Acute myeloid leukemia (AML), with an incidence increasing with age, is the most common acute leukemia in adults. Concurrent comorbidities, mild to severe organ dysfunctions, and low performance status (PS) are frequently found in older patients at the onset, conditioning treatment choice and crucially influencing the outcome. Although anthracyclines plus cytarabine-based chemotherapy, also called “7 + 3” regimen, remains the standard of care in young adults, its use in patients older than 65 years should be reserved to selected cases because of higher incidence of toxicity. These adverse features of AML in the elderly underline the importance of a careful patient assessment at diagnosis as a critical tool in the decision-making process of treatment choice. In this review, we will describe selected recently approved drugs as well as examine prognostic algorithms that may be helpful to assign treatment in elderly patients properly.

Although bee-plant associations are generally maintained through speciation processes, host shifts have occurred during evolution. Understanding shifts between both phylogenetically and morphologically unrelated plants (i.e., host-saltation) is especially important since they could have been key processes in the origin and radiation of bees. Probably far from being a random process, such host-saltation might be driven by hidden constraints associated with plant traits. We selected two clades of oligolectic bees (i.e., Colletes succinctus group and Melitta leporina group) foraging on co-flowering but unrelated host-plants to test this hypothesis. We analyzed floral scent, floral color and chemical composition of pollen from host and non-host plants of these two clades. We did not find evidence for host-plant evolution in the Melitta leporina group driven by one of the assayed floral traits. On the contrary, hosts of the C. succinctus group display similar primary nutritive content of pollen (i.e., amino acids and sterols) but not similar floral scent or color, suggesting that shared pollen chemistry probably mediates saltation in this clade. Our study revealed that constraints shaping floral associations are diverse and clearly depend on species life-history traits, but evidence suggests that pollen chemistry may act as a major floral filter and guide evolutionary host-shifts.

While it is generally acknowledged that orchid species rely on mycorrhizal fungi for completion of their life cycle, little is yet known about how mycorrhizal fungal diversity and community composition vary within and between closely related orchid taxa. In this study, we used 454 amplicon pyrosequencing to investigate variation in mycorrhizal communities between pure (allopatric) and mixed (sympatric) populations of two closely related Platanthera species (Platanthera bifolia and P. chlorantha) and putative hybrids. Consistent with previous research, the two species primarily associated primarily with members of the Ceratobasidiaceae and, to a lesser extent, with members of the Sebacinales and Tulasnellaceae. In addition, a large number of ectomycorrhizal fungi belonging to various families were observed. Although a considerable number of mycorrhizal fungi were common to both species, the fungal communities were significantly different between the two species. Individuals with intermediate morphology showed communities similar to P. bifolia, confirming previous results based on the genetic architecture and fragrance composition that putative hybrids essentially belonged to one of the parental species (P. bifolia). Differences in mycorrhizal communities between species were smaller in mixed populations than between pure populations, suggesting that variation in mycorrhizal communities was largely controlled by local environmental conditions. The small differences in mycorrhizal communities in mixed populations suggests that mycorrhizal fungi are most likely not directly involved in maintaining species boundaries between the two Platanthera species. However, seed germination experiments are needed to unambiguously assess the contribution of mycorrhizal divergence to reproductive isolation.

Functional parameters from positron emission tomography (PET) seem promising biomarkers in various lymphoma subtypes. This study investigated the prognostic value of PET radiomics in diffuse large B‐cell lymphoma (DLBCL) patients treated with R‐CHOP given either every 14 (testing set) or 21 days (validation set). Using the PyRadiomics Python package, 107 radiomics features were extracted from baseline PET scans of 133 patients enrolled in the Swiss Group for Clinical Cancer Research 38/07 prospective clinical trial (SAKK 38/07) [ClinicalTrial.gov identifier: NCT00544219]. The international prognostic indices, the main clinical parameters and standard PET metrics, together with 52 radiomics uncorrelated features (selected using the Spearman correlation test) were included in a least absolute shrinkage and selection operator (LASSO) Cox regression to assess their impact on progression‐free (PFS), cause‐specific (CSS), and overall survival (OS). A linear combination of the resulting parameters generated a prognostic radiomics score (RS) whose area under the curve (AUC) was calculated by receiver operating characteristic analysis. The RS efficacy was validated in an independent cohort of 107 DLBCL patients. LASSO Cox regression identified four radiomics features predicting PFS in SAKK 38/07. The derived RS showed a significant capability to foresee PFS in both testing (AUC, 0.709; p < 0.001) and validation (AUC, 0.706; p < 0.001) sets. RS was significantly associated also with CSS and OS in testing (CSS: AUC, 0.721; p < 0.001; OS: AUC, 0.740; p < 0.001) and validation (CSS: AUC, 0.763; p < 0.0001; OS: AUC, 0.703; p = 0.004) sets. The RS allowed risk classification of patients with significantly different PFS, CSS, and OS in both cohorts showing better predictive accuracy respect to clinical international indices. PET‐derived radiomics may improve the prediction of outcome in DLBCL patients.

abstract. Zoophilous flowering plants communicate with pollinators to ensure pollen transfer. Pin-pointing which species are effective pollinators is not only essential to better understand plant-pollinator networks, but equally so to better understand the potential of hybridization in plant systems, such as in orchids. As a case study, we studied two sympatric populations of the congeneric orchids Platanthera bifolia and P. chlorantha in order to assess their nocturnal pollinators by checking which moth species carried pollinaria, and of which orchid species. Moths carrying Platanthera pollinaria were photographed and identified. The carried pollinaria were identified and counted, and their attachment position on the moth's head was scored. Based on these observations we show that three species of noctuid moths visited the Platanthera inflorescences. Although Noctua pronuba visited P. chlorantha, only Cucullia umbratica and Autographa gamma turned out to be potential pollinators for both orchid species. As such, we here demonstrate that the latter two noctuids have high potential to facilitate hybridization among these two orchid species, especially so in sympatric populations.

Platanthera bifolia and P. chlorantha are terrestrial and rewarding orchids with a wide Eurasian distribution. Although genetically closely related, they exhibit significant morphological, phenological and ecological differences that maintain reproductive isolation between the species. However, where both species co-occur, individuals with intermediate phenotypic traits, often considered as hybrids, are frequently observed. Here, we combined neutral genetic markers (AFLPs), morphometrics and floral scent analysis (GC-MS) to investigate two mixed Platanthera populations where morphologically intermediate plants were found. Self-pollination experiments revealed a low level of autogamy and artificial crossings combined with assessments of fruit set and seed viability, showed compatibility between the two species. The results of the genetic analyses showed that morphologically intermediate plants had similar genetic patterns as the P. bifolia group. These results are corroborated also by floral scent analyses, which confirmed a strong similarity in floral scent composition between intermediate morphotypes and P. bifolia. Therefore, this study provided a much more detailed picture of the genetic structure of a sympatric zone between two closely allied species and supports the hypothesis that intermediate morphotypes in sympatry could reflect an adaptive evolution in response to local pollinator-mediated selection.

Platanthera bifolia and P. chlorantha are terrestrial and rewarding orchids with a wide Eurasian distribution. Although genetically closely related, they exhibit significant morphological, phenological and ecological differences that maintain reproductive isolation between the species. However, where both species co-occur, individuals with intermediate These results are corroborated also by floral scent analyses, which confirmed a strong similarity in floral scent composition between intermediate morphotypes and P. bifolia. Therefore, this study provided a much more detailed picture of the genetic structure of a sympatric zone between two closely allied species and supports the hypothesis that intermediate morphotypes in sympatry could reflect an adaptive evolution in response to local pollinator-mediated selection. (Nilsson 1983;1985). These two closely related species exhibit not only 67 morphological differences, but also distinct ecological preferences (P. chlorantha favouring dry, 68 calcareous grasslands, while P. bifolia will be typically found in fresh to wet meadows on acidic soil). 80 Recently, a study on some Western-European Platanthera populations composed almost exclusively of 81 intermediate looking individuals, based on morphology and molecular markers, concluded that such 82 individuals were not hybrids, but constitute an independent lineage, distinct from both widespread species 83 (Durka et al. 2017). 84The level of geitonogamy was observed to be higher in P. bifolia than in P. chlorantha because 85 the latter has a pollinarium-bending mechanism that prevents deposition of the pollinia directly after 86 removal (Maad & Nilsson 2004;Maad & Reinhammar 2004). This process may also affect the probability 87 of hybrid formation (Ishizaki et al. 2013). An allopatric P. bifolia population with a high degree (i.e. 88 almost 60%) of self-pollination was found by Brzosko (2003), although self-pollination in Platanthera 89 species is considered generally rare (Nilsson 1983;Maad 2002). 90In the genus Platanthera, floral scent plays a crucial role in guiding pollinators to the flowers 91 (Nilsson 1983;1985;Tollsten & Bergström 1993). A strong fragrance is emitted after dusk, when 92 pollinators (nocturnal moths) are most active (Nilsson 1983;1985;Tollsten & Bergström 1993; Hapeman 93 & Inoue 1997;Plepys et al. 2002a;2002b). Floral fragrances of Platanthera have been classified into 94 linaloolic, lilac, geraniolic and benzenoic chemotypes depending on the main class of compounds present 95 in the blend (Tollsten & Bergström 1993;Plepys et al. 2002a;2002b (Plepys et al. 2002a;2002b). Furthermore, a change in floral scent composition has been suggested 98 by Nilsson (1983;1985) to prevent effective cross-pollination between both species (Nilsson 1978; 99 Tollsten & Bergström 1993), by acting as a reproductive barrier via ethological mechanisms. Tollsten & 100 Bergström (1993) discovered that important inter-individual and inter-population variation in floral scent 101 exists, and may act as an adapta...

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