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New Radiotheranostic System Detects and Treats Ovarian Cancer Noninvasively

By MedImaging International staff writers
Posted on 04 Apr 2024

Image: The radiotheranostic platform employs a MUC16-targeting humanized antibody, huAR9.6 (Photo courtesy of MSK)

Ovarian cancer is the most lethal gynecological cancer, with less than a 30% five-year survival rate for those diagnosed in late stages. Despite surgery and platinum-based chemotherapy being the standard treatments, they have not significantly improved survival rates due to tumor recurrence and resistance to chemotherapy. Current serum-based biomarkers fail to correctly identify early-stage ovarian cancer, highlighting an urgent need for better detection methods and new targeted treatments to enhance patient survival rates. Now, a new radiotheranostic system offers non-invasive detection and treatment of ovarian cancer. This theranostic platform combines the highly specific huAR9.6 antibody with PET imaging and therapeutic radionuclides to provide a more personalized treatment that could potentially improve health outcomes for ovarian cancer patients.

Previous studies have shown that the MUC16 protein is overexpressed in ovarian cancer patients, with elevated levels correlating with disease stage and tumor volume. The antibody huAR9.6 binds to a unique epitope that is influenced by truncated carbohydrate residues on MUC16. The MUC16 protein could be a potential target for tumor detection via immuno-PET imaging and treatment with radioimmunotherapy, according to findings of a study by researchers at the Memorial Sloan Kettering Cancer (MSK, New York, NY, USA). The study examined the diagnostic radiotracer 89Zr-DFO-huAR9.6 using vitro and in vivo via binding experiments, immuno-PET imaging, and biodistribution analysis on ovarian cancer mouse models.

Moreover, the therapeutic safety and efficacy of the radionuclide 177Lu-CHX-A″-DTPA-huAR9.6 were evaluated using ovarian xenografts. Immuno-PET imaging with 89Zr-DFO-huAR9.6 successfully identified MUC16 proteins, and in vivo tests confirmed the ability of 89Zr-DFO-huAR9.6 to distinguish varying MUC16 expression levels in ovarian cancer mouse models. Radioimmunotherapy studies with 177Lu-CHX-A″-DTPA-huAR9.6 showed promising results, including improved survival and strong antitumor response in models with high MUC16 expression. Hematologic toxicity was also determined to be transient in mice treated with 177Lu-CHX-A″-DTPA-huAR9.6.

“Immuno-PET imaging of MUC16 with this radiotheranostic pair may allow for noninvasive diagnosis and treatment monitoring of ovarian cancer lesions in patients,” said Kyeara Mack, PhD, postdoctoral fellow in the Lewis Lab at MSK. “This theranostic platform may be used to stratify and select patients who would benefit from the targeted radioimmunotherapy. In addition, it could also play a significant role in early ovarian cancer detection.”

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62 (!!!!! 1948.8334655762): SELECT fid FROM jos_deeppockets WHERE id=294800765 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294800765 AND published='1' LIMIT 1

63 (!!!!! 1013.9942169189): 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`

64 (!!!!! 1199.0070343018): select jos_twitters.link from jos_twitters where cat=10

65 (57.93571472168): select jos_facebook.link from jos_facebook where cat=10

66 (36.001205444336): select jos_google_plus.link from jos_google_plus where cat=10

67 (30.994415283203): select jos_linkedin.link from jos_linkedin where cat=10

68 (!!!!! 1137.9718780518): SELECT fid FROM jos_deeppockets WHERE id=294800765 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294800765 AND published='1' LIMIT 1

69 (78.916549682617): 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`

70 (360.01205444336): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294800765 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

71 (172.85346984863): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294800765 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

72 (88.930130004883): 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`

73 (!!!!! 5337.9535675049): SELECT show_live FROM jos_com_show_setting LIMIT 1

74 (75.101852416992): SELECT show_live FROM jos_com_show_setting LIMIT 1

75 (141.85905456543): SELECT show_live FROM jos_com_show_setting LIMIT 1

76 (206.94732666016): SELECT show_live FROM jos_com_show_setting LIMIT 1

77 (715.97099304199): SELECT show_live FROM jos_com_show_setting LIMIT 1

78 (536.91864013672): SELECT show_live FROM jos_com_show_setting LIMIT 1

79 (828.98139953613): SELECT show_live FROM jos_com_show_setting LIMIT 1

80 (46.968460083008): SELECT show_live FROM jos_com_show_setting LIMIT 1

81 (856.87637329102): SELECT show_live FROM jos_com_show_setting LIMIT 1

82 (216.96090698242): SELECT show_live FROM jos_com_show_setting LIMIT 1

83 (837.08763122559): SELECT show_live FROM jos_com_show_setting LIMIT 1

84 (185.96649169922): SELECT show_live FROM jos_com_show_setting LIMIT 1

85 (299.93057250977): SELECT show_live FROM jos_com_show_setting LIMIT 1

86 (36.001205444336): SELECT show_live FROM jos_com_show_setting LIMIT 1

87 (!!!!! 2385.8547210693): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294800765 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

88 (!!!!! 1302.0038604736): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294800765 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

89 (672.1019744873): 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`

90 (499.01008605957): SELECT show_live FROM jos_com_show_setting LIMIT 1

91 (38.14697265625): SELECT show_live FROM jos_com_show_setting LIMIT 1

92 (30.040740966797): SELECT show_live FROM jos_com_show_setting LIMIT 1

93 (72.956085205078): SELECT show_live FROM jos_com_show_setting LIMIT 1

94 (99.897384643555): SELECT show_live FROM jos_com_show_setting LIMIT 1

95 (68.187713623047): SELECT show_live FROM jos_com_show_setting LIMIT 1

96 (95.129013061523): SELECT show_live FROM jos_com_show_setting LIMIT 1

97 (66.995620727539): SELECT show_live FROM jos_com_show_setting LIMIT 1

98 (653.98216247559): SELECT show_live FROM jos_com_show_setting LIMIT 1

99 (151.15737915039): SELECT show_live FROM jos_com_show_setting LIMIT 1

100 (225.06713867188): SELECT show_live FROM jos_com_show_setting LIMIT 1

101 (39.100646972656): SELECT show_live FROM jos_com_show_setting LIMIT 1

102 (113.01040649414): SELECT show_live FROM jos_com_show_setting LIMIT 1

103 (93.936920166016): SELECT show_live FROM jos_com_show_setting LIMIT 1

104 (!!!!! 4500.150680542): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294800765 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294800765 AND published='1' LIMIT 1

105 (466.10832214355): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294800765 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294800765 AND published='1' LIMIT 1

106 (!!!!! 5942.1062469482): 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=294800765 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

107 (!!!!! 7489.9196624756): 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=294800765 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

108 (!!!!! 6165.9812927246): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294800765 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294800765 AND published='1' LIMIT 1

109 (!!!!! 1587.8677368164): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294800765 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294800765 AND published='1' LIMIT 1

110 (!!!!! 3189.0869140625): 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=294800765 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

111 (915.0505065918): 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=294800765 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

112 (!!!!! 4352.8079986572): 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

113 (!!!!! 1613.8553619385): 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

114 (!!!!! 3131.8664550781): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294800765 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294800765 AND published='1' LIMIT 1

115 (333.07075500488): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294800765 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294800765 AND published='1' LIMIT 1

116 (396.0132598877): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294800765 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294800765 AND published='1' LIMIT 1

117 (694.03648376465): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294800765 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294800765 AND published='1' LIMIT 1

118 (!!!!! 2078.0563354492): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294800765 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294800765 AND published='1' LIMIT 1

119 (293.01643371582): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294800765 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294800765 AND published='1' LIMIT 1

120 (!!!!! 1920.9384918213): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294800765 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294800765 AND published='1' LIMIT 1

121 (82.015991210938): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294800765 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294800765 AND published='1' LIMIT 1

122 (391.96014404297): SELECT * FROM trending_articles WHERE `journal_id` = 10 AND `timestamp` <= NOW() + INTERVAL 7 DAY ORDER BY `order`

123 (!!!!! 77830.076217651): 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

124 (!!!!! 7759.8094940186): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294800765 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294800765 AND type='deeppockets_item' AND published='1' LIMIT 1

125 (!!!!! 64204.931259155): ( 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

126 (!!!!! 55974.960327148): ( 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

127 (!!!!! 7596.0159301758): 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

128 (!!!!! 7935.0471496582): 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

129 (!!!!! 8280.9925079346): 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

130 (!!!!! 7831.8119049072): 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

131 (!!!!! 7439.8517608643): 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

132 (!!!!! 8707.0465087891): 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

133 (!!!!! 1241.92237854): 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

134 (!!!!! 1193.0465698242): 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

135 (!!!!! 2821.9223022461): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294800765 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

136 (!!!!! 3999.9485015869): SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294800765 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

137 (523.80561828613): SELECT name FROM jos_deeppockets WHERE id=213

138 (59.127807617188): SELECT name FROM jos_deeppockets WHERE id=213

139 (!!!!! 1010.8947753906): 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

140 (!!!!! 1088.1423950195): 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

141 (!!!!! 1970.0527191162): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294800765 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294800765 AND published='1' LIMIT 1

142 (104.18891906738): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294800765 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294800765 AND published='1' LIMIT 1

143 (!!!!! 17498.970031738): TRUNCATE TABLE jos_trademed_module

144 (!!!!! 4407.8826904297): 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=294800765 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

145 (!!!!! 9352.2071838379): 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=294800765 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

146 (!!!!! 3633.0223083496): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294800765 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

147 (164.98565673828): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294800765 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

148 (!!!!! 2444.9825286865): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294800765 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294800765 AND published='1' LIMIT 1

149 (592.94700622559): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294800765 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294800765 AND published='1' LIMIT 1

150 (!!!!! 8494.8539733887): 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

151 (!!!!! 1105.0701141357): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294800765 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294800765 AND published='1' LIMIT 1

152 (142.09747314453): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294800765 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294800765 AND published='1' LIMIT 1

153 (!!!!! 1323.938369751): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294800765 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294800765 AND type='deeppockets_item' AND published='1' LIMIT 1

154 (702.1427154541): 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)

155 (!!!!! 2572.0596313477): 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)

156 (468.96934509277): SELECT livesite FROM jos_dp_categories WHERE id=10 AND published='1' LIMIT 1

157 (!!!!! 1121.997833252): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294800765 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294800765 AND published='1' LIMIT 1

158 (!!!!! 9069.9195861816): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294800765 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294800765 AND published='1' LIMIT 1

159 (80.108642578125): select jos_twitters.link from jos_twitters where cat=10

160 (46.014785766602): select jos_facebook.link from jos_facebook where cat=10

161 (42.915344238281): select jos_google_plus.link from jos_google_plus where cat=10

162 (43.869018554688): select jos_linkedin.link from jos_linkedin where cat=10

163 (!!!!! 2433.0615997314): update jos_bannersmanager_banner set impmade=impmade+1 where id in(14615,14202,14203)

164 (!!!!! 1830.1010131836): insert into jos_banners_delta values (14615,'2025-08-02 15:27:36','216.73.216.210','view'),(14202,'2025-08-02 15:27:36','216.73.216.210','view'),(14203,'2025-08-02 15:27:36','216.73.216.210','view')

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