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Eric Topol Profile picture
@EricTopol
Jun 28, 2020 • 7 tweets • 7 min read • Read on X
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Switching gears from covid-centric to #cancer, where there have been a flurry of important papers in the past week
1. "Our discovery of #lesionsegregation challenges longstanding assumptions of cancer evolution"
nature.com/articles/s4158… @nature
media.nature.com/original/magaz… @NatureNews Image
2. 2 new papers on clonal hematopoiesis, which is associated with increased risk of cancer and heart disease
nature.com/articles/s4158…
nature.com/articles/s4158… ImageImage
3. 2 reports on using methylomes to detect or track cancer, one using plasma tDNA for brain tumors, the other urine and plasma for kidney cancer
@NatureMedicine
nature.com/articles/s4159…
nature.com/articles/s4159… ImageImage
4. The use of patient-derived tumor cell clusters to understand the biology of an individual's cancer and rapidly test drug therapies @ScienceTM
stm.sciencemag.org/content/12/549… Image
5. Patient-specific genomic variant monitoring of cancer via plasma circulating tDNA
stm.sciencemag.org/content/12/548… @ScienceTM
6. The potential for fasting to favorably modulate the course of cancer in a randomized trial of 131 patients with breast cancer
nature.com/articles/s4146… ImageImage
A nice update on use of extracellular RNA as a diagnostic for cancer and beyond
by @ElieDolgin @NatureOutlook
nature.com/articles/d4158… Image

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More from @EricTopol

Eric Topol Profile picture
Apr 26
The FLiRT variant KP.2 begins its takeover for Covid cases in the US, now accounting for 1 in 4 cases
covid.cdc.gov/covid-data-tra…
Image
I've reviewed the FLiRT variants and their implications in a Ground Truths (link in profile) Image
The 2 mutations in the spike that account for KP.2's rise to dominance, compared with the JN.1 variant which has prevailed for months Image
Read 5 tweets
Eric Topol Profile picture
Jan 22
Breaking down the risks and benefit for lecanemab, the amyloid beta-directed antibody vs Alzheimer's drug approved @US_FDA last year. It doesn't look good.

@AnnalsofIM acpjournals.org/doi/10.7326/M2…
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A new systematic review of these antibodies looks even worse @AnnFamMed doi.org/10.1370/afm.30…



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Fixed link for this important paper
annfammed.org/content/22/1/5…
Read 4 tweets
Eric Topol Profile picture
Jan 4
My oped on the JN.1 variant and the 2nd biggest US wave of infections (after Omicron) since the pandemic began
@latimes @latimesopinion #LongCovid latimes.com/opinion/story/…
Image
Recent @CDCgov #SARSCoV2 wastewater data for current wave (vs Omicron Jan 2022 and subsequent waves), graph by @luckytran Image
Sorry, @washingtonpost, but this is not "another Covid-19 uptick" as you put it in your Health Alert. You ignore the best metric for infections that we have at present—wastewater—focusing only on hospitalizations
washingtonpost.com/health/2024/01…
Image
Read 4 tweets
Eric Topol Profile picture
Nov 23, 2023
3 New #LongCovid reports
1. Vaccination protection—1 dose 21%, 2 doses 59%, 3 doses 73% among ~590,000 people in Sweden (strong association)
bmj.com/content/383/bm…
Image
2. 3-year prospective follow up of a cohort of ~1350 participants, hospitalized in China
—Lung function restored back to baseline in most
—Higher risk of reinfection that people w/o Long Covid
—Half w/ persistent symptoms
thelancet.com/journals/lanre…
3. At @RSNA annual meeting, brain MRI with microstructure imaging (DMI), participants with #LongCovid vs controls had microstructure changes associated with impaired cognition, sense of smell and fatigue
eurekalert.org/news-releases/…
Image
Read 6 tweets
Eric Topol Profile picture
Aug 25, 2023
Big news #ESC2023 and @NEJM
In a placebo-controlled randomized trial of people with obesity + heart failure (with preserved ejection fraction). semaglutide (Wegovy) markedly improved symptoms, exercise time, reduced inflammatory markers (and weight loss)
nejm.org/doi/full/10.10…

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This also tells us something about the underlying mechanism of heart failure with preserved EF—metabolic dysfunction and attendant systemic inflammation—not previously acknowledged or confirmed
The accompanying editorial lays this finding out well. Prior studies of weight loss didn't help HFpEF
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Read 4 tweets
Eric Topol Profile picture
Aug 21, 2023
Two new papers @NatureMedicine and @JAMAInternalMed shed light on #LongCovid at 2-years. But there's no shortage of known unknowns.
Reviewed in a new Ground Truths (link in my profile, because that would be it X-suppressed) Image
Links to the new reports
@NatureMedicine by @zalaly and colleagues
@JAMAInternalMed nature.com/articles/s4159…
jamanetwork.com/journals/jamai…
Image
@NatureMedicine @zalaly @JAMAInternalMed Summary of previous 2-year Covid follow-up studies Image
Read 5 tweets

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