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  1. Article ; Online: Shining Light on Photobleaching: An Artifact That Causes Unnecessary Excitation Among Pathologists.

    Samueli, Benzion / Kezerle, Yarden / Dreiher, Jacob / Osipov, Vladislav / Steckbeck, Rachel / Vaknine, Hananya / Baraban, Joshua H

    Archives of pathology & laboratory medicine

    2023  Volume 148, Issue 4, Page(s) e63–e68

    Abstract: Context.—: Photobleaching artifact occurs when fluorescence intensity decreases following light exposure. Slides stained with fluorescent techniques may be stored in the dark until primary diagnostics. Experimental evidence suggesting the rate of ... ...

    Abstract Context.—: Photobleaching artifact occurs when fluorescence intensity decreases following light exposure. Slides stained with fluorescent techniques may be stored in the dark until primary diagnostics. Experimental evidence suggesting the rate of photobleaching and necessity of dark storage is lacking.
    Objective.—: To compare photobleaching rate on direct immunofluorescence and Thioflavin T slides stored in ambient room light conditions and exposed to excitatory wavelengths.
    Design.—: During 2 iterations of the experiment, 45 slides were prepared, 42 with immunofluorescent antibodies plus 3 with thioflavin, from skin and kidney biopsies. The experimental group was stored in room light conditions in comparison to the control in the dark, at room temperature. Further, 1 immunofluorescence slide and 1 thioflavin slide were exposed to excitatory fluorescent light for several hours. Significant photobleaching was defined as an integer decrease in score (scale, 0-3).
    Results.—: Exposure times ranged from 152 to 3034 hours. Nine of the 42 immunofluorescence slides (21%) photobleached after a minimum exposure of 152 hours to room light, with no significant difference between the experimental and control groups (all P values >.05). The immunofluorescence slide exposed to fluorescent light for 4 hours showed marked photobleaching in the exposed field but not elsewhere. No thioflavin slides showed clinically significant photobleaching under any conditions.
    Conclusions.—: Clinically significant photobleaching of slides exposed to room light may occur after a few days, but not a few hours (unless exposed to excitatory fluorescent light). Conversely, thioflavin-stained slides did not photobleach when exposed to ambient room air and photobleached only negligibly when exposed to excitatory fluorescent light.
    MeSH term(s) Humans ; Photobleaching ; Pathologists ; Artifacts ; Skin/pathology ; Fluorescent Antibody Technique ; Coloring Agents
    Chemical Substances Coloring Agents
    Language English
    Publishing date 2023-10-24
    Publishing country United States
    Document type Journal Article
    ZDB-ID 194119-7
    ISSN 1543-2165 ; 0363-0153 ; 0096-8528 ; 0003-9985
    ISSN (online) 1543-2165
    ISSN 0363-0153 ; 0096-8528 ; 0003-9985
    DOI 10.5858/arpa.2022-0311-OA
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Perimyocarditis Associated with Immune Checkpoint Inhibitors: A Case Report and Review of the Literature.

    Shalata, Walid / Steckbeck, Rachel / Abu Salman, Amjad / Abu Saleh, Omar / Abu Jama, Ashraf / Attal, Zoé Gabrielle / Shalata, Sondos / Alnsasra, Hilmi / Yakobson, Alexander

    Medicina (Kaunas, Lithuania)

    2024  Volume 60, Issue 2

    Abstract: Patient prognoses have been significantly enhanced by immune checkpoint inhibitors (ICIs), altering the standard of care in cancer treatment. These novel antibodies have become a mainstay of care for metastatic non-small-cell lung cancer (mNSCLC) ... ...

    Abstract Patient prognoses have been significantly enhanced by immune checkpoint inhibitors (ICIs), altering the standard of care in cancer treatment. These novel antibodies have become a mainstay of care for metastatic non-small-cell lung cancer (mNSCLC) patients. Several types of adverse events related to ICIs have been identified and documented as a result of the launch of these innovative medicines. We present here a 74-year-old female patient with a stage IV lung adenocarcinoma, treated with nivolumab plus ipilimumab, who developed perimyocarditis two weeks after receiving the third cycle of immune checkpoint inhibitor therapy. The patient was diagnosed using troponin levels, computed tomography (CT) angiography, and echocardiography. After hospitalization, her cardiac condition was successfully resolved with corticosteroids, colchicine, and symptomatic treatment. To the best of our knowledge, this is one of the rarest cases to be reported of perimyocarditis as a toxicity of immunotherapy in a patient treated for adenocarcinoma of the lung.
    MeSH term(s) Humans ; Female ; Aged ; Nivolumab/adverse effects ; Immune Checkpoint Inhibitors ; Ipilimumab/adverse effects ; Antineoplastic Agents, Immunological/adverse effects ; Carcinoma, Non-Small-Cell Lung/drug therapy ; Lung Neoplasms/drug therapy
    Chemical Substances Nivolumab (31YO63LBSN) ; Immune Checkpoint Inhibitors ; Ipilimumab ; Antineoplastic Agents, Immunological
    Language English
    Publishing date 2024-01-28
    Publishing country Switzerland
    Document type Case Reports ; Journal Article ; Review
    ZDB-ID 2188113-3
    ISSN 1648-9144 ; 1010-660X
    ISSN (online) 1648-9144
    ISSN 1010-660X
    DOI 10.3390/medicina60020224
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Is Elevation of Alkaline Phosphatase a Predictive Factor of Response to Alectinib in NSCLC?

    Shalata, Walid / Yakobson, Alexander / Steckbeck, Rachel / Jama, Ashraf Abu / Abu Saleh, Omar / Agbarya, Abed

    Current oncology (Toronto, Ont.)

    2021  Volume 29, Issue 1, Page(s) 173–177

    Abstract: In the following report, we describe a case of alkaline phosphatase (ALP) elevation occurring during treatment with alectinib (Alecensa™), which was administered for anaplastic lymphoma kinase (ALK) mutated metastatic non-small cell lung cancer (mNSCLC). ...

    Abstract In the following report, we describe a case of alkaline phosphatase (ALP) elevation occurring during treatment with alectinib (Alecensa™), which was administered for anaplastic lymphoma kinase (ALK) mutated metastatic non-small cell lung cancer (mNSCLC). A 51 year-old female with widespread metastatic disease exhibited a rapid and significant response within a very short period to alectinib therapy, accompanied by a rapid increase of ALP to more than six times the upper limit of normal (grade 3) ALP, decreasing to within normal limits within 3 weeks after initiation of therapy without any dose modification.
    MeSH term(s) Alkaline Phosphatase/therapeutic use ; Carbazoles/pharmacology ; Carbazoles/therapeutic use ; Carcinoma, Non-Small-Cell Lung/drug therapy ; Carcinoma, Non-Small-Cell Lung/pathology ; Female ; Humans ; Lung Neoplasms/drug therapy ; Lung Neoplasms/pathology ; Middle Aged ; Piperidines
    Chemical Substances Carbazoles ; Piperidines ; Alkaline Phosphatase (EC 3.1.3.1) ; alectinib (LIJ4CT1Z3Y)
    Language English
    Publishing date 2021-12-31
    Publishing country Switzerland
    Document type Case Reports ; Journal Article
    ZDB-ID 1236972-x
    ISSN 1718-7729 ; 1198-0052
    ISSN (online) 1718-7729
    ISSN 1198-0052
    DOI 10.3390/curroncol29010016
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article: Cardiac Toxicity Associated with Immune Checkpoint Inhibitors: A Systematic Review.

    Shalata, Walid / Abu-Salman, Amjad / Steckbeck, Rachel / Mathew Jacob, Binil / Massalha, Ismaell / Yakobson, Alexander

    Cancers

    2021  Volume 13, Issue 20

    Abstract: Immune checkpoint inhibitors are immune stimulatory drugs used to treat many types of cancer. These drugs are antibodies against inhibitory proteins, such as CTLA-4 and PD-1/PD-L1, that are expressed on immune cells. When bound, they allow for increased ... ...

    Abstract Immune checkpoint inhibitors are immune stimulatory drugs used to treat many types of cancer. These drugs are antibodies against inhibitory proteins, such as CTLA-4 and PD-1/PD-L1, that are expressed on immune cells. When bound, they allow for increased stimulation of T cells to fight tumor cells. However, immune checkpoint inhibitors have several immune-related adverse effects. Many cases have come to light recently of cardiotoxicity as a result of treatment with these drugs. Cardiotoxicity from immune checkpoint inhibitors is unique due to its rarity and high mortality rate. Patients with this toxicity may present with myocarditis, pericarditis, Takotsubo cardiomyopathy, conduction disorders, and others within just a few weeks of starting immune checkpoint inhibitors. We present here a review of the current research on immune checkpoint inhibitors, their associated cardiotoxicities, the timing of presentation of these conditions, lab tests and histology for each condition, and finally the treatment of patients with cardiotoxicity. We observe a positive skew in the onset of presentation, which is significant for the treating physician.
    Language English
    Publishing date 2021-10-18
    Publishing country Switzerland
    Document type Journal Article ; Review
    ZDB-ID 2527080-1
    ISSN 2072-6694
    ISSN 2072-6694
    DOI 10.3390/cancers13205218
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article: Safety and rapid response of dabrafenib and trametinib therapy during hyperbilirubinemia in metastatic melanoma.

    Shalata, Walid / Steckbeck, Rachel / Polishchuk, Ilya / Cohen, Ahron Yehonatan / Rouvinov, Keren / Tokar, Margarita / Abu Jama, Ashraf / Abu Saleh, Omar / Sheva, Kim / Yakobson, Alexander

    Frontiers in oncology

    2023  Volume 13, Page(s) 1102330

    Abstract: This case report describes the occurrence of hyperbilirubinemia as a complication of metastatic melanoma. A 72-year-old male patient was diagnosed with BRAF V600E-mutated melanoma with metastases in the liver, lymph nodes, lungs, pancreas, and stomach. ... ...

    Abstract This case report describes the occurrence of hyperbilirubinemia as a complication of metastatic melanoma. A 72-year-old male patient was diagnosed with BRAF V600E-mutated melanoma with metastases in the liver, lymph nodes, lungs, pancreas, and stomach. Due to a lack of clinical data and specific guidelines for the treatment of mutated metastatic melanoma patients with hyperbilirubinemia, a conference of specialists debated between initiating treatment or providing supportive care. Ultimately, the patient was started on the combination therapy of dabrafenib and trametinib. This treatment resulted in a significant therapeutic response
    Language English
    Publishing date 2023-02-14
    Publishing country Switzerland
    Document type Journal Article
    ZDB-ID 2649216-7
    ISSN 2234-943X
    ISSN 2234-943X
    DOI 10.3389/fonc.2023.1102330
    Database MEDical Literature Analysis and Retrieval System OnLINE

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