Neuroendocrine neoplasms (NENs) constitute a heterogenous group of tumors originating from neuroendocrine cells scattered throughout the body. Peptide Receptor Radionuclide Therapy (PRRT) is a treatment of choice of unresectable metastasized progressive and well-differentiated NENs. The aim of the study was to assess early bone marrow and kidney injury after administration of Lutetium-177 or Lutetium-177 combined with Yttrium-90. Thirty-one patients received treatment with [177Lu]Lu-DOTATATE with the activity of 7.4 GBq. Eleven patients received tandem treatment with [90Y]Y-DOTATATE with the activity of 1.85 GBq + [177Lu]Lu-DOTATATE with the activity of 1.85 GBq. After PRRT a significant decrease in leukocyte, neutrophil, and lymphocyte counts was noted. Tandem treatment demonstrated a more marked decrease in white blood cell count compared to Lutetium-177 therapy only. Conversely, no significant influence on glomerular filtration was found in this assessment. However, PRRT triggered acute renal tubule dysfunction, regardless of the treatment type. Regarding the acute complications, PRRT appeared to be a safe modality in the treatment of patients with NEN.
Social insect workers usually start adult life from intranidal tasks and then switch to extranidal activities, but this process may be reversed: foragers may switch again to intranidal brood care. The transition forager – reverted nurse is known as the behavioral reversion. Ant foragers are known to avoid illuminated zones less strongly than intranidal workers, but illumination responses of reverted nurses were so far never investigated. We compared dark–light choice behavior of three classes of workers of the red wood ant Formica polyctena: nurses, foragers and reverted nurses. Sets of ten ants belonging to the same class were tested in “double nests” made of two interconnected test tubes, one kept in darkness and the other exposed to light. The number of ants present in the illuminated zone of each nest (ni) was recorded on 10 sample points at 30 min intervals. The values of ni were lower in nurses than in foragers and reverted nurses and decreased as a function of time in all three groups. Nurses differed from foragers with respect to the dynamics of dark–light choice behavior, but reverted nurses did not differ in that respect either from nurses, or from foragers. Reverted nurses and foragers did not differ significantly from each other with respect to the overall level of avoidance of illuminated zone, nor with respect to the dynamics of dark–light choice behavior. This implies that behavioral reversion is not accompanied by the return of illumination responses of workers of F. polyctena to the state characteristic for nurses.
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