Breast carcinoma and malignant melanoma metastasis within a single axillary lymph node

A 58 year old lady presented with a right breast cancer and a prior history of malignant melanoma excised from the right chest wall eight years previously. An abnormal axillary lymph node resected contained features of both metastatic breast carcinoma and malignant melanoma. Following oncologic breast cancer management, the patient is well with no evidence of recurrence at three years.     

Natural range expansion and human-assisted introduction leave different genetic signatures in a hermaphroditic freshwater snail

Colonization events like range expansion or biological invasions can be associated with population bottlenecks. Small population size may lead to loss of genetic diversity due to random genetic drift, to loss of heterozygosity due to increased inbreeding and should leave a signature on the genetic polymorphism and genetic structure of populations. The mating system might additionally influence the outcome of such a process. Here, we compare invasive and native populations of the hermaphroditic freshwater snail Lymnaea stagnalis. In the native range we included populations that were ice-free during the last glaciation period and populations that were glaciated and are located at the edge of the species’ native distribution range. The microsatellite data show substantial loss of genetic variation in the introduced range and no signs of high propagule pressure or admixture. The expressed polymorphism was so low that mating system analysis was not possible. In the native region, all populations display strong levels of differentiation (global F _ST: 0.341) independent of colonization history and exhibit no significant pattern of inbreeding. However, the populations in more recently colonized habitats show diminished genetic diversity. Overall, these results illustrate how dramatic the reduction in genetic diversity can be for hermaphroditic animals and that gene flow in the native range can be surprisingly low despite short distances.     

Membrane lymphotoxin-α2β is a novel tumor necrosis factor (TNF) receptor 2 (TNFR2) agonist

In the early 1990s, it has been described that LTα and LTβ form LTα₂β and LTαβ₂ heterotrimers, which bind to TNFR1 and LTβR, respectively. Afterwards, the LTαβ₂–LTβR system has been intensively studied while the LTα₂β–TNFR1 interaction has been ignored to date, presumably due to the fact that at the time of identification of the LTα₂β–TNFR1 interaction one knew already two ligands for TNFR1, namely TNF and LTα. Here, we show that LTα₂β interacts not only with TNFR1 but also with TNFR2. We furthermore demonstrate that membrane-bound LTα₂β (memLTα₂β), despite its asymmetric structure, stimulates TNFR1 and TNFR2 signaling. Not surprising in view of its ability to interact with TNFR2, LTα₂β is inhibited by Etanercept, which is approved for the treatment of rheumatoid arthritis and also inhibits TNF and LTα.Subject terms: Cytokines, Signal transduction     

Cancer incidence and mortality in relation to body mass index in the Million Women Study: cohort study

Objective To examine the relation between body mass index (kg/m²) and cancer incidence and mortality.Design Prospective cohort study.Participants 1.2 million UK women recruited into the Million Women Study, aged 50-64 during 1996-2001, and followed up, on average, for 5.4 years for cancer incidence and 7.0 years for cancer mortality.Main outcome measures Relative risks of incidence and mortality for all cancers, and for 17 specific types of cancer, according to body mass index, adjusted for age, geographical region, socioeconomic status, age at first birth, parity, smoking status, alcohol intake, physical activity, years since menopause, and use of hormone replacement therapy.Results 45 037 incident cancers and 17 203 deaths from cancer occurred over the follow-up period. Increasing body mass index was associated with an increased incidence of endometrial cancer (trend in relative risk per 10 units=2.89, 95% confidence interval 2.62 to 3.18), adenocarcinoma of the oesophagus (2.38, 1.59 to 3.56), kidney cancer (1.53, 1.27 to 1.84), leukaemia (1.50, 1.23 to 1.83), multiple myeloma (1.31, 1.04 to 1.65), pancreatic cancer (1.24, 1.03 to 1.48), non-Hodgkin''s lymphoma (1.17, 1.03 to 1.34), ovarian cancer (1.14, 1.03 to 1.27), all cancers combined (1.12, 1.09 to 1.14), breast cancer in postmenopausal women (1.40, 1.31 to 1.49) and colorectal cancer in premenopausal women (1.61, 1.05 to 2.48). In general, the relation between body mass index and mortality was similar to that for incidence. For colorectal cancer, malignant melanoma, breast cancer, and endometrial cancer, the effect of body mass index on risk differed significantly according to menopausal status.Conclusions Increasing body mass index is associated with a significant increase in the risk of cancer for 10 out of 17 specific types examined. Among postmenopausal women in the UK, 5% of all cancers (about 6000 annually) are attributable to being overweight or obese. For endometrial cancer and adenocarcinoma of the oesophagus, body mass index represents a major modifiable risk factor; about half of all cases in postmenopausal women are attributable to overweight or obesity.     

Salt marsh elevation is a strong determinant of nest‐site selection by Clapper Rails in Georgia,USA

As sea levels rise, birds nesting in coastal marshes will be particularly vulnerable to increased tidal inundation. Understanding how marsh birds select their nesting habitat along the elevational gradient of these marshes will provide insight into how these species might be affected by rising sea levels. Clapper Rails (Rallus crepitans) are coastal marsh‐nesting birds whose nests are vulnerable to flooding, but it is not clear if they select for habitat along the elevational gradient or only use other habitat cues. Our objective was to determine if Clapper Rails select higher‐elevation nest sites, while also controlling for selection of other habitat variables at both landscape and territory levels, by comparing nest habitat to habitat in other areas of territories and at random points in the marsh landscape. At the landscape level, Clapper Rails did not exhibit selection for the elevational gradient, with nests and random points at similar elevations. At the territory level, however, nest‐site selection was most influenced by elevation and plant height, with Clapper Rails selecting nest sites with higher elevations and in areas with taller plants. However, the strength of the elevation effect was uncertain, suggesting the importance of precise elevation measurements in the field. Given this selection for higher‐elevation nest sites, Clapper Rails may be somewhat resilient to increased tidal inundation. However, the potential for increased intra‐ and interspecific competition for high‐elevation marshes should make conservation of these habitats a priority.