Prognostic impact of KMT2A-AFF1-positivity in 926 BCR-ABL1-negative B-lineage acute lymphoblastic leukemia patients treated in GIMEMA clinical trials since 1996

The impact of KMT2A-AFF1 rearrangement in pediatric-like, minimal residual disease (MRD)-based clinical trials and the effect of transplant in KMT2A-AFF1 ALL are still debated

Relation between body mass index and depression: a structural equation modeling approach

<p>Abstract</p> <p>Background</p> <p>Obesity and depression are two major diseases which are associated with many other health problems such as hypertension, dyslipidemia, diabetes mellitus, coronary heart disease, stroke, myocardial infarction, heart failure in patients with systolic hypertension, low bone mineral density and increased mortality. Both diseases share common health complications but there are inconsistent findings concerning the relationship between obesity and depression. In this work we used the <it>structural equation modeling </it>(SEM) technique to examine the relation between body mass index (BMI), as a proxy for obesity, and depression using the Canadian Community Health Survey, Cycle 1.2.</p> <p>Methods</p> <p>In this SEM model we postulate that 1) BMI and depression are directly related, 2) BMI is directly affected by the physical activity and, 3)depression is directly influenced by stress. SEM was also used to assess the relation between BMI and depression separately for males and females.</p> <p>Results</p> <p>The results indicate that higher BMI is associated with more severe form of depression. On the other hand, the more severe form of depression may result in less weight gain. However, the association between depression and BMI is gender dependent. In males, the higher BMI may result in a more severe form of depression while in females the relation may not be the same. Also, there was a negative relationship between physical activity and BMI.</p> <p>Conclusion</p> <p>In general, use of SEM method showed that the two major diseases, obesity and depression, are associated but the form of the relation is different among males and females. More research is necessary to further understand the complexity of the relationship between obesity and depression. It also demonstrated that SEM is a feasible technique for modeling the relation between obesity and depression.</p

Managing chronic myeloid leukemia for treatment-free remission: A proposal from the GIMEMA CML WP

Several papers authored by international experts have proposed recommendations on the management of BCR-ABL11 chronic myeloid leukemia (CML). Following these recommendations, survival of CML patients has become very close to normal. The next, ambitious, step is to bring as many patients as possible into a condition of treatment-free remission (TFR). The Gruppo Italiano Malattie EMatologiche dell'Adulto (GIMEMA; Italian Group for Hematologic Diseases of the Adult) CML Working Party (WP) has developed a project aimed at selecting the treatment policies that may increase the probability of TFR, taking into account 4 variables: the need for TFR, the tyrosine kinase inhibitors (TKIs), the characteristics of leukemia, and the patient. A Delphi-like method was used to reach a consensus among the representatives of 50 centers of the CML WP. A consensus was reached on the assessment of disease risk (EUTOS Long Term Survival [ELTS] score), on the definition of the most appropriate age boundaries for the choice of first-line treatment, on the choice of the TKI for first-line treatment, and on the definition of the responses that do not require a change of the TKI (BCR-ABL1 ≤10% at 3 months, ≤1% at 6 months, ≤0.1% at 12 months, ≤0.01% at 24 months), and of the responses that require a change of the TKI, when the goal is TFR (BCR-ABL1 &gt;10% at 3 and 6 months, &gt;1% at 12 months, and &gt;0.1% at 24 months). These suggestions may help optimize the treatment strategy for TFR

South American Hydrological Balance and Paleoceanography during the Late Pleistocene and Holocene (SAMBA) – Cruise No. M125, March 21 – April 15, 2016 - Rio de Janeiro (Brazil) – Fortaleza (Brazil)

R/V METEOR expedition M125 (“SAMBA”) focused on the influence of paleoceanographic changes off NE Brazil on the continental hydrological cycle. For this purpose, we obtained 202 m of gravity (24 stations) and piston cores (9) at seven sections on the shelf and continental slope close to river mouths from Cabo Frio in the south to the Rio Sao Francisco in the north. Coring stations were determined after intensive echosounder surveys (total: 1221 NM). On-board foraminiferal biostratigraphy, as well as color and XRF-scanning already provided first stratigraphic constraints, indicating the preservation of different regional paleoclimatic signals at the respective sections. Based on the preliminary stratigraphy, we retrieved high-resolution archives, covering Holocene sediments on the shelf and late Pleistocene sediments on the slope. These high-resolution archives are complemented by long-term records covering up to 900 ka of continuous sedimentation at deeper sites at smaller rivers. For proxy-calibration and the study of present-day sedimentation dynamics and biogeochemical processes, surface sediments were sampled via multicorer (47), Van Veen Grab (6) and box corer (3). Water samples for determination of the water chemistry (trace elements, stable and radiogenic isotopes) and nutrient composition were retrieved by 55 CTD/Rosette casts. In addition, we run multinet-hauls at seven stations to investigate the planktonic foraminiferal communities in the water column down to 700 m water depth, complemented by filtering water from the ship’s pump twice a day

Contrasted distributions of triterpene derivatives in the sediments of Lake Caco reflect paleoenvironmental changes during the last 20,000 yrs in NE Brazil

Lipid fractions extracted from sediment layers deposited in a small Brazilian lake during the last 20,000 yrs were investigated by gas chromatography-mass spectrometry. Considerable differences in the distribution and the amount of triterpene derivatives in the aliphatic as well as in the aromatic fractions were observed all along the series. Although no precise identification of these compounds was undertaken, our interpretation of mass spectral data allowed us to discriminate between des-A-triterpenes, mono- and triaromatic derivatives of pentacyclic triterpenes and a series of compounds tentatively identified as diaromatic derivatives of tetracyclic triterpenes. The largest compound diversity was found in the lowest levels of the series dated back to the end of the Last Glacial Maximum when good preservation of terrestrial plant debris was ensured by rapid burial in a semi-arid climate. Then, except for a period corresponding to the Younger Dryas, only des-A-lupane was detected in significant amounts. The high predominance of des-A-lupane is interpreted to result from the development of a belt of Eleocharis sp. (spike-rush) that filtered most of organic inputs from the catchment and was the site of des-A-lupane production and exportation towards the lake centre. During the Younger Dryas, a strong influx of des-A-lupane is attributed to the destruction of the spike-rush belt consecutive to the lowering of the lake level under drier conditions. The temporary destruction of this barrier allowed other triterpene derivatives to reach the lake. The distinct dynamics of des-A and aromatic triterpene derivatives under variable medium conditions led us to hypothesis that these two families of compounds derive from distinct pools that contributed differently to the sediment depending on environmental and climatic conditions. Des-A-lupane was most probably produced in sub-aquatic conditions within the belt of spike-rush. Conversely, aromatic derivatives of triterpenes could have resulted from the degradation of their biological precursors within reducing micro-environments in the catchment

Benthic foraminifera stable isotope records from shallow depths of western South Atlantic

Here we present oxygen and carbon isotope records of benthic foraminifera species from the continental shelf sediments influenced by upwelling events in the southwestern Atlantic. Cibicides kullenbergi and Uvigerina peregrina were analyzed in three box-cores dated from the last two centuries in a multidecadal resolution. The results obtained allowed us to understand the impact of phytodetritus inputs over the benthic foraminifera shell calcification and the oceanographic conditions prevailing in the Cabo Frio continental shelf since ~1800CE

Autologous blood stem cell transplantation in malignant lymphomas: an Italian Cooperative Study.

Twenty-three patients with malignant lymphoma, (7 Hodgkin's, and 16 non-Hodgkin's) in different phases of disease were autografted in 4 Italian Haematology institutions using only chemotherapy-mobilized blood stem cells (BSC) collected by apheresis. Clinical and laboratory data were analysed centrally and showed mean collection yields of 8.1 x 10(8) kg mononuclear cells (MNC) (SE 0.5; range 2.6-13.8) and 24.1 x 10(4) kg CFU-GM (SE 7.4; range 1.4-162.9). The mean times required to attain 0.5 x 10(9)/l neutrophils and 50 x 10(9)/l platelets after marrow-ablative high-dose chemo+radiotherapy and BSC reinfusion were 14.9 days (SE 1.5; range 7-38) and 18.6 days (SE 2.6; range 6-49) respectively. The incidence of early deaths was 50\% at 3 years with a median follow-up of 17.3 months. Results were significantly better for patients autografted in remission. These results suggest that autologous blood stem cell transplantation (ABSCT) may be proposed for the primary treatment of poor prognosis malignant lymphomas. However, ABSCT needs to be compared with autologous bone marrow transplantation (ABMT) followed by infusion of growth factors to accelerate recovery