Publications by authors named "Tobin R"

Effective antitumor T cell activity relies on the expression and MHC presentation of tumor neoantigens. Tumor cells can evade T cell detection by silencing the transcription of antigens or by altering MHC machinery, resulting in inadequate neoantigen-specific T cell activation. We identified the DNA-protein kinase inhibitor (DNA-PKi) NU7441 as a promising immunomodulator that reduced immunosuppressive proteins, while increasing MHC-I expression in a panel of human melanoma cell lines.

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Inclisiran is a novel small interfering RNA targeting proprotein convertase subtilisin/kexin type 9 (PCSK9) that was approved by the US FDA in December 2021. After two doses three months apart, it is administered biannually as a subcutaneous injection and has been shown to lower LDL-C by ∼50 % in clinical trials. Here, we present real-world data on the prescription and administration of inclisiran at the University of Pennsylvania Health Systems.

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  • Constrictive pericarditis is a condition caused by chronic inflammation of the pericardium, with tuberculosis being a common cause outside the U.S. and a serious complication of pericardial disease.
  • A case study as illustrated by a 31-year-old man who experienced symptoms like chest pain and dyspnea, leading to diagnoses through various tests, including an echocardiogram and right heart catheterization.
  • The patient's treatment involved surgery to remove thickened pericardium and a 6-month antibiotic therapy regimen, underscoring the need for a multidisciplinary approach in managing this condition, especially in cases tied to tuberculosis.
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Background: Residential aged-care facilities (RACFs, also called long-term care facilities, aged care homes, or nursing homes) have elevated risks of respiratory infection outbreaks and associated disease burden. During the COVID-19 pandemic, social isolation policies were commonly used in these facilities to prevent and mitigate outbreaks. We refer specifically to general isolation policies that were intended to reduce contact between residents, without regard to confirmed infection status.

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  • Vamorolone, a new steroid, showed similar benefits to prednisone for muscle function in kids with Duchenne muscular dystrophy (DMD) while promoting better growth and bone health in trials.
  • The study aimed to compare how often adrenal suppression (AS) occurred with vamorolone versus prednisone in young patients and to evaluate cortisol levels using a specific immunoassay.
  • Results indicated that AS was common in both treatments, particularly with higher doses of vamorolone, and suggested that a lower cortisol level threshold may be needed for accurate assessment, recommending hydrocortisone for stress dosing.
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Disease surveillance data was critical in supporting public health decisions throughout the coronavirus disease 2019 (COVID-19) pandemic. At the same time, the unprecedented circumstances of the pandemic revealed many shortcomings of surveillance systems for viral respiratory pathogens. Strengthening of surveillance systems was identified as a priority for the recently established Australian Centre for Disease Control, which represents a critical opportunity to review pre-pandemic and pandemic surveillance practices, and to decide on future priorities, during both pandemic and inter-pandemic periods.

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  • Patients with acral and mucosal melanomas (A/M) have fewer treatment options and worse outcomes compared to those with cutaneous melanomas.
  • The study analyzed 156 melanoma cases and discovered new genomic alterations in A/M melanomas that could be targeted for treatment.
  • Key findings included unique alterations specific to A/M melanomas that respond to certain inhibitors, suggesting a need for tailored clinical testing and treatment strategies.
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  • - The study investigates the impact of a CLIP antagonist peptide (CAP) on B cell expansion and neuroprotective effects in 5xFAD mice, which are a model for Alzheimer's disease and have a history of traumatic brain injury (TBI).
  • - Results showed that treatment with CAP significantly reduced CLIP-positive B cells and improved various impairments related to the immune system and neurobehavioral functions in the 5xFAD mice over a period of six months.
  • - However, TBI seemed to negate the effectiveness of CAP in reducing B cell populations and also exacerbated several pathological features of Alzheimer's disease, indicating a complex interaction between TBI and AD.
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Immune checkpoint inhibitors (ICIs) are now the first-line treatment for patients with advanced melanoma. Despite promising clinical results, many patients fail to respond to these therapies. BH3 mimetics, a novel class of small molecule inhibitors that bind and inhibit anti-apoptotic members of the BCL2 family proteins such as BCL2 or MCL1, have been very successful in treating hematologic malignancies.

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Background: Treatment with tumor-infiltrating lymphocytes (TILs) is rapidly evolving for patients with solid tumors. Following metastasectomy, TILs (autologous, intratumoral CD4+ and CD8+ T cells with the potential to recognize tumor-associated antigens) are isolated and non-specifically expanded ex vivo in the presence of interleukin-2 (IL-2). Subsequently, the TILs are adoptively transferred to the patients after a preconditioning non-myeloablative, lymphodepleting chemotherapy regimen, followed by administration of high-dose (HD) IL-2.

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Background: Plasmodium knowlesi is a zoonotic parasite that causes malaria in humans. The pathogen has a natural host reservoir in certain macaque species and is transmitted to humans via mosquitoes of the Anopheles Leucosphyrus Group. The risk of human P.

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Disease surveillance aims to collect data at different times or locations, to assist public health authorities to respond appropriately. Surveillance of the simian malaria parasite, , is sparse in some endemic areas and the spatial extent of transmission is uncertain. Zoonotic transmission of has been demonstrated throughout Southeast Asia and represents a major hurdle to regional malaria elimination efforts.

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  • Natural language processing (NLP) shows promise for automating the reading of radiology reports, but its adaptability and reliability for clinical use still need confirmation.
  • A study compared four NLP tools (EdIE-R, ALARM+, ESPRESSO, and Sem-EHR) on their performance in identifying cerebrovascular conditions (ischaemic stroke, small vessel disease, and atrophy) using reports and imaging data from NHS Fife and Generation Scotland.
  • Results indicated that EdIE-R consistently achieved the highest F1 scores across most conditions, while ALARM+ showed strong performance, especially in precision, highlighting the varied effectiveness of these tools.
  • Overall, the findings suggest that while these NLP tools can classify medical conditions, their performance can differ significantly
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Unconventional T cells represent a promising therapeutic agent to overcome the current limitations of immunotherapies due to their universal T-cell receptors, ability to respond directly to cytokine stimulation, and capacity to recruit and modulate conventional immune cells in the tumor microenvironment. Like conventional T cells, unconventional T cells can enter a dysfunctional state, and the functional differences associated with this state may provide insight into the discrepancies observed in their role in antitumor immunity in various cancers. The exhaustive signature of unconventional T cells differs from conventional αβ T cells, and understanding the differences in the mechanisms underlying exhaustive differentiation in these cell types may aid in the discovery of new treatments to improve sustained antitumor responses.

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The ability for vaccines to protect against infectious diseases varies among individuals, but computational models employed to inform policy typically do not account for this variation. Here we examine this issue: we implement a model of vaccine efficacy developed in the context of SARS-CoV-2 in order to evaluate the general implications of modelling correlates of protection on the individual level. Due to high levels of variation in immune response, the distributions of individual-level protection emerging from this model tend to be highly dispersed, and are often bimodal.

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We model the effects of disease and other exogenous damage during human aging. Even when the exogenous damage is repaired at the end of acute disease, propagated secondary damage remains. We consider both short-term mortality effects due to (acute) exogenous damage and long-term mortality effects due to propagated damage within the context of a generic network model (GNM) of individual aging that simulates a U.

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Purpose Of The Review: Systemic lupus erythematosus (SLE) patients are at increased risk of cardiovascular disease (CVD) compared to the general population, despite most patients being young females, who are not classically considered to be at high risk for cardiovascular disease using traditional risk assessment tools. The purpose of this review is to discuss the pathophysiology of atherosclerosis in SLE and raise awareness of the relationship between SLE and CVD.

Recent Findings: The increased risk of CVD in SLE patients is multifactorial, due to proatherogenic lipid profiles, immune dysregulation and inflammation, side effects of lupus treatment, and microvascular dysfunction.

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  • The zoonotic parasite causing malaria has different infection risks across Southeast Asia, influenced by environmental factors and mosquito transmission from macaque hosts.
  • A new environmental niche modeling approach was utilized to analyze 524 occurrences of the parasite, building upon data from previous studies to improve risk predictions.
  • The findings indicated that the highest risk areas are in Malaysia and Indonesia, with additional hotspots identified in the Greater Mekong Subregion, the Philippines, and Northeast India, underscoring the need for focused surveillance to aid in malaria elimination efforts.
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3D single-photon LiDAR imaging has an important role in many applications. However, full deployment of this modality will require the analysis of low signal to noise ratio target returns and very high volume of data. This is particularly evident when imaging through obscurants or in high ambient background light conditions.

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Most human killer cell immunoglobulin-like receptors (KIR) are expressed by natural killer (NK) cells and recognize HLA class I molecules as ligands. KIR3DL3 is a conserved but polymorphic inhibitory KIR recognizing a B7 family ligand, HHLA2, and is implicated for immune checkpoint targeting. The expression profile and biological function of KIR3DL3 have been somewhat elusive, so we searched extensively for KIR3DL3 transcripts, revealing highly enriched expression in γδ and CD8 T cells rather than NK cells.

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This study of 176 university students tested a single-session explanatory feedback intervention (EFI), derived from the perfectionism coping processes model. Participants with higher self-critical perfectionism completed daily measures of stress appraisals, coping, and affect for 7 days. A randomized control design was used to compare an EFI condition with a waitlist control condition over 4 weeks with individualized feedback delivered one-on-one by student trainees in-person or remotely through videoconferencing.

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Lysophosphatidic acid (LPA) is a bioactive lipid which increases in concentration locally and systemically across different cancer types. Yet, the exact mechanism(s) of how LPA affects CD8 T cell immunosurveillance during tumor progression remain unknown. We show LPA receptor (LPAR) signaling by CD8 T cells promotes tolerogenic states via metabolic reprogramming and potentiating exhaustive-like differentiation to modulate anti-tumor immunity.

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Unlabelled: Horyzons is a digital health intervention designed to support recovery in young people receiving specialized early intervention services for first-episode psychosis (FEP). Horyzons was developed in Australia and adapted for implementation in Canada based on input from clinicians and patients (Horyzons-Canada Phase 1) and subsequently pilot-tested with 20 young people with FEP (Horyzons-Canada Phase 2).

Objective: To understand the experiences of young adults with FEP who participated in the pilot study based on focus group data.

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  • The study estimates the length of hospital stays for COVID-19 patients in New South Wales, comparing periods dominated by the Delta and Omicron variants.
  • Results showed that the mean length of stay decreased for all age groups during the mixed Omicron-Delta epidemic compared to the earlier Delta period.
  • These findings suggest that shorter hospital stays helped ease the strain on the healthcare system despite a rise in COVID-19 infections.
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