International BEAT-PCD consensus statement for infection prevention and control for primary ciliary dyskinesia in collaboration with ERN-LUNG PCD Core Network and patient representatives

Discinesia ciliar primaria; Consenso; Prevención de infeccionesDiscinèsia ciliar primària; Consens; Prevenció d'infeccionsPrimary ciliary dyskinesia; Consensus; Infection preventionIntroduction In primary ciliary dyskinesia (PCD) impaired mucociliary clearance leads to recurrent airway infections and progressive lung destruction, and concern over chronic airway infection and patient-to-patient transmission is considerable. So far, there has been no defined consensus on how to control infection across centres caring for patients with PCD. Within the BEAT-PCD network, COST Action and ERS CRC together with the ERN-Lung PCD core a first initiative has now been taken towards creating such a consensus statement. Methods A multidisciplinary international PCD expert panel was set up to create a consensus statement for infection prevention and control (IP&C) for PCD, covering diagnostic microbiology, infection prevention for specific pathogens considered indicated for treatment and segregation aspects. Using a modified Delphi process, consensus to a statement demanded at least 80% agreement within the PCD expert panel group. Patient organisation representatives were involved throughout the process. Results We present a consensus statement on 20 IP&C statements for PCD including suggested actions for microbiological identification, indications for treatment of Pseudomonas aeruginosa, Burkholderia cepacia and nontuberculous mycobacteria and suggested segregation aspects aimed to minimise patient-to-patient transmission of infections whether in-hospital, in PCD clinics or wards, or out of hospital at meetings between people with PCD. The statement also includes segregation aspects adapted to the current coronavirus disease 2019 (COVID-19) pandemic. Conclusion The first ever international consensus statement on IP&C intended specifically for PCD is presented and is targeted at clinicians managing paediatric and adult patients with PCD, microbiologists, patient organisations and not least the patients and their families.Ministerstvo Zdravotnictví Ceské Republiky (grant nr. NV-19-07-00210.) European Reference Network for Rare Respiratory Diseases (Project ID No 739546.) Børnelungefonden European Cooperation in Science and Technology (COST Action BM 1407) Danmarks Lungeforening European Respiratory Society (CRC

Suppression of Tumor Growth and Angiogenesis by a Specific Antagonist of the Cell-Surface Expressed Nucleolin

BACKGROUND: Emerging evidences suggest that nucleolin expressed on the cell surface is implicated in growth of tumor cells and angiogenesis. Nucleolin is one of the major proteins of the nucleolus, but it is also expressed on the cell surface where is serves as a binding protein for variety of ligands implicated in cell proliferation, differentiation, adhesion, mitogenesis and angiogenesis. METHODOLOGY/PRINCIPAL FINDINGS: By using a specific antagonist that binds the C-terminal tail of nucleolin, the HB-19 pseudopeptide, here we show that the growth of tumor cells and angiogenesis are suppressed in various in vitro and in vivo experimental models. HB-19 inhibited colony formation in soft agar of tumor cell lines, impaired migration of endothelial cells and formation of capillary-like structures in collagen gel, and reduced blood vessel branching in the chick embryo chorioallantoic membrane. In athymic nude mice, HB-19 treatment markedly suppressed the progression of established human breast tumor cell xenografts in nude mice, and in some cases eliminated measurable tumors while displaying no toxicity to normal tissue. This potent antitumoral effect is attributed to the direct inhibitory action of HB-19 on both tumor and endothelial cells by blocking and down regulating surface nucleolin, but without any apparent effect on nucleolar nucleolin. CONCLUSION/SIGNIFICANCE: Our results illustrate the dual inhibitory action of HB-19 on the tumor development and the neovascularization process, thus validating the cell-surface expressed nucleolin as a strategic target for an effective cancer drug. Consequently, the HB-19 pseudopeptide provides a unique candidate to consider for innovative cancer therapy

Synthesis of Multifunctional Polymersomes Prepared by Polymerization-Induced Self-Assembly

Polymersomes are an exciting modality for drug delivery due to their structural similarity to biological cells and their ability to encapsulate both hydrophilic and hydrophobic drugs. In this regard, the current work aimed to develop multifunctional polymersomes, integrating dye (with hydrophobic Nile red and hydrophilic sulfo-cyanine5-NHS ester as model drugs) encapsulation, stimulus responsiveness, and surface-ligand modifications. Polymersomes constituting poly(N-2-hydroxypropylmethacrylamide)-b-poly(N-(2-(methylthio)ethyl)acrylamide) (PHPMAm-b-PMTEAM) are prepared by aqueous dispersion RAFT-mediated polymerization-induced self-assembly (PISA). The hydrophilic block lengths have an effect on the obtained morphologies, with short chain P(HPMAm)16 affording spheres and long chain P(HPMAm)43 yielding vesicles. This further induces different responses to H2O2, with spheres fragmenting and vesicles aggregating. Folic acid (FA) is successfully conjugated to the P(HPMAm)43, which self-assembles into FA-functionalized P(HPMAm)43-b-P(MTEAM)300 polymersomes. The FA-functionalized P(HPMAm)43-b-P(MTEAM)300 polymersomes entrap both hydrophobic Nile red (NR) and hydrophilic Cy5 dye. The NR-loaded FA-linked polymersomes exhibit a controlled release of the encapsulated NR dye when exposed to 10 mM H2O2. All the polymersomes formed are stable in human plasma and well-tolerated in MCF-7 breast cancer cells. These preliminary results demonstrate that, with simple and scalable chemistry, PISA offers access to different shapes and opens up the possibility of the one-pot synthesis of multicompartmental and responsive polymersomes

International BEAT-PCD consensus statement for infection prevention and control for primary ciliary dyskinesia in collaboration with ERN-LUNG PCD Core Network and patient representatives.

Introduction In primary ciliary dyskinesia (PCD) impaired mucociliary clearance leads to recurrent airway infections and progressive lung destruction, and concern over chronic airway infection and patient-to-patient transmission is considerable. So far, there has been no defined consensus on how to control infection across centres caring for patients with PCD. Within the BEAT-PCD network, COST Action and ERS CRC together with the ERN-Lung PCD core a first initiative has now been taken towards creating such a consensus statement. Methods A multidisciplinary international PCD expert panel was set up to create a consensus statement for infection prevention and control (IP&C) for PCD, covering diagnostic microbiology, infection prevention for specific pathogens considered indicated for treatment and segregation aspects. Using a modified Delphi process, consensus to a statement demanded at least 80% agreement within the PCD expert panel group. Patient organisation representatives were involved throughout the process. Results We present a consensus statement on 20 IP&C statements for PCD including suggested actions for microbiological identification, indications for treatment of Pseudomonas aeruginosa, Burkholderia cepacia and nontuberculous mycobacteria and suggested segregation aspects aimed to minimise patient-to-patient transmission of infections whether in-hospital, in PCD clinics or wards, or out of hospital at meetings between people with PCD. The statement also includes segregation aspects adapted to the current coronavirus disease 2019 (COVID-19) pandemic. Conclusion The first ever international consensus statement on IP&C intended specifically for PCD is presented and is targeted at clinicians managing paediatric and adult patients with PCD, microbiologists, patient organisations and not least the patients and their families

Calculations to Support On-line Neutron Spectrum Adjustment by Measurements with Miniature Fission Chambers in the JSI TRIGA Reactor

Preliminary calculations were performed with the aim to establish optimal experimental conditions for the measurement campaign within the collaboration between the Jožef Stefan Institute (JSI) and Commissariat à l’Énergie Atomique et aux Énergies Alternatives (CEA Cadarache). The goal of the project is to additionally characterize the neutron spectruminside the JSI TRIGA reactor core with focus on the measurement epi-thermal and fast part of the spectrum. Measurements will be performed with fission chambers containing different fissile materials (235U, 237Np and 242Pu) covered with thermal neutron filters (Cd and Gd). The changes in the detected signal and neutron flux spectrum with and without transmission filter were studied. Additional effort was put into evaluation of the effect of the filter geometry (e.g. opening on the top end of the filter) on the detector signal. After the analysis of the scoping calculations it was concluded to position the experiment in the outside core ring inside one of the empty fuel element positions

Targeting surface nucleolin with a multivalent pseudopeptide delays development of spontaneous melanoma in RET transgenic mice

<p>Abstract</p> <p>Background</p> <p>The importance of cell-surface nucleolin in cancer biology was recently highlighted by studies showing that ligands of nucleolin play critical role in tumorigenesis and angiogenesis. By using a specific antagonist that binds the C-terminal tail of nucleolin, the HB-19 pseudopeptide, we recently reported that HB-19 treatment markedly suppressed the progression of established human breast tumor cell xenografts in the athymic nude mice without apparent toxicity.</p> <p>Methods</p> <p>The <it>in vivo </it>antitumoral action of HB-19 treatment was assessed on the spontaneous development of melanoma in the RET transgenic mouse model. Ten days old RET mice were treated with HB-19 in a prophylactic setting that extended 300 days. In parallel, the molecular basis for the action of HB-19 was investigated on a melanoma cell line (called TIII) derived from a cutaneous nodule of a RET mouse.</p> <p>Results</p> <p>HB-19 treatment of RET mice caused a significant delay in the onset of cutaneous tumors, several-months delay in the incidence of large tumors, a lower frequency of cutaneous nodules, and a reduction of visceral metastatic nodules while displaying no toxicity to normal tissue. Moreover, microvessel density was significantly reduced in tumors recovered from HB-19 treated mice compared to corresponding controls. Studies on the melanoma-derived tumor cells demonstrated that HB-19 treatment of TIII cells could restore contact inhibition, impair anchorage-independent growth, and reduce their tumorigenic potential in mice. Moreover, HB-19 treatment caused selective down regulation of transcripts coding matrix metalloproteinase 2 and 9, and tumor necrosis factor-α in the TIII cells and in melanoma tumors of RET mice.</p> <p>Conclusions</p> <p>Although HB-19 treatment failed to prevent the development of spontaneous melanoma in the RET mice, it delayed for several months the onset and frequency of cutaneous tumors, and exerted a significant inhibitory effect on visceral metastasis. Consequently, HB-19 could provide a novel therapeutic agent by itself or as an adjuvant therapy in association with current therapeutic interventions on a virulent cancer like melanoma.</p

The disease-specific clinical trial network for primary ciliary dyskinesia: PCD-CTN

Primary ciliary dyskinesia (PCD) is a rare genetic disorder characterised by impaired mucociliary clearance leading to irreversible lung damage. In contrast to other rare lung diseases like cystic fibrosis (CF), there are only few clinical trials and limited evidence-based treatments. Management is mainly based on expert opinions and treatment is challenging due to a wide range of clinical manifestations and disease severity. To improve clinical and translational research and facilitate development of new treatments, the clinical trial network for PCD (PCD-CTN) was founded in 2020 under the framework of the European Reference Network (ERN)-LUNG PCD Core. Applications from European PCD sites interested in participating in the PCD-CTN were requested. Inclusion criteria consisted of patient numbers, membership of ERN-LUNG PCD Core, use of associated standards of care, experience in PCD and/or CF clinical research, resources to run clinical trials, good clinical practice (GCP) certifications and institutional support. So far, applications from 22 trial sites in 18 European countries have been approved, including >1400 adult and >1600 paediatric individuals with PCD. The PCD-CTN is headed by a coordinating centre and consists of a steering and executive committee, a data safety monitoring board and committees for protocol review, training and standardisation. A strong association with patient organisations and industrial companies are further cornerstones. All participating trial sites agreed on a code of conduct. As CTNs from other diseases have demonstrated successfully, this newly formed PCD-CTN operates to establish evidence-based treatments for this orphan disease and to bring new personalised treatment approaches to patients

Targeting cell surface-expressed nucleolin by NucAnts pseudopeptides in tumor growth and associated angiogenesis inhibition

La recherche contre le cancer est aujourd’hui tournée vers les thérapies ciblées. Dans ce contexte, la nucléoline et la nucléophosmine sont fortement impliquées dans la croissance tumorale et l’angiogenèse associée et surexprimées dans les cellules tumorales et endothéliales activées. Elles apparaissent donc comme des cibles de choix. Le pseudopeptide HB-19 lie la nucléoline de surface, inhibe la croissance cellulaire de nombreuses lignées de cellules tumorales et induit la mort de ces cellules tumorales par apoptose. D’autre part, il inhibe, in vitro et in vivo, plusieurs étapes de l’angiogenèse tumorale. Ces deux activités mènent, in vivo, à l’inhibition de la croissance tumorale dans de nombreux modèles de croissance tumorale chez la souris. Dans le but d’améliorer les activités observées avec HB- 19, des pseudopeptides dérivés de ce dernier ont été synthétisés. Ainsi le NucAnt 6L (N6L) montre une activité 5 à 10 fois supérieure à celle de HB-19 selon les modèles. Son activité anti-métastatique a également été démontrée. L’étude du mécanisme d’action des pseudopeptides a permis d’identifier deux nouveaux récepteurs: les héparanes sulfates et la nucléophosmine. L’importance du TIMP-3 dans son activité anti-métastatique a également été soulignée. Enfin, aucune toxicité n’a été observée chez les souris aux doses employées et la synthèse de N6L peut être effectuée à l’échelle industrielle. N6L apparaît donc comme un composé prometteur pour une thérapie anti-cancéreuseThe cancer research is nowadays interested in targeting therapies. In this context, nucleolin and nucleophosmin are proteins highly involved in tumor growth and angiogenesis and over-expressed in activated endothelial and tumor cells. So, they appear as very promising targets. The pseudopeptide HB-19 binds to cell surface-expressed nucleolin, inhibits different tumor cell growth and induces cell death by apoptosis. Furthermore, it inhibits, in vitro and in vivo, several steps of angiogenesis. These two activities lead, in vivo, to the suppression of tumor growth and angiogenesis in several mice models. In order to improve the activities observed with HB-19, new compounds derived from HB-19 were synthesized. So, NucAnt 6L (N6L) show 5 to 10 fold stronger anti-tumoral activity than HB- 19 depending of the model. Study of their action mechanism allowed us to identify two new receptors: nucleophosmin and heparan sulfates. The importance of TIMP-3 in anti-metastatic activity has also been highlighted. Finally, no toxicity has been observed in mice treated with N6L which can easily industrially be synthesized. N6L appears to be a promising compound for anti-cancer therapie

Evaluation of neutron flux and fission rate distributions inside the JSI TRIGA Mark II reactor using multiple in-core fission chambers

International audienceWithin the bilateral project between the CEA Cadarache and the Jožef Stefan Institute (JSI) a wide variety of measurements using multiple fission chambers simultaneously inside the reactor core were performed. The fission rate axial profiles were measured at different measuring positions and at different control rod configurations. A relative comparison of calculated fission rates using the MCNP code and the measured fission rates was performed. In general the agreement between the measurements and calculations is good, with deviations within the uncertainties. For better observation and understanding of neutron flux redistributions due to the control rod movement, the neutron flux and fission rate had been tallied through the entire reactor core at different control rod configurations. The optimal detector position with minimum signal variations due to the control rod movement was determined