Translational Medicine at UniSa最新文献

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Globularia alypum L. Modulates Inflammatory Markers in Human Colon and Shows a Potential Antioxidant Role in Myeloid Leukemic Cells. 黄球虫调节人类结肠炎症标记物并显示髓系白血病细胞潜在的抗氧化作用。
IF 1.5
Translational Medicine at UniSa Pub Date : 2021-12-23 eCollection Date: 2021-01-01 DOI: 10.37825/2239-9754.1030
Najla Hajji, Elodie Hudik, Paola Iovino, Nacim Zouari, Hichem Sebai, Oliver Nusse, Carolina Ciacci
{"title":"<i>Globularia alypum L</i>. Modulates Inflammatory Markers in Human Colon and Shows a Potential Antioxidant Role in Myeloid Leukemic Cells.","authors":"Najla Hajji,&nbsp;Elodie Hudik,&nbsp;Paola Iovino,&nbsp;Nacim Zouari,&nbsp;Hichem Sebai,&nbsp;Oliver Nusse,&nbsp;Carolina Ciacci","doi":"10.37825/2239-9754.1030","DOIUrl":"https://doi.org/10.37825/2239-9754.1030","url":null,"abstract":"<p><p><i>Globularia alypum</i> (GA), a plant of the <i>Globulariacea</i> family, has long been used as a traditional cure for inflammatory and metabolic illnesses. In addition to various <i>in vitro</i> model studies, the current work focuses on the antioxidant and anti-inflammatory properties of GA in human colon biopsies. The phenol components in GA aqueous extract (GAAE) were identified by Liquid Chromatography-Electrospray Ionization Mass Spectrometry. The antioxidant ability of GAAE was tested <i>in vitro</i> utilizing chemiluminescence and flow cytometry using fluorescent yeasts n conjunction with PLB-985-human myeloid leukemia cells. Experiments on human colon biopsies after a biopsy challenge with Escherichia coli-lipopolysaccharides aimed to see if GAAE had an anti-inflammatory impact on human colon inflammation. Western blotting was used to assess the expression of several inflammatory markers. According to the findings, GAAE had a significant influence on hydrogen peroxide and cellular reactive oxygen species. GAAE inhibited the activities of cyclooxygenase 2 and nuclear factor B in inflamed biopsies, indicating anti-inflammatory action. The present study is the first to show that GA has a beneficial effect on human colon inflammation, thanks to its significant antioxidant activity <i>in vitro</i>. According to these preliminary data, GA may be utilized to treat a range of human inflammatory illnesses.</p>","PeriodicalId":54170,"journal":{"name":"Translational Medicine at UniSa","volume":null,"pages":null},"PeriodicalIF":1.5,"publicationDate":"2021-12-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9673913/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40711927","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The Role of BPIFB4 in Immune System and Cardiovascular Disease: The Lesson from Centenarians. BPIFB4在免疫系统和心血管疾病中的作用:来自百岁老人的教训。
IF 1.5
Translational Medicine at UniSa Pub Date : 2021-12-23 eCollection Date: 2021-01-01 DOI: 10.37825/2239-9754.1029
Francesco Montella, Valentina Lopardo, Monica Cattaneo, Albino Carrizzo, Carmine Vecchione, Elena Ciaglia, Annibale Alessandro Puca
{"title":"The Role of BPIFB4 in Immune System and Cardiovascular Disease: The Lesson from Centenarians.","authors":"Francesco Montella,&nbsp;Valentina Lopardo,&nbsp;Monica Cattaneo,&nbsp;Albino Carrizzo,&nbsp;Carmine Vecchione,&nbsp;Elena Ciaglia,&nbsp;Annibale Alessandro Puca","doi":"10.37825/2239-9754.1029","DOIUrl":"https://doi.org/10.37825/2239-9754.1029","url":null,"abstract":"<p><p>Recent discoveries have shed light on the participation of the immune system in the physio pathology of the cardiovascular system underpinning the importance of keeping the balance of the first to preserve the latter. Aging, along with other risk factors, can challenge such balance triggering the onset of cardiovascular diseases. Among several mediators ensuring the proper cross-talk between the two systems, bactericidal/permeability-increasing fold-containing family B member 4 (BPIFB4) has been shown to have a pivotal role, also by sustaining important signals such as eNOS and PKC-alpha. In addition, the Longevity-associated variant (LAV), which is an haplotype allele in BPIFB4 characterized by 4 missense polymorphisms, enriched in homozygosity in Long Living Individuals (LLIs), has been shown to be efficient, if administered systemically through gene therapy, in improving many aspects of cardiovascular diseases (CVDs). This occurs mainly through a fine immune system remodeling across: 1) a M2 macrophage polarizing effect, 2) a favorable redistribution of the circulating monocyte cell subsets and 3) the reduction of T-cell activation. Furthermore, LAV-BPIFB4 treatment induced a desirable recovery of the inflammatory balance by mitigating the pro-inflammatory factor levels and enhancing the anti-inflammatory boost through a mechanism that is partially dependent on SDF-1/CXCR4 axis. Importantly, the remarkable effects of LAV-BPIFB4 treatment, which translates in increased BPIFB4 circulating levels, mirror what occurs in long-living individuals (LLIs) in whom the high circulating levels of BPIFB4 are protective from age-related and CVDs and emphasize the reason why LLIs are considered a model of successful aging. Here, we review the mechanisms by which LAV-BPIFB4 exerts its immunomodulatory activity in improving the cardiovascular-immune system dialogue that might strengthen its role as a key mediator in CVDs.</p>","PeriodicalId":54170,"journal":{"name":"Translational Medicine at UniSa","volume":null,"pages":null},"PeriodicalIF":1.5,"publicationDate":"2021-12-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9673912/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40711855","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 2
DPO: Diffuse Pulmonary Ossification - A Diagnostic Challenge. 弥漫性肺骨化——诊断上的挑战。
IF 1.5
Translational Medicine at UniSa Pub Date : 2021-12-23 eCollection Date: 2021-01-01 DOI: 10.37825/2239-9754.1032
G Rea, G Giacobbe, D Caroppo, S Iovine, R Lieto, M Bocchino, T Valente, A Maglio, A Vatrella
{"title":"DPO: Diffuse Pulmonary Ossification - A Diagnostic Challenge.","authors":"G Rea,&nbsp;G Giacobbe,&nbsp;D Caroppo,&nbsp;S Iovine,&nbsp;R Lieto,&nbsp;M Bocchino,&nbsp;T Valente,&nbsp;A Maglio,&nbsp;A Vatrella","doi":"10.37825/2239-9754.1032","DOIUrl":"https://doi.org/10.37825/2239-9754.1032","url":null,"abstract":"<p><p>Diffuse pulmonary ossification (DPO) is a rare condition of DLD (diffuse lung disease) characterized by the presence of metaplastic ectopic bone in the lungs and is less frequent in patients without a clear background of lung diseases. DPO is characterized by very small calcific nodules, often with bone mature located in both lungs and often in peripheral areas of the lungs. Two patterns of DPO have been recognized dendriform and nodular. The dendriform type is less common and is characterized by a coral-like network of bone spiculae along the alveolar septa and is often related to interstitial fibrosis or chronic obstructive lung disease [1]. Recent literature papers indicate that DPO may be a predictor of pulmonary fibrosis, is related to Usual Interstitial Pneumonia (UIP) pattern, and has a higher correlation with Idiopathic Pulmonary Fibrosis (IPF). We present a case of a 41-years-old male with persistent bronchitis who underwent a chest X-ray (CXR) that showed multiple pulmonary small calcified nodules in both lungs. These findings were then defined with a high-resolution computed tomography of the chest (HRCT) that showed multiple small nodules spread in both lungs with a \"tree-like pattern\". A lung biopsy was performed to confirm the radiological diagnostic hypothesis of DPO, and further pathological examination showed multifocal areas of mature bone tissue within the lung parenchyma.</p>","PeriodicalId":54170,"journal":{"name":"Translational Medicine at UniSa","volume":null,"pages":null},"PeriodicalIF":1.5,"publicationDate":"2021-12-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9673915/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40711928","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The Many Faces of Covid-19: Organizing Pneumonia (OP) Pattern HRCT Features. Covid-19 的多面性:组织性肺炎(OP)模式 HRCT 特征。
IF 1.5
Translational Medicine at UniSa Pub Date : 2020-10-31 eCollection Date: 2020-10-01
G Rea, Tullio Valente, R Lieto, G Bocchini, E Marchiori, A Pinto, A Maglio, A Vatrella
{"title":"The Many Faces of Covid-19: Organizing Pneumonia (OP) Pattern HRCT Features.","authors":"G Rea, Tullio Valente, R Lieto, G Bocchini, E Marchiori, A Pinto, A Maglio, A Vatrella","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Covid-19 (coronavirus disease 2019) is an infectious disease caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). On 30 January 2020 the World Health Organization (WHO) declared that the outbreak of Covid-19 realizes a public health emergency of international concern. Because of the primary involvement of the respiratory system, chest CT is strongly recommended in suspected Covid-19 cases, for both initial and follow-up. We present the case of a Covid-19 patient, a 57-year-old man, with a typical HRCT course of OP reaction.</p>","PeriodicalId":54170,"journal":{"name":"Translational Medicine at UniSa","volume":null,"pages":null},"PeriodicalIF":1.5,"publicationDate":"2020-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8370531/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9200534","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Psychological Stress and Cancer: New Evidence of An Increasingly Strong Link. 心理压力与癌症:新证据表明两者之间的联系越来越紧密。
IF 1.5
Translational Medicine at UniSa Pub Date : 2020-10-31 eCollection Date: 2020-10-01
M Abate, M Citro, M Caputo, S Pisanti, R Martinelli
{"title":"Psychological Stress and Cancer: New Evidence of An Increasingly Strong Link.","authors":"M Abate, M Citro, M Caputo, S Pisanti, R Martinelli","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>To date stress, a highly complex process that disrupts homeostasis and involves environmental and psychosocial factors, is considered as one of the most crucial factor that affects our daily life, especially urban dweller's life. Clinical and experimental studies widely support the notion that adrenergic stimulation due to chronic stress affects inflammation and metabolism. In this work, supported by several recent scientific evidences, we show how stress plays a positive role in cancer initiation, progression and cancer metastasis, a negative role for anti-tumor immune function and therapy response. Understanding the intricacies of this interaction could provide an additional help on how act in cancer prevention and therapy.</p>","PeriodicalId":54170,"journal":{"name":"Translational Medicine at UniSa","volume":null,"pages":null},"PeriodicalIF":1.5,"publicationDate":"2020-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8370516/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9200541","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Pharmacological, Surgical and Diagnostic Innovations in Meniere's Disease: A Review. 梅尼埃病的药物、手术和诊断创新:回顾。
IF 1.5
Translational Medicine at UniSa Pub Date : 2020-10-31 eCollection Date: 2020-10-01
A Scarpa, M Ralli, E De Bonis, D Troisi, A Montanino, P Viola, G Chiarella, F M Gioacchini, M Cavaliere, E Cassandro, C Cassandro
{"title":"Pharmacological, Surgical and Diagnostic Innovations in Meniere's Disease: A Review.","authors":"A Scarpa, M Ralli, E De Bonis, D Troisi, A Montanino, P Viola, G Chiarella, F M Gioacchini, M Cavaliere, E Cassandro, C Cassandro","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Purpose: </strong>To investigate literature about pharmacological, surgical, and diagnostic innovations for Meniere's Disease (MD).</p><p><strong>Summary: </strong>Meniere's disease is an inner ear disorder characterized by the presence of endolymphatic hydrops in the inner ear and symptomatology of recurrent and debilitating vertigo attacks, tinnitus, aural fullness, and fluctuating sensorineural hearing loss. Although many therapeutic options for MD have been proposed during years, no consensus has been reached by the scientific community. In the last decade, many therapeutic options have been proposed, as intratympanic steroid, intratympanic gentamicin, and intravenous glycerol. Recently, the role of the antisecretory factor in the diet of MD patients have been investigated. Surgery is recommended for intractable MD; some authors proposed new approaches including transcanal endoscopic infracochlear vestibular neurectomy, new marsupiliazation technique in sac surgery, and tenotomy of the stapedius and tensor tympani muscles.</p>","PeriodicalId":54170,"journal":{"name":"Translational Medicine at UniSa","volume":null,"pages":null},"PeriodicalIF":1.5,"publicationDate":"2020-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8370534/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38828571","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Meningoencephalitis Associated with SARS-Coronavirus-2. 与sars -冠状病毒-2相关的脑膜脑炎。
IF 1.5
Translational Medicine at UniSa Pub Date : 2020-10-31 eCollection Date: 2020-10-01
G Iaconetta, P De Luca, A Scarpa, C Cassandro, E Cassandro
{"title":"Meningoencephalitis Associated with SARS-Coronavirus-2.","authors":"G Iaconetta, P De Luca, A Scarpa, C Cassandro, E Cassandro","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The aim of this work is to clarify the incidence of meningitis/encephalitis in SARS-CoV-2 patients. We conducted an initial search in PubMed using the Medical Subject Headings (MeSH) terms \"meningitis,\" and \"encephalitis,\", and \"COVID-19\" to affirm the need for a review on the topic of the relationship between meningitis/encephalitis and SARS-CoV-2 infection. We included case series, case reports and review articles of COVID-19 patients with these neurological symptoms. Through PubMed database we identified 110 records. After removal of duplicates, we screened 70 record, and 43 were excluded because they focused on different SARS-CoV-2 neurological complications. For eligibility, we assessed 27 full-text articles which met inclusion criteria. Seven articles were excluded, and twenty studies were included in the narrative review, in which encephalitis and/or meningitis case reports/case series were reported. Neurological manifestations of COVID-19 are not rare, especially meningoencephalitis; the hypoxic/metabolic changes produced by the inflammatory response against the virus cytokine storm can lead to encephalopathy, and the presence of comorbidities and other neurological diseases, such as Alzheimer's disease, predispose to these metabolic changes. Further study are needed to investigate the biological mechanisms of neurological complications of COVID-19.</p>","PeriodicalId":54170,"journal":{"name":"Translational Medicine at UniSa","volume":null,"pages":null},"PeriodicalIF":1.5,"publicationDate":"2020-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8370532/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9285219","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
A Case Series of Blastic Plasmacytoid Dendritic Cell Neoplasia. 疱疹性浆细胞树突状细胞瘤病例系列。
IF 1.5
Translational Medicine at UniSa Pub Date : 2020-10-31 eCollection Date: 2020-10-01
B Serio, V Giudice, M D'Addona, R Guariglia, M Gorrese, A Bertolini, F D'Alto, B Cuffa, D Pellegrino, M Langella, C Selleri
{"title":"A Case Series of Blastic Plasmacytoid Dendritic Cell Neoplasia.","authors":"B Serio, V Giudice, M D'Addona, R Guariglia, M Gorrese, A Bertolini, F D'Alto, B Cuffa, D Pellegrino, M Langella, C Selleri","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Blastic plasmacytoid dendritic cell neoplasm (BPDCN), an extremely rare and aggressive tumor, derives from plasmacytoid dendritic cell precursors and is characterized by CD4 and CD56 positivity accompanied by the expression of isolated myeloid, B- or T-cell lineage markers. Despite the recent introduction of specific targeted therapies, prognosis is still poor with a median overall survival of one year, and allogeneic bone marrow transplantation remains the only curative treatment in eligible patients. In this series, we described two cases of adult BPDCN treated with high dose cytarabine and methotrexate and autologous hematopoietic stem cell transplantation, or fludarabine, cytarabine, and idarubicin achieving the first a complete lasting remission, while the second only a transient improvement in skin lesions.</p>","PeriodicalId":54170,"journal":{"name":"Translational Medicine at UniSa","volume":null,"pages":null},"PeriodicalIF":1.5,"publicationDate":"2020-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8370518/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9200535","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Assessing the Impact of A Community-Based Pro-Active Monitoring Program Addressing the need for Care of Community-Dwelling Citizens aged more than 80: Protocol for a Prospective Pragmatic Trial and Results of the Baseline Assessment. 评估基于社区的主动监测项目的影响,解决80岁以上社区居民的护理需求:前瞻性实用试验方案和基线评估结果。
IF 1.5
Translational Medicine at UniSa Pub Date : 2020-10-31 eCollection Date: 2020-10-01
G Liotta, O Madaro, P Scarcella, M C Inzerilli, B Frattini, F Riccardi, N Accarino, S Mancinelli, E Terracciano, S Orlando, M C Marazzi
{"title":"Assessing the Impact of A Community-Based Pro-Active Monitoring Program Addressing the need for Care of Community-Dwelling Citizens aged more than 80: Protocol for a Prospective Pragmatic Trial and Results of the Baseline Assessment.","authors":"G Liotta,&nbsp;O Madaro,&nbsp;P Scarcella,&nbsp;M C Inzerilli,&nbsp;B Frattini,&nbsp;F Riccardi,&nbsp;N Accarino,&nbsp;S Mancinelli,&nbsp;E Terracciano,&nbsp;S Orlando,&nbsp;M C Marazzi","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The aim of this paper is to describe the protocol of a study assessing the impact of a Community-based pro-Active Monitoring Program, by measuring the effect in counteracting the adverse outcomes related to frailty.</p><p><strong>Methods: </strong>a prospective pragmatic trial will be carried out to describe the impact of an intervention on people aged>80, adjusted for relevant parameters: demographic variables, comorbidities, disability and bio-psycho-social frailty. They have been assessed with the Functional Geriatric Evaluation questionnaire that is a validated tool. Mortality, Acute Hospital Admission rates, Emergency Room Visit rates and Institutionalization rates are the main outcomes to be evaluated annually, over three years. Two groups of patients, made up by 578 cases (undergoing the intervention under study) and 607 controls have been enrolled and interviewed.</p><p><strong>Results: </strong>at baseline the two groups are quite similar for age, living arrangement, comorbidity, disability and cognitive status. They differ in education, economic resources and physical status (that are better in the control group) and in social resources (that is better in the case group). The latter was expected since the intervention is focused on increasing social capital at individual and community level and aimed at improving survival among the cases as well as reducing the recourse to hospital and residential Long Term Care.</p><p><strong>Conclusion: </strong>The proposed study addresses a crucial issue: assessing the impact of a <i>bottom up care</i> service consisting of social and health interventions aimed at reducing social isolation and improving access to health care services.</p>","PeriodicalId":54170,"journal":{"name":"Translational Medicine at UniSa","volume":null,"pages":null},"PeriodicalIF":1.5,"publicationDate":"2020-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8370536/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38828569","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Drug-Induced Sleep Endoscopy (DISE) with Simulation Bite to Predict the Success of Oral Appliance Therapy in Treating Obstructive Sleep Apnea/Hypopnea Syndrome (OSAHS). 药物诱导睡眠内镜(DISE)与模拟咬合预测口腔矫治器治疗阻塞性睡眠呼吸暂停/低通气综合征(OSAHS)的成功
IF 1.5
Translational Medicine at UniSa Pub Date : 2020-10-31 eCollection Date: 2020-10-01
M Cavaliere, P De Luca, C De Santis, A Scarpa, M Ralli, A Di Stadio, P Viola, G Chiarella, C Cassandro, F Cassandro
{"title":"Drug-Induced Sleep Endoscopy (DISE) with Simulation Bite to Predict the Success of Oral Appliance Therapy in Treating Obstructive Sleep Apnea/Hypopnea Syndrome (OSAHS).","authors":"M Cavaliere,&nbsp;P De Luca,&nbsp;C De Santis,&nbsp;A Scarpa,&nbsp;M Ralli,&nbsp;A Di Stadio,&nbsp;P Viola,&nbsp;G Chiarella,&nbsp;C Cassandro,&nbsp;F Cassandro","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Study objectives: </strong>Oral appliances have gained their place in the treatment of obstructive sleep apnea (OSA) where custom-made titratable mandibular advancement devices (MAD) have become the oral appliance of choice. This study aimed to asses the value of the drug-induced sleep endoscopy (DISE) using a MAD in the prediction of treatment outcome for OSAHS.</p><p><strong>Methods: </strong>This is a prospective, single-center cohort study that enrolled sixty-six consecutive patients with diagnosed OSA (5 events/h < apnea-hypopnea index (AHI) < 50 events/h) to be treated with a custom-made titratable MAD. The patients were evaluated polysomnographically with the MAD in situ after the adaptation and titration period of 3 months. The associations between findings during DISE and treatment outcome were assessed.</p><p><strong>Results: </strong>The subjects showed a wide range of severity of OSAHS pre-treatment: median AHI was 43.10 with a range from 20.13 to 66.07. The simulation bite was associated with a significant increase in cross-sectional area at level of the velopharynx, tongue base and epiglottis. MAD treatment response in the studied population was 91%, with a mean AHI improving from 43.10 to 12.93.</p><p><strong>Conclusions: </strong>Drug-induced sleep endoscopy with simulation bite is an acceptably reproducible technique for determining the sites of obstruction in OSAHS subjects; it thus offers possibilities as a prognostic indicator for treatment with MAD.</p>","PeriodicalId":54170,"journal":{"name":"Translational Medicine at UniSa","volume":null,"pages":null},"PeriodicalIF":1.5,"publicationDate":"2020-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8370523/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38828572","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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