57 research outputs found
Self-assembly of bi-functional patchy particles with anisotropic shape into polymers chains: theory and simulations
Concentrated solutions of short blunt-ended DNA duplexes, down to 6 base
pairs, are known to order into the nematic liquid crystal phase. This
self-assembly is due to the stacking interactions between the duplex terminals
that promotes their aggregation into poly-disperse chains with a significant
persistence length. Experiments show that liquid crystals phases form above a
critical volume fraction depending on the duplex length. We introduce and
investigate via numerical simulations, a coarse-grained model of DNA
double-helical duplexes. Each duplex is represented as an hard quasi-cylinder
whose bases are decorated with two identical reactive sites. The stacking
interaction between terminal sites is modeled via a short-range square-well
potential. We compare the numerical results with predictions based on a free
energy functional and find satisfactory quantitative matching of the
isotropic-nematic phase boundary and of the system structure. Comparison of
numerical and theoretical results with experimental findings confirm that the
DNA duplexes self-assembly can be properly modeled via equilibrium
polymerization of cylindrical particles and enables us to estimate the stacking
energy
Self-assembly of short DNA duplexes: from a coarse-grained model to experiments through a theoretical link
Short blunt-ended DNA duplexes comprising 6 to 20 base pairs self-assemble
into polydisperse semi-flexible chains due to hydrophobic stacking interactions
between terminal base pairs. Above a critical concentration, which depends on
temperature and duplex length, such chains order into liquid crystal phases.
Here, we investigate the self-assembly of such double-helical duplexes with a
combined numerical and theoretical approach. We simulate the bulk system
employing the coarse-grained DNA model recently proposed by Ouldridge et al. [
J. Chem. Phys. 134, 08501 (2011) ]. Then we evaluate the input quantities for
the theoretical framework directly from the DNA model. The resulting
parameter-free theoretical predictions provide an accurate description of the
simulation results in the isotropic phase. In addition, the theoretical
isotropic-nematic phase boundaries are in line with experimental findings,
providing a route to estimate the stacking free energy.Comment: 13 pages, 10 figure
Small-angle neutron scattering and Molecular Dynamics structural study of gelling DNA nanostars
DNA oligomers with properly designed sequences self-assemble into well
defined constructs. Here, we exploit this methodology to produce bulk
quantities of tetravalent DNA nanostars (each one composed by 196 nucleotides)
and to explore the structural signatures of their aggregation process. We
report small-angle neutron scattering experiments focused on the evaluation of
both the form factor and the temperature evolution of the scattered intensity
at a nano star concentration where the system forms a tetravalent equilibrium
gel. We also perform molecular dynamics simulations of one isolated tetramer to
evaluate the form factor theoretically, without resorting to any approximate
shape. The numerical form factor is found to be in very good agreement with the
experimental one. Simulations predict an essentially temperature independent
form factor, offering the possibility to extract the effective structure factor
and its evolution during the equilibrium gelation.Comment: 9 pages, 5 figure
Spin-Glass Theory for Pedestrians
In these notes the main theoretical concepts and techniques in the field of
mean-field spin-glasses are reviewed in a compact and pedagogical way, for the
benefit of the graduate and undergraduate student. One particular spin-glass
model is analyzed (the p-spin spherical model) by using three different
approaches. Thermodynamics, covering pure states, overlaps, overlap
distribution, replica symmetry breaking, and the static transition. Dynamics,
covering the generating functional method, generalized Langevin equation,
equations for the correlation and the response, the Mode Coupling
approximation, and the dynamical transition. And finally complexity, covering
the mean-field (TAP) free energy, metastable states, entropy crisis, threshold
energy, and saddles. Particular attention has been paid on the mutual
consistency of the results obtained from the different methods.Comment: Lecture notes of the school: "Unifying Concepts in Glassy Physics
III", Bangalore, June 200
Prognostic Evaluation of Re-Resection for Recurrent Glioblastoma Using the Novel RANO Classification for Extent of Resection: A Report of the RANO Resect Group
BACKGROUND: The value of re-resection in recurrent glioblastoma remains controversial as a randomized trial that specifies intentional incomplete resection cannot be justified ethically. Here, we aimed to (1) explore the prognostic role of extent of re-resection using the previously proposed Response Assessment in Neuro-Oncology (RANO) classification (based upon residual contrast-enhancing (CE) and non-CE tumor), and to (2) define factors consolidating the surgical effects on outcome.
METHODS: The RANO resect group retrospectively compiled an 8-center cohort of patients with first recurrence from previously resected glioblastomas. The associations of re-resection and other clinical factors with outcome were analyzed. Propensity score-matched analyses were constructed to minimize confounding effects when comparing the different RANO classes.
RESULTS: We studied 681 patients with first recurrence of Isocitrate Dehydrogenase (IDH) wild-type glioblastomas, including 310 patients who underwent re-resection. Re-resection was associated with prolonged survival even when stratifying for molecular and clinical confounders on multivariate analysis; ≤1 cm3 residual CE tumor was associated with longer survival than non-surgical management. Accordingly, maximal resection (class 2) had superior survival compared to submaximal resection (class 3). Administration of (radio-)chemotherapy in the absence of postoperative deficits augmented the survival associations of smaller residual CE tumors. Conversely, supramaximal resection of non-CE tumor (class 1) was not associated with prolonged survival but was frequently accompanied by postoperative deficits. The prognostic role of residual CE tumor was confirmed in propensity score analyses.
CONCLUSIONS: The RANO resect classification serves to stratify patients with re-resection of glioblastoma. Complete resection according to RANO resect classes 1 and 2 is prognostic
Prognostic evaluation of re-resection for recurrent glioblastoma using the novel RANO classification for extent of resection:A report of the RANO resect group
BACKGROUND: The value of re-resection in recurrent glioblastoma remains controversial as a randomized trial that specifies intentional incomplete resection cannot be justified ethically. Here, we aimed to (1) explore the prognostic role of extent of re-resection using the previously proposed Response Assessment in Neuro-Oncology (RANO) classification (based upon residual contrast-enhancing (CE) and non-CE tumor), and to (2) define factors consolidating the surgical effects on outcome. METHODS: The RANO resect group retrospectively compiled an 8-center cohort of patients with first recurrence from previously resected glioblastomas. The associations of re-resection and other clinical factors with outcome were analyzed. Propensity score-matched analyses were constructed to minimize confounding effects when comparing the different RANO classes. RESULTS: We studied 681 patients with first recurrence of Isocitrate Dehydrogenase (IDH) wild-type glioblastomas, including 310 patients who underwent re-resection. Re-resection was associated with prolonged survival even when stratifying for molecular and clinical confounders on multivariate analysis; ≤1 cm3 residual CE tumor was associated with longer survival than non-surgical management. Accordingly, "maximal resection" (class 2) had superior survival compared to "submaximal resection" (class 3). Administration of (radio-)chemotherapy in the absence of postoperative deficits augmented the survival associations of smaller residual CE tumors. Conversely, "supramaximal resection" of non-CE tumor (class 1) was not associated with prolonged survival but was frequently accompanied by postoperative deficits. The prognostic role of residual CE tumor was confirmed in propensity score analyses. CONCLUSIONS: The RANO resect classification serves to stratify patients with re-resection of glioblastoma. Complete resection according to RANO resect classes 1 and 2 is prognostic.</p
Surgical Management and Outcome of Newly Diagnosed Glioblastoma Without Contrast Enhancement (Low-Grade Appearance): A Report of the RANO Resect Group
BACKGROUND: Resection of the contrast-enhancing (CE) tumor represents the standard of care in newly diagnosed glioblastoma. However, some tumors ultimately diagnosed as glioblastoma lack contrast enhancement and have a \u27low-grade appearance\u27 on imaging (non-CE glioblastoma). We aimed to (a) volumetrically define the value of non-CE tumor resection in the absence of contrast enhancement, and to (b) delineate outcome differences between glioblastoma patients with and without contrast enhancement.
METHODS: The RANO resect group retrospectively compiled a global, eight-center cohort of patients with newly diagnosed glioblastoma per WHO 2021 classification. The associations between postoperative tumor volumes and outcome were analyzed. Propensity score-matched analyses were constructed to compare glioblastomas with and without contrast enhancement.
RESULTS: Among 1323 newly diagnosed IDH-wildtype glioblastomas, we identified 98 patients (7.4%) without contrast enhancement. In such patients, smaller postoperative tumor volumes were associated with more favorable outcome. There was an exponential increase in risk for death with larger residual non-CE tumor. Accordingly, extensive resection was associated with improved survival compared to lesion biopsy. These findings were retained on a multivariable analysis adjusting for demographic and clinical markers. Compared to CE glioblastoma, patients with non-CE glioblastoma had a more favorable clinical profile and superior outcome as confirmed in propensity score analyses by matching the patients with non-CE glioblastoma to patients with CE glioblastoma using a large set of clinical variables.
CONCLUSIONS: The absence of contrast enhancement characterizes a less aggressive clinical phenotype of IDH-wildtype glioblastomas. Maximal resection of non-CE tumors has prognostic implications and translates into favorable outcome
Surgical management and outcome of newly diagnosed glioblastoma without contrast enhancement ('low grade appearance') - a report of the RANO resect group
BACKGROUND: Resection of the contrast-enhancing (CE) tumor represents the standard of care in newly diagnosed glioblastoma. However, some tumors ultimately diagnosed as glioblastoma lack contrast enhancement and have a 'low grade appearance' on imaging (non-CE glioblastoma). We aimed to (I) volumetrically define the value of non-CE tumor resection in the absence of contrast enhancement, and to (II) delineate outcome differences between glioblastoma patients with and without contrast enhancement.
METHODS: The RANO resect group retrospectively compiled a global, eight-center cohort of patients with newly diagnosed glioblastoma per WHO 2021 classification. The associations between post-operative tumor volumes and outcome were analyzed. Propensity score-matched analyses were constructed to compare glioblastomas with and without contrast enhancement.
RESULTS: Among 1323 newly diagnosed IDH-wildtype glioblastomas, we identified 98 patients (7.4%) without contrast enhancement. In such patients, smaller post-operative tumor volumes were associated with more favourable outcome. There was an exponential increase in risk for death with larger residual non-CE tumor. Accordingly, extensive resection was associated with improved survival compared to lesion biopsy. These findings were retained on a multivariable analysis adjusting for demographic and clinical markers. Compared to CE glioblastoma, patients with non-CE glioblastoma had more favourable clinical profile and superior outcome as confirmed in propensity score analyses by matching the patients with non-CE glioblastoma to patients with CE glioblastoma using a large set of clinical variables.
CONCLUSIONS: The absence of contrast enhancement characterizes a less aggressive clinical phenotype of IDH-wildtype glioblastomas. Maximal resection of non-CE tumors has prognostic implications and translates into favourable outcome
Quantifying eloquent locations for glioblastoma surgery using resection probability maps
OBJECTIVE Decisions in glioblastoma surgery are often guided by presumed eloquence of the tumor location. The authors introduce the "expected residual tumor volume" (eRV) and the "expected resectability index" (eRI) based on previous decisions aggregated in resection probability maps. The diagnostic accuracy of eRV and eRI to predict biopsy decisions, resectability, functional outcome, and survival was determined. METHODS Consecutive patients with first-time glioblastoma surgery in 2012-2013 were included from 12 hospitals. The eRV was calculated from the preoperative MR images of each patient using a resection probability map, and the eRI was derived from the tumor volume. As reference, Sawaya's tumor location eloquence grades (EGs) were classified. Resectability was measured as observed extent of resection (EOR) and residual volume, and functional outcome as change in Karnofsky Performance Scale score. Receiver operating characteristic curves and multivariable logistic regression were applied. RESULTS Of 915 patients, 674 (74%) underwent a resection with a median EOR of 97%, functional improvement in 71 (8%), functional decline in 78 (9%), and median survival of 12.8 months. The eRI and eRV identified biopsies and EORs of at least 80%, 90%, or 98% better than EG. The eRV and eRI predicted observed residual volumes under 10, 5, and 1 ml better than EG. The eRV, eRI, and EG had low diagnostic accuracy for functional outcome changes. Higher eRV and lower eRI were strongly associated with shorter survival, independent of known prognostic factors. CONCLUSIONS The eRV and eRI predict biopsy decisions, resectability, and survival better than eloquence grading and may be useful preoperative indices to support surgical decisions
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