Your browser doesn't support javascript.
loading
Show: 20 | 50 | 100
Results 1 - 20 de 57
Filter
Add more filters

Country/Region as subject
Affiliation country
Publication year range
1.
Immun Ageing ; 19(1): 65, 2022 Dec 15.
Article in English | MEDLINE | ID: mdl-36522763

ABSTRACT

BACKGROUND: The risk for symptomatic COVID-19 requiring hospitalization is higher in the older population. The course of the disease in hospitalised older patients may show significant variation, from mild to severe illness, ultimately leading to death in the most critical cases. The analysis of circulating biomolecules involved in mechanisms of inflammation, cell damage and innate immunity could lead to identify new biomarkers of COVID-19 severity, aimed to improve the clinical management of subjects at higher risk of severe outcomes. In a cohort of COVID-19 geriatric patients (n= 156) who required hospitalization we analysed, on-admission, a series of circulating biomarkers related to neutrophil activation (neutrophil elastase, LL-37), macrophage activation (sCD163) and cell damage (nuclear cfDNA, mithocondrial cfDNA and nuclear cfDNA integrity). The above reported biomarkers were tested for their association with in-hospital mortality and with clinical, inflammatory and routine hematological parameters. Aim of the study was to unravel prognostic parameters for risk stratification of COVID-19 patients. RESULTS: Lower n-cfDNA integrity, higher neutrophil elastase and higher sCD163 levels were significantly associated with an increased risk of in-hospital decease. Median (IQR) values observed in discharged vs. deceased patients were: 0.50 (0.30-0.72) vs. 0.33 (0.22-0.62) for n-cfDNA integrity; 94.0 (47.7-154.0) ng/ml vs. 115.7 (84.2-212.7) ng/ml for neutrophil elastase; 614.0 (370.0-821.0) ng/ml vs. 787.0 (560.0-1304.0) ng/ml for sCD163. The analysis of survival curves in patients stratified for tertiles of each biomarker showed that patients with n-cfDNA integrity < 0.32 or sCD163 in the range 492-811 ng/ml had higher risk of in-hospital decease than, respectively, patients with higher n-cfDNA integrity or lower sCD163. These associations were further confirmed in multivariate models adjusted for age, sex and outcome-related clinical variables. In these models also high levels of neutrophil elastase (>150 ng/ml) appeared to be independent predictor of in-hospital death. An additional analysis of neutrophil elastase in patients stratified for n-cfDNA integrity levels was conducted to better describe the association of the studied parameters with the outcome. CONCLUSIONS: On the whole, biomarkers of cell-free DNA integrity, neutrophil and macrophage activation might provide a valuable contribution to identify geriatric patients with high risk of COVID-19 in-hospital mortality.

2.
Nutr Metab Cardiovasc Dis ; 26(10): 893-8, 2016 10.
Article in English | MEDLINE | ID: mdl-27480449

ABSTRACT

BACKGROUND AND AIMS: Literature data suggest an association between Helicobacter pylori infection and glucose homeostasis. However, a causative link between them has not been demonstrated yet. The aim of this study is to investigate the effect of H. pylori eradication on glucose homeostasis in patients with type 2 diabetes. METHODS AND RESULTS: A randomized, double-blind, placebo-controlled trial was conducted to investigate the effect of H. pylori eradication on glucose homeostasis in 154 patients with type 2 diabetes and who tested positive for H. pylori infection (mean age (SD), 63.1 (8.1) years). Subjects were assigned to H. pylori eradication treatment or placebo. Metabolic and inflammatory parameters were measured in all subjects at baseline and 4 weeks after the treatment. H. pylori eradication led to an improvement in glucose homeostasis, measured by HOMA-IR (p < 0.001) and KITT (0 = 0.041), due to the decrease in fasting insulin levels (p = 0.004). The results also showed that lower levels of inflammatory parameters were present after eradication. CONCLUSION: To our knowledge this is the first randomized, double blind, controlled study where the effect of H. pylori eradication on glucose homeostasis in subjects with type 2 diabetes has been investigated. Our findings demonstrate that H. pylori eradication improves glucose homeostasis in patients with type 2 diabetes through a decrease in pro-inflammatory factors. TRIAL REGISTRATION NUMBER: ACTRN12609000255280 (https://www.anzctr.org.au/).


Subject(s)
Amoxicillin/administration & dosage , Anti-Bacterial Agents/administration & dosage , Blood Glucose/metabolism , Clarithromycin/administration & dosage , Diabetes Mellitus, Type 2/blood , Esomeprazole/administration & dosage , Helicobacter Infections/drug therapy , Helicobacter pylori/drug effects , Proton Pump Inhibitors/administration & dosage , Aged , Amoxicillin/adverse effects , Anti-Bacterial Agents/adverse effects , Biomarkers/blood , Clarithromycin/adverse effects , Diabetes Mellitus, Type 2/diagnosis , Diabetes Mellitus, Type 2/microbiology , Double-Blind Method , Drug Administration Schedule , Drug Therapy, Combination , Esomeprazole/adverse effects , Female , Helicobacter Infections/blood , Helicobacter Infections/diagnosis , Helicobacter Infections/microbiology , Helicobacter pylori/pathogenicity , Homeostasis , Host-Pathogen Interactions , Humans , Inflammation Mediators/blood , Insulin/blood , Insulin Resistance , Italy , Male , Middle Aged , Proton Pump Inhibitors/adverse effects , Time Factors , Treatment Outcome
3.
Diabet Med ; 32(2): 243-9, 2015 Feb.
Article in English | MEDLINE | ID: mdl-25307368

ABSTRACT

AIMS: To investigate the validity and reliability of the Audit of Diabetes-Dependent Quality of Life instrument in older Italians with diabetes and to test the association of diabetes-related quality of life with glycaemic control over time. METHODS: A total of 558 outpatients with Type 2 diabetes from the Diabetic Unit of the Italian National Research Centre on Aging Hospital in Ancona were enrolled to complete questionnaires (Audit of Diabetes-Dependent Quality of Life-19 and the Short-Form-12), and to undergo clinical and biochemical testing at baseline and at 12 months of follow-up. The overall impact of diabetes using the average weighted impact score from the Audit of Diabetes-Dependent Quality of Life questionnaire was calculated. Participants were categorized according to this score as having either less or more negative diabetes-related quality of life. RESULTS: Participants had a mean ± SD age of 67.7 ± 9.2 years and 51.8% were male. Factor analysis and Cronbach's coefficient of internal consistency (Cronbach's α = 0.931) confirmed that the 19 domain-specific Audit of Diabetes-Dependent Quality of Life items could be combined into a single scale in this Italian population. The impact score correlated with the physical (r = 0.275; P < 0.001) and mental components (r = 0.291; P < 0.001) of the Short-Form-12 questionnaire. Significant differences were found according to diabetic complications in specific Audit of Diabetes-Dependent Quality of Life items and impact scores. Insulin use had a greater association with a more negative quality of life compared with other antidiabetic agents. A multivariate linear regression model with restricted linear spline application showed that the relationship between HbA1c and impact score was not linear and that the change in the impact score was associated with improved glycaemic control in those with a less negative diabetes-related quality of life at 12 months. CONCLUSIONS: The Audit of Diabetes-Dependent Quality of Life-19 is a valid tool for measuring the impact of diabetes on quality of life in older Italians. Perception of diabetes-related quality of life is associated with glycaemic control over time.


Subject(s)
Aging , Cost of Illness , Diabetes Complications/prevention & control , Diabetes Mellitus, Type 2/therapy , Health Impact Assessment/methods , Hyperglycemia/prevention & control , Quality of Life , Aged , Aged, 80 and over , Cohort Studies , Combined Modality Therapy/adverse effects , Diabetes Mellitus, Type 2/complications , Diabetes Mellitus, Type 2/diet therapy , Diabetes Mellitus, Type 2/drug therapy , Diet, Diabetic/adverse effects , Female , Follow-Up Studies , Hospitals, Urban , Humans , Hypoglycemic Agents/adverse effects , Hypoglycemic Agents/therapeutic use , Insulin/adverse effects , Insulin/therapeutic use , Italy , Male , Middle Aged , Outpatient Clinics, Hospital , Reproducibility of Results , Surveys and Questionnaires
4.
Nutr Metab Cardiovasc Dis ; 24(2): 116-23, 2014 Feb.
Article in English | MEDLINE | ID: mdl-24094827

ABSTRACT

BACKGROUND AND AIMS: Hypoglycemia produces thrombosis activation, but little attention has been paid to the effects of hyperglycemia following recovery from hypoglycemia on thrombosis activation. METHODS AND RESULTS: In both twenty-two healthy subjects and twenty-one matched persons with type 1 diabetes, recovery from a 2-h induced hypoglycemia was obtained by reaching normo-glycemia or hyperglycemia for another 2 h. After this, normal glycemia was maintained for the following 6 h. Hyperglycemia after hypoglycemia was also repeated with the concomitant infusion of vitamin C. In both controls and people with diabetes, the recovery with normo-glycemia was accompanied by a significant improvement of Von Willebrand factor (vWF), prothrombin fragment 1 + 2 (F1 + 2), thrombin-antithrombin III-complexes (TAT), P-selectin, plasminogen activator inhibitor-1 (PAI-1), nitrotyrosine and 8-iso-prostaglandin F2α (8-iso-PGF2α) (p < 0.01 vs hypoglycemia for all the parameters), all directly affected by hypoglycemia itself (p < 0.01 vs baseline for all the parameters). On the contrary, the recovery with hyperglycemia after hypoglycemia worsens all these parameters (p < 0.01 vs normoglycemia for all the parameters), an effect persisting even after the additional 6 h of normo-glycemia. The effect of hyperglycemia following hypoglycemia was partially counterbalanced when vitamin C was infused (p < 0.01 vs hyperglycemia alone for all the parameters), suggesting that hyperglycemia following hypoglycemia may activate thrombosis through the oxidative stress production. CONCLUSION: This study shows that, in type 1 diabetes as well as in controls, the way in which recovery from hypoglycemia takes place could play an important role in favoring the activation of thrombosis and oxidative stress, widely recognized cardiovascular risk factors.


Subject(s)
Diabetes Mellitus, Type 1/therapy , Endothelium, Vascular/pathology , Hyperglycemia/drug therapy , Hypoglycemia/therapy , Thrombosis/pathology , Adult , Antithrombin III/metabolism , Ascorbic Acid/administration & dosage , Blood Glucose/metabolism , Dinoprost/analogs & derivatives , Dinoprost/metabolism , Female , Healthy Volunteers , Humans , Hyperglycemia/etiology , Hypoglycemia/complications , Male , Oxidative Stress/physiology , P-Selectin/metabolism , Peptide Fragments/metabolism , Peptide Hydrolases/metabolism , Plasminogen Activator Inhibitor 1/metabolism , Protein Precursors/metabolism , Prothrombin/metabolism , Thrombosis/etiology , Young Adult , von Willebrand Factor/metabolism
5.
Skin Pharmacol Physiol ; 27(2): 71-81, 2014.
Article in English | MEDLINE | ID: mdl-24008587

ABSTRACT

BACKGROUND: Pentacyclic triterpenoids improve epidermal barrier function and induce collagen production. Here, their effects on cutaneous aging by means of objective instrumental measurements were elucidated. METHODS: Reconstituted human epidermis, cultivated keratinocytes and fibroblasts were incubated with Terminalia arjuna triterpenes (T. arjuna bark extract), and mRNA and protein expression of various genes was determined using microarray analysis, qRT-PCR and ELISA techniques. Clinical efficacy of T. arjuna bark extract versus vehicle control cream was elucidated in 30 patients and transepidermal water loss (TEWL), skin hydration and elasticity were measured. Another 30 female patients in their postmenopausal phase were treated with a similar regime, and skin sebum content, cutaneous blood microcirculation and skin density/echogenicity were assessed. RESULTS: Incubation with T. arjuna triterpenes increased FGF-2, TSP-1, TGF-ß and CTGF expression, and VEGF secretion in vitro. Elevated lactate dehydrogenase release upon sodium dodecyl sulphate challenge was reversed by the application of T. arjuna bark extract. T. arjuna bark extract decreased TEWL, improved skin moisturization, reduced scaliness and led to significantly improved skin elasticity. Also, increases in blood microflow and skin sebum content as well as improved skin thickness/echogenicity were noted on postmenopausal skin, resulting in visible reduction of sagging skin on the jowls as demonstrated by digital photography. CONCLUSION: T. arjuna bark extract appears as an innovative active ingredient that exerts versatile antiaging properties in vitro and in vivo.


Subject(s)
Dermatologic Agents/pharmacology , Pentacyclic Triterpenes/pharmacology , Plant Extracts/pharmacology , Skin Aging/drug effects , Skin/drug effects , Terminalia , Aged , Animals , Cells, Cultured , Dermatologic Agents/therapeutic use , Elasticity , Female , Fibroblasts/drug effects , Fibroblasts/metabolism , Gene Expression Profiling , Humans , In Vitro Techniques , Keratinocytes/drug effects , Keratinocytes/metabolism , Microcirculation/drug effects , Middle Aged , Oligonucleotide Array Sequence Analysis , Pentacyclic Triterpenes/therapeutic use , Plant Bark , Plant Extracts/therapeutic use , Postmenopause , Regional Blood Flow/drug effects , Sebum/metabolism , Skin/blood supply , Skin/metabolism , Skin Absorption , Swine , Water/metabolism
6.
Diabet Med ; 28(11): 1388-94, 2011 Nov.
Article in English | MEDLINE | ID: mdl-21692845

ABSTRACT

OBJECTIVE: The key goal of diabetes management is to prevent complications. While the patho-physiological mechanisms responsible for diabetes complications have been extensively studied, at present it is impossible to predict which patient with diabetes could develop complications. In recent years, the role of leukocyte telomere length in the pathogenesis of cardiovascular disease and Type 2 diabetes has been investigated. However, studies aiming to investigate the role of telomeres in the development and progression of Type 2 diabetes, as well as diabetic complications, are still lacking. As a consequence, this study aimed to verify whether leukocyte telomere length is associated with the presence and the number of diabetic complications in a sample of patients with Type 2 diabetes. METHODS: This is a cross-sectional study. Nine hundred and one subjects were enrolled, including 501 patients with Type 2 diabetes, of whom 284 had at least one complication and 217 were without complications, and 400 control subjects. Leukocyte telomere length was measured by quantitative real-time PCR. RESULTS: Patients with diabetes complications had significantly shorter leukocyte telomere length than both patients without diabetes complications and healthy control subjects. Moreover, among patients with diabetes complications, leukocyte telomere length became significantly and gradually shorter with the increasing number of diabetes complications. The magnitude of the effect of the decrease of the abundance of telomeric template vs. a single-copy gene length (T/S ratio) on complications is described by the estimated odds ratio OR=5.44 (95%CI 3.52-8.42). CONCLUSIONS: The results of the study support the hypothesis that telomere attrition may be a marker associated with the presence and the number of diabetic complications.


Subject(s)
Diabetes Mellitus, Type 2/genetics , Diabetic Angiopathies/genetics , Diabetic Nephropathies/genetics , Leukocytes , Telomere/genetics , Adult , Aged , Aged, 80 and over , Analysis of Variance , Cross-Sectional Studies , Diabetes Mellitus, Type 2/complications , Diabetes Mellitus, Type 2/physiopathology , Diabetic Angiopathies/etiology , Diabetic Angiopathies/physiopathology , Diabetic Nephropathies/physiopathology , Disease Progression , Female , Humans , Leukocytes/pathology , Male , Middle Aged , Predictive Value of Tests , Real-Time Polymerase Chain Reaction , Risk Factors , Telomere/pathology
7.
Int J Cosmet Sci ; 33(4): 328-33, 2011 Aug.
Article in English | MEDLINE | ID: mdl-21284659

ABSTRACT

The fruits of various Zanthoxylum species are used as a spice in the Chinese and Japanese cuisine because of their delicate flavour and tingling properties. The lipophilic hydroxyalkamides hydroxy α- and ß-sanshools (1a,b) have been identified as the tingling principles of these plants, and previous studies have validated a sanshool-rich lipophilic extract from the fruit husks of Z. bungeanum Maxim. (Zanthalene ® ) as an anti-itching cosmetic ingredient. Because tingling is a sort of 'paralytic pungency', and Zanthalene ® potently inhibits synaptic transmission, we have investigated its capacity to relax subcutaneous muscles and act as a topical lifting agent for wrinkles. An anti-wrinkles extract rich in spilanthol (2), a lipophilic alkamide having sensory properties similar to those of Zanthalene ® , was used as a reference. Short-term (lifting effect) and long-term (anti-wrinkle) improvements of skin roughness parameters were evaluated by both objectives' and subjectives' measurements. An immediate 'lifting' effect was observed with the sanshool-rich lipophilic extract, at dosages at which the reference alkamide extract was inactive in the objective assays. Limited desensitization after repeated application and good overall tolerability were observed, although a modest long-term anti-wrinkle effect was shown by both products. Taken together, these observations validate the use of sanshool-rich lipophilic extracts as an efficacious, immediate-action lifting agent, and exemplify the relevance of sensory observations to foster the development of innovative cosmetic ingredients.


Subject(s)
Amides/chemistry , Plant Extracts/pharmacology , Skin Aging/drug effects , Zanthoxylum/chemistry , Adult , Aged , Double-Blind Method , Female , Humans , Middle Aged , Plant Extracts/chemistry
8.
Mol Genet Metab ; 94(1): 98-104, 2008 May.
Article in English | MEDLINE | ID: mdl-18249147

ABSTRACT

Diabetes mellitus is a chronic disease characterized by an overproduction of reactive oxygen species, which perturbs zinc metabolism and promotes the onset of cardiovascular disease (CVD) in diabetic patients. Metallothioneins (MT) are cysteine-rich metal-binding proteins which, by means of their antioxidant and zinc-buffering properties, might prevent the development of diabetic cardiovascular complications. A recent investigation shows that a polymorphism (+647 A/C) in the human MT-1A gene, affects the intracellular zinc ion release (iZnR) from the proteins and is associated with longevity in Italian population. The aim of the present study is to assess the involvement of +647 A/C and +1245 A/G MT1A polymorphisms with the susceptibility to type 2 diabetes (DM2) and cardiovascular complications. The study included 694 old individuals: 242 old healthy controls, 217 DM2 patients without clinical evidence of CVD (DNC) and 235 diabetic patients with diagnosis of CVD (DCVD). +647 A/C MT1A polymorphism, but not the second SNP, was associated with DM2. C allele carriers were more prevalent in DNC and DCVD patients than in control group (OR=1.37, p=0.034; OR=1.54, p=0.002, respectively). C+ carriers was associated with higher glycemia and glycosylated hemoglobin in DCVD patients, but not in DNC or control subjects. No differences in plasma zinc, but a modulation of MT levels and iZnR in PBMCs were observed in DCVD cohort when related to +647 A/C MT1A polymorphism. In summary, this work provides novel evidence on the association of the +647 A/C MT1A polymorphism with DM2. Moreover, C+ carriers in DCVD patients presented a worse glycemic control, a reduced iZnR and a higher MT levels, suggesting a possible role of MT in diabetic cardiovascular complications.


Subject(s)
Cardiovascular Diseases/genetics , Diabetes Complications/genetics , Diabetes Mellitus, Type 2/genetics , Genetic Predisposition to Disease , Metallothionein/genetics , Polymorphism, Single Nucleotide , Aged , Cardiovascular Diseases/complications , Diabetes Mellitus, Type 2/complications , Female , Flow Cytometry , Humans , Male , Middle Aged , Zinc/blood , Zinc/metabolism
9.
Nutr Metab Cardiovasc Dis ; 18(3): 220-6, 2008 Mar.
Article in English | MEDLINE | ID: mdl-17433639

ABSTRACT

BACKGROUND AND AIMS: C-reactive protein (CRP) has been identified as a possible factor able to promote atherosclerosis. "In vitro" studies have demonstrated that CRP induces plasminogen activator inhibitor type 1 (PAI-1) expression, suggesting a hypofibrinolytic role for CRP. As CRP and PAI-1 levels increase in type 2 diabetic subjects, we decided to study the relationship between CRP and PAI-1, and the role of the 4G/5G polymorphism of the PAI-1 gene on this relationship in a diabetic population without complications. METHODS AND RESULTS: Two hundred and ninety-five type 2 diabetic patients (age 60.9+/-10.5 years) and 290 healthy controls (age 59.2+/-11.5 years) were enrolled. A significant correlation between PAI-1 and CRP in diabetic subjects was found (r=0.45, p<0.001), whereas no relationship was evident in the control subjects between these inflammatory markers. Multiple regression analysis highlighted that CRP is the only one significant variable of PAI-1 antigen in diabetic subjects (partial r=0.31, p<0.01). Stratifying by genotype, a positive correlation between PAI-1 and CRP in 4G/4G (partial r=0.64 p<0.001) and 4G/5G (partial r=0.47, p<0.001) subjects was found, whereas no correlation in 5G/5G was present. Multiple regression analysis confirmed the presence of this correlation in 4G/4G (partial r=0.45, p<0.001) and in 4G/5G (partial r=0.34, p=0.007) diabetic patients. CONCLUSIONS: These findings demonstrate that CRP plays an important role in the complex mechanism regulating PAI-1 antigen in 4G diabetic carriers.


Subject(s)
C-Reactive Protein/metabolism , Diabetes Mellitus, Type 2/blood , Diabetes Mellitus, Type 2/genetics , Plasminogen Activator Inhibitor 1 , Polymorphism, Genetic , Case-Control Studies , Female , Genotype , Humans , Male , Middle Aged , Plasminogen Activator Inhibitor 1/blood , Plasminogen Activator Inhibitor 1/genetics , Polymerase Chain Reaction/methods , Promoter Regions, Genetic/genetics , Regression Analysis
10.
Diabetes Res Clin Pract ; 144: 102-110, 2018 Oct.
Article in English | MEDLINE | ID: mdl-30142362

ABSTRACT

AIMS: ZnT8 Arg325Trp polymorphism has been associated with type 2 diabetes (T2DM) susceptibility. The Arg-325 risk variant shows accelerated zinc (Zn) transport kinetic and reduced glucose-stimulated insulin secretion in pancreatic cells. However, it remains unexplored the role of Znt8 polymorphism in the regulation of Zn homeostasis and inflammatory response in peripheral blood mononuclear cells (PBMCs) from T2DM patients. METHODS AND RESULTS: A total of 556 healthy controls and 413 T2DM patients were genotyped for ZnT8 Arg325Trp polymorphism confirming the association of Arg-325 variant with an increased T2DM risk (OR = 1.35 95% C.I: 1.10-1.66; p = 0.0044). Moreover, PBMCs from Arg/Arg T2DM subjects showed increased intracellular free Zn, higher gene expression of Metallothioneins, Znt1, Znt8, Zip2 genes, and reduced Znt4 and Znt7. Higher release of IL-1α, IL-1ß, IFN-γ, IL-12p70 and TNF-α and a reduced IL-10 secretion after lipopolysaccharide (LPS) stimulation were observed in PBMCs from Arg/Arg T2DM carriers as compared to subjects with the Trp variant. CONCLUSIONS: Our data provide evidence of a substantial different Zn homeostasis regulation between Znt8 Arg-325 and Trp-325 carriers in PBMCs from T2DM patients. Moreover, Znt8 Arg-325 risk variant shows an enhanced inflammatory response upon LPS stimulation that might aggravate insulin resistance and the progression of diabetes cardiovascular complications.


Subject(s)
Carrier Proteins/metabolism , Cytokines/metabolism , Diabetes Mellitus, Type 2/metabolism , Leukocytes, Mononuclear/metabolism , Polymorphism, Genetic , Zinc Transporter 8/genetics , Zinc/metabolism , Aged , Aged, 80 and over , Carrier Proteins/genetics , Case-Control Studies , Cation Transport Proteins/genetics , Cation Transport Proteins/metabolism , Diabetes Mellitus, Type 2/genetics , Diabetes Mellitus, Type 2/pathology , Female , Genotype , Humans , Male , Middle Aged
11.
Int J Immunopathol Pharmacol ; 20(4): 731-6, 2007.
Article in English | MEDLINE | ID: mdl-18179745

ABSTRACT

Metabolic syndrome is associated to chronic low grade inflammation, characterized by increased levels of inflammatory cytokines, such as Tumor Necrosis Factor-alpha (TNF-alpha) and Interleukin-6 (IL-6). In particular, TNF-alpha causes a decrease in the insulin-stimulated kinases related to the early phases of the insulin cascade, thereby leading to insulin resistance. Etanercept is a human fusion protein used in the treatment of psoriasis and inflammatory arthritis. It blocks inflammatory response by interfering in the binding of TNF-alpha to its receptors. The aim of this case report study is to verify the effect of Etanercept on insulin sensitivity, lipid profile and inflammatory status in psoriatic patients. Nine psoriatic patients with stable, active, plaque type psoriasis were enrolled and treated with Etanercept for 24 weeks. We found an improvement in the metabolic assessment with a significant reduction of insulin plasma levels. In particular, this treatment allows to maintain their euglycemic state with lower insulin plasma levels, as confirmed by the improved Homeostasis Model Assessment (HOMA) index. We conclude that Etanercept, probably acting on inflammation, improves insulin sensitivity in psoriatic subjects.


Subject(s)
Immunoglobulin G/therapeutic use , Insulin Resistance/physiology , Keratolytic Agents/therapeutic use , Psoriasis/drug therapy , Psoriasis/metabolism , Receptors, Tumor Necrosis Factor/therapeutic use , Adult , Blood Glucose/metabolism , Etanercept , Female , Homeostasis/drug effects , Humans , Insulin/blood , Interleukin-6/blood , Lipid Metabolism/drug effects , Lipids/blood , Male , Middle Aged , Psoriasis/psychology , Quality of Life
12.
Sci Rep ; 7(1): 11470, 2017 09 13.
Article in English | MEDLINE | ID: mdl-28904402

ABSTRACT

In accordance with the classification of the International Agency for Research on Cancer, extremely low frequency magnetic fields (ELF-MF) are suspected to promote malignant progression by providing survival advantage to cancer cells through the activation of critical cytoprotective pathways. Among these, the major antioxidative and detoxification defence systems might be targeted by ELF-MF by conferring cells significant resistance against clinically-relevant cytotoxic agents. We investigated whether the hyperproliferation that is induced in SH-SY5Y human neuroblastoma cells by a 50 Hz, 1 mT ELF magnetic field was supported by improved defence towards reactive oxygen species (ROS) and xenobiotics, as well as by reduced vulnerability against both H2O2 and anti-tumor ROS-generating drug doxorubicin. ELF-MF induced a proliferative and survival advantage by activating key redox-responsive antioxidative and detoxification cytoprotective pathways that are associated with a more aggressive behavior of neuroblastoma cells. This was coupled with the upregulation of the major sirtuins, as well as with increased signaling activity of the erythroid 2-related nuclear transcription factor 2 (NRF2). Interestingly, we also showed that the exposure to 50 Hz MF as low as 100 µT may still be able to alter behavior and responses of cancer cells to clinically-relevant drugs.


Subject(s)
Magnetic Fields , Neuroblastoma/metabolism , Neuroblastoma/pathology , Oxidation-Reduction , Biomarkers , Cell Line, Tumor , Doxorubicin/metabolism , Humans , Hydrogen Peroxide/metabolism , Inactivation, Metabolic , NF-E2-Related Factor 2/metabolism , Neoplasm Grading , Neuroblastoma/etiology , Oxidative Stress , Reactive Oxygen Species/metabolism , Sirtuin 1/metabolism , Sirtuin 3/metabolism
13.
Int J Biochem Cell Biol ; 38(12): 2196-208, 2006.
Article in English | MEDLINE | ID: mdl-16904932

ABSTRACT

Recent data from literature report that reactive oxygen species (ROS) seem to play a crucial role in the etiology of both types I and II diabetes. This may render diabetic individuals more prone to oxidative injury when challenged with hypoxic stress. It is in fact well known that many diabetic complications cause ischaemic episodes, with a consequent reduction in oxygen supply to various tissues and organs. To check this hypothesis, in this work we tested type I diabetic individuals' antioxidant capability towards a hypoxic-mediated oxidative challenge. In particular, spontaneously diabetic and age-matched non-diabetic biobreeding (BB) Wistar rats were submitted to chronic normobaric hypoxia, and the response of antioxidant enzymes, as well as redox-sensitive transcription factor NF-kappaB and p53, were monitored. Results show that diabetic subjects present a dramatic enhancement in the major antioxidant enzymes activities, thus supporting the notion of diabetes-related changes in cellular redox status. This allows diabetic individuals to counteract hypoxia-mediated oxidative challenge better than the non-diabetic counterpart. Also the behaviour of both the redox-sensitive nuclear transcription factor NF-kappaB and p53 protein in response to hypoxic stimulation seems to support the hypothesis of a better ROS scavenging efficiency in diabetics under hypoxic conditions. In conclusion, high levels of antioxidant enzymatic defences in diabetic BB rats reflect a positive adaptive response able to assure an efficient protection not only against chronic, diabetes-mediated reactive oxygen species (ROS) overproduction, but also versus further oxidative damage.


Subject(s)
Antioxidants/metabolism , Cell Hypoxia , Diabetes Mellitus/enzymology , Diabetes Mellitus/pathology , Animals , Caspase 3/metabolism , Catalase/metabolism , Diabetes Mellitus/metabolism , Glutathione Peroxidase/metabolism , Glutathione Reductase/metabolism , Glutathione Transferase/metabolism , Lactoylglutathione Lyase/metabolism , Liver/enzymology , Lung/enzymology , NF-kappa B/metabolism , Rats , Rats, Wistar , Superoxide Dismutase/metabolism , Superoxide Dismutase-1 , Thiolester Hydrolases/metabolism , Tumor Suppressor Protein p53/metabolism
14.
Diabetes Res Clin Pract ; 71(3): 299-305, 2006 Mar.
Article in English | MEDLINE | ID: mdl-16140413

ABSTRACT

Interleukin-6 (IL-6), a powerful inflammatory mediator, plays a pivotal role in the pathogenesis of insulin resistance and type 2 diabetes. Recently, the IL-6 promoter polymorphism, at position -174 (G > C), has been associated to insulin sensitivity although contrasting data have been reported. The aim of this study was to evaluate the effect of the IL-6-174 G > C polymorphism on insulin resistance. In 238 type 2 diabetic patients without diabetic complications and in 255 control subjects, age and gender-matched, we evaluated the IL-6 -174 G > C genotype, the IL-6 plasma levels and the insulin resistance by the homeostasis model assessment (HOMA). The levels of IL-6 and HOMA were not genotype-dependent and were higher in diabetic patients (p < 0.01). Control subjects, both C+ (CG + CC genotypes) and C- (GG genotype) carriers, showed IL-6 plasma levels significantly related to BMI, fasting insulin and HOMA. The same relationships were found in C+ diabetic carriers. Differently, diabetic C- carriers did not show any relationship between IL-6 levels and all the evaluated variables. Interestingly, all the correlations were dependent on BMI. These findings highlight that IL-6-174 G > C polymorphism affects insulin resistance in type 2 diabetes, where C+ carriers have an insulin resistance "IL-6-sensitive", while C- carriers do not. The identification of two categories of diabetic patients may, therefore, lead to different therapeutic strategies in the management of insulin resistance.


Subject(s)
Diabetes Mellitus, Type 2/genetics , Diabetes Mellitus, Type 2/immunology , Insulin Resistance/genetics , Interleukin-6/blood , Interleukin-6/genetics , Polymorphism, Single Nucleotide , Aged , Blood Glucose/metabolism , Body Mass Index , Fasting , Female , Genotype , Homeostasis , Humans , Insulin/blood , Male , Middle Aged , Reference Values
15.
Biochim Biophys Acta ; 841(2): 159-65, 1985 Aug 16.
Article in English | MEDLINE | ID: mdl-3926006

ABSTRACT

The oxidation of 5,6-dihydroxyindole by tyrosinases from mushroom, Harding-Passey melanoma, bovine eye and Bufo bufo embryo has been investigated. The apparent Km values for this substrate were measured and found to be of the same order of magnitude as those for L-tyrosine and L-3,4-dihydroxyphenylalanine, as reported in the literature (5 x 10(-4) M). The 5,6-dihydroxyindole oxidases of mushroom and T4 melanoma isozyme are sensitive to phenylthiourea, while, on the other hand, those from crude preparations of bovine and B. bufo tyrosinases are not sensitive to the inhibitor in an evident manner. The action of some indole derivatives on the 5,6-dihydroxyindole oxidase of mushroom has also been investigated.


Subject(s)
Catechol Oxidase/metabolism , Indoles/metabolism , Monophenol Monooxygenase/metabolism , Animals , Basidiomycota , Bufo bufo , Cattle , Eye/enzymology , Melanoma/enzymology , Mice , Oxidation-Reduction , Species Specificity
16.
Biochim Biophys Acta ; 1453(1): 105-14, 1999 Jan 06.
Article in English | MEDLINE | ID: mdl-9989250

ABSTRACT

This work deals with the antioxidant enzymatic response and the ultrastructural aspects of the skeletal muscle of young and aged rats kept under hypoxic or hyperoxic normobaric conditions. It is in fact well known that the supply of oxygen at concentrations higher or lower than those occurring under normal conditions can promote oxidative processes that can cause tissue damage. The enzymes investigated were both those directly involved in reactive oxygen species (ROS) scavenging (superoxide dismutase, catalase and selenium-dependent glutathione peroxidase), and those challenged with the detoxication of cytotoxic compounds produced by the action of ROS on biological molecules (glutathione transferase, glyoxalase I, glutathione reductase), in order to obtain a comparative view of the defence strategies used with respect to aging. Our results support the hypothesis that one of the major contributors to the aging process is the oxidative damage produced at least in part by an impairment of the antioxidant enzymatic system. This makes the aged organism particularly susceptible to oxidative stress injury and to the related degenerative diseases, especially in those tissues with high demand for oxidative metabolism.


Subject(s)
Aging/metabolism , Hyperoxia/enzymology , Hypoxia/enzymology , Muscle, Skeletal/enzymology , Aging/pathology , Animals , Catalase/analysis , Glutathione Peroxidase/analysis , Glutathione Transferase/analysis , Hyperoxia/pathology , Hypoxia/pathology , Lactoylglutathione Lyase/analysis , Male , Muscle, Skeletal/ultrastructure , Rats , Rats, Wistar , Superoxide Dismutase/analysis
17.
Biochim Biophys Acta ; 1526(1): 77-85, 2001 Apr 03.
Article in English | MEDLINE | ID: mdl-11287125

ABSTRACT

This work is aimed at detecting the expression and location of embryonic Bufo bufo GST (bbGSTP1-1) and adult B. bufo GST (bbGSTP2-2) during toad development, in order to assign a putative role to these enzymes also on the basis of their compartmentalization and to verify whether during the premetamorphic liver ontogeny the bbGSTP2-2 form appears. This study was also performed in the adult liver (the primary site of Pi class GST expression) and in the mature ovary, to discern if the embryonic form derives from maternal form. The results show that the embryos and the ovary express only bbGSTP1-1. Moreover, bbGSTP1-1 distribution is the same both in the early embryos and in the ovary: this strongly suggests that bbGSTP1-1 is of maternal origin. As development goes on, a wide distribution of bbGSTP1-1 all over the differentiating organs is observed. The embryonic liver expresses exclusively the bbGSTP1-1 form, while the adult liver is highly positive only towards the bbGSTP2-2 form. This implies that the switch towards the adult bbGSTP2-2 form occurs in metamorphic or postmetamorphic phases and that the detoxication metabolic requirements of the embryo may be completely fulfilled by the bbGSTP1-1 isoenzyme.


Subject(s)
Bufo bufo/metabolism , Glutathione Transferase/metabolism , Animals , Bufo bufo/embryology , Bufo bufo/growth & development , Female , Gene Expression Regulation, Developmental , Gene Expression Regulation, Enzymologic , Immunoblotting , Immunohistochemistry , Isoenzymes/analysis , Isoenzymes/metabolism , Liver/enzymology , Ovary/enzymology
18.
Biochim Biophys Acta ; 913(3): 386-94, 1987 Jul 07.
Article in English | MEDLINE | ID: mdl-3109490

ABSTRACT

The actions of glutathione S-transferase and tyrosinase on the in vitro production of glutathionyl-3,4-dihydroxyphenylalanine and the dopachrome level in the presence of GSH and L-3,4-dihydroxyphenylalanine were studied. No clear evidence of complementarity between tyrosinase and glutathione S-transferase was observed; on the contrary, in the presence of glutathione S-transferase the glutathionyl-3,4-dihydroxyphenylalanine yield was lower than with tyrosinase only, as measured by HPLC. It is concluded that the spontaneous conjugation of GSH with dopaquinone should probably be high enough to scavenge the toxic quinone and to produce precursors for phaeomelanogenesis.


Subject(s)
Catechol Oxidase/metabolism , Glutathione Transferase/metabolism , Glutathione/metabolism , Indolequinones , Monophenol Monooxygenase/metabolism , Animals , Chromatography, High Pressure Liquid , Dihydroxyphenylalanine/metabolism , Humans , In Vitro Techniques , Indoles/metabolism , Liver/enzymology , Quinones/metabolism , Rats , Serum Albumin, Bovine/metabolism
19.
Mech Ageing Dev ; 97(3): 215-26, 1997 Sep.
Article in English | MEDLINE | ID: mdl-9234235

ABSTRACT

We studied the levels of antioxidant and detoxifying enzymes in the livers and lungs of young and old rats kept under hypoxic or hyperoxic conditions as models of oxidative stress. In particular, we investigated the levels of enzymes directly involved in active oxygen species scavenging (superoxide dismutase, catalase and glutathione peroxidase-selenium dependent) and enzymes challenged with detoxification processes (glutathione transferase, glyoxalase I and glutathione reductase) in order to obtain a wide comparative view of the defence strategies used with respect to the age of the animals. The results show that the responses of some protective enzymes in young rats are opposite to those of old ones. Some of the changes found appear mainly due to age, while others appear to be due only to the oxygen tensions and are independent of the aging process. The glutathione contents of the liver and lung from young and old rats under hypoxic and hyperoxic conditions were measured.


Subject(s)
Aging/physiology , Antioxidants/metabolism , Hypoxia/physiopathology , Liver/enzymology , Lung/enzymology , Aging/metabolism , Animals , Catalase/metabolism , Oxygen/physiology , Rats , Rats, Wistar
20.
FEMS Microbiol Lett ; 185(2): 213-9, 2000 Apr 15.
Article in English | MEDLINE | ID: mdl-10754250

ABSTRACT

The malate dehydrogenase (MDH; EC 1.1.1.37; L-malate-NAD(+)-oxidoreductase) activities of truffles of the genus Tuber (Tuber melanosporum Vittad., Tuber brumale Vittad., Tuber aestivum Vittad., Tuber magnatum Pico, Tuber rufum Pico) have been characterized with regard to the K(m) and V(max) values in the direct and reverse reactions. The isoelectrofocusing has revealed bands showing pI values ranging from pH 5.85 to 7.8. The MDH of T. melanosporum has been partially purified by hydroxyapatite treatment, DEAE-cellulose and Sephadex G-75 columns. With the partially purified T. melanosporum MDH activity polyclonal anti-T. melanosporum MDH antibodies have been prepared and used to localize MDH in the mycorrhizae and ascocarps of T. melanosporum. These antibodies inhibit T. melanosporum MDH activity as well as that of T. magnatum but not that of rabbit liver; this supports the specificity of the MDH antibodies used to localize MDH in truffle tissues.


Subject(s)
Ascomycota/enzymology , Malate Dehydrogenase/isolation & purification , Malate Dehydrogenase/metabolism , Animals , Antibodies, Fungal/immunology , Ascomycota/growth & development , Ascomycota/immunology , Immunohistochemistry , Isoelectric Focusing , Kinetics , Malate Dehydrogenase/chemistry , Rabbits
SELECTION OF CITATIONS
SEARCH DETAIL