48 research outputs found

    Late-Stage Metastatic Melanoma Emerges through a Diversity of Evolutionary Pathways

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    Understanding the evolutionary pathways to metastasis and resistance to immune-checkpoint inhibitors (ICI) in melanoma is critical for improving outcomes. Here, we present the most comprehensive intrapatient metastatic melanoma dataset assembled to date as part of the Posthumous Evaluation of Advanced Cancer Environment (PEACE) research autopsy program, including 222 exome sequencing, 493 panel-sequenced, 161 RNA sequencing, and 22 single-cell whole-genome sequencing samples from 14 ICI-treated patients. We observed frequent whole-genome doubling and widespread loss of heterozygosity, often involving antigen-presentation machinery. We found KIT extrachromosomal DNA may have contributed to the lack of response to KIT inhibitors of a KIT-driven melanoma. At the lesion-level, MYC amplifications were enriched in ICI nonresponders. Single-cell sequencing revealed polyclonal seeding of metastases originating from clones with different ploidy in one patient. Finally, we observed that brain metastases that diverged early in molecular evolution emerge late in disease. Overall, our study illustrates the diverse evolutionary landscape of advanced melanoma.SIGNIFICANCE: Despite treatment advances, melanoma remains a deadly disease at stage IV. Through research autopsy and dense sampling of metastases combined with extensive multiomic profiling, our study elucidates the many mechanisms that melanomas use to evade treatment and the immune system, whether through mutations, widespread copy-number alterations, or extrachromosomal DNA.See related commentary by Shain, p. 1294. This article is highlighted in the In This Issue feature, p. 1275.</p

    A Social Identity Approach to Sport Psychology: Principles, Practice, and Prospects.

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    Drawing on social identity theory and self-categorization theory, we outline an approach to sport psychology that understands groups not simply as features of sporting contexts but rather as elements that can be, and often are, incorporated into a person's sense of self and, through this, become powerful determinants of their sport-related behavior. The underpinnings of this social identity approach are outlined, and four key lessons for sport that are indicative of the analytical and practical power of the approach are presented. These suggest that social identity is the basis for sports group (1) behavior, (2) formation and development, (3) support and stress appraisal, and (4) leadership. Building on recent developments within sport science, we outline an agenda for future research by identifying a range of topics to which the social identity approach could fruitfully contribute

    Historical sketches of notable persons and events in the reigns of James I and Charles I. /

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    Includes index.Includes bibliographical footnotes.Mode of access: Internet

    Hugh Latimer /

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    Mode of access: Internet

    History of mediaeval political theory in the west /

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    v.1. Second century to the ninth, by A.J. Carlyle. - v.2. Political theory of the Roman lawyers and the canonists, from the tenth century to the thirteenth century, by A.J. Carlyle. - v.3. Political theory from the tenth century to the thirteenth, by A.J. Carlyle. - v.4. Theories of the relation of the empire and the papacy from the tenth century to the twelfth, by A.J. Carlyle. - v.5. Political theory of the thirteenth century, by R.W. Carlyle and A.J. Carlyle. - v.6. Political theory from 1300 to 1600, by A.J. Carlyle.Mode of access: Internet
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