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  1. Article: Gender Medicine and Pharmacology.

    Allegra, Sarah / Chiara, Francesco / De Francia, Silvia

    Biomedicines

    2024  Volume 12, Issue 2

    Abstract: Gender-specific medicine consists of a transversal methodological approach that aims to study the influence of sex and gender on diseases [ ... ]. ...

    Abstract Gender-specific medicine consists of a transversal methodological approach that aims to study the influence of sex and gender on diseases [...].
    Language English
    Publishing date 2024-01-24
    Publishing country Switzerland
    Document type Editorial
    ZDB-ID 2720867-9
    ISSN 2227-9059
    ISSN 2227-9059
    DOI 10.3390/biomedicines12020265
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article: COVID-19 Prevention and Treatment.

    De Francia, Silvia / Chiara, Francesco / Allegra, Sarah

    Life (Basel, Switzerland)

    2023  Volume 13, Issue 3

    Abstract: Coronavirus disease 2019 (COVID-19) has spread and become a substantial public health concern worldwide [ ... ]. ...

    Abstract Coronavirus disease 2019 (COVID-19) has spread and become a substantial public health concern worldwide [...].
    Language English
    Publishing date 2023-03-20
    Publishing country Switzerland
    Document type Editorial
    ZDB-ID 2662250-6
    ISSN 2075-1729
    ISSN 2075-1729
    DOI 10.3390/life13030834
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Development and validation of high-performance liquid chromatography method for determination of clarithromycin in pharmaceutical tablets.

    Mahmoudi, Abdelghani / De Francia, Silvia / Paul, Prasanta

    Journal of separation science

    2023  Volume 46, Issue 21, Page(s) e2300424

    Abstract: Clarithromycin is a very important macrolide antibiotic used to treat bacterial infections in human and veterinary medicine. This study reports the development and validation of cost-effective, simple, precise, accurate, and robust high-performance ... ...

    Abstract Clarithromycin is a very important macrolide antibiotic used to treat bacterial infections in human and veterinary medicine. This study reports the development and validation of cost-effective, simple, precise, accurate, and robust high-performance liquid chromatography (HPLC) for the determination of clarithromycin (CLA) in tablets. Reversed-phase chromatography was conducted using a standard column at 55°C with ultraviolet detection at 215 nm. A mobile phase consisting of acetonitrile -2-methyl-2-propanol -potassium phosphate buffer was used at a flow rate of 1.0 mL/min. The proposed method displayed good linearity, precision, accuracy, robustness, and specificity. The present HPLC was compared with capillary electrophoresis and bioassay methods and the results indicated that there was no significant difference between these methods. Moreover, the obtained results demonstrated the validity of the isocratic HPLC, which allows reliable quantitation of CLA in pharmaceutical samples. Thus, it can be used as a substitute alternative methodology for the routine quality control of this medicine, in situations where other methods are less accessible in the laboratory.
    MeSH term(s) Humans ; Chromatography, High Pressure Liquid/methods ; Clarithromycin ; Tablets ; Anti-Bacterial Agents ; Reproducibility of Results
    Chemical Substances Clarithromycin (H1250JIK0A) ; Tablets ; Anti-Bacterial Agents
    Language English
    Publishing date 2023-08-31
    Publishing country Germany
    Document type Journal Article
    ZDB-ID 2047990-6
    ISSN 1615-9314 ; 1615-9306
    ISSN (online) 1615-9314
    ISSN 1615-9306
    DOI 10.1002/jssc.202300424
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Tyrosine kinase inhibitors: the role of pharmacokinetics and pharmacogenetics.

    Sarah, Allegra / Dondi, Emma / De Francia, Silvia

    Expert opinion on drug metabolism & toxicology

    2023  Volume 19, Issue 11, Page(s) 733–739

    MeSH term(s) Humans ; Pharmacogenetics ; Tyrosine Kinase Inhibitors ; Precision Medicine
    Chemical Substances Tyrosine Kinase Inhibitors
    Language English
    Publishing date 2023-11-17
    Publishing country England
    Document type Editorial
    ZDB-ID 2214462-6
    ISSN 1744-7607 ; 1742-5255
    ISSN (online) 1744-7607
    ISSN 1742-5255
    DOI 10.1080/17425255.2023.2277758
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article: Pharmacokinetics of Four Tyrosine Kinase Inhibitors in Adult and Paediatric Chronic Myeloid Leukaemia Patients.

    Allegra, Sarah / Dondi, Emma / Chiara, Francesco / De Francia, Silvia

    Biomedicines

    2023  Volume 11, Issue 9

    Abstract: Tyrosine kinase inhibitors work by blocking the tyrosine kinases responsible for the dysregulation of intracellular signalling pathways in tumour cells. This study looked at the impact of age and sex on the levels of imatinib, dasatinib, nilotinib, and ... ...

    Abstract Tyrosine kinase inhibitors work by blocking the tyrosine kinases responsible for the dysregulation of intracellular signalling pathways in tumour cells. This study looked at the impact of age and sex on the levels of imatinib, dasatinib, nilotinib, and ponatinib in plasma and cerebrospinal fluid samples of patients with chronic myeloid leukaemia. Imatinib and dasatinib were used to treat the majority of the enrolled patients, and most of them were paediatrics. A total of 82.4% of the patients were men; however, sex-related differences in the drugs' pharmacokinetics were not found. Age and imatinib plasma concentration were found to be inversely correlated. The dasatinib concentrations in plasma were found to be substantially lower than those found in cerebrospinal fluid, particularly in paediatrics. Analysing the obtained data, we can state that therapeutic drug monitoring is a useful method for adjusting a patient's treatment schedule that depends on drug concentrations in biological fluids. The use of therapeutic drug monitoring in conjunction with tyrosine kinase inhibitors for the treatment of chronic myeloid leukaemia is supported by a number of sources of evidence. As a result, as the research develops, the tyrosine kinase inhibitor therapeutic drug monitoring classification needs to be refined in terms of factors like sex and age.
    Language English
    Publishing date 2023-09-07
    Publishing country Switzerland
    Document type Journal Article
    ZDB-ID 2720867-9
    ISSN 2227-9059
    ISSN 2227-9059
    DOI 10.3390/biomedicines11092478
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  6. Article: Evaluation of Sex Differences in Preclinical Pharmacology Research: How Far Is Left to Go?

    Allegra, Sarah / Chiara, Francesco / Di Grazia, Daniela / Gaspari, Marco / De Francia, Silvia

    Pharmaceuticals (Basel, Switzerland)

    2023  Volume 16, Issue 6

    Abstract: Until the last quarter of the 20th century, sex was not recognized as a variable in health research, nor was it believed to be a factor that could affect health and illness. Researchers preferred studying male models for a variety of reasons, such as ... ...

    Abstract Until the last quarter of the 20th century, sex was not recognized as a variable in health research, nor was it believed to be a factor that could affect health and illness. Researchers preferred studying male models for a variety of reasons, such as simplicity, lower costs, hormone confounding effects, and fear of liability from perinatal exposure in case of pregnancy. Equitable representation is imperative for determining the safety, effectiveness, and tolerance of therapeutic agents for all consumers. Decades of female models' underrepresentation in preclinical studies has resulted in inequality in the understanding, diagnosis, and treatment of disease between the sexes. Sex bias has been highlighted as one of the contributing factors to the poor translation and replicability of preclinical research. There have been multiple calls for action, and the inclusion of sex as a biological variable is increasingly supported. However, although there has been substantial progress in the efforts to include more female models in preclinical studies, disparities today remain. In the present review, we consider the current standard practice of the preclinical research setting, why the sex bias exists, why there is the need to include female models, and what risks may arise from continuing this exclusion from experimental design.
    Language English
    Publishing date 2023-05-24
    Publishing country Switzerland
    Document type Journal Article ; Review
    ZDB-ID 2193542-7
    ISSN 1424-8247
    ISSN 1424-8247
    DOI 10.3390/ph16060786
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article: Age and Sex-Related Differences in Teicoplanine Isoform Concentrations in SARS-CoV-2 Patients.

    Allegra, Sarah / Chiara, Francesco / Zanatta, Marina / Mengozzi, Giulio / Puccinelli, Maria Paola / De Francia, Silvia

    Life (Basel, Switzerland)

    2023  Volume 13, Issue 9

    Abstract: Teicoplanin, a glycopeptide antibiotic commonly used to treat bacterial infections, was discovered to be active in vitro against SARS-CoV-2. The aim of this study was to assess the levels of teicoplanin and its components in a cohort of adult and ... ...

    Abstract Teicoplanin, a glycopeptide antibiotic commonly used to treat bacterial infections, was discovered to be active in vitro against SARS-CoV-2. The aim of this study was to assess the levels of teicoplanin and its components in a cohort of adult and pediatric SARS-CoV-2 patients, evaluating the effect of sex and age on analyte concentrations. The levels of AST, ALT and leukocytes were shown to be higher in females, while the C reactive protein was higher in males. Evaluating the absence/presence of teicoplanin isoforms, we observed that A2-2_3 is the only one consistently present in pediatrics and adults. In adult men and all pediatrics, A2-4_5 is always present. In pediatrics, except for A3-1, median isoform concentrations were higher in females; on the contrary, in adult patients, males showed higher levels. This is the first study to describe levels of teicoplanin isoforms in SARS-CoV-2 infected patients in males and females, and pediatrics and adults, despite the small sample size of our cohort. The observed results imply that additional testing, via therapeutic drug monitoring, may be helpful to more effectively manage infections, particularly those caused by the most recent viruses.
    Language English
    Publishing date 2023-08-22
    Publishing country Switzerland
    Document type Journal Article
    ZDB-ID 2662250-6
    ISSN 2075-1729
    ISSN 2075-1729
    DOI 10.3390/life13091792
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  8. Article ; Online: COVID-19 infection: ACE2, pregnancy and preeclampsia.

    Todros, Tullia / Masturzo, Bianca / De Francia, Silvia

    European journal of obstetrics, gynecology, and reproductive biology

    2020  Volume 253, Page(s) 330

    MeSH term(s) Adult ; Angiotensin-Converting Enzyme 2 ; Betacoronavirus ; COVID-19 ; Coronavirus Infections/enzymology ; Coronavirus Infections/virology ; Female ; Humans ; Pandemics ; Peptidyl-Dipeptidase A/metabolism ; Pneumonia, Viral/enzymology ; Pneumonia, Viral/virology ; Pre-Eclampsia/enzymology ; Pre-Eclampsia/virology ; Pregnancy ; Pregnancy Complications, Infectious/enzymology ; Pregnancy Complications, Infectious/virology ; SARS-CoV-2 ; Young Adult
    Chemical Substances Peptidyl-Dipeptidase A (EC 3.4.15.1) ; ACE2 protein, human (EC 3.4.17.23) ; Angiotensin-Converting Enzyme 2 (EC 3.4.17.23)
    Keywords covid19
    Language English
    Publishing date 2020-08-22
    Publishing country Ireland
    Document type Letter
    ZDB-ID 190605-7
    ISSN 1872-7654 ; 0301-2115 ; 0028-2243
    ISSN (online) 1872-7654
    ISSN 0301-2115 ; 0028-2243
    DOI 10.1016/j.ejogrb.2020.08.007
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  9. Article: The Strange Case of Orotic Acid: The Different Expression of Pyrimidines Biosynthesis in Healthy Males and Females.

    Chiara, Francesco / Allegra, Sarah / Mula, Jacopo / Puccinelli, Maria Paola / Abbadessa, Giuliana / Mengozzi, Giulio / De Francia, Silvia

    Journal of personalized medicine

    2023  Volume 13, Issue 10

    Abstract: Orotic acid (OA) is an intermediate metabolite of pyrimidine nucleotide biosynthesis and represents a minor diet constituent. The measurement of urinary orotic acid is useful in confirming the diagnosis of hereditary metabolic diseases. Moreover, it ... ...

    Abstract Orotic acid (OA) is an intermediate metabolite of pyrimidine nucleotide biosynthesis and represents a minor diet constituent. The measurement of urinary orotic acid is useful in confirming the diagnosis of hereditary metabolic diseases. Moreover, it could be of interest to know how the physiological concentration of this metabolite changes in relation to different conditions of clinical normality. The purpose of this study was to determine the orotic acid concentration in the urine of healthy patients, to observe normal oroticuria and to evaluate if the expression of pyrimidine intermediate biosynthesis differs between healthy males and females. The orotic acid concentration in urine was performed via the ICH M10-validated analytical method. Unexpectedly, females showed a greater oroticuria than males in pediatric age (0-10); conversely, we did not find significant differences until 70 years of age. The LC-MS/MS method was suitable for use in the differential diagnosis of hereditary metabolic disease and metabolic monitoring of anticancer drug-induced toxicity. The analytical protocol was found to be rapid and ideal, and was used in the routine analysis of a clinical chemistry laboratory. The biochemical aspects related to the expression of pyrimidine biosynthesis should be further investigated in light of the obtained results.
    Language English
    Publishing date 2023-09-28
    Publishing country Switzerland
    Document type Journal Article
    ZDB-ID 2662248-8
    ISSN 2075-4426
    ISSN 2075-4426
    DOI 10.3390/jpm13101443
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  10. Article ; Online: Phytotherapy and Drugs: Can Their Interactions Increase Side Effects in Cancer Patients?

    Allegra, Sarah / De Francia, Silvia / Turco, Francesca / Bertaggia, Ilenia / Chiara, Francesco / Armando, Tiziana / Storto, Silvana / Mussa, Maria Valentina

    Journal of xenobiotics

    2023  Volume 13, Issue 1, Page(s) 75–89

    Abstract: Background: The use of herbs to treat illnesses was common in all historical eras. Our aim was to describe the phytotherapeutic substances that cancer patients use most commonly, and to determine whether their use can increase side effects.: Methods: ...

    Abstract Background: The use of herbs to treat illnesses was common in all historical eras. Our aim was to describe the phytotherapeutic substances that cancer patients use most commonly, and to determine whether their use can increase side effects.
    Methods: This was a retrospective and descriptive study conducted among older adults actively undergoing chemotherapy, admitted at the Oncology DH Unit (COES) of the Molinette Hospital AOU Città della Salute e della Scienza in Turin (Italy). Data collection was conducted through the distribution of self-compiled and closed-ended questionnaires during chemotherapy treatment.
    Results: A total of 281 patients were enrolled. Evaluating retching and sage consumption was statistically significant in multivariate analysis. The only risk factor for dysgeusia was chamomile consumption. Ginger, pomegranate, and vinegar use were retained as mucositis predictors.
    Conclusions: Phytotherapeutic use needs more attention in order to decrease the risks of side effects, toxicity, and ineffective treatment. The conscious administration of these substances should be promoted for safe use and to provide the reported benefits.
    Language English
    Publishing date 2023-02-01
    Publishing country Switzerland
    Document type Journal Article
    ZDB-ID 2649720-7
    ISSN 2039-4713 ; 2039-4713
    ISSN (online) 2039-4713
    ISSN 2039-4713
    DOI 10.3390/jox13010007
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