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Di Vito M, Rosato R, Rizzo S, Cacaci M, Urbani A, Sanguinettii M, Bugli F. Enhancing fluconazole reactivation against Candida auris: efficacy of Cinnamomum zeylanicum essential oil versus cinnamaldehyde. Microbiol Spectr 2024; 12:e0017624. [PMID: 38483141 DOI: 10.1128/spectrum.00176-24] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/18/2024] [Accepted: 02/26/2024] [Indexed: 04/06/2024] Open
Affiliation(s)
- M Di Vito
- Dipartimento di Scienze Biotecnologiche di Base, Cliniche Intensivologiche e Perioperatorie, Università Cattolica del Sacro Cuore, Rome, Italy
| | - R Rosato
- Dipartimento di Scienze Biotecnologiche di Base, Cliniche Intensivologiche e Perioperatorie, Università Cattolica del Sacro Cuore, Rome, Italy
| | - S Rizzo
- Dipartimento di Scienze Biotecnologiche di Base, Cliniche Intensivologiche e Perioperatorie, Università Cattolica del Sacro Cuore, Rome, Italy
| | - M Cacaci
- Dipartimento di Scienze Biotecnologiche di Base, Cliniche Intensivologiche e Perioperatorie, Università Cattolica del Sacro Cuore, Rome, Italy
| | - A Urbani
- Dipartimento di Scienze Biotecnologiche di Base, Cliniche Intensivologiche e Perioperatorie, Università Cattolica del Sacro Cuore, Rome, Italy
- UOC Chimica, Biochimica e Biologia Molecolare Clinica, Dipartimento di Scienze Biotecnologiche di Base, Cliniche Intensivologiche e Perioperatorie, Fondazione Policlinico Universitario A. Gemelli IRCCS, Rome, Italy
| | - M Sanguinettii
- Dipartimento di Scienze Biotecnologiche di Base, Cliniche Intensivologiche e Perioperatorie, Università Cattolica del Sacro Cuore, Rome, Italy
- Dipartimento di Scienze di Laboratorio e Infettivologiche, Fondazione Policlinico Universitario A. Gemelli IRCCS, Rome, Italy
| | - F Bugli
- Dipartimento di Scienze Biotecnologiche di Base, Cliniche Intensivologiche e Perioperatorie, Università Cattolica del Sacro Cuore, Rome, Italy
- Dipartimento di Scienze di Laboratorio e Infettivologiche, Fondazione Policlinico Universitario A. Gemelli IRCCS, Rome, Italy
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Giansanti F, Virgili G, Sodi A, Caporossi T, Savastano A, Rizzo S, Barbera GR, Spagnuolo V, De Angelis L, Bacherini D. The suprachoroidal space in patients affected by retinitis pigmentosa. Arch Soc Esp Oftalmol (Engl Ed) 2024; 99:3-8. [PMID: 37813186 DOI: 10.1016/j.oftale.2023.10.004] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/15/2023] [Accepted: 08/28/2023] [Indexed: 10/11/2023]
Abstract
BACKGROUND AND OBJECTIVE The Suprachoroidal Space (SCS) is a theoretical structure which can be demonstrated between the inner border of the sclera and the outer boundary of the choroid. SCS is being studied for its potential uses as a route for drug delivery and innovative surgical techniques for the treatment of many retinal diseases. Retinitis pigmentosa (RP) is a group of inherited eye disorders characterized by a gradual loss of photoreceptors, resulting in vision impairment, which typically presents as night blindness and progressive visual field loss. The purpose of the study is to define the morphology of outer choroidal margins by means of SS-OCT in RP. MATERIAL AND METHOD This is a retrospective observational study designed to evaluate the presence of SCS in RP. We performed Swept Source optical coherence tomography (SS-OCT) in a group of 55 patients affected by RP (26 males and 29 females, 110 eyes) with a mean age of 51.8 ± 13.7 years. In the control group, we included 28 healthy subjects (6 males and 22 females, 56 eyes) with a mean age of 48,8 ± 16,6 years. RESULTS OCT scans allowed the outer choroidal margin and inner scleral margin to be delineated with certainty in all 110 eyes. In the RP group SCS was detected in 47 of 110 eyes (42,7%), in the control group SCS was detected in 11 eyes (19,6%). Subjects with SCS visible (RP group) had reduced retinal thickness (168.4 µm) compared to those with not visible SCL (211.2 µm, P = .007). CONCLUSIONS SS-OCT can be successfully applied to assess the presence of SCS in RP and the high rate of SCS found in the RP patients is encouraging when considering future innovative therapies.
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Affiliation(s)
- F Giansanti
- Eye Clinic, Neuromuscular and Sense Organs Department, Careggi University Hospital, Florence, Italy
| | - G Virgili
- Eye Clinic, Neuromuscular and Sense Organs Department, Careggi University Hospital, Florence, Italy
| | - A Sodi
- Eye Clinic, Neuromuscular and Sense Organs Department, Careggi University Hospital, Florence, Italy
| | - T Caporossi
- Ophthalmology Unit, Catholic University of the Sacred Heart, Fondazione Policlinico Universitario A. Gemelli, Rome, Italy
| | - A Savastano
- Ophthalmology Unit, Catholic University of the Sacred Heart, Fondazione Policlinico Universitario A. Gemelli, Rome, Italy
| | - S Rizzo
- Ophthalmology Unit, Catholic University of the Sacred Heart, Fondazione Policlinico Universitario A. Gemelli, Rome, Italy
| | - G R Barbera
- Eye Clinic, Neuromuscular and Sense Organs Department, Careggi University Hospital, Florence, Italy.
| | - V Spagnuolo
- Eye Clinic, Neuromuscular and Sense Organs Department, Careggi University Hospital, Florence, Italy
| | - L De Angelis
- Ophthalmology Unit, Ospedale Piero Palagi, Viale Michelangiolo, Florence, Italy
| | - D Bacherini
- Eye Clinic, Neuromuscular and Sense Organs Department, Careggi University Hospital, Florence, Italy
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Strumia A, Rizzo S, DI Pumpo A, Conti MC, Sarubbi D, Schiavoni L, Pascarella G, Mortini L, Stifano M, DE Quattro E, Mattei A, Ruggiero A, Cataldo R, Agrò FE, Carassiti M. Perfusion Index monitoring to help assessing changes in perfusion after administration of inodilator drugs in cardiac surgery patients. Minerva Anestesiol 2024; 90:108-109. [PMID: 37733371 DOI: 10.23736/s0375-9393.23.17671-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 09/22/2023]
Affiliation(s)
- Alessandro Strumia
- Operative Unit of Anesthesia and Intensive Care, Department of Medicine, Campus Bio-Medico University Hospital Foundation, Rome, Italy -
- Research Unit of Anesthesia and Intensive Care, Department of Medicine, Campus Bio-Medico University, Rome, Italy -
| | - Stefano Rizzo
- Operative Unit of Anesthesia and Intensive Care, Department of Medicine, Campus Bio-Medico University Hospital Foundation, Rome, Italy
- Research Unit of Anesthesia and Intensive Care, Department of Medicine, Campus Bio-Medico University, Rome, Italy
| | - Annalaura DI Pumpo
- Operative Unit of Anesthesia and Intensive Care, Department of Medicine, Campus Bio-Medico University Hospital Foundation, Rome, Italy
| | - Maria C Conti
- Operative Unit of Anesthesia and Intensive Care, Department of Medicine, Campus Bio-Medico University Hospital Foundation, Rome, Italy
| | - Domenico Sarubbi
- Operative Unit of Anesthesia and Intensive Care, Department of Medicine, Campus Bio-Medico University Hospital Foundation, Rome, Italy
| | - Lorenzo Schiavoni
- Operative Unit of Anesthesia and Intensive Care, Department of Medicine, Campus Bio-Medico University Hospital Foundation, Rome, Italy
| | - Giuseppe Pascarella
- Operative Unit of Anesthesia and Intensive Care, Department of Medicine, Campus Bio-Medico University Hospital Foundation, Rome, Italy
| | - Lara Mortini
- Operative Unit of Anesthesia and Intensive Care, Department of Medicine, Campus Bio-Medico University Hospital Foundation, Rome, Italy
| | - Mariapia Stifano
- Operative Unit of Anesthesia and Intensive Care, Department of Medicine, Campus Bio-Medico University Hospital Foundation, Rome, Italy
- Research Unit of Anesthesia and Intensive Care, Department of Medicine, Campus Bio-Medico University, Rome, Italy
| | - Eugenio DE Quattro
- Research Unit of Anesthesia and Intensive Care, Department of Medicine, Campus Bio-Medico University, Rome, Italy
| | - Alessia Mattei
- Operative Unit of Anesthesia and Intensive Care, Department of Medicine, Campus Bio-Medico University Hospital Foundation, Rome, Italy
| | - Alessandro Ruggiero
- Research Unit of Anesthesia and Intensive Care, Department of Medicine, Campus Bio-Medico University, Rome, Italy
| | - Rita Cataldo
- Operative Unit of Anesthesia and Intensive Care, Department of Medicine, Campus Bio-Medico University Hospital Foundation, Rome, Italy
- Research Unit of Anesthesia and Intensive Care, Department of Medicine, Campus Bio-Medico University, Rome, Italy
| | - Felice E Agrò
- Operative Unit of Anesthesia and Intensive Care, Department of Medicine, Campus Bio-Medico University Hospital Foundation, Rome, Italy
- Research Unit of Anesthesia and Intensive Care, Department of Medicine, Campus Bio-Medico University, Rome, Italy
| | - Massimiliano Carassiti
- Operative Unit of Anesthesia and Intensive Care, Department of Medicine, Campus Bio-Medico University Hospital Foundation, Rome, Italy
- Research Unit of Anesthesia and Intensive Care, Department of Medicine, Campus Bio-Medico University, Rome, Italy
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Novo Matos J, Silva J, Regada S, Rizzo S, Serena Beato M, Basso C. Hypertrophic cardiomyopathy in a dog: a systematic diagnostic approach. J Vet Cardiol 2023; 51:1-8. [PMID: 37967487 DOI: 10.1016/j.jvc.2023.10.002] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/02/2023] [Revised: 10/09/2023] [Accepted: 10/11/2023] [Indexed: 11/17/2023]
Abstract
A seven-year-old female neutered Parson Russel Terrier was referred for syncopal episodes. An electrocardiogram revealed paroxysmal atrial flutter followed by periods of sinus arrest, suggesting sick sinus syndrome. Echocardiography showed severe biventricular wall thickening (hypertrophic cardiomyopathy (HCM) phenotype) with no signs of fixed or dynamic left ventricular outflow tract obstruction. Blood pressure, abdominal ultrasound, serum total thyroxin and thyroid-stimulating hormone, and insulin-like growth factor-1 were all within normal limits. Cardiac troponin I was elevated (1.7 ng/mL, ref<0.07). Serological tests for common infectious diseases were negative. A 24-h Holter confirmed that the syncopal episodes were associated with asystolic pauses (sinus arrest after runs of atrial flutter) ranging between 8.5 and 9.6 s. Right ventricular endomyocardial biopsies (EMB) were performed at the time of pacemaker implantation to assess for storage or infiltrative diseases that mimic HCM in people. Histological analysis of the EMB revealed plurifocal inflammatory infiltrates with macrophages and lymphocytes (CD3+ > 7/mm2) associated with myocyte necrosis, but no evidence of myocyte vacuolisation or infiltrative myocardial disorders. These findings were compatible with myocardial ischaemic injury or acute lymphocytic myocarditis. Molecular analysis of canine cardiotropic viruses were negative. The dog developed refractory congestive heart failure and was euthanised 16 months later. Cardiac post-mortem examination revealed cardiomyocyte hypertrophy and disarray with diffuse interstitial and patchy replacement fibrosis, and small vessel disease, confirming HCM. We described a systemic diagnostic approach to an HCM phenotype in a dog, where a diagnosis of HCM was reached by excluding HCM phenocopies.
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Affiliation(s)
- J Novo Matos
- Department of Veterinary Medicine, University of Cambridge, Madingley Road, Cambridge, CB3 0ES, UK.
| | - J Silva
- Department of Veterinary Medicine, University of Cambridge, Madingley Road, Cambridge, CB3 0ES, UK
| | - S Regada
- Department of Veterinary Medicine, University of Cambridge, Madingley Road, Cambridge, CB3 0ES, UK
| | - S Rizzo
- Department of Cardiac, Thoracic and Vascular Sciences and Public Health, University of Padua, Via A. Gabelli 61, 35121, Padua, Italy
| | - M Serena Beato
- Istituto Zooprofilattico Sperimentale delle Venezie (IZSVe), Viale dell'università 10, 35020, Legnaro, Padua, Italy
| | - C Basso
- Department of Cardiac, Thoracic and Vascular Sciences and Public Health, University of Padua, Via A. Gabelli 61, 35121, Padua, Italy
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Giordani AS, Candelora A, Fiacca M, Cheng C, Barberio B, Baritussio A, Marcolongo R, Iliceto S, Carturan E, De Gaspari M, Rizzo S, Basso C, Tarantini G, Savarino EV, Alp C. Myocarditis and inflammatory bowel diseases: A single-center experience and a systematic literature review. Int J Cardiol 2023; 376:165-171. [PMID: 36738845 DOI: 10.1016/j.ijcard.2023.01.071] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/04/2022] [Revised: 01/06/2023] [Accepted: 01/24/2023] [Indexed: 02/05/2023]
Abstract
BACKGROUND Myocarditis and inflammatory bowel diseases (IBD) are rare conditions, but may coexist. Myocarditis in IBD may be infective, immune-mediated, or due to mesalamine toxicity. A gap of knowledge exists on the clinical features of patients that present myocarditis in association with IBD, especially for endomyocardial biopsy-proven cases. Our aims are: 1) to describe the clinical characteristics of patients with an associated diagnosis of myocarditis and IBD in a single-center hospital, 2) to perform a systematic review of the literature of analogous cases. METHODS We retrospectively analyzed data of patients followed up at the outpatient Cardio-immunology and Gastroenterology Clinic of Padua University Hospital, to identify those with an associated diagnosis of myocarditis and IBD. In addition, a systematic review of the literature was conducted. We performed a qualitative analysis of the overall study population. RESULTS The study included 104 patients (21 from our single center cohort, 83 from the literature review). Myocarditis in IBD more frequently affects young (median age 31 years) males (72%), predominantly with infarct-like presentation (58%), within an acute phase of the IBD (67%) and with an overall benign clinical course (87%). Nevertheless, a not negligible quote of patients may present giant cell myocarditis, deserve immunosuppression and have a chronic, or even fatal course. Histological evidence of mesalamine hypersensitivity is scarce and its incidence may be overestimated. CONCLUSIONS Our study shows that myocarditis in association with IBD, if correctly managed, may have a spontaneous benign course, but predictors of worse prognosis must be promptly recognized.
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Affiliation(s)
- A S Giordani
- Cardiology, Department of Cardiac, Thoracic, Vascular Sciences and Public Health, University of Padua and Azienda Ospedale Università di Padova, Padua, Italy
| | - A Candelora
- Cardiology, Department of Cardiac, Thoracic, Vascular Sciences and Public Health, University of Padua and Azienda Ospedale Università di Padova, Padua, Italy
| | - M Fiacca
- Gastroenterology, Department of Surgery, Oncology and Gastroenterology, University of Padua and Azienda Ospedale Università di Padova, Padua, Italy
| | - C Cheng
- Cardiology, Department of Cardiac, Thoracic, Vascular Sciences and Public Health, University of Padua and Azienda Ospedale Università di Padova, Padua, Italy
| | - B Barberio
- Gastroenterology, Department of Surgery, Oncology and Gastroenterology, University of Padua and Azienda Ospedale Università di Padova, Padua, Italy
| | - A Baritussio
- Cardiology, Department of Cardiac, Thoracic, Vascular Sciences and Public Health, University of Padua and Azienda Ospedale Università di Padova, Padua, Italy
| | - R Marcolongo
- Cardiology, Department of Cardiac, Thoracic, Vascular Sciences and Public Health, University of Padua and Azienda Ospedale Università di Padova, Padua, Italy
| | - S Iliceto
- Cardiology, Department of Cardiac, Thoracic, Vascular Sciences and Public Health, University of Padua and Azienda Ospedale Università di Padova, Padua, Italy
| | - E Carturan
- Cardiovascular Pathology, Department of Cardiac, Thoracic, Vascular Sciences and Public Health, University of Padua and Azienda Ospedale Università di Padova, Padua, Italy
| | - M De Gaspari
- Cardiovascular Pathology, Department of Cardiac, Thoracic, Vascular Sciences and Public Health, University of Padua and Azienda Ospedale Università di Padova, Padua, Italy
| | - S Rizzo
- Cardiovascular Pathology, Department of Cardiac, Thoracic, Vascular Sciences and Public Health, University of Padua and Azienda Ospedale Università di Padova, Padua, Italy
| | - C Basso
- Cardiovascular Pathology, Department of Cardiac, Thoracic, Vascular Sciences and Public Health, University of Padua and Azienda Ospedale Università di Padova, Padua, Italy
| | - G Tarantini
- Cardiology, Department of Cardiac, Thoracic, Vascular Sciences and Public Health, University of Padua and Azienda Ospedale Università di Padova, Padua, Italy
| | - E V Savarino
- Gastroenterology, Department of Surgery, Oncology and Gastroenterology, University of Padua and Azienda Ospedale Università di Padova, Padua, Italy
| | - Caforio Alp
- Cardiology, Department of Cardiac, Thoracic, Vascular Sciences and Public Health, University of Padua and Azienda Ospedale Università di Padova, Padua, Italy.
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6
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Maitz J, Merlino J, Rizzo S, McKew G, Maitz P. Burn wound infections microbiome and novel approaches using therapeutic microorganisms in burn wound infection control. Adv Drug Deliv Rev 2023; 196:114769. [PMID: 36921627 DOI: 10.1016/j.addr.2023.114769] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/01/2022] [Revised: 01/20/2023] [Accepted: 03/01/2023] [Indexed: 03/16/2023]
Affiliation(s)
- J Maitz
- Department of Burns & Reconstructive Surgery, Concord Repatriation General Hospital, Australia; Burns & Reconstructive Surgery Research Group, ANZAC Research Institute, Concord Repatriation General Hospital, Australia; Faculty of Medicine & Health, University of Sydney, Australia.
| | - J Merlino
- Department of Microbiology and Infectious Diseases, Concord Repatriation General Hospital, Australia; Faculty of Medicine & Health, University of Sydney, Australia
| | - S Rizzo
- Department of Microbiology and Infectious Diseases, Concord Repatriation General Hospital, Australia
| | - G McKew
- Department of Microbiology and Infectious Diseases, Concord Repatriation General Hospital, Australia; Faculty of Medicine & Health, University of Sydney, Australia
| | - P Maitz
- Department of Burns & Reconstructive Surgery, Concord Repatriation General Hospital, Australia; Burns & Reconstructive Surgery Research Group, ANZAC Research Institute, Concord Repatriation General Hospital, Australia; Faculty of Medicine & Health, University of Sydney, Australia
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Salvalaggio A, Cacciavillani M, Tiengo C, Cipriani A, Frizziero L, Fedrigo M, Rizzo S, Angelini A, Gasparotti R, Briani C. Multimodal evaluation of carpal tunnel syndrome in a pre-symptomatic TTR mutation carrier. J Neurol Sci 2023; 448:120596. [PMID: 36870789 DOI: 10.1016/j.jns.2023.120596] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/09/2023] [Revised: 02/21/2023] [Accepted: 02/26/2023] [Indexed: 03/03/2023]
Affiliation(s)
- A Salvalaggio
- Neurology Unit, Department of Neuroscience, University of Padova, Italy; Padova Neuroscience Center (PNC), University of Padova, Italy
| | | | - C Tiengo
- Plastic Surgery Unit, Department of Neuroscience, University of Padova, Italy
| | - A Cipriani
- Department of Cardio-Thoraco-Vascular Sciences and Public Health, University of Padova, Italy
| | - L Frizziero
- Ophthalmology Unit, Department of Neuroscience, University of Padova, Italy
| | - M Fedrigo
- Department of Cardiac Thoracic and Vascular Sciences and Public Health, Pathology Unit, University of Padova, Italy
| | - S Rizzo
- Department of Cardiac Thoracic and Vascular Sciences and Public Health, Pathology Unit, University of Padova, Italy
| | - A Angelini
- Department of Cardiac Thoracic and Vascular Sciences and Public Health, Pathology Unit, University of Padova, Italy
| | - R Gasparotti
- Department of Medical and Surgical Specialties, Radiological Sciences, and Public Health, University of Brescia, Brescia, Italy
| | - C Briani
- Neurology Unit, Department of Neuroscience, University of Padova, Italy.
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Zhou Q, Rizzo S, Oetjen J, Fülöp A, Rittner M, Gillandt H, Hopf C. A Caged In-Source Laser-Cleavable MALDI Matrix with High Vacuum Stability for Extended MALDI-MS Imaging. Angew Chem Int Ed Engl 2023; 62:e202217047. [PMID: 36757677 DOI: 10.1002/anie.202217047] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/29/2022] [Revised: 02/04/2023] [Accepted: 02/08/2023] [Indexed: 02/10/2023]
Abstract
Insufficient vacuum stability of matrix chemicals is a major limitation in matrix-assisted laser desorption/ionization (MALDI) mass spectrometry imaging (MSI) of large tissue sample cohorts. Here, we designed and synthesized the photo-cleavable caged molecule 4,5-dimethoxy-2-nitrobenzyl-2,5-dihydroxyacetophenone (DMNB-2,5-DHAP) and employed it for lipid MALDI-MSI of mouse brain tissue sections. DMNB-2,5-DHAP is vacuum-stable in a high vacuum MALDI ion source for at least 72 h. Investigation of the uncaging process suggested that the built-in laser (355 nm) in the MALDI ion source promoted the in situ generation of 2,5-DHAP. A caging group is used for the first time in designing a MALDI matrix that is vacuum-stable, uncaged upon laser irradiation during the measurement process, and that boosts lipid ion intensity with MALDI-2 laser-induced postionization.
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Affiliation(s)
- Qiuqin Zhou
- Center for Mass Spectrometry and Optical Spectroscopy (CeMOS), Mannheim University of Applied Sciences, Paul-Wittsack-Str. 10, 68163, Mannheim, Germany
| | - Stefano Rizzo
- Sirius Fine Chemicals SiChem GmbH, Fahrenheitstr. 1, 28359, Bremen, Germany
| | - Janina Oetjen
- Bruker Daltonics GmbH & Co. KG, Fahrenheitstr. 4, 28359, Bremen, Germany
| | - Annabelle Fülöp
- Center for Mass Spectrometry and Optical Spectroscopy (CeMOS), Mannheim University of Applied Sciences, Paul-Wittsack-Str. 10, 68163, Mannheim, Germany
| | - Miriam Rittner
- Sirius Fine Chemicals SiChem GmbH, Fahrenheitstr. 1, 28359, Bremen, Germany
| | - Hartmut Gillandt
- Sirius Fine Chemicals SiChem GmbH, Fahrenheitstr. 1, 28359, Bremen, Germany
| | - Carsten Hopf
- Center for Mass Spectrometry and Optical Spectroscopy (CeMOS), Mannheim University of Applied Sciences, Paul-Wittsack-Str. 10, 68163, Mannheim, Germany.,Medical Faculty, Heidelberg University, Im Neuenheimer Feld 672, 69120, Heidelberg, Germany.,Mannheim Center for Translational Neuroscience (MCTN), Medical Faculty Mannheim, Heidelberg University, Ludolf-Krehl-Straße 13-17, 68167, Mannheim, Germany
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Zhou Q, Rizzo S, Oetjen J, Fülöp A, Rittner M, Gillandt H, Hopf C. A Caged In‐Source Laser‐Cleavable MALDI Matrix with High Vacuum Stability for Extended MALDI‐MS Imaging. Angew Chem Int Ed Engl 2023. [DOI: 10.1002/ange.202217047] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/11/2023]
Affiliation(s)
- Qiuqin Zhou
- Mannheim University of Applied Sciences: Hochschule Mannheim Center for Mass Spectrometry and Optical Spectroscopy (CeMOS) Paul-Wittsack-Str. 10 68163 Mannheim GERMANY
| | - Stefano Rizzo
- Sirius Fine Chemicals SiChem GmbH Chemistry Fahrenheitstr. 1 28359 Bremen GERMANY
| | - Janina Oetjen
- Bruker Daltonik GmbH MALDI Imaging Fahrenheitstr. 4 28359 Bremen GERMANY
| | - Annabelle Fülöp
- Mannheim University of Applied Sciences: Hochschule Mannheim Center for Mass Spectrometry and Optical Spectroscopy (CeMOS) Paul-Wittsack-Str. 10 68163 Mannheim GERMANY
| | - Miriam Rittner
- Sirius Fine Chemicals SiChem GmbH Chemistry Fahrenheitstr. 1 28359 Bremen GERMANY
| | - Hartmut Gillandt
- Sirius Fine Chemicals SiChem GmbH Chemistry Fahrenheitstr. 1 28359 Bremen GERMANY
| | - Carsten Hopf
- Mannheim University of Applied Sciences: Hochschule Mannheim CeMOS - Center for Mass Spectrometry and Optical Spectroscopy Paul-Wittsack-Str. 10 68163 Mannheim GERMANY
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10
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Silva M, Rizzo S, Patriccioli A, Sironi G, Clerici CA, Massimino M, Ferrari A. Of soldiers and heroes. Tumori 2023; 109:141-142. [PMID: 36314256 DOI: 10.1177/03008916221132590] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/02/2023]
Affiliation(s)
- Matteo Silva
- Pediatric Oncology Unit, Fondazione IRCCS Istituto Nazionale dei Tumori, Milan, Italy
| | - Stefano Rizzo
- Pediatric Oncology Unit, Fondazione IRCCS Istituto Nazionale dei Tumori, Milan, Italy
| | - Alice Patriccioli
- Pediatric Oncology Unit, Fondazione IRCCS Istituto Nazionale dei Tumori, Milan, Italy
| | - Giovanna Sironi
- Pediatric Oncology Unit, Fondazione IRCCS Istituto Nazionale dei Tumori, Milan, Italy
| | - Carlo Alfredo Clerici
- Pediatric Oncology Unit, Fondazione IRCCS Istituto Nazionale dei Tumori, Milan, Italy.,Department of Oncology and Hemato-oncology, University of Milan, Milan, Italy
| | - Maura Massimino
- Pediatric Oncology Unit, Fondazione IRCCS Istituto Nazionale dei Tumori, Milan, Italy
| | - Andrea Ferrari
- Pediatric Oncology Unit, Fondazione IRCCS Istituto Nazionale dei Tumori, Milan, Italy
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La Mantia M, De Monte L, Tancredi G, Giunta D, Ferrigno P, Gristina V, Galvano A, Barraco N, Rizzo S, Russo TB, Salemi D, Santoro A, Liotta R, Bertani A, Russo A, Bazan V. EP08.03-007 Spontaneous Regression in Metastatic Non-small Cell Lung Cancer: A Case Report. J Thorac Oncol 2022. [DOI: 10.1016/j.jtho.2022.07.863] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/14/2022]
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Lizzi F, Attik N, Goutaudier C, Jackson P, Campbell I, Rizzo S, Grosgogeat B, Villat C. Experimental borosilicate bioactive glasses: pulp cells cytocompatibility and mechanical characterisation. Int Endod J 2022; 55:1053-1065. [PMID: 35862467 DOI: 10.1111/iej.13803] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/13/2021] [Revised: 07/11/2022] [Accepted: 07/12/2022] [Indexed: 11/28/2022]
Abstract
AIM To assess in vitro the effect of two novel phase separated borosilicate glasses (PSBS) in the system SiO2 -B2 O3 -K2 O-CaO-Al2 O3 on dental pulp cells; and to compare their bioactivity and mechanical properties to a conventional fluoroaluminosilicate glass namely FUJI IX. METHODOLOGY The cytocompatibility assessment of the two novel borosilicate glasses, one without alumina (PSBS8) and one containing alumina (PSBS16), was performed on cultured primary human pulp cells (hDPCs). Alamar blue assay was used to assess cell metabolic activity and cell morphology was evaluated by confocal imaging. The bioactivity in Stimulated Body Fluid was also evaluated after 1 and 3 weeks of immersion using SEM-EDX analysis. Vickers microhardness and flexural strength were assessed after incorporating the glass particles into a commercial glass ionomer cement liquid containing both polyacrylic and polybasic carboxylic acid. RESULTS The data revealed that the two borosilicate glasses enhanced cell viability ratios at all-time points in both direct and indirect contact assays. After 3 days of contact, PSBS8 without alumina showed higher viability rate (152%) compared to the PSBS16 containing alumina (145%) and the conventional glass ionomer particles (117%). EDX analysis confirmed an initial Ca/P ratio of 2.1 for 45S5K and 2.08 for PSBS8 without alumina after 3 weeks of immersion. The cement prepared using PSBS8 showed significantly higher Vickers hardness values (p=0.001) than that prepared using PSBS16 (46.6 vs 36.7 MPa). After 24 hours of maturation, PSBS8 (without alumina) exhibited a flexural strength of 12.9 MPa compared to a value of 16.4 MPa for the commercial control. PSBS8 without alumina had a higher strength than PSBS16 with alumina, after 1 and 7 days of maturation (p=0.001). CONCLUSIONS The present in vitro results demonstrated that the borosilicate bioactive glass without alumina enhanced pulp cell viability, spreading and acellular bioactivity better than the conventional glass ionomer cement and the experimental borosilicate glass containing alumina.
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Affiliation(s)
- F Lizzi
- Univ Lyon - Claude Bernard Lyon 1, UMR CNRS 5615, Laboratoire des Multimatériaux et Interfaces, F-69622, Villeurbanne, France.,Univ Lyon - Claude Bernard Lyon 1, Faculté d'Odontologie, 69008, Lyon, France
| | - N Attik
- Univ Lyon - Claude Bernard Lyon 1, UMR CNRS 5615, Laboratoire des Multimatériaux et Interfaces, F-69622, Villeurbanne, France.,Univ Lyon - Claude Bernard Lyon 1, Faculté d'Odontologie, 69008, Lyon, France
| | - C Goutaudier
- Univ Lyon - Claude Bernard Lyon 1, UMR CNRS 5615, Laboratoire des Multimatériaux et Interfaces, F-69622, Villeurbanne, France
| | - P Jackson
- Lucideon Inc., Penkhull, Stoke-On-Trent ST4 7LQ, UK
| | - I Campbell
- Lucideon Inc., Penkhull, Stoke-On-Trent ST4 7LQ, UK
| | - S Rizzo
- Univ Lyon - Claude Bernard Lyon 1, INSERM UMR 1033, Faculté de Médecine Lyon Est, 69008, Lyon, France
| | - B Grosgogeat
- Univ Lyon - Claude Bernard Lyon 1, UMR CNRS 5615, Laboratoire des Multimatériaux et Interfaces, F-69622, Villeurbanne, France.,Univ Lyon - Claude Bernard Lyon 1, Faculté d'Odontologie, 69008, Lyon, France.,Service d'Odontologie, Hospices Civils de Lyon, Lyon, France
| | - C Villat
- Univ Lyon - Claude Bernard Lyon 1, UMR CNRS 5615, Laboratoire des Multimatériaux et Interfaces, F-69622, Villeurbanne, France.,Univ Lyon - Claude Bernard Lyon 1, Faculté d'Odontologie, 69008, Lyon, France.,Service d'Odontologie, Hospices Civils de Lyon, Lyon, France
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Cerasuolo PG, Gambini G, De Lorenzis E, Fiore S, Verardi L, Natalello G, Alonzi G, Rizzo S, D’agostino MA, Bosello SL. POS0887 CHORIORETINAL MICROVASCULAR INVOLVEMENT IN SYSTEMIC SCLEROSIS. Ann Rheum Dis 2022. [DOI: 10.1136/annrheumdis-2022-eular.3043] [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
BackgroundThe optical coherence tomography angiography (OCTA) is a new non-invasive imaging technique that can detect flow and provide information about the vessel density (VD) at different layers in the eye. The ocular microvascular network has been only occasionally addressed as disease target in scleroderma (SSc) considering the relatively low prevalence of ocular symptoms in these patients.ObjectivesThe study aims to evaluate retinal and choriocapillaris microvasculature in a group of SSc patients compared to matched controls (HC)and according to disease characteristics, capillaroscopy findings and pulmonary function tests.MethodsVD was assessed through OCTA at the retinal superficial (SCP) and deep (DCP) capillary plexus, at the foveal avascular zone perimeter (FAZP) and at the choriocapillaris (CC) of 30 SSc patients compared to 30 sex- and age-matched subjects without any retinal disease.ResultsThe SSc patients (age 57.3±10.0, female 86.7%) had diffuse cutaneous skin disease in 30.0% of the cases, an average disease duration of 10.4±7.2 yy, and anti-centromere and anti-Scl70 antibody positivity in 40.0%and in 30.0% of the cases, respectively. Compared to the HC, SSc showed an impaired VD at SCP (47.7±3.6 vs59.1±3.5%, p=0.009), DCP (50.0±6.7 vs 54.3±6.4%, p=0.015), FAZP (48.7±4.55 vs 51.0±3.55%, p=0.034) and CC(67.1±2.2 vs 68.6±1.7, p=.005). Moreover, in the SSc group, the presence of digital ulcers (46.7%),telangiectasias (43.3%) and interstitial lung disease (46.7%) was related to reduced VD at FAZP (46.8±4.1 vs50.3±4.3%, p=0.033), CC (66.1±1.4 vs 67.9±2.4%, p=0.004), and DCP (47.2±8.8 vs 51.9±4.3, p=0.004),respectively. Lastly, the average capillary density on capillaroscopy showed a positive correlation with VD at FAZP (r=0.474, p=0.008), DCP (r=0.414, p=0.023), and foveal CC (r=0.482, p=0.007) and there was also a correlation between CC and both DLco (r=0.467, p=0.009) and FVC/DLco (r=-0.436, p=0.004).ConclusionThe SSc patients in our cohort showed lower ocular vessel density at different levels compared to HC. Furthermore, impaired VD at different levels of the eye correlates with the organ involvement and the degree of digital and pulmonary microvascular impairment. According to those data, the OCTA could be proposed as a biomarker tool to investigate the microvascular abnormalities in SSc.Disclosure of InterestsNone declared
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Peretto G, Casella M, Merlo M, Benedetti S, Cappelletto C, Rizzo S, Dello Russo A, Casari G, Basso C, Sala S, Sinagra G, Cooper LT, Della Bella P. Prognostic role of myocardial inflammation in patients with undefined left ventricular arrhythmogenic cardiomyopathy. Europace 2022. [DOI: 10.1093/europace/euac053.545] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Abstract
Abstract
Funding Acknowledgements
Type of funding sources: None.
Background
Etiology identification and risk stratification represent major issues for patients presenting with undefined left ventricular arrhythmogenic cardiomyopathy (ULVACM).
Purpose
To investigate the role of genetics and histology for ULVACM classification, management, and risk assessment.
Methods
We retrospectively analyzed a multicenter cohort of patients (screened n=1037) with ULVACM defined by ventricular arrhythmia (VA) onset, nonischemic late gadolinium enhancement (LGE) limited to the LV, and no severe dilated cardiomyopathy (LVEF≥40%). We selected patients undergoing both next generation sequencing (NGS) screening and endomyocardial biopsy (EMB) for etiology definition. When feasible, immunosuppressive therapy (IST) was used to target active myocardial inflammation (AMI). The study endpoint was a composite of cardiac death, heart transplantation and malignant VAs (VT, VF, appropriate ICD treatment).
Results
The study cohort is composed by 135 ULVACM patients (age 43±14 years, 63% males, LVEF 55±7 %). NGS identified pathogenic or likely-pathogenic variants (PVs/LPVs) consistent with ACM in 21 cases (16%), whereas EMB showed AMI in 78 patients (58%), including 13/21 PVs/LPVs+ (62%). After reclassification of 86 patients (64%), only 49 (36%) remained ULVACM. IST was started in 41/78 AMI patients (53%), including 9/13 PVs/LPVs+ (69%). Twenty patients (15%) met the study endpoint by 12 months, and 36 (27%) by the end of the study (60±27 months). Beyond malignant VT onset, AMI was the only predictor of events by 12 months (HR 5.0, 95%CI 1.4-18.1, p=0.007). No prognostic role was found for PVs/LPVs, except for the subgroup (n=77) with nonsustained VT onset. Among AMI patients, those treated by IST had a significantly lower occurrence of events, both by 12-months (1/41 vs. 16/37, p<0.001) and later (HR 0.05, 95%CI 0.01-0.21, p<0.001). Results were independently confirmed in PVs/LPVs+ and PVs/LPVs- cases. Excluding the IST population, the association of multiple factors among VT onset, PVs/LPVs, and AMI, resulted in an improved discrimination of arrhythmic risk profiles.
Conclusion
The combined genetic and histological workup allowed reclassification of up to 64% ULVACM patients, and substantially contributed into prognostic assessment. Furthermore, EMB identified suitable candidates for IST, who showed better outcomes irrespectively of their genotype.
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Affiliation(s)
| | - M Casella
- Riuniti Hospital of Ancona, Ancona, Italy
| | - M Merlo
- Cardiovascular Center A.S.S. 1 of Trieste, Trieste, Italy
| | | | - C Cappelletto
- Cardiovascular Center A.S.S. 1 of Trieste, Trieste, Italy
| | - S Rizzo
- University Hospital of Padova, Padua, Italy
| | | | - G Casari
- San Raffaele Hospital, Milan, Italy
| | - C Basso
- University Hospital of Padova, Padua, Italy
| | - S Sala
- San Raffaele Hospital, Milan, Italy
| | - G Sinagra
- Cardiovascular Center A.S.S. 1 of Trieste, Trieste, Italy
| | - LT Cooper
- Mayo Clinic, Jacksonville, United States of America
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Armstrong SM, Basso C, Bendeck M, Berthiaume J, Bonafiglia QA, Buja LM, Butany J, d’Amati G, Fishbein GA, Fishbein MC, Giordano C, Gotlieb AI, Hammers J, Hoit B, Jensen B, Kirk J, Lai CK, Lau RP, Lelenwa L, Lyon R, Maleszewski JJ, McDonald M, McManus B, Michaud K, Mitchell RN, Mori M, Nair V, Ottaviani G, Ranek M, Rao V, Rizzo S, Rodriguez ER, Romero ME, Sakamoto A, Sampson B, Santos-Martins C, Sato Y, Schoen FJ, Segura A, Seidman MA, Seki A, Sheikh F, Singaravel S, Stone JR, Stram M, Tan CD, Thavendiranathan P, Thiene G, Tolend M, Vaideeswar P, Veinot JP, Virmani R, Wang J, Willis M, Zhao B. List of contributors. Cardiovasc Pathol 2022. [DOI: 10.1016/b978-0-12-822224-9.00029-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/30/2022] Open
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Rinaldi L, De Angelis S, Raimondi S, Origgi D, Rizzo S, Fanciullo C, Rampinelli C, Mariani M, Lascialfari A, Bellomi M, Cremonesi M, Botta F. Reproducibility of radiomic features in CT images of NSCLC patients. Phys Med 2021. [DOI: 10.1016/s1120-1797(22)00243-5] [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] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/26/2022] Open
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Campochiaro C, Tomelleri A, Farina N, Cavalli G, De Luca G, Palmisano A, Peretto G, Esposito A, Rizzo S, Basso C, Matucci-Cerinic M, Dagna L. Myocarditis as a manifestation of Erdheim-Chester Disease: successful use of anti- IL1 and BRAF inhibitor combination therapy. Scand J Rheumatol 2021; 51:243-245. [PMID: 34788207 DOI: 10.1080/03009742.2021.1992846] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
Affiliation(s)
- C Campochiaro
- Unit of Immunology, Rheumatology, Allergy and Rare Diseases, IRCCS San Raffaele Hospital, Milan, Italy.,Vita-Salute San Raffaele University, Milan, Italy
| | - A Tomelleri
- Unit of Immunology, Rheumatology, Allergy and Rare Diseases, IRCCS San Raffaele Hospital, Milan, Italy.,Vita-Salute San Raffaele University, Milan, Italy
| | - N Farina
- Unit of Immunology, Rheumatology, Allergy and Rare Diseases, IRCCS San Raffaele Hospital, Milan, Italy.,Vita-Salute San Raffaele University, Milan, Italy
| | - G Cavalli
- Unit of Immunology, Rheumatology, Allergy and Rare Diseases, IRCCS San Raffaele Hospital, Milan, Italy.,Vita-Salute San Raffaele University, Milan, Italy
| | - G De Luca
- Unit of Immunology, Rheumatology, Allergy and Rare Diseases, IRCCS San Raffaele Hospital, Milan, Italy.,Vita-Salute San Raffaele University, Milan, Italy
| | - A Palmisano
- Vita-Salute San Raffaele University, Milan, Italy.,Department of Radiology, IRCCS San Raffaele Hospital, Milan, Italy
| | - G Peretto
- Department of Arrhythmology, IRCCS San Raffaele Hospital, Milan, Italy
| | - A Esposito
- Vita-Salute San Raffaele University, Milan, Italy.,Department of Radiology, IRCCS San Raffaele Hospital, Milan, Italy
| | - S Rizzo
- Cardiovascular Pathology Unit, Department of Cardiac, Thoracic, Vascular Sciences and Public Health, University of Padua, Padua, Italy
| | - C Basso
- Cardiovascular Pathology Unit, Department of Cardiac, Thoracic, Vascular Sciences and Public Health, University of Padua, Padua, Italy
| | - M Matucci-Cerinic
- Unit of Immunology, Rheumatology, Allergy and Rare Diseases, IRCCS San Raffaele Hospital, Milan, Italy.,Department of Experimental and Clinical Medicine, University of Florence and Division of Rheumatology Aouc, Florence, Italy
| | - L Dagna
- Unit of Immunology, Rheumatology, Allergy and Rare Diseases, IRCCS San Raffaele Hospital, Milan, Italy.,Vita-Salute San Raffaele University, Milan, Italy
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Di Bona A, Scalco A, Bariani R, Kuperwasser N, David P, Celeghin R, Della Barbera M, Pilichou K, Bauce B, Rizzo S, Thiene G, Pende M, Basso C, Mongillo M, Zaglia T. Generation and phenotyping of a novel knock-in mouse model of desmoplakin dependent arrhythmogenic cardiomyopathy. Eur Heart J 2021. [DOI: 10.1093/eurheartj/ehab724.3307] [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: 11/14/2022] Open
Abstract
Abstract
Background
Arrhythmogenic Cardiomyopathy (AC) is a genetic cardiac disorder, mainly caused by mutations in genes encoding desmosomal proteins, and accounts for most stress-related arrhythmic sudden cardiac deaths (SCD) in the young and athletes. The AC myocardium is hallmarked by cardiomyocyte (CM) death and fibro-fatty replacement, which generate a pro-arrhythmogenic substrate. Several pathogenetic factors in AC remain obscure and better understanding of the disease mechanisms is required to develop novel efficacious therapies to prevent SCD, which are sorely missing.
The lexical analogy between desmosomes and desmosomal proteins has originally biased AC research towards CMs, the paradigmatic desmosome-bearing cells in heart. However, the myocardium is composed by different cell types, many of which express desmosomal proteins, albeit in the absence of desmosomes, including CMs, sympathetic neurons, vascular cells and fibroblasts. Notably, AC mutations are transmitted at germline, and thus may manifest in all cell types expressing desmosomal proteins. This might explain why the majority of preclinical AC models, using CM specific over-expression or deletion of the disease-causing mutation, failed to fully recapitulate the human disease phenotype.
Hypothesis
On these bases, we aimed to generate a knock-in (KI) AC mouse model for comprehensively studying AC pathogenesis.
Methods
As Desmoplakin (DSP) mutations occur in a large part of the Italian AC population, we used CRISP/Cas9 to generate a KI mouse strain harboring the Serine-to-Alanine substitution of S311, the murine homolog of human S299 [Bauce et al, 2005]. We successfully obtained DSPS311A/WT KI founders, which were viable and fertile and after backcrossing for >10 generations, used to expand the new mouse strain. Mouse cardiac phenotype was characterized, at different stages (1,2,4,6,9 mo.) by functional (i.e. ECHO, telemetry-ECG, chronic exercise) and structural (i.e. EM, standard histology, confocal IF, TUNEL assay) analyses. Molecular/biochemical analyses probed the state of the main pathways involved in AC.
Results
Our analyses showed that, starting from 4 mo., DSP homozygous KI mice display contractile dysfunction, worsening during aging, and fibrotic myocardial remodelling with focal fatty lesions, accompanied by frequent arrhythmic beats, which become sustained ventricular arrhythmias upon Noradrenaline administration. Hearts showed desmosome alterations, particularly at advanced disease stages, and lateralization of cx43, which corresponded to the phenotype of human AC hearts. Heterozygous mice showed similar alterations, which only took longer to appear. Exercise accelerated disease progression and increased the incidence of SCD (DSPS311A: SCD=63%, n=11; ctrls: SCD=8%, n=12).
Conclusion
Our KI mice replicate the clinical and pathological phenotype of DSP-linked biventricular AC and are thus suited for the mechanistic study of the multicellular origin of the disease.
Funding Acknowledgement
Type of funding sources: Public grant(s) – National budget only. Main funding source(s): PRIN Miur 2015
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Affiliation(s)
- A Di Bona
- University of Padua, Department of Cardiac, Thoracic, Vascular Sciences and Public Health, Padova, Italy
| | - A Scalco
- University of Padua, Department of Cardiac, Thoracic, Vascular Sciences and Public Health, Padova, Italy
| | - R Bariani
- University of Padua, Department of Cardiac, Thoracic, Vascular Sciences and Public Health, Padova, Italy
| | - N Kuperwasser
- Institut Necker-Enfants Malades (INEM), Inserm U1151, Université Paris Descartes, Paris, France
| | - P David
- Institut Imagine, Paris, France
| | - R Celeghin
- University of Padua, Department of Cardiac, Thoracic, Vascular Sciences and Public Health, Padova, Italy
| | - M Della Barbera
- University of Padua, Department of Cardiac, Thoracic, Vascular Sciences and Public Health, Padova, Italy
| | - K Pilichou
- University of Padua, Department of Cardiac, Thoracic, Vascular Sciences and Public Health, Padova, Italy
| | - B Bauce
- University of Padua, Department of Cardiac, Thoracic, Vascular Sciences and Public Health, Padova, Italy
| | - S Rizzo
- University of Padua, Department of Cardiac, Thoracic, Vascular Sciences and Public Health, Padova, Italy
| | - G Thiene
- University of Padua, Department of Cardiac, Thoracic, Vascular Sciences and Public Health, Padova, Italy
| | - M Pende
- Institut Necker-Enfants Malades (INEM), Inserm U1151, Université Paris Descartes, Paris, France
| | - C Basso
- University of Padua, Department of Cardiac, Thoracic, Vascular Sciences and Public Health, Padova, Italy
| | - M Mongillo
- University of Padova and Venetian Institute of Molecular Medicine, Department of Biomedical Sciences, Padova, Italy
| | - T Zaglia
- University of Padova and Venetian Institute of Molecular Medicine, Department of Biomedical Sciences, Padova, Italy
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Scirocco E, Cellini F, Zamagni A, Medici F, Bellarosa C, Macchia G, Deodato F, Cilla S, Picardi V, Strigari L, Buwenge M, Rizzo S, Cammelli S, Morganti A. PO-1503 A systematic review on ultra fractionated chemoradiation. Radiother Oncol 2021. [DOI: 10.1016/s0167-8140(21)07954-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
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Gristina V, Galvano A, Castiglia M, Perez A, Barraco N, Castellana L, Insalaco L, Peri M, Iacono F, Cucinella A, Bono M, Cusenza S, Rizzo S, Bazan V, Russo A. P33.15 TMB in the First-Line Setting of NSCLC: A Systematic Review with Indirect Comparisons Between PD-1 and PD-L1 Inhibitors. J Thorac Oncol 2021. [DOI: 10.1016/j.jtho.2021.01.684] [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: 11/15/2022]
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Galvano A, Gristina V, Barraco N, Perez A, Castiglia M, La Mantia M, Cutaia S, Iacono F, Castellana L, Insalaco L, Bono M, Peri M, Madonia G, Cusenza S, Rizzo S, Bazan V, Russo A. P48.10 Chemo-Immunotherapy in the Frontline of Extensive-Stage Small Cell Lung Cancer: A Systematic Review and Indirect Comparisons. J Thorac Oncol 2021. [DOI: 10.1016/j.jtho.2021.01.880] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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Cozzupoli GM, Salgarello T, Giudiceandrea A, Rizzo S. Transient visual blurring during a sexual intercourse in a young woman with surgically corrected myopia and unrecognized pigmentary glaucoma: A rare case report. Eur J Ophthalmol 2020; 32:NP83-NP88. [PMID: 33339478 DOI: 10.1177/1120672120980689] [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: 11/16/2022]
Abstract
PURPOSE To present a rare case of unilateral visual loss episodes occurred during sexual intercourse in a young patient affected by unrecognized pigmentary glaucoma and previously undergone myopic refractive surgery. CASE DESCRIPTION The patient presented surgically flattened corneas and markedly asymmetric pigmentary glaucoma. CONCLUSIONS Previous refractive surgery, sexual intercourse, and athletic lifestyle might be risk factors for acute pigment dispersion and chronic progression of pigmentary glaucoma in young myopic patients. During their ophthalmic examination prior to refractive surgery, greater attention should be paid to detect early signs of pigmentary dispersion, and awareness of these dangerous situations should be raised in affected patients.
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Affiliation(s)
- G M Cozzupoli
- Institute of Ophthalmology, Università Cattolica del S. Cuore, Roma, Italia
| | - T Salgarello
- U.O.C. Oculistica, Fondazione Policlinico Universitario A. Gemelli IRCCS, Roma, Italia
| | - A Giudiceandrea
- Institute of Ophthalmology, Università Cattolica del S. Cuore, Roma, Italia.,U.O.C. Oculistica, Fondazione Policlinico Universitario A. Gemelli IRCCS, Roma, Italia
| | - S Rizzo
- Institute of Ophthalmology, Università Cattolica del S. Cuore, Roma, Italia.,U.O.C. Oculistica, Fondazione Policlinico Universitario A. Gemelli IRCCS, Roma, Italia
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Baritussio A, Cheng C, Fachin F, Vacirca F, Marcolongo D, Brunetti M, Seguso M, Gallo N, Tarantini G, Perazzolo Marra M, Iliceto S, Rizzo S, Basso C, Marcolongo R, Caforio A. Predictors of death, heart transplantation and relapse in clinically suspected and biopsy-proven myocarditis in the pre-immunosuppression era. Eur Heart J 2020. [DOI: 10.1093/ehjci/ehaa946.2059] [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
Myocarditis is an infectious or autoimmune inflammatory disease of the myocardium; diagnosis relies on the exclusion of an acute coronary syndrome, and is confirmed by endomyocardial biopsy (EMB). Prognosis is highly variable, outcome predictors are not well defined.
Purpose
To identify clinical, imaging and immunological predictors of death, heart transplantation (HTx) and relapse in patients with myocarditis in the pre-immunosuppression era.
Methods
From 1993 to 2012 we consecutively enrolled 466 patients (68% male, mean age 37±17 years), 216 with clinically suspected and 250 with EMB-proven myocarditis. All patients underwent coronary angiogram and transthoracic echocardiogram, 44% of patients underwent cardiac magnetic resonance (CMR). Circulating auto-antibodies were measured in patients' sera by indirect immunofluorescence. All patients were prospectively followed-up at the local Cardio-immunology outpatient clinic.
Results
After a median follow-up of 50 months (IQR 25–75), 366 patients (79%) were alive, while 42 (9%) were dead or underwent HTx; 58 were lost to follow-up. Ten-year survival free from death or HTx was overall 83%, but was lower in patients with EMB-proven myocarditis (76% vs 94% in patients with clinically suspected myocarditis, p<0.001). On univariate analysis, predictors of death and HTx were female gender (p=0.003), previous myocarditis (p=0.03), heart failure on presentation and advanced NYHA class (p<0.001, respectively), histological diagnosis of giant-cell myocarditis (p=0.002), positivity for anti-heart antibodies (AHA, p=0.04), anti-cardiac endothelial cell (AECA, p=0.002) and anti-nucleus antibodies (ANA, p=0.003). On multivariate analysis, female gender (HR 2.69, p=0.02), lower left ventricular ejection fraction on echocardiogram (p<0.001), positivity for high-titre organ-specific AHA (HR 4.1, p=0.02) and for ANA (HR 5.1, p<0.001) were independent predictors of death and HTx. Seventy-seven patients had relapsing myocarditis; on univariate analysis, young age (p<0.001), previous myocarditis (p<0.001), symptoms preceding diagnosis (p=0.004), positivity for anti-intercalated disk autoantibody (AIDA, p=0.02), and presence of diffuse late gadolinium enhancement (LGE) on CMR (p<0.001) were predictors of relapse. On multivariate analysis young age (p=0.02) and previous myocarditis (HR 8.4, p<0.001) were independent predictors of relapse. Predictors of death, HTx and relapse, respectively, did not differ when considering separately patients with EMB-proven myocarditis and those with clinically suspected myocarditis.
Conclusions
In the pre-immunosuppressive era, young age and a previous episode of myocarditis were independent predictors of relapse, female gender, left ventricular dysfunction at presentation and high-titre organ-specific AHA and ANA were independent predictors of death and HTx, suggesting that autoimmune features in myocarditis predict worse prognosis.
Funding Acknowledgement
Type of funding source: None
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Affiliation(s)
- A Baritussio
- University of Padova, Department of Cardiac, Thoracic, Vascular Sciences and Public Health, Padua, Italy
| | - C Cheng
- University of Padova, Department of Cardiac, Thoracic, Vascular Sciences and Public Health, Padua, Italy
| | - F Fachin
- University of Padova, Department of Cardiac, Thoracic, Vascular Sciences and Public Health, Padua, Italy
| | - F Vacirca
- University of Padova, Department of Cardiac, Thoracic, Vascular Sciences and Public Health, Padua, Italy
| | - D Marcolongo
- University of Padova, Department of Cardiac, Thoracic, Vascular Sciences and Public Health, Padua, Italy
| | - M Brunetti
- University of Padova, Department of Cardiac, Thoracic, Vascular Sciences and Public Health, Padua, Italy
| | - M Seguso
- University of Padova, Department of Laboratory Medicine, Padua, Italy
| | - N Gallo
- University of Padova, Department of Laboratory Medicine, Padua, Italy
| | - G Tarantini
- University of Padova, Department of Cardiac, Thoracic, Vascular Sciences and Public Health, Padua, Italy
| | - M Perazzolo Marra
- University of Padova, Department of Cardiac, Thoracic, Vascular Sciences and Public Health, Padua, Italy
| | - S Iliceto
- University of Padova, Department of Cardiac, Thoracic, Vascular Sciences and Public Health, Padua, Italy
| | - S Rizzo
- University of Padova, Cardiac Pathology, Department of Cardiac, Thoracic, Vascular Sciences and Public Health, Padua, Italy
| | - C Basso
- University of Padova, Cardiac Pathology, Department of Cardiac, Thoracic, Vascular Sciences and Public Health, Padua, Italy
| | - R Marcolongo
- University of Padova, Hematology and Clinical Immunology, Department of Medicine, Padua, Italy
| | - A.L.P Caforio
- University of Padova, Department of Cardiac, Thoracic, Vascular Sciences and Public Health, Padua, Italy
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24
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Andreini D, Conte E, Casella M, Mushtaq S, Pontone G, Dello Russo A, Nicoli F, Catto V, Vettor G, Sommariva E, Rizzo S, Basso C, Tondo C, Pepi M. Cardiac magnetic resonance features of left dominant arrhythmogenic cardiomyopathy: differential diagnosis with myocarditis. Eur Heart J 2020. [DOI: 10.1093/ehjci/ehaa946.0212] [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
Objectives
To identify potential imaging features at cardiac magnetic resonance (CMR) specific for left-dominant arrhythmogenic cardiomyopathy (LDAC) diagnosis.
Materials and methods
Between January 2011 and May 2016, we considered 36 consecutive stable patients with a recent diagnosis of significant VA and ECG morphology consistent with a LV origin, detection of potential LV arrhythmic substrate at CMR, undergoing a clinically-indicated LV endomyocardial biopsy. Exclusion criteria were history of known cardiac disease, contraindications to CMR and impaired CMR image quality. After application of these criteria, in 9 patients endomyocardial biopsy showed tissue abnormalities consistent with the diagnosis of LDAC. From the same CMR-endomyocardial biopsy registry, a second group of 9 consecutive patients with a histological diagnosis of previous myocarditis were identified.
Results
Mid-wall LGE in the interventricular septum was detected in 5 myocarditis, without findings in LDAC group (p=0.03), whereas subepicardial LGE at the level of posterolateral wall of LV was detected in 8 cases of LDAC vs. 2 cases of myocarditis (p=0.02). Fat infiltration, and particularly subepicardial posterolateral fat infiltration, was found in all LDAC patients vs. one myocarditis only (p<0.01). No differences in other CMR findings or in any clinical or echocardiographic parameters were found between patients with a biopsy consistent with LDAC vs. patients in whom biopsy suggested myocarditis.
Conclusions
In patients with significant VA and ECG morphology consistent with a LV origin, identification of morpho-functional involvement of the subepicardial layer of LV posterolateral wall at CMR (LGE, fat infiltration, wall dyskinesis) is consistent with a diagnosis of LDAC.
Funding Acknowledgement
Type of funding source: None
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Affiliation(s)
- D Andreini
- Cardiology Center Monzino IRCCS, Milan, Italy
| | - E Conte
- Cardiology Center Monzino IRCCS, Milan, Italy
| | - M Casella
- Cardiology Center Monzino IRCCS, Milan, Italy
| | - S Mushtaq
- Cardiology Center Monzino IRCCS, Milan, Italy
| | - G Pontone
- Cardiology Center Monzino IRCCS, Milan, Italy
| | | | - F Nicoli
- Cardiology Center Monzino IRCCS, Milan, Italy
| | - V Catto
- Cardiology Center Monzino IRCCS, Milan, Italy
| | - G Vettor
- Cardiology Center Monzino IRCCS, Milan, Italy
| | - E Sommariva
- Cardiology Center Monzino IRCCS, Milan, Italy
| | - S Rizzo
- University of Padova, Department of Cardiovascular Pathology, Padua, Italy
| | - C Basso
- University of Padova, Department of Cardiovascular Pathology, Padua, Italy
| | - C Tondo
- Cardiology Center Monzino IRCCS, Milan, Italy
| | - M Pepi
- Cardiology Center Monzino IRCCS, Milan, Italy
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25
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Peretto G, Sala S, De Luca G, Marcolongo R, Campochiaro C, Tresoldi M, Foppoli L, Palmisano A, Esposito A, De Cobelli F, Rizzo S, Thiene G, Basso C, Caforio A, Della Bella P. Immunosuppression and outcomes of myocarditis patients presenting with ventricular arrhythmias. Eur Heart J 2020. [DOI: 10.1093/ehjci/ehaa946.2055] [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
Effects of immunosuppressive therapy (IST) on ventricular arrhythmias (VA) have not been reported in immune-mediated biopsy-proven myocarditis patients. Furthermore, myocarditis arrhythmic risk is still unpredictable. The aim of our study was to evaluate effectiveness of IST on VA in myocarditis patients, and stratify their arrhythmic risk, using clinical and diagnostic features, including serum organ-specific anti-heart (AHA) and antiintercalated-disk autoantibodies (AIDA).
Methods
From a cohort of 498 consecutive patients, we enrolled 255 cases with biopsy-proven virus-negative myocarditis and evidence of VA (VF, VT, NSVT, and Lown's grade ≥2 PVC) at index hospitalization. Serum AHA and AIDA were detected by a standardised indirect immunofluorescence technique. Whenever accepted and non-contraindicated, IST was started. Controls (IST-) were chosen after 1:1 matching to IST+ cases by age, gender, ethnicity, left ventricular ejection fraction, VA type, and treatment. Prospective follow-up (FU), occurred at defined timepoints.
Results
58 matched patient couples (42±13 y, 67% males, 50% IST+) were analyzed in the main study cohort. Overall, 28 (24%) had VT, and 62 (53%) were discharged with ICD. IST duration was 12±1 months. No patients died and no serious complications from IST occurred. By 24-month FU, major VA occurred in 6 IST+ vs. 10 IST- patients (p=0.420), with no cases of VT following IST termination. As compared to IST- ones, IST+ patients showed a significant reduction in NSVT and PVC burden, as well as an improvement in clinical, laboratory and imaging findings (all p<0.05). Major VA onset and positive AIDA status were independently associated with major VA at FU (HR 14.2, 95% CI 2.9–68.7, and 8.0, 95% CI 2.6–25.2, respectively, both p<0.001). Furthermore, in the whole study population (N=255), IST played as an independent protective factor from major VA (HR 0.3, 95% CI 0.2–0.7, p=0.005) at 38±21 months FU.
Conclusions
In immune-mediated virus-negative myocarditis patients presenting with VA, IST is feasible and effective on NSVT and PVC burden, as well as on structural, laboratory and imaging endpoints. Short-term effects are limited on major VA, which were independently associated with major arrhythmic onset and positive AIDA, in keeping with the proposed etiopathogenetic involvement of autoimmunity in virus-negative myocarditis.
Funding Acknowledgement
Type of funding source: None
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Affiliation(s)
| | - S Sala
- San Raffaele Hospital, Milan, Italy
| | | | | | | | | | | | | | | | | | - S Rizzo
- University Hospital of Padova, Padua, Italy
| | - G Thiene
- University Hospital of Padova, Padua, Italy
| | - C Basso
- University Hospital of Padova, Padua, Italy
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26
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Vitale V, Meani F, Manganiello M, Catanese C, Del Grande F, Rizzo S. Communication of biopsy results: A breast radiologist task? Eur J Cancer 2020. [DOI: 10.1016/s0959-8049(20)30799-1] [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: 11/17/2022]
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27
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Affiliation(s)
- Giuseppe Pascarella
- Unit of Anesthesia, Intensive Care and Pain Management, Department of Medicine, Campus Bio-Medico University, Rome, Italy -
| | - Fabio Costa
- Unit of Anesthesia, Intensive Care and Pain Management, Department of Medicine, Campus Bio-Medico University, Rome, Italy
| | - Stefano Rizzo
- Unit of Anesthesia, Intensive Care and Pain Management, Department of Medicine, Campus Bio-Medico University, Rome, Italy
| | - Romualdo Del Buono
- Department of Anesthesia, Intensive Care and Pain Management, Humanitas Mater Domini, Castellanza, Varese, Italy
| | - Felice E Agrò
- Unit of Anesthesia, Intensive Care and Pain Management, Department of Medicine, Campus Bio-Medico University, Rome, Italy
| | - Massimiliano Carassiti
- Unit of Anesthesia, Intensive Care and Pain Management, Department of Medicine, Campus Bio-Medico University, Rome, Italy
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28
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Fülöp A, Bausbacher T, Rizzo S, Zhou Q, Gillandt H, Hopf C, Rittner M. New Derivatization Reagent for Detection of free Thiol-groups in Metabolites and Proteins in Matrix-Assisted Laser Desorption/Ionization Mass Spectrometry Imaging. Anal Chem 2020; 92:6224-6228. [PMID: 32233426 DOI: 10.1021/acs.analchem.9b05630] [Citation(s) in RCA: 15] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/12/2022]
Abstract
Several diseases are associated with disturbed redox signaling and altered metabolism of sulfur-containing metabolites and proteins. Importantly, oxidative degradation of fresh-frozen tissues begins within the normal time scale of MALDI MSI sample preparation. As a result, analytical methods that preserve the redox state of the tissue are urgently needed for refined studies of the underlying mechanisms. Nevertheless, no derivatization strategy for free sulfhydryl groups in tissue is known for MALDI MSI. Here, we report the first derivatization reagent, (E)-2-cyano-N-(2-(2,5-dioxo-2,5-dihydro-1H-pyrrol-1-yl)ethyl)-3-(4-hydroxyphenyl)acrylamide (CHC-Mal), for selective detection of free thiols using MALDI MSI. We performed in situ derivatization of free thiol groups from thiol-containing metabolites such as glutathione and cysteine and reduced proteins such as insulin and imaged their spatial distribution in porcine and mouse xenograft tissue. Derivatization of thiol-containing metabolites with CHC-Mal for MALDI MSI was also possible when using aged tissue in the presence of excess reducing agents. Importantly, CHC-Mal-derivatized low mass-metabolites could be detected without the use of a conventional MALDI matrix.
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Affiliation(s)
- Annabelle Fülöp
- Center for Mass Spectrometry and Optical Spectroscopy (CeMOS), Mannheim University of Applied Sciences, Paul-Wittsack-Str. 10, 68163 Mannheim, Germany
| | - Tobias Bausbacher
- Center for Mass Spectrometry and Optical Spectroscopy (CeMOS), Mannheim University of Applied Sciences, Paul-Wittsack-Str. 10, 68163 Mannheim, Germany
| | - Stefano Rizzo
- Sirius Fine Chemicals SiChem GmbH, Fahrenheitstr. 1, 28359 Bremen, Germany
| | - Qiuqin Zhou
- Center for Mass Spectrometry and Optical Spectroscopy (CeMOS), Mannheim University of Applied Sciences, Paul-Wittsack-Str. 10, 68163 Mannheim, Germany
| | - Hartmut Gillandt
- Sirius Fine Chemicals SiChem GmbH, Fahrenheitstr. 1, 28359 Bremen, Germany
| | - Carsten Hopf
- Center for Mass Spectrometry and Optical Spectroscopy (CeMOS), Mannheim University of Applied Sciences, Paul-Wittsack-Str. 10, 68163 Mannheim, Germany
| | - Miriam Rittner
- Sirius Fine Chemicals SiChem GmbH, Fahrenheitstr. 1, 28359 Bremen, Germany
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29
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Rizzo S, Imperato P, Mora-Cárdenas E, Konstantinidou S, Marcello A, Sblattero D. Selection and characterization of highly specific recombinant antibodies against West Nile Virus E protein. J Biotechnol 2020; 311:35-43. [DOI: 10.1016/j.jbiotec.2020.02.004] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/08/2019] [Revised: 02/07/2020] [Accepted: 02/08/2020] [Indexed: 12/12/2022]
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30
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Farlay D, Bala Y, Rizzo S, Bare S, Lappe JM, Recker R, Boivin G. Bone remodeling and bone matrix quality before and after menopause in healthy women. Bone 2019; 128:115030. [PMID: 31404670 DOI: 10.1016/j.bone.2019.08.003] [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] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/24/2019] [Revised: 07/18/2019] [Accepted: 08/03/2019] [Indexed: 01/23/2023]
Abstract
Acceleration of remodeling activity after menopause leads to bone loss and fragility, however, whether this is associated with modifications of bone matrix quality has been less studied. The impact of variation in bone remodeling rate on bone matrix has been studied mainly in pathologies or anti-osteoporotic treatments. However, in healthy women this has been less studied. We analyzed, at the global level, bone matrix quality in bone biopsies from 3 groups of healthy women (20 per group): 1) before menopause (PreM), 2) 1 year after menopause (PostM, paired biopsies with preM), and 3) 14 (±9) years after menopause (LT-PostM). The mean degree of mineralization (DMB) and heterogeneity index (HI) of mineralization were assessed by X-ray microradiography on whole bone matrix; intrinsic properties (mineral/organic ratio, mineral maturity, mineral crystallinity, collagen maturity) were assessed by Fourier Transform Infrared microspectroscopy, microhardness by microindentation, both at a global level and calculated by mean of several measurements over the whole tissue area. In PostM compared to PreM (bone remodeling rate had doubled), mean DMB measured on the entire bone plane (whole bone matrix) of the sample was not different. HI was increased in trabecular bone indicating a higher heterogeneity of mineralization. However, in PostM, mineral/organic ratio (trabecular) and microhardness (cortical and trabecular) were decreased, whereas mineral/collagen maturation or crystal size/perfection were unchanged. Thus, in PostM, the local mineral content and microhardness were first affected. In LT-PostM (bone remodeling rate was 3 times higher), the mean DMB was still not different. However, the mineral/organic ratio, microhardness, mineral maturity, crystallinity all were lower compared to PreM and PostM, in both cortical and trabecular bone. Bone remodeling rate was negatively correlated with microhardness, DMB, mineral/organic and crystallinity. This suggests that increases in bone remodeling rates after menopause have a direct impact on bone quality by inducing the formation of more extensive "immature" bone areas, but the amount of immature bone does not cause modification of the global DMB.
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Affiliation(s)
- D Farlay
- INSERM, Université de Lyon, UMR 1033, F-69008 Lyon, France.
| | - Y Bala
- INSERM, Université de Lyon, UMR 1033, F-69008 Lyon, France
| | - S Rizzo
- INSERM, Université de Lyon, UMR 1033, F-69008 Lyon, France
| | - S Bare
- Osteoporosis Research Center, School of Medicine, Creighton University, Omaha, NE, USA
| | - J M Lappe
- Osteoporosis Research Center, School of Medicine, Creighton University, Omaha, NE, USA
| | - R Recker
- Osteoporosis Research Center, School of Medicine, Creighton University, Omaha, NE, USA
| | - G Boivin
- INSERM, Université de Lyon, UMR 1033, F-69008 Lyon, France
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31
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Peretto G, Caforio ALP, Marcolongo R, Rizzo S, Thiene G, Basso C, Della Bella P, Sala S. P5557Cardiac autoantibodies and ventricular arrhythmias in patients with biopsy-proved myocarditis. Eur Heart J 2019. [DOI: 10.1093/eurheartj/ehz746.0501] [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
Background
Cardiac autoandibodies have been associated with dilatative cardiomyopathy in subjects with inflammatory heart disease. However, their association with ventricular arrhythmias (VA) in patients with autoimmune myocardits has never been investigated so far.
Purpose
To evaluate the association between cardiac autoantibodies and both baseline and FU VA in patients with a de novo diagnosis of biopsy-proved autoimmune myocarditis.
Methods
We enrolled 44 consecutive patients (59% males, mean age 44±13y, mean LVEF 50±10%) presenting with symptomatic VA (VF, VT, NSVT, >1ehz746.0501 PVC/24h) and a de novo diagnosis of biopsy-proved autoimmune myocarditis according to the ESC criteria. Serum anti-heart (AHA) and anti-intercalated disk (AIDA) autoantibodies were assessed at a referral center at the time of the index hospitalization. Complete baseline data, including ECG, arrhythmia telemonitoring, echocardiogram, cardiac magnetic resonance (CMR) and blood biomarkers (T-troponin, NT-proBNP) were collected. The endpoint of the study was the occurrence of major VA (VT, VF, appropriate ICD shocks) at 5y FU, as assessed by 2/y Holter ECG monitoring and (when applicable) ICD interrogation.
Results
At baseline evaluation, 24 (55%) and 23 patients (52%) were AHA+ and AIDA+, respectively. Clinical onset with major VA was documented in 24 patients (55%): 9 AHA+ vs. 15 AHA- (p=0.017) and 13 AIDA+ vs. 11 AIDA- (p=0.547). At presentation, no significant differences were found between AHA+ vs. AHA- and AIDA+ vs. AIDA- patients in LVEDV, LVEF, T-troponin and NT-proBNP values (all p=n.s.). Positive (2/3) Lake Louise criteria at CMR were found in 33 patients (75%; p=n.s. among different subgroups). Before discharge, 27 subjects (61%) underwent ICD implant. Optimal medical treatment was started in all of the cases, with no significant differences in betablockers, antiarrhythmic drugs and immunsuppressive therapy, among different subgroups (all p=n.s.). Overall, 10 patients (23%) experienced major VA by 5y FU: 3 AHA+ vs. 7 AHA- (p=0.147) and 9 AIDA+ vs. 1 AIDA- (p=0.013). In particular, 18 events were documented (range 1–3 episodes per patient at 2.2±1.7 y mean FU), including 3 VT episodes and 15 appropriate ICD shocks. Taking together baseline and FU data, multiple (>1) major VA episodes occurred in 8 patients: 3 AHA+ vs. 5 AHA- (p=0.436) and 8 AIDA+ vs. 0 AIDA- (p=0.005). Of note, 3/3 AHA+ patients with multiple major VA espisodes were also AIDA+ (double positivity).
Conclusion
In biopsy-proved autoimmune myocarditis presenting with VA, major VA occurrence by 5y FU, as well as arrhythmias recurrences, are more common among AIDA+ patients. By converse, none of the isolated AHA+ cases experienced multiple episodes of major VA. These findings may suggest distinct pathophysiological mechanisms involving the different molecular targets of cardiac autoimmunity.
Acknowledgement/Funding
None
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Affiliation(s)
| | - A L P Caforio
- University Hospital of Padova, Department of Clinical Cardiology, Padua, Italy
| | - R Marcolongo
- University Hospital of Padova, Department of Clinical Immunology, Padua, Italy
| | - S Rizzo
- University Hospital of Padova, Department of Cardiovascular Pathology, Padua, Italy
| | - G Thiene
- University Hospital of Padova, Department of Cardiovascular Pathology, Padua, Italy
| | - C Basso
- University Hospital of Padova, Department of Cardiovascular Pathology, Padua, Italy
| | - P Della Bella
- San Raffaele Hospital of Milan (IRCCS), Department of Arrhythmology and Cardiac Electrophysiology, Milan, Italy
| | - S Sala
- San Raffaele Hospital of Milan (IRCCS), Department of Arrhythmology and Cardiac Electrophysiology, Milan, Italy
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32
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Beffagna G, Della Barbera M, Pilichou K, Giuliodori A, Facchinello N, Vettori A, Cason M, Rizzo S, Argenton F, Thiene G, Tiso N, Basso C. P3828Zebrafish models for arrhythmogenic cardiomyopathy type 8: a starting platform for exercise stress test and drug treatment. Eur Heart J 2019. [DOI: 10.1093/eurheartj/ehz745.0670] [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
Arrhythmogenic Cardiomyopathy (AC) is an inherited heart disease characterized by progressive substitution of the myocardium with fibro-fatty tissue, leading to electrical instability and high risk of sudden death, particularly in young subjects and athletes. In recent years, our laboratory has produced zebrafish (zf) mutant lines modelling AC type 8, an AC form linked to mutations in the junctional protein Desmoplakin (Dsp). Mutations in the DSP gene have been identified in both dominant and recessive AC cases, characterized by left-dominant and biventricular forms of the disease. Sports medicine has highlighted that they are the most dangerous forms, being less easily identifiable by ECG.
Purpose
Taking advantage of our zf Dsp mutant lines, we aim to fully characterize the pathological phenotype, analyze the perturbation of cell communication pathways, evaluate the role of the physical exercise, and test the efficacy of candidate drugs.
Methods
Among our zf lines we have identified double mutant animals, bearing both zf dspa and dspb mutations in heterozygous condition, as the best model able to recapitulate the human AC phenotype. This model underwent physical stress tests in the presence/absence of candidate drug treatment. Phenotyping included heart rhythm measurement, gene expression analysis using Real Time PCR and signaling pathway transgenes, immune-histochemistry, whole-mount in situ hybridization, standard histology and ultrastructural TEM analysis.
Results
Preliminary results from mutant phenotyping indicate alterations in heart rate, sudden cardiac death, structural alterations of the myocardium associated with junctional disorganization and, in parallel, dysregulation of Wnt, Hippo and TGFbeta pathways. Specifically, Dsp mutant animals can range from an 8% decrease to a 14% increase of heart rhythm compared to the physiological range (120–140 beats per minute in zf larvae). At the adult stage, about 1% of the fish mutant population dies suddenly. The histological examination shows a 50% reduction of the myocardial cell mass, in parallel with a 50% decrease of Dsp signal, detected by TEM, associated with the so-called “pale desmosome” phenotype. Signaling dysregulation includes an 80% loss of Wnt/Beta-catenin, a 300% increase of TGFbeta and a 500% increase of Hippo/YAP-TAZ signaling in the cardiac tissue. Physical stress tests and pathway-directed drug treatment have clarified that these factors can modulate the pathological phenotype, as preliminarily evidenced by the rescue of Wnt signal decrease to normal levels through SB216763 treatment of Dsp-deficient individuals at rest.
Conclusion
Preliminary evidences corroborate the zf organism as a suitable model for AC cellular and molecular phenotyping, exploitable for the dissection of the genetic events leading to the onset and progression of the disease, and applicable to the analysis of chemical and mechanical modulators of AC-associated features.
Acknowledgement/Funding
Cariparo 2017 SHoCD; TRANSAC; CPDA133979/13; RP-2014-ehz745.06700394
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Affiliation(s)
- G Beffagna
- University of Padova, Department of Cardio–Thoraco–Vascular Sciences and Public Health, Padua, Italy
| | - M Della Barbera
- University of Padova, Department of Cardio–Thoraco–Vascular Sciences and Public Health, Padua, Italy
| | - K Pilichou
- University of Padova, Department of Cardio–Thoraco–Vascular Sciences and Public Health, Padua, Italy
| | - A Giuliodori
- University of Padova, Department of Cardio–Thoraco–Vascular Sciences and Public Health, Padua, Italy
| | - N Facchinello
- University of Padova, Department of Biology, Padua, Italy
| | - A Vettori
- University of Padova, Department of Biology, Padua, Italy
| | - M Cason
- University of Padova, Department of Cardio–Thoraco–Vascular Sciences and Public Health, Padua, Italy
| | - S Rizzo
- University of Padova, Department of Cardio–Thoraco–Vascular Sciences and Public Health, Padua, Italy
| | - F Argenton
- University of Padova, Department of Biology, Padua, Italy
| | - G Thiene
- University of Padova, Department of Cardio–Thoraco–Vascular Sciences and Public Health, Padua, Italy
| | - N Tiso
- University of Padova, Department of Biology, Padua, Italy
| | - C Basso
- University of Padova, Department of Cardio–Thoraco–Vascular Sciences and Public Health, Padua, Italy
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Peretto G, Sala S, Gigli L, Rizzo S, Palmisano A, Esposito A, Thiene G, Basso C, Della Bella P. P5695Catheter ablation of ventricular tachycardia in patients with acute vs. previous myocarditis. Eur Heart J 2019. [DOI: 10.1093/eurheartj/ehz746.0637] [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
Ventricular tachycardias (VT) may occur late after myocarditis, as well as in the acute inflammatory phase of the disease. However, the role of catheter ablation (CA) in preventing VT recurrences in patients with acute (AM) vs. previous myocarditis (PM) has never been investigated so far.
Purpose
To evaluate the results of CA performed in patients presenting with VA and biopsy-proved myocarditis at different inflammatory stages.
Methods
We enrolled 46 consecutive patients (74% males, mean age 43±12y, mean LVEF 46±9%) with myocarditis and VT at index hospitalization. Based on endomyocardial biopsy and cardiac magnetic resonance (CMR) results, the patients were divided into AM and PM groups: in AM group, myocarditis was biopsy-proved, according to the ESC criteria; PM patients had a history of biopsy-proved myocarditis more than 12 months before, with no current signs of active inflammation (negative biopsy according to the ESC criteria; nonischaemic LGE at CMR with negative Lake-Louise criteria; absence of unexplained troponin abnormalities). ICD were implanted upon clinical indications. All of the patients underwent electroanatomical mapping (EAM) and VT CA. During 3 (2.5–3.5)y FU, VT recurrences were evaluated by 2/y Holter ECG and ICD interrogation.
Results
At baseline, 23 patients (50%) had AM, and 23 PM. Overall, 16 AM and 21 PM patients underwent ICD implant (p=n.s.). The clinical VT was monomorphic in 22 AM and 23 PM patients, respectively (p=n.s.) with a dominant right-bundle branch block with superior axis (RS) morphology in both groups (16 AM vs. 17 PM cases, p=n.s.). However, RS morphology was associated with left ventricular inferoposterior LGE at CMR in 9/16 AM vs. 17/17 PM patients (p=0.003). Similarly, inferoposterior localization of low-voltage areas at EAM was found in 11/16 AM vs. 17/17 PM patients (p=0.018). Furthermore, CMR showed a greater LGE transmural extension in AM patients (65±19%) as compared to PM ones (40±25%, p<0.001). Epicardial EAM and CA were performed in 14 AM vs. 15 PM patients, with endocardial-only approach adopted in the remaining cases (p=n.s.). VT CA was defined as successful (class A) in all of the subjets. However, during FU VT recurrences were documented in 7/23 AM vs. 0/23 PM patients (p=0.009). Four AM cases underwent redo CA late after myocarditis (1.5±0.3y after index hospitalization), with no further VT recurrences in FU.
Conclusion
In myocarditis patients presenting with VT, CA results are significantly better in PM cases as compared to AM ones. These findings are consistent with the different underlying substrate, and suggest the best role for ablation strategy after myocarditis healing.
Acknowledgement/Funding
None
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Affiliation(s)
| | - S Sala
- San Raffaele Hospital of Milan (IRCCS), Department of Arrhythmology and Cardiac Electrophysiology, Milan, Italy
| | - L Gigli
- San Raffaele Hospital of Milan (IRCCS), Department of Arrhythmology and Cardiac Electrophysiology, Milan, Italy
| | - S Rizzo
- University Hospital of Padova, Department of Cardiovascular Pathology, Padua, Italy
| | - A Palmisano
- San Raffaele Hospital of Milan (IRCCS), Department of Cardiac Magnetic Resonance, Milan, Italy
| | - A Esposito
- San Raffaele Hospital of Milan (IRCCS), Department of Cardiac Magnetic Resonance, Milan, Italy
| | - G Thiene
- University Hospital of Padova, Department of Cardiovascular Pathology, Padua, Italy
| | - C Basso
- University Hospital of Padova, Department of Cardiovascular Pathology, Padua, Italy
| | - P Della Bella
- San Raffaele Hospital of Milan (IRCCS), Department of Arrhythmology and Cardiac Electrophysiology, Milan, Italy
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Gianstefani S, Cheng CY, Baritussio A, Seguso M, Gallo N, Leoni L, Rizzo S, Perazzolo Marra M, Tarantini G, Plebani M, Basso C, Marcolongo R, Caforio ALP, Iliceto S. P5563Biopsy proven myocarditis: clinical and instrumental predictors of adverse prognosis at presentation. Eur Heart J 2019. [DOI: 10.1093/eurheartj/ehz746.0507] [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
Myocarditis is an insidious and potentially fatal illness with different clinical presentations and an unpredictable course. Prompt recognition of high risk patients is of paramount importance in preventing major adverse events.
Purpose
To identify predictors of dismal prognosis in a large cohort of patients with biopsy proven myocarditis.
Methods
Univariate analysis was used to identify predictors of death and heart transplant in a prospective cohort of 366 patients with biopsy proven myocarditis (aged 38±17, male 66%) using student's test and contingency tables as appropriate.
Results
At the time of follow up 46 patients (13%) were dead or received heart transplant (DHTX), 283 (77%) were alive (A) and 37 (10%) lost at follow up. Age at presentation was 33±20 y in DHTX v.s 39±15 in A cohort (p=0.057). Clinical features predicting adverse prognosis included female gender (p=0.002), heart failure at presentation (p=0.000), NYHA class II to IV (p=0.000). Clinical and radiographic signs of both left and right heart failure suggested worse outcome (p=0.000) as well as ongoing anticoagulation therapy (p=0.009). On ECG right (R) or left (L) axis deviation was a strong predictor of events (p=0.000). From an echocardiography perspective the presence of mild to severe mitral regurgitation (p=0.03), reduced left ventricular systolic function (FE) (p=0.000), reduced right ventricular fractional area change (FAC) (p=0.035) was strongly correlated to death or heart transplant. On cardiac catheterization the variables predicting unfavourable outcome included reduced left ventricular systolic pressure (LVSP) (p=0.000), reduced mean aortic pressure (mAP) (p=0.002), increased mean right atrial pressure (RAP) (p=0.001), FE on angiography (p=0.000). On cardiac biopsy (Bx) negative predictors were giant cell histology type (p=0.000) and PCR positive for viral genome (p=0.02) particularly for parvovirus B19 (p=0.04), adenovirus (p=0.04), and Epstein Barr virus (EBV) (p=0.03). See Tab 1
Table 1
Conclusion
Female gender, HF like presentation, reduced LV and RV systolic function, R or L axis deviation on ECG, presence of viral PCR or giant cell histology on Bx, reduced LVSP and mAP; increased RAP may be useful parameters to identify high risk patients on presentation. This may increase clinical efforts and surveillance in this subgroup in order to reduce the incidence of major adverse events.
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Affiliation(s)
- S Gianstefani
- University of Padova, Dept of Cardiac Thoracic and Vascular Sciences, Padua, Italy
| | - C Y Cheng
- University of Padova, Dept of Cardiac Thoracic and Vascular Sciences, Padua, Italy
| | - A Baritussio
- University of Padova, Dept of Cardiac Thoracic and Vascular Sciences, Padua, Italy
| | - M Seguso
- University of Padova, Department of Laboratory Medicine, Padua, Italy
| | - N Gallo
- University of Padova, Department of Laboratory Medicine, Padua, Italy
| | - L Leoni
- University of Padova, Dept of Cardiac Thoracic and Vascular Sciences, Padua, Italy
| | - S Rizzo
- University of Padova, Cardiovascular Pathology, Department of Cardiac, Thoracic and Vascular Sciences, Padua, Italy
| | - M Perazzolo Marra
- University of Padova, Dept of Cardiac Thoracic and Vascular Sciences, Padua, Italy
| | - G Tarantini
- University of Padova, Dept of Cardiac Thoracic and Vascular Sciences, Padua, Italy
| | - M Plebani
- University of Padova, Department of Laboratory Medicine, Padua, Italy
| | - C Basso
- University of Padova, Cardiovascular Pathology, Department of Cardiac, Thoracic and Vascular Sciences, Padua, Italy
| | - R Marcolongo
- University of Padova, Haematology and Clinical Immunology, Department of Medicine, Padua, Italy
| | - A L P Caforio
- University of Padova, Dept of Cardiac Thoracic and Vascular Sciences, Padua, Italy
| | - S Iliceto
- University of Padova, Dept of Cardiac Thoracic and Vascular Sciences, Padua, Italy
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Caforio A, Marcolongo R, Cheng CY, Gianstefani S, Baritussio A, Seguso M, Gallo N, Leoni L, Rizzo S, Perazzolo Marra M, Tarantini GP, Plebani M, Basso CY, Iliceto S. P4651Biopsy-proven myocarditis: independent predictors of dismal prognosis, relapse and role of immunosuppressive therapy. Eur Heart J 2019. [DOI: 10.1093/eurheartj/ehz745.1033] [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
Biopsy-proven myocarditis may be infectious or autoimmune. Risk stratification in biopsy-proven myocarditis and the role of immunosuppressive therapy in autoimmune forms have not been completely defined.
Purpose
To identify clinical, instrumental and immunological predictors of death, cardiac transplantation and relapse in a prospective cohort of 314 biopsy-proven myocarditis patients, and describe the effect of immunosuppressive treatment on secondary outcome measures, e.g. left ventricular ejection fraction (LVEF), in a subgroup of 45 consecutive patients with biopsy-proven autoimmune myocarditis diagnosed in our Cardiology Clinic.
Methods
Univariate and multivariate Cox regression analysis were used to identify predictors of death, heart transplant, and relapse in a cohort of 314 patients with biopsy-proven myocarditis (male 75%, median age 37). Actuarial survival free from death or transplant was calculated by the Kaplan-Meier method.
Results
Actuarial survival free from death or heart transplantation was 83% at 5 years. Among the clinical, instrumental and immunological features at diagnosis, independent predictors of death or heart transplantation by multivariable analysis were a lower transthoracic echocardiographic biplane LVEF% (p=0.001) and high serum titre for anti-nucler (ANA) and anti-cardiac endothelial cell autoantibodies (AECA). The only independent predictor of relapse was previous history of myocarditis. Immunosuppressive therapy was associated with a significantly favorable effect on LVEF (LVEF pre-therapy 37% (26; 50 interquartile range) vs. LVEF post-therapy 59% (48; 65 interquartile range), respectively, p=0.000).
Conclusions
In biopsy-proven myocarditis left ventricular dysfunction at diagnosis and autoimmune pathogenesis are associated with dismal prognosis, immunosuppressive therapy with improved LVEF in autoimmune patients.
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Affiliation(s)
- A Caforio
- Cardiology,Dept Cardiological Thoracic and Vascular Sciences, Padua University, Padova, Italy
| | - R Marcolongo
- University of Padova, Hematology and Clinical Immunology, Department of Medicine, Padua, Italy
| | - C Y Cheng
- Cardiology,Dept Cardiological Thoracic and Vascular Sciences, Padua University, Padova, Italy
| | - S Gianstefani
- Cardiology,Dept Cardiological Thoracic and Vascular Sciences, Padua University, Padova, Italy
| | - A Baritussio
- Cardiology,Dept Cardiological Thoracic and Vascular Sciences, Padua University, Padova, Italy
| | - M Seguso
- University of Padova, Department of Laboratory Medicine, Padua, Italy
| | - N Gallo
- University of Padova, Department of Laboratory Medicine, Padua, Italy
| | - L Leoni
- Cardiology,Dept Cardiological Thoracic and Vascular Sciences, Padua University, Padova, Italy
| | - S Rizzo
- University of Padova, Cardiac pathology, Dept Cardiological Thoracic and Vascular Sciences, Padua, Italy
| | - M Perazzolo Marra
- Cardiology,Dept Cardiological Thoracic and Vascular Sciences, Padua University, Padova, Italy
| | - G P Tarantini
- Cardiology,Dept Cardiological Thoracic and Vascular Sciences, Padua University, Padova, Italy
| | - M Plebani
- University of Padova, Department of Laboratory Medicine, Padua, Italy
| | - C Y Basso
- University of Padova, Cardiac pathology, Dept Cardiological Thoracic and Vascular Sciences, Padua, Italy
| | - S Iliceto
- Cardiology,Dept Cardiological Thoracic and Vascular Sciences, Padua University, Padova, Italy
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Carrer A, Cipriani A, Rizzo S, Giorgi B, Lacognata C, Cacciavillani L, Tarantini G, Basso C, Iliceto S, Perazzolo Marra M. 351Cannabinoids-induced toxic myocarditis underlying apical ballooning syndrome: a case proven by combined cardiac magnetic resonance and endomyocardial biopsy. Eur Heart J Cardiovasc Imaging 2019. [DOI: 10.1093/ehjci/jez126.001] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
Affiliation(s)
- A Carrer
- University of Padova, Department of Cardiac, Thoracic, Vascular Sciences and Public Health, Padua, Italy
| | - A Cipriani
- University of Padova, Department of Cardiac, Thoracic, Vascular Sciences and Public Health, Padua, Italy
| | - S Rizzo
- University of Padova, Department of Cardiac, Thoracic, Vascular Sciences and Public Health, Padua, Italy
| | - B Giorgi
- University of Padova, Department of Medicine, Padua, Italy
| | | | - L Cacciavillani
- University of Padova, Department of Cardiac, Thoracic, Vascular Sciences and Public Health, Padua, Italy
| | - G Tarantini
- University of Padova, Department of Cardiac, Thoracic, Vascular Sciences and Public Health, Padua, Italy
| | - C Basso
- University of Padova, Department of Cardiac, Thoracic, Vascular Sciences and Public Health, Padua, Italy
| | - S Iliceto
- University of Padova, Department of Cardiac, Thoracic, Vascular Sciences and Public Health, Padua, Italy
| | - M Perazzolo Marra
- University of Padova, Department of Cardiac, Thoracic, Vascular Sciences and Public Health, Padua, Italy
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Botta F, Origgi D, Raimondi S, De Marco P, Pesenti A, Rizzo S. 306 Correlation between radiomic features extracted from CT images of non small cells lung cancer (NSCLC) and lymph node status: Preliminary results. Phys Med 2018. [DOI: 10.1016/j.ejmp.2018.04.315] [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: 10/27/2022] Open
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Perin A, Galbiati TF, Gambatesa E, Ayadi R, Orena EF, Cuomo V, Riker NI, Falsitta LV, Schembari S, Rizzo S, Luciano C, Cappabianca P, Meling TR, Schaller K, DiMeco F. Filling the gap between the OR and virtual simulation: a European study on a basic neurosurgical procedure. Acta Neurochir (Wien) 2018; 160:2087-2097. [PMID: 30276545 DOI: 10.1007/s00701-018-3676-8] [Citation(s) in RCA: 15] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/31/2018] [Accepted: 09/12/2018] [Indexed: 01/04/2023]
Abstract
BACKGROUND Currently available simulators are supposed to allow young neurosurgeons to hone their technical skills in a safe environment, without causing any unnecessary harm to their patients caused by their inexperience. For this training method to be largely accepted in neurosurgery, it is necessary to prove simulation efficacy by means of large-scale clinical validation studies. METHODS We correlated and analysed the performance at a simulator and the actual operative skills of different neurosurgeons (construct validity). We conducted a study involving 92 residents and attending neurosurgeons from different European Centres; each participant had to perform a virtual task, namely the placement of an external ventricular drain (EVD) at a neurosurgical simulator (ImmersiveTouch). The number of attempts needed to reach the ventricles and the accuracy in positioning the catheter were assessed. RESULTS Data suggests a positive correlation between subjects who placed more EVDs in the previous year and those who get better scores at the simulator (p = .008) (fewer attempts and better surgical accuracy). The number of attempts to reach the ventricle was also analysed; senior residents needed fewer attempts (mean = 2.26; SD = 1.11) than junior residents (mean = 3.12; SD = 1.05) (p = .007) and staff neurosurgeons (mean = 2.89, SD = 1.23). Scoring results were compared by using the Fisher's test, for the analysis of the variances, and the Student's T test. Surprisingly, having a wider surgical experience overall does not correlate with the best performance at the simulator. CONCLUSION The performance of an EVD placement on a simulator correlates with the density of the neurosurgical experience for that specific task performed in the OR, suggesting that simulators are able to differentiate neurosurgeons according to their surgical ability. Namely this suggests that the simulation performance reflects the surgeons' consistency in placing EVDs in the last year.
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Affiliation(s)
- Alessandro Perin
- Neurosurgery Department, Fondazione IRCCS Istituto Neurologico Nazionale "C. Besta", via Celoria 11, 20133, Milan, Italy.
- Besta NeuroSim Center, Fondazione IRCCS Istituto Neurologico Nazionale "C. Besta", Milan, Italy.
- Department of Life Sciences, University of Trieste, Trieste, Italy.
| | - Tommaso Francesco Galbiati
- Neurosurgery Department, Fondazione IRCCS Istituto Neurologico Nazionale "C. Besta", via Celoria 11, 20133, Milan, Italy
- Besta NeuroSim Center, Fondazione IRCCS Istituto Neurologico Nazionale "C. Besta", Milan, Italy
| | - Enrico Gambatesa
- Neurosurgery Department, Fondazione IRCCS Istituto Neurologico Nazionale "C. Besta", via Celoria 11, 20133, Milan, Italy
- Besta NeuroSim Center, Fondazione IRCCS Istituto Neurologico Nazionale "C. Besta", Milan, Italy
| | - Roberta Ayadi
- Neurosurgery Department, Fondazione IRCCS Istituto Neurologico Nazionale "C. Besta", via Celoria 11, 20133, Milan, Italy
- Besta NeuroSim Center, Fondazione IRCCS Istituto Neurologico Nazionale "C. Besta", Milan, Italy
| | - Eleonora Francesca Orena
- Neurosurgery Department, Fondazione IRCCS Istituto Neurologico Nazionale "C. Besta", via Celoria 11, 20133, Milan, Italy
- Besta NeuroSim Center, Fondazione IRCCS Istituto Neurologico Nazionale "C. Besta", Milan, Italy
| | - Valentina Cuomo
- Besta NeuroSim Center, Fondazione IRCCS Istituto Neurologico Nazionale "C. Besta", Milan, Italy
| | - Nicole Irene Riker
- Besta NeuroSim Center, Fondazione IRCCS Istituto Neurologico Nazionale "C. Besta", Milan, Italy
| | - Lydia Viviana Falsitta
- Neurosurgery Department, Fondazione IRCCS Istituto Neurologico Nazionale "C. Besta", via Celoria 11, 20133, Milan, Italy
- Besta NeuroSim Center, Fondazione IRCCS Istituto Neurologico Nazionale "C. Besta", Milan, Italy
| | - Silvia Schembari
- Neurosurgery Department, Fondazione IRCCS Istituto Neurologico Nazionale "C. Besta", via Celoria 11, 20133, Milan, Italy
- Besta NeuroSim Center, Fondazione IRCCS Istituto Neurologico Nazionale "C. Besta", Milan, Italy
| | - Stefano Rizzo
- Besta NeuroSim Center, Fondazione IRCCS Istituto Neurologico Nazionale "C. Besta", Milan, Italy
| | - Cristian Luciano
- Department of Bioengineering and Department of Biomedical and Health Information Sciences, University of Illinois at Chicago, Chicago, IL, USA
| | - Paolo Cappabianca
- Division of Neurosurgery, Department of Neurosciences and Reproductive and Odontostomatological Sciences, Università degli Studi di Napoli Federico II, Naples, Italy
| | - Torstein Ragnar Meling
- Department of Neurosurgery, Oslo University Hospital, Rikshospitalet, Oslo, Norway
- EANS Training Committee, Cirencester, UK
| | - Karl Schaller
- EANS Training Committee, Cirencester, UK
- Neurosurgery Department, Hopitaux Universitaires de Genève, Geneva, Switzerland
| | - Francesco DiMeco
- Neurosurgery Department, Fondazione IRCCS Istituto Neurologico Nazionale "C. Besta", via Celoria 11, 20133, Milan, Italy
- Besta NeuroSim Center, Fondazione IRCCS Istituto Neurologico Nazionale "C. Besta", Milan, Italy
- EANS Training Committee, Cirencester, UK
- Department of Pathophysiology and Transplantation, University of Milan, Milan, Italy
- Department of Neurological Surgery, Johns Hopkins Medical School, Baltimore, MD, USA
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39
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Passiglia F, Galvano A, Soto Parra H, Rizzo S, Listì A, Mazzarisi S, Perez A, Castiglia M, Calò V, Bazan V, Russo A. P2.04-10 Early Monitoring of Blood Biomarkers to Predict Nivolumab Efficacy in NSCLC Patients. J Thorac Oncol 2018. [DOI: 10.1016/j.jtho.2018.08.1234] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
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40
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De Gaspari M, Rizzo S, Thiene G, Basso C. 5954Arrhythmogenic cardiomyopathy: a paradigm shift of the morphologic spectrum. Eur Heart J 2018. [DOI: 10.1093/eurheartj/ehy566.5954] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Affiliation(s)
- M De Gaspari
- Department of Cardiac, Thoracic and Vascular Sciences, Padova, Italy
| | - S Rizzo
- Department of Cardiac, Thoracic and Vascular Sciences, Padova, Italy
| | - G Thiene
- Department of Cardiac, Thoracic and Vascular Sciences, Padova, Italy
| | - C Basso
- Department of Cardiac, Thoracic and Vascular Sciences, Padova, Italy
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41
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Peretto G, Sala S, Benedetti G, Palmisano A, Rizzo S, Caforio ALP, Esposito A, De Cobelli F, Thiene G, Basso C, Camici PG, Della Bella P. P4526Multimodal diagnosis in clinically suspected myocarditis: behind discordancy between endomyocardial biopsy and cardiac magnetic resonance. Eur Heart J 2018. [DOI: 10.1093/eurheartj/ehy563.p4526] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Affiliation(s)
- G Peretto
- San Raffaele Hospital of Milan (IRCCS), Department of Arrhythmology and Cardiac Electrophysiology, Milan, Italy
| | - S Sala
- San Raffaele Hospital of Milan (IRCCS), Department of Arrhythmology and Cardiac Electrophysiology, Milan, Italy
| | - G Benedetti
- San Raffaele Hospital of Milan (IRCCS), Department of Radiology, Milan, Italy
| | - A Palmisano
- San Raffaele Hospital of Milan (IRCCS), Department of Radiology, Milan, Italy
| | - S Rizzo
- University Hospital of Padova, Department of Cardiac Pathology, Padua, Italy
| | - A L P Caforio
- University Hospital of Padova, Department of Cardiology, Padua, Italy
| | - A Esposito
- San Raffaele Hospital of Milan (IRCCS), Department of Radiology, Milan, Italy
| | - F De Cobelli
- San Raffaele Hospital of Milan (IRCCS), Department of Radiology, Milan, Italy
| | - G Thiene
- University Hospital of Padova, Department of Cardiac Pathology, Padua, Italy
| | - C Basso
- University Hospital of Padova, Department of Cardiac Pathology, Padua, Italy
| | - P G Camici
- San Raffaele Hospital of Milan (IRCCS), Milan, Italy
| | - P Della Bella
- San Raffaele Hospital of Milan (IRCCS), Department of Arrhythmology and Cardiac Electrophysiology, Milan, Italy
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De Gaspari M, Rizzo S, Thiene G, Basso C. 5048Electrocardiographic and pathologic changes in young sudden death victims affected with arrhythmogenic cardiomyopathy: a clinic-pathology study. Eur Heart J 2018. [DOI: 10.1093/eurheartj/ehy566.5048] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Affiliation(s)
- M De Gaspari
- Department of Cardiac, Thoracic and Vascular Sciences, Padova, Italy
| | - S Rizzo
- Department of Cardiac, Thoracic and Vascular Sciences, Padova, Italy
| | - G Thiene
- Department of Cardiac, Thoracic and Vascular Sciences, Padova, Italy
| | - C Basso
- Department of Cardiac, Thoracic and Vascular Sciences, Padova, Italy
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43
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Peretto G, Sala S, Vergara P, Pardi E, Benedetti G, Palmisano A, Rizzo S, Esposito A, De Cobelli F, Trevisi N, Margonato A, Camici PG, Thiene G, Basso C, Della Bella P. P4529Multilevel characterization of active myocarditis in athletes: a significant right ventricular involvement. Eur Heart J 2018. [DOI: 10.1093/eurheartj/ehy563.p4529] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Affiliation(s)
- G Peretto
- San Raffaele Hospital of Milan (IRCCS), Department of Arrhythmology and Cardiac Electrophysiology, Milan, Italy
| | - S Sala
- San Raffaele Hospital of Milan (IRCCS), Department of Arrhythmology and Cardiac Electrophysiology, Milan, Italy
| | - P Vergara
- San Raffaele Hospital of Milan (IRCCS), Department of Arrhythmology and Cardiac Electrophysiology, Milan, Italy
| | - E Pardi
- San Raffaele Hospital of Milan (IRCCS), Milan, Italy
| | - G Benedetti
- San Raffaele Hospital of Milan (IRCCS), Department of Radiology, Milan, Italy
| | - A Palmisano
- San Raffaele Hospital of Milan (IRCCS), Department of Radiology, Milan, Italy
| | - S Rizzo
- University Hospital of Padova, Department of Cardiac Pathology, Padua, Italy
| | - A Esposito
- San Raffaele Hospital of Milan (IRCCS), Department of Radiology, Milan, Italy
| | - F De Cobelli
- San Raffaele Hospital of Milan (IRCCS), Department of Radiology, Milan, Italy
| | - N Trevisi
- San Raffaele Hospital of Milan (IRCCS), Department of Arrhythmology and Cardiac Electrophysiology, Milan, Italy
| | - A Margonato
- San Raffaele Hospital of Milan (IRCCS), Milan, Italy
| | - P G Camici
- San Raffaele Hospital of Milan (IRCCS), Milan, Italy
| | - G Thiene
- University Hospital of Padova, Department of Cardiac Pathology, Padua, Italy
| | - C Basso
- University Hospital of Padova, Department of Cardiac Pathology, Padua, Italy
| | - P Della Bella
- San Raffaele Hospital of Milan (IRCCS), Department of Arrhythmology and Cardiac Electrophysiology, Milan, Italy
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Beffagna G, Giuliodori A, Facchinello N, Vettori A, Pilichou K, Rizzo S, Vanzi F, Della Barbera M, Cason M, Argenton F, Tiso N, Basso C, Thiene G. Generation of desmoplakin zebrafish models for arrhythmogenic cardiomyopathy as suitable systems for the identification of early pathogenic events and new therapeutic targets. Vascul Pharmacol 2018. [DOI: 10.1016/j.vph.2017.12.007] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
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45
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De Jong E, Van Elmpt W, Rizzo S, Leijenaar R, Refaee T, Hendriks L, Reymen B, Dingemans A, Lambin P. EP-1380: Can radiomic features describe lung semantic features in NSCLC patients? Radiother Oncol 2018. [DOI: 10.1016/s0167-8140(18)31689-x] [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: 11/26/2022]
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Gremigni E, Falleni A, Belting C, Di Bartolo E, Rizzo S. Choroidal Neovascular Membranes after Photodynamic Therapy: Ultrastructural Analysis of Two Surgically Excised Membranes. Eur J Ophthalmol 2018; 14:555-61. [PMID: 15638107 DOI: 10.1177/112067210401400617] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
PURPOSE To report on the ultrastructural electron microscopic findings of two surgically excised subfoveal choroidal neovascular membranes (CNV) that had undergone photodynamic therapy (PDT). METHODS Two patients underwent PDT because of subfoveal neovascular membranes (CNV). Due to enlargement of the CNV seen on fluorescein angiography three months after PDT, one patient underwent surgical excision of the membrane; the other patient underwent both surgical membrane excision combined with macular translocation one month after PDT. The membranes were examined under the transmission electron microscope (TEM). RESULTS The membranes were composed of a core and a rim, the latter being mainly composed of fibrin and collagen fibrils. The core was preeminently composed of endothelium-lined vascular channels associated with retinal epithelium cells. The endothelial cells of blood vessels appeared well-preserved. CONCLUSIONS The lack of histological signs of recanalization and vascular thrombosis may indicate that in our cases the enlargement of the CNVs seen on fluorescein angiography three months and one month respectively after PDT may originate mainly from reproliferation of choroidal vessels rather than recanalization of previously occluded vessels.
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Affiliation(s)
- E Gremigni
- Eye Surgery Clinic, Santa Chiara Hospital, Pisa - Italy
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47
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Pijnenburg L, Caillard S, Boivin G, Rizzo S, Javier RM. Type 1 primary hyperoxaluria: A case report and focus on bone impairment of systemic oxalosis. Morphologie 2017; 102:48-53. [PMID: 29102553 DOI: 10.1016/j.morpho.2017.09.004] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/03/2017] [Revised: 09/28/2017] [Accepted: 09/29/2017] [Indexed: 11/15/2022]
Abstract
Primary hyperoxaluria is a rare genetic disorder characterized by oxalate overproduction, leading to kidney failure due to nephrocalcinosis, and is eventually responsible for systemic oxalosis. Bone impairment, secondary to oxalate deposits, is one of the many complications that may occur. Skeletal involvement can be difficult to diagnose because of lack of clinical symptoms and therefore needs to be confirmed by invasive testing, such as transiliac bone biopsy. If confirmed, bone oxalosis is the proof of disease severity and that combined liver-kidney transplantation should be performed.
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Affiliation(s)
- L Pijnenburg
- Department of rheumatology, Strasbourg university hospital, 1, avenue Molière, 67200 Strasbourg, France.
| | - S Caillard
- Department of nephrology, transplantation unit, Strasbourg university hospital, 3, rue de la Porte-de-l'Hôpital, 67000 Strasbourg, France
| | - G Boivin
- Inserm, UMR 1033, Lyon Est university, 11, rue Guillaume-Pradadin, 69008 Lyon, France
| | - S Rizzo
- Inserm, UMR 1033, Lyon Est university, 11, rue Guillaume-Pradadin, 69008 Lyon, France
| | - R M Javier
- Department of rheumatology, Strasbourg university hospital, 1, avenue Molière, 67200 Strasbourg, France.
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48
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Gilardi L, Vadrucci M, Pittaro A, Pennacchioli E, Rizzo S. 18 F-FDG PET/CT in aggressive angiomyxoma of the pelvis. Rev Esp Med Nucl Imagen Mol 2017. [DOI: 10.1016/j.remnie.2017.09.012] [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: 12/01/2022]
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49
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Gilardi L, Vadrucci M, Pittaro A, Pennacchioli E, Rizzo S. 18 F-FDG PET/CT in aggressive angiomyxoma of the pelvis. Rev Esp Med Nucl Imagen Mol 2017; 36:403-405. [DOI: 10.1016/j.remn.2017.03.005] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/02/2017] [Revised: 03/01/2017] [Accepted: 03/03/2017] [Indexed: 11/30/2022]
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Gardegaront M, Gauthier R, Farlay D, Rizzo S, Mitton D, Follet H. Influence of the degree of mineralization of the cortical bone on toughness. Comput Methods Biomech Biomed Engin 2017; 20:87-88. [DOI: 10.1080/10255842.2017.1382874] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
Affiliation(s)
- M. Gardegaront
- Univ Lyon, Université Claude Bernard Lyon 1, INSERM, LYOS UMR 1033, 69008 Lyon, France
| | - R. Gauthier
- Univ Lyon, Université Claude Bernard Lyon 1, IFSTTAR, LBMC UMR_T9406, 69622 Lyon, France
| | - D. Farlay
- Univ Lyon, Université Claude Bernard Lyon 1, INSERM, LYOS UMR 1033, 69008 Lyon, France
| | - S. Rizzo
- Univ Lyon, Université Claude Bernard Lyon 1, INSERM, LYOS UMR 1033, 69008 Lyon, France
| | - D. Mitton
- Univ Lyon, Université Claude Bernard Lyon 1, IFSTTAR, LBMC UMR_T9406, 69622 Lyon, France
| | - H. Follet
- Univ Lyon, Université Claude Bernard Lyon 1, INSERM, LYOS UMR 1033, 69008 Lyon, France
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