27 results on '"Andreina Oliverio"'
Search Results
2. Sleep behavior and daily activity levels in people with metabolic syndrome: effect of 1 year of metformin treatment
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Eleonora Bruno, Antonino Mulè, Letizia Galasso, Lucia Castelli, Ivan Baldassari, Andreina Oliverio, Elisabetta Venturelli, Franco Berrino, Angela Montaruli, Eliana Roveda, and Patrizia Pasanisi
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metformin ,metabolic syndrome ,lifestyle ,sleep ,rest-activity circadian rhythm ,Nutrition. Foods and food supply ,TX341-641 - Abstract
Impaired sleep and low daily activity levels increase the risk of developing metabolic syndrome (MS). Metformin (MET), an insulin sensitizer drug, is effective in regressing MS and has been recently studied as an adjuvant agent for managing sleep disorders. The present study aimed to assess whether 1,700 mg/day of MET treatment modifies sleep and daily activity levels in people with MS evaluated by Rest-Activity circadian Rhythm (RAR), which is the expression of 24 h of spontaneous activity parameters. A total of 133 subjects with MS, randomized into the MET (n = 65) or placebo (PLA, n = 68) group, underwent a clinical/anthropometric examination and carried out a continuous 7-day actigraphic monitoring to investigate sleep and RAR parameters at baseline and after 1 year of intervention. After 1 year of intervention, 105 subjects were analyzed. The MET group showed greater anthropometric and metabolic improvements compared with placebo, with a significant reduction in weight (p = 0.01), body mass index (p = 0.01), waist circumference (p = 0.03), and glucose (p < 0.001). With regard to sleep parameters, the MET group showed a significant increase in actual sleep time (p = 0.01) and sleep efficiency (p = 0.04) compared with placebo. There were no significant changes reported in the RAR parameters. Our study suggests that MET might be used as an adjuvant treatment for sleep disorders in people with MS.
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- 2023
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3. Physical activity and sleep behaviour in women carrying BRCA1/2 mutations
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Letizia Galasso, Lucia Castelli, Eliana Roveda, Andreina Oliverio, Ivan Baldassari, Fabio Esposito, Antonino Mulè, Angela Montaruli, Pasanisi Patrizia, and Eleonora Bruno
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Medicine ,Science - Abstract
Abstract The aim of the present study is to explore the potential association between sleep quality and physical activity (PA) in women carriers of BRCA1/2 mutations. 63 women completed the Pittsburgh Sleep Quality Index (PSQI) and Godin Shepard Leisure-Time Physical Activity Questionnaire (GSL-TPAQ) and were included in the present cross-sectional analysis. Globally, women showed a PSQI score of 7.0 ± 3.6 and a GSL-TPAQ score of 22.8 ± 18.3. Good sleepers (PSQI score ≤ 5) showed significantly higher PA levels compared to bad sleepers (PSQI score > 5). Women in the higher tertile of GSL-TPAQ total score (≥ 27 METs/week) have a prevalence ratio (PR) of being a good sleeper of 2.85 (1.25–6.52, 95% confidence intervals) compared to women in the lower tertile (≤ 11 METs/week). These results were consistent in BRCA1 and BRCA2 women. Considering each single question of PA intensity, the PR of being a good sleeper by unit of increase of MET/week was higher and significant in women engaged in strenuous and moderate intensity PA. These results suggests a direct association between PA and sleep quality in women carriers of BRCA mutations.
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- 2022
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4. miRNA deregulation and relationship with metabolic parameters after Mediterranean dietary intervention in BRCA-mutated women
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Simona De Summa, Debora Traversa, Antonella Daniele, Orazio Palumbo, Massimo Carella, Raffaella Stallone, Antonio Tufaro, Andreina Oliverio, Eleonora Bruno, Maria Digennaro, Katia Danza, Patrizia Pasanisi, and Stefania Tommasi
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miRNA ,BRCA ,mediterranean diet ,dietary intervention ,metabolism ,Neoplasms. Tumors. Oncology. Including cancer and carcinogens ,RC254-282 - Abstract
BackgroundBreast cancer onset is determined by a genetics-environment interaction. BRCA1/2 gene alterations are often genetically shared in familial context, but also food intake and hormonal assessment seem to influence the lifetime risk of developing this neoplasia. We previously showed the relationship between a six-months Mediterranean dietary intervention and insulin, glucose and estradiol levels in BRCA1/2 carrier subjects. The aim of the present study was to evidence the eventual influence of this dietary intervention on the relationship between circulating miRNA expression and metabolic parameters in presence of BRCA1/2 loss of function variants.MethodsPlasma samples of BRCA-women have been collected at the baseline and at the end of the dietary intervention. Moreover, subjects have been randomized in two groups: dietary intervention and placebo. miRNA profiling and subsequent ddPCR validation have been performed in all the subjects at both time points.ResultsddPCR analysis confirmed that five (miR-185-5p, miR-498, miR-3910, miR-4423 and miR-4445) of seven miRNAs, deregulated in the training cohort, were significantly up-regulated in subjects after dietary intervention compared with the baseline measurement. Interestingly, when we focused on variation of miRNA levels in the two timepoints, it could be observed that miR-4423, miR-4445 and miR-3910 expressions are positively correlated with variation in vitaminD level; whilst miR-185-5p difference in expression is related to HDL cholesterol variation.ConclusionsWe highlighted the synergistic effect of a healthy lifestyle and epigenetic regulation in BC through the modulation of specific miRNAs. Different miRNAs have been reported involved in the tumor onset acting as tumor suppressors by targeting tumor-associated genes that are often downregulated.
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- 2023
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5. Intake of the Total, Classes, and Subclasses of (Poly)Phenols and Risk of Prostate Cancer: A Prospective Analysis of the EPIC Study
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Enrique Almanza-Aguilera, Daniel Guiñón-Fort, Aurora Perez-Cornago, Miriam Martínez-Huélamo, Cristina Andrés-Lacueva, Anne Tjønneland, Anne Kirstine Eriksen, Verena Katzke, Rashmita Bajracharya, Matthias B. Schulze, Giovanna Masala, Andreina Oliverio, Rosario Tumino, Luca Manfredi, Cristina Lasheras, Marta Crous-Bou, Maria-José Sánchez, Pilar Amiano, Sandra M. Colorado-Yohar, Marcela Guevara, Emily Sonestedt, Anders Bjartell, Elin Thysell, Elisabete Weiderpass, Dagfinn Aune, Elom K. Aglago, Ruth C. Travis, and Raul Zamora-Ros
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polyphenols ,diet ,intake ,prostate cancer ,cohort ,EPIC ,Neoplasms. Tumors. Oncology. Including cancer and carcinogens ,RC254-282 - Abstract
Existing epidemiological evidence regarding the potential role of (poly)phenol intake in prostate cancer (PCa) risk is scarce and, in the case of flavonoids, it has been suggested that their intake may increase PCa risk. We investigated the associations between the intake of the total and individual classes and subclasses of (poly)phenols and the risk of PCa, including clinically relevant subtypes. The European Prospective Investigation into Cancer and Nutrition (EPIC) cohort included 131,425 adult men from seven European countries. (Poly)phenol intake at baseline was assessed by combining validated center/country-specific dietary questionnaires and the Phenol-Explorer database. Multivariable-adjusted Cox proportional hazards models were used to estimate the hazard ratios (HR) and 95% confidence intervals (CI). In total, 6939 incident PCa cases (including 3501 low-grade and 710 high-grade, 2446 localized and 1268 advanced, and 914 fatal Pca cases) were identified during a mean follow-up of 14 years. No associations were observed between the total intake of (poly)phenols and the risk of PCa, either overall (HRlog2 = 0.99, 95% CI 0.94–1.04) or according to PCa subtype. Null associations were also found between all classes (phenolic acids, flavonoids, lignans, and stilbenes) and subclasses of (poly)phenol intake and the risk of PCa, overall and according to PCa subtype. The results of the current large prospective cohort study do not support any association between (poly)phenol intake and PCa incidence.
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- 2023
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6. The Impact of Mediterranean Dietary Intervention on Metabolic and Hormonal Parameters According to BRCA1/2 Variant Type
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Andreina Oliverio, Paolo Radice, Mara Colombo, Angelo Paradiso, Stefania Tommasi, Antonella Daniele, Daniela Andreina Terribile, Stefano Magno, Donatella Guarino, Siranoush Manoukian, Bernard Peissel, Eleonora Bruno, and Patrizia Pasanisi
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BRCA1/2 genes ,pathogenic variants ,insulin ,dietary intervention ,metabolism ,Genetics ,QH426-470 - Abstract
The female carriers of BRCA1/2 pathogenic variants (mutations) face a high lifetime risk of developing breast and/or ovarian cancer. However, the risk may differ depending on various genetic and non-genetic elements, including metabolic and hormonal factors. We previously showed that a 6-month Mediterranean dietary intervention trial reduced body weight and the levels of insulin-like growth factor I and other metabolic factors in BRCA mutation carriers. We also found that higher baseline levels of glucose and insulin were significantly associated with BRCA loss-of-function (LOF) variants. In this study, we evaluated whether the BRCA mutation type influences in a different way the metabolic and hormonal response to the dietary intervention in 366 female carriers. The LOF variant carriers randomized in the intervention group (IG) showed significantly higher changes in most considered parameters compared to the control group (CG). The nonsynonymous variant carriers in the IG showed similar changes, but none of them were statistically significant. Performing the “delta” analysis of differences (intention-to-treat analysis), we observed that in LOF variant carriers, the reduction of insulin levels was significantly more pronounced that in nonsynonymous variant carriers. These findings suggest that the changes in insulin levels might be modulated by a different response to the dietary intervention mediated by BRCA LOF variants.
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- 2022
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7. Recruitment in randomized clinical trials: The MeMeMe experience.
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Ivan Baldassari, Andreina Oliverio, Vittorio Krogh, Eleonora Bruno, Giuliana Gargano, Mauro Cortellini, Alice Casagrande, Maria G Di Mauro, Elisabetta Venturelli, Daniela Del Sette Cerulli, Bellegotti Manuela, Franco Berrino, and Patrizia Pasanisi
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Medicine ,Science - Abstract
IntroductionRecruitment is essential for the success of clinical trials. We are conducting a randomized clinical trial to test the effect of a Mediterranean dietary intervention with or without 1700 mg/day of metformin for the prevention of age-related chronic diseases, the MeMeMe trial (Trial registration number: EudraCT number: 2012-005427-32 ClinicalTrials.gov ID: NCT02960711). MeMeMe recruiting experience, highlighting strengths, limitations encountered and results is reported.Patients and methodsStatistical analysis focused on the reasons for withdrawal according to the recruitment method ("active" versus "passive" criterion) and the time of withdrawal. Logistic regression models were used to explore the associations between the risk of withdrawal and sex, recruitment method, randomization arm, and with markers of compliance to the intervention, such as one-year change in body weight.ResultsOut of 2035 volunteers, 660 (32.4%) were recruited "actively" and 1375 (67.6%) "passively". Among people who dropped out of the trial after randomization, there were 19.5% for the "active" and 22.0% for the "passive" method (p = 0.28). The risk of withdrawal was significantly higher in women (OR:1.91; 95% CI:1.17-3.12; p = 0.01), in volunteers older at recruitment (OR:1.25; 95% CI:1.07-1.45; p = 0.004), and in those with a higher BMI at baseline (OR:1.23; 95% CI:1.07-1.43; p = 0.004). Volunteers who lost at least 2 kg (the median weight change) in the first year of intervention were significantly less (53%) likely to withdraw from the trial (OR:0.48; 95% CI:0.30-0.75; p = 0.001).ConclusionOur findings suggest that the "passive" recruitment method was more effective than the "active" one to advance recruitment. The benefits of "passive" recruitment hardly outweighed the drawbacks.Trial registrationTrial registration number: EudraCT number: 2012-005427-32. ClinicalTrials.gov ID: NCT02960711.
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- 2022
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8. Author Correction: Physical activity and sleep behaviour in women carrying BRCA1/2 mutations
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Letizia Galasso, Lucia Castelli, Eliana Roveda, Andreina Oliverio, Ivan Baldassari, Fabio Esposito, Antonino Mulè, Angela Montaruli, Patrizia Pasanisi, and Eleonora Bruno
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Medicine ,Science - Published
- 2022
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9. A management system for randomized clinical trials: A novel way to supply medication.
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Mauro Cortellini, Alice Casagrande, Giuseppe Fornaciari, Daniela Del Sette, Giuliana Gargano, Maria Gaetana Di Mauro, Gabriella Saibene, Eleonora Bruno, Anna Villarini, Elisabetta Venturelli, Franco Berrino, Ivan Baldassari, Andreina Oliverio, and Patrizia Pasanisi
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Medicine ,Science - Abstract
BackgroundRandomized controlled clinical trials require management effort, involving huge organizational, economic and informatics investments. Information technology offers opportunities to approach clinical trial methodology in new ways. However, there are only a few reports of computerized data and drug management systems.ObjectiveThis paper describes a novel software created specifically for the management of a randomized trial of diet and metformin in people with metabolic syndrome (the Me.Me.Me. trial).MethodsMe.Me.Me. is an ongoing phase III randomized controlled trial in healthy people with metabolic syndrome to test the hypothesis that comprehensive lifestyle changes and/or metformin can prevent age-related chronic non-communicable diseases. To manage all the phases of the trial, we created a software which is a state pattern machine, user friendly, web-based, able to maintain the correct balance between randomization groups, and structured in various levels of security in order to guarantee the participant's privacy and compliance with the study protocol. The software achieves budget savings: drug management is not based on patients' packs, but on the actual need for drugs according to each participant's "state", with strict guidelines for the handling and supply of medication.ResultsThe trial is ongoing and recruitment will close on August 31, 2018. To date, 11737 bottles of metformin/placebo have been dispensed to 1054 randomized participants, with drug savings of 29.5%.ConclusionsA software which takes into account the "state" of participant might be a powerful resource for developing and managing clinical trials, helping avoid poor treatment allocation, and wastage of drugs and money.Me.me.me. trialEUDRACT no. 2012-005427-32. ClinicalTrials.gov Identifier: NCT02960711.
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- 2019
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10. A Mediterranean Dietary Intervention in Female Carriers of BRCA Mutations: Results from an Italian Prospective Randomized Controlled Trial
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Eleonora Bruno, Andreina Oliverio, Angelo Virgilio Paradiso, Antonella Daniele, Stefania Tommasi, Antonio Tufaro, Daniela Andreina Terribile, Stefano Magno, Alessio Filippone, Elisabetta Venturelli, Daniele Morelli, Ivan Baldassari, Maria Luisa Cravana, Siranoush Manoukian, and Patrizia Pasanisi
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randomized controlled trial ,BRCA1/2 mutations ,mediterranean diet ,insulin-like growth factor I ,penetrance ,personalized medicine ,Neoplasms. Tumors. Oncology. Including cancer and carcinogens ,RC254-282 - Abstract
Background: Women carriers of BRCA1/2 mutations face a high lifetime risk (penetrance) of developing breast and/or ovarian cancer. Insulin-like growth factor I (IGF-I), body weight and markers of insulin resistance affect BRCA penetrance. We conducted a multicenter prospective two-armed (1:1) randomized controlled trial (NCT03066856) to investigate whether a Mediterranean dietary intervention with moderate protein restriction reduces IGF-I and other metabolic modulators of BRCA penetrance. Methods: BRCA carriers, with or without a previous cancer, aged 18–70 years and without metastases were randomly assigned to an active dietary intervention group (IG) or to a control group (CG). The primary endpoint of the intervention was the IGF-I reduction. Results: 416 women (216 in the IG and 200 in the CG) concluded the six-month dietary intervention. The IG showed significantly lowered serum levels of IGF-I (−11.3 ng/mL versus −1.3 ng/mL, p = 0.02), weight (−1.5 Kg versus −0.5 Kg, p < 0.001), waist circumference (−2 cm versus −0.7 cm, p = 0.01), hip circumference (−1.6 cm versus −0.5 cm, p = 0.01), total cholesterol (−10.2 mg/dL versus −3.6 mg/dL, p = 0.04) and triglycerides (−8.7 mg/dL versus + 5.5 mg/dL, p = 0.01) with respect to the CG. Conclusions: A Mediterranean dietary intervention with moderate protein restriction is effective in reducing IGF-I and other potential modulators of BRCA penetrance.
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- 2020
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11. BRCA1/2 Variants and Metabolic Factors: Results From a Cohort of Italian Female Carriers
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Andreina Oliverio, Eleonora Bruno, Mara Colombo, Angelo Paradiso, Stefania Tommasi, Antonella Daniele, Daniela Andreina Terribile, Stefano Magno, Donatella Guarino, Siranoush Manoukian, Bernard Peissel, Paolo Radice, and Patrizia Pasanisi
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BRCA genes ,pathogenic variants ,BRCA-related cancer ,metabolic factors ,Neoplasms. Tumors. Oncology. Including cancer and carcinogens ,RC254-282 - Abstract
Women carriers of pathogenic variants (mutations) in the BRCA1/2 genes face a high lifetime risk of developing breast cancer (BC) and/or ovarian cancer (OC). However, metabolic factors may influence BRCA penetrance. We studied the association of metabolic factors with BRCA1/2 variants and the risk effect of metabolic exposures in relation to the position of the mutations within the BRCA1/2. Overall, 438 women carriers of BRCA1/2 mutations, aged 18–70, with or without a previous diagnosis of BC/OC and without metastases, who joined our randomized dietary trial, were included in the study. The pathogenic variants were divided, according to their predicted effect, into loss of function (LOF) and nonsynonymous variants. The association between metabolic exposures and variants were analyzed by a logistic regression model. LOF variant carriers showed higher levels of metabolic parameters compared to carriers of nonsynonymous variants. LOF variant carriers had significantly higher levels of plasma glucose and serum insulin than nonsynonymous variant carriers (p = 0.03 and p < 0.001, respectively). This study suggests that higher insulin levels are significantly associated with LOF variants. Further investigations are required to explore the association of metabolic factors with LOF variants and the mechanisms by which these factors may affect BRCA-related cancer risk.
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- 2020
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12. Comparing Calculated Nutrient Intakes Using Different Food Composition Databases: Results from the European Prospective Investigation into Cancer and Nutrition (EPIC) Cohort
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Heleen Van Puyvelde, Aurora Perez-Cornago, Corinne Casagrande, Geneviève Nicolas, Vickà Versele, Guri Skeie, Matthias B. Schulze, Ingegerd Johansson, José María Huerta, Andreina Oliverio, Fulvio Ricceri, Jytte Halkjær, Pilar Amiano Etxezarreta, Koen Van Herck, Elisabete Weiderpass, Marc J. Gunter, and Inge Huybrechts
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food composition database ,nutrient database ,EPIC ,ENDB ,USDA ,Nutrition. Foods and food supply ,TX341-641 - Abstract
This study aimed to compare calculated nutrient intakes from two different food composition databases using data from the European prospective investigation into cancer and nutrition (EPIC) cohort. Dietary intake data of the EPIC cohort was recently matched to 150 food components from the U.S. nutrient database (USNDB). Twenty-eight of these nutrients were already included in the EPIC nutrient database (ENDB—based upon country specific food composition tables), and used for comparison. Paired sample t-tests, Pearson’s correlations (r), weighted kappa’s (κ) and Bland-Altman plots were used to compare the dietary intake of 28 nutrients estimated by the USNDB and the ENDB for 476,768 participants. Small but significant differences were shown between the USNDB and the ENDB for energy and macronutrient intakes. Moderate to very strong correlations (r = 0.60–1.00) were found for all macro- and micronutrients. A strong agreement (κ > 0.80) was found for energy, water, total fat, carbohydrates, sugar, alcohol, potassium and vitamin C, whereas a weak agreement (κ < 0.60) was found for starch, vitamin D and vitamin E. Dietary intakes estimated via the USNDB compare adequately with those obtained via the ENDB for most macro- and micronutrients, although the agreement was weak for starch, vitamin D and vitamin E. The USNDB will allow exposure assessments for 150 nutrients to investigate associations with disease outcomes within the EPIC cohort.
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- 2020
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13. Adherence to Mediterranean Diet and Metabolic Syndrome in Mutation Carriers
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Eleonora Bruno MSc, Siranoush Manoukian MD, Elisabetta Venturelli ScD, Andreina Oliverio ScD, Francesca Rovera MD, Giovanna Iula ScD, Daniele Morelli ScD, Bernard Peissel MD, Jacopo Azzolini MD, Eliana Roveda MD, and Patrizia Pasanisi MD, MSc
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Neoplasms. Tumors. Oncology. Including cancer and carcinogens ,RC254-282 - Abstract
Background . Insulin resistance is associated with higher breast cancer (BC) penetrance in BRCA mutation carriers. Metabolic syndrome (MetS), an insulin resistance syndrome, can be reversed by adhering to the Mediterranean diet (MedDiet). In a dietary intervention trial on BRCA mutation carriers, we evaluated adherence to the MedDiet, and the association with the MetS, by analyzing data from the Mediterranean Diet Adherence Screener (MEDAS). Methods. BRCA mutation carriers, with or without BC, aged 18 to 70 years, were eligible for the trial. After the baseline examinations, women were randomized to a dietary intervention or to a control group. Both groups completed the MEDAS at baseline and at the end of the dietary intervention. Results . A total of 163 women completed the 6 months of dietary intervention. Compared with controls, the women in the intervention group significantly reduced their consumption of red meat ( P < .01) and commercial sweets ( P < .01) and their MEDAS score rose significantly (+1.3 vs +0.55, P = .02). The number of MetS parameters decreased with increasing points of adherence to the MEDAS score ( P = .01). In the intervention group, there was a significant association with the greater reduction of MetS. Conclusion. BRCA mutation carriers in the intervention group experienced greater improvement in their MedDiet and MetS parameters.
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- 2018
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14. A Dietary Intervention to Lower Serum Levels of IGF-I in BRCA Mutation Carriers
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Patrizia Pasanisi, Eleonora Bruno, Elisabetta Venturelli, Daniele Morelli, Andreina Oliverio, Ivan Baldassari, Francesca Rovera, Giovanna Iula, Monica Taborelli, Bernard Peissel, Jacopo Azzollini, and Siranoush Manoukian
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BRCA genes ,mutation carriers ,IGF-I ,diet ,penetrance ,Neoplasms. Tumors. Oncology. Including cancer and carcinogens ,RC254-282 - Abstract
Background: Insulin-like growth factor I (IGF-I) and other markers of insulin resistance (IRm) might influence the penetrance of BRCA gene mutation. In a demonstration project on BRCA mutation carriers we tested the effect of the ‘Mediterranean diet’, with moderate protein restriction, on serum levels of IGF-I and IRm. Methods: BRCA mutation carriers, with or without breast cancer, aged 18–70 years and without metastases were eligible. After the baseline examinations, women were randomized to an active dietary intervention or to a control group. The intervention group attended six full days of life-style intervention activities (cookery classes followed by lunch, sessions of walking for 45 min and nutritional conferences) over the next six months. Results: 213 BRCA mutation carriers completed the six-month study. Women in the intervention group (110) showed major changes in all the parameters under study. They significantly lost weight (p < 0.001), fat mass (p = 0.002), with reduced hip circumference (p = 0.01), triglycerides (p = 0.02) and IGF-I (p = 0.02) compared with controls. They also had a significantly higher levels of insulin-like growth factor-binding protein 3 (IGFI-BP3) (p = 0.03) and a lower IGF-I/IGFI-BP3 ratio (p = 0.04). The reduction of serum levels of IGF-I was significantly associated with the reduction in the consumption of animal products (p = 0.04). Conclusions: Women in the intervention group showed significant improvements in IGF-I and in other IRm that might influence the penetrance of BRCA mutations.
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- 2018
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15. The Role of Circulating Adiponectin and SNP276G>T at ADIPOQ Gene in BRCA-mutant Women
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Porzia Casamassima, Brunella Pilato, Maria Digennaro, Antonella Daniele, Rosa Divella, Eufemia Savino, Eleonora Bruno, Margherita Patruno, Carla Minoia, Patrizia Pasanisi, Stefania Tommasi, Michele Barone, Antonio Tufaro, Andreina Oliverio, Donatella Colangelo, and Angelo Paradiso
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Cancer Research ,medicine.medical_specialty ,Adiponectin ,business.industry ,Leptin ,BRCA mutation ,Case-control study ,Adipokine ,Odds ratio ,Biochemistry ,Penetrance ,03 medical and health sciences ,0302 clinical medicine ,Endocrinology ,030220 oncology & carcinogenesis ,Internal medicine ,Genotype ,Genetics ,Medicine ,business ,Molecular Biology - Abstract
Background Environmental factors may influence the lifetime risk of cancer (penetrance) in women with a BRCA mutation. Materials and methods In 89 BRCA-mutant women, affected or unaffected by breast/ovarian cancer, we explored serum levels of adipokines and their relation with the polymorphism SNP276G>T as modulators of BRCA penetrance. Results Affected women had significantly lower adiponectin than healthy women. Affected women with rs1501299 TT had significantly lower adiponectin and higher leptin than GT and GG genotypes. GT genotype was significantly associated with the disease status [odds ratio (OR)=3.24, 95% confidence interval (95% CI)=1.03-10.17]. Women in the lower tertile of serum adiponectin had a RR of BRCA-associated cancer of 2.80, 95% CI=1.1-7.1 (p for trend=0.03) compared with women in the higher tertile. Conclusion In the SNP rs1501299 the T allele was significantly associated with lower serum levels of adiponectin in affected women, suggesting that the T allele might be related to cancer.
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- 2020
16. The Impact of Mediterranean Dietary Intervention on Metabolic and Hormonal Parameters According to
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Andreina, Oliverio, Paolo, Radice, Mara, Colombo, Angelo, Paradiso, Stefania, Tommasi, Antonella, Daniele, Daniela Andreina, Terribile, Stefano, Magno, Donatella, Guarino, Siranoush, Manoukian, Bernard, Peissel, Eleonora, Bruno, and Patrizia, Pasanisi
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The female carriers of
- Published
- 2021
17. Management of Dietary Habits and Diarrhea in Fap Individuals: A Mediterranean Low-Inflammatory Dietary Intervention
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Maura, Ciniselli Chiara, primary, Eleonora, Bruno, additional, Andreina, Oliverio, additional, Ivan, Baldassari, additional, Marta, Pastori, additional, Stefano, Signoroni, additional, Marco, Vitellaro, additional, Teresa, Ricci Maria, additional, Massimo, Milione, additional, Laura, Cattaneo, additional, Manuela, Gariboldi, additional, Andrea, Mancini, additional, Licia, Rivoltini, additional, Daniele, Morelli, additional, Patrizia, Pasanisi, additional, and Paolo, Verderio, additional
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- 2021
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18. Recruitment in randomized clinical trials: The MeMeMe experience
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Ivan Baldassari, Andreina Oliverio, Vittorio Krogh, Eleonora Bruno, Giuliana Gargano, Mauro Cortellini, Alice Casagrande, Maria G. Di Mauro, Elisabetta Venturelli, Daniela Del Sette Cerulli, Bellegotti Manuela, Franco Berrino, and Patrizia Pasanisi
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Multidisciplinary ,Logistic Models ,Research Design ,Chronic Disease ,Racial Groups ,Humans ,Female ,Metformin - Abstract
Introduction Recruitment is essential for the success of clinical trials. We are conducting a randomized clinical trial to test the effect of a Mediterranean dietary intervention with or without 1700 mg/day of metformin for the prevention of age-related chronic diseases, the MeMeMe trial (Trial registration number: EudraCT number: 2012-005427-32 ClinicalTrials.gov ID: NCT02960711). MeMeMe recruiting experience, highlighting strengths, limitations encountered and results is reported. Patients and methods Statistical analysis focused on the reasons for withdrawal according to the recruitment method (“active” versus “passive” criterion) and the time of withdrawal. Logistic regression models were used to explore the associations between the risk of withdrawal and sex, recruitment method, randomization arm, and with markers of compliance to the intervention, such as one-year change in body weight. Results Out of 2035 volunteers, 660 (32.4%) were recruited “actively” and 1375 (67.6%) “passively”. Among people who dropped out of the trial after randomization, there were 19.5% for the “active” and 22.0% for the “passive” method (p = 0.28). The risk of withdrawal was significantly higher in women (OR:1.91; 95% CI:1.17–3.12; p = 0.01), in volunteers older at recruitment (OR:1.25; 95% CI:1.07–1.45; p = 0.004), and in those with a higher BMI at baseline (OR:1.23; 95% CI:1.07–1.43; p = 0.004). Volunteers who lost at least 2 kg (the median weight change) in the first year of intervention were significantly less (53%) likely to withdraw from the trial (OR:0.48; 95% CI:0.30–0.75; p = 0.001). Conclusion Our findings suggest that the “passive” recruitment method was more effective than the “active” one to advance recruitment. The benefits of “passive” recruitment hardly outweighed the drawbacks. Trial registration Trial registration number: EudraCT number: 2012-005427-32. ClinicalTrials.gov ID: NCT02960711.
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- 2021
19. A Mediterranean Dietary Intervention in Female Carriers of BRCA Mutations: Results from an Italian Prospective Randomized Controlled Trial
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Patrizia Pasanisi, Antonio Tufaro, Eleonora Bruno, Alessio Filippone, Daniele Morelli, Stefania Tommasi, Maria Luisa Cravana, Angelo Paradiso, Stefano Magno, Andreina Oliverio, Siranoush Manoukian, Ivan Baldassari, Daniela Terribile, Elisabetta Venturelli, and Antonella Daniele
- Subjects
0301 basic medicine ,Cancer Research ,medicine.medical_specialty ,Waist ,Mediterranean diet ,endocrine system diseases ,Gastroenterology ,lcsh:RC254-282 ,Article ,law.invention ,03 medical and health sciences ,0302 clinical medicine ,Insulin resistance ,Randomized controlled trial ,law ,Internal medicine ,Clinical endpoint ,Medicine ,penetrance ,skin and connective tissue diseases ,business.industry ,BRCA1/2 mutations ,Cancer ,mediterranean diet ,insulin-like growth factor I ,personalized medicine ,medicine.disease ,lcsh:Neoplasms. Tumors. Oncology. Including cancer and carcinogens ,Penetrance ,female genital diseases and pregnancy complications ,030104 developmental biology ,Oncology ,030220 oncology & carcinogenesis ,randomized controlled trial ,business ,Ovarian cancer - Abstract
Background: Women carriers of BRCA1/2 mutations face a high lifetime risk (penetrance) of developing breast and/or ovarian cancer. Insulin-like growth factor I (IGF-I), body weight and markers of insulin resistance affect BRCA penetrance. We conducted a multicenter prospective two-armed (1:1) randomized controlled trial (NCT03066856) to investigate whether a Mediterranean dietary intervention with moderate protein restriction reduces IGF-I and other metabolic modulators of BRCA penetrance. Methods: BRCA carriers, with or without a previous cancer, aged 18&ndash, 70 years and without metastases were randomly assigned to an active dietary intervention group (IG) or to a control group (CG). The primary endpoint of the intervention was the IGF-I reduction. Results: 416 women (216 in the IG and 200 in the CG) concluded the six-month dietary intervention. The IG showed significantly lowered serum levels of IGF-I (&minus, 11.3 ng/mL versus &minus, 1.3 ng/mL, p = 0.02), weight (&minus, 1.5 Kg versus &minus, 0.5 Kg, p <, 0.001), waist circumference (&minus, 2 cm versus &minus, 0.7 cm, p = 0.01), hip circumference (&minus, 1.6 cm versus &minus, 0.5 cm, p = 0.01), total cholesterol (&minus, 10.2 mg/dL versus &minus, 3.6 mg/dL, p = 0.04) and triglycerides (&minus, 8.7 mg/dL versus + 5.5 mg/dL, p = 0.01) with respect to the CG. Conclusions: A Mediterranean dietary intervention with moderate protein restriction is effective in reducing IGF-I and other potential modulators of BRCA penetrance.
- Published
- 2020
20. BRCA1/2 Variants and Metabolic Factors: Results From a Cohort of Italian Female Carriers
- Author
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Stefania Tommasi, Bernard Peissel, Siranoush Manoukian, Stefano Magno, Antonella Daniele, Mara Colombo, Paolo Radice, Eleonora Bruno, Daniela Terribile, Patrizia Pasanisi, Andreina Oliverio, Angelo Paradiso, and Donatella Guarino
- Subjects
0301 basic medicine ,Oncology ,Nonsynonymous substitution ,Cancer Research ,medicine.medical_specialty ,endocrine system diseases ,medicine.medical_treatment ,Logistic regression ,lcsh:RC254-282 ,Article ,BRCA-related cancer ,03 medical and health sciences ,0302 clinical medicine ,Breast cancer ,Internal medicine ,medicine ,skin and connective tissue diseases ,pathogenic variants ,Loss function ,business.industry ,Insulin ,BRCA genes ,lcsh:Neoplasms. Tumors. Oncology. Including cancer and carcinogens ,medicine.disease ,Penetrance ,030104 developmental biology ,030220 oncology & carcinogenesis ,Cohort ,metabolic factors ,business ,Ovarian cancer - Abstract
Women carriers of pathogenic variants (mutations) in the BRCA1/2 genes face a high lifetime risk of developing breast cancer (BC) and/or ovarian cancer (OC). However, metabolic factors may influence BRCA penetrance. We studied the association of metabolic factors with BRCA1/2 variants and the risk effect of metabolic exposures in relation to the position of the mutations within the BRCA1/2. Overall, 438 women carriers of BRCA1/2 mutations, aged 18&ndash, 70, with or without a previous diagnosis of BC/OC and without metastases, who joined our randomized dietary trial, were included in the study. The pathogenic variants were divided, according to their predicted effect, into loss of function (LOF) and nonsynonymous variants. The association between metabolic exposures and variants were analyzed by a logistic regression model. LOF variant carriers showed higher levels of metabolic parameters compared to carriers of nonsynonymous variants. LOF variant carriers had significantly higher levels of plasma glucose and serum insulin than nonsynonymous variant carriers (p = 0.03 and p <, 0.001, respectively). This study suggests that higher insulin levels are significantly associated with LOF variants. Further investigations are required to explore the association of metabolic factors with LOF variants and the mechanisms by which these factors may affect BRCA-related cancer risk.
- Published
- 2020
21. Comparing Calculated Nutrient Intakes Using Different Food Composition Databases: Results from the European Prospective Investigation into Cancer and Nutrition (EPIC) Cohort
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Guri Skeie, José María Huerta, Elisabete Weiderpass, Matthias B. Schulze, Jytte Halkjær, Ingegerd Johansson, Andreina Oliverio, Vickà Versele, Marc J. Gunter, Aurora Perez-Cornago, Corinne Casagrande, Inge Huybrechts, Geneviève Nicolas, Koen Van Herck, Heleen Van Puyvelde, Fulvio Ricceri, Pilar Amiano Etxezarreta, Movement and Nutrition for Health and Performance, Faculty of Physical Education and Physical Therapy, and Movement and Sport Sciences
- Subjects
0301 basic medicine ,Agriculture and Food Sciences ,Databases, Factual ,medicine.medical_treatment ,RATIONALE ,ENDB ,EPIC ,Food composition database ,Nutrient database ,USDA ,chemistry.chemical_compound ,Eating ,0302 clinical medicine ,Nutrient ,Neoplasms ,Medicine and Health Sciences ,Micronutrients ,Prospective Studies ,CALIBRATION ,Nutrition and Dietetics ,VDP::Medisinske Fag: 700::Helsefag: 800::Samfunnsmedisin, sosialmedisin: 801 ,Food composition data ,Vitamins ,Middle Aged ,Micronutrient ,Nutrition Surveys ,European Prospective Investigation into Cancer and Nutrition ,Näringslära ,030220 oncology & carcinogenesis ,food composition database ,nutrient database ,Cohort ,lcsh:Nutrition. Foods and food supply ,Life Sciences & Biomedicine ,Vitamin ,Adult ,Nutritional Status ,lcsh:TX341-641 ,Biology ,Article ,03 medical and health sciences ,Animal science ,Vitamin D and neurology ,medicine ,Humans ,Aged ,030109 nutrition & dietetics ,Science & Technology ,Nutrition & Dietetics ,Vitamin E ,STANDARDIZATION ,Diet ,Nutrition Assessment ,chemistry ,VDP::Medical disciplines: 700::Health sciences: 800::Community medicine, Social medicine: 801 ,Energy Intake ,Food Science - Abstract
This study aimed to compare calculated nutrient intakes from two different food composition databases using data from the European prospective investigation into cancer and nutrition (EPIC) cohort. Dietary intake data of the EPIC cohort was recently matched to 150 food components from the U.S. nutrient database (USNDB). Twenty-eight of these nutrients were already included in the EPIC nutrient database (ENDB&mdash, based upon country specific food composition tables), and used for comparison. Paired sample t-tests, Pearson&rsquo, s correlations (r), weighted kappa&rsquo, s (&kappa, ) and Bland-Altman plots were used to compare the dietary intake of 28 nutrients estimated by the USNDB and the ENDB for 476,768 participants. Small but significant differences were shown between the USNDB and the ENDB for energy and macronutrient intakes. Moderate to very strong correlations (r = 0.60&ndash, 1.00) were found for all macro- and micronutrients. A strong agreement (&kappa, >, 0.80) was found for energy, water, total fat, carbohydrates, sugar, alcohol, potassium and vitamin C, whereas a weak agreement (&kappa, <, 0.60) was found for starch, vitamin D and vitamin E. Dietary intakes estimated via the USNDB compare adequately with those obtained via the ENDB for most macro- and micronutrients, although the agreement was weak for starch, vitamin D and vitamin E. The USNDB will allow exposure assessments for 150 nutrients to investigate associations with disease outcomes within the EPIC cohort.
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- 2020
22. Adherence to the 2018 WCRF/AICR recommendations and sleep behaviour in people with metabolic syndrome
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Eleonora, Bruno, Eliana, Roveda, Giuliana, Gargano, Ivan, Baldassari, Andreina, Oliverio, Letizia, Galasso, Angela, Montaruli, Mauro, Cortellini, Maria Gaetana, Di Mauro, Elisabetta, Venturelli, Franco, Berrino, and Patrizia, Pasanisi
- Subjects
Male ,Metabolic Syndrome ,Cross-Sectional Studies ,Italy ,Humans ,Female ,Diet, Mediterranean ,Sleep ,Metformin ,Diet - Abstract
to investigate the association between the adherence to the 2018 World Cancer Research Fund/American Institute for Cancer Research (WCRF/AICR) recommendations and the prevalence of parameters of sleep quality and quantity in people with metabolic syndrome (MS).cross-sectional study.126 people with MS included in a randomized controlled trial of Mediterranean diet and metformin for the primary prevention of age-related chronic diseases (Me.Me.Me. study) wore for one week an actigraph called Actiwatch to assess restful sleep parameters (sleep efficiency - SE, actual sleep time - AST, immobile time - IT) and fragmented sleep parameters (moving time - MT, movement and fragmentation index - MFI, sleep latency - SL). At the baseline visit, each participants completed a 24-hour food frequency diary listing what he/she ate the previous day, and the International Physical Activity Questionnaire. These questionnaires were used to build up a score for adherence to seven relevant 2018 WCRF/AICR recommendations.the prevalence ratios (PRs) and 95% confidence intervals (CIs) of sleep parameters associated with each recommendation and with the number of met recommendations were calculated using a binomial regression model.the PRs for SE=85% and IT=84% increased with the number of met recommendations. Meeting 5-7 recommendations compared to 0-2 was associated with a better SE (PR 3.24 for SE=85%; p=0.03) and IT (PR 1.68 for IT=84%; p=0.04). The PRs for MFI=34.5 and SL=18 minutes decreased with the number of met recommendations. Meeting 5-7 recommendations compared to 0-2 was associated with a 46% lower prevalence of MFI (p=0.02) and 40% lower prevalence of SL (p=0.04).the findings of this paper suggest that the prevalence of better sleep quality in people with MS might be associated with closer adherence to 2018 WCRF/AICR recommendations.
- Published
- 2020
23. Lifestyle Characteristics in Women Carriers of BRCA Mutations: Results From an Italian Trial Cohort
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Maria Maddalena Rossi, Antonella Daniele, Alessio Filippone, Marta Giussani, Elisabetta Venturelli, Daniela Terribile, Cristina Rossi, Eleonora Bruno, Maria Digennaro, Bernard Peissel, Stefania Tommasi, Patrizia Pasanisi, Katia Danza, Brunella Pilato, Andreina Oliverio, Angelo Paradiso, and Donatella Guarino
- Subjects
0301 basic medicine ,Oncology ,Adult ,Cancer Research ,medicine.medical_specialty ,endocrine system diseases ,Nutritional Status ,Breast Neoplasms ,Disease ,Body Mass Index ,Cohort Studies ,03 medical and health sciences ,0302 clinical medicine ,Breast cancer ,Internal medicine ,medicine ,Humans ,Prospective Studies ,skin and connective tissue diseases ,Life Style ,Aged ,BRCA2 Protein ,business.industry ,BRCA1 Protein ,BRCA mutation ,Hazard ratio ,Cancer ,Environmental exposure ,Middle Aged ,medicine.disease ,Penetrance ,female genital diseases and pregnancy complications ,030104 developmental biology ,Italy ,Physical Fitness ,030220 oncology & carcinogenesis ,Cohort ,Female ,business - Abstract
Background Women with deleterious mutations in BRCA1/2 have a high lifetime penetrance of developing breast cancer and/or ovarian cancer. Genetic and/or environmental factors may influence BRCA penetrance, and identifying modifiable exposures might be valuable for prevention. Patients and Methods We implemented a multicenter prospective 2-arm (1:1) randomized controlled trial to investigate whether a Mediterranean dietary intervention with moderate protein restriction would reduce potential modulators of BRCA penetrance such as insulin-like growth factor 1 (IGF-1), body weight, and metabolic risk factors. We studied the baseline characteristics of women with BRCA-positive disease who joined the trial cohort, focusing on the relationships between selected lifestyle exposures, metabolic/anthropometric parameters, and BRCA-related cancer. Results A total of 502 women (304 with a previous diagnosis of breast cancer and/or ovarian cancer and 198 unaffected) with deleterious BRCA mutations, with or without a previous cancer, aged 18 to 70 years and without metastases were included. Late age at menarche and pregnancy were negatively associated with BRCA-related cancer, especially in women with BRCA1-positive disease. Higher fat mass and the presence of 4 or 5 metabolic risk factors were significantly associated with BRCA-related cancer (hazard ratio, 1.87, 95% confidence interval, 1.21-2.88; and hazard ratio, 1.87, 95% confidence interval, 1.11-3.19, respectively), with greater effect in BRCA2-positive women. Conclusions Our findings confirm previous observations about reproductive factors in women with BRCA disease and suggest a potential impact of metabolic factors in BRCA-related cancer. The prospective follow-up of the trial cohort will enable us to study the environmental modulators of BRCA penetrance and their impact in relation to the history of BRCA-related cancer. [ClinicalTrials.gov NCT03066856 ]
- Published
- 2020
24. The Role of Circulating Adiponectin and SNP276GT at
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Antonella, Daniele, Angelo Virgilio, Paradiso, Rosa, Divella, Maria, Digennaro, Margherita, Patruno, Stefania, Tommasi, Brunella, Pilato, Antonio, Tufaro, Michele, Barone, Carla, Minoia, Donatella, Colangelo, Eufemia, Savino, Porzia, Casamassima, Eleonora, Bruno, Andreina, Oliverio, and Patrizia, Pasanisi
- Subjects
BRCA2 Protein ,Ovarian Neoplasms ,Genotype ,BRCA1 Protein ,Breast Neoplasms ,Middle Aged ,Prognosis ,Polymorphism, Single Nucleotide ,Case-Control Studies ,Mutation ,Biomarkers, Tumor ,Humans ,Female ,Genetic Predisposition to Disease ,Adiponectin ,Retrospective Studies ,Research Article - Abstract
Background: Environmental factors may influence the lifetime risk of cancer (penetrance) in women with a BRCA mutation. Materials and Methods: In 89 BRCA-mutant women, affected or unaffected by breast/ovarian cancer, we explored serum levels of adipokines and their relation with the polymorphism SNP276G>T as modulators of BRCA penetrance. Results: Affected women had significantly lower adiponectin than healthy women. Affected women with rs1501299 TT had significantly lower adiponectin and higher leptin than GT and GG genotypes. GT genotype was significantly associated with the disease status [odds ratio (OR)=3.24, 95% confidence interval (95% CI)=1.03-10.17]. Women in the lower tertile of serum adiponectin had a RR of BRCA-associated cancer of 2.80, 95% CI=1.1-7.1 (p for trend=0.03) compared with women in the higher tertile. Conclusion: In the SNP rs1501299 the T allele was significantly associated with lower serum levels of adiponectin in affected women, suggesting that the T allele might be related to cancer.
- Published
- 2020
25. A management system for randomized clinical trials: A novel way to supply medication
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Ivan Baldassari, Maria Gaetana Di Mauro, Giuliana Gargano, Patrizia Pasanisi, Eleonora Bruno, Alice Casagrande, Gabriella Saibene, Elisabetta Venturelli, Franco Berrino, Daniela Del Sette, Mauro Cortellini, Giuseppe Fornaciari, Andreina Oliverio, and Anna Villarini
- Subjects
Male ,Data management ,Metabolic Syndrome, Metformine, Mediterranean Diet ,law.invention ,0302 clinical medicine ,Resource (project management) ,Randomized controlled trial ,law ,Software Design ,Medicine and Health Sciences ,Medicine ,030212 general & internal medicine ,Randomized Controlled Trials as Topic ,Data Management ,Metabolic Syndrome ,Multidisciplinary ,Pharmaceutics ,Software Engineering ,Middle Aged ,Metformin ,3. Good health ,030220 oncology & carcinogenesis ,Management system ,Engineering and Technology ,Female ,Medical emergency ,Research Article ,Computer and Information Sciences ,Drug Research and Development ,Medication Therapy Management ,Science ,Research and Analysis Methods ,Management Information Systems ,Computer Software ,Metformine ,03 medical and health sciences ,Drug Therapy ,Humans ,Hypoglycemic Agents ,Clinical Trials ,Aged ,Protocol (science) ,Pharmacology ,Mediterranean Diet ,business.industry ,Software Tools ,Information technology ,medicine.disease ,Randomized Controlled Trials ,Clinical trial ,Clinical Trials, Phase III as Topic ,Informatics ,Metabolic Disorders ,Clinical Medicine ,business ,Software - Abstract
BackgroundRandomized controlled clinical trials require management effort, involving huge organizational, economic and informatics investments. Information technology offers opportunities to approach clinical trial methodology in new ways. However, there are only a few reports of computerized data and drug management systems.ObjectiveThis paper describes a novel software created specifically for the management of a randomized trial of diet and metformin in people with metabolic syndrome (the Me.Me.Me. trial).MethodsMe.Me.Me. is an ongoing phase III randomized controlled trial in healthy people with metabolic syndrome to test the hypothesis that comprehensive lifestyle changes and/or metformin can prevent age-related chronic non-communicable diseases. To manage all the phases of the trial, we created a software which is a state pattern machine, user friendly, web-based, able to maintain the correct balance between randomization groups, and structured in various levels of security in order to guarantee the participant's privacy and compliance with the study protocol. The software achieves budget savings: drug management is not based on patients' packs, but on the actual need for drugs according to each participant's "state", with strict guidelines for the handling and supply of medication.ResultsThe trial is ongoing and recruitment will close on August 31, 2018. To date, 11737 bottles of metformin/placebo have been dispensed to 1054 randomized participants, with drug savings of 29.5%.ConclusionsA software which takes into account the "state" of participant might be a powerful resource for developing and managing clinical trials, helping avoid poor treatment allocation, and wastage of drugs and money.Me.me.me. trialEUDRACT no. 2012-005427-32. ClinicalTrials.gov Identifier: NCT02960711.
- Published
- 2019
26. A Dietary Intervention to Lower Serum Levels of IGF-I in BRCA Mutation Carriers
- Author
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Andreina Oliverio, Patrizia Pasanisi, Siranoush Manoukian, Daniele Morelli, Eleonora Bruno, Giovanna Iula, Ivan Baldassari, Monica Taborelli, Francesca Rovera, Jacopo Azzolini, Bernard Peissel, and Elisabetta Venturelli
- Subjects
0301 basic medicine ,Oncology ,medicine.medical_specialty ,Cancer Research ,animal structures ,endocrine system diseases ,Mediterranean diet ,medicine.medical_treatment ,Gene mutation ,lcsh:RC254-282 ,03 medical and health sciences ,0302 clinical medicine ,Blood serum ,Insulin resistance ,Breast cancer ,Internal medicine ,Medicine ,penetrance ,skin and connective tissue diseases ,mutation carriers ,BRCA genes ,Diet ,IGF-I ,Mutation carriers ,Penetrance ,business.industry ,Insulin ,BRCA mutation ,medicine.disease ,lcsh:Neoplasms. Tumors. Oncology. Including cancer and carcinogens ,female genital diseases and pregnancy complications ,030104 developmental biology ,030220 oncology & carcinogenesis ,business ,diet - Abstract
Background: Insulin-like growth factor I (IGF-I) and other markers of insulin resistance (IRm) might influence the penetrance of BRCA gene mutation. In a demonstration project on BRCA mutation carriers we tested the effect of the &lsquo, Mediterranean diet&rsquo, with moderate protein restriction, on serum levels of IGF-I and IRm. Methods: BRCA mutation carriers, with or without breast cancer, aged 18&ndash, 70 years and without metastases were eligible. After the baseline examinations, women were randomized to an active dietary intervention or to a control group. The intervention group attended six full days of life-style intervention activities (cookery classes followed by lunch, sessions of walking for 45 min and nutritional conferences) over the next six months. Results: 213 BRCA mutation carriers completed the six-month study. Women in the intervention group (110) showed major changes in all the parameters under study. They significantly lost weight (p <, 0.001), fat mass (p = 0.002), with reduced hip circumference (p = 0.01), triglycerides (p = 0.02) and IGF-I (p = 0.02) compared with controls. They also had a significantly higher levels of insulin-like growth factor-binding protein 3 (IGFI-BP3) (p = 0.03) and a lower IGF-I/IGFI-BP3 ratio (p = 0.04). The reduction of serum levels of IGF-I was significantly associated with the reduction in the consumption of animal products (p = 0.04). Conclusions: Women in the intervention group showed significant improvements in IGF-I and in other IRm that might influence the penetrance of BRCA mutations.
- Published
- 2018
27. Adherence to Mediterranean Diet and Metabolic Syndrome in Mutation Carriers
- Author
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Daniele Morelli, Eleonora Bruno, Siranoush Manoukian, Eliana Roveda, Andreina Oliverio, Jacopo Azzolini, Elisabetta Venturelli, Francesca Rovera, Bernard Peissel, Patrizia Pasanisi, and Giovanna Iula
- Subjects
Adult ,Oncology ,Heterozygote ,medicine.medical_specialty ,Mediterranean diet ,Genes, BRCA2 ,BRCA mutation carriers ,Genes, BRCA1 ,Breast Neoplasms ,Diet, Mediterranean ,metabolic syndrome ,03 medical and health sciences ,breast cancer ,0302 clinical medicine ,Breast cancer ,Insulin resistance ,Risk Factors ,Internal medicine ,medicine ,Humans ,dietary intervention trial ,030212 general & internal medicine ,Research Articles ,RC254-282 ,Gynecology ,business.industry ,BRCA mutation ,Neoplasms. Tumors. Oncology. Including cancer and carcinogens ,Heterozygote advantage ,Middle Aged ,medicine.disease ,Penetrance ,Complementary and alternative medicine ,030220 oncology & carcinogenesis ,Mutation ,Mutation (genetic algorithm) ,Female ,Metabolic syndrome ,business - Abstract
Background. Insulin resistance is associated with higher breast cancer (BC) penetrance in BRCA mutation carriers. Metabolic syndrome (MetS), an insulin resistance syndrome, can be reversed by adhering to the Mediterranean diet (MedDiet). In a dietary intervention trial on BRCA mutation carriers, we evaluated adherence to the MedDiet, and the association with the MetS, by analyzing data from the Mediterranean Diet Adherence Screener (MEDAS). Methods. BRCA mutation carriers, with or without BC, aged 18 to 70 years, were eligible for the trial. After the baseline examinations, women were randomized to a dietary intervention or to a control group. Both groups completed the MEDAS at baseline and at the end of the dietary intervention. Results. A total of 163 women completed the 6 months of dietary intervention. Compared with controls, the women in the intervention group significantly reduced their consumption of red meat ( P < .01) and commercial sweets ( P < .01) and their MEDAS score rose significantly (+1.3 vs +0.55, P = .02). The number of MetS parameters decreased with increasing points of adherence to the MEDAS score ( P = .01). In the intervention group, there was a significant association with the greater reduction of MetS. Conclusion. BRCA mutation carriers in the intervention group experienced greater improvement in their MedDiet and MetS parameters.
- Published
- 2018
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