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Robot-assisted kidney transplantation:Is it getting ready for prime time?

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World Journal of Transplantation 2022年第7期12卷 163-174页

作者： Vincenzo Li Marzi Alessio Pecoraro maria lucia Gallo Leonardo Caroti Adriano Peris Graziano Vignolini Sergio Serni Riccardo Campi Department of Minimally Invasive and Robotic Urologic Surgery Careggi University HospitalUniversity of FlorenceFlorence 50134Italy Nephrology Unit Careggi HospitalFlorence 50134Italy Intensive Care Unit and Regional ECMO Referral Centre Careggi HospitalFlorence 50134Italy Department of Minimally Invasive and Robotic Urologic Surgery University of FlorenceFlorence 50134Italy Department of Experimental and Clinical Medicine University of FlorenceFlorence 50134Italy

Kidney transplantation(KT)is the treatment of choice for patients with end-stage renal disease,providing a better survival rate and quality of life compared to *** the progress in the medical management of KT patients,from a purely surgical standpoint,KT has resisted innovations during the last 50 ***,robot-assisted KT(RAKT)has been proposed as an alternative approach to open surgery,especially due to its potential benefits for fragile and immunocompromised *** was not until 2014 that the role of RAKT has found value thanks to the pioneering Vattikuti Urology Institute-Medanta collaboration that conceptualized and developed a new surgical technique for RAKT following the Idea,Development,Exploration,Assessment,Long-term follow-up recommendations for introducing surgical innovations into real-life *** the last years,mirroring the Vattikuti-Medanta technique,several centers developed RAKT program worldwide,providing strong evidence about the safety and the feasibility of this ***,the majority of RAKT are still performed in the living donor setting,as an“eligible”procedure,while only a few centers have realized KT through a robotic approach in the challenging scenario of cadaver *** addition,despite the spread of minimally-invasive(predominantly robotic)surgery worldwide,many KTs are still performed in an open *** of the type of incision employed by surgeons,open KT may lead to nonnegligible risks of wound complications,especially among obese ***,the assessment for KT should consider not only the added surgical technical challenges but also the higher risk of postoperative *** this context,robotic surgery could offer several benefits,including providing a better exposure of the surgical field and better instrument maneuverability,as well as the possibility to integrate other technological nuances,such as the use of intraoperative fluorescence vascular imagi

关键词： Deceased donors Living donors Kidney transplantation Minimally invasive surgery Robotics

Reversal of IgM deficiency following a gluten-free diet in seronegative celiac disease

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World Journal of Gastroenterology 2014年第46期20卷 17686-17689页

作者： lucia Montenegro Domenico Piscitelli Floriana Giorgio Claudia Covelli maria Grazia Fiore Giuseppe Losurdo Andrea Iannone Enzo Ierardi Alfredo Di Leo mariabeatrice Principi Department of Emergency and Organ Transplantation University of Bari70124 BariItaly Gastroenterology Unit Policlinico Hospital70124 BariItaly

Selective Ig M deficiency(s IGMD)is very rare;it may be associated with celiac disease(CD).We present the case of an 18-year-old man with s IGMD masking seronegative *** included abdominal pain,diarrhea and weight *** tests showed reduced Ig M,DQ2-HLA and negative *** atrophy and diffuse immature lymphocytes were observed at *** transglutaminase m RNA mucosal levels showed a 6-fold *** patient was treated with a gluten-free diet(GFD)and six months later the symptoms had disappeared,the villous architecture was restored and mucosal tissue transglutaminase m RNA was comparable to that of healthy *** 1 year of GFD,a complete restoration of normal Ig M values was observed and duodenal biopsy showed a reduction of immature lymphocytes and normal appearance of mature immune cells.

关键词： Selective IgM deficiency Seronegative celiac disease Tissue transglutaminase Gluten-free diet

New insights on chitinases immunologic activities

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World Journal of Immunology 2016年第2期6卷 96-104页

作者： Michelino Di Rosa Violetta maria Brundo lucia Malaguarnera Department of Biomedical and Biotechnology Sciences University of Catania Department of Biological Geological and Environmental Sciences University of Catania

Mammalian chitinases and the related chilectins （ChiLs） belong to the GH18 family, which hydrolyse the glycosidic bond of chitin by a substrate-assisted mechanism. Chitin the fundamental component in the coating of numerous living species is the most abundant natural biopolymer. Mounting evidence suggest that the function of the majority of the mammalian chitinases is not exclusive to catalyze the hydrolysis of chitin producing pathogens, but include crucial role specifc in the immunologic activities. The chitinases and chitinase-like proteins are expressed in response to different proinflammatory cues in various tissues by activated macrophages, neutrophils and in different monocyte-derived cell lines. The mechanism and molecular interaction of chitinases in relation to immune regulation embrace bacterial infection, infammation, dismetabolic and degenerative disease. The aim of this review is to update the reader with regard to the role of chitinases proposed in the recent innate and adaptive immunity literature. The deep scrutiny of this family of enzymes could be a useful base for further studies addressed to the development of potential procedure directing these molecules as diagnostic and prognostic markers for numerous immune and infammatory diseases.

关键词： Chitinases Chitinase like proteins Chronic infammation Immune regulation Autoimmunity

Helicobacter pylori-induced inflammation masks the underlying presence of low-grade dysplasia on gastric lesions

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World Journal of Gastroenterology 2020年第26期26卷 3834-3850页

作者： Alba Panarese Giovanni Galatola Raffaele Armentano Pedro Pimentel-Nunes Enzo Ierardi maria lucia Caruso Francesco Pesce Marco Vincenzo Lenti Valeria Palmitessa Sergio Coletta Endrit Shahini Department of Gastroenterology and Digestive Endoscopy National Institute of Gastroenterology"S De Bellis"Research HospitalCastellana Grotte 70013Italy Department of Clinical Pathology National Institute of Gastroenterology"S De Bellis"Research HospitalCastellana Grotte 70013Italy Center for Research in Health Technologies and Information Systems Faculty of MedicinePorto 4200072Portugal Surgery and Physiology Department Faculty of Medicine of the University of PortoPorto 4200072Portugal Department of Emergency and Organ Transplantation University of BariBari 70124Italy Nephrology Section Department of Emergency and Organ TransplantationUniversity of BariBari 70124Italy First Department of Internal Medicine San Matteo Hospital FoundationUniversity of PaviaPavia 27100Italy Laboratory of Microbiology and Virology National Institute of Gastroenterology"S De Bellis"Research HospitalCastellana Grotte 70013Italy Gastroenterology Unit Institute for Cancer Research and TreatmentTurin 10121Italy

BACKGROUND Helicobacter pylori(***)infection has been associated with a long-term risk of precancerous gastric conditions(PGC)even after *** *** To investigate the efficacy of High-Resolution White-Light Endoscopy with Narrow-Band Imaging in detecting PGC,before/after *** *** We studied 85 consecutive patients with ***-related gastritis with/without PGC before and 6 mo after proven *** ***-Takemoto modified and endoscopic grading of gastric intestinal metaplasia classifications,were applied to assess the endoscopic extension of atrophy and intestinal *** histological result was considered to be the gold *** Sydney System,the Operative-Link on Gastritis-Assessment,and the Operative-Link on Gastric-Intestinal Metaplasia were used for defining histological gastritis,atrophy and intestinal metaplasia,whereas dysplasia was graded according to World Health Organization *** anti-parietal cell antibody and anti-intrinsic factor were measured when autoimmune atrophic gastritis was *** After *** eradication histological signs of mononuclear/polymorphonuclear cell infiltration and Mucosal Associated Lymphoid Tissue-hyperplasia,disappeared or decreased in 100%and 96.5%of patients respectively,whereas the Operative-Link on Gastritis-Assessment and Operative-Link on Gastric-Intestinal Metaplasia stages did not ***-Grade Dysplasia prevalence was similar on random biopsies before and after *** eradication(17.6%vs 10.6%,P=0.19),but increased in patients with visible lesions(0%vs 22.4%,P<0.0001).At a multivariate analysis,the probability for detecting dysplasia after resolution of ***-related active inflammation was higher in patients with regression or reduction of Mucosal Associated Lymphoid Tissue hyperplasia,greater alcohol consumption,and anti-parietal cell antibody and/or anti-intrinsic factor positivity[odds ratio(OR)=3.88,95%confidence i

关键词： Autoimmune gastritis Dysplasia Diagnosis Malignancy Gastric cancer Symptoms Signs

Low cholesterol biosynthesis favors epithelial-to-mesenchymal transition maintenance and influences tumor molecular subtyping and disease-free survival in colon cancer patients

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Cancer Communications 2022年第8期42卷 793-797页

作者： Anaïs Aulas maria lucia Liberatoscioli Pascal Finetti Olivier Cabaud David JBirnbaum Lucas Usclade Daniel Birnbaum François Bertucci Emilie Mamessier Predictive Oncology Laboratory Cancer Research Center of MarseilleInstitut Paoli-Calmettes“Ligue contre le cancer”labelAix-Marseille UniversityMarseille 13009France Department of Digestive Surgery Hospital NordChemin des BourrelyAix-Marseille UniversityMarseille 13015France Department of Medical Oncology Institut Paoli-CalmettesAix-Marseille UniversityMarseille 13009France

Dear Editor,To metastasize,epithelial cancer cells undergo an epithelial-to-mesenchymal transition(EMT)during migration,whereupon they activate a mesenchymal-toepithelial transition(MET)when colonizing the new niche[1].Targeting EMT or MET inducers might thus impair the metastatic process[2,3].However,the identification of genes involved in epithelium-mesenchyme switches(EMS)is difficult in complex samples such as human *** overcome this problem,we used spheroids of a colorectal cancer(CRC)cell line,HT29,to mimic EMS in a controlled environment.

关键词： cancer colon epithelium

Mental health support to staff in a major hospital in Milan(Italy)during the COVID-19 pandemic:a framework of actions

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General Psychiatry 2020年第4期33卷 237-240页

作者： Giovambattista Presti Barbara Dal Lago Alice Fattori Giuliana Mioli Paolo Moderato lucia Sciaretta maria Antonella Costantino Faculty of Human and Social Sciences University of Enna‘Kore’EnnaItaly Foundation IRCCS Ca1 Granda Ospedale Maggiore Policlinico MilanItaly IULM University MilanoLombardiaItaly

To the Editor,As of 31 M arch 2020,m ore than 100000 cases of coronavirus disease 2019(COVID-19)have been confirm ed in Italy.1 Progressive mitigation measures have been introduced by the Italian governm ent since 9 M arch 2020 to underm ine and break the virus transmission ***,the COVID-19-associated hospitalisation rate in Lombardy,the epicentre of the outbreak,has risen since the late days o f February 2020,by 30%each day,and it is only very recently that it slowed down to 5%daily,which still translates to 500 new patients every day who are in absolute need of hospital care.

关键词： Italian translate absolute

Soil bacterial communities under slash and burn in Mozambique as revealed by a metataxonomic approach

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Pedosphere 2023年第3期33卷 508-520页

作者： Dominique SERRANI Ilario FERROCINO Cristiana GAROFALO Andrea OSIMANI maria Rita CORVAGLIA Vesna MILANOVIĆ lucia AQUILANTI Stefania COCCO Valeria CARDELLI Rogério Borguete Alves RAFAEL Elena FRANCIOSI Kieran TUOHY Francesca CLEMENTI Giuseppe CORTI Department of Agriculture Food and Environmental SciencesPolytechnic University of MarcheAncona 60131(Italy) Department of Agriculture Forest and Food SciencesUniversity of TurinGrugliasco 10095(Italy) Department of Rural Engineering Faculty of Agronomy and Forestry EngineeringUniversidade Eduardo MondlaneMaputo 257(Mozambique) Research and Innovation Center Fondazione Edmund Mach(FEM)San Michele all'Adige 38010(Italy)

The slash-and-burn system is a subsistence agronomical practice widespread in tropical areas *** system has been extensively studied,especially for its impacts on agronomical aspects and soil physicochemical properties;however,knowledge of soil microbial diversity under slash and bum is *** this study,for the first time,soil bacterial diversity of three locations from Central Mozambique,where slash and burn has been practiced for different durations of the forest fallow period(ca.25,35,and 50 years),was elucidated through a metataxonomic *** communities were evaluated in the genetic horizons of soils under charcoal kilns,crop fields,and *** aim of this study was to examine the influence of spatial(location and land use),temporal(forest fallow period),and vertical(horizon)variations on bacterial community structure in relation to soil physicochemical *** analysis detected 25 different phyla whose distribution varied horizontally and vertically in relation to soil properties(i.e.,p H,easily oxidizable organic carbon,total nitrogen,and available phosphorus),as well as particle size distribution and mineralogical *** properties were strongly affected and altered by land-use management;in particular,charcoal kilns exhibited better soil properties and greater differences in bacterial community than crop fields and forests,which were quite *** might suggest the inability of a forest fallow period shorter than 50 years to improve soil fertility and induce changes in bacterial *** uncommon application of the pedological approach for microbial evaluation facilitated the detection of a clear separation in bacterial composition along the soil profile,with eutrophic bacteria mainly located in the A horizon whereas oligotrophic bacteria were found in the Bo *** horizontal and vertical heterogeneities in the same study represent a novelty for bacterial metataxonomic analysis.

关键词： 16S rRNA gene agroforestry land use soil microbiota soil physicochemical property

May the assessment of baseline mucosal molecular pattern predict the development of gluten related disorders among microscopic enteritis?

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World Journal of Gastroenterology 2016年第35期22卷 8017-8025页

作者： Giuseppe Losurdo Floriana Giorgio Domenico Piscitelli lucia Montenegro Claudia Covelli maria Grazia Fiore Antonio Giangaspero Andrea Iannone mariabeatrice Principi Annacinzia Amoruso Michele Barone Alfredo Di Leo Enzo Ierardi Section of Gastroenterology Department of Emergency and Organ Transplantation University of Bari Section of Pathology Department of Emergency and Organ Transplantation University of Bari

AIM To evaluate mucosal baseline m RNA expression of tissue transglutaminase 2(t TG2), interferon gamma(IFNγ), toll-like receptor 2(TLR2) and Myeloid Differentiation factor 88(MyD 88) in patients with microscopic enteritis(ME).METHODS We retrospectively enrolled 89 patients with ME of different etiology, which was defined within a 2-year mean period of follow-up. Baseline histological examination was performed on Hematoxylin-Eosin stained sections and CD3 lymphocyte immunohistochemistry was used for intraepithelial lymphocyte count(IELs). ME was defined according to the criteria of Bucharest Consensus Conference. For each patient, formalin embedded biopsy samples of the duodenum referred to the period of ME diagnosis were retrieved. Real-time polymerase chain reaction(RT-PCR) was used to detect the amount of mR NA coding for tT G2, IFNγ, TLR2 and My D88, and the quantity was expressed as fold change compared to controls. Control group was represented by duodenal normal specimens from 15 healthy subjects undergoing endoscopy for functional symptoms. Comparisons among continuous variables were performed by One way analysis of variance(ANOVA) and Bonferroni’s test. The χ~2 test was used for categorical variables. Pearson’s test was used to evaluate correlations. Receiver operating curves were drawn for all four markers to estimate sensitivity and specificity in discriminating the development of CD and *** After a period of follow up of 21.7 ± 11.7 mo, the following diagnoses were achieved: gluten related disorders in 48 subjects(31 CD; 17 GS) and non-gluten related ones in 41(29 Irritable Bowel Syndrome- IBS; 12 Others). CD patients had the highest tT G2 levels(8.3 ± 4.5). The ANOVA plus Bonferroni analysis showed that CD > Other ME > GS = IBS > negative controls. A cut off value of 2.258 was able to discriminate between CD and GS with a sensitivity of 52.94% and a specificity of 87.1%. Additionally, CD patients had the highest IFNγ levels(8.5 ± 4.1). ANOVA plus

关键词： Celiac disease MyD 88 Microscopic enteritis Gluten sensitivity Tissue transglutaminase Interferon gamma Toll-like receptor 2

Brazilian biosafety law and the new breeding technologies

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Frontiers of Agricultural Science and Engineering 2020年第2期7卷 204-210页

作者： Alexandre Lima NEPOMUCENO Renata FUGANTI-PAGLIARINI maria Sueli Soares FELIPE Hugo Bruno Correa MOLINARI Edivaldo Domingues VELINI Eduardo Romano de Campos PINTO maria lucia Zaidan DAGLI Galdino ANDRADE FILHO Patricia Machado Bueno FERNANDES Embrapa Soybean Londrina 86001970Brazil Catholic University of Brasilia Brasilia 70790160Brazil Embrapa Agroenergy Biological Station ParkBrasilia 70770901Brazil Paulista State University Julio de Mesquita Filho Botucatu Faculty of Agronomic SciencesBotucatu 18610307Brazil Embrapa Biotechnology and Genetic Resources—Biological Station Park Brasilia 70770900Brazil Sao Paulo University Veterinary FacultySao Paulo 05508900Brazil Londrina State University Microbiology DepartmentUniversity CampusLondrina 86051990Brazil Espirito Santo Federal University Biotechnology Post GraduationVitoria 29040090Brazil CTNBio(National Biosafety Technical Commission) Brasilia 70610200Brazil

Globally,the area of land cultivated with genetically modified(GM)crops has increased a thousand-fold over the last two *** this technology has become important for food production,the regulatory frameworks that underpin these outcomes are based on a list of requirements for a risk assessment that differ from country to *** recent years,policymakers have had the opportunity to learn from the controversies over transgenics to create effective regulatory milestones for emerging technologies,allowing them to reach their potential for a more sustainable agriculture,ensuring food *** Brazil,Law No.11.105 of 24 March 2005 established a framework with four main organizations responsible for risk assessment and ***,most of new breeding technologies did not exist at that time and were not considered in this ***2016,Normative Resolution No.16 of the National Biosafety Technical Commission(CTNBio)was established to address this gap based on the evaluation of the products obtained through these techniques(termed Innovative Precision Improvement Techniques in the resolution),in a case-by-case consultation ***,if the product is designated to be a GM,the developer will have to go through the biosafety requirements and will be approved only after CTNBio risk *** the product is designated not to be GM(for the purposes of the legislation),then it can be registered using the existing ***,152 GM products are commercially approved in *** 2018,CTNBio assessed the first consultation on commercial release of plants generated using the new breeding technologies and has subsequently approved six *** is expected that many institutions would be able to participate in Brazilian and world markets,developing and introducing new biotechnological solutions and products through a more sustainable approach and without facing public disapproval,a common issue for GM crops.

关键词： Brazilian legislation CTNBio genetically modified crops