Such a tissue-engineered FM may have the potential to plug struct

Such a tissue-engineered FM may have the potential to plug structural defects in the amniotic sac after antenatal interventions, or to prevent preterm premature rupture of the FM. The hAESCs and hASFs were isolated from human fetal amniotic membrane (AM). Magnetic cell sorting was used to enrich the hAESCs by positive ATP-binding cassette G2

selection. We investigated the use of a laminin/fibronectin (1: 1)-coated compressed collagen gel as a novel scaffold to support the growth of hAESCs. A type I collagen gel was dehydrated to form a material mimicking the mechanical properties and ultra-structure of human AM. hAESCs successfully adhered to and formed a monolayer upon the biomimetic collagen scaffold. The resulting artificial membrane shared a high degree NCT-501 of similarity in cell morphology, protein expression profiles, and structure to normal fetal AM. This study provides the first line of evidence that a compacted collagen gel containing hASFs could adequately support hAESCs adhesion and differentiation to a degree that is comparable to the normal human fetal AM in terms of structure and maintenance of cell phenotype.”
“Objective To evaluate the effectiveness of the American Academy of Pediatrics Neonatal Resuscitation

Program (NRP) in improving knowledge, skills, and self-efficacy of nurse midwives in low-risk delivery clinics in a developing country.\n\nStudy design We used the content specifications of the NRP material STAT inhibitor applicable to college-educated nurse midwives working in low-risk clinics in Zambia to develop performance and self-efficacy evaluations focused on principles of resuscitation, initial steps, ventilation, and chest compressions. These evaluations were administered

to 127 nurse midwives before and after NRP training and 6-months later.\n\nResults After training, written scores (knowledge evaluation) improved Selonsertib solubility dmso from 57% +/- 14% to 80% +/- 12% (mean +/- SD; P < .0001); performance scores (skills evaluation) improved the most from 43% +/- 21% to 88% +/- 9% (P < .0001); self-efficacy scores improved from 74% +/- 14% to 90% +/- 10% (P < .0001). Written and performance scores decreased significantly 6 months after training, but self-efficacy scores remained high.\n\nConclusions As conducted, the NRP training improved educational outcomes in college-educated practicing nurse mid-wives. Pre-training knowledge and skills scores were relatively low despite the advanced formal education and experience of the participants, whereas the self-efficacy scores were high. NRP training has the potential to substantially improve knowledge and skills of neonatal resuscitation. (J Pediatr 2009;154:504-8)”
“Mucocele forms because of salivary gland mucous extravasation or retention and is usually related to trauma in the area of the lower lip.

The asymmetric distribution of such an activity could help genera

The asymmetric distribution of such an activity could help generate regional variations in microtubule behaviours involved

in cell migration.”
“Cancer-germline (CG) genes are a particular group of germline-specific genes that rely primarily on DNA methylation for repression in somatic tissues. In a wide variety of tumors, the promoter of these genes is demethylated, and their transcription is activated. The mechanism underlying this tumor-specific activation is still unclear. It was recently suggested that CG gene expression may be a hallmark of stem cells, and that expression of these genes in several tumors may reflect the expansion of constitutively expressing cancer stem cells. To clarify this issue, we carefully evaluated the expression of several CG genes in human stem cells of embryonic and adult origin. GDC-0994 We found no or very weak expression of CG genes in these cells. Consistently, the promoter of CG genes was highly methylated in these cells. We conclude that CG genes do not qualify as “stemness” genes, and propose that their activation in cancers results from a tumor-specific activation process. STEM CELLS 2009;27:822-824″
“Background: Staurosporine molecular weight ClpB-cyt/HSP100 protein acts as chaperone, mediating disaggregation of denatured proteins. Previous studies have shown that ClpB-cyt/HSP100 gene belongs to the group class I Clp ATPase

proteins and ClpB-cyt/HSP100 transcript is regulated by heat stress and developmental cues.\n\nResults: Nine ORFs were noted to constitute rice class I Clp ATPases in the following manner: 3 ClpB proteins (ClpB-cyt, Os05g44340; ClpB-m, Os02g08490; ClpB-c, Os03g31300), 4 ClpC proteins (ClpC1, Os04g32560; ClpC2, Os12g12580; ClpC3, Os11g16590; ClpC4, Os11g16770) and 2 ClpD proteins (ClpD1, Os02g32520; ClpD2, Os04g33210). Using the respective signal sequences cloned upstream to GFP/CFP reporter proteins and Sapitinib transient expression studies with onion epidermal cells, evidence is provided that rice ClpB-m and Clp-c proteins are indeed localized to their respective cell locations mitochondria and chloroplasts, respectively. Associated

with their diverse cell locations, domain structures of OsClpB-c, OsClpB-m and OsClpB-cyt proteins are noted to possess a high-level conservation. OsClpB-cyt transcript is shown to be enriched at milk and dough stages of seed development. While expression of OsClpB-m was significantly less as compared to its cytoplasmic and chloroplastic counterparts in different tissues, this transcript showed highest heat-induced expression amongst the 3 ClpB proteins. OsClpC1 and OsClpC2 are predicted to be chloroplast-localized as is the case with all known plant ClpC proteins. However, the fact that OsClpC3 protein appears mitochondrial/chloroplastic with equal probability and OsClpC4 a plasma membrane protein reflects functional diversity of this class.


“Although epidemiological data provides evidence that ther


“Although epidemiological data provides evidence that there is an interaction between genetics (nature) and the social and physical environments (nurture) in human development; the main open question remains the mechanism. The pattern of distribution of methyl groups in DNA is different from cell-type to cell type and is conferring cell specific identity on DNA during cellular

differentiation and organogenesis. This is an innate and highly programmed process. However, recent data suggests that DNA methylation is not only involved in cellular differentiation but that it is also Selleck PF-6463922 involved in modulation of genome function in response to signals from the physical, biological and social environments. We propose that modulation of DNA methylation in response to environmental cues early in life serves as a mechanism of life-long genome “adaptation” that molecularly

embeds the early experiences of a child (“nurture”) in the genome (“nature”). There is an emerging line of data supporting this hypothesis in rodents, non-human primates and humans that will be reviewed here. However, several critical questions remain including the identification of mechanisms that transmit the signals from the social environment to the DNA methylation/demethylation Silmitasertib cell line enzymes.”
“The impact of theta patterning of the stimulation on the kindling effects

of pentylenetetrazol (PTZ) was studied in rat hippocampus area CA1 in vitro. A potential involvement of adenosine A1 receptors was also examined. Primed-bursts stimulation (PBs) and theta pulse stimulation Selleckchem ATR inhibitor (TPS) were used as patterned activities. Stimulus patterns were applied to the Schaffer collateral afferents of hippocampal slices from both control and PTZ-kindled rats, the field excitatory postsynaptic potentials (fEPSP) and population spikes (PS) were simultaneously recorded from stratum radiatum and stratum pyramidale, respectively. Experiments were carried out in the presence or absence of the adenosine A1 receptor antagonist CPX. The following changes in kindled vs. control slices were observed. PBs was unable to produce both fEPSP LTP and PS LTP in untreated slices. When A1 receptor antagonist CPX was applied before PBs, both fEPSP LTP and PS LTP were elicited. PS LTP was selectively depressed by TPS (applied at 60 min after LTP induction) exclusively when A1 receptors were blocked, while TPS failed to depress PS LTP in untreated PBs-exposed slices. These findings suggest that seizing entails lasting changes in hippocampus area CA1 so that LTP induction by PBs is masked due to intensive adenosine release which in turn prevents TPS to induce PS LTD in epileptic CA1 network Synapse 65:189-197, 2011. (C) 2010 Wiley-Liss, Inc.

The regurgitation was due to second-order tethering and was succe

The regurgitation was due to second-order tethering and was successfully treated with second-order chordal cutting. (C) 2013 by The Society of Thoracic Surgeons”
“Repair of double-strand breaks in chromosomal DNA is essential. Unfortunately, a paradigm central to most DNA repair pathways-damaged DNA is replaced by polymerases, by using an intact, undamaged complementary

strand as a template-no longer works. The nonhomologous end joining (NHEJ) pathway nevertheless still uses DNA polymerases to help repair double-strand breaks. Bacteria use a member of the archaeo-eukaryal primase superfamily, whereas eukaryotes use multiple members of the polymerase X family. These polymerases can, depending on the biologic context, accurately replace break-associated damage, mitigate loss of flanking DNA, or

diversify products SC79 cell line of repair. Polymerases specifically implicated in NHEJ are uniquely effective in these roles: relative to canonic polymerases, NHEJ polymerases have been engineered to do more with less. Antioxid. Redox Signal. 14, 2509-2519.”
“The mirror-neuron system (MNS) connects sensory information that describes an action with a motor plan for performing that action. Recently, studies using the repetition-suppression paradigm have shown that strong activation occurs in the left premotor and superior temporal areas in response to action-related, but not non-action-related, stimuli. DAPT in vivo However, few studies have investigated the mirror system by using event-related

potentials (ERPs) and employing more than one sensory modality in the same sample. In the present study, we compared ERPs that occurred in response to visual and auditory action/non-action-related stimuli to search for evidence of overlapping activations for the two modalities. The results confirmed previous studies that investigated auditory MNS and extended these studies by showing that similar activity existed for the visual modality. Furthermore, we confirmed that the responses to action- and non-action-related stimuli were distinct by demonstrating that, in the case of action-related stimuli, activity was restricted mainly to the https://www.selleckchem.com/products/chir-99021-ct99021-hcl.html left hemisphere, whereas for non-action-related stimuli, activity tended to be more bilateral. The time course of ERP brain sources showed a clear sequence of events that subtended the processing of action-related stimuli. This activity seemed to occur in the left temporal lobe and, in agreement with findings from previous studies of the mirror-neuron network, the information involved appeared to be conveyed subsequently to the premotor area. The left temporo-parietal activity observed following a delay might reflect processing associated with stimulus-related motor preparation.

(C) 2013 Elsevier

(C) 2013 Elsevier click here Ltd. All rights reserved.”
“Background: Although it is acknowledged that the ventricular reconstruction surgery (VRS) cat) promote reverse remodeling, new studies are necessary to define the influence of the left ventricular (LV) area of fibrosis.\n\nObjective: To evaluate whether the extension of the area of fibrosis of the LV

is important in the LV functional recovery after the surgery and (correlate it with clinical factors.\n\nMethods: Prospective analysis of 82 patients with ventricular dysfunction submitted to VRS. We analyzed the importance of the clinical characteristics and the amount of fibrosis was assessed, measured by cardiac magnetic resonance (CMR) as small, medium and large.\n\nResults: Ail patients were followed for 36 months, with a mortality of 6%. The amount of medium fibrosis was 2-5.8% +/- 13.6%. There was improvement! in the left ventricular election fraction (LVEF), from 36.9% +/- 6,8% to 48.2% +/- 8.2% (p < 0.007). There was in inverse association between the amount of fibrosis and the increase in LVEF (r = -0.83, p < 0.0001). There was a decrease in the LV end-systolic volume of 43.3 +/- 8.2 ml/m(2) (p < 0.007). There was an improvement in heart failure symptoms, except in patients with large

areas of fibrosis (p = 0,45). The independent predictors for events were: fibrotic area (p = 0.01), age (p = 0.01), I-V end-systolic volume (p = 0.03) ABT263 and LVEF (p = 0.02). The event-free follow-up was different in relation to the area of fibrosis (p < 0.01).\n\nConclusion: In patients with ventricular dysfunction, the extension of the area of fibrosis vas an independent predictor of the LV functional recovery after the VRS. Me combination of cardiac MRI and clinical parameters can help in the indication for VRS. (Arq Bras Cardiol 2009; 93(6):564-570)”
“In a previous study, our group introduced a simple non-invasive method for the intraoperative control

of femoral torsion during closed nailing of femoral fractures using the shape of the greater trochanter and its relation to the femoral head. The aim of this study was to verify the results of our www.selleckchem.com/products/BI6727-Volasertib.html cadaveric study and transfer them into a clinical setup. We answered the questions: [1] How much time is needed to perform the greater trochanter-head contact point method (GT-HCP)? [2]. How long is the radiation time?\n\nWe examined 15 patients with femoral shaft fractures, to evaluate the GT-HCP method in a clinical setup. Using a standard fluoroscopic image intensifier (Ziehm, Erlangen, Germany), the greater trochanter-head contact angle was measured for both sides. All patients received a postoperative computer tomography (CT) to check the rotational malalignment. The mean of the CT results was then compared to the measurements of the GT-HCP method.

Treating three other medicines in cell line and studying the resu

Treating three other medicines in cell line and studying the results would help to understand the precise effects between AKR and TOE and to reveal the effects of HTL, the imitational Baekbuja. In this need, three other medicines were treated in cell line and the

results were analyzed through variance, functional classification, metabolic pathway, Venn diagram, and principal component. In metabolic pathway analysis, it is found that AKR upregulates connexin protein, TUBA and TUBB activities, which are in gap junction pathway. Considering NCT-501 solubility dmso that traditional medicinal references infer Baekbuja has effects on deviated eye and mouth, which is a disease about craniofacial neuron and that gap junction has important roles in neuron, it is a significant discovery.”
“A 74-year-old man showed a spastic gait and myelopathy in both

the hands. Computed tomography revealed an OPLL on C3 and C4, bony spurs on the dorsal side of C4-C6, and an OYL on C3 and C4. We scheduled a two-stage decompression for both the OPLL and OYL. First, we performed laminectomy on the C3-C6 segments and resected the OYL. We did not observe any dural tear or CSF leakage in the dura. The patient’s neurological symptoms improved. After the laminectomy, Salubrinal inhibitor his myelopathy recurred.

Postoperative MRI 3-Methyladenine mw showed a spinal cord herniation. We had the C3/4 anterior cervical disectomy and fusion as we planned. In addition, we performed a surgery to repair the damaged dura mater at the site of spinal cord herniation at the same second surgery. The integrity of the arachnoid membrane was preserved. The patient’s myelopathy gradually improved. There have been no reports on postoperative neurological deterioration caused by spinal cord herniation associated with a dural defect at the laminectomy site, without dural tear in the surgery after the resection of a posteriorly located cervical OYL. The possibility of a dural defect in OYL cases should be considered when planning a laminectomy for the resection of the OYL.”
“The aim of our study was to determine the associations between mutations in the EGF, AREG, LIF genes and the reproductive traits in pigs. We examined sows of two Polish breeds, which are used as a dam line in Polish breeding: Large White and Landrace. The reproductive traits investigated were: number of piglets born alive (NBA), number of alive piglets on 21st day (N21), age of sows at first farrowing (AFF) and interval between two successive litters (IBTSL).

The aim was to determine total plasma sulfide in patients with co

The aim was to determine total plasma sulfide in patients with congestive heart failure.\n\nMethods and Results:

Total plasma sulfide was determined in 57 patients on admission to an outpatient clinic or cardiology department. Total plasma sulfide concentrations in these patients was lower compared with a control group (5.32 [2.22, 8.00] mu M vs. 8.5 [6.00, 14.00] mu M; P = .05). Total plasma sulfide decreased significantly across the New York Heart Association (NYHA) functional classes (II, 5.84 [4.33, 8.00] mu M vs. III, 4.67 [4.00, 7.17] mu M vs. IV, 2.67 [2.22, 4.31] mu M; P = .001). The total plasma sulfide negatively correlated with pro-BNP (R-2 cubic, 0.692; P = .001) and pulmonary artery systolic pressure (R-2 cubic, 0.569; P = .001). The

receiver operating characteristic analysis of the area under the curve for total plasma sulfide as a predictor of mortality was 0.904 4EGI-1 (95% CI, 0.822-0.987; P = .001), and of rehospitalization was learn more 0.779 (95% CI, 0.650-0.908; P = .001). Total plasma sulfide was a univariate predictor of mortality (odds ratio, 0.245; 95% CI, 0.108-0.555; P = .001).\n\nConclusion: Total plasma sulfide is negatively related to severity of congestive heart failure: it is lowest in NYHA Class IV and in patients with high pro-BNP and high pulmonary artery pressure. Low total plasma sulfide predicts a higher mortality rate. (J Cardiac Fail 2012;18:541-548)”
“Aim Unawareness has been operationalized in terms of a discrepancy between the patient’s self-reports and three main categories of standards: judgment of a relative, clinical assessment,

and objective test performance. The purpose of this study was to develop a new measure of deficit unawareness based on multidimensional, isomorphic, simple tasks and to examine the relationship between this measure and neuropsychological tests. Methods Analysis was conducted on cognitive performance prediction discrepancies in a sample of Alzheimer’s disease (AD) patients and a matched comparison group. Results Patients rated their cognitive functioning more highly than their performance, but their overall self-reports selleck were lower than the overall self-reports of the comparison group. AD patients performed significantly lower than their predicted scores in all Dementia Rating Scale (DRS) domains, in contrast to comparison participants, who did not consistently perform significantly lower across domains. All unawareness scores were moderately inter-correlated, except for memory, and all unawareness scores with the exception of memory were correlated with overall neuropsychological functioning. Conclusion A methodological and conceptual difficulty has been identified, and this raises the issue of the generalizability of studies with a focus on memory unawareness.

Raising blood glucose to 5-100 mmol/L resulted in a concentration

Raising blood glucose to 5-100 mmol/L resulted in a concentration-dependent increase of glycated hemoglobin (HbA1c; P < 0.001) and thiobarbituric acid reactive species (TBA-RS) content (P < 0.004).

Non-protein SH groups (NPSH) also increased significantly as the concentration of glucose increased up to 30 mmol/L (P < 0.001). The osmotic fragility was more pronounced in blood of uncontrolled diabetic patients than in these non-diabetic Selleck BI6727 subjects. Ebselen significantly reduced the glucose-induced increase in osmotic fragility and inhibited HbA1c formation (P < 0.0001). These results indicate that blood from patients with uncontrolled diabetes are more sensitive to osmotic shock than from patients with controlled diabetes and control subjects in relation to increased production of free radicals in vivo.”
“To produce virus-free plants, a simple and original protocol was established by combining several techniques: repeated shoot meristem excision before and during in vitro culture and thermotherapy applied to bulblets in vitro. Lily symptomless virus (LSV) is a major virus that decreases plant growth vigor and the quality of cut flowers, yet infected plants show no distinct symptoms. Stock

bulbs of pollenless Asiatic hybrid lily (L. x elegans Thunb) lines (’409′ and ’599′) were used as explant. Shoot meristems were excised and selleck inhibitor micropropagated. Thermotherapy PR 171 (42 days at 35 degrees C) was applied to in vitro growing bulblets and a second meristem cut was then made from heat-treated material. Leaf tissues from bulblets formed before or postheat treatments were analyzed either by enzyme-linked immunosorbent assay or by reverse transcriptase-polymerase chain reaction.

Line ’499′ produced LSV-free plants without heat treatment, but line ’599′ produced LSV-free plants only after heat treatment. The virus-free lily bulblets grew vigorously in vitro and acclimatized promptly. It is suggested that thermotherapy given to in vitro growing bulblets effectively eliminated the virus and induced a fast and efficient micropropagation technique for virus-free mother plant stock.”
“Objective: The objective was to examine differences by age in mental health treatment initiation in Veterans Health Administration (VA) primary care patients after positive posttraumatic stress disorder (PTSD) screens.\n\nMethods: This was a retrospective cohort study of 71,039 veterans who were administered PTSD screens during primary care encounters in 2007 at four Pacific Northwest VA medical center sites and who had no specialty mental health clinic visits or PTSD diagnoses recorded in the year before screening.

Global sustained 40-minute hypoxia-ischemia

Global sustained 40-minute hypoxia-ischemia PLX4032 datasheet depleted BH(4) in E22 thalamus and to a lesser extent in basal ganglia, but not in the frontal, occipital, and parietal regions. Maternal Supplementation prior to hypoxia-ischemia with sepiapterin increased BH(4) in all brain regions and especially in the thalamus, but did not increase the intermediary metabolite, 7,8-BH(2). Sepiapterin treatment also reduced incidence of severe motor deficits and perinatal death

following E22 hypoxia-ischemia.\n\nInterpretation: We conclude that early developmental BH(4) deficiency plays a critical role in hypoxic-ischemic brain injury. Increasing brain BH(4) via maternal supplementation may be an effective strategy in preventing motor deficits from antenatal hypoxia-ischemia.”
“The addition of IL-12p75 to naive CD4(+) T cells promotes their differentiation towards a T(H)1-type cytokine pattern. GSK923295 research buy Dendritic cells stimulated by LPS generate IL-12p75, but only if the environment also contains IFN-gamma. Thus, it appears that IFN-gamma is needed to start the response that will result in further production of IFN-gamma. We previously reported that paradoxically DCs produce IL-12p75 only after engaging primed, but not naive T cells. This study examines the mechanism by which primed T cells trigger IL-12p75 secretion and asks whether

this induction is also dependent on the presence of IFN-gamma. Here, we show that, in contrast to LPS, primed T cells induce IL-12p75 in an IFN-gamma-independent manner. Addition of rIFN-gamma to cocultures

of naive T cells with DCs did not induce IL-12p75. Moreover, antigen-activated CD4(+) T cells from wild type or IFN-gamma-deficient mice both initiated IL-12p75 production from DCs. Surprisingly, we found that synergies between Liproxstatin-1 three T-cell-derived factors – CD40 Ligand, IL-4 and GM-CSF – were necessary and sufficient for IL-12p75 production. These results suggest that there are at least two distinct pathways for IL-12p75 production in vivo. Furthermore, the T-cell-dependent pathway of IL-12p75 production employs molecules that are not classically associated with a T(H)1-type response.”
“Cyclic guanosine monophosphate (cGMP) is an important intracellular second messenger that mediates multiple tissue and cellular responses. The cGMP pathway is a key element in the pathophysiology of the heart and its modulation by drugs such as phosphodiesterase (PDE)-5 inhibitors and guanylate cyclase activators may represent a promising therapeutic approach for acute myocardial infarction, cardiac hypertrophy, heart failure, and doxorubicin cardiotoxicity in patients. In addition, PDE-5 inhibitors may prove to be innovative therapeutic agents for enhancing the chemosensitivity of doxorubicin while providing concurrent cardiac benefit.

Major projections

of LHb neurons target the

Major projections

of LHb neurons target the dopaminergic ventral tegmental area (VTA) and the serotonergic dorsal (DR) and median raphe nuclei (MnR). Both monoaminergic neurotransmitter systems play a central role in reward processing and reward-related decision-making. Glutamatergic LHb efferents terminate on GABAergic neurons in the VTA, the rostromedial tegmental nucleus (RMTg), and the raphe nuclei, thereby suppressing monoamine release when required by the present behavioral context. Recent studies suggest that the LHb exerts a strong tonic inhibition on monoamine release when no reward is to be obtained. It is yet unknown whether this inhibition #432 randurls[1|1|,|CHEM1|]# is the result of a continuous external activation by other brain areas, or if it is intrinsically generated by LHb projection neurons. To analyze

whether the tonic inhibition may be the result of a hyperpolarization-activated cyclic nucleotid-gated cation channel (HCN)-mediated pacemaker activity of LHb projection neurons, we combined retrograde tracing in rats with in situ hybridization of HCN1 to HCN4 mRNAs. In fact, close to all LHb neurons targeting VIA or raphe nuclei are equipped with HCN subunit mRNAs. While HCN1 mRNA JPH203 molecular weight is scarce, most neurons display strong expression of HCN2 to HCN4 mRNAs, in line with the potential formation of hetero-meric channels. These results are supported by quantitative PCR and immunocytochemical analyses. Thus, our data suggest that the tonic inhibition of monoamine release is intrinsically generated in LHb projection neurons and that their activity may only be modulated by synaptic inputs to the LHb. (C) 2011 IBRO. Published by Elsevier Ltd. All rights reserved.”
“Objective:

Previous studies comparing atomoxetine and methylphenidate to treat ADHD symptoms have been equivocal. This noninferiority meta-analysis compared core ADHD symptom response between atomoxetine and methylphenidate in children and adolescents. Method: Selection criteria included randomized, controlled design; duration 6 weeks; and assessment of ADHD Rating Scale-IV-Parent Version: Investigator Administered and Scored (ADHDRS) scores. Six-week response rates, defined as >= 40% reduction in ADHDRS total score, were compared using a noninferiority margin of -15%. Results: Seven studies met inclusion criteria (N = 1,368). After 6 weeks, 53.6% (95% confidence interval Belnacasan mw [CI] 48.6%-58.4%) of atomoxetine-treated patients (n = 811) had responded compared with 54.4% (47.6%-61.1%) for methylphenidate (n = 557), with atomoxetine demonstrating noninferiority to methylphenidate (absolute difference -0.9%, 95% CI -9.2%-7.5%). Conclusion: After 6 weeks of treatment atomoxetine and methylphenidate had comparable efficacy in reducing core ADHD symptoms in children and adolescents. (J. of Att. Dis. 2011; 15(8) 674-683)”
“Therapy for multiple myeloma (MM) has markedly changed in the past decade with the introduction of new drugs, but it is not clear whether the improvements have been sustained.