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Zenoaga-Barbăroșie C, Berca L, Vassu-Dimov T, Toma M, Nica MI, Alexiu-Toma OA, Ciornei C, Albu A, Nica S, Nistor C, Nica R. The Predisposition for Type 2 Diabetes Mellitus and Metabolic Syndrome. Balkan J Med Genet 2023; 26:21-26. [PMID: 37576792 PMCID: PMC10413885 DOI: 10.2478/bjmg-2023-0003] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 08/15/2023] Open
Abstract
Type 2 diabetes mellitus (T2DM) and metabolic syndrome (MetS) are diseases caused by the interaction of genetic and non-genetic factors. Therefore, the aim of our study was to investigate the association between six common genetic polymorphisms and T2DM and MetS in males. A total of 120 T2DM, 75 MetS, and 120 healthy controls (HC) were included in the study. ACE ID, eNOS 4a/b, ATR1 A1166C, OXTR (A>G), SOD1 +35A/C, CAT-21A/T gene polymorphisms were genotyped by PCR or PCR-RFLP techniques. T2DM was diagnosed at an earlier age compared to MetS (54 vs 55 years old, p=0.0003) and the difference was greater in carriers of the OXTR G allele (54 vs 56 years old, p=0.0002) or both OXTR G and eNOS b alleles (54 vs 56, p=0.00016). The SOD1 AA genotype (O.R.=0.11, p=0.0006) and the presence of both ACE I and OXTR1 A (O.R.=0.39, p=0.0005) alleles revealed to be protective for T2DM. SOD1 AA and AC genotypes were protective factors for triglyceride (p=0.0002 and p=0.0005, respectively) and HDL cholesterol (p=0.0002 and p=0.0004, respectively) levels in T2DM patients. ACE DD was identified more frequently in hypertensive T2DM patients (O.R.=3.77, p=0.0005) and in those who reported drinking alcohol (p=0.0001) comparing to HC and T2DM patients who did not drink alcohol, respectively. We observed that T2DM patients who reported drinking alcohol had an increased frequency of ACE DD and eNOS bb (p<0.0001), or ACE DD and OXTR G (p<0.0001) compared to non-drinkers. No gene polymorphisms were associated with MetS.
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Affiliation(s)
| | - L Berca
- Molecular Biology Department, National Research and Development Institute for Food Bioresources – IBA Bucharest, Bucharest, Romania
| | - T Vassu-Dimov
- Department of Genetics, University of Bucharest, Bucharest, Romania
| | - M Toma
- Emergency Department, Central Military Emergency Hospital Dr. Carol Davila, Bucharest, Romania
| | - MI Nica
- University of Medicine and Pharmacy Carol Davila, Bucharest, Romania
| | - OA Alexiu-Toma
- Department of Genetics, University of Bucharest, Bucharest, Romania
| | - C Ciornei
- Preclinical Department, University of Medicine and Pharmacy Carol Davila, Bucharest, Romania
- Emergency Department, Bucharest Emergency University Hospital, Bucharest, Romania
| | - A Albu
- Emergency Department, Bucharest Emergency University Hospital, Bucharest, Romania
| | - S Nica
- Emergency Department, Bucharest Emergency University Hospital, Bucharest, Romania
- Clinic Department 4, University of Medicine and Pharmacy Carol Davila, Bucharest, Romania
| | - C Nistor
- Preclinical Department, University of Medicine and Pharmacy Carol Davila, Bucharest, Romania
- Thoracic Surgery, Central Military Emergency Hospital Dr. Carol Davila, Bucharest, Romania
| | - R Nica
- Surgery 2, Central Military Emergency Hospital Dr. Carol Davila, Bucharest, Romania
- Special Disciplines, University of Medicine and Pharmacy Carol Davila, Bucharest, Romania
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Ericson Lindquist K, Ciornei C, Westbom-Fremer S, Gudinaviciene I, Ehinger A, Mylona N, Urdar R, Lianou M, Svensson F, Seidal T, Haglund F, Dobra K, Béndek M, Bardóczi E, Szablewska A, Witkowski M, Ramnefjell M, De Las Casas LE, Gulyas M, Hegedus A, Micke P, Brunnström H. Difficulties in diagnostics of lung tumours in biopsies: an interpathologist concordance study evaluating the international diagnostic guidelines. J Clin Pathol 2021; 75:302-309. [PMID: 33547095 PMCID: PMC9046746 DOI: 10.1136/jclinpath-2020-207257] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/14/2020] [Revised: 12/29/2020] [Accepted: 01/20/2021] [Indexed: 12/19/2022]
Abstract
AIMS Accurate and reliable diagnosis is essential for lung cancer treatment. The study aim was to investigate interpathologist diagnostic concordance for pulmonary tumours according to WHO diagnostic criteria. METHODS Fifty-two unselected lung and bronchial biopsies were diagnosed by a thoracic pathologist based on a broad spectrum of immunohistochemical (IHC) stainings, molecular data and clinical/radiological information. Slides stained with H&E, thyroid transcription factor-1 (TTF-1) clone SPT24 and p40 were scanned and provided digitally to 20 pathologists unaware of reference diagnoses. The pathologists independently diagnosed the cases and stated if further diagnostic markers were deemed necessary. RESULTS In 31 (60%) of the cases, ≥80% of the pathologists agreed with each other and with the reference diagnosis. Lower agreement was seen in non-small cell neuroendocrine tumours and in squamous cell carcinoma with diffuse TTF-1 positivity. Agreement with the reference diagnosis ranged from 26 to 45 (50%-87%) for the individual pathologists. The pathologists requested additional IHC staining in 15-44 (29%-85%) of the 52 cases. In nearly half (17 of 36) of the malignant cases, one or more pathologist advocated for a different final diagnosis than the reference without need of additional IHC markers, potentially leading to different clinical treatment. CONCLUSIONS Interpathologist diagnostic agreement is moderate for small unselected bronchial and lung biopsies based on a minimal panel of markers. Neuroendocrine morphology is sometimes missed and TTF-1 clone SPT24 should be interpreted with caution. Our results suggest an intensified education need for thoracic pathologists and a more generous use of diagnostic IHC markers.
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Affiliation(s)
- Kajsa Ericson Lindquist
- Department of Clinical Sciences Lund, Division of Pathology, Lund University, Lund, Sweden.,Department of Genetics and Pathology, Laboratory Medicine Region Skåne, Lund, Sweden
| | - Cristina Ciornei
- Department of Genetics and Pathology, Laboratory Medicine Region Skåne, Lund, Sweden
| | - Sofia Westbom-Fremer
- Department of Genetics and Pathology, Laboratory Medicine Region Skåne, Lund, Sweden.,Department of Clinical Sciences Lund, Division of Oncology, Lund University, Lund, Sweden
| | - Inga Gudinaviciene
- Department of Genetics and Pathology, Laboratory Medicine Region Skåne, Lund, Sweden
| | - Anna Ehinger
- Department of Genetics and Pathology, Laboratory Medicine Region Skåne, Lund, Sweden.,Department of Clinical Sciences Lund, Division of Oncology, Lund University, Lund, Sweden
| | - Nektaria Mylona
- Department of Genetics and Pathology, Laboratory Medicine Region Skåne, Lund, Sweden
| | - Rodrigo Urdar
- Department of Genetics and Pathology, Laboratory Medicine Region Skåne, Lund, Sweden
| | - Maria Lianou
- Department of Genetics and Pathology, Laboratory Medicine Region Skåne, Lund, Sweden
| | - Franziska Svensson
- Department of Pathology and Cytology, Halland Hospital Halmstad, Halmstad, Sweden
| | - Tomas Seidal
- Department of Pathology and Cytology, Halland Hospital Halmstad, Halmstad, Sweden
| | - Felix Haglund
- Department of Clinical Pathology and Cytology, Karolinska University Hospital Solna, Stockholm, Sweden.,Department of Oncology-Pathology, Karolinska Institute, Stockholm, Sweden
| | - Katalin Dobra
- Department of Pathology, Division of Laboratory Medicine, Karolinska Institute, Stockholm, Sweden.,Department of Clinical Pathology and Cytology, Karolinska University Hospital Huddinge, Stockholm, Sweden
| | - Mátyás Béndek
- Department of Clinical Pathology and Cytology, Karolinska University Hospital Huddinge, Stockholm, Sweden
| | - Erika Bardóczi
- Department of Clinical Pathology and Cytology, Karolinska University Hospital Huddinge, Stockholm, Sweden
| | - Aneta Szablewska
- Department of Pathology and Cytology, Blekinge Hospital Karlskrona, Karlskrona, Sweden
| | - Marek Witkowski
- Department of Pathology, Kalmar County Hospital, Kalmar, Sweden
| | - Maria Ramnefjell
- Department of Pathology, Haukeland University Hospital, Bergen, Norway
| | - Luis E De Las Casas
- Department of Pathology, The University of Texas Southwestern Medical Center, Dallas, Texas, USA
| | - Miklos Gulyas
- Department of Immunology, Genetics and Pathology, Uppsala University and Uppsala University Hospital, Uppsala, Sweden
| | - Agnes Hegedus
- Department of Immunology, Genetics and Pathology, Uppsala University and Uppsala University Hospital, Uppsala, Sweden
| | - Patrick Micke
- Department of Immunology, Genetics and Pathology, Uppsala University and Uppsala University Hospital, Uppsala, Sweden
| | - Hans Brunnström
- Department of Clinical Sciences Lund, Division of Pathology, Lund University, Lund, Sweden .,Department of Genetics and Pathology, Laboratory Medicine Region Skåne, Lund, Sweden
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Hartnell D, Gillespie-Jones K, Ciornei C, Hollings A, Thomas A, Harrild E, Reinhardt J, Paterson DJ, Alwis D, Rajan R, Hackett MJ. Characterization of Ionic and Lipid Gradients within Corpus Callosum White Matter after Diffuse Traumatic Brain Injury in the Rat. ACS Chem Neurosci 2020; 11:248-257. [PMID: 31850738 DOI: 10.1021/acschemneuro.9b00257] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/13/2022] Open
Abstract
There is increased recognition of the effects of diffuse traumatic brain injury (dTBI), which can initiate yet unknown biochemical cascades, resulting in delayed secondary brain degeneration and long-term neurological sequela. There is limited availability of therapies that minimize the effect of secondary brain damage on the quality of life of people who have suffered TBI, many of which were otherwise healthy adults. Understanding the cascade of biochemical events initiated in specific brain regions in the acute phase of dTBI and how this spreads into adjacent brain structures may provide the necessary insight into drive development of improved therapies. In this study, we have used direct biochemical imaging techniques (Fourier transform infrared spectroscopic imaging) and elemental mapping (X-ray fluorescence microscopy) to characterize biochemical and elemental alterations that occur in corpus callosum white matter in the acute phase of dTBI. The results provide direct visualization of differential biochemical and ionic changes that occur in the highly vulnerable medial corpus callosum white matter relative to the less vulnerable lateral regions of the corpus callosum. Specifically, the results suggest that altered ionic gradients manifest within mechanically damaged medial corpus callosum, potentially spreading to and inducing lipid alterations to white matter structures in lateral brain regions.
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Affiliation(s)
- David Hartnell
- Curtin Institute for Functional Molecules and Interfaces, School of Molecular and Life Sciences, Curtin University, Perth, Western Australia, Australia 6845
- Curtin Health Innovation Research Institute, Curtin University, Perth, AUS 6102
| | - Kate Gillespie-Jones
- Neuroscience Program, Biomedicine Discovery Institute and Department of Physiology, Monash University, Clayton, Victoria, Australia 3168
| | - Cristina Ciornei
- Neuroscience Program, Biomedicine Discovery Institute and Department of Physiology, Monash University, Clayton, Victoria, Australia 3168
| | - Ashley Hollings
- Curtin Institute for Functional Molecules and Interfaces, School of Molecular and Life Sciences, Curtin University, Perth, Western Australia, Australia 6845
- Curtin Health Innovation Research Institute, Curtin University, Perth, AUS 6102
| | - Alexander Thomas
- Curtin Institute for Functional Molecules and Interfaces, School of Molecular and Life Sciences, Curtin University, Perth, Western Australia, Australia 6845
- Curtin Health Innovation Research Institute, Curtin University, Perth, AUS 6102
| | - Elizabeth Harrild
- Curtin Institute for Functional Molecules and Interfaces, School of Molecular and Life Sciences, Curtin University, Perth, Western Australia, Australia 6845
- Curtin Health Innovation Research Institute, Curtin University, Perth, AUS 6102
| | - Juliane Reinhardt
- Australian Nuclear Science and Technology Organisation, 800 Blackburn Road, Clayton, Victoria, Australia 3168
- Department of Chemistry and Physics, ARC Centre of Excellence for Advanced Molecular Imaging, Institute for Molecular Sciences, La Trobe University, Melbourne, Victoria, Australia 3086
| | - David J. Paterson
- Australian Nuclear Science and Technology Organisation, 800 Blackburn Road, Clayton, Victoria, Australia 3168
| | - Dasuni Alwis
- Neuroscience Program, Biomedicine Discovery Institute and Department of Physiology, Monash University, Clayton, Victoria, Australia 3168
| | - Ramesh Rajan
- Neuroscience Program, Biomedicine Discovery Institute and Department of Physiology, Monash University, Clayton, Victoria, Australia 3168
| | - Mark J. Hackett
- Curtin Institute for Functional Molecules and Interfaces, School of Molecular and Life Sciences, Curtin University, Perth, Western Australia, Australia 6845
- Curtin Health Innovation Research Institute, Curtin University, Perth, AUS 6102
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Papacocea T, Papacocea A, Dănăilă L, Papacocea R, Ion D, Bădărău A, Ciornei C, Buraga M. [Posterior fossa epidural hematoma]. Chirurgia (Bucur) 2011; 106:309-313. [PMID: 21853737] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/31/2023]
Abstract
Posterior fossa epidural hematomas (PFEH) are rare entities, with dark prognosis due to their specific localization. Because the simptomatology is usually nonspecific or poor, the CT should be performed as soon as posible. MRI does not offer suplimentary benefits/informations in the great majority of PFEH. Depending on the bleeding source, the rate of clinical signs appearance and the gravity of evolution varies. Early diagnosis and surgical treatment should be performed in hematomas associated with mass effect or suplimentary injuries. In all cases, in PFEH patients a careful monitoring is necessary due to unpredictable evolution and rapid clinical worsening, requiring surgical intervention.
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MESH Headings
- Cranial Fossa, Posterior/diagnostic imaging
- Cranial Fossa, Posterior/surgery
- Early Diagnosis
- Hematoma, Epidural, Cranial/diagnosis
- Hematoma, Epidural, Cranial/diagnostic imaging
- Hematoma, Epidural, Cranial/etiology
- Hematoma, Epidural, Cranial/surgery
- Humans
- Prognosis
- Radiography
- Severity of Illness Index
- Treatment Outcome
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Affiliation(s)
- T Papacocea
- Spitalul de Urgenţă "Sf. Pantelimon" Bucureşti, România
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Papacocea T, Roşca T, Bădărău A, Papacocea R, Ciornei C, Ion AD. [Cystic meningioma]. Chirurgia (Bucur) 2009; 104:99-103. [PMID: 19388576] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/27/2023]
Abstract
Cystic meningioma represent a rare entity, accounting 1.7 to 11.7% from the total intracranial meningiomas. We present a 41 years old patients' case who suffered of an progressive bilateral visual acuity decreasing, more pronounced on the right side. The clinical examination revealed a severe reduction of vision, represented by difficulties in light perception on the right side. The MRI and CT scan showed an expansive, multi-lobular, fronto temporal process on the right side (87/58/63 mm), presenting a liquid signal, different from intra-cerebro-spinal fluid, without contrast enhancement at the level of the septae. The patient is operated on, the total resection of an polycystic and spongious tumour being accomplished together with the aspiration of the liquid from the giant peritumoral cyst. The postoperative evolution was favourable. The anatomo-pathological result: meningothelial meningioma. Several classifications, the etiology of intra and peritumoral cysts formation are discussed together with the therapeutical possibilities.
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Affiliation(s)
- T Papacocea
- Clinica de Neurochirurgie, Spitalul Clinic de Urgenţă Sf. Pantelimon, Bucureşti.
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Ciornei C, Beloin C, Novikov A, Caroff M, Fitting C, Ghigo JM, Cavaillon JM, Adib-Conquy M. Biofilm forming P. aeruginosa induces an enhanced inflammatory response in human monocytes. Crit Care 2007. [PMCID: PMC3300666 DOI: 10.1186/cc6005] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022] Open
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