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001-es BibID:BIBFORM116102
035-os BibID:(Scopus)85164401622 (WOS)001017815400001
Első szerző:Banach, Maciej
Cím:Regional differences in physicians' behavior and factors influencing the intensity of PCSK9 inhibitor therapy with alirocumab : a subanalysis of the ODYSSEY APPRISE study / Banach Maciej, Lewek Joanna, Pol Kaja, Rabczenko Daniel, Balanescu Serban M., Blaha Vladimir, Ceska Richard, Jankowski Piotr, Surma Stanisaw, Kolovou Genovefa, Liberopoulos Evangelos, Mitu Florin, Mitu Magda, Naji Franjo Husam, Paragh Gyorgy, Popawska Magdalena, Vrablik Michal, Pella Daniel
Dátum:2023
ISSN:2297-055X
Megjegyzések:BackgroundDespite better accessibility of the effective lipid-lowering therapies, only about 20% of patients at very high cardiovascular risk achieve the low-density lipoprotein cholesterol (LDL-C) goals. There is a large disparity between European countries with worse results observed for the Central and Eastern Europe (CEE) patients. One of the main reasons for this ineffectiveness is therapeutic inertia related to the limited access to appropriate therapy and suitable dosage intensity. Thus, we aimed to compare the differences in physicians' therapeutic decisions on alirocumab dose selection, and factors affecting these in CEE countries vs. other countries included in the ODYSSEY APPRISE study.MethodsODYSSEY APPRISE was a prospective, single-arm, phase 3b open-label (& GE;12 weeks to & LE;30 months) study with alirocumab. Patients received 75 or 150 mg of alirocumab every 2 weeks, with dose adjustment during the study based on physician's judgment. The CEE group in the study included Czechia, Greece, Hungary, Poland, Romania, Slovakia, and Slovenia, which we compared with the other nine European countries (Austria, Belgium, Denmark, Finland, France, Germany, Italy, Spain, and Switzerland) plus Canada.ResultsA total of 921 patients on alirocumab were involved [modified intention-to-treat (mITT) analysis], including 114 (12.4%) subjects from CEE countries. Therapy in CEE vs. other countries was numerically more frequently started with lower alirocumab dose (75 mg) at the first visit (74.6 vs. 68%, p = 0.16). Since week 36, the higher dose was predominantly used in CEE patients (150 mg dose in 51.6% patients), which was maintained by the end of the study. Altogether, alirocumab dose was significantly more often increased by CEE physicians (54.1 vs. 39.9%, p = 0.013). Therefore, more patients achieved LDL-C goal at the end of the study (<55 mg/dl/1.4 mmol/L and 50% reduction of LDL-C: 32.5% vs. 28.8%). The only factor significantly influencing the decision on dose of alirocumab was LDL-C level for both countries' groups (CEE: 199.2 vs. 175.3 mg/dl; p = 0.019; other: 205.9 vs. 171.6 mg/dl; p < 0.001, for 150 and 75 mg of alirocumab, respectively) which was also confirmed in multivariable analysis (OR = 1.10; 95% CI: 1.07-1.13).ConclusionsDespite larger unmet needs and regional disparities in LDL-C targets achievement in CEE countries, more physicians in this region tend to use the higher dose of alirocumab, they are more prone to increase the dose, which is associated with a higher proportion of patients reaching LDL-C goals. The only factor that significantly influences decision whether to increase or decrease the dose of alirocumab is LDL-C level.
Tárgyszavak:Orvostudományok Klinikai orvostudományok idegen nyelvű folyóiratközlemény külföldi lapban
folyóiratcikk
Megjelenés:Frontiers in Cardiovascular Medicine. - 10 (2023), p. 1-9. -
További szerzők:Lewek, Joanna Pol, Kaja Rabczenko, Daniel Balanescu, Serban M. Blaha, Vladimir Ceska, Richard Jankowski, Piotr Surma, Stanisaw Kolovou, Genovefa Liberopoulos, Evangelos Mitu, Florin Mitu, Magda Naji, Franjo Husam Paragh György (1953-) (belgyógyász) Popawska, Magdalena Vrablík, Michal Pella, Daniel
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2.

001-es BibID:BIBFORM113611
035-os BibID:(Scopus)85159771934 (WoS)000969479100001 (cikkazonosító)1187603
Első szerző:Henrotin, Yves
Cím:Corrigendum : Editorial: Reviews in rheumatology / Henrotin Yves, Szekanecz Zoltan, Masuko Kayo
Dátum:2023
ISSN:2296-858X
Tárgyszavak:Orvostudományok Klinikai orvostudományok hozzászólás
folyóiratcikk
Megjelenés:Frontiers in Medicine. - 10 : 10 (2023), p. 1. -
További szerzők:Szekanecz Zoltán (1964-) (reumatológus, belgyógyász, immunológus) Masuko, Kayo
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Intézményi repozitóriumban (DEA) tárolt változat
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3.

001-es BibID:BIBFORM109661
035-os BibID:(Scopus)85149642401 (WoS)000944111500001 (cikkazonosító)1153419
Első szerző:Henrotin, Yves
Cím:Editorial : reviews in rheumatology / Henrotin Yves, Szekanecz Zoltan, Masuko Kayo
Dátum:2023
ISSN:2296-858X
Tárgyszavak:Orvostudományok Klinikai orvostudományok szerkesztőségi anyag
folyóiratcikk
rheumatoid arthritis
systemic lupus erythematosus (SLE)
frozen shoulder
cytokines
biomarkers
mitochondria
Megjelenés:Frontiers in Medicine. - 10 (2023), p. 1-2. -
További szerzők:Szekanecz Zoltán (1964-) (reumatológus, belgyógyász, immunológus) Masuko, Kayo
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Intézményi repozitóriumban (DEA) tárolt változat
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4.

001-es BibID:BIBFORM105426
035-os BibID:(scopus)85138835366 (wos)000860477900001 (cikkazonosító)801592
Első szerző:Juhász Márk Félix
Cím:Pancreatic family history does not predict disease progression but connotes alcohol consumption in adolescents and young adults with acute pancreatitis : Analysis of an international cohort of 2,335 patients / Márk Félix Juhász, Nelli Farkas, Andrea Szentesi, Andrzej Wedrychowicz, Andreia Florina Nita, Natália Lásztity, Alexandra Tészás, István Tokodi, Áron Vincze, Bálint Eross, Ferenc Izbéki, László Czakó, Mária Papp, Péter Hegyi, Andrea Párniczky
Dátum:2022
ISSN:2296-858X
Megjegyzések:Background: In pediatric acute pancreatitis (AP), a family history of pancreatic diseases is prognostic for earlier onset of recurrent AP (ARP) and chronic pancreatitis (CP). No evidence supports the same association in adult-onset pancreatitis. Age-specific reasons for familial aggregation are also unclear. We aimed to examine the prognostic role of pancreatic family history for ARP/CP and observe possible underlying mechanisms. Methods: We conducted a secondary analysis of the Hungarian Pancreatic Study Group's (HPSG) multicenter, international, prospective registry of patients with AP, both children and adults. We compared the positive family history and the negative family history of pancreatic diseases, in different age groups, and analyzed trends of accompanying factors. Chi-square and Fisher exact tests were usedResults: We found a higher rate of ARP/CP in the positive pancreatic family history group (33.7 vs. 25.9%, p = 0.018), peaking at 6?17 years. Idiopathic AP peaked in childhood in the positive family history group (75% 0?5 years) and was consistently 20?35% in the negative group. A higher rate of alcohol consumption/smoking was found in the positive groups at 12?17 years (62.5 vs. 15.8%, p = 0.013) and 18?29 years (90.9 vs. 58.1%, p = 0.049). The prevalence of diabetes and hyperlipidemia steadily rose with age in both groups. Conclusion: Positive family history most likely signifies genetic background in early childhood. During adolescence and early adulthood, alcohol consumption and smoking emerge?clinicians should be aware and turn to intervention in such cases. Contrary to current viewpoints, positive pancreatic family history is not a prognostic factor for ARP and CP in adults, so it shouldnot be regarded that way.
Tárgyszavak:Orvostudományok Klinikai orvostudományok idegen nyelvű folyóiratközlemény külföldi lapban
folyóiratcikk
Megjelenés:Frontiers in Medicine. - 9 (2022), p. 1-8. -
További szerzők:Farkas Nelli Szentesi Andrea Wedrychowicz, Andrzej Nita, Andreia Florina Lásztity Natália (gyermekgyógyász, gasztroenterológus) Tészás Alexandra Tokodi István Vincze Áron Erőss Bálint Izbéki Ferenc Czakó László Papp Mária (1975-) (belgyógyász, gasztroenterológus) Hegyi Péter Jr. (belgyógyász) Párniczky Andrea (gyermekgyógyász)
Pályázati támogatás:GINOP-2.3.2-15-2016-00015
GINOP
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Intézményi repozitóriumban (DEA) tárolt változat
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5.

001-es BibID:BIBFORM115235
035-os BibID:(cikkazonosító)1226760 (WoS)001090239400001 (Scopus)85174827391
Első szerző:Kacsándi Dorottya
Cím:Effect of tofacitinib therapy on angiotensin converting enzyme activity in rheumatoid arthritis / Dorottya Kacsándi, Miklós Fagyas, Ágnes Horváth, Edit Végh, Anita Pusztai, Monika Czókolyová, Boglárka Soós, Attila Ádám Szabó, Attila Hamar, Zsófia Pethő, Nóra Bodnár, György Kerekes, Katalin Hodosi, Szilvia Szamosi, Gabriella Szűcs, Zoltán Papp, Zoltán Szekanecz
Dátum:2023
ISSN:2296-858X
Megjegyzések:Introduction The Renin-Angiotensin-Aldosterone system (RAAS) has been implicated in the regulation of the cardiovascular system and linked to rheumatoid arthritis (RA). Little information has become available on the effects of Janus kinase (JAK) inhibition on RAAS. Here we studied the effects of 12-month tofacitinib treatment on angiotensin converting enzyme (ACE), ACE2 production and ACE/ACE2 ratios in RA along with numerous other biomarkers.Patients and methods Thirty RA patients were treated with tofacitinib in this prospective study. Serum ACE concentrations were assessed by ELISA. ACE2 activity was determined by a specific quenched fluorescent substrate. ACE/ACE2 ratios were calculated. We also determined common carotid intima-media thickness (ccIMT), brachial artery flow-mediated vasodilation (FMD) and carotid-femoral pulse-wave velocity (cfPWV) by ultrasound. C-reactive protein (CRP), rheumatoid factor (RF) and anti-citrullinated protein autoantibodies (ACPA) were also determined. All measurements were performed at baseline, as well as after 6 and 12 months of tofacitinib treatment.Results After the dropout of 4 patients, 26 completed the study. Tofacitinib treatment increased ACE levels after 6 and 12 months, while ACE2 activity only transiently increased at 6 months. The ACE/ACE2 ratio increased after 1 year of therapy (p < 0.05). Logistic regression analyses identified correlations between ACE, ACE2 or ACE/ACE2 ratios and RF at various time points. Baseline disease duration also correlated with erythrocyte sedimentation rate (ESR) (p < 0.05). One-year changes of ACE or ACE2 were determined by tofacitinib treatment plus ACPA or RF, respectively (p < 0.05).Conclusion JAK inhibition increases serum ACE and ACE/ACE2 ratio in RA. Baseline inflammation (ESR), disease duration and ACPA, as well as RF levels at various time points can be coupled to the regulation of ACE/ACE2 ratio. The effect of tofacitinib on RAAS provides a plausible explanation for the cardiovascular effects of JAK inhibition in RA.
Tárgyszavak:Orvostudományok Klinikai orvostudományok idegen nyelvű folyóiratközlemény külföldi lapban
folyóiratcikk
Megjelenés:Frontiers in Medicine. - 10 (2023), p. 1-8. -
További szerzők:Fagyas Miklós (1984-) (orvos) Horváth Ágnes (1985-) (reumatológus) Végh Edit Karancsiné Pusztai Anita (1989-) (tudományos segédmunkatárs) Czókolyová Mónika (1993-) (molekuláris biológus) Soós Boglárka (1988-) (általános orvos) Szabó Attila Ádám (1996-) (orvos) Hamar Attila Béla (1990-) (általános orvos) Pethő Zsófia (1981-) (reumatológus, immunológus) Bodnár Nóra (1980-) (reumatológus) Kerekes György (1973-) (belgyógyász, kardiológus, angiológus) Hódosi Katalin Szamosi Szilvia (1975-) (belgyógyász, reumatológus) Szűcs Gabriella (1963-) (belgyógyász, allergológus és klinikai immunológus, reumatológus) Papp Zoltán (1965-) (kardiológus, élettanász) Szekanecz Zoltán (1964-) (reumatológus, belgyógyász, immunológus)
Pályázati támogatás:TÁMOP-4.2.4.A/2-11-1-2012*0001
TÁMOP
GINOP-2.3.2-15-2016-00050
GINOP
ÚNKP-22-5-DE-408
Egyéb
ÚNKP-22-3-I-DE-248
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Intézményi repozitóriumban (DEA) tárolt változat
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6.

001-es BibID:BIBFORM106314
035-os BibID:(cikkazonosító)1081986 (Scopus)85146987410 (WoS)000917668200001
Első szerző:Kovács Beáta (belgyógyász)
Cím:Determining the prevalence of childhood hypertension and its concomitant metabolic abnormalities using data mining methods in the Northeastern region of Hungary / Beáta Kovács, Ákos Németh, Bálint Daróczy, Zsolt Karányi, László Maroda, Ágnes Diószegi, Bíborka Nádró, Tamás Szabó, Mariann Harangi, Dénes Páll
Dátum:2023
ISSN:2297-055X
Megjegyzések:Objective: Identifying hypertension in children and providing treatment for it have a marked impact on the patients' long-term cardiovascular outcomes. The global prevalence of childhood hypertension is increasing, yet its investigation has been rather sporadic in Eastern Europe. Therefore, our goal was to determine the prevalence of childhood hypertension and its concomitant metabolic abnormalities using data mining methods. Methods: We evaluated data from 3 to 18-year-old children who visited the University of Debrecen Clinical Center's hospital throughout a 15-year study period (n = 92,198; boys/girls: 48/52%). Results: We identified a total of 3,687 children with hypertension (2,107 boys and 1,580 girls), with a 4% calculated prevalence of hypertension in the whole study population and a higher prevalence in boys (4.7%) as compared to girls (3.2%). Among boys we found an increasing prevalence in consecutive age groups in the study population, but among girls the highest prevalences are identified in the 12-15-year age group. Markedly higher BMI values were found in hypertensive children as compared to non-hypertensives in all age groups. Moreover, significantly higher total cholesterol (4.27 ? 0.95 vs. 4.17 ? 0.88 mmol/L), LDL-C (2.62 ? 0.79 vs. 2.44 ? 0.74 mmol/L) and triglyceride (1.2 (0.85-1.69) vs. 0.94 (0.7-1.33) mmol/L), and lower HDL-C (1.2 ? 0.3 vs. 1.42 ? 0.39 mmol/L) levels were found in hypertensive children. Furthermore, significantly higher serum uric acid levels were found in children with hypertension (299.2 ? 86.1 vs. 259.9 ? 73.3 ?mol/L), while glucose levels did not differ significantly. Conclusion: Our data suggest that the calculated prevalence of childhood hypertension in our region is comparable to data from other European countries and is associated with early metabolic disturbances. Data mining is an effective method for identifying childhood hypertension and its metabolic consequences.
Tárgyszavak:Orvostudományok Klinikai orvostudományok idegen nyelvű folyóiratközlemény külföldi lapban
folyóiratcikk
adolescents
blood pressure
children
data mining
hypertension
metabolic parameters
obesity
prevalence
Megjelenés:Frontiers in Cardiovascular Medicine. - 9 (2023), p. 1-10. -
További szerzők:Németh Ákos (1984-) (gyógyszer-vegyészmérnök, közgazdász) Daróczy Bálint (1984-) (informatikus, matematikus) Karányi Zsolt (1961-) (biostatisztikus, bioinformatikus) Maroda László (1979-) (gyógyszerész) Diószegi Ágnes (1987-) (belgyógyász) Nádró Bíborka (1992-) (általános orvos) Szabó Tamás (1968-) (gyermekgyógyász) Harangi Mariann (1974-) (belgyógyász, endokrinológus) Páll Dénes (1967-) (belgyógyász, kardiológus)
Pályázati támogatás:K142273
OTKA
MTA Premium Postdoctoral Fund
MTA
European Union Project RRF-2.3.1-21-2022-00004
Egyéb
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Intézményi repozitóriumban (DEA) tárolt változat
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7.

001-es BibID:BIBFORM075616
035-os BibID:(cikkazonosító)197
Első szerző:Nikiphorou, Elena (reumatológus)
Cím:Editorial : comorbidity burden in rheumatic diseases / Elena Nikiphorou, Michael T. Nurmohamed, Zoltan Szekanecz
Dátum:2018
ISSN:2296-858X
Tárgyszavak:Orvostudományok Klinikai orvostudományok idegen nyelvű folyóiratközlemény külföldi lapban
comorbidity
multimorbidity
rheumatic diseases
rheumatoid arthritis (RA)
treat-to-target
Megjelenés:Frontiers in Medicine. - 5 (2018), p. 1-3. -
További szerzők:Nurmohamed, Michael T. Szekanecz Zoltán (1964-) (reumatológus, belgyógyász, immunológus)
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Intézményi repozitóriumban (DEA) tárolt változat
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8.

001-es BibID:BIBFORM117090
035-os BibID:(cikkazonosító)1270093 (WoS)001116444000001 (Scopus)85179329820
Első szerző:Pituk Dóra
Cím:The association between EPCR gene p.Ser219Gly polymorphism and venous thromboembolism risk : a case-control study, meta-analysis, and a reproducibility study / Pituk Dóra, Miklós Tünde, Schlammadinger Ágota, Rázsó Katalin, Bereczky Zsuzsanna
Dátum:2023
ISSN:2297-055X
Megjegyzések:Background: The rs867186 single-nucleotide polymorphism in the PROCR gene (g.6936A > G, c.4600A > G) results in a serine-to-glycine substitution at codon 219 of endothelial protein C receptor (EPCR). We performed a case-control study followed by an updated meta-analysis of the association between this polymorphism and the risk of venous thromboembolism (VTE).Objective and methods: We enrolled 263 VTE patients and 320 unrelated healthy controls for the case-control study. The total number of cases and controls for the meta-analysis were 5,768 and 30,017, respectively. A new online MetaGenyo Statistical Analysis System software was used to perform the current meta-analysis. Furthermore, a reproducibility study was conducted to validate our results.Results: Among well-defined thrombosis risk factors, Factor V Leiden was more frequent in the VTE group (p < 0.001), while there was no difference in mutation frequency of prothrombin 20210G>A polymorphism between the two groups. There was no difference in the mutation frequency of Factor V Leiden and prothrombin 20210G>A between cases with and without provoking factors and cases with and without VTE recurrence. The rs867186 "G" carriership did not influence the risk of VTE [odds ratio (OR) 1.339; 95% confidence interval (CI): 0.904-1.984] in our study. No significant differences could be demonstrated among the rs867186 genotype frequencies between VTE cases with and without provoking factors (p = 0.430). PROCR rs867186 was associated with an OR of 1.72 (95% CI: 0.95-3.13, p = 0.075) in terms of VTE recurrence. In the meta-analysis, a significant association was found between EPCR Ser219Gly polymorphism and VTE under the dominant model (OR = 1.27, 95% CI: 1.11-1.46, p = 0.0006), the recessive model (OR = 1.60, 95% CI: 1.26-2.04, p = 0.0001), the GG vs. AA contrast model (OR = 1.64, 95% CI: 1.28-2.09, p = 0.0001), and the GA vs. AA contrast model (OR = 1.24, 95% CI: 1.08-1.43, p = 0.002).Conclusion: The rs867186 was not associated with the first VTE risk in our case-control study; however, a tendency to VTE recurrence was observed. Based on the results of our reproducibility study, MetaGenyo is acceptable for meta-analysis in case of genetic epidemiology studies. Although the risk conferred by the rs867186 is mild in all meta-analyses, including ours, identifying patients carrying the minor allele might have an impact on personalized VTE risk assessment, risk-score calculation, and patient management.
Tárgyszavak:Orvostudományok Klinikai orvostudományok idegen nyelvű folyóiratközlemény külföldi lapban
folyóiratcikk
Megjelenés:Frontiers in Cardiovascular Medicine. - 10 (2023), p. 1-14. -
További szerzők:Miklós Tünde Schlammadinger Ágota (1971-) (belgyógyász, haematológus) Molnárné Rázsó Katalin (1966-) (belgyógyász, haematológus, klinikai onkológus) Bereczky Zsuzsanna (1974-) (orvosi laboratóriumi diagnosztika szakorvos)
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Intézményi repozitóriumban (DEA) tárolt változat
Borító:

9.

001-es BibID:BIBFORM106678
035-os BibID:(WOS)000889627500001 (Scopus)85142630036
Első szerző:Soós Boglárka (általános orvos)
Cím:Effects of tofacitinib therapy on arginine and methionine metabolites in association with vascular pathophysiology in rheumatoid arthritis : a metabolomic approach / Boglárka Soós, Attila Hamar, Anita Pusztai, Monika Czókolyová, Edit Végh, Szilvia Szamosi, Zsófia Pethő, Katalin Gulyás, György Kerekes, Sándor Szántó, Gabriella Szűcs, Uwe Christians, Jelena Klawitter, Tamás Seres, Zoltán Szekanecz
Dátum:2022
ISSN:2296-858X
Tárgyszavak:Orvostudományok Klinikai orvostudományok idegen nyelvű folyóiratközlemény külföldi lapban
folyóiratcikk
Megjelenés:Frontiers in Medicine. - 9 (2022), p. 1-16. -
További szerzők:Hamar Attila Béla (1990-) (általános orvos) Karancsiné Pusztai Anita (1989-) (tudományos segédmunkatárs) Czókolyová Mónika (1993-) (molekuláris biológus) Végh Edit (1978-) (reumatológus, belgyógyász) Szamosi Szilvia (1975-) (belgyógyász, reumatológus) Pethő Zsófia (1981-) (reumatológus, immunológus) Gulyás Katalin (reumatológus) Kerekes György (1973-) (belgyógyász, kardiológus, angiológus) Szántó Sándor (1968-) (belgyógyász, reumatológus) Szűcs Gabriella (1963-) (belgyógyász, allergológus és klinikai immunológus, reumatológus) Christians, Uwe Klawitter, Jelena Seres Tamás Szekanecz Zoltán (1964-) (reumatológus, belgyógyász, immunológus)
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Intézményi repozitóriumban (DEA) tárolt változat
Borító:

10.

001-es BibID:BIBFORM100009
035-os BibID:(cikkazonosító)785744 (WoS)000753609600001 (Scopus)85124513069
Első szerző:Soós Boglárka (általános orvos)
Cím:Angiotensin Converting Enzyme Activity in Anti-TNF-Treated Rheumatoid Arthritis and Ankylosing Spondylitis Patients / Boglárka Soós, Miklós Fagyas, Ágnes Horváth, Edit Végh, Anita Pusztai, Monika Czókolyová, Alexandra Csongrádi, Attila Hamar, Zsófia Pethő, Nóra Bodnár, György Kerekes, Katalin Hodosi, Éva Szekanecz, Szilvia Szamosi, Sándor Szántó, Gabriella Szűcs, Zoltán Papp, Zoltán Szekanecz
Dátum:2022
ISSN:2296-858X
Megjegyzések:IntroductionAngiotensin-converting enzyme (ACE) and ACE2 have been implicated in the regulation of vascular physiology. Elevated synovial and decreased or normal ACE or ACE2 levels have been found in rheumatoid arthritis (RA). Very little is known about the effects of tumor necrosis factor alpha (TNF-alpha) inhibition on ACE or ACE2 homeostasis. In this study, we assessed the effects of one-year anti-TNF therapy on ACE and ACE2 production in RA and ankylosing spondylitis (AS) in association with other biomarkers. Patients and MethodsForty patients including 24 RA patients treated with either etanercept (ETN) or certolizumab pegol (CZP) and 16 AS patients treated with ETN were included in a 12-month follow-up study. Serum ACE levels were determined by commercial ELISA, while serum ACE2 activity was assessed using a specific quenched fluorescent substrate. Ultrasonography was performed to determine flow-mediated vasodilation (FMD), common carotid intima-media thickness (ccIMT) and arterial pulse-wave velocity (PWV) in all patients. In addition, CRP, rheumatoid factor (RF) and ACPA were also measured. All assessments were performed at baseline and 6 and 12 months after treatment initiation. ResultsAnti-TNF therapy increased ACE levels in the full cohort, as well as in the RA and AS subsets. ACE2 activity increased in the full cohort, while the ACE/ACE2 ratio increased in the full cohort and in the RA subset (p < 0.05). Uni- and multivariable regression analyses determined associations between ACE or ACE/ACE2 ratios at different time points and disease duration, CRP, RF, FMD and IMT (p < 0.05). ACE2 activity correlated with CRP. The changes of ACE or ACE2 over 12 months were determined by treatment together with either RF or FMD (p < 0.05). ConclusionsAnti-TNF treatment may increase ACE and ACE2 in the sera of RA and AS patients. ACE and ACE2 may be associated with disease duration, markers of inflammation and vascular pathophysiology. The effects of TNF inhibition on ACE and ACE2 may reflect, in part, the effects of these biologics on the cardiovascular system.
Tárgyszavak:Orvostudományok Elméleti orvostudományok idegen nyelvű folyóiratközlemény külföldi lapban
folyóiratcikk
Megjelenés:Frontiers in Medicine. - 8 (2022), p. 1-11. -
További szerzők:Fagyas Miklós (1984-) (orvos) Horváth Ágnes (1985-) (reumatológus) Végh Edit (1978-) (reumatológus, belgyógyász) Karancsiné Pusztai Anita (1989-) (tudományos segédmunkatárs) Czókolyová Mónika (1993-) (molekuláris biológus) Csongrádi Alexandra (1990-) (molekuláris biológus) Hamar Attila Béla (1990-) (általános orvos) Pethő Zsófia (1981-) (reumatológus, immunológus) Bodnár Nóra (1980-) (reumatológus) Kerekes György (1973-) (belgyógyász, kardiológus, angiológus) Hódosi Katalin Szekanecz Éva (1968-) (onkológus szakorvos) Szamosi Szilvia (1975-) (belgyógyász, reumatológus) Szántó Sándor (1968-) (belgyógyász, reumatológus) Szűcs Gabriella (1963-) (belgyógyász, allergológus és klinikai immunológus, reumatológus) Papp Zoltán (1965-) (kardiológus, élettanász) Szekanecz Zoltán (1964-) (reumatológus, belgyógyász, immunológus)
Pályázati támogatás:4.2.4.A/2-11/1-2012-0001
TÁMOP
GINOP-2.3.2-15-2016-00050
GINOP
ÚNKP-21-5-DE-458
Egyéb
FK 128809
OTKA
WS1695414
Egyéb
WS1695450
Egyéb
BO/00069/21/5
Egyéb
Internet cím:Szerző által megadott URL
DOI
Intézményi repozitóriumban (DEA) tárolt változat
Borító:

11.

001-es BibID:BIBFORM111799
035-os BibID:(cikkazonosító)1125530 (Scopus)85161006926 (WoS)000997781200001
Első szerző:Szabó Miklós (tüdőgyógyász)
Cím:The importance of chest CT severity score and lung CT patterns in risk assessment in COVID-19-associated pneumonia: a comparative study / Szabó Miklós, Kardos Zsófia, Kostyál László, Tamáska Péter, Oláh Csaba, Csánky Eszter, Szekanecz Zoltán
Dátum:2023
ISSN:2296-858X
Megjegyzések:Introduction: Chest computed tomography (CT) is suitable to assess morphological changes in the lungs. Chest CT scoring systems (CCTS) have been developed and use in order to quantify the severity of pulmonary involvement in COVID-19. CCTS has also been correlated with clinical outcomes. Here we wished to use a validated, relatively simple CTSS to assess chest CT patterns and to correlate CTSS with clinical outcomes in COVID-19. Patients and methods: Altogether 227 COVID-19 cases underwent chest CT scanning using a 128 multi-detector CT scanner (SOMATOM Go Top, Siemens Healthineers, Germany). Specific pathological features, such as ground-glass opacity (GGO), crazy-paving pattern, consolidation, fibrosis, subpleural lines, pleural effusion, lymphadenopathy and pulmonary embolism were evaluated. CTSS developed by Pan et al. (CTSS-Pan) was applied. CTSS and specific pathologies were correlated with demographic, clinical and laboratory data, A-DROP scores, as well as outcome measures. We compared CTSS-Pan to two other CT scoring systems. Results: The mean CTSS-Pan in the 227 COVID-19 patients was 14.6???6.7. The need for ICU admission (p <?0.001) and death (p <?0.001) were significantly associated with higher CTSS. With respect to chest CT patterns, crazy-paving pattern was significantly associated with ICU admission. Subpleural lines exerted significant inverse associations with ICU admission and ventilation. Lymphadenopathy was associated with all three outcome parameters. Pulmonary embolism led to ICU admission. In the ROC analysis, CTSS>18.5 significantly predicted admission to ICU (p =?0.026) and CTSS>19.5 was the cutoff for increased mortality (p <?0.001). CTSS-Pan and the two other CTSS systems exerted similar performance. With respect to clinical outcomes, CTSS-Pan might have the best performance. Conclusion: CTSS may be suitable to assess severity and prognosis of COVID-19-associated pneumonia. CTSS and specific chest CT patterns may predict the need for ventilation, as well as mortality in COVID-19. This can help the physician to guide treatment strategies in COVID-19, as well as other pulmonary infections.
Tárgyszavak:Orvostudományok Klinikai orvostudományok idegen nyelvű folyóiratközlemény külföldi lapban
folyóiratcikk
Megjelenés:Frontiers in Medicine. - 10 (2023), p. 1-9. -
További szerzők:Kardos Zsófia Kostyál László (1974-) (radiológus) Tamáska Péter Oláh Csaba Csánky Eszter (1959-) (tüdőgyógyász, klinikai immunológus, allergológus) Szekanecz Zoltán (1964-) (reumatológus, belgyógyász, immunológus)
Internet cím:Szerző által megadott URL
DOI
Intézményi repozitóriumban (DEA) tárolt változat
Borító:

12.

001-es BibID:BIBFORM103048
035-os BibID:(cikkazonosító)920016 (WoS)000836963000001 (Scopus)85135457642
Első szerző:Szabó Miklós (tüdőgyógyász)
Cím:Severity and prognostic factors of SARS-CoV-2-induced pneumonia : the value of clinical and laboratory biomarkers and the A-DROP score / Miklós Szabó, Zsófia Kardos, Csaba Oláh, Péter Tamáska, Katalin Hodosi, Eszter Csánky, Zoltán Szekanecz
Dátum:2022
ISSN:2296-858X
Megjegyzések:IntroductionNumerous clinical and laboratory scores that include C-reactive protein (CRP), D-dimer, ferritin, lactate dehydrogenase (LDH), interleukin 6 (IL-6), procalcitonin (PCT), blood urea nitrogen (BUN), creatinine levels and oxygenation (PaO2 and SaO(2)) have been used for the prognosis of COVID-19. In addition, composite scores have been developed for the assessment of general state and risk in community-acquired pneumonia (CAP) that may be applied for COVID-19 as well. In this study, we assessed severity and potential prognostic risk factors for unfavorable outcome among hospitalized COVID-19 patients. We also applied the A-DROP general scoring system used in CAP to COVID-19. Patients and methodsAltogether 233 patients admitted to our center with COVID-19 were included in the study. Clinical status, several laboratory biomarkers described above, indicators of oxygenation were determined at hospital admission. We also applied the A-DROP composite scoring system that includes Age (>= 70 years in males and >= 75 years in females), Dehydration (BUN >= 7.5 mmol/l), Respiratory failure (SaO(2) <= 90% or PaO2 <= 60 mmHg), Orientation disturbance (confusion) and low blood Pressure (systolic BP <= 90 mmHg) to COVID-19. ResultsAt the time of admission, most patients had elevated CRP, LDH, ferritin, D-dimer, and IL-6 levels indicating multisystemic inflammatory syndrome (MIS). Altogether 49 patients (21.2%) required admission to ICU, 46 (19.7%) needed ventilation and 40 patients (17.2%) died. In the binary analysis, admission to ICU, the need for ventilation and death were all significantly associated with the duration of hospitalization, history of hypertension or obesity, confusion/dizziness, as well as higher absolute leukocyte and neutrophil and lower lymphocyte counts, elevated CRP, PCT, LDH, ferritin, IL-6, BUN, and creatinine levels, low PaO2 and SaO(2) and higher A-DROP score at the time of admission (p < 0.05). ConclusionNumerous laboratory biomarkers in addition to obesity, dizziness at the time of admission and the history of hypertension may predict the need for ICU admission and ventilation, as well as mortality in COVID-19. Moreover, A-DROP may be a suitable scoring system for the assessment of general health and disease outcome in COVID-19.
Tárgyszavak:Orvostudományok Klinikai orvostudományok idegen nyelvű folyóiratközlemény külföldi lapban
folyóiratcikk
COVID-19
tocilizumab (IL-6 inhibitor)
prognosis
pneumonia
outcome
A-DROP score
Megjelenés:Frontiers in Medicine. - 9 (2022), p. 1-8. -
További szerzők:Kardos Zsófia Oláh Csaba Tamáska Péter Hódosi Katalin Csánky Eszter (1959-) (tüdőgyógyász, klinikai immunológus, allergológus) Szekanecz Zoltán (1964-) (reumatológus, belgyógyász, immunológus)
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Intézményi repozitóriumban (DEA) tárolt változat
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