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  1. Article ; Online: Applying a new set of core outcome measures for severe pediatric asthma in real-life: A single-center experience.

    Votto, Martina / De Filippo, Maria / Marseglia, Alessia / Brambilla, Ilaria / Marseglia, Gian Luigi / Licari, Amelia

    Pediatric pulmonology

    2023  Volume 58, Issue 10, Page(s) 2987–2990

    MeSH term(s) Humans ; Child ; Asthma/drug therapy ; Omalizumab/therapeutic use ; Outcome Assessment, Health Care ; Anti-Asthmatic Agents/therapeutic use ; Biological Products/therapeutic use
    Chemical Substances Omalizumab (2P471X1Z11) ; Anti-Asthmatic Agents ; Biological Products
    Language English
    Publishing date 2023-08-02
    Publishing country United States
    Document type Letter ; Research Support, Non-U.S. Gov't
    ZDB-ID 632784-9
    ISSN 1099-0496 ; 8755-6863
    ISSN (online) 1099-0496
    ISSN 8755-6863
    DOI 10.1002/ppul.26619
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Emerging roles of brain metabolism in cognitive impairment and neuropsychiatric disorders.

    Morella, Ilaria M / Brambilla, Riccardo / Morè, Lorenzo

    Neuroscience and biobehavioral reviews

    2022  Volume 142, Page(s) 104892

    Abstract: Here we discuss the role of diverse environmental manipulations affecting cognition with special regard to psychiatric conditions. We present evidence supporting a direct causal correlation between the valence of the environmental stimulation and some ... ...

    Abstract Here we discuss the role of diverse environmental manipulations affecting cognition with special regard to psychiatric conditions. We present evidence supporting a direct causal correlation between the valence of the environmental stimulation and some psychopathological traits and how the environment influences brain structure and function with special regard to oxidative stress and mitochondrial activity. Increasing experimental evidence supports a role for mitochondrial dysfunctions in neuropsychiatric disorders. Brain mitochondria are considered crucial mediators of allostasis, that is the capability to adapt to stress via a complex interaction between the autonomic, metabolic, and immune systems to maintain cellular homeostasis. In this process, mitochondria act as highly dynamic integrators by sensing and transducing stressors into adaptation mechanisms via metabolic stress mediators, such as glucocorticoids and catecholamines. Alterations in cellular homeostasis induced by chronic stress are thought to predispose to disease by triggering the so-called "mitochondrial allostatic load". This process is characterized by functional and structural changes of the mitochondria, ultimately leading to oxidative stress, inflammation, mitochondrial DNA damage and apoptosis. In this review we discuss the role of diverse environmental manipulations to affect cognition with special regard to psychiatric conditions. How the environment influences brain structure and function, and the interactions between rearing conditions, oxidative stress and mitochondrial activity are fundamental questions that are still poorly understood. As will be discussed, increasing experimental evidence supports a role for mitochondrial dysfunctions in neuropsychiatric disorders. Brain mitochondria are considered crucial mediators of allostasis, that is the capability to adapt to stress via a complex interaction between the autonomic, metabolic, and immune systems to maintain cellular homeostasis. In this process, mitochondria act as highly dynamic integrators by sensing and transducing stressors into adaptation mechanisms via metabolic stress mediators, such as glucocorticoids and catecholamines. Alterations in cellular homeostasis induced by chronic stress are thought to predispose to disease by triggering the so-called "mitochondrial allostatic load". This process is characterized by functional and structural changes of the mitochondria, ultimately leading to oxidative stress, inflammation, mitochondrial DNA damage and apoptosis. The brain requires considerable mitochondrial reserve not only to sustain basal neuronal needs but also to provide increasing energy demands during stress. Consistently with these high energetic requirements, it is reasonable to hypothesise that the brain is particularly vulnerable to mitochondrial defects. Thus, even subtle metabolic alterations might have a substantial impact on cognitive functions. Over the last decade, several experimental evidence supported the hypothesis that a suboptimal mitochondrial function, which could be of genetic origin or acquired following adverse life events, is a key vulnerability factor for stress-related psychopathologies. Chronic psychological stress is a major promoter of anxiety as well as of oxidative damage, as shown in several studies. Recent evidence from mouse models harbouring mutations in mitochondrial genes demonstrated the role of mitochondria in modulating the response to acute psychological stress. However, it has yet to be determined whether mitochondrial dysfunctions are the cause or the consequence of anxiety. In this review, we discuss how adverse psychosocial environments can impact mitochondrial bioenergetics at the molecular level and we gather evidence from several studies linking energy metabolism and stress resilience/vulnerability. Moreover, we review recent findings supporting that metabolic dysfunction can underlie deficits in complex social behaviours. As will be discussed, aberrations in mitochondrial functionality have been found in the nucleus accumbens of highly anxious mice and mediate low social competitiveness. In addition, alterations in sociability can be reversed by enhancing mitochondrial functions. Recent evidence also demonstrated that a specific mutation in mitochondrial DNA, previously linked to autism spectrum disorder, produces autistic endophenotypes in mice by altering respiration chain and reactive oxygen species (ROS) production. Finally, we discuss a "Negative Enrichment" model that can explain some of the psychopathological conditions relevant to humans. Evidence of a direct causal correlation of valence of environmental stimulation and psychopathological traits will be presented, and possible molecular mechanisms that focus on oxidative stress. Collectively, the findings described here have been achieved with a wide set of behavioural and cognitive tasks with translational validity. Thus, they will be useful for future work aimed to elucidate the fine metabolic alterations in psychopathologies and devise novel approaches targeting mitochondria to alleviate these conditions.
    MeSH term(s) Humans ; Animals ; Mice ; Autism Spectrum Disorder ; DNA, Mitochondrial/genetics ; DNA, Mitochondrial/metabolism ; Oxidative Stress/physiology ; Energy Metabolism/physiology ; Brain ; Inflammation/metabolism ; Cognitive Dysfunction ; Catecholamines/metabolism
    Chemical Substances DNA, Mitochondrial ; Catecholamines
    Language English
    Publishing date 2022-09-28
    Publishing country United States
    Document type Journal Article ; Review ; Research Support, Non-U.S. Gov't
    ZDB-ID 282464-4
    ISSN 1873-7528 ; 0149-7634
    ISSN (online) 1873-7528
    ISSN 0149-7634
    DOI 10.1016/j.neubiorev.2022.104892
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  3. Article ; Online: New approaches in childhood asthma treatment.

    Castagnoli, Riccardo / Brambilla, Ilaria / Giovannini, Mattia / Marseglia, Gian Luigi / Licari, Amelia

    Current opinion in allergy and clinical immunology

    2023  Volume 23, Issue 4, Page(s) 319–326

    Abstract: Purpose of review: This review aims to summarize the most recent advances in asthma management, focusing on novel approaches to pediatric asthma.: Recent findings: In recent years, the therapeutic tools for pediatric asthma have expanded ... ...

    Abstract Purpose of review: This review aims to summarize the most recent advances in asthma management, focusing on novel approaches to pediatric asthma.
    Recent findings: In recent years, the therapeutic tools for pediatric asthma have expanded significantly for both the nonsevere and severe forms. The use of anti-inflammatory treatment, even for the mildest cases, and the withdrawal of symptomatic bronchodilation as monotherapy have been included in the most recent guidelines. Also, different biological therapies have revolutionized the therapeutical approach for severe uncontrolled asthma in children and adolescents.
    Summary: With the expanding landscape of novel therapeutic approaches for pediatric asthma, further evidence is needed to help clinicians choose the best option for patients, particularly those with severe asthma. The identification of novel predictive biomarkers may also help pediatricians in selecting children and adolescents for innovative therapies.
    MeSH term(s) Child ; Adolescent ; Humans ; Asthma/drug therapy ; Biomarkers
    Chemical Substances Biomarkers
    Language English
    Publishing date 2023-06-23
    Publishing country United States
    Document type Review ; Journal Article
    ZDB-ID 2088710-3
    ISSN 1473-6322 ; 1528-4050
    ISSN (online) 1473-6322
    ISSN 1528-4050
    DOI 10.1097/ACI.0000000000000922
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Applying the new guidelines to asthma management in children.

    Castagnoli, Riccardo / Brambilla, Ilaria / Giudice, Michele Miraglia Del / Marseglia, Gian Luigi / Licari, Amelia

    Current opinion in allergy and clinical immunology

    2023  Volume 23, Issue 2, Page(s) 132–136

    Abstract: Purpose of review: This review aims to provide paediatricians with novel concepts from scientific evidence applicable to treating children with asthma. The latest guideline updates on paediatric asthma are discussed here, with a focus on the 2022 update ...

    Abstract Purpose of review: This review aims to provide paediatricians with novel concepts from scientific evidence applicable to treating children with asthma. The latest guideline updates on paediatric asthma are discussed here, with a focus on the 2022 update of the GINA document.
    Recent findings: Mild asthma remains to be an important challenge for the paediatrician, and the introduction of new evidence-based treatment strategies, particularly those symptom-driven, could have a significant impact on the paediatric population. The identification of predictive biomarkers, the definition of biological treatment response, the possible duration of these therapies in this age group, as well as their potential action on airway remodelling are desirable in the short term. As the number of available biological treatment options expands, paediatricians should be supported by further evidence in decision-making.
    Summary: There is an urgent need to implement at multiple levels the latest therapeutic strategies proposed for asthma at all severities.
    MeSH term(s) Humans ; Child ; Asthma/therapy ; Monitoring, Physiologic
    Language English
    Publishing date 2023-01-12
    Publishing country United States
    Document type Review ; Journal Article
    ZDB-ID 2088710-3
    ISSN 1473-6322 ; 1528-4050
    ISSN (online) 1473-6322
    ISSN 1528-4050
    DOI 10.1097/ACI.0000000000000892
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article: Lipschütz ulcers due to SARS-CoV-2 infection: a neglected diagnosis in emergency room.

    Brambilla, Ilaria / Bolcato, Vittorio / Volonté, Martina / Querzani, Andrea / Guarracino, Carmen / Tondina, Enrico / Marseglia, Gian Luigi / Brazzelli, Valeria

    International journal of women's dermatology

    2024  Volume 10, Issue 1, Page(s) e122

    Abstract: Background: Primary acute genital ulcers, or Lipschütz ulcers (LU), are nonsexually transmitted, painful, self-limiting, nonrecurrent vulvar ulcers with unclear pathogenesis, representing a challenging diagnosis in emergency setting. LU have recently ... ...

    Abstract Background: Primary acute genital ulcers, or Lipschütz ulcers (LU), are nonsexually transmitted, painful, self-limiting, nonrecurrent vulvar ulcers with unclear pathogenesis, representing a challenging diagnosis in emergency setting. LU have recently been described in association with severe acute respiratory syndrome coronaVirus 2 (SARS-CoV-2) infection and vaccination.
    Objective: The aim of this study is to describe 2 cases of LU due to SARS-CoV-2 infection, highlighting the diagnostic process, differential diagnosis, disease course, and management options.
    Methods: We describe 2 young females (12 and 9 years old) who presented to pediatric emergency room with the sudden onset of well-demarcated, painful, vulvar ulcers with fibrinous necrotic center.
    Results: Both patients tested positive to SARS-CoV-2 nasal swab, and, at physical examination, no other lesions were found in other cutaneous or mucosal sites. Sexual abuse was excluded in both cases, as well as infectious and autoimmune diseases. Supportive analgesic therapy was administered, and complete remission of lesions was observed at follow-up visits without evidence of scarring.
    Limitations: The main limitation of this work is represented by the small number of cases described.
    Conclusion: Even though extremely rare, LU related to COVID-19 are an emerging entity to be considered in the diagnosis of acute genital ulcerations. Multidisciplinary diagnostic workup of genital ulcers must be established in order to exclude sexual child abuse, to ensure patient safety, and to avoid unnecessary treatment and familial anxiety.
    Language English
    Publishing date 2024-02-12
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2832233-2
    ISSN 2352-6475
    ISSN 2352-6475
    DOI 10.1097/JW9.0000000000000122
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: Gut-muscle-brain axis: Molecular mechanisms in neurodegenerative disorders and potential therapeutic efficacy of probiotic supplementation coupled with exercise.

    Morella, Ilaria / Negro, Massimo / Dossena, Maurizia / Brambilla, Riccardo / D'Antona, Giuseppe

    Neuropharmacology

    2023  Volume 240, Page(s) 109718

    Abstract: Increased longevity is often associated with age-related conditions. The most common neurodegenerative disorders in the older population are Alzheimer's disease (AD) and Parkinson's disease (PD), associated with progressive neuronal loss leading to ... ...

    Abstract Increased longevity is often associated with age-related conditions. The most common neurodegenerative disorders in the older population are Alzheimer's disease (AD) and Parkinson's disease (PD), associated with progressive neuronal loss leading to functional and cognitive impairments. Although symptomatic treatments are available, there is currently no cure for these conditions. Gut dysbiosis has been involved in the pathogenesis of AD and PD, thus interventions targeting the "gut-brain axis" could potentially prevent or delay these pathologies. Recent evidence suggests that the skeletal muscle and the gut microbiota can affect each other via the "gut-muscle axis". Importantly, cognitive functions in AD and PD patients significantly benefit from physical activity. In this review, we aim to provide a comprehensive picture of the crosstalk between the brain, the skeletal muscle and the gut microbiota, introducing the concept of "gut-muscle-brain axis". Moreover, we discuss human and animal studies exploring the modulatory role of exercise and probiotics on cognition in AD and PD. Collectively, the findings presented here support the potential benefits of physical activity and probiotic supplementation in AD and PD. Further studies will be needed to develop targeted and multimodal strategies, including lifestyle changes, to prevent or delay the course of these pathologies.
    Language English
    Publishing date 2023-09-27
    Publishing country England
    Document type Journal Article ; Review
    ZDB-ID 218272-5
    ISSN 1873-7064 ; 0028-3908
    ISSN (online) 1873-7064
    ISSN 0028-3908
    DOI 10.1016/j.neuropharm.2023.109718
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  7. Article ; Online: COVID-19 and autoimmune diseases: is there a connection?

    Votto, Martina / Castagnoli, Riccardo / Marseglia, Gian Luigi / Licari, Amelia / Brambilla, Ilaria

    Current opinion in allergy and clinical immunology

    2023  Volume 23, Issue 2, Page(s) 185–192

    Abstract: Purpose of review: This review summarizes current evidence on the potential link between severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection and autoimmunity.: Recent findings: Several viral infections are potential triggers of ... ...

    Abstract Purpose of review: This review summarizes current evidence on the potential link between severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection and autoimmunity.
    Recent findings: Several viral infections are potential triggers of reactive and autoimmune diseases by inducing type II and type IV hypersensitivity reactions. Recent evidence demonstrated that SARS-CoV-2 infection is not an exception, triggering the production of tissue-specific autoantibodies during the acute phase of coronavirus disease 2019 (COVID-19) and leading to autoimmune diseases development as long-term complication. The significant immune dysregulation with cytokine storm and organ damage observed in patients with severe to critical COVID-19 is considered the main mechanism explaining the high levels of autoantibodies, which are also implicated in disease severity and the need for an intensive care assessment. Multisystem inflammatory syndrome in children (MIS-C) is an immune-mediated disease where the recent viral infection leads to systemic inflammation, as already observed in other reactive and autoimmune diseases.
    Summary: Autoimmunity may be a complication of SAR-CoV-2 infection. Understanding the pathogenesis of autoimmune manifestations in COVID-19 might help prevent the incidence or exacerbation of autoimmune disorders and design better and more efficient treatment strategies in children and adult populations.
    MeSH term(s) Child ; Adult ; Humans ; COVID-19 ; SARS-CoV-2 ; Autoimmune Diseases ; Autoantibodies
    Chemical Substances Autoantibodies
    Language English
    Publishing date 2023-01-11
    Publishing country United States
    Document type Review ; Journal Article
    ZDB-ID 2088710-3
    ISSN 1473-6322 ; 1528-4050
    ISSN (online) 1473-6322
    ISSN 1528-4050
    DOI 10.1097/ACI.0000000000000888
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article ; Online: Optimizing understanding of food-induced anaphylaxis phenotypes through clustering analysis.

    De Filippo, Maria / Fasola, Salvatore / Tanno, Luciana Kase / Brambilla, Ilaria / Votto, Martina / Grutta, Stefania La / Marseglia, Gian Luigi / Licari, Amelia

    Clinical and experimental allergy : journal of the British Society for Allergy and Clinical Immunology

    2023  Volume 53, Issue 10, Page(s) 1050–1054

    MeSH term(s) Humans ; Anaphylaxis/diagnosis ; Anaphylaxis/etiology ; Food Hypersensitivity/diagnosis ; Phenotype ; Cluster Analysis
    Language English
    Publishing date 2023-06-12
    Publishing country England
    Document type Letter
    ZDB-ID 645204-8
    ISSN 1365-2222 ; 0954-7894 ; 0960-2178
    ISSN (online) 1365-2222
    ISSN 0954-7894 ; 0960-2178
    DOI 10.1111/cea.14358
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  9. Article: Dopamine D1 and Glutamate Receptors Co-operate With Brain-Derived Neurotrophic Factor (BDNF) and TrkB to Modulate ERK Signaling in Adult Striatal Slices.

    Morella, Ilaria / Hallum, Harriet / Brambilla, Riccardo

    Frontiers in cellular neuroscience

    2020  Volume 14, Page(s) 564106

    Abstract: In the striatum, the input nucleus of the basal ganglia, the extracellular-signal-regulated kinase (ERK) pathway, necessary for various forms of behavioral plasticity, is triggered by the combined engagement of dopamine D1 and ionotropic glutamate ... ...

    Abstract In the striatum, the input nucleus of the basal ganglia, the extracellular-signal-regulated kinase (ERK) pathway, necessary for various forms of behavioral plasticity, is triggered by the combined engagement of dopamine D1 and ionotropic glutamate receptors. In this study, we investigated the potential crosstalk between glutamatergic, dopaminergic, and brain-derived neurotrophic factor (BDNF)-TrkB inputs to ERK cascade by using an
    Language English
    Publishing date 2020-11-16
    Publishing country Switzerland
    Document type Journal Article
    ZDB-ID 2452963-1
    ISSN 1662-5102
    ISSN 1662-5102
    DOI 10.3389/fncel.2020.564106
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  10. Article ; Online: The clinical profile of cerebral small vessel disease: Toward an evidence-based identification of cognitive markers.

    Salvadori, Emilia / Brambilla, Michela / Maestri, Giorgia / Nicotra, Alessia / Cova, Ilaria / Pomati, Simone / Pantoni, Leonardo

    Alzheimer's & dementia : the journal of the Alzheimer's Association

    2022  Volume 19, Issue 1, Page(s) 244–260

    Abstract: There is no consensus on which test is more suited to outline the cognitive deficits of cerebral small vessel disease (cSVD) patients. We explored the ability of eight cognitive tests, selected in a previous systematic review as the most commonly used in ...

    Abstract There is no consensus on which test is more suited to outline the cognitive deficits of cerebral small vessel disease (cSVD) patients. We explored the ability of eight cognitive tests, selected in a previous systematic review as the most commonly used in this population, to differentiate among cSVD patients, controls, and other dementing conditions performing a meta-analysis of 86 studies. We found that cSVD patients performed worse than healthy controls in all tests while data on the comparison to neurodegenerative diseases were limited. We outlined a lack of data on these tests' accuracy on the diagnosis. Cognitive tests measuring processing speed were those mostly associated with neuroimaging cSVD markers. There is currently incomplete evidence that a single test could differentiate cSVD patients with cognitive decline from other dementing diseases. We make preliminary proposals on possible strategies to gain information about the clinical definition of cSVD that currently remains a neuroimaging-based one.
    MeSH term(s) Humans ; Cognitive Dysfunction/diagnostic imaging ; Cognitive Dysfunction/complications ; Cognition Disorders/etiology ; Cognition Disorders/complications ; Neuroimaging ; Cognition ; Cerebral Small Vessel Diseases/diagnostic imaging ; Cerebral Small Vessel Diseases/complications
    Language English
    Publishing date 2022-03-31
    Publishing country United States
    Document type Meta-Analysis ; Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 2211627-8
    ISSN 1552-5279 ; 1552-5260
    ISSN (online) 1552-5279
    ISSN 1552-5260
    DOI 10.1002/alz.12650
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