The Hughston Foundation, Inc., 6262 Veterans Parkway, PO Box 9517, Columbus, GA 31909-9517, USA; Jack Hughston Memorial Hospital Residency Program, 4401 Riverchase Drive, Phenix City, AL 36867, USA.
Dr. Ricci studies food allergies, specifically how people can become tolerant to certain foods like cow's milk through a treatment called oral desensitization. This process gradually exposes patients to small amounts of the allergen, allowing their bodies to adjust and reduce allergic reactions. By utilizing a specific blood test known as the Basophil Activation Test (BAT), Dr. Ricci can monitor changes in allergy-related antibodies, helping to understand how well patients are responding to treatment.
Key findings
In a pilot study, three male patients undergoing oral desensitization to cow's milk showed a significant reduction in specific allergy antibodies (IgE) and an increase in IgG4, indicating a development of tolerance.
The study demonstrated that the Basophil Activation Test (BAT) could effectively monitor changes in allergic responses, as indicated by improvements in blood test results.
Post-treatment, the reduction in allergic reactions to cow's milk proteins was notable, suggesting that oral desensitization can be a successful approach for managing cow's milk allergies.
Frequently asked questions
Does Dr. Ricci study cow's milk allergies?
Yes, Dr. Ricci specializes in researching cow's milk allergies and how patients can develop tolerance through treatment.
What is oral desensitization?
Oral desensitization is a treatment that involves gradually introducing small amounts of an allergen, like cow's milk, to help the immune system adapt and reduce allergic reactions.
How does the Basophil Activation Test help in treatment?
The Basophil Activation Test (BAT) helps monitor changes in specific antibodies that indicate how well a patient is responding to the oral desensitization treatment.
Is Dr. Ricci's work relevant to patients with milk allergies?
Yes, Dr. Ricci's research provides insights and potential treatment options for patients struggling with milk allergies.
What were the outcomes of the pilot study?
The pilot study involving three patients showed a decrease in allergy antibodies and marked improvements in their allergic reactions to cow's milk after treatment.
Publications in plain English
Effects of pharmacological inhibition of hyaluronic acid synthesis on experimental endometriosis.
2023
European journal of clinical investigation
Olivares CN, Ricci AG, Bilotas MA, Alaniz L, Barañao RI +1 more
Plain English Researchers studied the effects of a drug called 4-Methylumbelliferone (4MU) on endometriosis, a painful condition where tissue similar to the lining inside the uterus grows outside it. They found that in mice given 4MU shortly after surgery, the percentage of developed endometriosis lesions decreased significantly compared to those that started treatment later. Specifically, early treatment with 4MU led to fewer lesions, suggesting that this drug could provide a new way to treat endometriosis early on.
Who this helps: This helps patients with endometriosis looking for effective treatment options.
Routine postoperative computed tomography (CT) scans following acetabulum open reduction internal fixation (ORIF): A survey of orthopaedic traumatologists.
2023
Injury
Ricci AG, Thompson DM, Gruenberger E, Floyd JCP, Harris RM
Plain English This study looked at how orthopedic surgeons decide whether to use routine CT scans after surgery to fix fractured hip bones (acetabular fractures). Out of 57 surgeons surveyed, 28% always ordered these scans, while 72% did not, and both groups reported similar rates of needing further surgery afterward. The findings show that while the surgeons who ordered CT scans had a low revision rate of under 1%, those who didn't felt that the scans wouldn't significantly change patient care and raised concerns about cost and radiation exposure.
Who this helps: This helps orthopedic surgeons and their patients by providing clarity on the necessity and risks of routine postoperative scans.
Routine Postoperative Computed Tomography Scans Following Posterior Pelvic Fixation of Pelvic Ring Fractures: A Survey of (OTA) Orthopaedic Traumatologists.
Plain English This study looked at whether orthopedic surgeons routinely order CT scans after surgery to fix pelvic ring fractures. Out of 57 surgeons surveyed, 35% regularly ordered these scans while 65% did not. The doctors who ordered the scans reported that they rarely needed to perform revision surgeries, while those who didn't order them cited concerns over extra costs and radiation exposure as their reasons.
Who this helps: This benefits orthopedic surgeons and their patients by potentially reducing unnecessary procedures and costs.
Resveratrol impairs cellular mechanisms associated with the pathogenesis of endometriosis.
2022
Reproductive biomedicine online
Madanes D, Meresman G, Valla SA, Hassan N, Kiesel L +4 more
Plain English This study looked at how a compound called resveratrol affects cells involved in endometriosis, a painful condition where tissue similar to the lining inside the uterus grows outside of it. Researchers found that resveratrol reduced the survival and movement of these cells while increasing their death: specifically, cell movement decreased by up to 82%, and up to 30% more cells died when treated with resveratrol. This matters because it suggests that resveratrol might help develop new treatments for endometriosis by stopping the harmful growth of these cells.
Who this helps: Patients with endometriosis.
Effect of urolithins A and B on ectopic endometrial growth in a murine model of endometriosis.
2021
Food & function
Mc Cormack BA, Olivares CN, Madanes D, Ricci AG, Bilotas MA +1 more
Plain English This study looked at the effects of two compounds, urolithins A and B, on endometriosis in mice, a painful condition where tissue similar to the uterus grows outside of it. The researchers found that urolithin A completely stopped the growth of these lesions, while urolithin B significantly reduced their size. Both compounds also helped reduce cell growth in the lesions and increased cell death, suggesting they could effectively treat endometriosis without causing side effects like weight changes or disruptions in the mice's reproductive cycles.
Who this helps: This helps women with endometriosis looking for better treatment options.
PI3K/AKT pathway is altered in the endometriosis patient's endometrium and presents differences according to severity stage.
2020
Gynecological endocrinology : the official journal of the International Society of Gynecological Endocrinology
Madanes D, Bilotas MA, Bastón JI, Singla JJ, Meresman GF +2 more
Plain English This study looked at the PI3K/AKT signaling pathway in the uterine tissue of women with endometriosis to see how it varies with the severity of the disease. Researchers found that women with endometriosis had higher levels of PI3K and increased AKT phosphorylation, along with lower levels of PTEN compared to healthy controls. Notably, women with minimal to mild endometriosis showed a significant decrease in PTEN compared to those with moderate to severe endometriosis, indicating that this pathway plays a crucial role early in the disease.
Who this helps: This helps patients with endometriosis and doctors in understanding disease progression and potential treatment options.
The Central-Splitting Approach for Achilles Insertional Tendinopathy and Haglund Deformity.
2020
JBJS essential surgical techniques
Ricci AG, Stewart M, Thompson D, Watson BC, Ashmyan R
Plain English This study focused on a surgical method called the central-splitting approach for treating patients with Achilles insertional tendinopathy and Haglund deformity, conditions that cause pain at the back of the heel. The researchers found that this approach provides good access to both the affected tendon and any bony growths, leading to successful outcomes for patients, as shown by high satisfaction scores. Approximately 50% of patients do not find relief from non-surgical treatments, making effective surgical options crucial.
Who this helps: This helps patients suffering from heel pain due to Achilles tendon issues.
Potential use of ellagic acid for endometriosis treatment: its effect on a human endometrial cell cycle, adhesion and migration.
2020
Food & function
Mc Cormack BA, Bilotas MA, Madanes D, Ricci AG, Singla JJ +1 more
Plain English This study looked at how ellagic acid (EA), a natural compound, affects cells from women with and without endometriosis, a condition where tissue similar to the uterus grows outside of it. Researchers found that EA can slow down the growth cycle of these cells and reduce their ability to move and stick to surfaces. Specifically, using 100 micromoles of EA significantly lowered the movement of certain cells by up to 54% over 20 hours, while 50 micromoles also showed promising results. This matters because there are currently no effective treatments for endometriosis, and natural compounds like EA could lead to new options.
Who this helps: This helps women suffering from endometriosis.
Impact of nickel oral hyposensitization on quality of life in systemic nickel allergy syndrome.
2020
International journal of immunopathology and pharmacology
Rizzi A, Di Rienzo A, Buonomo A, Aruanno A, Carusi V +8 more
Plain English This study looked at how a treatment called nickel oral hyposensitization (NiOHT) affects the quality of life for people with systemic nickel allergy syndrome (SNAS). Researchers found that after one year of treatment, patients reported a 20% improvement in their overall health-related quality of life. This is important because it shows that NiOHT can significantly help those suffering from this allergy feel better and improve their daily lives.
Who this helps: This helps patients with systemic nickel allergy syndrome.
Influence of Antihistamines on Basophil Activation Test in Food Allergy to Milk and Egg.
2020
Diagnostics (Basel, Switzerland)
Nucera E, Inchingolo R, Nicotra R, Ferraironi M, Ricci AG +5 more
Plain English This study looked at how taking antihistamines for three months affects a test called the basophil activation test (BAT), which helps diagnose food allergies to milk and eggs. Out of 39 patients with known allergies, 29 had positive BAT results, and the test results didn't change after taking antihistamines, meaning these medications do not affect the accuracy of the BAT. This is important because it reassures both patients and doctors that antihistamines can be safely used without compromising allergy testing.
Who this helps: Patients with milk and egg allergies.
Soluble guanylyl cyclase α1 subunit is a key mediator of proliferation, survival, and migration in ECC-1 and HeLa cell lines.
2019
Scientific reports
Ronchetti SA, Pino MTL, Cordeiro G, Bollani SN, Ricci AG +2 more
Plain English This study looked at the role of a protein called sGCα1 in two types of cancer cells: ECC-1 (endometrial) and HeLa (cervical). The researchers found that when they reduced the amount of sGCα1 in these cells, it led to a significant decrease in cell growth and migration, as well as increased cell death. Specifically, blocking sGCα1 decreased growth in ECC-1 cells by promoting cell death and stopping the cell cycle, and similar effects were seen in HeLa cells even without the hormone estrogen.
Who this helps: This research benefits cancer patients and doctors by highlighting a potential target for treatment in certain hormone-related and unrelated cancers.
Specific oral immunotherapy in food allergic patients: transient or persistent tolerance?
2018
Postepy dermatologii i alergologii
Nucera E, Ricci AG, Rizzi A, Mezzacappa S, Rienzo AD +5 more
Plain English In this study, researchers looked at 13 patients with food allergies who underwent a treatment called specific oral desensitization to see if they could maintain their tolerance to certain foods after stopping the treatment. They found that all patients initially became desensitized, but when they stopped eating the allergens, 12 out of 13 had allergic reactions when they reintroduced these foods later. This indicates that the tolerance gained from the treatment is temporary, and regular consumption of the allergens is needed to keep that tolerance.
Who this helps: This information benefits patients with food allergies and their doctors by clarifying the need for ongoing exposure to allergens after desensitization.
Cross-reactivity and Tolerability of Ertapenem in Patients With IgE-Mediated Hypersensitivity to β-Lactams.
2016
Journal of investigational allergology & clinical immunology
Buonomo A, Pascolini L, Rizzi A, Aruanno A, Pecora V +6 more
Plain English This study looked at whether a drug called ertapenem could be safely given to patients who are allergic to certain antibiotics known as β-lactams. Out of 49 patients tested, 35 were able to safely receive ertapenem after showing negative allergy tests. This is important because it suggests that many patients with β-lactam allergies may not need to avoid carbapenem antibiotics, which can be critical for treating infections.
Who this helps: This benefits patients with β-lactam allergies who require antibiotic treatment.
Interplay between Endometriosis and Pregnancy in a Mouse Model.
2015
PloS one
Bilotas MA, Olivares CN, Ricci AG, Baston JI, Bengochea TS +2 more
Plain English This study looked at how endometriosis affects fertility and how pregnancy influences endometriosis in female mice. The researchers found that mice with endometriosis had a lower pregnancy rate—only 55% compared to 100% in healthy mice—but there were no differences in the number of fetuses or their weight. While pregnancy seemed to increase the size of endometriosis lesions, it also helped reduce certain growth processes in these lesions, indicating that being pregnant might mitigate some negative effects of endometriosis.
Who this helps: This helps patients with endometriosis who are trying to conceive.
Hypersensitivity to major panallergens in a population of 120 patients.
2015
Postepy dermatologii i alergologii
Nucera E, Mezzacappa S, Aruanno A, Pecora V, Rizzi A +4 more
Plain English This study looked at how many patients in central and southern Italy are allergic to three common allergens found in fruits and vegetables: lipid transfer proteins (LTP), profilin, and PR-10. Out of 120 patients tested, 76 were allergic to LTP, 14 to profilin, and 5 to PR-10. Most patients with LTP allergies experienced serious reactions, while those allergic to profilin mostly had mild oral symptoms. This is important because it highlights that LTP should be recognized as a significant food allergen in this region.
Who this helps: This information is beneficial for patients with food allergies and doctors treating them.
Utility of Basophil Activation Test for monitoring the acquisition of clinical tolerance after oral desensitization to cow's milk: Pilot study.
2015
United European gastroenterology journal
Nucera E, Pecora V, Buonomo A, Rizzi A, Aruanno A +8 more
Plain English This study looked at how well a blood test, called the Basophil Activation Test (BAT), can track if people with cow's milk allergies become tolerant to milk after a special treatment called oral desensitization. In three male patients who went through this treatment, the results showed that while their specific allergy antibodies (IgE) went down, a different type of antibody (IgG4) went up, and the blood tests indicated that their allergic reactions to milk proteins were significantly reduced. This matters because it suggests that the BAT can effectively monitor the progress of treatment and the development of tolerance in food allergy patients.
Who this helps: This helps patients with cow's milk allergies and their doctors.
Targeting galectin-1-induced angiogenesis mitigates the severity of endometriosis.
2014
The Journal of pathology
Bastón JI, Barañao RI, Ricci AG, Bilotas MA, Olivares CN +6 more
Plain English This study looked at a protein called galectin-1 (Gal-1) and its role in endometriosis, a painful condition where tissue similar to the uterus grows outside of it. Researchers found that Gal-1 helps form blood vessels in endometriotic tissue, promoting its growth, and when they blocked Gal-1 in mice, the endometriotic lesions were smaller and less blood-filled. This matters because it highlights a new potential treatment target that could help reduce the severity of endometriosis symptoms.
Who this helps: Women suffering from endometriosis.
Cross-reactivity and tolerability of cephalosporins in patients with cell-mediated allergy to penicillins.
2014
Journal of investigational allergology & clinical immunology
Buonomo A, Nucera E, Pecora V, Rizzi A, Aruanno A +4 more
Plain English This study looked at how patients with a specific allergy to penicillins might react to a group of antibiotics called cephalosporins. Out of 97 patients tested, 17 showed allergic reactions to some cephalosporins, primarily cephalexin, while most were able to tolerate these drugs without any serious issues. The findings revealed that about 10.9% of patients might have cross-reactivity with first-generation cephalosporins, but this was only 1.1% for third-generation cephalosporins, making patch tests and careful monitoring important for safely prescribing these antibiotics.
Who this helps: This helps patients with penicillin allergies who may need alternative antibiotics.
Natural therapies assessment for the treatment of endometriosis.
2013
Human reproduction (Oxford, England)
Ricci AG, Olivares CN, Bilotas MA, Bastón JI, Singla JJ +2 more
Plain English This study investigated whether two natural substances, resveratrol and epigallocatechin-3-gallate (EGCG), can help treat endometriosis, a painful condition affecting many women. In tests with mice, both substances significantly reduced the number and size of endometriotic lesions, with resveratrol lowering cell growth and increasing cell death in the lesions (all P-values were less than 0.05, indicating strong results). The findings suggest these natural therapies could lead to new treatments for endometriosis, which often causes infertility and pelvic pain.
Who this helps: This benefits women suffering from endometriosis and their healthcare providers.
Plain English This study looked at how two drugs, celecoxib and anastrozole, affect the growth of endometriosis in mice. Researchers found that celecoxib alone significantly reduced the number and size of endometriotic lesions, while both drugs together actually reduced their individual effectiveness. This matters because it suggests that while each drug helps fight endometriosis, using them together might not be beneficial.
Who this helps: This helps doctors and researchers understand better treatment options for women with endometriosis.
The clinical meaning of positive latex sIgE in patients with food/pollen adverse reactions.
2012
International journal of immunopathology and pharmacology
Nucera E, Rizzi A, Buonomo A, De Pasquale T, Pecora V +7 more
Plain English This study looked at people who have allergies to both latex and certain foods, specifically focusing on a condition called "Latex-fruit Syndrome." Researchers examined 51 patients and found that 34 had clear allergic reactions to latex and fruits/vegetables, while 17 had allergy symptoms to fruits and vegetables but not to latex. Notably, all tests for latex allergies came back positive for those in the first group, while only two from the second group showed any reaction. This distinction is important because it helps doctors understand which patients are truly allergic to latex and may need specific treatments or management strategies.
Who this helps: Patients with latex and food allergies can benefit from clearer diagnoses and better management.
Profilin desensitization in two patients with plant-derived food allergy.
2012
International journal of immunopathology and pharmacology
Nucera E, Aruanno A, Rizzi A, Buonomo A, Pecora V +4 more
Plain English This study looked at two patients who were allergic to certain foods derived from plants and how a treatment called sublingual desensitization (SLIT) worked for them. After undergoing this treatment, both patients could eat previously avoided foods without allergic reactions, and their allergy-related antibody levels decreased. This is important because it shows that SLIT can effectively help people with specific plant-based food allergies manage their diets more freely.
Who this helps: This benefits patients with plant-derived food allergies.
'Empty sella syndrome': a case of a patient with sodium succinate hydrocortisone allergy.
2011
European journal of endocrinology
Nucera E, Lombardo C, Aruanno A, Colagiovanni A, Buonomo A +7 more
Plain English This study looked at a woman with 'empty sella syndrome' who had allergic reactions to a specific steroid medication called sodium succinate hydrocortisone. After testing, it was found that she was allergic to this particular drug but could safely use other steroid medications. This is important because it helps identify safe treatment options for patients with similar allergies, allowing them to receive necessary care without risking an allergic reaction.
Who this helps: This helps patients with allergies to specific steroid medications.
Effect of vascular endothelial growth factor inhibition on endometrial implant development in a murine model of endometriosis.
2011
Reproductive sciences (Thousand Oaks, Calif.)
Ricci AG, Olivares CN, Bilotas MA, Meresman GF, Barañao RI
Plain English This study investigated how a drug called bevacizumab affects the growth of abnormal endometrial tissue in mice with endometriosis. The results showed that treating these mice with bevacizumab significantly reduced the development of these lesions by 40% and decreased the number of cells growing in the lesions by 60%. This research is important because it suggests that targeting the growth factor VEGF with bevacizumab could be a new way to treat endometriosis and improve the quality of life for those affected.
Who this helps: Patients with endometriosis.
Plain English This study looked at how accurate ultrasound is for estimating the weight of unborn babies just before delivery and considered various factors that might affect this accuracy. Researchers evaluated 106 patients and found that the ultrasound estimates were very close to the actual birth weights, with 79.2% of estimates within 10% of the true weight. The distance from the mother's skin to the uterus mattered in how accurate these estimates were, while the amount of amniotic fluid did not have a significant impact.
Who this helps: This helps doctors and expectant mothers by providing reliable information for better prenatal care and delivery planning.
Inhibitory effect of leptin on the rat ovary during the ovulatory process.
2006
Reproduction (Cambridge, England)
Ricci AG, Di Yorio MP, Faletti AG
Plain English This study looked at how leptin, a hormone involved in regulating body weight, affects the process of ovulation in rats. Researchers found that giving leptin reduced the levels of important substances needed for ovulation, like progesterone and prostaglandin E, leading to a lower ovulation rate. Specifically, when leptin was administered, progesterone and PGE levels dropped significantly, indicating that leptin hinders ovulation by affecting ovarian function.
Who this helps: This research helps fertility specialists and patients trying to understand factors affecting ovulation and reproductive health.
Leptin enhances ovulation and attenuates the effects produced by food restriction.
2005
Molecular and cellular endocrinology
Roman EA, Ricci AG, Faletti AG
Plain English This study looked at how not eating enough affects ovulation in young female rats and whether a hormone called leptin can help. The researchers found that when rats experienced severe food restriction, their ovulation rate dropped significantly, but giving them leptin partially reversed these negative effects. Specifically, the most extreme food deprivation reduced ovulation rates and hormone levels, but leptin administration improved these outcomes.
Who this helps: This research benefits patients with eating disorders or conditions affecting nutrition and fertility.