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Caramello V, De Salve AV, Macciotta A, Boccuzzi A. Reply to "Usefulness of the PIRO system to predict mortality in patients with severe infection in the emergency department". Med Intensiva 2022; 46:661-662. [PMID: 36344016 DOI: 10.1016/j.medine.2021.12.015] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/13/2021] [Accepted: 12/18/2021] [Indexed: 06/16/2023]
Affiliation(s)
- V Caramello
- Emergency Department and High Dependency Unit MECAU, AOU San Luigi Gonzaga, regione Gonzole 10, 10043 Orbassano, Turin, Italy.
| | - A V De Salve
- Emergency Department and High Dependency Unit MECAU, AOU San Luigi Gonzaga, regione Gonzole 10, 10043 Orbassano, Turin, Italy
| | - A Macciotta
- Department of Clinical and Biological Science, University of Turin, Orbassano (TO), Italy
| | - A Boccuzzi
- Emergency Department and High Dependency Unit MECAU, AOU San Luigi Gonzaga, regione Gonzole 10, 10043 Orbassano, Turin, Italy
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Caramello V, De Salve A, Macciotta A, Boccuzzi A. Reply to “Usefulness of the PIRO system to predict mortality in patients with severe infection in the emergency department”. Med Intensiva 2022. [DOI: 10.1016/j.medin.2021.12.010] [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: 10/31/2022]
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Caramello V, Macciotta A, De Salve AV, Mussa A, De Leo AM, Bar F, Panno D, Nota F, Ling CYG, Solitro F, Ricceri F, Sacerdote C, Boccuzzi A. False-negative real-time polymerase chain reaction tests in COVID-19 patients: an epidemiological analysis of 302 patients. Public Health 2021; 200:84-90. [PMID: 34710718 PMCID: PMC8455250 DOI: 10.1016/j.puhe.2021.09.010] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/21/2021] [Revised: 08/04/2021] [Accepted: 09/10/2021] [Indexed: 01/11/2023]
Abstract
OBJECTIVES Patients who arrive at the emergency department (ED) with COVID-19, who test negative at the first real-time polymerase chain reaction (RT-PCR), represent a clinical challenge. This study aimed to evaluate if the clinical manifestation at presentation, the laboratory and imaging results, and the prognosis of COVID-19 differ in patients who tested negative at the first RT-PCR compared with those who tested positive and also to evaluate if comorbid conditions patient-related or the period of arrival are associated with negative testing. STUDY DESIGN We retrospectively collected clinical data of patients who accessed the ED from March 1 to May 15, 2020. METHODS We compared clinical variables, comorbid conditions, and clinical outcomes in the two groups by univariate analysis and logistic regression. RESULTS Patients who tested negative at the first RT-PCR showed a higher prevalence of cardiopathy, immunosuppression, and diabetes, as well as a higher leukocyte and lower lymphocyte counts compared with patients who tested positive. A bilateral interstitial syndrome and a typical pattern at computed tomography scan were prevalent in the test-negative group. Test-negative patients were more likely to be admitted to the hospital but less likely to need admission in a high level of care ward. The false-negative rate increased from March to May. CONCLUSION False-negative RT-PCR COVID-19 patients present a similar spectrum of symptoms compared with positive cohort, but more comorbidities. Imaging helps to identify them. True positives had a higher risk of serious complications.
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Affiliation(s)
- V Caramello
- Emergency Department and High Dependency Unit, San Luigi Gonzaga University Hospital, Regione Gonzole 10, Turin, Orbassano, Italy.
| | - A Macciotta
- Department of Clinical and Biological Science, University of Turin, Regione Gonzole 10, Turin, Italy
| | - A V De Salve
- Emergency Department and High Dependency Unit, San Luigi Gonzaga University Hospital, Regione Gonzole 10, Turin, Orbassano, Italy
| | - A Mussa
- Emergency Department and High Dependency Unit, San Luigi Gonzaga University Hospital, Regione Gonzole 10, Turin, Orbassano, Italy
| | - A M De Leo
- Emergency Department and High Dependency Unit, San Luigi Gonzaga University Hospital, Regione Gonzole 10, Turin, Orbassano, Italy
| | - F Bar
- Emergency Department and High Dependency Unit, San Luigi Gonzaga University Hospital, Regione Gonzole 10, Turin, Orbassano, Italy
| | - D Panno
- Emergency Department and High Dependency Unit, San Luigi Gonzaga University Hospital, Regione Gonzole 10, Turin, Orbassano, Italy
| | - F Nota
- Emergency Department and High Dependency Unit, San Luigi Gonzaga University Hospital, Regione Gonzole 10, Turin, Orbassano, Italy
| | - C Y G Ling
- Emergency Department and High Dependency Unit, San Luigi Gonzaga University Hospital, Regione Gonzole 10, Turin, Orbassano, Italy
| | - F Solitro
- Radiology Department, San Luigi Gonzaga University Hospital, Regione Gonzole 10, Turin, Orbassano, Italy
| | - F Ricceri
- Department of Clinical and Biological Science, University of Turin, Regione Gonzole 10, Turin, Italy; Epidemiology Unit, Regional Health Service ASL TO3, Turin, Grugliasco, Italy
| | - C Sacerdote
- Unit of Cancer Epidemiology, Città della Salute e della Scienza University Hospital, Turin, Italy
| | - A Boccuzzi
- Emergency Department and High Dependency Unit, San Luigi Gonzaga University Hospital, Regione Gonzole 10, Turin, Orbassano, Italy
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Caramello V, Macciotta A, Beux V, De Salve AV, Ricceri F, Boccuzzi A. Validation of the Predisposition Infection Response Organ (PIRO) dysfunction score for the prognostic stratification of patients with sepsis in the Emergency Department. Med Intensiva 2021; 45:459-469. [PMID: 34717884 DOI: 10.1016/j.medine.2020.04.012] [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: 10/17/2019] [Accepted: 04/09/2020] [Indexed: 11/17/2022]
Abstract
OBJECTIVE There are many different methods for computing the Predisposition Infection Response Organ (PIRO) dysfunction score. We compared three PIRO methods (PIRO1 (Howell), PIRO2 (Rubulotta) and PIRO3 (Rathour)) for the stratification of mortality and high level of care admission in septic patients arriving at the Emergency Department (ED) of an Italian Hospital. DESIGN, SETTING AND PARTICIPANTS We prospectively collected clinical data of 470 patients admitted due to infection in the ED to compute PIRO according to three different methods. We tested PIRO variables for the prediction of mortality in the univariate analysis. Calculation and comparison were made of the area under the receiver operating curve (AUC) for the three PIRO methods, SOFA and qSOFA. RESULTS Most of the variables included in PIRO were related to mortality in the univariate analysis. Increased PIRO scores were related to higher mortality. In relation to mortality, PIRO 1 performed better than PIRO2 at 30 d ((AUC 0.77 (0.716-0.824) vs. AUC 0.699 (0.64-0.758) (p=0.03) and similarly at 60 d (AUC 0.767 (0.715-0.819) vs AUC 0.709 (0.656-0.763)(p=0.55)); PIRO1 performed similarly to PIRO3 (AUC 0.765 (0.71-0.82) at 30 d, AUC 0.754 (0.701-0.806) at 60 d, p=ns). Both PIRO1 and PIRO3 were as good as SOFA referred to mortality (AUC 0.758 (0.699, 0.816) at 30 d vs. AUC 0.738 (0.681, 0.795) at 60 d; p=ns). For high level of care admission, PIRO proved inferior to SOFA. CONCLUSIONS We support the use of PIRO1, which combines ease of use and the best performance referred to mortality over the short term. PIRO2 proved to be less accurate and more complex to use, suffering from missing microbiological data in the ED setting.
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Affiliation(s)
- V Caramello
- Emergency Department and High Dependency Unit MECAU, AOU San Luigi Gonzaga, Orbassano, Turin, Italy.
| | - A Macciotta
- Department of Clinical and Biological Science, University of Turin, Orbassano, TO, Italy
| | - V Beux
- University of Turin, Italy
| | - A V De Salve
- Emergency Department and High Dependency Unit MECAU, AOU San Luigi Gonzaga, Orbassano, Turin, Italy
| | - F Ricceri
- Department of Clinical and Biological Science, University of Turin, Orbassano, TO, Italy; Unit of Epidemiology, Regional Health Service ASL TO3, Grugliasco, TO, Italy
| | - A Boccuzzi
- Emergency Department and High Dependency Unit MECAU, AOU San Luigi Gonzaga, Orbassano, Turin, Italy
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Cigliano F, Boccuzzi A, Basile V, Ferraro A, Macciotta A, Catalano A, Costa G, Vineis P, Sacerdote C, Caramello V. Are antigen tests useful as screening for the identification of SARS-CoV-2 in emergency rooms? Eur J Public Health 2021. [DOI: 10.1093/eurpub/ckab164.813] [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: 11/14/2022] Open
Abstract
Abstract
Background
A quick and accurate case identification in the Emergency Department (ED) during the SARS-CoV-2 pandemic is crucial for clinical management and to prevent spread of infections. The gold standard for diagnosing SARS-CoV-2 infection is the real-time reverse transcription polymerase chain reaction (RT-PCR) test in upper airways swabs. However, the procedure is available in few specialized laboratories and requires an average sample processing time of about 6 hours from its inception. The development of reliable but cheaper and faster point-of-care tests was expected to be useful either for population-screening or as first aid tests in the ED. Rapid antigenic diagnostic tests (Ag-RDTs), directly detect SARS-CoV-2 proteins produced by the replicating virus in respiratory specimens, were proved to be candidates in both cases. However, data on their effectiveness are still few and controversial. The aim of the study is to establish the accuracy of antigen tests to identify SARS-CoV-2 in a high prevalence setting.
Methods
Results of 324 patients, consecutively admitted to the ED of San Luigi Gonzaga University Hospital in Orbassano (Turin, Italy) between 26 October and 10 November 2020 and subjected to both molecular and antigen tests, were compared.
Results
Using RT-PCR as gold standard, specificity and sensitivity of Ag-RDT were 0.94 (95%CI: 0.90-0.98) and 0.80 (95%CI: 0.75-0.85), respectively. The Ag-RDT positive predictive value was 0.96 (95%CI 0.93- 0.99), and the negative predictive value was 0.72 (95% CI: 0.65-0.79). Patients that tested negative to Ag-RDT but presented with fever and cough or had pneumonia at imaging were more likely to be false negatives. Ag-RDTs best performance occurs in the first days after symptom onset.
Conclusions
These results confirm the limits of antigenic tests as first line screening tests and suggest that the antigenic test should be integrated with clinical judgement, based on physical and instrumental examinations.
Key messages
Antigenic tests have a limited effectiveness as first line screening tests. In a high-prevalence setting these tests incorrectly judge as negative many COVID-19 symptomatic patients, making necessary to integrate their results with clinical judgement.
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Affiliation(s)
- F Cigliano
- Department of Public Health and Pediatrics, University of Turin, Turin, Italy
- Department of Clinical and Biological Sciences, University of Turin, Turin, Italy
| | - A Boccuzzi
- Emergency Department and High Dependency Unit, San Luigi Gonzaga University Hospital, Orbassano, Italy
| | - V Basile
- Emergency Department and High Dependency Unit, San Luigi Gonzaga University Hospital, Orbassano, Italy
| | - A Ferraro
- Emergency Department and High Dependency Unit, San Luigi Gonzaga University Hospital, Orbassano, Italy
| | - A Macciotta
- Department of Clinical and Biological Sciences, University of Turin, Turin, Italy
| | - A Catalano
- Department of Clinical and Biological Sciences, University of Turin, Turin, Italy
| | - G Costa
- Department of Clinical and Biological Sciences, University of Turin, Turin, Italy
- Epidemiology Unit, Regional Health Service ASLTO3, Grugliasco, Italy
| | - P Vineis
- MRC Centre for Environment and Health, Imperial College, London, UK
| | - C Sacerdote
- Unit of Cancer Epidemiology, Città della Salute e della Scienza University-Hospital, Turin, Italy
| | - V Caramello
- Emergency Department and High Dependency Unit, San Luigi Gonzaga University Hospital, Orbassano, Italy
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Caramello V, Macciotta A, Beux V, De Salve AV, Ricceri F, Boccuzzi A. Validation of the Predisposition Infection Response Organ (PIRO) dysfunction score for the prognostic stratification of patients with sepsis in the Emergency Department. Med Intensiva 2020; 45:S0210-5691(20)30163-7. [PMID: 32591242 DOI: 10.1016/j.medin.2020.04.022] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/17/2019] [Revised: 02/13/2020] [Accepted: 04/09/2020] [Indexed: 01/05/2023]
Abstract
OBJECTIVE There are many different methods for computing the Predisposition Infection Response Organ (PIRO) dysfunction score. We compared three PIRO methods (PIRO1 (Howell), PIRO2 (Rubulotta) and PIRO3 (Rathour)) for the stratification of mortality and high level of care admission in septic patients arriving at the Emergency Department (ED) of an Italian Hospital. DESIGN, SETTING AND PARTICIPANTS We prospectively collected clinical data of 470 patients admitted due to infection in the ED to compute PIRO according to three different methods. We tested PIRO variables for the prediction of mortality in the univariate analysis. Calculation and comparison were made of the area under the receiver operating curve (AUC) for the three PIRO methods, SOFA and qSOFA. RESULTS Most of the variables included in PIRO were related to mortality in the univariate analysis. Increased PIRO scores were related to higher mortality. In relation to mortality, PIRO 1 performed better than PIRO2 at 30 d ((AUC 0.77 (0.716-0.824) vs. AUC 0.699 (0.64-0.758) (p=0.03) and similarly at 60 d (AUC 0.767 (0.715-0.819) vs AUC 0.709 (0.656-0.763)(p=0.55)); PIRO1 performed similarly to PIRO3 (AUC 0.765 (0.71-0.82) at 30 d, AUC 0.754 (0.701-0.806) at 60 d, p=ns). Both PIRO1 and PIRO3 were as good as SOFA referred to mortality (AUC 0.758 (0.699, 0.816) at 30 d vs. AUC 0.738 (0.681, 0.795) at 60 d; p=ns). For high level of care admission, PIRO proved inferior to SOFA. CONCLUSIONS We support the use of PIRO1, which combines ease of use and the best performance referred to mortality over the short term. PIRO2 proved to be less accurate and more complex to use, suffering from missing microbiological data in the ED setting.
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Affiliation(s)
- V Caramello
- Emergency Department and High Dependency Unit MECAU, AOU San Luigi Gonzaga, Orbassano, Turin, Italy.
| | - A Macciotta
- Department of Clinical and Biological Science, University of Turin, Orbassano, TO, Italy
| | - V Beux
- University of Turin, Italy
| | - A V De Salve
- Emergency Department and High Dependency Unit MECAU, AOU San Luigi Gonzaga, Orbassano, Turin, Italy
| | - F Ricceri
- Department of Clinical and Biological Science, University of Turin, Orbassano, TO, Italy; Unit of Epidemiology, Regional Health Service ASL TO3, Grugliasco, TO, Italy
| | - A Boccuzzi
- Emergency Department and High Dependency Unit MECAU, AOU San Luigi Gonzaga, Orbassano, Turin, Italy
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Caramello V, Zarucco L, Foster D, Boston R, Stefanovski D, Orsini JA. Equine cheek tooth extraction: Comparison of outcomes for five extraction methods. Equine Vet J 2019; 52:181-186. [PMID: 31260572 DOI: 10.1111/evj.13150] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/03/2018] [Accepted: 06/20/2019] [Indexed: 11/29/2022]
Abstract
BACKGROUND Post-operative complications are reported for all methods of equine cheek tooth extraction but not all methods carry the same risks. An outcome comparison for commonly used methods is needed so that clinicians can make informed treatment decisions. OBJECTIVES We conducted a side-by-side comparison of five cheek tooth extraction methods, comparing types and incidence of complications among oral extraction, tooth repulsion (three surgical approaches) and lateral buccotomy techniques. STUDY DESIGN Retrospective clinical study using hospital medical records. METHODS Medical records of all horses undergoing cheek tooth extraction between 1997 and 2013 were reviewed. Logistic regression was used to determine the likelihood of various post-operative complications, comparing oral extraction, tooth repulsion by maxillary and mandibular trephination or maxillary sinus bone flap, and lateral buccotomy. RESULTS The study included 137 horses and 162 cheek teeth extractions. Oral extraction was successful in 71% of patients in which it was attempted. Oral extraction (n = 55) had the lowest incidence of complications (20%) and repulsion by sinus bone flap (n = 20) the highest (80%). Complication rates for repulsion by maxillary (n = 19) and mandibular trephination (n = 28), and extraction by lateral buccotomy (n = 15) were 42, 54 and 53%, respectively. Cheek tooth repulsion by sinus bone flap significantly increased the odds of damage to adjacent teeth, post-operative sinusitis, damage to alveolar bone, delayed alveolar granulation and orosinus fistulation. Repulsion by maxillary trephination significantly increased the odds of superficial incisional surgical site infection; and extraction by lateral buccotomy significantly increased the odds of facial nerve neuropraxia. Post-operative pyrexia was more common in all repulsion methods. MAIN LIMITATIONS Some clinically relevant differences may have been missed due to small group numbers in several categories. CONCLUSIONS Oral extraction was associated with fewer post-operative complications than any other methods. Standing oral extraction remains the preferred choice, and recent surgical advances promise to further improve its success rate.
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Affiliation(s)
- V Caramello
- Department of Veterinary Science, Università degli Studi di Torino, Grugliasco, Torino, Italy
| | - L Zarucco
- Department of Veterinary Science, Università degli Studi di Torino, Grugliasco, Torino, Italy
| | - D Foster
- Department of Clinical Studies, School of Veterinary Medicine, University of Pennsylvania, New Bolton Center, Kennett Square, Pennsylvania, USA
| | - R Boston
- Department of Clinical Studies, School of Veterinary Medicine, University of Pennsylvania, New Bolton Center, Kennett Square, Pennsylvania, USA
| | - D Stefanovski
- Department of Clinical Studies, School of Veterinary Medicine, University of Pennsylvania, New Bolton Center, Kennett Square, Pennsylvania, USA
| | - J A Orsini
- Department of Clinical Studies, School of Veterinary Medicine, University of Pennsylvania, New Bolton Center, Kennett Square, Pennsylvania, USA
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Affiliation(s)
- F. Comino
- Department of Veterinary Sciences; University of Turin; Grugliasco Italy
| | - G. Giusto
- Department of Veterinary Sciences; University of Turin; Grugliasco Italy
| | - V. Caramello
- Department of Veterinary Sciences; University of Turin; Grugliasco Italy
| | - M. Gandini
- Department of Veterinary Sciences; University of Turin; Grugliasco Italy
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Affiliation(s)
- M. Gandini
- Department of Veterinary Sciences; University of Turin; Grugliasco Italy
| | - G. Giusto
- Department of Veterinary Sciences; University of Turin; Grugliasco Italy
| | - V. Caramello
- Department of Veterinary Sciences; University of Turin; Grugliasco Italy
| | - F. Comino
- Department of Veterinary Sciences; University of Turin; Grugliasco Italy
| | - A. Rosso
- Department of Veterinary Sciences; University of Turin; Grugliasco Italy
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Comino F, Giusto G, Caramello V, Pagliara E, Bellino C, Gandini M. Ex vivo
comparison of the giant and transfixing knot in equine open and closed castration. Equine Vet J 2016; 48:765-769. [DOI: 10.1111/evj.12546] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/28/2014] [Accepted: 11/24/2015] [Indexed: 11/26/2022]
Affiliation(s)
- F. Comino
- Department of Veterinary Sciences; University of Turin; Grugliasco Italy
| | - G. Giusto
- Department of Veterinary Sciences; University of Turin; Grugliasco Italy
| | - V. Caramello
- Department of Veterinary Sciences; University of Turin; Grugliasco Italy
| | - E. Pagliara
- Department of Veterinary Sciences; University of Turin; Grugliasco Italy
| | - C. Bellino
- Department of Veterinary Sciences; University of Turin; Grugliasco Italy
| | - M. Gandini
- Department of Veterinary Sciences; University of Turin; Grugliasco Italy
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Dovio A, Caramello V, Masera RG, Sartori ML, Saba L, Tinivella M, Prolo P, Termine A, Avagnina P, Angeli A. Natural killer cell activity and sensitivity to positive and negative modulation in uncomplicated obese subjects: relationships to leptin and diet composition. Int J Obes (Lond) 2004; 28:894-901. [PMID: 15208649 DOI: 10.1038/sj.ijo.0802639] [Citation(s) in RCA: 28] [Impact Index Per Article: 1.4] [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] [Indexed: 12/15/2022]
Abstract
BACKGROUND Natural killer (NK) cells are a key component of innate immunity; their activity is modulated by cytokines and hormones and is influenced by diet. In obesity, a higher risk of cancer and infections has been demonstrated. Studies on NK cell activity have yielded inconsistent results; NK cell sensitivity to modulators has not been assessed before. OBJECTIVE In this case-control study, we assessed both spontaneous NK cell activity and responsiveness to positive (interleukin (IL)-2) and negative (cortisol) modulators in uncomplicated obesity; we searched for correlations between NK cell activity and anthropometric, dietary and metabolic variables. METHODS In all, 21 obese (six males/15 females) and 21 age- and sex-matched healthy nonobese subjects underwent clinical examination and dietary and laboratory analyses. Spontaneous and modulated NK activities of peripheral blood mononuclear cells were measured by enzyme-release cytotoxicity assay. RESULTS Spontaneous NK cell activity was not different in obese subjects vs controls. IL-2 stimulated and cortisol inhibited NK cell activity in both populations. Cortisol-dependent inhibition was lower in the obese than in the control group (-24.4+/-2.9 vs -38.6+/-3.3%, P=0.002), but decreased sensitivity was restricted to women (P=0.0007). In obese subjects, cortisol-dependent inhibition negatively correlated with serum leptin levels (r=-0.54, P=0.02) and, in women, with body mass index (r=-0.63, P=0.01); IL-2-dependent stimulation positively correlated with dietary carbohydrates (r=0.61, P=0.005) and serum LDL levels (r=0.55, P=0.009) and negatively correlated with dietary lipids (r=-0.71, P=0.0006). CONCLUSION Spontaneous and IL-2-inducible NK cell activity is normal in uncomplicated obesity. Sensitivity to IL-2 correlates with fat and carbohydrate intake. Sensitivity to glucocorticoids negatively correlates with serum leptin levels and is significantly diminished in obese women, in whom it correlates with body mass index.
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Affiliation(s)
- A Dovio
- Internal Medicine Unit, Department of Clinical and Biological Sciences, University of Turin, Orbassano, Italy.
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Anlesio E, Calciati A, Caramello V. The treatment of lymphomas with vincaleukoblastine and methylhydrazine. Acta Genet Med Gemellol (Roma) 1968; 17:232-44. [PMID: 5659731 DOI: 10.1017/s1120962300026470] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/16/2023]
Abstract
SummaryResults of Chemotherapic treatment in Hodgkin's disease are reported. 23 cases were treated by Vincaleucoblastine, 19 by Methylhydrazine, and 12 by both drugs. With VLB we obtained 6 complete remissions, 12 partial remissions and 5 failures; with MH the remissions were 9 complete, 4 partial and 6 failures. An improvement was obtained by the use of both drugs successively administered and repeatedly.
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