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Biomedical subjects

M P Loria

Publications and source records attributed to M P Loria.

At least 19 recordsLinked to original sources
PubMed2005

Acquired C1-inhibitor deficiency in a patient with systemic lupus erythematosus: a case report and review of the literature.

The C1-inhibitor (C1-INH) is an important member of the serpin family which inhibits the first component of the human complement system and controls contact activation of the coagulation and kinin system. An acquired form of C1-INH deficiency was recognized and classified as type I, which is characterized by accelerated catabolism of C1-INH, whereas type II is defined by the presence of an autoantibody directed against the C1 inhibitor molecule. This study reports the case of a 32-year-old woman with systemic lupus erythematosus (SLE) who experienced recurrent angioedema because of an acquired C1-INH deficiency. The relevant literature is reviewed.

Adult↗
PubMed2003

Adhesion molecules in gonarthrosis and knee prosthesis aseptic loosening follow-up: possible therapeutic implications.

The involvement of the synovium is common in phlogistic processes of various joint diseases. Apart from synoviocytes and the other cells in the synovial tissue, circulating cells recruited from peripheral blood also participate in the phlogistic process. The increased expression of adhesion molecules on both circulating and endothelial cell surface may further this recruitment. We studied 15 patients affected by serious gonarthrosis requiring a prosthetic implant (GPI) and 7 with knee prosthesis aseptic loosening (KPL) to evaluate adhesion molecule expression and phlogistic infiltration in the synovium using immunohistochemistry and microscopic analysis. As control we studied 10 subjects affected by degenerative meniscopathies undergoing a selective arthroscopic surgical meniscectomy. Analysis with Kruskal-Wallis test showed no statistical significant differences in the expression of CD54, CD11a, CD11b and CD18 in three groups examined. The model of variance analysis (Friedman test), showed that CD54 expression is greater in patients with GPI and KPL in comparison with the other molecules. Adhesion molecules and their functions are important in arthropathies not only because their evaluation can allow us to identify the degree of inflammation and to predict its evolution, but also because pharmacological control of their expression could have important therapeutic implications.

Adult↗
PubMed2002

Reactivity to autologous serum skin test and clinical features in chronic idiopathic urticaria.

The autologous-serum skin test (ASST) can cause a wheal-and-flare response in some cases of chronic idiopathic urticaria. We subjected 102 patients affected by chronic idiopathic urticaria to this test and studied some clinical parameters to detect any significant differences between ASST-positive and ASST-negative patients. The only significant difference we noted between the two groups was the incidence of angioedema (P = 0.01). We suggest that the ASST cannot be used alone either to predict the severity of urticaria or to define it as 'autoimmune'.

Angioedema↗
PubMed2001

Cyclosporin A in patients affected by chronic idiopathic urticaria: a therapeutic alternative.

Chronic Idiopathic Urticaria (CIU) is a cutaneous disorder for which there is no identifiable specific etiologic agent. Some recent evidences suggest that CIU might be an autoimmune disease. We analyzed immunological features occurring in CIU and evaluated effectiveness and tolerance of Cyclosporin A (CsA) treatment in patients unresponsive to antihistaminic treatment. Twenty patients with CIU were recruited after a selective diagnostic protocol and were divided into two groups. CsA was prescribed for group 1 and Prednisone for group 2 as control, for 8 weeks. Before and after the therapy we performed on all patients immunological studies. For all patients symptoms disappeared after a few days of therapy. Before therapy all patients showed activated B cells (CD19+CD23+ cells) and among B CD19+ cells, about 20% were CD5+ (cells that synthesize natural autoantibodies). After treatment with Prednisone in group 2, a significant reduction of CD4+ lymphocytes (p = 0,01) was observed. Our findings might support the CIU autoimmune pathogenetic hypothesis. The clinical remission in the CsA-treated group confirmed the therapeutic effectiveness of this therapy in antihistaminic unresponsive CIU and, at dosage used, side effects were rare, mild and reversible. Thus, CsA might be a good therapeutic alternative in CIU patients unresponsive to conventional treatments.

Adult↗
PubMed1996

Functional characteristics of cord blood T lymphocytes after lectin and anti-CD3 stimulation. Differences in the way T cells express activation molecules and proliferate.

Newborns are more susceptible than adults to infections, which suggests a relative immaturity of the immune system early after birth. Cord blood T cells differ significantly both in surface phenotype and function from adult T cells. We examined the proliferation and expression of activation molecules by lymphocytes isolated from umbilical cord blood or peripheral blood of adults. The lymphocytes were cultured for 5 days in the presence of phytohemagglutinin, concanavalin A, or anti-CD3 monoclonal antibody. Cord blood T cells expressed the CD45RA molecule, while a low proportion expressed the RO isoform, a marker of primed or activated lymphocytes. Furthermore, more than 95% of neonatal lymphocytes bear the CD38 molecule, but do not express the CD57 molecule. After stimulation by phytohemagglutinin or concanavalin A, the lymphocytes from newborns were activated and proliferated as efficiently as adult T cells. Anti-CD3 did not cause neonatal lymphocytes to proliferate, but these cells expressed activation molecules, such as HLA-DR antigens and the receptor for interleukin-2 and transferrin. The relevance of these findings to tolerance induction in immature cord blood T cells is discussed.

Adult↗
PubMed1995

Ascitic fluid-associated lymphocytes in patients with metastatic ovarian cancer. Analysis of lymphocyte subsets and of phenotypical changes induced by "in vitro".

Ascitic fluid and peripheral blood samples, from seven patients affected by peritoneal carcinomatosis secondary to ovarian tumors, were analyzed to examine the phenotypic properties of ascitic fluid-associated lymphocytes (AFAL) and then asses T-cell activities in the presence of different interleukins. The AFALs showed a relative enrichment of CD2+, CD3+, CD5+, CD4+ T cells compared to the peripheral blood samples, while the contrary was true for CD56+ and CD57+ cells. The same phenomenon was observed in both CD3+, CD56+ and CD2+, CD56+ cell populations. Fewer CD71+ and CD25+ cells were found in the ascitic fluid suspensions whilst the opposite was true for HLA-DR+ lymphocytes. The data obtained from the in vitro incubation of AFALs in the presence of IL-1 (or), IL-2, IL-4, IL-6 or IFN showed that IL-1, IL-2 and IFN- can induce a two-fold increase in the percentages of HLA-DR+ T lymphocytes. IL-6, IL-2 and IL-1 seemed to have a fairly modest effect on CD25. A better survival of CD56+ cells was found only in the presence of IL-4 and IL-6. Even though preliminary and based on a limited number of patients, our results would seem to invite caution in instituting intraperitoneal administration of one or more cytokines for the treatment of such lesions in humans.

Aged↗
PubMed1991

Lymphocyte-induced angiogenesis: a morphometric study in the chick embryo chorioallantoic membrane.

A morphometric analysis was carried out on the chorioallantoic membrane (CAM) vasculature in chicken embryos treated (1) with phytohemagglutinin (PHA), (2) with supernatants of cell cultures of normal human T lymphocytes and (3) of T lymphocytes stimulated with PHA in order to evaluate their angiogenic properties. In the left chorioallantoic artery, the number of primary collaterals, and the number and length of secondary and tertiary collaterals were measured. In the series treated applying procedures 1 and 3, the mean value of the total number of all the collaterals was higher than that of the normal-developing CAM vessels, while the length of the secondary and tertiary collaterals was lower than that of the normal-developing blood vessels. In the series treated following procedure 2, no statistically significant differences were observed between experimental and control series in any parameters evaluated. The possible significances of these morphological findings are discussed with reference to the angiogenic roles played by human T lymphocytes, probably determined by lymphokines released after the activation of these cells by PHA, and by PHA alone, probably dependent on its aspecific mitotic activity.

Adult↗
PubMed1982

[Electrophoretic mobility in acute null cell lymphoblastic leukemia].

The electrophoretic mobility (E.M.) (evaluated by cytopherometer) of human normal lymphocytes, shows a group of cells with a fast mobility, identifiable as T lymphocytes, and a second group with a slow mobility which can be characterized as B lymphocytes. Six cases of Acute Lymphoblastic Leukaemia characterized by negativity of immunological markers and classified as "Null Cells", and ten cases of B cell Chronic Lymphocytic Leukaemia were studied in order to investigate the E.M. behaviour of leukaemic cells and so a comparison with T and B normal lymphocytes migration. The blasts of Acute Lymphoblastic Leukaemia show a E.M. nearly similar to the fast group of normal lymphocytes, while lymphocytes of the B cell Chronic Lymphocytic Leukaemia migrate as the slow component of normal lymphocytes. The possibility of the utilization of cell E.M. in addition to immunological and cytochemical data, into the characterization of Acute Leukaemias is suggested.

Adolescent↗
PubMed1982

In vitro studies of anti-inflammatory activity of carprofen.

In vitro activity of carprofen on some cellular mechanisms of the inflammatory response has been investigated in comparison with hydrocortisone and ibuprofen. The drugs were studied in two ways: (a) by adding progressive concentrations ranging from 0.1 to 1000 micrograms/ml to triplicate cell samples, for the determination of the dose/response curve, and (b) by using a fixed concentration to study the variations in the effect of the different drugs. The results obtained showed that carprofen was able to exert a dose-dependent inhibition on neutrophil phagocytosis and particularly on their chemotaxis. Its activity was higher than that observed with ibuprofen and almost comparable with that of hydrocortisone. These results suggest that anti-inflammatory activity of carprofen is probably performed through a dose-dependent inhibition of some neutrophil-macrophage function.

Adult↗
PubMed1980

HBeAg/anti-HBe system and cell-mediated immunity in patients with HBsAg-positive chronic active hepatitis.

Determinations of HBeAg, anti-HBe and cell-mediated immune response were carried out in 29 patients with HBsAg-positive chronic active hepatitis. Out of 29 patients with chronic active hepatitis B, 18 were found to be HBeAg positive, 7 anti-HBe positive, and 4 without detectable HBeAg/anti-HBe by radioimmunoassay. The presence of HBeAg in serum (n = 18) was associated with impaired lymphocyte response in 15 patients (83.3%, p less than 0.05). Out of these 15 patients 6 developed cirrhosis within a period of 6 months to 2 years. By contrast, this occurred in only 1 out of 8 HBeAg-negative patients (6 were anti-HBe positive) with normal lymphocyte function. Although HBeAg and depressed cellular immune response in chronic active hepatitis is not necessarily associated with a bad clinical and histological outcome of the disease, these data suggest that, in a number of cases, host cell-mediated immune response seems to be correlated with the presence of HBeAg and the outcome of chronic active hepatitis and, in this respect, HBeAg could assume the significance of a prognostic marker in hepatitis B virus infection.

Adolescent↗