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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
Internet cím:Szerző által megadott URL
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2.

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
Borító:

3.

001-es BibID:BIBFORM090205
035-os BibID:(WOS)000608951800001 (Scopus)85099552143
Első szerző:Fagyas Miklós (orvos)
Cím:Level of the SARS-CoV-2 receptor ACE2 activity is highly elevated in old-aged patients with aortic stenosis : implications for ACE2 as a biomarker for the severity of COVID-19 / Fagyas Miklós, Kertész Attila, Mányiné Siket Ivetta, Bánhegyi Viktor, Kracskó Bertalan, Szegedi Andrea, Szokol Miklós, Vajda Gusztáv, Rácz Ildikó, Gulyás Hajnalka, Szkibák Noémi, Rácz Vivien, Csanádi Zoltán, Papp Zoltán, Tóth Attila, Sipka Sándor
Dátum:2021
ISSN:2509-2715 2509-2723
Megjegyzések:Coronavirus disease 2019 (COVID-19) has a high mortality in elderly patients with preexisting cardiovascular diseases. The cellular receptor of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) is the angiotensin converting enzyme 2 (ACE2), thereby implicating a link between cardiovascular diseases and SARS-CoV-2 susceptibility. Aortic stenosis (AS) represents a chronic inflammatory state with severe cardiovascular complications in the elderly, a prime condition for COVID-19 mortality. The circulating ACE2 levels were measured in 111 patients with severe AS and compared to patients with hypertension and healthy individuals. About 4-times higher circulating ACE2 activity was found in patients with severe AS than in hypertensives or healthy individuals (88.3?61.6., n=111, 20.6?13.4, n=540 and 16.1?7.4 mU/L, n=46, respectively). Patients with severe AS were older than patients with hypertension (80?6 years vs. 60?15 years, P<0.05). Serum ACE2 activity correlated negatively with the left ventricular ejection fraction, aortic root area, TAPSE and positively with the right ventricular systolic pressure, cardiac diameters in patients with AS. In contrast, circulating ACE2 activity was independent of the blood pressure, peak flow velocity at the aortic root, kidney function (GFR) and inflammatory state (CRP). We found no effect of RAAS inhibitory drugs on the serum ACE2 activity in this group of patients. Our results illustrate circulating ACE2 as a potential interface between chronic inflammation, cardiovascular disease and COVID-19 susceptibility. Elderly patients with AS have markedly elevated ACE2 levels together with altered left and right ventricular functions, which may pose higher risks during COVID-19. Our clinical data do not support a role for RAAS inhibitors in regulating circulating ACE2 levels.
taa, km
Tárgyszavak:Orvostudományok Elméleti orvostudományok idegen nyelvű folyóiratközlemény külföldi lapban
folyóiratcikk
ACE2
TAVI
COVID-19
aortic stenosis
age
Megjelenés:GeroScience. - 43 : 1 (2021), p. 19-29. -
További szerzők:Kertész Attila Béla (1973-) (kardiológus) Mányiné Siket Ivetta (1962-) (laborasszisztens) Bánhegyi Viktor (1991-) (kardiológus) Kracskó Bertalan (1986-) (orvos) Szegedi Andrea (1984-) (kardiológus) Szokol Miklós (1971-) (kardiológus) Vajda Gusztáv (1956-) (kardiológus) Rácz Ildikó (1973-) (kardiológus) Gulyás Hajnalka Szkibák Noémi Rácz Vivien Csanádi Zoltán (1960-) (kardiológus) Papp Zoltán (1965-) (kardiológus, élettanász) Tóth Attila (1971-) (biológus) Sipka Sándor ifj. (1980-) (orvos)
Pályázati támogatás:GINOP-2.3.2-15-2016-00043
GINOP
EFOP-3.6.2-16-2017-00006
EFOP
GINOP-2.3.2-15-2016-00050
GINOP
OTKA-116940
OTKA
NKFIH-K132623
Egyéb
NKFIH-FK128809
Egyéb
ED_18-1-2019-0028
Egyéb
Internet cím:DOI
Intézményi repozitóriumban (DEA) tárolt változat
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4.

001-es BibID:BIBFORM121796
035-os BibID:(Scopus)85191201325 (WoS)001207637100001
Első szerző:Kovács Árpád (kardiológus)
Cím:Sex-specific cardiovascular remodeling leads to a divergent sex-dependent development of heart failure in aged hypertensive rats / Árpád Kovács, Saltanat Zhazykbayeva, Melissa Herwig, Gábor Á. Fülöp, Tamás Csípő, Nikolett Oláh, Roua Hassoun, Heidi Budde, Hersh Osman, Mustafa Kaçmaz, Kornelia Jaquet, Dániel Priksz, Béla Juhász, Ibrahim Akin, Zoltán Papp, Wolfgang E. Schmidt, Andreas Mügge, Ibrahim El?Battrawy, Attila Tóth, Nazha Hamdani
Dátum:2024
ISSN:2509-2715 2509-2723
Megjegyzések:The prevalence of heart failure with preserved ejection fraction (HFpEF) is continuously rising and predominantly affects older women often hypertensive and/or obese or diabetic. Indeed, there is evidence on sex differences in the development of HF. Hence, we studied cardiovascular performance dependent on sex and age as well as pathomechanisms on a cellular and molecular level. We studied 15-week- and 1-year-old female and male hypertensive transgenic rats carrying the mouse Ren-2 renin gene (TG) and compared them to wild-type (WT) controls at the same age. We tracked blood pressure and cardiac function via echocardiography. After sacrificing the 1-year survivors we studied vascular smooth muscle and endothelial function. Isolated single skinned cardiomyocytes were used to determine passive stiffness and Ca2+-dependent force. In addition, Western blots were applied to analyse the phosphorylation status of sarcomeric regulatory proteins, titin and of protein kinases AMPK, PKG, CaMKII as well as their expression. Protein kinase activity assays were used to measure activities of CaMKII, PKG and angiotensin-converting enzyme (ACE). TG male rats showed significantly higher mortality at 1 year than females or WT male rats. Left ventricular (LV) ejection fraction was specifically reduced in male, but not in female TG rats, while LV diastolic dysfunction was evident in both TG sexes, but LV hypertrophy, increased LV ACE activity, and reduced AMPK activity as evident from AMPK hypophosphorylation were specific to male rats. Sex differences were also observed in vascular and cardiomyocyte function showing different response to acetylcholine and Ca2+-sensitivity of force production, respectively cardiomyocyte functional changes were associated with altered phosphorylation states of cardiac myosin binding protein C and cardiac troponin I phosphorylation in TG males only. Cardiomyocyte passive stiffness was increased in TG animals. On a molecular level titin phosphorylation pattern was altered, though alterations were sex-specific. Thus, also the reduction of PKG expression and activity was more pronounced in TG females. However, cardiomyocyte passive stiffness was restored by PKG and CaMKII treatments in both TG sexes. Here we demonstrated divergent sex-specific cardiovascular adaptation to the over-activation of the renin-angiotensin system in the rat. Higher mortality of male TG rats in contrast to female TG rats was observed as well as reduced LV systolic function, whereas females mainly developed HFpEF. Though both sexes developed increased myocardial stiffness to which an impaired titin function contributes to a sex-specific molecular mechanism. The functional derangements of titin are due to a sex-specific divergent regulation of PKG and CaMKII systems.
Tárgyszavak:Orvostudományok Elméleti orvostudományok idegen nyelvű folyóiratközlemény külföldi lapban
folyóiratcikk
Heart failure with preserved ejection fraction
Sex
PKG
CamKII
Diastolic dysfunction
Megjelenés:GeroScience. - 46 : 5 (2024), p. 4543-4561. -
További szerzők:Zhazykbayeva, Saltanat Herwig, Melissa Fülöp Gábor Áron (1988-) (általános orvos) Csípő Tamás (1990-) Oláh Nikolett Hassoun, Roua Budde, Heidi Osman, Hersh Kaçmaz, Mustafa Jaquet, Kornelia Priksz Dániel (1989-) (farmakológus) Juhász Béla (1978-) (kísérletes farmakológus) Akin, Ibrahim Papp Zoltán (1965-) (kardiológus, élettanász) Schmidt, Wolfgang Mügge, Andreas El-Battrawy, Ibrahim Tóth Attila (1971-) (biológus) Hamdani, Nazha
Internet cím:Szerző által megadott URL
DOI
Intézményi repozitóriumban (DEA) tárolt változat
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5.

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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