Immunohistochemical analysis of ZAP-70 expression in chronic lymphocytic leukemia

This paper shows a protocol for the detection of ZAP-70 expression in B-CLL (B cell chronic lymphocytic leukemia) tumor cells by common immunohistochemical methods. The study was conducted on bone marrow trephine biopsies from 62 B-CLL patients at the time of diagnosis. Immunohistochemical reactions based on peroxidase and alkaline phosphatase reactions were used, as well as double immunofluorescent labeling for ZAP-70 detection as an indirect marker of mutated and unmutated CLL. Clinical relevance of the ZAP-70 expression detection method was assessed using χ ² test between ZAP-70 positivity data and other known prognostic factors, i.e., clinical and cytogenetics data. ZAP-70 was detected in 13 out of 62 patients. Statistically significant results were obtained for ZAP-70 positive cases and known indicators of worse prognosis. Immunohistochemical analysis supported by double immunfluorescent labeling, as shown here, is an easy and reliable technique for the detection of ZAP-70 expression in B-CLL tumor cells applicable in every hematopathology laboratory.     

Handheld echocardiography in patients with cardiovascular disease: to use or not to use,that is the question

The physical examination is one of the most important diagnostic tools for physicians. Traditionally, a physical examination consists of inspection (looking), palpation (feeling), percussion (reflection of sound) and auscultation (listening). Handheld echography devices could become the new fifth element of a physical examination. The use of handheld echocardiography has recently increased because the devices have become smaller, easier to handle and more affordable. Handheld echocardiography is used by many specialists involved in acute cardiovascular care. In this narrative review we give a summary of the diagnostic accuracy and limitations of cardiovascular physical examination combined with handheld echocardiography. In patients with cardiovascular disease, adding handheld echocardiography to physical examination increases the sensitivity for detecting valvular heart disease (71% vs 46%) and left ventricular dysfunction with an ejection fraction < 50% (84% vs 43%). Handheld echocardiography might be better for ruling out diseases with a low pre-test probability than in confirming diseases with a high pre-test probability.     

Single Gene Prognostic Biomarkers in Ovarian Cancer: A Meta-Analysis

Purpose

To discover novel prognostic biomarkers in ovarian serous carcinomas.

Methods

A meta-analysis of all single genes probes in the TCGA and HAS ovarian cohorts was performed to identify possible biomarkers using Cox regression as a continuous variable for overall survival. Genes were ranked by p-value using Stouffer’s method and selected for statistical significance with a false discovery rate (FDR) <.05 using the Benjamini-Hochberg method.

Results

Twelve genes with high mRNA expression were prognostic of poor outcome with an FDR <.05 (AXL, APC, RAB11FIP5, C19orf2, CYBRD1, PINK1, LRRN3, AQP1, DES, XRCC4, BCHE, and ASAP3). Twenty genes with low mRNA expression were prognostic of poor outcome with an FDR <.05 (LRIG1, SLC33A1, NUCB2, POLD3, ESR2, GOLPH3, XBP1, PAXIP1, CYB561, POLA2, CDH1, GMNN, SLC37A4, FAM174B, AGR2, SDR39U1, MAGT1, GJB1, SDF2L1, and C9orf82).

Conclusion

A meta-analysis of all single genes identified thirty-two candidate biomarkers for their possible role in ovarian serous carcinoma. These genes can provide insight into the drivers or regulators of ovarian cancer and should be evaluated in future studies. Genes with high expression indicating poor outcome are possible therapeutic targets with known antagonists or inhibitors. Additionally, the genes could be combined into a prognostic multi-gene signature and tested in future ovarian cohorts.     

Monitoring of cross-country skiers by means of an expert model of potential performance

On the basis of expert knowledge, an expert model of potential performance covering the motor, morphological, psychological, and sociological subspace was constructed (MMPS). The scores of variables were obtained by application of the computer program Sport Measurement Management System (SMMS). In the subjects included in measurements, trends of the obtained average scores of variables were established through various competition categories and age periods. The sample of subjects consisted of 48 cross-country skiers in three competition categories. Fluctuations in development in individual age periods are larger in the motor and morphological subspace. In the psychological subspace, an upward trend of average scores can be noticed, while the sociological subspace is not subjected to any essential changes in different age and competition categories. Monitoring of cross-country skiers across all three competition categories showed that in these age categories there are periods which owing to laws of development do not allow uniform progress. Therefore, the principle of individuality must be taken into account especially in planning the transformation process.     

Decrease in circulating DNA, IL-10 and BAFF levels in newly-diagnosed SLE patients after corticosteroid and chloroquine treatment

Arsenal of pattern-recognition receptors alongside antibody production machinery make B cells vulnerable to autoimmune response if an autoantigen elicits both pathways in a self-sustained fashion. Systemic lupus erythematosus is an autoimmune disease characterized by autoantibodies to DNA, RNA and related structures. Murine studies demonstrated autoreactive B cell activation upon TLR9 stimulation with DNA-containing immune complexes. This activation could be abolished with chloroquine, a drug used in SLE treatment that also blocks TLR9 signaling. We investigated whether chloroquine modulates TLR9 expression, circulating DNA levels and B cell-related cytokines in newly discovered, untreated SLE patients. TLR9 was measured in peripheral blood B cells by flow cytometry, serum DNA by real-time PCR, and IL-10 and BAFF by ELISA before treatment, after 3weeks on corticosteroids, and 3months after introduction of chloroquine. We found that circulating DNA is higher in SLE patients than in controls in every time-point and decreases significantly after chloroquine treatment. Untreated patients had higher serum IL-10 than controls or patients on corticosteroids. Also, corticosteroids decreased and chloroquine completely abolished CpG-mediated CD86 upregulation on B cells and IL-10 secretion in PBMC culture. Providing the TLR9 pathway activation demonstrates its importance in pathogenesis of human SLE, this data supports continuation of chloroquine in SLE treatment protocol. In addition, observed modulation of cytokine and DNA levels after immunomodulatory treatment prompts for inclusion of untreated patients in studies of human immune disorders.     

Biology of Doryctobracon brasiliensis at different temperatures: development of life table and determining thermal requirements

Doryctobracon brasiliensis (Szépligeti) is a parasitoid larval–pupal of fruit flies and has great potential to be used in biological control programmes as it feeds on other Anastrepha species in addition to Anastrepha fraterculus (Wiedemann). This study investigated the biology of D. brasiliensis at different temperatures to design a life fertility table and determine thermal requirements. The parasitoids were multiplied in larvae of A. fraterculus in air‐conditioned chambers at 15, 18, 20, 22, 25, 28 and 30°C, 70 ± 20% RH and photophase of 12 h. We determined the number of offspring, sex ratio, longevity of males and females and duration of egg–adult period. The temperature range 18–22°C ensures higher fecundity and at 20°C, and the average number of offspring per female was 152.77 parasitoids. The sex ratio of offspring produced was reduced with increasing temperatures. Longevity of males and females of D. brasiliensis was reduced by increasing temperatures. At 15, 28 and 30°C, there was no development of immature stages. For the temperature range 18–25°C, the duration of egg–adult period of D. brasiliensis was inversely proportional to temperature. At 20 and 22°C, we observed the highest values of net reproduction rate (Ro) and finite reason of increase (λ), meaning that at the estimated optimum temperature (21°C), the population of D. brasiliensis increased 47 times each generation. The lower temperature threshold for development was 10.01°C and the thermal constant (K) 303.21 degree/days. This information confirms that D. brasiliensis is better suited to temperate environments, which implies a significant potential for the use of D. brasiliensis in the control of A. fraterculus, because most areas occupied by this pest are in temperate regions. In addition, D. brasiliensis is useful in mass rearing systems in laboratory.     

Maternal and fetal outcome in elective versus emergency caesarean section in a developing country

As the other major European countries, Croatia has also seen a marked increase in the rate of caesarean sections. The aim of this study was to determine the most common reasons for caesarean section, to compare emergency and elective caesarean section in regard to intraoperative and postoperative complications in both mother and child, and to assess the decision-to-delivery interval (DDI) in our clinic in comparison to current recommendations. Analyzing the results of our research we can say that the new-borns in the group with the elective caesarean section had considerably better Apgar index score in the first minute (p = 0.00056) and in the fifth minute (p = 0.054) than the children born in the group with emergency caesarean section. Children from the group with elective caesarean section had also less frequent asphyxia (p = 0.02315) and considerably less frequent resuscitation (p = 0.0143) than the children from the group with emergency caesarean sections. Only 39.73% of the emergency caesarean sections were performed within the "golden standard" period of 30 minutes. Regarding the data from the literature our results are similar with the ones from developed countries and 30 minute current standard seem to be not achievable.