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  1. Article ; Online: The endocrine disruptor cadmium modulates the androgen-estrogen receptors ratio and induces inflammatory cytokines in luminal (A) cell models of breast cancer.

    Bimonte, Viviana M / Catanzaro, Giuseppina / Po, Agnese / Trocchianesi, Sofia / Besharat, Zein Mersini / Spinello, Zaira / Curreli, Mariaignazia / Fabi, Alessandra / Bei, Roberto / Milella, Michele / Vacca, Alessandra / Ferretti, Elisabetta / Migliaccio, Silvia

    Endocrine

    2023  Volume 83, Issue 3, Page(s) 798–809

    Abstract: Purpose: Breast cancer (BC) is the most common malignancy that affects women, and it is, to date, their leading cause of death. Luminal A molecular subtype accounts for 40% of BC and is characterized by hormone receptors positive/human epidermal growth ... ...

    Abstract Purpose: Breast cancer (BC) is the most common malignancy that affects women, and it is, to date, their leading cause of death. Luminal A molecular subtype accounts for 40% of BC and is characterized by hormone receptors positive/human epidermal growth factor 2 expression and current treatment consists of surgery plus aromatase inhibitor therapy. Interestingly, several studies demonstrated that the heavy metal cadmium (Cd), classified as a group 1 human carcinogen and widely spread in the environment, exerts estrogen-like activities in several tissues and suggested an intriguing relationship between increased Cd exposure and BC incidence. Thus, aim of this study was to evaluate effects of Cd on Luminal A BC estrogen receptor (ER) positive/progesterone receptor positive cell models in vitro to characterize the mechanism(s) involved in breast cell homeostasis disruption.
    Methods: T47D and MCF7 were exposed to Cd (0.5-1 µM) for 6-24 h to evaluate potential alterations in: cells viability, steroid receptors and intracellular signaling by western blot. Moreover, we evaluated the expression of inflammatory cytokines interleukin by RT-PCR.
    Results: Our results showed a significant induction of androgen receptor (AR) and an increased AR/ER ratio. Further, Cd exposure increased pro-inflammatory cytokines interleukin (IL)6, IL8 and tumor necrosis factor α levels. Finally, as previously demonstrated by our group, Cd alters pathways such as mitogen-activated protein kinase family and protein kinase B.
    Conclusion: In conclusion, our study demonstrates that Cd modifies the expression and pattern of ERs and AR in BC cell lines, suggesting an alteration of BC cells homeostasis, likely predisposing to a carcinogenetic microenvironment.
    MeSH term(s) Female ; Humans ; Breast Neoplasms/pathology ; Cadmium/toxicity ; Endocrine Disruptors/pharmacology ; Androgens/pharmacology ; Receptors, Androgen/metabolism ; Receptors, Estrogen/metabolism ; Cytokines ; Estrogens ; Interleukin-6 ; Cell Line, Tumor ; Tumor Microenvironment
    Chemical Substances Cadmium (00BH33GNGH) ; Endocrine Disruptors ; Androgens ; Receptors, Androgen ; Receptors, Estrogen ; Cytokines ; Estrogens ; Interleukin-6
    Language English
    Publishing date 2023-11-18
    Publishing country United States
    Document type Journal Article
    ZDB-ID 1194484-5
    ISSN 1559-0100 ; 1355-008X ; 0969-711X
    ISSN (online) 1559-0100
    ISSN 1355-008X ; 0969-711X
    DOI 10.1007/s12020-023-03594-2
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Notch/CXCR4 Partnership in Acute Lymphoblastic Leukemia Progression.

    Tsaouli, Georgia / Ferretti, Elisabetta / Bellavia, Diana / Vacca, Alessandra / Felli, Maria Pia

    Journal of immunology research

    2019  Volume 2019, Page(s) 5601396

    Abstract: Acute lymphoblastic leukemia (ALL) is the most common cancer among children. Recent advances in chemotherapy have made ALL a curable hematological malignancy. In children, there is 25% chance of disease relapse, typically in the central nervous system. ... ...

    Abstract Acute lymphoblastic leukemia (ALL) is the most common cancer among children. Recent advances in chemotherapy have made ALL a curable hematological malignancy. In children, there is 25% chance of disease relapse, typically in the central nervous system. While in adults, there is a higher chance of relapse. ALL may affect B-cell or T-cell lineages. Different genetic alterations characterize the two ALL forms. Deregulated Notch, either Notch1 or Notch3, and CXCR4 receptor signaling are involved in ALL disease development and progression. By analyzing their relevant roles in the pathogenesis of the two ALL forms, new molecular mechanisms able to modulate cancer cell invasion may be visualized. Notably, the partnership between Notch and CXCR4 may have considerable implications in understanding the complexity of T- and B-ALL. These two receptor pathways intersect other critical signals in the proliferative, differentiation, and metabolic programs of lymphocyte transformation. Also, the identification of the crosstalks in leukemia-stroma interaction within the tumor microenvironment may unveil new targetable mechanisms in disease relapse. Further studies are required to identify new challenges and opportunities to develop more selective and safer therapeutic strategies in ALL progression, possibly contributing to improve conventional hematological cancer therapy.
    MeSH term(s) Adult ; Central Nervous System/metabolism ; Central Nervous System/pathology ; Chemokine CXCL12/metabolism ; Child ; Disease Progression ; Humans ; Precursor B-Cell Lymphoblastic Leukemia-Lymphoma/genetics ; Precursor B-Cell Lymphoblastic Leukemia-Lymphoma/immunology ; Precursor B-Cell Lymphoblastic Leukemia-Lymphoma/metabolism ; Precursor B-Cell Lymphoblastic Leukemia-Lymphoma/pathology ; Precursor T-Cell Lymphoblastic Leukemia-Lymphoma/genetics ; Precursor T-Cell Lymphoblastic Leukemia-Lymphoma/immunology ; Precursor T-Cell Lymphoblastic Leukemia-Lymphoma/metabolism ; Precursor T-Cell Lymphoblastic Leukemia-Lymphoma/pathology ; Receptor, Notch1/genetics ; Receptor, Notch1/metabolism ; Receptor, Notch3/genetics ; Receptor, Notch3/metabolism ; Receptors, CXCR4/metabolism ; Signal Transduction/genetics ; Tumor Microenvironment/immunology
    Chemical Substances CXCL12 protein, human ; CXCR4 protein, human ; Chemokine CXCL12 ; NOTCH1 protein, human ; NOTCH3 protein, human ; Receptor, Notch1 ; Receptor, Notch3 ; Receptors, CXCR4
    Language English
    Publishing date 2019-06-27
    Publishing country Egypt
    Document type Journal Article ; Review
    ZDB-ID 2817541-4
    ISSN 2314-7156 ; 2314-8861
    ISSN (online) 2314-7156
    ISSN 2314-8861
    DOI 10.1155/2019/5601396
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article: Hedgehog-GLI and Notch Pathways Sustain Chemoresistance and Invasiveness in Colorectal Cancer and Their Inhibition Restores Chemotherapy Efficacy.

    Citarella, Anna / Catanzaro, Giuseppina / Besharat, Zein Mersini / Trocchianesi, Sofia / Barbagallo, Federica / Gosti, Giorgio / Leonetti, Marco / Di Fiore, Annamaria / Coppola, Lucia / Autilio, Tanja Milena / Spinello, Zaira / Vacca, Alessandra / De Smaele, Enrico / Venneri, Mary Anna / Ferretti, Elisabetta / Masuelli, Laura / Po, Agnese

    Cancers

    2023  Volume 15, Issue 5

    Abstract: Colorectal cancer (CRC) is a leading cause of cancer-related mortality and chemoresistance is a major medical issue. The epithelial-to-mesenchymal transition (EMT) is the primary step in the emergence of the invasive phenotype and the Hedgehog-GLI (HH- ... ...

    Abstract Colorectal cancer (CRC) is a leading cause of cancer-related mortality and chemoresistance is a major medical issue. The epithelial-to-mesenchymal transition (EMT) is the primary step in the emergence of the invasive phenotype and the Hedgehog-GLI (HH-GLI) and NOTCH signaling pathways are associated with poor prognosis and EMT in CRC. CRC cell lines harboring KRAS or BRAF mutations, grown as monolayers and organoids, were treated with the chemotherapeutic agent 5-Fluorouracil (5-FU) alone or combined with HH-GLI and NOTCH pathway inhibitors GANT61 and DAPT, or arsenic trioxide (ATO) to inhibit both pathways. Treatment with 5-FU led to the activation of HH-GLI and NOTCH pathways in both models. In KRAS mutant CRC, HH-GLI and NOTCH signaling activation co-operate to enhance chemoresistance and cell motility, while in BRAF mutant CRC, the HH-GLI pathway drives the chemoresistant and motile phenotype. We then showed that 5-FU promotes the mesenchymal and thus invasive phenotype in KRAS and BRAF mutant organoids and that chemosensitivity could be restored by targeting the HH-GLI pathway in BRAF mutant CRC or both HH-GLI and NOTCH pathways in KRAS mutant CRC. We suggest that in KRAS-driven CRC, the FDA-approved ATO acts as a chemotherapeutic sensitizer, whereas GANT61 is a promising chemotherapeutic sensitizer in BRAF-driven CRC.
    Language English
    Publishing date 2023-02-25
    Publishing country Switzerland
    Document type Journal Article
    ZDB-ID 2527080-1
    ISSN 2072-6694
    ISSN 2072-6694
    DOI 10.3390/cancers15051471
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Interleukin 18 and IL-18 BP response to Sars-CoV-2 virus infection.

    Marino, Luca / Criniti, Anna / Guida, Sofia / Bucci, Tommaso / Ballesio, Laura / Suppa, Marianna / Galardo, Gioacchino / Vacca, Alessandra / Santulli, Maria / Angeloni, Antonio / Lubrano, Carla / Gandini, Orietta

    Clinical and experimental medicine

    2022  Volume 23, Issue 4, Page(s) 1243–1250

    Abstract: The immune response to the SARS-CoV-2 infection is crucial to the patient outcome. IL-18 is involved in the lymphocyte response to the disease and it is well established its important role in the complex developing of the host response to viral infection. ...

    Abstract The immune response to the SARS-CoV-2 infection is crucial to the patient outcome. IL-18 is involved in the lymphocyte response to the disease and it is well established its important role in the complex developing of the host response to viral infection. This study aims at the analysis of the concentrations of IL-18, IL-18BP, INF-γ at the onset of the SARS-CoV-2 infection. The serum levels of measured interleukins were obtained through enzyme-linked immunosorbent assay. Furthermore, the free fraction of IL-18 was numerically evaluated. The enrolled patients were divided in two severity groups according to a threshold value of 300 for the ratio of arterial partial pressure of oxygen and fraction of inspired oxygen fraction and according to the parenchymal involvement as evaluated by computerized tomography at the admittance. In the group of patients with a more severe disease, a significant increase of the IL-18, INF-γ and IL-18BP levels have been observed, whereas the free IL-18 component values were almost constant. The results confirm that, at the onset of the disease, the host response keep the inflammatory cytokines in an equilibrium and support the hypothesis to adopt the IL-18BP modulation as a possible and effective therapeutic approach.
    MeSH term(s) Humans ; COVID-19 ; SARS-CoV-2 ; Interleukin-18 ; Cytokines ; Oxygen
    Chemical Substances Interleukin-18 ; Cytokines ; Oxygen (S88TT14065)
    Language English
    Publishing date 2022-11-16
    Publishing country Italy
    Document type Journal Article
    ZDB-ID 2053018-3
    ISSN 1591-9528 ; 1591-8890
    ISSN (online) 1591-9528
    ISSN 1591-8890
    DOI 10.1007/s10238-022-00943-9
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: Defining primary systemic sclerosis heart involvement: A scoping literature review.

    Ross, Laura / Prior, David / Proudman, Susanna / Vacca, Alessandra / Baron, Murray / Nikpour, Mandana

    Seminars in arthritis and rheumatism

    2018  Volume 48, Issue 5, Page(s) 874–887

    Abstract: Background: Clinically evident primary heart involvement due to systemic sclerosis (SHI) is considered a poor prognostic factor and is a leading cause of systemic sclerosis (SSc) related death. Yet, there remains no consensus definition of SHI and poor ... ...

    Abstract Background: Clinically evident primary heart involvement due to systemic sclerosis (SHI) is considered a poor prognostic factor and is a leading cause of systemic sclerosis (SSc) related death. Yet, there remains no consensus definition of SHI and poor understanding of the natural history and risk factors for the development of SHI.
    Methods: We performed a scoping literature review of published articles with a primary focus of SHI to capture previously used definitions of SHI and items used to measure SHI. Any factors reported to be associated with an increased risk of SHI were recorded.
    Results: Of the 2436 records identified in a search of MEDLINE, EMBASE and PubMed databases, 295 were included in the final scoping review. Analysis of the literature revealed studies of variable quality, generally low patient numbers and highly heterogeneous definitions of SHI within studies. There is no clear consensus from the literature as to the scope of SHI and the prognostic significance of sub-clinical investigation abnormalities commonly detected.
    Conclusion: The lack of a standardised definition of SHI remains a significant unmet need in SSc. The results of this review will assist in the development of consensus classification criteria to enable more accurate quantification of the burden of SHI, identification of factors associated with increased risk of developing SHI, and evaluation of the efficacy of any novel therapeutic strategies.
    MeSH term(s) Female ; Heart Diseases/diagnosis ; Heart Diseases/etiology ; Humans ; Male ; Risk Factors ; Scleroderma, Systemic/complications
    Language English
    Publishing date 2018-07-31
    Publishing country United States
    Document type Journal Article ; Research Support, Non-U.S. Gov't ; Review
    ZDB-ID 120247-9
    ISSN 1532-866X ; 0049-0172
    ISSN (online) 1532-866X
    ISSN 0049-0172
    DOI 10.1016/j.semarthrit.2018.07.008
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: A novel microRNA signature for the detection of melanoma by liquid biopsy.

    Sabato, Claudia / Noviello, Teresa Maria Rosaria / Covre, Alessia / Coral, Sandra / Caruso, Francesca Pia / Besharat, Zein Mersini / Splendiani, Elena / Masuelli, Laura / Battistelli, Cecilia / Vacca, Alessandra / Catanzaro, Giuseppina / Po, Agnese / Anichini, Andrea / Maio, Michele / Ceccarelli, Michele / Di Giacomo, Anna Maria / Ferretti, Elisabetta

    Journal of translational medicine

    2022  Volume 20, Issue 1, Page(s) 469

    Abstract: Background: Melanoma is the deadliest form of skin cancer and metastatic disease is associated with a significant survival rate drop. There is an urgent need for consistent tumor biomarkers to scale precision medicine and reduce cancer mortality. Here, ... ...

    Abstract Background: Melanoma is the deadliest form of skin cancer and metastatic disease is associated with a significant survival rate drop. There is an urgent need for consistent tumor biomarkers to scale precision medicine and reduce cancer mortality. Here, we aimed to identify a melanoma-specific circulating microRNA signature and assess its value as a diagnostic tool.
    Methods: The study consisted of a discovery phase and two validation phases. Circulating plasma extracellular vesicles (pEV) associated microRNA profiles were obtained from a discovery cohort of metastatic melanoma patients and normal subjects as controls. A pEV-microRNA signature was obtained using a LASSO penalized logistic regression model. The pEV-microRNA signature was subsequently validated both in a publicly available dataset and in an independent internal cohort.
    Results: We identified and validated in three independent cohorts a panel of melanoma-specific circulating microRNAs that showed high accuracy in differentiating melanoma patients from healthy subjects with an area under the curve (AUC) of 1.00, 0.94 and 0.75 respectively. Investigation of the function of the pEV-microRNA signature evidenced their possible immune suppressive role in melanoma patients.
    Conclusions: We demonstrate that a blood test based on circulating microRNAs can non-invasively detect melanoma, offering a novel diagnostic tool for improving standard care. Moreover, we revealed an immune suppressive role for melanoma pEV-microRNAs.
    MeSH term(s) Biomarkers, Tumor/genetics ; Circulating MicroRNA/genetics ; Gene Expression Profiling ; Humans ; Liquid Biopsy ; Melanoma/diagnosis ; Melanoma/genetics ; MicroRNAs/genetics
    Chemical Substances Biomarkers, Tumor ; Circulating MicroRNA ; MicroRNAs
    Language English
    Publishing date 2022-10-15
    Publishing country England
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 2118570-0
    ISSN 1479-5876 ; 1479-5876
    ISSN (online) 1479-5876
    ISSN 1479-5876
    DOI 10.1186/s12967-022-03668-1
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article ; Online: Does subclinical atherosclerosis really exist in systemic sclerosis? Comment on the article by Turiel et al.

    Vacca, Alessandra / Montisci, Roberta / Garau, Pietro / Mathieu, Alessandro

    Arthritis care & research

    2013  Volume 65, Issue 12, Page(s) 2062–2063

    MeSH term(s) Atherosclerosis/etiology ; Female ; Humans ; Male ; Scleroderma, Diffuse/complications
    Language English
    Publishing date 2013-12
    Publishing country United States
    Document type Comment ; Letter
    ZDB-ID 645059-3
    ISSN 2151-4658 ; 0893-7524 ; 2151-464X
    ISSN (online) 2151-4658
    ISSN 0893-7524 ; 2151-464X
    DOI 10.1002/acr.22153
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article ; Online: Hedgehog-GLI signalling promotes chemoresistance through the regulation of ABC transporters in colorectal cancer cells.

    Po, Agnese / Citarella, Anna / Catanzaro, Giuseppina / Besharat, Zein Mersini / Trocchianesi, Sofia / Gianno, Francesca / Sabato, Claudia / Moretti, Marta / De Smaele, Enrico / Vacca, Alessandra / Fiori, Micol Eleonora / Ferretti, Elisabetta

    Scientific reports

    2020  Volume 10, Issue 1, Page(s) 13988

    Abstract: Colorectal cancer (CRC) is a leading cause of cancer death. Chemoresistance is a pivotal feature of cancer cells leading to treatment failure and ATP-binding cassette (ABC) transporters are responsible for the efflux of several molecules, including ... ...

    Abstract Colorectal cancer (CRC) is a leading cause of cancer death. Chemoresistance is a pivotal feature of cancer cells leading to treatment failure and ATP-binding cassette (ABC) transporters are responsible for the efflux of several molecules, including anticancer drugs. The Hedgehog-GLI (HH-GLI) pathway is a major signalling in CRC, however its role in chemoresistance has not been fully elucidated. Here we show that the HH-GLI pathway favours resistance to 5-fluorouracil and Oxaliplatin in CRC cells. We identified potential GLI1 binding sites in the promoter region of six ABC transporters, namely ABCA2, ABCB1, ABCB4, ABCB7, ABCC2 and ABCG1. Next, we investigated the binding of GLI1 using chromatin immunoprecipitation experiments and we demonstrate that GLI1 transcriptionally regulates the identified ABC transporters. We show that chemoresistant cells express high levels of GLI1 and of the ABC transporters and that GLI1 inhibition disrupts the transporters up-regulation. Moreover, we report that human CRC tumours express high levels of the ABCG1 transporter and that its expression correlates with worse patients' prognosis. This study identifies a new mechanism where HH-GLI signalling regulates CRC chemoresistance features. Our results indicate that the inhibition of Gli1 regulates the ABC transporters expression and therefore should be considered as a therapeutic option in chemoresistant patients.
    MeSH term(s) ATP-Binding Cassette Transporters/genetics ; ATP-Binding Cassette Transporters/metabolism ; Antineoplastic Agents/pharmacology ; Apoptosis/drug effects ; Apoptosis/genetics ; Cell Line, Tumor ; Colorectal Neoplasms/genetics ; Colorectal Neoplasms/metabolism ; Colorectal Neoplasms/pathology ; Drug Resistance, Neoplasm/drug effects ; Drug Resistance, Neoplasm/genetics ; Fluorouracil/pharmacology ; Gene Expression Regulation, Neoplastic ; Hedgehog Proteins/genetics ; Hedgehog Proteins/metabolism ; Humans ; Kaplan-Meier Estimate ; Multidrug Resistance-Associated Protein 2 ; Oxaliplatin/pharmacology ; Promoter Regions, Genetic/genetics ; Protein Binding ; Signal Transduction/drug effects ; Signal Transduction/genetics ; Zinc Finger Protein GLI1/genetics ; Zinc Finger Protein GLI1/metabolism
    Chemical Substances ABCC2 protein, human ; ATP-Binding Cassette Transporters ; Antineoplastic Agents ; Hedgehog Proteins ; Multidrug Resistance-Associated Protein 2 ; Zinc Finger Protein GLI1 ; Oxaliplatin (04ZR38536J) ; Fluorouracil (U3P01618RT)
    Language English
    Publishing date 2020-08-19
    Publishing country England
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 2615211-3
    ISSN 2045-2322 ; 2045-2322
    ISSN (online) 2045-2322
    ISSN 2045-2322
    DOI 10.1038/s41598-020-70871-9
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article ; Online: BRAF mutant colorectal cancer: ErbB2 expression levels as predictive factor for the response to combined BRAF/ErbB inhibitors.

    Miele, Evelina / Abballe, Luana / Spinelli, Gian Paolo / Besharat, Zein Mersini / Catanzaro, Giuseppina / Chiacchiarini, Martina / Vacca, Alessandra / Po, Agnese / Capalbo, Carlo / Ferretti, Elisabetta

    BMC cancer

    2020  Volume 20, Issue 1, Page(s) 129

    Abstract: Background: Colorectal cancer (CRC) is a heterogeneous disease with a complex biology and a wide number of altered genes such as BRAF, KRAS and PIK3CA. Advances with new-targeted therapies have been achieved and available treating options have prolonged ...

    Abstract Background: Colorectal cancer (CRC) is a heterogeneous disease with a complex biology and a wide number of altered genes such as BRAF, KRAS and PIK3CA. Advances with new-targeted therapies have been achieved and available treating options have prolonged patient's survival. However, BRAF-mutated CRC patients remain unresponsive to available therapies with RAF inhibitors (RAFi) alone or combined with ErbB inhibitors (ErbBi). These unmet needs require further exploitation of oncogenic signaling in order to set up individualized treatments.
    Methods: To this end, we tested the efficacy of single agent or combined treatments using the BRAFi, vemurafenib and two different ErbBi: panitumumab and afatinib in CRC cells characterized by different molecular phenotypes.
    Results: Combination strategies with BRAFi and ErbBi achieved a better response in BRAF
    Conclusions: Our findings support the importance of ErbB2 evaluation in BRAF-mutated CRC patients and its role as a positive predictor factor of response to BRAFi/ErbBi combination.
    MeSH term(s) Afatinib/administration & dosage ; Antineoplastic Combined Chemotherapy Protocols/pharmacology ; Cell Line, Tumor ; Cell Proliferation/drug effects ; Cell Survival/drug effects ; Colorectal Neoplasms/drug therapy ; Colorectal Neoplasms/genetics ; Colorectal Neoplasms/metabolism ; Colorectal Neoplasms/pathology ; Humans ; Molecular Targeted Therapy/methods ; Mutation ; Panitumumab/administration & dosage ; Proto-Oncogene Proteins B-raf/antagonists & inhibitors ; Proto-Oncogene Proteins B-raf/genetics ; Receptor, ErbB-2/antagonists & inhibitors ; Receptor, ErbB-2/metabolism ; Signal Transduction/drug effects ; Vemurafenib/administration & dosage
    Chemical Substances Vemurafenib (207SMY3FQT) ; Afatinib (41UD74L59M) ; Panitumumab (6A901E312A) ; ERBB2 protein, human (EC 2.7.10.1) ; Receptor, ErbB-2 (EC 2.7.10.1) ; BRAF protein, human (EC 2.7.11.1) ; Proto-Oncogene Proteins B-raf (EC 2.7.11.1)
    Language English
    Publishing date 2020-02-17
    Publishing country England
    Document type Journal Article
    ZDB-ID 2041352-X
    ISSN 1471-2407 ; 1471-2407
    ISSN (online) 1471-2407
    ISSN 1471-2407
    DOI 10.1186/s12885-020-6586-0
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Article ; Online: Agreement Between Physician Evaluation and the Composite Response Index in Diffuse Cutaneous Systemic Sclerosis.

    Zheng, Boyang / Wang, Mianbo / McKenna, Kerry / Shapiro, Lee / Silver, Richard / Csuka, Mary Ellen / van den Hoogen, Frank / Robinson, David / Pauling, John D / Hummers, Laura / Krieg, Thomas / Del Galdo, Francesco / Spiera, Robert / Jones, Niall / Khalidi, Nader / Vacca, Alessandra / de Vries-Bouwstra, Jeska K / Gordon, Jessica / Baron, Murray

    Arthritis care & research

    2022  Volume 74, Issue 11, Page(s) 1806–1812

    Abstract: Objective: Diffuse cutaneous systemic sclerosis (SSc) is a highly heterogeneous disease. A provisionally approved Composite Response Index in diffuse cutaneous SSc (CRISS) was developed as a 1-year outcome measure for clinical trials. Our goal was to ... ...

    Abstract Objective: Diffuse cutaneous systemic sclerosis (SSc) is a highly heterogeneous disease. A provisionally approved Composite Response Index in diffuse cutaneous SSc (CRISS) was developed as a 1-year outcome measure for clinical trials. Our goal was to further validate the CRISS by examining agreement between CRISS definitions for improved/non-improved with physicians' evaluation of disease.
    Methods: Patient profiles from a large observational cohort were created for 50 random diffuse cutaneous SSc patients of <5 years disease duration with improved CRISS scores after 1 year and 50 with non-improved CRISS scores. Profiles described disease features used during the initial CRISS development at baseline and at 1 year. Each profile was independently rated by 3 expert physicians. Majority opinion determined whether a patient was improved or not improved, and kappa agreement with the CRISS cutoff of 0.6 was calculated.
    Results: Patients had mean ± SD disease duration of 2.2 ± 1.3 years. There was substantial agreement between the physician majority opinion about each case and the CRISS (κ = 0.76 [95% confidence interval (95% CI) 0.64-0.88]). The agreement between each individual physician opinion and the CRISS was also substantial (κ = 0.70 [95% CI 0.62-0.78]). All CRISS non-improvers were also rated as non-improved by physician majority; however, 12 CRISS improvers were rated as non-improved by physicians.
    Conclusion: There was substantial agreement between the dichotomous CRISS rating and physician assessment of diffuse cutaneous SSc patients after 1 year. This supports the use of a CRISS cutoff at 0.6 for improvement versus non-improvement, although the CRISS tended to rate more patients as improved than did physicians.
    MeSH term(s) Adult ; Aged ; Female ; Humans ; Male ; Middle Aged ; Observer Variation ; Reproducibility of Results ; Scleroderma, Diffuse/diagnosis ; Severity of Illness Index
    Language English
    Publishing date 2022-07-12
    Publishing country United States
    Document type Journal Article ; Observational Study ; Research Support, N.I.H., Extramural ; Research Support, Non-U.S. Gov't
    ZDB-ID 645059-3
    ISSN 2151-4658 ; 0893-7524 ; 2151-464X
    ISSN (online) 2151-4658
    ISSN 0893-7524 ; 2151-464X
    DOI 10.1002/acr.24638
    Database MEDical Literature Analysis and Retrieval System OnLINE

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