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Article ; Online: NMR Metabolomics of Primary Ovarian Cancer Cells in Comparison to Established Cisplatin-Resistant and -Sensitive Cell Lines.

Ghini, Veronica / Sorbi, Flavia / Fambrini, Massimiliano / Magherini, Francesca

2024 Volume 13, Issue 8

Abstract: Cancer cell lines are frequently used in metabolomics, such as in vitro tumor models. In particular, A2780 cells are commonly used as a model for ovarian cancer to evaluate the effects of drug treatment. Here, we compare the NMR metabolomics profiles of ... ...

Abstract	Cancer cell lines are frequently used in metabolomics, such as in vitro tumor models. In particular, A2780 cells are commonly used as a model for ovarian cancer to evaluate the effects of drug treatment. Here, we compare the NMR metabolomics profiles of A2780 and cisplatin-resistant A2780 cells with those of cells derived from 10 patients with high-grade serous ovarian carcinoma (collected during primary cytoreduction before any chemotherapeutic treatment). Our analysis reveals a substantial similarity among all primary cells but significant differences between them and both A2780 and cisplatin-resistant A2780 cells. Notably, the patient-derived cells are closer to the resistant A2780 cells when considering the exo-metabolome, whereas they are essentially equidistant from A2780 and A2780-resistant cells in terms of the endo-metabolome. This behavior results from dissimilarities in the levels of several metabolites attributable to the differential modulation of underlying biochemical pathways. The patient-derived cells are those with the most pronounced glycolytic phenotype, whereas A2780-resistant cells mainly diverge from the others due to alterations in a few specific metabolites already known as markers of resistance.
MeSH term(s)	Humans ; Female ; Cisplatin/pharmacology ; Ovarian Neoplasms/metabolism ; Ovarian Neoplasms/pathology ; Ovarian Neoplasms/drug therapy ; Metabolomics/methods ; Drug Resistance, Neoplasm ; Cell Line, Tumor ; Magnetic Resonance Spectroscopy/methods ; Metabolome/drug effects ; Antineoplastic Agents/pharmacology
Chemical Substances	Cisplatin (Q20Q21Q62J) ; Antineoplastic Agents
Language	English
Publishing date	2024-04-09
Publishing country	Switzerland
Document type	Journal Article ; Research Support, Non-U.S. Gov't ; Comparative Study
ZDB-ID	2661518-6
ISSN	2073-4409 ; 2073-4409
ISSN (online)	2073-4409
ISSN	2073-4409
DOI	10.3390/cells13080661
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Article ; Online: Recurrence of Uterine Fibroids After Conservative Surgery or Radiological Procedures: a Narrative Review.

Capezzuoli, Tommaso / Aslan, Batuhan / Vannuccini, Silvia / Orlandi, Gretha / La Torre, Francesco / Sorbi, Flavia / Fambrini, Massimiliano / Petraglia, Felice

Reproductive sciences (Thousand Oaks, Calif.)

2023 Volume 31, Issue 5, Page(s) 1171–1178

Abstract: The present narrative review aims to discuss the available data on the incidence and the risk factors of uterine fibroids (UFs) recurrence after different types of conservative surgical or radiologic procedures in women wishing to preserve their uterus. ... ...

Abstract	The present narrative review aims to discuss the available data on the incidence and the risk factors of uterine fibroids (UFs) recurrence after different types of conservative surgical or radiologic procedures in women wishing to preserve their uterus. UFs are the most common benign tumors in women all over the world. Clinical presentation, including abnormal uterine bleeding (AUB), pelvic pain, bulky symptoms, and infertility affect patients' quality of life, and a large variety of conservative treatments are available especially for those with desire of pregnancy. Fertility sparing surgery, by either laparoscopy, hysteroscopy or laparotomy, or radiological interventions (uterine artery embolization, high-intensity focused ultrasound or magnetic resonance-guided focused ultrasound), are the most common therapeutic approaches. However, the genetic or acquired predisposition to UFs remain despite the treatments, and the recurrences are frequently described in a large percentage of patients. The most relevant risk factors for recurrence of UFs are young age at the first surgery, incomplete fibroid resection, the presence of multiple lesions, an enlarged uterus, and the coexistence with other pelvic diseases. The discussion on the possible medical strategy to reduce the recurrence is an open field of clinical investigation, in particular by using hormonal drugs.
MeSH term(s)	Humans ; Female ; Leiomyoma/surgery ; Leiomyoma/diagnostic imaging ; Uterine Neoplasms/surgery ; Neoplasm Recurrence, Local ; Risk Factors ; Uterine Artery Embolization
Language	English
Publishing date	2023-12-18
Publishing country	United States
Document type	Journal Article ; Review
ZDB-ID	2276411-2
ISSN	1933-7205 ; 1933-7191
ISSN (online)	1933-7205
ISSN	1933-7191
DOI	10.1007/s43032-023-01418-2
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Zs.A 4113: Show issues

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Article ; Online: Adenomyosis diagnosis among adolescents and young women with dysmenorrhoea and heavy menstrual bleeding.

Vannuccini, Silvia / Meleca, Chiara / Toscano, Federico / Mertino, Pina / Pampaloni, Francesca / Fambrini, Massimiliano / Bruni, Vincenzina / Petraglia, Felice

Reproductive biomedicine online

2023 Volume 48, Issue 5, Page(s) 103768

Abstract: Research question: What is the prevalence of adenomyosis at ultrasonography among adolescents and young women reporting dysmenorrhoea and/or heavy menstrual bleeding (HMB)?: Design: This observational cohort study involved adolescents and young women ...

Abstract	Research question: What is the prevalence of adenomyosis at ultrasonography among adolescents and young women reporting dysmenorrhoea and/or heavy menstrual bleeding (HMB)? Design: This observational cohort study involved adolescents and young women referred for dysmenorrhoea and/or HMB to the Adolescent Medicine Unit at Careggi University Hospital, Italy. Patients with endometriosis and bleeding disorders were excluded. Transvaginal ultrasonography or transrectal sonography using a transvaginal probe was performed. The myometrium was described according to the Morphological Uterus Sonographic Assessment criteria. Details of baseline characteristics, clinical data and symptoms were collected. The presence of sonographic features of adenomyosis and the association between imaging findings and clinical symptoms were evaluated. Results: The cohort included 95 patients aged between 13 and 25 years, referred for dysmenorrhoea (88.4%), HMB (23.2%) or both (13.7%). According to the MUSA criteria the sonographic diagnosis of adenomyosis was made in 27.4% of patients, with the diffuse type the most prevalent. Uterine wall asymmetry, hyperechoic intramyometrial islands, translesional vascularity and an interrupted junctional zone were the most common features. Patients with imaging findings of adenomyosis had significantly higher rates of HMB than those with a normal myometrial appearance (38.5% versus 17.4%, P = 0.030). In addition, the coexistence of dysmenorrhoea and HMB was significantly associated with adenomyosis (odds ratio 5.68, 95% confidence interval 1.65-19.5). Conclusions: Adenomyosis may be diagnosed among teenagers and young women referred with dysmenorrhoea and/or HMB. The clinical presentation is relevant for the diagnosis, with HMB alone and HMB plus dysmenorrhoea significantly associated with the sonographic identification of adenomyosis.
MeSH term(s)	Humans ; Female ; Adenomyosis/complications ; Adenomyosis/diagnostic imaging ; Adenomyosis/epidemiology ; Menorrhagia/epidemiology ; Menorrhagia/etiology ; Menorrhagia/diagnosis ; Dysmenorrhea/epidemiology ; Adolescent ; Ultrasonography ; Adult ; Young Adult ; Italy/epidemiology ; Cohort Studies ; Prevalence
Language	English
Publishing date	2023-12-14
Publishing country	Netherlands
Document type	Journal Article ; Observational Study
ZDB-ID	2113823-0
ISSN	1472-6491 ; 1472-6483
ISSN (online)	1472-6491
ISSN	1472-6483
DOI	10.1016/j.rbmo.2023.103768
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Zs.A 5792: Show issues

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Article ; Online: Sphingosine 1-phosphate signaling axis mediates neuropeptide S-induced invasive phenotype of endometriotic cells.

Prisinzano, Matteo / Bernacchioni, Caterina / Seidita, Isabelle / Rossi, Margherita / Raeispour, Maryam / Cencetti, Francesca / Vannuccini, Silvia / Fambrini, Massimiliano / Petraglia, Felice / Bruni, Paola / Donati, Chiara

The FEBS journal

2024 Volume 291, Issue 8, Page(s) 1744–1758

Abstract: Endometriosis is a chronic gynecological syndrome characterized by endometrial cell invasion of the extra-uterine milieu, pelvic pain and infertility. Treatment relies on either symptomatic drugs or hormonal therapies, even though the mechanism involved ... ...

Abstract	Endometriosis is a chronic gynecological syndrome characterized by endometrial cell invasion of the extra-uterine milieu, pelvic pain and infertility. Treatment relies on either symptomatic drugs or hormonal therapies, even though the mechanism involved in the onset of endometriosis is yet to be elucidated. The signaling of sphingolipid sphingosine 1-phosphate (S1P) is profoundly dysregulated in endometriosis. Indeed, sphingosine kinase (SK)1, one of the two isoenzymes responsible for S1P biosynthesis, and S1P
MeSH term(s)	Female ; Humans ; Endometriosis/genetics ; Lysophospholipids/metabolism ; Phenotype ; Receptors, Lysosphingolipid/genetics ; Receptors, Lysosphingolipid/metabolism ; Sphingosine/metabolism ; Sphingosine/analogs & derivatives
Chemical Substances	Lysophospholipids ; Receptors, Lysosphingolipid ; Sphingosine (NGZ37HRE42) ; sphingosine 1-phosphate (26993-30-6) ; neuropeptide S, human
Language	English
Publishing date	2024-01-29
Publishing country	England
Document type	Journal Article
ZDB-ID	2173655-8
ISSN	1742-4658 ; 1742-464X
ISSN (online)	1742-4658
ISSN	1742-464X
DOI	10.1111/febs.17071
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Zs.A 260: Show issues

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Article ; Online: The relation between endometrioma and ovarian cancer.

Sorbi, Flavia / Capezzuoli, Tommaso / Saso, Srdjan / Fambrini, Massimiliano / Corda, Martina / Fantappiè, Giulia / Petraglia, Felice

Minerva obstetrics and gynecology

2021 Volume 73, Issue 3, Page(s) 347–353

Abstract: Introduction: The relationship between endometrioma and ovarian cancer is a topic of discussion in the field of endometriosis and to date it is still debated whether ovarian endometriosis may represent a risk factor for ovarian cancers.: Evidence ... ...

Abstract	Introduction: The relationship between endometrioma and ovarian cancer is a topic of discussion in the field of endometriosis and to date it is still debated whether ovarian endometriosis may represent a risk factor for ovarian cancers. Evidence acquisition: A literature search was carried out using Cochrane Library, EMBASE, Medline and Google Scholar up to October 2020. Primary outcome of interest was ovarian cancer incidence in patients with endometriosis. Secondary outcome was ovarian cancer prognosis in patients with endometriosis compared to patient without endometriosis. Evidence synthesis: Patients with ovarian endometriosis has a slight increase risk of developing ovarian cancer (merely 1.8%), being the general population risk for ovarian cancer 1.31%. In patient at postmenopausal age, long-lasting endometriosis, early-age diagnosis, infertility and/or infertility treatment the risk of developing ovarian cancer is higher. Endometriosis-related ovarian cancers are generally clear cell and endometrioid and are diagnosed at early stage compared to non-endometriosis related ovarian cancer. Conclusions: The lifetime risk for ovarian cancer is low in endometriosis patients in general and higher in subgroups of patients allowing a tailored management based on patient characteristics. Endometriosis is a chronic disease negatively affecting the quality of life, nonetheless, concerns on ovarian cancer should be avoided in order to reduce the burden of the disease on women's health.
MeSH term(s)	Carcinoma, Ovarian Epithelial ; Endometriosis/complications ; Endometrium ; Female ; Humans ; Ovarian Neoplasms/epidemiology ; Quality of Life
Language	English
Publishing date	2021-05-18
Publishing country	Italy
Document type	Journal Article
ZDB-ID	3062815-5
ISSN	2724-6450
ISSN (online)	2724-6450
DOI	10.23736/S2724-606X.21.04757-2
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Article ; Online: Urinary Tract Endometriosis: How to Predict and Prevent Recurrence after Primary Surgical Excision.

Di Maida, Fabrizio / Lambertini, Luca / Grosso, Antonio Andrea / Mari, Andrea / Vannuccini, Silvia / Capezzuoli, Tommaso / Fambrini, Massimiliano / Petraglia, Felice / Minervini, Andrea

Journal of minimally invasive gynecology

2022 Volume 29, Issue 10, Page(s) 1178–1183

Abstract: Study objective: To investigate the clinical and surgical predictors of urinary tract endometriosis (UTE) relapse.: Design: Retrospective single institutional study.: Setting: Italian multidisciplinary referral center for endometriosis.: ... ...

Abstract	Study objective: To investigate the clinical and surgical predictors of urinary tract endometriosis (UTE) relapse. Design: Retrospective single institutional study. Setting: Italian multidisciplinary referral center for endometriosis. Patients: Consecutive patients affected by UTE and surgically treated between January 2016 and March 2020. Intervention: Surgical excision for UTE. Uni- and multivariate logistic regression analyses were fitted to evaluate clinical and surgical predictors of recurrence. Measurements and main results: A total of 105 female age-reproductive patients were enrolled. Median age was 32 years (interquartile range, 24-37). Ureteral involvement was recorded in 53 patients (50.5%), being unilateral and bilateral in 46 patients (43.8%) and 7 patients (6.7%), respectively. Bladder involvement occurred in 52 patients (49.5%). Open surgical approach was performed in 24 cases (22.9%), whereas 30 patients (28.5%) and 51 patients (48.6%) were treated with laparoscopic and robot-assisted approach, respectively. Overall, 53 patients (50.5%) received adjuvant hormonal therapy. At a median follow-up of 39 months (interquartile range, 22-51), 30 patients (28.6%) experienced disease relapse, with 14 recurrences (13.3%) recorded at the level of the urinary tract. At multivariable analysis, age at first surgery <25 years (odds ratio [OR], 1.23; 95% confidence interval [CI], 1.10-1.84; p = .02) and the presence of a concomitant autoimmune disease (OR, 1.45; 95% CI, 1.24-2.17; p = .02) were found as predictors of deep infiltrating endometriosis recurrence, whereas adjuvant postsurgical therapy showed a protective role (OR, 0.83; 95% CI, 0.53-0.98; p = .01). Conclusions: Young age (<25 years) and the presence of autoimmune diseases were significant predictors for the development of disease recurrence, whereas adjuvant hormonal therapy showed a protective role.
MeSH term(s)	Adult ; Endometriosis/complications ; Endometriosis/surgery ; Female ; Humans ; Laparoscopy/adverse effects ; Recurrence ; Retrospective Studies ; Treatment Outcome ; Ureteral Diseases/prevention & control ; Ureteral Diseases/surgery ; Urinary Tract
Language	English
Publishing date	2022-07-09
Publishing country	United States
Document type	Journal Article
ZDB-ID	2186934-0
ISSN	1553-4669 ; 1553-4650
ISSN (online)	1553-4669
ISSN	1553-4650
DOI	10.1016/j.jmig.2022.07.004
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Article ; Online: Epigenetics of Estrogen and Progesterone Receptors in Endometriosis.

Chen, Huixi / Malentacchi, Francesca / Fambrini, Massimiliano / Harrath, Abdel Halim / Huang, Hefeng / Petraglia, Felice

Reproductive sciences (Thousand Oaks, Calif.)

2020 Volume 27, Issue 11, Page(s) 1967–1974

Abstract: Endometriosis is an estrogen-dependent inflammatory gynecological disease. Increased estrogen activity and progesterone resistance are the main hormonal substrate of this disease and are associated with inflammatory response and debilitating symptoms, ... ...

Abstract	Endometriosis is an estrogen-dependent inflammatory gynecological disease. Increased estrogen activity and progesterone resistance are the main hormonal substrate of this disease and are associated with inflammatory response and debilitating symptoms, including pain and infertility. Estrogens and progesterone act via their specific nuclear receptors. The regulation of receptor expression by epigenetics maybe a critical factor for endometriosis. The present review aims to discuss the epigenetic mechanisms related to the expression of estrogen receptors (ERs) and progesterone receptors (PRs) in patients with endometriosis, including two classic epigenetic mechanisms: DNA methylation and histone modification, and, other non-classic mechanisms: miRNAs and lncRNA. Several in vitro and in vivo studies support the key role of epigenetics in the regulation of the expression of ERs and PRs, which may provide new molecules and targets for the diagnosis and treatment of endometriosis.
MeSH term(s)	DNA Methylation ; Endometriosis/genetics ; Epigenesis, Genetic ; Female ; Gene Expression Regulation ; Humans ; MicroRNAs/genetics ; RNA, Long Noncoding/genetics ; Receptors, Estrogen/genetics ; Receptors, Progesterone/genetics
Chemical Substances	MicroRNAs ; RNA, Long Noncoding ; Receptors, Estrogen ; Receptors, Progesterone
Language	English
Publishing date	2020-07-22
Publishing country	United States
Document type	Journal Article ; Research Support, Non-U.S. Gov't ; Review
ZDB-ID	2276411-2
ISSN	1933-7205 ; 1933-7191
ISSN (online)	1933-7205
ISSN	1933-7191
DOI	10.1007/s43032-020-00226-2
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Zs.A 4113: Show issues

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Article ; Online: Epidemiology and Risk Factors of Uterine Fibroids.

Pavone, Dora / Clemenza, Sara / Sorbi, Flavia / Fambrini, Massimiliano / Petraglia, Felice

Best practice & research. Clinical obstetrics & gynaecology

2018 Volume 46, Page(s) 3–11

Abstract: Risk factors, both modifiable and non-modifiable, are associated with the development of fibroids. These include age, race, endogenous and exogenous hormonal factors, obesity, uterine infection, and lifestyle (diet, caffeine and alcohol consumption, ... ...

Abstract	Risk factors, both modifiable and non-modifiable, are associated with the development of fibroids. These include age, race, endogenous and exogenous hormonal factors, obesity, uterine infection, and lifestyle (diet, caffeine and alcohol consumption, physical activity, stress, and smoking). Some of the epidemiological data were conflicting; consequently, further studies are needed to better understand the factors that influence fibroid prevalence.
MeSH term(s)	African Continental Ancestry Group/statistics & numerical data ; Age Factors ; European Continental Ancestry Group/statistics & numerical data ; Female ; Humans ; Leiomyoma/epidemiology ; Leiomyoma/etiology ; Leiomyoma/genetics ; Prevalence ; Risk Factors ; Uterine Neoplasms/epidemiology ; Uterine Neoplasms/etiology ; Uterine Neoplasms/genetics
Language	English
Publishing date	2018-01
Publishing country	Netherlands
Document type	Journal Article ; Review
ZDB-ID	2050090-7
ISSN	1532-1932 ; 1521-6934
ISSN (online)	1532-1932
ISSN	1521-6934
DOI	10.1016/j.bpobgyn.2017.09.004
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Article: Comment on "Minilaparotomy Hysterectomy as a Suitable Choice of Hysterectomy for Large Myoma Uteri: Literature Review".

Sorbi, Flavia / Magni, Francesco / Fambrini, Massimiliano

Case reports in obstetrics and gynecology

2016 Volume 2016, Page(s) 7476150

Language	English
Publishing date	2016-10-11
Publishing country	United States
Document type	Journal Article ; Comment
ZDB-ID	2627654-9
ISSN	2090-6692 ; 2090-6684
ISSN (online)	2090-6692
ISSN	2090-6684
DOI	10.1155/2016/7476150
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Article ; Online: Pregnancy in fanconi anaemia with bone marrow failure: a case report and review of the literature.

Sorbi, Flavia / Mecacci, Federico / Di Filippo, Alessandro / Fambrini, Massimiliano

BMC pregnancy and childbirth

2017 Volume 17, Issue 1, Page(s) 53

Abstract: Background: Fanconi anaemia is a rare inherited disease characterized by congenital abnormalities, progressive bone marrow failure and predisposition to malignancy. Successful pregnancies in transplanted patients have been reported. In this paper we ... ...

Abstract	Background: Fanconi anaemia is a rare inherited disease characterized by congenital abnormalities, progressive bone marrow failure and predisposition to malignancy. Successful pregnancies in transplanted patients have been reported. In this paper we will describe the pregnancy of a patient with Fanconi anaemia without transplantation. Case presentation: A 34-year-old nulliparous woman with Fanconi anaemia was referred to our institution. Pregnancy was complicated by progressive pancytopenia and two severe infections. C-section was performed at 36 weeks. Both infant and mother are well. Conclusion: Successful pregnancy in a Fanconi anaemia patient with bone marrow failure is possible. The mode of delivery in patients with bone marrow failure should be determined by obstetric indications. The case highlights the safe outcome of the pregnancy with strict clinical and laboratory control by a multidisciplinary team.
MeSH term(s)	Adult ; Anti-Bacterial Agents/therapeutic use ; Bacteremia/drug therapy ; Bone Marrow Diseases/therapy ; Campylobacter Infections/drug therapy ; Cesarean Section ; Diabetes, Gestational/therapy ; Diet, Diabetic ; Erythrocyte Transfusion ; Escherichia coli Infections/drug therapy ; Fanconi Anemia/therapy ; Female ; Humans ; Hypoglycemic Agents/therapeutic use ; Insulin/therapeutic use ; Neutropenia/therapy ; Pancytopenia/therapy ; Platelet Transfusion ; Pregnancy ; Pregnancy Complications, Hematologic/therapy ; Pregnancy Complications, Infectious/drug therapy ; Puerperal Infection/drug therapy ; Staphylococcal Infections/drug therapy ; Thrombocytopenia/therapy
Chemical Substances	Anti-Bacterial Agents ; Hypoglycemic Agents ; Insulin
Language	English
Publishing date	2017-02-03
Publishing country	England
Document type	Case Reports ; Journal Article ; Review
ISSN	1471-2393
ISSN (online)	1471-2393
DOI	10.1186/s12884-017-1236-5
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