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Predictive And Prognostic Role Of Biological Markers In Neuroendocrine Neoplasia And Evaluation Of Activity And Safety Of Second Line Treatments In Neuroendocrine Carcinoma Patients
Get PDFBACKGROUND
Neuroendocrine neoplasia (NEN) are divided in well differentiated G1,G2 and G3 neuroendocrine tumors (NETs) and G3 neuroendocrine carcinomas (NECs). For the latter no standard therapy in second-line is available and prognosis is poor.
METHODS
Primary aim was to evaluate new prognostic and predictive biomarkers (WP1-3). In WP4 we explored the activity of FOLFIRI and CAPTEM as second-line in NEC patients in a multicenter non-comparative phase II trial
RESULTS
In WP1-2 we found that 4 of 6 GEP-NEC patients with a negative 68Ga-PET/CT had a loss of expression of RB1. In WP3 on 47 GEP-NENs patients the presence of DLL3 in 76.9% of G3 NEC correlate with RB1-loss (p<0.001), negative 68Ga-PET/CT(p=0.001) and a poor prognosis.
In the WP4 we conducted a multicenter non-comparative phase II trial to explore the activity of FOLFIRI or CAPTEM in terms of DCR, PFS and OS given as second-line in NEC patients. From 06/03/2017 to 18/01/2021 53 out of 112 patients were enrolled in 17 of 23 participating centers. Median follow-up was 10.8 (range 1.4 – 38.6) months. The 3-month DCR was 39.3% in the FOLFIRI and 32.0 % in the CAPTEM arm. The 6-months PFS rate was 34.6% ( 95%CI 17.5-52.5) in FOLFIRI and 9.6% (95%CI 1.8-25.7) in CAPTEM group. In the FOLFIRI subgroup the 6-months and 12-months OS rate were 55.4% (95%CI 32.6-73.3) and 30.3% (CI 11.1-52.2) respectively. In CAPTEM arm the 6-months and 12-months OS rate were 57.2% (95%34.9-74.3) and 29.0% (95%10.0-43.3). The miRNA analysis of 20 patients compared with 20 healthy subjects shows an overexpression of miRNAs involved in staminality , neo-angiogenesis and mitochontrial anaerobic glycolysis activation.
CONCLUSION
WP1-3 support the hypothesis that G3NECs carrying RB1 loss is associated with a DLL3 expression highlighting a potential therapeutic opportunity. Our study unfortunately didn’t met the primary end–point but the results are promisin
The adaptation of traditional european film restoration laboratories to digital techniques
Get PDFLa presente ricerca ha avuto come obbietivo studiare come stia avvenendo l'adattamento dei tradizionali laboratori fotochimici di film alle tecniche digitali attraverso l'analisi delle politiche di preservazione, del restauro, dei costi relativi all’acquisto di nuove apparecchiature e della migrazione ai nuovi media presso il British Film Institute (BFI), lo Svenska Filminstitutet (SFI), l’Eye Filmmuseum, L'Immagine Ritrovata e ANIM - Cinemateca Portuguesa. A questo scopo è stato utilizzato il metodo dello studio di caso, in cui sono state effettuate interviste con gestori e tecnici delle istituzioni citate al fine di rispondere al quesito della presente ricerca: quali sono l’impatto e le implicazioni di questo adattamento? Quali sono i risultati raggiunti con le nuove attrezzature e metodi di restauro e preservazione? Per arrivare a rispondere a queste domande lo studio è stato diviso in due sezioni. Nella prima parte, sono riportate le interviste svolte presso SFI, BFI, Eye e L'Immagine Ritrovata, realizzate al fine di ottenere dati che permettessero di formulare un'intervista più completa e approfondita. Successivamente, questa intervista più dettagliata è stata condotta con una sola istituzione, la Cinemateca Portuguesa. Pertanto, nella seconda parte dello studio di caso, sono state realizzate interviste a tecnici e dirigenti di ANIM - Cinemateca Portuguesa e dei suoi laboratori partner. L'analisi dei risultati comprende tutte le informazioni provenienti dalle cinque istituzioni intervistate. È stato notato che l'adattamento al digitale ha effettivamente apportato miglioramenti nella preservazione e nel recupero del materiale fotochimico, ma ciò ha anche fatto sorgere alcuni dilemmi nei laboratori. C'è apprensione per la scarsità di materiale della filiera fotochimica e per una sua ipotetica fine nel prossimo futuro, poiché non ci sono ancora sufficienti conoscenze sulla filiera digitale e sul comportamento di questi media con il passare del tempo. Gli intervistati hanno altresì dimostrato positività riguardo alle tecnologie digitali.The aim of the present research was to study how the adaptation of traditional photochemical film laboratories to digital techniques is taking place through the analysis of preservation and restoration policies, restoration, costs with the purchase of new equipment and migration to new media at the British Film Institute (BFI), Svenska Filminstitutet (SFI), Eye Filmmuseum, L'Immagine Ritrovata and ANIM - Cinemateca Portuguesa. For this purpose, the case study method was used, in which interviews were carried out with managers and technicians of the institutions mentioned in order to answer the research problem that arises with this question: what is the impact and what are the implications of this adaptation and also what are the results achieved with the new equipment and methods of restoration and preservation? For this, the study was divided into two parts. In the first part, interviews are applied to SFI, BFI, Eye and L'Immagine Ritrovata in order to obtain data that would form a more complete and in-depth interview. Subsequently, this more detailed interview was applied to only one institution, the Cinemateca Portuguesa. Therefore, in the second part of the case study, interviews were carried out with technicians and managers of ANIM - Cinemateca Portuguesa and its partner laboratories. The analysis of the results includes all the information coming from the five interviewed institutions. It was noted that the adaptation did indeed bring improvements in the preservation and recovery of the photochemical material but this also brought some dilemmas to the laboratories. There is concern about the material scarcity of the photochemical workflow and its hypothetical end in the near future, as there is still not enough knowledge about the digital workflow and the behavior of these media in the coming years, however the respondents are positive regarding the digital technologies
Development of advanced analytical methodologies for Alzheimer’s disease drug discovery
Get PDFAdvanced analytical methodologies were developed to characterize new potential active MTDLs on isolated targets involved in the first stages of Alzheimer’s disease (AD). In addition, the methods investigated drug-protein bindings and evaluated protein-protein interactions involved in the neurodegeneration. A high-throughput luminescent assay allowed the study of the first in class GSK-3β/ HDAC dual inhibitors towards the enzyme GSK-3β. The method was able to identify an innovative disease-modifying agent with an activity in the micromolar range both on GSK-3β, HDAC1 and HDAC6. Then, the same assay reliably and quickly selected true positive hit compounds among natural Amaryllidaceae alkaloids tested against GSK-3β.
Hence, given the central role of the amyloid pathway in the multifactorial nature of AD, a multi-methodological approach based on mass spectrometry (MS), circular dichroism spectroscopy (CD) and ThT assay was applied to characterize the potential interaction of CO releasing molecules (CORMs) with Aβ1-42 peptide. The comprehensive method provided reliable information on the different steps of the fibrillation process and regarding CORMs mechanism of action. Therefore, the optimal CORM-3/Aβ1−42 ratio in terms of inhibitory effect was identified by mass spectrometry. CD analysis confirmed the stabilizing effect of CORM-3 on the Aβ1−42 peptide soluble form and the ThT Fluorescent Analysis ensured that the entire fibrillation process was delayed.
Then the amyloid aggregation process was studied in view of a possible correlation with AD lipid brain alterations. Therefore, SH-SY5Y cells were treated with increasing concentration of Aß1-42 at different times and the samples were analysed by a RP-UHPLC system coupled with a high-resolution quadrupole TOF mass spectrometer in comprehensive data-independent SWATH acquisition mode. Each lipid class profiling in SH-SY5Y cells treated with Aß1-42 was compared to the one obtained from the untreated. The approach underlined some peculiar lipid alterations, suitable as biomarkers, that might be correlated to Aß1-42 different aggregation species
Probing the innermost regions of AGN via time-resolved spectral analysis
Get PDFThe dynamics and geometry of the material inflowing and outflowing close to the supermassive black hole in active galactic nuclei are still uncertain. X-rays are the most suitable way to study the AGN innermost regions because of the Fe Kα emission line, a proxy of accretion, and Fe absorption lines produced by outflows. Winds are typically classified as Warm Absorbers (slow and mildly ionized) and Ultra Fast Outflows (fast and highly ionized). Transient Obscurers -optically thick winds that produce strong spectral hardening in X-rays, lasting from days to months- have been observed recently. Emission and absorption features vary on time-scales from hours to years, probing phenomena at different distances from the SMBH.
In this work, we use time-resolved spectral analysis to investigate the accretion and ejection flows, to characterize them individually and search for correlations. We analyzed XMM-Newtomn data of a set of the brightest Seyfert 1 galaxies that went through an obscuration event: NGC 3783, NGC 3227, NGC 5548, and NGC 985. Our aim is to search for emission/absorption lines in short-duration spectra (∼ 10ks), to explore regions as close as the SMBH as the statistics allows for, and possibly catch transient phenomena.
First we run a blind search to detect emission/absorption features, then we analyze their evolution with Residual Maps: we visualize simultaneously positive and negative residuals from the continuum in the time-energy plane, looking for patterns and relative time-scales.
In NGC 3783 we were able to ascribe variations of the Fe Kα emission line to absorptions at the same energy due to clumps in the obscurer, whose presence is detected at >3σ, and to determine the size of the clumps. In NGC 3227 we detected a wind at ∼ 0.2c at ∼ 2σ, briefly appearing during an obscuration event
Landslide activity in contrasting land-cover settings constrained by multi-temporal inventorying
Get PDFThis doctoral thesis focuses on the study of historical shallow landslide activity over time in response to anthropogenic forcing on land use, through the compilation of multi-temporal landslide inventories. The study areas, located in contrasting settings and characterized by different history of land-cover changes, include the Sillaro River basin (Italy) and the Tsitika and Eve River basins (coastal British Columbia). The Sillaro River basin belongs to clay-dominated settings, characterized by extensive badland development, and dominated by earth slides and earthflows. Here, forest removal began in the Roman period and has been followed by agricultural land abandonment and natural revegetation in recent time. By contrast, the Tsitika-Eve River basins are characterized by granitic and basaltic lithologies, and dominated by debris slides, debris flows and debris avalanches. In this setting, anthropogenic impacts started in 1960’s and have involved logging operation.
The thesis begins with an introductory chapter, followed by a methodological section, where a multi-temporal mapping approach is proposed and tested at four landslide sites of the Sillaro River basin. Results, in terms of inventory completeness in time and space, are compared against the existing region-wide Emilia-Romagna inventory. This approach is then applied at the Sillaro River basin scale, where the multi-temporal inventory obtained is used to investigate the landslide activity in relation to historical land cover changes across geologic domains and in relation to hydro-meteorological forcing. Then, the impact of timber harvesting and road construction on landslide activity and sediment transfer in the Tsitika-Eve River basins is investigated, with a focus on the controls that interactions between landscape morphometry and cutblock location may have on landslide size-frequency relations. The thesis ends with a summary of the main findings and discusses advantages and limitations associated with the compilation of multi-temporal inventories in the two settings during different periods of human-driven, land-cover dynamics
Understanding how the genetic status of TP53 influences the response to induced Complex I mitochondrial deficiency as an anti-cancer therapy
Get PDFIl Complesso I (CI) mitocondriale è uno dei target metabolici più promettenti nelle terapie anti-
cancro. In particolare, la metformina è un inibitore noto del CI, capace di inibire la crescita delle cellule tumorali, ma non di eradicare la patologia. Recentemente, l’associazione metformina ed ipoglicemia si è rivelata letale per i tumori, sebbene l’efficacia terapeutica del trattamento sinergico possa essere influenzata dall’accumulo di alterazioni genetiche nei più noti drivers della tumorigenesi. Abbiamo così investigato l’effetto dello stress metabolico indotto dalla restrizione di glucosio in un pannello di linee cellulari tumorali con un severo deficit sul CI e con un diverso stato genetico di TP53. Il deficit del CI associato alla carenza di glucosio inducono un abbattimento dei livelli di espressione della proteina p53 mutata, ma non della controparte wild-type. Il fenomeno biologico osservato non dipende né da un blocco trascrizionale, né dall’innesco di vie di degradazione intracellulare, come proteasoma ed autofagia. La scomparsa di p53 mutata, invece, sembra dipendere da un blocco generale della sintesi proteica, verosimilmente indotto dallo stress energetico e nutrizionale. Nella controparte p53 wild-type, invece, si osserva solo una parziale riduzione della sintesi proteica, suggerendo l’innesco di possibili vie di adattamento per compensare il danno sul CI. La carenza di amminoacidi è una caratteristica dei tumori solidi che potrebbe essere esacerbata in condizioni di deficit generali della catena respiratoria mitocondriale. In particolare, l’inibizione del CI causa auxotrofia da aspartato, metabolita limitante per la proliferazione, condizione che potrebbe generare il blocco della sintesi proteica osservato. L’incremento di espressione dei livelli del trasportatore aspartato/glutatammato mediata da p53 mutata compensa l’auxotrofia da aspartato, identificando un meccanismo di adattamento al deficit del CI. Dunque, i risultati ottenuti sottolineano l’importanza di implementare la terapia anti-complesso I nel cancro, poiché il diverso stato di p53 può alterare l’efficacia del trattamento.Mitochondrial Complex I (CI) is one of the most promising metabolic targets in anti-cancer therapies. Metformin is a known inhibitor of CI inhibiting cancer cell growth, but not of eradicating the disease. Recently, the combination of metformin and hypoglycaemia has been shown to be lethal in tumours, although the therapeutic efficacy of synergistic treatment may be affected by the accumulation of genetic alterations in the known drivers of tumorigenesis. We thus investigated the effect of metabolic stress induced by glucose restriction in a panel of tumour cell lines with a severe CI deficiency and with a different genetic status of TP53. The CI deficiency associated with glucose restriction induced a decrease in the expression levels of the mutated p53 protein, but not of its wild-type counterpart. The biological phenomenon observed depends neither on a transcriptional blockade nor on the triggering of intracellular degradation pathways such as proteasome and autophagy. The decrease of mutated p53 seems to depend on a general blockade of protein synthesis, probably induced by energy and nutritional stress. In the wild type p53 counterpart, on the other hand, only a partial reduction in protein synthesis is observed, suggesting the triggering of possible adaptive pathways to compensate for the damage on the CI. Amino acid deprivation is a feature of solid tumours that could be exacerbated under conditions of mitochondrial respiratory chain deficiency. The CI inhibition causes aspartate auxotrophy, a condition that could generate the observed blockade of protein synthesis. Increased expression of aspartate/glutamate transporter levels mediated by mutated p53 could compensate for aspartate auxotrophy, identifying a possible mechanism of adaptation to CI deficiency. Thus, the results obtained underline the importance of implementing anti-complex I therapy in cancer, as different p53 status may alter treatment efficacy
Ecological responses of Western Palearctic avian species to late Quaternary climate oscillations
Get PDFThis PhD thesis explores the ecological responses of bird species to glacial-interglacial transitions during the late Quaternary in the Western Palearctic, using multiple approaches and at different scales, enhancing the importance of the bird fossil record and quantitative methods to elucidate biotic trends in relation to long-term climate changes.
The taxonomic and taphonomic analyses of the avian fossil assemblages from four Italian Middle and Upper Pleistocene sedimentary successions (Grotta del Cavallo, Grotta di Fumane, Grotta di Castelcivita, and Grotta di Uluzzo C) allowed us to reconstruct local-scale patterns in birds’ response to climate changes. These bird assemblages are characterized by the presence of temperate species and by the occasional presence of cold-dwelling species during glacials, related to range shifts. These local patterns are supported by those identified at the continental scale. In this respect, I mapped the present-day and LGM climatic envelopes of species with different climatic requirements. The results show a substantial stability in the range of temperate species and pronounced changes in the range of cold-dwelling species, supported by their fossil records. Therefore, the responses to climate oscillations are highly related to the thermal niches of investigated species.
I also clarified the dynamics of the presence of boreal and arctic bird species in Mediterranean Europe, due to southern range shifts, during the glacial phases. After a reassessment of the reliability of the existing fossil evidence, I show that this phenomenon is not as common as previously thought, with important implications for the paleoclimatic and paleoenvironmental significance of the targeted species.
I have also been able to explore the potential of multivariate and rarefaction methods in the analyses of avian fossils from Grotta del Cavallo. These approaches helped to delineate the main drivers of taphonomic damages and the dynamics of species diversity in relation to climate-driven paleoenvironmental changes
An efficient Jeans modelling of axisymmetric galaxies with multiple stellar components
Get PDFDynamical models of stellar systems represent a powerful tool to study their internal structure and dynamics, to interpret the observed morphological and kinematical fields, and also to support numerical simulations of their evolution.
We present a method especially designed to build axisymmetric Jeans models of galaxies, assumed as stationary and collisionless stellar systems. The aim is the development of a rigorous and flexible modelling procedure of multicomponent galaxies, composed of different stellar and dark matter distributions, and a central supermassive black hole. The stellar components, in particular, are intended to represent different galaxy structures, such as discs, bulges, halos, and can then have different structural (density profile, flattening, mass, scale-length), dynamical (rotation, velocity dispersion anisotropy), and population (age, metallicity, initial mass function, mass-to-light ratio) properties.
The theoretical framework supporting the modelling procedure is presented, with the introduction of a suitable nomenclature, and its numerical implementation is discussed, with particular reference to the numerical code JASMINE2, developed for this purpose. We propose an approach for efficiently scaling the contributions in mass, luminosity, and rotational support, of the different matter components, allowing for fast and flexible explorations of the model parameter space. We also offer different methods of the computation of the gravitational potentials associated of the density components, especially convenient for their easier numerical tractability.
A few galaxy models are studied, showing internal, and projected, structural and dynamical properties of multicomponent galaxies, with a focus on axisymmetric early-type galaxies with complex kinematical morphologies. The application of galaxy models to the study of initial conditions for hydro-dynamical and -body simulations of galaxy evolution is also addressed, allowing in particular to investigate the large number of interesting combinations of the parameters which determine the structure and dynamics of complex multicomponent stellar systems
Beyond weaponry and socialist internationalism: Soviet engagement with postcolonial state-building in the Arab Middle East, 1954-1966
Get PDFThis research investigates the Soviet Union’s role in guiding state-building processes of postcolonial Arab countries of the Middle East, leading them to adopt economic and political elements of the socialist-Leninist models of development. The widespread narrative depicts the Soviets as having failed to export communism in those states and, therefore, as having failed to bring them closer to Moscow’s sphere of influence and values. However, various Soviet archives suggest a different reality. As the Cold War burst forth, between the mid-1950s and mid-1960s, contacts between Soviet and Arab officials were not just incredibly frequent but they went to the core of all main issues of socio-economic development of these transforming countries: party politics, institution building, agrarian reforms, industrialisation, security sector reforms, etc. The research focuses on a period that may be labelled as ‘the launching phase’ of the Soviet Middle East policy, which established a long-lasting framework for the Soviet-Arab dialogue. It also places significant attention on the ‘personal dimension’ of such a dialogue, showing how Moscow’s influence went hand in hand with the ability of Soviet leaders and diplomats to establish relations of personal trust with postcolonial Arab élites. A selected number of Arab countries are examined: Egypt, Iraq and Syria. For each of these countries, a limited period of time will be taken into consideration, when Soviet influence reached its peak and state-building policies might have drawn from the Soviet model (for Egypt 1954-1958; for Iraq 1958-1963; for Syria 1961-1966). On the one hand, the analysis of specific case-studies will allow to investigate the relationship between Moscow and each of these new Arab regimes; on the other, such a large geographical scope will permit to grasp the elements and the objectives of the broader Soviet policy towards the Middle East region
Feminist environmental humanities: intertwining theory and speculative fiction
Get PDFThis dissertation explores the entanglement between the visionary capacity of feminist theory to shape sustainable futures and the active contribution of feminist speculative fiction to the conceptual debate about the climate crisis. Over the last few years, increasing critical attention has been paid to ecofeminist perspectives on climate change, that see as a core cause of the climate crisis the patriarchal domination of nature, considered to go hand in hand with the oppression of women. What remains to be thoroughly scrutinised is the linkage between ecofeminist theories and other ethical stances capable of countering colonising epistemologies of mastery and dominion over nature. This dissertation intervenes in the debate about the master narrative of the Anthropocene, and about the one-dimensional perspective that often characterises its literary representations, from a feminist perspective that also aims at decolonising the imagination; it looks at literary texts that consider patriarchal domination of nature in its intersections with other injustices that play out within the Anthropocene, with a particular focus on race, colonialism, and capitalism. After an overview of the linkages between gender and climate change and between feminism and environmental humanities, it introduces the genre of climate fiction examining its main tropes. In an attempt to find alternatives to the mainstream narrative of the Anthropocene (namely to its gender-neutrality, colour-blindness, and anthropocentrism), it focuses on contemporary works of speculative fiction by four Anglophone women authors that particularly address the inequitable impacts of climate change experienced not only by women, but also by sexualised, racialised, and naturalised Others. These texts were chosen because of their specific engagement with the relationship between climate change, global capitalism, and a flat trust in techno-fixes on the one hand, and structural inequalities generated by patriarchy, racism, and intersecting systems of oppression on the other