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  1. Article: Effect of Ospemifene on Densitometric and Plasma Bone Metabolism Biomarkers in Postmenopausal Women Reporting Vulvar and Vaginal Atrophy (VVA).

    Maffei, Silvia / Guiducci, Letizia

    Journal of clinical medicine

    2022  Volume 11, Issue 21

    Abstract: Menopausal hormone deficiency can exert multiple effects on various organs. Vulvovaginal atrophy (VVA) is among the most widespread and disabling post-menopausal disorder. Hormonal changes can also result in a markedly increased rate of bone mineral ... ...

    Abstract Menopausal hormone deficiency can exert multiple effects on various organs. Vulvovaginal atrophy (VVA) is among the most widespread and disabling post-menopausal disorder. Hormonal changes can also result in a markedly increased rate of bone mineral density (BMD) loss. Ospemifene (OSP) is an SERM indicated to treat vulvar and vaginal atrophy (VVA) in postmenopausal women. This study evaluates the long-term effects of ospemifene therapy on bone metabolism and bone mineral parameters in postmenopausal women reporting VVA/GSM.
    Methods: Women reporting VVA symptoms were included. Bone health profile was investigated in 61 subjects treated with OSP (OSPG) (60 mg/day) and compared with a control group (CG) (
    Results: In the CG, BMD and T-score statistically decreased at the femoral neck (FN), total femur (TF), and lumbar spine (L1-L4). In the OSPG, BMD decreased significantly at FN but tended to remain stable at TF and L1-L4. No changes were observed in bone mineral markers after one year in either group, except BAP, which decreased in OSPG.
    Conclusions: Long-term OSP treatment improves bone mineral markers at TF and LS and slows bone loss at FN compared to the control group. Overall, OSP exerts a protective effect on bone loss in healthy menopausal women with VVA.
    Language English
    Publishing date 2022-10-26
    Publishing country Switzerland
    Document type Journal Article
    ZDB-ID 2662592-1
    ISSN 2077-0383
    ISSN 2077-0383
    DOI 10.3390/jcm11216316
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article: Dietary Patterns, Gut Microbiota Remodeling, and Cardiometabolic Disease.

    Guiducci, Letizia / Nicolini, Giuseppina / Forini, Francesca

    Metabolites

    2023  Volume 13, Issue 6

    Abstract: The cardiovascular and metabolic disorders, collectively known as cardiometabolic disease (CMD), are high morbidity and mortality pathologies associated with lower quality of life and increasing health-care costs. The influence of the gut microbiota (GM) ...

    Abstract The cardiovascular and metabolic disorders, collectively known as cardiometabolic disease (CMD), are high morbidity and mortality pathologies associated with lower quality of life and increasing health-care costs. The influence of the gut microbiota (GM) in dictating the interpersonal variability in CMD susceptibility, progression and treatment response is beginning to be deciphered, as is the mutualistic relation established between the GM and diet. In particular, dietary factors emerge as pivotal determinants shaping the architecture and function of resident microorganisms in the human gut. In turn, intestinal microbes influence the absorption, metabolism, and storage of ingested nutrients, with potentially profound effects on host physiology. Herein, we present an updated overview on major effects of dietary components on the GM, highlighting the beneficial and detrimental consequences of diet-microbiota crosstalk in the setting of CMD. We also discuss the promises and challenges of integrating microbiome data in dietary planning aimed at restraining CMD onset and progression with a more personalized nutritional approach.
    Language English
    Publishing date 2023-06-17
    Publishing country Switzerland
    Document type Journal Article ; Review
    ZDB-ID 2662251-8
    ISSN 2218-1989
    ISSN 2218-1989
    DOI 10.3390/metabo13060760
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  3. Article ; Online: Long-term effects of a combination of isoflavones, agnus castus and magnolia extracts on climacteric symptoms and cardiometabolic risk profile in postmenopausal women.

    Maffei, Silvia / Franchini, Michela / Fortunato, Loredana / Guiducci, Letizia

    Gynecological endocrinology : the official journal of the International Society of Gynecological Endocrinology

    2022  Volume 38, Issue 4, Page(s) 339–344

    Abstract: Objective: To evaluate the long-term effects of a combination of isoflavones, agnus castus and magnolia extracts (combined isoflavone compound [CIC]) on climacteric symptoms and cardiometabolic risk in symptomatic postmenopausal women.: Methods: This ...

    Abstract Objective: To evaluate the long-term effects of a combination of isoflavones, agnus castus and magnolia extracts (combined isoflavone compound [CIC]) on climacteric symptoms and cardiometabolic risk in symptomatic postmenopausal women.
    Methods: This interventional, prospective study evaluated climacteric symptoms, mood and sleep disorders using the 21-item Greene Climacteric Scale (GCS) and 7-item Insomnia Severity Index (ISI) questionnaires; and cardiovascular, metabolic and thrombotic risk markers at baseline (T0) and after 12 months of CIC treatment (T1).
    Results: In healthy postmenopausal women (
    Conclusions: Long-term CIC therapy improved vasomotor symptoms, mood disorders, sleep disorders, hemodynamic measurements and cardiometabolic risk markers in healthy postmenopausal women.
    Clinicaltrials.gov identifier: NCT03699150.
    MeSH term(s) Cardiometabolic Risk Factors ; Cardiovascular Diseases/prevention & control ; Climacteric/drug effects ; Climacteric/physiology ; Drug Therapy, Combination ; Female ; Humans ; Isoflavones/pharmacology ; Isoflavones/therapeutic use ; Magnolia ; Middle Aged ; Phytotherapy ; Plant Extracts/pharmacology ; Plant Extracts/therapeutic use ; Postmenopause/drug effects ; Postmenopause/physiology ; Prospective Studies ; Treatment Outcome ; Vitex
    Chemical Substances Isoflavones ; Plant Extracts
    Language English
    Publishing date 2022-03-08
    Publishing country England
    Document type Clinical Study ; Journal Article
    ZDB-ID 639237-4
    ISSN 1473-0766 ; 0951-3590
    ISSN (online) 1473-0766
    ISSN 0951-3590
    DOI 10.1080/09513590.2022.2047171
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Self-organized rod undulations on pre-stretched textiles.

    Guiducci, Lorenzo / Kycia, Agata / Sauer, Christiane / Fratzl, Peter

    Bioinspiration & biomimetics

    2022  Volume 17, Issue 3

    Abstract: Textile technology is a traditional approach to additive manufacturing based on one-dimensional yarn. Printing solid rods onto pre-stretched textiles creates internal stresses upon relaxation of the pre-stretch, which leads to buckling-induced out-of- ... ...

    Abstract Textile technology is a traditional approach to additive manufacturing based on one-dimensional yarn. Printing solid rods onto pre-stretched textiles creates internal stresses upon relaxation of the pre-stretch, which leads to buckling-induced out-of-plane deformation of the textile. Similar behaviours are well known to occur also in biological systems where differential growth leads to internal stresses that are responsible for the folding or wrinkling of leaves, for example. Our goal was to get a quantitative understanding of this wrinkling by a systematic experimental and numerical investigation of parallel rods printed onto a pre-stretched textile. We vary rod thickness and spacing to obtain wavelength and phase coherence of the wrinkles as a function of these parameters. We also derive a simple analytical description to rationalize these observations. The result is a simple analytical estimate for the phase diagram of behaviours that may be used for design purposes or to describe wrinkling phenomena in biological or bioinspired systems.
    MeSH term(s) Textiles ; Wearable Electronic Devices
    Language English
    Publishing date 2022-05-10
    Publishing country England
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 2235670-8
    ISSN 1748-3190 ; 1748-3182
    ISSN (online) 1748-3190
    ISSN 1748-3182
    DOI 10.1088/1748-3190/ac5b85
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article: Monthly Intramuscular Neridronate for the Treatment of Postmenopausal Osteoporosis: Results of a 6-Year Prospective Italian Study.

    Guiducci, L / Vassalle, C / Parchi, P / Maffei, S

    International journal of endocrinology

    2019  Volume 2019, Page(s) 9802827

    Abstract: Purpose: Oral bisphosphonates (BPs) are the most commonly used medications for osteoporosis (OP), but their poor gastrointestinal (GI) absorption and tolerance hamper compliance. Intramuscular (IM) neridronate (NE), an amino-BP, is an easy-to-administer, ...

    Abstract Purpose: Oral bisphosphonates (BPs) are the most commonly used medications for osteoporosis (OP), but their poor gastrointestinal (GI) absorption and tolerance hamper compliance. Intramuscular (IM) neridronate (NE), an amino-BP, is an easy-to-administer, effective, and safe alternative to oral BPs. We assessed the 6-year effects of monthly IM NE on bone mineral density (BMD) and bone turnover biomarkers (BMs) in postmenopausal OP.
    Methods: This single-center, prospective study enrolled postmenopausal osteoporotic outpatients with gastric intolerance to BPs (based on Tuscany Region's law GRT n. 836 20/10/2008). They received 25 mg IM NE once a month (with vitamin D and calcium if necessary) for 6 years. BMD was evaluated at lumbar spine (L1-L4), femoral neck (FN), and total femur (TF) at baseline (BL) and every 12 months afterwards. At BL, month 3, and every 12 months after BL, total and ionized calcium, vitamin D, parathyroid hormone 1-84, bone alkaline phosphatase (BALP), osteocalcin, and N- and C-terminal telopeptides were assayed.
    Results: Overall, 60 women (mean age: 62.3 ± 7.5 years) received monthly IM NE for 6 years, with vitamin D and calcium supplementation in 81.3% of cases. Compared to BL, BMD increased significantly already after 1 year at all sites (4.5 ± 0.9% for L1-L4, 4.5 ± 0.8% for TF, and 2.1 ± 0.6% for FN,
    Conclusion: The monthly administration of IM NE represents a manageable and effective option, in terms of BMD and bone BM improvement, for the long-term treatment of postmenopausal OP women with gastric intolerance to BPs. This trial is registered with ClinicalTrials.gov Identifier: NCT03699150.
    Language English
    Publishing date 2019-02-06
    Publishing country Egypt
    Document type Journal Article
    ZDB-ID 2502951-4
    ISSN 1687-8345 ; 1687-8337
    ISSN (online) 1687-8345
    ISSN 1687-8337
    DOI 10.1155/2019/9802827
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  6. Article ; Online: Gut Microbiota and Sex Hormones: Crosstalking Players in Cardiometabolic and Cardiovascular Disease.

    Maffei, Silvia / Forini, Francesca / Canale, Paola / Nicolini, Giuseppina / Guiducci, Letizia

    International journal of molecular sciences

    2022  Volume 23, Issue 13

    Abstract: The available evidence indicates a close connection between gut microbiota (GM) disturbance and increased risk of cardiometabolic (CM) disorders and cardiovascular (CV) disease. One major objective of this narrative review is to discuss the key ... ...

    Abstract The available evidence indicates a close connection between gut microbiota (GM) disturbance and increased risk of cardiometabolic (CM) disorders and cardiovascular (CV) disease. One major objective of this narrative review is to discuss the key contribution of dietary regimen in determining the GM biodiversity and the implications of GM dysbiosis for the overall health of the CV system. In particular, emerging molecular pathways are presented, linking microbiota-derived signals to the local activation of the immune system as the driver of a systemic proinflammatory state and permissive condition for the onset and progression of CM and CV disease. We further outline how the cross-talk between sex hormones and GM impacts disease susceptibility, thereby offering a mechanistic insight into sexual dimorphism observed in CVD. A better understanding of these relationships could help unravel novel disease targets and pave the way to the development of innovative, low-risk therapeutic strategies based on diet interventions, GM manipulation, and sex hormone analogues.
    MeSH term(s) Cardiovascular Diseases/etiology ; Dysbiosis ; Gastrointestinal Microbiome/physiology ; Gonadal Steroid Hormones/metabolism ; Humans ; Microbiota
    Chemical Substances Gonadal Steroid Hormones
    Language English
    Publishing date 2022-06-28
    Publishing country Switzerland
    Document type Journal Article ; Review
    ZDB-ID 2019364-6
    ISSN 1422-0067 ; 1422-0067 ; 1661-6596
    ISSN (online) 1422-0067
    ISSN 1422-0067 ; 1661-6596
    DOI 10.3390/ijms23137154
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  7. Article: Circulating and Exosomal microRNA-33 in Childhood Obesity.

    Cabiati, Manuela / Guiducci, Letizia / Randazzo, Emioli / Casieri, Valentina / Federico, Giovanni / Del Ry, Silvia

    Biomedicines

    2023  Volume 11, Issue 8

    Abstract: Background: MicroRNA-33 may control a wide range of different metabolic functions.: Methods: This study aims to assess the miR-33a circulating profile in normal-weight (N = 20) and obese (O = 30) adolescents and to correlate its expression levels to ... ...

    Abstract Background: MicroRNA-33 may control a wide range of different metabolic functions.
    Methods: This study aims to assess the miR-33a circulating profile in normal-weight (N = 20) and obese (O = 30) adolescents and to correlate its expression levels to their metabolic parameters. In a subset of subjects, we compared circulating miR-33a with exosomal miR-33a.
    Results: Metabolic parameters were altered in O, with initial hyperinsulinemia. Circulating miR-33a was significantly higher in O than in N (
    Conclusion: While exosome miR-33a does not provide any advantage, circulating miR-33a can provide important indications in an initial phase of metabolic dysfunction, stratifying obese adolescents at higher cardiometabolic risk.
    Language English
    Publishing date 2023-08-18
    Publishing country Switzerland
    Document type Journal Article
    ZDB-ID 2720867-9
    ISSN 2227-9059
    ISSN 2227-9059
    DOI 10.3390/biomedicines11082295
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  8. Article ; Online: Dendritic cells in reflectance confocal microscopy are a clue for early melanoma diagnosis in extrafacial flat pigmented melanocytic lesions.

    Guiducci, Laura / Kaleci, Shaniko / Chester, Johanna / Longo, Caterina / Ciardo, Silvana / Farnetani, Francesca / Pellacani, Giovanni

    Experimental dermatology

    2022  Volume 31, Issue 7, Page(s) 1048–1055

    Abstract: Differential diagnosis of extrafacial flat pigmented lesions with dermoscopic reticular and/or homogeneous pattern is challenging. Dendritic cells upon reflectance confocal microscopy (RCM) still represent a pitfall. This study aims to determine the role ...

    Abstract Differential diagnosis of extrafacial flat pigmented lesions with dermoscopic reticular and/or homogeneous pattern is challenging. Dendritic cells upon reflectance confocal microscopy (RCM) still represent a pitfall. This study aims to determine the role of dendritic cells upon RCM in the epidermis and dermo-epidermal junction (DEJ), together with common RCM features for melanoma and nevi, in dermoscopically equivocal extrafacial flat pigmented lesions. A retrospective evaluation of RCM images of melanocytic extrafacial flat pigmented lesions with reticular and/or homogeneous dermoscopic pattern and with histopathological diagnosis, was performed. A multivariate model of RCM features was used to obtain a score of independent risk factors. A total of 698 lesions were included. Increasing patient age, epidermal dendritic cells, many dendritic cells in the DEJ (>30%) and many (>5/mm
    MeSH term(s) Dendritic Cells ; Dermoscopy/methods ; Diagnosis, Differential ; Humans ; Melanoma/pathology ; Microscopy, Confocal/methods ; Nevus/diagnosis ; Retrospective Studies ; Skin Neoplasms/pathology
    Language English
    Publishing date 2022-03-04
    Publishing country Denmark
    Document type Journal Article
    ZDB-ID 1130936-2
    ISSN 1600-0625 ; 0906-6705
    ISSN (online) 1600-0625
    ISSN 0906-6705
    DOI 10.1111/exd.14553
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  9. Article: Vitamin D Status in Children with Autism Spectrum Disorders: Determinants and Effects of the Response to Probiotic Supplementation.

    Guiducci, Letizia / Vassalle, Cristina / Prosperi, Margherita / Santocchi, Elisa / Morales, Maria Aurora / Muratori, Filippo / Calderoni, Sara

    Metabolites

    2022  Volume 12, Issue 7

    Abstract: A relationship between the presence of clinical symptoms and gastrointestinal (GI) disturbances associated with nutritional deficiencies, including vitamin D (25(OH)D) deficiency, has been observed in autism spectrum disorder (ASD). The aim was to ... ...

    Abstract A relationship between the presence of clinical symptoms and gastrointestinal (GI) disturbances associated with nutritional deficiencies, including vitamin D (25(OH)D) deficiency, has been observed in autism spectrum disorder (ASD). The aim was to evaluate 25(OH)D levels according to the annual rhythm cycle, gender, the severity of autism, nutritional or clinical status, inflammatory and metabolic biomarkers, GI symptoms, and the clinical response to probiotic/placebo supplementation in preschooler children with ASD. Eighty-one ASD preschoolers (67 males) were assessed with standardized tools for ASD severity (ADOS score) and GI symptoms (by GI-Index at six-items and at nine-items, the latter defined as the Total GI-Index). The 25(OH)D levels were compared among different ASD subgroups according to metabolic and inflammatory biomarkers (leptin, insulin, resistin, PAI-1, MCP-1, TNF-alfa, and IL-6), gender, and the presence or absence of: (i) GI symptoms, (ii) the response to probiotic supplementation (the improvement of GI symptomatology), (iii) the response to probiotic supplementation (improvement of ASD severity). Only 25% of the ASD children presented an adequate 25(OH)D status (≥30 ng/mL according to the Endocrine Society guidelines). All the 25(OH)D levels falling in the severe deficiency range (<10 ng/mL) were observed in the male subgroup. A significant inverse correlation between 25(OH)D and leptin was observed (R = −0.24, p = 0.037). An inverse correlation was found between 25(OH)D levels and the GI Index 6-Items and Total GI-Index (R = −0.25, p = 0.026; −0.27, = 0.009) and a direct relationship with the probiotic response (R = 0.4, p = 0.05). The monitoring of 25(OH)D levels and the co-administration of 25(OH)D and probiotic supplementation could be considered in ASD from early ages.
    Language English
    Publishing date 2022-07-01
    Publishing country Switzerland
    Document type Journal Article
    ZDB-ID 2662251-8
    ISSN 2218-1989
    ISSN 2218-1989
    DOI 10.3390/metabo12070611
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  10. Article ; Online: A randomized controlled trial into the effects of probiotics on electroencephalography in preschoolers with autism.

    Billeci, Lucia / Callara, Alejandro Luis / Guiducci, Letizia / Prosperi, Margherita / Morales, Maria Aurora / Calderoni, Sara / Muratori, Filippo / Santocchi, Elisa

    Autism : the international journal of research and practice

    2022  Volume 27, Issue 1, Page(s) 117–132

    Abstract: Lay abstract: This study investigates the effects of a probiotic on preschoolers' brain electrical activity with autism spectrum disorder. Autism is a disorder with an increasing prevalence characterized by an enormous individual, family, and social ... ...

    Abstract Lay abstract: This study investigates the effects of a probiotic on preschoolers' brain electrical activity with autism spectrum disorder. Autism is a disorder with an increasing prevalence characterized by an enormous individual, family, and social cost. Although the etiology of autism spectrum disorder is unknown, an interaction between genetic and environmental factors is implicated, converging in altered brain synaptogenesis and, therefore, connectivity. Besides deepening the knowledge on the resting brain electrical activity that characterizes this disorder, this study allows analyzing the positive central effects of a 6-month therapy with a probiotic through a randomized, double-blind placebo-controlled study and the correlations between electroencephalography activity and biochemical and clinical parameters. In subjects treated with probiotics, we observed a decrease of power in frontopolar regions in beta and gamma bands, and increased coherence in the same bands together with a shift in frontal asymmetry, which suggests a modification toward a typical brain activity. Electroencephalography measures were significantly correlated with clinical and biochemical measures. These findings support the importance of further investigations on probiotics' benefits in autism spectrum disorder to better elucidate mechanistic links between probiotics supplementation and changes in brain activity.
    MeSH term(s) Humans ; Autistic Disorder/therapy ; Autism Spectrum Disorder/drug therapy ; Brain ; Probiotics/therapeutic use ; Electroencephalography
    Language English
    Publishing date 2022-04-01
    Publishing country England
    Document type Randomized Controlled Trial ; Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 1338513-6
    ISSN 1461-7005 ; 1362-3613
    ISSN (online) 1461-7005
    ISSN 1362-3613
    DOI 10.1177/13623613221082710
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