TY - JOUR AU - Óváry, Csaba AU - Bereczki, Csaba AU - Gődény, Mária AU - Battyáni, István AU - Kovács, Péter AU - Fogarasi, András AU - Janszky, József AU - Juhos, Vera AU - Rosdy, Beáta AU - Hollódy, Katalin AU - Bessenyei, Mónika AU - Barsi, Péter AU - Martos, János AU - Békés, Judit AU - Borbély, Katalin TI - A Belügyminisztérium egészségügyi szakmai irányelve az epilepsziás rohamok és epilepszia felismeréséről, kezeléséről és az epilepsziás betegek gondozásáról JF - EGÉSZSÉGÜGYI KÖZLÖNY J2 - EGÉSZSÉGÜGYI KÖZLÖNY VL - 74 PY - 2024 IS - 7 SP - 1256 EP - 1310 PG - 55 SN - 2063-1146 UR - https://m2.mtmt.hu/api/publication/34833014 ID - 34833014 LA - Hungarian DB - MTMT ER - TY - JOUR AU - Kovács, Péter AU - Németh, Attila AU - Gonda, Xénia AU - Csigó, Katalin AU - Purebl, György AU - Kiss, Dániel Balázs AU - Ozvald, Gabriella TI - A Belügyminisztérium egészségügyi szakmai irányelve a pszichoterápiás ellátásról JF - EGÉSZSÉGÜGYI KÖZLÖNY J2 - EGÉSZSÉGÜGYI KÖZLÖNY VL - 74 PY - 2024 IS - 6 SP - 909 EP - 1043 PG - 135 SN - 2063-1146 UR - https://m2.mtmt.hu/api/publication/34832954 ID - 34832954 LA - Hungarian DB - MTMT ER - TY - JOUR AU - Suba, Zsuzsanna TI - DNA Damage Responses in Tumors Are Not Proliferative Stimuli, but Rather They Are DNA Repair Actions Requiring Supportive Medical Care. JF - CANCERS J2 - CANCERS VL - 16 PY - 2024 IS - 8 SN - 2072-6694 DO - 10.3390/cancers16081573 UR - https://m2.mtmt.hu/api/publication/34827151 ID - 34827151 N1 - Journal Article; Review AB - In tumors, somatic mutagenesis presumably drives the DNA damage response (DDR) via altered regulatory pathways, increasing genomic instability and proliferative activity. These considerations led to the standard therapeutic strategy against cancer: the disruption of mutation-activated DNA repair pathways of tumors.Justifying that cancer cells are not enemies to be killed, but rather that they are ill human cells which have the remnants of physiologic regulatory pathways.1. Genomic instability and cancer development may be originated from a flaw in estrogen signaling rather than excessive estrogen signaling; 2. Healthy cells with genomic instability exhibit somatic mutations, helping DNA restitution; 3. Somatic mutations in tumor cells aim for the restoration of DNA damage, rather than further genomic derangement; 4. In tumors, estrogen signaling drives the pathways of DNA stabilization, leading to apoptotic death; 5. In peritumoral cellular infiltration, the genomic damage of the tumor induces inflammatory cytokine secretion and increased estrogen synthesis. In the inflammatory cells, an increased growth factor receptor (GFR) signaling confers the unliganded activation of estrogen receptors (ERs); 6. In breast cancer cells responsive to genotoxic therapy, constitutive mutations help the upregulation of estrogen signaling and consequential apoptosis. In breast tumors non-responsive to genotoxic therapy, the possibilities for ER activation via either liganded or unliganded pathways are exhausted, leading to farther genomic instability and unrestrained proliferation.Understanding the real character and behavior of human tumors at the molecular level suggests that we should learn the genome repairing methods of tumors and follow them by supportive therapy, rather than provoking additional genomic damages. LA - English DB - MTMT ER - TY - JOUR AU - Ludwig, Gerd AU - Randelovic, Ivan AU - Dimić, Dušan AU - Komazec, Teodora AU - Maksimović-Ivanić, Danijela AU - Mijatović, Sanja AU - Rüffer, Tobias AU - Kaluđerović, Goran N TI - (Pentamethylcyclopentadienyl)chloridoiridium(III) Complex Bearing Bidentate Ph2PCH2CH2SPh-κP,κS Ligand. JF - BIOMOLECULES J2 - BIOMOLECULES VL - 14 PY - 2024 IS - 4 SN - 2218-273X DO - 10.3390/biom14040420 UR - https://m2.mtmt.hu/api/publication/34827138 ID - 34827138 N1 - Journal Article; Research Support, Non-U.S. Gov't AB - The (pentamethylcyclopentadienyl)chloridoiridium(III) complex bearing a κP,κS-bonded Ph2PCH2CH2SPh ligand ([Ir(η5-C5Me5)Cl(Ph2P(CH2)2SPh-κP,κS)]PF6, (1)] was synthesized and characterized. Multinuclear (1H, 13C and 31P) NMR spectroscopy was employed for the determination of the structure. Moreover, SC-XRD confirmed the proposed structure belongs to the "piano stool" type. The Hirshfeld surface analysis outlined the most important intermolecular interactions in the structure. The crystallographic structure was optimized at the B3LYP-D3BJ/6-311++G(d,p)(H,C,P,S,Cl)/LanL2DZ(Ir) level of theory. The applicability of this level was verified through a comparison of experimental and theoretical bond lengths and angles, and 1H and 13C NMR chemical shifts. The Natural Bond Orbital theory was used to identify and quantify the intramolecular stabilization interactions, especially those between donor atoms and Ir(III) ions. Complex 1 was tested on antitumor activity against five human tumor cell lines: MCF-7 breast adenocarcinoma, SW480 colon adenocarcinoma, 518A2 melanoma, 8505C human thyroid carcinoma and A253 submandibular carcinoma. Complex 1 showed superior antitumor activity against cisplatin-resistant MCF-7, SW480 and 8505C cell lines. The mechanism of tumoricidal action on 8505C cells indicates the involvement of caspase-induced apoptosis, accompanied by a considerable reduction in ROS/RNS and proliferation potential of treated cells. LA - English DB - MTMT ER - TY - JOUR AU - Wheatley, Duncan A AU - Berardi, Rossana AU - Climent Duran, Miguel A AU - Tomiak, Anna AU - Greystoke, Alastair P AU - Joshua, Anthony M AU - Arkenau, Hendrik-Tobias AU - Géczi, Lajos AU - Garcia-Corbacho, Javier AU - Paz-Ares, Luis G AU - Hussain, Syed A AU - Petruželka, Lubos AU - Delmonte, Angelo AU - Chappey, Colombe AU - Masters, Joanna C AU - Michelon, Elisabete AU - Murphy, Danielle A AU - Mwewa, Sandrine AU - Cesari, Rossano AU - Doger de Speville, Bernard TI - First-line avelumab plus chemotherapy in patients with advanced solid tumors. results from the phase 1b/2 JAVELIN Chemotherapy Medley study. TS - results from the phase 1b/2 JAVELIN Chemotherapy Medley study. JF - Cancer Research Communications VL - Apr 26 PY - 2024 SN - 2767-9764 DO - 10.1158/2767-9764.CRC-23-0459 UR - https://m2.mtmt.hu/api/publication/34827132 ID - 34827132 AB - Chemotherapy can potentially enhance the activity of immune checkpoint inhibitors by promoting immune priming. The phase 1b/2 JAVELIN Chemotherapy Medley trial evaluated first-line avelumab + concurrent chemotherapy in patients with advanced urothelial carcinoma or nonsmall cell lung cancer (NSCLC).Avelumab 800 mg or 1200 mg was administered continuously every 3 weeks (Q3W) with standard doses of cisplatin + gemcitabine in patients with urothelial carcinoma, or carboplatin + pemetrexed in patients with nonsquamous NSCLC. Dual primary endpoints were dose-limiting toxicity (DLT; phase 1b) and confirmed objective response (phase 1b/2).In phase 1b, urothelial carcinoma and NSCLC cohorts received avelumab 800 mg (n=13 and n=6, respectively) or 1200 mg (n=6 each) + chemotherapy. In evaluable patients with urothelial carcinoma treated with avelumab 800 mg or 1200 mg + chemotherapy, DLT occurred in 1/12 (8.3%) and 1/6 (16.7%), respectively; no DLT occurred in the NSCLC cohort. In phase 2, 35 additional patients with urothelial carcinoma received avelumab 1200 mg + chemotherapy. Across all treated patients, safety profiles were similar irrespective of avelumab dose. Objective response rates (95% confidence internal) with avelumab 800 mg or 1200 mg + chemotherapy, respectively, across phase 1b/2, were 53.8% (25.1-80.8) and 39.0% (24.2-55.5) in urothelial carcinoma, and 50.0% (11.8-88.2) and 33.3% (4.3-77.7) in NSCLC.Preliminary efficacy and safety findings with avelumab + chemotherapy in urothelial carcinoma and NSCLC were consistent with previous studies of similar combination regimens. Conclusions about clinical activity are limited by small patient numbers.gov identifier, NCT03317496. LA - English DB - MTMT ER - TY - JOUR AU - Wéber, András AU - Vignat, Jerome AU - Shah, Richa AU - Morgan, Eileen AU - Laversanne, Mathieu AU - Nagy, Péter AU - Kenessey, István AU - Znaor, Ariana TI - Global burden of bladder cancer mortality in 2020 and 2040 according to GLOBOCAN estimates. JF - WORLD JOURNAL OF UROLOGY J2 - WORLD J UROL VL - 42 PY - 2024 IS - 1 PG - 10 SN - 0724-4983 DO - 10.1007/s00345-024-04949-8 UR - https://m2.mtmt.hu/api/publication/34805400 ID - 34805400 AB - In 2020, bladder cancer (BC) was the seventh most prevalent cancer in the world, with 5-year prevalence of more than 1.7 million cases. Due to the main risk factors-smoking and chemical exposures-associated with BC, it is considered a largely preventable and avoidable cancer. An overview of BC mortality can allow an insight not only into the prevalence of global risk factors, but also into the varying efficiency of healthcare systems worldwide. For this purpose, this study analyzes the national mortality estimates for 2020 and projected future trends up to 2040.Age-standardized mortality rates per 100,000 person-years of BC for 185 countries by sex were obtained from the GLOBOCAN 2020 database, operated by the International Agency for Research on Cancer (IARC). Mortality rates were stratified according to sex and Human Development Index (HDI). BC deaths were projected up to 2040 on the basis of demographic changes, alongside different scenarios of annually increasing, stable or decreasing mortality rates from the baseline year of 2020.In 2020, nearly three times more men died from BC than women, with more than 210,000 deaths in both sexes combined, worldwide. Regardless of gender, more than half of the total BC deaths were from countries with a very high HDI. According to our projections, while the number of deaths for men can only increase up to 54% (from 159 to around 163-245 thousand), for women it is projected to increase two- to three-fold (from 50 to around 119-176 thousand) by 2040. The burden of BC mortality in countries with a very high HDI versus high HDI appears to converge by 2040 for both sexes.Opposite mortality trends by gender highlight the urgent need for immediate interventions to expand anti-tobacco strategies, especially for women. The implementation of more strict occupational health and safety regulations could also prevent exposures associated with BC. Improving the ability to detect BC earlier and access to treatment can have a significant positive impact on reducing mortality rates, minimizing economic costs, and enhancing the quality of life for patients. LA - English DB - MTMT ER - TY - JOUR AU - Massari, Francesco AU - Santoni, Matteo AU - Takeshita, Hideki AU - Okada, Yohei AU - Tapia, Jose Carlos AU - Basso, Umberto AU - Maruzzo, Marco AU - Scagliarini, Sarah AU - Büttner, Thomas AU - Fornarini, Giuseppe AU - Myint, Zin W AU - Galli, Luca AU - Souza, Vinicius Carrera AU - Pichler, Renate AU - De Giorgi, Ugo AU - Gandur, Nathalia AU - Lam, Elaine T AU - Gilbert, Danielle AU - Popovic, Lazar AU - Grande, Enrique AU - Mammone, Giulia AU - Berardi, Rossana AU - Crabb, Simon J AU - Kemp, Robert AU - Molina-Cerrillo, Javier AU - Freitas, Marcelo AU - Luz, Murilo AU - Iacovelli, Roberto AU - Calabrò, Fabio AU - Tural, Deniz AU - Atzori, Francesco AU - Küronya, Zsófia AU - Chiari, Rita AU - Campos, Saul AU - Caffo, Orazio AU - Fay, André P AU - Kucharz, Jakub AU - Zucali, Paolo Andrea AU - Rinck, José Augusto AU - Zeppellini, Annalisa AU - Bastos, Diogo Assed AU - Aurilio, Gaetano AU - Mota, Augusto AU - Trindade, Karine AU - Ortega, Cinzia AU - Sade, Juan Pablo AU - Rizzo, Mimma AU - Fiala, Ondřej AU - Vau, Nuno AU - Giannatempo, Patrizia AU - Barillas, Allan AU - Monteiro, Fernando Sabino M AU - Dauster, Breno AU - Mennitto, Alessia AU - Nogueira, Lucas AU - de Carvalho Fernandes, Roni AU - Seront, Emmanuel AU - Aceituno, Luís Garcia AU - Grillone, Francesco AU - Cutuli, Hernan Javier AU - Fernandez, Mauricio AU - Bassanelli, Maria AU - Kopp, Ray Manneh AU - Roviello, Giandomenico AU - Abahssain, Halima AU - Procopio, Giuseppe AU - Milella, Michele AU - Kopecky, Jindrich AU - Martignetti, Angelo AU - Messina, Carlo AU - Caitano, Manuel AU - Inman, Eva AU - Kanesvaran, Ravindran AU - Herchhorn, Daniel AU - Santini, Daniele AU - Bamias, Aristotelis AU - Bisonni, Renato AU - Mosca, Alessandra AU - Morelli, Franco AU - Maluf, Fernando AU - Soares, Andrey AU - Nunes, Fernando AU - Pinto, Alvaro AU - Zgura, Anca AU - Incorvaia, Lorena AU - Ansari, Jawaher AU - Zabalza, Ignacio Ortego AU - Landmesser, Johannes AU - Rizzo, Alessandro AU - Mollica, Veronica AU - Marchetti, Andrea AU - Rosellini, Matteo AU - Sorgentoni, Giulia AU - Battelli, Nicola AU - Buti, Sebastiano AU - Porta, Camillo AU - Bellmunt, Joaquim TI - Global real-world experiences with pembrolizumab in advanced urothelial carcinoma after platinum-based chemotherapy. the ARON-2 study. TS - the ARON-2 study. JF - CANCER IMMUNOLOGY IMMUNOTHERAPY J2 - CANCER IMMUNOL IMMUN VL - 73 PY - 2024 IS - 6 SP - 106 SN - 1432-0851 DO - 10.1007/s00262-024-03682-w UR - https://m2.mtmt.hu/api/publication/34805365 ID - 34805365 AB - Immune checkpoint inhibitors have changed previous treatment paradigm of advanced urothelial carcinoma (UC). The ARON-2 study (NCT05290038) aimed to assess the real-world effectiveness of pembrolizumab in patients recurred or progressed after platinum-based chemotherapy.Medical records of patients with documented metastatic UC treated by pembrolizumab as second-line therapy were retrospectively collected from 88 institutions in 23 countries. Patients were assessed for overall survival (OS), progression-free survival (PFS) and overall response rate (ORR). Cox proportional hazards models were adopted to explore the presence of prognostic factors.In total, 836 patients were included: 544 patients (65%) received pembrolizumab after progression to first-line platinum-based chemotherapy in the metastatic setting (cohort A) and 292 (35%) after recurring within < 12 months since the completion of adjuvant or neoadjuvant chemotherapy (cohort B). The median follow-up time was 15.3 months. The median OS and the ORR were 10.5 months and 31% in the overall study population, 9.1 months and 29% in cohort A and 14.6 months and 37% in cohort B. At multivariate analysis, ECOG-PS ≥ 2, bone metastases, liver metastases and pembrolizumab setting (cohort A vs B) proved to be significantly associated with worst OS and PFS. Stratified by the presence of 0, 1-2 or 3-4 prognostic factors, the median OS was 29.4, 12.5 and 4.1 months (p < 0.001), while the median PFS was 12.2, 6.4 and 2.8 months, respectively (p < 0.001).Our study confirms that pembrolizumab is effective in the advanced UC real-world context, showing outcome differences between patients recurred or progressed after platinum-based chemotherapy. LA - English DB - MTMT ER - TY - GEN AU - Jánváry, Zsolt Levente TI - Célzott sugárkezelés és sugársebészet PY - 2024 UR - https://m2.mtmt.hu/api/publication/34795787 ID - 34795787 N1 - Előadás LA - Hungarian DB - MTMT ER - TY - GEN AU - Bíró, Krisztina TI - Urológiai daganatok gyógyszeres kezelése PY - 2024 UR - https://m2.mtmt.hu/api/publication/34795710 ID - 34795710 N1 - Előadás LA - Hungarian DB - MTMT ER - TY - GEN AU - Gesztesi, László TI - Urológiai daganatok sugárkezelése PY - 2024 UR - https://m2.mtmt.hu/api/publication/34795682 ID - 34795682 N1 - Előadás LA - Hungarian DB - MTMT ER -