Several cancers are associated with abnormal serum concentrations of tumor markers such as prostate specific antigen (PSA) in prostate tumor diseases, alfa-fetoprotein (AFP) or human chorionic gonadotrophin (hCG) in germ cell tumors or persistent gestational trophoblastic diseases (GTD). Cancer treatment should induce decline of serum tumor marker concentrations. The predictive values of many kinetic parameters supposed to characterize tumor marker declines such as nadir, time-point cutoff, half-life, time to normalization etc..., have been reported in previous studies. However very few of them have been used in routine due to the lack of outcome reproducibility. Population pharmacokinetic approach-based modeling is already used in pharmacokinetic studies. It might be helpful to characterize tumor marker decline equations dynamically and overcome limitations of previous studies. The feasibility and the relevance of this approach were assessed in 4 studies involving: PSA titers in patients with prostate adenoma or cancer treated with surgery; hCG-AFP in non-seminomatous germ cell tumor patients treated with BEP regimen (Bleomycin-Etoposide-Cisplatin) and hCG in GTD patients treated with methotrexate. Tumor marker decline modeling was feasible in all studies provided the methodology was adjusted to marker specificities. Apparent clearance of hCG and PSA might enable identification of patients with unfavorable decline profiles and thereby with high risk of relapse. Confirmatory studies with independent cohorts of patients are warranted

Plusieurs cancers sont associés à des concentrations sériques anormales de marqueurs tumoraux, tels que le prostate specific antigen (PSA) dans le cancer de prostate, l’alfafoetoproteine (AFP) ou l’human chorionic gonadotrophin (hCG) dans les tumeurs germinales ou les maladies trophoblastiques gestationnelles (MTG). Le traitement du cancer doit s’accompagner d’une chute de leurs concentrations. Les valeurs prédictives de nombreux paramètres cinétiques censés caractériser la décroissance des marqueurs ont été publiées dans la littérature (nadir, valeur seuil, demi-vie, temps à normalisation etc…) Cependant très peu de ces paramètres sont utilisés en pratique par manque de reproductibilité. La modélisation en approche de cinétique de population, déjà utilisée dans les études pharmacocinétiques, permettrait de caractériser de façon dynamique la décroissance des marqueurs tumoraux sériques et de compenser les limites des autres méthodes. Nous avons étudié la faisabilité et l’intérêt de cette approche dans 4 études portant sur le PSA après chirurgie d’adénome ou de cancer de la prostate, l’hCG-AFP dans les tumeurs germinales non-séminomateuses traitées par polychimiothérapie de type Bléomycine-Etoposide- Cisplatine (BEP) et l’hCG dans les MTG traitées par méthotrexate. La modélisation de la décroissance des marqueurs tumoraux a été possible dans toutes les études en adaptant la méthodologie aux spécificités de chaque marqueur. Il apparaît que les clairances apparentes du PSA et de l’hCG permettraient d’identifier les patients ayant des profils cinétiques défavorables et donc à haut risque de rechute. Des études de validation sur des cohortes indépendantes sont nécessaires / Several cancers are associated with abnormal serum concentrations of tumor markers such as prostate specific antigen (PSA) in prostate tumor diseases, alfa-fetoprotein (AFP) or human chorionic gonadotrophin (hCG) in germ cell tumors or persistent gestational trophoblastic diseases (GTD). Cancer treatment should induce decline of serum tumor marker concentrations. The predictive values of many kinetic parameters supposed to characterize tumor marker declines such as nadir, time-point cutoff, half-life, time to normalization etc…, have been reported in previous studies. However very few of them have been used in routine due to the lack of outcome reproducibility. Population pharmacokinetic approach-based modeling is already used in pharmacokinetic studies. It might be helpful to characterize tumor marker decline equations dynamically and overcome limitations of previous studies. The feasibility and the relevance of this approach were assessed in 4 studies involving: PSA titers in patients with prostate adenoma or cancer treated with surgery; hCG-AFP in non-seminomatous germ cell tumor patients treated with BEP regimen (Bleomycin-Etoposide-Cisplatin) and hCG in GTD patients treated with methotrexate. Tumor marker decline modeling was feasible in all studies provided the methodology was adjusted to marker specificities. Apparent clearance of hCG and PSA might enable identification of patients with unfavorable decline profiles and thereby with high risk of relapse. Confirmatory studies with independent cohorts of patients are warranted

O raquitismo das soqueiras (RSD), causado pela bactéria Leifsonia xyli subsp. xyli (Lxx) é uma das principais doenças na cana-de-açúcar, contudo, as informações sobre a biologia do patógeno, bem como sobre sua interação com cana são limitadas. Desta forma, três estudos foram conduzidos com o objetivo de verificar a interferência de fatores do hospedeiro e do ambiente na cinética populacional da Leifsonia xyli subsp. xyli (Lxx) in planta e in vitro. Num primeiro, foi quantificada, através de PCR em tempo real (qPCR), a colonização da bactéria de plantas de duas variedades submetidas a estresse por restrição hídrica e por injúria mecânica infligida através de corte da planta. Num segundo, o desenvolvimento in vitro da bactéria foi avaliado, por 10 dias, em resposta à adição ao meio de cultivo de fluido vascular de plantas de cana. Já o terceiro estudo avaliou o efeito do hormônio ácido abscísico (ABA) na cinética populacional de Lxx em cana. No primeiro estudo, os resultados apontaram efeito positivo tanto do estresse hídrico como da injúria no título bacteriano em plantas da variedade CB 49-260. Já na variedade RB83 5486, não houve efeito significativo destes agentes de estresse no título bacteriano. No segundo estudo, o maior desenvolvimento da população de Lxx ocorreu em meio de cultivo sem adição de fluido vascular, ao passo que o desenvolvimento da população em presença de fluido da variedade resistente não inoculada com Lxx foi maior, quando em presença de fluido de plantas da mesma variedade inoculadas com a bactéria. A adição de fluido vascular da variedade suscetível, por outro lado, inibiu substancialmente o desenvolvimento das culturas bacterianas. A análise cromatográfica do fluido vascular indicou diferenças na concentração de compostos do fluido das duas variedades, bem como entre plantas da mesma variedade inoculadas ou não com a bactéria. No terceiro estudo, apesar das variações nos títulos da Lxx detectados ao longo do tempo, tanto nas plantas testemunhas como nas plantas tratadas com ABA, não houve diferenças significativas (p>0,05) entre os tratamentos dentro de um período de avaliação de 4 meses. Em seu conjunto, os resultados, além de fornecerem informações inéditas sobre a interação entre Lxx e cana, ainda permitiram direcionar futuros estudos a fim de aprimorar o conhecimento sobre os mecanismos de colonização do hospedeiro desta bactéria. / Ratoon Stunting Disease (RSD) caused by the bacterium Leifsonia xyli subsp. xyli (Lxx) is a major disease in sugarcane; however, information on the biology of this pathogen and on its interaction with sugarcane is limited. Three studies were conducted to analyze effects of the host and environment on the population kinetics of Leifsonia xyli subsp. xyli (Lxx) in plant and in vitro. In the first treatment, we used real time PCR (qPCR) to quantify bacterial colonization in two sugarcane varieties subjected to water stress and mechanical injury. In the second treatment, we evaluated the in vitro growth of the bacteria for 10 days after the addition of 15% of sugarcane vascular fluid to the culture medium. The third treatment evaluated the effect of the application of abscisic acid (ABA) on Lxx colonization in sugarcane. In the first treatment, the results showed an increase in Lxx colonization in the variety CB 49-260 exposed to water stress and mechanical injury. For the variety RB83 5486, there was no significant effect of these stresses on the bacterial colonization. In the second treatment, the greatest development of Lxx population occurred in the culture medium without the addition of vascular fluid (control), while bacterial population in the presence of fluid from resistant variety non-inoculated with Lxx was greater, compared to the growth in the presence of plant fluids of the same variety inoculated with the bacteria. The addition of vascular fluid of the susceptible variety, on the other hand, significantly inhibited bacterial growth. The chromatographic analysis of the vascular fluid indicated differences in the compounds concentration in the fluid of the two varieties, as well as in plants of the same variety inoculated or not with the bacteria. In the third study, despite variations in Lxx colonization detected over time, the control plants and plants treated with ABA showed no significant differences (p> 0.05) among treatments during the trial period of four months. The results, in addition to providing new information about the interaction between Lxx and sugarcane, allowed to direct further studies on mechanisms of host colonization of this bacterium.

O raquitismo das soqueiras (RSD), causado pela bactéria Leifsonia xyli subsp. xyli (Lxx) é uma das principais doenças na cana-de-açúcar, contudo, as informações sobre a biologia do patógeno, bem como sobre sua interação com cana são limitadas. Desta forma, três estudos foram conduzidos com o objetivo de verificar a interferência de fatores do hospedeiro e do ambiente na cinética populacional da Leifsonia xyli subsp. xyli (Lxx) in planta e in vitro. Num primeiro, foi quantificada, através de PCR em tempo real (qPCR), a colonização da bactéria de plantas de duas variedades submetidas a estresse por restrição hídrica e por injúria mecânica infligida através de corte da planta. Num segundo, o desenvolvimento in vitro da bactéria foi avaliado, por 10 dias, em resposta à adição ao meio de cultivo de fluido vascular de plantas de cana. Já o terceiro estudo avaliou o efeito do hormônio ácido abscísico (ABA) na cinética populacional de Lxx em cana. No primeiro estudo, os resultados apontaram efeito positivo tanto do estresse hídrico como da injúria no título bacteriano em plantas da variedade CB 49-260. Já na variedade RB83 5486, não houve efeito significativo destes agentes de estresse no título bacteriano. No segundo estudo, o maior desenvolvimento da população de Lxx ocorreu em meio de cultivo sem adição de fluido vascular, ao passo que o desenvolvimento da população em presença de fluido da variedade resistente não inoculada com Lxx foi maior, quando em presença de fluido de plantas da mesma variedade inoculadas com a bactéria. A adição de fluido vascular da variedade suscetível, por outro lado, inibiu substancialmente o desenvolvimento das culturas bacterianas. A análise cromatográfica do fluido vascular indicou diferenças na concentração de compostos do fluido das duas variedades, bem como entre plantas da mesma variedade inoculadas ou não com a bactéria. No terceiro estudo, apesar das variações nos títulos da Lxx detectados ao longo do tempo, tanto nas plantas testemunhas como nas plantas tratadas com ABA, não houve diferenças significativas (p>0,05) entre os tratamentos dentro de um período de avaliação de 4 meses. Em seu conjunto, os resultados, além de fornecerem informações inéditas sobre a interação entre Lxx e cana, ainda permitiram direcionar futuros estudos a fim de aprimorar o conhecimento sobre os mecanismos de colonização do hospedeiro desta bactéria. / Ratoon Stunting Disease (RSD) caused by the bacterium Leifsonia xyli subsp. xyli (Lxx) is a major disease in sugarcane; however, information on the biology of this pathogen and on its interaction with sugarcane is limited. Three studies were conducted to analyze effects of the host and environment on the population kinetics of Leifsonia xyli subsp. xyli (Lxx) in plant and in vitro. In the first treatment, we used real time PCR (qPCR) to quantify bacterial colonization in two sugarcane varieties subjected to water stress and mechanical injury. In the second treatment, we evaluated the in vitro growth of the bacteria for 10 days after the addition of 15% of sugarcane vascular fluid to the culture medium. The third treatment evaluated the effect of the application of abscisic acid (ABA) on Lxx colonization in sugarcane. In the first treatment, the results showed an increase in Lxx colonization in the variety CB 49-260 exposed to water stress and mechanical injury. For the variety RB83 5486, there was no significant effect of these stresses on the bacterial colonization. In the second treatment, the greatest development of Lxx population occurred in the culture medium without the addition of vascular fluid (control), while bacterial population in the presence of fluid from resistant variety non-inoculated with Lxx was greater, compared to the growth in the presence of plant fluids of the same variety inoculated with the bacteria. The addition of vascular fluid of the susceptible variety, on the other hand, significantly inhibited bacterial growth. The chromatographic analysis of the vascular fluid indicated differences in the compounds concentration in the fluid of the two varieties, as well as in plants of the same variety inoculated or not with the bacteria. In the third study, despite variations in Lxx colonization detected over time, the control plants and plants treated with ABA showed no significant differences (p> 0.05) among treatments during the trial period of four months. The results, in addition to providing new information about the interaction between Lxx and sugarcane, allowed to direct further studies on mechanisms of host colonization of this bacterium.