External quality assessment of HIV-1 DNA quantification assays used in the clinical setting in Italy

none18no: Total cell-associated HIV-1 DNA is a surrogate marker of the HIV-1 reservoir, however, certified systems for its quantification are not available. The Italian HIV DNA Network was launched to validate HIV-1 DNA quantification methods in use at University and Hospital labs. A quality control panel including HIV-1 DNA standards, reconstructed blood samples (RBSs) and DNA from different HIV-1 subtypes was blindly tested by 12 participating labs by quantitative real-time PCR (n = 6), droplet digital PCR (n = 3) or both (n = 3). The median 95% hit rate was 4.6 (3.7-5.5) copies per test and linearity in the tested range was excellent (R2 = 1.000 [1.000-1.000]). The median values obtained across labs were 3,370 (2,287-4,245), 445 (299-498), 59 (40-81) and 7 (6-11) HIV-1 DNA copies, for the 3,584, 448, 56 and 7-copy standards, respectively. With RBSs, measured values were within twofold with respect to the median in two thirds of cases. HIV-1 subtypes were missed (CRF01_AE by 3 labs) or underestimated by > 1 log (subtypes A, C, D, F by one lab; CRF01_AE by one lab; CRF02_AG by one lab). The overall performance was excellent with HIV-1 DNA standards, however detection of different HIV-1 subtypes must be improved.openVicenti, Ilaria; Dragoni, Filippo; Giannini, Alessia; Casabianca, Anna; Lombardi, Francesca; Di Sante, Laura; Turriziani, Ombretta; Racca, Sara; Paolucci, Stefania; Lai, Alessia; Bon, Isabella; Abbate, Isabella; Rozera, Gabriella; Belmonti, Simone; Scutari, Rossana; Alteri, Claudia; Saladini, Francesco; Zazzi, MaurizioVicenti, Ilaria; Dragoni, Filippo; Giannini, Alessia; Casabianca, Anna; Lombardi, Francesca; Di Sante, Laura; Turriziani, Ombretta; Racca, Sara; Paolucci, Stefania; Lai, Alessia; Bon, Isabella; Abbate, Isabella; Rozera, Gabriella; Belmonti, Simone; Scutari, Rossana; Alteri, Claudia; Saladini, Francesco; Zazzi, Maurizi

El pez Trachelyopterus striatulus (Siluriformes: Auchenipteridae) como herramienta de muestreo de la entomofauna en un embalse tropical

El objetivo de este trabajo fue hacer un levantamiento entomofaunístico, en un embalse Tropical, utilizando como organismo indicador al pez Trachelyopterus striatulus. Fue analizada la dieta de 383 T. striatulus, muestreados desde abril de 1999 hasta marzo de 2000. La Frecuencia de presencia y el porcentaje de similitud de Schoener fueron aplicados para analizar la dieta. Para identificar variaciones de la entomofauna entre las estaciones del año y las zonas del embalse fueron aplicadas estadísticas univariadas y multivariadas. La dieta estuvo compuesta principalmente por insectos (92.14%) siendo los más frecuentes (%FO): Hymenoptera (57.90%), Odonata (39.76%), Trichoptera (27.41%), Ephemeroptera (26.25%) y Coleoptera (28.96%). Formicidae fue dominante en todas las estaciones del año, en especial en la primavera, mientras, Trichoptera y Ephemeroptera fueron más consumidos en las demás estaciones del año. En la zona alta, predominaron Trichoptera y Ephemeroptera, mientras en las zonas baja e intermedia predominaron Formicidae y Belostomatidae. T. striatulus presenta potencial como muestreador de la entomofauna contribuyendo para el conocimiento de la biología y ecología de los insectos y la ecología trófica de los organismos acuáticos.<br>The fish Trachelyopterus striatulus (Siluriforms: Auchenipteridae) used to sample insects in a tropical reservoir. The study of aquatic environments is sometimes difficult to do with normal sampling methods that use gears. Insectivorous fishes represent good users of these ecosystems and analyzing the aquatic organisms present in fish stomachs, is an alternative way to determine resource abundance and utilization. In this paper, the potential of Trachelyopterus striatulus as an insect sampler was examined through dietary analyses of 383 individuals caught between April 1999 and March 2000 in Lajes Reservoir, a 30 km² oligotrophic impoundment in Southeast Brazil. We estimated frequency of occurrence and Schoener’s index of similarity. Diet changes among seasons and reservoir zones were addressed with DCA and ANOVA analyses. Its diet was 92.1% insects (ten orders and nine families). Hymenoptera (57.90%), Odonata (39.76%), Trichoptera (27.41%), Ephemeroptera (26.25%) and Coleoptera (28.96%) were the most common groups. Highest insect occurrence and richness were recorded in autumn-summer, a period of greater rainfall and insect activity. Formicidae, the dominant prey item in all seasons, appeared to be especially important in spring, a season marked by shortness of food resources. Trichoptera and Ephemeroptera were the most consumed prey items in the other seasons. Highest insect occurrence and richness were recorded in the middle and upper reservoir zones, respectively. Trichoptera and Ephemeroptera prevailed in the upper zone, where small pristine rivers and tributaries are abundant, whereas Formicidae and Belostomatidae predominated in the lower and middle zones. Because of its abundance in many freshwater ecosystems of Brazil, the ubiquity of insects in its digestive tract and the low level of prey degradation, T. striatulus has potential as an insect sampler of Neotropical reservoirs. However, conventional sampling in Lajes Reservoir is necessary to compare the effectiveness of T. striatulus with other insect sampling methods. Rev. Biol. Trop. 57 (4): 1081-1091. Epub 2009 December 01

IL28B rs12979860 genotype as a predictor marker of progression to BKVirus Associated nephropathy, after kidney transplantation

BK virus (BKV) associated nephropathy (BKVAN) is still an important cause of allograft dysfunction after kidney transplantation (KT). Recent data have shown that the new interferon (IFN)-\uce\ubb family has been ascribed antiviral properties similar to IFN\uce\ub1, and that the response to IFN\uce\ubb in kidney is restricted to epithelial cells, suggesting that the IFN\uce\ubb system evolves as specific protection of the epithelia. We aimed to test the hypothesis of correlation between a single nucleotide polymorphism (C/T dimorphism rs12979860) in the genomic region of IL28B and BKVAN, in patients after KT. Fifty kidney-transplanted patients were included as follow: Group 1 (BKV+/BKVAN+): 11 patients with active BKV-replication and biopsy-proven BKVAN; Group 2 (BKV+/BKVAN-): 22 patients with active BKV-replication but without evidence of BKVAN; Group 3 (BKV-/BKVAN-): 17 patients without evidence of BKV-replication (control group). Here we show that the C/C genotype was statistically higher in group 2 than in group 1 and BKVAN was detected significantly more frequently in patients with C/T and T/T genotypes than in patients with C/C genotype. We therefore propose IL28B polymorphism (rs12979860), as a predictor-marker to differentiate between patients with self-limited, even if persistent, BKV-reactivation and patients with a high risk of progression towards BKVAN, and to modulate the clinical management of these patients accordingly

Impact of early tumor shrinkage and depth of response on the outcomes of panitumumab-based maintenance in patients with RAS wild-type metastatic colorectal cancer

In patients with metastatic colorectal cancer (mCRC) receiving highly active first-line combination treatments, early tumor shrinkage (ETS) and depth of response (DoR) are associated with survival, but their influence on outcomes during maintenance therapy is unknown. The Valentino study showed inferior PFS in 229 RAS wild-type mCRC patients randomized to panitumumab plus FOLFOX followed by maintenance with panitumumab vs. panitumumab + 5-FU/LV

Temozolomide Followed by Combination With Low-Dose Ipilimumab and Nivolumab in Patients With Microsatellite-Stable, O6-Methylguanine-DNA Methyltransferase-Silenced Metastatic Colorectal Cancer: The MAYA Trial

N/

External quality assessment of HIV-1 DNA quantification assays used in the clinical setting in Italy

: Total cell-associated HIV-1 DNA is a surrogate marker of the HIV-1 reservoir, however, certified systems for its quantification are not available. The Italian HIV DNA Network was launched to validate HIV-1 DNA quantification methods in use at University and Hospital labs. A quality control panel including HIV-1 DNA standards, reconstructed blood samples (RBSs) and DNA from different HIV-1 subtypes was blindly tested by 12 participating labs by quantitative real-time PCR (n = 6), droplet digital PCR (n = 3) or both (n = 3). The median 95% hit rate was 4.6 (3.7-5.5) copies per test and linearity in the tested range was excellent (R2 = 1.000 [1.000-1.000]). The median values obtained across labs were 3,370 (2,287-4,245), 445 (299-498), 59 (40-81) and 7 (6-11) HIV-1 DNA copies, for the 3,584, 448, 56 and 7-copy standards, respectively. With RBSs, measured values were within twofold with respect to the median in two thirds of cases. HIV-1 subtypes were missed (CRF01_AE by 3 labs) or underestimated by &gt; 1 log (subtypes A, C, D, F by one lab; CRF01_AE by one lab; CRF02_AG by one lab). The overall performance was excellent with HIV-1 DNA standards, however detection of different HIV-1 subtypes must be improved

Cytomegalovirus infection management in solid organ transplant recipients across European centers in the time of molecular diagnostics: An ESGICH survey

Background: Scant information is available about how transplant centers are managing their use of quantitative molecular testing (QNAT) assays for active cytomegalovirus (CMV) infection monitoring in solid organ transplant (SOT) recipients. The current study was aimed at gathering information on current practices in the management of CMV infection across European centers in the era of molecular testing assays. Methods: A questionnaire-based cross-sectional survey study was conducted by the European Study Group of Infections in Immunocompromised Hosts (ESGICH) of the Society of Clinical Microbiology and Infectious Diseases (ESCMID). The invitation and a weekly reminder with a personal link to an Internet service provider (https://es.surveymonkey.com/) was sent to transplant physicians, transplant infectious diseases specialists, and clinical virologists working at 340 European transplant centers. Results: Of the 1181 specialists surveyed, a total of 173 responded (14.8%): 73 transplant physicians, 57 transplant infectious diseases specialists, and 43 virologists from 173 institutions located at 23 different countries. The majority of centers used QNAT assays for active CMV infection monitoring. Most centers preferred commercially available real-time polymerase chain reaction (RT-PCR) assays over laboratory-developed procedures for quantifying CMV DNA load in whole blood or plasma. Use of a wide variety of DNA extraction platforms and RT-PCR assays was reported. All programs used antiviral prophylaxis, preemptive therapy, or both, according to current guidelines. However, the centers used different criteria for starting preemptive antiviral treatment, for monitoring systemic CMV DNA load, and for requesting genotypic assays to detect emerging CMV-resistant variants. Conclusions: Significant variation in CMV infection management in SOT recipients still remains across European centers in the era of molecular testing. International multicenter studies are required to achieve commutability of CMV testing and antiviral management procedures