TY - JOUR AU - Fábián, Anna AU - Bor, Renáta AU - Vasas, Béla AU - Szűcs, Mónika AU - Tóth, Tibor AU - Bősze, Zsófia AU - Szántó, Kata Judit AU - Bacsur, Péter AU - Bálint, Anita AU - Farkas, Bernadett AU - Farkas, Klaudia AU - Milassin, Ágnes AU - Rutka, Mariann AU - Resál, Tamás AU - Molnár, Tamás AU - Szepes, Zoltán TI - Long-term outcomes after endoscopic removal of malignant colorectal polyps. Results from a 10-year cohort TS - Results from a 10-year cohort JF - WORLD JOURNAL OF GASTROINTESTINAL ENDOSCOPY J2 - WORLD J GASTROINTEST ENDOSC VL - 16 PY - 2024 IS - 4 SP - 193 EP - 205 PG - 13 SN - 1948-5190 DO - 10.4253/wjge.v16.i4.193 UR - https://m2.mtmt.hu/api/publication/34852892 ID - 34852892 AB - Choosing an optimal post-polypectomy management strategy of malignant colorectal polyps is challenging, and evidence regarding a surveillance-only strategy is limited.To evaluate long-term outcomes after endoscopic removal of malignant colorectal polyps.A single-center retrospective cohort study was conducted to evaluate outcomes after endoscopic removal of malignant colorectal polyps between 2010 and 2020. Residual disease rate and nodal metastases after secondary surgery and local and distant recurrence rate for those with at least 1 year of follow-up were investigated. Event rates for categorical variables and means for continuous variables with 95% confidence intervals were calculated, and Fisher's exact test and Mann-Whitney test were performed. Potential risk factors of adverse outcomes were determined with univariate and multivariate logistic regression models.In total, 135 lesions (mean size: 22.1 mm; location: 42% rectal) from 129 patients (mean age: 67.7 years; 56% male) were enrolled. The proportion of pedunculated and non-pedunculated lesions was similar, with en bloc resection in 82% and 47% of lesions, respectively. Tumor differentiation, distance from resection margins, depth of submucosal invasion, lymphovascular invasion, and budding were reported at 89.6%, 45.2%, 58.5%, 31.9%, and 25.2%, respectively. Residual tumor was found in 10 patients, and nodal metastasis was found in 4 of 41 patients who underwent secondary surgical resection. Univariate analysis identified piecemeal resection as a risk factor for residual malignancy (odds ratio: 1.74; P = 0.042). At least 1 year of follow-up was available for 117 lesions from 111 patients (mean follow-up period: 5.59 years). Overall, 54%, 30%, 30%, 11%, and 16% of patients presented at the 1-year, 3-year, 5-year, 7-year, and 9-10-year surveillance examinations. Adverse outcomes occurred in 9.0% (local recurrence and dissemination in 4 patients and 9 patients, respectively), with no difference between patients undergoing secondary surgery and surveillance only.Reporting of histological features and adherence to surveillance colonoscopy needs improvement. Long-term adverse outcome rates might be higher than previously reported, irrespective of whether secondary surgery was performed. LA - English DB - MTMT ER - TY - JOUR AU - Jójárt, Boldizsár AU - Resál, Tamás AU - Kata, Diána AU - Molnár, Tünde AU - Bacsur, Péter AU - Szabó, Viktória AU - Varga, Árpád AU - Szántó, Kata Judit AU - Pallagi, Petra AU - Földesi, Imre AU - Molnár, Tamás AU - Maléth, József AU - Farkas, Klaudia TI - P421 The faecal biomarker LDN-051 is a novel tool for monitoring disease activity and therapeutic response in Inflammatory Bowel Diseases JF - JOURNAL OF CROHNS & COLITIS J2 - J CROHNS COLITIS VL - 18 PY - 2024 IS - Supplement_1 SP - i869 EP - i869 PG - 1 SN - 1873-9946 DO - 10.1093/ecco-jcc/jjad212.0551 UR - https://m2.mtmt.hu/api/publication/34538603 ID - 34538603 LA - English DB - MTMT ER - TY - JOUR AU - Jójárt, Boldizsár AU - Resál, Tamás AU - Kata, Diána AU - Molnár, Tünde AU - Bacsur, Péter AU - Szabó, Viktória AU - Varga, Árpád AU - Szántó, Kata Judit AU - Pallagi, Petra AU - Földesi, Imre AU - Molnár, Tamás AU - Maléth, József AU - Farkas, Klaudia TI - Plasminogen activator inhibitor 1 is a novel faecal biomarker for monitoring disease activity and therapeutic response in inflammatory bowel diseases JF - JOURNAL OF CROHNS & COLITIS J2 - J CROHNS COLITIS VL - 18 PY - 2024 IS - 3 SP - 392 EP - 405 PG - 14 SN - 1873-9946 DO - 10.1093/ecco-jcc/jjad160 UR - https://m2.mtmt.hu/api/publication/34167015 ID - 34167015 N1 - Ladon Therapeutics Ltd, Szeged, Hungary Department of Medicine, University of Szeged, Szeged, Hungary ELKH-USZ Momentum Epithelial Cell Signaling and Secretion Research Group, University of Szeged, Szeged, Hungary HCEMM-USZ Molecular Gastroenterology Research Group, University of Szeged, Szeged, Hungary Faculty of Medicine, Institute of Laboratory Medicine, University of Szeged, Szeged, Hungary Export Date: 8 April 2024 Correspondence Address: Maléth, J.; HAS-USZ Momentum Epithelial Cell Signalling and Secretion Research Group, Hungary; email: maleth.jozsef@med.uszeged.hu Correspondence Address: Farkas, K.; HAS-USZ Momentum Epithelial Cell Signalling and Secretion Research Group, Hungary Chemicals/CAS: adalimumab, 331731-18-1, 1446410-95-2; azathioprine, 446-86-6, 55774-33-9; budesonide, 51333-22-3, 51372-29-3; cyclosporine, 59865-13-3, 63798-73-2, 79217-60-0; infliximab, 170277-31-3; mesalazine, 89-57-6; plasminogen activator inhibitor 1, 140208-23-7; tofacitinib, 477600-75-2, 540737-29-9; ustekinumab, 815610-63-0, 949907-93-1; vedolizumab, 943609-66-3; Biomarkers; Plasminogen Activator Inhibitor 1 Tradenames: 201170, Greiner; ab269373, Abcam; ChemiDoc MP, Biorad; GraphPad 9.5.0, Graphpad; iScript cDNA Synthesis Kit, Biorad; MedCalc Software 20.211, MedCalc; Multiskan FC, Thermo; NucleoSpin RNA Plus Kit, Macherey Manufacturers: Abcam; Biorad; Carl Zeiss; Graphpad; Greiner; Macherey; MedCalc; Thermo AB - Crohn's disease and ulcerative colitis require lifelong treatment and patient monitoring. Current biomarkers have several limitations, therefore, there is an unmet need to identify novel biomarkers in inflammatory bowel disease (IBD). Previously, the role of plasminogen activator inhibitor 1 (PAI-1) was established in the pathogenesis of IBD and suggested as a potential biomarker. Therefore, we aimed to comprehensively analyze the selectivity of PAI-1 in IBD, its correlation with the disease activity, and its potential to predict therapeutic response.Blood, colon biopsy, organoid cultures (OC), and faecal samples were used from active and inactive IBD patients and control subjects. Serpin E1 gene expressions and PAI-1 protein levels and localization in serum, biopsy, and fecal samples were evaluated by qRT-PCR, ELISA, and immunostaining, respectively.The study population comprised 132 IBD patients (56 CD and 76 UC) and 40 non-IBD patients. We demonstrated that the serum, mucosal, and faecal PAI-1 concentration is elevated in IBD patients, showing clinical and endoscopic activity. In responders (decrease of eMayo≥3 in UC; or SES-CD>50% in CD), the initial PAI-1 level decreased significantly upon successful therapy. OCs derived from active IBD patients produced higher concentrations of PAI-1 than the controls, suggesting that epithelial cells could be a source of PAI-1. Moreover, faecal PAI-1 selectively increases in active IBD but not other organic gastrointestinal diseases.The serum, mucosal, and faecal PAI-1 concentration correlates with the disease activity and therapeutic response in IBD, suggesting that PAI-1 could be utilized as a novel non-invasive, disease-specific faecal biomarker in the patient follow-up. LA - English DB - MTMT ER - TY - JOUR AU - Jójárt, Boldizsár AU - Resál, Tamás AU - Kata, Diána AU - Molnár, Tünde AU - Bacsur, Péter AU - Szabó, Viktória AU - Varga, Árpád AU - Szántó, Kata Judit AU - Földesi, Imre AU - Molnár, Tamás AU - Maléth, József AU - Farkas, Klaudia TI - LDN-051 a novel fecal biomarker for monitoring disease activity and therapeutic response in inflammatory bowel diseases – results of a phase 2 clinical trial JF - UNITED EUROPEAN GASTROENTEROLOGY JOURNAL J2 - UEG JOURNAL VL - 11 PY - 2023 IS - S8 SP - 291 EP - 292 PG - 2 SN - 2050-6406 UR - https://m2.mtmt.hu/api/publication/34593890 ID - 34593890 LA - English DB - MTMT ER - TY - THES AU - Szántó, Kata Judit TI - Crucial steps for treatment optimization and decision making in inflammatory bowel disease management [A terápia optimalizálását és a döntéshozatalt befolyásoló tényezők a gyulladásos bélbetegségek kezelése során] PB - Szegedi Tudományegyetem PY - 2023 SP - 53 DO - 10.14232/phd.11527 UR - https://m2.mtmt.hu/api/publication/34113040 ID - 34113040 LA - English DB - MTMT ER - TY - JOUR AU - Resál, Tamás AU - Bacsur, Péter AU - Horváth, Miklós AU - Szántó, Kata Judit AU - Rutka, Mariann AU - Bálint, Anita AU - Fábián, Anna AU - Bor, Renáta AU - Szepes, Zoltán AU - Fekete, János Tibor AU - Farkas, Klaudia AU - Miheller, Pál AU - Molnár, Tamás TI - Nationwide experiences with trough levels, durability, and disease activity among inflammatory bowel disease patients following COVID-19 vaccination. JF - THERAPEUTIC ADVANCES IN GASTROENTEROLOGY J2 - THER ADV GASTROENTER VL - 16 PY - 2023 PG - 14 SN - 1756-283X DO - 10.1177/17562848231183529 UR - https://m2.mtmt.hu/api/publication/34071361 ID - 34071361 N1 - Supplemental material for this article is available online. AB - The severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) pandemic has complicated the management of inflammatory bowel diseases (IBD).This study aimed to assess the efficacy of different anti-SARS-CoV-2 vaccines under different treatments in IBD patients and identify predictive factors associated with lower serological response, including anti-tumor necrosis factor (anti-TNF) drug levels.A prospective, double-center study of IBD patients was conducted following messenger ribonucleotide acid (mRNA) and non-mRNA anti-SARS-CoV-2 vaccination.Healthy control (HC) patients were enrolled to reduce bias. Baseline and control samples were obtained 14 days after the second dose to assess the impact of conventional and biological treatments. Clinical and biochemical activity, serological response level, and anti-TNF drug levels were measured.This study included 199 IBD (mean age, 40.9 ± 12.72 years) and 77 HC participants (mean age, 50.3 ± 12.36 years). Most patients (76.9%) and all HCs received mRNA vaccines. Half of the IBD patients were on biological treatment (anti-TNF 68.7%). Biological and thiopurine combined immunomodulation and biological treatment were associated with lower serological response (p < 0.001), and mRNA vaccination promoted better antibody levels (p < 0.001). Higher adalimumab levels caused lower serological response (p = 0.006). W8 persistence of anti-SARS-CoV-2 level was equal in IBD and HC groups. Vaccination did not aggravate clinical disease activity (p = 0.65).Anti-SARS-CoV-2 vaccination is considerably efficacious in IBD patients, with mRNA vaccines promoting better antibody levels. The negative impact of combined biological treatment, especially with high adalimumab drug levels, on serological response to vaccination should be considered. Although midterm durability of vaccination is encouraging, more data are needed to expand the existing understanding on this issue. LA - English DB - MTMT ER - TY - JOUR AU - Bacsur, Péter AU - Rutka, Mariann AU - Asbóth, András AU - Resál, Tamás AU - Szántó, Kata Judit AU - Jójárt, Boldizsár AU - Bálint, Anita AU - Ari, Eszter AU - Ajibola, Walliyulahi AU - Kintses, Bálint AU - Fehér, Tamás AU - Pigniczki , Daniella AU - Bor, Renáta AU - Fábián, Anna AU - Maléth, József AU - Szepes, Zoltán AU - Farkas, Klaudia AU - Molnár, Tamás TI - Effects of bowel cleansing on the composition of the gut microbiota in inflammatory bowel disease patients and healthy controls JF - THERAPEUTIC ADVANCES IN GASTROENTEROLOGY J2 - THER ADV GASTROENTER VL - 16 PY - 2023 PG - 13 SN - 1756-283X DO - 10.1177/17562848231174298 UR - https://m2.mtmt.hu/api/publication/34014839 ID - 34014839 N1 - "Asbóth Andrásnál tévesen szerepel a publikáción az SZTE/TTIK/BI/Biokémiai és Molekuláris Biológiai Tanszék. (SE, SZTE admin5)" LA - English DB - MTMT ER - TY - JOUR AU - Jójárt, Boldizsár AU - Resál, Tamás AU - Kata, Diána AU - Molnár, Tünde AU - Bacsur, Péter AU - Szabó, Viktória AU - Varga, Árpád AU - Szántó, Kata Judit AU - Földesi, Imre AU - Molnár, Tamás AU - Maléth, József AU - Farkas, Klaudia TI - Plasminogen activator inhibitor 1 - a novel potential biomarker in inflammatory bowel diseases JF - CENTRAL EUROPEAN JOURNAL OF GASTROENTEROLOGY AND HEPATOLOGY / GASZTROENTEROLÓGIAI ÉS HEPATOLÓGIAI SZEMLE J2 - CENT EUR J GASTRO HEPATOL VL - 9 PY - 2023 IS - Suppl. 1 SP - 85 EP - 85 PG - 1 SN - 2415-9107 UR - https://m2.mtmt.hu/api/publication/34012213 ID - 34012213 LA - English DB - MTMT ER - TY - JOUR AU - Resál, Tamás AU - Mangó, Katalin AU - Bacsur, Péter AU - Szántó, Kata Judit AU - Pigniczki , Daniella AU - Keresztes, Csilla AU - Rutka, Mariann AU - Bálint, Anita AU - Milassin, Ágnes AU - Bor, Renáta AU - Fábián, Anna AU - Szepes, Zoltán AU - Farkas, Klaudia AU - Monostory, Katalin AU - Molnár, Tamás TI - Possible genetical predictors of efficacy and safety of budesonide-MMX in patients with mild-to-moderate ulcerative colitis, and safety comparison with methylprednisolone JF - EXPERT OPINION ON DRUG SAFETY J2 - EXPERT OPIN DRUG SAF VL - 22 PY - 2023 IS - 6 SP - 517 EP - 524 PG - 8 SN - 1474-0338 DO - 10.1080/14740338.2023.2181336 UR - https://m2.mtmt.hu/api/publication/33697762 ID - 33697762 N1 - Funding Agency and Grant Number: New National Excellence Program of the Ministry of Human Capacities [UNKP-22-3-SZTE-233, 125377, 129266, 134863, BO/00598/19/5]; Hungarian Scientific Research; National Research, Development and Innovation Office [BO/00723/22]; Janos Bolyai Research Grant; Geza Hetenyi Research Grant; Albert Szent-Gyoergyi Medical School, University of Szeged; [UNKP-22-3-SZTE-278]; [UNKP-22-5-SZTE-545]; [UNKP-22-4 -SZTE-296]; [UNKP-21-5-SZTE-552] Funding text: This work was supported by the research grants of the Hungarian Scientific Research (K22-143549) National Research, Development and Innovation Office (Grant ID: 125377, 129266 and 134863), by the New National Excellence Program of the Ministry of Human Capacities (UNKP-22-3-SZTE-278 to T Resal, UNKP-22-5-SZTE-545 to R Bor, UNKP-22-4 -SZTE-296 to A Fabian, UNKP-21-5-SZTE-552 to K Farkas, UNKP-22-3-SZTE-233 to P Bacsur), and Janos Bolyai Research Grant (BO/00598/19/5 to K Farkas and BO/00723/22 to R Bor) and the Geza Hetenyi Research Grant (to K Farkas, M Rutka and A Balint) by the Albert Szent-Gyoergyi Medical School, University of Szeged. LA - English DB - MTMT ER - TY - JOUR AU - Dávid, Anett AU - Szántó, Kata Judit AU - Fábián, Anna AU - Resál, Tamás AU - Farkas, Klaudia AU - Hallgató, Emese AU - Miheller, Pál AU - Sarlós, Patrícia AU - Molnár, Tamás AU - Rafael, Beatrix TI - Psychological characteristics of patients with inflammatory bowel disease during the first wave of COVID-19 JF - PRZEGLAD GASTROENTEROLOGICZNY J2 - PRZ GASTROENTEROL VL - 18 PY - 2023 IS - 3 SP - 334 EP - 343 PG - 10 SN - 1895-5770 DO - 10.5114/pg.2023.131398 UR - https://m2.mtmt.hu/api/publication/33667439 ID - 33667439 N1 - Department of Medicine, University of Szeged, Szeged, Hungary Institute of Psychology, University of Szeged, Szeged, Hungary 1st Department of Surgery, Semmelweis University, Budapest, Hungary Division of Gastroenterology, First Department of Medicine, Medical School, University of Pécs, Pécs, Hungary Department of Preventive Medicine, University of Szeged, Szeged, Hungary Export Date: 28 November 2023 Correspondence Address: Molnár, T.; Department of Medicine, Hungary; email: molnar.tamas@med.u-szeged.hu LA - English DB - MTMT ER -