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Ohla K, Veldhuizen MG, Green T, Hannum ME, Bakke AJ, Moein ST, Tognetti A, Postma EM, Pellegrino R, Hwang DLD, Albayay J, Koyama S, Nolden AA, Thomas-Danguin T, Mucignat-Caretta C, Menger NS, Croijmans I, Ã-ztà Rk L, YanÄ K H, Pierron D, Pereda-Loth V, Nunez-Parra A, Martinez Pineda AM, Gillespie D, Farruggia MC, Cecchetto C, Fornazieri MA, Philpott C, Voznessenskaya V, Cooper KW, Rohlfs Dominguez P, Calcinoni O, de Groot J, Boesveldt S, Bhutani S, Weir EM, Exten C, Joseph PV, Parma V, Hayes JE, Niv MY. A follow-up on quantitative and qualitative olfactory dysfunction and other symptoms in patients recovering from COVID-19 smell loss. Rhinology 2022; 60:207-217. [PMID: 35398877 PMCID: PMC11016179 DOI: 10.4193/rhin21.415] [Citation(s) in RCA: 30] [Impact Index Per Article: 15.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
Abstract
BACKGROUND Sudden smell loss is a specific early symptom of COVID-19, which, prior to the emergence of Omicron, had estimated prevalence of ~40% to 75%. Chemosensory impairments affect physical and mental health, and dietary behavior. Thus, it is critical to understand the rate and time course of smell recovery. The aim of this cohort study was to characterize smell function and recovery up to 11 months post COVID-19 infection. METHODS This longitudinal survey of individuals suffering COVID-19-related smell loss assessed disease symptoms and gustatory and olfactory function. Participants (n=12,313) who completed an initial survey (S1) about respiratory symptoms, chemosensory function and COVID-19 diagnosis between April and September 2020, were invited to complete a follow-up survey (S2). Between September 2020 and February 2021, 27.5% participants responded (n=3,386), with 1,468 being diagnosed with COVID-19 and suffering co-occurring smell and taste loss at the beginning of their illness. RESULTS At follow-up (median time since COVID-19 onset ~200 days), ~60% of women and ~48% of men reported less than 80% of their pre-illness smell ability. Taste typically recovered faster than smell, and taste loss rarely persisted if smell recovered. Prevalence of parosmia and phantosmia was ~10% of participants in S1 and increased substantially in S2: ~47% for parosmia and ~25% for phantosmia. Persistent smell impairment was associated with more symptoms overall, suggesting it may be a key marker of long-COVID illness. The ability to smell during COVID-19 was rated slightly lower by those who did not eventually recover their pre-illness ability to smell at S2. CONCLUSIONS While smell ability improves for many individuals who lost it during acute COVID-19, the prevalence of parosmia and phantosmia increases substantially over time. Olfactory dysfunction is associated with broader persistent symptoms of COVID-19, and may last for many months following acute COVID-19. Taste loss in the absence of smell loss is rare. Persistent qualitative smell symptoms are emerging as common long-term sequelae; more research into treatment options is strongly warranted given that even conservative estimates suggest millions of individuals may experience parosmia following COVID-19. Healthcare providers worldwide need to be prepared to treat post COVID-19 secondary effects on physical and mental health.
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Affiliation(s)
- K Ohla
- Helmut-Schmidt-University, University of the Armed Forces Hamburg, Germany; Firmenich SA, Satigny, Switzerland; The Pennsylvania State University, USA
| | | | - T Green
- The Hebrew University of Jerusalem, Israel
| | - M E Hannum
- Monell Chemical Senses Center, Philadelphia, USA
| | - A J Bakke
- The Pennsylvania State University, USA
| | - S T Moein
- Institute for Research in Fundamental Sciences (IPM), Iran
| | - A Tognetti
- Karolinska Institutet, Stockholm, Sweden
| | - E M Postma
- Wageningen University and Research, the Netherlands
| | - R Pellegrino
- Monell Chemical Senses Center, Philadelphia, USA
| | | | | | | | - A A Nolden
- University of Massachusetts, Amherst, USA
| | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | - S Boesveldt
- Wageningen University and Research, the Netherlands
| | | | - E M Weir
- The Pennsylvania State University, USA
| | - C Exten
- The Pennsylvania State University, USA
| | - P V Joseph
- National Institutes of Health, NINR, NIAAA, USA
| | - V Parma
- Monell Chemical Senses Center, Philadelphia, USA
| | - J E Hayes
- The Pennsylvania State University, USA
| | - M Y Niv
- The Hebrew University of Jerusalem, Israel
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Castagna C, Pellegrino R, Morsella A, Boccia S, Pastorino R, De Belvis AG. Combining personalised medicine and patient-centered care in breast cancer: a systematic review. Eur J Public Health 2021. [DOI: 10.1093/eurpub/ckab164.065] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
Abstract
Abstract
Background
Breast Cancer (BC) is estimated to cause 2.3 million yearly new cases worldwide. Efforts towards standardized, quality assured and effective care have led to an increasing complexity and specialization of BC management. This systematic review's aim is to describe the state-of-the art of available literature investigating the enactment of personalised medicine and patient-centered care models in BC practice and build a framework towards personalised BC care within a patient-centered model.
Methods
Databases were searched to retrieve articles reporting on BC management, evaluated in terms of patient-centered and personalised medicine approaches, assessing success factors or limits, in English, from the inception to December 2020. The investigated dimensions for patient-centered care models were audits, communication, informative systems and multidisciplinarity. Concerning Personalised Medicine, investigations were related to molecular boards, genetic testing and shared-clinical decision-making.
Results
Out of 1885 records, 25 studies were included in the qualitative analysis. The main success factors are multi-professional collaborations with defined roles and responsibilities, training programs on genomic tools and adequate communication strategy (i.e universal genomic language) to involve patients in the decision-making process. Among detected barriers, delays in genetic testing use were linked to the lack of public reimbursement and of clarity in timing and appropriateness.
Conclusions
Both these models are complementary and needed to ensure effective changes in the path of BC patient management. Our framework aims to the transformation of standardized application of evidence-based medicine into a dynamic and personalised care pathway.
Key messages
The combination of the two care delivery approaches is scarcely investigated in literature. Our framework would allow to fill such gap and attributes a key role to sharing the decision-making process.
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Affiliation(s)
- C Castagna
- Department of Life Sciences and Public Health, Università Cattolica del Sacro Cuore, Rome, Italy
| | - R Pellegrino
- Critical Pathways and Outcomes Evaluation Unit, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, Rome, Italy
| | - A Morsella
- Department of Life Sciences and Public Health, Università Cattolica del Sacro Cuore, Rome, Italy
| | - S Boccia
- Department of Life Sciences and Public Health, Università Cattolica del Sacro Cuore, Rome, Italy
- Department of Woman and Child Health and Public Health, Università Cattolica del Sacro Cuore, Rome, Italy
| | - R Pastorino
- Department of Woman and Child Health and Public Health, Università Cattolica del Sacro Cuore, Rome, Italy
| | - AG De Belvis
- Department of Life Sciences and Public Health, Università Cattolica del Sacro Cuore, Rome, Italy
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Miranda A, Gravina AG, Cuomo A, Mucherino C, Sgambato D, Facchiano A, Granata L, Priadko K, Pellegrino R, de Filippo FR, Camera S, Cuomo R, Melina R, D'Onofrio V, Manguso F, Ciacci C, Romano M. Efficacy of ustekinumab in the treatment of patients with Crohn's disease with failure to previous conventional or biologic therapy: a prospective observational real-life study. J Physiol Pharmacol 2021; 72. [PMID: 34987127 DOI: 10.26402/jpp.2021.4.05] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Subscribe] [Scholar Register] [Received: 07/18/2021] [Accepted: 08/30/2021] [Indexed: 12/08/2022]
Abstract
Ustekinumab (UST), a human anti-IL12/23p40 monoclonal antibody, was approved by FDA and EMA for the treatment of moderate to severe Crohn's disease (CD). Whether UST is effective in inducing deep remission, including mucosal healing and transmural healing, in patients with CD in a real life setting is not completely clear. This study was performed on 92 subjects with confirmed diagnosis of moderate to severe Crohn's disease and no neoplasia. Before inclusion, all patients had been exposed and had failed to respond to conventional and/or at least one biological therapy. All patients underwent endoscopic examination and bowel MRI and ultrasonography at baseline (T0). At week 52 (T52), patients underwent colonoscopy for assessment of mucosal healing and MRI or ultrasonography for assessment of transmural healing. CDAI was used for the assessment of clinical response and clinical remission. SES-CD was used to assess endoscopic response and remission. Incidence of treatment-related adverse events (TRAEs) was recorded during the study period. Clinical response at week 52 was achieved in 38 (50.5%) patients and clinical remission in 29 (39%). Twenty-six (34%) patients showed mucosal healing, 34 (45%) showed partial endoscopic response. We observed a reduction in SES-CD of at least 50% in 34 (45%) patients as well as an SES-CD ≤ 2 in 26 (35%) patients. All patients with mucosal healing also showed transmural healing. No major TRAEs were observed during treatment. In this multicenter, real life study, we show that UST was well tolerated and effective in inducing clinical response and clinical remission in patients with moderate to severe CD who had previously failed to respond to conventional or biologic therapy. UST showed limited efficacy in inducing deep remission (i.e. mucosal+transmural healing).
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Affiliation(s)
- A Miranda
- Hepatogastroenterology Division, Department of Precision Medicine, University of Campania Luigi Vanvitelli, Naples, Italy
| | - A G Gravina
- Hepatogastroenterology Division, Department of Precision Medicine, University of Campania Luigi Vanvitelli, Naples, Italy
| | - A Cuomo
- Gastroenterology Unit "Umberto I" Hospital, Nocera Inferiore, Salerno, Italy
| | - C Mucherino
- Gastroenterology and Endoscopy Unit, S. Anna-S. Sebastiano Hospital, Caserta, Italy
| | - D Sgambato
- Department of Gastroenterology, S. G. Moscati Hospital, Avellino, Italy
| | - A Facchiano
- Hepatogastroenterology Division, Department of Precision Medicine, University of Campania Luigi Vanvitelli, Naples, Italy
| | - L Granata
- Hepatogastroenterology Division, Department of Precision Medicine, University of Campania Luigi Vanvitelli, Naples, Italy
| | - K Priadko
- Hepatogastroenterology Division, Department of Precision Medicine, University of Campania Luigi Vanvitelli, Naples, Italy
| | - R Pellegrino
- Hepatogastroenterology Division, Department of Precision Medicine, University of Campania Luigi Vanvitelli, Naples, Italy
| | - F R de Filippo
- Gastroenterology Unit, Department of Medicine and Surgery, Scuola Medica Salernitana, University of Salerno, Salerno, Italy
| | - S Camera
- Gastroenterology Unit "Umberto I" Hospital, Nocera Inferiore, Salerno, Italy
| | - R Cuomo
- Department of Gastroenterology, S. G. Moscati Hospital, Avellino, Italy
| | - R Melina
- Department of Gastroenterology, S. G. Moscati Hospital, Avellino, Italy
| | - V D'Onofrio
- Department of Gastroenterology, S. G. Moscati Hospital, Avellino, Italy
| | - F Manguso
- Complex Operating Unit of Gastroenterology, AORN 'A. Cardarelli', Naples, Italy
| | - C Ciacci
- Gastroenterology Unit, Department of Medicine and Surgery, Scuola Medica Salernitana, University of Salerno, Salerno, Italy
| | - M Romano
- Hepatogastroenterology Division, Department of Precision Medicine, University of Campania Luigi Vanvitelli, Naples, Italy.
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Saggini R, Anastasi GP, Battilomo S, Maietta Latessa P, Costanzo G, Di Carlo F, Festa F, Giardinelli G, Macrì F, Mastropasqua L, Nardone M, Nicoletti G, Orsini A, Pastorelli M, Pellegrino R, Trevisan M, La Mesa L, Le Pera AM, Privitera MG, Ralli G, Villani C, Bricot B, Davidson RG, Hassdenteufel A, Hawamdeh ZM, Kleinrensink GJ, Matheron E, Stoev VL, Stratulat S, Tiron S, Villeneuve P, Paolucci T, Bellomo RG. Consensus paper on postural dysfunction: recommendations for prevention, diagnosis and therapy. J BIOL REG HOMEOS AG 2021; 35:441-456. [PMID: 33940790 DOI: 10.23812/20-743-a] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Abstract
Good fundamentals of posture and balance are essential for the efficient performance of both simple daily tasks and more complex movement patterns. In particular, postural balance is the ability to keep the body in equilibrium and to regain balance after the shift of body segments: postural control mechanisms of integration of the visual, vestibular and foot afferential channels contribute to this. This document provides recommendations based on scientific evidence, clinical practice, and consensus between experts concerning the prevention, diagnosis, and treatment of postural dysfunction at the three stages of life as the developmental age, adult age, and old age > 65 years and follows the "National Guidelines on Classification and Measuring of Posture and its Dysfunctions" per the Italian Ministry of Health (December 2017). The paper answers four main questions: i) "Which measures can be adopted to prevent postural dysfunctions?" ii) "What can we do in order to make a correct diagnosis of postural dysfunction?" iii) "What are the correct treatment programs for postural dysfunctions?" iv) Which professional competencies and experiences are useful for preventing, diagnosing and treating postural dysfunctions? By the Consensus of the Experts and the scientific evidence, emerge that the approach to postural dysfunctions requires a multidisciplinary and interdisciplinary team. Furthermore, rehabilitation treatment interventions must be specific to the age groups that have been indicated, to consider the integration of the main systems and subsystems of postural control that change with age.
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Affiliation(s)
- R Saggini
- Unit of Physical Medicine and Rehabilitation, Department of Oral, Medical and Biotechnological Sciences, University of G. d'Annunzio of Chieti-Pescara, Italy
| | - G P Anastasi
- Department of Biomedical, Dental Sciences and Morphological and Functional Images, University of Messina, Italy
| | | | - P Maietta Latessa
- Department for Life Quality Studies, University of Bologna, Rimini, Italy
| | - G Costanzo
- Department of Anatomy, Histology, Legal Medicine, and Orthopaedics, Sapienza, University of Rome, Rome, Italy
| | | | - F Festa
- Department of Oral, Medical and Biotechnological Sciences, University of G. d'Annunzio of Chieti-Pescara, Italy
| | - G Giardinelli
- National Institute for Occupational Safety and Health, Rome, Italy
| | - F Macrì
- Italian Society of Pediatrics, Rome, Italy
| | - L Mastropasqua
- Ophthalmic Clinic, SS Annunziata Hospital of Chieti, University of G. d'Annunzio of Chieti-Pescara, Italy
| | - M Nardone
- Italian Ministry of Health, Rome, Italy
| | | | - A Orsini
- Telematic University "San Raffaele," Rome, Italy
| | | | | | - M Trevisan
- Department of Anatomy, Histology, Legal Medicine, and Orthopaedics, Sapienza, University of Rome, Rome, Italy
| | - L La Mesa
- Italian Society of Pediatrics, Rome, Italy
| | | | | | - G Ralli
- Otolaryngology Unit, Sapienza, University of Rome, Rome, Italy
| | - C Villani
- Department of Anatomy, Histology, Legal Medicine, and Orthopaedics, Sapienza, University of Rome, Rome, Italy
| | | | - R G Davidson
- Comunication Disorders Department ARIEL University, ARIEL, Israel
| | - A Hassdenteufel
- The International Federation for Proprioceptive and Biomechanical Therapies, Sassenberg, Germany
| | - Z M Hawamdeh
- Physical Medicine and Rehabilitation, School of Rehabilitation Sciences, University of Jordan
| | - G J Kleinrensink
- Department of Neuroscience and Anatomy, University Medical Center of Rotterdam, Rotterdam, Holland
| | - E Matheron
- IRIS Group, "Physiopathologie de la Vision et Motricité Binoculaire" CNRS FR2022, Université Paris Descartes, UFR Biomédicale, Paris, France
| | - V L Stoev
- Romanian Association of Posturology, Romania
| | - S Stratulat
- University of Medicine and Pharmacy "Gr. T. Popa," Iasi, Romania
| | - S Tiron
- Romanian Association of Posturology, Romania
| | - P Villeneuve
- International Posturology Association, University de Valenciennes, Spain
| | - T Paolucci
- Unit of Physical Medicine and Rehabilitation, Department of Oral, Medical and Biotechnological Sciences, University of G. d'Annunzio of Chieti-Pescara, Italy
| | - R G Bellomo
- University of Study of Urbino Carlo Bo, Department of Biomolecular Sciences, Urbino, Italy
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Liu DT, Pellegrino R, Sabha M, Aytug A, Aytug A, Damm M, Poletti SC, Croy I, Hohner A, Oleszkiewicz A, Mandy C, Hummel T. Factors associated with relevant olfactory recovery after olfactory training: a retrospective study including 601 participants. Rhinology 2021; 59:91-97. [PMID: 33544097 DOI: 10.4193/rhin20-262] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
Abstract
OBJECTIVE Olfactory training (OT) represents a therapeutic option for multiple etiologies of olfactory dysfunction (OD) that also benefits normosmic subjects. In this retrospective study, we report the effectiveness of OT and factors associated with relevant changes in olfactory function (OF) in large groups of normosmic participants and patients with OD, including a control group that performed no training. METHODS This was a retrospective pooled analysis including 2 treatment cohorts of 8 previously published studies. Adult participants that either presented with the major complaint of quantitative OD or normosmic volunteers were recruited at various ENT clinics and received OT or no training. The outcome was based on changes in objective olfactory test scores after OT. RESULTS A total of 601 patients with OD or normosmic subjects were included. OT was more effective compared to no training. No interaction was found between OT and OF. In multivariate analysis, higher baseline OF (adjusted odds ratio, aOR, 0.93) and posttraumatic (aOR, 0.29) or idiopathic OD (aOR, 0.18) compared to postinfectious causes were significantly associated with lower odds of relevant improvements in patients with OD receiving OT. Subgroup analysis of normosmic participants receiving OT further revealed a significant association of lower age and baseline olfactory function with improvements of overall OF. CONCLUSIONS This study demonstrated that OT was more effective than no training in patients with various causes of OD. Additionally, baseline olfactory performance and etiology of OD were identified as important factors associated with relevant improvements after OT.
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Affiliation(s)
- D T Liu
- Smell and Taste Clinic, Department of Otorhinolaryngology, Medical Faculty Carl-Gustav Carus, Technical University of Dresden, Dresden, Germany and Department of Otorhinolaryngology, Head and Neck Surgery, Medical University of Vienna, Vienna, Austria
| | - R Pellegrino
- Smell and Taste Clinic, Department of Otorhinolaryngology, Medical Faculty Carl-Gustav Carus, Technical University of Dresden, Dresden, Germany and Department of Food Science, Institute of Agriculture, University of Tennessee, Knoxville, Tennessee, U.S.A
| | - M Sabha
- Smell and Taste Clinic, Department of Otorhinolaryngology, Medical Faculty Carl-Gustav Carus, Technical University of Dresden, Dresden, Germany
| | - A Aytug
- Department of Otorhinolaryngology, Biruni University Medicine Faculty, Istanbul, Turkey
| | - A Aytug
- Department of Otorhinolaryngology, Biruni University Medicine Faculty, Istanbul, Turkey
| | - M Damm
- ENT-Medicine Cologne (HNO-Heilkunde Koln) and University Hospitals of Cologne, Cologne, Germany
| | - S C Poletti
- Smell and Taste Clinic, Department of Otorhinolaryngology, Medical Faculty Carl-Gustav Carus, Technical University of Dresden, Dresden, Germany
| | - I Croy
- Smell and Taste Clinic, Department of Otorhinolaryngology, Medical Faculty Carl-Gustav Carus, Technical University of Dresden, Dresden, Germany
| | - A Hohner
- Smell and Taste Clinic, Department of Otorhinolaryngology, Medical Faculty Carl-Gustav Carus, Technical University of Dresden, Dresden, Germany
| | - A Oleszkiewicz
- Smell and Taste Clinic, Department of Otorhinolaryngology, Medical Faculty Carl-Gustav Carus, Technical University of Dresden, Dresden, Germany and Institute of Psychology, University of Wroclaw, Wroclaw, Poland
| | - C Mandy
- Smell and Taste Clinic, Department of Otorhinolaryngology, Medical Faculty Carl-Gustav Carus, Technical University of Dresden, Dresden, Germany
| | - T Hummel
- Smell and Taste Clinic, Department of Otorhinolaryngology, Medical Faculty Carl-Gustav Carus, Technical University of Dresden, Dresden, Germany
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Liu DT, Pellegrino R, Sabha M, Altundag A, Damm M, Poletti SC, Croy I, Hähner A, Oleszkiewicz A, Cuevas M, Hummel T. Factors associated with relevant olfactory recovery after olfactory training: a retrospective study including 601 participants. Rhinology 2020; 0:2651. [PMID: 32901616 DOI: 10.4193/rhin20.262] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
Abstract
BACKGROUND Olfactory training (OT) represents a therapeutic option for multiple etiologies of olfactory dysfunction (OD) that also benefits normosmic subjects. In this retrospective study, we report the effectiveness of OT and factors associated with relevant changes in olfactory function (OF) in large groups of normosmic participants and patients with OD, including a control group that performed no training. METHODS This was a retrospective pooled analysis including 2 treatment cohorts of 8 previously published studies. Adult partici- pants that either presented with the major complaint of quantitative OD or normosmic volunteers were recruited at various ENT clinics and received OT or no training. The outcome was based on changes in objective olfactory test scores after OT. RESULTS A total of 601 patients with OD or normosmic subjects were included. OT was more effective compared to no training. No interaction was found between OT and OF. In multivariate analysis, higher baseline OF (adjusted odds ratio, aOR, 0.93) and posttraumatic (aOR, 0.29) or idiopathic OD (aOR, 0.18) compared to postinfectious causes were significantly associated with lower odds of relevant improvements in patients with OD receiving OT. Subgroup analysis of normosmic participants receiving OT further revealed a significant association of age and baseline olfactory function with improvements of overall OF. CONCLUSIONS This study demonstrated that OT was more effective than no training in patients with various causes of OD. Additi- onally, baseline olfactory performance and etiology of OD were identified as important factors associated with relevant improve- ments after OT.
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Affiliation(s)
- D T Liu
- Smell and Taste Clinic, Department of Otorhinolaryngology, Medical Faculty Carl-Gustav Carus, Technical University of Dresden, Dresden, Germany
- Department of Otorhinolaryngology, Head and Neck Surgery, Medical University of Vienna, Vienna, Austria
| | - R Pellegrino
- Smell and Taste Clinic, Department of Otorhinolaryngology, Medical Faculty Carl-Gustav Carus, Technical University of Dresden, Dresden, Germany
- Department of Food Science, Institute of Agriculture, University of Tennessee, Knoxville, Tennessee, U.S.A
| | - M Sabha
- Smell and Taste Clinic, Department of Otorhinolaryngology, Medical Faculty Carl-Gustav Carus, Technical University of Dresden, Dresden, Germany
| | - A Altundag
- Department of Otorhinolaryngology, Biruni University Medicine Faculty, Istanbul, Turkey
| | - M Damm
- ENT-Medicine Cologne (HNO-Heilkunde Köln) and University Hospitals of Cologne, Cologne, Germany
| | - S C Poletti
- Smell and Taste Clinic, Department of Otorhinolaryngology, Medical Faculty Carl-Gustav Carus, Technical University of Dresden, Dresden, Germany
| | - I Croy
- Smell and Taste Clinic, Department of Otorhinolaryngology, Medical Faculty Carl-Gustav Carus, Technical University of Dresden, Dresden, Germany
| | - A Hähner
- Smell and Taste Clinic, Department of Otorhinolaryngology, Medical Faculty Carl-Gustav Carus, Technical University of Dresden, Dresden, Germany
| | - A Oleszkiewicz
- Smell and Taste Clinic, Department of Otorhinolaryngology, Medical Faculty Carl-Gustav Carus, Technical University of Dresden, Dresden, Germany
- Institute of Psychology, University of Wroclaw, Wroclaw, Poland
| | - M Cuevas
- Smell and Taste Clinic, Department of Otorhinolaryngology, Medical Faculty Carl-Gustav Carus, Technical University of Dresden, Dresden, Germany
| | - T Hummel
- Smell and Taste Clinic, Department of Otorhinolaryngology, Medical Faculty Carl-Gustav Carus, Technical University of Dresden, Dresden, Germany
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Formica V, Nardecchia A, Morelli C, Lucchetti J, Giuliano G, Renzi N, Gallo C, Serci C, Pellegrino R, Massimiliani V, Maiorino L, Roselli M. A nomogram to predict poor health-related quality of life in metastatic colorectal cancer patients. Ann Oncol 2019. [DOI: 10.1093/annonc/mdz155.177] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
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Mariotti S, Formica V, Pellegrino R, Nardecchia A, Lucchetti J, Morelli A, Laudisi A, Morelli C, Renzi N, Massimiliani V, Donnarumma L, Riondino S, Portarena I, Roselli M. Evaluation of QoL as a predictor of chemotherapy-induced toxicity. Ann Oncol 2017. [DOI: 10.1093/annonc/mdx434.005] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
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Massimiliani V, Pellegrino R, Donnarumma L, Perrone L, Riondino S, Roselli M. Music intervention during chemotherapy infusion reduces anxiety in oncological patients. Ann Oncol 2017. [DOI: 10.1093/annonc/mdx434.002] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
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Pellegrino R, Mariotti S, Spregiaro S, Morelli A, Massimiliani V, Donnarumma L, Giuliano G, Riondino S, Roselli M. The tailored nutritional counseling in early cancer patients. Ann Oncol 2017. [DOI: 10.1093/annonc/mdx435.007] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
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Pellegrino R, Sinding C, de Wijk R, Hummel T. Habituation and adaptation to odors in humans. Physiol Behav 2017; 177:13-19. [DOI: 10.1016/j.physbeh.2017.04.006] [Citation(s) in RCA: 42] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/25/2016] [Revised: 03/28/2017] [Accepted: 04/08/2017] [Indexed: 10/19/2022]
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Pellegrino R, Hähner A, Bojanowski V, Hummel C, Gerber J, Hummel T. Olfactory function in patients with hyposmia compared to healthy subjects - An fMRI study. Rhinology 2017; 54:374-381. [PMID: 27421303 DOI: 10.4193/rhino16.098] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
Abstract
BACKGROUND Individuals with hyposmia, or the partial loss of smell, represent a large sector (15 %) of the population that is likely to grow with the current aging population; however, our understanding to how hyposmics centrally process odors is still not clear. One popular non-invasive tool for in vivo imaging of biological activity among human brains has been function magnetic resonance imaging (fMRI) which uses blood-oxygenation level dependent (BOLD) signal as an indirect measurement. Therefore, the aim of this study was to understand differences in olfaction processing between patients with hyposmia and healthy controls using functional magnetic resonance imaging (fMRI). METHODOLOGY Eleven hyposmic and 12 healthy, normosmic subjects were exposed to two different food-related odors (coffee and peach) during a block-designed fMRI session. Additionally, odor perception qualities were rated for each odor throughout the scanning session. RESULTS The activations of the normosmic group were localized in typical olfactory areas (insula, orbitofrontal cortex [OFC], limbic system and amygdala). The hyposmic group showed similar regions of activation (insula, OFC, limbic system), however, less activation was found in the amygdala, left anterior cingulate and right OFC, but higher activation was shown in the right parahippocampal and both the left and right posterior cingulate gyrus which are assumed to play an important role in the processing and remembrance of memories. CONCLUSIONS These results indicate similar central olfactory processing among groups, yet subjects with partial loss may attempt to compensate smell impairment with odor memory or higher motivation to smell.
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Affiliation(s)
- R Pellegrino
- Interdisciplinary Center on Smell and Taste, Department of Otorhinolaryngology, TU Dresden, Dresden, Germany
| | - A Hähner
- Interdisciplinary Center on Smell and Taste, Department of Otorhinolaryngology, TU Dresden, Dresden, Germany
| | - V Bojanowski
- Interdisciplinary Center on Smell and Taste, Department of Otorhinolaryngology, TU Dresden, Dresden, Germany
| | - C Hummel
- Interdisciplinary Center on Smell and Taste, Department of Otorhinolaryngology, TU Dresden, Dresden, Germany
| | - J Gerber
- Department of Neuroradiology, TU Dresden, Dresden, Germany
| | - T Hummel
- Interdisciplinary Center on Smell and Taste, Department of Otorhinolaryngology, TU Dresden, Dresden, Germany
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Pinna F, Pellegrino R, Neumann O, Baues J, Eberhardt A, Migheli R, Mascia M, Longerich T. Role of the IQGAP1/IQGAP2 imbalance in Liver Cancer. Z Gastroenterol 2016. [DOI: 10.1055/s-0036-1597491] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
Affiliation(s)
- F Pinna
- University Hospital RWTH, Institute of Pathology, Aachen, Germany
| | - R Pellegrino
- University Hospital RWTH, Institute of Pathology, Aachen, Germany
| | - O Neumann
- University Hospital RWTH, Institute of Pathology, Aachen, Germany
| | - J Baues
- University Hospital RWTH, Institute of Pathology, Aachen, Germany
| | - A Eberhardt
- University Hospital RWTH, Institute of Pathology, Aachen, Germany
| | - R Migheli
- University of Sassari, Sassari, Italy
| | - M Mascia
- University of Sassari, Sassari, Italy
| | - T Longerich
- University Hospital RWTH, Institute of Pathology, Aachen, Germany
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Pellegrino R, Hahner A, Bojanowski V, Hummel C, Gerber J, Hummerl T. Olfactory function in patients with hyposmia compared to healthy subjects - An fMRI study. Rhinology 2016. [DOI: 10.4193/rhin16.098] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
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Melo EO, Cordeiro DM, Pellegrino R, Wei Z, Daye ZJ, Nishimura RC, Dode MAN. Identification of molecular markers for oocyte competence in bovine cumulus cells. Anim Genet 2016; 48:19-29. [PMID: 27650317 DOI: 10.1111/age.12496] [Citation(s) in RCA: 21] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 07/18/2016] [Indexed: 12/17/2022]
Abstract
Cumulus cells (CCs) have an important role during oocyte growth, competence acquisition, maturation, ovulation and fertilization. In an attempt to isolate potential biomarkers for bovine in vitro fertilization, we identified genes differentially expressed in bovine CCs from oocytes with different competence statuses, through microarray analysis. The model of follicle size, in which competent cumulus-oocyte complexes (COCs) were recovered from bigger follicles (≥8.0 mm in diameter) and less competent ones from smaller follicles (1-3 mm), was used. We identified 4178 genes that were differentially expressed (P < 0.05) in the two categories of CCs. The list was further enriched, through the use of a 2.5-fold change in gene expression as a cutoff value, to include 143 up-regulated and 80 down-regulated genes in CCs of competent COCs compared to incompetent COCs. These genes were screened according to their cellular roles, most of which were related to cell cycle, DNA repair, energy metabolism, metabolism of amino acids, cell signaling, meiosis, ovulation and inflammation. Three candidate genes up-regulated (FGF11, IGFBP4, SPRY1) and three down-regulated (ARHGAP22, COL18A1 and GPC4) in CCs from COCs of big follicles (≥8.1 mm) were selected for qPCR analysis. The selected genes showed the same expression patterns by qPCR and microarray analysis. These genes may be potential genetic markers that predict oocyte competence in in vitro fertilization routines.
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Affiliation(s)
- E O Melo
- Embrapa- Genetic Resources and Biotechnology, Brasília, DF, 70770-917, Brazil
| | - D M Cordeiro
- School of Agriculture and Veterinary Medicine, University of Brasilia, Brasília, DF, 70910-900, Brazil
| | - R Pellegrino
- Center for Applied Genomics, The Children's Hospital of Philadelphia, Philadelphia, PA, 19104, USA
| | - Z Wei
- Department of Computer Science, New Jersey Institute of Technology, Newark, NJ, 07102, USA
| | - Z J Daye
- Division of Epidemiology and Biostatistics, University of Arizona, Tucson, AZ, 85721, USA
| | - R C Nishimura
- School of Agriculture and Veterinary Medicine, University of Brasilia, Brasília, DF, 70910-900, Brazil
| | - M A N Dode
- Embrapa- Genetic Resources and Biotechnology, Brasília, DF, 70770-917, Brazil
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Pasqualini S, Paoletti E, Cruciani G, Pellegrino R, Ederli L. Effects of different routes of application on ethylenediurea persistence in tobacco leaves. Environ Pollut 2016; 212:559-564. [PMID: 26977961 DOI: 10.1016/j.envpol.2016.03.017] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/29/2015] [Revised: 03/04/2016] [Accepted: 03/04/2016] [Indexed: 06/05/2023]
Abstract
Ethylenediurea (EDU) is a common research tool for investigating ozone impacts on vegetation, although the role of different application routes (foliar spray vs soil drench) on EDU persistence in the leaves is unknown. We quantified EDU concentrations in leaves of the O3-sensitive Bel-W3 cultivar of tobacco treated with EDU as either foliar spray or soil drench. Foliar EDU concentrations were measured by Q-TOF LC/MS. When EDU was applied as foliar spray, 1 h was enough for reaching a measurable concentration within the leaf. EDU concentration increased over the 21-day period when the leaf was not washed after the application (treatment #1), while it decreased when the leaf was washed after the application (treatment #2). These results suggest that: a) dry deposition of EDU onto the leaf surface was gradually absorbed into the unwashed leaf, although the mechanisms of such uptake were unclear; b) concentration of EDU was decreased quickly (-35%) during the first 24 h from application and more slowly during the following three days (-20%) in the washed leaves. Degradation did not involve enzymatic reactions and was not affected by the presence of ROS. When EDU was applied as soil drench, foliar concentrations increased over time, likely due to adsorption onto soil organic matter and gradual re-solubilization by irrigation water. An analysis of EDU concentration in protoplast and intercellular washing fluid showed that EDU did not enter the cells, but was retained in the apoplast only. Possible implications of EDU in the apoplast and recommendations for EDU application are discussed.
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Affiliation(s)
- S Pasqualini
- Department of Chemistry, Biology and Biotechnology, University of Perugia, Borgo XX Giugno 74, I-06121 Perugia, Italy.
| | - E Paoletti
- Institute of Sustainable Plant Protection, National Council of Research, Via Madonna del Piano 10, 50019 Sesto Fiorentino, Firenze, Italy
| | - G Cruciani
- Department of Chemistry, Biology and Biotechnology, University of Perugia, Borgo XX Giugno 74, I-06121 Perugia, Italy
| | - R Pellegrino
- Department of Chemistry, Biology and Biotechnology, University of Perugia, Borgo XX Giugno 74, I-06121 Perugia, Italy
| | - L Ederli
- Department of Chemistry, Biology and Biotechnology, University of Perugia, Borgo XX Giugno 74, I-06121 Perugia, Italy
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Schirru M, Formica V, Massimiliani V, Pellegrino R, Lucchetti J, Antonetti F, Pellicori S, Riondino S, Roselli M. Body Mass Index (BMI) e quality of life (QoL) in cancer patients – the ‘Tor Vergata’ Observational study in oNCOlogy– TV-ONCO study. Ann Oncol 2015. [DOI: 10.1093/annonc/mdv347.04] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
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Pellegrino R, Sunaga DY, Guindalini C, Martins RCS, Mazzotti DR, Wei Z, Daye ZJ, Andersen ML, Tufik S. Whole blood genome-wide gene expression profile in males after prolonged wakefulness and sleep recovery. Physiol Genomics 2012; 44:1003-12. [DOI: 10.1152/physiolgenomics.00058.2012] [Citation(s) in RCA: 29] [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] [Indexed: 02/07/2023] Open
Abstract
Although the specific functions of sleep have not been completely elucidated, the literature has suggested that sleep is essential for proper homeostasis. Sleep loss is associated with changes in behavioral, neurochemical, cellular, and metabolic function as well as impaired immune response. Using high-resolution microarrays we evaluated the gene expression profiles of healthy male volunteers who underwent 60 h of prolonged wakefulness (PW) followed by 12 h of sleep recovery (SR). Peripheral whole blood was collected at 8 am in the morning before the initiation of PW (Baseline), after the second night of PW, and one night after SR. We identified over 500 genes that were differentially expressed. Notably, these genes were related to DNA damage and repair and stress response, as well as diverse immune system responses, such as natural killer pathways including killer cell lectin-like receptors family, as well as granzymes and T-cell receptors, which play important roles in host defense. These results support the idea that sleep loss can lead to alterations in molecular processes that result in perturbation of cellular immunity, induction of inflammatory responses, and homeostatic imbalance. Moreover, expression of multiple genes was downregulated following PW and upregulated after SR compared with PW, suggesting an attempt of the body to re-establish internal homeostasis. In silico validation of alterations in the expression of CETN3, DNAJC, and CEACAM genes confirmed previous findings related to the molecular effects of sleep deprivation. Thus, the present findings confirm that the effects of sleep loss are not restricted to the brain and can occur intensely in peripheral tissues.
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Affiliation(s)
- R. Pellegrino
- Departamento de Psicobiologia, Universidade Federal de São Paulo, São Paulo, Brazil
| | - D. Y. Sunaga
- Human Genome Research Center, Biosciences Institute of University of Sao Paulo, São Paulo, Brazil
| | - C. Guindalini
- Departamento de Psicobiologia, Universidade Federal de São Paulo, São Paulo, Brazil
| | - R. C. S. Martins
- Departamento de Psicobiologia, Universidade Federal de São Paulo, São Paulo, Brazil
| | - D. R. Mazzotti
- Departamento de Psicobiologia, Universidade Federal de São Paulo, São Paulo, Brazil
| | - Z. Wei
- Department of Computer Science, New Jersey Institute of Technology, Newark, New Jersey; and
| | - Z. J. Daye
- Department of Biostatistics and Epidemiology, University of Pennsylvania School of Medicine, Philadelphia, Pennsylvania
| | - M. L. Andersen
- Departamento de Psicobiologia, Universidade Federal de São Paulo, São Paulo, Brazil
| | - S. Tufik
- Departamento de Psicobiologia, Universidade Federal de São Paulo, São Paulo, Brazil
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Lourenco G, Carvalho B, Pellegrino R, Khater L, Chone C, Costa F, Lima CP. Genome-Wide Association Study of Base of Tongue Squamous Cell Carcinoma Risk. Ann Oncol 2012. [DOI: 10.1016/s0923-7534(20)33587-0] [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] Open
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21
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Lourenco G, Carvalho B, Pellegrino R, Khater L, Chone C, Costa F, Lima C. 8521 POSTER Novel Candidate Genetic Polymorphisms Identified in Genome-wide Association Study for Base of Tongue Squamous Cell Carcinoma Susceptibility. Eur J Cancer 2011. [DOI: 10.1016/s0959-8049(11)72163-3] [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: 10/17/2022]
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22
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Guilherme RS, Bragagnolo S, Pellegrino R, Christofolini DM, Takeno SS, Carvolheira GM, Kulikowski LD, Melaragno MI. Clinical, cytogenetic and molecular study in a case of r(3) with 3p deletion and review of the literature. Cytogenet Genome Res 2011; 134:325-30. [PMID: 21849783 DOI: 10.1159/000329478] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 05/03/2011] [Indexed: 11/19/2022] Open
Abstract
Ring chromosome 3 is a rare abnormality with only 10 patients described in the literature. We report a patient with r(3) and ∼6-Mb distal 3p deletion. Single nucleotide polymorphism array, multiplex ligation-dependent probe amplification and fluorescence in situ hybridization techniques revealed that the ring was formed by a break in 3p26.1 and fusion with the subtelomeric region of 3q. The patient presents delayed psychomotor development, growth failure, minor anomalies and other features similar to patients with 3p monosomy. The analysis of 300 metaphase cells using G-banding and fluorescence in situ hybridization with centromeric probe revealed ring instability resulting in cells with secondary aberrations and with ring loss that could also be related to some phenotypic characteristics such as growth delay. This is the first patient with r(3) studied using molecular techniques that determined the exact breakpoints in order to establish a better karyotype-phenotype correlation.
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Affiliation(s)
- R Santos Guilherme
- Department of Morphology and Genetics, Universidade Federal de São Paulo, Brazil
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23
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Aliverti A, Kayser B, Lo Mauro A, Quaranta M, Pompilio P, Dellacà RL, Ora J, Biasco L, Cavalleri L, Pomidori L, Cogo A, Pellegrino R, Miserocchi G. Respiratory and leg muscles perceived exertion during exercise at altitude. Respir Physiol Neurobiol 2011; 177:162-8. [PMID: 21435397 DOI: 10.1016/j.resp.2011.03.014] [Citation(s) in RCA: 16] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/13/2010] [Revised: 03/14/2011] [Accepted: 03/14/2011] [Indexed: 10/18/2022]
Abstract
We compared the rate of perceived exertion for respiratory (RPE,resp) and leg (RPE,legs) muscles, using a 10-point Borg scale, to their specific power outputs in 10 healthy male subjects during incremental cycle exercise at sea level (SL) and high altitude (HA, 4559 m). Respiratory power output was calculated from breath-by-breath esophageal pressure and chest wall volume changes. At HA ventilation was increased at any leg power output by ∼ 54%. However, for any given ventilation, breathing pattern was unchanged in terms of tidal volume, respiratory rate and operational volumes of the different chest wall compartments. RPE,resp scaled uniquely with total respiratory power output, irrespectively of SL or HA, while RPE,legs for any leg power output was exacerbated at HA. With increasing respective power outputs, the rate of change of RPE,resp exponentially decreased, while that of RPE,legs increased. We conclude that RPE,resp uniquely relates to respiratory power output, while RPE,legs varies depending on muscle metabolic conditions.
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Affiliation(s)
- A Aliverti
- TBM Lab, Dipartimento di Bioingegneria, Politecnico di Milano, Milan, Italy
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Miller MR, Hankinson J, Brusasco V, Burgos F, Casaburi R, Coates A, Enright P, van der Grinten C, Gustafsson P, Jensen R, MacIntyre N, McKay RT, Pedersen OF, Pellegrino R, Viegi G, Wanger J. Standardisation of lung function testing: the authors' replies to readers' comments. Eur Respir J 2010; 36:1496-8. [DOI: 10.1183/09031936.00130010] [Citation(s) in RCA: 21] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022]
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25
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Guindalini C, Colugnati FAB, Pellegrino R, Santos-Silva R, Bittencourt LRA, Tufik S. Influence of genetic ancestry on the risk of obstructive sleep apnoea syndrome. Eur Respir J 2010; 36:834-41. [DOI: 10.1183/09031936.00146809] [Citation(s) in RCA: 22] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022]
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Miller MR, Pedersen OF, Pellegrino R, Brusasco V. Debating the definition of airflow obstruction: time to move on? Eur Respir J 2010; 34:527-8. [PMID: 19720804 DOI: 10.1183/09031936.00103309] [Citation(s) in RCA: 19] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022]
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Ciprandi G, Cadario G, Valle C, Ridolo E, Verini M, Di Gioacchino M, Minelli M, Gangemi S, Sillano V, Colangelo C, Pravettoni V, Pellegrino R, Borrelli P, Fiorina A, Carosso A, Gasparini A, Riario-Sforza GG, Incorvaia C, Puccinelli P, Scurati S, Frati F. Sublingual immunotherapy in polysensitized patients: effect on quality of life. J Investig Allergol Clin Immunol 2010; 20:274-279. [PMID: 20815304] [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] [Subscribe] [Scholar Register] [Indexed: 05/29/2023] Open
Abstract
BACKGROUND Quality of life (QOL) is an important issue in allergic rhinitis and has been evaluated in a number of studies that have shown how it is impaired in untreated patients and improved by effective treatment. However, there are no data concerning QOL after sublingual immunotherapy (SLIT) in polysensitized patients. OBJECTIVE To evaluate the effect, in real-life clinical practice, of SLIT on QOL in a population of polysensitized patients with allergic rhinitis. METHODS We prospectively evaluated 167 consecutively enrolled polysensitized patients with allergic rhinitis. QOL was measured in all cases with the Rhinoconjunctivitis Quality of Life Questionnaire at baseline and after 1 year of SLIT (performed in approximately 70% of cases using single allergen extracts provided by the same manufacturer). RESULTS The most frequent causes of sensitization were grass pollen, Parietaria, and house dust mites. The mean number of sensitizations per patient was 3.65. SLIT was performed with 1 extract in 123 patients (73.6%), with 2 extracts in 31 patients (18.6%), and with more than 2 extracts in 13 patients (7.8%). The mean values of all the QOL items improved significantly (P < .01 in all cases), with the following reductions noted: activities, 3.96 to 2.89; sleep, 2.07 to 1.56; general problems, 2.16 to 1.5; practical problems, 3.69 to 2.58; nasal symptoms, 3.57 to 2.50; eye symptoms, 2.92 to 1.83; and emotional aspects, 2.2 to 1.44. CONCLUSIONS This study provides evidence that QOL can be improved in polysensitized patients treated with SLIT, and that the use of just 1 or 2 allergen extracts seems to be sufficient and effective in terms of improving QOL.
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MESH Headings
- Administration, Sublingual
- Adolescent
- Adult
- Animals
- Antigens, Dermatophagoides/therapeutic use
- Antigens, Plant/therapeutic use
- Desensitization, Immunologic
- Female
- Humans
- Immunization
- Male
- Parietaria/immunology
- Poaceae/immunology
- Pollen/adverse effects
- Pyroglyphidae/immunology
- Quality of Life
- Rhinitis, Allergic, Perennial/diagnosis
- Rhinitis, Allergic, Perennial/immunology
- Rhinitis, Allergic, Perennial/physiopathology
- Rhinitis, Allergic, Perennial/therapy
- Rhinitis, Allergic, Seasonal/diagnosis
- Rhinitis, Allergic, Seasonal/immunology
- Rhinitis, Allergic, Seasonal/physiopathology
- Rhinitis, Allergic, Seasonal/therapy
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Affiliation(s)
- G Ciprandi
- Department of Internal Medicine, University of Genoa, Genoa, Italy.
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Guindalini C, Colugnati F, Pellegrino R, Santos-Lima R, Bittencourt L, Tufik S. 047 INFLUENCE OF GENETIC ANCESTRY ON THE RISK FOR OBSTRUCTIVE SLEEP APNEA SYNDROME. Sleep Med 2009. [DOI: 10.1016/s1389-9457(09)70049-8] [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] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
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30
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Calvisi DF, Pinna F, Ladu S, Pellegrino R, Simile MM, Frau M, De Miglio MR, Tomasi ML, Sanna V, Muroni MR, Feo F, Pascale RM. Forkhead box M1B is a determinant of rat susceptibility to hepatocarcinogenesis and sustains ERK activity in human HCC. Gut 2009; 58:679-87. [PMID: 19136513 DOI: 10.1136/gut.2008.152652] [Citation(s) in RCA: 68] [Impact Index Per Article: 4.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/08/2022]
Abstract
BACKGROUND AND AIMS Previous studies indicate unrestrained cell cycle progression in liver lesions from hepatocarcinogenesis-susceptible Fisher 344 (F344) rats and a block of G(1)-S transition in corresponding lesions from resistant Brown Norway (BN) rats. Here, the role of the Forkhead box M1B (FOXM1) gene during hepatocarcinogenesis in both rat models and human hepatocellular carcinoma (HCC) was assessed. METHODS AND RESULTS Levels of FOXM1 and its targets were determined by immunoprecipitation and real-time PCR analyses in rat and human samples. FOXM1 function was investigated by either FOXM1 silencing or overexpression in human HCC cell lines. Activation of FOXM1 and its targets (Aurora Kinose A, Cdc2, cyclin B1, Nek2) occurred earlier and was most pronounced in liver lesions from F344 than BN rats, leading to the highest number of Cdc2-cyclin B1 complexes (implying the highest G(2)-M transition) in F344 rats. In human HCC, the level of FOXM1 progressively increased from surrounding non-tumorous livers to HCC, reaching the highest levels in tumours with poorer prognosis (as defined by patients' length of survival). Furthermore, expression levels of FOXM1 directly correlated with the proliferation index, genomic instability rate and microvessel density, and inversely with apoptosis. FOXM1 upregulation was due to extracellular signal-regulated kinase (ERK) and glioblastoma-associated oncogene 1 (GLI1) combined activity, and its overexpression resulted in increased proliferation and angiogenesis and reduced apoptosis in human HCC cell lines. Conversely, FOXM1 suppression led to decreased ERK activity, reduced proliferation and angiogenesis, and massive apoptosis of human HCC cell lines. CONCLUSIONS FOXM1 upregulation is associated with the acquisition of a susceptible phenotype in rats and influences human HCC development and prognosis.
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Affiliation(s)
- D F Calvisi
- Department of Biomedical Sciences, Division of Experimental Pathology and Oncology, University of Sassari, Sassari, Italy
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Barisione G, Crimi E, Bartolini S, Saporiti R, Copello F, Pellegrino R, Brusasco V. How to interpret reduced forced expiratory volume in 1 s (FEV1)/vital capacity ratio with normal FEV1. Eur Respir J 2009; 33:1396-402. [DOI: 10.1183/09031936.00183708] [Citation(s) in RCA: 16] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/06/2023]
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32
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Ciprandi G, Alesina R, Ariano R, Aurnia P, Borrelli P, Cadario G, Capristo A, Carosso A, Casino G, Castiglioni G, Cesinaro Di Rocco P, Colangelolo C, Di Gioacchino M, Di Paola MG, Errico G, Fiorina A, Gambuzza F, Gangemi S, Gasparini A, Giugno R, Iemoli E, Isola S, Maniero G, Marengo F, Mazzali P, Minelli M, Mosca M, Pellegrino R, Piconi S, Pravettoni V, Quaglio L, Ricciardi L, Ridolo E, Sillano V, Valle C, Varin E, Verini M, Zambito M, Riario-Sforza GG, Incorvaia C, Puccinelli P, Scurati S, Frati F. Characteristics of patients with allergic polysensitization: the POLISMAIL study. Eur Ann Allergy Clin Immunol 2008; 40:77-83. [PMID: 19334371] [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] [Subscribe] [Scholar Register] [Indexed: 05/27/2023]
Abstract
BACKGROUND The natural history of respiratory allergy is commonly characterized by a worsening of symptom severity, frequent comorbidity of rhinitis and asthma, and polysensitization to aeroallergens. The polysensitization phenomenon starts since childhood and is rare to find monosensitized adult patients. However, there are few studies investigating the characteristics of polysensitized patients. METHODS This study was performed on a large cohort of patients with allergic rhinitis (assessed by ARIA criteria) and/or mild to moderate asthma (assessed by GINA). The kind and the number of sensitizations, their patterns, and the relation with quality of life (QoL) measured by the Juniper's RQLQ guestionnaire, were evaluated. RESULTS Globally 418 patients (50.2% males, 49.8% females, mean age 26.4 years, range 3.5-65 years, 64 smokers, 371 non-smokers) were enrolled: 220 had allergic rhinitis alone, and 198 allergic rhinitis and asthma. The mean number ofsensitizations was 2.6. Three hundred-five patients (73%) had persistent rhinitis (PER), 220 of them with moderate-severe form. There was no significant derence in rate of rhinitis and asthma in monosensitized or polysensitized patients. Most patients were sensitized to pollens, whereas only 24.2% of them were sensitized to perennial allergens. Polysensitization was significantly associated with some issues of QoL, confirming previous findings, but not with number ofsensitizations. CONCLUSIONS This study provides data confirming for poly-sensitized patients the relevance of ARIA classification of AR. PER is the most common form of AR in this cohort, symptoms are frequently moderate-severe, and asthma is present in about the half of patients with AR.
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MESH Headings
- Adolescent
- Adult
- Age Factors
- Aged
- Allergens/adverse effects
- Animals
- Anti-Allergic Agents/therapeutic use
- Antigens, Plant/adverse effects
- Asthma/drug therapy
- Asthma/epidemiology
- Asthma/etiology
- Cats
- Child
- Child, Preschool
- Cohort Studies
- Dogs
- Female
- Fungi
- Humans
- Immunization
- Italy/epidemiology
- Male
- Middle Aged
- Pollen/adverse effects
- Prospective Studies
- Pyroglyphidae
- Quality of Life
- Rhinitis, Allergic, Perennial/drug therapy
- Rhinitis, Allergic, Perennial/epidemiology
- Rhinitis, Allergic, Perennial/etiology
- Rhinitis, Allergic, Seasonal/drug therapy
- Rhinitis, Allergic, Seasonal/epidemiology
- Rhinitis, Allergic, Seasonal/etiology
- Skin Tests
- Smoking/epidemiology
- Young Adult
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Affiliation(s)
- G Ciprandi
- Dipartimento Medicina Interna, Az. Osp. Universitaria San Martino, Genoa, Italy
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Pellegrino R, Brusasco V, Viegi G, Crapo RO, Burgos F, Casaburi R, Coates A, van der Grinten CPM, Gustafsson P, Hankinson J, Jensen R, Johnson DC, Macintyre N, McKay R, Miller MR, Navajas D, Pedersen OF, Wanger J. Definition of COPD: based on evidence or opinion? Eur Respir J 2008; 31:681-2. [PMID: 18310402 DOI: 10.1183/09031936.00154307] [Citation(s) in RCA: 26] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022]
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Pellegrino R, Viegi G, Levy P, Brusasco V. From the authors. Eur Respir J 2008. [DOI: 10.1183/09031936.00156607] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022]
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An S, Bai T, Bates J, Black J, Brown R, Brusasco V, Chitano P, Deng L, Dowell M, Eidelman D, Fabry B, Fairbank N, Ford L, Fredberg J, Gerthoffer W, Gilbert S, Gosens R, Gunst S, Halayko A, Ingram R, Irvin C, James A, Janssen L, King G, Knight D, Lauzon A, Lakser O, Ludwig M, Lutchen K, Maksym G, Martin J, Mauad T, McParland B, Mijailovich S, Mitchell H, Mitchell R, Mitzner W, Murphy T, Paré P, Pellegrino R, Sanderson M, Schellenberg R, Seow C, Silveira P, Smith P, Solway J, Stephens N, Sterk P, Stewart A, Tang D, Tepper R, Tran T, Wang L. Airway smooth muscle dynamics: a common pathway of airway obstruction in asthma. Eur Respir J 2007; 29:834-60. [PMID: 17470619 PMCID: PMC2527453 DOI: 10.1183/09031936.00112606] [Citation(s) in RCA: 279] [Impact Index Per Article: 16.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/05/2023]
Abstract
Excessive airway obstruction is the cause of symptoms and abnormal lung function in asthma. As airway smooth muscle (ASM) is the effecter controlling airway calibre, it is suspected that dysfunction of ASM contributes to the pathophysiology of asthma. However, the precise role of ASM in the series of events leading to asthmatic symptoms is not clear. It is not certain whether, in asthma, there is a change in the intrinsic properties of ASM, a change in the structure and mechanical properties of the noncontractile components of the airway wall, or a change in the interdependence of the airway wall with the surrounding lung parenchyma. All these potential changes could result from acute or chronic airway inflammation and associated tissue repair and remodelling. Anti-inflammatory therapy, however, does not "cure" asthma, and airway hyperresponsiveness can persist in asthmatics, even in the absence of airway inflammation. This is perhaps because the therapy does not directly address a fundamental abnormality of asthma, that of exaggerated airway narrowing due to excessive shortening of ASM. In the present study, a central role for airway smooth muscle in the pathogenesis of airway hyperresponsiveness in asthma is explored.
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Affiliation(s)
- S.S. An
- Division of Physiology, Dept of Environmental Health Sciences, Johns Hopkins University Bloomberg School of Public Health
| | - T.R. Bai
- James Hogg iCAPTURE Centre, University of British Columbia, Vancouver
| | - J.H.T. Bates
- Vermont Lung Center, University of Vermont College of Medicine, Burlington, VT
| | - J.L. Black
- Dept of Pharmacology, University of Sydney, Sydney
| | - R.H. Brown
- Dept of Anesthesiology and Critical Care medicine, Johns Hopkins Medical Institutions, Baltimore, MD
| | - V. Brusasco
- Dept of Internal Medicine, University of Genoa, Genoa
| | - P. Chitano
- Dept of Paediatrics, Duke University Medical Center, Durham, NC
| | - L. Deng
- Program in Molecular and Integrative Physiological Sciences, Dept of Environmental Health, Harvard School of Public Health
- Bioengineering College, Chongqing University, Chongqing, China
| | - M. Dowell
- Section of Pulmonary and Critical Care Medicine
| | - D.H. Eidelman
- Meakins-Christie Laboratories, Dept of Medicine, McGill University, Montreal
| | - B. Fabry
- Center for Medical Physics and Technology, Erlangen, Germany
| | - N.J. Fairbank
- School of Biomedical Engineering, Dalhousie University, Halifax
| | | | - J.J. Fredberg
- Program in Molecular and Integrative Physiological Sciences, Dept of Environmental Health, Harvard School of Public Health
| | - W.T. Gerthoffer
- Dept of Pharmacology, University of Nevada School of Medicine, Reno, NV
| | | | - R. Gosens
- Dept of Physiology, University of Manitoba, Winnipeg
| | - S.J. Gunst
- Dept of Physiology, Indiana University School of Medicine, Indianapolis, IN
| | - A.J. Halayko
- Dept of Physiology, University of Manitoba, Winnipeg
| | - R.H. Ingram
- Dept of Medicine, Emory University School of Medicine, Atlanta, GA
| | - C.G. Irvin
- Vermont Lung Center, University of Vermont College of Medicine, Burlington, VT
| | - A.L. James
- West Australian Sleep Disorders Research Institute, Sir Charles Gairdner Hospital, Nedlands
| | - L.J. Janssen
- Dept of Medicine, McMaster University, Hamilton, Canada
| | - G.G. King
- Woolcock Institute of Medical Research, Camperdown
| | - D.A. Knight
- James Hogg iCAPTURE Centre, University of British Columbia, Vancouver
| | - A.M. Lauzon
- Meakins-Christie Laboratories, Dept of Medicine, McGill University, Montreal
| | - O.J. Lakser
- Section of Paediatric Pulmonary Medicine, University of Chicago, Chicago, IL
| | - M.S. Ludwig
- Meakins-Christie Laboratories, Dept of Medicine, McGill University, Montreal
| | - K.R. Lutchen
- Dept of Biomedical Engineering, Boston University, Boston
| | - G.N. Maksym
- School of Biomedical Engineering, Dalhousie University, Halifax
| | - J.G. Martin
- Meakins-Christie Laboratories, Dept of Medicine, McGill University, Montreal
| | - T. Mauad
- Dept of Pathology, Sao Paulo University Medical School, Sao Paulo, Brazil
| | | | - S.M. Mijailovich
- Program in Molecular and Integrative Physiological Sciences, Dept of Environmental Health, Harvard School of Public Health
| | - H.W. Mitchell
- Discipline of Physiology, School of Biomedical, Biomolecular and Chemical Sciences, University of Western Australia, Perth
| | | | - W. Mitzner
- Division of Physiology, Dept of Environmental Health Sciences, Johns Hopkins University Bloomberg School of Public Health
| | - T.M. Murphy
- Dept of Paediatrics, Duke University Medical Center, Durham, NC
| | - P.D. Paré
- James Hogg iCAPTURE Centre, University of British Columbia, Vancouver
| | - R. Pellegrino
- Dept of Respiratory Physiopathology, S. Croce e Carle Hospital, Cuneo, Italy
| | - M.J. Sanderson
- Dept of Physiology, University of Massachusetts Medical School, Worcester, MA
| | - R.R. Schellenberg
- James Hogg iCAPTURE Centre, University of British Columbia, Vancouver
| | - C.Y. Seow
- James Hogg iCAPTURE Centre, University of British Columbia, Vancouver
| | - P.S.P. Silveira
- Dept of Pathology, Sao Paulo University Medical School, Sao Paulo, Brazil
| | - P.G. Smith
- Dept of Paediatrics, School of Medicine, Case Western Reserve University, Cleveland, OH
| | - J. Solway
- Section of Pulmonary and Critical Care Medicine
| | - N.L. Stephens
- Dept of Physiology, University of Manitoba, Winnipeg
| | - P.J. Sterk
- Dept of Pulmonology, Academic Medical Center, University of Amsterdam, Amsterdam, The Netherlands
| | - A.G. Stewart
- Dept of Pharmacology, University of Melbourne, Parkville, Australia
| | - D.D. Tang
- Center for Cardiovascular Sciences, Albany Medical College, Albany, NY, USA
| | - R.S. Tepper
- Dept of Paediatrics, Indiana University School of Medicine, Indianapolis, IN
| | - T. Tran
- Dept of Physiology, University of Manitoba, Winnipeg
| | - L. Wang
- Dept of Paediatrics, Duke University Medical Center, Durham, NC
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MacIntyre N, Crapo R, Viegi G, Johnson D, Van Der Grinten C, Brusasco V, Burgos F, Casaburi R, Coates A, Enright P, Gustafsson P, Hankinson J, Jensen R, McKay R, Miller M, Navajas D, Pedersen O, Pellegrino R, Wanger J. Standardisation de la détermination de la diffusion du monoxyde de carbone par la méthode en apnée. Rev Mal Respir 2007. [DOI: 10.1016/s0761-8425(07)91119-5] [Citation(s) in RCA: 3] [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: 11/29/2022]
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37
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Miller M, Crapo R, Hankinson J, Brusasco V, Burgos F, Casaburi R, Coates A, Enright P, Van Der Grinten C, Gustafsson P, Jensen R, Johnson D, MacIntyre N, McKay R, Navajas D, Pedersen O, Pellegrino R, Viegi G, Wanger J. Considérations générales sur les explorations fonctionnelles respiratoires. Rev Mal Respir 2007. [DOI: 10.1016/s0761-8425(07)91116-x] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/01/2022]
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38
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Miller M, Hankinson J, Brusasco V, Burgo F, Casaburi R, Coates A, Crapo R, Enright P, Van Der Grinten C, Gustafsson P, Jensen R, Johnson D, MacIntyre N, McKay R, Navajas D, Pedersen O, Pellegrino R, Viegi G, Wanger J. Standardisation de la spirométrie. Rev Mal Respir 2007. [DOI: 10.1016/s0761-8425(07)91117-1] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
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39
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Miller MR, Hankinson J, Brusasco V, Burgos F, Casaburi R, Coates A, Crapo R, Enright P, van der Grinten CPM, Gustafsson P, Jensen R, Johnson DC, MacIntyre N, McKay R, Navajas D, Pedersen OF, Pellegrino R, Viegi G, Wanger J. Standardisation of spirometry. Eur Respir J 2006; 26:319-38. [PMID: 16055882 DOI: 10.1183/09031936.05.00034805] [Citation(s) in RCA: 10729] [Impact Index Per Article: 596.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/16/2022]
Affiliation(s)
- M R Miller
- University Hospital Birmingham NHS Trust, Birmingham, UK
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40
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Affiliation(s)
- F. Fringuelli
- a Dipartimento di Chimica , Università di Perugia , Via Elce di Sotto 8, 06100, Perugia, Italy
| | - R. Pellegrino
- a Dipartimento di Chimica , Università di Perugia , Via Elce di Sotto 8, 06100, Perugia, Italy
| | - F. Pizzo
- a Dipartimento di Chimica , Università di Perugia , Via Elce di Sotto 8, 06100, Perugia, Italy
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43
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Macintyre N, Crapo RO, Viegi G, Johnson DC, van der Grinten CPM, Brusasco V, Burgos F, Casaburi R, Coates A, Enright P, Gustafsson P, Hankinson J, Jensen R, McKay R, Miller MR, Navajas D, Pedersen OF, Pellegrino R, Wanger J. Standardisation of the single-breath determination of carbon monoxide uptake in the lung. Eur Respir J 2006; 26:720-35. [PMID: 16204605 DOI: 10.1183/09031936.05.00034905] [Citation(s) in RCA: 1561] [Impact Index Per Article: 86.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/11/2022]
Affiliation(s)
- N Macintyre
- Duke University Medical Center, Durham, NC, USA
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44
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Pellegrino R, Viegi G, Brusasco V, Crapo RO, Burgos F, Casaburi R, Coates A, van der Grinten CPM, Gustafsson P, Hankinson J, Jensen R, Johnson DC, MacIntyre N, McKay R, Miller MR, Navajas D, Pedersen OF, Wanger J. Interpretative strategies for lung function tests. Eur Respir J 2006; 26:948-68. [PMID: 16264058 DOI: 10.1183/09031936.05.00035205] [Citation(s) in RCA: 3617] [Impact Index Per Article: 200.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/12/2022]
Affiliation(s)
- R Pellegrino
- Internal Medicine, University of Genoa, V.le Benedetto XV, 6, Genova I-16132, Italy
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45
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Pellegrino R, Decramer M, van Schayck CPO, Dekhuijzen PNR, Troosters T, van Herwaarden C, Olivieri D, Del Donno M, De Backer W, Lankhorst I, Ardia A. Quality control of spirometry: a lesson from the BRONCUS trial. Eur Respir J 2005; 26:1104-9. [PMID: 16319343 DOI: 10.1183/09031936.05.00026705] [Citation(s) in RCA: 28] [Impact Index Per Article: 1.5] [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: 11/05/2022]
Abstract
This report describes the quality control programme used within the Bronchitis Randomized on N-acetylcysteine (NAC) Cost-Utility Study, a trial designed to assess the decline in lung function, exacerbation rate, health status, and cost-effectiveness with NAC or a placebo in 523 patients with chronic obstructive pulmonary disease over a 3-yr period. Spirometry was scored from 0 (worst quality) to 6 (best quality). The mean score of 314 spirometries from 243 patients evaluated during the trial was 5.63+/-0.83. Linear regression analysis of the scores of 47 participating centres plotted against the time at which spirometries were performed yielded an intercept of 5.7+/-0.5 and a slope of -0.0001+/-0.001, which suggests that the initial high quality was maintained over time. Retrospective examination of a further 345 postbronchodilator spirometries from 208 patients with a forced expiratory volume at one second exceeding the mean individual value recorded over the study in excess of 20% revealed a slightly lower quality of the start-of-test manoeuvre compared with the 314 spirometries. In conclusion, these findings would suggest that the quality control programme is likely to have helped achieve and maintain long-term spirometry performance in the Bronchitis Randomized on N-acetylcysteine (NAC) Cost-Utility Study trial. Special care should be paid to the spirometries whose forced expiratory volume in one second values exceed the mean value.
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Affiliation(s)
- R Pellegrino
- Centro di Fisiopatologia Respiratoria e di Studio della Dispnea, Azienda Ospedaliera S. Croce e Carle, 12100 Cuneo, Italy.
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46
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Wanger J, Clausen JL, Coates A, Pedersen OF, Brusasco V, Burgos F, Casaburi R, Crapo R, Enright P, van der Grinten CPM, Gustafsson P, Hankinson J, Jensen R, Johnson D, Macintyre N, McKay R, Miller MR, Navajas D, Pellegrino R, Viegi G. Standardisation of the measurement of lung volumes. Eur Respir J 2005; 26:511-22. [PMID: 16135736 DOI: 10.1183/09031936.05.00035005] [Citation(s) in RCA: 1804] [Impact Index Per Article: 94.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022]
Affiliation(s)
- J Wanger
- Internal Medicine, University of Genoa, V.le Benedetto XV, 6, I-16132 Genova, Italy
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47
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Miller MR, Crapo R, Hankinson J, Brusasco V, Burgos F, Casaburi R, Coates A, Enright P, van der Grinten CPM, Gustafsson P, Jensen R, Johnson DC, MacIntyre N, McKay R, Navajas D, Pedersen OF, Pellegrino R, Viegi G, Wanger J. General considerations for lung function testing. Eur Respir J 2005; 26:153-61. [PMID: 15994402 DOI: 10.1183/09031936.05.00034505] [Citation(s) in RCA: 1267] [Impact Index Per Article: 66.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022]
Affiliation(s)
- M R Miller
- University Hospital Birmingham NHS Trust, UK
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Decramer M, Gosselink R, Rutten-Van Mölken M, Buffels J, Van Schayck O, Gevenois PA, Pellegrino R, Derom E, De Backer W. Assessment of progression of COPD: report of a workshop held in Leuven, 11-12 March 2004. Thorax 2005; 60:335-42. [PMID: 15790991 PMCID: PMC1747360 DOI: 10.1136/thx.2004.028712] [Citation(s) in RCA: 17] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
Abstract
Recently performed long term trials have enhanced the insight into the assessment of progression of COPD. The present review focuses on the initial assessment of COPD in general practice and the assessment of disease progression. Several variables may be used to assess this progression, all of which are associated with significant methodological problems. Finding the appropriate mix of outcome measures to capture all aspects of disease progression is a significant challenge.
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Affiliation(s)
- M Decramer
- Respiratory Division, University Hospital, Herestraat 49, 3000 Leuven, Belgium.
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49
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Cadario G, Marengo F, Ranghino E, Rossi R, Gatti B, Cantone R, Bona F, Pellegrino R, Feyles G, Puccinelli P, Burastero SE. Higher frequency of early local side effects with aqueous versus depot immunotherapy for hymenoptera venom allergy. J Investig Allergol Clin Immunol 2004; 14:127-33. [PMID: 15301302] [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] [Subscribe] [Scholar Register] [Indexed: 04/30/2023] Open
Abstract
Venom immunotherapy has proven a very effective method for the treatment of allergy to Hymenoptera venom. Aqueous instead of depot extracts are prevalently used for this immunotherapy. The advantage of using aqueous extracts has not been fully investigated. We made an open, non-controlled study on 45 subjects sensitized to either Apis mellifera or Vespula spp. Patients were assigned to either a depot (N=27) or an aqueous (N=18) immunotherapy regimen, and side effects were monitored during the induction and the 3-year maintenance phase. The effect of naturally occurring stings during the treatment and after its interruption was recorded as well. Side effects were less frequent with the depot extract both on a "per patient" (22.2% versus 50.0%) and on a "per dose" (2.9% versus 10,2%) basis (p=0.026 and p<0.000, respectively). Better tolerance was mainly due to the lower frequency of local side effects occurring at early times after vaccination. The efficacy of vaccination was comparable in the 2 cohorts, as expected. We conclude that depot immunotherapy to Hymenoptera venom should be preferred to aqueous immunotherapy for the lower occurrence of local side effects. This might influence a better compliance with this potentially life-saving treatment.
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Affiliation(s)
- G Cadario
- S.C. Allergologia e Immunologia Clinica, Azienda Ospedaliera S. Giovanni Battista di Torino
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Spicuzza L, Ciancio N, Pellegrino R, Bellofiore S, Polosa R, Ricciardolo FL, Brusasco V, Di Maria GU. The effect of inhaled furosemide and acetazolamide on bronchoconstriction induced by deep inspiration in asthma. Monaldi Arch Chest Dis 2003; 59:150-4. [PMID: 14635505] [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] [Subscribe] [Scholar Register] [Indexed: 04/27/2023] Open
Abstract
In some asthmatics deep inspiration causes a sustained bronchoconstration, which is dependent on Ca2+ uptake. Inhaled diuretics protect against bronchoconstriction induced by a variety of indirect stimuli, by inhibiting the ionic fluxes involving Ca2+ uptake across the cell membrane of airway epithelium. The aim of this study was therefore to investigate the protective effect of inhaled furosemide on the bronchoconstriction induced by deep inspiration in asthma and to compare it with the effect of acetazolamide, an inhibitor of carbonic anhydrase devoid of effect on ion cotransport but possessing inhibitory effects on chloride ion influx and Na+/K+ exchange. The study was carried out on three different study days according to a randomized, double-blind, placebo-controlled, crossover design. Nine non smoking asthmatic subjects first performed a series of 9 controlled deep inspirations to TLC followed by forced expirations to RV within 20 min, which caused a decrease of FEV1 > 20% from baseline. Two hours later, the subjects inhaled either furosemide (40 mg), or acetazolamide (500 mg), or saline (placebo) in random order, and then two more deep-inspiration challenges were performed after 30 and 140 mins. The progressive percent decrement of FEV1 caused by deep-inspiration challenge was taken as an index of bronchoconstriction. Bronchoconstriction was significantly blunted at 30 mins, but not 140 mins, after inhaling furosemide (p < 0.01) or acetazolamide (p < 0.05) compared to control. We interpret these results as due to a modulation of ionic fluxes across the smooth muscle cell membrane afforded by inhaled furosemide and acetazolamide.
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Affiliation(s)
- L Spicuzza
- Dipartimento di Medicina Interna e Medicina Specialistica, Università di Catania, 95125 Catania, Italy
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