Research focuses on pre-implantation embryo development, the onset of uterine receptivity, the regulation of implantation and decidualization and the causes of endometriosis. Specifically, the main interests include:
- the characterization and role of extracellular vesicles (EVs) in human reproduction;
- the molecular mechanisms underlying the endometrial receptivity;
- the genotypic and phenotypic variability in endometriosis.
The close collaboration with the Assisted Reproduction Unit, performing about 1,500 ovarian stimulation cycles/year, offers the possibility to validate the results of preclinical studies in a large cohort of patients.
- The characterization and role of EVs in human reproduction. Increasing importance for all aspects of inter-cell communications is acknowledged to EVs.Unit aims is to characterize EVs secreted by human preimplantation embryos in the culture media and investigate both their potential use as embryo health status fingerprints and their potential internalization by the maternal compartment. Moreover, the group aims to investigate the EV profile of the endometrial receptive phase in order to identify a profile of endometrial receptivity.
- The molecular mechanisms underlying the endometrial receptivity. Embryo implantation is thought to involve a two-way communication between maternal uterus and the blastocyst. Understanding molecular signaling networks that coordinate strategies for successful implantation may lead to approaches to improve the outcome of natural pregnancy and pregnancy conceived from in vitro fertilization.
- The genotypic and phenotypic variability in endometriosis. The genetic component contributes to about half of the variance associated with the risk of endometriosis. Group aims is to identify both common and rare variants associated with the disease in the Italian population and to correlate these variants to the various forms and manifestations of the disease.
Zondervan KT, Becker CM, Koga K, Missmer SA, Taylor RN, Viganò P. Endometriosis. Nat Rev Dis Primers. 2018 Jul 19;4(1):9.
Gentilini D, Somigliana E, Pagliardini L, Rabellotti E, Garagnani P, Bernardinelli L, Papaleo E, Candiani M, Di Blasio AM, Viganò P. Multifactorial analysis of the stochastic epigenetic variability in cord blood confirmed an impact of common behavioral and environmental factors but not of in vitro conception. Clin Epigenetics. 2018 Jun 8;10:77.
Vigano P, Candiani M, Monno A, Giacomini E, Vercellini P, Somigliana E. Time to redefine endometriosis including its pro-fibrotic nature. Hum Reprod. 2018 Mar 1;33(3):347-352.
Giacomini E, Vago R, Sanchez AM, Podini P, Zarovni N, Murdica V, Rizzo R, Bortolotti D, Candiani M, Viganò P. Secretome of in vitro cultured human embryos contains extracellular vesicles that are uptaken by the maternal side. Sci Rep. 2017 Jul 12;7(1):5210.
Leone Roberti Maggiore U, Ferrero S, Candiani M, Somigliana E, Viganò P, Vercellini P. Bladder Endometriosis: A Systematic Review of Pathogenesis, Diagnosis, Treatment, Impact on Fertility, and Risk of Malignant Transformation. Eur Urol. 2017 May;71(5):790-807.
Leone Roberti Maggiore U, Ferrero S, Mangili G, Bergamini A, Inversetti A, Giorgione V, Viganò P, Candiani M. A systematic review on endometriosis during pregnancy: diagnosis, misdiagnosis, complications and outcomes. Hum Reprod Update. 2016 Jan-Feb;22(1):70-103.
Rubino P, Viganò P, Luddi A, Piomboni P. The ICSI procedure from past to future: a systematic review of the more controversial aspects. Hum Reprod Update. 2016 Mar-Apr;22(2):194-227.
Vercellini P, Viganò P, Somigliana E, Fedele L. Endometriosis: pathogenesis and treatment. Nat Rev Endocrinol. May;10(5):261-75, 2014.
Paffoni A, Ferrari S, Viganò P, Pagliardini L, Papaleo E, Candiani M, Tirelli A, Fedele L, Somigliana E. Vitamin D deficiency and infertility: insights from in vitro fertilization cycles. J Clin Endocrinol Metab. 2014 Nov;99(11):E2372-6.
Sanchez AM, Viganò P, Somigliana E, Panina-Bordignon P, Vercellini P, Candiani M. The distinguishing cellular and molecular features of the endometrioticovarian cyst: from pathophysiology to the potential endometrioma- mediated damage to the ovary. Hum Reprod Update. Mar-Apr;20(2):217-30, 2014.
Fassbender A, Rahmioglu N, Vitonis AF, Viganò P, Giudice LC, D'Hooghe TM, Hummelshoj L, Adamson GD, Becker CM, Missmer SA, Zondervan KT; WERF EPHect Working Group. World Endometriosis Research Foundation Endometriosis Phenome and Biobanking Harmonisation Project: IV. Tissue collection, processing, and storage in endometriosis research. Fertil Steril. Nov;102(5):1244-53, 2014.
Pagliardini L, Gentilini D, Vigano' P, Panina-Bordignon P, Busacca M, Candiani M, Di Blasio AM. An Italian association study and meta-analysis with previous GWAS confirm WNT4, CDKN2BAS and FN1 as the first identified susceptibility loci for endometriosis. J Med Genet. Jan;50(1):43-6, 2013.
Bianconi L, Hummelshoj L, Coccia ME, Vigano P, Vittori G, Veit J, Music R, Tomassini A, D'Hooghe T. Recognizing endometriosis as a social disease: the European Union-encouraged Italian Senate approach. Fertil Steril. 2007 Nov;88(5):1285-7.
Lattuada D, Viganó P, Mangioni S, Sassone J, Di Francesco S, Vignali M, Di Blasio AM. Accumulation of retinoid X receptor-alpha in uterine leiomyomas is associated with a delayed ligand-dependent proteasome-mediated degradation and an alteration of its transcriptional activity. Mol Endocrinol. 2007 Mar;21(3):602-12.
Viganò P, Somigliana E, Chiodo I, Abbiati A, Vercellini P. Molecular mechanisms and biological plausibility underlying the malignant transformation of endometriosis: a critical analysis. Hum Reprod Update. 2006 Jan-Feb;12(1):77-89.