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Brain Tumor

Cord Blood-Derived Natural Killer Cells Complexed with Bispecific Antibody Show High Response Rates in Patients with Lymphoma

A novel cell therapy approach using cord blood-derived natural killer (NK) cells pre-complexed with AFM13, or acimtamig, a CD30/CD16A bispecific antibody, was safe and generated strong response rates for patients with refractory CD30-positive lymphomas, according to a new study.

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Cord blood-derived natural killer (NK) cells complexed with bispecific antibody AFM13 have shown high response rates in patients with refractory CD30-positive lymphomas. A recent study from The University of Texas MD Anderson Cancer Center published in Nature Medicine demonstrated an overall response rate of 92.9% and a complete response of 66.7% in heavily pretreated patients.

The trial used AFM13, a CD30/CD16A bispecific antibody designed to bind to NK cells and lymphoma cells. This unique approach pre-complexed the NK cells with AFM13 before infusion into patients, allowing for more efficient targeting and elimination of cancer cells.

“We observed rapid and strong responses to this novel approach of treating patients with AFM13-NK,” said principal investigator Yago Nieto, M.D., Ph.D. “These data lend support to this approach being considered as a possible curative treatment for some patients and a bridge to a stem cell transplant for others.”

The trial enrolled 42 adult patients with CD30-positive Hodgkin lymphoma or T-cell lymphoma, who were heavily pretreated and refractory to brentuximab vedotin and anti-PD1 immune checkpoint inhibitors. Patients received two to four cycles of chemotherapy followed by AFM13-NK cell infusion at three dose levels.

The overall response rate (ORR) was 92.9%, with a complete response (CR) of 66.7%. Among patients with Hodgkin lymphoma, the ORR and CR were 97.3% and 73%, respectively. At a median follow-up of 20 months, the two-year event-free survival (EFS) and overall survival (OS) rates for all participants were 26.2% and 76.2%, respectively.

The AFM13-NK cell treatment was well tolerated, with no cases of cytokine release syndrome, immune cell-associated neurotoxicity syndrome, or graft-versus-host disease. There was one case of Grade 2 infusion-related reaction.

“Our trial showed the favorable safety profile and encouraging activity of AFM13-NK cells in patients with heavily pretreated refractory CD30-positive Hodgkin lymphoma,” said Nieto. “This approach holds promise for the treatment of Hodgkin lymphoma and supports future research into the clinical applications of NK cells with bispecific engagers.”

Birth Defects

Unconsciousness by Design: How Anesthetics Shift Brainwave Phase to Induce Slumber

A new study finds that an easily measurable brain wave shift of phase may be a universal marker of unconsciousness under general anesthesia.

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The rewritten article aims to make the complex scientific concepts more accessible to a general audience while maintaining the core ideas and findings of the original study.

Unconsciousness by Design: How Anesthetics Shift Brainwave Phase to Induce Slumber

Scientists have long been fascinated by the mysterious world of unconsciousness, trying to understand what happens in our brains when we fall asleep or are anesthetized. A new study has shed light on this phenomenon, revealing a common thread among different anesthetics: they all induce unconsciousness by shifting brainwave phase.

Ketamine and dexmedetomidine, two distinct anesthetics with different molecular mechanisms, were used in the study to demonstrate how these drugs achieve the same result – inducing unconsciousness. By analyzing brain wave activity, researchers found that both anesthetics push around brain waves, causing them to fall out of phase.

In a conscious state, local groups of neurons in the brain’s cortex can share information to produce cognitive functions such as attention, perception, and reasoning. However, when brain waves become misaligned, these local communications break down, leading to unconsciousness.

The study, led by graduate student Alexandra Bardon, discovered that the way anesthetics shift brainwave phase is a potential signature of unconsciousness that can be measured. This finding has significant implications for anesthesiology care, as it could provide a common new measure for anesthesiologists to ensure patients remain unconscious during surgery.

“If you look at the way phase is shifted in our recordings, you can barely tell which drug it was,” said Earl K. Miller, senior author of the study and Picower Professor. “That’s valuable for medical practice.”

The researchers also found that distance played a crucial role in determining the change in phase alignment. Even across short distances, low-frequency waves moved out of alignment, with a 180-degree shift observed between arrays in the upper and lower regions within a hemisphere.

This study raises many opportunities for follow-up research, including exploring how other anesthetics affect brainwave phase and investigating the role of traveling waves in the phenomenon. Furthermore, understanding the difference between anesthesia-induced unconsciousness and sleep could lead to new insights into the mechanisms that generate consciousness.

In conclusion, this study provides a fascinating glimpse into the world of unconsciousness, revealing a common thread among different anesthetics. By continuing to explore the intricacies of brainwave phase alignment, scientists may uncover more secrets about the mysteries of the human brain.

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Brain Tumor

Early-Onset Cancers on the Rise: A Growing Concern for Public Health

Researchers have completed a comprehensive analysis of cancer statistics for different age groups in the United States and found that from 2010 through 2019, the incidence of 14 cancer types increased among people under age 50.

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The National Institutes of Health (NIH) has conducted a comprehensive analysis of cancer statistics for different age groups in the United States. The study reveals that between 2010 and 2019, the incidence rates of 14 cancer types increased among people under the age of 50. These cancer types include breast cancer, colorectal cancer, kidney cancer, uterine cancer, and others.

Lead investigator Meredith Shiels, Ph.D., notes that this study provides a starting point for understanding which cancers are increasing among individuals under 50. The causes of these increases are likely to be specific to each type of cancer, including changes in cancer risk factors, screening or detection methods, and clinical diagnosis or coding.

The researchers analyzed incidence and mortality trends for 33 cancer types using data from the Centers for Disease Control and Prevention’s United States Cancer Statistics database and national death certificate data. They examined six age groups: three early-onset (15-29 years, 20-39 years, and 40-49 years) and three older-onset (50-59 years, 60-69 years, and 70-79 years).

The study found that the incidence of nine cancer types increased in at least one of the younger age groups, including female breast, colorectal, kidney, testicular, uterine, pancreatic, and three types of lymphoma. Although death rates did not increase in early-onset age groups for most of these cancers, researchers observed concerning increases in rates of colorectal and uterine cancer deaths at younger ages.

Only five cancer types increased in incidence among one of the younger age groups but not among any of the older age groups: melanoma, cervical cancer, stomach cancer, myeloma, and cancers of the bones and joints.

To better understand the magnitude of these increases, researchers estimated how many additional people were diagnosed with early-onset cancers in 2019 compared to expected diagnoses based on rates in 2010. The largest absolute increases were seen for female breast cancer (4,800 additional cases), followed by colorectal (2,100), kidney (1,800), uterine (1,200), and pancreatic cancers (500).

The researchers speculate that risk factors such as increasing obesity may have contributed to some of the increases in early-onset cancer incidence. Changes in cancer screening guidelines, advances in imaging technologies, and increased surveillance of high-risk individuals may also have led to earlier cancer diagnoses, potentially contributing to rising rates among younger age groups.

To more fully understand and address these increasing rates, future studies should examine trends in early-onset cancers across demographics and geography in the U.S. and internationally. Additional research is also needed to better understand the risk factors that are particularly relevant to younger people.

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Brain Tumor

Sleep Apnea Linked to Brain Changes and Cognitive Decline in Older Adults

Obstructive sleep apnea, a condition that causes lower oxygen levels during sleep, is linked to degeneration of brain regions associated with memory through damage to the brain’s small blood vessels, according to a new study. The study found the brain changes were strongly associated with the severity of drops in oxygen levels during rapid eye movement (REM) sleep. The study does not prove that sleep apnea causes this degeneration; it only shows an association.

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Sleep apnea, a condition that causes repeated disruptions to breathing during sleep, has been linked to cognitive decline and memory-related brain changes in older adults. A study published online in Neurology found that the severity of drops in oxygen levels during rapid eye movement (REM) sleep was strongly associated with degeneration of brain regions associated with memory.

Obstructive sleep apnea occurs when throat muscles relax during sleep, blocking the airway and causing a person to wake up repeatedly to breathe. This disrupted sleep pattern can lower oxygen levels, which in turn can damage small blood vessels in the brain.

The study included 37 people with an average age of 73 who did not have cognitive impairment. Researchers measured their oxygen levels throughout the night during all stages of sleep, including REM sleep. Participants also had brain scans to measure brain structure and took a memory test before and after sleep.

The results showed that lower oxygen levels during REM sleep were associated with higher levels of white matter hyperintensities in the brain, which can be caused by injury to small blood vessels. Having a blood oxygen level of 90% or lower is cause for concern. The study also found that having more white matter hyperintensities was linked to decreased volume and reduced thickness in areas associated with memory.

“This study may partially explain how obstructive sleep apnea contributes to cognitive decline associated with aging and Alzheimer’s disease,” said study author Bryce A. Mander, PhD. “It highlights the importance of addressing sleep disorders as a potential risk factor for cognitive decline.”

The study has some limitations, including that participants were primarily white and Asian people, so results may not be the same for other populations.

Overall, the findings suggest that sleep apnea is associated with cognitive decline and memory-related brain changes in older adults. Addressing sleep disorders and maintaining good sleep hygiene can help mitigate these risks.

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