258 research outputs found
T-cell depleted HLA-haploidentical HSCT in a child with neuromyelitis optica
Neuromyelitis optica is an immune-mediated disease characterized by a relapsing course, resulting in progressive disability. In children, given the long life expectancy, a disease-modifying treatment could be particularly desirable. Unfortunately, the currently available treatment strategies with this potential are scarce. Very limited data are available about the use of allogeneic hematopoietic stem cell transplantation (HSCT) for autoimmune neurological diseases. In this report, we present a pediatric case successfully treated with allogeneic HSCT from an HLA-haploidentical donor, after ex vivo TCR/CD19-depletion of the graft. To the best of our knowledge, this is the first case of a pediatric patient to benefit from such a treatment
Outcome of children with acute leukemia given HLA-haploidentical HSCT after ab T-cell and B-cell depletion
Allogeneic hematopoietic stem cell transplantation (HSCT) from an HLA-haploidentical relative (haplo-HSCT) is a suitable option for children with acute leukemia (AL) either relapsed or at high-risk of treatment failure. We developed a novel method of graft manipulation based on negative depletion of ab T and B cells and conducted a prospective trial evaluating the outcome of children with AL transplanted with this approach. Eighty AL children, transplanted between September 2011 and September 2014, were enrolled in the trial. All children were given a fully myeloablative preparative regimen. Anti–T-lymphocyte globulin from day 25 to 23 was used for preventing graft rejection and graft-versus-host disease (GVHD); no patient received any posttransplantation GVHD prophylaxis. Two children experienced primary graft failure. The cumulative incidence of skin-only, grade 1-2 acute GVHD was 30%; no patient developed extensive chronic GVHD. Four patients died, the cumulative incidence of nonrelapse mortality being 5%, whereas 19 relapsed, resulting in a 24% cumulative incidence of relapse. With a median follow-up of 46 months for surviving patients, the 5-year probability of chronic GVHD-free, relapse-free survival (GRFS) is 71%. Total body irradiation–containing preparative regimen was the only variable favorably influencing relapse incidence and GRFS. The outcomes of these 80 patients are comparable to those of 41 and 51 children given transplantation from an HLA-identical sibling or a 10/10 allelic-matched unrelated donor in the same period. These data indicate that haplo-HSCT after ab T- and B-cell depletion represents a competitive alternative for children with AL in need of urgent allograft. This trial was registered at www.clinicaltrials.gov as #NCT01810120
CUORE-0 results and prospects for the CUORE experiment
With 741 kg of TeO2 crystals and an excellent energy resolution of 5 keV
(0.2%) at the region of interest, the CUORE (Cryogenic Underground Observatory
for Rare Events) experiment aims at searching for neutrinoless double beta
decay of 130Te with unprecedented sensitivity. Expected to start data taking in
2015, CUORE is currently in an advanced construction phase at LNGS. CUORE
projected neutrinoless double beta decay half-life sensitivity is 1.6E26 y at 1
sigma (9.5E25 y at the 90% confidence level), in five years of live time,
corresponding to an upper limit on the effective Majorana mass in the range
40-100 meV (50-130 meV). Further background rejection with auxiliary bolometric
detectors could improve CUORE sensitivity and competitiveness of bolometric
detectors towards a full analysis of the inverted neutrino mass hierarchy.
CUORE-0 was built to test and demonstrate the performance of the upcoming CUORE
experiment. It consists of a single CUORE tower (52 TeO2 bolometers of 750 g
each, arranged in a 13 floor structure) constructed strictly following CUORE
recipes both for materials and assembly procedures. An experiment its own,
CUORE-0 is expected to reach a sensitivity to the neutrinoless double beta
decay half-life of 130Te around 3E24 y in one year of live time. We present an
update of the data, corresponding to an exposure of 18.1 kg y. An analysis of
the background indicates that the CUORE performance goal is satisfied while the
sensitivity goal is within reach.Comment: 10 pages, 3 figures, to appear in the proceedings of NEUTRINO 2014,
26th International Conference on Neutrino Physics and Astrophysics, 2-7 June
2014, held at Boston, Massachusetts, US
CUORE and beyond: bolometric techniques to explore inverted neutrino mass hierarchy
The CUORE (Cryogenic Underground Observatory for Rare Events) experiment will
search for neutrinoless double beta decay of Te. With 741 kg of TeO
crystals and an excellent energy resolution of 5 keV (0.2%) at the region of
interest, CUORE will be one of the most competitive neutrinoless double beta
decay experiments on the horizon. With five years of live time, CUORE projected
neutrinoless double beta decay half-life sensitivity is y
at ( y at the 90% confidence level), which
corresponds to an upper limit on the effective Majorana mass in the range
40--100 meV (50--130 meV). Further background rejection with auxiliary light
detector can significantly improve the search sensitivity and competitiveness
of bolometric detectors to fully explore the inverted neutrino mass hierarchy
with Te and possibly other double beta decay candidate nuclei.Comment: Submitted to the Proceedings of TAUP 2013 Conferenc
Status of the CUORE and results from the CUORE-0 neutrinoless double beta decay experiments
CUORE is a 741 kg array of TeO2 bolometers for the search of neutrinoless
double beta decay of 130Te. The detector is being constructed at the Laboratori
Nazionali del Gran Sasso, Italy, where it will start taking data in 2015. If
the target background of 0.01 counts/keV/kg/y will be reached, in five years of
data taking CUORE will have a 1 sigma half life sensitivity of 10E26 y. CUORE-0
is a smaller experiment constructed to test and demonstrate the performances
expected for CUORE. The detector is a single tower of 52 CUORE-like bolometers
that started taking data in spring 2013. The status and perspectives of CUORE
will be discussed, and the first CUORE-0 data will be presented.Comment: 7 pages, 4 figures, to be published in the proceedings of ICHEP 2014,
37th International Conference on High Energy Physics, Valencia (Spain) 2-9
July 201
Exploring the Neutrinoless Double Beta Decay in the Inverted Neutrino Hierarchy with Bolometric Detectors
Neutrinoless double beta decay (0nubb) is one of the most sensitive probes
for physics beyond the Standard Model, providing unique information on the
nature of neutrinos. In this paper we review the status and outlook for
bolometric 0nubb decay searches. We summarize recent advances in background
suppression demonstrated using bolometers with simultaneous readout of heat and
light signals. We simulate several configurations of a future CUORE-like
bolometer array which would utilize these improvements and present the
sensitivity reach of a hypothetical next-generation bolometric 0nubb
experiment. We demonstrate that a bolometric experiment with the isotope mass
of about 1 ton is capable of reaching the sensitivity to the effective Majorana
neutrino mass (|mee|) of order 10-20 meV, thus completely exploring the
so-called inverted neutrino mass hierarchy region. We highlight the main
challenges and identify priorities for an R&D program addressing them.Comment: 22 pages, 15 figures, submitted to EPJ
Measurement of the Two-Neutrino Double Beta Decay Half-life of Te with the CUORE-0 Experiment
We report on the measurement of the two-neutrino double beta decay half-life
of Te with the CUORE-0 detector. From an exposure of 33.4 kgy of
TeO, the half-life is determined to be = [8.2 0.2
(stat.) 0.6 (syst.)] 10y. This result is obtained after a
detailed reconstruction of the sources responsible for the CUORE-0 counting
rate, with a specific study of those contributing to the Te
neutrinoless double beta decay region of interest.Comment: Corrected typo in section 9: 3.43E5 Bq/kg should have read 3.43E-5
Bq/k
Stomach cancer and occupational exposure to asbestos: a meta-analysis of occupational cohort studies
BACKGROUND: A recent Monographs Working Group of the International Agency for Research on Cancer concluded that there is limited evidence for a causal association between exposure to asbestos and stomach cancer. METHODS: We performed a meta-analysis to quantitatively evaluate this association. Random effects models were used to summarise the relative risks across studies. Sources of heterogeneity were explored through subgroup analyses and meta-regression. RESULTS: We identified 40 mortality cohort studies from 37 separate papers, and cancer incidence data were extracted for 15 separate cohorts from 14 papers. The overall meta-SMR for stomach cancer for total cohort was 1.15 (95% confidence interval 1.03–1.27), with heterogeneous results across studies. Statistically significant excesses were observed in North America and Australia but not in Europe, and for generic asbestos workers and insulators. Meta-SMRs were larger for cohorts reporting a SMR for lung cancer above 2 and cohort sizes below 1000. CONCLUSIONS: Our results support the conclusion by IARC that exposure to asbestos is associated with a moderate increased risk of stomach cancer
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