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Abstract Given the limited data on the real‐life therapeutic use of feline McDonough sarcoma (FMS)‐like tyrosine kinase 3 (FLT3) inhibitors in Italy, we surveyed investigators at 59 Italian hematology centers to gain insight into the proportion of acute myeloid leukemia (AML) patients receiving FLT3 inhibitors and we collected data on the efficacy and safety of these agents. The survey results showed that in the real‐life setting the response rate of the 3/7 + midostaurin regimen in newly diagnosed FLT3‐mutated AML and of gilteritinib in the relapsed/refractory AML were comparable to that reported in the registrative clinical trials. The 3/7 + midostaurin treatment resulted in a 63% of complete remission (CR) rates and gilteritinib in a 44% of CR rates. The discontinuation rate of gilteritinib for intolerance or toxicity was low (accounting for 4% of treated cases).

Agnese Banti, Tilia Hauser e Diana Lola Posani: a partire dall'analisi delle performance di queste tre artiste italiane emerse di recente nel panorama nazionale, questo paper si propone innanzitutto di analizzare le modalità attraverso le quali determinate linee di indagine afferenti al campo degli studi sulla voce, dell'ecologia dell'ascolto e della dimensione relazionale e spaziale del suono incontrino la dimensione performativa, così come le conseguenze che questo incontro produce da un punto di vista di creazione di estetiche e di modalità di fruizione e ibridazione di linguaggi. Scopo del paper non è quello di arrivare a tracciare linee di ricerca comuni, ma, nel rispetto delle diversità stilistiche ed estetiche dei singoli percorsi, cercare di comprendere quali forme, modalità narrative, relazionali ed estetiche queste linee di ricerca stiano producendo, in primis attraverso un lavoro di analisi e descrizione delle singole opere ma anche attivando un dialogo con le artiste sulle rispettive metodologie di lavoro, e in particolare sulla questione del ruolo drammaturgico e artistico svolto dalla figura dell' ascolto all'interno delle loro pratiche.

Colorectal cancer (CRC) is a major public health concern and identifying prognostic molecular biomarkers can help stratify patients based on risk profiles, thus enabling personalized medicine. Epitranscriptomic modifications play a relevant role in controlling gene expression, N6-methyladenosine (m6A) regulators play crucial roles in cancer progression, but their clinical significance in CRC cancer has thus far not been elucidated. Thus, we aimed to examine by immunohistochemical techniques and RT-qPCR, protein levels and RNAs expression of m6A writers (METTL3, WTAP) and eraser (FTO) in a cohort of 10 patients affected by CRC. The patients were followed for 5 years and values of METTL3, WTAP and FTO RNAs in alive vs dead patients were compared. Proteins expression and RNAs expression had a different trend, METTL3, WTAP and FTO proteins’ expression showed an increasing trend from non-cancerous adjacent (N) tissue vs carcinoma (CA) tissue G1 stage, and then a decreasing trend from G1 to G2 and G3 stages. The most marked increase was observed in WTAP that, from a 40% of protein expression positivity in N tissue raised to the 81% of positivity in G1 stage K tissue. RNAs expression of METTL3, WTAP and FTO genes in N tissue vs G1 stage CA tissue was significantly different, the analysis and comparison of RNAs values in patient alive after 5 years (0.58±0.04) vs patients dead after 5 years (1.69±0.29) showed that only WTAP values resulted significantly high in dead patients. The fact that WTAP protein expression levels lower while WTAP RNA expression remains high, lets us hypothesize a sort of inhibition of protein expression, but further studies are needed to clarify the mechanism. Although the results suggest a relationship between biological meaning and prognostic utility of WTAP, this prognostic utility must be confirmed by further studies on a larger sample.

Increasing construction land demands and population growth within urban agglomerations have led to increasingly prominent landscape ecological risk (LER) issues. However, the multi-scale nature and spatial non-stationarity characteristics of the driving patterns have not been fully investigated. In this study, taking the Xiamen-Zhangzhou-Quanzhou Urban Agglomeration (XZQUA) as a case, we analyzed the spatio-temporal evolution characteristics of LER utilizing the long time series land use data from 1980 to 2020; then, the Exploratory Regression Analysis (ERA) was employed to investigate the optimal combination of key influential elements affecting LER. Finally, the Multiscale Geographically Weighted regression (MGWR) model was applied to explore the spatial non-stationarity effects of the key driving elements. The results reveal that: (1) The LER of the XZQUA has shown a declining trend from 1980 to 2020, characterized with significantly and increasingly spatial autocorrelation as well. (2) The optimal variable combination is the temperature, distance from roads, elevation, and construction land area. (3) The MGWR model results reveal that the impact of various factors on LER demonstrates significant spatial non-stationarity. The mechanisms and intensity of these influences change depending on geographical location. The negative proportion of regression coefficients for construction land area (−0.203 to −0.002) and elevation (−0.046 to −0.001) all exceeded 80%, indicating a high negative effect on LER; The positive proportion of the regression coefficient for distance from roads (−0.026 to 0.042) exceeded 60%, indicating a predominantly positive effect on LER. Our findings provide guidance for regional policymakers to adopt targeted ecological risk intervention measures, thus reducing LER in the urban agglomeration.

Numerous ecological issues will arise from the expansion of tourism-related infrastructure and activities, potentially having a major effect on the ecosystem. However, its impact on landscape ecological risk (LER) is still poorly understood. Taking the Min River Basin as an example, an improved LER evaluation method was adopted in this study, which uses landscape disturbance based on landscape pattern and incorporates ecosystem services (ESs) represent landscape vulnerability. On this basis, the impacts of tourism-related infrastructure and activities on ecology environment were comprehensively considered, and buffer zone analysis, scenario analysis, response index (RI), and the bivariate Moran’s I approaches were applied to identify the spatio-temporal evolution characteristics of LER under tourism interference. The results show that: (1) The Min River Basin’s LER from 2000 to 2020 demonstrates a trend of gradually decreased, primarily in the middle and low risk areas. Most of the areas where scenic spots and roads are located are high risk areas, suggesting that tourism disturbances negatively affect LER. (2) There is a spatial gradient effect associated with the influence of tourism infrastructure on LER, and the impact degree varies throughout different tourism infrastructure. (3) The difference of scenic spots causes diverse degrees of LER. Through comparison, it is found that the LER of high-grade and cultural scenic spots is larger than that of low-grade and natural scenic spots. The quantitative results of the RI show that the values inside the influence zones of scenic spots and roads are 5 times and 9 times more than the values outside, respectively. This suggests that tourism infrastructure increases LER. (4)There is a spatial correlation between LER and tourism activities intensity. In order to offer a scientific reference for balancing local tourism development and ecological environmental conservation, this study develops a more thorough and rigorous research framework of the impact of tourism on LER.

Abstract Artificial Intelligence has the potential to reshape the landscape of clinical trials through innovative applications, with a notable advancement being the emergence of synthetic patient generation. This process involves simulating cohorts of virtual patients that can either replace or supplement real individuals within trial settings. By leveraging synthetic patients, it becomes possible to eliminate the need for obtaining patient consent and creating control groups that mimic patients in active treatment arms. This method not only streamlines trial processes, reducing time and costs but also fortifies the protection of sensitive participant data. Furthermore, integrating synthetic patients amplifies trial efficiency by expanding the sample size. These straightforward and cost‐effective methods also enable the development of personalized subject‐specific models, enabling predictions of patient responses to interventions. Synthetic data holds great promise for generating real‐world evidence in clinical trials while upholding rigorous confidentiality standards throughout the process. Therefore, this study aims to demonstrate the applicability and performance of these methods in the context of onco‐hematological research, breaking through the theoretical and practical barriers associated with the implementation of artificial intelligence in medical trials.

Abstract Phosphodiesterase 2A (Pde2A) is a dual-specific PDE that breaks down both cAMP and cGMP cyclic nucleotides. We recently highlighted a direct relationship between Pde2A impairment, a consequent increase of cAMP, and the appearance of mouse congenital heart defects (CHDs). Here we aimed to characterize the pathways involved in the development of CHDs and in their prevention by pharmacological approaches targeting cAMP and cGMP signaling. Transcriptome analysis revealed a modulation of more than 500 genes affecting biological processes involved in the immune system, cardiomyocyte development and contractility, angiogenesis, transcription, and oxidative stress in hearts from Pde2A −/− embryos. Metoprolol and H89 pharmacological administration prevented heart dilatation and hypertabeculation in Pde2A −/− embryos. Metoprolol was also able to partially impede heart septum defect and oxidative stress at tissue and molecular levels. Amelioration of cardiac defects was also observed by using the antioxidant NAC, indicating oxidative stress as one of the molecular mechanisms underpinning the CHDs. In addition, Sildenafil treatment recovered cardiac defects suggesting the requirement of cAMP/cGMP nucleotides balance for the correct heart development.

Abstract Understanding the mechanisms of breast cancer cell communication underlying cell spreading and metastasis formation is fundamental for developing new therapies. ID4 is a proto-oncogene overexpressed in the basal-like subtype of triple-negative breast cancer (TNBC), where it promotes angiogenesis, cancer stem cells, and BRACA1 misfunction. Here, we show that ID4 expression in BC cells correlates with the activation of motility pathways and promotes the production of VEGFA, which stimulates the interaction of VEGFR2 and integrin β3 in a paracrine fashion. This interaction induces the downstream focal adhesion pathway favoring migration, invasion, and stress fiber formation. Furthermore, ID4/ VEGFA/ VEGFR2/ integrin β3 signaling stimulates the nuclear translocation and activation of the Hippo pathway member’s YAP and TAZ, two critical executors for cancer initiation and progression. Our study provides new insights into the oncogenic roles of ID4 in tumor cell migration and YAP/TAZ pathway activation, suggesting VEGFA/ VEGFR2/ integrin β3 axis as a potential target for BC treatment.

Background: Spontaneous ventilation, essential for human life, is addressed by the nursing diagnosis “Ineffective Spontaneous Ventilation” which requires strong scientific support. Aim: This revision study aimed to elevate this nursing diagnosis to a higher level of evidence by clarifying its definition, clinical indicators, and differentiation from other diagnoses. The diagnosis is crucial for identifying patients with compromised breathing who may require respiratory support. Methods: Researchers searched the PubMed medical literature database for studies (2006-2021) on the "Ineffective Spontaneous Ventilation" diagnosis. Results: The search identified 45 studies, but after applying pre-defined criteria, only 10 articles were included in the final analysis. These articles mainly focused on the accuracy of defining characteristics for the diagnosis. Despite limitations of individual defining characteristics, Impaired Spontaneous Ventilation remains a valuable nursing diagnosis for patients with respiratory issues. Utilizing clusters of these characteristics and considering the specific context can significantly enhance the accuracy of ISV diagnosis. Conclusion: The findings unequivocally corroborate the definition of Impaired Spontaneous Ventilation, with eight out of ten articles providing validation. Moreover, the analysis proposes additional defining characteristics, namely dyspnea and cyanosis, to further refine the diagnosis. The clinical applicability of Impaired Spontaneous Ventilation extends to a wide range of patient populations and conditions. It serves as a critical marker for premature infants grappling with respiratory and cardiac challenges, trauma victims battling life-threatening injuries, and patients relying on mechanical ventilation in intensive care settings.

The Bagno dell'Acqua lake is characterized by CO2 emissions, alkaline waters (pH = 9) and Eh values which indicate strongly oxidizing conditions. A typical feature of the lake is the presence of actively growing microbialites rich in calcium carbonates and silica precipitates. Mineralogy, petrography and morphology analyses of the microbialites were coupled with the analysis of the microbial community, combining molecular and cultivation approaches. The DNA sequencing revealed distinct patterns of microbial diversity, showing pronounced differences between emerged and submerged microbialite, with the upper layer of emerged samples exhibiting the most distinctive composition, both in terms of prokaryotes and eukaryotes. In particular, the most representative phyla in the microbial community were Proteobacteria, Actinobacteriota, and Bacteroidota, while Cyanobacteria were present only with an average of 5%, with the highest concentration in the submerged intermediate layer (12%). The role of microorganisms in carbonate mineral formation was clearly demonstrated as most of the isolates were able to precipitate calcium carbonate and five of them were characterized at molecular level. Interestingly, when microbial isolates were cultivated only in filtered water, the precipitation of hazenite was observed (up to 85%), opening new prospective in P (phosphate) recovery from P depleted environments.

Natural products are thoroughly studied as valuable alternatives to synthetic insecticides. Heracleum persicum Desf. ex Fisch. (Apiaceae), commonly known as Golpar, is an Iranian medicinal plant largely employed as a spice, which has previously revealed insecticidal potential. The chemical composition of H. persicum essential oil (EO) was investigated by GC-MS and was mainly dominated by hexyl butyrate (36.1%) and octyl acetate (23.7%). The EO and its main esters were tested on three mosquito species. Aedes aegypti (L.) larvae were the most sensitive to all tested products. Lethal concentrations (LC50) of 59.09, 53.59, and 47.05 ppm were recorded for the EO, hexyl butyrate, and octyl acetate, respectively. Aedes albopictus (Skuse) and Anopheles gambiae Giles demonstrated comparable sensitivity to the EO, with LC50 values of 102.97 and 97.91 ppm, respectively, whereas the isolated constituents appeared more active on An. gambiae (LC50 of hexyl butyrate and octyl acetate of 70.97 and 60.71 ppm, respectively) with respect to Ae. albopictus (LC50 of hexyl butyrate and octyl acetate of 85.40 and 91.38 ppm, respectively). Low toxicity was registered for both EO and single components against human embryonic kidney (HEK293) cells. Overall, the H. persicum EO, hexyl butyrate, and octyl acetate could be further considered for larvicide development.

Abstract Background Central retinal artery occlusion (CRAO) is an ophthalmic emergency, and its etiology is generally ascribed to vessel occlusion by a thrombus or embolus, eventually due to a hypercoagulable state. CRAO occurrence is described even in the pediatric population, but its incidence is very rare. SARS-CoV-2 infection has a multitude of presentations, and almost any organ may be involved including the ocular district. Cases of CRAO in patients affected by COVID-19 are reported in the literature in the adult population, but not in the pediatric one. Case presentation We describe the case of a six-year-old otherwise healthy girl, who presented a sudden and complete bilateral vision loss after a one-day fever. All the clinical, ophthalmological, laboratory and instrumental investigations led to the diagnosis of a right CRAO and the suspicion of a contralateral posterior optic nerve affection. These manifestations could not be ascribed to any etiological condition apart from the documented ongoing mild SARS-CoV-2 infection. Treatment with anticoagulants and steroids was tried but the visual outcome was poor during the one-month hospitalization and at the last follow-up. Conclusions To the best of our knowledge, this is the first report of CRAO in the course of SARS-CoV-2 infection in the pediatric age. In our review of the literature, we found few cases of CRAO in adults with COVID-19; we highlighted differences in anamnestic, clinical, and interventional aspects and therefore we tried to summarize the state of the art on this topic to facilitate further studies. Even if rare, the prognosis of CRAO is poor and the thrombolytic treatment could be effective only if rapidly administered, so the disease suspicion should be high in a patient with sudden vision loss, also in pediatric age.

Abstract Background Acute myeloid leukemia (AML) patients bearing the ITD mutation in the tyrosine kinase receptor FLT3 (FLT3-ITD) present a poor prognosis and a high risk of relapse. FLT3-ITD is retained in the endoplasmic reticulum (ER) and generates intrinsic proteotoxic stress. We devised a strategy based on proteotoxic stress, generated by the combination of low doses of the differentiating agent retinoic acid (R), the proteasome inhibitor bortezomib (B), and the oxidative stress inducer arsenic trioxide (A). Methods We treated FLT3-ITD+ AML cells with low doses of the aforementioned drugs, used alone or in combinations and we investigated the induction of ER and oxidative stress. We then performed the same experiments in an in vitro co-culture system of FLT3-ITD+ AML cells and bone marrow stromal cells (BMSCs) to assess the protective role of the niche on AML blasts. Eventually, we tested the combination of drugs in an orthotopic murine model of human AML. Results The combination RBA exerts strong cytotoxic activity on FLT3-ITD+ AML cell lines and primary blasts isolated from patients, due to ER homeostasis imbalance and generation of oxidative stress. AML cells become completely resistant to the combination RBA when treated in co-culture with BMSCs. Nonetheless, we could overcome such protective effects by using high doses of ascorbic acid (Vitamin C) as an adjuvant. Importantly, the combination RBA plus ascorbic acid significantly prolongs the life span of a murine model of human FLT3-ITD+ AML without toxic effects. Furthermore, we show for the first time that the cross-talk between AML and BMSCs upon treatment involves disruption of the actin cytoskeleton and the actin cap, increased thickness of the nuclei, and relocalization of the transcriptional co-regulator YAP in the cytosol of the BMSCs. Conclusions Our findings strengthen our previous work indicating induction of proteotoxic stress as a possible strategy in FLT3-ITD+ AML therapy and open to the possibility of identifying new therapeutic targets in the crosstalk between AML and BMSCs, involving mechanotransduction and YAP signaling.