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Article ; Online: Circulating Tumor DNA Analysis in Colorectal Cancer: From Dream to Reality.

Antoniotti, Carlotta / Pietrantonio, Filippo / Corallo, Salvatore / De Braud, Filippo / Falcone, Alfredo / Cremolini, Chiara

JCO precision oncology

2022 Volume 3, Page(s) 1–14

Language	English
Publishing date	2022-01-31
Publishing country	United States
Document type	Journal Article
ISSN	2473-4284
ISSN (online)	2473-4284
DOI	10.1200/PO.18.00397
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Article: Nutritional support management in resectable gastric cancer.

Serra, Francesco / Pedrazzoli, Paolo / Brugnatelli, Silvia / Pagani, Anna / Corallo, Salvatore / Rosti, Giovanni / Caccialanza, Riccardo / Viganò, Jacopo / Carminati, Ornella

Drugs in context

2022 Volume 11

Abstract: Gastric cancer is the sixth most common malignancy in the world. However, its mortality has been decreasing in the last years thanks to improvement in diagnostics and therapeutics. Nevertheless, the high rate of malnutrition in patients with gastric ... ...

Abstract	Gastric cancer is the sixth most common malignancy in the world. However, its mortality has been decreasing in the last years thanks to improvement in diagnostics and therapeutics. Nevertheless, the high rate of malnutrition in patients with gastric cancer still has a major impact on the overall survival and quality of life of patients. The narrative review presents the most recent data on nutritional support in the resectable stages of gastric cancer, with a particular focus on perioperative strategies, and discusses malnutrition in gastric cancer, nutritional support before and after surgery, and the relationship between nutritional support and chemotherapy. Despite the predominantly methodological limitations related to the difficulty of performing randomized controlled trials on nutritional support in cancer patients, this review highlights important points. Nutritional counselling is essential starting from diagnosis. In limited or locally advanced forms (about 40% of cases), the therapeutic cornerstone is represented by gastric surgery. In most of these cases, perioperative chemotherapy is also indicated. Of note, nutritional support varies before and after surgery. In the preoperative period, the goal is to prepare the body for surgery, with available evidence recommending the prescription of immunonutrition (both oral and artificial, as appropriate). In the postoperative period, on the other hand, the objective is to facilitate recovery and adaptation to the new anatomy; an early and combined strategy (oral and enteral) seems to be the most suitable to pursue this. Unfortunately, rigorous data on the relationship between nutritional support and chemotherapy treatments used in resectable gastric cancer are not available. In the absence of strong scientific evidence, it may be useful to adopt a personalized multidisciplinary strategy for each patient wherein the chemotherapy programme is modulated based on nutritional status.
Language	English
Publishing date	2022-10-24
Publishing country	England
Document type	Journal Article ; Review
ZDB-ID	2719560-0
ISSN	1740-4398 ; 1745-1981
ISSN (online)	1740-4398
ISSN	1745-1981
DOI	10.7573/dic.2022-5-1
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Article ; Online: Overcoming Resistance to Targeted Therapies in Gastrointestinal Cancers: Progress to Date and Progress to Come.

Chen, Christopher / Di Bartolomeo, Maria / Corallo, Salvatore / Strickler, John H / Goyal, Lipika

American Society of Clinical Oncology educational book. American Society of Clinical Oncology. Annual Meeting

2020 Volume 40, Page(s) 161–173

Abstract: Targeted therapies have transformed the treatment paradigm in diseases such as non-small cell lung cancer and melanoma but have shown relatively modest clinical benefit in gastrointestinal malignancies. Anti-EGFR therapy ... ...

Abstract	Targeted therapies have transformed the treatment paradigm in diseases such as non-small cell lung cancer and melanoma but have shown relatively modest clinical benefit in gastrointestinal malignancies. Anti-EGFR therapy in
MeSH term(s)	Antineoplastic Agents/therapeutic use ; Drug Resistance, Neoplasm ; ErbB Receptors/antagonists & inhibitors ; Gastrointestinal Neoplasms/drug therapy ; Humans ; Isocitrate Dehydrogenase/antagonists & inhibitors ; Molecular Targeted Therapy ; Receptor, ErbB-2/antagonists & inhibitors ; Receptors, Fibroblast Growth Factor/antagonists & inhibitors
Chemical Substances	Antineoplastic Agents ; Receptors, Fibroblast Growth Factor ; Isocitrate Dehydrogenase (EC 1.1.1.41) ; IDH1 protein, human (EC 1.1.1.42.) ; EGFR protein, human (EC 2.7.10.1) ; ERBB2 protein, human (EC 2.7.10.1) ; ErbB Receptors (EC 2.7.10.1) ; Receptor, ErbB-2 (EC 2.7.10.1)
Language	English
Publishing date	2020-05-11
Publishing country	United States
Document type	Journal Article ; Review
ZDB-ID	2431126-1
ISSN	1548-8756 ; 1548-8748
ISSN (online)	1548-8756
ISSN	1548-8748
DOI	10.1200/EDBK_280871
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Article: Transient receptor potential ankyrin 1 (TRPA1) mediates reactive oxygen species-induced Ca

Faris, Pawan / Rumolo, Agnese / Pellavio, Giorgia / Tanzi, Matteo / Vismara, Mauro / Berra-Romani, Roberto / Gerbino, Andrea / Corallo, Salvatore / Pedrazzoli, Paolo / Laforenza, Umberto / Montagna, Daniela / Moccia, Francesco

Cell death discovery

2023 Volume 9, Issue 1, Page(s) 213

Abstract: Colorectal carcinoma (CRC) represents the fourth most common cancer worldwide and is the third most common cause of malignancy-associated mortality. Distant metastases to the liver and lungs are the main drivers of CRC-dependent death. Pro-oxidant ... ...

Abstract	Colorectal carcinoma (CRC) represents the fourth most common cancer worldwide and is the third most common cause of malignancy-associated mortality. Distant metastases to the liver and lungs are the main drivers of CRC-dependent death. Pro-oxidant therapies, which halt disease progression by exacerbating oxidative stress, represent an antitumour strategy that is currently exploited by chemotherapy and ionizing radiation. A more selective strategy to therapeutically exploit reactive oxygen species (ROS) signaling would consist in targeting a redox sensor that is up-regulated in metastatic cells and is tightly coupled to the stimulation of cancer cell death programs. The non-selective cation channel, Transient Receptor Potential Ankyrin 1 (TRPA1), serves as a sensor of the cellular redox state, being activated to promote extracellular Ca
Language	English
Publishing date	2023-07-01
Publishing country	United States
Document type	Journal Article
ISSN	2058-7716
ISSN	2058-7716
DOI	10.1038/s41420-023-01530-x
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Article ; Online: The relationship between anatomy and electrical parameters in His bundle pacing: A transthoracic echocardiography evaluation.

Coluccia, Giovanni / Senes, Jacopo / Corallo, Serena / Aste, Milena / Oddone, Daniele / Donateo, Paolo / Puggioni, Enrico / Brignole, Michele

Journal of electrocardiology

2021 Volume 68, Page(s) 85–89

Abstract: Purpose: The implantation site of the His bundle (HB) lead may influence pacing parameters. Our aim was to characterize the anatomical location of the HB lead tip and its relationship with acute electrical parameters.: Methods: Consecutive patients ... ...

Abstract	Purpose: The implantation site of the His bundle (HB) lead may influence pacing parameters. Our aim was to characterize the anatomical location of the HB lead tip and its relationship with acute electrical parameters. Methods: Consecutive patients who underwent HB lead implantation, guided by standard fluoroscopy and electrophysiology, were prospectively enrolled. The relationship between HB lead tip and tricuspid valve plane (TVP) was assessed with post-procedure transthoracic echocardiography. Results: Twenty-five patients were studied. In 11 patients (44%), the HB lead tip did not cross the TVP (A group): in 7 cases it was screwed in the right atrium at a mean distance of -6.1 mm from the TVP and, in 4 cases, at the level of the tricuspid annulus. In the remaining 14 patients (56%), the lead tip crossed the TVP (V group): it was screwed in the right ventricle at a mean distance of 9.3 mm from the TVP. A and V groups had comparable HB capture thresholds (1.6 ± 1 V vs 1.7 ± 0.7 V, 1 ms pulse-width; p = 0.66); selective HB capture was significantly more represented in the A group (91% vs 21%; p = 0.001). Significantly higher R-wave amplitudes were seen in the V group (6.7 ± 3 vs 2.5 ± 1.7 mV; p = 0.0004), and they positively correlated with the distance from the TVP (p = 0.0038). Atrial oversensing was never observed. Conclusion: In a consecutive cohort of HB pacing recipients, the rate of patients who had an effective HB capture in the atrium was substantial and was characterized by different electrophysiological properties than in the ventricle.
MeSH term(s)	Bundle of His ; Cardiac Pacing, Artificial ; Echocardiography ; Electrocardiography ; Heart Rate ; Humans
Language	English
Publishing date	2021-07-31
Publishing country	United States
Document type	Journal Article
ZDB-ID	410286-1
ISSN	1532-8430 ; 0022-0736
ISSN (online)	1532-8430
ISSN	0022-0736
DOI	10.1016/j.jelectrocard.2021.07.019
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Article ; Online: Impact of age and gender on the efficacy and safety of upfront therapy with panitumumab plus FOLFOX followed by panitumumab-based maintenance: a pre-specified subgroup analysis of the Valentino study.

Raimondi, A / Fucà, G / Leone, A G / Lonardi, S / Antoniotti, C / Smiroldo, V / Amatu, A / Tampellini, M / Ritorto, G / Murialdo, R / Clavarezza, M / Zaniboni, A / Berenato, R / Ratti, M / Corallo, S / Morano, F / Di Bartolomeo, M / Di Maio, M / Pietrantonio, F

ESMO open

2021 Volume 6, Issue 5, Page(s) 100246

Abstract: Background: The safety and efficacy outcome of elderly metastatic colorectal cancer (mCRC) patients fit enough to receive combination chemotherapy plus biological agents is an issue of growing interest. Also, gender-specific differential toxicity and ... ...

Abstract	Background: The safety and efficacy outcome of elderly metastatic colorectal cancer (mCRC) patients fit enough to receive combination chemotherapy plus biological agents is an issue of growing interest. Also, gender-specific differential toxicity and efficacy of anti-epidermal growth factor receptor (EGFR)-based upfront treatments need to be explored. Patients and methods: Valentino was a multicenter, randomized, phase II trial, investigating two panitumumab-based maintenance strategies following first-line panitumumab plus FOLFOX in RAS wild-type mCRC patients. We carried out a subgroup analysis, aimed at assessing the differences in efficacy, safety and quality of life (QoL) according to age (<70 versus ≥70 years) and gender (male versus female). Efficacy endpoints were progression-free survival (PFS), overall survival (OS) and overall response rate (ORR); safety endpoints were rates of any grade and grade 3/4 adverse events (AEs). Results: No significant differences in terms of PFS, OS and ORR were observed between patients aged <70 or ≥70 years and the effect of the maintenance treatment arm on survival outcomes was similar in the two subgroups. The safety profile of both induction and maintenance treatment and the impact on QoL were similar in elderly and younger patients. No significant differences in PFS, OS, ORR or clinical benefit rate were observed according to gender. A significantly higher rate of overall grade 3/4 AEs (P = 0.008) and of grade 3/4 thrombocytopenia (P = 0.017), any grade and grade 3/4 neutropenia (P < 0.0001) and any grade conjunctivitis (P = 0.033) was reported in female as compared to male patients. Conversely, we reported a significantly higher incidence of any grade skin rash (P = 0.0007) and hypomagnesemia (P = 0.029) in male patients. Conclusions: The upfront choice of an anti-EGFR-based doublet chemotherapy followed by a maintenance strategy represents a valuable option in RAS wild-type mCRC irrespective of gender and age, though a careful evaluation of patients to maximize the risk/benefit ratio is warranted.
MeSH term(s)	Aged ; Antineoplastic Combined Chemotherapy Protocols/adverse effects ; Colorectal Neoplasms/drug therapy ; Female ; Fluorouracil/adverse effects ; Humans ; Male ; Panitumumab/therapeutic use ; Quality of Life
Chemical Substances	Panitumumab (6A901E312A) ; Fluorouracil (U3P01618RT)
Language	English
Publishing date	2021-08-17
Publishing country	England
Document type	Clinical Trial, Phase II ; Journal Article ; Multicenter Study ; Randomized Controlled Trial ; Research Support, Non-U.S. Gov't
ISSN	2059-7029
ISSN (online)	2059-7029
DOI	10.1016/j.esmoop.2021.100246
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Article ; Online: Should we exclude patients with peritoneal carcinosis of colorectal origin and high PCI from CRS + HIPEC?

Fugazzola, Paola / Moroni, Alessandro / Agnoletti, Vanni / Catena, Fausto / Cobianchi, Lorenzo / Corallo, Salvatore / Dal Mas, Francesca / Frassini, Simone / Maestri, Marcello / Magnone, Stefano / Pagani, Anna / Pedrazzoli, Paolo / Rigamonti, Andrea / Santandrea, Giorgia / Tomasoni, Matteo / Vallicelli, Carlo / Viganò, Jacopo / Ansaloni, Luca

Updates in surgery

2023 Volume 75, Issue 7, Page(s) 1819–1825

Abstract: International guidelines exclude from surgery patients with peritoneal carcinosis of colorectal origin and a peritoneal cancer index (PCI) ≥ 16. This study aims to analyze the outcomes of patients with colorectal peritoneal carcinosis and PCI greater or ... ...

Abstract	International guidelines exclude from surgery patients with peritoneal carcinosis of colorectal origin and a peritoneal cancer index (PCI) ≥ 16. This study aims to analyze the outcomes of patients with colorectal peritoneal carcinosis and PCI greater or equal to 16 treated with cytoreductive surgery (CRS) and hyperthermic intraperitoneal chemotherapy (HIPEC) (CRS + HIPEC). We retrospectively performed a multicenter observational study involving three Italian institutions, namely the IRCCS Policlinico San Matteo in Pavia, the M. Bufalini Hospital in Cesena, and the ASST Papa Giovanni XXIII Hospital in Bergamo. The study included all patients undergoing CRS + HIPEC for peritoneal carcinosis from colorectal origin from November 2011 to June 2022. The study included 71 patients: 56 with PCI < 16 and 15 with PCI ≥ 16. Patients with higher PCI had longer operative times and a statistically significant higher rate of not complete cytoreduction, with a Completeness of Cytoreduction score (CC) 1 (microscopical disease) of 30.8% (p = 0.004). The 2-year OS was 81% for PCI < 16 and 37% for PCI ≥ 16 (p < 0.001). The 2-years DFS was 29% for PCI < 16 and 0% for PCI ≥ 16 (p < 0.001). The 2-year peritoneal DFS for patients with PCI < 16 was 48%, and for patients with PCI ≥ 16 was 57% (p = 0.783). CRS and HIPEC provide reasonable local disease control for patients with carcinosis of colorectal origin and PCI ≥ 16. Such results form the basis for new studies to reassess the exclusion of these patients, as set out in the current guidelines, from CRS and HIPEC. This therapy, combined with new therapeutical strategies, i.e., pressurized intraperitoneal aerosol chemotherapy (PIPAC), could offer reasonable local control of the disease, preventing local complications. As a result, it increases the patient's chances of receiving chemotherapy to improve the systemic control of the disease.
Language	English
Publishing date	2023-07-09
Publishing country	Italy
Document type	Journal Article
ZDB-ID	2572692-4
ISSN	2038-3312 ; 2038-131X
ISSN (online)	2038-3312
ISSN	2038-131X
DOI	10.1007/s13304-023-01579-4
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Article ; Online: Additional benefits of nonconventional modalities of cardiac resynchronization therapy using His bundle pacing.

Coluccia, Giovanni / Vitale, Elena / Corallo, Serena / Aste, Milena / Odaglia, Federica / Donateo, Paolo / Oddone, Daniele / Brignole, Michele

Journal of cardiovascular electrophysiology

2020 Volume 31, Issue 3, Page(s) 647–657

Abstract: Introduction: Dyssynchrony persists in many patients despite cardiac resynchronization therapy (CRT). Aim of this proof-of-concept study was to achieve better CRT, with a QRS approximating the normal width and axis, by using His bundle pacing (HBP) and ... ...

Abstract	Introduction: Dyssynchrony persists in many patients despite cardiac resynchronization therapy (CRT). Aim of this proof-of-concept study was to achieve better CRT, with a QRS approximating the normal width and axis, by using His bundle pacing (HBP) and nonconventional pacing configurations. Methods and results: In 20 patients with CRT indications, we performed an acute intrapatient comparison between conventional biventricular (CONV) and three nonconventional pacing modalities: HBP alone, His bundle, and coronary sinus pacing (HBP + CS), and HBP + CS plus right ventricular pacing (TRIPLE). Electrical dyssynchrony was assessed by means of QRS width and axis; "quasi-normal" axis meant an R/S ratio ≥ 1 in leads I and V6 and ≤1 in V1. Mechanical dyssynchrony was assessed by speckle tracking echocardiography. QRS width was 153 ± 18 ms on CONV, shortened to 137 ± 16 ms on HBP + CS (P = .001) and to 130 ± 14 ms on TRIPLE (P = .001), while it remained unchanged on HBP (159 ± 32 ms; P = .17). The rate of patients with "quasi-normal" axis was 5% on CONV, and increased to 90% on HBP (P = .0001), to 63% on HBP + CS (P = .001), and to 44% on TRIPLE (P = .02). On radial strain analysis, the time-to-peak difference between anteroseptal and posterolateral segments was 143 ± 116 ms on CONV, shortened to 121 ± 127 ms on HBP (P = .79), to 67 ± 70 ms on HBP + CS (P = .02), and to 76 ± 55 ms on TRIPLE (P = .05). On discharge, HBP was chosen in 15% of patients, HBP + CS in 55%, and TRIPLE in 30%; CONV was never chosen. Conclusion: Nonconventional modalities of CRT provide acute additional electrical and mechanical resynchronization. An interpatient variability exists.
MeSH term(s)	Action Potentials ; Aged ; Aged, 80 and over ; Arrhythmias, Cardiac/diagnosis ; Arrhythmias, Cardiac/physiopathology ; Arrhythmias, Cardiac/therapy ; Bundle of His/physiopathology ; Cardiac Resynchronization Therapy/methods ; Female ; Heart Failure/diagnosis ; Heart Failure/physiopathology ; Heart Failure/therapy ; Heart Rate ; Humans ; Male ; Middle Aged ; Proof of Concept Study ; Prospective Studies ; Time Factors ; Treatment Outcome
Language	English
Publishing date	2020-01-24
Publishing country	United States
Document type	Comparative Study ; Journal Article
ZDB-ID	1025989-2
ISSN	1540-8167 ; 1045-3873
ISSN (online)	1540-8167
ISSN	1045-3873
DOI	10.1111/jce.14359
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Article ; Online: Left bundle branch area pacing in a young athlete with progressive cardiac conduction (Lev-Lenegre) disease.

Coluccia, Giovanni / Oddone, Daniele / Maggi, Roberto / Corallo, Serena / Senes, Jacopo / Donateo, Paolo / Puggioni, Enrico / Brignole, Michele

Journal of electrocardiology

2020 Volume 64, Page(s) 95–98

Abstract: We present the case of a professional soccer player affected by right bundle branch block and symptomatic 2:1 atrio-ventricular block during effort, due to progressive cardiac conduction disease (Lev-Lenegre disease), who received successful left bundle ... ...

Abstract	We present the case of a professional soccer player affected by right bundle branch block and symptomatic 2:1 atrio-ventricular block during effort, due to progressive cardiac conduction disease (Lev-Lenegre disease), who received successful left bundle branch area pacing after a failed attempt at His bundle pacing. The electrocardiographic outcome of paced QRS was consistent with a rapid electrical activation of the left ventricle through the Purkinje system. The pursue of physiological pacing was preferred over conventional, given the young age of our patient and the expectedly high burden of stimulation, to reduce the long-term risk of pacing-induced cardiomyopathy.
MeSH term(s)	Athletes ; Bundle of His ; Bundle-Branch Block/diagnosis ; Bundle-Branch Block/therapy ; Cardiac Pacing, Artificial ; Electrocardiography ; Humans
Language	English
Publishing date	2020-12-26
Publishing country	United States
Document type	Journal Article
ZDB-ID	410286-1
ISSN	1532-8430 ; 0022-0736
ISSN (online)	1532-8430
ISSN	0022-0736
DOI	10.1016/j.jelectrocard.2020.12.011
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Article: Biomarker Landscape in Neuroendocrine Tumors With High-Grade Features: Current Knowledge and Future Perspective.

Prisciandaro, Michele / Antista, Maria / Raimondi, Alessandra / Corti, Francesca / Morano, Federica / Centonze, Giovanni / Sabella, Giovanna / Mangogna, Alessandro / Randon, Giovanni / Pagani, Filippo / Prinzi, Natalie / Niger, Monica / Corallo, Salvatore / Castiglioni di Caronno, Erica / Massafra, Marco / Bartolomeo, Maria Di / de Braud, Filippo / Milione, Massimo / Pusceddu, Sara

Frontiers in oncology

2022 Volume 12, Page(s) 780716

Abstract: Neuroendocrine tumors (NETs) are classified based on morphology and are graded based on their proliferation rate as either well-differentiated low-grade (G1) to intermediate (G2-G3) or poorly differentiated high-grade neuroendocrine carcinomas (NEC G3). ... ...

Abstract	Neuroendocrine tumors (NETs) are classified based on morphology and are graded based on their proliferation rate as either well-differentiated low-grade (G1) to intermediate (G2-G3) or poorly differentiated high-grade neuroendocrine carcinomas (NEC G3). Recently, in gastroenteropancreatic (GEP) NETs, a new subgroup of well-differentiated high-grade tumors (NET G3) has been divided from NEC by WHO due to its different clinical-pathologic features. Although several mutational analyses have been performed, a molecular classification of NET is an unmet need in particular for G3, which tends to be more aggressive and have less benefit to the available therapies. Specifically, new possible prognostic and, above all, predictive factors are highly awaited, giving the basis for new treatments. Alteration of
Language	English
Publishing date	2022-02-04
Publishing country	Switzerland
Document type	Journal Article ; Review
ZDB-ID	2649216-7
ISSN	2234-943X
ISSN	2234-943X
DOI	10.3389/fonc.2022.780716
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