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  1. Article: Multifaceted relationship between diabetes and kidney diseases: Beyond diabetes.

    Esposito, Pasquale / Picciotto, Daniela / Cappadona, Francesca / Costigliolo, Francesca / Russo, Elisa / Macciò, Lucia / Viazzi, Francesca

    World journal of diabetes

    2023  Volume 14, Issue 10, Page(s) 1450–1462

    Abstract: Diabetes mellitus is one of the most common causes of chronic kidney disease. Kidney involvement in patients with diabetes has a wide spectrum of clinical presentations ranging from asymptomatic to overt proteinuria and kidney failure. The development of ...

    Abstract Diabetes mellitus is one of the most common causes of chronic kidney disease. Kidney involvement in patients with diabetes has a wide spectrum of clinical presentations ranging from asymptomatic to overt proteinuria and kidney failure. The development of kidney disease in diabetes is associated with structural changes in multiple kidney compartments, such as the vascular system and glomeruli. Glomerular alterations include thickening of the glomerular basement membrane, loss of podocytes, and segmental mesangiolysis, which may lead to microaneurysms and the development of pathognomonic Kimmelstiel-Wilson nodules. Beyond lesions directly related to diabetes, awareness of the possible coexistence of nondiabetic kidney disease in patients with diabetes is increasing. These nondiabetic lesions include focal segmental glomerulosclerosis, IgA nephropathy, and other primary or secondary renal disorders. Differential diagnosis of these conditions is crucial in guiding clinical management and therapeutic approaches. However, the relationship between diabetes and the kidney is bidirectional; thus, new-onset diabetes may also occur as a complication of the treatment in patients with renal diseases. Here, we review the complex and multifaceted correlation between diabetes and kidney diseases and discuss clinical presentation and course, differential diagnosis, and therapeutic oppor-tunities offered by novel drugs.
    Language English
    Publishing date 2023-09-27
    Publishing country United States
    Document type Journal Article ; Review
    ZDB-ID 2583471-X
    ISSN 1948-9358
    ISSN 1948-9358
    DOI 10.4239/wjd.v14.i10.1450
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Homocysteine exchange across skeletal muscle in patients with chronic kidney disease.

    Garibotto, Giacomo / Picciotto, Daniela / Verzola, Daniela / Valli, Alessando / Sofia, Antonella / Costigliolo, Francesca / Saio, Michela / Viazzi, Francesca / Esposito, Pasquale

    Physiological reports

    2023  Volume 11, Issue 6, Page(s) e15573

    Abstract: Sites and mechanisms regulating the supply of homocysteine (Hcy) to the circulation are unexplored in humans. We studied the exchange of Hcy across the forearm in CKD patients (n = 17, eGFR 20 ± 2 ml/min), in hemodialysis (HD)-treated patients (n = 14) ... ...

    Abstract Sites and mechanisms regulating the supply of homocysteine (Hcy) to the circulation are unexplored in humans. We studied the exchange of Hcy across the forearm in CKD patients (n = 17, eGFR 20 ± 2 ml/min), in hemodialysis (HD)-treated patients (n = 14) and controls (n = 9). Arterial Hcy was ~ 2.5 folds increased in CKD and HD patients (p < 0.05-0.03 vs. controls). Both in controls and in patients Hcy levels in the deep forearm vein were consistently greater (+~7%, p < 0.05-0.01) than the corresponding arterial levels, indicating the occurrence of Hcy release from muscle. The release of Hcy from the forearm was similar among groups. In all groups arterial Hcy varied with its release from muscle (p < 0.03-0.02), suggesting that muscle plays an important role on plasma Hcy levels. Forearm Hcy release was inversely related to folate plasma level in all study groups but neither to vitamin B12 and IL-6 levels nor to muscle protein net balance. These data indicate that the release of Hcy from peripheral tissue metabolism plays a major role in influencing its Hcy plasma levels in humans and patients with CKD, and that folate is a major determinant of Hcy release.
    MeSH term(s) Humans ; Renal Insufficiency, Chronic/therapy ; Renal Dialysis ; Folic Acid ; Vitamin B 12 ; Muscle, Skeletal ; Homocysteine
    Chemical Substances Folic Acid (935E97BOY8) ; Vitamin B 12 (P6YC3EG204) ; Homocysteine (0LVT1QZ0BA)
    Language English
    Publishing date 2023-03-09
    Publishing country United States
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 2724325-4
    ISSN 2051-817X ; 2051-817X
    ISSN (online) 2051-817X
    ISSN 2051-817X
    DOI 10.14814/phy2.15573
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Immunohistochemical Staining of TLR4 in Human Skeletal Muscle Samples.

    Verzola, Daniela / Milanesi, Samantha / Costigliolo, Francesca / Garibotto, Giacomo

    Bio-protocol

    2019  Volume 9, Issue 2, Page(s) e3144

    Abstract: Growing evidence suggests the involvement of TLR4, a receptor in the innate immune system, in muscle loss in uremia. Recently, we have evaluated TLR4 in human skeletal muscle from chronic kidney disease patients, by immunohistochemistry and image ... ...

    Abstract Growing evidence suggests the involvement of TLR4, a receptor in the innate immune system, in muscle loss in uremia. Recently, we have evaluated TLR4 in human skeletal muscle from chronic kidney disease patients, by immunohistochemistry and image analysis. Unlike the commonly-used Western blot method, immunohistochemistry allows for the observation of protein distribution in the intact tissue while, image analysis, its quantification. In fact, our data highlighted our hypothesis that an enhanced TLR4 skeletal muscle cell expression contributes to the activation of the downward inflammatory pathway in uremic sarcopenia. In this protocol, we describe the procedure for immunostaining TLR4 in human skeletal muscle and for quantifying it by image analysis.
    Language English
    Publishing date 2019-01-20
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2833269-6
    ISSN 2331-8325 ; 2331-8325
    ISSN (online) 2331-8325
    ISSN 2331-8325
    DOI 10.21769/BioProtoc.3144
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article: SA-β-Gal in Kidney Tubules as a Predictor of Renal Outcome in Patients with Chronic Kidney Disease.

    Esposito, Pasquale / Picciotto, Daniela / Verzola, Daniela / Garibotto, Giacomo / Parodi, Emanuele Luigi / Sofia, Antonella / Costigliolo, Francesca / Gaggero, Gabriele / Zanetti, Valentina / Saio, Michela / Viazzi, Francesca

    Journal of clinical medicine

    2024  Volume 13, Issue 2

    Abstract: Cellular senescence has emerged as an important driver of aging and age-related disease in the kidney. The activity of β-galactosidase at pH 6 (SA-β-Gal) is a classic maker of senescence in cellular biology; however, the predictive role of kidney tissue ... ...

    Abstract Cellular senescence has emerged as an important driver of aging and age-related disease in the kidney. The activity of β-galactosidase at pH 6 (SA-β-Gal) is a classic maker of senescence in cellular biology; however, the predictive role of kidney tissue SA-β-Gal on eGFR loss in chronic kidney disease (CKD) is still not understood. We retrospectively studied the expression of SA-β-Gal in kidney biopsies obtained in a cohort [
    Language English
    Publishing date 2024-01-06
    Publishing country Switzerland
    Document type Journal Article
    ZDB-ID 2662592-1
    ISSN 2077-0383
    ISSN 2077-0383
    DOI 10.3390/jcm13020322
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: Collagen Type III Glomerulopathy.

    Wilson, AnnaLisa V / Costigliolo, Francesca / Farris, Alton B / Rengen, Rohan / Arend, Lois J

    Kidney international reports

    2021  Volume 6, Issue 6, Page(s) 1738–1742

    Language English
    Publishing date 2021-03-30
    Publishing country United States
    Document type Case Reports
    ISSN 2468-0249
    ISSN (online) 2468-0249
    DOI 10.1016/j.ekir.2021.03.887
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: Application of the ANCA Renal Risk Score in the United States: A Single-Center Experience.

    Kant, Sam / Costigliolo, Francesca / Brix, Silke R / Fenaroli, Paride / Rosenberg, Avi / Geetha, Duvuru

    Kidney medicine

    2021  Volume 3, Issue 4, Page(s) 686–688

    Language English
    Publishing date 2021-06-05
    Publishing country United States
    Document type Journal Article
    ISSN 2590-0595
    ISSN (online) 2590-0595
    DOI 10.1016/j.xkme.2021.04.005
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article ; Online: Acute Kidney Injury in a Patient with Trisomy 21.

    Kim, Hannah S / Costigliolo, Francesca / Bagnasco, Serena / Fadrowski, Jeffrey / Ruebner, Rebecca L

    Pediatrics in review

    2021  Volume 42, Issue 5, Page(s) 266–269

    MeSH term(s) Acute Kidney Injury/diagnosis ; Acute Kidney Injury/etiology ; Acute Kidney Injury/therapy ; Down Syndrome/complications ; Down Syndrome/diagnosis ; Humans ; Kidney ; Leukemia, Myeloid, Acute ; Trisomy
    Language English
    Publishing date 2021-04-30
    Publishing country United States
    Document type Journal Article
    ZDB-ID 774515-1
    ISSN 1526-3347 ; 0191-9601
    ISSN (online) 1526-3347
    ISSN 0191-9601
    DOI 10.1542/pir.2020-0012
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article ; Online: Myostatin: Basic biology to clinical application.

    Esposito, Pasquale / Picciotto, Daniela / Battaglia, Yuri / Costigliolo, Francesca / Viazzi, Francesca / Verzola, Daniela

    Advances in clinical chemistry

    2021  Volume 106, Page(s) 181–234

    Abstract: Myostatin is a member of the transforming growth factor (TGF)-β superfamily. It is expressed by animal and human skeletal muscle cells where it limits muscle growth and promotes protein breakdown. Its effects are influenced by complex mechanisms ... ...

    Abstract Myostatin is a member of the transforming growth factor (TGF)-β superfamily. It is expressed by animal and human skeletal muscle cells where it limits muscle growth and promotes protein breakdown. Its effects are influenced by complex mechanisms including transcriptional and epigenetic regulation and modulation by extracellular binding proteins. Due to its actions in promoting muscle atrophy and cachexia, myostatin has been investigated as a promising therapeutic target to counteract muscle mass loss in experimental models and patients affected by different muscle-wasting conditions. Moreover, growing evidence indicates that myostatin, beyond to regulate skeletal muscle growth, may have a role in many physiologic and pathologic processes, such as obesity, insulin resistance, cardiovascular and chronic kidney disease. In this chapter, we review myostatin biology, including intracellular and extracellular regulatory pathways, and the role of myostatin in modulating physiologic processes, such as muscle growth and aging. Moreover, we discuss the most relevant experimental and clinical evidence supporting the extra-muscle effects of myostatin. Finally, we consider the main strategies developed and tested to inhibit myostatin in clinical trials and discuss the limits and future perspectives of the research on myostatin.
    Language English
    Publishing date 2021-11-17
    Publishing country United States
    Document type Journal Article
    ZDB-ID 210505-6
    ISSN 2162-9471 ; 0065-2423
    ISSN (online) 2162-9471
    ISSN 0065-2423
    DOI 10.1016/bs.acc.2021.09.006
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article: Nutritional Challenges in Pregnant Women with Renal Diseases: Relevance to Fetal Outcomes

    Esposito, Pasquale / Garibotto, Giacomo / Picciotto, Daniela / Costigliolo, Francesca / Viazzi, Francesca / Conti, Novella Evelina

    Nutrients. 2020 Mar. 24, v. 12, no. 3

    2020  

    Abstract: Pregnancy in women affected by chronic kidney disease (CKD) has become more common in recent years, probably as a consequence of increased CKD prevalence and improvements in the care provided to these patients. Management of this condition requires ... ...

    Abstract Pregnancy in women affected by chronic kidney disease (CKD) has become more common in recent years, probably as a consequence of increased CKD prevalence and improvements in the care provided to these patients. Management of this condition requires careful attention since many clinical aspects have to be taken into consideration, including the reciprocal influence of the renal disease and pregnancy, the need for adjustment of the medical treatments and the high risk of maternal and obstetric complications. Nutrition assessment and management is a crucial step in this process, since nutritional status may affect both maternal and fetal health, with potential effects also on the future development of adult diseases in the offspring. Nevertheless, few data are available on the nutritional management of pregnant women with CKD and the main clinical indications are based on small case series or are extrapolated from the general recommendations for non-pregnant CKD patients. In this review, we discuss the main issues regarding the nutritional management of pregnant women with renal diseases, including CKD patients on conservative treatment, patients on dialysis and kidney transplant patients, focusing on their relevance on fetal outcomes and considering the peculiarities of this population and the approaches that could be implemented into clinical practice.
    Keywords administrative management ; adults ; dialysis ; kidney diseases ; kidney transplant ; medical treatment ; nutrients ; nutrition assessment ; nutritional status ; patients ; population ; pregnancy ; pregnant women ; prevalence ; progeny ; risk
    Language English
    Dates of publication 2020-0324
    Publishing place Multidisciplinary Digital Publishing Institute
    Document type Article
    Note NAL-light
    ZDB-ID 2518386-2
    ISSN 2072-6643
    ISSN 2072-6643
    DOI 10.3390/nu12030873
    Database NAL-Catalogue (AGRICOLA)

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  10. Article ; Online: Nutritional Challenges in Pregnant Women with Renal Diseases: Relevance to Fetal Outcomes.

    Esposito, Pasquale / Garibotto, Giacomo / Picciotto, Daniela / Costigliolo, Francesca / Viazzi, Francesca / Conti, Novella Evelina

    Nutrients

    2020  Volume 12, Issue 3

    Abstract: Pregnancy in women affected by chronic kidney disease (CKD) has become more common in recent years, probably as a consequence of increased CKD prevalence and improvements in the care provided to these patients. Management of this condition requires ... ...

    Abstract Pregnancy in women affected by chronic kidney disease (CKD) has become more common in recent years, probably as a consequence of increased CKD prevalence and improvements in the care provided to these patients. Management of this condition requires careful attention since many clinical aspects have to be taken into consideration, including the reciprocal influence of the renal disease and pregnancy, the need for adjustment of the medical treatments and the high risk of maternal and obstetric complications. Nutrition assessment and management is a crucial step in this process, since nutritional status may affect both maternal and fetal health, with potential effects also on the future development of adult diseases in the offspring. Nevertheless, few data are available on the nutritional management of pregnant women with CKD and the main clinical indications are based on small case series or are extrapolated from the general recommendations for non-pregnant CKD patients. In this review, we discuss the main issues regarding the nutritional management of pregnant women with renal diseases, including CKD patients on conservative treatment, patients on dialysis and kidney transplant patients, focusing on their relevance on fetal outcomes and considering the peculiarities of this population and the approaches that could be implemented into clinical practice.
    MeSH term(s) Female ; Humans ; Kidney Diseases/diagnosis ; Kidney Diseases/epidemiology ; Kidney Diseases/etiology ; Kidney Diseases/therapy ; Kidney Transplantation ; Nutrition Assessment ; Pregnancy ; Pregnancy Complications/epidemiology ; Pregnancy Outcome ; Prenatal Care ; Prenatal Nutritional Physiological Phenomena ; Renal Dialysis ; Renal Insufficiency, Chronic/epidemiology
    Language English
    Publishing date 2020-03-24
    Publishing country Switzerland
    Document type Journal Article ; Review
    ZDB-ID 2518386-2
    ISSN 2072-6643 ; 2072-6643
    ISSN (online) 2072-6643
    ISSN 2072-6643
    DOI 10.3390/nu12030873
    Database MEDical Literature Analysis and Retrieval System OnLINE

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