Publications by authors named "Daniel Sussman"

The properties of tissue interfaces - between separate populations of cells, or between a group of cells and its environment - has attracted intense theoretical, computational, and experimental study. Recent work on shape-based models inspired by dense epithelia have suggested a possible "topological sharpening" effect, by which four-fold vertices spatially coordinated along a cellular interface lead to a cusp-like restoring force acting on cells at the interface, which in turn greatly suppresses interfacial fluctuations. We revisit these interfacial fluctuations, focusing on the distinction between short length scale reduction of interfacial fluctuations and long length scale renormalized surface tension.

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Flocking behavior is observed in biological systems from the cellular to superorganismal length scales, and the mechanisms and purposes of this behavior are objects of intense interest. In this paper, we study the collective dynamics of bovine sperm cells in a viscoelastic fluid. These cells appear not to spontaneously flock, but transition into a long-lived flocking phase after being exposed to a transient ordering pulse of fluid flow.

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Introduction: Recent studies have identified a critical role of stromal-immune cell interactions in immunity and immune tolerance. Transcriptomic profiling has implicated stromal cells in immune-mediated disorders including the 2 common forms of inflammatory bowel disease (IBD), Crohn's disease (CD), and ulcerative colitis (UC). Stromal-immune interactions may edify inflammatory state and the development of IBD-related complications such as fibrosis, yet the lack of protein markers has hampered studying stromal-immune perturbation.

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Background: Pancreatic adenocarcinoma (PC) is a highly lethal malignancy with a survival rate of only 12%. Surveillance is recommended for high-risk individuals (HRIs), but it is not widely adopted. To address this unmet clinical need and drive early diagnosis research, we established the Pancreatic Cancer Early Detection (PRECEDE) Consortium.

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In 2021, there were about 17,000 victims of human trafficking in the United States. We present a case of a 28-year-old sex trafficking victim who was forced to swallow 2 global positioning system trackers by her perpetrator. The gastroenterology team performed an upper endoscopy and retrieved 2 global positioning system devices from her antrum.

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Background: Gastrointestinal (GI) luminal cancers can be detected at early stages by endoscopic procedures. Place-based factors, such as social deprivation and distance to specialist care, are under-investigated with regard to the stage of diagnosis.

Methods: This was a retrospective cohort study among persons ≥18 years of age in the Florida Cancer Data System, a population-based cancer incidence registry.

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Unlabelled: The occurrence of multiple primary cancers (MPC) is thought to reflect increased cancer susceptibility in patients due to a combination of genetic and environmental factors. Here we conducted a retrospective review of 2,894 consecutive patients evaluated at a single institution and identified 31 (1.14%) individuals with a history of three or more primary cancers, then analyzed the genetic and environmental influences associated with their propensity for developing malignancies.

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We study particle-scale motion in sheared highly polydisperse amorphous materials, in which the largest particles are as much as ten times the size of the smallest. We find strikingly different behavior from the more commonly studied amorphous systems with low polydispersity. In particular, an analysis of the nonaffine motion of particles reveals qualitative differences between large and small particles: The smaller particles have dramatically more nonaffine motion, which is induced by the presence of the large particles.

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Unlabelled: Since its inception two years ago, the international, multicenter Pancreatic Cancer Early Detection (PRECEDE) Consortium has enrolled high-risk individuals (HRI) undergoing pancreatic ductal adenocarcinoma (PDAC) surveillance. Herein we aim to evaluate enrollment disparities in PRECEDE. Data on HRIs enrolled between May 2020 and March 2022 were collected, with HRIs defined as participants enrolled in PRECEDE meeting guideline-based criteria for PDAC surveillance.

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Heterozygous, loss-of-function germline variants in have been associated with an increased lifetime risk of breast, pancreas, prostate, stomach, ovarian, colorectal, and melanoma cancers. We conducted a retrospective review of thirty-one unrelated patients found to be heterozygous for a germline pathogenic variant in and identified a significant proportion of patients in this cohort with cancers not currently associated with the ATM hereditary cancer syndrome, including carcinomas of the gallbladder, uterus, duodenum, kidney, and lung as well as a vascular sarcoma. A comprehensive review of the literature found 25 relevant studies where 171 individuals with a germline deleterious variant have been diagnosed with the same or similar cancers.

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Objectives: To examine the sociodemographic characteristics, activities, motivations, experiences, skills and challenges of patient partners working across multiple health system settings in Canada.

Design: Online cross-sectional survey of self-identified patient partners.

Setting: Patient partners in multiple jurisdictions and health system organisations.

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Germline pathogenic variants in the tumor suppressor gene BAP1 are associated with the hereditary tumor predisposition syndrome with susceptibility to uveal melanoma, mesothelioma, cutaneous melanoma, renal cell carcinoma, and other cancers. Germline BAP1 pathogenic variants are rare in the non-cancer general population with an estimated carrier frequency of 1:19,898 but more common in cancer patients with a carrier frequency of 1:1299. In the following we present the first report of a family with two unique BAP1 pathogenic variants.

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This study characterized compositional and functional shifts in the intestinal and oral microbiome in HIV-positive patients on antiretroviral therapy compared to HIV-negative individuals. Seventy-nine specimens were collected from 5 HIV-positive and 12 control subjects from five locations (colon brush, colon wash, terminal ileum [TI] brush, TI wash, and saliva) during colonoscopy and at patient visits. Microbiome composition was characterized using 16S rRNA sequencing, and microbiome function was predicted using bioinformatics tools (PICRUSt and BugBase).

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Background And Aims: Lynch syndrome (LS) predisposes affected individuals to a high lifetime risk of malignancies, including colorectal, endometrial, gastric, and duodenal cancers. The role of upper GI (UGI) cancer screening in LS has been uncertain, but recent studies have evaluated its utility.

Methods: Databases were queried through December 2021 to identify studies that examined upper endoscopy screening in LS using EGD.

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Article Synopsis
  • The study tested the combination of pentoxifylline (PTX) and vedolizumab (VDZ) against VDZ alone in adults with Crohn's disease to see if it was safer and more effective over 24 weeks.
  • Results showed no significant difference in clinical or endoscopic remission rates between the two groups, but the PTX group had improved clinical responses and reduced tumor necrosis factor (TNF) levels.
  • The authors concluded that while the combination treatment didn’t outperform VDZ monotherapy in overall remission, it appeared safe and demonstrated some benefits, suggesting further research should be conducted.
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Background & Aims: Significant geographic variability in gastrointestinal (GI) cancer-related death has been reported in the United States. We aimed to evaluate both modifiable and nonmodifiable factors associated with intercounty differences in mortality due to GI cancer.

Methods: Data from the Centers for Disease Control and Prevention's Wide-ranging Online Data for Epidemiologic Research platform were used to calculate county-level mortality from esophageal, gastric, pancreatic, and colorectal cancers.

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This case series describes ipilimumab/nivolumab therapy in patients with metastatic pancreatic or biliary cancer with homologous recombination deficiency (HRD) pathogenic germline variants (PGVs).

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In development and homeostasis, multi-cellular systems exhibit spatial and temporal heterogeneity in their biochemical and mechanical properties. Nevertheless, it remains unclear how spatiotemporally heterogeneous forces affect the dynamical and mechanical properties of confluent tissue. To address this question, we study the dynamical behavior of the two-dimensional cellular vertex model for epithelial monolayers in the presence of fluctuating cell-cell interfacial tensions, which is a biologically relevant source of mechanical spatiotemporal heterogeneity.

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Article Synopsis
  • Colon extranodal marginal zone lymphoma (EMZL) is not well-studied, so researchers conducted a review of cases from their institution and the SEER database to gather more information.
  • Out of the eight patients at the institution, most had stage-I disease, and initial treatments included active surveillance, polypectomy, and surgical resection, with five of six treated patients achieving complete remission.
  • The SEER database showed a 10-year overall survival rate of 73.9% among 361 patients with stage-I colon EMZL, highlighting the disease's indolent nature and suggesting non-aggressive treatment strategies could be effective.
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  • Patients with Clostridioides difficile infection (CDI) often have other health issues that need treatments that weaken their immune system.
  • The study looked at many research papers to see how these treatments affected the health outcomes of CDI patients.
  • It found that patients receiving immunosuppressive therapy had a higher risk of serious problems, like death or needing surgery, compared to those who didn't receive those treatments.
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  • The current medical student curricula often separate basic science from other subjects, despite educators' requests for a more integrated approach.
  • To address this issue, a curriculum renewal was initiated, focusing on evidence-based teaching methods.
  • The updated curriculum aims to interleave basic science concepts throughout the entire 4-year medical education program.
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