Publications by authors named "Santoni G"

Importance: Bariatric surgery is associated with decreased risk of obesity-related cancer and cardiovascular disease but is typically reserved for patients younger than 60 years. Whether these associations hold for patients who undergo surgery at older ages is uncertain.

Objective: To determine whether bariatric surgery is associated with a decreased risk of obesity-related cancer and cardiovascular disease in patients who underwent surgery at age 60 years or older.

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  • Pancreatic ductal adenocarcinoma (PDAC) has a high mortality rate and requires new treatment strategies for better patient outcomes.
  • This study investigated a combination treatment using melatonin (MLT), cannabidiol (CBD), and oxygen-ozone (O/O) alongside gemcitabine (GEM), finding it more effective than single treatments in fighting PDAC.
  • The combination not only inhibited cancer cell growth and induced cell death but also reduced tumor sizes in mouse models, suggesting it could be a promising adjuvant therapy for PDAC.
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Memories are encoded by sparse populations of neurons but how such sparsity arises remains largely unknown. We found that a neuron's eligibility to be recruited into the memory trace depends on its epigenetic state prior to encoding. Principal neurons in the mouse lateral amygdala display intrinsic chromatin plasticity, which when experimentally elevated favors neuronal allocation into the encoding ensemble.

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Multiple myeloma (MM) is a blood cancer caused by uncontrolled growth of clonal plasmacells. Bone disease is responsible for the severe complications of MM and is caused by myeloma cells infiltrating the bone marrow and inducing osteoclast activation. To date, no treatment for MM is truly curative since patients relapse and become refractory to all drug classes.

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Background & Aims: Helicobacter pylori infection is associated with a decreased risk of esophageal adenocarcinoma, and the decreasing prevalence of such infection might contribute to the increasing incidence of this tumor. We examined the hypothesis that eradication treatment of H pylori increases the risk of esophageal adenocarcinoma.

Methods: This population-based multinational cohort, entitled "Nordic Helicobacter Pylori Eradication Project (NordHePEP)," included all adults (≥18 years) receiving H pylori eradication treatment from 1995-2018 in any of the 5 Nordic countries (Denmark, Finland, Iceland, Norway, and Sweden) with follow-up throughout 2019.

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Pancreatic ductal adenocarcinoma (PDAC) is the most frequent infiltrating type of pancreatic cancer. The poor prognosis associated with this cancer is due to the absence of specific biomarkers, aggressiveness, and treatment resistance. PDAC is a deadly malignancy bearing distinct genetic alterations, the most common being those that result in cancer-causing versions of the KRAS gene.

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  • The study aimed to compare the occurrence of oesophageal adenocarcinoma in patients with non-erosive gastro-oesophageal reflux disease (GERD) to the general population over a period from 1987 to 2019 across Denmark, Finland, and Sweden.
  • It included a large cohort of over 280,000 patients with non-erosive GERD and examined the incidence rates by following them for up to 31 years.
  • Results showed that the incidence rate of oesophageal adenocarcinoma in the non-erosive GERD group was 11.0 per 100,000 person-years, which was similar to that of the general population, indicating no increased risk associated with non
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Background & Aims: Antireflux treatment is recommended to reduce esophageal adenocarcinoma in patients with Barrett's esophagus. Antireflux surgery (fundoplication) counteracts gastroesophageal reflux of all types of carcinogenic gastric content and reduces esophageal acid exposure to a greater extent than antireflux medication (eg, proton pump inhibitors). We examined the hypothesis that antireflux surgery prevents esophageal adenocarcinoma to a larger degree than antireflux medication in patients with Barrett's esophagus.

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Objective: The objective of this study was to test the hypothesis that bariatric surgery decreases the risk of esophageal and cardia adenocarcinoma.

Background: Obesity is strongly associated with esophageal adenocarcinoma and moderately with cardia adenocarcinoma, but whether weight loss prevents these tumors is unknown.

Methods: This population-based cohort study included patients with an obesity diagnosis in Sweden, Finland, or Denmark.

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  • The review investigates the impact of midwifery care on perinatal death and the necessary psychological support for affected women and couples.
  • A scoping review was conducted, examining studies from 2002-2022, which revealed 14 eligible studies categorized into three key areas: healthcare settings, caregiver training, and parental experiences.
  • Findings highlight the need for comprehensive training for midwives, better communication and support systems for bereaved parents, and the establishment of guidelines for psychological support during perinatal loss.
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  • A study conducted in Sweden analyzed the relationship between diabetes, metformin use, and survival rates in esophageal cancer patients from 2006 to 2019.
  • Among 4,851 patients, those with diabetes who used metformin had significantly lower all-cause mortality rates compared to those with diabetes not using metformin, suggesting metformin may improve survival.
  • The findings indicated that higher daily doses of metformin were associated with better survival outcomes, while other antidiabetic medications (sulfonylureas, insulin, thiazolidinedione) showed no impact on mortality.
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Background: Recent research indicates that use of proton pump inhibitors (PPIs) is associated with pneumonia, but existing evidence is inconclusive because of methodological issues. This study aimed to answer whether PPI-use increases risk of pneumonia while taking the methodological concerns of previous research into account.

Methods: This population-based and nationwide Swedish study conducted in 2005-2019 used a self-controlled case series design.

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Background & Aims: Post-endoscopy esophageal adenocarcinoma (PEEC) and post-endoscopy esophageal neoplasia (PEEN) undermine early cancer detection in Barrett's esophagus (BE). We aimed to assess the magnitude and conduct time-trend analysis of PEEC and PEEN among patients with newly diagnosed BE.

Methods: This population-based cohort study was conducted in Denmark, Finland, and Sweden between 2006 and 2020 and included 20,588 patients with newly diagnosed BE.

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Importance: Bariatric surgery can resolve hyperlipidemia, cardiovascular disease, and diabetes, but the long-term postoperative trajectories of medications for these conditions are unknown.

Objective: To clarify the long-term use of lipid-lowering, cardiovascular, and antidiabetic medication after bariatric surgery compared with no surgery for morbid obesity.

Design, Setting, And Participants: This population-based cohort study took place in Sweden (2005-2020) and Finland (1995-2018) and included individuals diagnosed with obesity.

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Background: The authors aimed to produce a prediction model for survival at any given date after surgery for esophageal cancer (conditional survival), which has not been done previously.

Materials And Methods: Using joint density functions, the authors developed and validated a prediction model for all-cause and disease-specific mortality after surgery with esophagectomy, for esophageal cancer, conditional on postsurgery survival time. The model performance was assessed by the area under the receiver operating characteristic curve (AUC) and risk calibration, with internal cross-validation.

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Calcium flux is the master second messenger that influences the proliferation-apoptosis balance. The ability of calcium flux alterations to reduce cell growth makes ion channels interesting targets for therapy. Among all, we focused on transient receptor potential vanilloid 1, a ligand-gated cation channel with selectivity for calcium.

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Circadian rhythm regulates cellular differentiation and physiology and shapes the immune response. Altered expression of clock genes might lead to the onset of common malignant cancers, including Renal Cell Carcinoma (RCC). Data from Cancer Genome Atlas (TCGA) indicate that clock genes , , , and are overexpressed in RCC tissues and correlate with patients' prognosis.

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The survival of patients with glioblastoma (GBM) is poor. The main cause is the presence of glioma stem cells (GSCs), exceptionally resistant to temozolomide (TMZ) treatment. This last may be related to the heterogeneous expression of ion channels, among them TRPML2.

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Disturbances in the brain's capacity to meet its energy demand increase the risk of synaptic loss, neurodegeneration, and cognitive decline. Nutritional and metabolic interventions that target metabolic pathways combined with diagnostics to identify deficits in cerebral bioenergetics may therefore offer novel therapeutic potential for Alzheimer's disease (AD) prevention and management. Many diet-derived natural bioactive components can govern cellular energy metabolism but their effects on brain aging are not clear.

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Background: It is unclear whether annual hospital volume of bariatric surgery influences the long-term survival of individuals who undergo surgery for severe obesity. The hypothesis that higher annual hospital volume of bariatric surgery is associated with better long-term survival was evaluated.

Methods: This retrospective population-based study included patients who underwent bariatric surgery in Sweden and Finland between 1989 and 2020.

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Purpose: This cohort description presents the Nordic Helicobacter Pylori Eradication Project (NordHePEP), a population-based cohort of patients having received eradication treatment for Helicobacter pylori (HP). The cohort is created with the main purpose of examining whether and to what extent HP eradication treatment influences the risk of gastrointestinal cancer.

Participants: NordHePEP includes all adults (aged ≥18 years) having been prescribed and dispensed HP eradication treatment according to the nationwide complete drug registries in any of the five Nordic countries (Denmark, Finland, Iceland, Norway, or Sweden) between 1994 and 2020 (start and end year varies between countries).

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  • The study explores the role of dopamine D receptors (DR) in glioblastoma (GBM) and identifies new ligands that selectively target these receptors.
  • Two compounds were highlighted: a DR antagonist with high affinity for DR and a biased ligand that activates DR while blocking β-arrestin recruitment.
  • Both compounds showed promising antitumor activity against GBM cell lines and stem cells, proving more effective at reducing cell viability than temozolomide, the standard treatment for GBM.
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The recently discovered lytic polysaccharide monooxygenases (LPMOs) are Cu-containing enzymes capable of degrading polysaccharide substrates oxidatively. The generally accepted first step in the LPMO reaction is the reduction of the active-site metal ion from Cu to Cu. Here we have used a systematic diffraction data collection method to monitor structural changes in two AA9 LPMOs, one from (AA9_A) and one from (AA9_A), as the active-site Cu is photoreduced in the X-ray beam.

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