Publications by authors named "Maria Loizidou"

Background: Primary Progressive Aphasia describes a language-led dementia and its variants. There is little research exploring the experiences of living with this disease. Metaphor, words that represent something else, have been studied extensively in health-related narratives to gain a more intimate insight into health experiences.

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It is estimated that around 5% of breast cancer cases carry pathogenic variants in established breast cancer susceptibility genes. However, the underlying prevalence and gene-specific population risk estimates in Cyprus are currently unknown. We performed sequencing on a population-based case-control study of 990 breast cancer cases and 1094 controls from Cyprus using the BRIDGES sequencing panel.

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Linkage and candidate gene studies have identified several breast cancer susceptibility genes, but the overall contribution of coding variation to breast cancer is unclear. To evaluate the role of rare coding variants more comprehensively, we performed a meta-analysis across three large whole-exome sequencing datasets, containing 26,368 female cases and 217,673 female controls. Burden tests were performed for protein-truncating and rare missense variants in 15,616 and 18,601 genes, respectively.

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  • * The study revealed significant variation in the prevalence of four common PTVs across different regions in Europe, with p.Gln1701* being most common in Northern Europe and p.Gly1906Alafs*12 most common in Southern Europe.
  • * Findings suggest that the distribution of rare PTVs is more heterogeneous in Southwestern and Central Europe compared to Northeastern Europe, which will aid in crafting targeted genetic testing for breast cancer in specific European populations.
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Background: Primary ciliary dyskinesia (PCD) is a congenital disorder characterized by chronic respiratory morbidity. To date, there is no information on PCD-specific preference-based quality of life measures such as health utilities (HU). We cross-sectionally assessed HU in adult PCD patients and explored relationships with genotype, phenotype and quality of life (QOL)-PCD scales.

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Parkinson's Disease (PD) is a multifactorial neurodegenerative disease characterized by motor and non-motor symptoms. The etiology of PD remains unclear. However, several studies have demonstrated the interplay of genetic, epigenetic, and environmental factors in PD.

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Background: Primary progressive aphasia (PPA) describes a group of language-led dementias. PPAs are complex, diverse and difficult to diagnose, and therefore conventional models of aphasia and dementia treatment do not meet their needs. The research evidence on intervention for PPA is developing, but to date there are only a few case studies exploring the experiences of people with PPA (PwPPA) themselves.

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  • Reproductive factors, such as parity and breastfeeding, show varying associations with different subtypes of breast cancer, particularly distinguishing between estrogen receptor-positive and -negative types.
  • In a vast study involving over 23,000 cases and 71,000 controls, researchers used statistical methods to examine how these factors relate to intrinsic breast cancer subtypes like luminal A-like and triple-negative.
  • The findings revealed that parous women face a decreased risk of certain ER-positive breast cancers after a significant time post-birth, while they show an increased risk of triple-negative breast cancer, particularly soon after childbirth, indicating the complexity of reproductive biology's role in breast cancer risk.
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  • Protein truncating variants in genes like ATM and BRCA1 are linked to higher breast cancer risk, but the risks of missense variants remain unclear.
  • A study involving over 59,000 breast cancer cases analyzed the impact of rare missense variants across several genes using advanced prediction techniques and statistical models.
  • The analysis indicated that some missense variants in genes like ATM and BRCA1 could carry risks similar to truncating variants, while CHEK2 showed a different risk profile, and PALB2 variants had minimal association with breast cancer risk.
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  • Rare germline genetic variants in specific genes are linked to increased breast cancer risk, but their impact on different subtypes of the disease is not fully understood.
  • The BRIDGES study analyzed data from 42,680 breast cancer patients and 46,387 controls, focusing on specific genetic mutations and their associations with tumor characteristics.
  • Results showed that certain gene variants (like RAD51C, RAD51D, and BARD1) are primarily linked to triple-negative breast cancer, while others (like CHEK2) are associated with various subtypes, indicating varied genetic influence on breast cancer types.
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  • The SARS-CoV-2 pandemic continues to impact lives and economic stability globally into its second year, prompting ongoing research into antibody responses.
  • A study in Cyprus found that most individuals infected with SARS-CoV-2 developed IgG antibodies at least 20 days post-infection, with seroprevalence among the untested or RT-PCR negative group being 14.43%.
  • The results suggest underreporting of infections and indicate a gradual increase in herd immunity, while highlighting a decrease in anti-NP IgG levels compared to stable anti-S1RBD IgG levels over time in previously infected individuals.
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Purpose: Despite the increasing incidence of currently incurable brain cancer, limited resources are placed in patients' support systems, with reactive utilisation late in the disease course, when physical and psychological symptoms have peaked. Based on patient-derived data and emphasis on service improvement, this review investigated the structure and efficacy of the support methods of newly diagnosed brain cancer patients in healthcare systems.

Methods: This systematic review was performed following the Preferred Reporting Items for Systematic Reviews and Meta-Analysis Protocols.

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The PRS combines multiplicatively the effects of common low-risk single nucleotide polymorphisms (SNPs) and has the potential to be used for the estimation of an individual's risk for a trait or disease. PRS has been successfully implemented for the prediction of breast cancer risk. The combination of PRS with classical breast cancer risk factors provides a more comprehensive risk estimation and could, thus, improve risk stratification and personalized preventative strategies.

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  • Parkinson's disease (PD) is influenced by genetic and lifestyle factors, prompting a study to evaluate how well a polygenic risk score (PRS) from 12 SNPs predicts PD alongside these factors.
  • Data from 235 PD patients and 464 controls were analyzed, showing that the PRS was significantly higher in PD cases, with other risk factors like age and family history also linked to the disease.
  • A combined predictive model using the PRS and seven lifestyle/environmental factors proved most effective in identifying PD risk in the studied population.
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Whole genome sequencing of viral specimens following molecular diagnosis is a powerful analytical tool of molecular epidemiology that can critically assist in resolving chains of transmission, identifying of new variants or assessing pathogen evolution and allows a real-time view into the dynamics of a pandemic. In Cyprus, the first two cases of COVID-19 were identified on March 9, 2020 and since then 33,567 confirmed cases and 230 deaths were documented. In this study, viral whole genome sequencing was performed on 133 SARS-CoV-2 positive samples collected between March 2020 and January 2021.

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  • Next-generation sequencing (NGS) significantly enhances clinical genetics but poses challenges in technical execution and data interpretation, necessitating a consistent analysis pipeline to minimize inaccuracies.
  • A study evaluated 28 combinations of NGS analysis methods, concluding that interval padding is crucial for accurately identifying key variants in breast cancer patients, with BWA-MEM recommended for alignment and a mix of GATK and SAMtools for variant calling.
  • The research underscores the need for improved tools and methodologies in clinical settings to ensure reliable identification of important genetic variants, particularly when dedicated bioinformatics support is limited.
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We aimed to determine a genetic diagnosis in the national primary ciliary dyskinesia (PCD) cohort of Cyprus, an island with a high disease prevalence. We used targeted next-generation sequencing (NGS) of 39 PCD genes in 48 patients of Greek-Cypriot and other ancestries. We achieved a molecular diagnosis in 74% of the unrelated families tested.

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Background: Genetic testing for breast cancer susceptibility is widely used, but for many genes, evidence of an association with breast cancer is weak, underlying risk estimates are imprecise, and reliable subtype-specific risk estimates are lacking.

Methods: We used a panel of 34 putative susceptibility genes to perform sequencing on samples from 60,466 women with breast cancer and 53,461 controls. In separate analyses for protein-truncating variants and rare missense variants in these genes, we estimated odds ratios for breast cancer overall and tumor subtypes.

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