Selective accumulation of differentiated FOXP3(+) CD4 (+) T cells in metastatic tumor lesions from melanoma patients compared to peripheral blood

Precise identification of regulatory T cells is crucial in the understanding of their role in human cancers. Here, we analyzed the frequency and phenotype of regulatory T cells (Tregs), in both healthy donors and melanoma patients, based on the expression of the transcription factor FOXP3, which, to date, is the most reliable marker for Tregs, at least in mice. We observed that FOXP3 expression is not confined to human CD25(+/high) CD4(+) T cells, and that these cells are not homogenously FOXP3(+). The circulating relative levels of FOXP3(+) CD4(+) T cells may fluctuate close to 2-fold over a short period of observation and are significantly higher in women than in men. Further, we showed that FOXP3(+) CD4(+) T cells are over-represented in peripheral blood of melanoma patients, as compared to healthy donors, and that they are even more enriched in tumor-infiltrated lymph nodes and at tumor sites, but not in normal lymph nodes. Interestingly, in melanoma patients, a significantly higher proportion of functional, antigen-experienced FOXP3(+) CD4(+) T was observed at tumor sites, compared to peripheral blood. Together, our data suggest that local accumulation and differentiation of Tregs is, at least in part, tumor-driven, and illustrate a reliable combination of markers for their monitoring in various clinical settings.

High prevalence of peripheral arterial disease in HIV-infected persons

BACKGROUND: Atherosclerosis has been assessed in human immunodeficiency virus (HIV)-infected persons by using various methods. Peripheral arterial disease (PAD) has not been evaluated, however. We studied the cross-sectional prevalence of lower limb PAD in an HIV-infected population. METHODS: PAD was assessed using the Edinburgh Claudication Questionnaire and by measuring the systolic ankle-brachial blood pressure index (ABI) at rest and after exercise. Patients with PAD were further evaluated by duplex scan of lower limb arteries. RESULTS: Ninety-two consecutive HIV-infected patients were evaluated (23.9% women; mean age, 49.5 years; 61.9% current smokers). Claudication was reported by 15.2% of the patients. PAD was found in 20.7% of the patients: 9.8% had an abnormal ABI (<0.90) at rest, and 10.9% had normal ABI at rest but a >25% decrease after exercise. Of the patients with PAD, 84.2% were investigated with duplex scan, all of whom had atherosclerotic occlusions or stenoses of the iliac or femoral arteries. Age, diabetes, smoking, and low CD4+ T lymphocyte counts were identified as independent predictors of PAD. CONCLUSIONS: The prevalence of symptomatic and asymptomatic PAD is high in the HIV-infected population and is much higher than expected (prevalence in the general population, approximately 3% at 60 years). This study suggests the presence of an epidemic of PAD approximately 20 years earlier in the HIV-infected than in the general population. Larger epidemiological studies are needed to better define risk factors and to evaluate whether PAD is associated with increased mortality, as it is in the general population.

A systematic review and meta-analysis of perineural dexamethasone for peripheral nerve blocks.

We systematically reviewed the safety and efficacy of perineural dexamethasone as an adjunct for peripheral nerve blockade in 29 controlled trials of 1695 participants. We grouped trials by the duration of local anaesthetic action (short- or medium- vs long-term). Dexamethasone increased the mean (95% CI) duration of analgesia by 233 (172-295) min when injected with short- or medium-term action local anaesthetics and by 488 (419-557) min when injected with long-term action local anaesthetics, p < 0.00001 for both. However, these results should be interpreted with caution due to the extreme heterogeneity of results, with I2 exceeding 90% for both analyses. Meta-regression did not show an interaction between dose of perineural dexamethasone (4-10 mg) and duration of analgesia (r2 = 0.02, p = 0.54). There were no differences between 4 and 8 mg dexamethasone on subgroup analysis.

Magnetization transfer-based 3D visualization of foot peripheral nerves.

PURPOSE: To investigate magnetization transfer (MT) effects as a new source of contrast for imaging and tracking of peripheral foot nerves. MATERIALS AND METHODS: Two sets of 3D spoiled gradient-echo images acquired with and without a saturation pulse were used to generate MT ratio (MTR) maps of 260 μm in-plane resolution for eight volunteers at 3T. Scan parameters were adjusted to minimize signal loss due to T2 dephasing, and a dedicated coil was used to improve the inherently low signal-to-noise ratio of small voxels. Resulting MTR values in foot nerves were compared with those in surrounding muscle tissue. RESULTS: Average MTR values for muscle (45.5 ± 1.4%) and nerve (21.4 ± 3.1%) were significantly different (P < 0.0001). In general, the difference in MTR values was sufficiently large to allow for intensity-based segmentation and tracking of foot nerves in individual subjects. This procedure was termed MT-based 3D visualization. CONCLUSION: The MTR serves as a new source of contrast for imaging of peripheral foot nerves and provides a means for high spatial resolution tracking of these structures. The proposed methodology is directly applicable on standard clinical MR scanners and could be applied to systemic pathologies, such as diabetes.

Entre la imatge i la paraula: l'oscil·lant i l'amor en un cert cinema d'autor francès

L'amor ha estat concebut des d'una paraula que evoca la imatge i des d'una imatge que evoca la paraula. Partint d'aquesta hipòtesi ens preguntem com arribar a la síntesi d'ambdues formes d'expressió sense trencar l'indefinit a través del qual una evoca l'altra. Trobant en el cinema la possibilitat dialèctica entre ambdues, el següent estudi planteja com des d'un cert cinema d'autor francès nascut als anys 50 i prenent l'amor com a font d'inspiració, l'oscil·lació entre la imatge i la paraula es presenta en cada cas com una eina dereformulació del tema i a través de la qual l'autor articula el seu discurs

Figures i mirades salvatges en el cinema de Werner Herzog

Aquest treball de recerca vol explorar com el concepte del salvatge europeu es plasmaen l'obra del cineasta alemany Werner Herzog. Aquesta plasmació es produeix tant anivell figuratiu i narratiu com a nivell estètic. Per una banda, en aquests films hi ha un treball del cos i de com aquest es sotmet a diverses regles socials i de representació, que el salvatge contestarà amb un rebuig de l'ordre establert, sovint concretat en la idea de fuga cap a la natura. Per altra banda, l'estètica dels films de Herzog respon al que denominem una mirada salvatge: la representació d'una societat teatral que s'enfonsa, per una banda, i l'ús de recursos formals per a reproduir una mirada primigènia sobre les imatges, per l'altra. En tots els casos, la dinàmica d'alliberament de les forces civilitzadores constitueix el fonament de la narració i l'estètica del cineasta alemany.

El mirall de Narcís: mirada i identitat al cinema clàssic de Hollywood

Aquest treball se situa en el marc de l'estudi de les mirades en el cinema clàssic de Hollywood. S'interroga, en concret, sobre una mirada: la que alguns personatgesdirigeixen a la seva imatge especular. A la llum del mite de Narcís, es proposa escatirquin és el desig que va unit a aquesta mirada i quins efectes produeix sobre aquells que hi recorren, sobretot pel que fa a la fonamentació de la seva subjectivitat.Després de la identificació i l'examen de les figures cinematogràfiques que mostrenpunts de contacte amb la figura de Narcís, s'ha procedit a una exploració de les imatgesque les mostren mirant-se al mirall, per tal de precisar els trets que defineixen la sevamirada. Finalment, s'han resseguit certes variacions i prolongacions del mite de Narcís, presents també al cinema clàssic, per tal de veure l'evolució que hi sofreixen tant la pròpia mirada com la relació dels personatges amb la seva imatge. Aquest recorregut ha permès d'extreure algunes conclusions sobre la qüestió principal que ens havíem plantejat

Visions postapocalíptiques: la ruïna i el cos en el cinema de Ciprì i Maresco

Aquest treball de recerca traça, mitjançant una metodologia transversal i comparativa, un recorregut per dos dels pilars fonamentals en la producció videocinematogràfica del duet de directors sicilians Daniele Ciprì i Franco Maresco: el cos i la ruïna. Considerada la seva obra com una visió radical del cinema i la televisió com a mitjà expressiu, al mateix temps que es treuen a la llum les principals motivacions que els han dut a seguir aquesta via al marge dels convencionalismes, s’aborden i analitzen alguns dels conceptes i motius visuals que es troben en ella: el cinisme, el sublim, el grotesc, el context postapocalíptic... Defugint tot propòsit d’establir una cronologia de fets, es destaquen i examinen posteriorment els aspectes més rellevants de la geografia dels espais que filmen i de l’anatomia dels personatges que els habiten, tot desglossant un seguit de subtemes per facilitar l’anàlisi i demostrar que la conjunció de cos i ruïna confecciona una atmosfera expressiva portada al límit de la representació