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001-es BibID:	BIBFORM103836
035-os BibID:	(wos)000854410800001 (Scopus)85138156081
Első szerző:	Fagyas Miklós (orvos)
Cím:	The majority of severe COVID-19 patients develop anti-cardiac autoantibodies / Fagyas Miklós, Nagy Béla, Ráduly Arnold Péter, Mányiné Siket Ivetta, Mártha Lilla, Erdősi Gábor, Sipka Sándor, Enyedi Enikő, Szabó Attila Ádám, Pólik Zsófia, Kappelmayer János, Papp Zoltán, Borbély Attila, Szabó Tamás, Balla József, Balla György, Bai Péter, Bácsi Attila, Tóth Attila
Dátum:	2022
ISSN:	2509-2715 2509-2723
Megjegyzések:	Severe cases of COVID-19 are characterized by an inflammatory burst, which is accompanied by multiorgan failure. The elderly population has higher risk for severe or fatal outcome for COVID-19. Inflammatory mediators facilitate the immune system to combat viral infection by producing antibodies against viral antigens. Several studies reported that the pro-inflammatory state and tissue damage in COVID-19 also promotes autoimmunity by autoantibody generation. We hypothesized that a subset of these autoantibodies targets cardiac antigens. Here we aimed to detect anti-cardiac autoantibodies in severe COVID-19 patients during hospitalization. For this purpose, 104 COVID-19 patients were recruited, while 40 heart failure patients with dilated cardiomyopathy and 20 patients with severe aortic stenosis served as controls. Patients were tested for anti-cardiac autoantibodies, using human heart homogenate as a bait. Follow-up samples were available in 29 COVID-19 patients. Anti-cardiac autoantibodies were detected in 68% (71 out of 104) of severe COVID-19 patients. Overall, 39% of COVID-19 patients had anti-cardiac IgG autoantibodies, while 51% had anti-cardiac autoantibodies of IgM isotype. Both IgG and IgM anti-cardiac autoantibodies were observed in 22% of cases, and multiple cardiac antigens were targeted in 38% of COVID-19 patients. These anti-cardiac autoantibodies targeted a diverse set of myocardial proteins, without apparent selectivity. As controls, heart failure patients (with dilated cardiomyopathy) had similar occurrence of IgG (45%, p = 0.57) autoantibodies, while significantly lower occurrence of IgM autoantibodies (30%, p = 0.03). Patients with advanced aortic stenosis had significantly lower number of both IgG (11%, p = 0.03) and IgM (10%, p < 0.01) type anti-cardiac autoantibodies than that in COVID-19 patients. Furthermore, we detected changes in the anti-cardiac autoantibody profile in 7 COVID-19 patients during hospital treatment. Surprisingly, the presence of these anti-cardiac autoantibodies did not affect the clinical outcome and the prevalence of the autoantibodies did not differ between the elderly (over 65 years) and the patients younger than 65 years of age. Our results demonstrate that the majority of hospitalized COVID-19 patients produce novel anti-cardiac IgM autoantibodies. COVID-19 also reactivates resident IgG autoantibodies. These autoantibodies may promote autoimmune reactions, which can complicate post-COVID recuperation, contributing to post-acute sequelae of COVID-19 (long COVID).
Tárgyszavak:	Orvostudományok Elméleti orvostudományok idegen nyelvű folyóiratközlemény külföldi lapban folyóiratcikk COVID-19 Anti-cardiac autoantibodies SARS-CoV-2
Megjelenés:	GeroScience. - 44 (2022), p. 2347-2360. -
További szerzők:	Nagy Béla Jr. (1980-) (labordiagnosztikai szakorvos) Ráduly Arnold Péter (1993-) Mányiné Siket Ivetta (1962-) (laborasszisztens) Mártha Lilla Erdősi Gábor Sipka Sándor ifj. (1980-) (orvos) Enyedi Enikő Edit (1995-) (orvosi laboratóriumi analitikus) Szabó Attila Ádám (1996-) (orvos) Pólik Zsófia Kappelmayer János (1960-) (laboratóriumi szakorvos) Papp Zoltán (1965-) (kardiológus, élettanász) Borbély Attila (1978-) (kardiológus) Szabó Tamás (1968-) (gyermekgyógyász) Balla József (1959-) (belgyógyász, nephrológus) Balla György (1953-) (csecsemő és gyermekgyógyász, neonatológus) Bai Péter (1976-) (biokémikus) Bácsi Attila (1967-) (immunológus) Tóth Attila (1971-) (biológus)
Pályázati támogatás:	GINOP-2.3.2-15-2016-00050 GINOP
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001-es BibID:	BIBFORM088270
035-os BibID:	(cikkazonosító)470 (WoS)000600100200006 (scopus)85097316669
Első szerző:	Lódi Mária
Cím:	Prophylactic, single-drug cardioprotection in a comparative, experimental study of doxorubicin-induced cardiomyopathy / Mária Lódi, Viktor Bánhegyi, Beáta Bódi, Alexandra Gyöngyösi, Árpád Kovács, Anita Árokszállási, Nazha Hamdani, Miklós Fagyas, István Édes, Zoltán Csanádi, István Czuriga, Zoltán Kisvárday, István Lekli, Péter Bai, Attila Tóth, Zoltán Papp, Dániel Czuriga
Dátum:	2020
ISSN:	1479-5876
Megjegyzések:	BackgroundCardiomyopathy is a common side effect of doxorubicin (DOX) chemotherapy. Despite intensive research efforts in the field, there is still no evidence available for routine cardioprotective prophylaxis to prevent cardiotoxicity in the majority of oncological patients at low risk of cardiovascular disease. We have recently demonstrated the advantages of a prophylactic, combined heart failure therapy in an experimental model of DOX-induced cardiomyopathy. In the current work, we focus on individually applied prophylactic medications studied in the same translational environment to clarify their distinct roles in the prevention of DOX cardiotoxicity.MethodsTwelve-week-old male Wistar rats were divided into 5 subgroups. Prophylactic beta -blocker (BB, bisoprolol), angiotensin-converting enzyme inhibitor (ACEI, perindopril) or aldosterone antagonist (AA, eplerenone) treatments were applied 1 week before DOX administration, then 6 cycles of intravenous DOX chemotherapy were administered. Rats receiving only intravenous DOX or saline served as positive and negative controls. Blood pressure, heart rate, body weight, and echocardiographic parameters were monitored in vivo. Two months after the last DOX administration, the animals were sacrificed, and their heart and serum samples were frozen in liquid nitrogen for histological, mechanical, and biochemical measurements.ResultsAll prophylactic treatments increased the survival of DOX-receiving animals. The lowest mortality rates were seen in the BB and ACEI groups. The left ventricular ejection fraction was only preserved in the BB group. The DOX-induced increase in the isovolumetric relaxation time could not be prevented by any prophylactic treatment. A decreased number of apoptotic nuclei and a preserved myocardial ultrastructure were found in all groups receiving prophylactic cardioprotection, while the DOX-induced fibrotic remodelling and the increase in caspase-3 levels could only be substantially prevented by the BB and ACEI treatments.ConclusionPrimary prophylaxis with cardioprotective agents like BB or ACEI has a key role in the prevention of DOX-induced cardiotoxicity in healthy rats. Future human studies are necessary to implement this finding in the clinical management of oncological patients free of cardiovascular risk factors.
Tárgyszavak:	Orvostudományok Klinikai orvostudományok idegen nyelvű folyóiratközlemény külföldi lapban folyóiratcikk doxorubicin anthracycline cardiotoxicity animal model heart failure
Megjelenés:	Journal of Translational Medicine. - 18 : 1 (2020), p. 470. -
További szerzők:	Bánhegyi Viktor (1991-) (kardiológus) Bódi Beáta (1989-) (molekuláris biológus) Gyöngyösi Alexandra (1990-) (táplálkozástudományi szakember) Kovács Árpád (1986-) (kardiológus) Árokszállási Anita (1982-) (orvos) Hamdani, Nazha Fagyas Miklós (1984-) (orvos) Édes István (1952-) (kardiológus) Csanádi Zoltán (1960-) (kardiológus) Czuriga István (1948-2018) (kardiológus) Kisvárday Zoltán (1957-) (biológus, neurobiológus) Lekli István (1981-) (gyógyszerész) Bai Péter (1976-) (biokémikus) Tóth Attila (1971-) (biológus) Papp Zoltán (1965-) (kardiológus, élettanász) Czuriga Dániel (1982-) (kardiológus)
Pályázati támogatás:	GINOP-2.3.2-15-2016-00043 GINOP EFOP-3.6.2-16-2017-00006 EFOP
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001-es BibID:	BIBFORM114386
035-os BibID:	(WoS)001060165600001 (Scopus)85169334322
Első szerző:	Tóth Emese (biotechnológus)
Cím:	Distinct subsets of anti-pulmonary autoantibodies correlate with disease severity and survival in severe COVID-19 patients / Emese Tóth, Miklós Fagyas, Béla Nagy Jr., Ivetta Mányiné Siket, Blanka Szőke, Lilla Mártha, Mohamed Mahdi, Gábor Erdősi, Zsófia Pólik, János Kappelmayer, Zoltán Papp, Attila Borbély, Tamás Szabó, József Balla, György Balla, Attila Bácsi, Zoltán Szekanecz, Péter Bai, Attila Tóth
Dátum:	2024
ISSN:	2509-2715 2509-2723
Megjegyzések:	Autoantibodies targeting the lung tissue were identified in severe COVID-19 patients in this retrospective study. Fifty-three percent of 104 patients developed anti-pulmonary antibodies, the majority of which were IgM class, suggesting that they developed upon infection with SARS-CoV-2. Anti-pulmonary antibodies correlated with worse pulmonary function and a higher risk of multiorgan failure that was further aggravated if 3 or more autoantibody clones were simultaneously present (multi-producers). Multi-producer patients were older than the patients with less or no autoantibodies. One of the identified autoantibodies (targeting a pulmonary protein of ~ 50 kDa) associated with worse clinical outcomes, including mortality. In summary, severe COVID-19 is associated with the development of lung-specific autoantibodies, which may worsen the clinical outcome. Tissue proteome-wide tests, such as the ones applied here, can be used to detect autoimmunity in the post-COVID state to identify the cause of symptoms and to reveal a new target for treatment.
Tárgyszavak:	Orvostudományok Klinikai orvostudományok idegen nyelvű folyóiratközlemény külföldi lapban folyóiratcikk Autoantibody Clinical outcome IgG IgM Lung Mortality Multi-producer Post-COVID SARS-CoV-2 Severe COVID-19
Megjelenés:	GeroScience. - 46 : 2 (2024), p. 1561-1574. -
További szerzők:	Fagyas Miklós (1984-) (orvos) Nagy Béla Jr. (1980-) (labordiagnosztikai szakorvos) Mányiné Siket Ivetta (1962-) (laborasszisztens) Szőke Blanka Mártha Lilla Mahdi, Mohamed (1979-) (orvos, tudományos segédmunkatárs) Erdősi Gábor Pólik Zsófia Kappelmayer János (1960-) (laboratóriumi szakorvos) Papp Zoltán (1965-) (kardiológus, élettanász) Borbély Attila (1978-) (kardiológus) Szabó Tamás Balla József (1959-) (belgyógyász, nephrológus) Balla György (1953-) (csecsemő és gyermekgyógyász, neonatológus) Bácsi Attila (1967-) (immunológus) Szekanecz Zoltán (1964-) (reumatológus, belgyógyász, immunológus) Bai Péter (1976-) (biokémikus) Tóth Attila (1971-) (biológus)
Pályázati támogatás:	ÚNKP-23-5-DE-482 Egyéb
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