Publications by authors named "M R Rees"

KRASG12C selective inhibitors, such as sotorasib and adagrasib, have raised hopes of targeting other KRAS mutant alleles in cancer patients. We report that KRAS wild-type amplified tumor models are sensitive to treatment with the small molecule KRAS inhibitors BI-2493 and BI-2865. These pan-KRAS inhibitors directly target the "OFF" state of KRAS and result in potent anti-tumor activity in pre-clinical models of cancers driven by KRAS mutant proteins.

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Liver masses in children with underlying systemic disease or a predisposing syndrome can be benign or malignant, ranging from focal fat to hepatocellular carcinoma (HCC). Knowledge of the underlying condition, the pathophysiologic effect on the liver, and the development of liver disease and specific liver lesions allows radiologists to guide imaging with regard to modality and frequency and give recommendations for biopsy when appropriate. In some predisposition disorders, such as Beckwith Wiedemann spectrum, familial adenomatous polyposis syndrome, and tuberous sclerosis complex, established guidelines for imaging screening exist.

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Marfan syndrome, a rare autosomal dominant connective tissue disorder caused by mutations in fibrillin-1, is primarily associated with cardiovascular complications such as aortic aneurysms and dissection. Despite the organ shortage crisis, kidneys from donors with Marfan syndrome are often rejected due to concerns about potential vascular complications. This case report presents the successful transplantation of a kidney from a 47-year-old male donor with Marfan syndrome into a 66-year-old female recipient with end-stage renal disease secondary to diabetic nephropathy.

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Article Synopsis
  • Kidney diseases are linked to aging and the effects of decreased estrogen due to ovarian senescence, leading to reduced kidney function and increased cardiometabolic risks that can result in chronic kidney disease (CKD).
  • CKD can negatively impact ovarian function in women during their reproductive years.
  • An individualized menopause management approach for women with CKD includes hormone therapy based on personal preferences and cardiovascular risks, lifestyle modifications, regular monitoring, and tailored guidance for those with additional health issues.
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Article Synopsis
  • High-resolution typing of human leukocyte antigen (HLA) may enhance kidney transplantation by enabling selection of less immunogenic donors within a new 250-nautical mile allocation system.
  • A study matched 501 transplant candidates from the University of Toledo Medical Center with 4812 donors, achieving a 99.8% success rate in finding optimal matches, which significantly improved HLA immunogenicity scores compared to a historical cohort.
  • The results indicated that simulated transplants could lead to an increase in median graft survival from 13.4 years to 18.2 years, highlighting the benefits of the new donor matching approach for long-term patient outcomes.
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