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147 result(s) for "Mennuni"
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Reduced Rate of Hospital Admissions for ACS during Covid-19 Outbreak in Northern Italy
During the Covid-19 outbreak in northern Italy, the daily rate of admissions for acute coronary syndrome at 15 hospitals was significantly lower than the rate during two control intervals (13.3 admissions vs. 18.0 and 18.9 admissions for the two control periods).
Generalized Quasilinear Elliptic Equations in RN
In this paper, we aim at establishing a new existence result for the quasilinear elliptic equation - div ( a ( x , u , ∇ u ) ) + A t ( x , u , ∇ u ) + V ( x ) | u | p - 2 u = g ( x , u ) in R N with p > 1 , N ≥ 2 and V : R N → R suitable measurable positive function. Here, we suppose A : R N × R × R N → R is a given C 1 -Carathéodory function which grows as | ξ | p , with A t ( x , t , ξ ) = ∂ A ∂ t ( x , t , ξ ) , a ( x , t , ξ ) = ∇ ξ A ( x , t , ξ ) , V : R N → R is a suitable measurable function and g : R N × R → R is a given Carathéodory function which grows as | ξ | q with 1 < q < p . Since the coefficient of the principal part depends on the solution itself, under suitable assumptions on A ( x , t , ξ ) , V ( x ) and g ( x ,  t ), we study the interaction of two different norms in a suitable Banach space with the aim of obtaining a good variational approach. Thus, a minimization argument on bounded sets can be used to state the existence of a nontrivial weak bounded solution on an arbitrary bounded domain. Then, one nontrivial bounded solution of the given equation can be found by passing to the limit on a sequence of solutions on bounded domains. Finally, under slightly stronger hypotheses, we can able to find a positive solution of the problem.
Hypertension and kidneys: unraveling complex molecular mechanisms underlying hypertensive renal damage
Kidney damage represents a frequent event in the course of hypertension, ranging from a benign to a malignant form of nephropathy depending on several factors, that is, individual susceptibility, degree of hypertension, type of etiology and underlying kidney disease. Multiple mechanisms are involved in determination of kidney glomerular, tubular and interstitial injuries in hypertension. The present review article discusses relevant contributory molecular mechanisms underpinning the promotion of hypertensive renal damage, such as the renin–angiotensin–aldosterone system (RAAS), oxidative stress, endothelial dysfunction, and genetic and epigenetic determinants. We highlighted major pathways involved in the progression of inflammation and fibrosis leading to glomerular sclerosis, tubular atrophy and interstitial fibrosis, thus providing a state of the art review of the pathogenetic background useful for a better understanding of current and future therapeutic strategies toward hypertensive nephropathy. An adequate control of high blood pressure, obtained through an appropriate therapeutic intervention, still represents the key strategy to achieve a satisfactory control of renal damage in hypertension. In this regard, we reviewed the impact of currently available antihypertensive pharmacological treatment on kidney damage, with particular regard to RAAS inhibitors. Notably, recent findings underscored the ability of the kidneys to regenerate and to repair tissue injuries through the differentiation of resident embryonic stem cells. Pharmacological modulation of the renal endogenous reparative process (that is, with angiotensin-converting enzyme inhibitors and AT1 angiotensin II receptor blockers), as well as future therapeutic strategies targeted to the renopoietic system, offers interesting perspectives for the management of hypertensive nephropathy.
Tissue-specific responses to TFAM and mtDNA copy number manipulation in prematurely ageing mice
Somatic mitochondrial DNA (mtDNA) mutations are implicated as important drivers of ageing and age-related diseases. Their pathological effect can be counteracted by increasing the absolute amount of wild-type mtDNA via moderately upregulating TFAM, a protein important for mtDNA packaging and expression. However, strong TFAM overexpression can also have detrimental effects as it results in mtDNA hypercompaction and subsequent impairment of mtDNA gene expression. Here, we have experimentally addressed the propensity of moderate TFAM modulation to improve the premature ageing phenotypes of mtDNA mutator mice, carrying random mtDNA mutations. Surprisingly, we detect tissue-specific endogenous compensatory mechanisms acting in mtDNA mutator mice, which largely affect the outcome of TFAM modulation. Accordingly, moderate overexpression of TFAM can have negative and beneficial effects in different tissues of mtDNA mutator mice. We see a similar behavior for TFAM reduction, which improves brown adipocyte tissue homeostasis, while other tissues are unaffected. Our findings highlight that the regulation of mtDNA copy number and gene expression is complex and causes tissue-specific effects that should be considered when modulating TFAM levels. Additionally, we suggest that TFAM is not the sole determinant of mtDNA copy number in situations where oxidative phosphorylation (OXPHOS) is compromised, but other important players must be involved.
Generalized Quasilinear Elliptic Equations in$${\\mathbb {R}}^N
In this paper, we aim at establishing a new existence result for the quasilinear elliptic equation$$\\begin{aligned} - \\textrm{div} (a(x,u,\\nabla u)) + A_t(x,u,\\nabla u) + V(x) {\\vert u \\vert }^{p-2} u= g(x,u) \\quad \\quad \\hbox { in }{{\\mathbb {R}}}^{N} \\end{aligned}$$- div ( a ( x , u , ∇ u ) ) + A t ( x , u , ∇ u ) + V ( x ) | u | p - 2 u = g ( x , u ) in R N with$$p>1$$p > 1 ,$$N\\ge 2\\ $$N ≥ 2 and$$V:{\\mathbb {R}}^N\\rightarrow {\\mathbb {R}}$$V : R N → R suitable measurable positive function. Here, we suppose$$A: {\\mathbb {R}}^N \\times {\\mathbb {R}}\\times {\\mathbb {R}}^N \\rightarrow {\\mathbb {R}}$$A : R N × R × R N → R is a given$${C}^{1}$$C 1 -Carathéodory function which grows as$$|\\xi |^p$$| ξ | p , with$$A_t(x,t,\\xi ) = \\frac{\\partial A}{\\partial t}(x,t,\\xi )$$A t ( x , t , ξ ) = ∂ A ∂ t ( x , t , ξ ) ,$$a(x,t,\\xi ) = \\nabla _\\xi A(x,t,\\xi )$$a ( x , t , ξ ) = ∇ ξ A ( x , t , ξ ) ,$$V:{\\mathbb {R}}^N\\rightarrow {\\mathbb {R}}$$V : R N → R is a suitable measurable function and$$g:{\\mathbb {R}}^N \\times {\\mathbb {R}}\\rightarrow {\\mathbb {R}}$$g : R N × R → R is a given Carathéodory function which grows as$$|\\xi |^q$$| ξ | q with$$1
2-Deoxy-D-glucose couples mitochondrial DNA replication with mitochondrial fitness and promotes the selection of wild-type over mutant mitochondrial DNA
Pathological variants of human mitochondrial DNA (mtDNA) typically co-exist with wild-type molecules, but the factors driving the selection of each are not understood. Because mitochondrial fitness does not favour the propagation of functional mtDNAs in disease states, we sought to create conditions where it would be advantageous. Glucose and glutamine consumption are increased in mtDNA dysfunction, and so we targeted the use of both in cells carrying the pathogenic m.3243A>G variant with 2-Deoxy-D-glucose (2DG), or the related 5-thioglucose. Here, we show that both compounds selected wild-type over mutant mtDNA, restoring mtDNA expression and respiration. Mechanistically, 2DG selectively inhibits the replication of mutant mtDNA; and glutamine is the key target metabolite, as its withdrawal, too, suppresses mtDNA synthesis in mutant cells. Additionally, by restricting glucose utilization, 2DG supports functional mtDNAs, as glucose-fuelled respiration is critical for mtDNA replication in control cells, when glucose and glutamine are scarce. Hence, we demonstrate that mitochondrial fitness dictates metabolite preference for mtDNA replication; consequently, interventions that restrict metabolite availability can suppress pathological mtDNAs, by coupling mitochondrial fitness and replication. It has been a longstanding goal to promote the propagation of functional mitochondrial DNAs at the expense of pathological molecules in cells where the two species coexist. Here, the authors show that restricting the availability of glucose and glutamine can achieve this outcome.
Mitochondrial dysfunction in adult midbrain dopamine neurons triggers an early immune response
Dopamine (DA) neurons of the midbrain are at risk to become affected by mitochondrial damage over time and mitochondrial defects have been frequently reported in Parkinson’s disease (PD) patients. However, the causal contribution of adult-onset mitochondrial dysfunction to PD remains uncertain. Here, we developed a mouse model lacking Mitofusin 2 (MFN2), a key regulator of mitochondrial network homeostasis, in adult midbrain DA neurons. The knockout mice develop severe and progressive DA neuron-specific mitochondrial dysfunction resulting in neurodegeneration and parkinsonism. To gain further insights into pathophysiological events, we performed transcriptomic analyses of isolated DA neurons and found that mitochondrial dysfunction triggers an early onset immune response, which precedes mitochondrial swelling, mtDNA depletion, respiratory chain deficiency and cell death. Our experiments show that the immune response is an early pathological event when mitochondrial dysfunction is induced in adult midbrain DA neurons and that neuronal death may be promoted non-cell autonomously by the cross-talk and activation of surrounding glial cells.
The CHCHD2-CHCHD10 protein complex is modulated by mitochondrial dysfunction and alters lipid homeostasis in the mouse brain
The highly conserved CHCHD2 and CHCHD10 are small mitochondrial proteins residing in the intermembrane space. Recently, mutations in the genes encoding these proteins have been linked to severe disorders, including Parkinson’s disease and amyotrophic lateral sclerosis. In cultured cells, a small fraction of CHCHD2 and CHCHD10 oligomerize to form a high molecular weight complex of unknown function. Here, we generated a whole-body Chchd2 knockout mouse to investigate the in vivo role of CHCHD2 and its protein complex. We show that CHCHD2 is crucial for sustaining full motor capacity, normal striatal dopamine levels, and lipid homeostasis in the brain of adult male mice. We also demonstrate that in mouse tissues, CHCHD2 and CHCHD10 exist exclusively as a high molecular weight complex, whose levels are finely tuned under physiological conditions. In response to mitochondrial dysfunction, the abundance and size of the CHCHD2-CHCHD10 complex increase, a mechanism conserved across different tissues. Although the loss of CHCHD2 does not abolish CHCHD10 oligomerization, it enhances cell vulnerability to mitochondrial stress, suggesting that CHCHD2 is protective against mitochondrial damage. Our findings uncover the role of CHCHD2 in preserving tissue homeostasis and provide important insights into the involvement of the CHCHD2-CHCHD10 complex in human diseases.
Manuale per la gestione dell'arresto cardiaco
Seconda edizione del Manuale per la gestione dell'arresto cardiaco, con aggiornamenti dalle più recenti linee guida ILCOR (International Liaison Committee on Resuscitation), AHA (American Heart Association) ed ERC (European Resuscitation Council).Il Manuale analizza nel dettaglio come riconoscere un arresto cardiaco e impostare efficacemente le manovre di Rianimazione Cardiopolmonare in diversi setting, compresa la sospetta/accertata infezione da Covid-19.La gestione dell'arresto cardiaco viene affrontata a partire dalla prevenzione e nelle fasi operative assistenziali, con il supporto di numerosi algoritmi e chiare figure esplicative. Sono inoltre presenti ampie sezioni dedicate agli aspetti etici, alla comunicazione e alla metodologia di lavoro nell'emergenza-urgenza, con esempi pratici di organizzazione del lavoro in team.