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Predictive analytics is crucial in precision medicine for personalized patient care. To aid in precision medicine, this study identifies a subset of genetic and clinical variables that can serve as predictors for classifying diseased tissues/disease types. To achieve this, experiments were performed on diseased tissues obtained from the L1000 dataset to assess differences in the functionality and predictive capabilities of genetic and clinical variables. In this study, the k‐means technique was used for clustering the diseased tissue types, and the multinomial logistic regression (MLR) technique was applied for classifying the diseased tissue types. Dimensionality reduction techniques including principal component analysis and Boruta are used extensively to reduce the dimensionality of genetic and clinical variables. The results showed that landmark genes performed slightly better in clustering diseased tissue types compared to any random set of 978 non‐landmark genes, and the difference is statistically significant. Furthermore, it was evident that both clinical and genetic variables were important in predicting the diseased tissue types. The top three clinical predictors for predicting diseased tissue types were identified as morphology, gender, and age of diagnosis. Additionally, this study explored the possibility of using the latent representations of the clusters of landmark and non‐landmark genes as predictors for an MLR classifier. The classification models built using MLR revealed that landmark genes can serve as a subset of genetic variables and/or as a proxy for clinical variables. This study concludes that combining predictive analytics with dimensionality reduction effectively identifies key predictors in precision medicine, enhancing diagnostic accuracy. [ABSTRACT FROM AUTHOR]

The application of analytics on Twitter feeds is a very popular field for research. A tweet with a 280-character limitation can reveal a wealth of information on how individuals express their sentiments and emotions within their network or community. Upon collecting, cleaning, and mining tweets from different individuals on a particular topic, we can capture not only the sentiments and emotions of an individual but also the sentiments and emotions expressed by a larger group. Using the well-known Lexicon-based NRC classifier, we classified nearly seven million tweets across seven battleground states in the U.S. to understand the emotions and sentiments expressed by U.S. citizens toward the 2020 presidential candidates. We used the emotions and sentiments expressed within these tweets as proxies for their votes and predicted the swing directions of each battleground state. When compared to the outcome of the 2020 presidential candidates, we were able to accurately predict the swing directions of four battleground states (Arizona, Michigan, Texas, and North Carolina), thus revealing the potential of this approach in predicting future election outcomes. The week-by-week analysis of the tweets using the NRC classifier corroborated well with the various political events that took place before the election, making it possible to understand the dynamics of the emotions and sentiments of the supporters in each camp. These research strategies and evidence-based insights may be translated into real-world settings and practical interventions to improve election outcomes. [ABSTRACT FROM AUTHOR]

Targeting multiple components of the MAPK pathway can prolong the survival of patients with BRAFV600E melanoma. This approach is not curative, as some BRAF-mutated melanoma cells are intrinsically resistant to MAPK inhibitors (MAPKi). At the systemic level, our knowledge of how signaling pathways underlie drug resistance needs to be further expanded. Here, we have shown that intrinsically resistant BRAF-mutated melanoma cells with a low basal level of mitochondrial biogenesis depend on this process to survive MAPKi. Intrinsically resistant cells exploited an integrated stress response, exhibited an increase in mitochondrial DNA content, and required oxidative phosphorylation to meet their bioenergetic needs. We determined that intrinsically resistant cells rely on the genes encoding TFAM, which controls mitochondrial genome replication and transcription, and TRAP1, which regulates mitochondrial protein folding. Therefore, we targeted mitochondrial biogenesis with a mitochondrium-targeted, small-molecule HSP90 inhibitor (Gamitrinib), which eradicated intrinsically resistant cells and augmented the efficacy of MAPKi by inducing mitochondrial dysfunction and inhibiting tumor bioenergetics. A subset of tumor biopsies from patients with disease progression despite MAPKi treatment showed increased mitochondrial biogenesis and tumor bioenergetics. A subset of acquired drug-resistant melanoma cell lines was sensitive to Gamitrinib. Our study establishes mitochondrial biogenesis, coupled with aberrant tumor bioenergetics, as a potential therapy escape mechanism and paves the way for a rationale-based combinatorial strategy to improve the efficacy of MAPKi., Introduction Cutaneous melanoma is a devastating disease, with a 10-year survival rate of less than 10% in patients diagnosed with stage IV melanoma (1). Approximately 50% of melanoma patients' tumors [...]

Introduction: Primitive Neuroectodermal Tumour (PNET)/Ewing Sarcomas (ES) are aggressive childhood malignancies with neuroectodermal differentiation. Aim: To study the clinical presentation, morphology, Immunohistochemistry (IHC), management and outcome of all the cases of paediatric pPNET/ES reported in our tertiary care centre over a period of six years. Materials and Methods: This was a retrospective study conducted at Sri Ramachandra Medical College and Research Institute, Chennai, India. All biopsy proven cases of peripheral PNET/ES, in patients less than 18 years of age for a period of six years were included in this study. The corresponding clinical details regarding initial presentation, treatment and follow up were retrieved from the case files and analysed. Survival rate was calculated and Kaplan-Meier survival curve was plotted. Results: We describe eleven cases of paediatric peripheral PNET/ES. The mean age at presentation was 94.08 (±58.27) months with a male/female ratio of 1.2:1. About 27.3% cases, all male with a mean age of 140 months at presentation, had distant metastasis during initial diagnosis. Biopsy showed small round blue cell morphology on light microscopy. IHC revealed strong membranous staining for CD99 in all cases. All children were treated with neo-adjuvant chemotherapy and then surgery, followed by radiotherapy if indicated. The cases were followed up for a mean duration of 20.82 months (ranging from one to 66 months). Nine children are doing well on follow up (81.8% survival rate). Two cases with metastasis at initial presentation died. Patients with metastatic disease exhibited a mean duration of survival of 9.66 (±7.24) months and those with localized disease exhibited a mean duration of survival of 25 (±22.88) months. Conclusion: Metastasis at diagnosis is the single most important factor affecting prognosis. This was reflected in the present study where cases with metastasis exhibited a short mean duration of survival when compared to localized disease. It is likely that many cases of PNET/ES were not accurately identified in the past as IHC plays a vital role in the diagnosis of these small round blue cell tumours. IHC in adjunct with molecular studies has improved diagnostic accuracy. Multidisciplinary management and good supportive care when the lesion is localized has lead to improved survival. [ABSTRACT FROM AUTHOR]