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Lombardo M, Serrao S, Bernava GM, Lombardo G. Spatial targeted delivery of riboflavin with a controlled corneal iontophoresis delivery system in theranostic-guided UV-A light photo-therapy. J Biophotonics 2024:e202400068. [PMID: 38697616 DOI: 10.1002/jbio.202400068] [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] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/24/2024] [Revised: 03/23/2024] [Accepted: 04/09/2024] [Indexed: 05/05/2024]
Abstract
Seven human donor eye globes underwent corneal cross-linking using theranostic UV-A device with accessory corneal iontophoresis system for patterned delivery of a 0.22% riboflavin solution. Theranostic-guided UV-A light illumination assessed riboflavin distribution and treated corneas at 10 mW/cm2 for 9 min with a 5.0-mm beam size. Corneal topography maps were taken at baseline and 2-h post-treatment. Analysis utilized corneal topography elevation data, with results showing controlled riboflavin delivery led to a consistent gradient, with 40% higher levels centrally (248 ± 79 μg/cm3) than peripherally (180 ± 72 μg/cm3 at ±2.5 mm from the center). Theranostic-guided UV-A light irradiation resulted in significant changes in corneal topography, with a decrease in best-fit sphere value (-0.7 ± 0.2 D; p < 0.001) and consistent downward shift in corneal elevation map (-11.7 ± 3.7 μm). The coefficient of variation was 2.5%, indicating high procedure performance in achieving significant and reliable corneal flattening.
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Affiliation(s)
- Marco Lombardo
- Studio Italiano di Oftalmologia, Rome, Italy
- Vision Engineering Italy srl, Rome, Italy
| | - Sebastiano Serrao
- Studio Italiano di Oftalmologia, Rome, Italy
- Vision Engineering Italy srl, Rome, Italy
| | | | - Giuseppe Lombardo
- Studio Italiano di Oftalmologia, Rome, Italy
- CNR-IPCF, Istituto per i Processi Chimico-Fisici, Messina, Italy
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Lombardo M, Alunni Fegatelli D, Serrao S, Vestri A, Lombardo G. Estimated prevalence of keratoconus in the largest metropolitan area of Italy. Eur J Ophthalmol 2024; 34:649-655. [PMID: 38425220 DOI: 10.1177/11206721241235984] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 03/02/2024]
Abstract
PURPOSE To estimate the prevalence of keratoconus in a population of subjects undergoing first eye examination in an eye clinic in Italy. METHODS A single-center, cross-sectional, study was conducted involving patients who underwent first eye examination at an eye clinic in Rome between September 2021 and June 2022. The prevalence of keratoconus was determined by Placido-disk corneal topography using the maximum keratometry (Kmax) value and the Cone Magnitude and Location Index (CLMI) for keratoconus screening. Subjective analysis was performed by two experienced corneal specialists, who classified the outcome into two groups: normal and keratoconus. Risk factors, including family history of keratoconus, allergy or atopy, thyroid disease, eye rubbing habit and gender were also examined. RESULTS A total of 512 subjects between 7 and 81 years old were evaluated. The inter-observer agreement to classify subjects in normal or keratoconus group was excellent (k = 1.0); the estimated prevalence in the specific population was 2.1%. Presence of positive family history (9% of keratoconus vs 5% normal), concomitant allergy or atopy (27% vs 9%) and eye rubbing habit (18% vs 4%) were associated with a higher risk of disease. CONCLUSION This study reported a high estimated prevalence of keratoconus in a metropolitan area of Italy, as found in recent studies in the Mediterranean and Middle East countries. Screening for keratoconus is highly recommendable and easily feasible with corneal topography under expert supervision and may be indicated primarily in young population to improve early detection and prompt therapeutic management for halting disease progression.
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Affiliation(s)
- Marco Lombardo
- Studio Italiano di Oftalmologia, Via Livenza 3, 00198, Rome, Italy
- Vision Engineering Italy srl, Via Livenza 3, 00198, Rome, Italy
| | - Danilo Alunni Fegatelli
- Department of Public health and Infectious diseases, University of Rome "La Sapienza", Piazzale Aldo Moro 5, 00185, Rome, Italy
| | - Sebastiano Serrao
- Studio Italiano di Oftalmologia, Via Livenza 3, 00198, Rome, Italy
- Vision Engineering Italy srl, Via Livenza 3, 00198, Rome, Italy
| | - Annarita Vestri
- Department of Public health and Infectious diseases, University of Rome "La Sapienza", Piazzale Aldo Moro 5, 00185, Rome, Italy
| | - Giuseppe Lombardo
- Vision Engineering Italy srl, Via Livenza 3, 00198, Rome, Italy
- CNR-IPCF, Istituto per i Processi Chimico-Fisici, Viale F. Stagno D'Alcontres 37, 98158, Messina, Italy
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Lombardo M, Camellin U, Gioia R, Serrao S, Scorcia V, Roszkowska AM, Lombardo G, Bertelli M, Medori MC, Alunni Fegatelli D, Vestri A, Mencucci R, Schiano Lomoriello D. Targeted next-generation sequencing analysis in Italian patients with keratoconus. Eye (Lond) 2024:10.1038/s41433-024-03090-5. [PMID: 38684849 DOI: 10.1038/s41433-024-03090-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/18/2023] [Revised: 03/12/2024] [Accepted: 04/12/2024] [Indexed: 05/02/2024] Open
Abstract
OBJECTIVE To report variants in 26 candidate genes and describe the clinical features of Italian patients with keratoconus (KC). SUBJECTS/METHODS Sixty-four patients with a confirmed diagnosis of KC were enrolled in this genetic association study. Patients were classified into two study groups according to whether they had a confirmed diagnosis of progressive or stable KC. A purpose-developed Next Generation Sequencing (NGS) panel was used to identify and analyse the coding exons and flanking exon/intron boundaries of 26 genes known to be associated with KC and corneal dystrophies. Interpretation of the pathogenic significance of variants was performed using in silico predictive algorithms. RESULT The targeted NGS research identified a total of 167 allelic variants of 22 genes in the study population; twenty-four patients had stable keratoconus (n. 54 variants) and forty patients had progressive disease (n. 113 variants). We identified genetic variants of certain pathogenic significance in five patients with progressive KC; in addition, eight novel genetic variants were found in eight patients with progressive KC. Mutations of FLG, LOXHD1, ZNF469, and DOCK9 genes were twice more frequently identified in patients with progressive than stable disease. Filaggrin gene variants were found in 49 patients (76% of total), of whom 32 patients (80% of progressive KC group) had progressive disease. CONCLUSIONS Targeted NGS research provided new insights into the causative effect of candidate genes in the clinical phenotype of keratoconus. Filaggrin mutations were found to represent a genetic risk factor for development of progressive disease in Italy.
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Affiliation(s)
- Marco Lombardo
- Studio Italiano di Oftalmologia, Via Livenza 3, 00198, Rome, Italy.
- Vision Engineering Italy srl, Via Livenza 3, 00198, Rome, Italy.
| | - Umberto Camellin
- Department of Biomedical Sciences, Ophthalmology Clinic, University of Messina, Via Consolare Valeria 1, 98124, Messina, Italy
| | - Raffaella Gioia
- Department of Ophthalmology, University Magna Graecia of Catanzaro, Viale Europa, 88100, Catanzaro, Italy
| | - Sebastiano Serrao
- Studio Italiano di Oftalmologia, Via Livenza 3, 00198, Rome, Italy
- Vision Engineering Italy srl, Via Livenza 3, 00198, Rome, Italy
| | - Vincenzo Scorcia
- Department of Ophthalmology, University Magna Graecia of Catanzaro, Viale Europa, 88100, Catanzaro, Italy
| | - Anna Maria Roszkowska
- Department of Biomedical Sciences, Ophthalmology Clinic, University of Messina, Via Consolare Valeria 1, 98124, Messina, Italy
- Ophthalmology Department, Faculty of Medicine and Health Sciences, Andrzej Frycz Modrzewski University, Krakow, Poland
| | - Giuseppe Lombardo
- Vision Engineering Italy srl, Via Livenza 3, 00198, Rome, Italy
- CNR-IPCF, Istituto per i Processi Chimico-Fisici, Viale F. Stagno D'Alcontres 37, 98158, Messina, Italy
| | | | - Maria Chiara Medori
- MAGI's Lab srl, Via Maioliche 57, 38068, Rovereto, Italy
- Department of Biotechnology, Chemistry and Pharmacy, University of Siena, via A. Moro 2, Siena, Italy
| | - Danilo Alunni Fegatelli
- Department of Public Health and infectious diseases, University of Rome "La Sapienza", Piazzale Aldo Moro 5, 00185, Rome, Italy
| | - Annarita Vestri
- Department of Public Health and infectious diseases, University of Rome "La Sapienza", Piazzale Aldo Moro 5, 00185, Rome, Italy
| | - Rita Mencucci
- Ophthalmology Clinic, AOU Careggi, University of Florence, Largo Brambilla 3, 50134, Firenze, Italy
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Sonaglioni A, Caminati A, Grasso E, Colleoni M, Nicolosi GL, Lombardo M, Harari S. TAPSE/SPAP ratio stratifies mortality risk in mild-to-moderate idiopathic pulmonary fibrosis. Int J Tuberc Lung Dis 2024; 28:183-188. [PMID: 38563341 DOI: 10.5588/ijtld.23.0474] [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: 04/04/2024] Open
Abstract
BACKGROUND: Due to paucity of literature data, we aimed at evaluating the prognostic role of the ratio of tricuspid annular plane systolic excursion (TAPSE) to systolic pulmonary artery pressure (SPAP) in idiopathic pulmonary fibrosis (IPF) patients without severe pulmonary hypertension and at assessing its correlation with effective arterial elastance index (EaI). METHODS: Multi-instrumental data obtained in 60 IPF patients (73.2 ± 6.8 years) and 60 matched controls were retrospectively analysed. Primary endpoint was all-cause mortality, while secondary endpoint was the composite of all-cause mortality and re-hospitalisations for all-causes over medium-term follow-up. RESULTS: ;At baseline, TAPSE/SPAP was significantly lower in patients with IPF than in controls (0.36 ± 0.25 vs. 0.77 ± 0.18 mm/mmHg; P < 0.001). TAPSE/SPAP was inversely correlated with EaI (r = -0.96) in IPF patients. During follow-up (3.5 ± 1.5 years), 21 patients died and 25 were re-hospitalised due to cardiopulmonary causes. TAPSE/SPAP was independently associated with both primary (HR 0.79, 95%CI 0.65-0.97) and secondary (HR 0.94, 95%CI 0.92-0.97) endpoints. A TAPSE/SPAP ratio of <0.20 and <0.44 mm/mmHg showed the greatest sensitivity and specificity for predicting primary (AUC 0.98) and secondary (AUC 0.99) endpoints, respectively. CONCLUSIONS: TAPSE/SPAP is a strong predictor of adverse outcomes in mild-to-moderate IPF. The strong correlation between TAPSE/SPAP and EaI might be an expression of a systemic fibrotic process which involves the heart, lungs and circulation.
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Affiliation(s)
- A Sonaglioni
- Division of Cardiology, MultiMedica IRCCS, Milan, Italy
| | - A Caminati
- Division of Pneumology, Semi-Intensive Care Unit, MultiMedica IRCCS, Milan, Italy
| | - E Grasso
- Division of Cardiology, MultiMedica IRCCS, Milan, Italy
| | - M Colleoni
- Division of Pneumology, Semi-Intensive Care Unit, MultiMedica IRCCS, Milan, Italy
| | - G L Nicolosi
- Division of Cardiology, Policlinico San Giorgio, Pordenone, Italy
| | - M Lombardo
- Division of Cardiology, MultiMedica IRCCS, Milan, Italy
| | - S Harari
- Division of Pneumology, Semi-Intensive Care Unit, MultiMedica IRCCS, Milan, Italy
- Department of Clinical Sciences and Community Health, Università di Milano, Milan, Italy
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Lombardo M, Cusumano A, Mancino R, Aiello F, Sorge RP, Nucci C, Cesareo M. Short Wavelength Automated Perimetry, Standard Automated Perimetry, and Optical Coherence Tomography in Dominant Optic Atrophy. J Clin Med 2024; 13:1971. [PMID: 38610740 PMCID: PMC11012462 DOI: 10.3390/jcm13071971] [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: 01/27/2024] [Revised: 02/19/2024] [Accepted: 03/27/2024] [Indexed: 04/14/2024] Open
Abstract
Background: Blue-yellow axis dyschromatopsia is well-known in Autosomal Dominant Optic Atrophy (ADOA) patients, but there were no data on the correlation between retinal structure and short-wavelength automated perimetry (SWAP) values in this pathology. Methods: In this cross-sectional case-control study, we assessed the correlation between best corrected visual acuity (BCVA), standard automated perimetry (SAP), SWAP, and optical coherence tomography (OCT) parameters of 9 ADOA patients compared with healthy controls. Correlation analysis was performed between BCVA, mean deviation, pattern standard deviation (PSD), and fovea sensitivity (FS) values and the OCT thickness of each retinal layer and the peripapillary retinal nerve fiber layer (pRNFL). Results: The following significant and strong correlations were found: between BCVA and ganglion cell layer (GCL) and the global (G) pRNFL thicknesses; between SAP FS and GCL and the G-pRNFL thicknesses; between SWAP PSD and total retina, GCL, inner plexiform layer, inner nuclear layer, inner retinal layer and the temporal pRNFL thicknesses. We found a constant shorter duration of the SITA-SWAP compared with the SITA-STANDARD strategy. Conclusions: SWAP, SAP, and BCVA values provided relevant clinical information about retinal involvement in our ADOA patients. The perimetric functional parameters that seemed to correlate better with structure involvement were FS on SAP and PSD on SWAP.
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Affiliation(s)
- Marco Lombardo
- Ophthalmology Unit, Department of Experimental Medicine, University of Rome Tor Vergata, 00133 Rome, Italy
| | - Andrea Cusumano
- Ophthalmology Unit, Department of Experimental Medicine, University of Rome Tor Vergata, 00133 Rome, Italy
| | - Raffaele Mancino
- Ophthalmology Unit, Department of Experimental Medicine, University of Rome Tor Vergata, 00133 Rome, Italy
| | - Francesco Aiello
- Ophthalmology Unit, Department of Experimental Medicine, University of Rome Tor Vergata, 00133 Rome, Italy
| | - Roberto Pietro Sorge
- Laboratory of Biometry, Department of Systems Medicine, University of Rome Tor Vergata, 00133 Rome, Italy
| | - Carlo Nucci
- Ophthalmology Unit, Department of Experimental Medicine, University of Rome Tor Vergata, 00133 Rome, Italy
| | - Massimo Cesareo
- Ophthalmology Unit, Department of Experimental Medicine, University of Rome Tor Vergata, 00133 Rome, Italy
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Lombardo M, Serrao S, Bernava GM, Mencucci R, Fruschelli M, Lombardo G. Real-time monitoring of riboflavin concentration using different clinically available ophthalmic formulations for epi-off and epi-on corneal cross-linking. Graefes Arch Clin Exp Ophthalmol 2024:10.1007/s00417-024-06451-8. [PMID: 38502352 DOI: 10.1007/s00417-024-06451-8] [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] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/04/2023] [Revised: 02/27/2024] [Accepted: 03/08/2024] [Indexed: 03/21/2024] Open
Abstract
PURPOSE To assess the feasibility of theranostics to determine the riboflavin concentration in the cornea using clinically available ophthalmic formulations during epithelium-off (epi-off) and transepithelial (epi-on) corneal cross-linking procedures. METHODS Thirty-two eye bank human donor corneas were equally randomized in eight groups; groups 1 to 3 and groups 4 to 8 underwent epi-off and epi-on delivery of riboflavin respectively. Riboflavin ophthalmic solutions were applied onto the cornea according to the manufacturers' instructions. The amount of riboflavin into the cornea was estimated, at preset time intervals during imbibition time, using theranostic UV-A device (C4V CHROMO4VIS, Regensight srl, Italy) and expressed as riboflavin score (d.u.). Measurements of corneal riboflavin concentration (expressed as µg/cm3) were also performed by spectroscopy absorbance technique (AvaLight-DH-S-BAL, Avantes) for external validation of theranostic measurements. RESULTS At the end of imbibition time in epi-off delivery protocols, the average riboflavin score ranged from 0.77 ± 0.38 (the average corneal riboflavin concentration was 213 ± 190 µg/cm3) to 1.79 ± 0.07 (554 ± 103 µg/cm3). In epi-on delivery protocols, the average riboflavin score ranged from 0.17 ± 0.01 to 0.67 ± 0.19 (corneal riboflavin concentration ranged from 6 ± 5 µg/cm3 to 122 ± 39 µg/cm3) at the end of imbibition time. A statistically significant linear correlation (P ≤ 0.05) was found between the theranostic and spectrophotometry measurements in all groups. CONCLUSIONS Real-time theranostic imaging provided an accurate strategy for assessing permeation of riboflavin into the human cornea during the imbibition phase of corneal cross-linking, regardless of delivery protocol. A large variability in corneal riboflavin concentration exists between clinically available ophthalmic formulations both in epi-off and epi-on delivery protocols.
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Affiliation(s)
- Marco Lombardo
- Studio Italiano di Oftalmologia, Via Livenza 3, 00198, Rome, Italy.
- Vision Engineering Italy Srl, Via Livenza 3, 00198, Rome, Italy.
| | - Sebastiano Serrao
- Studio Italiano di Oftalmologia, Via Livenza 3, 00198, Rome, Italy
- Vision Engineering Italy Srl, Via Livenza 3, 00198, Rome, Italy
| | - Giuseppe Massimo Bernava
- CNR-IPCF, Istituto per i Processi Chimico-Fisici, Viale F. Stagno D'Alcontres 37, 98158, Messina, Italy
| | - Rita Mencucci
- SOD Oculistica, AOU Careggi, Università di Firenze, Largo Brambilla 3, 50134, Florence, Italy
| | - Mario Fruschelli
- Sezione Oftalmologia, Policlinico Santa Maria alle Scotte, Università di Siena, Dip. Scienze mediche-chirurgiche e neuroscienze, Viale Bracci, 53100, Siena, Italy
| | - Giuseppe Lombardo
- Studio Italiano di Oftalmologia, Via Livenza 3, 00198, Rome, Italy.
- CNR-IPCF, Istituto per i Processi Chimico-Fisici, Viale F. Stagno D'Alcontres 37, 98158, Messina, Italy.
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Lombardo G, Alunni-Fegatelli D, Serrao S, Mencucci R, Roszkowska AM, Bernava GM, Vestri A, Aleo D, Lombardo M. Accuracy of an Air-Puff Dynamic Tonometry Biomarker to Discriminate the Corneal Biomechanical Response in Patients With Keratoconus. Cornea 2024; 43:315-322. [PMID: 37964435 DOI: 10.1097/ico.0000000000003377] [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] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/27/2023] [Accepted: 07/30/2023] [Indexed: 11/16/2023]
Abstract
PURPOSE The aim of this study was to assess accuracy of the mean corneal stiffness ( kc , N/m) parameter to discriminate between patients with keratoconus and age-matched healthy subjects. METHODS Dynamic Scheimpflug imaging tonometry was performed with Corvis ST (Oculus Optikgeräte GmbH, Germany) in patients with keratoconus (n = 24; study group) and age-matched healthy subjects (n = 32; control). An image processing algorithm was developed to analyze the video sequence of the Corvis ST air-puff event and to determine the geometric and temporal parameters that correlated with the corneal tissue biomechanical properties. A modified 3-element viscoelastic model was used to derive the kc parameter, which represented the corneal tissue resistance to deformation under load. Receiver operating characteristic curves were used to assess the overall diagnostic performance for determining the area under the curve, sensitivity, and specificity of the kc in assessing the corneal tissue deformation to the Corvis ST air-puff event in keratoconus and control eyes. The Corvis Biomechanical Index ( CBI ) was analyzed for external validation. RESULTS The kc parameter was significantly different between keratoconus and controls ( P < 0.001), ranging from 24.9 ±3.0 to 34.2 ±3.5 N/m, respectively. It was highly correlated with CBI (r = -0.69; P < 0.001); however, the kc parameter had greater specificity (94%) than CBI (75%), whereas the 2 biomarkers had similar area under the curve (0.98 vs. 0.94) and sensitivity (96% vs. 92%) in predicting the occurrence of keratoconus. CONCLUSIONS The kc parameter extracted by video processing analysis of dynamic Scheimpflug tonometry data was highly accurate in discriminating patients with clinically manifest keratoconus compared with controls.
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Affiliation(s)
- Giuseppe Lombardo
- CNR-IPCF, Istituto per i Processi Chimico-Fisici, Messina, Italy
- Vision Engineering Italy srl, Rome, Italy
| | - Danilo Alunni-Fegatelli
- Department of Public Health and infectious Diseases, University of Rome "La Sapienza", Rome, Italy
| | | | - Rita Mencucci
- SOD Oculistica, AOU Careggi, Università di Firenze, Firenze, Italy
| | | | | | - Annarita Vestri
- Department of Public Health and infectious Diseases, University of Rome "La Sapienza", Rome, Italy
| | | | - Marco Lombardo
- Vision Engineering Italy srl, Rome, Italy
- Studio Italiano di Oftalmologia, Rome, Italy
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Dotto E, Deshapriya JDP, Gai I, Hasselmann PH, Mazzotta Epifani E, Poggiali G, Rossi A, Zanotti G, Zinzi A, Bertini I, Brucato JR, Dall'Ora M, Della Corte V, Ivanovski SL, Lucchetti A, Pajola M, Amoroso M, Barnouin O, Campo Bagatin A, Capannolo A, Caporali S, Ceresoli M, Chabot NL, Cheng AF, Cremonese G, Fahnestock EG, Farnham TL, Ferrari F, Gomez Casajus L, Gramigna E, Hirabayashi M, Ieva S, Impresario G, Jutzi M, Lasagni Manghi R, Lavagna M, Li JY, Lombardo M, Modenini D, Palumbo P, Perna D, Pirrotta S, Raducan SD, Richardson DC, Rivkin AS, Stickle AM, Sunshine JM, Tortora P, Tusberti F, Zannoni M. The Dimorphos ejecta plume properties revealed by LICIACube. Nature 2024; 627:505-509. [PMID: 38418881 PMCID: PMC10954540 DOI: 10.1038/s41586-023-06998-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/09/2023] [Accepted: 12/18/2023] [Indexed: 03/02/2024]
Abstract
The Double Asteroid Redirection Test (DART) had an impact with Dimorphos (a satellite of the asteroid Didymos) on 26 September 20221. Ground-based observations showed that the Didymos system brightened by a factor of 8.3 after the impact because of ejecta, returning to the pre-impact brightness 23.7 days afterwards2. Hubble Space Telescope observations made from 15 minutes after impact to 18.5 days after, with a spatial resolution of 2.1 kilometres per pixel, showed a complex evolution of the ejecta3, consistent with other asteroid impact events. The momentum enhancement factor, determined using the measured binary period change4, ranges between 2.2 and 4.9, depending on the assumptions about the mass and density of Dimorphos5. Here we report observations from the LUKE and LEIA instruments on the LICIACube cube satellite, which was deployed 15 days in advance of the impact of DART. Data were taken from 71 seconds before the impact until 320 seconds afterwards. The ejecta plume was a cone with an aperture angle of 140 ± 4 degrees. The inner region of the plume was blue, becoming redder with increasing distance from Dimorphos. The ejecta plume exhibited a complex and inhomogeneous structure, characterized by filaments, dust grains and single or clustered boulders. The ejecta velocities ranged from a few tens of metres per second to about 500 metres per second.
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Affiliation(s)
- E Dotto
- Osservatorio Astronomico di Roma, INAF, Rome, Italy.
| | | | - I Gai
- Dipartimento di Ingegneria Industriale, Alma Mater Studiorum, Università di Bologna, Forlì, Italy
| | | | | | - G Poggiali
- Osservatorio Astrofisico di Arcetri, INAF, Florence, Italy
- Observatoire de Paris, LESIA, Paris, France
| | - A Rossi
- Istituto di Fisica Applicata 'Nello Carrara', CNR, Florence, Italy
| | | | - A Zinzi
- Space Science Data Center, ASI, Rome, Italy
- Agenzia Spaziale Italiana, Rome, Italy
| | - I Bertini
- Università degli Studi di Napoli 'Parthenope', Naples, Italy
| | - J R Brucato
- Osservatorio Astrofisico di Arcetri, INAF, Florence, Italy
| | - M Dall'Ora
- Osservatorio Astronomico di Capodimonte, INAF, Naples, Italy
| | - V Della Corte
- Osservatorio Astronomico di Capodimonte, INAF, Naples, Italy
| | - S L Ivanovski
- Osservatorio Astronomico di Trieste, INAF, Trieste, Italy
| | - A Lucchetti
- Osservatorio Astronomico di Padova, INAF, Padova, Italy
| | - M Pajola
- Osservatorio Astronomico di Padova, INAF, Padova, Italy
| | - M Amoroso
- Agenzia Spaziale Italiana, Rome, Italy
| | - O Barnouin
- Johns Hopkins University Applied Physics Laboratory, Laurel, MD, USA
| | | | | | - S Caporali
- Osservatorio Astrofisico di Arcetri, INAF, Florence, Italy
| | | | - N L Chabot
- Johns Hopkins University Applied Physics Laboratory, Laurel, MD, USA
| | - A F Cheng
- Johns Hopkins University Applied Physics Laboratory, Laurel, MD, USA
| | - G Cremonese
- Osservatorio Astronomico di Padova, INAF, Padova, Italy
| | - E G Fahnestock
- Jet Propulsion Laboratory, California Institute of Technology, Pasadena, CA, USA
| | - T L Farnham
- Department of Astronomy, University of Maryland, College Park, MD, USA
| | | | - L Gomez Casajus
- Centro Interdipartimentale di Ricerca Industriale Aerospaziale, Alma Mater Studiorum, Università di Bologna, Forlì, Italy
| | - E Gramigna
- Dipartimento di Ingegneria Industriale, Alma Mater Studiorum, Università di Bologna, Forlì, Italy
| | | | - S Ieva
- Osservatorio Astronomico di Roma, INAF, Rome, Italy
| | | | - M Jutzi
- Space Research and Planetary Sciences, Physikalisches Institut, University of Bern, Bern, Switzerland
| | - R Lasagni Manghi
- Dipartimento di Ingegneria Industriale, Alma Mater Studiorum, Università di Bologna, Forlì, Italy
| | | | - J-Y Li
- Planetary Science Institute, Tucson, AZ, USA
| | - M Lombardo
- Dipartimento di Ingegneria Industriale, Alma Mater Studiorum, Università di Bologna, Forlì, Italy
| | - D Modenini
- Dipartimento di Ingegneria Industriale, Alma Mater Studiorum, Università di Bologna, Forlì, Italy
- Centro Interdipartimentale di Ricerca Industriale Aerospaziale, Alma Mater Studiorum, Università di Bologna, Forlì, Italy
| | - P Palumbo
- Istituto di Astrofisica e Planetologia Spaziali, INAF, Rome, Italy
| | - D Perna
- Osservatorio Astronomico di Roma, INAF, Rome, Italy
| | | | - S D Raducan
- Space Research and Planetary Sciences, Physikalisches Institut, University of Bern, Bern, Switzerland
| | - D C Richardson
- Department of Astronomy, University of Maryland, College Park, MD, USA
| | - A S Rivkin
- Johns Hopkins University Applied Physics Laboratory, Laurel, MD, USA
| | - A M Stickle
- Johns Hopkins University Applied Physics Laboratory, Laurel, MD, USA
| | - J M Sunshine
- Department of Astronomy, University of Maryland, College Park, MD, USA
| | - P Tortora
- Dipartimento di Ingegneria Industriale, Alma Mater Studiorum, Università di Bologna, Forlì, Italy
- Centro Interdipartimentale di Ricerca Industriale Aerospaziale, Alma Mater Studiorum, Università di Bologna, Forlì, Italy
| | - F Tusberti
- Osservatorio Astronomico di Padova, INAF, Padova, Italy
| | - M Zannoni
- Dipartimento di Ingegneria Industriale, Alma Mater Studiorum, Università di Bologna, Forlì, Italy
- Centro Interdipartimentale di Ricerca Industriale Aerospaziale, Alma Mater Studiorum, Università di Bologna, Forlì, Italy
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9
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Quintavalla A, Carboni D, Brusa A, Lombardo M. Selective Hydrofunctionalization of N-Allenyl Derivatives with Heteronucleophiles Catalyzed by Brønsted Acids. J Org Chem 2024; 89:2320-2342. [PMID: 38298114 DOI: 10.1021/acs.joc.3c02322] [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: 02/02/2024]
Abstract
In this study, we present a novel and environmentally sustainable protocol for the γ-hydrofunctionalization of N-allenyl compounds using various heteronucleophiles catalyzed solely by simple Brønsted acids. The method displays remarkable attributes, highlighting its sustainability, efficiency, regio- and stereoselectivity, as well as its versatile applicability to diverse heteroatom-containing enamides. Notably, our approach eliminates the need for metal catalysts and toxic solvents, representing a significant advancement in greener chemistry practices. We demonstrate the broad scope of our protocol by successfully scaling up reactions to gram-scale syntheses, underscoring its robustness for potential industrial implementation. The resulting γ-heterosubstituted enamides offer new possibilities for further synthetic transformations, yielding highly functionalized compounds with diverse applications. Mechanistic investigations reveal the pivotal role of CSA as a catalyst, enabling alcohol addition via a covalent activation mode.
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Affiliation(s)
- Arianna Quintavalla
- Department of Chemistry "G. Ciamician", Alma Mater Studiorum-University of Bologna, Via P. Gobetti 85, 40129 Bologna, Italy
- Center for Chemical Catalysis-C3, Alma Mater Studiorum-University of Bologna, Via P. Gobetti 85, 40129 Bologna, Italy
| | - Davide Carboni
- Department of Chemistry "G. Ciamician", Alma Mater Studiorum-University of Bologna, Via P. Gobetti 85, 40129 Bologna, Italy
- Center for Chemical Catalysis-C3, Alma Mater Studiorum-University of Bologna, Via P. Gobetti 85, 40129 Bologna, Italy
| | - Alessandro Brusa
- Department of Chemistry "G. Ciamician", Alma Mater Studiorum-University of Bologna, Via P. Gobetti 85, 40129 Bologna, Italy
| | - Marco Lombardo
- Department of Chemistry "G. Ciamician", Alma Mater Studiorum-University of Bologna, Via P. Gobetti 85, 40129 Bologna, Italy
- Center for Chemical Catalysis-C3, Alma Mater Studiorum-University of Bologna, Via P. Gobetti 85, 40129 Bologna, Italy
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10
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Lombardo M, Cesareo M, Falsini B, Cusumano A. Non-Invasive High-Resolution Imaging of In Vivo Human Myelinated Axons. Diagnostics (Basel) 2024; 14:253. [PMID: 38337769 PMCID: PMC10854769 DOI: 10.3390/diagnostics14030253] [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: 12/27/2023] [Revised: 01/19/2024] [Accepted: 01/22/2024] [Indexed: 02/12/2024] Open
Abstract
This work aims to reveal the microscopic (2-3 micrometer resolution) appearance of human myelinated nerve fibers in vivo for the first time. We analyzed the myelinated retinal nerve fibers of a male patient without other neurological disorders in a non-invasive way using the transscleral optical phase imaging method with adaptive optics. We also analyzed the fellow eye with non-myelinated nerve fibers and compared the results with traditional ocular imaging methods such as optical coherence tomography. We documented the microscopic appearance of human myelin and myelinated axons in vivo. This method allowed us to obtain better details than through traditional ocular imaging methods. We hope these findings will be useful to the scientific community to evaluate neuro-retinal structures through new imaging techniques and more accurately document nerve anatomy and the pathophysiology of this disease.
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Affiliation(s)
- Marco Lombardo
- Department of Experimental Medicine, Ophthalmology Unit, University of Rome Tor Vergata, 00133 Rome, Italy; (M.C.); (A.C.)
| | - Massimo Cesareo
- Department of Experimental Medicine, Ophthalmology Unit, University of Rome Tor Vergata, 00133 Rome, Italy; (M.C.); (A.C.)
| | | | - Andrea Cusumano
- Department of Experimental Medicine, Ophthalmology Unit, University of Rome Tor Vergata, 00133 Rome, Italy; (M.C.); (A.C.)
- Macula & Genoma Foundation USA, New York, NY 10017, USA
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11
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Russo S, Lorusso L, D’Onofrio G, Ciccone F, Tritto M, Nocco S, Cardone D, Perpetuini D, Lombardo M, Lombardo D, Sancarlo D, Greco A, Merla A, Giuliani F. Assessing Feasibility of Cognitive Impairment Testing Using Social Robotic Technology Augmented with Affective Computing and Emotional State Detection Systems. Biomimetics (Basel) 2023; 8:475. [PMID: 37887606 PMCID: PMC10604561 DOI: 10.3390/biomimetics8060475] [Citation(s) in RCA: 3] [Impact Index Per Article: 3.0] [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: 09/08/2023] [Revised: 09/26/2023] [Accepted: 09/27/2023] [Indexed: 10/28/2023] Open
Abstract
Social robots represent a valid opportunity to manage the diagnosis, treatment, care, and support of older people with dementia. The aim of this study is to validate the Mini-Mental State Examination (MMSE) test administered by the Pepper robot equipped with systems to detect psychophysical and emotional states in older patients. Our main result is that the Pepper robot is capable of administering the MMSE and that cognitive status is not a determinant in the effective use of a social robot. People with mild cognitive impairment appreciate the robot, as it interacts with them. Acceptability does not relate strictly to the user experience, but the willingness to interact with the robot is an important variable for engagement. We demonstrate the feasibility of a novel approach that, in the future, could lead to more natural human-machine interaction when delivering cognitive tests with the aid of a social robot and a Computational Psychophysiology Module (CPM).
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Affiliation(s)
- Sergio Russo
- Research & Innovation Unit, Foundation IRCCS Casa Sollievo della Sofferenza, 71013 San Giovanni Rotondo, Italy;
| | - Letizia Lorusso
- Research & Innovation Unit, Foundation IRCCS Casa Sollievo della Sofferenza, 71013 San Giovanni Rotondo, Italy;
- Interdisciplinary Department of Medicine, School of Medical Statistics and Biometry, University of Bari Aldo Moro, 70124 Bari, Italy
| | - Grazia D’Onofrio
- Clinical Psychology Service, Health Department, IRCCS Casa Sollievo della Sofferenza, 71013 San Giovanni Rotondo, Italy; (G.D.); (F.C.)
| | - Filomena Ciccone
- Clinical Psychology Service, Health Department, IRCCS Casa Sollievo della Sofferenza, 71013 San Giovanni Rotondo, Italy; (G.D.); (F.C.)
| | - Michele Tritto
- Next2U Srl, Via dei Peligni 137, 65127 Pescara, Italy; (M.T.); (S.N.)
| | - Sergio Nocco
- Next2U Srl, Via dei Peligni 137, 65127 Pescara, Italy; (M.T.); (S.N.)
| | - Daniela Cardone
- Department of Engineering and Geology, University G. D’Annunzio of Chieti-Pescara, 65127 Pescara, Italy; (D.C.); (D.P.); (A.M.)
| | - David Perpetuini
- Department of Engineering and Geology, University G. D’Annunzio of Chieti-Pescara, 65127 Pescara, Italy; (D.C.); (D.P.); (A.M.)
| | - Marco Lombardo
- Behaviour Labs S.r.l.s. Piazza Gen. di Brigata Luigi Sapienza 22, 95030 Sant’Agata Li Battiati, Italy (D.L.)
| | - Daniele Lombardo
- Behaviour Labs S.r.l.s. Piazza Gen. di Brigata Luigi Sapienza 22, 95030 Sant’Agata Li Battiati, Italy (D.L.)
| | - Daniele Sancarlo
- Geriatrics Unit, Foundation IRCCS Casa Sollievo della Sofferenza, 71013 San Giovanni Rotondo, Italy; (D.S.); (A.G.)
| | - Antonio Greco
- Geriatrics Unit, Foundation IRCCS Casa Sollievo della Sofferenza, 71013 San Giovanni Rotondo, Italy; (D.S.); (A.G.)
| | - Arcangelo Merla
- Department of Engineering and Geology, University G. D’Annunzio of Chieti-Pescara, 65127 Pescara, Italy; (D.C.); (D.P.); (A.M.)
| | - Francesco Giuliani
- Research & Innovation Unit, Foundation IRCCS Casa Sollievo della Sofferenza, 71013 San Giovanni Rotondo, Italy;
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12
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Quintavalla A, Carboni D, Simeone M, Lombardo M. Stereoselective Synthesis of α-Disubstituted β-Homoprolines. Org Lett 2023; 25:7067-7071. [PMID: 37729003 PMCID: PMC10546376 DOI: 10.1021/acs.orglett.3c02891] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/03/2023] [Indexed: 09/22/2023]
Abstract
An efficient enantioselective synthesis of chiral α-disubstituted β-homoprolines was developed, starting with the stereodivergent allylation of chiral N-tert-butanesulfinyl imines derived from 4-bromobutanal with indium or zinc and using well-established and reliable synthetic transformations. This methodology allows the easy introduction of different substituents at the α-position of the pyrrolidine scaffold and is characterized by the possibility of switching the absolute configuration of the newly formed stereocenter either by changing the configuration of the tert-butanesufinamide chiral auxiliary or by using a different stereodivergent allylation protocol with the same auxiliary.
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Affiliation(s)
- Arianna Quintavalla
- Alma
Mater Studiorum - University of Bologna, Department of Chemistry “G. Ciamician”, via P. Gobetti 85, 40129 Bologna, Italy
- Center
for Chemical Catalysis - C3, Alma Mater
Studiorum - Università di Bologna, via P. Gobetti 85, 40129 Bologna, Italy
| | - Davide Carboni
- Alma
Mater Studiorum - University of Bologna, Department of Chemistry “G. Ciamician”, via P. Gobetti 85, 40129 Bologna, Italy
- Center
for Chemical Catalysis - C3, Alma Mater
Studiorum - Università di Bologna, via P. Gobetti 85, 40129 Bologna, Italy
| | - Maria Simeone
- Alma
Mater Studiorum - University of Bologna, Department of Chemistry “G. Ciamician”, via P. Gobetti 85, 40129 Bologna, Italy
| | - Marco Lombardo
- Alma
Mater Studiorum - University of Bologna, Department of Chemistry “G. Ciamician”, via P. Gobetti 85, 40129 Bologna, Italy
- Center
for Chemical Catalysis - C3, Alma Mater
Studiorum - Università di Bologna, via P. Gobetti 85, 40129 Bologna, Italy
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13
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Di Sante M, Kaltenbrunner A, Lombardo M, Danielli A, Costantini PE, Di Giosia M, Calvaresi M. Putting a "C 60 Ball" and Chain to Chlorin e6 Improves Its Cellular Uptake and Photodynamic Performances. Pharmaceuticals (Basel) 2023; 16:1329. [PMID: 37765138 PMCID: PMC10538216 DOI: 10.3390/ph16091329] [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] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/28/2023] [Revised: 09/08/2023] [Accepted: 09/11/2023] [Indexed: 09/29/2023] Open
Abstract
Chlorin e6 (Ce6) and fullerene (C60) are among the most used photosensitizers (PSs) for photodynamic therapy (PDT). Through the combination of the chemical and photophysical properties of Ce6 and C60, in principle, we can obtain an "ideal" photosensitizer that is able to bypass the limitations of the two molecules alone, i.e., the low cellular uptake of Ce6 and the scarce solubility and absorption in the red region of the C60. Here, we synthesized and characterized a Ce6-C60 dyad. The UV-Vis spectrum of the dyad showed the typical absorption bands of both fullerene and Ce6, while a quenching of Ce6 fluorescence was observed. This behavior is typical in the formation of a fullerene-antenna system and is due to the intramolecular energy, or electron transfer from the antenna (Ce6) to the fullerene. Consequently, the Ce6-C60 dyad showed an enhancement in the generation of reactive oxygen species (ROS). Flow cytometry measurements demonstrated how the uptake of the Ce6 was strongly improved by the conjugation with C60. The Ce6-C60 dyad exhibited in A431 cancer cells low dark toxicity and a higher PDT efficacy than Ce6 alone, due to the enhancement of the uptake and the improvement of ROS generation.
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Affiliation(s)
- Manuele Di Sante
- Dipartimento di Chimica “Giacomo Ciamician”, Alma Mater Studiorum—Università di Bologna, Via Francesco Selmi 2, 40126 Bologna, Italy; (M.D.S.); (M.L.)
| | - Alena Kaltenbrunner
- Dipartimento di Farmacia e Biotecnologie, Alma Mater Studiorum—Università di Bologna, Via Francesco Selmi 3, 40126 Bologna, Italy; (A.K.); (A.D.)
| | - Marco Lombardo
- Dipartimento di Chimica “Giacomo Ciamician”, Alma Mater Studiorum—Università di Bologna, Via Francesco Selmi 2, 40126 Bologna, Italy; (M.D.S.); (M.L.)
| | - Alberto Danielli
- Dipartimento di Farmacia e Biotecnologie, Alma Mater Studiorum—Università di Bologna, Via Francesco Selmi 3, 40126 Bologna, Italy; (A.K.); (A.D.)
| | - Paolo Emidio Costantini
- Dipartimento di Farmacia e Biotecnologie, Alma Mater Studiorum—Università di Bologna, Via Francesco Selmi 3, 40126 Bologna, Italy; (A.K.); (A.D.)
| | - Matteo Di Giosia
- Dipartimento di Chimica “Giacomo Ciamician”, Alma Mater Studiorum—Università di Bologna, Via Francesco Selmi 2, 40126 Bologna, Italy; (M.D.S.); (M.L.)
| | - Matteo Calvaresi
- Dipartimento di Chimica “Giacomo Ciamician”, Alma Mater Studiorum—Università di Bologna, Via Francesco Selmi 2, 40126 Bologna, Italy; (M.D.S.); (M.L.)
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14
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Formica C, Bonanno L, Giambò FM, Maresca G, Latella D, Marra A, Cucinotta F, Bonanno C, Lombardo M, Tomarchio O, Quartarone A, Marino S, Calabrò RS, Lo Buono V. Paving the Way for Predicting the Progression of Cognitive Decline: The Potential Role of Machine Learning Algorithms in the Clinical Management of Neurodegenerative Disorders. J Pers Med 2023; 13:1386. [PMID: 37763152 PMCID: PMC10533011 DOI: 10.3390/jpm13091386] [Citation(s) in RCA: 3] [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] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/03/2023] [Revised: 09/05/2023] [Accepted: 09/13/2023] [Indexed: 09/29/2023] Open
Abstract
Alzheimer's disease (AD) is the most common form of neurodegenerative disorder. The prodromal phase of AD is mild cognitive impairment (MCI). The capacity to predict the transitional phase from MCI to AD represents a challenge for the scientific community. The adoption of artificial intelligence (AI) is useful for diagnostic, predictive analysis starting from the clinical epidemiology of neurodegenerative disorders. We propose a Machine Learning Model (MLM) where the algorithms were trained on a set of neuropsychological, neurophysiological, and clinical data to predict the diagnosis of cognitive decline in both MCI and AD patients. METHODS We built a dataset with clinical and neuropsychological data of 4848 patients, of which 2156 had a diagnosis of AD, and 2684 of MCI, for the Machine Learning Model, and 60 patients were enrolled for the test dataset. We trained an ML algorithm using RoboMate software based on the training dataset, and then calculated its accuracy using the test dataset. RESULTS The Receiver Operating Characteristic (ROC) analysis revealed that diagnostic accuracy was 86%, with an appropriate cutoff value of 1.5; sensitivity was 72%; and specificity reached a value of 91% for clinical data prediction with MMSE. CONCLUSION This method may support clinicians to provide a second opinion concerning high prognostic power in the progression of cognitive impairment. The MLM used in this study is based on big data that were confirmed in enrolled patients and given a credibility about the presence of determinant risk factors also supported by a cognitive test score.
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Affiliation(s)
- Caterina Formica
- IRCCS Centro Neurolesi “Bonino Pulejo”, 98124 Messina, Italy; (C.F.); (L.B.); (F.M.G.); (G.M.); (A.M.); (F.C.); (C.B.); (A.Q.); (S.M.); (R.S.C.); (V.L.B.)
| | - Lilla Bonanno
- IRCCS Centro Neurolesi “Bonino Pulejo”, 98124 Messina, Italy; (C.F.); (L.B.); (F.M.G.); (G.M.); (A.M.); (F.C.); (C.B.); (A.Q.); (S.M.); (R.S.C.); (V.L.B.)
| | - Fabio Mauro Giambò
- IRCCS Centro Neurolesi “Bonino Pulejo”, 98124 Messina, Italy; (C.F.); (L.B.); (F.M.G.); (G.M.); (A.M.); (F.C.); (C.B.); (A.Q.); (S.M.); (R.S.C.); (V.L.B.)
| | - Giuseppa Maresca
- IRCCS Centro Neurolesi “Bonino Pulejo”, 98124 Messina, Italy; (C.F.); (L.B.); (F.M.G.); (G.M.); (A.M.); (F.C.); (C.B.); (A.Q.); (S.M.); (R.S.C.); (V.L.B.)
| | - Desiree Latella
- IRCCS Centro Neurolesi “Bonino Pulejo”, 98124 Messina, Italy; (C.F.); (L.B.); (F.M.G.); (G.M.); (A.M.); (F.C.); (C.B.); (A.Q.); (S.M.); (R.S.C.); (V.L.B.)
| | - Angela Marra
- IRCCS Centro Neurolesi “Bonino Pulejo”, 98124 Messina, Italy; (C.F.); (L.B.); (F.M.G.); (G.M.); (A.M.); (F.C.); (C.B.); (A.Q.); (S.M.); (R.S.C.); (V.L.B.)
| | - Fabio Cucinotta
- IRCCS Centro Neurolesi “Bonino Pulejo”, 98124 Messina, Italy; (C.F.); (L.B.); (F.M.G.); (G.M.); (A.M.); (F.C.); (C.B.); (A.Q.); (S.M.); (R.S.C.); (V.L.B.)
| | - Carmen Bonanno
- IRCCS Centro Neurolesi “Bonino Pulejo”, 98124 Messina, Italy; (C.F.); (L.B.); (F.M.G.); (G.M.); (A.M.); (F.C.); (C.B.); (A.Q.); (S.M.); (R.S.C.); (V.L.B.)
| | | | - Orazio Tomarchio
- Department of Electrical Engineering, Electronics and Computer Science, University of Catania, 95131 Catania, Italy;
| | - Angelo Quartarone
- IRCCS Centro Neurolesi “Bonino Pulejo”, 98124 Messina, Italy; (C.F.); (L.B.); (F.M.G.); (G.M.); (A.M.); (F.C.); (C.B.); (A.Q.); (S.M.); (R.S.C.); (V.L.B.)
| | - Silvia Marino
- IRCCS Centro Neurolesi “Bonino Pulejo”, 98124 Messina, Italy; (C.F.); (L.B.); (F.M.G.); (G.M.); (A.M.); (F.C.); (C.B.); (A.Q.); (S.M.); (R.S.C.); (V.L.B.)
| | - Rocco Salvatore Calabrò
- IRCCS Centro Neurolesi “Bonino Pulejo”, 98124 Messina, Italy; (C.F.); (L.B.); (F.M.G.); (G.M.); (A.M.); (F.C.); (C.B.); (A.Q.); (S.M.); (R.S.C.); (V.L.B.)
| | - Viviana Lo Buono
- IRCCS Centro Neurolesi “Bonino Pulejo”, 98124 Messina, Italy; (C.F.); (L.B.); (F.M.G.); (G.M.); (A.M.); (F.C.); (C.B.); (A.Q.); (S.M.); (R.S.C.); (V.L.B.)
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15
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Di Marco E, Di Marino M, Lombardo M, Capria G, Aloe G, Mancino R, Aiello F, Nucci C, De Lorenzo A, Cesareo M. Bioelectrical impedance analysis in patients with posterior vitreous detachment. Eur Rev Med Pharmacol Sci 2023; 27:7316-7323. [PMID: 37606140 DOI: 10.26355/eurrev_202308_33303] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 08/23/2023]
Abstract
OBJECTIVE The purpose of the study is to assess body hydration in patients with posterior vitreous detachment (PVD) by bioelectrical impedance analysis (BIA). PVD, one of the most common eye diseases, is associated in both research and the collective image with reduced daily water intake, but this finding is not supported by strong evidence in the literature. PATIENTS AND METHODS Based on Spectral Domain Optical Coherence Tomography (SD-OCT) evaluation, different PVD stages are identified: absent posterior vitreous detachment, partial posterior vitreous detachment (P-PVD), or complete posterior vitreous detachment (C-PVD). BIA is a simple, non-invasive bedside method used to assess body composition. Patients underwent BIA and completed a floaters symptoms. 30 patients were enrolled and divided into two groups according to the degree of vitreous detachment, in P-PVD (n=12) and C-PVD (n=18). Patients underwent BIA and completed a floaters symptoms questionnaire. BIA measured the Resistance (R), Reactance (Xc), Phase Angle (PhA), Total Body Water (TBW), Extracellular Water (ECW), Fat Mass (FM), Fat-Free Mass (FFM), and Body Cell Mass Index (BCMI). Finally, patients received a test to assess adherence to the Mediterranean diet (Mediterranean Diet Test Score, MDTS) with the addition of daily water intake. RESULTS Relevant data were obtained from the BIA evaluation: the values of R and Xc were lower in the P-PVD group than C-PVD group (respectively 417.08±58.12 Ω vs. 476.94±51.29 Ω p=0.006 and 41.33±8.23 Ω vs. 50.61±7.98 Ω p=0.004). Instead, patients in the P-PVD group reported higher values of TBW and ECW than C-PVD group (respectively 44.13±7.57 L vs. 37.96±6.27 L p=0.021 and 21.03±4.06 L vs. 17.24±2.63 L p=0.004). CONCLUSIONS In the present study, we reported a significant correlation between vitreous pathology and anthropometric and BIA measurements.
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Affiliation(s)
- E Di Marco
- Department of Experimental Medicine, Ophthalmology Unit, University of Rome Tor Vergata, Rome, Italy.
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Lombardo M, Bernava GM, Serrao S, Roszkowska AM, Lombardo G. Predicting corneal cross-linking treatment efficacy with real-time assessment of corneal riboflavin concentration. J Cataract Refract Surg 2023; 49:635-641. [PMID: 36745847 DOI: 10.1097/j.jcrs.0000000000001163] [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] [Received: 09/28/2022] [Accepted: 01/30/2023] [Indexed: 02/08/2023]
Abstract
PURPOSE To assess predictability of tissue biomechanical stiffening induced by UV-A light-mediated real-time assessment of riboflavin concentration during corneal crosslinking (CXL) of human donor tissues. SETTING Studio Italiano di Oftalmologia, Rome, Italy. DESIGN Laboratory study. METHODS 20 sclerocorneal tissues were randomly stratified to undergo CXL with either the epithelium intact (n = 12) or removed (n = 8). Samples underwent corneal soaking with 0.22% riboflavin formulation (RitSight) with dosing time of t = 10 minutes and t = 20 minutes in epithelium-off and epithelium-on protocols, respectively. All tissues underwent 9-minute UV-A irradiance at 10 mW/cm 2 using theranostic device (C4V CHROMO4VIS). The device used controlled UV-A light irradiation to induce both imaging and treatment of the cornea, providing a real-time measure of corneal riboflavin concentration and treatment efficacy (ie, theranostic score) during surgery. Tissue biomechanics were assessed with an air-puff device (Corvis), which was performed before and after treatment. A 3-element viscoelastic model was developed to fit the corneal deformation response to air-puff excitation and to calculate the mean corneal stiffness parameter (k c ). RESULTS Significant corneal tissue stiffening ( P < .05) was induced by the theranostic UV-A device in either CXL treatment protocol. Significant correlation was found between the theranostic score and the increase in k c ( R = 0.75; P = .003). The score showed high accuracy (94%) and precision (94%) to predict correctly samples that had improved tissue biomechanical strengthening. CONCLUSIONS Real-time assessment of corneal riboflavin concentration provided a predictive and precise approach for significant improvement of tissue strength on individual corneas, regardless of CXL treatment protocol.
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Affiliation(s)
- Marco Lombardo
- From the Studio Italiano di Oftalmologia, Rome, Italy (M. Lombardo, Serrao, G. Lombardo); Vision Engineering Italy srl, Rome, Italy (M. Lombardo); CNR-IPCF, Istituto per i Processi Chimico-Fisici, Messina, Italy (Bernava, G. Lombardo); Clinica Oculistica, Dipartimento di Scienze Biomediche, Università degli Studi di Messina, Messina, Italy (Roszkowska); Ophthalmology Department, Faculty of Medicine and Health Sciences, Andrzej Frycz Modrzewski Krakow University, Poland (Roszkowska)
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17
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Lombardo G, Serrao S, Lombardo M. Long-Term Zonal Average Analysis of Corneal Tomography in Keratoconus Eyes. Cornea 2023; 42:156-163. [PMID: 35389929 DOI: 10.1097/ico.0000000000003016] [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] [Received: 10/23/2021] [Accepted: 01/26/2022] [Indexed: 01/03/2023]
Abstract
PURPOSE The scope of this study was to investigate keratoconus progression using zonal average analysis of corneal tomography. METHODS The corneal tomographies of patients participating in initial baseline and all scheduled follow-up visits up to 4 years were analyzed. Data were exported in custom software, which delineated 4 zones of analysis and calculated the average values of the anterior and posterior curvature and the average thickness for each zone at each visit. In particular, a 3.1 mm 2 area containing the K max , termed "keratoconus cone zone," was defined for assessing disease progression during the follow-up. RESULTS A total of 201 patients were enrolled in this prospective study. At 4 years, 31% of the eyes (n = 62) had an average increase of ≥1.0 D in the keratoconus cone zone in baseline visit, whereas only 11% of the eyes (n = 22) had ≥1.0 D K max increase in the same period. The zonal anterior average curvature (+1.1 D; P < 0.001) and thickness (-14 μm; P < 0.001) values of the keratoconus cone zone progressed significantly during the follow-up. A high correlation was found between the 4-year changes of K max and central corneal thickness values and the change of the average anterior curvature and thickness values in the keratoconus cone zone. The posterior cornea did not show significant average changes (<-0.2 D; P > 0.05) during the follow-up. CONCLUSIONS Single-point tomography indexes for keratoconus progression did not capture the overall structure and shape changes of the cornea. It would be recommended to update criteria for keratoconus management including the zonal average analysis of curvature and thickness values for tracking disease progression over observation periods longer than 1 year.
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Affiliation(s)
- Giuseppe Lombardo
- CNR-IPCF, Istituto per i Processi Chimico-Fisici, Messina, Italy
- Vision Engineering Italy srl, Rome, Italy ; and
| | - Sebastiano Serrao
- Vision Engineering Italy srl, Rome, Italy ; and
- Studio Italiano di Oftalmologia, Rome, Italy
| | - Marco Lombardo
- Vision Engineering Italy srl, Rome, Italy ; and
- Studio Italiano di Oftalmologia, Rome, Italy
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Quintavalla A, Carboni D, Sepe C, Mummolo L, Zaccheroni N, Lombardo M. Towards a More Sustainable Photocatalyzed α‐Arylation of Amines: Green Solvents, Catalyst Recycling and Low Loading. Adv Synth Catal 2023. [DOI: 10.1002/adsc.202201123] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/09/2023]
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19
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Lombardo M, Di Marco E, Nucci C, Cesareo M. Reproducibility of retinal vessel density among three different OCTA devices in ADOA patients. Graefes Arch Clin Exp Ophthalmol 2023; 261:277-279. [PMID: 35939119 DOI: 10.1007/s00417-022-05788-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/18/2022] [Revised: 07/20/2022] [Accepted: 07/29/2022] [Indexed: 01/25/2023] Open
Affiliation(s)
- Marco Lombardo
- Ophthalmology Unit, Department of Experimental Medicine, University of Rome Tor Vergata, Via Montpellier 1, 00133, Rome, Italy.
| | - Ernesto Di Marco
- Ophthalmology Unit, Department of Experimental Medicine, University of Rome Tor Vergata, Via Montpellier 1, 00133, Rome, Italy
| | - Carlo Nucci
- Ophthalmology Unit, Department of Experimental Medicine, University of Rome Tor Vergata, Via Montpellier 1, 00133, Rome, Italy
| | - Massimo Cesareo
- Ophthalmology Unit, Department of Experimental Medicine, University of Rome Tor Vergata, Via Montpellier 1, 00133, Rome, Italy
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20
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Roszkowska AM, Lombardo G, Mencucci R, Scorcia V, Giannaccare G, Vestri A, Alunni Fegatelli D, Bernava GM, Serrao S, Lombardo M. A randomized clinical trial assessing theranostic-guided corneal cross-linking for treating keratoconus: the ARGO protocol. Int Ophthalmol 2022:10.1007/s10792-022-02628-4. [PMID: 36587174 DOI: 10.1007/s10792-022-02628-4] [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: 10/15/2022] [Accepted: 12/20/2022] [Indexed: 01/01/2023]
Abstract
The Assessment of theranostic guided riboflavin/UV-A corneal cross-linking for treatment of keratoconus (ARGO; registration number NCT05457647) clinical trial tests the hypothesis that theranostic-guided riboflavin/UV-A corneal cross-linking (CXL) can provide predictable clinical efficacy for halting keratoconus progression, regardless of treatment protocol, i.e., either with or without epithelial removal. Theranostics is an emerging therapeutic paradigm of personalized and precision medicine that enables real-time monitoring of image-guided therapy. In this trial, the theranostic software module of a novel UV-A medical device will be validated in order to confirm its accuracy in estimating corneal cross-linking efficacy in real time. During CXL procedure, the theranostic UV-A medical device will provide the operator with an imaging biomarker, i.e., the theranostic score, which is calculated by non-invasive measurement of corneal riboflavin concentration and its UV-A light mediated photo-degradation. ARGO is a randomized multicenter clinical trial in patients aged between 18 and 40 years with progressive keratoconus aiming to validate the theranostic score by assessing the change of the maximum keratometry point value at 1-year postoperatively. A total of 50 participants will be stratified with allocation ratio 1:1 using a computer-generated stratification plan with blocks in two treatment protocols, such as epithelium-off or epithelium-on CXL. Following treatment, participants will be monitored for 12 months. Assessment of safety and performance of theranostic-guided corneal cross-linking treatment modality will be determined objectively by corneal tomography, corneal endothelial microscopy, visual acuity testing and slit-lamp eye examination.
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Affiliation(s)
- Anna Maria Roszkowska
- Ophthalmology Department, Faculty of Medicine, Health Sciences of Andrzej Frycz Modrzewski Krakow University, Gustawa Herlinga-Grudzińskiego 1, 30-705, Krakow, Poland. .,Dipartimento BIOMORF, Università di Messina, Via Consolare Valeria 1, 98100, Messina, Italy.
| | - Giuseppe Lombardo
- CNR-IPCF, Istituto per I Processi Chimico-Fisici, Viale F. Stagno D'Alcontres 37, 98158, Messina, Italy
| | - Rita Mencucci
- SOD Oculistica, AOU Careggi, Università di Firenze, Largo Brambilla 3, 50134, Florence, Italy
| | - Vincenzo Scorcia
- UO Oculistica, AOU Mater Domini, Università Magna Graecia di Catanzaro, Viale Europa, 88100, Catanzaro, Italy
| | - Giuseppe Giannaccare
- UO Oculistica, AOU Mater Domini, Università Magna Graecia di Catanzaro, Viale Europa, 88100, Catanzaro, Italy
| | - Annarita Vestri
- Dipartimento di Sanità Pubblica e Malattie Infettive, Università di Roma "La Sapienza", Piazzale Aldo Moro 5, 00185, Rome, Italy
| | - Danilo Alunni Fegatelli
- Dipartimento di Sanità Pubblica e Malattie Infettive, Università di Roma "La Sapienza", Piazzale Aldo Moro 5, 00185, Rome, Italy
| | - Giuseppe Massimo Bernava
- CNR-IPCF, Istituto per I Processi Chimico-Fisici, Viale F. Stagno D'Alcontres 37, 98158, Messina, Italy
| | | | - Marco Lombardo
- Studio Italiano di Oftalmologia, Via Livenza 3, 00198, Rome, Italy
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21
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Lombardo G, Bernava GM, Serrao S, Lombardo M. Theranostic-guided corneal cross-linking: Preclinical evidence on a new treatment paradigm for keratoconus. J Biophotonics 2022; 15:e202200218. [PMID: 36059083 DOI: 10.1002/jbio.202200218] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/10/2022] [Revised: 08/31/2022] [Accepted: 09/01/2022] [Indexed: 06/15/2023]
Abstract
Theranostics is an emerging therapeutic paradigm of personalized medicine; the term refers to the simultaneous integration of therapy and diagnostics. In this work, theranostic-guided corneal cross-linking was performed on 10 human sclero-corneal tissues. The samples were soaked with 0.22% riboflavin formulation and underwent 9 minutes UV-A irradiance at 10 mW/cm2 using theranostic device, which provided both a measure of corneal riboflavin concentration and a theranostic score estimating treatment efficacy in real time. A three-element viscoelastic model was developed to fit the deformation response of the cornea to air-puff excitation of dynamic tonometry and to calculate the mean corneal stiffness parameter before and after treatment. Significant correlation was found between the theranostic score and the increase in mean corneal stiffness (R = 0.80; P < .001). Accuracy and precision of the theranostic score in predicting the induced corneal tissue stiffening were both 90%. The riboflavin concentration prior to starting the UV-A photo-therapy phase was the most important variable to allow corneal cross-linking to be effective. Theranostic UV-A light mediated imaging and therapy enables the operator to adopt a precise approach for achieving highly predictable biomechanical strengthening on individual corneas.
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Affiliation(s)
- Giuseppe Lombardo
- CNR-IPCF, Istituto per i Processi Chimico-Fisici, Viale F, Messina, Italy
- Vision Engineering Italy srl, Rome, Italy
| | | | | | - Marco Lombardo
- Vision Engineering Italy srl, Rome, Italy
- Studio Italiano di Oftalmologia, Rome, Italy
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22
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Lombardo M, Di Marco E, Aiello F, Mancino R, Nucci C, Cesareo M. Correlation between standard automated Perimetry, short wavelength Perimetry, and optic coherence tomography parameters in
ADOA
patients. Acta Ophthalmol 2022. [DOI: 10.1111/j.1755-3768.2022.0708] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/24/2022]
Affiliation(s)
- Marco Lombardo
- Department of Experimental Medicine University of Rome Tor Vergata University of Rome Tor Vergata Rome Italy
| | - Ernesto Di Marco
- Department of Experimental Medicine University of Rome Tor Vergata University of Rome Tor Vergata Rome Italy
| | - Francesco Aiello
- Department of Experimental Medicine University of Rome Tor Vergata University of Rome Tor Vergata Rome Italy
| | - Raffaele Mancino
- Department of Experimental Medicine University of Rome Tor Vergata University of Rome Tor Vergata Rome Italy
| | - Carlo Nucci
- Department of Experimental Medicine University of Rome Tor Vergata University of Rome Tor Vergata Rome Italy
| | - Massimo Cesareo
- Department of Experimental Medicine University of Rome Tor Vergata University of Rome Tor Vergata Rome Italy
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23
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Di Marco E, Aiello F, Lombardo M, Di Marino M, Missiroli F, Mancino R, Ricci F, Nucci C, Noce A, Di Daniele N, Cesareo M. A literature review of hypertensive retinopathy: systemic correlations and new technologies. Eur Rev Med Pharmacol Sci 2022; 26:6424-6443. [PMID: 36196693 DOI: 10.26355/eurrev_202209_29742] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/16/2023]
Abstract
OBJECTIVE Hypertensive retinopathy (HR) is the most common ocular manifestation of systemic arterial hypertension. This paper aims to summarize the current knowledge of HR, reviewing its classical features, such as epidemiology, pathophysiology, clinical manifestations, classifications, management and the most significant systemic correlations. We also provide an update on the latest advances in new technologies focusing on novel instrumental classifications. MATERIALS AND METHODS A literature search was performed to identify articles regarding HR listed in Embase, PubMed, Medline (Ovid) and Scopus database up to 1 December 2021. The reference lists of the analyzed articles were also considered a source of literature information. The following keywords were used in various combinations: hypertensive retinopathy, hypertension and eye, hypertensive retinopathy and systemic correlations, optical coherence tomography (OCT) and hypertensive retinopathy, optical coherence tomography angiography (OCTA) and hypertensive retinopathy, adaptive optics (AO) and hypertensive retinopathy. The authors analyzed all English articles found using the aforementioned keywords. All the publications were thoroughly reviewed to create a detailed overview of this issue. RESULTS HR signs have a significative association with cardiovascular, cerebrovascular and other systemic diseases. Patients with arteriosclerotic changes and, at the same time, severe HR, are at increased risk for coronary disease, peripheral vascular disease, stroke and dementia. HR is even now diagnosed and classified by its clinical appearance on a fundoscopic exam that is limited by interobserver variability. New technologies, like OCT, OCTA, AO and artificial intelligence may be used to develop a new instrumental classification that could become an objective and quantitative method for the evaluation of this disease. They could be useful to evaluate the subclinical retinal microvascular changes due to hypertension that may reflect the involvement of other vital organs. CONCLUSIONS The eye is the only organ in the human body where changes in the blood vessels due to systemic hypertension can be studied in vivo. All doctors should be familiar with this disease because it has been largely demonstrated that signs of HR are correlated to patient's health and mortality. Researchers should develop a new common, standardized, and objective method to assess hypertensive retinal changes; new technologies may have a significant role in this field. This review takes most of the literature published so far, including the OCTA studies in order to stimulate new points of reference to standardize parameters and new diagnostic markers of this disease.
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Affiliation(s)
- E Di Marco
- Department of Experimental Medicine, Ophthalmology Unit, University of Rome "Tor Vergata", Rome, Italy.
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24
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Di Marino M, Di Marco E, Lombardo M, Mancino R, Nucci C, Cesareo M. Drusen-like deposits in a patient heterozygous for phenylketonuria. J Fr Ophtalmol 2022; 45:e393-e396. [DOI: 10.1016/j.jfo.2022.03.024] [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] [Received: 11/28/2021] [Revised: 02/25/2022] [Accepted: 03/17/2022] [Indexed: 11/30/2022]
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25
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Lombardo M, Serrao S, Lombardo G. Challenges in Age-Related Macular Degeneration: From Risk Factors to Novel Diagnostics and Prevention Strategies. Front Med (Lausanne) 2022; 9:887104. [PMID: 35733877 PMCID: PMC9207205 DOI: 10.3389/fmed.2022.887104] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/01/2022] [Accepted: 04/22/2022] [Indexed: 01/03/2023] Open
Abstract
Age-related macular degeneration (AMD) is a chronic multifactorial eye disease representing the primary cause of vision loss in people aged 60 years and older. The etiopathogenesis of the disease remains uncertain, with several risk factors contributing to its onset and progression, such as genotype, aging, hypertension, smoking, overweight, and low dietary intake of carotenoids. Since the aging populations of the industrialized world are increasing rapidly, the impact of AMD in the socio-economical life-developed countries is expected to increase dramatically in the next years. In this context, the benefits of prevention and early disease detection for prompt and effective treatment can be enormous to reduce the social and economic burden of AMD. Nutritional and lifestyle changes, including dietary intake of xanthophyll pigments, such as lutein and zeaxanthin, no smoking, and regular exercise, are known to protect from risk of AMD progression from early to advanced disease stages. In this review, we present the clinical outcomes of a pilot study on trans-scleral iontophoresis delivery of lutein in patients with AMD. Topical delivery of lutein directly to the macula may provide a more efficient method for enriching the macular pigment and for achieving greater patient compliance to therapy than oral administration and thus enhancing prevention strategies. Modern diagnostic methodologies shall address the major problem of accurately detecting the risk of transition from intermediate AMD to advanced AMD stages. Adaptive optics retinal imaging and resonance Raman spectroscopy are two highly promising technologies for the objective assessment of patients with AMD. In this review, we present some of their clinical applications for collecting quantitative measurements of retinal cellular changes and macular content of xanthophyll pigments, respectively. In conclusion, there is great expectation that technological advancements in AMD management will deliver improved screening, therapeutic prevention, and diagnostic systems in the coming decade through a pro-active strategy of “treatment for prevention” that will aim to reduce the global burden of vision loss caused by AMD in the elderly.
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Affiliation(s)
- Marco Lombardo
- Studio Italiano di Oftalmologia, Rome, Italy
- Vision Engineering Italy srl, Rome, Italy
- *Correspondence: Marco Lombardo
| | - Sebastiano Serrao
- Studio Italiano di Oftalmologia, Rome, Italy
- Vision Engineering Italy srl, Rome, Italy
| | - Giuseppe Lombardo
- Vision Engineering Italy srl, Rome, Italy
- CNR-IPCF, Istituto per i Processi Chimico-Fisici, Messina, Italy
- Giuseppe Lombardo
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26
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Quintavalla A, Veronesi R, Zambardino D, Carboni D, Lombardo M. Diastereoselective Synthesis of Chiral Oxathiazine 2‐Oxide Scaffolds as Sulfinyl Transfer Agents. Adv Synth Catal 2022. [DOI: 10.1002/adsc.202200113] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/09/2022]
Affiliation(s)
- Arianna Quintavalla
- Alma Mater Studiorum – University of Bologna Department of Chemistry “G. Ciamician” Center for Chemical Catalysis-C3 Via Selmi 2 40126 Bologna Italy
| | - Ruben Veronesi
- Alma Mater Studiorum – University of Bologna Department of Chemistry “G. Ciamician” Center for Chemical Catalysis-C3 Via Selmi 2 40126 Bologna Italy
| | - Demetra Zambardino
- Alma Mater Studiorum – University of Bologna Department of Chemistry “G. Ciamician” Center for Chemical Catalysis-C3 Via Selmi 2 40126 Bologna Italy
| | - Davide Carboni
- Alma Mater Studiorum – University of Bologna Department of Chemistry “G. Ciamician” Center for Chemical Catalysis-C3 Via Selmi 2 40126 Bologna Italy
| | - Marco Lombardo
- Alma Mater Studiorum – University of Bologna Department of Chemistry “G. Ciamician” Center for Chemical Catalysis-C3 Via Selmi 2 40126 Bologna Italy
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27
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Caini S, Brusasco M, Niero G, De Giorgi V, Lombardo M, Massone C, Medri M, Palmieri G, Pizzichetta M, Quaglino P, Satta R, Feliciani C, Gandini S, Stanganelli I. Health Care and Safety of Patients with Melanoma during the COVID‐19 Pandemic in Italy. J Eur Acad Dermatol Venereol 2022; 36:e510-e512. [PMID: 35278222 PMCID: PMC9115002 DOI: 10.1111/jdv.18056] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
Affiliation(s)
- S. Caini
- Cancer Risk Factors and Lifestyle Epidemiology Unit Institute for Cancer Research, Prevention and Clinical Network (ISPRO) Florence Italy
| | - M. Brusasco
- Section of Dermatology Department of Medicine and Surgery University of Parma Parma Italy
| | - G. Niero
- Italian Association of Melanoma Patients (AIMaMe) Rome Italy
| | - V. De Giorgi
- Department of Dermatology University of Florence Florence Italy
| | - M. Lombardo
- Department of Dermatology Ospedale di Circolo e Fondazione Macchi Varese Italy
| | - C. Massone
- Dermatology Unit Galliera Hospital Genoa Italy
| | - M. Medri
- Skin Cancer Unit Istituto Scientifico Romagnolo per lo Studio dei Tumori (IRST) Istituto di Ricovero e Cura a Carattere Scientifico (IRCCS) Meldola FC Italy
| | - G. Palmieri
- Immuno‐Oncology & Cancer Biotherapies University of Sassari ‐ Unit of Cancer Genetics, Institute for Genetic and Biomedical Research – National Research Council (IRGB‐CNR) Sassari Italy
| | - M.A. Pizzichetta
- Dermatologic Clinic University of Trieste Trieste Italy
- Department of Medical Oncology Centro di Riferimento Oncologico di Aviano (CRO), (IRCCS) Aviano Italy
| | - P. Quaglino
- Dermatologic Clinic Department of Medical Sciences University of Turin Medical School Turin Italy
| | - R. Satta
- Department of Surgical Microsurgical and Medical Sciences Unit of Dermatology University of Sassari Sassari Italy
| | - C. Feliciani
- Section of Dermatology Department of Medicine and Surgery University of Parma Parma Italy
| | - S. Gandini
- Division of Epidemiology and Biostatistics European Institute of Oncology Milan Italy
| | - I. Stanganelli
- Section of Dermatology Department of Medicine and Surgery University of Parma Parma Italy
- Italian Association of Melanoma Patients (AIMaMe) Rome Italy
- Department of Dermatology University of Florence Florence Italy
- Department of Dermatology Ospedale di Circolo e Fondazione Macchi Varese Italy
- Dermatology Unit Galliera Hospital Genoa Italy
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28
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Quintavalla A, Veronesi R, Speziali L, Martinelli A, Zaccheroni N, Mummolo L, Lombardo M. Allenamides Playing Domino: A Redox‐Neutral Photocatalytic Synthesis of Functionalized 2‐Aminofurans. Adv Synth Catal 2022. [DOI: 10.1002/adsc.202101015] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/20/2022]
Affiliation(s)
- Arianna Quintavalla
- Alma Mater Studiorum – University of Bologna Department of Chemistry “G. Ciamician” Via Selmi 2 40126 Bologna Italy
| | - Ruben Veronesi
- Alma Mater Studiorum – University of Bologna Department of Chemistry “G. Ciamician” Via Selmi 2 40126 Bologna Italy
| | - Laura Speziali
- Alma Mater Studiorum – University of Bologna Department of Chemistry “G. Ciamician” Via Selmi 2 40126 Bologna Italy
| | - Ada Martinelli
- Alma Mater Studiorum – University of Bologna Department of Chemistry “G. Ciamician” Via Selmi 2 40126 Bologna Italy
| | - Nelsi Zaccheroni
- Alma Mater Studiorum – University of Bologna Department of Chemistry “G. Ciamician” Via Selmi 2 40126 Bologna Italy
| | - Liviana Mummolo
- Alma Mater Studiorum – University of Bologna Department of Chemistry “G. Ciamician” Via Selmi 2 40126 Bologna Italy
| | - Marco Lombardo
- Alma Mater Studiorum – University of Bologna Department of Chemistry “G. Ciamician” Via Selmi 2 40126 Bologna Italy
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29
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Lardani D, Marti R, Quintavalla A, Lombardo M, Trombini C. Multidecagram Scale Synthesis of an Endoperoxide, Precursor of Anti-malarial and Anti-leishmanial Agents, via Free-Radical [2 + 2 + 2] Annulation with Molecular Oxygen. Org Process Res Dev 2021. [DOI: 10.1021/acs.oprd.1c00309] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/06/2023]
Affiliation(s)
- Davide Lardani
- Institut ChemTech, HES-SO, Hochschule für Technik und Architektur, Boulevard de Pérolles 80, CH-1700 Freiburg, Switzerland
| | - Roger Marti
- Institut ChemTech, HES-SO, Hochschule für Technik und Architektur, Boulevard de Pérolles 80, CH-1700 Freiburg, Switzerland
| | - Arianna Quintavalla
- Alma Mater Studiorum, Department of Chemistry “G. Ciamician”, University of Bologna, Via Selmi 2, 40126 Bologna, Italy
| | - Marco Lombardo
- Alma Mater Studiorum, Department of Chemistry “G. Ciamician”, University of Bologna, Via Selmi 2, 40126 Bologna, Italy
| | - Claudio Trombini
- Alma Mater Studiorum, Department of Chemistry “G. Ciamician”, University of Bologna, Via Selmi 2, 40126 Bologna, Italy
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30
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Moroni G, Calabria D, Quintavalla A, Lombardo M, Mirasoli M, Roda A, Gioiello A. Thermochemiluminescence‐Based Sensitive Probes: Synthesis and Photophysical Characterization of Acridine‐Containing 1,2‐Dioxetanes Focusing on Fluorophore Push‐Pull Effects. CHEMPHOTOCHEM 2021. [DOI: 10.1002/cptc.202100152] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/10/2022]
Affiliation(s)
- Giada Moroni
- Department of Pharmaceutical Sciences University of Perugia Via del Liceo 1 06122 Perugia Italy
- Department of Chemistry “Giacomo Ciamician” University of Bologna Via Selmi 2 40126 Bologna Italy
| | - Donato Calabria
- Department of Chemistry “Giacomo Ciamician” University of Bologna Via Selmi 2 40126 Bologna Italy
| | - Arianna Quintavalla
- Department of Chemistry “Giacomo Ciamician” University of Bologna Via Selmi 2 40126 Bologna Italy
| | - Marco Lombardo
- Department of Chemistry “Giacomo Ciamician” University of Bologna Via Selmi 2 40126 Bologna Italy
| | - Mara Mirasoli
- Department of Chemistry “Giacomo Ciamician” University of Bologna Via Selmi 2 40126 Bologna Italy
| | - Aldo Roda
- Department of Chemistry “Giacomo Ciamician” University of Bologna Via Selmi 2 40126 Bologna Italy
- National Institute of Biostructures and Biosystems (INBB) Viale delle Medaglie d'Oro 305 00136 Rome Italy
| | - Antimo Gioiello
- Department of Pharmaceutical Sciences University of Perugia Via del Liceo 1 06122 Perugia Italy
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31
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Quintavalla A, Veronesi R, Carboni D, Martinelli A, Zaccheroni N, Mummolo L, Lombardo M. Chemodivergent Photocatalytic Synthesis of Dihydrofurans and β,γ‐Unsaturated Ketones. Adv Synth Catal 2021. [DOI: 10.1002/adsc.202100260] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/24/2022]
Affiliation(s)
- Arianna Quintavalla
- Alma Mater Studiorum – University of Bologna Department of Chemistry “G. Ciamician” Via Selmi 2 40126 Bologna Italy
| | - Ruben Veronesi
- Alma Mater Studiorum – University of Bologna Department of Chemistry “G. Ciamician” Via Selmi 2 40126 Bologna Italy
| | - Davide Carboni
- Alma Mater Studiorum – University of Bologna Department of Chemistry “G. Ciamician” Via Selmi 2 40126 Bologna Italy
| | - Ada Martinelli
- Alma Mater Studiorum – University of Bologna Department of Chemistry “G. Ciamician” Via Selmi 2 40126 Bologna Italy
| | - Nelsi Zaccheroni
- Alma Mater Studiorum – University of Bologna Department of Chemistry “G. Ciamician” Via Selmi 2 40126 Bologna Italy
| | - Liviana Mummolo
- Alma Mater Studiorum – University of Bologna Department of Chemistry “G. Ciamician” Via Selmi 2 40126 Bologna Italy
| | - Marco Lombardo
- Alma Mater Studiorum – University of Bologna Department of Chemistry “G. Ciamician” Via Selmi 2 40126 Bologna Italy
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Landi E, Pellegrini S, Lombardo M, Zamarian V, Manenti F, Piemonti L, Sordi V. The contribution of human pancreatic mesenchymal cells to the generation of pancreatic ß cells from IPSC. Cytotherapy 2021. [DOI: 10.1016/s1465324921004771] [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: 11/16/2022]
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Affiliation(s)
- Marco Lombardo
- Vision Engineering, Reggio Calabria, Italy and CNR‐INFM LiCryL Laboratory, Department of Physics, University of Calabria, Rende (CS), Italy
E‐mail:
| | - Giuseppe Lombardo
- Vision Engineering, Reggio Calabria, Italy and CNR‐INFM LiCryL Laboratory, Department of Physics, University of Calabria, Rende (CS), Italy
E‐mail:
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34
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Lombardo M, Vigezzi A, Ietto G, Franchi C, Iori V, Masci F, Scorza A, Macchi S, Iovino D, Parise C, Carcano G. Role of vitamin D serum levels in prevention of primary and recurrent melanoma. Sci Rep 2021; 11:5815. [PMID: 33712642 PMCID: PMC7971007 DOI: 10.1038/s41598-021-85294-3] [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] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/11/2020] [Accepted: 02/03/2021] [Indexed: 11/26/2022] Open
Abstract
Patients afflicted with melanoma show lower vitamin D serum levels (VDSL) than the healthy population. This hypothesis agrees with its well-known antiproliferative features. An observational study was carried out to collect VDSL in patients suffering from melanoma. Our aim was to identify a potential connection between low VDSL and the risk to incur melanoma. Furthermore, we studied the association between VDSL at the diagnosis of melanoma and other germane prognostic factors. The population held in regard was composed of 154 patients with a diagnosis of melanoma between 2016 and 2019. These patients were retrospectively collected from our follow-up storage. We compared VDSL to clinical and pathological parameters (age, sex, tumour location, Breslow’s depth, Clark’s level, histological subtype, ulceration, et aliqua). Moreover, we recruited a control group with negative melanoma history. Mean and median of VDSL were significantly lower in the melanoma group. Instead, we found a negative association between melanoma and VDSL > 30 ng/L (OR 0.11; p < 0.0001). No correlation between VDSL and both Breslow’s depth and Clark’s level was discovered, but the VDSL comparison between thin (depth ≤ 1 mm) and thick tumours (depth > 1 mm) revealed a statistically significant difference (21.1 ± 8.2 ng/L vs 17.8 ± 8.1; p = 0.01). Moreover, VDSL were significantly lower in melanomas with mitotic rate ≥ 1/mm2 (22.1 ± 8.3 ng/L; p < 0007). Nevertheless, no connection was found between VDSL and both ulceration and positive sentinel nodes (p = 0.76; p = 0.74). Besides, our study revealed no association between VDSL and histological subtype (p = 0.161). Lower VDSL correlate with thick and high mitotic rate tumours. Future prospective studies would investigate if appropriate upkeep of suitable VDSL can decrease the risk of primary and recurrent melanoma diagnosis.
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Affiliation(s)
- M Lombardo
- Department of Dermatology, ASST Dei Sette Laghi, Varese, Italy
| | - A Vigezzi
- Department of General, Emergency and Transplants Surgery, Università Dell'Insubria, ASST Dei Sette Laghi, Varese, Italy.
| | - G Ietto
- Department of General, Emergency and Transplants Surgery, Università Dell'Insubria, ASST Dei Sette Laghi, Varese, Italy
| | - C Franchi
- Department of General, Emergency and Transplants Surgery, Università Dell'Insubria, ASST Dei Sette Laghi, Varese, Italy
| | - V Iori
- Department of General, Emergency and Transplants Surgery, Università Dell'Insubria, ASST Dei Sette Laghi, Varese, Italy
| | - F Masci
- Department of General, Emergency and Transplants Surgery, Università Dell'Insubria, ASST Dei Sette Laghi, Varese, Italy
| | - A Scorza
- Department of General, Emergency and Transplants Surgery, Università Dell'Insubria, ASST Dei Sette Laghi, Varese, Italy
| | - S Macchi
- Department of General, Emergency and Transplants Surgery, Università Dell'Insubria, ASST Dei Sette Laghi, Varese, Italy
| | - D Iovino
- Department of General, Emergency and Transplants Surgery, Università Dell'Insubria, ASST Dei Sette Laghi, Varese, Italy
| | - C Parise
- Department of General, Emergency and Transplants Surgery, Università Dell'Insubria, ASST Dei Sette Laghi, Varese, Italy
| | - G Carcano
- Department of General, Emergency and Transplants Surgery, Università Dell'Insubria, ASST Dei Sette Laghi, Varese, Italy
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35
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Leoni E, Cerati M, Finzi G, Lombardo M, Sessa F. COVID-19 and HHV8 first spotted together: an affair under electron microscopy. J Eur Acad Dermatol Venereol 2021; 35:e311-e312. [PMID: 33460479 PMCID: PMC8013213 DOI: 10.1111/jdv.17123] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/11/2022]
Affiliation(s)
- E Leoni
- Unit of Pathology, Department of Medicine and Surgery, University of Insubria, Varese, Italy
| | - M Cerati
- Department of Pathology, ASST Sette Laghi, Varese, Italy
| | - G Finzi
- Department of Pathology, ASST Sette Laghi, Varese, Italy
| | - M Lombardo
- Department of Dermatology, ASST Sette Laghi, Varese, Italy
| | - F Sessa
- Unit of Pathology, Department of Medicine and Surgery, University of Insubria, Varese, Italy.,Department of Pathology, ASST Sette Laghi, Varese, Italy
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36
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Ortalli M, Varani S, Cimato G, Veronesi R, Quintavalla A, Lombardo M, Monari M, Trombini C. Evaluation of the Pharmacophoric Role of the O-O Bond in Synthetic Antileishmanial Compounds: Comparison between 1,2-Dioxanes and Tetrahydropyrans. J Med Chem 2020; 63:13140-13158. [PMID: 33091297 PMCID: PMC8018184 DOI: 10.1021/acs.jmedchem.0c01589] [Citation(s) in RCA: 12] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/10/2020] [Indexed: 12/17/2022]
Abstract
Leishmaniases are neglected diseases that can be treated with a limited drug arsenal; the development of new molecules is therefore a priority. Recent evidence indicates that endoperoxides, including artemisinin and its derivatives, possess antileishmanial activity. Here, 1,2-dioxanes were synthesized with their corresponding tetrahydropyrans lacking the peroxide bridge, to ascertain if this group is a key pharmacophoric requirement for the antileishmanial bioactivity. Newly synthesized compounds were examined in vitro, and their mechanism of action was preliminarily investigated. Three endoperoxides and their corresponding tetrahydropyrans effectively inhibited the growth of Leishmania donovani promastigotes and amastigotes, and iron did not play a significant role in their activation. Further, reactive oxygen species were produced in both endoperoxide- and tetrahydropyran-treated promastigotes. In conclusion, the peroxide group proved not to be crucial for the antileishmanial bioactivity of endoperoxides, under the tested conditions. Our findings reveal the potential of both 1,2-dioxanes and tetrahydropyrans as lead compounds for novel therapies against Leishmania.
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Affiliation(s)
- Margherita Ortalli
- Unit of Clinical Microbiology, Regional Reference
Centre for Microbiological Emergencies (CRREM), St. Orsola-Malpighi
University Hospital, Via Massarenti 9, 40138 Bologna,
Italy
| | - Stefania Varani
- Unit of Clinical Microbiology, Regional Reference
Centre for Microbiological Emergencies (CRREM), St. Orsola-Malpighi
University Hospital, Via Massarenti 9, 40138 Bologna,
Italy
- Department of Experimental, Diagnostic and Specialty
Medicine, Alma Mater Studiorum - University of Bologna, Via
Massarenti 9, 40138 Bologna, Italy
| | - Giorgia Cimato
- Unit of Clinical Microbiology, Regional Reference
Centre for Microbiological Emergencies (CRREM), St. Orsola-Malpighi
University Hospital, Via Massarenti 9, 40138 Bologna,
Italy
| | - Ruben Veronesi
- Department of Chemistry “G. Ciamician”,
Alma Mater Studiorum - University of Bologna Via Selmi 2,
40126 Bologna, Italy
| | - Arianna Quintavalla
- Department of Chemistry “G. Ciamician”,
Alma Mater Studiorum - University of Bologna Via Selmi 2,
40126 Bologna, Italy
- Centro Interuniversitario di Ricerca sulla Malaria
(CIRM) - Italian Malaria Network (IMN), University of Milan,
20100 Milan, Italy
| | - Marco Lombardo
- Department of Chemistry “G. Ciamician”,
Alma Mater Studiorum - University of Bologna Via Selmi 2,
40126 Bologna, Italy
- Centro Interuniversitario di Ricerca sulla Malaria
(CIRM) - Italian Malaria Network (IMN), University of Milan,
20100 Milan, Italy
| | - Magda Monari
- Department of Chemistry “G. Ciamician”,
Alma Mater Studiorum - University of Bologna Via Selmi 2,
40126 Bologna, Italy
| | - Claudio Trombini
- Department of Chemistry “G. Ciamician”,
Alma Mater Studiorum - University of Bologna Via Selmi 2,
40126 Bologna, Italy
- Centro Interuniversitario di Ricerca sulla Malaria
(CIRM) - Italian Malaria Network (IMN), University of Milan,
20100 Milan, Italy
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37
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Curti C, Rassu G, Lombardo M, Zambrano V, Pinna L, Battistini L, Sartori A, Pelosi G, Zanardi F. Unlocking Access to Enantiopure Fused Uracils by Chemodivergent [4+2] Cross-Cycloadditions: DFT-Supported Homo-Synergistic Organocatalytic Approach. Angew Chem Int Ed Engl 2020; 59:20055-20064. [PMID: 32678935 DOI: 10.1002/anie.202007509] [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: 05/25/2020] [Revised: 07/13/2020] [Indexed: 01/10/2023]
Abstract
The discovery of chemical methods enabling the construction of carbocycle-fused uracils which embody a three-dimensional and functional-group-rich architecture is a useful tool in medicinal chemistry oriented synthesis. In this work, an unprecedented amine-catalyzed [4+2] cross-cycloaddition is documented; it involves remotely enolizable 6-methyluracil-5-carbaldehydes and β-aryl enals, and chemoselectively produces two novel bicyclic and tricyclic fused uracil chemotypes in good yields with a maximum level of enantiocontrol. In-depth mechanistic investigations and control experiments support an intriguing homo-synergistic organocatalytic approach, where the same amine organocatalyst concomitantly engages both aldehyde partners in a stepwise eliminative [4+2] cycloaddition, whose vinylogous iminium ion intermediate product may diverge-depending upon conditions-to either bicyclic targets by hydrolysis or tricyclic products by a second homo-synergistic trienamine-mediated stepwise [4+2] cycloaddition.
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Affiliation(s)
- Claudio Curti
- Dipartimento di Scienze degli Alimenti e del Farmaco, Università di Parma, Parco Area delle Scienze 27A, 43124, Parma, Italy
| | - Gloria Rassu
- Istituto di Chimica Biomolecolare, Consiglio Nazionale delle Ricerche, Traversa La Crucca 3, 07100, Li Punti Sassari, Italy
| | - Marco Lombardo
- Dipartimento di Chimica "Giacomo Ciamician", Università di Bologna, Via Selmi 2, 40126, Bologna, Italy
| | - Vincenzo Zambrano
- Istituto di Chimica Biomolecolare, Consiglio Nazionale delle Ricerche, Traversa La Crucca 3, 07100, Li Punti Sassari, Italy
| | - Luigi Pinna
- Dipartimento di Chimica e Farmacia, Università di Sassari, Via Vienna 2, 07100, Sassari, Italy
| | - Lucia Battistini
- Dipartimento di Scienze degli Alimenti e del Farmaco, Università di Parma, Parco Area delle Scienze 27A, 43124, Parma, Italy
| | - Andrea Sartori
- Dipartimento di Scienze degli Alimenti e del Farmaco, Università di Parma, Parco Area delle Scienze 27A, 43124, Parma, Italy
| | - Giorgio Pelosi
- Dipartimento di Scienze Chimiche, della Vita e della Sostenibilità Ambientale, Università di Parma, Parco Area delle Scienze 17A, 43124, Parma, Italy
| | - Franca Zanardi
- Dipartimento di Scienze degli Alimenti e del Farmaco, Università di Parma, Parco Area delle Scienze 27A, 43124, Parma, Italy
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38
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Gualandi A, Calogero F, Martinelli A, Quintavalla A, Marchini M, Ceroni P, Lombardo M, Cozzi PG. A supramolecular bifunctional iridium photoaminocatalyst for the enantioselective alkylation of aldehydes. Dalton Trans 2020; 49:14497-14505. [PMID: 33045035 DOI: 10.1039/d0dt02587a] [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] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/21/2022]
Abstract
The construction of a hybrid metal-organo-photoredox catalyst based on the conjugation of an imidazolidinone organocatalyst and Ir(ppy)2(bipy) (ppy = 2-phenylpyridine, bipy = bipyridine) is described. The introduction of the desired organocatalyst into the bipyridine moiety is quite modular, allowing the preparation of different hybrid photocatalysts, and is realized though a simple click reaction. The hybrid photocatalysts obtained were employed in the benchmark photoredox alkylation of aldehydes. Remarkably, the conjugation of a first-generation MacMillan catalyst produces an active and stereoselective hybrid photoredox catalyst.
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Affiliation(s)
- Andrea Gualandi
- Dipartimento di Chimica "G. Ciamician", Alma Mater Studiorum - Università di Bologna, Via Selmi 2, 40126, Bologna, Italy.
| | - Francesco Calogero
- Dipartimento di Chimica "G. Ciamician", Alma Mater Studiorum - Università di Bologna, Via Selmi 2, 40126, Bologna, Italy.
| | - Ada Martinelli
- Dipartimento di Chimica "G. Ciamician", Alma Mater Studiorum - Università di Bologna, Via Selmi 2, 40126, Bologna, Italy.
| | - Arianna Quintavalla
- Dipartimento di Chimica "G. Ciamician", Alma Mater Studiorum - Università di Bologna, Via Selmi 2, 40126, Bologna, Italy.
| | - Marianna Marchini
- Dipartimento di Chimica "G. Ciamician", Alma Mater Studiorum - Università di Bologna, Via Selmi 2, 40126, Bologna, Italy.
| | - Paola Ceroni
- Dipartimento di Chimica "G. Ciamician", Alma Mater Studiorum - Università di Bologna, Via Selmi 2, 40126, Bologna, Italy.
| | - Marco Lombardo
- Dipartimento di Chimica "G. Ciamician", Alma Mater Studiorum - Università di Bologna, Via Selmi 2, 40126, Bologna, Italy.
| | - Pier Giorgio Cozzi
- Dipartimento di Chimica "G. Ciamician", Alma Mater Studiorum - Università di Bologna, Via Selmi 2, 40126, Bologna, Italy.
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39
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Curti C, Rassu G, Lombardo M, Zambrano V, Pinna L, Battistini L, Sartori A, Pelosi G, Zanardi F. Unlocking Access to Enantiopure Fused Uracils by Chemodivergent [4+2] Cross‐Cycloadditions: DFT‐Supported Homo‐Synergistic Organocatalytic Approach. Angew Chem Int Ed Engl 2020. [DOI: 10.1002/ange.202007509] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
Affiliation(s)
- Claudio Curti
- Dipartimento di Scienze degli Alimenti e del Farmaco Università di Parma Parco Area delle Scienze 27A 43124 Parma Italy
| | - Gloria Rassu
- Istituto di Chimica Biomolecolare Consiglio Nazionale delle Ricerche Traversa La Crucca 3 07100 Li Punti Sassari Italy
| | - Marco Lombardo
- Dipartimento di Chimica “Giacomo Ciamician” Università di Bologna Via Selmi 2 40126 Bologna Italy
| | - Vincenzo Zambrano
- Istituto di Chimica Biomolecolare Consiglio Nazionale delle Ricerche Traversa La Crucca 3 07100 Li Punti Sassari Italy
| | - Luigi Pinna
- Dipartimento di Chimica e Farmacia Università di Sassari Via Vienna 2 07100 Sassari Italy
| | - Lucia Battistini
- Dipartimento di Scienze degli Alimenti e del Farmaco Università di Parma Parco Area delle Scienze 27A 43124 Parma Italy
| | - Andrea Sartori
- Dipartimento di Scienze degli Alimenti e del Farmaco Università di Parma Parco Area delle Scienze 27A 43124 Parma Italy
| | - Giorgio Pelosi
- Dipartimento di Scienze Chimiche, della Vita e della Sostenibilità Ambientale Università di Parma Parco Area delle Scienze 17A 43124 Parma Italy
| | - Franca Zanardi
- Dipartimento di Scienze degli Alimenti e del Farmaco Università di Parma Parco Area delle Scienze 27A 43124 Parma Italy
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Talamonti M, Galluzzo M, Chiricozzi A, Quaglino P, Fabbrocini G, Gisondi P, Marzano AV, Potenza C, Conti A, Parodi A, Belloni Fortina A, Bardazzi F, Argenziano G, Rongioletti F, Stingeni L, Micali G, Loconsole F, Venturini M, Bongiorno MR, Feliciani C, Rubegni P, Amerio P, Fargnoli MC, Pigatto P, Savoia P, Nisticò SP, Giustini S, Carugno A, Cannavò SP, Rech G, Prignano F, Offidani A, Lombardo M, Zalaudek I, Bianchi L, Peris K. Management of biological therapies for chronic plaque psoriasis during COVID-19 emergency in Italy. J Eur Acad Dermatol Venereol 2020; 34:e770-e772. [PMID: 32735716 PMCID: PMC7436412 DOI: 10.1111/jdv.16841] [Citation(s) in RCA: 26] [Impact Index Per Article: 6.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/26/2020] [Revised: 07/15/2020] [Accepted: 07/21/2020] [Indexed: 01/07/2023]
Affiliation(s)
- M Talamonti
- Dermatology Department, University of Rome 'Tor Vergata', Rome, Italy
| | - M Galluzzo
- Dermatology Department, University of Rome 'Tor Vergata', Rome, Italy
| | - A Chiricozzi
- Dermatologia, Dipartimento Scienze Mediche e Chirurgiche, Fondazione Policlinico Universitario A. Gemelli IRCCS, Rome, Italy.,Dermatologia, Università Cattolica del Sacro Cuore, Rome, Italy
| | - P Quaglino
- Medical Sciences Department, Dermatologic Clinic, University of Turin, Turin, Italy
| | - G Fabbrocini
- Section of Dermatology - Department of Clinical Medicine and Surgery, University of Naples Federico II, Naples, Italy
| | - P Gisondi
- Section of Dermatology and Venereology, Department of Medicine, University of Verona, Verona, Italy
| | - A V Marzano
- Dermatology Unit, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy.,Department of Pathophysiology and Transplantation, Università degli Studi di Milano, Milan, Italy
| | - C Potenza
- Department of Medico-Surgical Sciences and Biotechnologies, Dermatology Unit 'Daniele Innocenzi' Sapienza University of Rome - Polo Pontino, Rome, Italy
| | - A Conti
- Dermatologic Unit, Department of Specialized Medicine, AOU Policlinico di Modena, Modena, Italy
| | - A Parodi
- Ospedale-Policlinico San Martino IRCCS Genova, Clinica Dermatologica DiSSal Università di Genova, Genova, Italy
| | - A Belloni Fortina
- Dermatology Unit - Department of Medicine DIMED, University of Padova, Padova, Italy
| | - F Bardazzi
- Dermatology Division, Department of Experimental, Diagnostic and Specialty Medicine, University of Bologna, Italy
| | - G Argenziano
- Dermatology Unit, University of Campania Luigi Vanvitelli, Naples, Italy
| | - F Rongioletti
- Section of Dermatology, Department of Medical Sciences and Public Health, University of Cagliari, Cagliari, Italy
| | - L Stingeni
- Dermatology Section, Department of Medicine, University of Perugia, Perugia, Italy
| | - G Micali
- Dermatology Clinic, University of Catania, Catania, Italy
| | - F Loconsole
- Department of Biomedical Science and Human Oncology, Unit of Dermatology, University of Bari, Bari, Italy
| | - M Venturini
- Department of Dermatology, ASST Spedali Civili of Brescia, University of Brescia, Brescia, Italy
| | - M R Bongiorno
- Section of Dermatology, Department of Health Promotion, Maternal-Infant, Internal Medicine and Specialization, University of Palermo, Palermo, Italy
| | - C Feliciani
- Department of Medicine and Surgery, Section of Dermatology, University of Parma, Parma, Italy
| | - P Rubegni
- Dermatology Unit, Department of Medical, Surgical and Neurosciences, University of Siena, Italy
| | - P Amerio
- Department of Medicine and Aging Science, Dermatologic Clinic, G. D'Annunzio University, Chieti, Italy
| | - M C Fargnoli
- Dermatology, Department of Biotechnological and Applied Clinical Sciences, University of L'Aquila, L'Aquila, Italy
| | - P Pigatto
- Department of Biomedical, Surgical and Dental Sciences, Clinical Dermatology, IRCCS Galeazzi Orthopaedic Institute, University of Milan, Milan, Italy
| | - P Savoia
- Department of Health Science, Dermatologic Clinic, University of Eastern Piedmont, Novara, Italy
| | - S P Nisticò
- Dermatology Unit, Department of Health Sciences, Università Magna Graecia, Catanzaro, Italy
| | - S Giustini
- Department of Dermatology, Sapienza' University of Rome, Rome, Italy
| | - A Carugno
- Dermatology Unit, ASST Papa Giovanni XXIII Hospital, Bergamo, Italy
| | - S P Cannavò
- Dermatology, Department of Clinical and Experimental Medicine, University of Messina, Messina, Italy
| | - G Rech
- Division of Dermatology, Santa Chiara Hospital, Trento, Italy
| | - F Prignano
- Dermatology Clinic, Department of Health Sciences, University of Florence, Florence, Italy
| | - A Offidani
- Dermatological Clinic, Department of Clinical and Molecular Sciences, Polytechnic University of the Marche Region, Ancona, Italy
| | - M Lombardo
- Unit of Dermatological Diseases, ASST Sette Laghi, Ospedale di Circolo, Varese, Italy
| | - I Zalaudek
- Department of Dermatology, University of Trieste, Trieste, Italy
| | - L Bianchi
- Dermatology Department, University of Rome 'Tor Vergata', Rome, Italy
| | - K Peris
- Dermatologia, Dipartimento Scienze Mediche e Chirurgiche, Fondazione Policlinico Universitario A. Gemelli IRCCS, Rome, Italy.,Dermatologia, Università Cattolica del Sacro Cuore, Rome, Italy
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41
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Picone G, Cappadone C, Pasini A, Lovecchio J, Cortesi M, Farruggia G, Lombardo M, Gianoncelli A, Mancini L, Ralf H. M, Donato S, Giordano E, Malucelli E, Iotti S. Analysis of Intracellular Magnesium and Mineral Depositions during Osteogenic Commitment of 3D Cultured Saos2 Cells. Int J Mol Sci 2020; 21:ijms21072368. [PMID: 32235449 PMCID: PMC7177893 DOI: 10.3390/ijms21072368] [Citation(s) in RCA: 15] [Impact Index Per Article: 3.8] [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: 01/24/2020] [Revised: 03/20/2020] [Accepted: 03/26/2020] [Indexed: 12/23/2022] Open
Abstract
In this study, we explore the behaviour of intracellular magnesium during bone phenotype modulation in a 3D cell model built to mimic osteogenesis. In addition, we measured the amount of magnesium in the mineral depositions generated during osteogenic induction. A two-fold increase of intracellular magnesium content was found, both at three and seven days from the induction of differentiation. By X-ray microscopy, we characterized the morphology and chemical composition of the mineral depositions secreted by 3D cultured differentiated cells finding a marked co-localization of Mg with P at seven days of differentiation. This is the first experimental evidence on the presence of Mg in the mineral depositions generated during biomineralization, suggesting that Mg incorporation occurs during the bone forming process. In conclusion, this study on the one hand attests to an evident involvement of Mg in the process of cell differentiation, and, on the other hand, indicates that its multifaceted role needs further investigation.
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Affiliation(s)
- Giovanna Picone
- Department of Pharmacy and Biotechnology, University of Bologna, 33-40126 Bologna, Italy; (G.P.)
| | - Concettina Cappadone
- Department of Pharmacy and Biotechnology, University of Bologna, 33-40126 Bologna, Italy; (G.P.)
| | - Alice Pasini
- Department of Electrical, Electronic and Information Engineering “Guglielmo Marconi” (DEI), University of Bologna 50, 47522 Cesena, Italy
| | - Joseph Lovecchio
- Department of Electrical, Electronic and Information Engineering “Guglielmo Marconi” (DEI), University of Bologna 50, 47522 Cesena, Italy
| | - Marilisa Cortesi
- Department of Electrical, Electronic and Information Engineering “Guglielmo Marconi” (DEI), University of Bologna 50, 47522 Cesena, Italy
| | - Giovanna Farruggia
- Department of Pharmacy and Biotechnology, University of Bologna, 33-40126 Bologna, Italy; (G.P.)
- National Institute of Biostructures and Biosystems (NIBB), 00136 Rome, Italy
| | - Marco Lombardo
- Department of Chemistry “G. Ciamician”, Alma Mater Studiorum–Università di Bologna, via Selmi 2, I-40126 Bologna, Italy
| | | | - Lucia Mancini
- Elettra-Sincrotrone Trieste S.C.p.A., Trieste, 34149 Basovizza, Italy
| | - Menk Ralf H.
- Elettra-Sincrotrone Trieste S.C.p.A., Trieste, 34149 Basovizza, Italy
- INFN section of Trieste, 2-34127 Trieste, Italy
- Department of Medical Imaging, University of Saskatchewan, Saskatoon, SK S7N 5A2, Canada
| | - Sandro Donato
- Elettra-Sincrotrone Trieste S.C.p.A., Trieste, 34149 Basovizza, Italy
- Department of Physics, University of Calabria, 87036 Arcavacata di Rende (CS), Italy
| | - Emanuele Giordano
- Department of Electrical, Electronic and Information Engineering “Guglielmo Marconi” (DEI), University of Bologna 50, 47522 Cesena, Italy
| | - Emil Malucelli
- Department of Pharmacy and Biotechnology, University of Bologna, 33-40126 Bologna, Italy; (G.P.)
- Correspondence: ; Tel.: +39-051-209-5414
| | - Stefano Iotti
- Department of Pharmacy and Biotechnology, University of Bologna, 33-40126 Bologna, Italy; (G.P.)
- National Institute of Biostructures and Biosystems (NIBB), 00136 Rome, Italy
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Lombardo G, Serrao S, Lombardo M. Comparison between standard and transepithelial corneal crosslinking using a theranostic UV-A device. Graefes Arch Clin Exp Ophthalmol 2020; 258:829-834. [PMID: 31900647 DOI: 10.1007/s00417-019-04595-6] [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] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/29/2019] [Revised: 12/20/2019] [Accepted: 12/27/2019] [Indexed: 02/07/2023] Open
Abstract
PURPOSE To assess corneal concentration of riboflavin in two different corneal crosslinking protocols performed by a novel image-guided therapeutic (or "theranostic") UV-A device. METHODS Ten human eye bank donor tissues were used in this work. The tissues underwent corneal cross-linking according to the conventional treatment protocol (n = 5; 30 min of stromal soaking followed by 30 min of 3 mW/cm2 UV-A irradiance) and the iontophoresis-assisted transepithelial protocol (n = 5; soaking for 5 min at 1 mA/min and 9 min of 10 mW/cm2 UV-A irradiance) using a theranostic UV-A device (Vision Engineering Italy srl, Italy). The device provided real time assessment of riboflavin concentration by hyperspectral image analysis of the cornea. A 0.1% riboflavin hypotonic solution (Ricrolin+, Sooft Italia Spa, Italy) was used in all cases. RESULTS Manual application of hypotonic riboflavin for 30 min into the stroma achieved greater corneal riboflavin concentration (425 ± 77 μg/cm3) than transepithelial delivery of riboflavin by corneal iontophoresis (195 ± 35 μg/cm3; P = 0.001). In both UV-A irradiation protocols, corneal riboflavin concentration decreased exponentially with a constant energy rate of 2.3 ± 0.5 J/cm2 and 1.8 ± 0.3 J/cm2 respectively. At the end of treatment, the average corneal concentration of riboflavin decreased by ≥ 85%, with values of 54 ± 29 μg/cm3 and 31 ± 9 μg/cm3 (P = 0.11), respectively. CONCLUSION Manual application of riboflavin onto the stroma achieved almost 50% greater concentration of riboflavin than transepithelial delivery by corneal iontophoresis. The theranostic UV-A device provided a novel approach to estimate corneal concentration of riboflavin non-invasively during treatment.
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Affiliation(s)
- Giuseppe Lombardo
- Vision Engineering Italy srl, Via Livenza 3, 00198, Rome, Italy.,CNR-IPCF, Istituto per i Processi Chimico-Fisici, Viale F. Stagno D'Alcontres 37, 98158, Messina, Italy
| | | | - Marco Lombardo
- Vision Engineering Italy srl, Via Livenza 3, 00198, Rome, Italy. .,Studio Italiano di Oftalmologia, Via Livenza 3, 00198, Rome, Italy.
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Cerveri A, Pace S, Monari M, Lombardo M, Bandini M. Redox‐Neutral Metal‐Free Three‐Component Carbonylative Dearomatization of Pyridine Derivatives with CO
2. Chemistry 2019; 25:15272-15276. [DOI: 10.1002/chem.201904359] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/20/2019] [Indexed: 12/14/2022]
Affiliation(s)
- Alessandro Cerveri
- Dipartimento di Chimica “G. Ciamician”Alma Mater Studiorum–Università di Bologna via Selmi 2 40126 Bologna Italy
| | - Stefano Pace
- Dipartimento di Chimica “G. Ciamician”Alma Mater Studiorum–Università di Bologna via Selmi 2 40126 Bologna Italy
| | - Magda Monari
- Dipartimento di Chimica “G. Ciamician”Alma Mater Studiorum–Università di Bologna via Selmi 2 40126 Bologna Italy
| | - Marco Lombardo
- Dipartimento di Chimica “G. Ciamician”Alma Mater Studiorum–Università di Bologna via Selmi 2 40126 Bologna Italy
| | - Marco Bandini
- Dipartimento di Chimica “G. Ciamician”Alma Mater Studiorum–Università di Bologna via Selmi 2 40126 Bologna Italy
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Lombardo M, Boaria A, Aulisa G, Padua E, Annino G, Pratesi A, Caprio M, Iellamo F, Bellia A. Sarcopenic obesity: etiology and lifestyle therapy. Eur Rev Med Pharmacol Sci 2019; 23:7152-7162. [PMID: 31486518 DOI: 10.26355/eurrev_201908_18761] [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] [Subscribe] [Scholar Register] [Indexed: 11/12/2022]
Abstract
OBJECTIVE Sarcopenic obesity (OS) is a multifactorial condition characterized by the simultaneous presences of sarcopenia and obesity. The prevalence of OS is increasing in adults over 65 years of age; people with OS present greater health risks than people who are only sarcopenic or obese. Therefore, the study of OS and the search for effective treatment are important due to the constant increase of the elderly population. MATERIALS AND METHODS This review discusses the etiology and evolutionary mechanisms of OS while exploring its molecular, metabolic, oxidative, inflammatory, hormonal, and nutritional stresses. Studies have tried to unravel the causes related to the onset of sarcopenia, which is responsible for the decrease of muscle mass and strength in elderly subjects. The diagnostic criteria and the methods of evaluation of OS are described in these research studies, although there is no univocal definition for these parameters. The most studied treatments in OS are illustrated and highlight how the physical activity performed through both aerobic and resistance exercises, as well as a correct nutritional treatment, prove to be the most effective interventions in the regression of the pathology and in the improvement of physical function. RESULTS New therapies for OS are hypothesized that will open the way to other possible types of intervention in the future. CONCLUSIONS The deficiency of muscle mass in obese elderly subjects will be one of the health challenges of the future to reduce the risk of chronic diseases.
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Affiliation(s)
- M Lombardo
- Department of Human Sciences and Promotion of the Quality of Life, San Raffaele Open University, Rome, Italy.
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Alizadeh M, Merino D, Lombardo G, Lombardo M, Mencucci R, Ghotbi M, Loza-Alvarez P. Identifying crossing collagen fibers in human corneal tissues using pSHG images. Biomed Opt Express 2019; 10:3875-3888. [PMID: 31452981 PMCID: PMC6701537 DOI: 10.1364/boe.10.003875] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/29/2019] [Accepted: 06/17/2019] [Indexed: 06/10/2023]
Abstract
Polarization sensitive second harmonic generation (pSHG) microscopy has been used previously to characterize the structure of collagen fibers in corneal samples. Due to the typical organization of the corneal stroma, the information that pSHG provides may be misleading in points where two different collagen fiber bundles orient along different direction crossings. Here, a simulation that illustrates the problem is presented, along with a novel method that is capable of identifying these crossing points. These results can be used to improve the evaluation of corneal collagen structure, and it has been applied to analyze pSHG data acquired from healthy and keratoconic human corneal samples.
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Affiliation(s)
- M. Alizadeh
- Department of Physics, University of Kurdistan, Pasdaran St., 66177-15177, Sanandaj, Iran
- ICFO-Institut de Ciencies Fotoniques, The Barcelona Institute of Science and Technology, Castelldefels, 08860, Barcelona, Spain
- Authors contributed equally to this paper
| | - D. Merino
- ICFO-Institut de Ciencies Fotoniques, The Barcelona Institute of Science and Technology, Castelldefels, 08860, Barcelona, Spain
- UOC, Universitat Oberta de Catalunya, Barcelona, 08018, Barcelona, Spain
- Authors contributed equally to this paper
| | - G. Lombardo
- CNR-IPCF, Istituto per i Processi Chimico-Fisici, Viale F. Stagno D’Alcontres 37, 98158, Messina, (Italy)
- Vision Engineering Italy srl, Via Livenza 3, 00198 Rome, Italy
| | - M. Lombardo
- Vision Engineering Italy srl, Via Livenza 3, 00198 Rome, Italy
| | - R. Mencucci
- Eye Clinic, Department of Surgery and Translational Medicine, University of Florence, 50121, Florence, Italy
| | - M. Ghotbi
- Department of Physics, University of Kurdistan, Pasdaran St., 66177-15177, Sanandaj, Iran
| | - P. Loza-Alvarez
- ICFO-Institut de Ciencies Fotoniques, The Barcelona Institute of Science and Technology, Castelldefels, 08860, Barcelona, Spain
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Serrao S, Lombardo G, Calì C, Lombardo M. Role of corneal epithelial thickness mapping in the evaluation of keratoconus. Cont Lens Anterior Eye 2019; 42:662-665. [PMID: 31060894 DOI: 10.1016/j.clae.2019.04.019] [Citation(s) in RCA: 16] [Impact Index Per Article: 3.2] [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: 02/12/2019] [Revised: 04/30/2019] [Accepted: 04/30/2019] [Indexed: 11/28/2022]
Abstract
PURPOSE To investigate the corneal epithelial thickness profiles in patients with a confirmed diagnosis of stable and progressive keratoconus. SETTING Studio Italiano di Oftalmologia, Rome, Italy. DESIGN Observational study. METHODS 86 patients with either stable (n = 52) or progressive (n = 34) keratoconus and 182 healthy controls were enrolled in the study. Disease progression was confirmed by repeated corneal topographies over 1 year follow-up before inclusion in the study. All subjects had full corneal and epithelial thickness mapping taken by spectral domain optical coherence tomography (SD-OCT). The full corneal mapping was investigated by evaluating the central corneal thickness, the thinnest point, the superonasal-inferotemporal thickness difference and the minimum-median thickness difference. The epithelial mapping was investigated by assessing the 2 mm central thickness, the inferior paracentral (2-5 mm) thickness, and the minimum-maximum thickness difference. RESULTS No significant differences in full corneal mapping were found between stable and progressive keratoconic eyes. Of note, the inferior paracentral region of the corneal epithelium was significantly thinner in progressive (50 ± 3 μm) than stable (53 ± 4 μm) keratoconus (P < 0.001). CONCLUSIONS The SD-OCT corneal epithelial mapping was valuable for detecting local thickness changes in eyes with keratoconus. Monitoring the corneal epithelial changes across the inferior area in patients with keratoconus could be worthy for assessing disease progression.
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Affiliation(s)
| | - Giuseppe Lombardo
- Vision Engineering Italy srl, Via Livenza 3, 00198 Rome, Italy; Consiglio Nazionale delle Ricerche, Istituto per i Processi Chimico-Fisici, V.le Stagno D'Alcontres 37, 98158 Messina, Italy
| | - Claudia Calì
- InVista Center, Via A. De Stefani 60, 00137 Rome, Italy
| | - Marco Lombardo
- Studio Italiano di Oftalmologia, Via Livenza 3, 00198 Rome, Italy; Vision Engineering Italy srl, Via Livenza 3, 00198 Rome, Italy.
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Lombardo M, Serrao S, Lombardo G, Schiano-Lomoriello D. Two-year outcomes of a randomized controlled trial of transepithelial corneal crosslinking with iontophoresis for keratoconus. J Cataract Refract Surg 2019; 45:992-1000. [PMID: 31003798 DOI: 10.1016/j.jcrs.2019.01.026] [Citation(s) in RCA: 33] [Impact Index Per Article: 6.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/31/2018] [Revised: 01/22/2019] [Accepted: 01/22/2019] [Indexed: 11/25/2022]
Abstract
PURPOSE To evaluate the 2-year clinical outcomes of corneal crosslinking (CXL) using transepithelial iontophoresis CXL (T-ionto CXL) in comparison with standard CXL for the treatment of progressive keratoconus. SETTING Single-site study. DESIGN Randomized controlled clinical trial with identifier code NCT02117999. METHODS The eyes of the participants were randomized to have either T-ionto CXL and/or standard CXL. Assessments of uncorrected (UDVA) and corrected (CDVA) distance visual acuities (logarithm of the minimum angle of resolution [logMAR]), manifest refraction spherical equivalent, maximum simulated keratometry (K) (diopters [D]), corneal higher-order aberrations (HOAs), central corneal thickness (CCT), and endothelial cell density (ECD) were performed at 3 days, 7 days, and 1, 3, 6, 12, and 24 months postoperatively. RESULTS The study comprised 34 eyes (25 patients). There were 22 eyes in the T-ionto CXL group and 12 eyes in the standard CXL group. Two years after T-ionto CXL and standard CXL, the mean maximum K flattened by -1.05 ± 1.20 D (P = .07) (20 eyes) and -1.51 ± .89 D (P < .001) (11 eyes), respectively. Two study cases (10%) and no control showed maximum K steepening of more than 1.0 D at 24 months postoperatively. The mean change in CDVA was -0.08 ± 0.15 logMAR (P = .04) and -0.02 ± 0.06 logMAR (P = .34) after T-ionto CXL and standard CXL, respectively. A significant average decrease in the myopic defocus (+0.81 D; P < .05) was found in both groups. No significant differences in the outcome measures between treatments were found at 24 months. The corneal HOAs, CCT, and ECD values did not change significantly in any group at 2 years postoperatively. CONCLUSIONS Clinically significant topographic, visual, and refractive improvements were found 2 years after T-ionto CXL; standard CXL showed more significant corneal apex flattening than the transepithelial iontophoresis protocol.
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Affiliation(s)
- Marco Lombardo
- Vision Engineering Italy srl, Rome, Italy; Studio Italiano di Oftalmologia, Rome, Italy.
| | | | - Giuseppe Lombardo
- Vision Engineering Italy srl, Rome, Italy; Consiglio Nazionale delle Ricerche, Istituto per i Processi Chimico-Fisici, Messina, Italy
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Rosso C, Emma MG, Martinelli A, Lombardo M, Quintavalla A, Trombini C, Syrgiannis Z, Prato M. A Recyclable Chiral 2‐(Triphenylmethyl)pyrrolidine Organocatalyst Anchored to [60]Fullerene. Adv Synth Catal 2019. [DOI: 10.1002/adsc.201900009] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/13/2022]
Affiliation(s)
- Cristian Rosso
- Department of Chemical and Pharmaceutical SciencesUniversity of Trieste Trieste Italy
| | - Marco G. Emma
- Department of Chemistry “G. Ciamician”University of Bologna Bologna Italy
| | - Ada Martinelli
- Department of Chemistry “G. Ciamician”University of Bologna Bologna Italy
| | - Marco Lombardo
- Department of Chemistry “G. Ciamician”University of Bologna Bologna Italy
| | | | - Claudio Trombini
- Department of Chemistry “G. Ciamician”University of Bologna Bologna Italy
- CINMPIS (Consorzio Interuniversitario Nazionale di ricerca in Metodologie e Processi Innovativi di Sintesi)University of Bari Bari Italy
| | - Zois Syrgiannis
- Department of Chemical and Pharmaceutical SciencesUniversity of Trieste Trieste Italy
| | - Maurizio Prato
- Department of Chemical and Pharmaceutical SciencesUniversity of Trieste Trieste Italy
- Nanobiotechnology LaboratoryCIC biomaGUNE San Sebastiàn Spain
- IkerbasqueBasque Foundation for Science Bilbao Spain
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Ortalli M, Varani S, Rosso C, Quintavalla A, Lombardo M, Trombini C. Evaluation of synthetic substituted 1,2-dioxanes as novel agents against human leishmaniasis. Eur J Med Chem 2019; 170:126-140. [PMID: 30878827 DOI: 10.1016/j.ejmech.2019.02.070] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.6] [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: 11/22/2018] [Revised: 01/29/2019] [Accepted: 02/25/2019] [Indexed: 01/28/2023]
Abstract
The treatment of human leishmaniasis is currently based on few compounds that are highly toxic, expensive and have a high rate of treatment failure. A number of recent studies on new drugs focuses on natural or semi-synthetic compounds. Among them, the endoperoxide artemisinin, extracted from Artemisia annua, and some of its derivatives have shown leishmanicidal activity. In the present work, a series of structurally simple, fully synthetic 1,2-dioxanes were evaluated for in vitro antileishmanial activity against promastigotes of Leishmania donovani; the cytotoxicity for mammalian cells was also assessed. The six most promising compounds in terms of activity and selectivity were further investigated for their antileishmanial activity on the promastigote forms of L. tropica, L. major and L. infantum and against L. donovani amastigotes. The good performance in terms of potency and selectivity makes these six hits promising candidates for a preliminary lead optimization as antileishmanial agents.
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Affiliation(s)
- M Ortalli
- Alma Mater Studiorum - University of Bologna, Department of Experimental, Diagnostic and Specialty Medicine, Via Massarenti 9, 40138, Bologna, Italy
| | - S Varani
- Alma Mater Studiorum - University of Bologna, Department of Experimental, Diagnostic and Specialty Medicine, Via Massarenti 9, 40138, Bologna, Italy; Unit of Clinical Microbiology, Regional Reference Centre for Microbiological Emergencies (CRREM), St. Orsola-Malpighi University Hospital, Via Massarenti 9, 40138, Bologna, Italy
| | - C Rosso
- Alma Mater Studiorum - University of Bologna, Department of Chemistry "G. Ciamician", Via Selmi 2, 40126, Bologna, Italy
| | - A Quintavalla
- Alma Mater Studiorum - University of Bologna, Department of Chemistry "G. Ciamician", Via Selmi 2, 40126, Bologna, Italy.
| | - M Lombardo
- Alma Mater Studiorum - University of Bologna, Department of Chemistry "G. Ciamician", Via Selmi 2, 40126, Bologna, Italy
| | - C Trombini
- Alma Mater Studiorum - University of Bologna, Department of Chemistry "G. Ciamician", Via Selmi 2, 40126, Bologna, Italy
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Serrao S, Lombardo M. Corneal endothelial damage after simultaneous PRK and corneal cross-linking in stable keratoconus. Am J Ophthalmol Case Rep 2019; 14:32-34. [PMID: 30815621 PMCID: PMC6378891 DOI: 10.1016/j.ajoc.2019.02.002] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [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: 10/09/2017] [Revised: 10/10/2018] [Accepted: 02/05/2019] [Indexed: 11/25/2022] Open
Abstract
Purpose To describe a case of endothelial damage after photorefractive keratectomy (PRK) combined with corneal cross-linking (CXL). Observations A 34-year-old man with diagnosis of stable keratoconus presented at our clinic complaining of vision loss in the left eye after same-day simultaneous PRK and CXL. One year postoperatively, slit-lamp examination showed central corneal haze and specular microscopy demonstrated reduced endothelial cell density compared with the preoperative state. Corrected distance visual acuity decreased from 18/20 preoperatively to 20/60 postoperatively. The thinnest corneal thickness value decreased from 432 μm preoperatively to 328 μm postoperatively. Conclusions and Importance The present case demonstrates the importance of appropriate determination of treatment parameters for simultaneous PRK and CXL in keratoconus, even if the disease is stable prior to treatment.
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