Publications by authors named "Tzelepis Konstantinos"

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  • A 43-year-old woman developed both UVF and VVF after a total hysterectomy and initially tried conservative treatment, which didn't work.
  • She then underwent a successful surgical procedure to correct the issues and has remained symptom-free for a year, highlighting the importance of recognizing and managing these rare fistula formations effectively.
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  • The study investigates the role of HSP90 as a potential diagnostic marker and therapeutic target in different types of testicular cancer, particularly focusing on embryonal carcinoma.
  • Researchers analyzed HSP90 expression in 84 nonmetastatic testicular cancer patients who underwent surgery, revealing varying positivity rates across tumor types.
  • The findings indicate a significant correlation between HSP90 expression in tumors and surrounding normal tissue, emphasizing its potential relevance in understanding and treating testicular cancer.
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  • * These drugs can affect various tissues in the body, leading to lower glucocorticoid levels and altering androgen regulation, which may result in metabolic issues like liver disease and diabetes.
  • * The study aims to review existing research on how these medications influence metabolic health and to explore the mechanisms behind these potential side effects, highlighting the need for further clinical trials.
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  • - The study investigates the presence of O-linked N-acetylglucosamine (O-GlcNAcH) in endocervical tissues, highlighting its different expression levels in normal and diseased cells, particularly in polyps.
  • - Results show that O-GlcNAcH is weakly expressed in most mucosa but more commonly found in polyps, with specific cell types like non-mucin-secreting reserve cells displaying strong staining.
  • - The findings suggest that O-GlcNAcH levels can serve as a useful marker to distinguish between certain cell types in cervical tissues, indicating its potential role in assessing inflammation or pathology.
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Background: Paragangliomas of the urinary tract are exceptionally uncommon, and sporadic case reports of primary paraganglioma of the prostate have been reported in the literature.

Methods: Systematic research in PubMed/Medline and Scopus databases concerning primary prostatic paraganglioma was performed by two independent investigators.

Results: This analysis included 25 adult males, with a mean age of 49.

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Scrotal tumors of nerve origin are extremely rare and occur mostly in the extratesticular tissues of scrotum, such as the spermatic cord and epididymis. A systematic search of the literature in PubMed, Medline, and Google Scholar databases concerning intrascrotal nerve tumors was performed by 2 independent investigators. The systematic search retrieved 45 male adults, with a mean age of included patients at 43.

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Nature has evolved intricate machinery to target and degrade RNA, and some of these molecular mechanisms can be adapted for therapeutic use. Small interfering RNAs and RNase H-inducing oligonucleotides have yielded therapeutic agents against diseases that cannot be tackled using protein-centered approaches. Because these therapeutic agents are nucleic acid-based, they have several inherent drawbacks which include poor cellular uptake and stability.

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 In this report we present a rare case of a large cyst of Skene gland in a female patient with a palpable vaginal mass persisting for at least 2 years.  A 67-year-old female admitted to the department of urology due to the presence of "a vaginal mass" for the past 2 years. A cyst of Skene's duct was suspected based on clinical manifestation and findings of magnetic resonance imaging showing an extensive cyst formation in the upper vaginal area and anterior to the urethra.

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Resistance to standard and novel therapies remains the main obstacle to cure in acute myeloid leukaemia (AML) and is often driven by metabolic adaptations which are therapeutically actionable. Here we identify inhibition of mannose-6-phosphate isomerase (MPI), the first enzyme in the mannose metabolism pathway, as a sensitizer to both cytarabine and FLT3 inhibitors across multiple AML models. Mechanistically, we identify a connection between mannose metabolism and fatty acid metabolism, that is mediated via preferential activation of the ATF6 arm of the unfolded protein response (UPR).

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  • The study evaluates the relationship between maternal serum levels of pregnancy-associated plasma protein-A (PAPP-A) during the first trimester and the risk of preeclampsia in women with common congenital uterine abnormalities (AUAs) compared to age-matched controls.
  • Findings indicate that PAPP-A levels and birth weights were significantly lower in the AUA group, but preeclampsia was absent among these pregnancies, suggesting that lower PAPP-A levels are not predictive of preeclampsia risk in this population.
  • The research highlights the need to consider uterine anatomical deviations as a factor in assessing preeclampsia risk and emphasizes that lower PAPP-A levels in women with AUAs may be related to plac
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  • RNA molecules can undergo various chemical modifications after they are made, which affect their structure and how they interact with other molecules.
  • A new analytical tool called Nanocompore was developed to identify these modifications by comparing modified RNA samples with non-modified ones, without needing a training dataset.
  • Nanocompore has been validated to accurately detect RNA modifications in lab settings and has been applied to study modifications like mA in yeast and human RNAs, providing new insights into how different modifications can occur together on the same RNA molecule.
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The emerging "epitranscriptomics" field is providing insights into the biological and pathological roles of different RNA modifications. The RNA methyltransferase METTL1 catalyzes N7-methylguanosine (mG) modification of tRNAs. Here we find METTL1 is frequently amplified and overexpressed in cancers and is associated with poor patient survival.

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The global outbreak of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) necessitates the rapid development of new therapies against coronavirus disease 2019 (COVID-19) infection. Here, we present the identification of 200 approved drugs, appropriate for repurposing against COVID-19. We constructed a SARS-CoV-2-induced protein network, based on disease signatures defined by COVID-19 multiomics datasets, and cross-examined these pathways against approved drugs.

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Advances in cancer genomics have revealed genomic classes of acute myeloid leukemia (AML) characterized by class-defining mutations, such as chimeric fusion genes or in genes such as NPM1, MLL, and CEBPA. These class-defining mutations frequently synergize with internal tandem duplications in FLT3 (FLT3-ITDs) to drive leukemogenesis. However, ∼20% of FLT3-ITD-positive AMLs bare no class-defining mutations, and mechanisms of leukemic transformation in these cases are unknown.

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N-methyladenosine (mA) is an abundant internal RNA modification that is catalysed predominantly by the METTL3-METTL14 methyltransferase complex. The mA methyltransferase METTL3 has been linked to the initiation and maintenance of acute myeloid leukaemia (AML), but the potential of therapeutic applications targeting this enzyme remains unknown. Here we present the identification and characterization of STM2457, a highly potent and selective first-in-class catalytic inhibitor of METTL3, and a crystal structure of STM2457 in complex with METTL3-METTL14.

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  • Ribonucleases are enzymes that control RNA breakdown in cells, crucial for technologies like RNA interference and CRISPR, but traditional methods have limitations that prompted the search for targeted small molecules for RNA degradation.
  • Click-degraders are innovative small molecules that can attach to RNA using click-chemistry and effectively degrade it, leading to the development of meCLICK-Seq, a method that identifies RNA modification substrates with precision.
  • The meCLICK-Seq technique enables the mapping of RNA methylation, reveals METTL16's role in RNA processing, and allows for a dynamic analysis of RNA modifications across the transcriptome, using a depletion approach for detecting modified RNA.
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Purpose Of Review: In recent years, the N6-methyladenosine (m6A) modification of RNA has been shown to play an important role in the development of acute myeloid leukemia (AML) and the maintenance of leukemic stem cells (LSCs). In this review we summarise the recent findings in the field of epitranscriptomics related to m6A and its relevance in AML.

Recent Findings: Recent studies have focused on the role of m6A regulators in the development of AML and their potential as translational targets.

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  • HATs transfer acetyl groups to histones, influencing gene expression, and their dysregulation is linked to diseases like cancer.
  • Our research identifies KAT7, a specific HAT, as crucial for the growth of acute myeloid leukemia (AML) cells with MLL-X gene fusions; its loss hinders cell proliferation and promotes cell death.
  • KAT7 acetylates histones, facilitating the binding of key proteins to genes necessary for AML cell survival, suggesting it could be a potential target for therapy in this challenging subtype of leukemia.
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Leukaemogenic mutations commonly disrupt cellular differentiation and/or enhance proliferation, thus perturbing the regulatory programs that control self-renewal and differentiation of stem and progenitor cells. Translocations involving the Mll1 (Kmt2a) gene generate powerful oncogenic fusion proteins, predominantly affecting infant and paediatric AML and ALL patients. The early stages of leukaemogenic transformation are typically inaccessible from human patients and conventional mouse models.

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  • An amendment to the original paper has been released.
  • The details of the amendment are available through a link provided at the beginning of the paper.
  • Readers can view the updated information to better understand the changes made.
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  • Recent studies show that certain RNA modifications are linked to chromatin, impacting gene regulation during transcription.
  • The review highlights the significance of RNA modifications in both normal cellular functions and disease states.
  • New technical advancements may enhance the potential for using RNA-modifying enzymes as therapeutic targets in treating diseases.
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We recently identified the splicing kinase gene SRPK1 as a genetic vulnerability of acute myeloid leukemia (AML). Here, we show that genetic or pharmacological inhibition of SRPK1 leads to cell cycle arrest, leukemic cell differentiation and prolonged survival of mice transplanted with MLL-rearranged AML. RNA-seq analysis demonstrates that SRPK1 inhibition leads to altered isoform levels of many genes including several with established roles in leukemogenesis such as MYB, BRD4 and MED24.

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