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Loss of Tuberous Sclerosis Complex 2 (TSC2) Is Frequent in Hepatocellular Carcinoma and Predicts Response to mTORC1 Inhibitor Everolimus.

Identifieur interne : 000C71 ( Main/Exploration ); précédent : 000C70; suivant : 000C72

Loss of Tuberous Sclerosis Complex 2 (TSC2) Is Frequent in Hepatocellular Carcinoma and Predicts Response to mTORC1 Inhibitor Everolimus.

Auteurs : Hung Huynh [Singapour] ; Huai-Xiang Hao [États-Unis] ; Stephen L. Chan [République populaire de Chine] ; David Chen [États-Unis] ; Richard Ong [Singapour] ; Khee Chee Soo [Singapour] ; Panisa Pochanard [États-Unis] ; David Yang [États-Unis] ; David Ruddy [États-Unis] ; Manway Liu [États-Unis] ; Adnan Derti [États-Unis] ; Marissa N. Balak [États-Unis] ; Michael R. Palmer [États-Unis] ; Yan Wang [États-Unis] ; Benjamin H. Lee [États-Unis] ; Dalila Sellami [États-Unis] ; Andrew X. Zhu [États-Unis] ; Robert Schlegel [États-Unis] ; Alan Huang [États-Unis]

Source :

RBID : pubmed:25724664

Descripteurs français

English descriptors

Abstract

Hepatocellular carcinoma (HCC) is the third leading cause of cancer deaths worldwide and hyperactivation of mTOR signaling plays a pivotal role in HCC tumorigenesis. Tuberous sclerosis complex (TSC), a heterodimer of TSC1 and TSC2, functions as a negative regulator of mTOR signaling. In the current study, we discovered that TSC2 loss-of-function is common in HCC. TSC2 loss was found in 4 of 8 HCC cell lines and 8 of 28 (28.6%) patient-derived HCC xenografts. TSC2 mutations and deletions are likely to be the underlying cause of TSC2 loss in HCC cell lines, xenografts, and primary tumors for most cases. We further demonstrated that TSC2-null HCC cell lines and xenografts had elevated mTOR signaling and, more importantly, were significantly more sensitive to RAD001/everolimus, an mTORC1 inhibitor. These preclinical findings led to the analysis of TSC2 status in HCC samples collected in the EVOLVE-1 clinical trial of everolimus using an optimized immunohistochemistry assay and identified 15 of 139 (10.8%) samples with low to undetectable levels of TSC2. Although the sample size is too small for formal statistical analysis, TSC2-null/low tumor patients who received everolimus tended to have longer overall survival than those who received placebo. Finally, we performed an epidemiology survey of more than 239 Asian HCC tumors and found the frequency of TSC2 loss to be approximately 20% in Asian HBV(+) HCC. Taken together, our data strongly argue that TSC2 loss is a predictive biomarker for the response to everolimus in HCC patients.

DOI: 10.1158/1535-7163.MCT-14-0768
PubMed: 25724664


Affiliations:


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Le document en format XML

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<name sortKey="Wang, Yan" sort="Wang, Yan" uniqKey="Wang Y" first="Yan" last="Wang">Yan Wang</name>
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<name sortKey="Lee, Benjamin H" sort="Lee, Benjamin H" uniqKey="Lee B" first="Benjamin H" last="Lee">Benjamin H. Lee</name>
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<name sortKey="Zhu, Andrew X" sort="Zhu, Andrew X" uniqKey="Zhu A" first="Andrew X" last="Zhu">Andrew X. Zhu</name>
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<name sortKey="Schlegel, Robert" sort="Schlegel, Robert" uniqKey="Schlegel R" first="Robert" last="Schlegel">Robert Schlegel</name>
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<name sortKey="Huang, Alan" sort="Huang, Alan" uniqKey="Huang A" first="Alan" last="Huang">Alan Huang</name>
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<name sortKey="Huynh, Hung" sort="Huynh, Hung" uniqKey="Huynh H" first="Hung" last="Huynh">Hung Huynh</name>
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<nlm:affiliation>Laboratory of Molecular Endocrinology, Division of Cellular and Molecular Research, Humphrey Oei Institute of Cancer Research, National Cancer Centre, Singapore. alan.huang@novartis.com cmrhth@nccs.com.sg.</nlm:affiliation>
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<name sortKey="Hao, Huai Xiang" sort="Hao, Huai Xiang" uniqKey="Hao H" first="Huai-Xiang" last="Hao">Huai-Xiang Hao</name>
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<name sortKey="Chan, Stephen L" sort="Chan, Stephen L" uniqKey="Chan S" first="Stephen L" last="Chan">Stephen L. Chan</name>
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<country xml:lang="fr">République populaire de Chine</country>
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<name sortKey="Chen, David" sort="Chen, David" uniqKey="Chen D" first="David" last="Chen">David Chen</name>
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<region type="state">New Jersey</region>
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<name sortKey="Ong, Richard" sort="Ong, Richard" uniqKey="Ong R" first="Richard" last="Ong">Richard Ong</name>
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<wicri:regionArea>Laboratory of Molecular Endocrinology, Division of Cellular and Molecular Research, Humphrey Oei Institute of Cancer Research, National Cancer Centre</wicri:regionArea>
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<name sortKey="Soo, Khee Chee" sort="Soo, Khee Chee" uniqKey="Soo K" first="Khee Chee" last="Soo">Khee Chee Soo</name>
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<name sortKey="Pochanard, Panisa" sort="Pochanard, Panisa" uniqKey="Pochanard P" first="Panisa" last="Pochanard">Panisa Pochanard</name>
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<name sortKey="Yang, David" sort="Yang, David" uniqKey="Yang D" first="David" last="Yang">David Yang</name>
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<region type="state">Massachusetts</region>
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<name sortKey="Ruddy, David" sort="Ruddy, David" uniqKey="Ruddy D" first="David" last="Ruddy">David Ruddy</name>
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<region type="state">Massachusetts</region>
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<name sortKey="Liu, Manway" sort="Liu, Manway" uniqKey="Liu M" first="Manway" last="Liu">Manway Liu</name>
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<region type="state">Massachusetts</region>
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<name sortKey="Derti, Adnan" sort="Derti, Adnan" uniqKey="Derti A" first="Adnan" last="Derti">Adnan Derti</name>
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<region type="state">Massachusetts</region>
</placeName>
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<name sortKey="Balak, Marissa N" sort="Balak, Marissa N" uniqKey="Balak M" first="Marissa N" last="Balak">Marissa N. Balak</name>
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<nlm:affiliation>Oncology Translational Medicine, Novartis Institutes for Biomedical Research, Cambridge, Massachusetts.</nlm:affiliation>
<country xml:lang="fr">États-Unis</country>
<placeName>
<region type="state">Massachusetts</region>
</placeName>
<wicri:cityArea>Oncology Translational Medicine, Novartis Institutes for Biomedical Research, Cambridge</wicri:cityArea>
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<name sortKey="Palmer, Michael R" sort="Palmer, Michael R" uniqKey="Palmer M" first="Michael R" last="Palmer">Michael R. Palmer</name>
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<nlm:affiliation>Oncology Translational Medicine, Novartis Institutes for Biomedical Research, Cambridge, Massachusetts.</nlm:affiliation>
<country xml:lang="fr">États-Unis</country>
<placeName>
<region type="state">Massachusetts</region>
</placeName>
<wicri:cityArea>Oncology Translational Medicine, Novartis Institutes for Biomedical Research, Cambridge</wicri:cityArea>
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<name sortKey="Wang, Yan" sort="Wang, Yan" uniqKey="Wang Y" first="Yan" last="Wang">Yan Wang</name>
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<nlm:affiliation>Oncology Translational Medicine, Novartis Institutes for Biomedical Research, Cambridge, Massachusetts.</nlm:affiliation>
<country xml:lang="fr">États-Unis</country>
<placeName>
<region type="state">Massachusetts</region>
</placeName>
<wicri:cityArea>Oncology Translational Medicine, Novartis Institutes for Biomedical Research, Cambridge</wicri:cityArea>
</affiliation>
</author>
<author>
<name sortKey="Lee, Benjamin H" sort="Lee, Benjamin H" uniqKey="Lee B" first="Benjamin H" last="Lee">Benjamin H. Lee</name>
<affiliation wicri:level="2">
<nlm:affiliation>Oncology Translational Medicine, Novartis Institutes for Biomedical Research, Cambridge, Massachusetts.</nlm:affiliation>
<country xml:lang="fr">États-Unis</country>
<placeName>
<region type="state">Massachusetts</region>
</placeName>
<wicri:cityArea>Oncology Translational Medicine, Novartis Institutes for Biomedical Research, Cambridge</wicri:cityArea>
</affiliation>
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<name sortKey="Sellami, Dalila" sort="Sellami, Dalila" uniqKey="Sellami D" first="Dalila" last="Sellami">Dalila Sellami</name>
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<nlm:affiliation>Oncology Global Development, Novartis Pharmaceuticals Corporation, East Hanover, New Jersey.</nlm:affiliation>
<country xml:lang="fr">États-Unis</country>
<placeName>
<region type="state">New Jersey</region>
</placeName>
<wicri:cityArea>Oncology Global Development, Novartis Pharmaceuticals Corporation, East Hanover</wicri:cityArea>
</affiliation>
</author>
<author>
<name sortKey="Zhu, Andrew X" sort="Zhu, Andrew X" uniqKey="Zhu A" first="Andrew X" last="Zhu">Andrew X. Zhu</name>
<affiliation wicri:level="2">
<nlm:affiliation>Massachusetts General Hospital Cancer Center, Harvard Medical School, Boston, Massachusetts.</nlm:affiliation>
<country xml:lang="fr">États-Unis</country>
<placeName>
<region type="state">Massachusetts</region>
</placeName>
<wicri:cityArea>Massachusetts General Hospital Cancer Center, Harvard Medical School, Boston</wicri:cityArea>
</affiliation>
</author>
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<name sortKey="Schlegel, Robert" sort="Schlegel, Robert" uniqKey="Schlegel R" first="Robert" last="Schlegel">Robert Schlegel</name>
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<term>Animals (MeSH)</term>
<term>Antineoplastic Agents (therapeutic use)</term>
<term>Asian Continental Ancestry Group (genetics)</term>
<term>Carcinoma, Hepatocellular (drug therapy)</term>
<term>Carcinoma, Hepatocellular (genetics)</term>
<term>Carcinoma, Hepatocellular (virology)</term>
<term>Cell Line, Tumor (MeSH)</term>
<term>Everolimus (therapeutic use)</term>
<term>Hepatitis B (epidemiology)</term>
<term>Hepatitis B (genetics)</term>
<term>Humans (MeSH)</term>
<term>Liver Neoplasms (drug therapy)</term>
<term>Liver Neoplasms (genetics)</term>
<term>Liver Neoplasms (virology)</term>
<term>Male (MeSH)</term>
<term>Mechanistic Target of Rapamycin Complex 1 (MeSH)</term>
<term>Mice (MeSH)</term>
<term>Multiprotein Complexes (antagonists & inhibitors)</term>
<term>Mutation (MeSH)</term>
<term>Signal Transduction (drug effects)</term>
<term>TOR Serine-Threonine Kinases (antagonists & inhibitors)</term>
<term>Treatment Outcome (MeSH)</term>
<term>Tuberous Sclerosis Complex 2 Protein (MeSH)</term>
<term>Tumor Suppressor Proteins (genetics)</term>
</keywords>
<keywords scheme="KwdFr" xml:lang="fr">
<term>Animaux (MeSH)</term>
<term>Antinéoplasiques (usage thérapeutique)</term>
<term>Carcinome hépatocellulaire (génétique)</term>
<term>Carcinome hépatocellulaire (traitement médicamenteux)</term>
<term>Carcinome hépatocellulaire (virologie)</term>
<term>Complexe-1 cible mécanistique de la rapamycine (MeSH)</term>
<term>Complexes multiprotéiques (antagonistes et inhibiteurs)</term>
<term>Humains (MeSH)</term>
<term>Hépatite B (génétique)</term>
<term>Hépatite B (épidémiologie)</term>
<term>Lignée cellulaire tumorale (MeSH)</term>
<term>Mutation (MeSH)</term>
<term>Mâle (MeSH)</term>
<term>Population d'origine asiatique (génétique)</term>
<term>Protéine-2 du complexe de la sclérose tubéreuse (MeSH)</term>
<term>Protéines suppresseurs de tumeurs (génétique)</term>
<term>Résultat thérapeutique (MeSH)</term>
<term>Souris (MeSH)</term>
<term>Sérine-thréonine kinases TOR (antagonistes et inhibiteurs)</term>
<term>Transduction du signal (effets des médicaments et des substances chimiques)</term>
<term>Tumeurs du foie (génétique)</term>
<term>Tumeurs du foie (traitement médicamenteux)</term>
<term>Tumeurs du foie (virologie)</term>
<term>Évérolimus (usage thérapeutique)</term>
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<term>TOR Serine-Threonine Kinases</term>
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<term>Tumor Suppressor Proteins</term>
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<term>Antineoplastic Agents</term>
<term>Everolimus</term>
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<keywords scheme="MESH" qualifier="antagonistes et inhibiteurs" xml:lang="fr">
<term>Complexes multiprotéiques</term>
<term>Sérine-thréonine kinases TOR</term>
</keywords>
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<term>Signal Transduction</term>
</keywords>
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<term>Carcinoma, Hepatocellular</term>
<term>Liver Neoplasms</term>
</keywords>
<keywords scheme="MESH" qualifier="effets des médicaments et des substances chimiques" xml:lang="fr">
<term>Transduction du signal</term>
</keywords>
<keywords scheme="MESH" qualifier="epidemiology" xml:lang="en">
<term>Hepatitis B</term>
</keywords>
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<term>Asian Continental Ancestry Group</term>
<term>Carcinoma, Hepatocellular</term>
<term>Hepatitis B</term>
<term>Liver Neoplasms</term>
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<term>Carcinome hépatocellulaire</term>
<term>Hépatite B</term>
<term>Population d'origine asiatique</term>
<term>Protéines suppresseurs de tumeurs</term>
<term>Tumeurs du foie</term>
</keywords>
<keywords scheme="MESH" qualifier="traitement médicamenteux" xml:lang="fr">
<term>Carcinome hépatocellulaire</term>
<term>Tumeurs du foie</term>
</keywords>
<keywords scheme="MESH" qualifier="usage thérapeutique" xml:lang="fr">
<term>Antinéoplasiques</term>
<term>Évérolimus</term>
</keywords>
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<term>Carcinome hépatocellulaire</term>
<term>Tumeurs du foie</term>
</keywords>
<keywords scheme="MESH" qualifier="virology" xml:lang="en">
<term>Carcinoma, Hepatocellular</term>
<term>Liver Neoplasms</term>
</keywords>
<keywords scheme="MESH" qualifier="épidémiologie" xml:lang="fr">
<term>Hépatite B</term>
</keywords>
<keywords scheme="MESH" xml:lang="en">
<term>Animals</term>
<term>Cell Line, Tumor</term>
<term>Humans</term>
<term>Male</term>
<term>Mechanistic Target of Rapamycin Complex 1</term>
<term>Mice</term>
<term>Mutation</term>
<term>Treatment Outcome</term>
<term>Tuberous Sclerosis Complex 2 Protein</term>
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<term>Animaux</term>
<term>Complexe-1 cible mécanistique de la rapamycine</term>
<term>Humains</term>
<term>Lignée cellulaire tumorale</term>
<term>Mutation</term>
<term>Mâle</term>
<term>Protéine-2 du complexe de la sclérose tubéreuse</term>
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<div type="abstract" xml:lang="en">Hepatocellular carcinoma (HCC) is the third leading cause of cancer deaths worldwide and hyperactivation of mTOR signaling plays a pivotal role in HCC tumorigenesis. Tuberous sclerosis complex (TSC), a heterodimer of TSC1 and TSC2, functions as a negative regulator of mTOR signaling. In the current study, we discovered that TSC2 loss-of-function is common in HCC. TSC2 loss was found in 4 of 8 HCC cell lines and 8 of 28 (28.6%) patient-derived HCC xenografts. TSC2 mutations and deletions are likely to be the underlying cause of TSC2 loss in HCC cell lines, xenografts, and primary tumors for most cases. We further demonstrated that TSC2-null HCC cell lines and xenografts had elevated mTOR signaling and, more importantly, were significantly more sensitive to RAD001/everolimus, an mTORC1 inhibitor. These preclinical findings led to the analysis of TSC2 status in HCC samples collected in the EVOLVE-1 clinical trial of everolimus using an optimized immunohistochemistry assay and identified 15 of 139 (10.8%) samples with low to undetectable levels of TSC2. Although the sample size is too small for formal statistical analysis, TSC2-null/low tumor patients who received everolimus tended to have longer overall survival than those who received placebo. Finally, we performed an epidemiology survey of more than 239 Asian HCC tumors and found the frequency of TSC2 loss to be approximately 20% in Asian HBV(+) HCC. Taken together, our data strongly argue that TSC2 loss is a predictive biomarker for the response to everolimus in HCC patients.</div>
</front>
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<DateCompleted>
<Year>2016</Year>
<Month>02</Month>
<Day>01</Day>
</DateCompleted>
<DateRevised>
<Year>2020</Year>
<Month>09</Month>
<Day>30</Day>
</DateRevised>
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<Journal>
<ISSN IssnType="Electronic">1538-8514</ISSN>
<JournalIssue CitedMedium="Internet">
<Volume>14</Volume>
<Issue>5</Issue>
<PubDate>
<Year>2015</Year>
<Month>May</Month>
</PubDate>
</JournalIssue>
<Title>Molecular cancer therapeutics</Title>
<ISOAbbreviation>Mol Cancer Ther</ISOAbbreviation>
</Journal>
<ArticleTitle>Loss of Tuberous Sclerosis Complex 2 (TSC2) Is Frequent in Hepatocellular Carcinoma and Predicts Response to mTORC1 Inhibitor Everolimus.</ArticleTitle>
<Pagination>
<MedlinePgn>1224-35</MedlinePgn>
</Pagination>
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<AbstractText>Hepatocellular carcinoma (HCC) is the third leading cause of cancer deaths worldwide and hyperactivation of mTOR signaling plays a pivotal role in HCC tumorigenesis. Tuberous sclerosis complex (TSC), a heterodimer of TSC1 and TSC2, functions as a negative regulator of mTOR signaling. In the current study, we discovered that TSC2 loss-of-function is common in HCC. TSC2 loss was found in 4 of 8 HCC cell lines and 8 of 28 (28.6%) patient-derived HCC xenografts. TSC2 mutations and deletions are likely to be the underlying cause of TSC2 loss in HCC cell lines, xenografts, and primary tumors for most cases. We further demonstrated that TSC2-null HCC cell lines and xenografts had elevated mTOR signaling and, more importantly, were significantly more sensitive to RAD001/everolimus, an mTORC1 inhibitor. These preclinical findings led to the analysis of TSC2 status in HCC samples collected in the EVOLVE-1 clinical trial of everolimus using an optimized immunohistochemistry assay and identified 15 of 139 (10.8%) samples with low to undetectable levels of TSC2. Although the sample size is too small for formal statistical analysis, TSC2-null/low tumor patients who received everolimus tended to have longer overall survival than those who received placebo. Finally, we performed an epidemiology survey of more than 239 Asian HCC tumors and found the frequency of TSC2 loss to be approximately 20% in Asian HBV(+) HCC. Taken together, our data strongly argue that TSC2 loss is a predictive biomarker for the response to everolimus in HCC patients.</AbstractText>
<CopyrightInformation>©2015 American Association for Cancer Research.</CopyrightInformation>
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<name sortKey="Balak, Marissa N" sort="Balak, Marissa N" uniqKey="Balak M" first="Marissa N" last="Balak">Marissa N. Balak</name>
<name sortKey="Chen, David" sort="Chen, David" uniqKey="Chen D" first="David" last="Chen">David Chen</name>
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<name sortKey="Liu, Manway" sort="Liu, Manway" uniqKey="Liu M" first="Manway" last="Liu">Manway Liu</name>
<name sortKey="Palmer, Michael R" sort="Palmer, Michael R" uniqKey="Palmer M" first="Michael R" last="Palmer">Michael R. Palmer</name>
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<name sortKey="Ruddy, David" sort="Ruddy, David" uniqKey="Ruddy D" first="David" last="Ruddy">David Ruddy</name>
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