Publications by authors named "Gomez H"

Tumor-specific HLA class I expression is required for cytotoxic T-cell elimination of cancer cells expressing tumor-associated or neo-antigens. Cancers downregulate antigen presentation to avoid adaptive immunity. The highly polymorphic nature of the genes encoding these proteins, coupled with quaternary-structure changes after formalin fixation, complicate detection by immunohistochemistry.

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Advanced breast cancer is an incurable disease, with a median overall survival of 3 years, including in countries without access problems. Although chemotherapy is reserved in some cases, it is still used in many countries as a first-line therapy. The aim of our study is to evaluate the first-line treatment choices and the factors that influence therapeutic decisions.

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Background: Mobility is a key social determinant of health for female sex workers (FSWs). While extant research has focused on the adverse effects of mobility for FSWs, there are very few studies that have examined the multiple ways in which mobility may impact the lives of these mobile women from their perspective. This qualitative study aims to fill this gap by exploring how mobility impacts the lives, livelihoods, and HIV care and treatment from the perspectives of women living with HIV in two epidemic settings, the Dominican Republic and Tanzania.

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Background And Objective: Subcutaneous injection of biotherapeutics has attracted considerable attention in the pharmaceutical industry. However, there is limited understanding of the mechanisms underlying the absorption of drugs with different molecular weights and the delivery of drugs from the injection site to the targeted tissue.

Methods: We propose the MPET-mPBPK model to address this issue.

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Female sex workers (FSW) living with HIV experience greater depression and worse HIV outcomes than people living with HIV (PLHIV) overall. Mindfulness is related to lower depression and higher ART adherence in PLHIV. Few studies have assessed these relationships among FSW, especially longitudinally.

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Cell migration via autologous chemotaxis in the presence of interstitial fluid flow is important in cancer metastasis and embryonic development. Despite significant recent progress, our understanding of flow-induced autologous chemotaxis of multicellular systems remains poor. The literature presents inconsistent findings regarding the effectiveness of collective autologous chemotaxis of densely packed cells under interstitial fluid flow.

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Most passive droplet transport strategies rely on spatial variations of material properties to drive droplet motion, leading to gradient-based mechanisms with intrinsic length scales that limit the droplet velocity or the transport distance. Here, we propose droplet , a novel mechanism that leverages an anisotropic fiber-reinforced deformable solid to achieve spontaneous and gradient-free droplet transport. Using high-fidelity simulations, we identify the fluid wettability, fiber orientation, anisotropy strength and elastocapillary number as critical parameters that enable controllable droplet velocity and long-range droplet transport.

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Article Synopsis
  • - Chronic respiratory diseases impact over 450 million people globally, causing about 4 million deaths annually, and most treatments currently focus on direct lung medication.
  • - There’s an important connection between the lungs and other organs, indicating that treating related conditions, like obesity and atherosclerosis, could help manage lung disease better.
  • - The review emphasizes the need for new preclinical models, including advanced 3D cell cultures, to enhance understanding of disease processes and aid in drug discovery, based on recent findings from a 2023 scientific meeting.
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Introduction: Advanced malignant melanoma is a very aggressive disease, historically with poor prognosis before the new advances with immunotherapy and targeted therapies that have changed the standard of care, especially in cutaneous melanoma. Peru has aggressive features such as higher rates of acral lentiginous melanoma (ALM) subtype with historically shorter survival.

Methods: This study describes Peruvian patients with advanced melanoma treated with immunotherapy (nivolumab) in two oncological institutions (public and private), including the discussion of the impact on overall survival (OS) divided by subtype (with incidence in ALM histology) and potential biomarkers that could be related to prognosis.

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Background: Rejection from parents can lead transgender (trans) youth and young adults to experience poor health outcomes, while parental and sibling acceptance and support can be protective against poor health outcomes. The role of family in adult trans women's lives has been minimally investigated.

Aim: This study aimed to explore experiences of familial rejection, acceptance, and support in the lives of trans women sex workers living with HIV in the Dominican Republic.

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  • Obstructive sleep-disordered breathing (oSDB) is becoming more common worldwide, especially in children, and it can lead to various health issues that impact quality of life.
  • Researchers studied the tonsils of children with oSDB to identify specific genes that may serve as biomarkers, focusing on the presence of Epstein-Barr virus (EBV) and the use of CPAP treatment.
  • Nineteen specific genes were found to be dysregulated in the tonsils, suggesting they could help assess the severity and related health problems of oSDB, and that their levels may be influenced by EBV infection.
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  • Collective migration of eukaryotic cells is guided by chemotaxis and plays a crucial role in processes like cancer spread, wound healing, and embryonic development.
  • Understanding collective chemotaxis is complex due to cells’ ability to detect tiny gradients of chemoattractants, influenced by their interactions and distribution dynamics.
  • The authors introduce a new computational method called Dynamic Cluster Field modeling (DCF) that enables large-scale simulations of cell migration and chemoattractant dynamics, demonstrating its effectiveness against experimental results in various scenarios.
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  • - The study aimed to evaluate a closed-loop resuscitation algorithm called ReFit1 and ReFit2, which uses various hemodynamic parameters to effectively manage severe hemorrhagic shock in a pig model.
  • - The ReFit algorithm determines the need for fluids and medications based on real-time monitoring of vital signs, such as mean arterial pressure and mixed venous oxygen saturation, to drive automated treatments.
  • - Results showed that the time to stabilize the pigs using these algorithms was comparable to traditional methods used by expert clinicians, with similar treatment volumes, and ReFit1 also successfully addressed complications like acute air embolism in some animals.
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  • - The study investigates the relationship between CD44 and CD63 protein expressions and various clinicopathological features in breast cancer, including tumor-infiltrating lymphocytes, specific genetic mutations, and patient survival rates.
  • - Findings from 101 breast cancer samples reveal that high CD44 expression is linked to younger age, a triple-negative cancer type, and shorter survival, while high CD63 density correlates with estrogen receptor positivity and lower tumor-infiltrating lymphocyte levels.
  • - The results suggest that CD44 is associated with more aggressive cancer characteristics, while lower CD63 density is observed in tumors with aggressive traits.
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Background: Identification of biomarkers to optimize treatment strategies for early-stage triple-negative breast cancer (TNBC) is crucial. This study presents the development and validation of TNBC-DX, a novel test aimed at predicting both short- and long-term outcomes in early-stage TNBC. The objective of this study was to evaluate the association between TNBC-DX and efficacy outcomes [pathologic complete response (pCR), distant disease-free survival (DDFS) or event-free survival (EFS), and overall survival (OS)] in the validation cohorts.

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Background: Dual anti-human epidermal growth factor receptor 2 (HER2) blockade has improved the outcomes of patients with early and metastatic HER2-positive breast cancer. Here we present the final 10-year analysis of the ALTTO trial.

Patients And Methods: The ALTTO trial (NCT00490139) is a prospective randomized, phase III, open-label, multicenter study that investigated the role of adjuvant chemotherapy and trastuzumab alone, in combination or sequentially with lapatinib.

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There is increasing evidence that thirdhand exposure to e-cigarette vapor (e-vapor) can have detrimental effects on the lungs. However, whether maternal exposure during pregnancy results in harmful changes to the offspring is unknown. Using two different e-cigarette settings (low vs.

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In halftone-driven imaging pipelines focus is often placed on halftone pattern design as the main contributor to overall output quality. However, for sequential or cumulative imaging technologies, such as multi-pass printing, an important element is also pattern partitioning - how the overall halftone pattern is divided among the different partial imaging events such as printing passes. Partitioning is usually designed agnostically of the halftone pattern, making it impossible to optimize for the joint effect of halftone and partitioning.

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  • The CAPItello-291 study examined the effectiveness of the drug combination capivasertib and fulvestrant in treating advanced HR-positive, HER2-negative breast cancer in patients whose cancer progressed after previous treatments.
  • Results indicated that patients receiving the capivasertib plus fulvestrant treatment experienced longer progression-free survival (7.2 months) compared to those receiving placebo plus fulvestrant (3.6 months).
  • Common side effects included diarrhea and rashes, but the study is still ongoing, and more results are anticipated in the future.
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JCO The APHINITY trial (ClinicalTrials.gov identifier: NCT01358877) previously demonstrated that pertuzumab added to adjuvant trastuzumab and chemotherapy improved invasive disease-free survival (iDFS) for patients with early human epidermal growth factor receptor 2-positive (HER2+) breast cancer (BC). Here, we report the preplanned third interim analysis of overall survival (OS) and a descriptive updated iDFS analysis with 8.

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Influenza A virus (IAV) infection is a major health risk during pregnancy. Although vaccination and antiviral agents are widely used and reduce IAV-induced symptoms, they are not sufficient to control IAV infections in pregnancy, especially during pandemics. Respiratory viruses like IAV exploit immune alterations that occur during pregnancy, including the upregulation of immune checkpoint proteins (ICPs) like programmed death ligand-1 (PDL1), programmed cell death receptor 1 (PD1), and cytotoxic T-lymphocyte-associated protein 4 (CTLA4).

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  • - Capivasertib, a selective pan-AKT inhibitor, was shown to significantly improve progression-free survival when added to fulvestrant compared to fulvestrant alone in patients with advanced breast cancer (P < 0.001), specifically those who had previously experienced disease progression on aromatase inhibitors.
  • - In a randomized trial with 708 patients, individuals received either capivasertib plus fulvestrant or a placebo plus fulvestrant, with safety analyses revealing common adverse events (AEs) like diarrhea, rash, and hyperglycemia associated with capivasertib treatment.
  • - Among 705 patients analyzed, 72.4% experienced diarrhea, while 38% had a rash
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  • CAPItello-291 is a phase 3 clinical trial studying the effects of capivasertib combined with fulvestrant on progression-free survival in patients with advanced hormone receptor-positive, HER2-negative breast cancer who experienced relapse after aromatase inhibitors.
  • The trial involved a diverse group of participants, including both men and women aged 18 and older, and was conducted across 193 centers in 19 countries, focusing on those with a specific type of breast cancer and previous treatment history.
  • Researchers also assessed the impact of this treatment on quality of life, symptoms, and tolerability, aiming to analyze how the new combination therapy affects overall health and wellbeing beyond just cancer progression.
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  • Persistent acute kidney injury (pAKI) has a worse prognosis than transient acute kidney injury (AKI) in critically ill patients, but its impact and definitions are less understood in organ transplant recipients.
  • A systematic review of 25 studies involving 6,330 patients showed a wide variation in the incidence and definitions of pAKI among heart, lung, and liver transplant recipients.
  • pAKI is linked to higher rates of new chronic kidney disease, graft dysfunction, and long-term mortality, highlighting the need for standardized definitions in future research.
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Background: Genetic breeding is essential to develop grapevine genotypes adapted to warm climates and resistant to pathogens. Traditionally cultivated Vitis vinifera is susceptible to biotic and abiotic stresses. Winemakers and consumers, however, perceive wines from non-vinifera or hybrid cultivars as inferior.

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