OBJECTIVES/GOALS: IL-12 has potent immune effects but the presence of myeloid-derived suppressor cells (MDSC) can inhibit IL-12-induced NK cell cytotoxicity. Thus, we hypothesized that combining IL-12 with trabectedin, an immunosuppressive myeloid cell depleting agent, would improve its therapeutic efficacy in triple negative breast cancer (TNBC). METHODS/STUDY POPULATION: Combination IL-12 and trabectedin was tested in the 4T1 mouse model of TNBC. 4T1 cells were injected into the mammary fat pad of female BALB/cj mice. When tumors reached 50 mm3, mice were randomly divided into 4 groups and treated with PBS, IL-12 (0.5 μg/mouse 3x/wk), 0.15 mg/kg trabectedin weekly or the combination. Tumor volumes were measured by calipers. Mass cytometry was performed on spleens and tumors using a 35-antibody panel. Plasma IFN-γ levels were measured by ELISA. The role of NK cells was evaluated via depletion with anti-asialo-GM1. The Luminex Discovery Assay was used to measure plasma cytokines and immunohistochemistry was performed for CD4 and CD8a. Linear/nonlinear mixed effects modeling was used for in vivo data analysis and applicable t- or ANOVA tests were used for in vitrodata analysis. RESULTS/ANTICIPATED RESULTS: Combination IL-12 and trabectedin led to a significant reduction in tumor burden compared to single-agent IL-12, trabectedin and control treatments (all p<0.001), as well as higher levels of IFN-γ (all p<0.04). One combination treated mouse had complete tumor regression. Splenic MDSC were significantly decreased in combination treated mice. NK depletion abrogated the effects of combination therapy. Compared to mice receiving a control antibody, NK depletion of combination treated mice led to lower levels of CCL5 (p<0.01) and CXCL10 (p<0.001) and significantly higher tumor burden (p=0.001). CD8+T cell levels were significantly higher in combination treated mice compared to those receiving IL-12 (p<0.01), and these levels were decreased when mice were depleted of NK cells (p=0.01). DISCUSSION/SIGNIFICANCE: TNBC represents 15% of all breast cancer diagnoses and is associated with a worse prognosis compared to other subtypes. Black women are twice as likely to be diagnosed with TNBC and more likely to die from disease than White women. Thus, there is an increasing need to develop additional therapeutic options for this disease.

ABSTRACT IMPACT: Given the association between lower time to treatment and better clinical outcomes in stroke patients, identifying factors correlated with reduced proximity and thus greater time to stroke care can aid efforts to reduce disparities in stroke outcomes. OBJECTIVES/GOALS: The objective of this study is to quantify the relationship between distance to the nearest certified stroke hospital and census-derived demographics of age, race/ethnicity, income, and insurance status. METHODS/STUDY POPULATION: This is a cross-sectional study. Population data for all census tracts in the contiguous United States were obtained from the US Census Bureau’s 2014-2018 American Community Survey. Stroke hospitals were identified from national or state level certification databases and were required to offer at least IV tPA. The main outcome is driving distance in kilometers from each census tract to the nearest certified stroke center, which was calculated using OSMnx, a Python package to retrieve, model and analyze real-world street networks. Quantile regression analysis was used to compare relationships between distances and tract-level demographics of age, race/ethnicity, income, and insurance status. RESULTS/ANTICIPATED RESULTS: 2,423 stroke centers and 71,929 census tracts containing 316,995,649 individuals were included. 49,918 (69%) tracts were urban. Demographic disparities in proximity to certified stroke care were greater in non-urban areas than in urban areas. Higher representation of individuals with age ≤65 years were associated with increased median distance to a certified stroke center in non-urban areas, but not urban areas. Median distance was greater with greater representation of American Indian or uninsured populations in urban and non-urban census tracts. Higher median income was associated with decreased median distance in non-urban census tracts and greater median distance in urban census tracts. DISCUSSION/SIGNIFICANCE OF FINDINGS: Reduced proximity to stroke care exists in areas with greater representation of elderly, American Indian, or uninsured persons; and low median income. These disparities are magnified in non-urban settings. Such knowledge can aid efforts to address and reduce disparities in stroke outcomes.

Thermodynamic properties of Nd–Bi and Nd–Sn alloys were determined via electromotive force (emf) measurements at 725–1075 K. The emf measurements of an Nd–Bi alloy at mole fraction xNd = 0.20 were conducted using a solid CaF2–NdF3 electrolyte relative to pure Nd(s). The emf values from the CaF2–NdF3 electrolyte were verified in separate experiments in molten LiCl–KCl–NdCl3 where pure Nd(s) was electrodeposited. The Nd–Bi (xNd = 0.20) exhibited two-phase behavior with a peritectic reaction (L + NdBi = NdBi2) at 926 K from differential scanning calorimetry. The two-phase Nd–Bi (xNd = 0.20) was employed as a stable reference electrode in molten LiCl–KCl–NdCl3 for emf measurements of Nd–Bi (xNd = 0.15–0.40) and Nd–Sn (xNd = 0.10) alloys. The emf measurements of these alloys were reproducible during thermal cycles over 50 h and were used to calculate thermodynamic properties, including the partial molar Gibbs energy, entropy, and enthalpy.

Elevated left ventricular end diastolic pressure is a risk factor for ventricular arrhythmias in patients with tetralogy of Fallot. The objective of this retrospective study was to identify echocardiographic measures associated with left ventricular end diastolic pressure >12 mmHg in this population. Repaired tetralogy of Fallot patients age ≥13 years, who underwent a left heart catheterisation within 7 days of having an echocardiogram were evaluated. Univariate comparison was made in echocardiographic and clinical variables between patients with left ventricular end diastolic pressure >12 versus ≤12 mmHg. Ninety-four patients (54% male) with a median age of 24.6 years were included. Thirty-four (36%) had left ventricular end diastolic pressure >12 mmHg. Patients with left ventricular end diastolic pressure >12mmHg were older (median 32.9 versus 24.0 years, p = 0.02), more likely to have a history of an aortopulmonary shunt (62% versus 38%, p = 0.03), and have a diagnosis of hypertension (24% versus 7%, p = 0.03) compared to those with left ventricular end diastolic pressure ≤12 mmHg. There were no significant differences in mitral valve E/A ratio, annular e’ velocity, or E/e’ ratio between patients with left ventricular end diastolic pressure >12 versus ≤12 mmHg. Patients with left ventricular end diastolic pressure >12mmHg had larger left atrial area (mean 17.7 versus 14.0 cm2, p = 0.03) and larger left atrium anterior–posterior diameter (mean 36.0 versus 30.6 mm, p = 0.004). In conclusion, typical echocardiographic measures of left ventricular diastolic dysfunction may not be reliable in tetralogy of Fallot patients. Prospective studies with the use of novel echocardiographic measures are needed.

The East Asian–Australasian flyway contains some of the most threatened habitats in the world, with at least 155 waterbird species reliant on the tidal habitats it comprises. The black-faced spoonbill (Platalea minor) is an iconic endangered species distributed across the coast of East Asia. Its population suffered a severe decline into the 1990s, but extensive monitoring and conservation interventions have aided a substantial recovery of the species. We used a population viability analysis based on data collected over the past two decades in conjunction with species distribution models to project spatially explicit models of population change for the next 35 years. Over nearly all scenarios of habitat loss and climate change, the global spoonbill population was projected to increase in the short-term due to low population numbers likely well below current population carrying capacities. However, climate change and habitat loss together threaten the recovery of the spoonbill population such that, by 2050, population declines are apparent as a consequence of these cumulative impacts. These threats are also cryptic and represent a challenge to the conservation of species recovering from anthropogenic impacts; observed population increases can hide large reductions in habitat suitability that threaten the long-term viability of species.

Acetolactate synthase (ALS) inhibitors are widely used for POST control of sedges in turfgrass. A suspected resistant (R) biotype of annual sedge was collected from a bermudagrass turf in Georgia with a history of exclusive use of halosulfuron. Research was conducted to evaluate the resistance level of this biotype to halosulfuron, efficacy of ALS-inhibiting herbicides and other mechanisms of action for control, and the molecular and physiological basis for resistance. In greenhouse experiments, the halosulfuron rate required to reduce shoot biomass 50% in comparison with the nontreated at 8 wk after treatment (WAT) were 8 and > 1,120 g ai ha−1 for the S (susceptible) and R biotypes, respectively. Imazapic, sulfosulfuron, and trifloxysulfuron reduced biomass of the S biotype greater than 60% at 8 WAT, but biomass was reduced less than 20% for the R biotype. Glufosinate, glyphosate, MSMA, and sulfentrazone reduced shoot biomass of the R biotype by 93, 86, 97, and 45%, respectively. In laboratory experiments, the halosulfuron concentration required to inhibit ALS activity by 50% in excised leaf tissues was 5.8 and > 1,000 μM for the S and R biotypes, respectively. Gene sequencing of the R biotype revealed a Pro-197-Ser substitution that confers resistance to ALS inhibitors. This is the first report of ALS-inhibitor resistance in annual sedge and herbicide resistance in a sedge species from a turfgrass system.

There is much discussion as to why a plant becomes invasive in a new location but is not problematic in its native range. One example is yellow starthistle, which originates in Eurasia and is considered a noxious weed in the United States. We grew yellow starthistle originating from native and introduced regions in a common environment to test whether differences in growth would be observed. In growth chamber studies, seedlings originating from the invasive range were larger than seedlings from the native range after 2 wk. Seed starch content is an important component of initial seedling growth. The starch content of seeds from introduced populations was higher than that of seeds from native populations. Regression analysis showed a relationship between the amount of starch in the seeds and the weight of yellow starthistle seedlings after 2 wk growth. There was no difference in chromosome number, except in accessions originating from Sicily and Sardinia. Field studies conducted in France and Russia revealed that rosettes and mature plants grown under natural conditions were larger when grown from seeds originating from the invasive range than from seeds originating from the native range. The number of capitula per plant and stem diameters were not significant among all populations, but differences were noted. The F1 progeny of plants originating from U.S. seed, but grown and pollinated in France, showed no differences in seedling growth, mature plant characteristics, and seed starch content from the plants grown from field-collected U.S. seed. The changes in seed starch resource allocation and its relation to plant growth is useful in understanding factors that contribute to yellow starthistle's invasibility.

Computer models suggest that the Holocene Optimum for East Asian summer monsoon precipitation occurred at different times in different regions of China. Previous studies indicate that this time-transgressive Holocene Optimum should have been experienced about 3000 yr ago in southern China. In this study we describe a section which allows us to test this timing directly. We have closely examined high-resolution eutrophic peat/mud sequences covering the past 18,000 cal yr at Dahu, Jiangxi, on the southern boundary of the mid subtropical zone in China. Late Pleistocene successions in the Dahu record indicate cooler and much wetter conditions relative to synchronous events in north-central China. Our results indicate that the Holocene Optimum occurred between ca. 10,000 and 6000 cal yr ago in southern China, consistent with the global pattern. Conditions were relatively dry and cold from 6000 to 4000 cal yr ago. Our data also support the conclusion that the last deglaciation to early Holocene in the south was much wetter, resulting in the formation of dense broad-leaved forests, which could have acted to moderate land temperature ∼10,000 to 6000 cal yr ago, yielding a stable early-Holocene climate. After 6000 cal yr, forest reduction led to unstable land temperatures, and possibly to a northerly shift of the subtropical high-pressure system. Whatever the mechanism, these changes resulted in decreased precipitation between 6000 and 4000 cal yr B.P. in southern China.