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Pediatric nonalcoholic fatty liver disease,metabolic syndrome and cardiovascular risk

World Journal of Gastroenterology 2011年第26期17卷 3082-3091页

作者： Lucia Pacifico Valerio Nobili caterina Anania Paola Verdecchia Claudio Chiesa Department of Pediatrics Sapienza University of Rome Department of Hepato-gastroenterology and Nutrition Pediatric Hospital "Bambino Gesù" Institute of Translational Pharmacology National Research Council

Nonalcoholic fatty liver disease(NAFLD) encompasses a range of liver histology severity and outcomes in the absence of chronic alcohol *** mildest form is simple steatosis in which triglycerides accumulate within hepatocytes.A more advanced form of NAFLD,nonalcoholic steatohepatitis,includes inflammation and liver cell injury,progressive to cryptogenic *** has become the most common cause of chronic liver disease in children and *** recent rise in the prevalence rates of overweight and obesity likely explains the NAFLD epidemic *** is strongly associated with abdominal obesity,type 2 diabetes,and dyslipidemia,and most patients have evidence of insulin ***,NAFLD shares many features of the metabolic syndrome(MetS),a highly atherogenic condition,and this has stimulated interest in the possible role of NAFLD in the development of *** evidence suggests thatNAFLD is associated with a significantly greater overall mortality than in the general population,as well as with increased prevalence of cardiovascular disease(CVD),independently of classical atherosclerotic risk ***,several studies including the pediatric population have reported independent associations between NAFLD and impaired flow-mediated vasodilatation and increased carotid artery intimal medial thickness-two reliable markers of subclinical atherosclerosis-after adjusting for cardiovascular risk factors and ***,the rising prevalence of obesity-related MetS and NAFLD in childhood may lead to a parallel increase in adverse cardiovascular *** children,the cardiovascular system remains plastic and damage-reversible if early and appropriate interventions are established *** goals for NAFLD should address nutrition,physical activity,and avoidance of smoking to prevent not only end-stage liver disease but also CVD.

关键词： Nonalcoholic fatty liver disease Metabolicsyndrome Cardiovascular risk Children

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Hepatic flares in chronic hepatitis C: Spontaneous exacerbation vs hepatotropic viruses superinfection

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World Journal of Gastroenterology 2014年第22期20卷 6707-6715页

作者： Evangelista Sagnelli caterina Sagnelli Mariantonietta Pisaturo Nicola Coppola Section of Infectious Diseases Department of Mental Health and Public MedicineSecond University of Naples80131 NaplesItaly Mariantonietta Pisaturo Division of Infectious DiseasesAORN Sant’Anna e San Sebastiano di Caserta81100 CasertaItaly Department of Clinical and Experimental Medicine and Surgery "F Magrassi e A Lanzara" Second University of Naples80131 NaplesItaly

The hepatitis C virus(HCV)causes an acute infection that is frequently asymptomatic,but a spontaneous eradication of HCV infection occurs only in one-third of *** remaining two-thirds develop a chronic infection that,in most cases,shows an indolent course and a slow progression to the more advanced stagesof the *** a quarter of cases with chronic hepatitis C(CHC)develop liver cirrhosis with or without hepatocellular *** indolent course of the illness may be troubled by the occurrence of a hepatic flare,i.e.,a spontaneous acute exacerbation of CHC due to changes in the immune response,immunosuppression and subsequent restoration,and is characterized by an increase in serum aminotransferase values,a frequent deterioration in liver fibrosis and necroinflammation but also a high frequency of sustained viral response to pegylated interferon plus ribavirin treatment.A substantial increase in serum aminotransferase values during the clinical course of CHC may also be a consequence of a superinfection by other hepatotropic viruses,namely hepatitis B virus(HBV),HBV plus hepatitis D virus,hepatitis E virus,cytomegalovirus,particularly in geographical areas with high endemicity *** etiology of a hepatic flare in patients with CHC should always be defined to optimize follow-up procedures and clinical and therapeutic decisions.

关键词： Chronic hepatitis C virus infection Hepatic flares Hepatic flares in immunocompromised patients Immunocompromised patients Hepatitis A virus superinfection

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Can adiponectin have an additional effect on the regulation of food intake by inducing gastric motor changes?

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World Journal of Gastroenterology 2020年第20期26卷 2472-2478页

作者： Eglantina Idrizaj Rachele Garella Roberta Squecco Maria caterina Baccari Department of Experimental and Clinical Medicine Section of Physiological SciencesUniversity of FlorenceFlorence 50134Italy

The regulation of food intake is a complex mechanism,and the hypothalamus is the main central structure *** particular,the arcuate nucleus appears to be the most critical area in the integration of multiple peripheral *** these signals,those originating from the white adipose tissue and the gastrointestinal tract are known to be involved in the regulation of food *** present paper focuses on adiponectin,an adipokine secreted by white adipose tissue,which is reported to have a role in the control of feeding by acting *** recent observation that adiponectin is also able to influence gastric motility raises the question of whether this action represents an additional peripheral mechanism that concurs with the central effects of the hormone on food *** possibility,which represents an emerging aspect correlating the central and peripheral effects of adiponectin in the hunger-satiety cycle,is discussed in the present paper.

关键词： Adipokines Adiponectin Adipose tissue Food intake Gastric motility Satiety signals

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Nosocomial spontaneous bacterial peritonitis antibiotic treatment in the era of multi-drug resistance pathogens: A systematic review

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World Journal of Gastroenterology 2017年第25期23卷 4654-4660页

作者： Marco Fiore Alberto Enrico Maraolo Ivan Gentile Guglielmo Borgia Sebastiano Leone Pasquale Sansone Maria Beatrice Passavanti caterina Aurilio Maria caterina Pace Department of Anaesthesiological Surgical and Emergency SciencesUniversity of Campania“Luigi Vanvitelli” Department of Clinical Medicine and Surgery Section of Infectious DiseasesUniversity of Naples Federico II Division of Infectious Diseases “San Giuseppe Moscati”Hospital

To systematically review literature upon aetiology of nosocomial spontaneous bacterial peritonitis (N-SBP) given the rising importance of multidrug-resistant (MDR) bacteria. METHODSA literature search was performed on MEDLINE and Google Scholar databases from 2000 to 15th of November 2016, using the following search strategy: “spontaneous” AND “peritonitis”. RESULTSThe initial search through electronic databases retrieved 2556 records. After removing duplicates, 1958 records remained. One thousand seven hundred and thirty-five of them were excluded on the basis of the screening of titles and abstract, and the ensuing number of remaining articles was 223. Of these records, after careful evaluation, only 9 were included in the qualitative analysis. The overall proportion of MDR bacteria turned out to be from 22% to 73% of cases across the studies. CONCLUSIONN-SBP is caused, in a remarkable proportion, by MDR pathogens. This should prompt a careful re-assessment of guidelines addressing the treatment of this clinical entity.

关键词： Hospital-acquired infections Nosocomial spontaneous bacterial peritonitis Multidrug resistant bacteria Cirrhosis Critically ill patient

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Molecular mechanisms of liver preconditioning

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World Journal of Gastroenterology 2010年第48期16卷 6058-6067页

作者： Elisa Alchera caterina Dal Ponte Chiara Imarisio Emanuele Albano Rita Carini Department of Medical Sciences University of East Piedmont "A. Avogadro"

Ischemia/reperfusion (I/R) injury still represents an important cause of morbidity following hepatic surgery and limits the use of marginal livers in hepatic transplantation. Transient blood flow interruption followed by reperfusion protects tissues against damage induced by subsequent I/R. This process known as ischemic pre-conditioning (IP) depends upon intrinsic cytoprotective systems whose activation can inhibit the progression of irreversible tissue damage. Compared to other organs,liver IP has additional features as it reduces inflammation and promotes hepatic regeneration. Our present understanding of the molecular mechanisms involved in liver IP is still largely incomplete. Experimental studies have shown that the protective effects of liver IP are triggered by the release of adenosine and nitric oxide and the subsequent activation of signal networks involving protein kinases such as phosphatidylinositol 3-kinase,protein kinase C δ/ε and p38 MAP kinase,and transcription factors such as signal transducer and activator of transcription 3,nuclear factor-κB and hypoxia-inducible factor 1. This article offers an overview of the molecular events underlying the preconditioning effects in the liver and points to the possibility of developing pharmacological approaches aimed at activating the intrinsic protective systems in patients undergoing liver surgery.

关键词： Apoptosis Hepatocyte Hypoxia Ischemia/ reperfusion Liver surgery Necrosis Pharmacological preconditioning Preconditioning Survival pathways

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Consequences of Helicobacter pylori infection in children

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World Journal of Gastroenterology 2010年第41期16卷 5181-5194页

作者： Lucia Pacifico caterina Anania John F Osborn Flavia Ferraro Claudio Chiesa Department of Pediatrics Sapienza University of Rome 324 I-00161 Rome Italy Department of Public Health Sciences Sapienza University of Rome I-00185 Rome Italy Department of Molecular Medicine National Research Council I-00133 Rome Italy

Although evidence is emerging that the prevalence of Helicobacter pylori (H. pylori) is declining in all age groups, the understanding of its disease spectrum continues to evolve. If untreated, H. pylori infection is lifelong. Although H. pylori typically colonizes the hu-man stomach for many decades without adverse con-sequences, children infected with H. pylori can manifest gastrointestinal diseases. Controversy persists regarding testing (and treating) for H. pylori infection in children with recurrent abdominal pain, chronic idiopathic thrombocytopenia, and poor growth. There is evidence of the role of H. pylori in childhood iron deficiency anemia, but the results are not conclusive. The possibility of an inverse relationship between H. pylori and gastroesophageal reflux disease, as well as childhood asthma, remains a controversial question. A better understanding of the H. pylori disease spectrum in childhood should lead to clearer recommendations about testing for and treating H. pylori infection in children who are more likely to develop clinical sequelae.

关键词： Helicobacter pylori Children Gastrointestinal diseases Epigastric pain Anemia Growth retardation Chronic idiopathic thrombocytopenic pupura

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A new methodology for computing birds＇ 3D home ranges

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Avian Research 2018年第2期9卷 168-173页

作者： Alessandro Ferrarini Giuseppe Giglio Stefania caterina Pellegrino Anna Grazia Frassanito Marco Gustin Conservation Department LIPU - BirdLife (Lega Italiana Protezione Uccelli) Via Udine 3/a 43122 Parma Italy Alta Murgia National Park Via Firenze 10 70024 Gravina in Puglia Bari Italy.

Background： So far, studies of avian space use are mostly realized in 2D, with the vertical dimension ignored. We propose here a new, relatively simple and computationally reasonable method for the estimation of volumetric （i.e. 3D） avian home ***： Through accurate GPS data-loggers, we collected 25,405 GPS points on Lesser Kestrels＇（Fdlco noumonni） space use during the nestling period in one main colony in *** applied our 3D home range estimator to the whole GPS dataset, and also separately to diurnal and nocturnal GPS ***： The 3D colony home range resulted equal to 28.12 km3. By considering daytime and night-time separately, the volumetric home ranges resulted considerably ***： Our 3D home range estimator, because of its intuitive and straightforward properties, can easily capi-talize on the datasets offered by modern biotelemetry （data-loggers, light detection and LIDAR sensors） and enhance conservation strategies for mitigating anthropogenic impacts on bird species. Its applications embrace, but are not limited to, more accurate estimates of collision risk with power lines, aircrafts and wind farms, and increased knowledge of birds＇space requirements in order to persist in their distribution areas.

关键词： Avian space use Biotelemetry GPS data-loggers Vertical dimension Volumetric home range

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ERK1 and ERK2 are involved in recruitment and maturation of human mesenchymal stem cells induced to adipogenic differentiation

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分子细胞生物学报:英文版 2011年第2期3卷 123-131页

作者： Elisabetta Donzelli caterina Lucchini Elisa Ballarini Arianna Scuteri Fabrizio Carini Giovanni Tredici Mariarosaria Miloso Department of Neuroscience and Biomedical Technologies University of Milano-BicoccaVia Cadore 48-20052Monza(MB)Italy Reproductive Medicine Nuova Villa Claudia ClinicVia Flaminia Nuova 280RomeItaly

Adipocytes’biology and the mechanisms that control adipogenesis have gained importance because of the need to develop therapeutic strategies to control obesity and the related *** mesenchymal stem cells(hMSCs),undifferentiated stem cells present in the bone marrow that are physiological precursors of adipocytes,were induced to adipogenic *** molecular mechanisms on the basis of the adipogenesis were evaluated,focusing on the MAPKinases ERK1 and ERK2,which are involved in many biological and cellular ***1 and ERK2 phosphorylation was reduced with different timing and intensity for the two isoforms in treated hMSCs in comparison with control cells until day 10 and then at 14–28 days,it reached the level of untreated *** total amount of ERK1 was also decreased up to day 10 and then was induced to the level of untreated cultures,whereas the expression of ERK2 was not changed following adipogenic *** with the specific ERK1/2 inhibitor U0126 during the whole differentiation period hampered hMSCs’adipogenic differentiation,as lipid droplets appeared in very few cells and were reduced in number and *** U0126 was administered only during the initial phase of differentiation,the number of hMSCs recruited to adipogenesis was reduced while,when it was administered later,hMSCs did not acquire a mature adipocytic ***1 and ERK2 are important for hMSC adipogenic differentiation since any alteration to the correct timing of their phosphorylation affects either the recruitment into the differentiation program and the extent of their maturation.

关键词： mesenchymal stem cells ERK adipogenesis MAPK obesity differentiation

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Characterization of an Area Polluted by Copper and Zinc:the Relation between Soil Texture,Mineralogy and Pollutant Concentration

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Acta Geologica Sinica(English Edition) 2009年第6期83卷 1224-1231页

作者： caterina RINAUDO Daniela GASTALDI Orfeo ZERBINATI Elisa FORNERO Graziella BERTA Department of Environmental and Life Sciences University of Eastern Piedmont

Twenty-four soil samples were collected at three depths from an approximately 2.5 acre contaminated site in southern Piedmont （Italy） and then analyzed. The main soil parameters determined were： pH, Cation Exchange Capacity （CEC）, particle size distribution, total organic carbon （TOC） content and retained metal concentration. The mineral phases were identified by X-Ray Powder Diffraction （XRPD）. All of the samples contained Zn and Cu resulting from industrial contamination during the last century, and those obtained at depths of 20-40 cm consistently showed the highest levels. To determine which size fraction was most active in the retention process, the samples were separated into four fractions （≤2 mm, ≤63 0m, ≤30 0m and ≤2 μm） and the amount of pollutant measured in each. It was found that metal retention was the highest in the clayey fraction, whose clay minerals were identified by XRPD after K＋ and Mg2＋ saturation, glycerol treatment and heating to 550℃. The clayey fraction was also the richest in TOC, and a direct correlation between TOC amount and metal retention was observed.

关键词： soil pollution heavy metals soil texture clay minerals

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Epidemiology of acute and chronic hepatitis B and delta over the last 5 decades in Italy

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World Journal of Gastroenterology 2014年第24期20卷 7635-7643页

作者： Evangelista Sagnelli caterina Sagnelli Mariantonietta Pisaturo Margherita Macera Nicola Coppola Department of Mental Health and Public Medicine Section of Infectious DiseasesSecond University of Naples80131 NaplesItaly Department of Clinical and Experimental Medicine and Surgery "F.Magrassi e A.Lanzara" Second University of Naples80131 NaplesItaly

The spread of hepatitis B virus(HBV)infection has gradually decreased in Italy in the last 5 decades as shown by the steady reduction in the incidence rates of acute hepatitis B,from 10/100000 inhabitants in1984 to 0.85/100000 in 2012,and by the reduced prevalence of hepatitis B surface antigen(HBsAg)-positive cases among chronic hepatitis patients with different etiologies,from 60%in 1975 to about 10%in *** prevalence of HBsAg chronic carriers in the general population also decreased from nearly 3%in the 1980s to 1%in *** to HBV by its characteristics of defective virus,the hepatitis delta virus(HDV)has shown a similar epidemiological impact on the Italian population over *** incidence of acute HDV infection decreased from 3.2/100000 inhabitants in 1987 to 0.8/100000 in 2010 and the prevalence of HDV infection in HBsAg chronic carriers decreased from24%in 1990 to 8.5%in *** the beneficial effects of HBV mass vaccination introduced in 1991,the decreased endemicity of HBV and HDV infection in Italy paralleled the improvement in screening blood donations,the higher standard of living and impressive reduction in the birth rate associated with a marked reduction in the family size.A further contribution to the decline in HBV and HDV infections most probably came from the media campaigns to prevent the spread of human immunodeficiency virus infection by focusing the attention of the general population on the same routes of transmission of viral infections such as unsafe sexual intercourse and parenteral exposures of different kinds.

关键词： Acute hepatitis B Acute hepatitis delta Chronic viral hepatitis Hepatitis B virus epidemiology Hepatitis delta virus epidemiology

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