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Szymanski M, Rusetska N, Jancewicz I, Armatowska A, Ligaj M, Chrzan A, Hincza K, Kowalik A, Mika P, Kisiel M, Zolnierek J, Kosior J, Demkow T, Siedlecki JA, Sarnowski TJ, Sarnowska E. Succinate Dehydrogenase-Deficient Renal Cancer Featuring Fructose-1,6-Biphosphatase Loss, Pyruvate Kinase M2 Overexpression, and SWI/SNF Chromatin Remodeling Complex Aberrations: A Rare Case Report. Oncologist 2021; 26:e1652-e1655. [PMID: 34003534 PMCID: PMC8417867 DOI: 10.1002/onco.13825] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/10/2019] [Accepted: 02/17/2021] [Indexed: 11/11/2022] Open
Abstract
Succinate dehydrogenase (SDH)‐deficient renal cancer is a rare renal cancer subtype recently accepted by the World Health Organization as a unique subtype of renal cell carcinoma (RCC). Here we report a case of 17‐year‐old man. The detailed evaluation indicated occurrence of the SDHB‐deficient RCC. The genetic testing revealed no germline mutation in SDH genes. Immunohistochemistry showed SDHB deficiency, overexpression of pyruvate kinase M2 and dramatic downregulation of fructose‐1,6‐bisphosphatase metabolic enzymes, and unaltered levels of phosphorylated AMP‐activated protein kinase and mammalian target of rapamycin. Strong upregulation of INI1 and BRG1 and overexpression of BAF180, subunits of SWI/SNF ATP‐dependent chromatin remodeling complex, were also found. The identified tumor pathologically did not resemble clear cell renal cell carcinoma (ccRCC), but some metabolic alterations are common for both cancer types. Thus, we postulate that the phenotypical differences between ccRCC and SDHB‐deficient RCC may be related to distinct molecular and metabolic alterations. SDH‐deficient renal cell cancer is a rare renal tumor that can occur at a young age. This brief communication describes the case of a 17‐year‐old man.
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Affiliation(s)
- Michal Szymanski
- Department of Uro-oncology, Maria Sklodowska-Curie National Research Institute of Oncology, Warsaw, Poland
| | - Natalia Rusetska
- Department of Molecular and Translational Oncology, Maria Sklodowska-Curie National Research Institute of Oncology, Warsaw, Poland
| | - Iga Jancewicz
- Department of Molecular and Translational Oncology, Maria Sklodowska-Curie National Research Institute of Oncology, Warsaw, Poland
| | - Alicja Armatowska
- Department of Molecular and Translational Oncology, Maria Sklodowska-Curie National Research Institute of Oncology, Warsaw, Poland
| | - Marcin Ligaj
- Department of Pathology, Maria Sklodowska-Curie National Research Institute of Oncology, Warsaw, Poland
| | - Alicja Chrzan
- Department of Pathology, Maria Sklodowska-Curie National Research Institute of Oncology, Warsaw, Poland
| | - Kinga Hincza
- Department of Molecular Diagnostics Holycross Cancer Center, Kielce, Poland
| | - Artur Kowalik
- Department of Molecular Diagnostics Holycross Cancer Center, Kielce, Poland.,Division of Medical Biology, Institute of Biology Jan Kochanowski University, Kielce, Poland
| | - Pawel Mika
- Regional Hospital in Biala Podlaska, Biala Podlaska, Poland
| | - Maciej Kisiel
- Regional Hospital in Biala Podlaska, Biala Podlaska, Poland
| | - Jakub Zolnierek
- Department of Uro-oncology, Maria Sklodowska-Curie National Research Institute of Oncology, Warsaw, Poland.,Regional Hospital in Biala Podlaska, Biala Podlaska, Poland
| | - Joanna Kosior
- Institute of Biochemistry and Biophysics, Polish Academy of Sciences, Warsaw, Poland
| | - Tomasz Demkow
- Department of Uro-oncology, Maria Sklodowska-Curie National Research Institute of Oncology, Warsaw, Poland
| | - Janusz A Siedlecki
- Department of Molecular and Translational Oncology, Maria Sklodowska-Curie National Research Institute of Oncology, Warsaw, Poland
| | - Tomasz J Sarnowski
- Institute of Biochemistry and Biophysics, Polish Academy of Sciences, Warsaw, Poland
| | - Elzbieta Sarnowska
- Department of Molecular and Translational Oncology, Maria Sklodowska-Curie National Research Institute of Oncology, Warsaw, Poland
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Wileczek A, Reichert A, Kluk M, Sledz S, Sledz A, Kosior J, Polewczyk A, Kutarski A, Jagielski D, Buchta-Nitecka A, Karbarz D, Stec S. Non-invasive and invasive autonomic tests to facilitate cardioneuroablation and complex indications for transcutaneous lead extraction and discontinuation of permanent pacing. Europace 2021. [DOI: 10.1093/europace/euab116.490] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
Abstract
Abstract
Funding Acknowledgements
Type of funding sources: None.
OnBehalf
Rare-A-Care registry
Background
Extracardiac vagal nerve stimulation (ECANS) and cardioneuroablation (CNA) are promising methods to cure vagally mediated bradycardia and validate indications for permanent pacing for sinus node dysfunction (SND), atrioventricular blocks (AVB), tachycardia-bradycardia syndrome (TBS) and cardio-inhibitory or mixed reflex syncope (VVS). There are limited information on clinical utility of those procedures in validation of indication for continuation of permanent pacing (PM) and transcutaneous lead extraction (TLE).
Methods
Data were collected from prospective multicentre registry of CNA facilitated by interdisciplinary consultations, state-of-art autonomic tests, atropine/propranolol tests, electrophysiologic study as well as ECANS. Share-decision making were used by EP-HEART-TEAM to developed patient-oriented therapy.
Results
Between June 2018-Jan 2021 the first 102 consecutive patients underwent interdisciplinary approach before invasive EPS and/or invasive ECANS, to consider biatrial, binodal CNA, if possible to cure functional bradycardia. Eleven (10%) patients had implanted permanent PM"s due to SND/AVB/TBS/CI-VVS and were considered for TLE. In 2 out of 11 cases CNA was not performed due to: 1) structural advanced 2nd and 3rd degree AVB with indication for TLE and permanent HBP (no.1), 2) incidental severely symptomatic persistent 3rd degree AVB more than 15 year ago without any further bradycardia episodes (only TLE, no.2). In further 9 of 11 cases with PM CNA was performed, however TLE was not attempted in 2 patients [(SND + PVC ablation + indication for beta-blocker therapy due to IHD in older male. TLE had not yet been attempted to confirm long-term success therapy by patient and/or physician (no.3); two periprocedural successful CNA resulted in disappearance of CI reflex however despite pacing syncopal events persist due to mixed etiology (no.4)]. In further 7/11 cases TLE-s were performed. Three cases had TLE prior to CNA [VVS-CI + advanced functional AVB - prior 3 pacemaker reimplantations and further "rescue" CNA, (no.5); CI-VVS + pacemaker infection (no.6); TLE of PM + TBS no.7]. Finally, in 4 cases TLE was recommended after CNA [CI-VVS (no.8, no.9 and no.10); mixed etiology: TBS + VVS-CI + intermittent, recurrent pericardial efffusion due to lead perforation, PM syndrome, (no. 11)].
Conclusions
Interdisciplinary and comprehensive autonomic approach with ECANS and CNA enable EP-HEART-TEAM to offer patient-oriented therapy with a complex clinical scenarios before final decision about TLE and discontinuation of permanent pacing therapy.
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Affiliation(s)
- A Wileczek
- Subcarpathian Centre for Cardiovascular Interventions, Division of Electrophysiology, Cardioneuroablation, Catheter Ablation and Cardiac Stimulation, Sanok, Poland
| | - A Reichert
- County Specialistic Hospital in Stalowa Wola, Department of Cardiology, Stalowa Wola, Poland
| | - M Kluk
- Swietokrzyskie Cardiology Center, Department of Interventional Cardiology, Kielce, Poland
| | - S Sledz
- El-Medica, EP-NETWORK, Skarzysko-Kamienna, Poland
| | - A Sledz
- El-Medica, EP-NETWORK, Skarzysko-Kamienna, Poland
| | - J Kosior
- Mazovian Specialist Hospital, Radom, Poland
| | - A Polewczyk
- Swietokrzyskie Cardiology Center, Department of Cardiac Surgery, Kielce, Poland
| | - A Kutarski
- Regional Hospital Pope John Paul II, Zamosc, Poland
| | | | | | - D Karbarz
- El-Medica, EP-NETWORK, Skarzysko-Kamienna, Poland
| | - S Stec
- Subcarpathian Centre for Cardiovascular Interventions, Division of Electrophysiology, Cardioneuroablation, Catheter Ablation and Cardiac Stimulation, Sanok, Poland
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François PM, Bonnet X, Kosior J, Adam J, Khonsari RH. 3D-printed contact-free devices designed and dispatched against the COVID-19 pandemic: The 3D COVID initiative. J Stomatol Oral Maxillofac Surg 2020; 122:381-385. [PMID: 32599093 PMCID: PMC7318987 DOI: 10.1016/j.jormas.2020.06.010] [Citation(s) in RCA: 19] [Impact Index Per Article: 4.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 05/24/2020] [Accepted: 06/22/2020] [Indexed: 12/23/2022]
Abstract
Direct contact with devices such as elevator buttons, beepers, telephones, computer mice and keyboards can contribute to spread viral diseases. Here, we report our experience in designing, producing and dispatching three 3D-printed objected intending to lower the risks of COVID-19 contamination by limiting direct contacts: (1) fixed hand-free door openers, (2) door hooks and (3) button pushers. These devices were produced in industrial quantities and made available for free for Greater Paris University Hospitals and various state institutions as part of the 3D COVID project. In this short technical note, we describe the sequential organisation of the design and production and highlight the advantages of additive manufacturing in dealing with specific aspects of sanitary crises.
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Affiliation(s)
| | - X Bonnet
- Institut de biomécanique humaine George-Charpak, Arts et Métiers, Paris, France
| | | | | | - R H Khonsari
- Service de chirurgie maxillo-faciale et chirurgie plastique, Hôpital Universitaire Necker-Enfants Malades, Assistance Publique-Hôpitaux de Paris; Centre de Références Maladies Rares Fentes et Malformations Faciales MAFACE, Centre de Références Maladies Rares Craniosténoses et Malformations Craniofaciales CRANIOST, Filière Maladies Rares TeteCou; Université de Paris, Paris, France.
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Kosior R, Kosior J, Frayne R. Sci-Fri PM Imaging-09: Robust MR-DSC Perfusion using a Patient Motion Correction Scheme. Med Phys 2006. [DOI: 10.1118/1.2244684] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022] Open
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Jablonska-Pikus T, Kosior J, Kurys K, Koziol AE. Crystal structure of (R,R,Rs;S,S,Ss)-4-bromobenzylsulfinylacetic acid N,N-bis-1-(phenylethyl)amide, C24H24BrNO2S. Z KRIST-NEW CRYST ST 2005. [DOI: 10.1524/ncrs.2005.220.14.185] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022]
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Kubik L, Skolimowska-Heine B, Kaczkowska-Śmigiera A, Parol G, Sidło E, Kosior J, Pęcak R. P.2.16 The influence of spontaneous blood pressure elevations on the QT dispersion in patients with hypertension and after myocardial infarction. Europace 2003. [DOI: 10.1016/eupace/4.supplement_1.a43-a] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
Affiliation(s)
- L. Kubik
- Department of Cardiology and Metabolic Diseases, The Military Medical Institut, Warsaw, Poland
| | - B. Skolimowska-Heine
- Department of Cardiology and Metabolic Diseases, The Military Medical Institut, Warsaw, Poland
| | - A. Kaczkowska-Śmigiera
- Department of Cardiology and Metabolic Diseases, The Military Medical Institut, Warsaw, Poland
| | - G. Parol
- Department of Cardiology and Metabolic Diseases, The Military Medical Institut, Warsaw, Poland
| | - E. Sidło
- Department of Cardiology and Metabolic Diseases, The Military Medical Institut, Warsaw, Poland
| | - J. Kosior
- Department of Cardiology and Metabolic Diseases, The Military Medical Institut, Warsaw, Poland
| | - R. Pęcak
- Department of Cardiology and Metabolic Diseases, The Military Medical Institut, Warsaw, Poland
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Kosior J. [Neuroses in mentally deficient patients]. Wiad Lek 1970; 23:2067-2069. [PMID: 5496010] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/21/2023]
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