| 1. |
- Del Chiaro, M, et al.
(författare)
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European evidence-based guidelines on pancreatic cystic neoplasms
- 2018
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Ingår i: Gut. - : BMJ. - 1468-3288 .- 0017-5749. ; 67:5, s. 789-804
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Tidskriftsartikel (refereegranskat)abstract
- Evidence-based guidelines on the management of pancreatic cystic neoplasms (PCN) are lacking. This guideline is a joint initiative of the European Study Group on Cystic Tumours of the Pancreas, United European Gastroenterology, European Pancreatic Club, European-African Hepato-Pancreato-Biliary Association, European Digestive Surgery, and the European Society of Gastrointestinal Endoscopy. It replaces the 2013 European consensus statement guidelines on PCN. European and non-European experts performed systematic reviews and used GRADE methodology to answer relevant clinical questions on nine topics (biomarkers, radiology, endoscopy, intraductal papillary mucinous neoplasm (IPMN), mucinous cystic neoplasm (MCN), serous cystic neoplasm, rare cysts, (neo)adjuvant treatment, and pathology). Recommendations include conservative management, relative and absolute indications for surgery. A conservative approach is recommended for asymptomatic MCN and IPMN measuring <40 mm without an enhancing nodule. Relative indications for surgery in IPMN include a main pancreatic duct (MPD) diameter between 5 and 9.9 mm or a cyst diameter ≥40 mm. Absolute indications for surgery in IPMN, due to the high-risk of malignant transformation, include jaundice, an enhancing mural nodule >5 mm, and MPD diameter >10 mm. Lifelong follow-up of IPMN is recommended in patients who are fit for surgery. The European evidence-based guidelines on PCN aim to improve the diagnosis and management of PCN.
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| 2. |
- Iacomino, G., et al.
(författare)
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Circulating microRNAs are associated with early childhood obesity: results of the I.Family Study
- 2019
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Ingår i: Genes and Nutrition. - : Springer Science and Business Media LLC. - 1555-8932 .- 1865-3499. ; 14
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Tidskriftsartikel (refereegranskat)abstract
- BackgroundNearly 10years ago, the World Health Organization reported the increasing prevalence of overweight and obesity worldwide as a challenge for public health due to the associated adverse consequences. Epidemiological studies established a firm relationship between an elevated body mass index and chronic conditions such as diabetes, dyslipidemia, hypertension, heart disease, non-alcoholic fatty liver disease, and some types of cancer. Omic studies demonstrated that microRNA (miRNA) profile changes in tissues correlate with a number of diseases, including obesity. Recent studies showed a remarkable stability of miRNAs also in blood, emphasizing their potential as theranostic agents for a variety of disorders and conditions. A number of miRNAs enriched in homeostasis of obesity and metabolic disorders have been characterized in previous researches.AimThis work was finalized to investigate the differential circulating miRNAs signature in early childhood obesity. Our cross-sectional study analyzed the signature of circulating miRNAs in plasma samples of normal weight (n=159) and overweight/obese (n=149) children and adolescents participating to the I.Family study, an EC-funded study finalized to investigate the etiology of overweight, obesity and related disorders and the determinants of food choice, lifestyle, and related health outcomes in children and adolescents of eight European countries (www.ifamilystudy.eu).ResultsDifferences in miRNA signature with respect to anthropometric and biochemical variables were analyzed. A high degree of variability in levels of circulating miRNAs was identified among children from different countries, in line with recent reports supporting the hypothesis that these molecules are likewise affected by environmental and lifestyle factors. A panel of miRNAs differentially expressed in overweight/low-grade obesity children was characterized (miR-551a and miR-501-5p resulted upregulated; miR-10b-5p, miR-191-3p, miR-215-5p, and miR-874-3p resulted downregulated). ROC curves were also constructed for experimentally confirmed miRNAs. Single miRNAs generally exhibited low AUC values with the highest values for miR-874-3p and miR-501-5p which in combination provided an interesting value (AUC=0.782). Pearson's analysis confirmed that miR-10b-5p, miR-215-5p, miR-501-5p, miR-551a, and miR-874-3p significantly correlated with BMI z-score. Molecular interactions of obesity-associated miRNAs were also predicted by bioinformatics tools.ConclusionsOur work showed that several circulating miRNAs are differentially represented in overweight/low-grade obesity children and adolescents. Although causal pathways cannot be firmly inferred, it is conceivable that circulating miRNAs may be new biomarkers of early childhood obesity.Trial registrationISRCTN, ISRCTN62310987. Registered 23/02/2018 - Retrospectively registered.
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| 3. |
- Iacomino, G., et al.
(författare)
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Circulating miRNAs are associated with sleep duration in children/adolescents: Results of the I.Family Study
- 2020
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Ingår i: Experimental Physiology. - : Wiley. - 0958-0670 .- 1469-445X. ; 105:2, s. 347-356
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Tidskriftsartikel (refereegranskat)abstract
- New Findings What is the central question of this study?Are differential patterns of circulating miRNAs associated with sleep duration in normal-weight European children and adolescents? What is the main finding and its importance?Differences in the expression level of circulating miR-26b-3p and miR-485-5p are positively associated with total sleep duration in healthy normal-weight children and adolescents. It is commonly recognized that sleep is essential for children's health, and that insufficient sleep duration is associated with negative health outcomes. In humans, sleep duration and quality are influenced by genetic, environmental and social factors. Epigenetic mechanisms, likewise, regulate circadian rhythms and sleep patterns. In the present study, we aimed to identify circulating microRNAs associated with sleep duration in a subsample of normal-weight European children/adolescents (n = 111) participating in the I.Family Study. Subjects were divided into two groups based upon self-reported sleep duration, according to the recommended amount of sleep for paediatric populations. Sleep needs for children <13 years were at least 9 h per day, and for children >13 were at least 8 h per day. There were group differences (short sleepers versus normal sleepers) in circulating levels of miR-26b-3p (mean (95% CI) = 2.0 (1.3-2.7) versus 2.3 (1.9-2.7), P = 0.05) and miR-485-5p (mean (95% CI) = 0.6 (0.3-0.9) versus 0.9 (0.7 - 1.0), P < 0.001), adjusting for country of origin, age, sex, pubertal status, screen time and highest educational level of parents. Our findings show for the first time that sleep duration reflects the profile of specific circulating microRNAs in school-aged children and adolescents. It is conceivable that epigenetic modifications, mainly related to circadian rhythm control, may be modulated or interfere with sleep duration.
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| 4. |
- Iacomino, G., et al.
(författare)
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The association of circulating miR-191 and miR-375 expression levels with markers of insulin resistance in overweight children: an exploratory analysis of the I.Family Study
- 2021
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Ingår i: Genes and Nutrition. - : Springer Science and Business Media LLC. - 1555-8932 .- 1865-3499. ; 16:1
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Tidskriftsartikel (refereegranskat)abstract
- Background: In recent years, the exciting emergence of circulating miRNAs as stable, reproducible, and consistent among individuals has opened a promising research opportunity for the detection of non-invasive biomarkers. A firm connection has been established between circulating miRNAs and glycaemic as well as metabolic homeostasis, showing that levels of specific miRNAs vary under different physio-pathological conditions. Objective: In this pilot study, we investigated the expression of candidate miRNAs, hsa-miR-191-3p and hsa-miR-375, in relation to biomarkers associated with insulin sensitivity in a subgroup (n=58) of subjects participating to the European I.Family Study, a project aimed to assess the determinants of eating behaviour in children and adolescents and related health outcomes. The sample included overweight/obese children/adolescents since overweight/obesity is a known risk factor for impaired glucose homeostasis and metabolic disorders. Biological targets of candidate miRNAs were also explored in silico. Results: We observed a significant association of the two miRNAs and early changes in glycaemic homeostasis, independent of covariates including country of origin, age, BMI z-score, puberty status, highest educational level of parents, total energy intake, energy from fats, energy from carbohydrates, and energy from proteins. Conclusion: Identification of circulating miRNAs associated with insulin impairment may offer novel approaches of assessing early variations in insulin sensitivity and provide evidence about the molecular mechanisms connected to early changes in glycaemic homeostasis. Trial registration: ISRCTN, ISRCTN62310987. Retrospectively registered, http://isrctn.com/ISRCTN62310987 © 2021, The Author(s).
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| 5. |
- Ilieva, L., et al.
(författare)
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Nanosized gold catalysts on Pr-modified ceria for pure hydrogen production via WGS reaction
- 2015
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Ingår i: Materials Chemistry and Physics. - : Elsevier BV. - 0254-0584 .- 1879-3312. ; 157, s. 138-146
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Tidskriftsartikel (refereegranskat)abstract
- The WGS activity of gold catalysts on ceria doped with Pr (5 and 10 at% Pr) was studied. The supports were synthesized by impregnation (IM) and microemulsion (ME) method. Gold (3 wt%) was introduced by deposition-precipitation method. The samples were characterized by means of XRD, TEM, XPS and TPR measurements. The catalytic activity in WGSR of fresh catalysts did not differ significantly. After re-oxidation following the first catalytic run, the activity of gold catalyst on IM support with 5 at% Pr increased, while a significant drop in activity of the gold catalyst on ME support containing 10 at% Pr was registered. In the latter case the presence of very small gold particles were responsible for the initial WGS activity, while their agglomeration after the catalytic reaction caused the observed activity decrease. In the former case the higher activity during the second catalytic run could be explained by: (i) the redox behavior, showing that only in this case the most mobile oxygen could be fully recovered; (ii) the morphology of the support, revealing better crystallization of the support after WGS catalytic test as compared to the presence of partially amorphous ceria in the fresh gold catalyst.
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| 6. |
- Ilieva, L., et al.
(författare)
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Pure hydrogen production via PROX over gold catalysts supported on Pr-modified ceria
- 2014
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Ingår i: Fuel. - : Elsevier BV. - 0016-2361 .- 1873-7153. ; 134, s. 628-635
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Tidskriftsartikel (refereegranskat)abstract
- Two series of Pr-doped (5 and 10 at.% Pr) cerium oxides were synthesized by impregnation (IM) and microemulsion method (ME). The Au catalysts (3 wt.%) supported on these oxides were tested in PROX. The samples were characterized by XRD, XPS and TPR measurements. At the operating temperature of the fuel cells (80-120 degrees C) gold catalysts on Pr-doped ceria supports synthesized by IM method exhibited much higher PROX activity as compared to the case of ME method. The observed different catalytic behavior was attributed to the different support preparation affecting the gold particle sizes and the mixed support features. In the case of mixed supports synthesized by IM the size of gold particles established by XRD is smaller and the supply of oxygen evidenced by the obtained TPR results is higher as compared to the gold catalysts on the ME prepared mixed supports. The higher gold dispersion as well as the more defective structure assumed by higher microstrain parameter of ceria lattice (XRD data) due to Pr-doping by IM method, improved both the reducibility and the PROX activity up to 120 degrees C.
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| 7. |
- Lauria, F., et al.
(författare)
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Circulating miRNAs Are Associated with Inflammation Biomarkers in Children with Overweight and Obesity: Results of the I.Family Study
- 2022
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Ingår i: Genes. - : MDPI AG. - 2073-4425. ; 13:4
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Tidskriftsartikel (refereegranskat)abstract
- Increasing data suggest that overnutrition-induced obesity may trigger an inflammatory process in adipose tissue and upturn in the innate immune system. Numerous players have been involved in governing the inflammatory response, including epigenetics. Among epigenetic players, miRNAs are emerging as crucial regulators of immune cell development, immune responses, autoimmunity, and inflammation. In this study, we aimed at identifying the involvement of candidate miRNAs in relation to inflammation-associated biomarkers in a subsample of European children with overweight and obesity participating in the I.Family study. The study sample included individuals with increased adiposity since this condition contributes to the early occurrence of chronic low-grade inflammation. We focused on the acute-phase reagent C-reactive protein (CRP) as the primary outcome and selected cytokines as plausible biomarkers of inflammation. We found that chronic low-grade CRP elevation shows a highly significant association with miR-26b-3p and hsa-miR-576-5p in boys. Furthermore, the association of CRP with hsa-miR-10b-5p and hsa-miR-31-5p is highly significant in girls. We also observed major sex-related associations of candidate miRNAs with selected cytokines. Except for IL-6, a significant association of hsa-miR-26b-3p and hsa-miR-576-5p with TNF-alpha, IL1-Ra, IL-8, and IL-15 levels was found exclusively in boys. The findings of this exploratory study suggest sex differences in the association of circulating miRNAs with inflammatory response biomarkers, and indicate a possible role of miRNAs among the candidate epigenetic mechanisms related to the process of low-grade inflammation in childhood obesity.
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| 8. |
- Lorenzi, Guido, et al.
(författare)
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Integration of high-temperature electrolysis in an HVO production process using waste vegetable oil
- 2019
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Ingår i: Innovative Solutions for Energy Transitions. - : Elsevier. ; , s. 2005-2011
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Konferensbidrag (refereegranskat)abstract
- The production of substitutes for liquid fossil fuels is of utmost importance for the decarbonization of the transport sector. This paper assesses the economic feasibility of producing hydrotreated vegetable oil (HVO) using waste vegetable oils as feedstock. The supply of hydrogen for the upgrading of the oil is obtained through a high-temperature electrolysis process, fed by low-carbon electricity. The use of waste materials eliminates the competition with food crops (e.g. soybean or rapeseed) and promotes the recycle of substances that should be treated for disposal. The results of the study show that the production cost of HVO with the considered plant are around 33% higher than that of fossil diesel. Moreover, the variable that has the strongest impact on the production cost of HVO is the price of the waste vegetable oil, which affects the final results more than the electricity price and the cost of the electrolyser.
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