Institution
University of Catania
Education•Catania, Italy•
About: University of Catania is a education organization based out in Catania, Italy. It is known for research contribution in the topics: Population & Large Hadron Collider. The organization has 14599 authors who have published 41195 publications receiving 1032705 citations. The organization is also known as: Università degli Studi di Catania & Universita degli Studi di Catania.
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TL;DR: Findings underline the concept that hyperinsulinaemia, associated with insulin resistance and obesity, should be treated by changes in life style and/or pharmacological approaches to avoid an increased risk for cancer.
Abstract: There is evidence, both in vitro and in vivo, that receptor tyrosine kinases play a key role in the formation and progression of human cancer. In particular, the insulin-like growth factor receptor (IGF-IR), a tyrosine kinase receptor for IGF-I and IGF-II, has been well documented in cell culture, animal studies, and humans to play a role in malignant transformation, progression, protection from apoptosis, and metastasis. In addition, the hormone insulin (which is very closely related to the IGFs) and its tyrosine kinase receptor (the IR, which is very closely related to the IGR-IR) have been documented both in vitro and in vivo to play a key role in cancer biology. Indeed, several epidemiological studies have shown that insulin resistance status, characterized by hyperinsulinaemia, is associated with an increased risk for a number of malignancies, including carcinomas of the breast, prostate, colon and kidney. Recent data have elucidated some molecular mechanisms by which IR is involved in cancer. IR is over-expressed in several human malignancies. Interestingly, one of the two IR isoform (IR-A) is especially over-expressed in cancer. IR-A is the IR foetal isoform and has the peculiar characteristic to bind not only insulin but also IGF-II. In addition, the IR contributes to formation of hybrid receptors with the IGF-IR (HR). By binding to hybrid receptors, insulin may stimulate specific IGF-IR signalling pathways. Over-expression of IR-A is, therefore, a major mechanism of IGF system over-activation in cancer. In this respect, IR-A isoform and hybrid receptors should be regarded as potential molecular targets, in addition to IGF-IR, for novel anti-cancer therapy. These findings may have important implications for both the prevention and treatment of common human malignancies. They underline the concept that hyperinsulinaemia, associated with insulin resistance and obesity, should be treated by changes in life style and/or pharmacological approaches to avoid an increased risk for cancer. Moreover, native insulin and insulin analogue administration should be carefully evaluated in terms of the possible increase in cancer risk.
377 citations
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University of Bern1, Aarhus University Hospital2, Erasmus University Rotterdam3, Copenhagen University Hospital4, Technische Universität München5, Chinese Ministry of Education6, University of Burgundy7, Hospital Clínico San Carlos8, University of Cambridge9, University of Zurich10, University of Catania11, National University of Ireland, Galway12
TL;DR: Routine performance of intracoronary imaging in patients with stent failure or stent thrombosis is recommended and strengths and limitations of IVUS and OCT for guiding PCI and assessing stent failures and areas that warrant further research are critically discussed.
Abstract: This Consensus Document is the first of two reports summarizing the views of an expert panel organized by the European Association of Percutaneous Cardiovascular Interventions (EAPCI) on the clinical use of intracoronary imaging including intravascular ultrasound (IVUS) and optical coherence tomography (OCT). The first document appraises the role of intracoronary imaging to guide percutaneous coronary interventions (PCIs) in clinical practice. Current evidence regarding the impact of intracoronary imaging guidance on cardiovascular outcomes is summarized, and patients or lesions most likely to derive clinical benefit from an imaging-guided intervention are identified. The relevance of the use of IVUS or OCT prior to PCI for optimizing stent sizing (stent length and diameter) and planning the procedural strategy is discussed. Regarding post-implantation imaging, the consensus group recommends key parameters that characterize an optimal PCI result and provides cut-offs to guide corrective measures and optimize the stenting result. Moreover, routine performance of intracoronary imaging in patients with stent failure (restenosis or stent thrombosis) is recommended. Finally, strengths and limitations of IVUS and OCT for guiding PCI and assessing stent failures and areas that warrant further research are critically discussed.
377 citations
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TL;DR: A general method to find the critical components of an infrastructure network, i.e., the nodes and the links fundamental to the perfect functioning of the network, can be used as an improvement analysis to better shape a planned expansion of thenetwork.
Abstract: Infrastructure systems are a key ingredient of modern society. We discuss a general method to find the critical components of an infrastructure network, i.e., the nodes and the links fundamental to the perfect functioning of the network. Such nodes, and not the most connected ones, are the targets to protect from terrorist attacks. The method, used as an improvement analysis, can also help to better shape a planned expansion of the network.
375 citations
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TL;DR: In this article, a new class of measures of structural centrality for networks is introduced, called delta centralities, which is based on the concept of efficient propagation of information over the network.
Abstract: We introduce delta centralities, a new class of measures of structural centrality for networks. In particular, we focus on a measure in this class, the information centrality C I , which is based on the concept of efficient propagation of information over the network. C I is defined for both valued and non-valued graphs, and applies to groups as well as individuals. The measure is illustrated and compared with respect to the standard centrality measures by using a classic network data set. The statistical distribution of information centrality is investigated by considering large computer generated graphs and two networks from the real world.
374 citations
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TL;DR: Results indicate that N-acetylaspartate determination by proton magnetic resonance spectroscopy represents a non-invasive tool to accurately measure changes in cerebral energy metabolism occurring in mild traumatic brain injury and may significantly improve the management of athletes suffering from concussion.
Abstract: Concussive head injury opens a temporary window of brain vulnerability due to the impairment of cellular energetic metabolism. As experimentally demonstrated, a second mild injury occurring during this period can lead to severe brain damage, a condition clinically described as the second impact syndrome. To corroborate the validity of proton magnetic resonance spectroscopy in monitoring cerebral metabolic changes following mild traumatic brain injury, apart from the magnetic field strength (1.5 or 3.0 T) and mode of acquisition, we undertook a multicentre prospective study in which a cohort of 40 athletes suffering from concussion and a group of 30 control healthy subjects were admitted. Athletes (aged 16-35 years) were recruited and examined at three different institutions between September 2007 and June 2009. They underwent assessment of brain metabolism at 3, 15, 22 and 30 days post-injury through proton magnetic resonance spectroscopy for the determination of N-acetylaspartate, creatine and choline-containing compounds. Values of these representative brain metabolites were compared with those observed in the group of non-injured controls. Comparison of spectroscopic data, obtained in controls using different field strength and/or mode of acquisition, did not show any difference in the brain metabolite ratios. Athletes with concussion exhibited the most significant alteration of metabolite ratios at Day 3 post-injury (N-acetylaspartate/creatine: -17.6%, N-acetylaspartate/choline: -21.4%; P < 0.001 with respect to controls). On average, metabolic disturbance gradually recovered, initially in a slow fashion and, following Day 15, more rapidly. At 30 days post-injury, all athletes showed complete recovery, having metabolite ratios returned to values detected in controls. Athletes self-declared symptom clearance between 3 and 15 days after concussion. Results indicate that N-acetylaspartate determination by proton magnetic resonance spectroscopy represents a non-invasive tool to accurately measure changes in cerebral energy metabolism occurring in mild traumatic brain injury. In particular, this metabolic evaluation may significantly improve, along with other clinical assessments, the management of athletes suffering from concussion. Further studies to verify the effects of a second concussive event occurring at different time points of the recovery curve of brain metabolism are needed.
373 citations
Authors
Showing all 14771 results
Name | H-index | Papers | Citations |
---|---|---|---|
Napoleone Ferrara | 167 | 494 | 140647 |
Tobin J. Marks | 159 | 1621 | 111604 |
Susan O'Brien | 145 | 1509 | 87813 |
Stephen T. Holgate | 142 | 870 | 82345 |
Y. Choi | 141 | 1631 | 98709 |
Michael J. Keating | 140 | 1169 | 76353 |
Tiziano Rovelli | 135 | 1441 | 90518 |
Francesco Navarria | 135 | 1535 | 91427 |
Francesca Romana Cavallo | 135 | 1571 | 92392 |
Alessia Tricomi | 133 | 1446 | 92375 |
Burak Bilki | 132 | 1227 | 83478 |
Andrea Castro | 132 | 1500 | 90019 |
Paolo Capiluppi | 131 | 1544 | 89643 |
Daniele Bonacorsi | 130 | 1381 | 85994 |
Vitaliano Ciulli | 129 | 1171 | 82045 |