Holy Roman Emperor Sigismund sought Bernardino's counsel and intercession and Bernardino accompanied him to Rome in 1433 for his coronation.
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The most famous depictions of Bernardino are found in the cycle of frescoes of his life, which were executed towards the end of the fifteenth century by Pinturicchio in the Bufalini Chapel of Santa Maria in Aracoeli, Rome.
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His cult also spread to England at an early period, and was particularly promulgated by the Observant Friars, who first established themselves in the country in Greenwich, in 1482, not forty years after his death, but who were later suppressed.
The general theme of the altarpiece was the celebration of the Franciscan thought, of which St. Jerome, according to the theories of St. Bernardino of Siena, had been one of the main influences.
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In the center of the altarpiece is an image of the Immaculate Conception, surrounded by images of the saints associated with the life of the Virgin Mary as well as Franciscan friars such as Anthony of Padua, Diego de Acala Obispo, Francis of Assisi and Bernardino of Siena and others such as Saint Dominic and Augustine of Hippo.
Recently discovered documentation shows that he provided the kneeling figure of Saint Bernardino of Siena (1656–57) in Alexander VII's chapel at Santa Maria della Pace, and the two pairs of putti holding portrait medallions on the façade.