High expression levels of erythropoietin and its receptor are not correlated with shorter survival in human glioblastoma.

Erythropoietin (EPO) is used to treat anemia in neoplastic disease. EPO also exerts neuroprotective effects on neuronal cells, making a prophylactic use against the neurocognitive effects of radiochemotherapy probable. However, EPO/EPO-receptor (EPOR) signalling has been also detected in glioblastoma cells. Data collected in vitro and in vivo show conflicting results on the effect of EPO on malignant gliomas. The association between EPO and EPOR expression and the prognosis of human glioblastomas was analyzed. Probes of human glioblastomas with complete documentation of clinical course and treatment were assessed by immunohistochemistry for the expression of EPO and EPOR (n=80). Using univariate and multivariate survival analysis, the association with age, gender, radiation, chemotherapy and extent of resection was determined. High levels of EPOR were correlated with a median survival advantage of 7 months (p<0.01). By univariate, but not multivariate, analysis, high levels of EPO and EPOR were associated with a significant prolongation of 7 months median survival when compared to low levels of both molecules. In patients treated with radiochemotherapy adjuvant to surgery, the median survival was 6.5 months longer in patients with high levels of EPOR (p<0.04). According to previous studies, longer patient survival is associated with EPOR expression. Therefore, EPO appears to be safe for the treatment of anemia in glioblastoma patients. However, a prophylactic use, i.e., for neuroprotection, is not recommended in light of the functional studies described in the literature.

Strategies to reduce DON contamination of wheat with different soil tillage and variety systems.

With the focus on minimizingFusarium head blight and the deoxynivalenol (DON) contamination of wheat a three year crop rotation system starting with forage maize and followed by two years of winter wheat was combined with three soil tillage systems and selected plant varieties with varying susceptibility toFusarium infection.Higher DON concentrations were generally observed in wheat grain when the soil was mulched rather than ploughed, depending on the mass of maize residues remaining on the soil surface. Maize residues are the most important source ofFusarium inoculum. Infected maize residues had a main impact on the level of DON contamination in wheat grain particularly in the first year after maize cultivation. When the maize stubble was chopped before mulching, the decomposition of the residues was speeded up and the DON contamination of the wheat grain was lower. In the second year following the maize crop, the decomposition of the maize residues/Fusarium biomass was nearly complete and the infection risk was reduced considerably. An influence of the susceptibility of the maize variety against stem rot on the DON concentration of the succeeding winter wheat crop was not observed. The less susceptible wheat variety was suitable for controlling the higher infection risk deriving from the introduction of maize in wheat rotation and the use of mulching techniques.