setting. METHODS Study participants were children of farmworker (N=100) or non-farmworker (N=100) households from a longitudinal cohort study. Dietary intake of fruits and vegetables was assessed using a "5-A-Day" abbreviated food frequency questionnaire, and exposure to OPs was characterized using three urinary di-methyl and three di-ethyl metabolite measurements per child for each of three growing seasons. We used generalized estimating equations to examine data. RESULTS Consumption frequency of fruits and vegetables was similar between children of farmworkers and non-farmworkers and across seasons. There were a few significant trends between dimethyl metabolites (DMAP) and fruit, vegetable or apple juice consumption; however, no clear pattern held across seasons or occupation. One difference was found in vegetable consumption during the harvest season, where the farmworker families showed a significant relationship between vegetable consumption and dimethyl metabolite levels (p=0.002). We also found a significant difference in this relationship between farmworkers and non-farmworkers (p=0.001). No significant trends between fruit and vegetable consumption and diethyl (DEAP) metabolites were found. CONCLUSIONS Our study shows the importance of considering season and parents' occupation in understanding OP exposure routes among children in an agricultural community. The impact of these factors on dietary OP exposure requires a more thorough analysis of the availability and consumption of produce from different sources including farms using pesticides where parents worked.
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Affiliation(s)
- Francesca Holme
- Department of Global Health, University of Washington, Seattle, WA, USA
| | - Beti Thompson
- Public Health Sciences Division, Fred Hutchinson Cancer Research Center, Seattle, WA, USA.
| | - Sarah Holte
- Public Health Sciences Division, Fred Hutchinson Cancer Research Center, Seattle, WA, USA
| | - Eric M Vigoren
- Department of Environmental and Occupational Health Sciences, University of Washington, Seattle, WA, USA
| | - Noah Espinoza
- Public Health Sciences Division, Fred Hutchinson Cancer Research Center, Seattle, WA, USA
| | - Angela Ulrich
- Public Health Sciences Division, Fred Hutchinson Cancer Research Center, Seattle, WA, USA
| | - William Griffith
- Department of Environmental and Occupational Health Sciences, University of Washington, Seattle, WA, USA
| | - Elaine M Faustman
- Department of Environmental and Occupational Health Sciences, University of Washington, Seattle, WA, USA
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10
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Briant KJ, Espinoza N, Galvan A, Carosso E, Marchello N, Linde S, Copeland W, Thompson B. An innovative strategy to reach the underserved for colorectal cancer screening. J Cancer Educ 2015; 30:237-43. [PMID: 25002255 PMCID: PMC4289125 DOI: 10.1007/s13187-014-0702-2] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/08/2023]
Abstract
Hispanics are an underserved population in terms of colorectal cancer (CRC). CRC is the second leading cause of cancer incidence among Hispanic men and women, and Hispanics have lower screening rates than non-Hispanic whites. The overall purpose of this project was to provide CRC information, education, and fecal occult blood test (FOBT) kits to Hispanics in a rural three-county region of Washington State. We held a series of 47 community health fair events that incorporated the use of a giant inflatable, walk-through colon model with physical depictions of healthy tissue, polyps, and CRC. We used a pre/post-design to look for changes in familiarity with CRC before and after walking through the colon among adults aged 18 and older (n = 947). McNemar's test analysis indicated significant differences in the distribution of the percentage of correct participant responses to CRC-related questions from pre- to post-test after an educational tour of the colon. Results from logistic regression analysis identified multiple participant characteristics associated with self-reported likelihood of being screened for CRC in 3 months following post-test. We distributed 300 free FOBT kits to be analyzed at no charge to the end user and to attendees aged 50 and older who toured the inflatable colon; 226 FOBT kits (75.3%) were returned for analysis. The use of the inflatable colon was an innovative way to attract people to learn about CRC and CRC screening modalities. Furthermore, the response to our distribution of FOBT kits indicates that if given the opportunity for education and access to services, this underserved population will comply with CRC screening.
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Affiliation(s)
- Katherine Josa Briant
- Cancer Prevention Program, Fred Hutchinson Cancer Research Center, 1100 Fairview Avenue North, M3-B232, Seattle, WA, 98109, USA,
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11
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Molina Y, Beresford SAA, Espinoza N, Thompson B. Psychological distress, social withdrawal, and coping following receipt of an abnormal mammogram among different ethnicities: a mediation model. Oncol Nurs Forum 2015; 41:523-32. [PMID: 25158657 DOI: 10.1188/14.onf.523-532] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/07/2023]
Abstract
PURPOSE/OBJECTIVES To explore ethnic differences in psychological distress and social withdrawal after receiving an abnormal mammogram result and to assess if coping strategies mediate ethnic differences. DESIGN Descriptive correlational. SETTING Two urban mobile mammography units and a rural community hospital in the state of Washington. SAMPLE 41 Latina and 41 non-Latina Caucasian (NLC) women who had received an abnormal mammogram result. METHODS Women completed standard sociodemographic questions, Impact of Event Scale-Revised, the social dimension of the Psychological Consequences Questionnaire, and the Brief COPE. MAIN RESEARCH VARIABLES Ethnicity, psychological distress, social withdrawal, and coping. FINDINGS Latinas experienced greater psychological distress and social withdrawal compared to NLC counterparts. Denial as a coping strategy mediated ethnic differences in psychological distress. Religious coping mediated ethnic differences in social withdrawal. CONCLUSIONS Larger population-based studies are necessary to understand how ethnic differences in coping strategies can influence psychological outcomes. This is an important finding that warrants additional study among women who are and are not diagnosed with breast cancer following an abnormal mammogram. IMPLICATIONS FOR NURSING Nurses may be able to work with Latina patients to diminish denial coping and consequent distress. Nurses may be particularly effective, given cultural values concerning strong interpersonal relationships and respect for authority figures.
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Affiliation(s)
- Yamile Molina
- Division of Public Health Sciences, University of Washington, Seattle, WA
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Molina Y, Thompson B, Espinoza N, Ceballos R. Breast cancer interventions serving US-based Latinas: current approaches and directions. ACTA ACUST UNITED AC 2013; 9:335-48; quiz 349-50. [PMID: 23826775 DOI: 10.2217/whe.13.30] [Citation(s) in RCA: 39] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/28/2022]
Abstract
Despite efforts to reduce morbidity and mortality in breast cancer, Latinas continue to have lower 5-year survival rates than their non-Latina white counterparts. All along the cancer continuum from screening to follow-up of abnormal screening to diagnosis and treatment to survivorship, Latinas fare poorer than non-Latina whites. To close this gap, a number of research projects across the continuum have attempted to improve breast cancer outcomes. In this review, we examine studies that have been carried out in breast cancer along the cancer continuum. We focus not only on randomized, controlled trials, but also on quasi-experimental, and pre- and post-test studies that provided interventions for positive breast cancer outcomes. We examine not only the intervention outcomes, but also the type of intervention targets and type of intervention implementation. In future breast cancer research among Latinas, more emphasis should be placed on the steps in detection and treatment that occur after screening.
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Affiliation(s)
- Yamile Molina
- Fred Hutchinson Cancer Research Center, Seattle, WA 98109, USA
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Abstract
OBJECTIVE To examine barriers and facilitators of biomedical research participation among Hispanics in a rural community in Washington State. METHODS Questionnaires addressed socio-demographics, health care access, and barriers and facilitators of participation in biomedical studies. This is a descriptive analysis of the findings. RESULTS Barriers include the need to care for family members (82%), fear of having to pay for research treatments (74%), cultural beliefs (65%), lack of time (75%) and trust (71%), and the degree of hassle (73%). Facilitators include having a friend/relative with the disease being researched (80%) and monetary compensation (73%). CONCLUSION Researchers should be mindful of these facilitators and barriers when recruiting for biomedical research studies.
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Affiliation(s)
- Angela Ulrich
- Cancer Prevention Research Program, Fred Hutchinson Cancer Research Center, Seattle, WA, USA.
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Briant KJ, Carosso E, Galvan A, Moya A, Espinoza N, Islas I, Ibarra G, Linde S, Thompson B. Abstract A19: CASPER the colon: An innovative way to influence colorectal cancer screening. Cancer Epidemiol Biomarkers Prev 2012. [DOI: 10.1158/1055-9965.disp12-a19] [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: 11/16/2022] Open
Abstract
Abstract
Introduction: Hispanics are an underserved population in terms of cancer screening. In colorectal cancer (CRC) screening, for example, recent national data shows that only 7.8% of Hispanics have had a fecal occult blood test (FOBT) within the past year compared to 10.3% for non-Hispanic whites . Similarly, rates for CRC screening with endoscopy (sigmoidoscopy within past 5 years or colonoscopy within past 10 years) are 34.6% for Hispanics and 52.7% for non-Hispanic whites. Hispanics have lower CRC screening rates than any other minority group in the U.S. and therefore are more likely to be diagnosed with advanced stage CRC than their non-Hispanic white counterparts. As a result, Hispanics have poorer survival outcomes from CRC.
Description: In the Lower Yakima Valley of Washington State, a largely rural area with an emphasis on agriculture, a high proportion of the population is Hispanic (~79%). As part of our National Cancer Institute (NCI)-sponsored Community Networks Program Center (CNPC), based on a community needs assessment, we have been emphasizing CRC screening among this population over the last year. In a series of health fairs (N=45), we used a walk-through inflatable colon with physical depictions of polyps and cancers to educate the population about CRC and the importance of early detection through regular screening. Through a collaboration with a local community hospital, we were able to distribute FOBT kits to be analyzed at no charge to the end-user to attendees aged 55 and older.
Data Summary: Within less than a year, over 2000 people have walked through the colon. Over 700 have completed pre- and post-tests on knowledge about CRC as well as intention to be screened for CRC. Significant advances in knowledge were seen (from a combined knowledge score of 0.395 (low) at pre-test to 0.869 (high) at post-test). Similar results were seen for intention to be screened (64.3% likely at pre-test and 75.8% likely at post-test). To date, of the 300 FOBT kits distributed, 202 (67.3%) have been returned for analysis. Of those 7 were abnormal. Various sites in the community have offered low-cost or free colonoscopies for follow-up of the abnormal tests.
Conclusions: Health fairs serve as an effective venue to reach Hispanics in this rural area of Washington State. The use of CASPER the “colossal” colon is an innovative way to attract people to learn about CRC and CRC screening modalities. The response to our distribution of FOBT kits indicates that if given the opportunity for education and access to services, this population will comply with CRC screening.
Citation Format: Katherine J. Briant, Elizabeth Carosso, Avigail Galvan, Adriana Moya, Noah Espinoza, Ilda Islas, Genoveva Ibarra, Sandra Linde, Beti Thompson. CASPER the colon: An innovative way to influence colorectal cancer screening. [abstract]. In: Proceedings of the Fifth AACR Conference on the Science of Cancer Health Disparities in Racial/Ethnic Minorities and the Medically Underserved; 2012 Oct 27-30; San Diego, CA. Philadelphia (PA): AACR; Cancer Epidemiol Biomarkers Prev 2012;21(10 Suppl):Abstract nr A19.
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Affiliation(s)
| | | | | | - Adriana Moya
- 1Fred Hutchinson Cancer Research Center, Seattle, WA,
| | - Noah Espinoza
- 1Fred Hutchinson Cancer Research Center, Seattle, WA,
| | - Ilda Islas
- 1Fred Hutchinson Cancer Research Center, Seattle, WA,
| | | | | | - Beti Thompson
- 1Fred Hutchinson Cancer Research Center, Seattle, WA,
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Livaudais JC, Coronado GD, Espinoza N, Islas I, Ibarra G, Thompson B. Educating Hispanic women about breast cancer prevention: evaluation of a home-based promotora-led intervention. J Womens Health (Larchmt) 2010; 19:2049-56. [PMID: 20849288 PMCID: PMC2995340 DOI: 10.1089/jwh.2009.1733] [Citation(s) in RCA: 49] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/29/2022] Open
Abstract
OBJECTIVES Trained community health promoters (i.e., promotoras) conducted home-based group educational interventions (home health parties) to educate Hispanic women from the Lower Yakima Valley of Washington state about breast cancer and mammography screening. METHODS Women aged 40-79 participating in the parties completed baseline and follow-up surveys 6 months postintervention (n = 70). Changes in general cancer knowledge, breast cancer screening practices, and intentions to be screened among participants from baseline to follow-up were measured using McNemar's test for marginal homogeneity to evaluate the effectiveness of the parties. RESULTS The average age of the sample was 50.0 years (standard deviation [SD] 10.0), 84% reported less than an eighth grade education, and 54% were covered by the state's Basic Health Care Plan. Significant changes between baseline and follow-up were observed with respect to (1) believing that risk of cancer could not be reduced (41% vs. 15%, respectively, p = 0.001), (2) ever having a mammogram (83% vs. 91%, p = 0.014), (3) discussing a mammogram with a doctor (37% vs. 67%, p < 0.001), and (4) intending to have a mammogram within the next few months among women who did not report having a mammogram between baseline and follow-up (61% vs. 81%, p = 0.046). CONCLUSIONS Participation in home-based group educational interventions delivered by promotoras may be associated with improved breast cancer screening practices among Hispanic women.
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Affiliation(s)
- Jennifer C Livaudais
- Cancer Prevention Program, Fred Hutchinson Cancer Research Center, Seattle, Washington 98109, USA.
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Carvajal A, Espinoza N, Kato S, Pinto M, Sadarangani A, Monso C, Aranda E, Villalon M, Richer JK, Horwitz KB, Brosens JJ, Owen GI. Progesterone pre-treatment potentiates EGF pathway signaling in the breast cancer cell line ZR-75. Breast Cancer Res Treat 2007; 94:171-83. [PMID: 16175315 DOI: 10.1007/s10549-005-7726-6] [Citation(s) in RCA: 22] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
Abstract
Progesterone in hormone replacement therapy (HRT) preparations increases, while hysterectomy greatly reduces, the incidence of breast cancer. Cross-talk between the progesterone and growth factor signaling pathways occurs at multiple levels and this maybe a key factor in breast cancer survival and progression. To test this hypothesis, we characterized the effect of progesterone pre-treatment on the sensitization of the epidermal growth factor (EGF) signaling pathway to EGF in the breast cancer cell line ZR-75. For the first time in ZR-75 cells and in agreement with previous work using synthetic progestins, we demonstrate that pre-treatment with the natural ligand progesterone increases EGF receptor (EGFR) levels and subsequent ligand-dependent phosphorylation. Downstream we demonstrate that progesterone alone increases erk-1 + 2 phosphorylation, potentiates EGF-phosphorylated erk-1 + 2 and maintains these levels elevated for 24 h; over 20 h longer than in vehicle treated cells. Additionally, progesterone increased the levels of STAT5, another component of the EGF signaling cascade. Progesterone increased EGF mediated transcription of a c-fos promoter reporter and the nuclear localization of the native c-fos protein. Furthermore, progesterone and EGF both alone and in combination, significantly increase cell proliferation. Several results presented herein demonstrate the conformity between the action of the natural ligand progesterone with that of synthetic progestins such as MPA and R5020 and allows the postulation that the progestin/progesterone-dependent increase of EGF signaling provides a survival advantage to burgeoning cancer cells and may contribute to the breast cancer risk associated with endogenous progesterone and with progestin-containing HRT.
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Affiliation(s)
- A Carvajal
- Unidad de Reproducción y Desarrollo, Facultad de Ciencias Biológicas, Pontificia Universidad Católica de Chile, Santiago, Chile
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Michitte P, Espinoza N, De Prado R. Cross-resistance to ACCase inhibitors of Lolium multiflorum, Lolium perenne and Lolium rigidum found in Chile. Commun Agric Appl Biol Sci 2003; 68:397-402. [PMID: 15149135] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 04/29/2023]
Abstract
APPs (aryloxyphenoxypropionates) and CHDs (cyclohexanediones) are two of the most important groups used post-emergence for the control of grass weeds. They inhibit the lipid synthesis in plants by interfering with the activity of the enzyme Acetyl-coenzyme A carboxylase (ACCase), acting at a meristematic level. The resistance patterns of the biotypes characterized seem to indicate the existence of different degrees of resistance. It is thus possible to identify biotypes presenting cross-resistance only to certain APPs, to APPs and CHDs, or only to CHDs. The objective of this work was to evaluate the cross-resistance to fenoxaprop-P-ethyl, fluazifop-P-butyl, propaquizafop, cyhalofop-butyl, haloxyfop-R-methyl, tralkoxydim and tepraloxydim in three species of Lolium (L. multiflorum, L. perenne, and L. rigidum) resistant to diclofop-methyl. The assays were conducted with petri-dishes in which, over increasing doses, fifty seeds per biotype and dose were located in each dish. Two weeks later, the following parameters were evaluated: germination (%), number of roots, radicle length, plumule length, and fresh weight reduction (%). Based on plumule length and fresh weight reduction (%), diclofop-methyl resistant biotypes showed cross-resistance to fenoxaprop-P-ethyl, fluazifop-P-butyl, cyhalofop-butyl, haloxyfop-R-methyl, but not to propaquizafop, tralkoxydim and tepraloxydim. The parameters germination (%), number of roots or root length did not show a good relation between the dose and its efficacy (curves of dose response) for any of the susceptible and resistant biotypes studied.
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Affiliation(s)
- P Michitte
- Departamento de Química Agrícola, Universidad de Córdoba, España
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Devilat M, Tosso M, Espinoza N, Mellado L, Thick E, Rimasa A. [Auditory brainstem evoked potentials in hearing loss after bacterial meningitis]. Rev Chil Pediatr 1990; 61:258-61. [PMID: 2089493] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 12/30/2022]
Abstract
Fourteen children with acute bacterial meningitis, were examined for auditory brainstem evoked potentials (ABEP) during their initial hospital course (days 3 to 24 from admission). Different degrees of neurosensory hypoacusia were detected in 8 patients (57.14%). Children aged less than one year seemed to be more susceptible to auditory deficit. In 6 children a second ABEP was done after a time interval which ranged from 20 to 570 days after the first one and all them showed residual hypoacusia. The short term evolution suggests that the acute process can be prolonged for more than 1 month after hospital admittance, and the altered auditory function tends to persist over the mid term. It is concluded that despite this research's methodological limitations. ABEP seem useful for early detection of postmeningitical neurosensory hypoacusia and follow-up of these patients.
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Affiliation(s)
- M Devilat
- Unidad de Neurología Infantil, Hospital Militar
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