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Brain Tumor

Explosive Growth of Blood Cancer Uncovered: A Single Genetic ‘Hit’ Drives Rapid Progression

Researchers have explored the evolution of the genetic change that causes chronic myeloid leukaemia and show its ability to drive the disease.

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The study has made a groundbreaking discovery about the rapid growth rates of cancerous cells in chronic myeloid leukaemia (CML), a type of blood and bone marrow cancer. Researchers from the Wellcome Sanger Institute used whole genome sequencing to investigate when the abnormal fusion gene BCR::ABL1 arises in a blood cell and how quickly these cells with this genetic change multiply and expand, leading to a diagnosis of CML.

The study, published in Nature, found that the BCR::ABL1 fusion gene typically appears three to 14 years before diagnosis. Once this fusion occurs, the tumour clones grow very quickly, sometimes in excess of 100,000 percent growth annually. This rapid growth is substantially faster than the growth rates of other blood cancers and solid tumours.

Interestingly, age impacts tumour growth rates, with younger patients showing much higher rates at which cancerous cells with the fusion gene multiply compared to older patients. The study also found that patients with faster-growing CML were less likely to respond well to tyrosine kinase inhibitors (TKIs), the standard treatment for CML.

The researchers analyzed sequencing data and health records from over 200,000 participants in the USA-based “All of Us” cohort, showing that almost all individuals with BCR::ABL1 were later diagnosed with a blood disorder. This suggests that expansion of BCR::ABL1 clones without developing subsequent symptoms is unlikely.

Dr Aleksandra Kamizela, co-first author of the study, noted that healthcare professionals can now use this information to better predict patient responses to treatment in a clinical setting. Dr Jyoti Nangalia, senior author of the study, added that CML is an outlier compared to other cancers and that this work paves the way to understanding how to optimise treatment for those patients who currently respond poorly to treatment.

The results have significant implications for the future clinical management of CML, highlighting the importance of considering cancer cell growth rates in a clinical setting.

Brain Tumor

“Revolutionizing Lymphoma Treatment: Enhanced CAR T Cell Therapy Shows Promise in Small Study”

A phase I study of a next-generation CAR T cell therapy showed a 52 percent complete remission rate for patients with relapsed/refractory lymphoma.

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The article describes a groundbreaking study that has shown promising results in treating lymphoma patients who have resisted multiple rounds of other cancer treatments, including commercially available CAR T cell therapies. The new enhanced CAR T cell therapy, dubbed huCART19-IL18, was found to be highly effective in 81% of patients and resulted in complete remission in 52%. This is a significant improvement over traditional CAR T cell therapies, which have been shown to result in long-term remission in only around 50% of patients.

The study, led by researchers at the University of Pennsylvania, used a new process that shortens the manufacturing time for the CAR T cells to just three days. This means that patients with aggressive, fast-growing cancers can begin CAR T cell therapy quicker than is currently possible with standard manufacturing times of nine to 14 days.

The addition of interleukin 18 (IL18) to the CAR T cells enhanced their ability to attack cancer cells and protected them from immune suppression and T cell exhaustion. The researchers also found that the type of CAR T cell therapy patients previously received may impact the efficacy of huCART19-IL18.

This study represents a significant development in the ongoing evolution of CAR T cell therapy, as it is the first time a cytokine-enhanced CAR T has been tested in patients with blood cancer. The researchers believe that incorporating cytokine secretion into CAR T cell design will have broad implications for enhancing cellular therapies, even beyond blood cancers.

The study has already led to several other clinical trials being planned, including studies for acute lymphocytic leukemia (ALL) and chronic lymphocytic leukemia (CLL). Another trial for non-Hodgkin’s lymphoma using a similar IL18-armored CAR T cell product is currently enrolling patients. On the manufacturing side, the team is partnering with a Penn spinout company to improve the process for how these CAR T cells are created and expanded in the laboratory before being reinfused into the patient.

Overall, this study has shown promise in treating lymphoma patients who have resisted multiple rounds of other cancer treatments, and further research is needed to fully understand its potential.

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Biochemistry

A Breakthrough in Brain Research: The Iontronic Pipette Revolutionizes Neurological Studies

Researchers have developed a new type of pipette that can deliver ions to individual neurons without affecting the sensitive extracellular milieu. Controlling the concentration of different ions can provide important insights into how individual brain cells are affected, and how cells work together. The pipette could also be used for treatments.

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The development of an iontronic pipette at Linköping University has opened up new avenues for neurological research. This innovative tool allows researchers to deliver ions directly to individual neurons without affecting the surrounding extracellular milieu. By controlling the concentration of various ions, scientists can gain valuable insights into how brain cells respond to different stimuli and interact with each other.

The human brain consists of approximately 85-100 billion neurons, supported by a similar number of glial cells that provide essential functions such as nutrition, oxygenation, and healing. The extracellular milieu, a fluid-filled space between the cells, plays a crucial role in maintaining cell function. Changes in ion concentration within this environment can activate or inhibit neuronal activity, making it essential to study how local changes affect individual brain cells.

Previous attempts to manipulate the extracellular environment involved pumping liquid into the area, disrupting the delicate biochemical balance and making it difficult to determine whether the substances themselves or the changed pressure were responsible for the observed effects. To overcome this challenge, researchers at the Laboratory of Organic Electronics developed an iontronic micropipette measuring only 2 micrometers in diameter.

This tiny pipette can deliver ions such as potassium and sodium directly into the extracellular milieu, allowing scientists to study how individual neurons respond to these changes. Glial cell activity is also monitored, providing a more comprehensive understanding of brain function.

Theresia Arbring Sjöström, an assistant professor at LOE, highlighted that glial cells are critical components of the brain’s chemical environment and can be precisely activated using this technology. In experiments conducted on mouse hippocampus tissue slices, it was observed that neurons responded dynamically to changes in ion concentration only after glial cell activity had saturated.

This research has significant implications for neurological disease treatment. The iontronic pipette could potentially be used to develop extremely precise treatments for conditions such as epilepsy, where brain function can be disrupted by localized imbalances in ion concentrations.

Researchers are now continuing their studies on chemical signaling in healthy and diseased brain tissue using the iontronic pipette. They also aim to adapt this technology to deliver medical drugs directly to affected areas of the brain, paving the way for more targeted treatments for neurological disorders.

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Brain Tumor

Hair-like Electrodes Revolutionize Brain Activity Monitoring

Researchers have created a hairlike device for long-term, non-invasive monitoring of the brain’s electrical activity. The lightweight and flexible electrode attaches directly to the scalp and delivers stable, high-quality electroencephalography (EEG) recordings.

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In the realm of electroencephalography (EEG) monitoring, researchers at Penn State have made a groundbreaking discovery – one that could revolutionize the way we monitor brain activity. Gone are the days of cumbersome metal electrodes; instead, a team of scientists has created hair-like devices for non-invasive, long-term monitoring.

The innovative electrode is designed to mimic human hair and can be worn without drawing attention. This lightweight and flexible device captures stable, high-quality recordings of the brain’s signals for over 24 hours of continuous wear. The traditional metal electrodes used in EEG monitoring are rigid and can shift when someone moves their head, compromising data uniformity.

The new electrode uses a 3D-printed bioadhesive ink that allows it to stick directly onto the scalp without any gloopy gels or skin preparation. This minimizes the gap between the electrode and skin, improving signal quality. The device is also stretchable, ensuring it stays put even when combing hair or wearing a baseball cap.

The researchers found that the new device performed comparably to gold electrodes, the current standard for EEG monitoring. However, the hair-like electrode maintained better contact between the electrode and skin and performed reliably for extended periods without any degradation in signal quality.

According to Tao Zhou, Wormley Family Early Career Professor of Engineering Science and Mechanics, this technology holds promise for use in consumer health and wellness products, as well as clinical healthcare applications.

The conventional EEG monitoring process can be a cumbersome affair, requiring the application of gels to maintain good surface-to-surface contact between the electrodes and skin. This process is imprecise and can result in different amounts of gel used on the electrodes, affecting brain signal quality.

Zhou explained that this new device will change the impedance – or interface – between the electrodes and scalp, ensuring more consistent and reliable monitoring of EEG signals. The researchers also hope to make the system wireless in the future, allowing people to move around freely during recording sessions.

The team’s findings were published in a study in npc biomedical innovations, with funding from various institutions, including the National Institutes of Health and Oak Ridge Associated Universities.

In conclusion, the development of hair-like electrodes for brain activity monitoring is a significant breakthrough that could revolutionize the field. With its potential for non-invasive, long-term monitoring, this technology has far-reaching implications for healthcare and consumer products alike.

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