Conservation and Reassessment of an Overlooked Skeletal Collection Preserved Since 1901 at the Museum of Anthropology “G. Sergi”, Rome

The osteological investigation of archived and historic skeletal collections can often provide clues to how they were organised and managed, offering key osteobiographical insight into past populations. A small, yet significant, collection of skulls housed at the Museum “Giuseppe Sergi” of the Sapienza University of Rome, remained anonymous prior to a recent reassessment protocol started in 2018. This collection was excavated from a funerary area discovered during the 19th century from the site of Castel Trosino (Ascoli Piceno, Italy). The cemetery was part of an important community during the Longobard domination of Italy, as testified by the richness of the cultural artefacts reported with the burials. The 19 skulls presented in this paper are the only ones available for assessment; all the others were lost shortly after the first excavation. Their importance is related to providing a better understanding of biological evidence of a community that lived in Italy during the Early Middle Ages.Attraverso la chiave di lettura osteobiografica, l'indagine di collezioni scheletriche storiche custodite presso Musei e Soprintendenze può fornire nuovi indizi per la loro storia degli studi. Una piccola ma significativa collezione di crani, ospitata presso il Museo "Giuseppe Sergi" della Sapienza Università di Roma, è rimasta anonima fino ad un recente protocollo di indagine iniziato nel 2018. Questa collezione fu recuperata dall'area funeraria scoperta nel corso del XIX secolo nel sito di Castel Trosino (Ascoli Piceno, Italia). Questo cimitero faceva parte di un’importante comunità durante il periodo della dominazione longobarda d'Italia, come testimoniato dalla ricchezza dei corredi recuperati. I 19 crani presentati in questo lavoro sono gli unici disponibili per lo studio, tutti gli altri sono andati persi poco dopo il primo scavo. La loro importanza è legata alla ricerca di una maggiore comprensione delle testimonianze osteologiche della comunità altomedievale di Castel Trosino

Small extracellular vesicles released from germinated kiwi pollen (pollensomes) present characteristics similar to mammalian exosomes and carry a plant homolog of ALIX

Introduction: In the last decade, it has been discovered that allergen-bearing extracellular nanovesicles, termed “pollensomes”, are released by pollen during germination. These extracellular vesicles (EVs) may play an important role in pollen-pistil interaction during fertilization, stabilizing the secreted bioactive molecules and allowing long-distance signaling. However, the molecular composition and the biological role of these EVs are still unclear. The present study had two main aims: (I) to clarify whether pollen germination is needed to release pollensomes, or if they can be secreted also in high humidity conditions; and (II) to investigate the molecular features of pollensomes following the most recent guidelines for EVs isolation and identification. Methods: To do so, pollensomes were isolated from hydrated and germinated kiwi (Actinidia chinensis Planch.) pollen, and characterized using imaging techniques, immunoblotting, and proteomics. Results: These analyses revealed that only germinated kiwi pollen released detectable concentrations of nanoparticles compatible with small EVs for shape and protein content. Moreover, a plant homolog of ALIX, which is a well-recognized and accepted marker of small EVs and exosomes in mammals, was found in pollensomes. Discussion: The presence of this protein, along with other proteins involved in endocytosis, is consistent with the hypothesis that pollensomes could comprehend a prominent subpopulation of plant exosome-like vesicles

Altered surface mGluR5 dynamics provoke synaptic NMDAR dysfunction and cognitive defects in Fmr1 knockout mice

Metabotropic glutamate receptor subtype 5 (mGluR5) is crucially implicated in the pathophysiology of Fragile X Syndrome (FXS); however, its dysfunction at the sub-cellular level, and related synaptic and cognitive phenotypes are unexplored. Here, we probed the consequences of mGluR5/Homer scaffold disruption for mGluR5 cell-surface mobility, synaptic N-methyl-D-Aspartate receptor (NMDAR) function, and behavioral phenotypes in the second-generation Fmr1 knockout (KO) mouse. Using single-molecule tracking, we found that mGluR5 was significantly more mobile at synapses in hippocampal Fmr1 KO neurons, causing an increased synaptic surface co-clustering of mGluR5 and NMDAR. This correlated with a reduced amplitude of synaptic NMDAR currents, a lack of their mGluR5-Activated long-Term depression, and NMDAR/hippocampus dependent cognitive deficits. These synaptic and behavioral phenomena were reversed by knocking down Homer1a in Fmr1 KO mice. Our study provides a mechanistic link between changes of mGluR5 dynamics and pathological phenotypes of FXS, unveiling novel targets for mGluR5-based therapeutics

Small extracellular vesicles released from germinated kiwi pollen (pollensomes) present characteristics similar to mammalian exosomes and carry a plant homolog of ALIX

IntroductionIn the last decade, it has been discovered that allergen-bearing extracellular nanovesicles, termed “pollensomes”, are released by pollen during germination. These extracellular vesicles (EVs) may play an important role in pollen-pistil interaction during fertilization, stabilizing the secreted bioactive molecules and allowing long-distance signaling. However, the molecular composition and the biological role of these EVs are still unclear. The present study had two main aims: (I) to clarify whether pollen germination is needed to release pollensomes, or if they can be secreted also in high humidity conditions; and (II) to investigate the molecular features of pollensomes following the most recent guidelines for EVs isolation and identification.MethodsTo do so, pollensomes were isolated from hydrated and germinated kiwi (Actinidia chinensis Planch.) pollen, and characterized using imaging techniques, immunoblotting, and proteomics.ResultsThese analyses revealed that only germinated kiwi pollen released detectable concentrations of nanoparticles compatible with small EVs for shape and protein content. Moreover, a plant homolog of ALIX, which is a well-recognized and accepted marker of small EVs and exosomes in mammals, was found in pollensomes.DiscussionThe presence of this protein, along with other proteins involved in endocytosis, is consistent with the hypothesis that pollensomes could comprehend a prominent subpopulation of plant exosome-like vesicles

Psychological treatments and psychotherapies in the neurorehabilitation of pain. Evidences and recommendations from the italian consensus conference on pain in neurorehabilitation

BACKGROUND: It is increasingly recognized that treating pain is crucial for effective care within neurological rehabilitation in the setting of the neurological rehabilitation. The Italian Consensus Conference on Pain in Neurorehabilitation was constituted with the purpose identifying best practices for us in this context. Along with drug therapies and physical interventions, psychological treatments have been proven to be some of the most valuable tools that can be used within a multidisciplinary approach for fostering a reduction in pain intensity. However, there is a need to elucidate what forms of psychotherapy could be effectively matched with the specific pathologies that are typically addressed by neurorehabilitation teams. OBJECTIVES: To extensively assess the available evidence which supports the use of psychological therapies for pain reduction in neurological diseases. METHODS: A systematic review of the studies evaluating the effect of psychotherapies on pain intensity in neurological disorders was performed through an electronic search using PUBMED, EMBASE, and the Cochrane Database of Systematic Reviews. Based on the level of evidence of the included studies, recommendations were outlined separately for the different conditions. RESULTS: The literature search yielded 2352 results and the final database included 400 articles. The overall strength of the recommendations was medium/low. The different forms of psychological interventions, including Cognitive-Behavioral Therapy, cognitive or behavioral techniques, Mindfulness, hypnosis, Acceptance and Commitment Therapy (ACT), Brief Interpersonal Therapy, virtual reality interventions, various forms of biofeedback and mirror therapy were found to be effective for pain reduction in pathologies such as musculoskeletal pain, fibromyalgia, Complex Regional Pain Syndrome, Central Post-Stroke pain, Phantom Limb Pain, pain secondary to Spinal Cord Injury, multiple sclerosis and other debilitating syndromes, diabetic neuropathy, Medically Unexplained Symptoms, migraine and headache. CONCLUSIONS: Psychological interventions and psychotherapies are safe and effective treatments that can be used within an integrated approach for patients undergoing neurological rehabilitation for pain. The different interventions can be specifically selected depending on the disease being treated. A table of evidence and recommendations from the Italian Consensus Conference on Pain in Neurorehabilitation is also provided in the final part of the pape

Long-Term Drug Survival and Effectiveness of Secukinumab in Patients with Moderate to Severe Chronic Plaque Psoriasis: 42-Month Results from the SUPREME 2.0 Study

Purpose: SUPREME, a phase IIIb study conducted in Italy, demonstrated safety and high efficacy of secukinumab for up to 72 weeks in patients with moderate-to-severe plaque-type psoriasis. SUPREME 2.0 study aimed to provide real-world data on the long-term drug survival and effectiveness of secukinumab beyond 72 weeks. Patients and Methods: SUPREME 2.0 is a retrospective observational chart review study conducted in patients previously enrolled in SUPREME study. After the end of the SUPREME study, eligible patients continued treatment as per clinical practice, and their effectiveness and drug survival data were retrieved from medical charts. Results: Of the 415 patients enrolled in the SUPREME study, 297 were included in SUPREME 2.0; of which, 210 (70.7%) continued secukinumab treatment throughout the 42-month observation period. Patients in the biologic-naïve cohort had higher drug survival than those in the biologic-experienced cohort (74.9% vs 61.7%), while HLA-Cw6–positive and HLA-Cw6–negative patients showed similar drug survival (69.3% and 71.9%). After 42 months, Psoriasis Area and Severity Index (PASI) 90 was achieved by 79.6% of patients overall; with a similar proportion of biologic-naïve and biologic-experienced patients achieving PASI90 (79.8% and 79.1%). The mean absolute PASI score reduced from 21.94 to 1.38 in the overall population, 21.90 to 1.24 in biologic-naïve and 22.03 to 1.77 in biologic-experienced patients after 42 months. The decrease in the absolute PASI score was comparable between HLACw6–positive and HLA–Cw6-negative patients. The baseline Dermatology Life Quality Index scores also decreased in the overall patients (10.5 to 2.32) and across all study sub-groups after 42 months. Safety was consistent with the known profile of secukinumab, with no new findings. Conclusion: In this real-world cohort study, secukinumab showed consistently high long-term drug survival and effectiveness with a favourable safety profile

What is the role of the placebo effect for pain relief in neurorehabilitation? Clinical implications from the Italian consensus conference on pain in neurorehabilitation

Background: It is increasingly acknowledged that the outcomes of medical treatments are influenced by the context of the clinical encounter through the mechanisms of the placebo effect. The phenomenon of placebo analgesia might be exploited to maximize the efficacy of neurorehabilitation treatments. Since its intensity varies across neurological disorders, the Italian Consensus Conference on Pain in Neurorehabilitation (ICCP) summarized the studies on this field to provide guidance on its use. Methods: A review of the existing reviews and meta-analyses was performed to assess the magnitude of the placebo effect in disorders that may undergo neurorehabilitation treatment. The search was performed on Pubmed using placebo, pain, and the names of neurological disorders as keywords. Methodological quality was assessed using a pre-existing checklist. Data about the magnitude of the placebo effect were extracted from the included reviews and were commented in a narrative form. Results: 11 articles were included in this review. Placebo treatments showed weak effects in central neuropathic pain (pain reduction from 0.44 to 0.66 on a 0-10 scale) and moderate effects in postherpetic neuralgia (1.16), in diabetic peripheral neuropathy (1.45), and in pain associated to HIV (1.82). Moderate effects were also found on pain due to fibromyalgia and migraine; only weak short-term effects were found in complex regional pain syndrome. Confounding variables might have influenced these results. Clinical implications: These estimates should be interpreted with caution, but underscore that the placebo effect can be exploited in neurorehabilitation programs. It is not necessary to conceal its use from the patient. Knowledge of placebo mechanisms can be used to shape the doctor-patient relationship, to reduce the use of analgesic drugs and to train the patient to become an active agent of the therapy

Participation de la perturbation de l'interaction entre mGluR5 et Homer dans la physiopathologie du Syndrome de l'X Fragile

Fragile X Syndrome (FXS) is the most common inherited form of intellectual disability and autism. FXS is caused by a mutation in the fragile X mental retardation 1(Fmr1) gene which leads to the lack of the encoded FMRP protein. FMRP is an RNA binding protein involved in protein synthesis regulation at synapses. Many evidences suggest a central role of the Group-I metabotropic glutamate receptor subtype 5(mGluR5) in the FXS pathophysiology. In particular, an exaggerated signaling response following mGluR5 activation may underlie synaptic dysfunction in this disorder. Although much work has focused on the dysregulation of synaptic protein synthesis as aconsequence of this enhanced mGluR5 signaling, it becomes clear that in FXS there is also an altered balance of mGluR5 association with Homer scaffolding proteins, whichare postsynaptic density (PSD) partners of mGluR5. Although an extensive literature describes the mGluR5/Homer association, very little is known about the consequences of the disruption of this interaction in the FXS context. Therefore, the goal of my thesis was to study the consequences of mGluR5/Homer crosstalk disruption in the Fmr1 knockout(KO) mouse model of FXS in terms of properties and functions of mGluR5, such as expression during development, surface expression and axonal/dendritic targeting, agonist-induced internalization, surface dynamics and mGluR5-mediated modulation ofNMDA receptor (NMDAR) currents. In a first set of experiments we investigated the mGluR5 surface expression incultured hippocampal neurons from WT and Fmr1 KO mice by using immunofluorescence techniques and biotinylation assay. We found that mGluR5 was more expressed on the neuronal surface and was differently distributed in dendrites andaxons of Fmr1 KO cultured neurons. We then hypothesized that these alterations were adirect consequence of the mGluR5/Homer crosstalk disruption. We demonstrated that the altered expression and targeting of mGluR5 were critically dependent on mGluR5/Homer crosstalk disruption. We also observed that mGluR5 did not undergo internalization upon sustained mGluR5 activation with DHPG in Fmr1 KO neurons. This latter phenotype, however, was not dependent on the disruption of the mGluR5/Homer crosstalk. Altogether, these results demonstrate that mGluR5/Homer crosstalk disruption contributes to the pathophysiology of FXS altering expression and targeting of mGluR5 on the surface of Fmr1 KO neurons. In the second part of my study we investigated the consequences of the disrupted mGluR5/Homer crosstalk for the mGluR5 surface dynamics, and consequently for NMDAR function in Fmr1 KO neurons. Using a combination of live-cell imaging and single-molecule tracking, we found that mGluR5/Homer crosstalk disruption specifically increased the mGluR5 lateral diffusion at the synapse of cultured Fmr1 KO hippocampal neurons. The higher mGluR5 mobility resulted in an increased probability of transient physical interaction with NMDAR in the PSD of Fmr1 KO. This interaction altered the mGluR5-mediated modulation of NMDAR currents as evidenced by the two following changes. First, using patch-clamp recordings from CA1 pyramidal neurons, we found that NMDAR-mediated excitatory postsynaptic currents (NMDAR-EPSCs) evoked by Schaffer collateral stimulation showed lower amplitudes in Fmr1 KO neurons. Second, the postsynaptic expression of mGluR5 mediated long term depression (LTD) of NMDAR-EPSCs was reduced in Fmr1 KO neurons. Finally, we demonstrated that these defects in NMDA currents were strongly dependent on the mGluR5/Homer crosstalk disruption and altered mGluR5 dynamics. Altogether, our results show that mGluR5/Homer disruption contributes to the mGluR5 dysregulation in Fmr1 KO neurons. This study might have implication for the treatment of mGluR5 synaptic dysfunctions in FXS by targeting mGluR5/Homer interaction and provide new suggestions to correct the defective signaling underly ingcognitive impairment and autism.Le Syndrome de l'X Fragile (FXS) est la forme héréditaire majoritaire de déficience intellectuelle et la cause monogénique de l'autisme. Le FXS est causé par une mutation du gène Fragile X Mental Retardation 1 (Fmr1), qui entraîne son inactivation et l'absence d’expression de la protéine codée: Fragile X Mental Retardation Protein(FMRP). FMRP est une protéine de liaison à l’ARN, impliquée dans la régulation de la synthèse protéiques à la synapse. Un rôle central est attribué au sous-type 5 des récepteurs métabotropiques au glutamate du groupe I (mGluR5) dans la physiopathologie du FXS. En effet, une réponse exagérée suite à l'activation de mGluR5 pourrait expliquer le dysfonctionnement synaptique dans ce syndrôme. Bien que de nombreux travaux aient mis l'accent sur la dérégulation de la synthèse des protéines synaptiques comme une conséquence de cette signalisation accrue du mGluR5, il y a aussi un équilibre altéré dans l'association de mGluR5 avec les différentes isoformes des protéines Homer, partenaires de densité post-synaptique (PSD) du mGluR5. Bien qu'une abondante littérature décrit l'association mGluR5/Homer, les conséquences de la perturbation de cette interaction dans le contexte du FXS sont peu connues. Par conséquent, l'objectif de ma thèse était d'étudier les conséquences de la perturbation de l’interaction mGluR5/Homer au niveau des propriétés et des fonctions de mGluR5, telles que l'expression durant le développement, l'expression de surface et le ciblage axonal/dendritique, l’internalisation déclenchée par l'agoniste, les dynamiques de surface, et la modulation des courants NMDAR induite par mGluR5. Dans un premier temps, nous avons étudié l’expression de surface de mGluR5 dans des neurones hippocampiques in vitro issus de souris sauvages et Fmr1 KO, par des techniques d’immunofluorescence et de biotinylation. Nous avons constaté que mGluR5 est plus exprimé à la surface neuronale et est différemment distribué dans les dendrites et les axones des neurones Fmr1 KO. Puis, nous avons démontré que cette altération d’expression et de ciblage est une conséquence directe de l’altération de l’interaction mGluR5/Homer. Nous avons aussi observé que mGluR5, indépendamment de l’altération de l’interaction mGluR5/Homer, ne subit pas d’internalisation suite son activation soutenue par DHPG dans les neurones Fmr1 KO. Dans la seconde partie de mon étude, nous avons étudié les conséquences de la perturbation de l’interaction mGluR5/Homer dans les dynamiques de surface de mGluR5 et par conséquent pour la fonction du NMDAR dans les neurones Fmr1 KO. Par des techniques d'imagerie et de pistage moléculaire, nous avons constaté que l’altération du complexe mGluR5/Homer augmente spécifiquement la diffusion latérale à la synapse des neurones hippocampiques Fmr1 KO in vitro. La mobilité élevée du mGluR5 conduit à une probabilité accrue d'une interaction physique transitoire avec NMDAR dans la PSD du Fmr1 KO. Cette interaction altère la modulation, induite par mGluR5, des courants NMDAR. En effet, en utilisant des enregistrements en patch-clamp de neurones pyramidaux de CA1 sur tranches couplés à la stimulation des fibres collatérales de Schaffer, nous avons constaté que les courants excitateurs post-synaptiques induits par NMDAR (NMDAR-EPSCs) présentent des amplitudes plus faibles dans les neurones Fmr1 KO. De plus, l'expression post-synaptique de mGluR5, induite par la dépression à long-terme de NMDAR-EPSCs est réduite dans les neurones Fmr1 KO. Finalement, nous avons démontré que ces défauts des courants NMDAR sont dépendants de la perturbation de l’interaction mGluR5/Homer et altèrent les dynamiques de mGluR5. Cette étude pourrait avoir des conséquences dans le traitement des dysfonctionnements synaptiques du mGluR5 dans le FXS, en ciblant l’interactionmGluR5/Homer, et offre de nouvelles suggestions pour corriger la signalisation défectueuse sous-jacente aux troubles du spectre autistique