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Volume 24 Issue 11, November 2018

Neoadjuvant immunotherapy in high-risk melanoma

Preclinical studies suggest that treatment with neoadjuvant immune checkpoint blockade is associated with enhanced survival and antigen-specific T cell responses compared with adjuvant treatment. In this issue of Nature Medicine, two independent groups report the results of clinical trials testing the feasibility of neoadjuvant immune check point blockade in patients with high-risk melanoma. The cover art represents the concept of finding the right timing for combination of immunotherapy and conventional therapies to improve the outcome of patients with cancer.

See Wargo and colleagues, Blank et al. and Perspective by Robert

Image credit: Cindy Lu. Cover design: Erin Dewalt

Editorial

  • Recent news stories about conflict of interest in biomedical research have shaken up public and private institutions alike, but their focus was on clinical research. Amidst the renewed focus on conflicts of interest in clinical work, let’s not disregard the fact that financial conflicts also pose a concern to basic and preclinical research.

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News Feature

  • The microbiome may have an influence on addiction

    • Wudan Yan
    News Feature
  • A long-neglected virus returns to the top of researchers’ to-do lists.

    • Amanda B. Keener
    News Feature
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Research Highlights

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News & Views

  • Mutationally activated BRAF-V600E influences the behavior of different types of cells in the brain and leads to promotion of seizures as well as brain tumors, indicating how both can be pharmacologically targeted in the clinic.

    • Jean M. Mulcahy Levy
    • Martin McMahon
    News & Views
  • Stratifying tuberculosis (TB) disease into minimal, moderate or severe disease may allow treatment duration to be tailored to disease severity. Minimal poor adherence is associated with poor treatment outcomes.

    • Gavin J. Churchyard
    News & Views
  • Reinforcement learning is applied to two large databases of electronic health records for patients admitted to an intensive care unit to identify individualized treatment strategies for correcting hypotension in sepsis.

    • Suchi Saria
    News & Views
  • In humans, niche-specific gastrointestinal microbiomes influence the colonization success of probiotic microbes. Microbiome reconstitution following antimicrobial perturbation is most successful using preperturbation autofecal microbial transplant.

    • Elze Rackaityte
    • Susan V. Lynch
    News & Views
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