50 results on '"De Simone, Vincenzo"'
Search Results
2. Direct oral anticoagulants for patients aged over 80 years in nonvalvular atrial fibrillation: the impact of frailty
- Author
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De Simone, Vincenzo, Mugnolo, Antonio, Zanotto, Gabriele, and Morando, Giorgio
- Published
- 2020
- Full Text
- View/download PDF
3. Effects of remote monitoring of cardiac implantable electronic devices after stroke or transient ischemic attack
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De Simone, Vincenzo, Zanotto, Gabriele, Guarise, Paola, Venturato, Anna, Cassinadri, Elena, Bassi, Martina, Bozzolin, Matteo, Tondelli, Silvia, Giacopelli, Daniele, and Morando, Giorgio
- Published
- 2019
- Full Text
- View/download PDF
4. Preoperative anemia in patients undergoing coronary artery bypass grafting predicts acute kidney injury
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De Santo, Luca, Romano, Gianpaolo, Della Corte, Alessandro, de Simone, Vincenzo, Grimaldi, Francesco, Cotrufo, Maurizio, and de Feo, Marisa
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- 2009
- Full Text
- View/download PDF
5. Differential gene regulation in potato cells and plants upon abrupt or gradual exposure to water stress
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Ambrosone, Alfredo, Costa, Antonello, Martinelli, Rosanna, Massarelli, Immacolata, De Simone, Vincenzo, Grillo, Stefania, and Leone, Antonella
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- 2011
- Full Text
- View/download PDF
6. Evaluation of Tooth Movement Accuracy with Aligners: A Prospective Study.
- Author
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D'Antò, Vincenzo, Bucci, Rosaria, De Simone, Vincenzo, Huanca Ghislanzoni, Luis, Michelotti, Ambrosina, and Rongo, Roberto
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TEETH ,MOLARS ,ORTHODONTIC appliances ,LONGITUDINAL method ,STATISTICAL hypothesis testing ,TOOTH socket - Abstract
Background. Clear aligners treatment (CAT) is a common solution in orthodontics to treat both simple and complex malocclusions. This study aimed to evaluate the predictability of CAT, comparing the virtually planned and the achieved tooth movement at the end of stage 15, which is often the time of first refinement. Methods. Seventeen patients (mean age: 28.3 years) were enrolled in the study. Torque, tip and rotation were analyzed in 238 maxillary teeth on digital models at Pre-treatment (T0), at the end of stage 15 (T15) and at virtually planned stage 15 (T15i). Prescription, Achieved movement and performance values were calculated to compare the virtually planned and the clinical tooth position. Data were analyzed by means of Student's t test with a level of significance set at p < 0.05. Results. The largest iper-performance was the torque correction of the second molars (+2.3° ± 3.1°), the greatest under-performance was the tip correction of the first molars (−2.3° ± 3.3°), while rotation corrections of all the teeth showed more accurate performance. No significant differences were found between mean Prescription and mean Achieved movement for all the assessed movements (p < 0.05). Conclusions. An accurate evaluation of CAT after the 15th aligner is fundamental in order to individuate the movements that are not matching the digital set-up. [ABSTRACT FROM AUTHOR]
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- 2022
- Full Text
- View/download PDF
7. Visceral adiposity and arterial stiffness: echocardiographic epicardial fat thickness reflects, better than waist circumference, carotid arterial stiffness in a large population of hypertensives
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Natale, Francesco, Tedesco, Michele A., Mocerino, Rosa, de Simone, Vincenzo, Di Marco, Giovanni M., Aronne, Luigi, Credendino, Maria, Siniscalchi, Carmine, Calabrò, Paolo, Cotrufo, Maurizio, and Calabrò, Raffaele
- Published
- 2009
8. A complex interplay of positive and negative elements is responsible for the different transcriptional activity of liver NF1 variants
- Author
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Monaci, Paolo, Nuzzo, Maurizio, Stämpfli, Susanne, Tollervey, David, De Simone, Vincenzo, and Nicosia, Alfredo
- Published
- 1995
- Full Text
- View/download PDF
9. Increased carotid artery intima-media thickness is associated with a novel mutation of low-density lipoprotein receptor independently of major cardiovascular risk factors
- Author
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Pauciullo, Paolo, Giannino, Alessandro, De Michele, Mario, Gentile, Marco, Liguori, Rosario, Argiriou, Anagnostis, Carlotto, Alessandra, Faccenda, Fulvio, Mancini, Mario, Bond, M.Gene, De Simone, Vincenzo, and Rubba, Paolo
- Published
- 2003
- Full Text
- View/download PDF
10. Direct targets of Klf5 transcription factor contribute to the maintenance of mouse embryonic stem cell undifferentiated state
- Author
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Aloia Luigi, Ciriello Simona, Passaro Fabiana, Tarantino Carolina, Cozzuto Luca, Parisi Silvia, Antonini Dario, De Simone Vincenzo, Pastore Lucio, and Russo Tommaso
- Subjects
Biology (General) ,QH301-705.5 - Abstract
Abstract Background A growing body of evidence has shown that Krüppel-like transcription factors play a crucial role in maintaining embryonic stem cell (ESC) pluripotency and in governing ESC fate decisions. Krüppel-like factor 5 (Klf5) appears to play a critical role in these processes, but detailed knowledge of the molecular mechanisms of this function is still not completely addressed. Results By combining genome-wide chromatin immunoprecipitation and microarray analysis, we have identified 161 putative primary targets of Klf5 in ESCs. We address three main points: (1) the relevance of the pathways governed by Klf5, demonstrating that suppression or constitutive expression of single Klf5 targets robustly affect the ESC undifferentiated phenotype; (2) the specificity of Klf5 compared to factors belonging to the same family, demonstrating that many Klf5 targets are not regulated by Klf2 and Klf4; and (3) the specificity of Klf5 function in ESCs, demonstrated by the significant differences between Klf5 targets in ESCs compared to adult cells, such as keratinocytes. Conclusions Taken together, these results, through the definition of a detailed list of Klf5 transcriptional targets in mouse ESCs, support the important and specific functional role of Klf5 in the maintenance of the undifferentiated ESC phenotype. See: http://www.biomedcental.com/1741-7007/8/125
- Published
- 2010
- Full Text
- View/download PDF
11. EXACT: A tool for comprehending VBA-based Excel spreadsheet applications
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AMALFITANO, DOMENICO, DE SIMONE, VINCENZO, FASOLINO, ANNA RITA, TRAMONTANA, PORFIRIO, Amalfitano, Domenico, DE SIMONE, Vincenzo, Fasolino, ANNA RITA, and Tramontana, Porfirio
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analysis of visual basic for application ,spreadsheet comprehension ,Excel reverse engineering ,industrial case study ,visualization tool ,Software - Abstract
Spreadsheet applications are widely adopted by millions of end users from several application domains and provide strategic support to many business, scientific, industrial, and organizational processes. These applications are usually developed by rapid application development processes, exploiting host scripting languages allowing the basic spreadsheets to provide complex functionality, business rules, and user interfaces. Several factors complicate the comprehension of these applications because they are usually developed and maintained by end users without specific software engineering skills, grow over time, are not adequately documented, and do not present explicit separation between data, business logic, and user interface layers. This paper presents a reverse engineering tool intended to support the comprehension of Excel spreadsheet applications developed using the Visual Basic for Application programming language. The tool has been implemented as an add-in that extends the Excel working environment by providing analysis and visualization features. It is able to extract information about the elements composing the analyzed Excel spreadsheet application, the functionality it exposes through its user interface, and the dependencies among its cells. This information is provided by means of interactive views. The validity of the tool has been assessed by a qualitative case study performed with professional end users from an automotive industrial domain.
- Published
- 2016
12. Home Monitoring trends during COVID‐19 infection.
- Author
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De Simone, Vincenzo, Guardalben, Stefania, Guarise, Paola, Padovani, Nicola, Giacopelli, Daniele, and Zanotto, Gabriele
- Abstract
Background: Cardiac implantable electronic device (CIED) recipients could have an unfavorable prognosis if infected with the novel coronavirus (COVID‐19). We aimed to analyze the data daily transmitted by the Home Monitoring (HM) system (BIOTRONIK, Berlin, Germany) of CIEDs during the infection. Methods: We identified CIED patients followed with the HM who experienced COVID‐19 clinical manifestations. The daily trends of the following HM variables were analyzed: mean heart rate (HR), physical activity, thoracic impedance (TI), ventricular and atrial arrhythmic burden. Results: The study cohort included 10 CIED patients (median age 90 [84‐92] years, male 90%) with acute respiratory syndrome. The HR showed an increase of a value ranging from 10 to 30 bpm well in advance of the severe clinical manifestations. The physical activity was generally low during the entire infection course. The TI decreased in patients presented with pulmonary edema, but increased significantly (8 to 25 Ω) in most COVID‐19 patients (8 out of 10) suggesting an association with pulmonary fibrosis. Arrhythmic complications were also found in half of the patients. Conclusion: The trends of HR and TI in CIEDs recipients infected by the COVID‐19 often showed early recurrent patterns before adverse clinical manifestations. [ABSTRACT FROM AUTHOR]
- Published
- 2021
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- View/download PDF
13. Cardiac resynchronization therapy: Twelve-month effects of echocardiographic atrio-ventricular and inter-ventricular delay optimization. Rationale and design of the CARTEDO trial
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Donazzan, Luca, Rigolli, Marzia, De Simone, Vincenzo, Bergamini, Corinna, Tomasi, Luca, Zanolla, Luisa, and Vassanelli, Corrado
- Published
- 2016
- Full Text
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14. Reduction in pulmonary artery pressures with use of sacubitril/valsartan.
- Author
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De Simone, Vincenzo, Guarise, Paola, Zanotto, Gabriele, and Morando, Giorgio
- Abstract
Pulmonary hypertension due to left heart disease (PH-LHD) frequently complicates heart failure with reduced ejection fraction (HFrEF). Specific therapies for PH have not offered an advantage in patients with PH-LHD. The combined angiotensin receptor blocker–neprilysin inhibitor (ARNI), sacubitril/valsartan, is a novel therapy that can increase levels of natriuretic peptides (NPs). The resulting action on natriuresis and vasodilation may play an important role in the reduction of pulmonary pressures. Here, we report how the use of ARNI in two patients with HFrEF has resulted in an improvement in PH and, consequently, in clinical status and prognosis. < Learning objective: Sacubitril/valsartan (ARNI) is the newest neurohormonal agent approved for therapy in heart failure with reduced ejection fraction (HFrEF). Pulmonary hypertension (PH) due to left heart disease (PH-LHD) is frequent in patients with HFrEF and is associated with a reduced functional class and poor prognosis. The use of ARNI has been associated with a relevant reduction in pulmonary pressures in two cases of PH-LHD.> [ABSTRACT FROM AUTHOR]
- Published
- 2019
- Full Text
- View/download PDF
15. Regulatory networks and regulatory sequences in familial combined hyperlipidemia patients
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M. Coiro, F. Vuolo, I. Donnarumma, L. Gambardella, L. de Magistris, M. Gentile, PAUCIULLO, PAOLO, RUBBA, PAOLO OSVALDO FEDERICO, DE SIMONE, VINCENZO, M., Coiro, F., Vuolo, I., Donnarumma, L., Gambardella, L., de Magistri, Pauciullo, Paolo, M., Gentile, Rubba, PAOLO OSVALDO FEDERICO, and DE SIMONE, Vincenzo
- Subjects
Trascrittomica ,System Biology ,Bioinformatica - Abstract
Familial combined hyperlipidemia (FCHL) is the most frequent dislipidemic syndrome in our population, and it is strictly associated to the insurgence of coronary artery diseases in affected patients. In a previous project we have carried out a “genome wide” gene expression profiles analysis in FCHL patients as compared to normal control individuals, showing that the expression levels of approx. 300 genes are significantly altered (increased or reduced) in association to the disease. Statins are the elective drugs for treatment of this syndrome. The gene expression profiles of FCHL patients before and after statin treatment reveal that administration the drug for a minimum of 4 weeks "restores” the expression levels of most of the altered genes to "normal" values, in some cases causing hypo-expressed genes to became hyper-expressed. These results reveal the existence of regulatory interconnections among subsets of genes affected by FCHL syndrome. In order to identify putative common cis-acting sequence elements involved in the transcriptional regulation by statins, we searched the 5' upstream region of these genes for enriched short sequence motifs. We have analysed the -400/-200, -200/+1 and +1/+200 (relative to the transcriptional start site) human genomic sequences corresponding to both up- and down-regulated genes, obtaining six dataset. Each dataset has been searched with the MEME algorithm, setting the program to display up to 10 motifs, and using three different width windows (5-10, 6-15 or 10-20 nucleotides). We have identified some specifically enriched consensus sequences. One of these motifs is present in either the -400/-200 or the -200/+1 region of the majority (70%) of the up-regulated genes. We have synthesised double strand DNA fragments containing this consensus sequence in order to carry out EMSA (electrophoretic mobility shift assays) experiments with nuclear extracts from statin-treated cell cultures. These experiments are in presently in progress.
- Published
- 2009
16. SV40 derived replicons for persistent tissue-specific expression in replicating cells
- Author
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L. DE MAGISTRIS, M. OLIVIERO, G. D’AGOSTINO, F. BERGANTINO, DE SIMONE, VINCENZO, L., DE MAGISTRIS, M., Oliviero, G., D’Agostino, F., Bergantino, and DE SIMONE, Vincenzo
- Subjects
Gene therapy ,expression vector ,modular promoters - Abstract
We have constructed SV40 derived episomic vectors for gene therapy able to undergo limited replication in human cells. In our vectors, DNA replication relies on a mutated version of the LT viral protein in which the ability to interact with p53 and pRB (and consequently its transforming activity) has been selectively eliminated. Even with a non-transforming LT, eccessive replication of SV40-derived vectors in human cells may result in target cells toxicity. In order to overcome this problem we have constructed: • “Low replication rate” vectors carrying deletions of the SV40 ORI/ses regions. • “Low copy number” vectors carrying anti-LT shRNA expression cassettes. We have achieved the tissue-specificity of our vectors in two ways, by constructing: • “Wide-range replication” vectors in which the selective expression of the transgene is driven by tissue-specific promoters. • “Restricted-range replication” vectors in which the viral LT gene is under the control of tissue-specific synthetic promoters, while the transgene expression is driven by the SV40 early promoter. In both cases, the tissue-specificity of our vectors depends on short synthetic modular promoters, obtained by polymerization of naturally occourring cis-acting elements. In the most successful constructs we have combined the binding domains for tissue-specific and cell-cycle-specific transcription factors, thus obtaining promoters that are selectively active in replicating cells (regenerating tissues, stem cells and tumor cells).
- Published
- 2009
17. Ventricular assist devices for heart failure: a focus on patient selection and complications
- Author
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Cipriani, Manlio, De Simone,Vincenzo, D'Angelo,Luciana, Perna,Enrico, Lilliu,Marzia, Bovolo,Virginia, Oliva,Fabrizio, and Frigerio,Maria
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Research Reports in Clinical Cardiology - Abstract
Manlio Cipriani, Vincenzo De Simone, Luciana D'Angelo, Enrico Perna, Marzia Lilliu, Virginia Bovolo, Fabrizio Oliva, Maria Frigerio Cardiovascular and Thoracic Department, A De Gasperis Niguarda Ca' Granda Hospital, Milan, Italy Abstract: Heart transplantation represents the “gold standard” for the treatment of patients with end-stage heart failure, but remains challenged by inadequate donor supply, finite graft survival, and long-term complications arising from immunosuppressive therapy. In addition, a lot of patients waiting for a heart transplant experience clinical deterioration, and other patients become ineligible to undergo this treatment due to their age or relevant comorbidities. Left ventricular assist devices have emerged as a valid therapeutic option for advanced heart failure. In recent years, we have seen significant advances not only in the technologies available, but also in patient selection, indications for use, and management after implantation. Consequently, there has been an increase in the number of implants and an improvement in the survival rate and quality of life for these patients. At the same time, there are new challenges on the horizon. Patient selection is a difficult process, based on clinical and imaging parameters and risk scores, and more data are needed to refine patient selection criteria and the timing of the implant. Left ventricular assist device-related complications are still a serious problem, causing adverse events and hospital readmissions. Continuous progress in the development of these implantable devices, such as a further reduction in size and hopefully the abolition of the external driveline, will probably make ventricular assist devices an option also for less advanced stages of heart failure. Here, we discuss the current indications for left ventricular assist device implantation, patient selection criteria, and the most frequent complications associated with these devices. Keywords: mechanical circulatory support, heart failure, destination therapy, bridge to transplantation, heart transplant
- Published
- 2014
18. Short sequence motifs enriched in 5’ upstream and UTR regions of A.thaliana genes homologous to potato mRNAs hyper- or hypo-expressed upon hydric stress
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R. AIESE CIGLIANO, A. PARLATI, MARTINELLI, ROSANNA, DE SIMONE, VINCENZO, R., AIESE CIGLIANO, A., Parlati, Martinelli, Rosanna, and DE SIMONE, Vincenzo
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Trascrittomica ,System Biology ,Bioinformatica - Abstract
In previous expression profile studies by DNA microarrays we have identified several potato genes whose mRNAs are hyper- or hypo-expressed following of potato protoplast growth in culture conditions that simulate in vivo hydric deprivation. In order to understand whether groups of these genes are transcriptionally co-regulated via common cis-acting sequence elements, we undertook the comparison of their transcriptional regulatory regions by searching the 5’ upstream region for enriched short sequence motifs. Unfortunately, the potato genomic sequence of several of the selected genes is not yet available. Therefore, we decided to perform this analysis by using the genomic sequences of A. thaliana homologous gene counterparts, relying on the conservation across these organisms of transcriptional regulatory networks. By using the MEME/MAST motif discovery tools, we have analysed separately 3 consecutive 200 bp sequence blocks from the 5’ region of each gene. The MEME analysis reveals several short sequence motifs that are significantly enriched in the first two sequence blocks, corresponding to: a) upstream transcription regulatory elements; b) Pol II positioning promoter elements / 5’-UTRs.
- Published
- 2007
19. Promoter elements for gene therapy of regenerating hepatic tissue
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L. DE MAGISTRIS, M. ROMANO, S. CAPONE, R. LIGUORI, F. TRONCHE, DE SIMONE, VINCENZO, L., DE MAGISTRIS, M., Romano, S., Capone, R., Liguori, F., Tronche, and DE SIMONE, Vincenzo
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tssue specificity ,promoter ,liver regeneration ,Transcription - Abstract
We have identified and characterized two transcriptional modules derived from the promoters of liver genes whose expression is specific for proliferating hepatocytes: A) An enhancer module from the HNF1β promoter. HNF1α and β are two trans-acting factors that play a central role in the expression of liver-specific genes. We reported that, during mouse and rat development, HNF1β expression precedes that of HNF1α and is inducible by retinoic acid treatment. Moreover HNF1β (but not HNF1α) is expressed in undifferentiated hepatocytes. A combined strategy of deletions and site-specific mutagenesis allowed us to identify the cis-acting elements of the HNF1β promoter. In our transient expression assay, the -435/+33 region of the promoter is sufficient to reproduce the expression pattern of the endogenous gene. This region can be further subdivided into a tissue-specific enhancer and a proximal promoter element. The transcriptional activity of the enhancer element, as measured by co-transfection assays and band-shift experiments, depends on the binding of two transcriptional activators: the liver-specific HNF-4 factor (-255/-235), and the RARα/RXRα heterodimeric protein, that recognize a RARE element partially overlapping with the HNF-4 binding site. B) The proximal element of the alpha-foetoprotein promoter. The alpha-fetoprotein (AFP) gene is expressed in the prenatal life in the yolk sac and in the foetal liver. At birth, the AFP gene is "shut down" at the transcriptional level, and it can be re-expressed in the adult liver only in pathologic conditions, like hepatic parenchyma regeneration or liver tumours. Therefore, the AFP gene must contain cis acting regulatory elements able to activate transcription only in proliferating hepatocytes. We have isolated and individually analysed the key elements of the AFP transcriptional regulation located in the proximal promoter region, where two partially overlapping AP1 and GRE elements dictate the activation or repression of the gene, respectively. Our results suggest that, while two adjacent HNF1α/β binding sites restrict the AFP promoter activity to liver cell, changes in the GR/AP1 ratio can account for the AFP reactivation in the regenerating hepatocyte. We have constructed a series of artificial promoters by assembling different combinations of these transcriptional modules. The most efficient combinations have been used to construct SV40-derived episomal vectors, that we plan to use for gene therapy of proliferating hepatocytes. These experiments are currently in progress.
- Published
- 2006
20. Improving traceability management through tool integration: an experience in the automotive domain.
- Author
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Amalfitano, Domenico, De Simone, Vincenzo, Fasolino, Anna Rita, and Scala, Stefano
- Published
- 2017
- Full Text
- View/download PDF
21. Restituzione grafica di oggetti solidi mediante coppia di immagini prospettiche non orientate
- Author
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De Simone, Vincenzo Paolo
- Subjects
perspectivity ,fotorestituzione ,Descrittiva, fotorestituzione, proiettiva, prospettività ,Descriptive Geometry, photogrammetry, projective, perspectivity ,projective ,Descriptive Geometry ,prospettività ,photogrammetry ,proiettiva ,Descrittiva - Published
- 2012
22. A Reverse Engineering Process for Inferring Data Models from Spreadsheet-based Information Systems: An Automotive Industrial Experience.
- Author
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Amalfitano, Domenico, Fasolino, Anna Rita, Tramontana, Porfirio, De Simone, Vincenzo, Di Mare, Giancarlo, and Scala, Stefano
- Published
- 2015
- Full Text
- View/download PDF
23. Short and highly efficient synthetic promoters for melanoma-specific gene expression
- Author
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Martinelli, Rosanna and De Simone, Vincenzo
- Published
- 2005
- Full Text
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24. Direct targets of Klf5 transcription factor contribute to the maintenance of mouse embryonic stem cell undifferentiated state.
- Author
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Parisi, Silvia, Cozzuto, Luca, Tarantino, Carolina, Passaro, Fabiana, Ciriello, Simona, Aloia, Luigi, Antonini, Dario, De Simone, Vincenzo, Pastore, Lucio, and Russo, Tommaso
- Subjects
TRANSCRIPTION factors ,EMBRYONIC stem cells ,HUMAN cloning ,KERATINOCYTES ,NUCLEOPROTEINS - Abstract
Background: A growing body of evidence has shown that Krüppel-like transcription factors play a crucial role in maintaining embryonic stem cell (ESC) pluripotency and in governing ESC fate decisions. Krüppel-like factor 5 (Klf5) appears to play a critical role in these processes, but detailed knowledge of the molecular mechanisms of this function is still not completely addressed. Results: By combining genome-wide chromatin immunoprecipitation and microarray analysis, we have identified 161 putative primary targets of Klf5 in ESCs. We address three main points: (1) the relevance of the pathways governed by Klf5, demonstrating that suppression or constitutive expression of single Klf5 targets robustly affect the ESC undifferentiated phenotype; (2) the specificity of Klf5 compared to factors belonging to the same family, demonstrating that many Klf5 targets are not regulated by Klf2 and Klf4; and (3) the specificity of Klf5 function in ESCs, demonstrated by the significant differences between Klf5 targets in ESCs compared to adult cells, such as keratinocytes. Conclusions: Taken together, these results, through the definition of a detailed list of Klf5 transcriptional targets in mouse ESCs, support the important and specific functional role of Klf5 in the maintenance of the undifferentiated ESC phenotype. See: http://www.biomedcental.com/1741-7007/8/125. [ABSTRACT FROM AUTHOR]
- Published
- 2010
- Full Text
- View/download PDF
25. Feasibility, Accuracy, and Clinical Relevance of a Rapid Thyroid Evaluation During Carotid Duplex Ultrasonography in Hypertensive Patients.
- Author
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Natale, Francesco, Tedesco, Michele Adolfo, Mocerino, Rosa, Rinaldi, Genny, Tassinario, Guido, De Simone, Vincenzo, Gregorio, Giovanni, and Calabr, Raffaele
- Abstract
Carotid ultrasonography can detect thyroid nodules without increasing examination duration. The authors analyzed whether management is influenced by reporting such findings during routine carotid ultrasonography in hypertensive patients vs waiting for 6 months to repeat them. This is a population-based study of 1216 hypertensive patients. During carotid ultrasonography, nodule cystic/solid characteristics and size of thyroid changes were recorded. Patients with nodules were divided into those with nodules reported at the moment of diagnosis (group A) and those reported 6 months after diagnosis (group B). The authors monitored patients who underwent thyroid treatment 12 months after carotid ultrasonography. A total of 255 participants had thyroid nodules detected on screening and 99 patients started therapy after discovery. Six months later, as expected, there were more patients undergoing thyroid treatment in the group with nodules reported at time of diagnosis. This difference between groups was not significant, however, 6 months after reporting the nodules, in group B, because the number of patients on therapy significantly increased. Thyroid nodules cannot be ignored during carotid ultrasonography, and reporting their presence is valuable to general practitioners. Thyroid screening during carotid ultrasonography is cost-effective, rapid, sensitive, and specific and may affect the patient's diagnostic and therapeutic management. [ABSTRACT FROM AUTHOR]
- Published
- 2007
- Full Text
- View/download PDF
26. High prevalence of non-HFE gene-associated haemochromatosis in patients from southern Italy.
- Author
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De Marco, Francesco, Liguori, Rosario, Giardina, Maria Grazia, D'Armiento, Maria, Angelucci, Emanuele, Lucariello, Antonio, Morante, Roberto, Cimino, Lucia, Galeota-Lanza, Alfonso, Tarantino, Giovanni, Ascione, Antonio, Budillon, Gabriele, Vecchione, Raffaela, Martinelli, Rosanna, Matarazzo, Margherita, and De Simone, Vincenzo
- Subjects
HEMOCHROMATOSIS ,GENES ,IRON metabolism ,LIVER diseases ,MELANODERMA - Abstract
Hereditary haemochromatosis is an autosomal recessive disorder of iron regulation that results in abnormal intestinal iron absorption with progressive iron overloading of parenchymal cells.Two specific,single point mutations of the HFE gene (C282Y and H63D) have been described in haemochromatosis patients. Epidemiological studies have revealed a strict association between hereditary haemochromatosis and C282Y homozygosis or C282Y/H63D compound heterozygosis,suggesting that these mutations may provide a useful tool for diagnosis.However,recent investigations from southern Europe have reported lower allelic frequencies of the C282Y mutation among haemochromatosis patients,apparently depending on the geographical area of the population analysed.To assess the predictive value of the detection of the C282Y and H63D HFE mutations in our geographical area,we have evaluated their occurrence in 46 haemochromatosis patients from southern Italy. We found that only 19.6%of our patients were homozygous for the C282Y mutation and 21.7%were compound C282Y/H63D heterozygotes.Among the remaining 59%,approximately 40%did not display any of the known HFE mutations.We conclude that, in southern Italy,another genetic determinant/s must be responsible for many haemochromatosis cases and that a genetic screening for the C282Y and H63D HFE mutations is not sufficient for hereditary haemochromatosis diagnosis. [ABSTRACT FROM AUTHOR]
- Published
- 2004
- Full Text
- View/download PDF
27. A negative regulatory element in the promoter of the human α1-antitrypsin gene.
- Author
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De Simone, Vincenzo and Cortese, Riccardo
- Published
- 1989
28. The promoter of the NF-1 gene
- Author
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AMMENDOLA, ROSARIO, DE SIMONE, VINCENZO, CORTESE, RICCARDO, F. Gounari, G. Piaggio, Ammendola, Rosario, F., Gounari, G., Piaggio, DE SIMONE, Vincenzo, and Cortese, Riccardo
- Subjects
promoter ,Transcriptional factor ,DNase footprint ,DNA binding domain - Published
- 1989
29. Single sample analysis of a mixture of permanent gases, water, and aromatics
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Ciambelli, Paolo, De Simone Vincenzo, and Valentino, Raffaele
- Published
- 1976
30. Catalytic and adsorptive properties of metal oxides catalysts in the oxidative dehydrogenation of ethylbenzene
- Author
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Ciambelli, Paolo, Crescitelli, Silvestro, De Simone Vincenzo, Russo, Gennaro, and Valentino, Raffaele
- Published
- 1977
31. Using tool integration for improving traceability management testing processes: An automotive industrial experience.
- Author
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Amalfitano, Domenico, De Simone, Vincenzo, Maietta, Raffaele Rodolfo, Scala, Stefano, and Fasolino, Anna Rita
- Subjects
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MANUFACTURING processes , *SOFTWARE architecture , *CHRYSLER automobiles , *INTEGRATED software , *FIAT automobiles - Abstract
Despite the high relevance of traceability in software processes, the activities of traceability creation and management are not always adequately supported in practice. The lack of integration between the tools adopted in the development processes is one of the main causes of such an ineffective management, where traceability relationships are still manually generated and maintained. In this paper we present an industrial experience we performed for improving the traceability management in a testing process performed in the Fiat Chrysler Automobiles company. In this context, we carried out a process for analyzing and identifying the main issues due to the ineffective traceability management and proposed a solution for addressing them. We designed and implemented a software architecture for integrating the existing application lifecycle management platform with the tools used in the process with the aim of automating the process execution and the traceability links management. The new architecture was validated by a case study that showed how the integration solution produced beneficial effects on quality attributes of the testing process. [ABSTRACT FROM AUTHOR]
- Published
- 2019
- Full Text
- View/download PDF
32. LDL receptor cDNA sequence analysis in familial hypercholesterolemia patients: 5 novel mutations with high prevalence in families originating from southern Italy.
- Author
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Liguori, Rosario, Bianco, Anna Monica, Argiriou, Anagnostis, Pauciullo, Paolo, Giannino, Alessandro, Rubba, Paolo, and De Simone, Vincenzo
- Published
- 2001
- Full Text
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33. Cloning and developmental expression of LFB3/HNF1β transcription factor in Xenopus laevis
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Demartis, Anna, Maffei, Margherita, Vignali, Robert, Barsacchi, Giuseppina, and De Simone, Vincenzo
- Published
- 1994
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34. Transcription factors and liver-specific genes
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De Simone, Vincenzo and Cortese, Riccardo
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- 1992
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35. The separation of polyols by thin-layer chromatography
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de Simone, Vincenzo and Vicedomini, Mario
- Published
- 1968
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36. Glycogen Synthase Kinase 3β: A New Gold Rush in Anti-Alzheimer’s Disease Multitarget Drug Discovery?
- Author
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De Simone, A., Tumiatti, V., Andrisano, V., Milelli, A., and Angela De Simone, Vincenzo Tumiatti, VIncenza Andrisano, Andrea Milelli
- Subjects
Glycogen Synthase Kinase 3 beta ,Alzheimer’s disease, glycogen synthase kinase 3β, multitarget-directed ligands, neuroprotection ,Alzheimer Disease ,Humans ,Phosphorylation ,Drug Discovery ,Perspective - Abstract
Alzheimer’s disease (AD), like other multifactorial diseases, is the result of a systemic breakdown of different physiological networks. As result, several lines of evidence suggest that it could be more efficiently tackled by molecules directed toward different dysregulated biochemical targets or pathways. In this context, the selection of targets to which the new molecules will be directed is crucial. For years, the design of such multitarget-directed ligands (MTDLs) has been based on the selection of main targets involved in the “cholinergic” and the “β-amyloid” hypothesis. Recently, there have been some reports on MTDLs targeting the glycogen synthase kinase 3β (GSK-3β) enzyme, due to its appealing properties. Indeed, this enzyme is involved in tau hyperphosphorylation, controls a multitude of CNS-specific signaling pathways, and establishes strict connections with several factors implicated in AD pathogenesis. In the present Miniperspective, we will discuss the reasons behind the development of GSK-3β-directed MTDLs and highlight some of the recent efforts to obtain these new classes of MTDLs as potential disease-modifying agents.
- Published
- 2021
37. Transcriptional regulation of liver-specific gene expression
- Author
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De Simone, Vincenzo and Cortese, Riccardo
- Published
- 1992
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38. Towards a Thing-In-the-Loop approach for the Verification and Validation of IoT systems
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Nicola Amatucci, Vincenzo Riccio, Domenico Amalfitano, Fasolino Anna Rita, Vincenzo De Simone, Amalfitano, Domenico, Amatucci, Nicola, De Simone, Vincenzo, Riccio, Vincenzo, and Fasolino, ANNA RITA
- Subjects
Structure (mathematical logic) ,Computer science ,Smart objects ,business.industry ,Best practice ,verification and validation ,Internet of Things ,020206 networking & telecommunications ,020207 software engineering ,Context (language use) ,02 engineering and technology ,Thing-In-the-loop ,Model-driven engineering, verification and validation, Internet of Things, Thing-In-the-loop ,Test case ,Software ,0202 electrical engineering, electronic engineering, information engineering ,Model-driven architecture ,Model-driven engineering ,Software engineering ,business ,computer ,computer.programming_language ,Verification and validation - Abstract
The Internet of Things (IoT) is rapidly increasing its diffusion, posing great challenges to the research community. IoT systems are composed by smart objects (Things) that are interconnected in order to provide new products and services. The interaction of heterogeneous and distributed smart things guided by software with the physical world brings new sources of safety issues. To this reason, providing valuable and effective solutions to support the verification and validation of such systems is needed. In this paper we introduce a model-driven Thing-In-the-Loop verification and validation approach that transfers the best practices adopted in different embedded system domains towards the IoT world. Starting from models and scenarios representing the structure and behaviors of the IoT system as well as models of its context our approach generates appropriate test cases that are executed in accordance with Model-in-the-Loop, Software-in-the-Loop and Hardware-in-the-Loop techniques. We preliminarily evaluated the feasibility of our approach by applying it in the context of a Smart Mobility case study.
- Published
- 2017
39. Introducing software product lines in model-based design processes: An industrial experience
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Anna Rita Fasolino, Vincenzo De Simone, Stefano Scala, Mario Lubrano, Domenico Amalfitano, Amalfitano, Domenico, DE SIMONE, Vincenzo, Fasolino, ANNA RITA, Lubrano, Mario, and Scala, Stefano
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Engineering ,business.industry ,Software Product Line ,Software development ,Automotive ,ComputerApplications_COMPUTERSINOTHERSYSTEMS ,Manufacturing engineering ,Software sizing ,Hardware and Architecture ,Model Based Design ,Personal software process ,Component-based software engineering ,Software construction ,Package development process ,Software design ,Software engineering ,business ,Software measurement ,Product Line Architecture ,Software - Abstract
Software has gained a critical role in the automotive domain that is becoming more and more complex. The ever-growing complexity in automotive software development is due to its high variability. In this scenario, automotive companies need to adopt cost-effective development processes in order to manage the variability of the produced software. A well-known solution for dealing with this problem is the adoption of Software Product Lines (SPL). In this paper we report an experience we performed in collaboration with the Fiat Chrysler Automobiles (FCA) company for the application of the SPL in one of its Model-Based Design (MBD) processes. SPL were supported by AutoMative, a software infrastructure we implemented for the semi-automatic generation of Product Architectures from specification documents.
- Published
- 2016
40. Toward Reverse Engineering of VBA Based Excel Spreadsheet Applications
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Amalfitano, D., Amatucci, N., Vincenzo De Simone, Fasolino, A. R., Tramontana, P., Hermans F.,Paige R.F.,Sestoft P., Amalfitano, Domenico, Amatucci, Nicola, DE SIMONE, Vincenzo, Fasolino, ANNA RITA, and Tramontana, Porfirio
- Subjects
Software Engineering (cs.SE) ,FOS: Computer and information sciences ,Computer Science - Software Engineering - Abstract
Modern spreadsheet systems can be used to implement complex spreadsheet applications including data sheets, customized user forms and executable procedures written in a scripting language. These applications are often developed by practitioners that do not follow any software engineering practice and do not produce any design documentation. Thus, spreadsheet applications may be very difficult to be maintained or restructured. In this position paper we present in a nutshell two reverse engineering techniques and a tool that we are currently realizing for the abstraction of conceptual data models and business logic models., In Proceedings of the 2nd Workshop on Software Engineering Methods in Spreadsheets (http://spreadsheetlab.org/sems15/)
- Published
- 2015
41. A reverse engineering process for inferring data models from spreadsheet-based information systems: An automotive industrial experience
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Domenico Amalfitano, Porfirio Tramontana, Anna Rita Fasolino, Stefano Scala, Giancarlo Di Mare, Vincenzo De Simone, Amalfitano, Domenico, DE SIMONE, Vincenzo, Di Mare, Giancarlo, Fasolino, ANNA RITA, Scala, Stefano, and Tramontana, Porfirio
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Reverse engineering ,Visual Basic ,Process (engineering) ,Computer science ,Computer Science (all) Information management ,UML class diagram ,computer.software_genre ,Data modeling ,Visual languages Conceptual data model ,Reverse engineering proce ,Information system ,Industrial experience ,computer.programming_language ,Rapid application development ,Visual basic for applications ,business.industry ,Java programming language ,Scripting language ,Data science ,Data model ,Spreadsheet ,Visual BASIC ,Software engineering ,business ,computer ,Industrial context - Abstract
Nowadays Spreadsheet-based Information Systems are widely used in industries to support different phases of their production processes. The intensive employment of Spreadsheets in industry is mainly due to their ease of use that allows the development of Information Systems even by not experienced programmers. The development of such systems is further aided by integrated scripting languages (e.g. Visual Basic for Applications, Libre Office Basic, JavaScript, etc.) that offer features for the implementation of Rapid Application Development processes. Although Spreadsheet-based Information Systems can be developed with a very short time to market, they are usually poorly documented or in some case not documented at all. As a consequence, they are very difficult to be comprehended, maintained or migrated towards other architectures, such as Database Oriented Information Systems or Web Applications. The abstraction of a data model from the source spreadsheet files represents a fundamental activity of the migration process towards different architectures. In our work we present an heuristic- based reverse engineering process for inferring a data model from an Excel based information system. The process is fully automatic and it is based on seven sequential steps. Both the applicability and the effectiveness of the proposed process have been assessed by an experiment we conducted in the automotive industrial context. The process was successfully used to obtain the UML class diagrams representing the conceptual data models of three different Spreadsheet-based Information Systems. The paper presents the results of the experiment and the lessons we learned from it.
- Published
- 2015
42. Differential gene regulation in potato cells and plants upon abrupt or gradual exposure to water stress
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Antonella Leone, Vincenzo De Simone, Antonello Costa, Immacolata Massarelli, Rosanna Martinelli, Stefania Grillo, Alfredo Ambrosone, A., Ambrosone, A., Costa, Martinelli, Rosanna, I., Massarelli, DE SIMONE, Vincenzo, S., Grillo, and A., Leone
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Regulation of gene expression ,Physiology ,Water stress ,Plant Science ,Biology ,Molecular biology ,Cell biology ,Cell culture ,Transcription (biology) ,Complementary DNA ,Heat shock protein ,Gene expression ,gene expression ,Signal transduction ,plant cell cultures ,Agronomy and Crop Science ,Gene ,microarray - Abstract
Potato cDNA microarray slides (TIGR 1 K) were used to compare changes in gene expression of two potato cell populations subjected to shock or gradual exposure to PEG-mediated water stress. A total of 180 transcripts were found to be statistically up- or down-regulated in PEG-shocked or gradually stressed cells, compared to untreated control cells. Up-regulated genes in shocked cells were prevalently involved in carbohydrate metabolism, cellular communication, and signal transduction. In cells stressed gradually, the most represented induced genes were those involved in signal transduction, in response to environmental signals and in the regulation of transcription and translation machineries, including the heat shock protein 90-2, ribosomal and RNA-binding proteins. The expression of selected up-regulated genes was also tested in potato plants subjected to slow soil-drying conditions. Interestingly, the rgga gene, encoding an RNA-binding protein, was strongly induced in both leaves and roots of water-stressed potato plants, supporting its putative function in adaptive mechanisms to water stress. Pointing to differences in gene expression between shock-like and adaptive response, our findings might contribute to the controversial debate on the biological function of stress-responsive genes in cell damage repair or in restoring homeostasis and elaborating longer term responses for adaptation.
- Published
- 2011
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43. Direct targets of Klf5 transcription factor contribute to the maintenance of mouse embryonic stem cell undifferentiated state
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Fabiana Passaro, Luca Cozzuto, Silvia Parisi, Dario Antonini, Lucio Pastore, Luigi Aloia, Vincenzo De Simone, Tommaso Russo, Carolina Tarantino, Simona Ciriello, Parisi, Silvia, Cozzuto, Luca, Tarantino, Carolina, Passaro, Fabiana, Ciriello, S, Aloia, Luigi, Antonini, Dario, DE SIMONE, Vincenzo, Pastore, Lucio, and Russo, Tommaso
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Pluripotent Stem Cells ,Chromatin Immunoprecipitation ,Physiology ,Cellular differentiation ,Blotting, Western ,Kruppel-Like Transcription Factors ,Plant Science ,Biology ,Regulon ,General Biochemistry, Genetics and Molecular Biology ,Kruppel-Like Factor 4 ,Mice ,Structural Biology ,Animals ,Transcription factor ,lcsh:QH301-705.5 ,Embryonic Stem Cells ,Ecology, Evolution, Behavior and Systematics ,reproductive and urinary physiology ,Regulation of gene expression ,Agricultural and Biological Sciences(all) ,Biochemistry, Genetics and Molecular Biology(all) ,Microarray analysis techniques ,Gene Expression Regulation, Developmental ,RNA-Binding Proteins ,Cell Differentiation ,Cell Biology ,Klf5 ,pluripotency ,Microarray Analysis ,embryonic stem cell ,Embryonic stem cell ,Cell biology ,Phenotype ,Gene Expression Regulation ,lcsh:Biology (General) ,KLF4 ,KLF2 ,embryonic structures ,Commentary ,biological phenomena, cell phenomena, and immunity ,General Agricultural and Biological Sciences ,Chromatin immunoprecipitation ,Developmental Biology ,Biotechnology ,Research Article - Abstract
Background A growing body of evidence has shown that Krüppel-like transcription factors play a crucial role in maintaining embryonic stem cell (ESC) pluripotency and in governing ESC fate decisions. Krüppel-like factor 5 (Klf5) appears to play a critical role in these processes, but detailed knowledge of the molecular mechanisms of this function is still not completely addressed. Results By combining genome-wide chromatin immunoprecipitation and microarray analysis, we have identified 161 putative primary targets of Klf5 in ESCs. We address three main points: (1) the relevance of the pathways governed by Klf5, demonstrating that suppression or constitutive expression of single Klf5 targets robustly affect the ESC undifferentiated phenotype; (2) the specificity of Klf5 compared to factors belonging to the same family, demonstrating that many Klf5 targets are not regulated by Klf2 and Klf4; and (3) the specificity of Klf5 function in ESCs, demonstrated by the significant differences between Klf5 targets in ESCs compared to adult cells, such as keratinocytes. Conclusions Taken together, these results, through the definition of a detailed list of Klf5 transcriptional targets in mouse ESCs, support the important and specific functional role of Klf5 in the maintenance of the undifferentiated ESC phenotype. See: http://www.biomedcental.com/1741-7007/8/125
- Published
- 2010
44. High prevalence of non-HFE gene-associated haemochromatosis in patients from southern Italy
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Rosario Liguori, Cimino L, R. Morante, Gabriele Budillon, Rosanna Martinelli, Tarantino G, Giardina Mg, De Marco F, A Lucariello, D'Armiento M, Emanuele Angelucci, Ascione A, Galeota-Lanza A, De Simone, Matarazzo M, Vecchione R, De Marco, F., Liguori, R., Giardina, M. G., D'Armiento, M., Angelucci, E., Lucariello, A., Morante, R., Cimino, L., Galeota Lanza, A., Tarantino, G., Ascione, A., Budillon, G., Vecchione, R., Martinelli, R., Matarazzo, M., and DE SIMONE, Vincenzo
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Adult ,Male ,Heterozygote ,congenital, hereditary, and neonatal diseases and abnormalities ,medicine.medical_specialty ,Pathology ,liver diseases ,Clinical Biochemistry ,Population ,medicine.disease_cause ,Gene Frequency ,Epidemiology ,Prevalence ,medicine ,Humans ,Histidine ,Cysteine ,Allele ,Hemochromatosis Protein ,education ,Allele frequency ,Hemochromatosis ,molecular medicine ,Aged ,Genetics ,Mutation ,education.field_of_study ,business.industry ,Haemochromatosi ,Histocompatibility Antigens Class I ,Homozygote ,Biochemistry (medical) ,Case-control study ,Membrane Proteins ,nutritional and metabolic diseases ,Heterozygote advantage ,General Medicine ,Middle Aged ,medicine.disease ,Italy ,Case-Control Studies ,Female ,business - Abstract
Hereditary haemochromatosis is an autosomal recessive disorder of iron regulation that results in abnormal intestinal iron absorption with progressive iron overloading of parenchymal cells. Two specific, single point mutations of the HFE gene (C282Y and H63D) have been described in haemochromatosis patients. Epidemiological studies have revealed a strict association between hereditary haemochromatosis and C282Y homozygosis or C282Y/H63D compound heterozygosis, suggesting that these mutations may provide a useful tool for diagnosis. However, recent investigations from southern Europe have reported lower allelic frequencies of the C282Y mutation among haemochromatosis patients, apparently depending on the geographical area of the population analysed. To assess the predictive value of the detection of the C282Y and H63D HFE mutations in our geographical area, we have evaluated their occurrence in 46 haemochromatosis patients from southern Italy. We found that only 19.6% of our patients were homozygous for the C282Y mutation and 21.7% were compound C282Y/H63D heterozygotes. Among the remaining 59%, approximately 40% did not display any of the known HFE mutations. We conclude that, in southern Italy, another genetic determinant/s must be responsible for many haemochromatosis cases and that a genetic screening for the C282Y and H63D HFE mutations is not sufficient for hereditary hae- mochromatosis diagnosis.
- Published
- 2004
45. Mapping of the gene TCF2 coding for the transcription factor LFB3 to human chromosome 17 by polymerase chain reaction
- Author
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V De Simone, Ellen Solomon, G. Piaggio, Fotini Gounari, R. Cortese, Catherine M. Abbott, Rosario Ammendola, Susan Povey, C., Abbott, G., Piaggio, Ammendola, Rosario, E., Solomon, S., Povey, F., Gounari, DE SIMONE, Vincenzo, and Cortese, Riccardo
- Subjects
Molecular Sequence Data ,Biology ,Hybrid Cells ,Polymerase Chain Reaction ,law.invention ,Mice ,law ,Sequence Homology, Nucleic Acid ,Centromere ,Gene cluster ,Genetics ,Animals ,Humans ,Hepatocyte Nuclear Factor 1-alpha ,Gene ,Transcription factor ,Polymerase chain reaction ,Hepatocyte Nuclear Factor 1-beta ,Base Sequence ,Chromosome Mapping ,Nuclear Proteins ,TAF9 ,TCF4 ,DNA ,Molecular biology ,Rats ,Chromosome 17 (human) ,DNA-Binding Proteins ,PCR ,Hepatocyte Nuclear Factor 1 ,Transcriptional factor ,gene expression ,Chromosomes, Human, Pair 17 ,Transcription Factors - Abstract
A human clone corresponding to the gene for the DNA-binding factor LFB3, a protein highly homologous to the liver-specific transcription factor LFB1, has been isolated and partially sequenced. This gene is designated TCF2. Oligonucleotide primers have been designed for LFB3 and used to amplify specifically the human gene in human/rodent somatic cell hybrids using the polymerase chain reaction. By this means, the human LFB3 gene has been mapped to the long arm of chromosome 17, between the centromere and the APL breakpoint.
- Published
- 1990
46. Transcription of the promoter of the rat NF-1 gene depends on the integrity of an Sp1 recognition site
- Author
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V De Simone, G. Piaggio, R. Cortese, Fotini Gounari, Rosario Ammendola, Ammendola, Rosario, F., Gounari, G., Piaggio, DE SIMONE, Vincenzo, Cortese, Riccardo, Gounari, F., Piaggio, G., and Cortese, R.
- Subjects
Transcription, Genetic ,Sp1 Transcription Factor ,Response element ,Molecular Sequence Data ,Restriction Mapping ,E-box ,Cell Line ,Upstream activating sequence ,Sp3 transcription factor ,Animals ,Humans ,transcriptional factors ,Enhancer ,Promoter Regions, Genetic ,Molecular Biology ,Binding Sites ,biology ,General transcription factor ,Base Sequence ,Nuclear Proteins ,Promoter ,Cell Biology ,Molecular biology ,Rats ,DNA-Binding Proteins ,biology.protein ,gene expression ,Transcription factor II F ,Transcription ,Research Article ,Transcription Factors - Abstract
The transcription start site and promoter of the rat gene coding for the transcription factor NF-1 have been identified. The NF-1 promoter was fused to the chloramphenicol acetyltransferase-coding sequence, and the resulting plasmid was transcriptionally active in the HepG2 cell line. Footprinting and gel retardation analysis indicated that the transcription factor Sp1 binds to the NF-1 promoter. Mutants in the Sp1-binding site displayed a strong reduction in transcriptional activity.
- Published
- 1990
47. Home Monitoring trends during COVID-19 infection.
- Author
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De Simone V, Guardalben S, Guarise P, Padovani N, Giacopelli D, and Zanotto G
- Abstract
Background: Cardiac implantable electronic device (CIED) recipients could have an unfavorable prognosis if infected with the novel coronavirus (COVID-19). We aimed to analyze the data daily transmitted by the Home Monitoring (HM) system (BIOTRONIK, Berlin, Germany) of CIEDs during the infection., Methods: We identified CIED patients followed with the HM who experienced COVID-19 clinical manifestations. The daily trends of the following HM variables were analyzed: mean heart rate (HR), physical activity, thoracic impedance (TI), ventricular and atrial arrhythmic burden., Results: The study cohort included 10 CIED patients (median age 90 [84-92] years, male 90%) with acute respiratory syndrome. The HR showed an increase of a value ranging from 10 to 30 bpm well in advance of the severe clinical manifestations. The physical activity was generally low during the entire infection course. The TI decreased in patients presented with pulmonary edema, but increased significantly (8 to 25 Ω) in most COVID-19 patients (8 out of 10) suggesting an association with pulmonary fibrosis. Arrhythmic complications were also found in half of the patients., Conclusion: The trends of HR and TI in CIEDs recipients infected by the COVID-19 often showed early recurrent patterns before adverse clinical manifestations., Competing Interests: D. G. is employee of BIOTRONIK Italia. All the remaining authors declare no Conflict of Interests for this article., (© 2020 The Authors. Journal of Arrhythmia published by John Wiley & Sons Australia, Ltd on behalf of the Japanese Heart Rhythm Society.)
- Published
- 2020
- Full Text
- View/download PDF
48. Telecardiology during the Covid-19 pandemic: past mistakes and future hopes.
- Author
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De Simone V, Guarise P, Guardalben S, Padovani N, Tondelli S, Sandrini D, Visentin E, and Zanotto G
- Abstract
Covid-19 has caused a striking global impact on public health services. The inevitable suspension of all scheduled visits without urgency and non-urgent hospitalizations has resulted in relevant modifications in our management of cardiac patients. Our goal should be to maintain high standards in the treatment of cardiovascular diseases, reducing the risk of esposure to Covid-19 for patients and healthcare professionals. Our Division of Cardiology follows 300 patients in a Heart Failure Ambulatory and almost all of these, as CIEDs' carriers, are monitored by remote monitoring; in addition, we follow more than 2000 CIEDs' carriers using remote monitoring. The purpose of telemedicine, using telecommunications technology, must be to optimize the clinical management of heart failure patients at home, in order to improve their quality of life, reducing hospitalization and emergency department access, also promoting self-management. The evolution of technology has led to the development and refinement of telemedicine and remote monitoring and even more in pandemic times these methods are to be considered a cornerstone. So that telemedicine can really become a well-structured reality, the following are fundamental: the uniform recognition of a reimbursement for this type of medical service, the creation of an organizational model with an adequately structured team, a valid integration with the territorial reality., Competing Interests: None., (AJCD Copyright © 2020.)
- Published
- 2020
49. RIFLE criteria for acute kidney injury in valvular surgery.
- Author
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De Santo LS, Romano G, Galdieri N, Buonocore M, Bancone C, De Simone V, Della Corte A, and Nappi G
- Subjects
- Acute Kidney Injury epidemiology, Acute Kidney Injury etiology, Acute Kidney Injury physiopathology, Adolescent, Adult, Aged, Aged, 80 and over, Algorithms, Blood Transfusion statistics & numerical data, Emergency Medical Services statistics & numerical data, Female, Heart Valve Diseases surgery, Hematocrit, Hospital Mortality, Humans, Logistic Models, Male, Middle Aged, Multivariate Analysis, Outcome Assessment, Health Care, Postoperative Complications epidemiology, Prognosis, Reoperation statistics & numerical data, Risk Factors, Young Adult, Acute Kidney Injury classification, Cardiac Surgical Procedures adverse effects
- Abstract
Background and Aim of the Study: The RIFLE classification, which defines three grades of increasing severity of acute kidney injury--risk (RIFLE R), injury (RIFLE I) and failure (RIFLE F), and two outcome classes (L, loss) and E (end-stage kidney disease)--represents a valuable method for evaluating acute renal failure. Risk factors for acute kidney injury (AKI) according to the RIFLE criteria and for operative mortality were identified in patients undergoing valvular procedures., Methods: A single-center prospective cohort study of 1424 patients who were not receiving renal replacement therapy preoperatively was conducted between January 2004 and December 2007. A total of 100 variables was collected from each patient., Results: The main features were: mean age 61.9 +/- 12.9 years (range: 15-88 years), 47% females, 6% endocarditis, 11% redo surgery, 8% urgent/emergent surgery, 30% combined procedures, 5% complex, and 16% associated coronary artery bypass grafting (CABG). The overall AKI prevalence was 10%, with RIFLE scores of I or F being detected in 8% and continuous veno-venous hemofiltration being required in 5%. Risk factors for AKI were age (OR 1.03; 95% CI 1.14-4.15), time of extracorporeal circulation (ECC) (OR 1.09; 95% CI 1.005-1.013), redo procedure (OR 2.35; 95% CI 1.42-3.8), chronic kidney disease (OR 3.2; 95% CI 1.6-6.1), and blood transfusion (OR 3.8; 95% CI 2.5-6.5). The transfusion of leukodepleted blood exerted a protective effect on AKI development (OR 0.6; 95% CI 0.4-0.9). The average overall hospital mortality was 4.8%. Risk factors for operative mortality included: ECC time (OR 1; 95% CI 1.002-1.014), age (OR 1.043; 95% CI 1.01-1.07), chronic kidney disease (OR 4.8; 95% CI 2.2-10.6), blood transfusion (OR 6.43; 95% CI 2.8-14.7), surgical priority (OR 6.5; 95% CI 2.8-14.7), RIFLE class I (OR 11.9; 95% CI 5.5-25.7), and RIFLE class F (OR 30; 95% CI 8.1-111.7). Mortality increased with each RIFLE stratification (Normal 1.7%, RIFLE R = 4.1%, RR = 2.5; RIFLE I = 27.6%, RR = 16.2; and RIFLE F = 43.8% RR = 25.8)., Conclusion: AKI is a highly prevalent and prognostically important complication, for which the majority of risk factors that have been identified are not modifiable. The transfusion of leukodepleted blood products was seen to exert a preventive effect.
- Published
- 2010
50. eComment: safety and effectiveness of partial aortic root remodeling.
- Author
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Dialetto G, Della Corte A, De Simone V, and Manduca S
- Subjects
- Blood Vessel Prosthesis, Humans, Polyethylene Terephthalates, Polytetrafluoroethylene, Prosthesis Design, Suture Techniques, Time Factors, Treatment Outcome, Aortic Dissection surgery, Aortic Aneurysm surgery, Blood Vessel Prosthesis Implantation adverse effects, Blood Vessel Prosthesis Implantation instrumentation, Sinus of Valsalva surgery
- Published
- 2009
- Full Text
- View/download PDF
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