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Article ; Online: Severe blunt renal injury after motorcycle accident: failure of the conservative management.

Brachini, Gioia / Cirillo, Bruno / Sapienza, Paolo / Lapolla, Pierfrancesco / Meneghini, Simona / Simonelli, Luigi / Mingoli, Andrea

Annali italiani di chirurgia

2021 Volume 92, Page(s) 518–520

Abstract: We report the case of a patient who presented after a motorcycle accident a grade IV kidney lesion primarily treated with a NOM, which failed. We discuss the possibility at admission to select a subgroup of patients with a high grade (IV and V) kidney ... ...

Abstract	We report the case of a patient who presented after a motorcycle accident a grade IV kidney lesion primarily treated with a NOM, which failed. We discuss the possibility at admission to select a subgroup of patients with a high grade (IV and V) kidney trauma in whom NOM might fail. KEY WORDS: Kidney Trauma, High grade renal trauma, Non operative management.
MeSH term(s)	Accidents ; Conservative Treatment ; Humans ; Injury Severity Score ; Kidney/injuries ; Motorcycles ; Retrospective Studies ; Wounds, Nonpenetrating/complications ; Wounds, Nonpenetrating/therapy
Language	English
Publishing date	2021-11-18
Publishing country	Italy
Document type	Case Reports ; Journal Article
ZDB-ID	418927-9
ISSN	2239-253X ; 0003-469X
ISSN (online)	2239-253X
ISSN	0003-469X
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Article ; Online: The β2

Meneghini, Simone / Modena, Debora / Colombo, Giulia / Coatti, Aurora / Milani, Niccolò / Madaschi, Laura / Amadeo, Alida / Becchetti, Andrea

Progress in neurobiology

2022 Volume 214, Page(s) 102279

Abstract: Mutant subunits of the neuronal nicotinic ACh receptor (nAChR) can cause Autosomal Dominant Sleep-related Hypermotor Epilepsy (ADSHE), characterized by frontal seizures during non-rapid eye movement (NREM) sleep. We studied the cellular bases of the ... ...

Abstract	Mutant subunits of the neuronal nicotinic ACh receptor (nAChR) can cause Autosomal Dominant Sleep-related Hypermotor Epilepsy (ADSHE), characterized by frontal seizures during non-rapid eye movement (NREM) sleep. We studied the cellular bases of the pathogenesis in brain slices from mice conditionally expressing the ADSHE-linked β2
MeSH term(s)	Acetylcholine/pharmacology ; Animals ; Epilepsy ; Humans ; Mice ; Mice, Transgenic ; Neurons/physiology ; Nicotine/pharmacology ; Prefrontal Cortex/metabolism ; Receptors, Nicotinic/metabolism ; Seizures ; Sleep/physiology ; Somatostatin
Chemical Substances	Receptors, Nicotinic ; Somatostatin (51110-01-1) ; Nicotine (6M3C89ZY6R) ; Acetylcholine (N9YNS0M02X)
Language	English
Publishing date	2022-05-02
Publishing country	England
Document type	Journal Article ; Research Support, Non-U.S. Gov't
ZDB-ID	185535-9
ISSN	1873-5118 ; 0301-0082
ISSN (online)	1873-5118
ISSN	0301-0082
DOI	10.1016/j.pneurobio.2022.102279
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Article: Nicotinic Receptors in Sleep-Related Hypermotor Epilepsy: Pathophysiology and Pharmacology.

Becchetti, Andrea / Grandi, Laura Clara / Colombo, Giulia / Meneghini, Simone / Amadeo, Alida

Brain sciences

2020 Volume 10, Issue 12

Abstract: Sleep-related hypermotor epilepsy (SHE) is characterized by hyperkinetic focal seizures, mainly arising in the neocortex during non-rapid eye movements (NREM) sleep. The familial form is autosomal dominant SHE (ADSHE), which can be caused by mutations in ...

Abstract	Sleep-related hypermotor epilepsy (SHE) is characterized by hyperkinetic focal seizures, mainly arising in the neocortex during non-rapid eye movements (NREM) sleep. The familial form is autosomal dominant SHE (ADSHE), which can be caused by mutations in genes encoding subunits of the neuronal nicotinic acetylcholine receptor (nAChR), Na
Language	English
Publishing date	2020-11-25
Publishing country	Switzerland
Document type	Journal Article ; Review
ZDB-ID	2651993-8
ISSN	2076-3425
ISSN	2076-3425
DOI	10.3390/brainsci10120907
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Article ; Online: An early Sox2-dependent gene expression programme required for hippocampal dentate gyrus development.

Mercurio, Sara / Alberti, Chiara / Serra, Linda / Meneghini, Simone / Berico, Pietro / Bertolini, Jessica / Becchetti, Andrea / Nicolis, Silvia K

Open biology

2021 Volume 11, Issue 2, Page(s) 200339

Abstract: The hippocampus is a brain area central for cognition. Mutations in the human SOX2 transcription factor cause neurodevelopmental defects, leading to intellectual disability and seizures, together with hippocampal dysplasia. We generated an allelic series ...

Abstract	The hippocampus is a brain area central for cognition. Mutations in the human SOX2 transcription factor cause neurodevelopmental defects, leading to intellectual disability and seizures, together with hippocampal dysplasia. We generated an allelic series of Sox2 conditional mutations in mouse, deleting Sox2 at different developmental stages. Late Sox2 deletion (from E11.5, via Nestin-Cre) affects only postnatal hippocampal development; earlier deletion (from E10.5, Emx1-Cre) significantly reduces the dentate gyrus (DG), and the earliest deletion (from E9.5, FoxG1-Cre) causes drastic abnormalities, with almost complete absence of the DG. We identify a set of functionally interconnected genes (Gli3, Wnt3a, Cxcr4, p73 and Tbr2), known to play essential roles in hippocampal embryogenesis, which are downregulated in early Sox2 mutants, and (Gli3 and Cxcr4) directly controlled by SOX2; their downregulation provides plausible molecular mechanisms contributing to the defect. Electrophysiological studies of the Emx1-Cre mouse model reveal altered excitatory transmission in CA1 and CA3 regions.
MeSH term(s)	Action Potentials ; Animals ; Cell Line, Tumor ; Dentate Gyrus/cytology ; Dentate Gyrus/embryology ; Dentate Gyrus/metabolism ; Gene Expression Regulation, Developmental ; Mice ; Mice, Inbred C57BL ; Nerve Tissue Proteins/genetics ; Nerve Tissue Proteins/metabolism ; Neurons/cytology ; Neurons/metabolism ; Neurons/physiology ; Receptors, CXCR4/genetics ; Receptors, CXCR4/metabolism ; SOXB1 Transcription Factors/genetics ; SOXB1 Transcription Factors/metabolism ; T-Box Domain Proteins/genetics ; T-Box Domain Proteins/metabolism ; Tumor Protein p73/genetics ; Tumor Protein p73/metabolism ; Wnt3A Protein/genetics ; Wnt3A Protein/metabolism ; Zinc Finger Protein Gli3/genetics ; Zinc Finger Protein Gli3/metabolism
Chemical Substances	CXCR4 protein, mouse ; Eomes protein, mouse ; Gli3 protein, mouse ; Nerve Tissue Proteins ; Receptors, CXCR4 ; SOXB1 Transcription Factors ; Sox2 protein, mouse ; T-Box Domain Proteins ; Tumor Protein p73 ; Wnt3A Protein ; Wnt3a protein, mouse ; Zinc Finger Protein Gli3
Language	English
Publishing date	2021-02-24
Publishing country	England
Document type	Journal Article ; Research Support, Non-U.S. Gov't
ZDB-ID	2630944-0
ISSN	2046-2441 ; 2046-2441
ISSN (online)	2046-2441
ISSN	2046-2441
DOI	10.1098/rsob.200339
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Article ; Online: Idiopathic spontaneous liver hemorrhage A report of two cases and a review of the literature.

Cirillo, Bruno / Brachini, Gioia / Zambon, Martina / Meneghini, Simona / Fonsi, Giovanni Battista / Simonelli, Luigi / Cicerchia, Pierfranco

Annali italiani di chirurgia

2021 Volume 92, Page(s) 361–364

Abstract: Spontaneous liver hemorrhage (SLH) is a serious, extremely rare, and life-threatening occurrence requiring a multidisciplinary approach. Since diagnosis might be difficult, a high mortality rate is reported. Survival depends on a prompt diagnosis ... ...

Abstract	Spontaneous liver hemorrhage (SLH) is a serious, extremely rare, and life-threatening occurrence requiring a multidisciplinary approach. Since diagnosis might be difficult, a high mortality rate is reported. Survival depends on a prompt diagnosis followed by an appropriate management. If left untreated, SLH progresses, in fact, to a hemorrhagic shock and death. SLH is rarely idiopathic, whereas more commonly is secondary to severe preeclampsia and HELLP (Hemolysis, Elevated Liver enzymes, Low Platelet count) syndrome, hepatocellular carcinoma (HCC), adenoma, focal nodular hyperplasia or hemangioma, and connective tissue diseases. We report two patients presenting with an idiopathic SLH successfully treated with angioembolization, and the results of an extensive literature review. KEY WORDS: Intrahepatic hematoma, Spontaneous liver hemorrhage, Spontaneous liver rupture.
MeSH term(s)	Carcinoma, Hepatocellular ; Female ; HELLP Syndrome/diagnosis ; HELLP Syndrome/therapy ; Hemorrhage/etiology ; Hemorrhage/therapy ; Humans ; Liver ; Liver Diseases/diagnosis ; Liver Diseases/therapy ; Liver Neoplasms/complications ; Liver Neoplasms/diagnosis ; Liver Neoplasms/therapy ; Pregnancy ; Rupture, Spontaneous
Language	English
Publishing date	2021-09-15
Publishing country	Italy
Document type	Case Reports ; Journal Article ; Review
ZDB-ID	418927-9
ISSN	2239-253X ; 0003-469X
ISSN (online)	2239-253X
ISSN	0003-469X
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Article: Agonist and antagonist effects of tobacco-related nitrosamines on human α4β2 nicotinic acetylcholine receptors.

Brusco, Simone / Ambrosi, Paola / Meneghini, Simone / Becchetti, Andrea

Frontiers in pharmacology

2015 Volume 6, Page(s) 201

Abstract: Regulation of the "neuronal" nicotinic acetylcholine receptors (nAChRs) is implicated in both tobacco addiction and smoking-dependent tumor promotion. Some of these effects are caused by the tobacco-derived N-nitrosamines, which are carcinogenic ... ...

Abstract	Regulation of the "neuronal" nicotinic acetylcholine receptors (nAChRs) is implicated in both tobacco addiction and smoking-dependent tumor promotion. Some of these effects are caused by the tobacco-derived N-nitrosamines, which are carcinogenic compounds that avidly bind to nAChRs. However, the functional effects of these drugs on specific nAChR subtypes are largely unknown. By using patch-clamp methods, we tested 4-(methylnitrosamine)-1-(3-pyridyl)-1-butanone (NNK) and N'-nitrosonornicotine (NNN) on human α4β2 nAChRs. These latter are widely distributed in the mammalian brain and are also frequently expressed outside the nervous system. NNK behaved as a partial agonist, with an apparent EC50 of 16.7 μM. At 100 μM, it activated 16% of the maximal current activated by nicotine. When NNK was co-applied with nicotine, it potentiated the currents elicited by nicotine concentrations ≤ 100 nM. At higher concentrations of nicotine, NNK always inhibited the α4β2 nAChR. In contrast, NNN was a pure inhibitor of this nAChR subtype, with IC50 of approximately 1 nM in the presence of 10 μM nicotine. The effects of both NNK and NNN were mainly competitive and largely independent of Vm. The different actions of NNN and NNK must be taken into account when interpreting their biological effects in vitro and in vivo.
Language	English
Publishing date	2015-09-22
Publishing country	Switzerland
Document type	Journal Article
ZDB-ID	2587355-6
ISSN	1663-9812
ISSN	1663-9812
DOI	10.3389/fphar.2015.00201
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Article ; Online: α4β2

Aracri, Patrizia / Meneghini, Simone / Coatti, Aurora / Amadeo, Alida / Becchetti, Andrea

Neuroscience

2016 Volume 340, Page(s) 48–61

Abstract: Nicotinic acetylcholine receptors (nAChRs) produce widespread and complex effects on neocortex excitability. We studied how heteromeric nAChRs regulate inhibitory post-synaptic currents (IPSCs), in fast-spiking (FS) layer V neurons of the mouse frontal ... ...

Abstract	Nicotinic acetylcholine receptors (nAChRs) produce widespread and complex effects on neocortex excitability. We studied how heteromeric nAChRs regulate inhibitory post-synaptic currents (IPSCs), in fast-spiking (FS) layer V neurons of the mouse frontal area 2 (Fr2). In the presence of blockers of ionotropic glutamate receptors, tonic application of 10μM nicotine augmented the spontaneous IPSC frequency, with minor alterations of amplitudes and kinetics. These effects were studied since the 3rd postnatal week, and persisted throughout the first two months of postnatal life. The action of nicotine was blocked by 1μM dihydro-β-erythroidine (DHβE; specific for α4
MeSH term(s)	Aging/drug effects ; Aging/metabolism ; Animals ; Female ; Immunohistochemistry ; Inhibitory Postsynaptic Potentials/drug effects ; Inhibitory Postsynaptic Potentials/physiology ; Male ; Mice ; Microscopy, Confocal ; Miniature Postsynaptic Potentials/drug effects ; Miniature Postsynaptic Potentials/physiology ; Neurons/drug effects ; Neurons/metabolism ; Neurotransmitter Agents/pharmacology ; Parvalbumins/metabolism ; Patch-Clamp Techniques ; Prefrontal Cortex/drug effects ; Prefrontal Cortex/metabolism ; Receptors, Nicotinic/metabolism ; Somatostatin/metabolism ; Tissue Culture Techniques ; gamma-Aminobutyric Acid/metabolism
Chemical Substances	Neurotransmitter Agents ; Parvalbumins ; Receptors, Nicotinic ; nicotinic receptor alpha4beta2 ; Somatostatin (51110-01-1) ; gamma-Aminobutyric Acid (56-12-2)
Language	English
Publishing date	2016-10-26
Publishing country	United States
Document type	Journal Article ; Research Support, Non-U.S. Gov't
ZDB-ID	196739-3
ISSN	1873-7544 ; 0306-4522
ISSN (online)	1873-7544
ISSN	0306-4522
DOI	10.1016/j.neuroscience.2016.10.045
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Article: The role of nicotinic acetylcholine receptors in autosomal dominant nocturnal frontal lobe epilepsy.

Becchetti, Andrea / Aracri, Patrizia / Meneghini, Simone / Brusco, Simone / Amadeo, Alida

Frontiers in physiology

2015 Volume 6, Page(s) 22

Abstract: Autosomal dominant nocturnal frontal lobe epilepsy (ADNFLE) is a focal epilepsy with attacks typically arising in the frontal lobe during non-rapid eye movement (NREM) sleep. It is characterized by clusters of complex and stereotyped hypermotor seizures, ...

Abstract	Autosomal dominant nocturnal frontal lobe epilepsy (ADNFLE) is a focal epilepsy with attacks typically arising in the frontal lobe during non-rapid eye movement (NREM) sleep. It is characterized by clusters of complex and stereotyped hypermotor seizures, frequently accompanied by sudden arousals. Cognitive and psychiatric symptoms may be also observed. Approximately 12% of the ADNFLE families carry mutations on genes coding for subunits of the heteromeric neuronal nicotinic receptors (nAChRs). This is consistent with the widespread expression of these receptors, particularly the α4β2(*) subtype, in the neocortex and thalamus. However, understanding how mutant nAChRs lead to partial frontal epilepsy is far from being straightforward because of the complexity of the cholinergic regulation in both developing and mature brains. The relation with the sleep-waking cycle must be also explained. We discuss some possible pathogenetic mechanisms in the light of recent advances about the nAChR role in prefrontal regions as well as the studies carried out in murine models of ADNFLE. Functional evidence points to alterations in prefrontal GABA release, and the synaptic unbalance probably arises during the cortical circuit maturation. Although most of the available functional evidence concerns mutations on nAChR subunit genes, other genes have been recently implicated in the disease, such as KCNT1 (coding for a Na(+)-dependent K(+) channel), DEPD5 (Disheveled, Egl-10 and Pleckstrin Domain-containing protein 5), and CRH (Corticotropin-Releasing Hormone). Overall, the uncertainties about both the etiology and the pathogenesis of ADNFLE point to the current gaps in our knowledge the regulation of neuronal networks in the cerebral cortex.
Language	English
Publishing date	2015-02-11
Publishing country	Switzerland
Document type	Journal Article ; Review
ZDB-ID	2564217-0
ISSN	1664-042X
ISSN	1664-042X
DOI	10.3389/fphys.2015.00022
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Article ; Online: When Less Invasive Causes Major Sequelae: A Dramatic Evolution of an Infected Common Femoral Artery Patch.

Silvestri, Valeria / Meneghini, Simona / Grande, Raffaele / Sterpetti, Antonio V / Serra, Raffaele / Mingoli, Andrea / Sapienza, Paolo

Annals of vascular surgery

2019 Volume 61, Page(s) 468.e5–468.e8

Abstract: Endarterectomy of the common and profunda femoris is currently performed for treatment of atherosclerotic lesions involving femoral bifurcation. Misperception of surgical risk in terms of morbidity and mortality has induced the trend to extend the ... ...

Abstract	Endarterectomy of the common and profunda femoris is currently performed for treatment of atherosclerotic lesions involving femoral bifurcation. Misperception of surgical risk in terms of morbidity and mortality has induced the trend to extend the indication for treatment to patients with mild symptoms at presentation, at the cost of unnecessary increased complication rate and mortality risk, which persists even after patient discharge. We report the case of a giant infected femoral pseudoaneurysm occurring in a 74-year-old patient, previously treated with femoral artery endarterectomy with prosthetic patch closure because of mild claudication. Surgically managed with en block resection and autologous vein reconstruction, his postoperatory course was further complicated by fatal sepsis. Complications for femoral artery endarterectomy, including infectious and fatal events, need a close follow-up of these patients to promptly diagnose and treat any event which may occur, preventing its evolution to more challenging and potentially life-threatening clinical scenario.
MeSH term(s)	Aged ; Aneurysm, False/diagnosis ; Aneurysm, False/microbiology ; Aneurysm, False/surgery ; Aneurysm, Infected/diagnosis ; Aneurysm, Infected/microbiology ; Aneurysm, Infected/surgery ; Blood Vessel Prosthesis/adverse effects ; Blood Vessel Prosthesis Implantation/adverse effects ; Blood Vessel Prosthesis Implantation/instrumentation ; Device Removal ; Endarterectomy ; Fatal Outcome ; Femoral Artery/microbiology ; Femoral Artery/surgery ; Humans ; Intermittent Claudication/diagnostic imaging ; Intermittent Claudication/surgery ; Male ; Peripheral Arterial Disease/diagnostic imaging ; Peripheral Arterial Disease/surgery ; Prosthesis-Related Infections/diagnosis ; Prosthesis-Related Infections/microbiology ; Prosthesis-Related Infections/surgery ; Saphenous Vein/transplantation ; Sepsis/microbiology ; Severity of Illness Index ; Treatment Outcome
Language	English
Publishing date	2019-07-31
Publishing country	Netherlands
Document type	Case Reports
ZDB-ID	1027366-9
ISSN	1615-5947 ; 0890-5096
ISSN (online)	1615-5947
ISSN	0890-5096
DOI	10.1016/j.avsg.2019.04.045
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Zs.A 2882: Show issues

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Article ; Online: Is lung ultrasound imaging a worthwhile procedure for severe acute respiratory syndrome coronavirus 2 pneumonia detection?

Fonsi, G. B. / Sapienza, P. / Brachini, G. / Andreoli, C. / De Cicco, M. L. / Cirillo, B. / Meneghini, S. / Pugliese, F. / Crocetti, D. / Fiori, E. / Mingoli, A.

2020

Abstract: Objectives: We compared 2 imaging modalities in patients suspected of having coronavirus disease 2019 (COVID-19) pneumonia. Blinded to the results of real-time reverse transcriptase polymerase chain reaction (rRT-PCR) testing, lung ultrasound (LUS) ... ...

Abstract	Objectives: We compared 2 imaging modalities in patients suspected of having coronavirus disease 2019 (COVID-19) pneumonia. Blinded to the results of real-time reverse transcriptase polymerase chain reaction (rRT-PCR) testing, lung ultrasound (LUS) examinations and chest computed tomography (CT) were performed, and the specific characteristics of these imaging studies were assessed. Methods: From March 15, 2020, to April 15, 2020, 63 consecutive patients were enrolled in this prospective pilot study. All patients underwent hematochemical tests, LUS examinations, chest CT, and confirmatory rRT-PCR. The diagnostic performance of LUS and chest CT was calculated with rRT-PCR as a reference. The interobserver agreement of radiologists and ultrasound examiners was calculated. Ultrasound and CT features were compared to assess the sensitivity, specificity, positive predictive value, and negative predictive value. Positive and negative likelihood ratios measured the diagnostic accuracy. Results: Nineteen (30%) patients were COVID-19 negative, and 44 (70%) were positive. No differences in demographics and clinical data at presentation were observed among positive and negative patients. Interobserver agreement for CT had a κ value of 0.877, whereas for LUS, it was 0.714. The sensitivity, specificity, positive predictive value, and negative predictive value of chest CT for COVID-19 pneumonia were 93%, 90%, 85%, and 95%, respectively; whereas for LUS, they were 68%, 79%, 88%, and 52%. On receiver operating characteristic curves, area under the curve values were 0.834 (95% confidence interval, 0.711–0.958) and 0.745 (95% confidence interval, 0.606–0.884) for chest CT and LUS. Conclusions: Lung ultrasound had good reliability compared to chest CT. Therefore, our results indicate that LUS may be used to assess patients suspected of having COVID-19 pneumonia.
Keywords	chest computed tomography ; coronavirus disease 2019 ; lung ultrasound ; severe acute respiratory syndrome coronavirus 2 ; covid19
Subject code	610
Language	English
Publisher	Wiley-Blackwell Publishing, Inc.
Publishing country	it
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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