Triggering necroptosis in cisplatin and IAP antagonist-resistant ovarian carcinoma.

Ovarian cancer patients are typically treated with carboplatin and paclitaxel, but suffer a high rate of relapse with recalcitrant disease. This challenge has fostered the development of novel approaches to treatment, including antagonists of the 'inhibitor of apoptosis proteins' (IAPs), also called SMAC mimetics, as apoptosis-inducing agents whose action is opposed by caspase inhibitors. Surprisingly, IAP antagonist plus caspase inhibitor (IZ) treatment selectively induced a tumor necrosis factor-α (TNFα)-dependent death among several apoptosis-resistant cell lines and patient xenografts. The induction of necroptosis was common in ovarian cancer, with expression of catalytically active receptor-interacting protein kinase-3 (RIPK3) necessary for death, and in fact sufficient to compromise survival of RIPK3-negative, necroptosis-resistant ovarian cancer cells. The formation of a necrosome-like complex with a second critical effector, receptor-interacting serine-threonine kinase-1 (RIPK1), was observed. RIPK1, RIPK3 and TNFα were required for the induction of death, as agents that inhibit the function of any of these targets prevented cell death. Abundant RIPK3 transcript is common in serous ovarian cancers, suggesting that further evaluation and targeting of this RIPK3-dependent pathway may be of clinical benefit

Assessing hydrological controls on the lithium isotope weathering tracer

To investigate the impact of riverine discharge and weathering intensity on lithium isotopes (δ7Li) in a mono-lithological terrain, this study examines the dissolved load and leached suspended load (exchangeable, oxide, and clay fractions) from Icelandic rivers spanning a wide range of discharge, weathering rates, and weathering intensity. The δ7Lidissolved co-varies inversely with the discharge, confirming that water-rock interaction time is a primary control on the secondary mineral formation that fractionates Li isotopes. The “boomerang” shape observed in global rivers between the weathering intensity (i.e. W/D = weathering rate/denudation rate) and δ7Lidissolved also exists for these basaltic rivers at low to medium W/D. However, these rivers do not extend to such low δ7Lidissolved values as seen in the global compilation at low W/D, indicating that there is a lithological control on this relationship arising from the type of the lithology-specific secondary minerals forming and their precipitation rates. In addition, the Δ7Lix-dissolved between each leached solid phase and the dissolved load also co-varies with discharge. At low discharge (long water-rock interaction times), Δ7Lix-dissolved values agree with experimentally-determined equilibrium values, whereas less fractionated values are observed at higher discharge (shorter water-rock interaction times). As a result, there is a different relationship between W/D and Δ7Liclay-source in this basaltic terrain than previously reported from global multi-lithological river sediment samples, with clay leachates from Iceland more closely mimicking the boomerang shape of the dissolved load. However, the relationship between δ7Li and weathering processes is complicated because the fractionation between the clay fraction and the dissolved load is not constant but varies with both W/D and discharge. Overall, this study confirms the utility of Li isotopes as a tracer of modern and palaeo-weathering processes, and also has important implications for the specific interpretations of detrital δ7Li values, which may be more sensitive to weathering parameters than previously thought

Assessing hydrological controls on the lithium isotope weathering tracer

To investigate the impact of riverine discharge and weathering intensity on lithium isotopes (δ7Li) in a mono-lithological terrain, this study examines the dissolved load and leached suspended load (exchangeable, oxide, and clay fractions) from Icelandic rivers spanning a wide range of discharge, weathering rates, and weathering intensity. The δ7Lidissolved co-varies inversely with the discharge, confirming that water-rock interaction time is a primary control on the secondary mineral formation that fractionates Li isotopes. The “boomerang” shape observed in global rivers between the weathering intensity (i.e. W/D = weathering rate/denudation rate) and δ7Lidissolved also exists for these basaltic rivers at low to medium W/D. However, these rivers do not extend to such low δ7Lidissolved values as seen in the global compilation at low W/D, indicating that there is a lithological control on this relationship arising from the type of the lithology-specific secondary minerals forming and their precipitation rates. In addition, the Δ7Lix-dissolved between each leached solid phase and the dissolved load also co-varies with discharge. At low discharge (long water-rock interaction times), Δ7Lix-dissolved values agree with experimentally-determined equilibrium values, whereas less fractionated values are observed at higher discharge (shorter water-rock interaction times). As a result, there is a different relationship between W/D and Δ7Liclay-source in this basaltic terrain than previously reported from global multi-lithological river sediment samples, with clay leachates from Iceland more closely mimicking the boomerang shape of the dissolved load. However, the relationship between δ7Li and weathering processes is complicated because the fractionation between the clay fraction and the dissolved load is not constant but varies with both W/D and discharge. Overall, this study confirms the utility of Li isotopes as a tracer of modern and palaeo-weathering processes, and also has important implications for the specific interpretations of detrital δ7Li values, which may be more sensitive to weathering parameters than previously thought

Public health professionals' perceptions toward provision of health protection in England: a survey of expectations of Primary Care Trusts and Health Protection Units in the delivery of health protection

BACKGROUND: Effective health protection requires systematised responses with clear accountabilities. In England, Primary Care Trusts and the Health Protection Agency both have statutory responsibilities for health protection. A Memorandum of Understanding identifies responsibilities of both parties, but there is a potential lack of clarity about responsibility for specific health protection functions. We aimed to investigate professionals' perceptions of responsibility for different health protection functions, to inform future guidance for, and organisation of, health protection in England. METHODS: We sent a postal questionnaire to all health protection professionals in England from the following groups: (a) Directors of Public Health in Primary Care Trusts; (b) Directors of Health Protection Units within the Health Protection Agency; (c) Directors of Public Health in Strategic Health Authorities and; (d) Regional Directors of the Health Protection Agency RESULTS: The response rate exceeded 70%. Variations in perceptions of who should be, and who is, delivering health protection functions were observed within, and between, the professional groups (a)-(d). Concordance in views of which organisation should, and which does deliver was high (≥90%) for 6 of 18 health protection functions, but much lower (≤80%) for 6 other functions, including managing the implications of a case of meningitis out of hours, of landfill environmental contamination, vaccination in response to mumps outbreaks, nursing home infection control, monitoring sexually transmitted infections and immunisation training for primary care staff. The proportion of respondents reporting that they felt confident most or all of the time in the safe delivery of a health protection function was strongly correlated with the concordance (r = 0.65, P = 0.0038). CONCLUSION: Whilst we studied professionals' perceptions, rather than actual responses to incidents, our study suggests that there are important areas of health protection where consistent understanding of responsibility for delivery is lacking. There are opportunities to clarify the responsibility for health protection in England, perhaps learning from the approaches used for those health protection functions where we found consistent perceptions of accountability

Evidence for solar cycles in a late Holocene speleothem record from Dongge Cave, China

The association between solar activity and Asian monsoon (AM) remains unclear. Here we evaluate the possible connection between them based on a precisely-dated, high-resolution speleothem oxygen isotope record from Dongge Cave, southwest China during the past 4.2 thousand years (ka). Without being adjusted chronologically to the solar signal, our record shows a distinct peak-to-peak correlation with cosmogenic nuclide 14C, total solar irradiance (TSI) and sunspot number (SN) at multi-decadal to centennial timescales. Further cross-wavelet analyses between our calcite δ18O and atmospheric 14C show statistically strong coherence at three typical periodicities of ~80, 200 and 340 years, suggesting important roles of solar activities in modulating AM changes at those timescales. Our result has further indicated a better correlation between our calcite δ18O record and atmospheric 14C than between our record and TSI. This better correlation may imply that the Sun–monsoon connection is dominated most likely by cosmic rays and oceanic circulation (both associated to atmospheric 14C), instead of the direct solar heating (TSI)

Trends in postoperative radiotherapy delay and the effect on survival in breast cancer patients treated with conservation surgery

The adequate timing of adjuvant radiotherapy (RT) in breast cancer has become a subject of increasing interest in recent years. A population-based study was undertaken to determine the influence of demographic and clinical factors on the postoperative RT delay in patients treated with breast-conserving surgery (BCS) and to assess the impact of delay on survival. In total, 7800 breast cancer patients treated with BCS and adjuvant RT between 1986 and 1998 in Yorkshire were included in the study. The median interval between surgery and the start of RT (S-RT interval) was 8 weeks (7 weeks for chemotherapy negative and 11 for chemotherapy positive patients). This interval increased substantially over time from 5 weeks during 1986-1988, irrespective of patients' chemotherapy status, to 10 and 17 weeks among chemotherapy negative and chemotherapy positive patients, respectively, in 1997-1998. The S-RT interval was also significantly influenced by travel time to RT centre, year and at which RT centre patient had the treatment (

Metabotropic glutamate receptor 5 as a potential target for smoking cessation

Rationale Most habitual smokers find it difficult to quit smoking because they are dependent upon the nicotine present in tobacco smoke. Tobacco dependence is commonly treated pharmacologically using nicotine replacement therapy or drugs, such as varenicline, that target the nicotinic receptor. Relapse rates, however, remain high and there remains a need to develop novel non-nicotinic pharmacotherapies for the dependence that are more effective than existing treatments. Objective The purpose of this paper is to review the evidence from preclinical and clinical studies that drugs that antagonise the metabotropic glutamate receptor 5 (mGluR5) in the brain are likely to be efficacious as treatments for tobacco dependence. Results Imaging studies reveal that chronic exposure to tobacco smoke reduces the density of mGluR5s in human brain. Preclinical results demonstrate that negative allosteric modulators (NAMs) at mGluR5 attenuate both nicotine self-administration and the reinstatement of responding evoked by exposure to conditioned cues paired with nicotine delivery. They also attenuate the effects of nicotine on brain dopamine pathways implicated in addiction. Conclusions Although mGluR5 NAMs attenuate most of the key facets of nicotine dependence they potentiate the symptoms of nicotine withdrawal. This may limit their value as smoking cessation aids. The NAMs that have been employed most widely in preclinical studies of nicotine dependence have too many \u201coff target\u201d effects to be used clinically. However newer mGluR5 NAMs have been developed for clinical use in other indications. Future studies will determine if these agents can also be used effectively and safely to treat tobacco dependence