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  1. Article ; Online: Editorial: New insights in sepsis pathogenesis and renal dysfunction: Immune mechanisms and novel management strategies.

    Stasi, Alessandra / Honore, Patrick M

    Frontiers in immunology

    2023  Volume 14, Page(s) 1176620

    MeSH term(s) Humans ; Kidney ; Acute Kidney Injury/etiology ; Acute Kidney Injury/therapy ; Sepsis/therapy ; Sepsis/complications
    Language English
    Publishing date 2023-03-08
    Publishing country Switzerland
    Document type Editorial
    ZDB-ID 2606827-8
    ISSN 1664-3224 ; 1664-3224
    ISSN (online) 1664-3224
    ISSN 1664-3224
    DOI 10.3389/fimmu.2023.1176620
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Narrative review of the systemic inflammatory reaction to cardiac surgery and cardiopulmonary bypass.

    Squiccimarro, Enrico / Stasi, Alessandra / Lorusso, Roberto / Paparella, Domenico

    Artificial organs

    2022  Volume 46, Issue 4, Page(s) 568–577

    Abstract: Background: Data from large cardiac surgery registries have been depicting a downward trend of mortality and morbidities in the last 20 years. However, despite decades of medical evolution, cardiac surgery and cardiopulmonary bypass still provoke a ... ...

    Abstract Background: Data from large cardiac surgery registries have been depicting a downward trend of mortality and morbidities in the last 20 years. However, despite decades of medical evolution, cardiac surgery and cardiopulmonary bypass still provoke a systemic inflammatory response, which occasionally leads to worsened outcome. This article seeks to outline the mechanism of the phenomenon.
    Methods: A thorough review of the literature has been performed. Criteria for considering studies for this non-systematic review were as follows: observational and interventional studies investigating the systemic inflammatory response to cardiac surgery, experimental studies describing relevant molecular mechanisms, and essential review studies pertinent to the topic.
    Results: The intrinsic variability of the inflammatory response to cardiac surgery, together with its heterogenous perception among clinicians, as well as the arduousness to early discriminate high-responder patients from those who will not develop a clinically relevant reaction, concurred to hitherto unconclusive randomized controlled trials. Furthermore, peremptory knowledge about the pathophysiology of maladaptive inflammation following heart surgery is still lacking.
    Conclusions: Systemic inflammation following cardiac surgery is a frequent entity that occasionally becomes clinically relevant. Specific genomic differences, age, and other preoperative factors influence the magnitude of the response, which elements display extreme redundancy and pleiotropism that the target of a single pathway cannot represent a silver bullet.
    MeSH term(s) Cardiac Surgical Procedures/adverse effects ; Cardiopulmonary Bypass/adverse effects ; Humans ; Inflammation/etiology
    Language English
    Publishing date 2022-01-21
    Publishing country United States
    Document type Journal Article ; Review
    ZDB-ID 441812-8
    ISSN 1525-1594 ; 0160-564X
    ISSN (online) 1525-1594
    ISSN 0160-564X
    DOI 10.1111/aor.14171
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Two new triterpenes from Commicarpus grandiflorus (A. Rich.) Standl. aerial parts exudate

    Di Stasi, Mauro / Donadio, Giuliana / Bader, Ammar / De Leo, Marinella / Braca, Alessandra

    Natural Product Research. 2023 Oct. 2, v. 37, no. 19 p.3228-3236

    2023  

    Abstract: The exudate of Commicarpus grandiflorus (A. Rich.) Standl. flowering aerial parts was investigated for its chemical composition. Nine compounds were isolated, five triterpenes and four methylated flavones, of which two were new natural triterpenes, 2α,3β, ...

    Abstract The exudate of Commicarpus grandiflorus (A. Rich.) Standl. flowering aerial parts was investigated for its chemical composition. Nine compounds were isolated, five triterpenes and four methylated flavones, of which two were new natural triterpenes, 2α,3β,11α-olean-18-en-2,3,11-triol (1) and 2α,3β-olean-12-en-2,3-diol-11-one (2) that were named commicarpotriol and commicarpodiol, respectively. Structural characterization was carried out using 1D, 2D NMR, and MS techniques and the antimicrobial activity of all isolates was evaluated.
    Keywords antimicrobial properties ; chemical composition ; flavones ; methylation ; triterpenoids ; Commicarpus grandiflorus ; Nyctaginaceae ; triterpenes ; flavonoids ; antimicrobial activity
    Language English
    Dates of publication 2023-1002
    Size p. 3228-3236.
    Publishing place Taylor & Francis
    Document type Article ; Online
    ZDB-ID 2185747-7
    ISSN 1478-6427 ; 1478-6419
    ISSN (online) 1478-6427
    ISSN 1478-6419
    DOI 10.1080/14786419.2022.2063855
    Database NAL-Catalogue (AGRICOLA)

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  4. Article ; Online: Phytochemical study of Stachys sylvatica (Lamiaceae) aerial parts

    Di Stasi, Mauro / Dolci, David / Peruzzi, Lorenzo / Braca, Alessandra / De Leo, Marinella

    Plant Biosystems - An International Journal Dealing with all Aspects of Plant Biology. 2023 May 4, v. 157, no. 3 p.569-583

    2023  

    Abstract: In this article, the first complete phytochemical study of Stachys sylvatica (Lamiaceae) aerial parts, collected in Tuscan-Emilian Apennine, is reported. Twenty-three known compounds were isolated from the chloroform, chloroform-methanol 9:1 and methanol ...

    Abstract In this article, the first complete phytochemical study of Stachys sylvatica (Lamiaceae) aerial parts, collected in Tuscan-Emilian Apennine, is reported. Twenty-three known compounds were isolated from the chloroform, chloroform-methanol 9:1 and methanol extracts; they were subsequently characterized by means of one- and two-dimensional nuclear magnetic resonance spectroscopy (1D- and 2D-NMR) and mass spectrometry as six simple phenolic derivatives (chlorogenic acid (1), caffeic acid (2), p-coumaric acid methyl ester (3), niduloic acid (4), hydroxytyrosol (5), tyrosol (6)), one glycosylated aliphatic alcohol (ebracteatoside B (7)), six glycosylated phenylpropanoids (decaffeoyl verbascoside (8), lavandulifolioside (9), betanyoside F (10), verbascoside (11), isoacteoside (12), cystanoside D (13)), four flavonoids (stachyspinoside (14), chrysoeriol 7-O-β-D-glucopyranoside (15), naringenin 7-O-(6’’-E + Z-p-coumaroyl)-β-D-glucopyranoside (16), apigenin 7-O-(6’’-E + Z-p-coumaroyl)-β-D-glucopyranoside (17)), three lignans (syringaresinol 4’-O-β-D-glucopyranoside (18), pinoresinol 4-O-β-D-glucopyranoside (19), 2-episesaminol 2-O-β-D-glucopyranoside (20)) and three ionones (loliolide (21), vomifoliol (22), (3S,5R,6R,7E,9R)-3,5,6,9-tetrahydroxy-7-megastigmene (23)). In addition, a further phenolic derivative (ethyl caffeate (b)) and four carboxylic acids (azelaic acid (a), trihydroxyoctadecadienoic acid (c), trihydroxyoctadecenoic acid (d) and dihydroxydodecadienoic acid (e)) have been tentatively identified by ultra-high performance liquid chromatography coupled to an electrospray ionization source high-resolution Orbitrap mass spectrometer (UHPLC-ESI-HR-Orbitrap/MS). Chemosystematic relationships between S. sylvatica and other related species were highlighted.
    Keywords Stachys ; apigenin ; caffeic acid ; chloroform ; chlorogenic acid ; electrospray ionization mass spectrometry ; glycosylation ; lignans ; methanol ; naringenin ; norisoprenoids ; nuclear magnetic resonance spectroscopy ; p-coumaric acid ; spectrometers ; ultra-performance liquid chromatography ; verbascoside ; Stachys sylvatica ; Lamiaceae ; NMR ; MS ; chemosystematic ; isolation ; UHPLC-ESI-HR-Orbitrap/MS
    Language English
    Dates of publication 2023-0504
    Size p. 569-583.
    Publishing place Taylor & Francis
    Document type Article ; Online
    ZDB-ID 2146652-X
    ISSN 1724-5575 ; 1126-3504
    ISSN (online) 1724-5575
    ISSN 1126-3504
    DOI 10.1080/11263504.2023.2165572
    Database NAL-Catalogue (AGRICOLA)

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  5. Article ; Online: Two new triterpenes from

    Di Stasi, Mauro / Donadio, Giuliana / Bader, Ammar / De Leo, Marinella / Braca, Alessandra

    Natural product research

    2022  Volume 37, Issue 19, Page(s) 3228–3236

    Abstract: The exudate ... ...

    Abstract The exudate of
    Language English
    Publishing date 2022-04-16
    Publishing country England
    Document type Journal Article
    ZDB-ID 2185747-7
    ISSN 1478-6427 ; 1478-6419
    ISSN (online) 1478-6427
    ISSN 1478-6419
    DOI 10.1080/14786419.2022.2063855
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: Update on the Role of Polymethylmethacrylate Membrane Hemofilter in Acute and Chronic Renal Dysfunction.

    Stasi, Alessandra / Franzin, Rossana / Losapio, Rosa / Alfieri, Carlo / Gesualdo, Loreto / Castellano, Giuseppe

    Contributions to nephrology

    2023  Volume 200, Page(s) 45–54

    Abstract: Despite recent technical advances in dialysis care over the past decades, the mortality rate of critically ill patients with acute kidney injury (AKI) requiring dialysis and of chronic kidney disease (CKD) remains unacceptably high. Several preclinical ... ...

    Abstract Despite recent technical advances in dialysis care over the past decades, the mortality rate of critically ill patients with acute kidney injury (AKI) requiring dialysis and of chronic kidney disease (CKD) remains unacceptably high. Several preclinical studies have increased our knowledge of the principal mechanisms involved in the pathophysiology of AKI and CKD. Additionally, the development of efficient and specific compensatory sorbent systems in renal replacement therapy to remove unwanted compounds has created the possibility to treat renal diseases and their underlying pathological triggers. Recently, several biomedical blood purification materials have been developed to improve the removal of waste and inflammatory compounds, improve the quality of treatment, and reduce the duration of treatment. This chapter is focused on the principal mechanisms involved in AKI and CKD and the current state of the art for blood purification strategies to identify the most feasible solution to reduce immunological dysfunction and waste compound clearance. In this regard, the current literature underlines the high efficacy of polymethyl methacrylate membrane hemofilters to overcome the shortcomings in the efficiency of current methodologies in removing the excess of metabolic waste and inflammatory mediators from blood. The purpose of this chapter is therefore to enhance physicians' knowledge about PMMA.
    MeSH term(s) Humans ; Polymethyl Methacrylate ; Renal Dialysis ; Renal Insufficiency, Chronic/therapy ; Renal Replacement Therapy ; Acute Kidney Injury/therapy
    Chemical Substances Polymethyl Methacrylate (9011-14-7)
    Language English
    Publishing date 2023-06-01
    Publishing country Switzerland
    Document type Journal Article ; Review ; Research Support, Non-U.S. Gov't
    ISSN 1662-2782 ; 0302-5144
    ISSN (online) 1662-2782
    ISSN 0302-5144
    DOI 10.1159/000530476
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article ; Online: Methods for Characterization of Senescent Circulating and Tumor-Infiltrating T-Cells: An Overview from Multicolor Flow Cytometry to Single-Cell RNA Sequencing.

    Franzin, Rossana / Stasi, Alessandra / Castellano, Giuseppe / Gesualdo, Loreto

    Methods in molecular biology (Clifton, N.J.)

    2021  Volume 2325, Page(s) 79–95

    Abstract: Immunosenescence is the general term used to describe the aging-associated decline of immunological function that explains the higher susceptibility to infectious diseases and cancer, increased autoimmunity, or the reduced effectiveness of vaccinations. ... ...

    Abstract Immunosenescence is the general term used to describe the aging-associated decline of immunological function that explains the higher susceptibility to infectious diseases and cancer, increased autoimmunity, or the reduced effectiveness of vaccinations. Senescence of CD8+ T-cells has been described in all these conditions.The most important classical markers of T senescent cells are the cell cycle inhibitors p16ink4a, p21, and p53, together with positivity for SA-βgal expression and the acquirement of a peculiar IFNγ -based secretory phenotype commonly defined SASP (Senescence Associated Secretory Phenotype). Other surface markers are the CD28 and CD27 loss together with gain of expression of CD45RA, CD57, TIGIT, and/or KLRG1. However, this characterization could not be sufficient to distinguish from truly senescent cells and exhausted T-cells. Furthermore, more complexity is added by the wide heterogeneity of T-cells subset in aged individuals or in the tumor microenvironment. A combined analysis by multicolor flow cytometry for surface and intracellular markers integrated with gene-expression arrays and single-cell RNA sequencing is required to develop effective interventions for therapeutic modulation of specific T-cell subsets. The RNASeq offers the great possibility to reveal at single-cell resolution the exact molecular hallmarks of senescent CD8+ T-cells without the limitations of bulk analysis. Furthermore, the comprehensive integration of multidimensional approaches (genomics, epigenomics, proteomics, metabolomics) will increase our global understanding of how immunosenescence of T-cells is interlinked to human aging.
    MeSH term(s) CD28 Antigens/metabolism ; Cellular Senescence/genetics ; Cellular Senescence/immunology ; Cyclin-Dependent Kinase Inhibitor p16/metabolism ; Flow Cytometry/methods ; Genomics/methods ; Humans ; Immunosenescence/genetics ; Immunosenescence/immunology ; Lectins, C-Type/metabolism ; Leukocyte Common Antigens/metabolism ; Metabolomics/methods ; RNA-Seq ; Receptors, Immunologic/metabolism ; Single-Cell Analysis/methods ; T-Lymphocyte Subsets/metabolism ; Tumor Microenvironment
    Chemical Substances CD28 Antigens ; CDKN2A protein, human ; Cyclin-Dependent Kinase Inhibitor p16 ; KLRG1 protein, human ; Lectins, C-Type ; Receptors, Immunologic ; Leukocyte Common Antigens (EC 3.1.3.48) ; PTPRC protein, human (EC 3.1.3.48)
    Language English
    Publishing date 2021-05-29
    Publishing country United States
    Document type Journal Article ; Research Support, Non-U.S. Gov't ; Review
    ISSN 1940-6029
    ISSN (online) 1940-6029
    DOI 10.1007/978-1-0716-1507-2_6
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article ; Online: Fecal Microbiota Transplantation in Reducing Uremic Toxins Accumulation in Kidney Disease: Current Understanding and Future Perspectives.

    Caggiano, Gianvito / Stasi, Alessandra / Franzin, Rossana / Fiorentino, Marco / Cimmarusti, Maria Teresa / Deleonardis, Annamaria / Palieri, Rita / Pontrelli, Paola / Gesualdo, Loreto

    Toxins

    2023  Volume 15, Issue 2

    Abstract: During the past decades, the gut microbiome emerged as a key player in kidney disease. Dysbiosis-related uremic toxins together with pro-inflammatory mediators are the main factors in a deteriorating kidney function. The toxicity of uremic compounds has ... ...

    Abstract During the past decades, the gut microbiome emerged as a key player in kidney disease. Dysbiosis-related uremic toxins together with pro-inflammatory mediators are the main factors in a deteriorating kidney function. The toxicity of uremic compounds has been well-documented in a plethora of pathophysiological mechanisms in kidney disease, such as cardiovascular injury (CVI), metabolic dysfunction, and inflammation. Accumulating data on the detrimental effect of uremic solutes in kidney disease supported the development of many strategies to restore eubiosis. Fecal microbiota transplantation (FMT) spread as an encouraging treatment for different dysbiosis-associated disorders. In this scenario, flourishing studies indicate that fecal transplantation could represent a novel treatment to reduce the uremic toxins accumulation. Here, we present the state-of-the-art concerning the application of FMT on kidney disease to restore eubiosis and reverse the retention of uremic toxins.
    MeSH term(s) Humans ; Uremic Toxins ; Fecal Microbiota Transplantation ; Renal Insufficiency, Chronic/metabolism ; Dysbiosis ; Gastrointestinal Microbiome
    Chemical Substances Uremic Toxins
    Language English
    Publishing date 2023-01-31
    Publishing country Switzerland
    Document type Journal Article ; Review ; Research Support, Non-U.S. Gov't
    ZDB-ID 2518395-3
    ISSN 2072-6651 ; 2072-6651
    ISSN (online) 2072-6651
    ISSN 2072-6651
    DOI 10.3390/toxins15020115
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article ; Online: Corrigendum: Inflammaging and Complement System: A Link Between Acute Kidney Injury and Chronic Graft Damage.

    Franzin, Rossana / Stasi, Alessandra / Fiorentino, Marco / Stallone, Giovanni / Cantaluppi, Vincenzo / Gesualdo, Loreto / Castellano, Giuseppe

    Frontiers in immunology

    2021  Volume 11, Page(s) 630855

    Abstract: This corrects the article .]. ...

    Abstract [This corrects the article .].
    Language English
    Publishing date 2021-01-08
    Publishing country Switzerland
    Document type Journal Article ; Published Erratum
    ZDB-ID 2606827-8
    ISSN 1664-3224 ; 1664-3224
    ISSN (online) 1664-3224
    ISSN 1664-3224
    DOI 10.3389/fimmu.2020.630855
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Article: Acute Kidney Injury in Kidney Transplant Patients in Intensive Care Unit: From Pathogenesis to Clinical Management.

    Fiorentino, Marco / Bagagli, Francesca / Deleonardis, Annamaria / Stasi, Alessandra / Franzin, Rossana / Conserva, Francesca / Infante, Barbara / Stallone, Giovanni / Pontrelli, Paola / Gesualdo, Loreto

    Biomedicines

    2023  Volume 11, Issue 5

    Abstract: Kidney transplantation is the first-choice treatment for end-stage renal disease (ESRD). Kidney transplant recipients (KTRs) are at higher risk of experiencing a life-threatening event requiring intensive care unit (ICU) admission, mainly in the late ... ...

    Abstract Kidney transplantation is the first-choice treatment for end-stage renal disease (ESRD). Kidney transplant recipients (KTRs) are at higher risk of experiencing a life-threatening event requiring intensive care unit (ICU) admission, mainly in the late post-transplant period (more than 6 months after transplantation). Urosepsis and bloodstream infections account for almost half of ICU admissions in this population; in addition, potential side effects related to immunosuppressive treatment should be accounted for cytotoxic and ischemic changes induced by calcineurin inhibitor (CNI), sirolimus/CNI-induced thrombotic microangiopathy and posterior reversible encephalopathy syndrome. Throughout the ICU stay, Acute Kidney Injury (AKI) incidence is common and ranges from 10% to 80%, and up to 40% will require renal replacement therapy. In-hospital mortality can reach 30% and correlates with acute illness severity and admission diagnosis. Graft survival is subordinated to baseline estimated glomerular filtration rate (eGFR), clinical presentation, disease severity and potential drug nephrotoxicity. The present review aims to define the impact of AKI events on short- and long-term outcomes in KTRs, focusing on the epidemiologic data regarding AKI incidence in this subpopulation; the pathophysiological mechanisms underlying AKI development and potential AKI biomarkers in kidney transplantation, graft and patients' outcomes; the current diagnostic work up and management of AKI; and the modulation of immunosuppression in ICU-admitted KTRs.
    Language English
    Publishing date 2023-05-18
    Publishing country Switzerland
    Document type Journal Article ; Review
    ZDB-ID 2720867-9
    ISSN 2227-9059
    ISSN 2227-9059
    DOI 10.3390/biomedicines11051474
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