Perioperative Chemotherapy in Gastroesophageal Cancer. A Retrospective Monocenter Evaluation of 42 Cases

Background: Perioperative chemotherapy increases the overall and progression-free survival of patients suffering from resectable adenocarcinomas of the lower esophagus, gastroesophageal junction and stomach (GEC). Comparing different chemotherapy regimens platin-based protocols with 5-fluorouracil (5-FU)/calcium folinate (CF) or oral fluoropyrimidines were favorable in terms of efficacy and side-effects. However, there is no consensus which regimen is the most efficacious. Methods: 42 consecutive patients with resectable GEC (UICC II and III) were treated with 3 pre- and postoperative chemotherapy cycles each consisting of epirubicin, oxaliplatin and capecitabine (EOX). We analyzed the overall survival, progression-free survival and toxicity retrospectively in comparison to published data. Results: The median overall survival in our cohort was 29 months and the progression-free survival was 17 months. The most frequent grade 3 and 4 toxicities during preoperative chemotherapy were diarrhea (16.7%), leukocytopenia (9.5%) and nausea (9.5%); overall 38.1% of our patients suffered from grade 3 or 4 toxicity. Surgery was carried out in 83% of our patients, 69% of those achieved R0 resection. Conclusion: Comparing our data with the results of previously published randomized trials EOX is at least non-inferior with regard to overall survival, progression-free survival and toxicity. In conclusion, EOX is an appropriate perioperative therapy for patients with resectable GEC

About females and males: continuity and discontinuity in flies

Through the decades of relentless and dedicated studies in Drosophila melanogaster, the pathway that governs sexual development has been elucidated in great detail and has become a paradigm in understanding fundamental cell-fate decisions. However, recent phylogenetic studies show that the molecular strategy used in Drosophila deviates in some important aspects from those found in other dipteran flies and suggest that the Drosophila pathway is likely to be a derivative of a simpler and more common principle. In this essay, I will discuss the evolutionary plasticity of the sex-determining pathway based on studies in the common housefly, Musca domestica. Diversification appears to primarily arise from subtle differences in the regulation of the key switch gene transformer at the top of the pathway. On the basis of these findings I propose a new idea on how the Drosophila pathway may have evolved from a more archetypal system such as in M. domestica. In essence, the arrival of an X counting mechanism mediated by Sex-lethal to compensate for X linked gene dose differences set the stage for an intimate coupling of the two pathways. Its precedent recruitment to the dosage compensation pathway allowed for an intervention in the regulation of transformer where it gradually and eventually' completely substituted for a need of transformer autoregulation

Survival trends for small intestinal cancer in England and Wales, 1971–1990: national population-based study

This population-based study examines prognostic factors and survival trends among adults (15–99 years) diagnosed with small intestinal cancer in England and Wales during 1971–1990 and followed up to 1995. During this period, the 1- and 5-year age-standardised relative survival rates for small intestinal cancers combined were 42% and 23%, respectively. Duodenal tumours, adenocarcinomas, men, patients with advanced age and the most deprived patients had the poorest prognosis. For all small bowel tumours combined, the excess risk of death fell significantly by 6–9% every 4 years over the 20-year period (adjusted excess hazard ratio (EHR) 0.91 at 1 year after diagnosis, 0.94 at 5 years). For duodenal tumours, the EHR fell by about 14% (95% CI 5–22%) every 4 years between 1979 and 1990, and a similar trend for jejunal tumours was of borderline significance. Further population-based investigations linking survival data to individual data on diagnostic methods and types of treatment are needed

Sex Determination:Why So Many Ways of Doing It?

Sexual reproduction is an ancient feature of life on earth, and the familiar X and Y chromosomes in humans and other model species have led to the impression that sex determination mechanisms are old and conserved. In fact, males and females are determined by diverse mechanisms that evolve rapidly in many taxa. Yet this diversity in primary sex-determining signals is coupled with conserved molecular pathways that trigger male or female development. Conflicting selection on different parts of the genome and on the two sexes may drive many of these transitions, but few systems with rapid turnover of sex determination mechanisms have been rigorously studied. Here we survey our current understanding of how and why sex determination evolves in animals and plants and identify important gaps in our knowledge that present exciting research opportunities to characterize the evolutionary forces and molecular pathways underlying the evolution of sex determination

Estimation of Undegradable Intake Protein in Forages Using Neutral Detergent Insoluble Nitrogen at a Single In Situ Incubation Time Point

Two experiments were conducted to evaluate the use of neutral detergent insoluble nitrogen (NDIN) at a single in situ incubation time point to estimate the undegradable intake protein (UIP) in forages as well as to compare rates of NDIN degradation. Forage samples in Exp. 1 comprised diet samples collected from range and meadow pastures monthly from May through September. In Exp. 2, clipped samples of alfalfa, birdsfoot trefoil, kura clover, and smooth bromegrass, and diet samples of the mixed legume-grass and smooth bromegrass were evaluated. Forage samples were incubated in situ for their mean retention time (MRT) estimated from IVDMD plus a 10-h passage lag to yield the total MRT (TMRT). Samples were also incubated for 0 h, 10 h, 75% TMRT, and 96 h. Undegradable intake protein was measured at 75% TMRT and TMRT, and calculated using fractional rates of degradation and passage with a 10-h passage lag. Rates of ruminal NDIN degradation were calculated using the slope of the regression of the natural logarithm of the potentially degradable NDIN remaining (96-h undegradable fraction subtracted) against time. The estimated UIP values obtained using 75% TMRT were highly correlated with those obtained using fractional rates of degradation and passage plus accounting for a 10-h passage lag in Exp. 1 (R2 = 0.95) and Exp. 2 (R2 = 0.98). Rates of NDIN degradation of range and meadow samples in Exp. 1 were slower (P \u3c 0.05) from 0 to 10 h in May and June compared with rates from 10 h to 75% TMRT, but rates of degradation were not different (P = 0.34 to 0.71) for the rest of the collection periods. Rates of degradation were not different from 0 to 10 h and 10 h to 75% TMRT in Exp. 2 for diet (P = 0.82) or clipped samples (P = 0.86). The UIP of the forages in these experiments was accurately estimated using NDIN at a single in situ incubation time point equivalent to 75% of the TMRT, and rates of protein degradation can be obtained at this time point when 0- and 96-h incubations are included. Published in Journal of Animal Science 2006. 84:651–659. Copyright © 2006 American Society of Animal Science. Used by permission

Estimation of Undegradable Intake Protein in Forages Using Neutral Detergent Insoluble Nitrogen at a Single In Situ Incubation Time Point

Two experiments were conducted to evaluate the use of neutral detergent insoluble nitrogen (NDIN) at a single in situ incubation time point to estimate the undegradable intake protein (UIP) in forages as well as to compare rates of NDIN degradation. Forage samples in Exp. 1 comprised diet samples collected from range and meadow pastures monthly from May through September. In Exp. 2, clipped samples of alfalfa, birdsfoot trefoil, kura clover, and smooth bromegrass, and diet samples of the mixed legume-grass and smooth bromegrass were evaluated. Forage samples were incubated in situ for their mean retention time (MRT) estimated from IVDMD plus a 10-h passage lag to yield the total MRT (TMRT). Samples were also incubated for 0 h, 10 h, 75% TMRT, and 96 h. Undegradable intake protein was measured at 75% TMRT and TMRT, and calculated using fractional rates of degradation and passage with a 10-h passage lag. Rates of ruminal NDIN degradation were calculated using the slope of the regression of the natural logarithm of the potentially degradable NDIN remaining (96-h undegradable fraction subtracted) against time. The estimated UIP values obtained using 75% TMRT were highly correlated with those obtained using fractional rates of degradation and passage plus accounting for a 10-h passage lag in Exp. 1 (R2 = 0.95) and Exp. 2 (R2 = 0.98). Rates of NDIN degradation of range and meadow samples in Exp. 1 were slower (P \u3c 0.05) from 0 to 10 h in May and June compared with rates from 10 h to 75% TMRT, but rates of degradation were not different (P = 0.34 to 0.71) for the rest of the collection periods. Rates of degradation were not different from 0 to 10 h and 10 h to 75% TMRT in Exp. 2 for diet (P = 0.82) or clipped samples (P = 0.86). The UIP of the forages in these experiments was accurately estimated using NDIN at a single in situ incubation time point equivalent to 75% of the TMRT, and rates of protein degradation can be obtained at this time point when 0- and 96-h incubations are included. Published in Journal of Animal Science 2006. 84:651–659. Copyright © 2006 American Society of Animal Science. Used by permission