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PET Used Instead of Repeated Biopsy for Monitoring of Prostate Cancer

By MedImaging International staff writers
Posted on 30 Apr 2014

A study described a method to direct the lipid metabolism in cancer cells to use more of radiolabeled glucose.

Most tumors are fed by metabolizing glucose, and therefore can be seen in positron emission tomography (PET) imaging scans that detect radiolabeled glucose. More...

However, prostate cancers tend to use the lipid metabolism pathway and so cannot very effectively be imaged in this way.

A University of Colorado (CU) Cancer Center (Aurora, USA) study presented at the American Association for Cancer Research (AACR) annual meeting held April 5–9, 2014, in San Diego (CA, USA) described an innovative way to “manipulate the lipid metabolism in the cancer cell to trick them to use more radiolabeled glucose, the basis of PET scanning.” The statement was made by Isabel Schlaepfer, PhD, an investigator at the CU Cancer Center department of pharmacology, and recipient of a 2014 Minority Scholar Award in Cancer Research from AACR.

The current study used the clinically safe pharmaceutical agent etomoxir to cut off prostate cancer cells’ ability to oxidize lipids. With the lipid energy source removed, cells switched to glucose metabolism and both cells and mouse models roughly doubled their uptake of radiolabeled glucose. “Because prostate cancer can be a slow-growing disease, instead of immediate treatment, many men choose active surveillance—they watch and wait. But that requires repeated prostate biopsies. Instead, now we could use this metabolic technique to allow PET imaging to monitor prostate cancer progression without the need for so many biopsies,” said Dr. Schlaepfer.

Furthermore, Dr. Schlaepfer pointed out possible therapeutic application of the technique: while immediately useful for imaging, it may be that blocking a prostate cancer cell’s ability to supply itself with energy from lipids could make it difficult for these cells to survive.

The University of Colorado Cancer Center is currently recruiting participants for a human clinical trial of the fat-burning inhibitor ranolazine to enhance PET imaging during the active monitoring of prostate cancer (NCT01992016).

Related Links:
University of Colorado Cancer Center

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64 (792.9801940918): SELECT fid FROM jos_deeppockets WHERE id=294752163 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294752163 AND published='1' LIMIT 1

65 (76.055526733398): SELECT id,name,sponsor_text FROM jos_deeppockets dp left outer join jos_channel_sponsor cs on dp.id=cs.fid WHERE cat=10 AND TYPE='file_folder' AND published=1 AND id=213 ORDER BY `ordering`

66 (96.08268737793): select jos_twitters.link from jos_twitters where cat=10

67 (45.061111450195): select jos_facebook.link from jos_facebook where cat=10

68 (45.061111450195): select jos_google_plus.link from jos_google_plus where cat=10

69 (55.074691772461): select jos_linkedin.link from jos_linkedin where cat=10

70 (66.041946411133): SELECT fid FROM jos_deeppockets WHERE id=294752163 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294752163 AND published='1' LIMIT 1

71 (51.975250244141): SELECT id,name,sponsor_text FROM jos_deeppockets dp left outer join jos_channel_sponsor cs on dp.id=cs.fid WHERE cat=10 AND TYPE='file_folder' AND published=1 AND id=213 ORDER BY `ordering`

72 (586.98654174805): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294752163 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

73 (401.97372436523): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294752163 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

74 (64.849853515625): SELECT id,name,title FROM jos_deeppockets WHERE cat=10 AND TYPE='file_folder' AND published=1 AND id != 294743300 AND id != 294743301 AND id != 294743302 AND id != 294743303 AND id != 294743304 AND id != 294743305 AND id != 294743306 AND id != 294743307 AND id != 294743308 AND id != 294743309 AND id != 294743310 AND metakey != 'aacc' ORDER BY `ordering`

75 (89.883804321289): SELECT show_live FROM jos_com_show_setting LIMIT 1

76 (62.942504882812): SELECT show_live FROM jos_com_show_setting LIMIT 1

77 (52.928924560547): SELECT show_live FROM jos_com_show_setting LIMIT 1

78 (40.054321289062): SELECT show_live FROM jos_com_show_setting LIMIT 1

79 (46.014785766602): SELECT show_live FROM jos_com_show_setting LIMIT 1

80 (41.007995605469): SELECT show_live FROM jos_com_show_setting LIMIT 1

81 (45.7763671875): SELECT show_live FROM jos_com_show_setting LIMIT 1

82 (41.961669921875): SELECT show_live FROM jos_com_show_setting LIMIT 1

83 (123.97766113281): SELECT show_live FROM jos_com_show_setting LIMIT 1

84 (79.870223999023): SELECT show_live FROM jos_com_show_setting LIMIT 1

85 (50.067901611328): SELECT show_live FROM jos_com_show_setting LIMIT 1

86 (39.815902709961): SELECT show_live FROM jos_com_show_setting LIMIT 1

87 (55.074691772461): SELECT show_live FROM jos_com_show_setting LIMIT 1

88 (41.007995605469): SELECT show_live FROM jos_com_show_setting LIMIT 1

89 (82.015991210938): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294752163 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

90 (42.915344238281): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294752163 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

91 (51.021575927734): SELECT id,name,title FROM jos_deeppockets WHERE cat=10 AND TYPE='file_folder' AND published=1 AND id != 294743300 AND id != 294743301 AND id != 294743302 AND id != 294743303 AND id != 294743304 AND id != 294743305 AND id != 294743306 AND id != 294743307 AND id != 294743308 AND id != 294743309 AND id != 294743310 AND metakey != 'aacc' ORDER BY `ordering`

92 (82.969665527344): SELECT show_live FROM jos_com_show_setting LIMIT 1

93 (43.869018554688): SELECT show_live FROM jos_com_show_setting LIMIT 1

94 (38.862228393555): SELECT show_live FROM jos_com_show_setting LIMIT 1

95 (36.954879760742): SELECT show_live FROM jos_com_show_setting LIMIT 1

96 (45.061111450195): SELECT show_live FROM jos_com_show_setting LIMIT 1

97 (40.054321289062): SELECT show_live FROM jos_com_show_setting LIMIT 1

98 (45.061111450195): SELECT show_live FROM jos_com_show_setting LIMIT 1

99 (41.007995605469): SELECT show_live FROM jos_com_show_setting LIMIT 1

100 (40.054321289062): SELECT show_live FROM jos_com_show_setting LIMIT 1

101 (36.001205444336): SELECT show_live FROM jos_com_show_setting LIMIT 1

102 (36.954879760742): SELECT show_live FROM jos_com_show_setting LIMIT 1

103 (37.908554077148): SELECT show_live FROM jos_com_show_setting LIMIT 1

104 (41.007995605469): SELECT show_live FROM jos_com_show_setting LIMIT 1

105 (36.001205444336): SELECT show_live FROM jos_com_show_setting LIMIT 1

106 (115.87142944336): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294752163 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294752163 AND published='1' LIMIT 1

107 (67.949295043945): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294752163 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294752163 AND published='1' LIMIT 1

108 (83.92333984375): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.cat=10 AND dp.id=294752163 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

109 (77.962875366211): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets_archive as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.cat=10 AND dp.id=294752163 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

110 (110.14938354492): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294752163 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294752163 AND published='1' LIMIT 1

111 (75.101852416992): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294752163 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294752163 AND published='1' LIMIT 1

112 (74.148178100586): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.id=294752163 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

113 (752.92587280273): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets_archive as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.id=294752163 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

114 (881.19506835938): SELECT dp.name, dp.id, dp2.name as channel, ex.name as author_name, ex.specialization, ex.images FROM jos_deeppockets as dp LEFT JOIN jos_experts as ex ON ex.id = dp.author LEFT JOIN jos_deeppockets as dp2 ON dp2.id = dp.fid WHERE dp.author != 0 AND dp.cat = 10 AND dp.published = 1 AND ( (dp.fid = 294743300) OR (dp.fid = 294743301) OR (dp.fid = 294743302) OR (dp.fid = 294743303) OR (dp.fid = 294743304) OR (dp.fid = 294743305) OR (dp.fid = 294743306) OR (dp.fid = 294743307) OR (dp.fid = 294743308) OR (dp.fid = 294743309) OR (dp.fid = 294743310) ) ORDER BY RAND() LIMIT 1

115 (663.04206848145): SELECT dp.name, dp.id, dp2.name as channel, ex.name as author_name, ex.specialization, ex.images FROM jos_deeppockets as dp LEFT JOIN jos_experts as ex ON ex.id = dp.author LEFT JOIN jos_deeppockets as dp2 ON dp2.id = dp.fid WHERE dp.author != 0 AND dp.cat = 10 AND dp.published = 1 AND ( (dp.fid = 294743300) OR (dp.fid = 294743301) OR (dp.fid = 294743302) OR (dp.fid = 294743303) OR (dp.fid = 294743304) OR (dp.fid = 294743305) OR (dp.fid = 294743306) OR (dp.fid = 294743307) OR (dp.fid = 294743308) OR (dp.fid = 294743309) OR (dp.fid = 294743310) ) ORDER BY RAND() LIMIT 1

116 (223.87504577637): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294752163 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294752163 AND published='1' LIMIT 1

117 (82.015991210938): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294752163 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294752163 AND published='1' LIMIT 1

118 (92.029571533203): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294752163 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294752163 AND published='1' LIMIT 1

119 (69.141387939453): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294752163 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294752163 AND published='1' LIMIT 1

120 (87.02278137207): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294752163 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294752163 AND published='1' LIMIT 1

121 (58.889389038086): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294752163 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294752163 AND published='1' LIMIT 1

122 (83.92333984375): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294752163 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294752163 AND published='1' LIMIT 1

123 (57.93571472168): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294752163 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294752163 AND published='1' LIMIT 1

124 (458.0020904541): SELECT * FROM trending_articles WHERE `journal_id` = 10 AND `timestamp` <= NOW() + INTERVAL 7 DAY ORDER BY `order`

125 (!!!!! 31624.07875061): SELECT * FROM jos_deeppockets WHERE jos_deeppockets.cat = 10 AND jos_deeppockets.type = 'deeppockets_item' AND jos_deeppockets.published = 1 AND jos_deeppockets.created + INTERVAL 14 DAY >= NOW() ORDER BY jos_deeppockets.hits DESC LIMIT 7

126 (778.9134979248): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294752163 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294752163 AND type='deeppockets_item' AND published='1' LIMIT 1

127 (!!!!! 12050.151824951): ( SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.video != '' AND dp.video_source != '' AND dp.cat = 10 AND dp.published = 1 AND dp.type != 'deeppockets_item_link' ORDER BY created DESC LIMIT 3 ) UNION ( SELECT dpa.id, dpa.name, dpa.title, dpa.video, dpa.video_source, dpa.created FROM jos_deeppockets_archive AS dpa WHERE dpa.video != '' AND dpa.video_source != '' AND dpa.cat = 10 AND dpa.published = 1 AND dpa.type != 'deeppockets_item_link' ORDER BY created DESC LIMIT 3 ) ORDER BY created DESC LIMIT 3

128 (118.01719665527): ( SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.video != '' AND dp.video_source != '' AND dp.cat = 10 AND dp.published = 1 AND dp.type != 'deeppockets_item_link' ORDER BY created DESC LIMIT 3 ) UNION ( SELECT dpa.id, dpa.name, dpa.title, dpa.video, dpa.video_source, dpa.created FROM jos_deeppockets_archive AS dpa WHERE dpa.video != '' AND dpa.video_source != '' AND dpa.cat = 10 AND dpa.published = 1 AND dpa.type != 'deeppockets_item_link' ORDER BY created DESC LIMIT 3 ) ORDER BY created DESC LIMIT 3

129 (89.168548583984): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294803337 LIMIT 1

130 (55.074691772461): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294803337 LIMIT 1

131 (121.8318939209): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294803276 LIMIT 1

132 (41.961669921875): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294803276 LIMIT 1

133 (459.90943908691): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets_archive AS dp WHERE dp.id = 294803276 LIMIT 1

134 (60.081481933594): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets_archive AS dp WHERE dp.id = 294803276 LIMIT 1

135 (62.942504882812): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294802958 LIMIT 1

136 (42.915344238281): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294802958 LIMIT 1

137 (759.12475585938): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294752163 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

138 (516.89147949219): SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294752163 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

139 (70.095062255859): SELECT name FROM jos_deeppockets WHERE id=213

140 (46.014785766602): SELECT name FROM jos_deeppockets WHERE id=213

141 (861.16790771484): SELECT *, DATE_FORMAT(publish_up,'%d %b %Y') AS date_publish_up, DATE_FORMAT(publish_down,'%d %b %Y') AS date_publish_down FROM jos_events WHERE state=1 AND publish_up > NOW() and extra_info REGEXP '((;)|(^))213((;)|($))' AND catid IN (0,110) ORDER BY publish_up ASC LIMIT 3

142 (853.06167602539): SELECT *, DATE_FORMAT(publish_up,'%d %b %Y') AS date_publish_up, DATE_FORMAT(publish_down,'%d %b %Y') AS date_publish_down FROM jos_events WHERE state=1 AND publish_up > NOW() and extra_info REGEXP '((;)|(^))213((;)|($))' AND catid IN (0,110) ORDER BY publish_up ASC LIMIT 3

143 (118.97087097168): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294752163 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294752163 AND published='1' LIMIT 1

144 (85.115432739258): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294752163 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294752163 AND published='1' LIMIT 1

145 (!!!!! 13106.107711792): TRUNCATE TABLE jos_trademed_module

146 (200.98686218262): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.cat=10 AND dp.id=294752163 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

147 (92.029571533203): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets_archive as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.cat=10 AND dp.id=294752163 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

148 (653.98216247559): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294752163 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

149 (87.02278137207): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294752163 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

150 (174.04556274414): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294752163 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294752163 AND published='1' LIMIT 1

151 (85.830688476562): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294752163 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294752163 AND published='1' LIMIT 1

152 (!!!!! 1948.1182098389): SELECT jos_item.* FROM jos_item INNER JOIN jos_number ON jos_item.numberID=jos_number.id WHERE 1=1 AND (jos_item.imgMini<>'') AND jos_item.type='L' AND jos_item.numberID= ( SELECT jos_number.id FROM jos_number WHERE jos_number.journalID IN (10) and jos_number.id in (select distinct jos_number.id from jos_number join jos_item on jos_item.numberid=jos_number.id where jos_item.type='P') ORDER BY (CONVERT(SUBSTRING(issue,1,2),SIGNED) + (CONVERT(SUBSTRING(issue,3,2),SIGNED)*100)) DESC LIMIT 0,1 ) ORDER BY RAND() DESC LIMIT 6

153 (146.15058898926): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294752163 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294752163 AND published='1' LIMIT 1

154 (71.048736572266): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294752163 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294752163 AND published='1' LIMIT 1

155 (70.810317993164): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294752163 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294752163 AND type='deeppockets_item' AND published='1' LIMIT 1

156 (82.969665527344): select distinct links.* from jos_textlinks links join jos_textlinks_placement placement on links.id=placement.link_id where journal_id=(10) and (channel_id=213 or channel_id is null)

157 (72.956085205078): select distinct links.* from jos_textlinks links join jos_textlinks_placement placement on links.id=placement.link_id where journal_id=(10) and (channel_id=213 or channel_id is null)

158 (72.002410888672): SELECT livesite FROM jos_dp_categories WHERE id=10 AND published='1' LIMIT 1

159 (141.85905456543): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294752163 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294752163 AND published='1' LIMIT 1

160 (101.08947753906): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294752163 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294752163 AND published='1' LIMIT 1

161 (71.048736572266): select jos_twitters.link from jos_twitters where cat=10

162 (39.815902709961): select jos_facebook.link from jos_facebook where cat=10

163 (40.054321289062): select jos_google_plus.link from jos_google_plus where cat=10

164 (42.200088500977): select jos_linkedin.link from jos_linkedin where cat=10

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