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Cianetti S, Federici G, Coniglio M, Valenti C, Lombardo G, Pagano S. Covid-19 pandemic and clinical activity stop: oral health study in a group of children. Eur J Paediatr Dent 2024; 25:1. [PMID: 38323516 DOI: 10.23804/ejpd.2024.1889] [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: 02/08/2024]
Abstract
AIM Public and private health services, which provide both preventive and health promotion interventions, were forced to suddenly stop their activities to limit the risk of infections during the pandemic emergency. Oral health administration, including that of children, was affected by these planned medical service closures, from both therapeutic and preventive perspectives. This study aims to analyse the consequences, at the oral cavity level, of failures to treat patients of childhood age, considering the impact of carious pathology on quality of life and incorrect eating and oral hygiene habits, which may occur in this age group. METHODS This is a cross-sectional, single-center, observational study. One hundred patients from the Odontostomatological University Center (C.O.U.) of Perugia were randomly enrolled. CONCLUSION Oral health status of the examined sample is satisfactory overall, considering the clinic's interruption of treatments with the resulting long period of no follow-up and the emotional and economic stress generated by the pandemic condition for both the young patients and their caregivers.
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Affiliation(s)
- S Cianetti
- Odontostomatological University Centre (C.O.U), Department of Medicine and Surgery, University of Perugia, Piazza Gambuli 1, Perugia (PG), 06129, Italy
| | - G Federici
- Odontostomatological University Centre (C.O.U), Department of Medicine and Surgery, University of Perugia, Piazza Gambuli 1, Perugia (PG), 06129, Italy
| | - M Coniglio
- Odontostomatological University Centre (C.O.U), Department of Medicine and Surgery, University of Perugia, Piazza Gambuli 1, Perugia (PG), 06129, Italy
| | - C Valenti
- Odontostomatological University Centre (C.O.U), Department of Medicine and Surgery, University of Perugia, Piazza Gambuli 1, Perugia (PG), 06129, Italy
| | - G Lombardo
- Odontostomatological University Centre (C.O.U), Department of Medicine and Surgery, University of Perugia, Piazza Gambuli 1, Perugia (PG), 06129, Italy
| | - S Pagano
- Odontostomatological University Centre (C.O.U), Department of Medicine and Surgery, University of Perugia, Piazza Gambuli 1, Perugia (PG), 06129, Italy
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Pagano S, Ricciuti V, Mancini F, Barbieri FR, Chegai F, Marini A, Marruzzo D, Paracino R, Ricciuti RA. Eagle syndrome: An updated review. Surg Neurol Int 2023; 14:389. [PMID: 38053694 PMCID: PMC10695462 DOI: 10.25259/sni_666_2023] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/08/2023] [Accepted: 10/16/2023] [Indexed: 12/07/2023] Open
Abstract
Background This work aims to review the current literature and our experience on vascular Eagle syndrome (ES) that can present misleading clinical presentations and better understand the possible therapeutic strategies. Methods We reviewed the existing literature on PubMed from January 1, 2017, to December 31, 2022, including the sequential keywords "vascular AND Eagle syndrome," "vascular AND styloid syndrome," "vascular AND elongated styloid process," "vascular AND stylocarotid syndrome," and "Eagle syndrome AND carotid artery dissection." Results 38 vascular ES cases, including our experience, were analyzed. The most frequent clinical onset was hemiparesis (n 21, 57%), but other regular clinical presentations were aphasia, loss of consciousness, amaurosis, headache, or a combination of the latter. Massive oral bleeding was reported only once in the literature before our case. Twelve patients were treated with only antiplatelet therapy, either single or double. Nine patients were treated with anticoagulation therapy only. In 14 patients, a carotid artery stent was used, associated with anticoagulation or antiplatelet therapy. In 17 cases, a styloid process (SP) resection was performed. Conclusion ES has many clinical presentations, and carotid artery dissection resulting in oral bleeding seems rare. Literature results and our experience make us believe that when dealing with vascular ES, the best treatment strategy is endovascular internal carotid artery stenting with antiplatelet therapy, followed by surgical removal of the elongated SP to prevent stent fracture.
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Affiliation(s)
- Serena Pagano
- Department of Neurosurgery, Ospedale Belcolle, Viterbo, Italy
| | - Vittorio Ricciuti
- Department of Neurosurgery, Istituto di Ricovero e Cura a Carattere Scientifico (IRCCS) San Gerardo dei Tintori, Monza, Italy
| | - Fabrizio Mancini
- Department of Neurosurgery, Azienda Ospedaliera Di Perugia, Perugia, Italy
| | | | - Fabrizio Chegai
- Department of Vascular and Interventional Radiology, Unit of Radiology, Ospedale Belcolle, Viterbo, Italy
| | - Alessandra Marini
- Department of Neurosurgery, Azienda Ospedaliera Di Perugia, Perugia, Italy
| | | | - Riccardo Paracino
- Department of Neurosurgery, Azienda Ospedaliera Di Perugia, Perugia, Italy
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Marruzzo D, Mancini F, Ricciuti V, Barbieri FR, Preziosi R, Pagano S, Ricciuti RA. Modified percutaneous biopsy of the spine: improvement of the technique. Eur Spine J 2023; 32:221-227. [PMID: 36477894 DOI: 10.1007/s00586-022-07384-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/27/2022] [Accepted: 09/04/2022] [Indexed: 12/12/2022]
Abstract
PURPOSE Biopsy of the spine can be performed by open surgery or percutaneous needle sampling. The first has the highest diagnostic yield while the second is a less invasive procedure with lower rate of complications and shorter hospitalization time. We described a modified technique of percutaneous biopsy using semi-rigid grasping forceps that may offer the advantages of both, open and minimally invasive surgery. METHODS Thirty consecutive patients with spinal lesions requiring biopsy were admitted to Neurosurgical Unit of Belcolle Hospital (Viterbo, Italy) from January 2017 to September 2021. There was a suspicion of spondylodiscitis in 25 cases and of tumor in 5 cases. Percutanous trans-pedicular spine biopsy has been performed using this new semi-rigid grasping forceps. Combining the opening width, jaw length and full 360° rotation, the device allows a wide and precise sampling. RESULTS Sampling was sufficient in all cases (100%); tumors was observed in 5 cases (16.7%%) with a percentage of definitive histopathologic diagnosis of 100% (n = 5); among the remaining patients histological examination yielded a diagnosis of spinal infection in 25 cases (100%), and microbiologic culture provided an aetiologic diagnosis in 23 cases (92%). All procedures were well tolerated, and no postoperative complications were observed. Levels involved included: thoracic (T5-T9) in 8 cases, thoracolumbar junction (T10-L2) in 12 cases and lumbar (L3-L5) in 10 cases. CONCLUSIONS Percutaneous biopsy with the semi-rigid grasping forceps is a safe and effective procedure that can be used for diagnosis of both infectious and tumor lesions of the spine. It allows to obtain a larger specimen volume and to use a multidirectional trajectory for sampling, resulting in a minimally invasive technique with strong ability to yield etiologic diagnosis.
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Guillamat-Prats R, Hering D, Rami M, Haerdtner C, Santovito D, Rinne P, Pagano S, Nicolas Vuilleumier N, Schmid S, Janjic A, Enard W, Weber C, Maegdefessel L, Hilgendorf I, Steffens S. GPR55 deficiency in B-cells promotes atherosclerosis and regulates plasma cell maturation. Eur Heart J 2022. [DOI: 10.1093/eurheartj/ehac544.3052] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Abstract
Abstract
Atherosclerosis is a chronic and multifactorial disease accompanied by an imbalance between resolving and pro-inflammatory lipid mediators. Targeting lipid signaling might offer new therapeutical targets for improving the clinical outcome in cardiovascular disease patients. We considered lysophosphatidylinositol (LPI) and its receptor G protein-coupled receptor (GPR)55 as a potential modulator of atherosclerosis. Its role in regulating atherosclerosis and B cell function is unknown.
We hypothesize that GPR55 signaling affects atherosclerosis by regulating B cell function.
Atherosclerotic plaques were compared between apolipoprotein-E-deficient (ApoE−/−) and ApoE−/−Gpr55−/− mice after 4 to 16 weeks Western Diet (WD; 0.15% cholesterol; n=12–15 per group). To test the role of B cell GPR55, we generated mixed chimeras by irradiating low density lipoprotein receptor deficient (Ldlr−/−) mice and reconstituting with a mixture of μMT and wildtype or μMT and Gpr55−/− bone marrow cells. Circulating B cells were sorted and bulk RNA sequencing analysis was performed. We performed atheroma plaque characterization, qPCR and ELISA of tissue lysates and measure plasma immunoglobulins. Circulating and tissue leukocyte counts were determined.
We confirmed Gpr55 expression on circulating B cells, which was higher compared to T and myeloid cells. ApoE−/−Gpr55−/− mice had significantly larger plaques after 4 & 16 weeks WD compared to ApoE−/−, with increased body weight & cholesterol levels. In addition, global Gpr55 deficiency resulted in enhanced aortic pro-inflammatory cytokine mRNA expression, a massively upregulated IgG levels and increased counts of splenic germinal center and plasma cells. ApoE−/−Gpr55−/− B-cell RNA-seq analysis showed 460 differential expressed genes compared to ApoE−/−. The main pathways affected were calcium ion transport, immunoglobulin production, T & B cell activation, and cellular response to stress. B cell specific Gpr55 deficiency blunted the metabolic effects but still translated in larger atherosclerotic plaques and elevated plasma IgG levels.
Both global and B cell-restricted Gpr55 deficiency promotes atherosclerosis and is associated with a pro-inflammatory phenotype.
Funding Acknowledgement
Type of funding sources: Public grant(s) – National budget only. Main funding source(s): The authors received funds from the Deutsche Forschungsgemeinschaft (STE1053/6-1, STE1053/8-1 to S.S. and SFB1123 to S.S., C.W. and L.M.), the German Ministry of Research and Education (DZHK FKZ 81Z0600205 to S.S.) and the LMU Medical Faculty FöFoLe program (1061 to R.G.P.). I.H. is supported by the DFG (HI1573/2 and CRC1425 #422681845).
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Affiliation(s)
- R Guillamat-Prats
- Institute for Cardiovascular Prevention (IPEK-LMU) , Munich , Germany
| | - D Hering
- Institute for Cardiovascular Prevention (IPEK-LMU) , Munich , Germany
| | - M Rami
- Institute for Cardiovascular Prevention (IPEK-LMU) , Munich , Germany
| | - C Haerdtner
- University Heart Center Freiburg-Bad Krozingen, Department of Cardiology and Angiology I , Freiburg , Germany
| | - D Santovito
- Institute for Cardiovascular Prevention (IPEK-LMU) , Munich , Germany
| | - P Rinne
- University of Turku , Turku , Finland
| | - S Pagano
- Geneva University Hospitals , Geneva , Switzerland
| | | | - S Schmid
- Institute for Cardiovascular Prevention (IPEK-LMU) , Munich , Germany
| | - A Janjic
- Ludwig-Maximilians University, Anthropology and Human Genomics, Faculty of Biology, , Munich , Germany
| | - W Enard
- Ludwig-Maximilians University, Anthropology and Human Genomics, Faculty of Biology, , Munich , Germany
| | - C Weber
- Institute for Cardiovascular Prevention (IPEK-LMU) , Munich , Germany
| | | | - I Hilgendorf
- University Heart Center Freiburg-Bad Krozingen, Department of Cardiology and Angiology I , Freiburg , Germany
| | - S Steffens
- Institute for Cardiovascular Prevention (IPEK-LMU) , Munich , Germany
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Pagano S, Alfaiate D, Juillard C, Frias M, Magenta A, Martino F, Sciaqua A, Succurro E, Burger F, Brandt K, Andreozzi F, Mach F, Perticone M, Vuilleumier N. High antibody titers against apolipoprotein-A1 in NAFLD: A possible link between fatty liver disease and CVD? Atherosclerosis 2022. [DOI: 10.1016/j.atherosclerosis.2022.06.065] [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: 11/02/2022]
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Guillamat-Prats R, Hering D, Rami M, Hädtner C, Santovito D, Rinne P, Bindila L, Hristov M, Pagano S, Vuilleumier N, Schmid S, Janjic A, Enard W, Weber C, Maegdefessel L, Faussner A, Hilgendorf I, Steffens S. B cell-specific GPR55 deficiency promotes atherosclerosis. Atherosclerosis 2022. [DOI: 10.1016/j.atherosclerosis.2022.06.051] [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: 11/02/2022]
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Schmiedeberg K, Abela IA, Pikor NB, Vuilleumier N, Schwarzmueller M, Epp S, Pagano S, Grabherr S, Patterson AB, Nussberger M, Trkola A, Ludewig B, Von Kempis J, Rubbert-Roth A. POS1215 IMMUNE CORRELATES AND CLINICAL COURSE OF PATIENTS WITH RHEUMATOID ARTHRITIS FOLLOWING VACCINATION WITH ANTI SARS-CoV-2 mRNA BASED VACCINES: RESULTS FROM A PROSPECTIVE, OBSERVATIONAL AND CONTROLLED STUDY. Ann Rheum Dis 2022. [DOI: 10.1136/annrheumdis-2022-eular.1583] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022]
Abstract
BackgroundVaccines are highly effective in preventing COVID-19 associated hospitalization and deaths. Strong and persistent immune responses are critical to provide protection for patients with immunomodulatory therapies.ObjectivesTo assess humoral and cellular immune responses following 2 doses of an anti-SARS-CoV-2 mRNA based vaccine in rheumatoid arthritis (RA). Immune responses in patients treated with csDMARDs, bDMARDs (with the exception of rituximab) and JAK inhibitors were compared to healthy controls (HC) over 24 weeks. In addition, disease activity by CDAI and vaccine-induced side effects were prospectively monitored.MethodsThe RECOVER trial (Rheumatoid Covid-19 Vaccine Immune Response) is a non-randomised, prospective observational control group trial and enrolled 77 RA patients on DMARD therapy and 21 HC. Clinical assessment and blood sampling was performed at baseline, 3 weeks after the 1st and 2 weeks after the 2nd vaccine dose and at week 12 and 24 after the 1st. Antibody response to the receptor binding domain (RBD) within the SARS-CoV-2 S1 protein was measured with the Elecsys Anti-SARS-CoV-2-S (Roche Diagnostics GmbH) test. The seroprofiling assay ABCORA, which has been suggested as a surrogate for neutralization,1 was used to determine IgG, IgA and IgM responses to RBD, S1, S2 and N. The neutralizing activity NT50 at week 12 was assessed against Wuhan-Hu-1 pseudoviruses (HIV-based). IFN-y ELISpots were applied to detect spike-reactive T cell responses after in vitro stimulation with a spike peptide mix.ResultsBaseline characteristics of participants are detailed in Table 1. Vaccination was well tolerated with no differences between RA patients and HC. At baseline, the majority of RA patients were in remission/LDA (57/77, 74%), this proportion decreased to 51% (39/77) after the second vaccine dose (p = 0.005). Treatment adjustments were required in 11/77 patients. The immunogenicity analyses were based on 73 RA patients after exclusion of 4 patients with previously unnoticed SARS-CoV-2 infection (positive for anti-nucleoprotein). In contrast to HC, anti-S titers were lower at all timepoints with significantly reduced titers observed in patients on abatacept and JAK inhibitors (Figure 1). Potent neutralizing activity (NT50 ≥ 250)) was detected in all HC at week 12, in contrast to 62% RA patients. NT50 correlated to the results based on the ABCORA assay. Peak anti-S titers (2 weeks after 2nd vaccine) were predictive of NT50 ≥ 250 at week 12 (p < 0.0001). In contrast to marked differences in the humoral immune responses, spike-protein specific IFN-α secreting T cells were largely unaltered by different DMARD regimen.Table 1.Baseline characteristicsRA patients (n = 77)HC (n = 21)p-valueAge (yrs), mean (± SD)64 (13)44 (14)< 0.0001Female, n (%)46 (60)15 (71)NSVaccination typemRNA-1273, n (%)12 (16)0 (0)0.06BNT162b2, n (%)65 (84)21 (100)Disease activity (CDAI)Remission (≤ 2.8), n (%)17/77 (22)Low (2.9 - 10), n (%)40/77 (52)Moderate (10.1 - 22.0), n (%)15/77 (20)High (22.1 - 76.0), n (%)5/77 (7)DMARD therapyMono csDMARDs, n (%)22/77 (29)bDMARDs, n (%)35/77 (46)Mono bDMARDs, n (%)14/35 (40)JAKi, n (%)20/77 (26)Mono JAKi, n (%)8/20 (40)Prednisone, n (%)25/77 (33)Mean daily dose (mg ± SD)5.6 ± 3.6ConclusionRA patients, in comparison with HC, revealed a slower kinetic and lower magnitude of humoral immune responses depending on the treatment regimen while T cell responses were largely maintained. Peak anti-S responses two weeks after the second vaccine were able to predict the development of potent neutralizing activity and should therefore be considered to individually tailor vaccination strategies.References[1]Abela I et al. Nature Commun 2021. doi.org/10.1038/s41467-021-27040-xDisclosure of InterestsKristin Schmiedeberg: None declared, Irene A. Abela: None declared, Natalia Barbara Pikor: None declared, Nicolas Vuilleumier: None declared, Magdalena Schwarzmueller: None declared, Selina Epp: None declared, Sabrina Pagano: None declared, Sarah Grabherr: None declared, Angelica Brooke Patterson: None declared, Madalina Nussberger: None declared, Alexandra Trkola: None declared, Burkhard Ludewig: None declared, Johannes von Kempis: None declared, Andrea Rubbert-Roth Speakers bureau: Abbvie, Pfizer, Sanofi, UCB, BMS, Lilly, Gilead, Roche, Consultant of: Abbvie, Gilead, Lilly, BMS, Sanofi
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Schmiedeberg K, Abela IA, Vuilleumier N, Pagano S, Von Kempis J, Rubbert-Roth A. POS1277 LONGTERM IMMUNOGENICITY AND TOLERABILITY OF A 3RD DOSE OF AN mRNA ANTI-SARS-CoV-2 VACCINE IN RA PATIENTS WITH AN INADEQUATE RESPONSE TO A PREVIOUS STANDARD TWO DOSE REGIMEN. Ann Rheum Dis 2022. [DOI: 10.1136/annrheumdis-2022-eular.4972] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
Abstract
BackgroundLower seroconversion rates have been reported in patients with rheumatic diseases receiving immunomodulatory therapies following a standard mRNA-based vaccine regimen. Data with regard to immunogenicity and safety of a 3rd vaccine dose in this patient population is limited1.ObjectivesWe aim to study immunogenicity, vaccine associated side effects and the occurrence of flares in RA patients unresponsive to a standard vaccine regimen eligible for a 3rd vaccine dose.MethodsRA patients who had a low or absent anti-S1 response after 12 (Cohort A) or 24 weeks (Cohort B) following a standard vaccination regimen received a 3rd vaccine dose. Temporary discontinuation of DMARD therapy was recommended. Serum samples were collected before, 2, 12, and 24 weeks after the 3rd vaccine dose. Quantitative measurement of anti-S was performed using the Roche Elecsys Anti-SARS-CoV-2 spike subunit assay. Neutralizing activity (NT50) against Wuhan WT and αasβ-, γ-, and δ- variants was assessed by using a HIV-based pseudovirus system.ResultsBaseline characteristics are shown in Table 1. 45/47 patients temporarily discontinued DMARD therapy: Mtx and JAKi were paused one 1 week before/restarted 2 weeks after the 3rd vaccine dose, bDMARDs were paused 2 weeks before/restarted 2 weeks after the 3rd dose. Local pain and/or systemic vaccine associated side effects following the 3rd vaccine dose were reported in 12/17 (71%) in Cohort A, and 10/29 (35%) patients in Cohort B (p = 0.018). Flares were defined as loss of low disease activity (LDA), subsequent to the 3rd vaccine dose and occurred in 17/47 (36%) patients (p = 0.0332) with comparable frequencies in both cohorts (41% Cohort A, 33% Cohort B (NS)).Table 1.Baseline characteristics of RA patients in Cohort A and Cohort BRA patients (n = 17) Cohort ARA patients (n = 30) Cohort Bp-valueAge (yrs), mean (± SD)69 (8)63.9 (8)NSFemale sex, n (%)9 (53)13 (43)NSVaccination type/schedulemRNA-1273/BNT162b2, n=3/145/25NSRA disease characteristicsACPA ± RF, n (%)13 (77)12 (40)0.02*Disease activity (CDAI)Remission (≤ 2.8), n (%)3 (18)6 (20)NSLDA (2.9 - 10), n (%)11 (64)18 (60)NSModerate CDAI (10.1 - 22.0), n (%)2 (12)3 (10)NSHigh CDAI (22.1 - 76.0), n (%)1 (6)3 (10)NSDMARD therapyNSMonotherapy of csDMARDs, n (%)2/17 (12)10/30 (33)NSbDMARDs ± csDMARDs, n (%)8/17 (47)14/30 (47)NSJAKi ± csDMARDs, n (%)7/17 (41)6/30 (20)NSPrednisone, n (%)5/17 (29)11/30 (37)NSMean daily dose prednisone (mg ± SD)4.1 ± 1.64.1 ± 1.5NSLow or absent anti-S titers were confirmed before the third vaccination (Cohort A: median 19.5 U/ml, IQR 0.47-57; cohort B: median 65.9 U/ml, IQR 22-154) (p = 0.0018). Two weeks after the 3rd dose, a rapid and significant increase in anti-S were observed in 12/17 (82%) and 25/28 (89%) patients (Cohort A: median 2500 U/ml, IQR 798-2500; Cohort B: median 2500 U/ml, IQR 2500-2500) (NS). High levels of anti-S were maintained in the majority of patients 55% (11/20) until week 12 in both cohorts (Figure 1). NT50 against Wuhan-WT and other variants was assessed in 21 patients 2 weeks after the 3rd vaccine dose revealing a low or absent NT50 against delta in 38% of patients despite a median anti-S response of 2500 U/ml (IQR 798-2500). 14/21 patients had peak anti-S titres of 2500 U/ml, of those 12/14 developed a strong NT50 response against the delta variant.Figure 1.ConclusionOur data demonstrate that a 3rd vaccine dose, maybe complimented by temporary discontinuation of DMARD therapy, may lead to a rapid increase in anti-S antibodies when using a homologous vaccine and profound neutralizing activity in the majority of RA patients previously unresponsive to a standard two dose regimen. This seems to be independent of the interval to the previous standard vaccine regimen. As flares occurred in 36% of all patients, the necessity and length of DMARD discontinuation should be explored in more detail to balance between sustained control of disease activity and optimized vaccine induced immune responses.References[1]Schmiedeberg K, et al. Lancet Rheumatol 2022; 4(1): e11-e13Disclosure of InterestsKristin Schmiedeberg: None declared, Irene A. Abela: None declared, Nicolas Vuilleumier: None declared, Sabrina Pagano: None declared, Johannes von Kempis Speakers bureau: Lilly, Consultant of: Abbvie, BMS, Pfizer, and Sanofi, Andrea Rubbert-Roth Speakers bureau: Abbvie, Pfizer, Sanofi, UCB, BMS, Lilly, Gilead and Roche, Consultant of: Abbvie, Gilead, Lilly, BMS, and Sanofi
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Pagano S, Lombardo G, Coniglio M, Donnari S, Canonico V, Antonini C, Lomurno G, Cianetti S. Autism spectrum disorder and paediatric dentistry: A narrative overview of intervention strategy and introduction of an innovative technological intervention method. Eur J Paediatr Dent 2022; 23:54-60. [PMID: 35274543 DOI: 10.23804/ejpd.2022.23.01.10] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
Abstract
AIM When treating patients with Autism Spectrum Disorder (ASD) the doctor-patient relationship can be very challenging. The dentist is often forced to work under general anaesthesia or conscious sedation. Children with ASD are patients with an increased risk of caries due to poor oral hygiene, a cariogenic diet and the use of xerostomal drugs. In this work therapeutic strategies used to treat this kind of patients are evaluated and a new method to treat children with ASD is presented in order to increase awareness about this condition in the dental field. METHODS The Atlas Center (a non-profit organisation in Peurgia, Italy) has developed a software, called paINTeraction, that allows these special children to immerse themselves in a virtual reality with the help of an operator. Through this system the child can explore the dental office (and all its sounds and noises) before the real dental visit, thus connecting to the dental professional, achieving greater compliance and reducing anxiety. CONCLUSION paINTeraction, with the use of digital technology tools, may be particularly well suited to introduce patients to the therapeutic environment, particularly in the dental setting.
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Affiliation(s)
- S Pagano
- Odontostomatological University Centre (C.O.U), Department of Medicine and Surgery, University of Perugia, Italy
| | - G Lombardo
- Odontostomatological University Centre (C.O.U), Department of Medicine and Surgery, University of Perugia, Italy
| | - M Coniglio
- Odontostomatological University Centre (C.O.U), Department of Medicine and Surgery, University of Perugia, Italy
| | | | | | - C Antonini
- Odontostomatological University Centre (C.O.U), Department of Medicine and Surgery, University of Perugia, Italy
| | - G Lomurno
- Department of Medicine and Surgery, S. Maria della Misericordia Hospital, University of Perugia, Perugia, Italy
| | - S Cianetti
- Odontostomatological University Centre (C.O.U), Department of Medicine and Surgery, University of Perugia, Italy
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Barone C, Cirillo C, Carapella G, Granata V, Santoro D, Attanasio C, Pagano S. Effect of the substrate on the electrical transport and fluctuation processes in NbRe and NbReN ultrathin films for superconducting electronics applications. Sci Rep 2022; 12:1573. [PMID: 35091643 PMCID: PMC8799732 DOI: 10.1038/s41598-022-05511-5] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/08/2021] [Accepted: 01/07/2022] [Indexed: 11/30/2022] Open
Abstract
NbRe-based superconducting thin films recently received relevant interest in the field of low-temperature electronics. However, for these materials the electrical conduction mechanisms, in particular in the normal state, still need to be investigated in more detail. Here, NbRe and NbReN films of different thicknesses have been deposited on two different substrates, namely monocrystalline Si and [Formula: see text] buffered Si. The films were characterized by DC electrical transport measurements. Moreover, a connection with the charge carriers fluctuation processes has been made by analyzing the electrical noise generated in the normal state region. Despite the films morphology seems not to be affected by the substrate used, a lower noise level has been found for the ones grown on [Formula: see text], in particular for NbReN. From this study it emerges that both NbRe and NbReN ultrathin films are of very good quality, as far as the low-temperature electrical noise and conduction are concerned, with noise levels competitive with NbN. These results may further support the proposal of using these materials in a nanowire form in the field of superconducting electronics.
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Affiliation(s)
- C Barone
- Dipartimento di Fisica "E.R. Caianiello", Università degli Studi di Salerno, 84084, Fisciano, Salerno, Italy.
- CNR-SPIN, c/o Università degli Studi di Salerno, 84084, Fisciano, Salerno, Italy.
- INFN Gruppo Collegato di Salerno, c/o Università degli Studi di Salerno, 84084, Fisciano, Salerno, Italy.
| | - C Cirillo
- Dipartimento di Fisica "E.R. Caianiello", Università degli Studi di Salerno, 84084, Fisciano, Salerno, Italy
- CNR-SPIN, c/o Università degli Studi di Salerno, 84084, Fisciano, Salerno, Italy
| | - G Carapella
- Dipartimento di Fisica "E.R. Caianiello", Università degli Studi di Salerno, 84084, Fisciano, Salerno, Italy
- CNR-SPIN, c/o Università degli Studi di Salerno, 84084, Fisciano, Salerno, Italy
- INFN Gruppo Collegato di Salerno, c/o Università degli Studi di Salerno, 84084, Fisciano, Salerno, Italy
| | - V Granata
- Dipartimento di Fisica "E.R. Caianiello", Università degli Studi di Salerno, 84084, Fisciano, Salerno, Italy
- CNR-SPIN, c/o Università degli Studi di Salerno, 84084, Fisciano, Salerno, Italy
| | - D Santoro
- Dipartimento di Fisica "E.R. Caianiello", Università degli Studi di Salerno, 84084, Fisciano, Salerno, Italy
| | - C Attanasio
- Dipartimento di Fisica "E.R. Caianiello", Università degli Studi di Salerno, 84084, Fisciano, Salerno, Italy
- CNR-SPIN, c/o Università degli Studi di Salerno, 84084, Fisciano, Salerno, Italy
- INFN Gruppo Collegato di Salerno, c/o Università degli Studi di Salerno, 84084, Fisciano, Salerno, Italy
| | - S Pagano
- Dipartimento di Fisica "E.R. Caianiello", Università degli Studi di Salerno, 84084, Fisciano, Salerno, Italy
- CNR-SPIN, c/o Università degli Studi di Salerno, 84084, Fisciano, Salerno, Italy
- INFN Gruppo Collegato di Salerno, c/o Università degli Studi di Salerno, 84084, Fisciano, Salerno, Italy
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11
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Carbone L, Somma T, Iorio GG, Vitulli F, Conforti A, Raffone A, Bove I, Pagano S, Pontillo M, Carbone IF, Farina A, Maruotti GM, Maiuri F, Cappabianca P, Alviggi C. Meningioma during pregnancy: what can influence the management? A case series and review of the literature. J Matern Fetal Neonatal Med 2021; 35:8767-8777. [PMID: 34822317 DOI: 10.1080/14767058.2021.2004585] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
Abstract
Purpose: Meningioma is a benign tumor, more frequent in female population. During pregnancy, distinguishing a meningioma from other common conditions presenting with similar symptoms (headache, vomiting, visual impairment) is challenging. Moreover, the management must consider not only maternal but also fetal health. The rarity of the condition does not allow to define the features to which look in order to stratify the risk for the need of surgery during pregnancy. We reported three cases of meningioma in pregnant women treated at our department and reviewed those previously reported in the literature. The aim of this review is to evaluate which factors are more determinant in such management.Methods: Electronic databases were searched from year 2000 until June 2020, to identify clinical studies on management of meningioma diagnosed during pregnancy. The primary outcome was surgical timing. Secondary outcomes were delivery methods, maternal and neonatal outcomes.Results: Surgery after pregnancy is more frequently performed in PR + tumor (p-value 0.038) and with HA (p-value 0.0445), as well as in meningioma diagnosed during the third trimester, compared to those diagnosed before (p-value 0.0012). Surgery during pregnancy was more frequent in patients with visual loss (p-value 0.006). No significant differences were found in surgical management, according to age, WHO grade, tumor location, lesion diameter and ER positivity. Delivery method is independent from both hormonal receptor status and main symptoms, but women who had neurosurgery during pregnancy delivered more frequently with spontaneous vaginal delivery (p-value <0.01).Conclusion: The decision regarding surgical timing of meningioma diagnosed during pregnancy depends on PR + and impending symptoms as visual loss or headache. It seems that timing of neurosurgery does not affect the delivery method. A multidisciplinary approach is always useful to perform a rapid and appropriate diagnosis and to better evaluate pros and cons of surgery during pregnancy and following management both for maternal and fetal wellness.
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Affiliation(s)
- Luigi Carbone
- Department of Neuroscience, Reproductive Sciences and Odontostomatology, School of Medicine, Federico II University, Naples, Italy
| | - Teresa Somma
- Department of Neuroscience, Reproductive Sciences and Odontostomatology, School of Medicine, Federico II University, Naples, Italy
| | - Giuseppe Gabriele Iorio
- Department of Neuroscience, Reproductive Sciences and Odontostomatology, School of Medicine, Federico II University, Naples, Italy
| | - Francesca Vitulli
- Department of Neuroscience, Reproductive Sciences and Odontostomatology, School of Medicine, Federico II University, Naples, Italy
| | - Alessandro Conforti
- Department of Neuroscience, Reproductive Sciences and Odontostomatology, School of Medicine, Federico II University, Naples, Italy
| | - Antonio Raffone
- Department of Neuroscience, Reproductive Sciences and Odontostomatology, School of Medicine, Federico II University, Naples, Italy
| | - Ilaria Bove
- Department of Neuroscience, Reproductive Sciences and Odontostomatology, School of Medicine, Federico II University, Naples, Italy
| | - Serena Pagano
- Department of Neuroscience, Reproductive Sciences and Odontostomatology, School of Medicine, Federico II University, Naples, Italy
| | - Martina Pontillo
- Department of Public Health, School of Medicine, Federico II University, Naples, Italy
| | - Ilma Floriana Carbone
- Department of Woman, Child and Neonate, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy
| | - Antonio Farina
- Obstetric Unit, Department of Medical and Surgical Sciences, University of Bologna and IRCCS Azienda Ospedaliero-Universitaria S.Orsola-Malpighi, Bologna, Italy
| | - Giuseppe Maria Maruotti
- Department of Neuroscience, Reproductive Sciences and Odontostomatology, School of Medicine, Federico II University, Naples, Italy
| | - Francesco Maiuri
- Department of Neuroscience, Reproductive Sciences and Odontostomatology, School of Medicine, Federico II University, Naples, Italy
| | - Paolo Cappabianca
- Department of Neuroscience, Reproductive Sciences and Odontostomatology, School of Medicine, Federico II University, Naples, Italy
| | - Carlo Alviggi
- Department of Neuroscience, Reproductive Sciences and Odontostomatology, School of Medicine, Federico II University, Naples, Italy
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12
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Pagano S, Alfaiate D, Juillard C, Frias M, Magenta A, Martino F, Sciaqua A, Succurro E, Burger F, Brandt KJ, Andreozzi F, Mach F, Perticone M, Vuilleumier N. Autoantibodies directed against apolipoprotein A-1 as a potential contributor to non-alcoholic fatty liver disease. Eur Heart J 2021. [DOI: 10.1093/eurheartj/ehab724.3390] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Abstract
Abstract
Background
Non-Alcoholic Fatty Liver Disease (NAFLD) represents an increasing cause of liver disease worldwide. Cardiovascular disease (CVD) is the leading cause of morbidity and mortality in these patients. Although NAFLD pathophysiology is not fully understood alterations in fat metabolism seem to play a role. Autoantibodies against apolipoprotein A-1 (anti-apoA-1 IgG) are a novel cardiovascular risk factor to which have been recently attributed a metabolic role in addition to a well-established macrophage-mediated inflammatory effect and have a function as a disruptor of the cholesterol pathway.
Purpose
This study aims at evaluating a possible role of anti-apoA-1 IgG in NAFLD.
Methods
Serum from 137 NAFLD patients were tested for anti-apoA-1 IgG prevalence. In vitro, SREBP1, SREBP2 expressions were assessed in the human hepatic cell line HepaRG by western blot analysis and bodipy staining was used to evaluate the lipid droplet content. Mescoscale technology platform was used to measure TNF-α, IL-6 and IL-8 cytokines/chemokines in HepaRG supernatants. Oil Red O staining was used to detect lipid accumulation in liver sections from ApoE−/− mice.
Results
Elevated anti-apoA-1 IgG seropositivity was found in patients with NAFLD (46%). In vitro, anti-apoA-1 IgG and not control IgG induced lipid accumulation in hepatic cells (5.9 vs 2.5, P=0.0008) and this lipid overload was associated with a high SREBP1 but not SREBP2 expression. Furthermore, anti-apoA-1 IgG and not control antibodies caused a significant large increase of the proinflammatory cytokines IL-6 (680 vs. 163 pg/mL, P=0.03) and TNF-α (391 vs 266 pg/mL, P=0.04) as well as of the chemokine IL-8 (174.1 vs. 72.6 ng/mL, P=0.03) detected in the hepatic cell supernatants. In vivo, anti-apoA-1 IgG and not control IgG also induced higher lipid accumulation in the livers of ApoE−/− mice (1.23 vs 0.53, P=0.03).
Conclusion
Anti-apoA-1 IgG are frequent in NAFLD, cause a strong inflammatory response and promote lipid accumulation through SREBP1 activation in human hepatic cells. We hypothesize that anti-apoA1 IgG may be a potential contributor in the development of NAFLD.
Funding Acknowledgement
Type of funding sources: Public hospital(s). Main funding source(s): Geneva University Hospital
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Affiliation(s)
- S Pagano
- Geneva University Hospitals, Geneva, Switzerland
| | | | - C Juillard
- Geneva University Hospitals, Geneva, Switzerland
| | - M Frias
- Geneva University Hospitals, Geneva, Switzerland
| | - A Magenta
- National Research Council (CNR), Institute of Traslational Pharmacology (IFT), Rome, Italy
| | - F Martino
- Umberto I Polyclinic of Rome, Rome, Italy
| | - A Sciaqua
- Magna Graecia University of Catanzaro, Catanzaro, Italy
| | - E Succurro
- Magna Graecia University of Catanzaro, Catanzaro, Italy
| | - F Burger
- Geneva University Hospitals, Geneva, Switzerland
| | - K J Brandt
- Geneva University Hospitals, Geneva, Switzerland
| | - F Andreozzi
- Magna Graecia University of Catanzaro, Catanzaro, Italy
| | - F Mach
- Geneva University Hospitals, Geneva, Switzerland
| | - M Perticone
- Magna Graecia University of Catanzaro, Catanzaro, Italy
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13
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Pagano S, Yerly S, Suh N, Le Terrier C, Farrera-Soler L, Piumatti G, Eberhardt CS, Siegrist CA, Eckerle I, Stringhini S, Guessous I, Kaiser L, Pugin J, Winssinger N, Vuilleumier N. Sars-CoV2- infection as a trigger of humoral response against apolipoprotein A-1. Eur Heart J 2021. [DOI: 10.1093/eurheartj/ehab724.2757] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Abstract
Abstract
Background
Unravelling autoimmune targets triggered by SARS-CoV-2 infection may provide crucial insights in the physiopathology of the disease and foster the development of potential therapeutic candidate targets and prognostic tools. SARS-CoV-2 autoimmune-mediated inflammation have been reported, but the existence of autoantibodies against apolipoprotein A-1 (anti-apoA-1 IgG) in COVID-19 remains unexplored. Anti-apoA-1 IgGs have emerged as an independent biomarker for cardiovascular disease and mortality in humans with proinflammatory and proatherogenic functions in vivo and in vitro.
Purpose
We want to determine i) the degree of homology between SARS-CoV-2, apoA-1, and Toll-like receptor-2 (TLR2) epitopes, ii) the association between anti-SARSCoV2 and anti-apoA-1 IgGs, and iii) their relationship to prognosis.
Methods
We performed bioinformatics modelling coupled with mimetic peptides engineering, as well as functional and competition assays with antibodies to identify molecular mimicry between SARS-CoV-2, apoA-1 and TLR2 epitopes. Anti-Spike domain 1 (SD1) IgGs, anti-apoA-1 IgGs and against mimic peptides, as well as cytokines were assessed by immunoassays on a case-control (n=101), an intensive care unit (ICU; n=126) with a 28-days follow-up for overall mortality, and a general population cohort (n=663) with available samples in the pre and post-pandemic period.
Results
Linear sequence homologies and antibodies cross-reactivity between apoA-1, TLR2, and Spike epitopes were identified. Overall, anti-apoA-1 IgG levels were higher in COVID-19 patients or anti-SARS-CoV-2 seropositive individuals than in healthy donors or anti-SARS-CoV-2 seronegative individuals (p<0.0001). Significant and similar associations were noted between anti-apoA-1, anti-SARS-CoV-2 IgG, cytokines, and lipid profile. In ICU patients, anti-SARS-CoV-2 and anti-apoA-1 seroconversion rates displayed similar 7-days kinetics, reaching 82% for anti-apoA-1 seropositivity. C-statistics (CS) indicated that baseline anti-Spike/TLR2 mimic-peptide IgGs displayed a significant prognostic accuracy for overall mortality at 28 days (CS: 0.64; p=0.02). In the general population, SARS-CoV-2 exposure increased baseline anti-apoA-1 IgG levels.
Conclusions
COVID-19 induces a marked humoral response against the major protein of high-density lipoproteins. As a correlate of poorer prognosis in other clinical settings, such autoimmunity signatures may relate to long-term COVID-19 prognosis assessment and warrant further scrutiny in the current COVID-19 pandemic.
Funding Acknowledgement
Type of funding sources: Public Institution(s). Main funding source(s): This study was funded by the Swiss Federal Office of Public Health, Swiss School of Public Health (Corona Immunitas research program), the Fondation de Bienfaisance du Groupe Pictet, the Fondation Ancrage, the Fondation Privée des HUG, and the Center for Emerging Viral Diseases. The De Reuter (grant Nr 657) and the Schmidheiny Foundation.
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Affiliation(s)
- S Pagano
- Geneva University Hospitals, Geneva, Switzerland
| | - S Yerly
- Geneva University Hospitals, Geneva, Switzerland
| | - N Suh
- Geneva University Hospitals, Geneva, Switzerland
| | - C Le Terrier
- Geneva University Hospitals, Geneva, Switzerland
| | | | - G Piumatti
- Geneva University Hospitals, Geneva, Switzerland
| | | | - C A Siegrist
- Geneva University Hospitals, Geneva, Switzerland
| | - I Eckerle
- Geneva University Hospitals, Geneva, Switzerland
| | - S Stringhini
- Geneva University Hospitals, Geneva, Switzerland
| | - I Guessous
- Geneva University Hospitals, Geneva, Switzerland
| | - L Kaiser
- Geneva University Hospitals, Geneva, Switzerland
| | - J Pugin
- Geneva University Hospitals, Geneva, Switzerland
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14
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Frias M, Pagano S, Nasim B, Sidibe J, Kamau F, Lecour S, Strijdom H, Thomas A, Vuilleumier N. HIV-infected patients display increased proatherogenic anti-apolipoprotein A1 autoantibodies, inflammatory and metabolomic markers. Eur Heart J 2021. [DOI: 10.1093/eurheartj/ehab724.2906] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Abstract
Abstract
Background
HIV-infected patients display an increased risk of cardiovascular events. HIV and antiretroviral therapy (ART) have both been suggested to increase this risk but their specific role remains unclear. Autoantibodies against apolipoprotein A1 (anti-apoA1 IgG) are also associated with cardiovascular risk. The aim of this study was to analyse anti-apoA1 IgG levels and inflammatory markers as well as the metabolomic profile in a cohort of HIV-free, ART-experienced and naïve HIV-infected patients.
Methods
144 participants from a South African cohort were categorised into HIV-free (n=50), HIV-infected/ART-experienced (n=50) and HIV-infected/ART-naïve (n=44) groups. The levels of anti-apoA1 IgG were assessed by homemade ELISA assays. We performed targeted metabolomic analyses using standard operating procedures and measured inflammatory biomarkers using the Meso Scale Discovery® platform. Additionally, we conducted in vitro experiments on human aortic endothelial cells treated with anti-apoA1 IgG and assessed levels of adhesion molecules.
Results
Inflammatory markers (IFNg, IL-6, IL-10, TNFa, CRP all p<0.05), circulating adhesion molecules (ICAM-1 and VCAM-1, p<0.05), anti-apoA1 IgG levels were increased in HIV-infected patients compared to HIV-free participants.
While ART treatment significantly reduced IFNg, IL-10, TNFa, VCAM-1, anti-apoA1 IgG levels, no significant differences were observed in other biomarkers between ART-experienced and naïve participants. Treatment of human aortic endothelial cells with anti-apoA1 IgG (40μg/ml) induced a significant increase in these adhesion molecules compared to cells treated with control IgG (40μg/ml). Metabolomic analyses identified 257 endogenous circulating metabolites in plasma. Among these metabolites, we found that in HIV-free and infected patients 14 and 17 metabolites were significantly correlated with anti-apoA1 IgG levels, respectively. Among these 17 metabolites, 2 were positively correlated with the tryptophan pathway; kynurenine (r=0.292, p=0.0069) and 5-hydroxyindolacetate (r=0.316, p=0.0019). Interestingly, kynurenine was not significantly correlated with anti-apoA1 IgG levels in HIV-free patients.
Conclusion
HIV-infected patients displayed a more proatherogenic profile compared to HIV-free subjects. Anti-apoA1 IgG induced adhesion molecules expression. Metabolomics identified metabolites that were significantly associated with anti-apoA1 IgG levels and inflammatory biomarkers known to underlie atherosclerosis burden.
Funding Acknowledgement
Type of funding sources: None.
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Affiliation(s)
- M Frias
- University Hospital of Geneva, Geneva, Switzerland
| | - S Pagano
- University Hospital of Geneva, Geneva, Switzerland
| | - B Nasim
- University of Geneva, Geneva, Switzerland
| | - J Sidibe
- University Hospital of Geneva, Geneva, Switzerland
| | - F Kamau
- University of Stellenbosch, Division of Medical Physiology, Cape Town, South Africa
| | - S Lecour
- University of Cape Town, Department of Medicine, Faculty of Health Sciences, Cape Town, South Africa
| | - H Strijdom
- University of Stellenbosch, Division of Medical Physiology, Cape Town, South Africa
| | - A Thomas
- University Hospital of Geneva, Geneva, Switzerland
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15
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Siano MA, Marchetti V, Pagano S, Di Candia F, Alessio M, De Brasi D, De Luca A, Pinna V, Sestito S, Concolino D, Tartaglia M, Strisciuglio P, D'Esposito V, Cabaro S, Perruolo G, Formisano P, Melis D. Risk of autoimmune diseases in patients with RASopathies: systematic study of humoral and cellular immunity. Orphanet J Rare Dis 2021; 16:410. [PMID: 34600590 PMCID: PMC8487584 DOI: 10.1186/s13023-021-02050-6] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/26/2021] [Accepted: 09/19/2021] [Indexed: 01/21/2023] Open
Abstract
BACKGROUND Abnormalities of the immune system are rarely reported in patients affected by RASopathies. Aim of the current study was to investigate the prevalence of immune system dysfunction in a cohort of patients affected by RASopathies. STUDY DESIGN A group of 69 patients was enrolled: 60 at the Federico II University, Naples, 7 at University Magna Graecia of Catanzaro, 2 at "Scuola Medica Salernitana", Salerno. An age- and sex-matched control group was also enrolled. Autoimmune disorders were investigated according to international consensus criteria. Immune framework was also evaluated by immunoglobulin levels, CD3, CD4, CD8, CD19, CD56 lymphocyte subpopulations, autoantibodies levels and panel of inflammatory molecules, in both patients and controls. RESULTS Frequent upper respiratory tract infections were recorded in 2 patients; pneumonia, psoriasis and alopecia in single patients. Low IgA levels were detected in 8/44 patients (18.18%), low CD8 T cells in 13/35 patients (37.14%). Anti-tg and anti-TPO antibodies were detected in 3/24 patients (12.5%), anti r-TSH in 2 cases (8.33%), all in euthyroidism. Serum IgA and CD8 levels were significantly lower in patients than in controls (p 0.00685; p 0.000656 respectively). All tested patients showed increased inflammatory molecules compared to controls. These findings may anticipate the detection of overt autoimmune disease. CONCLUSIONS Patients affected by RASopathies are at risk to develop autoimmune disorders. Routine screening for autoimmunity is recommended in patients with RASopathy.
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Affiliation(s)
- M A Siano
- Department of Medicine, Surgery and Dentistry, "Scuola Medica Salernitana", Salerno, Italy
| | - V Marchetti
- Dipartimento di Scienze Mediche Traslazionali- Sez. di Pediatria, Università degli Studi di Napoli "Federico II", Napoli, Italy
| | - S Pagano
- Dipartimento di Scienze Mediche Traslazionali- Sez. di Pediatria, Università degli Studi di Napoli "Federico II", Napoli, Italy
| | - F Di Candia
- Dipartimento di Scienze Mediche Traslazionali- Sez. di Pediatria, Università degli Studi di Napoli "Federico II", Napoli, Italy
| | - M Alessio
- Dipartimento di Scienze Mediche Traslazionali- Sez. di Pediatria, Università degli Studi di Napoli "Federico II", Napoli, Italy
| | - D De Brasi
- Dipartimento di Pediatria, A.O.R.N. "Santobono-Pausillipon", Napoli, Italy
| | - A De Luca
- Molecular Genetics Unit, Fondazione Casa Sollievo della Sofferenza, IRCCS, San Giovanni Rotondo, Foggia, Italy
| | - V Pinna
- Molecular Genetics Unit, Fondazione Casa Sollievo della Sofferenza, IRCCS, San Giovanni Rotondo, Foggia, Italy
| | - S Sestito
- Dipartimento di Medicina Clinica e Sperimentale, Università "Magna Graecia" di Catanzaro, Catanzaro, Italy
| | - D Concolino
- Dipartimento di Medicina Clinica e Sperimentale, Università "Magna Graecia" di Catanzaro, Catanzaro, Italy
| | - M Tartaglia
- Genetics and Rare Diseases Research Division, Ospedale Pediatrico Bambino Gesù, Rome, Italy
| | - P Strisciuglio
- Dipartimento di Scienze Mediche Traslazionali- Sez. di Pediatria, Università degli Studi di Napoli "Federico II", Napoli, Italy
| | - V D'Esposito
- Dipartimento di Scienze Mediche Traslazionali, Università degli Studi di Napoli "Federico II" & Istituto di Endocrinologia e Oncologia Sperimentale, Consiglio Nazionale Delle Ricerche, Napoli, Italy
| | - S Cabaro
- Dipartimento di Scienze Mediche Traslazionali, Università degli Studi di Napoli "Federico II" & Istituto di Endocrinologia e Oncologia Sperimentale, Consiglio Nazionale Delle Ricerche, Napoli, Italy
| | - G Perruolo
- Dipartimento di Scienze Mediche Traslazionali, Università degli Studi di Napoli "Federico II" & Istituto di Endocrinologia e Oncologia Sperimentale, Consiglio Nazionale Delle Ricerche, Napoli, Italy
| | - P Formisano
- Dipartimento di Scienze Mediche Traslazionali, Università degli Studi di Napoli "Federico II" & Istituto di Endocrinologia e Oncologia Sperimentale, Consiglio Nazionale Delle Ricerche, Napoli, Italy
| | - D Melis
- Department of Medicine, Surgery and Dentistry, "Scuola Medica Salernitana", Salerno, Italy.
- Dipartimento di Scienze Mediche Traslazionali- Sez. di Pediatria, Università degli Studi di Napoli "Federico II", Napoli, Italy.
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16
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Pagano S, Alfaiate D, Juillard C, Frias M, Magenta A, Martino F, Sciacqua A, Succurro E, Burger F, Brandt K, Andreozzi F, Mach F, Perticone M, Vuilleumier N. Autoantibodies directed against apolipoprotein-A1 as a potential contributor to non-alcoholic fatty liver disease. Atherosclerosis 2021. [DOI: 10.1016/j.atherosclerosis.2021.06.009] [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: 11/29/2022]
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17
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Frias M, Berarpour N, Pagano S, Sidibé J, Kamau F, Lecour S, Strijdom H, Thomas A, Vuilleumier N. HIV-infected patients display increased proatherogenic anti-apolipoprotein A1 autoantibodies, inflammatory and metabolomic markers. Atherosclerosis 2021. [DOI: 10.1016/j.atherosclerosis.2021.06.229] [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: 11/26/2022]
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18
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Mariniello G, Corvino S, Teodonno G, Pagano S, Maiuri F. Postoperative Lemierre’s syndrome: a previously unreported complication of transoral surgery. Illustrative case. Journal of Neurosurgery: Case Lessons 2021; 1:CASE20118. [PMID: 35855218 PMCID: PMC9245783 DOI: 10.3171/case20118] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 11/16/2020] [Accepted: 12/17/2020] [Indexed: 11/06/2022]
Abstract
BACKGROUND
Lemierre’s syndrome is a rare but potentially life-threatening clinical condition characterized by bacteremia and thrombophlebitis of the internal jugular vein, usually secondary to oropharyngeal infection and often caused by Fusobacterium necrophorum; rarely, it occurs after surgical procedures. The most common clinical presentation includes acute pharyngitis, high fever, and neck pain. The diagnosis is based on blood culture and cranial and cervical spine computed tomography (CT)/magnetic resonance imaging (MRI) with contrast. Antibiotic therapy for 3–6 weeks is the mainstay of treatment, while the use of anticoagulant drugs is controversial.
OBSERVATIONS
The authors describe a case of Lemierre’s syndrome that occurred after transoral surgery. The patient underwent a combined surgical approach from above (transoral) and below (anterolateral transcervical) to the upper cervical spine for the resection of a large anterior osteophyte causing dysphagia, globus sensation, and dysphonia. Three weeks after the surgical procedure, she developed fever and severe neck pain.
LESSONS
The aim of this paper is to consider Lemierre’s syndrome as a possible complication after the transoral approach, underlining the importance of its early diagnosis and with a suggestion to perform cranial and cervical spine CT or MRI venous angiography in patients who undergo surgery with a transoral approach and exhibit local or systemic signs of infection such as neck pain, persistent fever, and positive blood culture results.
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Mariniello G, Pagano S, Meglio V, Barbato M, Russo C, Pontillo G, Di Stasi M, Elefante A. Multiple vertebral hemangiomas of the thoracic spine with atypical radiological features and aggressive behavior causing myelopathy: A case report. Interdisciplinary Neurosurgery 2021. [DOI: 10.1016/j.inat.2020.100954] [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: 11/30/2022] Open
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20
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Di Trolio A, Amore Bonapasta A, Barone C, Leo A, Carapella G, Pagano S, Polimeni A, Testa AM. Transport mechanisms in Co-doped ZnO (ZCO) and H-irradiated ZCO polycrystalline thin films. Phys Chem Chem Phys 2021; 23:2368-2376. [PMID: 33449979 DOI: 10.1039/d0cp06401g] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/04/2023]
Abstract
In the present study, the electrical resistivity (ρ) as a function of the temperature (T) has been measured in polycrystalline ZnO, Co-doped ZnO (ZCO) and H irradiated ZCO (HZCO) samples, in the 300-20 K range. The achieved results show impressive effects of Co doping and H irradiation on the ZnO transport properties. The Co dopant increases the ZnO resistivity at high T (HT), whereas it has an opposite effect at low T (LT). H balances the Co effects by neutralizing the ρ increase at HT and strengthening its decrease at LT. A careful analysis of the ρ data permits to identify two different thermally activated processes as those governing the charge transport in the three materials at HT and LT, respectively. The occurrence of such processes has been fully explained in terms of a previously proposed model based on an acceptor impurity band, induced by the formation of Co-oxygen vacancy complexes, as well as known effects produced by H on the ZnO properties. The same analysis shows that both Co and H reduce the effects of grain boundaries on the transport processes. The high conductivity of HZCO in the whole T-range and its low noise level resulting from electric noise spectroscopy make this material a very interesting one for technological applications.
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Affiliation(s)
- A Di Trolio
- CNR-Istituto di Struttura della Materia, U.O.S. di Tor Vergata, Via del fosso del cavaliere 100, 00133 Roma, Italy.
| | - A Amore Bonapasta
- CNR-Istituto di Struttura della Materia, Via Salaria Km. 29,300, 00015 Monterotondo St., Roma, Italy
| | - C Barone
- Dipartimento di Fisica "E.R. Caianiello", Università di Salerno, Via Giovanni Paolo II 132, 84084 Fisciano (SA), Italy.,CNR-SPIN, c/o Università degli Studi di Salerno, 84084 Fisciano (SA), Italy
| | - A Leo
- Dipartimento di Fisica "E.R. Caianiello", Università di Salerno, Via Giovanni Paolo II 132, 84084 Fisciano (SA), Italy
| | - G Carapella
- Dipartimento di Fisica "E.R. Caianiello", Università di Salerno, Via Giovanni Paolo II 132, 84084 Fisciano (SA), Italy
| | - S Pagano
- Dipartimento di Fisica "E.R. Caianiello", Università di Salerno, Via Giovanni Paolo II 132, 84084 Fisciano (SA), Italy.,CNR-SPIN, c/o Università degli Studi di Salerno, 84084 Fisciano (SA), Italy
| | - A Polimeni
- Dipartimento di Fisica, Sapienza Università di Roma, P.le A. Moro 2, 00185 Roma, Italy
| | - A M Testa
- CNR-Istituto di Struttura della Materia, Via Salaria Km. 29,300, 00015 Monterotondo St., Roma, Italy
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Maiuri F, Mariniello G, Somma T, Guadagno E, Corvino S, Pagano S, Orlando V, Del Basso De Caro M. Meningiomas in Premenopausal Women: Role of the Hormone Related Conditions. Front Oncol 2020; 10:556701. [PMID: 33363003 PMCID: PMC7759676 DOI: 10.3389/fonc.2020.556701] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/28/2020] [Accepted: 11/09/2020] [Indexed: 01/31/2023] Open
Abstract
Background Several epidemiological and pathological findings suggest that the female sex hormones may influence the development of meningiomas. However, the role of pregnancy, oral contraceptives, and fertilization therapies is still controversial. Methods From the surgical series of 354 patients with meningiomas operated between 2006 and 2019, the group of 72 premenopausal women was separately considered. The tumor location, WHO grade, Ki67-labeling index (LI), progesterone receptor (PR) expression, and histological types were studied in premenopausal women with and without hormone-related conditions were compared. Results In this premenopausal group, 24 patients had hormone-related conditions, including use of oral contraceptives in 16, intrauterine fertilization in one, pregnancy in three, and tumors of the female reproductive system in four. The group of patients with hormone-related conditions, as compared to that with no hormone related conditions, showed slightly lower median age (38 versus 43 years) and no significant difference of meningioma location WHO grade, Ki 67-Li, PR expression and histological type. The clinical onset during pregnancy in three patients and tumor growth during contraceptive progesterone therapy in two others were evidenced. Conclusion The biological behavior of meningiomas and their pathological findings, including PR expression, are not correlated with the different hormone related conditions in premenopausal female patients. Contraceptives and fertilization therapies, mainly with progesterone, should be avoided in patients with meningiomas.
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Affiliation(s)
- Francesco Maiuri
- Neurosurgical Clinic, Department of Neurosciences and Reproductive and Odontostomatological Sciences, University "Federico II", Naples, Italy
| | - Giuseppe Mariniello
- Neurosurgical Clinic, Department of Neurosciences and Reproductive and Odontostomatological Sciences, University "Federico II", Naples, Italy
| | - Teresa Somma
- Neurosurgical Clinic, Department of Neurosciences and Reproductive and Odontostomatological Sciences, University "Federico II", Naples, Italy
| | - Elia Guadagno
- Section of Pathology, Department of Advanced Biomorphological Sciences, University "Federico II", Naples, Italy
| | - Sergio Corvino
- Neurosurgical Clinic, Department of Neurosciences and Reproductive and Odontostomatological Sciences, University "Federico II", Naples, Italy
| | - Serena Pagano
- Neurosurgical Clinic, Department of Neurosciences and Reproductive and Odontostomatological Sciences, University "Federico II", Naples, Italy
| | - Valentina Orlando
- Neurosurgical Clinic, Department of Neurosciences and Reproductive and Odontostomatological Sciences, University "Federico II", Naples, Italy
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Satta N, Pagano S, Gencer B, Kaiser L, Hartley O, Mach F, Calmy A, Vuilleumier N. C-terminus apoa-1 mimetic peptides to detect cognate auto-antibodies and reverse HIV-induced foam cell formation. Atherosclerosis 2020. [DOI: 10.1016/j.atherosclerosis.2020.10.383] [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: 11/15/2022]
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23
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Vuilleumier N, Anderson J, Pagano S, Virzi J, Annema W, Hartley O, Mach F, Bakker S, Tietge U. Autoantibodies to C-terminal apolipoprotein a-1 as independent predictors of graft failure in renal transplant recipients. Atherosclerosis 2020. [DOI: 10.1016/j.atherosclerosis.2020.10.227] [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: 10/22/2022]
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Vuilleumier N, Antiochos P, Pagano S, Marques-Vidal P, Virzi J, Satta N, Hartley O, Brandt K, Burger F, Montecucco F, Waeber G, Mach F. Antibodies against the C-terminus of apolipoprotein A-1 as predictors of death in the general population but not as therapeutic targets actionable through cognate peptides immunomodulation. Atherosclerosis 2020. [DOI: 10.1016/j.atherosclerosis.2020.10.092] [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: 10/22/2022]
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25
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Frias M, Berarpour N, Pagano S, Sidibé J, Kamau F, Lecour S, Strijdom H, Thomas A, Vuilleumier N. Levels of anti-apolipoprotein A1 autoantibodies are associated with inflammatory response and metabolomic changes in HIV patients. Atherosclerosis 2020. [DOI: 10.1016/j.atherosclerosis.2020.10.166] [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: 11/29/2022]
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26
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Frias M, Berarpour N, Pagano S, Sidibe J, Kamau F, Lecour S, Strijdom H, Thomas A, Vuilleumier N. Evaluation of antiretroviral therapy on metabolomics and atherogenic markers in HIV patients. Eur Heart J 2020. [DOI: 10.1093/ehjci/ehaa946.3307] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Abstract
Abstract
Background
HIV-infected patients display an increased risk of cardiovascular events. HIV and antiretroviral therapy (ART) have both been suggested to increase the risk of cardiovascular events but their specific role remains unclear.
Purpose
The aim of this study was to analyse the metabolomic profile in a cohort of HIV-free, ART experienced and naïve HIV-infected patients and to identify the metabolite associated with atherosclerosis development and endothelial dysfunction. The impact of ART on inflammatory and autoimmune biomarkers known to underlie atherosclerosis burden was also investigated.
Methods
144 participants from a South African cohort were divided in three groups: HIV-free (n=50), HIV-infected/ART experienced (n=50) and HIV-infected/ART naïve (n=44). Targeted metabolomic analyses were performed using standard operating procedures. Atherosclerosis development was evaluated using coronary intima-media thickness (CITM) and endothelial dysfunction by flow-mediated dilation (FMD). Inflammatory biomarkers were measured with the Meso Scale Discovery® platform. The levels of autoantibodies against apolipoprotein A1 (anti-apoA1 IgG) and its specific C-terminal domain (anti-F3L1) levels were assessed by homemade ELISA assays.
Results
257 endogenous metabolites were identified in the 144 samples. Regarding the association of metabolites with the vascular markers, eight metabolites were found to be associated with FMD and eleven with CIMT. Among these metabolites, cytosine was negatively correlated with FMD (r=−0.22, p=0.009), while positively with CIMT (r=0.20, p=0.026). Interestingly, from the list of these 18 metabolites, ART-experienced patients displayed an increase in kynurenine (p=0.0007) and 3–2-hydroxyphenyl-propanoate (p=0.0009) levels and a decrease in itaconate (p=0.021) levels compared to ART-naïve patients. HIV-infected patients displayed a more proatherogenic profile compared to HIV-free subjects. Inflammatory markers (IFNg, IL-6, IL-10, TNFα, CRP all p<0.05), circulating adhesion molecules (ICAM-1 and VCAM-1, p<0.05), anti-apoA1 IgG and anti-F3L1 (p<0.05) and CIMT (p=0.05) were increased while FMD (p=0.054) was decreased in HIV-infected patients compared to HIV-free participants. While ART treatment significantly reduced IFNg, IL-10, TNFα, VCAM-1, anti-apoA1 IgG and anti-F3L1, no significant differences were observed in other biomarkers between ART-experienced and naïve participants.
Conclusion
Metabolomic analysis identified metabolites that were differentially expressed in the 3 groups. 18 metabolites were significantly correlated with FMD or CITM, among which the levels of kynurenine, 3–2-hydroxyphenyl-propanoate and itaconate were modulated by ART. HIV patients displayed increased levels of inflammatory markers, circulating adhesion molecules and anti-apoA1 IgG which was downregulated by ART.
Funding Acknowledgement
Type of funding source: Foundation. Main funding source(s): Fondation De Reuter; Fondation Schmidheiny; Fondation Prévot; SwissLife AG; Fondation pour la lutte pour le cancer et la recherche bio-médicale
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Affiliation(s)
- M Frias
- University Hospital of Geneva, Geneva, Switzerland
| | | | - S Pagano
- University Hospital of Geneva, Geneva, Switzerland
| | - J Sidibe
- University Hospital of Geneva, Geneva, Switzerland
| | - F Kamau
- University of Stellenbosch, Division of Medical Physiology, Cape Town, South Africa
| | - S Lecour
- University of Cape Town, Department of Medicine, Faculty of Health Sciences, Cape Town, South Africa
| | - H Strijdom
- University of Stellenbosch, Division of Medical Physiology, Cape Town, South Africa
| | - A Thomas
- University Hospital of Geneva, Geneva, Switzerland
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Vuilleumier N, Antiochos P, Marques Vidal P, Virzi J, Pagano S, Satta N, Hartley O, Brandt K, Burger F, Montecucco F, Kutalik Z, Waeber G, Mach F, Vollenweider P. Antibodies against the c-terminus of apoA-1 as predictors of death in the general population but not as therapeutic targets actionable through cognate peptides immunomodulation. Eur Heart J 2020. [DOI: 10.1093/ehjci/ehaa946.3661] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
Abstract
Abstract
Aims
Autoantibodies against apolipoprotein A-1 (anti-apoA-1 IgGs) have emerged as an independent biomarker for cardiovascular disease and mortality in humans, promote death in ApoE−/− mice, and seem to be preferentially oriented against the c-terminal part of apoA-1 (cterA1). Corresponding specific mimetic peptides were shown to reverse anti-apoA-1 IgG pro-inflammatory effects in vitro. We evaluated the association of IgG against c-terminus apoA-1 (anti-cterA1 IgGs) with all-cause mortality in the community and tested the ability of two cterA1 mimetic peptides to reverse the anti-apoA-1 IgG-induced inflammation in vitro and mortality in ApoE−/− mice.
Methods
Anti-cterA1 IgGs were measured on serum samples of 5220 consecutive participants included in the CoLaus study with median follow-up duration of 5.6 years. The primary study outcome was all-cause mortality. Two chemically engineered optimized cterA1 mimetic peptides were tested i) on HEK cells to modulate interleukin-8 (IL-8) and tumor necrosis-alpha (TNF-α) production, and ii) in apoE−/− mice exposed to 16 weeks of anti-apoA-1 IgG passive immunisation.
Results
Anti-cterA1 IgG independently predicted all-cause mortality, each standard deviation of anti-cterA1 IgG being associated with a 18% increase in mortality risk (Hazard Ratio:1.18, 95%confidence intervals:1.04–1.33; p=0.009). Both cterA1 mimetic peptides reduced the anti-apoA-1 IgG-induced inflammation in a dose-dependent manner in vitro, but did not rescue the anti-apoA-1 IgG-associated mortality in mice.
Conclusions
Anti-cterA1 IgG independently predict all-cause mortality in the general population. By failing to reverse the anti-apoA-1 IgG-induced mortality in mice, our data do not support the hypothesis that these autoantibodies could be actionable through cognate peptides immunomodulation.
Funding Acknowledgement
Type of funding source: Private grant(s) and/or Sponsorship. Main funding source(s): This work was supported by a grant from the Leenaards Foundation (grant number 3698 to N.V.) by the Swiss National Science Foundation (grant number 310030-163335 to N.V.) and by the De Reuter Foundation (grant number 315112 to N.V.).
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Affiliation(s)
| | - P Antiochos
- University Hospital Centre Vaudois (CHUV), Lausanne, Switzerland
| | - P Marques Vidal
- University Hospital Centre Vaudois (CHUV), Lausanne, Switzerland
| | - J Virzi
- Geneva University Hospitals, Geneva, Switzerland
| | - S Pagano
- Geneva University Hospitals, Geneva, Switzerland
| | - N Satta
- Geneva University Hospitals, Geneva, Switzerland
| | - O Hartley
- Geneva University Hospitals, Geneva, Switzerland
| | - K Brandt
- Geneva University Hospitals, Geneva, Switzerland
| | - F Burger
- Geneva University Hospitals, Geneva, Switzerland
| | | | - Z Kutalik
- University of Lausanne, Lausanne, Switzerland
| | - G Waeber
- University Hospital Centre Vaudois (CHUV), Lausanne, Switzerland
| | - F Mach
- Geneva University Hospitals, Geneva, Switzerland
| | - P Vollenweider
- University Hospital Centre Vaudois (CHUV), Lausanne, Switzerland
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Mariniello G, Pagano S, Teodonno G, Russo C, Pontillo G, Di Stasi M, Klain M, Puoti G, Elefante A. Minimally Invasive Percutaneous Treatment for Osteoid Osteoma of The Spine. A Case Report. Open Neurol J 2020. [DOI: 10.2174/1874205x02014010041] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/02/2023] Open
Abstract
Osteoid osteomas are benign but painful bone-forming tumors usually involving long bones, with localization at the spine in 10-20% of the cases. The most common symptom is back pain responding to nonsteroidal anti-inflammatory drugs, but in some cases, also radicular pain can be present. For years, surgical excision has been considered the best choice of treatment for cases with unresponsive pain and has been practiced with a high percentage of success but also a high rate of fusion with instrumentation. In the last years, percutaneous radiofrequency ablation has been proposed as a new mini-invasive technique for the treatment of osteoid osteomas.
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Lombardo G, Vena F, Negri P, Pagano S, Barilotti C, Paglia L, Colombo S, Orso M, Cianetti S. Worldwide prevalence of malocclusion in the different stages of dentition: A systematic review and meta-analysis. Eur J Paediatr Dent 2020; 21:115-122. [PMID: 32567942 DOI: 10.23804/ejpd.2020.21.02.05] [Citation(s) in RCA: 30] [Impact Index Per Article: 7.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
Abstract
AIM The aim of this review is to quantify the prevalence and type of malocclusion among children and adolescents during the different stages of dentition worldwide. MATERIALS AND METHODS Recent studies (from 2009 to 2019), published in Medline, Web of Science and Embase and orthodontic text-books have been comprehensively reviewed herein. The methodological quality of the included studies was assessed using STROBE criteria. RESULTS After screening 450 records and analysing 284 relevant full-text publications, 77 studies were included in this review. A good degree of evidence was obtained due to the medium-high methodological quality level of included studies. The worldwide prevalence of malocclusion was 56% (95% CI: 11-99), without differences in gender. The highest prevalence was in Africa (81%) and Europe (72%), followed by America (53%) and Asia (48%). The malocclusion prevalence score did not change from primary to permanent dentition with a common score of 54%. Malocclusion traits such as Angle's classes, overjet, overbite, and asymmetrical midline shift essentially did not change their prevalence during different dentitions. Conversely, traits such as cross-bite and diastema reduced their prevalence during permanent dentition, while scissor-bite and dental crowding increased their scores. CONCLUSION The worldwide high prevalence of malocclusion and its early onset during childhood should induce policymakers as well as paediatric physicians and dentists to devise policies and adopt clinical strategies for preventing malocclusion since younger children's ages.
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Affiliation(s)
- G Lombardo
- Surgical and Biomedical Sciences, Unit of Paediatric Dentistry, University of Perugia, Perugia, Italy
| | - F Vena
- Surgical and Biomedical Sciences, Unit of Paediatric Dentistry, University of Perugia, Perugia, Italy
| | - P Negri
- Surgical and Biomedical Sciences, Unit of Paediatric Dentistry, University of Perugia, Perugia, Italy
| | - S Pagano
- Surgical and Biomedical Sciences, Unit of Paediatric Dentistry, University of Perugia, Perugia, Italy
| | - C Barilotti
- Surgical and Biomedical Sciences, Unit of Paediatric Dentistry, University of Perugia, Perugia, Italy
| | - L Paglia
- Department of Pediatric Dentistry, Istituto Stomatologico Italiano Italian Stomatologic Institute, Milan, Italy
| | - S Colombo
- Department of Pediatric Dentistry, Istituto Stomatologico Italiano Italian Stomatologic Institute, Milan, Italy
| | - M Orso
- Health Planning Service, Regional Health Authority of Umbria, Perugia, Italy
| | - S Cianetti
- Surgical and Biomedical Sciences, Unit of Paediatric Dentistry, University of Perugia, Perugia, Italy
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Lombardo G, Pagano S, Cianetti S, Capobianco B, Orso M, Negri P, Paglia M, Friuli S, Paglia L, Gatto R, Severino M. Sub-ablative laser irradiation to prevent acid demineralisation of dental enamel. A systematic review of literature reporting in vitro studies. Eur J Paediatr Dent 2019; 20:295-301. [PMID: 31850772 DOI: 10.23804/ejpd.2019.20.04.07] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
Abstract
AIM Caries lesions begin with enamel acid demineralisation mediated by microorganisms. Lasers with sub-ablative energy might act as a prophylactic intervention to reinforce enamel against lesions caused by acid. MATERIALS AND METHODS A systematic review of the literature was performed evaluating only in vitro studies published from 2010 to 2018. The research was performed using the following databases: Medline, Embase and the Web Of Science. A further search was performed consulting the list of references of the included studies as well as book chapters which dealt with this topic. RESULTS A total of 347 records were retrieved and, after their evaluation, 36 studies were included. CO2 lasers were the most described and effective device in preventing acid demineralisation. This type of laser was unique in improving the already positive results obtained with fluoride-based interventions. Er,Cr:YSGG (with fluencies > 8.5J/cm2), diode and argon lasers also improved enamel acid resistance (p-values ranging from 0.05 to 0.001) producing similar effects with fluoride-based interventions. Regarding the sealant retention outcome, the Er:YAG laser was able to perform an enamel etching which was as effective as the traditional acid etching with the advantage of being easier and usually well accepted by low-compliant patients (i.e. younger children). Nd:YAG presented the worst results. The most common structural changes after the laser irradiation were water and carbonate reduction in the enamel combined with a phosphate and calcium enamel content increase. Moreover, the calcium/phosphate ratio was found to reach the 1.67 ideal ratio. CONCLUSION The in vitro studies that examined the prophylactic use of lasers for increasing enamel acid resistance presented interesting results that are enough to support a further in vivo experiment. This would entail the use of a clinical laser as an alternative or in combination with fluoride-based interventions.
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Affiliation(s)
- G Lombardo
- Department of Surgical and Biomedical Sciences, Unit of Paediatric Dentistry, University of Perugia, Perugia, Italy
| | - S Pagano
- Department of Surgical and Biomedical Sciences, Unit of Paediatric Dentistry, University of Perugia, Perugia, Italy
| | - S Cianetti
- Department of Surgical and Biomedical Sciences, Unit of Paediatric Dentistry, University of Perugia, Perugia, Italy
| | - B Capobianco
- Department of Surgical and Biomedical Sciences, Unit of Paediatric Dentistry, University of Perugia, Perugia, Italy
| | - M Orso
- Health Planning Service, Department of Epidemiology, Regional Health Authority of Umbria, Italy
| | - P Negri
- Department of Surgical and Biomedical Sciences, Unit of Paediatric Dentistry, University of Perugia, Perugia, Italy
| | - M Paglia
- Department of Pediatric Dentistry, Italian Stomatologic Institute, Milan, Italy
| | - S Friuli
- Department of Pediatric Dentistry, Italian Stomatologic Institute, Milan, Italy
| | - L Paglia
- Department of Pediatric Dentistry, Italian Stomatologic Institute, Milan, Italy
| | - R Gatto
- Department of Life, Health and Environmental Sciences, Division of Implantology and Prosthetic Dentistry, Dental Clinic, University of L´Aquila, L´Aquila, Italy
| | - M Severino
- Department of Life, Health and Environmental Sciences, Division of Implantology and Prosthetic Dentistry, Dental Clinic, University of L´Aquila, L´Aquila, Italy
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Pagano S, Coniglio M, Valenti C, Negri P, Lombardo G, Costanzi E, Cianetti S, Montaseri A, Marinucci L. Biological effects of resin monomers on oral cell populations: descriptive analysis of literature. Eur J Paediatr Dent 2019; 20:224-232. [PMID: 31489823 DOI: 10.23804/ejpd.2019.20.03.11] [Citation(s) in RCA: 19] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
Abstract
AIM Recently, the application of restorative materials containing metacrilate monomers in the conservative and paediatric dentistry has focused on the possible negative effects due to the use of these composites. In particular the release of monomers from reconstructions as a result of an insufficient polymerisation, can spread along the mucosal and dental tissues with potential immunological ed cytotoxic effects. Regarding to the importance of this issue, the aim of this study is to provide a descriptive review of the literature on potential local and systemic interactions of metacrylic and acrylic monomers with the immune system, both in vitro and in vivo. RESULTS The most highly used monomers in composite materials applied in conservative dentistry include: 2-hydroessietil- methacrylate (HEMA), triethylene glycol-dimethacrylate (TEGDMA), bisphenol A glycidyl-methacrylate (BisGMA) and urethane- dimethacrylate (UDMA). Different investigations have been performed for better understanding of the potential side effects of metacrylic monomers on immune system cells. Different factors such as cell population, exposure time and parameters more strictly connected to these materials, such as molecular weight, chemical composition and mechanical characteristics, seem to be directly involved in these reactions.
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Affiliation(s)
- S Pagano
- Department of Biomedical and Surgical Sciences, Odontostomatological University Centre: Chair Prof. Stefano Cianetti, University of Perugia, Perugia, Italy
| | - M Coniglio
- Department of Biomedical and Surgical Sciences, Odontostomatological University Centre: Chair Prof. Stefano Cianetti, University of Perugia, Perugia, Italy
| | - C Valenti
- Department of Biomedical and Surgical Sciences, Odontostomatological University Centre: Chair Prof. Stefano Cianetti, University of Perugia, Perugia, Italy
| | - P Negri
- Department of Biomedical and Surgical Sciences, Odontostomatological University Centre: Chair Prof. Stefano Cianetti, University of Perugia, Perugia, Italy
| | - G Lombardo
- Department of Biomedical and Surgical Sciences, Odontostomatological University Centre: Chair Prof. Stefano Cianetti, University of Perugia, Perugia, Italy
| | - E Costanzi
- Department of Experimental Medicine, Section of Biosciences and Medical Embryology, University of Perugia, Perugia, Italy
| | - S Cianetti
- Department of Biomedical and Surgical Sciences, Odontostomatological University Centre: Chair Prof. Stefano Cianetti, University of Perugia, Perugia, Italy
| | - A Montaseri
- Anatomical Sciences Department, Faculty of Medicine, Tabriz University of Medical Sciences, Tabriz, Iran
| | - L Marinucci
- Department of Experimental Medicine, Section of Biosciences and Medical Embryology, University of Perugia, Perugia, Italy
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Frias M, Pagano S, Fetaud-Lapierre V, Lecour S, Kamau F, Strijdom H, Vuilleumier N. P5343The presence of anti-apolipoprotein A1 autoantibodies is associated with a pro-atherogenic profile in HIV-infected patients. Eur Heart J 2019. [DOI: 10.1093/eurheartj/ehz746.0310] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Abstract
Abstract
Background
With the access to antiretroviral therapy (ART), the mortality related to the human immunodeficiency virus (HIV) has dropped, shifting the clinical challenges towards chronic disease management, including cardiovascular disease (CVD) risk assessment. Factors that potentially contribute to the physiopathology of HIV-related CVD include the HI-virus itself, adverse effects of ART, and processes such as dyslipidemia, inflammation, immune/autoimmune activation and endothelial injury. Among autoantibodies of possible cardiovascular relevance, those directed against apolipoprotein A-1 (anti-apoA-1 IgG) were shown to predict major adverse cardiovascular events and promote atherogenesis.
Purpose
The aim of the study was to evaluate the prevalence of anti-apoA1 IgG in HIV-free and ART experienced and naïve HIV-infected patients as well as the association between anti-apoA1 IgG levels and, indices of viral suppression, clinical parameters (10 year Framingham Risk Score (FRS)) and inflammatory biomarkers, known to underlie atherosclerosis burden in these patients.
Methods
Anti-apoA1 IgG serum levels were assessed by a homemade ELISA assay in 144 participants from a South African cohort divided in three groups: HIV-free (n=50), HIV-infected/ART experienced (n=50) and HIV-infected/ART naïve (n=44). Inflammatory biomarkers were measured.
Results
HIV-infected patients displayed an increased pro-atherogenic biomarker profile compared to HIV-free subjects, but not difference in the FRS was observed between these two groups. Regarding anti-apoA1 IgG, 24% of HIV-free patients tested positive compared to 40% and 70% in HIV-infected/ART experienced and naïve groups, respectively. HIV-infected, anti-apoA1 IgG positive patients showed a significant decrease in CD4+ counts (p=0.003) and a significant increase in viremia (p=0.0130), mean heart rate (p=0.0243), albuminuria (p=0.0155), pro-inflammatory biomarkers (IFNγ, IL-10, TNFα, MIPα; all p<0.05), circulating levels of intercellular adhesion molecule (ICAM-1) (p=0.0217) and vascular cell adhesion molecule (VCAM-1) (p=0.003) compared to anti-apoA1 IgG negative ones. Of note, while this profile was maintained in HIV-infected/ART experienced, these significant differences were lost in HIV-infected/ART naïve patients. No significant difference in FRS was observed between anti-apoA1 IgG positive vs negative individuals in all groups.
Conclusions
HIV-infected patients presented with an increased prevalence of anti-apoA1 IgG compared to HIV-free subjects. In HIV-infected/ART experienced patients, anti-apoA1 IgG levels were associated with low CD4+ counts, levels of adhesion molecules and pro-inflammatory responses, features associated with increased cardiovascular events. ART highlighted pro-atherogenic differences between HIV-infected anti-apoA1 IgG negative and positive patients.
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Affiliation(s)
- M Frias
- University Hospital of Geneva, Geneva, Switzerland
| | - S Pagano
- University Hospital of Geneva, Geneva, Switzerland
| | | | - S Lecour
- University of Cape Town, Department of Medicine, Faculty of Health Sciences, Cape Town, South Africa
| | - F Kamau
- University of Stellenbosch, Division of Medical Physiology, Cape Town, South Africa
| | - H Strijdom
- University of Stellenbosch, Division of Medical Physiology, Cape Town, South Africa
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van Zwieten A, Wong G, Ruospo M, Palmer SC, Teixeira-Pinto A, Barulli MR, Iurillo A, Saglimbene V, Natale P, Gargano L, Murgo M, Loy CT, Tortelli R, Craig JC, Johnson DW, Tonelli M, Hegbrant J, Wollheim C, Logroscino G, Strippoli GF, Cagnazzo A, Antinoro R, Sambati M, Donatelli C, Dambrosio N, Saturno C, Marangelli A, Pedone F, Matera G, Benevento M, Papagni S, Alicino F, Latassa G, Molino A, Grippaldi F, Bertino D, Montalto G, Messina S, Campo S, Nasisi P, Failla A, Bua A, Pagano S, Marino G, Sanfilippo N, Rallo D, Maniscalco A, Capostagno C, Randazzo G, Fici M, Lupo A, Fichera R, D'angelo A, Di Toro Mammarella R, Meconizzi M, Boccia E, Mantuano M, Flammini A, Moscardelli L. Associations of Cognitive Function and Education Level With All-Cause Mortality in Adults on Hemodialysis: Findings From the COGNITIVE-HD Study. Am J Kidney Dis 2019; 74:452-462. [DOI: 10.1053/j.ajkd.2019.03.424] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/03/2018] [Accepted: 03/08/2019] [Indexed: 12/24/2022]
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Pagano S, Magenta A, D'Agostino M, Martino F, Barillà F, Satta N, Frias M, Ronca A, Favari E, Mach F, Gencer B, Vuilleumier N. Translating the findings related to anti-apolipoprotein a-1 igg in familial hypercholesterolemia towards the identification of a new endogenous disruptor of cellular cholesterol homeostasis. Atherosclerosis 2019. [DOI: 10.1016/j.atherosclerosis.2019.06.294] [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: 11/28/2022]
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Frias M, Pagano S, Fétaud-Lapierre V, Lecour S, Kamau F, Strijdom H, Vuilleumier N. Anti-Apolipoprotein A1 Autoantibodies Prevalence Is Increased And Associated With Hiv Infection. Atherosclerosis 2019. [DOI: 10.1016/j.atherosclerosis.2019.06.774] [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: 11/25/2022]
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Cianetti S, Lombardo G, Lupatelli E, Pagano S, Abraha I, Montedori A, Caruso S, Gatto R, De Giorgio S, Salvato R. Dental fear/anxiety among children and adolescents. A systematic review. Eur J Paediatr Dent 2019; 18:121-130. [PMID: 28598183 DOI: 10.23804/ejpd.2017.18.02.07] [Citation(s) in RCA: 51] [Impact Index Per Article: 10.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
Abstract
AIM The aim of this paper was to review the published scientific literature to quantify the prevalence and mean score of dental fear/anxiety (DFA) in children/adolescents and its variation according to several variables. MATERIALS AND METHODS Cross- sectional and cohort studies published from 2000 to 2014, that measured DFA in children /adolescents (aged 0-19 years), in the general population, or visiting private or public dental services (general or pediatric) or attending school and kindergarten, were searched, with specific terms, in 3 electronic databases (Medline, Embase, Web Of Science). Primary data, collected with specific questionnaires of demonstrated reliability and/or validity, were extracted. RESULTS After screening 743 abstracts and evaluating 164 full-text publications, 36 articles were selected. Dental fear/anxiety prevalence rates were 12.2%, 10.0%, 12.2%,11.0% and 20.0% for the CFSS-DS, DAS, MDAS, DFS, and DFSS-SF scores, respectively. In the studies that used MCDAS Dental fear/prevalence rates varied from 13.3% to 29.3%. In the studies that used CFSS-DS ratings, the prevalence and the mean score of dental fear/anxiety was lower in Northern Europe than the remaining countries, the prevalence decreased with increasing age and the frequency was higher in females than males. CONCLUSIONS Dental fear/anxiety is a common problem in children/adolescents worldwide, therefore, new strategies to overcome this relevant children/adolescent condition should be encouraged.
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Affiliation(s)
- S Cianetti
- Biomedical Sciences, Unit of Paediatric Dentistry, University of Perugia, Perugia, Italy
| | - G Lombardo
- Biomedical Sciences, Unit of Paediatric Dentistry, University of Perugia, Perugia, Italy
| | - E Lupatelli
- Biomedical Sciences, Unit of Paediatric Dentistry, University of Perugia, Perugia, Italy
| | - S Pagano
- Biomedical Sciences, Unit of Paediatric Dentistry, University of Perugia, Perugia, Italy
| | - I Abraha
- Regional Health Authority of Umbria, Health Planning Service of Perugia, Perugia, Italy
| | - A Montedori
- Regional Health Authority of Umbria, Health Planning Service of Perugia, Perugia, Italy
| | - S Caruso
- Department of Life, Health and Environmental Sciences, School of Dentistry, University of L´Aquila, L´Aquila, Italy
| | - R Gatto
- Department of Life, Health and Environmental Sciences, School of Dentistry, University of L´Aquila, L´Aquila, Italy
| | - S De Giorgio
- Department of Philosophy, Social and Human Sciences and Education, University of Perugia, Perugia, Italy
| | - R Salvato
- Department of Philosophy, Social and Human Sciences and Education, University of Perugia, Perugia, Italy
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Barone C, Mauro C, Sambri A, Scotti di Uccio U, Pagano S. Conductivity response of amorphous oxide interfaces to pulsed light illumination. Nanotechnology 2019; 30:254005. [PMID: 30889555 DOI: 10.1088/1361-6528/ab110d] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/09/2023]
Abstract
Two-dimensional electron gases (2DEGs) formed at oxide interfaces show a large variety of functional properties of major physical interest. Here, the peculiar electric transport behavior of the 2DEG formed at the LGO/STO oxide interface is studied under the application of light pulses of different amplitude, duration, and repetition rate, and by varying the sample temperature from 8 to 300 K. The experimental results evidence a persistent photoconductivity, intimately related to the complex physics of this system. These findings suggest the possibility of using the oxide interfaces for advanced applications as, for example, energy conversion or information storage.
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Affiliation(s)
- C Barone
- Dipartimento di Fisica 'E.R. Caianiello' and CNR-SPIN Salerno, Università di Salerno, I-84084 Fisciano, Salerno, Italy
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Logroscino G, Campana V, Pagano S, Taccari F, Fantoni M, Saracco M. Risk factors for failure of two-stage revision arthroplasty for infected hip prosthesis: review of the literature and single centre cohort analysis. Eur Rev Med Pharmacol Sci 2019; 23:65-75. [PMID: 30977873 DOI: 10.26355/eurrev_201904_17476] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Subscribe] [Scholar Register] [Indexed: 11/12/2022]
Abstract
OBJECTIVE Periprosthetic joint infections (PJI) are one of the most dangerous complications in hip surgery. "Two-stage" revision surgery is the treatment of choice. Nevertheless, 5-10% of failures are reported. The aim of this study is to evaluate which factors determine the failure of the two-stage revision in patients affected by hip PJI. PATIENTS AND METHODS We retrospectively enrolled 21 patients treated for hip PJI who had undergone two-stage revision surgery. The diagnosis had been made using criteria established by the Musculoskeletal Infection Society (MSIS) and readapted by the Philadelphia Consensus Conference group. The patients underwent periodic clinical and laboratory controls after the surgical procedure. The two-stage revision treatment was considered unsuccessful in the event of re-infection or in case of severe complications occurring within one year from the treatment. RESULTS At a mean follow-up of 23.8 months 57% healed with no complications. The reinfection rate was 19% and, after the 3rd stage, the final failure rate was 9.5%. The study has shown, with statistical significance, that a greater number of previous surgical procedures (p<0.05, OR=22) and BMI>25 (p<0.05, OR=4) represent increased risk factors in predicting the failure of two-stage revision surgery. Age, CRP, ESR and a shorter lapse (<60 days) between 1st and 2nd stage were recorded in the failure cases, and have to be considered, even if not statistically significant. CONCLUSIONS Knowing the factors responsible for the increased failure of two-stage revision could lead to closer monitoring and more aggressive management in those patients expected to be at greater risk of reinfection. Obesity and multiple surgeries are risk factors for failure.
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Affiliation(s)
- G Logroscino
- Department of Orthopaedics, Università Cattolica del Sacro Cuore, Fondazione Policlinico Universitario A. Gemelli - IRCCS, Rome, Italy.
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Barone C, Rotzinger H, Mauro C, Dorer D, Münzberg J, Ustinov AV, Pagano S. Author Correction: Kondo-like transport and magnetic field effect of charge carrier fluctuations in granular aluminum oxide thin films. Sci Rep 2018; 8:15909. [PMID: 30349059 PMCID: PMC6198007 DOI: 10.1038/s41598-018-33003-y] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/02/2022] Open
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Vuilleumier N, Anderson J, Pagano S, Virzi J, Dullaart R, Kuipers F, Bakker S, Tietge U. Autoantibodies to apolipoprotein A-I as independent predictors of cardiovascular mortality in renal transplant recipients. Atherosclerosis 2018. [DOI: 10.1016/j.atherosclerosis.2018.06.265] [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: 11/15/2022]
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Adam S, Siahmansur T, Liu Y, Ho J, Pagano S, Azmi S, Syed A, Dhage S, Malik R, Donn R, Ammori B, Vuilleumier N, Soran H. Bariatric surgery leads to a reduction in anti-apolipoprotein-A-1 IgG antibodies. Atherosclerosis 2018. [DOI: 10.1016/j.atherosclerosis.2018.06.643] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
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Pagano S, Aguglia G, Noto D, Averna M. An irregular atrial tachycardia : What is the underlying mechanism? Neth Heart J 2017; 26:102-103. [PMID: 29080071 PMCID: PMC5783888 DOI: 10.1007/s12471-017-1051-7] [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] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022] Open
Affiliation(s)
- S Pagano
- Sezione di Medicina Interna e Malattie Metaboliche, Dipartimento di Medicina Interna e Specialistica, DIBIMIS, Università di Palermo, Palermo, Italy.
| | - G Aguglia
- Dirigente Medico presso MCAU, ARNAS Civico, Palermo, Italy
| | - D Noto
- Sezione di Medicina Interna e Malattie Metaboliche, Dipartimento di Medicina Interna e Specialistica, DIBIMIS, Università di Palermo, Palermo, Italy
| | - M Averna
- Sezione di Medicina Interna e Malattie Metaboliche, Dipartimento di Medicina Interna e Specialistica, DIBIMIS, Università di Palermo, Palermo, Italy
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Cianetti S, Lombardo G, Lupatelli E, Rossi G, Abraha I, Pagano S, Paglia L. Dental caries, parents educational level, family income and dental service attendance among children in Italy. Eur J Paediatr Dent 2017; 18:15-18. [PMID: 28494596 DOI: 10.23804/ejpd.2017.18.01.03] [Citation(s) in RCA: 23] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
Abstract
AIM The aim of this study was to verify whether socioeconomic determinants, such as parents' educational level, family income and dental service attendance by children, are associated with the presence of caries among an Italian population of children. MATERIALS AND METHODS An observational retrospective study was carried out in a population of children aged 4-14 years who visited the Paediatric Dentistry Department of the University of Perugia, Italy. Children were stratified according to familial socioeconomic level (father's and mother's educational level, family income) and dental service attendance of children. Age- and sex- adjusted odds ratios (ORs) with 95% confidence intervals (95% CIs) were calculated by means of multivariate logistic regression models. RESULTS A sample of 231 children (mean age 8.1 yrs, SD 2.6; 127 males, 104 females) was recruited. One hundred and sixty three (70.46%) children in the study had caries. Caries presence in children was higher in children where the mothers' educational level was lower (OR =6.1; 95% CI = 3.1 to 12.7), in children where the fathers' educational level was lower (OR =2.9; 95% CI =1.6 to 5.5) and in children with lower family income (OR = 9.9; 95% 95% CI = 5.1 to 20.1). No statistically significant difference were observed in terms of caries presence between the children who were visited at least once by a dentist and children who were not previously seen by a dental practitioner (OR = 0.8; 95% CI = 0.4 to 1.6). CONCLUSION Socioeconomic level was an important predictor of caries presence among children. Both low income and low parental educational level were related to an increased presence of caries, whereas previous dental visits experience did not affect caries presence in children.
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Affiliation(s)
- S Cianetti
- University of Perugia, Biomedical Sciences Unit of Paediatric Dentistry, Perugia, Italy
| | - G Lombardo
- University of Perugia, Biomedical Sciences Unit of Paediatric Dentistry, Perugia, Italy
| | - E Lupatelli
- University of Perugia, Biomedical Sciences Unit of Paediatric Dentistry, Perugia, Italy
| | - G Rossi
- University of Perugia, Biomedical Sciences Unit of Paediatric Dentistry, Perugia, Italy
| | - I Abraha
- Health Planning Service, Regional Health Authority of Umbria, Perugia, Italy
| | - S Pagano
- University of Perugia, Biomedical Sciences Unit of Paediatric Dentistry, Perugia, Italy
| | - L Paglia
- Department of Paediatric Dentistry, Istituto Stomatologico Italiano (ISI), Milan, Italy
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Carapella G, Sabatino P, Barone C, Pagano S, Gombos M. Current driven transition from Abrikosov-Josephson to Josephson-like vortex in mesoscopic lateral S/S’/S superconducting weak links. Sci Rep 2016. [DOI: 10.1038/srep35694 https://doi.org/10.1038/srep35694] [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: 11/09/2022] Open
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Carapella G, Sabatino P, Barone C, Pagano S, Gombos M. Current driven transition from Abrikosov-Josephson to Josephson-like vortex in mesoscopic lateral S/S'/S superconducting weak links. Sci Rep 2016; 6:35694. [PMID: 27752137 PMCID: PMC5067708 DOI: 10.1038/srep35694] [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] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/28/2016] [Accepted: 10/03/2016] [Indexed: 11/09/2022] Open
Abstract
Vortices are topological defects accounting for many important effects in superconductivity, superfluidity, and magnetism. Here we address the stability of a small number of such excitations driven by strong external forces. We focus on Abrikosov-Josephson vortex that appears in lateral superconducting S/S'/S weak links with suppressed superconductivity in S'. In such a system the vortex is nucleated and confined in the narrow S' region by means of a small magnetic field and moves under the effect of a force proportional to an applied electrical current with a velocity proportional to the measured voltage. Our numerical simulations show that when a slow moving Abrikosov-Josephson vortex is driven by a strong constant current it becomes unstable with respect to a faster moving excitation: the Josephon-like vortex. Such a current-driven transition explains the structured dissipative branches that we observe in the voltage-current curve of the weak link. When vortex matter is strongly confined phenomena as magnetoresistance oscillations and reentrance of superconductivity can possibly occur. We experimentally observe these phenomena in our weak links.
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Affiliation(s)
- G Carapella
- Dipartimento di Fisica E.R. Caianiello and CNR-SPIN UOS Salerno, Università di Salerno, I-84084 Fisciano, Salerno, Italy
| | - P Sabatino
- Dipartimento di Fisica E.R. Caianiello and CNR-SPIN UOS Salerno, Università di Salerno, I-84084 Fisciano, Salerno, Italy
| | - C Barone
- Dipartimento di Fisica E.R. Caianiello and CNR-SPIN UOS Salerno, Università di Salerno, I-84084 Fisciano, Salerno, Italy
| | - S Pagano
- Dipartimento di Fisica E.R. Caianiello and CNR-SPIN UOS Salerno, Università di Salerno, I-84084 Fisciano, Salerno, Italy
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Toscanini U, Gusmão L, Álava Narváez MC, Álvarez JC, Baldassarri L, Barbaro A, Berardi G, Betancor Hernández E, Camargo M, Carreras-Carbonell J, Castro J, Costa SC, Coufalova P, Domínguez V, Fagundes de Carvalho E, Ferreira STG, Furfuro S, García O, Goios A, González R, de la Vega AG, Gorostiza A, Hernández A, Jiménez Moreno S, Lareu MV, León Almagro A, Marino M, Martínez G, Miozzo MC, Modesti NM, Onofri V, Pagano S, Pardo Arias B, Pedrosa S, Penacino GA, Pontes ML, Porto MJ, Puente-Prieto J, Pérez RR, Ribeiro T, Rodríguez Cardozo B, Rodríguez Lesmes YM, Sala A, Santiago B, Saragoni VG, Serrano A, Streitenberger ER, Torres Morales MA, Vannelli Rey SA, Velázquez Miranda M, Whittle MR, Fernández K, Salas A. Analysis of uni and bi-parental markers in mixture samples: Lessons from the 22nd GHEP-ISFG Intercomparison Exercise. Forensic Sci Int Genet 2016; 25:63-72. [PMID: 27500650 DOI: 10.1016/j.fsigen.2016.07.010] [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] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/21/2016] [Revised: 07/14/2016] [Accepted: 07/17/2016] [Indexed: 10/21/2022]
Abstract
Since 1992, the Spanish and Portuguese-Speaking Working Group of the ISFG (GHEP-ISFG) has been organizing annual Intercomparison Exercises (IEs) coordinated by the Quality Service at the National Institute of Toxicology and Forensic Sciences (INTCF) from Madrid, aiming to provide proficiency tests for forensic DNA laboratories. Each annual exercise comprises a Basic (recently accredited under ISO/IEC 17043: 2010) and an Advanced Level, both including a kinship and a forensic module. Here, we show the results for both autosomal and sex-chromosomal STRs, and for mitochondrial DNA (mtDNA) in two samples included in the forensic modules, namely a mixture 2:1 (v/v) saliva/blood (M4) and a mixture 4:1 (v/v) saliva/semen (M8) out of the five items provided in the 2014 GHEP-ISFG IE. Discrepancies, other than typos or nomenclature errors (over the total allele calls), represented 6.5% (M4) and 4.7% (M8) for autosomal STRs, 15.4% (M4) and 7.8% (M8) for X-STRs, and 1.2% (M4) and 0.0% (M8) for Y-STRs. Drop-out and drop-in alleles were the main cause of errors, with laboratories using different criteria regarding inclusion of minor peaks and stutter bands. Commonly used commercial kits yielded different results for a micro-variant detected at locus D12S391. In addition, the analysis of electropherograms revealed that the proportions of the contributors detected in the mixtures varied among the participants. In regards to mtDNA analysis, besides important discrepancies in reporting heteroplasmies, there was no agreement for the results of sample M4. Thus, while some laboratories documented a single control region haplotype, a few reported unexpected profiles (suggesting contamination problems). For M8, most laboratories detected only the haplotype corresponding to the saliva. Although the GHEP-ISFG has already a large experience in IEs, the present multi-centric study revealed challenges that still exist related to DNA mixtures interpretation. Overall, the results emphasize the need for further research and training actions in order to improve the analysis of mixtures among the forensic practitioners.
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Affiliation(s)
- U Toscanini
- PRICAI-Fundación Favaloro, Buenos Aires, Argentina.
| | - L Gusmão
- DNA Diagnostic Laboratory (LDD), State University of Rio de Janeiro (UERJ), Rio de Janeiro, Brazil; IPATIMUP (Institute of Pathology and Molecular Immunology from de University of Porto), Porto, Portugal; I3s (Instituto de Investigação e Inovação em Saúde, Universidade do Porto), Porto, Portugal
| | - M C Álava Narváez
- Laboratorio de Genética Regional Bogotá del Instituto Nacional de Medicina Legal y Ciencias Forenses., Bogotá, Colombia
| | - J C Álvarez
- Lab. de Identificación Genética. Depto. de Medicina Legal, Toxicología y Antropología Física. Facultad de Medicina. Universidad de Granada, Granada, Spain
| | - L Baldassarri
- Institute of Public Sanity Section of Legal Medicine Catholic University of Sacred Heart, Rome, Rome, Italy
| | - A Barbaro
- Studio Indagini Mediche E Forensi (SIMEF), Reggio Calabria, Italy
| | - G Berardi
- PRICAI-Fundación Favaloro, Buenos Aires, Argentina
| | - E Betancor Hernández
- Laboratorio Genética Forense, Instituto de Medicina Legal de Las Palmas, ULPG., Las Palmas, Spain
| | - M Camargo
- Laboratorio de Genética Regional Suroccidente del Instituto Nacional de Medicina Legal y Ciencias Forenses., Cali, Colombia
| | - J Carreras-Carbonell
- Policia de la Generalitat - Mossos d'Esquadra, Divisió de Policia Científica, Unitat Central del Laboratori Biològic, Sabadell, Barcelona, Spain
| | - J Castro
- Genética Forense, Unidad Criminalistica Contra la Vulneración de Derechos Fundamentales, Ministerio Público, Venezuela
| | - S C Costa
- Laboratório de Polícia Científica da Polícia Judiciária, Lisbon, Portugal
| | - P Coufalova
- Institute of Criminalistics Prague, Prague, Czech Republic
| | - V Domínguez
- Lab. Biológico de la Dirección Nacional de Policía Científica, Montevideo, Uruguay
| | - E Fagundes de Carvalho
- DNA Diagnostic Laboratory (LDD), State University of Rio de Janeiro (UERJ), Rio de Janeiro, Brazil
| | - S T G Ferreira
- Instituto de Pesquisa de DNA Forense, IPDNA, Polícia Civil do Distrito Federal, PCDF, Brasília, Brazil, and Secretaria Nacional de Segurança Pública do Ministério da Justiça, SENASP/MJ, Brasília, Brazil
| | - S Furfuro
- Laboratorio de Análisis de ADN- Facultad de Ciencias Médicas- Universidad Nacional de Cuyo, Mendoza, Argentina
| | - O García
- Forensic Science Unit, Forensic Genetics Section, Basque Country Police-Ertzaintza, Erandio, Bizkaia, Spain
| | - A Goios
- IPATIMUP (Institute of Pathology and Molecular Immunology from de University of Porto), Porto, Portugal; I3s (Instituto de Investigação e Inovação em Saúde, Universidade do Porto), Porto, Portugal
| | - R González
- Registro Nacional de ADN, Chile, Santiago de Chile, Chile
| | | | | | - A Hernández
- Instituto Nacional de Toxicología y Ciencias Forenses, Delegación en Canarias, Santa Cruz de Tenerife, Spain
| | - S Jiménez Moreno
- Laboratorio de Biología Forense. Dpto Patología y Cirugía. Universidad Miguel Hernández, Elche, Alicante, Spain
| | - M V Lareu
- Unidade de Xenética, Departamento de Anatomía Patolóxica e Ciencias Forenses, Instituto de Ciencias Forenses, Facultade de Medicina, Universidade de Santiago de Compostela, and GenPop Research Group, Instituto de Investigaciones Sanitarias (IDIS), Hospital Clínico Universitario de Santiago, Galicia, Spain
| | - A León Almagro
- Comisaría General de Policía Científica - Laboratorio de ADN, Madrid, Spain
| | - M Marino
- Laboratorio de Genética Forense, Poder Judicial de Mendoza, Mendoza, Argentina
| | - G Martínez
- Servicio de Genética Forense, Superior Tribunal de Justicia de Entre Ríos, Paraná, Argentina
| | - M C Miozzo
- Laboratorio Regional de Genética Forense del NOA - Departamento Médico - Poder Judicial de Jujuy, Jujuy, Argentina
| | - N M Modesti
- Instituto de Genética Forense. Poder Judicial de Córdoba, Córdoba, Argentina
| | - V Onofri
- Universita' Politecnica Delle Marche, DSBSP, Section of Legal Medicine, Ancona, Italy
| | | | - B Pardo Arias
- Instituto Nacional de Toxicología y Ciencias Forenses, Departamento de Sevilla, Sevilla, Spain
| | | | - G A Penacino
- Unidad de Analisis de ADN, Colegio Oficial de Farmaceuticos y Bioquímicos, Buenos Aires, Argentina
| | - M L Pontes
- Serviço de Genética e Biologia Forenses, Instituto Nacional de Medicina Legal e Ciências Forenses, I.P. - Delegação do Norte, Porto, Portugal
| | - M J Porto
- Serviço de Genética e Biologia Forenses, Instituto Nacional de Medicina Legal e Ciências Forenses, I.P., Coimbra, Portugal
| | - J Puente-Prieto
- LabGenetics. Laboratorio de Genética Clínica S.L., Madrid, Spain
| | | | - T Ribeiro
- Serviço de Genética e Biologia Forenses, Instituto Nacional de Medicina Legal e Ciências Forenses, I.P.-Delegação Sul, Lisbon, Portugal
| | | | - Y M Rodríguez Lesmes
- Laboratorio de Biología y Genética Regional Noroccidente del Instituto Nacional de Medicina Legal y Ciencias Forenses., Medellín, Colombia
| | - A Sala
- Servicio de Huellas Digitales Genéticas-Fac. Farmacia y Bioquímica-Universidad de Buenos Aires, Buenos Aires, Argentina
| | - B Santiago
- Instituto Nacional de Toxicología y Ciencias Forenses, Departamento de Madrid. Servicio de Biología., Madrid, Spain
| | - V G Saragoni
- Unidad de Genética Forense, Servicio Médico Legal, Santiago, Chile
| | - A Serrano
- Instituto Nacional de Toxicología y Ciencias Forenses, Departamento de Barcelona, Barcelona, Spain
| | | | | | - S A Vannelli Rey
- Laboratorio Regional Patagonia Norte de Genética Forense - Poder Judicial de Río Negro, Bariloche, Argentina
| | | | - M R Whittle
- Genomic Engenharia Molecular, Sao Paulo, Brazil
| | - K Fernández
- Instituto Nacional de Toxicología y Ciencias Forenses, Departamento de Madrid. Servicio de Biología., Madrid, Spain
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- Unidade de Xenética, Departamento de Anatomía Patolóxica e Ciencias Forenses, Instituto de Ciencias Forenses, Facultade de Medicina, Universidade de Santiago de Compostela, and GenPop Research Group, Instituto de Investigaciones Sanitarias (IDIS), Hospital Clínico Universitario de Santiago, Galicia, Spain
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Pagano S, Chieruzzi M, Mastriforti G, De Carolis C, Torre L, Eramo S. Recenti acquisizioni in tema di irrigazione canalare: analisi al microscopio elettronico a scansione. Dental Cadmos 2016. [DOI: 10.1016/s0011-8524(16)30009-5] [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: 11/25/2022]
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Palmer SC, Ruospo M, Wong G, Craig JC, Petruzzi M, De Benedittis M, Ford P, Johnson DW, Tonelli M, Natale P, Saglimbene V, Pellegrini F, Celia E, Gelfman R, Leal MR, Torok M, Stroumza P, Bednarek-Skublewska A, Dulawa J, Frantzen L, Ferrari JN, del Castillo D, Bernat AG, Hegbrant J, Wollheim C, Gargano L, Bots CP, Strippoli GF, Raña S, Serrano M, Claros S, Arias M, Petracci L, Arana M, De Rosa P, Gutierrez A, Simon M, Vergara V, Tosi M, Cernadas M, Vilamajó I, Gravac D, Paulón M, Penayo L, Carrizo G, Ghiani M, Perez G, Da Cruz O, Galarce D, Gravielle M, Vescovo E, Paparone R, Mato Mira C, Mojico E, Hermida O, Florio D, Yucoswky M, Labonia W, Rubio D, Di Napoli G, Fernandez A, Altman H, Rodriguez J, Serrano S, Valle G, Lobos M, Acosta V, Corpacci G, Jofre M, Gianoni L, Chiesura G, Capdevila M, Montenegro J, Bequi J, Dayer J, Gómez A, Calderón C, Abrego E, Cechín C, García J, Corral J, Natiello M, Coronel A, Muñiz M, Muñiz V, Bonelli A, Sanchez F, Maestre S, Olivera S, Camargo M, Avalos V, Geandet E, Canteli M, Escobar A, Sena E, Tirado S, Peñalba A, Neme G, Cisneros M, Oliszewski R, Nascar V, Daud M, Mansilla S, Paredes Álvarez A, Gamín L, Arijón M, Coombes M, Zapata M, Boriceanu C, Frantzen-Trendel S, Albert K, Csaszar I, Kiss E, Kosa D, Orosz A, Redl J, Kovacs L, Varga E, Szabo M, Magyar K, Kriza G, Zajko E, Bereczki A, Csikos J, Kuti A, Mike A, Steiner K, Nemeth E, Tolnai K, Toth A, Vinczene J, Szummer S, Tanyi E, Toth R, Szilvia M, Dambrosio N, Paparella G, Sambati M, Donatelli C, Pedone F, Cagnazzo V, Antinoro R, Torsello F, Saturno C, Giannoccaro G, Maldera S, Boccia E, Mantuano M, Di Toro Mammarella R, Meconizzi M, Steri P, Riccardi C, Flammini A, Moscardelli L, Murgo M, San Filippo N, Pagano S, Marino G, Montalto G, Cantarella S, Salamone B, Randazzo G, Rallo D, Maniscalco A, Fici M, Lupo A, Pellegrino P, Fichera R, D’Angelo A, Falsitta N, Bochenska-Nowacka E, Jaroszynski A, Drabik J, Birecka M, Daniewska D, Drobisz M, Doskocz K, Wyrwicz G, Inchaustegui L, Outerelo C, Sousa Mendes D, Mendes A, Lopes J, Barbas J, Madeira C, Fortes A, Vizinho R, Cortesão A, Almeida E, Bernat A, De la Torre B, Lopez A, Martín J, Cuesta G, Rodriguez R, Ros F, Garcia M, Orero E, Ros E, Caetano A, MacGregor K, Santos M, Silva Pinheiro S, Martins L, Leitão D, Izidoro C, Bava G, Bora A, Gorena H, Calderón T, Dupuy R, Alonso N, Siciliano V, Frantzen-Trendel S, Nagy K, Bajusz Ö, Pinke I, Decsi G, Gyergyoi L, Jobba Z, Zalai Z, Zsedenyi Á, Kiss G, Pinter M, Kereszturi M, Petruzzi M, De Benedittis M, Szkutnik J, Sieczkarek J, Capelo A, Garcia Gallart M, Mendieta C. Dental Health and Mortality in People With End-Stage Kidney Disease Treated With Hemodialysis: A Multinational Cohort Study. Am J Kidney Dis 2015; 66:666-76. [DOI: 10.1053/j.ajkd.2015.04.051] [Citation(s) in RCA: 46] [Impact Index Per Article: 5.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/25/2015] [Accepted: 04/29/2015] [Indexed: 01/28/2023]
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Montecucco F, Braunersreuther V, Burger F, Lenglet S, Pelli G, Carbone F, Fraga-Silva R, Stergiopulos N, Monaco C, Mueller C, Pagano S, Dallegri F, Mach F, Vuilleumier N. Anti-apoA-1 autoantibodies increase mouse atherosclrotic plaque vulnerability, myocardial necrosis and mortality trough TLR2 and TLR4-mediated pathways. Atherosclerosis 2015. [DOI: 10.1016/j.atherosclerosis.2015.04.103] [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: 11/30/2022]
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Satta N, Pagano S, Gaertner H, Cerini F, Mannic T, Teixeira P, Cutler P, Mach F, Vuilleumier N, Hartley O. The human autoantibody response to apolipoprotein A-I is focused on the C-terminal helix: A new rationale for diagnosis and treatment of cardiovascular disease? Atherosclerosis 2015. [DOI: 10.1016/j.atherosclerosis.2015.04.999] [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: 10/23/2022]
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