Contemporary Management of Locally Advanced and Recurrent Rectal Cancer: Views from the PelvEx Collaborative

Pelvic exenteration is a complex operation performed for locally advanced and recurrent pelvic cancers. The goal of surgery is to achieve clear margins, therefore identifying adjacent or involved organs, bone, muscle, nerves and/or vascular structures that may need resection. While these extensive resections are potentially curative, they can be associated with substantial morbidity. Recently, there has been a move to centralize care to specialized units, as this facilitates better multi-disciplinary care input. Advancements in pelvic oncology and surgical innovation have redefined the boundaries of pelvic exenterative surgery. Combined with improved neoadjuvant therapies, advances in diagnostics, and better reconstructive techniques have provided quicker recovery and better quality of life outcomes, with improved survival This article provides highlights of the current management of advanced pelvic cancers in terms of surgical strategy and potential future developments

Linking protein N-glycosylation and CF : malfunctioning CFTR and pulmonary infection yield aberrant N-glycosylation of sputum derived proteins of CF individuals

Objectives: Mucins are abundant glycoproteins in human lungs. It is wellestablished that airway mucin O-glycosylation is aberrant in cystic fibrosis (CF) and involved directly or indirectly in the pathogenesis. As the first, we here investigate and establish the link between protein N-glycosylation and CF. Methods: N-glycosylation of crudely isolated sputum non-mucin proteins of five CF and five non-CF individuals with and without pulmonary infection was mapped using liquid chromatography and tandem mass spectrometry based glycomics and glycoproteomics. The resulting glycoprofiles were qualitatively and quantitatively compared between the patient groups. Results: Despite covering different patient characteristics including CFTR genotypes, age, gender and microbial flora, the sputum N-glycomes showed little interperson and longitudinal variation within the patient groups. Inter-group comparisons revealed that lung infection, primarily caused by P. aeruginosa, extensively altered the CF sputum N-glycosylation to paucimannoside rich profiles with simultaneous over-sialylation/fucosylation and under-bisecting GlcNAcylation of the complex N-glycans. The CF genotype in itself yielded fewer sputum N-glycome alterations by slightly increasing the abundance of paucimannose N-glycans in CF relative to pathogen-infected non-CF individuals. Conclusion: We have established that the absence of a functional CFTR and more importantly the bacterial infection of the respiratory tract of CF patients affect their sputum N-glycosylation phenotype. This study provides an important platform to further understand the complex cellular and molecular environment of the respiratory tract in CF.1 page(s

FUT1 genetic variants impact protein glycosylation of porcine intestinal mucosa

A massive use of antibiotics in industrial pig production is a major cause of the rapidly rising bacterial resistance to antibiotics. An enhanced understanding of infectious diseases and of host-micr obe interactions has the potential to explore alternative ways to improve pig health and reduce the need for antibiotics. Host-microbe interactions depend on host-expressed glycans and microbe-carrying lectins. In this study, a G > A (nucleotide 307) missense mutation in the porcine α1,2fucosyltransferase 1 gene (FUT1), which has been reported to prevent infections by the common porcine enteric pathogen F18 fimbriated Escherichia coli, provided a unique opportunity to study glycan structures potentially involved in intestinal infections. N- and O-Linked glycans of the intestinal mucosa proteins were characterized in detail using LC-MS/MS. Relative abundances of all glycans were determined and compared between four heterozygous pigs (FUT1-307A/G) and four age-matched homozygous pigs from the same 2 litters carrying the missense FUT1 gene constellation (FUT1-307A/A). None of the characterized 48 N-linked glycans was found to be regulated by the FUT1 missense mutation, while 11 of the O-linked glycans showed significantly altered abundances between the two genotypes. The overall abundance of H-antigen carrying structures was decreased fivefold, while H-antigen precursors and sialylated structures were relatively more abundant in pigs with the FUT1 missense mutation. These results provide insight into the role of FUT1 on intestinal glycosylation, improve our understanding of how variation in FUT1 can modulate host-microbe interactions, and suggest that the FUT1 genetic variant may help to improve pig gut health.16 page(s