Could the Combination of eGFR and mGPS Facilitate the Differential Diagnosis of Age-Related Renal Decline from Diseases? A Large Study on the Population of Western Sicily DOI Open Access

Miriam Carella,

Annamaria Porreca,

Cinzia Piazza

и другие.

Journal of Clinical Medicine, Год журнала: 2023, Номер 12(23), С. 7352 - 7352

Опубликована: Ноя. 28, 2023

The assessment of renal function is critical to diagnosing and managing age-related decline, disease (KD), failure, which are prevalent in the elderly population. glomerular filtration rate (GFR) widely used as an indicator kidney function, but its direct measurement challenging, age gender caveats. This makes difficult differential diagnosis between physiological decline KD and/or failure. Currently, inflammation-based modified Glasgow prognostic score (mGPS) emerging a promising biomarker several inflammatory acute/chronic diseases. In this study, large variability eGFR with was evaluated association values mGPS levels. A population 57,449 adult participants (age ≥ 18 years) enrolled. Appropriate circulating biomarkers were measured detect values. data obtained demonstrated significant decrease men vs. women across four selected classes (18-40, 40-60, 60-80, 80-100 years); significantly associated (p < 0.001), categories. Accordingly, percentage people having = 2 increased classes: 11% G1/eGFR class needed achieve 44% G5/eGFR. Thus, combination could represent best benchmark risk model for from reduction.

Язык: Английский

Neuroinflammation and Neurodegenerative Diseases: How Much Do We Still Not Know? DOI Creative Commons
Carmela Rita Balistreri, Roberto Monastero

Brain Sciences, Год журнала: 2023, Номер 14(1), С. 19 - 19

Опубликована: Дек. 23, 2023

The term “neuroinflammation” defines the typical inflammatory response of brain closely related to onset many neurodegenerative diseases (NDs). Neuroinflammation is well known, but its mechanisms and pathways are not entirely comprehended. Some progresses have been achieved through efforts research. Consequently, new cellular molecular mechanisms, diverse conventional, emerging. In listing some those that will be subject our description discussion, essential important roles peripheral infiltrated monocytes clonotypic cells, alterations in gut–brain axis, dysregulation apelinergic system, endothelial glycocalyx component neuronal vascular units, variations expression genes levels encoding molecules by action microRNAs (miRNAs), or other epigenetic factors distinctive transcriptional factors, as role autophagy, ferroptosis, sex differences, modifications circadian cycle. Such can add significantly understanding complex etiological puzzle neuroinflammation ND. addition, they could represent biomarkers targets ND, which increasing elderly.

Язык: Английский

Процитировано

23

A Narrative Review: Syndecans in Aortic Aneurysm Pathogenesis and Course—Biomarkers and Targets? DOI Open Access
Calogera Pisano, Laura Asta,

Adriana Sbrigata

и другие.

International Journal of Molecular Sciences, Год журнала: 2025, Номер 26(3), С. 1211 - 1211

Опубликована: Янв. 30, 2025

The maintenance of the integrity entire endothelium, glycocalyx included, and, therefore, tissue aorta’s homeostasis, depends on expressions several molecular pathways and their interactions, such as syndecan molecules. Alterations in syndecans, i.e., quantitative alterations or linking to shedding, contributes invoking endothelium dysfunction, which causes damage vessel wall due increased production growth-stimulating pro-inflammatory gene products. Inflammatory processes negatively affect endothelial glycocalyx, a dynamic layer luminal portion cells composed proteoglycans, glycoproteins, glycosaminoglycans, syndecans. In turn, structural influence coagulative state, increasing pro-thrombotic processes. family syndecans constitutes major component or, more accurately, source cell surface heparan sulfate. It encompasses four components: syndecan-1, syndecan-2, syndecan-4 (with syndecan-3 only expressed neural tissue), have fundamental role regulating events acute chronic aorta subsequently correlated with formation aneurysms. As such, aim our review is highlight current knowledge roles analyze relationship pathological aortic based most recent literature.

Язык: Английский

Процитировано

1

Different Levels of Therapeutic Strategies to Recover the Microbiome to Prevent/Delay Acute Lymphoblastic Leukemia (ALL) or Arrest Its Progression in Children DOI Open Access

Tommaso Silvano Aronica,

Miriam Carella,

Carmela Rita Balistreri

и другие.

International Journal of Molecular Sciences, Год журнала: 2024, Номер 25(7), С. 3928 - 3928

Опубликована: Март 31, 2024

Changes in the components, variety, metabolism, and products of microbiomes, particularly gut microbiome (GM), have been revealed to be closely associated with onset progression numerous human illnesses, including hematological neoplasms. Among latter pathologies, there is acute lymphoblastic leukemia (ALL), most widespread malignant neoplasm pediatric subjects. Accordingly, ALL cases present a typical dysfunctional GM during all its clinical stages resulting inflammation, which contributes progression, altered response therapy, possible relapses. Children characteristic variations composition, functions, such alterations may influence predict complications prognosis after chemotherapy treatment or stem cell hematopoietic transplants. In addition, growing evidence also reports ability formation, growth, roles newborn's system through process developmental programming fetal life as well susceptibility onco-hematological namely ALL. Here, we suggest some therapeutic strategies that can applied at two levels intervention recover consequently prevent/delay arrest progression.

Язык: Английский

Процитировано

3

Circulating Levels of Ferritin, RDW, PTLs as Predictive Biomarkers of Postoperative Atrial Fibrillation Risk after Cardiac Surgery in Extracorporeal Circulation DOI Open Access

Claudia Altieri,

Calogera Pisano,

Labriola Vincenzo

и другие.

International Journal of Molecular Sciences, Год журнала: 2022, Номер 23(23), С. 14800 - 14800

Опубликована: Ноя. 26, 2022

Postoperative atrial fibrillation (POAF) is the most common arrhythmia after cardiac surgery in conventional extracorporeal circulation (CECC), with an incidence of 15-50%. The POAF pathophysiology not known, and no blood biomarkers exist. However, association between increased ferritin levels AF risk, has been demonstrated. Based on such evidence, here, we evaluated effectiveness other haematological parameters as risk patients subjected to surgery. We enrolled 105 (mean age = 70.1 ± 7.1 years; 70 men 35 females) diverse heart pathologies who were cardiothoracic Their samples collected used determine hematological parameters. Electrocardiographic echocardiographic also evaluated. data obtained demonstrated significantly higher serum ferritin, red cell distribution width (RDW), platelets (PLTs) patients. resulted be independent factor associated onset risk. Thus, detected cut-off value, which, when ≥148.5 ng/mL, identifies subjects at highest abnormal ECG parameters, PW indices, altered structural disease variables. Serum RDW, PTLs represent predictive CECC; particularly, combined anormal indices variables can optimal tool for predicting only POAF, but eventual stroke onset.

Язык: Английский

Процитировано

9

Clinical Evaluation Tool for Vascular Health–Endothelial Function and Cardiovascular Disease Management DOI Creative Commons
Fang Wen, Yue Liu, Hongyu Wang

и другие.

Cells, Год журнала: 2022, Номер 11(21), С. 3363 - 3363

Опубликована: Окт. 25, 2022

There are 330 million people suffering from cardiovascular diseases (CVD) in China, and two out of every five deaths were due to CVD. CVD has become the main disease burden China. Vascular health management can detect subclinical vascular such as endothelial dysfunction. Through controlling risk factors, function, be improved events prevented upstream. Peking University Shougang hospital is first practitioner life-long since 2010 The established Beijing Health Stratification (BVHS) focuses on comprehensive evaluation function structure explores application information technology artificial intelligence management. tertiary hospital-primary hospital-family service model guided by BVHS better realize prophylaxis prevention control strategy based health, especially management, help implement "healthy China 2030" plan. In this review, we focus advances clinical assessment including arteriosclerosis, new potential biological markers provide possible therapeutic targets, BVHS, a aging system. Strengthening great significance for occurrence groups adverse patients with diseases.

Язык: Английский

Процитировано

8

Promising Strategies for Preserving Adult Endothelium Health and Reversing Its Dysfunction: From the Liquid Biopsy to New Omics Technologies and Non-invasive Circulating Biomarkers DOI Open Access
Carmela Rita Balistreri

Опубликована: Июнь 29, 2022

The endothelium has multiple functions from maintaining vascular homeostasis, providing nutrition and oxygen to tissues, evocating inflammation, under adverse conditions, determining endo-thelial barrier disruption resulting in dysfunction. Endothelial dysfunction represents the typical condition associated with pathogenesis of all diseases cardiovascular system, as well other human body&rsquo;s systems, also including sepsis, acute respiratory distress syn-drome COVID-19 distress. Such evidence is leading identifying potential bi-omarkers therapeutic targets for preserving, reverting, or restoring integrity functionality by early treating its Here, it stresses some strategies achieving these goals, even if diverse challenges exist require a significant bench work an in-creased number clinical studies.

Язык: Английский

Процитировано

7

Could the Combination of eGFR and mGPS Facilitate the Differential Diagnosis of Age-Related Renal Decline from Diseases? A Large Study on the Population of Western Sicily DOI Open Access

Miriam Carella,

Annamaria Porreca,

Cinzia Piazza

и другие.

Journal of Clinical Medicine, Год журнала: 2023, Номер 12(23), С. 7352 - 7352

Опубликована: Ноя. 28, 2023

The assessment of renal function is critical to diagnosing and managing age-related decline, disease (KD), failure, which are prevalent in the elderly population. glomerular filtration rate (GFR) widely used as an indicator kidney function, but its direct measurement challenging, age gender caveats. This makes difficult differential diagnosis between physiological decline KD and/or failure. Currently, inflammation-based modified Glasgow prognostic score (mGPS) emerging a promising biomarker several inflammatory acute/chronic diseases. In this study, large variability eGFR with was evaluated association values mGPS levels. A population 57,449 adult participants (age ≥ 18 years) enrolled. Appropriate circulating biomarkers were measured detect values. data obtained demonstrated significant decrease men vs. women across four selected classes (18-40, 40-60, 60-80, 80-100 years); significantly associated (p < 0.001), categories. Accordingly, percentage people having = 2 increased classes: 11% G1/eGFR class needed achieve 44% G5/eGFR. Thus, combination could represent best benchmark risk model for from reduction.

Язык: Английский

Процитировано

2