91 results on '"Mattar D"'
Search Results
2. Contralateral Axillary Lymph Node Metastases from Breast Carcinoma: Is it Time to Review TNM Cancer Staging?
- Author
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Magnoni, Francesca, Colleoni, M., Mattar, D., Corso, G., Bagnardi, V., Frassoni, S., Santomauro, G., Jereczek-Fossa, B. A., Veronesi, P., Galimberti, V., Sacchini, V., and Intra, M.
- Published
- 2020
- Full Text
- View/download PDF
3. Economic implications of ACOSOG Z0011 trial application into clinical practice at the European Institute of Oncology
- Author
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Mattar, D, Di Filippo, A, Invento, A, Radice, D, Burcuta, M, Bagnardi, V, Magnoni, F, Santomauro, G, Corso, G, Mazzarol, G, Viale, G, Sacchini, V, Galimberti, V, Veronesi, P, Intra, M, Mattar D., Di Filippo A., Invento A., Radice D., Burcuta M., Bagnardi V., Magnoni F., Santomauro G., Corso G., Mazzarol G., Viale G., Sacchini V., Galimberti V., Veronesi P., Intra M., Mattar, D, Di Filippo, A, Invento, A, Radice, D, Burcuta, M, Bagnardi, V, Magnoni, F, Santomauro, G, Corso, G, Mazzarol, G, Viale, G, Sacchini, V, Galimberti, V, Veronesi, P, Intra, M, Mattar D., Di Filippo A., Invento A., Radice D., Burcuta M., Bagnardi V., Magnoni F., Santomauro G., Corso G., Mazzarol G., Viale G., Sacchini V., Galimberti V., Veronesi P., and Intra M.
- Abstract
Background and objectives: The American College of Surgeons Oncology Group (ACOSOG) Z0011 trial demonstrated that in clinically node-negative women undergoing breast-conserving therapy (BCT) and found to have metastases to 1 or 2 sentinel nodes, sentinel lymph node biopsy (SLNB) alone resulted in rates of local control, disease-free survival, and overall survival equivalent to those seen after axillary lymph node dissection (ALND), but with significantly lower morbidity. Application of the Z0011 guidelines resulted in fewer ALNDs without affecting locoregional recurrence or survival. Changes in practice inevitably affect health care costs. The current study investigated the actual impact of applying the Z0011 guidelines to eligible patients and determined the costs of care at a single institution. Patients and methods: We compared axillary nodal management and cost data in breast cancer patients who met the Z0011 criteria and were treated with BCT and SLNB. Patients were allocated into two mutually exclusive cohorts based on the date of surgery: pre-Z0011 (June 2013 to December 2015) and post-Z0011 (June 2016 to December 2018). Results: Of 3912 patients, 433 (23%) and 357 (17.6%) patients in the pre- and post-Z0011 era had positive lymph nodes. ALND decreased from 15.3% to 1.57% in the post-Z0011 era. The mean overall cost of SLNB in the pre-Z0011 cohort was €1312 per patient, while that for SLNB with completion ALND was €2613. Intraoperative frozen section (FS) use decreased from 100% to 12%. Omitting the FS decreased mean costs from €247 to €176. The mean total cost in the pre-Z0011 cohort was €1807 per patient, while in the post-Z0011 cohort it was €1498. The application of Z0011 resulted in an overall mean cost savings of €309 for each patient. Conclusions: Application of the Z0011 criteria to patients undergoing BCT at our institution results in more than half a million Euro cost savings.
- Published
- 2021
4. Contralateral Axillary Lymph Node Metastases from Breast Carcinoma: Is it Time to Review TNM Cancer Staging?
- Author
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Magnoni, F, Colleoni, M, Mattar, D, Corso, G, Bagnardi, V, Frassoni, S, Santomauro, G, Jereczek-Fossa, B, Veronesi, P, Galimberti, V, Sacchini, V, Intra, M, Magnoni F., Colleoni M., Mattar D., Corso G., Bagnardi V., Frassoni S., Santomauro G., Jereczek-Fossa B. A., Veronesi P., Galimberti V., Sacchini V., Intra M., Magnoni, F, Colleoni, M, Mattar, D, Corso, G, Bagnardi, V, Frassoni, S, Santomauro, G, Jereczek-Fossa, B, Veronesi, P, Galimberti, V, Sacchini, V, Intra, M, Magnoni F., Colleoni M., Mattar D., Corso G., Bagnardi V., Frassoni S., Santomauro G., Jereczek-Fossa B. A., Veronesi P., Galimberti V., Sacchini V., and Intra M.
- Abstract
Background: Contralateral axillary lymph node metastasis (CAM) is an infrequent clinical condition currently considered an M1, stage IV, disease. Due to the absence of shared data on CAM significance and on its therapeutic approach, be it curative or simply palliative, its management is still uncertain and undoubtedly represents a clinical challenge. Patients and Methods: Patients with pathologically confirmed metachronous CAM were retrospectively evaluated. All patients had been managed at the European Institute of Oncology, Milan, Italy, from 1997. Patients with distant metastases at the time of CAM were excluded. Possible treatments included surgery, systemic therapy and RT (radiotherapy). Outcomes were evaluated as rates of disease-free survival (DFS) and of overall survival (OS). Results: Forty-seven patients with CAM were included in the study. Metachronous CAM occurred 73 months (range 5–500 months) after diagnosis of the primary tumor. The median follow-up time was 5.4 years (interquartile range 2.9–7.0 years). The estimated OS was 72% at 5 years (95% CI 54–83), and 61% at 8 years (95% CI 43–75). The estimated DFS was 61% at 5 years (95% CI 44–74), and 42% at 8 years (95% CI 25–59). Conclusion: These findings, together with those from previous studies, show that CAM outcome, particularly if measured as OS, appear better than at other sites of distant dissemination, when CAM is subjected to surgical and systemic treatments with a curative intent. Therefore, a new clinical scenario is suggested where, in the TNM system, CAM is no longer classified as a stage IV, but as an N3 disease.
- Published
- 2020
5. Second Axillary Sentinel Lymph Node Biopsy for Breast Tumor Recurrence: Experience of the European Institute of Oncology
- Author
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Intra, M., Viale, G., Vila, J., Grana, C. M., Toesca, A., Gentilini, O., Galimberti, V., Veronesi, P., Luini, A., Rotmensz, N., Bagnardi, V., Mattar, D., and Colleoni, M.
- Published
- 2015
- Full Text
- View/download PDF
6. Hairy root induction of Papaver somniferum var. album, a difficult-to-transform plant, by A. rhizogenes LBA 9402
- Author
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Le Flem-Bonhomme, V., Laurain-Mattar, D., and Fliniaux, M. A.
- Published
- 2004
7. 1942P Non-metastatic malignant phyllodes tumors of the breast (B-MPT): A retrospective analysis from a referral center
- Author
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Valenza, C., De Pas, T.M., Castellano, G., Santoro, C., Corona, A., Chiappini, G., Vivanet, G., Trapani, D., Conforti, F., Coppola, S., Mattar, D., Veronesi, P., Pennacchioli, E., and Curigliano, G.
- Published
- 2023
- Full Text
- View/download PDF
8. Effects of ethylene on somatic embryogenesis and galanthamine content in Leucojum aestivum L. cultures
- Author
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Ptak, A., Tahchy, A. El., Wyżgolik, G., Henry, M., and Laurain-Mattar, D.
- Published
- 2010
- Full Text
- View/download PDF
9. Hairy root and tissue cultures of Leucojum aestivum L.—relationships to galanthamine content
- Author
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Diop, M. F., Hehn, A., Ptak, A., Chrétien, F., Doerper, S., Gontier, E., Bourgaud, F., Henry, M., Chapleur, Y., and Laurain-Mattar, D.
- Published
- 2007
- Full Text
- View/download PDF
10. Modulatory effects of TGF-β1 and BMP6 on thecal angiogenesis and steroidogenesis in the bovine ovary
- Author
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Mattar, D, primary, Samir, M, additional, Laird, M, additional, and Knight, P G, additional
- Published
- 2020
- Full Text
- View/download PDF
11. Thinking about Waste: A Case Study on the Perceptions and Practices of Food Waste in The Hague
- Author
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Thrivikraman, J.K., Vicherat-Mattar, D., Cho, M., and Trevenen-Jones, A.
- Subjects
Food Waste ,The Netherlands ,Public Health ,Nutrition - Published
- 2019
12. Orange-Fleshed Sweetpotato Flour: Characterization of Carotenoids and Conservation
- Author
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Koala, M., Hema, A., Spina, R., Palé, E., Dupire, F., Françoise, C., Sérémé, A., Nacro, M., Chapleur, Y., and Laurain-Mattar, D.
- Abstract
No Abstract.
- Published
- 2019
13. OC26.06: Anomalies of the aortic arch: a 10-year experience at NUH
- Author
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Natarajan, L., primary, Gosavi, D., additional, Zaini Mattar, D., additional, Lin Lin, P., additional, and Biswas, A., additional
- Published
- 2018
- Full Text
- View/download PDF
14. Nightingale Carl H. Segregation. A Global History of Divided Cities (Historical Studies of Urban America)
- Author
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Mattar, D. Vicherat
- Published
- 2014
15. Antibacterial, antiproliferative and antioxidant activity of leaf extracts of selected Solanaceae species
- Author
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Fadl Almoulah, N., primary, Voynikov, Y., additional, Gevrenova, R., additional, Schohn, H., additional, Tzanova, T., additional, Yagi, S., additional, Thomas, J., additional, Mignard, B., additional, Ahmed, A.A.A., additional, El Siddig, M.A., additional, Spina, R., additional, and Laurain-Mattar, D., additional
- Published
- 2017
- Full Text
- View/download PDF
16. Segregation. A global History of Divided Cities
- Author
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Vicherat-Mattar, D.
- Published
- 2014
17. Second Axillary Sentinel Lymph Node Biopsy for Breast Tumor Recurrence: Experience of the European Institute of Oncology
- Author
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Intra, M, Viale, G, Vila, J, Grana, C, Toesca, A, Gentilini, O, Galimberti, V, Veronesi, P, Luini, A, Rotmensz, N, Bagnardi, V, Mattar, D, Colleoni, M, Colleoni, M., BAGNARDI, VINCENZO, Intra, M, Viale, G, Vila, J, Grana, C, Toesca, A, Gentilini, O, Galimberti, V, Veronesi, P, Luini, A, Rotmensz, N, Bagnardi, V, Mattar, D, Colleoni, M, Colleoni, M., and BAGNARDI, VINCENZO
- Abstract
Purpose: This retrospective study aimed to determine the feasibility, accuracy, and recurrence rates of lymphoscintigraphy and the new sentinel lymph node biopsy (SLNB) for patients with ipsilateral breast tumor recurrences who were treated previously with conservative surgery and had negative SLNB results. Methods: The study was conducted at the European Institute of Oncology in Milan and included 212 patients with the diagnosis of operable local breast cancer recurrence. They had been treated previously with conservative surgery and showed negative SLNB results. They subsequently underwent additional breast surgery and a second SLNB between May 2001 and December 2011. Results: Preoperative lymphoscintigraphy demonstrated at least one new axillary sentinel lymph node (SLN) in 207 patients (97.7 %), whereas no drainage was observed in five patients (2.3 %). One or more SLNs were surgically removed from 196 of the 207 patients. Isolation of SLNs from the remaining 11 patients could not be accomplished. The success rate for the SLNB was 92.5 %. Extra-axillary drainage pathways were visualized in 17 patients (8 %). The annual axillary recurrence rate after a median follow-up period of 48 months was 0.8 %, and the cumulative incidence of axillary recurrence at 5 years was 3.9 %. Conclusions: A second SLNB should be considered for patients with operable local breast tumor recurrence who underwent conservative surgery and had negative SLNB results. The procedure is technically feasible and accurate for selected patients.
- Published
- 2015
18. Students' honesty in evaluating their teachers
- Author
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Mattar, D., El Khoury, R., Mattar, D., and El Khoury, R.
- Abstract
Anonymous students’ evaluations to measure teachers’ performance has become extremely popular in universities around the world and are used to make critical decision with respect to faculty personnel retention, promotion and other. One concern for these evaluations is the likelihood for response bias and the degree of reliability. Although exhaustive studies have been published concerning students’ evaluations, yet, few studies have tackled their honesty. Therefore, this paper aims to find out the extent to which students are serious in filling out this evaluation and to identify the factors discouraging them from being honest. During the 2011-2012 academic year, a questionnaire was distributed to 330 students from different faculties, programs, years and GPAs. The results show that the majority (83.9%) of students are serious when filling out the evaluation forms. By order of relevance, students do not fill the evaluation honestly mainly because (i) they think that their opinions will go unnoticed by the dean; (ii) they are bored from filling out forms, (iii) they do not want to harm the instructor. No significant difference in honesty, while evaluating, is found between students with different genders, different programs (graduate vs. undergraduate) and different GPAs. However, when seniority was highlighted, a significant difference appeared: sophomore students show less frankness in filling the evaluations than junior and senior students. Moreover, senior students have the highest tendency of filling out this assessment tool honestly. When the faculty was taken as a basis for comparison, a significant difference appeared between students enrolled in the Faculty of Sciences and students enrolled in the Faculties of Engineering and Business where Sciences students are the least honest. Furthermore, students suggested that an increase in the reliability of their responses could be achieved through face-to-face private discussions with the Dean or the key person in
- Published
- 2014
19. Second Axillary Sentinel Lymph Node Biopsy for Breast Tumor Recurrence: Experience of the European Institute of Oncology
- Author
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Intra, M., primary, Viale, G., additional, Vila, J., additional, Grana, C. M., additional, Toesca, A., additional, Gentilini, O., additional, Galimberti, V., additional, Veronesi, P., additional, Luini, A., additional, Rotmensz, N., additional, Bagnardi, V., additional, Mattar, D., additional, and Colleoni, M., additional
- Published
- 2014
- Full Text
- View/download PDF
20. Carl H. Nightingale, Segregation. A Global History of Divided Cities (Historical Studies of Urban America). Chicago: University of Chicago Press, 2012. 536pp. $22.99/£24.50hbk; £14.94 kindle.
- Author
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Mattar, D. Vicherat, primary
- Published
- 2014
- Full Text
- View/download PDF
21. Antibacterial activity, cytotoxicity and chemical constituents of Hydnora johannis roots
- Author
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Yagi, S., primary, Chrétien, F., additional, Duval, R.E., additional, Fontanay, S., additional, Maldini, M., additional, Piacente, S., additional, Henry, M., additional, Chapleur, Y., additional, and Laurain-Mattar, D., additional
- Published
- 2012
- Full Text
- View/download PDF
22. Toxicity of Hydnora johannis Becca. dried roots and ethanol extract in rats
- Author
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Yagi, S., primary, Yagi, A.I., additional, Gadir, E.H. Abdel, additional, Henry, M., additional, Chapleur, Y., additional, and Laurain-Mattar, D., additional
- Published
- 2011
- Full Text
- View/download PDF
23. LC-MS analysis of alkaloids in bulbs and in vitro cultures of Leucojum aestivum (Amaryllidaceae)
- Author
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Ptak, A, primary, Tahchy, AE, additional, Dupire, F, additional, Boisbrun, M, additional, Henry, M, additional, Moœ, M, additional, Chapleur, Y, additional, and Laurain-Mattar, D, additional
- Published
- 2008
- Full Text
- View/download PDF
24. Effects of the rol C Gene on Hairy Root: Induction Development and Tropane Alkaloid Production by Atropa belladonna
- Author
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Bonhomme, V., primary, Laurain-Mattar, D., additional, and Fliniaux, M. A., additional
- Published
- 2000
- Full Text
- View/download PDF
25. Microtensile Bond Strengths of an Etch&Rinse and Self-Etch Adhesive to Enamel and Dentin as a Function of Surface Treatment.
- Author
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Van Meerbeek, B., De Munck, J., Mattar, D., Van Landuyt, K., and Lambrechts, P.
- Subjects
DENTAL adhesives ,DENTAL enamel ,DENTIN ,DENTAL acid etching ,DENTAL research - Abstract
In light of the current trend towards "minimal invasive" dentistry, diverse cavity preparation techniques have been introduced as an alternative or addition to common bur instrumentation. This study investigated whether diamond sonoabrasion (SonicSys Micro, Kavo), air abrasion (Prep Start, Danville) and Er:YAG laser irradiation (Fidelis) produce surfaces at enamel/dentin that are equally receptive to bonding as traditional mid-grit diamond-bur (Komet) and 600-grit SiC-paper prepared surfaces, of which the latter two served as controls. An etch&rinse adhesive (OptBond FL, Kerr) applied with and without prior acid-etching and self-etch adhesive (Clearfil SE, Kuraray) were employed to bond the restorative composite (Z100, 3M ESPE) to the diversely prepared enamel and dentin surfaces. The microtensile bond strengths (uTBS) was determined after 24 hours of storage in water at 37 °C. The results indicated that the manner of preparation of enam el and dentin prior to bonding procedures significantly influenced the bonding of effectiveness of both the etch&rinse and the self-etch adhesive. Using an etch&rinse adhesive, separate acid-etching of air-braded and Er:YAG-irradiated enamel and dentin surfaces remains mandatory. Bonding to diamond-sonoabraded and air-abraded enamel and dentin was, in general, not different from bonding to conventional diamond-bur prepared surfaces, whereas, bonding to Er:YAG-irradiated enamel and dentin surfaces in general resulted in a significantly lower bonding effectiveness compared to bonding to diamond-bur prepared surfaces. [ABSTRACT FROM AUTHOR]
- Published
- 2003
26. Prediction of construction performance of Beliche Dam.
- Author
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Maranha Das Neves, E., Naylor, D. J., Veiga Pinto, A. A., and Mattar, D.
- Published
- 1986
- Full Text
- View/download PDF
27. Bacterial cavernous sinus aneurysm treated by detachable balloon technique.
- Author
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Micheli, F, Schteinschnaider, A, Plaghos, L L, Melero, M, Mattar, D, and Parera, I C
- Published
- 1989
- Full Text
- View/download PDF
28. Prediction of construction performance of Beliche Dam
- Author
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Naylor, D. J., primary, Maranha Das Neves, E., additional, Mattar, D., additional, and Veiga Pinto, A. A., additional
- Published
- 1986
- Full Text
- View/download PDF
29. Segregation. A Global History of Divided Cities.
- Author
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Mattar, D. Vicherat
- Abstract
The article reviews the book "Segregation. A Global History of Divided Cities," by Carl H. Nightingale, part of the Historical Studies of Urban America book series.
- Published
- 2014
- Full Text
- View/download PDF
30. Economic implications of ACOSOG Z0011 trial application into clinical practice at the European Institute of Oncology
- Author
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Giovanni Corso, Mattia Intra, Giuseppe Viale, Viviana Galimberti, Davide Radice, Paolo Veronesi, Francesca Magnoni, Antonio Di Filippo, Alessandra Invento, Giovanni Mazzarol, Giorgia Irene Santomauro, Denise Mattar, Marius Burcuta, Vincenzo Bagnardi, Virgilio Sacchini, Mattar, D, Di Filippo, A, Invento, A, Radice, D, Burcuta, M, Bagnardi, V, Magnoni, F, Santomauro, G, Corso, G, Mazzarol, G, Viale, G, Sacchini, V, Galimberti, V, Veronesi, P, and Intra, M
- Subjects
Oncology ,medicine.medical_specialty ,Sentinel lymph node ,Breast Neoplasms ,Costs and costs analysi ,Mastectomy, Segmental ,03 medical and health sciences ,0302 clinical medicine ,Breast cancer ,Sentinel lymph node biopsy ,Internal medicine ,Biopsy ,Health care ,medicine ,Frozen Sections ,Humans ,030212 general & internal medicine ,Acosog z0011 ,Aged ,Value-based health care ,medicine.diagnostic_test ,business.industry ,Axillary Lymph Node Dissection ,General Medicine ,Health Care Costs ,Middle Aged ,medicine.disease ,Clinical Practice ,030220 oncology & carcinogenesis ,Lymphatic Metastasis ,Cohort ,Axilla ,Practice Guidelines as Topic ,Costs and Cost Analysis ,Lymph Node Excision ,Surgery ,Female ,Hospital cost ,Sentinel Lymph Node ,business - Abstract
Background and objectives The American College of Surgeons Oncology Group (ACOSOG) Z0011 trial demonstrated that in clinically node-negative women undergoing breast-conserving therapy (BCT) and found to have metastases to 1 or 2 sentinel nodes, sentinel lymph node biopsy (SLNB) alone resulted in rates of local control, disease-free survival, and overall survival equivalent to those seen after axillary lymph node dissection (ALND), but with significantly lower morbidity. Application of the Z0011 guidelines resulted in fewer ALNDs without affecting locoregional recurrence or survival. Changes in practice inevitably affect health care costs. The current study investigated the actual impact of applying the Z0011 guidelines to eligible patients and determined the costs of care at a single institution. Patients and methods We compared axillary nodal management and cost data in breast cancer patients who met the Z0011 criteria and were treated with BCT and SLNB. Patients were allocated into two mutually exclusive cohorts based on the date of surgery: pre-Z0011 (June 2013 to December 2015) and post-Z0011 (June 2016 to December 2018). Results Of 3912 patients, 433 (23%) and 357 (17.6%) patients in the pre- and post-Z0011 era had positive lymph nodes. ALND decreased from 15.3% to 1.57% in the post-Z0011 era. The mean overall cost of SLNB in the pre-Z0011 cohort was €1312 per patient, while that for SLNB with completion ALND was €2613. Intraoperative frozen section (FS) use decreased from 100% to 12%. Omitting the FS decreased mean costs from €247 to €176. The mean total cost in the pre-Z0011 cohort was €1807 per patient, while in the post-Z0011 cohort it was €1498. The application of Z0011 resulted in an overall mean cost savings of €309 for each patient. Conclusions Application of the Z0011 criteria to patients undergoing BCT at our institution results in more than half a million Euro cost savings.
- Published
- 2021
31. Factors affecting galanthamine production in Narcissus
- Author
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Akram, M.N., Verpoorte, R., Choi, Y.H., Pomahačová, B., Bouwmeester, H.J., Bastida, J., Laurain-Mattar, D, Klinkhamer, P.G.L., Spaink, H.P., and Leiden University
- Subjects
GC ,Alkaloids ,Galanthamine ,Biotic and abiotic stress ,food and beverages ,Metabolomics ,NMR - Abstract
Narcissus is an economically important crop with a large number of species, hybrids and/or varieties in cultivation. It is one of the most popular ornamental plants. The Netherlands is among the top producers of Narcissus in the world. The ornamental value of Narcissus is quite well known but they can also be a valuable resource of natural compounds. Among these compounds, galanthamine has been successfully commercialized as medicine for the treatment of early to mild Alzheimer’s Disease (AD). The characteristic symptoms of this disease are loss of memory and impairment of multiple cognitive and emotional functions. The objective was to find out how galanthamine levels could be enhanced to convert this floricultural crop into a medicinal crop. There are different factors that influence the production of galanthamine and other metabolites in the bulbs. Effect of various factors such as preanalytical methods, bulb location and age along with effect of biotic and abiotic factors on the growth and yield were studied. From the results, it is evident that factors have detrimental effect on the total bulb yield and galanthamine levels.
- Published
- 2020
32. Star Architecture as Socio-Material Assemblage
- Author
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Laura Lieto, N. Alaily-Mattar, D. Ponzini, A. Thierstein, and Lieto, L.
- Subjects
Materiality (architecture) ,Capitalist development ,Star architecture, Assemblage, Multiplicity, Critique ,Aesthetics ,Criticism ,The Symbolic ,Sociology ,Architecture ,Materialism - Abstract
Taking inspiration from new materialism and assemblage, the chapter deals with star architects and iconic buildings as socio-material network effects that do not pre-exist action, but are enacted in practice, in the materiality of design crafting and city building. Star architects are here conceptualized as part of broader assemblages of actors and practices ‘making star architecture’ a reality, and the buildings they design are considered not just as unique and iconic objects, but dis-articulated as complex crafts mobilizing skills, technologies, materials, and forms of knowledge not necessarily ascribable to architecture. Overcoming narrow criticism focusing on the symbolic order of icons as unique creations and alienated repetitions of capitalist development, the chapter’s main aim is to widen the scope of critique by bridging culture and economy, symbolism and practicality, making star architecture available to a broad, fragmented arena of (potential) critics, unevenly equipped with critical tools and differentiated experiences.
- Published
- 2020
33. Contralateral Axillary Lymph Node Metastases from Breast Carcinoma: Is it Time to Review TNM Cancer Staging?
- Author
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Virgilio Sacchini, Barbara Alicja Jereczek-Fossa, Paolo Veronesi, Giovanni Corso, Denise Mattar, Giorgia Irene Santomauro, Francesca Magnoni, Samuele Frassoni, Vincenzo Bagnardi, Mattia Intra, Viviana Galimberti, Marco Colleoni, Magnoni, F, Colleoni, M, Mattar, D, Corso, G, Bagnardi, V, Frassoni, S, Santomauro, G, Jereczek-Fossa, B, Veronesi, P, Galimberti, V, Sacchini, V, and Intra, M
- Subjects
Oncology ,medicine.medical_specialty ,medicine.medical_treatment ,Breast Neoplasms ,03 medical and health sciences ,0302 clinical medicine ,Surgical oncology ,Interquartile range ,Internal medicine ,medicine ,Humans ,Lymph node ,Cancer staging ,Neoplasm Staging ,Retrospective Studies ,business.industry ,Retrospective cohort study ,medicine.disease ,Primary tumor ,Radiation therapy ,medicine.anatomical_structure ,030220 oncology & carcinogenesis ,Lymphatic Metastasis ,Axilla ,030211 gastroenterology & hepatology ,Surgery ,Female ,Lymph Nodes ,Axillary Lymph Node Metastases ,Breast carcinoma ,business - Abstract
Background: Contralateral axillary lymph node metastasis (CAM) is an infrequent clinical condition currently considered an M1, stage IV, disease. Due to the absence of shared data on CAM significance and on its therapeutic approach, be it curative or simply palliative, its management is still uncertain and undoubtedly represents a clinical challenge. Patients and Methods: Patients with pathologically confirmed metachronous CAM were retrospectively evaluated. All patients had been managed at the European Institute of Oncology, Milan, Italy, from 1997. Patients with distant metastases at the time of CAM were excluded. Possible treatments included surgery, systemic therapy and RT (radiotherapy). Outcomes were evaluated as rates of disease-free survival (DFS) and of overall survival (OS). Results: Forty-seven patients with CAM were included in the study. Metachronous CAM occurred 73months (range 5–500months) after diagnosis of the primary tumor. The median follow-up time was 5.4years (interquartile range 2.9–7.0years). The estimated OS was 72% at 5years (95% CI 54–83), and 61% at 8years (95% CI 43–75). The estimated DFS was 61% at 5years (95% CI 44–74), and 42% at 8years (95% CI 25–59). Conclusion: These findings, together with those from previous studies, show that CAM outcome, particularly if measured as OS, appear better than at other sites of distant dissemination, when CAM is subjected to surgical and systemic treatments with a curative intent. Therefore, a new clinical scenario is suggested where, in the TNM system, CAM is no longer classified as a stage IV, but as an N3 disease.
- Published
- 2020
34. Second Axillary Sentinel Lymph Node Biopsy for Breast Tumor Recurrence: Experience of the European Institute of Oncology
- Author
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Mattia Intra, Viviana Galimberti, Oreste Gentilini, Denise Mattar, Vincenzo Bagnardi, Nicole Rotmensz, Jose Vila, Paolo Veronesi, Marco Colleoni, Giuseppe Viale, Chiara Maria Grana, Antonio Toesca, Alberto Luini, Intra, M, Viale, G, Vila, J, Grana, C, Toesca, A, Gentilini, O, Galimberti, V, Veronesi, P, Luini, A, Rotmensz, N, Bagnardi, V, Mattar, D, and Colleoni, M
- Subjects
Oncology ,medicine.medical_specialty ,Breast surgery ,medicine.medical_treatment ,Sentinel lymph node ,Breast Neoplasms ,Breast tumor ,Surgical oncology ,Internal medicine ,Biopsy ,medicine ,Humans ,Cumulative incidence ,Neoplasm Invasiveness ,Mastectomy ,Neoplasm Staging ,Retrospective Studies ,medicine.diagnostic_test ,business.industry ,Sentinel Lymph Node Biopsy ,Incidence ,Carcinoma, Ductal, Breast ,Retrospective cohort study ,Prognosis ,Europe ,Survival Rate ,Carcinoma, Lobular ,Ipsilateral breast ,Lymphatic Metastasis ,Axilla ,Feasibility Studies ,Surgery ,Female ,Lymph Nodes ,Neoplasm Grading ,Neoplasm Recurrence, Local ,business ,Lymphoscintigraphy ,Follow-Up Studies - Abstract
Purpose: This retrospective study aimed to determine the feasibility, accuracy, and recurrence rates of lymphoscintigraphy and the new sentinel lymph node biopsy (SLNB) for patients with ipsilateral breast tumor recurrences who were treated previously with conservative surgery and had negative SLNB results. Methods: The study was conducted at the European Institute of Oncology in Milan and included 212 patients with the diagnosis of operable local breast cancer recurrence. They had been treated previously with conservative surgery and showed negative SLNB results. They subsequently underwent additional breast surgery and a second SLNB between May 2001 and December 2011. Results: Preoperative lymphoscintigraphy demonstrated at least one new axillary sentinel lymph node (SLN) in 207 patients (97.7 %), whereas no drainage was observed in five patients (2.3 %). One or more SLNs were surgically removed from 196 of the 207 patients. Isolation of SLNs from the remaining 11 patients could not be accomplished. The success rate for the SLNB was 92.5 %. Extra-axillary drainage pathways were visualized in 17 patients (8 %). The annual axillary recurrence rate after a median follow-up period of 48 months was 0.8 %, and the cumulative incidence of axillary recurrence at 5 years was 3.9 %. Conclusions: A second SLNB should be considered for patients with operable local breast tumor recurrence who underwent conservative surgery and had negative SLNB results. The procedure is technically feasible and accurate for selected patients.
- Published
- 2014
35. Antioxidant, Enzyme and Molecular Docking Tyrosinase Inhibitory Activities of Major Polyphenols in Boscia coriacea Graells, Grewia erythraea (Schweinf.) Chiov., Ochradenus baccatus Delile and, Orthosiphon pallidus Royle ex Benth.
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Elmi Fourreh A, Zengin G, A Said M, Gil-Ortiz R, Giovanni C, Piatti D, Spina R, Chtita S, Ricciutelli M, Mohamed F, and Laurain-Mattar D
- Abstract
Boscia coriacea Graells (BC), Grewia erythraea (Schweinf.) Chiov. (GE), Ochradenus baccatus Delile(OB), and Orthosiphon pallidus Royle ex Benth. (OP) are medicinal plants used in Djibouti. They were evaluated to determine their total phenolic content (TPC), flavonoid content (TFC), and phytochemical profile using HPLC-MS/MS. Additionally, their antioxidant capacity was assessed through five various methods. Enzymatic activities were also measured, focusing on acetylcholinesterase (AChE), butyrylcholinesterase (BChE), α-amylase, α-glucosidase, and tyrosinase. OP extract had the highest TPC and exhibited the best antioxidant capacity, while OB and BC extracts had the highest TFC. Twenty-seven compounds were identified and quantified by LCMS. GE extract demonstrated the highest AChE activity, while OP extract had the highest BChE activity. BC was most active against α-amylase and α-glucosidase, and only GE and OP extracts showed tyrosinase inhibition Invitro. In silico analysis, the compounds were optimized and docked to the human tyrosinase-related protein 1 using AutoDock Vina, with ADME to evaluate their suitability based on key therapeutic criteria. Chlorogenic, neochlorogenic, gallic acids and quercetin emerged as promising tyrosinase inhibitors. These plants can be a viable source in the prevention and treatment related to tyrosinase enzyme inhibition., (© 2024 Wiley‐VCH GmbH.)
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- 2024
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36. Editorial: Natural products from plants or microorganisms for treatment of non- communicable diseases.
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Yagi S, Laurain-Mattar D, and Zengin G
- Abstract
Competing Interests: The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.
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- 2024
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37. In vitro and in silico analysis for elucidation of antioxidant potential of Djiboutian Avicennia Marina (Forsk.) Vierh. phytochemicals.
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Mohamed AS, Elmi A, Spina R, Kordofani MAY, Laurain-Mattar D, Nour H, Abchir O, and Chtita S
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- Plant Extracts pharmacology, Plant Extracts chemistry, Chlorophyll A, Iridoid Glucosides, Phytochemicals pharmacology, Phytochemicals chemistry, Flavonoids, Antioxidants pharmacology, Avicennia, Acetates, Sulfonic Acids, Benzothiazoles
- Abstract
The present work aims to study the phytochemical composition, the antioxidant capacity of the crude extracts, and the fraction of extract giving the best antioxidant activity of Avicennia marina . The leaves contain high TFC compared to other parts of the plant, whereas fruits have the highest amount of TPC. Fat-soluble pigments are strongly present in the leaves of Avicennia marina i.e. β-carotene, lycopene, chlorophyll a , and chlorophyll b . The crude methanolic flower extracts showed strong DPPH and ABTS radical scavenging activity with IC50 values of 0.30 and 0.33 mg/mL respectively compared to the leaf and stem methanolic extracts for the DPPH and ABTS models with a value IC
50 greater than 1 mg/mL. The crude fruit extract shows good activity with the ABTS model, unlike the DPPH model whose IC50 values are 0.95 and 0.38 mg/mL, respectively. Fractionation improved the antioxidant effect of crude flower extract. The ethyl acetate fraction exhibits the best antioxidant activity for both DPPH and ABTS methods with IC50 values of 0.125 and 0.16 mg/mL. The HR-LCMS/MS led to the identification of 13 compounds: 6 flavonoids and 7 iridoid glycoside compounds in the different parts of the plant. A bioinformatics study was performed to evaluate the antioxidant activity of the three major Iridoid glycosides towards the target protein Catalase compound II through free binding energy. Out of these three iridoid glycosides, compound C10 does not represent any toxicity, unlike C8 and C9 which showed an irritancy effect. Furthermore, molecular dynamics shows good stability of the C10- 2CAG complex. HighlightsExtraction and fractionation of different part (leaf, stem, flower and fruit) of Avicennia marina .Botanical description and phytochemical analysis of crude extract methanolic. Investigation by HR-LCMS characterization of polyphenols and iridoid glycosides.Evaluation the antioxidant activity of crudes extracts methanolics by two methods in vitro DPPH and ABTS.Antioxidant activity of the fraction of the crude flower extracts presenting the best biological response.Evaluate the contribution of three major compounds 2'-Cinnamoylmussaenosidic acid, 10-O-[E-Cinnamoyl]-geniposidic acid and 10-O-[(E)- p -Coumaroyl]-geniposidic acid in the ethyl acetate fraction on the antioxidant activity through docking and dynamic molecular.Communicated by Ramaswamy H. Sarma.- Published
- 2024
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38. Primary malignant phyllodes tumors of the breast: A retrospective analysis from a referral center.
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Valenza C, De Pas TM, Gaeta A, Castellano G, Santoro C, Corona A, Chiappini G, Vivanet G, Trapani D, Coppola S, Conforti F, Mattar D, Gandini S, Veronesi P, Pennacchioli E, and Curigliano G
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- Humans, Female, Mastectomy, Retrospective Studies, Neoplasm Recurrence, Local epidemiology, Breast pathology, Breast Neoplasms surgery, Phyllodes Tumor surgery, Phyllodes Tumor pathology
- Abstract
Background: The treatment for primary malignant phyllodes tumors of the breast (B-MPT) consists of wide local excision with negative margins (≥1 cm). However, because of their rarity, prognostic factors, type of surgery and adjuvant treatments are still a matter of debate., Methods: We conducted a single-center retrospective study to describe outcomes and prognostic factors of patients with primary B-MPT, who underwent breast surgery from January 2000 to December 2021. The primary endpoint was the cumulative incidence of any recurrence. Secondary endpoints were the cumulative incidences of distant and local recurrences., Results: 131 patients were included, of whom all received surgery, 5 adjuvant anthracycline-based chemotherapy and 15 radiation therapy. After a median follow-up of 6.4 years, the cumulative incidences at 5-years of any, local and distant recurrences were of 26% (95% Confidence Interval [CI], 4-34%), 16% (95%CI, 10-24%) and 10% (95%CI, 5.3-16%), respectively. Tumor size ≥ 5 cm was associated with higher distant recurrences (p = 0.05); instead, among small tumors (<5 cm), distant recurrences were higher in those with heterologous differentiation and/or multifocal disease (p = 0.06). Type of breast surgery (mastectomy vs. lumpectomy/excision) was not found to be significantly associated with distant (p = 0.32) or local (p = 0.17) recurrence, even after controlling local recurrence incidence for negative pathologic prognostic factors (p = 0.17)., Conclusions: The natural history of B-MPT is burdened by local and distant recurrences. Pathologic prognostic factors (i.e., tumor size, heterologous differentiation and multifocal disease) more than the type of wide breast surgery (mastectomy vs. lumpectomy) seem to represent the most significant prognostic factor for recurrences., Competing Interests: Declaration of Competing Interest The authors declare the following financial interests/personal relationships which may be considered as potential competing interests: GC reports honoraria for speaker's engagement: Roche, Seattle Genetics, Novartis, Lilly, Pfizer, Foundation Medicine, NanoString, Samsung, Celltrion, BMS, MSD; honoraria for providing consultancy: Roche, Seattle Genetics, NanoString; Honoraria for participating in Advisory Board: Roche, Lilly, Pfizer, Foundation Medicine, Samsung, Celltrion, Mylan; honoraria for writing engagement: Novartis, BMS; Honoraria for participation in Ellipsis Scientific Affairs Group; institutional research funding for conducting phase I and II clinical trials: Pfizer, Roche, Novartis, Sanofi, Celgene, Servier, Orion, AstraZeneca, Seattle Genetics, AbbVie, Tesaro, BMS, Merck Serono, Merck Sharp Dome, Janssen-Cilag, Philogen, Bayer, Medivation, Medimmune. All the competing interests were outside the submitted work. All other authors have no potential conflict of interest to disclose., (Copyright © 2023 Elsevier Ltd. All rights reserved.)
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- 2024
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39. Screening of Anti-Inflammatory Activity and Metabolomics Analysis of Endophytic Fungal Extracts; Identification and Characterization of Perylenequinones and Terpenoids from the Interesting Active Alternaria Endophyte.
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Spina R, Ropars A, Bouazzi S, Dadi S, Lemiere P, Dupire F, Khiralla A, Yagi S, Frippiat JP, and Laurain-Mattar D
- Abstract
Patients suffering from inflammatory chronic diseases are classically treated with anti-inflammatory drugs but unfortunately are highly susceptible to becoming resistant to their treatment. Finding new drugs is therefore crucial and urgent and research on endophytic fungi is a promising way forward. Endophytic fungi are microorganisms that colonize healthy plants and live within their intercellular tissues. They are able to produce a large variety of secondary metabolites while allowing their host to stay healthy. A number of these molecules are endowed with antioxidant or antimicrobial as well as cytotoxic properties, making them very interesting/promising in the field of human therapy. The aim of our study was to investigate whether extracts from five endophytic fungi isolated from plants are endowed with anti-inflammatory activity. Extracts of the endophytic fungi Alternaria alternata from Calotropis procera leaves and Aspergillus terreus from Trigonella foenum-graecum seeds were able to counteract the lipopolysaccharide (LPS) pro-inflammatory effect on THP-1 cells differentiated into macrophages. Moreover, they were able to induce an anti-inflammatory state, rendering them less sensitive to the LPS pro-inflammatory stimulus. Taken together, these results show that these both endophytic fungi could be interesting alternatives to conventional anti-inflammatory drugs. To gain more detailed knowledge of their chemical richness, phytochemical analysis of the ethyl acetate extracts of the five endophytic fungi studied was performed using HPTLC, GC-MS and LC-MS with the Global Natural Products Social (GNPS) platform and the MolNetEnhancer tool. A large family of metabolites (carboxylic acids and derivatives, steroid derivatives, alkaloids, hydroxyanthraquinones, valerolactones and perylenequinones) were detected. The purification of endophytic fungus extract of Alternaria alternate, which diminished TNF-α production of 66% at 20 µg/mL, incubated one hour before LPS addition, led to the characterization of eight pure compounds. These molecules are altertoxins I, II, III, tricycloalternarenes 3a, 1b, 2b, anthranilic acid, and o -acetamidobenzoic acid. In the future, all these pure compounds will be evaluated for their anti-inflammatory activity, while altertoxin II has been shown in the literature as the most active mycotoxin in terms of anti-inflammatory activity.
- Published
- 2023
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40. Corrigendum to 'Acetyl-L-carnitine and/or liposomal co-enzyme Q10 prevent propionic acid-induced neurotoxicity by modulating oxidative tissue injury, inflammation, and ALDH1A1-RA-RARα signaling in rats', [Biomed. Pharmacother. 153 (2022)113360].
- Author
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Alhusaini A, Sarawi W, Mattar D, Abo-Hamad A, Almogren R, Alhumaidan S, Alsultan E, Alsaif S, Hasan I, Hassanein E, and Mahmoud A
- Published
- 2023
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41. Phenolic Acids and Amaryllidaceae Alkaloids Profiles in Leucojum aestivum L. In Vitro Plants Grown under Different Light Conditions.
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Morańska E, Simlat M, Warchoł M, Skrzypek E, Waligórski P, Laurain-Mattar D, Spina R, and Ptak A
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- Catalase, Chlorophyll A, Hydroxybenzoates, Light, Plants, Antioxidants, Amaryllidaceae Alkaloids
- Abstract
Light-emitting diodes (LEDs) have emerged as efficient light sources for promoting in vitro plant growth and primary and secondary metabolite biosynthesis. This study investigated the effects of blue, red, and white-red LED lights on plant biomass growth, photosynthetic pigments, soluble sugars, phenolic compounds, the production of Amaryllidaceae alkaloids, and the activities of antioxidant enzymes in Leucojum aestivum L. cultures. A white fluorescent light was used as a control. The plants that were grown under white-red and red light showed the highest fresh biomass increments. The blue light stimulated chlorophyll a , carotenoid, and flavonoid production. The white-red and blue lights were favourable for phenolic acid biosynthesis. Chlorogenic, p -hydroxybenzoic, caffeic, syringic, p -coumaric, ferulic, sinapic, and benzoic acids were identified in plant materials, with ferulic acid dominating. The blue light had a significant beneficial effect both on galanthamine (4.67 µg/g of dry weight (DW)) and lycorine (115 µg/g DW) biosynthesis. Red light treatment increased catalase and superoxide dismutase activities, and high catalase activity was also observed in plants treated with white-red and blue light. This is the first report to provide evidence of the effects of LED light on the biosynthesis of phenolic acid and Amaryllidaceae alkaloids in L. aestivum cultures, which is of pharmacological importance and can propose new strategies for their production.
- Published
- 2023
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42. Does kisspeptin exert a local modulatory effect on bovine ovarian steroidogenesis?
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Mattar D, Cheewasopit W, Samir M, and Knight PG
- Abstract
Kisspeptin, a hypothalamic neuropeptide encoded by the KISS1 gene, has a pivotal role in promoting GnRH secretion in mammals. Kisspeptin and its receptor (KISS1R) are also expressed in certain peripheral tissues including gonads, suggesting intra-gonadal roles. Such actions at the level of the bovine ovary have not been explored previously. The current aims were to determine whether KISS1 and its receptor (KISS1R) are expressed in the bovine ovary and whether kisspeptin or a kisspeptin antagonist can modulate ovarian steroid production by cultured ovarian cells. Granulosa (GC) and theca interna (TC) were collected from antral follicles (3-18 mm) categorized into five class sizes. Early, mid and regressing corpora lutea (CL) were also collected for RT-qPCR analysis of KISS1 and KISS1R expression. Bovine TC and GC cultured under both non-luteinizing (serum-free) and luteinizing (serum-supplemented) conditions were treated for 4 days with kisspeptin-10 (10-10-10-6M) or kisspeptin antagonist (p234; 10-10-10-6M), alone and in combination with either FSH (GC), LH (TC) or forskolin (luteinized GC/TC). Steroid secretion (GC: oestradiol, progesterone; TC: androstenedione, progesterone; luteinized GC/TC: progesterone) was measured by ELISA and viable cell number determined by neutral red uptake assay. KISS1 and KISS1R transcripts were detected in TC, GC and CL with significant differences between follicle categories and CL stages. However, neither kisspeptin-10 nor kisspeptin antagonist affected steroid secretion or viable cell number in any of the four ovarian cell culture models. As such, the hypothesis that kisspeptin has a direct intra-ovarian role to modulate follicular or luteal steroidogenesis, or cell proliferation/survival, is not supported.
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- 2023
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43. Screening of Endophytic Bacteria of Leucojum aestivum 'Gravety Giant' as a Potential Source of Alkaloids and as Antagonist to Some Plant Fungal Pathogens.
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Munakata Y, Spina R, Slezack-Deschaumes S, Genestier J, Hehn A, and Laurain-Mattar D
- Abstract
Leucojum aestivum is a medicinal plant belonging to the Amaryllidaceae family well known as a producer of alkaloids such as galanthamine and lycorine. However, the endophytic microbes that colonize different plant tissues without causing any damage have not been reported in this plant. Here, we explored the different endophytic bacterial communities isolated from different surface disinfected tissues of L. aestivum 'Gravety giant' and screened bacterial isolates producing alkaloids and their potential use as biocontrol agent against wheat pathogens. For that purpose, endophytic bacteria were isolated from bulbs, roots and shoots of L. aestivum . After taxonomical characterization, these microorganisms were screened for their ability to produce alkaloids using high-performance thin-layer chromatography (HPTLC) and untargeted liquid chromatography-Mass Spectrometry/Mass Spectrometry (LC-MS/MS) strategies. We isolated 138 bacteria belonging to four phyla and 42 genera, mainly from roots and shoots. The most abundant genera were Rahnella in shoot, Patulibacter in bulb and Bacillus in roots. Among the different bacterial isolates, the methanolic extracts of Luteibacter rhizovicinus (LaBFB3301) and Commamonas denitrificans (LaBFS2103) slightly delayed the growth of F. graminearum colonies in in vitro dual tests against F. graminearum and M. nivale strains with 15.5% and 19.9% inhibition rates, respectively. These isolates are able to produce an indolic alkaloid tryptophol (C
10 H11 NO, [M + H]+ 162.0913). These endophytic bacteria might be investigated to characterize the plant protection effect and the plant growth promotion effect.- Published
- 2022
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44. Acetyl-L-carnitine and/or liposomal co-enzyme Q10 prevent propionic acid-induced neurotoxicity by modulating oxidative tissue injury, inflammation, and ALDH1A1-RA-RARα signaling in rats.
- Author
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Alhusaini A, Sarawi W, Mattar D, Abo-Hamad A, Almogren R, Alhumaidan S, Alsultan E, Alsaif S, Hasan I, Hassanein E, and Mahmoud A
- Subjects
- Acetylcarnitine pharmacology, Animals, Antioxidants pharmacology, Inflammation drug therapy, NF-kappa B pharmacology, Oxidative Stress, Propionates, Rats, Ubiquinone analogs & derivatives, Ubiquinone pharmacology, Autism Spectrum Disorder, Neurotoxicity Syndromes drug therapy, Neurotoxicity Syndromes prevention & control
- Abstract
Propionic acid (PPA) is a short-chain fatty acid produced endogenously by gut microbiota and found in foodstuffs and pharmaceutical products as an additive. Exposure to PPA has been associated with the development of autism spectrum disorder (ASD). The purpose of this study was to investigate the protective effect of acetyl-L-carnitine (ALCAR) and liposomal Co-enzyme Q10 (CoQ10) against cerebral and cerebellar oxidative injury, inflammation, and cell death, and alterations in ALDH1A1-RA-RARα signaling in an autism-like rat model induced by PPA. The rats were treated with PPA and concurrently received ALCAR and/or CoQ10 for 5 days. The animals were sacrificed, and the cerebral cortex and cerebellum were collected for analysis. PPA caused histopathological alterations along with increased malondialdehyde (MDA), NF-κB p65, TNF-α, and IL-6 in the cerebrum and cerebellum of rats. Reduced glutathione (GSH) and antioxidant enzymes were declined in the brain of rats that received PPA. Concurrent treatment with ALCAR and/or CoQ10 prevented tissue injury, decreased MDA, NF-κB p65, and pro-inflammatory cytokines, and enhanced cellular antioxidants in PPA-administered rats. ALCAR and/or CoQ10 upregulated Bcl-2 and decreased Bax and caspase-3 in the brain of rats. In addition, ALCAR and/or CoQ10 upregulated cerebral and cerebellar ALDH1A1 and RARα in PPA-treated rats. The combination of ALCAR and CoQ10 showed more potent effects when compared with the individual treatments. In conclusion, ALCAR and/or CoQ10 prevented tissue injury, ameliorated oxidative stress, inflammatory response, and apoptosis, and upregulated ALDH1A1-RA-RARα signaling in the brain of autistic rats., Competing Interests: Conflict of interest statement All authors declare no conflict of interests in relation to the manuscript., (Copyright © 2022 The Authors. Published by Elsevier Masson SAS.. All rights reserved.)
- Published
- 2022
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45. Endophytic bacteria from in vitro culture of Leucojum aestivum L. a new source of galanthamine and elicitor of alkaloid biosynthesis.
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Ptak A, Morańska E, Warchoł M, Gurgul A, Skrzypek E, Dziurka M, Laurain-Mattar D, Spina R, Jaglarz A, and Simlat M
- Subjects
- Bacteria, Galantamine, Zeatin, Alkaloids, Amaryllidaceae Alkaloids, Liliaceae
- Abstract
Leucojum aestivum is known for its ability to biosynthesize alkaloids with therapeutic properties, among which galanthamine used for the treatment of Alzheimer's disease. New sources of this alkaloid are still being explored. In this study, a novel strain PLV of endophytic bacterium Paenibacillus lautus was isolated from in vitro L. aestivum plants. We report the whole genome sequence of that strain and its capacity to produce alkaloids and growth regulators. The effect of elicitation with autoclaved bacteria on the production of alkaloids was examined. Ten alkaloids were identified in bacteria extracts: galanthamine, lycorine, ismine, lycoramine, haemanthamine, tazettine, galanthine, homolycorine, 1,2-dihydrochlidanthine, and hippeastrine. The mean contents of galanthamine and lycorine were 37.51 µg/g of dry weight (DW) and 129.93 µg/g of DW, respectively. Moreover, isolated P. lautus strain synthesized: indole-3-acetic acid, t-zeatin, c-zeatin, kinetin, gibberellin A
1 , abscisic acid, salicylic acid, benzoic acid. In vitro elicitation of cultures with P. lautus increased dry biomass, stimulated galanthamine and lycorine production, contributed to 8,9-desmethylenebis (oxy)-7,9 dimethoxy-crinan biosynthesis, change pigments content, and antioxidant enzymes activities. Our findings for the first time point out that galanthamine can be synthesized by an microorganism. Moreover isolated strain can be used as a new elictor of Amaryllidaceae alkaloids biosynthesis., (© 2022. The Author(s).)- Published
- 2022
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46. Economic implications of ACOSOG Z0011 trial application into clinical practice at the European Institute of Oncology.
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Mattar D, Di Filippo A, Invento A, Radice D, Burcuta M, Bagnardi V, Magnoni F, Santomauro G, Corso G, Mazzarol G, Viale G, Sacchini V, Galimberti V, Veronesi P, and Intra M
- Subjects
- Aged, Axilla, Breast Neoplasms pathology, Breast Neoplasms surgery, Costs and Cost Analysis, Female, Frozen Sections statistics & numerical data, Humans, Lymph Node Excision statistics & numerical data, Lymphatic Metastasis, Mastectomy, Segmental, Middle Aged, Practice Guidelines as Topic, Sentinel Lymph Node pathology, Breast Neoplasms economics, Frozen Sections economics, Health Care Costs statistics & numerical data, Lymph Node Excision economics, Sentinel Lymph Node Biopsy economics
- Abstract
Background and Objectives: The American College of Surgeons Oncology Group (ACOSOG) Z0011 trial demonstrated that in clinically node-negative women undergoing breast-conserving therapy (BCT) and found to have metastases to 1 or 2 sentinel nodes, sentinel lymph node biopsy (SLNB) alone resulted in rates of local control, disease-free survival, and overall survival equivalent to those seen after axillary lymph node dissection (ALND), but with significantly lower morbidity. Application of the Z0011 guidelines resulted in fewer ALNDs without affecting locoregional recurrence or survival. Changes in practice inevitably affect health care costs. The current study investigated the actual impact of applying the Z0011 guidelines to eligible patients and determined the costs of care at a single institution., Patients and Methods: We compared axillary nodal management and cost data in breast cancer patients who met the Z0011 criteria and were treated with BCT and SLNB. Patients were allocated into two mutually exclusive cohorts based on the date of surgery: pre-Z0011 (June 2013 to December 2015) and post-Z0011 (June 2016 to December 2018)., Results: Of 3912 patients, 433 (23%) and 357 (17.6%) patients in the pre- and post-Z0011 era had positive lymph nodes. ALND decreased from 15.3% to 1.57% in the post-Z0011 era. The mean overall cost of SLNB in the pre-Z0011 cohort was €1312 per patient, while that for SLNB with completion ALND was €2613. Intraoperative frozen section (FS) use decreased from 100% to 12%. Omitting the FS decreased mean costs from €247 to €176. The mean total cost in the pre-Z0011 cohort was €1807 per patient, while in the post-Z0011 cohort it was €1498. The application of Z0011 resulted in an overall mean cost savings of €309 for each patient., Conclusions: Application of the Z0011 criteria to patients undergoing BCT at our institution results in more than half a million Euro cost savings., Competing Interests: Declaration of competing interest No conflict of interest., (Copyright © 2021. Published by Elsevier Ltd.)
- Published
- 2021
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47. Aloe djiboutiensis : Antioxidant Activity, Molecular Networking-Based Approach and In Vivo Toxicity of This Endemic Species in Djibouti.
- Author
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Elmi A, Mohamed Abdoul-Latif F, Spina R, Dupire F, Philippot S, Marie-France C, Jacobs H, and Laurain-Mattar D
- Subjects
- Animals, Female, Male, Mice, Body Temperature drug effects, Chromatography, Liquid methods, Djibouti, Tandem Mass Spectrometry methods, Aloe chemistry, Antioxidants pharmacology, Plant Extracts administration & dosage, Plant Extracts pharmacology
- Abstract
For the first time, the study of the antioxidant activity, the characterization of the phytoconstituants, and the evaluation of in vitro and in vivo toxicity of A. djiboutiensis leave and latex are performed. The antioxidant activity of both latex (ADL) and the methanolic extract of leaves (ADM) is determined using 1-diphenyl-2-picrylhydrazyl (DPPH), 2,2'-azino-bis 3-ethylbenzothiazoline-6-sulphonic acid (ABTS) scavenging radical methods and ferric reducing/antioxidant power (FRAP) assay. The phytochemical study of latex is done using Liquid Chromatography-Mass Spectrometry (LC-MS/MS) and a molecular networking-based approach. The evaluation of in vivo toxicity is performed on mice by oral gavage with a suspension of ADL. Our results show that weak antioxidant activity of ADL and ADM in opposition to their high polyphenol, 83.01 mg and 46.4 mg expressed in gallic acid equivalent (GAE)/g of dry weight (DW), respectively, and flavonoid contents 13.12 mg and 4.25 mg expressed in quercetin equivalent (QE)/g dry weight (DW), respectively. Using the Global Natural Products Social Molecular Networking (GNPS) website, nine (9) anthraquinones derivatives, ten (10) chromones derivatives, two (2) flavonols/ chromones isomers are annotated in the molecular network. The treated mice do not display abnormalities in their general physical appearance and biochemistry parameters, compared to the controls. Only glucose and calcium levels are slightly higher in male treated mice compared to the vehicles.
- Published
- 2021
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48. Molecular Identification of Endophytic Bacteria in Leucojum aestivum In Vitro Culture , NMR-Based Metabolomics Study and LC-MS Analysis Leading to Potential Amaryllidaceae Alkaloid Production.
- Author
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Spina R, Saliba S, Dupire F, Ptak A, Hehn A, Piutti S, Poinsignon S, Leclerc S, Bouguet-Bonnet S, and Laurain-Mattar D
- Subjects
- Amaryllidaceae Alkaloids analysis, Bacillus chemistry, Bacillus isolation & purification, Chromatography, Liquid, Endophytes chemistry, Endophytes isolation & purification, Industrial Microbiology methods, Magnetic Resonance Spectroscopy, Mass Spectrometry, Metabolomics, Amaryllidaceae microbiology, Amaryllidaceae Alkaloids metabolism, Bacillus metabolism, Endophytes metabolism
- Abstract
In this study, endophytic bacteria belonging to the Bacillus genus were isolated from in vitro bulblets of Leucojum aestivum and their ability to produce Amaryllidaceae alkaloids was studied. Proton Nuclear Magnetic Resonance (
1 H NMR)-based metabolomics combined with multivariate data analysis was chosen to compare the metabolism of this plant (in vivo bulbs, in vitro bulblets) with those of the endophytic bacteria community. Primary metabolites were quantified by quantitative1 H NMR (qNMR) method. The results showed that tyrosine, one precursor of the Amaryllidaceae alkaloid biosynthesis pathway, was higher in endophytic extract compared to plant extract. In total, 22 compounds were identified including five molecules common to plant and endophyte extracts (tyrosine, isoleucine, valine, fatty acids and tyramine). In addition, endophytic extracts were analyzed using Liquid Chromatography-Mass Spectrometry (LC-MS) and Gas Chromatography-Mass Spectrometry (GC-MS) for the identification of compounds in very low concentrations. Five Amaryllidaceae alkaloids were detected in the extracts of endophytic bacteria. Lycorine, previously detected by1 H NMR, was confirmed with LC-MS analysis. Tazettine, pseudolycorine, acetylpseudolycorine, 1,2-dihydro-chlidanthine were also identified by LC-MS using the positive ionization mode or by GC-MS. In addition, 11 primary metabolites were identified in the endophytic extracts such as tyramine, which was obtained by decarboxylation of tyrosine. Thus, Bacillus sp. isolated from L. aestivum bulblets synthesized some primary and specialized metabolites in common with the L. aestivum plant. These endophytic bacteria are an interesting new approach for producing the Amaryllidaceae alkaloid such as lycorine.- Published
- 2021
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49. Evaluation of Antiviral, Antibacterial and Antiproliferative Activities of the Endophytic Fungus Curvularia papendorfii , and Isolation of a New Polyhydroxyacid.
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Khiralla A, Spina R, Varbanov M, Philippot S, Lemiere P, Slezack-Deschaumes S, André P, Mohamed I, Yagi SM, and Laurain-Mattar D
- Abstract
An endophytic fungus isolated from Vernonia amygdalina, a medicinal plant from Sudan, was taxonomically characterized as Curvularia papendorfii. Ethyl acetate crude extract of C. papendorfii revealed an important antiviral effect against two viral pathogens, the human coronavirus HCoV 229E and a norovirus surrogate, the feline coronavirus FCV F9. For the last one, 40% of the reduction of the virus-induced cytopathogenic effect at lower multiplicity of infection (MOI) 0.0001 was observed. Selective antibacterial activity was obtained against Staphylococcus sp. (312 µg/mL), and interesting antiproliferative activity with half maximal inhibitory concentration (IC
50 ) value of 21.5 ± 5.9 µg/mL was observed against human breast carcinoma MCF7 cell line. Therefore, C. papendorfii crude extract was further investigated and fractionated. Twenty-two metabolites were identified by gas chromatography coupled to mass spectrometry (GC-MS), and two pure compounds, mannitol and a new polyhydroxyacid, called kheiric acid, were characterized. A combination of spectroscopic methods was used to elucidate the structure of the new aliphatic carboxylic acid: kheiric acid (3,7,11,15-tetrahydroxy-18-hydroxymethyl-14,16,20,22,24-pentamethyl-hexacosa-4E,8E,12E,16,18-pentaenoic acid). Kheiric acid showed an interesting result with a minimum inhibitory concentration (MIC) value of 62.5 µg/mL against meticillin-resistant Staphylococcus aureus (MRSA). Hence, endophytes associated with medicinal plants from Sudan merit more attention, as they could be a treasure of new bioactive compounds.- Published
- 2020
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50. Evaluation of Antioxidant and Antibacterial Activities, Cytotoxicity of Acacia seyal Del Bark Extracts and Isolated Compounds.
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Elmi A, Spina R, Risler A, Philippot S, Mérito A, Duval RE, Abdoul-Latif FM, and Laurain-Mattar D
- Subjects
- Anti-Bacterial Agents pharmacology, Antioxidants pharmacology, Benzothiazoles chemistry, Biphenyl Compounds chemistry, Cholesterol analogs & derivatives, Cholesterol chemistry, Cholesterol isolation & purification, Corynebacterium drug effects, Oleic Acids chemistry, Oleic Acids isolation & purification, Phytosterols chemistry, Phytosterols isolation & purification, Picrates chemistry, Plant Bark chemistry, Plant Extracts pharmacology, Polyphenols chemistry, Polyphenols pharmacology, Sitosterols chemistry, Sitosterols isolation & purification, Spectrometry, Mass, Matrix-Assisted Laser Desorption-Ionization, Stigmasterol chemistry, Stigmasterol isolation & purification, Sulfonic Acids chemistry, Tannins chemistry, Acacia chemistry, Anti-Bacterial Agents chemistry, Antioxidants chemistry, Plant Extracts chemistry
- Abstract
Water extract of Acacia seyal bark is used traditionally by the population in Djibouti for its anti-infectious activity. The evaluation of in vitro antibacterial, antioxidant activities and cytotoxicity as well as chemical characterization of Acacia seyal bark water and methanolic extracts were presented. The water extract has a toxicity against the MRC-5 cells at 256 μg/mL while the methanolic extract has a weak toxicity at the same concentration. The methanolic extract has a strong antioxidant activity with half maximal inhibitory concentration (IC
50 ) of 150 ± 2.2 μg/mL using 1-diphenyl-2-picrylhydrazyl (DPPH) and IC50 of 27 ± 1.3 μg/mL using 2,2'-azino-bis 3-ethylbenzthiazoline-6-sulphonic acid (ABTS) radical methods. For ferric reducing/antioxidant power (FRAP) assay, the result is 45.74 ± 5.96 μg Vitamin C Equivalent (VCE)/g of dry weight (DW). The precipitation of tannins from methanol crude extract decreases the MIC from 64 µg/mL to 32 µg/mL against Staphylococcus aureus and Corynebacterium urealyticum . However, the antioxidant activity is higher before tannins precipitation than after (IC50 = 150 µg/mL for methanolic crude extract and 250 µg/mL after tannins precipitation determined by DPPH method). By matrix-assisted laser desorption/ionization time-of-flight mass spectrometry (MALDI-TOF MS) analysis, the results showed that the condensed tannins consist of two types of catechin and gallocatechin-based oligomers. The fractionation led to the identification of three pure compounds: two flavanols catechin and epicatechin; one triterpene as lupeol; and a mixture of three steroids and one fatty acid: campesterol, stigmasterol, clionasterol, and oleamide.- Published
- 2020
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