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Systemic Tumor Disappearance Reported in Patient with Metastatic Melanoma after Radiotherapy

By MedImaging International staff writers
Posted on 27 Mar 2012

A seldom seen event in cancer patients--in which focused radiation to the site of one tumor is tied to the disappearance of metastatic tumors all over the body--has been reported in a patient with melanoma treated with the immunotherapeutic agent ipilimumab (Yervoy).

Researchers from Memorial Sloan Kettering Cancer Center (MSKCC; New York, NY, USA) reported their findings in a unique single-patient study, which could help provide clues into the immune system’s role in fighting cancer. Their observations suggest that the combination of ipilimumab and radiation may be a potential approach for the treatment of melanoma. The findings were published in the March 8, 2012, issue of the New England Journal of Medicine (NEJM). The research was performed at Memorial Sloan Kettering’s Ludwig Center for Cancer Immunotherapy.

The phenomenon reported by the researchers, known as the abscopal effect, happens when localized radiation therapy delivered to a single tumor in a patient with advanced disease results in tumor disappearance outside of the irradiated area. Though the abscopal effect is very rare, it has been described in several cancers including melanoma, lymphoma, and kidney cancer.

“We are excited about these results, and what we have seen in this one patient proves the principle that adding radiation therapy to immunotherapy may be a promising combination approach to treatment for advanced cancer,” explained senior author Jedd Wolchok, MD, PhD, a medical oncologist at Memorial Sloan Kettering Cancer Center with a joint appointment in the Sloan Kettering Institute’s Immunology Program. “What we think is happening here is that the immune system’s cancer-fighting response is turned up a notch with the addition of focused radiation,” added Dr. Wolchok.

In the case study, Dr. Wolchok and colleagues reported treating a patient with advanced melanoma using an immunotherapy called ipilimumab, recently approved by the US Food and Drug Administration (FDA). Over time, the patient’s melanoma slowly grew in the spleen, lymph nodes, and a region near the spine. When the disease progressed, the patient received localized radiation therapy to the melanoma tumor near the spine to help with pain relief. After the radiation treatment, the targeted tumor near the patient’s spine shrank considerably. Unexpectedly, other areas where the melanoma had spread (the spleen and the lymph nodes) but that were not directly targeted by the radiation therapy also benefited, consistent with the abscopal effect. The patient continues to do well more than one year since receiving the radiation therapy.

Scientists are not sure how the abscopal effect works to eliminate cancer in patients. Studies in mice suggest that the effect may depend upon activation of the immune system. In the case study reported by Dr. Wolchok and colleagues at Memorial Sloan Kettering, changes in the patient’s immune system were measured over the course of treatment. The scientists observed changes in tumor-directed antibody levels and immune cell populations that occurred at the time of the abscopal effect. These results substantiate the theory that radiation may help activate the immune system to fight cancer.

Ipilimumab is an immunotherapy that exploits the body’s own immune system to attack cancer. It was approved by the FDA in March of 2011 and is the first drug ever to show an improvement in overall survival for patients with advanced melanoma. The therapy blocks a target called cytotoxic T-lymphocyte antigen 4 (CTLA-4) and was developed by James Allison, PhD, chair of the Sloan Kettering Institute’s immunology program.

This patient’s intense response provides new insight into how radiation may help trigger the immune system to combat cancer and suggests innovative therapeutic avenues to pursue. Clinical trials are under way now to confirm the approach of combining radiation therapy with ipilimumab for the treatment of melanoma and prostate cancer.

Related Links:
Memorial Sloan Kettering Cancer Center

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61 (!!!!! 3206.9683074951): select cover from jos_number where journalid in (5) and cover is not null order by left(issue,2)+right(issue,2)*12 desc limit 1

62 (697.85118103027): SELECT fid FROM jos_deeppockets WHERE id=294739954 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294739954 AND published='1' LIMIT 1

63 (503.7784576416): 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=211 ORDER BY `ordering`

64 (225.06713867188): select jos_twitters.link from jos_twitters where cat=10

65 (175.95291137695): select jos_facebook.link from jos_facebook where cat=10

66 (46.968460083008): select jos_google_plus.link from jos_google_plus where cat=10

67 (101.08947753906): select jos_linkedin.link from jos_linkedin where cat=10

68 (!!!!! 3396.0342407227): SELECT fid FROM jos_deeppockets WHERE id=294739954 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294739954 AND published='1' LIMIT 1

69 (!!!!! 1674.8905181885): 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=211 ORDER BY `ordering`

70 (!!!!! 1619.1005706787): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294739954 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

71 (578.88031005859): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294739954 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

72 (82.015991210938): 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 (!!!!! 4520.1778411865): SELECT show_live FROM jos_com_show_setting LIMIT 1

74 (884.05609130859): SELECT show_live FROM jos_com_show_setting LIMIT 1

75 (259.8762512207): SELECT show_live FROM jos_com_show_setting LIMIT 1

76 (901.93748474121): SELECT show_live FROM jos_com_show_setting LIMIT 1

77 (!!!!! 1111.0305786133): SELECT show_live FROM jos_com_show_setting LIMIT 1

78 (41.961669921875): SELECT show_live FROM jos_com_show_setting LIMIT 1

79 (!!!!! 1403.80859375): SELECT show_live FROM jos_com_show_setting LIMIT 1

80 (56.982040405273): SELECT show_live FROM jos_com_show_setting LIMIT 1

81 (41.007995605469): SELECT show_live FROM jos_com_show_setting LIMIT 1

82 (131.13021850586): SELECT show_live FROM jos_com_show_setting LIMIT 1

83 (!!!!! 1323.938369751): SELECT show_live FROM jos_com_show_setting LIMIT 1

84 (69.856643676758): SELECT show_live FROM jos_com_show_setting LIMIT 1

85 (157.83309936523): SELECT show_live FROM jos_com_show_setting LIMIT 1

86 (41.961669921875): SELECT show_live FROM jos_com_show_setting LIMIT 1

87 (!!!!! 4434.8239898682): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294739954 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

88 (221.01402282715): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294739954 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

89 (125.88500976562): 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 (518.0835723877): SELECT show_live FROM jos_com_show_setting LIMIT 1

91 (66.995620727539): SELECT show_live FROM jos_com_show_setting LIMIT 1

92 (244.8558807373): SELECT show_live FROM jos_com_show_setting LIMIT 1

93 (56.028366088867): SELECT show_live FROM jos_com_show_setting LIMIT 1

94 (109.91096496582): SELECT show_live FROM jos_com_show_setting LIMIT 1

95 (56.028366088867): SELECT show_live FROM jos_com_show_setting LIMIT 1

96 (203.84788513184): SELECT show_live FROM jos_com_show_setting LIMIT 1

97 (39.815902709961): SELECT show_live FROM jos_com_show_setting LIMIT 1

98 (159.02519226074): SELECT show_live FROM jos_com_show_setting LIMIT 1

99 (36.954879760742): SELECT show_live FROM jos_com_show_setting LIMIT 1

100 (196.93374633789): SELECT show_live FROM jos_com_show_setting LIMIT 1

101 (41.007995605469): SELECT show_live FROM jos_com_show_setting LIMIT 1

102 (606.06002807617): SELECT show_live FROM jos_com_show_setting LIMIT 1

103 (52.213668823242): SELECT show_live FROM jos_com_show_setting LIMIT 1

104 (305.17578125): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294739954 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294739954 AND published='1' LIMIT 1

105 (!!!!! 1662.015914917): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294739954 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294739954 AND published='1' LIMIT 1

106 (!!!!! 3287.0769500732): 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=294739954 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

107 (766.99256896973): 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=294739954 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

108 (848.05488586426): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294739954 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294739954 AND published='1' LIMIT 1

109 (94.890594482422): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294739954 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294739954 AND published='1' LIMIT 1

110 (!!!!! 4005.9089660645): 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=294739954 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

111 (926.97143554688): 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=294739954 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

112 (!!!!! 1355.8864593506): 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 (802.04010009766): 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 (654.93583679199): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294739954 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294739954 AND published='1' LIMIT 1

115 (90.122222900391): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294739954 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294739954 AND published='1' LIMIT 1

116 (!!!!! 1302.0038604736): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294739954 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294739954 AND published='1' LIMIT 1

117 (288.96331787109): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294739954 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294739954 AND published='1' LIMIT 1

118 (!!!!! 1246.9291687012): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294739954 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294739954 AND published='1' LIMIT 1

119 (150.91896057129): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294739954 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294739954 AND published='1' LIMIT 1

120 (!!!!! 3432.9891204834): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294739954 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294739954 AND published='1' LIMIT 1

121 (!!!!! 8024.9309539795): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294739954 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294739954 AND published='1' LIMIT 1

122 (557.89947509766): SELECT * FROM trending_articles WHERE `journal_id` = 10 AND `timestamp` <= NOW() + INTERVAL 7 DAY ORDER BY `order`

123 (!!!!! 55397.987365723): 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 (686.8839263916): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294739954 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294739954 AND type='deeppockets_item' AND published='1' LIMIT 1

125 (47.206878662109): ( 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 (132.08389282227): ( 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 (686.8839263916): 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 (84.161758422852): 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 (61.988830566406): 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 (34.093856811523): 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 (33.140182495117): 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 (131.13021850586): 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 (473.97613525391): 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 (57.93571472168): 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 (931.97822570801): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294739954 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

136 (744.81964111328): SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294739954 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

137 (284.19494628906): SELECT name FROM jos_deeppockets WHERE id=211

138 (46.014785766602): SELECT name FROM jos_deeppockets WHERE id=211

139 (!!!!! 4762.8879547119): 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 '((;)|(^))211((;)|($))' AND catid IN (0,110) ORDER BY publish_up ASC LIMIT 3

140 (979.90036010742): 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 '((;)|(^))211((;)|($))' AND catid IN (0,110) ORDER BY publish_up ASC LIMIT 3

141 (454.90264892578): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294739954 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294739954 AND published='1' LIMIT 1

142 (72.002410888672): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294739954 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294739954 AND published='1' LIMIT 1

143 (!!!!! 22423.982620239): TRUNCATE TABLE jos_trademed_module

144 (!!!!! 1334.9056243896): 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=294739954 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

145 (125.88500976562): 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=294739954 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

146 (!!!!! 1357.0785522461): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294739954 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

147 (243.18695068359): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294739954 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

148 (!!!!! 1424.7894287109): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294739954 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294739954 AND published='1' LIMIT 1

149 (61.03515625): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294739954 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294739954 AND published='1' LIMIT 1

150 (!!!!! 2314.0907287598): 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 (946.99859619141): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294739954 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294739954 AND published='1' LIMIT 1

152 (140.90538024902): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294739954 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294739954 AND published='1' LIMIT 1

153 (621.08039855957): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294739954 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294739954 AND type='deeppockets_item' AND published='1' LIMIT 1

154 (661.13471984863): 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=211 or channel_id is null)

155 (230.07392883301): 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=211 or channel_id is null)

156 (327.11029052734): SELECT livesite FROM jos_dp_categories WHERE id=10 AND published='1' LIMIT 1

157 (!!!!! 1655.8170318604): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294739954 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294739954 AND published='1' LIMIT 1

158 (81.062316894531): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294739954 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294739954 AND published='1' LIMIT 1

159 (397.92060852051): select jos_twitters.link from jos_twitters where cat=10

160 (370.97930908203): select jos_facebook.link from jos_facebook where cat=10

161 (41.961669921875): select jos_google_plus.link from jos_google_plus where cat=10

162 (31.948089599609): select jos_linkedin.link from jos_linkedin where cat=10

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