Circulating cell-free DNA variables as marker of ovarian cancer patients: A pilot study.

BACKGROUND: Minimal invasive blood-based molecular markers are evaluated as promising biomarkers in malignant diseases these days. OBJECTIVE: In this pilot study, we investigated the potential of cell-free DNA (cfDNA) concentration and cell-free DNA Integrity (cfDI) as blood-based diagnostic markers for ovarian cancer patients in a retrospective study cohort. METHODS: cfDNA concentration and cfDI were determined in the plasma of 37 ovarian cancer patients and 28 healthy controls, by measuring ALU and LINE1 repetitive DNA elements using quantitative real-time PCR. RESULTS: A high correlation was observed between the results of ALU and LINE1. The correlated co-efficiency between the values of cfDNA concentration and cfDI was 0.86 and 0.71. As for the results between cases and controls, no or just borderline significant difference was observed in cfDI after age adjustment (P= 0.40 for ALU and P= 0.05 for LINE1) while cfDNA concentration showed a significant difference between ovarian cancer patients and healthy controls groups (P= 0.03 for ALU and P= 3.00 E-03 for LINE1). cfDNA concentration of ALU and LINE1 had an AUC of 0.81 (0.70-0.91). ALU and LINE1 cfDI reached an AUC of 0.60 (95% CI: 0.46-0.73). The combination of these markers reached the best diagnostic power with an AUC of 0.84. CONCLUSIONS: cfDNA variables might be potentially diagnostic biomarkers in ovarian cancer, in combination with additional molecular markers. However, further studies are needed to confirm the diagnostic ability of cfDNA variables (cfDNA concentration and cfDI).

Management of brain metastasis in a patient with advanced epithelial ovarian carcinoma by gamma-knife radiosurgery.

INTRODUCTION: Brain metastases from epithelial ovarian cancer (EOC) are rare events. We present a rare case of single ovarian cancer metastasis to the brain treated with gamma-knife radiosurgery (GKRS). CASE OUTLINE: A 65-year-old woman with advanced EOC presented with severe neurologic symptoms. A single brain metastasis of 3.2 cm with surrounding edema in the left parietal lobe was detected by brain magnetic resonance imaging (MRI) scan during the work-up. The decision to perform GKRS was due to a surgical inaccessibility of intracranial lesion. Twelve weeks after the procedure, the MRI scan showed reduction in the diameter of brain metastasis and surrounding edema and the patient returned to good mental and motor performance.The patient survived for 22 months following treatment and died from a progressive intra-abdominal disease. Prognosis of ovarian cancer patients with brain metastases is generally poor regardless of treatment. CONCLUSION: Our case shows that GKRS as primary treatment modality for the control of ovarian cancer metastases to the brain was effective and can be considered as a treatment of choice if international selection criteria are followed.

Parasitism of Trombidium brevimanum larvae on agrobiont linyphiid spiders from Germany.

An experiment on three differently-managed agricultural fields in Ahlum, Germany, which aimed at establishing the impact of different management systems on the biodiversity of predators and decomposers, yielded a significant number of spiders parasitized by larvae of Trombidium brevimanum (Actinotrichida, Parasitengona, Trombidiidae). Spider data from the whole sampling period (September 2010-July 2012), indicated that ectoparasitic larvae were recorded only on spiders in pitfall traps in the period of June-July 2011. In this period, only eight species of Linyphiidae--out of 42 species assigned to nine spider families recorded from the study area--were parasitized by mites; considerable levels of parasitism were recorded on Erigone atra, E. dentipalpis, and Oedothorax apicatus. The highest prevalence of parasitism was recorded on the organic field for E. atra (29%), while on the integrated and conventional fields significantly fewer parasitized spiders were observed. The preferred attachment sites on the spider host were regions with softer cuticle, especially regions on the carapace and on the abdomen, adjacent to the pedicel.

Regional tritrophic relationship patterns of five aphid parasitoid species (Hymenoptera: Braconidae: Aphidiinae) in agroecosystem-dominated landscapes of southeastern Europe.

A regional survey of the complex tritrophic associations (parasitoid-aphid-plant) of aphid parasitoids (Hymenoptera: Braconidae: Aphidiinae) was carried out to determine and explore the patterns of those associations in various types of environments. Here, we present trophic relationship patterns of the five aphid parasitoid species in crop and noncrop habitats in southeastern Europe, and we contrast them in a regional (Mediterranean [MED] versus continental [CNT]) context. In total, 79 aphid host taxa were identified in this survey. Forty-two of these were recorded from noncrop plants only, 21 from crop plants only, and 18 were present on both types of plants. This means that approximately 74% of all the parasitoid-aphid trophic interactions that support the persistence of the five selected parasitoids are entirely (54%) or partially (20%) associated with noncrop plants. The correspondence of parasitoid-aphid combinations among habitat/region combinations is very high and specific. Our results suggest that Mediterranean and continental regions are clearly distinguished by a contrasting pattern of trophic interactions in crop habitats, whereas the noncrop habitats contribute in lesser degree to these differences. For the crop/noncrop breakdown, the number of nonspecific interactions was larger than expected in crop habitats, whereas in noncrop habitats the abundance of partially specific and specific interactions was larger. The analysis of variance for the regional and habitat distribution of mean aphid host number per parasitoid was highly significant. When both regions were analyzed separately, the parasitoid/crop design showed significant parasitoid effects as well as interactions, whereas the habitat effect was not significant for the Mediterranean region and highly so for the continental region. This highly complex pattern suggests that the mean number of parasitized aphid species is not distributed among parasitoids, regions, and habitats in a similar manner. Even with these complexities taken into account, the overall trend is that noncrop habitats support more parasitoid-aphid combinations and more so in the continental than in Mediterranean regions, although not always statistically significant. As mentioned, large number of noncrop aphid hosts, especially for Lysiphlebus fabarum (Marshall), Praon volucre (Haliday) and Aphidius colemani Viereck, can significantly enhance the population buildup for these important parasitoids around agroecosystems. These facts can be important in biological aphid pest control in the region. Although not easily quantified, the overall positive effects of larger parasitoid diversity in noncrop habitats are undoubtedly related to the distribution and structure of noncrop habitat patches in agroecosystems at a landscape scale.