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Article: Glükózterhelés a peritonealis dialízisben. Újabb elméleti megfontolások.

Mácsai, Emília / Kiss, István

2017 Volume 158, Issue 43, Page(s) 1708–1714

Abstract: The significance of peritoneal dialysis in kidney replacement therapy is expected to increase, so it is important to reconsider glucose exposure to minimize the adverse effects. The first step was to develop biocompatible modern PD solutions to reduce ... ...

Title translation	Re-engineering of glucose exposure in peritoneal dialysis.
Abstract	The significance of peritoneal dialysis in kidney replacement therapy is expected to increase, so it is important to reconsider glucose exposure to minimize the adverse effects. The first step was to develop biocompatible modern PD solutions to reduce the local and systemic adverse effects of current conventional glucose-based ones. According to the limited clinical experience, there are no clear data on better clinical outcome. Besides this there is a suspected theoretical correlation between development of encapsulating peritoneal sclerosis and chronic local irritation of peritoneal surface by glucose. The degree of actual systemic glycemic load can be evaluated by continuous tissue glucose monitoring, and cumulative damage can be measured by skin autofluorescence, however none of the methods have been extensively used in clinical practice. The early diagnosis of cardiovascular diseases is therefore of also paramount importance. Selecting the therapeutic steps including diabetological aspects, we must constantly strive to improve the life quality. Orv Hetil. 2017; 158(43): 1708-1714.
Language	Hungarian
Publishing date	2017-10
Publishing country	Hungary
Document type	English Abstract ; Journal Article
ZDB-ID	123879-6
ISSN	1788-6120 ; 0030-6002
ISSN (online)	1788-6120
ISSN	0030-6002
DOI	10.1556/650.2017.30861
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Article ; Online: Chlorophyll biosynthesis under the control of arginine metabolism.

Kiss, Éva / Talbot, Jana / Adams, Nathan B P / Opekar, Stanislav / Moos, Martin / Pilný, Jan / Kvasov, Tatjana / Schneider, Emilia / Koník, Peter / Šimek, Petr / Sobotka, Roman

Cell reports

2023 Volume 42, Issue 11, Page(s) 113265

Abstract: In natural environments, photosynthetic organisms adjust their metabolism to cope with the fluctuating availability of combined nitrogen sources, a growth-limiting factor. For acclimation, the dynamic degradation/synthesis of tetrapyrrolic pigments, as ... ...

Abstract	In natural environments, photosynthetic organisms adjust their metabolism to cope with the fluctuating availability of combined nitrogen sources, a growth-limiting factor. For acclimation, the dynamic degradation/synthesis of tetrapyrrolic pigments, as well as of the amino acid arginine, is pivotal; however, there has been no evidence that these processes could be functionally coupled. Using co-immunopurification and spectral shift assays, we found that in the cyanobacterium Synechocystis sp. PCC 6803, the arginine metabolism-related ArgD and CphB enzymes form protein complexes with Gun4, an essential protein for chlorophyll biosynthesis. Gun4 binds ArgD with high affinity, and the Gun4-ArgD complex accumulates in cells supplemented with ornithine, a key intermediate of the arginine pathway. Elevated ornithine levels restricted de novo synthesis of tetrapyrroles, which arrested the recovery from nitrogen deficiency. Our data reveal a direct crosstalk between tetrapyrrole biosynthesis and arginine metabolism that highlights the importance of balancing photosynthetic pigment synthesis with nitrogen homeostasis.
MeSH term(s)	Synechocystis/metabolism ; Chlorophyll/metabolism ; Arginine/metabolism ; Ornithine ; Nitrogen
Chemical Substances	Chlorophyll (1406-65-1) ; Arginine (94ZLA3W45F) ; Ornithine (E524N2IXA3) ; Nitrogen (N762921K75)
Language	English
Publishing date	2023-10-20
Publishing country	United States
Document type	Journal Article ; Research Support, Non-U.S. Gov't
ZDB-ID	2649101-1
ISSN	2211-1247 ; 2211-1247
ISSN (online)	2211-1247
ISSN	2211-1247
DOI	10.1016/j.celrep.2023.113265
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Article: Trimethylamine N-Oxide, a Gut Microbiota-Derived Metabolite, Is Associated with Cardiovascular Risk in Psoriasis: A Cross-Sectional Pilot Study.

Sikora, Mariusz / Kiss, Norbert / Stec, Albert / Giebultowicz, Joanna / Samborowska, Emilia / Jazwiec, Radoslaw / Dadlez, Michal / Olszewska, Malgorzata / Rudnicka, Lidia

Dermatology and therapy

2021 Volume 11, Issue 4, Page(s) 1277–1289

Abstract: Introduction: Trimethylamine N-oxide (TMAO), a gut microbiota metabolite from dietary phosphatidylcholine, is involved in the pathogenesis of atherosclerosis and cardiovascular diseases. Psoriasis is associated with increased cardiovascular risk that is ...

Abstract	Introduction: Trimethylamine N-oxide (TMAO), a gut microbiota metabolite from dietary phosphatidylcholine, is involved in the pathogenesis of atherosclerosis and cardiovascular diseases. Psoriasis is associated with increased cardiovascular risk that is not captured by traditional biomarkers. The aim of the present study was to assess TMAO concentration in psoriasis and evaluate the relationship between TMAO and cardiovascular risk in psoriatic patients. Methods: In 72 patients with psoriasis and 40 age- and sex-matched non-psoriatic controls, we evaluated fasting plasma TMAO, measured by high-performance liquid chromatography, and cardiovascular risk assessed by various scoring systems such as Framingham, QRISK2, AHA/ACC, and Reynolds risk scores. Results: In patients with psoriasis, TMAO concentration was significantly higher than in the control group (195.68 [133.54-332.58] ng/ml versus 126.06 [84.29-156.88] ng/ml, respectively; p < 0.001). Plasma TMAO concentration was significantly correlated with age, total cholesterol, triglycerides, systolic and diastolic blood pressure. Furthermore, the receiver-operating characteristic (ROC) and multiple regression analysis showed that TMAO is an independent predictor of cardiovascular risk. Conclusion: TMAO is a valuable candidate for biomarker and a translational link between dysbiosis and atherosclerosis in psoriasis.
Language	English
Publishing date	2021-05-13
Publishing country	Switzerland
Document type	Journal Article
ZDB-ID	2680284-3
ISSN	2190-9172 ; 2193-8210
ISSN (online)	2190-9172
ISSN	2193-8210
DOI	10.1007/s13555-021-00547-3
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Article ; Online: Skin Autofluorescence and Mortality in Patients on Peritoneal Dialysis.

Mácsai, Emília / Benke, Attila / Kiss, István

Medicine

2015 Volume 94, Issue 45, Page(s) e1933

Abstract: Skin autofluorescence (SAF) is a proven prognostic factor of mortality in hemodialysis patients. Traditional and nontraditional risk factors are almost equivalent in peritoneal dialysis (PD), and cardiovascular disease (CVD) is the leading cause of death. ...

Abstract	Skin autofluorescence (SAF) is a proven prognostic factor of mortality in hemodialysis patients. Traditional and nontraditional risk factors are almost equivalent in peritoneal dialysis (PD), and cardiovascular disease (CVD) is the leading cause of death. Moreover, peritoneal glucose absorption accelerates the degenerative processes of connective tissues as in diabetes. In our study, we examined the predictive value of SAF for total mortality in the PD population. Data were collected from 198 prevalently adult Caucasian PD patients. One hundred twenty-six patients (mean age 66.2 y, men [n = 73], diabetes ratio 75/126) had anamnestic CVD (coronary heart disease, cerebrovascular disease, peripheral arterial disease). Initially, we evaluated factors affecting SAF and CVD by multivariate linear regression. Survival rates were estimated by recording clinical and demographic data associated with mortality during a 36-month follow-up using the Kaplan-Meier method. Analyses were further stratified based on the presence or absence of CVD and SAF levels above or below the upper tercile 3.61 arbitrary units.Skin autofluorescence was influenced by CVD (P < 0.01, 95% confidence interval [CI] 0.1-0.5) and white blood cell counts (P < 0.001, 95% CI 0.031-0.117). According to the Spearman correlation, SAF correlated with peritoneal cumulative glucose exposure (P = 0.02) and elapsed time in PD (P = 0.008). CVD correlated with age (P < 0.001, 95% CI 1.24-1.65) and diabetes (P < 0.001, 95% CI 2.58-10.66). More deaths were observed in the high SAF group than in the low SAF group (34/68 vs 44/130; P = 0.04). Comparing the CVD(-) low SAF group survival (mean 33.9 mos, standard error [SE] 1.39) to CVD(+) low SAF (mean 30.5 mos, SE 1.37, P = 0.03) and to CVD(+) high SAF group (mean 27.1 mos, SE 1.83, P = 0.001), the difference was significant.In conclusion, among PD patients, SAF values over 3.61 arbitrary units seem to be a predictor of mortality. The relationship among peritoneal glucose exposure, CVD, and diabetes suggests its suitability to characterize systemic cumulative glucose load in this patient population.
MeSH term(s)	Adult ; Aged ; Cardiovascular Diseases/complications ; Cardiovascular Diseases/mortality ; Female ; Fluorescence ; Humans ; Kidney Failure, Chronic/complications ; Kidney Failure, Chronic/mortality ; Kidney Failure, Chronic/therapy ; Logistic Models ; Male ; Middle Aged ; Peritoneal Dialysis ; Risk Factors ; Skin ; Survival Rate
Language	English
Publishing date	2015-11-02
Publishing country	United States
Document type	Journal Article ; Observational Study ; Research Support, Non-U.S. Gov't
ZDB-ID	80184-7
ISSN	1536-5964 ; 0025-7974
ISSN (online)	1536-5964
ISSN	0025-7974
DOI	10.1097/MD.0000000000001933
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Article: Executive functioning and quality of life in acromegaly.

Solomon, Emilia / Brănișteanu, Dumitru / Dumbravă, Andrei / Solomon, Radu Gheorghe / Kiss, Lorànt / Glod, Mihai / Preda, Cristina

Psychology research and behavior management

2019 Volume 12, Page(s) 39–44

Abstract: Introduction: Active acromegaly is a rare chronic endocrine disorder caused by excessive growth hormone (GH). Clinical studies suggest that cognitive performance is impaired in acromegaly - particularly executive function as well as short- and long-term ...

Abstract	Introduction: Active acromegaly is a rare chronic endocrine disorder caused by excessive growth hormone (GH). Clinical studies suggest that cognitive performance is impaired in acromegaly - particularly executive function as well as short- and long-term memory. This study compared the quality of life (QoL) and executive functioning in acromegaly patients vs healthy controls. Materials and methods: This was an observational case-control study on 38 subjects divided into 19 acromegaly patients and 19 matched controls. The groups were evaluated for QoL, attention, and executive function. All subjects completed Acromegaly Quality of Life Questionnaire (AcroQoL), Trail Making Test (parts A and B), Stroop, and phonemic fluency tests. Results: Acromegaly patients had an AcroQoL global score that was significantly lower than controls. There were significant differences between the acromegaly group and the control group in terms of the physical effects ( Conclusion: Acromegaly patients display worse executive functioning than healthy controls and have a decreased QoL.
Language	English
Publishing date	2019-01-03
Publishing country	New Zealand
Document type	Journal Article
ZDB-ID	2495093-2
ISSN	1179-1578
ISSN	1179-1578
DOI	10.2147/PRBM.S183950
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Article ; Online: Inhibitory effect of Ligustrum vulgare leaf extract on the development of neuropathic pain in a streptozotocin-induced rat model of diabetes.

Czerwińska, Monika E / Gąsińska, Emilia / Leśniak, Anna / Krawczyk, Paulina / Kiss, Anna K / Naruszewicz, Marek / Bujalska-Zadrożny, Magdalena

Phytomedicine : international journal of phytotherapy and phytopharmacology

2018 Volume 49, Page(s) 75–82

Abstract: Background: Chronic hyperalgesia and allodynia associated with progressive damage of peripheral neurons are the most prevalent complications of diabetes mellitus. Plants belonging to the family of Oleaceae were traditionally used in folk medicine for ... ...

Abstract	Background: Chronic hyperalgesia and allodynia associated with progressive damage of peripheral neurons are the most prevalent complications of diabetes mellitus. Plants belonging to the family of Oleaceae were traditionally used in folk medicine for the management of diabetes. Hypothesis/purpose: The aim of this study was to investigate whether an aqueous extract from the leaves of Ligustrum vulgare (common privet) could be useful to target neuropathic pain in a rat streptozotocin (STZ) model of diabetes. Methods: The chemical composition of the aqueous extract from privet leaf was characterized with the UHPLC-DAD-MS method and the analytical quantification of its constituents was performed with HPLC-DAD. Mechanical hyperalgesia and allodynia were evaluated with the Randall-Selitto and von Frey tests. Results: Our investigation revealed the presence of secoiridoids: oleacein (23.48 ± 0.87 mg/g), oleocanthal (8.44 ± 0.08 mg/g), oleuropein (1.50 ± 0.01 mg/g), as well as phenylpropanoids: echinacoside (6.46 ± 0.07 mg/g), verbascoside (4.03 ± 0.04 mg/g) and p-coumaroyl glucarates in the dried aqueous extract of privet leaves. Behavioral data indicated that chronic intraperitoneal administration of the extract (50-200 mg/kg) for 21 days resulted in a decrease in diabetes-induced hyperalgesia and allodynia. Blood glucose levels remained unaltered, while body weight and water intake decreased significantly. Conclusion: The aqueous privet leaf extract could serve useful in facilitating treatment of painful diabetic neuropathy. Additionally, the study showed that the antihyperalgesic activity of Ligustrum vulgare leaf extract is not likely related to its antihyperglycemic properties.
MeSH term(s)	Aldehydes ; Animals ; Chromatography, High Pressure Liquid ; Cyclopentane Monoterpenes ; Diabetes Mellitus, Experimental/drug therapy ; Diabetic Neuropathies/drug therapy ; Glucosides ; Glycosides ; Hyperalgesia/drug therapy ; Iridoid Glucosides ; Iridoids/therapeutic use ; Ligustrum/chemistry ; Male ; Neuralgia/drug therapy ; Phenols ; Plant Extracts/pharmacology ; Plant Leaves/chemistry ; Rats ; Streptozocin
Chemical Substances	Aldehydes ; Cyclopentane Monoterpenes ; Glucosides ; Glycosides ; Iridoid Glucosides ; Iridoids ; Phenols ; Plant Extracts ; oleacein ; oleuropein (2O4553545L) ; acteoside (3TGX09BD5B) ; Streptozocin (5W494URQ81) ; oleocanthal (AC7QO6038O) ; echinacoside (I04O1DT48T)
Language	English
Publishing date	2018-06-11
Publishing country	Germany
Document type	Journal Article
ZDB-ID	1205240-1
ISSN	1618-095X ; 0944-7113
ISSN (online)	1618-095X
ISSN	0944-7113
DOI	10.1016/j.phymed.2018.06.006
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Article: Inhibitory effect of Ligustrum vulgare leaf extract on the development of neuropathic pain in a streptozotocin-induced rat model of diabetes

Czerwińska, Monika E / Emilia Gąsińska / Anna Leśniak / Paulina Krawczyk / Anna K. Kiss / Marek Naruszewicz / Magdalena Bujalska-Zadrożny

Phytomedicine. 2018 Oct. 01, v. 49

2018

Abstract: Chronic hyperalgesia and allodynia associated with progressive damage of peripheral neurons are the most prevalent complications of diabetes mellitus. Plants belonging to the family of Oleaceae were traditionally used in folk medicine for the management ... ...

Abstract	Chronic hyperalgesia and allodynia associated with progressive damage of peripheral neurons are the most prevalent complications of diabetes mellitus. Plants belonging to the family of Oleaceae were traditionally used in folk medicine for the management of diabetes.The aim of this study was to investigate whether an aqueous extract from the leaves of Ligustrum vulgare (common privet) could be useful to target neuropathic pain in a rat streptozotocin (STZ) model of diabetes.The chemical composition of the aqueous extract from privet leaf was characterized with the UHPLC-DAD-MS method and the analytical quantification of its constituents was performed with HPLC-DAD. Mechanical hyperalgesia and allodynia were evaluated with the Randall–Selitto and von Frey tests.Our investigation revealed the presence of secoiridoids: oleacein (23.48 ± 0.87 mg/g), oleocanthal (8.44 ± 0.08 mg/g), oleuropein (1.50 ± 0.01 mg/g), as well as phenylpropanoids: echinacoside (6.46 ± 0.07 mg/g), verbascoside (4.03 ± 0.04 mg/g) and p-coumaroyl glucarates in the dried aqueous extract of privet leaves. Behavioral data indicated that chronic intraperitoneal administration of the extract (50–200 mg/kg) for 21 days resulted in a decrease in diabetes-induced hyperalgesia and allodynia. Blood glucose levels remained unaltered, while body weight and water intake decreased significantly.The aqueous privet leaf extract could serve useful in facilitating treatment of painful diabetic neuropathy. Additionally, the study showed that the antihyperalgesic activity of Ligustrum vulgare leaf extract is not likely related to its antihyperglycemic properties.
Keywords	Ligustrum vulgare ; animal models ; blood glucose ; body weight ; chemical composition ; diabetic neuropathy ; glycemic effect ; high performance liquid chromatography ; intraperitoneal injection ; leaf extracts ; leaves ; neurons ; oleocanthal ; oleuropein ; pain ; rats ; somatosensory disorders ; streptozotocin ; traditional medicine ; verbascoside
Language	English
Dates of publication	2018-1001
Size	p. 75-82.
Publishing place	Elsevier GmbH
Document type	Article
ZDB-ID	1205240-1
ISSN	1618-095X ; 0944-7113
ISSN (online)	1618-095X
ISSN	0944-7113
DOI	10.1016/j.phymed.2018.06.006
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Article: An atypical lateral hernia and concomitant inguinal and umbilical hernias in a patient with polycystic kidney disease and an intracranial aneurysm - a combined approach of clinical and radiological investigation, endoscopic hernia repair, and anatomical cadaver model documentation and a systematic review of the literature.

Veréb-Amolini, László / Betschart, Thomas / Kiss, Emilia / Ullrich, Oliver / Wildi, Stefan / Eppler, Elisabeth

SpringerPlus

2015 Volume 4, Page(s) 85

Abstract: Atypical hernias are difficult to diagnose due to their rarity and often unspecific symptoms. In the literature there exist hints to peri-inguinal hernias, i.e. direct lateral hernia, but most of them are forms of Spigelian hernias. Since the majority ... ...

Abstract	Atypical hernias are difficult to diagnose due to their rarity and often unspecific symptoms. In the literature there exist hints to peri-inguinal hernias, i.e. direct lateral hernia, but most of them are forms of Spigelian hernias. Since the majority were described during the first half of the past century or even earlier, only very few cases have been documented using modern diagnostic techniques. We report a unique case of a 51 year old patient presenting with an atypical inguinal hernia with concomitant inguinal and umbilical hernias in combination with cystic kidney disease and intracranial aneurysm. The atypical position of the hernia was assumed from clinical inspection, ultrasound and CT scan and verified during pre-peritoneoscopy. Using an anatomical cadaver dissection approach, we followed the unusual position of the hernia through the abdominal wall below the aponeurosis of the external oblique muscle. After a thorough literature search, we assume that the present hernia containing a hernial sac has not been documented before, especially not in such a multidisciplinary approach comprising radiological, surgical and anatomical localisation and endoscopic treatment in a patient with a clinical situation being aggravated by large cystic kidneys leading to dialysis-dependency. Rare hernias have been described as being often associated with concomitant inguinal or other hernias, a predisposition for the male gender and a pathogenic mechanism related to other soft tissue defects such as cystic kidney disease or cranial aneurysm. Thus, we consider this a unique case that has not been documented in this constellation previously, which may increase the awareness for these rare hernias.
Language	English
Publishing date	2015-02-14
Publishing country	Switzerland
Document type	Journal Article
ZDB-ID	2661116-8
ISSN	2193-1801
ISSN	2193-1801
DOI	10.1186/s40064-015-0857-2
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Article: Ultrasonically assisted single stage and multiple extraction of enzymes produced by Aspergillus oryzae on a lignocellulosic substrate with solid-state fermentation

Szabo, Orsolya Erzsebet / Emilia Csiszar / Bela Koczka / Kata Kiss

Biomass and bioenergy. 2015 Apr., v. 75

2015

Abstract: The efficient extraction of enzymes from the fermented matter of solid-state fermentation is a key consideration in producing enzymes in a cost effective way. In this research low frequency ultrasound at different amplitudes was used to intensify the ... ...

Abstract	The efficient extraction of enzymes from the fermented matter of solid-state fermentation is a key consideration in producing enzymes in a cost effective way. In this research low frequency ultrasound at different amplitudes was used to intensify the single stage and multiple (three-stage) extractions of ligninolytic and hydrolytic enzymes from a cultivated solid produced with Aspergillus oryzae NRRL 3485, using flax fiber as a support and actual lignocellulosic substrate. Kinetics of buffer extraction at pH 5 and 50Â Â°C was followed within a period of 60Â min by measuring the enzyme activities. Results proved that sonication has an enormous effect on the enzyme extraction. The maximum enzyme activities obtained in a conventional single stage extraction could be increased with sonication by 111.4%, 167.9% and 93.8% for filter paper, polygalacturonase and lignin peroxidase activities, respectively. Results also revealed that sonication (at 40, 60 and 80% amplitudes, for 60Â min) did not result in a reduction in the filter paper and polygalacturonase activities of the crude enzyme solution, but slightly decreased the lignin peroxidase activity by about 20% at the highest amplitude. Three-stage extraction with sonication at 60% amplitude provided about 2.1â2.7 times higher enzyme yield.
Keywords	Aspergillus oryzae ; cost effectiveness ; enzyme activity ; flax ; lignin peroxidase ; lignocellulose ; pH ; polygalacturonase ; solid state fermentation ; ultrasonics
Language	English
Dates of publication	2015-04
Size	p. 161-169.
Publishing place	Elsevier Ltd
Document type	Article
ZDB-ID	1090121-8
ISSN	0961-9534
ISSN	0961-9534
DOI	10.1016/j.biombioe.2015.02.028
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Article: Adams-Oliver Syndrome: Vestigial Tail and Genetics Update.

Zhu, Victor Z / Hansen-Kiss, Emily / Hecht, Jacqueline T / Payne, Phileemon E

Archives of plastic surgery

2022 Volume 49, Issue 4, Page(s) 517–522

Abstract: Adams-Oliver syndrome is a well-recognized autosomal dominant disorder for which mutations in six genes are etiologic, but account for only one-third of the cases. We report a patient with two genetic disorders; Adams-Oliver and Xp22.33 deletion ... ...

Abstract	Adams-Oliver syndrome is a well-recognized autosomal dominant disorder for which mutations in six genes are etiologic, but account for only one-third of the cases. We report a patient with two genetic disorders; Adams-Oliver and Xp22.33 deletion syndromes, as well as a vestigial pseudotail. The presence of a pseudotail has not previously been reported in either of these genetic conditions. Absence of a molecular etiology underlying Adams-Oliver syndrome confirms that there are additional genetic causes to be identified.
Language	English
Publishing date	2022-07-30
Publishing country	Korea (South)
Document type	Journal Article
ZDB-ID	2694943-X
ISSN	2234-6171 ; 2234-6163
ISSN (online)	2234-6171
ISSN	2234-6163
DOI	10.1055/s-0042-1751107
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