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Article ; Online: miRNA levels are associated with body mass index in endometrial cancer and may have implications for therapy.

Ravegnini, Gloria / Gorini, Francesca / Coada, Camelia Alexandra / De Leo, Antonio / de Biase, Dario / Di Costanzo, Stella / De Crescenzo, Eugenia / Coschina, Emma / Monesmith, Sarah / Bernante, Paolo / Garelli, Silvia / Balsamo, Francesca / Hrelia, Patrizia / De Iaco, Pierandrea / Angelini, Sabrina / Perrone, Anna Myriam

Cancer science

2024 Volume 115, Issue 3, Page(s) 883–893

Abstract: Endometrial cancer (EC) is the most prevalent gynecological cancer in high-income countries. Its incidence is skyrocketing due to the increase in risk factors such as obesity, which represents a true pandemic. This study aimed to evaluate microRNA (miRNA) ...

Abstract	Endometrial cancer (EC) is the most prevalent gynecological cancer in high-income countries. Its incidence is skyrocketing due to the increase in risk factors such as obesity, which represents a true pandemic. This study aimed to evaluate microRNA (miRNA) expression in obesity-related EC to identify potential associations between this specific cancer type and obesity. miRNA levels were analyzed in 84 EC patients stratified based on body mass index (BMI; ≥30 or <30) and nine noncancer women with obesity. The data were further tested in The Cancer Genome Atlas (TCGA) cohort, including 384 EC patients, 235 with BMI ≥30 and 149 with BMI <30. Prediction of miRNA targets and analysis of their expression were also performed to identify the potential epigenetic networks involved in obesity modulation. In the EC cohort, BMI ≥30 was significantly associated with 11 deregulated miRNAs. The topmost deregulated miRNAs were first analyzed in 84 EC samples by single miRNA assay and then tested in the TCGA dataset. This independent validation provided further confirmation about the significant difference of three miRNAs (miR-199a-5p, miR-449a, miR-449b-5p) in normal-weight EC patients versus EC patients with obesity, resulting significantly higher expressed in the latter. Moreover, the three miRNAs were significantly correlated with grade, histological type, and overall survival. Analysis of their target genes revealed that these miRNAs may regulate obesity-related pathways. In conclusion, we identified specific miRNAs associated with BMI that are potentially involved in modulating obesity-related pathways and that may provide novel implications for the clinical management of obese EC patients.
MeSH term(s)	Humans ; Female ; MicroRNAs/genetics ; MicroRNAs/metabolism ; Body Mass Index ; Gene Expression Profiling/methods ; Endometrial Neoplasms/genetics ; Obesity/complications ; Obesity/genetics
Chemical Substances	MicroRNAs
Language	English
Publishing date	2024-01-09
Publishing country	England
Document type	Journal Article
ZDB-ID	2115647-5
ISSN	1349-7006 ; 1349-7006
ISSN (online)	1349-7006
ISSN	1349-7006
DOI	10.1111/cas.15977
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Article ; Online: The COVID-19 rehabilitation pandemic.

De Biase, Sarah / Cook, Laura / Skelton, Dawn A / Witham, Miles / Ten Hove, Ruth

Age and ageing

2020 Volume 49, Issue 5, Page(s) 696–700

Abstract: The coronavirus disease 2019 (COVID-19) pandemic and the response to the pandemic are combining to produce a tidal wave of need for rehabilitation. Rehabilitation will be needed for survivors of COVID-19, many of whom are older, with underlying health ... ...

Abstract	The coronavirus disease 2019 (COVID-19) pandemic and the response to the pandemic are combining to produce a tidal wave of need for rehabilitation. Rehabilitation will be needed for survivors of COVID-19, many of whom are older, with underlying health problems. In addition, rehabilitation will be needed for those who have become deconditioned as a result of movement restrictions, social isolation, and inability to access healthcare for pre-existing or new non-COVID-19 illnesses. Delivering rehabilitation in the same way as before the pandemic will not be practical, nor will this approach meet the likely scale of need for rehabilitation. This commentary reviews the likely rehabilitation needs of older people both with and without COVID-19 and discusses how strategies to deliver effective rehabilitation at scale can be designed and implemented in a world living with COVID-19.
MeSH term(s)	Aged ; Aging/physiology ; Aging/psychology ; Betacoronavirus ; COVID-19 ; Chronic Disease/epidemiology ; Chronic Disease/rehabilitation ; Coronavirus Infections/epidemiology ; Coronavirus Infections/physiopathology ; Coronavirus Infections/psychology ; Coronavirus Infections/rehabilitation ; Delivery of Health Care/methods ; Delivery of Health Care/trends ; Forecasting ; Health Services Accessibility/standards ; Health Services Needs and Demand ; Humans ; Organizational Innovation ; Pandemics ; Physical Functional Performance ; Pneumonia, Viral/epidemiology ; Pneumonia, Viral/physiopathology ; Pneumonia, Viral/psychology ; Pneumonia, Viral/rehabilitation ; Recovery of Function ; Rehabilitation/methods ; Rehabilitation/organization & administration ; Rehabilitation/trends ; SARS-CoV-2
Keywords	covid19
Language	English
Publishing date	2020-05-29
Publishing country	England
Document type	Journal Article
ZDB-ID	186788-x
ISSN	1468-2834 ; 0002-0729
ISSN (online)	1468-2834
ISSN	0002-0729
DOI	10.1093/ageing/afaa118
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Article ; Online: Strong, steady and straight: UK consensus statement on physical activity and exercise for osteoporosis.

Brooke-Wavell, Katherine / Skelton, Dawn A / Barker, Karen L / Clark, Emma M / De Biase, Sarah / Arnold, Susanne / Paskins, Zoe / Robinson, Katie R / Lewis, Rachel M / Tobias, Jonathan H / Ward, Kate A / Whitney, Julie / Leyland, Sarah

British journal of sports medicine

2022

Abstract: Exercise and physical activity can improve bone strength and the risk of falls, which may offer benefits in the prevention and management of osteoporosis. However, uncertainty about the types of exercise that are safe and effective instigates lack of ... ...

Abstract	Exercise and physical activity can improve bone strength and the risk of falls, which may offer benefits in the prevention and management of osteoporosis. However, uncertainty about the types of exercise that are safe and effective instigates lack of confidence in people with osteoporosis and health professionals. Existing guidelines leave some questions unresolved. This consensus statement aimed to determine the physical activity and exercise needed to optimise bone strength, reduce fall and fracture risk, improve posture and manage vertebral fracture symptoms, while minimising potential risks in people with osteoporosis. The scope of this statement was developed following stakeholder consultation. Meta-analyses were reviewed and where evidence was lacking, individual studies or expert opinion were used to develop recommendations. A multidisciplinary expert group reviewed evidence to make recommendations, by consensus when evidence was not available. Key recommendations are that people with osteoporosis should undertake (1) resistance and impact exercise to maximise bone strength; (2) activities to improve strength and balance to reduce falls; (3) spinal extension exercise to improve posture and potentially reduce risk of falls and vertebral fractures. For safety, we recommend avoiding postures involving a high degree of spinal flexion during exercise or daily life. People with vertebral fracture or multiple low trauma fractures should usually exercise only up to an impact equivalent to brisk walking. Those at risk of falls should start with targeted strength and balance training. Vertebral fracture symptoms may benefit from exercise to reduce pain, improve mobility and quality of life, ideally with specialist advice to encourage return to normal activities. Everyone with osteoporosis may benefit from guidance on adapting postures and movements. There is little evidence that physical activity is associated with significant harm, and the benefits, in general, outweigh the risks.
Language	English
Publishing date	2022-05-16
Publishing country	England
Document type	Journal Article
ZDB-ID	600592-5
ISSN	1473-0480 ; 0306-3674
ISSN (online)	1473-0480
ISSN	0306-3674
DOI	10.1136/bjsports-2021-104634
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Article ; Online: Resistance exercise as a treatment for sarcopenia: prescription and delivery.

Hurst, Christopher / Robinson, Sian M / Witham, Miles D / Dodds, Richard M / Granic, Antoneta / Buckland, Charlotte / De Biase, Sarah / Finnegan, Susanne / Rochester, Lynn / Skelton, Dawn A / Sayer, Avan A

Age and ageing

2022 Volume 51, Issue 2

Abstract: Sarcopenia is a generalised skeletal muscle disorder characterised by reduced muscle strength and mass and associated with a range of negative health outcomes. Currently, resistance exercise (RE) is recommended as the first-line treatment for ... ...

Abstract	Sarcopenia is a generalised skeletal muscle disorder characterised by reduced muscle strength and mass and associated with a range of negative health outcomes. Currently, resistance exercise (RE) is recommended as the first-line treatment for counteracting the deleterious consequences of sarcopenia in older adults. However, whilst there is considerable evidence demonstrating that RE is an effective intervention for improving muscle strength and function in healthy older adults, much less is known about its benefits in older people living with sarcopenia. Furthermore, evidence for its optimal prescription and delivery is very limited and any potential benefits of RE are unlikely to be realised in the absence of an appropriate exercise dose. We provide a summary of the underlying principles of effective RE prescription (specificity, overload and progression) and discuss the main variables (training frequency, exercise selection, exercise intensity, exercise volume and rest periods) that can be manipulated when designing RE programmes. Following this, we propose that an RE programme that consists of two exercise sessions per week and involves a combination of upper- and lower-body exercises performed with a relatively high degree of effort for 1-3 sets of 6-12 repetitions is appropriate as a treatment for sarcopenia. The principles of RE prescription outlined here and the proposed RE programme presented in this paper provide a useful resource for clinicians and exercise practitioners treating older adults with sarcopenia and will also be of value to researchers for standardising approaches to RE interventions in future sarcopenia studies.
MeSH term(s)	Aged ; Humans ; Muscle Strength/physiology ; Muscle, Skeletal ; Prescriptions ; Resistance Training ; Sarcopenia/therapy
Language	English
Publishing date	2022-02-12
Publishing country	England
Document type	Journal Article ; Research Support, Non-U.S. Gov't
ZDB-ID	186788-x
ISSN	1468-2834 ; 0002-0729
ISSN (online)	1468-2834
ISSN	0002-0729
DOI	10.1093/ageing/afac003
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Article ; Online: Surgical management of malignant melanotic nerve sheath tumors: an institutional experience and systematic review of the literature.

Ghaith, Abdul Karim / Johnson, Sarah E / El-Hajj, Victor Gabriel / Akinduro, Oluwaseun O / Ghanem, Marc / De Biase, Gaetano / Michaelides, Loizos / Bon Nieves, Antonio / Marsh, W Richard / Currier, Bradford L / Atkinson, John L / Spinner, Robert J / Bydon, Mohamad

Journal of neurosurgery. Spine

2023 Volume 40, Issue 1, Page(s) 28–37

Abstract: Objective: Malignant melanotic nerve sheath tumors are rare tumors characterized by neoplastic melanin-producing Schwann cells. In this study, the authors report their institution's experience in treating spinal and peripheral malignant melanotic nerve ... ...

Abstract	Objective: Malignant melanotic nerve sheath tumors are rare tumors characterized by neoplastic melanin-producing Schwann cells. In this study, the authors report their institution's experience in treating spinal and peripheral malignant melanotic nerve sheath tumors and compare their results with the literature. Methods: Data were collected from 8 patients who underwent surgical treatment for malignant melanotic nerve sheath tumors between 1996 and 2023 at Mayo Clinic and 63 patients from the literature. Time-to-event analyses were performed for the combined group of 71 cases to evaluate the risk of recurrence, metastasis, and death based on tumor location and type of treatment received. Unpaired 2-sample t-tests and Fisher's exact tests were used to determine statistical significance between groups. Results: Between 1996 and 2023, 8 patients with malignant melanotic nerve sheath tumors underwent surgery at the authors' institution, while 63 patients were identified in the literature. The authors' patients and those in the literature had the same mean age at diagnosis (43 years). At the authors' institution, 5 patients (63%) experienced metastasis, 6 patients (75%) experienced long-term recurrence, and 5 patients (62.5%) died. In the literature, most patients (60.3%) were males, with a peak incidence between the 4th and 5th decades of life. Nineteen patients (31.1%) were diagnosed with Carney complex. Nerve root tumors accounted for most presentations (n = 39, 61.9%). Moreover, 24 patients (38.1%) had intradural lesions, with 54.2% (n = 13) being intramedullary and 45.8% (n = 11) extramedullary. Most patients underwent gross-total resection (GTR) (n = 41, 66.1%), followed by subtotal resection (STR) (n = 12, 19.4%), STR with radiation therapy (9.7%), and GTR with radiation therapy (4.8%). Sixteen patients (27.6%) experienced metastasis, 23 (39.7%) experienced recurrence, and 13 (22%) died. Kaplan-Meier analyses showed no significant differences among treatment approaches in terms of recurrence-free, metastasis-free, and overall survival (p > 0.05). Similar results were obtained when looking at the differences with respect to intradural versus nerve root location of the tumor (p > 0.05). Conclusions: Malignant melanotic nerve sheath tumors are rare tumors with a high potential for malignancy. They carry a dismal prognosis, with a pooled local recurrence rate of 42%, distant metastasis rate of 27%, and mortality rate of 26%. The findings from this study suggest a trend favoring the use of GTR alone or STR with radiation therapy over STR alone. Mortality was similar regardless, which highlights the need for the development of effective treatment options to improve survival in patients with melanotic schwannomas.
MeSH term(s)	Male ; Humans ; Adult ; Female ; Neurofibrosarcoma/surgery ; Treatment Outcome ; Prognosis ; Neurosurgical Procedures/adverse effects ; Spine/pathology ; Nerve Sheath Neoplasms/surgery
Language	English
Publishing date	2023-10-20
Publishing country	United States
Document type	Systematic Review ; Journal Article
ZDB-ID	2158643-3
ISSN	1547-5646 ; 1547-5654
ISSN (online)	1547-5646
ISSN	1547-5654
DOI	10.3171/2023.8.SPINE23427
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Article ; Online: mPAP/CO Slope and Oxygen Uptake Add Prognostic Value in Aortic Stenosis.

Hoedemakers, Sarah / Pugliese, Nicola Riccardo / Stassen, Jan / Vanoppen, Arnaud / Claessens, Jade / Gojevic, Tin / Bekhuis, Youri / Falter, Maarten / Moura Ferreira, Sara / Dhont, Sebastiaan / De Biase, Nicolò / Del Punta, Lavinia / Di Fiore, Valerio / De Carlo, Marco / Giannini, Cristina / Colli, Andrea / Dulgheru, Raluca Elena / Geers, Jolien / Yilmaz, Alaaddin /

Claessen, Guido / Bertrand, Philippe / Droogmans, Steven / Lancellotti, Patrizio / Cosyns, Bernard / Verbrugge, Frederik H / Herbots, Lieven / Masi, Stefano / Verwerft, Jan

Circulation

2024 Volume 149, Issue 15, Page(s) 1172–1182

Abstract: Background: Recent guidelines redefined exercise pulmonary hypertension as a mean pulmonary artery pressure/cardiac output (mPAP/CO) slope >3 mm Hg·L: Methods: In this prospective cohort study, consecutive patients (n=143; age, 73±11 years) with an ... ...

Abstract	Background: Recent guidelines redefined exercise pulmonary hypertension as a mean pulmonary artery pressure/cardiac output (mPAP/CO) slope >3 mm Hg·L Methods: In this prospective cohort study, consecutive patients (n=143; age, 73±11 years) with an aortic valve area ≤1.5 cm Results: One cardiovascular death, 32 aortic valve replacements, 9 new-onset atrial fibrillation episodes, and 4 heart failure hospitalizations occurred in the derivation cohort, whereas 5 cardiovascular deaths, 32 aortic valve replacements, 1 new-onset atrial fibrillation episode, and 10 heart failure hospitalizations were observed in the validation cohort. Peak aortic velocity (odds ratio [OR] per SD, 1.48; Conclusions: In moderate and severe aortic valve stenosis, mPAP/CO slope and percent-predicted peak Vo
MeSH term(s)	Humans ; Middle Aged ; Aged ; Aged, 80 and over ; Prognosis ; Echocardiography, Stress/methods ; Atrial Fibrillation/diagnosis ; Atrial Fibrillation/complications ; Prospective Studies ; Aortic Valve Stenosis/diagnosis ; Aortic Valve Stenosis/surgery ; Aortic Valve Stenosis/complications ; Cardiac Output ; Heart Failure/complications ; Oxygen
Chemical Substances	Oxygen (S88TT14065)
Language	English
Publishing date	2024-02-27
Publishing country	United States
Document type	Journal Article
ZDB-ID	80099-5
ISSN	1524-4539 ; 0009-7322 ; 0069-4193 ; 0065-8499
ISSN (online)	1524-4539
ISSN	0009-7322 ; 0069-4193 ; 0065-8499
DOI	10.1161/CIRCULATIONAHA.123.067130
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Article ; Online: Tight gene co-expression in BCB positive cattle oocytes and their surrounding cumulus cells.

Walker, Bailey N / Nix, Jada / Wilson, Chace / Marrella, Mackenzie A / Speckhart, Savannah L / Wooldridge, Lydia / Yen, Con-Ning / Bodmer, Jocelyn S / Kirkpatrick, Laila T / Moorey, Sarah E / Gerrard, David E / Ealy, Alan D / Biase, Fernando H

Reproductive biology and endocrinology : RB&E

2022 Volume 20, Issue 1, Page(s) 119

Abstract: Background: Cytoplasmic and nuclear maturation of oocytes, as well as interaction with the surrounding cumulus cells, are important features relevant to the acquisition of developmental competence.: Methods: Here, we utilized Brilliant cresyl blue ( ... ...

Abstract	Background: Cytoplasmic and nuclear maturation of oocytes, as well as interaction with the surrounding cumulus cells, are important features relevant to the acquisition of developmental competence. Methods: Here, we utilized Brilliant cresyl blue (BCB) to distinguish cattle oocytes with low activity of the enzyme Glucose-6-Phosphate Dehydrogenase, and thus separated fully grown (BCB positive) oocytes from those in the growing phase (BCB negative). We then analyzed the developmental potential of these oocytes, mitochondrial DNA (mtDNA) copy number in single oocytes, and investigated the transcriptome of single oocytes and their surrounding cumulus cells of BCB positive versus BCB negative oocytes. Results: The BCB positive oocytes were twice as likely to produce a blastocyst in vitro compared to BCB- oocytes (P < 0.01). We determined that BCB negative oocytes have 1.3-fold more mtDNA copies than BCB positive oocytes (P = 0.004). There was no differential transcript abundance of genes expressed in oocytes, however, 172 genes were identified in cumulus cells with differential transcript abundance (FDR < 0.05) based on the BCB staining of their oocyte. Co-expression analysis between oocytes and their surrounding cumulus cells revealed a subset of genes whose co-expression in BCB positive oocytes (n = 75) and their surrounding cumulus cells (n = 108) compose a unique profile of the cumulus-oocyte complex. Conclusions: If oocytes transition from BCB negative to BCB positive, there is a greater likelihood of producing a blastocyst, and a reduction of mtDNA copies, but there is no systematic variation of transcript abundance. Cumulus cells present changes in transcript abundance, which reflects in a dynamic co-expression between the oocyte and cumulus cells.
MeSH term(s)	Animals ; Blastocyst ; Cattle ; Cumulus Cells ; Cytoplasm ; DNA, Mitochondrial/genetics ; Female ; Oocytes
Chemical Substances	DNA, Mitochondrial
Language	English
Publishing date	2022-08-13
Publishing country	England
Document type	Journal Article
ZDB-ID	2119215-7
ISSN	1477-7827 ; 1477-7827
ISSN (online)	1477-7827
ISSN	1477-7827
DOI	10.1186/s12958-022-00994-3
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Article ; Online: Content of exercise programmes targeting older people with sarcopenia or frailty - findings from a UK survey.

Witham, Miles D / Chawner, Melody / Biase, Sarah De / Offord, Natalie / Todd, Oliver / Clegg, Andrew / Sayer, Avan A

Journal of frailty, sarcopenia and falls

2020 Volume 5, Issue 1, Page(s) 17–23

Abstract: Objectives: To establish whether existing exercise programmes offered to people with sarcopenia or frailty adhere to the current evidence base.: Methods: We conducted a national survey of practitioners delivering exercise programmes to older people ... ...

Abstract	Objectives: To establish whether existing exercise programmes offered to people with sarcopenia or frailty adhere to the current evidence base. Methods: We conducted a national survey of practitioners delivering exercise programmes to older people with sarcopenia or frailty in the UK. The link to the online survey was distributed through email lists of professional societies, practice networks and social media. Questions covered target population and programme aims, type, duration and frequency of exercise, progress assessment and outcome measures. Results: One hundred and thirty-six responses were received. 94% of respondents reported prescribing or delivering exercise programmes to people with sarcopenia or frailty. Most programmes (81/135 [60%]) were primarily designed to prevent or reduce falls. Resistance training was the main focus in only 11/123 (9%), balance training in 61/123 (50%) and functional exercise in 28/123 (23%). Exercise was offered once a week or less by 81/124 (65%) of respondents. Outcome measures suitable for assessing the effect of resistance training programmes were reported by fewer than half of respondents (hand grip: 13/119 [11%]; chair stands: 55/119 [46%]). Conclusions: Current UK exercise programmes offered to older people with sarcopenia or frailty lack the specificity, frequency or duration of exercise likely to improve outcomes for this patient group.
Language	English
Publishing date	2020-03-01
Publishing country	Greece
Document type	Journal Article
ISSN	2459-4148
ISSN (online)	2459-4148
DOI	10.22540/JFSF-05-017
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Article: The COVID-19 rehabilitation pandemic

De Biase, Sarah / Cook, Laura / Skelton, Dawn A / Witham, Miles / Ten Hove, Ruth

Age Ageing

Abstract	The coronavirus disease 2019 (COVID-19) pandemic and the response to the pandemic are combining to produce a tidal wave of need for rehabilitation. Rehabilitation will be needed for survivors of COVID-19, many of whom are older, with underlying health problems. In addition, rehabilitation will be needed for those who have become deconditioned as a result of movement restrictions, social isolation, and inability to access healthcare for pre-existing or new non-COVID-19 illnesses. Delivering rehabilitation in the same way as before the pandemic will not be practical, nor will this approach meet the likely scale of need for rehabilitation. This commentary reviews the likely rehabilitation needs of older people both with and without COVID-19 and discusses how strategies to deliver effective rehabilitation at scale can be designed and implemented in a world living with COVID-19.
Keywords	covid19
Publisher	WHO
Document type	Article
Note	WHO #Covidence: #759920
Database	COVID19

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Article: The COVID-19 rehabilitation pandemic1

De Biase, Sarah / Cook, Laura / Skelton, Dawn A / Witham, Miles / Ten Hove, Ruth

Age Ageing

Abstract	The coronavirus disease 2019 (COVID-19) pandemic and the response to the pandemic are combining to produce a tidal wave of need for rehabilitation. Rehabilitation will be needed for survivors of COVID-19, many of whom are older, with underlying health problems. In addition, rehabilitation will be needed for those who have become deconditioned as a result of movement restrictions, social isolation, and inability to access healthcare for pre-existing or new non-COVID-19 illnesses. Delivering rehabilitation in the same way as before the pandemic will not be practical, nor will this approach meet the likely scale of need for rehabilitation. This commentary reviews the likely rehabilitation needs of older people both with and without COVID-19 and discusses how strategies to deliver effective rehabilitation at scale can be designed and implemented in a world living with COVID-19.
Keywords	covid19
Publisher	WHO
Document type	Article
Note	WHO #Covidence: #437022
Database	COVID19

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