53 research outputs found

    Immunosuppressive effects of radiation on human dendritic cells: reduced IL-12 production on activation and impairment of naïve T-cell priming

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    Dendritic cells (DC) are professional antigen-presenting cells (APC) of the immune system, uniquely able to prime naïve T-cell responses. They are the focus of a range of novel strategies for the immunotherapy of cancer, a proportion of which include treating DC with ionising radiation to high dose. The effects of radiation on DC have not, however, been fully characterised. We therefore cultured human myeloid DC from CD14+ precursors, and studied the effects of ionising radiation on their phenotype and function. Dendritic cells were remarkably resistant against radiation-induced apoptosis, showed limited changes in surface phenotype, and mostly maintained their endocytic, phagocytic and migratory capacity. However, irradiated DC were less effective in a mixed lymphocyte reaction, and on maturation produced significantly less IL-12 than unirradiated controls, while IL-10 secretion was maintained. Furthermore, peptide-pulsed irradiated mature DC were less effective at naïve T-cell priming, stimulating fewer effector cells with lower cytotoxicity against antigen-specific targets. Hence irradiation of DC in vitro, and potentially in vivo, has a significant impact on their function, and may shift the balance between T-cell activation and tolerisation in DC-mediated immune responses

    Optimizing the location of helicopter emergency medical service operating sites

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    The European Commission Regulation (EU) No 965/2012, now completely operative in all the European countries, allows helicopter night landings for emergency medical service in dedicated spaces, provided with a minimum amount of facilities, called HEMS Operating Sites. This possibility opens new scenarios for the mixed, ambulance/ helicopter, rescue procedure, today not fully exploited. The paper studies the problem of optimal positioning for HEMS sites, where the transfer of the patient from ambulance to helicopter takes place, through the use of Geographic Information System (GIS) and optimization algorithms integrated in the software ArcGIS for Desktop. The optimum is defined in terms of the minimum intervention time. The solution approach has been applied to the area of competence of “SOREU dei Laghi”, in Lombardia region, with a catchment area of almost two million people

    An Evolutionary Algorithm for the Leader-Follower Facility Location Problem with Proportional Customer Behavior

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    The leader-follower facility location problem arises in the context of two non-cooperating companies, a leader and a follower, competing for market share from a given set of customers. In our work we assume that the rms place a given number of facilities on locations taken from a discrete set of possible points. The customers are assumed to split their demand inversely proportional to their distance to all opened facilities. In this work we present an evolutionary algorithm with an embedded tabu search to optimize the location selection for the leader. A complete solution archive is used to detect already visited candidate solutions and convert them into not yet considered ones. This avoids unnecessary time-consuming re-evaluations, reduces premature convergence and increases the population diversity at the same time. Results show significant advantages of our approach over an existing algorithm from the literature
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