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Giuseppe Marzulli - Nutrizionista

Telefono : +393339460202

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 Clinical Immunology, Endocrine & Metabolic Drugs.  Volume 4 , Issue 1 , 2017

Interferons (IFNs) are functional proteins of vertebrate cells that have been conserved throughout evolution.

Antiviral response in cells and uncontrolled cell proliferation of lymphocytes and macrophages are influenced by IFNs.

B and T cell functions are influenced by these molecules in vitro and in vivo. These facts are confirmed by the effects on different conditions: antibodies production, T cells’ cytotoxicity, allograft survival, delayed-type hypersensitivity reactions.

Some IFNs are produced as a result of antigen recognition by T cells, and in turn, they modulate Natural Killer (NK) cell and phagocyte activities and functions.

On the other hand, there are viral infections without immunological specificity, which involve IFNs and interfere in immune reactions. Some clinical applications of IFNs have been implemented in the recent years, for example for hepatitis B and C treatment.

However, in this review, emphasis will be placed on the use of IFNs for the possible treatment of seasonal influenza viruses that have specificity with the upper respiratory tract. IFNs prevent highly pathogenic influenza viruses to disseminate to the lung, assuming their use as an emergency drug against pandemic forms of influenza.

Clinical Immunology, Endocrine & Metabolic Drugs. Volume 3 , Issue 1 , 2016

In the last years the increasing number of patients worldwide who are sensitive to dietary antigens like gluten or nickel, has contributed to identification of new diet-related immune pathologies.

In particular this pathological condition is a combination of three frequent condition not still perfectly known: gluten-related syndrome defined as non-celiac gluten sensitivity (NCGS), systemic (gastrointestinal and skin) reactions to ingestion of nickel rich food that characterizes Systemic Nickel Allergy Syndrome (SNAS) and some secondary form of Lactose Intolerance (LI).

The aim of this study was to implement a new exclusion diet (DICE diet) in patients with at least two of three mentioned pathologies.

Usually, for this condition, diet is represented by a list of forbidden food that doesn’t consider the initial weight and the psychological effect of this restricted diet. This is why there is a loss of the adherence’s of patients to the diet as consequence efficacy of treatment.

The new exclusion diet is developed, keeping in mind, the initial weight, considering the patient’s psychological state to ensure the respect for a sufficient time in order to reduce symptoms.

The compliance and the effects on the weight have been detected by a questionnaire during the 6-month follow up.

Methods: 17 patients with at least two of three pathologies LI, SNAS and NCGS, have been treated with the DICE diet and after 6 months, 70% of them have reported symtoms’s disappearance.

We suggest that the DICE diet could be prescribed for the treatment of these diet-related immune-pathologies.

 

Marzulli G, Magrone T, Vonghia L, Kaneko M, Takimoto H, Kumazawa Y, Jirillo E.
Curr Pharm Des. 2014;20:864-8.

Polyphenols contained in FGM from Negroamaro (N) and Koshu (K) Vitis vinifera have been shown to exhibit several immunomodulating activities. For instance, mice affected by experimental colitis when administered with K-FGM showed an attenuation of the inflammatory process. In murine asthma, K-FGM reduced IgE production and eosinophil number in bronchial alveolar lavage fluid. In vitro, both N- and K-FGM were able to induce T regulatory cells in terms of Foxp-3 molecule expression and release of interleukin-10. In another set of experiments both N- and K-FGM were able to balance rate of proliferation/apoptosis/necrosis of normal human peripheral lymphocytes, thus indicating the property of these compounds to maintain immune homeostatic mechanisms in the host. On the other hand, N- and K-FGM inhibited human basophil degranulation, thus, confirming our previous results obtained with rat basophilic leukemia cells. Finally, N- and K-FGM also decreased oxidative burst of human polymorphonuclear cells and monocytes.Taken together, these findings imply the potential clinical usefulness of FGM administration in inflammatory/allergic conditions, such as chronic asthma.

Marzulli G, Magrone T, Kawaguchi K, Kumazawa Y, Jirillo E.
Curr Pharm Des. 2012;18:43-50.

The onset of neurodegenerative diseases has become more frequent than in the past also in relation to inappropriate dietary habits adopted in the western world. Nutraceuticals are currently investigated in order to prevent or retard the outcome of the so-called diet-related diseases, even including neurodegenerative pathologies. Here, we have in vitro studied the ability of fermented grape marc (FGM) from Negroamaro (N) and Koshu (K) Vitis vinifera to modulate the function of human peripheral blood mononuclear cells (PBMCs). Actually, both FGMs were able to increase the release and the intracellular content of inflammatory and anti-inflammatory cytokines, the induction of FoxP3 (a biomarker of T regulatory cells) and reduce the production of Granzyme B from PBMCs. Since these FGM-induced effects tend to polarize the immune response toward an anti-inflammatory pathway, the potential use of FGMs may represent a valid therapeutic measure to mitigating neuroinflammation in pathologies such as Parkinson disease and Alzheimer disease.

Magrone T, Marzulli G, Jirillo E.
Curr Pharm Des. 2012;18:34-42. Review.

Parkinson disease (PD) and Alzheimer disease (AD) are neurodegenerative processes whose frequency is dramatically increasing in the western world. Both diseases share a common pathogenic denominator characterized by an exaggerated activation of the systemic and cerebral immune system, respectively. For instance, lipopolysaccharides in PD and amyloid beta in AD trigger microglia and astrocytes to release reactive oxygen species (ROS) and proinflammatory cytokines. Infiltrating peripheral T cells once activated in the central nervous system also contribute to the neurodegenerative process. Besides innovative biotherapy, nutraceuticals or functional foods are currently investigated for their neuroprotective activities. Especially, vitamin D and polyphenols, seem to be promising therapeutic tools for inhibiting ROS formation and arresting cytokine-mediated neuroinflammation in PD and AD.

Amati L, Marzulli G, Martulli M, Chiloiro M, Jirillo E.
Curr Pharm Des. 2010;16:893-7.

Body mass index (BMI), serum cytokines and serum obesity markers were evaluated in 33 obese children before, during and after a hypocaloric diet. The cytometric bead array “human inflammatory kit” was used for the evaluation of serum interleukin (IL)-1beta, IL-6, IL-10 and tumor necrosis factor-alpha. On the other hand, the following obesity biomarkers were evaluated by means of a flowcytomix-human obesity 9 plex kit: Soluble Isoform of CD40 Ligand; Soluble Intercellular Adhesion Molecule-1; Leptin; Monocyte Chemoattractant Protein 1; Myeloperoxidase; Osteoprotegerin; Resistin and Soluble TNF-receptors. Actually, throughout the study modifications of BMI were negligible and, therefore, serum cytokines and obesity markers did not show any significant changes in comparison with baseline values. On the other hand, at the different time points considered the majority of obesity markers were higher than normal controls, thus indicating a low grade inflammation in childhood obesity. Therefore, attempts at reducing this inflammatory status in children which predisposes to the metabolic syndrome outcome are discussed.

Amati L, Marzulli G, Martulli M, Tafaro A, Jirillo F, Pugliese V, Martemucci G, D’Alessandro AG, Jirillo E.
Curr Pharm Des. 2010;16:864-9.

In a group of 14 healthy aged subjects, donkey and goat milk was administered respectively, for a period of one month. Cytokine profile [interleukin (IL)-12, IL-10, IL-1beta, IL-8, IL-6 and Tumor Necrosis Factor (TNF)-alpha] was assessed before and after milk intake by means of a cytometric bead array test. Data demonstrated that IL-12 was undetectable, while IL-10, IL-1beta and TNF-alpha were released in very low amounts. Quite interestingly, IL-8 was increased by donkey milk administration, while same cytokine was dramatically decreased following goat milk intake. Same pattern of response was noted with IL-6 even if levels of these cytokine were lower than those detectable in the case of IL-8. Taken together, these findings indicate that administration of donkey milk in the aged host is able to upregulate the immune response, while goat milk seems to reduce the exaggerated acute phase response in elderly.

Amati L, Marzulli G, Martulli M, Pugliese V, Caruso C, Candore G, Vasto S, Jirillo E.
Curr Pharm Des. 2010;16:854-8.

Ten free-living elderly were administered with a synbiotic [fermented milk containing Lactobacillus rhamnosus Gorbach and Goldin (LGG)] and oligofructose as a prebiotic for one month. Serum cytokines were evaluated before (T(0)) and after (T(1)) synbiotic administration. At T(0), values of Interleukin (IL)-12, IL-6, IL-10, IL-1beta and Tumor Necrosis Factor (TNF)-alpha were lower than normal controls, with the exception of IL-8, thus confirming previous results on the impairment of both innate and adaptive responses in elderly. At T(1), the synbiotic was able to significantly increase, depressed values of IL-1, IL-6 and IL-8 with a trend to a modest increase for the restant cytokines. In conclusion, the synbiotic used in this study seems to be very beneficial to elderly for its capacity to maintain the immune homeostasis, even if an increase in dosage and prolongation of administration time are required for a better modulation of the aged adaptive immune response.