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Turri M, Buono R, Basaldella F, Alessandrini L, Arcaro C, Tramontano V, Romito S, Squintani G. 66. Accuracy of neurophysiological tests in patients with neurological diseases and pelvic floor symptoms: Which tests for which patients? Clin Neurophysiol 2017. [DOI: 10.1016/j.clinph.2017.09.073] [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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Ückert S, la Croce G, Bettiga A, Albrecht K, Buono R, Benigni F, Kuczyk MA, Hedlund P. Expression and distribution of key proteins of the endocannabinoid system in the human seminal vesicles. Andrologia 2017; 50. [PMID: 28786134 DOI: 10.1111/and.12875] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 06/01/2017] [Indexed: 12/25/2022] Open
Abstract
The endocannabinoid system (ECS), comprising the cannabinoid receptors (CBR), their ligands, and enzymes controlling the turnover of endocannabinoids, has been suggested to be involved in male reproductive function. As information is scarce on the expression of the ECS in human male reproductive tissues, this study aimed to investigate by means of molecular biology (RT-PCR) and immunohistochemistry/immunofluorescence the expression and distribution of CB1 and CB2, GPR55 (an orphan G protein-coupled receptor that recognises cannabinoid ligands) and FAAH (isoforms 1 and 2) in the human seminal vesicles (SV). The specimens expressed PCR products corresponding to CB1 (66 bp), CB2 (141 bp), GPR55 (112 bp), FAAH1 (260 bp) and FAAH2 (387 bp). Immumohistochemistry revealed dense expression of CB1, CB2 and GPR55 located to the pseudo-stratified columnar epithelium and varicose nerves (also characterised by the expression of vasoactive intestinal polypeptide and calcitonin gene-related peptide). Cytosolic staining for FAAH1 and FAAH2 was seen in cuboidal cells of all layers of the epithelium. No immunoreactivity was detected in the smooth musculature or nerve fibres. CB1, CB2, GPR55, FAAH1 and FAAH2 are highly expressed in the human SV. Considering their localisation, the ECS may be involved in epithelial homeostasis, secretory function or autonomic mechano-afferent signalling.
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Affiliation(s)
- S Ückert
- Division of Surgery, Department of Urology & Urological Oncology, Hannover Medical School, Hannover, Germany
| | - G la Croce
- Faculty of Medicine, Urological Research Institute (URI), University Vita Salute San Raffaele, Milano, Italy
| | - A Bettiga
- Faculty of Medicine, Urological Research Institute (URI), University Vita Salute San Raffaele, Milano, Italy
| | - K Albrecht
- Institute for Legal (Forensic) Medicine, Hannover Medical School, Hannover, Germany
| | - R Buono
- Department of Gerontology, University of Southern California (USC), Los Angeles, CA, USA
| | - F Benigni
- Faculty of Medicine, Urological Research Institute (URI), University Vita Salute San Raffaele, Milano, Italy
| | - M A Kuczyk
- Division of Surgery, Department of Urology & Urological Oncology, Hannover Medical School, Hannover, Germany
| | - P Hedlund
- Department of Clinical Pharmacology, Faculty of Medicine, Lund University, Lund, Sweden
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Elia G, Lanave G, Lorusso E, Parisi A, Trotta A, Buono R, Martella V, Decaro N, Buonavoglia C. Equine hepacivirus persistent infection in a horse with chronic wasting. Transbound Emerg Dis 2017; 64:1354-1358. [PMID: 28707785 DOI: 10.1111/tbed.12679] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/29/2017] [Indexed: 12/29/2022]
Abstract
Equine hepacivirus is the closest homologue of hepatitis C virus. Limited data on the clinical features of this infection are available. We report the identification of a horse with high-titre viremia by equine hepacivirus. Over a 15-month follow-up, the clinical signs and the viremic status persisted, suggesting a chronic evolution.
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Affiliation(s)
- G Elia
- Department of Veterinary Medicine, University of Bari, Valenzano, Bari, Italy
| | - G Lanave
- Department of Veterinary Medicine, University of Bari, Valenzano, Bari, Italy
| | - E Lorusso
- Department of Veterinary Medicine, University of Bari, Valenzano, Bari, Italy
| | - A Parisi
- Istituto Zooprofilattico Sperimentale di Puglia e Basilicata, Sezione di Putignano, Putignano, Bari, Italy
| | - A Trotta
- Department of Veterinary Medicine, University of Bari, Valenzano, Bari, Italy
| | - R Buono
- Azienda Sanitaria Locale Bari, Bari, Italy
| | - V Martella
- Department of Veterinary Medicine, University of Bari, Valenzano, Bari, Italy
| | - N Decaro
- Department of Veterinary Medicine, University of Bari, Valenzano, Bari, Italy
| | - C Buonavoglia
- Department of Veterinary Medicine, University of Bari, Valenzano, Bari, Italy
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Sakel M, Boukouvalas A, Buono R, Moten M, Mirza F, Chan WY, Maidment I, Cross J, Smith TO, Myint PK, Fox C. Does anticholinergics drug burden relate to global neuro-disability outcome measures and length of hospital stay? Brain Inj 2015; 29:1426-30. [PMID: 26287759 DOI: 10.3109/02699052.2015.1060358] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
Abstract
PRIMARY OBJECTIVE To assess the relationship between disability, length of stay (LOS) and anticholinergic burden (ACB) with people following acquired brain or spinal cord injury. RESEARCH DESIGN A retrospective case note review assessed total rehabilitation unit admission. METHODS AND PROCEDURES Assessment of 52 consecutive patients with acquired brain/spinal injury and neuropathy in an in-patient neuro-rehabilitation unit of a UK university hospital. Data analysed included: Northwick Park Dependency Score (NPDS), Rehabilitation complexity Scale (RCS), Functional Independence Measure and Functional Assessment Measure FIM-FAM (UK version 2.2), LOS and ACB. Outcome was different in RCS, NPDS and FIM-FAM between admission and discharge. MAIN OUTCOMES AND RESULTS A positive change was reported in ACB results in a positive change in NPDS, with no significant effect on FIM-FAM, either Motor or Cognitive, or on the RCS. Change in ACB correlated to the length of hospital stay (regression correlation = -6.64; SE = 3.89). There was a significant harmful impact of increase in ACB score during hospital stay, from low to high ACB on NPDS (OR = 9.65; 95% CI = 1.36-68.64) and FIM-FAM Total scores (OR = 0.03; 95% CI = 0.002-0.35). CONCLUSIONS There was a statistically significant correlation of ACB and neuro-disability measures and LOS amongst this patient cohort.
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Affiliation(s)
- M Sakel
- a East Kent University NHS Hospitals , Canterbury , UK
| | | | - R Buono
- c University of Aberdeen , Aberdeen , UK
| | - M Moten
- d Imperial College , London , UK
| | - F Mirza
- a East Kent University NHS Hospitals , Canterbury , UK
| | - W-Y Chan
- e Norfolk and Norwich University Hospital , Norwich , UK , and
| | | | - J Cross
- f University of East Anglia , Norwich , UK
| | - T O Smith
- f University of East Anglia , Norwich , UK
| | - P K Myint
- c University of Aberdeen , Aberdeen , UK
| | - C Fox
- f University of East Anglia , Norwich , UK
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Villa L, Buono R, Fossati N, Rigatti P, Montorsi F, Benigni F, Hedlund P. Effects by silodosin on the partially obstructed rat ureter in vivo and on human and rat isolated ureters. Br J Pharmacol 2014; 169:230-8. [PMID: 23373675 DOI: 10.1111/bph.12123] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/09/2012] [Revised: 11/25/2012] [Accepted: 01/16/2013] [Indexed: 11/30/2022] Open
Abstract
BACKGROUND AND PURPOSE α1 -adrenoceptor (-AR) antagonists may facilitate ureter stone passage in humans. We aimed to study effects by the α1 A -AR selective antagonist silodosin (compared to tamsulosin and prazosin) on ureter pressures in a rat model of ureter obstruction, and on contractions of human and rat isolated ureters. EXPERIMENTAL APPROACH After ethical approval, ureters of male rats were cannulated beneath the kidney pelvis for in vivo ureteral intraluminal recording of autonomous peristaltic pressure waves. A partial ureter obstruction was applied to the distal ureter. Mean arterial blood pressure (MAP) was recorded. Approximate clinical and triple clinical doses of the α1 -AR antagonists were given intravenously. Effects by the α1 -AR antagonists on isolated human and rat ureters were studied in organ baths. KEY RESULTS Intravenous silodosin (0.1-0.3 mg kg(-1) ) or prazosin (0.03-0.1 mg kg(-1) ) reduced obstruction-induced increases in intraluminal ureter pressures by 21-37% or 18-40% respectively. Corresponding effects by tamsulosin (0.01 or 0.03 mg kg(-1) ) were 9-20%. Silodosin, prazosin and tamsulosin reduced MAP by 10-12%, 25-26% (P < 0.05), or 18-25% (P < 0.05) respectively. When effects by the α1 A -AR antagonists on obstruction-induced ureter pressures were expressed as a function of MAP, silodosin had six- to eightfold and 2.5- to eightfold better efficacy than tamsulosin or prazosin respectively. Silodosin effectively reduced contractions of both human and rat isolated ureters. CONCLUSIONS AND IMPLICATIONS Silodosin inhibits contractions of the rat and human isolated ureters and has excellent functional selectivity in vivo to relieve pressure-load of the rat obstructed ureter. Silodosin as pharmacological ureter stone expulsive therapy should be clinically further explored.
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Affiliation(s)
- L Villa
- Urological Research Institute, San Raffaele Scientific Institute, Milan, Italy
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La Montagna G, Tirri R, Vitello R, Malesci D, Buono R, Mennillo G, Valentini G. Safety of methotrexate in rheumatoid arthritis: a retrospective cohort study in clinical practice. Reumatismo 2011; 58:261-7. [PMID: 17216014 DOI: 10.4081/reumatismo.2006.261] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022] Open
Abstract
OBJECTIVE To evaluate the treatment duration with MTX monotherapy or in association with DMARDs or TNFalpha inhibitors and the incidence and typology of adverse events (AE) occurred in rheumatoid arthritis (RA) patients. METHODS A retrospective large cohort study of RA outpatients, consecutively seen from January 2000 to June 2005 was performed. Study group were RA patients classified according to the 1984 ACR criteria for the classification of rheumatoid arthritis. The patients were divided in 3 groups according to the treatment regimen: MTX monotherapy, MTX in combination with DMARD or with anti TNFalpha agents. We analyzed 348 therapeutic cycles, 177 of whom using MTX monotherapy. RESULTS The 224 RA patients accumulated 800 person-years of follow up. Follow up for each of the groups was: MTX monotherapy 479.4 person-years, MTX in combination with DMARDs 244.5, or with TNFalpha inhibitors, 75.7 person-years. From the Kaplan-Meier analysis, the probability of patients remaining on treatment 5 years was 58.5 after starting MTX. The incidence of any AE was 8.87 per 100 person-years. From all, 69 (97.2%) AE were no severe. Among those, more frequently were observed at gastrointestinal tract (31%), liver (19.7%), skin (15.5%). Incidence of severe AE (lung adenocarcinoma, 1 case; pancreatitis, 1 case) was 0.25 per 100 person-years, occurring in patients taking MTX monotherapy or MTX in combination with DMARDs, respectively. CONCLUSIONS These data confirm that methotrexate is well tolerated in clinical practice in the medium-long term. Nevertheless, the occurrence of severe AE require an accurate vigilance for methotrexate toxicity.
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Affiliation(s)
- G La Montagna
- Unità di Reumatologia, Seconda Università degli Studi di Napoli, Italia.
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Malesci D, Tirri R, Buono R, La Montagna G. Leflunomide in psoriatic arthritis: a retrospective study of discontinuation rate in daily clinical practice compared with methotrexate. Clin Exp Rheumatol 2007; 25:881-884. [PMID: 18173924] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/25/2023]
Abstract
OBJECTIVE To assess the safety profile of leflunomide (LEF) in a two-year retrospective analysis of psoriatic arthritis (PsA) patients (pts) treated in daily clinical practice compared with methotrexate (MTX). PATIENTS Fourty-two PsA patients with polyarticular involvement or asymmetrical oligoarticular arthritis, satisfying ESSG criteria for the spondyloarthropathies, treated with LEF monotherapy (10-20mg/die without loading dose) between September, 2004 and August, 2006 were reviewed. They were compared with MTX (7.5-15mg/week) users (44 cases). The adverse events (AEs) and the causes of withdrawal were evaluated. RESULTS At 24 months, cumulative survival rate of pts remaining on drugs was 54.9% in LEF users and 57.0% in MTX users (p > 0.05). The discontinuation rate (DR) for toxicity was higher in LEF group (29.2%) than in MTX group (10.8%) (p = 0.07). The occurrence of AEs was more frequently registered in the first year in both groups. LEF monotherapy showed a significant higher crude incidence for any AEs (38.7 events x100 person-years) compared to MTX (14.3 events x100 person-years) (p < 0.001). The cumulative DR for inefficacy was greater but not statistically significant in MTX group than LEF (28.6% vs. 12.6% respectively; p = 0.056). Finally, DR for other causes accounted for 8.7% vs. 11.0% respectively (p > 0.05). CONCLUSIONS Our data showed, in a setting of clinical practice, that the rate of PsA pts remaining on drug was comparable between LEF and MTX, and a manageable LEF safety profile during a 24 months of follow-up, even if a greater incidence of DR for AEs was registered than in MTX users.
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Affiliation(s)
- D Malesci
- Dipartimento di Internistica Clinica e Sperimentale F. Magrassi e A. Lanzara, Unità di Reumatologia, Seconda Università degli Studi di Napoli, via S. Pansini 5, 80131 Napoli, Italy
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Boatright JH, Buono R, Bruno J, Lang RK, Si JS, Shinohara T, Peoples JW, Nickerson JM. The 5' flanking regions of IRBP and arrestin have promoter activity in primary embryonic chicken retina cell cultures. Exp Eye Res 1997; 64:269-77. [PMID: 9176061 DOI: 10.1006/exer.1996.0222] [Citation(s) in RCA: 14] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/04/2023]
Abstract
Primary cultures of embryonic chicken cells from various tissues were transiently transfected with plasmid vectors containing reporter genes linked to a 1.8 kb fragment of the mouse interphotoreceptor retinoid-binding protein (IRBP) 5' flanking region, a 1.5 kb fragment of the mouse arrestin 5' flanking region, or a 3.4 kb sequence of the bovine arrestin 5' flanking region. Promoter activity was evident in retina-derived cells, but not in fibroblasts or cells from whole brain. Transfection response also varied with transfection method, plasmid DNA concentration, post-transfection incubation time, and cell density. The data suggest that the primary embryonic chicken retinal cell culture system is a useful tool in studying photoreceptor-specific gene regulation.
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Affiliation(s)
- J H Boatright
- Emory Eye Center, Emory University School of Medicine, Atlanta, GA, USA
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