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  1. Article ; Online: Anti-MAdCAM-1-Conjugated Nanocarriers Delivering Quantum Dots Enable Specific Imaging of Inflammatory Bowel Disease.

    Truffi, Marta / Sevieri, Marta / Morelli, Lucia / Monieri, Matteo / Mazzucchelli, Serena / Sorrentino, Luca / Allevi, Raffaele / Bonizzi, Arianna / Zerbi, Pietro / Marchini, Beatrice / Longhi, Erika / Sampietro, Gianluca Matteo / Colombo, Francesco / Prosperi, Davide / Colombo, Miriam / Corsi, Fabio

    International journal of nanomedicine

    2020  Volume 15, Page(s) 8537–8552

    Abstract: Purpose: Assessment of inflammatory bowel disease (IBD) currently relies on aspecific clinical signs of bowel inflammation. Specific imaging of the diseased bowel regions is still lacking. Here, we investigate mucosal addressin cell adhesion molecule 1 ( ...

    Abstract Purpose: Assessment of inflammatory bowel disease (IBD) currently relies on aspecific clinical signs of bowel inflammation. Specific imaging of the diseased bowel regions is still lacking. Here, we investigate mucosal addressin cell adhesion molecule 1 (MAdCAM-1) as a reliable and specific endothelial target for engineered nanoparticles delivering imaging agents to obtain an exact mapping of diseased bowel foci.
    Materials and methods: We generated a nanodevice composed of PLGA-PEG coupled with anti-MAdCAM-1 antibody half-chains and loaded with quantum dots (P@QD-MdC NPs). Bowel localization and systemic biodistribution of the nanoconjugate were analyzed upon injection in a murine model of chronic IBD obtained through repeated administration of dextran sulfate sodium salt. Specificity for diseased bowel regions was also assessed ex vivo in human specimens from patients with IBD. Potential for development as contrast agent in magnetic resonance imaging was assessed by preliminary study on animal model.
    Results: Synthesized nanoparticles revealed good stability and monodispersity. Molecular targeting properties were analyzed in vitro in a cell culture model. Upon intravenous injection, P@QD-MdC NPs were localized in the bowel of colitic mice, with enhanced accumulation at 24 h post-injection compared to untargeted nanoparticles (p<0.05). Nanoparticles injection did not induce histologic lesions in non-target organs. Ex vivo exposure of human bowel specimens to P@QD-MdC NPs revealed specific recognition of the diseased regions vs uninvolved tracts (p<0.0001). After loading with appropriate contrast agent, the nanoparticles enabled localized contrast enhancement of bowel mucosa in the rectum of treated mice.
    Conclusion: P@QD-MdC NPs efficiently detected bowel inflammation foci, accurately following the expression pattern of MAdCAM-1. Fine-tuning of this nanoconjugate with appropriate imaging agents offers a promising non-invasive tool for specific IBD diagnosis.
    MeSH term(s) Animals ; Antibodies, Monoclonal/chemistry ; Antibodies, Monoclonal/immunology ; Cell Adhesion Molecules/immunology ; Colitis/chemically induced ; Colitis/diagnostic imaging ; Crohn Disease/diagnostic imaging ; Disease Models, Animal ; Female ; Humans ; Immunoconjugates/administration & dosage ; Immunoconjugates/pharmacokinetics ; Inflammatory Bowel Diseases/diagnostic imaging ; Injections, Intravenous ; Intestinal Mucosa/diagnostic imaging ; Intestines/diagnostic imaging ; Magnetic Resonance Imaging/methods ; Mice, Inbred C57BL ; Mucoproteins/immunology ; Nanoparticles/administration & dosage ; Nanoparticles/chemistry ; Polyesters/chemistry ; Polyethylene Glycols/chemistry ; Quantum Dots/administration & dosage ; Tissue Distribution
    Chemical Substances Antibodies, Monoclonal ; Cell Adhesion Molecules ; Immunoconjugates ; MADCAM1 protein, human ; Mucoproteins ; Polyesters ; polyethylene glycol-poly(lactide-co-glycolide) ; Polyethylene Glycols (3WJQ0SDW1A)
    Language English
    Publishing date 2020-11-02
    Publishing country New Zealand
    Document type Journal Article
    ZDB-ID 2364941-0
    ISSN 1178-2013 ; 1176-9114
    ISSN (online) 1178-2013
    ISSN 1176-9114
    DOI 10.2147/IJN.S264513
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: COVID-19: the key role of pulmonary capillary leakage. An observational cohort study

    Wu, Maddalena Alessandra / Fossali, Tommaso / Pandolfi, Laura / Carsana, Luca / Ottolina, Davide / Frangipane, Vanessa / Rech, Roberto / Tosoni, Antonella / Agarossi, Andrea / Cogliati, Chiara / Meloni, Federica / Marchini, Beatrice / Nebuloni, Manuela / Catena, Emanuele / Colombo, Riccardo

    medRxiv

    Abstract: Background: COVID-19 induces progressive hypoxemic respiratory failure and acute respiratory distress syndrome, mostly due to a dysregulated inflammatory response. Since the first observations of COVID-19 patients, significant hypoalbuminemia was ... ...

    Abstract Background: COVID-19 induces progressive hypoxemic respiratory failure and acute respiratory distress syndrome, mostly due to a dysregulated inflammatory response. Since the first observations of COVID-19 patients, significant hypoalbuminemia was detected. This study aimed to investigate the hypothesis that hypoalbuminemia in COVID-19 patients is due to pulmonary capillary leakage and to test its correlation with indicators of respiratory function. Methods: 174 COVID-19 patients, 92 admitted to the Intermediate Medicine ward (IMW), and 82 to the Intensive Care Unit (ICU) at Luigi Sacco Hospital in Milan were included in this study. Findings: Serum albumin concentration was decreased in the whole cohort, with ICU patients displaying lower values than IMW patients [20 (18-23) vs 28 (24-33) g/L, p<0.0001]. Lower albumin values were found in patients belonging to a more compromised group (lower PaO2 to FiO2 ratio and worst chest X-ray findings). In a subset of 26 patients, analysis of bronchoalveolar lavage fluid (BALF) highlighted high protein concentrations, which were correlated to Interleukin-8 and Interleukin-10 BALF concentration. The length of hospitalisation [20 (15-29) vs 8 (5-14) days, p<0.0001] and death rate (52.4% vs 21.7%, p<0.0001) were higher in ICU than in IMW patients, while a strict relation between hypoalbuminemia and 30 day-survival was detected in the whole cohort. Electron microscopy examinations of eight out of ten autopsy lung tissues showed diffuse loosening of interendothelial junctional complex. Interpretation: The degree of hypoalbuminemia can be considered as a useful severity marker in hospitalised COVID-19 patients. Pulmonary capillary leak syndrome secondary to the hyperinflammatory state plays a key role in the pathogenesis of COVID-19 respiratory dysfunction and should be regarded as a therapeutic target.
    Keywords covid19
    Language English
    Publishing date 2020-05-21
    Publisher Cold Spring Harbor Laboratory Press
    Document type Article ; Online
    DOI 10.1101/2020.05.17.20104877
    Database COVID19

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