Characterization of head and neck squamous cell carcinoma arising in young patients: Particular focus on molecular alteration and tumor immunity
HEAD AND NECK-JOURNAL FOR THE SCIENCES AND SPECIALTIES OF THE HEAD AND NECK
Authors: Ryu, Hyang Joo; Kim, Eun Kyung; Cho, Byoung Chul; Yoon, Sun Och
Abstract
Background The purpose of this study was to comprehensively characterize head and neck squamous cell carcinoma (HNSCC) arising in young patients (<45 years old). Methods We performed immunohistochemistry, silver, and fluorescence in situ hybridization using samples obtained from 396 radically resected cases among 1787 HNSCCs. Results Young age HNSCCs occurred in 10.9% (194/1787) and were most common in the oral tongue (50.5%). They revealed distinctively lower frequency of p16 positivity, high c-MET expression, MET copy number gain, and lower pan-Trk expression. PD-L1 positivity in tumor cells and ICOS+ tumor infiltrating lymphocytes (TILs) were higher in the young age. Perineural invasion, PD-L1 positivity, and higher ratio of CD163+ tumor infiltrating macrophages to CD8 + TILs were determined to be independent factors for poor progression-free survival. Conclusion Characterizing these features of young age HNSCC may help to identify the underlying pathogenesis and to improve patient outcome through different treatment strategies.
What Is an ICO? Defining a Security on the Blockchain
GEORGE WASHINGTON LAW REVIEW
Authors: Holoweiko, Seth
Abstract
2017 brought the rise of the initial coin offering ("ICO"), a novel fundraising concept that enables organizations to raise funds from anyone with an internet connection and a cryptocurrency wallet by selling tokens that will have some future purpose related to the companies' products or services. But thus far, few ICOs have complied with Securities and Exchange Commission ("SEC") regulations regarding the offering of securities to outside investors despite most tokens having the characteristics of securities, which would bring them into the SEC's regulatory scope. In late 2017, the SEC began regularly enforcing registration and disclosure regulations against organizations launching ICOs, prompting many organizations to structure their ICOs such that their tokens appear to fall outside the definition of a security. But the SEC has continued its enforcement efforts, arguing that the organizations' attempts to circumvent regulatory requirements in form do not change the substance underlying the transactions. This Essay presents an expanded argument that tokens that have no practical use when sold, which are instead sold to raise funds for the underlying organization, constitute "investment contracts" and are therefore securities. It then argues that the SEC's interpretation of securities to include tokens should receive Chevron deference in courts because the definition of a security is ambiguous, and the SEC is better positioned to make interpretations that can keep up with the fast-paced evolution of blockchain-based investment products.