Publications by authors named "Natasa Debeljak"

Targeted next-generation sequencing (NGS) in rare disease focuses on genetic analysis of specific regions in genome that are linked to a rare disease. In addition to library preparation, sequencing, and data analysis, targeted NGS includes an additional step of target enrichment of selected genes and regions. It allows for more sensitive and profound sequencing, as it is a fast and cost-effective approach with less data burden and is therefore often a method of choice for identifying rare variants in known genes, especially in diagnostics of rare diseases.

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  • Congenital erythrocytosis (CE) is being recognized as a primary cause of increased red blood cell counts in patients after ruling out other conditions, prompting a study to explore the genetic factors behind idiopathic erythrocytosis.
  • Over a 5-year period, 40 patients were analyzed for factors like erythropoietin levels, hemoglobin, and potential genetic variants, with a focus on their medical history including thrombotic events and smoking status.
  • The findings showed that 20% of patients had specific variants in the gene of interest, with only one being linked to hemochromatosis, while no definitive pathogenic variants for CE were detected, indicating further investigation into genetic causes may be necessary
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Triple-negative breast cancer (TNBC) accounts for about 10-20% of all breast cancer cases and is associated with an unfavorable prognosis. Until recently, treatment options for TNBC were limited to chemotherapy. A new successful systemic treatment is immunotherapy with immune checkpoint inhibitors, but new tumor-specific biomarkers are needed to improve patient outcomes.

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We tested 35 Lipizzan horses older than 5 years, ridden and healthy in three behavioural tests (handling, fear-reaction, and target training test). Physiological (heart rate and heart rate variability) and anatomical measurements (120 head and body distances and angles) were collected to validate parameters that reliably inform on handling/cooperation, fear/exploration and trainability in horses. Utilizing a standard clustering methodology on the behavioural data, we identified four general types of responses and categorised an individual as intermediate, low fearful, horses with low cooperation or low trainability.

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  • Mutations identify clonal thrombocytosis in around 90% of patients with persistent isolated thrombocytosis, while diagnosis is more challenging in "triple-negative" patients.
  • A study involving 237 V617-negative patients aimed to find non-invasive predictors for clonal thrombocytosis, focusing on routine clinical and blood parameters.
  • The significant indicators were platelet count (with a threshold of 449 × 10/L) and lactate dehydrogenase (LDH) levels, though no new parameters were found to distinguish between clonal and reactive thrombocytosis.
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Endothelial PAS domain-containing protein 1 (EPAS1), also HIF2α, is an alpha subunit of hypoxia-inducible transcription factor (HIF), which mediates cellular and systemic response to hypoxia. EPAS1 has an important role in the transcription of many hypoxia-responsive genes, however, it has been less researched than HIF1α. The aim of this study was to integrate an increasing number of data on EPAS1 into a map of diverse OMICs elements.

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Patients with idiopathic erythrocytosis are directed to targeted genetic testing including nine genes involved in oxygen sensing pathway in kidneys, erythropoietin signal transduction in pre-erythrocytes and hemoglobin-oxygen affinity regulation in mature erythrocytes. However, in more than 60% of cases the genetic cause remains undiagnosed, suggesting that other genes and mechanisms must be involved in the disease development. This review aims to explore additional molecular mechanisms in recognized erythrocytosis pathways and propose new pathways associated with this rare hematological disorder.

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  • Erythrocytosis is when there's too many red blood cells in the body, shown by high levels of hemoglobin and hematocrit in tests.
  • It’s rare for this condition to be passed down through generations, with only a few specific genes being linked to it.
  • A study with 25 patients aimed to find genetic causes of erythrocytosis using advanced testing, which found one clear cause and some new, unclear ones, helping doctors manage the condition better.
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Erythropoietin (EPO) is a glycoprotein cytokine known for its pleiotropic effects on various types of cells and tissues. EPO and its receptor EPOR trigger signaling cascades JAK2/STAT5, MAPK, and PI3K/AKT that are interconnected and irreplaceable for cell survival. In this article, we describe the role of the MAPK and PI3K/AKT signaling pathways during red blood cell formation as well as in non-hematopoietic tissues and tumor cells.

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Erythropoietin (EPO) acts on multiple tissues through its receptor EPOR, a member of a cytokine class I receptor superfamily with pleiotropic effects. The interaction of EPO and EPOR triggers the activation of several signaling pathways that induce erythropoiesis, including JAK2/STAT5, PI3K/AKT, and MAPK. The canonical EPOR/JAK2/STAT5 pathway is a known regulator of differentiation, proliferation, and cell survival of erythroid progenitors.

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Erythropoiesis is regulated by several factors, including the oxygen-sensing pathway as the main regulator of erythropoietin (EPO) synthesis in the kidney. The release of EPO from the kidney and its binding to the EPO receptor (EPOR) on erythrocyte progenitor cells in the bone marrow results in increased erythropoiesis. Any imbalance in these homeostatic mechanisms can lead to dysregulated erythropoiesis and hematological disorders.

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Congenital erythrocytosis (CE) is an extremely rare disease and an infrequent cause of heamoglobin and haematocrit elevation. Genetic testing of CE is not widely available. Patients in whom a cause of erythrocytosis is not identified are classified as idiopathic erythrocytosis (IE) patients.

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  • Erythrocytosis has various causes, and distinguishing between them is crucial, especially since polycythemia vera has clear criteria while other types do not.
  • A study analyzed patients with non-clonal erythrocytosis over eight years using a three-step algorithm that confirmed true cases and identified secondary causes.
  • Of the 116 patients studied, the majority were male, with 29% having secondary erythrocytosis, 13% idiopathic erythrocytosis, and 58% remaining incompletely characterized; common causes included sleep apnea and smoking, with significant treatment variations observed among patient groups.
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  • - The study investigates erythrocytosis, a condition characterized by high levels of red blood cells, hemoglobin, or hematocrit, focusing on a family with unknown causes and exploring 39 genes to find potential mutations that could indicate the disease's genetic basis.
  • - Molecular-genetic analysis was conducted on two affected family members and one healthy relative using targeted next-generation sequencing (NGS) to analyze variants in 24 erythrocytosis-related genes and 15 hereditary hemochromatosis-associated genes.
  • - Out of 12 identified genetic variants, two were classified as potentially disease-driving; these were not found in a healthy relative, suggesting their potential role in the erythrocytosis observed in the family,
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Erythrocytosis is a blood disorder characterised by an increased red blood cell mass. The most common causes of erythrocytosis are acquired and caused by diseases and conditions that are accompanied by hypoxaemia or overproduction of erythropoietin. More rarely, erythrocytosis has a known genetic background, such as for polycythaemia vera and familial erythrocytosis.

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Network and systems medicine has rapidly evolved over the past decade, thanks to computational and integrative tools, which stem in part from systems biology. However, major challenges and hurdles are still present regarding validation and translation into clinical application and decision making for precision medicine. In this context, the Collaboration on Science and Technology Action on Open Multiscale Systems Medicine (OpenMultiMed) reviewed the available advanced technologies for multidimensional data generation and integration in an open-science approach as well as key clinical applications of network and systems medicine and the main issues and opportunities for the future.

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Breast cancer (BC) is the most common cancer in women worldwide. Approximately 70-80% of BCs express estrogen receptors (ER), which predict the response to endocrine therapy (ET), and are therefore hormone receptor-positive (HR+). Endogenous cannabinoids together with cannabinoid receptor 1 and 2 (CB1, CB2) constitute the basis of the endocannabinoid system.

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The literature and the Internet provide different sources, in which medical community as well as patients can browse through medical algorithms. These algorithms are dispersed and use different formats of presentation. We present visualized diagnosis (ViDis), a web platform aimed to construction and sharing of graphical representations of medical algorithms in a single place and in a unified format.

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  • Familial erythrocytosis (FE) is a condition that makes people have too many red blood cells, which can cause health problems.
  • Type 4 of this disorder is linked to changes in a gene called EPAS1, while two other genes, HIF1A and HIF3A, might also be involved but need more research.
  • Scientists looked at data from studies to find certain changes in these genes that could help understand and diagnose FE better, discovering 24 gene variants that could play a key role in making red blood cells.
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Background: Erythropoietin receptor (EPOR) is a functional membrane-bound cytokine receptor. Erythropoietin (EPO) represents an important hematopoietic factor for production, maturation and differentiation of erythroid progenitors. In non-hematopoietic tissue, EPO/EPOR signalization could also play cytoprotective and anti-apoptotic role.

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Objectives: Erythrocytosis is characterized by the expansion of erythrocyte compartment including elevated red blood cell number, hematocrit, and hemoglobin content. Familial erythrocytosis (FE) is a congenital disorder with different genetic background. Type 1 FE is primary FE caused by mutation in erythropoietin receptor gene (EPOR).

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We have recently shown that erythropoietin receptor (EPOR) protects cancer cells from tamoxifen (TAM)-induced cell death in the absence of erythropoietin (EPO). In this study, we analyzed the effect of EPOR silencing and EPO treatment on the response to TAM in human ovarian adenocarcinoma cells A2780. We demonstrated that the EPOR siRNA silencing decreases cell proliferation and sensitizes and/or potentiates the anti-proliferative effect of TAM on A2780 cells.

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Systems medicine holds many promises, but has so far provided only a limited number of proofs of principle. To address this road block, possible barriers and challenges of translating systems medicine into clinical practice need to be identified and addressed. The members of the European Cooperation in Science and Technology (COST) Action CA15120 Open Multiscale Systems Medicine (OpenMultiMed) wish to engage the scientific community of systems medicine and multiscale modelling, data science and computing, to provide their feedback in a structured manner.

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Erythropoietin (EPO) is the main regulator of erythropoiesis, and its receptor (EPOR) is expressed in various tissues, including tumors. Expression of EPOR in breast cancer tissue has been shown to correlate with expression of the estrogen receptor (ER). However, EPOR promotes proliferation in an EPO-independent manner.

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Erythropoietin (EPO) is the main hematopoietic hormone acting on progenitor red blood cells via stimulation of cell growth, differentiation, and anti-apoptosis. However, its receptor (EPOR) is also expressed in various non-hematopoietic tissues, including endothelium. EPO is a pleiotropic growth factor that exhibits growth stimulation and cell/tissue protection on numerous cells and tissues.

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