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In case of generalized progression (or intolerance to imatinib) the main option is using monotherapy with alternative multi-tyrosine kinase inhibitor - sunitinib, which remains the only approved second line drug for the treatment of advanced GISTs after imatinib therapy failure [ 20].
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Comparing the Nsp: tPA −/− mice with each single-deficient strain revealed that the double-deficient mice phenocopied tPA −/− mice (onset, P = 0.47; generalization P = 0.49) and were largely protected from seizure progression to generalized seizures (Fig. 1A and B).
Adiposity has been recognized to generate a generalized proinflammatory milieu (13, 21, 22), which can promote progression of autoimmune processes.
Dorsal cheilectomy of the hallux metatarsophalangeal (MTP) joint through a medial approach can effectively provide long-term relief of pain and improve function in symptomatic mild-to-moderate hallux rigidus, despite progression of generalized first MTP joint arthritic degeneration and/or loss of motion.
In addition, a systematic review showed that knee OA as part of generalized OA showed faster progression than local knee OA [ 31].
Supporting our data with pharmacologic inhibition of PDGFR α signaling using imatinib, we found that astrocyte-specific ablation of PDGFR α in Cre+ R αfl/fl mice (n = 10) significantly delayed progression into generalized seizures following KA injection compared to floxed Cre− R αfl/fl controls (n = 10) (P < 0.05) (Fig. 7C).
Factors that have consistently been reported as associated with radiographic OA progression are obesity, generalized OA, alignment and synovitis.
This data suggests that the GPNMB/OA may play a more generalized role in promoting tumor progression, but does not preclude the possibility that certain GPNMB/OA-related functions specifically favor the development of bone metastases.
This points to more generalized B cell autoreactivity during progression to SLE, underlying lupus disease manifestations.
At the age of 2 years, a progression of the generalized hyperpigmentation was noted, now with involvement of the mucosa.
The three risk factors that appear to most consistently predict progression are obesity, generalized osteoarthritis, and synovitis/effusion [ 20].
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