Molecular diagnostics helps to identify distinct subgroups of spinal astrocytomas

Primary spinal cord astrocytomas are rare, hence few data exist about the prognostic significance of molecular markers. Here we analyze a panel of molecular alterations in association with the clinical course. Histology and genome sequencing was performed in 26 spinal astrocytomas operated upon between 2000 and 2020. Next-generation DNA/RNA sequencing (NGS) and methylome analysis were performed to determine molecular alterations. Histology and NGS allowed the distinction of 5 tumor subgroups: glioblastoma IDH wildtype (GBM); diffuse midline glioma H3 K27M mutated (DMG-H3); high-grade astrocytoma with piloid features (HAP); diffuse astrocytoma IDH mutated (DA), diffuse leptomeningeal glioneural tumors (DGLN) and pilocytic astrocytoma (PA). Within all tumor entities GBM (median OS: 5.5~months), DMG-H3 (median OS: 13~months) and HAP (median OS: 8~months) showed a fatal prognosis. DMG-H3 tend to emerge in adolescence whereas GBM and HAP develop in the elderly. HAP are characterized by CDKN2A/B deletion and ATRX mutation. 50% of PA tumors carried a mutation in the PIK3CA gene which is seemingly associated with better outcome (median OS: PIK3CA mutated 107.5 vs 45.5~months in wildtype PA). This exploratory molecular profiling of spinal cord astrocytomas allows to identify distinct subgroups by combining molecular markers and histomorphology. DMG-H3 tend to develop in adolescence with a similar dismal prognosis like GBM and HAP in the elderly. We here describe spinal HAP with a distinct molecular profile for the first time

PSMA Expression in Glioblastoma as a Basis for Theranostic Approaches: A Retrospective, Correlational Panel Study Including Immunohistochemistry, Clinical Parameters and PET Imaging

Aim: The aim of the current study was to enlighten the evolution of prostate-specific membrane antigen (PSMA) expression in glioblastoma between initial diagnosis and recurrence in order to provide preliminary insight for further clinical investigations into innovative PSMA-directed treatment concepts in neuro-oncology. Methods: Patients who underwent resection for de-novo glioblastoma (GBM) and had a re-resection in case of a recurrent tumor following radiochemotherapy and subsequent chemotherapy were included (n = 16). Histological and immunohistochemical stainings were performed at initial diagnosis and at recurrence (n = 96 tissue specimens). Levels of PSMA expression both in endothelial and non-endothelial cells as well as vascular density (CD34) were quantified via immunohistochemistry and changes between initial diagnosis and recurrence were determined. Immunohistochemical findings were correlated with survival and established clinical parameters. Results: PSMA expression was found to be present in all GBM tissue samples at initial diagnosis as well as in all but one case of recurrent tumor samples. The level of PSMA expression in glioblastoma varied inter-individually both in endothelial and non-endothelial cells. Likewise, the temporal evolution of PSMA expression highly varied in between patients. The level of vascular PSMA expression at recurrence and its change between initial diagnosis and recurrence was associated with post recurrence survival time: Patients with high vascular PSMA expression at recurrence as well as patients with increasing PSMA expression throughout the disease course survived shorter than patients with low vascular PSMA expression or decreasing vascular PSMA expression. There was no significant correlation of PSMA expression with MGMT promoter methylation status or Ki-67 labelling index. Conclusion: PSMA is expressed in glioblastoma both at initial diagnosis and at recurrence. High vascular PSMA expression at recurrence seems to be a negative prognostic marker. Thus, PSMA expression in GBM might present a promising target for theranostic approaches in recurrent glioblastoma. Especially PSMA PET imaging and PSMA-directed radioligand therapy warrant further studies in brain tumor patients

Oxidação da pirita e seus efeitos em argamassas de cimento Portland sujeitas ao ataque por sulfatos de origem interna

RESUMO O ataque por sulfatos de origem interna é resultante da reação química entre os íons Fe2+ e SO4 2-, provenientes da oxidação de agregados sulfetados, e os compostos da pasta cimentícia, e tende a promover a degradação do concreto devido formação de produtos expansivos que geram fissuração e desagregação do material. Neste trabalho, a morfologia da pirita, presente em alguns tipos de agregado, foi avaliada. O mineral foi utilizado em substituição parcial à areia (10%, em massa) na dosagem de argamassas, para estudo das modificações microestruturais e da variação dimensional linear sob envelhecimento natural durante 42 dias. A caracterização microestrutural foi executada em equipamento FEG/SEM com sonda analítica de EDS. Verificou-se, na superfície da pirita oxidada, a formação de óxidos de ferro, os quais afetaram a interface entre a pasta de cimento e o agregado nos materiais produzidos com a pirita. Quanto a variação dimensional, a argamassa apresentou apenas contrações durante o período de estudo. Verificou-se a ocorrência de fissuração e a predominância na formação de cristais aciculares de etringita aos 42 dias enquanto aos 90 dias a presença de gipsita predomina. Óxidos de ferro oriundos da oxidação da pirita são evidentes nas argamassas aos 90 dias

The EARTH Project: Towards Energy Efficient Wireless Networks

No abstract available

Enablers for Energy Efficient Wireless Networks

Mobile communications are increasingly contributing to global energy consumption. The EARTH (Energy Aware Radio and neTworking tecHnologies) project tackles the important issue of reducing CO2 emissions by enhancing the energy efficiency of cellular mobile networks. EARTH is a holistic approach to develop a new generation of energy efficient products, components, deployment strategies and energy-aware network management solutions. In this paper the holistic EARTH approach to energy efficient mobile communication systems is introduced. Performance metrics are studied so to assess the theoretical bounds of energy efficiency and the practical achievable limits. Moreover, various deployment strategies focusing on their potential to reduce energy consumption are studied, whilst providing uncompromised coverage and user experience. This includes heterogeneous networks with a sophisticated mix of different cell sizes, which may be further enhanced by energy efficient relaying and base station cooperation technologies. Finally, scenarios leveraging the capability of advanced terminals to operate on multiple radio access technologies (RAT) are discussed with respect to their energy savings potential

The EARTH Project: Towards Energy Efficient Wireless Networks

No abstract available