20 results on '"Corneli, S."'
Search Results
2. Survival of Mycobacterium avium subsp. paratuberculosis in the intermediate and final digestion products of biogas plants.
- Author
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Mazzone, P., Corneli, S., Di Paolo, A., Maresca, C., Felici, A., Biagetti, M., Ciullo, M., Sebastiani, C., Pezzotti, G., Leo, S., Ricchi, M., and Arrigoni, N.
- Subjects
- *
MYCOBACTERIUM avium paratuberculosis , *FARM manure , *BIOGAS , *PLANTS , *MICROBIOLOGY , *BACTERIAL physiology - Abstract
Abstract: Aims: To evaluate the survival of Mycobacterium avium subsp. paratuberculosis (MAP) during anaerobic digestion (AD), we studied two different biogas plants loaded with manure and slurry from paratuberculosis‐infected dairy herds. Methods and Results: Both plants were operating under mesophilic conditions, the first with a single digester and the second with a double digester. Mycobacterium avium subsp. paratuberculosis detection was performed by sampling each stage of the process, specifically the prefermenter, fermenter, liquid digestate and solid digestate stages, for 11 months. In both plants, MAP was isolated from the prefermenter stage. Only the final products, the solid and liquid digestates, of the one‐stage plant showed viable MAP, while no viable MAP was detected in the digestates of the two‐stage plant. Conclusions: Mycobacterium avium subsp. paratuberculosis showed a significant decrease during subsequent steps of the AD process, particularly in the two‐stage plant. We suggest that the second digester maintained the digestate under anaerobic conditions for a longer period of time, thus reducing MAP survival and MAP load under the culture detection limit. Significance and Impact of the Study: Our data are unable to exclude the presence of MAP in the final products of the biogas plants, particularly those products from the single digester; therefore, the use of digestates as fertilizers is a real concern related to the possible environmental contamination with MAP. [ABSTRACT FROM AUTHOR]
- Published
- 2018
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3. Evaluation of the interferon-gamma (IFN-γ) assay to diagnose Mycobacterium bovis infection in pigs
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Pesciaroli, M., Russo, M., Mazzone, P., Aronica, V., Fiasconaro, M., Boniotti, M.B., Corneli, S., Cagiola, M., Pacciarini, M., Di Marco, V., and Pasquali, P.
- Published
- 2012
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4. Ethambutol resistance in Mycobacterium bovis isolates of animal origin
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Armas, F., Cifani, N., Di Marco, V., Aronica, V., Mazzone, P., Corneli, S., Capucchio, Maria Teresa, Pasquali, P., and Marianelli, C.
- Published
- 2011
5. Ruolo del suino nero siciliano come serbatoio dell’infezione da Mycobacterium bovis
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Di Marco, V., Cifani, N., Capucchio, M. T., Aronica, Vincenzo, Fiasconaro, M., Russo, M., Pesciaroli, M., Mazzone, P., Corneli, S., Boniotti, M. B., Pacciarini, L., Marianelli, C., and Pasquali, P.
- Published
- 2010
6. Assesment and genetic characterization of drug resi stance in Mycobacterium bovis strains from animals in Sicily
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Cifani, N., Armas, F., Di Marco, V., Aronica, V., Mazzone, P., Corneli, S., Capucchio, Maria Teresa, Pasquali, P., and Marianelli, C.
- Published
- 2010
7. Ruolo del Suino Nero dei Nebrodi nell’epidemiologia della tubercolosi bovina in Sicilia
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Mazzone, P., Corneli, S., Cagiola, M., Biagetti, M., Ciullo, M., Sebastiani, C., Boniotti, M. B., Pacciarini, M. L., Di Marco, V., Russo, M., Aronica, Vincenzo, Fiasconaro, M., Marianelli, C., Pesciaroli, M., and Pasquali, P.
- Published
- 2010
8. Evaluation of ochratoxin A level in human milk in Italy
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Micco, C., primary, Miraglia, M., additional, Brera, C., additional, Corneli, S., additional, and Ambruzzi, A., additional
- Published
- 1995
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9. Will Customer Choice Always Lower Costs?
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Corneli, S. B.
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- 1996
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10. Evaluation of ochratoxin A level in human milk in Italy
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Ambruzzi, A., Miraglia, M., Brera, C., Corneli, S., and Micco, C.
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BREAST milk - Published
- 1995
11. Evaluation of Single Nucleotide Polymorphisms (SNPs) Associated with Genetic Resistance to Bovine Paratuberculosis in Marchigiana Beef Cattle, an Italian Native Breed.
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Mazzone P, Di Paolo A, Petrucci L, Torricelli M, Corneli S, Sebastiani C, Ciullo M, Sebastianelli M, Costarelli S, Scoccia E, Sbarra F, Gabbianelli F, Chillemi G, Valentini A, Pezzotti G, and Biagetti M
- Abstract
Mycobacterium avium ssp. paratuberculosis (MAP) is the causative agent of paratuberculosis (PTB), a widespread chronic enteritis of ruminants. The progression of the infection depends on the containment action of innate and cell-mediated immunity (CMI), and it is related to environmental and genetic factors. In particular, PTB susceptibility seems to be associated with specific genes coding for immune regulators involved in the cell-mediated response during the infection. The aim of this preliminary study was to verify, in Italian beef cattle, an association between MAP infectious status and the presence of single nucleotide polymorphisms (SNPs) in candidate genes. To the best of our knowledge, this is the first investigation conducted on a native beef cattle breed, known as Marchigiana , reared in Central Italy. The present research, based on a longitudinal study, aimed to identify and correlate phenotypic and genetic profiles characteristic of the subjects potentially able to contrast or contain PTB. In a MAP-infected herd, ELISA, IFN-γ tests, qPCR, and cultures were performed at a follow-up, occurring within a period ranging from three to six years, to evaluate the individual state of infection. Animals testing positive for at least one test were considered infected. DNA samples of 112 bovines, with known MAP statuses, were analyzed to verify an association with SNPs in the genes encoding gamma-interferon (BoIFNG) , interleukin receptor 10 ( IL10RA ), interleukin receptor 12 (IL12RB2), and toll-like receptors (TLR1, TLR2, TLR4). Regarding statistical analysis, the differences among target genes and pairs of alleles in the analyzed groups of animals, were evaluated at a significance level of p < 0.05. For IL10RA and for IL12RB2 genes, relevant differences in genotypic frequencies among the considered cattle groups were observed. For all candidate genes studied in this investigation, SNP genotypes already associated with PTB resistance were found more frequently in our population, suggesting potential resistance traits in the Marchigiana breed.
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- 2023
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12. Early Detection of Mycobacterium avium subsp. paratuberculosis Infected Cattle: Use of Experimental Johnins and Innovative Interferon-Gamma Test Interpretative Criteria.
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Corneli S, Di Paolo A, Vitale N, Torricelli M, Petrucci L, Sebastiani C, Ciullo M, Curcio L, Biagetti M, Papa P, Costarelli S, Cagiola M, Dondo A, and Mazzone P
- Abstract
Paratuberculosis (PTB), also known as Johne's disease, is a chronic proliferative enteritis of ruminants caused by Mycobacterium avium subsp. paratuberculosis (MAP). To date, PTB diagnosis, based on serology, fecal culture, and real-time polymerase chain reaction, has identified animals in advanced stages of infection. To detect MAP infection in animals earlier, the interferon-gamma (IFN-γ) test may be applied. This assay detects cytokines produced by T-lymphocytes of infected subjects after stimulation with purified protein derivatives (PPDs), extracted from Mycobacterium bovis (MB) and from M. avium (MA). The study involved three bovine herds: one PTB-infected herd, one PTB-free herd, and one with an outbreak of bovine tuberculosis. The IFN-γ test was performed on 235 animals, using bovine PPD (PPDB), avian PPD (PPDA), and three experimental PPD Johnins (PPDJs) extracted from a synthetic liquid medium culture of MAP (PPDJ A, B, and C), to assess early MAP detection and avoid false reactions to MB. Furthermore, IFN-γ results were evaluated using 12 interpretative criteria (ICs), based on the differences and ratio between PPD optical density (OD) and IFN-γ basal OD values after lymphocytic stimulation. IC accuracy was expressed as area under the receiver operating characteristic curve. Through a longitudinal study, PPDJs proved to be specific and sensitive in the detection of MAP-infected animals. Among the evaluated ICs, six showed the best performance in terms of accuracy ( p < 0.0001), highlighting PTB subclinical infections. In particular, the two best criteria reached sensitivity values of 100% [confidence interval (CI) 95%, 94.1-100%] with a specificity of 91.8% (CI 95%, 81.9-97.3%) and sensitivity levels of 80.6% (CI 95%, 69.1-89.2%) with a specificity of 100% (CI 95%, 94.1-100%). Thus, the IFN-γ assay proved to be a useful diagnostic tool to identify early subclinical MAP-infected animals, in order to manage infected cattle or those exposed to MAP and to monitor younger calves within a herd. Furthermore, the IFN-γ test can be considered an additional test to avoid the introduction of MAP-infected animals, especially in herds where disease has already been eradicated and preservation of the health status is required to maintain the PTB certification level., Competing Interests: The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest., (Copyright © 2021 Corneli, Di Paolo, Vitale, Torricelli, Petrucci, Sebastiani, Ciullo, Curcio, Biagetti, Papa, Costarelli, Cagiola, Dondo and Mazzone.)
- Published
- 2021
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13. In "Vitro" Lps-Stimulated Sertoli Cells Pre-Loaded With Microparticles: Intracellular Activation Pathways.
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Arato I, Milardi D, Giovagnoli S, Grande G, Bellucci C, Lilli C, Bartoli S, Corneli S, Mazzone P, Calvitti M, Baroni T, Calafiore R, Mancuso F, and Luca G
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- Animals, Animals, Newborn, Intracellular Fluid drug effects, Male, NF-kappa B metabolism, Phosphorylation drug effects, Phosphorylation physiology, Sertoli Cells drug effects, Signal Transduction drug effects, Swine, Tumor Necrosis Factor-alpha metabolism, Cell-Derived Microparticles metabolism, Intracellular Fluid metabolism, Lipopolysaccharides toxicity, Sertoli Cells metabolism, Signal Transduction physiology
- Abstract
Sertoli cells (SC) are immune privileged cells with the capacity of modulating the immune response by expressing several immune-regulatory factors. SC have the capacity to respond to external stimuli through innate phagocytic and antibacterial activities. This evidence evoked a potential role of SC as drug carriers and therapeutic agents. Such stimuli drive SC towards a still unknown evolution, the clinical relevance of which as yet remains undisclosed. This study sought to investigate the effects of external stimuli in the form of polymeric microparticles (MP) and bacteria derived endotoxins, such as lipopolysaccharides (LPS), in order to identify the pathways potentially involved in cell phenotype modifications. Compared to single stimulation, when combined, MP and LPS provoked a significant increase in the gene expression of IDO, PD-L1, FAS-L, TLR-3, TLR-4, MHC-II, ICAM-1, TFGβ1, BDF123, BDF129, BDF3 and pEP2C. Western Blotting analysis demonstrated up-regulation of the ERK 1-2 and NF-kB p65 phosphorylation ratios. Our study, showing the exponential increase of these mediators upon combined MP and LPS stimulation, suggests a "switch" of SC function from typical cells of the blood-testicular barrier to nonprofessional tolerogenic antigen-presenting cells. Further studies should target the clinical and technological implications of such stimuli-induced SC transformation., Competing Interests: The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest., (Copyright © 2021 Arato, Milardi, Giovagnoli, Grande, Bellucci, Lilli, Bartoli, Corneli, Mazzone, Calvitti, Baroni, Calafiore, Mancuso and Luca.)
- Published
- 2021
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14. Generation of recombinant baculovirus expressing atoxic C-terminal CPA toxin of Clostridium perfringens and production of specific antibodies.
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Forti K, Cagiola M, Pellegrini M, Anzalone L, Di Paolo A, Corneli S, Severi G, and De Giuseppe A
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- Animals, Antibodies, Monoclonal metabolism, Bacterial Toxins chemistry, Bacterial Toxins immunology, Bacterial Toxins metabolism, Baculoviridae genetics, Baculoviridae metabolism, Caco-2 Cells, Calcium-Binding Proteins chemistry, Calcium-Binding Proteins immunology, Calcium-Binding Proteins metabolism, Clostridium Infections metabolism, Clostridium perfringens genetics, Clostridium perfringens immunology, Consensus Sequence, Humans, Immunization, Mice, Protein Domains, Protein Engineering, Recombinant Proteins immunology, Recombinant Proteins metabolism, Type C Phospholipases chemistry, Type C Phospholipases immunology, Type C Phospholipases metabolism, Antibodies, Bacterial metabolism, Bacterial Toxins genetics, Baculoviridae growth & development, Calcium-Binding Proteins genetics, Clostridium Infections prevention & control, Clostridium perfringens metabolism, Recombinant Proteins administration & dosage, Type C Phospholipases genetics
- Abstract
Background: Clostridium perfringens is the causative agent of several diseases and enteric infections in animals and humans. The virulence of C. perfringens is largely attributable to the production of numerous toxins; of these, the alpha toxin (CPA) plays a crucial role in histotoxic infections (gas gangrene). CPA toxin consists of two domains, i.e., the phospholipase C active site, which lies in the N-terminal domain amino acid (aa residues 1-250), and the C-terminal region (aa residues 251-370), which is responsible for the interaction of the toxin with membrane phospholipids in the presence of calcium ions. All currently produced clostridial vaccines contain toxoids derived from culture supernatants that are inactivated, mostly using formalin. The CPA is an immunogenic antigen; recently, it has been shown that mice that were immunized with the C-terminal domain of the toxin produced in E. coli were protected against C. perfringens infections and the anti-sera produced were able to inhibit the CPA activity. Monoclonal and polyclonal antibodies were produced only against full-length CPA and not against the truncated forms., Results: In the present study, we have reported for the first time; about the generation of a recombinant baculovirus capable of producing a deleted rCPA toxin (rBacCPA250-363H6) lacking the N-terminal domain and the 28 amino acids (aa) of the putative signal sequence. The insertion of the L21 consensus sequence upstream of the translational start codon ATG, drastically increases the yield of recombinant protein in the baculovirus-based expression system. The protein was purified by Ni-NTA affinity chromatography and the lack of toxicity in vitro was confirmed in CaCo-2 cells. Polyclonal antibodies and eight hybridoma-secreting Monoclonal antibodies were generated and tested to assess specificity and reactivity. The anti-sera obtained against the fragment rBacCPA250-363H6 neutralized the phospholipase C activity of full-length PLC., Conclusions: The L21 leader sequence enhanced the expression of atoxic C-terminal recombinant CPA protein produced in insect cells. The monoclonal and polyclonal antibodies obtained were specific and highly reactive. The availability of these biologicals could contribute to the development of diagnostic assays and/or new recombinant protein vaccines.
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- 2020
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15. Spectroscopic Characterization of Bovine, Avian and Johnin Purified Protein Derivative (PPD) with High-Throughput Fourier Transform InfraRed-Based Method.
- Author
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Corneli S, Corte L, Roscini L, Di Paolo A, Colabella C, Petrucci L, Severi G, Cagiola M, and Mazzone P
- Abstract
Tuberculins purified protein derivatives (PPDs) are obtained by precipitation from heat treated mycobacteria. PPDs are used in diagnosis of mycobacterial infections in humans and animals. Bovine PPD (PPDB) is obtained from Mycobacterium bovis ( Mycobacterium tuberculosis complex), while Avian PPD (PPDA) and Johnin PPD (PPDJ) are extracted, respectively, from Mycobacterium avium and M. avium subsp. paratuberculosis ( M. avium complex). PPDB and PPDA are used for bovine tuberculosis diagnosis, while PPDJ is experimentally used in the immunodiagnosis of paratuberculosis. Although PPDs date back to the 19th Century, limited knowledge about their composition is currently available. The goal of our study was to evaluate Fourier Transform InfraRed (FTIR) spectroscopy as a tool to differentiate PPDB, PPDA, and three PPDJs. The results highlighted that the three PPDs have specific profiles, correlated with phylogenetic characteristics of mycobacteria used for their production. This analysis is eligible as a specific tool for different PPDs batches characterization and for the assessment of their composition. The entire PPD production may be efficiently controlled, since the N content of each preparation is related to IR spectra, with a reference spectrum for each PPD and a standardized analysis protocol.
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- 2019
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16. First evaluation of endotoxins in veterinary autogenous vaccines produced in Italy by LAL assay.
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Di Paolo A, Forti K, Anzalone L, Corneli S, Pellegrini M, Severi G, and Cagiola M
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- Animal Diseases prevention & control, Animals, Italy, Autovaccines analysis, Endotoxins analysis, Limulus Test
- Abstract
Endotoxin contamination is a serious concern for manufacturers of biological products and vaccines in terms of not only quality but also safety parameters. We evaluated the endotoxin presence in different veterinary autogenous vaccines produced by the Pharmaceutical Unit at the Experimental Zooprophylactic Institute of Umbria and Marche "Togo Rosati" (IZSUM). According to the 3Rs principles (Replace, Reduce, Refine), which aim to progressively reduce animal use in the quality control process, we tested the vaccines obtained from gram-negative bacteria and adjuvants by the limulus amebocyte lysate (LAL) assay. The results revealed low endotoxin concentrations compared to available data in the literature and represent the first report of the application of the 3Rs principles to veterinary autogenous vaccines production in Italy., (Copyright © 2018 International Alliance for Biological Standardization. Published by Elsevier Ltd. All rights reserved.)
- Published
- 2018
- Full Text
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17. Evaluation of immune responses in mice and sheep inoculated with a live attenuated Brucella melitensis REV1 vaccine produced in bioreactor.
- Author
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Curina G, Nardini R, Corneli S, D'Avino N, Tentellini M, Montagnoli C, Severi G, Forti K, Paternesi B, Coletti M, and Cagiola M
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- Animals, Brucella Vaccine biosynthesis, CD4-Positive T-Lymphocytes immunology, Female, Immunophenotyping, Mice, Mice, Inbred BALB C, Sheep, Vaccines, Attenuated biosynthesis, Vaccines, Attenuated immunology, Bioreactors, Brucella Vaccine immunology, Brucella melitensis immunology, Brucellosis prevention & control, Immunogenicity, Vaccine
- Abstract
The Brucella melitensis REV1 vaccine is the most widely employed vaccine for prophylaxis against brucellosis in sheep and goats. The objective of vaccination is disease control in herds or preventing infection in farms. In this study, we produced REV1 vaccine with a protocol, based on the use of liquid medium in a bioreactor, that resulted efficient, safe, relatively fast, and cost-effective. The live attenuated vaccine produced was tested in mice and sheep to investigate its immunogenicity and efficacy. Seventy-two female BALB/c mice were obtained and subdivided in 2 groups, one was stimulated with 1 × 10
6 colony-forming units (CFUs) of B. melitensis while the other with physiological solution alone and acting as control group. Furthermore, 25 sheep were subdivided into 5 groups: four were inoculated with a B. melitensis dose, ranging from 0.6 × 109 and 3.2 × 109 CFUs and the other was the control group. In addition, a serological diagnosis was performed for sheep by rapid serum agglutination and the complement-fixation test. Immunocompetent cells from both experiment were collected at different times post vaccination and immunostained to evaluate innate and adaptive-immune responses. In mice flow cytometry was used to detect macrophages, T lymphocytes, dendritic cells, memory cells, naïve cells, natural killer cells, major histocompatibility complex type II, B lymphocytes, regulatory T lymphocytes, T helper lymphocytes, cytotoxic T lymphocytes and recently activated CD4+ and CD8+ lymphocytes. In sheep, macrophages, T helper cells, cytotoxic T lymphocytes, regulatory T lymphocytes, dendritic cells, memory cells and naïve lymphocytes, by the same method, were analyzed. The results showed, both in mice and sheep, that the live, attenuated REV1 vaccine stimulated all immunocompetent cells tested, with a balanced innate and adaptive response. In the sheep experiment, the administered vaccine dose was very important because, at the lower doses, immunological tolerance tended to disappear, while, at the highest dose, the immunological tolerance remained active for a long period. In our experimental conditions, the optimal vaccine dose for sheep was 3.2 × 109 CFUs, although a good immune response was found using a dose of 1.6 × 109 CFUs. The vaccine produced in this study could be extensively employed in developing countries to control the brucellosis in sheep and goats., (Copyright © 2018 Elsevier B.V. All rights reserved.)- Published
- 2018
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18. Detection of Echinococcus granulosus G3 in a Wild Boar ( Sus scrofa ) in Central Italy using PCR and Sequencing.
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Di Paolo A, Piseddu T, Sebastianelli M, Manuali E, Corneli S, Paniccià M, Papa P, Viali S, and Mazzone P
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- Animals, Europe, Genotype, Italy, Polymerase Chain Reaction, Swine, Echinococcosis veterinary, Echinococcus granulosus isolation & purification, Sus scrofa microbiology
- Abstract
We report cystic echinococcosis in a free-living wild boar ( Sus scrofa ) in Europe. Parasites were identified by histopathology and molecular techniques, revealing Echinococcus granulosus of the G3 genotype.
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- 2017
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19. Epidemiological significance of the domestic black pig (Sus scrofa) in maintenance of bovine tuberculosis in Sicily.
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Di Marco V, Mazzone P, Capucchio MT, Boniotti MB, Aronica V, Russo M, Fiasconaro M, Cifani N, Corneli S, Biasibetti E, Biagetti M, Pacciarini ML, Cagiola M, Pasquali P, and Marianelli C
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- Animals, Bacterial Typing Techniques, Cattle, Granuloma microbiology, Granuloma pathology, Head microbiology, Head pathology, Lymph Nodes microbiology, Lymph Nodes pathology, Multilocus Sequence Typing, Mycobacterium bovis genetics, Sicily epidemiology, Swine, Swine Diseases diagnosis, Swine Diseases microbiology, Tuberculosis, Bovine diagnosis, Tuberculosis, Bovine microbiology, Disease Reservoirs, Mycobacterium bovis isolation & purification, Sus scrofa microbiology, Swine Diseases epidemiology, Tuberculosis, Bovine epidemiology
- Abstract
Bovine tuberculosis (bTB) is an emerging disease among wild animals in many parts of the world. Wildlife reservoir hosts may thus represent a potential source of infection for livestock and humans. We investigated the role played by the Sicilian black pig, an autochthonous free- or semi-free-ranging domestic pig breed, as a potential source of bTB infection in an area where bTB prevalence in cattle is high. We initially performed a preliminary field study to assess the occurrence of bTB in such animals. We sampled 119 pigs at abattoir and found 6.7% and 3.4% of them to be affected by gross tuberculous-like lesions (TBL) and Mycobacterium bovis culture positive, respectively. We then proceeded to investigate the dissemination and characteristics of lesions in a second field study performed on 100 animals sampled from infected herds. Here, tissues collected at the abattoir were examined macroscopically, microscopically, and by culture tests. Most pigs with TBL showed generalized lesions in both gross and histological examinations (53% and 65.5%, respectively). Head lymph nodes were the most frequently affected in both localized and generalized TB cases observed macroscopically and microscopically. M. bovis was the most frequently isolated etiologic agent. The molecular characterization of isolates from both field studies by spoligotyping and analysis of 12 mycobacterial interspersed repetitive-unit-variable number tandem repeat (MIRU-VNTR) loci, followed by their comparison to isolates of cattle origin, suggested a potential transmission of mycobacteria from domestic animals to black pigs and vice versa. Our findings, along with ethological, ecological, and management considerations, suggest that the black pig might act as a bTB reservoir in the ecosystem under study. However, additional studies will be necessary to establish the true epidemiological significance of the Sicilian black pig.
- Published
- 2012
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20. Ochratoxin A levels in human milk and related food samples: an exposure assessment.
- Author
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Miraglia M, de Dominicis A, Brera C, Corneli S, Cava E, Menghetti E, and Miraglia E
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- Beer analysis, Diet, Female, Humans, Infant, Infant Food analysis, Italy, Meat analysis, Edible Grain chemistry, Milk, Human chemistry, Mycotoxins analysis, Ochratoxins analysis
- Abstract
Ochratoxin A (OA) is a mycotoxin detected in a variety of food and feeds mostly from countries with temperate or continental climate, because the fungi that produce it, mainly Aspergillus ochraceus, Penicillium verrucosum, and Penicillium viridicatum, can grow under a great variety of climate conditions. The aim of this article was, firstly, to confirm the occurrence of OA in human milk in Italy. Then, a preliminary calculation of OA intake via human milk was made, from ingested food. For this investigation, food and milk samples were collected, continuously for a week, from 4 lactating mothers. The obtained results revealed a significant exposure of sucklings and mothers to OA levels higher than the tolerable daily intake as estimated from animal models. On the basis of these data, a major effort in planning surveillance and research programs to control OA contamination in food, feed, and biological fluids should be pursued.
- Published
- 1995
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