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Topic Review
COVID-19 and Kidney Disease
Chronic kidney disease (CKD) is the most common risk factor for severe COVID-19 and one that most increases the risk of COVID-19-related death. Moreover, CKD increases the risk of acute kidney injury (AKI), and COVID-19 patients with AKI are at an increased risk of death.
  • 147
  • 21 Nov 2023
Topic Review
Liquid Biopsies for Monitoring in Metastatic Breast Cancer
In breast cancer patients, a blood sample contains components from tumor origin as well as those influenced by the tumor disease. Analyzing blood as a so-called liquid biopsy in breast cancer (BC) patients has the potential to adapt therapy management. Circulating tumor cells (CTCs), extracellular vesicles (EVs), cell-free DNA (cfDNA) and other blood components mirror the tumoral heterogeneity and could support a range of clinical decisions. In a subgroup of breast cancer patients, the detection of mutations in a specific gene using cell-free DNA from blood might be suitable for therapy monitoring. An interventional trial confirmed a significant outcome benefit when therapy was changed in case of newly emerging cfDNA mutations under treatment and thus showed the clinical utility of cfDNA analysis for therapy monitoring. Monitoring value is defined as (1) the association of a laboratory result from a blood sample drawn under therapy with the clinically and/or radiographically proven therapy response or (2) the association of a laboratory result from a blood sample drawn under therapy with the prognosis of the disease/therapy in the course of time.
  • 133
  • 21 Nov 2023
Topic Review
Vortioxetine´s Effects on Sleep of Adolescent Major Depression
The relationship between depression and insomnia is bidirectional and both conditions need to be treated adequately, especially in a vulnerable neurodevelopmental stage of adolescence. Sleep disturbances in adolescents have been associated with a more severe clinical course of depression (i.e., suicidal behavior, worse psychosocial functioning, and risk of recurrence). Due to the rising incidence of both disorders, it is crucial to understand the underlying pathophysiology (e.g., disrupted neuroplasticity and neurotransmitter dysbalance), especially in the vulnerable adolescent age period characterized by developmental changes and sensitivity to endogenous and exogenous factors.
  • 165
  • 20 Nov 2023
Topic Review
Consequence of Alveolar Hyperoxia and Systemic Hyperoxaemia
Acute hypoxic respiratory failure (AHRF) is a prominent feature of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) critical illness. The need for a high FiO2 to normalise arterial hypoxemia and tissue hypoxia can result in alveolar hyperoxia. This in turn can lead to local alveolar oxidative stress with associated inflammation, alveolar epithelial cell apoptosis, surfactant dysfunction, pulmonary vascular abnormalities, resorption atelectasis, and impairment of innate immunity predisposing to secondary bacterial infections. While oxygen is a life-saving treatment, alveolar hyperoxia may exacerbate pre-existing lung injury.
  • 436
  • 20 Nov 2023
Topic Review
Second Tumors in Retinoblastoma Survivors after Ionizing Radiation
Retinoblastoma (RB) is the most common ocular neoplasm in children, whose development depends on two mutational events that occur in both alleles of the retinoblastoma susceptibility gene (RB1). Regarding the nature of these mutational events, RB can be classified as hereditary if the first event is a germline mutation and the second one is a somatic mutation in retina cells or nonhereditary if both mutational events occur in somatic cells. Although the rate of survival of RB is significantly elevated, the incidence of second malignant neoplasms (SMNs) is a concern, since SMNs are the main cause of death in these patients. Furthermore, evidence confirms that hereditary RB survivors are at a higher risk for SMNs than nonhereditary RB survivors. This risk seems to increase with the use of ionizing radiation in some therapeutic approaches commonly used in the treatment of RB.
  • 148
  • 20 Nov 2023
Topic Review
Effect of Licorice on Oral Health
Licorice (Radix glycyrrhizae) is a plant root extract widely used in various applications, including cosmetics, food supplements, and traditional medicine. It has a long history of medicinal use in different cultures due to its diverse pharmacological properties. Licorice has traditionally been used for treating gastrointestinal problems, respiratory infections, cough, bronchitis, arthritis, and skin conditions. The potential therapeutic benefits of licorice for oral health have gained significant interest.
  • 251
  • 20 Nov 2023
Topic Review
Bitter Melon in Breast and Gynecological Cancer
Bitter melon, bitter gourd, karela, or Momordica charantia, is a vine belonging to the Cucurbitaceae family, which is widely cultivated in Asian, African, and South American countries. More precisely, it is a rich source of phytochemicals and has the highest nutritional value among cucurbits. Its biological activity may be mainly attributed to its major chemical constituents: cucurbitane-type triterpenoids, cucurbitane-type triterpene glycosides and their aglycones, flavonoids, phenolic acids, fatty acids, essential oils, lectins, amino acids, goyasaponins, sterols, as well as several proteins. The proportion of these chemical constituents varies, depending on the different varieties of bitter melon, the different origins and cultivation conditions, or the harvest times. Bitter melon extract and its active ingredients have been extensively studied in diverse cell line-based and animal models and reported to exhibit promising effects on the chemoprevention and therapy of skin, brain, oral, lung, liver, colon, stomach, blood, prostate, renal, and pancreatic cancers. The molecular mechanisms of cancer prevention and therapy do not seem to differ among the different cancer entities, with bitter melon enhancing Reactive Oxygen Species (ROS) production, modulating the cell membrane, inducing apoptosis and autophagy, causing epigenetic modifications, as well as interacting with the DNA, the RNA, or numerous proteins.
  • 280
  • 20 Nov 2023
Topic Review
Biomimetic Systems Involving Macrophages in Targeted Drug Delivery
The concept of targeted drug delivery can be described in terms of the drug systems’ ability to mimic the biological objects’ property to localize to target cells or tissues. For example, drug delivery systems based on red blood cells or mimicking some of their useful features, such as long circulation in stealth mode, have been known for decades. Therapeutic strategies based on macrophages gradually gain more attention.
  • 337
  • 20 Nov 2023
Topic Review
Three-Dimensional In Vitro Cell Models of HNSCC
Researchers have been trying to answer the demand of clinical oncologists to create an ideal preclinical model of head and neck squamous cell carcinoma (HNSCC) that is accessible, reproducible, and relevant. Over the past, the development of cellular technologies has naturally allowed people to move from primitive short-lived primary 2D cell cultures to complex patient-derived 3D models that reproduce the cellular composition, architecture, mutational, or viral load of native tumor tissue. Depending on the tasks and capabilities, a scientific laboratory can choose from several types of models: primary cell cultures, immortalized cell lines, spheroids or heterospheroids, tissue engineering models, bioprinted models, organoids, tumor explants, and histocultures. HNSCC in vitro models make it possible to screen agents with potential antitumor activity, study the contribution of the tumor microenvironment to its progression and metastasis, determine the prognostic significance of individual biomarkers (including using genetic engineering methods), study the effect of viral infection on the pathogenesis of the disease, and adjust treatment tactics for a specific patient or groups of patients. 
  • 132
  • 20 Nov 2023
Topic Review
Preimplantation Genetic Testing for Cancer Predisposition Syndromes
Cancer Predisposition Syndromes (CPSs), also known as Hereditary Cancer Syndromes (HCSs), represent a group of genetic disorders associated with an increased lifetime risk of developing cancer.
  • 240
  • 20 Nov 2023
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