Cancer classification using the Immunoscore: a worldwide task force

Prediction of clinical outcome in cancer is usually achieved by histopathological evaluation of tissue samples obtained during surgical resection of the primary tumor. Traditional tumor staging (AJCC/UICC-TNM classification) summarizes data on tumor burden (T), presence of cancer cells in draining and regional lymph nodes (N) and evidence for metastases (M). However, it is now recognized that clinical outcome can significantly vary among patients within the same stage. The current classification provides limited prognostic information, and does not predict response to therapy. Recent literature has alluded to the importance of the host immune system in controlling tumor progression. Thus, evidence supports the notion to include immunological biomarkers, implemented as a tool for the prediction of prognosis and response to therapy. Accumulating data, collected from large cohorts of human cancers, has demonstrated the impact of immune-classification, which has a prognostic value that may add to the significance of the AJCC/UICC TNM-classification. It is therefore imperative to begin to incorporate the 'Immunoscore' into traditional classification, thus providing an essential prognostic and potentially predictive tool. Introduction of this parameter as a biomarker to classify cancers, as part of routine diagnostic and prognostic assessment of tumors, will facilitate clinical decision-making including rational stratification of patient treatment. Equally, the inherent complexity of quantitative immunohistochemistry, in conjunction with protocol variation across laboratories, analysis of different immune cell types, inconsistent region selection criteria, and variable ways to quantify immune infiltration, all underline the urgent requirement to reach assay harmonization. In an effort to promote the Immunoscore in routine clinical settings, an international task force was initiated. This review represents a follow-up of the announcement of this initiative, and of the J Transl Med. editorial from January 2012. Immunophenotyping of tumors may provide crucial novel prognostic information. The results of this international validation may result in the implementation of the Immunoscore as a new component for the classification of cancer, designated TNM-I (TNM-Immune).

Psychological Flow In A Physical Task

Psychological flow describes the mental phenomenon that takes place during intense engagement with a task (Jackson & Csikszentmihalyi, 1999). Its components have been operationalized through the development of the Flow State Scale (Jackson & Eklund, 2002). As feedback has been shown to be a critical element for the facilitation of a flow experience (Moneta, 2012), the current study sought to investigate the effect of differential feedback on psychological flow outcomes using the FSS as the dependent variable. The feedback manipulation featured three experimental groups; control, positive, and negative. This study also accounted for the personality trait of perfectionism as a variable influencing the experience of flow. Following the completion of a personality measure, participants engaged in a bolt threading task for ten minutes, then reported the time they perceived to have spent on the task as well as the outcome of their flow experience. The feedback conditions were created by the use of different size containers for participants to place their nut and bolt pairs in, and thus feedback was inherent in the task. The study found that feedback played an important role in the outcome of a flow experience. The positive feedback condition was more conducive to flow than the negative feedback condition. Furthermore, those in the positive condition outperformed those in the negative condition during the ten minutes. Goal clarity and feedback clarity differed significantly across feedback manipulations. Perfectionism¿s impact on the outcome of flow was more pronounced in the negative feedback condition than the positive or control conditions. In settings where engagement and performance are imperative, ample attention should be given to the feedback processes present in the situation.

Use Of Conspecific Gestural Cues To Solve An Object-Choice Task In Tufted Capuchin Monkeys (Cebus Apella)

Capuchin monkeys, Cebus sp., utilize a wide array of gestural displays in the wild, including facial displays such as lip-smacking and bare-teeth displays. In captivity, they have been shown to respond to the head orientation of humans, show sensitivity to human attentional states, as well as follow human gazes behind barriers. In this study, I investigated whether tufted capuchin monkeys (Cebus apella) would attend to and utilize the gestural cues of a conspecific to obtain a hidden reward. Two capuchins faced each other in separate compartments of an apparatus with an open field in between. The open field contained two cups with holes on one side such that only one monkey, a so-called cuing monkey, could see the reward inside one of the cups. I then moved the cups toward the other signal-receiving monkey and assessed whether it would utilize untrained cues provided by the cuing monkey to select the cup containing the reward. Two of four female capuchin monkeys learned to select the cup containing the reward significantly more often than chance. Neither of these two monkeys performed over chance spontaneously, however, and the other two monkeys never performed above chance despite many blocks of trials. Successful choices by two monkeys to obtain hidden rewards provided experimental evidence that capuchin monkeys attend to and utilize the gestural cues of conspecifics.