No abstract

Background: The management of locally advanced rectal cancer (RC) is an evolving clinical field where the multidisciplinary approach can reach its best and liquid biopsy for obtaining tumor-derived component such as circulating tumor DNA (ctDNA) might provide complementary informations. Methods: A systematic review of studies available in literature of liquid biopsy in non-metastatic RC has been performed according to PRISMA criteria to assess the role of ctDNA as a diagnostic, predictive and prognostic biomarker in this setting. Results: Twenty-five publications have been retrieved, of which 8 fulltext articles, 7 abstracts and 10 clinical trials. Results have been categorized into three groups: diagnostic, predictive and prognostic. Few but promising data are available about the use of liquid biopsy for early diagnosis of RC, with the main limitation of sensitivity due to low concentrations of ctDNA in this setting. In terms of prediction of response to chemoradiation, still inconclusive data are available about the utility of a pre-treatment liquid biopsy, whereas some studies report a positive correlation with a dynamic (pre/post-treatment) monitoring. The presence of minimal residual disease by ctDNA was consistently associated with worse prognosis across studies. Conclusions: The use of liquid biopsy for monitoring response to chemoradiation and assess the risk of disease recurrence are the most advanced potential applications for liquid biopsy in RC, with implications also in the context of non-operative management strategies.

Paracoryne huvei is a rare encrusting hydrozoan living in the intertidal zone of the North-western Mediterranean Sea, from the Catalan coast to the Ligurian Sea. In 2014, a large bloom of P. huvei was recorded along the cliffs of the Marine Protected Area â\u80\u98Isola di Bergeggiâ\u80\u99 (Ligurian Sea). The species has shown densities related to important biomass values never previously recorded (wet weight as high as 1600 g mâ\u88\u922), creating a continuous belt up to 1 m wide from February to April. At an increasing distance from the promontory, the species decreased in abundance, assuming a spotted aspect comparable to the colonies recorded by earlier researchers. In the Bergeggi area, the species has exhibited an almost complete cover of the lower intertidal zone, and for the first time it was recorded in the infralittoral and upper intertidal zone and in tide pools, demonstrating a wider range of habitat than had previously been observed. The life cycle appeared significantly shorter than cycles reported in earlier literature, and this phenomenon has been compared with similar observations from other shallow water hydrozoans in the same area. The abundance of the species was continually monitored in 2015â\u80\u932016 to help assess the inter-annual variations in relation to temperature and rainfall trends and, indirectly, to competition with other species. Finally, a comparison of the 59 years of scattered data of occurrence in the literature has shown P. huvei to be a strict stenothermal species, reported only in winters characterized by average temperatures