Alessio Fasano
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Alessio Fasano is an
Italian Italian(s) may refer to: * Anything of, from, or related to the people of Italy over the centuries ** Italians, an ethnic group or simply a citizen of the Italian Republic or Italian Kingdom ** Italian language, a Romance language *** Regional Ita ...
-born medical doctor, pediatric
gastroenterologist Gastroenterology (from the Greek gastḗr- “belly”, -énteron “intestine”, and -logía "study of") is the branch of medicine focused on the digestive system and its disorders. The digestive system consists of the gastrointestinal tract, ...
and researcher. He currently holds many roles, including professor of pediatrics at
Harvard Medical School Harvard Medical School (HMS) is the graduate medical school of Harvard University and is located in the Longwood Medical Area of Boston, Massachusetts. Founded in 1782, HMS is one of the oldest medical schools in the United States and is consi ...
and professor of nutrition at
Harvard T.H. Chan School of Public Health The Harvard T.H. Chan School of Public Health is the public health school of Harvard University, located in the Longwood Medical Area of Boston, Massachusetts. The school grew out of the Harvard-MIT School for Health Officers, the nation's first ...
, both in
Boston Boston (), officially the City of Boston, is the state capital and most populous city of the Commonwealth of Massachusetts, as well as the cultural and financial center of the New England region of the United States. It is the 24th- mo ...
. He serves as director of the Center for Celiac Research and Treatment at MassGeneral Hospital for Children (MGH''f''C) and co-director of the Harvard Medical School Celiac Research Program. In addition, he is director of the Mucosal Immunology and Biology Research Center at MGH''f''C, where he oversees a research program with approximately 50 scientists and staff researching a variety of acute and chronic inflammatory diseases, including
cystic fibrosis Cystic fibrosis (CF) is a rare genetic disorder that affects mostly the lungs, but also the pancreas, liver, kidneys, and intestine. Long-term issues include difficulty breathing and coughing up mucus as a result of frequent lung infections. O ...
,
celiac disease Coeliac disease (British English) or celiac disease (American English) is a long-term autoimmune disorder, primarily affecting the small intestine, where individuals develop intolerance to gluten, present in foods such as wheat, rye and barl ...
, enteric infections and
necrotizing enterocolitis Necrotizing enterocolitis (NEC) is a devastating intestinal disease that affects premature or very low birth weight infants.Gephart S.M., Quinn M. A call to action to fight for equity and end necrotizing enterocolitis disparities. ''Adv. Neonata ...
. A common theme of these programs is the study of the emerging role of the gut microbiome in health and disease. Fasano is also the scientific director of the European Biomedical Research Institute of Salerno (EBRIS) in Italy. Along with these leadership positions, he is a practicing outpatient clinician in pediatric gastroenterology and nutrition and the division chief.


Education

After graduating summa cum laude from the
University of Naples The University of Naples Federico II ( it, Università degli Studi di Napoli Federico II) is a public university in Naples, Italy. Founded in 1224, it is the oldest public non-sectarian university in the world, and is now organized into 26 depar ...
School of Medicine in Italy (medicine and surgery), Fasano undertook intensive medical internships and residency in pediatrics, emergency medicine, and pediatric social medicine. After completing his final internship in 1993, he joined the faculty of the
University of Maryland School of Medicine The University of Maryland School of Medicine (abbreviated UMSOM), located in Baltimore City, Maryland, U.S., is the medical school of the University of Maryland, Baltimore and is affiliated with the University of Maryland Medical Center and Me ...
in Baltimore, Maryland, as an associate professor, became a professor of pediatrics, medicine, and physiology in 1996, and remained in teaching roles at the university for over 20 years. He founded the Center for Celiac Research in 1996, which he moved to
Massachusetts General Hospital Massachusetts General Hospital (Mass General or MGH) is the original and largest teaching hospital of Harvard Medical School located in the West End neighborhood of Boston, Massachusetts. It is the third oldest general hospital in the United Stat ...
in 2003. He is still an active professor of pediatrics and nutrition.


Work

Fasano began his career as a pediatric gastroenterologist interested in treating debilitating diarrhea, as well as a researcher determined to find a vaccine for
cholera Cholera is an infection of the small intestine by some strains of the bacterium ''Vibrio cholerae''. Symptoms may range from none, to mild, to severe. The classic symptom is large amounts of watery diarrhea that lasts a few days. Vomiting and ...
. He was responsible for the discovery of several new
enterotoxin An enterotoxin is a protein exotoxin released by a microorganism that targets the intestines. Enterotoxins are chromosomally encoded or plasmid encoded exotoxins that are produced and secreted from several bacterial organisms. They are heat labi ...
s involved in the diarrheal pathogenesis of several pathogens, including ''
Shigella ''Shigella'' is a genus of bacteria that is Gram-negative, facultative anaerobic, non-spore-forming, nonmotile, rod-shaped, and genetically closely related to '' E. coli''. The genus is named after Kiyoshi Shiga, who first discovered it in 1 ...
,
E. coli ''Escherichia coli'' (),Wells, J. C. (2000) Longman Pronunciation Dictionary. Harlow ngland Pearson Education Ltd. also known as ''E. coli'' (), is a Gram-negative, facultative anaerobic, rod-shaped, coliform bacterium of the genus ''Escher ...
'', and '' V. cholerae''. These discoveries led to the engineering of attenuated enteric vaccines, some of them currently used in clinical practice. The course of this research path eventually led him and his team to the "serendipitous" discovery of
zonulin Zonulin (haptoglobin 2 precursor) is a protein that increases the permeability of tight junctions between cells of the wall of the digestive tract. It was discovered in 2000 by Alessio Fasano and his team at the University of Maryland School of ...
in 2000, a protein responsible for regulating intestinal tight-junctions. His major research focus then shifted to the study of intestinal permeability, the pathophysiology of the paracellular pathway, and how disruption of gut barrier function factors into chronic inflammatory disease development. His current research focuses include intestinal mucosal biology and immunology, the gut microbiome, and bacterial pathogenesis, as well as the immune host response. His clinical specialty lays in
gluten-related disorders Gluten-related disorders is the term for the diseases triggered by gluten, including celiac disease (CD), non-celiac gluten sensitivity (NCGS), gluten ataxia, dermatitis herpetiformis (DH) and wheat allergy. The umbrella category has also been ...
(celiac disease, wheat allergy, non-celiac gluten sensitivity) as well as other
autoimmune In immunology, autoimmunity is the system of immune responses of an organism against its own healthy cells, tissues and other normal body constituents. Any disease resulting from this type of immune response is termed an "autoimmune disease". P ...
and inflammatory disorders (
diabetes mellitus type 1 Type 1 diabetes (T1D), formerly known as juvenile diabetes, is an autoimmune disease that originates when cells that make insulin (beta cells) are destroyed by the immune system. Insulin is a hormone required for the cells to use blood sugar f ...
,
autism The autism spectrum, often referred to as just autism or in the context of a professional diagnosis autism spectrum disorder (ASD) or autism spectrum condition (ASC), is a neurodevelopmental condition (or conditions) characterized by difficulti ...
,
schizophrenia Schizophrenia is a mental disorder characterized by continuous or relapsing episodes of psychosis. Major symptoms include hallucinations (typically hearing voices), delusions, and disorganized thinking. Other symptoms include social withdra ...
, and others).


Impact

Fasano is considered an expert and pioneering researcher worldwide in the field of celiac disease and bacterial pathogenesis. Not only did he found the premier celiac research center in the United States, but the impact of his more than 300 peer-reviewed journal publications and 160 patents has greatly shaped and advanced the knowledge of a multitude of chronic inflammatory diseases and immune diseases. He was among the top 1 percent cited scientists worldwide based on Web of Science Group'
annual list of Highly Cited Researchers
Throughout his career, he has prioritized and advocated for his patients by disseminating his research to the general public along with expansive outreach efforts. He often collaborates with celiac support organizations and government agencies to work toward this goal, and actively participates in fundraising efforts for the Center for Celiac Research and Treatment. He is the author of multiple books and has been featured in journals, magazines and interviews for the general public. He has published numerous groundbreaking research studies, including the 2000 discovery of the zonulin protein and its regulation and modulation of intestinal permeability. In 2003, he published the results of the epidemiological study that demonstrated the prevalence of celiac disease in the U.S. to be far higher than previously thought, at a rate of 1 in 133 persons. His work also contributed to the development of an anti-tissue transglutaminase (tTG) diagnostic test for celiac disease, that is part of standard diagnostic testing for celiac disease.


Awards

Fasano has received several awards for his work. Some notable awards include:  


Book Publications

* ''Fast Facts. Celiac Disease.'' By Fasano A, Holmes G, Catassi C. Oxford: Health Press, 2009. * ''Gluten Freedom.'' By Fasano A, Flaherty S.
Wiley Wiley may refer to: Locations * Wiley, Colorado, a U.S. town * Wiley, Pleasants County, West Virginia, U.S. * Wiley-Kaserne, a district of the city of Neu-Ulm, Germany People * Wiley (musician), British grime MC, rapper, and producer * Wiley Mil ...
, 2014. * ''Senza glutine. La celiachia non si cura, si gestisce'' (in Italian). By Fasano A.
Mondadori Arnoldo Mondadori Editore () is the biggest publishing company in Italy. History The company was founded in 1907 in Ostiglia by 18-year-old Arnoldo Mondadori who began his publishing career with the publication of the magazine ''Luce!''. In 1 ...
, 2017. * ''Se libérer du gluten: Le guide référence de la sensibilité au gluten et de la maladie coeliaque (Essai-Santé) (French Edition).'' By Fasano A.
Marabout A marabout ( ar, مُرابِط, murābiṭ, lit=one who is attached/garrisoned) is a Muslim religious leader and teacher who historically had the function of a chaplain serving as a part of an Islamic army, notably in North Africa and the Saha ...
, 2017. * ''A Clinical Guide to Gluten-Related Disorders'' Paperback. By Fasano A. LWW, 2013. * ''Frontiers in Celiac Disease.'' By Fasano A, Troncone R, Branski D, eds. S. Karger Publishers, 2008. * ''From Ptolemaus to Copernicus: The Evolving System of Gluten-Related Disorder''. By Catassi C, Fasano A.
Mdpi AG MDPI (Multidisciplinary Digital Publishing Institute) is a publisher of open access scientific journals. Founded by Shu-Kun Lin as a chemical sample archive, it now publishes over 390 peer-reviewed, open access journals. MDPI is the largest op ...
, 2018. * ''Dieta Sem Glúten - Um Guia Essencial Para Uma Vida Saudável (in Portuguese).'' By Fasano A, Flaherty S, Rocha B. Madras, 2015. * ''Gut Feelings: The Microbiome and Our Health.'' By Fasano A, Flaherty S.
MIT Press The MIT Press is a university press affiliated with the Massachusetts Institute of Technology (MIT) in Cambridge, Massachusetts (United States). It was established in 1962. History The MIT Press traces its origins back to 1926 when MIT publish ...
, 2021.


Cited Publications

Fasano has authored (or co-authored) over 300 peer-reviewed publications. Some high-impact publications include: * * * * * * * * *


References


External links

*
Harvard Medical School Harvard Medical School (HMS) is the graduate medical school of Harvard University and is located in the Longwood Medical Area of Boston, Massachusetts. Founded in 1782, HMS is one of the oldest medical schools in the United States and is consi ...
https://hms.harvard.edu/ *
Harvard T.H. Chan School of Public Health The Harvard T.H. Chan School of Public Health is the public health school of Harvard University, located in the Longwood Medical Area of Boston, Massachusetts. The school grew out of the Harvard-MIT School for Health Officers, the nation's first ...
https://www.hsph.harvard.edu/ *Center for Celiac Research and Treatment https://www.massgeneral.org/children/celiac-disease *MassGeneral Hospital for Children https://www.massgeneral.org/children *Harvard Medical School Celiac Research Program https://hms.harvard.edu/departments/hms-celiac-research-program *Mucosal Immunology and Biology Research Center https://www.massgeneral.org/children/mucosal-immunology *European Biomedical Research Institute of Salerno https://www.ebris.eu/home-english *
University of Naples The University of Naples Federico II ( it, Università degli Studi di Napoli Federico II) is a public university in Naples, Italy. Founded in 1224, it is the oldest public non-sectarian university in the world, and is now organized into 26 depar ...
School of Medicine https://www.italymedicalschools.com/university-of-napoli-federico-ii/ {{DEFAULTSORT:Fasano, Alessio Italian pediatricians Living people Year of birth missing (living people) Italian gastroenterologists Harvard Medical School faculty University of Naples Federico II alumni University of Maryland, Baltimore faculty