Publications by authors named "Alessandro Massano"

Ustekinumab (UST) has demonstrated effectiveness in treating patients with Crohn's disease. Monitoring treatment response can improve disease management and reduce healthcare costs. We investigated whether UST trough levels (TLs), serum IL22, and Oncostatin M (OSM) levels could be early indicators of non-response by analysing their correlation with clinical and biochemical outcomes in CD.

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Background: Inflammatory bowel disease (IBD) is a group of chronic multifactorial inflammatory disorders including two major entities: Crohn's disease (CD) and ulcerative colitis (UC). Preliminary evidence suggests that patients with IBD may be at increased risk of developing intestinal and extraintestinal cancers (EICs). Actually, little is known about the association between IBD and EICs, and there is ever-growing concern regarding the safety of immunomodulators and biological therapy, which may represent a risk factor for carcinogenesis.

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Background: There is no consensus on the recommended duration of and optimal time to stop azathioprine (AZA) therapy in inflammatory bowel disease (IBD). Determining the optimal duration and cessation time can help to balance the risks of long-term intake with the possibility of relapse after cessation.

Aim: To describe the events following AZA cessation.

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Article Synopsis
  • Chronic hepatitis (CH) patients with dysmetabolic or viral causes have poorer outcomes after contracting SARS-CoV-2, with about 31% of those studied experiencing COVID-19.
  • Measurements of ACE2 and TMPRSS2 in these patients revealed that those with non-alcoholic fatty liver disease (NAFLD) had higher ACE2 levels than viral CH patients.
  • Additional research is needed to fully understand how COVID-19 impacts individuals already suffering from liver diseases.
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Background: Recent evidence is supporting the notion of a microbiological and immunological continuum on the gum-gut axis in health and disease. Therefore, the purpose of this study was to assess the prevalence and risk indicators of periodontitis in patients with Crohn's disease (CD) or ulcerative colitis (UC) compared to age- and sex-matched controls without inflammatory bowel disease (IBD).

Methods: A total of 180 IBD (117 CD, 60 UC, 3 IBD-unclassified) and 180 healthy controls were compared for their periodontitis diagnosis (Centers for Disease Control and Prevention/American Academy of Periodontology [CDC/AAP] case definition) and full-mouth periodontal parameters.

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Article Synopsis
  • Adalimumab (ADA) is a monoclonal antibody used to treat inflammatory bowel diseases like Crohn's disease (CD), and vitamin D (VD) plays a role in drug metabolism and transport.
  • This study aimed to assess how genetic variations in VD-related genes (single-nucleotide polymorphisms or SNPs) could predict clinical remission in CD patients treated with ADA over 3 and 12 months.
  • Results showed that specific lifestyle and genetic factors influenced remission outcomes, highlighting the need for further research to validate these findings.
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Objectives: To extract the microbiological and immunological evidence underpinning the association between periodontitis and inflammatory bowel disease (IBD).

Methods: Relevant articles were sorted through a systematic search on PubMed, Embase, Scopus and Web of Science up to October 2020. Available evidence was grouped in three different clusters: (a) studies that examined oral microbial alterations in IBD patients; (b) studies that investigated intestinal dysbiosis in patients with periodontitis; and (c) evidence for a shared immunological pattern between the two conditions.

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In patients with inflammatory bowel diseases (IBD) undergoing biologic therapy, biomarkers of treatment response are still scarce. This study aimed to evaluate whether serum zonulin, a biomarker of intestinal permeability; soluble CD163 (sCD163), a macrophage activation marker; and a panel of serum cytokines could predict the response to biologic treatment in patients with IBD. For this purpose, we prospectively enrolled 101 patients with IBD and 19 patients with irritable bowel syndrome (IBS) as a control group; 60 out of 101 patients underwent treatment with biologics.

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