Publications by authors named "Alice Gualerzi"

Background: Alzheimer's disease (AD) is a neurodegenerative condition for which there is currently no available medication that can stop its progression. Previous studies suggest that mild cognitive impairment (MCI) is a phase that precedes the disease. Therefore, a better understanding of the molecular mechanisms behind MCI conversion to AD is needed.

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  • - Microglia and macrophages produce extracellular vesicles (EVs) that can affect the development of myelin lesions, with microglial EVs supporting oligodendrocyte precursor cell (OPC) differentiation, while the effect of macrophage EVs is less clear.
  • - Research showed that EVs from macrophages, especially those in an inflammatory state, do not aid OPC differentiation and actually inhibit it, but their lipid content can still promote OPC maturation similar to microglial EVs.
  • - Key promyelinating endocannabinoids (like anandamide) were found in EVs from both cell types, indicating a critical role for these endocannabinoids in OPC maturation and suggesting potential targets for enhancing myelin repair
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  • The 'QuantitatEVs' workshop focused on quantitative methods for analyzing extracellular vesicles (EVs), from large bulk samples to individual vesicles, emphasizing new technologies.
  • * The event explored critical issues in analyzing EV-associated molecules and biophysical features, which are key for discovering and validating EV biomarkers for clinical use.
  • * Held in Trento, Italy, from January 31 to February 2, 2023, the workshop included a follow-up event in Milan aimed at supporting early career researchers.
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Raman Spectroscopy promises the ability to encode in spectral data the significant differences between biological samples belonging to patients affected by a disease and samples of healthy patients (controls). However, the decoding and interpretation of the Raman spectral fingerprint is still a difficult and time-consuming procedure even for domain experts. In this work, we test an end-to-end deep-learning diagnostic pipeline able to classify spectral data from saliva samples.

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Background: Intensive treadmill training (TT) has been documented to improve gait parameters and functional independence in Parkinson's Disease (PD), but the optimal intervention protocol and the criteria for tailoring the intervention to patients' performances are lacking. TT may be integrated with augmented virtual reality (AVR), however, evidence of the effectiveness of this combined treatment is still limited. Moreover, prognostic biomarkers of rehabilitation, potentially useful to customize the treatment, are currently missing.

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Parkinson's disease (PD) is a neurodegenerative disorder affecting about 10 million people worldwide with a prevalence of about 2% in the over-80 population. The disease brings in also a huge annual economic burden, recently estimated by the Michael J Fox Foundation for Parkinson's Research to be USD 52 billion in the United States alone. Currently, no effective cure exists, but available PD medical treatments are based on symptomatic prescriptions that include drugs, surgical approaches and rehabilitation treatment.

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  • Heart transplant is the best treatment for severe heart failure, and cardiac rehabilitation can enhance recovery and quality of life for these patients.
  • This study will compare traditional cardiac rehab with tele-rehabilitation in patients after heart transplant, involving 40 participants who will be monitored over time for various health metrics.
  • Researchers will analyze data to understand the safety and effectiveness of telerehabilitation and identify biological markers that can help customize treatment for individual patients.
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Blood is the most commonly used body fluid for extracellular vesicle (EV) research. The composition of a blood sample and its derivatives (i.e.

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The application of liposomes (LPs) to central nervous system disorders could represents a turning point in the therapy and quality of life of patients. Indeed, LPs have demonstrated their ability to cross the blood-brain barrier (BBB) and, as a consequence, to enhance the therapeutics delivery into the brain. Some approaches for BBB crossing involve the modification of LP surfaces with biologically active ligands.

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Skeletal muscle regeneration relies on the tightly temporally regulated lineage progression of muscle stem/progenitor cells (MPCs) from activation to proliferation and, finally, differentiation. However, with aging, MPC lineage progression is disrupted and delayed, ultimately causing impaired muscle regeneration. Extracellular vesicles (EVs) have attracted broad attention as next-generation therapeutics for promoting tissue regeneration.

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The progression of Alzheimer's disease (AD) correlates with the propagation of hyperphosphorylated tau (pTau) from the entorhinal cortex to the hippocampus and neocortex. Neutral sphingomyelinase2 (nSMase2) is critical in the biosynthesis of extracellular vesicles (EVs), which play a role in pTau propagation. We recently conjugated DPTIP, a potent nSMase2 inhibitor, to hydroxyl-PAMAM-dendrimer nanoparticles that can improve brain delivery.

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Cardiovascular diseases (CVD) can cause various conditions, including an increase in reactive oxygen species (ROS) levels that can decrease nitric oxide (NO) availability and promote vasoconstriction, leading to arterial hypertension. Physical exercise (PE) has been found to be protective against CVD by helping to maintain redox homeostasis through a decrease in ROS levels, achieved by increased expression of antioxidant enzymes (AOEs) and modulation of heat shock proteins (HSPs). Extracellular vesicles (EVs) circulating in the body are a major source of regulatory signals, including proteins and nucleic acids.

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The inflammatory, reparative and regenerative mechanisms activated in ischemic stroke patients immediately after the event cooperate in the response to injury, in the restoration of functions and in brain remodeling even weeks after the event and can be sustained by the rehabilitation treatment. Nonetheless, patients' response to treatments is difficult to predict because of the lack of specific measurable markers of recovery, which could be complementary to clinical scales in the evaluation of patients. Considering that Extracellular Vesicles (EVs) are carriers of multiple molecules involved in the response to stroke injury, in the present study, we have identified a panel of EV-associated molecules that (i) confirm the crucial involvement of EVs in the processes that follow ischemic stroke, (ii) could possibly profile ischemic stroke patients at the beginning of the rehabilitation program, (iii) could be used in predicting patients' response to treatment.

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  • - Exercise benefits aging skeletal muscle by releasing youthful factors into the bloodstream, which may help improve muscle function.
  • - Research indicates that muscle contractile activity, like neuromuscular electrical stimulation (NMES), alters circulating extracellular vesicles (EVs), decreasing a specific surface marker (CD63) and changing their composition.
  • - Administering EVs from aged animals that underwent NMES improves muscle healing after injury, highlighting the role of repetitive muscle activity in enhancing EV regenerative properties.
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  • The study focuses on the importance of characterizing nanoparticle-based drug-delivery systems, particularly liposomes, to understand their physical, chemical, and biological properties for treating conditions like Glioblastoma multiforme and Alzheimer's disease.
  • Raman Spectroscopy is proposed as a method to analyze these liposomes, which have been designed to effectively cross the blood-brain barrier and provide targeted drug release.
  • The results show that Raman data can distinguish between different liposome formulations based on their molecular components, indicating that RS is an effective tool for assessing the stability and quality of these drug delivery systems.
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Extracellular vesicles (EVs) are natural nanoparticles secreted under physiological and pathological conditions. Thanks to their diagnostic potential, EVs are increasingly being studied as biomarkers of a variety of diseases, including neurological disorders. To date, most studies on EV biomarkers use blood as the source, despite different disadvantages that may cause an impure isolation of the EVs.

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  • Heterochronic blood exchange (HBE) can restore youthful characteristics to aged tissues, but the specific factors involved are not well understood.
  • Research shows that extracellular vesicles (EVs) from young blood are crucial for improving muscle regeneration in older individuals, while aging alters the types and benefits of EVs.
  • The study identified that aging affects the genetic composition of EVs, particularly decreasing the levels of the pro-longevity protein α-Klotho, and that delivering EVs can enhance muscle recovery through a Klotho-dependent mechanism.
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  • Extracellular Vesicles (EVs) are tiny particles released by cells that have diverse functions in the body and show promise for use in diagnosis and treatment.
  • Although advancements in micro and nanotechnology have accelerated EV research, challenges remain due to their small size, which has led to confusion among experts.
  • The review discusses key findings from the ISEV2021 Annual Meeting, emphasizing the need for interdisciplinary collaboration to enhance understanding and address the complexities surrounding EVs in biomedical research.
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Despite the wide range of proposed biomarkers for Parkinson's disease (PD), there are no specific molecules or signals able to early and uniquely identify the pathology onset, progression and stratification. Saliva is a complex biofluid, containing a wide range of biological molecules shared with blood and cerebrospinal fluid. By means of an optimized Raman spectroscopy procedure, the salivary Raman signature of PD can be characterized and used to create a classification model.

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  • Extracellular Vesicles (EVs) are linked to the spread of harmful proteins in neurological diseases, prompting research into inhibitors of neutral sphingomyelinase 2 (nSMase2), crucial for EV production.
  • Our team identified PDDC, a potent and selective nSMase2 inhibitor that can enter the brain and effectively lower EV release in both lab settings and living organisms.
  • In experiments with mice after brain injury, PDDC normalized nSMase2 activity and reduced specific types of EVs increased by inflammation, suggesting it could be a valuable treatment for acute brain injury.
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  • * This review highlights the significant events in the brain during and following a stroke, focusing on extracellular vesicles (EVs) as potential biomarkers and therapeutic tools.
  • * While EVs show promise in aiding recovery and brain remodeling, there is still a need for effective recovery biomarkers to validate new regenerative rehabilitation strategies.
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The therapeutic potential of the conditioned medium (CM) derived from MSCs (mesenchymal stem/stromal cells) in disparate medical fields, from immunology to orthopedics, has been widely suggested by and evidences. Prior to MSC-CM use in clinical applications, appropriate quality controls are needed in order to assess its reproducibility. Here, we evaluated different CM characteristics, including general features and precise protein and lipid concentrations, in 3 representative samples from adipose-derived MSCs (ASCs).

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Extracellular Vesicles (EVs) and Conditioned Medium (CM) are promising cell-free approaches to repair damaged and diseased tissues for regenerative rehabilitation purposes. They both entail several advantages, mostly in terms of safety and handling, compared to the cell-based treatment. Despite the growing interest in both EVs and CM preparations, in the light of a clinical translation, a number of aspects still need to be addressed mainly because of limits in the reproducibility and reliability of the proposed protocols.

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  • Extracellular Vesicles (EVs) serve as important carriers for biomarkers linked to various human diseases, but traditional diagnostic methods struggle with their small size and require consistent sample amounts.
  • Biophotonics, or light-based techniques, have emerged as innovative solutions, offering improved sensitivity and the ability to differentiate nanovesicles from contaminants.
  • This review highlights promising technologies in EV biomarker discovery that show enhanced diagnostic accuracy, indicating strong potential for clinical applications.
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  • Chronic Obstructive Pulmonary Disease (COPD) significantly impairs lung function and quality of life, but lacks specific biomarkers for diagnosis and severity assessment.
  • This study used Surface Enhanced Raman Spectroscopy and multivariate statistics to analyze saliva samples from 15 COPD patients and 15 healthy subjects, revealing distinct biological markers associated with COPD.
  • The analysis demonstrated over 98% accuracy in classifying saliva samples, indicating the potential of Raman spectroscopy as a diagnostic tool for COPD.
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