Publications by authors named "Cappelletti C"

The Advanced Research Projects Agency for Health (ARPA-H) is a new federal agency established by the Biden administration in March 2022 to accelerate US government-funded biomedical and health solutions. ARPA-H has a distinct operating model, leadership structure, and funds flow separate from the National Institutes of Health. In 2023, the Association of Academic Radiology formed a Radiology Research Alliance taskforce to better understand the mission, vision, and guiding principles of ARPA-H and relevance to radiology and biomedical imaging research.

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Over the past two decades, ferritin has emerged as a promising nanoparticle for drug delivery, catalyzing the development of numerous prototypes capable of encapsulating a wide array of therapeutic agents. These ferritin-based nanoparticles exhibit selectivity for various molecular targets and are distinguished by their potential biocompatibility, unique symmetrical structure, and highly controlled size. The hollow interior of ferritin nanoparticles allows for efficient encapsulation of diverse therapeutic agents, enhancing their delivery and effectiveness.

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Purpose: Decentralized clinical trials, where trial-related activities occur at locations other than traditional clinical sites(eg participant homes, local healthcare facilities), have the potential to improve trial access for people for whom time and/or distance constraints may impede participation. Albuterol-budesonide 180/160 µg pressurized metered-dose inhaler (pMDI) is FDA approved for the as-needed treatment or prevention of bronchoconstriction and to reduce the risk of exacerbations in patients with asthma 18 years or older. BATURA (NCT05505734) is a fully decentralized study, investigating as-needed albuterol-budesonide in participants with mild asthma.

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Hypercholesterolemia, characterized by elevated low-density lipoprotein (LDL) cholesterol levels, is a significant risk factor for cardiovascular disease. Proprotein convertase subtilisin/kexin type 9 (PCSK9) plays a crucial role in cholesterol metabolism by regulating LDL receptor degradation, making it a therapeutic target for mitigating hypercholesterolemia-associated risks. In this context, we aimed to engineer human H ferritin as a scaffold to present 24 copies of a PCSK9-targeting domain.

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Pathogenic, largely truncating variants in the ETS2 repressor factor (ERF) gene, encoding a transcriptional regulator negatively controlling RAS-MAPK signaling, have been associated with syndromic craniosynostosis involving various cranial sutures and Chitayat syndrome, an ultrarare condition with respiratory distress, skeletal anomalies, and facial dysmorphism. Recently, a single patient with craniosynostosis and a phenotype resembling Noonan syndrome (NS), the most common disorder among the RASopathies, was reported to carry a de novo loss-of-function variant in ERF. Here, we clinically profile 26 individuals from 15 unrelated families carrying different germline heterozygous variants in ERF and showing a phenotype reminiscent of NS.

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This summary describes the results of a clinical study called MANDALA that was published in the in 2022. In the MANDALA study, researchers looked at a new asthma rescue inhaler that contains both and in a single inhaler (known as , AIRSUPRA™). This summary describes the results for people aged 18 yearsand older who took part in the study.

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Olindiid freshwater jellyfishes of the genus Lankester, 1880 are native to eastern Asia; however, some species within the genus have been introduced worldwide and are nowadays present in all continents except Antarctica. To date, there is no consensus regarding the taxonomy within the genus due to the morphological plasticity of the medusa stages. The species Lankester, 1880 was first recorded in Italy in 1946, and until 2017, sightings of the jellyfish were reported for 40 water bodies.

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Article Synopsis
  • The variability in clinical presentation can make diagnosis challenging, especially for those with subtle symptoms or specific mutations, prompting the use of a phenotypic scoring system.
  • In a study involving 13 individuals with uncertain variations in the KMT2D gene, researchers successfully used DNA methylation profiling to classify the variants, confirming diagnoses for some patients and ruling out others, highlighting the method's effectiveness even in cases with low levels of genetic mosaicism.
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BLs allergy is considered a major health issue, as BLs are the most frequently involved in drug allergic reactions. Amoxicillin (AX) is the most frequently involved drug in sensitization among all BLs. AX is commercialized alone or combined to clavulanic acid (CLA) in order to increase the antibiotic spectrum.

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Understanding the contribution of immune mechanisms to Parkinson's disease pathogenesis is an important challenge, potentially of major therapeutic implications. To further elucidate the involvement of peripheral immune cells, we studied epigenome-wide DNA methylation in isolated populations of CD14 monocytes, CD19 B cells, CD4 T cells, and CD8 T cells from Parkinson's disease patients and healthy control participants. We included 25 patients with a maximum five years of disease duration and 25 controls, and isolated four immune cell populations from each fresh blood sample.

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Ferritin, a naturally occurring iron storage protein, has gained significant attention as a drug delivery platform due to its inherent biocompatibility and capacity to encapsulate therapeutic agents. In this study, we successfully genetically engineered human H ferritin by incorporating 4 or 6 tryptophan residues per subunit, strategically oriented towards the inner cavity of the nanoparticle. This modification aimed to enhance the encapsulation of hydrophobic drugs into the ferritin cage.

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Fanconi anemia (FA) is a clinically variable and genetically heterogeneous cancer-predisposing disorder representing the most common bone marrow failure syndrome. It is caused by inactivating predominantly biallelic mutations involving >20 genes encoding proteins with roles in the FA/BRCA DNA repair pathway. Molecular diagnosis of FA is challenging due to the wide spectrum of the contributing gene mutations and structural rearrangements.

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To evaluate the rate of early breast cancer (EBC) patients treated with neoadjuvant systemic therapy (NAT) in Italy, criteria of patient selection and types of therapies delivered, an analysis of 1276 patients with stage I-II-III was conducted out of 1633 patients enrolled in the multicenter prospective observational BRIDE study. A total of 177 patients (13.9%) were treated with NAT and 1099 (85.

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Article Synopsis
  • - Schwartz-Jampel syndrome type 1 (SJS1) is a rare genetic disorder linked to mutations in the perlecan gene, impacting muscle and bone function.
  • - A Moroccan child with SJS1 was found to have two different mutations in the perlecan gene, leading to the skipping of specific exons in mRNA, which were detected through advanced DNA sequencing.
  • - The study highlights that while therapy for SJS1 focuses on managing symptoms, there are challenges in linking the genetic mutations to specific clinical features, and they noted a rare case of spontaneous improvement in symptoms.
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Parkinson's disease is an age-related neurodegenerative disorder with a higher incidence in males than females. The causes for this sex difference are unknown. Genome-wide association studies (GWAS) have identified 90 Parkinson's disease risk loci, but the genetic studies have not found sex-specific differences in allele frequency on autosomal chromosomes or sex chromosomes.

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Article Synopsis
  • The study investigated whether the immune system could provide potential biomarkers to differentiate subtypes of immune-mediated necrotizing myopathies (IMNMs) using samples from 22 patients (7 with SRP autoantibodies and 15 with HMGCR autoantibodies) and 12 controls.
  • It was found that M1 macrophages were significantly more prevalent in muscle samples from both SRP and HMGCR patients, with notable increases in TLR4 and endosomal Toll-like receptors (TLRs) in IMNM muscle tissue.
  • TLR4 and the cytokine IL-7 were identified as potential immune biomarkers that could help distinguish between SRP and HMGCR patients, with IL-7 being higher
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Objective: We aimed to report on previously unappreciated clinical features associated with -related intellectual disability (ID) syndrome, a rare neurodevelopmental disorder characterized by global developmental delay, intellectual disability, and language delay, with or without autistic features.

Methods: We performed whole-exome sequencing (WES) to molecularly characterize an individual presenting with ID, epilepsy, autism spectrum disorder, behavioral problems, and facial dysmorphisms as major features.

Results: WES allowed us to identify a previously unreported splice site variant, c.

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Parkinson´s disease (PD) is a progressive neurodegenerative disorder characterized by both motor and non-motor symptoms. Aggravation of symptoms is mirrored by accumulation of protein aggregates mainly composed by alpha-synuclein in different brain regions, called Lewy bodies (LB). Previous studies have identified several molecular mechanisms as autophagy and inflammation playing a role in PD pathogenesis.

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  • The phase 3 MANDALA trial showed that the combination inhaler of albuterol and budesonide significantly reduced severe asthma exacerbations compared to using albuterol alone in patients already on inhaled corticosteroids.
  • The DENALI study aimed to determine if both components of the inhaler contribute to its overall effectiveness in asthma treatment.
  • Results indicated that both albuterol-budesonide combinations improved lung function more than either component alone, while the safety profile was comparable to that of the individual drugs.
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  • A graded challenge involving adalimumab may be considered safe for patients who have experienced a delayed allergic reaction to golimumab.
  • Before proceeding, a thorough allergological evaluation is essential to ensure safety.
  • Skin tests should be performed to rule out any allergic sensitization to the medications.
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Gain of function pathogenic variants in MRAS have been found in a small subset of pediatric subjects presenting with Noonan syndrome (NS) associated with hypertrophic cardiomyopathy (HCM) and moderate to severe intellectual disability. These variants are considered to confer a high-risk for the development of severe HCM with poor prognosis and fatal outcome. We report on the natural history of the first adult subject with NS carrying the recurrent pathogenic p.

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  • Sotos syndrome is linked to specific DNA methylation patterns, but distinguishing it from other overgrowth syndromes can be challenging due to variants of unknown significance (VoUS).
  • Researchers analyzed DNA methylation in 11 individuals suspected of having Sotos syndrome to assess the pathogenicity of VoUS and found that a specific DNAm signature could confirm or refute diagnoses.
  • The study successfully confirmed Sotos syndrome in 8 individuals and excluded it in 3, highlighting the effectiveness of DNA methylation profiling in clarifying diagnostic uncertainties.
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