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Manganaro M, Bruno M, Ravarino N, Pellerito R, Cosseddu D, Torchio B, Urbano D, Linari F. [Renal damage in rheumatoid arthritis]. MINERVA UROL NEFROL 1994; 46:55-60. [PMID: 8036553] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/28/2023]
Abstract
Renal damage is not uncommon in rheumatoid arthritis, but the causative role of the disease per se is not well defined yet. In this paper the updated literature data are reported and our own experience as well. In particular, we describe renal syndromes associated with non-steroidal antiinflammatory drugs, remission-inducing agents (gold and penicillamine) and cytotoxic drugs, secondary amyloidosis, systemic rheumatoid vasculitis, glomerular and tubulo-interstitial nephritis not related to drug therapy.
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Manganaro M, Ogra PL, Ernst PB. Oral immunization: turning fantasy into reality. Int Arch Allergy Immunol 1994; 103:223-33. [PMID: 8111241 DOI: 10.1159/000236632] [Citation(s) in RCA: 19] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/28/2023] Open
Abstract
The application of oral immunization as the primary means to deliver multivalent vaccines to large populations has many theoretical advantages. However, widespread success in achieving protective immunity against these diseases through oral immunization requires additional understanding of the basic mechanisms of host resistance in the mucosal tissues. Fundamental issues, such as the lineage and repertoire or regulatory pathway of mucosal effector cells, are only now just beginning to be understood. A more comprehensive understanding of these issues could greatly enhance our success at designing and applying successful oral immunization programs.
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Contini C, Romani R, Manganaro M, Sorice F, Delia S. Tissue-culture isolation of Pneumocystis carinii from peripheral blood of AIDS patients with PCP. AIDS 1993; 7:1137-8. [PMID: 8397960 DOI: 10.1097/00002030-199308000-00026] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/30/2023]
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29
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Taliani G, Badolato MC, Lecce R, Bruni R, Clementi C, Grimaldi F, Furlan C, Manganaro M, Duca F, Bozza A. Isolate antibody to hepatitis C virus core antigen (C22) by RIBA-2: correlation with HCV-RNA and anti-NS5. ARCHIVES OF VIROLOGY. SUPPLEMENTUM 1993; 8:219-28. [PMID: 8260866 DOI: 10.1007/978-3-7091-9312-9_22] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/29/2023]
Abstract
The presence of circulating hepatitis C virus genome (HCV-RNA), elevated ALT levels and antibodies to an NS5-derived synthetic peptide have been examined in 13 subjects with isolate positivity for antibodies to the HCV core antigen (C22) on RIBA-2 testing. All subjects were followed up for 8-18 months (mean 12.4 months). In seven subjects (54%), intermittent or persistent viremia was associated with abnormal ALT levels (6 subjects) and with positivity for antibodies to NS5-peptide (6 subjects). On the other hand, in 6 out of 13 subjects (46%) no viral replication, no liver cytonecrosis and no antibodies to NS5 were found. It is concluded that isolate reactivity to C22 by RIBA-2 is a heterogeneous condition that corresponds to two distinct categories of subjects: those with active HCV infection and those without evidence of virus replication. Although HCV-RNA determination is the most reliable means of identifying HCV carriers, antibodies to NS5 can be a useful marker of virus activity. In fact, antibodies to NS5 were detected in 6 out of 7 viremic patients, compared to 0 out of 6 non-viremic patients (P = 0.004). It remains to be elucidated whether the isolate reactivity to core antigen found in non-viremic subjects represents a specific, HCV-induced antibody response, or is an unrelated crossreactivity.
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Nigro G, Bartmann U, Mattia S, Nastasi V, Torre A, Manganaro M, Perrone T, Tucciarone L. Acute hepatitis in childhood: virological, immunological and clinical aspects. Biomed Pharmacother 1992; 46:155-60. [PMID: 1330050 DOI: 10.1016/0753-3322(92)90023-z] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/26/2022] Open
Abstract
Virological, immunological and clinical findings in 7 previously healthy children, aged 18 months to 11 years, with viral hepatitis are reported. Asymptomatic and fully recovering, although protracted, hepatitis B was diagnosed by chance in a 1 1/2 year-old boy. Anicteric and short-term hepatitis occurred in three children with Epstein-Barr virus infection, concomitantly with typical mononucleosis syndrome. On the contrary, cytomegalovirus (CMV)-associated hepatitis was severe and protracted in two children, and fatal in a 4-year-old girl, whose main autoptic finding was submassive hepatic necrosis. Therefore, our study showed that acute viral hepatitis in non-immunocompromised children is generally self-limited and that CMV hepatitis is more frequent and severe than commonly believed.
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Taliani G, Furlan C, Grimaldi F, Clementi C, Lecce R, Manganaro M, Duca F, De Bac C. One course versus two courses of recombinant alpha interferon in chronic C hepatitis. ARCHIVES OF VIROLOGY. SUPPLEMENTUM 1992; 4:294-8. [PMID: 1450706 DOI: 10.1007/978-3-7091-5633-9_66] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/27/2022]
Abstract
Fifty-five patients with antibodies to HCV and chronic liver disease have been enrolled in the study. Thirty-four patients were treated with recombinant alpha interferon (IFN, 3 MU daily for 10 days followed by 3 MU twice/week for 3 months), and were compared to 21 untreated controls. Alanine aminotransferase (ALT) normalization was observed in a significant proportion of treated patients (52.9%), but 66.6% of them experienced a relapse after discontinuation of the therapy. The evaluation of the early ALT behavior after the 10 days priming with daily IFN administration was useful in predicting the response. The administration of a second IFN course with the same schedule and duration as the first course did not increase the efficacy of the treatment. Increased dosage and/or prolonged administration are probably required.
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Manganaro M, Bruno M, Torchio B, Pellerito R, Gabella P, Linari F. Abdominal fat aspiration for diagnosis of amyloidosis. Nephron Clin Pract 1992; 60:490-1. [PMID: 1584330 DOI: 10.1159/000186817] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/27/2022] Open
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Marangella M, Vitale C, Manganaro M, Cosseddu D, Martini C, Petrarulo M, Linari F. Renal handling of citrate in chronic renal insufficiency. Nephron Clin Pract 1991; 57:439-43. [PMID: 2046827 DOI: 10.1159/000186347] [Citation(s) in RCA: 21] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/30/2022] Open
Abstract
Citrate is a relevant component of the inhibitory potential of the urine environment. Its excretion and renal handling have been widely studied in subjects with normal renal function, but little is known about changes induced by chronic renal insufficiency. We have investigated renal handling of citrate in 50 patients with different degrees of renal insufficiency as compared to 30 healthy subjects with normal renal function. Among patients 34 were defined as having mild renal insufficiency based on a GFR of 80 through 40 ml/min/1.73 m2 BSA, while 16 had moderate-to-severe renal failure, defined by a GFR ranging from 40 to 20 ml/min/1.73 m2 BSA. Serum citrate increased in mild renal insufficiency, while it tended to be restored to normal values at more advanced renal failure. There was a stepwise decrease in the filtered load of citrate as GFR decreased, while its renal clearance was significantly reduced only at higher degrees of renal failure. This behavior was due to an increase in the fractional excretion of citrate which was inversely related to the decrease in GFR (p = 0.015). These data suggest that serum citrate levels and excretion are governed by renal mechanisms at mild degrees of renal insufficiency; in these conditions citrate is shown to behave conformly to other poorly reabsorbable anions such as sulfate. At more advanced renal failure the ensuing metabolic acidosis plays a crucial role as a regulatory factor of both serum concentration and renal handling of citrate, by increasing cellular uptake and metabolism as well as tubular reabsorption of this anion.(ABSTRACT TRUNCATED AT 250 WORDS)
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Marangella M, Bruno M, Cosseddu D, Manganaro M, Tricerri A, Vitale C, Linari F. Prevalence of chronic renal insufficiency in the course of idiopathic recurrent calcium stone disease: risk factors and patterns of progression. Nephron Clin Pract 1990; 54:302-6. [PMID: 2325794 DOI: 10.1159/000185884] [Citation(s) in RCA: 42] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/31/2022] Open
Abstract
The occurrence of chronic renal insufficiency was investigated in 171 patients with severe idiopathic calcium stone disease. Ninety healthy subjects matched for age and sex were used as controls. The patients were thereafter subclassified into two subgroups, assuming a GFR of 80 ml/min/1.73 m2 body surface area as a cut-off value: the normal GFR, 141 patients, and the impaired GFR, 30 patients. The normal GFR group included more males and the patients were younger both at onset and at presentation. In the impaired GFR group the disease lasted longer, but the overall stones and the stone recurrence rate were as high as those of the normal GFR patients. The single stone episodes were more severe in the former group as suggested by the occurrence of more surgery and complications. The GFR level was in part predicted by the age of patients; however, stone disease was shown to induce a clear-cut influence in accelerating the natural worsening of GFR with age. The onset of renal insufficiency causes multiple changes in renal pathophysiology, which result in a sharp decrease in the urine saturation with respect to calcium salts. These changes account for the decrease in the stone recurrence rate in the impaired GFR group. Thus, unless factors independent of or complicating the calcium stone disease supervene, the renal insufficiency of treated patients remains mild and relently progressive.
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D'Amelio R, Tagliabue A, Nencioni L, Di Addario A, Villa L, Manganaro M, Boraschi D, Le Moli S, Nisini R, Matricardi PM. Comparative analysis of immunological responses to oral (Ty21a) and parenteral (TAB) typhoid vaccines. Infect Immun 1988; 56:2731-5. [PMID: 3417354 PMCID: PMC259636 DOI: 10.1128/iai.56.10.2731-2735.1988] [Citation(s) in RCA: 40] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/05/2023] Open
Abstract
The clinical and immunological responses to typhoid vaccination with parenteral (TAB) and oral (Ty21a) vaccines in two groups of 30 adult male subjects were studied. Parameters monitored included specific anti-Salmonella typhi cell-mediated immunity and total and specific antilipopolysaccharide fecal immunoglobulin A (IgA) titers in Ty21a-vaccinated subjects. Peripheral blood lymphocytes antibacterial activity was significantly increased only in Ty21a-vaccinated subjects. Serum arming activity and results of human F(ab')2 anti-IgG and -IgA inhibition tests suggest antibody-dependent cellular cytotoxicity mediated by IgA in those vaccinated with Ty21a. Interestingly enough, the cells of TAB-vaccinated subjects were able to mediate IgG-dependent cellular cytotoxicity, as was observable from the results of blocking experiments. Moreover, total and specific antilipopolysaccharide fecal IgA levels were observed to be significantly increased with Ty21a, up to 8 months post-vaccination schedule. An early-onset, transitory increase in serum IgM rheumatoid factor was also found, exclusively in subjects treated with TAB, and was no longer detectable on day 240. Ty21a was well tolerated and free of side effects, whereas 65% of subjects administered TAB reported fever, headache, malaise, and local tenderness at the injection site. Our data show that the two typhoid vaccines induce different cell-mediated specific immune responses. The role of these responses in protection against Salmonella infection, however, requires further investigation.
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Manganaro M, Casale V, Aceti A, Attanasio R, Citarda F, Conti EMS, Cunego A, Ferro S, Grassi A, Pennica A, Sciarretta F, Scinicariello F. Campylobacter pylori et gastrite: étude biologique, immunologique, histologique et endoscopique. ACTA ACUST UNITED AC 1988. [DOI: 10.1007/bf02962990] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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Linari F, Manganaro M, Bagnis C, Tricerri A. [HBV infections in dialysis]. MINERVA UROL NEFROL 1987; 39:165-6. [PMID: 3629415] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/06/2023]
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Bruno M, Martini C, Bianco O, Manganaro M, Marangella M, Linari F. [Amino acids and CAPD]. MINERVA UROL NEFROL 1986; 38:205-10. [PMID: 3750162] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/07/2023]
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Piccoli P, Quarello F, Guarena C, Bonello F, Deabate MC, Manganaro M, Baroni A, Veronesi G, Peona C. [Regular dialysis treatment of chronic uremia caused by polycystic kidney]. MINERVA UROL NEFROL 1985; 37:399-406. [PMID: 3834621] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/07/2023]
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40
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Manganaro M, Belli M, Cunego A, Ialongo PL, Miccheli A, Meineri G, Porcu S, Boniforti L, Guiducci M, Ziemacki G. [Possible indicators of the toxic action of environmental factors]. RIVISTA DI MEDICINA AERONAUTICA E SPAZIALE 1983; 48:69-92. [PMID: 6545720] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/21/2023]
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41
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Garvey EC, Manganaro M. Nursing implications of hepatic artery infusion. Cancer Nurs 1982; 5:51-5. [PMID: 6917777] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/22/2023]
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42
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Manganaro M, Baldasserini G. [Action of some non-steroid anti-inflammatory agents as compared with that of prednisone in the albino mouse during anti-typhus vaccination]. BOLLETTINO DELLA SOCIETA ITALIANA DI BIOLOGIA SPERIMENTALE 1969; 45:854-6. [PMID: 5375190] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/14/2023]
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43
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Manganaro M, Baldasserini G. [Influence of the administration of an aqueous extract of spleen on the production of anti-typhus antibodies in the rabbit]. BOLLETTINO DELLA SOCIETA ITALIANA DI BIOLOGIA SPERIMENTALE 1969; 45:851-4. [PMID: 4192763] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/09/2023]
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44
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Ajello MT, Angelico R, Cavina G, Manganaro M, Moretta L. [On some aspects of the action of triton in the rat poisoned by carbon tetrachloride]. BOLLETTINO DELLA SOCIETA ITALIANA DI BIOLOGIA SPERIMENTALE 1966; 42:104-106. [PMID: 5945186] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/21/2023]
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45
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Manganaro M. [Attempted stabilization of murine hepatitis virus 3 by means of lyophilization]. BOLLETTINO DELLA SOCIETA ITALIANA DI BIOLOGIA SPERIMENTALE 1966; 42:120-3. [PMID: 4287678] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/09/2023]
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46
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Manganaro M, Moretta Maggiore L. [Attempted evaluation of the biological action of liver extracts]. BOLLETTINO DELLA SOCIETA ITALIANA DI BIOLOGIA SPERIMENTALE 1966; 42:107-10. [PMID: 5945187] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/17/2023]
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47
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Manganaro M, Frega F. [Action of diisopropylammonium dichloroethanoate on the hepatic circulation]. ARCHIVIO ITALIANO DI SCIENZE MEDICHE TROPICALI E DI PARASSITOLOGIA 1965; 46:371-376. [PMID: 5853823] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/21/2023]
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48
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Gambini G, Manganaro M. [Splenomegaly of the cirrhotic in the course of treatment with testosterone propionate according to Girolami]. ARCHIVIO ITALIANO DI SCIENZE MEDICHE TROPICALI E DI PARASSITOLOGIA 1965; 46:377-380. [PMID: 5853824] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/21/2023]
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49
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Gambini G, Manganaro M. [On 30 cases of moderate hepatic insufficiency treated with the combination of diisopropylammonium dichloroethanoate, antitoxic hepatic extract and B complex]. ARCHIVIO ITALIANO DI SCIENZE MEDICHE TROPICALI E DI PARASSITOLOGIA 1965; 46:359-62. [PMID: 5853821] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/17/2023]
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50
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Gambini G, Manganaro M. [Study of the action of diisopropylammonium dichloroethanoate in comparison with other hepatic protective agents in the Wistar rat poisoned with carbon tetrachloride]. ARCHIVIO ITALIANO DI SCIENZE MEDICHE TROPICALI E DI PARASSITOLOGIA 1965; 46:363-70. [PMID: 5853822] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/17/2023]
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