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1.
Cell ; 151(3): 619-29, 2012 Oct 26.
Artículo en Inglés | MEDLINE | ID: mdl-23101629

RESUMEN

The GTPase dynamin polymerizes into a helical coat that constricts membrane necks of endocytic pits to promote their fission. However, the dynamin mechanism is still debated because constriction is necessary but not sufficient for fission. Here, we show that fission occurs at the interface between the dynamin coat and the uncoated membrane. At this location, the considerable change in membrane curvature increases the local membrane elastic energy, reducing the energy barrier for fission. Fission kinetics depends on tension, bending rigidity, and the dynamin constriction torque. Indeed, we experimentally find that the fission rate depends on membrane tension in vitro and during endocytosis in vivo. By estimating the energy barrier from the increased elastic energy at the edge of dynamin and measuring the dynamin torque, we show that the mechanical energy spent on dynamin constriction can reduce the energy barrier for fission sufficiently to promote spontaneous fission. :


Asunto(s)
Membrana Celular/metabolismo , Dinaminas/metabolismo , Endocitosis , Modelos Biológicos , Animales , Células COS , Chlorocebus aethiops , Guanosina Trifosfato/metabolismo , Proteínas SNARE/metabolismo
2.
Eur Radiol ; 2024 Aug 13.
Artículo en Inglés | MEDLINE | ID: mdl-39136705

RESUMEN

Assessing the response to oncological treatments is paramount for determining the prognosis and defining the best treatment for each patient. Several biomarkers, including imaging, can be used, but standardization is fundamental for consistency and reliability. Tumor response evaluation criteria have been defined by international groups for application in pharmaceutical clinical trials evaluating new drugs or therapeutic strategies. RECIST 1.1 criteria are exclusively based on unidimensional lesion measurements; changes in tumor size are used as surrogate imaging biomarkers to correlate with patient outcomes. However, increased tumor size does not always reflect tumor progression. The introduction of immunotherapy has led to the development of new criteria (iRECIST, Level of Evidence (LoE) Ib) that consider the possibility that an increase in disease burden is secondary to the immune response instead of progression, with the new concept of Unconfirmed Progressive Disease (a first progression event which must be confirmed on follow-up). Specific criteria were devised for HCC (mRECIST, LoE IV), which measure only enhancing HCC portions to account for changes after local therapy. For GIST treated with imatinib, criteria were developed to account for the possible increase in size reflecting a response rather than a progression by assessing both tumor size and density on CT (Choi, LoE II). This article provides concise and relevant practice recommendations aimed at general radiologists to help choose and apply the most appropriate criteria for assessing response to treatment in different oncologic scenarios. Though these criteria were developed for clinical trials, they may be applied in clinical practice as a guide for day-to-day interpretation. KEY POINTS: Response evaluation criteria, designed for use in clinical trials, might serve as a surrogate biomarker for overall survival. RECIST 1.1 defines measurable and non-measurable disease among which target lesions and non-target lesions are selected at baseline as reference for follow-ups. Some therapies and/or cancers require the use of different criteria, such as iRECIST, mRECIST, and Choi criteria.

3.
Int J Mol Sci ; 25(9)2024 Apr 29.
Artículo en Inglés | MEDLINE | ID: mdl-38732089

RESUMEN

Antimicrobial peptides (AMPs) are molecules with an amphipathic structure that enables them to interact with bacterial membranes. This interaction can lead to membrane crossing and disruption with pore formation, culminating in cell death. They are produced naturally in various organisms, including humans, animals, plants and microorganisms. In higher animals, they are part of the innate immune system, where they counteract infection by bacteria, fungi, viruses and parasites. AMPs can also be designed de novo by bioinformatic approaches or selected from combinatorial libraries, and then produced by chemical or recombinant procedures. Since their discovery, AMPs have aroused interest as potential antibiotics, although few have reached the market due to stability limits or toxicity. Here, we describe the development phase and a number of clinical trials of antimicrobial peptides. We also provide an update on AMPs in the pharmaceutical industry and an overall view of their therapeutic market. Modifications to peptide structures to improve stability in vivo and bioavailability are also described.


Asunto(s)
Péptidos Antimicrobianos , Humanos , Animales , Péptidos Antimicrobianos/química , Péptidos Antimicrobianos/farmacología , Ensayos Clínicos como Asunto , Péptidos Catiónicos Antimicrobianos/química , Péptidos Catiónicos Antimicrobianos/farmacología
4.
Molecules ; 29(17)2024 Aug 28.
Artículo en Inglés | MEDLINE | ID: mdl-39274917

RESUMEN

The dissolution of CO2 in seawater in the form of bicarbonate ions is an attractive alternative to storage in geological formations, on the condition that the storage is stable over long periods and does not harm the marine environment. In this work, we focus on the long-term chemical stability of CO2 absorbed in seawater as bicarbonate by monitoring the physico-chemical properties of the solutions (pH, dissolved inorganic carbon and alkalinity) in six different sets of experiments on both natural and artificial seawater lasting up to three months. The bicarbonate treatment of natural seawater consists of mixing it with pre-equilibrated solutions obtained from the reaction of CO2 and Ca(OH)2, with the same pH as natural seawater. This was achieved with a pilot plant working with tons of seawater, while small-scale laboratory experiments were carried out by adding sodium bicarbonate to artificial seawater solutions. If the increase in the overall carbon concentration in the final mixture does not exceed a critical threshold (about 1000-1500 µmol/L), the resulting bicarbonate-rich solutions are found to be stable for over three months.

5.
Sensors (Basel) ; 23(9)2023 Apr 23.
Artículo en Inglés | MEDLINE | ID: mdl-37177428

RESUMEN

Employment of precise positioning techniques will enable low-cost receivers for a variety of applications. The complexity of techniques such as Precise Point Positioning (PPP), or differential techniques that require the use of external sources of corrections, could be a disadvantage for users. On the other hand, a simple technique such as Single-Point Positioning (SPP) alone does not provide high-level accuracy. Nevertheless, the entry Galileo High-Accuracy Service (HAS), even if developed to be applied on PPP, could offer a positive impact on SPP. The objective of this study is the analysis of the effects of HAS on SPP, which are evaluated for Galileo and GPS, in single- and double-constellation mode. Results are encouraging, especially on the vertical channel, where some centimetric improvements are obtained.

6.
Int J Mol Sci ; 24(9)2023 Apr 27.
Artículo en Inglés | MEDLINE | ID: mdl-37175674

RESUMEN

SET-M33 is a synthetic peptide that is being developed as a new antibiotic against major Gram-negative bacteria. Here we report two in vivo studies to assess the toxicity and efficacy of the peptide in a murine model of pulmonary inflammation. First, we present the toxicity study in which SET-M33 was administered to CD-1 mice by snout inhalation exposure for 1 h/day for 7 days at doses of 5 and 20 mg/kg/day. The results showed adverse clinical signs and effects on body weight at the higher dose, as well as some treatment-related histopathology findings (lungs and bronchi, nose/turbinates, larynx and tracheal bifurcation). On this basis, the no observable adverse effect level (NOAEL) was considered to be 5 mg/kg/day. We then report an efficacy study of the peptide in an endotoxin (LPS)-induced pulmonary inflammation model. Intratracheal administration of SET-M33 at 0.5, 2 and 5 mg/kg significantly inhibited BAL neutrophil cell counts after an LPS challenge. A significant reduction in pro-inflammatory cytokines, KC, MIP-1α, IP-10, MCP-1 and TNF-α was also recorded after SET-M33 administration.


Asunto(s)
Endotoxinas , Neumonía , Ratones , Animales , Endotoxinas/toxicidad , Péptidos Antimicrobianos , Lipopolisacáridos/toxicidad , Neumonía/inducido químicamente , Neumonía/tratamiento farmacológico , Citocinas , Péptidos , Inflamación/tratamiento farmacológico , Líquido del Lavado Bronquioalveolar
7.
Sensors (Basel) ; 22(21)2022 Nov 04.
Artículo en Inglés | MEDLINE | ID: mdl-36366212

RESUMEN

GNSS (Global Navigation Satellite System) receivers are not only able to accurately determine position, but also velocity, knowledge of which could be important in several applications. The most adopted technique for velocity estimation exploits the Doppler shift due to the relative motion between the signal source and the receiver. Alternatively, the TDCP (Time-Differenced Carrier Phase) technique, based on the differences between consecutive carrier-phase measurements, can be used. TDCP is theoretically able to achieve better performance compared with the Doppler-based approach, exploiting the high precision of a carrier-phase observable, and without suffering the ambiguity issue. The main objective of this study is to analyze TDCP performance on a smartphone GNSS chip. Smartphones GNSS receivers are usually characterized by noisy observables owing to the low quality of the antenna used; it is, therefore, interesting to compare the smartphone TDCP performance with that of the Doppler-based technique. To evaluate the benefits that TDCP can provide, especially in terms of the smartphone chip, these two approaches to velocity determination are compared using three different devices: a Novatel geodetic receiver, a u-blox multi-frequency receiver, and a Xiaomi Mi8 smartphone. The results demonstrate a performance degradation in the smartphone GNSS chip when TDCP is used, compared with the performance of higher-grade receivers. In fact, the Xiaomi Mi8 maximum errors are greater than those of the Novatel geodetic receiver, but they are still acceptable as they do not exceed 6 cm/s, making the TDCP technique a valid approach for advanced algorithms; indeed, TDCP velocity demonstrates a few mm/s accuracy with a smartphone. The application of a RAIM algorithm enables error reduction and the achievement of reliable information; the obtained solution reliability is about 89%.


Asunto(s)
Sistemas de Información Geográfica , Teléfono Inteligente , Reproducibilidad de los Resultados , Recolección de Datos , Efecto Doppler
8.
Sensors (Basel) ; 22(3)2022 Jan 20.
Artículo en Inglés | MEDLINE | ID: mdl-35161521

RESUMEN

The objective of this work is the evaluation of the performances of EGNOS (European Geostationary Navigation Overlay System) augmentation system in maritime navigation by comparing them with those obtained by other positioning methods as Single Point Positioning (SPP) and Differential Global Positioning System (DGPS). Preliminarily, EGNOS performances in an open-sky context were evaluated through static data downloaded by EGNOS RIMS (Ranging and Integrity Monitoring Stations) located in Rome. Then, for the maritime test carried out onboard a boat in the Gulf of Naples, two dual-frequency receivers were used: Xiaomi Mi 8 smartphone and u-blox ZED-F9P multi-band GNSS (Global Navigation Satellite System) receiver, both in kinematic mode. At last, IMO (International Maritime Organization) requirements, established in IMO Resolution A.1046 (27), that a SBAS (Satellite Based Augmentation System) system in particular scenarios (coastal, inland-water, harbor navigation and ocean waters) must respect, were verified.


Asunto(s)
Sistemas de Información Geográfica , Teléfono Inteligente , Fenómenos Biomecánicos , Recolección de Datos , Navíos
9.
Radiol Med ; 127(8): 809-818, 2022 Aug.
Artículo en Inglés | MEDLINE | ID: mdl-35715681

RESUMEN

PURPOSE: To compare examination quality and acceptability of three different low-volume bowel preparation regimens differing in scheduling of the oral administration of a Macrogol-based solution, in patients undergoing computed tomographic colonography (CTC). The secondary aim was to compare CTC quality according to anatomical and patient variables (dolichocolon, colonic diverticulosis, functional and secondary constipation). METHODS: One-hundred-eighty patients were randomized into one of three regimens where PEG was administered, respectively: in a single dose the day prior to (A), or in a fractionated dose 2 (B) and 3 days (C) before the examination. Two experienced radiologists evaluated fecal tagging (FT) density and homogeneity both qualitatively and quantitatively by assessing mean segment density (MSD) and relative standard deviation (RSD). Tolerance to the regimens and patient variables were also recorded. RESULTS: Compared to B and C, regimen A showed a lower percentage of segments with inadequate FT and a significantly higher median FT density and/or homogeneity scores as well as significantly higher MSD values in some colonic segments. No statistically significant differences were found in tolerance of the preparations. A higher number of inadequate segments were observed in patients with dolichocolon (p < 0.01) and secondary constipation (p < 0.01). Interobserver agreement was high for the assessment of both FT density (k = 0.887) and homogeneity (k = 0.852). CONCLUSION: The best examination quality was obtained when PEG was administered the day before CTC in a single session. The presence of dolichocolon and secondary constipation represent a risk factor for the presence of inadequately tagged colonic segments.


Asunto(s)
Enfermedades del Colon , Colonografía Tomográfica Computarizada , Catárticos , Estreñimiento/diagnóstico por imagen , Medios de Contraste , Heces , Humanos , Polietilenglicoles
10.
Eur Radiol ; 31(11): 8554-8564, 2021 Nov.
Artículo en Inglés | MEDLINE | ID: mdl-33881567

RESUMEN

OBJECTIVES: To investigate the correlation between CT imaging features and risk stratification of gastrointestinal stromal tumors (GISTs), prediction of mutation status, and prognosis. METHODS: This retrospective dual-institution study included patients with pathologically proven GISTs meeting the following criteria: (i) preoperative contrast-enhanced CT performed between 2008 and 2019; (ii) no treatments before imaging; (iii) available pathological analysis. Tumor risk stratification was determined according to the National Institutes of Health (NIH) 2008 criteria. Two readers evaluated the CT features, including enhancement patterns and tumor characteristics in a blinded fashion. The differences in distribution of CT features were assessed using univariate and multivariate analyses. Survival analyses were performed by using the Cox proportional hazard model, Kaplan-Meier method, and log-rank test. RESULTS: The final population included 88 patients (59 men and 29 women, mean age 60.5 ± 11.1 years) with 45 high-risk and 43 low-to-intermediate-risk GISTs (median size 6.3 cm). At multivariate analysis, lesion size ≥ 5 cm (OR: 10.52, p = 0.009) and enlarged feeding vessels (OR: 12.08, p = 0.040) were independently associated with the high-risk GISTs. Hyperenhancement was significantly more frequent in PDGFRα-mutated/wild-type GISTs compared to GISTs with KIT mutations (59.3% vs 23.0%, p = 0.004). Ill-defined margins were associated with shorter progression-free survival (HR 9.66) at multivariate analysis, while ill-defined margins and hemorrhage remained independently associated with shorter overall survival (HR 44.41 and HR 30.22). Inter-reader agreement ranged from fair to almost perfect (k: 0.32-0.93). CONCLUSIONS: Morphologic contrast-enhanced CT features are significantly different depending on the risk status or mutations and may help to predict prognosis. KEY POINTS: • Lesions size ≥ 5 cm (OR: 10.52, p = 0.009) and enlarged feeding vessels (OR: 12.08, p = 0.040) are independent predictors of high-risk GISTs. • PDGFRα-mutated/wild-type GISTs demonstrate more frequently hyperenhancement compared to GISTs with KIT mutations (59.3% vs 23.0%, p = 0.004). • Ill-defined margins (hazard ratio 9.66) were associated with shorter progression-free survival at multivariate analysis, while ill-defined margins (hazard ratio 44.41) and intralesional hemorrhage (hazard ratio 30.22) were independently associated with shorter overall survival.


Asunto(s)
Tumores del Estroma Gastrointestinal , Anciano , Femenino , Tumores del Estroma Gastrointestinal/diagnóstico por imagen , Tumores del Estroma Gastrointestinal/genética , Humanos , Masculino , Persona de Mediana Edad , Mutación , Pronóstico , Estudios Retrospectivos , Medición de Riesgo , Tomografía Computarizada por Rayos X
11.
Eur Radiol ; 31(5): 2967-2982, 2021 May.
Artículo en Inglés | MEDLINE | ID: mdl-33104846

RESUMEN

MAIN RECOMMENDATIONS: 1. ESGE/ESGAR recommend computed tomographic colonography (CTC) as the radiological examination of choice for the diagnosis of colorectal neoplasia. Strong recommendation, high quality evidence. ESGE/ESGAR do not recommend barium enema in this setting. Strong recommendation, high quality evidence.2. ESGE/ESGAR recommend CTC, preferably the same or next day, if colonoscopy is incomplete. The timing depends on an interdisciplinary decision including endoscopic and radiological factors. Strong recommendation, low quality evidence. ESGE/ESGAR suggests that, in centers with expertise in and availability of colon capsule endoscopy (CCE), CCE preferably the same or the next day may be considered if colonoscopy is incomplete. Weak recommendation, low quality evidence.3. When colonoscopy is contraindicated or not possible, ESGE/ESGAR recommend CTC as an acceptable and equally sensitive alternative for patients with alarm symptoms. Strong recommendation, high quality evidence. Because of lack of direct evidence, ESGE/ESGAR do not recommend CCE in this situation. Very low quality evidence. ESGE/ESGAR recommend CTC as an acceptable alternative to colonoscopy for patients with non-alarm symptoms. Strong recommendation, high quality evidence. In centers with availability, ESGE/ESGAR suggests that CCE may be considered in patients with non-alarm symptoms. Weak recommendation, low quality evidence.4. Where there is no organized fecal immunochemical test (FIT)-based population colorectal screening program, ESGE/ESGAR recommend CTC as an option for colorectal cancer screening, providing the screenee is adequately informed about test characteristics, benefits, and risks, and depending on local service- and patient-related factors. Strong recommendation, high quality evidence. ESGE/ESGAR do not suggest CCE as a first-line screening test for colorectal cancer. Weak recommendation, low quality evidence.5. ESGE/ESGAR recommend CTC in the case of a positive fecal occult blood test (FOBT) or FIT with incomplete or unfeasible colonoscopy, within organized population screening programs. Strong recommendation, moderate quality evidence. ESGE/ESGAR also suggest the use of CCE in this setting based on availability. Weak recommendation, moderate quality evidence.6. ESGE/ESGAR suggest CTC with intravenous contrast medium injection for surveillance after curative-intent resection of colorectal cancer only in patients in whom colonoscopy is contraindicated or unfeasible. Weak recommendation, low quality evidence. There is insufficient evidence to recommend CCE in this setting. Very low quality evidence.7. ESGE/ESGAR suggest CTC in patients with high risk polyps undergoing surveillance after polypectomy only when colonoscopy is unfeasible. Weak recommendation, low quality evidence. There is insufficient evidence to recommend CCE in post-polypectomy surveillance. Very low quality evidence.8. ESGE/ESGAR recommend against CTC in patients with acute colonic inflammation and in those who have recently undergone colorectal surgery, pending a multidisciplinary evaluation. Strong recommendation, low quality evidence.9. ESGE/ESGAR recommend referral for endoscopic polypectomy in patients with at least one polyp ≥6 mm detected at CTC or CCE. Follow-up CTC may be clinically considered for 6-9-mm CTC-detected lesions if patients do not undergo polypectomy because of patient choice, comorbidity, and/or low risk profile for advanced neoplasia. Strong recommendation, moderate quality evidence. Source and scope This is an update of the 2014-15 Guideline of the European Society of Gastrointestinal Endoscopy (ESGE) and the European Society of Gastrointestinal and Abdominal Radiology (ESGAR). It addresses the clinical indications for the use of imaging alternatives to standard colonoscopy. A targeted literature search was performed to evaluate the evidence supporting the use of computed tomographic colonography (CTC) or colon capsule endoscopy (CCE). The Grading of Recommendations Assessment, Development and Evaluation (GRADE) system was adopted to define the strength of recommendations and the quality of evidence.


Asunto(s)
Colonografía Tomográfica Computarizada , Neoplasias Colorrectales , Radiología , Colonoscopía , Neoplasias Colorrectales/diagnóstico por imagen , Endoscopía Gastrointestinal , Humanos
12.
Int J Cancer ; 147(11): 3215-3223, 2020 12 01.
Artículo en Inglés | MEDLINE | ID: mdl-32875550

RESUMEN

The aim of our study was to develop and validate a machine learning algorithm to predict response of individual HER2-amplified colorectal cancer liver metastases (lmCRC) undergoing dual HER2-targeted therapy. Twenty-four radiomics features were extracted after 3D manual segmentation of 141 lmCRC on pretreatment portal CT scans of a cohort including 38 HER2-amplified patients; feature selection was then performed using genetic algorithms. lmCRC were classified as nonresponders (R-), if their largest diameter increased more than 10% at a CT scan performed after 3 months of treatment, responders (R+) otherwise. Sensitivity, specificity, negative (NPV) and positive (PPV) predictive values in correctly classifying individual lesion and overall patient response were assessed on a training dataset and then validated on a second dataset using a Gaussian naïve Bayesian classifier. Per-lesion sensitivity, specificity, NPV and PPV were 89%, 85%, 93%, 78% and 90%, 42%, 73%, 71% respectively in the testing and validation datasets. Per-patient sensitivity and specificity were 92% and 86%. Heterogeneous response was observed in 9 of 38 patients (24%). Five of nine patients were carriers of nonresponder lesions correctly classified as such by our radiomics signature, including four of seven harboring only one nonresponder lesion. The developed method has been proven effective in predicting behavior of individual metastases to targeted treatment in a cohort of HER2 amplified patients. The model accurately detects responder lesions and identifies nonresponder lesions in patients with heterogeneous response, potentially paving the way to multimodal treatment in selected patients. Further validation will be needed to confirm our findings.


Asunto(s)
Neoplasias Colorrectales/tratamiento farmacológico , Neoplasias Hepáticas/tratamiento farmacológico , Neoplasias Hepáticas/secundario , Inhibidores de Proteínas Quinasas/uso terapéutico , Receptor ErbB-2/genética , Tomografía Computarizada por Rayos X/métodos , Anciano , Algoritmos , Neoplasias Colorrectales/diagnóstico por imagen , Neoplasias Colorrectales/genética , Femenino , Humanos , Neoplasias Hepáticas/diagnóstico por imagen , Neoplasias Hepáticas/genética , Aprendizaje Automático , Masculino , Persona de Mediana Edad , Terapia Molecular Dirigida , Sensibilidad y Especificidad , Análisis de Supervivencia , Resultado del Tratamiento
13.
Endoscopy ; 52(12): 1127-1141, 2020 12.
Artículo en Inglés | MEDLINE | ID: mdl-33105507

RESUMEN

1: ESGE/ESGAR recommend computed tomographic colonography (CTC) as the radiological examination of choice for the diagnosis of colorectal neoplasia.Strong recommendation, high quality evidence.ESGE/ESGAR do not recommend barium enema in this setting.Strong recommendation, high quality evidence. 2: ESGE/ESGAR recommend CTC, preferably the same or next day, if colonoscopy is incomplete. The timing depends on an interdisciplinary decision including endoscopic and radiological factors.Strong recommendation, low quality evidence.ESGE/ESGAR suggests that, in centers with expertise in and availability of colon capsule endoscopy (CCE), CCE preferably the same or the next day may be considered if colonoscopy is incomplete.Weak recommendation, low quality evidence. 3: When colonoscopy is contraindicated or not possible, ESGE/ESGAR recommend CTC as an acceptable and equally sensitive alternative for patients with alarm symptoms.Strong recommendation, high quality evidence.Because of lack of direct evidence, ESGE/ESGAR do not recommend CCE in this situation.Very low quality evidence.ESGE/ESGAR recommend CTC as an acceptable alternative to colonoscopy for patients with non-alarm symptoms.Strong recommendation, high quality evidence.In centers with availability, ESGE/ESGAR suggests that CCE may be considered in patients with non-alarm symptoms.Weak recommendation, low quality evidence. 4: Where there is no organized fecal immunochemical test (FIT)-based population colorectal screening program, ESGE/ESGAR recommend CTC as an option for colorectal cancer screening, providing the screenee is adequately informed about test characteristics, benefits, and risks, and depending on local service- and patient-related factors.Strong recommendation, high quality evidence.ESGE/ESGAR do not suggest CCE as a first-line screening test for colorectal cancer.Weak recommendation, low quality evidence. 5: ESGE/ESGAR recommend CTC in the case of a positive fecal occult blood test (FOBT) or FIT with incomplete or unfeasible colonoscopy, within organized population screening programs.Strong recommendation, moderate quality evidence.ESGE/ESGAR also suggest the use of CCE in this setting based on availability.Weak recommendation, moderate quality evidence. 6: ESGE/ESGAR suggest CTC with intravenous contrast medium injection for surveillance after curative-intent resection of colorectal cancer only in patients in whom colonoscopy is contraindicated or unfeasibleWeak recommendation, low quality evidence.There is insufficient evidence to recommend CCE in this setting.Very low quality evidence. 7: ESGE/ESGAR suggest CTC in patients with high risk polyps undergoing surveillance after polypectomy only when colonoscopy is unfeasible.Weak recommendation, low quality evidence.There is insufficient evidence to recommend CCE in post-polypectomy surveillance.Very low quality evidence. 8: ESGE/ESGAR recommend against CTC in patients with acute colonic inflammation and in those who have recently undergone colorectal surgery, pending a multidisciplinary evaluation.Strong recommendation, low quality evidence. 9: ESGE/ESGAR recommend referral for endoscopic polypectomy in patients with at least one polyp ≥ 6 mm detected at CTC or CCE.Follow-up CTC may be clinically considered for 6 - 9-mm CTC-detected lesions if patients do not undergo polypectomy because of patient choice, comorbidity, and/or low risk profile for advanced neoplasia.Strong recommendation, moderate quality evidence.


Asunto(s)
Colonografía Tomográfica Computarizada , Neoplasias Colorrectales , Radiología , Colonoscopía , Neoplasias Colorrectales/diagnóstico por imagen , Humanos
14.
Opt Express ; 27(14): 19382-19397, 2019 Jul 08.
Artículo en Inglés | MEDLINE | ID: mdl-31503698

RESUMEN

In the presence of strong light scattering, as often encountered in biological tissue, optical microscopy becomes challenging and technical demanding. Beside image quality, the quantitative determination of molecular properties is also strongly affected by scattering. We have carried out fluorescence correlation spectroscopy (FCS) experiments, in a solution of fluorophores, through a sparse scattering layer made of dielectric beads. We observe that the fluorescence signal steadily decreases as the focus is moved away from the scattering layer. By contrast, the estimated number of molecules recovers its normal value beyond a characteristic distance of about twice the bead diameters, below which it is strongly biased. Accompanying theoretical modeling demonstrates how diffraction and refraction by the scattering layer and their impact on FCS measurements depend on size and refractive index of the beads.

15.
Phys Rev Lett ; 122(16): 168101, 2019 Apr 26.
Artículo en Inglés | MEDLINE | ID: mdl-31075005

RESUMEN

The structural and functional organization of biological tissues relies on the intricate interplay between chemical and mechanical signaling. Whereas the role of constant and transient mechanical perturbations is generally accepted, several studies recently highlighted the existence of long-range mechanical excitations (i.e., waves) at the supracellular level. Here, we confine epithelial cell monolayers to quasi-one-dimensional geometries, to force the establishment of tissue-level waves of well-defined wavelength and period. Numerical simulations based on a self-propelled Voronoi model reproduce the observed waves and exhibit a phase transition between a global and a multinodal wave, controlled by the confinement size. We confirm experimentally the existence of such a phase transition, and show that wavelength and period are independent of the confinement length. Together, these results demonstrate the intrinsic origin of tissue oscillations, which could provide cells with a mechanism to accurately measure distances at the supracellular level.


Asunto(s)
Movimiento Celular , Modelos Biológicos , Animales , Perros , Fibronectinas/metabolismo , Células de Riñón Canino Madin Darby
16.
Methods ; 94: 114-9, 2016 Feb 01.
Artículo en Inglés | MEDLINE | ID: mdl-26210402

RESUMEN

There is increasing evidence that multicellular structures respond to mechanical cues, such as the confinement and compression exerted by the surrounding environment. In order to understand the response of tissues to stress, we investigate the effect of an isotropic stress on different biological systems. The stress is generated using the osmotic pressure induced by a biocompatible polymer. We compare the response of multicellular spheroids, individual cells and matrigel to the same osmotic perturbation. Our findings indicate that the osmotic pressure occasioned by polymers acts on these systems like an isotropic mechanical stress. When submitted to this pressure, the volume of multicellular spheroids decreases much more than one could expect from the behavior of individual cells.


Asunto(s)
Esferoides Celulares/fisiología , Resinas Acrílicas/química , Animales , Agregación Celular , Técnicas de Cultivo de Célula , Línea Celular Tumoral , Tamaño de la Célula , Mecanotransducción Celular , Ratones , Presión Osmótica
17.
Nucleic Acids Res ; 41(9): 4926-37, 2013 May.
Artículo en Inglés | MEDLINE | ID: mdl-23543461

RESUMEN

During the past years, exogenous DNA molecules have been used in gene and molecular therapy. At present, it is not known how these DNA molecules reach the cell nucleus. We used an in cell single-molecule approach to observe the motion of exogenous short DNA molecules in the cytoplasm of eukaryotic cells. Our observations suggest an active transport of the DNA along the cytoskeleton filaments. We used an in vitro motility assay, in which the motion of single-DNA molecules along cytoskeleton filaments in cell extracts is monitored; we demonstrate that microtubule-associated motors are involved in this transport. Precipitation of DNA-bound proteins and mass spectrometry analyses reveal the preferential binding of the kinesin KIFC1 on DNA. Cell extract depletion of kinesin KIFC1 significantly decreases DNA motion, confirming the active implication of this molecular motor in the intracellular DNA transport.


Asunto(s)
ADN/metabolismo , Cinesinas/metabolismo , Transporte Biológico Activo , Citoesqueleto/metabolismo , ADN/análisis , Dineínas/metabolismo , Células HeLa , Humanos , Cinesinas/análisis , Microscopía Fluorescente , Microscopía de Contraste de Fase , Microtúbulos/metabolismo
18.
Biophys J ; 107(8): 1821-1828, 2014 Oct 21.
Artículo en Inglés | MEDLINE | ID: mdl-25418163

RESUMEN

In most instances, the growth of solid tumors occurs in constrained environments and requires a competition for space. A mechanical crosstalk can arise from this competition. In this article, we dissect the biomechanical sequence caused by a controlled compressive stress on multicellular spheroids (MCSs) used as a tumor model system. On timescales of minutes, we show that a compressive stress causes a reduction of the MCS volume, linked to a reduction of the cell volume in the core of the MCS. On timescales of hours, we observe a reversible induction of the proliferation inhibitor, p27Kip1, from the center to the periphery of the spheroid. On timescales of days, we observe that cells are blocked in the cell cycle at the late G1 checkpoint, the restriction point. We show that the effect of pressure on the proliferation can be antagonized by silencing p27Kip1. Finally, we quantify a clear correlation between the pressure-induced volume change and the growth rate of the spheroid. The compression-induced proliferation arrest that we studied is conserved for five cell lines, and is completely reversible. It demonstrates a generic crosstalk between mechanical stresses and the key players of cell cycle regulation. Our results suggest a role of volume change in the sensitivity to pressure, and that p27Kip1 is strongly influenced by this change.


Asunto(s)
Proliferación Celular , Tamaño de la Célula , Fuerza Compresiva , Esferoides Celulares/fisiología , Animales , Puntos de Control de la Fase G1 del Ciclo Celular , Células HT29 , Humanos , Ratones , Esferoides Celulares/citología
19.
Nucleic Acids Res ; 40(22): 11769-76, 2012 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-23180779

RESUMEN

In eukaryotes, Rad51 protein is responsible for the recombinational repair of double-strand DNA breaks. Rad51 monomers cooperatively assemble on exonuclease-processed broken ends forming helical nucleo-protein filaments that can pair with homologous regions of sister chromatids. Homologous pairing allows the broken ends to be reunited in a complex but error-free repair process. Rad51 protein has ATPase activity but its role is poorly understood, as homologous pairing is independent of adenosine triphosphate (ATP) hydrolysis. Here we use magnetic tweezers and electron microscopy to investigate how changes of DNA twist affect the structure of Rad51-DNA complexes and how ATP hydrolysis participates in this process. We show that Rad51 protein can bind to double-stranded DNA in two different modes depending on the enforced DNA twist. The stretching mode is observed when DNA is unwound towards a helical repeat of 18.6 bp/turn, whereas a non-stretching mode is observed when DNA molecules are not permitted to change their native helical repeat. We also show that the two forms of complexes are interconvertible and that by enforcing changes of DNA twist one can induce transitions between the two forms. Our observations permit a better understanding of the role of ATP hydrolysis in Rad51-mediated homologous pairing and strand exchange.


Asunto(s)
ADN/química , Recombinasa Rad51/química , Adenosina Trifosfato/metabolismo , Fenómenos Biomecánicos , ADN/metabolismo , ADN/ultraestructura , Humanos , Unión Proteica , Recombinasa Rad51/metabolismo
20.
Phys Rev Lett ; 110(13): 138103, 2013 Mar 29.
Artículo en Inglés | MEDLINE | ID: mdl-23581378

RESUMEN

Collective cell motion is observed in a wide range of biological processes. In tumors, physiological gradients of nutrients, growth factors, or even oxygen give rise to gradients of proliferation. We show using fluorescently labeled particles that these gradients drive a velocity field resulting in a cellular flow in multicellular spheroids. Under mechanical stress, the cellular flow is drastically reduced. We describe the results with a hydrodynamic model that considers only convection of the particles by the cellular flow.


Asunto(s)
Movimiento Celular/fisiología , Modelos Biológicos , Esferoides Celulares/citología , Animales , Compuestos Inorgánicos de Carbono/química , Procesos de Crecimiento Celular/fisiología , Línea Celular Tumoral , Neoplasias del Colon/patología , Medios de Cultivo , Dextranos/química , Colorantes Fluorescentes/química , Hidrodinámica , Ratones , Nanopartículas/química , Dióxido de Silicio/química , Estrés Mecánico , Sulfuros/química
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