423 research outputs found

    The International Gray Market: The Nexus of Vertical Restraints, Price Discrimination and Foreign Law

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    The International Gray Market: The Nexus of Vertical Restraints, Price Discrimination and Foreign Law

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    What do we learn from HER2-positive breast cancer genomic profiles?

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    Patients with a tumor presenting amplification of the HER2 gene are currently proposed trastuzumab (herceptin) and this has greatly changed their outcome. However, a number of HER2-positive cancers show intrinsic or acquired resistance to trastuzumab and there are clear indications that they form a heterogeneous group of tumors. A paper in this issue of Breast Cancer Research addresses this heterogeneity at the genomic level

    Agency Shops and the Public Sector: An Economic Analysis

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    Traditionally, legislators and jurists have justified union and agency shops by resorting to the twin spectors of unequal bargaining power and free riders. Recently, the Supreme Court of the United States upheld the constitutionality of a state statute requiring an exclusive agency shop in the public educational labor market. Using this decision as a reference point, the authors present a Critical economic analysis of exclusive agency shops in the public sector labor market utilizing both a competitive and monopoly labor market model. They argue that the social and economic costs of a labor monopoly, the exclusive agency shop, may outweigh any possible benefits. Furthermore, they argue that the free rider hypothesis does not have an empirical foundation. Thus, they conclude that the arguments in favor of intervention in the competitive labor market are not persuasive

    Agency Shops and the Public Sector: An Economic Analysis

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    Traditionally, legislators and jurists have justified union and agency shops by resorting to the twin spectors of unequal bargaining power and free riders. Recently, the Supreme Court of the United States upheld the constitutionality of a state statute requiring an exclusive agency shop in the public educational labor market. Using this decision as a reference point, the authors present a Critical economic analysis of exclusive agency shops in the public sector labor market utilizing both a competitive and monopoly labor market model. They argue that the social and economic costs of a labor monopoly, the exclusive agency shop, may outweigh any possible benefits. Furthermore, they argue that the free rider hypothesis does not have an empirical foundation. Thus, they conclude that the arguments in favor of intervention in the competitive labor market are not persuasive

    RNA sequencing-based single sample predictors of molecular subtype and risk of recurrence for clinical assessment of early-stage breast cancer

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    BackgroundMultigene expression assays for molecular subtypes and biomarkers can aid clinical management of early invasive breast cancer. Based on RNA-sequencing we aimed to develop single-sample predictor (SSP) models for conventional clinical markers, molecular intrinsic subtype and risk of recurrence (ROR).MethodsA uniformly accrued breast cancer cohort of 7743 patients with RNA-sequencing data from fresh tissue was divided into a training set and a reserved test set. We trained SSPs for PAM50 molecular subtypes and ROR assigned by nearest-centroid (NC) and SSPs for conventional clinical markers from histopathology data. Additionally, SSP classifications were compared with Prosigna® in two external cohorts. Prognostic value was assessed using distant recurrence-free interval.ResultsIn the test set, agreement between SSP and NC classifications for PAM50 (five subtypes) and Subtype (four subtypes) was high (85%, Kappa=0.78) and very high (90%, Kappa=0.84) respectively. Accuracy for ROR risk category was high (84%, Kappa=0.75, weighted Kappa=0.90). The prognostic value for SSP and NC was assessed as equivalent. Agreement for SSP and histopathology was very high or high for receptor status, while moderate and poor for Ki67 status and Nottingham histological grade, respectively. SSP concordance with Prosigna® was high for subtype and moderate and high for ROR risk category. In pooled analysis, concordance between SSP and Prosigna® for emulated treatment recommendation for chemotherapy (yes vs. no) was high (85%, Kappa=0.66). In postmenopausal ER+/HER2-/N0 patients SSP application suggested changed treatment recommendations for up to 17% of patients, with nearly balanced escalation and de-escalation of chemotherapy.ConclusionsSSP models for histopathological variables, PAM50, and ROR classifications can be derived from RNA-sequencing that closely matches clinical tests. Agreement and outcome analyses suggest that NC and SSP models are interchangeable on a group-level and nearly so on a patient level. Retrospective evaluation in postmenopausal ER+/HER2-/N0 patients suggested that molecular testing could lead to a changed therapy recommendation for almost one-fifth of patients

    Landscape of somatic allelic imbalances and copy number alterations in HER2-amplified breast cancer

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    Introduction: Human epidermal growth factor receptor 2 (HER2)-amplified breast cancer represents a clinically well-defined subgroup due to availability of targeted treatment. However, HER2-amplified tumors have been shown to be heterogeneous at the genomic level by genome-wide microarray analyses, pointing towards a need of further investigations for identification of recurrent copy number alterations and delineation of patterns of allelic imbalance. Methods: High-density whole genome array-based comparative genomic hybridization (aCGH) and single nucleotide polymorphism (SNP) array data from 260 HER2-amplified breast tumors or cell lines, and 346 HER2-negative breast cancers with molecular subtype information were assembled from different repositories. Copy number alteration (CNA), loss-of-heterozygosity (LOH), copy number neutral allelic imbalance (CNN-AI), subclonal CNA and patterns of tumor DNA ploidy were analyzed using bioinformatical methods such as genomic identification of significant targets in cancer (GISTIC) and genome alteration print (GAP). The patterns of tumor ploidy were confirmed in 338 unrelated breast cancers analyzed by DNA flow cytometry with concurrent BAC aCGH and gene expression data. Results: A core set of 36 genomic regions commonly affected by copy number gain or loss was identified by integrating results with a previous study, together comprising > 400 HER2-amplified tumors. While CNN-AI frequency appeared evenly distributed over chromosomes in HER2-amplified tumors, not targeting specific regions and often < 20% in frequency, the occurrence of LOH was strongly associated with regions of copy number loss. HER2-amplified and HER2-negative tumors stratified by molecular subtypes displayed different patterns of LOH and CNN-AI, with basal-like tumors showing highest frequencies followed by HER2-amplified and luminal B cases. Tumor aneuploidy was strongly associated with increasing levels of LOH, CNN-AI, CNAs and occurrence of subclonal copy number events, irrespective of subtype. Finally, SNP data from individual tumors indicated that genomic amplification in general appears as monoallelic, that is, it preferentially targets one parental chromosome in HER2-amplified tumors. Conclusions: We have delineated the genomic landscape of CNAs, amplifications, LOH, and CNN-AI in HER2-amplified breast cancer, but also demonstrated a strong association between different types of genomic aberrations and tumor aneuploidy irrespective of molecular subtype

    Paralarvae of the complex Sthenoteuthis oualaniensis-Dosidicus gigas (Cephalopoda: Ommastrephidae) in the northern limit of the shallow oxygen minimum zone of the Eastern Tropical Pacific Ocean (April 2012)

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    18 páginas, 10 figuras, 3 tablasThe three-dimensional distribution of the paralarvae of the complex Sthenoteuthis oualaniensis-Dosidicus gigas (Cephalopoda: Ommastrephidae) was analyzed at the northern limit of the shallow oxygen minimum zone in the Eastern Tropical Pacific in April 2012. The upper limit of the oxygen minimum water (∼44 µmol/kg or 1 mL/L) rises from ∼100 m depth in the entrance of the Gulf of California to ∼20 m depth off Cabo Corrientes. Most of the paralarvae of this complex, dominated by D. gigas, were concentrated in the Gulf entrance, between the thermocline (∼20 to ∼50 m depth) and the sea surface, in the warmest (>19°C) oxygenated (>176 µmol/kg) layer. The highest abundance of paralarvae was detected in an anticyclonic eddy (∼120 km diameter and >500 m deep), which contained lower-salinity water (<35 g/kg), consistent with formation in the California Current. Lower paralarvae abundance was recorded further south off Cabo Corrientes, where hypoxic layers were elevated as water shoaled nearshore. Almost no paralarvae were found in the north of the study area beyond the strong salinity front (∼34.8–35.4 g/kg) that bounded the anticyclone. These results showed an affinity of the paralarvae for lower-salinity, oxygenated water, illustrated by the influence of the mesoscale anticyclonic eddy and the salinity front in their distribution. Based on this study, it can be concluded that the expansion of the depth range of hypoxic water observed in the Eastern Tropical Pacific may be increasing environmental stress on the paralarvae by vertically restricting their habitat, and so affecting their survivalThis work was made possible thanks to the financial support of SEP-CONACyT (contracts 2014-236864) and by the Instituto Politécnico Nacional (Multidisciplinary Project 2015-0176)Peer reviewe

    Distribution of ommastrephid paralarvae in the eastern tropical Pacific

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    Jumbo squid (Dosidicus gigas) and purpleback squid (Sthenoteuthis oualaniensis) (Teuthida: Ommastrephidae) are thought to spawn in the eastern tropical Pacific. We used 10 years of plankton tow and oceanographic data collected in this region to examine the reproductive habits of these 2 ecologically important squid. Paralarvae of jumbo squid and purpleback squid were found in 781 of 1438 plankton samples from surface and oblique tows conducted by the Southwest Fisheries Science Center (NOAA) in the eastern tropical Pacific over the 8-year period of 1998–2006. Paralarvae were far more abundant in surface tows (maximum: 1588 individuals) than in oblique tows (maximum: 64 individuals). A generalized linear model analysis revealed sea-surface temperature as the strongest environmental predictor of paralarval presence in both surface and oblique tows; the likelihood of paralarval presence increases with increasing temperature. We used molecular techniques to identify paralarvae from 37 oblique tows to species level and found that the purpleback squid was more abundant than the jumbo squid (81 versus 16 individuals)

    Clonal Evolution through Loss of Chromosomes and Subsequent Polyploidization in Chondrosarcoma

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    Near-haploid chromosome numbers have been found in less than 1% of cytogenetically reported tumors, but seem to be more common in certain neoplasms including the malignant cartilage-producing tumor chondrosarcoma. By a literature survey of published karyotypes from chondrosarcomas we could confirm that loss of chromosomes resulting in hyperhaploid-hypodiploid cells is common and that these cells may polyploidize. Sixteen chondrosarcomas were investigated by single nucleotide polymorphism (SNP) array and the majority displayed SNP patterns indicative of a hyperhaploid-hypodiploid origin, with or without subsequent polyploidization. Except for chromosomes 5, 7, 19, 20 and 21, autosomal loss of heterozygosity was commonly found, resulting from chromosome loss and subsequent duplication of monosomic chromosomes giving rise to uniparental disomy. Additional gains, losses and rearrangements of genetic material, and even repeated rounds of polyploidization, may affect chondrosarcoma cells resulting in highly complex karyotypes. Loss of chromosomes and subsequent polyploidization was not restricted to a particular chondrosarcoma subtype and, although commonly found in chondrosarcoma, binucleated cells did not seem to be involved in these events
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