Promoting the health and quality of life of the mother-infant dyad, parenting, and gender medicine /
Pediatrics - Gastroenterology, hepatology, pediatric transplantation and Cystic Fibrosis
Head
Cystic Fibrosis (CF)
Multicenter, national and international clinical research is one of the priority goals. Since 2012, we have been participating in the activities of the Clinical Trial Network (CTN), a network consisting of European, CF-specialized centers, characterized by high scientific standards and clinical outcomes, which have been selected for participation in controlled clinical trials mainly in the therapeutic field.
In addition to participation in the clinical trials selected by the CTN, we are involved, both as coordinating center and as participating center, in working groups touching all the main aspects of CF: diagnosis, search for molecules that in vitro are able to correct the basic defect of CF, treatment and prevention of pulmonary infections typical of the disease, study of CFTR protein modulators in a real word context.
In the Cystic Fibrosis Microbiology Laboratory (Clinical Pathology) there has been a biobank for more than 10 years for the collection of strains of pathogenic microorganisms, isolated from the airways of CF patients. The study of the phenotypic and genotypic evolution of individual strains and the possible development of antibiotic resistance in relation also to the use of different drugs allows us to conduct research on the impact of pathogens on pulmonary function, the occurrence of CF complications, and develop different therapeutic strategies.
The biobank also collects biological samples from CF patients to study the biological mechanisms underlying the disease and the changes induced on these mechanisms by new modulatory drug therapies.
In recent years, in view of the Sars Cov2 pandemic, research activity has also focused on assessing the impact of infection in CF patients in all its aspects. In this regard, numerous papers have been published and some long-term studies aimed at evaluating the humoral and cell-mediated immune response following vaccination and natural infection in CF patients are still ongoing.
Pediatric liver disease
Monitoring of CF patients on ETI (elexacaftor/tezacaftor/Ivacaftor) therapy with hepatic and pancreatic Fibroscan
Pediatric gastroenterologic diseases
Ultrasonographic evaluation with bowel loop study in CF patients on ETI therapy
CF-related diabetes
Since 2018, there has been a fruitful collaboration with the Hospital Endocrinology, which has enabled the enhancement of diabetological screening, which now includes continuous blood glucose monitoring in CF patients on ETI therapy in addition to performing the glucose loading curve.
- IRCCS San Raffaele Hospital, Infection and Cystic Fibrosis Unit
- IRCCS San Raffaele Hospital, Emerging Bacterial Pathogens Unit, Division of Immunology, Transplantation and Infectious Diseases
- Tuscan Regional Center for Cystic Fibrosis, Azienda Ospedaliero-Universitaria Meyer, Florence
- IRCCS Children's Hospital Bambino Gesù, Rome
- UOC Medical Genetics, G. Gaslini Genoa
- Cystic Fibrosis Research Foundation (FCC)
- Verona Cystic Fibrosis Center, Azienda Ospedaliera Universitaria Integrata di Verona
- Queen's University, Belfast
- Karolinska Institute Stockholm
8 pediatricians, 1 university researcher, 2 health researchers, 2 biologists
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Other activities in this Research Line
Promoting the health and quality of life of the mother-infant dyad, parenting, and gender medicine
Gynecology
Paolo Vercellini
Neonatology and Neonatal Intensive Care Unit
Monica Fumagalli
Obstetrics
Irene Cetin
Pediatric Nephrology and Dialysis - Kidney Transplantation
Giovanni Montini
Pediatric Urology
Alfredo Berrettini
Pediatrics - Immunoreumatology
Carlo Virginio Agostoni
Pediatrics - Pneumoinfectiology
Medical Genetics
Federica Natacci
Pediatric Surgery
Ernesto Leva
Obstetric and Gynecological Emergency Room and Medically Assisted Procreation
Edgardo Somigliana