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The molecular characteristics of recurrent/metastatic HPV-positive head and neck squamous cell carcinoma: A systematic review of the literature. Clin Otolaryngol 2024. [PMID: 38658385 DOI: 10.1111/coa.14161] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/01/2023] [Revised: 03/03/2024] [Accepted: 03/24/2024] [Indexed: 04/26/2024]
Abstract
OBJECTIVES About 17% of patients with human papillomavirus (HPV)-positive head and neck squamous cell carcinoma (HNSCC), which is mainly comprised of oropharyngeal SCC (OPSCC), will experience disease recurrence, which is often considered incurable when manifested at a metastatic and/or recurrent stage. We conducted a critical qualitative systematic review. Our objectives were to provide an overview of the molecular landscape of recurrent/metastatic HPV-positive HNSCC as well as novel molecular biomarkers. DESIGN A literature review was conducted to identify studies reporting on the molecular characteristics of recurrent/metastatic HPV-positive HNSCC, novel molecular biomarkers and treatment options. The reviews of abstracts, full articles, and revision of the included studies, followed by data extraction and quality assessment were performed by three independent assessors. All primary literature, such as retrospective, prospective, and clinical trials as well as basic research studies were considered, and the final search was conducted at the end of February 2023. The level of evidence was rated using the guidelines published by the Oxford Centre for Evidence-based Medicine and quality was assessed using the Newcastle-Ottawa Scale criteria. RESULTS AND CONCLUSIONS The literature search resulted in the identification of 1991 articles. A total of 181 full articles were screened, and 66 articles were included in this analysis. Several studies reported that recurrent/metastatic HPV-positive HNSCC had higher rates of TP53 mutation and were genomically similar to HPV-negative HNSCC. The detection of circulating tumour tissue-modified HPV DNA (ctHPVDNA) as a specific biomarker has shown promising results for monitoring treatment response and recurrence in the subset of HPV-positive HNSCC. In addition, evidence for targeted therapy in recurrent/metastatic HPV-positive HNSCC has emerged, including agents that inhibit overexpressed EGFR. Studies of combination immunotherapy are also underway. Our review outlines the latest evidence on the distinct molecular profiles of recurrent/metastatic HPV-positive HNSCC as well as the clinical potential of ctHPVDNA testing in routine practice. More controlled and longitudinal studies are needed to identify additional molecular targets and to assess the performance and benefits of novel molecular biomarkers in clinical practice.
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Molecular characterization of the evolution of premalignant lesions in the upper aerodigestive tract. Front Oncol 2024; 14:1364958. [PMID: 38706595 PMCID: PMC11067708 DOI: 10.3389/fonc.2024.1364958] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/03/2024] [Accepted: 04/03/2024] [Indexed: 05/07/2024] Open
Abstract
Introduction Early relapse and development of metastatic disease are some of the primary reasons for the poor prognosis of patients with head and neck squamous cell carcinoma (HNSCC). HNSCC is a heterogeneous disease which may develop in large premalignant fields of genetically altered cells. Yet knowing which individuals will progress and develop clinically significant cancers during their lifetimes remains one of the most important challenges of reducing HNSCC morbidity and mortality. To further elucidate the molecular mechanisms, we performed a focused analysis of the genome and immune microenvironment from multiple, matched normal squamous tissue, premalignant lesions, as well as primary and recurrent tumors from seven patients with p16-negative HNSCC. Methods We performed targeted panel Next Generation Sequencing (161 genes) to analyze somatic variants from sequentially collected, matched formalin-fixed paraffin-embedded tissue (normal, premalignant, HNSCC) from two patients. These samples plus samples from five additional patients were analyzed with the Nanostring PanCancer Immune Panel. In addition, we performed shallow whole genome sequencing (0.5x coverage on average) on samples from three of these patients. Patients were, apart from one case, primarily treated with curative-intent surgery, and received subsequent adjuvant treatment, if indicated. Results The most frequently mutated genes were TP53 and NOTCH1. Other mutated genes included NOTCH3 and CDKN2A, among others. A significant number of mutations were private to dysplasia and invasive carcinoma, respectively, however, almost 20% were shared between them. Increasing genomic instability was observed when comparing histologically normal squamous mucosa with higher levels of dysplasia. High-grade dysplasia showed similarly rearranged genomes as invasive carcinoma. Pathways related to interferon alpha and gamma response were upregulated even in moderate dysplastic lesions with increasing expression in higher grades of dysplasia and carcinoma. SPINK5, a known tumor suppressor gene in HNSCC, was already downregulated in low-grade dysplastic lesions, indicating an early deactivation in the evolution of the disease. Conclusion Genomic alterations as well as aberrant immune gene expression can be observed early in the evolution of tumors of the upper aerodigestive tract, highlighting the potential for targeting early mechanisms of disease progression.
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Functional analysis reveals driver cooperativity and novel mechanisms in endometrial carcinogenesis. EMBO Mol Med 2023; 15:e17094. [PMID: 37589076 PMCID: PMC10565641 DOI: 10.15252/emmm.202217094] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/24/2022] [Revised: 08/01/2023] [Accepted: 08/02/2023] [Indexed: 08/18/2023] Open
Abstract
High-risk endometrial cancer has poor prognosis and is increasing in incidence. However, understanding of the molecular mechanisms which drive this disease is limited. We used genetically engineered mouse models (GEMM) to determine the functional consequences of missense and loss of function mutations in Fbxw7, Pten and Tp53, which collectively occur in nearly 90% of high-risk endometrial cancers. We show that Trp53 deletion and missense mutation cause different phenotypes, with the latter a substantially stronger driver of endometrial carcinogenesis. We also show that Fbxw7 missense mutation does not cause endometrial neoplasia on its own, but potently accelerates carcinogenesis caused by Pten loss or Trp53 missense mutation. By transcriptomic analysis, we identify LEF1 signalling as upregulated in Fbxw7/FBXW7-mutant mouse and human endometrial cancers, and in human isogenic cell lines carrying FBXW7 mutation, and validate LEF1 and the additional Wnt pathway effector TCF7L2 as novel FBXW7 substrates. Our study provides new insights into the biology of high-risk endometrial cancer and suggests that targeting LEF1 may be worthy of investigation in this treatment-resistant cancer subgroup.
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Critical state generators from perturbed flatbands. CHAOS (WOODBURY, N.Y.) 2023; 33:073125. [PMID: 37433654 DOI: 10.1063/5.0153819] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/12/2023] [Accepted: 06/19/2023] [Indexed: 07/13/2023]
Abstract
One-dimensional all-bands-flat lattices are networks with all bands being flat and highly degenerate. They can always be diagonalized by a finite sequence of local unitary transformations parameterized by a set of angles θi. In a previous work, we demonstrated that quasiperiodic perturbations of a specific one-dimensional all-bands-flat lattice give rise to a critical-to-insulator transition and fractality edges separating critical from localized states. In this study, we generalize these studies and results to the entire manifold of all-bands-flat models and study the effect of the quasiperiodic perturbation on the entire manifold. For weak perturbation, we derive an effective Hamiltonian and we identify the sets of manifold parameters for which the effective model maps to extended or off diagonal Harper models and hosts critical states. For all the other parameter values, the spectrum is localized. Upon increasing the perturbation strength, the extended Harper model evolves into a system with energy dependent critical-to-insulator transitions, which we dub fractality edges. Additionally, the fractality edges are perturbation-independent, i.e., remain constant as the perturbation strength varies. The case where the effective model maps onto the off diagonal Harper model features a tunable critical-to-insulator transition at a finite disorder strength.
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684P Liquid biopsy for detection of molecular residual disease and recurrence in head and neck squamous cell carcinoma. Ann Oncol 2022. [DOI: 10.1016/j.annonc.2022.07.808] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022] Open
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Analysis of genetic variants of frequently mutated genes in HPV-negative primary head and neck squamous cell carcinoma, resection margins, local recurrences and corresponding circulating cell-free DNA. J Oral Pathol Med 2022; 51:738-746. [PMID: 35895622 DOI: 10.1111/jop.13338] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/19/2022] [Accepted: 06/22/2022] [Indexed: 12/01/2022]
Abstract
BACKGROUND Head and neck squamous cell carcinoma (HNSCC) remains a substantial burden to global health. Despite evolving therapies, 5-year survival is <50% and unlike in other cancers, reliable molecular biomarkers to guide treatment do not exist. METHODS We performed targeted panel Next Generation Sequencing to analyse somatic variants from primary and recurrent tumour tissue, corresponding resection margins and cell-free DNA from intraoperatively collected plasma samples from 8 patients with HPV-negative HNSCC. Patients were primarily treated with curative-intent surgery and received subsequent adjuvant treatment. RESULTS The most frequently mutated gene was TP53. Other mutated genes included NOTCH1, NF1 and CDKN2A among others. 20.8% of variants were shared between primary tumour and resection margin. Out of all the variants detected, 37.5% were shared between cell-free DNA and primary tumour, whereas 12.5% were commonly found in cell-free DNA, primary tumour and resection margin. Mutational profiling was able to distinguish between a locoregional recurrence and a second primary tumour by identifying a different TP53 mutation in the primary tumour compared to the recurrent tumour in addition to private FBXW7 and CTNNB1 mutations. We also identified identical TP53 and PIK3CA mutations in another primary tumour and corresponding recurrence. CONCLUSION Molecular profiling of cell-free DNA and resection margins has potential applications in clinical practice to guide future treatment decisions.
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Liquid BIOpsy for MiNimal RESidual DiSease Detection in Head and Neck Squamous Cell Carcinoma (LIONESS)-a personalised circulating tumour DNA analysis in head and neck squamous cell carcinoma. Br J Cancer 2022; 126:1186-1195. [PMID: 35132238 PMCID: PMC9023460 DOI: 10.1038/s41416-022-01716-7] [Citation(s) in RCA: 22] [Impact Index Per Article: 11.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/09/2021] [Revised: 12/11/2021] [Accepted: 01/21/2022] [Indexed: 12/24/2022] Open
Abstract
BACKGROUND Head and neck squamous cell carcinoma (HNSCC) remain a substantial burden to global health. Cell-free circulating tumour DNA (ctDNA) is an emerging biomarker but has not been studied sufficiently in HNSCC. METHODS We conducted a single-centre prospective cohort study to investigate ctDNA in patients with p16-negative HNSCC who received curative-intent primary surgical treatment. Whole-exome sequencing was performed on formalin-fixed paraffin-embedded (FFPE) tumour tissue. We utilised RaDaRTM, a highly sensitive personalised assay using deep sequencing for tumour-specific variants, to analyse serial pre- and post-operative plasma samples for evidence of minimal residual disease and recurrence. RESULTS In 17 patients analysed, personalised panels were designed to detect 34 to 52 somatic variants. Data show ctDNA detection in baseline samples taken prior to surgery in 17 of 17 patients. In post-surgery samples, ctDNA could be detected at levels as low as 0.0006% variant allele frequency. In all cases with clinical recurrence to date, ctDNA was detected prior to progression, with lead times ranging from 108 to 253 days. CONCLUSIONS This study illustrates the potential of ctDNA as a biomarker for detecting minimal residual disease and recurrence in HNSCC and demonstrates the feasibility of personalised ctDNA assays for the detection of disease prior to clinical recurrence.
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Diagnostic Accuracy Outcomes of Office-Based (Outpatient) Biopsies in patients with Laryngopharyngeal Lesions: A Systematic Review. Clin Otolaryngol 2021; 47:264-278. [PMID: 34812583 PMCID: PMC9302615 DOI: 10.1111/coa.13897] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/12/2021] [Revised: 10/26/2021] [Accepted: 10/30/2021] [Indexed: 11/30/2022]
Abstract
Background In‐office biopsies (IOB) using local anaesthetic for laryngopharyngeal tumours has become an increasingly popular approach since the advent of distal chip endoscopes. Although a wide range of studies advocate use in clinical practice, the widespread application of the procedure is hampered by concerns regarding diagnostic accuracy. Objective To assess the diagnostic accuracy of IOB performed via flexible endoscopy. In addition, to analyse modifiable factors that may affect diagnostic accuracy of IOB. Design A systematic review following the PRISMA guidelines was conducted. PubMed, EMBASE, the Cochrane Library, Web of Science and CINAHL were used in the literature database search. Quality assessment of included studies was perfomed using the Newcastle‐Ottawa Scale. Results A total of 875 studies were identified, 16 of which were included into the systematic review; 1572 successful biopsies were performed using flexible endoscopy; 1283 cases were accurately diagnosed in the outpatient setting (81.6%) and 289 samples did not provide an accurate diagnosis (18.4%). The median sensitivity of IOB was 73%, and the specificity was 96.7%. Analysis of variable factors did not show any significant differences in method of approach, size of equipment (forceps) and additional lighting system or learning curve. Conclusion IOB are a viable tool for diagnostic workup of laryngopharyngeal tumours. Clinicians should be wary of reported limitations of IOB when benign or pre‐malignant diagnoses are made. In cases suspicious of malignancy, confirmatory investigation should be conducted.
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515 Patient Satisfaction on Drainless Outpatient Parotidectomy. Br J Surg 2021. [DOI: 10.1093/bjs/znab259.550] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
Abstract
Abstract
Background
Parotidectomy is commonly performed as an inpatient procedure due to drain insertion. However recent evidence suggests that drainless outpatient parotidectomy is a safe option with comparable postoperative complication and hospital readmission rates to inpatient parotidectomies.
Aim
Patient satisfaction on outpatient parotidectomy is unclear and this study aims to report patients’ perspective and satisfaction on drainless outpatient parotidectomy.
Method
Anonymous ‘Core questionnaire for the assessment of Patient Satisfaction’ (COPS) for general Day care (COPS-D) questionnaire survey was completed by patients who underwent drainless same day parotidectomy at Ninewells Hospital, Dundee from June 2018 to October 2020. Patient satisfaction on different aspects of their outpatient parotidectomy journey (e.g., pre-admission, admission on ward, in-theatre experience, nursing care, pain control and overall satisfaction) were scored using a five-point Likert scale.
Results
A total of 31 drainless outpatient parotidectomies were performed and 28 patients completed the patient satisfaction survey. The majority of patients were highly satisfied (i.e., scored 5/5) with their preadmission visit (79.5%), admission on the ward (84.5%), operating room experience (96.4%), nursing care (83.9%), medical care (87.5%), information received (75.0%), autonomy (79.8%) and discharge and after care (61.9%). Despite preferring drainless parotidectomy, 16/28 (57.1%) patients either stayed for less than 23 hours or preferred to stay overnight stay in the hospital for non-surgical reasons.
Conclusions
Outpatient parotidectomy is well received by patients and the majority of patients preferred drainless parotidectomy over inpatient parotidectomy with drains.
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884P Personalised circulating cell-free tumour DNA analysis for detection of minimal residual disease and recurrence in patients with head and neck squamous cell carcinoma. Ann Oncol 2021. [DOI: 10.1016/j.annonc.2021.08.1294] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022] Open
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Abstract 553: Personalized circulating tumor DNA analysis in head and neck squamous cell carcinoma: Preliminary results of the Liquid BIOpsy for MiNimal RESidual DiSease Detection in Head and NeckSquamous Cell Carcinoma (LIONESS) study. Cancer Res 2021. [DOI: 10.1158/1538-7445.am2021-553] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
Abstract
Introduction
Head and neck squamous cell carcinoma (HNSCC) remains a substantial burden to global health. Despite evolving therapies, 5-year survival is less than 50% and unlike other cancers, reliable biomarkers to monitor treatment response do not exist. Cell-free circulating tumor DNA (ctDNA) is an emerging biomarker but has not yet been studied sufficiently for HNSCC. The detection of ctDNA as a marker of minimal residual disease following curative-intent treatment holds promise for identifying patients at an increased risk of relapse, who may benefit from adjuvant radio(chemo)therapy or facilitate close monitoring with repeat resection if needed.
Methods
We conducted a single-center prospective experimental evidence-generating cohort study to assess ctDNA in 30 patients with p16-negative HNSCC (stages I-IVB) who received primary surgical treatment with curative intent at our institution. Whole exome sequencing (WES) was performed on formalin-fixed paraffin-embedded tumor tissue to a median depth of 250x. For each patient, we selected up to 48 somatic variants for personalized ctDNA assay design. We used the RaDaRTM assay to analyze serial pre- and post-operative plasma samples (range 2-6) for evidence of minimal residual disease or recurrence.
Results
In a subset of patients analyzed to evaluate the performance of RaDaR, personalized panels were designed with between 34 and 48 somatic variants (median 48). Preliminary data shows 100% ctDNA detection in baseline samples taken prior to surgery at tumor fractions ranging from 312 ppm (equivalent to 0.03% AF) to 7579 ppm (equivalent to 0.76% AF). In post-surgery samples, ctDNA could be detected at levels as low as 26 ppm (equivalent to 0.0026% AF). Analysis of follow-up plasma samples will be presented along with data from the full patient cohort.
Conclusions
This study illustrates the potential of ctDNA as a biomarker in HNSCC and demonstrates the feasibility of personalized ctDNA assays for the detection of minimal residual disease post-treatment and for monitoring for early detection of relapse.
Citation Format: Susanne Flach, Karen Howarth, Sophie Hackinger, Christodoulos Pipinikas, Kirsten McLay, Giovanni Marsico, Christoph Walz, Olivier Gires, Martin Canis, Philipp Baumeister. Personalized circulating tumor DNA analysis in head and neck squamous cell carcinoma: Preliminary results of the Liquid BIOpsy for MiNimal RESidual DiSease Detection in Head and NeckSquamous Cell Carcinoma (LIONESS) study [abstract]. In: Proceedings of the American Association for Cancer Research Annual Meeting 2021; 2021 Apr 10-15 and May 17-21. Philadelphia (PA): AACR; Cancer Res 2021;81(13_Suppl):Abstract nr 553.
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P-127 Outpatient (Same-day Discharge) versus Inpatient Parotidectomy: A Systematic Review and Meta-analysis. Oral Oncol 2021. [DOI: 10.1016/s1368-8375(21)00414-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
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Tissue glue: a potential role in the management of intraoperative oesophageal perforation. BMJ Case Rep 2020; 13:13/7/e232568. [PMID: 32737024 DOI: 10.1136/bcr-2019-232568] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022] Open
Abstract
An 85-year-old man suffering from oropharyngeal dysphagia due to a pharyngeal pouch and cricopharyngeal spasm underwent endoscopic stapling of the pouch under general anaesthesia. During the procedure, an iatrogenic perforation of the oesophagus was noticed. After considering several options, 5 mL of Tisseel tissue glue was used to seal the perforation intraoperatively. The patient was started on intravenous co-amoxiclav, kept nil by mouth and fed via a nasogastric tube. After 4 days of observation mediastinal collection and any leakage was ruled out with a gastrografin contrast swallow procedure. At this point he was considered safe for oral intake.
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Fbxl17 is rearranged in breast cancer and loss of its activity leads to increased global O-GlcNAcylation. Cell Mol Life Sci 2020; 77:2605-2620. [PMID: 31560077 PMCID: PMC7320043 DOI: 10.1007/s00018-019-03306-y] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/04/2019] [Revised: 09/05/2019] [Accepted: 09/16/2019] [Indexed: 02/06/2023]
Abstract
In cancer, many genes are mutated by genome rearrangement, but our understanding of the functional consequences of this remains rudimentary. Here we report the F-box protein encoded by FBXL17 is disrupted in the region of the gene that encodes its substrate-binding leucine rich repeat (LRR) domain. Truncating Fbxl17 LRRs impaired its association with the other SCF holoenzyme subunits Skp1, Cul1 and Rbx1, and decreased ubiquitination activity. Loss of the LRRs also differentially affected Fbxl17 binding to its targets. Thus, genomic rearrangements in FBXL17 are likely to disrupt SCFFbxl17-regulated networks in cancer cells. To investigate the functional effect of these rearrangements, we performed a yeast two-hybrid screen to identify Fbxl17-interacting proteins. Among the 37 binding partners Uap1, an enzyme involved in O-GlcNAcylation of proteins was identified most frequently. We demonstrate that Fbxl17 binds to UAP1 directly and inhibits its phosphorylation, which we propose regulates UAP1 activity. Knockdown of Fbxl17 expression elevated O-GlcNAcylation in breast cancer cells, arguing for a functional role for Fbxl17 in this metabolic pathway.
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Unique case of inverted papilloma of septum with nasopharyngeal carcinoma: Is it a metachronous tumour? SAGE Open Med Case Rep 2020; 8:2050313X20922032. [PMID: 32435494 PMCID: PMC7223201 DOI: 10.1177/2050313x20922032] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/02/2019] [Accepted: 04/03/2020] [Indexed: 10/24/2022] Open
Abstract
Inverted papilloma is a rare and benign tumour. It affects the nasal cavity and paranasal sinuses, has a high rate of recurrence and is associated with malignant transformation. Only few cases of a poorly differentiated carcinoma arising from inverted papilloma have been reported, none of which in the nasopharynx. We report a case of a 37-year-old female, who presented originally in 2012 with inverted papilloma of the nasal septum which was surgically resected. Nasopharyngeal biopsy from 2014 was reported as carcinoma in situ and treated with local endoscopic resection. Three years later she presented with a solitary lesion of the right Eustachian tube opening, confirmed as invasive poorly differentiated carcinoma. Imaging revealed T4 N2b M0 malignancy with skull base and prevertebral space invasion, likely extension into right temporal lobe and malignant adenopathy. Although rare, malignant transformation of inverted papilloma in unusual places should be considered during workup and monitoring of patients.
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Outpatient (same‐day discharge) versus inpatient parotidectomy: A systematic review and meta‐analysis. Clin Otolaryngol 2020; 45:529-537. [DOI: 10.1111/coa.13519] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/15/2019] [Revised: 12/13/2019] [Accepted: 01/15/2020] [Indexed: 12/20/2022]
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Benefit of postoperative radiotherapy for early tumors with single ipsilateral lymph node metastasis. Laryngoscope 2019; 130:E530-E538. [PMID: 31837151 DOI: 10.1002/lary.28394] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/12/2019] [Revised: 08/27/2019] [Accepted: 09/27/2019] [Indexed: 02/01/2023]
Abstract
OBJECTIVES/HYPOTHESIS Indication for postoperative radiotherapy in patients with locally circumscribed tumors (pT1-pT2) and a single ipsilateral lymph node metastasis (pN1) is debatable. The aim of this study was to evaluate the oncological long-term outcome of patients with pT1-pT2 pN1 squamous cell carcinoma (SCC) of the oral cavity, the oropharynx, and the hypopharynx without extracapsular spread (ECS) after a margin-negative surgical resection, who either received or did not receive postoperative (chemo)radiotherapy. STUDY DESIGN Retrospective case series. METHODS The oncological outcome of patients with pT1-pT2 pN1 SCC without ECS was evaluated retrospectively. All patients underwent primary tumor resection that included transoral laser microsurgery and neck dissection at an academic tertiary referral center. RESULTS Of 65 identified patients treated between 1986 and 2015 (18 oral cavity, 30 oropharynx, 17 hypopharynx), 21 (32%) received postoperative radiotherapy, and 44 (68%) were treated by surgery alone. The group of patients receiving postoperative treatment showed a significantly superior 5-year disease-specific (94.4% vs. 73.2%, P = .029) and recurrence-free survival (85.2% vs. 43.2%, P = .002), as well as a higher local control rate (90.2% vs. 64.9%, P = .042). The overall survival was 71.4% vs. 62.6% (P = .53). The mean follow-up was 80.7 months. CONCLUSIONS Patients with locally circumscribed carcinomas and a single ipsilateral ECS-negative lymph node metastasis seem to benefit from postoperative radiotherapy. LEVEL OF EVIDENCE 4 Laryngoscope, 130:E530-E538, 2020.
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E-cigarettes and head and neck cancers: A systematic review of the current literature. Clin Otolaryngol 2019; 44:749-756. [PMID: 31148389 DOI: 10.1111/coa.13384] [Citation(s) in RCA: 22] [Impact Index Per Article: 4.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/26/2018] [Revised: 05/02/2019] [Accepted: 05/28/2019] [Indexed: 12/17/2022]
Abstract
BACKGROUND Cigarette smoking is a well-established risk factor for head and neck (HN) cancers. Use of electronic cigarettes (e-cigarettes) is gaining popularity, being advertised as benign alternatives to tobacco. A wide variety of potentially harmful chemical components with variable quantity have been identified in e-liquids and aerosols of e-cigarettes. However, use of e-cigarettes remains controversial due to conflicting evidence. OBJECTIVES We aimed to assess the association between e-cigarettes and HN cancers. We conducted a systematic review to evaluate the literature for evidence on carcinogenic effects of e-cigarettes in the pathogenesis of HN cancers. TYPE OF REVIEW Qualitative systematic review. SEARCH STRATEGY A PubMed/MEDLINE, Cochrane, CINAHL Plus, Trip Medical Database and Web of Science search was done for studies on e-cigarettes and HN cancer. EVALUATION METHOD Abstract review of all articles, full article revision of included studies, data extraction and quality assessment were performed by two independent assessors. RESULTS The literature search resulted in the identification of 359 articles. Eighteen articles were selected for inclusion into the systematic review. The majority were laboratory-based studies, followed by several cohort and case studies, representing low-level evidence. A few reports suggested DNA damage following exposure to e-cigarettes potentially due to increased oxidative stress. Flavoured e-liquids appear to be more harmful. There is variable evidence from clinical studies. CONCLUSIONS Our review outlines potential dangers associated with the use of e-cigarettes and their role in HN cancers. More longitudinal and controlled studies are needed to assess the possible link between e-cigarettes and HN cancers.
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Transoral laser microsurgery using high-flow nasal cannula oxygenation: Our experience of 21 cases. Clin Otolaryngol 2019; 44:871-874. [PMID: 31264374 DOI: 10.1111/coa.13398] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/20/2019] [Revised: 05/14/2019] [Accepted: 06/27/2019] [Indexed: 11/28/2022]
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Drainless parotidectomy and the same day discharge with routine use of topical haemostatic agent and Balaclava bandage. Clin Otolaryngol 2019; 44:1218-1220. [PMID: 30965391 DOI: 10.1111/coa.13339] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/22/2019] [Revised: 02/06/2019] [Accepted: 04/04/2019] [Indexed: 11/30/2022]
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21
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Almost compact moving breathers with fine-tuned discrete time quantum walks. CHAOS (WOODBURY, N.Y.) 2018; 28:123104. [PMID: 30599522 DOI: 10.1063/1.5060654] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/21/2018] [Accepted: 11/13/2018] [Indexed: 06/09/2023]
Abstract
Discrete time quantum walks are unitary maps defined on the Hilbert space of coupled two-level systems. We study the dynamics of excitations in a nonlinear discrete time quantum walk, whose fine-tuned linear counterpart has a flat band structure. The linear counterpart is, therefore, lacking transport, with exact solutions being compactly localized. A solitary entity of the nonlinear walk moving at velocity v would, therefore, not suffer from resonances with small amplitude plane waves with identical phase velocity, due to the absence of the latter. That solitary excitation would also have to be localized stronger than exponential, due to the absence of a linear dispersion. We report on the existence of a set of stationary and moving breathers with almost compact superexponential spatial tails. At the limit of the largest velocity v = 1 , the moving breather turns into a completely compact bullet.
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Oxford Surgical Collaborative for Audit and Research (OxSCAR): The UK’s Youngest Trainee-Led Collaborative. Int J Surg 2017. [DOI: 10.1016/j.ijsu.2017.08.390] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
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Abstract
The equilibrium value of an observable defines a manifold in the phase space of an ergodic and equipartitioned many-body system. A typical trajectory pierces that manifold infinitely often as time goes to infinity. We use these piercings to measure both the relaxation time of the lowest frequency eigenmode of the Fermi-Pasta-Ulam chain, as well as the fluctuations of the subsequent dynamics in equilibrium. The dynamics in equilibrium is characterized by a power-law distribution of excursion times far off equilibrium, with diverging variance. Long excursions arise from sticky dynamics close to q-breathers localized in normal mode space. Measuring the exponent allows one to predict the transition into nonergodic dynamics. We generalize our method to Klein-Gordon lattices where the sticky dynamics is due to discrete breathers localized in real space.
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24
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Blood Group Antigen Matching Influence on Gestational Outcomes (AMIGO) study. Transfusion 2017; 57:525-532. [DOI: 10.1111/trf.13977] [Citation(s) in RCA: 33] [Impact Index Per Article: 4.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/19/2016] [Revised: 09/24/2016] [Accepted: 10/12/2016] [Indexed: 11/30/2022]
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25
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Five endometrial cancer risk loci identified through genome-wide association analysis. Nat Genet 2016; 48:667-674. [PMID: 27135401 PMCID: PMC4907351 DOI: 10.1038/ng.3562] [Citation(s) in RCA: 58] [Impact Index Per Article: 7.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/26/2015] [Accepted: 04/08/2016] [Indexed: 12/18/2022]
Abstract
We conducted a meta-analysis of three endometrial cancer genome-wide association studies (GWAS) and two follow-up phases totaling 7,737 endometrial cancer cases and 37,144 controls of European ancestry. Genome-wide imputation and meta-analysis identified five new risk loci of genome-wide significance at likely regulatory regions on chromosomes 13q22.1 (rs11841589, near KLF5), 6q22.31 (rs13328298, in LOC643623 and near HEY2 and NCOA7), 8q24.21 (rs4733613, telomeric to MYC), 15q15.1 (rs937213, in EIF2AK4, near BMF) and 14q32.33 (rs2498796, in AKT1, near SIVA1). We also found a second independent 8q24.21 signal (rs17232730). Functional studies of the 13q22.1 locus showed that rs9600103 (pairwise r(2) = 0.98 with rs11841589) is located in a region of active chromatin that interacts with the KLF5 promoter region. The rs9600103[T] allele that is protective in endometrial cancer suppressed gene expression in vitro, suggesting that regulation of the expression of KLF5, a gene linked to uterine development, is implicated in tumorigenesis. These findings provide enhanced insight into the genetic and biological basis of endometrial cancer.
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26
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Quasiperiodic driving of Anderson localized waves in one dimension. Phys Rev E 2016; 93:062205. [PMID: 27415253 DOI: 10.1103/physreve.93.062205] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/08/2016] [Indexed: 06/06/2023]
Abstract
We consider a quantum particle in a one-dimensional disordered lattice with Anderson localization in the presence of multifrequency perturbations of the onsite energies. Using the Floquet representation, we transform the eigenvalue problem into a Wannier-Stark basis. Each frequency component contributes either to a single channel or a multichannel connectivity along the lattice, depending on the control parameters. The single-channel regime is essentially equivalent to the undriven case. The multichannel driving increases substantially the localization length for slow driving, showing two different scaling regimes of weak and strong driving, yet the localization length stays finite for a finite number of frequency components.
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27
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Frequency combs with weakly lasing exciton-polariton condensates. PHYSICAL REVIEW LETTERS 2015; 114:193901. [PMID: 26024173 DOI: 10.1103/physrevlett.114.193901] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/10/2015] [Indexed: 06/04/2023]
Abstract
We predict the spontaneous modulated emission from a pair of exciton-polariton condensates due to coherent (Josephson) and dissipative coupling. We show that strong polariton-polariton interaction generates complex dynamics in the weak-lasing domain way beyond Hopf bifurcations. As a result, the exciton-polariton condensates exhibit self-induced oscillations and emit an equidistant frequency comb light spectrum. A plethora of possible emission spectra with asymmetric peak distributions appears due to spontaneously broken time-reversal symmetry. The lasing dynamics is affected by the shot noise arising from the influx of polaritons. That results in a complex inhomogeneous line broadening.
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28
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Nonequilibrium chaos of disordered nonlinear waves. PHYSICAL REVIEW LETTERS 2013; 111:064101. [PMID: 23971575 DOI: 10.1103/physrevlett.111.064101] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/29/2013] [Indexed: 06/02/2023]
Abstract
Do nonlinear waves destroy Anderson localization? Computational and experimental studies yield subdiffusive nonequilibrium wave packet spreading. Chaotic dynamics and phase decoherence assumptions are used for explaining the data. We perform a quantitative analysis of the nonequilibrium chaos assumption and compute the time dependence of main chaos indicators--Lyapunov exponents and deviation vector distributions. We find a slowing down of chaotic dynamics, which does not cross over into regular dynamics up to the largest observed time scales, still being fast enough to allow for a thermalization of the spreading wave packet. Strongly localized chaotic spots meander through the system as time evolves. Our findings confirm for the first time that nonequilibrium chaos and phase decoherence persist, fueling the prediction of a complete delocalization.
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29
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Anderson localization or nonlinear waves: a matter of probability. PHYSICAL REVIEW LETTERS 2011; 107:240602. [PMID: 22242983 DOI: 10.1103/physrevlett.107.240602] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/03/2011] [Indexed: 05/31/2023]
Abstract
In linear disordered systems Anderson localization makes any wave packet stay localized for all times. Its fate in nonlinear disordered systems (localization versus propagation) is under intense theoretical debate and experimental study. We resolve this dispute showing that, unlike in the common hypotheses, the answer is probabilistic rather than exclusive. At any small but finite nonlinearity (energy) value there is a finite probability for Anderson localization to break up and propagating nonlinear waves to take over. It increases with nonlinearity (energy) and reaches unity at a certain threshold, determined by the initial wave packet size. Moreover, the spreading probability stays finite also in the limit of infinite packet size at fixed total energy. These results generalize to higher dimensions as well.
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30
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The two-stage dynamics in the Fermi-Pasta-Ulam problem: from regular to diffusive behavior. CHAOS (WOODBURY, N.Y.) 2011; 21:043127. [PMID: 22225364 DOI: 10.1063/1.3658620] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/31/2023]
Abstract
A numerical and analytical study of the relaxation to equilibrium of both the Fermi-Pasta-Ulam (FPU) α-model and the integrable Toda model, when the fundamental mode is initially excited, is reported. We show that the dynamics of both systems is almost identical on the short term, when the energies of the initially unexcited modes grow in geometric progression with time, through a secular avalanche process. At the end of this first stage of the dynamics, the time-averaged modal energy spectrum of the Toda system stabilizes to its final profile, well described, at low energy, by the spectrum of a q-breather. The Toda equilibrium state is clearly shown to describe well the long-living quasi-state of the FPU system. On the long term, the modal energy spectrum of the FPU system slowly detaches from the Toda one by a diffusive-like rising of the tail modes, and eventually reaches the equilibrium flat shape. We find a simple law describing the growth of tail modes, which enables us to estimate the time-scale to equipartition of the FPU system, even when, at small energies, it becomes unobservable.
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31
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Nonlinear waves in disordered chains: probing the limits of chaos and spreading. PHYSICAL REVIEW. E, STATISTICAL, NONLINEAR, AND SOFT MATTER PHYSICS 2011; 84:016205. [PMID: 21867271 DOI: 10.1103/physreve.84.016205] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/19/2011] [Indexed: 05/31/2023]
Abstract
We probe the limits of nonlinear wave spreading in disordered chains which are known to localize linear waves. We particularly extend recent studies on the regimes of strong and weak chaos during subdiffusive spreading of wave packets [Europhys. Lett. 91, 30001 (2010)] and consider strong disorder, which favors Anderson localization. We probe the limit of infinite disorder strength and study Fröhlich-Spencer-Wayne models. We find that the assumption of chaotic wave packet dynamics and its impact on spreading is in accord with all studied cases. Spreading appears to be asymptotic, without any observable slowing down. We also consider chains with spatially inhomogeneous nonlinearity, which give further support to our findings and conclusions.
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32
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Statistics of wave interactions in nonlinear disordered systems. PHYSICAL REVIEW. E, STATISTICAL, NONLINEAR, AND SOFT MATTER PHYSICS 2010; 82:046221. [PMID: 21230379 DOI: 10.1103/physreve.82.046221] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/26/2010] [Indexed: 05/30/2023]
Abstract
We study the properties of mode-mode interactions for waves propagating in nonlinear disordered one-dimensional systems. We focus on (i) the localization volume of a mode which defines the number of interacting partner modes, (ii) the overlap integrals which determine the interaction strength, (iii) the average spacing between eigenvalues of interacting modes, which sets a scale for the nonlinearity strength, and (iv) resonance probabilities of interacting modes. Our results are discussed in the light of recent studies on spreading of wave packets in disordered nonlinear systems and are related to the quantum many-body problem in a random chain.
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33
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Spreading of wave packets in disordered systems with tunable nonlinearity. PHYSICAL REVIEW. E, STATISTICAL, NONLINEAR, AND SOFT MATTER PHYSICS 2010; 82:016208. [PMID: 20866708 DOI: 10.1103/physreve.82.016208] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/28/2010] [Indexed: 05/29/2023]
Abstract
We study the spreading of single-site excitations in one-dimensional disordered Klein-Gordon chains with tunable nonlinearity |u(l)|(σ)u(l) for different values of σ. We perform extensive numerical simulations where wave packets are evolved (a) without and (b) with dephasing in normal-mode space. Subdiffusive spreading is observed with the second moment of wave packets growing as t(α). The dependence of the numerically computed exponent α on σ is in very good agreement with our theoretical predictions both for the evolution of the wave packet with and without dephasing (for σ≥2 in the latter case). We discuss evidence of the existence of a regime of strong chaos and observe destruction of Anderson localization in the packet tails for small values of σ.
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35
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Comment on "Coherent ratchets in driven Bose-Einstein condensates". PHYSICAL REVIEW LETTERS 2010; 104:228901-228902. [PMID: 20867211 DOI: 10.1103/physrevlett.104.228901] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/18/2009] [Indexed: 05/29/2023]
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36
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Delocalization of wave packets in disordered nonlinear chains. PHYSICAL REVIEW. E, STATISTICAL, NONLINEAR, AND SOFT MATTER PHYSICS 2009; 79:056211. [PMID: 19518540 DOI: 10.1103/physreve.79.056211] [Citation(s) in RCA: 16] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/27/2009] [Indexed: 05/27/2023]
Abstract
We consider the spatiotemporal evolution of a wave packet in disordered nonlinear Schrödinger and anharmonic oscillator chains. In the absence of nonlinearity all eigenstates are spatially localized with an upper bound on the localization length (Anderson localization). Nonlinear terms in the equations of motion destroy the Anderson localization due to nonintegrability and deterministic chaos. At least a finite part of an initially localized wave packet will subdiffusively spread without limits. We analyze the details of this spreading process. We compare the evolution of single-site, single-mode, and general finite-size excitations and study the statistics of detrapping times. We investigate the properties of mode-mode resonances, which are responsible for the incoherent delocalization process.
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37
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Universal spreading of wave packets in disordered nonlinear systems. PHYSICAL REVIEW LETTERS 2009; 102:024101. [PMID: 19257277 DOI: 10.1103/physrevlett.102.024101] [Citation(s) in RCA: 25] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/30/2008] [Indexed: 05/27/2023]
Abstract
In the absence of nonlinearity all eigenmodes of a chain with disorder are spatially localized (Anderson localization). The width of the eigenvalue spectrum and the average eigenvalue spacing inside the localization volume set two frequency scales. An initially localized wave packet spreads in the presence of nonlinearity. Nonlinearity introduces frequency shifts, which define three different evolution outcomes: (i) localization as a transient, with subsequent subdiffusion; (ii) the absence of the transient and immediate subdiffusion; (iii) self-trapping of a part of the packet and subdiffusion of the remainder. The subdiffusive spreading is due to a finite number of packet modes being resonant. This number does not change on average and depends only on the disorder strength. Spreading is due to corresponding weak chaos inside the packet, which slowly heats the cold exterior. The second moment of the packet grows as t;{alpha}. We find alpha=1/3.
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38
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Vortex and translational currents due to broken time-space symmetries. PHYSICAL REVIEW LETTERS 2008; 100:224102. [PMID: 18643422 DOI: 10.1103/physrevlett.100.224102] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/30/2008] [Indexed: 05/26/2023]
Abstract
We consider the classical dynamics of a particle in a (d=2,3)-dimensional space-periodic potential under the influence of time-periodic external fields with zero mean. We perform a general time-space symmetry analysis and identify conditions, when the particle will generate a nonzero averaged translational and vortex currents. We perform computational studies of the equations of motion and of corresponding Fokker-Planck equations, which confirm the symmetry predictions. We address the experimentally important issue of current control. Cold atoms in optical potentials and magnetic traps are among possible candidates to observe these findings experimentally.
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39
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Absence of wave packet diffusion in disordered nonlinear systems. PHYSICAL REVIEW LETTERS 2008; 100:084103. [PMID: 18352625 DOI: 10.1103/physrevlett.100.084103] [Citation(s) in RCA: 13] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/11/2007] [Indexed: 05/26/2023]
Abstract
We study the spreading of an initially localized wave packet in two nonlinear chains (discrete nonlinear Schrödinger and quartic Klein-Gordon) with disorder. Previous studies suggest that there are many initial conditions such that the second moment of the norm and energy density distributions diverges with time. We find that the participation number of a wave packet does not diverge simultaneously. We prove this result analytically for norm-conserving models and strong enough nonlinearity. After long times we find a distribution of nondecaying yet interacting normal modes. The Fourier spectrum shows quasiperiodic dynamics. Assuming this result holds for any initially localized wave packet, we rule out the possibility of slow energy diffusion. The dynamical state could approach a quasiperiodic solution (Kolmogorov-Arnold-Moser torus) in the long time limit.
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40
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q-Breathers in finite two- and three-dimensional nonlinear acoustic lattices. PHYSICAL REVIEW LETTERS 2006; 97:025505. [PMID: 16907458 DOI: 10.1103/physrevlett.97.025505] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/28/2006] [Indexed: 05/11/2023]
Abstract
In their celebrated experiment, Fermi, Pasta, and Ulam (FPU) [Los Alamos Report No. LA-1940, 1955] observed that in simple one-dimensional nonlinear atomic chains the energy must not always be equally shared among the modes. Recently, it was shown that exact and stable time-periodic orbits, coined q-breathers (QBs), localize the mode energy in normal mode space in an exponential way, and account for many aspects of the FPU problem. Here we take the problem into more physically important cases of two- and three-dimensional acoustic lattices to find existence and principally different features of QBs. By use of perturbation theory and numerical calculations we obtain that the localization and stability of QBs are enhanced with increasing system size in higher lattice dimensions opposite to their one-dimensional analogues.
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41
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Energy flow of moving dissipative topological solitons. CHAOS (WOODBURY, N.Y.) 2006; 16:023125. [PMID: 16822028 DOI: 10.1063/1.2207307] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/10/2023]
Abstract
We study the energy flow due to the motion of topological solitons in nonlinear extended systems in the presence of damping and driving. The total field momentum contribution to the energy flux, which reduces the soliton motion to that of a point particle, is insufficient. We identify an additional exchange energy flux channel mediated by the spatial and temporal inhomogeneity of the system state. In the well-known case of a dc external force the corresponding exchange current is shown to be small but nonzero. For the case of ac driving forces, which lead to a soliton ratchet, the exchange energy flux mediates the complete energy flow of the system. We also consider the case of combination of ac and dc external forces, as well as spatial discretization effects.
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42
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q-breathers in Fermi-Pasta-Ulam chains: existence, localization, and stability. PHYSICAL REVIEW. E, STATISTICAL, NONLINEAR, AND SOFT MATTER PHYSICS 2006; 73:036618. [PMID: 16605688 DOI: 10.1103/physreve.73.036618] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/30/2005] [Indexed: 05/08/2023]
Abstract
The Fermi-Pasta-Ulam (FPU) problem consists of the nonequipartition of energy among normal modes of a weakly anharmonic atomic chain model. In the harmonic limit, each normal mode corresponds to a periodic orbit in phase space and is characterized by its wave number q. We continue normal modes from the harmonic limit into the FPU parameter regime and obtain persistence of these periodic orbits, termed here q-breathers (QB). They are characterized by time periodicity, exponential localization in the q-space of normal modes, and linear stability up to a size-dependent threshold amplitude. Trajectories computed in the original FPU setting are perturbations around these exact QB solutions. The QB concept is applicable to other nonlinear lattices as well.
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43
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Compactlike discrete breathers in systems with nonlinear and nonlocal dispersive terms. PHYSICAL REVIEW. E, STATISTICAL, NONLINEAR, AND SOFT MATTER PHYSICS 2005; 72:056607. [PMID: 16383771 DOI: 10.1103/physreve.72.056607] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/28/2005] [Revised: 07/25/2005] [Indexed: 05/05/2023]
Abstract
Discrete breathers with purely anharmonic short-range interaction potentials localize superexponentially becoming compactlike. We analyze their spatial localization properties and their dynamical stability. Several branches of solutions are identified. One of them connects to the well-known Page and Sievers-Takeno lattice modes, another one connects with the compacton solutions of Rosenau. The absence of linear dispersion allows for extremely long-lived time-quasiperiodic localized excitations. Adding long-range anharmonic interactions leads to an extreme case of competition between length scales defining the spatial breather localization. We show that short- and long-range interaction terms competition results in the appearance of several characteristic crossover lengths and essentially breaks the concept of compactness of the corresponding discrete breathers.
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44
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q-Breathers and the Fermi-Pasta-Ulam problem. PHYSICAL REVIEW LETTERS 2005; 95:064102. [PMID: 16090957 DOI: 10.1103/physrevlett.95.064102] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/15/2005] [Indexed: 05/03/2023]
Abstract
The Fermi-Pasta-Ulam (FPU) paradox consists of the non-equipartition of energy among normal modes of a weakly anharmonic atomic chain model. In the harmonic limit each normal mode corresponds to a periodic orbit in phase space and is characterized by its wave number q. We continue normal modes from the harmonic limit into the FPU parameter regime and obtain persistence of these periodic orbits, termed here q-breathers (QB). They are characterized by time periodicity, exponential localization in the q-space of normal modes and linear stability up to a size-dependent threshold amplitude. Trajectories computed in the original FPU setting are perturbations around these exact QB solutions. The QB concept is applicable to other nonlinear lattices as well.
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45
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Resonant light scattering by optical solitons. PHYSICAL REVIEW LETTERS 2005; 95:023901. [PMID: 16090682 DOI: 10.1103/physrevlett.95.023901] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/10/2004] [Indexed: 05/03/2023]
Abstract
We consider the process of light scattering by optical solitons in a planar waveguide with homogeneous and inhomogeneous refractive index cores. We observe resonant reflection (Fano resonances) as well as resonant transmission of light by optical solitons. All resonant effects can be controlled in experiment by changing the soliton intensity.
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46
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Breather-induced anomalous charge diffusion. PHYSICAL REVIEW. E, STATISTICAL, NONLINEAR, AND SOFT MATTER PHYSICS 2005; 71:061901. [PMID: 16089759 DOI: 10.1103/physreve.71.061901] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/08/2004] [Indexed: 05/03/2023]
Abstract
We present results on the diffusive motion of a charge interacting with the nonlinear dynamics of a thermalized underlying lattice. Signatures of anomalous diffusive properties are found at relatively high temperatures, where highly nonlinear excitations are present. A sublinear diffusion and a plateau appear before the standard long-time diffusion during the evolution of the mean-squared displacement and a significant degree of heterogeneity is exhibited among individual trajectories. Both properties are connected with the existence of vibrational hot spots (breather or multibreather excitations). Transport parameters of the charge are strongly affected in this case, as can be exemplified by the significant suppression of the diffusion coefficient D. The variation of D with temperature follows a stretched exponential law. The results are contrasted with those of the linearized case, in the absence of breathers. Such anomalous diffusion of a charge coupled to a thermalized lattice may be relevant in low-dimensional soft materials with strong anharmonicities, such as biomolecules, conducting polymers, etc.
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47
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Abstract
We study the properties of spatially localized and time-periodic excitations--discrete breathers--in Fermi-Pasta-Ulam (FPU) chains. We provide a detailed analysis of their spatial profiles and stability properties. We especially demonstrate that the Page mode is linearly stable for symmetric FPU potentials. A resonant interaction between a localized and delocalized perturbations causes weak but finite strength instabilities for asymmetric FPU potentials. This interaction induces Fano resonances for plane waves scattered by the breather. Finally we analyze the interplay between energy thresholds for breathers in the presence of strongly asymmetric FPU potentials and the corresponding profiles of the low-frequency limit of breather families.
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Abstract
We study the scattering of solitons in the nonlinear Schrödinger equation on local inhomogeneities which may give rise to resonant transmission and reflection. In both cases, we derive resonance conditions for the soliton's velocity. The analytical predictions are tested numerically in regimes characterized by various time scales. Special attention is paid to intermode interactions and their effect on coherence, decoherence, and dephasing of plane-wave modes which build up the soliton.
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49
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Abstract
We present a theoretical study of linear wave scattering in one-dimensional nonlinear lattices by intrinsic spatially localized dynamic excitations or discrete breathers. These states appear in various nonlinear systems and present a time-periodic localized scattering potential for plane waves. We consider the case of elastic one-channel scattering, when the frequencies of incoming and transmitted waves coincide, but the breather provides with additional spatially localized ac channels whose presence may lead to various interference patterns. The dependence of the transmission coefficient on the wave number q and the breather frequency Omega(b) is studied for different types of breathers: acoustic and optical breathers, and rotobreathers. We identify several typical scattering setups where the internal time dependence of the breather is of crucial importance for the observed transmission properties.
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50
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Abstract
A theoretical study of linear wave scattering by time-periodic spatially localized excitations (discrete breathers) is presented. A peculiar effect of total reflection occurs due to a Fano resonance when a localized state originating from closed channels resonates with the open channel. For the discrete nonlinear Schrödinger chain, we give an analytical result for the frequency dependence of the transmission coefficient, including the possibility of resonant reflection. We extend the analysis to chains of weakly coupled anharmonic oscillators and discuss the relevance of the effect for electronic transport spectroscopy of mesoscopic systems.
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