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Ferraguti G, Merlino L, Battagliese G, Piccioni MG, Barbaro G, Carito V, Messina MP, Scalese B, Coriale G, Fiore M, Ceccanti M. Fetus morphology changes by second-trimester ultrasound in pregnant women drinking alcohol. Addict Biol 2020; 25:e12724. [PMID: 30811093 DOI: 10.1111/adb.12724] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/11/2018] [Revised: 01/10/2019] [Accepted: 01/13/2019] [Indexed: 12/16/2022]
Abstract
Fetal alcohol spectrum disorders (FASDs) are a group of negative conditions occurring in children exposed to alcohol during gestation. The early discovery of FASD is crucial for mother and infant follow-ups. In this study, we investigated in pregnant women the association between urine ethylglucuronide (EtG-a biomarker of alcohol drinking) and indicators of the physical characteristics of FASD by prenatal ultrasound in the second trimester of gestation. We also correlated these data with the AUDIT-C, T-ACE/TACER-3, TWEAK, and food habit diary, screening questionnaires used to disclose alcohol drinking during pregnancy. Forty-four pregnant women were randomly enrolled and examined for ultrasound investigation during the second trimester of gestation. Urine samples were provided by pregnant women immediately after the routine interviews. EtG determinations were performed with a cutoff established at 100 ng/mL, a value indicating occasional alcohol drinking. Fifteen of the enrolled pregnant women overcame the EtG cutoff (34.09%). Analysis of variance (ANOVA) revealed that the fetuses of the positive EtG pregnant women had significantly longer interorbital distance and also significantly increased frontothalamic distance (P's < 0.02). Quite interestingly, no direct correlation was found between EtG data and both food diary and AUDIT-C. However, a significant correlation was observed between urinary EtG and T-ACE (r = 0.375; P = 0.012) and between urinary EtG and TWEAK (r = 0.512; P < 0.001) and a concordance with all questionnaire for EtG values higher than 500 ng/mL. This study provides clinical evidence that the diagnosis of maternal alcohol consumption during pregnancy by urine EtG may disclose FASD-related damage in the fetus.
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Affiliation(s)
- Giampiero Ferraguti
- Department of Experimental MedicineSapienza University Hospital of Rome Rome Italy
| | - Lucia Merlino
- Department of Gynecological‐Obstetric Sciences and Urological SciencesSapienza University Hospital of Rome Rome Italy
| | - Gemma Battagliese
- Centro Riferimento Alcologico Regione LazioSapienza University of Rome Rome Italy
| | - Maria Grazia Piccioni
- Department of Gynecological‐Obstetric Sciences and Urological SciencesSapienza University Hospital of Rome Rome Italy
| | - Greta Barbaro
- Department of Gynecological‐Obstetric Sciences and Urological SciencesSapienza University Hospital of Rome Rome Italy
| | - Valentina Carito
- Institute of Cell Biology and Neurobiology (IBCN)National Research Council (CNR) Rome Italy
| | | | - Bruna Scalese
- Centro Riferimento Alcologico Regione LazioSapienza University of Rome Rome Italy
| | - Giovanna Coriale
- Centro Riferimento Alcologico Regione LazioSapienza University of Rome Rome Italy
| | - Marco Fiore
- Institute of Cell Biology and Neurobiology (IBCN)National Research Council (CNR) Rome Italy
| | - Mauro Ceccanti
- Centro Riferimento Alcologico Regione LazioSapienza University of Rome Rome Italy
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Coriale G, Fiorentino D, De Rosa F, Solombrino S, Scalese B, Ciccarelli R, Attilia F, Vitali M, Musetti A, Fiore M, Ceccanti M. Treatment of alcohol use disorder from a psychological point of view. Riv Psichiatr 2019; 53:141-148. [PMID: 29912216 DOI: 10.1708/2925.29416] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Subscribe] [Scholar Register] [Indexed: 11/01/2022]
Abstract
The development of a treatment for alcohol use disorder (AUD) is a crucial and complex moment. Indeed, the information gathered by a team of professionals (physicians, psychologists and social workers) (bio-psycho-social model of AUD) interact to choose the most appropriate cure. As for AUD psychological treatment, it is of considerable importance to avoid clinical treatments leading to drop-out for improving the patients quality of life. Psychoanalytic and behavioral techniques were early utilized as psychological treatment of AUD, however, evidence-based approaches as motivational interviewing (MI) and cognitive behavioral therapy (CBT) are recently used in AUD. In this work we review the more effective and appropriate AUD psychological treatments.
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Affiliation(s)
- Giovanna Coriale
- Centro Riferimento Alcologico della Regione Lazio (CRARL), Sapienza University of Rome, Italy
| | - Daniela Fiorentino
- Centro Riferimento Alcologico della Regione Lazio (CRARL), Sapienza University of Rome, Italy
| | - Francesca De Rosa
- Centro Riferimento Alcologico della Regione Lazio (CRARL), Sapienza University of Rome, Italy
| | - Simona Solombrino
- Centro Riferimento Alcologico della Regione Lazio (CRARL), Sapienza University of Rome, Italy
| | - Bruna Scalese
- Centro Riferimento Alcologico della Regione Lazio (CRARL), Sapienza University of Rome, Italy
| | - Rosaria Ciccarelli
- Centro Riferimento Alcologico della Regione Lazio (CRARL), Sapienza University of Rome, Italy
| | - Fabio Attilia
- Centro Riferimento Alcologico della Regione Lazio (CRARL), Sapienza University of Rome, Italy
| | | | - Alessia Musetti
- Centro Riferimento Alcologico della Regione Lazio (CRARL), Sapienza University of Rome, Italy
| | - Marco Fiore
- Institute of Cell Biology and Neurobiology (IBCN-CNR), Rome, Italy
| | - Mauro Ceccanti
- Centro Riferimento Alcologico della Regione Lazio (CRARL), Sapienza University of Rome, Italy
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Vitali M, Sorbo F, Mistretta M, Scalese B, Porrari R, Galli D, Coriale G, Rotondo C, Solombrino S, Attilia ML. Dual diagnosis: an intriguing and actual nosographic issue too long neglected. Riv Psichiatr 2019; 53:154-159. [PMID: 29912218 DOI: 10.1708/2925.29418] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Subscribe] [Scholar Register] [Indexed: 11/01/2022]
Abstract
Background The term “dual diagnosis” (DD) has been used in clinical practice for years. However, there is confusion about
these medical cases, which consist in the presence of both a psychiatric disorder and a substance abuse disorder (in this case, alcohol). There are evidences that in the alcohol use disorder (AUD) population, 50.3% of patients had a psychiatric comorbidity during their lifetime. Nevertheless, to these days there are not any thorough guidelines for the management of these patients. A precise nosography would prevent delay in diagnosis and treatment and all the self-evident negative outcomes of those delays. Materials and methods A literature search was performed in PubMed, Web of Science, and Scopus, including studies published between 1980 and 2015. Search terms were: “guidelines”, “treatment”, “comorbidity”, “substance abuse”, “alcohol”, “dual-diagnosis”, “etiopathogenesis”, “outpatient”, “inpatient”, “unit”, “diagnosis”. Out of 1045 titles, 43 studies were included in this article for their relevance on definition and nosography of DD. Results Taking into account the state of art available in the literature, we contributed to clarify the definition of DD in the alcohol addiction field. Clinical data confirm high prevalence of DD, and allow to better describe and understand the complex relationship between alcohol dependence and other psychiatric diseases. Conclusions We believe that a clear nosographic framework and a precise diagnostic process are essential for a timely
management of every case, using specific guidelines to standardize and improve clinical practice. The Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5), which introduces dimensional approach, could be a useful tool to improve diagnostic accuracy.
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Affiliation(s)
- Mario Vitali
- ASUR Marche-AV4, Italy - Centro Riferimento Alcologico Regione Lazio (CRARL), Sapienza University of Rome, Italy
| | - Francesca Sorbo
- Società Italiana per il Trattamento dell'Alcol e le sue Complicanze (SITAC), Rome, Italy
| | - Martino Mistretta
- Centro Riferimento Alcologico Regione Lazio (CRARL), Sapienza University of Rome, Italy
| | - Bruna Scalese
- Centro Riferimento Alcologico Regione Lazio (CRARL), Sapienza University of Rome, Italy
| | - Raffaella Porrari
- Centro Riferimento Alcologico Regione Lazio (CRARL), Sapienza University of Rome, Italy
| | - Domenica Galli
- Centro Riferimento Alcologico Regione Lazio (CRARL), Sapienza University of Rome, Italy
| | - Giovanna Coriale
- Centro Riferimento Alcologico Regione Lazio (CRARL), Sapienza University of Rome, Italy
| | - Claudia Rotondo
- Centro Riferimento Alcologico Regione Lazio (CRARL), Sapienza University of Rome, Italy
| | - Simona Solombrino
- Centro Riferimento Alcologico Regione Lazio (CRARL), Sapienza University of Rome, Italy
| | - Maria Luisa Attilia
- Centro Riferimento Alcologico Regione Lazio (CRARL), Sapienza University of Rome, Italy
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Ceccanti M, Coriale G, Hamilton DA, Carito V, Coccurello R, Scalese B, Ciafrè S, Codazzo C, Messina MP, Chaldakov GN, Fiore M. Virtual Morris task responses in individuals in an abstinence phase from alcohol. Can J Physiol Pharmacol 2017; 96:128-136. [PMID: 28763626 DOI: 10.1139/cjpp-2017-0013] [Citation(s) in RCA: 15] [Impact Index Per Article: 2.1] [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: 12/23/2022]
Abstract
The present study was aimed at examining spatial learning and memory, in 33 men and 12 women with alcohol use disorder (AUD) undergoing ethanol detoxification, by using a virtual Morris task. As controls, we recruited 29 men and 10 women among episodic drinkers without a history of alcohol addiction or alcohol-related diseases. Elevated latency to the first movement in all trials was observed only in AUD persons; furthermore, control women had longer latencies compared with control men. Increased time spent to reach the hidden platform in the learning phase was found for women of both groups compared with men, in particular during trial 3. As predicted, AUD persons (more evident in men) spent less time in the target quadrant during the probe trial; however, AUD women had longer latencies to reach the platform in the visible condition during trials 6 and 7 that resulted in a greater distance moved. As for the probe trial, men of both groups showed increased virtual locomotion compared with the women of both groups. The present investigation confirms and extends previous studies showing (i) different gender responses in spatial learning tasks, (ii) some alterations due to alcohol addiction in virtual spatial learning, and (iii) differences between AUD men and AUD women in spatial-behaviour-related paradigms.
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Affiliation(s)
- Mauro Ceccanti
- a Center for Alcohol Abuse (Centro Riferimento Alcologico Regione Lazio-CRARL), Department of Clinical Medicine, Sapienza University of Rome, 00186 Rome, Italy
| | - Giovanna Coriale
- a Center for Alcohol Abuse (Centro Riferimento Alcologico Regione Lazio-CRARL), Department of Clinical Medicine, Sapienza University of Rome, 00186 Rome, Italy
| | - Derek A Hamilton
- b Department of Psychology, University of New Mexico, Albuquerque, NM 87131-0001, USA
| | - Valentina Carito
- c Institute of Cell Biology and Neurobiology, National Research Council (IBCN-CNR)/Santa Lucia Foundation, 00143 Rome, Italy
| | - Roberto Coccurello
- c Institute of Cell Biology and Neurobiology, National Research Council (IBCN-CNR)/Santa Lucia Foundation, 00143 Rome, Italy
| | - Bruna Scalese
- a Center for Alcohol Abuse (Centro Riferimento Alcologico Regione Lazio-CRARL), Department of Clinical Medicine, Sapienza University of Rome, 00186 Rome, Italy
| | - Stefania Ciafrè
- c Institute of Cell Biology and Neurobiology, National Research Council (IBCN-CNR)/Santa Lucia Foundation, 00143 Rome, Italy
| | - Claudia Codazzo
- a Center for Alcohol Abuse (Centro Riferimento Alcologico Regione Lazio-CRARL), Department of Clinical Medicine, Sapienza University of Rome, 00186 Rome, Italy
| | - Marisa Patrizia Messina
- a Center for Alcohol Abuse (Centro Riferimento Alcologico Regione Lazio-CRARL), Department of Clinical Medicine, Sapienza University of Rome, 00186 Rome, Italy
| | - George N Chaldakov
- d Laboratory of Cell Biology, Department of Anatomy and Histology, Medical University, Varna, 9002 Bulgaria
| | - Marco Fiore
- c Institute of Cell Biology and Neurobiology, National Research Council (IBCN-CNR)/Santa Lucia Foundation, 00143 Rome, Italy
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Coriale G, Fiorentino D, Di Lauro F, Marchitelli R, Scalese B, Fiore M, Maviglia M, Ceccanti M. Fetal Alcohol Spectrum Disorder (FASD): neurobehavioral profile, indications for diagnosis and treatment. Riv Psichiatr 2015; 48:359-69. [PMID: 24326748 DOI: 10.1708/1356.15062] [Citation(s) in RCA: 24] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 11/01/2022]
Abstract
It is now known that exposure to alcohol in utero produces a wide spectrum of morphological and behavioural outcomes in the offspring, commonly referred as fetal alcohol spectrum disorders (FASD). A large body of literature documents cognitive deficits and behavioural-emotional difficulties in children with FASD. Researchers have found that individuals with FASD often experience a range of adverse life outcomes, called secondary disabilities, which include disrupted school experience, troubles with the law, confinement, inappropriate sexual behaviours on repeated occasions, and alcohol/drug related problems. Additionally, despite considerable data published on cognitive and behavioural disabilities in children with FASD, relatively little information is available on behavioural or pharmacological interventions for alcohol affected children. This paper will provide a comprehensive review of the neuropsychological and behavioural effects of prenatal alcohol exposure, including a discussion of the emerging neurobehavioral profile. Finally, we will summarize published intervention studies of FASD focusing on their strengths and weaknesses.
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DeForrest JM, Waldron TL, Harvey C, Scalese B, Mitch S, Powell JR, Petrillo W, Cushman DW. Blood pressure lowering and renal hemodynamic effects of fosinopril in conscious animal models. J Cardiovasc Pharmacol 1990; 16:139-46. [PMID: 1696656 DOI: 10.1097/00005344-199007000-00019] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/28/2022]
Abstract
The blood pressure lowering and renal hemodynamic effects of fosinopril, the chemically novel inhibitor of angiotensin I converting enzyme (ACE), was assessed in conscious animal models. In conscious dogs, intravenous infusion of SQ 27,519 [0.5 mg/kg (1.1 mumol/kg) bolus plus 0.1 mg/kg/min (0.22 mumol/kg/min)], the active moiety of the prodrug fosinopril, increased PAH clearance and GFR by 25 and 16%, respectively (p less than 0.05, each) without changing arterial pressure (AP). Urine volume, sodium excretion, and potassium excretion were elevated, although not significantly increased. In sodium-depleted cynomolgus monkeys, 1.5 and 5.0 mumol/kg (0.88 and 2.9 mg/kg) p.o. of fosinopril lowered arterial pressure from 115 +/- 5 to 99 +/- 5 mm Hg and from 116 +/- 3 to 87 +/- 4 mmHg, respectively (p less than 0.05, each). When given orally to SHR at 10 and 30 mg/kg (5.9 and 17.6 mumol/kg), fosinopril lowered AP by 23 (183 +/- 4 to 160 +/- 5 mm Hg) and 20 mm Hg (176 +/- 4 to 156 +/- 4 mm Hg), respectively. The combination of fosinopril [10 mg/kg (5.9 mumol/kg)] plus hydrochlorothiazide (10 mg/kg) reduced AP from 206 +/- 4 to 167 +/- 2 mm Hg when given orally to SHR. Fosinopril was more effective in two-kidney, one-clip hypertensive rats relative to SHR; AP fell from 201 +/- 9 to 160 +/- 7 mm Hg after 10 mg/kg (5.9 mumol/kg), and from 205 +/- 7 to 145 +/- 7 mm Hg after 30 mg/kg (17.6 mumol/kg).(ABSTRACT TRUNCATED AT 250 WORDS)
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Affiliation(s)
- J M DeForrest
- Department of Pharmacology, Squibb Institute for Medical Research, Princeton, NJ 08543-4000
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DeForrest JM, Waldron TL, Harvey C, Scalese B, Rubin B, Powell JR, Petrillo EW, Cushman DW. Fosinopril, a phosphinic acid inhibitor of angiotensin I converting enzyme: in vitro and preclinical in vivo pharmacology. J Cardiovasc Pharmacol 1989; 14:730-6. [PMID: 2481187 DOI: 10.1097/00005344-198911000-00009] [Citation(s) in RCA: 30] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/01/2023]
Abstract
Fosinopril is the first member of a new chemical class of angiotensin I (AI) converting enzyme (ACE) inhibitors, the phosphinic acids. In vitro, SQ 27,519, the active moiety of the prodrug fosinopril, was a more potent inhibitor of purified rabbit lung ACE- (IC50 = 11 vs. 23 nM) and bradykinin-induced contractions of guinea pig ileum than captopril. In vivo, SQ 27,519 was equipotent to captopril as an inhibitor of an AI pressor response after intravenous (i.v.) administration to conscious rats and monkeys but appeared to be less potent in conscious dogs. After oral administration, fosinopril again was equipotent to captopril as an inhibitor of an AI pressor response in rats and monkeys and slightly less potent in dogs. However, both SQ 27,519 (i.v. studies) and fosinopril (oral studies) had a longer effect than captopril in all three species. When fosinopril was administered orally for 5 days, its effects on an AI pressor response were the same on days 1 and 5, suggesting lack of tolerance to the compound. The ACE inhibitory effect of captopril, but not fosinopril, was prolonged in conscious rats with glycerol-induced acute renal failure, suggesting that fosinopril is excreted by an extrarenal route. Finally, fosinopril had no effect on the pressor or chronotropic effects of norepinephrine (NE) or 1,1-dimethyl-4-phenylpiperinium (DMPP) or electrical stimulation of the sympathetic ganglia of pithed rats. Fosinopril attenuated the pressor, but not the chronotropic effects of tyramine. We conclude that fosinopril is a potent and long-lasting inhibitor of ACE in conscious animal models that does not impair adrenergic function or reflexes.(ABSTRACT TRUNCATED AT 250 WORDS)
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Affiliation(s)
- J M DeForrest
- Department of Pharmacology, Squibb Institute for Medical Research, Princeton, New Jersey 08543-4000
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