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  1. Article ; Online: Recurrent pneumonia and severe opportunistic infections in declining immunity and autoimmune manifestations.

    Zallocco, Federica / Omenetti, Alessia / Poletti, Venerino / Cazzato, Salvatore

    Pulmonology

    2022  Volume 29, Issue 2, Page(s) 167–169

    MeSH term(s) Humans ; Pneumonia ; Opportunistic Infections/diagnosis
    Language English
    Publishing date 2022-07-18
    Publishing country Spain
    Document type Letter
    ZDB-ID 3009651-0
    ISSN 2531-0437 ; 2531-0429
    ISSN (online) 2531-0437
    ISSN 2531-0429
    DOI 10.1016/j.pulmoe.2022.06.004
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Lung involvement in monogenic interferonopathies.

    Cazzato, Salvatore / Omenetti, Alessia / Ravaglia, Claudia / Poletti, Venerino

    European respiratory review : an official journal of the European Respiratory Society

    2020  Volume 29, Issue 158

    Abstract: Monogenic type I interferonopathies are inherited heterogeneous disorders characterised by early onset of systemic and organ specific inflammation, associated with constitutive activation of type I interferons (IFNs). In the last few years, several ... ...

    Abstract Monogenic type I interferonopathies are inherited heterogeneous disorders characterised by early onset of systemic and organ specific inflammation, associated with constitutive activation of type I interferons (IFNs). In the last few years, several clinical reports identified the lung as one of the key target organs of IFN-mediated inflammation. The major pulmonary patterns described comprise children's interstitial lung diseases (including diffuse alveolar haemorrhages) and pulmonary arterial hypertension but diagnosis may be challenging. Respiratory symptoms may be either mild or absent at disease onset and variably associated with systemic or organ specific inflammation. In addition, associated extrapulmonary clinical features may precede lung function impairment by years, and patients may display severe/endstage lung involvement, although this may be clinically hidden during the long-term disease course. Conversely, a few cases of atypical severe lung involvement at onset have been reported without clinically manifested extrapulmonary signs. Hence, a multidisciplinary approach involving pulmonologists, paediatricians and rheumatologists should always be considered when a monogenic interferonopathy is suspected. Pulmonologists should also be aware of the main pattern of presentation to allow prompt diagnosis and a targeted therapeutic strategy. In this regard, promising therapeutic strategies rely on Janus kinase-1/2 (JAK-1/2) inhibitors blocking the type I IFN-mediated intracellular cascade.
    MeSH term(s) Child ; Humans ; Inflammation ; Interferon Type I ; Lung ; Lung Diseases, Interstitial
    Chemical Substances Interferon Type I
    Language English
    Publishing date 2020-12-15
    Publishing country England
    Document type Journal Article
    ZDB-ID 1077620-5
    ISSN 1600-0617 ; 0905-9180
    ISSN (online) 1600-0617
    ISSN 0905-9180
    DOI 10.1183/16000617.0001-2020
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Proteomic Signatures of Monocytes in Hereditary Recurrent Fevers.

    Penco, Federica / Petretto, Andrea / Lavarello, Chiara / Papa, Riccardo / Bertoni, Arinna / Omenetti, Alessia / Gueli, Ilaria / Finetti, Martina / Caorsi, Roberta / Volpi, Stefano / Gattorno, Marco

    Frontiers in immunology

    2022  Volume 13, Page(s) 921253

    Abstract: Hereditary periodic recurrent fevers (HRF) are monogenic autoinflammatory associated to mutations of some genes, such as diseases caused by mutations of including MEFV, TNFRSF1A and MVK genes. Despite the identification of the causative genes, the ... ...

    Abstract Hereditary periodic recurrent fevers (HRF) are monogenic autoinflammatory associated to mutations of some genes, such as diseases caused by mutations of including MEFV, TNFRSF1A and MVK genes. Despite the identification of the causative genes, the intracellular implications related to each gene variant are still largely unknown. A large -scale proteomic analysis on monocytes of these patients is aimed to identify with an unbiased approach the mean proteins and molecular interaction networks involved in the pathogenesis of these conditions. Monocytes from HRF 15 patients (5 with MFV, 5 TNFRSF1A and 5with MVK gene mutation) and 15 healthy donors (HDs) were analyzed by liquid chromatography and tandem mass spectrometry before and after lipopolysaccharide (LPS) stimulation. Significant proteins were analyzed through a Cytoscape analysis using the ClueGo app to identify molecular interaction networks. Protein networks for each HRF were performed through a STRING database analysis integrated with a DISEAE database query. About 5000 proteins for each HRF were identified. LPS treatment maximizes differences between up-regulated proteins in monocytes of HRF patients and HDs, independently from the disease's activity and ongoing treatments. Proteins significantly modulated in monocytes of the different HRF allowed creating a disease-specific proteomic signatures and interactive protein network. Proteomic analysis is able to dissect the different intracellular pathways involved in the inflammatory response of circulating monocytes in HRF patients. The present data may help to identify a "monocyte proteomic signature" for each condition and unravel new possible unexplored intracellular pathways possibly involved in their pathogenesis. These data will be also useful to identify possible differences and similarities between the different HRFs and some multifactorial recurrent fevers.
    MeSH term(s) Fever ; Hereditary Autoinflammatory Diseases/genetics ; Humans ; Lipopolysaccharides/metabolism ; Monocytes/metabolism ; Proteomics ; Pyrin/metabolism
    Chemical Substances Lipopolysaccharides ; MEFV protein, human ; Pyrin
    Language English
    Publishing date 2022-06-23
    Publishing country Switzerland
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 2606827-8
    ISSN 1664-3224 ; 1664-3224
    ISSN (online) 1664-3224
    ISSN 1664-3224
    DOI 10.3389/fimmu.2022.921253
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: From bench to bedside and back again: translational research in autoinflammation.

    Holzinger, Dirk / Kessel, Christoph / Omenetti, Alessia / Gattorno, Marco

    Nature reviews. Rheumatology

    2015  Volume 11, Issue 10, Page(s) 573–585

    Abstract: Translational research approaches brought major changes to the understanding and treatment options of autoinflammatory diseases. Patients with common complex multifactorial diseases such as systemic-onset juvenile idiopathic arthritis (sJIA), and ... ...

    Abstract Translational research approaches brought major changes to the understanding and treatment options of autoinflammatory diseases. Patients with common complex multifactorial diseases such as systemic-onset juvenile idiopathic arthritis (sJIA), and particularly those with rare monogenic autoinflammatory diseases such as cryopyrin-associated periodic syndromes (CAPS) or TNF receptor-associated periodic syndrome (TRAPS), benefited from a deeper understanding of the pathophysiological mechanisms and new treatment options emerging from preclinical studies. The study of IL-1 and IL-6 in this context led to novel therapies by forward translation. Conversely, effective treatment of sJIA and TRAPS with IL-1 blockade stimulated reverse translational efforts to study the pathophysiology of these cytokines in autoinflammatory diseases. These translational efforts led to the discovery of biomarkers such as S100 proteins, IL-18 or serum amyloid A, which are components of the inflammatory process, support diagnosis and allow for monitoring of disease activity, helping to predict patient outcomes. The ongoing characterization of autoinflammatory diseases in individual patients has led to classification into heterogeneous subgroups. Further characterization of relevant subgroups and the design of tailored treatment regimens, as well as the identification of new therapeutic targets and treatment options, are the major future challenges in the field of autoinflammatory diseases, particularly for paediatric rheumatologists.
    MeSH term(s) Humans ; Inflammation/immunology ; Inflammation/therapy ; Rheumatic Diseases/immunology ; Translational Medical Research
    Language English
    Publishing date 2015-10
    Publishing country United States
    Document type Journal Article ; Review
    ZDB-ID 2491532-4
    ISSN 1759-4804 ; 1759-4790
    ISSN (online) 1759-4804
    ISSN 1759-4790
    DOI 10.1038/nrrheum.2015.79
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: Hedgehog signaling in cholangiocytes.

    Omenetti, Alessia / Diehl, Anna Mae

    Current opinion in gastroenterology

    2011  Volume 27, Issue 3, Page(s) 268–275

    Abstract: Purpose of review: Cells lining the biliary tree are targets of injury, but also orchestrate liver repair. The latter involves autocrine/paracrine signaling that enhances the viability and growth of residual ductular cells and promotes accumulation of ... ...

    Abstract Purpose of review: Cells lining the biliary tree are targets of injury, but also orchestrate liver repair. The latter involves autocrine/paracrine signaling that enhances the viability and growth of residual ductular cells and promotes accumulation of inflammatory and myofibroblastic cells. The mechanisms mediating this so-called 'ductular reaction' need to be better understood to improve injury outcomes. Studies are revealing that ductular cells produce and respond to hedgehog (Hh) ligands, developmental morphogens that control progenitor cell fate and tissue construction during embryogenesis. Because this has potential implications for liver repair, this review will summarize current knowledge about Hh signaling and cholangiocytes.
    Recent findings: Diverse types of liver injury stimulate cholangiocytes to generate Hh ligands, and cholangiocyte-derived Hh ligands interact with receptors on cholangiocytes and neighboring cells to modulate virtually every aspect of the ductular reaction to injury. Excessive Hh signaling promotes dysfunctional repair and results in chronic hepatic inflammation, fibrogenesis, and carcinogenesis.
    Summary: The Hh pathway is part of the complex signaling network that orchestrates liver repair. How other pathways and posttranscriptional mechanisms modulate Hh signaling in ductular cells remains unclear. Further research in this area may identify novel therapeutic targets for the treatment of cholangiopathies and cholangiocarcinoma.
    MeSH term(s) Biliary Tract/cytology ; Biliary Tract/metabolism ; Biliary Tract Diseases/metabolism ; Cholangiocarcinoma/metabolism ; Epithelium/metabolism ; Hedgehog Proteins/biosynthesis ; Hedgehog Proteins/metabolism ; Humans ; Liver/cytology ; Liver/metabolism ; Liver Diseases/metabolism ; Phenotype ; Signal Transduction/physiology
    Chemical Substances Hedgehog Proteins
    Language English
    Publishing date 2011-02-17
    Publishing country United States
    Document type Journal Article ; Research Support, N.I.H., Extramural ; Review
    ZDB-ID 632571-3
    ISSN 1531-7056 ; 0267-1379
    ISSN (online) 1531-7056
    ISSN 0267-1379
    DOI 10.1097/MOG.0b013e32834550b4
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: Chronic Infantile Neurological Cutaneous and Articular (CINCA) syndrome: a review.

    Finetti, Martina / Omenetti, Alessia / Federici, Silvia / Caorsi, Roberta / Gattorno, Marco

    Orphanet journal of rare diseases

    2016  Volume 11, Issue 1, Page(s) 167

    Abstract: Introduction: The Chronic Infantile Neurological Cutaneous and Articular (CINCA, or Neonatal-onset multisystem inflammatory disease NOMID) is a rare autoinflammatory disease identified in 1987 by Prieur et al., typically characterized by the triad of ... ...

    Abstract Introduction: The Chronic Infantile Neurological Cutaneous and Articular (CINCA, or Neonatal-onset multisystem inflammatory disease NOMID) is a rare autoinflammatory disease identified in 1987 by Prieur et al., typically characterized by the triad of skin rash, arthropathy and central nervous system manifestations. It represents the most severe phenotype of the cryopyrin-associated periodic syndrome (CAPS).
    Clinical description and etiology: The syndrome is due to autosomal dominant gain of function mutations in NLRP3, which encodes a key component of the innate immunity that regulates the activation and secretion of interleukin (IL)-1β. From the first days of life, patients display an urticarial rash in association with chronic inflammation with a typical facies featured by frontal bossing and saddle back nose. The CNS manifestations include chronic aseptic meningitis leading to brain atrophy, mental delay and sensorineural hearing loss. Chronic polyarthritis and alteration of the growth cartilage also may be present. CINCA/NOMID diagnosis is made clinically, based on the presence of characteristic features. The detection of NLRP3 mutations is diagnostic in 65-70% of cases. Indeed, up to 40% of affected patients are negative for germline NLRP3 mutations and several subjects are carriers of somatic mosaicism. Due to the pivotal role of Cryopyrin in the control of Caspase-1 activation and the massive secretion of active IL-1β observed in cryopyrin-mutated individuals, anti-IL1 treatment represents the standard therapy.
    Conclusion: Prognosis of CINCA/NOMID syndrome has been changed by the availability of anti-IL1 drugs. Nowadays, the use of anti-IL-1 drugs has sensibly reduced the risk of developing main complications such as severe intellectual disability, hearing-loss and amyloidosis, if treatment is started early on.
    Language English
    Publishing date 2016--07
    Publishing country England
    Document type Review ; Journal Article
    ISSN 1750-1172
    ISSN (online) 1750-1172
    DOI 10.1186/s13023-016-0542-8
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article: Inherited autoinflammatory diseases: a critical digest of the recent literature.

    Omenetti, Alessia / Federici, Silvia / Gattorno, Marco

    Clinical and experimental rheumatology

    2013  Volume 31, Issue 3 Suppl 77, Page(s) 118–126

    Abstract: In this paper we provide a critical digest of the recent literature on inherited autoinflammatory diseases. We reviewed all the articles published during the last 24 months on monogenic autoinflammatory diseases and selected the most relevant studies ... ...

    Abstract In this paper we provide a critical digest of the recent literature on inherited autoinflammatory diseases. We reviewed all the articles published during the last 24 months on monogenic autoinflammatory diseases and selected the most relevant studies regarding the pathogenesis, clinical aspects and management of these conditions. In particular, we focused the attention on the more frequent conditions, familial Mediterranean fever (FMF), cryopyrin-associated periodic syndrome (CAPS) and TNF-receptor associated periodic syndrome (TRAPS).
    MeSH term(s) Animals ; Cryopyrin-Associated Periodic Syndromes/genetics ; Cryopyrin-Associated Periodic Syndromes/immunology ; Familial Mediterranean Fever/genetics ; Familial Mediterranean Fever/immunology ; Fever ; Genetic Predisposition to Disease ; Hereditary Autoinflammatory Diseases/genetics ; Hereditary Autoinflammatory Diseases/immunology ; Humans ; Immunosuppressive Agents/therapeutic use ; Phenotype ; Prognosis ; Risk Factors
    Chemical Substances Immunosuppressive Agents
    Language English
    Publishing date 2013-05
    Publishing country Italy
    Document type Journal Article ; Review
    ZDB-ID 605886-3
    ISSN 1593-098X ; 0392-856X
    ISSN (online) 1593-098X
    ISSN 0392-856X
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article ; Online: Principles of inflammation for the pediatrician.

    Omenetti, Alessia / Chiesa, Sabrina / Gattorno, Marco

    Pediatric clinics of North America

    2012  Volume 59, Issue 2, Page(s) 225–243

    Abstract: The immune system consists of 2 branches: innate and adaptive. The former represents the first line of host defense during infection and plays a key role in the early recognition and protection against invading pathogens. The latter orchestrates ... ...

    Abstract The immune system consists of 2 branches: innate and adaptive. The former represents the first line of host defense during infection and plays a key role in the early recognition and protection against invading pathogens. The latter orchestrates elimination of pathogens in the late phase of infection and leads to the generation of immunologic memory. Innate and adaptive immunity should not be considered separate compartments. Innate and adaptive immune responses represent an integrated system of host defense. The authors review the mechanisms driving the induction and perpetuation of the inflammatory responses observed during pathogen-associated, autoimmune, and autoinflammatory diseases.
    MeSH term(s) Acute-Phase Reaction/immunology ; Adaptive Immunity ; Child ; Humans ; Immunity, Innate ; Inflammation/immunology
    Language English
    Publishing date 2012-04
    Publishing country United States
    Document type Journal Article ; Review
    ZDB-ID 215711-1
    ISSN 1557-8240 ; 0031-3955
    ISSN (online) 1557-8240
    ISSN 0031-3955
    DOI 10.1016/j.pcl.2012.03.004
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article: The adventures of sonic hedgehog in development and repair. II. Sonic hedgehog and liver development, inflammation, and cancer.

    Omenetti, Alessia / Diehl, Anna Mae

    American journal of physiology. Gastrointestinal and liver physiology

    2008  Volume 294, Issue 3, Page(s) G595–8

    Abstract: Hedgehog (Hh) signaling modulates tissue remodeling by controlling the fate of Hh-responsive cells. Healthy adult livers exhibit little Hh activity. However, cells involved in adult liver repair, including myofibroblasts and progenitors, are capable of ... ...

    Abstract Hedgehog (Hh) signaling modulates tissue remodeling by controlling the fate of Hh-responsive cells. Healthy adult livers exhibit little Hh activity. However, cells involved in adult liver repair, including myofibroblasts and progenitors, are capable of producing and responding to Hh ligands. During adult liver injury, Hh ligand production increases and populations of Hh-responsive cells expand. This process is accompanied by fibrosis. Ligand production and Hh-responsive cells diminish as fibrosis resolves and normal hepatic architecture is restored, but Hh signaling persists in hepatocellular carcinomas. These findings suggest that the Hh pathway mediates remodeling responses that are triggered by adult liver damage.
    MeSH term(s) Animals ; Hedgehog Proteins/physiology ; Hepatitis/physiopathology ; Humans ; Liver/growth & development ; Liver Neoplasms/chemically induced ; Liver Neoplasms/physiopathology ; Mice ; Rats ; Signal Transduction
    Chemical Substances Hedgehog Proteins
    Language English
    Publishing date 2008-03
    Publishing country United States
    Document type Journal Article ; Review
    ZDB-ID 603840-2
    ISSN 1522-1547 ; 0193-1857
    ISSN (online) 1522-1547
    ISSN 0193-1857
    DOI 10.1152/ajpgi.00543.2007
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Article ; Online: Cancer stem cells: repair gone awry?

    Rangwala, Fatima / Omenetti, Alessia / Diehl, Anna Mae

    Journal of oncology

    2010  Volume 2011, Page(s) 465343

    Abstract: Because cell turnover occurs in all adult organs, stem/progenitor cells within the stem-cell niche of each tissue must be appropriately mobilized and differentiated to maintain normal organ structure and function. Tissue injury increases the demands on ... ...

    Abstract Because cell turnover occurs in all adult organs, stem/progenitor cells within the stem-cell niche of each tissue must be appropriately mobilized and differentiated to maintain normal organ structure and function. Tissue injury increases the demands on this process, and thus may unmask defective regulation of pathways, such as Hedgehog (Hh), that modulate progenitor cell fate. Hh pathway dysregulation has been demonstrated in many types of cancer, including pancreatic and liver cancers, in which defective Hh signaling has been linked to outgrowth of Hh-responsive cancer stem-initiating cells and stromal elements. Hence, the Hh pathway might be a therapeutic target in such tumors.
    Language English
    Publishing date 2010-12-05
    Publishing country Egypt
    Document type Journal Article
    ZDB-ID 2461349-6
    ISSN 1687-8469 ; 1687-8450
    ISSN (online) 1687-8469
    ISSN 1687-8450
    DOI 10.1155/2011/465343
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