Manuela Nestola studies treatments for liver diseases, particularly for patients who cannot receive liver transplants. She investigates how human cells from umbilical cords can be used to repair damaged livers. Her research aims to find effective methods to deliver these stem cells, which have shown promise in healing liver injuries in animal models. By exploring various sources of liver cells, such as stem cells and genetically modified liver cells, she seeks alternatives for those suffering from severe liver conditions.
Key findings
In a murine model of toxic liver injury, human umbilical cord stem cells helped reduce the death rate of mice significantly, demonstrating their potential in liver repair.
Nestola's research identifies that multiple sources of liver cells are being tested, but none have been confirmed as the best option for treating liver diseases.
The use of stem cells has shown that they not only migrate to injured liver tissue but can also differentiate into liver cells, aiding in recovery.
Frequently asked questions
Does Dr. Nestola study liver diseases?
Yes, Dr. Nestola focuses on liver diseases and how to treat them using cell-based therapies.
What treatments has Dr. Nestola researched?
Dr. Nestola has researched the use of human umbilical cord stem cells and other cellular sources to treat liver conditions.
Is Dr. Nestola's work relevant to patients with liver injuries?
Absolutely, her research is aimed at finding new treatment options for patients suffering from liver injuries and diseases.
Publications in plain English
Conservation properties of non-conforming embedded finite-element methods based on lagrange multipliers.
2025
BIT. Numerical mathematics
Nestola MGC, Zulian P, Favino M, Krause R
Plain English This study looked at how different mathematical methods can be used to simulate the flow of water through cracked underground rock. The researchers found that a specific method called embedded strategies, which uses two different mesh types, reliably keeps track of the flow as well as traditional methods. This is important because it means scientists can accurately model water movement in complex environments, which is crucial for groundwater management and resource planning.
Who this helps: This helps researchers and engineers working on water resources and environmental protection.
Transarterial chemoembolization alone or followed by bevacizumab for treatment of colorectal liver metastases.
2022
Hepatic oncology
Fiorentini G, Sarti D, Nardella M, Inchingolo R, Nestola M +5 more
Plain English This study looked at how effective a treatment called transarterial chemoembolization (TACE) combined with a drug called bevacizumab (B) is for patients with liver tumors from colorectal cancer, compared to TACE alone. The combination treatment showed a much better disease control rate, with a p-value of less than 0.001, indicating it was significantly more effective. While the overall survival and progression-free survival rates were similar for both groups, those receiving the combination treatment had a longer time before their disease got worse, with a p-value of less than 0.01.
Who this helps: This benefits patients with colorectal cancer liver metastases by offering a more effective treatment option.
Automated workflow utilizing saponification and improved epoxidation for the sensitive determination of mineral oil saturated and aromatic hydrocarbons in edible oils and fats.
2022
Journal of chromatography. A
Nestola M
Plain English This study developed a new method to accurately measure certain harmful substances (mineral oil saturated hydrocarbons, or MOSH, and mineral oil aromatic hydrocarbons, or MOAH) in edible oils and fats, which are often misidentified due to their chemical similarities. The researchers created a streamlined process that improved detection limits, achieving reliable results with levels as low as 1 mg/kg for both pollutants. This is important because it helps ensure food safety by providing consistent and accurate measurements, which are vital for consumer health.
Who this helps: This helps consumers and food safety regulators.
Biliary involvement in liver metastases: long-term experience with biliary biopsy from a single center.
2021
Radiologia brasileira
Inchingolo R, Nestola M, Nunes TF, Spiliopoulos S, Nardella M
Plain English This study looked at how well a specific biopsy method works for diagnosing liver metastases in patients with jaundice caused by bile duct issues. Out of 26 biopsy procedures performed, the method was highly successful, correctly identifying cancer types in about 80% of cases, but there were a few instances where it missed the diagnosis. This is important because better diagnostic tools can help doctors provide the right treatment for patients with serious conditions like liver cancer.
Who this helps: Patients with obstructive jaundice and their doctors.
Fully coupled dynamic simulations of bioprosthetic aortic valves based on an embedded strategy for fluid-structure interaction with contact.
2021
Europace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology
Nestola MGC, Zulian P, Gaedke-Merzhäuser L, Krause R
Plain English This study looked at how bioprosthetic aortic valves (artificial heart valves made from biological materials) behave in blood flow and under pressure, using advanced computer simulations. Researchers found that the leaflets of these valves, especially when made from regular tissue, experience high-stress levels where they connect to the valve frame, and that the design can lead to uneven stress distribution during heartbeats. This matters because understanding these stress points can lead to better designs for heart valves, improving their performance and longevity.
Who this helps: This helps patients needing heart valve replacements and the doctors who treat them.
Large scale simulation of pressure induced phase-field fracture propagation using Utopia.
2021
CCF transactions on high performance computing
Zulian P, Kopaničáková A, Nestola MGC, Fink A, Fadel NA +2 more
Plain English This research explored a new tool called Utopia, which helps simulate the way cracks spread in materials under pressure, specifically within large fracture networks of up to 1,000 cracks. The study showed that Utopia can efficiently solve complex problems related to fracture propagation, making it easier to handle large-scale simulations compared to previous methods. This matters because understanding how fractures behave in materials can improve safety and performance in engineering and geological applications.
Who this helps: This helps engineers and scientists who work with materials and structures to ensure they are safe and durable.
Chemoembolization Alone or Associated With Bevacizumab for Therapy of Colorectal Cancer Metastases: Preliminary Results of a Randomized Study.
2020
In vivo (Athens, Greece)
Fiorentini G, Sarti D, Nardella M, Inchingolo R, Nestola M +2 more
Plain English This study looked at two treatment options for patients with colorectal cancer that has spread to the liver: chemoembolization alone and chemoembolization followed by bevacizumab. Researchers found that after three months, 6% of patients receiving only chemoembolization had no detectable tumors, compared to 31% of those who received the combined treatment, and more patients showed partial responses with the combination (46% vs. 13%). These findings suggest that adding bevacizumab may improve tumor response, making it an important option for treatment.
Who this helps: Patients with colorectal cancer liver metastases.
Outcomes of percutaneous transluminal biopsy of biliary lesions using a dedicated forceps system.
2019
Acta radiologica (Stockholm, Sweden : 1987)
Inchingolo R, Spiliopoulos S, Nestola M, Nardella M
Plain English This study looked at a specific type of biopsy procedure used to diagnose problems in the bile duct, focusing on 29 patients who needed treatment for jaundice. The researchers found that the biopsy successfully diagnosed the issue in 27 out of 30 cases, achieving a 90% success rate. Specifically, they identified cancer in 19 of the patients, including 16 cases of cholangiocarcinoma, while also ensuring that no major complications occurred during the procedure.
Who this helps: This benefits patients with suspected biliary obstructions and helps doctors make accurate diagnoses.
Viscoelastic computational modeling of the human head-neck system: Eigenfrequencies and time-dependent analysis.
2018
International journal for numerical methods in biomedical engineering
Boccia E, Gizzi A, Cherubini C, Nestola MGC, Filippi S
Plain English This study created a detailed 3D model of how sound waves move through the human head and neck, using advanced imaging techniques. The researchers analyzed how sound is transmitted and weakened in this area, finding that each person's head and neck structure affects these properties in unique ways. This is important because it could improve treatments for conditions affecting hearing and balance by tailoring approaches to individual patients' anatomy.
Who this helps: Patients with hearing or balance disorders.
Contrast-enhanced ultrasonography in chronic glomerulonephritides: correlation with histological parameters of disease activity.
2018
Journal of ultrasound
Nestola M, De Matthaeis N, Ferraro PM, Fuso P, Costanzi S +5 more
Plain English This study looked at how a special type of ultrasound, called contrast-enhanced ultrasonography (CEUS), can help understand the activity of kidney diseases known as chronic glomerulonephritides. Researchers found that a certain pattern in the ultrasound results, specifically the persistence of the contrast agent, was linked to more severe disease activity and a condition called mesangial hyperplasia. This matters because it suggests that CEUS could be a useful tool for assessing kidney health and guiding treatment in early disease stages.
Who this helps: Patients with chronic kidney diseases and their doctors.
Computational comparison of aortic root stresses in presence of stentless and stented aortic valve bio-prostheses.
2017
Computer methods in biomechanics and biomedical engineering
Nestola MG, Faggiano E, Vergara C, Lancellotti RM, Ippolito S +4 more
Plain English This study looked at how two types of heart valve replacements—stentless and stented—affect the aorta, which is the large artery that carries blood from the heart. The researchers found that the stentless valves worked similarly to natural valves in terms of aorta movement and stress, while the stented valves caused higher and unnatural stress on the aorta. This is important because too much stress on the aorta can lead to health problems.
Who this helps: This helps patients undergoing heart valve replacement and their doctors in choosing the best option.
Determination of mineral oil aromatic hydrocarbons in edible oils and fats by online liquid chromatography-gas chromatography-flame ionization detection - Evaluation of automated removal strategies for biogenic olefins.
2017
Journal of chromatography. A
Nestola M, Schmidt TC
Plain English This study looked at how to detect harmful mineral oil compounds in edible oils, which can pose cancer risks. Researchers tested different chemical methods to remove interfering substances (olefins) that make detection difficult. They found that a method using a specific chemical (mCPBA) was the most effective, achieving high accuracy in detecting mineral oil contamination in oils like sunflower and olive oil, with a recovery rate of 95-102%.
Who this helps: This benefits food safety regulators and consumers by ensuring cleaner edible oils.
Polyethylene glycol microspheres loaded with irinotecan for arterially directed embolic therapy of metastatic liver cancer.
2017
World journal of gastrointestinal oncology
Fiorentini G, Carandina R, Sarti D, Nardella M, Zoras O +7 more
Plain English This study looked at a new treatment using tiny particles filled with the cancer drug irinotecan to target liver tumors in patients with advanced colorectal cancer. Out of 50 patients treated, one month after the therapy, 28% had no detectable tumors, while 48% saw a reduction in tumor size. The treatment was effective with manageable side effects, and patients reported good quality of life during the study.
Who this helps: This helps patients with advanced colorectal cancer that has spread to the liver.
Transarterial chemoembolization with degradable starch microspheres (DSM-TACE): an alternative option for advanced HCC patients? Preliminary results.
2016
European review for medical and pharmacological sciences
Iezzi R, Pompili M, Nestola M, Siciliano M, Annicchiarico E +7 more
Plain English This study looked at a new treatment method called DSM-TACE for patients with advanced liver cancer who couldn't take the standard medication, Sorafenib, because of severe side effects. Out of six patients treated, all had successful procedures without major complications, and 83% showed a positive response to the treatment after one month. After an average follow-up of 11 months, two-thirds of patients maintained disease control, and the survival rates at 6 months and 1 year were 83% and 67%, respectively.
Who this helps: Patients with advanced liver cancer who cannot take conventional treatments.
Fully automated determination of the sterol composition and total content in edible oils and fats by online liquid chromatography-gas chromatography-flame ionization detection.
2016
Journal of chromatography. A
Nestola M, Schmidt TC
Plain English This study focused on finding a faster and more accurate way to analyze sterols in edible oils and fats, which is important for ensuring the quality and authenticity of these products. Researchers developed an automated method that speeds up testing to one sample per hour and found that it produced results similar to standard methods, except it identified an extra sterol in sunflower oils that the traditional method missed. This new process is important because it improves testing accuracy and efficiency, helping ensure consumers get high-quality edible oils.
Who this helps: This benefits food manufacturers and quality control labs.
Determination of vitamins D2 and D3 in selected food matrices by online high-performance liquid chromatography-gas chromatography-mass spectrometry (HPLC-GC-MS).
2015
Analytical and bioanalytical chemistry
Nestola M, Thellmann A
Plain English This study focused on developing a new method to measure vitamins D2 and D3 in certain foods using an advanced testing technique called HPLC-GC-MS. The researchers found that their method could accurately detect these vitamins at very low levels—around 50 picograms for D2 and 150 picograms for D3—with an impressive accuracy rate of less than 2%. This new approach also reduced the need for complicated sample preparation, making it faster and easier to analyze food samples for vitamin content.
Who this helps: This benefits food scientists and nutrition researchers who need accurate measurements of vitamins in food products.
Interventional radiological treatment of renal transplant complications: a pictorial review.
2015
Korean journal of radiology
Iezzi R, la Torre MF, Santoro M, Dattesi R, Nestola M +4 more
Plain English This study looked at problems that can arise after kidney transplants and how doctors can treat these issues using non-surgical methods. It found that new imaging techniques help identify these complications early, and out of the cases reviewed, many can be successfully treated without major surgery. This is important because it means patients can avoid the risks and recovery time associated with surgery, leading to better health outcomes.
Who this helps: Patients who have received kidney transplants.
Universal Route to Polycyclic Aromatic Hydrocarbon Analysis in Foodstuff: Two-Dimensional Heart-Cut Liquid Chromatography-Gas Chromatography-Mass Spectrometry.
2015
Analytical chemistry
Nestola M, Friedrich R, Bluhme P, Schmidt TC
Plain English This research focused on improving the way we detect harmful substances called polycyclic aromatic hydrocarbons (PAHs) in food. The scientists developed a new method that makes it quicker and easier to prepare and test food samples, achieving reliable results with detection limits under 0.1 micrograms per kilogram for all major PAHs and recovery rates between 82% and 111%. This matters because it enhances food safety by ensuring that harmful levels of PAHs can be identified more efficiently.
Who this helps: Patients and consumers who want safer food.
Cutting Balloon Angioplasty in the Treatment of Short Infrapopliteal Bifurcation Disease.
2015
Journal of endovascular therapy : an official journal of the International Society of Endovascular Specialists
Iezzi R, Posa A, Santoro M, Nestola M, Contegiacomo A +6 more
Plain English This study looked at using a special type of balloon, called a cutting balloon, to treat a specific artery blockage in the legs of patients with severe circulation problems. Out of 23 patients treated, none faced major complications, and 74% maintained improved blood flow after one year. These results are promising because they show that this treatment can be both safe and effective, potentially leading to better outcomes for patients with leg artery issues.
Who this helps: Patients with severe leg circulation problems.
Determination of polychlorinated biphenyls and organochlorine pesticides in small volumes of human blood by high-throughput on-line SPE-LVI-GC-HRMS.
2014
Journal of chromatography. B, Analytical technologies in the biomedical and life sciences
Wittsiepe J, Nestola M, Kohne M, Zinn P, Wilhelm M
Plain English This study examined a new method for measuring harmful chemicals called polychlorinated biphenyls (PCBs) and certain pesticides in very small amounts of human blood. Researchers developed an automated system that can accurately detect these chemicals in blood samples as small as 200 microliters, achieving very low detection limits, such as 0.007 micrograms per liter for one pesticide and 0.008 micrograms per liter for a type of PCB. This is important because it allows for better monitoring of these dangerous substances, particularly in vulnerable populations like children.
Who this helps: This helps patients, especially children, and researchers studying environmental exposure to toxins.
Aortic-neck dilation after endovascular abdominal aortic aneurysm repair (EVAR): can it be predicted?
2012
La Radiologia medica
Iezzi R, Santoro M, Di Natale G, Pirro F, Dattesi R +3 more
Plain English This study looked at whether a special type of CT scan could predict changes in the aorta after surgery for a condition called an abdominal aortic aneurysm (AAA). Researchers examined 40 patients and found that 45% of those with AAA had significantly higher flexibility in the part of the aorta below the kidneys, which could affect how doctors choose graft sizes for repairs. This information is important because it can help improve surgical outcomes by allowing for better-fitting grafts.
Who this helps: This helps patients undergoing surgery for abdominal aortic aneurysms.
Multi-detector CT angiographic imaging in the follow-up of patients after endovascular abdominal aortic aneurysm repair (EVAR).
2012
Insights into imaging
Iezzi R, Santoro M, Dattesi R, Pirro F, Nestola M +3 more
Plain English This study looked at how multi-detector CT angiography (MDCT) can help doctors monitor patients after they have surgery to fix abdominal aortic aneurysms. It found that MDCT is very effective at detecting both early and late complications from the surgery, allowing doctors to see potential issues on both standard and 3D images. Knowing how to read these images properly can lead to better care and outcomes for patients.
Who this helps: This helps patients who have undergone endovascular abdominal aortic aneurysm repair.
Proximal aneurysmal neck: dynamic ECG-gated CT angiography--conformational pulsatile changes with possible consequences for endograft sizing.
2011
Radiology
Iezzi R, Di Stasi C, Dattesi R, Pirro F, Nestola M +4 more
Plain English This study looked at how the size of the top part of abdominal aortic aneurysms (AAAs) changes with heartbeat motion in patients who are getting a specific type of surgery. Researchers found that the size can vary significantly, averaging about 1.83 mm, and this variation could affect the choice of the stent used to repair the aneurysm in 30% of the patients. This is important because sizing the stent correctly can improve patient outcomes and reduce the risk of complications during surgery.
Who this helps: This helps patients undergoing endovascular aneurysm repair, as well as their doctors.
CT angiography in stent-graft sizing: impact of using inner vs. outer wall measurements of aortic neck diameters.
2011
Journal of endovascular therapy : an official journal of the International Society of Endovascular Specialists
Iezzi R, Dattesi R, Pirro F, Nestola M, Santoro M +2 more
Plain English This study looked at how measuring the inner and outer walls of the aorta affects the size of stent-grafts needed for patients with abdominal aortic aneurysms. Researchers found that using inner wall measurements often led to different stent-graft sizes compared to outer wall measurements, with up to 90% of patients experiencing excessive oversizing when the wrong method was used. This is important because choosing the right size for stent-grafts can prevent complications during surgery.
Who this helps: This helps patients needing abdominal aortic aneurysm repairs.
A human umbilical cord stem cell rescue therapy in a murine model of toxic liver injury.
2004
Digestive and liver disease : official journal of the Italian Society of Gastroenterology and the Italian Association for the Study of the Liver
Di Campli C, Piscaglia AC, Pierelli L, Rutella S, Bonanno G +11 more
Plain English This study looked at how human cells from umbilical cords could help repair damaged livers in mice. Researchers found that these stem cells not only moved into the injured liver but also turned into liver cells, helping the liver heal and reducing the death rate of the mice by a significant amount. This is important because it shows a new method for delivering stem cells that could improve treatments for liver damage in humans.
Who this helps: This helps patients with liver injuries, as well as their doctors seeking effective treatment options.
Saccharomyces cerevisiae-associated diarrhea in an immunocompetent patient with ulcerative colitis.
2003
Journal of clinical gastroenterology
Candelli M, Nista EC, Nestola M, Armuzzi A, Silveri NG +2 more
Plain English This study looked at a case of a patient with ulcerative colitis (UC), a condition that can cause chronic inflammation in the intestines. The patient, who had UC for 10 years without any immunosuppressive treatment, experienced severe diarrhea due to an infection from a type of yeast called Saccharomyces cerevisiae. This finding is important because it shows that even healthy patients with UC can develop rare infections that lead to significant gastrointestinal issues.
Who this helps: This information helps doctors treating patients with ulcerative colitis.
Association between Klinefelter syndrome and focal nodular hyperplasia.
2003
Journal of clinical gastroenterology
Santarelli L, Gabrielli M, Orefice R, Nista EC, Serricchio M +6 more
Plain English This research studied a rare liver condition called focal nodular hyperplasia in a 25-year-old man with Klinefelter syndrome. The man had symptoms like nausea, and tests showed he had a liver lesion, which was later confirmed to be focal nodular hyperplasia. The study suggests that the hormonal imbalance from Klinefelter syndrome might be linked to the development of this benign liver issue.
Who this helps: This information benefits doctors treating patients with Klinefelter syndrome and monitors their liver health.
European review for medical and pharmacological sciences
Di Campli C, Nestola M, Piscaglia AC, Santoliquido A, Gasbarrini G +2 more
Plain English This research paper looks at how cell-based therapies can be used to treat liver diseases, particularly for patients who cannot receive liver transplants. The study finds that while several new sources of liver cells, such as stem cells and genetically modified hepatocytes, are being tested, none have been established as the best option yet. This is important because finding effective cell therapies could provide alternatives for patients suffering from liver failure who are not candidates for traditional transplants.
Who this helps: This research benefits patients with liver diseases who cannot undergo transplant surgery.