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  • 1
    In: Journal of the American Medical Directors Association, Elsevier BV, Vol. 21, No. 4 ( 2020-04), p. 486-492.e7
    Type of Medium: Online Resource
    ISSN: 1525-8610
    Language: English
    Publisher: Elsevier BV
    Publication Date: 2020
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  • 2
    In: Journal of Translational Medicine, Springer Science and Business Media LLC, Vol. 19, No. 1 ( 2021-12)
    Type of Medium: Online Resource
    ISSN: 1479-5876
    Language: English
    Publisher: Springer Science and Business Media LLC
    Publication Date: 2021
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  • 3
    In: Journal of Translational Medicine, Springer Science and Business Media LLC, Vol. 18, No. 1 ( 2020-10-21)
    Abstract: Tocilizumab blocks pro-inflammatory activity of interleukin-6 (IL-6), involved in pathogenesis of pneumonia the most frequent cause of death in COVID-19 patients. Methods A multicenter, single-arm, hypothesis-driven trial was planned, according to a phase 2 design, to study the effect of tocilizumab on lethality rates at 14 and 30 days (co-primary endpoints, a priori expected rates being 20 and 35%, respectively). A further prospective cohort of patients, consecutively enrolled after the first cohort was accomplished, was used as a secondary validation dataset. The two cohorts were evaluated jointly in an exploratory multivariable logistic regression model to assess prognostic variables on survival. Results In the primary intention-to-treat (ITT) phase 2 population, 180/301 (59.8%) subjects received tocilizumab, and 67 deaths were observed overall. Lethality rates were equal to 18.4% (97.5% CI: 13.6–24.0, P  = 0.52) and 22.4% (97.5% CI: 17.2–28.3, P   〈  0.001) at 14 and 30 days, respectively. Lethality rates were lower in the validation dataset, that included 920 patients. No signal of specific drug toxicity was reported. In the exploratory multivariable logistic regression analysis, older age and lower PaO2/FiO2 ratio negatively affected survival, while the concurrent use of steroids was associated with greater survival. A statistically significant interaction was found between tocilizumab and respiratory support, suggesting that tocilizumab might be more effective in patients not requiring mechanical respiratory support at baseline. Conclusions Tocilizumab reduced lethality rate at 30 days compared with null hypothesis, without significant toxicity. Possibly, this effect could be limited to patients not requiring mechanical respiratory support at baseline. Registration EudraCT (2020-001110-38); clinicaltrials.gov (NCT04317092).
    Type of Medium: Online Resource
    ISSN: 1479-5876
    Language: English
    Publisher: Springer Science and Business Media LLC
    Publication Date: 2020
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  • 4
    In: Neurological Sciences, Springer Science and Business Media LLC
    Abstract: A new national survey has been carried out by the Italian Centers for Cognitive Disorders and Dementias (CCDDs). The aim of this new national survey is to provide a comprehensive description of the characteristics, organizational aspects of the CCDDs, and experiences during the COVID-19 pandemic. Methods A list of all national CCDDs was requested from the delegates of each Italian region. The online questionnaire is divided in two main sections: a profile section, containing information on location and accessibility, and a data collection form covering organization, services, treatments, activities, and any service interruptions caused by the COVID-19 outbreak. Results In total, 511 out of 534 (96%) facilities completed the profile section, while 450 out of 534 (84%) CCDDs also completed the data collection form. Almost half of the CCDDs (55.1%) operated for 3 or fewer days a week. About one-third of the facilities had at least two professional figures among neurologists, geriatricians and psychiatrists. In 2020, only a third of facilities were open all the time, but in 2021, two-thirds of the facilities were open. Conclusion This paper provides an update on the current status of CCDDs in Italy, which still shows considerable heterogeneity. The survey revealed a modest improvement in the functioning of CCDDs, although substantial efforts are still required to ensure the diagnosis and care of patients with dementia.
    Type of Medium: Online Resource
    ISSN: 1590-1874 , 1590-3478
    Language: English
    Publisher: Springer Science and Business Media LLC
    Publication Date: 2023
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  • 5
    In: Topics in Cognitive Science, Wiley, Vol. 6, No. 3 ( 2014-07), p. 534-544
    Abstract: This article presents results from a multidisciplinary research project on the integration and transfer of language knowledge into robots as an empirical paradigm for the study of language development in both humans and humanoid robots. Within the framework of human linguistic and cognitive development, we focus on how three central types of learning interact and co‐develop: individual learning about one's own embodiment and the environment, social learning (learning from others), and learning of linguistic capability. Our primary concern is how these capabilities can scaffold each other's development in a continuous feedback cycle as their interactions yield increasingly sophisticated competencies in the agent's capacity to interact with others and manipulate its world. Experimental results are summarized in relation to milestones in human linguistic and cognitive development and show that the mutual scaffolding of social learning, individual learning, and linguistic capabilities creates the context, conditions, and requisites for learning in each domain. Challenges and insights identified as a result of this research program are discussed with regard to possible and actual contributions to cognitive science and language ontogeny. In conclusion, directions for future work are suggested that continue to develop this approach toward an integrated framework for understanding these mutually scaffolding processes as a basis for language development in humans and robots.
    Type of Medium: Online Resource
    ISSN: 1756-8757 , 1756-8765
    URL: Issue
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    Language: English
    Publisher: Wiley
    Publication Date: 2014
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    SSG: 7,11
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  • 6
    In: Cancer Research, American Association for Cancer Research (AACR), Vol. 76, No. 14_Supplement ( 2016-07-15), p. 2883-2883
    Abstract: CDKN2A/p16INK4a is an important tumor-suppressor gene whose dysregulation is associated with melanoma. We have recently demonstrated that the p16INK4a expression can be modulated by IRES-dependent mRNA translation and this regulation might have an important role during tumorigenesis. We also identified YBX1 as RNA binding protein targeting and stimulating p16 mRNA translation efficiency. The identified IRES function was particularly active in hypoxia and inhibition of mTOR. This post-transcriptional regulatory mechanism would potentially be a target for mutational inactivation during melanomagenesis. Indeed, we previously showed that p16INK4a 5’UTR variants found in melanoma patients with a family predisposition can have a negative effect on p16 translation. Single Nucleotide Variants (SNVs) have been investigated during routine testing of CDKN2A/p16INK4a in Italian, English and French melanoma patients followed by GenoMEL, the International Melanoma Genetics Consortium and a total of 17 germline variants were identified in a cohort of nearly 6000 patients. These p16INK4a 5’UTR 17 variants were studied with multiple approaches, that included mono- and bi-cistronic reporter assays, western blot of endogenous protein, and quantification of allelic representation after polysomal profiling to investigate their impact on p16INK4a mRNA translation regulation. We devised a classification score based on the concordance between functional assays and the extent of dysfunction displayed by each variant compared to the wild type. Variants are classified as neutral (score 0) when no difference was observed in at least 3 assays. This applied to: c.-14C & gt;T, c.-20A & gt;G, c.-25C & gt;T+c.-180G & gt;A, c.-30G & gt;A, c.-40C & gt;T, c.-45G & gt;A, c.-59C & gt;G, c.-87T & gt;A, c.-252A & gt;T. Variants were considered as potential mutations when a defect was measured in either one or two assays (score 1-2; c.-42T & gt;A and c.-67G & gt;C variants). Finally, we classified variants as causal mutations when three or more assays showed impairment (score & gt;3). This applied to: c.-27del23, c.-56G & gt;T, c.-93-91delAGG, as well as to c.-21C & gt;T and c.-34G & gt;T, which were already considered as a causal mutations. We have also determined the structure of the wild type p16INK4a 5’UTR by Selective Hydroxyl Acylation or SHAPE assay. The variant c.-42T & gt;A encompassing the predicted YBX1 binding site was also studied and shown to induce a local change in conformation. The structure of all p16INK4a 5’UTR variants examined so far is being investigated as well as their impact on the interaction of RNA binding proteins such as YBX1, SRSF1 and RBM4. Our data indicate that the sequencing of the entire p16INK4a 5’UTR should be included in routine screening of melanoma families as nearly half of SNVs tested so far displayed a negative impact on the p16 mRNA translation efficiency. Citation Format: Alessandra Bisio, Elisa Latorre, Virginia Andreotti, Brigitte Bressac-de Paillerets, Mark Harland, Odile Cabaret, Julia Newton-Bishop, Lorenza Pastorino, William Bruno, Roberto Bertorelli, Veronica De Sanctis, Chiara Menin, Gilberto Fronza, Paola Queirolo, Giovanna Bianchi Scarrà, Robert C. Spitale, Alessandro Provenzani, Alberto Inga, Paola Ghiorzo. Impact of novel CDKN2A/p16INK4a 5’UTR variants predisposing to melanoma on p16 translational regulation. [abstract]. In: Proceedings of the 107th Annual Meeting of the American Association for Cancer Research; 2016 Apr 16-20; New Orleans, LA. Philadelphia (PA): AACR; Cancer Res 2016;76(14 Suppl):Abstract nr 2883.
    Type of Medium: Online Resource
    ISSN: 0008-5472 , 1538-7445
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    Language: English
    Publisher: American Association for Cancer Research (AACR)
    Publication Date: 2016
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  • 7
    Online Resource
    Online Resource
    American Association for Cancer Research (AACR) ; 2015
    In:  Cancer Research Vol. 75, No. 15_Supplement ( 2015-08-01), p. 2125-2125
    In: Cancer Research, American Association for Cancer Research (AACR), Vol. 75, No. 15_Supplement ( 2015-08-01), p. 2125-2125
    Abstract: The p53 family of transcription factors comprises several proteins produced by three genes, TP63, TP63 and TP73, through alternative promoters and splicing, that exhibit critical functions for cell homeostasis and act as prominent tumor suppressors. The p53 pathway is often activated in stress conditions during which the global cap-dependent translation is inhibited. Although p53 protein is highly regulated at post-translational level, cells maintain continuous p53 protein synthesis also taking advantage of the presence of two Internal Ribosome Entry Sites (IRESs) elements residing within the p53 mRNA. The first IRES is located in the 5′UTR of the full-length isoform, the second is located into the protein-coding region and mediates the translation of a ΔN-p53 isoform. IRES elements are complex RNA structural elements in 5′UTRs that can mediate cap-independent initiation of translation under stress conditions. Even though an IRES activity has been already established for p53, no studies are available for p63 and p73 transcripts. This work is mainly focused on the regulation of translation initiation efficiency for the p53 family members p63 and p73. For this purpose, we have cloned the 5′UTR from human full-length p53 (as positive control), TA-p63, TA*-p63, TA-p73 and ΔN-p63 and ΔN-p73 transcript isoforms in a bicistronic reporter construct (named pRuF, where R stands for Renilla reniformis luciferase cDNA, u for 5′UTR tested and F for Firefly luciferase cDNA). The c-Myc and p16 or β-globin and β-actin 5′UTRs were included as positive or negative controls. We performed gene reporter assays in MCF7 and HCT116 p53 wild-type cancer cell lines and in their derivative clones with reduced (shp53) or null (p53-/-) p53 expression. It has been previously demonstrated that p53, through transcriptional repression of fibrillarin (FBL) is able to negatively impact on rRNA methylation pattern and IRES-dependent translation, hence p53 status can be an important factor to unmask cap-independent translation initiation. Results showed that TA*-p63, TA-p73 and ΔN-p73 can potentially contain an IRES-like sequence in their 5′UTR. Translation stimulation was increased in MCF7 cells with p53 was knocked-down. Treatment with the mTOR inhibitors Rapamycin and Torin1, that inhibit cap-dependent translation, led to an enhanced relative activity of the putative IRES contained in TA-p73. Interestingly, differences in responses of the various 5′UTRs between the two cell lines were observed. Based on these initial observations, the identification of different and tissue specific RNA binding proteins targeting the distinct p63 and p73 5′UTRs will be pursued with the aim to dissect a mechanism regulating mRNA translation initiation that could play an important role in development as well as in cancer progression. Note: This abstract was not presented at the meeting. Citation Format: Alessandra Bisio, Alberto Inga. Cis-mediated regulation of mRNA translation initiation of p53 family members. [abstract]. In: Proceedings of the 106th Annual Meeting of the American Association for Cancer Research; 2015 Apr 18-22; Philadelphia, PA. Philadelphia (PA): AACR; Cancer Res 2015;75(15 Suppl):Abstr act nr 2125. doi:10.1158/1538-7445.AM2015-2125
    Type of Medium: Online Resource
    ISSN: 0008-5472 , 1538-7445
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    Language: English
    Publisher: American Association for Cancer Research (AACR)
    Publication Date: 2015
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  • 8
    Online Resource
    Online Resource
    American Association for Cancer Research (AACR) ; 2015
    In:  Cancer Research Vol. 75, No. 15_Supplement ( 2015-08-01), p. 419-419
    In: Cancer Research, American Association for Cancer Research (AACR), Vol. 75, No. 15_Supplement ( 2015-08-01), p. 419-419
    Abstract: Breast cancer prevention, diagnosis and treatment have improved during recent years. However, despite these scientific and clinical improvements, breast cancer survival rate has not substantially increased, due to cancer recurrence and metastatic spread. It is therefore important to further investigate the mechanisms and causes responsible for breast cancer metastasis. The p53 and NFκB sequence-specific transcription factors (TFs) play crucial roles in cell proliferation and survival with critical, even if typically opposite, effects on cancer progression. To investigate a possible crosstalk between p53 and NFκB driven by chemotherapy-induced responses in the context of an inflammatory microenvironment, we performed a proof of concept study using MCF7 cells. Transcriptome analyses upon single or combined treatments with doxorubicin (Doxo) and the NFκB inducer Tumor Necrosis Factor-alpha (TNFα) were performed. Expression microarrays experiments identified a common set of synergistically up-regulated genes upon combined drug treatments in different cellular models of breast and lung carcinomas. This gene signature was enriched in inflammation, proliferation and metastasis gene functions, according to gene ontology and pathway analysis. Interestingly, the migratory phenotypes exhibited by our cell models significantly differed upon single and combined drug treatments and exhibited cell-type specificity. For a selected group of genes synergistically up-regulated upon Doxo+TNFα we were able to demonstrate by ChIP analysis a direct binding of p53 and NFκB and we uncovered LAMP3 and ETV7 as new p53-NFκB direct target genes. We also demonstrated that the combined Doxo+TNFα treatment was not only able to disrupt the 3D architecture of mammary acini observed with MCF10A primary cells grown within matrigel, but also to stimulate the tube-forming potential of Human Umbilical Vein Endothelial Cells (HUVEC). Furthermore, a signature of 29 Doxo+TNFα (DT-29) highly synergistic genes exhibited prognostic value for luminal breast cancer patients, with adverse outcome correlating with higher relative expression (based on Kaplan-Meier plotter tool). We further used available experimental data sets (RNA-seq measurements from Gene Expression Omnibus) both from breast cancer cell lines (luminal-like vs basal-like breast cancer cells) and breast cancer patients (ER positive vs Triple Negative Breast Cancer, TNBC and vs healthy adjacent tissues). The expression of DT-29 gene signature was analyzed and compared among the different groups of samples. The most statistically relevant genes differentially expressed among the different groups were involved in the STAT3-driven pathways and were prevalently highly expressed in TNBC patients and cell lines. We propose that the crosstalk between p53 and NFκB can lead to the activation of specific gene expression programs that may impact on cancer phenotypes and potentially modify the efficacy of cancer therapy. Citation Format: Federica Alessandrini, Vasundhara Sharma, Alessandra Bisio, Sara Zaccara, Alberto Inga, Yari Ciribilli. Cooperative interactions between p53 and NFκB enhance cell plasticity. [abstract]. In: Proceedings of the 106th Annual Meeting of the American Association for Cancer Research; 2015 Apr 18-22; Philadelphia, PA. Philadelphia (PA): AACR; Cancer Res 2015;75(15 Suppl):Abstract nr 419. doi:10.1158/1538-7445.AM2015-419
    Type of Medium: Online Resource
    ISSN: 0008-5472 , 1538-7445
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    Language: English
    Publisher: American Association for Cancer Research (AACR)
    Publication Date: 2015
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  • 9
    In: Cancer Research, American Association for Cancer Research (AACR), Vol. 72, No. 8_Supplement ( 2012-04-15), p. 4199-4199
    Abstract: The CDKN2A gene is the most common high penetrance susceptibility gene identified to date in melanoma families. While functional tests for determining the pathogenicity of missense germline mutations in the CDKN2A coding region have been developed, rare polymorphisms or sequence variants at the CDKN2A/ p16INK4a 5′UTR, encountered during routine screening, are usually defined as variants with unknown significance after determining their frequency in control population and the cosegregation analysis in the family, when possible. We recently developed reporter assays to study a panel of p16INK4a 5′UTR variants identified as heterozygous changes in patients from a hospital-based series of melanoma cases (c.-21C & gt;T; c.-25C & gt;T & c.-180G & gt;A; c.-56G & gt;T; c.-67G & gt;C). Monocistronic as well as bicistronic luciferase-based reporter vectors were developed and used to test wild type and variant p16INK4a 5′UTR activity upon transient transfection in melanoma-derived cells (WM266-4, G361 and SK-Mel-5) and in the breast cancer-derived MCF7 cells. Results revealed that the c.-21C & gt;T variant had a strong negative impact on the reporter activity, similar to that of the known melanoma-predisposing mutation c.-34G & gt;T, included as a control. The variants at –56 and at –25 & -180 exhibited a milder impact, while results with c.-67G & gt;C were dependent on the type of reporter vector. Quantification of the luciferase mRNA conducted in parallel with the luciferase assay indicated that the impact of the variants was mainly post-transcriptional. We also applied a polysomal profiling technique to measure allelic imbalance starting from heterozygous patient-derived cell lines and found that the c.-21C & gt;T variant but also c.-56T & gt;G and c.-67G & gt;C exhibited lower association with the polysomes suggestive of reduced mRNA translation efficiency. A panel of eleven additional germline variants in the 5′UTR of p16INK4a is being investigated. In particular we are focusing on the functional interactions between wild type and variant p16INK4a 5′- and 3′-UTR sequences and on the impact the variants can have on the targeting of the p16INK4a mRNA by microRNAs (including mir-346, -636, -639, -935) or RNA binding proteins (including YB-1). Citation Format: {Authors}. {Abstract title} [abstract]. In: Proceedings of the 103rd Annual Meeting of the American Association for Cancer Research; 2012 Mar 31-Apr 4; Chicago, IL. Philadelphia (PA): AACR; Cancer Res 2012;72(8 Suppl):Abstract nr 4199. doi:1538-7445.AM2012-4199
    Type of Medium: Online Resource
    ISSN: 0008-5472 , 1538-7445
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    Language: English
    Publisher: American Association for Cancer Research (AACR)
    Publication Date: 2012
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  • 10
    In: Applied Radiation and Isotopes, Elsevier BV, Vol. 164 ( 2020-10), p. 109258-
    Type of Medium: Online Resource
    ISSN: 0969-8043
    Language: English
    Publisher: Elsevier BV
    Publication Date: 2020
    detail.hit.zdb_id: 1499873-7
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