Prolonged expression of the γ-H2AX DNA repair biomarker correlates with excess acute and chronic toxicity from radiotherapy treatment

The normal tissue tolerance levels to fractionated radiotherapy have been appreciated by a century of careful clinical observations and radiobiological studies in animals. During clinical fractionated radiotherapy, these normal tissue tolerance levels are respected, and severe sequelae of radiotherapy are avoided in the majority of patients. Notwithstanding, a minority of patients experience unexpectedly severe normal tissue reactions. The ability to predict which patients might form this minority would be important. We have conducted a study to develop a rapid and reliable diagnostic test to predict excessive normal tissue toxicity (NTT) in radiotherapy patients. A flow cytometric immunocytochemical assay was used to measure DNA damage in peripheral blood lymphocytes (PBL) from cancer patients exposed to 2-Gy gamma radiation. DNA damage and repair was measured by induction of cellular γ-H2AX in unirradiated and exposed cells at specific time points following exposure. In 12 cancer patients that experienced severe atypical NTT following radiotherapy, there was a failure to repair DNA double-strand breaks (DSB) as measured by γ-H2AX induction and persistence. In ten cancer patients that experienced little or no NTT and in seven normal (noncancer controls), efficient repair of DNA DSB was observed in the γ-H2AX assay. We conclude that a flow cytometric assay based on γ-H2AX induction in PBL of radiotherapy patients may represent a robust, rapid and reliable biomarker to predict NTT during radiotherapy. Further research is required with a larger patient cohort to validate this important study

Systemic amyloidosis in England: an epidemiological study.

Epidemiological studies of systemic amyloidosis are scarce and the burden of disease in England has not previously been estimated. In 1999, the National Health Service commissioned the National Amyloidosis Centre (NAC) to provide a national clinical service for all patients with amyloidosis. Data for all individuals referred to the NAC is held on a comprehensive central database, and these were compared with English death certificate data for amyloidosis from 2000 to 2008, obtained from the Office of National Statistics. Amyloidosis was stated on death certificates of 2543 individuals, representing 0·58/1000 recorded deaths. During the same period, 1143 amyloidosis patients followed at the NAC died, 903 (79%) of whom had amyloidosis recorded on their death certificates. The estimated minimum incidence of systemic amyloidosis in the English population in 2008, based on new referrals to the NAC, was 0·4/100 000 population. The incidence peaked at age 60-79 years. Systemic AL amyloidosis was the most common type with an estimated minimum incidence of 0·3/100 000 population. Although there are various limitations to this study, the available data suggest the incidence of systemic amyloidosis in England exceeds 0·8/100 000 of the population

Angular adaptivity with spherical harmonics for Boltzmann transport

This paper describes an angular adaptivity algorithm for Boltzmann transport applications which uses Pn and filtered Pn expansions, allowing for different expansion orders across space/energy. Our spatial discretisation is specifically designed to use less memory than competing DG schemes and also gives us direct access to the amount of stabilisation applied at each node. For filtered Pn expansions, we then use our adaptive process in combination with this net amount of stabilisation to compute a spatially dependent filter strength that does not depend on a priori spatial information. This applies heavy filtering only where discontinuities are present, allowing the filtered Pn expansion to retain high-order convergence where possible. Regular and goal-based error metrics are shown and both the adapted Pn and adapted filtered Pn methods show significant reductions in DOFs and runtime. The adapted filtered Pn with our spatially dependent filter shows close to fixed iteration counts and up to high-order is even competitive with P0 discretisations in problems with heavy advection.Comment: arXiv admin note: text overlap with arXiv:1901.0492

Scalable angular adaptivity for Boltzmann transport

This paper describes an angular adaptivity algorithm for Boltzmann transport applications which for the first time shows evidence of $\mathcal{O}(n)$ scaling in both runtime and memory usage, where $n$ is the number of adapted angles. This adaptivity uses Haar wavelets, which perform structured $h$-adaptivity built on top of a hierarchical P$_0$ FEM discretisation of a 2D angular domain, allowing different anisotropic angular resolution to be applied across space/energy. Fixed angular refinement, along with regular and goal-based error metrics are shown in three example problems taken from neutronics/radiative transfer applications. We use a spatial discretisation designed to use less memory than competing alternatives in general applications and gives us the flexibility to use a matrix-free multgrid method as our iterative method. This relies on scalable matrix-vector products using Fast Wavelet Transforms and allows the use of traditional sweep algorithms if desired

Interplay between solid state microstructure and photophysics for poly(9,9-dioctylfluorene) within oriented polyethylene hosts

We present a study of isotropic and uniaxially oriented binary blend films comprising ≤1 wt % of the conjugated polymer poly(9,9‐dioctylfluorene) (PFO) dispersed in both ultra‐high molecular weight (UHMW) and linear‐low‐density (LLD) polyethylene (PE). Polarized absorption, fluorescence and Raman spectroscopy, scanning electron microscopy, and X‐ray diffraction are used to characterize the samples before and after tensile deformation. Results show that blend films can be prepared with PFO chains adopting a combination of several distinct molecular conformations, namely glassy, crystalline, and the so‐called β‐phase, which directly influences the resulting optical properties. Both PFO concentration and drawing temperature strongly affect the alignment of PFO chains during the tensile drawing of the blend films. In both PE hosts, crystallization of PFO takes place during drawing; the resulting ordered chains show optimal optical anisotropy. Our results clarify the PFO microstructure in oriented blends with PE and the processing conditions required for achieving the maximal optical anisotropy.ISSN:0887-6266ISSN:0098-1273ISSN:1099-048

The Ross Sea in a sea of change

The Ross Sea, the most productive region in the Antarctic, reaches farther south than any body of water in the world. While its food web is relatively intact, its oceanography, biogeochemistry, and sea ice coverage have been changing dramatically, and likely will continue to do so in the future. Sea ice cover and persistence have been increasing, in contrast to the Amundsen-Bellingshausen sector, which has resulted in reduced open water duration for its biota. Models predict that as the ozone hole recovers, ice cover will begin to diminish. Currents on the continental shelf will likely change in the coming century, with a projected intensification of flow leading to altered deep ocean ventilation. Such changes in ice and circulation will lead to altered plankton distributions and composition, but it is difficult at present to predict the nature of these changes. Iron and irradiance play central roles in regulating phytoplankton production in the Ross Sea, but the impacts of oceanographic changes on the biogeochemistry of iron are unclear. Unlike other Southern Ocean regions, where continental shelves are very narrow and Antarctic krill dominates the herbivorous fauna, the broad shelf of the Ross Sea is dominated by crystal krill and silverfish, which are the major prey items for higher trophic levels. At present, the Ross Sea is considered to be one of the most species-rich areas of the Southern Ocean and a biodiversity hotspot due to its heterogeneous habitats. Despite being among the best-studied regions in the entire Southern Ocean, accurate predictions of the impacts of climate change on the oceanography and ecology of the Ross Sea remain fraught with uncertainty