15 results on '"Yetsko K"'
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2. Исторические этапы внедрения обязательного медицинского страхования в республике Молдова
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Yetsko, K., Buga, M., Damashkan, G., Yetsko, K., Buga, M., and Damashkan, G.
- Abstract
Модель обязательного медицинского страхования, внедренная в Республике Молдова, содержит общие элементы, характерные для систем социального страхования в здравоохранении других стран, особенно европейских, и базируется на следующих основных принципах, как солидарность, справедливость, универсальный доступ к услугам здравоохранения., The beginning of the 2000s was characterized by a high proportion of the hospital sector costs (75 – 80%), high level of patients hospitalization (200 – 210 patients per 1000 population), shortage of primary care physiccians trained in family medicine and extensive involvement of specialists for con-sultative assistance in the primary sector (30%).An important stage in the health care reform was the adoption in 1998 of the “mandatory medical insurance” law, and in 2004 the beginning of mandatory health insurance (MHI). In result there was achieved a significant increase in health financing (from 937,5 mil. lei in 2004 to 4226,1 mil. lei in 2013); the creation of the single centralized fund, allowing the redistribution of risks; the change in the medical institutions status and their funding based on the contract; the approval of a Single Package of health services; the increase in population’s access to health services. Model of mandatory medical insurance, introduced in the Republic of Moldova contains the common elements, specific to the social insurance systems in health care in other countries, especially European and based on the following principles: solidarity, the fundamental principle of social insurance in health care, meaning that the healthy people pay for the sick, the young pay for the old, rich person pay for the poor; justice in health care provision, including for vulnerable groups; universal access to health services, with special emphasis on primary care, and disease prevention. The proposed model does not exclude the existence, and even encourages voluntary health insurance. In a short period, were developed and approved a number of laws and other normative acts. Also need a more detailed analysis of the legal documents approved in order to protect public health and the strengthening of patients ' rights, labour rights of health workers and teams of health care providers., Le modèle de l'assurance maladie obligatoire a été introduite en République de Moldova contient des éléments communs caractéristiques de la sécurité sociale en matière de soins de santé dans d'autres pays, en particulier en Europe, et est basée sur des principes fondamentaux comme la solidarité, la justice, l'accès universel aux soins de santé « Je suis., Модель обов'язкового медичного страхування, впроваджена в Республіці Молдова, містить загальні елементи, характерні для систем соціального страхування в охороні здоров'я інших країн, особливо європейських, і базується на таких основних принипах, як солідарність, справедливість, універсальний доступ до послуг охорони здоров'я.
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- 2015
3. The history of the mandatory medical insuarance implementation in republic of Moldova
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Yetsko, K., primary, Buga, M., additional, and Damashkan, G., additional
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- 2015
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4. The effects of salinity on swimming performance of two estuarine fishes,Fundulus heteroclitusandFundulus majalis
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Yetsko, K., primary and Sancho, G., additional
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- 2015
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5. The effects of salinity on swimming performance of two estuarine fishes, Fundulus heteroclitus and Fundulus majalis.
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Yetsko, K. and Sancho, G.
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FISH locomotion , *MUMMICHOG , *ESTUARINE fishes , *FISH habitats , *FISHES -- Biological control , *FISH ecology - Abstract
Prolonged and high-speed swimming performance measurements were used to explore the swimming abilities of two species of estuarine fishes, the mummichog Fundulus heteroclitus and the striped killifish Fundulus majalis, under different salinities. Critical swimming performance was significantly higher for F. majalis in high salinity than in low salinity, but no difference was observed in brief constant acceleration swimming trials in this species; however, the swimming performance of F. heteroclitus was not significantly affected by salinity changes, indicating that this species is well adapted to regular estuarine salinity oscillations. Fundulus majalis displayed higher swimming speeds than F. heteroclitus in both high and low salinities, and while this cannot be explained by their respective salinity preferences, the specific habitat preferences of F. majalis for sandy subtidal habitats and F. heteroclitus for vegetated marshes could explain the better swimming performance of F. majalis. [ABSTRACT FROM AUTHOR]
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- 2015
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6. Encouraging Active Learning through Multimedia & Interactive Courseware.
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Wang, A.J.A., Yetsko, K., Licitra, J., and Armstrong, T.
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- 2005
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7. Divergent sensory and immune gene evolution in sea turtles with contrasting demographic and life histories.
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Bentley BP, Carrasco-Valenzuela T, Ramos EKS, Pawar H, Souza Arantes L, Alexander A, Banerjee SM, Masterson P, Kuhlwilm M, Pippel M, Mountcastle J, Haase B, Uliano-Silva M, Formenti G, Howe K, Chow W, Tracey A, Sims Y, Pelan S, Wood J, Yetsko K, Perrault JR, Stewart K, Benson SR, Levy Y, Todd EV, Shaffer HB, Scott P, Henen BT, Murphy RW, Mohr DW, Scott AF, Duffy DJ, Gemmell NJ, Suh A, Winkler S, Thibaud-Nissen F, Nery MF, Marques-Bonet T, Antunes A, Tikochinski Y, Dutton PH, Fedrigo O, Myers EW, Jarvis ED, Mazzoni CJ, and Komoroske LM
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- Animals, Ecosystem, Population Dynamics, Turtles
- Abstract
Sea turtles represent an ancient lineage of marine vertebrates that evolved from terrestrial ancestors over 100 Mya. The genomic basis of the unique physiological and ecological traits enabling these species to thrive in diverse marine habitats remains largely unknown. Additionally, many populations have drastically declined due to anthropogenic activities over the past two centuries, and their recovery is a high global conservation priority. We generated and analyzed high-quality reference genomes for the leatherback ( Dermochelys coriacea ) and green ( Chelonia mydas ) turtles, representing the two extant sea turtle families. These genomes are highly syntenic and homologous, but localized regions of noncollinearity were associated with higher copy numbers of immune, zinc-finger, and olfactory receptor (OR) genes in green turtles, with ORs related to waterborne odorants greatly expanded in green turtles. Our findings suggest that divergent evolution of these key gene families may underlie immunological and sensory adaptations assisting navigation, occupancy of neritic versus pelagic environments, and diet specialization. Reduced collinearity was especially prevalent in microchromosomes, with greater gene content, heterozygosity, and genetic distances between species, supporting their critical role in vertebrate evolutionary adaptation. Finally, diversity and demographic histories starkly contrasted between species, indicating that leatherback turtles have had a low yet stable effective population size, exhibit extremely low diversity compared with other reptiles, and harbor a higher genetic load compared with green turtles, reinforcing concern over their persistence under future climate scenarios. These genomes provide invaluable resources for advancing our understanding of evolution and conservation best practices in an imperiled vertebrate lineage.
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- 2023
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8. Detection and population genomics of sea turtle species via noninvasive environmental DNA analysis of nesting beach sand tracks and oceanic water.
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Farrell JA, Whitmore L, Mashkour N, Rollinson Ramia DR, Thomas RS, Eastman CB, Burkhalter B, Yetsko K, Mott C, Wood L, Zirkelbach B, Meers L, Kleinsasser P, Stock S, Libert E, Herren R, Eastman S, Crowder W, Bovery C, Anderson D, Godfrey D, Condron N, and Duffy DJ
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- Animals, Metagenomics, Sand, Water, DNA, Environmental genetics, Turtles genetics
- Abstract
Elusive aquatic wildlife, such as endangered sea turtles, are difficult to monitor and conserve. As novel molecular and genetic technologies develop, it is possible to adapt and optimize them for wildlife conservation. One such technology is environmental (e)DNA - the detection of DNA shed from organisms into their surrounding environments. We developed species-specific green (Chelonia mydas) and loggerhead (Caretta caretta) sea turtle probe-based qPCR assays, which can detect and quantify sea turtle eDNA in controlled (captive tank water and sand samples) and free ranging (oceanic water samples and nesting beach sand) settings. eDNA detection complemented traditional in-water sea turtle monitoring by enabling detection even when turtles were not visually observed. Furthermore, we report that high throughput shotgun sequencing of eDNA sand samples enabled sea turtle population genetic studies and pathogen monitoring, demonstrating that noninvasive eDNA techniques are viable and efficient alternatives to biological sampling (e.g., biopsies and blood draws). Genetic information was obtained from sand many hours after nesting events, without having to observe or interact with the target individual. This greatly reduces the sampling stress experienced by nesting mothers and emerging hatchlings, and avoids sacrificing viable eggs for genetic analysis. The detection of pathogens from sand indicates significant potential for increased wildlife disease monitoring capacity and viral variant surveillance. Together, these results demonstrate the potential of eDNA approaches to ultimately help understand and conserve threatened species such as sea turtles., (© 2022 John Wiley & Sons Ltd.)
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- 2022
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9. Preformulation Studies with Phenylalanine Ammonia Lyase: Essential Prelude to a Microcapsule Formulation for the Management of Phenylketonuria.
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Besada C, Hakami A, Pillai G, Yetsko K, Truong N, Little T, Pantano S, and Dmello A
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- Animals, Capsules, Dipeptides, Mice, Phenylalanine metabolism, Serum Albumin, Bovine, Phenylalanine Ammonia-Lyase metabolism, Phenylketonurias drug therapy
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Phenylalanine ammonia lyase (PAL) metabolizes phenylalanine to transcinnamic acid (TCA). Our eventual goal is to develop a PAL microcapsule formulation to deplete phenylalanine in the gastrointestinal tract (g.i.t). The focus of this research is pre-formulation studies with PAL. PAL exhibited undesirable time dependent decrease in activity due to TCA mediated product inhibition. Addition of bovine serum albumin (BSA) completely relieved product inhibition. Ultrafiltration experiments revealed that BSA acted by binding and sequestering TCA. PAL exhibits maximum activity at a pH of 8.5 and will need to be buffered to retain activity in the g.i.t. Buffer studies showed that a pH 8.5, 0.4 M Bicine buffer containing BSA was able to maintain maximal PAL activity against simulated gastric and intestinal fluid additions. Buffered PAL with BSA was able to rapidly and completely deplete phenylalanine in simulated mouse g.i.t conditions. A small fraction of phenylalanine in the g.i.t is present as dipeptides. Our studies established for the first time that PAL cannot metabolize phenylalanine dipeptides. Our results explain why previous trials with PAL in the management of phenylketonuria produced low efficacy. They will guide design of a PAL microcapsule formulation that maintains maximal PAL activity during its transit through the g.i.t., Competing Interests: Declaration of Competing Interest Research in our laboratory has received the following patent: U.S. Patent Application No: 15/495,410, allowed October 16th, 2018, Title: Compositions and methods for the treatment of Phenylketonuria (PKU); The University of the Sciences has licensed the technology to Abri LLC and the corresponding author owns minority stake in the company., (Copyright © 2022 American Pharmacists Association. Published by Elsevier Inc. All rights reserved.)
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- 2022
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10. Fibropapillomatosis and Chelonid Alphaherpesvirus 5 Infection in Kemp's Ridley Sea Turtles ( Lepidochelys kempii ).
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Page-Karjian A, Whitmore L, Stacy BA, Perrault JR, Farrell JA, Shaver DJ, Walker JS, Frandsen HR, Rantonen E, Harms CA, Norton TM, Innis C, Yetsko K, and Duffy DJ
- Abstract
Fibropapillomatosis (FP), a debilitating, infectious neoplastic disease, is rarely reported in endangered Kemp's ridley sea turtles ( Lepidochelys kempii ). With this study, we describe FP and the associated chelonid alphaherpesvirus 5 (ChHV5) in Kemp's ridley turtles encountered in the United States during 2006-2020. Analysis of 22 case reports of Kemp's ridley turtles with FP revealed that while the disease was mild in most cases, 54.5% were adult turtles, a reproductively valuable age class whose survival is a priority for population recovery. Of 51 blood samples from tumor-free turtles and 12 tumor samples from turtles with FP, 7.8% and 91.7%, respectively, tested positive for ChHV5 DNA via quantitative polymerase chain reaction (qPCR). Viral genome shotgun sequencing and phylogenetic analysis of six tumor samples show that ChHV5 sequences in Kemp's ridley turtles encountered in the Gulf of Mexico and northwestern Atlantic cluster with ChHV5 sequences identified in green ( Chelonia mydas ) and loggerhead ( Caretta caretta ) sea turtles from Hawaii, the southwestern Atlantic Ocean, and the Caribbean. Results suggest an interspecific, spatiotemporal spread of FP among Kemp's ridley turtles in regions where the disease is enzootic. Although FP is currently uncommon in this species, it remains a health concern due to its uncertain pathogenesis and potential relationship with habitat degradation.
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- 2021
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11. Genotype data not consistent with clonal transmission of sea turtle fibropapillomatosis or goldfish schwannoma.
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Ní Leathlobhair M, Yetsko K, Farrell JA, Iaria C, Marino G, Duffy DJ, and Murchison EP
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Recent discoveries of transmissible cancers in multiple bivalve species suggest that direct transmission of cancer cells within species may be more common than previously thought, particularly in aquatic environments. Fibropapillomatosis occurs with high prevalence in green sea turtles ( Chelonia mydas ) and the geographic range of disease has increased since fibropapillomatosis was first reported in this species. Widespread incidence of schwannomas, benign tumours of Schwann cell origin, reported in aquarium-bred goldfish (Carassius auratus), suggest an infectious aetiology. We investigated the hypothesis that cancers in these species arise by clonal transmission of cancer cells. Through analysis of polymorphic microsatellite alleles, we demonstrate concordance of host and tumour genotypes in diseased animals. These results imply that the tumours examined arose from independent oncogenic transformation of host tissue and were not clonally transmitted. Further, failure to experimentally transmit goldfish schwannoma via water exposure or inoculation suggest that this disease is unlikely to have an infectious aetiology., Competing Interests: No competing interests were disclosed., (Copyright: © 2021 Ní Leathlobhair M et al.)
- Published
- 2021
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12. Evolutionary Comparisons of Chelonid Alphaherpesvirus 5 (ChHV5) Genomes from Fibropapillomatosis-Afflicted Green ( Chelonia mydas ), Olive Ridley ( Lepidochelys olivacea ) and Kemp's Ridley ( Lepidochelys kempii ) Sea Turtles.
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Whitmore L, Yetsko K, Farrell JA, Page-Karjian A, Daniel W, Shaver DJ, Frandsen HR, Walker JS, Crowder W, Bovery C, Rollinson Ramia D, Burkhalter B, Ryan E, and Duffy DJ
- Abstract
The spreading global sea turtle fibropapillomatosis (FP) epizootic is threatening some of Earth's ancient reptiles, adding to the plethora of threats faced by these keystone species. Understanding this neoplastic disease and its likely aetiological pathogen, chelonid alphaherpesvirus 5 (ChHV5), is crucial to understand how the disease impacts sea turtle populations and species and the future trajectory of disease incidence. We generated 20 ChHV5 genomes, from three sea turtle species, to better understand the viral variant diversity and gene evolution of this oncogenic virus. We revealed previously underappreciated genetic diversity within this virus (with an average of 2035 single nucleotide polymorphisms (SNPs), 1.54% of the ChHV5 genome) and identified genes under the strongest evolutionary pressure. Furthermore, we investigated the phylogeny of ChHV5 at both genome and gene level, confirming the propensity of the virus to be interspecific, with related variants able to infect multiple sea turtle species. Finally, we revealed unexpected intra-host diversity, with up to 0.15% of the viral genome varying between ChHV5 genomes isolated from different tumours concurrently arising within the same individual. These findings offer important insights into ChHV5 biology and provide genomic resources for this oncogenic virus.
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- 2021
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13. Environmental DNA monitoring of oncogenic viral shedding and genomic profiling of sea turtle fibropapillomatosis reveals unusual viral dynamics.
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Farrell JA, Yetsko K, Whitmore L, Whilde J, Eastman CB, Ramia DR, Thomas R, Linser P, Creer S, Burkhalter B, Schnitzler C, and Duffy DJ
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- Animals, Carcinogenesis genetics, DNA genetics, Environmental Monitoring methods, Genomics methods, Herpesviridae pathogenicity, Leeches genetics, Leeches pathogenicity, Papilloma etiology, Papilloma virology, Skin Neoplasms etiology, Skin Neoplasms virology, Turtles genetics, Virus Shedding genetics, Warts veterinary, Warts virology, DNA, Environmental analysis, Herpesviridae genetics, Turtles virology, Warts transmission
- Abstract
Pathogen-induced cancers account for 15% of human tumors and are a growing concern for endangered wildlife. Fibropapillomatosis is an expanding virally and environmentally co-induced sea turtle tumor epizootic. Chelonid herpesvirus 5 (ChHV5) is implicated as a causative virus, but its transmission method and specific role in oncogenesis and progression is unclear. We applied environmental (e)DNA-based viral monitoring to assess viral shedding as a direct means of transmission, and the relationship between tumor burden, surgical resection and ChHV5 shedding. To elucidate the abundance and transcriptional status of ChHV5 across early, established, regrowth and internal tumors we conducted genomics and transcriptomics. We determined that ChHV5 is shed into the water column, representing a likely transmission route, and revealed novel temporal shedding dynamics and tumor burden correlations. ChHV5 was more abundant in the water column than in marine leeches. We also revealed that ChHV5 is latent in fibropapillomatosis, including early stage, regrowth and internal tumors; higher viral transcription is not indicative of poor patient outcome, and high ChHV5 loads predominantly arise from latent virus. These results expand our knowledge of the cellular and shedding dynamics of ChHV5 and can provide insights into temporal transmission dynamics and viral oncogenesis not readily investigable in tumors of terrestrial species.
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- 2021
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14. Molecular characterization of a marine turtle tumor epizootic, profiling external, internal and postsurgical regrowth tumors.
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Yetsko K, Farrell JA, Blackburn NB, Whitmore L, Stammnitz MR, Whilde J, Eastman CB, Ramia DR, Thomas R, Krstic A, Linser P, Creer S, Carvalho G, Devlin MA, Nahvi N, Leandro AC, deMaar TW, Burkhalter B, Murchison EP, Schnitzler C, and Duffy DJ
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- Animals, Gene Expression Profiling, Gene Expression Regulation, Neoplastic, Gene Regulatory Networks, Immunohistochemistry, Papilloma genetics, Papilloma metabolism, Papilloma surgery, Signal Transduction, Skin Neoplasms genetics, Skin Neoplasms metabolism, Skin Neoplasms surgery, Transcriptome, Tumor Virus Infections genetics, Tumor Virus Infections metabolism, Tumor Virus Infections surgery, Biomarkers, Tumor genetics, Biomarkers, Tumor metabolism, Cell Proliferation, Neoplasm Recurrence, Local veterinary, Papilloma veterinary, Skin Neoplasms veterinary, Tumor Virus Infections veterinary, Turtles
- Abstract
Sea turtle populations are under threat from an epizootic tumor disease (animal epidemic) known as fibropapillomatosis. Fibropapillomatosis continues to spread geographically, with prevalence of the disease also growing at many longer-affected sites globally. However, we do not yet understand the precise environmental, mutational and viral events driving fibropapillomatosis tumor formation and progression.Here we perform transcriptomic and immunohistochemical profiling of five fibropapillomatosis tumor types: external new, established and postsurgical regrowth tumors, and internal lung and kidney tumors. We reveal that internal tumors are molecularly distinct from the more common external tumors. However, they have a small number of conserved potentially therapeutically targetable molecular vulnerabilities in common, such as the MAPK, Wnt, TGFβ and TNF oncogenic signaling pathways. These conserved oncogenic drivers recapitulate remarkably well the core pan-cancer drivers responsible for human cancers. Fibropapillomatosis has been considered benign, but metastatic-related transcriptional signatures are strongly activated in kidney and established external tumors. Tumors in turtles with poor outcomes (died/euthanized) have genes associated with apoptosis and immune function suppressed, with these genes providing putative predictive biomarkers.Together, these results offer an improved understanding of fibropapillomatosis tumorigenesis and provide insights into the origins, inter-tumor relationships, and therapeutic treatment for this wildlife epizootic.
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- 2021
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15. Sea turtle fibropapilloma tumors share genomic drivers and therapeutic vulnerabilities with human cancers.
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Duffy DJ, Schnitzler C, Karpinski L, Thomas R, Whilde J, Eastman C, Yang C, Krstic A, Rollinson D, Zirkelbach B, Yetsko K, Burkhalter B, and Martindale MQ
- Abstract
Wildlife populations are under intense anthropogenic pressures, with the geographic range of many species shrinking, dramatic reductions in population numbers and undisturbed habitats, and biodiversity loss. It is postulated that we are in the midst of a sixth (Anthropocene) mass extinction event, the first to be induced by human activity. Further, threatening vulnerable species is the increased rate of emerging diseases, another consequence of anthropogenic activities. Innovative approaches are required to help maintain healthy populations until the chronic underlying causes of these issues can be addressed. Fibropapillomatosis in sea turtles is one such wildlife disease. Here, we applied precision-medicine-based approaches to profile fibropapillomatosis tumors to better understand their biology, identify novel therapeutics, and gain insights into viral and environmental triggers for fibropapillomatosis. We show that fibropapillomatosis tumors share genetic vulnerabilities with human cancer types, revealing that they are amenable to treatment with human anti-cancer therapeutics., Competing Interests: The authors declare no competing interests.
- Published
- 2018
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