Publications by authors named "D'Andrea A"

Type II endoleaks after endovascular aortic repair are a common scenario that, although infrequently, may sometimes require secondary interventions when leading to significant enlargement of the aneurysm sac. Herein, we present the perioperative and mid-term results of one of our endovascular aortic repair cases with type II endoleak from the hypogastric artery, whose ostium was covered by the prior stent graft limbs and that were successfully treated with a novel technique employing re-entry catheters in an off-label fashion. This technique may represent a valid alternative solution when conventional access between artery and prosthesis is laborious or impossible to achieve.

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Background: Colorectal cancer (CRC) is the third most common cancer worldwide, with highly variable prognosis and response to treatment. A large subset of patients does not respond to standard treatments or develops resistance. As an alternative, adoptive immunotherapy based on chimeric antigen receptor (CAR)-transduced immune cells has been proposed, however with significant adverse events.

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The brain is a highly complex physical system made of assemblies of neurons that work together to accomplish elaborate tasks such as motor control, memory and perception. How these parts work together has been studied for decades by neuroscientists using neuroimaging, psychological manipulations, and neurostimulation. Neurostimulation has gained particular interest, given the possibility to perturb the brain and elicit a specific response.

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  • PARG (poly (ADP-ribose) glycohydrolase) is an enzyme that helps repair DNA by removing poly (ADP-ribose), and inhibiting it can lead to increased DNA damage and sensitize cancer cells to treatments.
  • Inhibiting PARG leads to the buildup of single-stranded DNA gaps (ssGAPs) during DNA replication, similar to the effects of PARP inhibitors, particularly in cancer cells that are sensitive to treatment.
  • Research shows that treatment with PARG inhibitors (PARGi) not only affects homologous recombination-deficient cancer cells but also has potential effectiveness in certain homologous recombination-proficient tumors, suggesting patient-derived organoids could be key
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Purpose: The prognostic significance of noninvasive myocardial work (MW) indices in patients undergoing transcatheter aortic valve implantation (TAVI) has not been adequately examined.

Methods: We retrospectively selected 88 consecutive patients (mean age 79.9 ± 6.

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Nearly 35 years after its initial publication in 1989, the Italian Society of Sports Cardiology and the Italian Federation of Sports Medicine (FMSI), in collaboration with other leading Italian Cardiological Scientific Associations (ANCE - National Association of Outpatient Cardiology, ANMCO - National Association of Inpatient Cardiology, SIC - Italian Society of Cardiology), proudly present the 2023 version of the Cardiological Guidelines for Competitive Sports Eligibility. This publication is an update of the previous guidelines, offering a comprehensive and detailed guide for the participation of athletes with heart disease in sports. This edition incorporates the latest advances in cardiology and sports medicine, providing current information and recommendations.

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Hypercontractile phenotype (HP) of the left ventricle (LV) is an actionable therapeutic target in patients with chronic coronary syndromes (CCS) or heart failure (HF), but its clinical recognition remains difficult. To assess the clinical variables associated with the HP. In a prospective, observational, multicenter study, we recruited 5122 patients (age 65 ± 11 years, 2974 males, 58%) with CCS and/or HF with preserved ejection fraction (EF).

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  • Cardiac arrest (CA) is a critical condition, and survivors often experience post-cardiac arrest syndrome (PCAS), making echocardiograms essential for evaluating their condition.
  • The study reviews existing literature to highlight the significance of transthoracic and transesophageal echocardiograms during and after cardiac arrest.
  • The conclusion emphasizes that these echocardiogram techniques play crucial roles in diagnosing and predicting outcomes for patients during the CA phase and beyond.
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Background: High-grade glioma (HGG) patients post-radiotherapy often face challenges distinguishing true tumor progression (TTP) from pseudoprogression (PsP). This study evaluates the effectiveness of systemic inflammatory markers and volume of enhancing tissue on post-contrast T1 weighted (T1WCE) MRI images for this differentiation within the first six months after treatment.

Material And Methods: We conducted a retrospective analysis on a cohort of HGG patients from 2015 to 2021, categorized per WHO 2016 and 2021 criteria.

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We analyzed genomic data from the prostate cancer of African- and European American men to identify differences contributing to racial disparity of outcome. We also performed FISH-based studies of Chromodomain helicase DNA-binding protein 1 (CHD1) loss on prostate cancer tissue microarrays. We created CHD1-deficient prostate cancer cell lines for genomic, drug sensitivity and functional homologous recombination (HR) activity analysis.

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CDK1 has been known to be the sole cyclin-dependent kinase (CDK) partner of cyclin B1 to drive mitotic progression. Here we demonstrate that CDK5 is active during mitosis and is necessary for maintaining mitotic fidelity. CDK5 is an atypical CDK owing to its high expression in post-mitotic neurons and activation by non-cyclin proteins p35 and p39.

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Background: For years, there has been a long debate about the impact of orthodontic treatment on the periodontium of patients. Therefore, it is important to understand the effects of orthodontic forces on the periodontium. The objective of this study was to evaluate the height of the alveolar bone at the four surfaces of specific teeth and the root length of the central incisors before and after orthodontic treatment.

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Objective: Concerns exist about the possible detrimental effects of exercise training on aortic size and valve function in individuals with bicuspid aortic valve (BAV). This multicentre international study aimed to determine the characteristics of aortic size and valve function in athletes versus non-athletes with BAV and athletes with tricuspid aortic valve (TAV).

Methods: We enrolled competitive athletes with BAV and age- and sex-matched athletes with TAV and non-athletes with BAV.

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  • * A total of 202 patients were followed for about 22 months, showing very low rates of major bleeding and cardiovascular events, along with 99% adherence to the treatment regimen.
  • * Although most patients adhered to DPI therapy, 13.4% discontinued treatment mainly due to minor bleeding, indicating that DPI is generally safe and well-tolerated in a real-world clinical setting.
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Background: Only few previous cohort studies examined simultaneously predictors of chronic pain (CP) onset and recovery. Furthermore, these studies used various sociodemographic and pain-related characteristics, without standardized measures of sleep and depression. The present study aimed at expanding and strengthening these findings in a large Swiss population.

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  • Treatment-Resistant Depression (TRD) is a significant health issue that's hard to tackle due to its complex nature and varied symptoms, prompting the need for better treatment strategies.
  • The SelecTool Project is introduced as a computational tool that combines clinical data, EEG, and blood biomarkers using machine learning to personalize TRD treatments, specifically focusing on esketamine nasal spray and accelerated repetitive Transcranial Magnetic Stimulation.
  • The project involves two main phases: first, a study with 100 TRD subjects to evaluate the effectiveness of treatments, and then training the tool to assist in managing an additional 20 subjects, ultimately aiming to improve TRD treatment outcomes through advanced data analysis.
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  • Heart failure (HF) and atrial fibrillation (AF) are common and serious heart-related conditions that lead to increased health issues, hospital visits, and healthcare costs.
  • These two diseases often occur together and influence each other, especially through the damaging effects of oxidative stress caused by reactive oxygen species (ROS), which can worsen heart structure and function.
  • New medications for heart failure also help manage atrial fibrillation by reducing oxidative stress, and this review focuses on how these treatments can prevent and improve AF in patients with HF.
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  • Heart failure (HF) is a condition marked by structural and functional heart issues that lead to poor blood flow and elevated heart pressures, often stemming from injuries or diseases affecting the heart.
  • Early detection of the causes of HF is crucial for accurate diagnosis and treatment; echocardiography is the primary tool for identifying both obvious and subtle heart problems.
  • Stress echocardiography (SE) is gaining recognition not just for diagnosing ischemic heart disease, but also for assessing other types of heart failure and guiding treatment plans, highlighting its added value in patient management.
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The twenty-three Fanconi anemia (FA) proteins cooperate in the FA/BRCA pathway to repair DNA interstrand cross-links (ICLs). The cell division cycle and apoptosis regulator 1 (CCAR1) protein is also a regulator of ICL repair, though its possible function in the FA/BRCA pathway remains unknown. Here, we demonstrate that CCAR1 plays a unique upstream role in the FA/BRCA pathway and is required for FANCA protein expression in human cells.

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  • Aortic regurgitation (AR) in people with a bicuspid valve (BAV) can be tricky to diagnose because the way blood flows can look different and make measurements hard to judge.
  • Traditional methods like echocardiography aren't always helpful for these patients.
  • Using a mix of different imaging techniques, like ultrasound, MRI, and CT scans, can help doctors better understand AR and decide if someone needs a valve replacement.
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  • * The SPREAD study is a multinational research project aimed at understanding the impact of sports on BAV disease through two phases: a comparative cross-sectional analysis and a longitudinal follow-up.
  • * The ultimate goal of the study is to provide data that can help guide decisions on sports participation and assess risk for individuals with BAV.
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In this study, we use modified cationic nanocarriers as vehicles for the intracellular delivery of therapeutic siRNA. After developing nanocarrier formulations with appropriate pK, size, swellability, and cytocompatibility, we investigated the importance of siRNA loading methods by studying the impact of the pH and time over which siRNA is loaded into the nanocarriers. We concentrate on diffusion-based loading in the presence and absence of electrostatic interactions.

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HER2 amplification occurs in approximately 5% of colorectal cancer (CRC) cases and is associated only partially with clinical response to combined human epidermal growth factor receptor 2 (HER2)/epidermal growth factor receptor (EGFR)-targeted treatment. An alternative approach based on adoptive cell therapy using T cells engineered with anti-HER2 chimeric antigen receptor (CAR) proved to be toxic due to on-target/off-tumor activity. Here we describe a combinatorial strategy to safely target HER2 amplification and carcinoembryonic antigen (CEA) expression in CRC using a synNotch-CAR-based artificial regulatory network.

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Recent studies suggest that PARP and POLQ inhibitors confer synthetic lethality in BRCA1-deficient tumors by accumulation of single-stranded DNA (ssDNA) gaps at replication forks. Loss of USP1, a deubiquitinating enzyme, is also synthetically lethal with BRCA1 deficiency, and USP1 inhibitors are now undergoing clinical development for these cancers. Herein, we show that USP1 inhibitors also promote the accumulation of ssDNA gaps during replication in BRCA1-deficient cells, and this phenotype correlates with drug sensitivity.

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  • Transthoracic echocardiography (TTE) is essential for screening athletes, particularly those under 40 with symptoms or family histories related to cardiac issues, as well as in follow-up cases of cardiovascular disease.
  • It is a cost-effective imaging tool for assessing heart changes from intense training (the athlete's heart) and for identifying serious conditions that could lead to sudden cardiac death, such as cardiomyopathies.
  • An expert opinion from the Italian Society of Sports Cardiology highlights scenarios for TTE use, differentiating between normal and abnormal heart adaptations, and recommends a standardized dataset for reporting TTE findings in sports cardiology.
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