HE4 in the differential diagnosis of ovarian masses

Ovarian masses, a common finding among pre- and post-menopausal women, can be benign or malignant. Ovarian cancer is the leading cause of death from gynecologic malignancy among women living in industrialized countries. According to the current guidelines, measurement of CA125 tumor marker remains the gold standard in the management of ovarian cancer. Recently, HE4 has been proposed as emerging biomarker in the differential diagnosis of adnexal masses and in the early diagnosis of ovarian cancer. Discrimination of benign and malignant ovarian tumors is very important for correct patient referral to institutions specializing in care and management of ovarian cancer. Tumor markers CA125 and HE4 are currently incorporated into the Risk of Ovarian Malignancy Algorithm” (ROMA) with menopausal status for discerning malignant from benign pelvic masses. The availability of a good biomarker such as HE4, closely associated with the differential and early diagnosis of ovarian cancer, could reduce medical costs related to more expensive diagnostic procedures. Finally, it is important to note that HE4 identifies platinum non-responders thus enabling a switch to second line chemotherapy and improved survival

An Overview of B-1 Cells as Antigen-Presenting Cells

The role of B cells as antigen-presenting cells (APCs) has been extensively studied, mainly in relation to the activation of memory T cells. Considering the B cell subtypes, the role of B-1 cells as APCs is beginning to be explored. Initially, it was described that B-1 cells are activated preferentially by T-independent antigens. However, some reports demonstrated that these cells are also involved in a T-dependent response. The aim of this review is to summarize information about the ability of B-1 cells to play a role as APCs and to briefly discuss the role of the BCR and toll-like receptor signals in this process. Furthermore, some characteristics of B-1 cells, such as natural IgM production and phagocytic ability, could interfere in the participation of these cells in the onset of an adaptive response.FAPESPUniv Fed Sao Paulo, Escola Paulista Med, Dept Microbiol Imunol & Parasitol, Sao Paulo, BrazilUniv Fed Sao Paulo, Escola Paulista Med, Dept Microbiol Imunol & Parasitol, Sao Paulo, BrazilFAPESP: 2008/58561-0FAPESP: 2015/01986-2Web of Scienc

Aquaculture and Restoration: Perspectives from Mediterranean Sea Experiences

In this paper, the different possibilities and innovations related to sustainable aquaculture in the Mediterranean area are discussed, while different maricultural methods, and the role of Integrated Multi-Trophic Aquaculture (IMTA) in supporting the exploitation of the ocean’s resources, are also reviewed. IMTA, and mariculture in general, when carefully planned, can be suitable for environmental restoration and conservation purposes. Aquaculture, especially mariculture, is a sector that is progressively increasing in parallel with the increase in human needs; however, several problems still affect its development, mainly in relation to the choice of suitable sites, fodder production, and the impact on the surrounding environment. A current challenge that requires suitable solutions is the implementation of IMTA. Unfortunately, some criticisms still affect this approach, mostly concerning the commercialization of new products such as invertebrates and seaweeds, notwithstanding their environmentally friendly character. Regarding the location of a suitable site, mariculture plans are currently displaced from inshore to offshore, with the aim of reducing the competition for space with other human activities carried out within coastal waters. Moreover, in open water, waste loading does not appear to be a problem, but high-energy waters increase maintenance costs. Some suggestions are given for developing sustainable mariculture in the Mediterranean area, where IMTA is in its infancy and where the scarce nutrients that characterize offshore waters are not suitable for the farming of both filter feeder invertebrates and macroalgae. From the perspective of coupling mariculture activity with restoration ecology, the practices suggested in this review concern the implementation of inshore IMTA, creating artificially controlled gardens, as well as offshore mussel farming coupled with artificial reefs, while also hypothesizing the possibility of the use of artificially eutrophized areas

Octreotide therapy in a patient with lung microcytoma

We report the case of a 51-year-old woman with limited Small Cell Lung Cancer (SCLC). Cytological diagnosis has been made by fibroscopy. Chemotherapy schedule was cisplatin 30 mg/mq and VP-16 100 mg/mq days 1,2,3 q21 as first line treatment. The serum levels of cromogranine A and NSE (Neuron-Specific Enolase) were higher than normal; for this reason we prescribed, together with chemotherapy, octreotide LAR 30 mg every 28 days. Associated toxicity was easily manageable. Subsequent thoracic and panencefalic prophylactic radiotherapy improved tumour response and quality of life. We continued octreotide LAR 30 mg every 28 days even after the end of chemotherapy, as a maintenance therapy, checking periodically serum levels of NSE and cromogranine A. No side effects were observed

Implicit body representations and tactile spatial remapping

To perceive the location of a tactile stimulus in external space (external tactile localisation), information about the location of the stimulus on the skin surface (tactile localisation on the skin) must be combined with proprioceptive information about the spatial location of body parts (position sense) - a process often referred to as ‘tactile spatial remapping’. Recent research has revealed that both of these component processes rely on highly distorted implicit body representations. For example, on the dorsal hand surface position sense relies on a squat, wide hand representation. In contrast, tactile localisation on the same skin surface shows large biases towards the knuckles. These distortions can be seen as behavioural ‘signatures’ of these respective perceptual processes. Here, we investigated the role of implicit body representation in tactile spatial remapping by investigating whether the distortions of each of the two component processes (tactile localisation and position sense) also appear when participants localise the external spatial location of touch. Our study reveals strong distortions characteristic of position sense (i.e., overestimation of distances across vs along the hand) in tactile spatial remapping. In contrast, distortions characteristic of tactile localisation on the skin (i.e., biases towards the knuckles) were not apparent in tactile spatial remapping. These results demonstrate that a common implicit hand representation underlies position sense and external tactile localisation. Furthermore, the present findings imply that tactile spatial remapping does not require mapping the same signals in a frame of reference centered on a specific body part

The role of docetaxel in the multimodal treatment of non-small cell lung cancer

We report the case of a 53-year-old woman with brain metastatic Non-Small Cell Lung Cancer (NSCLC). Diagnosis was made during brain surgery. Brain metastases were treated both with surgery and radiotherapy. The chemotherapy schedule was cisplatin 75 mg/m2 and docetaxel 75 mg/m2 1q21 for up to six cycles. Toxicities encountered were easily manageable. Subsequent thoracic radiotherapy improved tumor response and quality of life

Rapid enhancement of touch from non-informative vision of the hand

Processing in one sensory modality may modulate processing in another. Here we investigate how simply viewing the hand can influence the sense of touch. Previous studies showed that non-informative vision of the hand enhances tactile acuity, relative to viewing an object at the same location. However, it remains unclear whether this Visual Enhancement of Touch (VET) involves a phasic enhancement of tactile processing circuits triggered by the visual event of seeing the hand, or more prolonged, tonic neuroplastic changes, such as recruitment of additional cortical areas for tactile processing. We recorded somatosensory evoked potentials (SEPs) evoked by electrical stimulation of the right middle finger, both before and shortly after viewing either the right hand, or a neutral object presented via a mirror. Crucially, and unlike prior studies, our visual exposures were unpredictable and brief, in addition to being non-informative about touch. Viewing the hand, as opposed to viewing an object, enhanced tactile spatial discrimination measured using grating orientation judgements, and also the P50 SEP component, which has been linked to early somatosensory cortical processing. This was a trial-specific, phasic effect, occurring within a few seconds of each visual onset, rather than an accumulating, tonic effect. Thus, somatosensory cortical modulation can be triggered even by a brief, non-informative glimpse of one’s hand. Such rapid multisensory modulation reveals novel aspects of the specialised brain systems for functionally representing the body

Heavy metal accumulation capacity of Axinella damicornis (Esper, 1794) (Porifera, Demospongiae): a tool for bioremediation of polluted seawaters

A wide range of contaminants are continuously introduced into the aquatic environment and among these, heavy metals con- stitute one of the most dangerous groups because of their persistent nature, toxicity, tendency to accumulate in organisms and more still, they are non-degradable. Marine organisms such as sponges represent target species for the monitoring of heavy metal contamination due their filtering activity. This study aims to evaluate the retention capacity of lead and cadmium by the sponge Axinella damicornis under laboratory conditions. The sponges were exposed for 144 h to seawaters artificially polluted with lead (Pb) and cadmium (Cd) separately and with a mixture of the two metals. The final goal of the experiments was to evaluate the met- al uptake in the sponge body and efficiency of the sponge in removing the metals from seawater. In particular, the highest values of metal concentration in the sponges were recorded for Pb: this metal was found to be 6 times and 9 times more concentrated than Cd, respectively in the case of exposure to the single metal and to the combination of both metals. The metal concentrations found, especially for Pb, were much higher in A. damicornis than in other organisms investigated in the sea. Remarkable signs of stress and necrosis were recorded in the specimens when exposed to the combination of Pb and Cd, evidencing a synergistic effect of the metals mixture. This study paves adds knowledge on the contamination effects by heavy metals on the marine organisms and on the contribution from A. damicornis as efficient tool for bioremediation of polluted seawaters

Two cases study of fouling colonization patterns in the Mediterranean Sea in the perspective of integrated aquaculture systems

Fouling assemblage colonizing fish-farms is considered mostly to produce negative impacts causing financial loss. By contrast, large evidences emerged on the bioremediation role by biofouling associated to aquaculture facilities, even if the fouling assemblages thriving in the water column was poorly investigated. The aim of the present work was to investigate the macrofouling assemblages over one year of immersion, in order to single out the fouling species, which play the most remarkable role for the bioremediation of the marine areas affected by aquaculture activities. With this in mind, we studied the fouling community dynamics in two Mediterranean maricultural facilities, respectively in the Mar Grande of Taranto (Ionian Sea) and in the Gulf of Gaeta (Tyrrhenian Sea), using the same experimental design and time frame. Two experiments were carried out using artificial panels anchored to two finfish cages. The one-year old fouling communities in the two sites were compared at four seasons of immersion, four submersion durations and three depths, both communities from structural and functional points of view. Notwithstanding the quite similar species composition of fouling of the two sites, the biofouling showed the highest biodiversity in the Mar Grande of Taranto. In the Gulf of Gaeta mussels, Mytilus galloprovincialis, dominated at all the times and depths, whilst in the Mar Grande of Taranto they were especially abundant at the surface with the deepest panels being largely colonized by polychaete sabellids. The co-occurrence of the filter-feeders Mytilus-sabellids recorded in the Gulf of Taranto also highlighted the highest filtration capability. Our results suggest two different fouling assemblages as candidates for bioremediation in integrated multitrophic aquaculture facilities: both a monospecific system dominated by mussels and a multi-specific system with sabellids and mussels as most abundant filter-feeders

Could a B-1 Cell Derived Phagocyte “Be One” of the Peritoneal Macrophages during LPS-Driven Inflammation?

The inflammatory response is driven by signals that recruit and elicit immune cells to areas of tissue damage or infection. The concept of a mononuclear phagocyte system postulates that monocytes circulating in the bloodstream are recruited to inflamed tissues where they give rise to macrophages. A recent publication demonstrated that the large increase in the macrophages observed during infection was the result of the multiplication of these cells rather than the recruitment of blood monocytes. We demonstrated previously that B-1 cells undergo differentiation to acquire a mononuclear phagocyte phenotype in vitro (B-1CDP), and we propose that B-1 cells could be an alternative origin for peritoneal macrophages. A number of recent studies that describe the phagocytic and microbicidal activity of B-1 cells in vitro and in vivo support this hypothesis. Based on these findings, we further investigated the differentiation of B-1 cells into phagocytes in vivo in response to LPS-induced inflammation. Therefore, we investigated the role of B-1 cells in the composition of the peritoneal macrophage population after LPS stimulation using osteopetrotic mice, BALB/Xid mice and the depletion of monocytes/macrophages by clodronate treatment. We show that peritoneal macrophages appear in op/op(−/−) mice after LPS stimulation and exhibit the same Ig gene rearrangement (VH11) that is often found in B-1 cells. These results strongly suggest that op/op(−/−) peritoneal “macrophages” are B-1CDP. Similarly, the LPS-induced increase in the macrophage population was observed even following monocyte/macrophage depletion by clodronate. After monocyte/macrophage depletion by clodronate, LPS-elicited macrophages were observed in BALB/Xid mice only following the transfer of B-1 cells. Based on these data, we confirmed that B-1 cell differentiation into phagocytes also occurs in vivo. In conclusion, the results strongly suggest that B-1 cell derived phagocytes are a component of the LPS-elicited peritoneal macrophage population