10 results on '"Coscia, Alessandra"'
Search Results
2. Presepsin in Human Milk Is Delivery Mode and Gender Dependent.
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D'Adamo, Ebe, Peila, Chiara, Strozzi, Mariachiara, Barolo, Roberta, Maconi, Antonio, Nanni, Arianna, Botondi, Valentina, Coscia, Alessandra, Bertino, Enrico, Gazzolo, Francesca, Abdelhameed, Ali Saber, Conte, Mariangela, Picone, Simonetta, D'Andrea, Marianna, Lizzi, Mauro, Quarta, Maria Teresa, and Gazzolo, Diego
- Abstract
Breast milk (BM) is a unique food due to its nutritional composition and anti-inflammatory characteristics. Evidence has emerged on the role of Presepsin (PSEP) as a reliable marker of early sepsis diagnosis. In the present study, we aimed to investigate the measurability of PSEP in BM according to different maturation stages (colostrum, C; transition, Tr; and mature milks, Mt) and corrected for delivery mode and gender. We conducted a multicenter prospective case–control study in women who had delivered 22 term (T) and 22 preterm (PT) infants. A total of 44 human milk samples were collected and stored at −80 °C. BM PSEP (pg/mL) levels were measured by using a rapid chemiluminescent enzyme immunoassay. PSEP was detected in all samples analyzed. Higher (p < 0.05) BM PSEP concentrations were observed in the PT compared to the T infants. According to the grade of maturation, higher (p < 0.05) levels of PSEP in C compared to Tr and Mt milks were observed in the whole study population. The BM subtypes' degrees of maturation were delivery mode and gender dependent. We found that PSEP at high concentrations supports its antimicrobial action both in PT and T infants. These results open the door to further studies investigating the role of PSEP. [ABSTRACT FROM AUTHOR]
- Published
- 2024
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3. Enteral Nutrition Tolerance And REspiratory Support (ENTARES) Study in preterm infants: study protocol for a randomized controlled trial
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Cresi, Francesco, Maggiora, Elena, Borgione, Silvia Maria, Spada, Elena, Coscia, Alessandra, Bertino, Enrico, Meneghin, Fabio, Corvaglia, Luigi Tommaso, Ventura, Maria Luisa, Lista, Gianluca, and ENTARES Study Research Group
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- 2019
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4. Simulated dynamic digestion reveals different peptide releases from human milk processed by means of holder or high temperature-short time pasteurizaSimulated dynamic digestion reveals different peptide releases from human milk processed by means of holder or HTST pasteurization
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Giribaldi, Marzia, Nebbia, Stefano, Briard-Bion, Valérie, Jardin, Julien, Peila, Chiara, Coscia, Alessandra, Dupont, Didier, Cavallarin, Laura, and Deglaire, Amélie
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Donor milk ,Preterm ,DIDGI ,In vitro digestion ,Pasteurization ,Human milk banks - Abstract
High Temperature-Short Time (HTST) pasteurization was proposed as an alternative to Holder pasteurization (HOP) to increase the retention of specific human milk (HM) bioactive proteins. The present study explored whether HTST and HOP differently affect peptide release during simulated preterm infant gastrointestinal digestion. Raw (RHM), HOP- and HTST- pasteurized HM were digested using an in vitro dynamic system, and the identified peptides were analyzed by mass spectrometry and multivariate statistics. Before digestion, 158 peptides were identified in either RHM, HTST- or HOP- HM, mostly (84.4%) originating from ?-casein (CASB). During gastric digestion, HOP-HM presented a greater number and more abundant specific CASB peptides. A delayed release of peptides was observed in RHM during the intestinal phase, with respect to both pasteurized HM. Although limited to gastric digestion, the HM peptidomic profile differed according to the pasteurization type, and the pattern of the HTST peptides showed a greater similarity with RHM.
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- 2022
5. Evaluation of a new human milk donkey fortifier: Fortilat study
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Paola Tonetto, Francesco Cresi, Laura Cavallarin, Marzia Giribald, Elena Spada, Guido Moro, Enrico Bertino, Laura Reghin, Chiara Taberna, Francesca Pozzati, and Coscia Alessandra
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fortifiers ,human milk ,donkey milk ,preterm - Abstract
baCkgrounD: Very preterm newborns (gestational age lower than 32 weeks) and Very low birthweight (VlbW) infants (birthweight lower than 1500 grams) currently represent the majority of patients cared in neonatal intensive Care units (niCu). the increase of the survival rate for these newborns, due to improvements in perinatal care, has opened new perspectives regarding their outcome and has a significant impact on their health status in adulthood. in these groups of infants, nutrition represents a fundamental factor not only for neonatal survival and short-term outcome, but also for long-term consequences and quality of life. the main issue is to ensure an adequate qualitative and quantitative nutrition, particularly in terms of protein intake, which is the main cause of post-natal growth deficit [1]. Human milk is the recommended food for all neonates including preterm infants [2]. breast milk alone, however, does not meet the recommended nutritional needs in preterm infants [3]. the most common strategy is to cope with potential nutrient deficits by supplementing breast milk with additional nutrients (mainly proteins and minerals) to satisfy the special nutritional requirements of these infants[4]. at present commercially available fortifiers are based on bovine milk (bM), whose protein intake has raised concerns because of its association with allergies [5] and a possible role as a trigger of intestinal inflammation in preterm neonates [6]. in previous studies we observed that donkey milk (DM) was well tolerated in a group of highly problematic cow's milk allergic children [7]. our hypothesis is that feeding preterm infants with HM supplemented with fortifiers derived from DM will improve the feeding tolerance. aiM. the purpose of the present randomized clinical trial is to compare the use of DM-derived fortifiers with commercial bMbased fortifiers in infants with birthweight =80ml/kg/day reached within the first 4 weeks of life. the neonates affected by severe gastrointestinal pathologies, chromosomal abnormalities or major malformations, metabolic diseases, intravascular disseminated coagulopathy, shock, patent ductus arteriosus requiring medical care or surgery at time of randomization, and severe renal failure were excluded. before the beginning of this study, approximately 45% VlbWi or preterm infants admitted to our niCu had at least one episode of feeding intolerance. a 25% reduction in the frequency of the primary endpoint was regarded as the minimum clinically important difference (MCiD): 62 infants per arm (planned study) had to be recruited to ensure an 80% study power, if the risk of type i error is set to the usual level of 5%. Since the occurrence of primary endpoint in our study population resulted to be much lower than that assumed in the protocol, and no adverse effect was observed, when the planned study size was achieved, it was decided to continue the enrollment until the end of the stock of fortilat (extended study). infants were randomized 1:1 by a software-generated list in two arms: bf-arm (bovine fortifier) and Df-arm (Donkey fortifier). observation period was defined as 21 days since the beginning of fortification. in bf-arm, the human milk was fortified with commercial multi-component fortifier (fM85 nestlè) and protein concentrate (protifar nutricia), derived from bovine milk, while in Df-arm with multi-component fortifier and protein concentrate derived from donkey milk (fortilat), produced by an ultrafiltrationprocess of pasteurized donkey milk in a pilot stainless steel. advancing of enteral feeds was strictly regulated according to the feeding protocol adopted in our niCu, based on the evaluation of signs of feeding intolerance. the primary endpoint was the occurrence of at least one episode of feeding intolerance, defined as interruption of enteral feeding for at least 8 consecutive hours during the observation period. We also evaluated the total number of feeding intolerance episodes and the number of feeding interruption episodes of any duration. Statistical analysis. in the intention-to-treat population (itt, all randomized infants) failure included the occurrence of at least one episode of feeding intolerance, neC, death, and transfered before 21 days of observation. the difference in the occurrence of failure (primary endpoint) between the two arms of the trials was tested with fisher's exact test. reSultS. a total of 124 neonates were enrolled in planned study (bf-arm n= 62; Df-arm n=62). further 32 infants were enrolled in extended study (bf-arm n= 79, Df-arm n=77). the primary risk of failure in the planned sample has resulted lower in Df-arm than in bf-arm with a relative risk reduction (rrr) [Ci(95%)] of 0.40 [-0.27; +0.72]. the trend of these results was similar in the extended sample: 0.46 [ 0.09; +0.73]. the mean [iC(95%)] of the total episodes of feeding intolerance and the mean [iC(95%)] of enteral feeding interruptions of any duration was lower in Df-arm (0.11 [0.01; 0.21] and 0.27 [0.12; 0.42] respectively) than in bf-arm (0.20 [0.07; 0.34] and 0.39 [0.20; 0.57] respectively). DiSCuSSion. our first results about donkey milk based fortifiers are promising. Compared to the bovine fortifiers, the donkey milk based fortifier seems to have a better feeding tolerance even if these results are not significant. When we extended the study including more patients (extended sample), we observed a further slight improvement in feeding tolerance in favor of the Df-arm. We can therefore hypothesize that increasing the sample size we would observe a significant better feeding tolerance in Df-arm. to confirm our data it will be useful to perform a multicenter study in order to increase the sample size. it will be interesting to analyze metabolic, auxological and neurodevelopmental outcomes in order to determine if the use of donkey milk fortifiers will have also long-term benefits.
- Published
- 2017
6. New human milk fortifiers for the preterm infant
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Bertino, Enrico, Giribaldi, Marzia, Cester, Elena Andrea, Coscia, Alessandra, Trapani, Beatrice Maria, Peila, Chiara, Arslanoglu, Sertac, Moro, Guido Eugenio, and Cavallarin, Laura
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Preterm ,lcsh:R ,Human milk ,lcsh:RJ1-570 ,Targeted fortification ,lcsh:Medicine ,Adjustable fortification ,Bovine milk ,Quality ,Pediatrics, Perinatology and Child Health ,lcsh:Pediatrics ,Perinatology and Child Health ,Pediatrics - Abstract
Given its unique nutritional and functional advantages, human milk (HM) should be considered as the first choice for the nutrition of all infants, including preterm newborns. Since its protein, mineral and energy contents are not suitable to meet the high needs of very-low-birth-weight (VLBW) infants, HM should be fortified for these components. Fortification of HM is an important nutritional intervention in order to provide appropriate nutritional intake and appropriate growth. The standard fortification strategy has yielded inadequate protein intakes, resulting in slower growth as compared to preterm formulas. Improvement of outcomes depends on new fortification strategies, considering the large variability of HM composition. Individualized fortification, either targeted or adjustable, has been shown to be effective and practical in attaining adequate protein intakes and growth. Most commercially available multi-nutrient fortifiers and protein concentrates are derived from bovine milk (BM), which has a protein composition very different from that of HM. The use of BM proteins has been recently questioned for possible association with intestinal inflammation in VLBW infants. Recently, one HM-based fortifier was shown to be associated with lower necrotizing enterocolitis rates and lower mortality in extremely premature infants, compared to BM-based products. Other milk sources are currently under evaluation: a randomized, controlled, single-blind clinical trial, coordinated by the Neonatal Unit of the University of Turin in collaboration with the Italian National Research Council of Turin and the University of Cagliari, is being carried out to evaluate the adequacy of fortifiers derived from donkey milk for the nutrition of preterm infants.
- Published
- 2017
7. Urinary Metabolomic Profile of Preterm Infants Receiving Human Milk with Either Bovine or Donkey Milk-Based Fortifiers.
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Giribaldi, Marzia, Peila, Chiara, Coscia, Alessandra, Cavallarin, Laura, Antoniazzi, Sara, Corbu, Sara, Maiocco, Giulia, Sottemano, Stefano, Cresi, Francesco, Moro, Guido E., Bertino, Enrico, Fanos, Vassilios, and Cesare Marincola, Flaminia
- Abstract
Fortification of human milk (HM) for preterm and very low-birth weight (VLBW) infants is a standard practice in most neonatal intensive care units. The optimal fortification strategy and the most suitable protein source for achieving better tolerance and growth rates for fortified infants are still being investigated. In a previous clinical trial, preterm and VLBW infants receiving supplementation of HM with experimental donkey milk-based fortifiers (D-HMF) showed decreased signs of feeding intolerance, including feeding interruptions, bilious gastric residuals and vomiting, with respect to infants receiving bovine milk-based fortifiers (B-HMF). In the present ancillary study, the urinary metabolome of infants fed B-HMF (n = 27) and D-HMF (n = 27) for 21 days was analyzed by
1 H NMR spectroscopy at the beginning (T0) and at the end (T1) of the observation period. Results showed that most temporal changes in the metabolic responses were common in the two groups, providing indications of postnatal adaptation. The significantly higher excretion of galactose in D-HMF and of carnitine, choline, lysine and leucine in B-HMF at T1 were likely due to different formulations. In conclusion, isocaloric and isoproteic HM fortification may result in different metabolic patterns, as a consequence of the different quality of the nutrients provided by the fortifiers. [ABSTRACT FROM AUTHOR]- Published
- 2020
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8. Extracellular Vesicles in Human Preterm Colostrum Inhibit Infection by Human Cytomegalovirus In Vitro.
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Donalisio, Manuela, Cirrincione, Simona, Rittà, Massimo, Lamberti, Cristina, Civra, Andrea, Francese, Rachele, Tonetto, Paola, Sottemano, Stefano, Manfredi, Marcello, Lorenzato, Annalisa, Moro, Guido E., Giribaldi, Marzia, Cavallarin, Laura, Giuffrida, Maria Gabriella, Bertino, Enrico, Coscia, Alessandra, and Lembo, David
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HUMAN cytomegalovirus diseases ,COLOSTRUM ,HUMAN cytomegalovirus ,UREAPLASMA ,BREAST milk ,BREASTFEEDING ,PREMATURE infants ,CONGENITAL disorders - Abstract
Breast milk is a complex biofluid that nourishes infants, supports their growth and protects them from diseases. However, at the same time, breastfeeding is a transmission route for human cytomegalovirus (HCMV), with preterm infants being at a great risk of congenital disease. The discrepancy between high HCMV transmission rates and the few reported cases of infants with severe clinical illness is likely due to the protective effect of breast milk. The aim of this study was to investigate the anti-HCMV activity of human preterm colostrum and clarify the role of colostrum-derived extracellular vesicles (EVs). Preterm colostrum samples were collected and the EVs were purified and characterized. The in vitro anti-HCMV activity of both colostrum and EVs was tested against HCMV, and the viral replication step inhibited by colostrum-purified EVs was examined. We investigated the putative role EV surface proteins play in impairing HCMV infection using shaving experiments and proteomic analysis. The obtained results confirmed the antiviral action of colostrum against HCMV and demonstrated a remarkable antiviral activity of colostrum-derived EVs. Furthermore, we demonstrated that EVs impair the attachment of HCMV to cells, with EV surface proteins playing a role in mediating this action. These findings contribute to clarifying the mechanisms that underlie the protective role of human colostrum against HCMV infection. [ABSTRACT FROM AUTHOR]
- Published
- 2020
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9. Simulated dynamic digestion reveals different peptide releases from human milk processed by means of holder or high temperature-short time pasteurization.
- Author
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Giribaldi, Marzia, Nebbia, Stefano, Briard-Bion, Valérie, Jardin, Julien, Peila, Chiara, Coscia, Alessandra, Dupont, Didier, Cavallarin, Laura, and Deglaire, Amélie
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BREAST milk , *DAIRY processing , *DIGESTION , *PREMATURE infants , *FOOD pasteurization , *PASTEURIZATION of milk , *RAW milk - Abstract
• Gastric peptide release of HTST human milk was more similar than Holder to raw human milk. • Holder and HTST pasteurized human milk similarly released peptides in intestinal digestion. • Βeta-casein was digested to a higher extent in the gastric phase in Holder pasteurized human milk. • Bioactive peptides from beta-casein were released to a higher extent by Holder pasteurization. High Temperature-Short Time (HTST) pasteurization was proposed as an alternative to Holder pasteurization (HOP) to increase the retention of specific human milk (HM) bioactive proteins. The present study explored whether HTST and HOP differently affect peptide release during simulated preterm infant gastrointestinal digestion. Raw (RHM), HOP- and HTST- pasteurized HM were digested using an in vitro dynamic system, and the identified peptides were analyzed by mass spectrometry and multivariate statistics. Before digestion, 158 peptides were identified in either RHM, HTST- or HOP- HM, mostly (84.4%) originating from β-casein (CASB). During gastric digestion, HOP-HM presented a greater number and more abundant specific CASB peptides. A delayed release of peptides was observed in RHM during the intestinal phase, with respect to both pasteurized HM. Although limited to gastric digestion, the HM peptidomic profile differed according to the pasteurization type, and the pattern of the HTST peptides showed a greater similarity with RHM. [ABSTRACT FROM AUTHOR]
- Published
- 2022
- Full Text
- View/download PDF
10. Differential impact of Holder and High Temperature Short Time pasteurization on the dynamic in vitro digestion of human milk in a preterm newborn model.
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Nebbia, Stefano, Giribaldi, Marzia, Cavallarin, Laura, Bertino, Enrico, Coscia, Alessandra, Briard-Bion, Valérie, Ossemond, Jordane, Henry, Gwénaële, Ménard, Olivia, Dupont, Didier, and Deglaire, Amélie
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FOOD pasteurization , *BREAST milk , *DIGESTION , *HIGH temperatures , *MILKFAT , *HOPPING conduction , *PASTEURIZATION of milk , *RAW milk - Abstract
• Similar protein and lipid digestibility in Holder- (HoP) and HTST-pasteurized human milk. • Digestion of HTST-treated human milk caused higher retention of bioactive proteins. • Digestion of HTST-treated human milk gave AA release pattern similar to raw HoP milk. The high-temperature short-time (HTST, 72 °C, 15 s) pasteurization of human milk (HM) has been proposed as an alternative to the Holder method (HoP, 62.5 °C, 30 min), to increase the preservation of bioactive compounds. We have investigated the impact of HTST and HoP pasteurization on the gastrointestinal kinetics of human milk, using a dynamic in vitro system in a preterm newborn model. An increased protein aggregation on the surface of fat globules following pasteurization, albeit to a lesser extent in HTST than in HoP, was observed. Despite relevant differences in the undigested milk samples, both pasteurization methods led to similar proteolytic patterns, while raw HM presented a higher native lactoferrin content throughout digestion. The slightly decreased amino acid release following HoP, with respect to HTST and raw HM, indicated that peptidomic analysis, which is currently underway, might provide interesting insights on the differential digestive kinetics of differently pasteurized HM. [ABSTRACT FROM AUTHOR]
- Published
- 2020
- Full Text
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