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  1. Article ; Online: Post-COVID parkinsonism: A scoping review.

    Polverino, Paola / Cocco, Antoniangela / Albanese, Alberto

    Parkinsonism & related disorders

    2024  , Page(s) 106066

    Abstract: Background: The clinical features and outcomes of post-COVID parkinsonism have not been organized systematically, and the possible correlations between COVID-19 and parkinsonism have not been elucidated. This scoping review addresses these two unmet ... ...

    Abstract Background: The clinical features and outcomes of post-COVID parkinsonism have not been organized systematically, and the possible correlations between COVID-19 and parkinsonism have not been elucidated. This scoping review addresses these two unmet needs.
    Methods: We searched two databases (Pubmed, Embase) for all published cases of post-COVID parkinsonism. Data were extracted from eligible studies using standardized forms and predefined inclusion and exclusion criteria. The patients' clinical features, their diagnosis and outcomes were assessed objectively.
    Results: Twenty-six cases of post-COVID parkinsonism were reported in 17 publications. Their presenting features were grouped into three clinical syndromes: typical parkinsonian motor syndrome (12 patients), parkinsonism with postural instability and gait disorder (three), or encephalopathy with parkinsonism (10). Patients had the following diagnoses: clinically established Parkinson's disease (PD, three cases), clinically probable PD (eight), clinically probable multiple system atrophy (one), acquired parkinsonism (six), unclassified parkinsonism (eight). Isolated parkinsonian motor syndromes typically followed uncomplicated COVID-19 illness or pneumonia; instead, encephalopathy with parkinsonism was observed following a wide spectrum of COVID-19-related presentations, including severe forms. PD cases mainly occurred following uncomplicated COVID-19, whereas acquired or unclassified parkinsonism were reported following different COVID-19 presentations.
    Conclusions: Patients with uncomplicated COVID-19 are more likely to present PD and no signs of encephalopathy. There is no demonstration of a causative role of COVID-19, which can be coincidental in several cases. Patients with encephalopathy and parkinsonism constitute a distinct subset, suggesting a potentially different pathogenic role of SARS-CoV-2 infection. These findings provide a basis for further studies in the post-pandemic phase.
    Language English
    Publishing date 2024-02-28
    Publishing country England
    Document type Journal Article ; Review
    ZDB-ID 1311489-x
    ISSN 1873-5126 ; 1353-8020
    ISSN (online) 1873-5126
    ISSN 1353-8020
    DOI 10.1016/j.parkreldis.2024.106066
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article: Tauroursodeoxycholic acid: a potential therapeutic tool in neurodegenerative diseases.

    Khalaf, Kareem / Tornese, Paolo / Cocco, Antoniangela / Albanese, Alberto

    Translational neurodegeneration

    2022  Volume 11, Issue 1, Page(s) 33

    Abstract: Most neurodegenerative disorders are diseases of protein homeostasis, with misfolded aggregates accumulating. The neurodegenerative process is mediated by numerous metabolic pathways, most of which lead to apoptosis. In recent years, hydrophilic bile ... ...

    Abstract Most neurodegenerative disorders are diseases of protein homeostasis, with misfolded aggregates accumulating. The neurodegenerative process is mediated by numerous metabolic pathways, most of which lead to apoptosis. In recent years, hydrophilic bile acids, particularly tauroursodeoxycholic acid (TUDCA), have shown important anti-apoptotic and neuroprotective activities, with numerous experimental and clinical evidence suggesting their possible therapeutic use as disease-modifiers in neurodegenerative diseases. Experimental evidence on the mechanisms underlying TUDCA's neuroprotective action derives from animal models of Alzheimer's disease, Parkinson's disease, Huntington's diseases, amyotrophic lateral sclerosis (ALS) and cerebral ischemia. Preclinical studies indicate that TUDCA exerts its effects not only by regulating and inhibiting the apoptotic cascade, but also by reducing oxidative stress, protecting the mitochondria, producing an anti-neuroinflammatory action, and acting as a chemical chaperone to maintain the stability and correct folding of proteins. Furthermore, data from phase II clinical trials have shown TUDCA to be safe and a potential disease-modifier in ALS. ALS is the first neurodegenerative disease being treated with hydrophilic bile acids. While further clinical evidence is being accumulated for the other diseases, TUDCA stands as a promising treatment for neurodegenerative diseases.
    MeSH term(s) Amyotrophic Lateral Sclerosis ; Animals ; Bile Acids and Salts/therapeutic use ; Neurodegenerative Diseases/drug therapy ; Taurochenodeoxycholic Acid/metabolism ; Taurochenodeoxycholic Acid/pharmacology ; Taurochenodeoxycholic Acid/therapeutic use
    Chemical Substances Bile Acids and Salts ; Taurochenodeoxycholic Acid (516-35-8) ; ursodoxicoltaurine (60EUX8MN5X)
    Language English
    Publishing date 2022-06-04
    Publishing country England
    Document type Journal Article ; Review ; Research Support, Non-U.S. Gov't
    ZDB-ID 2653701-1
    ISSN 2047-9158
    ISSN 2047-9158
    DOI 10.1186/s40035-022-00307-z
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Review of disease-modifying drug trials in amyotrophic lateral sclerosis.

    Tornese, Paolo / Lalli, Stefania / Cocco, Antoniangela / Albanese, Alberto

    Journal of neurology, neurosurgery, and psychiatry

    2022  Volume 93, Issue 5, Page(s) 521–529

    Abstract: We analysed clinical trials of pharmacological interventions on patients with amyotrophic lateral sclerosis (ALS), and compared study quality and design features. The systematic review included articles published in PubMed and trials registered in ... ...

    Abstract We analysed clinical trials of pharmacological interventions on patients with amyotrophic lateral sclerosis (ALS), and compared study quality and design features. The systematic review included articles published in PubMed and trials registered in ClinicalTrials.gov. Included studies were randomised double-blind placebo-controlled clinical trials assessing a disease-modifying pharmacological intervention. Studies were excluded if primary end points were safety or dose finding. A total of 28 735 articles and 721 current trials were identified. 76 published articles and 23 ongoing trials met inclusion criteria; they referred to distinct populations comprising 22 817 participants with ALS. Most articles and all current trials had parallel group design; few articles had cross-over design. A run-in observation period was included in about 20% of published studies and ongoing trials. Primary end points included functional assessment, survival, muscle strength, respiratory function, biomarkers and composite measures. Most recent trials had only functional assessment and survival. Risk of bias was high in 23 articles, moderate in 35, low in 18. A disease modification effect was observed for 10 interventions in phase II studies, two of which were confirmed in phase III. Three confirmatory phase III studies are currently underway. The present review provides cues for the design of future trials. Functional decline and survival, as single or composite measures, stand as the reference end points. Post hoc analyses should not be performed, particularly in studies using composite end points. There is a general agreement on diagnostic criteria; but eligibility criteria must be improved. Run-in observations may be used for censoring patients but are discouraged for refining participants' eligibility. The ALS Functional Rating Scale-Revised needs improvement for use as an ordinal measure of functional decline.
    MeSH term(s) Amyotrophic Lateral Sclerosis/drug therapy ; Humans ; Randomized Controlled Trials as Topic
    Language English
    Publishing date 2022-02-28
    Publishing country England
    Document type Journal Article ; Review ; Research Support, Non-U.S. Gov't
    ZDB-ID 3087-9
    ISSN 1468-330X ; 0022-3050
    ISSN (online) 1468-330X
    ISSN 0022-3050
    DOI 10.1136/jnnp-2021-328470
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Tauro-Urso-Deoxycholic Acid Trials in Amyotrophic Lateral Sclerosis: What is Achieved and What to Expect.

    Lo Giudice, Maria / Cocco, Antoniangela / Reggiardo, Giorgio / Lalli, Stefania / Albanese, Alberto

    Clinical drug investigation

    2023  Volume 43, Issue 12, Page(s) 893–903

    Abstract: Phase II studies on tauro-urso-deoxycholic acid (TUDCA) raised the promise of safety and efficacy in patients with amyotrophic lateral sclerosis, a currently incurable and devastating disease. We review the available evidence on the efficacy and safety ... ...

    Abstract Phase II studies on tauro-urso-deoxycholic acid (TUDCA) raised the promise of safety and efficacy in patients with amyotrophic lateral sclerosis, a currently incurable and devastating disease. We review the available evidence on the efficacy and safety of TUDCA, administered alone or in combination, by analyzing and comparing published and ongoing studies on amyotrophic lateral sclerosis. Two independent phase II studies (using TUDCA solo or combined with sodium phenylbutyrate) showed similar efficacy in slowing disease progression measured by functional scales. One open-label follow-up TUDCA+sodium phenylbutyrate study suggested a benefit on survival. Two subsequent phase III studies with TUDCA (solo or combined with sodium phenylbutyrate) have been initiated and are currently ongoing. Their completion is expected by the end of 2023 and beginning of 2024. Evidence collected by phase II studies indicates that there are no safety concerns in patients with amyotrophic lateral sclerosis. The efficacy shown in phase II studies was considered sufficient to grant approval in some countries but not in others, owing to discrepant views on the strength of evidence. It will be necessary to wait for the results of ongoing phase III studies to attain a full appreciation of these data.
    MeSH term(s) Humans ; Amyotrophic Lateral Sclerosis/drug therapy ; Phenylbutyrates ; Taurochenodeoxycholic Acid/adverse effects
    Chemical Substances 4-phenylbutyric acid (7WY7YBI87E) ; ursodoxicoltaurine (60EUX8MN5X) ; Phenylbutyrates ; Taurochenodeoxycholic Acid (516-35-8)
    Language English
    Publishing date 2023-11-16
    Publishing country New Zealand
    Document type Journal Article ; Review
    ZDB-ID 1220136-4
    ISSN 1179-1918 ; 0114-2402 ; 1173-2563
    ISSN (online) 1179-1918
    ISSN 0114-2402 ; 1173-2563
    DOI 10.1007/s40261-023-01324-0
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: Eligibility criteria in clinical trials for cervical dystonia.

    Vergallo, Andrea / Cocco, Antoniangela / De Santis, Tiziana / Lalli, Stefania / Albanese, Alberto

    Parkinsonism & related disorders

    2022  Volume 104, Page(s) 110–114

    Abstract: Introduction: Cervical dystonia (CD) is the most common form of adult-onset focal dystonia. Because of a heterogeneous clinical presentation, the diagnosis rests on clinical opinion. During the last decades, several clinical trials have tested safety ... ...

    Abstract Introduction: Cervical dystonia (CD) is the most common form of adult-onset focal dystonia. Because of a heterogeneous clinical presentation, the diagnosis rests on clinical opinion. During the last decades, several clinical trials have tested safety and efficacy of medical and surgical treatments for CD. We analyzed all the published CD trials and reviewed the strategies adopted for patient enrollment.
    Methods: The review included clinical trials in patients with CD published in PubMed. Studies were excluded if reviews, meta-analyses, post-hoc analyses on pooled data, or if not reporting a treatment for CD.
    Results: A total of 174 articles were identified; 134 studies met inclusion criteria. Diagnosis of CD varied among studies and in most cases was based on clinical judgement, using different descriptors such as "cervical dystonia" (37 studies), "idiopathic or isolated CD" (35), "primary CD" (13), and "torticollis" (40). Clinical judgement was supported by a phenomenological description of dystonia in four studies, and by a specific diagnostic strategy in other four. Finally, one study adopted general diagnostic criteria for dystonia. Inclusion and exclusion criteria proved heterogeneous across trials and were defined only in 108 studies, mainly considering age or the phenomenological pattern of muscle involvement.
    Conclusion: The review showed lack of consolidated diagnostic criteria and non-uniformity of eligibility criteria for CD across clinical trials. There is need to move beyond clinical judgement as diagnostic criterion for selecting participants. New trials assessing specific CD patient subgroups or comparing medical and surgical procedures will need grounds that are more consistent.
    MeSH term(s) Adult ; Humans ; Botulinum Toxins, Type A/therapeutic use ; Dystonic Disorders/drug therapy ; Neuromuscular Agents/therapeutic use ; Rest ; Torticollis/therapy ; Torticollis/drug therapy ; Clinical Trials as Topic
    Chemical Substances Botulinum Toxins, Type A (EC 3.4.24.69) ; Neuromuscular Agents
    Language English
    Publishing date 2022-10-07
    Publishing country England
    Document type Journal Article ; Review
    ZDB-ID 1311489-x
    ISSN 1873-5126 ; 1353-8020
    ISSN (online) 1873-5126
    ISSN 1353-8020
    DOI 10.1016/j.parkreldis.2022.10.003
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article: Recent developments in clinical trials of botulinum neurotoxins

    Cocco, Antoniangela / Alberto Albanese

    Toxicon. 2018 June 01, v. 147

    2018  

    Abstract: Botulinum neurotoxins (BoNTs) are increasingly used in clinical practice for several indications. Following the pioneering years of discoveries, the recent years have witnessed an increase of new indications and new toxin brands.We review here the ... ...

    Abstract Botulinum neurotoxins (BoNTs) are increasingly used in clinical practice for several indications. Following the pioneering years of discoveries, the recent years have witnessed an increase of new indications and new toxin brands.We review here the clinical trials on BoNTs performed since 2014 and put them into perspective. We also review the ongoing trials listed by the National Institutes of Health registry (Clinicaltrials.gov). The following indications are reviewed here: blepharospasm, cervical dystonia, spasticity, cerebral palsy, urinary incontinence, headache, topical formulations, postoperative cardiac arrhythmia, keloids and scars. For each of these indications the latest trials are reviewed and commented.
    Keywords arrhythmia ; botulinum toxin ; cerebral palsy ; clinical trials ; headache ; National Institutes of Health ; urinary incontinence
    Language English
    Dates of publication 2018-0601
    Size p. 77-83.
    Publishing place Elsevier Ltd
    Document type Article
    ZDB-ID 204479-1
    ISSN 1879-3150 ; 0041-0101
    ISSN (online) 1879-3150
    ISSN 0041-0101
    DOI 10.1016/j.toxicon.2017.08.014
    Database NAL-Catalogue (AGRICOLA)

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  7. Article ; Online: Recent developments in clinical trials of botulinum neurotoxins.

    Cocco, Antoniangela / Albanese, Alberto

    Toxicon : official journal of the International Society on Toxinology

    2017  Volume 147, Page(s) 77–83

    Abstract: Botulinum neurotoxins (BoNTs) are increasingly used in clinical practice for several indications. Following the pioneering years of discoveries, the recent years have witnessed an increase of new indications and new toxin brands. We review here the ... ...

    Abstract Botulinum neurotoxins (BoNTs) are increasingly used in clinical practice for several indications. Following the pioneering years of discoveries, the recent years have witnessed an increase of new indications and new toxin brands. We review here the clinical trials on BoNTs performed since 2014 and put them into perspective. We also review the ongoing trials listed by the National Institutes of Health registry (Clinicaltrials.gov). The following indications are reviewed here: blepharospasm, cervical dystonia, spasticity, cerebral palsy, urinary incontinence, headache, topical formulations, postoperative cardiac arrhythmia, keloids and scars. For each of these indications the latest trials are reviewed and commented.
    MeSH term(s) Botulinum Toxins/therapeutic use ; Central Nervous System Diseases/drug therapy ; Cicatrix/drug therapy ; Clinical Trials as Topic ; Humans ; Neuromuscular Diseases/drug therapy
    Chemical Substances Botulinum Toxins (EC 3.4.24.69)
    Language English
    Publishing date 2017-08-14
    Publishing country England
    Document type Journal Article ; Review
    ZDB-ID 204479-1
    ISSN 1879-3150 ; 0041-0101
    ISSN (online) 1879-3150
    ISSN 0041-0101
    DOI 10.1016/j.toxicon.2017.08.014
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article ; Online: Parkinsonism and dysautonomia: Multiple system atrophy?

    Albanese, Alberto / Cocco, Antoniangela / Milani, Paolo / Lalli, Stefania / Palladini, Giovanni

    Parkinsonism & related disorders

    2019  Volume 77, Page(s) 146–149

    MeSH term(s) Amyloidosis/diagnosis ; Autonomic Nervous System/pathology ; Autonomic Nervous System Diseases/diagnosis ; Autonomic Nervous System Diseases/pathology ; Humans ; Male ; Middle Aged ; Multiple System Atrophy/diagnosis ; Multiple System Atrophy/pathology ; Parkinsonian Disorders/diagnosis ; Parkinsonian Disorders/pathology ; Primary Dysautonomias/diagnosis ; Primary Dysautonomias/pathology
    Language English
    Publishing date 2019-05-03
    Publishing country England
    Document type Case Reports ; Journal Article ; Review
    ZDB-ID 1311489-x
    ISSN 1873-5126 ; 1353-8020
    ISSN (online) 1873-5126
    ISSN 1353-8020
    DOI 10.1016/j.parkreldis.2019.05.005
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article ; Online: Neurological features in SARS-CoV-2-infected patients with smell and taste disorder.

    Cocco, Antoniangela / Amami, Paolo / Desai, Antonio / Voza, Antonio / Ferreli, Fabio / Albanese, Alberto

    Journal of neurology

    2020  Volume 268, Issue 5, Page(s) 1570–1572

    MeSH term(s) COVID-19 ; Humans ; Olfaction Disorders/etiology ; SARS-CoV-2 ; Smell ; Taste Disorders/etiology
    Keywords covid19
    Language English
    Publishing date 2020-08-07
    Publishing country Germany
    Document type Letter
    ZDB-ID 187050-6
    ISSN 1432-1459 ; 0340-5354 ; 0012-1037 ; 0939-1517 ; 1619-800X
    ISSN (online) 1432-1459
    ISSN 0340-5354 ; 0012-1037 ; 0939-1517 ; 1619-800X
    DOI 10.1007/s00415-020-10135-8
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Article ; Online: Adult diagnosis of Cockayne syndrome.

    Cocco, Antoniangela / Calandrella, Daniela / Carecchio, Miryam / Garavaglia, Barbara / Albanese, Alberto

    Neurology

    2019  Volume 93, Issue 19, Page(s) 854–855

    MeSH term(s) Cockayne Syndrome/diagnostic imaging ; Cockayne Syndrome/genetics ; Cockayne Syndrome/physiopathology ; DNA Helicases/genetics ; DNA Repair Enzymes/genetics ; Female ; Humans ; Magnetic Resonance Imaging ; Poly-ADP-Ribose Binding Proteins/genetics ; Tomography, X-Ray Computed ; Young Adult
    Chemical Substances Poly-ADP-Ribose Binding Proteins ; DNA Helicases (EC 3.6.4.-) ; ERCC6 protein, human (EC 3.6.4.12) ; DNA Repair Enzymes (EC 6.5.1.-)
    Language English
    Publishing date 2019-11-04
    Publishing country United States
    Document type Case Reports ; Journal Article ; Video-Audio Media
    ZDB-ID 207147-2
    ISSN 1526-632X ; 0028-3878
    ISSN (online) 1526-632X
    ISSN 0028-3878
    DOI 10.1212/WNL.0000000000008449
    Database MEDical Literature Analysis and Retrieval System OnLINE

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