Vascular endothelial growth factor and tryptase changes after chemoembolization in hepatocarcinoma patients

AIM: To evaluate vascular endothelial growth factor (VEGF) and tryptase in hepatocellular cancer (HCC) before and after trans-arterial chemoembolization (TACE). METHODS: VEGF and tryptase serum concentrations were assessed from 71 unresectable HCC patients before and after hepatic TACE performed by binding DC-Beads® to doxorubicin. VEGF levels were examined for each serum sample using the Quantikine Human VEGF-enzyme-linked immuno-absorbent assay (ELISA), whereas tryptase serum concentrations were assessed for each serum sample by means of fluoro-enzyme immunoassay (FEIA) using the Uni-CAP100 tool. Differences between serum VEGF and tryptase values before and after TACE were evaluated using Student t test. Person's correlation was used to assess the degree of association between the two variables. RESULTS: VEGF levels and serum tryptase in HCC patients before TACE had a mean value and standard deviation (SD) of 114.31 ± 79.58 pg/mL and 8.13 ± 3.61 μg/L, respectively. The mean levels and SD of VEGF levels and serum tryptase in HCC patients after TACE were 238.14 ± 109.41 pg/mL and 4.02 ± 3.03 μg/L. The changes between the mean values of concentration of VEGF and tryptase before treatment and after treatment was statistically significant (P < 0.000231 and P < 0.00124, by Wilcoxon-Mann-Whitney respectively). A significant correlation between VEGF levels before and after TACE and between tryptase levels before and after TACE was demonstrated (r = 0.68, P = 0.003; r = 0.84, P = 0.000 respectively). CONCLUSION: Our pilot results suggest that the higher serum VEGF levels and the lower tryptase levels following TACE may be potential biomarkers changing in response to therapy

Sorafenib: 10 years after the first pivotal trial

Sorafenib is an oral multikinase inhibitor with anticancer activity against a wide spectrum of cancers. It is currently approved for the treatment of patients with hepatocellular carcinoma, advanced renal cell carcinoma or progressive, locally advanced or metastatic differentiated thyroid carcinoma. In this review, we present a number of studies that investigated the efficacy and safety of sorafenib in these settings. We also discuss the perspectives on the use of this molecule, including the role of sorafenib as comparator for the development of new drugs, the combination of sorafenib with additional therapies (such as transarterial chemoembolization for hepatocellular carcinoma) and the use of this treatment in several other advanced refractory solid tumors

Sorafenib: The gold standard therapy in advanced hepatocellular carcinoma and beyond

Commentary- No Abstract availabl

Circulating levels of PAI-1 and SERPINE1 4G/4G polymorphism are predictive of poor prognosis in HCC patients undergoing TACE

Although several molecular markers have been proposed as prognostic of disease progression in Hepatocellular carcinoma (HCC), predictive markers of response to treatment are still unsatisfactory. Here, we propose a genetic polymorphism as a potential predictive factor of poor prognosis in HCC patients treated with transcatheter arterial chemoembolization (TACE). In particular, we show that the guanosine insertion/deletion polymorphism in the promoter region of SERPINE1 gene at the -675 bp position, named 4G/4G, predicts poor prognosis in a cohort of 75 patients with HCC undergoing TACE. By a combination of ELISA and SERPINE1 promoter study, we found that the presence of elevated plasma levels of plasminogen activator inhibitor-1 (PAI-1) in patients with 4G/4G genotype is significantly associated with reduced overall survival compared to patients with 5G/5G or 4G/5G genotype in HCC patients after TACE. Our analysis provided evidence that variation in SERPINE1 gene plays a role in defining the outcome in patients treated with TACE. In addition to a poor disease outcome, the 4G/4G variant represents an unfavorable predictive factor for response to chemotherapy as well

Thyroglobulin determination in fine needle aspiration biopsy washout of suspicious lymph nodes in thyroid carcinoma follow up

Background: Differentiated thyroid carcinomas (DTCs) account for about 1% of all human malignancies. Cervical lymph nodes metastases and recurrences in the thyroid bed frequently occur. Furthermore, about 10-15% of patients develop distant metastases. Therefore, patients must undergo life-long follow-up. Objective: The aim of this study was to evaluate the usefulness of Thyroglobulin measurement in FNAB washout (FNAB-Tg) in the detection of local metastasis in patients affected by or evaluated for thyroid cancer. Materials and Methods: In a 3-year period, a total of 83 consecutive patients coming to our attention at the Ear-Nose-Throat (ENT) Outpatients Service of the National Cancer Research Center "Istituto Tumori Giovanni Paolo II" of Bari, Italy, because of the finding of one or more cervical lymph node(s), were enrolled in the study. After collection of the cytological specimen, the needle used for performing FNAB was then washed in 1 ml of normal saline. 89 FNAB washouts were collected from the same number of lymph nodes and subsequently investigated for Thyroglobulin levels using a sequential chemiluminescent-immunometric assay. Results: Comparing the cytological or, when performed, histological diagnoses with the results of FNAB-Tg, we found that in 24 cases of lymph node metastases from PTC (19 lymph nodes from patients at the first diagnoses and 5 lymph nodes from PTC patients in follow up) the mean level of Thyroglobulin was 1840.11 ng/ml; range: <0,2 to 11440 ng/ml. In the group of PTC patients (27 lymph nodes) with lymph nodes negative for metastatic involvement at cytology (i.e. no lymph node recurrence at follow-up), as well as in the cases of subjects without PTC and submitted to FNAB because of the appearance of lymph node(s) classified as reactive at cytology (37 lymph nodes), FNAB-Tg was lower than or equal to 0.2 ng/ml. As expected, the Thyroglobulin level was not detectable (< 0.2 ng/ml) also in a lymph node FNAB from a case of anaplastic thyroid carcinoma. Conclusion: In our study, FNAB-Tg was not detectable in all node negative patients showing, when considering together all the lymph node metastases, a 96% sensitivity and 100% specificity

Essais inter-laboratoire pour évaluer le standard ISO 11063 ‘Qualité du sol – méthode pour l’extraction directe des acides nucléiques du sol’

L’extraction directe des acides nucléiques de microorganismes du sol est une étape cruciale de l’analyse moléculaire des communautés microbiennes du sol. Cependant, l’utilisation de nombreux protocoles d’extraction, chacun présent des biais, rendent difficile la comparaison des jeux de données. Cette déficience est d’autant plus dommageable que les méthodes moléculaires présentent un débit élevé et, en conséquence, génèrent de nombreuses données. Avec de surpasser cette problématique, en 2006 l’INRA a proposé à l’ISO une méthode d’extraction directe de l’ADN du sol. Cette méthode a été évaluée par 13 laboratoires européens indépendants au travers d’un essai interlaboratoire Français et d’un essai international. La reproductibilité de la méthode d’extraction des acides nucléiques du sol a été évaluée en comparant les quantités d’ADN, l’abondance et la structure génétique de communautés microbiennes extraits de 12 sols différents. Basés sur les résultats des essais interlaboratoires, la méthode a été approuvée à l’unanimité par les 21 pays votant à l’ISO. Le standard ISO11063 décrivant cette méthode a été publié par l’ISO. Il est en cours de traduction pour être publié en Français par l’AFNOR. Les résultats des essais interlaboratoires seront présentés et les perspectives offertes par ce nouveau standard en terme d’évaluation post-homologation de produits phytosanitaires discutées.Petric I., Philippot L., Abbate, Abbate C., Bispo A., Chesnot T., Hallin S., Laval K., Lebeau T., Lemanceau P., Leyval C., Lindstrom K., Pandard P., Romero E., Sarr A., Schloter M, Simonet P., Smalla K., Wilke B.M., Martin-Laurent F. 2011. Inter-laboratory evaluation of the ISO standard 11063 "Soil quality - Method to directly extract DNA from soil samples". J. Microbiol. Meth. 84:454-460

Feeling the pulse of Public Perception of Science: does Research make our hearts beat faster?

In 2007 the Italian Ministry of Education identified the need of raising a new Humanism: students must receive adequate tools for knowledge, but must also understand and be able to handle the increasingly frequent transitions and changes they have to face as citizens and individuals. Orientation during the developmental phase must, hence, allow students to acquire all those key and context-independent competences, necessary for self-assessment of natural attitudes. Nevertheless, the label “new Humanism”, should not be the first step for giving even less importance to scientific education: there is no need to enhance the existing general lack of interest affecting Science, Technology, Engineering, and Mathematics (STEM) disciplines and literature; moreover, the social importance of scientific and technological research can’t remain undervalued. All these issues are a matter of concern for the European Community and, in fact, the last European Directives concerning education and social development, are trying to redirect and enforce educational programmes towards a “knowledge-based society and economy” that will support the societal challenges of the 21st century and the growing demand of scientific expertise in all sectors (necessary for boosting European economic development). The most interesting strategies for implementing these directives are all those activities that see a wide partnership of schools with public institutions, enterprises and research centres (e.g. science festivals, competitions and internships for high school students). Recent studies, and the same recommendations of the European Community, have also shown that these activities, when included since the earliest years of primary schools, have a deeper impact in the long term as they match with the evolutive period in which intrinsic motivation is strongly present. This study is, hence, aimed to build an instrument able for understanding if all these kind of activities are effective in 2 increasing: (1) appreciation and interest towards scientific research and (2) number of young people considering a STEM career as a possible perspective for their future (the question is: ‘does Science make our hearts beat faster?’)