The Cytogenetic Profile of Primary and Secondary Plasma Cell Leukemia: Etiopathogenetic Perspectives, Prognostic Impact and Clinical Relevance to Newly Diagnosed Multiple Myeloma with Differential Circulating Clonal Plasma Cells.

Plasma cell leukemia (PCL) is a rare and aggressive plasma cell dyscrasia that may appear as de-novo leukemia (pPCL) or on the basis of a pre-existing multiple myeloma (MM), called secondary plasma cell leukemia (sPCL). In this prospective study, we have applied a broad panel of FISH probes in 965 newly diagnosed MM (NDMM) and 44 PCL cases of both types to reveal the particular cytogenetic differences among the three plasma cell dyscrasias. In order to evaluate the frequency and patterns of clonal evolution, the same FISH panel was applied both at diagnosis and at the time of first relapse for 81 relapsed MM patients and both at MM diagnosis and during sPCL transformation for the 19 sPCL cases described here. pPCL was characterized by frequent MYC translocations and t(11;14) with a 11q13 breakpoint centered on the MYEOV gene, not commonly seen in MM. sPCL had a higher number of FISH abnormalities and was strongly associated with the presence of del(17p13), either acquired at the initial MM stage or as a newly acquired lesion upon leukemogenesis in the context of the apparent clonal evolution observed in sPCL. In clinical terms, sPCL showed a shorter overall survival than pPCL with either standard or high-risk (t(4;14) and/or t(14;16) and/or del(17p13) and/or ≥3 concomitant aberrations) abnormalities (median 5 months vs. 21 and 11 months respectively, p < 0.001), suggesting a prognostic stratification based on cytogenetic background. These observations proved relevant in the NDMM setting, where higher levels of circulating plasma cells (CPCs) were strongly associated with high-risk cytogenetics (median frequency of CPCs: 0.11% of peripheral blood nucleated cells for high-risk vs. 0.007% for standard-risk NDMM, p < 0.0001). Most importantly, the combined evaluation of CPCs (higher or lower than a cut-off of 0.03%), together with patients' cytogenetic status, could be used for an improved prognostic stratification of NDMM patients.

Microbiological assessment of aerobically stored horse fillets through predictive microbiology and metabolomic approach.

The aim of this work was to investigate the microbial association of horse fillets during aerobic storage at isothermal conditions (0-15 °C). Samples were analyzed microbiologically, and in parallel the metabolic profile of the samples was quantified by HS-SPME/GC-MS and HPLC-PDA-RI. Considering HPLC results, the concentration of propionic, formic, lactic and succinic acids decreased during aerobic storage of horse fillets, contrary to acetic, citric, butyric and isobutyric acids, which increased. As far as the volatilome formation during aerobic storage is concerned, pentanal, hexanal, octanal, nonanal, decanal, were correlated with fresh samples, while diacetyl, acetoin, 2-heptanone, 2-octanone, hexanoic acid, 3-methyl-butanol, 2-methy-butanol and 3-methyl-butanal detected in spoiled ones. Herein, a support vector machine regression model using data from 0, 5 and 15 °C predicted the responses of the dataset at 10 °C with a correlation coefficient 0.915 and 0.910 for training and testing, respectively.

A volatilomics approach for off-line discrimination of minced beef and pork meat and their admixture using HS-SPME GC/MS in tandem with multivariate data analysis.

Beef, pork and mixed (70% beef and 30% pork) minced meat samples were obtained from a meat processing plant in Athens during a two-year survey and analyzed both microbiologically and by headspace solid-phase microextraction in combination with gas chromatography-mass spectrometry (HS-SPME/GC-MS). A validated method for the discrimination of minced meat was developed based on the volatile fingerprints. Unsupervised (PCA) and supervised (PLS-DA) multivariate statistical methods were applied to visualize, group and classify the samples. The data-set was divided 70% for model calibration and 30% for model prediction. During model calibration 99, 100 and 100% of the samples were correctly classified as beef, pork and mixed meat samples, respectively, while for model prediction the respective percentages were 100, 100 and 95% respectively. In both datasets, the overall correct classification rate amounted to 99% on average. Among the volatile compounds identified, heptanal, octanal, butanol, pentanol, hexanol, octanol, 1-penten-3-ol, 2-octen-1-ol, 3-hydroxy-2-butanone, 2-butanone and 2-heptanone were positively correlated with beef samples. Furthermore, pentanal, hexanal, decanal, nonanal, benzaldehyde, trans-2-hexenal, trans-2-heptenal, trans-2-octenal and 1-octen-3-one were positively correlated with pork. Lastly, the alcohols, 2-butanol and 1-octen-3-ol showed positive correlation with mixed samples. The results indicated that the volatilomics approach employed in this study could be used as an alternative method for robust and reliable discrimination and classification of meat samples in an off-line mode.

Application of data science in risk assessment and early warning.

The food supply chain has been recognised by the EU as a critical infrastructure, and its complexity is the main cause of vulnerability. Depending on the food matrix, natural and/or deliberate contamination, food-borne diseases or even food fraud incidents may occur worldwide. Consequently, robust predictive models and/or software tools are needed to support decision-making and mitigating risks in an efficient and timely manner. In this frame, the fellow participated in data collection and analysis tasks, so as to provide additional predictive models. The working programme, covered a wide range of aspects related to risk assessment including identification of emerging risks (quantitative), microbiological risk assessment, authenticity assessment, spatio-temporal epidemiological modelling and database formation for hosting predictive microbial models. The training and close integration, in the open-source, in-house (German Federal Institute for Risk Assessment (BfR)) developed software tools under the framework of FoodRisk-Labs (https://foodrisklabs.bfr.bund.de.) for data analysis, predictive microbiology, quantitative microbiological risk assessment and automatic data retrieval purposes allowed for the independent use. Moreover, the fellow actively contributed to the update of the upcoming Yersinia enterocolitica risk assessment, and also in authenticity assessment of edible oils. Over the course of the year, the fellow was closely involved in international and national research projects with experts in the above-mentioned disciplines. Lastly, he consolidated his acquired knowledge by presenting his scientific work to conferences, and BfR-internal meetings.

How tall buildings affect turbulent air flows and dispersion of pollution within a neighbourhood.

The city of London, UK, has seen in recent years an increase in the number of high-rise/multi-storey buildings ("skyscrapers") with roof heights reaching 150 m and more, with the Shard being a prime example with a height of ∼310 m. This changing cityscape together with recent plans of local authorities of introducing Combined Heat and Power Plant (CHP) led to a detailed study in which CFD and wind tunnel studies were carried out to assess the effect of such high-rise buildings on the dispersion of air pollution in their vicinity. A new, open-source simulator, FLUIDITY, which incorporates the Large Eddy Simulation (LES) method, was implemented; the simulated results were subsequently validated against experimental measurements from the EnFlo wind tunnel. The novelty of the LES methodology within FLUIDITY is based on the combination of an adaptive, unstructured, mesh with an eddy-viscosity tensor (for the sub-grid scales) that is anisotropic. The simulated normalised mean concentrations results were compared to the corresponding wind tunnel measurements, showing for most detector locations good correlations, with differences ranging from 3% to 37%. The validation procedure was followed by the simulation of two further hypothetical scenarios, in which the heights of buildings surrounding the source building were increased. The results showed clearly how the high-rise buildings affected the surrounding air flows and dispersion patterns, with the generation of "dead-zones" and high-concentration "hotspots" in areas where these did not previously exist. The work clearly showed that complex CFD modelling can provide useful information to urban planners when changes to cityscapes are considered, so that design options can be tested against environmental quality criteria.

Clinical presentation, diagnosis, and survival in cholangiocarcinoma: A prospective study.

BACKGROUND AND STUDY AIMS: The diagnosis of cholangiocarcinoma (CCA) is difficult. The present study aimed to assess the clinical features, diagnosis, and survival in CCA. PATIENTS AND METHODS: This is a prospective study on 46 patients with CCA who underwent endoscopic retrograde cholangiopancreatography (ERCP) or surgical resection and 20 controls with a clinical and ERCP suspicion for CCA in whom surgical biopsy and/or 4-year follow-up showed a benign biliary stricture. RESULTS: The median age at presentation was 71years (range 44-88). Thirty-four patients (73.9%) presented with painless jaundice. Median CA 19-9 value was 188IU/L (range 1-49,138), with a level of <100IU/L in 13 patients (28%). Total bilirubin was 11.9 (0.6-36.3)mg/dL. The tumour was intrahepatic in 3 (6.5%), hilar (Klatskin) in 25 (54.3%), and located in the lower third of the bile duct in 18 (39.1%) patients. The diagnosis was confirmed by positive cytology in 10 (21.7%), biopsy in 20 (43.5%), cholangioscopy in five (10.9%), and imaging and clinical grounds in 11 (23.9%) patients. Cytology was feasible in 36 patients; it was positive in 10 and "highly indicative" in two patients (33.3% sensitivity). Twenty-two patients (47.8%) were treated by surgical resection, and the rest were offered palliative biliary drainage. Mean estimated survival for the entire group of CCA patients was 21.5±3.3months. Survival was slightly longer in patients who underwent surgical resection than those who had palliative treatment; the estimated mean survival rates were 26.2±4.2 vs. 17.1±3.3months, respectively, but the difference was not statistically significant (p=0.115). CONCLUSION: The diagnosis of CCA is difficult and often delayed. The outcome is generally poor.

Immunophenotypic analysis reveals heterogeneity and common biologic aspects in monoclonal B-cell lymphocytosis.

Monoclonal B-cell lymphocytosis (MBL) is the presence of small B-cell clones in the peripheral blood of healthy subjects. Most MBL have the characteristic phenotype of chronic lymphocyte leukemia (chronic lymphocytic leukemia (CLL)-like MBL), and depending on the number of monoclonal B-cells, may characterize a preclinical stage of the CLL. However, there are also MBL with an atypical (CD5(+) CD20(+/bright) CD23(dim/-) ) or a CD5(neg) phenotype, which remain largely unexplored. We performed an extended immunophenotypic, cytogenetic, and hematologic analysis in 75 CLL-like, 39 atypical, 50 CD5(neg) , and 7 biphenotypic MBL cases to detect differences or similarities among the MBL subsets. The phenotypic analysis showed expression variations in many surface markers and a wide spectrum of disease-specific phenotypes within each MBL subtype. Interphase fluorescent in situ hybridization analysis showed a different panel of aberrations according to the phenotype. Overall, del(13q14) and +12 were the most common abnormalities (39%), whereas del(11q13), del(17p13), and del(6q23) were detected only in 3, 1, and 0 cases, respectively. A comparison of MBL with overt chronic lymphoproliferations revealed common aspects in the preclinical state, regarding both the kind of cytogenetic aberrations detected and the lymphocyte composition. Our findings highlight not only the heterogeneity among MBL subsets but also indicate common biologic features which differentiate MBL from clinical disease.

Treatment of an impacted dilacerated maxillary central incisor.

The diagnosis of an impacted incisor with dilaceration refers to a dental deformity characterized by an angulation between the crown and the root, causing noneruption of the incisor. In the past, surgical extraction was the first choice in treating severely dilacerated incisors. The purpose of this case report was to present the correction of a horizontally impacted and dilacerated central incisor through 2-stage crown exposure surgery combined with continuous-force orthodontic traction. The tooth was successfully moved into its proper position. The treatment is discussed, and the orthodontic implications are considered, with a review of the current literature on this topic.

Proliferation and differentiation of periodontal ligament cells following short-term tooth movement in the rat using different regimens of loading.

Previous studies have indicated that periodontal ligament (PDL) cells demonstrate osteogenic potential and osteoblastic differentiation via the extracellular signal-regulated kinase (ERK) pathway under mechanical stress in vitro and in vivo. This study aimed to further analyse this regulatory process experimentally in the rat. The right upper first molars of 25 twelve-week-old male Wistar anaesthetized rats were loaded with forces in order to be moved mesially. Constant forces for 4 hours of 0.25 and 0.5 N were applied in five animals each. Furthermore, constant forces for 2 hours of 0.1 N were applied in 10 animals and afterwards, the first and second molars were permanently separated with composite. In these animals, the antagonists were sliced and five rats were killed after 1 day and five after 2 days. As a last experiment, intermittent forces of 0.1 N and 0.25 Hz were applied in five different animals for 4 hours. The untreated contralateral sides served as the control. Paraffin-embedded sections were analysed by immunohistochemistry for proliferating cell nuclear antigen (PCNA), runt-related transcription factor 2 (Runx2/Cbfa1), and phosphorylated extracellular signal-regulated kinase 1/2 (pERK1/2). Statistical analysis to determine differences between the groups was carried out using a Student's t-test. In selected areas under tension, the proportion of pERK1/2-positive cells was increased compared with those in control teeth under all types of loading, whereas these proportions in selected areas under pressure were increased only after the application of intermittent forces. In representative areas, both under tension and pressure, the proportion of Runx2-positive cells decreased after the application of constant forces. After the application of constant forces for 4 hours in representative areas, both under tension and pressure, the proportion of PCNA-positive cells was lower than those in control teeth. The involvement of pERK1/2, Runx2/cbfa-1, and PCNA in the reaction of PDL cells to different load regimens was verified.