The impact of the Hippo pathway and cell metabolism on pathological complete response in locally advanced Her2+ breast cancer: the TRISKELE multicenter prospective study

The Hippo pathway and its two key effectors, Yes-associated protein (YAP) and transcriptional coactivator with PDZ-binding motif (TAZ), are consistently altered in breast cancer. Pivotal regulators of cell metabolism such as the AMP-activated protein kinase (AMPK), Stearoyl-CoA-desaturase 1 (SCD1), and HMG-CoA reductase (HMGCR) are relevant modulators of TAZ/YAP activity. In this prospective study, we measured the tumor expression of TAZ, YAP, AMPK, SCD1, and HMGCR by immunohistochemistry in 65 Her2+ breast cancer patients who underwent trastuzumab-based neoadjuvant treatment. The aim of the study was to assess the impact of the immunohistochemical expression of the Hippo pathway transducers and cell metabolism regulators on pathological complete response. Low expression of cytoplasmic TAZ, both alone and in the context of a composite signature identified by machine learning including also low nuclear levels of YAP and HMGCR and high cytoplasmic levels of SCD1, was a predictor of residual disease in the univariate logistic regression. This finding was not confirmed in the multivariate model including estrogen receptor > 70% and body mass index > 20. However, our findings were concordant with overall survival data from the TCGA cohort. Our results, possibly affected by the relatively small sample size of this study population, deserve further investigation in adequately sized, ad hoc prospective studies

Thrombocytopenia and platelet transfusions in ICU patients: an international inception cohort study (PLOT-ICU)

Purpose Thrombocytopenia (platelet count < 150 × 109/L) is common in intensive care unit (ICU) patients and is likely associated with worse outcomes. In this study we present international contemporary data on thrombocytopenia in ICU patients. Methods We conducted a prospective cohort study in adult ICU patients in 52 ICUs across 10 countries. We assessed frequencies of thrombocytopenia, use of platelet transfusions and clinical outcomes including mortality. We evaluated pre-selected potential risk factors for the development of thrombocytopenia during ICU stay and associations between thrombocytopenia at ICU admission and 90-day mortality using pre-specified logistic regression analyses. Results We analysed 1166 ICU patients; the median age was 63 years and 39.5% were female. Overall, 43.2% (95% confidence interval (CI) 40.4–46.1) had thrombocytopenia; 23.4% (20–26) had thrombocytopenia at ICU admission, and 19.8% (17.6–22.2) developed thrombocytopenia during their ICU stay. Non-AIDS-, non-cancer-related immune deficiency, liver failure, male sex, septic shock, and bleeding at ICU admission were associated with the development of thrombocytopenia during ICU stay. Among patients with thrombocytopenia, 22.6% received platelet transfusion(s), and 64.3% of in-ICU transfusions were prophylactic. Patients with thrombocytopenia had higher occurrences of bleeding and death, fewer days alive without the use of life-support, and fewer days alive and out of hospital. Thrombocytopenia at ICU admission was associated with 90-day mortality (adjusted odds ratio 1.7; 95% CI 1.19–2.42). Conclusion Thrombocytopenia occurred in 43% of critically ill patients and was associated with worse outcomes including increased mortality. Platelet transfusions were given to 23% of patients with thrombocytopenia and most were prophylactic.publishedVersio

Ricostruzioni climatiche, ambientali e geoarcheologiche attraverso lo studio di suoli olocenici in Calabria

Scuola di Dottorato" Archimede" in Scienze, Comunicazione e Tecnologie, Dottorato di Ricerca in Scienze della Terra, XXIV Ciclo, a.a. 2008-2011Università della Calabri

Pycnomerus italicus (Coleoptera: Zopheridae), an Endemic Endangered Species: A New Report on Its Presence in Southern Italy

Pycnomerus italicus (Ganglbauer, 1899) (Coleoptera: Zopheridae), a saproxylic beetle endemic to Italy, is listed as &ldquo;endangered&rdquo; in the Red List of Italian Saproxylic Beetles. In 2021, during an entomological survey, 49 adults of this species were found in the Riserva Naturale Biogenetica Marchesale, Calabria, Southern Italy. The species was found in medium and high-quality habitats where a large number of fallen trunks of Abies alba Mill. 1759 (Pinales: Pinaceae) were present. On the same decaying trunks where P. italicus was found, larvae and/or adults of other three species of saproxylic beetles were detected. Although most aspects of the biology and ecology of P. italicus are still unknown, the presence of this endemic species in the Riserva Naturale Biogenetica Marchesale is interesting because this reserve and other humid forest environments in Southern Italy could be relevant refuges not only for this species but also for other endangered saproxylic beetles. These areas should be protected with appropriate forest-management techniques

Multidisciplinary study of Holocene archaeological soils in an upland Mediterranean site: Natural versus anthropogenic environmental changes at Cecita Lake, Calabria, Italy

This paper highlights results of a multidisciplinary and multi-analytical study of Holocene archaeological soils around Cecita Lake (Sila massif, Calabria, southern Italy), which represents a typical upland Mediterranean environment. It is focused on assessment of climatic and environmental changes that took place since late Neolithic to Roman times, trying to discriminate natural from anthropogenic signals. Based on an integration of archaeological, geomorphological, stratigraphic, pedological, volcanological and soil charcoal (pedoanthracological) data, the following paleoclimatic/environmental reconstruction is proposed: a warm and humid, seasonally contrasted climate, with an overall geomorphological stability suited for soil development, characterized the late prehistoric environment (Holocene climatic optimum), dominated by a widespread oak forest. The main pedogenetic processes consisted in organic matter accumulation, clay illuviation, phyllosilicate and short-range order mineral neogenesis from weathering of granite and volcanic ash, sourced from late Pleistocene-Holocene eruptions of the Aeolian Islands. One or more mid-Holocene episodes of climate deterioration towards drier conditions (indicated by a decrease of clay translocation processes and possible irreversible dehydration of poorly-crystalline aluminosilicates into phyllosilicate clay minerals) promoted intense land degradation. This was in turn enhanced by increasing human activities for settlement and resource exploitation (among which deforestation and ploughing for agriculture), which led to a shift of the vegetation cover towards a dominant pine forest between 3kaBP and the Roman epoch. Humid and possibly cooler climatic conditions during the late Holocene are indicated by the decrease of clay illuviation, coupled with short-range order components prevailing over phyllosilicate clays during Roman soil formation

Clinical characteristics and predictors of mortality associated with COVID-19 in elderly patients from a long-term care facility

Since December 2019, coronavirus disease 2019 (COVID-19) pandemic has spread from China all over the world and many COVID-19 outbreaks have been reported in long-term care facilities (LCTF). However, data on clinical characteristics and prognostic factors in such settings are scarce. We conducted a retrospective, observational cohort study to assess clinical characteristics and baseline predictors of mortality of COVID-19 patients hospitalized after an outbreak of SARS-CoV-2 infection in a LTCF. A total of 50 patients were included. Mean age was 80 years (SD, 12 years), and 24/50 (57.1%) patients were males. The overall in-hospital mortality rate was 32%. At Cox regression analysis, significant predictors of in-hospital mortality were: hypernatremia (HR 9.12), lymphocyte count &lt; 1000 cells/µL (HR 7.45), cardiovascular diseases other than hypertension (HR 6.41), and higher levels of serum interleukin-6 (IL-6, pg/mL) (HR 1.005). Our study shows a high in-hospital mortality rate in a cohort of elderly patients with COVID-19 and hypernatremia, lymphopenia, CVD other than hypertension, and higher IL-6 serum levels were identified as independent predictors of in-hospital mortality. Given the small population size as major limitation of our study, further investigations are necessary to better understand and confirm our findings in elderly patients