We used multivariate statistics to show that FA composition diffe

We used multivariate statistics to show that FA composition differed significantly (P < 0.001) among phyla, orders, and families using 44 FA and a subset of seven EFA (P < 0.001). A second analysis of published EFA data of 123 additional macrophytes confirmed that this pattern was robust on a global scale (P < 0.001). This phylogenetic differentiation of macrophyte taxa shows a clear relationship between macrophyte phylogeny and FA

content and strongly suggests that FA signature analyses can offer a viable approach to clarifying fundamental questions about the contribution of different basal resources to food webs. Moreover, these results imply that taxa with commercially valuable EFA signatures will likely share such characteristics with other closely

related taxa that have not yet been evaluated selleck inhibitor for FA content. “
“This article reviews current knowledge of wall MK-8669 manufacturer morphogenesis in pennate diatoms in relation to the way characters are defined and described for taxonomic and systematic analyses. It argues that an understanding of ontogeny is essential for the accurate identification of character homologies, which in turn must underpin all phylogenetic and systematic analyses. Terminology should reflect character homology, but most diatom terminology fails to do this, with concomitant confusion and potential taxonomic mistakes. Identifying where information is lacking or misinterpreted are first steps toward improving our understanding of diatom structure and relationships. After reviewing the current knowledge on pennate diatom structure and its development, this article briefly discusses Sitaxentan the significance of morphological variation, character polarity, and the vital importance of applying diatom terminology correctly. “
“Complex photoreceptor pathways exist in algae to exploit light as a sensory stimulus. Previous studies have implicated calcium

in blue-light signaling in plants and algae. A photophobic response to high-intensity blue light was characterized in the marine benthic diatom Navicula perminuta (Grunow) in van Heurck. Calcium modulators were used to determine the involvement of calcium in the signaling of this response, and the fluorescent calcium indicator Calcium Crimson was used to image changes in intracellular [Ca2+] during a response. A localized, transient elevation of Calcium Crimson fluorescence was seen at the cell tip at the time of cell reversal. Intracellular calcium release inhibitors produced a significant decrease in the population photophobic response. Treatments known to decrease influx of extracellular calcium had no effect on the population photophobic response but did cause a significant decrease in average cell speed.

Modern northern fur seals are abruptly weaned at 4 mo If norther

Modern northern fur seals are abruptly weaned at 4 mo. If northern fur seals begin to ingest solid food shortly after weaning and if recently weaned animals consume similar prey types as 1- and 2-yr-old juveniles, it takes approximately 8 mo for

the δ15N signal of weaning to be completely diluted by bone collagen turnover. Bone collagen δ15N values of these seals do not fully reflect those of their fish and cephalopod prey until animals are approximately 12-mo-old. For retrospective studies that use bone collagen to examine the timing and rate of weaning (abrupt vs. gradual), quantitative comparisons within and among species are possible if isotopic turnover rates and errors associated with see more age determination Lapatinib supplier are carefully considered (Newsome et al. 2007a). The isotopic composition of consumers in marine systems is ultimately set by the isotopic composition of the food and water the animal ingests. These inputs can show strong spatial isotopic gradients, consequently isotopic data can be used to study habitat preference (i.e., pelagic vs. benthic, nearshore vs. offshore vs. estuarine), movement among habitats, and migration patterns at an ocean basin scale. Here, we briefly discuss the factors that create isotopic gradients in marine systems. We focus on carbon and nitrogen isotopes,

and only briefly mention oxygen isotopes, which have primarily been used in paleontological studies. We then provide examples within two regions, the eastern North Pacific Ocean and Bering Sea. Through decades of experiments and field collections, oceanographers have come to understand the physicochemical and biological factors that are responsible Sitaxentan for the gradients in primary producer carbon isotope values. At the most general level, higher δ13C values are associated with rapid growth and lower values are associated with slow growth (Goericke and Fry 1994, Popp et al. 1998). Within oceanic

basins, therefore, primary producer (and particulate organic matter or POM) δ13C values track productivity, with higher values found in productive nearshore regions, such as upwelling zones, in comparison to less productive offshore regions. Because of the preferential uptake of 12C by plants during photosynthesis, nutrient-driven blooms in upwelling zones increase the δ13C of aqueous CO2 by a few per mil as they draw down its concentration. Low aqueous [CO2] can itself lead to lower isotopic fractionation during photosynthesis (and therefore higher plankton or macroalgae δ13C values). In offshore regions, especially in temperate and equatorial regions where the water column is strongly stratified, low nutrient levels lead to low growth rates, so these factors are less important and δ13C values are lower. The gradient in δ13C values between primary producers in nearshore vs.

9 Recently, in

vitro experiments have shown that HBs-spec

9 Recently, in

vitro experiments have shown that HBs-specific immunoglobulin G (IgG) is internalized into hepatocyte-derived cell lines and inhibits U0126 the secretion of HBsAg and virions from these cells.10 The HBsAg and anti-HBs were colocalized within the cells, and the specificity of intracellular HBsAg–anti-HBs interaction was further demonstrated by abrogating the anti-HBs inhibitory effect in cells transfected with HBV genomes expressing antibody-escape mutant HBsAg.10 To investigate further the phenomenon of intracellular blocking of HBV release by antibodies and its potential for therapeutic application, we analyzed both in vivo and in vitro the effect of two human monoclonal antibodies to HBsAg, HBV-Ab17 and HBV-Ab19, which have been shown to have high neutralizing activity against HBV.11, 12 We used mathematical modeling of serum HBV DNA and HBsAg levels to gain information about viral dynamics during a single

or multiple infusions of a combination of the two monoclonal anti-HBs (HepeX-B) in patients with Stem Cell Compound Library chronic hepatitis B. We then replicated this approach in vitro, using cells secreting HBsAg, and compared the prediction of the mathematical modeling obtained from the in vivo kinetics. DMEM, Dulbecco’s modified Eagle medium; ELISA, enzyme-linked immunosorbent assay; Fc, fragment crystallizable; HBV, hepatitis B virus; HBsAg, hepatitis B surface antigen; HCV, hepatitis C virus; IgG, immunoglobulin G. Human monoclonal antibodies to HBsAg (HBV-Ab17 and HBV-Ab19) were generated as described.11 The antibodies bind different epitopes on HBsAg; HBV-Ab17 recognizes a conformational epitope, whereas HBV-Ab19 recognizes a linear epitope between amino acids 140-149. The specific activities of HBV-Ab17 and HBV-Ab19 are 554 IU/mg and 2090 IU/mg, respectively, and their affinity constants (Kd) are 7.6 × 10−10 M and 5 × 10−10 M, respectively.12 HepeX-B is a 3:1 (mg:mg) mixture of HBV-Ab17 and HBV-Ab19.

The serum half-lives of HepeX-B following Phosphoribosylglycinamide formyltransferase a single 10 mg or 40 mg infusion in healthy volunteers were 22.3 ± 5.5 and 24.2 ± 4.4 days, respectively (Rachel Eren and Shlomo Dagan, unpublished data). For the in vitro experiments, a human monoclonal antibody (IgG1) against the envelope protein (E2) of hepatitis C virus (HCV-Ab68) was used as an isotype control. Serum HBV DNA and HBsAg levels were determined in patients with chronic hepatitis B, who participated in Phase 1A and 1B clinical trials for evaluation of HepeX-B.13 Phase 1A was an open-label, single-dose study with a total of 15 patients, each receiving a single dose of HepeX-B (range = 0.26-40 mg) by an intravenous infusion over 2-8 hours. Serum samples were taken at 0, 0.5, 1, 2, 4, 8, 12, 24, 48, and 96 hours after infusion. Phase 1B was an open-label study with ascending multiple doses of HepeX-B.

9 Recently, in

vitro experiments have shown that HBs-spec

9 Recently, in

vitro experiments have shown that HBs-specific immunoglobulin G (IgG) is internalized into hepatocyte-derived cell lines and inhibits EX 527 price the secretion of HBsAg and virions from these cells.10 The HBsAg and anti-HBs were colocalized within the cells, and the specificity of intracellular HBsAg–anti-HBs interaction was further demonstrated by abrogating the anti-HBs inhibitory effect in cells transfected with HBV genomes expressing antibody-escape mutant HBsAg.10 To investigate further the phenomenon of intracellular blocking of HBV release by antibodies and its potential for therapeutic application, we analyzed both in vivo and in vitro the effect of two human monoclonal antibodies to HBsAg, HBV-Ab17 and HBV-Ab19, which have been shown to have high neutralizing activity against HBV.11, 12 We used mathematical modeling of serum HBV DNA and HBsAg levels to gain information about viral dynamics during a single

or multiple infusions of a combination of the two monoclonal anti-HBs (HepeX-B) in patients with selleckchem chronic hepatitis B. We then replicated this approach in vitro, using cells secreting HBsAg, and compared the prediction of the mathematical modeling obtained from the in vivo kinetics. DMEM, Dulbecco’s modified Eagle medium; ELISA, enzyme-linked immunosorbent assay; Fc, fragment crystallizable; HBV, hepatitis B virus; HBsAg, hepatitis B surface antigen; HCV, hepatitis C virus; IgG, immunoglobulin G. Human monoclonal antibodies to HBsAg (HBV-Ab17 and HBV-Ab19) were generated as described.11 The antibodies bind different epitopes on HBsAg; HBV-Ab17 recognizes a conformational epitope, whereas HBV-Ab19 recognizes a linear epitope between amino acids 140-149. The specific activities of HBV-Ab17 and HBV-Ab19 are 554 IU/mg and 2090 IU/mg, respectively, and their affinity constants (Kd) are 7.6 × 10−10 M and 5 × 10−10 M, respectively.12 HepeX-B is a 3:1 (mg:mg) mixture of HBV-Ab17 and HBV-Ab19.

The serum half-lives of HepeX-B following Interleukin-3 receptor a single 10 mg or 40 mg infusion in healthy volunteers were 22.3 ± 5.5 and 24.2 ± 4.4 days, respectively (Rachel Eren and Shlomo Dagan, unpublished data). For the in vitro experiments, a human monoclonal antibody (IgG1) against the envelope protein (E2) of hepatitis C virus (HCV-Ab68) was used as an isotype control. Serum HBV DNA and HBsAg levels were determined in patients with chronic hepatitis B, who participated in Phase 1A and 1B clinical trials for evaluation of HepeX-B.13 Phase 1A was an open-label, single-dose study with a total of 15 patients, each receiving a single dose of HepeX-B (range = 0.26-40 mg) by an intravenous infusion over 2-8 hours. Serum samples were taken at 0, 0.5, 1, 2, 4, 8, 12, 24, 48, and 96 hours after infusion. Phase 1B was an open-label study with ascending multiple doses of HepeX-B.

As a consequence of the worldwide epidemic of diabesity, the prev

As a consequence of the worldwide epidemic of diabesity, the prevalence of nonalcoholic fatty liver disease (NAFLD) is continuously rising.1 According to current concepts, the subset of patients with nonalcoholic steatohepatitis (NASH), histologically characterized by hepatocyte ballooning, inflammation, www.selleckchem.com/products/ldk378.html fibrosis, in addition to steatosis,2 are at significant risk for adverse hepatic outcomes due to cirrhosis and hepatocellular carcinoma.3 Interestingly, patients with advanced NASH and related cirrhosis may no longer display pronounced hepatic lipid accumulation,

a constellation known as “burnt-out NASH.” This may have contributed to underestimation of this etiology since such patients may have frequently been classified as “cryptogenic” in the past. While many possible explanations such as diversion of insulin and nutrients from the liver due to portal hypertension Sorafenib in vitro and the general catabolic state in liver cirrhosis have been brought forward,4 the molecular mechanisms explaining this paradox have remained poorly understood. In this issue,

Van der Poorten et al.5 have now addressed this important question in a series of metabolically and histologically well-characterized NASH patients and made the key observation that raising serum adiponectin levels were inversely correlated with hepatic fat content in advanced NASH while increases of certain bile acid (BA) species may contribute to this phenomenon. Adiponectin is a 247 amino acid protein secreted by adipocytes belonging to the collagen superfamily and forming low and high molecular weight complexes in blood, the latter being the most biologically active with a key role in glucose and lipid metabolism.6 In liver, adiponectin signals by way of two distinct receptors, adipoRI and adipoRII,7 which have distinct biological roles: RI

controls AMP-activated protein kinase (AMPK) activation responsible for the regulation of de novo lipogenesis and fatty acid (FA) oxidation, while RII controls peroxisome proliferator activated receptor alpha (PPARα) and thereby counteracts Unoprostone inflammation and oxidative stress (Fig. 1).8 In addition, using high-throughput RNA sequencing in mouse, adiponectin was shown to regulate glycolysis, cholesterol, triglycerides content, and FA synthesis by way of hepatocyte nuclear factor 4 alpha (HNF4α) (Fig. 1).9 Therefore, studies on the role of adiponectin in advanced NASH patients have great potential to reveal new molecular mechanisms responsible for progression from NASH to cirrhosis. The current study by Van der Poorten et al.5 established that adiponectin levels were paradoxically rising while hepatic fat declined. Notably, high serum adiponectin was the strongest predictor of burnt-out NASH.

Metastatic tumors included 28 intrahepatic (26 portal vein and tw

Metastatic tumors included 28 intrahepatic (26 portal vein and two cholangiotube) and 19 extrahepatic metastases (12 peritoneum, four lymph nodes, one kidney, one adrenal cortex, and one bone metastasis). All samples were anonymously coded according to the local ethical guidelines (as outlined by the Declaration of Helsinki), and informed consent was obtained from all patients. Cell line information is described in the Supporting Materials and Methods. EIF5A-ORF and EIF5A2-ORF were polymerase chain reaction (PCR)-amplified and cloned into expression vector pcDNA3.1(+) (Invitrogen, selleck screening library Carlsbad, CA) and

stable EIF5A2-expressing clones in LO2 cells were selected as described.11 A detailed protocol of TMA construction and IHC staining is described in the Supporting Materials and Methods. The monoclonal anti-EIF5A2 antibody showed no crossreactivity with EIF5A (Supporting Fig. S1). To evaluate

IHC staining of EIF5A2, expression of EIF5A2 was scored as negative (total absence of staining), weak (faint staining in <50%, or moderate staining in <25% of tumor cells), moderate (moderate staining in ≥25% to <75%, or strong staining in <25% of tumor cells), and strong (moderate staining in ≥75%, or strong staining in ≥25% of tumor cells). In this study we characterize negative/weak expression of EIF5A2 as “normal expression” and moderate/strong expression of EIF5A2 as “overexpression.” Both staining intensity and percentage of positive cells were scored by two experienced pathologists. Refer to the Supporting Methods for a detailed description of experiment protocols. Western blot analyses were performed with the Selleck PLX-4720 standard protocol. Antibody information is listed in the Supporting Methods. The wound-healing assay is described in the Supporting Methods. The transwell cell migration assay and invasion assay were performed in polyethylene terephthalate (PET)-based migration chambers and BD BioCoat Matrigel Invasion Chambers (Becton Dickinson Labware, Franklin Lakes, NJ) with 8 μm porosity according to the manufacturer’s instructions Carnitine palmitoyltransferase II for 48 hours. The mouse model of experimental metastasis is described

in the Supporting Methods. The RNAi experiment protocol is described in the Supporting Methods. The detailed protocol of IF is described in the Supporting Methods. PAK1 PBD-agarose (for isolating Rac1-GTP and Cdc42-GTP) and rhotekin-agarose (for isolating Rho-GTP) (Upstate Biotechnology, Lake Placid, NY) were used to pull down the GTP-bound form of Rho-GTPase according to the manufacturer’s manual. The levels of active Rac1, Cdc42, and RhoA were detected by western blot using specific polyclonal anti-Rac1, Cdc42, and RhoA antibody (Cell Signaling Technology, Beverly, MA). Statistical analysis was performed with SPSS for Windows v. 13.0 (Chicago, IL). The two-tailed chi-squared test was used to analyze the association of EIF5A2 overexpression with different clinicopathological characteristics.


“Winter rye plants of three Polish inbred lines

an


“Winter rye plants of three Polish inbred lines

and cv. Stach differing in Microdochium nivale resistance were studied relating to their frost and pink snow mould tolerance. The plants were GSK1120212 cost prehardened at 12°C for 2 weeks and hardened at 2°C for 3 weeks. Control plants were grown in the greenhouse at 20°C. Frost resistance expressed as LT50 was determined for leaves and crowns of the hardened and control plants. Cold-hardened were inoculated with mycelium of M. nivale and incubated for 35 days at 2°C in the dark. After this time, their pink snow mould resistance was evaluated and expressed as an average regrowth index (ARI). During 13 days of pathogenesis, changes in the total soluble carbohydrate (TSC) and ketose content were analysed. Moreover, changes in abscisic

acid (ABA) and water content (WC) during 9 days of pathogenesis were determined. All analyses were carried out in leaves and crowns of inoculated and non-inoculated (control) plants. Cold acclimation increased frost resistance of the leaves and crowns; however, the crowns were less frost tolerant than the leaves. In the studied lines, there was a negative correlation between frost tolerance of leaves and pink snow mould resistance of plants. Plants of lines more resistant to M. nivale exhibited higher TSC and ketose concentrations in the leaves and crowns as well as lower ABA levels in comparison with the less resistant plants. The role of ABA in the defence response of rye to pink snow mould is still unclear. It seems Tolmetin that ABA concentration does not determine rye resistance to Selleckchem IWR-1 M. nivale, although a higher level of this hormone could decrease it. “
“Viral diseases are a serious limitation to the tomato crop in the region of València, Spain. A survey

of tomato viruses in open field cultivation plots was made in the three provinces of this region. A total of 228 plots classified according to the origin of the seed (farmer seed plots or commercial seed plots) were surveyed, from which 1300 individual plants were sampled and tested for Cucumber mosaic virus (CMV), Pepino mosaic virus (PepMV), Parietaria mottle virus (PMoV), Potato virus Y (PVY), Tomato mosaic virus (ToMV), Tomato spotted wilt virus (TSWV) and for the tomato yellow leaf curl disease (TYLCD). Virus infection was detected in 58.9% of the plants sampled and in 86.0% of the plots surveyed. All these viruses were detected, and the most prevalent were ToMV and PVY (34.1% and 27.1% of infected plants, respectively), but PMoV and TYLCD were the less prevalent (1.2% and 1.3% of infected plants, respectively). Differences among provinces and seed origin were found for most of the viruses studied. In particular, both ToMV and PVY had a higher level of infection in plants from farmer seed plots than in commercial seed plots, which accounts for the higher percentage of virus-infected plants in the former (64.

3A)

Among the molecules belonging to the peroxisome prol

3A).

Among the molecules belonging to the peroxisome proliferator-activated receptor (PPAR) family, the α-type isoform is involved in hepatic lipid metabolism and is regulated by adipokines such as adiponectin. Adipo-R2 serves as a receptor for the globular and full-length adiponectin molecule. In HFD-fed rats, both PPAR-α and adipo-R2 were significantly reduced compared with the control group (Fig. 3A,B). TNF-α, TGF-β, and tTG up-regulation was counteracted by treatment with coffee, polyphenols, or melanoidins (the latter to a lesser extent). PPAR-α and adipo-R2 down-regulation in HFD-fed rats might represent a hepatic feature of NASH, indicating that reduced lipid breakdown Saracatinib datasheet occurred in this rat model of NASH in addition to an increased fatty acid afflux to the liver. Indeed, coffee or coffee polyphenol treatment associated with an HFD counteracted this down-regulation (Fig. 3A,B). As shown by immunohistochemistry (Fig. 4),

adipo-R2, which was widely distributed in control rats, was scarcely represented in HFD-fed rats and was restored by coffee or coffee polyphenols. This finding suggests that both coffee and its polyphenols may account for the reduced deposition of cholesterol and triglycerides in the liver. The biomarkers of antioxidant learn more status measured in both serum and liver samples from each group are shown in Table 1. The data showed that in both serum and livers, HFD-fed rats always had significantly higher concentrations of GSSG than control rats. Coffee, polyphenols, or melanoidins reduced GSSG concentrations in HFD-fed rats drinking coffee compared with those drinking water. In particular, a clear

effect of the three coffee beverages on GSSG reduction (P < 0.05 versus fantofarone HFD + water) was recorded in serum samples, whereas it was not significant in the livers of melanoidin-treated rats (0.82 ± 0.14 nmol/mg protein versus 1.02 ± 0.09 nmol/mg protein). In contrast, GSH levels were not significantly altered by an HFD except for a decrease in the livers of rats drinking melanoidins. Among HFD-fed rats, a significant increase of systemic GSH was associated with polyphenol treatment, whereas a slight reduction was associated with melanoidins (116.65 ± 11.43 μM and 64.32 ± 7.82 μM versus 72.99 ± 12.66 μM, respectively).

151 Higher doses of UDCA were then studied on the grounds that la

151 Higher doses of UDCA were then studied on the grounds that larger doses might be necessary to provide sufficient enrichment of the bile acid pool in the context of cholestasis, and that these doses might also enhance a potential immunomodulatory effect of the drug. The Scandinavian UDCA trial in a group of 219 patients with PSC using a dose of 17–23 mg/kg/day for 5 years demonstrated a trend toward increased survival in the UDCA treated group when compared with placebo,152 but despite the relatively large number of patients

recruited, the study was still insufficiently powered to produce a statistically significant result. Recently, a multicenter study using high doses of 28–30 mg/kg/day of UDCA in 150 patients with PSC over 5 years has been aborted because of an enhanced risk in the UDCA treatment group for death or liver transplantation and serious Epigenetics Compound Library adverse events particularly in advanced disease whereas biochemical features improved in the whole UDCA group.153 Thus, the role for UDCA in slowing the progression of PSC-related liver disease is as yet unclear and indeed, high dose UDCA may be harmful.102 Treatment with corticosteroids and other immunosuppressant agents have not demonstrated any improvement in disease activity or in the outcome of PSC. Small randomized, placebo-controlled or pilot

trials have investigated the role of agents with immunosuppressive potency like prednisolone, budesonide, azathioprine, cyclosporin, methotrexate, mycophenolate, and O-methylated flavonoid tacrolimus, agents with TNFα antagonizing effects like pentoxifyllin, etanercept and anti-TNF monocolonal antibodies and antifibrotic learn more agents like colchicine, penicillamine, or pirfenidone.154 There is no evidence that any of these drugs are efficacious and, therefore, none can be recommended

for classic PSC. However, these drugs may well have a role in the context of a PSC/AIH overlap syndrome, because pediatric patients and those with evidence of a PSC/AIH overlap syndrome are more likely to respond to immunosuppressive treatment.36, 39, 155 A retrospective study in adults also suggested a beneficial role of corticosteroids in a subgroup with AIH overlap features.156 Corticosteroids may also be indicated as a therapeutic trial following thorough evaluation of suspected immunoglobulin G4-associated cholangitis (IAC)/autoimmune pancreatitis (AIP).44, 157 Recommendations: 28 In adult patients with PSC, we recommend against the use of UDCA as medical therapy (1A). Liver transplant indications for patients with PSC do not differ substantially from those with other forms of chronic liver disease and relate primarily to complications of portal hypertension, impaired quality of life, and chronic liver failure. Indeed, in the United States of America, organ allocation by the Model for End-Stage Liver Disease score is etiology independent.

Although it is interesting to

Although it is interesting to selleck kinase inhibitor see that risk score reflects biological characteristics (Supporting Table 4), its associations need to be validated in future studies. For example, activation of AKT is the most commonly altered signaling event in many cancers and many genetic alterations lead to activation of AKT.32 Thus, it is currently uncertain whether AKT is

the driver of tumor development in patients with a high risk score and would be potential therapeutic targets for these patients. However, the significant association of risk score with CTNNB1 mutations is in good agreement with the results of previous studies demonstrating a significant correlation between CTNNB1 mutations and a favorable prognosis among patients with HCC.33, 34 Moreover, TBX3, one of the canonical downstream target genes of CTNNB1,35 was included in our 65-gene signature, and its expression was associated with a better prognosis, which strongly supports the activation of CTNNB1 in the low-risk group in all HCC patients examined. It is also noteworthy that the risk score does not reflect the status of underlying liver disease, indicating that there might be room for improvement. A previous study identified a prognostic gene expression signature from surrounding nontumor tissues

of patients with HCC that better reflects biological characteristics learn more SSR128129E of underlying liver disease than tumors.12 The risk score might be improved by incorporating genomic data from surrounding tissues that does not overlap with but is complementary to those from tumor tissues. Classification of human cancers into more homogenous clinical groups such as stages and grades significantly improved the

treatment of patients by standardizing patient care. Molecular classification of cancers further improved patient care by enabling the development of treatments tailored to the abnormalities present in each patient’s cancer cells. Currently, decision-making for HCC treatment in the clinical setting is mainly based on clinical data, which is best reflected in BCLC staging and its associated treatment algorithm.2 However, this staging method offers little or almost no information about biological characteristics of HCC that would be very critical for tailored treatment in the future. Importantly, risk score may provide clues on biological characteristics of tumors (i.e., activation of CTNNB1) as well as prognostic characteristics. Thus, it would provide an opportunity for developing rationalized clinical trials based on the molecular characteristics of tumors that are supplemental to current staging systems. Because our data showed that a small number of genes (65 genes) is sufficient to identify patient with a poor prognosis (Supporting Fig.