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Article: A new sensitive automated assay for procalcitonin detection: LIAISON

Fortunato, Antonio

2016 Volume 6, Page(s) 1–7

Abstract: Objectives: To assess the performance of LIAISON: Methods: Diagnostic performance was evaluated on: a) 193 selected samples covering the assay range, whose procalcitonin levels were already evaluated with the B·R·A·H·M·S PCT: Results: The ... ...

Abstract	Objectives: To assess the performance of LIAISON Methods: Diagnostic performance was evaluated on: a) 193 selected samples covering the assay range, whose procalcitonin levels were already evaluated with the B·R·A·H·M·S PCT Results: The comparison of LIAISON Conclusion: The fully automated LIAISON
Language	English
Publishing date	2016-06-27
Publishing country	Netherlands
Document type	Journal Article
ZDB-ID	2834973-8
ISSN	2352-5517
ISSN	2352-5517
DOI	10.1016/j.plabm.2016.06.002
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Article ; Online: Variability of cardiac troponin levels in normal subjects and in patients with cardiovascular diseases: analytical considerations and clinical relevance.

Clerico, Aldo / Zaninotto, Martina / Aimo, Alberto / Cardinale, Daniela M / Dittadi, Ruggero / Sandri, Maria T / Perrone, Marco Alfonso / Belloni, Lucia / Fortunato, Antonio / Trenti, Tommaso / Plebani, Mario

Clinical chemistry and laboratory medicine

2023 Volume 61, Issue 7, Page(s) 1209–1229

Abstract: In accordance with all the most recent international guidelines, the variation of circulating levels of cardiac troponins I and T, measured with high-sensitivity methods (hs-cTnI and hs-cTnT), should be used for the detection of acute myocardial injury. ... ...

Abstract	In accordance with all the most recent international guidelines, the variation of circulating levels of cardiac troponins I and T, measured with high-sensitivity methods (hs-cTnI and hs-cTnT), should be used for the detection of acute myocardial injury. Recent experimental and clinical evidences have demonstrated that the evaluation of hs-cTnI and hs-cTnT variations is particularly relevant: a) for the differential diagnosis of Acute Coronary Syndromes (ACS) in patients admitted to the Emergency Department (ED); b) for the evaluation of cardiovascular risk in patients undergoing major cardiac or non-cardiac surgery, and in asymptomatic subjects of the general population aged >55 years and with co-morbidities; c) for the evaluation of cardiotoxicity caused by administration of some chemotherapy drugs in patients with malignant tumors. The aim of this document is to discuss the fundamental statistical and biological considerations on the intraindividual variability of hs-cTnI and hs-cTnT over time in the same individual. Firstly, it will be discussed in detail as the variations of circulating levels strictly depend not only on the analytical error of the method used but also on the intra-individual variability of the biomarker. Afterwards, the pathophysiological interpretation and the clinical relevance of the determination of the variability of the hs-cTnI and hs-cTnT values in patients with specific clinical conditions are discussed. Finally, the evaluation over time of the variation in circulating levels of hs-cTnI and hs-cTnT is proposed for a more accurate estimation of cardiovascular risk in asymptomatic subjects from the general population.
MeSH term(s)	Humans ; Cardiovascular Diseases/diagnosis ; Clinical Relevance ; Troponin T ; Acute Coronary Syndrome/diagnosis ; Biomarkers ; Troponin I
Chemical Substances	Troponin T ; Biomarkers ; Troponin I
Language	English
Publishing date	2023-01-26
Publishing country	Germany
Document type	Journal Article
ZDB-ID	1418007-8
ISSN	1437-4331 ; 1434-6621 ; 1437-8523
ISSN (online)	1437-4331
ISSN	1434-6621 ; 1437-8523
DOI	10.1515/cclm-2022-1285
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Article: Vitamin D and Autoimmune Diseases: Is Vitamin D Receptor (VDR) Polymorphism the Culprit?

Bizzaro, Giorgia / Antico, Antonio / Fortunato, Antonio / Bizzaro, Nicola

The Israel Medical Association journal : IMAJ

2017 Volume 19, Issue 7, Page(s) 438–443

Abstract: Background: Vitamin D deficiency is becoming an increasing problem worldwide. It should not be underestimated, not only due to the well-known consequences vitamin D deficiency has on bone health, but primarily because recent studies have shown how the ... ...

Abstract	Background: Vitamin D deficiency is becoming an increasing problem worldwide. It should not be underestimated, not only due to the well-known consequences vitamin D deficiency has on bone health, but primarily because recent studies have shown how the biologically active form of vitamin D - 1,25(OH)2D - is involved in many biological processes, including immune system modulation. Moreover, the presence of a vitamin D receptor was discovered in almost all immune cells and some of its polymorphisms were found to be associated with increased incidence of autoimmune diseases. This finding led to a proposed link between vitamin D deficiency and autoimmune diseases. Patients affected by various autoimmune diseases showed low levels of vitamin D. However, it is not always clear whether vitamin D deficiency is the cause or rather a consequence of the disease. Limitations of the studies, such as the small number of patients, heterogeneity of selected groups, environmental conditions, methods used to measure vitamin D serum concentration and other confounding factors do not lead to unequivocal results to demonstrate a direct link between low vitamin D levels and autoimmune disease. Therefore, randomized trials are needed to clarify conflicting results.
MeSH term(s)	Autoimmune Diseases/etiology ; Ergocalciferols/physiology ; Humans ; Polymorphism, Genetic ; Receptors, Calcitriol/genetics ; Vitamin D/blood ; Vitamin D Deficiency/complications
Chemical Substances	Ergocalciferols ; Receptors, Calcitriol ; Vitamin D (1406-16-2) ; 1,25-dihydroxyergocalciferol (55248-15-2)
Language	English
Publishing date	2017-08-07
Publishing country	Israel
Document type	Journal Article ; Review
ZDB-ID	2008291-5
ISSN	1565-1088 ; 0021-2180
ISSN	1565-1088 ; 0021-2180
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Article ; Online: Evolution of the SOUL Heme-Binding Protein Superfamily Across Eukarya.

Fortunato, Antonio Emidio / Sordino, Paolo / Andreakis, Nikos

Journal of molecular evolution

2016 Volume 82, Issue 6, Page(s) 279–290

Abstract: SOUL homologs constitute a heme-binding protein superfamily putatively involved in heme and tetrapyrrole metabolisms associated with a number of physiological processes. Despite their omnipresence across the tree of life and the biochemical ... ...

Abstract	SOUL homologs constitute a heme-binding protein superfamily putatively involved in heme and tetrapyrrole metabolisms associated with a number of physiological processes. Despite their omnipresence across the tree of life and the biochemical characterization of many SOUL members, their functional role and the evolutionary events leading to such remarkable protein repertoire still remain cryptic. To explore SOUL evolution, we apply a computational phylogenetic approach, including a relevant number of SOUL homologs, to identify paralog forms and reconstruct their genealogy across the tree of life and within species. In animal lineages, multiple gene duplication or loss events and paralog functional specializations underlie SOUL evolution from the dawn of ancestral echinoderm and mollusc SOUL forms. In photosynthetic organisms, SOUL evolution is linked to the endosymbiosis events leading to plastid acquisition in eukaryotes. Derivative features, such as the F2L peptide and BH3 domain, evolved in vertebrates and provided innovative functionality to support immune response and apoptosis. The evolution of elements such as the N-terminal protein domain DUF2358, the His42 residue, or the tetrapyrrole heme-binding site is modern, and their functional implications still unresolved. This study represents the first in-depth analysis of SOUL protein evolution and provides novel insights in the understanding of their obscure physiological role.
MeSH term(s)	Biological Evolution ; Carrier Proteins/genetics ; Databases, Genetic ; Eukaryota/genetics ; Evolution, Molecular ; Gene Duplication ; Hemeproteins/genetics ; Phylogeny ; Sequence Alignment/methods ; Symbiosis/genetics ; Tetrapyrroles/genetics
Chemical Substances	Carrier Proteins ; Hemeproteins ; Tetrapyrroles ; heme-binding protein
Language	English
Publishing date	2016-06
Publishing country	Germany
Document type	Journal Article
ZDB-ID	120148-7
ISSN	1432-1432 ; 0022-2844
ISSN (online)	1432-1432
ISSN	0022-2844
DOI	10.1007/s00239-016-9745-9
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Article ; Online: Space-to-Ground Communication for Columbus: A Quantitative Analysis.

Uhlig, Thomas / Mannel, Thurid / Fortunato, Antonio / Illmer, Norbert

TheScientificWorldJournal

2015 Volume 2015, Page(s) 308031

Abstract: The astronauts on board the International Space Station (ISS) are only the most visible part of a much larger team engaged around the clock in the performance of science and technical activities in space. The bulk of such team is scattered around the ... ...

Abstract	The astronauts on board the International Space Station (ISS) are only the most visible part of a much larger team engaged around the clock in the performance of science and technical activities in space. The bulk of such team is scattered around the globe in five major Mission Control Centers (MCCs), as well as in a number of smaller payload operations centres. Communication between the crew in space and the flight controllers at those locations is an essential element and one of the key drivers to efficient space operations. Such communication can be carried out in different forms, depending on available technical assets and the selected operational approach for the activity at hand. This paper focuses on operational voice communication and provides a quantitative overview of the balance achieved in the Columbus program between collaborative space/ground operations and autonomous on-board activity execution. An interpretation of the current situation is provided, together with a description of potential future approaches for deep space exploration missions.
MeSH term(s)	Astronauts ; Humans ; Satellite Communications ; Space Flight ; Spacecraft
Language	English
Publishing date	2015-07-28
Publishing country	United States
Document type	Journal Article
ZDB-ID	2075968-X
ISSN	1537-744X ; 1537-744X
ISSN (online)	1537-744X
ISSN	1537-744X
DOI	10.1155/2015/308031
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Article ; Online: Aldosterone measurement with LiaisonXL automated system: remarks about reference range.

Fortunato, Antonio / Marchetti, Cristina / Pinaffo, Giulia Francesca

Clinical chemistry and laboratory medicine

2014 Volume 52, Issue 5, Page(s) e85–6

MeSH term(s)	Adult ; Aged ; Aldosterone/blood ; Aldosterone/standards ; Aldosterone/urine ; Automation ; Humans ; Middle Aged ; Radioimmunoassay/standards ; Reagent Kits, Diagnostic ; Reference Values
Chemical Substances	Reagent Kits, Diagnostic ; Aldosterone (4964P6T9RB)
Language	English
Publishing date	2014-05
Publishing country	Germany
Document type	Letter
ZDB-ID	1418007-8
ISSN	1437-4331 ; 1434-6621 ; 1437-8523
ISSN (online)	1437-4331
ISSN	1434-6621 ; 1437-8523
DOI	10.1515/cclm-2013-0916
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Article ; Online: Maternal germline mosaicism in Fabry disease.

Pianese, Luigi / Fortunato, Antonio / Silvestri, Serena / Solano, Francesco G / Burlina, Alberto / Burlina, Alessandro P / Ragno, Michele

Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology

2019 Volume 40, Issue 6, Page(s) 1279–1281

Abstract: Fabry disease (FD) is an X-linked monogenic disorder caused by mutations in the GLA gene which leads to a deficiency of the functionally active lysosomal α-galactosidase A enzyme. Here, we report on a family of five members: unaffected parents, one ... ...

Abstract	Fabry disease (FD) is an X-linked monogenic disorder caused by mutations in the GLA gene which leads to a deficiency of the functionally active lysosomal α-galactosidase A enzyme. Here, we report on a family of five members: unaffected parents, one unaffected son, and another son and daughter both carrying the same mutation (p.G138E) in the GLA gene. Genotype analysis using intragenic GLA markers confirmed the maternal origin of the mutation. The affected son and daughter carried the same mutation; however, it was not detected in the peripheral blood, buccal cells, and urinary sediment cells of their mother. Moreover, the unaffected son without the alteration in the GLA gene carried the same maternal chromosome X (disease-associated) haplotype. To the best of our knowledge, this study represents the first case of maternal germline mosaicism in FD.
MeSH term(s)	Adult ; Aged ; Fabry Disease/genetics ; Female ; Genetic Predisposition to Disease ; Germ-Line Mutation ; Humans ; Male ; Middle Aged ; Mosaicism ; Pedigree ; alpha-Galactosidase/genetics
Chemical Substances	GLA protein, human (EC 3.2.1.22) ; alpha-Galactosidase (EC 3.2.1.22)
Language	English
Publishing date	2019-02-14
Publishing country	Italy
Document type	Journal Article
ZDB-ID	2016546-8
ISSN	1590-3478 ; 1590-1874
ISSN (online)	1590-3478
ISSN	1590-1874
DOI	10.1007/s10072-019-03754-1
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Article ; Online: Evaluation of the cardiovascular risk in patients undergoing major non-cardiac surgery: role of cardiac-specific biomarkers.

Clerico, Aldo / Zaninotto, Martina / Aimo, Alberto / Musetti, Veronica / Perrone, Marco / Padoan, Andrea / Dittadi, Ruggero / Sandri, Maria Teresa / Bernardini, Sergio / Sciacovelli, Laura / Trenti, Tommaso / Malloggi, Lucia / Moretti, Marco / Burgio, Maria Aurora / Manno, Massimiliano Luca / Migliardi, Marco / Fortunato, Antonio / Plebani, Mario

Clinical chemistry and laboratory medicine

2022 Volume 60, Issue 10, Page(s) 1525–1542

Abstract: Major adverse cardiovascular events are frequently observed in patients undergoing major non-cardiac surgery during the peri-operative period. At this time, the possibility to predict cardiovascular events remains limited, despite the introduction of ... ...

Abstract	Major adverse cardiovascular events are frequently observed in patients undergoing major non-cardiac surgery during the peri-operative period. At this time, the possibility to predict cardiovascular events remains limited, despite the introduction of several algorithms to calculate the risk of adverse events, mainly death and major adverse cardiovascular events (MACE) based on the clinical history, risk factors (sex, age, lipid profile, serum creatinine) and non-invasive cardiac exams (electrocardiogram, echocardiogram, stress tests). The cardiac-specific biomarkers natriuretic peptides (NPs) and cardiac troponins (cTn) have been proposed as additional tools for risk prediction in the peri-operative period, particularly for the identification of myocardial injury in patients undergoing major non-cardiac surgery. The prognostic information from the measurement of BNP/NT-proBNP and hs-cTn is independent and complementary to other important indicators of risk, also including ECG and imaging techniques. Elevated levels of cardiac-specific biomarkers before surgery are associated with a markedly higher risk of MACE during the peri-operative period. BNP/NT-proBNP and hs-cTn should be measured in all patients during the clinical evaluation before surgery, particularly during intermediate- or high-risk surgery, in patients aged >65 years and/or with comorbidities. Several questions remain to be assessed in dedicated clinical studies, such as how to optimize the management of patients with raised cardiac specific biomarkers before surgery, and whether a strategy based on biomarker measurement improves patient outcomes and is cost-effective.
MeSH term(s)	Biomarkers ; Cardiovascular Diseases ; Heart Disease Risk Factors ; Humans ; Natriuretic Peptide, Brain ; Peptide Fragments ; Prognosis ; Risk Assessment ; Risk Factors
Chemical Substances	Biomarkers ; Peptide Fragments ; Natriuretic Peptide, Brain (114471-18-0)
Language	English
Publishing date	2022-07-20
Publishing country	Germany
Document type	Journal Article
ZDB-ID	1418007-8
ISSN	1437-4331 ; 1434-6621 ; 1437-8523
ISSN (online)	1437-4331
ISSN	1434-6621 ; 1437-8523
DOI	10.1515/cclm-2022-0481
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Article ; Online: Neutrophil gelatinase-associated lipocalin (NGAL) as biomarker of acute kidney injury: a review of the laboratory characteristics and clinical evidences.

Clerico, Aldo / Galli, Claudio / Fortunato, Antonio / Ronco, Claudio

Clinical chemistry and laboratory medicine

2012 Volume 50, Issue 9, Page(s) 1505–1517

Abstract: Acute kidney injury (AKI) is a common and serious condition, currently diagnosed by functional biomarkers, such as serum creatinine measurements. Unfortunately, creatinine increase is a delayed and unreliable indicator of AKI. The lack of early ... ...

Abstract	Acute kidney injury (AKI) is a common and serious condition, currently diagnosed by functional biomarkers, such as serum creatinine measurements. Unfortunately, creatinine increase is a delayed and unreliable indicator of AKI. The lack of early biomarkers of structural kidney injury has hampered our ability to translate promising experimental therapies to human AKI. The recent discovery, translation and validation of neutrophil gelatinase-associated lipocalin (NGAL), possibly the most promising novel AKI biomarker, is reviewed here. NGAL may be measured by several methods both in plasma and urine for the early diagnosis of AKI and for the prediction of clinical outcomes, such as dialysis requirement and mortality, in several common clinical scenarios, including in the intensive care unit, cardiac surgery and renal damage due the exposition to toxic agent and drugs, and renal transplantation. Furthermore, the predictive properties of NGAL, may play a critical role in expediting the drug development process. A systematic review of literature data indicates that further studies are necessary to establish accurate reference population values according to age, gender and ethnicity, as well as reliable and specific decisional values concerning the more common clinical settings related to AKI. Furthermore, proper randomized clinical trials on renal and systemic outcomes comparing the use of NGAL vs. standard clinical practice are still lacking and accurate cost-benefit and/or cost-utility analyses for NGAL as biomarker of AKI are also needed. However, it is important to note that NGAL, in the absence of diagnostic increases in serum creatinine, is able to detect some patients affected by subclinical AKI who have an increased risk of adverse outcomes. These results also suggest that the concept and definition of AKI might need to be reassessed.
MeSH term(s)	Acute Kidney Injury/diagnosis ; Acute Kidney Injury/metabolism ; Acute Kidney Injury/pathology ; Acute-Phase Proteins/analysis ; Acute-Phase Proteins/metabolism ; Acute-Phase Proteins/standards ; Biomarkers/analysis ; Biomarkers/blood ; Biomarkers/urine ; Humans ; Immunoassay/standards ; Lipocalin-2 ; Lipocalins/analysis ; Lipocalins/metabolism ; Lipocalins/standards ; Neutrophils/metabolism ; Proto-Oncogene Proteins/analysis ; Proto-Oncogene Proteins/metabolism ; Proto-Oncogene Proteins/standards ; Reference Values
Chemical Substances	Acute-Phase Proteins ; Biomarkers ; LCN2 protein, human ; Lipocalin-2 ; Lipocalins ; Proto-Oncogene Proteins
Language	English
Publishing date	2012-02-15
Publishing country	Germany
Document type	Journal Article ; Review
ZDB-ID	1418007-8
ISSN	1437-4331 ; 1434-6621 ; 1437-8523
ISSN (online)	1437-4331
ISSN	1434-6621 ; 1437-8523
DOI	10.1515/cclm-2011-0814
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Article: Dealing with light: The widespread and multitasking cryptochrome/photolyase family in photosynthetic organisms

Fortunato, Antonio Emidio / Angela Falciatore / Jean-Pierre Bouly / Marianne Jaubert / Rossella Annunziata

Journal of plant physiology. 2015 Jan. 01, v. 172

2015

Abstract: Light is essential for the life of photosynthetic organisms as it is a source of energy and information from the environment. Light excess or limitation can be a cause of stress however. Photosynthetic organisms exhibit sophisticated mechanisms to adjust ...

Abstract	Light is essential for the life of photosynthetic organisms as it is a source of energy and information from the environment. Light excess or limitation can be a cause of stress however. Photosynthetic organisms exhibit sophisticated mechanisms to adjust their physiology and growth to the local environmental light conditions. The cryptochrome/photolyase family (CPF) is composed of flavoproteins with similar structures that display a variety of light-dependent functions. This family encompasses photolyases, blue-light activated enzymes that repair ultraviolet-light induced DNA damage, and cryptochromes, known for their photoreceptor functions in terrestrial plants. For this review, we searched extensively for CPFs in the available genome databases to trace the distribution and evolution of this protein family in photosynthetic organisms. By merging molecular data with current knowledge from the functional characterization of CPFs from terrestrial and aquatic organisms, we discuss their roles in (i) photoperception, (ii) biological rhythm regulation and (iii) light-induced stress responses. We also explore their possible implication in light-related physiological acclimation and their distribution in phototrophs living in different environments. The outcome of this structure-function analysis reconstructs the complex scenarios in which CPFs have evolved, as highlighted by the novel functions and biochemical properties of the most recently described family members in algae.
Keywords	acclimation ; algae ; autotrophs ; biological rhythms ; blue light ; cryptochromes ; databases ; DNA damage ; energy ; enzymes ; evolution ; genome ; photoreceptors ; plants (botany) ; stress response
Language	English
Dates of publication	2015-0101
Size	p. 42-54.
Publishing place	Elsevier GmbH
Document type	Article
ZDB-ID	283647-6
ISSN	1618-1328 ; 0176-1617
ISSN (online)	1618-1328
ISSN	0176-1617
DOI	10.1016/j.jplph.2014.06.011
Database	NAL-Catalogue (AGRICOLA)

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