Immunotherapy with CD25/CD71-allodepleted T cells to improve T-cell reconstitution after matched unrelated donor hematopoietic stem cell transplant: a randomized trial

BACKGROUND AND AIMS: Delayed immune reconstitution is a major challenge after matched unrelated donor (MUD) stem cell transplant (SCT). In this randomized phase 2 multi-center trial, Adoptive Immunotherapy with CD25/71 allodepleted donor T cells to improve immunity after unrelated donor stem cell transplant (NCT01827579), the authors tested whether allodepleted donor T cells (ADTs) can safely be used to improve immune reconstitution after alemtuzumab-based MUD SCT for hematological malignancies. METHODS: Patients received standard of care or up to three escalating doses of ADTs generated through CD25+/CD71+ immunomagnetic depletion. The primary endpoint of the study was circulating CD3+ T-cell count at 4 months post-SCT. Twenty-one patients were treated, 13 in the ADT arm and eight in the control arm. RESULTS: The authors observed a trend toward improved CD3+ T-cell count at 4 months in the ADT arm versus the control arm (230/µL versus 145/µL, P = 0.18), and three ADT patients achieved normal CD3+ T-cell count at 4 months (>700/µL). The rates of significant graft-versus-host disease (GVHD) were comparable in both cohorts, with grade ≥2 acute GVHD in seven of 13 and four of eight patients and chronic GVHD in three of 13 and three of eight patients in the ADT and control arms, respectively. CONCLUSIONS: These data suggest that adoptive transfer of ADTs is safe, but that in the MUD setting the benefit in terms of T-cell reconstitution is limited. This approach may be of more use in the context of more rigorous T-cell depletion

The identification of priority policy options for UK nature conservation

1. The conservation of biodiversity depends upon both policy and regulatory frameworks. Here, we identify priority policy developments that would support conservation in the UK in the light of technological developments, changes in knowledge or environmental change. 2. A team of seven representatives from governmental organizations, 17 from non-governmental organizations and six academics provided an assessment of the priority issues. The representatives consulted widely and identified a long-list of 117 issues. 3. Following voting and discussion during a 2-day meeting, these were reduced to a final list of 25 issues and their potential policy options and research needs were identified. Many of the policies related to recent changes in approaches to conservation, such as increased interest in ecosystem services, adaptation to climate change and landscape ecology. 4. We anticipate that this paper will be useful for policy makers, nature conservation delivery agencies, the research community and conservation policy advocates. 5. Although many of the options have global significance, we suggest that other countries consider an equivalent exercise. We recommend that such an exercise be carried out in the UK at regular intervals, say every 5 years, to explore how biodiversity conservation can best be supported by linked policy development and research in a changing world. 6. Synthesis and applications. Opportunities for policy development were prioritized and for each of the top 25 we identified the current context, policy options and research questions. These largely addressed new issues relating to developing topics such as ecosystem services, landscape planning and nanotechnology. We envisage that this will largely be used by researchers wishing to make a contribution to potential policy debates

Détournement, Decolonization, and the American Indian Occupation of Alcatraz Island (1969–1971)

On November 20, 1969, eighty-nine American Indians calling themselves the “Indians of All Tribes” (IOAT) invaded Alcatraz Island. The group’s founding proclamation was addressed to “the Great White Father and All His People,” and declared “We, the Native Americans, reclaim the land known as Alcatraz Island in the name of all American Indians by right of discovery” (2). Tongue-in-cheek, the IOAT offered to purchase Alcatraz Island for “twenty-four dollars in glass beads and red clothe.” In this essay, I illustrate how the IOAT engaged in a rhetoric of détournement, or a subversive misappropriation of dominant discourse that disassembles and imitates texts until they clearly display their oppressive qualities. I argue that the Proclamation established a textual framework that calls for a skeptical and irreverent reading of dominant discourse. I conclude that strategic détournements suture dominant discourses to the moniker of colonialism and invite sympathetic audiences to engage in decolonization