Publications by authors named "Guidetti F"

Aims: It is common in heart failure (HF) trials, especially in HF with preserved (HFpEF) and mildly reduced ejection fraction (HFmrEF), to select for increased risk of outcomes ('enrichment'). We investigated the association between loop diuretic use and common trial outcomes.

Methods And Results: Patients in the Swedish HF Registry with HFmrEF and HFpEF were divided into three groups: no loop diuretic use, 1-40 mg furosemide equivalent, and >40 mg.

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  • Cardiac amyloidosis (CA) is an often overlooked cause of heart failure (HF), highlighting the importance of early detection and timely therapy for better patient outcomes.
  • A global survey with 1,460 physicians revealed that while many have experience diagnosing CA in patients with preserved ejection fraction (HFpEF), systematic screening is not widely practiced, with only 10% conducting routine checks.
  • There is significant variability in screening and management strategies for CA, indicating a need for better education and access to disease-modifying therapies within the HF community.
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  • The COVID-19 pandemic highlighted the benefits of telemedicine in Italy, leading to a focus on tele-visit services, particularly for type 1 diabetes patients in Modena.
  • A case study was conducted to assess the implementation of these tele-visits over the first year, from May 2023 to April 2024, detailing the activities and challenges faced by the Local Health Authority.
  • In the initial year, 72 patients participated with 103 tele-visits conducted, mostly involving women aged 30-49, with nearly half of the Diabetology specialists engaged in the service.
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  • A survey was conducted among physicians globally to evaluate the real-world practices for diagnosing and treating heart failure with preserved ejection fraction (HFpEF), highlighting a knowledge gap in clinical implementation.
  • 1,460 physicians from 95 countries participated, primarily cardiologists, with most using a 50% ejection fraction cut-off for HFpEF diagnosis; however, only 47.2% utilized formal diagnostic scores.
  • The results showed that while natriuretic peptides were commonly used (87.4%), SGLT2 inhibitors led as the preferred first treatment (54.4%), indicating a need for better education on HFpEF management.
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  • * A global survey conducted in 2023 revealed that non-cardiologists and cardiologists were less likely than heart failure specialists to utilize certain diagnostic tools and parameters like natriuretic peptides and specific echocardiographic techniques for diagnosing HFpEF.
  • * While SGLT2 inhibitors and diuretics were commonly preferred medications across specialties, there was a notable variation in the selected first-choice drug for HFpEF, with heart failure specialists favoring SGLT2 inhibitors more than cardiologists
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  • - The study investigated how heart failure (HF) and atrial fibrillation (AF) occur together, focusing on their prevalence, incidence, and treatment strategies in patients with different ejection fraction levels.
  • - Analyzed data from over 195,000 patients showed an increase in AF prevalence for both HF and non-HF patients from 2006 to 2021, with HF patients, especially those with reduced ejection fraction (HFrEF), receiving more AF treatments.
  • - Despite higher rates of AF in HF patients, particularly those with preserved ejection fraction (HFpEF), the overall treatment for AF in HF patients is still considered low, suggesting a need for improved management strategies.
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  • Flaviviruses like dengue, Zika, and yellow fever are transmitted by mosquitoes and cause diseases primarily in tropical regions, while Powassan virus (POWV) is tick-borne and found in temperate areas.
  • Research shows that people in Mexico and Brazil have neutralizing antibodies against POWV, suggesting possible exposure to the virus.
  • Monoclonal antibodies P002 and P003 target a shared epitope on POWV, hinting that POWV or a similar virus could infect humans in tropical locations.
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  • The analysis aimed to assess the comorbidity burden in heart failure (HF) patients by examining both cardiovascular (CV) and non-CV conditions across different ejection fractions (EF).
  • The study included 91,463 HF patients from the Swedish HF Registry, revealing that nearly all had at least one comorbidity, with HF patients having preserved EF (HFpEF) showing more comorbidities than those with reduced EF.
  • The findings indicated that certain comorbidities, especially dementia, chronic kidney disease, and chronic obstructive pulmonary disease, significantly increased the risk of death, while obesity appeared to reduce that risk; the presence of multiple comorbidities was tied to higher mortality, with varying impacts on
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Aims: Mineralocorticoid receptor antagonists (MRAs) improve outcomes in heart failure with reduced ejection fraction (HFrEF) but remain underused and are often discontinued especially in patients with chronic kidney disease (CKD) due to concerns on renal safety. Therefore, in a real-world HFrEF population we investigated the safety of MRA use, in terms of risk of renal events, any mortality and any hospitalization, across the estimated glomerular filtration rate (eGFR) spectrum including severe CKD.

Methods And Results: We analysed patients with HFrEF (ejection fraction <40%), not on dialysis, from the Swedish Heart Failure Registry.

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  • The Heart Failure Association of the European Society of Cardiology aims to enhance medical treatments for heart failure patients by analyzing specific patient profiles.
  • Researchers studied heart failure patients in Sweden from 2013 to 2021, identifying 93 profiles based on factors like kidney function and heart rhythm, finding that specific groups had higher risks of cardiovascular issues.
  • The study suggests that most patients fit easily into recognizable profiles and highlights the potential for targeted treatment strategies based on these profiles to improve outcomes.
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Unlabelled: Extraction-free HTG EdgeSeq protocols are used to profile sets of genes and measure their expression. Thus, these protocols are frequently used to characterise tumours and their microenvironments. However, although positive and control genes are provided, little indication is given concerning the assessment of the technical success of each sample within the sequencing run.

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Inhibitors of phosphatidylinositol 3-kinase (PI3K) and Bruton tyrosine kinase (BTK) represent a recognized option for the treatment of patients affected by indolent B cell lymphomas. However, small molecules as single agents show limited success in their ability in inducing complete responses, with only partial remission achieved in most patients, suggesting the need for combination therapies. IRAK4 is a protein kinase downstream of the Toll-like receptor signaling (TLR), a driver pathway of secondary tumor° resistance in both hematological and solid tumor malignancies.

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Enhancer RNAs (eRNAs) are non-coding RNAs (ncRNAs) transcribed in enhancer regions. They play an important role in transcriptional regulation, mainly during cellular differentiation. eRNAs are tightly tissue- and cell-type specific and are induced by specific stimuli, activating promoters of target genes in turn.

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  • - Splenic marginal zone B-cell lymphoma (SMZL) is a complex condition with varying clinical outcomes, influenced by multiple gene mutations and diverse regulatory pathways, making it critical to identify different subgroups based on their genetic and environmental features.
  • - Researchers analyzed 303 spleen samples from an international study to understand these subgroups, ultimately identifying two main genetic clusters: NNK (58% of cases) and DMT (32% of cases), each with unique genetic profiles and survival outcomes.
  • - The study revealed two types of immune microenvironments within SMZL: immune-suppressive and immune-silent, highlighting their distinct clinical implications and the potential for improving classification and targeted therapies in this disease.
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  • * There is a shortage of donor organs, leading to long wait times and a mortality rate of about 20% for those on the waiting list.
  • * The review discusses current treatments, recent innovations, and future trends in managing advanced heart failure, emphasizing mechanical support and heart transplantation.
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Enhancers are regulatory regions of DNA, which play a key role in cell-type specific differentiation and development. Most active enhancers are transcribed into enhancer RNA (eRNA) that can regulate transcription of target genes by means of in cis as well as in trans action. eRNA stabilize contacts between distal genomic regions and mediate the interaction of DNA with master transcription factors.

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  • Tick-borne encephalitis virus (TBEV) poses a significant health threat with no specific treatments available, while mouse monoclonal antibodies show protection against it.* -
  • This study examined the human immune response, finding that individuals who recovered from TBEV infection had the strongest neutralizing antibodies compared to vaccinated individuals.* -
  • The research identified a key structural region in the virus that these powerful antibodies target and demonstrated that low doses of antibodies can effectively treat infected mice.*
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  • - Patients with heart failure experience challenges in their heart's ability to fill and pump blood, leading to decreased exercise capacity due to issues like low oxygen transfer and anemia.
  • - Ventricular assist devices are a reliable treatment option for individuals with end-stage heart failure, improving heart function and overall health.
  • - Cardiac rehabilitation for patients with these devices is crucial as it focuses on reducing physical limitations and enhancing the ability to engage in daily activities.
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Antibody drug conjugates represent an important class of anti-cancer drugs in both solid tumors and hematological cancers. Here, we report preclinical data on the anti-tumor activity of the first-in-class antibody drug conjugate MEN1309/OBT076 targeting CD205. The study included preclinical in vitro activity screening on a large panel of cell lines, both as single agent and in combination and validation experiments on in vivo models.

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The prognostic significance of the right ventricle (RV) has recently been recognised in several conditions, primarily those involving the left ventricle, the lungs and their vascular bed, or the right-sided chambers. Recent advances in imaging techniques have created new opportunities to study RV anatomy, physiology and pathophysiology, and contemporary research efforts have opened the doors to new treatment possibilities. Nevertheless, the treatment of RV failure remains challenging.

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  • The study investigates the presence of calcium in aortic cusps and mitral annulus (AOC_MAC) as a potential predictor of cardiovascular events and mortality, focusing on its role in primary prevention irrespective of atrial fibrillation (AF).
  • 1389 participants, mostly older adults with various cardiovascular risk factors, were monitored over 32 months, revealing a higher rate of cardiovascular hospitalizations and deaths among those with AOC_MAC compared to those without.
  • AOC_MAC was found to be an independent predictor of negative outcomes in patients in sinus rhythm, whereas it had no significant impact on prognosis for patients with AF, highlighting the need for differentiated approaches in risk assessment.
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The rarity of neoplastic cells in the biopsy imposes major technical hurdles that have so far limited genomic studies in classical Hodgkin lymphoma (cHL). By using a highly sensitive and robust deep next-generation sequencing approach for circulating tumor DNA (ctDNA), we aimed to identify the genetics of cHL in different clinical phases, as well as its modifications on treatment. The analysis was based on specimens collected from 80 newly diagnosed and 32 refractory patients with cHL, including longitudinal samples collected under ABVD (adriamycin, bleomycin, vinblastine, dacarbazine) chemotherapy and longitudinal samples from relapsing patients treated with chemotherapy and immunotherapy.

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Activation of the PI3K/mTOR signaling pathway is recurrent in different lymphoma types, and pharmacologic inhibition of the PI3K/mTOR pathway has shown activity in lymphoma patients. Here, we extensively characterized the and activity and the mechanism of action of PQR309 (bimiralisib), a novel oral selective dual PI3K/mTOR inhibitor under clinical evaluation, in preclinical lymphoma models. This study included preclinical activity screening on a large panel of cell lines, both as single agent and in combination, validation experiments on models and primary cells, proteomics and gene-expression profiling, and comparison with other signaling inhibitors.

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Background: Alveolar ridge volume loss may be minimized when postextraction sockets are filled by bone substitutes.

Purpose: The aim of the study was to measure the effect of alveolar ridge preservation (ARP) in maintaining the external contour of the ridge after fresh socket grafting with or without particulate anorganic bovine bone mineral (BBM) and resorbable barrier covering.

Materials And Methods: In the present controlled study, patients subjected to single-tooth extraction were allocated to 2 groups: postextraction sockets grafted with bovine bone mineral (bbm), and naturally healing sockets (nat).

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