Antonios Koutras

Dr. Antonios Koutras

orcid

Research Focus & Metrics

Academic Career Length

9Years (2018-Present)

(Calculated once Scilit publication data is synced: current year − year of first publication + 1)

Representative Publications

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27 October 2020 in Anticancer Research
Verified
Journal Article
Closed access
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EKEmmanuel N. Kontomanolis
Emmanuel N. Kontomanolis
AKAntonios Koutras
Antonios Koutras
ASAthanasios Syllaios
Athanasios Syllaios
DSDimitrios Schizas
Dimitrios Schizas
AMAikaterini Mastoraki
Aikaterini Mastoraki
ZFZacharias Fasoulakis
Zacharias Fasoulakis
Cancer is a medical condition which has a molecular basis. Proto-oncogenes are the first regulatory factors of this biological process. They act in transmitting signals, resulting as growth factors. Modifications of these genes, called oncogenes, lead to the appearance of cancer cells. The activation process leading to proto-oncogenes are chromosomal translocation, point mutation, and gene amplification. Concerning the clonal theory of oncogenesis, it is believed that a tumor starts from a cell. Furthermore, there is close association between tumor development and inhibition of apoptosis or programmed cell death, providing cell immortality. Angiogenesis and angiogenic factors found to be expressed in tumors and may play a key role in tumor formation and development. Tumor-suppressor genes block the growth of cancer and contribute to the normal development of cells. This article highlights the evidence that neoplasms develop as the after-effect of the increase of acquired and physical genetic variations in proto-oncogenes and tumor-suppressor genes; these form a target group in the cells of neoplasms. Tumor formation and development are characterized by individual processes, working synergistically, and an understanding of each individual process may provide a better basis for further anticancer research.

22 May 2023 in Children
Verified
Journal Article
Open access
PDF file
George DaskalakisGeorge Daskalakis
George Daskalakis
APAlexandros Psarris
Alexandros Psarris
AKAntonios Koutras
Antonios Koutras
ZFZacharias Fasoulakis
Zacharias Fasoulakis
IPIoannis Prokopakis
Ioannis Prokopakis
APAngeliki Athanasios Papapanagiotou
Angeliki Athanasios Papapanagiotou
As the leading cause of neonatal morbidity and mortality, preterm birth is recognized as a major public health concern around the world. The purpose of this review is to analyze the connection between infections and premature birth. Spontaneous preterm birth is commonly associated with intrauterine infection/inflammation. The overproduction of prostaglandins caused by the inflammation associated with an infection could lead to uterine contractions, contributing to preterm delivery. Many pathogens, particularly Chlamydia trachomatis, Neisseria gonorrhoeae, Trichomonas vaginalis, Gardnerella vaginalis, Ureaplasma urealyticum, Mycoplasma hominis, Actinomyces, Candida spp., and Streptococcus spp. have been related with premature delivery, chorioamnionitis, and sepsis of the neonate. Further research regarding the prevention of preterm delivery is required in order to develop effective preventive methods with the aim of reducing neonatal morbidity.

13 June 2023 in Medicina
Verified
Journal Article
Open access
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ZFZacharias Fasoulakis
Zacharias Fasoulakis
AKAntonios Koutras
Antonios Koutras
Panos AntsaklisPanos Antsaklis
Panos Antsaklis
MTMarianna Theodora
Marianna Theodora
AVASIMINA VALSAMAKI
ASIMINA VALSAMAKI
EKEmmanuel Kontomanolis
Emmanuel Kontomanolis
Intrauterine growth restriction (IUGR) represents a condition where the fetal weight is less than the 10th percentile for gestational age, or the estimated fetal weight is lower than expected based on gestational age. IUGR can be caused by various factors such as maternal, placental or fetal factors and can lead to various complications for both the fetus and the mother, including fetal distress, stillbirth, preterm delivery, and maternal hypertension. Women with gestational diabetes are at an increased risk of developing IUGR. This article reviews the different aspects of gestational diabetes in addition to IUGR, the diagnostic methods available for IUGR detection, including ultrasound and Doppler studies, discusses the management strategies for women with IUGR and gestational diabetes and analyzes the importance of early detection and timely intervention to improve pregnancy outcomes.

Verified
Journal Article
Open access
PDF file
ZFZacharias Fasoulakis
Zacharias Fasoulakis
AKAntonios Koutras
Antonios Koutras
TNTHOMAS NTOUNIS
THOMAS NTOUNIS
IPIoannis Prokopakis
Ioannis Prokopakis
PPParaskevas Perros
Paraskevas Perros
EKEmmanuel Kontomanolis
Emmanuel Kontomanolis
Cancer cells are known to have a distinct metabolic profile and to exhibit significant changes in a variety of metabolic mechanisms compared to normal cells, particularly glycolysis and glutaminolysis, in order to cover their increased energy requirements. There is mounting evidence that there is a link between glutamine metabolism and the proliferation of cancer cells, demonstrating that glutamine metabolism is a vital mechanism for all cellular processes, including the development of cancer. Detailed knowledge regarding its degree of engagement in numerous biological processes across distinct cancer types is still lacking, despite the fact that such knowledge is necessary for comprehending the differentiating characteristics of many forms of cancer. This review aims to examine data on glutamine metabolism and ovarian cancer and identify possible therapeutic targets for ovarian cancer treatment.

15 June 2023 in Diagnostics
Verified
Journal Article
Open access
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AKAntonios Koutras
Antonios Koutras
PPParaskevas Perros
Paraskevas Perros
IPIoannis Prokopakis
Ioannis Prokopakis
TNTHOMAS NTOUNIS
THOMAS NTOUNIS
ZFZacharias Fasoulakis
Zacharias Fasoulakis
EKEmmanuel Kontomanolis
Emmanuel Kontomanolis
Ovarian cancer (OC) is the seventh most common malignancy diagnosed among women, the eighth leading cause of cancer mortality globally, and the most common cause of death among all gynecological cancers. Even though recent advances in technology have allowed for more accurate radiological and laboratory diagnostic tests, approximately 60% of OC cases are diagnosed at an advanced stage. Given the high mortality rate of advanced stages of OC, early diagnosis remains the main prognostic factor. Our aim is to focus on the sonographic challenges in ovarian cancer screening and to highlight the importance of sonographic evaluation, the crucial role of the operator΄s experience, possible limitations in visibility, emphasizing the importance and the necessity of quality assurance protocols that health workers have to follow and finally increasing the positive predictive value. We also analyzed how ultrasound can be combined with biomarkers (ex. CA-125) so as to increase the sensitivity of early-stage OC detection or, in addition to the gold standard examination, the CT (Computed tomography) scan in OC follow–up. Improvements in the performance and consistency of ultrasound screening could reduce the need for repeated examinations and, mainly, ensure diagnostic accuracy. Finally, we refer to new very promising techniques such as liquid biopsies. Future attempts in order to improve screening should focus on the identification of features that are unique to OC and that are present in early-stage tumors.

9 November 2022 in Journal of Clinical Medicine
Verified
Journal Article
Open access
PDF file
TNTHOMAS NTOUNIS
THOMAS NTOUNIS
IPIoannis Prokopakis
Ioannis Prokopakis
AKAntonios Koutras
Antonios Koutras
ZFZacharias Fasoulakis
Zacharias Fasoulakis
SPSavia Pittokopitou
Savia Pittokopitou
EKEmmanuel Kontomanolis
Emmanuel Kontomanolis
Evidence indicates that SARS-CoV-2 infection increases the likelihood of adverse pregnancy outcomes. Modifications in the circulatory, pulmonary, hormonal, and immunological pathways induced by pregnancy render pregnant women as a high-risk group. A growing body of research shows that SARS-CoV-2 infection during pregnancy is connected to a number of maternal complications, including pneumonia and intensive care unit (ICU) hospitalization. Miscarriages, stillbirth, preterm labor, as well as pre-eclampsia and intrauterine growth restriction are also among the most often documented fetal implications, particularly among expecting women who have significant COVID-19 symptoms, often affecting the timing and route of delivery. Thus, prevention of infection and pharmacological treatment options should aim to minimize the aforementioned risks and ameliorate maternal, obstetric and fetal/neonatal outcomes.