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1.
Plant J ; 88(4): 648-661, 2016 11.
Artigo em Inglês | MEDLINE | ID: mdl-27419916

RESUMO

Grapevine (Vitis vinifera L.) is one of the world's most important crop plants, which is of large economic value for fruit and wine production. There is much interest in identifying genomic variations and their functional effects on inter-varietal, phenotypic differences. Using an approach developed for the analysis of human and mammalian genomes, which combines high-throughput sequencing, array comparative genomic hybridization, fluorescent in situ hybridization and quantitative PCR, we created an inter-varietal atlas of structural variations and single nucleotide variants (SNVs) for the grapevine genome analyzing four economically and genetically relevant table grapevine varieties. We found 4.8 million SNVs and detected 8% of the grapevine genome to be affected by genomic variations. We identified more than 700 copy number variation (CNV) regions and more than 2000 genes subjected to CNV as potential candidates for phenotypic differences between varieties.


Assuntos
Genoma de Planta/genética , Vitis/genética , Hibridização Genômica Comparativa/métodos , Variações do Número de Cópias de DNA/genética , Hibridização in Situ Fluorescente , Reação em Cadeia da Polimerase
2.
Chirality ; 28(5): 434-40, 2016 May.
Artigo em Inglês | MEDLINE | ID: mdl-27095007

RESUMO

The chiral separation of enantiomeric couples of three potential A3 adenosine receptor antagonists: (R/S)-N-(6-(1-phenylethoxy)-2-(propylthio)pyrimidin-4-yl)acetamide (), (R/S)-N-(2-(1-phenylethylthio)-6-propoxypyrimidin-4-yl)acetamide (), and (R/S)-N-(2-(benzylthio)-6-sec-butoxypyrimidin-4-yl)acetamide () was achieved by high-performance liquid chromatography (HPLC). Three types of chiroptical spectroscopies, namely, optical rotatory dispersion (ORD), electronic circular dichroism (ECD), and vibrational circular dichroism (VCD), were applied to enantiomeric compounds. Through comparison with Density Functional Theory (DFT) calculations, encompassing extensive conformational analysis, full assignment of the absolute configuration (AC) for the three sets of compounds was obtained. Chirality 28:434-440, 2016. © 2016 Wiley Periodicals, Inc.


Assuntos
Antagonistas do Receptor A3 de Adenosina/química , Cromatografia Líquida de Alta Pressão/métodos , Dicroísmo Circular , Modelos Moleculares , Estrutura Molecular , Dispersão Óptica Rotatória , Pirimidinas/química , Estereoisomerismo
3.
Biomed Chromatogr ; 30(4): 645-51, 2016 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-26447185

RESUMO

Over the years there has been a growing interest in the therapeutic potential for central nervous system pathologies of sigma receptor modulators. The widely studied PRE-084 and our compounds RC-33 and RC-34 are very potent and selective sigma 1 receptor agonists that could represent promising drug candidates for Amyotrophic Lateral Sclerosis (ALS). Herein, we develop and validate robust and easy-to-use reverse-phase chromatographic methods suitable for detecting and quantifying PRE-084, RC-33 and RC-34 in mouse blood, brain and spinal cord. An HPLC/UV/ESI-MS system was employed for analyzing PRE-084 and an HPLC/UV-PDA system for determining RC-33 and RC-34. Chromatographic separations were achieved on Waters Symmetry RP18 column (150 × 3.9 mm, 5 µm), eluting with water and acetonitrile (both containing 0.1% formic acid) in gradient conditions. The recovery of PRE-084, RC-33 and RC-34 was >95% in all the considered matrices. Their limits of quantitation and detection were also determined. Validation proved the methods be suitable for separating tested compounds from endogenous interferences, being characterized by good sensitivity, linearity, precision and accuracy. A preliminary central nervous system distribution study showed a high distribution of RC-33 in brain and spinal cord, with concentration values well above the determined limit of quantitation. The proposed methods will be used in future preclinical investigations.


Assuntos
Compostos de Bifenilo/sangue , Compostos de Bifenilo/farmacocinética , Cromatografia de Fase Reversa/métodos , Morfolinas/farmacocinética , Piperidinas/sangue , Piperidinas/farmacocinética , Receptores sigma/agonistas , Animais , Encéfalo/metabolismo , Cromatografia Líquida de Alta Pressão/métodos , Camundongos , Morfolinas/sangue , Espectrometria de Massas por Ionização por Electrospray/métodos , Medula Espinal/metabolismo , Receptor Sigma-1
4.
Molecules ; 21(9)2016 Sep 10.
Artigo em Inglês | MEDLINE | ID: mdl-27626396

RESUMO

The identification of novel pan-sigma receptor (SR) modulators, potentially useful in cancer treatment, represents a new goal of our research. Here, we report on the preparation of novel chiral compounds characterized by a 3-C alkyl chain bridging an aromatic portion to a 4-benzyl-piperidine moiety. All of the studied compounds have been prepared both in racemic and enantiomerically-pure form, with the final aim to address the role of chirality in the SR interaction. To isolate and characterize enantiomeric compounds, high-performance liquid chromatography (HPLC) procedures were set up. A systematic analytical screening, involving several combinations of chiral stationary and mobile phases, allowed us to optimize the analytical resolution and to set up the (semi-)preparative chromatographic conditions. Applying the optimized procedure, the enantiomeric resolution of the studied compounds was successfully achieved, obtaining all of the compounds with an enantiomeric excess higher than 95%. Lastly, the absolute configuration has been empirically assigned to enantiopure compounds, combining the electronic circular dichroism (ECD) technique to the elution order study.


Assuntos
Piperidinas , Receptores sigma/agonistas , Cromatografia Líquida de Alta Pressão , Humanos , Piperidinas/síntese química , Piperidinas/química , Piperidinas/isolamento & purificação
5.
Genome Res ; 22(12): 2520-8, 2012 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-22892276

RESUMO

Chromosome rearrangements in small apes are up to 20 times more frequent than in most mammals. Because of their complexity, the full extent of chromosome evolution in these hominoids is not yet fully documented. However, previous work with array painting, BAC-FISH, and selective sequencing in two of the four karyomorphs has shown that high-resolution methods can precisely define chromosome breakpoints and map the complex flow of evolutionary chromosome rearrangements. Here we use these tools to precisely define the rearrangements that have occurred in the remaining two karyomorphs, genera Symphalangus (2n = 50) and Hoolock (2n = 38). This research provides the most comprehensive insight into the evolutionary origins of chromosome rearrangements involved in transforming small apes genome. Bioinformatics analyses of the human-gibbon synteny breakpoints revealed association with transposable elements and segmental duplications, providing some insight into the mechanisms that might have promoted rearrangements in small apes. In the near future, the comparison of gibbon genome sequences will provide novel insights to test hypotheses concerning the mechanisms of chromosome evolution. The precise definition of synteny block boundaries and orientation, chromosomal fusions, and centromere repositioning events presented here will facilitate genome sequence assembly for these close relatives of humans.


Assuntos
Aberrações Cromossômicas , Cromossomos/genética , Análise Citogenética/métodos , Rearranjo Gênico , Hylobates/genética , Animais , Centrômero/química , Centrômero/genética , Elementos de DNA Transponíveis , Bases de Dados Genéticas , Evolução Molecular , Feminino , Humanos , Hibridização in Situ Fluorescente , Cariótipo , Mutação , Filogenia
6.
J Pharm Biomed Anal ; 239: 115902, 2024 Feb 15.
Artigo em Inglês | MEDLINE | ID: mdl-38101238

RESUMO

The key role of chiral small molecules in drug discovery programs has been deeply investigated throughout last decades. In this context, our previous studies highlighted the influence of the absolute configuration of different stereocenters on the pharmacokinetic, pharmacodynamic and functional properties of promising Sigma receptor (SR) modulators. Thus, starting from the racemic SR ligand RC752, we report herein the isolation of the enantiomers via enantioselective separation with both HPLC and SFC. After optimization of the eco-sustainable chiral SFC method, both enantiomers were obtained in sufficient amount (tens of mg) and purity (ee up to 95%) to allow their characterization and initial biological investigation. Both enantiomers a) displayed a high affinity for the S1R subtype (Ki = 15.0 ± 1.7 and 6.0 ± 1.2 nM for the (S)- and (R)-enantiomer, respectively), but only negligible affinity toward the S2R (> 350 nM), and b) were rapidly metabolized when incubated with mouse and human hepatic microsomes. Furthermore, the activity on AQP-mediated water permeability indicated a different functional profile for the enantiomers in terms of modulatory effect on the peroxiporins gating.


Assuntos
Receptores sigma , Humanos , Camundongos , Animais , Estereoisomerismo , Microssomos Hepáticos , Ligação Proteica , Cromatografia Líquida de Alta Pressão/métodos
7.
Oncology ; 85(5): 257-61, 2013.
Artigo em Inglês | MEDLINE | ID: mdl-24192693

RESUMO

It is well known that the cetuximab (Cet) epidermal growth factor receptor (EGFR) antibody enhances the sensitivity of tumour cells to radiation, and it is likely that the concurrent administration of Cet and radiotherapy (RT) results in some degree of interplay between the effects of the individual agents on the skin and in the exacerbation of reactions normally seen with these individual agents. In this paper, we present a concise review of Cet/RT-related skin toxicity, focusing on mechanisms and pathogenesis, clinical presentation and scoring systems and, finally, therapeutic management.


Assuntos
Anticorpos Monoclonais Humanizados/efeitos adversos , Antineoplásicos/efeitos adversos , Neoplasias de Cabeça e Pescoço/tratamento farmacológico , Neoplasias de Cabeça e Pescoço/radioterapia , Radiossensibilizantes/efeitos adversos , Radioterapia Adjuvante/efeitos adversos , Pele/patologia , Pele/efeitos da radiação , Anticorpos Monoclonais Humanizados/administração & dosagem , Antineoplásicos/administração & dosagem , Cetuximab , Gerenciamento Clínico , Receptores ErbB/antagonistas & inibidores , Humanos , Necrose/etiologia , Radiossensibilizantes/administração & dosagem , Índice de Gravidade de Doença , Pele/efeitos dos fármacos
8.
Bioorg Med Chem ; 21(9): 2577-86, 2013 May 01.
Artigo em Inglês | MEDLINE | ID: mdl-23498917

RESUMO

Strong pharmacological evidences indicate that σ1 receptors are implicated in the pathophysiology of all major CNS disorders. In the last years our research group has conducted extensive studies aimed at discovering novel σ1 ligands and we recently selected (R/S)-RC-33 as a novel potent and selective σ1 receptor agonist. As continuation of our work in this field, here we report our efforts in the development of this new σ1 receptor agonist. Initially, we investigated the binding of (R) and (S) enantiomers of RC-33 to the σ1 receptor by in silico experiments. The close values of the predicted affinity of (R)-RC-33 and (S)-RC-33 for the protein evidenced the non-stereoselective binding of RC-33 to the σ1 receptor; this, in turn, supported further development and characterization of RC-33 in its racemic form. Subsequently, we set-up a scaled-up, optimized synthesis of (R/S)-RC-33 along with some compound characterization data (e.g., solubility in different media and solid state characterization by thermal analysis techniques). Finally, metabolic studies of RC-33 in different biological matrices (e.g., plasma, blood, and hepatic S9 fraction) of different species (e.g., rat, mouse, dog, and human) were performed. (R/S)-RC-33 is generally stable in all examined biological matrices, with the only exception of rat and human liver S9 fractions in the presence of NADPH. In such conditions, the compound is subjected to a relevant oxidative metabolism, with a degradation of approximately 65% in rat and 69% in human. Taken together, our results demonstrated that (R/S)-RC-33 is a highly potent, selective, metabolically stable σ1 agonist, a promising novel neuroprotective drug candidate.


Assuntos
Compostos de Bifenilo/farmacologia , Fator de Crescimento Neural/metabolismo , Neuritos/efeitos dos fármacos , Piperidinas/farmacologia , Receptores sigma/agonistas , Animais , Compostos de Bifenilo/química , Compostos de Bifenilo/metabolismo , Físico-Química , Cães , Humanos , Camundongos , Modelos Moleculares , Estrutura Molecular , Células PC12 , Piperidinas/química , Piperidinas/metabolismo , Ratos , Receptores sigma/metabolismo , Receptor Sigma-1
9.
Chirality ; 25(11): 814-22, 2013 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-24038285

RESUMO

In this study we addressed the role of chirality in the biological activity of RC-33, recently studied by us in its racemic form. An asymmetric synthesis procedure was the first experiment, leading to the desired enantioenriched RC-33 but with an enantiomeric excess (ee) not good enough for supporting the in vitro investigation. An enantioselective high-performance liquid chromatography (HPLC) procedure was then successfully carried out, yielding both RC-33 enantiomers in amounts and optical purity suitable for the pharmacological study. The absolute configuration of pure enantiomers was easily assigned exploiting the asymmetric synthesis previously devised. As emerged in the preliminary in vitro biological investigation, (S)- and (R)-RC-33 possess a comparable affinity towards the σ1 receptor and a very a similar behavior in the calcium influx assay, resulting in an equally effective σ1 receptor agonist. Overall, the results obtained so far suggest that the interaction with the biological target is nonstereoselective and leads us to hypothesize that there is a lack of stereoselectivity in the biological activity of RC-33.


Assuntos
Compostos de Bifenilo/química , Compostos de Bifenilo/farmacologia , Fármacos Neuroprotetores/química , Fármacos Neuroprotetores/farmacologia , Piperidinas/química , Piperidinas/farmacologia , Animais , Compostos de Bifenilo/síntese química , Compostos de Bifenilo/isolamento & purificação , Encéfalo/efeitos dos fármacos , Encéfalo/metabolismo , Cobaias , Fármacos Neuroprotetores/síntese química , Fármacos Neuroprotetores/isolamento & purificação , Células PC12 , Piperidinas/síntese química , Piperidinas/isolamento & purificação , Ratos , Receptores sigma/agonistas , Estereoisomerismo
10.
Pharmaceuticals (Basel) ; 16(7)2023 Jul 05.
Artigo em Inglês | MEDLINE | ID: mdl-37513874

RESUMO

Neuropathic pain (NP) is a chronic condition resulting from damaged pain-signaling pathways. It is a debilitating disorder that affects up to 10% of the world's population. Although opioid analgesics are effective in reducing pain, they present severe risks; so, there is a pressing need for non-opioid pain-relieving drugs. One potential alternative is represented by sigma-1 receptor (S1R) antagonists due to their promising analgesic effects. Here, we report the synthesis and biological evaluation of a series of S1R antagonists based on a 2-aryl-4-aminobutanol scaffold. After assessing affinity toward the S1R and selectivity over the sigma-2 receptor (S2R), we evaluated the agonist/antagonist profile of the compounds by investigating their effects on nerve growth factor-induced neurite outgrowth and aquaporin-mediated water permeability in the presence and absence of oxidative stress. (R/S)-RC-752 emerged as the most interesting compound for S1R affinity (Ki S1R = 6.2 ± 0.9) and functional antagonist activity. Furthermore, it showed no cytotoxic effect in two normal human cell lines or in an in vivo zebrafish model and was stable after incubation in mouse plasma. (R/S)-RC-752 was then evaluated in two animal models of NP: the formalin test and the spinal nerve ligation model. The results clearly demonstrated that compound (R/S)-RC-752 effectively alleviated pain in both animal models, thus providing the proof of concept of its efficacy as an antinociceptive agent.

11.
Front Pharmacol ; 10: 490, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31156430

RESUMO

Introduction: Pancreatic cancer (PC) is one of the most lethal tumor worldwide, with no prognosis improvement over the past 20-years. The silent progressive nature of this neoplasia hampers the early diagnosis, and the surgical resection of the tumor, thus chemotherapy remains the only available therapeutic option. Sigma receptors (SRs) are a class of receptors proposed as new cancer therapeutic targets due to their over-expression in tumor cells and their involvement in cancer biology. The main localization of these receptors strongly suggests their potential role in ER unfolded protein response (ER-UPR), a condition frequently occurring in several pathological settings, including cancer. Our group has recently identified RC-106, a novel pan-SR modulator with good in vitro antiproliferative activities toward a panel of different cancer cell lines. In the present study, we investigated the in vitro properties and pharmacological profile of RC-106 in PC cell lines with the aim to identify a potential lead candidate for the treatment of this tumor. Methods: Pancreatic cancer cell lines Panc-1, Capan-1, and Capan-2 have been used in all experiments. S1R and TMEM97/S2R expression in PC cell lines was quantified by Real-Time qRT-PCR and Western Blot experiments. MTS assay was used to assess the antiproliferative effect of RC-106. The apoptotic properties of RC-106 was evaluated by TUNEL and caspase activation assays. GRP78/BiP, ATF4, and CHOP was quantified to evaluate ER-UPR. Proteasome activity was investigated by a specific fluorescent-based assay. Scratch wound healing assay was used to asses RC-106 effect on cell migration. In addition, we delineated the in vivo pharmacokinetic profile and pancreas distribution of RC-106 in male CD-1 mice. Results: Panc-1, Capan-1, and Capan-2 express both SRs. RC-106 exerts an antiproliferative and pro-apoptotic effect in all examined cell lines. Cells exposure to RC-106 induces the increase of the expression of ER-UPR related proteins, and the inhibition of proteasome activity. Moreover, RC-106 is able to decrease PC cell lines motility. The in vivo results show that RC-106 is more concentrated in pancreas than plasma. Conclusion: Overall, our data evidenced that the pan-SR modulator RC-106 is an optimal candidate for in vivo studies in animal models of PC.

12.
J Pharm Biomed Anal ; 118: 363-369, 2016 Jan 25.
Artigo em Inglês | MEDLINE | ID: mdl-26600118

RESUMO

A rapid and straightforward screening protocol of chiral stationary phases (CSPs) in HPLC and SFC resulted in three different methods "fit-for-purpose", i.e. analysis and scale-up to semi-preparative enantioselective chromatography. The efficient use of these three methods allowed expedited preparation of an important drug discovery target, (R/S)-1, a potent new sigma 1 (σ1) receptor agonist. The approach taken resulted in significant savings of both time and labor for the isolation of enantiomers compared to the development of a stereo-selective synthesis. The enantiomers of 1 have been isolated allowing studies of their chirooptical properties and an in-deep comparative examination of the pharmacological profile for the individual enantiomers.


Assuntos
Analgésicos Opioides/análise , Analgésicos Opioides/química , Cromatografia com Fluido Supercrítico/métodos , Receptores sigma/agonistas , Cromatografia Líquida de Alta Pressão/métodos , Cromatografia Líquida de Alta Pressão/tendências , Cromatografia com Fluido Supercrítico/tendências , Estereoisomerismo
13.
Future Med Chem ; 8(3): 287-95, 2016.
Artigo em Inglês | MEDLINE | ID: mdl-26898712

RESUMO

AIM: Nowadays, there is a great interest in the therapeutic potential of sigma1 receptor ligands for treating different CNS pathologies. Our previous investigations led to identify (R)-RC-33 as a potent and selective S1R agonist. RESULTS: Herein, we report the gram-scale synthesis, pharmacokinetic profile and CNS distribution of (R)-RC-33 in the mouse to determine the most suitable dosage schedule for in vivo administration. For comparative purposes, the same experiments were also performed with PRE-084, the most widely used S1R agonist commonly in pharmacological experiments. DISCUSSION: (R)-RC-33 shows a similar pharmacokinetic profile and a better CNS distribution when compared with PRE-084. CONCLUSION: (R)-RC-33 may be a promising candidate for in vivo studies in animal models of neurodegenerative diseases.


Assuntos
Compostos de Bifenilo/farmacologia , Compostos de Bifenilo/farmacocinética , Doenças do Sistema Nervoso Central/metabolismo , Fármacos Neuroprotetores/farmacologia , Fármacos Neuroprotetores/farmacocinética , Piperidinas/farmacologia , Piperidinas/farmacocinética , Receptores sigma/agonistas , Compostos de Bifenilo/síntese química , Compostos de Bifenilo/química , Doenças do Sistema Nervoso Central/patologia , Relação Dose-Resposta a Droga , Humanos , Estrutura Molecular , Morfolinas/química , Morfolinas/farmacologia , Fármacos Neuroprotetores/síntese química , Fármacos Neuroprotetores/química , Piperidinas/síntese química , Piperidinas/química , Relação Estrutura-Atividade , Receptor Sigma-1
14.
Eur J Med Chem ; 124: 649-665, 2016 Nov 29.
Artigo em Inglês | MEDLINE | ID: mdl-27614411

RESUMO

In the early 2000s, the Sigma Receptor (SR) family was identified as potential "druggable" target in cancer treatment. Indeed, high density of SRs was found in breast, lung, and prostate cancer cells, supporting the idea that SRs could play a role in tumor growth and progression. Moreover, a link between the degree of SR expression and tumor aggressiveness has been postulated, justified by the presence of SRs in high metastatic-potential cancer cells. As a consequence, considerable efforts have been devoted to the development of small molecules endowed with good affinity towards the two SR subtypes (S1R and S2R) with potential anticancer activity. Herein, we report the synthesis and biological profile of aryl-alkyl(alkenyl)-4-benzylpiperidine derivatives - as novel potential anticancer drugs targeting SR. Among them, 3 (RC-106) exhibited a preclinical profile of antitumor efficacy on a panel of cell lines representative of different cancer types (i.e. Paca3, MDA-MB 231) expressing both SRs, and emerged as a hit compound of a new class of SR modulators potentially useful for the treatment of cancer disease.


Assuntos
Piperidinas/síntese química , Piperidinas/farmacologia , Receptores sigma , Animais , Antineoplásicos/síntese química , Antineoplásicos/química , Antineoplásicos/farmacologia , Apoptose/efeitos dos fármacos , Western Blotting , Linhagem Celular Tumoral , Proliferação de Células/efeitos dos fármacos , Sobrevivência Celular/efeitos dos fármacos , Humanos , Estrutura Molecular , Células PC12 , Piperidinas/química , Ratos , Receptores sigma/agonistas , Receptores sigma/antagonistas & inibidores
15.
PLoS One ; 10(3): e0117272, 2015.
Artigo em Inglês | MEDLINE | ID: mdl-25775363

RESUMO

Aristeus antennatus is an ecologically and economically important deep-water species in the Mediterranean Sea. In this study we investigated the genetic variability of A. antennatus sampled from 10 sampling stations in the Western and Central Mediterranean. By comparing our new samples with available data from the Western area, we aim to identify potential genetic stocks of A. antennatus and to reconstruct its historical demography in the Mediterranean. We analyzed two regions of mitochondrial DNA in 319 individuals, namely COI and 16S. We found two main results: i) the genetic diversity values consistent with previous data within the Mediterranean and the absence of barriers to gene flow within the Mediterranean Sea; ii) a constant long-term effective population size in almost all demes but a strong signature of population expansion in the pooled sample about 50,000 years B.P./ago. We propose two explanation for our results. The first is based on the ecology of A. antennatus. We suggest the existence of a complex meta-population structured into two layers: a deeper-dwelling stock, not affected by fishing, which preserves the pattern of historical demography; and genetically homogeneous demes inhabiting the fishing grounds. The larval dispersal, adult migration and continuous movements of individuals from "virgin" deeper grounds not affected by fishing to upper fishing areas support an effective 'rescue effect' contributing to the recovery of the exploited stocks and explain their genetic homogeneity throughout the Mediterranean Sea. The second is based on the reproduction model of this shrimp: the high variance in offspring production calls for a careful interpretation of the data observed under classical population genetics and Kingman's coalescent. In both cases, management policies for A. antennatus will therefore require careful evaluation of the meta-population dynamics of all stocks in the Mediterranean. In the future, it will be particularly relevant to sample the deepest ones directly.


Assuntos
Decápodes/genética , Animais , DNA Ribossômico/genética , Evolução Molecular , Variação Genética , Genética Populacional , Mar Mediterrâneo , Dados de Sequência Molecular
16.
Tumori ; 100(1): e14-6, 2014.
Artigo em Inglês | MEDLINE | ID: mdl-24675501

RESUMO

Metastatic involvement of the penis is rare. About 80% of secondary lesions originate from pelvic primary tumors, mainly bladder and prostate. We present a case of prostatic mucinous adenocarcinoma with penile metastasis symptomatic for pain, which was treated with external-beam radiation (35 Gy/14 fractions; 2.5 Gy daily) combined with androgen deprivation, resulting in complete pain relief and objective response after treatment.


Assuntos
Adenocarcinoma Mucinoso/diagnóstico , Adenocarcinoma Mucinoso/secundário , Neoplasias Ósseas/diagnóstico , Neoplasias Ósseas/secundário , Cuidados Paliativos/métodos , Neoplasias Penianas/diagnóstico , Neoplasias Penianas/secundário , Neoplasias da Próstata/patologia , Qualidade de Vida , Adenocarcinoma Mucinoso/terapia , Anemia Hemolítica/etiologia , Protocolos de Quimioterapia Combinada Antineoplásica/uso terapêutico , Neoplasias Ósseas/complicações , Neoplasias Ósseas/terapia , Quimioterapia Adjuvante , Coagulação Intravascular Disseminada/etiologia , Fracionamento da Dose de Radiação , Evolução Fatal , Humanos , Masculino , Pessoa de Meia-Idade , Dor/etiologia , Neoplasias Penianas/terapia , Neoplasias da Próstata/terapia , Radioterapia Adjuvante
17.
Tumori ; 100(3): e74-8, 2014.
Artigo em Inglês | MEDLINE | ID: mdl-25076255

RESUMO

AIMS AND BACKGROUND: Glioblastoma multiforme (GBM) is the most frequent primary central nervous system malignancy in adults, accounting for 50% of all primary intracranial malignancies. GBM mostly arises within the cerebral hemispheres and frequently affects patients in the fifth and sixth decades of life. Conversely, primary cerebellar GBM is a rather infrequent occurrence in the adult population, accounting for 1%-2.2% of all GBMs. Here we report a case of cerebellar GBM in an adult woman and provide an extensive review of the literature. METHODS: A 42-year-old woman was referred to our hospital for occipital constrictive headache, dizziness and gait disturbance. Multimodality imaging including computed tomography and magnetic resonance imaging (MRI) showed a right cerebellar mass. Gross total resection was performed. Histological examination showed grade IV GBM according to the World Health Organization classification, with a synchronous component of low-grade glioma. Immunohistochemistry showed positivity for p53 and negativity for epidermal growth factor receptor (EGFR). After surgical tumor excision, the patient underwent adjuvant radiation to the posterior fossa with an intensity-modulated approach for a total dose of 60 Gy in 30 fractions. In addition, she received concurrent and adjuvant chemotherapy with temozolomide. RESULTS: Treatment was well tolerated, with mild acute toxicity. There was no evidence of recurrence on brain and spinal gadolinium-enhanced MRI scans 4, 8 and 12 months after primary surgery. No late side effects were recorded. CONCLUSION: Our patient had several immunohistochemical characteristics of secondary glioblastoma such as p53 positivity, EGFR negativity and the presence of a low-grade glioma component. Intensity-modulated radiation therapy allowed us to safely deliver full-dose radiation with sparing of critical structures.


Assuntos
Antineoplásicos Alquilantes/uso terapêutico , Neoplasias Cerebelares/diagnóstico , Neoplasias Cerebelares/terapia , Dacarbazina/análogos & derivados , Glioblastoma/diagnóstico , Glioblastoma/terapia , Radioterapia de Intensidade Modulada , Adulto , Biomarcadores Tumorais/análise , Neoplasias Cerebelares/química , Neoplasias Cerebelares/complicações , Quimiorradioterapia Adjuvante , Dacarbazina/uso terapêutico , Tontura/etiologia , Receptores ErbB/análise , Feminino , Transtornos Neurológicos da Marcha/etiologia , Glioblastoma/química , Glioblastoma/complicações , Cefaleia/etiologia , Humanos , Imuno-Histoquímica , Espectroscopia de Ressonância Magnética , Gradação de Tumores , Dosagem Radioterapêutica , Temozolomida , Tomografia Computadorizada por Raios X , Resultado do Tratamento , Proteína Supressora de Tumor p53/análise
18.
Expert Opin Ther Pat ; 23(5): 597-613, 2013 May.
Artigo em Inglês | MEDLINE | ID: mdl-23387851

RESUMO

INTRODUCTION: Sigma receptors are involved in several central nervous system (CNS) disorders, including mood disorders (depression and anxiety), psychosis, schizophrenia, movement disorders (i.e., Parkinson's disease) and memory deficits (i.e., Alzheimer's disease). Recently, the involvement of sigma receptors in neuropathic pain and cancer has also been observed. AREAS COVERED: This review aims at highlighting the research advancements published in the patent literature between 1986 and 2012, dividing patents according to both their time frame and applicants. The review especially focuses on the development of sigma receptor modulators and their application over the years with respect to CNS diseases, neuropathic pain and neurodegenerative pathologies. The literature was sought through Espacenet, Orbit, ISI Web and PubMed databases. EXPERT OPINION: In recent years, considerable progress in the knowledge of the biology and pharmacology of sigma receptors has encouraged research on the potential benefits of sigma modulators in a wide range of pathologies. So far, only few potent agonists and antagonists of sigma receptors are in clinical trial for acute and chronic neurodegenerative diseases (SA4503 and ANAVEX 2-73) or neuropathic pain (E-52862).


Assuntos
Desenho de Fármacos , Receptores sigma/efeitos dos fármacos , Animais , Doenças do Sistema Nervoso Central/tratamento farmacológico , Doenças do Sistema Nervoso Central/fisiopatologia , Ensaios Clínicos como Assunto , Humanos , Neoplasias/tratamento farmacológico , Neoplasias/patologia , Neuralgia/tratamento farmacológico , Neuralgia/fisiopatologia , Doenças Neurodegenerativas/tratamento farmacológico , Doenças Neurodegenerativas/fisiopatologia , Patentes como Assunto , Receptores sigma/metabolismo
19.
Tumori ; 99(1): 6e-10e, 2013.
Artigo em Inglês | MEDLINE | ID: mdl-23549020

RESUMO

AIMS AND BACKGROUND: Metastatic prostate carcinoma commonly involves bones and extrapelvic lymph nodes, with occasional visceral deposits. Central nervous system involvement is unusual and particularly the occurrence of leptomeningeal metastasis (LM) is extremely rare, with few cases described in the medical literature. The clinical presentation is characterized by multifocal neurological deficit and the prognosis is generally dismal, with survival ranging between 3 and 6 months. We report on a patient affected by LM due to prostate cancer who was treated with a combined-modality approach consisting of sequential chemotherapy and radiotherapy. METHODS: A 70-year-old man was referred to our group for cognitive mental disorder, left-sided frontal headache and nausea; the patient had a previous history of metastatic prostate cancer. LM was diagnosed neuroradiologically with brain MRI and evidence of a detectable level of PSA in the cerebrospinal fluid. He was treated with docetaxel and prednisone for 3 cycles followed by external beam radiotherapy (EBRT) to the whole brain to a total dose of 30 Gy in 10 fractions with a simultaneous integrated boost to the macroscopic disease (total dose of 35 Gy in 10 fractions). No acute toxicity was observed. RESULTS: A substantial clinical response was obtained after EBRT with neurological improvement and radiologically stable disease at post-treatment imaging until 10 weeks after radiation. The patient died of sudden general condition deterioration 3 months after EBRT. CONCLUSION: Since LM derived from prostate cancer is likely to become a more common clinical event, such patients would need to be included in clinical trials evaluating new therapeutic approaches, considering that the current treatment strategies have been shown to be rather ineffective.


Assuntos
Protocolos de Quimioterapia Combinada Antineoplásica/uso terapêutico , Biomarcadores Tumorais/líquido cefalorraquidiano , Carcinoma/secundário , Carcinoma/terapia , Neoplasias Meníngeas/secundário , Neoplasias Meníngeas/terapia , Antígeno Prostático Específico/líquido cefalorraquidiano , Neoplasias da Próstata/patologia , Idoso , Carcinoma/complicações , Carcinoma/diagnóstico , Carcinoma/fisiopatologia , Quimioterapia Adjuvante , Transtornos Cognitivos/etiologia , Dexametasona/administração & dosagem , Docetaxel , Fracionamento da Dose de Radiação , Evolução Fatal , Cefaleia/etiologia , Humanos , Metástase Linfática , Imageamento por Ressonância Magnética , Masculino , Neoplasias Meníngeas/complicações , Neoplasias Meníngeas/diagnóstico , Neoplasias Meníngeas/fisiopatologia , Náusea/etiologia , Gradação de Tumores , Estadiamento de Neoplasias , Prednisona/administração & dosagem , Radioterapia Adjuvante , Taxoides/administração & dosagem , Tomografia Computadorizada por Raios X , Resultado do Tratamento
20.
Tumori ; 99(2): e80-3, 2013.
Artigo em Inglês | MEDLINE | ID: mdl-23748836

RESUMO

AIMS AND BACKGROUND: Adult sarcomas of the head and neck region (HNSs) are considered a rare clinicopathological entity. They account for only 2-15% of all adult sarcomas and for less than 1% of all head and neck malignancies. The preferred initial treatment option is wide surgical excision. Whenever surgery is considered infeasible, a frontline combined-modality approach including radiotherapy and chemotherapy might be proposed. We here report on a case of localized sarcoma of the maxillary sinus treated with induction chemotherapy and subsequent intensity-modulated radiation therapy (IMRT), achieving a persistent complete remission status. METHODS: A 66-year-old man was referred to our institution hospital for left-sided facial pain with swollen left cheek and ipsilateral facial palsy. Magnetic resonance imaging showed a mass within the left maxillary sinus extending to the orbital floor and adjacent alveolar bones. Histological examination of the biopsy specimen demonstrated a myxofibrosarcoma. The patient underwent induction chemotherapy with gemcitabine 900 mg/m2 (days 1-8) and taxotere 80 mg/m2 every 3 weeks for 3 cycles and sequential simultaneous integrated boost (SIB) IMRT up to a total dose of 70 Gy/35 fractions to the macroscopic disease with 59.5 Gy/35 fractions to the level IB-II lymph nodes in the left neck. RESULTS: Treatment was well tolerated with mild acute toxicity. Complete remission was achieved at restaging MRI 6 months after the end of the combined modality approach. The patient remains in complete, unmaintained clinical and instrumental complete remission 18 months after treatment, with no late side effects. CONCLUSION: Combination therapy with induction chemotherapy and sequential SIB-IMRT could therefore be a promising modality for head and neck sarcomas, allowing for simultaneous tumor control and normal tissue sparing.


Assuntos
Protocolos de Quimioterapia Combinada Antineoplásica/uso terapêutico , Neoplasias de Cabeça e Pescoço/terapia , Histiocitoma Fibroso Maligno/terapia , Quimioterapia de Indução , Neoplasias do Seio Maxilar/terapia , Radioterapia de Intensidade Modulada , Idoso , Quimioterapia Adjuvante , Desoxicitidina/administração & dosagem , Desoxicitidina/análogos & derivados , Docetaxel , Fracionamento da Dose de Radiação , Neoplasias de Cabeça e Pescoço/tratamento farmacológico , Neoplasias de Cabeça e Pescoço/patologia , Neoplasias de Cabeça e Pescoço/radioterapia , Histiocitoma Fibroso Maligno/tratamento farmacológico , Histiocitoma Fibroso Maligno/patologia , Histiocitoma Fibroso Maligno/radioterapia , Humanos , Imageamento por Ressonância Magnética , Masculino , Neoplasias do Seio Maxilar/tratamento farmacológico , Neoplasias do Seio Maxilar/patologia , Neoplasias do Seio Maxilar/radioterapia , Estadiamento de Neoplasias , Radioterapia Adjuvante , Taxoides/administração & dosagem , Resultado do Tratamento , Gencitabina
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