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Iron Related Biomarkers Predict Disease Severity in a Cohort of Portuguese Adul...

Moreira, AC; Teles, MJ; Silva, T; Bento, CM; Alves, IS; Pereira, L; Guimarães, JT; Porto, G; Oliveira, P; Gomes, MS

Large variability in COVID-19 clinical progression urges the need to find the most relevant biomarkers to predict patients’ outcomes. We evaluated iron metabolism and immune response in 303 patients admitted to the main hospital of the northern region of Portugal with variable clinical pictures, from September to November 2020. One hundred and twenty-seven tested positive for SARS-CoV-2 and 176 tested negative....


The EHA research roadmap: Anemias

Iolascon, A; Rivella, S; Anagnou, NP; Camaschella, C; Swinkels, D; Muckenthaler, MU; Porto, G; Barcellini, W; Andolfo, I; Risitano, AM; Kattamis, A

In 2016, the European Hematology Association (EHA) published the EHA Roadmap for European Hematology Research1 aiming to highlight achievements in the diagnostics and treatment of blood disorders, and to better inform European policy makers and other stakeholders about the urgent clinical and scientific needs and priorities in the field of hematology. Each section was coordinated by one to two section editors w...


Iron Administration, Infection, and Anemia Management in CKD: Untangling the Ef...

Ganz, T; Aronoff, GR; Gaillard, CAJM; Goodnough, LT; Macdougall, IC; Mayer, G; Porto, G; Winkelmayer, WC; Wish, JB

Patients with chronic kidney disease (CKD) are at increased risk for infection, attributable to immune dysfunction, increased exposure to infectious agents, loss of cutaneous barriers, comorbid conditions, and treatment-related factors (eg, hemodialysis and immunosuppressant therapy). Because iron plays a vital role in pathogen reproduction and host immunity, it is biologically plausible that intravenous iron t...


Chromosome 6p SNP microhaplotypes and IgG3 levels in hemochromatosis probands w...

Barton, JC; Barton, JC; Cruz, E; Teles, MJ; Guimarães, JT; Porto, G

Subnormal IgG1 or IgG3 levels occurred in 30% of hemochromatosis probands with HFE p.C282Y homozygosity and were concordant in HLA-identical siblings. We sought to identify factors associated with IgG subclasses in Alabama probands with p.C282Y homozygosity evaluated for 500 kb microhaplotypes AAT and GGG defined by SNPs in chromosome 6p genes PGBD1, ZNF193, and ZNF165. In regressions on IgG subclasses, we used...


HFE related hemochromatosis: Uncovering the inextricable link between iron home...

Porto, G; Cruz, E; Teles, MJ; Sousa, M

The HFE gene (OMIM 235200), most commonly associated with the genetic iron overload disorder Hemochromatosis, was identified by Feder et al. in 1996, as a major histocompatibilty complex (MHC) class I like gene, first designated human leukocyte antigen-H (HLA-H). This discovery was thus accomplished 20 years after the realization of the first link between the then “idiopathic” hemochromatosis and the human leuk...


Iron-enriched diet contributes to early onset of osteoporotic phenotype in a mo...

Simão, M; Camacho, A; Ostertag, A; Cohen-Solal, M; Pinto, IJ; Porto, G; Korng, EH; Cancela, ML

Osteoporosis is associated with chronic iron overload secondary to hereditary hemochromatosis (HH), but the causative mechanisms are incompletely understood. The main objective of this study was to investigate the role of dietary iron on osteoporosis, using as biological model the Hfe-KO mice, which have a systemic iron overload. We showed that these mice show an increased susceptibility for developing a bone l...


Tissue iron quantification in chronic liver diseases using MRI shows a relation...

França, M; Martí-Bonmatí, L; Porto, G; Silva, S; Guimarães, S; Alberich-Bayarri, Á; Vizcaíno, JR; Miranda, HP

Aim: To investigate iron loading within the liver, pancreas, spleen, and bone marrow using magnetic resonance imaging (MRI) transverse relaxation rate (R2*), in patients with diffuse liver diseases; to evaluate the relationships between iron accumulation in these tissue compartments; and to assess the association between tissue iron overload and the pattern of hepatic cellular iron distribution (hepatocytes ver...


Optimizing the management of hereditary haemochromatosis: the value of MRI R2* ...

França, M; Martí-Bonmatí, L; Silva, S; Oliveira, C; Bayarri, ÁA; Boas, FV; Miranda, HP; Porto, G


Accurate simultaneous quantification of liver steatosis and iron overload in di...

França, M; Alberich-Bayarri, Á; Martí-Bonmatí, L; Oliveira, P; Costa, FE; Porto, G; Vizcaíno, JR; Gonzalez, JS; Ribeiro, E; Oliveira, J; Miranda, HP

Purpose: To evaluate the diagnostic performances of 3 Tesla multi-echo chemical shift-encoded gradient echo magnetic resonance (MECSE-MR) imaging to simultaneously quantify liver steatosis and iron overload in a wide spectrum of diffuse liver diseases having biopsy as reference standard. Methods: MECSE-MR-acquired images were used to calculate fat fraction and iron content in a single breath-hold in 109 adult p...


Local iron homeostasis in the breast ductal carcinoma microenvironment

Marques, O; Porto, G; Rêma, A; Faria, F; Cruz, PA; Gomez-Lazaro, M; Silva, P; Martins da Silva, B; Lopes, C

Background: While the deregulation of iron homeostasis in breast epithelial cells is acknowledged, iron-related alterations in stromal inflammatory cells from the tumor microenvironment have not been explored. Methods: Immunohistochemistry for hepcidin, ferroportin 1 (FPN1), transferrin receptor 1 (TFR1) and ferritin (FT) was performed in primary breast tissues and axillary lymph nodes in order to dissect the i...


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