Publications by authors named "Cestari I"

Purpose: The objective of this article is to report a case of silicone oil migration into intraocular packing in cases of retinal detachment, while reviewing the existing literature on the various mechanisms and locations of this migration. However, it is important to highlight that the use of this material is not free from complications.

Method: This article is a case report with a literature review.

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Inflammatory bowel diseases (IBD) are chronic inflammatory diseases in which abdominal pain, bloody diarrhea, weight loss, and fatigue collectively result in diminished quality of patient life. The disappearance of intestinal helminth infections in Western societies is associated with an increased prevalence of IBD and other immune-mediated inflammatory diseases. Evidence indicates that helminths induce tolerogenic dendritic cells (tolDCs), which promote intestinal tolerance and attenuate intestinal inflammation characteristic of IBD, but the exact mechanism is unclear.

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Introduction: The use of three-dimensional (3D) printed anatomic models is steadily increasing in research and as a tool for clinical decision-making. The mechanical properties of polymers and metamaterials were investigated to evaluate their application in mimicking the biomechanics of the aortic vessel wall.

Methodology: Uniaxial tensile tests were performed to determine the elastic modulus, mechanical stress, and strain of 3D printed samples.

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Article Synopsis
  • Many organisms, like the protozoan pathogen T. brucei, change gene expression to adapt to their environments, notably through variant surface glycoproteins (VSGs), allowing them to evade host immune responses.
  • Traditional methods for studying VSG switching often involve altering genetic sequences, which can hinder accurate tracking of VSG expression.
  • A new methodology presented here allows for the analysis of VSG switching without modifying expression site sequences, utilizing multiplexed clonal cell barcoding and Oxford nanopore sequencing for precise detection of gene expression at the clonal level.
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Left Ventricular Assist Devices have been successfully used for the treatment of Congestive Heart failure in patients who are not eligible for heart transplantation. This paper describes the implementation and comparison of the performance of a pressure sensor-based feedback controller. The strategies were tested on a mock loop of the systemic circulation.

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African trypanosomes evade host immune clearance by antigenic variation, causing persistent infections in humans and animals. These parasites express a homogeneous surface coat of variant surface glycoproteins (VSGs). They transcribe one out of hundreds of VSG genes at a time from telomeric expression sites (ESs) and periodically change the VSG expressed by transcriptional switching or recombination.

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Objective: To define a reference chart comparing pressure drop vs. flow generated by a set of arterial cannulae currently utilized in cardiopulmonary bypass conditions in pediatric surgery.

Methods: Cannulae from two manufacturers were selected considering their design and outer and inner diameters.

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Article Synopsis
  • - The study investigates the safety and effectiveness of a nitinol-based mechanical esophageal displacement device (MEDD) to prevent thermal injuries during AF ablation, conducted on 20 pigs.
  • - Results showed that 25% of pigs developed minor to moderate esophageal injuries, but no significant difference was found between the MEDD and control groups regarding injury occurrence.
  • - The MEDD successfully displaced the esophagus during the procedure, indicating it could be a safe option; however, one accidental extubation caused a pharyngeal injury, highlighting the need for careful handling.
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  • The study presents an optimized electroporation protocol for transforming yeast cells with whole-genome libraries, significantly increasing transformation efficiency to about 10 cfu/µg plasmid DNA.
  • The method enables the use of small quantities of genomic DNA (0.1 µg per reaction), achieving 10-100× coverage of diverse libraries and offers detailed calculations for estimating library size and transformation efficiency.
  • Validation through nanopore sequencing and expression analysis confirms the protocol maintains library size, diversity, and functionality, making it suitable for efficient downstream screening with minimal genomic library input.
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Tracheal replacement with a bioengineered tracheal substitute has been developed for long-segment tracheal diseases. The decellularized tracheal scaffold is an alternative for cell seeding. It is not defined if the storage scaffold produces changes in the scaffold's biomechanical properties.

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Article Synopsis
  • The development of genetic tools for protozoan pathogens has been limited, hindering the identification of potential drug or vaccine targets using genome-wide studies.
  • Researchers created a new method for constructing yeast surface display (YSD) libraries and implemented a YSD fitness screen (YSD-FS) to find drug targets, achieving diverse libraries representing a substantial portion of the parasites' genomes.
  • Through this method, they identified interactions with the drug metronidazole and discovered that it may target multiple enzymes, paving the way for future research in discovering drug or vaccine targets and understanding pathogen interactions.
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Background: Venous compression syndromes are clinical conditions in which the large veins are compressed by other anatomical structures. Laboratory simulations may help us better understand the hemodynamics in venous compressions by creating situations similar to those seen in vivo. The aim of this study is to produce a model of the caval bifurcation using a polymer with distensibility similar to the human vena cava.

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Genome-wide screens using yeast or phage displays are powerful tools for identifying protein-ligand interactions, including drug or vaccine targets, ligand receptors, or protein-protein interactions. However, assembling libraries for genome-wide screens can be challenging and often requires unbiased cloning of 10 -10 DNA fragments for a complete representation of a eukaryote genome. A sub-optimal genomic library can miss key genomic sequences and thus result in biased screens.

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Background: Mechanical heart valves (MHV) and its fluid dynamics inside a pulsatile pediatric ventricular assist device (PVAD) can be associated with blood degradation. In this article, flow structures are analyzed and compared by an experimental investigation on the effect of bileaflet MHV positioned at varying angles in the inlet port orifice of a PVAD.

Methods: Time-resolved particle image velocimetry was applied to characterize the internal flow of the device.

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A chondral injury is a limiting disease that can affect the quality of life and be an economic burden due to the cost of immediate treatment and loss in work productivity. If left untreated, such an injury may progress to osteoarthritis, a degenerative and debilitating joint disease characterized by pain and functional impairment. Mesenchymal stromal cells (MSCs), which have immune-modulatory properties and the ability to differentiate into chondroblasts and osteoblasts, are a predictable source for the treatment of cartilage injuries.

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Surface functionalization of polymers aims to introduce novel properties that favor bioactive responses. We have investigated the possibility of surface functionalization of polyethylene terephthalate (PET) sheets by the combination of laser ablation with hot embossing and the application of such techniques in the field of stem cell research. We investigated the response of human induced pluripotent stem cell-derived cardiomyocytes (hiPSC-CMs) to topography in the low micrometer range.

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Protein lysine acetylation has emerged as a major regulatory post-translational modification in different organisms, present not only on histone proteins affecting chromatin structure and gene expression but also on nonhistone proteins involved in several cellular processes. The same scenario was observed in protozoan parasites after the description of their acetylomes, indicating that acetylation might regulate crucial biological processes in these parasites. The demonstration that glycolytic enzymes are regulated by acetylation in protozoans shows that this modification might regulate several other processes implicated in parasite survival and adaptation during the life cycle, opening the chance to explore the regulatory acetylation machinery of these parasites as drug targets for new treatment development.

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Introduction: Arterial filter is the part of the cardiopulmonary bypass circuit where blood cells are exposed to high mechanical stress and where cellular aggregates may fasten in large quantities. The aim of this study was to analyse blood cell adhesiveness in the arterial filter through scanning electron microscopy and real-time PCR assay.

Methods: Prospective, clinical and observational study performed on 28 patients undergoing cardiac surgery with cardiopulmonary bypass.

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Article Synopsis
  • - DNA double-strand breaks (DSBs) are severe threats to genome integrity, prompting eukaryotic cells to develop pathways for detecting damage, delaying the cell cycle, repairing the damage, and resuming normal function, mainly regulated by kinases ATR and ATM.
  • - The protozoan parasite implicated in human African trypanosomiasis relies on a robust DNA damage response not only for survival after stress but also to facilitate antigenic variation to evade the host immune system.
  • - Research using ATR knockdown shows that ATR is essential for managing cell cycle checkpoints, replication fork stalling, and the upregulation of the DNA repair protein RAD51 after DSBs, highlighting ATR’s critical role in coordinating the DNA
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The unicellular eukaryote Trypanosoma brucei undergoes extensive cellular and developmental changes during its life cycle. These include regulation of mammalian stage surface antigen variation and surface composition changes between life stages; switching between glycolysis and oxidative phosphorylation; differential mRNA editing; and changes in posttranscriptional gene expression, protein trafficking, organellar function, and cell morphology. These diverse events are coordinated and controlled throughout parasite development, maintained in homeostasis at each life stage, and are essential for parasite survival in both the host and insect vector.

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Diabetes can elicit direct deleterious effects on the myocardium, independent of coronary artery disease or hypertension. These cardiac disturbances are termed diabetic cardiomyopathy showing increased risk of heart failure with or without reduced ejection fraction. Presently, there is no specific treatment for this type of cardiomyopathy and in the case of type I diabetes, it may start in early childhood independent of glycemic control.

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Objective: To analyze the impact of vacuum-assisted venous drainage (VAVD) on arterial pump flow in a simulated pediatric cardiopulmonary bypass circuit utilizing a centrifugal pump (CP) with an external arterial filter.

Methods: The simulation circuit consisted of a Quadrox-I Pediatric oxygenator, a Rotaflow CP (Maquet Cardiopulmonary AG, Rastatt, Germany), and a custom pediatric tubing set primed with Lactated Ringer's solution and packed red blood cells. Venous line pressure, reservoir pressure, and arterial flow were measured with VAVD turned off to record baseline values.

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Article Synopsis
  • Human trypanosomiasis and leishmaniasis, caused by the parasites Trypanosoma spp. and Leishmania spp., have become global health threats due to migration, climate change, and environmental factors.
  • The current treatments are ineffective and face rising drug resistance, highlighting an urgent need for new drug development.
  • Advances in genomic sequencing, CRISPR technology, and imaging techniques are paving the way for improved target-based drug discovery, although significant biological and pharmacological challenges remain.
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