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Nolasco A, Squillante J, Velotto S, D’Auria G, Ferranti P, Mamone G, Errico ME, Avolio R, Castaldo R, De Luca L, Romano R, Esposito F, Cirillo T. Exploring the Untapped Potential of Pine Nut Skin By-Products: A Holistic Characterization and Recycling Approach. Foods 2024; 13:1044. [PMID: 38611351 PMCID: PMC11011278 DOI: 10.3390/foods13071044] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/09/2024] [Revised: 03/11/2024] [Accepted: 03/20/2024] [Indexed: 04/14/2024] Open
Abstract
The increasing population, food demand, waste management concerns, and the search for sustainable alternatives to plastic polymers have led researchers to explore the potential of waste materials. This study focused on a waste of pine nut processing referred to in this paper as pine nut skin. For the first time, its nutritional profile, potential bioactive peptide, contaminants, and morphological structure were assessed. Pine nut skin was composed mainly of carbohydrates (56.2%) and fiber (27.5%). The fat (9.8%) was about 45%, 35%, and 20% saturated, monounsaturated, and polyunsaturated fatty acid, respectively, and Omega-9,-6, and -3 were detected. Notably, oleic acid, known for its health benefits, was found in significant quantities, resembling its presence in pine nut oil. The presence of bioactive compounds such as eicosapentaenoic acid (EPA) and phytosterols further adds to its nutritional value. Some essential elements were reported, whereas most of the contaminants such as heavy metals, polycyclic aromatic hydrocarbons, rare earth elements, and pesticides were below the limit of quantification. Furthermore, the in silico analysis showed the occurrence of potential precursor peptides of bioactive compounds, indicating health-promoting attributes. Lastly, the morphological structural characterization of the pine nut skin was followed by Fourier Transform Infrared and solid-state NMR spectroscopy to identify the major components, such as lignin, cellulose, and hemicellulose. The thermostability of the pine nut skin was monitored via thermogravimetric analysis, and the surface of the integument was analyzed via scanning electron microscopy and volumetric nitrogen adsorption. This information provides a more comprehensive view of the potential uses of pine nut skin as a filler material for biocomposite materials. A full characterization of the by-products of the food chain is essential for their more appropriate reuse.
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Affiliation(s)
- Agata Nolasco
- Department of Agricultural Sciences, University of Naples “Federico II”, Via Università, 100, 100-80055 Portici, NA, Italy
| | - Jonathan Squillante
- Department of Agricultural Sciences, University of Naples “Federico II”, Via Università, 100, 100-80055 Portici, NA, Italy
| | - Salvatore Velotto
- Department of Promotion of Human Sciences and the Quality of Life, University of Study of Roma “San Raffaele”, Via di Val Cannuta, 247-00166 Roma, Italy
| | - Giovanni D’Auria
- Department of Agricultural Sciences, University of Naples “Federico II”, Via Università, 100, 100-80055 Portici, NA, Italy
| | - Pasquale Ferranti
- Department of Agricultural Sciences, University of Naples “Federico II”, Via Università, 100, 100-80055 Portici, NA, Italy
| | - Gianfranco Mamone
- Institute of Food Science, National Research Council, 83100 Avellino, Italy
| | - Maria Emanuela Errico
- Institute for Polymers Composites and Biomaterials-National Research Council of Italy (IPCB-CNR), Via Campi Flegrei 34, 80078 Pozzuoli, NA, Italy
| | - Roberto Avolio
- Institute for Polymers Composites and Biomaterials-National Research Council of Italy (IPCB-CNR), Via Campi Flegrei 34, 80078 Pozzuoli, NA, Italy
| | - Rachele Castaldo
- Institute for Polymers Composites and Biomaterials-National Research Council of Italy (IPCB-CNR), Via Campi Flegrei 34, 80078 Pozzuoli, NA, Italy
| | - Lucia De Luca
- Department of Agricultural Sciences, University of Naples “Federico II”, Via Università, 100, 100-80055 Portici, NA, Italy
| | - Raffaele Romano
- Department of Agricultural Sciences, University of Naples “Federico II”, Via Università, 100, 100-80055 Portici, NA, Italy
| | - Francesco Esposito
- Department of Agricultural Sciences, University of Naples “Federico II”, Via Università, 100, 100-80055 Portici, NA, Italy
| | - Teresa Cirillo
- Department of Agricultural Sciences, University of Naples “Federico II”, Via Università, 100, 100-80055 Portici, NA, Italy
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Borriello L, Scivicco M, Cacciola NA, Esposito F, Severino L, Cirillo T. Microplastics, a Global Issue: Human Exposure through Environmental and Dietary Sources. Foods 2023; 12:3396. [PMID: 37761106 PMCID: PMC10649135 DOI: 10.3390/foods12183396] [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: 07/31/2023] [Revised: 09/06/2023] [Accepted: 09/08/2023] [Indexed: 09/29/2023] Open
Abstract
Plastic production has grown dramatically over the years. Microplastics (MPs) are formed from the fragmentation of larger plastic debris by combining chemical, physical, and biological processes and can degrade further to form nanoplastics (NPs). Because of their size, MPs and NPs are bioavailable to many organisms and can reach humans through transport along the food chain. In addition to the risk from ingesting MPs themselves, there are risks associated with the substances they carry, such as pesticides, pathogenic microorganisms, and heavy metals, and with the additives added to plastics to improve their characteristics. In addition, bioaccumulation and biomagnification can cause a cumulative exposure effect for organisms at the top of the food chain and humans. Despite the growing scientific interest in this emerging contaminant, the potential adverse effects remain unclear. The aim of this review is to summarize the characteristics (size, shape, color, and properties) of MPs in the environment, the primary sources, and the transport pathways in various environmental compartments, and to shed more light on the ecological impact of MPs and the potential health effects on organisms and humans by identifying human exposure pathways.
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Affiliation(s)
- Lucrezia Borriello
- Department of Veterinary Medicine and Animal Production, Division of Toxicology, University of Naples Federico II, Via Delpino 1, 80137 Naples, Italy; (L.B.); (M.S.); (N.A.C.); (L.S.)
| | - Marcello Scivicco
- Department of Veterinary Medicine and Animal Production, Division of Toxicology, University of Naples Federico II, Via Delpino 1, 80137 Naples, Italy; (L.B.); (M.S.); (N.A.C.); (L.S.)
| | - Nunzio Antonio Cacciola
- Department of Veterinary Medicine and Animal Production, Division of Toxicology, University of Naples Federico II, Via Delpino 1, 80137 Naples, Italy; (L.B.); (M.S.); (N.A.C.); (L.S.)
| | - Francesco Esposito
- Department of Public Health, University of Naples Federico II, Via Sergio Pansini, 5, 80131 Naples, Italy
| | - Lorella Severino
- Department of Veterinary Medicine and Animal Production, Division of Toxicology, University of Naples Federico II, Via Delpino 1, 80137 Naples, Italy; (L.B.); (M.S.); (N.A.C.); (L.S.)
| | - Teresa Cirillo
- Department of Agricultural Sciences, University of Naples Federico II, Via Università, 100, 80055 Portici, Italy;
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Squillante J, Scivicco M, Ariano A, Nolasco A, Esposito F, Cacciola NA, Severino L, Cirillo T. Occurrence of phthalate esters and preliminary data on microplastics in fish from the Tyrrhenian sea (Italy) and impact on human health. Environ Pollut 2023; 316:120664. [PMID: 36395911 DOI: 10.1016/j.envpol.2022.120664] [Citation(s) in RCA: 7] [Impact Index Per Article: 7.0] [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: 08/03/2022] [Revised: 11/11/2022] [Accepted: 11/12/2022] [Indexed: 05/25/2023]
Abstract
Phthalic acid esters (PAEs) are chemical pollutants widely distributed in the marine environment. They can accumulate in biota, posing a risk to the marine ecosystem and humans. The aim of this study was to measure the content of PAEs in the gills and muscles of three fish species (Mugil cephalus, Diplodus annularis, and Mullus barbatus) caught along the coast of Campania (Italy), as well as to ascertain the dietary exposure to PAEs through the consumption of fish. Secondly, a preliminary insight into microplastics (MPs) pollution in this area was provided through the analysis of Mugil cephalus organs. Solid-phase extraction (SPE) and gas chromatography-mass spectrometry (GC-MS) were used for the PAEs analysis, while an Fourier-transform infrared (FTIR) microscope was used to detect MPs after a pre-digestion of the samples. Risk assessment was based on estimated daily intake (EDI) and lifetime cancer risk (LTCR). The results showed higher bioaccumulation of PAEs in Mullus barbatus than in the other two species and higher concentration in gills than in muscles. MPs (polyamide, polypropylene, and high-density polyethylene) were detected in half of the gill samples, but no particle was detected in the muscle samples of Mugil cephalus. A low carcinogenic and non-carcinogenic risk from the consumption of fish emerged, although a potential risk for the development of cancer was found in the worst-case, especially in toddlers. In conclusion, this study provides insight into PAEs pollution in the Tyrrhenian Sea (Italy), their distribution in fish with different behaviors, and the potential risk to the consumer. Moreover, the data on pollution by MPs in this area could form the basis for future studies.
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Affiliation(s)
- Jonathan Squillante
- Department of Agricultural Sciences, University of Naples Federico II, via Università, 100 - 80055 Portici, Naples, Italy
| | - Marcello Scivicco
- Department of Veterinary Medicine and Animal Production, Division of Toxicology, University of Naples Federico II, Via Delpino 1, 80137 Naples, Italy
| | - Andrea Ariano
- Department of Veterinary Medicine and Animal Production, Division of Toxicology, University of Naples Federico II, Via Delpino 1, 80137 Naples, Italy
| | - Agata Nolasco
- Department of Agricultural Sciences, University of Naples Federico II, via Università, 100 - 80055 Portici, Naples, Italy
| | - Francesco Esposito
- Department of Public Health, University of Naples Federico II, via Sergio Pansini, 5 - 80131 Naples, Italy.
| | - Nunzio Antonio Cacciola
- Department of Veterinary Medicine and Animal Production, Division of Toxicology, University of Naples Federico II, Via Delpino 1, 80137 Naples, Italy
| | - Lorella Severino
- Department of Veterinary Medicine and Animal Production, Division of Toxicology, University of Naples Federico II, Via Delpino 1, 80137 Naples, Italy
| | - Teresa Cirillo
- Department of Agricultural Sciences, University of Naples Federico II, via Università, 100 - 80055 Portici, Naples, Italy
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Nolasco A, Squillante J, Esposito F, Velotto S, Romano R, Aponte M, Giarra A, Toscanesi M, Montella E, Cirillo T. Coffee Silverskin: Chemical and Biological Risk Assessment and Health Profile for Its Potential Use in Functional Foods. Foods 2022; 11:foods11182834. [PMID: 36140962 PMCID: PMC9498437 DOI: 10.3390/foods11182834] [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] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/22/2022] [Revised: 08/23/2022] [Accepted: 09/06/2022] [Indexed: 11/16/2022] Open
Abstract
The coffee supply chain is characterized by a complex network with many critical and unsustainable points producing a huge amount of waste products. Among these, coffee silverskin (CS), the only by-product of the coffee roasting phase, has an interesting chemical profile that suggests potential use as a food ingredient. However, few data on its safety are available. For this reason, the purpose of the study was to assess the occurrence of chemical and biological contaminants in CS, and the resulting risk due to its potential consumption. Essential, toxic, and rare earth elements, polycyclic aromatic hydrocarbons (PAHs), process contaminants, ochratoxin A (OTA), and pesticides residues were analyzed in three classes of samples (Coffea arabica CS, Coffea robusta CS, and their blend). Furthermore, total mesophilic bacteria count (TMBC) at 30 °C, Enterobacteriaceae, yeasts, and molds was evaluated. The risk assessment was based upon the hazard index (HI) and lifetime cancer risk (LTCR). In all varieties and blends, rare earth elements, pesticides, process contaminants, OTA, and PAHs were not detected except for chrysene, phenanthrene, and fluoranthene, which were reported at low concentrations only in the arabica CS sample. Among essential and toxic elements, As was usually the most representative in all samples. Microorganisms reported a low load, although arabica and robusta CS showed lower contamination than mixed CS. Instead, the risk assessment based on the potential consumption of CS as a food ingredient did not show either non-carcinogenic or carcinogenic risk. Overall, this study provides adequate evidence to support the safety of this by-product for its potential use in functional foods.
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Affiliation(s)
- Agata Nolasco
- Department of Agricultural Sciences, University of Naples Federico II, Via Università, Portici, 100-80055 Naples, Italy
| | - Jonathan Squillante
- Department of Agricultural Sciences, University of Naples Federico II, Via Università, Portici, 100-80055 Naples, Italy
| | - Francesco Esposito
- Department of Public Health, University of Naples Federico II, Via Sergio Pansini, 5-80131 Naples, Italy
- Correspondence:
| | - Salvatore Velotto
- Department of Promotion of Human Sciences and the Quality of Life, University of Study of Roma “San Raffaele”, Via di Val Cannuta, 247-00166 Roma, Italy
| | - Raffaele Romano
- Department of Agricultural Sciences, University of Naples Federico II, Via Università, Portici, 100-80055 Naples, Italy
| | - Maria Aponte
- Department of Agricultural Sciences, University of Naples Federico II, Via Università, Portici, 100-80055 Naples, Italy
| | - Antonella Giarra
- Department of Chemical Sciences, University of Naples “Federico II”, Via Cintia, 21-80126 Naples, Italy
| | - Maria Toscanesi
- Department of Chemical Sciences, University of Naples “Federico II”, Via Cintia, 21-80126 Naples, Italy
| | - Emma Montella
- Department of Public Health, University of Naples Federico II, Via Sergio Pansini, 5-80131 Naples, Italy
| | - Teresa Cirillo
- Department of Agricultural Sciences, University of Naples Federico II, Via Università, Portici, 100-80055 Naples, Italy
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Scivicco M, Nolasco A, Esposito L, Ariano A, Squillante J, Esposito F, Cirillo T, Severino L. Effects of Covid-19 pandemic lockdown and environmental pollution assessment in Campania region (Italy) through the analysis of heavy metals in honeybees. Environ Pollut 2022; 307:119504. [PMID: 35597488 PMCID: PMC9116566 DOI: 10.1016/j.envpol.2022.119504] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 01/23/2022] [Revised: 05/13/2022] [Accepted: 05/16/2022] [Indexed: 06/15/2023]
Abstract
The Covid-19 outbreak had a critical impact on a massive amount of human activities as well as the global health system. On the other hand, the lockdown and related suspension of working activities reduced pollution emissions. The use of biomonitoring is an efficient and quite recent tool to assess environmental pollution through the analysis of a proper bioindicator, such as bees. This study set out to ascertain the impact of the Covid-19 pandemic lockdown on the environmental occurrence of eleven heavy metals in the Campania region (Italy) by analyzing bees and bee products. A further aim of this study was the assessment of the Honeybee Contamination Index (HCI) in three different areas of the Campania region and its comparison with other Italian areas to depict the current environmental pollutants levels of heavy metals. The results showed that the levels of heavy metals bioaccumulated by bees during the pandemic lockdown (T1) were statistically lower than the sampling times after Covid-19 restrictions and the resumption of some or all activities (T2 and T3). A comparable trend was observed in wax and pollen. However, bee, pollen, and wax showed higher levels of Cd and Hg in T1 than T2 and T3. The analysis of the HCI showed a low contamination level of the sampling sites for Cd and Pb, and an intermediate-high level as regards Ni and Cr. The biomonitoring study highlighted a decrease of heavy metals in the environmental compartments due to the intense pandemic restrictions. Therefore, Apis mellifera and other bee products remain a reliable and alternative tool for environmental pollution assessment.
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Affiliation(s)
- Marcello Scivicco
- Department of Veterinary Medicine and Animal Production, Division of Toxicology, University of Naples Federico II, Via Delpino 1, 80137, Naples, Italy
| | - Agata Nolasco
- Department of Agricultural Sciences, University of Naples Federico II, Via Università, 100, 80055, Portici, Naples, Italy
| | - Luigi Esposito
- Department of Veterinary Medicine and Animal Production, Division of Toxicology, University of Naples Federico II, Via Delpino 1, 80137, Naples, Italy
| | - Andrea Ariano
- Department of Veterinary Medicine and Animal Production, Division of Toxicology, University of Naples Federico II, Via Delpino 1, 80137, Naples, Italy
| | - Jonathan Squillante
- Department of Agricultural Sciences, University of Naples Federico II, Via Università, 100, 80055, Portici, Naples, Italy
| | - Francesco Esposito
- Department of Public Health, University of Naples Federico II, Via Sergio Pansini, 5, 80131, Naples, Italy.
| | - Teresa Cirillo
- Department of Agricultural Sciences, University of Naples Federico II, Via Università, 100, 80055, Portici, Naples, Italy
| | - Lorella Severino
- Department of Veterinary Medicine and Animal Production, Division of Toxicology, University of Naples Federico II, Via Delpino 1, 80137, Naples, Italy
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D’Andrea A, Carbone A, Radmilovic J, Russo V, Fabiani D, Maio MD, Ilardi F, Giallauria F, Caputo A, Cirillo T, Bossone E, Picano E. Myocardial Work Efficiency in Physiologic Left Ventricular Hypertrophy of Power Athletes. J Cardiovasc Echogr 2022; 32:154-159. [PMID: 36619770 PMCID: PMC9819612 DOI: 10.4103/jcecho.jcecho_11_22] [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] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/20/2022] [Revised: 05/22/2022] [Accepted: 07/12/2022] [Indexed: 01/10/2023] Open
Abstract
Aims The athlete's heart in power training is characterized by physiologic concentric remodeling. Our aim was to analyze left ventricular (LV) myocardial deformation and contractile reserve (CR) in top-level power athletes (PA) at rest and during exercise and their possible correlations with functional capacity. Methods Standard echo, lung ultrasound, and LV 2D speckle-tracking strain were performed at rest and during exercise in PA and in age- and sex-comparable healthy controls. Results 250 PA (male: 62%; 33.6 ± 4.8 years) and 180 age- and sex-comparable healthy controls were enrolled. LV ejection fraction (EF) at baseline was comparable between the two groups, while LV global longitudinal strain (GLS) was reduced in PA (GLS: -17.8 ± 2.4 in PA vs. -21.9 ± 3.8 in controls; P < 0.01). Conversely, myocardial work efficiency (MWE) did not show significant difference between the two groups (94.4 ± 3.2 in PA vs. 95.9 ± 4.6% in controls; P NS). At peak exertion during exercise stress echocardiography (ESE), PA showed better exercise capacity and peak VO2 consumption (51.6 ± 10.2 in EA vs. 39.8 ± 8.2 mL/Kg/min in controls, P < 0.0001), associated with augmented pulmonary artery systolic pressure (PASP). By multivariable analysis, MWE at rest was the most predictive factor of maximal watts (P < 0.0001), peak VO2, (P < 0.0001), PASP (P < 0.001), and number of B-lines (P < 0.001), all measured at peak effort. Conclusions In power athletes, MWE showed less load dependency than GLS. Normal resting values of MWE in PA suggest a physiological LV remodeling, associated with a better exercise capacity and preserved CR during physical stress.
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Affiliation(s)
- Antonello D’Andrea
- Department of Cardiology, Unit of Cardiology and Intensive Coronary Care, “Umberto I” Hospital, Nocera Inferiore, Naples, Italy
- Department of Traslational Medical Sciences, Unit of Cardiology, University of Campania “Luigi Vanvitelli”, Monaldi Hospital, Naples, Italy
| | - Andreina Carbone
- Department of Traslational Medical Sciences, Unit of Cardiology, University of Campania “Luigi Vanvitelli”, Monaldi Hospital, Naples, Italy
| | - Juri Radmilovic
- Department of Cardiology, Unit of Cardiology and Intensive Coronary Care, “Umberto I” Hospital, Nocera Inferiore, Naples, Italy
| | - Vincenzo Russo
- Department of Traslational Medical Sciences, Unit of Cardiology, University of Campania “Luigi Vanvitelli”, Monaldi Hospital, Naples, Italy
| | - Dario Fabiani
- Department of Traslational Medical Sciences, Unit of Cardiology, University of Campania “Luigi Vanvitelli”, Monaldi Hospital, Naples, Italy
| | - Marco Di Maio
- Department of Cardiology, Unit of Cardiology, “Hospital, Eboli (ASL Salerno), Salerno, Italy
| | - Federica Ilardi
- Department of Cardiology, University of Naples Federico II, Naples, Italy
| | - Francesco Giallauria
- Department of Internal Medicine, University of Naples Federico II, Naples, Italy
| | - Adriano Caputo
- Department of Traslational Medical Sciences, Unit of Cardiology, University of Campania “Luigi Vanvitelli”, Monaldi Hospital, Naples, Italy
| | - Teresa Cirillo
- Department of Cardiology, Unit of Cardiology and Intensive Coronary Care, “Umberto I” Hospital, Nocera Inferiore, Naples, Italy
| | - Eduardo Bossone
- Department of Cardiology, UOC Cardiologia Riabilitativa, Cardarelli Hospital, Naples, Italy
| | - Eugenio Picano
- Department of Cardiology, Institute of Clinical Physiology, CNR, Pisa, Italy
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Esposito F, Squillante J, Nolasco A, Montuori P, Macrì PG, Cirillo T. Acrylamide levels in smoke from conventional cigarettes and heated tobacco products and exposure assessment in habitual smokers. Environ Res 2022; 208:112659. [PMID: 34990604 DOI: 10.1016/j.envres.2021.112659] [Citation(s) in RCA: 8] [Impact Index Per Article: 4.0] [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: 10/14/2021] [Revised: 12/29/2021] [Accepted: 12/30/2021] [Indexed: 06/14/2023]
Abstract
Acrylamide (AA) is a neurotoxic, genotoxic, and carcinogenic compound developed during heating at high temperatures. Foods such as potatoes, biscuits, bread and coffee are the main foodstuffs containing AA. Cigarette smoke may be a significant additional source of exposure. However, AA content may vary among different types of cigarettes. The study aimed to evaluate the AA content in conventional cigarettes (CC) and heated tobacco products (HTP) and its resulting exposure through their use. AA levels from the two types of cigarettes were determined by GC-MS and the daily exposure to AA was also ascertained. The margin of exposure (MOE) was calculated for neurotoxic and carcinogenic risk based on benchmark dose lower confidence limit for a 10% response (BMDL10) of 0.43 and 0.17, 0.30, and 1.13 mg/kgbw/day. AA level in CC ranged from 235 to 897 ng/cigarette, whereas HTP reported AA levels in the range of 99-187 ng/cigarette. The data showed a low neurotoxic risk for either CC or HTP, whereas a carcinogenic risk emerged through the smoking of CC based on different Benchmark doses. The carcinogenic risk for CC based on the highest Benchmark dose that was considered showed unsafe levels, as little as 10 CC cigarettes/day, whereas it was almost always of low concern for HTP. Another approach based upon the incremental lifetime cancer risk (ILCR) analysis led to similar results, exceeding, in some cases, the safety value of 10-4, as far as CC are concerned. Overall, the results confirmed that CC are a significant source of AA, and its levels were five times higher than in HTP.
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Affiliation(s)
- Francesco Esposito
- Department of Public Health, University of Naples "Federico II", via Sergio Pansini, 5 - 80131 Naples, Italy.
| | - Jonathan Squillante
- Department of Agricultural Sciences, University of Naples "Federico II", via Università, 100 - 80055 Portici, Naples, Italy
| | - Agata Nolasco
- Department of Agricultural Sciences, University of Naples "Federico II", via Università, 100 - 80055 Portici, Naples, Italy
| | - Paolo Montuori
- Department of Public Health, University of Naples "Federico II", via Sergio Pansini, 5 - 80131 Naples, Italy
| | - Pasquale Giuseppe Macrì
- Area Dipartimentale Medicina Legale e Gestione Della Responsabilità Sanitaria Az. USL Toscana Sud Est, Siena, Arezzo, Grosseto, Italy
| | - Teresa Cirillo
- Department of Agricultural Sciences, University of Naples "Federico II", via Università, 100 - 80055 Portici, Naples, Italy
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Esposito F, Nolasco A, Caracciolo F, Velotto S, Montuori P, Romano R, Stasi T, Cirillo T. Acrylamide in Baby Foods: A Probabilistic Exposure Assessment. Foods 2021; 10:2900. [PMID: 34945452 PMCID: PMC8701054 DOI: 10.3390/foods10122900] [Citation(s) in RCA: 10] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/22/2021] [Revised: 11/12/2021] [Accepted: 11/19/2021] [Indexed: 01/24/2023] Open
Abstract
Acrylamide (also known as 2-propenamide) (AA) is a toxicant that develops in food during high-temperature cooking, and its occurrence is common in biscuits and baked snacks. AA is known for its in vivo neurotoxic and carcinogenic effects, and it is considered a potential carcinogen for humans. Infants may be exposed to AA as early as during weaning through baked food such as biscuits. This study set out to ascertain the concentration of AA in food products intended for infants to assess the dietary exposure to this food contaminant. AA levels were determined through GC/MS and bromination, and dietary exposure was evaluated by a probabilistic method based on Monte Carlo simulation. The results showed that the probability of a carcinogenic exposure is 94%, 92%, and 87%, respectively, for 6-, 12-, and 18-months infants, suggesting the need to delay the introduction of baked products in the diet of weaned infants. It should be noted, however, that these conclusions were drawn considering the biscuits as the primary source of exposure.
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Affiliation(s)
- Francesco Esposito
- Department of Public Health, University of Naples Federico II, Via Sergio Pansini, 5, 80131 Naples, Italy;
| | - Agata Nolasco
- Department of Agricultural Sciences, University of Naples Federico II, Via Università, 100, 80055 Naples, Italy; (A.N.); (F.C.); (R.R.); (T.C.)
| | - Francesco Caracciolo
- Department of Agricultural Sciences, University of Naples Federico II, Via Università, 100, 80055 Naples, Italy; (A.N.); (F.C.); (R.R.); (T.C.)
| | - Salvatore Velotto
- Department of Promotion of Human Sciences and the Quality of Life, University of Study of Roma San Raffaele, Via di Val Cannuta, 247, 00166 Roma, Italy;
| | - Paolo Montuori
- Department of Public Health, University of Naples Federico II, Via Sergio Pansini, 5, 80131 Naples, Italy;
| | - Raffaele Romano
- Department of Agricultural Sciences, University of Naples Federico II, Via Università, 100, 80055 Naples, Italy; (A.N.); (F.C.); (R.R.); (T.C.)
| | - Tommaso Stasi
- Department of Science and Technology, Newton Consulting Srl, 80146 Naples, Italy;
| | - Teresa Cirillo
- Department of Agricultural Sciences, University of Naples Federico II, Via Università, 100, 80055 Naples, Italy; (A.N.); (F.C.); (R.R.); (T.C.)
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Esposito F, Velotto S, Rea T, Stasi T, Cirillo T. Occurrence of Acrylamide in Italian Baked Products and Dietary Exposure Assessment. Molecules 2020; 25:molecules25184156. [PMID: 32932804 PMCID: PMC7571032 DOI: 10.3390/molecules25184156] [Citation(s) in RCA: 13] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/13/2020] [Revised: 09/07/2020] [Accepted: 09/09/2020] [Indexed: 12/19/2022] Open
Abstract
Acrylamide (AA) is a neo-formed toxic compound that develops in foods during cooking at temperatures above 120 °C. AA shows in vivo neurotoxic and carcinogenic effects, and it is potentially carcinogenic for humans. Its occurrence is common in baked food, such as bread and similar products. This study set out to analyze bread and sweets from the Italian market to evaluate the effects of the benchmark thresholds set by EU Regulation 2017/2158 and to ascertain the exposure of the Italian population to AA, across three age groups, through the consumption of baked products, according to the margin of exposure (MOE) approach. Two hundred samples were tested, and the content of AA ranged from 31 to 454 µg/kg for bread and products thereof and from 204 to 400 µg/kg for the sweets category. The exposure data did not show any neurotoxic health concern, whereas the MOE related to the carcinogenic endpoint is well below the minimum safety value of 10,000.
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Affiliation(s)
- Francesco Esposito
- Department of Public Health, University of Naples “Federico II”, via Sergio Pansini, 5–80131 Naples, Italy; (F.E.); (T.R.)
| | - Salvatore Velotto
- Department of Promotion of Human Sciences and the Quality of Life, University of Study of Roma “San Raffaele”, via di Val Cannuta, 247–00166 Roma, Italy;
| | - Teresa Rea
- Department of Public Health, University of Naples “Federico II”, via Sergio Pansini, 5–80131 Naples, Italy; (F.E.); (T.R.)
| | - Tommaso Stasi
- Department of Science and Technology, Newton Consulting Srl, 80146 Napoli NA, Italy;
| | - Teresa Cirillo
- Department of Agricultural Sciences, University of Naples “Federico II”, via Università, 100–80055 Portici, Naples, Italy
- Correspondence: ; Tel.: +39-081-2539-450
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10
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Ruggiero A, Patruno C, Napolitano M, Megna M, Gisonni P, Cirillo T, Fabbrocini G. Etanercept for pediatric acrodermatitis continua of Hallopeau: A case report and literature review. Dermatol Ther 2020; 33:e14046. [PMID: 32700773 DOI: 10.1111/dth.14046] [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] [Received: 07/03/2020] [Revised: 07/16/2020] [Accepted: 07/20/2020] [Indexed: 11/29/2022]
Affiliation(s)
- Angelo Ruggiero
- Section of Dermatology, Department of Clinical Medicine and Surgery, University of Naples Federico II, Naples, Italy
| | - Cataldo Patruno
- Department of Dermatology, University of Magna Graecia of Catanzaro, Catanzaro, Italy
| | - Maddalena Napolitano
- Dipartimento di Medicina e Scienze della Salute "Vincenzo Tiberio", Università degli Studi del Molise, Campobasso, Italy
| | - Matteo Megna
- Section of Dermatology, Department of Clinical Medicine and Surgery, University of Naples Federico II, Naples, Italy
| | - Pietro Gisonni
- Section of Diagnostic Imaging, Department of Advanced Biomedical Sciences, University of Naples Federico II, Naples, Italy
| | - Teresa Cirillo
- Section of Dermatology, Department of Clinical Medicine and Surgery, University of Naples Federico II, Naples, Italy
| | - Gabriella Fabbrocini
- Section of Dermatology, Department of Clinical Medicine and Surgery, University of Naples Federico II, Naples, Italy
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11
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Pacileo M, Giallauria F, Savarese C, Cirillo T, Crescibene F, Di Lorenzo A, Ferrillo M, Calabrese MG, Vigorito C, D'Andrea A. The role of echocardiography in SARS-CoV-2 pandemic: a compromise among appropriateness, safety and clinical impact. Monaldi Arch Chest Dis 2020; 90. [PMID: 32425014 DOI: 10.4081/monaldi.2020.1358] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/03/2020] [Accepted: 05/13/2020] [Indexed: 11/22/2022] Open
Abstract
SARS-CoV-2 infection, responsible for COVID-19, can determine cardiac events, which require a quick diagnosis and management, and should not be overlooked due to the presence of COVID-19 infection. In some cases, cardiovascular symptoms can also be the first and only manifestation of SARS-CoV-2 infection. In patients with COVID-19, the full cardiovascular disease diagnostic algorithm can be hindered by logistic restrain mainly derived from the difficulty of transporting patients in critical conditions to Radiology or Hemodynamics wards. The echocardiography in SARS-CoV-2 pandemic can help for differential diagnosis of cardiac events, which can be related or unrelated by the infection and can likely impact on short-term prognosis. Indeed, transthoracic echocardiography plays a key role in the screen for CV complications of COVID-19 infection: it must be focused cardiac ultrasound study (FoCUS) performed at bedside. All transthoracic, transesophageal and stress echocardiograms in patients in which test results are unlikely to change the management strategy should be postponed.
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Affiliation(s)
- Mario Pacileo
- Division of Cardiology, Hospital Umberto I, Nocera Inferiore (SA).
| | | | | | - Teresa Cirillo
- Division of Cardiology, Hospital Umberto I, Nocera Inferiore (SA).
| | - Fabio Crescibene
- Division of Cardiology, COVID Hospital M. Scarlato, Scafati (SA).
| | - Anna Di Lorenzo
- Department of Translational Medical Sciences, Federico II University of Naples.
| | | | | | - Carlo Vigorito
- Department of Translational Medical Sciences, Federico II University of Naples.
| | - Antonello D'Andrea
- Division of Cardiology, Hospital Umberto I, Nocera Inferiore (SA); Division of Cardiology, University of Campania L. Vanvitelli, Naples.
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12
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Balato A, Campione E, Cirillo T, Malara G, Trifirò C, Bianchi L, Fabbrocini G. Long-term efficacy and safety of apremilast in psoriatic arthritis: Focus on skin manifestations and special populations. Dermatol Ther 2020; 33:e13440. [PMID: 32306448 DOI: 10.1111/dth.13440] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.8] [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: 03/24/2020] [Accepted: 04/16/2020] [Indexed: 11/30/2022]
Abstract
Few real-life studies evaluated long-term apremilast therapy in the variable spectrum of clinical-anamnestic features which can be found in psoriatic arthritis (PsA) patients. This real-life retrospective observational study aimed to assess long-term efficacy, safety, and tolerability of apremilast among patients with PsA and concomitant cutaneous psoriasis. A stratified analysis was performed on special populations, defined as (a) number (≤1 vs >2) of comorbidities, presence or absence of: (b) history of malignancy, and (c) previous exposure to biologics. Patients attending three Italian University and Hospital centers, who received at least one dose of apremilast and had at least one follow-up visit were included. Ninety-six patients with PsA were identified. Psoriasis Area and Severity Index (PASI), Body Surface Area, 28-joint Disease Activity Score, and Dermatology Life Quality Index scores improved during treatment, already at week 4, relative to baseline. More than 2 comorbidities, history of malignancy and previous biologic treatment negatively influenced PASI responses. At least one adverse event was experienced by 56/96 patients, and 11/56 events required drug withdrawal. In conclusion, this study confirm efficacy and safety of apremilast on joints and skin involvement of PsA, highlighting which patients could have less favorable treatment response.
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Affiliation(s)
- Anna Balato
- Department of Advanced Biomedical Sciences, University of Naples Federico II, Naples, Italy
| | - Elena Campione
- Dermatology Unit, Department of Systems Medicine, University of Rome Tor Vergata, Rome, Italy
| | - Teresa Cirillo
- Section of Dermatology, Department of Clinical Medicine and Surgery, University of Naples Federico II, Naples, Italy
| | - Giovanna Malara
- Dermatology Unit, Bianchi-Melacrino-Morelli Hospital, Reggio Calabria, Italy
| | - Caterina Trifirò
- Dermatology Unit, Bianchi-Melacrino-Morelli Hospital, Reggio Calabria, Italy
| | - Luca Bianchi
- Dermatology Unit, Department of Systems Medicine, University of Rome Tor Vergata, Rome, Italy
| | - Gabriella Fabbrocini
- Section of Dermatology, Department of Clinical Medicine and Surgery, University of Naples Federico II, Naples, Italy
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13
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Esposito F, Fasano E, De Vivo A, Velotto S, Sarghini F, Cirillo T. Processing effects on acrylamide content in roasted coffee production. Food Chem 2020; 319:126550. [PMID: 32169765 DOI: 10.1016/j.foodchem.2020.126550] [Citation(s) in RCA: 17] [Impact Index Per Article: 4.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/27/2019] [Revised: 02/05/2020] [Accepted: 03/01/2020] [Indexed: 12/22/2022]
Abstract
Acrylamide is a toxic compound that develops during the roasting process of coffee beans. According to literature, the levels of acrylamide in coffee vary with the percentage of Robusta type in the mix and with the time-temperature parameters during the roasting process. Therefore, this study aimed to find the best roasting conditions in order to mitigate acrylamide formation. Two types of roasted coffee (Arabica and Robusta) were analyzed through GC-MS and two clean-up methods were compared. The best roasting conditions were optimized on an industrial scale and the median levels of acrylamide decreased from the range 170-484 µg kg-1 to 159-351 µg kg-1, after the optimization of roasting parameters. Therefore, the choice of the best conditions, according to the percentage of Robusta type in the finished product, could be an efficient mitigation strategy for acrylamide formation in coffee, maintaining the manufacturer's requirements of the finished product.
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Affiliation(s)
- Francesco Esposito
- Department of Agricultural Sciences, University of Naples "Federico II", via Università, 100, 80055 Portici, Naples, Italy
| | - Evelina Fasano
- Department of Agricultural Sciences, University of Naples "Federico II", via Università, 100, 80055 Portici, Naples, Italy
| | - Angela De Vivo
- Department of Agricultural Sciences, University of Naples "Federico II", via Università, 100, 80055 Portici, Naples, Italy
| | - Salvatore Velotto
- Department of Promotion of Human Sciences and the Quality of Life, University of Study of Roma "San Raffaele", via di Val Cannuta, 247, 00166 Roma, Italy
| | - Fabrizio Sarghini
- Department of Agricultural Sciences, University of Naples "Federico II", via Università, 100, 80055 Portici, Naples, Italy
| | - Teresa Cirillo
- Department of Agricultural Sciences, University of Naples "Federico II", via Università, 100, 80055 Portici, Naples, Italy.
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14
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Esposito F, Montuori P, Schettino M, Velotto S, Stasi T, Romano R, Cirillo T. Level of Biogenic Amines in Red and White Wines, Dietary Exposure, and Histamine-Mediated Symptoms upon Wine Ingestion. Molecules 2019; 24:E3629. [PMID: 31597389 PMCID: PMC6804232 DOI: 10.3390/molecules24193629] [Citation(s) in RCA: 18] [Impact Index Per Article: 3.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/23/2019] [Revised: 10/06/2019] [Accepted: 10/07/2019] [Indexed: 11/17/2022] Open
Abstract
Biogenic amines (BAs) are involved in physiological processes. Foods where typically high levels of BAs occur are fermented food and beverage. This work set out to evaluate the occurrence of BAs in red and white wines, and to also ascertain the dietary exposure to BAs among consumers. Besides, a case report of a probable histamine intoxication upon ingestion of contaminated wine was described. The samples were analyzed through derivatization with dansyl chloride and HPLC-UV detection. Red wines showed higher levels of BAs, especially putrescine (PUT) and histamine (HIS), than white wines (median concentrations of 7.30 and 2.45 mg/L, respectively). However, results of our investigation showed that the dietary exposure to BAs through the consumption of wine (red and white) were lower than the recommended maximum levels for the acute exposure to HIS and tyramine (TYR). In contrast, the levels of BAs in wine on tap were much higher than in bottled wine and close to recommended values. The levels of HIS, TYR, and PUT in tap wine of 9.97, 8.23, and 13.01 mg/L, respectively, were associated with histamine-mediated symptoms in six young individuals after consumption of about three glasses of wine. The overall results and multivariate analysis confirm that red wine shows a higher concentration of BAs than white wine, especially putrescine and histamine. This finding is attributable to the malolactic fermentation that is common for most red wine production. It is also evident that incorrect preservation processes can lead to an increase in BA levels, probably due to the action of bacteria with high decarboxylase activity. The exposure values, although below the toxicity thresholds, could lead to histamine-mediated symptoms in susceptible individuals, also according to the case report discussed in this study.
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Affiliation(s)
- Francesco Esposito
- Department of Agricultural Sciences, University of Naples "Federico II", via Università, 100-80055 Portici, Naples, Italy.
| | - Paolo Montuori
- Department of Public Health, University of Naples "Federico II", via Sergio Pansini, 5-80131 Naples, Italy.
| | - Mario Schettino
- Gastroenterology Unit, Department of Clinical Medicine and Surgery, University of Naples "Federico II", via Sergio Pansini, 5-80131 Naples, Italy.
| | - Salvatore Velotto
- Department of Promotion of Human Sciences and the Quality of Life, University of Study of Roma "San Raffaele", via di Val Cannuta 247-00166 Roma, Italy.
| | - Tommaso Stasi
- Department of Science and Technology, Newton Consulting srl, 80146 Naples, Italy.
| | - Raffaele Romano
- Department of Agricultural Sciences, University of Naples "Federico II", via Università, 100-80055 Portici, Naples, Italy
| | - Teresa Cirillo
- Department of Agricultural Sciences, University of Naples "Federico II", via Università, 100-80055 Portici, Naples, Italy.
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15
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Cirillo T, Esposito F, Fasano E, Scognamiglio G, Di Marco Pisciottano I, Mita GD, Gallo P. BPA, BPB, BPF, BADGE and BFDGE in canned beers from the Italian market. Food Addit Contam Part B Surveill 2019; 12:268-274. [PMID: 31412749 DOI: 10.1080/19393210.2019.1650835] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/13/2022]
Abstract
A survey of BPA, BPB, BPF, BADGE and BFDGE contamination in canned beers from the Italian market is reported. An analytical method for the determination of these five bisphenols down to 0.5 ng mL-1 using UPLC with fluorescence detection was developed and validated. A total of 40 canned beers were collected from the market in Southern Italy and analysed. The results showed that only 14 samples were contaminated at concentrations ranging from 0.5 to 2.5 ng mL-1 by at least BPA, BPF and BADGE. No contamination by BPB and BFDGE was detected. This survey suggests that canned beers from the Italian market should represent neither a relevant source of intake of bisphenols nor a risk for consumer's health.
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Affiliation(s)
- Teresa Cirillo
- Department of Agricultural Sciences, University of Naples "Federico II", Naples, Italy
| | - Francesco Esposito
- Department of Agricultural Sciences, University of Naples "Federico II", Naples, Italy
| | - Evelina Fasano
- Department of Agricultural Sciences, University of Naples "Federico II", Naples, Italy
| | | | | | - Gustavo Damiano Mita
- Consorzio interuniversitario Istituto Nazionale Biostrutture e Biosistemi, Napoli, Italy
| | - Pasquale Gallo
- Department of Chemistry, Istituto Zooprofilattico Sperimentale del Mezzogiorno, Naples, Italy
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16
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Gallo L, Megna M, Cirillo T, Caterino P, Lodi G, Mozzillo R, Dente V, Balato A. Psoriasis and skin pain: real‐life effectiveness of calcipotriol
plus
betamethasone dipropionate in aerosol foam formulation. J Eur Acad Dermatol Venereol 2019; 33:1312-1315. [DOI: 10.1111/jdv.15488] [Citation(s) in RCA: 13] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/07/2018] [Accepted: 01/14/2019] [Indexed: 11/28/2022]
Affiliation(s)
- L. Gallo
- Section of Dermatology Department of Clinical Medicine and Surgery University of Naples Federico II Naples Italy
| | - M. Megna
- Section of Dermatology Department of Clinical Medicine and Surgery University of Naples Federico II Naples Italy
| | - T. Cirillo
- Section of Dermatology Department of Clinical Medicine and Surgery University of Naples Federico II Naples Italy
| | - P. Caterino
- Dermatology Center of Aversa (ASL CE) Aversa Italy
| | - G. Lodi
- Dermatology Center of Aversa (ASL CE) Aversa Italy
| | - R. Mozzillo
- Dermatology and Venereology Unit of the “San Gennaro” Hospital Naples Italy
| | - V. Dente
- Dermatology and Venereology Unit of the “San Gennaro” Hospital Naples Italy
| | - A. Balato
- Department of Advanced Biomedical Sciences University of Naples “Federico II” Napoli Italy
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17
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Esposito F, Nardone A, Fasano E, Scognamiglio G, Esposito D, Agrelli D, Ottaiano L, Fagnano M, Adamo P, Beccaloni E, Vanni F, Cirillo T. A systematic risk characterization related to the dietary exposure of the population to potentially toxic elements through the ingestion of fruit and vegetables from a potentially contaminated area. A case study: The issue of the "Land of Fires" area in Campania region, Italy. Environ Pollut 2018; 243:1781-1790. [PMID: 30408865 DOI: 10.1016/j.envpol.2018.09.058] [Citation(s) in RCA: 33] [Impact Index Per Article: 5.5] [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: 05/30/2018] [Revised: 08/01/2018] [Accepted: 09/11/2018] [Indexed: 05/24/2023]
Abstract
Potentially toxic elements are widespread soil contaminants, whose occurrence could entail a concern for human health upon ingestion of fruit and vegetables harvested in a polluted area. This work set out to evaluate the concentrations of lead and cadmium as well as the levels of thirteen heavy metals for which a limit value is yet to be established by the food safety authorities, in order to perform a risk characterization related to the dietary intake of these metals and to provide a scientific opinion with wider relevance in the light of current worldwide regulatory issues. The sampling consisted of fruit and vegetables grown in a potentially contaminated area of southern Italy due to the illegal dump of hazardous wastes. An evaluation of the dietary exposure through the calculation of the Hazard Index (HI), the Maximum Cumulative Ratio (MCR) and the Target Cancer Risk (TCR) was adopted to this end. The results revealed that about the 30% of samples showed quantifiable levels of chemicals and no significant difference emerged between the potentially polluted area and the nearby cities that were selected as a control landfill site. The overall risk characterization for non-carcinogenic endpoints showed that the HI did not reach unsafe values, except for a small number of samples mainly because of aberrant occurrences and, in any case, the cumulative toxicity was mainly driven by thallium and vanadium. As far as the carcinogenic effects of arsenic are concerned, the distribution of TCR values broadly lay below the safety threshold; a certain percentage of data, however, exceeded this limit and should be taken into account for the enforcement of future regulatory thresholds.
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Affiliation(s)
- Francesco Esposito
- Department of Agricultural Sciences, University of Naples Federico II, Via Università, 100, 80055, Portici, Naples, Italy
| | - Antonio Nardone
- Department of Public Health, University of Naples Federico II, Via Sergio Pansini, 5, 80131, Naples, Italy
| | - Evelina Fasano
- Department of Agricultural Sciences, University of Naples Federico II, Via Università, 100, 80055, Portici, Naples, Italy
| | - Gelsomina Scognamiglio
- Department of Agricultural Sciences, University of Naples Federico II, Via Università, 100, 80055, Portici, Naples, Italy
| | - Daniela Esposito
- Department of Agricultural Sciences, University of Naples Federico II, Via Università, 100, 80055, Portici, Naples, Italy
| | - Diana Agrelli
- Department of Agricultural Sciences, University of Naples Federico II, Via Università, 100, 80055, Portici, Naples, Italy
| | - Lucia Ottaiano
- Department of Agricultural Sciences, University of Naples Federico II, Via Università, 100, 80055, Portici, Naples, Italy
| | - Massimo Fagnano
- Department of Agricultural Sciences, University of Naples Federico II, Via Università, 100, 80055, Portici, Naples, Italy
| | - Paola Adamo
- Department of Agricultural Sciences, University of Naples Federico II, Via Università, 100, 80055, Portici, Naples, Italy
| | - Eleonora Beccaloni
- National Institute of Health, Department Environment and Primary Prevention, Viale Regina Elena, 299, 00161, Rome, Italy
| | - Fabiana Vanni
- National Institute of Health, Department Environment and Primary Prevention, Viale Regina Elena, 299, 00161, Rome, Italy
| | - Teresa Cirillo
- Department of Agricultural Sciences, University of Naples Federico II, Via Università, 100, 80055, Portici, Naples, Italy.
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18
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Affiliation(s)
- Evelina Fasano
- Department of Agricultural Sciences, University of Naples “Federico II”, Via Universita, 100–80055 Portici, Naples, Italy
| | - Teresa Cirillo
- Department of Agricultural Sciences, University of Naples “Federico II”, Via Universita, 100–80055 Portici, Naples, Italy
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Megna M, Cirillo T, Balato A, Balato N, Gallo L. Real‐life effectiveness of biological drugs on psoriatic difficult‐to‐treat body regions: scalp, palmoplantar area and lower limbs. J Eur Acad Dermatol Venereol 2018; 33:e22-e23. [DOI: 10.1111/jdv.15119] [Citation(s) in RCA: 12] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Affiliation(s)
- M. Megna
- Section of Dermatology Department of Clinical Medicine and Surgery University of Naples Federico II Naples Italy
| | - T. Cirillo
- Section of Dermatology Department of Clinical Medicine and Surgery University of Naples Federico II Naples Italy
| | - A. Balato
- Section of Dermatology Department of Clinical Medicine and Surgery University of Naples Federico II Naples Italy
| | - N. Balato
- Department of Advanced Biomedical Sciences University of Naples Federico II Naples Italy
| | - L. Gallo
- Section of Dermatology Department of Clinical Medicine and Surgery University of Naples Federico II Naples Italy
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20
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Esposito F, Nardone A, Fasano E, Triassi M, Cirillo T. Determination of acrylamide levels in potato crisps and other snacks and exposure risk assessment through a Margin of Exposure approach. Food Chem Toxicol 2017; 108:249-256. [PMID: 28811114 DOI: 10.1016/j.fct.2017.08.006] [Citation(s) in RCA: 23] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/18/2017] [Revised: 07/14/2017] [Accepted: 08/04/2017] [Indexed: 12/22/2022]
Abstract
Potato crisps, corn-based extruded snacks and other savoury snacks are very popular products especially among younger generations. These products could be a potential source of acrylamide (AA), a toxic compound which could develop during frying and baking processes. The purpose of this study was the assessment of the dietary intake to AA across six groups of consumers divided according to age through the consumption of potato crisps and other snacks, in order to eventually evaluate the margin of exposure (MOE) related to neurotoxic and carcinogenic critical endpoints. Different brands of potato crisps and other popular snacks were analyzed through a matrix solid-phase dispersion method followed by a bromination step and GC-MS quantification. The concentration of detected AA ranged from 21 to 3444 ng g-1 and the highest level occurred in potato crisps samples which showed a median value of 968 ng g-1. The risk characterization through MOE assessment revealed that five out of six consumers groups showed higher exposure values associated with an augmented carcinogenic risk.
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Affiliation(s)
- Francesco Esposito
- Department of Agricultural Sciences, University of Naples Federico II, Via Università, 100 - 80055 Portici, Naples, Italy
| | - Antonio Nardone
- Department of Public Health, University of Naples Federico II, Via Sergio Pansini, 5 - 80131 Naples, Italy
| | - Evelina Fasano
- Department of Agricultural Sciences, University of Naples Federico II, Via Università, 100 - 80055 Portici, Naples, Italy
| | - Maria Triassi
- Department of Public Health, University of Naples Federico II, Via Sergio Pansini, 5 - 80131 Naples, Italy
| | - Teresa Cirillo
- Department of Agricultural Sciences, University of Naples Federico II, Via Università, 100 - 80055 Portici, Naples, Italy.
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21
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Cirillo T, Lembo C, Balato A, Lembo S. Natural weight-loss products and acne induction in a patient with thyroid dysfunction. GIORN ITAL DERMAT V 2017; 152:316. [PMID: 28409582 DOI: 10.23736/s0392-0488.16.05247-0] [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: 11/08/2022]
Affiliation(s)
- Teresa Cirillo
- Section of Dermatology, Department of Clinical Medicine and Surgery, University of Naples Federico II, Naples, Italy -
| | - Claudio Lembo
- Section of Dermatology, Department of Clinical Medicine and Surgery, University of Naples Federico II, Naples, Italy
| | - Anna Balato
- Department of Advanced Biomedical Sciences, University of Naples Federico II, Naples, Italy
| | - Serena Lembo
- Department of Medicine, Surgery and Dentistry "Scuola Medica Salernitana", University of Salerno, Salerno, Italy
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22
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Gallo P, Di Marco Pisciottano I, Esposito F, Fasano E, Scognamiglio G, Mita GD, Cirillo T. Determination of BPA, BPB, BPF, BADGE and BFDGE in canned energy drinks by molecularly imprinted polymer cleaning up and UPLC with fluorescence detection. Food Chem 2017; 220:406-412. [DOI: 10.1016/j.foodchem.2016.10.005] [Citation(s) in RCA: 80] [Impact Index Per Article: 11.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/06/2016] [Revised: 09/23/2016] [Accepted: 10/01/2016] [Indexed: 01/22/2023]
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23
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Napolitano M, Balato N, Caso F, Costa L, Megna M, Cirillo T, Balato A, Scarpa R. Paradoxical onset of psoriatic arthritis during treatment with biologic agents for plaque psoriasis: a combined dermatology and rheumatology clinical study. Clin Exp Rheumatol 2017; 35:137-140. [PMID: 27749221] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/22/2016] [Accepted: 04/08/2016] [Indexed: 06/06/2023]
Abstract
OBJECTIVES To evaluate the incidence of new cases of psoriatic arthritis (PsA) in patients with plaque psoriasis receiving biologic drugs. METHODS A retrospective study was performed on 434 psoriatic patients under biologic treatment, attending the Psoriasis Care Centre of Dermatology at the University Federico II of Naples from January 2011 to November 2015. As part of the routine clinical practice, assessment of disease activity was made at baseline, and every 3 months. PsA diagnosis was performed by a rheumatologist through clinical examination, evaluation of the CASPAR criteria, laboratory and radiological assessment. RESULTS On the basis of the inclusion and exclusion criteria, we reviewed and analysed the clinical data of 327 patients with plaque psoriasis. The biologic drugs adalimumab, etanercept, infliximab and ustekinumab were prescribed to 116 (35.5%), 88 (27.0%), 27 (8.2%), and 96 (29.3%), respectively. We found that 22 out of 327 patients with plaque psoriasis developed PsA during treatment with biologic drugs. In particular, 6 (27.2%) PsA patients were under etanercept therapy, 10 (45.4%) under adalimumab, 4 (18.2%) under ustekinumab and 2 (9.2%) under infliximab. CONCLUSIONS The results of this study show that in several psoriasis patients, biologic therapy may not be sufficient to prevent the onset of articular involvement. In most of the verified PsA cases, arthritis occurred in concomitance with severe cutaneous involvement.
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Affiliation(s)
- Maddalena Napolitano
- Dermatology Unit, Department of Clinical Medicine and Surgery, University Federico II, Naples, Italy
| | - Nicola Balato
- Dermatology Unit, Department of Clinical Medicine and Surgery, University Federico II, Naples, Italy
| | - Francesco Caso
- Rheumatology Unit, Department of Clinical Medicine and Surgery, University Federico II, Naples, Italy
| | - Luisa Costa
- Rheumatology Unit, Department of Clinical Medicine and Surgery, University Federico II, Naples, Italy
| | - Matteo Megna
- Dermatology Unit, Department of Clinical Medicine and Surgery, University Federico II, Naples, Italy
| | - Teresa Cirillo
- Dermatology Unit, Department of Clinical Medicine and Surgery, University Federico II, Naples, Italy
| | - Anna Balato
- Dermatology Unit, Department of Clinical Medicine and Surgery, University Federico II, Naples, Italy
| | - Raffaele Scarpa
- Rheumatology Unit, Department of Clinical Medicine and Surgery, University Federico II, Naples, Italy.
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Esposito F, Fasano E, Scognamiglio G, Nardone A, Triassi M, Cirillo T. Exposure assessment to fumonisins B1, B2 and B3 through consumption of gluten-free foodstuffs intended for people affected by celiac disease. Food Chem Toxicol 2016; 97:395-401. [DOI: 10.1016/j.fct.2016.10.013] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/20/2016] [Revised: 09/21/2016] [Accepted: 10/12/2016] [Indexed: 11/24/2022]
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Ruggiero G, Lembo S, Cirillo T, Ruggiero C, Arcangeli F, Monfrecola G. Sun exposure risk in children: the Italian paediatrician perspective. J Eur Acad Dermatol Venereol 2016; 30:e146-e151. [PMID: 26563515 DOI: 10.1111/jdv.13459] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
Affiliation(s)
- G Ruggiero
- National Scientific Coordinator Paidòss, Rome, Italy
| | - S Lembo
- Section of Dermatology, Department of Clinical Medicine and Surgery, "Federico II" University, Naples, Italy.
| | - T Cirillo
- Section of Dermatology, Department of Clinical Medicine and Surgery, "Federico II" University, Naples, Italy
| | | | - F Arcangeli
- Dermatology Unit, M. Bufalini General Hospital, Cesena (FC), Italy
| | - G Monfrecola
- Section of Dermatology, Department of Clinical Medicine and Surgery, "Federico II" University, Naples, Italy
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Lembo S, Cirillo T, Marasca C, Lo Conte V, Lembo C, Balato A, Monfrecola G. Sporotrichosis: long-term treatment and follow-up in a diabetic patient from Southern Italy. GIORN ITAL DERMAT V 2016; 151:576-578. [PMID: 27595209] [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] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/06/2023]
Affiliation(s)
- Serena Lembo
- Section of Dermatology, Department of Clinical Medicine and Surgery, University of Naples Federico II, Naples, Italy -
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Fasano E, Esposito F, Scognamiglio G, Cocchieri Amodio R, Cirillo T. Detection of polycyclic aromatic hydrocarbons in smoked buffalo mozzarella cheese produced in Campania Region, Italy. J Sci Food Agric 2016; 96:1704-1708. [PMID: 26018589 DOI: 10.1002/jsfa.7275] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/31/2015] [Revised: 05/13/2015] [Accepted: 05/25/2015] [Indexed: 06/04/2023]
Abstract
BACKGROUND Smoked mozzarella is obtained through traditional smoking techniques or the use of liquid smoke. Polycyclic aromatic hydrocarbons (PAHs) may be produced during the organic matrix combustion. The aim of this study was to evaluate benzo[a]pyrene (B(a)P), benzo[a]anthracene (B(a)A), benzo[b]fluoranthene (B(b)FA), benzo[k]fluoranthene (B(k)FA), benzo[ghi]perylene (B(g,h,i)PE), chrysene (CHR), dibenz[a,h]anthracene (DB(a,h)A) and indeno[1,2,3-cd]pyrene (IP) in smoked buffalo mozzarella produced in Campania, evaluating also the influence of the different smoking techniques. Milk and mozzarella of the same batch, before and after smoking, were collected. The detection method was basic hydrolysis, clean-up with silica and detection by HPLC equipped with a fluorescence detector. RESULTS For milk, only 30% was contaminated. In non-smoked products the medians were >LODs only for B(a)A and CHR. In smoked mozzarellas the highest median was 0.37 ng g(-1) wet weight (CHR). CONCLUSION It was found that the consumption of this typical food of Campania does not represent a risk for consumers, considering that the incidences on EFSA dietary intake were always lower than 1.5% for mozzarella cheese and lower than 3% for smoked mozzarella cheese.
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Affiliation(s)
- Evelina Fasano
- Department of Agricultural Sciences, University of Naples 'Federico II', Via Università, 100-80055 Portici, Naples, Italy
| | - Francesco Esposito
- Department of Agricultural Sciences, University of Naples 'Federico II', Via Università, 100-80055 Portici, Naples, Italy
| | - Gelsomina Scognamiglio
- Department of Agricultural Sciences, University of Naples 'Federico II', Via Università, 100-80055 Portici, Naples, Italy
| | - Renata Cocchieri Amodio
- Department of Agricultural Sciences, University of Naples 'Federico II', Via Università, 100-80055 Portici, Naples, Italy
| | - Teresa Cirillo
- Department of Agricultural Sciences, University of Naples 'Federico II', Via Università, 100-80055 Portici, Naples, Italy
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Maresca D, De Prisco A, La Storia A, Cirillo T, Esposito F, Mauriello G. Microencapsulation of nisin in alginate beads by vibrating technology: Preliminary investigation. Lebensm Wiss Technol 2016. [DOI: 10.1016/j.lwt.2015.10.062] [Citation(s) in RCA: 25] [Impact Index Per Article: 3.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
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Montuori P, Aurino S, Nardone A, Cirillo T, Triassi M. Spatial distribution and partitioning of organophosphates pesticide in water and sediment from Sarno River and Estuary, Southern Italy. Environ Sci Pollut Res Int 2015; 22:8629-8642. [PMID: 25561261 DOI: 10.1007/s11356-014-4016-z] [Citation(s) in RCA: 40] [Impact Index Per Article: 4.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/28/2014] [Accepted: 12/16/2014] [Indexed: 06/04/2023]
Abstract
The organophosphates pesticide (OPP) pollution in the Sarno River and its environmental impact on the Gulf of Naples (Tyrrhenian Sea, Central Mediterranean Sea) were estimated. Nine selected OPPs (diazinon, dimethoate, malathion, chlorpyrifos, dichlorvos, fenitrothion, methidathion, tolclofos-methyl, azinphos-methyl) were determined in the water dissolved phase (DP), suspended particulate matter (SPM) and sediment samples. Total OPP concentrations ranged from 5.58 to 39.25 ng L(-1) in water (as the sum of the DP and SPM) and from 0.19 to 3.98 ng g(-1) in sediment samples. Contaminant discharges of OPPs into the sea were calculated in about 48,064.08 g year(-1), showing that this river should account as one of the main contribution sources of OPPs to the Tyrrhenian Sea.
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Affiliation(s)
- Paolo Montuori
- Department of Public Health, University "Federico II", Via Sergio Pansini n 5, 80131, Naples, Italy,
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Fasano E, Esposito F, Scognamiglio G, Di Francesco F, Montuori P, Amodio Cocchieri R, Cirillo T. Bisphenol A contamination in soft drinks as a risk for children's health in Italy. Food Addit Contam Part A Chem Anal Control Expo Risk Assess 2015; 32:1207-14. [PMID: 25905576 DOI: 10.1080/19440049.2015.1031713] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
Abstract
Bisphenol A (BPA) was determined in sugary carbonated, non-carbonated and milk-based beverages, through HLPC-fluorescence detection and confirmed by LC-MS/MS, in a selection of brands that are mostly consumed by Italian children. The daily intake was determined through the WHO budget method (BM). BPA was found at detectable levels in 57% of carbonated beverages, in 50% of non-carbonated and in 100% of milk-based beverages. The median concentrations were 1.24 µg l(-1) (range = < LOD-4.98 µg l(-1)) in canned carbonated beverages and 0.18 µg l(-1) (< LOD-1.78 µg l(-1)) in non-canned carbonated beverages. In non-carbonated beverages, median concentrations were 0.80 µg l(-1) (< LOD-2.79 µg l(-1)) and 0.18 µg l(-1) (< LOD-3.58 µg l(-1)), respectively, for canned and non-canned beverages; in milk-based products the BPA median concentration was 3.60 µg l(-1) (1.00-17.65 µg l(-1)). BPA daily intake from sugary drink consumption in children ranged from 0.008 to 1.765 µg kg(-1) bw day(-1). The median exposure values for the 'best' and 'worst' cases were 0.16% and 0.47% respectively of the EFSA t-TDI for BPA (4 µg kg(-1) bw day(-1)), and 10.59% and 35.30% of the t-TDI when the maximum levels were considered.
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Affiliation(s)
- Evelina Fasano
- a Department of Agriculture , 'Federico II' University of Naples, Via Università , Portici, Naples , Italy
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Cirillo T, Latini G, Castaldi MA, Dipaola L, Fasano E, Esposito F, Scognamiglio G, Francesco FD, Cobellis L. Exposure to di-2-ethylhexyl phthalate, di-n-butyl phthalate and bisphenol A through infant formulas. J Agric Food Chem 2015; 63:3303-3310. [PMID: 25730646 DOI: 10.1021/jf505563k] [Citation(s) in RCA: 51] [Impact Index Per Article: 5.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/04/2023]
Abstract
Phthalates and bisphenol A (BPA) are ubiquitous contaminants identified as endocrine disruptors. Phthalates are worldwide used as plasticizers, in particular to improve the mechanical properties of polymers such as polyvinyl chloride. Because they are not chemically bound to the polymer, they tend to leach out with time and use. Di-2-ethylhexyl phthalate (DEHP) and di-n-butyl phthalate (DnBP) are the two most common phthalates. BPA is an estrogenic compound used to manufacture polycarbonate containers for food and drink, including baby bottles. It can migrate from container into foods, especially at elevated temperatures. Diet is a predominant source of exposure for phthalates and BPA, especially for infants. The aim of this study was to test the presence of DEHP, DnBP, and BPA in infant formulas. DEHP, DnBP, and BPA concentrations were measured in 22 liquid and 28 powder milks by gas chromatography with flame ionization detection and high performance liquid chromatography with fluorimetric detection, respectively. DEHP concentrations in our samples were between 0.005 and 5.088 μg/g (median 0.906 μg/g), DnBP concentrations were between 0.008 and 1.297 μg/g (median 0.053 μg/g), and BPA concentrations were between 0.003 and 0.375 μg/g (median 0.015 μg/g). Concentrations of the investigated contaminants in liquid and powder milks were not significantly different, even though samples were packed in different types of containers. These data point out potential hazards for infants fed with baby formulas. Contamination seems more related to the production of formulas than to a release from containers.
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Affiliation(s)
- Teresa Cirillo
- †Department of Agriculture, "Federico II" University, Via Università, 100 80055 Portici, Naples Italy
| | - Giuseppe Latini
- ‡Clinical Physiology Institute, National Research Council of Italy (IFC-CNR), Via Andrea Bafile, 6, 72100 Brindisi, Italy
| | - Maria Antonietta Castaldi
- §Department of the Woman, the Child, and General and Specialized Surgery, Second University of NaplesVia Costantinopoli, 104 80138 Naples, Italy
| | - Lucia Dipaola
- ‡Clinical Physiology Institute, National Research Council of Italy (IFC-CNR), Via Andrea Bafile, 6, 72100 Brindisi, Italy
| | - Evelina Fasano
- †Department of Agriculture, "Federico II" University, Via Università, 100 80055 Portici, Naples Italy
| | - Francesco Esposito
- †Department of Agriculture, "Federico II" University, Via Università, 100 80055 Portici, Naples Italy
| | - Gelsomina Scognamiglio
- †Department of Agriculture, "Federico II" University, Via Università, 100 80055 Portici, Naples Italy
| | - Fabio Di Francesco
- ‡Clinical Physiology Institute, National Research Council of Italy (IFC-CNR), Via Andrea Bafile, 6, 72100 Brindisi, Italy
- ∥Department of Chemistry and Industrial Chemistry, University of PisaVia Giuseppe Moruzzi, 3 56124 Pisa, Italy
| | - Luigi Cobellis
- §Department of the Woman, the Child, and General and Specialized Surgery, Second University of NaplesVia Costantinopoli, 104 80138 Naples, Italy
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Patruno C, Napolitano M, Balato N, Ayala F, Megna M, Patrì A, Cirillo T, Balato A. Psoriasis and skin pain: instrumental and biological evaluations. Acta Derm Venereol 2015; 95:432-8. [PMID: 25178645 DOI: 10.2340/00015555-1965] [Citation(s) in RCA: 28] [Impact Index Per Article: 3.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
Abstract
The prevalence of skin pain and the molecular mechanisms responsible for pain in psoriasis remain unclear. This study assessed skin pain in 163 patients (98 males, 65 females, range 18-81 years) with plaque psoriasis, evaluating: the subjective/objective features of this symptom compared with clinical severity of the disease; and the role of interleukin (IL)-33, (involved in both psoriasis and pain pathogenesis), in psoriasis-related pain. Clinical measures used were a questionnaire, plaque Physician Global Assessment (PGA) index, pressure algometry to measure pain threshold and tactile/thermal sensitivity test. IL-33 gene expression was examined in vivo (n = 12) in patients skin and through an ex vivo model of nociception using sodium dodecyl sulphate. Of the psoriatic patients 43.6% reported skin pain during the previous week; itchy, unpleasant, aching, sensitive, hot/burning, tender and cramping were the most reported qualities. Patients' pain threshold decreased with increasing PGA index and pain intensity. Sensitivity to touch/heat was reduced in lesional skin, compared with unaffected psoriatic skin. IL-33 expression was increased in lesional skin of patients reporting pain and in the ex vivo system. In conclusion, symptoms of skin pain should be taken into account in the management of psoriasis.
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Affiliation(s)
- Cataldo Patruno
- Section of Dermatology - Department of Clinical Medicine and Surgery , University of Naples Federico II, Via S. Pansini n. 5, 80131 Naples, Italy.
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Napolitano M, Balato N, Ayala F, Cirillo T, Balato A. Multiple sclerosis following anti-tumor necrosis factor-alpha therapy for psoriasis: first case in Italy? Ital J Dermatol Venerol 2015; 153:567-572. [PMID: 25692775 DOI: 10.23736/s0392-0488.17.04992-6] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
Abstract
The use of tumor necrosis factor alpha (TNF-α) antagonists has greatly improved clinical management of psoriasis and other inflammatory diseases, but acute and chronic adverse reactions, including demyelination, are becoming increasingly recognized. We reported a case of multiple sclerosis in a 48-year-old Italian man with plaque psoriasis treated with etanercept. Through a literature review, we found a total of 35 psoriatic patients, including our case, in whom a demyelinating disease developed in course of TNF-α antagonists therapy. Since neurological disorders are rarely associated with the use of anti-TNF-α therapy in psoriatic patients, but have severe side effects, physicians should screen patients before starting therapy, excluding a positive anamnesis for demyelinating disease; if patients receiving anti-TNF-α drugs develop new or unusual neurological symptoms, the anti-TNF-α should be stopped and patients should be properly examined. Furthermore, therapies for demyelinating diseases that could exacerbate psoriasis manifestations should be carefully avoided.
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Affiliation(s)
- Maddalena Napolitano
- Department of Medicine and Health Sciences "Vincenzo Tiberio", University of Molise, Campobasso, Italy -
| | - Nicola Balato
- Section of Dermatology, Department of Clinical Medicine and Surgery, Federico II University, Naples, Italy
| | - Fabio Ayala
- Section of Dermatology, Department of Clinical Medicine and Surgery, Federico II University, Naples, Italy
| | - Teresa Cirillo
- Section of Dermatology, Department of Clinical Medicine and Surgery, Federico II University, Naples, Italy
| | - Anna Balato
- Department of Advanced Biomedical Sciences, University of Naples "Federico II", Naples, Italy
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Balato A, Scalvenzi M, Cirillo T, Gallo L, Ayala F, Balato N, Balato N. Psoriasis in Children: A Review. Curr Pediatr Rev 2015; 11:10-26. [PMID: 25938378 DOI: 10.2174/1573400511666150504125456] [Citation(s) in RCA: 25] [Impact Index Per Article: 2.8] [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] [Received: 02/14/2015] [Revised: 04/27/2015] [Accepted: 04/28/2015] [Indexed: 11/22/2022]
Abstract
Psoriasis is a chronic, immune-mediated, inflammatory systemic disease which targets primarily the skin. It presents a genetic basis, affecting 1 to 3% of the white population. Nevertheless, the existence of two psoriasis incidence peaks has been suggested (one in adolescence before 20 years of age and another in adulthood) onset may occur at any age, including childhood and adolescence, in which its prevalence ranges between 0.7% and 1.2%. As for adult psoriasis, pediatric psoriasis has recently been associated with obesity, metabolic syndrome, increased waist circumference percentiles, and metabolic laboratory abnormalities, warranting early monitoring and lifestyle modifications. In addition, due to psoriasis chronic nature and frequently occurring relapses, psoriatic patients tend to have an impaired quality of life, often requiring long-term treatment. Therefore, education of both pediatric patients and their parents is essential to successful and safe disease management. However, systemic treatment of children is challenging as the absence of standardized guidelines and the fact that evidence-based data form randomized controlled trials are very limited. This review shows an overview of the current understanding of the pathogenesis, comorbidities, differential diagnosis, treatment and prevention of pediatric psoriasis, also presenting with an emphasis on the necessity of an integrated treatment approach involving different specialists such as dermatologist, pediatricians, rheumatologists, etc.
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Affiliation(s)
| | | | | | | | | | | | - Nicola Balato
- Section of Dermatology - Department of Clinical Medicine and Surgery - University of Naples Federico II, Via Pansini, 5, 80131 Naples, Italy.
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Stellato G, La Storia A, Cirillo T, Ercolini D. Bacterial biogeographical patterns in a cooking center for hospital foodservice. Int J Food Microbiol 2015; 193:99-108. [DOI: 10.1016/j.ijfoodmicro.2014.10.018] [Citation(s) in RCA: 17] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/04/2014] [Revised: 10/15/2014] [Accepted: 10/16/2014] [Indexed: 11/16/2022]
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Tong L, Huang C, Ramalli A, Tortoli P, Luo J, D'hooge J, Tzemos N, Mordi I, Bishay T, Bishay T, Negishi T, Hristova K, Kurosawa K, Bansal M, Thavendiranathan P, Yuda S, Popescu B, Vinereanu D, Penicka M, Marwick T, Hamed W, Kamel M, Yaseen R, El-Barbary H, Nemes A, Kis O, Gavaller H, Kanyo E, Forster T, Angelis A, Vlachopoulos C, Ioakimidis N, Felekos I, Chrysohoou C, Aznaouridis K, Abdelrasoul M, Terentes D, Ageli K, Stefanadis C, Kurnicka K, Domienik-Karlowicz J, Lichodziejewska B, Goliszek S, Grudzka K, Krupa M, Dzikowska-Diduch O, Ciurzynski M, Pruszczyk P, Gual Capllonch F, Lopez Ayerbe J, Teis A, Ferrer E, Vallejo N, Junca G, Pla R, Bayes-Genis A, Schwaiger J, Knight D, Gallimore A, Schreiber B, Handler C, Coghlan J, Bruno RM, Giardini G, Malacrida S, Catuzzo B, Armenia S, Brustia R, Ghiadoni L, Cauchy E, Pratali L, Kim K, Lee K, Cho J, Yoon H, Ahn Y, Jeong M, Cho J, Park J, Cho S, Nastase O, Enache R, Mateescu A, Botezatu D, Popescu B, Ginghina C, Gu H, Sinha M, Simpson J, Chowienczyk P, Fazlinezhad A, Tashakori Behesthi A, Homaei F, Mostafavi H, Hosseini G, Bakaeiyan M, Boutsikou M, Petrou E, Dimopoulos A, Dritsas A, Leontiadis E, Karatasakis G, Sahin ST, Yurdakul S, Yilmaz N, Cengiz B, Cagatay Y, Aytekin S, Yavuz S, Karlsen S, Dahlslett T, Grenne B, Sjoli B, Smiseth O, Edvardsen T, Brunvand H, Nasr G, Nasr A, Eleraki A, Elrefai S, Mordi I, Sonecki P, Tzemos N, Gustafsson U, Naar J, Stahlberg M, Cerne A, Capotosto L, Rosato E, D'angeli I, Azzano A, Truscelli G, De Maio M, Salsano F, Terzano C, Mangieri E, Vitarelli A, Renard S, Najih H, Mancini J, Jacquier A, Haentjens J, Gaubert J, Habib G, Caminiti G, D'antoni V, D'antoni V, Cardaci V, Cardaci V, Conti V, Conti V, Volterrani M, Volterrani M, Ahn J, Kim D, Lee H, Iliuta L, Lo Iudice F, Esposito R, Lembo M, Santoro C, Ballo P, Mondillo S, De Simone G, Galderisi M, Hwang Y, Kim J, Kim J, Moon K, Yoo K, Kim C, Tagliamonte E, Rigo F, Cirillo T, Caruso A, Astarita C, Cice G, Quaranta G, Romano C, Capuano N, Calabro' R, Zagatina A, Zhuravskaya N, Guseva O, Huttin O, Benichou M, Voilliot D, Venner C, Micard E, Girerd N, Sadoul N, Moulin F, Juilliere Y, Selton-Suty C, Baron T, Christersson C, Johansson K, Flachskampf F, Lee S, Lee J, Hur S, Park J, Yun J, Song S, Kim W, Ko J, Nyktari E, Bilal S, Ali S, Izgi C, Prasad S, Aly M, Kleijn S, Kandil H, Kamp O, Beladan C, Calin A, Rosca M, Craciun A, Gurzun M, Calin C, Enache R, Mateescu A, Ginghina C, Popescu B, Mornos C, Mornos A, Ionac A, Cozma D, Crisan S, Popescu I, Ionescu G, Petrescu L, Camacho S, Gamaza Chulian S, Carmona R, Diaz E, Giraldez A, Gutierrez A, Toro R, Benezet J, Antonini-Canterin F, Vriz O, La Carrubba S, Poli S, Leiballi E, Zito C, Careri S, Caruso R, Pellegrinet M, Nicolosi G, Kong W, Kyu K, Wong R, Tay E, Yip J, Yeo T, Poh K, Correia M, Delgado A, Marmelo B, Correia E, Abreu L, Cabral C, Gama P, Santos O, Rahman M, Borges IP, Peixoto E, Peixoto R, Peixoto R, Marcolla V, Okura H, Kanai M, Murata E, Kataoka T, Stoebe S, Tarr A, Pfeiffer D, Hagendorff A, Generati G, Bandera F, Pellegrino M, Alfonzetti E, Labate V, Guazzi M, Kuznetsov V, Yaroslavskaya E, Pushkarev G, Krinochkin D, Zyrianov I, Carigi S, Baldazzi F, Bologna F, Amati S, Venturi P, Grosseto D, Biagetti C, Fabbri E, Arlotti M, Piovaccari G, Rahbi H, Bin Abdulhaq A, Tleyjeh I, Santoro C, Galderisi M, Costantino M, Tarsia G, Innelli P, Dores E, Esposito G, Matera A, De Simone G, Trimarco B, Capotosto L, Azzano A, Mukred K, Ashurov R, Tanzilli G, Mangieri E, Vitarelli A, Merlo M, Gigli M, Stolfo D, Pinamonti B, Antonini Canterin F, Muca M, D'angelo G, Scapol S, Di Nucci M, Sinagra G, Behaghel A, Feneon D, Fournet M, Thebault C, Martins R, Mabo P, Leclercq C, Daubert C, Donal E, Davinder Pal S, Prakash Chand N, Sanjeev A, Rajeev M, Ankur D, Ram Gopal S, Mzoughi K, Zairi I, Jabeur M, Ben Moussa F, Ben Chaabene A, Kamoun S, Mrabet K, Fennira S, Zargouni A, Kraiem S, Demkina A, Hashieva F, Krylova N, Kovalevskaya E, Potehkina N, Zaroui A, Ben Said R, Smaali S, Rekik B, Ben Hlima M, Mizouni H, Mechmeche R, Mourali M, Malhotra A, Sheikh N, Dhutia H, Siva A, Narain R, Merghani A, Millar L, Walker M, Sharma S, Papadakis M, Siam-Tsieu V, Mansencal N, Arslan M, Deblaise J, Dubourg O, Zaroui A, Rekik B, Ben Said R, Boudiche S, Larbi N, Tababi N, Hannachi S, Mechmeche R, Mourali M, Mechmeche R, Zaroui A, Chalbia T, Ben Halima M, Rekik B, Boussada R, Mourali M, Lipari P, Bonapace S, Valbusa F, Rossi A, Zenari L, Lanzoni L, Targher G, Canali G, Molon G, Barbieri E, Novo G, Giambanco S, Sutera M, Bonomo V, Giambanco F, Rotolo A, Evola S, Assennato P, Novo S, Budnik M, Piatkowski R, Kochanowski J, Opolski G, Chatzistamatiou E, Mpampatseva Vagena I, Manakos K, Moustakas G, Konstantinidis D, Memo G, Mitsakis O, Kasakogias A, Syros P, Kallikazaros I, Marketou M, Parthenakis F, Kalyva N, Pontikoglou C, Maragkoudakis S, Zacharis E, Patrianakos A, Maragoudakis F, Papadaki H, Vardas P, Rodrigues A, Perandini L, Souza T, Sa-Pinto A, Borba E, Arruda A, Furtado M, Carvalho F, Bonfa E, Andrade J, Hlubocka Z, Malinova V, Palecek T, Danzig V, Kuchynka P, Dostalova G, Zeman J, Linhart A, Chatzistamatiou E, Konstantinidis D, Memo G, Mpampatzeva Vagena I, Moustakas G, Manakos K, Trachanas K, Vergi N, Feretou A, Kallikazaros I, Corut H, Sade L, Ozin B, Atar I, Turgay O, Muderrisoglu H, Ledakowicz-Polak A, Polak L, Krauza G, Zielinska M, Szulik M, Streb W, Wozniak A, Lenarczyk R, Sliwinska A, Kalarus Z, Kukulski T, Nogueira M, Branco L, Agapito A, Galrinho A, Borba A, Teixeira P, Monteiro A, Ramos R, Cacela D, Cruz Ferreira R, Guala A, Camporeale C, Tosello F, Canuto C, Ridolfi L, Chatzistamatiou E, Moustakas G, Memo G, Konstantinidis D, Mpampatzeva Vagena I, Manakos K, Traxanas K, Vergi N, Feretou A, Kallikazaros I, Hristova K, Marinov R, Stamenov G, Mihova M, Persenska S, Racheva A, Plaskota K, Trojnarska O, Bartczak A, Grajek S, Ramush Bejiqi R, Retkoceri R, Bejiqi H, Beha A, Surdulli S, Dreyfus J, Durand-Viel G, Cimadevilla C, Brochet E, Vahanian A, Messika-Zeitoun D, Jin C, Fang F, Meng F, Kam K, Sun J, Tsui G, Wong K, Wan S, Yu C, Lee A, Cho IJ, Chung H, Heo R, Ha S, Hong G, Shim C, Chang H, Ha J, Chung N, Moral S, Gruosso D, Galuppo V, Teixido G, Rodriguez-Palomares J, Gutierrez L, Evangelista A, Moral S, Gruosso D, Galuppo V, Teixido G, Rodriguez-Palomares J, Gutierrez L, Evangelista A, Moral S, Gruosso D, Galuppo V, Teixido G, Rodriguez-Palomares J, Gutierrez L, Evangelista A, Alexopoulos A, Dawson D, Nihoyannopoulos P, Zainal Abidin HA, Ismail J, Arshad K, Ibrahim Z, Lim C, Abd Rahman E, Kasim S, Peteiro J, Barrio A, Escudero A, Bouzas-Mosquera A, Yanez J, Martinez D, Castro-Beiras A, Scali M, Simioniuc A, Mandoli G, Lombardo A, Massaro F, Di Bello V, Marzilli M, Dini F, Adachi H, Tomono J, Oshima S, Merchan Ortega G, Bravo Bustos D, Lazaro Garcia R, Sanchez Espino A, Macancela Quinones J, Ikuta I, Ruiz Lopez M, Valencia Serrano F, Bonaque Gonzalez J, Gomez Recio M, Romano G, D'ancona G, Pilato G, Di Gesaro G, Clemenza F, Raffa G, Scardulla C, Sciacca S, Lancellotti P, Pilato M, Addetia K, Takeuchi M, Maffessanti F, Weinert L, Hamilton J, Mor-Avi V, Lang R, Sugano A, Seo Y, Watabe H, Kakefuda Y, Aihara H, Nishina H, Ishizu T, Fumikura Y, Noguchi Y, Aonuma K, Luo X, Fang F, Lee A, Shang Q, Yu C, Sammut EC, Chabinok R, Jackson T, Siarkos M, Lee L, Carr-White G, Rajani R, Kapetanakis S, Byrne D, Walsh J, Ellis L, Mckiernan S, Norris S, King G, Murphy R, Hristova K, Katova T, Simova I, Kostova V, Shuie I, Ferferieva V, Bogdanova V, Castelon X, Nemes A, Sasi V, Domsik P, Kalapos A, Lengyel C, Orosz A, Forster T, Grapsa J, Demir O, Dawson D, Sharma R, Senior R, Nihoyannopoulos P, Pilichowska E, Zaborska B, Baran J, Stec S, Kulakowski P, Budaj A, Kosmala W, Kaye G, Saito M, Negishi K, Marwick T, Maceira Gonzalez AM, Ripoll C, Cosin-Sales J, Igual B, Salazar J, Belloch V, Dulai RS, Taylor A, Gupta S. Poster session 1: Wednesday 3 December 2014, 09:00-16:00 * Location: Poster area. Eur Heart J Cardiovasc Imaging 2014; 15:ii25-ii51. [DOI: 10.1093/ehjci/jeu248] [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: 09/02/2023] Open
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Lembo S, Balato A, Di Caprio R, Cirillo T, Giannini V, Gasparri F, Monfrecola G. The modulatory effect of ellagic acid and rosmarinic acid on ultraviolet-B-induced cytokine/chemokine gene expression in skin keratinocyte (HaCaT) cells. Biomed Res Int 2014; 2014:346793. [PMID: 25162011 PMCID: PMC4137628 DOI: 10.1155/2014/346793] [Citation(s) in RCA: 48] [Impact Index Per Article: 4.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 02/25/2014] [Revised: 06/11/2014] [Accepted: 06/16/2014] [Indexed: 11/17/2022]
Abstract
Ultraviolet radiation (UV) induces an increase in multiple cutaneous inflammatory mediators. Ellagic acid (EA) and rosmarinic acid (RA) are natural anti-inflammatory and immunomodulatory compounds found in many plants, fruits, and nuts. We assessed the ability of EA and RA to modulate IL-1β, IL-6, IL-8, IL-10, MCP-1, and TNF-α gene expression in HaCaT cells after UVB irradiation. Cells were treated with UVB (100 mJ/cm(2)) and simultaneously with EA (5 μM in 0.1% DMSO) or RA (2.7 μM in 0.5% DMSO). Moreover, these substances were added to the UVB-irradiated cells 1 h or 6 h before harvesting, depending on the established UVB-induced cytokine expression peak. Cytokine gene expression was examined using quantitative real time polymerase chain reaction. RA produced a significant reduction in UVB-induced expression of IL-6, IL-8, MCP-1, and TNF-α when applied at the same time as irradiation. EA showed milder effects compared with RA, except for TNF-α. Both substances decreased IL-6 expression, also when applied 5 h after irradiation, and always produced a significant increase in UVB-induced IL-10 expression. Our findings suggest that EA and RA are able to prevent and/or limit the UVB-induced inflammatory cascade, through a reduction in proinflammatory mediators and the enhancement of IL-10, with its protective function.
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Affiliation(s)
- Serena Lembo
- Section of Dermatology, Department of Clinical Medicine and Surgery, University of Naples Federico II, Via S. Pansini 5, 80131 Naples, Italy
| | - Anna Balato
- Section of Dermatology, Department of Clinical Medicine and Surgery, University of Naples Federico II, Via S. Pansini 5, 80131 Naples, Italy
| | - Roberta Di Caprio
- Section of Dermatology, Department of Clinical Medicine and Surgery, University of Naples Federico II, Via S. Pansini 5, 80131 Naples, Italy
| | - Teresa Cirillo
- Section of Dermatology, Department of Clinical Medicine and Surgery, University of Naples Federico II, Via S. Pansini 5, 80131 Naples, Italy
| | - Valentina Giannini
- Rottapharm Madaus Dermo-Cosmetic R&D Division, Via Valosa di Sopra 9, 20052 Monza, Italy
| | - Franco Gasparri
- Rottapharm Madaus Dermo-Cosmetic R&D Division, Via Valosa di Sopra 9, 20052 Monza, Italy
| | - Giuseppe Monfrecola
- Section of Dermatology, Department of Clinical Medicine and Surgery, University of Naples Federico II, Via S. Pansini 5, 80131 Naples, Italy
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Tagliamonte E, Rigo F, Cirillo T, Astarita C, Quaranta G, Marinelli U, Caruso A, Romano C, Capuano N. Effects of Ranolazine on Noninvasive Coronary Flow Reserve in Patients with Myocardial Ischemia But without Obstructive Coronary Artery Disease. Echocardiography 2014; 32:516-21. [DOI: 10.1111/echo.12674] [Citation(s) in RCA: 45] [Impact Index Per Article: 4.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/19/2022] Open
Affiliation(s)
| | - Fausto Rigo
- Cardiovascular Department; dell'Angelo Hospital; Mestre-Venice Italy
| | - Teresa Cirillo
- Cardiology Division; “Umberto I” Hospital; Nocera Inferiore Italy
| | - Costantino Astarita
- Cardiology Division; Santa Maria della Misericordia Hospital; Sorrento (Naples) Italy
| | - Gaetano Quaranta
- Cardiology Division; “Umberto I” Hospital; Nocera Inferiore Italy
| | | | - Archimede Caruso
- Cardiology Division; “Umberto I” Hospital; Nocera Inferiore Italy
| | - Carlo Romano
- Cardiology Division; “Umberto I” Hospital; Nocera Inferiore Italy
| | - Nicola Capuano
- Cardiology Division; “Umberto I” Hospital; Nocera Inferiore Italy
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Montuori P, Cirillo T, Fasano E, Nardone A, Esposito F, Triassi M. Spatial distribution and partitioning of polychlorinated biphenyl and organochlorine pesticide in water and sediment from Sarno River and Estuary, southern Italy. Environ Sci Pollut Res Int 2014; 21:5023-5035. [PMID: 24366826 DOI: 10.1007/s11356-013-2419-x] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/13/2013] [Accepted: 11/29/2013] [Indexed: 06/03/2023]
Abstract
The Sarno River is nicknamed "the most polluted river in Europe". The main goal of this study is to enhance our knowledge on the Sarno River water and sediment quality and on its environmental impact on the gulf of Naples (Tyrrhenian Sea, Central Mediterranean Sea) in order to become a useful assessment tool for the regional administrations. For these reasons, 32 selected polychlorinated biphenyls (PCBs) and aldrin, α-BHC, β-BHC, δ-BHC, γ-BHC (lindane), 4,4'-DDD, 4,4'-DDE, 4,4'-DDT, dieldrin, endosulfan I, endosulfan II, endosulfan sulphate, endrin, endrin aldehyde, heptachlor, heptachlor epoxide (isomer B) and methoxychlor were determined in the water dissolved phase (DP), suspended particulate matter (SPM) and sediments. Total concentrations of PCBs ranged from 1.4 to 24.9 ng L(-1) in water (sum of DP and SPM) and from 1.01 to 42.54 ng g(-1) in sediment samples. The concentrations of total organochlorine pesticides (OCPs) obtained in water (sum of DP and SPM) ranged from 0.54 to 7.32 ng L(-1) and from 0.08 to 5.99 ng g(-1) in sediment samples. Contaminant discharges of PCBs and OCPs into the sea were calculated in about 1,247 g day(-1) (948 g day(-1) of PCBs and 326 g day(-1) of OCPs), showing that this river should account as one of the main contribution sources of PCBs and OCPs to the Tyrrhenian Sea.
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Affiliation(s)
- Paolo Montuori
- Department of Public Health, "Federico II" University, Via Sergio Pansini no. 5, 80131, Naples, Italy,
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Tagliamonte E, Rigo F, Cirillo T, Astarita C, Marinelli U, Caruso A, Riccio G, Romano C, Capuano N. COMPARISON OF THE EFFICACY OF BISOPROLOL AND IVABRADINE ON DOPPLER DERIVED CORONARY FLOW RESERVE IN PATIENTS WITH STABLE ANGINA PECTORIS: BEYOND THE HEART RATE. J Am Coll Cardiol 2014. [DOI: 10.1016/s0735-1097(14)61536-9] [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: 10/25/2022]
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Patruno C, Balato N, Cirillo T, Napolitano M, Ayala F. Periungual and subungual pyogenic granuloma following anti-TNF-α therapy: is it the first case? Dermatol Ther 2014; 26:493-5. [PMID: 24552415 DOI: 10.1111/dth.12022] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
Abstract
Tumor necrosis factor-alpha (TNF-α) antagonists have advanced treatment of psoriasis and other chronic inflammatory diseases but are not free of adverse effects. Pyogenic granuloma is yet described in literature as a dermatological side effect of multiple drugs such as retinoids, antiretroviral, and antineoplastic drugs but, to the best of our knowledge, it has never been reported among the adverse skin reactions following anti-TNF-α therapy. We report on a 20-year-old Caucasian man with psoriatic arthritis who developed multiple eruptive periungual and subungual pyogenic granulomas following treatment with TNF-α antagonist etanercept.
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Affiliation(s)
- Cataldo Patruno
- Department of Dermatology, University of Naples Federico II, Naples, Italy
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Cirillo T, Fasano E, Esposito F, Amorena M, Amodio Cocchieri R. Occurrence of NDL-PCBs, DL-PCBs, PCDD/Fs, lead and cadmium in feed and in rainbow trout (Oncorhynchus mykiss) farmed in Italy. Food Addit Contam Part A Chem Anal Control Expo Risk Assess 2014; 31:276-87. [DOI: 10.1080/19440049.2013.865279] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
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Tagliamonte E, Rigo F, Cirillo T, Astarita C, Quaranta G, Marinelli U, Romano C, Capuano N. Improvement of doppler derived coronary flow reserve in asymptomatic patients with previous percutaneous coronary intervention on left anterior descending coronary artery: effects of ranolazine. Eur Heart J 2013. [DOI: 10.1093/eurheartj/eht308.p2269] [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: 11/14/2022] Open
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Monfrecola G, Gaudiello F, Cirillo T, Fabbrocini G, Balato A, Lembo S. Nicotinamide downregulates gene expression of interleukin-6, interleukin-10, monocyte chemoattractant protein-1, and tumour necrosis factor-α gene expression in HaCaT keratinocytes after ultraviolet B irradiation. Clin Exp Dermatol 2013; 38:185-8. [PMID: 23397947 DOI: 10.1111/ced.12018] [Citation(s) in RCA: 42] [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] [Accepted: 07/07/2012] [Indexed: 11/27/2022]
Abstract
Ultraviolet (UV) radiation has profound effects on human skin, causing sunburn, inflammation, cellular-tissue injury, cell death, and skin cancer. Most of these effects are mediated by a number of cytokines produced by keratinocytes. In this study we investigated whether nicotinamide (NCT), the amide form of vitamin B3, might have a protective function in reducing the expression of interleukin (IL)-1β, IL-6, IL-8, IL-10, monocyte chemoattractant protein (MCP)-1 and tumour necrosis factor (TNF)-α in UV-irradiated keratinocytes. HaCaT cells were treated with UVB in the presence or absence of NCT, and cytokine mRNA levels were examined by quantitative real-time PCR. NCT significantly downregulated IL-6, IL-10, MCP-1 and TNF-α mRNA expression, whereas it did not exert any significant effect on IL-1β or IL-8 expression. Because of its ability to decrease these cytokine mediators after UV exposure, NCT is a possible therapy to improve or prevent conditions induced or aggravated by UV light.
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Affiliation(s)
- G Monfrecola
- Department of Dermatology, University of Naples Federico II, Naples, Italy
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Lembo S, Capasso R, Balato A, Cirillo T, Flora F, Zappia V, Balato N, Ingrosso D, Ayala F. MCP-1 in psoriatic patients: effect of biological therapy. J DERMATOL TREAT 2013; 25:83-6. [PMID: 23480385 DOI: 10.3109/09546634.2013.782091] [Citation(s) in RCA: 25] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/22/2022]
Abstract
BACKGROUND Monocyte chemoattractant protein-1 (MCP-1) is a chemokine locally and systemically augmented in psoriasis. A single nucleotide polymorphism in MCP-1 promoter region -2518A→G is associated with higher gene expression. OBJECTIVE The aim was to evaluate MCP-1 plasma level in psoriatic patients and to relate any association in plasmatic and cutaneous MCP-1 with clinical improvement due to biological drugs. METHODS Blood samples were obtained from: (i) 30 Caucasian patients with psoriasis and 10 controls, for determining MCP-1 plasma concentrations and -2518A→G polymorphism occurrence, (ii) 16 psoriatic patients treated by anti-tumor necrosis factor-α (TNF-α) adalimumab/etanercept or by anti-CD-11 efalizumab, before and after 2 months of treatment. Moreover, biopsies were performed on lesional skin of five patients treated with anti-TNF-α. MCP-1 plasma concentration and cutaneous expression were determined by ELISA and qRT-PCR. RESULTS MCP-1 plasma level was significantly increased in psoriatic patients. -2518A→G polymorphism was similarly distributed in patients and controls and unrelated to MCP-1 plasma level or to Psoriasis Area and Severity Index. All patients receiving biological drugs showed significant clinical improvement. Anti-TNF-α therapy moderately reduced MCP-1 plasma concentration and robustly decremented MCP-1 expression in lesional skin. CONCLUSION MCP-1 should be a potential local inflammatory marker in psoriatic patients to assess disease severity and anti-TNF-α treatment efficacy.
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Affiliation(s)
- Serena Lembo
- Department of Systematic Pathology, Section of Clinical, Allergological and Venereological Dermatology, University of Naples "Federico II" , Italy
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Cirillo T, Fasano E, Esposito F, Del Prete E, Cocchieri RA. Study on the influence of temperature, storage time and packaging type on di-n-butylphthalate and di(2-ethylhexyl)phthalate release into packed meals. Food Addit Contam Part A Chem Anal Control Expo Risk Assess 2012. [PMID: 23185971 DOI: 10.1080/19440049.2012.745198] [Citation(s) in RCA: 22] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/25/2022]
Abstract
Ready-to-eat meals packed in polyethylene terephthalate (PET) and aluminium dishes, supplied to patients in two hospitals in the Campania region (Italy), were studied to evaluate the probable migration of di-n-butylphthalate (DBP) and di(2-ethylhexyl)phthalate (DEHP) from the packaging into the food. The influence of temperature, storage time and type of package on the migration process was considered, analysing the meals according to three time ranges, before the packaging (T(0)) and after 60 min (T(1)) and 120 min (T(2)) from packaging during the storage in thermostatic delivery carts. At T(0) in the meals sampled before packaging in PET dishes, mean levels of DBP and DEHP were 0.023 ± 0.002 µg/g and 0.069 ± 0.041 µg/g, respectively; the DBP level increased 230% and that of DEHP increased 208% by time T(0) versus T(2). In the meals sampled before packaging (T(0)) in aluminium dishes, the mean levels of DBP and DEHP were 0.030 ± 0.001 µg/g and 0.057 ± 0.015 µg/g, respectively. The significant increase in contaminant levels over storage times for meals packed in PET dishes demonstrates that from packages made of plastic materials the migration of phthalic acid esters into foods is possible. In meals packed in PET dishes, the highest DBP and DEHP increases were observed in the T(0) to T(1) range, which represented the time interval over which meals were kept hot, and mainly in the first ones, where the highest temperatures have been recorded.
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Affiliation(s)
- Teresa Cirillo
- Department of Food Science, University of Naples Federico II, Naples, Italy.
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Fasano E, Bono-Blay F, Cirillo T, Montuori P, Lacorte S. Migration of phthalates, alkylphenols, bisphenol A and di(2-ethylhexyl)adipate from food packaging. Food Control 2012. [DOI: 10.1016/j.foodcont.2012.03.005] [Citation(s) in RCA: 162] [Impact Index Per Article: 13.5] [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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Cirillo T, Amodio Cocchieri R, Fasano E, Lucisano A, Tafuri S, Ferrante MC, Carpenè E, Andreani G, Isani G. Cadmium accumulation and antioxidant responses in Sparus aurata exposed to waterborne cadmium. Arch Environ Contam Toxicol 2012; 62:118-126. [PMID: 21553241 DOI: 10.1007/s00244-011-9676-9] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/22/2010] [Accepted: 04/18/2011] [Indexed: 05/29/2023]
Abstract
Cadmium (Cd), a nonessential trace element, is rapidly accumulated by most living organisms and subsequently exerts its toxicity at different molecular levels. This study exposed gilthead sea bream (Sparus aurata) to waterborne 0.1 mg/l Cd for 11 days and investigated the Cd accumulation pattern, lipid oxidation, and response of antioxidant defences. At the end of the experiment, mean Cd concentrations in gills and liver, the organs most prone to metal accumulation, were 209.4 and 371.7 ng/g ww, respectively. Muscle did not show any Cd retention during the 11 days of exposure. In liver, the cytosolic fraction of the metal was chelated into the nontoxic form by metallothionein (MT), a specific Cd-inducible protein. Zn and Cu concentrations were not influenced by Cd exposure. Glutathione (GSH) concentrations and the antioxidant enzyme activities of GSH reductase and GSH peroxidase showed an overall decreasing trend. In addition, lipid and aqueous hydroperoxide levels did not show any significant variation. Oxidative stress indirectly generated by Cd seems to be compensated for by the different biochemical systems tailored to decrease cellular damage. In particular, the negative effects of Cd accumulation in tissues were probably counteracted by the induction of MT.
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Affiliation(s)
- T Cirillo
- Department of Food Science, Federico II University of Naples, Naples, Italy
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Cirillo T, Fasano E, Castaldi E, Montuori P, Amodio Cocchieri R. Children's exposure to Di(2-ethylhexyl)phthalate and dibutylphthalate plasticizers from school meals. J Agric Food Chem 2011; 59:10532-8. [PMID: 21894916 DOI: 10.1021/jf2020446] [Citation(s) in RCA: 21] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/02/2023]
Abstract
Packed school meals for children 3-10 years old were studied to evaluate the levels of di(2-ethylhexyl)phthalate (DEHP) and di-n-butylphthalate (DBP) and the influence of the packaging process on meal contamination, and their contribution to daily intake was estimated. The packaging consisted of polyethylene-coated aluminum (PE/Al) dishes thermally welded by a polyethyleneterephthalate-coated aluminum (PET/Al) foil. Foodstuffs before processing were analyzed, too. Total meals before packaging and after packaging were collected. It was found that 92% of foodstuffs employed in meal preparation contained DEHP, and 76% of them DBP, at detectable levels. In cooked foods before packaging the DEHP median concentration levels varied from 111.4 to 154.8 ng/g ww and those of DBP between 32.5 and 59.5 ng/g ww. In packed meals the DEHP median values ranged from 127.0 to 253.3 ng/g ww, and DBP median values varied from 44.1 to 80.5 ng/g ww. The mean increases of median concentrations of DEHP in cooked foods before and after packaging were 113 and 125% for DBP. For nursery and primary school children DEHP intake via school meals can raise on average the respective EFSA TDI by 18 and 12% and that of DBP by 50 and 30%.
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Affiliation(s)
- Teresa Cirillo
- Department of Food Science, University of Naples "Federico II" , Via Università 100, 80055 Portici, Naples, Italy.
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Balato A, Lembo S, Cirillo T, Megna M, Napolitano M, Balato N. Meyerson phenomenon around naevi: resolution after sun exposure? Acta Derm Venereol 2011; 91:352-3. [PMID: 21369685 DOI: 10.2340/00015555-1059] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
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