A Novel High-Throughput, High-Content Three-Dimensional Assay for Determination of Tumor Invasion and Dormancy

Metastasis accounts for most cancer deaths, while dormancy of tumor cells leads to unexpected cancer recurrence. These two aspects of cancer remain relatively untreatable in part because current two-dimensional (2D) methods of high-throughput drug screening cannot quantify outcomes related to these phenotypes. Three-dimensional (3D) in-vitro tumor models are a promising alternative because they better recreate the tumor microenvironment and relevant phenotypes. However, outcome measures for high-throughput screening of these systems are often limited to single measures such as metabolic activity using assays that are not standardized or optimized for 3D models. To address this gap, the objective of this work to develop an image-based assay to measure tumor cell health, proliferation, invasion, and dormancy for high-throughput drug screening. Drug dosing experiments were performed using a novel 3D pancreatic tumor metastasis model, followed by application of various dye combinations to assess viability, proliferation, metabolic activity, and invasion. We successfully demonstrated that high throughput imaging and analysis can be performed to quantify proliferation, metabolic activity, and invasion in a single multi-output assay. Proof-of-concept experiments also revealed that while gemcitabine does effectively inhibit cancer cell proliferation it does not kill all cells and may contribute to tumor dormancy. Overall, this work using a novel 3D tumor metastasis model coupled with a multi-output assay serves as a first step toward a drug screening platform that will enable researchers to better correlate in-vitro model results with clinical outcomes related to metastasis and dormancy

Professionalism among multicultural medical students in the United Arab Emirates

Background: Moral competencies and ethical practices of medical professionals are among the desired outcomes of academic training. Unfortunately, academic dishonesty and misconduct are reported from medical colleges across the world. This study investigates the level of academic dishonesty/misconduct among multicultural medical students. Objective: The aim of this study is to investigate the level of academic dishonesty/misconduct among multicultural medical students. Design: Validated and customized version of Dundee Polyprofessionalism Inventory-1 detailing lapses of professionalism in undergraduate health professions education was used to determine the perceived prevalence and self-reported lapses of academic integrity in this study. Results: This study shows that the majority (458/554, 83%) of medical students have admitted to acts of academic dishonesty mentioned in the questionnaire. Approximately 42% (231/554) of the students have given proxy for attendance and 71% of them considered this as an offense. Similarly, 12% (66/554) have copied from the record books of others, and 86% (477/554) have considered it unethical. In addition, 5% (28/554) of the students revealed forging a teacher’s signature in their record or logbooks, with 16% (91/554) of them reporting that they have seen others forge signatures. Conclusion: This is the first multi-center, multi-cultural and multi-ethnic study involving a large number of participants that addresses academic professionalism among medical students in the Middle East. Certainly, the paucity of data limits definitive conclusions about the best approach to prevent academic misconduct in the UAE medical schools. Yet, the results of our study are anticipated not only to benefit the UAE but also to find application in the Arab world, with similar medical school programs, values, culture and tradition