In 2028, a hundred years after the events in Blood, the world has changed. The Cabal has been transformed from a cult to a megacorporation. It has succeeded in seizing control of the world through economic and political power, rather than overt bloodshed. The person responsible for this is Gideon, the leader of the Cabal. He has taken the cult into the 21st century, but still yearns to destroy Caleb, now known as the Great Betrayer. Only by doing this can he assume full control of the Cabal and become the next incarnation of Tchernobog.

Next I found out it would crash when using too high of resolution so added DxWnd to limit the resolution to 1280x960. Finally blood2.exe would crash when clicking the "Display..." button so I had to use the winmm.dll stub to load dxwrapper.dll.


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In many ways, the plot of Blood of the Chosen is just a continuation of the story from book one. For those unfamiliar, the narrative follows two siblings, Gyre and Maya, who find themselves on opposing sides of a titanic conflict between god-like races. One side is made up of powerful magic users, called the chosen, and the other is made up of terrifying biomancers called ghouls. Neither side is particularly black and white, and Gyre and Maya find themselves embroiled in a complicated conflict with a lot of nuances. If you want a more detailed breakdown of the story, read my first review.

Blood of the Chosen is a solid sequel to the first book and impresses itself upon the reader in spades of rip-roaring action, infallible characters and humour that fits perfectly with the theme this book is going for. It is a triage of politics, bickering, chosen, corrupted, arcana, and much more. If anything the characters of Gyre and Maya drive the story often forward, at the expense of sacrificing some parts of the worldbuilding which is in my opinion, a good thing. The prose is good in many areas, but sometimes I felt the pacing was a bit slow. Some scenes could have been shortened to quicken up the pacing around some parts of the novel.

Drug delivery by nanocarriers (NCs) has long been stymied by dominant liver uptake and limited target organ deposition, even when NCs are targeted using affinity moieties. Here we report a universal solution: red blood cell (RBC)-hitchhiking (RH), in which NCs adsorbed onto the RBCs transfer from RBCs to the first organ downstream of the intravascular injection. RH improves delivery for a wide range of NCs and even viral vectors. For example, RH injected intravenously increases liposome uptake in the first downstream organ, lungs, by ~40-fold compared with free NCs. Intra-carotid artery injection of RH NCs delivers >10% of the injected NC dose to the brain, ~10 higher than that achieved with affinity moieties. Further, RH works in mice, pigs, and ex vivo human lungs without causing RBC or end-organ toxicities. Thus, RH is a clinically translatable platform technology poised to augment drug delivery in acute lung disease, stroke, and several other diseases.

We next screened a variety of NPs for their effectiveness in RH. When injected IV, RH augmented lung uptake in the case of every NC tested (Fig. 2b). The fold improvement of lung uptake provided by RH over free NCs ranged from ~4- (albumin-NPs) to ~40-fold (liposomes), with the NCs with the lowest elastic modulus, and liposomes and nanogels having the highest values. Two key variables for determining the effectiveness of a targeting modality are the fold improvements conferred by targeting on the target organ-to-liver and target organ-to-blood ratios. For liposomes, the RH improvements in the lung-to-liver and lung-to-blood ratios were 116 and ~50, respectively, while RH nanogels achieved values of 15 and 27 (Fig. 2c).

The hypothesized mechanism underlying RH was originally that NCs on RBCs are transferred to the capillary endothelium, as the RBCs squeeze through the pulmonary capillaries. However, previously, there were no data proving what cell types took up RH NCs, or even that the NCs were taken up by any type of cells at all. Therefore, we IV injected RH fluorescently labeled nanogels and sectioned the lungs for confocal imaging. As seen in Fig. 3a, in naive mice, nanogels do indeed appear to be inside the endothelial cells (VE-cadherin+) and not present in the lumens of large blood vessels, supporting the original hypothesized mechanism.

We next tested whether RH causes RBCs to lodge in the target organ. Clogging of the vasculature with RBCs could impede perfusion to the target organ, cause pro-adhesive activation of endothelium and a pro-thrombotic state, and in the case of clogging in the lung, cause increased pulmonary arterial pressures (PAPs) and subsequent right heart failure. To assay vascular clogging with RBCs, we labeled RBCs with Cr-51, injected them IV, and measured their biodistribution. As a positive control, we intentionally aggregated RBCs by incubating them with the monoclonal antibody Ter119, that binds to the glycophorin-A complex on RBCs, along with a secondary antibody that serves as a cross-linker. As seen in Fig. 4c, the positive control (Ter119) causes IV-injected RBCs to massively accumulate in the lungs. By contrast, RH NCs do not change lung uptake or blood levels at all, compared to the negative control (IV-injected RBCs without NCs).

We next showed that RH does not affect oxygenation or alveolar architecture. Using a similar protocol to Fig. 4d, we injected mice either with RH nanogels or RBCs without NCs and found no difference in blood oxygen levels, as measured by pulse oximetry (Fig. 4f). Similarly, injected mice then had their lungs prepared for histology, and hematoxylin-and-eosin (H&E) staining revealed no differences in alveolar architecture between RH nanogels and negative controls (Fig. 4g).

In this study, we have advanced the original concept of RH from a cell-toxic prototype with modest delivery in mice, to the brink of mapping out the clinical studies. We showed that optimized RH formulations can safely and powerfully target NCs to chosen organs via select placement of intravascular catheters, without the need for an affinity moiety, across multiple animal species including humans.

Take control of any one of "The Chosen" -- four extraordinary characters who inhabit a dark near-future world reminiscent of Blade Runner and The Crow. Become Caleb, the vicious protagonist from the original Blood, his cold-blooded love Ophelia, the ruthless Ishmael, or the unrelenting warrior Gabriela.

Moriar was once the Captain of the Blood Angels' 4th Company until he fell on the field of battle at Clamorga defending a ridge against the insidious Eldar. His mortal wounds proved too numerous and severe for even the skills of the Sanguinary Priests. As such, Moriar was interred within the Adamantium sarcophagus of a mighty Furioso Dreadnought built by Brother Morleo, which had contained the Blood Angel heroes Belaphon, Dario and Amaretto before him. Upon awakening in his new, nigh-indestructible cybernetic body, Moriar was overcome by visions of Sanguinius' death during the Horus Heresy. Moriar's own near-death state triggered the curse of the Black Rage, an unusual occurrence in Blood Angels Dreadnoughts. Immortal now in his Adamantium shell, Moriar managed to survive the ravages of the Black Rage, hungering for battle and death. He was then given the honour of continuing to serve his Chapter by being placed within the Chapter's infamous Death Company. As the sole Dreadnought to serve with this company of dead men walking, Moriar now fights completely without fear, as befits warriors certain of their own demise, and the furious willpower lent them by the Black Rage. With his Deadnought body, he has been rendered impervious to wounds that would kill a regular Battle-Brother. Some of the Blood Angels' greatest victories have followed in the wake of the furious assaults led by Moriar the Chosen and the Death Company. Yet despite the glories of Moriar's valorous deeds, a price must be paid, for in the fleeting calm of victory the mighty Dreadnought has sometimes also succumbed to the effects of the Red Thirst. To restrain him when not in battle the revered Brothers of the Armouriam have modified his armoured shell so that he may partake of the blood required to slake that awful curse.

Yet despite the glories of Moriar's valorous deeds, a price must be paid, for in the fleeting calm of victory the mighty Dreadnought has sometimes also succumbed to the effects of the Red Thirst. To restrain him when not in battle the revered Brothers of the Armouriam have modified his armoured shell so that he may partake of the blood required to slake that awful curse.

Joanne Kurtzberg, MD, director of the Carolinas Cord Blood Bank, Durham, N.C., has been chosen to be the first president of the new Cord Blood Association. The international nonprofit organization promotes public and private banking and the use of umbilical cord blood and related tissues for disease treatment and regenerative therapies.

Dr. Kurtzberg also has pioneered the use of unrelated donor cord blood transplantation to treat patients with inherited metabolic diseases, and has been a principal investigator or co-investigator on two national multi-center prospective trials testing the safety and efficacy of unrelated umbilical cord blood transplant in children with hematological malignancies. She has served on the Advisory Council for Blood Stem Cell Transplantation of the U.S. Department of Health and Human Services, as well as several panels of the FDA, AABB and other agencies creating and modifying standards and regulations for cord blood banking. She has been a member of the Board of Directors of the Foundation for the Accreditation of Cellular Therapy (FACT) and served for multiple years on its standards committees. 2351a5e196

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