| 1. |
- Bianco, Cristina, et al.
(författare)
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Non-invasive stratification of hepatocellular carcinoma risk in non-alcoholic fatty liver using polygenic risk scores.
- 2021
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Ingår i: Journal of hepatology. - : Elsevier BV. - 1600-0641 .- 0168-8278. ; 74:4, s. 775-782
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Tidskriftsartikel (refereegranskat)abstract
- Hepatocellular carcinoma (HCC) risk stratification in individuals with dysmetabolism is a major unmet need. Genetic predisposition contributes to non-alcoholic fatty liver disease (NAFLD). We aimed to exploit robust polygenic risk scores (PRS) that can be evaluated in the clinic to gain insight into the causal relationship between NAFLD and HCC, and to improve HCC risk stratification.We examined at-risk individuals (NAFLD cohort, n=2,566; 226 with HCC; and a replication cohort of 427 German patients with NAFLD) and the general population (UK Biobank [UKBB] cohort, n=364,048; 202 with HCC). Variants in PNPLA3-TM6SF2-GCKR-MBOAT7 were combined in a hepatic fat PRS (PRS-HFC), and then adjusted for HSD17B13 (PRS-5).In the NAFLD cohort, the adjusted impact of genetic risk variants on HCC was proportional to the predisposition to fatty liver (p=0.002) with some heterogeneity in the effect. PRS predicted HCC more robustly than single variants (p<10-13). The association between PRS and HCC was mainly mediated through severe fibrosis, but was independent of fibrosis in clinically relevant subgroups, and was also observed in those without severe fibrosis (p<0.05). In the UKBB cohort, PRS predicted HCC independently of classical risk factors and cirrhosis (p<10-7). In the NAFLD cohort, we identified high PRS cut-offs (≥0.532/0.495 for PRS-HFC/PRS-5) that in the UKBB cohort detected HCC with ∼90% specificity but limited sensitivity; PRS predicted HCC both in individuals with (p<10-5) and without cirrhosis (p<0.05).Our results are consistent with a causal relationship between hepatic fat and HCC. PRS improved the accuracy to detect HCC and may help stratify HCC risk in individuals with dysmetabolism, including those without severe liver fibrosis. Further studies are needed to validate our findings.
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| 2. |
- Armandi, Angelo, et al.
(författare)
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Serum ferritin levels can predict long-term outcomes in patients with metabolic dysfunction-associated steatotic liver disease
- 2024
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Ingår i: Gut. - : BMJ PUBLISHING GROUP. - 0017-5749 .- 1468-3288.
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Tidskriftsartikel (refereegranskat)abstract
- Objective Hyperferritinaemia is associated with liver fibrosis severity in patients with metabolic dysfunction-associated steatotic liver disease (MASLD), but the longitudinal implications have not been thoroughly investigated. We assessed the role of serum ferritin in predicting long-term outcomes or death. Design We evaluated the relationship between baseline serum ferritin and longitudinal events in a multicentre cohort of 1342 patients. Four survival models considering ferritin with confounders or non-invasive scoring systems were applied with repeated five-fold cross-validation schema. Prediction performance was evaluated in terms of Harrell's C-index and its improvement by including ferritin as a covariate. Results Median follow-up time was 96 months. Liver-related events occurred in 7.7%, hepatocellular carcinoma in 1.9%, cardiovascular events in 10.9%, extrahepatic cancers in 8.3% and all-cause mortality in 5.8%. Hyperferritinaemia was associated with a 50% increased risk of liver-related events and 27% of all-cause mortality. A stepwise increase in baseline ferritin thresholds was associated with a statistical increase in C-index, ranging between 0.02 (lasso-penalised Cox regression) and 0.03 (ridge-penalised Cox regression); the risk of developing liver-related events mainly increased from threshold 215.5 mu g/L (median HR=1.71 and C-index=0.71) and the risk of overall mortality from threshold 272 mu g/L (median HR=1.49 and C-index=0.70). The inclusion of serum ferritin thresholds (215.5 mu g/L and 272 mu g/L) in predictive models increased the performance of Fibrosis-4 and Non-Alcoholic Fatty Liver Disease Fibrosis Score in the longitudinal risk assessment of liver-related events (C-indices>0.71) and overall mortality (C-indices>0.65). Conclusions This study supports the potential use of serum ferritin values for predicting the long-term prognosis of patients with MASLD.
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| 6. |
- Liguori, Anna, et al.
(författare)
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Bio-based ester- and ester-imine resins for digital light processing 3D printing : The role of the chemical structure on reprocessability and susceptibility to biodegradation under simulated industrial composting conditions
- 2024
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Ingår i: European Polymer Journal. - : Elsevier BV. - 0014-3057 .- 1873-1945. ; 219
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Tidskriftsartikel (refereegranskat)abstract
- Four biobased ester and ester-imine photocurable resins were formulated and evaluated for printability by digital light processing 3D printing. The resin formulations consisted of methacrylated eugenol alone or in combination with methacrylated poly(hydroxybutyrate)-oligomers and/or methacrylated vanillin-derived Schiff-base monomers. It was not possible to print methacrylated eugenol alone into coherent thermosets, likely due to the lower reactivity of the allyl-double bond. However, in combination with the other building blocks methacrylated eugenol improved the printability, although some over-curing phenomena were registered especially for the resins composed of methacrylated eugenol and methacrylated poly(hydroxybutyrate)-derived oligomers. The three formulations that were successfully printed to coherent thermosets were further evaluated for their solvent resistance, thermal and mechanical properties, reprocessability and biodegradability under simulated industrial composting conditions. The reprocessing experiments documented the synergic effect of ester and imine dynamic covalent bonds in favoring the preservation of the elastic modulus of the thermosets; while an evidently higher deterioration of the mechanical properties was registered for the ester-thermosets. The biodegradation studies highlighted a clear correlation between the biodegradation rate and the chemical structure of the thermosets, with the aliphatic components and ester and imine bonds increasing the thermosets' susceptibility to the biodegradation under simulated industrial composting conditions.
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| 7. |
- Liguori, Anna, et al.
(författare)
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Designed from Biobased Materials for Recycling : Imine-Based Covalent Adaptable Networks
- 2022
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Ingår i: Macromolecular rapid communications. - : Wiley. - 1022-1336 .- 1521-3927. ; 43:13, s. 2100816-
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Tidskriftsartikel (refereegranskat)abstract
- Turning thermosets into fully sustainable materials requires utilization of biobased raw materials and design for easy recyclability. Here, dynamic covalent chemistry for fabrication of covalent adaptable networks (CANs) could be an enabling tool. CAN thermosets ideally combine the positive material properties of thermosets with thermal recyclability of linear thermoplastics. Among the dynamic covalent bonds, imine bond, also called Schiff base, can participate in both dissociative and associative pathways. This induces potential for chemical recyclability, thermal reprocessability and self-healing. This review presents an overview of the current research front of biobased thermosets fabricated by Schiff base chemistry. The discussed materials are categorized on the basis of the employed biobased components. The chemical approaches for the synthesis and curing of the resins, as well as the resulting properties and recyclability of the obtained thermosets are described and discussed. Finally, challenges and future perspectives are briefly summarized.
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| 8. |
- Liguori, Anna, et al.
(författare)
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Digital Light Processing 3D Printing of Isosorbide- and Vanillin-Based Ester and Ester-Imine Thermosets : Structure-Property Recyclability Relationships
- 2023
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Ingår i: ACS Sustainable Chemistry and Engineering. - : American Chemical Society (ACS). - 2168-0485. ; 11:39, s. 14601-14613
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Tidskriftsartikel (refereegranskat)abstract
- Four isosorbide-based photocurable resins were designed to reveal correlations between the composition and chemical structure, digital light processing (DLP) three-dimensional (3D) printability, thermoset properties, and recyclability. Especially, the role of functional groups, i.e., the concentration of ester groups vs the combination of ester and imine functionalities, in the recyclability of the resins was investigated. The resins consisted of methacrylated isosorbide alone or in combination with methacrylated vanillin or a flexible methacrylated vanillin Schiff-base. The composition of the resins significantly affected their 3D printability as well as the physical and chemical properties of the resulting thermosets. The results indicated the potential of methacrylated isosorbide to confer rigidity to thermosets with some negative effects on the printing quality and solvent-resistance properties. An increase in the methacrylated vanillin concentration in the resin enabled us to overcome these drawbacks, leading, however, to thermosets with lower thermal stability. The replacement of methacrylated vanillin with the methacrylated Schiff-base resin decreased the rigidity of the networks, ensuring, on the other hand, improved solvent-resistance properties. The results highlighted an almost complete preservation of the elastic modulus after the reprocessing or chemical recycling of the ester-imine thermosets, thanks to the presence of two distinct dynamic covalent bonds in the network; however, the concentration of the ester functions in the ester thermosets played a significant role in the success of the chemical recycling procedure.
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| 9. |
- Liguori, Anna, et al.
(författare)
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Photocurable extended vanillin-based resin for mechanically and chemically recyclable, self-healable and digital light processing 3D printable thermosets
- 2022
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Ingår i: European Polymer Journal. - : Elsevier BV. - 0014-3057 .- 1873-1945. ; 178
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Tidskriftsartikel (refereegranskat)abstract
- A vanillin-based photocurable resin was designed for circularity by incorporation of imine functionalities through a Schiff-base reaction between the aldehyde function of vanillin and amino group of ethylene diamine. Sufficient flexibility was provided by a short aliphatic segment introduced by reaction of vanillin with ethylene carbonate, while photocurability was obtained by subsequent methacrylation. The cured thermoset had good solvent resistance, relatively high glass transition temperature (similar to 75 degrees C) and good thermal stability with an onset of degradation above 300 degrees C. Due to the crosslinked structure and imine linkages, the thermoset expressed malleability, self-healing and thermal reprocessability. Furthermore, it could be chemically recycled by immersing in ethylene diamine, which activated transimination. The obtained oligomeric product with amineterminal groups could be utilized for production of new thermoset films. Tensile testing illustrated similar elastic modulus for mechanically and chemically recycled thermosets, while a slight increase was observed for the self-healed samples, ascribable to a completion of the curing during the post-processing. At the same time elongation and stress at break slightly decreased. Finally, the suitability of the resin for the production of 3D objects by means of digital light processing (DLP) 3D printing was demonstrated.
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| 10. |
- Liguori, Anna, et al.
(författare)
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Simple Non-Equilibrium Atmospheric Plasma Post-Treatment Strategy for Surface Coating of Digital Light Processed 3D-Printed Vanillin-Based Schiff-Base Thermosets
- 2023
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Ingår i: ACS Applied Polymer Materials. - : American Chemical Society (ACS). - 2637-6105. ; 5:10, s. 8506-8517
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Tidskriftsartikel (refereegranskat)abstract
- A simple non-equilibrium atmospheric plasma post-treatment strategy was developed for the surface coating of three-dimensional (3D) structures produced by digital light processing 3D printing. The influence of non-equilibrium atmospheric plasma on the chemical and physical properties of vanillin-derived Schiff-base thermosets and the dip-coating process was investigated and compared to the influence of traditional post-treatment with UV-light. As a comparison, thermosets without post-treatment were also subjected to the coating procedure. The results document that UV post-treatment can induce the completion of the curing of the printed thermosets if complete curing is not reached during printing. Conversely, the plasma post-treatment does not contribute to the curing of the thermoset but causes some opening of the imine bonds and the regeneration of aldehyde functions. As a consequence, no great differences are observed between the not post-treated and plasma post-treated samples in terms of mechanical, thermal, and solvent-resistant properties. In contrast to the UV post-treatment, the plasma post-treatment of the thermosets induces a noticeable increase of the thermoset hydrophilicity ascribed to the reformation of amines on the thermoset surface. The successful coating process and the greatest uniformity of the lignosulfonate coating on the surface of plasma post-treated samples are considered to be due to the presence of these amines and aldehydes. The investigation of the UV shielding properties and antioxidant activities documents the increase of both properties with the increasing amount and uniformity of the formed coating. Interestingly, evident antioxidant properties are also shown by the noncoated thermosets, which are deduced to their chemical structures.
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