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Pavoni M, Principe L, Foschi C, Meroni E, Briozzo E, Lazzarotto T, Ambretti S, Di Bella S. Antimicrobial Resistance of Genital Mycoplasma and Ureaplasma: A Multicentre Study Over a 5-Year Period in Italy (2017-2021). Microb Drug Resist 2024; 30:55-60. [PMID: 38060805 DOI: 10.1089/mdr.2023.0202] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/14/2024] Open
Abstract
Updated data on genital Mollicutes prevalence and antimicrobial susceptibility can help provide guidance for antibiotic stewardship and set up effective strategies for infection control policies. In this multicentre study, we assessed the prevalence and the resistance profile of Mycoplasma hominis (MH) and Ureaplasma species (U. parvum/U. urealyticum), analyzing data from 21,210 subjects who provided urogenital samples for Mollicutes detection by culture over a 5-year period (2017-2021) in two high-density urban areas in the North of Italy (i.e., Bologna and Lecco). Overall prevalence of Mollicutes infection was 22.3%, with women showing a significantly higher detection rate than men (p < 0.00001). The prevalence decreased with age (highest prevalence <30 years) and over the years considered. Ureaplasma strains were much more frequently detected (62.3%) compared to MH (8.3%) and to mixed infections (29.4%). Ureaplasma species showed high levels of ciprofloxacin resistance (39.5%), whereas MH strains were nonsusceptible to azithromycin and roxithromycin in about 60% of cases. Over time, a significant decrease of resistance to azithromycin and doxycycline was detected (p < 0.0001 and 0.0004, respectively), in parallel with an important increase of ciprofloxacin-resistance levels (p < 0.0001). Overall, our results revealed that minocycline and josamycin can be first-line drugs for Mollicutes empirical treatment.
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Affiliation(s)
- Matteo Pavoni
- Department of Medical and Surgical Sciences, University of Bologna, Bologna, Italy
| | - Luigi Principe
- Clinical Pathology and Microbiology Unit, San Giovanni di Dio Hospital, Crotone, Italy
| | - Claudio Foschi
- Department of Medical and Surgical Sciences, University of Bologna, Bologna, Italy
- Microbiology Unit, IRCCS Azienda Ospedaliero-Universitaria di Bologna, Bologna, Italy
| | - Elisa Meroni
- Clinical Microbiology and Virology Unit, A. Manzoni Hospital, Lecco, Italy
| | - Elena Briozzo
- Clinical Microbiology and Virology Unit, A. Manzoni Hospital, Lecco, Italy
| | - Tiziana Lazzarotto
- Department of Medical and Surgical Sciences, University of Bologna, Bologna, Italy
- Microbiology Unit, IRCCS Azienda Ospedaliero-Universitaria di Bologna, Bologna, Italy
| | - Simone Ambretti
- Department of Medical and Surgical Sciences, University of Bologna, Bologna, Italy
- Microbiology Unit, IRCCS Azienda Ospedaliero-Universitaria di Bologna, Bologna, Italy
| | - Stefano Di Bella
- Clinical Department of Medical, Surgical and Health Sciences, University of Trieste, Trieste, Italy
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Mauri C, Consonni A, Briozzo E, Giubbi C, Meroni E, Tonolo S, Luzzaro F. Microbiological Assessment of the FilmArray Blood Culture Identification 2 Panel: Potential Impact in Critically Ill Patients. Antibiotics (Basel) 2023; 12:1247. [PMID: 37627667 PMCID: PMC10451250 DOI: 10.3390/antibiotics12081247] [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: 06/30/2023] [Revised: 07/25/2023] [Accepted: 07/27/2023] [Indexed: 08/27/2023] Open
Abstract
Rapid pathogen detection and characterization from positive blood cultures are crucial in the management of patients with bloodstream infections (BSI) and in achieving their improved outcomes. In this context, the FilmArray Blood Culture Identification (BCID2) panel is an FDA approved molecular test, which can quickly identify different species and resistance determinants, thus making an impact in antimicrobial practice. In this study, we analyzed 136 positive blood cultures collected from septic critically ill patients from April 2021 to March 2023 by using the FilmArray BCID2 panel, and results obtained by fast molecular analysis were compared to those obtained by routine protocols. Overall, the BCID2 panel showed a strong concordance with conventional methods, particularly in the case of monomicrobial samples, whereas some discrepancies were found in 10/32 polymicrobial samples. Of note, this technique allowed us to identify a significant number of yeasts (37/94 samples) and to unravel the presence of several resistance markers, including both Gram-positive and Gram-negative organisms. These findings strongly support the potential use of the BCID2 panel as an adjunct to the conventional microbiology methods for the management of critically ill septic patients, thus accelerating blood pathogen and resistance genes identification, focusing antibiotic therapy, and avoiding inappropriate and excessive use of drugs.
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Affiliation(s)
- Carola Mauri
- Clinical Microbiology and Virology Unit, “A. Manzoni” Hospital, 23900 Lecco, Italy
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3
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Piccirilli A, Meroni E, Mauri C, Perilli M, Cherubini S, Pompilio A, Luzzaro F, Principe L. Analysis of Antimicrobial Resistance Genes (ARGs) in Enterobacterales and A. baumannii Clinical Strains Colonizing a Single Italian Patient. Antibiotics (Basel) 2023; 12:antibiotics12030439. [PMID: 36978306 PMCID: PMC10044399 DOI: 10.3390/antibiotics12030439] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/10/2023] [Revised: 02/07/2023] [Accepted: 02/20/2023] [Indexed: 02/25/2023] Open
Abstract
The dramatic increase in infections caused by critically multidrug-resistant bacteria is a global health concern. In this study, we characterized the antimicrobial resistance genes (ARGs) of K. pneumoniae, P. mirabilis, E. cloacae and A. baumannii isolated from both surgical wound and rectal swab of a single Italian patient. Bacterial identification was performed by MALDI-TOF MS and the antimicrobial susceptibility was carried out by Vitek 2 system. The characterization of ARGs was performed using next-generation sequencing (NGS) methodology (MiSeq Illumina apparatus). K. pneumoniae, P. mirabilis and E. cloacae were resistant to most β-lactams and β-lactam/β-lactamases inhibitor combinations. A. baumannii strain was susceptible only to colistin. The presence of plasmids (IncN, IncR, IncFIB, ColRNAI and Col (MGD2)) was detected in all Enterobacterales but not in A. baumannii strain. The IncN plasmid and blaNDM-1 gene were found in K. pneumoniae, P. mirabilis and E. cloacae, suggesting a possible transfer of this gene among the three clinical species. Conjugation experiments were performed using K. pneumoniae (1 isolate), P. mirabilis (2 isolates) and E. cloacae (2 isolates) as donors and E. coli J53 as a recipient. The blaNDM-1 gene was identified by PCR analysis in all transconjugants obtained. The presence of four different bacterial species harboring resistance genes to different classes of antibiotics in a single patient substantially reduced the therapeutic options.
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Affiliation(s)
- Alessandra Piccirilli
- Department of Biotechnological and Applied Clinical Sciences, University of L’Aquila, 67100 L’Aquila, Italy
| | - Elisa Meroni
- Clinical Microbiology and Virology Unit, “A. Manzoni” Hospital, 23900 Lecco, Italy
| | - Carola Mauri
- Clinical Microbiology and Virology Unit, “A. Manzoni” Hospital, 23900 Lecco, Italy
| | - Mariagrazia Perilli
- Department of Biotechnological and Applied Clinical Sciences, University of L’Aquila, 67100 L’Aquila, Italy
- Correspondence: ; Tel.: +39-0862-433489
| | - Sabrina Cherubini
- Department of Biotechnological and Applied Clinical Sciences, University of L’Aquila, 67100 L’Aquila, Italy
| | - Arianna Pompilio
- Department of Medical, Oral and Biotechnological Sciences, “G. d’Annunzio” University of Chieti-Pescara, 66100 Chieti, Italy
- Center for Advanced Studies and Technology (CAST), “G. d’Annunzio” University of Chieti-Pescara, 66100 Chieti, Italy
| | - Francesco Luzzaro
- Clinical Microbiology and Virology Unit, “A. Manzoni” Hospital, 23900 Lecco, Italy
| | - Luigi Principe
- Clinical Pathology and Microbiology Unit, “S. Giovanni di Dio” Hospital, 88900 Crotone, Italy
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4
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Appel S, Bagdasarian Z, Basilico D, Bellini G, Benziger J, Biondi R, Caccianiga B, Calaprice F, Caminata A, Cavalcante P, Chepurnov A, D'Angelo D, Derbin A, Di Giacinto A, Di Marcello V, Ding XF, Di Ludovico A, Di Noto L, Drachnev I, Franco D, Galbiati C, Ghiano C, Giammarchi M, Goretti A, Göttel AS, Gromov M, Guffanti D, Ianni A, Ianni A, Jany A, Kobychev V, Korga G, Kumaran S, Laubenstein M, Litvinovich E, Lombardi P, Lomskaya I, Ludhova L, Lukyanchenko G, Machulin I, Martyn J, Meroni E, Miramonti L, Misiaszek M, Muratova V, Nugmanov R, Oberauer L, Orekhov V, Ortica F, Pallavicini M, Papp L, Pelicci L, Penek Ö, Pietrofaccia L, Pilipenko N, Pocar A, Raikov G, Ranalli MT, Ranucci G, Razeto A, Re A, Redchuk M, Rossi N, Schönert S, Semenov D, Settanta G, Skorokhvatov M, Singhal A, Smirnov O, Sotnikov A, Tartaglia R, Testera G, Unzhakov E, Villante FL, Vishneva A, Vogelaar RB, von Feilitzsch F, Wojcik M, Wurm M, Zavatarelli S, Zuber K, Zuzel G. Improved Measurement of Solar Neutrinos from the Carbon-Nitrogen-Oxygen Cycle by Borexino and Its Implications for the Standard Solar Model. Phys Rev Lett 2022; 129:252701. [PMID: 36608219 DOI: 10.1103/physrevlett.129.252701] [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] [Subscribe] [Scholar Register] [Received: 06/14/2022] [Revised: 09/01/2022] [Accepted: 10/05/2022] [Indexed: 06/17/2023]
Abstract
We present an improved measurement of the carbon-nitrogen-oxygen (CNO) solar neutrino interaction rate at Earth obtained with the complete Borexino Phase-III dataset. The measured rate, R_{CNO}=6.7_{-0.8}^{+2.0} counts/(day×100 tonnes), allows us to exclude the absence of the CNO signal with about 7σ C.L. The correspondent CNO neutrino flux is 6.6_{-0.9}^{+2.0}×10^{8} cm^{-2} s^{-1}, taking into account the neutrino flavor conversion. We use the new CNO measurement to evaluate the C and N abundances in the Sun with respect to the H abundance for the first time with solar neutrinos. Our result of N_{CN}=(5.78_{-1.00}^{+1.86})×10^{-4} displays a ∼2σ tension with the "low-metallicity" spectroscopic photospheric measurements. Furthermore, our result used together with the ^{7}Be and ^{8}B solar neutrino fluxes, also measured by Borexino, permits us to disfavor at 3.1σ C.L. the "low-metallicity" standard solar model B16-AGSS09met as an alternative to the "high-metallicity" standard solar model B16-GS98.
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Affiliation(s)
- S Appel
- Physik-Department, Technische Universität München, 85748 Garching, Germany
| | - Z Bagdasarian
- Institut für Kernphysik, Forschungszentrum Jülich, 52425 Jülich, Germany
| | - D Basilico
- Dipartimento di Fisica, Università degli Studi e INFN, 20133 Milano, Italy
| | - G Bellini
- Dipartimento di Fisica, Università degli Studi e INFN, 20133 Milano, Italy
| | - J Benziger
- Chemical Engineering Department, Princeton University, Princeton, New Jersey 08544, USA
| | - R Biondi
- INFN Laboratori Nazionali del Gran Sasso, 67100 Assergi (AQ), Italy
| | - B Caccianiga
- Dipartimento di Fisica, Università degli Studi e INFN, 20133 Milano, Italy
| | - F Calaprice
- Physics Department, Princeton University, Princeton, New Jersey 08544, USA
| | - A Caminata
- Dipartimento di Fisica, Università degli Studi e INFN, 16146 Genova, Italy
| | - P Cavalcante
- Physics Department, Virginia Polytechnic Institute and State University, Blacksburg, Virginia 24061, USA
| | - A Chepurnov
- Lomonosov Moscow State University Skobeltsyn Institute of Nuclear Physics, 119234 Moscow, Russia
| | - D D'Angelo
- Dipartimento di Fisica, Università degli Studi e INFN, 20133 Milano, Italy
| | - A Derbin
- St. Petersburg Nuclear Physics Institute NRC Kurchatov Institute, 188350 Gatchina, Russia
| | - A Di Giacinto
- INFN Laboratori Nazionali del Gran Sasso, 67100 Assergi (AQ), Italy
| | - V Di Marcello
- INFN Laboratori Nazionali del Gran Sasso, 67100 Assergi (AQ), Italy
| | - X F Ding
- Physics Department, Princeton University, Princeton, New Jersey 08544, USA
| | - A Di Ludovico
- Physics Department, Princeton University, Princeton, New Jersey 08544, USA
| | - L Di Noto
- Dipartimento di Fisica, Università degli Studi e INFN, 16146 Genova, Italy
| | - I Drachnev
- St. Petersburg Nuclear Physics Institute NRC Kurchatov Institute, 188350 Gatchina, Russia
| | - D Franco
- AstroParticule et Cosmologie, Université Paris Diderot, CNRS/IN2P3, CEA/IRFU, Observatoire de Paris, Sorbonne Paris Cité, 75205 Paris Cedex 13, France
| | - C Galbiati
- Physics Department, Princeton University, Princeton, New Jersey 08544, USA
- Gran Sasso Science Institute, 67100 L'Aquila, Italy
| | - C Ghiano
- INFN Laboratori Nazionali del Gran Sasso, 67100 Assergi (AQ), Italy
| | - M Giammarchi
- Dipartimento di Fisica, Università degli Studi e INFN, 20133 Milano, Italy
| | - A Goretti
- Physics Department, Princeton University, Princeton, New Jersey 08544, USA
| | - A S Göttel
- Institut für Kernphysik, Forschungszentrum Jülich, 52425 Jülich, Germany
- III. Physikalisches Institut B, RWTH Aachen University, 52062 Aachen, Germany
| | - M Gromov
- Joint Institute for Nuclear Research, 141980 Dubna, Russia
- Lomonosov Moscow State University Skobeltsyn Institute of Nuclear Physics, 119234 Moscow, Russia
| | - D Guffanti
- Institute of Physics and Excellence Cluster PRISMA+, Johannes Gutenberg-Universität Mainz, 55099 Mainz, Germany
| | - Aldo Ianni
- INFN Laboratori Nazionali del Gran Sasso, 67100 Assergi (AQ), Italy
| | - Andrea Ianni
- Physics Department, Princeton University, Princeton, New Jersey 08544, USA
| | - A Jany
- M. Smoluchowski Institute of Physics, Jagiellonian University, 30348 Krakow, Poland
| | - V Kobychev
- Kiev Institute for Nuclear Research, 03680 Kiev, Ukraine
| | - G Korga
- Department of Physics, Royal Holloway University of London, Egham, Surrey,TW20 0EX, United Kingdom
- Institute of Nuclear Research (Atomki), Debrecen, Hungary
| | - S Kumaran
- Institut für Kernphysik, Forschungszentrum Jülich, 52425 Jülich, Germany
- III. Physikalisches Institut B, RWTH Aachen University, 52062 Aachen, Germany
| | - M Laubenstein
- INFN Laboratori Nazionali del Gran Sasso, 67100 Assergi (AQ), Italy
| | - E Litvinovich
- National Research Centre Kurchatov Institute, 123182 Moscow, Russia
- National Research Nuclear University MEPhI (Moscow Engineering Physics Institute), 115409 Moscow, Russia
| | - P Lombardi
- Dipartimento di Fisica, Università degli Studi e INFN, 20133 Milano, Italy
| | - I Lomskaya
- St. Petersburg Nuclear Physics Institute NRC Kurchatov Institute, 188350 Gatchina, Russia
| | - L Ludhova
- Institut für Kernphysik, Forschungszentrum Jülich, 52425 Jülich, Germany
- III. Physikalisches Institut B, RWTH Aachen University, 52062 Aachen, Germany
| | - G Lukyanchenko
- National Research Centre Kurchatov Institute, 123182 Moscow, Russia
| | - I Machulin
- National Research Centre Kurchatov Institute, 123182 Moscow, Russia
- National Research Nuclear University MEPhI (Moscow Engineering Physics Institute), 115409 Moscow, Russia
| | - J Martyn
- Institute of Physics and Excellence Cluster PRISMA+, Johannes Gutenberg-Universität Mainz, 55099 Mainz, Germany
| | - E Meroni
- Dipartimento di Fisica, Università degli Studi e INFN, 20133 Milano, Italy
| | - L Miramonti
- Dipartimento di Fisica, Università degli Studi e INFN, 20133 Milano, Italy
| | - M Misiaszek
- M. Smoluchowski Institute of Physics, Jagiellonian University, 30348 Krakow, Poland
| | - V Muratova
- St. Petersburg Nuclear Physics Institute NRC Kurchatov Institute, 188350 Gatchina, Russia
| | - R Nugmanov
- National Research Centre Kurchatov Institute, 123182 Moscow, Russia
- National Research Nuclear University MEPhI (Moscow Engineering Physics Institute), 115409 Moscow, Russia
| | - L Oberauer
- Physik-Department, Technische Universität München, 85748 Garching, Germany
| | - V Orekhov
- Institute of Physics and Excellence Cluster PRISMA+, Johannes Gutenberg-Universität Mainz, 55099 Mainz, Germany
| | - F Ortica
- Dipartimento di Chimica, Biologia e Biotecnologie, Università degli Studi e INFN, 06123 Perugia, Italy
| | - M Pallavicini
- Dipartimento di Fisica, Università degli Studi e INFN, 16146 Genova, Italy
| | - L Papp
- Physik-Department, Technische Universität München, 85748 Garching, Germany
| | - L Pelicci
- Institut für Kernphysik, Forschungszentrum Jülich, 52425 Jülich, Germany
- III. Physikalisches Institut B, RWTH Aachen University, 52062 Aachen, Germany
| | - Ö Penek
- Institut für Kernphysik, Forschungszentrum Jülich, 52425 Jülich, Germany
| | - L Pietrofaccia
- Physics Department, Princeton University, Princeton, New Jersey 08544, USA
| | - N Pilipenko
- St. Petersburg Nuclear Physics Institute NRC Kurchatov Institute, 188350 Gatchina, Russia
| | - A Pocar
- Amherst Center for Fundamental Interactions and Physics Department, University of Massachusetts, Amherst, Massachusetts 01003, USA
| | - G Raikov
- National Research Centre Kurchatov Institute, 123182 Moscow, Russia
| | - M T Ranalli
- INFN Laboratori Nazionali del Gran Sasso, 67100 Assergi (AQ), Italy
| | - G Ranucci
- Dipartimento di Fisica, Università degli Studi e INFN, 20133 Milano, Italy
| | - A Razeto
- INFN Laboratori Nazionali del Gran Sasso, 67100 Assergi (AQ), Italy
| | - A Re
- Dipartimento di Fisica, Università degli Studi e INFN, 20133 Milano, Italy
| | - M Redchuk
- Institut für Kernphysik, Forschungszentrum Jülich, 52425 Jülich, Germany
- III. Physikalisches Institut B, RWTH Aachen University, 52062 Aachen, Germany
| | - N Rossi
- INFN Laboratori Nazionali del Gran Sasso, 67100 Assergi (AQ), Italy
| | - S Schönert
- Physik-Department, Technische Universität München, 85748 Garching, Germany
| | - D Semenov
- St. Petersburg Nuclear Physics Institute NRC Kurchatov Institute, 188350 Gatchina, Russia
| | - G Settanta
- Institut für Kernphysik, Forschungszentrum Jülich, 52425 Jülich, Germany
| | - M Skorokhvatov
- National Research Centre Kurchatov Institute, 123182 Moscow, Russia
- National Research Nuclear University MEPhI (Moscow Engineering Physics Institute), 115409 Moscow, Russia
| | - A Singhal
- Institut für Kernphysik, Forschungszentrum Jülich, 52425 Jülich, Germany
- III. Physikalisches Institut B, RWTH Aachen University, 52062 Aachen, Germany
| | - O Smirnov
- Joint Institute for Nuclear Research, 141980 Dubna, Russia
| | - A Sotnikov
- Joint Institute for Nuclear Research, 141980 Dubna, Russia
| | - R Tartaglia
- INFN Laboratori Nazionali del Gran Sasso, 67100 Assergi (AQ), Italy
| | - G Testera
- Dipartimento di Fisica, Università degli Studi e INFN, 16146 Genova, Italy
| | - E Unzhakov
- St. Petersburg Nuclear Physics Institute NRC Kurchatov Institute, 188350 Gatchina, Russia
| | - F L Villante
- INFN Laboratori Nazionali del Gran Sasso, 67100 Assergi (AQ), Italy
- Dipartimento di Scienze Fisiche e Chimiche, Università dell'Aquila, 67100 L'Aquila, Italy
| | - A Vishneva
- Joint Institute for Nuclear Research, 141980 Dubna, Russia
| | - R B Vogelaar
- Physics Department, Virginia Polytechnic Institute and State University, Blacksburg, Virginia 24061, USA
| | - F von Feilitzsch
- Physik-Department, Technische Universität München, 85748 Garching, Germany
| | - M Wojcik
- M. Smoluchowski Institute of Physics, Jagiellonian University, 30348 Krakow, Poland
| | - M Wurm
- Institute of Physics and Excellence Cluster PRISMA+, Johannes Gutenberg-Universität Mainz, 55099 Mainz, Germany
| | - S Zavatarelli
- Dipartimento di Fisica, Università degli Studi e INFN, 16146 Genova, Italy
| | - K Zuber
- Department of Physics, Technische Universität Dresden, 01062 Dresden, Germany
| | - G Zuzel
- M. Smoluchowski Institute of Physics, Jagiellonian University, 30348 Krakow, Poland
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Segatore B, Piccirilli A, Cherubini S, Principe L, Alloggia G, Mezzatesta ML, Salmeri M, Di Bella S, Migliavacca R, Piazza A, Meroni E, Fazii P, Visaggio D, Visca P, Cortazzo V, De Angelis G, Pompilio A, Perilli M. In Vitro Activity of Sulbactam-Durlobactam against Carbapenem-Resistant Acinetobacter baumannii Clinical Isolates: A Multicentre Report from Italy. Antibiotics (Basel) 2022; 11:antibiotics11081136. [PMID: 36010006 PMCID: PMC9404735 DOI: 10.3390/antibiotics11081136] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/02/2022] [Revised: 08/18/2022] [Accepted: 08/19/2022] [Indexed: 11/16/2022] Open
Abstract
In the present study, the in vitro activity of the sulbactam-durlobactam (SUL-DUR) combination was evaluated against 141 carbapenem-resistant A. baumannii (CRAb) clinical strains collected from six Italian laboratories. Over half (54.6%) of these isolates were resistant to colistin. The SUL-DUR combination was active against these CRAb isolates with MIC50 and MIC90 values of 0.5 mg/L and 4 mg/L, respectively. Only eleven isolates were resistant to SUL-DUR with MIC values ranging from 8 to 128 mg/L. The SUL-DUR resistant A. baumannii exhibited several antimicrobial resistance genes (ARGs) such as blaOXA-20, blaOXA-58, blaOXA-66, blaADC-25, aac(6')-Ib3 and aac(6')-Ib-cr and mutations in gyrA (S81L) and parC (V104I, D105E). However, in these isolates, mutations Q488K and Y528H were found in PBP3. Different determinants were also identified in these CRAb isolates, including adeABC, adeFGH, adeIJK, abeS, abaQ and abaR, which encode multidrug efflux pumps associated with resistance to multiple antibacterial agents. This is the first report on the antimicrobial activity of SUL-DUR against carbapenem-resistant A. baumannii isolates selected from multiple regions in Italy.
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Affiliation(s)
- Bernardetta Segatore
- Department of Biotechnological and Applied Clinical Sciences, University of L’Aquila, 67100 L’Aquila, Italy
| | - Alessandra Piccirilli
- Department of Biotechnological and Applied Clinical Sciences, University of L’Aquila, 67100 L’Aquila, Italy
| | - Sabrina Cherubini
- Department of Biotechnological and Applied Clinical Sciences, University of L’Aquila, 67100 L’Aquila, Italy
| | - Luigi Principe
- Clinical Pathology and Microbiology Unit, “S. Giovanni di Dio” Hospital, 88900 Crotone, Italy
- Correspondence:
| | - Giovanni Alloggia
- Department of Biotechnological and Applied Clinical Sciences, University of L’Aquila, 67100 L’Aquila, Italy
| | - Maria Lina Mezzatesta
- Department of Biomedical and Biotechnological Sciences, Section of Microbiology, University of Catania, 95131 Catania, Italy
| | - Mario Salmeri
- Department of Biomedical and Biotechnological Sciences, Section of Microbiology, University of Catania, 95131 Catania, Italy
| | - Stefano Di Bella
- Clinical Department of Medical, Surgical and Health Sciences, University of Trieste, 34129 Trieste, Italy
| | - Roberta Migliavacca
- Unit of Microbiology and Clinical Microbiology, Department of Clinical-Surgical, Diagnostic and Pediatric Sciences, University of Pavia, 27100 Pavia, Italy
| | - Aurora Piazza
- Unit of Microbiology and Clinical Microbiology, Department of Clinical-Surgical, Diagnostic and Pediatric Sciences, University of Pavia, 27100 Pavia, Italy
| | - Elisa Meroni
- Clinical Microbiology and Virology Unit, “A. Manzoni” Hospital, 23900 Lecco, Italy
| | - Paolo Fazii
- Clinical Microbiology and Virology Unit, Spirito Santo Hospital, 65122 Pescara, Italy
| | - Daniela Visaggio
- Department of Science, Roma Tre University, Viale G. Marconi 446, 00146 Rome, Italy
- Santa Lucia Foundation IRCCS, 00179 Rome, Italy
| | - Paolo Visca
- Department of Science, Roma Tre University, Viale G. Marconi 446, 00146 Rome, Italy
- Santa Lucia Foundation IRCCS, 00179 Rome, Italy
| | - Venere Cortazzo
- Dipartimento di Scienze Biotecnologiche di Base, Cliniche Intensivologiche e Perioperatorie, Università Cattolica del Sacro Cuore, 00168 Rome, Italy
| | - Giulia De Angelis
- Dipartimento di Scienze Biotecnologiche di Base, Cliniche Intensivologiche e Perioperatorie, Università Cattolica del Sacro Cuore, 00168 Rome, Italy
| | - Arianna Pompilio
- Department of Medical, Oral and Biotechnological Sciences, “G. d’Annunzio” University of Chieti-Pescara, 66100 Chieti, Italy
- Center of Advanced Studies and Technology (CAST), “G. d’Annunzio” University of Chieti-Pescara, 66100 Chieti, Italy
| | - Mariagrazia Perilli
- Department of Biotechnological and Applied Clinical Sciences, University of L’Aquila, 67100 L’Aquila, Italy
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6
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Campos-Madueno EI, Mauri C, Meroni E, Paseiro PP, Consonni A, Luzzaro F, Endimiani A. Simultaneous gut colonization by Klebsiella grimontii and Escherichia coli co-possessing the bla KPC-3-carrying pQil plasmid. Eur J Clin Microbiol Infect Dis 2022; 41:1087-1091. [PMID: 35643963 PMCID: PMC9250482 DOI: 10.1007/s10096-022-04462-z] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/14/2022] [Accepted: 05/16/2022] [Indexed: 11/27/2022]
Abstract
Only two plasmid-mediated carbapenemases (KPC-2 and VIM-1) are reported in Klebsiella grimontii. Here, we report two blaKPC-3-positive isolates that were identified as K. oxytoca and E. coli by MALDI-TOF MS in the same rectal swab. Whole-genome sequencing indicated that K. oxytoca was actually K. grimontii of ST391, whereas E. coli was of ST10. In both, blaKPC-3 was carried by a pQil conjugative plasmid. The core-genome analysis identified additional blaKPC-positive K. grimontii strains from public databases, most of which were misidentified as K. oxytoca. Since K. grimontii represents an emerging reservoir of resistance traits, routine tools should improve their ability to detect this species.
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Affiliation(s)
- Edgar I Campos-Madueno
- Institute for Infectious Diseases (IFIK), University of Bern, Friedbühlstrasse 51, CH-3001, Bern, Switzerland
- Graduate School of Cellular and Biomedical Sciences, University of Bern, Bern, Switzerland
| | - Carola Mauri
- Clinical Microbiology and Virology Unit, A. Manzoni Hospital, Lecco, Italy
| | - Elisa Meroni
- Clinical Microbiology and Virology Unit, A. Manzoni Hospital, Lecco, Italy
| | - Pablo Porragas Paseiro
- Institute for Infectious Diseases (IFIK), University of Bern, Friedbühlstrasse 51, CH-3001, Bern, Switzerland
| | | | - Francesco Luzzaro
- Clinical Microbiology and Virology Unit, A. Manzoni Hospital, Lecco, Italy
| | - Andrea Endimiani
- Institute for Infectious Diseases (IFIK), University of Bern, Friedbühlstrasse 51, CH-3001, Bern, Switzerland.
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7
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Agostini M, Altenmüller K, Appel S, Atroshchenko V, Bagdasarian Z, Basilico D, Bellini G, Benziger J, Biondi R, Bravo D, Caccianiga B, Calaprice F, Caminata A, Cavalcante P, Chepurnov A, D'Angelo D, Davini S, Derbin A, Di Giacinto A, Di Marcello V, Ding XF, Di Ludovico A, Di Noto L, Drachnev I, Formozov A, Franco D, Galbiati C, Ghiano C, Giammarchi M, Goretti A, Göttel AS, Gromov M, Guffanti D, Ianni A, Ianni A, Jany A, Jeschke D, Kobychev V, Korga G, Kumaran S, Laubenstein M, Litvinovich E, Lombardi P, Lomskaya I, Ludhova L, Lukyanchenko G, Lukyanchenko L, Machulin I, Martyn J, Meroni E, Meyer M, Miramonti L, Misiaszek M, Muratova V, Neumair B, Nieslony M, Nugmanov R, Oberauer L, Orekhov V, Ortica F, Pallavicini M, Papp L, Pelicci L, Penek Ö, Pietrofaccia L, Pilipenko N, Pocar A, Raikov G, Ranalli MT, Ranucci G, Razeto A, Re A, Redchuk M, Romani A, Rossi N, Schönert S, Semenov D, Settanta G, Skorokhvatov M, Singhal A, Smirnov O, Sotnikov A, Suvorov Y, Tartaglia R, Testera G, Thurn J, Unzhakov E, Vishneva A, Vogelaar RB, von Feilitzsch F, Wessel A, Wojcik M, Wonsak B, Wurm M, Zavatarelli S, Zuber K, Zuzel G. First Directional Measurement of Sub-MeV Solar Neutrinos with Borexino. Phys Rev Lett 2022; 128:091803. [PMID: 35302807 DOI: 10.1103/physrevlett.128.091803] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/22/2021] [Accepted: 01/25/2022] [Indexed: 06/14/2023]
Abstract
We report the measurement of sub-MeV solar neutrinos through the use of their associated Cherenkov radiation, performed with the Borexino detector at the Laboratori Nazionali del Gran Sasso. The measurement is achieved using a novel technique that correlates individual photon hits of events to the known position of the Sun. In an energy window between 0.54 to 0.74 MeV, selected using the dominant scintillation light, we have measured 10 887_{-2103}^{+2386}(stat)±947(syst) (68% confidence interval) solar neutrinos out of 19 904 total events. This corresponds to a ^{7}Be neutrino interaction rate of 51.6_{-12.5}^{+13.9} counts/(day·100 ton), which is in agreement with the standard solar model predictions and the previous spectroscopic results of Borexino. The no-neutrino hypothesis can be excluded with >5σ confidence level. For the first time, we have demonstrated the possibility of utilizing the directional Cherenkov information for sub-MeV solar neutrinos, in a large-scale, high light yield liquid scintillator detector. This measurement provides an experimental proof of principle for future hybrid event reconstruction using both Cherenkov and scintillation signatures simultaneously.
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Affiliation(s)
- M Agostini
- Physik-Department, Technische Universität München, 85748 Garching, Germany
- Department of Physics and Astronomy, University College London, London, WC1E 6BT, United Kingdom
| | - K Altenmüller
- Physik-Department, Technische Universität München, 85748 Garching, Germany
| | - S Appel
- Physik-Department, Technische Universität München, 85748 Garching, Germany
| | - V Atroshchenko
- National Research Centre Kurchatov Institute, 123182 Moscow, Russia
| | - Z Bagdasarian
- Institut für Kernphysik, Forschungszentrum Jülich, 52425 Jülich, Germany
| | - D Basilico
- Dipartimento di Fisica, Università degli Studi e INFN, 20133 Milano, Italy
| | - G Bellini
- Dipartimento di Fisica, Università degli Studi e INFN, 20133 Milano, Italy
| | - J Benziger
- Chemical Engineering Department, Princeton University, Princeton, New Jersey 08544, USA
| | - R Biondi
- INFN Laboratori Nazionali del Gran Sasso, 67010 Assergi (AQ), Italy
| | - D Bravo
- Dipartimento di Fisica, Università degli Studi e INFN, 20133 Milano, Italy
| | - B Caccianiga
- Dipartimento di Fisica, Università degli Studi e INFN, 20133 Milano, Italy
| | - F Calaprice
- Physics Department, Princeton University, Princeton, New Jersey 08544, USA
| | - A Caminata
- Dipartimento di Fisica, Università degli Studi e INFN, 16146 Genova, Italy
| | - P Cavalcante
- Physics Department, Virginia Polytechnic Institute and State University, Blacksburg, Virginia 24061, USA
| | - A Chepurnov
- Lomonosov Moscow State University Skobeltsyn Institute of Nuclear Physics, 119234 Moscow, Russia
| | - D D'Angelo
- Dipartimento di Fisica, Università degli Studi e INFN, 20133 Milano, Italy
| | - S Davini
- Dipartimento di Fisica, Università degli Studi e INFN, 16146 Genova, Italy
| | - A Derbin
- St. Petersburg Nuclear Physics Institute NRC Kurchatov Institute, 188350 Gatchina, Russia
| | - A Di Giacinto
- INFN Laboratori Nazionali del Gran Sasso, 67010 Assergi (AQ), Italy
| | - V Di Marcello
- INFN Laboratori Nazionali del Gran Sasso, 67010 Assergi (AQ), Italy
| | - X F Ding
- Physics Department, Princeton University, Princeton, New Jersey 08544, USA
| | - A Di Ludovico
- Physics Department, Princeton University, Princeton, New Jersey 08544, USA
| | - L Di Noto
- Dipartimento di Fisica, Università degli Studi e INFN, 16146 Genova, Italy
| | - I Drachnev
- St. Petersburg Nuclear Physics Institute NRC Kurchatov Institute, 188350 Gatchina, Russia
| | - A Formozov
- Joint Institute for Nuclear Research, 141980 Dubna, Russia
- Dipartimento di Fisica, Università degli Studi e INFN, 20133 Milano, Italy
| | - D Franco
- APC, Université de Paris, CNRS, Astroparticule et Cosmologie, Paris F-75013, France
| | - C Galbiati
- Physics Department, Princeton University, Princeton, New Jersey 08544, USA
- Gran Sasso Science Institute, 67100 L'Aquila, Italy
| | - C Ghiano
- INFN Laboratori Nazionali del Gran Sasso, 67010 Assergi (AQ), Italy
| | - M Giammarchi
- Dipartimento di Fisica, Università degli Studi e INFN, 20133 Milano, Italy
| | - A Goretti
- M. Smoluchowski Institute of Physics, Jagiellonian University, 30348 Krakow, Poland
- Physics Department, Princeton University, Princeton, New Jersey 08544, USA
| | - A S Göttel
- Institut für Kernphysik, Forschungszentrum Jülich, 52425 Jülich, Germany
- III. Physikalisches Institut B, RWTH Aachen University, 52062 Aachen, Germany
| | - M Gromov
- Joint Institute for Nuclear Research, 141980 Dubna, Russia
- Lomonosov Moscow State University Skobeltsyn Institute of Nuclear Physics, 119234 Moscow, Russia
| | - D Guffanti
- Institute of Physics and Cluster of Excellence PRISMA+, Johannes Gutenberg-Universität Mainz, 55099 Mainz, Germany
| | - Aldo Ianni
- INFN Laboratori Nazionali del Gran Sasso, 67010 Assergi (AQ), Italy
| | - Andrea Ianni
- Physics Department, Princeton University, Princeton, New Jersey 08544, USA
| | - A Jany
- M. Smoluchowski Institute of Physics, Jagiellonian University, 30348 Krakow, Poland
| | - D Jeschke
- Physik-Department, Technische Universität München, 85748 Garching, Germany
| | - V Kobychev
- Institute for Nuclear Research of NAS Ukraine, 03028 Kyiv, Ukraine
| | - G Korga
- Department of Physics, School of Engineering, Physical and Mathematical Sciences, Royal Holloway, University of London, Egham, TW20 OEX, United Kingdom
- Institute of Nuclear Research (Atomki), 4026, Debrecen, Hungary
| | - S Kumaran
- Institut für Kernphysik, Forschungszentrum Jülich, 52425 Jülich, Germany
- III. Physikalisches Institut B, RWTH Aachen University, 52062 Aachen, Germany
| | - M Laubenstein
- INFN Laboratori Nazionali del Gran Sasso, 67010 Assergi (AQ), Italy
| | - E Litvinovich
- National Research Centre Kurchatov Institute, 123182 Moscow, Russia
- National Research Nuclear University MEPhI (Moscow Engineering Physics Institute), 115409 Moscow, Russia
| | - P Lombardi
- Dipartimento di Fisica, Università degli Studi e INFN, 20133 Milano, Italy
| | - I Lomskaya
- St. Petersburg Nuclear Physics Institute NRC Kurchatov Institute, 188350 Gatchina, Russia
| | - L Ludhova
- Institut für Kernphysik, Forschungszentrum Jülich, 52425 Jülich, Germany
- III. Physikalisches Institut B, RWTH Aachen University, 52062 Aachen, Germany
| | - G Lukyanchenko
- National Research Centre Kurchatov Institute, 123182 Moscow, Russia
| | - L Lukyanchenko
- National Research Centre Kurchatov Institute, 123182 Moscow, Russia
| | - I Machulin
- National Research Centre Kurchatov Institute, 123182 Moscow, Russia
- National Research Nuclear University MEPhI (Moscow Engineering Physics Institute), 115409 Moscow, Russia
| | - J Martyn
- Institute of Physics and Cluster of Excellence PRISMA+, Johannes Gutenberg-Universität Mainz, 55099 Mainz, Germany
| | - E Meroni
- Dipartimento di Fisica, Università degli Studi e INFN, 20133 Milano, Italy
| | - M Meyer
- Department of Physics, Technische Universität Dresden, 01062 Dresden, Germany
| | - L Miramonti
- Dipartimento di Fisica, Università degli Studi e INFN, 20133 Milano, Italy
| | - M Misiaszek
- M. Smoluchowski Institute of Physics, Jagiellonian University, 30348 Krakow, Poland
| | - V Muratova
- St. Petersburg Nuclear Physics Institute NRC Kurchatov Institute, 188350 Gatchina, Russia
| | - B Neumair
- Physik-Department, Technische Universität München, 85748 Garching, Germany
| | - M Nieslony
- Institute of Physics and Cluster of Excellence PRISMA+, Johannes Gutenberg-Universität Mainz, 55099 Mainz, Germany
| | - R Nugmanov
- National Research Centre Kurchatov Institute, 123182 Moscow, Russia
- National Research Nuclear University MEPhI (Moscow Engineering Physics Institute), 115409 Moscow, Russia
| | - L Oberauer
- Physik-Department, Technische Universität München, 85748 Garching, Germany
| | - V Orekhov
- Institute of Physics and Cluster of Excellence PRISMA+, Johannes Gutenberg-Universität Mainz, 55099 Mainz, Germany
| | - F Ortica
- Dipartimento di Chimica, Biologia e Biotecnologie, Università degli Studi e INFN, 06123 Perugia, Italy
| | - M Pallavicini
- Dipartimento di Fisica, Università degli Studi e INFN, 16146 Genova, Italy
| | - L Papp
- Physik-Department, Technische Universität München, 85748 Garching, Germany
| | - L Pelicci
- Institut für Kernphysik, Forschungszentrum Jülich, 52425 Jülich, Germany
- III. Physikalisches Institut B, RWTH Aachen University, 52062 Aachen, Germany
| | - Ö Penek
- Institut für Kernphysik, Forschungszentrum Jülich, 52425 Jülich, Germany
| | - L Pietrofaccia
- Physics Department, Princeton University, Princeton, New Jersey 08544, USA
| | - N Pilipenko
- St. Petersburg Nuclear Physics Institute NRC Kurchatov Institute, 188350 Gatchina, Russia
| | - A Pocar
- Amherst Center for Fundamental Interactions and Physics Department, UMass, Amherst, Massachusetts 01003, USA
| | - G Raikov
- National Research Centre Kurchatov Institute, 123182 Moscow, Russia
| | - M T Ranalli
- INFN Laboratori Nazionali del Gran Sasso, 67010 Assergi (AQ), Italy
| | - G Ranucci
- Dipartimento di Fisica, Università degli Studi e INFN, 20133 Milano, Italy
| | - A Razeto
- INFN Laboratori Nazionali del Gran Sasso, 67010 Assergi (AQ), Italy
| | - A Re
- Dipartimento di Fisica, Università degli Studi e INFN, 20133 Milano, Italy
| | - M Redchuk
- Institut für Kernphysik, Forschungszentrum Jülich, 52425 Jülich, Germany
- III. Physikalisches Institut B, RWTH Aachen University, 52062 Aachen, Germany
| | - A Romani
- Dipartimento di Chimica, Biologia e Biotecnologie, Università degli Studi e INFN, 06123 Perugia, Italy
| | - N Rossi
- INFN Laboratori Nazionali del Gran Sasso, 67010 Assergi (AQ), Italy
| | - S Schönert
- Physik-Department, Technische Universität München, 85748 Garching, Germany
| | - D Semenov
- St. Petersburg Nuclear Physics Institute NRC Kurchatov Institute, 188350 Gatchina, Russia
| | - G Settanta
- Institut für Kernphysik, Forschungszentrum Jülich, 52425 Jülich, Germany
| | - M Skorokhvatov
- National Research Centre Kurchatov Institute, 123182 Moscow, Russia
- National Research Nuclear University MEPhI (Moscow Engineering Physics Institute), 115409 Moscow, Russia
| | - A Singhal
- Institut für Kernphysik, Forschungszentrum Jülich, 52425 Jülich, Germany
- III. Physikalisches Institut B, RWTH Aachen University, 52062 Aachen, Germany
| | - O Smirnov
- Joint Institute for Nuclear Research, 141980 Dubna, Russia
| | - A Sotnikov
- Joint Institute for Nuclear Research, 141980 Dubna, Russia
| | - Y Suvorov
- National Research Centre Kurchatov Institute, 123182 Moscow, Russia
- INFN Laboratori Nazionali del Gran Sasso, 67010 Assergi (AQ), Italy
| | - R Tartaglia
- INFN Laboratori Nazionali del Gran Sasso, 67010 Assergi (AQ), Italy
| | - G Testera
- Dipartimento di Fisica, Università degli Studi e INFN, 16146 Genova, Italy
| | - J Thurn
- Department of Physics, Technische Universität Dresden, 01062 Dresden, Germany
| | - E Unzhakov
- St. Petersburg Nuclear Physics Institute NRC Kurchatov Institute, 188350 Gatchina, Russia
| | - A Vishneva
- Joint Institute for Nuclear Research, 141980 Dubna, Russia
| | - R B Vogelaar
- Physics Department, Virginia Polytechnic Institute and State University, Blacksburg, Virginia 24061, USA
| | - F von Feilitzsch
- Physik-Department, Technische Universität München, 85748 Garching, Germany
| | - A Wessel
- GSI Helmholtzzentrum für Schwerionenforschung, Planckstrasse 1, D-64291 Darmstadt, Germany
- Institut für Kernphysik, Forschungszentrum Jülich, 52425 Jülich, Germany
- III. Physikalisches Institut B, RWTH Aachen University, 52062 Aachen, Germany
| | - M Wojcik
- M. Smoluchowski Institute of Physics, Jagiellonian University, 30348 Krakow, Poland
| | - B Wonsak
- University of Hamburg, Institute of Experimental Physics, Luruper Chaussee 149, 22761 Hamburg, Germany
| | - M Wurm
- Institute of Physics and Cluster of Excellence PRISMA+, Johannes Gutenberg-Universität Mainz, 55099 Mainz, Germany
| | - S Zavatarelli
- Dipartimento di Fisica, Università degli Studi e INFN, 16146 Genova, Italy
| | - K Zuber
- Department of Physics, Technische Universität Dresden, 01062 Dresden, Germany
| | - G Zuzel
- M. Smoluchowski Institute of Physics, Jagiellonian University, 30348 Krakow, Poland
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8
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Piazza A, Perini M, Mauri C, Comandatore F, Meroni E, Luzzaro F, Principe L. Antimicrobial Susceptibility, Virulence, and Genomic Features of a Hypervirulent Serotype K2, ST65 Klebsiella pneumoniae Causing Meningitis in Italy. Antibiotics (Basel) 2022; 11:antibiotics11020261. [PMID: 35203864 PMCID: PMC8868201 DOI: 10.3390/antibiotics11020261] [Citation(s) in RCA: 6] [Impact Index Per Article: 3.0] [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: 01/27/2022] [Revised: 02/14/2022] [Accepted: 02/15/2022] [Indexed: 12/16/2022] Open
Abstract
The rise of a new hypervirulent variant of Klebsiella pneumoniae (hvKp) was recently reported, mainly linked to the ST23 lineage. The hvKp variants can cause severe infections, including hepatic abscesses, bacteremia, and meningitis, with a particularly disconcerting propensity to cause community-acquired, life-threatening infection among young and otherwise healthy individuals. The present study aimed to report the clinical characteristics of a hypermucoviscous K. pneumoniae strain isolated in Italy and sustaining recurrent meningitis in a patient of Peruvian origin. A further objective was to retrospectively investigate, by means of whole-genome sequencing (WGS) analysis, the genomic features of such an isolate. The hypermucoviscosity phenotype of the strain (sk205y205t) was determined using the string test. Genomic information was obtained by WGS (Illumina) and bioinformatic analysis. Strain sk205y205t was susceptible to most antibiotics, despite the presence of some resistance genes, including blaSHV-11, blaSHV-67, fosA, and acrR. The isolate belonged to ST65 and serotype K2, and exhibited several virulence factors related to the hvKp variant. Among these, were the siderophore genes entB, irp2, iroN, iroB, and iucA; the capsule-regulating genes rmpA and rmpA2; and the type 1 and 3 fimbriae fimH27 and mrkD, respectively. A further operon, encoding the genotoxin colibactin (clbA-Q), was also identified. The virulence plasmids pK2044, pRJA166b, and pNDM. MAR were also detected. Phylogenetic investigation showed that this Italian strain is highly similar to a Chinese isolate, suggesting a hidden circulation of this hvKp ST65 K2 lineage.
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Affiliation(s)
- Aurora Piazza
- Clinical-Surgical, Diagnostic and Pediatric Sciences Department, Unit of Microbiology and Clinical Microbiology, University of Pavia, 27100 Pavia, Italy;
| | - Matteo Perini
- Romeo and Enrica Invernizzi Pediatric Research Center, Department of Biomedical and Clinical Sciences L. Sacco, University of Milan, 20157 Milan, Italy; (M.P.); (F.C.)
| | - Carola Mauri
- Microbiology and Virology Unit, A. Manzoni Hospital, 23900 Lecco, Italy; (C.M.); (E.M.); (F.L.)
| | - Francesco Comandatore
- Romeo and Enrica Invernizzi Pediatric Research Center, Department of Biomedical and Clinical Sciences L. Sacco, University of Milan, 20157 Milan, Italy; (M.P.); (F.C.)
| | - Elisa Meroni
- Microbiology and Virology Unit, A. Manzoni Hospital, 23900 Lecco, Italy; (C.M.); (E.M.); (F.L.)
| | - Francesco Luzzaro
- Microbiology and Virology Unit, A. Manzoni Hospital, 23900 Lecco, Italy; (C.M.); (E.M.); (F.L.)
| | - Luigi Principe
- Microbiology and Virology Unit, A. Manzoni Hospital, 23900 Lecco, Italy; (C.M.); (E.M.); (F.L.)
- Correspondence:
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9
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Di Bella S, Luzzati R, Principe L, Zerbato V, Meroni E, Giuffrè M, Crocè LS, Merlo M, Perotto M, Dolso E, Maurel C, Lovecchio A, Dal Bo E, Lagatolla C, Marini B, Ippodrino R, Sanson G. Aspirin and Infection: A Narrative Review. Biomedicines 2022; 10:biomedicines10020263. [PMID: 35203473 PMCID: PMC8868581 DOI: 10.3390/biomedicines10020263] [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] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/27/2021] [Revised: 01/18/2022] [Accepted: 01/20/2022] [Indexed: 02/01/2023] Open
Abstract
Acetylsalicylic acid (ASA) is one of the most commonly used drugs in the world. It derives from the extract of white willow bark, whose therapeutic potential was known in Egypt since 1534 BC. ASA’s pharmacological effects are historically considered secondary to its anti-inflammatory, platelet-inhibiting properties; however, human studies demonstrating a pro-inflammatory effect of ASA exist. It is likely that we are aware of only part of ASA’s mechanisms of action; moreover, the clinical effect is largely dependent on dosages. During the past few decades, evidence of the anti-infective properties of ASA has emerged. We performed a review of such research in order to provide a comprehensive overview of ASA and viral, bacterial, fungal and parasitic infections, as well as ASA’s antibiofilm properties.
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Affiliation(s)
- Stefano Di Bella
- Clinical Department of Medical, Surgical and Health Sciences, University of Trieste, 34127 Trieste, Italy; (S.D.B.); (R.L.); (L.S.C.); (M.M.); (M.P.); (G.S.)
| | - Roberto Luzzati
- Clinical Department of Medical, Surgical and Health Sciences, University of Trieste, 34127 Trieste, Italy; (S.D.B.); (R.L.); (L.S.C.); (M.M.); (M.P.); (G.S.)
| | - Luigi Principe
- Clinical Pathology and Microbiology Unit, “S. Giovanni di Dio” Hospital, 88900 Crotone, Italy;
| | - Verena Zerbato
- Infectious Diseases Unit, Trieste University Hospital, 34149 Trieste, Italy; (V.Z.); (E.D.); (C.M.); (A.L.)
| | - Elisa Meroni
- Clinical Microbiology and Virology Unit, “A. Manzoni” Hospital, 23900 Lecco, Italy;
| | - Mauro Giuffrè
- Clinical Department of Medical, Surgical and Health Sciences, University of Trieste, 34127 Trieste, Italy; (S.D.B.); (R.L.); (L.S.C.); (M.M.); (M.P.); (G.S.)
- Correspondence: ; Tel.: +39-040-3994-305
| | - Lory Saveria Crocè
- Clinical Department of Medical, Surgical and Health Sciences, University of Trieste, 34127 Trieste, Italy; (S.D.B.); (R.L.); (L.S.C.); (M.M.); (M.P.); (G.S.)
| | - Marco Merlo
- Clinical Department of Medical, Surgical and Health Sciences, University of Trieste, 34127 Trieste, Italy; (S.D.B.); (R.L.); (L.S.C.); (M.M.); (M.P.); (G.S.)
| | - Maria Perotto
- Clinical Department of Medical, Surgical and Health Sciences, University of Trieste, 34127 Trieste, Italy; (S.D.B.); (R.L.); (L.S.C.); (M.M.); (M.P.); (G.S.)
| | - Elisabetta Dolso
- Infectious Diseases Unit, Trieste University Hospital, 34149 Trieste, Italy; (V.Z.); (E.D.); (C.M.); (A.L.)
| | - Cristina Maurel
- Infectious Diseases Unit, Trieste University Hospital, 34149 Trieste, Italy; (V.Z.); (E.D.); (C.M.); (A.L.)
| | - Antonio Lovecchio
- Infectious Diseases Unit, Trieste University Hospital, 34149 Trieste, Italy; (V.Z.); (E.D.); (C.M.); (A.L.)
| | - Eugenia Dal Bo
- Cardiothoracic-Vascular Department, Azienda Sanitaria Universitaria Integrata, Cattinara University Hospital, 34149 Trieste, Italy;
| | - Cristina Lagatolla
- Department of Life Sciences, University of Trieste, 34127 Trieste, Italy;
| | - Bruna Marini
- Ulisse BioMed Labs, Area Science Park, 34149 Trieste, Italy; (B.M.); (R.I.)
| | - Rudy Ippodrino
- Ulisse BioMed Labs, Area Science Park, 34149 Trieste, Italy; (B.M.); (R.I.)
| | - Gianfranco Sanson
- Clinical Department of Medical, Surgical and Health Sciences, University of Trieste, 34127 Trieste, Italy; (S.D.B.); (R.L.); (L.S.C.); (M.M.); (M.P.); (G.S.)
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10
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Recalcati S, Tonolo S, Meroni E, Fantini F. SARS-CoV-2 in the sweat of COVID-19-positive patients: a possible route of transmission? J Eur Acad Dermatol Venereol 2021; 35:e865-e866. [PMID: 34416062 PMCID: PMC8656368 DOI: 10.1111/jdv.17607] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/22/2021] [Revised: 07/24/2021] [Accepted: 08/18/2021] [Indexed: 11/30/2022]
Affiliation(s)
- S Recalcati
- Dermatology Unit, ASST Lecco, Alessandro Manzoni Hospital, Lecco, Italy
| | - S Tonolo
- Microbiology and Virology Unit, ASST Lecco, Alessandro Manzoni Hospital, Lecco, Italy
| | - E Meroni
- Microbiology and Virology Unit, ASST Lecco, Alessandro Manzoni Hospital, Lecco, Italy
| | - F Fantini
- Dermatology Unit, ASST Lecco, Alessandro Manzoni Hospital, Lecco, Italy
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11
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Meroni E, Stakenborg N, Gomez-Pinilla PJ, Stakenborg M, Aguilera-Lizarraga J, Florens M, Delfini M, de Simone V, De Hertogh G, Goverse G, Matteoli G, Boeckxstaens GE. Vagus Nerve Stimulation Promotes Epithelial Proliferation and Controls Colon Monocyte Infiltration During DSS-Induced Colitis. Front Med (Lausanne) 2021; 8:694268. [PMID: 34307422 PMCID: PMC8292675 DOI: 10.3389/fmed.2021.694268] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/12/2021] [Accepted: 06/07/2021] [Indexed: 12/12/2022] Open
Abstract
Background: We previously showed increased susceptibility to dextran sulfate sodium (DSS)-induced colitis in vagotomized mice. Here, we evaluated whether vagus nerve stimulation (VNS) is able to reduce the severity of DSS colitis and aimed to unravel the mechanism involved. Methods: Colitis was induced in wild type mice by 2.5% DSS administration in drinking water for 5 days. VNS (5 Hz, 1 ms, 1 mA) was applied 1 day prior to and after 4 days of DSS administration to evaluate changes in epithelial integrity and inflammatory response, respectively. Epithelial integrity was assessed using TUNEL and Ki67 staining. Monocytes, immature and mature macrophages were sorted from colonic samples and gene expression levels of pro-inflammatory cytokines were studied. Results: VNS applied prior to DSS administration (i.e., prophylactic VNS) reduced disease activity index (VNS 0.8 ± 0.6 vs. sham 2.8 ± 0.7, p < 0.001, n = 5) and tended to improve histology score. Prophylactic VNS significantly increased epithelial cell proliferation and diminished apoptosis compared to sham stimulation. VNS applied at day 4 during DSS administration (i.e., therapeutic VNS) decreased the influx of monocytes, monocyte-derived macrophages and neutrophils, and significantly reduced pro-inflammatory cytokine expression (i.e., Tnfα and Cxcl1) in immature macrophages compared to sham stimulation. Conclusions: A single period of VNS applied prior to DSS exposure reduced DSS-induced colitis by an improvement in epithelial integrity. On the other hand, VNS applied during the inflammatory phase of DSS colitis reduced cytokine expression in immature macrophages. Our data further underscores the potential of VNS as novel therapeutic approach for inflammatory bowel diseases.
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Affiliation(s)
- Elisa Meroni
- Translational Research Center for Gastrointestinal Disorders (TARGID), Lab for Intestinal Neuro-Immune Interaction, Department of Chronic Diseases, Metabolism and Ageing, Katholieke Universiteit Leuven - University of Leuven, Leuven, Belgium
| | - Nathalie Stakenborg
- Translational Research Center for Gastrointestinal Disorders (TARGID), Lab for Intestinal Neuro-Immune Interaction, Department of Chronic Diseases, Metabolism and Ageing, Katholieke Universiteit Leuven - University of Leuven, Leuven, Belgium
| | - Pedro J Gomez-Pinilla
- Translational Research Center for Gastrointestinal Disorders (TARGID), Lab for Intestinal Neuro-Immune Interaction, Department of Chronic Diseases, Metabolism and Ageing, Katholieke Universiteit Leuven - University of Leuven, Leuven, Belgium
| | - Michelle Stakenborg
- Translational Research Center for Gastrointestinal Disorders (TARGID), Lab for Mucosal Immunology, Department of Chronic Diseases, Metabolism and Ageing, Katholieke Universiteit Leuven - University of Leuven, Leuven, Belgium
| | - Javier Aguilera-Lizarraga
- Translational Research Center for Gastrointestinal Disorders (TARGID), Lab for Intestinal Neuro-Immune Interaction, Department of Chronic Diseases, Metabolism and Ageing, Katholieke Universiteit Leuven - University of Leuven, Leuven, Belgium
| | - Morgane Florens
- Translational Research Center for Gastrointestinal Disorders (TARGID), Lab for Intestinal Neuro-Immune Interaction, Department of Chronic Diseases, Metabolism and Ageing, Katholieke Universiteit Leuven - University of Leuven, Leuven, Belgium
| | - Marcello Delfini
- Translational Research Center for Gastrointestinal Disorders (TARGID), Lab for Intestinal Neuro-Immune Interaction, Department of Chronic Diseases, Metabolism and Ageing, Katholieke Universiteit Leuven - University of Leuven, Leuven, Belgium
| | - Veronica de Simone
- Translational Research Center for Gastrointestinal Disorders (TARGID), Lab for Mucosal Immunology, Department of Chronic Diseases, Metabolism and Ageing, Katholieke Universiteit Leuven - University of Leuven, Leuven, Belgium
| | - Gert De Hertogh
- Department of Pathology, Universitair Ziekenhuis Leuven, Leuven, Belgium
| | - Gera Goverse
- Translational Research Center for Gastrointestinal Disorders (TARGID), Lab for Mucosal Immunology, Department of Chronic Diseases, Metabolism and Ageing, Katholieke Universiteit Leuven - University of Leuven, Leuven, Belgium
| | - Gianluca Matteoli
- Translational Research Center for Gastrointestinal Disorders (TARGID), Lab for Mucosal Immunology, Department of Chronic Diseases, Metabolism and Ageing, Katholieke Universiteit Leuven - University of Leuven, Leuven, Belgium
| | - Guy E Boeckxstaens
- Translational Research Center for Gastrointestinal Disorders (TARGID), Lab for Intestinal Neuro-Immune Interaction, Department of Chronic Diseases, Metabolism and Ageing, Katholieke Universiteit Leuven - University of Leuven, Leuven, Belgium
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12
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Piazza A, Principe L, Comandatore F, Perini M, Meroni E, Mattioni Marchetti V, Migliavacca R, Luzzaro F. Whole-Genome Sequencing Investigation of a Large Nosocomial Outbreak Caused by ST131 H30Rx KPC-Producing Escherichia coli in Italy. Antibiotics (Basel) 2021; 10:antibiotics10060718. [PMID: 34203731 PMCID: PMC8232337 DOI: 10.3390/antibiotics10060718] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/27/2021] [Revised: 06/11/2021] [Accepted: 06/11/2021] [Indexed: 11/16/2022] Open
Abstract
KPC-producing Escherichia coli (KPC-Ec) remains uncommon, being mainly reported as the cause of sporadic episodes of infection rather than outbreak events. Here we retrospectively describe the dynamics of a large hospital outbreak sustained by KPC-Ec, involving 106 patients and 25 hospital wards, during a six-month period. Twenty-nine representative KPC-Ec isolates (8/29 from rectal swabs; 21/29 from other clinical specimens) have been investigated by Whole-Genome Sequencing (WGS). Outbreak isolates showed a multidrug-resistant profile and harbored several resistance determinants, including blaCTX-M-27, aadA5, dfrA17, sulI, gyrA1AB and parC1aAB. Phylogenomic analysis identified the ST131 cluster 1 (23/29 isolates), H30Rx clade C, as responsible for the epidemic event. A further two KPC-Ec ST131 clusters were identified: cluster 2 (n = 2/29) and cluster 3 (n = 1/29). The remaining KPC-Ec resulted in ST978 (n = 2/29) and ST1193 (n = 1/29), and were blaKPC-3 associated. The KPC-Ec ST131 cluster 1, originated in a previous KPC-Kp endemic context probably by plasmid transfer, and showed a clonal dissemination strategy. Transmission of the blaKPC gene to the globally disseminated high-risk ST131 clone represents a serious cause of concern. Application of WGS in outbreak investigations could be useful to better understand the evolution of epidemic events in order to address infection control and contrast interventions, especially when high-risk epidemic clones are involved.
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Affiliation(s)
- Aurora Piazza
- Department of Clinical-Surgical, Diagnostic and Pediatric Sciences, Unit of Microbiology and Clinical Microbiology, University of Pavia, 27100 Pavia, Italy;
- Correspondence:
| | - Luigi Principe
- Clinical Pathology and Microbiology Unit, S. Giovanni di Dio Hospital, 88900 Crotone, Italy;
| | - Francesco Comandatore
- Romeo and Enrica Invernizzi Pediatric Research Center, Department of Biomedical and Clinical Sciences L. Sacco, University of Milan, 20157 Milan, Italy; (F.C.); (M.P.)
| | - Matteo Perini
- Romeo and Enrica Invernizzi Pediatric Research Center, Department of Biomedical and Clinical Sciences L. Sacco, University of Milan, 20157 Milan, Italy; (F.C.); (M.P.)
| | - Elisa Meroni
- Microbiology and Virology Unit, A. Manzoni Hospital, 23900 Lecco, Italy; (E.M.); (F.L.)
| | | | - Roberta Migliavacca
- Department of Clinical-Surgical, Diagnostic and Pediatric Sciences, Unit of Microbiology and Clinical Microbiology, University of Pavia, 27100 Pavia, Italy;
| | - Francesco Luzzaro
- Microbiology and Virology Unit, A. Manzoni Hospital, 23900 Lecco, Italy; (E.M.); (F.L.)
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13
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Stakenborg M, Verstockt B, Meroni E, Goverse G, De Simone V, Verstockt S, Di Matteo M, Czarnewski P, Villablanca EJ, Ferrante M, Boeckxstaens GE, Mazzone M, Vermeire S, Matteoli G. Neutrophilic HGF-MET Signalling Exacerbates Intestinal Inflammation. J Crohns Colitis 2020; 14:1748-1758. [PMID: 32556102 DOI: 10.1093/ecco-jcc/jjaa121] [Citation(s) in RCA: 9] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/27/2022]
Abstract
BACKGROUND AND AIMS Ulcerative colitis [UC] is associated with excessive neutrophil infiltration and collateral tissue damage, but the link is not yet completely understood. Since c-MET receptor tyrosine kinase [MET] is required for neutrophil chemoattraction and cytotoxicity in response to its ligand hepatocyte growth factor [HGF], we aimed to identify the function of HGF-MET signalling in neutrophils in UC patients and in mice during intestinal inflammation. METHODS Serum and colonic biopsies from healthy controls and UC patients with active [Mayo endoscopic subscore 2-3] and inactive [Mayo endoscopic subscore 0-1] disease were collected to assess the level of serum and colonic HGF. Disease progression and immune cell infiltration were assessed during dextran sodium sulphate [DSS] colitis in wild-type and MRP8-Cre MET-LoxP mice. RESULTS Increased mucosal HGF expression was detected in patients with active UC, and in mice during the inflammatory phase of DSS colitis. Similarly, serum HGF was significantly increased in active UC patients and positively correlated with C-reactive protein and blood neutrophil counts. Flow cytometric analysis also demonstrated an upregulation of colonic MET+ neutrophils during DSS colitis. Genetic ablation of MET in neutrophils reduced the severity of DSS-induced colitis. Concomitantly, there was a decreased number of TH17 cells, which could be due to a decreased production of IL-1β by MET-deficient neutrophils. CONCLUSIONS These data highlight the central role of neutrophilic HGF-MET signalling in exacerbating damage during intestinal inflammation. Hence, selective blockade of this pathway in neutrophils could be considered as a novel therapeutic approach in UC.
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Affiliation(s)
- Michelle Stakenborg
- Department of Chronic Diseases, Metabolism and Ageing [CHROMETA], Translational Research Center for Gastrointestinal Disorders [TARGID], KU Leuven, Belgium
| | - Bram Verstockt
- Department of Chronic Diseases, Metabolism and Ageing [CHROMETA], Translational Research Center for Gastrointestinal Disorders [TARGID], KU Leuven, Belgium.,Department of Gastroenterology and Hepatology, University Hospitals Leuven, Leuven, Belgium
| | - Elisa Meroni
- Department of Chronic Diseases, Metabolism and Ageing [CHROMETA], Translational Research Center for Gastrointestinal Disorders [TARGID], KU Leuven, Belgium
| | - Gera Goverse
- Department of Chronic Diseases, Metabolism and Ageing [CHROMETA], Translational Research Center for Gastrointestinal Disorders [TARGID], KU Leuven, Belgium
| | - Veronica De Simone
- Department of Chronic Diseases, Metabolism and Ageing [CHROMETA], Translational Research Center for Gastrointestinal Disorders [TARGID], KU Leuven, Belgium
| | - Sare Verstockt
- Department of Chronic Diseases, Metabolism and Ageing [CHROMETA], Translational Research Center for Gastrointestinal Disorders [TARGID], KU Leuven, Belgium
| | - Mario Di Matteo
- Laboratory of Tumor Inflammation and Angiogenesis, Center for Cancer Biology, VIB, Leuven, Belgium.,Laboratory of Tumor Inflammation and Angiogenesis, Department of Oncology, Center for Cancer Biology, KU Leuven, Leuven, Belgium
| | - Paulo Czarnewski
- Department of Medicine, Immunology and Allergy division, Karolinska Institutet and Karolinska University Hospital, Stockholm, Sweden
| | - Eduardo J Villablanca
- Department of Medicine, Immunology and Allergy division, Karolinska Institutet and Karolinska University Hospital, Stockholm, Sweden
| | - Marc Ferrante
- Department of Chronic Diseases, Metabolism and Ageing [CHROMETA], Translational Research Center for Gastrointestinal Disorders [TARGID], KU Leuven, Belgium.,Department of Gastroenterology and Hepatology, University Hospitals Leuven, Leuven, Belgium
| | - Guy E Boeckxstaens
- Department of Chronic Diseases, Metabolism and Ageing [CHROMETA], Translational Research Center for Gastrointestinal Disorders [TARGID], KU Leuven, Belgium
| | - Massimiliano Mazzone
- Laboratory of Tumor Inflammation and Angiogenesis, Center for Cancer Biology, VIB, Leuven, Belgium.,Laboratory of Tumor Inflammation and Angiogenesis, Department of Oncology, Center for Cancer Biology, KU Leuven, Leuven, Belgium
| | - Séverine Vermeire
- Department of Chronic Diseases, Metabolism and Ageing [CHROMETA], Translational Research Center for Gastrointestinal Disorders [TARGID], KU Leuven, Belgium.,Department of Gastroenterology and Hepatology, University Hospitals Leuven, Leuven, Belgium
| | - Gianluca Matteoli
- Department of Chronic Diseases, Metabolism and Ageing [CHROMETA], Translational Research Center for Gastrointestinal Disorders [TARGID], KU Leuven, Belgium
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14
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Agostini M, Altenmüller K, Appel S, Atroshchenko V, Bagdasarian Z, Basilico D, Bellini G, Benziger J, Bick D, Bravo D, Caccianiga B, Calaprice F, Caminata A, Cavalcante P, Chepurnov A, D’Angelo D, Davini S, Derbin A, Di Giacinto A, Di Marcello V, Ding X, Di Ludovico A, Di Noto L, Drachnev I, Formozov A, Franco D, Galbiati C, Gschwender M, Ghiano C, Giammarchi M, Goretti A, Gromov M, Guffanti D, Hagner C, Houdy T, Hungerford E, Ianni A, Ianni A, Jany A, Jeschke D, Kobychev V, Korga G, Kumaran S, Lachenmaier T, Laubenstein M, Litvinovich E, Lombardi P, Lomskaya I, Ludhova L, Lukyanchenko G, Lukyanchenko L, Machulin I, Marcocci S, Martyn J, Meroni E, Meyer M, Miramonti L, Misiaszek M, Muratova V, Neumair B, Nieslony M, Nugmanov R, Oberauer L, Orekhov V, Ortica F, Pallavicini M, Papp L, Penek Ö, Pietrofaccia L, Pilipenko N, Pocar A, Raikov G, Ranalli M, Ranucci G, Razeto A, Re A, Redchuk M, Romani A, Rossi N, Rottenanger S, Schönert S, Semenov D, Skorokhvatov M, Smirnov O, Sotnikov A, Suvorov Y, Tartaglia R, Testera G, Thurn J, Unzhakov E, Vishneva A, Vogelaar R, von Feilitzsch F, Wojcik M, Wurm M, Zavatarelli S, Zuber K, Zuzel G. Improved measurement of
B8
solar neutrinos with
1.5 kt·y
of Borexino exposure. Int J Clin Exp Med 2020. [DOI: 10.1103/physrevd.101.062001] [Citation(s) in RCA: 17] [Impact Index Per Article: 4.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022]
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15
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Stakenborg N, Labeeuw E, Gomez-Pinilla PJ, De Schepper S, Aerts R, Goverse G, Farro G, Appeltans I, Meroni E, Stakenborg M, Viola MF, Gonzalez-Dominguez E, Bosmans G, Alpizar YA, Wolthuis A, D’Hoore A, Van Beek K, Verheijden S, Verhaegen M, Derua R, Waelkens E, Moretti M, Gotti C, Augustijns P, Talavera K, Vanden Berghe P, Matteoli G, Boeckxstaens GE. Preoperative administration of the 5-HT4 receptor agonist prucalopride reduces intestinal inflammation and shortens postoperative ileus via cholinergic enteric neurons. Gut 2019; 68:1406-1416. [PMID: 30472681 PMCID: PMC6691854 DOI: 10.1136/gutjnl-2018-317263] [Citation(s) in RCA: 56] [Impact Index Per Article: 11.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/27/2018] [Revised: 10/16/2018] [Accepted: 10/18/2018] [Indexed: 12/27/2022]
Abstract
OBJECTIVES Vagus nerve stimulation (VNS), most likely via enteric neurons, prevents postoperative ileus (POI) by reducing activation of alpha7 nicotinic receptor (α7nAChR) positive muscularis macrophages (mMφ) and dampening surgery-induced intestinal inflammation. Here, we evaluated if 5-HT4 receptor (5-HT4R) agonist prucalopride can mimic this effect in mice and human. DESIGN Using Ca2+ imaging, the effect of electrical field stimulation (EFS) and prucalopride was evaluated in situ on mMφ activation evoked by ATP in jejunal muscularis tissue. Next, preoperative and postoperative administration of prucalopride (1-5 mg/kg) was compared with that of preoperative VNS in a model of POI in wild-type and α7nAChR knockout mice. Finally, in a pilot study, patients undergoing a Whipple procedure were preoperatively treated with prucalopride (n=10), abdominal VNS (n=10) or sham/placebo (n=10) to evaluate the effect on intestinal inflammation and clinical recovery of POI. RESULTS EFS reduced the ATP-induced Ca2+ response of mMφ, an effect that was dampened by neurotoxins tetrodotoxin and ω-conotoxin and mimicked by prucalopride. In vivo, prucalopride administered before, but not after abdominal surgery reduced intestinal inflammation and prevented POI in wild-type, but not in α7nAChR knockout mice. In humans, preoperative administration of prucalopride, but not of VNS, decreased Il6 and Il8 expression in the muscularis externa and improved clinical recovery. CONCLUSION Enteric neurons dampen mMφ activation, an effect mimicked by prucalopride. Preoperative, but not postoperative treatment with prucalopride prevents intestinal inflammation and shortens POI in both mice and human, indicating that preoperative administration of 5-HT4R agonists should be further evaluated as a treatment of POI. TRIAL REGISTRATION NUMBER NCT02425774.
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Affiliation(s)
- Nathalie Stakenborg
- Department of Chronic Diseases, Metabolism and Ageing, Translational Research Center for GastroIntestinal Disorders, Intestinal Neuroimmune Interactions, University of Leuven, Leuven, Belgium
| | - Evelien Labeeuw
- Department of Chronic Diseases, Metabolism and Ageing, Translational Research Center for GastroIntestinal Disorders, Intestinal Neuroimmune Interactions, University of Leuven, Leuven, Belgium
| | - Pedro J Gomez-Pinilla
- Department of Chronic Diseases, Metabolism and Ageing, Translational Research Center for GastroIntestinal Disorders, Intestinal Neuroimmune Interactions, University of Leuven, Leuven, Belgium
| | - Sebastiaan De Schepper
- Department of Chronic Diseases, Metabolism and Ageing, Translational Research Center for GastroIntestinal Disorders, Intestinal Neuroimmune Interactions, University of Leuven, Leuven, Belgium
| | - Raymond Aerts
- Department of Abdominal Surgery, University Hospital of Leuven, Leuven, Belgium
| | - Gera Goverse
- Department of Chronic Diseases, Metabolism and Ageing, Translational Research Center for Gastrointestinal Disorders, Laboratory for Mucosal Immunology, University of Leuven, Leuven, Belgium
| | - Giovanna Farro
- Department of Chronic Diseases, Metabolism and Ageing, Translational Research Center for GastroIntestinal Disorders, Intestinal Neuroimmune Interactions, University of Leuven, Leuven, Belgium
| | - Iris Appeltans
- Department of Chronic Diseases, Metabolism and Ageing, Translational Research Center for GastroIntestinal Disorders, Intestinal Neuroimmune Interactions, University of Leuven, Leuven, Belgium
| | - Elisa Meroni
- Department of Chronic Diseases, Metabolism and Ageing, Translational Research Center for GastroIntestinal Disorders, Intestinal Neuroimmune Interactions, University of Leuven, Leuven, Belgium
| | - Michelle Stakenborg
- Department of Chronic Diseases, Metabolism and Ageing, Translational Research Center for Gastrointestinal Disorders, Laboratory for Mucosal Immunology, University of Leuven, Leuven, Belgium
| | - Maria Francesca Viola
- Department of Chronic Diseases, Metabolism and Ageing, Translational Research Center for GastroIntestinal Disorders, Intestinal Neuroimmune Interactions, University of Leuven, Leuven, Belgium
| | - Erika Gonzalez-Dominguez
- Department of Chronic Diseases, Metabolism and Ageing, Translational Research Center for GastroIntestinal Disorders, Intestinal Neuroimmune Interactions, University of Leuven, Leuven, Belgium
| | - Goele Bosmans
- Department of Chronic Diseases, Metabolism and Ageing, Translational Research Center for GastroIntestinal Disorders, Intestinal Neuroimmune Interactions, University of Leuven, Leuven, Belgium
| | - Yeranddy A Alpizar
- Department of Cellular and Molecular Medicine, Laboratory of Ion Channel Research, KU Leuven; VIB Center for Brain & Disease Research, Leuven, Belgium
| | - Albert Wolthuis
- Department of Abdominal Surgery, University Hospital of Leuven, Leuven, Belgium
| | - Andre D’Hoore
- Department of Abdominal Surgery, University Hospital of Leuven, Leuven, Belgium
| | - Kim Van Beek
- Department of Chronic Diseases, Metabolism and Ageing, Translational Research Center for GastroIntestinal Disorders, Intestinal Neuroimmune Interactions, University of Leuven, Leuven, Belgium
| | - Simon Verheijden
- Department of Chronic Diseases, Metabolism and Ageing, Translational Research Center for GastroIntestinal Disorders, Intestinal Neuroimmune Interactions, University of Leuven, Leuven, Belgium
| | - Marleen Verhaegen
- Department of Anesthesiology, University Hospital of Leuven, Leuven, Belgium
| | - Rita Derua
- Department of Cellular and Molecular Medicine, Laboratory of Protein Phosphorylation and Proteomics, Universitiy of Leuven, Leuven, Belgium
| | - Etienne Waelkens
- Department of Cellular and Molecular Medicine, Laboratory of Protein Phosphorylation and Proteomics, Universitiy of Leuven, Leuven, Belgium
| | - Milena Moretti
- CNR, Neuroscience Institute-Milano, Biometra University of Milan, Milan, Italy
| | - Cecilia Gotti
- CNR, Neuroscience Institute-Milano, Biometra University of Milan, Milan, Italy
| | - Patrick Augustijns
- Department of Pharmaceutical and Pharmacological Sciences, Laboratory for Drug Delivery and Disposition, University of Leuven, Leuven, Belgium
| | - Karel Talavera
- Department of Cellular and Molecular Medicine, Laboratory of Ion Channel Research, KU Leuven; VIB Center for Brain & Disease Research, Leuven, Belgium
| | - Pieter Vanden Berghe
- Department of Chronic Diseases, Metabolism and Ageing, Translational Research Center for Gastrointestinal Disorders, Laboratory for Enteric Neuroscience, University of Leuven, Leuven, Belgium
| | - Gianluca Matteoli
- Department of Chronic Diseases, Metabolism and Ageing, Translational Research Center for Gastrointestinal Disorders, Laboratory for Mucosal Immunology, University of Leuven, Leuven, Belgium
| | - Guy E Boeckxstaens
- Department of Chronic Diseases, Metabolism and Ageing, Translational Research Center for GastroIntestinal Disorders, Intestinal Neuroimmune Interactions, University of Leuven, Leuven, Belgium
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16
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Meroni E, Stakenborg N, Viola MF, Boeckxstaens GE. Intestinal macrophages and their interaction with the enteric nervous system in health and inflammatory bowel disease. Acta Physiol (Oxf) 2019; 225:e13163. [PMID: 29998613 PMCID: PMC6519157 DOI: 10.1111/apha.13163] [Citation(s) in RCA: 41] [Impact Index Per Article: 8.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/25/2018] [Revised: 07/07/2018] [Accepted: 07/09/2018] [Indexed: 12/19/2022]
Abstract
Over the past decades, there has been an increasing understanding of cellular and molecular mechanisms that mediate modulation of the immune system by the autonomic nervous system. The discovery that vagal nerve stimulation (VNS) attenuates endotoxin-induced experimental sepsis paved the way for further studies investigating neuro-immune interaction. In particular, great attention is now given to intestinal macrophages: several studies report the existence of both intrinsic and extrinsic neural mechanisms by which intestinal immune homoeostasis can be regulated in different layers of the intestine, mainly by affecting macrophage activation through neurotransmitter release. Given the important role of inflammation in numerous disease processes, such as inflammatory bowel disease (IBD), cholinergic anti-inflammatory mechanisms are under intense investigation both from a basic and clinical science perspective in immune-mediated diseases such as IBD. This review discusses recent insights on the cross-talk between enteric neurons and the immune system, especially focusing on macrophages, and provides an overview of basic and translational aspects of the cholinergic anti-inflammatory response as therapeutic alternative to reinstall immune homoeostasis in intestinal chronic inflammation.
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Affiliation(s)
- Elisa Meroni
- Department of Chronic Diseases, Metabolism and AgeingTranslational Research Center for Gastrointestinal Disorders (TARGID)KU Leuven—University of LeuvenLeuvenBelgium
| | - Nathalie Stakenborg
- Department of Chronic Diseases, Metabolism and AgeingTranslational Research Center for Gastrointestinal Disorders (TARGID)KU Leuven—University of LeuvenLeuvenBelgium
| | - Maria Francesca Viola
- Department of Chronic Diseases, Metabolism and AgeingTranslational Research Center for Gastrointestinal Disorders (TARGID)KU Leuven—University of LeuvenLeuvenBelgium
| | - Guy E. Boeckxstaens
- Department of Chronic Diseases, Metabolism and AgeingTranslational Research Center for Gastrointestinal Disorders (TARGID)KU Leuven—University of LeuvenLeuvenBelgium
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17
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Principe L, Viaggi V, Clément M, Meroni E, Pini B, Endimiani A, Luzzaro F. Emergence of CTX-M-1-producing Salmonella enterica serovar Napoli: A novel 'enzyme-pathogen association' in the Italian extended-spectrum β-lactamase (ESBL) endemic context. J Glob Antimicrob Resist 2018; 15:101-102. [PMID: 30172832 DOI: 10.1016/j.jgar.2018.08.023] [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] [Received: 07/17/2018] [Revised: 08/23/2018] [Accepted: 08/23/2018] [Indexed: 12/01/2022] Open
Affiliation(s)
- Luigi Principe
- Clinical Microbiology and Virology Unit, A. Manzoni Hospital, Via dell'Eremo 9/11, 23900 Lecco, Italy
| | - Valentina Viaggi
- Clinical Microbiology and Virology Unit, A. Manzoni Hospital, Via dell'Eremo 9/11, 23900 Lecco, Italy
| | - Mathieu Clément
- Institute for Infectious Diseases, University of Bern, Bern, Switzerland
| | - Elisa Meroni
- Clinical Microbiology and Virology Unit, A. Manzoni Hospital, Via dell'Eremo 9/11, 23900 Lecco, Italy
| | - Beatrice Pini
- Clinical Microbiology and Virology Unit, A. Manzoni Hospital, Via dell'Eremo 9/11, 23900 Lecco, Italy
| | - Andrea Endimiani
- Institute for Infectious Diseases, University of Bern, Bern, Switzerland
| | - Francesco Luzzaro
- Clinical Microbiology and Virology Unit, A. Manzoni Hospital, Via dell'Eremo 9/11, 23900 Lecco, Italy.
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18
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Meroni E, Stakenborg N, Gomez-Pinilla PJ, De Hertogh G, Goverse G, Matteoli G, Verheijden S, Boeckxstaens GE. Functional characterization of oxazolone-induced colitis and survival improvement by vagus nerve stimulation. PLoS One 2018; 13:e0197487. [PMID: 29791477 PMCID: PMC5965883 DOI: 10.1371/journal.pone.0197487] [Citation(s) in RCA: 34] [Impact Index Per Article: 5.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/15/2018] [Accepted: 05/03/2018] [Indexed: 12/26/2022] Open
Abstract
Background Oxazolone-induced colitis has been frequently used in literature as a model of IBD, but insights into the underlying immune response and pathological features are surprisingly still very limited. Vagus nerve stimulation (VNS) has proven to be effective in innate and Th1/Th17 predominant inflammatory models, including pre-clinical models of colitis, however to what extent VNS is also effective in ameliorating Th2-driven colitis remains to be studied. In the present study, we therefore further characterized the immune response in oxazolone-induced colitis and investigated the potential therapeutic effect of VNS. Methods Colitis was induced in Balb/c mice by cutaneous sensitization with 3% oxazolone followed by intracolonic administration of 1% oxazolone 7 days later. To evaluate the effect of VNS on the development of Th2-driven colitis, VNS and sham-treated mice were challenged with 1% oxazolone. Results Intracolonic oxazolone administration resulted in a severe destruction of the colonic mucosa and a rapid drop in body temperature leading to a 65% mortality rate at day 5. Severe infiltration of neutrophils and monocytes was detected 6h after oxazolone administration which was associated with a Th2-type inflammatory response. VNS significantly improved survival rate which correlated with decreased levels of HMGB1 and reduced colonic (il6 and cxcl1 mRNA) and serum cytokine levels (IL-6, TNFα and CXCL1) compared to sham treated mice. Conclusions Oxazolone-induced colitis rather represents a model of sepsis and, at best, may resemble a severe type of ulcerative colitis, associated with early and severe mucosal damage and a high mortality rate. VNS reduces colonic inflammation and improves survival in this model, supporting the anti-inflammatory properties of VNS, even in an aggressive model as oxazolone-induced colitis.
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Affiliation(s)
- Elisa Meroni
- KU Leuven, Department of Chronic Diseases, Metabolism and Ageing, Translational Research Center for Gastrointestinal Disorders (TARGID), Leuven, Belgium
| | - Nathalie Stakenborg
- KU Leuven, Department of Chronic Diseases, Metabolism and Ageing, Translational Research Center for Gastrointestinal Disorders (TARGID), Leuven, Belgium
| | - Pedro J. Gomez-Pinilla
- KU Leuven, Department of Chronic Diseases, Metabolism and Ageing, Translational Research Center for Gastrointestinal Disorders (TARGID), Leuven, Belgium
| | - Gert De Hertogh
- KU Leuven, Department of Imaging and Pathology, Translational Cell and Tissue Research, Leuven, Belgium
| | - Gera Goverse
- KU Leuven, Department of Chronic Diseases, Metabolism and Ageing, Translational Research Center for Gastrointestinal Disorders (TARGID), Leuven, Belgium
| | - Gianluca Matteoli
- KU Leuven, Department of Chronic Diseases, Metabolism and Ageing, Translational Research Center for Gastrointestinal Disorders (TARGID), Leuven, Belgium
| | - Simon Verheijden
- KU Leuven, Department of Chronic Diseases, Metabolism and Ageing, Translational Research Center for Gastrointestinal Disorders (TARGID), Leuven, Belgium
| | - Guy E. Boeckxstaens
- KU Leuven, Department of Chronic Diseases, Metabolism and Ageing, Translational Research Center for Gastrointestinal Disorders (TARGID), Leuven, Belgium
- * E-mail:
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Porcelli A, Agostini M, Altenmüller K, Appel S, Atroshchenko V, Bagdasarian Z, Basilico D, Bellini G, Benziger J, Bick D, Bonfini G, Bravo D, Caccianiga B, Calaprice F, Caminata A, Caprioli S, Carlini M, Cavalcante P, Chepurnov A, Choi K, Cloué O, Cribier M, D'Angelo D, Davini S, Derbin A, Ding X, Di Ludovico A, Di Noto L, Drachnev I, Durero M, Farinon S, Fischer V, Fomenko K, Formozov A, Franco D, Froborg F, Gabriele F, Gaffiot J, Galbiati C, Ghiano C, Giammarchi M, Goretti A, Gromov M, Gschwender M, Hagner C, Houdy T, Hungerford E, Ianni A, Ianni A, Jonquères N, Jany A, Jeschke D, Kobychev V, Korablev D, Korga G, Kornoukhov V, Kryn D, Lachenmaier T, Lasserre T, Laubenstein M, Litvinovich E, Lombardi F, Lombardi P, Ludhova L, Lukyanchenko G, Lukyanchenko L, Machulin I, Manuzio G, Marcocci S, Maricic J, Mention G, Martyn J, Meroni E, Meyer M, Miramonti L, Misiaszek M, Muratova V, Musenich R, Neumair B, Oberauer L, Opitz B, Ortica F, Pallavicini M, Papp L, Pilipenko N, Pocar A, Ranucci G, Razeto A, Re A, Romani A, Roncin R, Rossi N, Rottenanger S, Schönert S, Scola M, Semenov D, Skorokhvatov M, Smirnov O, Sotnikov A, Stokes L, Suvorov Y, Tartaglia R, Testera G, Thurn J, Toropova M, Unzhakov E, Veyssiére C, Vishneva A, Vivier M, Vogelaar R, von Feilitzsch F, Wang H, Weinz S, Wojcik M, Wurm M, Yokley Z, Zaimidoroga O, Zavatarelli S, Zuber K, Zuzel G. Recent Borexino results and perspectives of the SOX measurement. EPJ Web Conf 2018. [DOI: 10.1051/epjconf/201818202099] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Abstract
Borexino is a liquid scintillator detector sited underground in the Laboratori Nazionali del Gran Sasso (Italy). Its physics program, until the end of this year, is focussed on the study of solar neutrinos, in particular from the Beryllium, pp, pep and CNO fusion reactions. Knowing the reaction chains in the sun provides insights towards physics disciplines such as astrophysics (star physics, star formation, etc.), astroparticle and particle physics. Phase II started in 2011 and its aim is to improve the phase I results, in particular the measurements of the neutrino fluxes from the pep and CNO processes. By the end of this year, data taking from the sun will be over and a new project is scheduled to launch: Short distance Oscillation with boreXino (SOX), which uses a Cerium source for neutrinos (100÷150 kCi of activity) and aims to confirm or rule out the presence of sterile neutrinos. This particle is hypothesised to justify the reactor, Gallium and LSND anomalies found and can reject extensions to the standard model. The work presented is a summary of the solar neutrino results achieved so far, which lead not only to a precise study of the processes in the sun, but also to more Standard Model oriented measurements (such as the stability of the charge, i.e. the life time of the electron). Furthermore, the perspectives of the SOX program are discussed showing the experiment sensitivity to a fourth neutrino state covering almost entirely 3σ of the preferred region of the anomalous neutrino experiments, and additional applications of the detector such as the study of geo-neutrinos.
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Mauri C, Principe L, Bracco S, Meroni E, Corbo N, Pini B, Luzzaro F. Identification by mass spectrometry and automated susceptibility testing from positive bottles: a simple, rapid, and standardized approach to reduce the turnaround time in the management of blood cultures. BMC Infect Dis 2017; 17:749. [PMID: 29207967 PMCID: PMC5717835 DOI: 10.1186/s12879-017-2851-5] [Citation(s) in RCA: 12] [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] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/04/2017] [Accepted: 11/22/2017] [Indexed: 11/19/2022] Open
Abstract
Background Speeding up identification and antimicrobial susceptibility testing (AST) is of foremost importance in the management of blood cultures. Here, we describe a simple, rapid, and standardized approach based on a very short-term incubation on solid medium from positive blood cultures followed by MALDI-TOF mass spectrometry identification and automated AST. The aim of the study was to evaluate the impact in the laboratory practice of this new procedure with respect to that previously used (standard method) by comparing TAT and cumulative percentage of final reports to clinicians. Results Compared with the standard method, the new procedure gave correct organism identification at genus or species level in 98.4% of monomicrobial samples. AST resulted in 97.7% essential agreement and 98.1% categorical agreement, with 0.9% minor errors, 1.0% major error, and 1.5% very major errors. The mean turnaround time to identification and AST was 61.4 h by using the new method compared to 83.1 h by using standard procedure. Concerning cumulative percentages of final reports, approximately a third of results were available at 48 h from the check-in of the sample when using the new procedure, whereas no final reports were ready at the same time with the standard method. Conclusions The new procedure allows faster and reliable results using a simple and standardized approach. Thus, it represents an important tool for a more rapid management of blood cultures when molecular methods are not available in the laboratory.
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Affiliation(s)
- Carola Mauri
- Microbiology and Virology Unit, A. Manzoni Hospital, Lecco, Italy
| | - Luigi Principe
- Microbiology and Virology Unit, A. Manzoni Hospital, Lecco, Italy
| | - Silvia Bracco
- Microbiology and Virology Unit, A. Manzoni Hospital, Lecco, Italy.,Present address: Clinical Pathology Unit, Vimercate Hospital, Vimercate, Italy
| | - Elisa Meroni
- Microbiology and Virology Unit, A. Manzoni Hospital, Lecco, Italy
| | - Nicoletta Corbo
- Microbiology and Virology Unit, A. Manzoni Hospital, Lecco, Italy
| | - Beatrice Pini
- Microbiology and Virology Unit, A. Manzoni Hospital, Lecco, Italy
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21
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Farro G, Stakenborg M, Gomez-Pinilla PJ, Labeeuw E, Goverse G, Di Giovangiulio M, Stakenborg N, Meroni E, D'Errico F, Elkrim Y, Laoui D, Lisowski ZM, Sauter KA, Hume DA, Van Ginderachter JA, Boeckxstaens GE, Matteoli G. CCR2-dependent monocyte-derived macrophages resolve inflammation and restore gut motility in postoperative ileus. Gut 2017; 66:2098-2109. [PMID: 28615302 DOI: 10.1136/gutjnl-2016-313144] [Citation(s) in RCA: 68] [Impact Index Per Article: 9.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/04/2016] [Revised: 04/17/2017] [Accepted: 04/17/2017] [Indexed: 12/12/2022]
Abstract
OBJECTIVE Postoperative ileus (POI) is assumed to result from myeloid cells infiltrating the intestinal muscularis externa (ME) in patients undergoing abdominal surgery. In the current study, we investigated the role of infiltrating monocytes in a murine model of intestinal manipulation (IM)-induced POI in order to clarify whether monocytes mediate tissue damage and intestinal dysfunction or they are rather involved in the recovery of gastrointestinal (GI) motility. DESIGN IM was performed in mice with defective monocyte migration to tissues (C-C motif chemokine receptor 2, Ccr2-/ - mice) and wild-type (WT) mice to study the role of monocytes and monocyte-derived macrophages (MΦs) during onset and resolution of ME inflammation. RESULTS At early time points, IM-induced GI transit delay and inflammation were equal in WT and Ccr2 -/- mice. However, GI transit recovery after IM was significantly delayed in Ccr2 -/- mice compared with WT mice, associated with increased neutrophil-mediated immunopathology and persistent impaired neuromuscular function. During recovery, monocyte-derived MΦs acquire pro-resolving features that aided in the resolution of inflammation. In line, bone marrow reconstitution and treatment with MΦ colony-stimulating factor 1 enhanced monocyte recruitment and MΦ differentiation and ameliorated GI transit in Ccr2 -/- mice. CONCLUSION Our study reveals a critical role for monocyte-derived MΦs in restoring intestinal homeostasis after surgical trauma. From a therapeutic point of view, our data indicate that inappropriate targeting of monocytes may increase neutrophil-mediated immunopathology and prolong the clinical outcome of POI, while future therapies should be aimed at enhancing MΦ physiological repair functions.
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Affiliation(s)
- Giovanna Farro
- Translational Research Center for Gastrointestinal Disorders (TARGID), Department of Clinical and Experimental Medicine, KU Leuven, Leuven, Belgium
| | - Michelle Stakenborg
- Translational Research Center for Gastrointestinal Disorders (TARGID), Department of Clinical and Experimental Medicine, KU Leuven, Leuven, Belgium
| | - Pedro J Gomez-Pinilla
- Translational Research Center for Gastrointestinal Disorders (TARGID), Department of Clinical and Experimental Medicine, KU Leuven, Leuven, Belgium
| | - Evelien Labeeuw
- Translational Research Center for Gastrointestinal Disorders (TARGID), Department of Clinical and Experimental Medicine, KU Leuven, Leuven, Belgium
| | - Gera Goverse
- Translational Research Center for Gastrointestinal Disorders (TARGID), Department of Clinical and Experimental Medicine, KU Leuven, Leuven, Belgium
| | - Martina Di Giovangiulio
- Translational Research Center for Gastrointestinal Disorders (TARGID), Department of Clinical and Experimental Medicine, KU Leuven, Leuven, Belgium
| | - Nathalie Stakenborg
- Translational Research Center for Gastrointestinal Disorders (TARGID), Department of Clinical and Experimental Medicine, KU Leuven, Leuven, Belgium
| | - Elisa Meroni
- Translational Research Center for Gastrointestinal Disorders (TARGID), Department of Clinical and Experimental Medicine, KU Leuven, Leuven, Belgium
| | - Francesca D'Errico
- Translational Research Center for Gastrointestinal Disorders (TARGID), Department of Clinical and Experimental Medicine, KU Leuven, Leuven, Belgium
| | - Yvon Elkrim
- Lab of Cellular and Molecular Immunology, Vrije Universiteit Brussel, Brussels, Belgium.,Myeloid Cell Immunology Lab, VIB Inflammation Research Center, Ghent, Belgium
| | - Damya Laoui
- Lab of Cellular and Molecular Immunology, Vrije Universiteit Brussel, Brussels, Belgium.,Myeloid Cell Immunology Lab, VIB Inflammation Research Center, Ghent, Belgium
| | - Zofia M Lisowski
- The Roslin Institute and Royal (Dick) School of Veterinary Studies, University of Edinburgh, Edinburgh, UK
| | - Kristin A Sauter
- The Roslin Institute and Royal (Dick) School of Veterinary Studies, University of Edinburgh, Edinburgh, UK
| | - David A Hume
- The Roslin Institute and Royal (Dick) School of Veterinary Studies, University of Edinburgh, Edinburgh, UK
| | - Jo A Van Ginderachter
- Lab of Cellular and Molecular Immunology, Vrije Universiteit Brussel, Brussels, Belgium.,Myeloid Cell Immunology Lab, VIB Inflammation Research Center, Ghent, Belgium
| | - Guy E Boeckxstaens
- Translational Research Center for Gastrointestinal Disorders (TARGID), Department of Clinical and Experimental Medicine, KU Leuven, Leuven, Belgium
| | - Gianluca Matteoli
- Translational Research Center for Gastrointestinal Disorders (TARGID), Department of Clinical and Experimental Medicine, KU Leuven, Leuven, Belgium
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Principe L, Meroni E, Conte V, Mauri C, Di Pilato V, Giani T, Bonfanti P, Rossolini GM, Luzzaro F. Mother-to-child transmission of KPC-producing Klebsiella pneumoniae: potential relevance of a low microbial urinary load for screening purposes. J Hosp Infect 2017; 98:314-316. [PMID: 29042234 DOI: 10.1016/j.jhin.2017.10.008] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/10/2017] [Accepted: 10/11/2017] [Indexed: 10/18/2022]
Affiliation(s)
- L Principe
- Clinical Microbiology and Virology Unit, A. Manzoni Hospital, Lecco, Italy
| | - E Meroni
- Clinical Microbiology and Virology Unit, A. Manzoni Hospital, Lecco, Italy
| | - V Conte
- Department of Medical Biotechnologies, University of Siena, Siena, Italy
| | - C Mauri
- Clinical Microbiology and Virology Unit, A. Manzoni Hospital, Lecco, Italy
| | - V Di Pilato
- Department of Surgery and Translational Medicine, University of Florence, Florence, Italy
| | - T Giani
- Department of Medical Biotechnologies, University of Siena, Siena, Italy
| | - P Bonfanti
- Infectious Diseases Unit, A. Manzoni Hospital, Lecco, Italy
| | - G M Rossolini
- Department of Experimental and Clinical Medicine, University of Florence, Florence, Italy; Clinical Microbiology and Virology Unit, Florence Careggi University Hospital, Florence, Italy
| | - F Luzzaro
- Clinical Microbiology and Virology Unit, A. Manzoni Hospital, Lecco, Italy.
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Mauri C, Bracco S, Meroni E, Oggioni D, Principe L, Pini B, Luzzaro F. Evaluation of the in vitro activity of ceftobiprole against clinical isolates of Staphylococcus aureus. Microbiol Med 2016. [DOI: 10.4081/mm.2016.6205] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Abstract
<em>Background and aims:</em> Ceftobiprole is a new cephalosporin characterized by a potent activity against Gram-positive and Gram-negative bacterial pathogens. It is noting that ceftobiprole has a strong affinity for penicillin binding proteins including PBP 2A, which mediates resistance to beta-lactams in methicillin (oxacillin)-resistant coagulase- negative staphylococci and <em>Staphylococcus</em> aureus (MRSA). The aim of the current study was to examine the antimicrobial activity of <em>ceftobiprole</em> against clinical isolates of <em>S</em>. <em>aureus</em> recently collected at our institution. <br /><em>Materials and methods:</em> One hundred and forty blood isolates of<em> S. aureus</em> were evaluated, including methicillin-susceptible (MSSA, n=70) and MRSA (n=70) strains. Twenty additional MRSA isolates obtained from different sites (including skin and soft tissues, blood, and lower respiratory tract) and characterized by borderline susceptibility to vancomycin were also studied to assess the ability of ceftobiprole to overcome this worrisome trait. MIC values of ceftobiprole were determined by Etest strips and results were interpreted according to EUCAST guidelines. <em><br />Results and conclusions:</em> Study isolates were consistently susceptible to ceftobiprole, with MIC values ranging from 0.125 mg/L to 2 mg/L. Overall, MIC50 and MIC90 were 0.25 mg/L and 0.5 mg/L, respectively. Ceftobiprole showed in vitro activity against all S. aureus isolates, with small differences among groups selected on the basis of resistance to methicillin and/or reduced susceptibility to vancomycin. Thus, ceftobiprole appears a valid choice for treating infections caused by<em> S. aureus</em>, even when susceptibility results are not yet available. Additionally, ceftobiprole may be a valid option in the case of reduced susceptibility to vancomycin.
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D’Angelo D, Agostini M, Altenmüller K, Appel S, Bellini G, Benziger J, Bick D, Bonfini G, Bravo D, Caccianiga B, Calaprice F, Caminata A, Cavalcante P, Chepurnov A, Davini S, Derbin A, Di Noto L, Drachnev I, Etenko A, Fomenko K, Franco D, Gabriele F, Galbiati C, Ghiano C, Giammarchi M, Goeger-Neff M, Goretti A, Gromov M, Hagner C, Hungerford E, Ianni A, Ianni A, Jedrzejczak K, Kaiser M, Kobychev V, Korablev D, Korga G, Kryn D, Laubenstein M, Lehnert B, Litvinovich E, Lombardi F, Lombardi P, Ludhova L, Lukyanchenko G, Machulin I, Manecki S, Maneschg W, Marcocci S, Meroni E, Meyer M, Miramonti L, Misiaszek M, Montuschi M, Mosteiro P, Muratova V, Neumair B, Oberauer L, Obolensky M, Ortica F, Pallavicini M, Papp L, Perasso L, Pocar A, Ranucci G, Razeto A, Re A, Romani A, Roncin R, Rossi N, Schönert S, Semenov D, Simgen H, Skorokhvatov M, Smirnov O, Sotnikov A, Sukhotin S, Suvorov Y, Tartaglia R, Testera G, Thurn J, Toropova M, Unzhakov E, Vishneva A, Vogelaar R, von Feilitzsch F, Wang H, Weinz S, Winter J, Wojcik M, Wurm M, Yokley Z, Zaimidoroga O, Zavatarelli S, Zuber K, Zuzel G. Recent Borexino results and prospects for the near future. EPJ Web Conf 2016. [DOI: 10.1051/epjconf/201612602008] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
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Di Giovangiulio M, Bosmans G, Meroni E, Stakenborg N, Florens M, Farro G, Gomez-Pinilla PJ, Matteoli G, Boeckxstaens GE. Vagotomy affects the development of oral tolerance and increases susceptibility to develop colitis independently of the alpha-7 nicotinic receptor. Mol Med 2016; 22:464-476. [PMID: 27341335 DOI: 10.2119/molmed.2016.00062] [Citation(s) in RCA: 37] [Impact Index Per Article: 4.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/11/2016] [Accepted: 05/31/2016] [Indexed: 12/11/2022] Open
Abstract
Vagotomy (VGX) increases the susceptibility to develop colitis suggesting a crucial role for the cholinergic anti-inflammatory pathway in the regulation of the immune responses. Since oral tolerance and the generation of regulatory T cells (Tregs) are crucial to preserve mucosal immune homeostasis, we studied the effect of vagotomy and the involvement of α7 nicotinic receptors (α7nAChR) at the steady state and during colitis. Therefore, the development of both oral tolerance and colitis (induced by dextran sulfate sodium (DSS) or via T cell transfer) was studied in vagotomized mice and in α7nAChR-/- mice. VGX, but not α7nAChR deficiency, prevented oral tolerance establishment. This effect was associated with reduced Treg conversion in the lamina propria and mesenteric lymphnodes. To the same extent, vagotomized mice, but not α7nAChR-/- mice, developed a more severe DSS colitis compared with control mice treated with DSS, associated with a decreased number of colonic Tregs. However, neither VGX nor absence of α7nAChR in recipient mice affected colitis development in the T cell transfer model. In line, deficiency of α7nAChR exclusively in T cells did not influence the development of colitis induced by T cell transfer. Our results indicate a key role for the vagal intestinal innervation in the development of oral tolerance and colitis, most likely by modulating induction of Tregs independently of α7nAChR.
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Affiliation(s)
- Martina Di Giovangiulio
- Department of Clinical and Experimental Medicine, Translational Research Center in Gastrointestinal Disorders (TARGID), Division of Gastroenterology, KU Leuven, Leuven, Belgium
| | - Goele Bosmans
- Department of Clinical and Experimental Medicine, Translational Research Center in Gastrointestinal Disorders (TARGID), Division of Gastroenterology, KU Leuven, Leuven, Belgium
| | - Elisa Meroni
- Department of Clinical and Experimental Medicine, Translational Research Center in Gastrointestinal Disorders (TARGID), Division of Gastroenterology, KU Leuven, Leuven, Belgium
| | - Nathalie Stakenborg
- Department of Clinical and Experimental Medicine, Translational Research Center in Gastrointestinal Disorders (TARGID), Division of Gastroenterology, KU Leuven, Leuven, Belgium
| | - Morgane Florens
- Department of Clinical and Experimental Medicine, Translational Research Center in Gastrointestinal Disorders (TARGID), Division of Gastroenterology, KU Leuven, Leuven, Belgium
| | - Giovanna Farro
- Department of Clinical and Experimental Medicine, Translational Research Center in Gastrointestinal Disorders (TARGID), Division of Gastroenterology, KU Leuven, Leuven, Belgium
| | - Pedro J Gomez-Pinilla
- Department of Clinical and Experimental Medicine, Translational Research Center in Gastrointestinal Disorders (TARGID), Division of Gastroenterology, KU Leuven, Leuven, Belgium
| | - Gianluca Matteoli
- Department of Clinical and Experimental Medicine, Translational Research Center in Gastrointestinal Disorders (TARGID), Division of Gastroenterology, KU Leuven, Leuven, Belgium
| | - Guy E Boeckxstaens
- Department of Clinical and Experimental Medicine, Translational Research Center in Gastrointestinal Disorders (TARGID), Division of Gastroenterology, KU Leuven, Leuven, Belgium
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Pallavicini M, Bellini G, Benziger J, Bick D, Bonfini G, Bravo D, Caccianiga B, Calaprice F, Caminata A, Cavalcante P, Chavarria A, Chepurnov A, D'Angelo D, Davini S, Derbin A, Empl A, Etenko A, Fomenko K, Franco D, Gabriele F, Galbiati C, Gazzana S, Ghiano C, Giammarchi M, Göger-Neff M, Goretti A, Gromov M, Hagner C, Hungerford E, Ianni A, Ianni A, Kayser M, Kobychev V, Korablëv D, Korga G, Kryn D, Laubenstein M, Lehnert B, Lewke T, Litvinovich E, Lombardi F, Lombardi P, Ludhova L, Lukyanchenko G, Machulin I, Manecki S, Maneschg W, Marcocci S, Meindl Q, Meroni E, Meyer M, Miramonti L, Misiaszek M, Montuschi M, Mosteiro P, Muratova V, Oberauer L, Obolensky M, Ortica F, Otis K, Papp L, Perasso L, Pocar A, Ranucci G, Razeto A, Re A, Romani A, Rossi N, Saldanha R, Salvo C, Schönert S, Simgen H, Skorokhvatov M, Smirnov O, Sotnikov A, Sukhotin S, Suvorov Y, Tartaglia R, Testera G, Vignaud D, Vogelaar R, Feilitzsch FV, Wang H, Winter J, Wojcik M, Wurm M, Zaimidoroga O, Zavatarelli S, Zuber K, Zuzel G. First real–time detection of solar pp neutrinos by Borexino. EPJ Web of Conferences 2016. [DOI: 10.1051/epjconf/201612101001] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
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Caminata A, Agostini M, Altenmüller K, Appel S, Bellini G, Benziger J, Berton N, Bick D, Bonfini G, Bravo D, Caccianiga B, Calaprice F, Cavalcante P, Chepurnov A, Cribier M, D'Angelo D, Davini S, Derbin A, Noto LD, Durero M, Empl A, Etenko A, Farinon S, Fischer V, Fomenko K, Franco D, Gabriele F, Gaffiot J, Galbiati C, Ghiano C, Giammarchi M, Göger-Neff M, Goretti A, Gromov M, Hagner C, Houdy T, Hungerford E, Ianni A, Ianni A, Jonquères N, Kaiser M, Kobychev V, Korablev D, Korga G, Kryn D, Lachenmaier T, Lasserre T, Laubenstein M, Lehnert B, Link J, Litvinovich E, Lombardi F, Lombardi P, Ludhova L, Lukyanchenko G, Machulin I, Maneschg W, Marcocci S, Maricic J, Mention G, Meroni E, Meyer M, Miramonti L, Misiaszek M, Montuschi M, Muratova V, Musenich R, Neumair B, Oberauer L, Obolensky M, Ortica F, Pallavicini M, Papp L, Perasso L, Pocar A, Ranucci G, Razeto A, Re A, Romani A, Rossi N, Schönert S, Scola L, Simgen H, Skorokhvatov M, Smirnov O, Sotnikov A, Sukhotin S, Suvorov Y, Tartaglia R, Testera G, Veyssière C, Vivier M, Vogelaar R, Feilitzsch FV, Wang H, Winter J, Wojcik M, Wurm M, Zaimidoroga O, Zavatarelli S, Zuber K, Zuzel G. Short distance neutrino oscillations with Borexino. EPJ Web of Conferences 2016. [DOI: 10.1051/epjconf/201612101002] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
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Agostini M, Appel S, Bellini G, Benziger J, Bick D, Bonfini G, Bravo D, Caccianiga B, Calaprice F, Caminata A, Cavalcante P, Chepurnov A, D'Angelo D, Davini S, Derbin A, Di Noto L, Drachnev I, Empl A, Etenko A, Fomenko K, Franco D, Gabriele F, Galbiati C, Ghiano C, Giammarchi M, Goeger-Neff M, Goretti A, Gromov M, Hagner C, Hungerford E, Ianni A, Ianni A, Jedrzejczak K, Kaiser M, Kobychev V, Korablev D, Korga G, Kryn D, Laubenstein M, Lehnert B, Litvinovich E, Lombardi F, Lombardi P, Ludhova L, Lukyanchenko G, Machulin I, Manecki S, Maneschg W, Marcocci S, Meroni E, Meyer M, Miramonti L, Misiaszek M, Montuschi M, Mosteiro P, Muratova V, Neumair B, Oberauer L, Obolensky M, Ortica F, Otis K, Pallavicini M, Papp L, Perasso L, Pocar A, Ranucci G, Razeto A, Re A, Romani A, Roncin R, Rossi N, Schönert S, Semenov D, Simgen H, Skorokhvatov M, Smirnov O, Sotnikov A, Sukhotin S, Suvorov Y, Tartaglia R, Testera G, Thurn J, Toropova M, Unzhakov E, Vishneva A, Vogelaar RB, von Feilitzsch F, Wang H, Weinz S, Winter J, Wojcik M, Wurm M, Yokley Z, Zaimidoroga O, Zavatarelli S, Zuber K, Zuzel G. Test of Electric Charge Conservation with Borexino. Phys Rev Lett 2015; 115:231802. [PMID: 26684111 DOI: 10.1103/physrevlett.115.231802] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/03/2015] [Indexed: 06/05/2023]
Abstract
Borexino is a liquid scintillation detector located deep underground at the Laboratori Nazionali del Gran Sasso (LNGS, Italy). Thanks to the unmatched radio purity of the scintillator, and to the well understood detector response at low energy, a new limit on the stability of the electron for decay into a neutrino and a single monoenergetic photon was obtained. This new bound, τ≥6.6×10^{28} yr at 90% C.L., is 2 orders of magnitude better than the previous limit.
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Affiliation(s)
- M Agostini
- Physik-Department and Excellence Cluster Universe, Technische Universität München, 85748 Garching, Germany
- Gran Sasso Science Institute (INFN), 67100 Ł'Aquila, Italy
| | - S Appel
- Physik-Department and Excellence Cluster Universe, Technische Universität München, 85748 Garching, Germany
| | - G Bellini
- Dipartimento di Fisica, Università degli Studi e INFN, 20133 Milano, Italy
| | - J Benziger
- Chemical Engineering Department, Princeton University, Princeton, New Jersey 08544, USA
| | - D Bick
- Institut für Experimentalphysik, Universität Hamburg, 22761 Hamburg, Germany
| | - G Bonfini
- INFN Laboratori Nazionali del Gran Sasso, 67010 Assergi (AQ), Italy
| | - D Bravo
- Physics Department, Virginia Polytechnic Institute and State University, Blacksburg, Virginia 24061, USA
| | - B Caccianiga
- Dipartimento di Fisica, Università degli Studi e INFN, 20133 Milano, Italy
| | - F Calaprice
- Physics Department, Princeton University, Princeton, New Jersey 08544, USA
- Gran Sasso Science Institute (INFN), 67100 Ł'Aquila, Italy
| | - A Caminata
- Dipartimento di Fisica, Università degli Studi e INFN, 16146 Genova, Italy
| | - P Cavalcante
- INFN Laboratori Nazionali del Gran Sasso, 67010 Assergi (AQ), Italy
| | - A Chepurnov
- Lomonosov Moscow State University Skobeltsyn Institute of Nuclear Physics, 119234 Moscow, Russia
| | - D D'Angelo
- Dipartimento di Fisica, Università degli Studi e INFN, 20133 Milano, Italy
| | - S Davini
- Gran Sasso Science Institute (INFN), 67100 Ł'Aquila, Italy
| | - A Derbin
- St. Petersburg Nuclear Physics Institute NRC Kurchatov Institute, 188350 Gatchina, Russia
| | - L Di Noto
- Dipartimento di Fisica, Università degli Studi e INFN, 16146 Genova, Italy
| | - I Drachnev
- Gran Sasso Science Institute (INFN), 67100 Ł'Aquila, Italy
| | - A Empl
- Department of Physics, University of Houston, Houston, Texas 77204, USA
| | - A Etenko
- NRC Kurchatov Institute, 123182 Moscow, Russia
| | - K Fomenko
- Joint Institute for Nuclear Research, 141980 Dubna, Russia
| | - D Franco
- AstroParticule et Cosmologie, Université Paris Diderot, CNRS/IN2P3, CEA/IRFU, Observatoire de Paris, Sorbonne Paris Cité, 75205 Paris Cedex 13, France
| | - F Gabriele
- INFN Laboratori Nazionali del Gran Sasso, 67010 Assergi (AQ), Italy
| | - C Galbiati
- Dipartimento di Fisica, Università degli Studi e INFN, 20133 Milano, Italy
- Physics Department, Princeton University, Princeton, New Jersey 08544, USA
| | - C Ghiano
- Dipartimento di Fisica, Università degli Studi e INFN, 16146 Genova, Italy
| | - M Giammarchi
- Dipartimento di Fisica, Università degli Studi e INFN, 20133 Milano, Italy
| | - M Goeger-Neff
- Physik-Department and Excellence Cluster Universe, Technische Universität München, 85748 Garching, Germany
| | - A Goretti
- INFN Laboratori Nazionali del Gran Sasso, 67010 Assergi (AQ), Italy
- Physics Department, Princeton University, Princeton, New Jersey 08544, USA
| | - M Gromov
- Lomonosov Moscow State University Skobeltsyn Institute of Nuclear Physics, 119234 Moscow, Russia
- Lomonosov Moscow State University Faculty of Physics, 119234 Moscow, Russia
| | - C Hagner
- Institut für Experimentalphysik, Universität Hamburg, 22761 Hamburg, Germany
| | - E Hungerford
- Department of Physics, University of Houston, Houston, Texas 77204, USA
| | - Aldo Ianni
- INFN Laboratori Nazionali del Gran Sasso, 67010 Assergi (AQ), Italy
- Laboratorio Subterráneo de Canfranc, Paseo de los Ayerbe S/N, 22880 Canfranc, Estacion Huesca, Spain
| | - Andrea Ianni
- INFN Laboratori Nazionali del Gran Sasso, 67010 Assergi (AQ), Italy
- Physics Department, Princeton University, Princeton, New Jersey 08544, USA
| | - K Jedrzejczak
- M. Smoluchowski Institute of Physics, Jagiellonian University, 30348 Krakow, Poland
| | - M Kaiser
- Institut für Experimentalphysik, Universität Hamburg, 22761 Hamburg, Germany
| | - V Kobychev
- Kiev Institute for Nuclear Research, 03680 Kiev, Ukraine
| | - D Korablev
- Joint Institute for Nuclear Research, 141980 Dubna, Russia
| | - G Korga
- INFN Laboratori Nazionali del Gran Sasso, 67010 Assergi (AQ), Italy
| | - D Kryn
- AstroParticule et Cosmologie, Université Paris Diderot, CNRS/IN2P3, CEA/IRFU, Observatoire de Paris, Sorbonne Paris Cité, 75205 Paris Cedex 13, France
| | - M Laubenstein
- INFN Laboratori Nazionali del Gran Sasso, 67010 Assergi (AQ), Italy
| | - B Lehnert
- Department of Physics, Technische Universität Dresden, 01062 Dresden, Germany
| | - E Litvinovich
- NRC Kurchatov Institute, 123182 Moscow, Russia
- National Research Nuclear University MEPhI (Moscow Engineering Physics Institute), 115409 Moscow, Russia
| | - F Lombardi
- INFN Laboratori Nazionali del Gran Sasso, 67010 Assergi (AQ), Italy
| | - P Lombardi
- Dipartimento di Fisica, Università degli Studi e INFN, 20133 Milano, Italy
| | - L Ludhova
- Dipartimento di Fisica, Università degli Studi e INFN, 20133 Milano, Italy
| | | | - I Machulin
- NRC Kurchatov Institute, 123182 Moscow, Russia
- National Research Nuclear University MEPhI (Moscow Engineering Physics Institute), 115409 Moscow, Russia
| | - S Manecki
- Physics Department, Virginia Polytechnic Institute and State University, Blacksburg, Virginia 24061, USA
| | - W Maneschg
- Max-Planck-Institut für Kernphysik, 69117 Heidelberg, Germany
| | - S Marcocci
- Gran Sasso Science Institute (INFN), 67100 Ł'Aquila, Italy
| | - E Meroni
- Dipartimento di Fisica, Università degli Studi e INFN, 20133 Milano, Italy
| | - M Meyer
- Institut für Experimentalphysik, Universität Hamburg, 22761 Hamburg, Germany
| | - L Miramonti
- Dipartimento di Fisica, Università degli Studi e INFN, 20133 Milano, Italy
| | - M Misiaszek
- M. Smoluchowski Institute of Physics, Jagiellonian University, 30348 Krakow, Poland
- INFN Laboratori Nazionali del Gran Sasso, 67010 Assergi (AQ), Italy
| | - M Montuschi
- Dipartimento di Fisica e Scienze della Terra Università degli Studi di Ferrara e INFN, 44122 Ferrara, Italy
| | - P Mosteiro
- Physics Department, Princeton University, Princeton, New Jersey 08544, USA
| | - V Muratova
- St. Petersburg Nuclear Physics Institute NRC Kurchatov Institute, 188350 Gatchina, Russia
| | - B Neumair
- Physik-Department and Excellence Cluster Universe, Technische Universität München, 85748 Garching, Germany
| | - L Oberauer
- Physik-Department and Excellence Cluster Universe, Technische Universität München, 85748 Garching, Germany
| | - M Obolensky
- AstroParticule et Cosmologie, Université Paris Diderot, CNRS/IN2P3, CEA/IRFU, Observatoire de Paris, Sorbonne Paris Cité, 75205 Paris Cedex 13, France
| | - F Ortica
- Dipartimento di Chimica, Biologia e Biotecnologie, Università e INFN, 06123 Perugia, Italy
| | - K Otis
- Amherst Center for Fundamental Interactions and Physics Department, University of Massachusetts, Amherst, Massachusetts 01003, USA
| | - M Pallavicini
- Dipartimento di Fisica, Università degli Studi e INFN, 16146 Genova, Italy
| | - L Papp
- Physik-Department and Excellence Cluster Universe, Technische Universität München, 85748 Garching, Germany
| | - L Perasso
- Dipartimento di Fisica, Università degli Studi e INFN, 16146 Genova, Italy
| | - A Pocar
- Amherst Center for Fundamental Interactions and Physics Department, University of Massachusetts, Amherst, Massachusetts 01003, USA
| | - G Ranucci
- Dipartimento di Fisica, Università degli Studi e INFN, 20133 Milano, Italy
| | - A Razeto
- INFN Laboratori Nazionali del Gran Sasso, 67010 Assergi (AQ), Italy
| | - A Re
- Dipartimento di Fisica, Università degli Studi e INFN, 20133 Milano, Italy
| | - A Romani
- Dipartimento di Chimica, Biologia e Biotecnologie, Università e INFN, 06123 Perugia, Italy
| | - R Roncin
- AstroParticule et Cosmologie, Université Paris Diderot, CNRS/IN2P3, CEA/IRFU, Observatoire de Paris, Sorbonne Paris Cité, 75205 Paris Cedex 13, France
- INFN Laboratori Nazionali del Gran Sasso, 67010 Assergi (AQ), Italy
| | - N Rossi
- INFN Laboratori Nazionali del Gran Sasso, 67010 Assergi (AQ), Italy
| | - S Schönert
- Physik-Department and Excellence Cluster Universe, Technische Universität München, 85748 Garching, Germany
| | - D Semenov
- St. Petersburg Nuclear Physics Institute NRC Kurchatov Institute, 188350 Gatchina, Russia
| | - H Simgen
- Max-Planck-Institut für Kernphysik, 69117 Heidelberg, Germany
| | - M Skorokhvatov
- NRC Kurchatov Institute, 123182 Moscow, Russia
- National Research Nuclear University MEPhI (Moscow Engineering Physics Institute), 115409 Moscow, Russia
| | - O Smirnov
- Joint Institute for Nuclear Research, 141980 Dubna, Russia
| | - A Sotnikov
- Joint Institute for Nuclear Research, 141980 Dubna, Russia
| | - S Sukhotin
- NRC Kurchatov Institute, 123182 Moscow, Russia
| | - Y Suvorov
- Physics and Astronomy Department, University of California Los Angeles (UCLA), Los Angeles, California 90095, USA
| | - R Tartaglia
- INFN Laboratori Nazionali del Gran Sasso, 67010 Assergi (AQ), Italy
| | - G Testera
- Dipartimento di Fisica, Università degli Studi e INFN, 16146 Genova, Italy
| | - J Thurn
- Department of Physics, Technische Universität Dresden, 01062 Dresden, Germany
| | - M Toropova
- NRC Kurchatov Institute, 123182 Moscow, Russia
| | - E Unzhakov
- St. Petersburg Nuclear Physics Institute NRC Kurchatov Institute, 188350 Gatchina, Russia
| | - A Vishneva
- Joint Institute for Nuclear Research, 141980 Dubna, Russia
| | - R B Vogelaar
- Physics Department, Virginia Polytechnic Institute and State University, Blacksburg, Virginia 24061, USA
| | - F von Feilitzsch
- Physik-Department and Excellence Cluster Universe, Technische Universität München, 85748 Garching, Germany
| | - H Wang
- Physics and Astronomy Department, University of California Los Angeles (UCLA), Los Angeles, California 90095, USA
| | - S Weinz
- Institute of Physics and Excellence Cluster PRISMA, Johannes Gutenberg-Universität Mainz, 55099 Mainz, Germany
| | - J Winter
- Institute of Physics and Excellence Cluster PRISMA, Johannes Gutenberg-Universität Mainz, 55099 Mainz, Germany
| | - M Wojcik
- M. Smoluchowski Institute of Physics, Jagiellonian University, 30348 Krakow, Poland
| | - M Wurm
- Institute of Physics and Excellence Cluster PRISMA, Johannes Gutenberg-Universität Mainz, 55099 Mainz, Germany
| | - Z Yokley
- Physics Department, Virginia Polytechnic Institute and State University, Blacksburg, Virginia 24061, USA
| | - O Zaimidoroga
- Joint Institute for Nuclear Research, 141980 Dubna, Russia
| | - S Zavatarelli
- Dipartimento di Fisica, Università degli Studi e INFN, 16146 Genova, Italy
| | - K Zuber
- Department of Physics, Technische Universität Dresden, 01062 Dresden, Germany
| | - G Zuzel
- M. Smoluchowski Institute of Physics, Jagiellonian University, 30348 Krakow, Poland
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Di Giovangiulio M, Stakenborg N, Bosmans G, Meroni E, Farro G, Gomez-Pinilla PJ, Depoortere I, Boeckxstaens GE, Matteoli G. Ghrelin receptor modulates T helper cells during intestinal inflammation. Neurogastroenterol Motil 2015; 27:1542-52. [PMID: 26227790 DOI: 10.1111/nmo.12640] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/10/2015] [Accepted: 06/23/2015] [Indexed: 02/08/2023]
Abstract
BACKGROUND The orexigenic peptide ghrelin has anti-inflammatory properties in colitis, however, the mechanism of action and the immune cells targeted remain still to be elucidated. Here, we assessed the possible effect of ghrelin on T helper (Th) cells in a T cell transfer model of chronic colitis. METHODS Disease was induced in the recombination activating gene 1 knockout mice (Rag1(-/-) ) by adoptive transfer of naïve Th cells from ghrelin receptor knockout mice (GRLN-R(-/-) ) or littermate wild-type (WT) mice. The course and severity of colitis was assessed by monitoring body weight, diarrhea score, histological analysis, gene expression, and flow cytometry analysis. The possible effects of ghrelin on Th cell proliferation, polarization, and apoptosis was examined in vitro. KEY RESULTS Our data showed that Rag1(-/-) mice injected with GRLN-R(-/-) Th cells displayed increased severity of colitis compared to mice injected with WT Th cells. In addition, Rag1(-/-) mice injected with GRLN-R(-/-) Th cells had significantly higher intestinal inflammation and increased accumulation of Th1 and Th17 cells in the colon. In vitro, ghrelin directly affected proliferation of Th cells and induced apoptosis whereas it did not influence Th cell polarization. CONCLUSION & INFERENCES Our observations suggest that ghrelin modulates Th effector cells in the gut controlling proliferation and inducing apoptosis. Our findings further support the use of ghrelin as a novel therapeutic option to treat intestinal inflammatory diseases.
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Affiliation(s)
- M Di Giovangiulio
- Department of Clinical and Experimental Medicine, Translational Research Center for Gastrointestinal Disorders (TARGID), KU Leuven, Leuven, Belgium
| | - N Stakenborg
- Department of Clinical and Experimental Medicine, Translational Research Center for Gastrointestinal Disorders (TARGID), KU Leuven, Leuven, Belgium
| | - G Bosmans
- Department of Clinical and Experimental Medicine, Translational Research Center for Gastrointestinal Disorders (TARGID), KU Leuven, Leuven, Belgium
| | - E Meroni
- Department of Clinical and Experimental Medicine, Translational Research Center for Gastrointestinal Disorders (TARGID), KU Leuven, Leuven, Belgium
| | - G Farro
- Department of Clinical and Experimental Medicine, Translational Research Center for Gastrointestinal Disorders (TARGID), KU Leuven, Leuven, Belgium
| | - P J Gomez-Pinilla
- Department of Clinical and Experimental Medicine, Translational Research Center for Gastrointestinal Disorders (TARGID), KU Leuven, Leuven, Belgium
| | - I Depoortere
- Department of Clinical and Experimental Medicine, Translational Research Center for Gastrointestinal Disorders (TARGID), KU Leuven, Leuven, Belgium
| | - G E Boeckxstaens
- Department of Clinical and Experimental Medicine, Translational Research Center for Gastrointestinal Disorders (TARGID), KU Leuven, Leuven, Belgium
| | - G Matteoli
- Department of Clinical and Experimental Medicine, Translational Research Center for Gastrointestinal Disorders (TARGID), KU Leuven, Leuven, Belgium
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Agostini M, Appel S, Bellini G, Benziger J, Bick D, Bonfini G, Bravo D, Caccianiga B, Calaprice F, Caminata A, Cavalcante P, Chepurnov A, Choi K, D’Angelo D, Davini S, Derbin A, Di Noto L, Drachnev I, Empl A, Etenko A, Fiorentini G, Fomenko K, Franco D, Gabriele F, Galbiati C, Ghiano C, Giammarchi M, Goeger-Neff M, Goretti A, Gromov M, Hagner C, Houdy T, Hungerford E, Ianni A, Ianni A, Jedrzejczak K, Kaiser M, Kobychev V, Korablev D, Korga G, Kryn D, Laubenstein M, Lehnert B, Litvinovich E, Lombardi F, Lombardi P, Ludhova L, Lukyanchenko G, Machulin I, Manecki S, Maneschg W, Mantovani F, Marcocci S, Meroni E, Meyer M, Miramonti L, Misiaszek M, Montuschi M, Mosteiro P, Muratova V, Neumair B, Oberauer L, Obolensky M, Ortica F, Otis K, Pagani L, Pallavicini M, Papp L, Perasso L, Pocar A, Ranucci G, Razeto A, Re A, Ricci B, Romani A, Roncin R, Rossi N, Schönert S, Semenov D, Simgen H, Skorokhvatov M, Smirnov O, Sotnikov A, Sukhotin S, Suvorov Y, Tartaglia R, Testera G, Thurn J, Toropova M, Unzhakov E, Vogelaar R, von Feilitzsch F, Wang H, Weinz S, Winter J, Wojcik M, Wurm M, Yokley Z, Zaimidoroga O, Zavatarelli S, Zuber K, Zuzel G. Spectroscopy of geoneutrinos from 2056 days of Borexino data. Int J Clin Exp Med 2015. [DOI: 10.1103/physrevd.92.031101] [Citation(s) in RCA: 69] [Impact Index Per Article: 7.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022]
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31
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Miramonti L, Bellini G, Benziger J, Bick D, Bonfini G, Bravo D, Buizza Avanzini M, Caccianiga B, Cadonati L, Calaprice F, Carraro C, Cavalcante P, Chavarria A, Chubakov V, D'Angelo D, Davini S, Derbin A, Etenko A, Fomenko K, Franco D, Galbiati C, Gazzana S, Ghiano C, Giammarchi M, Göger-Neff M, Goretti A, Grandi L, Guardincerri E, Hardy S, Ianni A, Ianni A, Kobychev V, Korablev D, Korga G, Koshio Y, Kryn D, Laubenstein M, Lewke T, Lissia M, Litvinovich E, Loer B, Lombardi F, Lombardi P, Ludhova L, Machulin I, Manecki S, Maneschg W, Mantovani F, Manuzio G, Meindl Q, Meroni E, Misiaszek M, Montanari D, Mosteiro P, Muratova V, Nisi S, Oberauer L, Obolensky M, Ortica F, Otis K, Pallavicini M, Papp L, Perasso L, Perasso S, Pocar A, Ranucci G, Razeto A, Re A, Romani A, Rossi N, Sabelnikov A, Saldanha R, Salvo C, Schönert S, Simgen H, Skorokhvatov M, Smirnov O, Sotnikov A, Sukhotin S, Suvorov Y, Tartaglia R, Testera G, Vignaud D, Vogelaar RB, von Feilitzsch F, Winter J, Wojcik M, Wright A, Wurm M, Xhixha G, Xu J, Zaimidoroga O, Zavatarelli S, Zuzel G. Lifetimes of (214)Po and (212)Po measured with Counting Test Facility at Gran Sasso National Laboratory. J Environ Radioact 2014; 138:444-446. [PMID: 24725806 DOI: 10.1016/j.jenvrad.2014.02.025] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/09/2013] [Revised: 12/16/2013] [Accepted: 02/27/2014] [Indexed: 06/03/2023]
Abstract
The decays of (214)Po into (210)Pb and of (212)Po into (208)Pb tagged by the previous decays from (214)Bi and (212)Bi have been studied inserting quartz vials inside the Counting Test Facility (CTF) at the underground laboratory in Gran Sasso (LNGS). We find that the mean lifetime of (214)Po is (236.00 ± 0.42(stat) ± 0.15(syst)) μs and that of (212)Po is (425.1 ± 0.9(stat) ± 1.2(syst)) ns. Our results are compatible with previous measurements, have a much better signal to background ratio, and reduce the overall uncertainties.
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Affiliation(s)
- L Miramonti
- Dipartimento di Fisica, Università degli Studi e INFN, Milano 20133, Italy
| | - G Bellini
- Dipartimento di Fisica, Università degli Studi e INFN, Milano 20133, Italy
| | - J Benziger
- Chemical Engineering Department, Princeton University, Princeton, NJ 08544, USA
| | - D Bick
- Institut für Experimentalphysik, Universität Hamburg, Germany
| | - G Bonfini
- INFN Laboratori Nazionali del Gran Sasso, Assergi 67010, Italy
| | - D Bravo
- Physics Department, Virginia Polytechnic Institute and State University, Blacksburg, VA 24061, USA
| | - M Buizza Avanzini
- Dipartimento di Fisica, Università degli Studi e INFN, Milano 20133, Italy
| | - B Caccianiga
- Dipartimento di Fisica, Università degli Studi e INFN, Milano 20133, Italy
| | - L Cadonati
- Physics Department, University of Massachusetts, Amherst, MA 01003, USA
| | - F Calaprice
- Physics Department, Princeton University, Princeton, NJ 08544, USA
| | - C Carraro
- Dipartimento di Fisica, Università e INFN, Genova 16146, Italy
| | - P Cavalcante
- INFN Laboratori Nazionali del Gran Sasso, Assergi 67010, Italy
| | - A Chavarria
- Physics Department, Princeton University, Princeton, NJ 08544, USA
| | - V Chubakov
- Dipartimento di Fisica, Università di Ferrara and INFN Ferrara, 44100 Ferrara, Italy
| | - D D'Angelo
- Dipartimento di Fisica, Università degli Studi e INFN, Milano 20133, Italy
| | - S Davini
- Dipartimento di Fisica, Università e INFN, Genova 16146, Italy
| | - A Derbin
- St. Petersburg Nuclear Physics Institute, Gatchina 188350, Russia
| | - A Etenko
- NRC Kurchatov Institute, Moscow 123182, Russia
| | - K Fomenko
- INFN Laboratori Nazionali del Gran Sasso, Assergi 67010, Italy; Joint Institute for Nuclear Research, Dubna 141980, Russia
| | - D Franco
- Laboratoire AstroParticule et Cosmologie, 75231 Paris Cedex 13, France
| | - C Galbiati
- Physics Department, Princeton University, Princeton, NJ 08544, USA
| | - S Gazzana
- INFN Laboratori Nazionali del Gran Sasso, Assergi 67010, Italy
| | - C Ghiano
- INFN Laboratori Nazionali del Gran Sasso, Assergi 67010, Italy
| | - M Giammarchi
- Dipartimento di Fisica, Università degli Studi e INFN, Milano 20133, Italy
| | - M Göger-Neff
- Physik Department, Technische Universität München, Garching 85747, Germany
| | - A Goretti
- Physics Department, Princeton University, Princeton, NJ 08544, USA
| | - L Grandi
- Physics Department, Princeton University, Princeton, NJ 08544, USA
| | - E Guardincerri
- Dipartimento di Fisica, Università e INFN, Genova 16146, Italy
| | - S Hardy
- Physics Department, Virginia Polytechnic Institute and State University, Blacksburg, VA 24061, USA
| | - Aldo Ianni
- INFN Laboratori Nazionali del Gran Sasso, Assergi 67010, Italy
| | - Andrea Ianni
- Physics Department, Princeton University, Princeton, NJ 08544, USA
| | - V Kobychev
- Kiev Institute for Nuclear Research, Kiev 06380, Ukraine
| | - D Korablev
- Joint Institute for Nuclear Research, Dubna 141980, Russia
| | - G Korga
- INFN Laboratori Nazionali del Gran Sasso, Assergi 67010, Italy
| | - Y Koshio
- INFN Laboratori Nazionali del Gran Sasso, Assergi 67010, Italy
| | - D Kryn
- Laboratoire AstroParticule et Cosmologie, 75231 Paris Cedex 13, France
| | - M Laubenstein
- INFN Laboratori Nazionali del Gran Sasso, Assergi 67010, Italy
| | - T Lewke
- Physik Department, Technische Universität München, Garching 85747, Germany
| | - M Lissia
- Istituto Nazionale di Fisica Nucleare, Sezione di Cagliari, I-09042 Monserrato, Italy
| | | | - B Loer
- Physics Department, Princeton University, Princeton, NJ 08544, USA
| | - F Lombardi
- INFN Laboratori Nazionali del Gran Sasso, Assergi 67010, Italy
| | - P Lombardi
- Dipartimento di Fisica, Università degli Studi e INFN, Milano 20133, Italy
| | - L Ludhova
- Dipartimento di Fisica, Università degli Studi e INFN, Milano 20133, Italy
| | - I Machulin
- NRC Kurchatov Institute, Moscow 123182, Russia
| | - S Manecki
- Physics Department, Virginia Polytechnic Institute and State University, Blacksburg, VA 24061, USA
| | - W Maneschg
- Max-Plank-Institut für Kernphysik, Heidelberg 69029, Germany
| | - F Mantovani
- Dipartimento di Fisica, Università di Ferrara and INFN Ferrara, 44100 Ferrara, Italy.
| | - G Manuzio
- Dipartimento di Fisica, Università e INFN, Genova 16146, Italy
| | - Q Meindl
- Physik Department, Technische Universität München, Garching 85747, Germany
| | - E Meroni
- Dipartimento di Fisica, Università degli Studi e INFN, Milano 20133, Italy
| | - M Misiaszek
- M. Smoluchowski Institute of Physics, Jagellonian University, Krakow, 30059, Poland
| | - D Montanari
- INFN Laboratori Nazionali del Gran Sasso, Assergi 67010, Italy; Physics Department, Princeton University, Princeton, NJ 08544, USA
| | - P Mosteiro
- Physics Department, Princeton University, Princeton, NJ 08544, USA
| | - V Muratova
- St. Petersburg Nuclear Physics Institute, Gatchina 188350, Russia
| | - S Nisi
- INFN Laboratori Nazionali del Gran Sasso, Assergi 67010, Italy
| | - L Oberauer
- Physik Department, Technische Universität München, Garching 85747, Germany
| | - M Obolensky
- Laboratoire AstroParticule et Cosmologie, 75231 Paris Cedex 13, France
| | - F Ortica
- Dipartimento di Chimica, Università e INFN, Perugia 06123, Italy
| | - K Otis
- Physics Department, University of Massachusetts, Amherst, MA 01003, USA
| | - M Pallavicini
- Dipartimento di Fisica, Università e INFN, Genova 16146, Italy
| | - L Papp
- INFN Laboratori Nazionali del Gran Sasso, Assergi 67010, Italy; Physics Department, Virginia Polytechnic Institute and State University, Blacksburg, VA 24061, USA
| | - L Perasso
- Dipartimento di Fisica, Università degli Studi e INFN, Milano 20133, Italy
| | - S Perasso
- Dipartimento di Fisica, Università e INFN, Genova 16146, Italy
| | - A Pocar
- Physics Department, University of Massachusetts, Amherst, MA 01003, USA
| | - G Ranucci
- Dipartimento di Fisica, Università degli Studi e INFN, Milano 20133, Italy
| | - A Razeto
- INFN Laboratori Nazionali del Gran Sasso, Assergi 67010, Italy
| | - A Re
- Dipartimento di Fisica, Università degli Studi e INFN, Milano 20133, Italy
| | - A Romani
- Dipartimento di Chimica, Università e INFN, Perugia 06123, Italy
| | - N Rossi
- INFN Laboratori Nazionali del Gran Sasso, Assergi 67010, Italy
| | | | - R Saldanha
- Physics Department, Princeton University, Princeton, NJ 08544, USA
| | - C Salvo
- Dipartimento di Fisica, Università e INFN, Genova 16146, Italy
| | - S Schönert
- Physik Department, Technische Universität München, Garching 85747, Germany; Max-Plank-Institut für Kernphysik, Heidelberg 69029, Germany
| | - H Simgen
- Max-Plank-Institut für Kernphysik, Heidelberg 69029, Germany
| | | | - O Smirnov
- Joint Institute for Nuclear Research, Dubna 141980, Russia
| | - A Sotnikov
- Joint Institute for Nuclear Research, Dubna 141980, Russia
| | - S Sukhotin
- NRC Kurchatov Institute, Moscow 123182, Russia
| | - Y Suvorov
- INFN Laboratori Nazionali del Gran Sasso, Assergi 67010, Italy; NRC Kurchatov Institute, Moscow 123182, Russia
| | - R Tartaglia
- INFN Laboratori Nazionali del Gran Sasso, Assergi 67010, Italy
| | - G Testera
- Dipartimento di Fisica, Università e INFN, Genova 16146, Italy
| | - D Vignaud
- Laboratoire AstroParticule et Cosmologie, 75231 Paris Cedex 13, France
| | - R B Vogelaar
- Physics Department, Virginia Polytechnic Institute and State University, Blacksburg, VA 24061, USA
| | - F von Feilitzsch
- Physik Department, Technische Universität München, Garching 85747, Germany
| | - J Winter
- Physik Department, Technische Universität München, Garching 85747, Germany
| | - M Wojcik
- M. Smoluchowski Institute of Physics, Jagellonian University, Krakow, 30059, Poland
| | - A Wright
- Physics Department, Princeton University, Princeton, NJ 08544, USA
| | - M Wurm
- Physik Department, Technische Universität München, Garching 85747, Germany
| | - G Xhixha
- Dipartimento di Fisica, Università di Ferrara and INFN Ferrara, 44100 Ferrara, Italy
| | - J Xu
- Physics Department, Princeton University, Princeton, NJ 08544, USA
| | - O Zaimidoroga
- Joint Institute for Nuclear Research, Dubna 141980, Russia
| | - S Zavatarelli
- Dipartimento di Fisica, Università e INFN, Genova 16146, Italy
| | - G Zuzel
- Max-Plank-Institut für Kernphysik, Heidelberg 69029, Germany; M. Smoluchowski Institute of Physics, Jagellonian University, Krakow, 30059, Poland
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Buzzoni R, Pusceddu S, Damato A, Meroni E, Aktolun C, Milione M, Mazzaferro V, De Braud F, Spreafico C, Maccauro M, Zaffaroni N, Castellani MR. Malignant pheochromocytoma and paraganglioma: future considerations for therapy. Q J Nucl Med Mol Imaging 2013; 57:153-160. [PMID: 23598685] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/02/2023]
Abstract
Pheochromocytoma and paraganglioma are rare neuroendocrine tumors. Knowledge about such neoplasms ameliorated in the last 10-15 years with the discovery of increasing number of germ line mutations even in apparently sporadic cases. Seemingly, genetic tests are going to be an integral part of diagnostic procedures. Standard therapies (advanced surgery, radiometabolic therapy, chemotherapy and radiotherapy) have revealed suboptimal results in tumor size reduction and survival. Currently, there is no standard therapeutic protocol and thus some patients end up with overtreatment while others are undertreated. An effective molecular target therapy aiming at permanent control of these highly complex neoplasms should be the aim of future efforts. In clinical setting investigatory trials with multiple drug therapies targeting a variety of different parallel pathways should be available. Successful management requires a multidisciplinary teamwork.
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Affiliation(s)
- R Buzzoni
- Day Hospital Unit, Fondazione IRCCS Istituto Nazionale dei Tumori, Milan, Italy.
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Bellini G, Benziger J, Bick D, Bonetti S, Bonfini G, Bravo D, Buizza Avanzini M, Caccianiga B, Cadonati L, Calaprice F, Carraro C, Cavalcante P, Chavarria A, Chepurnov A, D'Angelo D, Davini S, Derbin A, Etenko A, Fomenko K, Franco D, Galbiati C, Gazzana S, Ghiano C, Giammarchi M, Goeger-Neff M, Goretti A, Grandi L, Guardincerri E, Hardy S, Ianni A, Ianni A, Korablev D, Korga G, Koshio Y, Kryn D, Laubenstein M, Lewke T, Litvinovich E, Loer B, Lombardi F, Lombardi P, Ludhova L, Machulin I, Manecki S, Maneschg W, Manuzio G, Meindl Q, Meroni E, Miramonti L, Misiaszek M, Montanari D, Mosteiro P, Muratova V, Oberauer L, Obolensky M, Ortica F, Otis K, Pallavicini M, Papp L, Perasso L, Perasso S, Pocar A, Quirk J, Raghavan RS, Ranucci G, Razeto A, Re A, Romani A, Sabelnikov A, Saldanha R, Salvo C, Schönert S, Simgen H, Skorokhvatov M, Smirnov O, Sotnikov A, Sukhotin S, Suvorov Y, Tartaglia R, Testera G, Vignaud D, Vogelaar RB, von Feilitzsch F, Winter J, Wojcik M, Wright A, Wurm M, Xu J, Zaimidoroga O, Zavatarelli S, Zuzel G. First evidence of pep solar neutrinos by direct detection in Borexino. Phys Rev Lett 2012; 108:051302. [PMID: 22400925 DOI: 10.1103/physrevlett.108.051302] [Citation(s) in RCA: 21] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/14/2011] [Indexed: 05/31/2023]
Abstract
We observed, for the first time, solar neutrinos in the 1.0-1.5 MeV energy range. We determined the rate of pep solar neutrino interactions in Borexino to be 3.1±0.6{stat}±0.3{syst} counts/(day·100 ton). Assuming the pep neutrino flux predicted by the standard solar model, we obtained a constraint on the CNO solar neutrino interaction rate of <7.9 counts/(day·100 ton) (95% C.L.). The absence of the solar neutrino signal is disfavored at 99.97% C.L., while the absence of the pep signal is disfavored at 98% C.L. The necessary sensitivity was achieved by adopting data analysis techniques for the rejection of cosmogenic {11}C, the dominant background in the 1-2 MeV region. Assuming the Mikheyev-Smirnov-Wolfenstein large mixing angle solution to solar neutrino oscillations, these values correspond to solar neutrino fluxes of (1.6±0.3)×10{8} cm{-2} s^{-1} and <7.7×10{8} cm{-2} s{-1} (95% C.L.), respectively, in agreement with both the high and low metallicity standard solar models. These results represent the first direct evidence of the pep neutrino signal and the strongest constraint of the CNO solar neutrino flux to date.
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Affiliation(s)
- G Bellini
- Dipartimento di Fisica, Università degli Studi e INFN, 20133 Milano, Italy
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Bellini G, Benziger J, Bick D, Bonetti S, Bonfini G, Buizza Avanzini M, Caccianiga B, Cadonati L, Calaprice F, Carraro C, Cavalcante P, Chavarria A, D'Angelo D, Davini S, Derbin A, Etenko A, Fomenko K, Franco D, Galbiati C, Gazzana S, Ghiano C, Giammarchi M, Goeger-Neff M, Goretti A, Grandi L, Guardincerri E, Hardy S, Ianni A, Ianni A, Kobychev V, Korablev D, Korga G, Koshio Y, Kryn D, Laubenstein M, Lewke T, Litvinovich E, Loer B, Lombardi F, Lombardi P, Ludhova L, Machulin I, Manecki S, Maneschg W, Manuzio G, Meindl Q, Meroni E, Miramonti L, Misiaszek M, Montanari D, Mosteiro P, Muratova V, Oberauer L, Obolensky M, Ortica F, Pallavicini M, Papp L, Peña-Garay C, Perasso L, Perasso S, Pocar A, Raghavan RS, Ranucci G, Razeto A, Re A, Romani A, Sabelnikov A, Saldanha R, Salvo C, Schönert S, Simgen H, Skorokhvatov M, Smirnov O, Sotnikov A, Sukhotin S, Suvorov Y, Tartaglia R, Testera G, Vignaud D, Vogelaar RB, von Feilitzsch F, Winter J, Wojcik M, Wright A, Wurm M, Xu J, Zaimidoroga O, Zavatarelli S, Zuzel G. Precision measurement of the (7)Be solar neutrino interaction rate in Borexino. Phys Rev Lett 2011; 107:141302. [PMID: 22107184 DOI: 10.1103/physrevlett.107.141302] [Citation(s) in RCA: 31] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/12/2011] [Revised: 07/22/2011] [Indexed: 05/31/2023]
Abstract
The rate of neutrino-electron elastic scattering interactions from 862 keV (7)Be solar neutrinos in Borexino is determined to be 46.0±1.5(stat)(-1.6)(+1.5)(syst) counts/(day·100 ton). This corresponds to a ν(e)-equivalent (7)Be solar neutrino flux of (3.10±0.15)×10(9) cm(-2) s(-1) and, under the assumption of ν(e) transition to other active neutrino flavours, yields an electron neutrino survival probability of 0.51±0.07 at 862 keV. The no flavor change hypothesis is ruled out at 5.0 σ. A global solar neutrino analysis with free fluxes determines Φ(pp)=6.06(-0.06)(+0.02)×10(10) cm(-2) s(-1) and Φ(CNO)<1.3×10(9) cm(-2) s(-1) (95% C.L.). These results significantly improve the precision with which the Mikheyev-Smirnov-Wolfenstein large mixing angle neutrino oscillation model is experimentally tested at low energy.
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Affiliation(s)
- G Bellini
- Dipartimento di Fisica, Università degli Studi e INFN, 20133 Milano, Italy
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Affiliation(s)
- A Fasoli
- Department of Interdisciplinary Endoscopy, National Institute for Cancer Research, Genova, Italy
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Fasoli A, Pugliese V, Furnari M, Gatteschi B, Truini M, Meroni E. Signet ring cell carcinoma of the stomach: correlation between endocytoscopy and histology. Endoscopy 2009; 41 Suppl 2:E65-6. [PMID: 19319785 DOI: 10.1055/s-0028-1119475] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/23/2022]
Affiliation(s)
- A Fasoli
- Division of Interdisciplinary Endoscopy, National Institute for Cancer Research, Genoa, Italy
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Arpesella C, Back HO, Balata M, Bellini G, Benziger J, Bonetti S, Brigatti A, Caccianiga B, Cadonati L, Calaprice F, Carraro C, Cecchet G, Chavarria A, Chen M, Dalnoki-Veress F, D'Angelo D, de Bari A, de Bellefon A, de Kerret H, Derbin A, Deutsch M, di Credico A, di Pietro G, Eisenstein R, Elisei F, Etenko A, Fernholz R, Fomenko K, Ford R, Franco D, Freudiger B, Galbiati C, Gatti F, Gazzana S, Giammarchi M, Giugni D, Goeger-Neff M, Goldbrunner T, Goretti A, Grieb C, Hagner C, Hampel W, Harding E, Hardy S, Hartman FX, Hertrich T, Heusser G, Ianni A, Ianni A, Joyce M, Kiko J, Kirsten T, Kobychev V, Korga G, Korschinek G, Kryn D, Lagomarsino V, Lamarche P, Laubenstein M, Lendvai C, Leung M, Lewke T, Litvinovich E, Loer B, Lombardi P, Ludhova L, Machulin I, Malvezzi S, Manecki S, Maneira J, Maneschg W, Manno I, Manuzio D, Manuzio G, Martemianov A, Masetti F, Mazzucato U, McCarty K, McKinsey D, Meindl Q, Meroni E, Miramonti L, Misiaszek M, Montanari D, Monzani ME, Muratova V, Musico P, Neder H, Nelson A, Niedermeier L, Oberauer L, Obolensky M, Orsini M, Ortica F, Pallavicini M, Papp L, Parmeggiano S, Perasso L, Pocar A, Raghavan RS, Ranucci G, Rau W, Razeto A, Resconi E, Risso P, Romani A, Rountree D, Sabelnikov A, Saldanha R, Salvo C, Schimizzi D, Schönert S, Shutt T, Simgen H, Skorokhvatov M, Smirnov O, Sonnenschein A, Sotnikov A, Sukhotin S, Suvorov Y, Tartaglia R, Testera G, Vignaud D, Vitale S, Vogelaar RB, von Feilitzsch F, von Hentig R, von Hentig T, Wojcik M, Wurm M, Zaimidoroga O, Zavatarelli S, Zuzel G. Direct measurement of the 7Be solar neutrino flux with 192 days of borexino data. Phys Rev Lett 2008; 101:091302. [PMID: 18851600 DOI: 10.1103/physrevlett.101.091302] [Citation(s) in RCA: 25] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/09/2008] [Indexed: 05/26/2023]
Abstract
We report the direct measurement of the 7Be solar neutrino signal rate performed with the Borexino detector at the Laboratori Nazionali del Gran Sasso. The interaction rate of the 0.862 MeV 7Be neutrinos is 49+/-3stat+/-4syst counts/(day.100 ton). The hypothesis of no oscillation for 7Be solar neutrinos is inconsistent with our measurement at the 4sigma C.L. Our result is the first direct measurement of the survival probability for solar nu(e) in the transition region between matter-enhanced and vacuum-driven oscillations. The measurement improves the experimental determination of the flux of 7Be, pp, and CNO solar nu(e), and the limit on the effective neutrino magnetic moment using solar neutrinos.
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Affiliation(s)
- C Arpesella
- INFN Laboratori Nazionali del Gran Sasso, SS 17 bis Km 18+910, 67010 Assergi (AQ), Italy
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Meroni E, Gatteschi B, Fasoli A, Munizzi F, Frascio F, Pugliese V, Truini M. Detection of tissue abnormalities in normal mucosa surrounding colorectal cancer using an endocytoscopy system. Endoscopy 2007; 39:369-70. [PMID: 17427076 DOI: 10.1055/s-2007-966098] [Citation(s) in RCA: 13] [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] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/13/2023]
Abstract
The endocytoscopy system is a novel diagnostic technique that provides extremely high-magnification imaging of the gastrointestinal mucosa. We are currently using a prototype Olympus endocytoscope for clinical research in gastrointestinal tumors. In one surgical specimen obtained after resection of a cancer of the transverse colon, focal abnormalities of colonic glands were detected 7 cm away from the primary tumor, within macroscopically normal mucosa. Our finding, which was confirmed by histopathological examination, suggests the need for further clinical investigation to assess whether endocytoscopy is able to identify premalignant changes in apparently normal mucosa. This could potentially be useful for accurate evaluation before planning minimally invasive therapy.
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Affiliation(s)
- E Meroni
- Division of Endoscopy, National Institute for Cancer Research, Genoa, Italy.
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Orrù G, Pusceddu G, Concas D, Ciusa M, Meroni E, Montaldo C, Piras V. IDENTIFICAZIONE RAPIDA DEI BATTERI ANAEROBI DEL PARODONTO MEDIANTE PYROSEQUENCING. Microbiol Med 2004. [DOI: 10.4081/mm.2004.3897] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022] Open
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Orrù G, Ciusa M, Pusceddu G, Montaldo C, Casentino S, Pisano B, Meroni E, Piras V, Fadda M. RILEVAMENTO DI SNP NEL CODONE 464 DEL GENE ERG11 IN CANDIDA ALBICANS, MEDIANTE PYROSEQUENCING. Microbiol Med 2004. [DOI: 10.4081/mm.2004.3938] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022] Open
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Meroni E, Bisagni P, Bona S, Fumagalli U, Zago M, Rosati R, Malesci A. Pre-operative endoscopic ultrasonography can optimise the management of patients undergoing laparoscopic cholecystectomy with abnormal liver function tests as the sole risk factor for choledocholithiasis: a prospective study. Dig Liver Dis 2004; 36:73-7. [PMID: 14971819 DOI: 10.1016/j.dld.2003.09.013] [Citation(s) in RCA: 13] [Impact Index Per Article: 0.7] [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: 12/11/2022]
Abstract
BACKGROUND Pre-operative endosonography has been proposed as a cost-effective procedure in the management of patients who undergo laparoscopic cholecystectomy having an intermediate risk of common bile duct stones. We prospectively evaluated the impact of pre-operative endosonography on the management of patients facing laparoscopic cholecystectomy with abnormal liver function tests as the sole risk factor for choledocolithiasis. METHODS Among 587 consecutive patients scheduled for laparoscopic cholecystectomy, 47 (8%) patients having one or more abnormal liver function tests but a normal appearance of common bile duct at abdominal ultrasound, underwent pre-operative endosonography. In patients with endosonography-detected common bile duct stones, a pre-operative endoscopic retrograde cholangiography was performed, or an intra-operative endoscopic retrograde cholangiography was scheduled. In all endosonography-negative patients, an intra-operative trans-cystic cholangiography was performed. RESULTS Endosonography detected common bile duct stones in nine patients (19%) but only in five of them stones were radiologically confirmed (PPV 0.55). Endosonography-detected stones were confirmed in four of four (100%) patients in whom cholangiography was performed within 1 week, but only in one of five (20%) patients in whom radiology was further delayed (P < 0.05). In three of four cases (75%), stones detected at endosonography but not confirmed at X-rays, were smaller than 2.0 mm. Among 38 patients with negative endosonography, common bile duct stones were found in two patients (NPV 0.95), whereas unplanned endoscopic stone extraction was needed only in one patient (NPV 0.97). CONCLUSIONS Pre-operative endosonography can spare unnecessary pre-operative endoscopic retrograde cholangiography as well as inappropriate scheduling of intra-operative endoscopic retrograde cholangiography in patients undergoing laparoscopic cholecystectomy with abnormal liver function tests. To maximise the impact of endosonography on the management of these patients, the procedure should be performed immediately before laparoscopic cholecystectomy.
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Affiliation(s)
- E Meroni
- Division of Gastroenterology and Digestive Endoscopy, Istituto Clinico Humanitas, Via Manzoni 56, 20089 Rozzano, Milan, Italy.
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Spinelli P, Schiavo M, Meroni E, Di Felice G, Andreola S, Gallino G, Belli F, Leo E. Results of EUS in detecting perirectal lymph node metastases of rectal cancer: the pathologist makes the difference. Gastrointest Endosc 1999; 49:754-8. [PMID: 10343222 DOI: 10.1016/s0016-5107(99)70295-6] [Citation(s) in RCA: 45] [Impact Index Per Article: 1.8] [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: 02/08/2023]
Abstract
BACKGROUND Accurate preoperative staging of primary rectal cancer is mandatory because the result may affect therapeutic decisions. Endoscopic ultrasonography (EUS) is considered the most accurate method for locoregional staging, but the issue of possible variations in the assessment of its accuracy related to technical aspects of pathologic staging has never been raised. The aim of this study was to assess EUS results as determined by two different methods of dissection of surgical specimens. METHODS Among all cases with primary rectal cancer staged with EUS from April 1991 to April 1997, 131 patients underwent surgery without preoperative radiotherapy; EUS results for nodal staging were compared with those obtained by pathology. Resected specimens were examined using two different techniques (conventional vs. special dissection). RESULTS There was a significant decrease in diagnostic accuracy of EUS according to pathologic technique. Overall accuracy, sensitivity, specificity, positive and negative predictive values for conventional versus special dissection were as follows: 74.6% vs. 43. 3% (p = 0.0001), 67.8% vs. 21.8% (p = 0.0002), 79.1% vs. 67.8% (p = 0.14), 67.8% vs. 43.7% ( p = 0.02), and 79.1% vs. 43.2% (p = 0.0003), respectively. EUS sensitivity according to size of metastatic lymph nodes was significantly lower for nodes smaller than 5 mm in diameter (p = 0.025) when special dissection was performed because of a larger number of lymph nodes harvested. CONCLUSIONS Our findings raise concern about the results of EUS staging of lymph node metastases in rectal cancer. Further prospective studies on a node-by-node basis could clarify the real diagnostic yield of EUS.
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Affiliation(s)
- P Spinelli
- Diagnostic and Surgical Endoscopy, Surgical Oncology B, Pathology, National Cancer Institute, Milan, Italy
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Potepan P, Meroni E, Spinelli P, Laffranchi A, Danesini GM, Milella M, Marchesini M, Spagnoli I. [Non-invasive lymphatic staging of lung neoplasms: comparative study with computerized tomography and endoscopic ultrasonography]. Radiol Med 1999; 97:42-7. [PMID: 10319098] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/12/2023]
Abstract
INTRODUCTION A prospective comparative study with pathology was performed at the National Cancer Institute, Milan, to assess the clinical value of Computed Tomography (CT) and endoscopic ultrasound (EUS) for nodal staging in lung cancer. MATERIAL AND METHODS In three years, 71 patients with histological diagnosis of non-small-cell lung cancer were operated on. They underwent CT and EUS examinations to identify mediastinal lymphadenopathies after major nodal involvement had been excluded by chest X-ray. Diagnostic staging was completed in two weeks prior to treatment. Patients received complete tumor removal and radical lymphadenectomy (55 patients), invasive staging with node resection and sampling (11 patients), or mediastinoscopy (5 patients). Blinded interpretation of CT alone, EUS alone, and CT and EUS together were performed, with systematic correlation of imaging findings and pathological results. RESULTS The frequency of mediastinal involvement was 42.2%. A total of 329 nodal stations were dissected or sampled and 755 lymph nodes were examined at histology. On a per-station basis, CT had greater sensitivity (74%) than EUS (56%), but EUS was more specific (83.4% vs 92.7%). The accuracy rates of the two techniques were similar (CT 81%, EUS 83%). A site by site analysis showed highest sensitivity (100%) in the lower right paratracheal nodes for CT, and in the superior left paratracheal and subcarinal nodes for EUS. When the EUS and CT images were studied together by specialists on a per-station basis, sensitivity, specificity, and accuracy increased to 85%. CONCLUSIONS Endoscopic ultrasound should be part of the routine preoperative diagnostic approach to non-small-cell lung cancer, because of its high specificity. Results can be improved when EUS and CT are combined, which suggests that these imaging modalities should be used together in selected patients for the noninvasive staging of non-small-cell lung cancer to identify local lymphatic spread.
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Affiliation(s)
- P Potepan
- Unità Operative di Radiodiagnostica A, Istituto Nazionale per lo Studio e la Cura dei Tumori, Milano
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Parasher VK, Meroni E, Malesci A, Spinelli P, Tommasini MA, Markert R, Bhutani MS. Observation of thoracic duct morphology in portal hypertension by endoscopic ultrasound. Gastrointest Endosc 1998; 48:588-92. [PMID: 9852448 DOI: 10.1016/s0016-5107(98)70040-9] [Citation(s) in RCA: 27] [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] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/08/2023]
Abstract
BACKGROUND Thoracic duct dilation has been demonstrated in portal hypertension and hepatic cirrhosis by lymphangiography and laparotomy and at autopsy. It is thought to be secondary to increased hepatic lymph flow and has been described in the absence of ascites or esophageal varices. The aim of the present study was to observe thoracic duct morphology by endoscopic ultrasound in various subsets of patients with portal hypertension and hepatic cirrhosis and also to validate existing radiologic/surgical data. METHODS The thoracic duct of 33 patients with cirrhosis and portal hypertension was studied by endoscopic ultrasound. Patients were divided into four groups: 1, patients with ascites and esophageal varices; 2, esophageal varices without ascites; 3, without esophageal varices or ascites; 4, extrahepatic portal hypertension due to pancreatic malignancy. The thoracic duct diameter was also measured in 14 control subjects (group 5). RESULTS When the thoracic duct diameter for the five groups was compared with analysis of variance, significance was p < 0.0001; by pairwise comparison, group 1 differed from the other four groups (p < 0.05). Thoracic duct dilation (5.61 mm) was seen in group 1 patients, whereas no dilation was present in groups 2 through 4. Additionally, thoracic duct diameter in 33 portal hypertensive and/or cirrhotic patients was significantly different from that in the 14 control subjects (p = 0. 003). CONCLUSION The thoracic duct can be reliably identified by EUS in patients with hepatic cirrhosis and portal hypertension. Dilation of the duct is seen only in patients with hepatic cirrhosis, ascites, and esophageal varices. No thoracic duct dilation is present in extrahepatic portal hypertension. Contrary to existing radiologic/surgical data, thoracic duct dilation is not seen in all patients with hepatic cirrhosis and portal hypertension signifying advanced disease. A dilated thoracic duct by endoscopic ultrasound should be considered yet another sign of portal hypertension.
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Affiliation(s)
- V K Parasher
- Beebe Medical Center, Lewes, Delaware; Istituto Clinico Humanitas and Nazionale Tumori, Milan, Italy
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Casalone R, Mazzola D, Meroni E, Righi R, Minelli E, Granata P, Panattoni A, Viotto AM, Modesti M, Pilato G. Cytogenetic and interphase cytogenetic analyses reveal chromosome instability but no clonal trisomy 8 in Dupuytren contracture. Cancer Genet Cytogenet 1997; 99:73-6. [PMID: 9352799 DOI: 10.1016/s0165-4608(96)00430-x] [Citation(s) in RCA: 17] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 02/05/2023]
Abstract
The results of cytogenetic and FISH analysis performed in 26 cases of Dupuytren contracture are reported. Clonal or sporadic chromosome changes were found in 18 cases (69%). Clonal changes consisted of: +2, +16, -10, -Y, add(1)(p23), del(2)(q21), t(3;16)(p21;q24), add (3)(p24), del(18)(q21), t(Y;14)(p12;q24), +mar. The results differ from those obtained in normal palmar fascia used as control, in which -Y and +Y were the only clonal changes found in 2 of 11 analyzed cases (18%). No clonal trisomy 8 was found. FISH analysis performed in 11 cases (centromeric probe specific for chromosome 8) failed to show the presence of a cell population with +8. Clonal and sporadic structural changes were different from case to case and no clustering breakpoint was observed. The significance of the chromosome instability leading to clonal and sporadic chromosome changes not specific to Dupuytren contracture are discussed.
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Affiliation(s)
- R Casalone
- Laboratorio di Citogenetica, Ospedale di Circolo, Varese, Italy
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46
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Doci R, Zucali R, La Monica G, Meroni E, Kenda R, Eboli M, Lozza L. Primary chemoradiation therapy with fluorouracil and cisplatin for cancer of the anus: results in 35 consecutive patients. J Clin Oncol 1996; 14:3121-5. [PMID: 8955657 DOI: 10.1200/jco.1996.14.12.3121] [Citation(s) in RCA: 100] [Impact Index Per Article: 3.6] [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: 02/03/2023] Open
Abstract
PURPOSE This prospective phase II study was designed to test the activity and toxicity of a regimen of fluorouracil (5-FU) and cisplatin (CDDP) in combination with radiation therapy in the treatment of epidermoid cancer of the anal canal. PATIENTS AND METHODS Thirty-five consecutive patients with untreated epidermoid cancer of the anal canal were candidates for chemoradiation therapy (CRT). Staging of cancer was as follows: T1, 26%; T2, 60%; T3, 14%; and N1, 2,3, 26%. No patient had distant metastases. The treatment protocol consisted of two to three cycles of chemotherapy starting on days 1 and 21 and concurrent radiotherapy at a daily dose of 1.8 Gy up to a total dose of 36 to 38 Gy in 4 weeks, delivered to the anal region, perineum, middle and lower pelvis, and inguinal and external iliac nodes. Radiotherapy was then delivered to the anoperineal region and metastatic inguinal nodes to a total dose of 18 to 24 Gy in 10 fractions. Chemotherapy consisted of 24-hour intravenous (IV) infusion of 5-FU 750 mg/m2 on days 1 to 4 and CDDP 100 mg/m2 by 60-minute IV infusion on day 1. RESULTS All patients received two cycles of chemotherapy; the second was delayed in three patients because of leukopenia that was evident in 11 (31%). In eight patients, a third cycle was added. They all experienced nausea or vomiting; one patient showed signs of cardiotoxicity and one developed proctitis, dermatitis, and diarrhea (grade 3). Complete regression (CR) was assessed in 33 patients (94%); nine patients with metastatic lymph nodes also had CR. Two patients had a partial response (PR); both underwent abdominoperineal resection, which was not curative in one. Two patients (6%) had a local recurrence; in one, this was associated with hepatic metastases. One of these patients underwent surgery and is alive after about 4 years, while the other is undergoing chemotherapy. After a median follow-up duration of 37 months, 94% of patients are alive without evidence of disease and 86% are colostomy-free. CONCLUSION This regimen is well tolerated; its toxicity does not exceed that observed with the combination of 5-FU and mitomycin (MMC). Compared with our previous experience based on the classic CRT (5-FU, MMC, and radiation), the objective response rate observed with this new combination was similar. However, the local recurrence rate, observed in patients treated with the new regimen, was lower (6% v 24%). According to more recent data from the literature, primary CRT is the elective indication in epidermoid cancer of the anus and replacement of MMC with CDDP seems an effective and logical evolution.
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Affiliation(s)
- R Doci
- Division of Surgery of the Digestive Tract, Istituto Nazionale Tumori, Milan, Italy
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Andreola S, Leo E, Belli F, Bufalino R, Tomasic G, Lavarino C, Baldini MT, Meroni E. Manual dissection of adenocarcinoma of the lower third of the rectum specimens for detection of lymph node metastases smaller than 5 mm. Cancer 1996; 77:607-12. [PMID: 8616750 DOI: 10.1002/(sici)1097-0142(19960215)77:4<607::aid-cncr4>3.0.co;2-d] [Citation(s) in RCA: 66] [Impact Index Per Article: 2.4] [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: 01/31/2023]
Abstract
BACKGROUND The question of whether manual dissection when searching for metastatic lymph nodes from rectal cancer (less than 5 mm) is a reliable method remains controversial. METHODS We examined 50 consecutive cases of primary adenocarcinoma of the rectum treated with a sphincter-sparing total rectum resection, total mesorectum excision, and coloanal anastomosis. We used a manual method for the detection of lymph nodes. RESULTS One thousand seven hundred ninety-three lymph nodes were found (mean, 36 per patient). One hundred seventy-four contained metastases. Seventy-nine (45.4%) of the affected lymph nodes were less than 5 mm in greatest dimension. The percentage of metastases to small lymph nodes was similar to the percentage reported by Kotanagi (50%), but lower than the report of Herrera (78%), who used a clearing technique to search for regional lymph nodes. CONCLUSIONS A median 17 months follow-up in these patients demonstrated that metastases in small lymph nodes are important in the accurate staging of rectal tumors and that a manual method of searching for small lymph nodes is reliable.
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Affiliation(s)
- S Andreola
- Division of Pathology and Citology, Istituto Nazionale per lo Studio e la Cura dei Tumori, Milan, Italy
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48
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Bozzetti F, Andreola S, Rossetti C, Zucali R, Meroni E, Baratti D, Bertario L, Doci R, Gennari L. Preoperative radiotherapy for resectable cancer of the middle-distal rectum: its effect on the primary lesion as determined by endorectal ultrasound using flexible echo colonoscope. Int J Colorectal Dis 1996; 11:283-6. [PMID: 9007624 DOI: 10.1007/s003840050063] [Citation(s) in RCA: 19] [Impact Index Per Article: 0.7] [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: 02/04/2023]
Abstract
20 patients with rectal cancer within 8 cm of the anal verge were studied. Endoscopic endosonography was carried out before and after pre-operative radiotherapy (45 Gy over three weeks). The local extent (tumour stage and diameter) was compared with the results of histopathological examination of the resected specimen after anterior resection or total rectal excision. The Tumour Regression Grade (TRG) and lymph node status were also estimated. Two patients were not evaluated endosonographically. Two (11%) of the remaining 18 patients showed ultrasound evidence of down staging (14/18 uT3/4 pre-radiotherapy: 12/18 uT3/4 after) and tumour diameter was significantly reduced. Tumour Regression Grade estimation showed evidence of response to treatment, showing regression of more than 50% in 13 (65%) of cases. Involved nodes were less than 5 mm in diameter in 45% of cases. Histopathological evidence of nodal metastatic regression was seen in 13 (28%) of all involved nodes found. The ultrasonically determined response to radiotherapy may offer useful information in predicting outcome and possibly in selecting surgery.
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Affiliation(s)
- F Bozzetti
- Department of Surgery of the Digestive Tract, Istituto Nazionale Tumori, Milan, Italy
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Potepan P, Meroni E, Spagnoli I, Milella M, Danesini GM, Laffranchi A, Civelli E, Alloisio M, Mariani L, Spinelli P, Guzzon A. Non-small-cell lung cancer: detection of mediastinal lymph node metastases by endoscopic ultrasound and CT. Eur Radiol 1996; 6:19-24. [PMID: 8797945 DOI: 10.1007/bf00619947] [Citation(s) in RCA: 16] [Impact Index Per Article: 0.6] [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: 02/02/2023]
Abstract
In this prospective study endoscopic ultrasound (EUS) and computed tomography (CT) were evaluated to compare diagnostic accuracy of the two methods. They were performed for nodal staging in selected patients admitted to our institution for non-small-cell lung cancer (NSCLC). From February 1992 to July 1993, 45 patients were recruited for the study when N3 and N2 nodal involvement were excluded on standard chest X-ray. All the patients completed EUS and CT exams for staging before treatment. The results of sensitivity, specificity and accuracy were obtained in 30 patients who underwent surgical treatment with macroscopically radical resection of T and N, which allowed a complete surgical and histological comparison of CT and EUS findings. On a per-patient basis CT results were: sensitivity 63.6%, specificity 78.9% and accuracy of 73.3%; on a nodal station basis sensitivity, specificity and accuracy were 70.0%, 85.1% and 81.6%, respectively. The EUS evaluation showed, on a per-patient basis, values of sensitivity 45.5%, specificity 57.9% and overall diagnostic accuracy of 53.3%. On a nodal station basis the results were 50.0%, 86.6% and 78.2%, respectively. The results obtained in the 30 patients when both techniques were taken in association regarding sensitivity (90.9%), specificity (73.7%) and accuracy (80.0%) on a per-patient basis suggest that the association of EUS and CT offers the best approach for preoperative staging of NSCLC.
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MESH Headings
- Adenocarcinoma/diagnostic imaging
- Adenocarcinoma/secondary
- Adenocarcinoma/surgery
- Adult
- Aged
- Aged, 80 and over
- Carcinoma, Large Cell/diagnostic imaging
- Carcinoma, Large Cell/secondary
- Carcinoma, Large Cell/surgery
- Carcinoma, Non-Small-Cell Lung/diagnostic imaging
- Carcinoma, Non-Small-Cell Lung/secondary
- Carcinoma, Non-Small-Cell Lung/surgery
- Carcinoma, Squamous Cell/diagnostic imaging
- Carcinoma, Squamous Cell/secondary
- Carcinoma, Squamous Cell/surgery
- Double-Blind Method
- Endoscopy
- Evaluation Studies as Topic
- Female
- Humans
- Lung Neoplasms/pathology
- Lung Neoplasms/surgery
- Lymph Node Excision
- Lymphatic Metastasis/diagnosis
- Lymphatic Metastasis/diagnostic imaging
- Male
- Mediastinal Neoplasms/diagnostic imaging
- Mediastinal Neoplasms/secondary
- Mediastinal Neoplasms/surgery
- Middle Aged
- Neoplasm Staging
- Prospective Studies
- Sensitivity and Specificity
- Tomography, X-Ray Computed
- Ultrasonography, Interventional
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Affiliation(s)
- P Potepan
- Department of Diagnostic Radiology, Istituto Nazionale per lo Studio e la Cura dei Tumori, Milan, Italy
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Spinelli P, Cerrai FG, Casella G, Mancini A, Meroni E, Pizzetti P, Schiavo M. Prevention and treatment of complications after endoscopic prostheses placement in tumors of the upper gastrointestinal tract. MINERVA CHIR 1995; 50:843-8. [PMID: 8684630] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/01/2023]
Abstract
Endoscopic intubation is a popular palliative method to resolve immediately malignant dysphagia. However, the complication rate is still high. Between 1978 and 1993, at the Division of Diagnostic and Surgical Endoscopy of Istituto Nazionale Tumori in Milan, 305 patients suffering from malignant dysphagia, were endoscopically treated by insertion of an endoprosthesis. We report the analysis of data regarding our complication rate, compared with the literature, and our experience in preventing managing complications related to this endoscopic procedure.
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Affiliation(s)
- P Spinelli
- Department of Diagnostic and Surgical Endoscopy, Istituto Nazionale Tumori, Milano
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