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Authors = Alessandra Ruggiero

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18 pages, 1899 KiB  
Article
MALAT1 Expression Is Deregulated in miR-34a Knockout Cell Lines
by Andrea Corsi, Tonia De Simone, Angela Valentino, Elisa Orlandi, Chiara Stefani, Cristina Patuzzo, Stefania Fochi, Maria Giusy Bruno, Elisabetta Trabetti, John Charles Rotondo, Chiara Mazziotta, Maria Teresa Valenti, Alessandra Ruggiero, Donato Zipeto, Cristina Bombieri and Maria Grazia Romanelli
Non-Coding RNA 2025, 11(4), 60; https://doi.org/10.3390/ncrna11040060 - 5 Aug 2025
Abstract
Background/Objectives: Non-coding microRNA-34a (miR-34a) regulates the expression of key factors involved in several cellular processes, such as differentiation, apoptosis, proliferation, cell cycle, and senescence. Deregulation of the expression of these factors is implicated in the onset and progression of several human diseases, including [...] Read more.
Background/Objectives: Non-coding microRNA-34a (miR-34a) regulates the expression of key factors involved in several cellular processes, such as differentiation, apoptosis, proliferation, cell cycle, and senescence. Deregulation of the expression of these factors is implicated in the onset and progression of several human diseases, including cancer, neurodegenerative disorders, and pathologies associated with viral infections and inflammation. Despite numerous studies, the molecular mechanisms regulated by miR-34a remain to be fully understood. The present study aimed to generate miR-34a knockout cell lines to identify novel genes potentially regulated by its expression. Methods: We employed the CRISPR-Cas9 gene editing system to knock out the hsa-miR-34a gene in HeLa and 293T cell lines, two widely used models for studying molecular and cellular mechanisms. We compared proliferation rates and gene expression profiles via RNA-seq and qPCR analyses between the wild-type and miR-34a KO cell lines. Results: Knockout of miR-34a resulted in a decreased proliferation rate in both cell lines. Noteworthy, the ablation of miR-34a resulted in increased expression of the long non-coding RNA MALAT1. Additionally, miR-34a-5p silencing in the A375 melanoma cell line led to MALAT1 overexpression. Conclusions: Our findings support the role of the miR-34a/MALAT1 axis in regulating proliferation processes. Full article
(This article belongs to the Section Long Non-Coding RNA)
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27 pages, 3604 KiB  
Review
Bioactive Polyketides from Amphidinium spp.: An In-Depth Review of Biosynthesis, Applications, and Current Research Trends
by Noemi Russo, Giulia Quaini, Marcello Ziaco, Daniela Castiglia, Alessandra Ruggiero, Vincenzo D’Amelia, Concetta Di Napoli, Sergio Esposito, Angelo Fontana, Genoveffa Nuzzo and Simone Landi
Mar. Drugs 2025, 23(6), 255; https://doi.org/10.3390/md23060255 - 16 Jun 2025
Viewed by 824
Abstract
Polyketides (PKs) are a widespread class of secondary metabolites with recognised pharmacological properties. These molecules are abundantly produced in the marine environment, especially by dinoflagellate-photosynthetic organisms able to produce several PKs, including neurotoxins, cytotoxins, and immunomodulating agents. The biosynthesis of these compounds is [...] Read more.
Polyketides (PKs) are a widespread class of secondary metabolites with recognised pharmacological properties. These molecules are abundantly produced in the marine environment, especially by dinoflagellate-photosynthetic organisms able to produce several PKs, including neurotoxins, cytotoxins, and immunomodulating agents. The biosynthesis of these compounds is driven by a conserved enzymatic process involving polyketide synthase complexes. Different genera of dinoflagellates produce PKs. Among them, dinoflagellates of the genus Amphidinium are of particular interest due to its ability to produce the following two major families of PKs: amphidinolides and amphidinols. These compounds display remarkable biological activities, including anticancer, antimicrobial, and antifungal effects, making them attractive targets for pharmaceutical research and development. However, the natural yield of Amphidinium-derived polyketides (APKs) is generally low, limiting their potential for sustainable molecular farming. This challenge has prompted interest in developing biotechnological strategies to enhance their production. This review aims to define the current state of studies about APKs, starting from their initial discoveries to the recent understanding of their biosynthetic pathways. Additionally, it summarizes the structures of compounds discovered, highlights their biotechnological potential, and discusses novel trends in their production. Full article
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19 pages, 3580 KiB  
Article
Supra-Physiological Levels of Magnesium Counteract the Inhibitory Effect of Zoledronate on RANKL-Dependent Osteoclastogenesis
by Lorenzo Caselli, Lisa De Pasquale, Rossella Palumbo, Silvia Ricchiuto, Monica Montanari, Sebastiano Rontauroli, Alessandra Ottani, Ruggiero Norfo, Tommaso Zanocco-Marani and Alexis Grande
Biology 2025, 14(5), 533; https://doi.org/10.3390/biology14050533 - 11 May 2025
Viewed by 578
Abstract
Bisphosphonates (BPs) are drugs used to cure metabolic diseases like osteoporosis and oncological conditions, such as multiple myeloma and bone metastases. The pharmacological activity of these compounds is mediated by their capacity to induce a systemic osteoclast depletion, finally resulting in reduced bone [...] Read more.
Bisphosphonates (BPs) are drugs used to cure metabolic diseases like osteoporosis and oncological conditions, such as multiple myeloma and bone metastases. The pharmacological activity of these compounds is mediated by their capacity to induce a systemic osteoclast depletion, finally resulting in reduced bone resorption. In spite of their efficacy, the clinical application of BPs is sometimes associated with a frightening side effect known as osteonecrosis of the jaw (ONJ). In principle, a therapeutic approach able to elicit the local re-activation of osteoclast production could counteract the onset of ONJ and promote the healing of its lesions. Using a vitamin D3-dependent model of osteoclast differentiation, it has been previously demonstrated that when used at supra-physiological concentrations, magnesium strongly favors the process under consideration, and its effect is furtherly enhanced by the presence of a BP called zoledronate. Here, we show that similar results can be obtained in a RANKL-dependent model of osteoclast differentiation, suggesting that a topical therapy based on magnesium may be also suitable for ONJ determined by denosumab in light of the ability of this monoclonal antibody to target RANKL. Full article
(This article belongs to the Section Biochemistry and Molecular Biology)
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9 pages, 520 KiB  
Article
Environmental and Colony-Related Factors Linked to Small Hive Beetle (Aethina tumida) Infestation in Apis mellifera
by Camilla Di Ruggiero, Andrea Gyorffy, Francesco Artese, Alessandra De Carolis, Angelo De Simone, Marco Pietropaoli, Camilla Pedrelli and Giovanni Formato
Agriculture 2025, 15(9), 962; https://doi.org/10.3390/agriculture15090962 - 29 Apr 2025
Viewed by 507
Abstract
The small hive beetle (SHB) was first detected in Italy in 2014 and remains confined to the regions of Calabria and Sicily (Italy). The environmental and colony-related factors favorable to the development of SHBs are widely studied, but mainly at the laboratory level; [...] Read more.
The small hive beetle (SHB) was first detected in Italy in 2014 and remains confined to the regions of Calabria and Sicily (Italy). The environmental and colony-related factors favorable to the development of SHBs are widely studied, but mainly at the laboratory level; it is not yet clear whether these factors also apply in the field within apiaries in regions affected by SHBs. In 2022, we conducted a study in the province of Reggio Calabria, Italy, to investigate if these factors influence SHB infestation levels in honey bee colonies. Data were collected from 67 hives in late winter and 81 hives in autumn, inspecting each hive three times per season. Overall, SHB infestation levels were low (an average 0.83 SHB/hive). Our analysis revealed a significant relationship between the SHB infestation level and the following six factors: the number of combs covered by adult bees, the total number of combs, combs surveillance, the previous month’s infestation, sun exposure, and season. GLM analysis predicted a higher number of SHBs in colonies with fewer combs covered by adult bees (2.543), with a greater number of combs (1.877), with lower comb surveillance (0.935), with a higher SHB infestation level in the previous month (1.192), in shaded locations compared to sunny ones (0.207), and in autumn compared to late winter (0.258), with peak infestations in September. These findings provide insights to inform surveillance plans, optimise sentinel apiaries setup in SHB-free regions, and offer practical guidance for beekeepers on implementing biosecurity measures to minimise infestation levels and enhance early detection. Future research should examine whether these factors have similar effects in regions with higher SHB infestation rates. Full article
(This article belongs to the Section Crop Protection, Diseases, Pests and Weeds)
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9 pages, 1435 KiB  
Communication
The Mobile Divider Method: An Effective Strategy to Detect Small Hive Beetle (Aethina tumida) Adults in Honey Bee Colonies (Apis mellifera) in Calabria, Italy
by Camilla Di Ruggiero, Andrea Gyorffy, Francesco Artese, Alessandra De Carolis, Angelo De Simone, Marco Pietropaoli, Camilla Pedrelli and Giovanni Formato
Appl. Sci. 2025, 15(9), 4890; https://doi.org/10.3390/app15094890 - 28 Apr 2025
Viewed by 391
Abstract
Aethinosis, the honey bee disease caused by small hive beetle, is listed in the Animal Health Law and requires mandatory surveillance and control measures. The Mobile Divider (MD) method has been proposed as a time-saving alternative to the official surveillance method outlined by [...] Read more.
Aethinosis, the honey bee disease caused by small hive beetle, is listed in the Animal Health Law and requires mandatory surveillance and control measures. The Mobile Divider (MD) method has been proposed as a time-saving alternative to the official surveillance method outlined by the Ministry of Health (MoH). The current study aimed to evaluate the efficacy of the MD method in concentrating SHBs behind the MD and optimizing the number of SHBs detected during hive inspections, thereby improving the surveillance strategies required by European regulations and the WOAH. In late winter and autumn 2022, we conducted 431 hive inspections across six apiaries in the province of Reggio Calabria, Italy. A total of 379 adult SHBs were collected and killed; no larvae were detected. Using the MD method, 238 SHBs were found behind the MD, while 141 SHBs were found in the remaining volume of the hive. Chi-square analysis confirmed the effectiveness of the MD method, showing that the SHB distribution behind the MD and in the remaining volume of the hive was not random (p < 0.0005). Further studies are needed to assess the effectiveness and potential benefits of the MD method in regions with higher SHB infestation levels. Full article
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19 pages, 3161 KiB  
Article
Antibiotic Use in Beekeeping: Implications for Health and Environment from a One-Health Perspective
by Michela Mosca, Andrea Gyorffy, Marcella Milito, Camilla Di Ruggiero, Alessandra De Carolis, Marco Pietropaoli, Luigi Giannetti, Francesco Necci, Francesca Marini, Daniele Smedile, Manuela Iurescia, Alessia Franco, Antonio Battisti, Pasquale Rombolà, Marcella Guarducci and Giovanni Formato
Antibiotics 2025, 14(4), 359; https://doi.org/10.3390/antibiotics14040359 - 1 Apr 2025
Viewed by 940
Abstract
Background: The use of antibiotics in beekeeping has potential implications for honeybee health and environmental contamination. Recent research indicates that extensive antibiotic use in beekeeping, especially oxytetracycline, promotes antimicrobial resistance in bee-related bacteria. Honeybees can transport oxytetracycline-resistance genes during foraging, potentially establishing reservoirs [...] Read more.
Background: The use of antibiotics in beekeeping has potential implications for honeybee health and environmental contamination. Recent research indicates that extensive antibiotic use in beekeeping, especially oxytetracycline, promotes antimicrobial resistance in bee-related bacteria. Honeybees can transport oxytetracycline-resistance genes during foraging, potentially establishing reservoirs of resistance in the colony and facilitating intergeneric gene transfer among various gut bacteria as well as in the microbiome of the flowers and the wider environment, where honeybees can spread antibiotic-resistance genes over a large distance. This study investigates the effects of oxytetracycline hydrochloride (OTC) treatment on honeybees from a One Health perspective, examining antibiotic residues in honey, environmental spread, and the presence of tetracycline-resistance genes (TET-RGs). Methods: In the spring of 2022, two groups of four honeybee hives were placed near an almond grove in Central Italy. One group was treated with 1.68 g of OTC, while the other remained untreated. Samples were collected from bees, honey, hive entrances, and flowers before treatment and at 3 as well as 9 days post-treatment. OTC residues and TET-RGs were analyzed to assess contamination and resistance gene dissemination. Results: OTC residues were detected in honey from both treated (day 3: 263,250.0 ± 100,854.3 µg/kg; day 9: 132,600 ± 146,753.9 µg/kg) and untreated hives (day 3: 20.5 ± 8.2 µg/kg; day 9: 135.8 ± 198.6 µg/kg), suggesting cross-contamination. Residues were also found in almond tree flowers (0.7 ± 0.1 µg/kg), with TET-RGs (tet(K), tet(L), tet(M), tet(B), tet(O), tet(D)) detected pre- and post-treatment. In honeybee gut bacteria, resistance genes (tet(M), tet(A), tet(D), tet(B)) appeared post-treatment in both groups. No significant correlation was observed between hive distance and resistance gene presence in flowers, although the presence of other farms located within the bees’ flight range, in which OTC might have been used in the past, could have influenced the results. Conclusions: These findings highlight the risk of OTC-induced antibiotic cross-contamination and the spread of TET-RG, raising concerns for bee health and environmental safety. Given honeybees’ social nature and the negative effects of antibiotics on their health, an antibiotic-free management approach is recommended for sustainable apiculture. Full article
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22 pages, 12560 KiB  
Article
Resilient Waterfront Futures: Mapping Vulnerabilities and Designing Floating Urban Models for Flood Adaptation on the Tiber Delta
by Livia Calcagni, Adriano Ruggiero and Alessandra Battisti
Land 2025, 14(1), 87; https://doi.org/10.3390/land14010087 - 4 Jan 2025
Viewed by 1186
Abstract
This paper explores the feasibility of floating urban development in Italy, given its extensive coastline and inland hydrographic network. The key drivers for floating urban development, as an adaptive approach in low-lying waterfront areas, include the increasing threats posed by rising sea levels [...] Read more.
This paper explores the feasibility of floating urban development in Italy, given its extensive coastline and inland hydrographic network. The key drivers for floating urban development, as an adaptive approach in low-lying waterfront areas, include the increasing threats posed by rising sea levels and flooding and the shortage of land for urban expansion. However, as not all waterfront areas are suitable for floating urban development, a geographical analysis based on a thorough evaluation of multiple factors, including urban–economic parameters and climate-related variables, led to the identification of a specific area of the Lazio coast, the river Tiber Delta. A comprehensive urban mapping process provided a multifaceted geo-referenced information layer, including several climatic, urban, anthropic, and environmental parameters. Within the GIS environment, it is possible to extract and perform statistical analyses crucial for assessing the impact of flood and sea-level rise hazards, particularly regarding buildings and land cover. This process provides a robust framework for understanding the spatial dimensions of flood and sea-level rise impacts and supporting informed design-making. A research-by-design phase follows the simulation research and mapping process. Several design scenarios are developed aimed at regenerating this vulnerable area. These scenarios seek to transform its susceptibility to flooding into a resilient, adaptive, urban identity, offering climate-resilient housing solutions for a population currently residing in unauthorized, substandard housing within high flood-risk zones. This paper proposes a comprehensive analytical methodology for supporting the design process of floating urban development, given the highly determinant role of site-specificity in such a challenging and new urban development approach. Full article
(This article belongs to the Section Urban Contexts and Urban-Rural Interactions)
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15 pages, 2380 KiB  
Article
Effect of a Broiler-Specific Light Spectrum on Growth Performance and Adrenocortical Activity in Chickens: A Pilot Study on a Commercial Farm
by Livio Galosi, Luca Todini, Laura Menchetti, Annaïs Carbajal, Rupert Palme, Nicola Ruggiero, Roberto Falconi and Alessandra Roncarati
Vet. Sci. 2024, 11(12), 618; https://doi.org/10.3390/vetsci11120618 - 2 Dec 2024
Cited by 1 | Viewed by 1996
Abstract
This study evaluated the effect of a broiler-specific light spectrum on productive performance corticosterone (fCC) and androgen dehydroepiandrosterone (fDHEA) concentrations in feathers, and glucocorticoid (GCMs) and androgen (AMs) metabolites in droppings of broilers. Two groups of female Ross 308 broilers were reared under [...] Read more.
This study evaluated the effect of a broiler-specific light spectrum on productive performance corticosterone (fCC) and androgen dehydroepiandrosterone (fDHEA) concentrations in feathers, and glucocorticoid (GCMs) and androgen (AMs) metabolites in droppings of broilers. Two groups of female Ross 308 broilers were reared under white LED (WL, n = 9000) and broiler-specific LED (BSL, n = 9000) lights. The body weight (BW) of 150 randomly selected animals/groups was measured weekly. Droppings and feathers were collected at the end of the cycle (29 days) from 20 animals/group. The BSL group showed higher final BW than WL (1407 ± 11 vs. 1341 ± 15 g, respectively; p < 0.001) and higher indices of uniformity (76.8% vs. 61.2% animals in the 10% around the mean, respectively; p < 0.001). No difference between groups was found in fCC and fDHEA concentrations or in the fCC–fDHEA, indicating similar long-term HPA axis activity during the cycle. A higher concentration of GCMs was found in the BSL group, indicating higher glucocorticoid secretion before sampling, with neither a difference in AMs nor in GCMs–AMs. Finally, there was a positive correlation between fCC and fDHEA and between GCMs and AMs (p < 0.01). Our findings suggest that the use of broiler-specific light improved the productivity performances of chickens without long-term consequences on HPA activation. However, the results of this pilot study in a commercial farm setting must be interpreted with caution and need confirmation. Full article
(This article belongs to the Section Veterinary Physiology, Pharmacology, and Toxicology)
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32 pages, 2311 KiB  
Article
Muscle Proteome Analysis of Facioscapulohumeral Dystrophy Patients Reveals a Metabolic Rewiring Promoting Oxidative/Reductive Stress Contributing to the Loss of Muscle Function
by Manuela Moriggi, Lucia Ruggiero, Enrica Torretta, Dario Zoppi, Beatrice Arosio, Evelyn Ferri, Alessandra Castegna, Chiara Fiorillo, Cecilia Gelfi and Daniele Capitanio
Antioxidants 2024, 13(11), 1406; https://doi.org/10.3390/antiox13111406 - 16 Nov 2024
Cited by 3 | Viewed by 1739
Abstract
Facioscapulohumeral muscular dystrophy (FSHD) is caused by the epigenetic de-repression of the double homeobox 4 (DUX4) gene, leading to asymmetric muscle weakness and atrophy that begins in the facial and scapular muscles and progresses to the lower limbs. This incurable condition can severely [...] Read more.
Facioscapulohumeral muscular dystrophy (FSHD) is caused by the epigenetic de-repression of the double homeobox 4 (DUX4) gene, leading to asymmetric muscle weakness and atrophy that begins in the facial and scapular muscles and progresses to the lower limbs. This incurable condition can severely impair muscle function, ultimately resulting in a loss of ambulation. A thorough analysis of molecular factors associated with the varying degrees of muscle impairment in FSHD is still lacking. This study investigates the molecular mechanisms and biomarkers in the biceps brachii of FSHD patients, classified according to the FSHD clinical score, the A-B-C-D classification scheme, and global proteomic variation. Our findings reveal distinct metabolic signatures and compensatory responses in patients. In severe cases, we observe pronounced metabolic dysfunction, marked by dysregulated glycolysis, activation of the reductive pentose phosphate pathway (PPP), a shift toward a reductive TCA cycle, suppression of oxidative phosphorylation, and an overproduction of antioxidants that is not matched by an increase in the redox cofactors needed for their function. This imbalance culminates in reductive stress, exacerbating muscle wasting and inflammation. In contrast, mild cases show metabolic adaptations that mitigate stress by activating polyols and the oxidative PPP, preserving partial energy flow through the oxidative TCA cycle, which supports mitochondrial function and energy balance. Furthermore, activation of the hexosamine biosynthetic pathway promotes autophagy, protecting muscle cells from apoptosis. In conclusion, our proteomic data indicate that specific metabolic alterations characterize both mild and severe FSHD patients. Molecules identified in mild cases may represent potential diagnostic and therapeutic targets for FSHD. Full article
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11 pages, 440 KiB  
Article
Decrease in Hemoglobin Levels during Acute Attacks in Patients with Idiopathic Recurrent Pericarditis: A Model of Anemia in Acute Disease
by Francesca Casarin, Ruggiero Mascolo, Irene Motta, Maddalena Alessandra Wu, Emanuele Bizzi, Alice Pedroli, Giulia Dieguez, Giacomo Iacomelli, Lisa Serati, Lorena Duca, Silvia Maestroni, Enrico Tombetti, Maria Domenica Cappellini and Antonio Brucato
J. Clin. Med. 2024, 13(19), 5944; https://doi.org/10.3390/jcm13195944 - 6 Oct 2024
Cited by 3 | Viewed by 1309
Abstract
Background/Objectives: Anemia during acute inflammation is not well described in the literature. We aimed to study whether patients develop a transient hemoglobin decrease during an acute attack of recurrent pericarditis. Methods: We retrospectively analyzed patients with recurrent pericarditis. The primary endpoint was the [...] Read more.
Background/Objectives: Anemia during acute inflammation is not well described in the literature. We aimed to study whether patients develop a transient hemoglobin decrease during an acute attack of recurrent pericarditis. Methods: We retrospectively analyzed patients with recurrent pericarditis. The primary endpoint was the difference in hemoglobin levels during an acute attack and in the following remission. As secondary endpoints, we correlated this variation with laboratory and clinical features; we also evaluated the available baseline hemoglobin values. Results: Sixty-two patients, including thirty females (48.4%), with a median age of 39 years, were observed during an acute attack and remission. The attack indexed was the first in 21 patients and the second or the third in 41, with pre-attack hemoglobin levels available for the latter group. Median hemoglobin levels (IQR) were 13.8 (12.8–15.1) g/dL at baseline, 12.0 (11.2–13.4) during attacks and 13.6 (13.1–14.0) during remission (p < 0.001). The median hemoglobin reduction between an acute attack and remission was 1.4 g/dL. Their mean corpuscular volume remained in the normal range. Hb reduction significantly correlated with C-reactive protein (CRP) elevation, neutrophilia and the neutrophil-to-lymphocyte ratio, but not serosal involvement. Only CRP elevation remained associated with the variation of Hb in a multivariate analysis (p = 0.007). Conclusions: This study is a proof of concept: hemoglobin levels may decline rapidly during acute inflammation in correlation with CRP elevation, with transient normocytic anemia, followed by a rapid rebound. In this regard, idiopathic pericarditis may represent a pathogenetic model of this type of anemia. Full article
(This article belongs to the Special Issue Diagnosis and Management of Pericardial Diseases)
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12 pages, 1545 KiB  
Article
Evaluating the Efficacy of Transcranial Magnetic Stimulation in Symptom Relief and Cognitive Function in Obsessive–Compulsive Disorder, Substance Use Disorder, and Depression: An Insight from a Naturalistic Observational Study
by Andrea Stefano Moro, Daniele Saccenti, Alessandra Vergallito, Regina Gregori Grgič, Silvia Grazioli, Novella Pretti, Sofia Crespi, Antonio Malgaroli, Simona Scaini, Giovanni Maria Ruggiero, Sandra Sassaroli, Mattia Ferro and Jacopo Lamanna
Appl. Sci. 2024, 14(14), 6178; https://doi.org/10.3390/app14146178 - 16 Jul 2024
Cited by 4 | Viewed by 2965
Abstract
The utilization of non-invasive neurostimulation techniques, such as transcranial magnetic stimulation (TMS), is increasingly prevalent in psychiatry due to their efficacy and safety. Although the precise therapeutic mechanisms remain partially unclear, repetitive TMS, particularly high-frequency stimulation, may enhance cognitive functions, contributing to therapeutic [...] Read more.
The utilization of non-invasive neurostimulation techniques, such as transcranial magnetic stimulation (TMS), is increasingly prevalent in psychiatry due to their efficacy and safety. Although the precise therapeutic mechanisms remain partially unclear, repetitive TMS, particularly high-frequency stimulation, may enhance cognitive functions, contributing to therapeutic benefits. This within-subjects study examined the impact of TMS on cognitive and symptomatic outcomes in patients with obsessive–compulsive disorder (OCD), substance use disorder (SUD), and major depressive disorder (MDD). A total of 44 patients underwent cognitive tests and symptom assessments before and after an intensive four-week TMS treatment phase, followed by a four-week maintenance phase. Cognitive assessments included Raven’s matrices, verbal fluency, and digit span tests, while symptom severity was measured using the Italian version of the SCL-90-R. Decision-making performance was also evaluated by administering a delay discounting (DD) test. Principal component analysis was used to generate a dimensional characterization of subjects along cognitive and symptom-related axes before and after treatment. The results indicated that TMS significantly improved symptom scores, but no significant cognitive enhancement was observed. Statistical analysis based on linear mixed-effects models confirmed these findings, showing a significant fixed effect of TMS treatment on symptoms but not on cognitive performance. DD metrics remained unchanged. These findings suggest that while TMS effectively alleviates clinical symptoms, it does not produce consistent or appreciable enhancement of cognitive functions in these protocols. This study highlights the need for more personalized and combined therapeutic approaches to maximize the benefits of TMS, potentially incorporating cognitive enhancement strategies. Future studies will be useful to explore whether the results we obtained are valid for other pathologies, cognitive tests, and stimulation protocols. Full article
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8 pages, 4001 KiB  
Case Report
A Bosniak III Cyst Unmasking Tubulocystic Renal Cell Carcinoma in an Adolescent: Management with Selective Arterial Clamping and Robotic Enucleation
by Marcello Della Corte, Elisa Cerchia, Marco Allasia, Alessandro Marquis, Alessandra Linari, Martina Mandaletti, Elena Ruggiero, Andrea Sterrantino, Paola Quarello, Massimo Catti, Franca Fagioli, Paolo Gontero and Simona Gerocarni Nappo
Surgeries 2024, 5(2), 415-422; https://doi.org/10.3390/surgeries5020034 - 16 May 2024
Cited by 1 | Viewed by 3206
Abstract
The Bosniak classification of renal cysts aims to provide a probabilistic risk assessment indicating the likelihood of malignancy from imaging findings. Originally designed to classify adult renal cysts based on computed tomography findings, the Bosniak classification has been extended to pediatric patients, with [...] Read more.
The Bosniak classification of renal cysts aims to provide a probabilistic risk assessment indicating the likelihood of malignancy from imaging findings. Originally designed to classify adult renal cysts based on computed tomography findings, the Bosniak classification has been extended to pediatric patients, with some adjustments made with the aim of accommodating magnetic resonance imaging (MRI) and ultrasonography (US). Bosniak IV lesions are rare in adolescents, indicating localized renal cell carcinoma and requiring surgical intervention. In contrast, Bosniak III lesions can be treated conservatively, although there is a lack of specific guidelines on their management. We present a case of a 14-year-old boy with a Bosniak III lesion, which was incidentally detected during the US evaluation of a left varicocele. After a 12-month follow-up, MRI revealed progression to a Bosniak IV cyst. Robot-assisted tumor enucleation was performed with selective artery clamping when the patient was 15. Histopathology showed tubulocystic renal cell carcinoma without adverse features. Immunocytochemistry supported a favorable prognosis of this rare tumor (<1% of renal tumor), thus obviating the need for adjuvant treatment. At the 18-month follow-up, no recurrence or distant metastasis were observed. This case highlights the importance of an aggressive treatment in persistent Bosniak III and Bosniak IV renal cysts in children and adolescents and the necessity to offer a nephron-sparing surgery. Full article
(This article belongs to the Special Issue 3D Printing in Surgical Strategies)
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12 pages, 9704 KiB  
Article
Venous Thromboembolism Management throughout the COVID-19 Era: Addressing Acute and Long-Term Challenges
by Maddalena Alessandra Wu, Alba Taino, Pietro Facchinetti, Valentina Rossi, Diego Ruggiero, Silvia Berra, Giulia Blanda, Nicola Flor, Chiara Cogliati and Riccardo Colombo
J. Clin. Med. 2024, 13(6), 1825; https://doi.org/10.3390/jcm13061825 - 21 Mar 2024
Cited by 1 | Viewed by 1598
Abstract
Background: COVID-19 increases the risk of venous thromboembolism (VTE) through a complex interplay of mechanisms collectively referred to as immunothrombosis. Limited data exist on VTE challenges in the acute setting throughout a dynamic long-term follow-up of COVID-19 patients compared to non-COVID-19 patients. The [...] Read more.
Background: COVID-19 increases the risk of venous thromboembolism (VTE) through a complex interplay of mechanisms collectively referred to as immunothrombosis. Limited data exist on VTE challenges in the acute setting throughout a dynamic long-term follow-up of COVID-19 patients compared to non-COVID-19 patients. The aim of the study was to investigate acute and long-term management and complications in VTE patients with and without COVID-19. Methods: A prospective, observational, single-center cohort study on VTE patients followed from the acute care stage until 24 months post-diagnosis. Results: 157 patients, 30 with COVID-19-associated VTE and 127 unrelated to COVID-19, were enrolled. The mean follow-up was 10.8 (±8.9) months. COVID-19 patients had fewer comorbidities (1.3 ± 1.29 vs. 2.26 ± 1.68, p < 0.001), a higher proportion of pulmonary embolism at baseline (96.7% vs. 76.4%, p = 0.01), and had a lower probability of remaining on anticoagulant therapy after three months (p < 0.003). The most used initial therapy was low-molecular-weight heparin in 130/157 cases, followed by long-term treatment with direct oral anticoagulants in 123/157. Two (6.7%) COVID-19 vs. three (2.4%) non-COVID-19 patients (p = 0.243) had major hemorrhagic events, all of them within the first three months. Four (3.1%) non-COVID-19 patients had VTE recurrence after six months. Three (2.4%) non-COVID-19 patients developed chronic thromboembolic pulmonary hypertension. There were no fatalities among patients with COVID-19, compared to a mortality of 12/127 (9.4%) in the non-COVID-19 subgroup (p = 0.027). Discussion: Our study offers a comprehensive overview of the evolving nature of VTE management, emphasizing the importance of personalized risk-based approaches, including a limited course of anticoagulation for most COVID-19-associated VTE cases and reduced-dose extended therapy for high-risk subsets. Full article
(This article belongs to the Section Intensive Care)
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26 pages, 1534 KiB  
Review
Advanced Cellular Models for Rare Disease Study: Exploring Neural, Muscle and Skeletal Organoids
by Cristina Bombieri, Andrea Corsi, Elisabetta Trabetti, Alessandra Ruggiero, Giulia Marchetto, Gaetano Vattemi, Maria Teresa Valenti, Donato Zipeto and Maria Grazia Romanelli
Int. J. Mol. Sci. 2024, 25(2), 1014; https://doi.org/10.3390/ijms25021014 - 13 Jan 2024
Cited by 14 | Viewed by 5404
Abstract
Organoids are self-organized, three-dimensional structures derived from stem cells that can mimic the structure and physiology of human organs. Patient-specific induced pluripotent stem cells (iPSCs) and 3D organoid model systems allow cells to be analyzed in a controlled environment to simulate the characteristics [...] Read more.
Organoids are self-organized, three-dimensional structures derived from stem cells that can mimic the structure and physiology of human organs. Patient-specific induced pluripotent stem cells (iPSCs) and 3D organoid model systems allow cells to be analyzed in a controlled environment to simulate the characteristics of a given disease by modeling the underlying pathophysiology. The recent development of 3D cell models has offered the scientific community an exceptionally valuable tool in the study of rare diseases, overcoming the limited availability of biological samples and the limitations of animal models. This review provides an overview of iPSC models and genetic engineering techniques used to develop organoids. In particular, some of the models applied to the study of rare neuronal, muscular and skeletal diseases are described. Furthermore, the limitations and potential of developing new therapeutic approaches are discussed. Full article
(This article belongs to the Special Issue Skeletal Muscle Adaptations to Oxidative Stress)
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12 pages, 2305 KiB  
Article
Chemoproteomics Reveals USP5 (Ubiquitin Carboxyl-Terminal Hydrolase 5) as Promising Target of the Marine Polyketide Gracilioether A
by Alessandra Capuano, Gilda D’Urso, Michela Aliberti, Dafne Ruggiero, Stefania Terracciano, Carmen Festa, Alessandra Tosco, Maria Giovanna Chini, Gianluigi Lauro, Giuseppe Bifulco and Agostino Casapullo
Mar. Drugs 2024, 22(1), 41; https://doi.org/10.3390/md22010041 - 11 Jan 2024
Cited by 7 | Viewed by 3026
Abstract
Mass spectrometry-based chemical proteomic approaches using limited proteolysis have become a powerful tool for the identification and analysis of the interactions between a small molecule (SM) and its protein target(s). Gracilioether A (GeA) is a polyketide isolated from a marine sponge, for which [...] Read more.
Mass spectrometry-based chemical proteomic approaches using limited proteolysis have become a powerful tool for the identification and analysis of the interactions between a small molecule (SM) and its protein target(s). Gracilioether A (GeA) is a polyketide isolated from a marine sponge, for which we aimed to trace the interactome using this strategy. DARTS (Drug Affinity Responsive Target Stability) and t-LiP-MS (targeted-Limited Proteolysis-Mass Spectrometry) represented the main techniques used in this study. DARTS was applied on HeLa cell lysate for the identification of the GeA target proteins, and t-LiP-MS was employed to investigate the protein’s regions involved in the binding with GeA. The results were complemented through the use of binding studies using Surface Plasmon Resonance (SPR) and in silico molecular docking experiments. Ubiquitin carboxyl-terminal hydrolase 5 (USP5) was identified as a promising target of GeA, and the interaction profile of the USP5-GeA complex was explained. USP5 is an enzyme involved in the pathway of protein metabolism through the disassembly of the polyubiquitin chains on degraded proteins into ubiquitin monomers. This activity is connected to different cellular functions concerning the maintenance of chromatin structure and receptors and the degradation of abnormal proteins and cancerogenic progression. On this basis, this structural information opens the way to following studies focused on the definition of the biological potential of Gracilioether A and the rational development of novel USP5 inhibitors based on a new structural skeleton. Full article
(This article belongs to the Special Issue Natural Products Research: Selected Papers from ISCNP31 & ICOB11)
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