20 research outputs found

    Clinical Outcomes and Patient-Matched Molecular Composition of Relapsed Medulloblastoma

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    PURPOSE We sought to investigate clinical outcomes of relapsed medulloblastoma and to compare molecular features between patient-matched diagnostic and relapsed tumors. METHODS Children and infants enrolled on either SJMB03 (NCT00085202) or SJYC07 (NCT00602667) trials who experienced medulloblastoma relapse were analyzed for clinical outcomes, including anatomic and temporal patterns of relapse and postrelapse survival. A largely independent, paired molecular cohort was analyzed by DNA methylation array and next-generation sequencing. RESULTS A total of 72 of 329 (22%) SJMB03 and 52 of 79 (66%) SJYC07 patients experienced relapse with significant representation of Group 3 and wingless tumors. Although most patients exhibited some distal disease (79%), 38% of patients with sonic hedgehog tumors experienced isolated local relapse. Time to relapse and postrelapse survival varied by molecular subgroup with longer latencies for patients with Group 4 tumors. Postrelapse radiation therapy among previously nonirradiated SJYC07 patients was associated with long-term survival. Reirradiation was only temporizing for SJMB03 patients. Among 127 patients with patient-matched tumor pairs, 9 (7%) experienced subsequent nonmedulloblastoma CNS malignancies. Subgroup (96%) and subtype (80%) stabilities were largely maintained among the remainder. Rare subgroup divergence was observed from Group 4 to Group 3 tumors, which is coincident with genetic alterations involving MYC, MYCN, and FBXW7. Subgroup-specific patterns of alteration were identified for driver genes and chromosome arms. CONCLUSION Clinical behavior of relapsed medulloblastoma must be contextualized in terms of up-front therapies and molecular classifications. Group 4 tumors exhibit slower biological progression. Utility of radiation at relapse is dependent on patient age and prior treatments. Degree and patterns of molecular conservation at relapse vary by subgroup. Relapse tissue enables verification of molecular targets and identification of occult secondary malignancies

    Clinical outcomes and patient-matched molecular composition of relapsed medulloblastoma

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    © 2021 by American Society of Clinical Oncology. Creative Commons Attribution Non-Commercial No Derivatives 4.0 License: https://creativecommons.org/licenses/by-nc-nd/4.0/Purpose: We sought to investigate clinical outcomes of relapsed medulloblastoma and to compare molecular features between patient-matched diagnostic and relapsed tumors. Methods: Children and infants enrolled on either SJMB03 (NCT00085202) or SJYC07 (NCT00602667) trials who experienced medulloblastoma relapse were analyzed for clinical outcomes, including anatomic and temporal patterns of relapse and postrelapse survival. A largely independent, paired molecular cohort was analyzed by DNA methylation array and next-generation sequencing. Results: A total of 72 of 329 (22%) SJMB03 and 52 of 79 (66%) SJYC07 patients experienced relapse with significant representation of Group 3 and wingless tumors. Although most patients exhibited some distal disease (79%), 38% of patients with sonic hedgehog tumors experienced isolated local relapse. Time to relapse and postrelapse survival varied by molecular subgroup with longer latencies for patients with Group 4 tumors. Postrelapse radiation therapy among previously nonirradiated SJYC07 patients was associated with long-term survival. Reirradiation was only temporizing for SJMB03 patients. Among 127 patients with patient-matched tumor pairs, 9 (7%) experienced subsequent nonmedulloblastoma CNS malignancies. Subgroup (96%) and subtype (80%) stabilities were largely maintained among the remainder. Rare subgroup divergence was observed from Group 4 to Group 3 tumors, which is coincident with genetic alterations involving MYC, MYCN, and FBXW7. Subgroup-specific patterns of alteration were identified for driver genes and chromosome arms. Conclusion: Clinical behavior of relapsed medulloblastoma must be contextualized in terms of up-front therapies and molecular classifications. Group 4 tumors exhibit slower biological progression. Utility of radiation at relapse is dependent on patient age and prior treatments. Degree and patterns of molecular conservation at relapse vary by subgroup. Relapse tissue enables verification of molecular targets and identification of occult secondary malignancies.info:eu-repo/semantics/publishedVersio

    A global horizon scan of the future impacts of robotics and autonomous systems on urban ecosystems

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    Technology is transforming societies worldwide. A major innovation is the emergence of robotics and autonomous systems (RAS), which have the potential to revolutionize cities for both people and nature. Nonetheless, the opportunities and challenges associated with RAS for urban ecosystems have yet to be considered systematically. Here, we report the findings of an online horizon scan involving 170 expert participants from 35 countries. We conclude that RAS are likely to transform land use, transport systems and human–nature interactions. The prioritized opportunities were primarily centred on the deployment of RAS for the monitoring and management of biodiversity and ecosystems. Fewer challenges were prioritized. Those that were emphasized concerns surrounding waste from unrecovered RAS, and the quality and interpretation of RAS-collected data. Although the future impacts of RAS for urban ecosystems are difficult to predict, examining potentially important developments early is essential if we are to avoid detrimental consequences but fully realize the benefits

    Terrestrial nerve

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    Terrestrial Nerve is a thirty-five minute immersive performance installation suitable for theatre or gallery setting. Created as a dynamic and sublime media arts performance influenced by encounters with frontier zones, border crossings and psychological inhabitation. The set is charged with the representation of meteorological events imaginatively indicating an enchanted world. Inanimate material suddenly becomes a compelling character in a non sequitur surrealist narrative. Dance performers respond to the elaboration of a fantastical place, where ephemeral forces are sculpted into enigmatic identities in overt and subtle ways. At the heart of the work, anatomical, spiritual, environmental and topographical themes, imbue a liminal terrain, evocative of cosmological events induced by wind and water

    Terrestrial Nerve

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    Terrestrial Nerve is a thirtyfive minute immersive performance installation suitable for theatre or gallery setting. Created as a dynamic and sublime media arts performance influenced by encounters with frontier zones, border crossings and psychological inhabitation.\ud \ud The set is charged with the representation of meteorological events imaginatively indicating an enchanted world. Inanimate material suddenly becomes a compelling character in a non sequitur surrealist narrative. Dance performers respond to the elaboration of a fantastical place, where ephemeral forces are sculpted into enigmatic identities in overt and subtle ways. At the heart of the work, anatomical, spiritual, environmental and topographical themes, imbue a liminal terrain, evocative of cosmological events induced by wind and water

    Insect ecology and conservation in urban areas: An overview of knowledge and needs

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    International audienceUrban expansion across the globe profoundly impacts local biodiversity. The growing body of urban ecology research on animals has largely focused on mammals and birds, whereas knowledge of insect ecology and conservation in urban areas remains limited.To anchor this Special Issue (SI), we have taken a broad approach to editorial and conducted a structured literature search to set the scene. We provide here an overview of existing literature reviews on urban insect ecology and conservation, indicate where the articles included in this SI contribute to developing our understanding and point to priority areas for further investigation.Key themes in the growing literature (at individual, species, and/or community level) include the influence of habitat quality, quantity and land use type on insect diversity; the impacts of anthropogenic pollution (for instance, heat, noise, light and chemicals); habitat connectivity and changes in habitat structure and impacts of urban density on genetic diversity. Insect diversity and abundance broadly decline with urban density and loss of habitat. Beyond this, variation in responses of different taxa, or in different regions, and methodological limitations of individual studies make it challenging to identify general patterns.Insect ecology and conservation research in urban environments should focus on applying ecological theory to understand variation in diversity patterns; investigating interactions between climate change and urban contexts; identifying impacts of novel environments on insect biodiversity; addressing methodological limitations and harmonising methodological approaches; and exploring the influence of social and historical factors on urban insect biodiversity. Insect conservation must also consider research into how best to communicate the value of urban insects to urban humans
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