Stereotactic radiotherapy for oligometastases in the lymph nodes

Even though systemic therapy is standard treatment for lymph node metastases, metastasis-directed stereotactic radiotherapy (SRT ) seems to be a valid option in oligometastatic patients with a low disease burden.Positron emission tomography-computed tomography (PET-CT ) is the gold standard for assessing metastases to the lymph nodes; co-registration of PET-CT images and planning CT images are the basis for gross tumor volume (GTV ) delineation. Appropriate techniques are needed to overcome target motion. SRT schedules depend on the irradiation site, target volume and dose constraints to the organs at risk (OARs) of toxicity. Although several fractionation schemes were reported, total doses of 48–60 Gy in 4–8 fractions were proposed for mediastinal lymph node SRT, with the spinal cord, esophagus, heart and proximal bronchial tree being the dose limiting OAR s. Total doses ranged from 30 to 45 Gy, with daily fractions of 7–12 Gy for abdominal lymph nodes, with dose limiting OARs being the liver, kidneys, bowel and bladder. SRT on lymph node metastases is safe; late side effects, particularly severe, are rare.     

Effects of the exogenous Nef protein on HIV‐1 target cells

Nef is a multifunctional gene of HIV which can increase virus replication either directly or by modulating the target cell's metabolism. Nevertheless the role of the exogenous Nef protein is not yet well understood. To investigate it, we studied the effects of the recombinant Nef protein on the expression of some antigens of lymphoid T‐cells permissive to HIV‐1 replication, and on their proliferation and on apoptosis induction. For this purpose, we utilised MT‐4 and H9 T‐cell lines. We evaluated FN (fibronectin), CD4 and CD71 expression in uninfected and acutely or chronically infected cells, both untreated and treated with Nef. Our studies showed a significant up‐regulation of FN especially in uninfected cells, with a dose of 2·5 μg ml⁻¹; in contrast, a significant down‐modulation of CD4 and CD71 both in uninfected and in acutely or chronically infected cells, was detected. The proliferation of H9 uninfected cells was significantly reduced 24 h after treatment with Nef protein in a dose‐dependent manner (ranging from 0·02 to 2·5 μg ml⁻¹); likewise a significant inhibition of proliferation of acutely and chronically infected cells was evident with 2·5 μg ml⁻¹. Moreover, we demonstrated a dose‐dependent activity of Nef on inducing apoptosis in H9 uninfected cells and no effects of this protein on modulation of INF α and γ production in peripheral blood mononucleated cells of health donors. Nef appeared to be able to increase the effect of apoptotic stimuli. In conclusion, our data suggest that in our experimental system, the exogenous Nef protein can inhibit cellular synthesis facilitating the metabolic pathway involved in virus replication. In addition it modulates the susceptibility to the HIV‐1 infection and finally, that apoptosis induction or enhancement can facilitate the release of neoformed virions. Copyright © 1999 John Wiley & Sons, Ltd.     

Cell Wall Chemical Composition of Enterococcus faecalis in the Viable but Nonculturable State

The viable but nonculturable (VBNC) state is a survival mechanism adopted by many bacteria (including those of medical interest) when exposed to adverse environmental conditions. In this state bacteria lose the ability to grow in bacteriological media but maintain viability and pathogenicity and sometimes are able to revert to regular division upon restoration of normal growth conditions. The aim of this work was to analyze the biochemical composition of the cell wall of Enterococcus faecalis in the VBNC state in comparison with exponentially growing and stationary cells. VBNC enterococcal cells appeared as slightly elongated and were endowed with a wall more resistant to mechanical disruption than dividing cells. Analysis of the peptidoglycan chemical composition showed an increase in total cross-linking, which rose from 39% in growing cells to 48% in VBNC cells. This increase was detected in oligomers of a higher order than dimers, such as trimers (24% increase), tetramers (37% increase), pentamers (65% increase), and higher oligomers (95% increase). Changes were also observed in penicillin binding proteins (PBPs), the enzymes involved in the terminal stages of peptidoglycan assembly, with PBPs 5 and 1 being prevalent, and in autolytic enzymes, with a threefold increase in the activity of latent muramidase-1 in E. faecalis in the VBNC state. Accessory wall polymers such as teichoic acid and lipoteichoic acid proved unchanged and doubled in quantity, respectively, in VBNC cells in comparison to dividing cells. It is suggested that all these changes in the cell wall of VBNC enterococci are specific to this particular physiological state. This may provide indirect confirmation of the viability of these cells.     

Abundance,Population Structure and Production of Scrobicularia plana and Abra tenuis (Bivalvia: Scrobicularidae) in a Mediterranean Brackish Lagoon,Lake Ichkeul,Tunisia

Abundance, growth and production of the deposit‐feeding bivalves were studied in the Ichkeul wetland, northern Tunisia, from July 1993 – April 1994. Scrobicularia plana (Da Costa , 1778) occurred at annual mean densities (biomasses) of 299 ± 65 to 400 ± 100 individuals/m² (22.54 ± 3.00 to 34.27 ± 3.96 g ash‐free dry mass (AFDM)/m²) depending on the study area. The annual mean density of Abra tenuis (Montagu , 1803) amounted to 640 ± 74 individuals/m² during the whole study period, in contrast the biomass rose from 2.87 g AFDM/m² in July to 10.29 g AFDM/m² in April. Both species were largely dominated by age class I. Although not very successful, recruitment presented a two‐period pattern: the main period at the beginning of spring, and a secondary one in late summer/autumn. S. plana rarely exceeded 40 mm and lived for only 2 years, while most individuals of A. tenuis lived for only 15–18 months growing to a length of 12 mm. The annual bivalve deposit‐feeder production for the whole lagoon system (90 km²) was 8.24 g AFDM/m² (5.26 g C/m², 0.65 g N/m²). The annual P/ ratio was about 0.4 and therefore in the same order of magnitude as estimates from other brackish coastal waters. (© 2005 WILEY‐VCH Verlag GmbH & Co. KGaA, Weinheim)     

Cisplatin resistance can be curtailed by blunting Bnip3-mediated mitochondrial autophagy

Cisplatin (CDDP) is commonly used to treat a multitude of tumors including sarcomas, ovarian and cervical cancers. Despite recent investigations allowed to improve chemotherapy effectiveness, the molecular mechanisms underlying the development of CDDP resistance remain a major goal in cancer research. Here, we show that mitochondrial morphology and autophagy are altered in different CDDP resistant cancer cell lines. In CDDP resistant osteosarcoma and ovarian carcinoma, mitochondria are fragmented and closely juxtaposed to the endoplasmic reticulum; rates of mitophagy are also increased. Specifically, levels of the mitophagy receptor BNIP3 are higher both in resistant cells and in ovarian cancer patient samples resistant to platinum-based treatments. Genetic BNIP3 silencing or pharmacological inhibition of autophagosome formation re-sensitizes these cells to CDDP. Our study identifies inhibition of BNIP3-driven mitophagy as a potential therapeutic strategy to counteract CDDP resistance in ovarian carcinoma and osteosarcoma.Subject terms: Cancer therapeutic resistance, Mitophagy     

Basis set validation for polyatomic cation-water interactions

A study of the effects of counterpoise (CP) corrections in polyatomic cation-water interactions is added to the systematic analysis performed in the past of the basis set superposition error (BSSE) in neutral and anionic adducts. The interaction with water of the ammonium cation and its methyl and -CHO derivatives is considered due to the need to model accurately this functional group, which is common in biological molecules. The basis sets employed are the STO-3G and MINI-1 minimal basis sets and the 3-21G, 4-31G and 6-31G** extended ones. In addition, the 6-311++G (2d,p) and 6-311++G (3d, 2p) basis sets have been used for the smallest system, at the SCF and MP2 levels, both without and with CP correction. These basis sets give an equilibrium distance slightly larger and an interaction energy less favourable than the 6-31G** basis set at the corresponding level, while the inclusion of correlation corrections produces a stronger H-bond at a shorter distance. The results confirm the previous hint of a lower incidence of BSSEs in medium size cationic systems, at a different extent for the various basis sets. While the STO-3G basis set is sharply affected by BSSEs in both the equilibrium distance and the interaction energy, the MINI-1 basis set shows a small BSSE, though its trend is not completely satisfactory because the charge transfer component has an anomalous behaviour with respect to our reference basis set. The 4-31G basis set is the only one able to hold comparison with the 6-31G**, even though the interaction energy produced is slightly overestimated. The 3-21G basis set, when corrected, almost parallels the 4-31G one in this set of compounds. The reliability of the CPED correction is checked and discussed.     

Influence of growth medium on mineral composition and leaf histology in micropropagated plantlets of Olea europaea

The effects of the medium on the nutritional status and leaf histology of micropropagated shoots have been investigated in two different cultivars of Olea europaea L. The results showed that different media, as well as intraspecific variations between cultivars, strongly influences the mineral composition of the shoots. Furthermore the level of tissue differentiation in vitro was dependent on the medium and appeared to be related to the capacity of plantlets to survive the acclimatation phase. This revised version was published online in June 2006 with corrections to the Cover Date.     

Human Lymphoblastoid CD4+ T Cells Become Permissive to Macrophage-Tropic Strains of Human Immunodeficiency Virus Type 1 after Passage into Severe Combined Immunodeficient Mice through In Vivo Upregulation of CCR5: In Vivo Dynamics of CD4+ T-Cell Differentiation in Pathogenesis of AIDS

In this article, we show that passage in SCID mice rendered a human CD4⁺ T-cell line (CEM cells) highly susceptible to infection by macrophage-tropic (M-tropic) strains and primary clinical isolates of human immunodeficiency virus type 1 (HIV-1). This in vivo-acquired permissiveness of CEM cells was associated with the induction of a CD45RO⁺ phenotype as well as of some β-chemokine receptors. Regulated upon activation, normal T-cell expressed and secreted chemokine entirely inhibited the ability of M-tropic HIV-1 strains to infect these cells. These findings may lead to new approaches in investigating in vivo the capacity of different HIV strains to exploit chemokine receptors in relation to the dynamics of the activation and/or differentiation state of human CD4⁺ T cells.     

Peptidoglycan synthesis by Enterococcus faecalis penicillin binding protein 5

Low-affinity penicillin binding proteins (PBPs) are a particular class of proteins involved in β-lactam antibiotic resistance of enterococci. The activity of these PBPs is just sufficient to allow the cells to survive in the presence of high concentrations of β-lactams that cause saturation (and inhibition) of the other PBPs. For this reason, the low-affinity PBPs are thought to be multifunctional enzymes capable of catalyzing the entire peptidoglycan synthesis. To test the validity of this claim, we analyzed the muropeptide composition by reversed-phase high-performance liquid chromatography of the peptidoglycan synthesized by PBP5 (the low-affinity PBP) of Enterococcus faecalis, in comparison with the peptidoglycan produced normally by the concerted action of the usual PBPs (namely PBPs 1, 2, and 3). Cross-linked peptidoglycan was produced. The main difference consisted in the lack of oligomers higher than trimers, thus suggesting that this oligomer cannot be used as an acceptor/donor by the transpeptidase component of PBP5. The lack of higher oligomers had little impact on total cross-linking because of the increase observed in the dimer family. This increase was distributed among the various members of the dimer family with the result that minor dimer components figured among the prevalent ones in cells in which peptidoglycan was synthesized by PBP5. This also suggests that E. faecalis PBP5 is capable of catalyzing the synthesis of a peptidoglycan that is less precise and refined than usual, and for this reason PBP5 can be considered an enzyme endowed with poor specificity for substrates, as may be expected on the basis of its survival function. Received: 18 March 1998 / Accepted: 26 May 1998