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  1. Article ; Online: Impaired hepatic glucose metabolism and liver-α-cell axis in mice with liver-specific ablation of the Hepatocyte Nuclear Factor 4α (Hnf4a) gene.

    Thymiakou, Efstathia / Tzardi, Maria / Kardassis, Dimitris

    Metabolism: clinical and experimental

    2022  Volume 139, Page(s) 155371

    Abstract: Background: Hnf4a gene ablation in mouse liver causes hepatic steatosis, perturbs HDL structure and function and affects many pathways and genes related to glucose metabolism. Our aim here was to investigate the role of liver HNF4A in glucose ... ...

    Abstract Background: Hnf4a gene ablation in mouse liver causes hepatic steatosis, perturbs HDL structure and function and affects many pathways and genes related to glucose metabolism. Our aim here was to investigate the role of liver HNF4A in glucose homeostasis.
    Methods: Serum and tissue samples were obtained from Alb-Cre;Hnf4a
    Results: H4LivKO mice presented lower blood levels of fasting glucose, improved glucose tolerance, increased serum lactate levels and reduced response to glucagon challenge compared to their control littermates. Insulin signaling in the liver was reduced despite the increase in serum insulin levels. H4LivKO mice showed altered expression of genes involved in glycolysis, gluconeogenesis and glycogen metabolism in the liver. The expression of the gene encoding the glucagon receptor (Gcgr) was markedly reduced in H4LivKO liver and chromatin immunoprecipitation assays revealed specific and strong binding of HNF4A to the Gcgr promoter. H4LivKO mice presented increased amino acid concentration in the serum, α-cell hyperplasia and a dramatic increase in glucagon levels suggesting an impairment of the liver-α-cell axis. Glucose administration in the drinking water of H4LivKO mice resulted in an impressive extension of survival. The expression of several genes related to non-alcoholic fatty liver disease progression to more severe liver pathologies, including Mcp1, Gdf15, Igfbp-1 and Hmox1, was increased in H4LivKO mice as early as 6 weeks of age and this increased expression was sustained until the endpoint of the study.
    Conclusions: Our results reveal a novel role of liver HNF4A in controlling blood glucose levels via regulation of glucagon signaling. In combination with the steatotic phenotype, our results suggest that H4LivKO mice could serve as a valuable model for studying glucose homeostasis in the context of non-alcoholic fatty liver disease.
    MeSH term(s) Mice ; Animals ; Glucose/metabolism ; Non-alcoholic Fatty Liver Disease/metabolism ; Glucagon/metabolism ; Mice, Knockout ; Liver/metabolism ; Insulin/metabolism ; Hepatocyte Nuclear Factors/metabolism ; Hepatocyte Nuclear Factor 4/genetics ; Hepatocyte Nuclear Factor 4/metabolism
    Chemical Substances Glucose (IY9XDZ35W2) ; Glucagon (9007-92-5) ; Insulin ; Hepatocyte Nuclear Factors ; Hnf4a protein, mouse ; Hepatocyte Nuclear Factor 4
    Language English
    Publishing date 2022-12-01
    Publishing country United States
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 80230-x
    ISSN 1532-8600 ; 0026-0495
    ISSN (online) 1532-8600
    ISSN 0026-0495
    DOI 10.1016/j.metabol.2022.155371
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article: Evaluation of Microsatellite Instability Molecular Analysis versus Immuno-Histochemical Interpretation in Malignant Neoplasms with Different Localizations.

    Sfakianaki, Maria / Tzardi, Maria / Tsantaki, Konstantina / Koutoulaki, Chara / Messaritakis, Ippokratis / Datseri, Galateia / Moustou, Eleni / Mavroudis, Dimitrios / Souglakos, John

    Cancers

    2023  Volume 15, Issue 2

    Abstract: MMR gene germline mutations are considered a major genetic disorder in patients with hereditary nonpolyposis colon cancer (HNPCC) or Lynch syndrome; A total of 15% of sporadic colon carcinomas are MSI-High. MSI has also been observed in other cancers, ... ...

    Abstract MMR gene germline mutations are considered a major genetic disorder in patients with hereditary nonpolyposis colon cancer (HNPCC) or Lynch syndrome; A total of 15% of sporadic colon carcinomas are MSI-High. MSI has also been observed in other cancers, such as endometrial, gastric, and ovarian cancer. The aim of the current study was to correlate and outline the optimal method between the molecular testing of the instability of microsatellite DNA regions (MSI status) and the loss of protein expression by immunehistochemistry (MMR). A total of 242 paraffin-embedded tissues from gastrointestinal, gynecological, genitourinary, lung, breast, and unknown primary cancer patients were analyzed for the expression of MLH1/MSH2/MSH6/PMS2 by immunohistochemistry, as well as for the molecular analysis of MSI status using PCR-based molecular fragment analysis. A total of 29 MSI-High patients were detected molecularly, while 23 patients were detected by immunohistochemistry, with rates that are comparable according to the literature. Based on the agreement coefficient of the two methods, a substantial agreement emerged (Kappa = 0.675 with standard error = 0.081, p < 0.001). Despite the substantial agreement, both methods ought to be established to determine MSI-H/dMMR status in all cancer types as a first-line screening test.
    Language English
    Publishing date 2023-01-05
    Publishing country Switzerland
    Document type Journal Article
    ZDB-ID 2527080-1
    ISSN 2072-6694
    ISSN 2072-6694
    DOI 10.3390/cancers15020353
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  3. Article ; Online: Pembrolizumab-induced antiTTG IgA-negative duodenitis treated with gluten withdrawal.

    Theodoraki, Eirini / Giannarakis, Miltiadis / Tzardi, Maria / Koutroubakis, Ioannis Ε

    European journal of gastroenterology & hepatology

    2021  Volume 33, Issue 8, Page(s) 1130–1131

    MeSH term(s) Antibodies, Monoclonal, Humanized/adverse effects ; Celiac Disease ; Duodenitis/chemically induced ; Duodenitis/diagnosis ; Duodenitis/drug therapy ; Gliadin ; Glutens ; Humans ; Immunoglobulin A ; Male ; Middle Aged
    Chemical Substances Antibodies, Monoclonal, Humanized ; Immunoglobulin A ; Glutens (8002-80-0) ; Gliadin (9007-90-3) ; pembrolizumab (DPT0O3T46P)
    Language English
    Publishing date 2021-07-27
    Publishing country England
    Document type Case Reports ; Letter
    ZDB-ID 1034239-4
    ISSN 1473-5687 ; 0954-691X
    ISSN (online) 1473-5687
    ISSN 0954-691X
    DOI 10.1097/MEG.0000000000002077
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Chronic neutropenic colitis with complete colonic obstruction in a patient with severe congenital neutropenia associated with G6PC3 mutations.

    Nikolouzakis, Taxiarchis Konstantinos / Spyridakis, Konstantinos / Tzardi, Maria / Tsaknakis, Grigorios / Ximeri, Maria / Klimiankou, Maksim / Chrysos, Emmanuel / Skokowa, Julia / Papadaki, Helen A

    Annals of hematology

    2022  Volume 101, Issue 7, Page(s) 1583–1585

    MeSH term(s) Colitis/complications ; Colitis/genetics ; Congenital Bone Marrow Failure Syndromes ; Glucose-6-Phosphatase/genetics ; Humans ; Mutation ; Neutropenia/complications ; Neutropenia/congenital ; Neutropenia/genetics
    Chemical Substances Glucose-6-Phosphatase (EC 3.1.3.9) ; G6PC3 protein, human (EC 3.1.3.9.)
    Language English
    Publishing date 2022-01-27
    Publishing country Germany
    Document type Letter
    ZDB-ID 1064950-5
    ISSN 1432-0584 ; 0939-5555 ; 0945-8077
    ISSN (online) 1432-0584
    ISSN 0939-5555 ; 0945-8077
    DOI 10.1007/s00277-022-04772-4
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: A combined opposite targeting of p110δ PI3K and RhoA abrogates skin cancer.

    Tzenaki, Niki / Xenou, Lydia / Goulielmaki, Evangelia / Tsapara, Anna / Voudouri, Irene / Antoniou, Angelika / Valianatos, George / Tzardi, Maria / De Bree, Eelco / Berdiaki, Aikaterini / Makrigiannakis, Antonios / Papakonstanti, Evangelia A

    Communications biology

    2024  Volume 7, Issue 1, Page(s) 26

    Abstract: Malignant melanoma is the most aggressive and deadly skin cancer with an increasing incidence worldwide whereas SCC is the second most common non-melanoma human skin cancer with limited treatment options. Here we show that the development and metastasis ... ...

    Abstract Malignant melanoma is the most aggressive and deadly skin cancer with an increasing incidence worldwide whereas SCC is the second most common non-melanoma human skin cancer with limited treatment options. Here we show that the development and metastasis of melanoma and SCC cancers can be blocked by a combined opposite targeting of RhoA and p110δ PI3K. We found that a targeted induction of RhoA activity into tumours by deletion of p190RhoGAP-a potent inhibitor of RhoA GTPase-in tumour cells together with adoptive macrophages transfer from δ
    MeSH term(s) Humans ; Animals ; Mice ; Melanoma/genetics ; Phosphatidylinositol 3-Kinases ; Proto-Oncogene Proteins B-raf ; Skin Neoplasms/genetics ; Skin
    Chemical Substances Phosphatidylinositol 3-Kinases (EC 2.7.1.-) ; Proto-Oncogene Proteins B-raf (EC 2.7.11.1)
    Language English
    Publishing date 2024-01-05
    Publishing country England
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ISSN 2399-3642
    ISSN (online) 2399-3642
    DOI 10.1038/s42003-023-05639-8
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article: Prognostic Value of

    Koulouridi, Asimina / Karagianni, Michaela / Messaritakis, Ippokratis / Sfakianaki, Maria / Voutsina, Alexandra / Trypaki, Maria / Bachlitzanaki, Maria / Koustas, Evangelos / Karamouzis, Michalis V / Ntavatzikos, Anastasios / Koumarianou, Anna / Androulakis, Nikolaos / Mavroudis, Dimitrios / Tzardi, Maria / Souglakos, John

    Cancers

    2022  Volume 14, Issue 14

    Abstract: Colorectal cancer (CRC) remains a major public health issue. The detection of parameters that affect CRC prognosis is of great significance. ...

    Abstract Colorectal cancer (CRC) remains a major public health issue. The detection of parameters that affect CRC prognosis is of great significance.
    Language English
    Publishing date 2022-07-07
    Publishing country Switzerland
    Document type Journal Article
    ZDB-ID 2527080-1
    ISSN 2072-6694
    ISSN 2072-6694
    DOI 10.3390/cancers14143320
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article: Detection of Circulating Tumor Cells and Microbial DNA Fragments in Stage III Colorectal Cancer Patients under Three versus Six Months of Adjuvant Treatment.

    Koulouridi, Asimina / Messaritakis, Ippokratis / Theodorakis, Emmanouil / Chondrozoumaki, Maria / Sfakianaki, Maria / Gouvas, Nikolaos / Tsiaoussis, John / Mavroudis, Dimitrios / Tzardi, Maria / Souglakos, John

    Cancers

    2021  Volume 13, Issue 14

    Abstract: Oxaliplatin-fluoropyrimidine combination therapy is the gold standard treatment for patients with stage III colorectal cancer (CRC); however, treatment duration is now under re-evaluation. The aim of the study was the evaluation of the non-inferiority of ...

    Abstract Oxaliplatin-fluoropyrimidine combination therapy is the gold standard treatment for patients with stage III colorectal cancer (CRC); however, treatment duration is now under re-evaluation. The aim of the study was the evaluation of the non-inferiority of three over six months treatment with FOLFOX or CAPOX, in stage III CRC patients. Peripheral blood samples from 121 patients were collected, at three time points during treatment and evaluated for circulating tumor cells (CTCs) and microbial DNA detection (16S rRNA,
    Language English
    Publishing date 2021-07-15
    Publishing country Switzerland
    Document type Journal Article
    ZDB-ID 2527080-1
    ISSN 2072-6694
    ISSN 2072-6694
    DOI 10.3390/cancers13143552
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  8. Article: First case of Whipple's disease successfully treated with tigecycline.

    Foteinogiannopoulou, Kalliopi / Mouzas, Ioannis / Tzardi, Maria / Orfanoudaki, Eleni / Theodoraki, Eirini / Kofteridis, Diamantis

    Germs

    2021  Volume 11, Issue 1, Page(s) 105–110

    Abstract: Introduction: Whipple's disease is a rare chronic infectious disease caused by : Case report: We describe a case of a 42-year-old woman with a history of chronic diarrhea and weight loss evolving for at least the last 6 years. The diagnosis of ... ...

    Abstract Introduction: Whipple's disease is a rare chronic infectious disease caused by
    Case report: We describe a case of a 42-year-old woman with a history of chronic diarrhea and weight loss evolving for at least the last 6 years. The diagnosis of Whipple's disease was confirmed by histopathological examination of duodenal biopsy samples with Periodic acid-Schiff positive macrophages and by polymerase chain reaction technique detecting the DNA of
    Discussion: The intriguing thing with this case was not only the natural resistance to co-trimoxazole but that the infection was controlled empirically with long-lasting i.v. tigecycline since several failed attempts to discontinue i.v. treatment followed. This might be due to erratic absorption of oral drugs due to gut inflammation.
    Conclusions: To our knowledge, this is the first case of Whipple's disease successfully treated with long-lasting induction parenteral tigecycline followed by p.o. doxycycline along with hydroxychloroquine for one year and after by p.o. doxycycline alone.
    Language English
    Publishing date 2021-03-15
    Publishing country Romania
    Document type Case Reports
    ZDB-ID 2649305-6
    ISSN 2248-2997
    ISSN 2248-2997
    DOI 10.18683/germs.2021.1246
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article: Unraveling the Role of Molecular Profiling in Predicting Treatment Response in Stage III Colorectal Cancer Patients: Insights from the IDEA International Study.

    Messaritakis, Ippokratis / Psaroudaki, Eleni / Vogiatzoglou, Konstantinos / Sfakianaki, Maria / Topalis, Pantelis / Iliopoulos, Ioannis / Mavroudis, Dimitrios / Tsiaoussis, John / Gouvas, Nikolaos / Tzardi, Maria / Souglakos, John

    Cancers

    2023  Volume 15, Issue 19

    Abstract: Background: This study aimed to investigate the molecular profiles of 237 stage III CRC patients from the international IDEA study. It also sought to correlate these profiles with Toll-like and vitamin D receptor polymorphisms, clinicopathological and ... ...

    Abstract Background: This study aimed to investigate the molecular profiles of 237 stage III CRC patients from the international IDEA study. It also sought to correlate these profiles with Toll-like and vitamin D receptor polymorphisms, clinicopathological and epidemiological characteristics, and patient outcomes.
    Methods: Whole Exome Sequencing and PCR-RFLP on surgical specimens and blood samples, respectively, were performed to identify molecular profiling and the presence of Toll-like and vitamin D polymorphisms. Bioinformatic analysis revealed mutational status.
    Results: Among the enrolled patients, 63.7% were male, 66.7% had left-sided tumors, and 55.7% received CAPOX as adjuvant chemotherapy. Whole exome sequencing identified 59 mutated genes in 11 different signaling pathways from the Kyoto Encyclopedia of Genes and Genomes (KEGG) CRC panel. On average, patients had 8 mutated genes (range, 2-21 genes). Mutations in
    Conclusions: Molecular characterization of tumor cells can enhance our understanding of the disease course. Mutations may serve as promising prognostic biomarkers, offering improved treatment options. Confirming these findings will require larger patient cohorts and international collaborations to establish correlations between molecular profiling, clinicopathological and epidemiological characteristics and clinical outcomes.
    Language English
    Publishing date 2023-09-30
    Publishing country Switzerland
    Document type Journal Article
    ZDB-ID 2527080-1
    ISSN 2072-6694
    ISSN 2072-6694
    DOI 10.3390/cancers15194819
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Article ; Online: A neural pathomics framework for classifying colorectal cancer histopathology images based on wavelet multi-scale texture analysis.

    Trivizakis, Eleftherios / Ioannidis, Georgios S / Souglakos, Ioannis / Karantanas, Apostolos H / Tzardi, Maria / Marias, Kostas

    Scientific reports

    2021  Volume 11, Issue 1, Page(s) 15546

    Abstract: Colorectal cancer (CRC) constitutes the third most commonly diagnosed cancer in males and the second in females. Precise histopathological classification of CRC tissue pathology is the cornerstone not only for diagnosis but also for patients' management ... ...

    Abstract Colorectal cancer (CRC) constitutes the third most commonly diagnosed cancer in males and the second in females. Precise histopathological classification of CRC tissue pathology is the cornerstone not only for diagnosis but also for patients' management decision making. An automated system able to accurately classify different CRC tissue regions may increase diagnostic precision and alleviate clinical workload. However, tissue classification is a challenging task due to the variability in morphological and textural characteristics present in histopathology images. In this study, an artificial neural network was trained to classify between eight classes of CRC tissue image patches derived from a public dataset with 5000 CRC histopathology image tiles. A total of 532 multi-level pathomics features examined at different scales were extracted by visual descriptors such as local binary patterns, wavelet transforms and Gabor filters. An exhaustive evaluation involving a variety of wavelet families and parameters was performed in order to shed light on the impact of scale on pathomics based CRC tissue differentiation. Our model achieved a performance accuracy of 95.3% with tenfold cross validation demonstrating superior performance compared to 87.4% reported in recent studies. Furthermore, we experimentally showed that the first and the second levels of the wavelet approximations can be used without compromising classification performance.
    MeSH term(s) Algorithms ; Colorectal Neoplasms/pathology ; Female ; Humans ; Image Processing, Computer-Assisted ; Male ; Pattern Recognition, Automated ; Support Vector Machine ; Wavelet Analysis
    Language English
    Publishing date 2021-07-30
    Publishing country England
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 2615211-3
    ISSN 2045-2322 ; 2045-2322
    ISSN (online) 2045-2322
    ISSN 2045-2322
    DOI 10.1038/s41598-021-94781-6
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