Left atrial appendage myxofibrosarcoma: A rare masquerader of myxoma and thrombus—“all that glitters is not gold”

Left atrial appendage mass can occasionally pose a serious challenge to physicians to identify the nature of the mass with the aid of imaging techniques. We present a case of 67‐year‐old man, who was evaluated for suspected left atria myxoma. Transesophageal echocardiography revealed a heterogeneous density originating from left atrial appendage, thought to be most consistent with a myxoma. Cardiac magnetic resonance imaging, uncharacteristically, gave an equivocal picture, suggesting the mass to be a myxoma on initial imaging and a thrombus with evidence of liquefaction necrosis following postcontrast enhancement. Surprisingly, histopathology of the mass following its surgical excision yielded a rare diagnosis of myxofibrosarcoma.     

Proapoptotic activation of death receptor 5 on tumor endothelial cells disrupts the vasculature and reduces tumor growth

The proapoptotic death receptor DR5 has been studied extensively in cancer cells, but its action in the tumor microenvironment is not well defined. Here, we uncover a role for DR5 signaling in tumor endothelial cells (ECs). We detected DR5 expression in ECs within tumors but not normal tissues. Treatment of tumor-bearing mice with an oligomeric form of the DR5 ligand Apo2L/TRAIL induced apoptosis in tumor ECs, collapsing blood vessels and reducing tumor growth: Vascular disruption and antitumor activity required DR5 expression on tumor ECs but not malignant cells. These results establish a therapeutic paradigm for proapoptotic receptor agonists as selective tumor vascular disruption agents, providing an alternative, perhaps complementary, strategy to their use as activators of apoptosis in malignant cells.     

La dimension sociale de la douleur chronique. Evaluation par un questionnaire spécifique

Résumé  La douleur chronique est un problème de santé publique avec de nombreuses composantes. Presque toutes ont fait l’objet d’évaluation spécifique. L’objectif de ce travail est d’évaluer la dimension sociale grace à un questionnaire spécifique. 139 douloureux chroniques ont été inclus entre avril 2002 et avril 2003. Le questionnaire utilisé est une traduction modifiée du questionnaire de Gil (1987: nombre de personnes susceptibles d’aider le patient face à des situations quotidiennes avec indice de satisfaction entre 0 et 2). L’analyse statistique a porté sur les données classiques de la douleur chronique. L’étiologie la plus fréquente (52% de femmes) a été la douleur pelvienne chronique (40%) suivie des douleurs neurogénes chroniques (15%) avec une ancienneté de 36 mois et une EVA supérieure à 6 en moyenne. Le nombre de personnes pouvant aider est de 4,2 avec un indice moyen de satisfaction de 0,9. Les points forts de cette étude sont:

An Fcγ receptor-dependent mechanism drives antibody-mediated target-receptor signaling in cancer cells

Antibodies to cell-surface antigens trigger activatory Fcγ receptor (FcγR)-mediated retrograde signals in leukocytes to control immune effector functions. Here, we uncover an FcγR mechanism that drives antibody-dependent forward signaling in target cells. Agonistic antibodies to death receptor 5 (DR5) induce cancer-cell apoptosis and are in clinical trials; however, their mechanism of action in?vivo is not fully defined. Interaction of the DR5-agonistic antibody drozitumab with leukocyte FcγRs promoted DR5-mediated tumor-cell apoptosis. Whereas the anti-CD20 antibody rituximab required activatory FcγRs for tumoricidal function, drozitumab was effective in the context of either activatory or inhibitory FcγRs. A CD40-agonistic antibody required similar FcγR interactions to stimulate nuclear factor-κB activity in B cells. Thus, FcγRs can drive antibody-mediated receptor signaling in target cells.     

Cross-modal and scale-free action representations through enaction

Embodied action representation and action understanding are the first steps to understand what it means to communicate. We present a biologically plausible mechanism to the representation and the recognition of actions in a neural network with spiking neurons based on the learning mechanism of spike-timing-dependent plasticity (STDP). We show how grasping is represented through the multi-modal integration between the vision and tactile maps across multiple temporal scales. The network evolves into a small-world organization with scale-free dynamics promoting efficient inter-modal binding of the neural assemblies with accurate timing. Finally, it acquires the qualitative properties of the mirror neuron system to trigger an observed action performed by someone else.     

The Pandemic,Infodemic, and People’s Resilience in India: Viewpoint

The COVID-19 pandemic, caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), has caused widespread fear and stress. The pandemic has affected everyone, everywhere, and created systemic inequities, leaving no one behind. In India alone, more than 34,094,373 confirmed COVID-19 cases and 452,454 related deaths have been reported as of October 19, 2021. Around May 2021, the daily number of new COVID-19 cases crossed the 400,000 mark, seriously hampering the health care system. Despite the devastating situation, the public response was seen through their efforts to come forward with innovative ideas for potential ways to combat the pandemic, for instance, dealing with the shortage of oxygen cylinders and hospital bed availability. With increasing COVID-19 vaccination rates since September 2021, along with the diminishing number of daily new cases, the country is conducting preventive and preparatory measures for the third wave. In this article, we propose the pivotal role of public participation and digital solutions to re-establish our society and describe how Sustainable Development Goals (SDGs) can support eHealth initiatives and mitigate infodemics to tackle a postpandemic situation. This viewpoint reflects that the COVID-19 pandemic has featured a need to bring together research findings across disciplines, build greater coherence within the field, and be a driving force for multi-sectoral, cross-disciplinary collaboration. The article also highlights the various needs to develop digital solutions that can be applied to pandemic situations and be reprocessed to focus on other SDGs. Promoting the use of digital health care solutions to implement preventive measures can be enhanced by public empowerment and engagement. Wearable technologies can be efficiently used for remote monitoring or home-based care for patients with chronic conditions. Furthermore, the development and implementation of informational tools can aid the improvement of well-being and dissolve panic-ridden behaviors contributing toward infodemics. Thus, a call to action for an observatory of digital health initiatives on COVID-19 is required to share the main conclusions and lessons learned in terms of resilience, crisis mitigation, and preparedness.