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Melini S, Lama A, Comella F, Opallo N, Del Piano F, Annunziata C, Mollica MP, Ferrante MC, Pirozzi C, Mattace Raso G, Meli R. Targeting liver and adipose tissue in obese mice: Effects of a N-acylethanolamine mixture on insulin resistance and adipocyte reprogramming. Biomed Pharmacother 2024; 174:116531. [PMID: 38574624 DOI: 10.1016/j.biopha.2024.116531] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/04/2024] [Revised: 03/28/2024] [Accepted: 03/29/2024] [Indexed: 04/06/2024] Open
Abstract
N-acylethanolamines (NAEs) are endogenous lipid-signalling molecules involved in inflammation and energy metabolism. The potential pharmacological effect of NAE association in managing inflammation-based metabolic disorders is unexplored. To date, targeting liver-adipose axis can be considered a therapeutic approach for the treatment of obesity and related dysfunctions. Here, we investigated the metabolic effect of OLALIAMID® (OLA), an olive oil-derived NAE mixture, in limiting liver and adipose tissue (AT) dysfunction of high-fat diet (HFD)-fed mice. OLA reduced body weight and fat mass in obese mice, decreasing insulin resistance (IR), as shown by homeostasis model assessment index, and leptin/adiponectin ratio, a marker of adipocyte dysfunction. OLA improved serum lipid and hepatic profile and the immune/inflammatory pattern of metainflammation. In liver of HFD mice, OLA treatment counteracted glucose and lipid dysmetabolism, restoring insulin signalling (phosphorylation of AKT and AMPK), and reducing mRNAs of key markers of fatty acid accumulation. Furthermore, OLA positively affected AT function deeply altered by HFD by reprogramming of genes involved in thermogenesis of interscapular brown AT (iBAT) and subcutaneous white AT (scWAT), and inducing the beigeing of scWAT. Notably, the NAE mixture reduced inflammation in iBAT and promoted M1-to-M2 macrophage shift in scWAT of obese mice. The tissue and systemic anti-inflammatory effects of OLA and the increased expression of glucose transporter 4 in scWAT contributed to the improvement of gluco-lipid toxicity and insulin sensitivity. In conclusion, we demonstrated that this olive oil-derived NAE mixture is a valid nutritional strategy to counteract IR and obesity acting on liver-AT crosstalk, restoring both hepatic and AT function and metabolism.
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Affiliation(s)
- S Melini
- Department of Pharmacy, School of Medicine, University of Naples Federico II, Naples 80131, Italy
| | - A Lama
- Department of Pharmacy, School of Medicine, University of Naples Federico II, Naples 80131, Italy
| | - F Comella
- Department of Pharmacy, School of Medicine, University of Naples Federico II, Naples 80131, Italy
| | - N Opallo
- Department of Pharmacy, School of Medicine, University of Naples Federico II, Naples 80131, Italy
| | - F Del Piano
- Department of Veterinary Medicine and Animal Productions, University of Naples Federico II, Naples 80137, Italy
| | - C Annunziata
- Department of Bioscience and Nutrition Karolinska Institute Neo Building, Huddinge 14152, Sweden
| | - M P Mollica
- Department of Biology, University of Naples Federico II, Naples 80126, Italy
| | - M C Ferrante
- Department of Veterinary Medicine and Animal Productions, University of Naples Federico II, Naples 80137, Italy
| | - C Pirozzi
- Department of Pharmacy, School of Medicine, University of Naples Federico II, Naples 80131, Italy.
| | - G Mattace Raso
- Department of Pharmacy, School of Medicine, University of Naples Federico II, Naples 80131, Italy
| | - R Meli
- Department of Pharmacy, School of Medicine, University of Naples Federico II, Naples 80131, Italy
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Pirozzi C, Opallo N, Coretti L, Lama A, Annunziata C, Comella F, Melini S, Buommino E, Mollica MP, Aviello G, Mattace Raso G, Lembo F, Meli R. Alkalihalobacillus clausii (formerly Bacillus clausii) spores lessen antibiotic-induced intestinal injury and reshape gut microbiota composition in mice. Biomed Pharmacother 2023; 163:114860. [PMID: 37196540 DOI: 10.1016/j.biopha.2023.114860] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/28/2023] [Revised: 05/03/2023] [Accepted: 05/06/2023] [Indexed: 05/19/2023] Open
Abstract
The antibiotic-induced intestinal injury (AIJ) is associated with diarrhoea and gastrointestinal discomfort. However, the pathological intestinal mechanisms and related side effects associated with antibiotic use/misuse may be counteracted by probiotics. This study aims to evaluate the effect and the protective mechanisms of a probiotic formulation containing Alkalihalobacillus clausii (formerly Bacillus clausii; BC) spores in an experimental model of AIJ. C57/Bl6J mice were orally challenged with a high dose of ceftriaxone for five days along with BC treatment which lasted up to the 15th day. Our results showed the beneficial effect of the probiotic in preserving colonic integrity and limiting tissue inflammation and immune cell infiltration in AIJ mice. BC increased tight junction expression and regulated the unbalanced production of colonic pro- and anti-inflammatory cytokines, converging toward the full resolution of the intestinal damage. These findings were supported by the histological evaluation of the intestinal mucosa, suggesting a potential restoration of mucus production. Notably, BC treatment increased gene transcription of the secretory products responsible for epithelium repair and mucus synthesis and normalized the expression of antimicrobial peptides involved in immune activation. Reconstruction of complex and diverse gut microbiota in antibiotic-induced dysbiosis was recorded upon BC supplementation. Specifically, the expansion of A. clausii, Prevotella rara and Eubacterium ruminatium drove intestinal microbiota rebalance by primarily impacting Bacteroidota members. Taken together, our data indicate that BC administration alleviates AIJ by multiple converging mechanisms leading to restoring gut integrity and homeostasis and reshaping microbiota composition.
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Affiliation(s)
- C Pirozzi
- Department of Pharmacy, School of Medicine, University of Naples Federico II, Naples, Italy
| | - N Opallo
- Department of Pharmacy, School of Medicine, University of Naples Federico II, Naples, Italy
| | - L Coretti
- Department of Pharmacy, School of Medicine, University of Naples Federico II, Naples, Italy; Task Force on Microbiome Studies, University of Naples Federico II, Naples, Italy
| | - A Lama
- Department of Pharmacy, School of Medicine, University of Naples Federico II, Naples, Italy; Task Force on Microbiome Studies, University of Naples Federico II, Naples, Italy
| | - C Annunziata
- Department of Pharmacy, School of Medicine, University of Naples Federico II, Naples, Italy
| | - F Comella
- Department of Pharmacy, School of Medicine, University of Naples Federico II, Naples, Italy
| | - S Melini
- Department of Pharmacy, School of Medicine, University of Naples Federico II, Naples, Italy
| | - E Buommino
- Department of Pharmacy, School of Medicine, University of Naples Federico II, Naples, Italy
| | - M P Mollica
- Department of Biology, University of Naples Federico II, Naples, Italy
| | - G Aviello
- Department of Pharmacy, School of Medicine, University of Naples Federico II, Naples, Italy
| | - G Mattace Raso
- Department of Pharmacy, School of Medicine, University of Naples Federico II, Naples, Italy.
| | - F Lembo
- Department of Pharmacy, School of Medicine, University of Naples Federico II, Naples, Italy; Task Force on Microbiome Studies, University of Naples Federico II, Naples, Italy
| | - R Meli
- Department of Pharmacy, School of Medicine, University of Naples Federico II, Naples, Italy
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Lama A, Del Piano F, Annunziata C, Comella F, Opallo N, Melini S, Grumetto L, Pirozzi C, Mattace Raso G, Meli R, Ferrante MC. Bisphenol A exacerbates anxiety-like behavior and neuroinflammation in prefrontal cortex of adult obese mice. Life Sci 2023; 313:121301. [PMID: 36535405 DOI: 10.1016/j.lfs.2022.121301] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/07/2022] [Revised: 12/12/2022] [Accepted: 12/13/2022] [Indexed: 12/23/2022]
Abstract
AIMS Bisphenol A (BPA) is an endocrine-disrupting chemical inducing several damages such as neurotoxicity, immunotoxicity, and metabolic disorders. Obesity is the main risk factor for the increased occurrence of metabolic alterations as well as mood disorders. Here, we investigated in obese mice the effects of BPA on anxiety-like behavior, associated with neuroinflammation and immune activation. MAIN METHODS Male C57Bl/6J mice were divided into 4 groups: control group (STD) receiving chow diet and BPA vehicle; STD group treated with BPA (50 μg/kg/die); high-fat diet (HFD) group receiving BPA vehicle; HFD group treated with BPA. BPA treatment started 12 weeks after HFD feeding and lasted 3 weeks. KEY FINDINGS The open field and elevated plus-maze tests showed in HFD + BPA group the worsening of HFD-induced anxiety-like behavior. The anxiogenic effects of BPA also emerged from hyperactivation of the hypothalamus-pituitary-adrenal gland axis, determined by the increased transcription of Crh and its receptor in the prefrontal cortex (PFC). Furthermore, BPA activated NLRP3 inflammasome and exacerbated the neuroinflammation induced by HFD, increasing IL-1β, TNF-α and monocyte chemoattractant protein (MCP)-1 in PFC. Furthermore, it induced inflammation and monocyte recruitment in hypothalamus and amygdala. Contextually, BPA significantly amplified the immune activation caused by lipid overload as evidenced by the increased expression of TLR-4 and MCP-1 in the PFC and triggered mastocytosis in the hypothalamus rather than STD mice. SIGNIFICANCE All these data show that sub-chronic BPA exposure represents an additional risk factor for mood disorders strictly related to obesity, enhancing neuroinflammation and immune activation triggered by HFD feeding.
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Affiliation(s)
- A Lama
- Department of Pharmacy, University of Naples Federico II, Naples, Italy
| | - F Del Piano
- Department of Veterinary Medicine and Animal Productions, University of Naples Federico II, Naples, Italy
| | - C Annunziata
- Department of Pharmacy, University of Naples Federico II, Naples, Italy
| | - F Comella
- Department of Pharmacy, University of Naples Federico II, Naples, Italy
| | - N Opallo
- Department of Pharmacy, University of Naples Federico II, Naples, Italy
| | - S Melini
- Department of Pharmacy, University of Naples Federico II, Naples, Italy
| | - L Grumetto
- Department of Pharmacy, University of Naples Federico II, Naples, Italy
| | - C Pirozzi
- Department of Pharmacy, University of Naples Federico II, Naples, Italy.
| | - G Mattace Raso
- Department of Pharmacy, University of Naples Federico II, Naples, Italy
| | - R Meli
- Department of Pharmacy, University of Naples Federico II, Naples, Italy
| | - M C Ferrante
- Department of Veterinary Medicine and Animal Productions, University of Naples Federico II, Naples, Italy
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Comella F, Lama A, Pirozzi C, Feijoo-Bandin S, Aragon-Herrera A, Annunziata C, Del Piano F, Morana-Fernandez S, Anido-Valera L, Melini S, Opallo N, Meli R, Mattace Raso G, Gonzalez-Juanatey JR, Lago Paz F. Oleoylethanolamide mitigates cardiac metabolic alterations secondary to obesity induced by high-fat diet in C57/BL6J mice. Eur Heart J 2022. [DOI: 10.1093/eurheartj/ehac544.2898] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Abstract
Abstract
Background
It is well known that high-fat diet (HFD) feeding causes cardiac inflammation, remodeling, and dysfunction, and that increased fat intake, especially saturated fat, is a major driver of cardiometabolic diseases. Oleoylethanolamide (OEA) is a member of acylethanolamides recognized for its metabolic and anti-inflammatory properties due to the high affinity for different receptors and to its role as a modulator of the endocannabinoid system. OEA effects on the cardiovascular alterations caused by fat overnutrition are still unknown.
Purpose
The aim of this study was to evaluate the impact of OEA treatment on cardiac metabolic changes induced by HFD in obese mice.
Methods
Male C57Bl/6J mice were divided into 3 groups: control group (STD) receiving standard chow diet; mice fed with HFD for 20 weeks; HFD group treated with OEA (HFD+OEA 2,5 mg/kg/die i.p.) from week 12 to week 20.
Results
In HFD mice, OEA treatment reduced body weight measured throughout the experimental period. Before sacrifice, we performed the oral glucose tolerance test (OGTT), where HFD+OEA mice showed an improvement of insulin sensitivity, altered by HFD. HFD feeding led to a significant increase in the production of inflammatory cytokines and chemokines, such as interleukin (IL)-1b, IL-6, the monocyte chemoattractant protein (MCP)1 and the pro-fibrotic marker fibrillin in the cardiac tissue. Conversely, OEA normalized the transcription of the above-mentioned pro-inflammatory mediators in the heart of obese mice. OEA treatment also reduced the gene expressions levels of cardiac fatty acid transporter CD36, that were significantly induced in the heart of HFD-fed mice, and that have been found to be linked to myocardial lipid accumulation. We also evaluated the gene expression levels of the adipokines adiponectin and meteorin-like protein (Metrnl), finding that the increased ventricular expression of both in HFD mice were significantly reduced by OEA. Moreover, OEA treatment induces an increase in AMPK and AKT phosphorylation, whose pathways converge towards the phosphorylation of AS160, a kinase implicated in the translocation of the glucose transporter (GLUT) 4 to the cardiomyocyte membrane, a mechanism involved in the modulation of cardiac glucose metabolism.
Since it has been reported that cardiac autophagy is altered in metabolic disorders like obesity, we also studied the effect of OEA in autophagosome formation, and we determined that cardiac protein levels of LC3II, an autophagosomal membrane marker, are markedly increased by OEA treatment.
Conclusions
Taken together, our results indicate a potential cardioprotective effect of OEA as a molecule able to reduce body weight and body weight gain, to ameliorate glucose disposal improving blood glucose, to restore cardiac metabolic alterations related to obesity, and to decrease proinflammatory and profibrotic markers at cardiac level, induced by HFD.
Funding Acknowledgement
Type of funding sources: Public Institution(s). Main funding source(s): Fondo de Investigationes Sanitarias, Instituto de Salud Carlos III
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Affiliation(s)
- F Comella
- University of Naples Federico II, Department of Pharmacy , Naples , Italy
| | - A Lama
- University of Naples Federico II, Department of Pharmacy , Naples , Italy
| | - C Pirozzi
- University of Naples Federico II, Department of Pharmacy , Naples , Italy
| | - S Feijoo-Bandin
- Instituto de Investigacion Sanitaria de Santiago, Cellular and molecular cardiology , Santiago de Compostela , Spain
| | - A Aragon-Herrera
- Instituto de Investigacion Sanitaria de Santiago, Cellular and molecular cardiology , Santiago de Compostela , Spain
| | - C Annunziata
- University of Naples Federico II, Department of Pharmacy , Naples , Italy
| | - F Del Piano
- University of Naples Federico II, Department of Veterinary Medicine and Animal Production , Naples , Italy
| | - S Morana-Fernandez
- Instituto de Investigacion Sanitaria de Santiago, Cellular and molecular cardiology , Santiago de Compostela , Spain
| | - L Anido-Valera
- Instituto de Investigacion Sanitaria de Santiago, Cellular and molecular cardiology , Santiago de Compostela , Spain
| | - S Melini
- University of Naples Federico II, Department of Pharmacy , Naples , Italy
| | - N Opallo
- University of Naples Federico II, Department of Pharmacy , Naples , Italy
| | - R Meli
- University of Naples Federico II, Department of Pharmacy , Naples , Italy
| | - G Mattace Raso
- University of Naples Federico II, Department of Pharmacy , Naples , Italy
| | - J R Gonzalez-Juanatey
- Instituto de Investigacion Sanitaria de Santiago, Cellular and molecular cardiology , Santiago de Compostela , Spain
| | - F Lago Paz
- Instituto de Investigacion Sanitaria de Santiago, Cellular and molecular cardiology , Santiago de Compostela , Spain
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Lama A, Del Piano F, Annunziata C, Opallo N, Comella F, Melini S, Raso GM, Ferrante M, Meli R, Pirozzi C. P16-15 The amplifying effects of bisphenol a on anxiety-like behavior and neuroinflammation in young adult obese mice. Toxicol Lett 2022. [DOI: 10.1016/j.toxlet.2022.07.605] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
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Del Piano F, Monnolo A, Piccolo G, Vozzo S, Iaccarino D, Melini S, Lama A, Pirozzi C, Ferrante M. P07-43 Subchronic exposure to polystyrene microplastic provokes intestinal damage in gilthead seabreams (Sparus aurata). Toxicol Lett 2022. [DOI: 10.1016/j.toxlet.2022.07.386] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/14/2022]
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Lazzari L, Donzelli S, Cassese A, Sisti N, Tordini A, Pirozzi C, Di Meo F, Marini C, Carreras G. Development and validation of a new ECG algorithm based on the analysis of lead V3 to determine the origin of outflow tract ventricular arrhythmias. Europace 2022. [DOI: 10.1093/europace/euac053.022] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Abstract
Abstract
Funding Acknowledgements
Type of funding sources: None.
Introduction (Aim)
To preoperatively differentiate the site of origin outflow tract ventricular arrhythmias (OT-VA) it is of utmost importance for procedure planning yet challenging for those with a precordial transition (PT) at lead V3: close-proximity anatomical structures produce similar VA morphologies, thus leading to possible misdiagnosis. We sought to create an ECG algorithm that could be accurate and useful in overcoming this problem.
Methods and Results
74 consecutive patients (Pts) with OT-VA who underwent successful radio-frequency catheter ablation (V3 PT 60.8%) were enrolled. The ECG characteristics of the first 30 Pts were analyzed (retrospective cohort); those with a PT at lead V3 underwent activation-mapping of both OT to ensure a correct diagnosis. LV-OT and RV-OT groups shared similar characteristics, including BMI and BSA.
Above all ECG measurements, the V3 duration index (DI) and amplitude percentage, both calculated with the formula [R\(R+S)]*100 (computing duration and amplitude measurements respectively), showed the greatest AUC. A V3 DI < 50% established a certain diagnosis of origin at RV-OT (sensitivity 86.7%, specificity 100%, PPV 100%, NPV 88.2%; AUC 0.931). If the V3 DI was ≥ 50%, a V3 R wave percentage ≥ 50% established a certain diagnosis of origin at LV-OT (sensitivity 86.7%, specificity 100%, PPV 100%, NPV 88.2%, AUC 0.951). While a direct study of the RV-OT or LV-OT is suggested in these first two cases, few classification errors occurred only in the rare event of a V3 DI ≥ 50% with a V3 R wave percentage < 50% (Figure 1).
In the prospective cohort, the two indices were confirmed to have the two best AUCs (0.992 and 0.986, respectively), and the algorithm showed an accuracy of 95.45%.
Since the aortic cusps are structures posterior to RV-OT, therefore further away from V2, these foci more frequently show a QRS onset at ≥ V3; a characteristic which in our series was associated with an odds ratio for LV-OT origin of 4.1 [95% CI 1.47 – 11.39], p = 0.007.
Using the transition ratio, we found a statistical significance only in lead V3, with a cut-off of ≥ 1 for predicting an LV-OT origin (LV-OT vs. RV-OT: 7.70 ± 12.75 vs. 0.70 ± 0.55, p < 0.001; AUC 0.898). Analyzing the overall case series, we can generalize the following: duration and amplitude indices showed an increasing AUC passing from lead V1 to V3 (Figure 2). The indices based on the complete measurement of the wave R compared to the QRS showed better AUCs than those on partial measures in V2 and V3: the duration index was better than the deflection index, as well as the amplitude percentage was better than the amplitude ratio.
Conclusions
The usefulness of the algorithm lies in providing preoperatively two assured outcomes in most cases (86.36%), allowing to limit the procedure to one OT directly - even in the event of a V3 PT - while it can select a small subgroup of complex Pts in which a study of both OT is recommended.
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Affiliation(s)
- L Lazzari
- Hospital Santa Maria, Electrophysiology Lab, Terni, Italy
| | - S Donzelli
- Hospital Santa Maria, Electrophysiology Lab, Terni, Italy
| | - A Cassese
- Hospital Santa Maria, Electrophysiology Lab, Terni, Italy
| | - N Sisti
- Polyclinic Santa Maria alle Scotte, Cardiology Department, Siena, Italy
| | - A Tordini
- Hospital Santa Maria, Electrophysiology Lab, Terni, Italy
| | - C Pirozzi
- Hospital Santa Maria, Electrophysiology Lab, Terni, Italy
| | - F Di Meo
- Hospital Santa Maria, Electrophysiology Lab, Terni, Italy
| | - C Marini
- Hospital Santa Maria, Electrophysiology Lab, Terni, Italy
| | - G Carreras
- Hospital Santa Maria, Electrophysiology Lab, Terni, Italy
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Madonna G, Sale S, Capone M, De Falco C, Santocchio V, Di Matola T, Fiorentino G, Pirozzi C, D’Antonio A, Sabatino R, Atripaldi L, Atripaldi U, Raffone M, Curvietto M, Grimaldi AM, Vanella V, Festino L, Scarpato L, Palla M, Spatarella M, Perna F, Cerino P, Botti G, Parrella R, Montesarchio V, Ascierto PA, Atripaldi L. Clinical Outcome Prediction in COVID-19 Patients by Lymphocyte Subsets Analysis and Monocytes' iTNF-α Expression. Biology (Basel) 2021; 10:735. [PMID: 34439967 PMCID: PMC8389652 DOI: 10.3390/biology10080735] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 07/13/2021] [Revised: 07/24/2021] [Accepted: 07/28/2021] [Indexed: 12/24/2022]
Abstract
In December 2019, a novel coronavirus, "SARS-CoV-2", was recognized as the cause of coronavirus disease 2019 (COVID-19). Several studies have explored the changes and the role of inflammatory cells and cytokines in the immunopathogenesis of the disease, but until today, the results have been controversial. Based on these premises, we conducted a retrospective assessment of monocyte intracellular TNF-α expression (iTNF-α) and on the frequencies of lymphocyte sub-populations in twenty-five patients with moderate/severe COVID-19. We found lymphopenia in all COVID-19 infected subjects compared to healthy subjects. On initial observation, in patients with favorable outcomes, we detected a high absolute eosinophil count and a high CD4+/CD8+ T lymphocytes ratio, while in the Exitus Group, we observed high neutrophil and CD8+ T lymphocyte counts. During infection, in patients with favorable outcomes, we observed a rise in the lymphocyte count, in the monocyte and in Treg lymphocyte counts, and in the CD4+ and in CD8+ T lymphocytes count but a reduction in the CD4+/CD8+ T lymphocyte ratio. Instead, in the Exitus Group, we observed a reduction in the Treg lymphocyte counts and a decrease in iTNF-α expression. Our preliminary findings point to a modulation of the different cellular mediators of the immune system, which probably play a key role in the outcomes of COVID-19.
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Affiliation(s)
- Gabriele Madonna
- Melanoma, Cancer Immunotherapy and Development Therapeutics Unit, Istituto Nazionale Tumori IRCCS Fondazione G. Pascale, 80131 Napoli, Italy; (G.M.); (M.C.); (M.C.); (A.M.G.); (V.V.); (L.F.); (L.S.); (M.P.)
| | - Silvia Sale
- UOC Biochimica Clinica, AORN Ospedali dei Colli—Monaldi—Cotugno—CTO, 80131 Napoli, Italy; (S.S.); (C.D.F.); (V.S.); (T.D.M.); (C.P.); (A.D.); (R.S.); (L.A.)
| | - Mariaelena Capone
- Melanoma, Cancer Immunotherapy and Development Therapeutics Unit, Istituto Nazionale Tumori IRCCS Fondazione G. Pascale, 80131 Napoli, Italy; (G.M.); (M.C.); (M.C.); (A.M.G.); (V.V.); (L.F.); (L.S.); (M.P.)
| | - Chiara De Falco
- UOC Biochimica Clinica, AORN Ospedali dei Colli—Monaldi—Cotugno—CTO, 80131 Napoli, Italy; (S.S.); (C.D.F.); (V.S.); (T.D.M.); (C.P.); (A.D.); (R.S.); (L.A.)
| | - Valentina Santocchio
- UOC Biochimica Clinica, AORN Ospedali dei Colli—Monaldi—Cotugno—CTO, 80131 Napoli, Italy; (S.S.); (C.D.F.); (V.S.); (T.D.M.); (C.P.); (A.D.); (R.S.); (L.A.)
| | - Tiziana Di Matola
- UOC Biochimica Clinica, AORN Ospedali dei Colli—Monaldi—Cotugno—CTO, 80131 Napoli, Italy; (S.S.); (C.D.F.); (V.S.); (T.D.M.); (C.P.); (A.D.); (R.S.); (L.A.)
| | - Giuseppe Fiorentino
- UOC Fisiopatologia e Riabilitazione Respiratoria, AORN Ospedali dei Colli—Monaldi—Cotugno—CTO, 80131 Napoli, Italy;
| | - Caterina Pirozzi
- UOC Biochimica Clinica, AORN Ospedali dei Colli—Monaldi—Cotugno—CTO, 80131 Napoli, Italy; (S.S.); (C.D.F.); (V.S.); (T.D.M.); (C.P.); (A.D.); (R.S.); (L.A.)
| | - Anna D’Antonio
- UOC Biochimica Clinica, AORN Ospedali dei Colli—Monaldi—Cotugno—CTO, 80131 Napoli, Italy; (S.S.); (C.D.F.); (V.S.); (T.D.M.); (C.P.); (A.D.); (R.S.); (L.A.)
| | - Rocco Sabatino
- UOC Biochimica Clinica, AORN Ospedali dei Colli—Monaldi—Cotugno—CTO, 80131 Napoli, Italy; (S.S.); (C.D.F.); (V.S.); (T.D.M.); (C.P.); (A.D.); (R.S.); (L.A.)
| | - Lidia Atripaldi
- Dipartimento di Scienze Mediche Traslazionali, University of Campania “Luigi Vanvitelli”, 80138 Naples, Italy; (L.A.); (U.A.)
| | - Umberto Atripaldi
- Dipartimento di Scienze Mediche Traslazionali, University of Campania “Luigi Vanvitelli”, 80138 Naples, Italy; (L.A.); (U.A.)
| | - Marcello Raffone
- UOC Microbiologia e Virologia, AORN Ospedali dei Colli—Monaldi—Cotugno—CTO, 80131 Napoli, Italy;
| | - Marcello Curvietto
- Melanoma, Cancer Immunotherapy and Development Therapeutics Unit, Istituto Nazionale Tumori IRCCS Fondazione G. Pascale, 80131 Napoli, Italy; (G.M.); (M.C.); (M.C.); (A.M.G.); (V.V.); (L.F.); (L.S.); (M.P.)
| | - Antonio Maria Grimaldi
- Melanoma, Cancer Immunotherapy and Development Therapeutics Unit, Istituto Nazionale Tumori IRCCS Fondazione G. Pascale, 80131 Napoli, Italy; (G.M.); (M.C.); (M.C.); (A.M.G.); (V.V.); (L.F.); (L.S.); (M.P.)
| | - Vito Vanella
- Melanoma, Cancer Immunotherapy and Development Therapeutics Unit, Istituto Nazionale Tumori IRCCS Fondazione G. Pascale, 80131 Napoli, Italy; (G.M.); (M.C.); (M.C.); (A.M.G.); (V.V.); (L.F.); (L.S.); (M.P.)
| | - Lucia Festino
- Melanoma, Cancer Immunotherapy and Development Therapeutics Unit, Istituto Nazionale Tumori IRCCS Fondazione G. Pascale, 80131 Napoli, Italy; (G.M.); (M.C.); (M.C.); (A.M.G.); (V.V.); (L.F.); (L.S.); (M.P.)
| | - Luigi Scarpato
- Melanoma, Cancer Immunotherapy and Development Therapeutics Unit, Istituto Nazionale Tumori IRCCS Fondazione G. Pascale, 80131 Napoli, Italy; (G.M.); (M.C.); (M.C.); (A.M.G.); (V.V.); (L.F.); (L.S.); (M.P.)
| | - Marco Palla
- Melanoma, Cancer Immunotherapy and Development Therapeutics Unit, Istituto Nazionale Tumori IRCCS Fondazione G. Pascale, 80131 Napoli, Italy; (G.M.); (M.C.); (M.C.); (A.M.G.); (V.V.); (L.F.); (L.S.); (M.P.)
| | - Michela Spatarella
- UOSD di Farmacia, AORN Ospedali dei Colli—Monaldi—Cotugno—CTO, 80131 Napoli, Italy;
| | - Francesco Perna
- Dipartimento di Medicina Clinica e Chirurgia, Università degli Studi di Napoli “Federico II”, 80131 Naples, Italy;
| | - Pellegrino Cerino
- Istituto Zooprofilattico Sperimentale del Mezzogiorno, 80055 Portici, Italy;
| | - Gerardo Botti
- Scientific Direction, Istituto Nazionale Tumori IRCCS Fondazione G. Pascale, 80131 Napoli, Italy;
| | - Roberto Parrella
- UOC Malattie Infettive ad Indirizzo Respiratorio, AORN Ospedali dei Colli—Monaldi—Cotugno—CTO, 80131 Napoli, Italy;
| | | | - Paolo Antonio Ascierto
- Melanoma, Cancer Immunotherapy and Development Therapeutics Unit, Istituto Nazionale Tumori IRCCS Fondazione G. Pascale, 80131 Napoli, Italy; (G.M.); (M.C.); (M.C.); (A.M.G.); (V.V.); (L.F.); (L.S.); (M.P.)
| | - Luigi Atripaldi
- UOC Biochimica Clinica, AORN Ospedali dei Colli—Monaldi—Cotugno—CTO, 80131 Napoli, Italy; (S.S.); (C.D.F.); (V.S.); (T.D.M.); (C.P.); (A.D.); (R.S.); (L.A.)
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9
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Cerino P, Coppola A, Pierri B, Volzone P, Bruzzese D, Pierri A, Ferro A, Schiavi D, Coppola A, Miniero S, Atripaldi L, Pirozzi C, Rusciano P, Macri A, Boenzi R, Sale S, Brambilla G, Buonerba C. An observational study of a cohort of citizens receiving the AZD1222 vaccine against SARS-CoV-2. Future Sci OA 2021; 7:FSO739. [PMID: 34290884 PMCID: PMC8216649 DOI: 10.2144/fsoa-2021-0064] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/12/2021] [Accepted: 06/02/2021] [Indexed: 11/23/2022] Open
Abstract
In this retrospective study, a cohort of 67 subjects vaccinated with AZD1222 was retrospectively observed. Consistently with published findings, no serious adverse event was reported, and all adverse events reported (fever, muscle ache and/or pain in the site of injection) had resolved by day 8. Of note, some citizens were prescribed low-dose aspirin and even heparin for thrombosis prevention. We also found variations in laboratory test results (full blood count and chemistry) on day 1 compared with day 8. Physicians should be aware that no prevention therapy for thrombosis is currently recommended, given the very low incidence of this side effect. Additional studies are warranted to interpret our findings.
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Affiliation(s)
- Pellegrino Cerino
- Centro di Referenza Nazionale per l'Analisi e Studio di Correlazione tra Ambiente, Animale e Uomo, Istituto Zooprofilattico Sperimentale del Mezzogiorno, Portici, 80055, Italy
| | - Annachiara Coppola
- Centro di Referenza Nazionale per l'Analisi e Studio di Correlazione tra Ambiente, Animale e Uomo, Istituto Zooprofilattico Sperimentale del Mezzogiorno, Portici, 80055, Italy.,Dipartimento di Medicina Sperimentale, Università degli studi della Campania 'L Vanvitelli', Naples, 80138, Italy
| | - Biancamaria Pierri
- Centro di Referenza Nazionale per l'Analisi e Studio di Correlazione tra Ambiente, Animale e Uomo, Istituto Zooprofilattico Sperimentale del Mezzogiorno, Portici, 80055, Italy.,Department of Medicine, Surgery & Dentistry (Scuola Medica Salernitana), University of Salerno, Baronissi, 84081, Italy
| | - Palmiero Volzone
- Centro di Referenza Nazionale per l'Analisi e Studio di Correlazione tra Ambiente, Animale e Uomo, Istituto Zooprofilattico Sperimentale del Mezzogiorno, Portici, 80055, Italy
| | - Dario Bruzzese
- Department of Public Health, University of Naples 'Federico II', Naples, 80131, Italy
| | - Andrea Pierri
- Centro di Referenza Nazionale per l'Analisi e Studio di Correlazione tra Ambiente, Animale e Uomo, Istituto Zooprofilattico Sperimentale del Mezzogiorno, Portici, 80055, Italy
| | - Amedeo Ferro
- Centro di Referenza Nazionale per l'Analisi e Studio di Correlazione tra Ambiente, Animale e Uomo, Istituto Zooprofilattico Sperimentale del Mezzogiorno, Portici, 80055, Italy
| | - Daniela Schiavi
- Centro di Referenza Nazionale per l'Analisi e Studio di Correlazione tra Ambiente, Animale e Uomo, Istituto Zooprofilattico Sperimentale del Mezzogiorno, Portici, 80055, Italy
| | | | | | - Luigi Atripaldi
- Cotugno Hospital, AORN Ospedali dei Colli, Naples, 80131, Italy
| | | | | | | | - Rita Boenzi
- Cotugno Hospital, AORN Ospedali dei Colli, Naples, 80131, Italy
| | - Silvia Sale
- Cotugno Hospital, AORN Ospedali dei Colli, Naples, 80131, Italy
| | - Gianfranco Brambilla
- Food Safety, Nutrition & Veterinary Public Health Department, Istituto Superiore di Sanità, Rome, 00161, Italy
| | - Carlo Buonerba
- Centro di Referenza Nazionale per l'Analisi e Studio di Correlazione tra Ambiente, Animale e Uomo, Istituto Zooprofilattico Sperimentale del Mezzogiorno, Portici, 80055, Italy
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10
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Della Volpe A, Ricci G, Ralli M, Gambacorta V, De Lucia A, Minni A, Pirozzi C, Paccone M, Pastore V, Di Stadio A. The effects of oral supplements with Sambucus nigra, Zinc, Tyndallized Lactobacillus acidophilus (HA122), Arabinogalactans, vitamin D, vitamin E and vitamin C in otitis media with effusion in children: a randomized controlled trial. Eur Rev Med Pharmacol Sci 2020; 23:6360-6370. [PMID: 31364144 DOI: 10.26355/eurrev_201907_18460] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Subscribe] [Scholar Register] [Indexed: 11/12/2022]
Abstract
OBJECTIVE To evaluate the ability of oral supplements with immune-stimulating molecules (Sambucus nigra, Zinc, Tyndallized Lactobacillus acidophilus (HA122), Arabinogalactans, vitamin D, vitamin E and vitamin C) to reduce the inflammation of the upper airway tract and improve the outcome of otitis media with effusion (OME) in children. PATIENTS AND METHODS Randomized controlled trial. One-hundred ninety-eight children (CI 95%: 12-96 months) were divided into four groups. Group 1 (48 subjects) received 10 ml of oral supplements (OS) with immune-stimulating molecules for three months (20 days consecutively, then 10 days of suspension - the therapeutic scheme was repeated three times); Group 2 (54 children) underwent treatment with 10 ml of OS for 90 consecutive days; Group 3 (48 subjects) received 15 ml of OS for 45 consecutive days; a control group (48 children) underwent the standard treatment for rhinitis and OME. Outcome measures included otoscopy, tympanometry, fibroendoscopy, and the pure tone audiometry (PTA) at T0 (before treatment), T1 (45 days after treatment), and T2 (90 days after treatment). RESULTS All children treated with OS showed a reduction of Upper Airway Infection (UAI) episodes and OME compared to the control group independent of the administration method and posology. The three groups treated with OS showed statistically significant differences between T0 and T2 for otoscopy, tympanometry, fibroendoscopy, and PTA. In Group 2, the otoscopy and the tympanometry scores improved at T1. Group 2 and 3 had better PTA results than Group 1. CONCLUSIONS OS with immune-stimulating molecules should be considered as a supporting therapy in children affected by recurrent episodes of UAI associated with OME due to their capacity to improve the immune response and reduce the inflammatory phenomena. OS can improve the fibroendoscopic findings by restoring middle ear ventilation, in addition to their ability to reduce inflammation in the middle ear.
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Affiliation(s)
- A Della Volpe
- Otology and Cochlear Implant Unit, Santobono-Pausilipon Children's Hospital, Naples, Italy.
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11
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De Biase D, Pirozzi C, Prisco F, Cimmino I, Piegari G, Raso GM, Oriente F, Papparella S, Paciello O. NLRP3 inflammasome expression in brain and skeletal muscle of aged cattle. J Comp Pathol 2019. [DOI: 10.1016/j.jcpa.2018.10.021] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
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12
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Della Volpe A, Dipietro L, Ricci G, Pastore V, Paccone M, Pirozzi C, Di Stadio A. Pre-treatment with Melamil Tripto ® induces sleep in children undergoing Auditory Brain Response (ABR) testing. Int J Pediatr Otorhinolaryngol 2018; 115:171-174. [PMID: 30368380 DOI: 10.1016/j.ijporl.2018.10.006] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/28/2018] [Revised: 10/02/2018] [Accepted: 10/03/2018] [Indexed: 10/28/2022]
Abstract
OBJECTIVES Previous studies have shown that tryptophan and vitamin B6 used in conjunction with melatonin induce sleep more effectively than melatonin alone. This study aims at evaluating the efficacy of different dosages and timings of administration of a solution containing melatonin, tryptophan, and vitamin B6 for inducing sleep in children undergoing ABR testing. METHODS 294 children scheduled for Auditory Brain Response (ABR) evaluation were administered a solution containing melatonin, tryptophan, and vitamin B6 to induce sleep before the exam. Two different administration timings (pre-treatment and single shot treatment) and three dosages (0.5 ml in pre-treatment, 1.5 ml in pre-treatment, and 3 ml in single shot) were tested. The following parameters were evaluated: time needed for the subject to fall asleep before ABR testing, subject sl'eep features during ABR testing (quality, stability, duration), recorded ABR quality (including presence of abnormalities in amplitude and latency), subject waking up modality, and time needed for the subject to wake up at the end of the ABR exam. RESULTS Quality of ABR signals was similar across treatments, and subjects responded in a similar manner in terms of time needed to wake-up and wake-up modality. However, pretreatment with the 1.5 ml dose induced sleep faster than the two other dosages, and the length of the induced sleep was longer than that induced by pre-treatment with 0.5 ml. In general, the pre-treatment with 1.5 ml led to a shorter ABR exam, because reduces the time for inducing sleep, allows a long sleeping phase with a good quality, without variation in the wakening up times. CONCLUSIONS Melamil Tripto® is an alternative to sedative drugs for inducing sleep in pediatric subjects undergoing ABR testing. A pre-medication with 1.5 ml of MT 1 week before ABR testing further improves the strength of the solution.
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Affiliation(s)
- A Della Volpe
- Santobono-Pausillipon Hospital, Otolaryngology Department, Cochlear Implant Unit, Naples, Italy
| | - L Dipietro
- Highland Instruments, Cambridge, MA, USA.
| | - G Ricci
- University of Perugia, Department of Otolaryngology, Perugia, Italy
| | - V Pastore
- University of Naples, Department of Otolaryngology, Naples, Italy
| | - M Paccone
- University of Naples, Department of Otolaryngology, Naples, Italy
| | - C Pirozzi
- Santobono-Pausillipon Hospital, Otolaryngology Department, Cochlear Implant Unit, Naples, Italy
| | - A Di Stadio
- University of Perugia, Department of Otolaryngology, Perugia, Italy.
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13
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Carlomagno G, Pirozzi C, Mercurio V, Ruvolo A, Fazio S. Effects of a nutraceutical combination on left ventricular remodeling and vasoreactivity in subjects with the metabolic syndrome. Nutr Metab Cardiovasc Dis 2012; 22:e13-e14. [PMID: 22397875 DOI: 10.1016/j.numecd.2011.12.002] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/04/2011] [Accepted: 12/06/2011] [Indexed: 10/28/2022]
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14
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Abstract
Intestinal derotation (ID) is a rarely used surgical technique which allows elegant and effective surgical access to the superior mesenteric axis and third and fourth portion of the duodenum. ID proves an extremely useful technique especially in the emergency setting when access to the "surgical soul" is needed. To master this technique the surgeon has to become familiar with the anatomical landmarks of that area along with the embryological background.
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Affiliation(s)
- C Benzoni
- Division of General Surgery, Queen Margaret Hospital, Fife, 10 Barnton Park Drive, Edinburgh, EH4 6HP, UK.
| | - B Benini
- Division of Emergency and General Surgery, S. Camillo Hospital, Rome, Italy
| | - C Pirozzi
- Division of Emergency and General Surgery, S. Camillo Hospital, Rome, Italy
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15
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Regine G, Luzietti M, Pirozzi C, Adami L, Adami EA. [Gastric leiomiosarcoma. A case report]. Radiol Med 2001; 102:288-90. [PMID: 11740463] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/22/2023]
Affiliation(s)
- G Regine
- Servizio di Radiologia, Azienda Ospedaliera S. Camillo Forlanini, Rome, Italy.
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16
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Peracchia A, Pantano S, Pirozzi C, Sgobba G. [Cancer of the gastric stump after resection for ulcer]. MINERVA CHIR 1976; 31:1125-32. [PMID: 189258] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/13/2022]
Abstract
Fourteen cases of primary cancer of the gastric stump as a long-term sequel to resection for ulcer are presented. Surgery was undertaken in all cases, though radical intervention was only possible in 6. Questions of diagnosis and surgical tactics associated with this type of neoplasia are discussed. It is felt that early ascertainment could be aided by fibrogastroscopic controls carried out on a large scale at the time of the symptomatological overture. The possibility of preventive examination is also mooted.
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17
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Palombi F, Pirozzi C, Rossi A. High nuclear DNA content in nervus terminalis ganglion cells of Scorpaena porcus. Experientia 1973; 29:327-8. [PMID: 4708717 DOI: 10.1007/bf01926507] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/11/2023]
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