Neoadjuvant anti-PD-1 immunotherapy promotes a survival benefit with intratumoral and systemic immune responses in recurrent glioblastoma.

Glioblastoma is the most common primary malignant brain tumor in adults and is associated with poor survival. The Ivy Foundation Early Phase Clinical Trials Consortium conducted a randomized, multi-institution clinical trial to evaluate immune responses and survival following neoadjuvant and/or adjuvant therapy with pembrolizumab in 35 patients with recurrent, surgically resectable glioblastoma. Patients who were randomized to receive neoadjuvant pembrolizumab, with continued adjuvant therapy following surgery, had significantly extended overall survival compared to patients that were randomized to receive adjuvant, post-surgical programmed cell death protein 1 (PD-1) blockade alone. Neoadjuvant PD-1 blockade was associated with upregulation of T cell- and interferon-γ-related gene expression, but downregulation of cell-cycle-related gene expression within the tumor, which was not seen in patients that received adjuvant therapy alone. Focal induction of programmed death-ligand 1 in the tumor microenvironment, enhanced clonal expansion of T cells, decreased PD-1 expression on peripheral blood T cells and a decreasing monocytic population was observed more frequently in the neoadjuvant group than in patients treated only in the adjuvant setting. These findings suggest that the neoadjuvant administration of PD-1 blockade enhances both the local and systemic antitumor immune response and may represent a more efficacious approach to the treatment of this uniformly lethal brain tumor

Impact of a training project for primary health-care providers (FOCO project) in the HIV screening and HIV late diagnosis

Poster [P043] OBJECTIVE Reducing HIV late diagnosis remains an epidemiological challenge . The objective of this project was to promote early HIV diagnosis through the training of primary health - care providers (PHCP) . METHODS HIV specialists conducted training sessions in 108 primary care centers (PCC) from six Spanish regions during 2016 and 2017 , and with 1804 PHCP involved . The intervention was evaluated using a pre - experimental design collecting the dependent variables both in the six months before and after the intervention . Number of requests for HIV tests from the PCC trained and clinical data of new HIV diagnosed patients were collected . Parametric and non - parametric tests were used to assess differences between pre and post - intervention data . RESULTS 3. Differences in clinical variables in pre and post intervention period

Clonación de genotipos adultos y juveniles de Quercus suber y Q. ilex tolerantes a Phytophthora cinnamomi

El síndrome de “la seca” está generando desde hace décadas la pérdida de masas de Quercus mediterráneos provocando grandes pérdidas económicas y ecológicas. Por ello, en 2019 el subgrupo de “Mejora Genética y Fisiología” del Grupo de Trabajo sobre Seca del Ministerio para la Transición Ecológica y el Reto Demográfico impulsó el Programa Nacional para la Conservación y Mejora de Recursos Genéticos de Encina y Alcornoque. Este programa contempla la clonación y la conservación de material tolerante a Phytophthora cinnamomi y/o sequía, seleccionado en anteriores proyectos de investigación. Aplicando técnicas de cultivo in vitro, embriogénesis somática y proliferación de yemas axilares, se pretende clonar una selección de individuos dentro de las progenies más tolerantes, y los mejores genotipos adultos evaluados a través de esas progenies. Las hojas son el explanto elegido para inducir embriones somáticos en material juvenil y adulto de alcornoque; en material de encina adulto el explanto inicial es el tegumento del embrión inmaduro. Las líneas embriogénicas generadas han sido conservadas a largo plazo mediante su crioconservación (almacenamiento en nitrógeno líquido). La proliferación de yemas axilares se emplea para clonar genotipos juveniles de ambas especies. La clonación del material permitirá disponer de copias suficientes que permitan la evaluación de su tolerancia en ensayos de campo

MEGARA, the new intermediate-resolution optical IFU and MOS for GTC: getting ready for the telescope

MEGARA (Multi-Espectrógrafo en GTC de Alta Resolución para Astronomía) is an optical Integral-Field Unit (IFU) and Multi-Object Spectrograph (MOS) designed for the GTC 10.4m telescope in La Palma that is being built by a Consortium led by UCM (Spain) that also includes INAOE (Mexico), IAA-CSIC (Spain), and UPM (Spain). The instrument is currently finishing AIV and will be sent to GTC on November 2016 for its on-sky commissioning on April 2017. The MEGARA IFU fiber bundle (LCB) covers 12.5x11.3 arcsec2 with a spaxel size of 0.62 arcsec while the MEGARA MOS mode allows observing up to 92 objects in a region of 3.5x3.5 arcmin2 around the IFU. The IFU and MOS modes of MEGARA will provide identical intermediate-to-high spectral resolutions (RFWHM~6,000, 12,000 and 18,700, respectively for the low-, mid- and high-resolution Volume Phase Holographic gratings) in the range 3700-9800ÅÅ. An x-y mechanism placed at the pseudo-slit position allows (1) exchanging between the two observing modes and (2) focusing the spectrograph for each VPH setup. The spectrograph is a collimator-camera system that has a total of 11 VPHs simultaneously available (out of the 18 VPHs designed and being built) that are placed in the pupil by means of a wheel and an insertion mechanism. The custom-made cryostat hosts a 4kx4k 15-μm CCD. The unique characteristics of MEGARA in terms of throughput and versatility and the unsurpassed collecting are of GTC make of this instrument the most efficient tool to date to analyze astrophysical objects at intermediate spectral resolutions. In these proceedings we present a summary of the instrument characteristics and the results from the AIV phase. All subsystems have been successfully integrated and the system-level AIV phase is progressing as expected

Programa nacional de mejora y conservación de los recursos genéticos de la encina y el alcornoque frente a la seca

Como respuesta a la gravedad de los procesos de decaimiento y mortalidad de la encina y el alcornoque, que amenazan la sostenibilidad de sus masas en la Península Ibérica, en el año 2019 se constituyó el subgrupo de trabajo “Mejora genética y fisiológica”, que forma parte del grupo de trabajo “Seca”, coordinado por el MITECO. Este subgrupo incluye a científicos y técnicos de varias administraciones y numerosos centros de investigación y Universidades y una empresa pública, expertos en mejora genética, fitopatología, ecología, propagación vegetativa, bioquímica y biología molecular. El programa tiene como objetivo la selección de genotipos de Quercus ilex y Q. suber tolerantes al estrés hídrico y a la podredumbre radical provocada por Phytophthora cinnamomi. A partir del estudio de 18 poblaciones y de 194 árboles “escape” seleccionados en focos de seca, se espera seleccionar un material apto para restaurar zonas afectadas por problemas de decaimiento. Se presenta una síntesis de las primeras actividades de caracterización e identificación de árboles escape en focos de seca, ensayos de invernadero para el estudio de la variabilidad poblacional en cuanto a vigor y tolerancia al estrés, recogida de muestras vegetales y edáficas para el análisis genético, molecular y de microbioma, identificación de marcadores moleculares asociados a resiliencia y micropropagación del material de mayor valor potencial