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  1. Article ; Online: Prediction of Human Clearance Using In Silico Models with Reduced Bias.

    Lombardo, Franco / Bentzien, Jörg / Berellini, Giuliano / Muegge, Ingo

    Molecular pharmaceutics

    2024  Volume 21, Issue 3, Page(s) 1192–1203

    Abstract: Predicting human clearance with high accuracy from in silico-derived parameters alone is highly desirable, as it is fast, saves in vitro resources, and is animal-sparing. We derived random forest (RF) models from 1340 compounds with human intravenous ... ...

    Abstract Predicting human clearance with high accuracy from in silico-derived parameters alone is highly desirable, as it is fast, saves in vitro resources, and is animal-sparing. We derived random forest (RF) models from 1340 compounds with human intravenous pharmacokinetic (PK) data, the largest data set publicly available today. To assess the general applicability of the RF models, we systematically removed structural-therapeutic class analogues and other compounds with structural similarity from the training sets. For a quasi-prospective test set of 343 compounds, we show that RF models devoid of structurally similar compounds in the training set predict human clearance with a geometric mean fold error (GMFE) of 3.3. While the observed GMFE illustrates how difficult it is to generate a useful model that is broadly applicable, we posit that our RF models yield a more realistic assessment of how well human clearance can be predicted prospectively. We deployed the conformal prediction formalism to assess the model applicability and to determine the prediction confidence intervals for each prediction. We observed that clearance can be predicted better for renally cleared compounds than for other clearance mechanisms. We show that applying a classification model for predicting renal clearance identifies a subset of compounds for which clearance can be predicted with higher accuracy, yielding a GMFE of 2.3. In addition, our in silico RF human clearance models compared well to models derived from scaling human hepatocytes or preclinical in vivo data.
    MeSH term(s) Animals ; Humans ; Metabolic Clearance Rate ; Prospective Studies ; Computer Simulation ; Administration, Intravenous ; Hepatocytes ; Models, Biological
    Language English
    Publishing date 2024-01-29
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2138405-8
    ISSN 1543-8392 ; 1543-8384
    ISSN (online) 1543-8392
    ISSN 1543-8384
    DOI 10.1021/acs.molpharmaceut.3c00812
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Androgen insensitivity syndrome: a review.

    Delli Paoli, E / Di Chiano, S / Paoli, D / Lenzi, A / Lombardo, F / Pallotti, F

    Journal of endocrinological investigation

    2023  Volume 46, Issue 11, Page(s) 2237–2245

    Abstract: Purpose: Androgen insensitivity syndrome (AIS) is a disorder characterized by peripheral androgen resistance due to androgen receptor mutations in subjects with 46 XY karyotype. The severity of hormone resistance (complete, partial or mild) determines ... ...

    Abstract Purpose: Androgen insensitivity syndrome (AIS) is a disorder characterized by peripheral androgen resistance due to androgen receptor mutations in subjects with 46 XY karyotype. The severity of hormone resistance (complete, partial or mild) determines the wide spectrum of phenotypes.
    Methods: We performed a literature review on Pubmed focusing on etiopathogenesis, molecular alterations, and diagnostic-therapeutic management.
    Results: AIS is determined by a large variety of X-linked mutations that account for the wide phenotypic spectrum of subjects; it represents one of the most frequent disorders of sexual development (DSD). Clinical suspicion can arise at birth in partial AIS, due to the presence of variable degrees of ambiguity of the external genitalia, and at pubertal age in complete AIS, due to the development of female secondary sex characteristics, primary amenorrhea, and absence of female primary sex characteristics (uterus and ovaries). Laboratory tests showing elevated LH and testosterone levels despite mild or absent virilization may be helpful, but diagnosis can be achieved only after genetic testing (karyotype examination and androgen receptor sequencing). The clinical phenotype and especially the decision on sex assignment of the patient, if the diagnosis is made at birth or in the neonatal period, will guide the following medical, surgical and psychological management.
    Conclusions: For the management of AIS, a multidisciplinary team consisting of physicians, surgeons, and psychologists is highly recommended to support the patient and his/her family on gender identity choices and subsequent appropriate therapeutic decisions.
    MeSH term(s) Humans ; Infant, Newborn ; Male ; Female ; Androgen-Insensitivity Syndrome/diagnosis ; Androgen-Insensitivity Syndrome/genetics ; Androgen-Insensitivity Syndrome/therapy ; Receptors, Androgen/genetics ; Gender Identity ; Mutation ; Androgens
    Chemical Substances Receptors, Androgen ; Androgens
    Language English
    Publishing date 2023-06-10
    Publishing country Italy
    Document type Journal Article ; Review
    ZDB-ID 432272-1
    ISSN 1720-8386 ; 0391-4097 ; 1121-1369
    ISSN (online) 1720-8386
    ISSN 0391-4097 ; 1121-1369
    DOI 10.1007/s40618-023-02127-y
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Sperm motility evaluation according to WHO VI edition: moving forward turning back?

    Paoli, D / Pallotti, F / Lenzi, A / Lombardo, F

    Journal of endocrinological investigation

    2021  Volume 45, Issue 3, Page(s) 675–677

    MeSH term(s) Humans ; Kinetics ; Male ; Semen Analysis/adverse effects ; Semen Analysis/methods ; Sperm Motility/physiology ; Textbooks as Topic/standards ; World Health Organization/organization & administration
    Language English
    Publishing date 2021-09-28
    Publishing country Italy
    Document type Letter
    ZDB-ID 432272-1
    ISSN 1720-8386 ; 0391-4097 ; 1121-1369
    ISSN (online) 1720-8386
    ISSN 0391-4097 ; 1121-1369
    DOI 10.1007/s40618-021-01684-4
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Analyzing suicide life stories on Wikipedia with Highway_star and other textual visualization tools.

    Lombardo, Florian / Daly, Mathéo

    SN social sciences

    2021  Volume 1, Issue 11, Page(s) 268

    Abstract: Being responsible for a death every 40s, suicide is a major public health concern (Brunier et al. 2019). Even if many of its risk factors are social (Van Orden et al. 2010), there are surprisingly few qualitative sociological studies about the phenomenon. ...

    Abstract Being responsible for a death every 40s, suicide is a major public health concern (Brunier et al. 2019). Even if many of its risk factors are social (Van Orden et al. 2010), there are surprisingly few qualitative sociological studies about the phenomenon. This study aim is to provide a life-story sociological analysis of suicidal trajectories. Two challenges are identified: gathering suicidal narrative and maintaining a quantitative foreground in order to deepen and rationalize the interpretation of data. They are both faced using a self-made, free to use, open access, algorithm: Highway_star (https://github.com/matheo-daly/highway_star). Two corpora of Wikipedia biographies of people who died by suicide in the 1920s (N = 82) and 2020s (N = 49) are gathered. Following an application of Fritze Schütze's methodology (Schütze, 2014), classical textual visualizations are produced. A Hierarchical Descending Classification, a Factorial Correspondence Analysis and a Similarity Analysis reveal five narration categories centered around different topics: cinema, death, family, poetry and politics. As none of those visualizations focuses on the developmental aspect of the biography, they offer limited interest for a life-story investigation. The second functionality of the Highway_star tool, which represents a narrative's unfolding with a Sankey Diagram, allows completing the analysis. It shows interesting differences between decades or gender. An example of the last being that men narratives tend to be more complex and achievement focused, while the women ones are more linear and family centered. The study's range has limitations. A major one is related to the corpus and the inability to identify clearly which parts of the narratives are associated to fame and which to suicide. Another one is linked to the Highway_star tool that sometimes lack of flexibility.
    Language English
    Publishing date 2021-10-29
    Document type Journal Article
    ISSN 2662-9283
    ISSN (online) 2662-9283
    DOI 10.1007/s43545-021-00272-w
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: The impact of male factors and their correct and early diagnosis in the infertile couple's pathway: 2021 perspectives.

    Pallotti, F / Barbonetti, A / Rastrelli, G / Santi, D / Corona, G / Lombardo, F

    Journal of endocrinological investigation

    2022  Volume 45, Issue 10, Page(s) 1807–1822

    Abstract: Purpose: The current clinical practice in reproductive medicine should pose the couple at the centre of the diagnostic-therapeutic management of infertility and requires intense collaboration between the andrologist, the gynaecologist and the ... ...

    Abstract Purpose: The current clinical practice in reproductive medicine should pose the couple at the centre of the diagnostic-therapeutic management of infertility and requires intense collaboration between the andrologist, the gynaecologist and the embryologist. The andrologist, in particular, to adequately support the infertile couple, must undertake important biological, psychological, economical and ethical task. Thus, this paper aims to provide a comprehensive overview of the multifaceted role of the andrologist in the study of male factor infertility.
    Methods: A comprehensive Medline, Embase and Cochrane search was performed including publications between 1969 and 2021.
    Results: Available evidence indicates that a careful medical history and physical examination, followed by semen analysis, always represent the basic starting points of the diagnostic work up in male partner of an infertile couple. Regarding treatment, gonadotropins are an effective treatment in case of hypogonadotropic hypogonadism and FSH may be used in men with idiopathic infertility, while evidence supporting other hormonal and nonhormonal treatments is either limited or conflicting. In the future, pharmacogenomics of FSHR and FSHB as well as innovative compounds may be considered to develop new therapeutic strategies in the management of infertility.
    Conclusion: To provide a high-level of care, the andrologist must face several critical diagnostical and therapeutical steps. Even though ART may be the final and decisive stage of this decisional network, neglecting to treat the male partner may ultimately increase the risks of negative outcome, as well as costs and psychological burden for the couple itself.
    MeSH term(s) Early Diagnosis ; Humans ; Hypogonadism ; Infertility, Male/drug therapy ; Infertility, Male/therapy ; Male ; Semen Analysis ; Treatment Outcome
    Language English
    Publishing date 2022-03-29
    Publishing country Italy
    Document type Journal Article ; Review
    ZDB-ID 432272-1
    ISSN 1720-8386 ; 0391-4097 ; 1121-1369
    ISSN (online) 1720-8386
    ISSN 0391-4097 ; 1121-1369
    DOI 10.1007/s40618-022-01778-7
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article: Discordance between Glucose Management Indicator and Glycated Hemoglobin in a Pediatric Cohort with Type 1 Diabetes: A Real-World Study.

    Foti Randazzese, Simone / Bombaci, Bruno / Costantino, Serena / Giorgianni, Ylenia / Lombardo, Fortunato / Salzano, Giuseppina

    Children (Basel, Switzerland)

    2024  Volume 11, Issue 2

    Abstract: The introduction of continuous glucose monitoring (CGM) systems in clinical practice has allowed a more detailed picture of the intra- and interdaily glycemic fluctuations of individuals with type 1 diabetes (T1D). However, CGM-measured glucose control ... ...

    Abstract The introduction of continuous glucose monitoring (CGM) systems in clinical practice has allowed a more detailed picture of the intra- and interdaily glycemic fluctuations of individuals with type 1 diabetes (T1D). However, CGM-measured glucose control indicators may be occasionally inaccurate. This study aims to assess the discrepancy between the glucose management indicator (GMI) and glycated hemoglobin (HbA1c) (Δ
    Language English
    Publishing date 2024-02-06
    Publishing country Switzerland
    Document type Journal Article
    ZDB-ID 2732685-8
    ISSN 2227-9067
    ISSN 2227-9067
    DOI 10.3390/children11020210
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  7. Article ; Online: Use of teplizumab in children and adolescents at risk of type 1 diabetes: perspectives of parents and caregivers from an Italian Pediatric Diabetes Center.

    Bombaci, Bruno / Passanisi, Stefano / Pecoraro, Maria / Sorrenti, Lacrima / Papa, Mattia / Salzano, Giuseppina / Lombardo, Fortunato

    Acta diabetologica

    2024  Volume 61, Issue 5, Page(s) 635–642

    Abstract: Aims: In view of the imminent introduction of a novel category of disease-modifying treatments for type 1 diabetes (T1D) in European countries, it becomes imperative to understand the existing awareness and viewpoints of parents and caregivers of ... ...

    Abstract Aims: In view of the imminent introduction of a novel category of disease-modifying treatments for type 1 diabetes (T1D) in European countries, it becomes imperative to understand the existing awareness and viewpoints of parents and caregivers of children and adolescents predisposed to T1D. This study aims to evaluate the perspectives of a cohort of parents and caregivers regarding using teplizumab to delay the onset of T1D in predisposed children and adolescents.
    Methods: This single-center study used a survey-based approach. Parents or caregivers of children and adolescents with T1D having at least one additional child without T1D answered 15 questions assessing their awareness about teplizumab, their potential willingness to provide consent for its administration in case of eligibility, and their expectations regarding potential outcomes.
    Results: Approximately half of the participants (52.6%) expressed readiness to consent to teplizumab administration for their child if the prescription criteria were met in the future. Only 6.3% of parents claimed detailed knowledge about this innovative medication. Notably, parents with prior experience of diabetic ketoacidosis (DKA) demonstrated a higher inclination to consent to teplizumab treatment (p = 0.018).
    Conclusions: Our findings underscore the necessity for comprehensive awareness campaigns spreading the current evidence concerning teplizumab in terms of both effectiveness and possible side effects. Additionally, our study reinforces the pivotal role of DKA prevention in successfully integrating disease-modifying treatments into clinical practice.
    MeSH term(s) Humans ; Diabetes Mellitus, Type 1/drug therapy ; Adolescent ; Child ; Male ; Female ; Parents/psychology ; Antibodies, Monoclonal, Humanized/therapeutic use ; Caregivers/psychology ; Caregivers/statistics & numerical data ; Italy/epidemiology ; Adult ; Surveys and Questionnaires ; Child, Preschool ; Health Knowledge, Attitudes, Practice
    Chemical Substances Antibodies, Monoclonal, Humanized ; teplizumab (S4M959U2IJ)
    Language English
    Publishing date 2024-02-21
    Publishing country Germany
    Document type Journal Article
    ZDB-ID 1097676-0
    ISSN 1432-5233 ; 0940-5429
    ISSN (online) 1432-5233
    ISSN 0940-5429
    DOI 10.1007/s00592-024-02245-w
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article ; Online: Update on bioethical, medical and fertility issues in gender incongruence during transition age.

    Conflitti, A C / Spaziani, M / Pallotti, F / Tarsitano, M G / Di Nisio, A / Paoli, D / Lombardo, F

    Journal of endocrinological investigation

    2023  Volume 46, Issue 9, Page(s) 1725–1736

    Abstract: Purpose: Many issues still remain unresolved in the management of pubertal patients with gender incongruence (GI). The aim of this review is to discuss the main aspects of the treatment of these patients to provide a practical approach for clinicians.!## ...

    Abstract Purpose: Many issues still remain unresolved in the management of pubertal patients with gender incongruence (GI). The aim of this review is to discuss the main aspects of the treatment of these patients to provide a practical approach for clinicians.
    Methods: A comprehensive literature search within PubMed was performed to provide updates of available evidence regarding the impact on bioethical, medical and fertility issues in gender incongruence during transition age.
    Results: Gender Affirming Hormone Treatment (GAHT) and Gender Affirming Surgery (GAS) can induce unsatisfaction with change, future regrets, and the risk of infertility. This raises ethical issues especially in the management of pubertal patients that remain unresolved. Therapy with GnRH analogues (GnRHa) is intended to delay puberty, so as to give the adolescent a longer period of time to decide whether to continue with the treatments. At the level of physical changes, this therapy may have an effect on bone mineralization and body composition; however, long-term longitudinal data are not yet available. An important feature related to the use of GnRHa is the risk of fertility. Gamete cryopreservation is the most established method of fertility preservation (FP) and should be counselled to transgender adolescents. However, these patients are not always interested in having biological children.
    Conclusion: Based on the current evidence, there is a need to conduct further research to clarify certain issues and to standardize clinical practice and improve counselling in transgender adolescent decision making and avoid regrets in the future.
    MeSH term(s) Child ; Adolescent ; Humans ; Fertility Preservation ; Counseling ; Infertility ; Cryopreservation ; Transsexualism ; Transgender Persons ; Gender Dysphoria/drug therapy ; Gender Identity
    Language English
    Publishing date 2023-04-18
    Publishing country Italy
    Document type Journal Article ; Review
    ZDB-ID 432272-1
    ISSN 1720-8386 ; 0391-4097 ; 1121-1369
    ISSN (online) 1720-8386
    ISSN 0391-4097 ; 1121-1369
    DOI 10.1007/s40618-023-02077-5
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article ; Online: Examining the associations between COVID-19 infection and pediatric type 1 diabetes.

    Bombaci, Bruno / Passanisi, Stefano / Sorrenti, Lacrima / Salzano, Giuseppina / Lombardo, Fortunato

    Expert review of clinical immunology

    2023  Volume 19, Issue 5, Page(s) 489–497

    Abstract: Introduction: The COVID-19 pandemic represents an unprecedented challenge for public health worldwide, not only for the very high number of cases and deaths but also due to a wide variety of indirect consequences. Among these, the possible relationship ... ...

    Abstract Introduction: The COVID-19 pandemic represents an unprecedented challenge for public health worldwide, not only for the very high number of cases and deaths but also due to a wide variety of indirect consequences. Among these, the possible relationship between SARS-CoV-2 infection and type 1 diabetes (T1D) in pediatric age has aroused notable interest in the scientific community.
    Areas covered: This perspective article aims to focus on the epidemiological trend of T1D during the pandemic, the diabetogenic role of SARS-CoV-2, and the influence of preexisting T1D on COVID-19 outcomes.
    Expert opinion: The incidence of T1D has considerably changed during the COVID-19 pandemic, but any direct role of SARS-CoV-2 is uncertain. It is more likely that SARS-CoV-2 infection acts as an accelerator of pancreatic β-cell immunological destruction, which is activated by known viral triggers whose spread has been abnormal during these pandemic years. Another interesting aspect to consider is the role of immunization as a potential protective factor both for T1D development and the risk of severe outcomes in already diagnosed patients. Future studies are still required to address unmet needs, including the early use of antiviral drugs to reduce the risk of metabolic decompensation in children with T1D.
    MeSH term(s) Humans ; Child ; COVID-19 ; SARS-CoV-2/metabolism ; Diabetes Mellitus, Type 1 ; Pandemics ; Peptidyl-Dipeptidase A/metabolism
    Chemical Substances Peptidyl-Dipeptidase A (EC 3.4.15.1)
    Language English
    Publishing date 2023-03-12
    Publishing country England
    Document type Journal Article
    ZDB-ID 2274260-8
    ISSN 1744-8409 ; 1744-666X
    ISSN (online) 1744-8409
    ISSN 1744-666X
    DOI 10.1080/1744666X.2023.2189587
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  10. Article ; Online: Italy's actions on dementia.

    Ancidoni, Antonio / Lacorte, Eleonora / Bacigalupo, Ilaria / Lombardo, Flavia / Vanacore, Nicola

    The Lancet. Neurology

    2023  Volume 22, Issue 2, Page(s) 111

    MeSH term(s) Humans ; Italy ; Dementia
    Language English
    Publishing date 2023-01-18
    Publishing country England
    Document type Letter
    ZDB-ID 2081241-3
    ISSN 1474-4465 ; 1474-4422
    ISSN (online) 1474-4465
    ISSN 1474-4422
    DOI 10.1016/S1474-4422(22)00521-X
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