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  1. Article ; Online: A formula for predicting emphysema extent in combined idiopathic pulmonary fibrosis and emphysema.

    Wells, Athol U / Jacob, Joseph / Sverzellati, Nicola / Cross, Gary / Barnett, Joseph / De Lauretis, Angelo / Antoniou, Katerina / Weycker, Derek / Atwood, Mark / Kirchgaessler, Klaus-Uwe / Cottin, Vincent

    Respiratory research

    2024  Volume 25, Issue 1, Page(s) 33

    Abstract: Background: No single pulmonary function test captures the functional effect of emphysema in idiopathic pulmonary fibrosis (IPF). Without experienced radiologists, other methods are needed to determine emphysema extent. Here, we report the development ... ...

    Abstract Background: No single pulmonary function test captures the functional effect of emphysema in idiopathic pulmonary fibrosis (IPF). Without experienced radiologists, other methods are needed to determine emphysema extent. Here, we report the development and validation of a formula to predict emphysema extent in patients with IPF and emphysema.
    Methods: The development cohort included 76 patients with combined IPF and emphysema at the Royal Brompton Hospital, London, United Kingdom. The formula was derived using stepwise regression to generate the weighted combination of pulmonary function data that fitted best with emphysema extent on high-resolution computed tomography. Test cohorts included patients from two clinical trials (n = 455 [n = 174 with emphysema]; NCT00047645, NCT00075998) and a real-world cohort from the Royal Brompton Hospital (n = 191 [n = 110 with emphysema]). The formula is only applicable for patients with IPF and concomitant emphysema and accordingly was not used to detect the presence or absence of emphysema.
    Results: The formula was: predicted emphysema extent = 12.67 + (0.92 x percent predicted forced vital capacity) - (0.65 x percent predicted forced expiratory volume in 1 second) - (0.52 x percent predicted carbon monoxide diffusing capacity). A significant relationship between the formula and observed emphysema extent was found in both cohorts (R
    Conclusion: The formula, designed for use in patients with IPF and emphysema, demonstrated enhanced ability to predict emphysema extent versus individual pulmonary function tests.
    Trial registration: NCT00047645; NCT00075998.
    MeSH term(s) Humans ; Emphysema/complications ; Idiopathic Pulmonary Fibrosis/diagnostic imaging ; Idiopathic Pulmonary Fibrosis/complications ; Lung/diagnostic imaging ; Pulmonary Emphysema/diagnostic imaging ; Pulmonary Emphysema/complications ; Retrospective Studies ; Vital Capacity ; Clinical Trials as Topic
    Language English
    Publishing date 2024-01-18
    Publishing country England
    Document type Journal Article ; Validation Study
    ZDB-ID 2041675-1
    ISSN 1465-993X ; 1465-993X
    ISSN (online) 1465-993X
    ISSN 1465-993X
    DOI 10.1186/s12931-023-02589-x
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Molecular biomarkers in interstitial lung diseases.

    De Lauretis, Angelo / Renzoni, Elisabetta A

    Molecular diagnosis & therapy

    2014  Volume 18, Issue 5, Page(s) 505–522

    Abstract: Interstitial lung diseases (ILD) are protean conditions with substantial overlap in terms of diagnosis, prognostic evaluation, and management. However, the management of idiopathic pulmonary fibrosis is different from that of more immunologically driven ... ...

    Abstract Interstitial lung diseases (ILD) are protean conditions with substantial overlap in terms of diagnosis, prognostic evaluation, and management. However, the management of idiopathic pulmonary fibrosis is different from that of more immunologically driven ILD patterns, such as ILD associated with connective tissue diseases. It is important to provide accurate diagnosis and patient selection for prognostication and timely treatment, preferably at baseline. Validated non-invasive biomarkers fulfilling these unmet clinical needs are warranted. Although no ILD biomarker has been adopted in clinical practice so far, advancements in this field have been achieved, especially with the implementation of high-throughput techniques and clinical-laboratory multi-parametric panels. This review focuses on selected validated and/or potentially interesting biomarkers investigated in the peripheral blood and lung tissue of patients with ILD. Current issues and future directions in various aspects of ILD biomarkers research and its clinical application are explored.
    MeSH term(s) Biomarkers/blood ; Biomarkers/metabolism ; Gene Expression Regulation, Neoplastic/drug effects ; Humans ; Lung/metabolism ; Lung/pathology ; Lung Diseases, Interstitial/blood ; Lung Diseases, Interstitial/diagnosis ; Lung Diseases, Interstitial/metabolism ; Lung Diseases, Interstitial/pathology
    Chemical Substances Biomarkers
    Language English
    Publishing date 2014-06-16
    Publishing country New Zealand
    Document type Journal Article ; Research Support, Non-U.S. Gov't ; Review
    ZDB-ID 2232796-4
    ISSN 1179-2000 ; 1177-1062
    ISSN (online) 1179-2000
    ISSN 1177-1062
    DOI 10.1007/s40291-014-0109-0
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Review series: Aspects of interstitial lung disease: connective tissue disease-associated interstitial lung disease: how does it differ from IPF? How should the clinical approach differ?

    de Lauretis, Angelo / Veeraraghavan, Srihari / Renzoni, Elisabetta

    Chronic respiratory disease

    2011  Volume 8, Issue 1, Page(s) 53–82

    Abstract: The lung is frequently involved in connective tissue diseases (CTDs), although the frequency of lung manifestations varies according to the type of CTD. Interstitial lung diseases (ILD) are frequently seen in CTDs, particularly systemic sclerosis (SSc), ... ...

    Abstract The lung is frequently involved in connective tissue diseases (CTDs), although the frequency of lung manifestations varies according to the type of CTD. Interstitial lung diseases (ILD) are frequently seen in CTDs, particularly systemic sclerosis (SSc), polymyositis/dermatomyositis (PM/DM) and rheumatoid arthritis (RA), accounting for a significant proportion of deaths. A large percentage of patients with CTD-associated ILD has limited and stable disease, not requiring treatment. However, a significant minority has severe and/or progressive disease, necessitating prompt initiation of treatment. CTD-ILD histological patterns include non-specific interstitial pneumonia (NSIP), usual interstitial pneumonia (UIP), organizing pneumonia (OP), diffuse alveolar damage (DAD) and lymphocytic interstitial pneumonia (LIP). NSIP is the most common pattern in all CTDs, except for RA, characterized by a higher frequency of UIP. ILD can present acutely or chronically, with acute presentations being more common in systemic lupus erythematosus and PM/DM. Idiopathic pulmonary fibrosis (IPF) is a progressively worsening ILD characterized by inflammation and fibrosis. The characteristic histological pattern of IPF is UIP. Interestingly, a UIP pattern is associated with a significantly better survival in CTD-related disease compared to the idiopathic variety. Prognosis in IPF is dismal, with a median survival since diagnosis of 2-3 years. No treatment regimen has been shown to improve survival in IPF. By contrast, although there have been only two randomized placebo-controlled trials investigating the effect of immunosuppressive treatment in SSc-associated ILD, clinical experience suggests that immunosuppressive drugs in CTD-related ILDs are capable of benefiting a significant proportion of patients, particularly those with certain histological patterns of disease. This review will essentially focus on CTD-associated ILD and will compare aspects of clinical presentation and management to those of IPF.
    MeSH term(s) Adrenal Cortex Hormones/therapeutic use ; Connective Tissue Diseases/complications ; Connective Tissue Diseases/drug therapy ; Connective Tissue Diseases/pathology ; Humans ; Idiopathic Pulmonary Fibrosis/drug therapy ; Idiopathic Pulmonary Fibrosis/mortality ; Idiopathic Pulmonary Fibrosis/pathology ; Immunosuppressive Agents/therapeutic use ; Lung Diseases, Interstitial/complications ; Lung Diseases, Interstitial/drug therapy ; Lung Diseases, Interstitial/mortality ; Lung Diseases, Interstitial/pathology ; Prognosis
    Chemical Substances Adrenal Cortex Hormones ; Immunosuppressive Agents
    Language English
    Publishing date 2011
    Publishing country England
    Document type Journal Article ; Review
    ZDB-ID 2211488-9
    ISSN 1479-9731 ; 1479-9723
    ISSN (online) 1479-9731
    ISSN 1479-9723
    DOI 10.1177/1479972310393758
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Clinical characteristics and outcome of COVID-19 pneumonia in elderly subjects.

    Bongiovanni, Marco / De Lauretis, Angelo / Manes, Giampiero / Marra, Alessandro Maria / Bodini, Bruno Dino / Pellegrini, Lucienne / Berra, Sergio Antonio / Picascia, Desiree / Schettino, Mario / Bini, Francesco

    The Journal of infection

    2020  Volume 82, Issue 2, Page(s) e33–e34

    MeSH term(s) Aged ; COVID-19 ; Follow-Up Studies ; Hospitalization ; Humans ; Prognosis ; Retrospective Studies ; SARS-CoV-2
    Keywords covid19
    Language English
    Publishing date 2020-08-19
    Publishing country England
    Document type Letter ; Comment
    ZDB-ID 424417-5
    ISSN 1532-2742 ; 0163-4453
    ISSN (online) 1532-2742
    ISSN 0163-4453
    DOI 10.1016/j.jinf.2020.08.023
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: Demyelinating Guillain-Barré syndrome recurs more frequently than axonal subtypes.

    Notturno, Francesca / Kokubun, Norito / Sekiguki, Yukari / Nagashima, Takahide / De Lauretis, Angelo / Yuki, Nobuhiro / Kuwabara, Satoshi / Uncini, Antonino

    Journal of the neurological sciences

    2016  Volume 365, Page(s) 132–136

    Abstract: Guillain-Barré syndrome (GBS) is considered a monophasic disorder yet recurrences occur in up to 6% of patients. We retrospectively studied an Italian-Japanese population of 236 GBS and 73 Miller Fisher syndrome (MFS) patients and searched for factors ... ...

    Abstract Guillain-Barré syndrome (GBS) is considered a monophasic disorder yet recurrences occur in up to 6% of patients. We retrospectively studied an Italian-Japanese population of 236 GBS and 73 Miller Fisher syndrome (MFS) patients and searched for factors which may be associated with recurrence. A recurrent patient was defined as having at least two episodes that fulfilled the diagnostic criteria for GBS and MFS with an identifiable recovery after each episode and a minimum of 2months between episodes. Preceding Campylobacter jejuni (C. jejuni) infection and antiganglioside antibodies were also assessed. Seven (3%) recurrent GBS and one (1.4%) recurrent MFS patients were identified. In the individual patient the clinical features during episodes were usually similar varying in severity whereas the preceding infection differed. None of the patients had GBS in one episode and MFS in the recurrence or vice versa. Recurrent GBS patients, compared with monophasic GBS, did not have preceding diarrhea at the first episode and considering the electrophysiological subtypes, acute inflammatory demyelinating polyneuropathies recurred more frequently than axonal GBS (6.5% vs 0.9%, p=0.04). In conclusion in a GBS population with a balanced number of demyelinating and axonal subtypes less frequent diarrhea and demyelination at electrophysiology were associated with recurrence.
    MeSH term(s) Adolescent ; Adult ; Aged ; Antibodies/metabolism ; Campylobacter Infections/epidemiology ; Campylobacter Infections/immunology ; Child ; Electric Stimulation ; Female ; Gangliosides/immunology ; Guillain-Barre Syndrome/epidemiology ; Guillain-Barre Syndrome/physiopathology ; Humans ; Italy/epidemiology ; Japan/epidemiology ; Longitudinal Studies ; Male ; Middle Aged ; Miller Fisher Syndrome/epidemiology ; Miller Fisher Syndrome/physiopathology ; Neural Conduction/physiology ; Recurrence ; Retrospective Studies ; Statistics, Nonparametric ; Young Adult
    Chemical Substances Antibodies ; Gangliosides
    Language English
    Publishing date 2016-06-15
    Publishing country Netherlands
    Document type Journal Article
    ZDB-ID 80160-4
    ISSN 1878-5883 ; 0022-510X ; 0374-8642
    ISSN (online) 1878-5883
    ISSN 0022-510X ; 0374-8642
    DOI 10.1016/j.jns.2016.02.053
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: Functional associations of pleuroparenchymal fibroelastosis and emphysema with hypersensitivity pneumonitis.

    Jacob, Joseph / Odink, Arlette / Brun, Anne Laure / Macaluso, Claudio / de Lauretis, Angelo / Kokosi, Maria / Devaraj, Anand / Desai, Sujal / Renzoni, Elisabetta / Wells, Athol U

    Respiratory medicine

    2018  Volume 138, Page(s) 95–101

    Abstract: Background: Pleuroparenchymal fibroelastosis (PPFE) has been described in hypersensitivity pneumonitis (HP) yet its functional implications are unclear. Combined pulmonary fibrosis and emphysema (CPFE) has occasionally been described in never-smokers ... ...

    Abstract Background: Pleuroparenchymal fibroelastosis (PPFE) has been described in hypersensitivity pneumonitis (HP) yet its functional implications are unclear. Combined pulmonary fibrosis and emphysema (CPFE) has occasionally been described in never-smokers with HP, but epidemiological data regarding its prevalence is sparse. CTs in a large HP cohort were therefore examined to identify the prevalence and effects of PPFE and emphysema.
    Methods: 233 HP patients had CT extents of interstitial lung disease (ILD) and emphysema quantified to the nearest 5%. Lobar percentage pleural involvement of PPFE was quantified on a 4-point categorical scale: 0 = absent, 1 = affecting <10%, 2 = affecting 10-33%, 3 = affecting >33%. Marked PPFE reflected a total lung score of ≥3/18. Results were evaluated against FVC, DLco and mortality.
    Results: Marked PPFE prevalence was 23% whilst 23% of never-smokers had emphysema. Following adjustment for patient age, gender, smoking status, and ILD and emphysema extents, marked PPFE independently linked to reduced baseline FVC (p = 0.0002) and DLco (p = 0.002) and when examined alongside the same covariates, independently linked to worsened survival (p = 0.01). CPFE in HP demonstrated a characteristic functional profile of artificial lung volume preservation and disproportionate DLco reduction. CPFE did not demonstrate a worsened outcome when compared to HP patients without emphysema beyond that explained by CT extents of ILD and emphysema.
    Conclusions: PPFE is not uncommon in HP, and is independently associated with impaired lung function and increased mortality. Emphysema was identified in 23% of HP never-smokers. CPFE appears not to link to a malignant microvascular phenotype as outcome is explained by ILD and emphysema extents.
    MeSH term(s) Adult ; Aged ; Aged, 80 and over ; Alveolitis, Extrinsic Allergic/diagnostic imaging ; Alveolitis, Extrinsic Allergic/epidemiology ; Alveolitis, Extrinsic Allergic/physiopathology ; Elastic Tissue/pathology ; Female ; Fibrosis/diagnostic imaging ; Fibrosis/epidemiology ; Fibrosis/physiopathology ; Forced Expiratory Volume/physiology ; Humans ; London/epidemiology ; Male ; Middle Aged ; Pleura/diagnostic imaging ; Pleura/pathology ; Prevalence ; Prognosis ; Pulmonary Emphysema/diagnostic imaging ; Pulmonary Emphysema/epidemiology ; Pulmonary Emphysema/physiopathology ; Respiratory Function Tests ; Smoking/epidemiology ; Tomography, X-Ray Computed ; Vital Capacity/physiology
    Language English
    Publishing date 2018-03-30
    Publishing country England
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 1003348-8
    ISSN 1532-3064 ; 0954-6111
    ISSN (online) 1532-3064
    ISSN 0954-6111
    DOI 10.1016/j.rmed.2018.03.031
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article: Clinical characteristics and outcome of COVID-19 pneumonia in elderly subjects

    Bongiovanni, Marco / De Lauretis, Angelo / Manes, Giampiero / Marra, Alessandro Maria / Bodini, Bruno Dino / Pellegrini, Lucienne / Berra, Sergio Antonio / Picascia, Desiree / Schettino, Mario / Bini, Francesco

    J. infect

    Keywords covid19
    Publisher WHO
    Document type Article
    Note WHO #Covidence: #739917
    Database COVID19

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  8. Article: Natural history of COVID-19 infection in healthcare workers in Northern Italy

    Bongiovanni, Marco / Marra, Alessandro Maria / De Lauretis, Angelo / Bini, Francesco / Di Carlo, Daniela / Manes, Giampiero / Bodini, Bruno Dino / Pellegrini, Lucienne / Schettino, Mario / Picascia, Desiree / Bellini, Aldo

    J. hosp. infect

    Abstract: Currently, 14 days after clinical recovery is considered the adequate time-frame for quarantined individuals infected by COVID-19, but no data have been reported in healthcare workers. In our population of 142 healthcare workers infected by COVID-19, the ...

    Abstract Currently, 14 days after clinical recovery is considered the adequate time-frame for quarantined individuals infected by COVID-19, but no data have been reported in healthcare workers. In our population of 142 healthcare workers infected by COVID-19, the mean time for viral clearance was 31.8 days. Asymptomatic subjects cleared the virus earlier than symptomatic (22 vs 34,2 days, p<0.0001); the presence of fever at the time of diagnosis was associated with a longer time to viral clearance (RR 11.45, 95% CI 8.66-14.25, p<0.0001). These findings may have a significant impact on healthcare strategies for the future management of the COVID-19 pandemic.
    Keywords covid19
    Publisher WHO
    Document type Article
    Note WHO #Covidence: #791575
    Database COVID19

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  9. Article ; Online: Clinical characteristics and outcome of COVID-19 pneumonia in elderly subjects

    Bongiovanni, Marco / De Lauretis, Angelo / Manes, Giampiero / Marra, Alessandro Maria / Bodini, Bruno Dino / Pellegrini, Lucienne / Berra, Sergio Antonio / Picascia, Desiree / Schettino, Mario / Bini, Francesco

    Journal of Infection ; ISSN 0163-4453

    2020  

    Keywords Microbiology (medical) ; Infectious Diseases ; covid19
    Language English
    Publisher Elsevier BV
    Publishing country us
    Document type Article ; Online
    DOI 10.1016/j.jinf.2020.08.023
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  10. Article ; Online: Serum markers of pulmonary epithelial damage in systemic sclerosis-associated interstitial lung disease and disease progression.

    Stock, Carmel J W / Hoyles, Rachel K / Daccord, Cecile / Kokosi, Maria / Visca, Dina / De Lauretis, Angelo / Alfieri, Veronica / Kouranos, Vasilis / Margaritopoulos, George / George, Peter M / Molyneaux, Philip L / Chua, Felix / Maher, Toby M / Abraham, David J / Ong, Voon / Donovan, Jackie / Sestini, Piersante / Denton, Christopher P / Wells, Athol U /
    Renzoni, Elisabetta A

    Respirology (Carlton, Vic.)

    2020  Volume 26, Issue 5, Page(s) 461–468

    Abstract: Background and objective: The course of systemic sclerosis-associated interstitial lung disease (SSc-ILD) is highly variable, and accurate prognostic markers are needed. KL-6 is a mucin-like glycoprotein (MUC1) expressed by type II pneumocytes, while ... ...

    Abstract Background and objective: The course of systemic sclerosis-associated interstitial lung disease (SSc-ILD) is highly variable, and accurate prognostic markers are needed. KL-6 is a mucin-like glycoprotein (MUC1) expressed by type II pneumocytes, while CYFRA 21-1 is expressed by alveolar and bronchiolar epithelial cells. Both are released into the blood from cell injury.
    Methods: Serum KL-6 and CYFRA 21-1 levels were measured in a retrospective (n = 189) and a prospective (n = 118) cohort of SSc patients. Genotyping of MUC1 rs4072037 was performed. Linear mixed-effect models were used to evaluate the relationship with change in lung function parameters over time, while association with survival was evaluated with Cox proportional hazard analysis.
    Results: In both cohorts, KL-6 and CYFRA 21-1 were highest in patients with lung involvement, and in patients with extensive rather than limited ILD. KL-6 was higher in patients carrying the MUC1 rs4072037 G allele in both cohorts. In patients with SSc-ILD, serum KL-6, but not CYFRA 21-1, was significantly associated with DL
    Conclusion: Our results suggest serum KL-6 predicts decline in lung function in SSc, suggesting its clinical utility in risk stratification for progressive SSc-ILD.
    MeSH term(s) Antigens, Neoplasm/immunology ; Antigens, Neoplasm/physiology ; Biomarkers ; Disease Progression ; Humans ; Keratin-19/immunology ; Keratin-19/physiology ; Lung/physiology ; Lung Diseases, Interstitial/etiology ; Prospective Studies ; Retrospective Studies ; Scleroderma, Systemic/complications
    Chemical Substances Antigens, Neoplasm ; Biomarkers ; Keratin-19 ; antigen CYFRA21.1
    Language English
    Publishing date 2020-12-17
    Publishing country Australia
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 1435849-9
    ISSN 1440-1843 ; 1323-7799
    ISSN (online) 1440-1843
    ISSN 1323-7799
    DOI 10.1111/resp.13988
    Database MEDical Literature Analysis and Retrieval System OnLINE

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