Persistence of endoscopic rectal inflammation in UC treated with infliximab is not linked to ineffective TNFα downregulation.
2016Gut
Tursi A, Principi M, Picchio M, Giorgio F, Inchingolo CD +2 more
PubMedGastroenterology Service, Lorenzo Bonomo Hospital, Andria, Italy.
C D Inchingolo studies gastrointestinal conditions, with a particular emphasis on diverticular disease, Crohn's disease, and ulcerative colitis. His research explores how different treatments, such as the use of medications like infliximab and anti-TNFα antibodies, impact inflammation levels in patients who appear to be symptom-free. He investigates how ongoing inflammation can affect patient health and the recurrence of these diseases, providing critical information for patients and healthcare providers alike.
Gut
Tursi A, Principi M, Picchio M, Giorgio F, Inchingolo CD +2 more
PubMedJournal of gastrointestinal and liver diseases : JGLD
Tursi A, Inchingolo CD
PubMedClinics and research in hepatology and gastroenterology
Tursi A, Elisei W, Picchio M, Forti G, Penna A +3 more
Plain English
This study looked at how inflammation in the intestines behaves in people with ulcerative colitis who are being treated with infliximab, a medication that helps manage the condition. Researchers examined tissue samples from 47 patients who appeared to be doing well and found that almost half (48.9%) still showed signs of inflammation, even though they were clinically and endoscopically in remission. At the end of the study, 40.4% of these patients still had some inflammation, indicating that even when symptoms are gone, some degree of inflammation remains.
Who this helps: This helps patients with ulcerative colitis and their doctors by providing insight into the ongoing inflammation that may affect long-term health.
Respiration; international review of thoracic diseases
Soldati G, Smargiassi A, Inchingolo R, Sher S, Nenna R +3 more
PubMedJournal of clinical gastroenterology
Tursi A, Inchingolo CD, Picchio M, Elisei W, Mangiola F +1 more
PubMedColorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland
Tursi A, Elisei W, Giorgetti GM, Inchingolo CD, Nenna R +4 more
Plain English
This study looked at the levels of certain proteins linked to inflammation in patients who had surgery for acute colonic diverticulitis (ACD) compared to those with Crohn's disease (CD). Researchers found that two proteins, TNF-α and basic fibroblastic growth factor, were much higher in the ACD patients: TNF-α was overexpressed by a significant margin, with a p-value of less than 0.0001, indicating a strong difference. These findings are important because they suggest that the biological processes of inflammation in ACD may differ from those in CD, which could impact how these conditions are treated.
Who this helps: This helps doctors understand disease differences to improve treatment for patients with diverticulitis and Crohn's disease.
Journal of clinical pathology
Tursi A, Elisei W, Inchingolo CD, Nenna R, Picchio M +2 more
PubMedJournal of gastrointestinal and liver diseases : JGLD
Tursi A, Elisei W, Principi M, Inchingolo CD, Nenna R +4 more
Plain English
This study looked at patients with Crohn's disease (CD) who were in deep remission while receiving treatment with anti-TNFα antibodies. Researchers found that key proteins linked to inflammation—Basic Fibroblastic Growth Factor (bFGF), Syndecan-1 (SD1), and Tumor Necrosis Factor-alpha (TNF-α)—were much lower in patients who were well-managed on these treatments compared to those with active disease. Specifically, bFGF and SD1 levels were similar between two types of treatments (Infliximab and Adalimumab), but TNF-α levels were notably lower in patients on Adalimumab.
Who this helps: This helps Crohn's disease patients by indicating that effective treatment can lead to significant reductions in inflammation.
Respiration; international review of thoracic diseases
Soldati G, Smargiassi A, Inchingolo R, Sher S, Nenna R +3 more
Plain English
This study looked at how chest ultrasounds can help estimate the condition of lungs by analyzing specific patterns in the images, called B-lines. Researchers tested six rabbit lungs in different states: one set was allowed to collapse naturally, while the other was inflated with pressure. They discovered that collapsed lungs had a mean volume of 11.2 ml and a mean density of 0.622 g/ml, while inflated lungs had a volume of 44.83 ml and a density of 0.155 g/ml, indicating that the structure of the lungs changes significantly based on their state. This is important because it means ultrasound could be a useful tool for doctors to evaluate lung health indirectly.
Who this helps: Patients with lung conditions and doctors assessing lung health.
European review for medical and pharmacological sciences
Tursi A, Elisei W, Giorgetti GM, Inchingolo CD, Nenna R +5 more
Plain English
This study looked at how well different treatments work to prevent diverticulitis from coming back in patients who have had an episode of it. Researchers followed 104 patients for two years after they recovered from an acute attack, finding that those treated with mesalazine (55 patients) had a significantly lower chance of having a relapse compared to those treated with rifaximin (49 patients). Specifically, patients taking mesalazine experienced fewer signs of ongoing inflammation, meaning their condition is less likely to return.
Who this helps: This helps patients recovering from diverticulitis by guiding them towards more effective treatment options.
Journal of gastrointestinal and liver diseases : JGLD
Tursi A, Elisei W, Giorgetti GM, Inchingolo CD, Nenna R +2 more
Plain English
This study looked at how inflammation seen during endoscopy and in tissue samples can predict whether people will have another episode of diverticulitis, which is an infection in the colon. Of the 130 patients monitored over two years, 18 had their diverticulitis return, and those with ongoing inflammation were more likely to experience a recurrence. Specifically, 27.67% of patients showed inflammation during follow-ups, and this inflammation was linked to the odds of the diverticulitis coming back.
Who this helps: This helps patients with diverticulitis and their doctors in understanding and managing the risk of future attacks.
Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland
Tursi A, Inchingolo CD
PubMedJournal of gastrointestinal and liver diseases : JGLD
Tursi A, Inchingolo CD
PubMedInternational journal of colorectal disease
Tursi A, Elisei W, Giorgetti GM, Inchingolo CD, Nenna R +2 more
Plain English
This study looked at the long-term health of 27 patients with a condition called segmental colitis associated with diverticulosis (SCAD) over five years. Researchers found that patients with type B, C, and D SCAD often needed ongoing medical treatment, with 62.5% of type B and 100% of type C patients managing to stay well, while type D patients struggled, requiring stronger medications. In contrast, type A patients appeared to do better without treatment, with 83.33% of those on therapy remaining in remission at the end of the study.
Who this helps: This research helps doctors understand how different types of SCAD affect treatment needs and patient outcomes.
Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland
Tursi A, Elisei W, Brandimarte G, Giorgetti GM, Inchingolo CD +4 more
Plain English
This study looked at a substance called TNF-α that is involved in inflammation, specifically in people suffering from diverticular disease (DD) of the colon. Researchers found that TNF-α levels were significantly higher in patients with more severe forms of DD—like acute diverticulitis—compared to those with milder symptoms and healthy individuals. For instance, TNF-α was about 10 times higher in patients with acute diverticulitis than in healthy individuals, highlighting how inflammation increases with the severity of the disease.
Who this helps: This research benefits patients with diverticular disease by improving understanding of their condition and potentially guiding treatment options.
Ultrasound in medicine & biology
Soldati G, Inchingolo R, Smargiassi A, Sher S, Nenna R +2 more
Plain English
This study examined how ultrasound images of lungs are affected by the density of lung tissue. Researchers found that changes in lung inflation can create specific ultrasound patterns that resemble signs of lung disease in healthy rabbit lungs when they were deflated to a certain point. This is important because it helps doctors understand how ultrasound can be interpreted correctly and avoid misdiagnosing healthy lungs as diseased.
Who this helps: This benefits doctors and medical imaging specialists.
Neurogastroenterology and motility
Tursi A, Elisei W, Brandimarte G, Giorgetti GM, Inchingolo CD +4 more
Plain English
This study looked at the levels of certain proteins related to inflammation and tissue growth in patients with diverticular disease, a condition affecting the colon. It found that in patients with acute diverticulitis, a specific type of diverticular disease, the levels of a protein called TNF-α were much higher compared to healthy individuals and other types of diverticular disease. After treatment, TNF-α levels decreased significantly, indicating that this protein is linked to the severity of symptoms and can be affected by treatment.
Who this helps: This research helps doctors better understand how to treat diverticular disease and monitor patient recovery.
Digestive and liver disease : official journal of the Italian Society of Gastroenterology and the Italian Association for the Study of the Liver
Tursi A, Elisei W, Brandimarte G, Giorgetti GM, Inchingolo CD +2 more
Plain English
This study looked at the levels of a protein called tumor necrosis factor-alpha in patients with a specific type of bowel inflammation linked to diverticulosis. Researchers found that this protein was much higher in patients with severe cases (around 42.7% to 40%) compared to those with milder cases (about 19.1% to 21.1%). This matters because it suggests that these patients experience a level of inflammation similar to those with other inflammatory bowel diseases, indicating that they might need similar treatment approaches.
Who this helps: This helps patients with diverticulosis-related colitis and their doctors in managing their condition.
Journal of gastrointestinal and liver diseases : JGLD
Tursi A, Elisei W, Brandimarte G, Giorgetti GM, Inchingolo CD +2 more
Plain English
This study looked at a protein called TNF-alpha in patients with segmental colitis related to diverticulosis, especially how it changes with treatment. Ten patients received a treatment for eight weeks, which led to a significant reduction in TNF-alpha levels—dropping from about 42.7% to 15.7% in one group of patients, and from 40% to 28.6% in another group. This is important because it shows that treating this condition can lower inflammation, suggesting that segmental colitis should be considered a type of inflammatory bowel disease.
Who this helps: This research benefits patients with segmental colitis and their doctors by confirming effective treatment options.
Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland
Tursi A, Elisei W, Brandimarte G, Giorgetti GM, Lecca PG +3 more
Plain English
This study looked at a condition called segmental colitis associated with diverticulosis (SCAD) to better understand its visual and tissue characteristics during colon examinations. Out of 6,230 colonoscopies, 92 patients (about 1.5%) were diagnosed with SCAD, which displayed four different patterns: the most common was “crescentic fold disease” seen in 52% of cases, while 6.5% had severe ulcerative colitis-like changes. These findings matter because they help doctors recognize the varying severity of this condition, which can improve diagnosis and treatment for patients with similar symptoms.
Who this helps: This helps patients with diverticulosis and their doctors in diagnosing and managing SCAD.
Archivio italiano di urologia, andrologia : organo ufficiale [di] Societa italiana di ecografia urologica e nefrologica
Albino G, Nenna R, Inchingolo CD, Marucco EC
Plain English
This study looked at a 64-year-old man who had a fluid-filled swelling in his testicle called a hydrocele, which had been growing for 30 years. During surgery, doctors discovered a 3 cm tumor that was classified as a low-risk type of paratesticular cancer, but scans showed no spread of the disease. It's important because even though hydroceles are often harmless, they can sometimes be linked to serious conditions like cancer, so they should be monitored closely.
Who this helps: Patients with similar symptoms and their doctors.
International journal of colorectal disease
Tursi A, Brandimarte G, Elisei W, Giorgetti GM, Inchingolo CD +1 more
Plain English
This study looked at levels of a substance called faecal calprotectin (FC) in patients with colonic diverticular disease, comparing them to people with irritable bowel syndrome (IBS) and healthy individuals. The researchers found that FC levels were significantly higher in patients with acute uncomplicated diverticulitis and symptomatic uncomplicated diverticular disease, but were normal in healthy controls and IBS patients. After treatment, FC levels returned to normal in those with diverticular disease, indicating FC might help identify inflammation and monitor treatment effectiveness.
Who this helps: This research benefits patients with diverticular disease and their doctors by providing a tool for diagnosis and treatment monitoring.
Journal of clinical gastroenterology
Tursi A, Brandimarte G, Elisei W, Giorgetti GM, Inchingolo CD +2 more
Plain English
This study looked at inflammation in the colon of patients with diverticular disease (DD) to see how it compares to healthy individuals. Researchers found that only patients with acute uncomplicated diverticulitis showed a high level of a specific type of inflammation (score of 26), while those with symptomatic DD and even asymptomatic diverticulosis had increased lymphocyte levels, averaging 7 and 6.5 respectively, compared to healthy controls who averaged 4. This is important because it shows that inflammation can be present even in people without symptoms, which may help guide treatment and monitoring for those with diverticular disease.
Who this helps: Patients with diverticular disease and their doctors.
Inflammatory bowel diseases
Tursi A, Inchingolo CD, Nenna R, Stoppino G, Zotti M +2 more
PubMedDigestive and liver disease : official journal of the Italian Society of Gastroenterology and the Italian Association for the Study of the Liver
Tursi A, Brandimarte G, Elisei W, Giorgetti GM, Inchingolo CD +1 more
Plain English
This study looked at the effects of mesalazine, a medication, on cell growth in the intestines of patients with diverticular disease. Researchers treated 20 patients with mesalazine for a year and found that the rate of cell growth in their intestines significantly decreased: from 6.7% to 3.8% overall and from 6.8% to 2.9% in a specific area, indicating that mesalazine can effectively lower abnormal cell growth linked to this condition. This matters because uncontrolled cell growth can lead to more severe health problems.
Who this helps: Patients with diverticular disease.
Digestive and liver disease : official journal of the Italian Society of Gastroenterology and the Italian Association for the Study of the Liver
Tursi A, Inchingolo CD
Plain English
This study looks at a patient with both stomach and colon lymphoma linked to coeliac disease. After the patient started a gluten-free diet, there was no improvement in their stomach cancer after three years, and the condition of the colon cancer wasn’t evaluated because the patient declined further tests. This highlights the importance of ongoing monitoring and treatment options for patients with both coeliac disease and lymphoma.
Who this helps: Patients with coeliac disease and their doctors.
Endoscopy
Tursi A, Rella G, Inchingolo CD, Maiorano M
PubMedDigestive and liver disease : official journal of the Italian Society of Gastroenterology and the Italian Association for the Study of the Liver
Tursi A, Inchingolo CD, Rella G
PubMedJournal of clinical gastroenterology
Tursi A, Brandimarte G, Elisei W, Inchingolo CD, Aiello F
Plain English
This study looked at how fast the cells in the colon are growing in patients with different stages of diverticular disease, a condition that affects the colon. Researchers found that the cell growth rate, measured by a specific marker, was significantly higher in all patients with diverticular disease compared to healthy individuals, with asymptomatic diverticulosis showing a threefold increase in cell proliferation (5.4% and 5.6% compared to 1.6% and 1.8%). This is important because it suggests that even patients with no symptoms may have a similar risk of developing colon cancer as those with ulcerative colitis.
Who this helps: This helps patients with diverticular disease and their doctors.
Endoscopy
Tursi A, Brandimarte G, Giorgetti GM, Elisei W, Inchingolo CD +2 more
Plain English
This study looked at how effective a gluten-free diet (GFD) is in helping adults with celiac disease recover their intestines over two years. Out of 42 adults, the number with normal endoscopy results rose from about 12% at the start to 76% after two years on the diet, and 60% showed normal tissue samples after 24 months. However, older patients (over 60) didn’t show significant improvement, even after two years, indicating they may need more monitoring.
Who this helps: This research benefits patients with celiac disease and their doctors by highlighting the need for follow-up tests to monitor recovery.
Scandinavian journal of gastroenterology
Tursi A, Brandimarte G, Giorgetti GM, Inchingolo CD
Plain English
This study looked at how effective a breath test, called the sorbitol H2 breath test, is for detecting early signs of coeliac disease in family members of diagnosed patients. Among 111 relatives screened, 49 were found to have coeliac disease, with the sorbitol test identifying cases even with mild gut damage in 83.67% of the individuals, compared to lower detection rates with traditional blood tests. This matters because early detection can help prevent more severe health issues related to the disease.
Who this helps: This benefits family members of coeliac patients, allowing for earlier diagnosis and treatment.
Publication data sourced from PubMed . Plain-English summaries generated by AI. Not medical advice.