Accuracy of serum luteinizing hormone and serum testosterone measurements to assess the efficacy of medical castration in prostate cancer patients

Background

Luteinizing hormone-releasing hormone (LH-RH) agonists are the standard for androgen deprivation therapy (ADT) in prostate cancer (PCa) patients. Current guidelines recommend serum testosterone measurement to assess the efficacy of ADT and to define castration resistance. However, serum testosterone does not reflect the exclusive effect of castration due to its extratesticular production. The aim of this study is to analyze if serum LH reflects better than serum testosterone the activity of LH-RH agonists.

Methods

Serum LH and serum testosterone were measured with chemiluminescent immunoassay (CLIA) in a cohort study of 1091 participants: 488 PCa patients “on LH-RH agonists”, 303 “off LH-RH agonist” in whom LH-RH agonists were withdrawn, and 350 men with PCa suspicion “no LH-RH agonist” who never received LH-RH agonists. In a validation cohort of 147 PCa patients, 124 on “LH-RH agonists” and 19 “off LH-RH agonists”, serum testosterone was also measured with liquid chromatography and tandem mass spectrometry (LC MSMS).

Results

The area under the curve (AUC) to distinguish patients “on versus off LH-RH agonists” was 0.997 for serum LH and 0.740 for serum testosterone, P < 0.001. The 97.5 percentile of serum LH in patients “on LH-RH agonists” was 0.97 U/L, been the most efficient threshold 1.1 U/L. The AUCs for serum LH, testosterone measured with CLIA and with LC MSMS, in the validation cohort, were respectively 1.000, 0.646 and 0.814, P < 0.001. The efficacy to distinguish patients “on versus off LH-RH agonists” was 98.6%, 78.3%, and 89.5% respectively, using 1.1 U/L as threshold for serum LH and 50 ng/dL for serum testosterone regardless the method.

Conclusions

Serum LH is more accurate than serum testosterone regardless the method, to distinguish patients “on versus off LH-RH agonists”. The castrate level of serum LH is 1.1 U/l. These findings suggest that assessment of LH-RH agonist efficacy and castration resistance definition should be reviewed.

     

UniEuk: Time to Speak a Common Language in Protistology!

Universal taxonomic frameworks have been critical tools to structure the fields of botany, zoology, mycology, and bacteriology as well as their large research communities. Animals, plants, and fungi have relatively solid, stable morpho‐taxonomies built over the last three centuries, while bacteria have been classified for the last three decades under a coherent molecular taxonomic framework. By contrast, no such common language exists for microbial eukaryotes, even though environmental ‘‐omics’ surveys suggest that protists make up most of the organismal and genetic complexity of our planet's ecosystems! With the current deluge of eukaryotic meta‐omics data, we urgently need to build up a universal eukaryotic taxonomy bridging the protist ‐omics age to the fragile, centuries‐old body of classical knowledge that has effectively linked protist taxa to morphological, physiological, and ecological information. UniEuk is an open, inclusive, community‐based and expert‐driven international initiative to build a flexible, adaptive universal taxonomic framework for eukaryotes. It unites three complementary modules, EukRef, EukBank, and EukMap, which use phylogenetic markers, environmental metabarcoding surveys, and expert knowledge to inform the taxonomic framework. The UniEuk taxonomy is directly implemented in the European Nucleotide Archive at EMBL‐EBI, ensuring its broad use and long‐term preservation as a reference taxonomy for eukaryotes.     

Fire frequency effects on soil and pollinators: what shapes sexual plant reproduction?

Increased fire frequency can significantly erode both soil properties and plant–pollinator interactions affecting plant reproductive success but they have seldom been assessed simultaneously. Here, we evaluate soil properties, pollinator assemblage and the reproductive success of two native Fabaceae herbs, Desmodium uncinatum and Rhynchosia edulis, growing in unburned, low and high fire frequency sites of Chaco Serrano across two consecutive years. Desmodium uncinatum is outcrossing with a high dependence on pollinators, whereas R. edulis is autogamous and completely independent of pollinators. We found that soil water content, nitrates and electrical conductivity significantly decreased in low and high fire frequency sites. Pollinator richness and composition visiting each plant species was similar across all fire frequency scenarios. However, fruit set of the exogamous D. uncinatum was strongly reduced in frequently burned sites, whereas fruit set of the autogamous R. edulis showed no significant changes. In both species, the probability of setting fruits was positively related to soil quality across fire frequency scenarios, implying that decreased reproduction was mainly driven by limitation of abiotic resources shaped by increased fire frequency. Because the pollinator-dependent D. uncinatum has a higher reproductive cost, reduced soil quality induced by fire frequency had stronger effects on its reproduction. Chronic reduction of sexual reproduction in frequently burned sites with depleted soils will limit population recruitment with negative consequences on long-term plant population persistence.     

A large-scale chromosome-specific SNP discovery guideline

Functional & Integrative Genomics - Single-nucleotide polymorphisms (SNPs) are the most prevalent type of variation in genomes that are increasingly being used as molecular markers in diversity...     

Two new species of <Emphasis Type="Italic">Miconia</Emphasis> (Melastomataceae,Miconieae) from the Brazilian northern border and adjacent French Guiana

Two new species of Miconia from northern Amazonia area described. Miconia amapaënsis has been collected in the Brazilian state of Amapá and in nearby locations in northern Pará and southern French Guiana. It has remarkable seeds, with both the appendix and seed coat covered with long papillae. Miconia forzzae has been collected on the Brazilian side of the Neblina Massif, in the Brazilian state of Amazonas, close to the border with Venezuela. It has 4-merous flowers, with a terete hypanthium, yellow stamens, the ovary apex with unbranched trichomes, and a punctiform stigma. This species may be endangered, considering its narrow distribution, and the fact that it was collected between 2000 and 2100 m elevation in an isolated mountain range with no neighboring mountains with similar height, but we assess its conservation status as “data deficient”, due to a lack of knowledge on the situation of the populations and the number of individuals.     

Stability-related studies on 17D yellow fever vaccine

Yellow fever (YF) vaccine using the 17D strain of YF attenuated virus has been produced at the Institut Pasteur in Dakar since 1962. Until now, the stabilised YF had an expiry date of utilization of two years from the end of the lot control process under storage at +4 degrees C. We conducted a stability study to assess the three full year validity of this preparation, when correctly stored at +4 degrees C to optimise the conditions of production, storage and availability of such a vaccine. The activity of 19 consecutive batches of vaccines kept for three years at +4 degrees C was compared to that of the same batches that were kept three years at -20 degrees C. Using the in vitro microculture method, we found that three-year storage at +4 degrees C induced a higher loss of activity than storage at -20 degrees C or than the accelerated degradation test of vaccines kept for 14 days at 37 degrees C. Whatever the conditions of storage, in all cases decreases in activity were below the WHO's requirements, i.e., < 1 log PFU/dose, and residual activity of the selected batches was over 1000 mouse LD50 per dose. We demonstrated that the 17D YF vaccine produced in Dakar has a shelf-life of three years and that its required potency was maintained at +4 degrees C, after reconstitution with saline diluent, following three-year storage at +4 degrees C.     

How Do Thermophilic Proteins and Proteomes Withstand High Temperature?

We attempt to understand the origin of enhanced stability in thermophilic proteins by analyzing thermodynamic data for 116 proteins, the largest data set achieved to date. We compute changes in entropy and enthalpy at the convergence temperature where different driving forces are maximally decoupled, in contrast to the majority of previous studies that were performed at the melting temperature. We find, on average, that the gain in enthalpy upon folding is lower in thermophiles than in mesophiles, whereas the loss in entropy upon folding is higher in mesophiles than in thermophiles. This implies that entropic stabilization may be responsible for the high melting temperature, and hints at residual structure or compactness of the denatured state in thermophiles. We find a similar trend by analyzing a homologous set of proteins classified based only on the optimum growth temperature of the organisms from which they were extracted. We find that the folding free energy at the temperature of maximal stability is significantly more favorable in thermophiles than in mesophiles, whereas the maximal stability temperature itself is similar between these two classes. Furthermore, we extend the thermodynamic analysis to model the entire proteome. The results explain the high optimal growth temperature in thermophilic organisms and are in excellent quantitative agreement with full thermal growth rate data obtained in a dozen thermophilic and mesophilic organisms.     

Substituent dependent dimensionalities in cobalt isophthalate supramolecular complexes and coordination polymers containing dipyridylamine ligands

Hydrothermal synthesis has afforded cobalt 5-substituted isophthalate complexes with 4,4′-dipyridylamine (dpa) ligands, showing different dimensionalities depending on the steric bulk and hydrogen-bonding facility of the substituent. [Co(tBuip)(dpa)(H₂O)]_n (1, tBuip = 5-tert-butylisophthalate) is a (4,4) grid two-dimensional coordination polymer featuring 2-fold parallel interpenetration. [Co(MeOip)₂(Hdpa)₂] (2, MeOip = 5-methoxyisophthalate) is organized into 3-fold parallel interpenetrated (4,4) grids through strong N-H⁺?O⁻ hydrogen bonding. {([Co(OHip)(dpa)(H₂O)₃])₃·2H₂O}_n (3, OHip = 5-hydroxyisophthalate) possesses 1-D chain motifs. The 5-methyl derivative {[Co(mip)(dpa)]·3H₂O}_n (4, mip = 5-methylisophthalate) has a 3-D 6⁵8 cds topology. {[Co(H₂O)₄(Hdpa)₂](nip)₂·2H₂O} (5, nip = 5-nitroisophthalate) and {[Co(sip)(Hdpa)(H₂O)₄]·2H₂O} (6, sip = 5-sulfoisophthalate) are coordination complexes. Antiferromagnetic superexchange is observed in 1 and 4, with concomitant zero-field splitting. Thermal decomposition behavior of the higher dimensionality complexes is also discussed.