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Mattei A, Schiavoni L, Riva E, Ciccozzi M, Veralli R, Urselli A, Citriniti V, Nenna A, Pascarella G, Costa F, Cataldo R, Agrò FE, Carassiti M. Epstein-Barr virus, Cytomegalovirus, and Herpes Simplex-1/2 reactivations in critically ill patients with COVID-19. Intensive Care Med Exp 2024; 12:40. [PMID: 38649512 PMCID: PMC11035506 DOI: 10.1186/s40635-024-00624-9] [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: 11/30/2023] [Accepted: 04/09/2024] [Indexed: 04/25/2024] Open
Abstract
OBJECTIVES To assess the incidences of Herpes Simplex-1 and 2 (HSV-1, HSV-2), Cytomegalovirus (CMV), Epstein-Barr Virus (EBV) reactivations in critically ill COVID-19 patients. To determine the association between viral reactivation and in-hospital mortality, Intensive Care Unit Bloodstream infection (ICU-BSI), ventilator-associated pneumonia (VAP). DESIGN Observational retrospective cohort study. SETTING COVID-19 Intensive Care Unit. PATIENTS From November 2020 to May 2021, one hundred and twenty patients with COVID-19 severe pneumonia were enrolled and tested for HSV-1, HSV-2, CMV and EBV at the admission in ICU and weekly until discharge or death. The presence of VAP and ICU-BSI was evaluated according to clinical judgement and specific diagnostic criteria. MEASUREMENTS AND MAIN RESULTS One hundred and twenty patients were enrolled. Multiple reactivations occurred in 75/120 (63%) patients, single reactivation in 27/120 patients (23%). The most reactivated Herpesvirus was EBV, found in 78/120 (65%) patients. The multivariate analysis demonstrated that viral reactivation is a strong independent risk factor for in-hospital mortality (OR = 2.46, 95% CI 1.02-5.89), ICU-BSI (OR = 2.37, 95% CI 1.06-5.29) and VAP (OR = 2.64, 95% CI 1.20-5.82). CONCLUSIONS Human Herpesviruses reactivations in critically ill patients with COVID-19 severe Pneumonia are associated with mortality and with a higher risk to develop both VAP and ICU-BSI.
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Affiliation(s)
- Alessia Mattei
- Unit of Anaesthesia and Intensive Care, Fondazione Policlinico Universitario Campus Bio-Medico, 00128, Rome, Italy
| | - Lorenzo Schiavoni
- Unit of Anaesthesia and Intensive Care, Fondazione Policlinico Universitario Campus Bio-Medico, 00128, Rome, Italy.
| | - Elisabetta Riva
- Unit of Virology, Università Campus Bio-Medico, 00128, Rome, Italy
| | - Massimo Ciccozzi
- Unit of Medical Statistics and Molecular Epidemiology, Università Campus Bio-Medico, Rome, Italy
| | - Roberta Veralli
- Unit of Clinical Laboratory Science, Unit of Virology, Fondazione Policlinico Universitario Campus Bio-Medico, Via Alvaro del Portillo, 200, 00128, Rome, Italy
| | - Angela Urselli
- Unit of Anaesthesia and Intensive Care, Fondazione Policlinico Universitario Campus Bio-Medico, 00128, Rome, Italy
| | - Vincenzo Citriniti
- Unit of Anaesthesia and Intensive Care, Fondazione Policlinico Universitario Campus Bio-Medico, 00128, Rome, Italy
| | - Antonio Nenna
- Cardiac Surgery Unit, Fondazione Policlinico Universitario Campus Bio-Medico, 00128, Rome, Italy
| | - Giuseppe Pascarella
- Unit of Anaesthesia and Intensive Care, Fondazione Policlinico Universitario Campus Bio-Medico, 00128, Rome, Italy
| | - Fabio Costa
- Unit of Anaesthesia and Intensive Care, Fondazione Policlinico Universitario Campus Bio-Medico, 00128, Rome, Italy
| | - Rita Cataldo
- Unit of Anaesthesia and Intensive Care, Fondazione Policlinico Universitario Campus Bio-Medico, 00128, Rome, Italy
| | - Felice Eugenio Agrò
- Unit of Anaesthesia and Intensive Care, Fondazione Policlinico Universitario Campus Bio-Medico, 00128, Rome, Italy
| | - Massimiliano Carassiti
- Unit of Anaesthesia and Intensive Care, Fondazione Policlinico Universitario Campus Bio-Medico, 00128, Rome, Italy
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Junco M, Iglesias LE, Zegbi S, Sagués MF, Guerrero I, Bernat G, Fuentes ME, Riva E, Fernández AS, Saumell CA. Enhancing chlamydospore production in Duddingtonia flagrans on solid substrate: The impact of mannitol and varied cultivation conditions. Exp Parasitol 2024; 260:108725. [PMID: 38458554 DOI: 10.1016/j.exppara.2024.108725] [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: 01/05/2024] [Revised: 02/19/2024] [Accepted: 02/27/2024] [Indexed: 03/10/2024]
Abstract
Duddingtonia flagrans is a nematophagous fungus which has shown promising results as a non-chemical parasitic control tool. The fungus disrupts the parasite's life cycle by trapping larvae in the environment through the networks generated from chlamydospores, thus preventing the reinfection of animals. One barrier to the development of a commercial product using this tool is the need to increase chlamydospore production in the laboratory for its administration to livestock. The purpose of this study was to evaluate the addition of mannitol to an enriched culture medium and the effect of adverse cultivation conditions on chlamydospore production. D. flagrans was cultivated on Petri dishes with corn agar for 4 weeks at 27 °C and 70% relative humidity (RH). Four groups were then formed, all with Sabouraud agar as a base, to which different growth inducers were added: GSA (glucose Sabouraud agar), GSA-MI (glucose Sabouraud agar + meso inositol), GSA-E (enriched glucose Sabouraud agar), and AE-M (enriched agar + mannitol). After 4 weeks, chlamydospores were recovered by washing the surface of each plate with distilled water and then quantified. The medium that yielded the highest amount of chlamydospores was subjected to different cultivation conditions: NC (normal conditions): 70% RH and 27 °C, AC (adverse conditions) 1: 20% RH and 40 °C, CA2: 60% RH and 27 °C, and CA3: 55% RH and 24 °C. It was determined that mannitol increases chlamydospore production (65x106 chlamydospores/plate), and when reducing humidity by 10% under cultivation conditions it resulted in an approximately 10% increase in chlamydospore production compared to the control group. These results suggest that the addition of polyols, as well as its cultivation under certain environmental conditions, can improve chlamydospore production on a laboratory scale.
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Affiliation(s)
- M Junco
- Centro de Investigación Veterinaria de Tandil CIVETAN, UNCPBA-CICPBA-CONICET, Tandil, Buenos Aires, Argentina; Centro de Investigaciones en Sanidad Animal, Pública y Ambiental, Facultad de Ciencias Veterinarias, Universidad Nacional del Centro de la Provincia de Buenos Aires, Tandil, Buenos Aires, Argentina.
| | - L E Iglesias
- Centro de Investigación Veterinaria de Tandil CIVETAN, UNCPBA-CICPBA-CONICET, Tandil, Buenos Aires, Argentina; Centro de Investigaciones en Sanidad Animal, Pública y Ambiental, Facultad de Ciencias Veterinarias, Universidad Nacional del Centro de la Provincia de Buenos Aires, Tandil, Buenos Aires, Argentina
| | - S Zegbi
- Centro de Investigación Veterinaria de Tandil CIVETAN, UNCPBA-CICPBA-CONICET, Tandil, Buenos Aires, Argentina; Centro de Investigaciones en Sanidad Animal, Pública y Ambiental, Facultad de Ciencias Veterinarias, Universidad Nacional del Centro de la Provincia de Buenos Aires, Tandil, Buenos Aires, Argentina
| | - M F Sagués
- Centro de Investigación Veterinaria de Tandil CIVETAN, UNCPBA-CICPBA-CONICET, Tandil, Buenos Aires, Argentina; Centro de Investigaciones en Sanidad Animal, Pública y Ambiental, Facultad de Ciencias Veterinarias, Universidad Nacional del Centro de la Provincia de Buenos Aires, Tandil, Buenos Aires, Argentina
| | - I Guerrero
- Centro de Investigación Veterinaria de Tandil CIVETAN, UNCPBA-CICPBA-CONICET, Tandil, Buenos Aires, Argentina; Centro de Investigaciones en Sanidad Animal, Pública y Ambiental, Facultad de Ciencias Veterinarias, Universidad Nacional del Centro de la Provincia de Buenos Aires, Tandil, Buenos Aires, Argentina
| | - G Bernat
- Centro de Investigación Veterinaria de Tandil CIVETAN, UNCPBA-CICPBA-CONICET, Tandil, Buenos Aires, Argentina
| | - M E Fuentes
- Centro de Investigación Veterinaria de Tandil CIVETAN, UNCPBA-CICPBA-CONICET, Tandil, Buenos Aires, Argentina; Departamento de Sanidad Animal y Medicina Preventiva, Facultad de Ciencias Veterinarias, Universidad Nacional del Centro de la Provincia de Buenos Aires, Tandil, Buenos Aires, Argentina
| | - E Riva
- Centro de Investigación Veterinaria de Tandil CIVETAN, UNCPBA-CICPBA-CONICET, Tandil, Buenos Aires, Argentina; Departamento de Sanidad Animal y Medicina Preventiva, Facultad de Ciencias Veterinarias, Universidad Nacional del Centro de la Provincia de Buenos Aires, Tandil, Buenos Aires, Argentina
| | - A S Fernández
- Centro de Investigación Veterinaria de Tandil CIVETAN, UNCPBA-CICPBA-CONICET, Tandil, Buenos Aires, Argentina; Departamento de Sanidad Animal y Medicina Preventiva, Facultad de Ciencias Veterinarias, Universidad Nacional del Centro de la Provincia de Buenos Aires, Tandil, Buenos Aires, Argentina
| | - C A Saumell
- Centro de Investigación Veterinaria de Tandil CIVETAN, UNCPBA-CICPBA-CONICET, Tandil, Buenos Aires, Argentina; Centro de Investigaciones en Sanidad Animal, Pública y Ambiental, Facultad de Ciencias Veterinarias, Universidad Nacional del Centro de la Provincia de Buenos Aires, Tandil, Buenos Aires, Argentina
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3
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Biagi F, Carlomagno F, Carbone M, Veralli R, Vespasiani-Gentilucci U, Riva E, Manfrini S, Tuccinardi D, De Santis A, Gnessi L, Watanabe M. Fibroblast Growth Factor 21 in Chronic Hepatitis C: A Potential Non-Invasive Biomarker of Liver Status upon Viral Eradication. Metabolites 2023; 13:1119. [PMID: 37999215 PMCID: PMC10673401 DOI: 10.3390/metabo13111119] [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: 09/25/2023] [Revised: 10/26/2023] [Accepted: 10/27/2023] [Indexed: 11/25/2023] Open
Abstract
Fibroblast growth factor 21 (FGF-21), previously recognized as a marker of liver damage and a potential drug target in non-alcoholic fatty liver disease (NAFLD), has unclear implications in hepatitis C virus (HCV) infections. This study aimed to investigate the relationship between FGF-21 levels and liver health in patients with HCV undergoing direct-acting antiviral (DAA) treatment. Forty-five patients were assessed for liver stiffness, blood chemistry, and other relevant metrics before and after achieving sustained viral response (SVR), defined as the absence of detectable HCV-RNA after 24 weeks of treatment. Post-treatment, all patients showed a decrease in liver stiffness and improved liver enzyme levels (AST and ALT), alongside an increase in FGF-21 levels. Interestingly, the increase in FGF-21 correlated negatively with liver stiffness but showed no correlation with hepatic steatosis. The observed elevation in FGF-21 levels at SVR following DAA therapy for chronic HCV infection can be attributed to the restoration of hepatic function, including its synthetic capabilities. Specifically, the mitigation of liver fibrosis post-HCV eradication is expected to lead to improvements in liver function, such as enhanced albumin and FGF-21 production. This improvement in synthetic function likely drives the increase in FGF-21 levels, rather than changes in liver fat content. We suggest a potential role of FGF-21 as a marker of fibrosis and hepatic cytotoxicity and as a drug target beyond NAFLD, to be confirmed by additional studies.
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Affiliation(s)
- Filippo Biagi
- Department of Experimental Medicine, Section of Medical Pathophysiology, Food Science and Endocrinology, Sapienza University of Rome, 00161 Rome, Italy (F.C.); (M.W.)
- Department of Experimental and Clinical Medicine, University of Florence, 50134 Florence, Italy
| | - Francesco Carlomagno
- Department of Experimental Medicine, Section of Medical Pathophysiology, Food Science and Endocrinology, Sapienza University of Rome, 00161 Rome, Italy (F.C.); (M.W.)
| | - Martina Carbone
- Department of Translational and Precision Medicine, Sapienza University of Rome, 00185 Rome, Italy (A.D.S.)
- Department of General Surgery, Section of Gastroenterology, Azienda Sanitaria Universitaria Friuli Centrale–P.O. Santa Maria della Misericordia di Udine, 33100 Udine, Italy
| | - Roberta Veralli
- Clinical Laboratory Unit, Fondazione Policlinico Universitario Campus Bio-Medico, 00128 Rome, Italy;
- Unit of Virology, Fondazione Policlinico Universitario Campus Bio-Medico, 00128 Rome, Italy
| | | | - Elisabetta Riva
- Unit of Virology, Fondazione Policlinico Universitario Campus Bio-Medico, 00128 Rome, Italy
- Department of Medicine and Surgery, Campus Bio-Medico University of Rome, 00128 Rome, Italy
| | - Silvia Manfrini
- Department of Endocrinology and Diabetes, Campus Bio-Medico University of Rome, 00128 Rome, Italy
| | - Dario Tuccinardi
- Department of Endocrinology and Diabetes, Campus Bio-Medico University of Rome, 00128 Rome, Italy
| | - Adriano De Santis
- Department of Translational and Precision Medicine, Sapienza University of Rome, 00185 Rome, Italy (A.D.S.)
| | - Lucio Gnessi
- Department of Experimental Medicine, Section of Medical Pathophysiology, Food Science and Endocrinology, Sapienza University of Rome, 00161 Rome, Italy (F.C.); (M.W.)
| | - Mikiko Watanabe
- Department of Experimental Medicine, Section of Medical Pathophysiology, Food Science and Endocrinology, Sapienza University of Rome, 00161 Rome, Italy (F.C.); (M.W.)
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Leliveld LMC, Lovarelli D, Finzi A, Riva E, Provolo G. Effects of cow reproductive status, parity and lactation stage on behaviour and heavy breathing indications of a commercial accelerometer during hot weather conditions. Int J Biometeorol 2023:10.1007/s00484-023-02496-2. [PMID: 37246987 DOI: 10.1007/s00484-023-02496-2] [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] [Subscribe] [Scholar Register] [Received: 11/16/2022] [Revised: 05/04/2023] [Accepted: 05/12/2023] [Indexed: 05/30/2023]
Abstract
Heat stress presents one of the most urgent challenges to modern dairy farming, having major detrimental impacts on cow welfare, health, and production. Understanding the effect of cow factors (reproductive status, parity, and lactation stage) on the physiological and behavioural response to hot weather conditions is essential for the accurate detection and practical application of heat mitigation strategies. To study this, collars with commercial accelerometer-based sensors were fitted on 48 lactation dairy cows to record behaviour and heavy breathing from late spring to late summer. The temperature-humidity index (THI) was calculated from measurements of 8 barn sensors. We found that, above a THI of 84, cows in advanced pregnancy (>90 days) spent more time breathing heavily and less time eating and in low activity than other cows, while cows in early pregnancy (≤90 days) spent less time breathing heavily, more time eating and in low activity. Cows with 3+ lactations showed less time breathing heavily and in high activity and more time ruminating and in low activity than cows with fewer lactations. Although lactation stage interacted significantly with THI on time spent breathing heavily, ruminating, eating, and in low activity, there was no clear indication at which lactation stage cows were more sensitive to heat. These findings show that cow factors affect the cow's physiological and behavioural response to heat, which could be used to provide group-specific heat abatement strategies, thereby improving heat stress management.
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Affiliation(s)
- Lisette M C Leliveld
- Department of Agricultural and Environmental Sciences, University of Milan, via G. Celoria 2, 20133, Milan, Italy.
| | - Daniela Lovarelli
- Department of Environmental Science and Policy, University of Milan, via G. Celoria 2, 20133, Milan, Italy
| | - Alberto Finzi
- Department of Agricultural and Environmental Sciences, University of Milan, via G. Celoria 2, 20133, Milan, Italy
| | - Elisabetta Riva
- Department of Agricultural and Environmental Sciences, University of Milan, via G. Celoria 2, 20133, Milan, Italy
| | - Giorgio Provolo
- Department of Agricultural and Environmental Sciences, University of Milan, via G. Celoria 2, 20133, Milan, Italy
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5
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Fogolari M, Leoni BD, De Cesaris M, Italiano R, Davini F, Miccoli GA, Donati D, Clerico L, Stanziale A, Savini G, Petrosillo N, Ciccozzi M, Sommella L, Riva E, Fazii P, Angeletti S. Neutralizing Antibodies against SARS-CoV-2 Beta and Omicron Variants Inhibition Comparison after BNT162b2 mRNA Booster Doses with a New PETIA sVNT Assay. Diagnostics (Basel) 2023; 13:889. [PMID: 36900033 PMCID: PMC10000738 DOI: 10.3390/diagnostics13050889] [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: 01/28/2023] [Revised: 02/23/2023] [Accepted: 02/23/2023] [Indexed: 03/02/2023] Open
Abstract
BACKGROUND Monitoring antibody response following SARS-CoV-2 vaccination is strategic, and neutralizing antibodies represent the gold standard. The neutralizing response to Beta and Omicron VOCs was evaluated versus the gold standard by a new commercial automated assay. METHODS Serum samples from 100 healthcare workers from the Fondazione Policlinico Universitario Campus Biomedico and the Pescara Hospital were collected. IgG levels were determined by chemiluminescent immunoassay (Abbott Laboratories, Wiesbaden, Germany) and serum neutralization assay as the gold standard. Moreover, a new commercial immunoassay, the PETIA test Nab (SGM, Rome, Italy), was used for neutralization evaluation. Statistical analysis was performed with R software, version 3.6.0. RESULTS Anti-SARS-CoV-2 IgG titers decayed during the first ninety days after the vaccine second dose. The following booster dose significantly (p < 0.001) increased IgG levels. A correlation between IgG expression and neutralizing activity modulation was found with a significant increase after the second and the third booster dose (p < 0.05. Compared to the Beta variant of the virus, the Omicron VOC was associated with a significantly larger quantity of IgG antibodies needed to achieve the same degree of neutralization. The best Nab test cutoff for high neutralization titer (≥1:80) was set for both Beta and Omicron variants. CONCLUSION This study correlates vaccine-induced IgG expression and neutralizing activity using a new PETIA assay, suggesting its usefulness for SARS-CoV2 infection management.
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Affiliation(s)
- Marta Fogolari
- Clinical Laboratory Unit, Fondazione Policlinico Universitario Campus Bio-Medico, 00128 Rome, Italy
- Unit of Clinical Laboratory Science, Department of Medicine and Surgery, University Campus Bio-Medico, 00128 Rome, Italy
| | | | - Marina De Cesaris
- Clinical Laboratory Unit, Fondazione Policlinico Universitario Campus Bio-Medico, 00128 Rome, Italy
| | | | - Flavio Davini
- Clinical Laboratory Unit, Fondazione Policlinico Universitario Campus Bio-Medico, 00128 Rome, Italy
- Unit of Clinical Laboratory Science, Department of Medicine and Surgery, University Campus Bio-Medico, 00128 Rome, Italy
| | - Ginevra Azzurra Miccoli
- Infection Prevention and Control Service, Fondazione Policlinico Universitario Campus Bio-Medico, 00128 Rome, Italy
| | - Daniele Donati
- Infection Prevention and Control Service, Fondazione Policlinico Universitario Campus Bio-Medico, 00128 Rome, Italy
| | - Luigi Clerico
- Clinical Microbiology and Virology, Spirito Santo Hospital, 65122 Pescara, Italy
| | - Andrea Stanziale
- Clinical Microbiology and Virology, Spirito Santo Hospital, 65122 Pescara, Italy
| | - Giovanni Savini
- Istituto Zooprofilattico Sperimentale dell’Abruzzo e del Molise ‘G Caporale’, 64100 Teramo, Italy
| | - Nicola Petrosillo
- Infection Prevention and Control Service, Fondazione Policlinico Universitario Campus Bio-Medico, 00128 Rome, Italy
| | - Massimo Ciccozzi
- Unit of Medical Statistics and Molecular Epidemiology, University Campus Bio-Medico of Rome, 00128 Rome, Italy
| | - Lorenzo Sommella
- Health Management, Fondazione Policlinico Universitario Campus Bio-Medico, 00128 Rome, Italy
| | - Elisabetta Riva
- Clinical Laboratory Unit, Fondazione Policlinico Universitario Campus Bio-Medico, 00128 Rome, Italy
- Unit of Virology, University Campus Bio-Medico of Rome, 00128 Rome, Italy
| | - Paolo Fazii
- Clinical Microbiology and Virology, Spirito Santo Hospital, 65122 Pescara, Italy
| | - Silvia Angeletti
- Clinical Laboratory Unit, Fondazione Policlinico Universitario Campus Bio-Medico, 00128 Rome, Italy
- Unit of Clinical Laboratory Science, Department of Medicine and Surgery, University Campus Bio-Medico, 00128 Rome, Italy
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Avian A, Clemente N, Mauro E, Isidoro E, Di Napoli M, Dudine S, Del Fabro A, Morini S, Perin T, Giudici F, Cammisuli T, Foschi N, Mocenigo M, Montrone M, Modena C, Polenghi M, Puzzi L, Tomaic V, Valenti G, Sola R, Zanolla S, Vogrig E, Riva E, Angeletti S, Ciccozzi M, Castriciano S, Pachetti M, Petti M, Centonze S, Gerin D, Banks L, Marini B, Canzonieri V, Sopracordevole F, Zanconati F, Ippodrino R. Correction: Clinical validation of full HR-HPV genotyping HPV Selfy assay according to the international guidelines for HPV test requirements for cervical cancer screening on clinician-collected and self-collected samples. J Transl Med 2023; 21:49. [PMID: 36703153 PMCID: PMC9878793 DOI: 10.1186/s12967-023-03882-5] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/27/2023] Open
Affiliation(s)
- Alice Avian
- Ulisse BioMed S.p.A, Area Science Park, SS 14, km 163.5, Trieste, Italy ,grid.438882.d0000 0001 0212 6916Molecular Genetics and Biotechnology PhD Study Programme, University of Nova Gorica, Nova Gorica, Slovenia
| | - Nicolò Clemente
- Ginecologia Oncologica, IRCCS—Centro Di Riferimento Oncologico (CRO) (Istituto Nazionale Tumori—National Cancer Institute), Aviano, Italy
| | - Elisabetta Mauro
- Ulisse BioMed S.p.A, Area Science Park, SS 14, km 163.5, Trieste, Italy
| | - Erica Isidoro
- grid.413694.dAzienda Sanitaria Universitaria Giuliano Isontina UCO/ SC Anatomia e Istologia Patologica, Cattinara Hospital, Trieste, Italy
| | - Michela Di Napoli
- grid.413694.dAzienda Sanitaria Universitaria Giuliano Isontina UCO/ SC Anatomia e Istologia Patologica, Cattinara Hospital, Trieste, Italy
| | - Sandra Dudine
- grid.413694.dAzienda Sanitaria Universitaria Giuliano Isontina UCO/ SC Anatomia e Istologia Patologica, Cattinara Hospital, Trieste, Italy
| | - Anna Del Fabro
- Ginecologia Oncologica, IRCCS—Centro Di Riferimento Oncologico (CRO) (Istituto Nazionale Tumori—National Cancer Institute), Aviano, Italy
| | - Stefano Morini
- Ginecologia Oncologica, IRCCS—Centro Di Riferimento Oncologico (CRO) (Istituto Nazionale Tumori—National Cancer Institute), Aviano, Italy
| | - Tiziana Perin
- Ginecologia Oncologica, IRCCS—Centro Di Riferimento Oncologico (CRO) (Istituto Nazionale Tumori—National Cancer Institute), Aviano, Italy
| | - Fabiola Giudici
- grid.5133.40000 0001 1941 4308Department of Medicine, Surgery and Health Sciences, University of Trieste, Trieste, Italy
| | - Tamara Cammisuli
- grid.418321.d0000 0004 1757 9741Anatomia Patologica, IRCCS—CRO (Istituto Nazionale Tumori - National Cancer Institute), Aviano, Italy
| | - Nicola Foschi
- Ulisse BioMed S.p.A, Area Science Park, SS 14, km 163.5, Trieste, Italy
| | - Marco Mocenigo
- Ulisse BioMed S.p.A, Area Science Park, SS 14, km 163.5, Trieste, Italy ,grid.438882.d0000 0001 0212 6916Molecular Genetics and Biotechnology PhD Study Programme, University of Nova Gorica, Nova Gorica, Slovenia
| | - Michele Montrone
- Ulisse BioMed S.p.A, Area Science Park, SS 14, km 163.5, Trieste, Italy
| | - Chiara Modena
- Ulisse BioMed S.p.A, Area Science Park, SS 14, km 163.5, Trieste, Italy
| | - Martina Polenghi
- Ulisse BioMed S.p.A, Area Science Park, SS 14, km 163.5, Trieste, Italy
| | - Luca Puzzi
- Ulisse BioMed S.p.A, Area Science Park, SS 14, km 163.5, Trieste, Italy
| | - Vjekoslav Tomaic
- grid.4905.80000 0004 0635 7705Institut Ruđer Bošković, Zagreb, Croatia
| | - Giulio Valenti
- Ulisse BioMed S.p.A, Area Science Park, SS 14, km 163.5, Trieste, Italy
| | - Riccardo Sola
- Ulisse BioMed S.p.A, Area Science Park, SS 14, km 163.5, Trieste, Italy
| | - Shivani Zanolla
- Ulisse BioMed S.p.A, Area Science Park, SS 14, km 163.5, Trieste, Italy
| | - Enea Vogrig
- Ulisse BioMed S.p.A, Area Science Park, SS 14, km 163.5, Trieste, Italy
| | - Elisabetta Riva
- grid.488514.40000000417684285Policlinico Universitario Campus Biomedico, Rome, Italy
| | - Silvia Angeletti
- grid.488514.40000000417684285Policlinico Universitario Campus Biomedico, Rome, Italy
| | - Massimo Ciccozzi
- grid.488514.40000000417684285Policlinico Universitario Campus Biomedico, Rome, Italy
| | | | - Maria Pachetti
- Ulisse BioMed S.p.A, Area Science Park, SS 14, km 163.5, Trieste, Italy ,grid.418712.90000 0004 1760 7415Institute of Maternal and Child Health, IRCCS Burlo Garofolo, Trieste, Italy
| | - Matteo Petti
- Ulisse BioMed S.p.A, Area Science Park, SS 14, km 163.5, Trieste, Italy
| | - Sandro Centonze
- Clinical Research Unit, Azienda Sanitaria Universitaria Giuliano Isontina, Trieste, Italy
| | - Daniela Gerin
- Cervical Cancer Screening Coordination Unit, Azienda Sanitaria Universitaria Giuliano Isontina, Trieste, Italy
| | - Lawrence Banks
- grid.425196.d0000 0004 1759 4810International Centre for Genetic Engineering and Biotechnology, Trieste, Italy
| | - Bruna Marini
- Ulisse BioMed S.p.A, Area Science Park, SS 14, km 163.5, Trieste, Italy
| | - Vincenzo Canzonieri
- grid.5133.40000 0001 1941 4308Department of Medicine, Surgery and Health Sciences, University of Trieste, Trieste, Italy ,grid.418321.d0000 0004 1757 9741Anatomia Patologica, IRCCS—CRO (Istituto Nazionale Tumori - National Cancer Institute), Aviano, Italy
| | - Francesco Sopracordevole
- Ginecologia Oncologica, IRCCS—Centro Di Riferimento Oncologico (CRO) (Istituto Nazionale Tumori—National Cancer Institute), Aviano, Italy
| | - Fabrizio Zanconati
- grid.413694.dAzienda Sanitaria Universitaria Giuliano Isontina UCO/ SC Anatomia e Istologia Patologica, Cattinara Hospital, Trieste, Italy ,grid.5133.40000 0001 1941 4308Department of Medicine, Surgery and Health Sciences, University of Trieste, Trieste, Italy
| | - Rudy Ippodrino
- Ulisse BioMed S.p.A, Area Science Park, SS 14, km 163.5, Trieste, Italy
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Fogolari M, Francesconi M, De Florio L, Giovanetti M, Veralli R, De Flora C, Maruotti A, Scarpa F, Spoto S, Sambuco F, Riva E, Ciccozzi M, Angeletti S. SARS-CoV-2 Variants in COVID-19 Disease: A Focus on Disease Severity and Vaccine Immunity in Patients Admitted to the Emergency Department. J Pers Med 2022; 12:jpm12122001. [PMID: 36556222 PMCID: PMC9783322 DOI: 10.3390/jpm12122001] [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] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/03/2022] [Revised: 11/27/2022] [Accepted: 11/29/2022] [Indexed: 12/07/2022] Open
Abstract
Tracking SARS-CoV-2 variants along with vaccinations are fundamental for severe COVID-19 disease prevention. A study was performed that focused on 43 patients with the SARS-CoV-2 infection who were admitted to the Emergency Department. RT-PCR-positive nasopharyngeal samples were sequenced using the MiSeq II system for variant detection. The main reason for Emergency Department admission was COVID-19 (67%), followed by other causes (33%); 51% patients were unvaccinated or vaccinated with a single dose and 49% had completed the vaccination course with two or three doses. Among the vaccinated group, 38% were admitted for COVID-19, versus 94.5% of the unvaccinated group. After admission, 50% of the vaccinated group and 36% of the unvaccinated group were discharged and allowed to go home, and 80% of the unvaccinated had no major comorbidities; 63% needed hospital admission and 5% required a stay in the Intensive Care Unit. Of these, 37% were vaccinated with 3 doses, 11% with two doses, 4% with a single dose, and 48% were unvaccinated. The 70% of the vaccinated patients who were admitted to hospital presented major comorbidities versus 38% of the unvaccinated group. Two unvaccinated patients that needed intensive care had relevant comorbidities and died. Genome sequencing showed the circulation of three omicron and two pure sub-lineages of omicron, including 22 BA.1, 12 BA.1.1, and 7 BA.2. Data showed the SARS-CoV-2 national and international migration patterns and how vaccination was useful for severe COVID-19 disease prevention.
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Affiliation(s)
- Marta Fogolari
- Operative Research Unit of Clinical Laboratory, Fondazione Policlinico Universitario Campus Bio-Medico, Via Alvaro del Portillo 200, 00128 Roma, Italy
- Unit of Clinical Laboratory Science, Università Campus Bio-Medico di Roma, Via Alvaro del Portillo 21, 00128 Roma, Italy
| | - Maria Francesconi
- Operative Research Unit of Clinical Laboratory, Fondazione Policlinico Universitario Campus Bio-Medico, Via Alvaro del Portillo 200, 00128 Roma, Italy
- Unit of Clinical Laboratory Science, Università Campus Bio-Medico di Roma, Via Alvaro del Portillo 21, 00128 Roma, Italy
| | - Lucia De Florio
- Operative Research Unit of Clinical Laboratory, Fondazione Policlinico Universitario Campus Bio-Medico, Via Alvaro del Portillo 200, 00128 Roma, Italy
- Unit of Clinical Laboratory Science, Università Campus Bio-Medico di Roma, Via Alvaro del Portillo 21, 00128 Roma, Italy
| | - Marta Giovanetti
- Laboratório de Flavivírus, Instituto Oswaldo Cruz, Fundação Oswaldo Cruz, Rio de Janeiro 21040-900, Brazil
- Department of Science and Technology for Humans and the Environment, University of Campus Bio-Medico di Roma, 00128 Rome, Italy
| | - Roberta Veralli
- Operative Research Unit of Clinical Laboratory, Fondazione Policlinico Universitario Campus Bio-Medico, Via Alvaro del Portillo 200, 00128 Roma, Italy
- Unit of Virology, Università Campus Bio-Medico di Roma, Via Alvaro del Portillo 21, 00128 Roma, Italy
| | - Cecilia De Flora
- Operative Research Unit of Clinical Laboratory, Fondazione Policlinico Universitario Campus Bio-Medico, Via Alvaro del Portillo 200, 00128 Roma, Italy
- Unit of Clinical Laboratory Science, Università Campus Bio-Medico di Roma, Via Alvaro del Portillo 21, 00128 Roma, Italy
| | - Antonello Maruotti
- Dipartimento di Scienze Economiche, Politiche e delle Lingue Moderne—Libera Università Maria Ss Assunta, 00193 Roma, Italy
| | - Fabio Scarpa
- Department of Biomedical Sciences, University of Sassari, 07100 Sassari, Italy
| | - Silvia Spoto
- Diagnostic and Therapeutic Medicine Department, Policlinico Universitario Campus Bio-Medico, Via Alvaro del Portillo 200, 00128 Roma, Italy
| | - Federica Sambuco
- Emergency Department, Fondazione Policlinico Universitario Campus Bio-Medico, Via Alvaro del Portillo 200, 00128 Roma, Italy
| | - Elisabetta Riva
- Operative Research Unit of Clinical Laboratory, Fondazione Policlinico Universitario Campus Bio-Medico, Via Alvaro del Portillo 200, 00128 Roma, Italy
- Unit of Virology, Università Campus Bio-Medico di Roma, Via Alvaro del Portillo 21, 00128 Roma, Italy
| | - Massimo Ciccozzi
- Operative Research Unit of Clinical Laboratory, Fondazione Policlinico Universitario Campus Bio-Medico, Via Alvaro del Portillo 200, 00128 Roma, Italy
- Unit of Medical Statistic and Molecular Epidemiology, Università Campus Bio-Medico di Roma, Via Alvaro del Portillo 21, 00128 Roma, Italy
| | - Silvia Angeletti
- Operative Research Unit of Clinical Laboratory, Fondazione Policlinico Universitario Campus Bio-Medico, Via Alvaro del Portillo 200, 00128 Roma, Italy
- Unit of Clinical Laboratory Science, Università Campus Bio-Medico di Roma, Via Alvaro del Portillo 21, 00128 Roma, Italy
- Correspondence: ; Tel.: +39-06-225414161
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Lovarelli D, Brandolese C, Leliveld L, Finzi A, Riva E, Grotto M, Provolo G. Development of a New Wearable 3D Sensor Node and Innovative Open Classification System for Dairy Cows’ Behavior. Animals (Basel) 2022; 12:ani12111447. [PMID: 35681911 PMCID: PMC9179612 DOI: 10.3390/ani12111447] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/02/2022] [Revised: 05/30/2022] [Accepted: 06/02/2022] [Indexed: 02/04/2023] Open
Abstract
Simple Summary In order to keep dairy cows under satisfactory health and welfare conditions, it is very important to monitor the animals in their living environment. With the support of technology, and, in particular, with the installation of sensors on neck-collars, cow behavior can be adequately monitored, and different behavioral patterns can be classified. In this study, an open and customizable device has been developed to classify the behaviors of dairy cows. The device communicates with a mobile application via Bluetooth to acquire raw data from behavioral observations and via an ad hoc radio channel to send the data from the device to the gateway. After observing 32 cows on 3 farms for a total of 108 h, several machine learning algorithms were trained to classify their behaviors. The decision tree algorithm was found to be the best compromise between complexity and accuracy to classify standing, lying, eating, and ruminating. The open nature of the system enables the addition of other functions (e.g., localization) and the integration with other information sources, e.g., climatic sensors, to provide a more complete picture of cow health and welfare in the barn. Abstract Monitoring dairy cattle behavior can improve the detection of health and welfare issues for early interventions. Often commercial sensors do not provide researchers with sufficient raw and open data; therefore, the aim of this study was to develop an open and customizable system to classify cattle behaviors. A 3D accelerometer device and host-board (i.e., sensor node) were embedded in a case and fixed on a dairy cow collar. It was developed to work in two modes: (1) acquisition mode, where a mobile application supported the raw data collection during observations; and (2) operating mode, where data was processed and sent to a gateway and on the cloud. Accelerations were sampled at 25 Hz and behaviors were classified in 10-min windows. Several algorithms were trained with the 108 h of behavioral data acquired from 32 cows on 3 farms, and after evaluating their computational/memory complexity and accuracy, the Decision Tree algorithm was selected. This model detected standing, lying, eating, and ruminating with an average accuracy of 85.12%. The open nature of this system enables for the addition of other functions (e.g., real-time localization of cows) and the integration with other information sources, e.g., microenvironment and air quality sensors, thereby enhancing data processing potential.
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Affiliation(s)
- Daniela Lovarelli
- Department of Environmental Science and Policy, University of Milan, Via G. Celoria 2, 20133 Milan, Italy
- Correspondence:
| | - Carlo Brandolese
- Department of Electronics, Information and Bioengineering, Politecnico di Milano, Via Ponzio 34, 20133 Milan, Italy;
| | - Lisette Leliveld
- Department of Agricultural and Environmental Sciences, University of Milan, Via G. Celoria 2, 20133 Milan, Italy; (L.L.); (A.F.); (E.R.); (G.P.)
| | - Alberto Finzi
- Department of Agricultural and Environmental Sciences, University of Milan, Via G. Celoria 2, 20133 Milan, Italy; (L.L.); (A.F.); (E.R.); (G.P.)
| | - Elisabetta Riva
- Department of Agricultural and Environmental Sciences, University of Milan, Via G. Celoria 2, 20133 Milan, Italy; (L.L.); (A.F.); (E.R.); (G.P.)
| | | | - Giorgio Provolo
- Department of Agricultural and Environmental Sciences, University of Milan, Via G. Celoria 2, 20133 Milan, Italy; (L.L.); (A.F.); (E.R.); (G.P.)
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Avian A, Clemente N, Mauro E, Isidoro E, Di Napoli M, Dudine S, Del Fabro A, Morini S, Perin T, Giudici F, Cammisuli T, Foschi N, Mocenigo M, Montrone M, Modena C, Polenghi M, Puzzi L, Tomaic V, Valenti G, Sola R, Zanolla S, Vogrig E, Riva E, Angeletti S, Ciccozzi M, Castriciano S, Pachetti M, Petti M, Centonze S, Gerin D, Banks L, Marini B, Canzonieri V, Sopracordevole F, Zanconati F, Ippodrino R. Clinical validation of full HR-HPV genotyping HPV Selfy assay according to the international guidelines for HPV test requirements for cervical cancer screening on clinician-collected and self-collected samples. J Transl Med 2022; 20:231. [PMID: 35581584 PMCID: PMC9115952 DOI: 10.1186/s12967-022-03383-x] [Citation(s) in RCA: 6] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/25/2022] [Accepted: 04/07/2022] [Indexed: 01/28/2023] Open
Abstract
BACKGROUND According to international guidelines, Human Papillomavirus (HPV) DNA tests represent a valid alternative to Pap Test for primary cervical cancer screening, provided that they guarantee balanced clinical sensitivity and specificity for cervical intraepithelial neoplasia grade 2 or more (CIN2+) lesions. The study aimed to assess whether HPV Selfy (Ulisse BioMed - Trieste, Italy), a full-genotyping HPV DNA test that detects and differentiates 14 high-risk HPV (HR-HPV) types, meets the criteria for primary cervical cancer screening described in the international guidelines, on clinician-collected as well as on self-collected samples. METHODS For each participant woman, consecutively referring to Azienda Sanitaria Universitaria Giuliano Isontina (Trieste, Italy) and CRO-National Cancer Institute (Aviano, Italy) for the cervical cancer screening program, the following samples were tested: (a) a clinician-collected cervical specimen, analyzed with the reference test (Hybrid Capture®2 test, HC2) and HPV Selfy; and (b) a self-collected vaginal sample, analyzed with HPV Selfy. Enrolled women were also asked to fulfill a questionnaire about self-sampling acceptability. As required by guidelines, a non-inferiority test was conducted to compare the clinical performance of the test under evaluation with its reference test. RESULTS HPV Selfy clinical sensitivity and specificity resulted non-inferior to those of HC2. By analysis of a total of 889 cervical liquid-based cytology samples from a screening population, of which 98 were from women with CIN2+, HPV Selfy showed relative sensitivity and specificity for CIN2+ of 0.98 and 1.00 respectively (non-inferiority score test: P = 0.01747 and P = 0.00414, respectively); the test reached adequate intra- and inter-laboratory reproducibility. Moreover, we demonstrated that the performance of HPV Selfy on self-collected vaginal samples was non-inferior to the performance obtained on clinician-collected cervical specimen (0.92 relative sensitivity and 0.97 relative specificity). Finally, through HPV Selfy genotyping, we were able to describe HPV types prevalence in the study population. CONCLUSIONS HPV Selfy fulfills all the requirements of the international Meijer's guidelines and has been clinically validated for primary cervical cancer screening purposes. Moreover, HPV Selfy has also been validated for self-sampling according to VALHUDES guidelines. Therefore, at date, HPV Selfy is the only full-genotyping test validated both for screening purposes and for self-sampling. Trial registration ASUGI Trieste n. 16008/2018; CRO Aviano n.17149/2018.
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Affiliation(s)
- Alice Avian
- Ulisse BioMed S.P.a, Area Science Park, SS 14, km 163.5, Trieste, Italy ,grid.438882.d0000 0001 0212 6916Molecular Genetics and Biotechnology PhD Study Programme, University of Nova Gorica, Nova Gorica, Slovenia
| | - Nicolò Clemente
- grid.418321.d0000 0004 1757 9741Ginecologia Oncologica, IRCCS - Centro Di Riferimento Oncologico (CRO) (Istituto Nazionale Tumori – National Cancer Institute), Aviano, Italy
| | - Elisabetta Mauro
- Ulisse BioMed S.P.a, Area Science Park, SS 14, km 163.5, Trieste, Italy
| | - Erica Isidoro
- grid.413694.dAzienda Sanitaria Universitaria Giuliano Isontina UCO/SC Anatomia e Istologia Patologica, Cattinara Hospital, Trieste, Italy
| | - Michela Di Napoli
- grid.413694.dAzienda Sanitaria Universitaria Giuliano Isontina UCO/SC Anatomia e Istologia Patologica, Cattinara Hospital, Trieste, Italy
| | - Sandra Dudine
- grid.413694.dAzienda Sanitaria Universitaria Giuliano Isontina UCO/SC Anatomia e Istologia Patologica, Cattinara Hospital, Trieste, Italy
| | - Anna Del Fabro
- grid.418321.d0000 0004 1757 9741Ginecologia Oncologica, IRCCS - Centro Di Riferimento Oncologico (CRO) (Istituto Nazionale Tumori – National Cancer Institute), Aviano, Italy
| | - Stefano Morini
- grid.418321.d0000 0004 1757 9741Ginecologia Oncologica, IRCCS - Centro Di Riferimento Oncologico (CRO) (Istituto Nazionale Tumori – National Cancer Institute), Aviano, Italy
| | - Tiziana Perin
- grid.418321.d0000 0004 1757 9741Ginecologia Oncologica, IRCCS - Centro Di Riferimento Oncologico (CRO) (Istituto Nazionale Tumori – National Cancer Institute), Aviano, Italy
| | - Fabiola Giudici
- grid.5133.40000 0001 1941 4308Department of Medicine, Surgery and Health Sciences, University of Trieste, Trieste, Italy
| | - Tamara Cammisuli
- grid.418321.d0000 0004 1757 9741Anatomia Patologica, IRCCS – CRO (Istituto Nazionale Tumori - National Cancer Institute), Aviano, Italy
| | - Nicola Foschi
- Ulisse BioMed S.P.a, Area Science Park, SS 14, km 163.5, Trieste, Italy
| | - Marco Mocenigo
- Ulisse BioMed S.P.a, Area Science Park, SS 14, km 163.5, Trieste, Italy ,grid.438882.d0000 0001 0212 6916Molecular Genetics and Biotechnology PhD Study Programme, University of Nova Gorica, Nova Gorica, Slovenia
| | - Michele Montrone
- Ulisse BioMed S.P.a, Area Science Park, SS 14, km 163.5, Trieste, Italy
| | - Chiara Modena
- Ulisse BioMed S.P.a, Area Science Park, SS 14, km 163.5, Trieste, Italy
| | - Martina Polenghi
- Ulisse BioMed S.P.a, Area Science Park, SS 14, km 163.5, Trieste, Italy
| | - Luca Puzzi
- Ulisse BioMed S.P.a, Area Science Park, SS 14, km 163.5, Trieste, Italy
| | - Vjekoslav Tomaic
- grid.4905.80000 0004 0635 7705Institut Ruđer Bošković, Zagreb, Croatia
| | - Giulio Valenti
- Ulisse BioMed S.P.a, Area Science Park, SS 14, km 163.5, Trieste, Italy
| | - Riccardo Sola
- Ulisse BioMed S.P.a, Area Science Park, SS 14, km 163.5, Trieste, Italy
| | - Shivani Zanolla
- Ulisse BioMed S.P.a, Area Science Park, SS 14, km 163.5, Trieste, Italy
| | - Enea Vogrig
- Ulisse BioMed S.P.a, Area Science Park, SS 14, km 163.5, Trieste, Italy
| | - Elisabetta Riva
- grid.488514.40000000417684285Policlinico Universitario Campus Biomedico, Rome, Italy
| | - Silvia Angeletti
- grid.488514.40000000417684285Policlinico Universitario Campus Biomedico, Rome, Italy
| | - Massimo Ciccozzi
- grid.488514.40000000417684285Policlinico Universitario Campus Biomedico, Rome, Italy
| | | | - Maria Pachetti
- Ulisse BioMed S.P.a, Area Science Park, SS 14, km 163.5, Trieste, Italy ,grid.418712.90000 0004 1760 7415Institute of Maternal and Child Health, IRCCS Burlo Garofolo, Trieste, Italy
| | - Matteo Petti
- Ulisse BioMed S.P.a, Area Science Park, SS 14, km 163.5, Trieste, Italy
| | - Sandro Centonze
- Clinical Research Unit, Azienda Sanitaria Universitaria Giuliano Isontina, Trieste, Italy
| | - Daniela Gerin
- Cervical Cancer Screening Coordination Unit, Azienda Sanitaria Universitaria Giuliano Isontina, Trieste, Italy
| | - Lawrence Banks
- grid.425196.d0000 0004 1759 4810International Centre for Genetic Engineering and Biotechnology, Trieste, Italy
| | - Bruna Marini
- Ulisse BioMed S.P.a, Area Science Park, SS 14, km 163.5, Trieste, Italy
| | - Vincenzo Canzonieri
- grid.5133.40000 0001 1941 4308Department of Medicine, Surgery and Health Sciences, University of Trieste, Trieste, Italy ,grid.418321.d0000 0004 1757 9741Anatomia Patologica, IRCCS – CRO (Istituto Nazionale Tumori - National Cancer Institute), Aviano, Italy
| | - Francesco Sopracordevole
- grid.418321.d0000 0004 1757 9741Ginecologia Oncologica, IRCCS - Centro Di Riferimento Oncologico (CRO) (Istituto Nazionale Tumori – National Cancer Institute), Aviano, Italy
| | - Fabrizio Zanconati
- grid.413694.dAzienda Sanitaria Universitaria Giuliano Isontina UCO/SC Anatomia e Istologia Patologica, Cattinara Hospital, Trieste, Italy ,grid.5133.40000 0001 1941 4308Department of Medicine, Surgery and Health Sciences, University of Trieste, Trieste, Italy
| | - Rudy Ippodrino
- Ulisse BioMed S.P.a, Area Science Park, SS 14, km 163.5, Trieste, Italy
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Zucchelli A, Manzoni F, Morandi A, Di Santo S, Rossi E, Valsecchi MG, Inzitari M, Cherubini A, Bo M, Mossello E, Marengoni A, Bellelli G, Tarasconi A, Sella M, Auriemma S, Paternò G, Faggian G, Lucarelli C, De Grazia N, Alberto C, Margola A, Porcella L, Nardiello I, Chimenti E, Zeni M, Giani A, Famularo S, Romairone E, Minaglia C, Ceccotti C, Guerra G, Mantovani G, Monacelli F, Minaglia C, Candiani T, Ballestrero A, Minaglia C, Santolini F, Minaglia C, Rosso M, Bono V, Sibilla S, Dal Santo P, Ceci M, Barone P, Schirinzi T, Formenti A, Nastasi G, Isaia G, Gonella D, Battuello A, Casson S, Calvani D, Boni F, Ciaccio A, Rosa R, Sanna G, Manfredini S, Cortese L, Rizzo M, Prestano R, Greco A, Lauriola M, Gelosa G, Piras V, Arena M, Cosenza D, Bellomo A, LaMontagna M, Gabbani L, Lambertucci L, Perego S, Parati G, Basile G, Gallina V, Pilone G, Giudice C, De F, Pietrogrande L, De B, Mosca M, Corazzin I, Rossi P, Nunziata V, D‘Amico F, Grippa A, Giardini S, Barucci R, Cossu A, Fiorin L, Arena M, Distefano M, Lunardelli M, Brunori M, Ruffini I, Abraham E, Varutti A, Fabbro E, Catalano A, Martino G, Leotta D, Marchet A, Dell‘Aquila G, Scrimieri A, Davoli M, Casella M, Cartei A, Polidori G, Basile G, Brischetto D, Motta S, Saponara R, Perrone P, Russo G, Del D, Car C, Pirina T, Franzoni S, Cotroneo A, Ghiggia F, Volpi G, Menichetti C, Bo M, Panico A, Calogero P, Corvalli G, Mauri M, Lupia E, Manfredini R, Fabbian F, March A, Pedrotti M, Veronesi M, Strocchi E, Bianchetti A, Crucitti A, Di Francesco V, Fontana G, Bonanni L, Barbone F, Serrati C, Ballardini G, Simoncelli M, Ceschia G, Scarpa C, Brugiolo R, Fusco S, Ciarambino T, Biagini C, Tonon E, Porta M, Venuti D, DelSette M, Poeta M, Barbagallo G, Trovato G, Delitala A, Arosio P, Reggiani F, Zuliani G, Ortolani B, Mussio E, Girardi A, Coin A, Ruotolo G, Castagna A, Masina M, Cimino R, Pinciaroli A, Tripodi G, Cannistrà U, Cassadonte F, Vatrano M, Cassandonte F, Scaglione L, Fogliacco P, Muzzuilini C, Romano F, Padovani A, Rozzini L, Cagnin A, Fragiacomo F, Desideri G, Liberatore E, Bruni A, Orsitto G, Franco M, Bonfrate L, Bonetto M, Pizio N, Magnani G, Cecchetti G, Longo A, Bubba V, Marinan L, Cotelli M, Turla M, Brunori M, Sessa M, Abruzzi L, Castoldi G, LoVetere D, Musacchio C, Novello M, Cavarape A, Bini A, Leonardi A, Seneci F, Grimaldi W, Fimognari F, Bambara V, Saitta A, Corica F, Braga M, Ettorre E, Camellini C, Marengoni A, Bruni A, Crescenzo A, Noro G, Turco R, Ponzetto M, Giuseppe L, Mazzei B, Maiuri G, Costaggiu D, Damato R, Fabbro E, Patrizia G, Santuari L, Gallucci M, Minaglia C, Paragona M, Bini P, Modica D, Abati C, Clerici M, Barbera I, NigroImperiale F, Manni A, Votino C, Castiglioni C, Di M, Degl‘Innocenti M, Moscatelli G, Guerini S, Casini C, Dini D, DeNotariis S, Bonometti F, Paolillo C, Riccardi A, Tiozzo A, SamySalamaFahmy A, Riccardi A, Paolillo C, DiBari M, Vanni S, Scarpa A, Zara D, Ranieri P, Calogero P, Corvalli G, Pezzoni D, Gentile S, Morandi A, Platto C, D‘Ambrosio V, Faraci B, Ivaldi C, Milia P, DeSalvo F, Solaro C, Strazzacappa M, Bo M, Panico A, Cazzadori M, Confente S, Bonetto M, Magnani G, Cecchetti G, Guerini V, Bernardini B, Corsini C, Boffelli S, Filippi A, Delpin K, Bertoletti E, Vannucci M, Tesi F, Crippa P, Malighetti A, Caltagirone C, DiSant S, Bettini D, Maltese F, Formilan M, Abruzzese G, Minaglia C, Cosimo D, Azzini M, Cazzadori M, Colombo M, Procino G, Fascendini S, Barocco F, Del P, D‘Amico F, Grippa A, Mazzone A, Riva E, Dell‘Acqua D, Cottino M, Vezzadini G, Avanzi S, Orini S, Sgrilli F, Mello A, Lombardi L, Muti E, Dijk B, Fenu S, Pes C, Gareri P, Castagna A, Passamonte M, De F, Rigo R, Locusta L, Caser L, Rosso G, Cesarini S, Cozzi R, Santini C, Carbone P, Cazzaniga I, Lovati R, Cantoni A, Ranzani P, Barra D, Pompilio G, Dimori S, Cernesi S, Riccò C, Piazzolla F, Capittini E, Rota C, Gottardi F, Merla L, Barelli A, Millul A, De G, Morrone G, Bigolari M, Minaglia C, Macchi M, Zambon F, D‘Amico F, D‘Amico F, Pizzorni C, DiCasaleto G, Menculini G, Marcacci M, Catanese G, Sprini D, DiCasalet T, Bocci M, Borga S, Caironi P, Cat C, Cingolani E, Avalli L, Greco G, Citerio G, Gandini L, Cornara G, Lerda R, Brazzi L, Simeone F, Caciorgna M, Alampi D, Francesconi S, Beck E, Antonini B, Vettoretto K, Meggiolaro M, Garofalo E, Bruni A, Notaro S, Varutti R, Bassi F, Mistraletti G, Marino A, Rona R, Rondelli E, Riva I, Scapigliati A, Cortegiani A, Vitale F, Pistidda L, D‘Andrea R, Querci L, Gnesin P, Todeschini M, Lugano M, Castelli G, Ortolani M, Cotoia A, Maggiore S, DiTizio L, Graziani R, Testa I, Ferretti E, Castioni C, Lombardi F, Caserta R, Pasqua M, Simoncini S, Baccarini F, Rispoli M, Grossi F, Cancelliere L, Carnelli M, Puccini F, Biancofiore G, Siniscalchi A, Laici C, Mossello E, Torrini M, Pasetti G, Palmese S, Oggioni R, Mangani V, Pini S, Martelli M, Rigo E, Zuccalà F, Cherri A, Spina R, Calamai I, Petrucci N, Caicedo A, Ferri F, Gritti P, Brienza N, Fonnesu R, Dessena M, Fullin G, Saggioro D. The association between low skeletal muscle mass and delirium: results from the nationwide multi-centre Italian Delirium Day 2017. Aging Clin Exp Res 2022; 34:349-357. [PMID: 34417734 PMCID: PMC8847195 DOI: 10.1007/s40520-021-01950-8] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/10/2021] [Accepted: 07/31/2021] [Indexed: 01/22/2023]
Abstract
Introduction Delirium and sarcopenia are common, although underdiagnosed, geriatric
syndromes. Several pathological mechanisms can link delirium and low skeletal muscle mass, but few studies have investigated their association. We aimed to investigate (1) the association between delirium and low skeletal muscle mass and (2) the possible role of calf circumference mass in finding cases with delirium. Methods The analyses were conducted employing the cross-sectional “Delirium Day” initiative, on patient 65 years and older admitted to acute hospital medical wards, emergency departments, rehabilitation wards, nursing homes and hospices in Italy in 2017. Delirium was diagnosed as a 4 + score at the 4-AT scale. Low skeletal muscle mass was operationally defined as calf circumference ≤ 34 cm in males and ≤ 33 cm in females. Logistic regression models were used to investigate the association between low skeletal muscle mass and delirium. The discriminative ability of calf circumference was evaluated using non-parametric ROC analyses. Results A sample of 1675 patients was analyzed. In total, 73.6% of participants had low skeletal muscle mass and 24.1% exhibited delirium. Low skeletal muscle mass and delirium showed an independent association (OR: 1.50; 95% CI 1.09–2.08). In the subsample of patients without a diagnosis of dementia, the inclusion of calf circumference in a model based on age and sex significantly improved its discriminative accuracy [area under the curve (AUC) 0.69 vs 0.57, p < 0.001]. Discussion and conclusion Low muscle mass is independently associated with delirium. In patients without a previous diagnosis of dementia, calf circumference may help to better identify those who develop delirium. Supplementary Information The online version contains supplementary material available at 10.1007/s40520-021-01950-8.
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Angeletti S, Giovanetti M, Fogolari M, Cella E, De Florio L, Lintas C, Veralli R, Francesconi M, Caccuri F, De Cesaris M, De Flora C, Ceccarelli G, Spoto S, Caruso A, Pascarella S, Riva E, Ciccozzi M. SARS-CoV-2 AY.4.2 variant circulating in Italy: Genomic preliminary insight. J Med Virol 2021; 94:1689-1692. [PMID: 34766651 PMCID: PMC8661725 DOI: 10.1002/jmv.27451] [Citation(s) in RCA: 11] [Impact Index Per Article: 3.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/02/2021] [Revised: 11/09/2021] [Accepted: 11/10/2021] [Indexed: 01/06/2023]
Abstract
The appearance of emerging variants of SARS‐CoV‐2 carrying mutations into the spike protein has recently raised concern with respect to tracking their transmission and mitigating the impact in the evolving pandemic across countries. AY.4.2, a recently detected Delta variant sublineage, is considered a new variant under investigation (VUI) as it carries specific genetic signatures present in the spike protein, called Y145H and A222V. Here, using genomic epidemiology, we provide the first preliminary insight regarding the circulation of this emerging VUI in Italy. Genomic epidemiology suggests that multiple independent introductions have occurred trough time likely‐mediated by European countries. Virus migration generally followed patterns of national and international human mobility, illustrating how the easing of restriction measures might facilitate the spread of those emerging variants worldwide. Our data reveal how crucial appear to be the implementation of a widespread genomic monitoring to detect variants previously not yet identified across the country.
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Affiliation(s)
- Silvia Angeletti
- Unit of Clinical Laboratory Science, University Campus Bio-Medico of Rome, Rome, Italy
| | - Marta Giovanetti
- Laboratório de Flavivírus, Instituto Oswaldo Cruz, Fundação Oswaldo Cruz, Rio de Janeiro, Brazil
| | - Marta Fogolari
- Unit of Clinical Laboratory Science, University Campus Bio-Medico of Rome, Rome, Italy
| | - Eleonora Cella
- Burnett School of Biomedical Sciences, University of Central Florida, Orlando, Florida, USA
| | - Lucia De Florio
- Unit of Clinical Laboratory Science, University Campus Bio-Medico of Rome, Rome, Italy
| | - Carla Lintas
- Unit of Clinical Laboratory Science, University Campus Bio-Medico of Rome, Rome, Italy
| | - Roberta Veralli
- Unit of Clinical Laboratory Science, University Campus Bio-Medico of Rome, Rome, Italy
| | - Maria Francesconi
- Unit of Clinical Laboratory Science, University Campus Bio-Medico of Rome, Rome, Italy
| | - Francesca Caccuri
- Department of Molecular and Translational Medicine, Section of Microbiology, University of Brescia, Brescia, Italy
| | - Marina De Cesaris
- Unit of Clinical Laboratory Science, University Campus Bio-Medico of Rome, Rome, Italy
| | - Cecilia De Flora
- Unit of Clinical Laboratory Science, University Campus Bio-Medico of Rome, Rome, Italy
| | - Giancarlo Ceccarelli
- Department of Public Health and Infectious Diseases, Policlinico Umberto I Università 'Sapienza', Rome, Italy
| | - Silvia Spoto
- Diagnostic and Therapeutic Medicine Division, University Campus Bio-Medico of Rome, Rome, Italy
| | - Arnaldo Caruso
- Department of Molecular and Translational Medicine, Section of Microbiology, University of Brescia, Brescia, Italy
| | - Stefano Pascarella
- Department of Biochemical Sciences "A. Rossi Fanelli", University of Rome "La Sapienza", Rome, Italy
| | - Elisabetta Riva
- Unit of Virology, University Campus Bio-Medico of Rome, Rome, Italy
| | - Massimo Ciccozzi
- Unit of Medical Statistics and Molecular Epidemiology, University Campus Bio-Medico of Rome, Rome, Italy
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12
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Borghi L, Riva E. Was Aldo Castellani the inventor of combined and polyvalent vaccines? Vaccine 2021; 39:5442-5446. [PMID: 34373123 DOI: 10.1016/j.vaccine.2021.07.062] [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] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/08/2021] [Revised: 07/20/2021] [Accepted: 07/21/2021] [Indexed: 11/29/2022]
Abstract
Italian born and long term resident in England, Sir Aldo Castellani (1874-1971), is usually credited with "several discoveries of great importance in tropical medicine", most notably for his role in determining the aetiology of sleeping sickness and yaws. This contribution tries to highlight his role in the history of vaccinology as a pioneer in the design and use of combined and polyvalent vaccines. In the light of existing data, while acting as Director of the Bacteriological Institute of Colombo (Ceylon) in the decade before the First World War, Castellani was the first to experiment with both different strains of "antigens belonging to the same group" like in his typhoid-paratyphoid vaccine (TAB), as well as the simultaneous use of more pathogens, or part of them, for protection against different diseases, like in his "tetravaccine" (TAB + cholera) and "pentavaccine" (TAB + cholera + Malta fever). At the beginning of the War, based on the results of thousands of vaccinations, he strongly maintained that those combined or mixed vaccines were harmless and effective. The Allied Armies became more and more interested in Castellani's methods. His TAB vaccine was extensively used among the soldiers and his contributions were largely acknowledged especially in the Anglo-Saxon world in the following years, when it was plainly stated that "to Castellani is due the credit of having first proposed, prepared, and used, combined vaccines". The path to widespread use of combination and polyvalent vaccines - which is usually dated back only to the late 1940s - was still long and winding. Castellani himself abandoned that field of research after the War and this is probably why that early history is nowadays often forgotten.
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Affiliation(s)
- Luca Borghi
- History of Medicine, Department of Medicine and Surgery, Università Campus Bio-Medico, Rome, Italy.
| | - Elisabetta Riva
- Virology Section, Department of Medicine and Surgery, Università Campus Bio-Medico, Rome, Italy
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13
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Ebranati E, Mancon A, Airoldi M, Renica S, Shkjezi R, Dragusha P, Della Ventura C, Ciccaglione AR, Ciccozzi M, Bino S, Tanzi E, Micheli V, Riva E, Galli M, Zehender G. Time and Mode of Epidemic HCV-2 Subtypes Spreading in Europe: Phylodynamics in Italy and Albania. Diagnostics (Basel) 2021; 11:diagnostics11020327. [PMID: 33671355 PMCID: PMC7922790 DOI: 10.3390/diagnostics11020327] [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] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/21/2021] [Revised: 02/12/2021] [Accepted: 02/14/2021] [Indexed: 01/21/2023] Open
Abstract
Hepatitis C virus (HCV) genotype 2 causes about 10% of global infections and has the most variable circulation profile in Europe. The history of “endemic” HCV-2 subtypes has been satisfactorily reconstructed, instead there is little information about the recent spread of the “epidemic” subtypes, including HCV-2c. To investigate the origin and dispersion pathways of HCV-2c, 245 newly characterized Italian and Albanian HCV-2 NS5B sequences were aligned with 247 publicly available sequences and included in phylogeographic and phylodynamic analyses using the Bayesian framework. Our findings show that HCV-2c was the most prevalent subtype in Italy and Albania. The phylogeographic analysis suggested an African origin of HCV-2c before it reached Italy about in the 1940s. Phylodynamic analysis revealed an exponential increase in the effective number of infections and Re in Italy between the 1940s and 1960s, and in Albania between the 1990s and the early 2000s. It seems very likely that HCV-2c reached Italy from Africa at the time of the second Italian colonization but did not reach Albania until the period of dramatic migration to Italy in the 1990s. This study contributes to reconstructing the history of the spread of epidemic HCV-2 subtypes to Europe.
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Affiliation(s)
- Erika Ebranati
- Department of Biomedical and Clinical Sciences “L. Sacco”, University of Milan, 20157 Milan, Italy; (E.E.); (M.A.); (S.R.); (C.D.V.); (M.G.)
- CRC-Coordinated Research Center “EpiSoMI”, University of Milan, 20122 Milan, Italy
| | - Alessandro Mancon
- Unit of Microbiology, Hospital Sacco of Milan, 20157 Milan, Italy; (A.M.); (V.M.)
| | - Martina Airoldi
- Department of Biomedical and Clinical Sciences “L. Sacco”, University of Milan, 20157 Milan, Italy; (E.E.); (M.A.); (S.R.); (C.D.V.); (M.G.)
| | - Silvia Renica
- Department of Biomedical and Clinical Sciences “L. Sacco”, University of Milan, 20157 Milan, Italy; (E.E.); (M.A.); (S.R.); (C.D.V.); (M.G.)
| | - Renata Shkjezi
- Faculty of Medicine and Surgery, Catholic University “Our Lady of the Good Counsel”, 1001 Tirana, Albania; (R.S.); (P.D.)
| | - Pranvera Dragusha
- Faculty of Medicine and Surgery, Catholic University “Our Lady of the Good Counsel”, 1001 Tirana, Albania; (R.S.); (P.D.)
| | - Carla Della Ventura
- Department of Biomedical and Clinical Sciences “L. Sacco”, University of Milan, 20157 Milan, Italy; (E.E.); (M.A.); (S.R.); (C.D.V.); (M.G.)
| | - Anna Rita Ciccaglione
- Viral Hepatitis Unit, Department of Infectious, Parasitic and Immune-Mediated Diseases, Istituto Superiore di Sanità, 00161 Rome, Italy;
| | - Massimo Ciccozzi
- Unit of Medical Statistics and Molecular Epidemiology, University Campus Bio-Medico of Rome, 00128 Roma, Italy;
| | - Silvia Bino
- National Institute of Health, 1001 Tirana, Albania;
| | - Elisabetta Tanzi
- Department of Biomedical Sciences for the Health, University of Milan, 20133 Milan, Italy;
| | - Valeria Micheli
- Unit of Microbiology, Hospital Sacco of Milan, 20157 Milan, Italy; (A.M.); (V.M.)
| | - Elisabetta Riva
- Laboratory of Virology, Campus Bio-Medico University, 00128 Rome, Italy;
| | - Massimo Galli
- Department of Biomedical and Clinical Sciences “L. Sacco”, University of Milan, 20157 Milan, Italy; (E.E.); (M.A.); (S.R.); (C.D.V.); (M.G.)
- CRC-Coordinated Research Center “EpiSoMI”, University of Milan, 20122 Milan, Italy
| | - Gianguglielmo Zehender
- Department of Biomedical and Clinical Sciences “L. Sacco”, University of Milan, 20157 Milan, Italy; (E.E.); (M.A.); (S.R.); (C.D.V.); (M.G.)
- CRC-Coordinated Research Center “EpiSoMI”, University of Milan, 20122 Milan, Italy
- Correspondence: ; Tel.: +39-02-503-19770
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14
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Scagnolari C, Bitossi C, Viscido A, Frasca F, Oliveto G, Scordio M, Petrarca L, Mancino E, Nenna R, Riva E, De Vito C, Midulla F, Antonelli G, Pierangeli A. ACE2 expression is related to the interferon response in airway epithelial cells but is that functional for SARS-CoV-2 entry? Cytokine 2021; 140:155430. [PMID: 33508651 PMCID: PMC7810030 DOI: 10.1016/j.cyto.2021.155430] [Citation(s) in RCA: 12] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/03/2020] [Revised: 12/01/2020] [Accepted: 12/19/2020] [Indexed: 01/19/2023]
Abstract
In vitro interferon (IFN)α treatment of primary human upper airway basal cells has been shown to drive ACE2 expression, the receptor of SARS-CoV-2. The protease furin is also involved in mediating SARS‐CoV‐2 and other viral infections, although its association with early IFN response has not been evaluated yet. In order to assess the in vivo relationship between ACE2 and furin expression and the IFN response in nasopharyngeal cells, we first examined ACE2 and furin levels and their correlation with the well-known marker of IFNs’ activation, ISG15, in children (n = 59) and adults (n = 48), during respiratory diseases not caused by SARS-CoV-2. A strong positive correlation was found between ACE2 expression, but not of furin, and ISG15 in all patients analyzed. In addition, type I and III IFN stimulation experiments were performed to examine the IFN-mediated activation of ACE2 isoforms (full-length and truncated) and furin in epithelial cell lines. Following all the IFNs treatments, only the truncated ACE2 levels, were upregulated significantly in the A549 and Calu3 cells, in particular by type I IFNs. If confirmed in vivo following IFNs’ activation, the induction of the truncated ACE2 isoform only would not enhance the risk of SARS‐CoV‐2 infection in the respiratory tract.
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Affiliation(s)
- Carolina Scagnolari
- Laboratory of Virology, Department of Molecular Medicine, Sapienza University of Rome, affiliated to Istituto Pasteur Italia, Rome, Italy
| | - Camilla Bitossi
- Laboratory of Virology, Department of Molecular Medicine, Sapienza University of Rome, affiliated to Istituto Pasteur Italia, Rome, Italy
| | - Agnese Viscido
- Laboratory of Virology, Department of Molecular Medicine, Sapienza University of Rome, affiliated to Istituto Pasteur Italia, Rome, Italy
| | - Federica Frasca
- Laboratory of Virology, Department of Molecular Medicine, Sapienza University of Rome, affiliated to Istituto Pasteur Italia, Rome, Italy
| | - Giuseppe Oliveto
- Laboratory of Virology, Department of Molecular Medicine, Sapienza University of Rome, affiliated to Istituto Pasteur Italia, Rome, Italy
| | - Mirko Scordio
- Laboratory of Virology, Department of Molecular Medicine, Sapienza University of Rome, affiliated to Istituto Pasteur Italia, Rome, Italy
| | - Laura Petrarca
- Department of Maternal Science, Sapienza University of Rome, Rome, Italy
| | - Enrica Mancino
- Department of Maternal Science, Sapienza University of Rome, Rome, Italy
| | - Raffaella Nenna
- Department of Maternal Science, Sapienza University of Rome, Rome, Italy
| | - Elisabetta Riva
- Virology Laboratory, University Campus Bio-Medico of Rome, Rome, Italy
| | - Corrado De Vito
- Department of Public Health and Infectious Diseases, Sapienza University of Rome, Rome, Italy
| | - Fabio Midulla
- Department of Maternal Science, Sapienza University of Rome, Rome, Italy
| | - Guido Antonelli
- Laboratory of Virology, Department of Molecular Medicine, Sapienza University of Rome, affiliated to Istituto Pasteur Italia, Rome, Italy; Laboratory of Microbiology and Virology; University Hospital "Policlinico Umberto I," Rome, Italy
| | - Alessandra Pierangeli
- Laboratory of Virology, Department of Molecular Medicine, Sapienza University of Rome, affiliated to Istituto Pasteur Italia, Rome, Italy.
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15
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Mattachini G, Tamburini A, Zucali M, Bava L, Riva E, Provolo G, Sandrucci A. Relationships among lying and standing behaviour, body condition score and milk production in primiparous cows. Italian Journal of Animal Science 2020. [DOI: 10.1080/1828051x.2020.1793695] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
Affiliation(s)
- Gabriele Mattachini
- Dipartimento di Scienze Agrarie e Ambientali, Università degli Studi di Milano, Milano, Italy
| | - Alberto Tamburini
- Dipartimento di Scienze Agrarie e Ambientali, Università degli Studi di Milano, Milano, Italy
| | - Maddalena Zucali
- Dipartimento di Scienze Agrarie e Ambientali, Università degli Studi di Milano, Milano, Italy
| | - Luciana Bava
- Dipartimento di Scienze Agrarie e Ambientali, Università degli Studi di Milano, Milano, Italy
| | - Elisabetta Riva
- Dipartimento di Scienze Agrarie e Ambientali, Università degli Studi di Milano, Milano, Italy
| | - Giorgio Provolo
- Dipartimento di Scienze Agrarie e Ambientali, Università degli Studi di Milano, Milano, Italy
| | - Anna Sandrucci
- Dipartimento di Scienze Agrarie e Ambientali, Università degli Studi di Milano, Milano, Italy
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16
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Lovarelli D, Tamburini A, Mattachini G, Zucali M, Riva E, Provolo G, Guarino M. Relating Lying Behavior With Climate, Body Condition Score, and Milk Production in Dairy Cows. Front Vet Sci 2020; 7:565415. [PMID: 33251257 PMCID: PMC7676895 DOI: 10.3389/fvets.2020.565415] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/25/2020] [Accepted: 10/02/2020] [Indexed: 01/08/2023] Open
Abstract
Attention on animal behavior and welfare has been increasing. Scientific knowledge about the effect of behavior and welfare on animals' production augmented and made clear the need of improving their living conditions. Among the variables to monitor in dairy cattle farming, lying time represents a signal for health and welfare status as well as for milk production. The aim of this study is to identify the relationship among the lying behavior of dairy cows and milk production, body condition score (BCS), weather variables, and the temperature–humidity index (THI) in the barn from a dairy farm located in Northern Italy. One-year data were collected on this farm with sensors that allowed monitoring of the environmental conditions in the barn and the activity of primiparous lactating cows. Principal components analysis (PCA), factor analysis (FA), generalized linear model select (GLMSelect), and logistic analysis (LA) were carried out to get the relationships among variables. Among the main results, it emerges that the effect of weather parameters is quite restrained, except for THI > 70, which negatively affects the lying time. In addition, the most productive cows are found to lie down more than the less productive ones, and the parameters of milk production, lying time, and BCS are found to be linked by a similar trend.
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Affiliation(s)
- Daniela Lovarelli
- Department of Environmental Science and Policy, Università degli Studi di Milano, Milano, Italy
| | - Alberto Tamburini
- Department of Agricultural and Environmental Sciences, Università degli Studi di Milano, Milano, Italy
| | - Gabriele Mattachini
- Department of Agricultural and Environmental Sciences, Università degli Studi di Milano, Milano, Italy
| | - Maddalena Zucali
- Department of Agricultural and Environmental Sciences, Università degli Studi di Milano, Milano, Italy
| | - Elisabetta Riva
- Department of Agricultural and Environmental Sciences, Università degli Studi di Milano, Milano, Italy
| | - Giorgio Provolo
- Department of Agricultural and Environmental Sciences, Università degli Studi di Milano, Milano, Italy
| | - Marcella Guarino
- Department of Environmental Science and Policy, Università degli Studi di Milano, Milano, Italy
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17
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Spoto S, Valeriani E, Riva E, De Cesaris M, Tonini G, Vincenzi B, Locorriere L, Beretta Anguissola G, Lauria Pantano A, Brando E, Costantino S, Ciccozzi M, Angeletti S. A Staphylococcus aureus Coinfection on a COVID-19 Pneumonia in a Breast Cancer Patient. Int J Gen Med 2020; 13:729-733. [PMID: 33061542 PMCID: PMC7533271 DOI: 10.2147/ijgm.s261760] [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] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/08/2020] [Accepted: 08/03/2020] [Indexed: 12/22/2022] Open
Abstract
Introduction Coronavirus disease 19 (COVID-19), due to severe acute respiratory syndrome-coronavirus 2 (SARS-CoV2), comprises a broad spectrum of clinical presentation ranging from flu-like syndrome to organ failure. The risk of coinfections is high and responsible for a worse prognosis, mainly in the case of bacterial involvement and in the presence of particular comorbidity. We present the clinical, laboratory, radiologic characteristic along with therapeutic management of a patient with COVID-19 and Staphylococcus aureus coinfection. Case Presentation A 55-year-old Caucasian woman was admitted to our hospital due to a two-day history of fever and acute dyspnea with severe respiratory failure worsened after the administration of atezolizumab and nab-paclitaxel. Her medical history comprehended a triple negative, BRCA1-related, PD-L1 positive right breast cancer with multiple bone metastasis, causing bone marrow infiltration-related severe pancytopenia. Her physical examination revealed scattered wheezes, rales, and bilateral dry crackles in the middle and lower lung fields and lower limb paresis. The body mass index was 30 kg/m2 and arterial blood gas evaluation revealed a stage III acute respiratory distress syndrome. Microbiological specimens revealed a Staphylococcus aureus positivity from endotracheal aspirate. The chest computed tomography (CT) scan showed the presence of large areas of parenchymal consolidation and aerial bronchogram, bilateral “ground glass” areas reaching the highest extension on the upper and middle zones. The high clinical and radiological suspicion of COVID-19 along with the negative result of nasopharyngeal specimen make necessary an endotracheal aspirate resulting positive for SARS-CoV2. Patient started an antimicrobial treatment and lopinavir-ritonavir plus hydroxychloroquine but, unfortunately, died five days after hospital admission. Conclusion The high risk of mortality of our patient was due to viral-bacterial coinfection, advanced cancer status with active immunotherapy. This case highlights the need for a prompt clinical, laboratory, and radiological evaluation to allow a correct diagnosis and start a specific therapy.
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Affiliation(s)
- Silvia Spoto
- Diagnostic and Therapeutic Medicine Department, University Campus Bio-Medico of Rome, Rome, Italy
| | - Emanuele Valeriani
- Diagnostic and Therapeutic Medicine Department, University Campus Bio-Medico of Rome, Rome, Italy
| | - Elisabetta Riva
- Unit of Virology, University Campus Bio-Medico of Rome, Rome, Italy
| | - Marina De Cesaris
- Unit of Clinical Laboratory Science, University Campus Bio-Medico of Rome, Rome, Italy
| | - Giuseppe Tonini
- Department of Medical Oncology, University Campus Bio-Medico of Rome, Rome, Italy
| | - Bruno Vincenzi
- Unit of Medical Statistics and Molecular Epidemiology, University Campus Bio-Medico of Rome, Rome, Italy
| | - Luciana Locorriere
- Diagnostic and Therapeutic Medicine Department, University Campus Bio-Medico of Rome, Rome, Italy
| | | | - Angelo Lauria Pantano
- Diagnostic and Therapeutic Medicine Department, University Campus Bio-Medico of Rome, Rome, Italy
| | - Elisa Brando
- Diagnostic and Therapeutic Medicine Department, University Campus Bio-Medico of Rome, Rome, Italy
| | - Sebastiano Costantino
- Diagnostic and Therapeutic Medicine Department, University Campus Bio-Medico of Rome, Rome, Italy
| | - Massimo Ciccozzi
- Unit of Medical Statistics and Molecular Epidemiology, University Campus Bio-Medico of Rome, Rome, Italy
| | - Silvia Angeletti
- Unit of Clinical Laboratory Science, University Campus Bio-Medico of Rome, Rome, Italy
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18
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Abstract
The case refers to a 51-year-old symptomatic man with a new SARS-CoV-2 RNA positive nasopharyngeal swab after two negative ones and the lack of significant development of antibody response measured by different diagnostic serological test. Our case underlines that a discrepancy between clinical course of SARS-CoV-2 infection and results from diagnostic tests may exist. This concept is rapidly emerging and supports the need for a deep knowledge of available and “in development” tests for a correct interpretation of their findings.
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Affiliation(s)
- Elisabetta Riva
- Virology Unit, Campus Bio-Medico University of Rome, Rome, Italy
| | - Pier Paolo Sainaghi
- Department of Translational Medicine, University of Eastern Piedmont, Novara, Italy
| | - Ombretta Turriziani
- Microbiology and Virology Section, Department of Molecular Medicine, Sapienza University of Rome, Rome, Italy
| | - Guido Antonelli
- Microbiology and Virology Section, Department of Molecular Medicine, Sapienza University of Rome, Rome, Italy
| | - Giuseppe Patti
- Department of Translational Medicine, University of Eastern Piedmont, Novara, Italy
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19
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Avanzini F, Marelli G, Amodeo R, Chiappa L, Colombo EL, Di Rocco E, Grioni M, Moro C, Roncaglioni MC, Saltafossi D, Vandoni P, Vannini T, Vilei V, Riva E. The 'brick diet' and postprandial insulin: a practical method to balance carbohydrates ingested and prandial insulin to prevent hypoglycaemia in hospitalized persons with diabetes. Diabet Med 2020; 37:1125-1133. [PMID: 32144811 DOI: 10.1111/dme.14293] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Accepted: 03/03/2020] [Indexed: 12/13/2022]
Abstract
AIM Insulin is the preferred treatment for the control of diabetes in hospital, but it raises the risk of hypoglycaemia, often because oral intake of carbohydrates in hospitalized persons is lower than planned. Our aim was to assess the effect on the incidence of hypoglycaemia of giving prandial insulin immediately after a meal depending on the amount of carbohydrate ingested. METHODS A prospective pre-post intervention study in hospitalized persons with diabetes eating meals with stable doses of carbohydrates present in a few fixed foods. Foods were easily identifiable on the tray and contained fixed doses of carbohydrates that were easily quantifiable by nurses as multiples of 10 g (a 'brick'). Prandial insulin was given immediately after meals in proportion to the amount of carbohydrates eaten. RESULTS In 83 of the first 100 people treated with the 'brick diet', the oral carbohydrate intake was lower than planned on at least one occasion (median: 3 times; Q1-Q3: 2-6 times) over a median of 5 days. Compared with the last 100 people treated with standard procedures, postprandial insulin given on the basis of ingested carbohydrate significantly reduced the incidence of hypoglycaemic events per day, from 0.11 ± 0.03 to 0.04 ± 0.02 (P < 0.001) with an adjusted incidence rate ratio of 0.70 (95% confidence interval 0.54-0.92; P = 0.011). CONCLUSIONS In hospitalized persons with diabetes treated with subcutaneous insulin, the 'brick diet' offers a practical method to count the amount of carbohydrates ingested, which is often less than planned. Prandial insulin given immediately after a meal, in doses balanced with actual carbohydrate intake reduces the risk of hypoglycaemia.
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Affiliation(s)
- F Avanzini
- Istituto di Ricerche Farmacologiche Mario Negri IRCCS, Milan, Italy
- Division of Clinical Cardiology, Ospedale di Desio, Desio, Italy
| | - G Marelli
- Endocrine Metabolic and Nutrition Diseases Departmental Unit, ASST Vimercate, Vimercate, Italy
| | - R Amodeo
- Division of Clinical Cardiology, Ospedale di Desio, Desio, Italy
| | - L Chiappa
- Division of Clinical Cardiology, Ospedale di Desio, Desio, Italy
| | - E L Colombo
- Endocrinology and Diabetology Departmental Unit, Ospedale di Desio, Desio, Italy
| | - E Di Rocco
- Division of Clinical Cardiology, Ospedale di Desio, Desio, Italy
| | - M Grioni
- Division of Clinical Cardiology, Ospedale di Desio, Desio, Italy
| | - C Moro
- Division of Clinical Cardiology, Ospedale di Desio, Desio, Italy
| | - M C Roncaglioni
- Istituto di Ricerche Farmacologiche Mario Negri IRCCS, Milan, Italy
| | - D Saltafossi
- Division of Clinical Cardiology, Ospedale di Desio, Desio, Italy
| | - P Vandoni
- Division of Clinical Cardiology, Ospedale di Desio, Desio, Italy
| | - T Vannini
- Istituto di Ricerche Farmacologiche Mario Negri IRCCS, Milan, Italy
| | - V Vilei
- Endocrine Metabolic and Nutrition Diseases Departmental Unit, ASST Vimercate, Vimercate, Italy
| | - E Riva
- Istituto di Ricerche Farmacologiche Mario Negri IRCCS, Milan, Italy
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20
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Angeletti S, Ceccarelli G, Bazzardi R, Fogolari M, Vita S, Antonelli F, De Florio L, Khazrai YM, De Noia V, Lopalco M, Alagia D, Pedone C, Lauri G, Aronica R, Riva E, Demir AB, Abacioglu H, Ciccozzi M. Migrants rescued on the Mediterranean Sea route: nutritional, psychological status and infectious disease control. J Infect Dev Ctries 2020; 14:454-462. [PMID: 32525831 DOI: 10.3855/jidc.11918] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [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: 08/08/2019] [Accepted: 02/21/2020] [Indexed: 10/31/2022] Open
Abstract
INTRODUCTION North Africa has become a key migratory hub where a large number of migrants attempt the journey by sea from the Libyan coastline to the south of Europe. In this humanitarian disaster scenario, the Mediterranean route has been one of the most used by illegal boats. METHODOLOGY In this report, the state of physical and psychological health of a cluster of Eritrean migrants, escaped from Libya and rescued in the Mediterranean Sea after a shipwreck, was described by epidemiological, clinical and laboratory investigations. RESULTS Data suggest that despite the majority of the migrants being apparently in good health upon a syndromic surveillance approach, most of them suffered a decline in psychological status as well as severe malnutrition. The emergence of infectious diseases, related to poor living conditions during the journey, is not a rare event. CONCLUSION The present report highlights the risks of failures of the syndromic medical approach in the setting of the extremely challenging migration route and underlines migrant frailties consequent to a prolonged journey and long period of detention. These stressors, which can degrade the initial health condition of traveling migrants, can lead to a premature "exhausted migrant effect" that should be carefully investigated in order to avoid the early emergence of diseases related to frailty.
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Affiliation(s)
- Silvia Angeletti
- Unit of Clinical Laboratory Science, University Campus Bio-Medico of Rome, Italy.
| | - Giancarlo Ceccarelli
- Migrant and Global Health Research Organization, Centro di ricerca sulla salute globale e delle popolazioni mobili (Mi-Hero) e Sanità di Frontiera Onlus.
| | - Riccardo Bazzardi
- Controllo Microbiologico e Ispezione degli Alimenti, Istituto Zooprofilattico Sperimentale della Sardegna "G. Pegreffi", Sassari, Italy.
| | - Marta Fogolari
- Unit of Clinical Laboratory Science, University Campus Bio-Medico of Rome, Italy.
| | - Serena Vita
- Migrant and Global Health Research Organization, Centro di ricerca sulla salute globale e delle popolazioni mobili (Mi-Hero) e Sanità di Frontiera Onlus.
| | - Francesca Antonelli
- Unit of Clinical Laboratory Science, University Campus Bio-Medico of Rome, Italy.
| | - Lucia De Florio
- Unit of Clinical Laboratory Science, University Campus Bio-Medico of Rome, Italy.
| | - Yeganeh Manon Khazrai
- Unit of Food Science and Human Nutrition, University Campus Bio-Medico of Rome, Italy.
| | - Vincenza De Noia
- ERC "Mondo Migliore", Cooperativa Sociale San Filippo Neri, Rocca di Papa, Italy.
| | - Maurizio Lopalco
- ERC "Mondo Migliore", Cooperativa Sociale San Filippo Neri, Rocca di Papa, Italy.
| | - Domenico Alagia
- ERC "Mondo Migliore", Cooperativa Sociale San Filippo Neri, Rocca di Papa, Italy.
| | - Claudio Pedone
- Unit of Geriatrics, University Campus Bio-Medico of Rome, Italy.
| | - Gaetano Lauri
- Unit of Gastroenterology, University Campus Bio-Medico of Rome, Italy.
| | - Rosario Aronica
- Faculty of Psychiatry, Department of Systems Medicine, University of Rome Tor Vergata, Italy.
| | - Elisabetta Riva
- Unit of Virology, University Campus Bio-Medico of Rome, Italy.
| | - Ayse Banu Demir
- Department of Medical Biology, İzmir University of Economics, Izmir, Turkey.
| | - Hakan Abacioglu
- Faculty of Medicine, İzmir University of Economics, Izmir, Turkey.
| | - Massimo Ciccozzi
- Unit of Medical Statistics and Molecular Epidemiology, University Campus Bio-Medico of Rome, Italy.
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Antonelli G, Capobianchi MR, Riva E. The SARS-CoV-2 epidemic: how the Italian public is being informed. Clin Microbiol Infect 2020; 26:791-792. [PMID: 32246996 PMCID: PMC7195308 DOI: 10.1016/j.cmi.2020.03.037] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/09/2020] [Revised: 03/21/2020] [Accepted: 03/28/2020] [Indexed: 11/28/2022]
Affiliation(s)
- G Antonelli
- Microbiology and Virology Laboratory, Department of Molecular Medicine, "Sapienza" University, Rome, Italy.
| | - M R Capobianchi
- Virology Laboratory, "Lazzaro Spallanzani" National Institute for Infectious Diseases, IRCCS, Rome, Italy
| | - E Riva
- Virology Laboratory, University Campus Bio-Medico of Rome, Italy
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22
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Concato C, Piccioni L, Ranno S, Antonelli F, Buonomini A, Coltella L, Pizzichemi G, Chiavelli S, Riva E. Comparison of the Allplex TM Respiratory Panel Assays and the automated Fast Track Diagnostics Respiratory pathogens 21 assay for the diagnosis of pediatric respiratory viral infections. Arch Virol 2020; 165:1191-1196. [PMID: 32232675 PMCID: PMC7105963 DOI: 10.1007/s00705-020-04593-8] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/30/2019] [Accepted: 02/17/2020] [Indexed: 11/29/2022]
Abstract
Acute respiratory tract infections frequently occur in children and represent one of the leading causes of morbidity and mortality worldwide. Quick and accurate pathogen detection can lead to a more appropriate use of antimicrobial treatment as well as timely implementation of isolation precautions. In the last decade, several commercial assays have been developed for the simultaneous diagnosis of respiratory pathogens, which substantially vary in formulation and performance characteristics. The aim of this study was to compare the performance of the “AllplexTM Respiratory Panel Assays” (Seegene) with that of the automated “Fast Track Diagnostics Respiratory pathogens 21” assay (Siemens) for the diagnosis of pediatric respiratory viral infections. One hundred forty-five nasopharyngeal wash samples, collected at the Bambino Gesù Pediatric Hospital in Rome during the fall-winter 2017-2018 season, were processed and analyzed with both workflows. Our results suggest a high concordance between the two methods for positive and negative samples. Sensitivity and specificity were calculated with both tests as a reference method. For the AllplexTM Respiratory Panel Assays, they were 98% and 100%, respectively, and for the Fast Track Diagnostics Respiratory pathogens 21 assay, they were both 100%. This comparative study allowed us to highlight the characteristics of the two assays to evaluate the best solution, on the basis of diagnostic routine and laboratory workflows, keeping in mind local epidemiology.
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Affiliation(s)
- C Concato
- UOC Microbiology, Virology and Parassitology, Bambino Gesù Children's Hospital, IRCCS, Rome, Italy
| | - Livia Piccioni
- UOC Microbiology, Virology and Parassitology, Bambino Gesù Children's Hospital, IRCCS, Rome, Italy.
| | - S Ranno
- UOC Microbiology, Virology and Parassitology, Bambino Gesù Children's Hospital, IRCCS, Rome, Italy
| | - F Antonelli
- Lab of Virology, Campus Bio-Medico University, Rome, Italy
| | - A Buonomini
- Lab of Virology, Campus Bio-Medico University, Rome, Italy
| | - L Coltella
- UOC Microbiology, Virology and Parassitology, Bambino Gesù Children's Hospital, IRCCS, Rome, Italy
| | - G Pizzichemi
- UOC Microbiology, Virology and Parassitology, Bambino Gesù Children's Hospital, IRCCS, Rome, Italy
| | - S Chiavelli
- UOC Microbiology, Virology and Parassitology, Bambino Gesù Children's Hospital, IRCCS, Rome, Italy
| | - E Riva
- Lab of Virology, Campus Bio-Medico University, Rome, Italy
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Tullo E, Mattachini G, Riva E, Finzi A, Provolo G, Guarino M. Effects of Climatic Conditions on the Lying Behavior of a Group of Primiparous Dairy Cows. Animals (Basel) 2019; 9:E869. [PMID: 31717823 PMCID: PMC6912646 DOI: 10.3390/ani9110869] [Citation(s) in RCA: 18] [Impact Index Per Article: 3.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/19/2019] [Revised: 10/14/2019] [Accepted: 10/23/2019] [Indexed: 11/18/2022] Open
Abstract
Currently, lying behavior can be assessed using continuous observations from sensors (e.g., accelerometers). The analysis of digital data deriving from accelerometers is an effective tool for studying livestock behaviors. Despite the large interest in the lying behavior of dairy cows, no reference was found in literature regarding the prediction of lying behavior as a function of the interaction of environmental parameters. The present study aimed to evaluate the influence of climatic conditions (temperature-humidity index, solar radiation, air velocity and rainfalls) on the lying behavior of a group of primiparous dairy cows, using data from accelerometers, and develop a prediction model to identify and predict the lying behavior of dairy cows as a function of the effects of environmental conditions. Results from the. GLM Procedure (SAS) showed that the model was highly significant (p < 0.001) and the r2 was 0.84. All of the effects in the model resulted in being highly significant (p < 0.001). This model, if validated properly, could be a valid early warning system to identify any deviation from the expected behavior, and to assess the effectiveness of thermal stress mitigation strategies.
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Affiliation(s)
- Emanuela Tullo
- Department of Environmental Science and Policy, Università degli Studi di Milano, 20133 Milano, Italy;
| | - Gabriele Mattachini
- Department of Agricultural and Environmental Sciences, Università degli Studi di Milano, 20133 Milano, Italy; (G.M.); (E.R.); (A.F.); (G.P.)
| | - Elisabetta Riva
- Department of Agricultural and Environmental Sciences, Università degli Studi di Milano, 20133 Milano, Italy; (G.M.); (E.R.); (A.F.); (G.P.)
| | - Alberto Finzi
- Department of Agricultural and Environmental Sciences, Università degli Studi di Milano, 20133 Milano, Italy; (G.M.); (E.R.); (A.F.); (G.P.)
| | - Giorgio Provolo
- Department of Agricultural and Environmental Sciences, Università degli Studi di Milano, 20133 Milano, Italy; (G.M.); (E.R.); (A.F.); (G.P.)
| | - Marcella Guarino
- Department of Environmental Science and Policy, Università degli Studi di Milano, 20133 Milano, Italy;
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Ceccarelli G, Cella E, Vita S, Lai A, Ebranati E, Zehender G, Fogolari M, Antonelli F, Luca Guarino MP, Riva E, Angeletti S, Ciccozzi M. A case of hepatitis B virus infection in Eritrean Diciotti migrant: phylogenetic analysis and ‘mirror effect’. Future Virol 2019. [DOI: 10.2217/fvl-2019-0034] [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: 11/21/2022]
Abstract
A case of hepatitis B virus (HBV) infection in an Eritrean migrant was described to provide an epidemiological approach based on phylogenetic analysis useful in developing countries with lacking information. Migrant, positive for HBsAg and HBeAg, carried HBV at high copy number. A sequence of HBV HBsAg region was used for phylogenetic relationships and genetic variability investigation. In the phylogenetic tree, the sequence corresponded to D2 HBV genotype and the cluster root dated 7 years ago. These data compared with the date of landing in Italy, suggest that he was infected at least 7 years before his arrival. This approach by ‘mirror effect’ allows the reconstruction of HBV epidemiology in the country of origin, analyzing the migrant population in the host country.
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Affiliation(s)
- Giancarlo Ceccarelli
- Migrant Health Research Organisation (Mi-HeRO) – Centro di Ricerca Sulla Salute delle Popolazioni Mobili e Globale, Italy
- Department of Public Health & Infectious Diseases, Sapienza University of Rome, Policlinico Umberto I, Rome, Italy
- Sanitary Bureau of Extraordinary Reception Center for ‘Mondo Migliore’ of Rocca di Papa, Rome, Italy; San Filippo Neri Coop. Soc. Onlus, Italy
| | - Eleonora Cella
- Unit of Medical Statistics & Molecular Epidemiology, University Campus Bio-medico of Rome, Italy
| | - Serena Vita
- Migrant Health Research Organisation (Mi-HeRO) – Centro di Ricerca Sulla Salute delle Popolazioni Mobili e Globale, Italy
- Infectious Diseases Unit, Ospedale S Maria Goretti, Latina, Italy
| | - Alessia Lai
- Department of Biomedical & Clinical ‘L Sacco’, University of Milan, Milan, Italy
| | - Erika Ebranati
- Department of Biomedical & Clinical ‘L Sacco’, University of Milan, Milan, Italy
| | | | - Marta Fogolari
- Unit of Clinical Laboratory Science, University Campus Bio-Medico of Rome, Italy
| | | | | | - Elisabetta Riva
- Unit of Virology, University Campus Bio-Medico of Rome, Italy
| | - Silvia Angeletti
- Unit of Clinical Laboratory Science, University Campus Bio-Medico of Rome, Italy
| | - Massimo Ciccozzi
- Unit of Medical Statistics & Molecular Epidemiology, University Campus Bio-medico of Rome, Italy
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Cattaneo M, Finzi A, Guido V, Riva E, Provolo G. Effect of ammonia stripping and use of additives on separation of solids, phosphorus, copper and zinc from liquid fractions of animal slurries. Sci Total Environ 2019; 672:30-39. [PMID: 30954821 DOI: 10.1016/j.scitotenv.2019.03.316] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/23/2019] [Revised: 03/20/2019] [Accepted: 03/20/2019] [Indexed: 06/09/2023]
Abstract
To increase the sustainable reuse of animal manure as fertiliser, in many cases suitable treatment techniques are needed to modify the composition and obtain a balanced nutrient content. This study was conducted to evaluate the best strategies to remove solids, P, Cu and Zn, using two additives Ca(OH)2 and Al2(SO4)3, in combination with an ammonia stripping process. The assessment was carried out on five type of liquid fractions derived from the mechanical separation of: raw pig slurry, pig digested slurry, pig digested slurry after ammonia stripping, pig and cattle digested slurry, pig and cattle digested slurry after ammonia stripping. After the addition of the chemicals, the liquid fractions were mixed and then separated using a static filter. The contents of total solids P, Cu and Zn were determined. The additives effectively improved separation efficiencies which depended on the type of slurry and additive used. The P separation efficiencies ranged from 72% to 93% using Al2(SO4)3, and from 20 to 74% using Ca(OH)2. The use of Al2(SO4)3 always had a more consistent effect on the removal efficiencies than Ca(OH)2. The ammonia stripping process, reducing the alkalinity of the digested liquid fractions, facilitated a higher concentration of elements in the separated fraction. With the addition of Al2(SO4)3 to digestate after stripping the concentration of P, Cu and Zn in the solid fraction generally increased when compared to the same liquid fraction without stripping. The addition of Ca(OH)2 might be effective in removing P before the stripping process with the additional benefit to raise pH and improve the ammonia removal efficiency. These findings indicate that solid-liquid separation of animal manure slurries, assisted by chemical additives and coupled with ammonia stripping, can be a viable option for improving the sustainable use of animal manure as a fertiliser.
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Affiliation(s)
- Martina Cattaneo
- Department of Agricultural and Environmental Sciences, University of Milan, Via G. Celoria, 2, 20133 Milano, Italy.
| | - Alberto Finzi
- Department of Agricultural and Environmental Sciences, University of Milan, Via G. Celoria, 2, 20133 Milano, Italy
| | - Viviana Guido
- Department of Agricultural and Environmental Sciences, University of Milan, Via G. Celoria, 2, 20133 Milano, Italy
| | - Elisabetta Riva
- Department of Agricultural and Environmental Sciences, University of Milan, Via G. Celoria, 2, 20133 Milano, Italy
| | - Giorgio Provolo
- Department of Agricultural and Environmental Sciences, University of Milan, Via G. Celoria, 2, 20133 Milano, Italy
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Riva E, Bove V, Villano F, Mori M, Córdoba C, Noria A, Petruskevicius P, Cardeza A, Díaz L. From guidelines to real world: results from the National Multiple Myeloma Registry in Uruguay on 222 newly diagnosed multiple myeloma patients from 2012 to 2015. Curr Med Res Opin 2019; 35:1197-1203. [PMID: 30621522 DOI: 10.1080/03007995.2019.1568091] [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] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
Abstract
Introduction: In the last decade, substantial improvements in the understanding of the biology of multiple myeloma and the development of novel therapeutic options have led to increased response rates, progression free survival and overall survival. In underdeveloped countries, it is a huge challenge to adapt for this evolution, both in diagnostic and therapeutic aspects. Methods: We conducted a retrospective, national analysis of all patients with newly diagnosed multiple myeloma in a recent period. Diagnostic and prognostic evaluation is carried out according to international recommendations in the majority of patients. Results: The clinical presentation at diagnosis is similar to those reported internationally, although with higher rates of anemia and severe renal failure. Most patients were diagnosed in advanced Durie-Salmon stage (80%), with high ISS score (48% ISS 3). Treatment, both in candidates and non-candidates for transplantation, is conditioned by a limited supply of possibilities, scarce availability of new drugs and absence of clinical trials. This determines lower results in response depth and survival. At 32 months, overall survival was 61.8%, with a statistical difference in favor of younger patients, standard-risk MM and those treated with novel drugs. No patient received antibacterial or antifungal prophylaxis while the majority received adequate antiviral prophylaxis. Infections were the main cause of death (29.7%), overcoming the disease itself. Conclusions: This analysis allows us to raise awareness about strengths and weaknesses in our management of MM patients. There is a need to promote earlier detection, improve supportive care and reduce infection mortality. Greater availability of evidence-based recommended treatment options is required. Access to clinical trials is warranted if care is to be improved.
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Affiliation(s)
- E Riva
- a Cátedra de Hematología , Hospital de Clínicas , Montevideo , Uruguay
- b Servicio de Hematología , Asociación Española Primera de Socorros Mutuos , Montevideo , Uruguay
- c Servicio de Hematología , Médica Uruguaya , Montevideo , Uruguay
- d Servicio de Hematología , Hospital Británico , Montevideo , Uruguay
| | - V Bove
- a Cátedra de Hematología , Hospital de Clínicas , Montevideo , Uruguay
- e Servicio de Hematología , Servicio Médico Integral , Montevideo , Uruguay
| | - F Villano
- a Cátedra de Hematología , Hospital de Clínicas , Montevideo , Uruguay
- f Servicio de Hematología , CASMU , Montevideo , Uruguay
| | - M Mori
- g Servicio de Hematología , Hospital Maciel , Montevideo , Uruguay
| | - C Córdoba
- h Servicio de Hematología , Asociación Médica de Salto , Salto , Uruguay
| | - A Noria
- i Departamento de Métodos Cuantitativos , Facultad de Medicina , Montevideo , Uruguay
| | - P Petruskevicius
- j Comisión Honoraria de Lucha Contra el Cáncer , Montevideo , Uruguay
| | - A Cardeza
- b Servicio de Hematología , Asociación Española Primera de Socorros Mutuos , Montevideo , Uruguay
| | - L Díaz
- a Cátedra de Hematología , Hospital de Clínicas , Montevideo , Uruguay
- e Servicio de Hematología , Servicio Médico Integral , Montevideo , Uruguay
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Spoto S, Valeriani E, Locorriere L, Anguissola GB, Pantano AL, Terracciani F, Riva E, Ciccozzi M, Costantino S, Angeletti S. Influenza B virus infection complicated by life-threatening pericarditis: a unique case-report and literature review. BMC Infect Dis 2019; 19:40. [PMID: 30630424 PMCID: PMC6327550 DOI: 10.1186/s12879-018-3606-7] [Citation(s) in RCA: 17] [Impact Index Per Article: 3.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/05/2018] [Accepted: 12/10/2018] [Indexed: 12/18/2022] Open
Abstract
Background Acute pericarditis may occur frequently after viral infections. To our knowledge, influenza B virus infection complicated by pericarditis without myocardial involvement has never been reported. We report the first case of life-threatening pericarditis caused by influenza B virus infection. Case presentation A 48-years-old woman with trisomy 21 and ostium primum atrial septal defect was transferred from Cardiology to our Internal Medicine Department for severe pericardial effusion unresponsive to ibuprofen and colchicine. Based on the recent patient history of flu-like syndrome, and presence of pleuro-pericardial effusion, a viral etiology was suspected. Laboratory evaluation and molecular assay of tracheal aspirate identified influenza B virus. Therefore, the ongoing metilprednisolone and colchicine therapy was implemented with oseltamivir with progressive patient improvement and no evidence of pericardial effusion recurrence during follow-up. Conclusions Especially in autumn and winter periods, clinicians should include Influenza B virus infection on differential diagnosis of pericarditis with large pericardial effusion.
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Affiliation(s)
- Silvia Spoto
- Internal Medicine Department, University Campus Bio-Medico of Rome, Italy, Via Alvaro del Portillo, 200, Rome, Italy.
| | - Emanuele Valeriani
- Internal Medicine Department, University G. D'Annunzio, Via dei Vestini, 31, Chieti, Italy
| | - Luciana Locorriere
- Internal Medicine Department, University Campus Bio-Medico of Rome, Italy, Via Alvaro del Portillo, 200, Rome, Italy
| | - Giuseppina Beretta Anguissola
- Internal Medicine Department, University Campus Bio-Medico of Rome, Italy, Via Alvaro del Portillo, 200, Rome, Italy
| | - Angelo Lauria Pantano
- Internal Medicine Department, University Campus Bio-Medico of Rome, Italy, Via Alvaro del Portillo, 200, Rome, Italy
| | - Francesca Terracciani
- Internal Medicine Department, University Campus Bio-Medico of Rome, Italy, Via Alvaro del Portillo, 200, Rome, Italy
| | - Elisabetta Riva
- Unit of Virology, University Campus Bio-Medico of Rome, Via Alvaro del Portillo, 200, Rome, Italy
| | - Massimo Ciccozzi
- Unit of Medical Statistic and Molecular Epidemiology, University Campus Bio-Medico of Rome, Via Alvaro del Portillo, 200, Rome, Italy
| | - Sebastiano Costantino
- Internal Medicine Department, University Campus Bio-Medico of Rome, Italy, Via Alvaro del Portillo, 200, Rome, Italy
| | - Silvia Angeletti
- Unit of Clinical Laboratory Science, University Campus Bio-Medico of Rome, Via Alvaro del Portillo, 200, Rome, Italy
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Cella E, Foley BT, Riva E, Scolamacchia V, Ceccarelli G, Vita S, Iannetta M, Ciardi MR, D'Ettorre G, Angeletti S, Ciccozzi M. HIV-2 Infection in a Migrant from Gambia: The History of the Disease Combined with Phylogenetic Analysis Revealed the Real Source of Infection. AIDS Res Hum Retroviruses 2018; 34:1090-1094. [PMID: 29954191 DOI: 10.1089/aid.2018.0112] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
Abstract
Human immunodeficiency virus type 2 (HIV-2) infection prevalence is increasing in some European countries. The increasing migratory flow from countries where HIV-2 is endemic has facilitated the spread of the virus into Europe and other regions. We describe a case of HIV-2 infection in a migrant individual in the Asylum Seekers Centre (ASC) in Italy. The patient's virus was sequenced and found to be a typical HIV-2 genotype A virus. Bayesian evolutionary analysis revealed that the HIV-2 sequence from migrant dated back to 1986 in a subcluster, including sequences from Guinea Bissau. This was coherent with the history of the migrant who lived in Guinea Bissau from his birth until 1998 when he was 13 years old. Monitoring for HIV-2 infection in migrants from western Africa is necessary using adequate molecular tools to improve the diagnosis and understand the real origin of infection.
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Affiliation(s)
- Eleonora Cella
- Unit of Medical Statistic and Moelcular Epidemiology, University Campus Bio-Medico, Rome, Italy
| | - Brian T. Foley
- HIV Databases, T-6, Los Alamos National Laboratory, Los Alamos, New Mexico
| | | | | | - Giancarlo Ceccarelli
- Department of Public Health and Infectious Diseases, Sapienza University of Rome, Rome, Italy
- Migrant Health Research Organisation (Mi-HeRO)—Centro di Ricerca sulla Salute delle Popolazioni Mobili e Globale, Rome, Italy
| | - Serena Vita
- Department of Public Health and Infectious Diseases, Sapienza University of Rome, Rome, Italy
- Migrant Health Research Organisation (Mi-HeRO)—Centro di Ricerca sulla Salute delle Popolazioni Mobili e Globale, Rome, Italy
| | - Marco Iannetta
- Department of Public Health and Infectious Diseases, Sapienza University of Rome, Rome, Italy
| | - Maria Rosa Ciardi
- Department of Public Health and Infectious Diseases, Sapienza University of Rome, Rome, Italy
| | - Gabriella D'Ettorre
- Department of Public Health and Infectious Diseases, Sapienza University of Rome, Rome, Italy
| | - Silvia Angeletti
- Unit of Clinical Laboratory Science, University Campus Bio-Medico, Rome, Italy
| | - Massimo Ciccozzi
- Unit of Medical Statistic and Moelcular Epidemiology, University Campus Bio-Medico, Rome, Italy
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Spoto S, Riva E, Fogolari M, Cella E, Costantino S, Angeletti S, Ciccozzi M. Diffuse maculopapular rash: A family cluster during the last Chikungunya virus epidemic in Italy. Clin Case Rep 2018; 6:2322-2325. [PMID: 30564322 PMCID: PMC6293132 DOI: 10.1002/ccr3.1831] [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] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/15/2018] [Revised: 08/29/2018] [Accepted: 09/01/2018] [Indexed: 11/24/2022] Open
Abstract
A family cluster of father, mother, and daughter with Chikungunya virus (CHIKV) infection was diagnosed during last epidemic in Italy. In temperate area, during the summer season, clinicians should consider CHIKV infection in the differential diagnosis of patients with fever, maculopapular rash, polyarthralgia, and conjunctival erythema.
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Affiliation(s)
- Silvia Spoto
- Internal Medicine DepartmentUniversity Campus Bio‐Medico of RomeRomeItaly
| | - Elisabetta Riva
- Unit of VirologyUniversity Campus Bio‐Medico of RomeRomeItaly
| | - Marta Fogolari
- Unit of Clinical Laboratory ScienceUniversity Campus Bio‐Medico of RomeRomeItaly
| | - Eleonora Cella
- Unit of Medical Statistics and Molecular EpidemiologyUniversity Campus Bio‐Medico of RomeRomeItaly
| | | | - Silvia Angeletti
- Unit of Clinical Laboratory ScienceUniversity Campus Bio‐Medico of RomeRomeItaly
| | - Massimo Ciccozzi
- Unit of Medical Statistics and Molecular EpidemiologyUniversity Campus Bio‐Medico of RomeRomeItaly
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De Florio L, Riva E, Giona A, Dedej E, Fogolari M, Cella E, Spoto S, Lai A, Zehender G, Ciccozzi M, Angeletti S. MALDI-TOF MS Identification and Clustering Applied to Enterobacter Species in Nosocomial Setting. Front Microbiol 2018; 9:1885. [PMID: 30154783 PMCID: PMC6102349 DOI: 10.3389/fmicb.2018.01885] [Citation(s) in RCA: 16] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/31/2018] [Accepted: 07/26/2018] [Indexed: 12/22/2022] Open
Abstract
Enterobacter microorganisms cause important bacterial infections in humans. Recently, carbapenem resistant isolates carrying the blaKPC gene were described and their clonal transmission in different nosocomial outbreaks reported. In this study, the relative numbers of Enterobacter species, their antimicrobial susceptibility along 3 years of observation and the identification ability of the two most common MALDI-TOF platforms were evaluated. A clustering analysis was performed to identify changes in the microbial population within the nosocomial environment. Enterobacter were identified using two platforms (MALDI-TOF Biotyper and VITEK MS). Antimicrobial susceptibility was tested by Vitek2 Compact and MIC50 and MIC90 was evaluated using GraphPad software. Clustering analysis was performed by MALDI-TOF and a dendrogram was built with both platforms and compared. The most frequent species isolated were Enterobacter cloacae and Enterobacter aerogenes with a gradual increase of Enterobacter asburiae in 2017. MALDI-TOF platforms showed a very good sensitivity and specificity except for E. asburiae identification that was reliable only by MALDI-TOF MS Biotyper. An increase of resistance for Enterobacter, confirmed by the isolation of extended spectrum beta-lactamase (ESBL) strains and the emergence of E. cloacae multidrug-resistant (MDR) and carbapenem resistant strains, was observed. A clonal route of transmission involving general surgery and geriatric wards was evidenced as previously described for Klebsiella pneumoniae MDR strains in the same nosocomial setting. These data represent an important source of information about the spreading of Enterobacter in the nosocomial environment.
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Affiliation(s)
- Lucia De Florio
- Unit of Clinical Laboratory Science, University Campus Bio-Medico of Rome, Rome, Italy
| | - Elisabetta Riva
- Unit of Virology, University Campus Bio-Medico of Rome, Rome, Italy
| | - Annalisa Giona
- Unit of Clinical Laboratory Science, University Campus Bio-Medico of Rome, Rome, Italy
| | - Etleva Dedej
- Unit of Clinical Laboratory Science, University Campus Bio-Medico of Rome, Rome, Italy
| | - Marta Fogolari
- Unit of Clinical Laboratory Science, University Campus Bio-Medico of Rome, Rome, Italy
| | - Eleonora Cella
- Unit of Medical Statistics and Molecular Epidemiology, University Campus Bio-Medico of Rome, Rome, Italy
| | - Silvia Spoto
- Internal Medicine Department, University Campus Bio-Medico of Rome, Rome, Italy
| | - Alessia Lai
- "L. Sacco" Department of Biomedical and Clinical Sciences, University of Milan, Milan, Italy
| | - Gianguglielmo Zehender
- "L. Sacco" Department of Biomedical and Clinical Sciences, University of Milan, Milan, Italy
| | - Massimo Ciccozzi
- Unit of Medical Statistics and Molecular Epidemiology, University Campus Bio-Medico of Rome, Rome, Italy
| | - Silvia Angeletti
- Unit of Clinical Laboratory Science, University Campus Bio-Medico of Rome, Rome, Italy
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Annibali O, Piccioni L, Tomarchio V, Circhetta E, Sarlo C, Franceschini L, Cantonetti M, Rizzo E, Angeletti S, Tirindelli MC, Scagnolari C, Statzu M, Avvisati G, Riva E. Impact of IFN lambda 3/4 single nucleotide polymorphisms on the cytomegalovirus reactivation in autologous stem cell transplant patients. PLoS One 2018; 13:e0200221. [PMID: 30036376 PMCID: PMC6056038 DOI: 10.1371/journal.pone.0200221] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/19/2018] [Accepted: 06/21/2018] [Indexed: 12/14/2022] Open
Abstract
Cytomegalovirus (CMV) infection represents one of the main cause mortality after Stem Cell Transplantation. Recently, a protective effect of the T allele of rs12979860 IL28B Single Nucleotide Polymorphisms (SNPs) against CMV infection in the allogenic stem cell transplantation was suggested. We investigate whether the rs12979860 IL28B SNP and the relative rs368234815 (IFNλ4) genotype may affect the incidence of active CMV infection in Autologous stem cell transplantation (Auto-SCT) setting. The study included 99 patients who underwent to Auto-SCT. IL28 and IFNΔ4 SNPs were correlated with CMV reactivation along with other clinical and treatment parameters. CMV reactivation by CMV DNAemia was evaluated once a week until day 100 from Auto-SCT. CMV reactivation was documented in 50% (TT-ΔG/ΔG), 35% (CC-TT/TT) and 29.2% (CT-TT/ΔG) of the patients respectively. No differences in CMV copies number were recorded at reactivation between different IL28/IFNλ4 genotypes. The analysis of patients older than 60 years showed a significantly higher incidence of active CMV infection in the TT-ΔG/ΔG (83%) population with respect to CC-TT/TT (21%) and CT-TT/ΔG (40%) patients. Our data suggest a negative role of TT-ΔG/ΔG genotype in the CMV reactivation in Auto-SCT. The exposure to rituximab and the pre-infusion presence of anti CMV IgG also significantly influenced CMV reactivation.
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Affiliation(s)
- Ombretta Annibali
- Unit of Hematology, Stem Cell Transplantation, Campus Bio-Medico University, Rome, Italy
| | - Livia Piccioni
- Laboratory of Virology, Campus Bio-Medico University, Rome, Italy
| | - Valeria Tomarchio
- Unit of Hematology, Stem Cell Transplantation, Campus Bio-Medico University, Rome, Italy
| | - Erika Circhetta
- Unit of Hematology, Stem Cell Transplantation, Campus Bio-Medico University, Rome, Italy
| | - Chiara Sarlo
- Unit of Hematology, Stem Cell Transplantation, Campus Bio-Medico University, Rome, Italy
| | - Luca Franceschini
- Hematology and Stem Cell Transplant Unit, Tor Vergata University, Rome, Italy
| | - Maria Cantonetti
- Hematology and Stem Cell Transplant Unit, Tor Vergata University, Rome, Italy
| | - Emanuela Rizzo
- Hematology and Stem Cell Transplant Unit, Tor Vergata University, Rome, Italy
| | - Silvia Angeletti
- Laboratory of Pathology and Microbiology, Campus Bio-Medico University, Rome, Italy
| | | | - Carolina Scagnolari
- Department of Molecular Medicine, Laboratory of Virology, “Sapienza” University, Rome, Italy
| | - Maura Statzu
- Department of Molecular Medicine, Laboratory of Virology, “Sapienza” University, Rome, Italy
| | - Giuseppe Avvisati
- Unit of Hematology, Stem Cell Transplantation, Campus Bio-Medico University, Rome, Italy
| | - Elisabetta Riva
- Laboratory of Virology, Campus Bio-Medico University, Rome, Italy
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Ciccozzi M, Riva E, Vita S, Cella E, Fogolari M, Spoto S, Lopalco M, Ceccarelli G, Angeletti S. An acute febrile outbreak in a refugee community of an Italian asylum seeker center: lessons learned. Public Health 2018; 163:16-19. [PMID: 30031836 PMCID: PMC7111893 DOI: 10.1016/j.puhe.2018.05.026] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/31/2018] [Revised: 05/18/2018] [Accepted: 05/18/2018] [Indexed: 11/28/2022]
Abstract
OBJECTIVES The management of infectious outbreaks in closed settings represents an important public health issue. An outbreak of acute febrile syndrome affecting 22 refugees resident at the Asylum Seekers Centre of Castelnuovo di Porto in Rome has been reported, and the preventive and control measures adopted have been described as an example of public health safety. METHODS Pharyngeal swab and whole-blood samples were collected from 22 cases observed and analyzed for standard bacterial cultures and respiratory and herpesviruses by qualitative CLART PneumoVir2 and Entherpex microarray. RESULTS A possible respiratory-transmitted etiology and a concomitant reactivation of multiple herpesviruses have been evidenced. The epidemiological investigation showed that the spread of the epidemic was promoted because patients were hosted in neighboring rooms or in the same room, facilitating the rapid spread of infectious disease. CONCLUSIONS The potential way of transmission was supposed, and preventive measures for infection control were adopted. The measures adopted are an example of best practice for outbreak management, and the microbiological surveillance is recommended for public health improvement.
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Affiliation(s)
- M Ciccozzi
- Unit of Medical Statistics and Molecular Epidemiology, University Campus Bio-Medico of Rome, Italy
| | - E Riva
- Unit of Virology, University Campus Bio-Medico of Rome, Italy
| | - S Vita
- Migrant and Global Health Research Organisation, Centro di Ricerca Sulla Salute Globale e Delle Popolazioni Mobili (Mi-Hero), Italy
| | - E Cella
- Unit of Medical Statistics and Molecular Epidemiology, University Campus Bio-Medico of Rome, Italy
| | - M Fogolari
- Unit of Clinical Laboratory Science, University Campus Bio-Medico of Rome, Italy
| | - S Spoto
- Internal Medicine Department, University Campus Bio-Medico of Rome, Italy
| | - M Lopalco
- Sanitary Bureau of Asylum Seekers Center of Castelnuovo di Porto, Rome, Italy; Auxilium Società Cooperativa Sociale, Senise (PZ), Italy
| | - G Ceccarelli
- Migrant and Global Health Research Organisation, Centro di Ricerca Sulla Salute Globale e Delle Popolazioni Mobili (Mi-Hero), Italy; Sanitary Bureau of Asylum Seekers Center of Castelnuovo di Porto, Rome, Italy; Auxilium Società Cooperativa Sociale, Senise (PZ), Italy; Department of Public Health and Infectious Diseases, University of Rome Sapienza, Italy
| | - S Angeletti
- Unit of Clinical Laboratory Science, University Campus Bio-Medico of Rome, Italy.
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Cella E, Riva E, Angeletti S, Fogolari M, Blasi A, Scolamacchia V, Spoto S, Bazzardi R, Lai A, Sagnelli C, Sagnelli E, Ciccozzi M. Genotype I hepatitis A virus introduction in Italy: Bayesian phylogenetic analysis to date different epidemics. J Med Virol 2018; 90:1493-1502. [PMID: 29738070 DOI: 10.1002/jmv.25220] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.0] [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: 02/08/2018] [Accepted: 04/03/2018] [Indexed: 01/05/2023]
Abstract
Despite a significant decrease in acute hepatitis A in the last 2 decades in Italy, outbreaks were observed occurring mostly in southern Italy. In this study, Bayesian phylogenetic analysis was used to analyze the origin of these epidemics. With this aim, 5 different data sets of hepatitis A virus sequences were built to perform genotyping by the neighbor-joining method to estimate the evolutionary rates by using a Bayesian Markov chain Monte Carlo approach and to investigate the demographic history by independent Markov chain Monte Carlo runs enforcing both a strict and relaxed clock. The estimated mean value of the evolutionary rate, representing Ia and Ib strains, was 1.21 × 10-3 and 2.0 × 10-3 substitutions/site/year, respectively. The Bayesian maximum clade credibility tree of hepatitis A virus (HAV) Ia and Ib strains showed that Italian sequences mostly formed separate clusters. The root of the time for the most recent common ancestor (tMRCA) for HAV Ia and Ib strains dated back to 1981 and to 1988, respectively, showing in both cases different epidemic entrances. Phylodynamic analysis showed that genotype Ia increased in 1997, when the Apulia epidemic started, then suffered a bottleneck, probably consequent to vaccination and to the herd immunity, followed by a new increase in virus population in the years 2013-2014 consequent to the epidemic caused by the ingestion of mixed frozen berries. A similar trend without an evident bottleneck was observed also in the case of genotype Ib. In conclusion, the Bayesian phylogenetic analysis represents a good tool to measure the effectiveness of the public health plans used for HAV control.
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Affiliation(s)
- Eleonora Cella
- Unit of Medical Statistics and Molecular Epidemiology, University Campus Bio-Medico of Rome, Rome, Italy
| | - Elisabetta Riva
- Unit of Virology, University Campus Bio-Medico of Rome, Rome, Italy
| | - Silvia Angeletti
- Unit of Clinical Laboratory Science, University Campus Bio-Medico of Rome, Rome, Italy
| | - Marta Fogolari
- Unit of Clinical Laboratory Science, University Campus Bio-Medico of Rome, Rome, Italy
| | - Aletheia Blasi
- Unit of Clinical Laboratory Science, University Campus Bio-Medico of Rome, Rome, Italy
| | - Vittoria Scolamacchia
- Unit of Clinical Laboratory Science, University Campus Bio-Medico of Rome, Rome, Italy
| | - Silvia Spoto
- Internal Medicine Department, University Campus Bio-Medico of Rome, Rome, Italy
| | - Riccardo Bazzardi
- Dipartimento di Igiene degli Alimenti, Istituto Zooprofilattico Sperimentale della Sardegna, Sassari, Italy
| | - Alessia Lai
- Department of Biomedical and Clinical Sciences L. Sacco, University of Milan, Milan, Italy
| | - Caterina Sagnelli
- Department of Mental Health and Public Medicine, Section of Infectious Diseases, University of Campania Luigi Vanvitelli, Naples, Italy
| | - Evangelista Sagnelli
- Department of Mental Health and Public Medicine, Section of Infectious Diseases, University of Campania Luigi Vanvitelli, Naples, Italy
| | - Massimo Ciccozzi
- Unit of Medical Statistics and Molecular Epidemiology, University Campus Bio-Medico of Rome, Rome, Italy
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Musto P, Anderson KC, Attal M, Richardson PG, Badros A, Hou J, Comenzo R, Du J, Durie BGM, San Miguel J, Einsele H, Chen WM, Garderet L, Pietrantuono G, Hillengass J, Kyle RA, Moreau P, Lahuerta JJ, Landgren O, Ludwig H, Larocca A, Mahindra A, Cavo M, Mazumder A, McCarthy PL, Nouel A, Rajkumar SV, Reiman A, Riva E, Sezer O, Terpos E, Turesson I, Usmani S, Weiss BM, Palumbo A. Second primary malignancies in multiple myeloma: an overview and IMWG consensus. Ann Oncol 2018; 29:1074. [PMID: 28541409 DOI: 10.1093/annonc/mdx160] [Citation(s) in RCA: 12] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
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Proietti M, Galbusera AA, Tettamant M, Recchia A, Riva E, Lip GYH, Mannucci PM, Nobili A, Lucca U. 49Atrial Fibrillation and Dementia in the Oldest Old: An Analysis from the Population-Based Study 'Monzino-80 Plus'. Europace 2018. [DOI: 10.1093/europace/euy015.011] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Affiliation(s)
- M Proietti
- IRCCS - Istituto di Ricerche Farmacologiche Mario Negri, Milan, Italy
| | - A A Galbusera
- IRCCS - Istituto di Ricerche Farmacologiche Mario Negri, Milan, Italy
| | - M Tettamant
- IRCCS - Istituto di Ricerche Farmacologiche Mario Negri, Milan, Italy
| | - A Recchia
- IRCCS - Istituto di Ricerche Farmacologiche Mario Negri, Milan, Italy
| | - E Riva
- IRCCS - Istituto di Ricerche Farmacologiche Mario Negri, Milan, Italy
| | - GYH Lip
- University of Birmingham, Institute of Cardiovascular Sciences, Birmingham, United Kingdom
| | - P M Mannucci
- IRCCS Fondazione Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy
| | - A Nobili
- IRCCS - Istituto di Ricerche Farmacologiche Mario Negri, Milan, Italy
| | - U Lucca
- IRCCS - Istituto di Ricerche Farmacologiche Mario Negri, Milan, Italy
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Ceccarelli G, Vita S, Riva E, Cella E, Lopalco M, Antonelli F, De Cesaris M, Fogolari M, Dicuonzo G, Ciccozzi M, Angeletti S. Susceptibility to measles in migrant population: implication for policy makers. J Travel Med 2018; 25:4711101. [PMID: 29232456 DOI: 10.1093/jtm/tax080] [Citation(s) in RCA: 24] [Impact Index Per Article: 4.0] [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: 07/06/2017] [Accepted: 11/13/2017] [Indexed: 12/26/2022]
Abstract
BACKGROUND Despite a large measles outbreak is taking place in WHO European region, currently no data are available on measles immunization coverage in the asylum seeker and migrants hosted in this area. METHODS Two hundred and fifty-six migrants upon their arrival in Italy on March, April and May 2016 were screened for measles virus IgG antibodies by chemiluminescence immunoassay (Liaison XL analyzer, Diasorin, Italy). The virus susceptibility in this cohort, the differences between the official country reported and the observed measles immunization coverage and the impact of current measles outbreak on the asylum seekers hosted in the largest Asylum Seeker centres of Italy, were evaluated. RESULTS The prevalence of subjects with positive result for measles IgG antibodies ranged between 79.9% and 100%. In Senegal, Mali, Nigeria, Pakistan and Bangladesh, the measles IgG seroprevalence observed was greater than the vaccinal coverage reported by WHO after I dose of vaccine. Based on data regarding the II dose coverage, the ASs population presented a seroprevalence greater to that expected. CONCLUSION On the basis of the results obtained, extraordinary screening and vaccination campaigns in the migrant population, especially in the course of large outbreaks, could represent a resource to reach an adequate measles immunization coverage and to control this infectious disease.
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Affiliation(s)
- Giancarlo Ceccarelli
- Department of Public Health and Infectious Diseases, University of Rome Sapienza, Piazzale Aldo Moro 5, 00185 Roma, Italy.,Migrant and Global Health Research Organisation, Centro di ricerca sulla salute globale e delle popolazioni mobili (Mi-Hero), Via del Pigneto 3, 00176 Roma, Italy.,Sanitary Bureau of Asylum Seekers Center of Castelnuovo di Porto, Via della Circonvallazione della Protezione Civile 1, 00100 Rome, Italy.,Auxilium Società Cooperativa Sociale, Senise (PZ), Italy
| | - Serena Vita
- Department of Public Health and Infectious Diseases, University of Rome Sapienza, Piazzale Aldo Moro 5, 00185 Roma, Italy.,Migrant and Global Health Research Organisation, Centro di ricerca sulla salute globale e delle popolazioni mobili (Mi-Hero), Via del Pigneto 3, 00176 Roma, Italy.,Sanitary Bureau of Asylum Seekers Center of Castelnuovo di Porto, Via della Circonvallazione della Protezione Civile 1, 00100 Rome, Italy.,Auxilium Società Cooperativa Sociale, Senise (PZ), Italy
| | - Elisabetta Riva
- Clinical Laboratory Science Unit, University Campus Bio-Medico of Rome, Via Alvaro del Portillo 200, 00128 Roma, Italy
| | - Eleonora Cella
- Department of Public Health and Infectious Diseases, University of Rome Sapienza, Piazzale Aldo Moro 5, 00185 Roma, Italy.,Sanitary Bureau of Asylum Seekers Center of Castelnuovo di Porto, Via della Circonvallazione della Protezione Civile 1, 00100 Rome, Italy.,Auxilium Società Cooperativa Sociale, Senise (PZ), Italy
| | - Maurizio Lopalco
- Sanitary Bureau of Asylum Seekers Center of Castelnuovo di Porto, Via della Circonvallazione della Protezione Civile 1, 00100 Rome, Italy.,Auxilium Società Cooperativa Sociale, Senise (PZ), Italy
| | - Francesca Antonelli
- Clinical Laboratory Science Unit, University Campus Bio-Medico of Rome, Via Alvaro del Portillo 200, 00128 Roma, Italy
| | - Marina De Cesaris
- Clinical Laboratory Science Unit, University Campus Bio-Medico of Rome, Via Alvaro del Portillo 200, 00128 Roma, Italy
| | - Marta Fogolari
- Clinical Laboratory Science Unit, University Campus Bio-Medico of Rome, Via Alvaro del Portillo 200, 00128 Roma, Italy
| | - Giordano Dicuonzo
- Clinical Laboratory Science Unit, University Campus Bio-Medico of Rome, Via Alvaro del Portillo 200, 00128 Roma, Italy
| | - Massimo Ciccozzi
- Clinical Laboratory Science Unit, University Campus Bio-Medico of Rome, Via Alvaro del Portillo 200, 00128 Roma, Italy
| | - Silvia Angeletti
- Clinical Laboratory Science Unit, University Campus Bio-Medico of Rome, Via Alvaro del Portillo 200, 00128 Roma, Italy
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Cella E, Riva E, Salemi M, Spoto S, Vita S, Fogolari M, Angeletti S, Ciccozzi M. The new Chikungunya virus outbreak in Italy possibly originated from a single introduction from Asia. Pathog Glob Health 2017; 112:93-95. [PMID: 29182057 DOI: 10.1080/20477724.2017.1406565] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022] Open
Affiliation(s)
- Eleonora Cella
- a Unit of Clinical of Laboratory Science , University Campus Bio-Medico of Rome , Rome , Italy.,b Public Health and Infectious Diseases , Sapienza University , Rome , Italy
| | - Elisabetta Riva
- c Unit of Virology , University Campus Bio-Medico of Rome , Rome , Italy
| | - Marco Salemi
- d Department of Pathology, Immunology and Laboratory Science, College of Medicine , University of Florida , Gainesville , FL , USA
| | - Silvia Spoto
- e Internal Medicine Department , University Campus Bio-Medico of Rome , Rome , Italy
| | - Serena Vita
- b Public Health and Infectious Diseases , Sapienza University , Rome , Italy
| | - Marta Fogolari
- a Unit of Clinical of Laboratory Science , University Campus Bio-Medico of Rome , Rome , Italy
| | - Silvia Angeletti
- a Unit of Clinical of Laboratory Science , University Campus Bio-Medico of Rome , Rome , Italy
| | - Massimo Ciccozzi
- a Unit of Clinical of Laboratory Science , University Campus Bio-Medico of Rome , Rome , Italy
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Fiel C, Steffan P, Muchiut S, Fernández A, Bernat G, Riva E, Lloberas M, Almada A, Homer D. An attempt to replace an ivermectin-resistant Cooperia spp. population by a susceptible one on grazing pastures based on epidemiological principles and refugia management. Vet Parasitol 2017; 246:53-59. [DOI: 10.1016/j.vetpar.2017.08.026] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/20/2017] [Revised: 08/23/2017] [Accepted: 08/24/2017] [Indexed: 11/17/2022]
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Provolo G, Perazzolo F, Mattachini G, Finzi A, Naldi E, Riva E. Nitrogen removal from digested slurries using a simplified ammonia stripping technique. Waste Manag 2017; 69:154-161. [PMID: 28801215 DOI: 10.1016/j.wasman.2017.07.047] [Citation(s) in RCA: 38] [Impact Index Per Article: 5.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/05/2017] [Revised: 07/04/2017] [Accepted: 07/31/2017] [Indexed: 05/24/2023]
Abstract
This study assessed a novel technique for removing nitrogen from digested organic waste based on a slow release of ammonia that was promoted by continuous mixing of the digestate and delivering a continuous air stream across the surface of the liquid. Three 10-day experiments were conducted using two 50-L reactors. In the first two, nitrogen removal efficiencies were evaluated from identical digestates maintained at different temperatures (30°C and 40°C). At the start of the first experiment, the digestates were adjusted to pH 9 using sodium hydroxide, while in the second experiment pH was not adjusted. The highest ammonia removal efficiency (87%) was obtained at 40°C with pH adjustment. However at 40°C without pH adjustment, removal efficiencies of 69% for ammonia and 47% for total nitrogen were obtained. In the third experiment two different digestates were tested at 50°C without pH adjustment. Although the initial chemical characteristics of the digestates were different in this experiment, the ammonia removal efficiencies were very similar (approximately 85%). Despite ammonia removal, the pH increased in all experiments, most likely due to carbon dioxide stripping that was promoted by temperature and mixing. The technique proved to be suitable for removing nitrogen following anaerobic digestion of livestock manure because effective removal was obtained at natural pH (≈8) and 40°C, common operating conditions at typical biogas plants that process manure. Furthermore, the electrical energy requirement to operate the process is limited (estimated to be 3.8kWhm-3digestate). Further improvements may increase the efficiency and reduce the processing time of this treatment technique. Even without these advances slow-rate air stripping of ammonia is a viable option for reducing the environmental impact associated with animal manure management.
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Affiliation(s)
- Giorgio Provolo
- Department of Agricultural and Environmental Sciences, Universitá degli Studi di Milano, Via Celoria 2, 20133 Milano, Italy.
| | - Francesca Perazzolo
- Department of Agricultural and Environmental Sciences, Universitá degli Studi di Milano, Via Celoria 2, 20133 Milano, Italy.
| | - Gabriele Mattachini
- Department of Agricultural and Environmental Sciences, Universitá degli Studi di Milano, Via Celoria 2, 20133 Milano, Italy.
| | - Alberto Finzi
- Department of Agricultural and Environmental Sciences, Universitá degli Studi di Milano, Via Celoria 2, 20133 Milano, Italy.
| | - Ezio Naldi
- Department of Agricultural and Environmental Sciences, Universitá degli Studi di Milano, Via Celoria 2, 20133 Milano, Italy.
| | - Elisabetta Riva
- Department of Agricultural and Environmental Sciences, Universitá degli Studi di Milano, Via Celoria 2, 20133 Milano, Italy.
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Dianzani C, Paolini F, Conforti C, Riva E, Beninati E, Venuti A. Human papilloma virus expression in immunocompetent patients with actinic keratosis: A case series. J Am Acad Dermatol 2017; 77:770-772. [DOI: 10.1016/j.jaad.2017.05.035] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/09/2017] [Revised: 05/12/2017] [Accepted: 05/22/2017] [Indexed: 01/01/2023]
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Perazzolo F, Mattachini G, Riva E, Provolo G. Nutrient Losses during Winter and Summer Storage of Separated and Unseparated Digested Cattle Slurry. J Environ Qual 2017; 46:879-888. [PMID: 28783782 DOI: 10.2134/jeq2016.07.0274] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/07/2023]
Abstract
Management factors affect nutrient loss during animal manure slurry storage in different ways. We conducted a pilot-scale study to evaluate carbon (C) and nitrogen (N) losses from unseparated and digested dairy slurry during winter and summer storage. In addition to season, treatments included mechanical separation of digestate into liquid and solid fractions and bimonthly mixing. Chemical analyses were performed every 2 wk for the mixed materials and at the start and end of storage for unmixed materials. The parameters examined allowed us to estimate C and N losses and examine the factors that determine these losses as well as emission patterns. Gas measurements were done every 2 wk to determine the main forms in which gaseous losses occurred. To evaluate the effect of separation, measured losses and emissions of separated liquid and solid fractions were mathematically combined using the mass separation efficiency of the mechanical separator. Nutrient losses were mainly affected by climatic conditions. Losses of C (up to 23%) from unseparated, unmixed digestate and of N (38% from combined separated fractions and from unseparated digestate) were much greater in summer than in winter, when C and N losses were <7%. Mixing tended to significantly increase N losses ( < 0.1) only in winter. Mechanical separation resulted in lower GHG emissions from combined separated fractions than from unseparated digestate. Results indicate that to maximize the fertilizer value of digested slurry, dairy farmers must carefully choose management practices, especially in summer. For separated digestates, practices should focus on storage of the liquid fraction, the major contributor of C and N losses (up to 64 and 90% of total losses, respectively) in summer. Moreover, management practices should limit NH, the main form of N losses (up to 99.5%).
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Musto P, Anderson K, Attal M, Richardson P, Badros A, Hou J, Comenzo R, Du J, Durie B, San Miguel J, Einsele H, Chen W, Garderet L, Pietrantuono G, Hillengass J, Kyle R, Moreau P, Lahuerta J, Landgren O, Ludwig H, Larocca A, Mahindra A, Cavo M, Mazumder A, McCarthy P, Nouel A, Rajkumar S, Reiman A, Riva E, Sezer O, Terpos E, Turesson I, Usmani S, Weiss B, Palumbo A. Second primary malignancies in multiple myeloma: an overview and IMWG consensus. Ann Oncol 2017; 28:228-245. [DOI: 10.1093/annonc/mdw606] [Citation(s) in RCA: 74] [Impact Index Per Article: 10.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/05/2023] Open
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Gruszfeld D, Weber M, Gradowska K, Socha P, Grote V, Xhonneux A, Dain E, Verduci E, Riva E, Closa-Monasterolo R, Escribano J, Koletzko B. Association of early protein intake and pre-peritoneal fat at five years of age: Follow-up of a randomized clinical trial. Nutr Metab Cardiovasc Dis 2016; 26:824-832. [PMID: 27212617 DOI: 10.1016/j.numecd.2016.04.005] [Citation(s) in RCA: 18] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/26/2015] [Revised: 03/03/2016] [Accepted: 04/01/2016] [Indexed: 11/26/2022]
Abstract
BACKGROUND AND AIMS The double-blind randomized European Childhood Obesity Project (CHOP) demonstrated that reduced protein content in infant formula leads to a lower body mass index (BMI) up to six years of age. Here we aimed at assessing pre-peritoneal fat, a marker of visceral fat, in children participating in the CHOP trial. METHODS AND RESULTS Healthy term formula-fed infants in five European countries were randomized either to higher (n = 550) or lower (n = 540) protein formulas in the first year of life. Infants who were exclusively breastfed for at least three months (n = 588) were enrolled as an observational (non randomized) group. At age 5 years, subcutaneous fat (SC) and pre-peritoneal fat (PP) were measured by ultrasound in a subgroup of 275 children. The PP fat layer was thicker in the higher compared to the lower protein group (adjusted estimated difference: 0.058 cm, 95%CI 0.002; 0.115; p = 0.043), while SC fat was not different. Girls showed a thicker SC fat layer than boys. CONCLUSIONS Higher protein intake in formula-fed infants appears to enhance pre-peritoneal fat tissue accumulation at the age of 5 years, but not of subcutaneous fat, which may trigger adverse metabolic and health consequences.
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Affiliation(s)
- D Gruszfeld
- Children's Memorial Health Institute, Warsaw, Poland.
| | - M Weber
- Dr. von Hauner Children's Hospital, University of Munich Medical Centre, Munich, Germany
| | - K Gradowska
- Children's Memorial Health Institute, Warsaw, Poland
| | - P Socha
- Children's Memorial Health Institute, Warsaw, Poland
| | - V Grote
- Dr. von Hauner Children's Hospital, University of Munich Medical Centre, Munich, Germany
| | - A Xhonneux
- CHC Saint Vincent, Liège-Rocourt, Belgium
| | - E Dain
- University Children's Hospital Queen Fabiola, ULB, Brussels, Belgium
| | - E Verduci
- San Paolo Hospital, University of Milan, Italy
| | - E Riva
- San Paolo Hospital, University of Milan, Italy
| | | | - J Escribano
- Universitat Rovira i Virgili, IISPV, Reus, Spain
| | - B Koletzko
- Dr. von Hauner Children's Hospital, University of Munich Medical Centre, Munich, Germany
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Vespasiani-Gentilucci U, Gallo P, Porcari A, Carotti S, Galati G, Piccioni L, De Vincentis A, Dell'Unto C, Vorini F, Morini S, Riva E, Picardi A. The PNPLA3 rs738409 C > G polymorphism is associated with the risk of progression to cirrhosis in NAFLD patients. Scand J Gastroenterol 2016; 51:967-73. [PMID: 27150500 DOI: 10.3109/00365521.2016.1161066] [Citation(s) in RCA: 16] [Impact Index Per Article: 2.0] [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] [Indexed: 02/04/2023]
Abstract
BACKGROUND AND AIMS The patatin-like phospholipase domain-containing 3 (PNPLA3) rs738409 C > G single nucleotide polymorphism (SNP) has been associated with steatosis and fibrosis in previous NAFLD populations in which cirrhotic patients were very poorly represented. Since not all NAFLD with fibrosis evolve to cirrhosis, we investigated the specific risk of cirrhosis conferred in NAFLD patients by carrying this SNP. METHODS Three groups were studied: patients with NASH-cirrhosis; patients with biopsy-proven non-cirrhotic NAFLD; healthy subjects undergoing medicine check-ups. Epidemiological, anthropometric, and clinical data were collected, and the SNP was analyzed by pyrosequencing. RESULTS Sixty-one patients with NASH-cirrhosis, 60 with non-cirrhotic NAFLD, and 125 healthy controls were included. Frequency of the PNPLA3 minor (G) allele was increased in patients with NASH-cirrhosis compared with non-cirrhotic NAFLD and controls (allele frequency: 0.598 versus 0.367 versus 0.2, respectively, p < 0.001), and different between the latter two groups (p < 0.001). Three-quarters (74%) of NASH cirrhotics carried at least one G allele, and almost half of them (46%) were GG homozygous. By multivariate analysis in the NAFLD population, each copy of the G allele was associated with an almost doubling of the risk of cirrhosis [OR 1.8 (1.02-3.2)], while being GG homozygous with a tripled risk compared with being CC homozygous [3.01 (1.03-10.8)]. CONCLUSIONS In NAFLD patients, carriage of the PNPLA3G allele, and particularly of the GG genotype, is significantly associated with the risk of cirrhotic evolution. If confirmed in larger series, these results would suggest that most of NASH cases require the contribution of an altered PNPLA3 function to progress until cirrhosis.
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Affiliation(s)
| | - Paolo Gallo
- a Internal Medicine and Hepatology Unit , University Campus Bio-Medico , Rome , Italy
| | - Aldostefano Porcari
- a Internal Medicine and Hepatology Unit , University Campus Bio-Medico , Rome , Italy
| | - Simone Carotti
- b Laboratory of Microscopic and Ultrastructural Anatomy, CIR , University Campus Bio-Medico , Rome , Italy
| | - Giovanni Galati
- a Internal Medicine and Hepatology Unit , University Campus Bio-Medico , Rome , Italy
| | - Livia Piccioni
- c Virology Unit , University Campus Bio-Medico , Rome , Italy
| | - Antonio De Vincentis
- a Internal Medicine and Hepatology Unit , University Campus Bio-Medico , Rome , Italy
| | - Chiara Dell'Unto
- a Internal Medicine and Hepatology Unit , University Campus Bio-Medico , Rome , Italy
| | - Ferruccio Vorini
- a Internal Medicine and Hepatology Unit , University Campus Bio-Medico , Rome , Italy
| | - Sergio Morini
- b Laboratory of Microscopic and Ultrastructural Anatomy, CIR , University Campus Bio-Medico , Rome , Italy
| | - Elisabetta Riva
- c Virology Unit , University Campus Bio-Medico , Rome , Italy
| | - Antonio Picardi
- a Internal Medicine and Hepatology Unit , University Campus Bio-Medico , Rome , Italy
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Provolo G, Finzi A, Perazzolo F, Mattachini G, Riva E. Effect of a Biological Additive on Nitrogen Losses from Pig Slurry during Storage. J Environ Qual 2016; 45:1460-1465. [PMID: 27380098 DOI: 10.2134/jeq2015.10.0503] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/06/2023]
Abstract
Additives applied to animal manure slurries can affect the chemical composition and the biological processes of slurries during storage, with possible improvement of their management and reduction of environmental problems. Some new formulations are marketed claiming a nitrogen (N) removal effect due to denitrification, with the consequence of a reduced N content in the manure after storage. This study evaluated the effects of one of these commercial additives (BACTYcomplex) on slurry characteristics and N losses at a commercial piggery. The additive was applied to four different sectors of the piggery, each with an independent under-floor slurry pit; four other sectors served as controls without treatment. Pits were emptied every 4 wk, and the manure was analyzed for total and ammonia-N and total and volatile solids. Slurry samples from the last month of the on-farm assessment were removed and stored thermostatically in vessels external to the piggery. A subsample of slurry that was treated with the additive at the piggery was treated with an additional dose of additive at the beginning of long-term storage. The additive did not change the composition of the slurry during in-house storage (4 wk duration). During the 155 d of external thermostatic storage, the total solids content of treated slurry was reduced by 18% compared with control slurry, but the N content and composition of treated slurry was unaffected. The additive had a positive effect in accelerating the stabilization of the slurry but did not modify N losses.
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Mazzuti L, Lozzi MA, Riva E, Maida P, Falasca F, Antonelli G, Turriziani O. Evaluation of performances of VERSANT HCV RNA 1.0 assay (kPCR) and Roche COBAS AmpliPrep/COBAS TaqMan HCV test v2.0 at low level viremia. New Microbiol 2016; 39:224-227. [PMID: 27284986] [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] [Subscribe] [Scholar Register] [Received: 09/07/2016] [Accepted: 09/07/2016] [Indexed: 06/06/2023]
Abstract
We assess the concordance between low level HCV values obtained using the VERSANT HCV RNA 1.0 Assay (kPCR) and COBAS AmpliPrep/COBAS TaqMan HCV Quantitative Test v2.0. The correlation between the values obtained by the two RT-PCR assays for samples with quantifiable HCV RNA levels revealed that viral load measured by kPCR significantly correlated with that of the CAP/CTM (R=0.644, P<0.0001). The results show a good concordance (n=126/144, 87%); discordant results were mainly observed in the assessment of values below the lower limit of detection of the assays. These variations may have an impact on clinical decisions for patients on HCV triple therapy or interferon- free regimens. It is therefore recommended to monitor individual patients with the same test throughout treatment.
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Affiliation(s)
- Laura Mazzuti
- Department of Molecular Medicine, Sapienza University of Rome, Italy
| | | | | | - Paola Maida
- Department of Molecular Medicine, Sapienza University of Rome, Italy
| | - Francesca Falasca
- Department of Molecular Medicine, Sapienza University of Rome, Italy
| | - Guido Antonelli
- Department of Molecular Medicine, Sapienza University of Rome, Italy
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Scaglioni S, Sala M, Stival G, Giroli M, Raimondi C, Salvioni M, Radaelli G, Agostoni C, Riva E, Giovannini M. Dietary Glycemic Load and Macronutrient Intake in Healthy Italian Children. Asia Pac J Public Health 2016; 17:88-92. [PMID: 16425651 DOI: 10.1177/101053950501700205] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/02/2023]
Abstract
The objective is of this study is to examine the relationship of dietary glycemic load (GL) and overall glycemic index (OGI) with macronutrients intake, body mass index (BMI) and insulin sensitivity in healthy children. The subjects comprised of 105 healthy non-obese eight -years old children, 60 boys and 45 girls. A Food Frequency Questionnaire (FFQ) evaluating dietary habits, GL and OGI. Insulin sensitivity was evaluated by the homeostatic model assessment (HOMA). GL was positively associated with dietary total (correlation coefficient, r=0.57) and starch (r=0.67) carbohydrates, daily consumption of pasta and white bread, cooked potatoes, bakery products and cookies, and negatively with dietary fats (r=-0.52). OGI was positively associated with daily consumption of white bread and cookies, and negatively associated with soluble carbohydrates (r=-0.35), and consumption of fibres, proteins, fruit, legumes and carrots. No significant association was found of GL or OGI with BMI or insulin sensitivity. In healthy children, GL and OGI may represent a useful indicator of quality of diet. Asia Pac J Public Health 2005; 17(2): 88-92.
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Affiliation(s)
- S Scaglioni
- Department of Pediatrics, San Paolo Hospital, University of Milan, Milan, Italy.
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Abstract
Hyperphenylalaninaemia (HPA) is an inherited disorder that results in raised plasma phenylalanine levels with a range of severities, including phenylketonuria (PKU). Since the first attempts at treatment using a low-phenylalanine diet and after more than 50 years of research, considerable progress has been made so we are now at a stage where mental retardation caused by high plasma phenylalanine can be prevented. We must, however, be aware of the new challenges we face in managing PKU. These include: maintaining optimal growth by providing enough phenylalanine without jeopardizing the child's psychomotor development; providing an optimal nutritional status that ensures other essential nutrients, such as long chain polyunsaturated fatty acids, are not excluded from the diet; ensuring optimal compliance to the dietary intervention; and considering patients' quality of life. New strategies, such as tetrahydrobiopterin (BH4) supplementation, need to be evaluated with regard to safety, efficacy and expected outcomes in specific types of HPA.
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Affiliation(s)
- M Giovannini
- Department of Paediatrics, San Paolo Hospital, University of Milan, Milan, Italy
| | - E Riva
- Department of Paediatrics, San Paolo Hospital, University of Milan, Milan, Italy
| | - E Salvatici
- Department of Paediatrics, San Paolo Hospital, University of Milan, Milan, Italy
| | - L Fiori
- Department of Paediatrics, San Paolo Hospital, University of Milan, Milan, Italy
| | - S Paci
- Department of Paediatrics, San Paolo Hospital, University of Milan, Milan, Italy
| | - E Verduci
- Department of Paediatrics, San Paolo Hospital, University of Milan, Milan, Italy
| | - C Agostoni
- Department of Paediatrics, San Paolo Hospital, University of Milan, Milan, Italy
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Zuccotti GV, Salvini F, Riva E, Agostoni C. Oral Lactoferrin in HIV-1 Vertically Infected Children: An Observational Follow-up of Plasma Viral Load and Immune Parameters. J Int Med Res 2016; 34:88-94. [PMID: 16604828 DOI: 10.1177/147323000603400111] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
Abstract
Lactoferrin (LF) is a mammalian iron-binding glycoprotein with antiviral effects. This preliminary study evaluated 6 months' LF (3 g/day, orally) treatment in 22 human immunodeficiency virus type 1 (HIV-1) vertically infected children. Plasma viral load and CD4+ cell counts were assessed every 3 months; before, during and after LF administration. No significant changes were observed during the pre-treatment period. By 6 months, mean (± SD) plasma viral load (log10) declined from 4.54 (± 0.65) to 4.28 (± 0.60); median percentage CD4+ cell count increased from 21.5% to 24.5%. Two months after treatment discontinuation, mean plasma viral load did not differ significantly from baseline or month 6 levels, but the percentage CD4+ cell count remained significantly higher than the baseline value. LF plus antiretroviral (ARV) therapy was more effective at increasing CD4+ cell count than LF alone. None of the patients showed any new HIV-1-related symptoms at follow-up. LF might be a useful addition to ARV therapy, but further large-scale studies are required.
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Affiliation(s)
- G V Zuccotti
- Department of Paediatrics, University of Milan, 'L. Sacco' Hospital, Milan, Italy.
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Zuccotti GV, Salvini F, Farina F, Agostoni C, Riva E, Giovannini M. Longitudinal Long-term Follow-up Study of Children with Vertically Acquired Hepatitis C Virus Infection. J Int Med Res 2016; 34:215-22. [PMID: 16749418 DOI: 10.1177/147323000603400212] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/18/2022] Open
Abstract
Seventeen children with vertically acquired hepatitis C virus (HCV) infection were followed from birth for a mean of 104 months. Alanine aminotransferase (ALT) levels were increased significantly at 3 and 6 months of age but were stable thereafter. HCV polymerase chain reaction was positive at 3 months in 16 patients and at 12 months in one patient. Viral load remained stable during follow-up at a mean value of 5.4 ± 0.4 log10. Mild chronic hepatitis was the most common histopathological feature on liver biopsy, occurring in six of the seven children biopsied at a mean age of 4.0 ± 2.4 years. Genotype did not seem to be related to the type of liver involvement. The results of this study suggest that vertically acquired HCV infection has a benign course in children, despite the presence of viraemia and persistent alterations in ALT levels.
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Affiliation(s)
- G V Zuccotti
- Department of Paediatrics, L. Sacco Hospital, University of Milan, Italy.
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