Publications by authors named "Giovanna Leone"

11 Publications

  • Page 1 of 1

HLA-haploidentical TCRαβ+/CD19+-depleted stem cell transplantation in children and young adults with Fanconi anemia.

Blood Adv 2021 Mar;5(5):1333-1339

Department of Pediatric Hemato-Oncology and Cell and Gene Therapy, Scientific Institute for Research and Healthcare (IRCCS) Bambino Gesù Children's Hospital, Rome, Italy.

We report on the outcome of 24 patients with Fanconi anemia (FA) lacking an HLA matched related or unrelated donor, given an HLA-haploidentical T-cell receptor αβ (TCRαβ+) and CD19+ cell-depleted hematopoietic stem cell transplantation (HSCT) in the context of a prospective, single-center phase 2 trial. Sustained primary engraftment was achieved in 22 (91.6%) of 24 patients, with median time to neutrophil recovery of 12 days (range, 9-15 days) and platelet recovery of 10 days (range, 7-14 days). Cumulative incidences of grade 1 to 2 acute graft-versus-host disease (GVHD) and chronic GVHD were 17.4% (95% confidence interval [CI], 5.5%-35.5%) and 5.5% (95% CI, 0.8%-33.4%), respectively. The conditioning regimen, which included fludarabine, low-dose cyclophosphamide and, in most patients, single-dose irradiation was well tolerated; no fatal transplant-related toxicity was observed. With a median follow-up of 5.2 years (range, 0.3-8.7 years), the overall and event-free survival probabilities were 100% and 86.3% (95% CI, 62.8%-95.4%), respectively (2 graft failures and 1 case of poor graft function were considered as events). The 2 patients who experienced primary graft failure underwent a subsequent successful HSCT from the other parent. This is the first report of FA patients given TCRαβ+/CD19+-depleted haplo-HSCT in the context of a prospective trial, and the largest series of T-cell-depleted haplo-HSCT in FA reported to date. This trial was registered at www.clinicaltrials.gov as #NCT01810120.
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http://dx.doi.org/10.1182/bloodadvances.2020003707DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7948273PMC
March 2021

Attachment Styles and Communication of Displeasing Truths.

Front Psychol 2020 5;11:1065. Epub 2020 Jun 5.

Coris. Department, Sapienza University of Rome, Rome, Italy.

This work explores how humans manage the communication of a displeasing and face-threatening truth and how the communicative strategies of the sender and the reaction of the receiver are influenced by their attachment style. Two experimental studies demonstrate that the attachment styles of both senders and receivers can influence the communicative styles of the sender, the emotions that both senders and receivers feel or attribute to their interlocutor, and the reactions of the receivers. In Study 1, couples of participants played a bogus computer game, ostensibly to test their abilities. Subsequently, "the spokesperson" was given the task to communicate to the "the receiver" a bogus low score of the other and a high score of oneself. Finally, all participants completed an adult Attachment Style Questionnaire (ASQ). A content analysis of the verbal messages of the spokespersons showed two main communication styles: frankness and mitigation. The results suggest that the spokespersons' attachment style influences these communication styles. Using a similar procedure, Study 2 showed that spokespersons with a high avoidant attachment more frequently used frankness when communicating low scores to the receivers. Furthermore, the emotions and impressions reported by anxious and avoidant spokespersons and receivers, respectively, confirm the negative model of the self or the other, typical, respectively, in anxious and avoidant attachment. The detection of communicative strategies stemming from different attachment styles might be of use in user modeling and the planning of personalized systems.
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http://dx.doi.org/10.3389/fpsyg.2020.01065DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7289961PMC
June 2020

Immune Modulation Properties of Zoledronic Acid on TcRγδ T-Lymphocytes After TcRαβ/CD19-Depleted Haploidentical Stem Cell Transplantation: An analysis on 46 Pediatric Patients Affected by Acute Leukemia.

Front Immunol 2020 12;11:699. Epub 2020 May 12.

Department of Pediatric Hematology and Oncology and of Cell and Gene Therapy, Scientific Institute for Research and Healthcare (IRCCS), Bambino Gesù Childrens' Hospital, Rome, Italy.

TcRαβ/CD19-cell depleted HLA-haploidentical hematopoietic stem cell transplantation (haplo-HSCT) represents a promising new platform for children affected by acute leukemia in need of an allograft and lacking a matched donor, disease recurrence being the main cause of treatment failure. The use of zoledronic acid to enhance TcRγδ+ lymphocyte function after TcRαβ/CD19-cell depleted haplo-HSCT was tested in an open-label, feasibility, proof-of-principle study. Forty-six children affected by high-risk acute leukemia underwent haplo-HSCT after removal of TcRαβ+ and CD19+ B lymphocytes. No post-transplant pharmacological graft-versus-host disease (GvHD) prophylaxis was given. Zoledronic acid was administered monthly at a dose of 0.05 mg/kg/dose (maximum dose 4 mg), starting from day +20 after transplantation. A total of 139 infusions were administered, with a mean of 3 infusions per patient. No severe adverse event was observed. Common side effects were represented by asymptomatic hypocalcemia and acute phase reactions (including fever, chills, malaise, and/or arthralgia) within 24-48 h from zoledronic acid infusion. The cumulative incidence of acute and chronic GvHD was 17.3% (all grade I-II) and 4.8% (all limited), respectively. Patients given 3 or more infusions of zoledronic acid had a lower incidence of both acute GvHD (8.8 vs. 41.6%, = 0.015) and chronic GvHD (0 vs. 22.2%, = 0.006). Transplant-related mortality (TRM) and relapse incidence at 3 years were 4.3 and 30.4%, respectively. Patients receiving repeated infusions of zoledronic acid had a lower TRM as compared to those receiving 1 or 2 administration of the drug (0 vs. 16.7%, = 0.01). Five-year overall survival (OS) and disease-free survival (DFS) for the whole cohort were 67.2 and 65.2%, respectively, with a trend toward a better OS for patients receiving 3 or more infusions (73.1 vs. 50.0%, = 0.05). The probability of GvHD/relapse-free survival was significantly worse in patients receiving 1-2 infusions of zoledonic acid than in those given ≥3 infusions (33.3 vs. 70.6%, respectively, = 0.006). Multivariable analysis showed an independent positive effect on outcome given by repeated infusions of zoledronic acid (HR 0.27, = 0.03). These data indicate that the use of zoledronic acid after TcRαβ/CD19-cell depleted haploHSCT is safe and may result in a lower incidence of acute GvHD, chronic GvHD, and TRM.
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http://dx.doi.org/10.3389/fimmu.2020.00699DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7235359PMC
March 2021

"Pressure pain threshold over masticatory muscles and temporomandibular joint in patients with juvenile idiopathic arthritis".

J Oral Rehabil 2020 Aug 28;47(8):944-950. Epub 2020 Jun 28.

School of Orthodontics, Department of Neurosciences, Reproductive Sciences and Oral Sciences, University of Naples Federico II, Naples, Italy.

Background: Juvenile idiopathic arthritis (JIA) is an autoimmune, chronic, inflammatory joint disease, affecting children and adolescents. Patients with JIA may have pain and fatigue in muscles. There are not studies evaluating the pressure pain thresholds (PPTs) of both masticatory muscles and temporomandibular joint (TMJ) in patients with JIA.

Objective: This study aimed to investigate PPTs of masticatory muscles and TMJ in subjects with JIA.

Methods: Fifty-one JIA patients and fifty-two healthy subjects were recruited. JIA group was assessed for with a standardised clinical examination for temporomandibular disorders. In all subjects, the PPT was evaluated in the following sites: anterior temporalis (AT) and masseter (MM) muscles, TMJ and thenar (TH) eminence. Comparisons between groups were assessed with unpaired t test and ANOVA (P < .05).

Results: Pressure pain thresholds were significantly lower among JIA patients compared with controls (P < .001) for all analysed sites. The presence of TMJ pain at palpation was significantly associated with a lower PPT at TMJ (P = .031).

Conclusions: Patients with JIA have generally lowered pain threshold to mechanical stimulus, which suggests an effect of JIA on nocicepton-modulating processes.
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http://dx.doi.org/10.1111/joor.13024DOI Listing
August 2020

Early Leukapheresis Depletion in an Ex-Premature with Severe Acute Respiratory Distress Syndrome Due to Bordetella Pertussis and Coronavirus Infection.

Blood Purif 2020;49(6):758-760. Epub 2020 Apr 27.

Pediatric Intensive Care Unit, Emergency, Anaesthesia and Intensive Care Department, Bambino Gesù Children's Hospital, Rome, Italy.

We describe a 2 weeks corrected gestational age infant admitted in pediatric intensive care unit (PICU) for severe acute respiratory distress syndrome (ARDS) associated to Bordetella pertussis and Coronavirus infection. He developed leukocytosis as soon as ARDS required intubation and aggressive mechanical ventilation: hence he underwent 3 early therapeutic leukapheresis treatments in order to avoid the worsening of related cardiopulmonary complications, according to recent literature on pertussis infection in infants. The infant was discharged from PICU healthy.
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http://dx.doi.org/10.1159/000507873DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7251581PMC
November 2020

Support for collective action against refugees: The role of national, European, and global identifications, and autochthony beliefs.

Eur J Soc Psychol 2019 Dec 26;49(7):1439-1455. Epub 2019 Aug 26.

Belgrade University Belgrade Serbia.

To understand recent anti-refugee protests in Europe, we examined how different levels of inclusiveness of group identities (national, European, and global) are related to intentions to protest among native Europeans. We focused on the mediating role of autochthony (a belief that the first inhabitants of a territory are more entitled) and the moderating role of threat. Survey data from 11 European countries (=1,909) showed that national identification was positively associated with autochthony, and therefore, with the intention to protest against refugees. In contrast, global identification was related to lower protest intentions via lower autochthony. These paths were found only among Europeans who perceived refugees as a threat. European identification was not related to the endorsement of autochthony or to collective action. These findings indicate why and when majority members are willing to participate in collective action against refugees, and underscore the importance of global identification in the acceptance of refugees.
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http://dx.doi.org/10.1002/ejsp.2608DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6919941PMC
December 2019

Treatment of homozygous familial hypercholesterolaemia in paediatric patients: A monocentric experience.

Eur J Prev Cardiol 2018 07 22;25(10):1098-1105. Epub 2018 May 22.

1 Rare Diseases and Medical Genetics, Bambino Gesù Children's Hospital Rome, Italy.

Background Homozygous familial hypercholesterolaemia is a rare life-threatening disease characterized by markedly elevated low-density lipoprotein cholesterol (LDL-C) concentrations and accelerated atherosclerosis. The presence of double gene defects in the LDL-Receptor, either the same defect (homozygous) or two different LDL-raising mutations (compound heterozygotes) or other variants, identify the homozygous phenotype (HopFH). Apheresis is a procedure in which plasma is separated from red blood cells before the physical removal of LDL-C or the LDL-C is directly removed from whole blood. It is currently the treatment of choice for patients with HopFH whose LDL-C levels are not able to be reduced to target levels with conventional lipid-lowering drug therapy. Design The aim of this study is to report a cohort of six paediatric patients and to evaluate the long term efficacy of combined medical therapy and LDL-apheresis on LDL-C reduction. Methods We collected data from six children with confirmed diagnosis of HopFH (two females and four males; age range at diagnosis 3-8 years, mean 6 ± 1 years) from a single clinical hospital in Italy from 2007 to 2017. Results Clinical manifestations and outcomes may greatly vary in children with HopFH. Medical therapy and LDL-apheresis for the severe form should be started promptly in order to prevent cardiovascular disease. Conclusions Lipoprotein apheresis is a very important tool in managing patients with HopFH at high risk of cardiovascular disease. Based on our experience and the literature data, the method is feasible in very young children, efficient regarding biological results and cardiac events, and safe with minor side-effects and technical problems. We advise treating homozygous and compound heterozygous children as soon as possible.
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http://dx.doi.org/10.1177/2047487318776836DOI Listing
July 2018

Is there a Space for Post-Colonial Theory in the Socio-Psychological Research on Consequences of Colonial Past?

Authors:
Giovanna Leone

Integr Psychol Behav Sci 2019 03;53(1):14-23

Department of Communication and Social Research CORIS, Sapienza Università di Roma, Rome, Italy.

The focus of my commentary is two-fold. First, I discuss what appeared to me as the central theoretical focus of the article; the possibility to create a space, if at all, for integrating post-colonial theory into the broader research field of social and psychological studies of the consequences of colonial past. Second, I intend to show why, in my opinion, the methodological choices of the authors and the criteria adopted for corpus construction allowed for data that, although too thin to establishing the state of knowledge in the field of study on consequences of colonial past, is nevertheless very informative and thoughts-provoking. My conclusions suggest that this study is an innovative attempt at describing and grasping the results of a search guided by two among the more consolidated electronic datasets currently available for English-speaking scholars. However, this study may not easily understand which can be the space to integrate post-colonial theory in the field of research on consequences of colonial past. To better reach this aim, it is perhaps necessary to build another kind of corpus, open to other languages (starting from French) and focused also on other scientific products, as books or proceedings of congress. In addition, disciplinary boundaries have to be even more explored, starting from interdisciplinary studies on education and historical culture. In spite of these limitations, I am convinced that this innovative study by Tomicic and Berardi tackles issues of relevance to any serious effort towards reflecting on long-term consequences of colonial violence and opens up to valuable new research questions and methods, to be taken into serious account and further explored in future works.
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http://dx.doi.org/10.1007/s12124-018-9426-xDOI Listing
March 2019

Apheresis in food allergies.

Curr Opin Allergy Clin Immunol 2017 Jun;17(3):227-231

aUniversity Department of Pediatrics, Division of Allergy bDepartment of Pediatric Hematology and Oncology, Unit of Immuno-Hematology and Transfusion Medicine, Pediatric Hospital Bambino Gesù, Rome, Vatican City, Italy.

Purpose Of Review: The prevalence of IgE-mediated food allergy and anaphylaxis has risen rapidly in developed countries, and countries with rapid industrialization may follow. Therapies include elimination diets, Oral ImmunoTherapy, and the administration of biologics, but high serum IgE levels may preclude their use. Consequently, decreasing IgE becomes a rational approach and could be obtained by immunoapheresis. The aim of this review is to evaluate the rationale and advantages of immunoapheresis.

Recent Findings: The majority of the available adsorbers remove aspecifically all classes of immunoglobulins. Recently, IgE-specific adsorbers have been approved. Data on immunoapheresis for the treatment of allergic diseases with pathologically elevated IgE levels are emerging. In atopic dermatitis, this therapy alone seems to be beneficial. IgE-selective apheresis appears to be sufficient to reduce the risk of anaphylaxis in multiple food allergy (MFA) and, when IgE titers are high, to open the way to treatment with Omalizumab.

Summary: Prospective studies, with well designed protocols, are needed to assess the efficacy, tolerability, and cost-effectiveness of immunoapheresis in the field of food allergy.
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http://dx.doi.org/10.1097/ACI.0000000000000366DOI Listing
June 2017

Observing social signals in scaffolding interactions: how to detect when a helping intention risks falling short.

Authors:
Giovanna Leone

Cogn Process 2012 Oct 19;13 Suppl 2:477-85. Epub 2011 Oct 19.

Sapienza Università di Roma, Rome, Italy.

In face-to-face interactions, some social signals are aimed at regulating scaffolding processes, by which more knowledgeable people try to help less knowledgeable ones, to enable them to learn new concepts or skills (Vygotsky 1978). Observing face-to-face scaffolding interactions might not only allow us to grasp a large variety of these highly interesting social signals but may also be useful for the sake of scaffolding processes themselves. It often happens, in fact, that the empowering intentions implicit in these processes end up falling short, if the social signals regulating this specific kind of face-to-face interaction are misunderstood. Interestingly, many of these misunderstood aspects are related to the recipient's role. Indeed, attention is usually focused on the behavior of those imparting the knowledge, while skills already mastered by the learners, as well as their feedback, tend not to be taken as much into account. For the purpose of exploring the often very subtly nuanced social signals regulating on-going scaffolding processes in real-life interactions, an example of a methodological tool is presented: one already used to observe the interactions of dyads of Italian primary school teachers and their pupils, and mothers and their children. The article leads to two main conclusions: that the results of instances of scaffolding may be predicted as to their success or otherwise simply by telescoping crucial social signals during the scaffolding's initial phases, and that when helpers disregard these signals the effects of their actions may be detrimental or even humiliating for the receivers, notwithstanding the helper's intentions.
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http://dx.doi.org/10.1007/s10339-011-0422-zDOI Listing
October 2012