Ever since I was an undergraduate in medical school, my activities and interests have been dedicated to Type 1 Diabetes. I began my research in Type 1 Diabetes 10 years ago while a medical student under the supervision of Dr. Marco Songini. At that time, I was learning clinical care of adolescent T1DM patients. Also, I was involved in multicenter research projects concerning epidemiology, prediction and prevention of Type 1 Diabetes, such as the Eumedis Study (Health Systems & Policies for Prevention and Treatment of diabetes in the Meditrerranean), Eurodiab Prospective Complication Trial; Diabetes Mondiale (DiaMond) Project; Sardinian Register for Type 1 Diabetes (Cordinating Group);
TRIGR project, family studies of Sardinian diabetic patients, Diabfin project, and The Sardinia Schoolchildren Study. The latter project was an investigation of predictive capacity of combined strategies in the general population of Sardinia.
As a study doctor for these trials, I experienced the difficulty and the frustration of explaining the concept of risk for Type 1 Diabetes, particularly when babies or young children were found to be at high risk of developing the disease. At the same time, progress in predictive strategies was rapidly achieved and better predictive power of the current combinatorial strategy was confirmed in large studies. I then realized that part of the difficulties might be overcome if we will be able to predict more accurately who is at risk and also how fast those at risk develop the clinical disease. The accurate identification of people at risk will be the basis to apply any approach directed at preventing and possibly treating the disease.
Being moved by these motivations, I decided to direct my activities to basic science, specifically, the study of immunological aspects of Type 1 diabetes with relation to autoimmunity, prediction, possible prevention and/or monitoring of any effects of preventive therapies on the patients. My medical degree and my past clinical experience will prevent me from forgetting that patients are the object of basic science. In fact, I believe that in medical research, the tremendous amount of effort devoted to basic science should set the stage for the development of clinical investigation. The knowledge of basic science helps any physician to understand and to correctly apply the new discoveries. At the same time, a good knowledge of the medical aspects of the disease inevitably drives research towards clinical applications. With this purpose in mind, with little laboratory experience, and with all of my hopes, I had the unique opportunity to join in March 2004 the Department of immunogenetics directed by Dr. Massimo Trucco at the University of Pittsburgh. It is a very stimulating and friendly environment, where I am able to expand and improve my knowledge and my skills. There I started working in Dr. Massimo Pietropaolo’s laboratory on 2 projects aimed at improving the predicting capacity towards Type 1 Diabetes by studing new autoantigens and autoantigenic epitopes.
As a result of my research activities I gave some poster and oral presentations during national and international meetings, and I published on peer reviewed journals.