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  1. Article ; Online: Decrement in Cellular Iron and Reactive Oxygen Species, and Improvement of Insulin Secretion in a Pancreatic Cell Line Using Green Tea Extract.

    Koonyosying, Pimpisid / Uthaipibull, Chairat / Fucharoen, Suthat / Koumoutsea, Evangelia Vlachodimitropoulou / Porter, John B / Srichairatanakool, Somdet

    Pancreas

    2019  Volume 48, Issue 5, Page(s) 636–643

    Abstract: Objectives: We have investigated the efficacy of mono- and combined therapy with green tea extract (GTE) in mobilizing redox iron, scavenging reactive oxygen species (ROS), and improving insulin production in iron-loaded pancreatic cells.: Methods: ... ...

    Abstract Objectives: We have investigated the efficacy of mono- and combined therapy with green tea extract (GTE) in mobilizing redox iron, scavenging reactive oxygen species (ROS), and improving insulin production in iron-loaded pancreatic cells.
    Methods: Rat insulinoma pancreatic β-cells were iron-loaded using culture medium supplemented with either fetal bovine serum or ferric ammonium citrate and treated with various doses of GTE for epigallocatechin-3-gallate (EGCG) equivalence and in combination with iron chelators. Cellular iron, ROS, and secretory insulin were measured.
    Results: The rat insulinoma pancreatic cells took up iron from fetal bovine serum more rapidly than ferric ammonium citrate. After treatment with GTE (0.23-2.29 μg EGCG equivalent), cellular levels of iron and ROS were dose dependently decreased. Importantly, secretory insulin levels were increased nearly 2.5-fold with 2.29 μg of EGCG equivalent GTE, indicating a recovery in insulin production.
    Conclusions: Green tea EGCG ameliorated oxidative damage of iron-loaded β-cells by removing redox iron and free radicals and attenuating insulin production. The impact can result in the restoration of pancreatic functions and an increase in insulin production. Green tea extract exerts iron-chelating, free-radical scavenging, and pancreato-protective effects in the restoration of β-cell functions, all of which we believe can increase insulin production in diabetic β-thalassemia patients.
    MeSH term(s) Animals ; Catechin/analogs & derivatives ; Catechin/pharmacology ; Cell Line, Tumor ; Diabetes Complications/metabolism ; Insulin/metabolism ; Insulin Secretion/drug effects ; Insulin-Secreting Cells/drug effects ; Insulin-Secreting Cells/metabolism ; Insulin-Secreting Cells/pathology ; Iron/metabolism ; Phytotherapy/methods ; Plant Extracts/pharmacology ; Rats ; Reactive Oxygen Species/metabolism ; Tea/chemistry ; beta-Thalassemia/complications ; beta-Thalassemia/metabolism
    Chemical Substances Insulin ; Plant Extracts ; Reactive Oxygen Species ; Tea ; Catechin (8R1V1STN48) ; epigallocatechin gallate (BQM438CTEL) ; Iron (E1UOL152H7)
    Language English
    Publishing date 2019-05-15
    Publishing country United States
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 632831-3
    ISSN 1536-4828 ; 0885-3177
    ISSN (online) 1536-4828
    ISSN 0885-3177
    DOI 10.1097/MPA.0000000000001320
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Synergistic intracellular iron chelation combinations: mechanisms and conditions for optimizing iron mobilization.

    Vlachodimitropoulou Koumoutsea, Evangelia / Garbowski, Maciej / Porter, John

    British journal of haematology

    2015  Volume 170, Issue 6, Page(s) 874–883

    Abstract: Iron chelators are increasingly combined clinically but the optimal conditions for cellular iron mobilization and mechanisms of interaction are unclear. Speciation plots for iron(III) binding of paired combinations of the licensed iron chelators ... ...

    Abstract Iron chelators are increasingly combined clinically but the optimal conditions for cellular iron mobilization and mechanisms of interaction are unclear. Speciation plots for iron(III) binding of paired combinations of the licensed iron chelators desferrioxamine (DFO), deferiprone (DFP) and deferasirox (DFX) suggest conditions under which chelators can combine as 'shuttle' and 'sink' molecules but this approach does not consider their relative access and interaction with cellular iron pools. To address this issue, a sensitive ferrozine-based detection system for intracellular iron removal from the human hepatocyte cell line (HuH-7) was developed. Antagonism, synergism or additivity with paired chelator combinations was distinguished using mathematical isobologram analysis over clinically relevant chelator concentrations. All combinations showed synergistic iron mobilization at 8 h with clinically achievable concentrations of sink and shuttle chelators. Greatest synergism was achieved by combining DFP with DFX, where about 60% of mobilized iron was attributable to synergistic interaction. These findings predict that the DFX dose required for a half-maximum effect can be reduced by 3·8-fold when only 1 μmol/l DFP is added. Mechanisms for the synergy are suggested by consideration of the iron-chelate speciation plots together with the size, charge and lipid solubilities for each chelator. Hydroxypyridinones with low lipid solubilities but otherwise similar properties to DFP were used to interrogate the mechanistic interactions of chelator pairs. These studies confirm that synergistic cellular iron mobilization requires one chelator to have the physicochemical properties to enter cells, chelate intracellular iron and subsequently donate iron to a second 'sink' chelator.
    MeSH term(s) Benzoates/chemistry ; Benzoates/metabolism ; Benzoates/pharmacology ; Cell Line ; Deferasirox ; Deferiprone ; Deferoxamine/chemistry ; Deferoxamine/metabolism ; Deferoxamine/pharmacology ; Drug Synergism ; Humans ; Intracellular Space/metabolism ; Iron/metabolism ; Iron Chelating Agents/chemistry ; Iron Chelating Agents/metabolism ; Iron Chelating Agents/pharmacology ; Pyridones/chemistry ; Pyridones/metabolism ; Pyridones/pharmacology ; Triazoles/chemistry ; Triazoles/metabolism ; Triazoles/pharmacology
    Chemical Substances Benzoates ; Iron Chelating Agents ; Pyridones ; Triazoles ; Deferiprone (2BTY8KH53L) ; 1-(ethan-1-ol)-2-methyl-3-hydroxypyridin-4-one (30652-21-2) ; Iron (E1UOL152H7) ; Deferoxamine (J06Y7MXW4D) ; Deferasirox (V8G4MOF2V9)
    Language English
    Publishing date 2015-06-01
    Publishing country England
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 80077-6
    ISSN 1365-2141 ; 0007-1048
    ISSN (online) 1365-2141
    ISSN 0007-1048
    DOI 10.1111/bjh.13512
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article: Ovarian Torsion in the Third Trimester of Pregnancy Leading to Iatrogenic Preterm Delivery.

    Vlachodimitropoulou Koumoutsea, Evangelia / Gupta, Manish / Hollingworth, Antony / Gorry, Anwen

    Case reports in obstetrics and gynecology

    2016  Volume 2016, Page(s) 8426270

    Abstract: Ovarian torsion in the third trimester of pregnancy leading to a midline laparotomy and caesarean section for the delivery of a preterm baby is an uncommon event. As the woman is likely to present with nonspecific symptoms of lower abdominal pain, nausea, ...

    Abstract Ovarian torsion in the third trimester of pregnancy leading to a midline laparotomy and caesarean section for the delivery of a preterm baby is an uncommon event. As the woman is likely to present with nonspecific symptoms of lower abdominal pain, nausea, and vomiting, ovarian torsion can often be misdiagnosed as appendicitis or preterm labour. Treatment and the opportunity to preserve the tube and ovary may consequently be delayed. We report the case of a multiparous woman who had undergone two previous caesarean sections at term, presenting at 35 weeks of gestation with a presumptive diagnosis of acute appendicitis. Ultrasonography described a cystic lesion 6 × 3 cm in the right adnexa, potentially a degenerating fibroid or a torted right ovary. MRI of the pelvis was unable to provide further clarity. The patient was managed by midline laparotomy and simultaneous detorsion of the ovarian pedicle and ovarian cystectomy together with caesarean section of a preterm infant. This report describes that prompt recognition and ensuring intraoperative access can achieve a successful maternal and fetal outcome in this rare and difficult scenario. Furthermore, we would like to emphasise that the risk for a pregnant woman and her newborn could be reduced by earlier diagnosis and management of ovarian masses (Krishnan et al., 2011).
    Language English
    Publishing date 2016-03-15
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2627654-9
    ISSN 2090-6692 ; 2090-6684
    ISSN (online) 2090-6692
    ISSN 2090-6684
    DOI 10.1155/2016/8426270
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: COVID‐19 and acute coagulopathy in pregnancy

    Vlachodimitropoulou Koumoutsea, Evangelia / Vivanti, Alexandre J. / Shehata, Nadine / Benachi, Alexandra / Le Gouez, Agnes / Desconclois, Celine / Whittle, Wendy / Snelgrove, John / Malinowski, Ann Kinga

    Journal of Thrombosis and Haemostasis

    2020  Volume 18, Issue 7, Page(s) 1648–1652

    Keywords Hematology ; covid19
    Language English
    Publisher Wiley
    Publishing country us
    Document type Article ; Online
    ZDB-ID 2112661-6
    ISSN 1538-7836 ; 1538-7933
    ISSN (online) 1538-7836
    ISSN 1538-7933
    DOI 10.1111/jth.14856
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  5. Article ; Online: COVID-19 and acute coagulopathy in pregnancy.

    Vlachodimitropoulou Koumoutsea, Evangelia / Vivanti, Alexandre J / Shehata, Nadine / Benachi, Alexandra / Le Gouez, Agnes / Desconclois, Celine / Whittle, Wendy / Snelgrove, John / Malinowski, Ann Kinga

    Journal of thrombosis and haemostasis : JTH

    2020  Volume 18, Issue 7, Page(s) 1648–1652

    Abstract: We present a putative link between maternal COVID-19 infection in the peripartum period and rapid maternal deterioration with early organ dysfunction and coagulopathy. The current pandemic with SARS-CoV-2 has already resulted in high numbers of ... ...

    Abstract We present a putative link between maternal COVID-19 infection in the peripartum period and rapid maternal deterioration with early organ dysfunction and coagulopathy. The current pandemic with SARS-CoV-2 has already resulted in high numbers of critically ill patients and deaths in the non-pregnant population, mainly due to respiratory failure. During viral outbreaks, pregnancy poses a uniquely increased risk to women due to changes to immune function, alongside physiological adaptive alterations, such as increased oxygen consumption and edema of the respiratory tract. The laboratory derangements may be reminiscent of HELLP (hemolysis, elevated liver enzymes, low platelet count) syndrome, and thus knowledge of the COVID-19 relationship is paramount for appropriate diagnosis and management. In addition to routine measurements of D-dimers, prothrombin time, and platelet count in all patients presenting with COVID-19 as per International Society on Thrombosis and Haemostasis (ISTH) guidance, monitoring of activated partial thromboplastin time (APTT) and fibrinogen levels should be considered in pregnancy, as highlighted in this report. These investigations in SARS-CoV-2-positive pregnant women are vital, as their derangement may signal a more severe COVID-19 infection, and may warrant pre-emptive admission and consideration of delivery to achieve maternal stabilization.
    MeSH term(s) Adult ; Betacoronavirus/pathogenicity ; Blood Coagulation ; Blood Coagulation Tests ; COVID-19 ; COVID-19 Testing ; Clinical Laboratory Techniques ; Coronavirus Infections/blood ; Coronavirus Infections/diagnosis ; Coronavirus Infections/virology ; Disseminated Intravascular Coagulation/blood ; Disseminated Intravascular Coagulation/diagnosis ; Disseminated Intravascular Coagulation/therapy ; Disseminated Intravascular Coagulation/virology ; Female ; Host-Pathogen Interactions ; Humans ; Pandemics ; Pneumonia, Viral/blood ; Pneumonia, Viral/diagnosis ; Pneumonia, Viral/virology ; Pregnancy ; Pregnancy Complications, Hematologic/blood ; Pregnancy Complications, Hematologic/diagnosis ; Pregnancy Complications, Hematologic/therapy ; Pregnancy Complications, Hematologic/virology ; Pregnancy Complications, Infectious/blood ; Pregnancy Complications, Infectious/diagnosis ; Pregnancy Complications, Infectious/therapy ; Pregnancy Complications, Infectious/virology ; Pregnancy Trimester, Third/blood ; SARS-CoV-2 ; Treatment Outcome ; Young Adult
    Keywords covid19
    Language English
    Publishing date 2020-05-26
    Publishing country England
    Document type Case Reports
    ZDB-ID 2112661-6
    ISSN 1538-7836 ; 1538-7933
    ISSN (online) 1538-7836
    ISSN 1538-7933
    DOI 10.1111/jth.14856
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article: COVID-19 and acute coagulopathy in pregnancy

    Vlachodimitropoulou Koumoutsea, Evangelia / Vivanti, Alexandre J / Shehata, Nadine / Benachi, Alexandra / Le Gouez, Agnes / Desconclois, Celine / Whittle, Wendy / Snelgrove, John / Malinowski, Ann Kinga

    J Thromb Haemost

    Abstract: We present a putative link between maternal COVID-19 infection in the peripartum period and rapid maternal deterioration with early organ dysfunction and coagulopathy. The current pandemic with SARS-CoV-2 has already resulted in high numbers of ... ...

    Abstract We present a putative link between maternal COVID-19 infection in the peripartum period and rapid maternal deterioration with early organ dysfunction and coagulopathy. The current pandemic with SARS-CoV-2 has already resulted in high numbers of critically ill patients and deaths in the non-pregnant population, mainly due to respiratory failure. During viral outbreaks, pregnancy poses a uniquely increased risk to women due to changes to immune function, alongside physiological adaptive alterations, such as increased oxygen consumption and edema of the respiratory tract. The laboratory derangements may be reminiscent of HELLP (hemolysis, elevated liver enzymes, low platelet count) syndrome, and thus knowledge of the COVID-19 relationship is paramount for appropriate diagnosis and management. In addition to routine measurements of D-dimers, prothrombin time, and platelet count in all patients presenting with COVID-19 as per International Society on Thrombosis and Haemostasis (ISTH) guidance, monitoring of activated partial thromboplastin time (APTT) and fibrinogen levels should be considered in pregnancy, as highlighted in this report. These investigations in SARS-CoV-2-positive pregnant women are vital, as their derangement may signal a more severe COVID-19 infection, and may warrant pre-emptive admission and consideration of delivery to achieve maternal stabilization.
    Keywords covid19
    Publisher WHO
    Document type Article
    Note WHO #Covidence: #644872
    Database COVID19

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