30 research outputs found
EGFR and K-Ras mutations in women with lung adenocarcinoma: implications for treatment strategy definition.
BackgroundWe aimed at investigating the outcomes of female patients with stage IIIB-IV adenocarcinoma of the lung according to EGFR and K-Ras mutational status.MethodsOne hundred and three consecutive female patients genotyped at a single Italian Institution were analyzed. Patients were planned to receive first-line platinum-based chemotherapy (CT) and a salvage treatment with anti-EGFR tyrosine-kinase inhibitors (TKIs) was proposed irrespective of tumor mutational status. EGFR (exons 18¿21) and K-Ras (exon 2, codons 12¿13) mutations were evaluated by real-time PCR and pyrosequencing. The association of mutational status with clinical variables and treatment benefit was investigated by chi-square test and log-rank test.ResultsEGFR and K-Ras mutations were found in 31 (30%) and 13 (15%) cases, respectively. Sixty-six patients received platinum CT: no correlation was observed between EGFR or K-Ras mutational status and response rate (RR) (p¿>¿0.05). However, patients treated with first-line CT harboring EGFR activating mutations experienced a significantly reduced progression-free survival (PFS) in comparison with wild-type ones (4.4 vs. 6.4 months, respectively; HR 0.597, 95%CI 0.287-0.975; p¿=¿0.048). Thirty-nine patients received salvage treatment with erlotinib: EGFR activating mutations were significantly correlated with RR (60% vs. 12.5%; p¿=¿0.004) and PFS (11.4 vs. 4.5 months; HR 0.491, 95%CI 0.216-0.936; p¿=¿0.044). Responses to erlotinib were not reported among women with K-Ras mutant tumors, while 50% of those with wild-type K-Ras achieved an objective remission (p¿=¿0.296). Median PFS (3.5 vs. 8.8 months; HR 0.284, 95%CI 0.015-0.510; p¿=¿0.010) and OS (3.9 vs. 19.8 months; HR 0.158, 95%CI 0.001-0.075; p¿<¿0.001) were significantly shorter among K-Ras mutant patients treated with TKI.ConclusionsIn our population of Caucasian women with advanced lung adenocarcinoma we observed that the presence of EGFR activating mutations correlates with a significant reduction in the benefit from first-line platinum-based CT, emphasizing the importance of an upfront use of anti-EGFR TKIs in this patient subset. K-Ras mutations seem to correlate with a detrimental effect from anti-EGFR TKI, but this finding deserves further investigation
Results from the first use of low radioactivity argon in a dark matter search
Liquid argon is a bright scintillator with potent particle identification properties, making it an attractive target for direct-detection dark matter searches. The DarkSide-50 dark matter search here reports the first WIMP search results obtained using a target of low-radioactivity argon. DarkSide-50 is a dark matter detector, using a two-phase liquid argon time projection chamber, located at the Laboratori Nazionali del Gran Sasso. The underground argon is shown to contain Ar39 at a level reduced by a factor (1.4±0.2)×103 relative to atmospheric argon. We report a background-free null result from (2616±43) kg d of data, accumulated over 70.9 live days. When combined with our previous search using an atmospheric argon, the 90% C.L. upper limit on the WIMP-nucleon spin-independent cross section, based on zero events found in the WIMP search regions, is 2.0×10-44 cm2 (8.6×10-44 cm2, 8.0×10-43 cm2) for a WIMP mass of 100 GeV/c2 (1 TeV/c2, 10 TeV/c2)
Characterization of SABRE crystal NaI-33 with direct underground counting
Ultra-pure NaI(Tl) crystals are the key element for a model-independent verification of the long standing DAMA result and a powerful means to search for the annual modulation signature of dark matter interactions. The SABRE collaboration has been developing cutting-edge techniques for the reduction of intrinsic backgrounds over several years. In this paper we report the first characterization of a 3.4 kg crystal, named NaI-33, performed in an underground passive shielding setup at LNGS. NaI-33 has a record low K contamination of 4.3 ± 0.2 ppb as determined by mass spectrometry. We measured a light yield of 11.1 ± 0.2 photoelectrons/keV and an energy resolution of 13.2% (FWHM/E) at 59.5 keV. We evaluated the activities of Ra and Th inside the crystal to be 5.9\pm 0.6~\upmu Bq/kg and 1.6\pm 0.3~\upmu Bq/kg, respectively, which would indicate a contamination from U and Th at part-per-trillion level. We measured an activity of 0.51 ± 0.02 mBq/kg due to Pb out of equilibrium and a quenching factor of 0.63 ± 0.01 at 5304 keV. We illustrate the analyses techniques developed to reject electronic noise in the lower part of the energy spectrum. A cut-based strategy and a multivariate approach indicated a rate, attributed to the intrinsic radioactivity of the crystal, of 1 count/day/kg/keV in the [5–20] keV region
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DarkSide-50 532-day Dark Matter Search with Low-Radioactivity Argon
International audienceThe DarkSide-50 direct-detection dark matter experiment is a dual-phase argon time projection chamber operating at Laboratori Nazionali del Gran Sasso. This paper reports on the blind analysis of a (16 660±270) kg d exposure using a target of low-radioactivity argon extracted from underground sources. We find no events in the dark matter selection box and set a 90% C.L. upper limit on the dark matter–nucleon spin-independent cross section of 1.14×10-44 cm2 (3.78×10-44 cm2, 3.43×10-43 cm2) for a WIMP mass of 100 GeV/c2 (1 TeV/c2, 10 TeV/c2)
Extreme Energy Events Project: Construction of the detectors and installation in Italian High Schools
The EEE Project, conceived by its leader Antonino Zichichi, aims to detect Extreme Energy Events of cosmic rays with an array of muon telescopes distributed over the Italian territory. The Project involves Italian High Schools in order to introduce young people to Physics, also countervailing the recent crisis of university scientific classes inscriptions. The detectors for the EEE telescopes are Multigap Resistive Plate Chambers (MRPC) and have been constructed by teams of High School students who went in shift at the CERN laboratories. The mechanics and the electronics were developed by groups of researchers from CERN, the Italian Centro Fermi and INFN. The first group of schools of the EEE Project has inaugurated their telescopes recently. A status report of the Project and the preliminary results are presented
Low-Mass Dark Matter Search with the DarkSide-50 Experiment
International audienceWe present the results of a search for dark matter weakly interacting massive particles (WIMPs) in the mass range below 20 GeV/c2 using a target of low-radioactivity argon with a 6786.0 kg d exposure. The data were obtained using the DarkSide-50 apparatus at Laboratori Nazionali del Gran Sasso. The analysis is based on the ionization signal, for which the DarkSide-50 time projection chamber is fully efficient at 0.1 keVee. The observed rate in the detector at 0.5 keVee is about 1.5 event/keVee/kg/d and is almost entirely accounted for by known background sources. We obtain a 90% C.L. exclusion limit above 1.8 GeV/c2 for the spin-independent cross section of dark matter WIMPs on nucleons, extending the exclusion region for dark matter below previous limits in the range 1.8–6 GeV/c2
Time correlation measurements from extensive air showers detected by the EEE telescopes
Time correlated events due to cosmic muons from extensive air showers have been detected by means of telescope pairs of the EEE (Extreme Energy Events) Project array. The coincidence rate, properly normalized for detector acceptance, efficiency and altitude location, has been extracted as a function of the relative distance between the telescopes. The results have been also compared with additional measurements carried out by small scintillator detectors at various distances
Constraints on Sub-GeV Dark-Matter–Electron Scattering from the DarkSide-50 Experiment
International audienceWe present new constraints on sub-GeV dark-matter particles scattering off electrons based on 6780.0 kg d of data collected with the DarkSide-50 dual-phase argon time projection chamber. This analysis uses electroluminescence signals due to ionized electrons extracted from the liquid argon target. The detector has a very high trigger probability for these signals, allowing for an analysis threshold of three extracted electrons, or approximately 0.05 keVee. We calculate the expected recoil spectra for dark matter-electron scattering in argon and, under the assumption of momentum-independent scattering, improve upon existing limits from XENON10 for dark-matter particles with masses between 30 and 100 MeV/c2
