Paziente con carcinoma mammario metastatico, HER2-positivo, resistente a trastuzumab e pertuzumab ma responsivo a lapatinib

Lapatinib is an intracellular tyrosine kinase inhibitor of EGFR (ErbB1) and HER2 (ErbB2) receptors, approved for the treatment of metastatic breast carcinoma pre-treated with anti-HER2 antibodies. We report the case of a 60-year-old woman diagnosed with metastatic breast neoplasm, HER2-positive, progressing after treatment with trastuzumab, pertuzumab and T-DM1, who obtained a regression of hepatic metastases after treatment with lapatinib-capecitabine (Oncology)

Metal Rich RR Lyrae Variables: II. The Pulsational Scenario

We present a theoretical investigation on the pulsational behavior of metal-rich RR Lyrae variables over the range of evolutionary parameters suitable for stars with metallicities Z= 0.006, 0.01 and 0.02. With the addition of similar results for metal-poor pulsators we discuss the theoretical pulsational scenario covering the metallicity range from Z=0.0001 to 0.02. We find that the distribution of field ab-type RR Lyrae stars in the period-metallicity plane can be easily understood within the framework of the present theoretical scenario, suggesting that the Oosterhoff dichotomy also affects field variables. Theoretical predictions concerning the amplitude-period diagram are discussed and compared with observational data. We find a general agreement for metal-poor ([Fe/H]<-1.4) RR Lyrae stars, whereas more metal-rich variables show amplitudes smaller than those predicted for pulsators originated from old, low-mass evolving stars. Alternatively, the agreement between theory and observations would require that a substantial fraction of metal-rich RR Lyrae variables in the Galactic field were younger than approximately 2 Gyr. The comparison between the pulsational behavior of RR Lyrae either in the Galactic field or in the Galactic bulge discloses the evidence that, at least as far as RR Lyrae variables are concerned, the metal-rich components of the bulge and of the field population appear quite similar

Genetic diversity and origin of the rare, narrow endemic Asperula crassifolia (Rubiaceae)

We examined the patterns of genetic variation in the narrow endemic Asperula crassifolia (Campania, southern Italy), taking into account the schizoendemic distribution of the Mediterranean members of Asperula sect. Cynanchicae. We obtained plastid DNA sequences of the rps16 intron and the trnC-petN intergenic spacer for several members of A. sect. Cynanchicae, for three living populations (48 individuals) and ten herbarium specimens of A. crassifolia. We also analysed nSSR data for A. crassifolia, to infer population diversity and differentiation. Our results suggest that the centre of diversity of A. crassifolia is the island of Capri, where A. crassifolia harbours four different ptDNA haplotypes, two of which are shared with other species of sect. Cynanchicae. Microsatellite analyses revealed low levels of genetic diversity for the mainland population (Nerano, Sorrentine Peninsula) and the neighbouring Sirenusae islets. Diversity in A. crassifolia is mainly explained by ancestral variation and recent divergence. Rarity in A. crassifolia is a natural condition; however, we express concern for the small census population size as it might trigger further rarefaction

Haplotype characterization of a stranded common minke whale calf (Balaenoptera acutorostrata lacépède, 1804): Is the mediterranean sea a potential calving or nursery ground for the species?

The stranding of a suckling calf of Common Minke Whale (Balaenoptera acutorostrata) on the coast near Salerno (Campania, Southern Italy) is reported. The molecular analysis of a partial sequence of the mitochondrial DNA control region shows that the animal bore a haplotype identical to haplotype Ba169 considered as typical of individuals from North Atlantic population. Historical data and our results suggest the possibility that the Mediterranean Sea might be a potential calving or nursery ground for this species

Maternal Phylogenetic Relationships and Genetic Variation among Rare, Phenotypically Similar Donkey Breeds

The mitochondrial DNA (mtDNA) D-loop of endangered and critically endangered breeds has been studied to identify maternal lineages, characterize genetic inheritance, reconstruct phylogenetic relations among breeds, and develop biodiversity conservation and breeding programs. The aim of the study was to determine the variability remaining and the phylogenetic relationship of Martina Franca (MF, with total population of 160 females and 36 males), Ragusano (RG, 344 females and 30 males), Pantesco (PT, 47 females and 15 males), and Catalonian (CT) donkeys by collecting genetic data from maternal lineages. Genetic material was collected from saliva, and a 350 bp fragment of D-loop mtDNA was amplified and sequenced. Sequences were aligned and evaluated using standard bioinformatics software. A total of 56 haplotypes including 33 polymorphic sites were found in 77 samples (27 MF, 22 RG, 8 PT, 19 CT, 1 crossbred). The breed nucleotide diversity value (π) for all the breeds was 0.128 (MF: 0.162, RG: 0.132, PT: 0.025, CT: 0.038). Principal components analysis grouped most of the haplogroups into two different clusters, I (including all haplotypes from PT and CT, together with haplotypes from MF and RG) and II (including haplotypes from MF and RG only). In conclusion, we found that the primeval haplotypes, haplogroup variability, and a large number of maternal lineages were preserved in MF and RG; thus, these breeds play putative pivotal roles in the phyletic relationships of donkey breeds. Maternal inheritance is indispensable genetic information required to evaluate inheritance, variability, and breeding programs

Maternal Phylogenetic Relationships and Genetic Variation among Rare, Phenotypically Similar Donkey Breeds

The mitochondrial DNA (mtDNA) D-loop of endangered and critically endangered breeds has been studied to identify maternal lineages, characterize genetic inheritance, reconstruct phylogenetic relations among breeds, and develop biodiversity conservation and breeding programs. The aim of the study was to determine the variability remaining and the phylogenetic relationship of Martina Franca (MF, with total population of 160 females and 36 males), Ragusano (RG, 344 females and 30 males), Pantesco (PT, 47 females and 15 males), and Catalonian (CT) donkeys by collecting genetic data from maternal lineages. Genetic material was collected from saliva, and a 350 bp fragment of D-loop mtDNA was amplified and sequenced. Sequences were aligned and evaluated using standard bioinformatics software. A total of 56 haplotypes including 33 polymorphic sites were found in 77 samples (27 MF, 22 RG, 8 PT, 19 CT, 1 crossbred). The breed nucleotide diversity value (π) for all the breeds was 0.128 (MF: 0.162, RG: 0.132, PT: 0.025, CT: 0.038). Principal components analysis grouped most of the haplogroups into two different clusters, I (including all haplotypes from PT and CT, together with haplotypes from MF and RG) and II (including haplotypes from MF and RG only). In conclusion, we found that the primeval haplotypes, haplogroup variability, and a large number of maternal lineages were preserved in MF and RG; thus, these breeds play putative pivotal roles in the phyletic relationships of donkey breeds. Maternal inheritance is indispensable genetic information required to evaluate inheritance, variability, and breeding programs

Antiretroviral treatment efficacy after mutations reversion during T20 monotherapy, an alternative strategy in multi-failed HIV-1 infected patients

Purpose of the study Monotherapy maintenance with 3TC after multiple therapeutic failure, helps in maintaining the number of CD4, but, at the same time, slows down the speed of reversion of mutations usually achieved during complete interruption of therapy. Monotherapy with enfuvirtide (T20) can be an interesting alternative to 3TC monotherapy, due to the CD4-enhancement typical of this drug even during therapeutic failure. Aim of this study was to assess, in a proof-of-concept study, the efficacy of T20-monotherapy to maintain the levels of CD4, to allow reversal of mutations in the pol gene, and eventually to favor long-term success of subsequent HAART