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Table 1. Examples of genetic variations associated with changes in patient responses to chemotherapy agents Substrates Drug-metabolizing enzyme Phase I CYP3A4 3A5 etoposide Etopophos; Bristol-Myers Squibb; Princeton, NJ, : bms ; , teniposide Vumon; Bristol-Myers Squibb ; , paclitaxel Taxol; Bristol-Myers Squibb ; , vincristine Oncovin; Eli Lilly and Company; Indianapolis, IN, : lilly ; 6-MP, thioguanine, azathioprine Imuran; Prometheus Laboratories, Inc., San Diego, CA : prometheus-labs ; irinotecan Camptosar; Pfizer Pharmaceuticals; New York, NY, : pfizer ; amonafide Quinamed; ChemGenex Pharmaceuticals Ltd, Menlo, CA, : agtbiosciences ; various anticancer agents 5-FU various anticancer drugs various anticancer drugs interindividual variability in pharmacokinetics Clinical Phenotype.
2000-2001 Business Report CSL Bioplasma maintained a strong sales revenue position in the year achieving a 0.3 million result. It is also anticipated that due to new donor initiatives being introduced by the Australian Red Cross Blood Service ARCBS ; , blood donation levels should continue to improve next year. Since CSL's acquisition of ZLB Bioplasma AG in August 2000, there has been significant focus on the successful integration of the activities of CSL Bioplasma and ZLB. As a result of synergies that emerged from the integration process, CSL Bioplasma operations have been restructured to create a sharper focus on profitable activities and to reduce costs. Some of the joint initiatives we are now working on with ZLB will bring significant opportunities for international growth.
Most studies may well have scientific integrity, but enough horror stories have been made public through the media to tarnish the image of both science and industry. These incidents also have alarmed the editors of prestigious journals such as The Lancet and the Journal of the American Medical Association JAMA ; . University of California at San Francisco UCSF ; AIDS researcher James O. Kahn, MD, was at the center of one such episode. Dr. Kahn, who serves as Associate Director of the Positive Health Program at San Francisco General Hospital, never expected to become a poster child for scientific integrity. Yet that is precisely what he became when he headed a 2, 500-person trial of Immune Response Corporation's HIV-1 Immunogen brand name Remune ; , a therapeutic vaccine that the developers hoped would enhance the body's defenses against HIV, boosting the effectiveness of antiretroviral therapy. To date, Dr. Kahn remains slightly uncomfortable in the role. In May 1999, based on the fact that Remune was seen to produce no discernible effect on either survival or viral load, a Data and Safety Monitoring Board ordered an early end to the trial see "News Briefs" on page 6 in the Winter 2002 issue of BETA ; . Tension quickly arose between the company and the investigators. Immune Response-- which sponsored and paid for the study--issued a press release giving the situation a hopeful spin, including what Dr. Kahn called "information that was not supported by the data." The press release notably failed to include commentary from Dr. Kahn and colleagues. Things went downhill from there as Immune Response battled the researchers over how viral load data should be analyzed. The company wanted to include a viral load analysis of a small subgroup of study subjects at particular time points, which appeared to show improvement. Yet the overall data showed no impact on.
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And looked at it thoughtfully while he drank his second cup of coffee. He had been a little anxious about Thea; she had not written to him for a long while. As he never got good coffee at home, the doctor always drank three cups for breakfast when he was in Denver. Oscar knew just when to bring him a second pot, fresh and smoking. "And more cream, Oscar, please. You know I like lots of cream, " the doctor murmured, as he opened the square envelope, marked in the upper right-hand cor- ner, "Everett House, Union Square." The text of the letter was as follows: -- DEAR DOCTOR ARCHIE: -- I have not written to you for a long time, but it has not been unintentional. I could not write you frankly, and so I would not write at all. I can be frank with you now, but not by letter. It is a great deal to ask, but I wonder if you could come to New York to help me out? I have got into difficulties, and I need your advice. I need your friendship. I afraid I must even ask you to lend me money, if you can without serious inconvenience. I have to go to Ger- many to.
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This estimate is based on the assumption that 100% of blood glucose taken up from the blood is oxidized, which is unlikely to be true; i.e., the percentage of Rd oxidized is probably 70 90% 15, ; but may vary across the conditions used in this study. Thus the calculation underestimates glycogen use and is best described as minimal muscle glycogen utilization. Statistical analysis. Statistical analysis was accomplished by using SAS software Cary, NC ; . A mixed-model two-way ANOVA was used to determine the treatment time interaction by using a compound symmetric covariate structure for all variables. By convention, significant differences were defined as P 0.05. When appropriate, post hoc tests of significance were performed with a Tukey honestly significant difference test. In general, data are presented as the group mean, 95% confidence interval, and exact P value, except where noted. In Tables 13, data from the HT and LT conditions are presented as the difference from the physiological condition, the 95% confidence interval of the difference, and the exact P value. Pearson product-moment correlations were used to assess the relationship between circulating testosterone, estrogen, or the testosterone-toestradiol ratio and carbohydrate oxidation, fat oxidation, glucose kinetics, and estimated muscle glycogen use.
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Children with neuroblastoma. In general, complete surgical resection of localized tumors without further treatment produces a high rate of cure 14 ; , whereas for patients with unresected or widely disseminated disease, the outlook is much less predictable. If the child with disseminated disease is older than 2 years, the probability of cure is low, regardless of the treatment used 11, 26 ; . By contrast, many infants younger than 1 year have long-term survival following limited or moderately intensive therapy, whereas others treated with the same regimens show initial drug resistance or relapse soon after achieving remission 10, 11, 28 ; . We have proposed that transformation-linked genetic abnormalities account for much of the variable prognosis of neuroblastoma in infants 10, 11 ; and, therefore, could be used to guide the choice of primary treatment. Our study represents, to our knowledge, the first prospective test of this hypothesis. The findings suggest that a model staging system based on tumor cell ploidy combined with NMYC copy number, serum LDH level, and perhaps other emerging biologic markers 29, 30 ; would very likely improve the treatment selection for infants with unresectable or metastatic neuroblastoma. Of the 130 infants with hyperdiploid tumors, only 10 have died after treatment with cyclophosphamide plus doxorubicin, administered alone or followed by cisplatin plus teniposide 3year survival estimate, 94%; 95% CI 89%-98% ; . This result prospectively confirms observations made on a smaller sample of infants in an earlier Pediatric Oncology Group study 11 ; . Although short-term therapy with cyclophosphamide plus doxorubicin induced neutropenia in 88% of patients with hyperdiploid tumors, this therapy caused few serious side effects. Four of the six patients with NMYC gene amplification in the hyperdiploid group attained complete responses, and only three are surviving free of disease. Thus, extra copies of the NMYC oncogene appear to be a poor prognostic sign in hyperdiploid cases-- one that might be used to identify the rare infant who is likely to fail on the primary regimen. In an earlier study 31 ; , high serum LDH levels were predictive of a poor outcome. In the univariate analysis performed in the present study, high serum LDH levels were suggestive of a poor outcome, but the association was not statistically significant P .073 the other variables examined, including disease stage, did not appear helpful in assessing risk status within this group. The biologic explanation for the increased chemosensitivity.
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| What is TeniposideYou thought, "Boy, this is a great idea and is going to be a lot of fun!"? Later, your thoughts ran more like, "Man, what have I gotten myself into?" That was the Safari Rally. It all began early in 1980. One of the many "have I got a deal for you" phone calls I received was from David Ash. David Ash, it turned out, was a sports promoter entrepreneur from the East Coast. He had a lot of national and international connections and knew a little about racing. Normally, that is a dangerous combination. He asked if Dodge had ever thought about running a team in the Safari Rally. Being thoroughly grounded in NASCAR, drag racing, off-road and other American motorsports, I said, "What's the Safari Rally?" He explained that it was an FIA event -- part of the International Rally Series, one of the longest, toughest rally events -- run on Easter week in Kenya and, in 1981, was scheduled at the beginning of the rainy season. Normally, the Safari is a dry-weather event dominated by the highly specialized rally cars of the Japanese and European manufacturers. However, in the rain and mud, it just might give Dodge four-wheel-drive trucks an edge. Interesting, I thought. Dodge had an extremely successful off-road program.
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Ily and the criteria for their separation greatly vary, but the broader generic concept adopted by Nannfeldt 1975b ; is preferred until molecular studies allow more accurate decisions. Most Nitschkia species are saprobic on branches or decorticated wood, and a few are hyperparasitic on fungi. Typically their small nonostiolate ascomata look like sessile apothecia when dry, and are commonly surrounded by a subiculum. The tomentum in N. campylospora is typical of the genus, but ascomatal hairs as those found in N. pilosa have not been reported. These hairs are similar to those described in some species of Lasiosphaeria Ces. & De Not. e.g., L. strigosa [Albert. & Schw. ] Sacc. and L. stuppea Ellis. & Ev., as illustrated by Seaver 1912 ; and resemble those described in Nitschkiopsis Nann. & R.Sant., a lichenicolous member of Nitschkiaceae Nannfeldt 1975b ; . The ascomatal peridium is pseudoparenchymatous, composed of two distinct layers. One striking feature is the presence of Munk pores in the cells of the outer layer. Typically one per cell, they are ca 1 m diam and surrounded by a ring-shaped thickening of the wall. They are not always obvious, and their number varies depending upon the species and developmental stage Nannfeldt 1975b ; . In N. campylospora, the conspicuous pores are typical of the genus and two per cell frequently can be observed. In N. pilosa, ascomata of different ages show pores that are simpler, appearing merely as circular thinning of the wall. One or more pores could be observed both in the common wall between adjacent cells and in the exterior wall as well. They resemble the simple pores described in Lasiobertia Sivan., a genus similar to Oxydothis Penz. & Sacc., with a rather uncertain taxonomic position in the opinion of Eriksson and Santesson 1986 ; , that was considered a member of the Lasiosphaeriaceae by Barr 1990 ; and later transferred to the Hyponectriaceae by Hyde 1993 ; . Peridial pores were considered for a long time unique to members of ``Coronophorales '', but Cannon 1995 ; clearly showed that they are more widespread among ascomycetes than previously thought. A few more examples can be added to those mentioned by Cannon 1995 ; --Lasiobertia africana Sivan., Lasiosphaeriella dennisii Sivan. Sivanesan 1975 ; , Lasiosphaeriopsis salisbur yi D. Hawksw. & Sivan. Hawksworth 1980 ; , L. stereocaulicola Lindsay ; O. E. Erikss. & R. Sant. Eriksson and Santesson 1986 ; , and Melanospora sphaerodermoides Grove Shoemaker and Smith 1970 ; . The function of Munk pores is unknown. A hypothetical explanation is that they could help in transporting moisture to the interior of the ascoma, which is diminished by the heavily pigmented and thick.
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| Supporting activities in neuroscience that cross traditional disciplinary boundaries within three areas of focus: learning, plasticity, and memory; the senses and behavior; and the neurobiology of aging and disease and thalidomide.
We thank the royal college of radiologists research fellowship and the wexham gastrointestinal trust for funding.
The subclone H69-VP carrying a homozygous mutation of the nuclear localization sequence of the topoisomerase II gene contained similar amounts of topoisomerase II activity as the parental cell line H69-WT. This became apparent when serial dilutions of whole cell extracts of log cultures were assessed for DNA decatenation Fig. 1a ; . Moreover, the two cell lines expressed similar amounts of topoisomerase II and - antigens, as demonstrated by probing Western blots of whole cell lysates with isoenzyme-specific antibodies Fig. 1b, lanes 1 and 2 ; . However, major differences between the two cell clones became apparent, when the subcellular organization of topoisomerase II isoforms was assessed. We disrupted the cells by combined hypotonic treatment and mechanical shearing, separated cytosol and nuclei by centrifugation, and analyzed the amounts of topoisomerase II and - in the cytosolic fractions and the nuclei by immunoblotting Fig. 1b, lanes 3 6 ; . The parental H69-WT cells expressed both isoforms mostly in the nucleus Fig. 1b, lane 5 ; , whereas only minor fractions 20% ; of both isoenzymes were detectable in the cytosol Fig. 1b, lane 3 ; . In contrast, the mutant cells expressed the -isoenzyme mainly 95% ; in the cytosol lane 4 ; . Only a minor fraction less than 5% ; was detectable in the nuclei lane 6 ; . In contrast, the majority of the -isoenzyme was present in the nuclei of both cell lines Fig. 1b, lane 6 ; . In agreement with previous data 16 ; , this pattern could indicate that the mutant -isoenzyme cannot gain access to the nuclei of H69-VP cells. However, it could equally well reflect an attenuation of nuclear translocation resulting in an altered equilibrium between cytosolic and nuclear pools of the enzyme, which are both active and readily exchangeable. To exclude the latter possibility, we treated the cells with the topoisomerase II poison teniposide VM-26 ; . The drug stabilizes a covalent catalytic intermediate of topoisomerase II and DNA, trapping the active fraction of topoisomerase II in covalent DNA-complexes too large to migrate into a polyacrylamide gel. Consequently, enzymes catalytically interacting with the genome will be depleted from the immunoblot. A and thalomid.
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Added to a cisplatin combination [17]. Indeed, all the randomised trials testing this failed to show any advantage. It can be argued that carboplatin was not necessary either. A recent randomised trial by our group [9], comparing MIP mitomycin, ifosfamide and cisplatin ; and CarboMIP MIP plus carboplatin ; demonstrated no difference between the two combinations. These results were not available when we designed the present study and thus we could not integrate the information into our protocol decisions. While there are published trials comparing the combination of cisplatin and second-generation drugs vinorelbine, paclitaxel and gemcitabine ; with cisplatin plus etoposide or teniposide [1821], without survival benefit, very few studies have so far been published that compare these with classical standards like MIP or MVP mitomycinvindesine or vinblastine cisplatin ; . Crino and colleagues compared the cisplatin gemcitabine regimen with MIP [22] and found no significant.
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