Automated production of gene-modified chimeric antigen receptor T cells using the Cocoon Platform.

Autologous cell-based therapeutics have gained increasing attention in recent years because of their efficacy at treating diseases with limited therapeutic options. Chimeric antigen receptor (CAR) T-cell therapy has demonstrated clinical success in hematologic oncology indications, providing critically ill patients with a potentially curative therapy. Although engineered cell therapies such as CAR T cells provide new options for patients with unmet needs, the high cost and complexity of manufacturing may hinder clinical and commercial translation. The Cocoon Platform (Lonza, Basel, Switzerland) addresses many challenges, such as high labor demand, process consistency, contamination risks and scalability, by enabling efficient, functionally closed and automated production, whether at clinical or commercial scale. This platform is customizable and easy to use and requires minimal operator interaction, thereby decreasing process variability. We present two processes that demonstrate the Cocoon Platform's capabilities. We employed different T-cell activation methods-OKT3 and CD3/CD28 Dynabeads (Thermo Fisher Scientific, Waltham, MA, USA)-to generate final cellular products that meet the critical quality attributes of a clinical autologous CAR T-cell product. This study demonstrates a manufacturing solution for addressing challenges with manual methods of production and facilitating the scale-up of autologous cell therapy.

Agro-ecological landuse transformation in oasis systems of Al Jabal Al Akhdar, northern Oman.

The millenia-old oasis systems in the Western Hajar Mountains of Northern Oman have received widespread attention as models of sustainable irrigated agriculture in hyperarid Arabia. Given Oman's rampant urbanization, growing scarcity of water and skilled labour, we quantified chances in water use, land use, and land cover between 2007 and 2018 using a rare time-series approach of detailed GIS-based crop mapping. Results from satellite image analysis and comprehensive ground truthing showed that urban areas grew from 206 ha in 2009 to 230 ha in 2014 and 252 ha in 2018. Throughout this decade, irrigated areas in backyards and front-house gardens of the town, planted largely to tree crops and vegetables, increased from 13.5 to 23.3 ha. Between 2007 and 2018 the actively used area of the studied oasis systems declined by 2.0% and the share of perennial crops without underplanting by 5.1%, while land under agroforestry increased by 2.1% and fallow land by 3.5%. Rising water demand of the sprawling town Sayh Qatanah led to terraces of Al 'Ayn and Ash Sharayjah now being partly irrigated with treated wastewater which accelerated the abandonment of the old settlement structures. The labour- and water use efficiency-driven transformation of the Al Jabal Al Akhdar oasis agriculture into increasingly market-oriented landuse systems questions its function as example of sustainable, bio-cultural heritage of Arabia.

Supernumerary Abducens Nerves: A Comprehensive Review.

BACKGROUND: Branching and/or replication of the abducens nerve is not an uncommon occurrence. Although numerous variations have been documented, the rarest forms are duplicated or triplicated nerves, where multiple nerve roots originate from the brainstem, travel intracranially, and attach to the lateral rectus as separate entities. METHODS: We conducted a systematic literature search on the topic of supernumerary abducens nerve, using PubMed and Google Scholar. RESULTS: After screening, 16 studies were included: 11 cadaveric studies and 6 case reports. CONCLUSIONS: In this paper, we review the literature on variations found, discuss current hypotheses and clinical relevance, and propose future studies. Neurosurgeons should be aware of such nerve variants when viewing imaging or operating in the regions traversed by the abducens nerve.