Publications by authors named "Irrera N"

The journal retracts the article titled "Beta-Caryophyllene, a Plant-Derived CB2 Receptor Agonist, Protects SH-SY5Y Cells from Cadmium-Induced Toxicity" [...

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The discovery of serine protease proprotein convertase subtilisin-kexin type 9 (PCSK9) has revolutionized pharmacological lipid-lowering treatments. The first PCSK9 antagonists (PCSK9-A), evolocumab and alirocumab, were approved in 2015. Targeting PCSK9 synthesis marked a major advancement in this field, leading to the development of inclisiran, a long-acting siRNA targeting PCSK9 mRNA.

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  • Obesity is a key risk factor for cardiovascular diseases, and the study investigates the anti-obesity effects of lycopene (LYC) and fruit extract (GE) on adipocytes and Zucker rats.
  • The research shows that LYC and GE significantly enhance thermogenic gene expression, reduce lipid droplet size, and promote adipocyte remodeling in treated groups.
  • Combining LYC and GE leads to improved weight management and decreased food intake, suggesting their potential as effective components in obesity therapies.
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Atrial fibrillation (AF) prevalence increases in older patients which also show a high thromboembolic risk. Oral anticoagulants (OACs) are recommended to prevent cardioembolic events and direct oral anticoagulants (DOACs) improved anti-thrombotic treatment. However, the benefits/risks of anticoagulant in older patients still need to be completely defined.

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The endocannabinoid system is composed by a complex and ubiquitous network of endogenous lipid ligands, enzymes for their synthesis and degradation, and receptors, which can also be stimulated by exogenous compounds, such as those derived from the Cannabis sativa. Cannabis and its bioactive compounds, including cannabinoids and non-cannabinoids, have been extensively studied in different conditions. Recent data have shown that the endocannabinoid system is responsible for maintaining the homeostasis of various skin functions such as proliferation, differentiation and release of inflammatory mediators.

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  • Chronic venous insufficiency (CVI) can increase the risk of cardiovascular events, and its primary treatments are compression stockings and lifestyle changes, potentially supported by natural products like flavonoids.
  • This study evaluated the effects of a dietary supplement containing baicalin, bromelain, and escin in CVI patients through a retrospective analysis of medical records.
  • Results showed significant improvements in the clinical symptoms of "users" of the supplement compared to "non-users," including reduced pain, inflammation, and overall severity of CVI, along with lower C-reactive Protein levels.
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Hypovolemic shock is a circulatory failure, due to a loss in the effective circulating blood volume, that causes tissue hypoperfusion and hypoxia. This condition stimulates reactive oxygen species (ROS) and pro-inflammatory cytokine production in different organs and also in the central nervous system (CNS). Levosimendan, a cardioprotective inodilator, and dobutamine, a β1-adrenergic agonist, are commonly used for the treatment of hypovolemic shock, thanks to their anti-inflammatory and antioxidant effects.

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  • The study aimed to analyze changes in glomerular filtration ratio (GFR) among diabetic patients and identify related risk factors under the care of General Practitioners (GPs).
  • Researchers recruited 545 diabetic patients, estimated their GFR based on creatinine values, and used linear regression to determine predictors of eGFR changes.
  • Findings revealed that most patients were on glucose-lowering medications, often had prescriptions for nephrotoxic drugs, and highlighted the need for closer monitoring of diabetic patients' kidney health, irrespective of their current GFR levels.
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: Tirbanibulin 1% ointment is a novel synthetic anti-proliferative agent that inhibits tubulin polymerization. It is approved for treating actinic keratosis (AK) on the face and scalp in adults. It has demonstrated good efficacy, an adequate safety profile and excellent patient adherence in the phase 3 clinical trials, however data about its real-life efficacy and safety are lacking.

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Polyphenols are natural compounds also contained in daily consumed foods that show their efficacy in different clinical fields. Both pre-clinical and clinical studies demonstrated that polyphenols may manage neuroinflammation and oxidative stress processes tightly connected to neurodegenerative diseases and mental disorders. Thus, a neuroinflammatory state may influence the neurotransmitters pathways, such as the noradrenergic, glutamatergic, serotoninergic, and, in particular, dopaminergic ones, whose impairment is strongly associated with attention deficit hyperactivity disorder (ADHD).

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In patients with COVID-19, high-flow nasal cannula (HFNC) and continuous positive airway pressure (CPAP) are widely applied as initial treatments for moderate-to-severe acute hypoxemic respiratory failure. The aim of the study was to assess which respiratory supports improve 28-day mortality and to identify a predictive index of treatment response. This is a single-center retrospective observational study including 159 consecutive adult patients with COVID-19 and moderate-to-severe hypoxemic acute respiratory failure.

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The global impact of the COVID-19 pandemic has underscored the pivotal role of drug safety and effective communication within the realm of pharmacovigilance, particularly in times of unprecedented public health emergencies [...

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Several studies have demonstrated that, beyond their antithrombotic effects, P2Y12 receptor inhibitors may provide additional off-target effects through different mechanisms. These effects range from the preservation of endothelial barrier function to the modulation of inflammation or stabilization of atherosclerotic plaques, with an impact on different cell types, including endothelial and immune cells. Many P2Y12 inhibitors have been developed, from ticlopidine, the first thienopyridine, to the more potent non-thienopyridine derivatives such as ticagrelor which may promote cardioprotective effects following myocardial infarction (MI) by inhibiting adenosine reuptake through sodium-independent equilibrative nucleoside transporter 1 (ENT1).

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  • Perforating dermatoses are various skin disorders where skin tissue is eliminated through the epidermis, and they typically affect adults with other health issues like renal failure or diabetes.
  • Kyrle disease is one type of perforating dermatosis, and this case report discusses a patient with Kyrle disease who also has chronic kidney disease, highlighting the need for proper treatment.
  • The study emphasizes the importance of addressing itching and managing underlying health problems to improve the quality of life for patients suffering from Kyrle disease.
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  • * The study investigated β-Caryophyllene (BCP), a cannabinoid that activates the CB2 receptor, for its potential protective effects against Cd-induced toxicity in neuroblastoma SH-SY5Y cells, showing BCP's antioxidant, anti-inflammatory, and neuroprotective properties.
  • * Results revealed that BCP treatment significantly reduced ROS accumulation and increased the expression of a key antioxidant protein, Nrf2, while also protecting cells from death and regulating inflammatory responses, suggesting BCP could be
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Bone remodeling is a process that involves osteoblasts, osteoclasts, and osteocytes, and different intracellular signaling, such as the canonical Wnt/β-catenin pathway. Dysregulations of this pathway may also occur during secondary osteoporosis, as in the case of glucocorticoid-induced osteoporosis (GIO), which accelerates osteoblast and osteocyte apoptosis by reducing bone formation, osteoblast differentiation and function, accelerates in turn osteoblast, and osteocyte apoptosis. Genistein is a soy-derived nutrient belonging to the class of isoflavones that reduces bone loss in osteopenic menopausal women, inhibiting bone resorption; however, genistein may also favor bone formation.

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  • Research has shown that natural substances like selenium (Se) and lycopene may help reduce male infertility caused by varicocele, with each having a positive effect individually.
  • In a study with male rats, those with varicocele showed decreased testosterone levels, testicular weight, and structural damage in testicular tissues, indicating infertility issues.
  • When treated with Se, lycopene, or both, the rats demonstrated significant improvements in testis weight, testosterone levels, and overall testicular health, suggesting that combining these nutrients could be a potential therapeutic approach alongside surgery, although more research is needed.
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Neuroinflammation is an inflammatory response of the nervous tissue mediated by the production of cytokines, chemokines, and reactive oxygen species. Recent studies have shown that an upregulation of immunoproteasome is highly associated with various diseases and its inhibition attenuates neuroinflammation. In this context, the development of non-covalent immunoproteasome-selective inhibitors could represent a promising strategy for treating inflammatory diseases.

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Atrial fibrillation (AF) is the most common cardiac arrhythmia worldwide and in recent years the pharmacological approach has been strongly implemented; in Italy, the prescription of the non-vitamin K oral anticoagulants (NOAC) was also extended to General Practitioners (GPs) since 2020. The aim of the present study was to investigate the GPs prescribing behaviour of NOACs. An observational study was performed by using the computerized medical record of 14 GPs in Sicily: patients affected by AF were selected and stratified according to the prescribed antithrombotic drugs.

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Oral cavity squamous cell carcinoma (OCSCC) represents a serious health and socio-economic problem in different geographical areas of the world. It is characterized by a high rate of mortality, recurrence and metastasis. Despite the therapeutic strategies implemented for its management and resolution, currently the survival estimate for locally advanced disease is about 50%.

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Glucocorticoid-induced osteoporosis (GIO) complicates the clinical management of patients subjected to long-term glucocorticoid use. This study explored the effects of genistein on bone loss in a randomized double-blind alendronate-controlled trial in postmenopausal women with GIO. 200 postmenopausal women (taking at least 5 mg of prednisone equivalents) since 3 months, or more, and expected to continue for at least other 12 months, were randomized to receive genistein (54 mg/day daily) or alendronate (70 mg once a week) for 24 months.

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The oral administration is probably the most used and largely applicable method, even if absorption across the intestinal epithelium is a limiting factor that can invalidate the achievement of a therapy. The aim of this study was to assess the steady state bioavailability of very low molecular weight hyaluronic acid (vLMW-HA) and its distribution in different districts of mice. Adult female C57BL6/J mice ( = 26) were divided in three groups and orally treated for 7 days with: saline solution (SHAM-HA), high dose of vLMW-HA (5 kDa; 500 mg/kg/day; HD-vLMW-HA), and low dose of vLMW-HA (5 kDa; 100 mg/kg/day; LD-vLMW-HA).

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