Publications by authors named "Laura Soldovieri"

Omega-3 fatty acids reduce triglycerides and have several positive effects on different organs and systems. They are also found in the plasma membrane in variable amounts in relation to genetics and diet. However, it is still unclear whether omega-3 supplementation can reduce the occurrence of major cardiovascular events (MACEs).

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Sodium-glucose co-transporter 2 inhibitors (SGLT2i) have emerged as important agents for the treatment of type 2 diabetes mellitus (T2DM). SGLT2 inhibitors have been associated with improved cardiovascular outcomes, not only through their immediate hemodynamic effects-such as glycosuria and (at least temporary) increased natriuresis-but also due to their multifaceted impact on metabolism. Recently, studies have also focused on the effects of SGLT2 inhibitors on adipose tissue.

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Aims: A number of studies have suggested that pancreatic α cells produce intact GLP-1, thereby constituting a gut-independent paracrine incretin system. However, the debate on whether human α cells contain intact GLP-1 and whether this relates to the presence of diabetes is still ongoing. This study aimed to determine the presence of proglucagon-derived peptides, including GLP-1 isoforms, in pancreas biopsies obtained during partial pancreatectomy from metabolically profiled human donors, stratified according to pre-surgery glucose tolerance.

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Purpose: Physical exercise is a key component in the treatment of type 2 diabetes and plays an important role in maintaining a healthy glucose metabolism even in healthy subjects. To date, no studies have investigated the effect of a single bout of aerobic physical exercise on glucose metabolism in young, moderately active, healthy adults.

Methods: We performed an OGTT 7 days before and 24 h after a single bout of physical exercise, to evaluate 1-hour post-load plasma glucose and surrogate indexes of insulin sensitivity and insulin secretion.

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Article Synopsis
  • The study investigates how preoperative glucose metabolism impacts the risk of clinically relevant pancreatic fistulas (CR-POPF) after pancreaticoduodenectomy (PD) surgery.
  • Out of 110 patients, those with normal glucose tolerance showed a higher incidence of CR-POPF at 51.7%, compared to those with impaired glucose tolerance or diabetes.
  • Fasting glucose levels and c-peptide values were found to be effective predictors for CR-POPF, indicating that both normoglycemia and normal beta cell function may increase the risk of complications post-surgery.
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  • * Extracellular vesicles (EVs) have been found to play a key role in communication between organs affected by T2D, making them an important area of study.
  • * The review discusses how specific components of EVs, including miRNAs and proteins, impact insulin signaling and glucose metabolism, highlighting their potential as biomarkers for diagnosis and treatment of T2D.
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Pancreatic islet isolation is critical for type 2 diabetes research. Although -omics approaches have shed light on islet molecular profiles, inconsistencies persist; on the other hand, functional studies are essential, but they require reliable and standardized isolation methods. Here, we propose a simplified protocol applied to very small-sized samples collected from partially pancreatectomized living donors.

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Aims: Chronic pancreatitis (CP) is - along with acute pancreatitis - the most frequent cause of diabetes of the exocrine pancreas (DEP). Although insulin deficiency is widely accepted as the major feature of DEP, it is still unclear whether diabetes associated with CP is characterized by additional or different functional defects of the insulin secretory machinery. To identify possible functional defects specifically induced by CP, we performed a cross-sectional study in individuals with normal glucose tolerance (NGT), impaired glucose tolerance (IGT) and diabetes mellitus (DM) comparing patients with and without CP (CP vs.

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  • SGLT2 inhibitors like dapagliflozin have mixed results on plasma lipids, showing slight increases in HDL cholesterol but little evidence of improved HDL functionality; however, they are recognized for their cardiovascular protective roles.
  • A study with 16 patients examined how dapagliflozin affects nitric oxide (NO) production through HDL and its relation to myocardial flow reserve (MFR), finding no significant changes in HDL cholesterol or NO production between the dapagliflozin and placebo groups.
  • The results imply that the improvements in coronary microcirculation seen with dapagliflozin in patients with type 2 diabetes and coronary artery disease (CAD) may not be linked to changes in
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Type 2 diabetes mellitus (T2DM) is one of the most widespread diseases worldwide. Lifestyle interventions, including diet and physical activity (PA), are fundamental non-pharmacological components of T2DM therapy. Exercise interventions are strongly recommended for people with or at risk of developing or already with overt diabetes, but adherence to PA guidelines in this population is still challenging.

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Next-generation sequencing (NGS) is nowadays commonly used for clinical purposes, and represents an efficient approach for the molecular diagnosis of familial hypercholesterolemia (FH). Although the dominant form of the disease is mostly due to the low-density lipoprotein receptor (LDLR) small-scale pathogenic variants, the copy number variations (CNVs) represent the underlying molecular defects in approximately 10% of FH cases. Here, we reported a novel large deletion in the LDLR gene involving exons 4-18, identified by the bioinformatic analysis of NGS data in an Italian family.

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Background: Over the last decades, various approaches have been explored to restore sufficient β-cell mass in diabetic patients. Stem cells are certainly an attractive source of new β-cells, but an alternative option is to induce the endogenous regeneration of these cells.

Scope Of Review: Since the exocrine and endocrine pancreatic glands have a common origin and a continuous crosstalk unites the two, we believe that analyzing the mechanisms that induce pancreatic regeneration in different conditions could further advance our knowledge in the field.

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Article Synopsis
  • * We assess how issues with insulin secretion impact blood sugar regulation, highlighting post-meal high blood sugar as a key concern in managing diabetes.
  • * We explore dietary and drug strategies to improve early insulin secretion and recover β cell function, while also suggesting methods to identify early problems in insulin secretion in clinical settings.
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