{"id":40497,"date":"2023-06-26T04:52:47","date_gmt":"2023-06-26T02:52:47","guid":{"rendered":"https:\/\/www.invarena.cz\/?p=40497"},"modified":"2023-06-26T04:54:36","modified_gmt":"2023-06-26T02:54:36","slug":"o-lecbe-rakoviny","status":"publish","type":"post","link":"https:\/\/www.invarena.cz\/?p=40497","title":{"rendered":"O l\u00e9\u010db\u011b rakoviny"},"content":{"rendered":"\n<p>V po\u0159adu Devades\u00e1tka \u010cesk\u00e9 televize hovo\u0159il Mari\u00e1n Hajd\u00fach, \u0159editel \u00dastavu molekul\u00e1rn\u00ed a transla\u010dn\u00ed medic\u00edny L\u00e9ka\u0159sk\u00e9 fakulty Univerzity Palack\u00e9ho v Olomouci.<\/p>\n\n\n\n<p>moder\u00e1torka<br \/>Kde budeme m\u00edt l\u00e9k na rakovinu?<\/p>\n\n\n\n<p>Marian HAJD\u00daCH, \u0159editel, \u00dastav molekul\u00e1rn\u00ed a transla\u010dn\u00ed medic\u00edny, LF UPOL<br \/>No, l\u00e9\u010debn\u00e9 mo\u017enosti se zlep\u0161uj\u00ed v podstat\u011b ka\u017ed\u00fdm rokem, ale mysl\u00edm, \u017ee univerz\u00e1ln\u00ed l\u00e9k na n\u00e1dorov\u00e1 onemocn\u011bn\u00ed existovat z\u0159ejm\u011b nebude nikdy, jedn\u00e1 se o velmi heterogenn\u00ed skupinu nemoc\u00ed, a to i v r\u00e1mci jedn\u00e9 diagnostick\u00e9 skupiny, a sp\u00ed\u0161e to vypad\u00e1 tak, \u017ee ta l\u00e9\u010dba se ub\u00edr\u00e1 sm\u011brem personalizace k tomu, aby ta l\u00e9\u010dba sm\u011b\u0159ovala ke konkr\u00e9tn\u00edmu pacientovi podle toho, jak\u00fd vlastn\u011b genetick\u00fd nebo jin\u00fd n\u00e1lez se v jeho n\u00e1doru nach\u00e1z\u00ed. Tak\u017ee sp\u00ed\u0161e to jde skute\u010dn\u011b sm\u011brem l\u00e9\u010dby personalizovan\u00e9, ne\u017e \u017ee by existovalo jedno l\u00e9\u010divo, kter\u00fdm budeme schopni l\u00e9\u010dit v\u0161echna n\u00e1dorov\u00e1 onemocn\u011bn\u00ed.<\/p>\n\n\n\n<p>moder\u00e1torka<br \/>Tedy ta tolik sklo\u0148ovan\u00e1 biologick\u00e1 l\u00e9\u010dba na molekul\u00e1rn\u00ed \u00farovni, to je budoucnost.<\/p>\n\n\n\n<p>Marian HAJD\u00daCH, <br \/>Ona je to u\u017e ka\u017edodenn\u00ed praxe. To znamen\u00e1, ta biologick\u00e1 l\u00e9\u010dba, m\u011bl jsem mo\u017enost b\u00fdt vlastn\u011b u za\u010d\u00e1tku toho v \u010cesk\u00e9 republice, a opravdu dramatick\u00fdm zp\u016fsobem zm\u011bnila vlastn\u011b \u017eivot a osudy na\u0161ich pacient\u016f. D\u00e1le se k tomu p\u0159idala v posledn\u00edch letech imunoterapie, kter\u00e1 m\u00e1 na naprosto excelentn\u00ed v\u00fdsledky, a ty l\u00e9\u010debn\u00e9 modely, ty se skute\u010dn\u011b kombinuj\u00ed tak, aby se dos\u00e1hlo co nejlep\u0161\u00edch l\u00e9\u010debn\u00fdch v\u00fdsledk\u016f a v posledn\u00edch letech krom\u011b teda t\u00e9 b\u011b\u017en\u00e9 imunoterapie jsou to nap\u0159\u00edklad \/nesrozumiteln\u00e9\/ bu\u0148ky, kter\u00e9 v podstat\u011b, jedn\u00e1 se o takovou \u017eivou medic\u00ednu, jedn\u00e1 se o vlastn\u00ed bu\u0148ky toho jedince, kter\u00e9 se geneticky modifikuj\u00ed tak, aby rozpozn\u00e1valy jeho T-lymfocyty, vlastn\u011b ty n\u00e1dorov\u00e9 bu\u0148ky, vr\u00e1t\u00ed se pacientovi zp\u011bt a jsou schopny velmi efektivn\u011b celou \u0159adu n\u00e1dorov\u00fdch onemocn\u011bn\u00ed vlastn\u011b vyl\u00e9\u010dit. Zejm\u00e9na se jedn\u00e1 v tuto chv\u00edli o n\u011bkter\u00e9 varianty krevn\u00edch n\u00e1dor\u016f.<\/p>\n\n\n\n<p>moder\u00e1torka<br \/>Te\u010f je velk\u00fdm t\u00e9matem um\u011bl\u00e1 inteligence, kter\u00e1 m\u00e1 sv\u00e9 m\u00edsto taky ve v\u011bd\u011b a v medic\u00edn\u011b, jak\u00fdm zp\u016fsobem pom\u00e1h\u00e1 pr\u00e1v\u011b p\u0159i l\u00e9\u010db\u011b a diagnostice rakoviny?<\/p>\n\n\n\n<p>Marian HAJD\u00daCH,<br \/>pom\u00e1h\u00e1 z\u00e1sadn\u00edm zp\u016fsobem. Pom\u00e1h\u00e1 jednak v oblasti v\u00fdzkumu a v\u00fdvoje nov\u00fdch l\u00e9\u010div, kde se prost\u0159ednictv\u00edm um\u011bl\u00e9 inteligence hledaj\u00ed specifick\u00e1 l\u00e9\u010diva pro nov\u00e9 molekul\u00e1rn\u00ed c\u00edle, tato v\u011bc b\u011b\u017en\u011b funguje. Dal\u0161\u00ed v\u011bc, kter\u00e1 se zcela b\u011b\u017en\u011b za\u010d\u00edn\u00e1 pou\u017e\u00edvat, je nap\u0159\u00edklad vyu\u017eit\u00ed a anal\u00fdza zobrazovac\u00edch metod nebo zobrazen\u00ed prost\u0159ednictv\u00edm metod um\u011bl\u00e9 inteligence, to se vyu\u017e\u00edv\u00e1 nap\u0159\u00edklad p\u0159i \u010dten\u00ed n\u011bkter\u00fdch rentgenov\u00fdch sn\u00edmk\u016f, histopatologick\u00fdch n\u00e1lez\u016f, ale i t\u0159eba v r\u00e1mci rutinn\u00ed endoskopie. Pacienti si m\u00e1lokdy uv\u011bdom\u00ed, \u017ee vlastn\u011b v pr\u016fb\u011bhu endoskopick\u00e9ho vy\u0161et\u0159en\u00ed m\u016f\u017ee n\u011bkter\u00e9 jejich n\u00e1lezy soub\u011b\u017en\u011b s l\u00e9ka\u0159em identifikovat i um\u011bl\u00e1 inteligence.<\/p>\n\n\n\n<p>moder\u00e1torka<br \/>A te\u010f m\u011b napad\u00e1, kdy\u017e o tom tak mluv\u00edte a mluv\u00ed i vl\u00e1da o tom, \u017ee by cht\u011bla tedy podporovat prevenci, ale z\u00e1rove\u0148 v r\u00e1mci \u00fasporn\u00e9ho bal\u00ed\u010dku vlastn\u011b p\u0159ijde v\u011bda a v\u00fdzkum pravd\u011bpodobn\u011b o n\u011bjak\u00e9 pen\u00edze v r\u00e1mci vl\u00e1dn\u00edch \u00faspor, je to chyba podle v\u00e1s? M\u016f\u017ee to zbrzdit ten v\u00fdvoj, nebo ne?<\/p>\n\n\n\n<p>Marian HAJD\u00daCH, <br \/>Zbrzd\u00ed je to zcela ur\u010dit\u011b a samoz\u0159ejm\u011b opravdu je to v\u011bc, kter\u00e1 ohro\u017euje udr\u017eitelnost n\u011bkter\u00fdch \u010dinnost\u00ed do budoucna, ty \u0161krty, kter\u00e9 se pl\u00e1nuj\u00ed, jsou pom\u011brn\u011b v\u00fdznamn\u00e9. Na jednu stranu by se dalo \u0159\u00edct, \u017ee 10 % jako nemus\u00ed b\u00fdt moc, ale 10 % ve chv\u00edli, kdy inflace v podstat\u011b sn\u00ed\u017eila ten rozpo\u010det v t\u011bch re\u00e1ln\u00fdch n\u00e1kladech nebo nav\u00fd\u0161ila o minim\u00e1ln\u011b dal\u0161\u00edch 15 %, tak by \u0161lo by v podstat\u011b o \u0161krty v rozpo\u010dtu kolem jedn\u00e9 \u010dtvrtiny a samoz\u0159ejm\u011b by to znamenalo konec \u0159ady v\u00fdzkumn\u00fdch t\u00fdm\u016f, ale taky nemo\u017enost udr\u017eet n\u011bkter\u00e9 \u010dinnosti, kter\u00e9 d\u011bl\u00e1me.Nap\u0159\u00edklad biobankov\u00e1n\u00ed materi\u00e1lu z klinick\u00fdch studi\u00ed a podobn\u011b. V\u0161echny tyto v\u011bci by byly z\u00e1sadn\u00edm zp\u016fsobem ohro\u017een\u00e9. V\u011b\u0159\u00edm, \u017ee se to nestane.<\/p>\n\n\n\n<p>moder\u00e1torka<br \/>zaj\u00edm\u00e1 m\u011b, jestli je zn\u00e1mo, do jak\u00e9 m\u00edry hraje pr\u00e1v\u011b genetika roli a do jak\u00e9 m\u00edry hraje na\u0161e chov\u00e1n\u00ed a n\u00e1\u0161 p\u0159\u00edstup k vlastn\u00edmu zdrav\u00ed roli.<\/p>\n\n\n\n<p>Marian HAJD\u00daCH, <br \/>Ano, je to velmi individu\u00e1ln\u00ed, z\u00e1vis\u00ed, o jak\u00fd typ onemocn\u011bn\u00ed se konkr\u00e9tn\u011b jedn\u00e1, ale d\u00e1 se zhruba pr\u016fm\u011brn\u011b odhadnout nap\u0159\u00ed\u010d n\u00e1dorov\u00fdmi onemocn\u011bn\u00edmi, \u017ee zhruba 10 % n\u00e1dor\u016f vznik\u00e1 na podstat\u011b d\u011bdi\u010dn\u00e9 dispozice, p\u0159ibli\u017en\u011b 20-30 % n\u00e1dor\u016f vznik\u00e1 na z\u00e1klad\u011b faktor\u016f \u017eivotn\u00edho prost\u0159ed\u00ed, zevn\u00edch faktor\u016f \u017eivotn\u00edho prost\u0159ed\u00ed, jako je nap\u0159\u00edklad samoz\u0159ejm\u011b zne\u010di\u0161t\u011bn\u00ed, jako je kou\u0159en\u00ed a mnoho dal\u0161\u00edch v\u011bc\u00ed, a p\u0159ibli\u017en\u011b 60 % n\u00e1dor\u016f vznik\u00e1 na podklad\u011b, kter\u00e9mu se anglicky \u0159\u00edk\u00e1 bad luck, to znamen\u00e1, je to v\u011bc, kterou dost dob\u0159e neum\u00edme ovlivnit a vznik\u00e1 v podstat\u011b chybou p\u0159i p\u0159episu nukleov\u00e9 kyseliny, kdy doch\u00e1z\u00ed v t\u011bchto bu\u0148k\u00e1ch k akumulaci mutac\u00ed, a pokud se tyto mutace zkombinuj\u00ed spr\u00e1vn\u00fdm zp\u016fsobem, tak vlastn\u011b ta bu\u0148ka dostane r\u016fstovou v\u00fdhodu, za\u010dne se mno\u017eit preferen\u010dn\u011b a vlastn\u011b vznik\u00e1 n\u00e1dorov\u00e9 onemocn\u011bn\u00ed.<\/p>\n\n\n\n<p>moder\u00e1torka<br \/>A to je tedy v podstat\u011b i va\u0161e odpov\u011b\u010f na to, kdy\u017e vid\u00edme t\u0159eba ku\u0159\u00e1ka, on n\u00e1m \u0159ekne, pros\u00edm t\u011b, m\u016fj d\u011bde\u010dek, ten kou\u0159il 60 denn\u011b a do\u017eil se stovky, moje teta nikdy nekou\u0159ila a m\u011bla rakovinu plic a um\u0159ela v 50. Tak to je v podstat\u011b va\u0161e odpov\u011b\u010f?<\/p>\n\n\n\n<p>Marian HAJD\u00daCH, <br \/>Na to se t\u011b\u017eko odpov\u00edd\u00e1. V\u00edte, ty statistiky jsou naprosto jednozna\u010dn\u00e9, na \u00farovni individu\u00e1ln\u00ed m\u016f\u017eou samoz\u0159ejm\u011b existovat i takov\u00edto jedinci, ale v podstat\u011b ty dva kl\u00ed\u010dov\u00e9 rizikov\u00e9 faktory, to je kou\u0159en\u00ed spalovan\u00e9ho tab\u00e1ku, je pot\u0159eba to rozli\u0161it do zah\u0159\u00edvan\u00e9ho tab\u00e1ku nebo elektronick\u00fdch cigaret, tyto varianty jsou \u0161kodliv\u00e9 podle dostupn\u00fdch studi\u00ed m\u00e9n\u011b, a druh\u00fdm velk\u00fdm rizikov\u00fdm faktorem je bohu\u017eel alkohol, jeho\u017e spot\u0159eba v \u010cesk\u00e9 republice je vysok\u00e1. Tak\u017ee pokud se n\u00e1m poda\u0159\u00ed lidi p\u0159esv\u011bd\u010dit, aby p\u0159estali kou\u0159it a aby sn\u00ed\u017eili spot\u0159ebu alkoholu, tak d\u00e1 se odhadnout, \u017ee mno\u017estv\u00ed z\u00e1va\u017en\u00fdch n\u00e1dorov\u00fdch onemocn\u011bn\u00ed velmi v\u00fdrazn\u011b klesne. Jenom d\u00edky alkoholu tady um\u00edr\u00e1 zhruba 7 000 lid\u00ed ro\u010dn\u011b, z toho zhruba 1-2 000 na n\u00e1dorov\u00e1 onemocn\u011bn\u00ed.<\/p>\n\n\n\n<p>moder\u00e1torka<br \/>Hraje tam n\u011bjakou roli, \u0159ekn\u011bme, imunita? To, jak siln\u00fd jedinec je, jestli je o\u010dkovan\u00fd, neo\u010dkovan\u00fd, v tom, jak\u00e9 m\u00e1 \u0161ance se do\u017e\u00edt vy\u0161\u0161\u00edho v\u011bku a bu\u010f rakovinu v\u016fbec nedostat, anebo se z n\u00ed dostat?<\/p>\n\n\n\n<p>Marian HAJD\u00daCH, <br \/>Ur\u010dit\u011b. Imunita stejn\u011b tak jako stres a dal\u0161\u00ed faktory se pod\u00edlej\u00ed a jsou zapojen\u00e9 vlastn\u011b do t\u00e9 patogeneze n\u00e1dorov\u00e9ho onemocn\u011bn\u00ed. V \u0159ad\u011b situac\u00ed nev\u00edme p\u0159esn\u011b, jak\u00fdm zp\u016fsobem, ale d\u00e1 se \u0159\u00edct, \u017ee se z t\u011bch epidemiologick\u00fdch studi\u00ed jedn\u00e1 o faktor, kter\u00fd je statisticky v\u00fdznamn\u00fd a zcela ur\u010dit\u011b m\u00e1 sv\u016fj v\u00fdznam. Tak\u017ee imunitn\u00ed pochody jsou velmi d\u016fle\u017eit\u00e9 v kontrole n\u00e1dorov\u00e9ho onemocn\u011bn\u00ed. D\u00e1 se \u0159\u00edct, \u017ee se jedn\u00e1 o jeden z kontroln\u00edch bod\u016f, kter\u00fd pokud sel\u017ee, tak n\u00e1dorov\u00e9 onemocn\u011bn\u00ed se m\u016f\u017ee skute\u010dn\u011b vyvinout a pln\u011b rozvinout vlastn\u011b na n\u00e1dorovou chorobu.<\/p>\n\n\n\n<p>moder\u00e1torka<br \/>Kdy\u017e mluv\u00edme o t\u00e9 imunit\u011b a o tom o\u010dkov\u00e1n\u00ed, tak my jsme tady dnes zmi\u0148ovali taky covid, tak v\u00e1\u0161 pohled. Jak\u00fd m\u011bl vliv covid na po\u010dty lid\u00ed, kte\u0159\u00ed t\u0159eba chodili pozd\u011b k l\u00e9ka\u0159i a v\u016fbec i na vlastn\u011b na\u0161i imunitu, kdy\u017e u\u017e o n\u00ed mluv\u00edme, jak\u00fd vliv to zkr\u00e1tka m\u011blo na rakovinu v \u010cesku a na to, jak si v \u010cesku stoj\u00edme?<\/p>\n\n\n\n<p>Marian HAJD\u00daCH, <br \/>Jestli m\u016f\u017eu je\u0161t\u011b drobnost k tomu o\u010dkov\u00e1n\u00ed. Je pot\u0159eba si uv\u011bdomit, \u017ee velk\u00e1 \u010d\u00e1st n\u00e1dorov\u00fdch onemocn\u011bn\u00ed vznik\u00e1 na podklad\u011b infek\u010dn\u00ed choroby. Jsou to nap\u0159\u00edklad onemocn\u011bn\u00ed zp\u016fsoben\u00e1 virem lidsk\u00e9ho papilomaviru, n\u011bkter\u00fdmi varianty \u017eloutenky a podobn\u011b. To znamen\u00e1, to o\u010dkov\u00e1n\u00ed opravdu chr\u00e1n\u00ed tak\u00e9 p\u0159ed n\u00e1dorov\u00fdm onemocn\u011bn\u00edm a z hlediska covidu samoz\u0159ejm\u011b v pr\u016fb\u011bhu pandemie poklesl po\u010det lid\u00ed, kte\u0159\u00ed nav\u0161t\u011bvovali screeningov\u00fd program, n\u00e1dorov\u00e1 p\u00e9\u010de samoz\u0159ejm\u011b pokra\u010dovala d\u00e1l, v podstat\u011b bez p\u0159eru\u0161en\u00ed, a tam si mysl\u00edm, \u017ee k n\u011bjak\u00e9mu z\u00e1sadn\u00edmu deficitu nedo\u0161lo. Ur\u010dit\u00fd pokles lid\u00ed, kte\u0159\u00ed nav\u0161t\u00edvili screeningov\u00e9 programy, byl ur\u010dit\u011b patrn\u00fd, do jak\u00e9 m\u00edry se to projev\u00ed v n\u00e1r\u016fstu n\u00e1dorov\u00fdch onemocn\u011bn\u00ed v budoucnosti, to budeme muset je\u0161t\u011b vyhodnotit. Ty data \u00fapln\u011b jasn\u00e1 nejsou. Zd\u00e1 se, \u017ee u n\u011bkter\u00fdch onemocn\u011bn\u00ed, kde screening b\u011b\u017e\u00ed, nap\u0159\u00edklad u karcinomu prsu, k m\u00edrn\u00e9mu nav\u00fd\u0161en\u00ed pokro\u010dilej\u0161\u00edch forem onemocn\u011bn\u00ed do\u0161lo, u n\u011bkter\u00fdch jin\u00fdch forem, kde screening tak\u00e9 b\u011b\u017e\u00ed, jako je nap\u0159\u00edklad kolorekt\u00e1ln\u00ed rakovina, k tomu z\u00e1sadn\u00edmu nav\u00fd\u0161en\u00ed pokro\u010dilej\u0161\u00edch forem nedo\u0161lo. Tak\u017ee je to v\u011bc, kter\u00e1 se je\u0161t\u011b bude zhodnotit s v\u011bt\u0161\u00edm \u010dasov\u00fdm odstupem.<\/p>\n\n\n\n<p>moder\u00e1torka<br \/>K \u010demu b\u011bhem covidu do\u0161lo, asi ur\u010dit\u011b je n\u00e1r\u016fst r\u016fzn\u00fdch dezinformac\u00ed, kter\u00e9 se t\u00fdkaly pr\u00e1v\u011b i t\u0159eba o\u010dkov\u00e1n\u00ed a t\u00fdkaly se i zdrav\u00ed obecn\u011b. Je to probl\u00e9m i ve va\u0161em oboru? A trv\u00e1 tenhle probl\u00e9m?<\/p>\n\n\n\n<p>Marian HAJD\u00daCH, <br \/>Tak probl\u00e9m dezinformac\u00ed je v ka\u017ed\u00e9m oboru. A v podstat\u011b i v p\u0159\u00edpad\u011b n\u00e1dorov\u00fdch onemocn\u011bn\u00ed pacienti nez\u0159\u00eddka podl\u00e9haj\u00ed r\u016fzn\u00fdm alternativn\u00edm postup\u016fm, kter\u00e9 samoz\u0159ejm\u011b neb\u00fdvaj\u00ed spojen\u00e9 s \u00fasp\u011bchem, a v podstat\u011b je to jedna z v\u011bc\u00ed, na kter\u00e9 by si pacienti m\u011bli d\u00e1t skute\u010dn\u011b pozor a sv\u016fj stav d\u016fsledn\u011b konzultovat s l\u00e9ka\u0159em. J\u00e1 osobn\u011b nezn\u00e1m pacienta, kter\u00e9ho by alternativn\u00ed medic\u00edna z rakoviny vyl\u00e9\u010dila.<\/p>\n\n\n\n<p>moder\u00e1torka<br \/>Jak motivovat lidi, aby na prevence chodili a aby se neb\u00e1li? M\u00e1te vy n\u011bjak\u00fd sv\u016fj tip?<\/p>\n\n\n\n<p>Marian HAJD\u00daCH, <br \/>Na to b\u011b\u017e\u00ed samoz\u0159ejm\u011b \u0159ada studi\u00ed, my jsme se t\u00edm tak\u00e9 zab\u00fdvali a zab\u00fdv\u00e1me a jedna z mo\u017enost\u00ed je samoz\u0159ejm\u011b roz\u0161\u00ed\u0159it, jak vlastn\u011b se ti lid\u00e9 k prevenci dostat m\u016f\u017eou. A zajistit jej\u00ed v\u011bt\u0161\u00ed dostupnost. To v n\u011bkter\u00fdch regionech po\u0159\u00e1d nen\u00ed dobr\u00e9 a v podstat\u011b, pokud byste se pod\u00edvala na mapu t\u0159eba v\u00fdskytu covidu a na mapu n\u00e1v\u0161t\u011bvnosti screeningov\u00fdch center, tak tam ty p\u0159ekryvy v tom deficitu t\u00e9 n\u00e1v\u0161t\u011bvnosti budou pom\u011brn\u011b velk\u00e9. Z\u0159ejm\u011b to souvis\u00ed samoz\u0159ejm\u011b vzd\u011bl\u00e1n\u00edm t\u011bch lid\u00ed, je pot\u0159eba tyto v\u011bci p\u0159ipom\u00ednat, je pot\u0159eba lidi vzd\u011bl\u00e1vat a mysl\u00edm si, \u017ee tak\u00e9 je pot\u0159eba p\u0159ibl\u00ed\u017eit vlastn\u011b screening, pokud je mo\u017en\u00e9, pacientovi co nejbl\u00ed\u017ee vlastn\u011b dom\u016f. A jednou z cest jsou t\u0159eba samoodb\u011brov\u00e9 syst\u00e9my, kter\u00e9 se pou\u017e\u00edvaj\u00ed ji\u017e b\u011b\u017en\u011b v n\u011bkter\u00fdch zem\u00edch, kdy t\u0159eba screening kololekt\u00e1ln\u00ed rakoviny a screening karcinomu d\u011blo\u017en\u00edho hrdla lze za jist\u00fdch podm\u00ednek zejm\u00e9na t\u011bm, kte\u0159\u00ed se k standardn\u00edm screeningov\u00fdm program\u016fm nedostanou, ne\u00fa\u010dastn\u00ed, dostat vlastn\u011b k nim dom\u016f a prost\u0159ednictv\u00edm t\u011bch samoodb\u011brov\u00fdch souprav vyhodnotit je a informovat vlastn\u011b ty jedince o v\u00fdsledku. Tak\u017ee to je v\u011bc, kter\u00e1 si mysl\u00edm, \u017ee je pom\u011brn\u011b v\u00fdznamn\u00e1 a zcela prokazateln\u011b podle mezin\u00e1rodn\u00edch studi\u00ed i vlastn\u011b na\u0161ich \u010desk\u00fdch studi\u00ed zvy\u0161uje \u00fa\u010dast a zapojen\u00ed ob\u010dan\u016f do screeningov\u00fdch program\u016f.<\/p>\n\n\n\n<p>moder\u00e1torka<br \/>Mari\u00e1n Hajd\u00fach, moc v\u00e1m d\u011bkujeme, \u017ee jste byl hostem Devades\u00e1tky. Na shledanou.<\/p>\n\n\n\n<p><\/p>\n","protected":false},"excerpt":{"rendered":"<div class=\"mh-excerpt\"><p>V po\u0159adu Devades\u00e1tka \u010cesk\u00e9 televize hovo\u0159il Mari\u00e1n Hajd\u00fach, \u0159editel \u00dastavu molekul\u00e1rn\u00ed a transla\u010dn\u00ed medic\u00edny L\u00e9ka\u0159sk\u00e9 fakulty Univerzity Palack\u00e9ho v Olomouci. moder\u00e1torkaKde budeme m\u00edt l\u00e9k na <a class=\"mh-excerpt-more\" href=\"https:\/\/www.invarena.cz\/?p=40497\" title=\"O l\u00e9\u010db\u011b rakoviny\">[&#8230;]<\/a><\/p>\n<\/div>","protected":false},"author":1,"featured_media":14877,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[11],"tags":[],"class_list":["post-40497","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-zdravi"],"_links":{"self":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/40497","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=40497"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/40497\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/media\/14877"}],"wp:attachment":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=40497"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=40497"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=40497"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}