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001-es BibID:BIBFORM095647
035-os BibID:(cikkazonosító)1708 (WoS)000676633500001 (Scopus)85114067373
Első szerző:Bánhegyi Viktor (kardiológus)
Cím:Human Tissue Angiotensin Converting Enzyme (ACE) Activity Is Regulated by Genetic Polymorphisms, Posttranslational Modifications, Endogenous Inhibitors and Secretion in the Serum, Lungs and Heart / Viktor Bánhegyi, Attila Enyedi Gábor Áron Fülöp, Attila Oláh, Ivetta Mányiné Siket, Csongor Váradi, Klaudia Bottyán, Mária Lódi, Alexandra Csongrádi, Azeem J. Umar, Miklós Fagyas, Dániel Czuriga, István Édes, Miklós Pólos, Béla Merkely, Zoltán Csanádi, Zoltán Papp, Gábor Szabó, Tamás Radovits, István Takács, Attila Tóth
Dátum:2021
ISSN:2073-4409
Megjegyzések:Objective: Inhibitors of the angiotensin converting enzyme (ACE) are the primarily chosen drugs to treat heart failure and hypertension. Moreover, an imbalance in tissue ACE/ACE2 activity is implicated in COVID-19. In the present study, we tested the relationships between circulating and tissue (lung and heart) ACE levels in men. Methods: Serum, lung (n = 91) and heart (n = 72) tissue samples were collected from Caucasian patients undergoing lung surgery or heart transplantation. ACE I/D genotype, ACE concentration and ACE activity were determined from serum and tissue samples. Clinical parameters were also recorded. Results: A protocol for ACE extraction was developed for tissue ACE measurements. Extraction of tissue-localized ACE was optimal in a 0.3% Triton-X-100 containing buffer, resulting in 260 ? 12% higher ACE activity over detergent-free conditions. SDS or higher Triton-X-100 concentrations inhibited the ACE activity. Serum ACE concentration correlated with ACE I/D genotype (II: 166 ? 143 ng/mL, n = 19, ID: 198 ? 113 ng/mL, n = 44 and DD: 258 ? 109 ng/mL, n = 28, p < 0.05) as expected. In contrast, ACE expression levels in the lung tissue were approximately the same irrespective of the ACE I/D genotype (II: 1423 ? 1276 ng/mg, ID: 1040 ? 712 ng/mg and DD: 930 ? 1273 ng/mg, p > 0.05) in the same patients (values are in median ? IQR). Moreover, no correlations were found between circulating and lung tissue ACE concentrations and activities (Spearman's p > 0.05). In contrast, a significant correlation was identified between ACE activities in serum and heart tissues (Spearman's Rho = 0.32, p < 0.01). Finally, ACE activities in lung and the serum were endogenously inhibited to similar degrees (i.e., to 69 ? 1% and 53 ? 2%, respectively). Conclusion: Our data suggest that circulating ACE activity correlates with left ventricular ACE, but not with lung ACE in human. More specifically, ACE activity is tightly coordinated by genotype-dependent expression, endogenous inhibition and secretion mechanisms.
Tárgyszavak:Orvostudományok Elméleti orvostudományok idegen nyelvű folyóiratközlemény külföldi lapban
folyóiratcikk
angiotenzin konvertáló enzim
szív
tüdő
reguláció
szöveti
keringő
Megjelenés:Cells. - 10 : 7 (2021), p. 1-13. -
További szerzők:Enyedi Attila (1975-) (sebész) Fülöp Gábor Áron (1988-) (általános orvos) Oláh Attila (sebész) Mányiné Siket Ivetta (1962-) (laborasszisztens) Váradi Csongor (1984-) (sebész, mellkassebész szakorvos) Bottyán Klaudia Lódi Mária (1991-) Csongrádi Alexandra (1990-) (molekuláris biológus) Umar, Muhammad Azeem Jalil Fagyas Miklós (1984-) (orvos) Czuriga Dániel (1982-) (kardiológus) Édes István (1952-) (kardiológus) Pólos Miklós Merkely Béla (1965-) (orvos) Csanádi Zoltán (1960-) (kardiológus) Papp Zoltán (1965-) (kardiológus, élettanász) Szabó Gábor (orvos) Radovits Tamás Takács István (1963-) (sebész) Tóth Attila (1971-) (biológus)
Pályázati támogatás:GINOP-2.2.1-15-2017-00043
GINOP
ÚNKP-18-3-III-DE-209
Egyéb
Internet cím:Szerző által megadott URL
DOI
Intézményi repozitóriumban (DEA) tárolt változat
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2.

001-es BibID:BIBFORM078999
035-os BibID:(cikkazonosító)P568
Első szerző:Bánhegyi Viktor (kardiológus)
Cím:Old dogma, new aspects : role of angiotensin converting enzymes in the cardiovascular continuum / V. Bánhegyi, M. Fagyas, I. Mányiné Siket, A. Enyedi, K. Bottyán, I. Édes, Z. Papp, A. Tóth
Dátum:2018
ISSN:0008-6363
Megjegyzések:The renin angiotensin aldosterone system (RAAS) plays a pivotal role in the cardiovascular pathophysiology and represents a starting point of cardiovascular diseases. Textbooks agree that the angiotensin converting enzyme (ACE) is produced in human endothelia related tissues. The goal of my work is to investigate this fact and the endothelia related enzymes (ACE, ACE2) in contrast of their endogenous regulation and secretion processes in a clinical based study. Lung tissue- and blood samples were collected from patients with lung surgery at the Department of Thoracic Surgery, University of Debrecen (n=71). We performed fluorescent based ACE, ACE2 activity measurements and ELISA experiments. In addition, we determined the ACE genotype and recorded the medical history. To the investigation of the ACE secretion mechanism, primary Human Aortic Endothelial Cells (HAOEC) was used under cell cultured circumstances. To measure the proper activity of tissue bound ACE2 we performed experiments with the special fluorescent substrate Abz-SPY (3-nitro). We found a significantly elevated ACE activity in the circulation respectively genotype groups ID (9.645 ± 0.4223 U/ml, n=36, p=0.0043) and DD (11.20 ± 0.6203 U/ml, n=26, p=0.0005) when compared to II (6.966 ± 0.5166 U/ml, n=9) group. Surprisingly, we did not find any genotype difference among the ACE activities in the lung tissue (ID: 3.034 ± 0.1996 U/ml, n=36, p=0.6421; DD: 2.709 ± 0.2495 U/ml, n=26, p=0.7920) when compared to the II (2.833 ± 0.3179 U/ml, n=9) patient group. Furthermore, signs for endogenous ACE inhibition were found. The direct administration of ACE specific substrate Abz-FRK (Dnp) to our HAOEC cell culture resulted 299.6 U/ml ACE activity which was inhibited over 90% via 200 nM Captopril. On the contrary, we cannot reveal any ACE2 specific activity in our cell culture system. Experiments with fluorescent substrate Abz-SPY (3-nitro) did not reveal any ACE2 signal in circulation in contrary at tissue related milieu we were able to measure ACE2 activity with high specificity. Our data suggests that the genotype dependent source of ACE significantly contributes to the circulating ACE, which is different from the lung. The endogenous inhibition of ACE conveys the idea that ACE activity is endogenously regulated in vivo. HAOEC cell culture provides an optimal model system for investigation of the mechanism of ACE secretion. Abz-SPY (3-nitro) is a specific fluorescent substrate for tissue related ACE2 activity measurement which can help us to understand how the ACE2 shed into the circulation. All in all, these results could help us in the understanding of how a cardiovascular disease starts and evolves.
Tárgyszavak:Orvostudományok Klinikai orvostudományok idézhető absztrakt
Megjelenés:Cardiovascular Research. - 114 : Suppl1 (2018), p. S139. -
További szerzők:Fagyas Miklós (1984-) (orvos) Mányiné Siket Ivetta (1962-) (laborasszisztens) Enyedi Attila (1975-) (sebész) Bottyán Klaudia Édes István (1952-) (kardiológus) Papp Zoltán (1965-) (kardiológus, élettanász) Tóth Attila
Pályázati támogatás:GINOP-2.3.2-15-2016-00043
GINOP
OTKA 116940
OTKA
EFOP-3.6.2-16-2017-00006
EFOP
Internet cím:Szerző által megadott URL
DOI
Intézményi repozitóriumban (DEA) tárolt változat
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3.

001-es BibID:BIBFORM072384
Első szerző:Csongrádi Alexandra (molekuláris biológus)
Cím:Optimized angiotensin-converting enzyme activity assay for the accurate diagnosis of sarcoidosis / Alexandra Csongrádi, Attila Enyedi, István Takács, Tamás Végh , Ivetta S. Mányiné, Zsófia Pólik, István Tibor Altorjay, József Balla, György Balla, István Édes, János Kappelmayer, Attila Tóth, Zoltán Papp, Miklós Fagyas
Dátum:2018
Megjegyzések:Background:Serum angiotensin-converting enzyme (ACE) activity determination can aid the early diagnosis of sarcoidosis. We aimed to optimize a fluorescent kinetic assay for ACE activity by screening the confounding effects of endogenous ACE inhibitors and interfering factors. Genotype-dependent and genotype-independent reference values of ACE activity were established, and their diagnostic accuracies were validated in a clinical study.Methods:Internally quenched fluorescent substrate, Abz-FRK(Dnp)P-OH was used for ACE-activity measurements. A total of 201 healthy individuals and 59 presumably sarcoidotic patients were enrolled into this study. ACE activity and insertion/deletion (I/D) genotype of the ACE gene were determined.Results:Here we report that serum samples should be diluted at least 35-fold to eliminate the endogenous inhibitor effect of albumin. No significant interferences were detected: up to a triglyceride concentration of 16 mM, a hemoglobin concentration of 0.71 g/L and a bilirubin concentration of 150 ?M. Genotype-dependent reference intervals were considered as 3.76?11.25 U/L, 5.22?11.59 U/L, 7.19?14.84 U/L for II, ID and DD genotypes, respectively. I/D genotype-independent reference interval was established as 4.85?13.79 U/L. An ACE activity value was considered positive for sarcoidosis when it exceeded the upper limit of the reference interval. The optimized assay with genotype-dependent reference ranges resulted in 42.5% sensitivity, 100% specificity, 100% positive predictive value and 32.4% negative predictive value in the clinical study, whereas the genotype-independent reference range proved to have inferior diagnostic efficiency.Conclusions:An optimized fluorescent kinetic assay of serum ACE activity combined with ACE I/D genotype determination is an alternative to invasive biopsy for confirming the diagnosis of sarcoidosis in a significant percentage of patients.
Tárgyszavak:Orvostudományok Klinikai orvostudományok idegen nyelvű folyóiratközlemény külföldi lapban
ACE
angiotensin-converting enzyme
genotype
reference interval
sarcoidosis
Megjelenés:Clinical chemistry and laboratory medicine. - 56 : 7 (2018), p. 1117-1125. -
További szerzők:Enyedi Attila (1975-) (sebész) Takács István (1963-) (sebész) Végh Tamás (1975-) (aneszteziológus, intenzív terápiás szakorvos) Mányiné Siket Ivetta (1962-) (laborasszisztens) Pólik Zsófia Altorjay István (1991-) (orvos, kardiológus) Balla József (1959-) (belgyógyász, nephrológus) Balla György (1953-) (csecsemő és gyermekgyógyász, neonatológus) Édes István (1952-) (kardiológus) Kappelmayer János (1960-) (laboratóriumi szakorvos) Tóth Attila (1971-) (biológus) Papp Zoltán (1965-) (kardiológus, élettanász) Fagyas Miklós (1984-) (orvos)
Pályázati támogatás:PD 116212
NKFIH
K 116940
OTKA
ÚNKP-17-4-I-DE-40
ÚNKP
GINOP-2.3.2-15-2016-00043
GINOP
Internet cím:Szerző által megadott URL
DOI
Intézményi repozitóriumban (DEA) tárolt változat
Borító:

4.

001-es BibID:BIBFORM096668
035-os BibID:(WOS)000709656800002 (Scopus)85116969228
Első szerző:Fagyas Miklós (orvos)
Cím:Changes in the SARS-CoV-2 cellular receptor ACE2 levels in cardiovascular patients : a potential biomarker for the stratification of COVID-19 patients / Miklós Fagyas, Viktor Bánhegyi, Katalin Úri, Attila Enyedi, Erzsébet Lizanecz, Ivetta Mányiné Siket, Lilla Mártha, Gábor Áron Fülöp, Tamás Radovits, Miklós Pólos, Béla Merkely, Árpád Kovács, Zoltán Szilvássy, Zoltán Ungvári, István Édes, Zoltán Csanádi, Judit Boczán, István Takács, Gábor Szabó, József Balla, György Balla, Petar Seferovic, Zoltán Papp, Attila Tóth
Dátum:2021
ISSN:2509-2715 2509-2723
Tárgyszavak:Orvostudományok Elméleti orvostudományok idegen nyelvű folyóiratközlemény külföldi lapban
folyóiratcikk
SARS-CoV-2
ACE2
COVID-19
biomarker
cardiovascular
Megjelenés:GeroScience. - 43 : 5 (2021), p. 2289-2304. -
További szerzők:Bánhegyi Viktor (1991-) (kardiológus) Úri Katalin Enyedi Attila (1975-) (sebész) Lizanecz Erzsébet (1978-) (orvos) Mányiné Siket Ivetta (1962-) (laborasszisztens) Mártha Lilla Fülöp Gábor Áron (1988-) (általános orvos) Radovits Tamás Pólos Miklós Merkely Béla (1965-) (orvos) Kovács Árpád (1986-) (kardiológus) Szilvássy Zoltán (1957-) (belgyógyász, farmakológus, klinikai farmakológus) Ungvári Zoltán Édes István (1952-) (kardiológus) Csanádi Zoltán (1960-) (kardiológus) Boczán Judit (1972-) (neurológus) Takács István (1963-) (sebész) Szabó Gábor Balla József (1959-) (belgyógyász, nephrológus) Balla György (1953-) (csecsemő és gyermekgyógyász, neonatológus) Seferović, Petar M. Papp Zoltán (1965-) (kardiológus, élettanász) Tóth Attila (1971-) (biológus)
Pályázati támogatás:GINOP-2.3.2-15-2016-00043
GINOP
GINOP-2.3.2-15-2016-00050
EFOP-3.6.2-16-2017-00006
EFOP
NKFIH - K134939
Egyéb
NKFIH - FK128809
Egyéb
NKFIH - K116940
Egyéb
NKFIH - K132623
Egyéb
NVKP_16-1-2016-0017
Egyéb
2020-4.1.1.-TKP2020
Egyéb
TKP2020-NKA-04
Egyéb
Internet cím:Intézményi repozitóriumban (DEA) tárolt változat
DOI
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