Morphogenetic and Imaging Characteristics in Giant Cell Glioblastoma

Giant cell glioblastoma is a rare tumor entity of IDH-wildtype glioblastoma. It is usually found in the pediatric population. We describe a particular case of a female patient diagnosed histopathologically with giant cell glioblastoma, who had two recurrences in different lobes of the same cerebral hemisphere, despite positive prognostic factors and appropriate treatment. We performed an immunohistochemical characterization of giant cell glioblastoma as well as an analysis of its aggressiveness using the cytogenetic markers TP53, CDKN2A, and TP73 using the FISH technique. The clinical picture was inconsistant, the suspicion being completely different initially. Paraclinical examination and imaging initially suggested a metastasis to the insular lobe. After surgery, histopathological and immunohistochemical examinations were the basis for the diagnosis. Despite the prognostic factors known so far in the literature, the aggressiveness denoted by multiple relapses and morphogenetic tests particularizes the case and improves the literature by bringing new information about this rare neoplasm of the central nervous system

species traits and sites

Dataset contains species with site characteristics and individual species traits

Prognostic Factors of Low-Grade Gliomas in Adults

Adult low-grade gliomas are a rare and aggressive pathology of the central nervous system. Some of their characteristics contribute to the patient’s life expectancy and to their management. This study aimed to characterize and identify the main prognostic factors of low-grade gliomas. The six-year retrospective study statistically analyzed the demographic, imaging, and morphogenetic characteristics of the patient group through appropriate parameters. Immunohistochemical tests were performed: IDH1, Ki-67, p53, and Nestin, as well as FISH tests on the CDKN2A gene and 1p/19q codeletion. The pathology was prevalent in females, with patients having an average age of 56.31 years. The average tumor volume was 41.61 cm3, producing a midline shift with an average of 7.5 mm. Its displacement had a negative impact on survival. The presence of a residual tumor resulted in decreased survival and is an independent risk factor for mortality. Positivity for p53 identified a low survival rate. CDKN2A mutations were an independent risk factor for mortality. We identified that a negative prognosis is influenced by the association of epilepsy with headache, tumor volume, and immunoreactivity to IDH1 and p53. Independent factors associated with mortality were midline shift, presence of tumor residue, and CDKN2A gene deletions and amplifications

Data from: Determinants of litter decomposition rates in a tropical forest: functional traits, phylogeny and ecological succession

Plant litter decomposition is one of the most important processes in terrestrial ecosystems, as it is a key factor in nutrient cycling. Decomposition rates depend on environmental factors, but also plant traits, as these determine the character of detritus. We measured litter decomposition rate for 57 common tree species displaying a variety of functional traits within four sites in primary and four sites in secondary tropical forest in Madang Province, Papua New Guinea. The phylogenetic relationships between these trees were also estimated using molecular data. The leaves collected from different tree species were dried for two days, placed into detritus bags and exposed to ambient conditions for two months. Nitrogen, carbon and ash content were assessed as quantitative traits and used together with a phylogenetic variance-covariance matrix as predictors of decomposition rate. The analysis of the tree species composition from 96 quadrats located along a successional gradient of swidden agriculture enabled us to determine successional preferences for individual species. Nitrogen content was the only functional trait measured to be significantly positively correlated with decomposition rate. Controlling for plant phylogeny did not influence our conclusions, but including phylogeny demonstrated that the mainly early successional family Euphorbiaceae is characterized by a particularly high decomposition rate. The acquisitive traits (high nitrogen content and low wood density) correlated with rapid decomposition were characteristic for early successional species. Decomposition rate thus decreased from early successional to primary forest species. However, the decomposition of leaves from the same species was significantly faster in primary than in secondary forest stands, very probably because the high humidity of primary forest environments keeps the decomposing material wetter

Data from: Determinants of litter decomposition rates in a tropical forest: functional traits, phylogeny and ecological succession

Plant litter decomposition is one of the most important processes in terrestrial ecosystems, as it is a key factor in nutrient cycling. Decomposition rates depend on environmental factors, but also plant traits, as these determine the character of detritus. We measured litter decomposition rate for 57 common tree species displaying a variety of functional traits within four sites in primary and four sites in secondary tropical forest in Madang Province, Papua New Guinea. The phylogenetic relationships between these trees were also estimated using molecular data. The leaves collected from different tree species were dried for two days, placed into detritus bags and exposed to ambient conditions for two months. Nitrogen, carbon and ash content were assessed as quantitative traits and used together with a phylogenetic variance-covariance matrix as predictors of decomposition rate. The analysis of the tree species composition from 96 quadrats located along a successional gradient of swidden agriculture enabled us to determine successional preferences for individual species. Nitrogen content was the only functional trait measured to be significantly positively correlated with decomposition rate. Controlling for plant phylogeny did not influence our conclusions, but including phylogeny demonstrated that the mainly early successional family Euphorbiaceae is characterized by a particularly high decomposition rate. The acquisitive traits (high nitrogen content and low wood density) correlated with rapid decomposition were characteristic for early successional species. Decomposition rate thus decreased from early successional to primary forest species. However, the decomposition of leaves from the same species was significantly faster in primary than in secondary forest stands, very probably because the high humidity of primary forest environments keeps the decomposing material wetter

Aggressiveness of Grade 4 Gliomas of Adults

Grade 4 adult gliomas are IDH-mutant astrocytomas and IDH-wildtype glioblastomas. They have a very high mortality rate, with survival at 5 years not exceeding 5%. We aimed to conduct a clinical imaging and morphogenetic characterization of them, as well as to identify the main negative prognostic factors that give them such aggressiveness. We conducted a ten-year retrospective study. We followed the clinical, imaging, and morphogenetic aspects of the cases. We analyzed immunohistochemical markers (IDH1, Ki-67, and nestin) and FISH tests based on the CDKN2A gene. The obtained results were analyzed using SPSS Statistics with the appropriate parameters. The clinical aspects representing negative prognostic factors were represented by patients’ comorbidities: hypertension (HR = 1.776) and diabetes mellitus/hyperglycemia (HR = 2.159). The lesions were mostly supratentorial, and the temporal lobe was the most affected. The mean volume was 88.05 cm3 and produced a midline shift with an average of 8.52 mm. Subtotal surgical resection was a negative prognostic factor (HR = 1.877). The proliferative index did not influence survival rate, whereas CDKN2A gene mutations were shown to have a major impact on survival. We identified the main negative prognostic factors that support the aggressiveness of grade 4 gliomas: patient comorbidities, type of surgical resection, degree of cell differentiation, and CDKN2A gene mutations

phylogeny

Phylogeny tre file

HPV and HIV Coinfection in Women from a Southeast Region of Romania—PICOPIV Study

Background and Objectives: Romania faces one of the highest cervical cancer burdens in Europe though it is a preventable cancer through population screening by cytology and human papillomavirus (HPV) detection. Also, it has one of the highest incidences of human immunodeficiency virus (HIV) infection. HPV and HIV coinfection are frequently encountered. The aim of study was to establish the prevalence of HPV infection among HIV-positive women in Southeast Region of Romania, to genotype high risk HPV types -and to correlate the results with clinical data and cytological cervical lesions. Materials and Methods: 40 HIV-positive women were screened for HPV types and for cytological cervical lesions. The findings were evaluated in correlation with CD4 cell counts, HIV viral load, age at first sexual intercourse, number of sexual partners, vaginal candidiasis, and Gardnerella using statistical methods. Results: 19/40 (47.5%) women were positive for HPV types, 63.15% infected with single HPV type and 36.85% with multiple HPV types. The most frequent types were type: 31 (42.1%), 56 (31.57%), 53 (15.78%). On cytology, 34 (85%) women were found with NILM of which 38.23% were HPV-positive. Fifteen percent of women had abnormal cytology (three ASC-US, three LSIL), and all of them were HPV-positive. Through analyzing the value of CD4 count, women with CD4 count ≤ 200 cells/μL were found to be significantly more likely to be infected with HPV; meanwhile there was no correlation between the detection of HPV types and HIV viral load. Candida or Gardnerella were more often associated with HIV-positive women with HPV, than in women without HPV. Conclusions: Infection with HPV types is common among HIV-positive women in the Southeast Region of Romania and it is associated with age at the beginning of sexual life, number of sexual partners, CD4 value, vaginal candidiasis, and Gardnerella infection