Publications by authors named "Carolina Cecchetti"

Background And Aims: Metreleptin ameliorates hepatic steatosis partially independent of its anorexic action. We previously showed that metreleptin increases hepatic very low-density lipoprotein triglycerides (VLDL1-TG) export in rodents and healthy humans requiring intact hepatic autonomic innervation. The primary aim of this study was to investigate whether metreleptin has anti-steatotic properties in patients with lipodystrophy by increasing VLDL1-TG export.

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Objective: To estimate the risk of cardiovascular (CV) events (primary aim) and to evaluate the long-term variation in CV risk factors in a Caucasian population of women with polycystic ovary syndrome (PCOS).

Design: Matched cohort prospective study based on 10 years of follow-up.

Methods: One hundred twenty Caucasian women with PCOS diagnosed by the National Institutes of Health criteria in reproductive age were assessed at baseline (2009) and at the end of follow-up (2020) for major and minor CV events and CV risk factors.

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Objective: Many cases of subacute thyroiditis (SAT) have been described related to SARS-CoV-2 infection, but no prospective data about follow-up are known. This prospective, longitudinal, 3-year, multicentre study aims to explore the clinical peculiarities and outcome of SAT in relation to SARS-CoV-2 infection, ascertained with antibody dosage.

Methods: All patients receiving SAT diagnosis from November 2020 to May 2022 were enrolled.

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Article Synopsis
  • Type-2 Familial Partial Lipodystrophy (FPLD2) leads to fat loss in the trunk and limbs while causing excess fat deposits in the neck and face, linked to mutations affecting adipose tissue function.* -
  • Research indicates that the mineralocorticoid receptor (MR) is crucial in the differentiation of adipose tissue, with FPLD2 affecting the MR's location within cells, resulting in abnormal fat cell development.* -
  • Treatment with the MR antagonist spironolactone has shown promise in redirecting FPLD2 preadipocyte differentiation toward a healthier 'brown' fat type, which can improve fat tissue function in affected patients.*
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Article Synopsis
  • Berardinelli-Seip congenital lipodystrophy (BSCL) poses severe metabolic challenges from an early age, and while diet is crucial for treatment, there is limited research on dietary interventions alone.
  • A case study of a 16-year-old BSCL patient who followed a strict low-fat diet since age one showed no need for medication or abnormalities in medical evaluations, highlighting the effectiveness of dietary management.
  • The findings suggest that a well-structured low-fat diet may serve as a standalone treatment for BSCL in certain patients, particularly those with high adherence and milder symptoms.
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Objective: The aim of this study isto assess the efficacy of a very low-calorie ketogenic diet (VLCKD) method vs a Mediterranean low-calorie diet (LCD) in obese polycystic ovary syndrome (PCOS) women of a reproductive age.

Design: Randomized controlled open-label trial was performed in this study. The treatment period was 16 weeks; VLCKD for 8 weeks then LCD for 8 weeks, according to the Pronokal® method (experimental group; n = 15) vs Mediterranean LCD for 16 weeks (control group; n = 15).

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Purpose: Familial partial lipodystrophy type 2 (FPLD2) patients generally develop a wide variety of severe metabolic complications. However, they are not usually affected by primary cardiomyopathy and conduction system disturbances, although a few cases of FPLD2 and cardiomyopathy have been reported in the literature. These were all due to amino-terminal heterozygous lamin A/C mutations, which are considered as new forms of overlapping syndromes.

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Objective: Research into cardiovascular disease (CV) prevention has demonstrated a variety of ultrasound (US) markers predicting risk in the general population but which have been scarcely used for polycystic ovary syndrome (PCOS). Obesity is a major factor contributing to CV disease in the general population, and it is highly prevalent in PCOS. However, it is still unclear how much risk is attributable to hyperandrogenism.

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