Publications by authors named "Fiorini E"

The Cryogenic Underground Observatory for Rare Events (CUORE) is a detector array comprised by 988 5  cm×5  cm×5  cm TeO_{2} crystals held below 20 mK, primarily searching for neutrinoless double-beta decay in ^{130}Te. Unprecedented in size among cryogenic calorimetric experiments, CUORE provides a promising setting for the study of exotic throughgoing particles. Using the first tonne year of CUORE's exposure, we perform a search for hypothesized fractionally charged particles (FCPs), which are well-motivated by various standard model extensions and would have suppressed interactions with matter.

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Informed consent is mandatory for an individual to receive a clinical service, yet the process is often still tough and twisty. This is a hot topic also for patient associations and thus PaLiNUro associaton set the objective to produce, with a multidisciplinary approach, a simple but comprehensive information note to the informed consent for people with urothelial cancer about to undergo to a radical cystectomy surgery. After assessing as not valid 12 information notes from nine Italian hospitals, the multidisciplinary group produced an eight-page document accompanied by a supplemental document for further details, both available on PaLiNUro website.

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  • Fibroblast heterogeneity significantly impacts cancer progression, making it crucial to understand different fibroblast types for developing effective cancer treatments.
  • In pancreatic ductal adenocarcinoma (PDAC), cancer-associated fibroblasts (CAFs) are the predominant cell type, and the study identifies how the MAPK signaling pathway influences their differentiation into specific phenotypes.
  • The study introduces a novel "mapCAF" phenotype associated with certain tumor cells and immune response characteristics, suggesting that targeting these specific CAFs could improve treatment strategies for various cancers.
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  • A 7-year-old girl with a history of headaches experienced unusual neurological symptoms after episodes of hyperventilation, including aphasia and weakness on one side of her body.
  • Despite her family history of migraines and seizures, her neurologic exam remained normal, but EEG tests showed abnormal brain wave patterns linked to her symptoms.
  • The case suggests an important link between hyperventilation and rare cerebrovascular disorders, emphasizing the need for thorough EEG analysis in diagnosing such conditions.
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Objective: DYNC1H1 variants are involved on a disease spectrum from neuromuscular disorders to neurodevelopmental disorders. DYNC1H1-related epilepsy has been reported in small cohorts. We dissect the electroclinical features of 34 patients harboring de novo DYNC1H1 pathogenic variants, identify subphenotypes on the DYNC1H1-related epilepsy spectrum, and compare the genotype-phenotype correlations observed in our cohort with the literature.

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  • The study examines the role of SEMA3A, an axon guidance cue, in pancreatic ductal adenocarcinoma (PDAC) progression, highlighting its expression in different PDAC cell types and its impact on cellular behaviors.
  • Researchers combined transcriptomic data and experimental approaches to demonstrate that SEMA3A contributes to aggressive cancer traits, including enhanced cell migration and resistance to cell death.
  • Findings suggest that SEMA3A promotes a tumor-favorable environment by attracting macrophages and skewing them towards a pro-tumor, M2-like state, while potentially inhibiting effective immune responses from T cells.
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In epilepsy with myoclonic-atonic seizures (EMA), status epilepticus (SE) may occur during the onset phase, uncommonly in post-puberal patients. We report a post-puberal patient with EMA who presented SE with insidious onset and catamenial recurrence. She had a stormy epilepsy onset at 4 years, with tonic seizures, atypical absences, and myoclonic-atonic seizures, in the absence of SE.

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Background: Periodontal disease is a common infectious disease that leads to the destruction of tooth-supporting structures. Current treatments, such as scaling and root planing (SRP), have limitations in deep and complex pockets, and antibiotic use carries the risk of resistance. Sterify Gel, a medical device composed of polyvinyl polymers, hydroxytyrosol, nisin, and magnesium ascorbyl phosphate, offers a new approach to periodontal care.

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Introduction: Advanced urothelial carcinoma remains aggressive and very hard to cure, while new treatments will pose a challenge for clinicians and healthcare funding policymakers alike. The U-CHANGE Project aimed to redesign the current model of care for advanced urothelial carcinoma patients to identify limitations ("as is" scenario) and recommend future actions ("to be" scenario).

Methods: Twenty-three subject-matter experts, divided into three groups, analyzed the two scenarios as part of a multidimensional consensus process, developing statements for specific domains of the disease, and a simplified Delphi methodology was used to establish consensus among the experts.

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Introduction: People with DS are highly predisposed to Alzheimer's disease (AD) and demonstrate very similar clinical and pathological features. Ts65Dn mice are widely used and serve as the best-characterized animal model of DS.

Methods: We undertook studies to characterize age-related changes for AD-relevant markers linked to Aβ, Tau, and phospho-Tau, axonal structure, inflammation, and behavior.

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Gastroenteropancreatic neuroendocrine tumors (GEP-NETs) are rare and highly heterogeneous neoplasms whose incidence has markedly increased over the last decades. A grading system based on the tumor cells' proliferation index predicts high-risk for G3 NETs. However, low-to-intermediate grade (G1/G2) NETs have an unpredictable clinical course that varies from indolent to highly malignant.

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Core-collapse Supernovae (SNe) are one of the most energetic events in the Universe, during which almost all the star's binding energy is released in the form of neutrinos. These particles are direct probes of the processes occurring in the stellar core and provide unique insights into the gravitational collapse. RES-NOVA will revolutionize how we detect neutrinos from astrophysical sources, by deploying the first ton-scale array of cryogenic detectors made from archaeological lead.

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  • Amyloid-β (Aβ) plaques are a key factor in Alzheimer's disease, and microglia typically help clear these plaques but struggle to do so in affected individuals.
  • A study evaluated the Aβ-targeting vaccine ACI-24 in mice, finding that it led to a significant reduction in Aβ plaque levels and improved microglial activity around the plaques.
  • The results indicate that ACI-24 could be a promising and affordable treatment option for alleviating Alzheimer's disease pathology.
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The Cryogenic Underground Observatory for Rare Events (CUORE) at Laboratori Nazionali del Gran Sasso of INFN in Italy is an experiment searching for neutrinoless double beta (0νββ) decay. Its main goal is to investigate this decay in ^{130}Te, but its ton-scale mass and low background make CUORE sensitive to other rare processes as well. In this Letter, we present our first results on the search for 0νββ decay of ^{128}Te, the Te isotope with the second highest natural isotopic abundance.

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Aim: To explore the feasibility of using an adaptive behaviour profile (ABP) assessment generated from a well-known measure-the Vineland Adaptive Behavior Scales, Second Edition (VABS-II)-as an instrument for outcome measures in adolescents and adults with Dravet syndrome.

Method: We administered the VABS-II to 35 adolescents and adults with Dravet syndrome (15 males; mean age 24 years, SD 8 years, range: 12-46 years) and collected epilepsy history and neurological features at the time of assessment. We conducted a cross-sectional analysis of VABS-II raw scores and performed cluster analysis to identify different subgroups.

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  • Transcriptomic analyses have identified two main types of pancreatic ductal adenocarcinoma (PDAC), each with different biology and clinical outcomes, emphasizing the need to understand the roles of FGFR1 and FGFR4 in aggressive PDAC forms.
  • FGFR4 expression is high in the classical PDAC subtype, correlating with better patient outcomes, while its downregulation in aggressive basal-like/squamous PDAC is linked to gene hypermethylation and decreased transcription marks.
  • In contrast, FGFR1 is widely expressed in various pancreatic tissues and associated with the epithelial-mesenchymal transition (EMT) but not with the aggressive subtype, suggesting that FGFR4 can be a key marker for classifying PD
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  • The study investigates the neurodevelopmental outcomes in patients with developmental and epileptic encephalopathy (DEE), focusing on the relationship between neurodevelopment and epilepsy.
  • Researchers analyzed clinical data from 48 patients and found that seizure onset age influences developmental progress, with later onset linked to better outcomes, while seizure duration and remission age did not significantly affect development.
  • The results highlight two main disease trajectories—either early seizure remission or drug-resistant epilepsy—suggesting a wide range of neurodevelopmental impacts and the need for more focused future research on DEE.
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Pyroglutamate amyloid beta3-42 (pGlu-Abeta3-42), a highly amyloidogenic and neurotoxic form of Abeta, is N-terminally truncated to form a pyroglutamate and has recently been proposed as a key target for immunotherapy. Optimized ACI-24, a vaccine in development for the treatment and prevention of Alzheimer's disease, focuses the antibody response on the first 15 N-terminal amino acids of Abeta (Abeta1-15). Importantly, clinical data with an initial version of ACI-24 incorporating Abeta1-15, established the vaccine's safety and tolerability with evidence of immunogenicity.

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  • Febrile status epilepticus (SE) can develop from febrile seizures in about 5% of cases, but identifying it can be difficult, particularly when there are no clear motor symptoms.
  • In a study of 18 children who experienced non-convulsive febrile status epilepticus (NCFSE) after a febrile seizure, common characteristics included altered awareness, abnormal posturing, and certain EEG patterns observed shortly after the seizure.
  • Most children showed normal development and EEG results after treatment, although some had learning disabilities, and a few experienced relapses of NCFSE without progressing to afebrile seizures.
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The molecular mechanisms that drive hematopoietic stem cell functional decline under conditions of telomere shortening are not completely understood. In light of recent advances in single-cell technologies, we sought to redefine the transcriptional and epigenetic landscape of mouse and human hematopoietic stem cells under telomere attrition, as induced by pathogenic germline variants in telomerase complex genes. Here, we show that telomere attrition maintains hematopoietic stem cells under persistent metabolic activation and differentiation towards the megakaryocytic lineage through the cell-intrinsic upregulation of the innate immune signaling response, which directly compromises hematopoietic stem cells' self-renewal capabilities and eventually leads to their exhaustion.

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Coffin-Siris syndrome (CSS) is a rare congenital malformation syndrome, caused by mutations in the ARID1B gene in over half of the cases. While the clinical characteristics of the syndrome have been increasingly described, a detailed evaluation of the epileptic phenotype in patients with ARID1B alterations and CSS has not been approached yet. We report seven patients with ARID1B-related CSS, focusing on epilepsy and its electroclinical features.

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PURA syndrome is a distinct form of developmental encephalopathy, characterized by early-onset hypotonia, severe developmental delay, intellectual disability, epilepsy and respiratory and gastrointestinal disorders. We report a child with PURA syndrome, harbouring a previously described mutation, whose phenotype included two peculiar aspects: (1) hypokinetic-rigid syndrome, which was part of the clinical presentation from an early stage of the disease, and (2) reflex seizures, consisting of a series of spasms. We provide detailed clinical description and video recordings demonstrating both these aspects that are newly described in PURA syndrome.

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