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Spirito F, Dioguardi M, Caponio VC, Ambrosino M, Lo Muzio E, Lo Muzio L. Oral lichen planus in children: A systematic review. Med Oral Patol Oral Cir Bucal 2024; 29:e152-e162. [PMID: 38288854 PMCID: PMC10945876 DOI: 10.4317/medoral.25938] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/26/2023] [Accepted: 11/27/2023] [Indexed: 03/03/2024] Open
Abstract
BACKGROUND Oral Lichen Planus is a common chronic inflammatory disease of the oral mucosa. The prevalence in adults ranges between 0.5% and 2%, while in children is reported to be about 0,03%. Clinical features of Oral Lichen Planus could be variable in both adults and children, ranging from painless white hyperkeratotic lesions to painful erythematous atrophic ones. Actually, there are no systematic reviews in the literature on OLP in children, whereby this paper aims to summarize all the pathophysiological aspects and identify all cases described in the literature of Oral Lichen Planus in children, reporting their clinical characteristics. MATERIAL AND METHODS A systematic review of the literature was performed in online databases including PubMed, Scopus, Web of Science, Science Direct, EMBASE. In addition, in order to identify reports not otherwise identifiable, an analysis of the gray literature was performed on google scholar and in Open Gray. RESULTS By literature analysis, it emerged that most cases were reported from India. The mean age at time of diagnosis of the disease was 11 years, ranging from 3 to 17 years. The most frequent pattern was the reticular pattern followed by plaque-like, erosive, atrophic, sclerosus, and bullous. The buccal mucosa was the most involved oral site, followed by the tongue, lips and gingiva. CONCLUSIONS Although Oral Lichen Planus in children is rare, it may cause oral discomfort and need to be differentiated from other oral white lesions and/or chronic ulcers.
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Affiliation(s)
- F Spirito
- Department of Clinical and Experimental Medicine University of Foggia, Via Rovelli 50 71122, Foggia, Italy
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Ballini A, Cantore S, Serretiello E, Troiano G, Smimmo A, Dioguardi M, Spirito F, Sasso FC, De Vito D, Lo Muzio L, Di Domenico M. Multiparametric correlation of laboratory biomarkers to multiorgan failure outcome in hospitalized COVID-19 patients: a retrospective observational study. Eur Rev Med Pharmacol Sci 2023; 27:8962-8974. [PMID: 37782206 DOI: 10.26355/eurrev_202309_33817] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 10/03/2023]
Abstract
OBJECTIVE COVID-19 is an extremely contagious illness caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), that will keep broadly circulating and evolving. Collected evidence revealed the clinical profile of COVID-19 patients as a potential predictor of their outcome. The aim of this study was to investigate the causal relationship between poor outcomes and laboratory parameters in hospitalized COVID-19 patients, in this sense observing how SARS-CoV-2 infection affects other organs. PATIENTS AND METHODS We retrospectively evaluated a cohort of 133 patients, positive for SARS-CoV-2, aged between 30 to 94 years, between January 12th and April 25th, 2021. Discharge from the hospital, transferral to the ordinary ward or nursing home, intensive care unit (ICU) admission, and in-hospital mortality were recorded, along with demographic, laboratory and clinical parameters. The whole sample was summarized by median (interquartile range) for quantitative data, and absolute and relative percentage frequencies for qualitative variables. Univariable logistic regression models were performed to assess the association between all the parameters of interest and COVID-19 adverse outcomes, single (in-hospital mortality) and composite (in-hospital mortality and ICU admission). Hence, a multivariable model was fitted to identify potential independent predictors of the composite outcome. The accuracy of the model was assessed through appropriate fitting indices, such as the C-statistic and Hosmer-Lemeshow test. Moreover, to detect multicollinearity, the variance inflation factor (VIF) was used. RESULTS Our study sample had a median age of 72 years old (59.0-83.0). The most common comorbidities were hypertension (63.7%), cardiovascular disease (41.9%), diabetes (33.6%), and cerebrovascular disease (21.5%); while as the most common symptoms, we observed dry cough (32.5%), dyspnoea (50.8%), and fatigue (29.8%). Totally, 18 patients died during hospitalization (13.5%), 10 required ICU admission (7.5%), 78 (58.6%) were discharged from the hospital, and 27 (20.3%) were transferred to either ordinary wards or nursing homes. We disclosed an association of older age with both composite [OR 1.06, 95% CI 1.02-1.09; p=0.003] and single outcome [OR 1.10, 95% CI 1.04-1.16; p=0.001]. A higher oxygen saturation (SpO2) was associated with a better outcome [OR 0.75, 95% CI 0.60-0.93; p=0.009 and OR 0.76, 95% CI 0.61-0.95, p=0.009]. Among laboratory parameters, higher levels of neutrophils increased the risk of a poor outcome [OR 1.05, 95% CI 1.00-1.10; p=0.043]; while higher levels of lymphocytes seem associated with a better outcome [OR 0.94, 95% CI 0.88-0.99; p=0.043]. Higher levels of creatinine were associated with a higher risk of both adverse outcomes [OR 6.20, 95% CI 2.16-17.81; p<0.001 and OR 19.90, 95% CI 5.07-78.06; p<0.001, respectively]. Higher levels of sodium (Na) were associated with a higher risk of adverse events [OR 1.15, 95% CI 1.03-1.28; p=0.014 and OR 1.14, 95% CI 1.01-1.27]. Similar findings were also observed for C-reactive protein (CRP) levels [OR 1.01, 95% CI 1.00-1.02; p=0.010 and OR 1.01, 95% CI 1.00-1.02; p=0.024]. Conversely, being positive to IgM and IgG decreases the risk of adverse outcomes [IgM: OR 0.33, 95% CI 0.14-0.77; p=0.011 and OR 0.23, 95% CI 0.08-0.66; p=0.006. IgG: OR 0.30 95% CI 0.13-0.72; p=0.007 and OR 0.22 95% CI 0.07-0.66; p=0.007]. Hence, a multivariable model was fitted to identify potential independent laboratory predictors of the composite outcome, with laboratory parameters that showed an association with composite outcome. The model can be considered accurate according to LH-Test and C-statistic [p>0.83, C-stat=0.90]. CONCLUSIONS Our findings confirm that COVID-19 is a multiorgan disease. In fact, the analysis of laboratory parameters has revealed a strong relationship between poorer outcomes and multiple organ dysfunction, particularly established by higher levels of neutrophils, creatinine, sodium, and CRP. Alongside, cerebrovascular diseases, chronic kidney disease and older age supported this finding. Of note, higher levels of SpO2, and lymphocytes, as well as positivity to IgM and IgG were associated with a lower risk of a poor outcome.
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Affiliation(s)
- A Ballini
- Department of Clinical and Experimental Medicine, University of Foggia, Foggia, Italy.
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3
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Dioguardi M, Di Cosola M, Copelli C, Cantore S, Quarta C, Nitsch G, Sovereto D, Spirito F, Caloro GA, Cazzolla AP, Aiuto R, Cascardi E, Greco Lucchina A, Lo Muzio L, Ballini A, Mastrangelo F. Oral bisphosphonate-induced osteonecrosis complications in patients undergoing tooth extraction: a systematic review and literature updates. Eur Rev Med Pharmacol Sci 2023; 27:6359-6373. [PMID: 37458653 DOI: 10.26355/eurrev_202307_32996] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 07/20/2023]
Abstract
OBJECTIVE Bisphosphonates, the most common anti-resorptive medications, are internalized by osteoclasts, where they inhibit the macrophage colony-stimulating factor (M-CSF) pathway, preventing their differentiation, inhibiting anchorage to the cell membrane, and inducing apoptosis. In patients undergoing oral bisphosphonate therapy, oral surgery involves a high risk of developing drug-related osteonecrosis of the jaws (BRONJ/MRONJ), among the possible complications. MATERIALS AND METHODS A systematic search was carried out on the PubMed, Scopus and Cochrane Library search engines, using the keywords "oral bisphosphonates AND tooth extraction", "third molar extraction AND oral bisphosphonates". In addition, we manually evaluated the articles included in references from other sources and an analysis of the Gray Literature was performed. A secondary outcome was to evaluate the assessment of pharmacological (antibiotics) use in the BRONJ/MRONJ management. The revision protocol followed the indications of the Cochrane Handbook, and was registered in the INPLASY database, while the drafting of the manuscript was based on PRISMA. RESULTS The results of the systematic review, after the study identification and selection process, included a total of 7 studies: 4 retrospective studies, 2 prospective studies and 1 case report. The main complication was represented by osteonecrosis of the jaws, which appears to be related to the duration of treatment with bisphosphonates; in addition, data regarding the anatomical location of post-extraction sites, the sex and age of patients, comorbidities and various systemic risk factors were extrapolated. The most frequent post-extraction complication in patients treated with oral bisphosphonates is osteonecrosis of the jaws, with a significant prevalence in the posterior region of the mandible. In some cases, delayed healing of the surgical wound was also found; moreover, the duration of exposure to oral bisphosphonates influences the onset of complications. CONCLUSIONS Ongoing studies continue to unravel the role of the oral environment response in alveolar bone homeostasis and how it might contribute to the induction of BRONJ/MRONJ. Approaching the problem from this perspective could provide new directions for the prevention of BRONJ/MRONJ and expand our understanding of the unique oral microenvironment.
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Affiliation(s)
- M Dioguardi
- Department of Clinical and Experimental Medicine, University of Foggia, Foggia, Italy.
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4
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Lacarbonara M, Cazzolla AP, Lacarbonara V, Lo Muzio L, Ciavarella D, Testa NF, Crincoli V, Di Venere D, De Franco A, Tripodi D, Grassi FR, Capogreco M. Prosthetic rehabilitation of maxillary lateral incisors agenesis using dental mini-implants: a multicenter 10-year follow-up. Clin Oral Investig 2021; 26:1963-1974. [PMID: 34564740 PMCID: PMC8816522 DOI: 10.1007/s00784-021-04176-0] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/25/2020] [Accepted: 09/01/2021] [Indexed: 11/28/2022]
Abstract
Objectives Implants are used to replace congenitally missing lateral incisors but often the space across the alveolar crest is too narrow to permit their use. This multicenter study (Dental Clinic of the University of Foggia, Odontostomatology Clinic of the University of L’Aquila) evaluated the efficacy of mini-implants in cases of maxillary lateral incisor agenesis with severe osseous atrophy in 10-year follow-up. Materials and methods Forty-seven mini-implants have been inserted in 35 patients affected by lateral incisors agenesis (23 single and 12 bilateral ageneses). All patients underwent orthodontic opening of the space of the upper lateral incisors. After the insertion of the implants, the immediate, non-functional loading, positioning of crowns, presence of pain during percussion and mini-implant function, horizontal and vertical movement when a force of 5 N was applied, ridge loss, and plaque index have been evaluated 1 month after loading, 1 year after loading, and then every 5 years in the following 10 years. Little’s test was used to evaluate the assumption that data of loss to follow-up implants are missing completely at random (MCAR) and that a complete-case scenario could be adopted. Wilcoxon test was carried out to look statistically significant differences between the various parameters resulting in the complete-case scenario and those assumed for the worst scenario. The software R (v. 3.6.1, 2019) was employed to perform the statistical analysis. Results The results obtained over 10 years range from 89% of success rate in a worst-case scenario to the 100% using a complete-case analysis with satisfactory values of marginal bone resorption and good conditions of the peri-implant tissue. Ten-year follow-up using complete-case analysis shows survival rates of 100% for implants with no signs of peri-implantitis, stability of the marginal bone levels and soft tissue around the dental implants. Conclusions The data collected show very good implant stability, absence of progressive peri-implantitis, and satisfactory aesthetical results in time (no signs of infraocclusion). Clinical relevance Mini-implants can be considered a valid and stable over time solution in the restorative treatment of maxillary lateral incisors agenesis.
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Affiliation(s)
- M Lacarbonara
- Department of Life, Health and Environmental Sciences, Dental Clinic, University of L'Aquila, L'Aquila, Italy
| | - A P Cazzolla
- Department of Clinical and Experimental Medicine, University of Foggia, Foggia, Italy
| | - V Lacarbonara
- Interdisciplinary Department of Medicine, University of Bari, Bari, Italy
| | - L Lo Muzio
- Department of Clinical and Experimental Medicine, University of Foggia, Foggia, Italy
| | - D Ciavarella
- Department of Clinical and Experimental Medicine, University of Foggia, Foggia, Italy.
| | - N F Testa
- Department of Clinical and Experimental Medicine, University of Foggia, Foggia, Italy
| | - V Crincoli
- Department of Basic Medical Sciences, Neurosciences and Sensory Organs, University of Bari, Bari, Italy
| | - D Di Venere
- Interdisciplinary Department of Medicine, University of Bari, Bari, Italy
| | - A De Franco
- Interdisciplinary Department of Medicine, University of Bari, Bari, Italy
| | - D Tripodi
- Department of Medical, Oral and Biotechnological Sciences, University of Chieti-Pescara, Chieti, Italy
| | - F R Grassi
- Department of Basic Medical Sciences, Neurosciences and Sensory Organs, University of Bari, Bari, Italy
| | - M Capogreco
- Department of Life, Health and Environmental Sciences, Dental Clinic, University of L'Aquila, L'Aquila, Italy
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5
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Mastrangelo F, Scacco S, Ballini A, Quaresima R, Gnoni A, De Vito D, Scarano A, Dipalma G, Gargiulo Isacco C, Cantore S, Coscia MF, Pettini F, Sammartino G, Cicciù M, Conti P, Lo Muzio L. A pilot study of human mesenchymal stem cells from visceral and sub-cutaneous fat tissue and their differentiation to osteogenic phenotype. Eur Rev Med Pharmacol Sci 2020; 23:2924-2934. [PMID: 31002143 DOI: 10.26355/eurrev_201904_17572] [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] [Subscribe] [Scholar Register] [Indexed: 11/12/2022]
Abstract
OBJECTIVE To evaluate the different behavior of two different human adult adipocytes derived stem cells (hASCs) during proliferation and osteogenic differentiation. PATIENTS AND METHODS Human adult adipocytes stem cells (hAT-SCs) from visceral (hAV-SCs) and subcutaneous (hAS-SCs) sites were obtained after surgery procedures of seven patients. All samples were fully investigated and the different proliferation rates were evaluated. All MSCs clusters were cultured with an osteogenic and adipogenic differentiation medium. Homogeneous pools of Mesenchymal Stem Cells (MSCs) were confirmed by Flow-Cytometry Analysis (FACS) and Spectrophotometric Assay. The differentiated cells were eventually assessed for the expression of Alkaline Phosphatase (ALP), Alizarin Red (AR) and Oil Red-O (OR-O) detection, and analyzed by the Spectrophotometric Assay. After osteogenic differentiation, the cell clusters were incubated and analyzed with Real Time-Polymerase Chain Reaction (qRT-PCR) and fluorescence microscopy. RESULTS The FACS analysis performed on hAT-SCs confirmed the homogenous presence of MSCs in all samples. The ALP, AR stain confirmed the osteogenic differentiation capacity of MSCs towards osteoblast-like-cells. The colorimetric cell metabolic activity (MTS) assay showed an increase in the proliferation rate with different values in both sets hAS-SCs vs. hAV-SCs. CONCLUSIONS These in vitro findings of both hAS-SCs and hAV-SCs suggested an important role of these stem cells for future clinical use in bone regeneration. Indeed, the final outcomes suggested a better performance of cells coming from subcutaneous adipose tissue vs. those from visceral fat tissue.
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Affiliation(s)
- F Mastrangelo
- Department of Clinical and Experimental Medicine, University of Foggia, Foggia, Italy.
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Mascitti M, Barlattani A, Togni L, Sampalmieri F, Favia G, Lo Muzio L, Santarelli A. Noma: a reappraisal in Western countries - are HIV-negative immunocompetent adult patients safe? J BIOL REG HOMEOS AG 2019; 33:957-961. [PMID: 31184103] [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] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 06/09/2023]
Abstract
Noma is an ancient Greek term referring to a gangrenous disease that destroys soft and hard tissues of oral and perioral structures. This disease has been known since ancient times and persisted in Europe until World War 2, while in the present day it is almost exclusively found in sub-Saharan Africa.
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Affiliation(s)
- M Mascitti
- Department of Clinical Specialistic and Dental Sciences, Marche Polytechnic University, Ancona, Italy
| | - A Barlattani
- Department of Clinical Sciences and Translational Medicine, Tor Vergata University, Roma, Italy
| | - L Togni
- Department of Clinical Specialistic and Dental Sciences, Marche Polytechnic University, Ancona, Italy
| | - F Sampalmieri
- Department of Clinical Specialistic and Dental Sciences, Marche Polytechnic University, Ancona, Italy
| | - G Favia
- Department of Interdisciplinary Medicine, Complex Operating Unit of Odontostomatology, "Aldo Moro" University, Bari, Italy
| | - L Lo Muzio
- Department of Clinical and Experimental Medicine, University of Foggia, Foggia, Italy
| | - A Santarelli
- Department of Clinical Specialistic and Dental Sciences, Marche Polytechnic University, Ancona, Italy
- National Institute of Health and Science of Aging, INRCA, Ancona, Italy
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Frassanito MA, Saltarella I, Vinella A, Muzio LL, Pannone G, Fumarulo R, Vacca A, Mariggiò MA. Survivin overexpression in head and neck squamous cell carcinomas as a new therapeutic target (Review). Oncol Rep 2019; 41:2615-2624. [PMID: 30896830 DOI: 10.3892/or.2019.7082] [Citation(s) in RCA: 12] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/30/2018] [Accepted: 03/13/2019] [Indexed: 11/06/2022] Open
Abstract
Head and neck squamous cell carcinoma (HNSCC) is the sixth most commonly diagnosed cancer worldwide. It has poor clinical outcome due to intrinsic or acquired drug resistance. Deregulation of both apoptosis and autophagy contributes to chemotherapy resistance and disease progression. A new member of the inhibitors of apoptosis protein (IAP) family, namely survivin, is selectively overexpressed in tumors, including HNSCC, but not in normal tissues. Thus, it is considered a tumor biomarker. Here, we reviewed survivin expression and function in tumor progression focusing on its nodal role in the regulation of cell apoptosis and autophagy. Based on literature data, survivin targeting may be envisaged as a novel therapeutic strategy.
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Affiliation(s)
- M A Frassanito
- Department of Biomedical Sciences and Human Oncology, Unit of General Pathology, University of Bari Aldo Moro, I‑70124 Bari, Italy
| | - I Saltarella
- Department of Biomedical Sciences and Human Oncology, Unit of Internal Medicine and Clinical Oncology, University of Bari Aldo Moro, I‑70124 Bari, Italy
| | - A Vinella
- Department of Biomedical Sciences and Human Oncology, Unit of General Pathology, University of Bari Aldo Moro, I‑70124 Bari, Italy
| | - L Lo Muzio
- Department of Clinical and Experimental Medicine, University of Foggia, I‑70121 Foggia, Italy
| | - G Pannone
- Department of Clinical and Experimental Medicine, University of Foggia, I‑70121 Foggia, Italy
| | - R Fumarulo
- Department of Biomedical Sciences and Human Oncology, Unit of General Pathology, University of Bari Aldo Moro, I‑70124 Bari, Italy
| | - A Vacca
- Department of Biomedical Sciences and Human Oncology, Unit of Internal Medicine and Clinical Oncology, University of Bari Aldo Moro, I‑70124 Bari, Italy
| | - M A Mariggiò
- Department of Biomedical Sciences and Human Oncology, Unit of General Pathology, University of Bari Aldo Moro, I‑70124 Bari, Italy
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8
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Boschini L, Tepedino M, Melillo M, Mastrangelo F, Laurenziello M, Chimenti C, Lo Muzio L, Ciavarella D. Autotransplantation of an impacted maxillary canine with complete root formation in a young female – a case report. ACTA ACUST UNITED AC 2018. [DOI: 10.1111/ors.12393] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
Affiliation(s)
| | - M. Tepedino
- Department of Biotechnological and Applied Clinical Sciences University of L'Aquila L'Aquila Italy
| | - M. Melillo
- Department of Clinical and Experimental Medicine University of Foggia Foggia Italy
| | - F. Mastrangelo
- Department of Clinical and Experimental Medicine University of Foggia Foggia Italy
| | - M. Laurenziello
- Department of Clinical and Experimental Medicine University of Foggia Foggia Italy
| | - C. Chimenti
- Department of Biotechnological and Applied Clinical Sciences University of L'Aquila L'Aquila Italy
| | - L. Lo Muzio
- Department of Clinical and Experimental Medicine University of Foggia Foggia Italy
| | - D. Ciavarella
- Department of Clinical and Experimental Medicine University of Foggia Foggia Italy
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9
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Zanna M, Mascitti M, Coccia E, Lo Muzio L, Santarelli A. Spider Zygoma: a new implant rehabilitation technique for atrophic maxilla. J BIOL REG HOMEOS AG 2018; 32:1605-1608. [PMID: 30574773] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 06/09/2023]
Abstract
OAtrophic maxilla is a challenge in dental implant surgery, and new strategies are needed. We present a new minimally-invasive approach, called "Spider Zygoma", consisting of implant-supported prosthesis with the addition of customized maxillofacial plates and screws on surface of zygomatic bone. A 3D-model of the edentulous upper jaw was used as preoperative model. Two customized bone plates were created and used as guide for placement of implants and zygomatic screws. Although this is only a pilot study, this new surgical technique seems to be safe and accurate, confirmed by the maintenance of good aesthetic and functional results after 5-year follow-up.
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Affiliation(s)
- M Zanna
- "Casa di cura E. Montanari" Private Hospital, Morciano di Romagna, Italy
| | - M Mascitti
- Department of Clinical Specialistic and Dental Sciences, Marche Polytechnic University, Ancona, Italy
| | - E Coccia
- Department of Clinical Specialistic and Dental Sciences, Marche Polytechnic University, Ancona, Italy
| | - L Lo Muzio
- Department of Clinical and Experimental Medicine, University of Foggia, Foggia, Italy
| | - A Santarelli
- Department of Clinical Specialistic and Dental Sciences, Marche Polytechnic University, Ancona, Italy
- National Institute of Health and Science of Aging, INRCA, Ancona, Italy
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10
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Lo Muzio L, Arena C, Troiano G, Villa A. Oral stomatitis and mTOR inhibitors: A review of current evidence in 20,915 patients. Oral Dis 2018; 24:144-171. [PMID: 29480626 DOI: 10.1111/odi.12795] [Citation(s) in RCA: 12] [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] [Subscribe] [Scholar Register] [Received: 10/01/2017] [Revised: 10/06/2017] [Accepted: 10/09/2017] [Indexed: 01/08/2023]
Abstract
BACKGROUND Traditional treatment of malignancies with chemotherapeutic agents is often affected by the damage inflicted on non-cancerous cells. Toxicities of the oral cavity, such as mucositis and stomatitis, are some of the most significant and unavoidable toxicities associated with anti-cancer therapies. For such reason, in the last decades, newer targeted agents have been developed aiming to decrease the rates of side effects on healthy cells. Unfortunately, targeted anti-cancer therapies also showed significant rate of toxicity on healthy tissues. mTOR inhibitors showed some adverse events, such as hyperglycemia, hyperlipidemia, hypophosphatemia, hematologic toxicities, and mucocutaneous eruption, but the most important are still stomatitis and skin rash, often reported as dose-limiting side effects. PATIENTS AND METHODS A search of the literature was performed by authors on the PubMed online database using the following key words: "sirolimus" OR "everolimus" OR "temsirolimus" OR "deforolimus" OR "ridaforolimus" combined with the Boolean operator AND with the terms: "stomatitis" OR "mucositis" OR "oral pain." Titles and abstracts of 382 potentially relevant studies were screened; of these, 114 studies were excluded because they did not report the inclusion criteria. In the second round, 268 studies were read full-text, but only 135 reported the inclusion criteria and were included for data extraction. Of the included studies, 95 referred to everolimus use, 16 to ridaforolimus, and 26 to temsirolimus (two studies referred to both everolimus and temsirolimus). RESULTS The incidence rate of stomatitis according to the agent used was 25.07% (3,959/15,787) for everolimus, 27.02% (724/2,679) for temsirolimus, and 54.76% (598/1,092) for ridaforolimus. All the three agents analyzed showed high rates of low-grade stomatitis (G1-G2), while the onset of severe stomatitis (G3-G4) was rare. CONCLUSIONS Analysis of the reports with patients treated with everolimus, temsirolimus, and ridaforolimus showed a clear prevalence of stomatitis grade 1 or 2. These data differ from that of patients treated with conventional chemotherapy in which mucositis is predominantly of grade 3 or 4.
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Affiliation(s)
- L Lo Muzio
- Department of Clinical and Experimental Medicine, Foggia University, Foggia, Italy
| | - C Arena
- Department of Clinical and Experimental Medicine, Foggia University, Foggia, Italy
| | - G Troiano
- Department of Clinical and Experimental Medicine, Foggia University, Foggia, Italy
| | - A Villa
- Division of Oral Medicine and Dentistry, Brigham and Women's Hospital, Boston, MA, USA
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11
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Cazzolla AP, Zhurakivska K, Ciavarella D, Lacaita MG, Favia G, Testa NF, Marzo G, La Carbonara V, Troiano G, Lo Muzio L. Primary hyperoxaluria: Orthodontic management in a pediatric patient: A case report. SPECIAL CARE IN DENTISTRY 2018; 38:259-265. [DOI: 10.1111/scd.12302] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/28/2018] [Revised: 04/16/2018] [Accepted: 05/25/2018] [Indexed: 12/15/2022]
Affiliation(s)
- A. P. Cazzolla
- Department of Odontostomatology and Surgery; University of Bari; Bari Italy
| | - K. Zhurakivska
- Department of Clinical and Experimental Medicine; University of Foggia; Foggia Italy
| | - D. Ciavarella
- Department of Odontostomatology and Surgery; University of Bari; Bari Italy
| | - M. G. Lacaita
- Department of Odontostomatology and Surgery; University of Bari; Bari Italy
| | - G. Favia
- Department of Odontostomatology and Surgery; University of Bari; Bari Italy
| | - N. F. Testa
- Department of Clinical and Experimental Medicine; University of Foggia; Foggia Italy
| | - G. Marzo
- Department of Life; Health and Environmental Sciences; Dental Clinic; University of L'Aquila; L'Aquila Italy
| | - V. La Carbonara
- Department of Odontostomatology and Surgery; University of Bari; Bari Italy
| | - G. Troiano
- Department of Clinical and Experimental Medicine; University of Foggia; Foggia Italy
| | - L. Lo Muzio
- Department of Clinical and Experimental Medicine; University of Foggia; Foggia Italy
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12
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Ardito F, Perrone D, Giuliani M, Testa NF, Muzio LL. Effects of Curcumin on Squamous Cell Carcinoma of Tongue: An In Vitro Study. Curr Top Med Chem 2018; 18:233-243. [PMID: 29651934 DOI: 10.2174/1568026618666180412153824] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.7] [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: 02/01/2018] [Revised: 03/02/2018] [Accepted: 04/05/2018] [Indexed: 11/22/2022]
Abstract
BACKGROUND The Squamous Cell Carcinoma of the Tongue (TSCC) is the most frequent cancer of oral cavity often characterized by poor prognosis. Conventional therapies are not very efficient and often may cause serious side effects. In this context, introduction of natural substances as possible adjuvant in the treatment and prevention of cancer is becoming a relevant topic. In fact, curcumin has been used for decades in Chinese traditional medicine for its beneficial effects. Curcumin has anticancer properties in many tumors however, its action on the tongue carcinoma is not entirely clear and many other investigations are necessary. OBJECTIVE Curcumin seems to be a good adjuvant in the treatment of head and neck tumors. However, these studies are generic and there are not many specific studies on TSCC, the most frequent and most aggressive cancer of the head-neck region. Our goal is to demonstrate its effectiveness also for TSCC. METHODS In this study, we evaluated the effects of curcumin on TSCC cells using different concentrations (1, 5, 10, 20 and 50 µM) and 3 different treatment times (24, 48 and 72 hours). The inhibition of adhesion, proliferation, viability, migration and apoptosis was studied. RESULTS IC50 value of curcumin is about 10 µM and there have been inhibitory effects even for treatments at low concentrations. Curcumin reduces migration and progression of TSCC cells and it promotes apoptosis and inhibits tumorigenesis. CONCLUSIONS These results suggest the possible use of curcumin as an anti-cancer agent in TSCC. However, in vivo studies are needed to confirm these effects and overcome its low bioavailability.
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Affiliation(s)
- F Ardito
- Department of Clinical and Experimental Medicine, Foggia University, Foggia, Italy
| | - D Perrone
- Department of Clinical and Experimental Medicine, Foggia University, Foggia, Italy
| | - M Giuliani
- Department of Clinical and Experimental Medicine, Foggia University, Foggia, Italy
| | - N F Testa
- Department of Clinical and Experimental Medicine, Foggia University, Foggia, Italy
| | - L Lo Muzio
- Department of Clinical and Experimental Medicine, Foggia University, Foggia, Italy
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13
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Troiano G, Mastrangelo F, Caponio V, Laino L, Cirillo N, Lo Muzio L. Predictive Prognostic Value of Tissue-Based MicroRNA Expression in Oral Squamous Cell Carcinoma: A Systematic Review and Meta-analysis. J Dent Res 2018. [DOI: 10.1177/0022034518762090] [Citation(s) in RCA: 44] [Impact Index Per Article: 7.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/30/2022] Open
Abstract
Oral squamous cell carcinoma (OSCC) is a common type of cancer characterized by a low survival rate, mostly due to local recurrence and metastasis. In view of the importance of predicting tumor behavior in the choice of treatment strategies for OSCC, several studies have attempted to investigate the prognostic value of tissue biomarkers, including microRNA (miRNA). The purpose of this study was to perform a systematic review and meta-analysis to evaluate the relationship between miRNA expression and survival of OSCC patients. Studies were identified by searching on MEDLINE/PubMed, SCOPUS, Web of Science, and Google Scholar. Quality assessment of studies was performed with the Newcastle-Ottawa Scale. Data were collected from cohort studies comparing disease-free survival and overall survival in patients with high miRNA expression compared to those with low expression. A total of 15 studies featuring 1,200 OSCC samples, predominantly from Asia, met the inclusion criteria and were included in the meta-analysis. Poor prognosis correlated with upregulation of 9 miRNAs (miR-21, miR-455-5p, miiR-155-5p, miR-372, miR-373, miR-29b, miR-1246, miR-196a, and miR-181) and downregulation of 7 miRNAs (miR-204, miR-101, miR-32, miR-20a, miR-16, miR-17, and miR-125b). The pooled hazard ratio values (95% confidence interval) related to different miRNA expression for overall survival and disease-free survival were 2.65 (2.07–3.39) and 1.95 (1.28–2.98), respectively. The results of this meta-analysis revealed that the expression levels of specific miRNAs can robustly predict prognosis of OSCC patients.
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Affiliation(s)
- G. Troiano
- Department of Clinical and Experimental Medicine, University of Foggia, Foggia, Italy
| | - F. Mastrangelo
- Department of Clinical and Experimental Medicine, University of Foggia, Foggia, Italy
| | - V.C.A. Caponio
- Department of Clinical and Experimental Medicine, University of Foggia, Foggia, Italy
| | - L. Laino
- Multidisciplinary Department of Medical-Surgical and Dental Specialties, University of Campania–“Luigi Vanvitelli,” Naples, Italy
| | - N. Cirillo
- Melbourne Dental School, The University of Melbourne, Melbourne, VIC, Australia
| | - L. Lo Muzio
- Department of Clinical and Experimental Medicine, University of Foggia, Foggia, Italy
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14
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Adamo D, Sardella A, Varoni E, Lajolo C, Biasotto M, Ottaviani G, Vescovi P, Simonazzi T, Pentenero M, Ardore M, Spadari F, Bombeccari G, Montebugnoli L, Gissi DB, Campisi G, Panzarella V, Carbone M, Valpreda L, Giuliani M, Aria M, Lo Muzio L, Mignogna MD. The association between burning mouth syndrome and sleep disturbance: A case-control multicentre study. Oral Dis 2018; 24:638-649. [DOI: 10.1111/odi.12807] [Citation(s) in RCA: 40] [Impact Index Per Article: 6.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/07/2017] [Revised: 11/07/2017] [Accepted: 11/08/2017] [Indexed: 01/03/2023]
Affiliation(s)
- D Adamo
- Oral Medicine Complex Unit; Head & Neck Clinical Section; Department of Neurosciences, Reproductive and Odontostomatological Sciences; “Federico II” University of Naples; Naples Italy
| | - A Sardella
- Unit of Oral Pathology, Oral Medicine and Gerodontology; Department of Biomedical, Surgical and Dental Sciences; AO San Paolo Hospital of Milan; University of Milan; Milan Italy
| | - E Varoni
- Unit of Oral Pathology, Oral Medicine and Gerodontology; Department of Biomedical, Surgical and Dental Sciences; AO San Paolo Hospital of Milan; University of Milan; Milan Italy
| | - C Lajolo
- Oral Pathology and Medicine; School of Dentistry; Catholic University of Rome; Rome Italy
| | - M Biasotto
- Oral Medicine and Pathology Unit; Department of Medical, Surgical and Health Sciences; University of Trieste; Trieste Italy
| | - G Ottaviani
- Oral Medicine and Pathology Unit; Department of Medical, Surgical and Health Sciences; University of Trieste; Trieste Italy
| | - P Vescovi
- Unit of Oral Pathology, Medicine and Laser Surgery; Department of Biomedical, Biotechnological and Translational Sciences; University of Parma; Parma Italy
| | - T Simonazzi
- Unit of Oral Pathology, Medicine and Laser Surgery; Department of Biomedical, Biotechnological and Translational Sciences; University of Parma; Parma Italy
| | - M Pentenero
- Oral Medicine and Oral Oncology Unit; Department of Oncology; University of Turin; Turin Italy
| | - M Ardore
- Oral Medicine and Oral Oncology Unit; Department of Oncology; University of Turin; Turin Italy
| | - F Spadari
- Unit of Oral Pathology and Medicine; Department of Biomedical, Surgical and Dental Sciences; University of Milan; Ospedale Maggiore Policlinico IRCCS Ca’ Granda Foundation; Milan Italy
| | - G Bombeccari
- Unit of Oral Pathology and Medicine; Department of Biomedical, Surgical and Dental Sciences; University of Milan; Ospedale Maggiore Policlinico IRCCS Ca’ Granda Foundation; Milan Italy
| | - L Montebugnoli
- Unit of Oral Pathology and Medicine; Department of Biomedical and Neuromotor Sciences; University of Bologna; Bologna Italy
| | - DB Gissi
- Unit of Oral Pathology and Medicine; Department of Biomedical and Neuromotor Sciences; University of Bologna; Bologna Italy
| | - G Campisi
- Department of Surgical, Oncological, and Oral Sciences; Sector of Oral Medicine “Valerio Margiotta”; University of Palermo; Palermo Italy
| | - V Panzarella
- Department of Surgical, Oncological, and Oral Sciences; Sector of Oral Medicine “Valerio Margiotta”; University of Palermo; Palermo Italy
| | - M Carbone
- Oral Medicine Section; Department of Surgical Sciences; CIR Dental School; University of Turin; Turin Italy
| | - L Valpreda
- Oral Medicine Section; Department of Surgical Sciences; CIR Dental School; University of Turin; Turin Italy
| | - M Giuliani
- Department of Clinical and Experimental Medicine; University of Foggia; Foggia Italy
| | - M Aria
- Laboratory and Research Group STAD Statistics, Technology; Data Analysis Department of Economics and Statistics; “Federico II University of Naples”; Naples Italy
| | - L Lo Muzio
- Department of Clinical and Experimental Medicine; University of Foggia; Foggia Italy
| | - MD Mignogna
- Oral Medicine Complex Unit; Head & Neck Clinical Section; Department of Neurosciences, Reproductive and Odontostomatological Sciences; “Federico II” University of Naples; Naples Italy
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15
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Mastrangelo F, Dedola A, Cattoni F, Ferrini F, Bova F, Tatullo M, Gherlone E, Lo Muzio L. Etiological periodontal treatment with and without low-level laser therapy on IL-1β level in gingival crevicular fluid: an in vivo multicentric pilot study. J BIOL REG HOMEOS AG 2018; 32:425-431. [PMID: 29577710] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 06/08/2023]
Abstract
Cytokine proteins may have important roles during different human physiological and pathological processes. In the oral cavity, the bone loss and periodontal tissue pathology was related to inflammatory process activation. The aim of the present study was to assess the effects of etiological periodontal therapy with and without the use of Low Level Laser Therapy (LLLT) on clinical periodontal parameters and interleukin (IL)-1β level in gingival crevicular fluid (GCF) from chronic periodontitis (CP) patients. Thirty non-smoker CP patients were selected from the Foggia University Dental Clinic and other 2 private dental clinics. All patients were divided into two homogeneous randomized groups: 15 patients were treated with only scaling and root planing (group 1) and 15 patients with scaling and root planing etiological treatment and LLLT (group 2). In all sites, at baseline before treatment, the periodontal pocket depth (PPD) and bleeding on probing (BOP) were measured. In the PPD sites, the GCF samples were collected from 30 deep (≥5 mm) and shallow (≤3 mm) sites and IL-1β were evaluated at baseline, after 10 days and 1 month. In all the samples at baseline, the IL-1β concentration in GCF and BOP rate were significantly higher at deep PPD sites than at the shallow ones. After 10 days in all samples no PPD improvement was observed in the BOP rate but the IL-1 β level was statistically significantly improved (p<0.005) in group 2 compared to group 1. At 10 days and 1 month, in all deep PPD sites, PPD and BOP improvements were observed. At same time, IL-1β levels were lower and statistically significantly (p<0.005) improved in group 2 compared to group 1. The results confirmed that the periodontal etiology treatment of deep PPD sites with or with-out associated LLLT promotes periodontal health. Etiological treatment associated with LLLT, improves BOP and inflammation in periodontal disease. Moreover, the IL-1β concentration changes in GCF suggest these cytokines as a predictable marker of gingival inflammation in chronic periodontitis patients.
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Affiliation(s)
- F Mastrangelo
- Department of Clinical and Experimental Medicine, University of Foggia, Italy
| | - A Dedola
- Department of Clinical and Experimental Medicine, University of Foggia, Italy
| | - F Cattoni
- San Raffaele Dental Clinic University, Ateneo Vita e Salute, Milano, Italy
| | - F Ferrini
- San Raffaele Dental Clinic University, Ateneo Vita e Salute, Milano, Italy
| | - F Bova
- San Raffaele Dental Clinic University, Ateneo Vita e Salute, Milano, Italy
| | - M Tatullo
- Tecnologica Research Institute - Research and Development in Biomedicine - Crotone, Italy
| | - E Gherlone
- San Raffaele Dental Clinic University, Ateneo Vita e Salute, Milano, Italy
| | - L Lo Muzio
- Department of Clinical and Experimental Medicine, University of Foggia, Italy
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16
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Du X, Jiao J, Cheng X, Wang L, Li K, Liu H, Wang C, Arena C, Zhurakivska K, Guglielmi G, Lo Muzio L. Age-related changes of bone mineral density in mandible by quantitative computed tomography. J BIOL REG HOMEOS AG 2017; 31:997-1003. [PMID: 29254305] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 06/07/2023]
Abstract
Quantitative Computed Tomography (QCT) was used to investigate age-related changes in trabecular bones of the mandible. The volumetric Bone Mineral Density (vBMD) of mandibles was found to be increasing with aging in the 20-29, 30-39, 40-49 age groups, while resulted decreasing in the 50~ years age group in a Chinese population. The aim of this study was to validate QCT as a reliable method to measure the vBMD of the mandible and to assess vBMD of the mandible in a Chinese population. A total of seven hundred and eighteen volunteers (299 males, 419 females), ranging from 20 to 63 years of age, previously enrolled in another study, were included for vBMD measurements by QCT. A total of 50 subjects were enrolled for the validation of QCT measurement. Basic information (age, height and weight), and vBMD of the mandible (middle, body and angle) were recorded. Comparisons among age and sex groups were analyzed using the Mann-Whitney test. Linear correlation analysis between vBMD and age was performed. The mandibular vBMD was twice measured with QCT by one operator and resulted highly repeatable (ICC 0. 97, P 0. 05). The vBMD in the middle of the mandible was the highest, followed by that in the body and at the angle of mandible. In each age group, the mean vBMD increased with aging except for the 50~ years age group (P less than 0.05) in which it decreased. The mean mandibular vBMD was higher in females than males in each age group (P less than 0.05). Correlation between vBMD and age was statistically significant (r=0.15, P less than 0.01). QCT shows high precision for the measurement of BMD in the mandible. The present study provides normative data of the mandible in an age- and sex-stratified manner, which can be helpful in clinical practice.
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Affiliation(s)
- X Du
- Department of Radiology, Affiliated Hospital of Guizhou Medical University, Guiyang, Guizhou, China
| | - J Jiao
- Department of Radiology, Affiliated Hospital of Guizhou Medical University, Guiyang, Guizhou, China
| | - X Cheng
- Department of Radiology, Beijing Jishuitan Hospital, Xicheng District, Beijing, China
| | - L Wang
- Department of Radiology, Beijing Jishuitan Hospital, Xicheng District, Beijing, China
| | - K Li
- Department of Radiology, Beijing Jishuitan Hospital, Xicheng District, Beijing, China
| | - H Liu
- Department of Radiology, Affiliated Hospital of Guizhou Medical University, Guiyang, Guizhou, China
| | - C Wang
- Department of Radiology, Affiliated Hospital of Guizhou Medical University, Guiyang, Guizhou, China
| | - C Arena
- Department of Clinical and Experimental Medicine, University of Foggia, Foggia, Italy
| | - K Zhurakivska
- Department of Clinical and Experimental Medicine, University of Foggia, Foggia, Italy
| | - G Guglielmi
- Department of Radiology, University of Foggia, Italy
| | - L Lo Muzio
- Department of Clinical and Experimental Medicine, University of Foggia, Foggia, Italy
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17
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Buonavoglia A, Lauritano D, Perrone D, Ardito F, Troiano G, Dioguardi M, Candotto V, Silvestre FJ, Lo Muzio L. Evaluation of chemical-physical properties and cytocompatibility of TheraCal LC. J BIOL REG HOMEOS AG 2017; 31:1-9. [PMID: 28691448] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 06/07/2023]
Abstract
TheraCal LC (TLC, Bisco Inc., Schaumburg, IL, USA) is a light-cured, resin-modified, calcium silicate-filled base/liner material designed for direct and indirect pulp-capping. In this study the result of the evaluation in vitro of the biocompatibility and chemical-physical properties of TLC are reported. TLC specimens were prepared under aseptic conditions in strict compliance with the manufacturers instructions and sterilized. Osteoblast-like cells (MG63) were used. For different time points, solubility, water uptake, alkalinizing activity and cytotoxicity were evaluated. In ddH20 and in DMEM+FBS, TLC showed a loss of material increasing simultaneously with the absorption capacity. The increase of water uptake of the material promoting the solubilization of mineral ions in medium is a requisite for a bioactive material. The alkalinizing activity is correlated to antimicrobial/bacteriostatic activity and to the ability to favor the formation of apatite deposits. The pH values for water absorption after immersion of the disks ranged between 8 and 9 at each times of evaluation. Cytotoxicity was not observed in MG63 cells treated with TLC and after 5 days, the cells were organized to form a confluent monolayer as demonstrated by fluorescence microscopy observation. TLC showed biocompatibility on MG63 cells allowing a physiologic cell growth and differentiation. The chemical-physical properties and biocompatibility of TLC observed in vitro in the present study, allows considering this cement as an innovative pulp-capping material for the vital pulp therapy.
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Affiliation(s)
- A Buonavoglia
- Department of Clinical and Experimental Medicine, Foggia University, Foggia, Italy
| | - D Lauritano
- Department of Medicine and Surgery, University of Milano Bicocca, Monza, Italy
| | - D Perrone
- Department of Clinical and Experimental Medicine, Foggia University, Foggia, Italy
| | - F Ardito
- Department of Clinical and Experimental Medicine, Foggia University, Foggia, Italy
| | - G Troiano
- Department of Clinical and Experimental Medicine, Foggia University, Foggia, Italy
| | - M Dioguardi
- Department of Clinical and Experimental Medicine, Foggia University, Foggia, Italy
| | - V Candotto
- Department of Morphology, Surgery and Experimental Medicine, University of Ferrara, Ferrara, Italy
| | - F J Silvestre
- Stomatology and Oral Surgery, Dr Peset University Hospital, Department of Stomatology, University of Valencia, Spain
| | - L Lo Muzio
- Department of Clinical and Experimental Medicine, Foggia University, Foggia, Italy
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18
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Bambini F, Santarelli A, Putignano A, Procaccini M, Orsini G, Di Iorio D, Memè L, Sartini D, Emanuelli M, Lo Muzio L. Use of supercharged cover screw as static magnetic field generator for bone healing, 2nd part: in vivo enhancement of bone regeneration in rabbits. J BIOL REG HOMEOS AG 2017; 31:481-485. [PMID: 28685556] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 06/07/2023]
Abstract
In 1979, Pulsed electromagnetic fields (PEMFs) were approved by the Food and Drug Administration as an effective method in the treatment of non-unions. As well as PEMFs, also static magnetic fields (SMFs) have been widely investigated in orthopaedic studies. Even if the exact mechanism of action is not well understood, a large number of studies showed specific effects both at cellular and tissue levels. As bone fracture healing and osseointegration share the same biological events, the application of magnetic field stimulation in order to facilitate the osseointegration process has been suggested. In this study we investigated BIC and newly formed bone volume around dental implants inserted in the tibia of New Zealand rabbits after SMF stimulation, generated by a small-customized cover-screw-shaped neodymium-iron-bore magnet placed in the inner cavity of dental implants. As a result, we found that the SMF field generated around dental implants enhanced bone healing in the animal model. Our findings represent, to our knowledge, the first ready clinical technique for dental implants showing the ability of SMF to promote the osteogenesis process in vivo.
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Affiliation(s)
- F Bambini
- Department of Specialistic and Stomatological Clinical Sciences, Marche Polytechnic University, Ancona, Italy
| | - A Santarelli
- Department of Specialistic and Stomatological Clinical Sciences, Marche Polytechnic University, Ancona, Italy
| | - A Putignano
- Department of Specialistic and Stomatological Clinical Sciences, Marche Polytechnic University, Ancona, Italy
| | - M Procaccini
- Department of Specialistic and Stomatological Clinical Sciences, Marche Polytechnic University, Ancona, Italy
| | - G Orsini
- Department of Specialistic and Stomatological Clinical Sciences, Marche Polytechnic University, Ancona, Italy
| | - D Di Iorio
- Department of medical, Oral and Biotechnological Sciences, Chieti University, Chieti, Italy
| | - L Memè
- Department of Specialistic and Stomatological Clinical Sciences, Marche Polytechnic University, Ancona, Italy
| | - D Sartini
- Department of Specialistic and Stomatological Clinical Sciences, Marche Polytechnic University, Ancona, Italy
| | - M Emanuelli
- Department of Specialistic and Stomatological Clinical Sciences, Marche Polytechnic University, Ancona, Italy
| | - L Lo Muzio
- Department of Clinical and Experimental Medicine, Foggia University, Foggia, Italy
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19
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Bambini F, Santarelli A, Putignano A, Procaccini M, Orsini G, Memè L, Sartini D, Emanuelli M, Lo Muzio L. Use of supercharged cover screw as static magnetic field generator for bone healing, 1st part: in vitro enhancement of osteoblast-like cell differentiation. J BIOL REG HOMEOS AG 2017; 31:215-220. [PMID: 28337895] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 06/06/2023]
Abstract
Since 1979, Pulsed electromagnetic fields (PEMFs) have been approved by the Food and Drug Administration as an effective method in the treatment of non-unions. As well as PEMFs, also static magnetic fields (SMFs) have been widely investigated in orthopaedic studies. Even if the exact mechanism of action is not well understood, a large number of studies showed specific effects both at cellular and tissue levels. As bone fracture healing and osseointegration share the same biological events, the application of magnetic field stimulation in order to facilitate the osseointegration process has been suggested. In this study we investigated the proliferation rate and gene expression profile of MG63 osteoblastic-like cells after a 24, 48 and 72-hour SMF stimulation, generated by a small, customized cover screw-shaped neodymium-iron-bore magnet placed in the inner cavity of a dental implant. As a result, we found that the application of a SMF to osteoblastic-like cells does slightly decrease cell proliferation rate while enhancing the expression of those genes correlated to differentiation and mineralization. Our findings represent, to our knowledge, the first clinical ready technique for dental implants showing the ability of SMF to promote the osteogenesis process in vitro.
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Affiliation(s)
- F Bambini
- Department of Clinic Specialistic and Stomatological Sciences, Marche Polytechnic University, Ancona, Italy
| | - A Santarelli
- Department of Clinic Specialistic and Stomatological Sciences, Marche Polytechnic University, Ancona, Italy
| | - A Putignano
- Department of Clinic Specialistic and Stomatological Sciences, Marche Polytechnic University, Ancona, Italy
| | - M Procaccini
- Department of Clinic Specialistic and Stomatological Sciences, Marche Polytechnic University, Ancona, Italy
| | - G Orsini
- Department of Clinic Specialistic and Stomatological Sciences, Marche Polytechnic University, Ancona, Italy
| | - L Memè
- Department of Clinic Specialistic and Stomatological Sciences, Marche Polytechnic University, Ancona, Italy
| | - D Sartini
- Department of Clinic Specialistic and Stomatological Sciences, Marche Polytechnic University, Ancona, Italy
| | - M Emanuelli
- Department of Clinic Specialistic and Stomatological Sciences, Marche Polytechnic University, Ancona, Italy
| | - L Lo Muzio
- Department of Department of Clinical and Experimental Medicine, Foggia University, Foggia, Italy
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20
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Bambini F, Pellecchia M, Memè L, Santarelli A, Emanuelli M, Procaccini M, Muzio LL. Anti-Inflammatory Cytokines in Peri-Implant Soft Tissues: A Preliminary Study on Humans Using CDNA Microarray Technology. EUR J INFLAMM 2016. [DOI: 10.1177/1721727x0700500302] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
Abstract
The mucosa around implants and the gingiva around teeth respond to plaque formation with the development of an inflammatory lesion which has similar magnitude and histological features. Different cell types in inflamed and healthy periodontal and peri-implant tissues are capable of producing a variety of important pro-inflammatory and anti-inflammatory cytokines and growth factors which mediate the host response. The aim of this study is to compare the expression levels of anti-inflammatory cytokines detectable in the peri-implant soft tissue of two single-implant crowns supported either by zirconia or titanium abutments. Two frozen samples of peri-implant soft tissue of two single-implant crowns supported either by zirconia or titanium abutments were treated to obtain mRNA. The mRNA extracted from these specimens was converted in cDNA and analyzed with “SuperArray GEArray Q Series Human Inflammatory Cytokine/Receptor Gene Array kit”, planned for studying 96 genes involved in inflammatory response. Data showed that gene expression levels of anti-inflammatory cytokines were higher in specimens sampled from the zirconia abutment compared with those from the titanium abutment. It was considered important to detect the mRNA levels of the anti-inflammatory mediators in healthy peri-implant tissues to verify the biological tolerability of zirconia compared with titanium abutments. The difference detected in cytokine expression could be due to the intrinsic biological tolerability of zirconia ceramics or to a lesser bacterial accumulation.
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Affiliation(s)
| | | | | | | | - M. Emanuelli
- Istituto di Biotecnologie Biochimiche, University of Ancona, Ancona
| | | | - L. Lo Muzio
- Department of Surgical Sciences, University of Foggia, Foggia, Italy
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21
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Lo Muzio L, Falaschini S, Rappelli G, Bambini F, Baldoni A, Procaccini M, Cingolani M. Saliva as a Diagnostic Matrix for Drug Abuse. Int J Immunopathol Pharmacol 2016; 18:567-73. [PMID: 16164838 DOI: 10.1177/039463200501800317] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.8] [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: 11/16/2022] Open
Abstract
Scientific interest in saliva as a diagnostic matrix has greatly increased over the last decade. The Triage® screening test (Biosite Diagnostics), a rapid immunological test used to detect recreational drugs in the urine, was used to compare two biological matrixes: a non-conventional one, saliva, and a traditional one, urine. Twenty-one drug abusers collected one urine and one saliva specimen, both of which were tested with the Triage kit. Data were validated by gas-chromatography-mass-spectrometry (GC-MS). Results were positive for methadone in 9 saliva and 14 urine specimens, for opiates in 2 and 10, respectively, and for barbiturates in 2 specimens. Saliva specimens were negative for cannabis, THC, benzodiazepines and tricyclic antidepressants, although the GC-MS analysis revealed low concentrations of these drugs in the saliva. The study demonstrates the possibility of using saliva as a diagnostic matrix to test for drug-taking; however, the Triage kit must be improved before being used with saliva.
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Affiliation(s)
- L Lo Muzio
- Department of Surgery, University of Foggia, Italy.
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22
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Carinci F, Lo Muzio L, Piattelli A, Rubini C, Chiesa F, Ionna F, Palmieri A, Maiorano E, Pastore A, Laino G, Dolci M, Pezzetti F. Potential Markers of Tongue Tumor Progression Selected by cDNA Micro Array. Int J Immunopathol Pharmacol 2016; 18:513-24. [PMID: 16164832 DOI: 10.1177/039463200501800311] [Citation(s) in RCA: 48] [Impact Index Per Article: 6.0] [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: 11/17/2022] Open
Abstract
Squamous cell carcinoma (SCC), the most frequent malignant tumor of the oral cavity, generally exhibits a poor prognosis and metastases are the main cause of death. This tumor often arises from pre-malignant lesions. To date, it is difficult to predict if and which pre-malignant lesions may progress into oral SCC using traditional methods. For these reasons, several studies are trying to identify markers useful in the progression of pre-malignant lesions and tumors. To define the genetic expression profile of tongue tumor progression we compared 9 dysplasias (DS), 8 tumors without metastasis (TWM), 11 metastasizing SCCs (MT) of the tongue, and a baseline of 11 normal tissues by using cDNA microarray containing 19.2 K clones. We initially applied hierarchical agglomerative clustering based on information from all 6026 clones. Results were obtained by performing a two steps analysis: a Significance Analysis of Microarray (SAM) and a Gene Ontology search. One hundred and five clones have statistically significant different expression levels (FDR <0.01) between DS and TWM, whereas 570 genes have statistically significant difference expression levels between TWM and MT (FDR <0.01) as detected by SAM. By filtering with FatiGo only 33 genes were differentially expressed in TWN, respect to DS, whereas 155 genes were differentially expressed in MT respect to TWM. We detected some genes which encode for oncogenes, transcription factors and cell cycle regulators as potential markers of DS progression. Examples are BAG4, PAX3 and CCNI, respectively. Among potential markers of metastases are some genes related to cell mobility (TSPAN-2 and SNTA1), intercellular adhesion (integrin alpha 7) or extracellular matrix components (ADAMTS2 and cathepsin O). Additionally, under-expressed genes encoded apoptosis-related proteins (PDCD4 and CASP4). In conclusion, we identified several genes differentially expressed in tumor progression which can potentially help in better classifying premalignant lesions and tongue SCCs.
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MESH Headings
- Adult
- Aged
- Aged, 80 and over
- Algorithms
- Biomarkers, Tumor/genetics
- Biomarkers, Tumor/metabolism
- Carcinoma, Squamous Cell/diagnosis
- Carcinoma, Squamous Cell/genetics
- Carcinoma, Squamous Cell/metabolism
- Carcinoma, Squamous Cell/pathology
- Carcinoma, Squamous Cell/surgery
- DNA, Complementary/genetics
- DNA, Neoplasm/genetics
- Disease Progression
- Female
- Gene Expression Profiling
- Gene Expression Regulation, Neoplastic
- Humans
- Male
- Middle Aged
- Neoplasm Metastasis
- Neoplasm Staging
- Oligonucleotide Array Sequence Analysis
- Precancerous Conditions/classification
- Precancerous Conditions/genetics
- Precancerous Conditions/metabolism
- Software
- Tongue/pathology
- Tongue Neoplasms/diagnosis
- Tongue Neoplasms/genetics
- Tongue Neoplasms/metabolism
- Tongue Neoplasms/surgery
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Affiliation(s)
- F Carinci
- Section of Maxillofacial Surgery, University of Ferrara, Italy
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23
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Bambini F, Greci L, Memè L, Santarelli A, Carinci F, Pezzetti F, Procaccini M, Lo Muzio L. Raloxifene Covalently Bonded to Titanium Implants by Interfacing with (3-Aminopropyl)-Triethoxysilane Affects Osteoblast-like Cell Gene Expression. Int J Immunopathol Pharmacol 2016; 19:905-14. [PMID: 17166392 DOI: 10.1177/039463200601900420] [Citation(s) in RCA: 4] [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] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
Abstract
Since Raloxifene, a drug used in osteoporosis therapy, inhibits the osteoclast functions but not osteoblast functions, it could improve the recovery during implant surgery. This preliminary report describes a simple method to link, through a covalent bond, Raloxifene to titanium by interfacing with (3-aminopropyl)-Triethoxysilane as assessed by the IR-FT and SEM. To evaluate the biological response of osteoblast-like cells to this implant, we compared expression gene profiling of cell cultures on Raloxifene conjugated implant and normal implant by DNA microarray. By using DNA microarrays containing 19,200 genes, we identified differently expressed genes in osteoblast-like cell line (MG-63). Surface Raloxifene conjugated implants have been shown to have a relevant importance in modifying cell response. This result could be an interesting starting point for the use of an immediate functional loading of implants.
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Affiliation(s)
- F Bambini
- Università Politecnica delle Marche, Istituto di Scienze Odontostomatologiche, Ancona, Italy
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24
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Goteri G, Olivieri A, Ranaldi R, Lucesole M, Filosa A, Capretti R, Pieramici T, Leoni P, Rubini C, Fabris G, Lo Muzio L. Bone Marrow Histopathological and Molecular Changes of Small B-Cell Lymphomas after Rituximab Therapy: Comparison with Clinical Response and Patients' Outcome. Int J Immunopathol Pharmacol 2016; 19:421-31. [PMID: 16831308 DOI: 10.1177/039463200601900218] [Citation(s) in RCA: 24] [Impact Index Per Article: 3.0] [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
This study correlates bone marrow changes after Rituximab (RTX) treatment with the clinical characteristics and outcome of 26 patients with small B-cell lymphomas. The percentage, phenotypic profile and clonality pattern of bone marrow lymphoid infiltrate were analysed before and after RTX treatment. Clinical, histological and molecular responses to RTX were correlated to the clinical outcome of the patients. Sixteen out of twenty-six patients obtained a complete clinical remission (CR). A favourable histology - follicular lymphoma (FL), hairy cell leukaemia (HCL) and marginal zone lymphoma (MZL) - was associated with a higher frequency of clinical CR and histological remission (HR), in comparison with mantle cell lymphoma (MCL), chronic lymphocytic leukaemia (CLL) and lymphoplasmacytic lymphoma (LPL). Two patterns of bone marrow HR were observed: 1) complete lymphoid cell disappearance (9 patients); or 2) nodular/interstitial T-cell infiltration (10 patients). Three histological persistence (HP) patterns were observed: 1) persistence of CD20+ small lymphoid cells in 1 patient with MCL; 2) loss of CD20 antigen expression in 4 patients with CLL; or 3) persistence only of clusters of monotypic plasma cells in 2 patients with LPL. CR and HR were strongly correlated. The percentage of lymphomatous infiltrate after RTX was higher in patients who subsequently died of the disease. Molecular response showed no correlations with the further clinical course in 12 patients achieving a complete clinical remission. In conclusion, bone marrow morphological and immunohistochemical analysis with a restricted panel of antibodies is useful to avoid 42% false positive and 85% false negative interpretations. Persistence of monoclonality after RTX might have a role in evaluating the molecular pattern of CD20-negative clones that can emerge after RTX as a tumoral escape to therapy.
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Affiliation(s)
- G Goteri
- Institute of Pathology, Polytechnic University of Marche, Ospedali Riuniti Umberto I - G.M. Lancisi - G. Salesi, Ancona, Italy
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25
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Serpico R, Pannone G, Santoro A, Mezza E, Piccolo S, Esposito V, Busciolano M, Ciavarella D, Lo Muzio L, Bufo P. Report of a Case of Discoid Lupus Erythematosus Localised to the Oral Cavity: Immunofluorescence Findings. Int J Immunopathol Pharmacol 2016; 20:651-3. [PMID: 17880780 DOI: 10.1177/039463200702000325] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
Abstract
Discoid Lupus Erythematosus (DLE) is a chronic disease with a typical cutaneous involvement. This pathology rarely involves mucosa: oral cavity is interested in 20% of DLE patients. We describe a case of oral DLE in a 50-year-old woman with an anamnesis for autoimmune disorders. This study shows the helpful role of immunofluorescence in the diagnosis of autoimmune diseases. The first diagnostic step was the clinical observation of the oral mucosa: the lesion area was erythematous, athrophic and hyperkeratotic. The patient then underwent laboratory examination. We utilized human epithelial cells (Hep-2010) for Indirect Immuno-Fluorescence (IIF). Moreover, the biopsy site for Direct Immuno-Fluorescence (DIF) and histopathological analysis was the untreated oral lesion. IIF detected an increase of Anti-Nuclear Antibody (ANA) and positivity for SSA-RO. By DIF, we observed IgG/IgA/fibrinogen along basal layer. Multiple biopsies reported signs of chronic basal damage. Steroid systemic therapy induced a considerable lesion regression. We suggest the use of immunofluorescence with the integration of further data to improve diagnosis of rare diseases and to establish a suitable therapy.
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26
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Lo Muzio L, Santarelli A, Emanuelli M, Pierella F, Sartini D, Staibano S, Rubini C, De Rosa G. Genetic Analysis of Oral Squamous Cell Carcinoma by cDNA Microarrays Focused Apoptotic Pathway. Int J Immunopathol Pharmacol 2016; 19:675-82. [PMID: 17026852 DOI: 10.1177/039463200601900323] [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] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/29/2023] Open
Abstract
We investigated mRNA expression of the genes involved in the apoptotic mechanism in oral squamous cell carcinoma (OSCC) by cDNA microarray. The aim of this study was to identify genes mainly involved in tumorigenesis, comparing the difference of gene expression in neoplastic and non-neoplastic tissues. Eight frozen samples of OSCC and the corresponding normal oral mucosa were treated to obtain mRNA. The mRNA extracted from these specimens was converted into cDNA and analyzed with “SuperArray GEArray Q Series Human Apoptosis Gene Array kit”. Our results showed that in OSCC there is a different expression of CRADD, FADD, ATM and APAF-1 genes compared to normal mucosa. Real-Time PCR, and Western blot analysis were performed on a separate cohort of patients in order to confirm the results obtained by DNA microarray. Our analysis of apoptotic process through microarray technology confirmed that different molecules could be responsible or favour the imbalance of apoptosis in cancer tissues. Microarray technology has made it possible to analyze the expression of multiple genes in a single experiment. However, most commercial array kits, designed to include as many genes as possible, produce a vast amount of data that often is difficult to interpret. In addition, the cost of equipment is often prohibitive. In contrast, the focused kit used was a complete, affordable and effective method to improve knowledge of molecular specific pathways.
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Affiliation(s)
- L Lo Muzio
- Dipartimento di Scienze Chirurgiche, Università di Foggia, Italy.
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27
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Campisi G, Di Fede O, Roccia P, Di Nicola F, Falaschini S, Muzio LL. Saliva: Its Value as a Biological Matrix and Current Methods of Sampling. EUR J INFLAMM 2016. [DOI: 10.1177/1721727x0600400102] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
Abstract
Saliva is a non-invasive medium, its analysis is useful to measure a wide range of hormones, drugs, narcotics, antibodies, host, microbial, fungal and viral DNA up to salivary mRNA; hence, it has been suggested to be an easy and reliable biomarker in disease diagnostics, such as inflammatory mouth infections/diseases, and in normal health surveillance. In light of this potential, our primary endpoint is to review the current knowledge on saliva analyses and its recent methods of sampling.
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Affiliation(s)
| | | | | | | | - S. Falaschini
- Department of Surgical Sciences, University of Foggia, Italy
| | - L. Lo Muzio
- Department of Surgical Sciences, University of Foggia, Italy
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28
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Lauritano D, Martinelli M, Mucchi D, Palmieri A, Lo Muzio L, Carinci F. Bacterial load of periodontal pathogens among italian patients with chronic periodontitis: a comparative study of three different areas. J BIOL REG HOMEOS AG 2016; 30:149-154. [PMID: 27469562] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 06/06/2023]
Abstract
The aim of the present study was to evaluate the mean bacterial load of some periodontal pathogenic bacteria in Italian patients affected by chronic periodontitis. The sample consisted of 1,762 patients with a clinical diagnosis of chronic periodontitis based on the criteria of the American Academy of Periodontology sampled in the period 2013-2015; 1,323 patients were from Northern Italy, 317 from Central Italy and 122 from Southern Italy. Samples for microbiological analysis were collected from the four sites of the greatest probing depth in each patient and then processed by quantitative polymerase chain reaction. Periodontal pathogens have the following percentage respect to total bacteria load: Aggregatibacter actinomycetemcomitans 0.1%, Campylobacter rectus 2%, Fusobacterium nucleatum 8%, Porphyromonas gingivalis 6%, Treponema denticola 2% and Tannerella forsythia 1.5%. There are significant differences in bacterial load among the different geographical areas both for the total bacterial and for the single species. The results of our study in this Italian population showed that a different geographic distribution exists among periodontal pathogens. We hypothesize that these differences in bacterial load could be related to genetic and environmental factors. Additional studies are necessary to confirm these data and to get more insight on additional factors, which may play a role in periodontal pathogens in different geographic areas.
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Affiliation(s)
- D Lauritano
- Department of Medicine and Surgery, University of Milan-Bicocca, Milan, Italy
| | - M Martinelli
- Department of Experimental, Diagnostic and Specialty Medicine, University of Bologna, Bologna, Italy
| | - D Mucchi
- LAB S.r.l., Codigoro, Ferrara, Italy
| | - A Palmieri
- Department of Experimental, Diagnostic and Specialty Medicine, University of Bologna, Bologna, Italy
| | - L Lo Muzio
- Department of Clinical and Experimental Medicine, University of Foggia, Italy
| | - F Carinci
- Department of Morphology, Surgery and Experimental Medicine, University of Ferrara, Italy
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29
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Lauritano D, Lucchese A, Contaldo M, Serpico R, Lo Muzio L, Biolcati F, Carinci F. Oral squamous cell carcinoma: diagnostic markers and prognostic indicators. J BIOL REG HOMEOS AG 2016; 30:169-176. [PMID: 27469565] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 06/06/2023]
Abstract
OSCC is the most frequent malignant tumour of the oral cavity, accounting for more than 90% of malignant tumours of this anatomic region and it often arises from precursor lesions. Aside from tobacco and alcohol consumption, further determinants have been considered to increase the risk of OSCC development, such as micronutrient deficiencies, chronic traumatism, poor oral hygiene and viruses. Recurrence, survival and conversely, mortality depends on numerous and different biological, histological, macroscopic and microscopic factors that have been investigated in order to define causes, to help diagnosis and to refine appropriate treatments that perfectly fit with the different features of OSCCs. For this purpose, during the last decades, the improvement of scientific technologies and molecular analyses have allowed to investigate markers and genetic and epigenetic factors, in order to clarify their responsibilities related to early diagnosis and OSCC progression and prognosis in order to address them as targets in future selective and individually-shaped therapies. This review will focus on the etiology, advances in diagnostic markers and prognostic indicators for oral cancers.
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Affiliation(s)
- D Lauritano
- Department of Medicine and Surgery, University of Milan-Bicocca, Milan, Italy
| | - A Lucchese
- Multidisciplinary Department of Medical-Surgical and Odontostomatological Specialties - Second University of Napoli (SUN), Naples, Italy
| | - M Contaldo
- Multidisciplinary Department of Medical-Surgical and Odontostomatological Specialties - Second University of Napoli (SUN), Naples, Italy
| | - R Serpico
- Multidisciplinary Department of Medical-Surgical and Odontostomatological Specialties - Second University of Napoli (SUN), Naples, Italy
| | - L Lo Muzio
- Department of Clinical and Experimental Medicine, University of Foggia, Italy
| | - F Biolcati
- Department of Morphology, Surgery and Experimental Medicine, University of Ferrara, Ferrara, Italy
| | - F Carinci
- Department of Morphology, Surgery and Experimental Medicine, University of Ferrara, Ferrara, Italy
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30
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Lauritano D, Scapoli L, Mucchi D, Cura F, Lo Muzio L, Carinci F. Infectogenomics: lack of association between VDR, IL6, IL10 polymorphisms and red complex bacterial load in a group of Italian adults with chronic periodontal disease. J BIOL REG HOMEOS AG 2016; 30:155-160. [PMID: 27469563] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 06/06/2023]
Abstract
Periodontitis is a multifactorial disease that, if untreated, may cause teeth loss. Clinicians and researchers have reported that genetic factors influence the clinical manifestations of periodontal disease (PD), modulating both inflammation of the mucous membranes and loss of alveolar bone. The acquisition of new nowledge about genetic susceptibility of PD, would directly impact on prognosis and treatment of the disease. In addition, a better understanding of PD pathogenesis could improve the diagnostic tools for the prevention and therapies for modulation of immune responses and treatment of PD. In this study, we evaluated genetic polymorphisms of VRD, IL6 and IL10 and amounts of periodontal pathogens in Italian adults affected by PD. We included 326 cases classified according the criteria of the American Academy of Periodontology. No significant differences in bacterial load were found in patients carrying PD susceptibility alleles of IL6, IL10 and VDR genes. In conclusion, no interaction between genetic factors and amount of periodontal pathogens in periodontal pockets were found in PD patients.
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Affiliation(s)
- D Lauritano
- Department of Medicine and Surgery, University of Milan-Bicocca, Milan, Italy
| | - L Scapoli
- Department of Experimental, Diagnostic and Specialty Medicine, University of Bologna, Bologna, Italy
| | - D Mucchi
- LAB S.r.l., Codigoro, Ferrara, Italy
| | - F Cura
- Department of Experimental, Diagnostic and Specialty Medicine, University of Bologna, Bologna, Italy
| | - L Lo Muzio
- Department of Clinical and Experimental Medicine, University of Foggia, Italy
| | - F Carinci
- Department of Morphology, Surgery and Experimental Medicine, University of Ferrara, Italy
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31
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Lauritano D, Lo Muzio L, Gaudio RM, Lo Russo L, Mucchi D, Nardi GM, Scapoli L. The ecological catastrophe of oral diseases: a possible link between periodontitis and protozoa. J BIOL REG HOMEOS AG 2016; 30:143-147. [PMID: 27469561] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 06/06/2023]
Abstract
Periodontal disease (PD) is one of the prevalent diseases in the adult population. The ethiology of PD has never been completely understood, however, loss of balance between the host immune system and the microbial virulence of PD pathogens may be considered the trigger of PD. In fact, the immune system, activated by microbiological agents, attacks the host and not the biofilm bacteria, causing the destruction of periodontal tissue, alveolar bone and loss of teeth. Parasites may play an important role in the pathology of PD. The first studied and the most common parasite in the oral cavity is Entamoeba gingivalis. A possible link between E. gingivalis and PD has never been demonstrated completely, however E. gingivalis is infrequently found in people without PD. In addition, there is evidence that E. gingivalis could favour the onset and progression of PD. In conclusion, we can assert that E. gingivalis and PD may be correlated. This relationship can open new therapeutical approaches for treating PD, particularly in cases refractory to therapy.
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Affiliation(s)
- D Lauritano
- Department of Medicine and Surgery, University of Milan-Bicocca, Milan, Italy
| | - L Lo Muzio
- Department of Clinical and Experimental Medicine, University of Foggia, Italy
| | - R M Gaudio
- Department of Medical Sciences, University of Ferrara, Ferrara, Italy
| | - L Lo Russo
- Department of Clinical and Experimental Medicine, University of Foggia, Italy
| | - D Mucchi
- LAB s.r.l., Codigoro, Ferrara, Italy
| | - G M Nardi
- Department of Dental and Maxillofacial Sciences, University Sapienza, Rome, Italy
| | - L Scapoli
- Department of Experimental, Diagnostic and Specialty Medicine, University of Bologna, Bologna, Italy
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32
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Baj A, Lo Muzio L, Lauritano D, Candotto V, Mancini GE, Giannì AB. Success of immediate versus standard loaded implants: a short literature review. J BIOL REG HOMEOS AG 2016; 30:183-188. [PMID: 27469567] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 06/06/2023]
Abstract
Oral rehabilitation with implant-supported restorations has become a successful therapy resulting in high survival rate (SR). Recently, some reports have stated that submerged implants have no differences in SR compared to transmucosal implants. It was also reported that a reduction in timing of implant loading (from 12-24 weeks to 6-8 weeks) does not affect the predictability and SR of the implants. In particular, the reduction of the loading period is well accepted by the full edentulous patient, due to the functional and aesthetic problems related to denture wearing. The purpose of this report is to evaluate the SR of immediate loading implants (ILIs) compared to placing implants in native bone, with bone graft, in post-extraction sites, with the help of computer guided implant dentistry. The aim of this short review is therefore, to assess whether ILIs achieve similar clinical outcomes when compared to conventional loading protocols. As stated in preview reviews, we can affirm that there is no difference in SR at ILIs against delayed implants and with respect to placing implants in native bone, with bone graft, in post-extraction sites, with the use of computer guided implant dentistry. Keeping in mind the limitations of the present review, we can affirm that ILIs have a similar SR when compared to conventional loading protocols.
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Affiliation(s)
- A Baj
- Maxillo-Facial and Dental Unit, Fondazione Cà Granda IRCCS Ospedale Maggiore Policlinico; Department of Biomedical, Surgical and Dental Sciences University of Milan, Milan, Italy
| | - L Lo Muzio
- Department of Clinical and Experimental Medicine, University of Foggia, Italy
| | - D Lauritano
- Department of Medicine and Surgery, University of Milan-Bicocca, Milan, Italy
| | - V Candotto
- Department of Morphology, Surgery and Experimental Medicine, University of Ferrara, Ferrara, Italy
| | - G E Mancini
- Maxillo-Facial and Dental Unit, Fondazione Cà Granda IRCCS Ospedale Maggiore Policlinico; Department of Biomedical, Surgical and Dental Sciences University of Milan, Milan, Italy
| | - A B Giannì
- Maxillo-Facial and Dental Unit, Fondazione Cà Granda IRCCS Ospedale Maggiore Policlinico; Department of Biomedical, Surgical and Dental Sciences University of Milan, Milan, Italy
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33
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Lauritano D, Lo Muzio L, Gaudio RM, Lo Russo L, Mucchi D, Nardi GM, Martinelli M. Why should patients with systemic disease and tobacco smokers go to the dentist? J BIOL REG HOMEOS AG 2016; 30:135-41. [PMID: 27469560] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 06/06/2023]
Abstract
Periodontal diseases (PD) affect about half of the adult population all over the world. PD is caused by bacterial infection which induces an inflammatory response with progressive destruction of the periodontal tissues and finally the loss of teeth. Tobacco smoking (TS), alcohol consumption, and systemic diseases (SDs), such as cardiovascular diseases, diabetes mellitus, respiratory diseases, osteoporosis, malnutrition and stress, are considered additional risk factors. This short review examines the potential causal association between PD, TS and SDs. There is strong evidence that PD is associated with an increased risk of SDs. In addition, many patients with SDs are also affected by PD, which can be mild or severe, and tobacco smokers manifest a greater risk of developing PD. The aim of this manuscript is to investigate the effects of periodontal therapy on the management of SDs and influence of TS on PD. This manuscript includes many randomized controlled trials and reviews to test the effects of different periodontal therapies for patients with SDs. A definite conclusion on the relationship between PD and SDs is lacking, however, there is sufficient evidence to justify periodontal treatment to prevent SDs; in fact, PD is prevalent in the middle-aged population and can have a significant impact on systemic health.
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Affiliation(s)
- D Lauritano
- Department of Medicine and Surgery, University of Milan-Bicocca, Milan, Italy
| | - L Lo Muzio
- Department of Clinical and Experimental Medicine, University of Foggia, Italy
| | - R M Gaudio
- Department of Medical Sciences, University of Ferrara, Ferrara, Italy
| | - L Lo Russo
- Department of Clinical and Experimental Medicine, University of Foggia, Italy
| | - D Mucchi
- LAB s.r.l., Codigoro, Ferrara, Italy
| | - G M Nardi
- Department of Dental and Maxillofacial Sciences, University La Sapienza, Rome, Italy
| | - M Martinelli
- Department of Experimental, Diagnostic and Specialty Medicine, University of Bologna, Bologna, Italy
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34
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Ardito F, Giuliani M, Perrone D, Giannatempo G, Di Fede O, Favia G, Campisi G, Colella G, Lo Muzio L. Expression of salivary biomarkers in patients with oral mucositis: evaluation by SELDI-TOF/MS. Oral Dis 2016; 22:209-19. [DOI: 10.1111/odi.12405] [Citation(s) in RCA: 8] [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] [Received: 07/14/2015] [Revised: 11/15/2015] [Accepted: 11/18/2015] [Indexed: 01/15/2023]
Affiliation(s)
- F Ardito
- Department of Clinical and Experimental Medicine; Foggia University; Foggia Italy
| | - M Giuliani
- Department of Clinical and Experimental Medicine; Foggia University; Foggia Italy
| | - D Perrone
- Department of Clinical and Experimental Medicine; Foggia University; Foggia Italy
| | - G Giannatempo
- Department of Clinical and Experimental Medicine; Foggia University; Foggia Italy
| | - O Di Fede
- Department of Surgical, Oncological and Stomatological Sciences; University of Palermo; Palermo Italy
| | - G Favia
- Department of Odontostomatology and Surgery; University of Bari; Bari Italy
| | - G Campisi
- Department of Surgical, Oncological and Stomatological Sciences; University of Palermo; Palermo Italy
| | - G Colella
- Department of Medical, Surgical and Dental Specialties; Second University of Naples; Naples Italy
| | - L Lo Muzio
- Department of Clinical and Experimental Medicine; Foggia University; Foggia Italy
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35
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Carbone A, Valente M, Annacontini L, Castellani S, Di Gioia S, Parisi D, Rucci M, Belgiovine G, Colombo C, Di Benedetto A, Mori G, Lo Muzio L, Maiorella A, Portincasa A, Conese M. Adipose-derived mesenchymal stromal (stem) cells differentiate to osteoblast and chondroblast lineages upon incubation with conditioned media from dental pulp stem cell-derived osteoblasts and auricle cartilage chondrocytes. J BIOL REG HOMEOS AG 2016; 30:111-122. [PMID: 27049081] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 06/05/2023]
Abstract
The potential of adipose-derived mesenchymal stromal (stem) cells (ADSCs) to differentiate into either osteoblasts or chondrocytes is controversial. In this study we investigated the multicapacity potential of ADSCs to differentiate towards adipocyte, osteoblast, and chondrocyte lineages when cells are seeded onto plastic in comparison with incubation with conditioned media (CM) obtained from differentiated cell types.ADSCs, obtained from liposuctions, were characterized for mesenchymal and hematopoietic markers by cytofluorimetry. Their differentiation capacity towards adipocytes, osteoblasts, and chondrocytes was investigated by histochemistry methods (Oil-Red-O staining, Safranin O and Alizarin Red staining, respectively). Dental pulp stem cells (DPSCs) and dedifferentiated auricle derived-chondrocytes were differentiated towards osteoblastic and chondrocytic lineages respectively, and the CM obtained from these cultures was used to induce differentiation of ADSCs. ADSCs were positive for mesenchymal markers (CD29, CD105, CD73, CD44), but not for hematopoietic lineage markers (CD14, CD34, CD45) and this behavior was conserved from the isolation up to the fifth passage. While ADSCs were readily differentiated in adipocytes, they were not towards chondrocytes and osteoblastic lineages, a behavior different from that of bone marrow-derived MSCs that differentiated into the three lineages at two weeks post-induction. Only ADSCs treated with CM from cultured chondrocytes and DPSCs, produced glycosaminoglycans and mineralized matrix. These results indicate that ADSCs need growth/morphogenic factor supplementation from the tissue environment to be appropriately differentiated to mesodermic lineages.
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Affiliation(s)
- A Carbone
- Fondazione IRCCS Ca Granda Ospedale Maggiore Policlinico, Medical Genetics Laboratory, Milan, Italy; Department of Medical and Surgical Sciences, University of Foggia, Foggia, Italy
| | - M Valente
- Department of Clinical and Experimental Medicine, University of Foggia, Foggia, Italy
| | - L Annacontini
- Department of Clinical and Experimental Medicine, University of Foggia, Foggia, Italy
| | - S Castellani
- Department of Medical and Surgical Sciences, University of Foggia, Foggia, Italy
| | - S Di Gioia
- Department of Medical and Surgical Sciences, University of Foggia, Foggia, Italy
| | - D Parisi
- Department of Clinical and Experimental Medicine, University of Foggia, Foggia, Italy
| | - M Rucci
- Department of Clinical and Experimental Medicine, University of Foggia, Foggia, Italy
| | - G Belgiovine
- Department of Medical and Surgical Sciences, University of Foggia, Foggia, Italy
| | - C Colombo
- Fondazione IRCCS Ca Granda Ospedale Maggiore Policlinico, Cystic Fibrosis Center, Milan, Italy
| | - A Di Benedetto
- Department of Clinical and Experimental Medicine, University of Foggia, Foggia, Italy
| | - G Mori
- Department of Clinical and Experimental Medicine, University of Foggia, Foggia, Italy
| | - L Lo Muzio
- Department of Clinical and Experimental Medicine, University of Foggia, Foggia, Italy
| | - A Maiorella
- Department of Clinical and Experimental Medicine, University of Foggia, Foggia, Italy
| | - A Portincasa
- Department of Clinical and Experimental Medicine, University of Foggia, Foggia, Italy
| | - M Conese
- Department of Medical and Surgical Sciences, University of Foggia, Foggia, Italy
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Laino L, Troiano G, Giannatempo G, Graziani U, Ciavarella D, Dioguardi M, Lo Muzio L, Lauritano F, Cicciù M. Sinus Lift Augmentation by Using Calcium Sulphate. A Retrospective 12 Months Radiographic Evaluation Over 25 Treated Italian Patients. Open Dent J 2015; 9:414-9. [PMID: 26966467 PMCID: PMC4765513 DOI: 10.2174/1874210601509010414] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.4] [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: 06/12/2015] [Revised: 09/21/2015] [Accepted: 10/06/2015] [Indexed: 11/22/2022] Open
Abstract
Purpose: The aim of this investigation was to assess bone healing of sinus lift procedure in which the augmentation has been performed by using calcium sulphate like bone substitutes. The methods of this investigation how the use of Cone Beam Computed Tomography (CBCT) may be a valid instrument to support reconstructive surgery of the jaws. Patients and Methodology: 25 Patients presented large bone defects after tooth extractions located in the upper jaw posterior area. Vertical bone volume was assessed by CBCT examinations before and about six months after sinus lift surgery. Results: Examined defects treated with sinus lift surgery and evaluated by CBCT showed a strong increasing on the bone volume at 6 months follow up control. Conclusion: Calcium sulphate application in sinus lift surgery represent a safe and predictable option in the place of autologous bone. Therefore the application of CBCT investigation may give the clinicians the opportunity of evaluating with high precision value, the consistence of the bone defects before the surgery.
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Affiliation(s)
- L Laino
- Department of Clinical and Experimental Medicine, Foggia University, Foggia, Italy
| | - G Troiano
- Department of Clinical and Experimental Medicine, Foggia University, Foggia, Italy
| | - G Giannatempo
- Department of Clinical and Experimental Medicine, Foggia University, Foggia, Italy
| | - U Graziani
- Department of Clinical and Experimental Medicine, Foggia University, Foggia, Italy
| | - D Ciavarella
- Department of Clinical and Experimental Medicine, Foggia University, Foggia, Italy
| | - M Dioguardi
- Department of Clinical and Experimental Medicine, Foggia University, Foggia, Italy
| | - L Lo Muzio
- Department of Clinical and Experimental Medicine, Foggia University, Foggia, Italy
| | - F Lauritano
- Department of Human Pathology, School of Dentistry, University of Messina, Messina, Italy
| | - M Cicciù
- Department of Human Pathology, School of Dentistry, University of Messina, Messina, Italy
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37
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Pannone G, Santoro A, Feola A, Bufo P, Papagerakis P, Lo Muzio L, Staibano S, Ionna F, Longo F, Franco R, Aquino G, Contaldo M, De Maria S, Serpico R, De Rosa A, Rubini C, Papagerakis S, Giovane A, Tombolini V, Giordano A, Caraglia M, Di Domenico M. The role of E-cadherin down-regulation in oral cancer: CDH1 gene expression and epigenetic blockage. Curr Cancer Drug Targets 2015; 14:115-27. [PMID: 24274398 DOI: 10.2174/1568009613666131126115012] [Citation(s) in RCA: 40] [Impact Index Per Article: 4.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/22/2013] [Revised: 08/29/2013] [Accepted: 08/29/2013] [Indexed: 11/22/2022]
Abstract
BACKGROUND The prognosis of the oral squamous cell carcinoma (OSCC) patients remains very poor, mainly due to their high propensity to invade and metastasize. E-cadherin reduced expression occurs in the primary step of oral tumour progression and gene methylation is a mode by which the expression of this protein is regulated in cancers. In this perspective, we investigated E-cadherin gene (CDH1) promoter methylation status in OSCC and its correlation with Ecadherin protein expression, clinicopathological characteristics and patient outcome. METHODS Histologically proven OSCC and paired normal mucosa were analyzed for CDH1 promoter methylation status and E-cadherin protein expression by methylation-specific polymerase chain reaction and immunohistochemistry. Colocalization of E-cadherin with epidermal growth factor (EGF) receptor (EGFR) was evidenced by confocal microscopy and by immunoprecipitation analyses. RESULTS This study indicated E-cadherin protein down-regulation in OSCC associated with protein delocalization from membrane to cytoplasm. Low E-cadherin expression correlated to aggressive, poorly differentiated, high grade carcinomas and low patient survival. Moreover, protein down-regulation appeared to be due to E-cadherin mRNA downregulation and CDH1 promoter hypermethylation. In an in vitro model of OSCC the treatment with EGF caused internalization and co-localization of E-cadherin with EGFR and the addition of demethylating agents increased E-cadherin expression. CONCLUSION Low E-Cadherin expression is a negative prognostic factor of OSCC and is likely due to the hypermethylation of CDH1 promoter. The delocalization of E-cadherin from membrane to cytoplasm could be also due to the increased expression of EGFR in OSCC and the consequent increase of E-cadherin co-internalization with EGFR.
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Affiliation(s)
| | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | - M Di Domenico
- Department of Biochemistry, Biophisics and General Patology, Second University of Naples, Via L. De Crecchio, 7, 80138 Naples, Italy.
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Dioguardi M, Perrone D, Troiano G, Laino L, Ardito F, Lauritano F, Cicciù M, Muzio LL. Cytotoxicity evaluation of five different dual-cured resin cements used for fiber posts cementation. Int J Clin Exp Med 2015; 8:9327-9333. [PMID: 26309592 PMCID: PMC4538005] [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] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/02/2014] [Accepted: 03/07/2015] [Indexed: 06/04/2023]
Abstract
Custom-cast posts and cores are usually used to treat endodontically treated teeth. However, several researches have underlined how these devices may be a much higher elastic modulus than the supporting dentine and the difference in the modulus could lead to stress concentrating in the cement lute, leading to failure. The role of the cement seems to play a fundamental role in order to transfer the strength during the chewing phases. Aim of this research is to record the rate of cytotoxicity of five different dual-cured resin cements used for fiber posts cementation. We tested the cytotoxicity of this five materials on MG63 osteoblast-like cells through two different methods: MTT ([3-4,5-dimethylthiazol-2-yl]-2,5-diphenyltetrazolium bromide succinate) assay which tests for mitochondrial enzyme activity(6) and xCELLigence® system.
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Affiliation(s)
- M Dioguardi
- Department of Clinical and Experimental Medicine, University of Foggia FO, Italy
| | - D Perrone
- Department of Clinical and Experimental Medicine, University of Foggia FO, Italy
| | - G Troiano
- Department of Clinical and Experimental Medicine, University of Foggia FO, Italy
| | - L Laino
- Department of Clinical and Experimental Medicine, University of Foggia FO, Italy
| | - F Ardito
- Department of Clinical and Experimental Medicine, University of Foggia FO, Italy
| | - F Lauritano
- Department of Odonto-Stomatology, University of Messina University of Messina School of Dentistry ME, IT
| | - M Cicciù
- Department of Human Pathology, School of Dentistry University of Messina School of Dentistry ME, IT
| | - L Lo Muzio
- Department of Clinical and Experimental Medicine, University of Foggia FO, Italy
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Sartini D, Lo Muzio L, Morganti S, Pozzi V, Di Ruscio G, Rocchetti R, Rubini C, Santarelli A, Emanuelli M. Pokemon proto-oncogene in oral cancer: potential role in the early phase of tumorigenesis. Oral Dis 2015; 21:462-9. [DOI: 10.1111/odi.12304] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/08/2014] [Revised: 11/04/2014] [Accepted: 11/24/2014] [Indexed: 02/06/2023]
Affiliation(s)
- D Sartini
- Dipartimento di Scienze Cliniche Specialistiche e Odontostomatologiche; Università Politecnica delle Marche; Ancona Italy
| | - L Lo Muzio
- Dipartimento di Medicina Clinica e Sperimentale; Università degli Studi di Foggia; Foggia Italy
| | - S Morganti
- Dipartimento di Scienze Cliniche Specialistiche e Odontostomatologiche; Università Politecnica delle Marche; Ancona Italy
| | - V Pozzi
- Dipartimento di Scienze Cliniche Specialistiche e Odontostomatologiche; Università Politecnica delle Marche; Ancona Italy
| | - G Di Ruscio
- Dipartimento di Scienze Cliniche Specialistiche e Odontostomatologiche; Università Politecnica delle Marche; Ancona Italy
| | - R Rocchetti
- Dipartimento di Scienze Biomediche e Sanità Pubblica; Università Politecnica delle Marche; Ancona Italy
| | - C Rubini
- Dipartimento di Scienze Biomediche e Sanità Pubblica; Università Politecnica delle Marche; Ancona Italy
| | - A Santarelli
- Dipartimento di Scienze Cliniche Specialistiche e Odontostomatologiche; Università Politecnica delle Marche; Ancona Italy
- I.R.C.C.S. - I.N.R.C.A.; Ancona Italy
| | - M Emanuelli
- Dipartimento di Scienze Cliniche Specialistiche e Odontostomatologiche; Università Politecnica delle Marche; Ancona Italy
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40
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Lasalvia M, D'Antonio P, Perna G, Capozzi V, Mariggiò MA, Perrone D, Gallo C, Quartucci G, Lo Muzio L. Discrimination of different degrees of oral squamous cell carcinoma by means of Raman microspectroscopy and atomic force microscopy. Anal Methods 2015. [DOI: 10.1039/c4ay02282c] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 02/05/2023]
Abstract
Two cellular types characterized by different degree of oral squamous cell carcinoma can be discriminated by Raman microspectroscopy and Atomic Force Microscopy, according to the content of nucleic acids and proteins as well as the membrane stiffness.
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Affiliation(s)
- M. Lasalvia
- Dipartimento di Medicina Clinica e Sperimentale
- Università degli studi di Foggia
- 71122 Foggia
- Italy
| | - P. D'Antonio
- Dipartimento di Medicina Clinica e Sperimentale
- Università degli studi di Foggia
- 71122 Foggia
- Italy
| | - G. Perna
- Dipartimento di Medicina Clinica e Sperimentale
- Università degli studi di Foggia
- 71122 Foggia
- Italy
| | - V. Capozzi
- Dipartimento di Medicina Clinica e Sperimentale
- Università degli studi di Foggia
- 71122 Foggia
- Italy
| | - M. A. Mariggiò
- Dipartimento di Scienze Biomediche ed Oncologia Umana
- Università degli studi di Bari
- Policlinico di Bari
- 70124 Bari
- Italy
| | - D. Perrone
- Dipartimento di Medicina Clinica e Sperimentale
- Università degli studi di Foggia
- 71122 Foggia
- Italy
| | - C. Gallo
- Dipartimento di Medicina Clinica e Sperimentale
- Università degli studi di Foggia
- 71122 Foggia
- Italy
| | - G. Quartucci
- Dipartimento di Medicina Clinica e Sperimentale
- Università degli studi di Foggia
- 71122 Foggia
- Italy
| | - L. Lo Muzio
- Dipartimento di Medicina Clinica e Sperimentale
- Università degli studi di Foggia
- 71122 Foggia
- Italy
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41
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Meme L, Santarelli A, Marzo G, Emanuelli M, Nocini PF, Bertossi D, Putignano A, Dioguardi M, Lo Muzio L, Bambini F. Novel hydroxyapatite biomaterial covalently linked to raloxifene. Int J Immunopathol Pharmacol 2014; 27:437-44. [PMID: 25280036 DOI: 10.1177/039463201402700315] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
Abstract
Since raloxifene, a drug used in osteoporosis therapy, inhibits osteoclast, but not osteoblast functions, it has been suggested to improve recovery during implant surgery. The present paper describes an effective method to link raloxifene, through a covalent bond, to a nano-Hydroxyapatite-based biomaterial by interfacing with (3-aminopropyl)-Triethoxysilane as assessed by Infra Red-Fourier Transformed (IR-FT) spectroscopy and Scanning Electron Microscope (SEM). To evaluate the safety of this modified new material, the vitality of osteoblast-like cells cultured with the new biomaterial was then investigated. Raloxifene-conjugated HAbiomaterial has been shown to be a safe material easy to obtain which could be an interesting starting point for the use of a new functional biomaterial suitable in bone regeneration procedures.
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Affiliation(s)
- L Meme
- Department of Clinical Specialistic and Stomatological Sciences, Marche Polytechnic University, Ancona, Italy
| | - A Santarelli
- Department of Clinical Specialistic and Stomatological Sciences, Marche Polytechnic University, Ancona, Italy
| | - G Marzo
- Department of Surgical Sciences, L'Aquila University, L'Aquila, Italy
| | - M Emanuelli
- Department of Clinical Specialistic and Stomatological Sciences, Marche Polytechnic University, Ancona, Italy
| | - P F Nocini
- Department of Maxillo-Facial Surgery, University of Verona, Verona, Italy
| | - D Bertossi
- Department of Maxillo-Facial Surgery, University of Verona, Verona, Italy
| | - A Putignano
- Department of Clinical Specialistic and Stomatological Sciences, Marche Polytechnic University, Ancona, Italy
| | - M Dioguardi
- Department of Clinical and Experimental Medicine, Foggia University, Foggia, Italy
| | - L Lo Muzio
- Department of Clinical and Experimental Medicine, Foggia University, Foggia, Italy
| | - F Bambini
- Department of Clinical Specialistic and Stomatological Sciences, Marche Polytechnic University, Ancona, Italy
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42
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Lo Muzio L, Pannone G, Santarelli A, Lo Russo L, De Lillo A, Rubini C, Bambini F, Bufo P, Dioguardi M, Procaccini M. Expression of poly(ADP-ribose) polymerase in bone regeneration. J BIOL REG HOMEOS AG 2014; 28:801-807. [PMID: 25620190] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 06/04/2023]
Abstract
Poly(ADP-ribose) polymerase (PARP) is a 116kDa enzyme catalysing the synthesis of ADP-ribose polymers from NAD+. PARP is activated in response to DNA strand breaks and plays a critical role in the maintenance of genomic integrity. However, considering its role also in transcription, proliferation as well as apoptosis in biological process, in the present study the role of PARP in bone regeneration was evaluated, in particular in bone cell proliferation and differentiation processes. Thus, formalin fixed paraffin embedded specimens of 10 human bone samples after sinus lift were collected and investigated by immunohistochemistry using a mouse monoclonal anti-human PARP antibody. PARP was expressed in cells with morphological features of osteoblasts in the areas of new bone formation at the junction between mineralized and unmineralized tissue, between osteoid tissue and bone. Few osteoclasts were observed and showed only focal nuclear expression of PARP, while osteocytes showed no positivity for PARP. Our data showed an overall involvement of PARP enzyme in human bone tissues, in particular during bone regeneration process.
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Affiliation(s)
- L Lo Muzio
- Department of Department of Clinical and Experimental Medicine, Foggia University, Foggia, Italy
| | - G Pannone
- Department of Department of Clinical and Experimental Medicine, Foggia University, Foggia, Italy
| | - A Santarelli
- Department of Clinic Specialistic and Stomatological Sciences, Marche Polytechnic University, Ancona, Italy
| | - L Lo Russo
- Department of Department of Clinical and Experimental Medicine, Foggia University, Foggia, Italy
| | - A De Lillo
- Department of Department of Clinical and Experimental Medicine, Foggia University, Foggia, Italy
| | - C Rubini
- Department of Pathologic Anatomy and Histopathology, Marche Polytechnic University, Ancona, Italy
| | - F Bambini
- Department of Clinic Specialistic and Stomatological Sciences, Marche Polytechnic University, Ancona, Italy
| | - P Bufo
- Department of Department of Clinical and Experimental Medicine, Foggia University, Foggia, Italy
| | - M Dioguardi
- Department of Department of Clinical and Experimental Medicine, Foggia University, Foggia, Italy
| | - M Procaccini
- Department of Clinic Specialistic and Stomatological Sciences, Marche Polytechnic University, Ancona, Italy
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43
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Santarelli A, Mascitti M, Orsini G, Memè L, Rocchetti R, Tiriduzzi P, Sampalmieri F, Putignano A, Procaccini M, Lo Muzio L, Bambini F. Osteopontin, osteocalcin and OB-cadherin expression in Synthetic nanohydroxyapatite vs bovine hydroxyapatite cultured Osteoblastic-like cells. J BIOL REG HOMEOS AG 2014; 28:523-529. [PMID: 25316140] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 06/04/2023]
Abstract
Calcium phosphate ceramics have been applied in bone replacement for several decades due to their excellent biocompatibility, bioactivity, osteo-conductivity and mechanical strength. Several studies have demonstrated that porous hydroxyapatite (HA) is an excellent scaffold for osteogenic proliferation and differentiation of the osteoprogenitor cells. However, different methods of synthesis and production of HA ceramic-based materials may have considerable effect on the physical and biological properties. In the present work, two hydroxyapatite-based materials, a natural hydroxyapatite ceramic of bovine origin and a synthetic nano-cristalline hydroxyapatite were tested in vitro with MG63 cell line. The results displayed that both the materials demonstrated a good biocompatibility. The immunocytochemical stain revealed a different positivity of the osteogenic markers between the cultures with the biomaterials, and the control culture. Western blot data confirmed the immunocytochemical stain. Both the materials tested in the present study demonstrated a good biocompatibility with the osteoblastic cells allowing, at the same time, the osteogenic differentiation, and they may be useful in clinical use.
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Affiliation(s)
- A Santarelli
- Department of Clinical, Specialistic and Stomatological Sciences, Marche Polytechnic University, Ancona, Italy
| | - M Mascitti
- Department of Clinical, Specialistic and Stomatological Sciences, Marche Polytechnic University, Ancona, Italy
| | - G Orsini
- Department of Clinical, Specialistic and Stomatological Sciences, Marche Polytechnic University, Ancona, Italy
| | - L Memè
- Department of Clinical, Specialistic and Stomatological Sciences, Marche Polytechnic University, Ancona, Italy
| | - R Rocchetti
- Department of Pathologic Anatomy and Histopathology, Marche Polytechnic University, Ancona, Italy
| | - P Tiriduzzi
- Department of Clinical, Specialistic and Stomatological Sciences, Marche Polytechnic University, Ancona, Italy
| | - F Sampalmieri
- Department of Clinical, Specialistic and Stomatological Sciences, Marche Polytechnic University, Ancona, Italy
| | - A Putignano
- Department of Clinical, Specialistic and Stomatological Sciences, Marche Polytechnic University, Ancona, Italy
| | - M Procaccini
- Department of Clinical, Specialistic and Stomatological Sciences, Marche Polytechnic University, Ancona, Italy
| | - L Lo Muzio
- Department of Clinical and Experimental Medicine, Foggia University, Foggia, Italy
| | - F Bambini
- Department of Clinical, Specialistic and Stomatological Sciences, Marche Polytechnic University, Ancona, Italy
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44
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Lo Muzio L, Favia G, Lacaita M, De Lillo A, Scully C, Napoli A, Lo Russo L, Maiorano E. The contribution of histopathological examination to the diagnosis of cervico-facial actinomycosis: a retrospective analysis of 68 cases. Eur J Clin Microbiol Infect Dis 2014; 33:1915-8. [DOI: 10.1007/s10096-014-2165-0] [Citation(s) in RCA: 7] [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: 04/09/2014] [Accepted: 05/15/2014] [Indexed: 10/25/2022]
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45
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Carinci F, Santarelli A, Laino L, Pezzetti F, De Lillo A, Parisi D, Bambini F, Procaccini M, Testa N, Cocchi R, Muzio LL. Pre-Clinical Evaluation of a New Coral-Based Bone Scaffold. Int J Immunopathol Pharmacol 2014; 27:221-34. [DOI: 10.1177/039463201402700209] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
Abstract
Coral is used worldwide for bone reconstruction. The favorable characteristics that make this material desirable for implantation are (i) osteoinduction, (ii) and osteoconduction. These proprieties have been demonstrated by in vivo studies with animal models and clinical trials over a twenty-year period. Also poly(2-hydroxyethylmethacrylate) [poly(HEMA)] is a widely used biomaterial. By using coral and poly(HEMA), a scaffold for bone reconstruction application has been recently synthesized. Cytological, histological and genetic analyses were performed to characterize this new alloplastic material. Four samples were analyzed: (a) white coral (WC), (b) red coral (RC), (c) WC plus polymer (WCP) and (d) RC plus polymer (RCP). Quantification of mitochondrial dehydrogenase activity by MTT assay was performed as indirect detector of cytotoxicity. In vivo effects were revealed by implanting corals and coral-based polymers in rabbit tibia. Samples were collected after 4 weeks and subjected to histological analysis. To evaluate the genetic response of cells to corals and coral-derived polymers an osteoblast-like cell line (i.e. MG63) was cultured in wells containing (a) medium, (b) medium plus corals and (c) medium plus two types of scaffolds (RCP or WCP). RNAs extracted from cells were retro-transcribed and hybridized on DNA 19.2K microarrays. No cytotoxicity was detected in corals and coral-based biopolymers. No inflammation or adverse effect was revealed by histological examination. By microarray analysis 154 clones were differentially expressed between RC and WC (81 up and 73 down regulated) whereas only 15 clones were repressed by the polymer. Histological evaluation not only confirmed that coral is a biocompatible material, but also that the polymer has no adverse effect. Microarray results were in agreement with cytological and histological analyses and provided further data regarding the genetic effects of RC, WC and the new polymer.
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Affiliation(s)
- F. Carinci
- Department of Experimental Morphology, Surgery and Medicine, Ferrara University, Ferrara, Italy
| | - A. Santarelli
- Department of Clinic Specialistic and Stomatological Sciences, Marche Polytechnic University, Ancona, Italy
| | - L. Laino
- Department of Clinical and Experimental Medicine, Foggia University, Foggia, Italy
| | - F. Pezzetti
- Department of Specialistic, Diagnostic and Experimental Medicine, Bologna University, Bologna, Italy
| | - A. De Lillo
- Department of Clinical and Experimental Medicine, Foggia University, Foggia, Italy
| | - D. Parisi
- Department of Clinical and Experimental Medicine, Foggia University, Foggia, Italy
| | - F. Bambini
- Department of Clinic Specialistic and Stomatological Sciences, Marche Polytechnic University, Ancona, Italy
| | - M. Procaccini
- Department of Clinic Specialistic and Stomatological Sciences, Marche Polytechnic University, Ancona, Italy
| | - N.F. Testa
- Interdisciplinary Department of Medicine, Bari University, Bari, Italy
| | - R. Cocchi
- IRCCS Casa Sollievo della Sofferenza, S. Giovanni Rotondo, Foggia, Italy
| | - L. Lo Muzio
- Department of Clinical and Experimental Medicine, Foggia University, Foggia, Italy
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Campisi G, Fede OD, Bedogni A, Vescovi P, Fusco V, Muzio LL. Osteonecrosi dei mascellari associata a bisfosfonati, denosumab e farmaci anti-angiogenetici nei pazienti oncologici e osteoporotici: prevenzione dentale e sicurezza dei trattamenti odontoiatrici. Dental Cadmos 2013. [DOI: 10.1016/s0011-8524(13)70110-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
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Campisi G, Bedogni A, Di Fede O, Vescovi P, Fusco V, Lo Muzio L. Osteonecrosi dei mascellari associata a bisfosfonati, denosumab e farmaci anti-angiogenetici nei pazienti oncologici e osteoporotici: diagnosi e terapia. Dental Cadmos 2013. [DOI: 10.1016/s0011-8524(13)70099-0] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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Di Leva AP, Santarelli A, Paderni C, Favia G, Muzio LL. Epidermal nevus syndrome: epithelial and cutaneous tumours without systemic disorders: a case report. Ann Stomatol (Roma) 2013; 4:34. [PMID: 24353804 PMCID: PMC3860226] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Subscribe] [Scholar Register] [Indexed: 06/03/2023]
Affiliation(s)
- A Padovano Di Leva
- Department of Sperimental and Clinical Medicine, University of Foggia, Italy
| | - A Santarelli
- Department of Specialistic and Odontostomatological Sciences, Polytechnic University of Marche, Ancona, Italy
| | - C Paderni
- Department of Surgical, Oncologic and Stomatologic Sciences, University of Palermo, Italy
| | - G Favia
- Department of Dental Sciences, University of Bari, Italy
| | - L Lo Muzio
- Department of Sperimental and Clinical Medicine, University of Foggia, Italy
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Giancola F, Campisi G, Lo Russo L, Muzio LL, Di Fede O. Osteonecrosis of the jaw related to everolimus and bisphosphonate: a unique case report? Ann Stomatol (Roma) 2013; 4:20-21. [PMID: 24353782 PMCID: PMC3860225] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Subscribe] [Scholar Register] [Indexed: 06/03/2023]
Affiliation(s)
- F Giancola
- Department of Surgical, Oncological and Oral Sciences, Sector of Oral Medicine "V. Margiotta", University of Palermo, Italy
| | - G Campisi
- Department of Surgical, Oncological and Oral Sciences, Sector of Oral Medicine "V. Margiotta", University of Palermo, Italy
| | - L Lo Russo
- Department of Sperimental and Clinical Medicine, University of Foggia, Italy
| | - L Lo Muzio
- Department of Sperimental and Clinical Medicine, University of Foggia, Italy
| | - O Di Fede
- Department of Surgical, Oncological and Oral Sciences, Sector of Oral Medicine "V. Margiotta", University of Palermo, Italy
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Mascitti M, Santarelli A, Di Fede O, Rubini C, Muzio LL. Glandular odontogenic cyst: report of a new case with cytokeratin-19 expression. Ann Stomatol (Roma) 2013; 4:29-30. [PMID: 24353796 PMCID: PMC3860196] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Subscribe] [Scholar Register] [Indexed: 06/03/2023]
Affiliation(s)
- M Mascitti
- Department of Specialistic and Odontostomatological Sciences, Polytechnic University of Marche, Ancona, Italy
| | - A Santarelli
- Department of Specialistic and Odontostomatological Sciences, Polytechnic University of Marche, Ancona, Italy
| | - O Di Fede
- Department of Surgical, Oncologic and Stomatologic Sciences, University of Palermo, Italy
| | - C Rubini
- Department of Biomedical Sciences and Public Health, Polytechnic University of Marche, Ancona, Italy
| | - L Lo Muzio
- Department of Sperimental and Clinical Medicine, University of Foggia, Italy
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