R Carratu studies how well the intestines absorb nutrients and how easily substances can pass through the gut. His research spans several conditions, primarily type 1 and type 2 diabetes, Crohn's disease, and ulcerative colitis. For instance, he has examined how certain proteins affect gut permeability in type 1 diabetes, revealing that some individuals may exhibit increased permeability even before symptoms arise. He also explores the impact of treatments, like chemotherapy on colorectal cancer patients, and identifies risks associated with family histories of conditions such as Crohn's disease.
Key findings
In type 1 diabetes patients, 42% showed elevated zonulin levels linked to increased gut permeability, with changes detectable 3.5 years before symptoms appeared.
Breast cancer rates were twice as prevalent (0.91%) in female relatives of Crohn's patients compared to controls (0.42%).
Among Crohn's disease patients, 37.5% had higher intestinal permeability compared to 11.5% of their healthy relatives.
Following treatment with 5-fluorouracil, colorectal cancer patients exhibited significantly increased intestinal permeability and decreased absorption of nutrients.
Patients treated with Rifaximin for ulcerative colitis showed significant symptom improvement, with only one patient reporting a lack of benefit.
Frequently asked questions
Does R Carratu study diabetes?
Yes, R Carratu researches both type 1 and type 2 diabetes, focusing on how these conditions affect gut permeability.
What implications does R Carratu's research have for Crohn's disease?
His studies suggest that intestinal permeability is a shared trait among Crohn's disease patients and their relatives, which may help in understanding the disease's origins.
What treatments has R Carratu researched?
He has investigated the effects of chemotherapy on intestinal health and the use of Rifaximin to alleviate symptoms in ulcerative colitis patients.
Is R Carratu's work relevant to patients undergoing pelvic radiotherapy?
Yes, his research evaluates how pelvic radiotherapy affects intestinal permeability and associated symptoms in patients.
How does R Carratu's work impact diabetes management?
His findings on intestinal permeability can help doctors better understand potential complications in patients with type 1 diabetes.
Publications in plain English
Zonulin upregulation is associated with increased gut permeability in subjects with type 1 diabetes and their relatives.
2006
Diabetes
Sapone A, de Magistris L, Pietzak M, Clemente MG, Tripathi A +12 more
Plain English This study looked at a protein called zonulin, which affects how easily substances pass through the gut, in people with type 1 diabetes and their relatives. It found that 42% of type 1 diabetes patients had higher zonulin levels compared to healthy individuals, and this higher level was linked to more leaky intestines. Notably, in individuals who later developed type 1 diabetes, elevated zonulin was detected on average 3.5 years before they showed any symptoms.
Who this helps: This information benefits patients at risk for type 1 diabetes and their families.
Increased risk of breast cancer in first-degree relatives of Crohn's disease patients. An IG-IBD study.
2006
Digestive and liver disease : official journal of the Italian Society of Gastroenterology and the Italian Association for the Study of the Liver
Riegler G, Caserta L, Castiglione F, Esposito I, Valpiani D +10 more
Plain English Researchers studied the risk of cancer in family members of people with Crohn's disease compared to family members of those without the disease. They found that 6.5% of first-degree relatives of Crohn's patients had cancer, compared to 5.5% in the control group. Notably, the study revealed that breast cancer was twice as common in female relatives of Crohn's patients (0.91%) compared to controls (0.42%). This is important because it suggests that there could be shared genetic or environmental factors between Crohn's disease and breast cancer.
Who this helps: This helps patients and their families, particularly those with a Crohn's disease diagnosis.
Worse clinical course of disease in Crohn's patients with previous appendectomy.
2005
European journal of gastroenterology & hepatology
Riegler G, Caserta L, Esposito I, De Filippo FR, Bossa F +3 more
Plain English This study looked at how having an appendectomy (surgery to remove the appendix) affects the progression of Crohn's disease in patients. Among the 129 patients with Crohn's disease, 41 (about 32%) had their appendix removed before their Crohn's diagnosis. Those patients faced a greater risk of needing further surgeries, especially for more severe cases of the disease.
Who this helps: This information helps doctors understand which patients with Crohn's disease might have a more challenging disease course and need closer monitoring.
Intestinal permeability is decreased in anorexia nervosa.
2004
Molecular psychiatry
Monteleone P, Carratù R, Cartenì M, Generoso M, Lamberti M +5 more
Plain English This study looked at how the intestines of women with anorexia nervosa absorb substances compared to healthy women. Researchers found that women with anorexia had lower intestinal permeability, meaning fewer substances were absorbed into their bodies, shown by a significant decrease in the amount of lactulose they excreted in urine. This matters because it suggests that the intestines of people with anorexia could be physically altered due to their condition, impacting their nutritional status.
Who this helps: This helps patients with anorexia nervosa and their healthcare providers in understanding gastrointestinal changes due to the illness.
Serum p53 antibodies in patients affected with ulcerative colitis.
2004
Inflammatory bowel diseases
Cioffi M, Riegler G, Vietri MT, Pilla P, Caserta L +3 more
Plain English This study looked at whether patients with ulcerative colitis have p53 antibodies in their blood, which could indicate a risk for developing colorectal cancer. They found that 9.3% of the 97 patients tested had these antibodies, with levels ranging from 3.1 to 14.9 U/mL. This matters because detecting these antibodies could help doctors monitor patients for cancer without needing invasive procedures like colonoscopies.
Who this helps: Patients with ulcerative colitis.
Ultrastructural mucosal alterations and increased intestinal permeability in non-celiac, type I diabetic patients.
2004
Digestive and liver disease : official journal of the Italian Society of Gastroenterology and the Italian Association for the Study of the Liver
Secondulfo M, Iafusco D, Carratù R, deMagistris L, Sapone A +7 more
Plain English This study looked at how the intestines of people with type 1 diabetes (who do not have celiac disease) are affected. The researchers found that these patients had a higher level of intestinal permeability, with a lactulose/mannitol ratio of 0.038, compared to 0.014 in healthy controls. This matters because it suggests that the intestinal barrier may not work properly in some people with type 1 diabetes, potentially contributing to their condition.
Who this helps: Patients with type 1 diabetes and their doctors.
Intestinal permeability assessment before and after ileal pouch-anal anastomosis.
2004
Minerva gastroenterologica e dietologica
Secondulfo M, Riegler G, De Magistris L, Belletta M, Fiandra R +3 more
Plain English This study looked at how well the small intestine absorbs substances before and after surgery known as ileal pouch-anal anastomosis, which is often performed on patients with ulcerative colitis. Researchers tested the intestinal permeability in 8 patients before the surgery and three times during the first year after, finding that although some tests showed altered absorption, overall the intestinal absorption remained mostly normal, and none of the patients developed pouchitis within the first year. Understanding these changes is important because it can help predict and prevent complications after this type of surgery.
Who this helps: This information is useful for patients undergoing ileal pouch-anal anastomosis and their doctors.
Cellobiose and lactulose coupled with mannitol and determined using ion-exchange chromatography with pulsed amperometric detection, are reliable probes for investigation of intestinal permeability.
2003
Journal of chromatography. B, Analytical technologies in the biomedical and life sciences
Generoso M, De Rosa M, De Rosa R, De Magistris L, Secondulfo M +3 more
Plain English This study looked at two types of sugar tests, one using cellobiose and the other using lactulose, to evaluate how well the intestines can effectively absorb substances. Researchers tested 25 healthy people and found that both tests produced similar results in measuring intestinal permeability, even in those with high sugar levels in their urine. This matters because it means doctors can reliably use these tests for diagnosing intestinal issues in patients, including those with diabetes.
Who this helps: Patients with gastrointestinal diseases and their doctors.
Assessment of intestinal permeability and orocecal transit time in patients with systemic sclerosis: analysis of relationships with epidemiologic and clinical parameters.
2003
Rheumatology international
Caserta L, de Magistris L, Secondulfo M, Caravelli G, Riegler G +5 more
Plain English This study looked at how well the intestines of patients with systemic sclerosis (SSc) work, specifically their permeability and how quickly food moves through their system. Researchers found that 11 out of 32 patients had higher than normal intestinal permeability, which was linked to how long they had the disease and the severity of their gastrointestinal issues. More than half of the patients also experienced slow movement of food through their intestines.
Who this helps: This information can benefit patients with systemic sclerosis and their doctors in managing gastrointestinal symptoms.
Peptic ulcer occurrence in follow-up of chronic gastritis in patients with treated and not eradicated CagA-positive Helicobacter pylori infection.
2001
Digestive diseases and sciences
Carratù R, Iuliano D, Iovene MR, Ferraraccio F, Esposito P +4 more
Plain English This study looked at 49 patients with chronic gastritis and tested the effects of treating Helicobacter pylori infection, specifically in those who have a CagA-positive strain. Over two years, they found that 28.6% of patients whose infection was not treated developed peptic ulcers, while those who were successfully treated showed improvement in their conditions. This is important because it highlights that eradicating H. pylori is crucial to prevent worsening gastritis and ulcers, especially in high-risk patients.
Who this helps: This helps patients with chronic gastritis and doctors managing their treatment.
Effect of chemotherapy with 5-fluorouracil on intestinal permeability and absorption in patients with advanced colorectal cancer.
2001
Journal of clinical gastroenterology
Daniele B, Secondulfo M, De Vivo R, Pignata S, De Magistris L +5 more
Plain English This study looked at how the chemotherapy drug 5-fluorouracil (5-FU) affects the ability of the intestines to absorb nutrients in patients with advanced colorectal cancer. Researchers found that after treatment, patients had significantly higher intestinal permeability (an increase in the cellobiose-mannitol ratio) and lower intestinal absorption (a reduction in D-xylose absorption), indicating that the drug harmed their intestines. This matters because it highlights the side effects of chemotherapy, specifically diarrhea, and how it can impact a patient's overall health and nutrition.
Who this helps: Patients undergoing chemotherapy for colorectal cancer.
Intestinal permeability in Crohn's disease patients and their first degree relatives.
2001
Digestive and liver disease : official journal of the Italian Society of Gastroenterology and the Italian Association for the Study of the Liver
Secondulfo M, de Magistris L, Fiandra R, Caserta L, Belletta M +5 more
Plain English This study examined the intestinal permeability, or how easily substances pass through the gut, in 16 patients with Crohn's disease and 26 of their close relatives. The researchers found that 37.5% of Crohn's patients and 11.5% of their relatives had higher permeability levels compared to healthy individuals. This matters because it suggests that intestinal permeability could be a shared characteristic in families affected by Crohn's disease, which could help in understanding the disease's origins.
Who this helps: This helps patients with Crohn's disease and their family members.
Age-related clinical severity at diagnosis in 1705 patients with ulcerative colitis: a study by GISC (Italian Colon-Rectum Study Group).
2000
Digestive diseases and sciences
Riegler G, Tartaglione MT, Carratú R, D'Incá R, Valpiani D +6 more
Plain English In a study of 1,705 patients with ulcerative colitis (UC) from 17 gastroenterology centers in Italy, researchers found that younger patients (under 50) often have more severe symptoms and require more medication at diagnosis compared to older patients. Notably, the study identified that young men, in particular, who are ex-smokers, showed increased severity with symptoms like diarrhea and weight loss present in many cases. This research highlights the importance of recognizing these patterns in younger patients to ensure they receive timely and appropriate treatment.
Who this helps: This helps doctors and healthcare providers in diagnosing and treating younger patients with ulcerative colitis.
Prevalence of HNPCC in a series of consecutive patients on the first endoscopic diagnosis of colorectal cancer: a multicenter study. The Italian Collaborative Group.
1999
Endoscopy
Riegler G, Savastano A, Selvaggi F, Ciociano R, Martino R +20 more
Plain English This study looked at how common hereditary non-polyposis colorectal cancer (HNPCC) is among patients diagnosed with colorectal cancer in Italy. They assessed family histories for 485 patients and found that only 1% met the strict criteria for HNPCC, but if they relaxed the criteria slightly, that number increased to 3%. This is important because it helps identify families at risk, making it easier to spot genetic mutations and provide preventive care for healthy relatives.
Who this helps: This helps patients and their families by improving early detection and prevention strategies.
Altered intestinal permeability to mannitol in diabetes mellitus type I.
1999
Journal of pediatric gastroenterology and nutrition
Carratù R, Secondulfo M, de Magistris L, Iafusco D, Urio A +4 more
Plain English This study looked at how well the intestines of people with type I diabetes can absorb mannitol, a sugar alcohol. Among 31 patients, two-thirds showed higher absorption levels than normal, which was related to how long they had diabetes. This finding could be an early sign of problems that may lead to celiac disease in these patients.
Who this helps: This helps patients with type I diabetes and their doctors in understanding potential intestinal issues.
Intestinal permeability and diabetes mellitus type 2.
1999
Minerva gastroenterologica e dietologica
Secondulfo M, de Magistris L, Sapone A, Di Monda G, Esposito P +1 more
Plain English This study looked at how well the intestines can absorb certain substances in people with type 2 diabetes compared to healthy individuals. Researchers tested 18 people with type 2 diabetes and found that their intestinal absorption levels were normal, similar to 25 healthy volunteers. This is important because it shows that, unlike type 1 diabetes, type 2 diabetes doesn't alter intestinal function in the same way.
Who this helps: This benefits patients with type 2 diabetes.
Hepatobiliary alterations in patients with inflammatory bowel disease: a multicenter study. Caprilli & Gruppo Italiano Studio Colon-Retto.
1998
Scandinavian journal of gastroenterology
Riegler G, D'Incà R, Sturniolo GC, Corrao G, Del Vecchio Blanco C +10 more
Plain English The study looked at 484 patients with inflammatory bowel disease (IBD) to see how often they had liver and bile duct problems. It found that patients with ulcerative colitis were more likely to have fat in the liver and higher liver enzyme levels compared to those without a history of liver disease. The risk of liver issues increased with the duration and severity of IBD and with treatments like steroids. These findings highlight the importance of checking liver health in IBD patients, even if they don't show any symptoms.
Who this helps: This helps patients with inflammatory bowel disease and their doctors.
Prevalence and relative risk of malignancy in relatives of inflammatory bowel disease patients and control subjects.
1998
Journal of clinical gastroenterology
Riegler G, Carratù R, Tartaglione M, Morace F, Manzione R +1 more
Plain English This study looked at whether family members of people with inflammatory bowel disease (IBD) have a higher risk of developing colon cancer compared to family members of patients without IBD. The researchers examined 251 IBD patients—198 with ulcerative colitis and 53 with Crohn's disease—and compared them to 251 orthopedic patients as a control group. They found that there was no significant difference in the occurrence of colon cancer or other types of cancer among the family members of IBD patients versus those of the controls, indicating that there are no hereditary links between IBD and increased cancer risk.
Who this helps: This research helps patients and families affected by inflammatory bowel disease by clarifying that their relatives do not have a higher cancer risk.
Assessment of small intestinal damage in patients treated with pelvic radiotherapy.
1998
Oncology reports
Carratù R, Secondulfo M, de Magistris L, Daniele B, Pignata S +5 more
Plain English This study looked at how pelvic radiotherapy affects the small intestine and causes symptoms in patients. Researchers found that after 15 days of treatment, a test showed a significant increase in intestinal permeability, meaning the intestine was damaged, but it returned to normal by the end of the radiotherapy. All patients experienced intestinal symptoms, which suggests that these issues may not only be from the initial damage but could also be due to other factors.
Who this helps: This benefits patients undergoing pelvic radiotherapy, as it helps them and their doctors understand what to expect regarding intestinal symptoms.
[Hereditary non polyposis colon cancer (NHP CC) prevalence in South Italy (Campania). Report on a preliminary retrospective study].
1997
Minerva gastroenterologica e dietologica
Riegler G, Arimoli A, Savastano A, Selvaggi F, Iorio R +3 more
Plain English This study looked at hereditary non-polyposis colorectal cancer (HNPCC) in 128 patients from the Campania region of South Italy who were newly diagnosed with colorectal cancer. The researchers found that HNPCC is less common in this area than previously thought, though exact numbers weren't specified. This finding is important because understanding the prevalence helps guide better screening and treatment options for those at risk.
Who this helps: This helps doctors and patients in understanding cancer risks and improving early detection in families.
Clinical evolution in an outpatient series with indeterminate colitis.
1997
Diseases of the colon and rectum
Riegler G, Arimoli A, Esposito P, Iorio R, Carratù R
Plain English This study followed 37 patients diagnosed with indeterminate colitis for an average of about 5 years to see how their condition changed over time. By the end of the study, 21 patients continued to have symptoms, and 7 of the patients who showed signs similar to ulcerative colitis were eventually confirmed to have that diagnosis based on further tests. This is important because it shows that many patients with indeterminate colitis need careful monitoring, especially if they show signs of ulcerative colitis.
Who this helps: This helps patients with inflammatory bowel diseases and their doctors in managing their treatment more effectively.
Change in the extent of idiopathic ulcerative proctocolitis.
1996
The Italian journal of gastroenterology
Riegler G, Manzione R, Esposito P, Carratu R
Plain English This study looked at 51 patients with idiopathic ulcerative proctocolitis by performing two colonoscopies over an average period of 36 months to see how far the disease progressed or changed. They found that in nearly 59% of the patients, the extent of the disease changed; 33% had worsening symptoms, while 26% showed improvement. Importantly, the extent of the disease did not seem to affect the chances of severe complications or cancer, indicating that other factors may be more important in predicting patient outcomes.
Who this helps: This information benefits patients with ulcerative proctocolitis and their doctors, helping them understand disease progression and management.
[Ulcerative rectocolitis diagnosed in the elderly. Case studies].
1994
Minerva gastroenterologica e dietologica
Riegler G, Gaetano PF, Savastano A, Assisi D, Esposito P +1 more
Plain English This study looked at 14 elderly patients diagnosed with ulcerative colitis (UC) after the age of 60, comparing their conditions to 241 younger patients diagnosed earlier. The researchers found that while there were no differences in initial symptoms or diagnosis delays, older patients were more likely to be male and have the disease localized in the lower part of the colon. The younger group experienced more frequent relapses and required cortisone treatment more often, indicating that UC might be less severe in those diagnosed later in life.
Who this helps: This information benefits doctors and older patients by providing insights into how ulcerative colitis presents in elderly individuals.
Segmental ischemic colitis associated with nonsteroidal antiinflammatory drugs.
1993
Journal of clinical gastroenterology
Carratù R, Parisi P, Agozzino A
Plain English This study looked at two cases of a type of bowel condition, called segmental ischemic colitis, that developed in patients taking nonsteroidal anti-inflammatory drugs (NSAIDs). Both patients showed no other reasons for their condition, and their health remained stable over time. The findings suggest that NSAIDs may lead to this specific type of colitis more frequently than previously thought, even in people who aren’t dealing with other serious health issues.
Who this helps: Patients who use NSAIDs for pain relief.
[Clinical-therapeutic considerations in the treatment of aspecific abdominal disturbances in patients with ulcerative colitis in remission: preliminary note on therapy with rifaximin].
1992
Rivista europea per le scienze mediche e farmacologiche = European review for medical and pharmacological sciences = Revue europeenne pour les sciences medicales et pharmacologiques
Riegler G, Russo MI, Carratù R, Ferrieri A
Plain English This study looked at how an antibiotic called Rifaximin affects patients with ulcerative colitis who are not experiencing active symptoms but have ongoing abdominal issues. Twelve patients took Rifaximin for ten days, and most of them showed significant improvement in symptoms like bloating, abdominal pain, and stool frequency. Specifically, only one patient did not see major benefits, and there were no side effects reported.
Who this helps: This helps patients with ulcerative colitis who struggle with lingering abdominal disturbances.
Acute liver disorders in left-sided heart failure.
1990
The Italian journal of gastroenterology
Parisi P, De Vizia A, Macina G, Frullone S, Cascia M +1 more
Plain English Researchers looked at a patient who developed sudden liver issues while experiencing left-sided heart failure, but without the usual signs of severe problems like shock or low blood pressure. The liver issues improved quickly once the heart failure was treated. This is important because it shows that heart problems can lead to temporary liver issues, and treating the heart condition can resolve the liver problems.
Who this helps: This helps patients with heart failure and their doctors.
Outcome of ulcer-associated duodenitis after short-term medical treatment.
1985
Digestive diseases and sciences
Paoluzi P, Pallone F, Zaccardelli E, Ripoli F, Marcheggiano A +1 more
Plain English This study looked at how duodenitis (inflammation of the upper part of the small intestine) relates to the healing of duodenal ulcers. It found that patients with duodenal ulcers often had more severe duodenitis near the ulcer, and only those whose ulcers healed completely showed improvement in duodenitis after treatment. This is important because it reveals that not all patients with duodenal ulcers respond the same way to treatment, which could lead to more personalized care for them.
Who this helps: This helps patients with duodenal ulcers and their doctors.
Incompletely and completely healed duodenal ulcers' outcome in maintenance treatment: a double blind controlled study.
1985
Gut
Paoluzi P, Ricotta G, Ripoli F, Proietti F, Zaccardelli E +2 more
Plain English This study looked at the effects of ongoing treatment with cimetidine on patients with duodenal ulcers that were either completely or partially healed. Researchers found that patients with incomplete healing had a much higher chance of their ulcers coming back (71%) compared to those with complete healing (34%). Additionally, among those who received no cimetidine (placebo), the chance of recurrence was 67%, while only 29% of those treated with cimetidine had a recurrence, highlighting the importance of ensuring ulcers are fully healed before starting maintenance treatment.
Who this helps: This research benefits patients with duodenal ulcers by emphasizing the need for complete healing before continuing treatment.
Ranitidine vs cimetidine: short-term treatment of gastric ulcer.
1983
Hepato-gastroenterology
Barbara L, Corinaldesi R, Dobrilla G, De Pretis G, Bianchi Porro G +5 more
Plain English In this study, researchers compared two medications, ranitidine and cimetidine, for treating benign gastric ulcers in 71 patients over a period of four weeks. Both medications worked similarly in healing the ulcers, with no major differences in effectiveness or side effects; 36 patients took ranitidine and 33 took cimetidine, showing similar results in pain relief and the need for antacids. This matters because it helps doctors choose the right treatment for patients with gastric ulcers, knowing both medications can be effective.
Who this helps: Patients suffering from gastric ulcers.
Double-blind comparison of the effectiveness of azathioprine and sulfasalazine in idiopathic proctocolitis. Preliminary report.
1975
The American journal of digestive diseases
Caprilli R, Carratù R, Babbini M
Plain English Researchers studied the effectiveness of two medications, azathioprine and sulfasalazine, in treating 20 patients with proctocolitis, a type of inflammation in the colon. After three months, both treatments showed significant improvements in symptoms and some laboratory tests, but there was no notable difference between the two drugs. Overall, 14 out of 20 patients improved, while 6 did not show any change or got worse.
Who this helps: Patients suffering from proctocolitis benefit from these treatment insights.