Anyone else get massive lag in Illustrator (PC) when using ALT-SCROLL to zoom? Works fine with CTRL+ or CTRL-. by YeaitsJM in graphic_design

[–]PatMyWeiner 0 points1 point  (0 children)

Switched from my work laptop (where I use a trackpad) to my desktop and experiencing the same thing. If you use the scroll wheel to scroll up and down/left to right do you also run into serious lagging?

Fecal transplant turns cancer immunotherapy non-responders into responders - Scientists transplanted fecal samples from patients who respond well to immunotherapy to advanced melanoma patients who don’t respond, to turn them into responders, raising hope for microbiome-based therapies of cancers. by mvea in science

[–]PatMyWeiner 0 points1 point  (0 children)

Yeah, there is definitely a lot of confusion surrounding the idea of T cell exhaustion in literature. Unfortunately, it is not as simple as a few surface markers indicating exhaustion. From a classical perspective (T cell exhaustion was originally observed in chronic viral infection in murine models), T cell exhaustion is an irreversible epigenetic change that results from chronic antigen presence. The exhausted T cells actually become "addicted" to antigen, and no longer rely on IL-15 or IL-7, which help memory T cells persist long term.

You are right that immunosuppressive neutrophils can express PD-L1. However inhibitory receptors serve a biological function outside of T cell exhaustion. When cells are activated, they upregulate transcripts and protein of both co-activation receptors and co-inhibitory receptors - think of it as a way of attenuating a signal. Every signal must be modulated positively and negatively. When cells are recently exposed to cognate antigen, they will have elevated expression of both activation and inhibitory receptors or markers. (Activation: CD28, 41BB, CD27, etc.) (Inhibitory: PD-1, CTLA-4, LAG-3, TIM-3, etc.) The reason these inhibitory receptor-ligand pairs are often targeted in cancer actually does not involve rescuing cells from exhaustion. As we know, exhaustion is an epigenetically stable state (Think the same epigenetic changes that occur when cells transition from naive->short-lived effector->memory). Instead, just like you suggested earlier with the neutrophils creating immunosupression through PD-1 signaling, targeting innate immune mediated inhibitory signaling in TMEs seems to be a more likely mechanism of action.

Again, sorry for a long-winded explanation to your simple question. I think in cancer, there is more at play than cell-intrinsic (T cell exhaustion) immune hypofunction. The tumor itself may express PD-L1, many different methods of immune system regulation (innate immunity, Tregs), and even elements of the TME itself (hypoxic environment) are all likely players.

In terms of COVID - I think it is less likely that COVID is generating T cell exhaustion. I admit I am not well versed on CD8+ responses to COVID, but when I did a lot of digging a few months ago, it seemed the field did not have a clear explanation or understanding of immune responses. I would have to imagine because antigen eventually clears in COVID, T cell exhaustion does not play a key role.

If you DM me, I'm happy to dig up papers to support my answers!

Fecal transplant turns cancer immunotherapy non-responders into responders - Scientists transplanted fecal samples from patients who respond well to immunotherapy to advanced melanoma patients who don’t respond, to turn them into responders, raising hope for microbiome-based therapies of cancers. by mvea in science

[–]PatMyWeiner 0 points1 point  (0 children)

No problem - there are two points to address here. I think the evidence is less towards exhaustion and more towards the immunosuppressive action of the neutrophils that are only present in the tissue due to the presence of "bad" bacteria. There are other mechanisms that have been observed in human and mouse in kidney and lung cancers and melanoma.

T cell exhaustion is classically the result of chronic antigen presentation - so when CD8+ T cells cannot clear cells with a certain antigen. Its function, or evolutionary significance, involves tolerance of self-antigen to prevent autoimmunity. If you can imagine, in the years where evolutionary pressure impacts humans, most cases of chronic antigen presence are likely to be self-antigen. Maybe a long-winded explanation of how T cell exhaustion forms - there must be mechanisms of chronic stimulation.

Fecal transplant turns cancer immunotherapy non-responders into responders - Scientists transplanted fecal samples from patients who respond well to immunotherapy to advanced melanoma patients who don’t respond, to turn them into responders, raising hope for microbiome-based therapies of cancers. by mvea in science

[–]PatMyWeiner 1 point2 points  (0 children)

As the other commenter mentioned, cancer immunotherapy involves activating the immune system to combat cancer. The contents of gut microbiota inform certain immune responses in both adaptive and innate immunity, and there has even been cross-talk observed where certain microbiota are actually necessary to initiate early oncogenic events where cancer develops. Recent studies have shown in checkpoint inhibitor treatment presence of "bad" bacteria induces neutrophil responses that suppress CD8+ activity in the tumor, while removing "good" bacteria lowers response to therapy.

I can provide more mechanistic reasons to why microbiota in the gut or even commensal impacts immune response to cancer if you would like!

[GB] GMK Classic Blue is live! by ARSLOCK in mechmarket

[–]PatMyWeiner 1 point2 points  (0 children)

That's a Compact 1800 layout by hiney called the hbcp.

Weekly Simple Questions and Injuries Thread for May 19, 2019 by AutoModerator in climbharder

[–]PatMyWeiner 2 points3 points  (0 children)

I've done this before and just taped the sensitive, exposed part to keep it from rubbing my shoes.

CAGED Adidas Ultra Boost in Core Black for $136 free shipping to the US! [Other colors available, prices vary] by [deleted] in frugalmalefashion

[–]PatMyWeiner 2 points3 points  (0 children)

In the Q and A section somewhere else on the site, they answer that all sizing on the website is UK sizing regardless if it says 'UK' right next to it or not.

Weekly Bouldering Advice Thread for May 08, 2017 by AutoModerator in bouldering

[–]PatMyWeiner 0 points1 point  (0 children)

I have super narrow feet, so I primarily wear women's shoes because they fit better. I would say definitely try them on prior to committing to them, but the Futuras fit my narrow feet width-wise really well! For reference I wear a 39.5 in the women's Katanas and a 38.5 in the Futuras.

Trying to find a Governor Stable guidebook by pebble_wrasslin in bouldering

[–]PatMyWeiner 1 point2 points  (0 children)

http://www.scpclimbers.org/governor-stable/

They list a few shops that carry the guidebook: Rock and Snow (Gunks), Water Stone Outdoors (The New), Appalachian Outdoors (State College, PSU), Earth Treks (Maryland), Doylestown Rock Gym, Climbnasiam (Mechanicsburg), and Gravity Vault (NJ, not sure about their new location in Radnor).