37 results on '"Smietanski, M"'
Search Results
2. What is the evidence for the use of biologic or biosynthetic meshes in abdominal wall reconstruction?
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Köckerling, F., Alam, N. N., Antoniou, S. A., Daniels, I. R., Famiglietti, F., Fortelny, R. H., Heiss, M. M., Kallinowski, F., Kyle-Leinhase, I., Mayer, F., Miserez, M., Montgomery, A., Morales-Conde, S., Muysoms, F., Narang, S. K., Petter-Puchner, A., Reinpold, W., Scheuerlein, H., Smietanski, M., Stechemesser, B., Strey, C., Woeste, G., and Smart, N. J.
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- 2018
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3. Physical and mathematical modelling of implant–fascia system in order to improve laparoscopic repair of ventral hernia
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Tomaszewska, A., Lubowiecka, I., Szymczak, C., Śmietański, M., Meronk, B., Kłosowski, P., and Bury, K.
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- 2013
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4. Consensus on international guidelines for management of groin hernias
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van Veenendaal, N., Simons, M., Hope, W., Tumtavitikul, S., Bonjer, J., Aufenacker, T., Berrevoet, F., Bingener, J., Bisgaard, T., Bittner, R., Bury, K., Campanelli, G., Chen, D., Chowbey, P., Conze, J., Cuccurullo, D., De Beaux, A., Eker, H., Fitzgibbons, R., Fortelny, R., Gillion, J. F., Van den Heuvel, B., Jorgensen, L., Klinge, U., Kockerling, F., Kukleta, J., Konate, I., Liem, L., Lomanto, D., Loos, M., Lopez-Cano, M., Miserez, M., Misra, M., Montgomery, A., Morales-Conde, S., Muysoms, F., Niebuhr, H., Nordin, P., Pawlak, M., Van Ramshorst, G., Reinpold, W., Sanders, D., Sani, R., Schouten, N., Smedberg, S., Smietanski, M., Simmermacher, R., Tran, H., Wijsmuller, A., and Surgery
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Femoral ,medicine.medical_specialty ,Consensus ,Hernia ,media_common.quotation_subject ,medicine.medical_treatment ,Postoperative pain ,education ,Inguinal hernias ,Groin ,03 medical and health sciences ,0302 clinical medicine ,Consensus conferences ,International guidelines ,Hernia, Femoral ,Hernia, Inguinal ,Herniorrhaphy ,Humans ,Practice Guidelines as Topic ,Voting ,Health care ,medicine ,health care economics and organizations ,media_common ,business.industry ,General surgery ,Hernia repair ,medicine.disease ,surgical procedures, operative ,medicine.anatomical_structure ,Regional anesthesia ,Inguinal ,030220 oncology & carcinogenesis ,030211 gastroenterology & hepatology ,Surgery ,business ,Abdominal surgery - Abstract
Background: Groin hernia management has a significant worldwide diversity with multiple surgical techniques and variable outcomes. The International guidelines for groin hernia management serve to help in groin hernia management, but the acceptance among general surgeons remains unknown. The aim of our study was to gauge the degree of agreement with the guidelines among health care professionals worldwide. Methods: Forty-six key statements and recommendations of the International guidelines for groin hernia management were selected and presented at plenary consensus conferences at four international congresses in Europe, the America’s and Asia. Participants could cast their votes through live voting. Additionally, a web survey was sent out to all society members allowing online voting after each congress. Consensus was defined as > 70% agreement among all participants. Results: In total 822 surgeons cast their vote on the key statements and recommendations during the four plenary consensus meetings or via the web survey. Consensus was reached on 34 out of 39 (87%) recommendations, and on six out of seven (86%) statements. No consensus was reached on the use of light versus heavy-weight meshes (69%), superior cost-effectiveness of day-case laparo-endoscopic repair (69%), omitting prophylactic antibiotics in hernia repair, general or local versus regional anesthesia in elderly patients (55%) and re-operation in case of immediate postoperative pain (59%). Conclusion: Globally, there is 87% consensus regarding the diagnosis and management of groin hernias. This provides a solid basis for standardizing the care path of patients with groin hernias.
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- 2020
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5. Update with level 1 studies of the European Hernia Society guidelines on the treatment of inguinal hernia in adult patients
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Miserez, M., Peeters, E., Aufenacker, T., Bouillot, J. L., Campanelli, G., Conze, J., Fortelny, R., Heikkinen, T., Jorgensen, L. N., Kukleta, J., Morales-Conde, S., Nordin, P., Schumpelick, V., Smedberg, S., Smietanski, M., Weber, G., and Simons, M. P.
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- 2014
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6. Guidelines for laparoscopic treatment of ventral and incisional abdominal wall hernias (International Endohernia Society [IEHS])—Part 2
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Bittner, R., Bingener-Casey, J., Dietz, U., Fabian, M., Ferzli, G. S., Fortelny, R. H., Köckerling, F., Kukleta, J., LeBlanc, K., Lomanto, D., Misra, M. C., Morales-Conde, S., Ramshaw, B., Reinpold, W., Rim, S., Rohr, M., Schrittwieser, R., Simon, Th., Smietanski, M., Stechemesser, B., Timoney, M., and Chowbey, P.
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- 2014
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7. Guidelines for laparoscopic treatment of ventral and incisional abdominal wall hernias (International Endohernia Society [IEHS])—Part III
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Bittner, R., Bingener-Casey, J., Dietz, U., Fabian, M., Ferzli, G., Fortelny, R., Köckerling, F., Kukleta, J., LeBlanc, K., Lomanto, D., Misra, M., Morales-Conde, S., Ramshaw, B., Reinpold, W., Rim, S., Rohr, M., Schrittwieser, R., Simon, Th., Smietanski, M., Stechemesser, B., Timoney, M., and Chowbey, P.
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- 2014
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8. Guidelines for laparoscopic treatment of ventral and incisional abdominal wall hernias (International Endohernia Society (IEHS)—Part 1
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Bittner, R., Bingener-Casey, J., Dietz, U., Fabian, M., Ferzli, G. S., Fortelny, R. H., Köckerling, F., Kukleta, J., LeBlanc, K., Lomanto, D., Misra, M. C., Bansal, V. K., Morales-Conde, S., Ramshaw, B., Reinpold, W., Rim, S., Rohr, M., Schrittwieser, R., Simon, Th., Smietanski, M., Stechemesser, B., Timoney, M., and Chowbey, P.
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- 2014
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9. European Hernia Society guidelines on the treatment of inguinal hernia in adult patients
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Simons, M. P., Aufenacker, T., Bay-Nielsen, M., Bouillot, J. L., Campanelli, G., Conze, J., de Lange, D., Fortelny, R., Heikkinen, T., Kingsnorth, A., Kukleta, J., Morales-Conde, S., Nordin, P., Schumpelick, V., Smedberg, S., Smietanski, M., Weber, G., and Miserez, M.
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- 2009
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10. Mesh plug versus Bassini operation: a randomized prospective study
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Witkowski, P., Pirski, M. I., Adamonis, W., Smietanski, M., Draczkowski, T., and Sledzinski, Z.
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- 2000
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11. A FEM membrane model of human fascia – Synthetic implant system in a case of a stiff ventral hernia orifice
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Szymczak, C, primary, Lubowiecka, I, additional, Tomaszewska, A, additional, and Smietanski, M, additional
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- 2009
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12. Erratum to: Update with level 1 studies of the European Hernia Society guidelines on the treatment of inguinal hernia in adult patients
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Miserez, M., Peeters, E., Aufenacker, T., Bouillot, J. L., Campanelli, G., Conze, J., Fortelny, R., Heikkinen, T., Jorgensen, L. N., Kukleta, J., Morales-Conde, S., Nordin, P., Schumpelick, V., Smedberg, S., Smietanski, M., Weber, G., and Simons, M. P.
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- 2014
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13. Accreditation and certification requirements for hernia centers and surgeons : the ACCESS project
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Köckerling, F., Sheen, A. J., Berrevoet, F., Campanelli, G., Cuccurullo, D., Fortelny, R., Friis-Andersen, H., Gillion, J. F., Gorjanc, J., Kopelman, D., Lopez-Cano, M., Morales-Conde, S., Österberg, J., Reinpold, W., Simmermacher, R. K. J., Smietanski, M., Weyhe, D., Simons, M. P., and Universitat Autònoma de Barcelona
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GROIN HERNIA ,Hernia center ,Certification ,Review ,030230 surgery ,Accreditation/standards ,Hospitals, Special ,Accreditation ,0302 clinical medicine ,Hernia surgery ,INGUINAL-HERNIA ,Health care ,Medicine and Health Sciences ,Surgeons/standards ,Certification requirements ,requirements ,Specialist hernia surgeon ,Case volume ,TREATMENT ,LAPAROSCOPIC ,Europe ,Hospitals, Special/standards ,surgical procedures, operative ,(INTERNATIONAL ENDOHERNIA SOCIETY ,030220 oncology & carcinogenesis ,Medical emergency ,Learning Curve ,medicine.medical_specialty ,Certification/standards ,Consensus ,education ,Herniorrhaphy/methods ,Guidelines ,Treatment results ,03 medical and health sciences ,PATIENT OUTCOMES ,medicine ,Humans ,QUALITY ,Hernia ,Herniorrhaphy ,Surgeons ,REPAIR ,business.industry ,medicine.disease ,digestive system diseases ,Surgery ,stomatognathic diseases ,HEALTH-CARE ,VOLUME ,Benchmark data ,business - Abstract
INTRODUCTION: There is a need for hernia centers and specialist hernia surgeons because of the increasing complexity of hernia surgery procedures due to new techniques, more difficult cases and a tailored approach with an increasing public awareness demanding optimal treatment results. Therefore, the requirements for accredited/certified hernia centers and specialist hernia surgeons should be formulated by the international and national hernia societies, while taking account of the respective health care systems.METHODS: The European Hernia Society (EHS) has appointed a working group composed of 18 hernia experts from all regions of Europe (ACCESS Group-Hernia Accreditation and Certification of Centers and Surgeons-Working Group) to formulate scientifically based requirements for hernia centers and specialist hernia surgeons while taking into consideration different health care systems. A consensus was reached on the key questions by means of a meeting, a telephone conference and the exchange of contributions. The requirements formulated below were deemed implementable by all participating hernia experts in their respective countries.RESULTS: The ACCESS Group suggests for an adequately equipped hernia center the following requirements: (a) to be accredited/certified by a national or international hernia society, (b) to perform a higher case volume in all types of hernia surgery compared to an average general surgery department in their country, (c) to be staffed by experienced hernia surgeons who are beyond the learning curve for all types of hernia surgery recommended in the guidelines and are responsible for education and training of hernia surgery in their department, (d) to treat hernia patients according to the current guidelines and scientific recommendations, (e) to document each case prospectively in a registry or quality assurance database (f) to perform follow-up for comparison of their own results with benchmark data for continuous improvement of their treatment results and ensuring contribution to research in hernia treatment. To become a specialist hernia surgeon, the ACCESS Group suggests a general surgeon to master the learning curve of all open and laparo-endoscopic hernia procedures recommended in the guidelines, perform a high caseload and additionally to implement and fulfill the other requirements for a hernia center.CONCLUSION: Based on the above requirements formulated by the European Hernia Society for accredited/certified hernia centers and hernia specialist surgeons, the national and international hernia societies can now develop their own programs, while taking account of their specific health care systems.
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- 2019
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14. Repeated laporotomy for infected pancreatic necrosis
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Pirski, M.I., Smietanski, M., Zadrozny, D., Lukianski, M., and Draczkowski, T.
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- 1998
15. European Hernia Society guidelines on prevention and treatment of parastomal hernias
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Antoniou, S A, Agresta, F, Alamino, JMG, Berger, D, Berrevoet, F, Brandsma, HT, Bury, K, Conze, J, Cuccurullo, D, Dietz, UA, Fortelny, R H, Frei-Lanter, C, Hansson, B, Helgstrand, F, Hotouras, A, Janes, A, Kroese, Leonard, Lambrecht, JR, Kyle-Leinhase, I, Lopez-Cano, M, Maggiori, L, Mandala, V, Miserez, M, Montgomery, A, Morales-Conde, S, Prudhomme, M, Rautio, T, Smart, N, Smietanski, M, Szczepkowski, M, Stabilini, C, Muysoms, FE, Antoniou, S A, Agresta, F, Alamino, JMG, Berger, D, Berrevoet, F, Brandsma, HT, Bury, K, Conze, J, Cuccurullo, D, Dietz, UA, Fortelny, R H, Frei-Lanter, C, Hansson, B, Helgstrand, F, Hotouras, A, Janes, A, Kroese, Leonard, Lambrecht, JR, Kyle-Leinhase, I, Lopez-Cano, M, Maggiori, L, Mandala, V, Miserez, M, Montgomery, A, Morales-Conde, S, Prudhomme, M, Rautio, T, Smart, N, Smietanski, M, Szczepkowski, M, Stabilini, C, and Muysoms, FE
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- 2018
16. Guidelines for laparoscopic treatment of ventral and incisional abdominal wall hernias (International Endohernia Society [IEHS])—Part III
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Bittner, R., Bingener-Casey, J., Dietz, U., Fabian, M., Ferzli, G., Fortelny, R., Köckerling, F., Kukleta, J., LeBlanc, K., Lomanto, D., Misra, M., Morales-Conde, S., Ramshaw, B., Reinpold, W., Rim, S., Rohr, M., Schrittwieser, R., Simon, T., Smietanski, M., Stechemesser, B., Timoney, M., and Chowbey, P.
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Abdominal Wall ,Humans ,Surgery ,Laparoscopy ,ddc:610 ,Abdominal Injuries ,Guidelines ,Tomography, X-Ray Computed ,Hernia, Ventral ,Herniorrhaphy - Abstract
Guidelines are increasingly determining the decision process in day-to-day clinical work. Guidelines describe the current best possible standard in diagnostics and therapy. They should be developed by an international panel of experts, whereby alongside individual experience, above all, the results of comparative studies are decisive. According to the results of high-ranking scientific studies published in peer-reviewed journals, statements and recommendations are formulated, and these are graded strictly according to the criteria of evidence-based medicine. Guidelines can therefore be valuable in helping particularly the young surgeon in his or her day-to-day work to find the best decision for the patient when confronted with a wide and confusing range of options. However, even experienced surgeons benefit because by virtue of a heavy workload and commitment, they often find it difficult to keep up with the ever-increasing published literature. All guidelines require regular updating, usually every 3 years, in line with progress in the field. The current Guidelines focus on technique and perioperative management of laparoscopic ventral hernia repair and constitute the first comprehensive guidelines on this topic. In this issue of Surgical Endoscopy, the first part of the Guidelines is published including sections on basics, indication for surgery, perioperative management, and key points of technique. The next part (Part 2) of the Guidelines will address complications and comparisons between open and laparoscopic techniques. Part 3 will cover mesh technology, hernia prophylaxis, technique-related issues, new technologic developments, lumbar and other unusual hernias, and training/education.
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- 2013
17. Recommendations for reporting outcome results in abdominal wall repair
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Muysoms, FE, Deerenberg, Eva, Peeters, E, Agresta, F, Berrevoet, F, Campanelli, G, Ceelen, W, Champault, GG, Corcione, F, Cuccurullo, D, DeBeaux, AC, Dietz, UA, Fitzgibbons, RJ, Gillion, JF, Hilgers, RD, Jeekel, J (Hans), Kyle-Leinhase, I, Kockerling, F, Mandala, V, Montgomery, A, Morales-Conde, S, Simmermacher, RKJ, Schumpelick, V, Smietanski, M, Walgenbach, M, Miserez, M, Surgery, and Neurosciences
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- 2013
18. European Hernia Society guidelines on the closure of abdominal wall incisions
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Muysoms, F. E., Antoniou, S. A., Bury, K., Campanelli, G., Conze, J., Cuccurullo, D., de Beaux, A. C., Deerenberg, E. B., East, B., Fortelny, R. H., Gillion, J. -F, Henriksen, N. A., Israelsson, Leif, Jairam, A., Jaenes, A., Jeekel, J., Lopez-Cano, M., Miserez, M., Morales-Conde, S., Sanders, D. L., Simons, M. P., Smietanski, M., Venclauskas, L., Berrevoet, F., Muysoms, F. E., Antoniou, S. A., Bury, K., Campanelli, G., Conze, J., Cuccurullo, D., de Beaux, A. C., Deerenberg, E. B., East, B., Fortelny, R. H., Gillion, J. -F, Henriksen, N. A., Israelsson, Leif, Jairam, A., Jaenes, A., Jeekel, J., Lopez-Cano, M., Miserez, M., Morales-Conde, S., Sanders, D. L., Simons, M. P., Smietanski, M., Venclauskas, L., and Berrevoet, F.
- Abstract
Background The material and the surgical technique used to close an abdominal wall incision are important determinants of the risk of developing an incisional hernia. Optimising closure of abdominal wall incisions holds a potential to prevent patients suffering from incisional hernias and for important costs savings in health care. Methods The European Hernia Society formed a Guidelines Development Group to provide guidelines for all surgical specialists who perform abdominal incisions in adult patients on the materials and methods used to close the abdominal wall. The guidelines were developed using the Grading of Recommendations Assessment, Development and Evaluation (GRADE) approach and methodological guidance was taken from Scottish Intercollegiate Guidelines Network (SIGN). The literature search included publications up to April 2014. The guidelines were written using the AGREE II instrument. An update of these guidelines is planned for 2017. Results For many of the Key Questions that were studied no high quality data was detected. Therefore, some strong recommendations could be made but, for many Key Questions only weak recommendations or no recommendation could be made due to lack of sufficient evidence. Recommendations To decrease the incidence of incisional hernias it is strongly recommended to utilise a non-midline approach to a laparotomy whenever possible. For elective midline incisions, it is strongly recommended to perform a continuous suturing technique and to avoid the use of rapidly absorbable sutures. It is suggested using a slowly absorbable monofilament suture in a single layer aponeurotic closure technique without separate closure of the peritoneum. A small bites technique with a suture to wound length (SL/WL) ratio at least 4/1 is the current recommended method of fascial closure. Currently, no recommendations can be given on the optimal technique to close emergency laparotomy incisions. Prophylactic mesh augmentation appears effective and safe
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- 2015
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19. Update with level 1 studies of the European Hernia Society guidelines on the treatment of inguinal hernia in adult patients
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Miserez, M, Peeters, E, Aufenacker, T, Bouillot, J L, Campanelli, G, Conze, J, Fortelny, R, Heikkinen, T, Jørgensen, Lars Nannestad, Kukleta, J, Morales-Conde, S, Nordin, P, Schumpelick, V, Smedberg, S, Smietanski, M, Weber, G, Simons, M P, Miserez, M, Peeters, E, Aufenacker, T, Bouillot, J L, Campanelli, G, Conze, J, Fortelny, R, Heikkinen, T, Jørgensen, Lars Nannestad, Kukleta, J, Morales-Conde, S, Nordin, P, Schumpelick, V, Smedberg, S, Smietanski, M, Weber, G, and Simons, M P
- Abstract
PURPOSE: In 2009, the European Hernia Society published the EHS Guidelines for the Treatment of Inguinal Hernia in Adult Patients. The Guidelines contain recommendations for the treatment of inguinal hernia from diagnosis till aftercare. The guidelines expired January 1, 2012. To keep them updated, a revision of the guidelines was planned including new level 1 evidence.METHODS: The original Oxford Centre for Evidence-Based Medicine ranking was used. All relevant level 1A and level 1B literature from May 2008 to June 2010 was searched (Medline and Cochrane) by the Working Group members. All chapters were attributed to the two responsible authors in the initial guidelines document. One new chapter on fixation techniques was added. The quality was assessed by the Working Group members during a 2-day meeting and the data were analysed, especially with respect to any change in the level and/or text of any of the conclusions or recommendations of the initial guidelines. In the end, all relevant references published until January 1, 2013 were included. The final text was approved by all Working Group members.RESULTS: For the following topics, the conclusions and/or recommendations have been changed: indications for treatment, treatment of inguinal hernia, day surgery, antibiotic prophylaxis, training, postoperative pain control and chronic pain. The addendum contains all current level 1 conclusions, Grade A recommendations and new Grade B recommendations based on new level 1 evidence (with the changes in bold).CONCLUSIONS: Despite the fact that the Working Group responsible for it tried to represent most kinds of surgeons treating inguinal hernias, such general guidelines inevitably must be fitted to the daily practice of every individual surgeon treating his/her patients. There is no doubt that the future of guideline implementation will strongly depend on the development of easy to use decision support algorithms tailored to the individual patient
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- 2014
20. EuraHS: the development of an international online platform for registration and outcome measurement of ventral abdominal wall hernia repair
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Muysoms, F, Campanelli, G, Champault, GG, DeBeaux, AC, Dietz, UA, Jeekel, J (Hans), Klinge, U, Kockerling, F, Mandala, V, Montgomery, A, Conde, SM, Puppe, F, Simmermacher, RKJ, Smietanski, M, Miserez, M, Muysoms, F, Campanelli, G, Champault, GG, DeBeaux, AC, Dietz, UA, Jeekel, J (Hans), Klinge, U, Kockerling, F, Mandala, V, Montgomery, A, Conde, SM, Puppe, F, Simmermacher, RKJ, Smietanski, M, and Miserez, M
- Abstract
Although the repair of ventral abdominal wall hernias is one of the most commonly performed operations, many aspects of their treatment are still under debate or poorly studied. In addition, there is a lack of good definitions and classifications that make the evaluation of studies and meta-analyses in this field of surgery difficult. Under the auspices of the board of the European Hernia Society and following the previously published classifications on inguinal and on ventral hernias, a working group was formed to create an online platform for registration and outcome measurement of operations for ventral abdominal wall hernias. Development of such a registry involved reaching agreement about clear definitions and classifications on patient variables, surgical procedures and mesh materials used, as well as outcome parameters A set of well-described definitions was made. The previously reported EHS classifications of hernias will be used. Risk factors for recurrences and co-morbidities of patients were listed. A new severity of comorbidity score was defined. Post-operative complications were classified according to existing classifications as described for other fields of surgery. A new 3-dimensional numerical quality-of-life score, EuraHS-QoL score, was defined. An online platform is created based on the definitions An online platform for registration and outcome measurement of abdominal wall hernia repairs with clear definitions and classifications is offered to the surgical community. It is hoped that this registry could lead to better evidence-based guidelines for treatment of abdominal wall hernias based on hernia variables, patient variables, available hernia repair materials and techniques.
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- 2012
21. European Hernia Society guidelines on the treatment of inguinal hernia in adult patients.
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Simons, M P, Aufenacker, T, Bay-Nielsen, M, Bouillot, J L, Campanelli, G, Conze, J, de Lange, D, Fortelny, R, Heikkinen, T, Kingsnorth, A, Kukleta, J, Morales-Conde, S, Nordin, Pär, Schumpelick, V, Smedberg, S, Smietanski, M, Weber, G, Miserez, M, Simons, M P, Aufenacker, T, Bay-Nielsen, M, Bouillot, J L, Campanelli, G, Conze, J, de Lange, D, Fortelny, R, Heikkinen, T, Kingsnorth, A, Kukleta, J, Morales-Conde, S, Nordin, Pär, Schumpelick, V, Smedberg, S, Smietanski, M, Weber, G, and Miserez, M
- Abstract
The European Hernia Society (EHS) is proud to present the EHS Guidelines for the Treatment of Inguinal Hernia in Adult Patients. The Guidelines contain recommendations for the treatment of inguinal hernia from diagnosis till aftercare. They have been developed by a Working Group consisting of expert surgeons with representatives of 14 country members of the EHS. They are evidence-based and, when necessary, a consensus was reached among all members. The Guidelines have been reviewed by a Steering Committee. Before finalisation, feedback from different national hernia societies was obtained. The Appraisal of Guidelines for REsearch and Evaluation (AGREE) instrument was used by the Cochrane Association to validate the Guidelines. The Guidelines can be used to adjust local protocols, for training purposes and quality control. They will be revised in 2012 in order to keep them updated. In between revisions, it is the intention of the Working Group to provide every year, during the EHS annual congress, a short update of new high-level evidence (randomised controlled trials [RCTs] and meta-analyses). Developing guidelines leads to questions that remain to be answered by specific research. Therefore, we provide recommendations for further research that can be performed to raise the level of evidence concerning certain aspects of inguinal hernia treatment. In addition, a short summary, specifically for the general practitioner, is given. In order to increase the practical use of the Guidelines by consultants and residents, more details on the most important surgical techniques, local infiltration anaesthesia and a patient information sheet is provided. The most important challenge now will be the implementation of the Guidelines in daily surgical practice. This remains an important task for the EHS. The establishment of an EHS school for teaching inguinal hernia repair surgical techniques, including tips and tricks from experts to overcome the learning curve (especially in e
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- 2009
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22. Cap-specific mRNA (nucleoside-2'-O-)-methyltransferase 1 Protein in complex with m7GpppG and SAM
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Smietanski, M., primary, Werener, M., additional, Purta, E., additional, Kaminska, K.H., additional, Stepinski, J., additional, Darzynkiewicz, E., additional, Nowotny, M., additional, and Bujnicki, J.M., additional
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- 2014
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23. Cap-specific mRNA (nucleoside-2'-O-)-methyltransferase 1 Protein in complex with capped RNA fragment
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Smietanski, M., primary, Werener, M., additional, Purta, E., additional, Kaminska, K.H., additional, Stepinski, J., additional, Darzynkiewicz, E., additional, Nowotny, M., additional, and Bujnicki, J.M., additional
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- 2014
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24. Cystal structure of Cap-specific mRNA (nucleoside-2'-O-)-methyltransferase 1
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Smietanski, M., primary, Werener, M., additional, Purta, E., additional, Kaminska, K.H., additional, Stepinski, J., additional, Darzynkiewicz, E., additional, Nowotny, M., additional, and Bujnicki, J.M., additional
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- 2014
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25. Guidelines for laparoscopic treatment of ventral and incisional abdominal wall hernias (International Endohernia Society [IEHS])—Part 2
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Bittner, R., primary, Bingener-Casey, J., additional, Dietz, U., additional, Fabian, M., additional, Ferzli, G. S., additional, Fortelny, R. H., additional, Köckerling, F., additional, Kukleta, J., additional, LeBlanc, K., additional, Lomanto, D., additional, Misra, M. C., additional, Morales-Conde, S., additional, Ramshaw, B., additional, Reinpold, W., additional, Rim, S., additional, Rohr, M., additional, Schrittwieser, R., additional, Simon, Th., additional, Smietanski, M., additional, Stechemesser, B., additional, Timoney, M., additional, and Chowbey, P., additional
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- 2013
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26. Guidelines for laparoscopic treatment of ventral and incisional abdominal wall hernias (International Endohernia Society (IEHS)—Part 1
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Bittner, R., primary, Bingener-Casey, J., additional, Dietz, U., additional, Fabian, M., additional, Ferzli, G. S., additional, Fortelny, R. H., additional, Köckerling, F., additional, Kukleta, J., additional, LeBlanc, K., additional, Lomanto, D., additional, Misra, M. C., additional, Bansal, V. K., additional, Morales-Conde, S., additional, Ramshaw, B., additional, Reinpold, W., additional, Rim, S., additional, Rohr, M., additional, Schrittwieser, R., additional, Simon, Th., additional, Smietanski, M., additional, Stechemesser, B., additional, Timoney, M., additional, and Chowbey, P., additional
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- 2013
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27. Ondansetron Given Intravenously Attenuates Arterial Blood Pressure Drop Due to Spinal Anesthesia: A Double-Blind, Placebo-Controlled Study
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OWCZUK, R, primary, WENSKI, W, additional, POLAKKRZEMINSKA, A, additional, TWARDOWSKI, P, additional, ARSZULOWICZ, R, additional, DYLCZYKSOMMER, A, additional, WUJTEWICZ, M, additional, SAWICKA, W, additional, MORZUCH, E, additional, and SMIETANSKI, M, additional
- Published
- 2008
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28. Five-year results of a randomised controlled multi-centre study comparing heavy-weight knitted versus low-weight, non-woven polypropylene implants in Lichtenstein hernioplasty.
- Author
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Smietanski M, Bury K, Smietanska IA, Owczuk R, Paradowski T, Polish Hernia Study Group, Smietański, M, Bury, K, Smietańska, I A, Owczuk, R, and Paradowski, T
- Abstract
Background: This prospective randomised study evaluated whether non-knitted and non-woven lightweight implants can influence postoperative pain and time of return to normal activity, without increasing the recurrence rate in Lichtenstein inguinal hernioplasty.Methods: Patients were operated on in four centres, randomised blindly into two groups with respect to the mesh used: Surgimesh WN (non-woven polypropylene microfibre sheet) and heavy weight polypropylene mesh. The operation was performed according to the Lichtenstein technique. Follow-up was designed for 7 days, and 3, 6, 12 and 60 months. The objectives were to assess the incidence of early and late complications, recurrence rate, and postoperative pain.Results: A total of 220 patients were randomised; after monitoring visits (exclusion of one hospital), 202 qualified for the assessment. At 60 months, the recurrence rate did not differ statistically. Less pain on the 7th postoperative day, and at 3 months, was observed in the WN group. No other differences were observed.Conclusions: Use of a lightweight non-woven polypropylene implant is a valuable alternative to the use of knitted or woven meshes in the Lichtenstein method. Postoperative pain and recurrence were reduced at short term follow-up, but no statistical difference in recurrence rate was observed at 12 and 60 month follow-up in the patient population tested. [ABSTRACT FROM AUTHOR]- Published
- 2011
- Full Text
- View/download PDF
29. Management of Inguinal Hernia on Peritoneal Dialysis: An Audit of Current Polish Practice and Call for a Standard
- Author
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SMietanSki, M., Renke, M., Bigda, J., SMietanSka, I., Rutkowski, B., Witkowski, P., and SLedzinSki, Z.
- Abstract
Peritoneal dialysis is becoming more and more common as a method of treating patients at the final stage of renal failure. In the year 2002 the number of patients treated with this method in Poland amounted to 1324. Studies have demonstrated that inguinal and abdominal hernias develop more frequently in chronic renal failure patients. The percentage of patients with hernia diagnosed within the first five years of dialysis is about 10%. Continuation of dialysis with the hernia condition left untreated may result in severe complications which are the third most frequent cause of converting treatment method into hemodialysis in PD patients. Currently in Poland there is no national standard in existence as to the management of hernias, and the only British standard from 1998 does not reflect the present expertise of either surgical treatment or dialysis methods. The aim of the current questionnaire based study investigating Polish peritoneal dialysis centers was to assess the treatment when hernia had been diagnosed in the PD patient. Of 49 dialysis centers in Poland, 39 do have protocols on managing the patient before and after the operation. A considerable diversity has been found as to surgical techniques used and the ways the patients are managed in hospital. Following the need expressed by 33 dialysis centers in Poland for some standard for relevant procedures, the authors formulated principles of modern hernia treatment in PD patients. Accordingly, the main principles include: 1) consulting a surgeon collaborating with the center before qualifying for peritoneal dialysis and when hernia symptoms have manifested; 2) Tension-free methods used in a treatment of choice (recommended by PHS); 3) Application of antibiotic prophylaxis (preferably first generation cephalosporin); 4) Induction of local or epidural anesthesia; 5) Peritoneal dialysis programme does not need to be discontinued but low volume dwells or preferably intermittent APD is recommended immediately after surgery.
- Published
- 2006
- Full Text
- View/download PDF
30. Mechanical Modelling of Human Fascia in the Problem of Ventral Hernia Repair
- Author
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Lubowiecka, I., primary, Tomaszewska, A., additional, Szymczak, C., additional, and Smietanski, M., additional
- Full Text
- View/download PDF
31. Trinucleotide cap analogs with triphosphate chain modifications: synthesis, properties, and evaluation as mRNA capping reagents.
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Warminski M, Depaix A, Ziemkiewicz K, Spiewla T, Zuberek J, Drazkowska K, Kedzierska H, Popielec A, Baranowski MR, Sklucka M, Bednarczyk M, Smietanski M, Wolosewicz K, Majewski B, Serwa RA, Nowis D, Golab J, Kowalska J, and Jemielity J
- Subjects
- Animals, Mice, Humans, SARS-CoV-2 genetics, SARS-CoV-2 drug effects, SARS-CoV-2 metabolism, COVID-19 virology, Protein Biosynthesis drug effects, RNA Caps metabolism, RNA Caps genetics, RNA Caps chemistry, Polyphosphates chemistry, Eukaryotic Initiation Factor-4E metabolism, Eukaryotic Initiation Factor-4E genetics, RNA Cap Analogs chemical synthesis, RNA Cap Analogs chemistry, RNA Cap Analogs metabolism, RNA, Messenger genetics, RNA, Messenger metabolism
- Abstract
The recent COVID-19 pandemics have demonstrated the great therapeutic potential of in vitro transcribed (IVT) mRNAs, but improvements in their biochemical properties, such as cellular stability, reactogenicity and translational activity, are critical for further practical applications in gene replacement therapy and anticancer immunotherapy. One of the strategies to overcome these limitations is the chemical modification of a unique mRNA 5'-end structure, the 5'-cap, which is responsible for regulating translation at multiple levels. This could be achieved by priming the in vitro transcription reaction with synthetic cap analogs. In this study, we combined a highly efficient trinucleotide IVT capping technology with several modifications of the 5' cap triphosphate bridge to synthesize a series of 16 new cap analogs. We also combined these modifications with epigenetic marks (2'-O-methylation and m6Am) characteristic of mRNA 5'-ends in higher eukaryotes, which was not possible with dinucleotide caps. All analogs were compared for their effect on the interactions with eIF4E protein, IVT priming, susceptibility to decapping, and mRNA translation efficiency in model cell lines. The most promising α-phosphorothiolate modification was also evaluated in an in vivo mouse model. Unexpected differences between some of the analogs were analyzed using a protein cell extract pull-down assay., (© The Author(s) 2024. Published by Oxford University Press on behalf of Nucleic Acids Research.)
- Published
- 2024
- Full Text
- View/download PDF
32. Trinucleotide mRNA Cap Analogue N 6-Benzylated at the Site of Posttranscriptional m6 A m Mark Facilitates mRNA Purification and Confers Superior Translational Properties In Vitro and In Vivo.
- Author
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Warminski M, Trepkowska E, Smietanski M, Sikorski PJ, Baranowski MR, Bednarczyk M, Kedzierska H, Majewski B, Mamot A, Papiernik D, Popielec A, Serwa RA, Shimanski BA, Sklepkiewicz P, Sklucka M, Sokolowska O, Spiewla T, Toczydlowska-Socha D, Warminska Z, Wolosewicz K, Zuberek J, Mugridge JS, Nowis D, Golab J, Jemielity J, and Kowalska J
- Subjects
- Animals, Mice, RNA, Messenger genetics, Protein Biosynthesis, Methylation, RNA Caps chemistry, RNA Caps genetics, RNA Caps metabolism, Vaccines
- Abstract
Eukaryotic mRNAs undergo cotranscriptional 5'-end modification with a 7-methylguanosine cap. In higher eukaryotes, the cap carries additional methylations, such as
m6 Am ─a common epitranscriptomic mark unique to the mRNA 5'-end. This modification is regulated by the Pcif1 methyltransferase and the FTO demethylase, but its biological function is still unknown. Here, we designed and synthesized a trinucleotide FTO-resistant N 6-benzyl analogue of them6 Am -cap-m7 GpppBn6 Am pG (termed AvantCap ) and incorporated it into mRNA using T7 polymerase. mRNAs carryingBn6 Am showed several advantages over typical capped transcripts. TheBn6 Am moiety was shown to act as a reversed-phase high-performance liquid chromatography (RP-HPLC) purification handle, allowing the separation of capped and uncapped RNA species, and to produce transcripts with lower dsRNA content than reference caps. In some cultured cells,Bn6 Am mRNAs provided higher protein yields than mRNAs carrying Am orm6 Am , although the effect was cell-line-dependent. m7 GpppBn6 Am pG-capped mRNAs encoding reporter proteins administered intravenously to mice provided up to 6-fold higher protein outputs than reference mRNAs, while mRNAs encoding tumor antigens showed superior activity in therapeutic settings as anticancer vaccines. The biochemical characterization suggests several phenomena potentially underlying the biological properties of AvantCap : (i) reduced propensity for unspecific interactions, (ii) involvement in alternative translation initiation, and (iii) subtle differences in mRNA impurity profiles or a combination of these effects. AvantCapped- mRNAs bearing theBn6 Am may pave the way for more potent mRNA-based vaccines and therapeutics and serve as molecular tools to unravel the role ofm6 Am in mRNA.- Published
- 2024
- Full Text
- View/download PDF
33. Chemically Modified Poly(A) Analogs Targeting PABP: Structure Activity Relationship and Translation Inhibitory Properties.
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Perzanowska O, Smietanski M, Jemielity J, and Kowalska J
- Subjects
- Animals, Ligands, Poly(A)-Binding Proteins chemistry, Poly(A)-Binding Proteins genetics, Poly(A)-Binding Proteins metabolism, Protein Binding, RNA metabolism, RNA, Messenger metabolism, Rabbits, Structure-Activity Relationship, Poly A metabolism, Protein Biosynthesis
- Abstract
Poly(A)-binding protein (PABP) is an essential element of cellular translational machinery. Recent studies have revealed that poly(A) tail modifications can modulate mRNA stability and translational potential, and that oligoadenylate-derived PABP ligands can act as effective translational inhibitors with potential applications in pain management. Although extensive research has focused on protein-RNA and protein-protein interactions involving PABPs, further studies are required to examine the ligand specificity of PABP. In this study, we developed a microscale thermophoresis-based assay to probe the interactions between PABP and oligoadenylate analogs containing different chemical modifications. Using this method, we evaluated oligoadenylate analogs modified with nucleobase, ribose, and phosphate moieties to identify modification hotspots. In addition, we determined the susceptibility of the modified oligos to CNOT7 to identify those with the potential for increased cellular stability. Consequently, we selected two enzymatically stable oligoadenylate analogs that inhibit translation in rabbit reticulocyte lysates with a higher potency than a previously reported PABP ligand. We believe that the results presented in this study and the implemented methodology can be capitalized upon in the future development of RNA-based biological tools., (© 2022 The Authors. Chemistry - A European Journal published by Wiley-VCH GmbH.)
- Published
- 2022
- Full Text
- View/download PDF
34. Identification and evaluation of potential SARS-CoV-2 antiviral agents targeting mRNA cap guanine N7-Methyltransferase.
- Author
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Kasprzyk R, Spiewla TJ, Smietanski M, Golojuch S, Vangeel L, De Jonghe S, Jochmans D, Neyts J, Kowalska J, and Jemielity J
- Subjects
- Antiviral Agents chemistry, COVID-19 virology, Cell Line, Exoribonucleases antagonists & inhibitors, Exoribonucleases metabolism, High-Throughput Screening Assays, Humans, Inhibitory Concentration 50, Methyltransferases metabolism, Nucleotidyltransferases metabolism, RNA Caps, RNA, Viral genetics, RNA, Viral metabolism, SARS-CoV-2 genetics, SARS-CoV-2 metabolism, Viral Nonstructural Proteins antagonists & inhibitors, Viral Nonstructural Proteins metabolism, Virus Replication drug effects, Antiviral Agents pharmacology, Methyltransferases antagonists & inhibitors, Nucleotidyltransferases antagonists & inhibitors, SARS-CoV-2 drug effects, COVID-19 Drug Treatment
- Abstract
SARS-CoV-2, the cause of the currently ongoing COVID-19 pandemic, encodes its own mRNA capping machinery. Insights into this capping system may provide new ideas for therapeutic interventions and drug discovery. In this work, we employ a previously developed Py-FLINT screening approach to study the inhibitory effects of compounds against the cap guanine N7-methyltransferase enzyme, which is involved in SARS-CoV-2 mRNA capping. We screened five commercially available libraries (7039 compounds in total) to identify 83 inhibitors with IC
50 < 50 μM, which were further validated using RP HPLC and dot blot assays. Novel fluorescence anisotropy binding assays were developed to examine the targeted binding site. The inhibitor structures were analyzed for structure-activity relationships in order to define common structural patterns. Finally, the most potent inhibitors were tested for antiviral activity on SARS-CoV-2 in a cell based assay., (Copyright © 2021 The Authors. Published by Elsevier B.V. All rights reserved.)- Published
- 2021
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- View/download PDF
35. Phosphodiester modifications in mRNA poly(A) tail prevent deadenylation without compromising protein expression.
- Author
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Strzelecka D, Smietanski M, Sikorski PJ, Warminski M, Kowalska J, and Jemielity J
- Subjects
- Adenosine Triphosphate metabolism, Animals, DNA-Directed RNA Polymerases genetics, Dendritic Cells cytology, Dendritic Cells metabolism, HeLa Cells, Humans, Mice, Poly A chemistry, Poly A genetics, Protein Processing, Post-Translational, RNA, Messenger chemistry, RNA, Messenger genetics, Transcription, Genetic, DNA-Directed RNA Polymerases metabolism, Phosphorothioate Oligonucleotides chemistry, Poly A metabolism, Protein Biosynthesis, RNA, Messenger metabolism
- Abstract
Chemical modifications enable preparation of mRNAs with augmented stability and translational activity. In this study, we explored how chemical modifications of 5',3'-phosphodiester bonds in the mRNA body and poly(A) tail influence the biological properties of eukaryotic mRNA. To obtain modified and unmodified in vitro transcribed mRNAs, we used ATP and ATP analogs modified at the α-phosphate (containing either O-to-S or O-to-BH
3 substitutions) and three different RNA polymerases-SP6, T7, and poly(A) polymerase. To verify the efficiency of incorporation of ATP analogs in the presence of ATP, we developed a liquid chromatography-tandem mass spectrometry (LC-MS/MS) method for quantitative assessment of modification frequency based on exhaustive degradation of the transcripts to 5'-mononucleotides. The method also estimated the average poly(A) tail lengths, thereby providing a versatile tool for establishing a structure-biological property relationship for mRNA. We found that mRNAs containing phosphorothioate groups within the poly(A) tail were substantially less susceptible to degradation by 3'-deadenylase than unmodified mRNA and were efficiently expressed in cultured cells, which makes them useful research tools and potential candidates for future development of mRNA-based therapeutics., (© 2020 Strzelecka et al.; Published by Cold Spring Harbor Laboratory Press for the RNA Society.)- Published
- 2020
- Full Text
- View/download PDF
36. Direct High-Throughput Screening Assay for mRNA Cap Guanine-N7 Methyltransferase Activity.
- Author
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Kasprzyk R, Fido M, Mamot A, Wanat P, Smietanski M, Kopcial M, Cowling VH, Kowalska J, and Jemielity J
- Subjects
- Guanine analogs & derivatives, Guanine metabolism, Humans, Methyltransferases antagonists & inhibitors, RNA Caps chemistry, Drug Evaluation, Preclinical, Enzyme Assays, Enzyme Inhibitors isolation & purification, Enzyme Inhibitors pharmacology, High-Throughput Screening Assays, Methyltransferases metabolism, RNA Caps metabolism
- Abstract
In eukaryotes, mature mRNA is formed through modifications of precursor mRNA, one of which is 5' cap biosynthesis, involving RNA cap guanine-N7 methyltransferase (N7-MTase). N7-MTases are also encoded by some eukaryotic viruses and facilitate their replication. N7-MTase inhibitors have therapeutic potential, but their discovery is difficult because long RNA substrates are usually required for activity. Herein, we report a universal N7-MTase activity assay based on small-molecule fluorescent probes. We synthesized 12 fluorescent substrate analogues (GpppA and GpppG derivatives) varying in the dye type, dye attachment site, and linker length. GpppA labeled with pyrene at the 3'-O position of adenosine acted as an artificial substrate with the properties of a turn-off probe for all three tested N7-MTases (human, parasite, and viral). Using this compound, a N7-MTase inhibitor assay adaptable to high-throughput screening was developed and used to screen synthetic substrate analogues and a commercial library. Several inhibitors with nanomolar activities were identified., (© 2020 Wiley-VCH Verlag GmbH & Co. KGaA, Weinheim.)
- Published
- 2020
- Full Text
- View/download PDF
37. Structural analysis of human 2'-O-ribose methyltransferases involved in mRNA cap structure formation.
- Author
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Smietanski M, Werner M, Purta E, Kaminska KH, Stepinski J, Darzynkiewicz E, Nowotny M, and Bujnicki JM
- Subjects
- Crystallography, X-Ray, Humans, Models, Molecular, Protein Structure, Tertiary, RNA Processing, Post-Transcriptional, Methyltransferases metabolism, RNA Caps metabolism, RNA, Messenger metabolism
- Abstract
The 5' cap of human messenger RNA contains 2'-O-methylation of the first and often second transcribed nucleotide that is important for its processing, translation and stability. Human enzymes that methylate these nucleotides, termed CMTr1 and CMTr2, respectively, have recently been identified. However, the structures of these enzymes and their mechanisms of action remain unknown. In the present study, we solve the crystal structures of the active CMTr1 catalytic domain in complex with a methyl group donor and a capped oligoribonucleotide, thereby revealing the mechanism of specific recognition of capped RNA. This mechanism differs significantly from viral enzymes, thus providing a framework for their specific targeting. Based on the crystal structure of CMTr1, a comparative model of the CMTr2 catalytic domain is generated. This model, together with mutational analysis, leads to the identification of residues involved in RNA and methyl group donor binding.
- Published
- 2014
- Full Text
- View/download PDF
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