Developing front-end Web 2.0 technologies to access services, content and things in the future Internet

The future Internet is expected to be composed of a mesh of interoperable web services accessible from all over the web. This approach has not yet caught on since global user?service interaction is still an open issue. This paper states one vision with regard to next-generation front-end Web 2.0 technology that will enable integrated access to services, contents and things in the future Internet. In this paper, we illustrate how front-ends that wrap traditional services and resources can be tailored to the needs of end users, converting end users into prosumers (creators and consumers of service-based applications). To do this, we propose an architecture that end users without programming skills can use to create front-ends, consult catalogues of resources tailored to their needs, easily integrate and coordinate front-ends and create composite applications to orchestrate services in their back-end. The paper includes a case study illustrating that current user-centred web development tools are at a very early stage of evolution. We provide statistical data on how the proposed architecture improves these tools. This paper is based on research conducted by the Service Front End (SFE) Open Alliance initiative.

A proposed two-stage two-tether scientific mission at Jupiter

A two-stage mission to place a spacecraft (SC) below the Jovian radiation belts, using a spinning bare tether with plasma contactors at both ends to provide propulsion and power,is proposed. Capture by Lorentz drag on the tether, at the periapsis of a barely hyperbolic equatorial orbit, is followed by a sequence of orbits at near-constant periapsis, drag finally bringing the SC down to a circular orbit below the halo ring. Although increasing both tether heating and bowing, retrograde motion can substantially reduce accumulated dose as compared with prograde motion, at equal tether-to-SC mass ratio. In the second stage,the tether is cut to a segment one order of magnitude smaller, with a single plasma contactor, making the SC to slowly spiral inward over severalmonths while generating large onboard power, which would allow multiple scientific applications, including in situ study of Jovian grains, auroral sounding of upper atmosphere, and space- and time-resolved observations of surface and subsurface.

Greenfield shopping center development. The integration between environmental features, building design and investment analysis at the decision making stage

The Shopping centre is a long term investment in which Greenfield development decisions are often taken based on risks analysis regarding construction costs, location, competition, market and an expected DCF. Furthermore, integration between the building design, project planning, operational costs and investment analysis is not entirely considered by the investor at the decision making stage. The absence of such information tends to produce certain negative impacts on the future running costs and annual maintenance of the building, especially on energy demand and other occupancy expenses paid by the tenants to the landlord. From the investor´s point of view, this blind spot in strategy development will possibly decrease their profit margin as changes in the occupancy expenses[ ] have a direct outcome on the profit margin. In order to try to reduce some higher operating cost components such as energy use and other utility savings as well as their CO2 emissions, quite a few income properties worldwide have some type of environmental label such as BREEAM and LEED. The drawback identified in this labelling is that usually the investments required to get an ecolabel are high and the investor finds no direct evidence that it increases market value. However there is research on certified commercial properties (especially offices) that shows better performance in terms of occupancy rate and rental cost (Warren-Myers, 2012). Additionally, Sayce (2013) says that the certification only provides a quick reference point i.e. the lack of a certificate does not indicate that a building is not sustainable or efficient. Based on the issues described above, this research compares important components of the development stages such as investments costs, concept/ strategy development as well as the current investor income and property value. The subjects for this analysis are a shopping centre designed with passive cooling/bioclimatic strategies evaluated at the decision making stage, a certified regional shopping centre and a non-certified standard regional shopping centre. Moreover, the proposal intends to provide decision makers with some tools for linking green design features to the investment analysis in order to optimize the decision making process when looking into cost savings and design quality.

Evaluación de tecnologías de manejo de arvenses en el cultivo de la caña de azúcar (Saccharum spp. híbrido)

En Cuba, las arvenses que afectan al cultivo de la caña de azúcar son una de las causas fundamentales de los bajos rendimientos agrícolas y su control constituye unas de las principales partidas de gastos. En general, se aplican los herbicidas, así como otros métodos de control, sin tener en cuenta el tipo de suelo y las características de estas plantas. Sobre el manejo de arvenses no existen trabajos de investigación que aborden aspectos de eficiencia energética de las producciones y daños al ambiente. Por lo antes señalado, el objetivo de esta investigación fue evaluar diversas tecnologías de manejo de arvenses en el cultivo de la caña de azúcar (Saccharum spp. híbrido), en cepas de primavera y retoño, en tres tipos de suelos, con el propósito de obtener producciones sustentables. El área de estudio se localizó en los campos de la Empresa Azucarera del municipio “Majibacoa”, provincia de Las Tunas (oriente de Cuba), que posee condiciones edafoclimáticas que abundan a lo largo del país. Los tres tipos de suelos más representativos son Fersialítico Pardo Rojizo ócrico, Pardo Mullido y Vertisol Crómico gléyco. En dicha área se han identificado 31 especies de arvenses, 16 de la clase Liliopsida y 15 de la Magnoliopsida. En un primer grupo de experimentos, se desarrollaron nueve ensayos de campo para evaluar la efectividad de herbicidas y mezclas de estos en el manejo de arvenses en el cultivo de la caña de azúcar, tanto en cepas de primavera como de retoño, en los tres tipos de suelos. Se establecieron parcelas de 80 m2 distribuidas en bloques al azar con cuatro réplicas. La efectividad se evaluó por medio del porcentaje de cobertura por arvenses y la fitotoxicidad provocada a las plantas de caña, teniendo en cuenta el coste asociado a cada tratamiento. En aplicaciones preemergentes en caña planta de primavera, el herbicida más eficiente fue el Isoxaflutole con dosis de 0,15; 0,20 y 0,25 kg.ha-1 de producto comercial (pc) en los suelos Fersialítico, Pardo y Vertisol respectivamente. En aplicaciones postemergentes tempranas la mezcla más eficiente fue la de Isoxaflutole + Ametrina +2,4-D con las dosis de Isoxaflutole citadas anteriormente. En aplicaciones preemergentes en cepa de retoño, el herbicida más eficiente fue el Isoxaflutole a dosis de 0,20 kg.ha-1 pc para el suelo Fersialítico y a 0,25 kg.ha-1 pc para los suelos Pardo y Vertisol. En un segundo grupo, se realizaron seis ensayos de campo distribuidos en dos fases. En la primera fase, se desarrollaron tres experimentos, uno por cada tipo de suelo, para evaluar la eficiencia de nueve tecnologías de manejo de arvenses (químicas y físicas combinadas) en cepa de primavera de caña de azúcar. En la siguiente fase, los tres ensayos restantes (uno por tipo de suelo) evaluaron tecnologías de manejo de arvenses durante dos ciclos de producción de caña de azúcar (etapa de primavera y retoño). En la etapa de primavera se aplicó la tecnología más eficiente de los tres experimentos anteriores y durante la etapa de retoño se evaluaron otras nueve tecnologías propias de este tipo de cepa. En estos experimentos los diferentes tratamientos se aplicaron en franjas distribuidas al azar con cuatro réplicas. En las tecnologías evaluadas se emplearon los herbicidas y mezclas que resultaron más eficientes en el primer grupo de experimentos. En cada caso, se evaluaron la eficiencia energética de la producción de azúcar y otros derivados, la resistencia a la penetración de los suelos, la carga contaminante hacia la atmósfera producto de la combustión del diésel y los beneficios al aplicar las diferentes tecnologías. En la primera fase (cepa de primavera), la tecnología con mejor resultado fue la aplicación preemergente de Isoxaflutole inmediatamente después de la plantación, seguida de descepe químico con Glufosinato de amonio, más labor con grada múltiple aproximadamente a los 80 días de la plantación y aplicación pre-cierre con Glufosinato de amonio. En la segunda fase (dos ciclos del cultivo), el mejor resultado se obtuvo cuando en la etapa de retoño se realizó una aplicación preemergente de Isoxaflutole, descepe químico con Glufosinato de amonio y aplicación pre-cierre con este mismo herbicida. En los tres tipos de suelos durante los dos ciclos, la eficiencia energética tuvo valores de 7,2 - 7,5, la resistencia a la penetración 1,2 - 1,5 MPa, la carga contaminante hacia la atmósfera fue de 63,3 - 64,9 kg.t-1 de caña cosechada y beneficios de 8.324 - 8.455 pesos cubanos por hectárea. Este estudio demuestra que un control eficiente de las arvenses debe tener en cuenta necesariamente el tipo de suelo. Así, en los Vertisoles, con mayor contenido en arcilla, se requieren mayores dosis de Isoxaflutole y la eficiencia energética de la producción es menor. La persistencia de ciertas arvenses, especialmente de la clase Liliopsida, requiere de un manejo integrado que incluya diferentes tipos de herbicidas. ABSTRACT In Cuba, weeds affecting the sugarcane are one of the main causes of low agricultural yields, and their control constitutes some of the main items of expenditure. In general, herbicides are applied, as well as other control methods, without keeping in mind the soil type and the characteristics of these plants. Moreover, weed control research approaching aspects about energy efficiency of the crop production, and environmental damages are missing. Hence, the objective of this investigation was to evaluate diverse technologies of weed handling in sugarcane (Saccharum spp. hybrid), both in spring cane plant and ratoon, in three types of soils, with the purpose of obtaining sustainable productions. The study area was located in the fields of the Sugar Enterprise of the Municipality "Majibacoa”, Las Tunas province (east of Cuba) that possesses ecological conditions that are plentiful along the country. The three more representative types of soils are Fersialitic, Brown, and Vertisol. In this area 31 weeds species have been identified, 16 of the Class Liliopsida and 15 of the Magnoliopsida. In a first group of experiments, nine field rehearsals were developed to evaluate the effectiveness of herbicides and mixtures of these for weed handling in sugarcane, in spring cane plants as well as in ratoon, in the three types of soils. Plots of 80 m-2 were distributed at random blocks with four replications. The effectiveness was evaluated by means of the covering percentage by weeds and the provoked toxicity to the cane plants, keeping in mind the cost associated to each treatment. In preemergence applications in spring cane plant, the most efficient herbicide was the Isoxaflutole with dose of 0.15; 0.20 and 0.25 kg.ha-1 of commercial product (pc) in the soils Fersialítico, Brown and Vertisol respectively. In early postemergence applications the most efficient mixture was that of Isoxaflutole + Ametrina + 2,4-D with the doses of Isoxaflutole mentioned previously. In preemergence applications in ratoon, the most efficient herbicide was the Isoxaflutole at dose of 0.20 kg.ha-1 pc for the soil Fersialític and to 0.25 kg. ha-1 pc for the Brown soil and Vertisol. In a second group, six field rehearsals distributed in two phases were carried out. In the first phase, three experiments were developed, one for each soil type, to evaluate the efficiency of nine technologies of weed handling in spring cane plant. In the following phase, the three remaining rehearsals (one for each soil type) diverse technologies of weed handling were evaluated during two cycles of sugarcane production (spring stage and ratoon). In the spring stage the most efficient technology in the three previous experiments was applied and during ratoon stage other nine technologies were evaluated. In these experiments the different treatments were applied in fringes distributed at random with four replicas. In the evaluated technologies the herbicides and mixtures were used selecting those that were more efficient in the first group of experiments. In each case, the energy efficiency of the sugar production and other derivatives, the soil penetration resistance, the polluting load toward the atmosphere product of the combustion, and the benefits when applying the different technologies were all evaluated. In the first phase (spring cane plant), the technology with better result was the preemergence application of Isoxaflutole immediately after the plantation, followed by chemical eradication with Ammonia Glufosinate, hoeing work with multiple tier approximately to the 80 days of the plantation and pre-closing application with Ammonia Glufosinate. In the second phase (two cycles of the cultivation), the best result was obtained when a preemergence application of Isoxaflutole was carried out in sprout's stage, chemical eradication with Ammonia Glufosinate and pre-closing application with this same herbicide. In the three types of soils during the two cycles, the energy efficiency achieved values of 7.2 to 7.5, the resistance to the penetration 1.2 - 1.5 MPa, the polluting load toward the atmosphere was of 63.3 - 64.9 kg.t-1 of the harvested cane and the obtained benefits of 8,324 - 8,455 Cuban pesos per hectare. This study demonstrates that an efficient control of the weeds should necessarily keep in mind the soil type. This way, in the Vertisols, with more clay content, bigger dose of Isoxaflutole is required and the energy efficiency of the production is smaller. The persistence of certain weeds, especially of the class Liliopsida, requires of an integrated handling him to include different types of herbicides.

A “REVOLTA” DE JEÚ E A ESTELA DE DÃ: Um Estudo Em 2 Reis 10,28-36

A pesquisa tem por objetivo trabalhar o evento da Revolta de Jeú, em conjunto com a Estela de Dã, tendo como ponto de partida para tal, a exegese da perícope de 2 Reis 10-28,36. A história Deuteronomista apresenta o ato da Revolta de Jeú como sendo um feito demasiadamente importante, na restauração do culto a Javé em Israel, a partir de um contexto onde o culto a outras divindades, em Israel Norte, estava em pleno curso. No entanto, a partir da análise conjunta da Estela de Dã, que tem como provável autor o rei Hazael de Damasco, somos desafiados a ler esta história pelas entrelinhas não contempladas pelo texto, que apontam para uma participação ativa de Hazael, nos desfechos referentes a Revolta de Jeú, como sendo o responsável direto que proporcionou a subida de Jeú ao trono em Israel, clarificando desta forma este importante período na história Bíblica. Para tal análise, observar-se-á três distintos tópicos, ligados diretamente ao tema proposto: (1) A Revolta de Jeú e a Redação Deuteronomista, a partir do estudo exegético da perícope de 2 Reis 10,28-36, onde estão descritas informações pontuais sobre período em que Jeú reinou em Israel; (2) Jeú e a Estela de Dã, a partir da apresentação e análise do conteúdo da Estela de Dã, tratando diretamente dos desdobramentos da guerra em Ramote de Gileade, de onde se dá o ponto de partida à Revolta de Jeú; e por fim (3) O Império da Síria, onde a partir da continuidade da análise do conteúdo da Estela de Dã, demonstraremos a significância deste reino, além de apontamentos diretamente ligados ao reinado de Hazael, personagem mui relevante no evento da Revolta de Jeú.

Masking and unmasking of the sialic acid-binding lectin activity of CD22 (Siglec-2) on B lymphocytes

CD22 is a B cell-restricted glycoprotein involved in signal transduction and modulation of cellular activation. It is also an I-type lectin (now designated Siglec-2), whose extracellular domain can specifically recognize α2–6-linked sialic acid (Sia) residues. This activity is postulated to mediate intercellular adhesion and/or to act as a coreceptor in antigen-induced B cell activation. However, studies with recombinant CD22 indicate that the lectin function can be inactivated by expression of α2–6-linked Sia residues on the same cell surface. To explore whether this masking phenomenon affects native CD22 on B cells, we first developed a probe to detect the lectin activity of recombinant CD22 expressed on Chinese hamster ovary cells (which have no endogenous α2–6-linked Sia residues). This probe is inactive against CD22-positive B lymphoma cells and Epstein–Barr virus-transformed lymphoblasts which express high levels of α2–6-linked Sia residues. Enzymatic desialylation unmasks the CD22 lectin activity, indicating that endogenous Sia residues block the CD22 lectin-binding site. Truncation of the side chains of cell surface Sia residues by mild periodate oxidation (known to abrogate Sia recognition by CD22) also had this unmasking effect, indicating that the effects of desialylation are not due to a loss of negative charge. Normal resting B cells from human peripheral blood gave similar findings. However, the lectin is partially unmasked during in vitro activation of these cells. Thus, the lectin activity of CD22 is restricted by endogenous sialylation in resting B cells and may be transiently unmasked during in vivo activation, perhaps to modulate intercellular or intracellular interactions at this critical stage in the humoral response.

Ligand-dependent development of the endothelial and hemopoietic lineages from embryonic mesodermal cells expressing vascular endothelial growth factor receptor 2

The existence of a common precursor for endothelial and hemopoietic cells, termed the hemangioblast, has been postulated since the beginning of the century. Recently, deletion of the endothelial-specific vascular endothelial growth factor receptor 2 (VEGFR2) by gene targeting has shown that both endothelial and hemopoietic cells are absent in homozygous null mice. This observation suggested that VEGFR2 could be expressed by the hemangioblast and essential for its further differentiation along both lineages. However, it was not possible to exclude the hypothesis that hemopoietic failure was a secondary effect resulting from the absence of an endothelial cell microenvironment. To distinguish between these two hypotheses, we have produced a mAb directed against the extracellular domain of avian VEGFR2 and isolated VEGFR2+ cells from the mesoderm of chicken embryos at the gastrulation stage. We have found that in clonal cultures, a VEGFR2+ cell gives rise to either a hemopoietic or an endothelial cell colony. The developmental decision appears to be regulated by the binding of two different VEGFR2 ligands. Thus, endothelial differentiation requires VEGF, whereas hemopoietic differentiation occurs in the absence of VEGF and is significantly reduced by soluble VEGFR2, showing that this process could be mediated by a second, yet unidentified, VEGFR2 ligand. These observations thus suggest strongly that in the absence of the VEGFR2 gene product, the precursors of both hemopoietic and vascular endothelial lineages cannot survive. These cells therefore might be the initial targets of the VEGFR2 null mutation.

Constitutive Bcl-2 expression throughout the hematopoietic compartment affects multiple lineages and enhances progenitor cell survival

Bcl-2, which can both reduce apoptosis and retard cell cycle entry, is thought to have important roles in hematopoiesis. To evaluate the impact of its ubiquitous overexpression within this system, we targeted expression of the human bcl-2 gene in mice by using the promoter of the vav gene, which is active throughout this compartment but rarely outside it. The vav-bcl-2 transgene was expressed in essentially all nucleated cells of hematopoietic tissues but not notably in nonhematopoietic tissues. Presumably because of enhanced cell survival, the mice displayed increases in myeloid cells as well as a marked elevation in B and T lymphocytes. The spleen was enlarged and the lymphoid follicles expanded. Although total thymic cellularity was normal, T cell development was altered: cells at the very immature and most mature stages were increased, whereas those at the intermediate stage were decreased. Unexpectedly, blood platelets were reduced by half, suggesting that their production from megakaryocytes is regulated by the Bcl-2 family. Colony formation by myeloid progenitor cells in vitro remained cytokine dependent, and the frequency of most progenitor and preprogenitor cells was normal. Macrophage progenitors were less frequent and yielded smaller colonies, however, perhaps reflecting inhibitory effects of Bcl-2 on cell cycling in specific lineages. After irradiation or factor deprivation, Bcl-2 markedly enhanced clonogenic survival of all tested progenitor and preprogenitor cells. Thus, Bcl-2 has multiple effects on the hematopoietic system. These mice should help to further clarify the role of apoptosis in the development and homeostasis of this compartment.

A serotonin transporter gene intron 2 polymorphic region, correlated with affective disorders, has allele-dependent differential enhancer-like properties in the mouse embryo

Polymorphic regions consisting of a variable number of tandem repeats within intron 2 of the gene coding for the serotonin transporter protein 5-HTT have been associated with susceptibility to affective disorders. We have cloned two of these intronic polymorphisms, Stin2.10 and Stin2.12, into an expression vector containing a heterologous minimal promoter and the bacterial LacZ reporter gene. These constructs were then used to produce transgenic mice. In embryonic day 10.5 embryos, both Stin2.10 and Stin2.12 produced consistent β-galactosidase expression in the embryonic midbrain, hindbrain, and spinal cord floor plate. However, we observed that the levels of β-galactosidase expression produced by both the Stin2.10 and Stin2.12 within the rostral hindbrain differed significantly at embryonic day 10.5. Our data suggest that these polymorphic variable number of tandem repeats regions act as transcriptional regulators and have allele-dependent differential enhancer-like properties within an area of the hindbrain where the 5-HTT gene is known to be transcribed at this stage of development.

The Kinetics of Mannose 6-Phosphate Receptor Trafficking in the Endocytic Pathway in HEp-2 Cells: The Receptor Enters and Rapidly Leaves Multivesicular Endosomes without Accumulating in a Prelysosomal Compartment

We have previously shown that in HEp-2 cells, multivesicular bodies (MVBs) processing internalized epidermal growth factor–epidermal growth factor receptor complexes mature and fuse directly with lysosomes in which the complexes are degraded. The MVBs do not fuse with a prelysosomal compartment enriched in mannose 6-phosphate receptor (M6PR) as has been described in other cell types. Here we show that the cation-independent M6PR does not become enriched in the endocytic pathway en route to the lysosome, but if a pulse of M6PR or an M6PR ligand, cathepsin D, is followed, a significant fraction of these proteins are routed from the trans-Golgi to MVBs. Accumulation of M6PR does not occur because when the ligand dissociates, the receptor rapidly leaves the MVB. At steady state, most M6PR are distributed within the trans-Golgi and trans-Golgi network and in vacuolar structures distributed in the peripheral cytoplasm. We suggest that these M6PR-rich vacuoles are on the return route from MVBs to the trans-Golgi network and that a separate stable M6PR-rich compartment equivalent to the late endosome/prelysosome stage does not exist on the endosome–lysosome pathway in these cells.

Transcriptional Regulation of Fibroblast Growth Factor-2 Expression in Human Astrocytes: Implications for Cell Plasticity

Induction of the fibroblast growth factor-2 (FGF-2) gene and the consequent accumulation of FGF-2 in the nucleus are operative events in mitotic activation and hypertrophy of human astrocytes. In the brain, these events are associated with cellular degeneration and may reflect release of the FGF-2 gene from cell contact inhibition. We used cultures of human astrocytes to examine whether expression of FGF-2 is also controlled by soluble growth factors. Treatment of subconfluent astrocytes with interleukin-1β, epidermal or platelet-derived growth factors, 18-kDa FGF-2, or serum or direct stimulation of protein kinase C (PKC) with phorbol 12-myristate 13-acetate or adenylate cyclase with forskolin increased the levels of 18-, 22-, and 24-kDa FGF-2 isoforms and FGF-2 mRNA. Transfection of FGF-2 promoter–luciferase constructs identified a unique −555/−513 bp growth factor-responsive element (GFRE) that confers high basal promoter activity and activation by growth factors to a downstream promoter region. It also identified a separate region (−624/−556 bp) essential for PKC and cAMP stimulation. DNA–protein binding assays indicated that novel cis-acting elements and trans-acting factors mediate activation of the FGF-2 gene. Southwestern analysis identified 40-, 50-, 60-, and 100-kDa GFRE-binding proteins and 165-, 112-, and 90-kDa proteins that interacted with the PKC/cAMP-responsive region. The GFRE and the element essential for PKC and cAMP stimulation overlap with the region that mediates cell contact inhibition of the FGF-2 promoter. The results show a two-stage regulation of the FGF-2 gene: 1) an initial induction by reduced cell contact, and 2) further activation by growth factors or the PKC-signaling pathway. The hierarchic regulation of the FGF-2 gene promoter by cell density and growth factors or PKC reflects a two-stage activation of protein binding to the GFRE and to the PKC/cAMP-responsive region, respectively.

Priming of tumor-specific T cells in the draining lymph nodes after immunization with interleukin 2-secreting tumor cells: three consecutive stages may be required for successful tumor vaccination.

Although both CD4+ and CD8+ T cells are clearly required to generate long-lasting anti-tumor immunity induced by s.c. vaccination with interleukin 2 (IL-2)-transfected, irradiated M-3 clone murine melanoma cells, some controversy continues about the site and mode of T-cell activation in this system. Macrophages, granulocytes, and natural killer cells infiltrate the vaccination site early after injection into either syngeneic euthymic DBA/2 mice or athymic nude mice and eliminate the inoculum within 48 hr. We could not find T cells at the vaccination site, which argues against the concept that T-cell priming by the IL-2-secreting cancer cells occurs directly at that location. However, reverse transcription-PCR revealed transcripts indicative of T-cell activation and expansion in the draining lymph nodes of mice immunized with the IL-2-secreting vaccine but not in mice vaccinated with untransfected, irradiated M-3 cells. We therefore propose that the antigen-presenting cells, which invade the vaccination site, process tumor-derived antigens and, subsequently, initiate priming of tumor-specific T lymphocytes in lymphoid organs. These findings suggest a three-stage process for the generation of effector T cells after vaccination with IL-2-secreting tumor cells: (i) tumor-antigen uptake and processing at the site of injection by antigen-presenting cells, (ii) migration of antigen-presenting cells into the regional draining lymph nodes, where T-cell priming occurs, and (iii) circulation of activated T cells that either perform or initiate effector mechanisms leading to tumor cell destruction.

Validation of a new easy score to predict outcome in early stage renal cell carcinoma

Background e scopi dello studio. Il carcinoma renale rappresenta circa il 3% delle neoplasie e la sua incidenza è in aumento nel mondo. Il principale approccio terapeutico alla malattia in stadio precoce è rappresentato dalla chirurgia (nefrectomia parziale o radicale), sebbene circa il 30-40% dei pazienti vada incontro a recidiva di malattia dopo tale trattamento. La probabilità di recidivare può essere stimata per mezzo di alcuni noti modelli prognostici sviluppati integrando sia parametri clinici che anatomo-patologici. Il limite principale all’impiego nella pratica clinica di questi modelli è legata alla loro complessità di calcolo che li rende di difficile fruizione. Inoltre la stratificazione prognostica dei pazienti in questo ambito ha un ruolo rilevante nella pianificazione ed interpretazione dei risultati degli studi di terapia adiuvante dopo il trattamento chirurgico del carcinoma renale in stadio iniziale. Da un' analisi non pre-pianificata condotta nell’ambito di uno studio prospettico e randomizzato multicentrico italiano di recente pubblicazione, è stato sviluppato un nuovo modello predittivo e prognostico (“score”) che utilizza quattro semplici parametri: l’età del paziente, il grading istologico, lo stadio patologico del tumore (pT) e della componente linfonodale (pN). Lo scopo del presente studio era quello di validare esternamente tale score. Pazienti e Metodi. La validazione è stata condotta su due coorti retrospettive italiane (141 e 246 pazienti) e su una prospettica americana (1943 pazienti). Lo score testato prevedeva il confronto tra due gruppi di pazienti, uno a prognosi favorevole (pazienti con almeno due parametri positivi tra i seguenti: età < 60 anni, pT1-T3a, pN0, grading 1-2) e uno a prognosi sfavorevole (pazienti con meno di due fattori positivi). La statistica descrittiva è stata utilizzata per mostrare la distribuzione dei diversi parametri. Le analisi di sopravvivenza [recurrence free survival (RFS) e overall survival (OS)] sono state eseguite il metodo di Kaplan-Meier e le comparazioni tra i vari gruppi di pazienti sono state condotte utilizzando il Mantel-Haenszel log-rank test e il modello di regressione di Cox. Il metodo di Greenwood è stato utilizzato per stimare la varianza e la costruzione degli intervalli di confidenza al 95% (95% CI), la “C-statistic” è stata utilizzata per descrivere l’ accuratezza dello score. Risultati. I risultati della validazione dello score condotta sulle due casistiche retrospettive italiane, seppur non mostrando una differenza statisticamente significativa tra i due gruppi di pazienti (gruppo favorevole versus sfavorevole), sono stati ritenuti incoraggianti e meritevoli di ulteriore validazione sulla casistica prospettica americana. Lo score ha dimostrato di performare bene sia nel determinare la prognosi in termini di RFS [hazard ratio (HR) 1.85, 95% CI 1.57-2.17, p < 0.001] che di OS [HR 2.58, 95% CI 1.98-3.35, p < 0.001]. Inoltre in questa casistica lo score ha realizzato risultati sovrapponibili a quelli dello University of California Los Angeles Integrated Staging System. Conclusioni. Questo nuovo e semplice score ha dimostrato la sua validità in altre casistiche, sia retrospettive che prospettiche, in termini di impatto prognostico su RFS e OS. Ulteriori validazioni su casistiche internazionali sono in corso per confermare i risultati qui presentati e per testare l’eventuale ruolo predittivo di questo nuovo score.