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Bergantini L, Spalletti M, d'Alessandro M, Genovese M, Masotto E, Cameli P, Prasse A, Bargagli E. Predictive role of natural killer cells in bronchoalveolar lavage fluid of patients with sarcoidosis. Pulmonology 2024:S2531-0437(23)00237-4. [PMID: 38184410 DOI: 10.1016/j.pulmoe.2023.11.009] [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: 09/14/2023] [Revised: 11/27/2023] [Accepted: 11/27/2023] [Indexed: 01/08/2024] Open
Abstract
Sarcoidosis is a rare granulomatous disease of unknown aetiology belonging to the wide group of interstitial lung diseases.). Although the limitlessness of BAL fluid is debated, it remains one of the best matrices for studying the pathogenesis of sarcoidosis. Natural killer (NK) cells have been described in BAL fluid from sarcoidosis patients. Elevated NK cells in BAL fluid from sarcoidosis patients have been found to be associated with poor outcomes. In this study, NK cells were evaluated in BAL samples from sarcoidosis patients at the time of diagnosis and associated with clinical characteristics in order to evaluate their prognostic role. Of the 276 patients suspected to have sarcoidosis on the basis of clinical and radiological findings, 248 had a final diagnosis of sarcoidosis. Clinical parameters, Scadding stage, and extrapulmonary localization were collected in a database. It resulted in fibrotic sarcoidosis patients being associated with an increase in lymphocyte percentages in BAL samples, particularly NK cells when compared with other groups. From ROC analysis, NK cell percentages in BAL samples resulted as being the best predictive markers in discriminating stage 4 of sarcoidosis from other RX stages (AUC=0.85, p<0.0001). Furthermore, after the stratification of patients on the basis of the number of extrapulmonary localizations, patients with an higher number of extrapulmonary localizations also showed higher percentages of NK cells in BAL fluid. In conclusion, NK cell percentages in BAL fluid can be considered a good prognostic marker of fibrotic phenotypes of sarcoidosis and involvement of other organs, although their diagnostic utility was poor.
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Affiliation(s)
- L Bergantini
- Department of Medical Sciences, Surgery and Neurosciences, Respiratory Disease and Lung Transplant Unit, Respiratory Diseases and Transplant Unit, Siena University, Siena, Italy
| | - M Spalletti
- Department of Medical Sciences, Surgery and Neurosciences, Respiratory Disease and Lung Transplant Unit, Respiratory Diseases and Transplant Unit, Siena University, Siena, Italy
| | - M d'Alessandro
- Department of Medical Sciences, Surgery and Neurosciences, Respiratory Disease and Lung Transplant Unit, Respiratory Diseases and Transplant Unit, Siena University, Siena, Italy.
| | - M Genovese
- Unit of Respiratory Diseases, Department of Medicine, Surgery and Pharmacy, University of Sassari, 07100, Sassari, Italy
| | - E Masotto
- Unit of Respiratory Diseases, Department of Medicine, Surgery and Pharmacy, University of Sassari, 07100, Sassari, Italy
| | - P Cameli
- Department of Medical Sciences, Surgery and Neurosciences, Respiratory Disease and Lung Transplant Unit, Respiratory Diseases and Transplant Unit, Siena University, Siena, Italy
| | - A Prasse
- Department of Pulmonology, Hannover Medical School, Hannover, Germany
| | - E Bargagli
- Department of Medical Sciences, Surgery and Neurosciences, Respiratory Disease and Lung Transplant Unit, Respiratory Diseases and Transplant Unit, Siena University, Siena, Italy
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Armati M, Cattelan S, Guerrieri M, Messina M, Perea B, Genovese M, d'Alessandro M, Gangi S, Cameli P, Perillo F, Bennett D, Fossi A, Bargagli E, Bergantini L. Collagen Type IV Alpha 5 Chain in Bronchiolitis Obliterans Syndrome After Lung Transplant: The First Evidence. Lung 2023; 201:363-369. [PMID: 37402896 PMCID: PMC10444639 DOI: 10.1007/s00408-023-00632-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/17/2023] [Accepted: 06/26/2023] [Indexed: 07/06/2023]
Abstract
INTRODUCTION Bronchiolitis obliterans syndrome (BOS) is the most common form of CLAD and is characterized by airflow limitation and an obstructive spirometry pattern without parenchymal opacities. The protein signature of BOS lesions concerns extracellular matrix organization and aberrant basement membrane composition. In this pilot study, we investigated the presence of COL4A5 in the serum of patients with BOS. METHODS 41 patients who had undergone LTX were enrolled. Of these, 27 developed BOS and 14 (control group) were considered stable at the time of serum sampling. Of BOS patients, serum samples were analysed at the time of BOS diagnosis and before the clinical diagnosis (pre-BOS). COL4A5 levels were detected through the ELISA kit. RESULTS Serum concentrations of COL4A5 were higher in pre-BOS than in stable patients (40.5 ± 13.9 and 24.8 ± 11.4, respectively, p = 0.048). This protein is not influenced by comorbidities, such as acute rejection or infections, or by therapies. Survival analysis also reveals that a higher level of COL4A5 was also associated with less probability of survival. Our data showed a correlation between concentrations of COL4A5 and FEV1 at the time of diagnosis of BOS. CONCLUSION Serum concentrations of COL4A5 can be considered a good prognostic marker due to their association with survival and correlation with functional parameters.
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Affiliation(s)
- M Armati
- Department of Medical Sciences, Surgery and Neurosciences, Respiratory Disease and Lung Transplant Unit, Siena University, 53100, Siena, Italy
| | - S Cattelan
- Department of Medical Sciences, Surgery and Neurosciences, Respiratory Disease and Lung Transplant Unit, Siena University, 53100, Siena, Italy
| | - M Guerrieri
- Department of Medical Sciences, Surgery and Neurosciences, Respiratory Disease and Lung Transplant Unit, Siena University, 53100, Siena, Italy
| | - M Messina
- Department of Medical Sciences, Surgery and Neurosciences, Respiratory Disease and Lung Transplant Unit, Siena University, 53100, Siena, Italy
| | - B Perea
- Department of Medical Sciences, Surgery and Neurosciences, Respiratory Disease and Lung Transplant Unit, Siena University, 53100, Siena, Italy
| | - M Genovese
- Unit of Respiratory Diseases, Department of Medicine, Surgery and Pharmacy, University of Sassari, 07100, Sassari, Italy
| | - M d'Alessandro
- Department of Medical Sciences, Surgery and Neurosciences, Respiratory Disease and Lung Transplant Unit, Siena University, 53100, Siena, Italy
| | - S Gangi
- Department of Medical Sciences, Surgery and Neurosciences, Respiratory Disease and Lung Transplant Unit, Siena University, 53100, Siena, Italy
| | | | - F Perillo
- Department of Medical Sciences, Surgery and Neurosciences, Respiratory Disease and Lung Transplant Unit, Siena University, 53100, Siena, Italy
| | - D Bennett
- Department of Medical Sciences, Surgery and Neurosciences, Respiratory Disease and Lung Transplant Unit, Siena University, 53100, Siena, Italy
| | - A Fossi
- Department of Medical Sciences, Surgery and Neurosciences, Respiratory Disease and Lung Transplant Unit, Siena University, 53100, Siena, Italy
| | - E Bargagli
- Department of Medical Sciences, Surgery and Neurosciences, Respiratory Disease and Lung Transplant Unit, Siena University, 53100, Siena, Italy
| | - L Bergantini
- Department of Medical Sciences, Surgery and Neurosciences, Respiratory Disease and Lung Transplant Unit, Siena University, 53100, Siena, Italy.
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Scicutella F, Cucu MA, Mannelli F, Pastorelli R, Daghio M, Paoli P, Pazzagli L, Turini L, Mantino A, Luti S, Genovese M, Viti C, Buccioni A. Rumen microbial community and milk quality in Holstein lactating cows fed olive oil pomace as part in a sustainable feeding strategy. Animal 2023; 17:100815. [PMID: 37167820 DOI: 10.1016/j.animal.2023.100815] [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: 09/28/2022] [Revised: 04/01/2023] [Accepted: 04/06/2023] [Indexed: 05/13/2023] Open
Abstract
The use of alternative feed ingredients from the Agro-industry could be an efficient tool to improve the sustainability of dairy cow production. Since the richness in polyphenols, olive oil pomace (OOP), produced during olive oil milling, seems a promising by-product to ameliorate milk's nutritional value. The aim of this study was to test the use of OOP produced by means of a new technology (biphasic with stone deprivation) in dairy cow feeding strategy to evaluate the effect on animal performances, rumen microbiota, biohydrogenation processes and milk quality by a multidisciplinary approach. Forty multiparous Italian-Friesian dairy cows, at middle lactation, were randomly allotted into two homogenous groups and fed respectively a commercial diet (CON) and the experimental diet (OOPD) obtained by adding OOP to CON as partial replacement of maize silage. The two diets were formulated to be isoproteic and isoenergetic. The same diets were tested also in an in vitro trial aimed to evaluate their rumen degradability (% DEG). The dietary supplementation with OOP did not affect DM intake, rumen % DEG and milk production. The milk's nutritional quality was improved by increasing several important functional fatty acids (FAs; i.e., linoleic acid, conjugated linoleic acid, oleic acid, vaccenic acid). This finding was related to a decrease in rumen liquor biohydrogenation rate of unsaturated FAs. The stochiometric relation between volatile FA production in the rumen and methanogenesis suggested that OOP lowers the methane potential production (CON = 0.050 mol/L vs OOPD = 0.024 mol/L, SEM = 0.005, P = 0.0011). Rumen microbiota and fungi community did not be strongly altered by OOP dietary inclusion because few bacteria were affected at the genus level only. Particularly, Acetobacter, Prevotellaceae_UCG-004, Prevotellaceae_UCG-001, Eubacterium coprostanoligenes, Lachnospira, Acetitomaulatum, Lachnospiraceae_NK3A20 group were more abundant with OOPD condition (P < 0.05). Data reported in this study confirm that the use of OOP in dairy cow feeding can be an interesting strategy to improve milk nutritional quality increasing functional FA content without compromising the rumen degradability of the diet or causing strong perturbation of rumen ecosystem and maintaining animal performances.
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Affiliation(s)
- F Scicutella
- Dipartimento di Scienze e Tecnologie Agrarie, Alimentari, Ambientali e Forestali. University of Florence, Piazzale delle Cascine 18, 50144 Firenze, Italy
| | - M A Cucu
- Centro di ricerca Agricoltura e Ambiente, Consiglio per la ricerca in agricoltura e l'analisi dell'economia agraria (CREA-AA), via di Lanciola 12/A, 50125 Firenze, Italy
| | - F Mannelli
- Dipartimento di Scienze e Tecnologie Agrarie, Alimentari, Ambientali e Forestali. University of Florence, Piazzale delle Cascine 18, 50144 Firenze, Italy
| | - R Pastorelli
- Centro di ricerca Agricoltura e Ambiente, Consiglio per la ricerca in agricoltura e l'analisi dell'economia agraria (CREA-AA), via di Lanciola 12/A, 50125 Firenze, Italy
| | - M Daghio
- Dipartimento di Scienze e Tecnologie Agrarie, Alimentari, Ambientali e Forestali. University of Florence, Piazzale delle Cascine 18, 50144 Firenze, Italy
| | - P Paoli
- Dipartimento di Scienze Biomediche, Sperimentali e Cliniche Mario Serio, Università degli studi di Firenze, 50100 Florence, Italy
| | - L Pazzagli
- Dipartimento di Scienze Biomediche, Sperimentali e Cliniche Mario Serio, Università degli studi di Firenze, 50100 Florence, Italy
| | - L Turini
- Dipartimento di Scienze Agrarie, Alimentari e Agro-ambientali, Università di Pisa, via del borghetto, 80, 56124 Pisa, Italy; Centro di Ricerche Agro-ambientali "E. Avanzi", Università di Pisa, via Vecchia di Marina, 6, 56122, Pisa, Italy
| | - A Mantino
- Dipartimento di Scienze Agrarie, Alimentari e Agro-ambientali, Università di Pisa, via del borghetto, 80, 56124 Pisa, Italy; Centro di Ricerche Agro-ambientali "E. Avanzi", Università di Pisa, via Vecchia di Marina, 6, 56122, Pisa, Italy
| | - S Luti
- Dipartimento di Scienze Biomediche, Sperimentali e Cliniche Mario Serio, Università degli studi di Firenze, 50100 Florence, Italy
| | - M Genovese
- Dipartimento di Scienze Biomediche, Sperimentali e Cliniche Mario Serio, Università degli studi di Firenze, 50100 Florence, Italy
| | - C Viti
- Dipartimento di Scienze e Tecnologie Agrarie, Alimentari, Ambientali e Forestali. University of Florence, Piazzale delle Cascine 18, 50144 Firenze, Italy
| | - A Buccioni
- Dipartimento di Scienze e Tecnologie Agrarie, Alimentari, Ambientali e Forestali. University of Florence, Piazzale delle Cascine 18, 50144 Firenze, Italy; Centro Interdipartimentale di Ricerca e la Valorizzazione degli Alimenti, University of Florence, viale Pieraccini 6, 50139 Firenze, Italy.
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Tanaka Y, Matsubara T, Atsumi T, Amano K, Ishiguro N, Sugiyama E, Yamaoka K, Combe BG, Kivitz AJ, Bae SC, Keystone EC, Nash P, Genovese M, Matzkies F, Bartok B, Pechonkina A, Kondo A, Ye L, Gong Q, Tasset C, Takeuchi T. Safety and Efficacy of Filgotinib for Japanese Patients with RA and Inadequate Response to MTX: FINCH 1 52-Week Results and FINCH 4 48-Week Results. Mod Rheumatol 2022:6653672. [PMID: 35920102 DOI: 10.1093/mr/roac084] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/13/2022] [Revised: 06/29/2022] [Accepted: 08/02/2022] [Indexed: 11/13/2022]
Abstract
OBJECTIVE To present safety and efficacy of the JAK1 preferential inhibitor filgotinib in Japanese patients with prior inadequate response (IR) to methotrexate (MTX) from a 52-week randomised controlled parent study (PS) and long-term extension (LTE) through June 2020. METHODS The PS (NCT02889796) randomised MTX-IR patients to filgotinib 200 (FIL200) or 100 mg (FIL100), adalimumab (ADA) 40 mg, or placebo; all took stable background MTX. At week (W) 24, placebo patients were rerandomised to FIL200 or FIL100. The primary endpoint was W12 American College of Rheumatology 20% improvement (ACR20); safety was assessed by adverse event (AE) reporting. For the LTE (NCT03025308), eligible filgotinib patients continued FIL200/FIL100; ADA patients were rerandomised (blinded) to FIL200 or FIL100; all continued MTX. RESULTS 114/147 Japanese patients completed the PS; 115 enrolled in LTE; 103 remained on study in June 2020. In the PS, AEs were consistent with the overall population, and W24 efficacy was maintained or improved through W52, comparable with the overall population. LTE AE incidences were similar between doses; filgotinib efficacy was consistent from baseline to W48 and similar between PS ADA and filgotinib patients. CONCLUSION Among MTX-IR Japanese patients, filgotinib maintained efficacy over 1 year; LTE safety was consistent with the PS.
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Affiliation(s)
- Yoshiya Tanaka
- First Department of Internal Medicine, School of Medicine, University of Occupational and Environmental Health, Kitakyushu, Japan
| | - Tsukasa Matsubara
- Department of Orthopedics, Matsubara Mayflower Hospital, Kato, Hyogo, Japan
| | - Tatsuya Atsumi
- Department of Rheumatology, Endocrinology and Nephrology, Faculty of Medicine, Hokkaido University, Sapporo, Hokkaido, Japan
| | - Koichi Amano
- Department of Rheumatology and Clinical Immunology, Saitama Medical Center, Saitama Medical University, Hidaka, Saitama, Japan
| | - Naoki Ishiguro
- Aichi Developmental Disability Center, Kasugai, Aichi, Japan
| | - Eiji Sugiyama
- Department of Clinical Immunology and Rheumatology, Hiroshima University Hospital, Hiroshima, Japan
| | - Kunihiro Yamaoka
- Department of Rheumatology and Infectious Diseases Kitasato University School of Medicine, Sagamihara, Kanagawa, Japan
| | - Bernard G Combe
- Rheumatology Department, CHU Montpellier, Montpellier University, du Doyen Gaston Giraud, Montpellier, France
| | - Alan J Kivitz
- Altoona Center for Clinical Research, Duncansville, USA
| | - Sang-Cheol Bae
- Department of Rheumatology, Hanyang University Hospital for Rheumatic Diseases, Hanyang University Institute for Rheumatology Research and Hanyang University Institute of Bioscience and Biotechnology, Seoul, Korea
| | | | - Peter Nash
- Griffith University of Queensland, Brisbane, Queensland, Australia
| | | | | | | | | | | | - Lei Ye
- Gilead Sciences Inc., Foster City, USA
| | - Qi Gong
- Gilead Sciences Inc., Foster City, USA
| | | | - Tsutomu Takeuchi
- Division of Rheumatology, Department of Internal Medicine, Keio University School of Medicine, Tokyo, and Saitama Medical University, Iruma, Saitama, Japan
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5
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Atsumi T, Tanaka Y, Matsubara T, Amano K, Ishiguro N, Sugiyama E, Yamaoka K, Westhovens R, Ching DWT, Messina OD, Burmester GR, Genovese M, Bartok B, Pechonkina A, Kondo A, Yin Z, Gong Q, Tasset C, Takeuchi T. Long-Term Safety and Efficacy of Filgotinib Treatment for Rheumatoid Arthritis in Japanese Patients Naïve to MTX Treatment (FINCH 3). Mod Rheumatol 2022:6654741. [PMID: 35921235 DOI: 10.1093/mr/roac083] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/11/2022] [Revised: 06/30/2022] [Accepted: 08/02/2022] [Indexed: 11/12/2022]
Abstract
OBJECTIVES To evaluate long-term safety and efficacy of filgotinib for Japanese patients with rheumatoid arthritis (RA) and limited/no prior methotrexate (MTX) exposure. We present a Japanese population subanalysis of a global randomised-controlled trial at Week 52 and interim long-term extension (LTE) to Week 48 through June 2020. METHODS Patients were randomised to filgotinib 200 mg plus MTX, filgotinib 100 mg plus MTX, filgotinib 200 mg, or MTX for 52 weeks. At completion, eligible patients could enrol in the LTE. Those receiving filgotinib continued; those receiving MTX were rerandomised (blinded) to filgotinib 200 or 100 mg upon discontinuation of MTX. After a 4-week washout period, MTX could be re-added. RESULTS Adverse event rates at Week 52 and in the LTE to Week 48 were comparable across treatment groups. Week 52 American College of Rheumatology 20% improvement (ACR20) rates were 83% (19/23), 82% (9/11), 75% (9/12), and 76% (19/25) for filgotinib 200 mg plus MTX, filgotinib 100 mg plus MTX, filgotinib 200 mg, and MTX, respectively. Through LTE Week 48, ACR20 rates were maintained. CONCLUSIONS In the 56 Japanese patients treated with filgotinib, efficacy was maintained through Week 52 and beyond, with no increases in the incidence of adverse events.
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Affiliation(s)
- Tatsuya Atsumi
- Department of Rheumatology, Endocrinology and Nephrology, Faculty of Medicine, Hokkaido University, Hokkaido, Japan
| | - Yoshiya Tanaka
- First Department of Internal Medicine, School of Medicine, University of Occupational and Environmental Health, Kitakyushu, Japan
| | - Tsukasa Matsubara
- Department of Orthopedics, Matsubara Mayflower Hospital, Hyogo, Japan
| | - Koichi Amano
- Department of Rheumatology and Clinical Immunology, Saitama Medical Center, Saitama Medical University, Saitama, Japan
| | - Naoki Ishiguro
- Aichi Developmental Disability Center, Kasugai, Aichi, Japan
| | - Eiji Sugiyama
- Department of Clinical Immunology and Rheumatology, Hiroshima University Hospital, Hiroshima, Japan
| | - Kunihiro Yamaoka
- Department of Rheumatology and Infectious Diseases Kitasato University School of Medicine, Kanagawa, Japan
| | - René Westhovens
- Department of Development and Regeneration, Skeletal Biology and Engineering Research Center, KU Leuven, Leuven, Flanders, Belgium
| | - Daniel W T Ching
- Timaru Medical Specialists Limited, Level 1, Timaru, New Zealand
| | - Osvaldo Daniel Messina
- Cosme Argerich Hospital and Investigaciones Reumatologicas y Osteologicas SRL IRO, Buenos Aires, Argentina
| | - Gerd R Burmester
- Department of Rheumatology and Clinical Immunology, Charité - University Medicine Berlin, Free University and Humboldt University, Berlin, Germany
| | | | | | | | | | | | - Qi Gong
- Gilead Sciences Inc., Foster, USA
| | | | - Tsutomu Takeuchi
- Division of Rheumatology, Department of Internal Medicine, Keio University School of Medicine, Tokyo, Japan
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Montalban X, Wallace D, Genovese M, Tomic D, Parsons-Rich D, Guehring H. Caractérisation du profil de tolérance de l’évobrutinib chez plus de 1000 patients issus d’études cliniques de phase 2 sur la sclérose en plaques, la polyarthrite rhumatoïde et le lupus érythémateux disséminé. Rev Neurol (Paris) 2022. [DOI: 10.1016/j.neurol.2022.02.411] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
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Baker M, Chaichian Y, Genovese M, Derebail V, Rao P, Chatham W, Bubb M, Lim S, Hajian H, Gurtovaya O, Patel U, Tumlin J. Phase II, randomised, double-blind, multicentre study evaluating the safety and efficacy of filgotinib and lanraplenib in patients with lupus membranous nephropathy. RMD Open 2021; 6:rmdopen-2020-001490. [PMID: 33380521 PMCID: PMC7780527 DOI: 10.1136/rmdopen-2020-001490] [Citation(s) in RCA: 15] [Impact Index Per Article: 5.0] [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: 10/17/2020] [Revised: 12/12/2020] [Accepted: 12/17/2020] [Indexed: 11/16/2022] Open
Abstract
Objectives Patients with lupus membranous nephropathy (LMN) are at risk for prolonged proteinuria and progressive chronic kidney disease. There are no proven effective treatments for LMN, and controlled trials are lacking. This trial assessed the preferential Janus kinase 1 (JAK1) inhibitor filgotinib and the spleen tyrosine kinase inhibitor lanraplenib in patients with LMN. Methods This was a phase II, randomised, double-blind trial conducted at 15 centres in the USA to evaluate the safety and efficacy of filgotinib or lanraplenib for the treatment of LMN. Eligible patients were randomised 1:1 to receive either filgotinib or lanraplenib in a blinded fashion for up to 52 weeks. The primary endpoint was the per cent change in 24-hour urine protein from baseline to week 16. Results Nine patients were randomised to receive filgotinib (n=5) or lanraplenib (n=4). Four patients in the filgotinib group and one patient in the lanraplenib group completed week 16. There was a median reduction of 50.7% in 24-hour urine protein after 16 weeks of treatment with filgotinib (n=4), and the median Systemic Lupus Erythematosus Disease Activity Index from the Safety of Estrogens in Lupus National Assessment score remained stable. Filgotinib treatment was well tolerated. Limited conclusions can be drawn about treatment with lanraplenib. Conclusion The number of patients treated in this study was small, and only limited conclusions can be drawn. There may be a therapeutic benefit with filgotinib treatment, which may support future investigations with filgotinib or other JAK inhibitors in patients with LMN. Trial registration number NCT03285711.
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Affiliation(s)
- Matthew Baker
- Immunology and Rheumatology, Stanford University, Palo Alto, California, USA
| | - Yashaar Chaichian
- Immunology and Rheumatology, Stanford University, Palo Alto, California, USA
| | - Mark Genovese
- Immunology and Rheumatology, Stanford University, Palo Alto, California, USA.,Gilead Sciences, Foster City, California, USA
| | - Vimal Derebail
- Nephrology and Hypertension, University of North Carolina at Chapel Hill School of Medicine, Chapel Hill, North Carolina, USA
| | - Panduranga Rao
- Nephrology, University of Michigan Michigan Medicine, Ann Arbor, Michigan, USA
| | - Winn Chatham
- Rheumatology, UAB Medicine, Birmingham, Alabama, USA
| | - Michael Bubb
- Rheumatology, University of Florida Health, Gainesville, Florida, USA.,Rheumatology, Malcom Randall VA Medical Center, Gainesville, Florida, USA
| | - Sam Lim
- Rollins School of Public Health, Atlanta, Georgia, USA
| | | | | | - Uptal Patel
- Gilead Sciences, Foster City, California, USA
| | - James Tumlin
- Nephrology, The University of Tennessee Health Science Center College of Medicine Chattanooga, Chattanooga, Tennessee, USA
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Nasonov E, Fatenejad S, Feist E, Ivanova M, Korneva E, Krechikova DG, Maslyanskiy AL, Samsonov M, Stoilov R, Zonova EV, Genovese M. Olokizumab, a monoclonal antibody against interleukin 6, in combination with methotrexate in patients with rheumatoid arthritis inadequately controlled by methotrexate: efficacy and safety results of a randomised controlled phase III study. Ann Rheum Dis 2021; 81:469-479. [PMID: 34344706 PMCID: PMC8921576 DOI: 10.1136/annrheumdis-2021-219876] [Citation(s) in RCA: 19] [Impact Index Per Article: 6.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/18/2021] [Accepted: 07/05/2021] [Indexed: 12/04/2022]
Abstract
Objective To evaluate the efficacy and safety of olokizumab (OKZ) in patients with active rheumatoid arthritis despite treatment with methotrexate (MTX). Methods In this 24-week multicentre, placebo-controlled, double-blind study, patients were randomised 1:1:1 to receive subcutaneously administered OKZ 64 mg once every 2 weeks, OKZ 64 mg once every 4 weeks, or placebo plus MTX. The primary efficacy endpoint was the proportion of patients achieving an American College of Rheumatology 20% (ACR20) response at week 12. The secondary efficacy endpoints included percentage of subjects achieving Disease Activity Score 28-joint count based on C reactive protein <3.2, Health Assessment Questionnaire Disability Index at week 12, ACR50 response and Clinical Disease Activity Index ≤2.8 at week 24. Safety and immunogenicity were assessed throughout the study. Results A total of 428 patients were randomised. ACR20 responses were more frequent with OKZ every 2 weeks (63.6%) and OKZ every 4 weeks (70.4%) than placebo (25.9%) (p<0.0001 for both comparisons). There were significant differences in all secondary efficacy endpoints between OKZ-treated arms and placebo. Treatment-emergent serious adverse events (TESAEs) were reported by more patients in the OKZ groups compared with placebo. Infections were the most common TESAEs. No subjects developed neutralising antidrug antibodies. Conclusions Treatment with OKZ was associated with significant improvement in signs, symptoms and physical function of rheumatoid arthritis without discernible differences between the two regimens. Safety was as expected for this class of agents. Low immunogenicity was observed. Trial registration number NCT02760368.
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Affiliation(s)
- Evgeniy Nasonov
- Research Institute of Rheumatology of RAMS, Moskva, Russian Federation
| | | | - Eugen Feist
- Department for Rheumatology, HELIOS Specialist Hospital Vogelsang/Gommern Clinic for Rheumatology, Gommern, Germany
| | - Mariana Ivanova
- University Hospital St Ivan Rilski Rheumatology Clinic, Sofia, Bulgaria
| | | | - Diana G Krechikova
- Non-state Healthcare Institution Regional Clinical Hospital at Smolensk Station, Smolensk, Russian Federation
| | - Aleksey L Maslyanskiy
- Medical Research Centre, Federal Almazov North West Medical Research Centre, Saint-Petersburg, Russian Federation
| | | | - Rumen Stoilov
- University Hospital St Ivan Rilski Rheumatology Clinic, Sofia, Bulgaria
| | - Elena V Zonova
- Novosibirsk State Medical University, Novosibirsk, Russian Federation
| | - Mark Genovese
- Division of Immunology and Rheumatology, Stanford University, Stanford, California, USA
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Fraenkel L, Bathon JM, England BR, St.Clair EW, Arayssi T, Carandang K, Deane KD, Genovese M, Huston KK, Kerr G, Kremer J, Nakamura MC, Russell LA, Singh JA, Smith BJ, Sparks JA, Venkatachalam S, Weinblatt ME, Al-Gibbawi M, Baker JF, Barbour KE, Barton JL, Cappelli L, Chamseddine F, George M, Johnson SR, Kahale L, Karam BS, Khamis AM, Navarro-Millán I, Mirza R, Schwab P, Singh N, Turgunbaev M, Turner AS, Yaacoub S, Akl EA. 2021 American College of Rheumatology Guideline for the Treatment of Rheumatoid Arthritis. Arthritis Care Res (Hoboken) 2021; 73:924-939. [PMID: 34101387 PMCID: PMC9273041 DOI: 10.1002/acr.24596] [Citation(s) in RCA: 324] [Impact Index Per Article: 108.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/08/2020] [Accepted: 03/15/2021] [Indexed: 12/14/2022]
Abstract
OBJECTIVE To develop updated guidelines for the pharmacologic management of rheumatoid arthritis. METHODS We developed clinically relevant population, intervention, comparator, and outcomes (PICO) questions. After conducting a systematic literature review, the Grading of Recommendations Assessment, Development and Evaluation (GRADE) approach was used to rate the certainty of evidence. A voting panel comprising clinicians and patients achieved consensus on the direction (for or against) and strength (strong or conditional) of recommendations. RESULTS The guideline addresses treatment with disease-modifying antirheumatic drugs (DMARDs), including conventional synthetic DMARDs, biologic DMARDs, and targeted synthetic DMARDs, use of glucocorticoids, and use of DMARDs in certain high-risk populations (i.e., those with liver disease, heart failure, lymphoproliferative disorders, previous serious infections, and nontuberculous mycobacterial lung disease). The guideline includes 44 recommendations (7 strong and 37 conditional). CONCLUSION This clinical practice guideline is intended to serve as a tool to support clinician and patient decision-making. Recommendations are not prescriptive, and individual treatment decisions should be made through a shared decision-making process based on patients' values, goals, preferences, and comorbidities.
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Affiliation(s)
- Liana Fraenkel
- Berkshire Medical Center, Pittsfield, Massachusetts, and Yale University School of Medicine, New Haven, Connecticut
| | - Joan M. Bathon
- Columbia University Irving Medical Center, New York Presbyterian Hospital, New York, New York
| | - Bryant R. England
- University of Nebraska Medical Center and VA Nebraska–Western Iowa Health Care System, Omaha, Nebraska
| | | | | | | | | | - Mark Genovese
- Stanford University Medical Center, Palo Alto, California
| | - Kent Kwas Huston
- The Center for Rheumatic Disease/Allergy and Immunology, Kansas City, Missouri
| | - Gail Kerr
- Veterans Affairs Medical Center, Georgetown and Howard University, Washington, DC
| | - Joel Kremer
- Albany Medical College and The Center for Rheumatology, Albany, New York
| | | | | | - Jasvinder A. Singh
- University of Alabama at Birmingham and Birmingham Veterans Affairs Medical Center, Birmingham, Alabama
| | - Benjamin J. Smith
- State University College of Medicine School of Physician Assistant Practice, Tallahassee
| | - Jeffrey A. Sparks
- Brigham and Women’s Hospital and Harvard Medical School, Boston, Massachusetts
| | | | | | | | - Joshua F. Baker
- Corporal Michael J. Crescenz VA Medical Center and the University of Pennsylvania, Philadelphia, Pennsylvania
| | | | - Jennifer L. Barton
- Oregon Health & Science University and VA Portland Health Care System, Portland, Oregon
| | | | | | | | - Sindhu R. Johnson
- Toronto Western Hospital, Mount Sinai Hospital, Institute of Health Policy, Management and Evaluation, University of Toronto, Toronto, Ontario, Canada
| | - Lara Kahale
- American University of Beirut, Beirut, Lebanon
| | | | | | | | - Reza Mirza
- University of Toronto, Toronto, Ontario, Canada
| | - Pascale Schwab
- Oregon Health & Science University and VA Portland Health Care System, Portland, Oregon
| | | | | | | | | | - Elie A. Akl
- American University of Beirut, Beirut, Lebanon
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10
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Fraenkel L, Bathon JM, England BR, St Clair EW, Arayssi T, Carandang K, Deane KD, Genovese M, Huston KK, Kerr G, Kremer J, Nakamura MC, Russell LA, Singh JA, Smith BJ, Sparks JA, Venkatachalam S, Weinblatt ME, Al-Gibbawi M, Baker JF, Barbour KE, Barton JL, Cappelli L, Chamseddine F, George M, Johnson SR, Kahale L, Karam BS, Khamis AM, Navarro-Millán I, Mirza R, Schwab P, Singh N, Turgunbaev M, Turner AS, Yaacoub S, Akl EA. 2021 American College of Rheumatology Guideline for the Treatment of Rheumatoid Arthritis. Arthritis Rheumatol 2021; 73:1108-1123. [PMID: 34101376 DOI: 10.1002/art.41752] [Citation(s) in RCA: 279] [Impact Index Per Article: 93.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/08/2020] [Accepted: 03/15/2021] [Indexed: 12/13/2022]
Abstract
OBJECTIVE To develop updated guidelines for the pharmacologic management of rheumatoid arthritis. METHODS We developed clinically relevant population, intervention, comparator, and outcomes (PICO) questions. After conducting a systematic literature review, the Grading of Recommendations Assessment, Development and Evaluation (GRADE) approach was used to rate the certainty of evidence. A voting panel comprising clinicians and patients achieved consensus on the direction (for or against) and strength (strong or conditional) of recommendations. RESULTS The guideline addresses treatment with disease-modifying antirheumatic drugs (DMARDs), including conventional synthetic DMARDs, biologic DMARDs, and targeted synthetic DMARDs, use of glucocorticoids, and use of DMARDs in certain high-risk populations (i.e., those with liver disease, heart failure, lymphoproliferative disorders, previous serious infections, and nontuberculous mycobacterial lung disease). The guideline includes 44 recommendations (7 strong and 37 conditional). CONCLUSION This clinical practice guideline is intended to serve as a tool to support clinician and patient decision-making. Recommendations are not prescriptive, and individual treatment decisions should be made through a shared decision-making process based on patients' values, goals, preferences, and comorbidities.
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Affiliation(s)
- Liana Fraenkel
- Berkshire Medical Center, Pittsfield, Massachusetts, and Yale University School of Medicine, New Haven, Connecticut, United States
| | - Joan M Bathon
- Columbia University Irving Medical Center, New York Presbyterian Hospital, New York, New York, United States
| | - Bryant R England
- University of Nebraska Medical Center and VA Nebraska-Western Iowa Health Care System, Omaha, Nebraska, United States
| | | | | | | | | | - Mark Genovese
- Stanford University Medical Center, Palo Alto, California, United States
| | - Kent Kwas Huston
- The Center for Rheumatic Disease/Allergy and Immunology, Kansas City, Missouri, United States
| | - Gail Kerr
- Veterans Affairs Medical Center, Georgetown and Howard University, Washington, DC, United States
| | - Joel Kremer
- Albany Medical College and The Center for Rheumatology, Albany, New York, United States
| | | | - Linda A Russell
- Hospital for Special Surgery, New York, New York, United States
| | - Jasvinder A Singh
- University of Alabama at Birmingham and Birmingham Veterans Affairs Medical Center, Birmingham, Alabama, United States
| | - Benjamin J Smith
- Florida State University College of Medicine School of Physician Assistant Practice, Tallahassee
| | - Jeffrey A Sparks
- Brigham and Women's Hospital and Harvard Medical School, Boston, Massachusetts, United States
| | | | - Michael E Weinblatt
- Brigham and Women's Hospital and Harvard Medical School, Boston, Massachusetts, United States
| | | | - Joshua F Baker
- Corporal Michael J. Crescenz VA Medical Center and the University of Pennsylvania, Philadelphia, Pennsylvania, United States
| | - Kamil E Barbour
- Centers for Disease Control and Prevention, Atlanta, Georgia, United States
| | - Jennifer L Barton
- Oregon Health & Science University and VA Portland Health Care System, Portland, Oregon, United States
| | - Laura Cappelli
- Johns Hopkins Medicine, Baltimore, Maryland, United States
| | | | | | - Sindhu R Johnson
- Toronto Western Hospital, Mount Sinai Hospital, Institute of Health Policy, Management and Evaluation, University of Toronto, Toronto, Ontario, Canada
| | - Lara Kahale
- American University of Beirut, Beirut, Lebanon
| | | | | | | | - Reza Mirza
- University of Toronto, Toronto, Ontario, Canada
| | - Pascale Schwab
- Oregon Health & Science University and VA Portland Health Care System, Portland, Oregon, United States
| | | | - Marat Turgunbaev
- American College of Rheumatology, Atlanta, Georgia, United States
| | - Amy S Turner
- American College of Rheumatology, Atlanta, Georgia, United States
| | | | - Elie A Akl
- American University of Beirut, Beirut, Lebanon
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11
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Ditalia Tchernij S, Lühmann T, Corte E, Sardi F, Picollo F, Traina P, Brajković M, Crnjac A, Pezzagna S, Pastuović Ž, Degiovanni IP, Moreva E, Aprà P, Olivero P, Siketić Z, Meijer J, Genovese M, Forneris J. Fluorine-based color centers in diamond. Sci Rep 2020; 10:21537. [PMID: 33298995 PMCID: PMC7726554 DOI: 10.1038/s41598-020-78436-6] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/31/2020] [Accepted: 11/05/2020] [Indexed: 11/22/2022] Open
Abstract
We report on the creation and characterization of the luminescence properties of high-purity diamond substrates upon F ion implantation and subsequent thermal annealing. Their room-temperature photoluminescence emission consists of a weak emission line at 558 nm and of intense bands in the 600–750 nm spectral range. Characterization at liquid He temperature reveals the presence of a structured set of lines in the 600–670 nm spectral range. We discuss the dependence of the emission properties of F-related optical centers on different experimental parameters such as the operating temperature and the excitation wavelength. The correlation of the emission intensity with F implantation fluence, and the exclusive observation of the afore-mentioned spectral features in F-implanted and annealed samples provides a strong indication that the observed emission features are related to a stable F-containing defective complex in the diamond lattice.
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Affiliation(s)
- S Ditalia Tchernij
- Physics Department, University of Torino, 10125, Turin, Italy.,Istituto Nazionale Di Fisica Nucleare (INFN), Sezione Di Torino, 10125, Turin, Italy.,Istituto Nazionale Di Ricerca Metrologica (INRiM), 10135, Turin, Italy
| | - T Lühmann
- Applied Quantum Systems, Felix-Bloch Institute for Solid-State Physics, Universität Leipzig, 04103, Leipzig, Germany
| | - E Corte
- Physics Department, University of Torino, 10125, Turin, Italy.,Istituto Nazionale Di Fisica Nucleare (INFN), Sezione Di Torino, 10125, Turin, Italy
| | - F Sardi
- Physics Department, University of Torino, 10125, Turin, Italy
| | - F Picollo
- Physics Department, University of Torino, 10125, Turin, Italy.,Istituto Nazionale Di Fisica Nucleare (INFN), Sezione Di Torino, 10125, Turin, Italy
| | - P Traina
- Istituto Nazionale Di Ricerca Metrologica (INRiM), 10135, Turin, Italy
| | - M Brajković
- Laboratory for Ion Beam Interactions, Ruđer Bošković Institute, 10000, Zagreb, Croatia
| | - A Crnjac
- Laboratory for Ion Beam Interactions, Ruđer Bošković Institute, 10000, Zagreb, Croatia
| | - S Pezzagna
- Applied Quantum Systems, Felix-Bloch Institute for Solid-State Physics, Universität Leipzig, 04103, Leipzig, Germany
| | - Ž Pastuović
- Centre for Accelerator Science, Australian Nuclear Science and Technology Organisation, New Illawarra Road, Lucas Heights, NSW, 2234, Australia
| | - I P Degiovanni
- Istituto Nazionale Di Fisica Nucleare (INFN), Sezione Di Torino, 10125, Turin, Italy.,Istituto Nazionale Di Ricerca Metrologica (INRiM), 10135, Turin, Italy
| | - E Moreva
- Istituto Nazionale Di Ricerca Metrologica (INRiM), 10135, Turin, Italy
| | - P Aprà
- Physics Department, University of Torino, 10125, Turin, Italy.,Istituto Nazionale Di Fisica Nucleare (INFN), Sezione Di Torino, 10125, Turin, Italy
| | - P Olivero
- Physics Department, University of Torino, 10125, Turin, Italy.,Istituto Nazionale Di Fisica Nucleare (INFN), Sezione Di Torino, 10125, Turin, Italy.,Istituto Nazionale Di Ricerca Metrologica (INRiM), 10135, Turin, Italy
| | - Z Siketić
- Laboratory for Ion Beam Interactions, Ruđer Bošković Institute, 10000, Zagreb, Croatia
| | - J Meijer
- Applied Quantum Systems, Felix-Bloch Institute for Solid-State Physics, Universität Leipzig, 04103, Leipzig, Germany
| | - M Genovese
- Istituto Nazionale Di Fisica Nucleare (INFN), Sezione Di Torino, 10125, Turin, Italy.,Istituto Nazionale Di Ricerca Metrologica (INRiM), 10135, Turin, Italy
| | - J Forneris
- Physics Department, University of Torino, 10125, Turin, Italy. .,Istituto Nazionale Di Fisica Nucleare (INFN), Sezione Di Torino, 10125, Turin, Italy. .,Istituto Nazionale Di Ricerca Metrologica (INRiM), 10135, Turin, Italy.
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12
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Emery P, Suh CH, Weinblatt ME, Smolen JS, Keystone EC, Genovese M, Vencovsky J, Kay J, Hong E, Baek Y, Ghil J. Impact of immunogenicity on efficacy and tolerability of tumour necrosis factor inhibitors: pooled analysis of biosimilar studies in rheumatoid arthritis. Scand J Rheumatol 2020; 49:361-370. [PMID: 32468892 DOI: 10.1080/03009742.2020.1732458] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
Abstract
Objective: SB4, SB2, and SB5 are biosimilars of etanercept (ETN), infliximab (INF), and adalimumab (ADA), respectively. This pooled analysis evaluated the immunogenicity of these treatments across three phase III randomized controlled trials of patients with rheumatoid arthritis (RA). Methods: Patients had to have at least one anti-drug antibody (ADAb) assessment up to the time of the primary endpoint from each study (week 24 in SB4 and SB5 studies; week 30 in SB2 study). The effect of ADAbs on American College of Rheumatology 20% (ACR20) response and the incidences of injection-site reactions (ISRs)/infusion-related reactions (IRRs) were evaluated. Results: The study included 1709 patients. The cumulative incidences of ADAbs were 30.3% in the all-treatments-combined group, 29.1% in the biosimilars combined group, and 31.5% in the reference products combined group. ACR20 response rates were significantly lower in ADAb-positive patients in the all-treatments-combined [odds ratio (95% confidence interval) 1.77 (1.37, 2.27), p < 0.0001], biosimilars combined [2.24 (1.53, 3.30), p < 0.0001], and reference products combined [1.49 (1.06, 2.09), p = 0.0225] groups. ADAb-positive patients also had a higher likelihood of developing ISRs/IRRs in the all-treatments-combined group [0.56 (0.31, 1.01), p = 0.0550], predominantly due to the results observed with SB2 + INF combined rather than with SB4 + ETN or SB5 + ADA combined. Conclusion: In this pooled analysis, ADAbs were associated with reduced efficacy in patients with RA treated with biosimilars (SB4, SB2, and SB5) or their reference products (ETN, INF, and ADA). ADAbs were associated with an increased incidence of ISRs/IRRs in those treated with SB2 + INF. Clinical trial registration numbers: NCT01936181 (SB2 study), NCT01895309 (SB4 study), and NCT02167139 (SB5 study).
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Affiliation(s)
- P Emery
- Leeds Institute of Rheumatic and Musculoskeletal Medicine, University of Leeds, Chapel Allerton Hospital , Leeds, UK.,NIHR Leeds Musculoskeletal Biomedical Research Unit, Leeds Teaching Hospitals NHS Trust , Leeds, UK
| | - C-H Suh
- Department of Rheumatology, Ajou University School of Medicine , Suwon, Republic of Korea
| | - M E Weinblatt
- Division of Rheumatology, Immunology, and Allergy, Brigham and Women's Hospital , Boston, MA, USA
| | - J S Smolen
- Division of Rheumatology, Department of Medicine, Medical University of Vienna , Vienna, Austria
| | - E C Keystone
- Division of Rheumatology, Mount Sinai Hospital, University of Toronto , Toronto, ON, Canada
| | - M Genovese
- Division of Immunology and Rheumatology, Stanford University Medical Center, Stanford University School of Medicine , Palo Alto, CA, USA
| | - J Vencovsky
- Department of Rheumatology, Institute of Rheumatology , Prague, Czech Republic
| | - J Kay
- Division of Rheumatology, Department of Medicine, UMass Memorial Medical Center and University of Massachusetts Medical School , Worcester, MA, USA
| | - E Hong
- Samsung Bioepis Co. Ltd , Incheon, Republic of Korea
| | - Y Baek
- Samsung Bioepis Co. Ltd , Incheon, Republic of Korea
| | - J Ghil
- Samsung Bioepis Co. Ltd , Incheon, Republic of Korea
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13
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Santisi S, Catalfamo M, Bonsignore M, Gentile G, Di Salvo E, Genovese M, Mahjoubi M, Cherif A, Mancini G, Hassanshahian M, Pioggia G, Cappello S. Biodegradation ability of two selected microbial autochthonous consortia from a chronically polluted marine coastal area (Priolo Gargallo, Italy). J Appl Microbiol 2019; 127:618-629. [PMID: 30848509 DOI: 10.1111/jam.14246] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/19/2018] [Revised: 02/22/2019] [Accepted: 02/25/2019] [Indexed: 11/29/2022]
Abstract
The aims of this study were: (i) the characterization of the structure of the indigenous microbial community associated with the sediments under study; (ii) the isolation and characterization of microbial consortia able to degrade the aged hydrocarbons contaminating the sediments, and (iii) the assessment of related biodegradation capability of selected consortia. Samples of surface sediments were collected in Priolo Gargallo harbour (Sicily, Italy). The samples were analysed for physical, chemical (GC-FID analysis) and microbiological characteristics (qualitative (16S rDNA clone library) and quantitative (DAPI, CFU and MPN count) analysis). The sediment samples were used for the selection of two microbial consortia (indicated as PSO and PSM) with high biodegradation capacity for crude oil (∼95%) and PAHs (∼63%) respectively. Genetic analysis showed that Alcanivorax and Cycloclasticus were the dominant genera in both the PSO and PSM consortia. Oil-polluted environments naturally develop an elevated biorecovery potential. The presence of a highly specialized microbial flora (adapted to support the contamination) and their stimulation through favourable induced conditions provides a promising recovery strategy. The chance to identify and select indigenous bacteria and/or consortia with a high biodegradation capacity is fundamental for the development and optimization of bioaugmentation strategies especially for those concerning in situ applications.
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Affiliation(s)
- S Santisi
- Institute for Biological Resources and Marine Biotechnology (IRBIM)-CNR of Messina, Messina, Italy.,Institute of Applied Sciences & Intelligent Systems "Eduardo Caianiello" (ISASI)-CNR of Messina, Messina, Italy
| | - M Catalfamo
- Institute for Biological Resources and Marine Biotechnology (IRBIM)-CNR of Messina, Messina, Italy
| | - M Bonsignore
- Faculty of Biological Sciences, University of Messina, Messina, Italy
| | - G Gentile
- Institute for Biological Resources and Marine Biotechnology (IRBIM)-CNR of Messina, Messina, Italy
| | - E Di Salvo
- Institute for Biological Resources and Marine Biotechnology (IRBIM)-CNR of Messina, Messina, Italy.,Institute of Applied Sciences & Intelligent Systems "Eduardo Caianiello" (ISASI)-CNR of Messina, Messina, Italy
| | - M Genovese
- Institute for Biological Resources and Marine Biotechnology (IRBIM)-CNR of Messina, Messina, Italy
| | - M Mahjoubi
- Higher Institute for Biotechnology - University of Manouba Biotechpole of Sidi Thabet, Ariana, Tunisia
| | - A Cherif
- Higher Institute for Biotechnology - University of Manouba Biotechpole of Sidi Thabet, Ariana, Tunisia
| | - G Mancini
- Dep. "Ingegneria Industriale", University of Catania, Catania, Italy
| | - M Hassanshahian
- Dep."Biology", Faculty of Sciences, Shahid Bahonar University of Kerman, Kerman, Iran
| | - G Pioggia
- Institute of Applied Sciences & Intelligent Systems "Eduardo Caianiello" (ISASI)-CNR of Messina, Messina, Italy
| | - S Cappello
- Institute for Biological Resources and Marine Biotechnology (IRBIM)-CNR of Messina, Messina, Italy.,Institute of Applied Sciences & Intelligent Systems "Eduardo Caianiello" (ISASI)-CNR of Messina, Messina, Italy
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14
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Genovese M, Westhovens R, Meuleners L, Van der Aa A, Harrison P, Tasset C, Kavanaugh A. Effect of filgotinib, a selective JAK 1 inhibitor, with and without methotrexate in patients with rheumatoid arthritis: patient-reported outcomes. Arthritis Res Ther 2018; 20:57. [PMID: 29566740 PMCID: PMC5865354 DOI: 10.1186/s13075-018-1541-z] [Citation(s) in RCA: 36] [Impact Index Per Article: 6.0] [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: 11/28/2017] [Accepted: 02/08/2018] [Indexed: 02/08/2023] Open
Abstract
Background The aim was to assess patient-reported outcomes (PROs) in patients with rheumatoid arthritis (RA) treated with filgotinib during two phase 2b, 24-week, randomized, placebo-controlled studies. Methods Patients with moderate-to-severe active RA and an inadequate response to methotrexate (MTX) were randomized to daily placebo or filgotinib 50 mg, 100 mg, or 200 mg as add-on therapy to MTX (NCT01888874) or as monotherapy (NCT01894516). At week 12, nonresponders receiving filgotinib 50 mg in both studies or placebo in the add-on study, and all patients receiving placebo as monotherapy, were re-assigned to filgotinib 100 mg. PROs were measured using the Health Assessment Questionnaire - Disability Index (HAQ-DI) including Patient Pain assessed by visual analog scale, and the Patient Global Assessment of Disease Activity (Patient Global), the Functional Assessment of Chronic Illness Therapy (FACIT)-Fatigue Scale (Version 4), and the 36-Item Short Form Health Survey (SF-36). Results At week 12, improvements in all PROs, apart from the SF-36 mental component in the add-on study, were statistically better with filgotinib than placebo; some improvements were noted as early as the first assessment time point (week 1 or week 4). Filgotinib improved HAQ-DI by 0.58–0.84 points, FACIT-Fatigue by 6.9–11.4 points, Patient Global by 25.2–35.6 mm, and Pain by 24.2–37.9 mm; scores were maintained or improved to week 24. Across all PROs, more patients achieved minimal clinically important differences and normative values with filgotinib 200 mg than placebo. Patients re-assigned to filgotinib 100 mg at week 12 experienced improvements in PROs between weeks 12 to 24. Conclusions Filgotinib as MTX add-on therapy or as monotherapy demonstrated rapid and sustained (to 24 weeks) improvements in health-related quality of life and functional status in patients with active RA. Trial registration MTX add-on study: ClinicalTrials.gov, NCT01888874. Registered on 28 June 2013. Monotherapy study: ClinicalTrials.gov, NCT01894516. Registered on 10 July 2013. Electronic supplementary material The online version of this article (10.1186/s13075-018-1541-z) contains supplementary material, which is available to authorized users.
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Affiliation(s)
- Mark Genovese
- Division of Immunology and Rheumatology, Stanford School of Medicine, Stanford, CA, USA. .,Division of Immunology and Rheumatology, Stanford School of Medicine, 1000 Welch RD #203, Palo Alto, CA, 94304, USA.
| | - Rene Westhovens
- Department of Development and Regeneration KU Leuven, Skeletal Biology and Engineering Research Center; Rheumatology, University Hospitals Leuven, Leuven, Belgium
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15
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Guarina L, Calorio C, Gavello D, Moreva E, Traina P, Battiato A, Ditalia Tchernij S, Forneris J, Gai M, Picollo F, Olivero P, Genovese M, Carbone E, Marcantoni A, Carabelli V. Nanodiamonds-induced effects on neuronal firing of mouse hippocampal microcircuits. Sci Rep 2018; 8:2221. [PMID: 29396456 PMCID: PMC5797106 DOI: 10.1038/s41598-018-20528-5] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.5] [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: 10/05/2017] [Accepted: 01/11/2018] [Indexed: 01/31/2023] Open
Abstract
Fluorescent nanodiamonds (FND) are carbon-based nanomaterials that can efficiently incorporate optically active photoluminescent centers such as the nitrogen-vacancy complex, thus making them promising candidates as optical biolabels and drug-delivery agents. FNDs exhibit bright fluorescence without photobleaching combined with high uptake rate and low cytotoxicity. Focusing on FNDs interference with neuronal function, here we examined their effect on cultured hippocampal neurons, monitoring the whole network development as well as the electrophysiological properties of single neurons. We observed that FNDs drastically decreased the frequency of inhibitory (from 1.81 Hz to 0.86 Hz) and excitatory (from 1.61 to 0.68 Hz) miniature postsynaptic currents, and consistently reduced action potential (AP) firing frequency (by 36%), as measured by microelectrode arrays. On the contrary, bursts synchronization was preserved, as well as the amplitude of spontaneous inhibitory and excitatory events. Current-clamp recordings revealed that the ratio of neurons responding with AP trains of high-frequency (fast-spiking) versus neurons responding with trains of low-frequency (slow-spiking) was unaltered, suggesting that FNDs exerted a comparable action on neuronal subpopulations. At the single cell level, rapid onset of the somatic AP (“kink”) was drastically reduced in FND-treated neurons, suggesting a reduced contribution of axonal and dendritic components while preserving neuronal excitability.
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Affiliation(s)
- L Guarina
- Department of Drug Science and Technology, "NIS" inter-departmental centre, University of Torino, Corso Raffaello 30, 10125, Torino, Italy
| | - C Calorio
- Department of Drug Science and Technology, "NIS" inter-departmental centre, University of Torino, Corso Raffaello 30, 10125, Torino, Italy
| | - D Gavello
- Department of Drug Science and Technology, "NIS" inter-departmental centre, University of Torino, Corso Raffaello 30, 10125, Torino, Italy
| | - E Moreva
- Istituto Nazionale Ricerca Metrologica, Strada delle Cacce 91, 10135, Torino, Italy
| | - P Traina
- Istituto Nazionale Ricerca Metrologica, Strada delle Cacce 91, 10135, Torino, Italy
| | - A Battiato
- Istituto Nazionale di Fisica Nucleare, sezione di Torino, Via P. Giuria 1, 10125, Torino, Italy
| | - S Ditalia Tchernij
- Department of Physics and "NIS" inter-departmental centre, University of Torino, Via P. Giuria 1, 10125, Torino, Italy.,Istituto Nazionale di Fisica Nucleare, sezione di Torino, Via P. Giuria 1, 10125, Torino, Italy
| | - J Forneris
- Istituto Nazionale di Fisica Nucleare, sezione di Torino, Via P. Giuria 1, 10125, Torino, Italy
| | - M Gai
- Department of Molecular Biotechnology and Health Sciences, University of Torino, Via Nizza 52, 10126, Torino, Italy
| | - F Picollo
- Department of Physics and "NIS" inter-departmental centre, University of Torino, Via P. Giuria 1, 10125, Torino, Italy.,Istituto Nazionale di Fisica Nucleare, sezione di Torino, Via P. Giuria 1, 10125, Torino, Italy
| | - P Olivero
- Department of Physics and "NIS" inter-departmental centre, University of Torino, Via P. Giuria 1, 10125, Torino, Italy.,Istituto Nazionale di Fisica Nucleare, sezione di Torino, Via P. Giuria 1, 10125, Torino, Italy
| | - M Genovese
- Istituto Nazionale Ricerca Metrologica, Strada delle Cacce 91, 10135, Torino, Italy.,Istituto Nazionale di Fisica Nucleare, sezione di Torino, Via P. Giuria 1, 10125, Torino, Italy
| | - E Carbone
- Department of Drug Science and Technology, "NIS" inter-departmental centre, University of Torino, Corso Raffaello 30, 10125, Torino, Italy
| | - A Marcantoni
- Department of Drug Science and Technology, "NIS" inter-departmental centre, University of Torino, Corso Raffaello 30, 10125, Torino, Italy
| | - V Carabelli
- Department of Drug Science and Technology, "NIS" inter-departmental centre, University of Torino, Corso Raffaello 30, 10125, Torino, Italy.
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Tahir H, Deodhar A, Genovese M, Takeuchi T, Aelion J, Van den Bosch F, Haemmerle S, Richards HB. Secukinumab in Active Rheumatoid Arthritis after Anti-TNFα Therapy: A Randomized, Double-Blind Placebo-Controlled Phase 3 Study. Rheumatol Ther 2017; 4:475-488. [PMID: 29138986 PMCID: PMC5696298 DOI: 10.1007/s40744-017-0086-y] [Citation(s) in RCA: 21] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/12/2017] [Indexed: 12/14/2022] Open
Abstract
Introduction ‘REASSURE’ (NCT01377012), a phase 3 study, evaluated the efficacy and safety of secukinumab in patients with active rheumatoid arthritis (RA) who had an inadequate response to, or intolerance of, tumor necrosis factor inhibitors (TNF-inhibitors). Methods A total of 637 patients were randomized (1:1:1) to receive intravenous secukinumab 10 mg/kg (baseline, weeks 2 and 4) followed by subcutaneous secukinumab 150 mg or 75 mg every 4 weeks (starting from week 8) or placebo at the same dosing schedule. The primary endpoint was the American College of Rheumatology 20% improvement criteria (ACR20) at week 24. Other predefined hierarchical endpoints included Health Assessment Questionnaire-Disability Index, van der Heijde modified total Sharp score (vdH-mTSS) at week 24, and major clinical response (MCR; continuous 6 month period of ACR70 response) at 1 year. Results The primary efficacy endpoint was met with both secukinumab dose groups: ACR20 response rate at week 24 was 35.2% for both secukinumab dose groups (P = 0.0009) vs 19.6% for placebo. The improvements in secondary endpoints were greater in the secukinumab dose groups vs placebo but did not meet statistical significance. The overall safety profile was similar across all treatment groups. Conclusion Secukinumab demonstrated efficacy in reducing disease activity over placebo as measured by ACR20 in patients with active RA who had an inadequate response to TNF-inhibitors. Secukinumab demonstrated a safety profile similar to other biologics currently approved for RA. Funding Novartis Pharma AG. Trial registration ClinicalTrials.gov identifier: NCT01377012. Electronic supplementary material The online version of this article (doi:10.1007/s40744-017-0086-y) contains supplementary material, which is available to authorized users.
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Affiliation(s)
| | - Atul Deodhar
- Oregon Health and Science University, Portland, OR, USA
| | | | | | - Jacob Aelion
- West Tennessee Research Institute, Jackson, TN, USA
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Yazdany J, Robbins M, Schmajuk G, Desai S, Lacaille D, Neogi T, Singh JA, Genovese M, Myslinski R, Fisk N, Francisco M, Newman E. Development of the American College of Rheumatology's Rheumatoid Arthritis Electronic Clinical Quality Measures. Arthritis Care Res (Hoboken) 2017; 68:1579-1590. [PMID: 27564778 DOI: 10.1002/acr.22984] [Citation(s) in RCA: 35] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/30/2016] [Revised: 05/23/2016] [Accepted: 07/27/2016] [Indexed: 01/25/2023]
Abstract
OBJECTIVE Electronic clinical quality measures (eCQMs) rely on computer algorithms to extract data from electronic health records (EHRs). On behalf of the American College of Rheumatology (ACR), we sought to develop and test eCQMs for rheumatoid arthritis (RA). METHODS Drawing from published ACR guidelines, a working group developed candidate RA process measures and subsequently assessed face validity through an interdisciplinary panel of health care stakeholders. A public comment period followed. Measures that passed these levels of review were electronically specified using the quality data model, which provides standard nomenclature for data elements (category, datatype, and value sets) obtained through an EHR. For each eCQM, 3 clinical sites using different EHR systems tested the scientific feasibility and validity of measures. Measures appropriate for accountability were presented for national endorsement. RESULTS Expert panel validity ratings were high for all measures (median 8-9 of 9). Health system performance on the eCQMs was 53.6% for RA disease activity assessment, 69.1% for functional status assessment, 93.1% for disease-modifying antirheumatic drug (DMARD) use, and 72.8% for tuberculosis screening. Kappa statistics, which evaluated whether the eCQM validly captured data obtained from manual EHR chart review, demonstrated moderate to substantial agreement (0.54 for functional status assessment, 0.73 for tuberculosis screening, 0.84 for disease activity, and 0.85 for DMARD use). CONCLUSION Four eCQMs for RA have achieved national endorsement and are recommended for use in federal quality reporting programs. Implementation and further refinement of these measures is ongoing in the ACR's registry, the Rheumatology Informatics System for Effectiveness (RISE).
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Affiliation(s)
| | - Mark Robbins
- Harvard Vanguard Medical Associates, Atrius Health, Somerville, Massachusetts
| | | | - Sonali Desai
- Brigham & Women's Hospital, Boston, Massachusetts
| | - Diane Lacaille
- University of British Columbia, Arthritis Research Centre of Canada, Vancouver, British Columbia, Canada
| | - Tuhina Neogi
- Boston University School of Medicine, Boston, Massachusetts
| | | | - Mark Genovese
- Stanford University Medical Center, Palo Alto, California
| | | | - Natalie Fisk
- American College of Rheumatology, Atlanta, Georgia
| | | | - Eric Newman
- Geisinger Medical Center, Danville, Pennsylvania
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Nash P, Kirkham B, Okada M, Rahman P, Combe B, Burmester GR, Adams DH, Kerr L, Lee C, Shuler CL, Genovese M. Ixekizumab for the treatment of patients with active psoriatic arthritis and an inadequate response to tumour necrosis factor inhibitors: results from the 24-week randomised, double-blind, placebo-controlled period of the SPIRIT-P2 phase 3 trial. Lancet 2017; 389:2317-2327. [PMID: 28551073 DOI: 10.1016/s0140-6736(17)31429-0] [Citation(s) in RCA: 269] [Impact Index Per Article: 38.4] [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] [Received: 04/13/2017] [Revised: 05/10/2017] [Accepted: 05/10/2017] [Indexed: 01/13/2023]
Abstract
BACKGROUND Patients who have had inadequate response to tumour necrosis factor inhibitors have fewer treatment options and are generally more treatment refractory to subsequent therapeutic interventions than previously untreated patients. We report the efficacy and safety of ixekizumab, a monoclonal antibody that selectively targets interleukin-17A, in patients with active psoriatic arthritis and previous inadequate response to tumour necrosis factor inhibitors. METHODS In this double-blind, multicentre, randomised, placebo-controlled, phase 3 study (SPIRIT-P2), patients were recruited from 109 centres across ten countries in Asia, Australia, Europe, and North America. Patients were aged 18 years or older, had a confirmed diagnosis of psoriatic arthritis for at least 6 months, and had a previous inadequate response, distinguished by being refractory to therapy or had loss of efficacy, or were intolerant to tumour necrosis factor inhibitors. Patients were randomly assigned (1:1:1) by a computer-generated random sequence to receive a subcutaneous injection of 80 mg ixekizumab every 4 weeks or every 2 weeks after a 160 mg starting dose or placebo. The primary endpoint was the proportion of patients who attained at least 20% improvement in the American College of Rheumatology response criteria (ACR-20) at week 24. This study is registered with ClinicalTrials.gov, number NCT02349295. FINDINGS Between March 3, 2015, to March 22, 2016, 363 patients were randomly assigned to placebo (n=118), ixekizumab every 4 weeks (n=122), or ixekizumab every 2 weeks (n=123). At week 24, a higher proportion of patients attained ACR-20 with ixekizumab every 4 weeks (65 [53%] patients; effect size vs placebo 33·8% [95% CI 22·4-45·2]; p<0·0001) and ixekizumab every 2 weeks (59 [48%] patients; 28.5% [17·1-39.8]; p<0·0001) than did patients with placebo (23 [20%] patients). Up to week 24, serious adverse events were reported in three (3%) patients with ixekizumab every 4 weeks, eight (7%) with ixekizumab every 2 weeks, and four (3%) with placebo; no deaths were reported. Infections were reported in 47 (39%) patients with ixekizumab every 4 weeks, 47 (38%) with ixekizumab every 2 weeks, and 35 (30%) with placebo. Three (2%) serious infections, all in patients in the ixekizumab every 2 weeks group, were reported. INTERPRETATION Both the 2-week and 4-week ixekizumab dosing regimens improved the signs and symptoms of patients with active psoriatic arthritis and who had previously inadequate response to tumour necrosis factor inhibitors, with a safety profile consistent with previous studies investigating ixekizumab. FUNDING Eli Lilly and Company.
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Affiliation(s)
- Peter Nash
- Department of Medicine, University of Queensland, Rheumatology Research Unit, Sunshine Coast, QLD, Australia.
| | - Bruce Kirkham
- Guy's and St Thomas' NHS Foundation Trust, London, UK
| | - Masato Okada
- Immuno-Rheumatology Center, St Luke's International University, St Luke's International Hospital, Tokyo, Japan
| | - Proton Rahman
- Department of Medicine, Memorial University, St Clare's Mercy Hospital, St John's, NL, Canada
| | - Benard Combe
- Departement of Rheumatology, Lapeyronie Hospital, Montpellier Université, Montpelier, France
| | - Gerd-Ruediger Burmester
- Department of Rheumatology and Clinical Immunology, Charite University Medicine Berlin, Campus Mitte, Berlin, Germany
| | | | - Lisa Kerr
- Eli Lilly and Company, Indianapolis, IN, USA
| | - Chin Lee
- Eli Lilly and Company, Indianapolis, IN, USA
| | | | - Mark Genovese
- Department of Medicine, Stanford University, Palo Alto, CA, USA
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Piacentini F, Avella A, Levi MP, Gramegna M, Brida G, Degiovanni IP, Cohen E, Lussana R, Villa F, Tosi A, Zappa F, Genovese M. Measuring Incompatible Observables by Exploiting Sequential Weak Values. Phys Rev Lett 2016; 117:170402. [PMID: 27824450 DOI: 10.1103/physrevlett.117.170402] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/04/2016] [Indexed: 06/06/2023]
Abstract
One of the most intriguing aspects of quantum mechanics is the impossibility of measuring at the same time observables corresponding to noncommuting operators, because of quantum uncertainty. This impossibility can be partially relaxed when considering joint or sequential weak value evaluation. Indeed, weak value measurements have been a real breakthrough in the quantum measurement framework that is of the utmost interest from both a fundamental and an applicative point of view. In this Letter, we show how we realized for the first time a sequential weak value evaluation of two incompatible observables using a genuine single-photon experiment. These (sometimes anomalous) sequential weak values revealed the single-operator weak values, as well as the local correlation between them.
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Affiliation(s)
- F Piacentini
- INRIM, Strada delle Cacce 91, I-10135 Torino, Italy
| | - A Avella
- INRIM, Strada delle Cacce 91, I-10135 Torino, Italy
| | - M P Levi
- INRIM, Strada delle Cacce 91, I-10135 Torino, Italy
| | - M Gramegna
- INRIM, Strada delle Cacce 91, I-10135 Torino, Italy
| | - G Brida
- INRIM, Strada delle Cacce 91, I-10135 Torino, Italy
| | | | - E Cohen
- Wills Physics Laboratory, University of Bristol, Tyndall Avenue, Bristol BS8 1TL, United Kingdom
| | - R Lussana
- Politecnico di Milano, Dipartimento di Elettronica, Informazione e Bioingegneria, Piazza Leonardo da Vinci 32, 20133 Milano, Italy
| | - F Villa
- Politecnico di Milano, Dipartimento di Elettronica, Informazione e Bioingegneria, Piazza Leonardo da Vinci 32, 20133 Milano, Italy
| | - A Tosi
- Politecnico di Milano, Dipartimento di Elettronica, Informazione e Bioingegneria, Piazza Leonardo da Vinci 32, 20133 Milano, Italy
| | - F Zappa
- Politecnico di Milano, Dipartimento di Elettronica, Informazione e Bioingegneria, Piazza Leonardo da Vinci 32, 20133 Milano, Italy
| | - M Genovese
- INRIM, Strada delle Cacce 91, I-10135 Torino, Italy and INFN, Via P. Giuria 1, I-10125 Torino, Italy
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Smolen J, Genovese M, Takeuchi T, Hyslop D, Macias W, Rooney T, Chen L, Dickson C, Riddle J, Cardillo T, Winthrop K. THU0166 Safety Profile of Baricitinib in Patients with Active RA: An Integrated Analysis: Table 1. Ann Rheum Dis 2016. [DOI: 10.1136/annrheumdis-2016-eular.1612] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
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Genovese M, Westhovens R, Kavanaugh A, Meuleners L, Van der AA, Harrison P, Tasset C. THU0167 The Effect of Filgotinib (GLPG0634), An Oral Jak1 Selective Inhibitor on Patient-Reported Outcomes: Results from Two 24-Week Phase 2b Dose Ranging Studies: Table 1. Ann Rheum Dis 2016. [DOI: 10.1136/annrheumdis-2016-eular.3894] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
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Abstract
Non-steroidal anti-inflammatory drugs (NSAIDs) are widely prescribed medications for relief of pain and inflammation. Recent animal studies using models of fracture healing and bone ingrowth suggest that NSAIDs (both non-selective NSAIDs and selective COX-2 inhibitors) adversely affect these bone-related processes. The dose and time-relationships of these medications and their resulting effects on bone have not yet been fully elucidated. Furthermore, whether COX-2 inhibitors and non-selective NSAIDs lead to clinically relevant adverse effects on bone healing in humans is unknown.
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Affiliation(s)
- S B Goodman
- Dept Orthopaedic Surgery and Div Immunol Rheumatol, Stanford University Medical Center, Stanford, CA 94305, USA.
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23
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Takeuchi T, Genovese M, Xie L, Issa M, Pinto Correia A, Rooney T, Emoto K, Smolen J. OP0228 Baricitinib Dose Step-Down Following Disease Control in Patients with Rheumatoid Arthritis:. Ann Rheum Dis 2016. [DOI: 10.1136/annrheumdis-2016-eular.1610] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
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24
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Fleischmann R, Genovese M, Keystone E, Weinblatt M, Rancourt J, Nantz E, Schlichting D, Zuckerman S, Macias W, Taylor P. THU0201 Weak Correlation between A Multi-Biomarker Disease Activity Score and Clinical Response with Baricitinib in A Phase 2b Study in Rheumatoid Arthritis:. Ann Rheum Dis 2016. [DOI: 10.1136/annrheumdis-2016-eular.1488] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
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Genovese M, Fleischmann R, Furst D, Janssen N, Carter J, Dasgupta B, Pitzalis C, Vasyutin I, Kaviarasu T, Krotkova A, Durez P. SAT0148 Improvements in Patient-Reported Outcomes with Olokizumab Treatment in Patients with Active, Moderate To Severe Rheumatoid Arthritis Who Had Failed Previous Anti-TNF Therapy: Results from The Ra0056 Double-Blind, Randomized Controlled Study, and RA0057, Its Open-Label Extension. Ann Rheum Dis 2016. [DOI: 10.1136/annrheumdis-2016-eular.3602] [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: 11/03/2022]
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Crisafi F, Genovese M, Smedile F, Russo D, Catalfamo M, Yakimov M, Giuliano L, Denaro R. Bioremediation technologies for polluted seawater sampled after an oil-spill in Taranto Gulf (Italy): A comparison of biostimulation, bioaugmentation and use of a washing agent in microcosm studies. Mar Pollut Bull 2016; 106:119-126. [PMID: 26992747 DOI: 10.1016/j.marpolbul.2016.03.017] [Citation(s) in RCA: 22] [Impact Index Per Article: 2.8] [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: 12/01/2015] [Revised: 03/08/2016] [Accepted: 03/09/2016] [Indexed: 06/05/2023]
Abstract
One of the main challenges of bioremediation is to define efficient protocols having a low environmental impact. We have investigated the effect of three treatments in oily-seawater after a real oil-spill occurred in the Gulf of Taranto (Italy). Biostimulation with inorganic nutrients allowed the biodegradation of the 73±2.4% of hydrocarbons, bioaugmentation with a selected hydrocarbonoclastic consortium consisting of Alcanivorax borkumensis, Alcanivorax dieselolei, Marinobacter hydrocarbonoclasticus, Cycloclasticus sp. 78-ME and Thalassolituus oleivorans degraded 79±3.2%, while the addition of nutrients and a washing agent has allowed the degradation of the 69±2.6%. On the other hand, microbial community was severely affected by the addition of the washing agent and the same product seemed to inhibit the growth of the majority of strains composing the selected consortium at the tested concentration. The use of dispersant should be accurately evaluated also considering its effect on the principal actors of biodegradation.
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Affiliation(s)
- F Crisafi
- Institute for Coastal Marine Environment CNR, Sp.ta S. Raineri 86, 98122 Messina, Italy
| | - M Genovese
- Institute for Coastal Marine Environment CNR, Sp.ta S. Raineri 86, 98122 Messina, Italy
| | - F Smedile
- Institute for Coastal Marine Environment CNR, Sp.ta S. Raineri 86, 98122 Messina, Italy
| | - D Russo
- Institute for Coastal Marine Environment CNR, Sp.ta S. Raineri 86, 98122 Messina, Italy
| | - M Catalfamo
- Institute for Coastal Marine Environment CNR, Sp.ta S. Raineri 86, 98122 Messina, Italy
| | - M Yakimov
- Institute for Coastal Marine Environment CNR, Sp.ta S. Raineri 86, 98122 Messina, Italy
| | - L Giuliano
- Institute for Coastal Marine Environment CNR, Sp.ta S. Raineri 86, 98122 Messina, Italy
| | - R Denaro
- Institute for Coastal Marine Environment CNR, Sp.ta S. Raineri 86, 98122 Messina, Italy.
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Piacentini F, Avella A, Levi MP, Lussana R, Villa F, Tosi A, Zappa F, Gramegna M, Brida G, Degiovanni IP, Genovese M. Experiment Investigating the Connection between Weak Values and Contextuality. Phys Rev Lett 2016; 116:180401. [PMID: 27203309 DOI: 10.1103/physrevlett.116.180401] [Citation(s) in RCA: 4] [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: 02/05/2016] [Indexed: 06/05/2023]
Abstract
Weak value measurements have recently given rise to a great amount of interest in both the possibility of measurement amplification and the chance for further quantum mechanics foundations investigation. In particular, a question emerged about weak values being proof of the incompatibility between quantum mechanics and noncontextual hidden variables theories (NCHVTs). A test to provide a conclusive answer to this question was given by Pusey [Phys. Rev. Lett. 113, 200401 (2014)], where a theorem was derived showing the NCHVT incompatibility with the observation of anomalous weak values under specific conditions. In this Letter we realize this proposal, clearly pointing out the connection between weak values and the contextual nature of quantum mechanics.
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Affiliation(s)
- F Piacentini
- INRIM, Strada delle Cacce 91, I-10135 Torino, Italy
| | - A Avella
- INRIM, Strada delle Cacce 91, I-10135 Torino, Italy
| | - M P Levi
- INRIM, Strada delle Cacce 91, I-10135 Torino, Italy
| | - R Lussana
- Politecnico di Milano, Dipartimento di Elettronica, Informazione e Bioingegneria, Piazza Leonardo da Vinci 32, 20133 Milano, Italy
| | - F Villa
- Politecnico di Milano, Dipartimento di Elettronica, Informazione e Bioingegneria, Piazza Leonardo da Vinci 32, 20133 Milano, Italy
| | - A Tosi
- Politecnico di Milano, Dipartimento di Elettronica, Informazione e Bioingegneria, Piazza Leonardo da Vinci 32, 20133 Milano, Italy
| | - F Zappa
- Politecnico di Milano, Dipartimento di Elettronica, Informazione e Bioingegneria, Piazza Leonardo da Vinci 32, 20133 Milano, Italy
| | - M Gramegna
- INRIM, Strada delle Cacce 91, I-10135 Torino, Italy
| | - G Brida
- INRIM, Strada delle Cacce 91, I-10135 Torino, Italy
| | | | - M Genovese
- INRIM, Strada delle Cacce 91, I-10135 Torino, Italy
- INFN, Via P. Giuria 1, I-10125 Torino, Italy
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Gentile G, Bonsignore M, Santisi S, Catalfamo M, Giuliano L, Genovese L, Yakimov MM, Denaro R, Genovese M, Cappello S. Biodegradation potentiality of psychrophilic bacterial strain Oleispira antarctica RB-8(T). Mar Pollut Bull 2016; 105:125-130. [PMID: 26912198 DOI: 10.1016/j.marpolbul.2016.02.041] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/20/2015] [Revised: 01/28/2016] [Accepted: 02/15/2016] [Indexed: 06/05/2023]
Abstract
The present study is focused on assessing the growth and hydrocarbon-degrading capability of the psychrophilic strain Oleispira antarctica RB-8(T). This study considered six hydrocarbon mixtures that were tested for 22days at two different cultivation temperatures (4 and 15°C). During the incubation period, six sub-aliquots of each culture at different times were processed for total bacterial abundance and GC-FID (gas chromatography-flame ionization detection) hydrocarbon analysis. Results from DNA extraction and DAPI (4',6-diamidino-2-phenylindole) staining showed a linear increase during the first 18days of the experiment in almost all the substrates used; both techniques showed a good match, but the difference in values obtained was approximately one order of magnitude. GC-FID results revealed a substantial hydrocarbon degradation rate in almost all hydrocarbon sources and in particular at 15°C rather than 4°C (for commercial oil engine, oily waste, fuel jet, and crude oil). A more efficient degradation was observed in cultures grown with diesel and bilge water at 4°C.
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Affiliation(s)
- G Gentile
- Institute for Coastal Marine Environment (IAMC)-CNR of Messina, Messina, Italy.
| | - M Bonsignore
- Institute for Coastal Marine Environment (IAMC)-CNR of Messina, Messina, Italy
| | - S Santisi
- Institute for Coastal Marine Environment (IAMC)-CNR of Messina, Messina, Italy; Ph.D School in "Biology and Cellular Biotechnology" of University of Messina, Messina, Italy
| | - M Catalfamo
- Institute for Coastal Marine Environment (IAMC)-CNR of Messina, Messina, Italy
| | - L Giuliano
- Institute for Coastal Marine Environment (IAMC)-CNR of Napoli, Naples, Italy
| | - L Genovese
- Institute for Coastal Marine Environment (IAMC)-CNR of Messina, Messina, Italy
| | - M M Yakimov
- Institute for Coastal Marine Environment (IAMC)-CNR of Messina, Messina, Italy
| | - R Denaro
- Institute for Coastal Marine Environment (IAMC)-CNR of Messina, Messina, Italy
| | - M Genovese
- Institute for Coastal Marine Environment (IAMC)-CNR of Messina, Messina, Italy
| | - S Cappello
- Institute for Coastal Marine Environment (IAMC)-CNR of Messina, Messina, Italy
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Avella A, Ruo-Berchera I, Degiovanni IP, Brida G, Genovese M. Absolute calibration of an EMCCD camera by quantum correlation, linking photon counting to the analog regime. Opt Lett 2016; 41:1841-1844. [PMID: 27082359 DOI: 10.1364/ol.41.001841] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/05/2023]
Abstract
We show how the same setup and procedure, exploiting spatially multimode quantum correlations, allows the absolute calibration of an electron-multiplying charge-coupled (EMCCD) camera from the analog regime down to the single-photon-counting level, just by adjusting the brightness of the quantum source. At the single-photon level, an EMCCD can be operated as an on-off detector, where quantum efficiency depends on the discriminating threshold. We develop a simple model to explain the connection of the two different regimes demonstrating that the efficiency estimated in the analog (bright) regime allows us to accurately predict the detector behavior in the photocounting regime and vice versa. This work establishes a bridge between two regions of the optical measurements that up to now have been based on completely different standards, detectors, and measurement techniques.
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Wampler Muskardin T, Vashisht P, Dorschner JM, Jensen MA, Chrabot BS, Kern M, Curtis JR, Danila MI, Cofield SS, Shadick N, Nigrovic PA, St Clair EW, Bingham CO, Furie R, Robinson W, Genovese M, Striebich CC, O'Dell JR, Thiele GM, Moreland LW, Levesque M, Bridges SL, Gregersen PK, Niewold TB. Increased pretreatment serum IFN-β/α ratio predicts non-response to tumour necrosis factor α inhibition in rheumatoid arthritis. Ann Rheum Dis 2015; 75:1757-62. [PMID: 26546586 DOI: 10.1136/annrheumdis-2015-208001] [Citation(s) in RCA: 32] [Impact Index Per Article: 3.6] [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: 05/28/2015] [Accepted: 10/18/2015] [Indexed: 02/02/2023]
Abstract
OBJECTIVE Studies suggest that circulating type I interferon (IFN) may predict response to biological agents in rheumatoid arthritis (RA). Prediction of response prior to initiating therapy would represent a major advancement. METHODS We studied sera from a test set of 32 patients with RA from the Auto-immune Biomarkers Collaborative Network Consortium and a validation set of 92 patients with RA from the Treatment Efficacy and Toxicity in Rheumatoid Arthritis Database and Repository registry. The test set included those with good response or no response to tumour necrosis factor (TNF) inhibitors at 14 weeks by European League Against Rheumatism criteria. The validation set included subjects with good, moderate or no response at 12 weeks. Total serum type I IFN activity, IFN-α and IFN-β activity were measured using a functional reporter cell assay. RESULTS In the test set, an increased ratio of IFN-β to IFN-α (IFN-β/α activity ratio) in pretreatment serum associated with lack of response to TNF inhibition (p=0.013). Anti-cyclic citrullinated peptide antibody titre and class of TNF inhibitor did not influence this relationship. A receiver-operator curve supported a ratio of 1.3 as the optimal cut-off. In the validation set, subjects with an IFN-β/α activity ratio >1.3 were significantly more likely to have non-response than good response (OR=6.67, p=0.018). The test had 77% specificity and 45% sensitivity for prediction of non-response compared with moderate or good response. Meta-analysis of test and validation sets confirmed strong predictive capacity of IFN-β/α activity ratio (p=0.005). CONCLUSIONS Increased pretreatment serum IFN-β/α ratio strongly associated with non-response to TNF inhibition. This study supports further investigation of serum type I IFN in predicting outcome of TNF inhibition in RA.
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Affiliation(s)
| | - Priyanka Vashisht
- Division of Rheumatology, University of Nebraska Medical Center, Omaha, USA
| | | | - Mark A Jensen
- Division of Rheumatology, Mayo Clinic, Rochester, Minnesota, USA
| | - Beverly S Chrabot
- Gwen Knapp Center for Lupus and Immunology Research, University of Chicago, Chicago, Illinois, USA
| | - Marlena Kern
- Center for Genomics and Human Genetics, Feinstein Institute Medical Research, North Shore LIJ Health System, New York, New York, USA
| | - Jeffrey R Curtis
- Division of Clinical Immunology and Rheumatology, University of Alabama, Birmingham, Alabama, USA
| | - Maria I Danila
- Division of Clinical Immunology and Rheumatology, University of Alabama, Birmingham, Alabama, USA
| | - Stacey S Cofield
- Division of Clinical Immunology and Rheumatology, University of Alabama, Birmingham, Alabama, USA
| | - Nancy Shadick
- Division of Rheumatology, Immunology and Allergy, Brigham and Women's Hospital, Boston, Massachusetts, USA
| | - Peter A Nigrovic
- Division of Rheumatology, Immunology and Allergy, Brigham and Women's Hospital, Boston, Massachusetts, USA
| | | | - Clifton O Bingham
- Divisions of Rheumatology and Allergy, Johns Hopkins University, Baltimore, USA
| | - Richard Furie
- Division of Rheumatology and Allergy-Clinical Immunology, North Shore-LIJ Health System, Lake success, New York, USA
| | - William Robinson
- Division of Immunology and Rheumatology, Stanford University, Stanford, California, USA
| | - Mark Genovese
- Division of Immunology and Rheumatology, Stanford University, Stanford, California, USA
| | | | - James R O'Dell
- Division of Rheumatology, University of Nebraska Medical Center, Omaha, USA
| | - Geoffrey M Thiele
- Division of Rheumatology, University of Nebraska Medical Center, Omaha, USA
| | - Larry W Moreland
- Division of Rheumatology, University of Pittsburgh, Pittsburgh, Pennsylvania, USA
| | - Marc Levesque
- Division of Rheumatology, University of Pittsburgh, Pittsburgh, Pennsylvania, USA
| | - S Louis Bridges
- Division of Clinical Immunology and Rheumatology, University of Alabama, Birmingham, Alabama, USA
| | - Peter K Gregersen
- Center for Genomics and Human Genetics, Feinstein Institute Medical Research, North Shore LIJ Health System, New York, New York, USA
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Affiliation(s)
- Mark Genovese
- Stanford University, Rheumatology, 1000 Welch Road #203, Palo Alto, California 94304, USA.
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Moreva E, Brida G, Gramegna M, Giovannetti V, Maccone L, Genovese M. The time as an emergent property of quantum mechanics, a synthetic description of a first experimental approach. ACTA ACUST UNITED AC 2015. [DOI: 10.1088/1742-6596/626/1/012019] [Citation(s) in RCA: 3] [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: 11/12/2022]
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Nair N, Mei HE, Chen SY, Hale M, Nolan GP, Maecker HT, Genovese M, Fathman CG, Whiting CC. Mass cytometry as a platform for the discovery of cellular biomarkers to guide effective rheumatic disease therapy. Arthritis Res Ther 2015; 17:127. [PMID: 25981462 PMCID: PMC4436107 DOI: 10.1186/s13075-015-0644-z] [Citation(s) in RCA: 42] [Impact Index Per Article: 4.7] [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] [Indexed: 01/15/2023] Open
Abstract
The development of biomarkers for autoimmune diseases has been hampered by a lack of understanding of disease etiopathogenesis and of the mechanisms underlying the induction and maintenance of inflammation, which involves complex activation dynamics of diverse cell types. The heterogeneous nature and suboptimal clinical response to treatment observed in many autoimmune syndromes highlight the need to develop improved strategies to predict patient outcome to therapy and personalize patient care. Mass cytometry, using CyTOF®, is an advanced technology that facilitates multiparametric, phenotypic analysis of immune cells at single-cell resolution. In this review, we outline the capabilities of mass cytometry and illustrate the potential of this technology to enhance the discovery of cellular biomarkers for rheumatoid arthritis, a prototypical autoimmune disease.
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Affiliation(s)
- Nitya Nair
- Department of Microbiology and Immunology, Stanford University, Stanford, CA, 94305, USA. .,Division of Immune Monitoring and Biomarker Development, Aduro BioTech, Inc., Berkeley, CA, 94710, USA. .,Department of Medicine, Stanford University, Stanford, CA, 94305, USA.
| | - Henrik E Mei
- Institute for Immunity, Transplantation and Infection, Stanford University, Stanford, CA, 94305, USA.
| | - Shih-Yu Chen
- Department of Microbiology and Immunology, Stanford University, Stanford, CA, 94305, USA.
| | - Matthew Hale
- Department of Microbiology and Immunology, Stanford University, Stanford, CA, 94305, USA.
| | - Garry P Nolan
- Department of Microbiology and Immunology, Stanford University, Stanford, CA, 94305, USA.
| | - Holden T Maecker
- Institute for Immunity, Transplantation and Infection, Stanford University, Stanford, CA, 94305, USA.
| | - Mark Genovese
- Department of Medicine, Stanford University, Stanford, CA, 94305, USA.
| | | | - Chan C Whiting
- Division of Immune Monitoring and Biomarker Development, Aduro BioTech, Inc., Berkeley, CA, 94710, USA. .,Department of Medicine, Stanford University, Stanford, CA, 94305, USA.
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Piacentini F, Levi MP, Avella A, López M, Kück S, Polyakov SV, Degiovanni IP, Brida G, Genovese M. Positive operator-valued measure reconstruction of a beam-splitter tree-based photon-number-resolving detector. Opt Lett 2015; 40:1548-1551. [PMID: 25831381 DOI: 10.1364/ol.40.001548] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/04/2023]
Abstract
Here we present a reconstruction of the positive operator-value measurement of a photon-number-resolving detector comprised of three 50∶50 beam-splitters in a tree configuration, terminated with four single-photon avalanche detectors. The four detectors' outputs are processed by an electronic board that discriminates detected photon number states from 0 to 4 and implements a "smart counting" routine to compensate for dead time issues at high count rates.
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Genovese M, Adenier G, Calonico D, Degiovanni IP, Micalizio S, Ruo Berchera I, Traina P. Overcoming classical measurement limits through entanglement in photon number: an introduction. EPJ Web of Conferences 2015. [DOI: 10.1051/epjconf/20159503011] [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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Gatto Monticone D, Katamadze K, Traina P, Moreva E, Forneris J, Ruo-Berchera I, Olivero P, Degiovanni IP, Brida G, Genovese M. Beating the Abbe diffraction limit in confocal microscopy via nonclassical photon statistics. Phys Rev Lett 2014; 113:143602. [PMID: 25325642 DOI: 10.1103/physrevlett.113.143602] [Citation(s) in RCA: 32] [Impact Index Per Article: 3.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/20/2014] [Indexed: 06/04/2023]
Abstract
We experimentally demonstrate quantum enhanced resolution in confocal fluorescence microscopy exploiting the nonclassical photon statistics of single nitrogen-vacancy color centers in diamond. By developing a general model of superresolution based on the direct sampling of the kth-order autocorrelation function of the photoluminescence signal, we show the possibility to resolve, in principle, arbitrarily close emitting centers.
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Affiliation(s)
- D Gatto Monticone
- Physics Department and NIS Inter-departmental Centre-University of Torino, I-10125 Torino, Italy and Istituto Nazionale di Fisica Nucleare (INFN) Sezione Torino, I-10125 Torino, Italy and Consorzio Nazionale Interuniversitario per le Scienze Fisiche della Materia (CNISM) Sezione Torino, I-10125 Torino, Italy
| | - K Katamadze
- M. V. Lomonosov Moscow State University, 119991 Moscow, Russia and Russian Academy of Sciences, Institute of Physics and Technology, 117218 Moscow, Russia
| | - P Traina
- Istituto Nazionale di Ricerca Metrologica (INRiM), I-10135 Torino, Italy
| | - E Moreva
- Istituto Nazionale di Ricerca Metrologica (INRiM), I-10135 Torino, Italy and International Laser Center of M. V. Lomonosov Moscow State University, 119991 Moscow, Russia
| | - J Forneris
- Physics Department and NIS Inter-departmental Centre-University of Torino, I-10125 Torino, Italy and Istituto Nazionale di Fisica Nucleare (INFN) Sezione Torino, I-10125 Torino, Italy and Consorzio Nazionale Interuniversitario per le Scienze Fisiche della Materia (CNISM) Sezione Torino, I-10125 Torino, Italy
| | - I Ruo-Berchera
- Istituto Nazionale di Ricerca Metrologica (INRiM), I-10135 Torino, Italy
| | - P Olivero
- Physics Department and NIS Inter-departmental Centre-University of Torino, I-10125 Torino, Italy and Istituto Nazionale di Fisica Nucleare (INFN) Sezione Torino, I-10125 Torino, Italy and Consorzio Nazionale Interuniversitario per le Scienze Fisiche della Materia (CNISM) Sezione Torino, I-10125 Torino, Italy
| | - I P Degiovanni
- Istituto Nazionale di Ricerca Metrologica (INRiM), I-10135 Torino, Italy
| | - G Brida
- Istituto Nazionale di Ricerca Metrologica (INRiM), I-10135 Torino, Italy
| | - M Genovese
- Consorzio Nazionale Interuniversitario per le Scienze Fisiche della Materia (CNISM) Sezione Torino, I-10125 Torino, Italy and Istituto Nazionale di Ricerca Metrologica (INRiM), I-10135 Torino, Italy
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Crisafi F, Denaro R, Genovese M, Yakimov M, Genovese L. Application of relative real-time PCR to detect differential expression of virulence genes in Vibrio anguillarum under standard and stressed growth conditions. J Fish Dis 2014; 37:629-640. [PMID: 24033758 DOI: 10.1111/jfd.12158] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/15/2013] [Revised: 06/27/2013] [Accepted: 06/30/2013] [Indexed: 06/02/2023]
Abstract
In this study, we aimed to understand whether abiotic factors affect the expression of virulence genes in Vibrio anguillarum. We observed the in vitro responses of two Mediterranean strains of V. anguillarum to temperature, NaCl and iron concentration changes. We monitored growth performance and gene transcription levels by comparing the results obtained under stressed conditions (temperatures of 5 °C, 15 °C and 37 °C; NaCl concentrations of 3% and 5%; and iron depletion and excess) with those obtained under standard growth conditions (25 °C, 1.5% NaCl and 0.6 μm of iron). The results showed that the strains respond differently. The strain 975/I was most strongly affected by conditions of 15 °C and iron depletion; these conditions induced increased transcription levels of empA, angR and fatA. Growth of the strain 17/I was inhibited at 15 °C and in iron depletion conditions; this strain also showed dramatic changes in the transcription levels of toxR and tonB2 under increased NaCl concentrations. These results demonstrate that environmental stress affects the expression of virulence genes in V. anguillarum that have implications for the competitiveness, stress tolerance and the ability of V. anguillarum to cause infection.
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Affiliation(s)
- F Crisafi
- Institute for Coastal Marine Environment (IAMC), CNR, Messina, Italy
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Genovese M, Fleischmann R, Kivitz A, Rell-Bakalarska M, Martincova R, Fiore S, Rohane P, van Hoogstraten H, Fan C, van Adelsberg J, Weinstein S, Graham N, Stahl N, Yancopoulos G, Huizinga T, van der Heijde D. OP0028 Effects of Sarilumab plus MTX on Clinical, Radiographic, and Functional Endpoints in Patients with Moderate-To-Severe Rheumatoid Arthritis: Results of A Phase 3, Randomized, Double-Blind, Placebo-Controlled, International Study. Ann Rheum Dis 2014. [DOI: 10.1136/annrheumdis-2014-eular.3001] [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: 11/04/2022]
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Warren M, Hughes S, Flaim J, Singleton W, Yamashita M, Genovese M. THU0539 Isis-Crp Rx: Pharmacokinetics, Pharmacodynamics, Safety and Tolerability of an Antisense Oligonucleotide Specific for Inhibition of CRP in Inflammation. Ann Rheum Dis 2014. [DOI: 10.1136/annrheumdis-2014-eular.2538] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022]
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Han C, Keystone E, Fleischmann R, Smolen J, Matteson E, Emery P, Genovese M, Gathany T, Hsia E. THU0156 Impact of Golimumab on Physical Function and Employability of Patients with Rheumatoid Arthritis: 5-Year Data from 3 Phase III Clinical Trials. Ann Rheum Dis 2014. [DOI: 10.1136/annrheumdis-2014-eular.2535] [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: 11/04/2022]
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Genovese M, Greenwald M, Cho CS, Berman A, Jin L, Cameron G, Wang L, Xie L, Braun D, Berclaz PY, Banerjee S. OP0021 A phase 2 study of multiple subcutaneous doses of LY2439821, an anti-IL-17 monoclonal antibody, in patients with rheumatoid arthritis in two populations: Naïve to biologic therapy or inadequate responders to tumor necrosis factor alpha inhibitors. Ann Rheum Dis 2014. [DOI: 10.1136/annrheumdis-2012-eular.1704] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
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Genovese M, Sebba A, Rubbert-Roth A, Scali J, Alten R, Kremer J, Pitts L, Vernon E, van Vollenhoven R. FRI0256 Long-term safety of tocilizumab in patients with rheumatoid arthritis following a mean treatment duration of 3.9 years. Ann Rheum Dis 2014. [DOI: 10.1136/annrheumdis-2013-eular.1383] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
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Genovese M, Kellner H, Durez P, Codding C, Ligozio G, Richards H, Escrig C, Mpofu S. THU0111 Secukinumab treatment improves ACR50, HAQ-DI and eular remission rates in patients with rheumatoid arthritis. Ann Rheum Dis 2014. [DOI: 10.1136/annrheumdis-2012-eular.2076] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
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Genovese M, Pacheco Tena C, Covarrubias Cobos A, Leon G, Mysler E, Keiserman M, Valente R, Nash P, Simon Campos J, Box J, Legerton C, Nasonov E, Durez P, Delaet I, Elegbe A, Alten R. FRI0193 SC vs IV abatacept in RA: post-hoc efficacy analysis of long-term acquire (SC) data with aim (IV) data:. Ann Rheum Dis 2014. [DOI: 10.1136/annrheumdis-2012-eular.2650] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022]
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Genovese M, Carlier H, Erickson J, Braun D, Banerjee S. SAT0107 Efficacy and Safety After 64 Weeks of Ixekizumab Treatment in a Phase 2 Open Label Extension Study in Patients With Rheumatoid Arthritis. Ann Rheum Dis 2014. [DOI: 10.1136/annrheumdis-2013-eular.1833] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
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Keystone E, Taylor P, Genovese M, Schlichting D, Beattie S, Gaich C, Fidelus Gort R, Luchi M, Macias W. LB0005 12-week results of a phase 2B dose-ranging study of LY3009104 (INCB028050), an oral JAK1/JAK2 inhibitor, in combination with traditional dmards in patients with rheumatoid arthritis. Ann Rheum Dis 2014. [DOI: 10.1136/annrheumdis-2012-eular.1965] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022]
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Emery P, Keystone E, Fleischmann R, Genovese M, Klareskog L, Xu S, Han C, Hsia E. AB0486 New, provisional american college of rheumatology and european league against rheumatism remission criteria: Results from 2 randomized, controlled golimumab trials in patients with rheumatoid arthritis. Ann Rheum Dis 2014. [DOI: 10.1136/annrheumdis-2012-eular.486] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022]
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Kremer J, Li ZG, Hall S, Fleischmann R, Genovese M, Martin-Mola E, Isaacs JD, Gruben D, Wallenstein G, Krishnaswami S, Zwillich SH, Koncz T, Riese R, Bradley J. Tofacitinib in combination with nonbiologic disease-modifying antirheumatic drugs in patients with active rheumatoid arthritis: a randomized trial. Ann Intern Med 2013; 159:253-61. [PMID: 24026258 DOI: 10.7326/0003-4819-159-4-201308200-00006] [Citation(s) in RCA: 337] [Impact Index Per Article: 30.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/24/2022] Open
Abstract
BACKGROUND Many patients with rheumatoid arthritis (RA) do not achieve adequate and safe responses with disease-modifying antirheumatic drugs (DMARDs). Tofacitinib is a novel, oral, Janus kinase inhibitor that treats RA. OBJECTIVE To evaluate the efficacy and safety of tofacitinib in combination with nonbiologic DMARDs. DESIGN 1-year, double-blind, randomized trial (ClinicalTrials.gov: NCT00856544). SETTING 114 centers in 19 countries. PATIENTS 792 patients with active RA despite nonbiologic DMARD therapy. INTERVENTION Patients were randomly assigned 4:4:1:1 to oral tofacitinib, 5 mg or 10 mg twice daily, or placebo advanced to tofacitinib, 5 mg or 10 mg twice daily. MEASUREMENTS Primary end points were 20% improvement in American College of Rheumatology (ACR20) criteria; Disease Activity Score for 28-joint counts based on the erythrocyte sedimentation rate (DAS28-4[ESR]) of less than 2.6; DAS28-4(ESR)-defined remission, change in Health Assessment Questionnaire Disability Index (HAQ-DI) score, and safety assessments. RESULTS Mean treatment differences for ACR20 response rates (month 6) for the 5-mg and 10-mg tofacitinib groups compared with the combined placebo groups were 21.2% (95% CI, 12.2% to 30.3%; P < 0.001) and 25.8% (CI, 16.8% to 34.8%; P < 0.001), respectively. The HAQ-DI scores (month 3) and DAS28-4(ESR) less than 2.6 response rates (month 6) were also superior in the tofacitinib groups versus placebo. The incidence rates of serious adverse events for patients receiving 5-mg tofacitinib, 10-mg tofacitinib, or placebo were 6.9, 7.3, or 10.9 events per 100 patient-years of exposure, respectively. In the tofacitinib groups, 2 cases of tuberculosis, 2 cases of other opportunistic infections, 3 cardiovascular events, and 4 deaths occurred. Neutrophil counts decreased, hemoglobin and low- and high-density lipoprotein cholesterol levels increased, and serum creatinine levels had small increases in the tofacitinib groups. LIMITATIONS Placebo groups were smaller and of shorter duration. Patients received primarily methotrexate. The ability to assess drug combinations other than tofacitinib plus methotrexate was limited. CONCLUSION Tofacitinib improved disease control in patients with active RA despite treatment with nonbiologic DMARDs, primarily methotrexate. PRIMARY FUNDING SOURCE Pfizer.
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Meda A, Olivares S, Degiovanni IP, Brida G, Genovese M, Paris MGA. Revealing interference by continuous variable discordant states. Opt Lett 2013; 38:3099-3102. [PMID: 24104659 DOI: 10.1364/ol.38.003099] [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] [Subscribe] [Scholar Register] [Indexed: 06/02/2023]
Abstract
In general, a pair of uncorrelated Gaussian states mixed in a beam splitter (BS) produces a correlated state at the output. However, when the inputs are identical Gaussian states the output state is equal to the input, and no correlations appear, as the interference had not taken place. On the other hand, since physical phenomena do have observable effects, and the BS is there, a question arises on how to reveal the interference between the two beams. We prove theoretically and demonstrate experimentally that this is possible if at least one of the two beams is prepared in a discordant, i.e., Gaussian correlated, state with a third beam. We also apply the same technique to reveal the erasure of polarization information. Our experiment involves thermal states and the results show that Gaussian discordant states, even when they show a positive Glauber P-function, may be useful to achieve specific tasks.
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Strand V, Genovese M, Mallya U, Richards H, Mpofu S. AB0582 Improvements in health-related quality of life (HRQOL) in patients with rheumatoid arthritis (RA) receiving secukinumab: Results of a dose-finding study. Ann Rheum Dis 2013. [DOI: 10.1136/annrheumdis-2012-eular.582] [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: 11/03/2022]
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