Energy Metabolism, Metabolite, and Inflammatory Profiles in Human Ex Vivo Adipose Tissue Are Influenced by Obesity Status, Metabolic Dysfunction, and Treatment Regimes in Patients with Oesophageal Adenocarcinoma

Oesophageal adenocarcinoma (OAC) is a poor prognosis cancer with limited response rates to current treatment modalities and has a strong link to obesity. To better elucidate the role of visceral adiposity in this disease state, a full metabolic profile combined with analysis of secreted pro-inflammatory cytokines, metabolites, and lipid profiles were assessed in human ex vivo adipose tissue explants from obese and non-obese OAC patients. These data were then related to extensive clinical data including obesity status, metabolic dysfunction, previous treatment exposure, and tumour regression grades. Real-time energy metabolism profiles were assessed using the seahorse technology. Adipose explant conditioned media was screened using multiplex ELISA to assess secreted levels of 54 pro-inflammatory mediators. Targeted secreted metabolite and lipid profiles were analysed using Ultra-High-Performance Liquid Chromatography coupled with Mass Spectrometry. Adipose tissue explants and matched clinical data were collected from OAC patients (n = 32). Compared to visceral fat from non-obese patients (n = 16), visceral fat explants from obese OAC patients (n = 16) had significantly elevated oxidative phosphorylation metabolism profiles and an increase in Eotaxin-3, IL-17A, IL-17D, IL-3, MCP-1, and MDC and altered secretions of glutamine associated metabolites. Adipose explants from patients with metabolic dysfunction correlated with increased oxidative phosphorylation metabolism, and increases in IL-5, IL-7, SAA, VEGF-C, triacylglycerides, and metabolites compared with metabolically healthy patients. Adipose explants generated from patients who had previously received neo-adjuvant chemotherapy (n = 14) showed elevated secretions of pro-inflammatory mediators, IL-12p40, IL-1α, IL-22, and TNF-β and a decreased expression of triacylglycerides. Furthermore, decreased secreted levels of triacylglycerides were also observed in the adipose secretome of patients who received the chemotherapy-only regimen FLOT compared with patients who received no neo-adjuvant treatment or chemo-radiotherapy regimen CROSS. For those patients who showed the poorest response to currently available treatments, their adipose tissue was associated with higher glycolytic metabolism compared to patients who had good treatment responses. This study demonstrates that the adipose secretome in OAC patients is enriched with mediators that could prime the tumour microenvironment to aid tumour progression and attenuate responses to conventional cancer treatments, an effect which appears to be augmented by obesity and metabolic dysfunction and exposure to different treatment regimes

Gas transfer through clay barriers

Gas transport through clay-rocks can occur by different processes that can be basically subdivided into pressure-driven flow of a bulk gas phase and transport of dissolved gas either by molecular diffusion or advective water flow (Figure 1, Marschall et al., 2005). The relative importance of these transport mechanisms depends on the boundary conditions and the scale of the system. Pressure-driven volume flow (“Darcy flow”) of gas is the most efficient transport mechanism. It requires, however, pressure gradients that are sufficiently large to overcome capillary forces in the typically water-saturated rocks (purely gas-saturated argillaceous rocks are not considered in the present context). These pressure gradients may form as a consequence of the gravity field (buoyancy, compaction) or by gas generation processes (thermogenic, microbial, radiolytic). Dissolved gas may be transported by water flow along a hydraulic gradient. This process is not affected by capillary forces but constrained by the solubility of the gas. It has much lower transport efficiency than bulk gas phase flow. Molecular diffusion of dissolved gas, finally, is occurring essentially without constraints, ubiquitously and perpetually. Effective diffusion distances are, however, proportional to the square root of time, which limits the relevance of this transport process to the range of tens to hundreds of metres on a geological time scale (millions of years). 2 Process understanding and the quantification of the controlling parameters, like diffusion coefficients, capillary gas breakthrough pressures and effective gas permeability coefficients, is of great importance for up-scaling purposes in different research disciplines and applications. During the past decades, gas migration through fully water-saturated geological clay-rich barriers has been investigated extensively (Thomas et al., 1968, Pusch and Forsberg, 1983; Horseman et al., 1999; Galle, 2000; Hildenbrand et al., 2002; Marschall et al., 2005; Davy et al., 2009; Harrington et al., 2009, 2012a, 2014). All of these studies aimed at the analysis of experimental data determined for different materials (rocks of different lithotype, composition, compaction state) and pressure/temperature conditions. The clay-rocks investigated in these studies, ranged from unconsolidated to indurated clays and shales, all characterised by small pores (2-100 nm) and very low hydraulic conductivity (K < 10-12 m·s-1) or permeability coefficients (k < 10-19 m²). Studies concerning radioactive waste disposal include investigations of both the natural host rock formation and synthetic/engineered backfill material at a depth of a few hundred meters (IAEA, 2003, 2009). Within a geological disposal facility, hydrogen is generated by anaerobic corrosion of metals and through radiolysis of water (Rodwell et al., 1999; Yu and Weetjens, 2009). Additionally, methane and carbon dioxide are generated by microbial degradation of organic wastes (Rodwell et al., 1999; Ortiz et al., 2002; Johnson, 2006; Yu and Weetjens, 2009). The focus of carbon capture and storage (CCS) studies is on the analysis of the long-term sealing efficiency of lithologies above depleted reservoirs or saline aquifers, typically at larger depths (hundreds to thousands of meters). During the last decade, several studies were published on the sealing integrity of clay-rocks to carbon dioxide (Hildenbrand et al., 2004; Li et al., 2005; Hangx et al., 2009; Harrington et al., 2009; Skurtveit et al., 2012; Amann-Hildenbrand et al., 2013). In the context of petroleum system analysis, a significant volume of research has been undertaken regarding gas/oil expulsion mechanisms from sources rocks during burial history (Tissot & Pellet, 1971; Appold & Nunn, 2002), secondary migration (Luo et al., 2008) and the capillary sealing capacity of caprocks overlying natural gas accumulations (Berg, 1975; Schowalter, 1979; Krooss, 1992; Schlömer and Kross, 2004; Li et al., 2005; Berne et al., 2010). Recently, more attention has been paid to investigations of the transport efficiency of shales in the context of oil/gas shale production (Bustin et al., 2008; Eseme et al., 2012; Amann-Hildenbrand et al., 2012; Ghanizadeh et al., 2013, 2014). Analysis of the migration mechanisms within partly unlithified strata becomes important when explaining the 3 origin of overpressure zones, sub-seafloor gas domes and gas seepages (Hovland & Judd, 1988; Boudreau, 2012). The conduction of experiments and data evaluation/interpretation requires a profound process understanding and a high level of experience. The acquisition and preparation of adequate samples for laboratory experiments usually constitutes a major challenge and may have serious impact on the representativeness of the experimental results. Information on the success/failure rate of the sample preparation procedure should therefore be provided. Sample specimens “surviving” this procedure are subjected to various experimental protocols to derive information on their gas transport properties. The present overview first presents the theoretical background of gas diffusion and advective flow, each followed by a literature review (sections 2 and 3). Different experimental methods are described in sections 4.1 and 4.2. Details are provided on selected experiments performed at the Belgian Nuclear Research Centre (SCK-CEN, Belgium), Ecole Centrale de Lille (France), British Geological Survey (UK), and at RWTH-Aachen University (Germany) (section 4.3). Experimental data are discussed with respect to different petrophysical parameters outlined above: i) gas diffusion, ii) evolution of gas breakthrough, iii) dilation-controlled flow, and iv) effective gas permeability after breakthrough. These experiments were conducted under different pressure and temperature conditions, depending on sample type, burial depth and research focus (e.g. radioactive waste disposal, natural gas exploration, or carbon dioxide storage). The interpretation of the experimental results can be difficult and sometimes a clear discrimination between different mechanisms (and the controlling parameters) is not possible. This holds, for instance, for gas breakthrough experiments where the observed transport can be interpreted as intermittent, continuous, capillary- or dilation-controlled flow. Also, low gas flow rates through samples on the length-scale of centimetres can be equally explained by effective two-phase flow or diffusion of dissolved gas

ΔNp63γ/SRC/Slug signalling axis promotes epithelial-to-mesenchymal transition in squamous cancers

Abstract Purpose: To investigate the regulation of epithelial-to-mesenchymal transition (EMT) in head and neck squamous cell carcinoma (HNSCC) and its importance in tumor invasion. Experimental Design: We use a three-dimensional invasive organotypic raft culture model of human foreskin keratinocytes expressing the E6/E7 genes of the human papilloma virus-16, coupled with bioinformatic and IHC analysis of patient samples to investigate the role played by EMT in invasion and identify effectors and upstream regulatory pathways. Results: We identify SNAI2 (Slug) as a critical effector of EMT-activated downstream of TP63 overexpression in HNSCC. Splice-form–specific depletion and rescue experiments further identify the ΔNp63γ isoform as both necessary and sufficient to activate the SRC signaling axis and SNAI2-mediated EMT and invasion. Moreover, elevated SRC levels are associated with poor outcome in patients with HNSCC in The Cancer Genome Atlas dataset. Importantly, the effects on EMT and invasions and SNAI2 expression can be reversed by genetic or pharmacologic inhibition of SRC. Conclusions: Overexpression of ΔNp63γ modulates cell invasion by inducing targetable SRC-Slug–evoked EMT in HNSCC, which can be reversed by inhibitors of the SRC signaling. Clin Cancer Res; 24(16); 3917–27. ©2018 AACR.</jats:p

Accuracy of Opportunistic Bone Mineral Density Assessment on Staging Computed Tomography for Gynaecological Cancers

Background and Objectives: Women with gynecological cancers constitute a high-risk cohort for loss of bone density. International guidance stipulates women undergoing cancer treatments associated with bone loss should have a quantitative assessment of bone density. Access to Dual-energy X-ray Absorptiometry (DXA) is limited. This study aimed to assess the accuracy of opportunistic bone density measurement on staging computed tomography (CT) scans for gynaecological malignancies, in comparison to the gold standard DXA. Materials and Methods: Women with a staging CT scan of the abdomen and pelvis for a new diagnosis of gynecological cancer were recruited. DXA was performed within 6 weeks of treatment for gynaecological cancer. Lumbar bone density was measured by CT attenuation values, in Hounsfield units (HU), of the anterior trabecular region. Correlations between CT and DXA parameters were analysed. Receiver Operating Characteristic(ROC) curves for diagnosis of low bone density and osteoporosis were analysed. Results: Final cohort included 48 of 50 women recruited. There was good diagnostic accuracy for abnormal bone density and osteoporosis, with areas under the ROC curve at L1 of 0.77 (p = 0.002) and 0.80 (p = 0.020) respectively. CT-HU of 170&ndash;190 yielded sensitivities of 87&ndash;90%, positive predictive values of 75&ndash;84% and negative predictive values of 71&ndash;75% for the diagnosis of low bone mineral density. CT-HU of 90&ndash;110 yielded specificities of 85&ndash;93% for the diagnosis of osteoporosis. Moderate correlations were found between CT-HU and both DXA T-scores and diagnostic categories. Conclusions: This is the first study to assess the opportunistic application of CT in the assessment of bone health in women with gynaecological cancer, a cohort at high-risk of osteoporosis. The correlation between bone density assessment in CT-HU and DXA, and strong AUC values for the diagnosis of low bone density (0.77) and osteoporosis (0.80) support this pragmatic solution in resolving the care-gap in cancer treatment-induced bone loss, often associated with poor access to DXA

Yindyamarra in Action: Indigenous Cultural Competence as Core Business within Legal Education and Law Schools

This chapter reflects on our journey of embedding of Indigenous cultural competence across the design, development and delivery of curriculum and pedagogy in the Bachelor of Laws at Charles Sturt University. It also reflects on our journey in building strong Indigenous community partnerships to underpin the embedding of Indigenous cultural competency across legal education. The three co-authors were heavily involved in the iterative development of the law program, and the establishment of the Centre for Law and Justice (CSU’s law school equivalent), which has achieved best practice recognition within CSU, nationally and internationally. In this chapter, we examine three aspects of the law program and the Centre for Law and Justice that offers undergraduate degrees. First, Alison Gerard, who founded the law program and law school at CSU, reflects on the design of the program alongside the knowledge and scholarship of law and legal education as it relates to Indigenous cultural competence. Second, Annette Gainsford analyzes the development of curriculum including place of critical reflexivity as scholars, teachers and researchers and the establishment of Indigenous community partnerships. Third, Kim Bailey outlines pedagogical approaches to the delivery of curriculum including teaching and learning and compliance with professional accreditation frameworks. This chapter offers insights on ‘Yindyamarra in Action’: multi-level processes – top-down, bottom-up and peer-to-peer – for authentically and respectfully incorporating Indigenous cultural competence in law. We labor for a law program that is based on principles of respect for First Peoples’ cultures, histories, and knowledges and is grounded in ‘Yindyamaldhuray yalibilinga mawang’, meaning two-way learning in Wiradyuri language, and reciprocal relationships that build change. While our journey to cultural competence will never end, it is important to celebrate milestones along the way and offer this learning to the growing, vibrant community of practice on Indigenous cultural competence