Publications by authors named "Chiara Piubelli"

Background: Antifungal resistance is an expanding and increasingly significant issue representing a global threat for public health. In the last few years, different cases of dermatophytosis infections due to terbinafine-resistant Trichophyton mentagrophytes have been reported worldwide. In particular, T.

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In Italy, the epidemiology of tick-borne pathogens is still poorly characterized. This prospective study was conducted at the IRCCS Sacro Cuore Don Calabria Hospital in Negrar di Valpolicella (Verona), northeastern Italy, from 2018 to 2022. Ticks from asymptomatic individuals visiting the hospital after a recent tick bite were characterized using microscopy and tested for pathogens using molecular tests.

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Unlabelled: Our study wanted to describe the kinetics of serological and adaptive immune responses in mpox patients.

Methods: Fourteen patients with laboratory-confirmed mpox were tested at different time points after the symptom onset. An immunofluorescence assay was performed to evaluate the seroconversion kinetics of specific IgA, IgM, and IgG.

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: A survey conducted by the European Observatory on Cataract Surgery showed high heterogeneity in the use of antiseptics both preoperatively and in the operating room, highlighting the absence of a global consensus regarding ocular infection prophylaxis in cataract surgery. : The antibacterial activity of seven antiseptic ophthalmic formulations (AOFs) registered as medical devices and the two most common disinfectants were evaluated in vitro against five bacterial species. The viability of bacterial strains after exposure to the antiseptic was evaluated with different techniques: the in vitro Minimum Inhibitory Concentration and the subsequent Minimum Bactericidal Concentration, performed on liquid and solid culture medium.

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Article Synopsis
  • The COVID-19 pandemic highlighted the urgent need for effective triage tools in healthcare to identify patients vulnerable to severe infections.
  • Researchers studied COVID-19 patients at multiple sites, analyzing plasma markers to link their levels to mortality and severity of illness within set timeframes.
  • Their findings showed higher suPAR levels correlated with increased mortality risk and severity, supporting the use of specific biomarkers like suPAR and sTREM-1 for better patient triage and hospital resource management.
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On 27 May 2024, the Cuban Ministry of Health reported the first outbreak of Oropouche fever on the island. The etiologic agent, Oropouche virus (OROV), is a poorly understood arbovirus that has been known since the 1960s and represents a public health burden in Latin America. We report the whole-genome characterization of the first European OROV isolate from a returning traveler from Cuba with Oropouche fever-like symptoms.

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Human babesiosis is an emerging zoonotic disease; diffused especially in some regions of the United States, it has been less frequently observed in other continents, including Europe. Serological surveys suggest that babesiosis could be more frequent than expected in European countries, representing an emerging health-issue and a possible harm, especially in immunocompromised populations. Only one case of human babesiosis has been reported in Italy and data about the diffusion of the pathogen in this country are scant.

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Article Synopsis
  • A study conducted on aged patients with COVID-19 pneumonia at a hospital in Italy aimed to define the immune responses related to the infection, particularly focusing on the effects of vaccination.
  • The study analyzed humoral responses (like antibody production) and cellular responses (like T-cell counts), comparing vaccinated and unvaccinated patients to understand their immunity levels and disease severity.
  • Results showed unvaccinated patients had worse outcomes and lower immune responses, with vaccinated individuals exhibiting higher antibody levels and T-cell counts, especially against the Delta variant.
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We conducted a prospective cohort study at the IRCCS Sacro Cuore Don Calabria Hospital in Negrar di Valpolicella from 2019 to 2021 to investigate the duration of colonization. In addition, the correlation between persistent colonization and the continent of origin, current treatment regimen, clinical manifestations, and parasite coinfection was evaluated. The cohort included subjects who were tested in a previous study (years 2014-2016) and found to be positive for DNA in fecal samples.

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Article Synopsis
  • * The study involved whole-genome sequencing of four unrelated mpox cases, revealing seven novel mutations linked to immune evasion and viral fitness, primarily influenced by the APOBEC3 enzyme.
  • * Findings indicated mixed viral populations in patients, suggesting the possibility of co-infection, and further research with larger patient groups is needed to understand the implications of viral genome diversity.
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  • * Researchers enrolled over 5,000 subjects and compared nasal and oral swab samples to determine the best sampling site for diagnosing Omicron infections, revealing nasal samples had a higher viral load.
  • * Key findings suggest that the decline in ADT effectiveness should inform global testing strategies to ensure accurate diagnoses amidst evolving SARS-CoV-2 variants.
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Background: Currently approved vaccines are highly effective in protecting against hospitalization and severe COVID-19 infections. How pre-existing immunity responds to new variants with mutated antigens is crucial information for elucidating the functional interplay between antibodies and B and T cell responses during infection with new SARS-CoV-2 variants.

Methods: In this study, we monitored the dynamics and persistence of the immune response versus different SARS-CoV-2 variants of concern that emerged during the pandemic period (2021-2022) in a cohort of vaccinated healthcare workers, who experienced breakthrough infection in the Pre-Delta, Delta, and Omicron waves.

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The RAS is a hormonal system playing a pivotal role in the control of blood pressure and electrolyte homeostasis, the alteration of which is associated with different pathologies, including acute respiratory distress syndrome (ARDS). As such, it is not surprising that a number of studies have attempted to elucidate the role and balance of the renin-angiotensin system (RAS) in COVID-19. In this review article, we will describe the evidence collected regarding the two main enzymes of the RAS (i.

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Background: Public health measures for COVID-19 mitigation influenced the circulation of Respiratory Syncytial Virus (RSV) during the 2020-2021 winter season. In the following autumn, an unprecedented resurgence of RSV occurred. Our study monitored RSV pediatric infections one and two years after the relaxation of containment measures for the COVID-19 pandemic.

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Toscana virus (TOSV), a sandfly-borne virus, is an important etiological agent in human acute meningitis and meningoencephalitis in the Mediterranean area during the summer. However, the actual number of TOSV infections is underestimated. Laboratory confirmation is necessary because TOSV infection has overlapping clinical features with other neuro-invasive viral infections.

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The availability of high-quality data of helminth genomes provided over the past two decades has supported and accelerated large-scale 'omics studies and, consequently, the achievement of a more in-depth molecular characterization of a number of pathogens. This has also involved spp. and since their genome was made available transcriptomics has been rather frequently applied to investigate gene expression regulation across their life cycle.

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Blood and tissue protozoan infections are responsible for an enormous burden in tropical and subtropical regions, even though they can also affect people living in high-income countries, mainly as a consequence of migration and travel. These pathologies are responsible for heavy socio-economic issues in endemic countries, where the lack of proper therapeutic interventions and effective vaccine strategies is still hampering their control. Moreover, the pathophysiological mechanisms associated with the establishment, progression and outcome of these infectious diseases are yet to be fully described.

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Article Synopsis
  • The study focuses on the replication of SARS-CoV-2, specifically how genomic and subgenomic RNAs are synthesized through a complicated transcription process that involves template switching.
  • Next-generation sequencing and bioinformatics tools have been utilized to better understand the population and functions of subgenomic RNAs, leading to the development of tools like Periscope, LeTRS, sgDI-tector, and CORONATATOR.
  • The comparison of Periscope, LeTRS, and sgDI-tector revealed that all three tools performed well for identifying canonical subgenomic RNAs but showed variability in recognizing noncanonical ones, with LeTRS and sgDI-tector being strong alternatives for analyzing data from different sequencing platforms.
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  • Vaccinated individuals can still experience severe COVID-19 requiring hospitalization, but it's unclear how they compare to unvaccinated patients in terms of symptoms, comorbidities, and outcomes.
  • A study analyzed data from over 83,000 hospitalized COVID-19 patients globally, noting that unvaccinated patients reported more typical symptoms, while vaccinated patients had a higher prevalence of concerning comorbidities.
  • The findings highlight the need for better healthcare resource allocation and future international studies to understand how vaccination impacts the clinical profiles of hospitalized COVID-19 patients.
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Like for other coronaviruses, SARS-CoV-2 gene expression strategy is based on the synthesis of a nested set of subgenomic mRNA species (sgRNAs). These sgRNA are synthesized using a "discontinuous transcription" mechanism that relies on template switching at Transcription Regulatory Sequences (TRS). Both canonical (c-sgRNA) and non-canonical (nc-sgRNA, less numerous) subgenomic RNA species can be produced.

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Objectives: The very rapidly approved mRNA-based vaccines against SARS-CoV-2 spike glycoprotein, including Pfizer-BioNTech BNT162b2, are effective in protecting from severe coronavirus disease 2019 (COVID-19) in immunocompetent population. However, establishing the duration and identifying correlates of vaccine-induced protection will be crucial to optimise future immunisation strategies. Here, we studied in healthy vaccine recipients and people with multiple sclerosis (pwMS), undergoing different therapies, the regulation of innate immune response by mRNA vaccination in order to correlate it with the magnitude of vaccine-induced protective humoral responses.

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We performed a follow-up of a previously reported SARS-CoV-2 prevalence study (April‒May 2020) in Verona, Italy. Through May 2022, only <1.1% of the city population had never been infected or vaccinated; 8.

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Introduction: Cancer patients are at risk for serious complications in case of SARS-CoV-2 infection. In these patients SARS-CoV-2 vaccination is strongly recommended, with the preferential use of mRNA vaccines. The antibody response in cancer patients is variable, depending on the type of cancer and antitumoral treatment.

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Background: We have previously shown that eliciting SARS-CoV-2-specific IgM after vaccination is associated with higher levels of SARS-CoV-2 neutralizing IgG. This study aims to assess whether IgM development is also associated with longer-lasting immunity.

Methods: We analysed anti-SARS-CoV-2 spike protein IgG and IgM (IgG-S, IgM-S), and anti-nucleocapsid IgG (IgG-N) in 1872 vaccinees at different time points: before the first dose (D1; w0), before the second dose (D2; w3) at three (w6) and 23 weeks (w29) after D2; moreover, 109 subjects were further tested at the booster dose (D3, w44), at 3 weeks (w47) and 6 months (w70) after D3.

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Background: Strongyloidiasis is a neglected tropical disease affecting an estimated 600 million people, particularly in resource-limited settings. The infection can persist lifelong due to unusual auto-infective cycle of Strongyloides stercoralis. The lack of a diagnostic gold standard and limited knowledge of the mechanisms underpinning this chronic infection are key issues in disease management.

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