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Surgical Treatment of Pulmonary Embolism Associated with COVID-19: First-Hand Experience 新冠肺炎合并肺栓塞的外科治疗:第一手经验
Pub Date : 2023-07-16 DOI: 10.17816/pavlovj109916
Sergey A. Fedorov, S. A. Zhurko, V. Pichugin, Vladimir A. Chiginev, Anton L. Maximov, Sanika V. Kulkarni
INTRODUCTION: Venous thromboembolic complications occupy one of the central positions in the structure of complications associated with CoronaVirus Disease 2019 (COVID-19). Characterized by high epidemiological threshold values, as well as an atypical clinical picture, they determine the need for new approaches to early diagnosis and active treatment. Surgical treatment of pulmonary embolism in itself is an extremely controversial method of reperfusion of the pulmonary arterial bed. Concerning pulmonary embolism associated with a new coronavirus infection, we did not find a single clinical case reported in the available literature. The article considers a clinical case of surgical treatment of pulmonary embolism against the background COVID-19 infection, demonstrates a comprehensive approach to treatment and describes peculiarities of the clinical picture. CONCLUSION: Based on the presented case, one should note the importance of the anticoagulant therapy in a group of people with a virus-specific intervention to prevent recurrence of thromboembolic complications. Complex surgical treatment in combination with the proposed methods of anesthesiological support are the methods of choice in a group of people at intermediate-high and high risk of early cardiac death.
导语:静脉血栓栓塞性并发症在2019冠状病毒病(COVID-19)相关并发症结构中占据中心位置之一。其特点是流行病学阈值高,临床表现不典型,因此需要采用新的方法进行早期诊断和积极治疗。肺栓塞的外科治疗本身就是一种极具争议的肺动脉床再灌注方法。关于与新型冠状病毒感染相关的肺栓塞,我们在现有文献中未发现一例临床病例报告。本文介绍了一例以COVID-19感染为背景的肺栓塞手术治疗的临床病例,展示了综合治疗方法,并描述了临床表现的特点。结论:根据本病例,我们应该注意到抗凝治疗在病毒特异性干预人群中预防血栓栓塞并发症复发的重要性。复杂的手术治疗结合麻醉支持方法是心脏性早期死亡中高、高风险人群的首选方法。
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引用次数: 0
Expression of FOXP3 of Tumor-Infiltrating Lymphocytes in Invasive Breast Cancer: Its Relationship to Histopathological Parameters and Overall Survival 浸润性乳腺癌中肿瘤浸润淋巴细胞FOXP3的表达及其与组织病理学参数和总生存率的关系
Pub Date : 2023-07-16 DOI: 10.17816/pavlovj108478
Swati Hagone, Patil U. Bharat, Anupama Gupta, Gangane Nitin
BACKGROUND: Forkhead box P3 protein (FOXP3) is expressed in both tumor cells and tumor-infiltrating lymphocytes (TILs) and is reported to be associated with differences in clinical outcomes. Recent literature shows that FOXP3 positive (FOXP3+) T regulator cells (Tregs) influence anti-tumor immunity in solid tumors. АIM: To explore FOXP3+ Tregs expression related to various prognostic factors in breast carcinoma (BC) in the central Indian population. Our study is also helpful in correlating the role of FOXP3+ Tregs in the survival of invasive ductal BC with different histopathological presentations. MATERIALS AND METHODS: This is a retrospective and prospective observational study in which FOXP3+ Tregs was counted in the peritumoral area by immunohistochemistry in 47 consecutive cases of BC operated on and diagnosed already. The patients were followed for 48 to 69 months for disease progression. RESULTS: High-grade tumors are prevalent (n = 30) in the study area irrespective of the stage of clinical presentation. Patients who could adhere to their treatment plan remained free of adverse outcomes until the end of our follow-up period of 69 months (p = 0.001). No molecular subtype in our study showed specific predilection towards a high Tregs count in the peri-tumoral area. No other clinical or pathological parameters significantly correlated with FOXP3 +Treg count, including overall survival and disease-free survival. CONCLUSION: The study shows that luminal human epidermal growth factor receptor 2 negativ and human epidermal growth factor receptor 2 enriched BC show comparatively high FOXP3+ Tregs count. There is no relation with tumor grade, TNM stage, important immune markers, or overall survival and disease-free survival.
背景:叉头盒P3蛋白(FOXP3)在肿瘤细胞和肿瘤浸润淋巴细胞(TILs)中均有表达,据报道FOXP3与临床结果的差异有关。最近的文献表明FOXP3阳性(FOXP3+) T调节细胞(Tregs)影响实体瘤的抗肿瘤免疫。АIM:探讨FOXP3+ Tregs表达与中印度人群乳腺癌(BC)各种预后因素的关系。我们的研究也有助于将FOXP3+ Tregs在不同组织病理表现的浸润性导管BC存活中的作用联系起来。材料与方法:本研究是一项回顾性和前瞻性观察性研究,通过免疫组化方法对47例连续手术并已确诊的BC患者瘤周区域FOXP3+ Tregs进行计数。随访48 ~ 69个月,观察病情进展。结果:无论临床表现的阶段如何,高级别肿瘤在研究区域普遍存在(n = 30)。在我们69个月的随访期结束之前,能够坚持治疗方案的患者没有出现不良后果(p = 0.001)。在我们的研究中,没有分子亚型显示出对肿瘤周围区域高Tregs计数的特异性偏好。没有其他临床或病理参数与FOXP3 +Treg计数显著相关,包括总生存期和无病生存期。结论:研究表明,人表皮生长因子受体2阴性和人表皮生长因子受体2富集的BC具有较高的FOXP3+ Tregs计数。与肿瘤分级、TNM分期、重要免疫标志物或总生存期和无病生存期无关。
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引用次数: 0
A comparative Hygienic Evaluation of Balance of Lipid Components in the Diet of Medical University Students 医科大学生膳食脂质成分平衡的比较卫生评价
Pub Date : 2023-07-16 DOI: 10.17816/pavlovj111844
Irina V. Lopukhova, A. Korolev, E. Nikitenko, E. Denisova, E. Kirpichenkova, E. Fanda, E. Petrova
INTRODUCTION: A balanced diet provides the optimal level of metabolism and is one of key modifiable factors of the primary prophylaxis of chronic non-infectious diseases. Excess of the common fat in the diet is the most common alimentary imbalance in nutrition of the population. AIM: A comparative characteristics of the level of the alimentary intake and of the main alimentary sources of lipid components in medical university students. MATERIALS AND METHODS: For quantification of entry of lipid components, the method of triple 24-hour reproduction was used. The data on actual nutrition were acquired and analyzed using a specialized questionnaire developed for the given study. RESULTS: A comparative analysis of levels of intake of the common fat, saturated and polyunsaturated fatty acids did not identify any statistically significant differences in women and men in both groups the main sources of the common fat and saturated fatty acids were hard cheese, milk chocolate, sausage products, chicken eggs, butter and mayonnaise. The main contribution to the required level of polyunsaturated fatty acids, irrespective of gender, were made by sunflower oil, fish, mayonnaise, nuts, seeds, pizza and olive oil. CONCLUSION: The level of intake of common fat with the diet exceeds the physiological demand in 95.3% of women and 94.8% of men. A share of saturated fatty acids made more than 10% of the energy value in 92% of female respondents and in 94% of male respondents, which is associated with the excessive quantity of the sources of hidden fat in the diet of students of the two comparison groups, such as hard cheese, milk chocolate and sausage products. In 45% of students, owing to the presence of oils, fish, mayonnaise and nuts in their diet, the level of entry of polyunsaturated fatty acids met the physiological demand.
简介:均衡的饮食提供了最佳的代谢水平,是慢性非传染性疾病初级预防的关键可改变因素之一。饮食中常见脂肪的过量是人群中最常见的营养失衡。目的:比较医科大学生的食物摄取量和主要食物来源脂质成分水平的特点。材料与方法:脂质组分进入定量采用三重24小时复制法。有关实际营养的数据是通过为本研究开发的专门问卷获得和分析的。结果:一项对普通脂肪、饱和脂肪酸和多不饱和脂肪酸摄入水平的比较分析并没有发现两组女性和男性之间有任何统计学上的显著差异。普通脂肪和饱和脂肪酸的主要来源是硬奶酪、牛奶巧克力、香肠制品、鸡蛋、黄油和蛋黄酱。对所需多不饱和脂肪酸水平的主要贡献,不分性别,来自葵花籽油、鱼、蛋黄酱、坚果、种子、比萨饼和橄榄油。结论:95.3%的女性和94.8%的男性膳食中普通脂肪的摄入量超过生理需求。在92%的女性受访者和94%的男性受访者中,饱和脂肪酸占能量值的10%以上,这与两个对照组学生饮食中隐藏脂肪来源过多有关,如硬奶酪、牛奶巧克力和香肠产品。在45%的学生中,由于饮食中有油、鱼、蛋黄酱和坚果的存在,多不饱和脂肪酸的摄入水平满足了生理需求。
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引用次数: 0
Analysis of Cognitive Functions and Neurophysiological Processes in Adaptation of Human to Conditions of the Arctic Region 北极地区人类适应环境的认知功能和神经生理过程分析
Pub Date : 2023-07-16 DOI: 10.17816/pavlovj109581
E. Murtazina, I. I. Korobeynikova, L. Poskotinova, N. Karatygin, S. Pertsov
INTRODUCTION: The aim of the work is analysis of one of the most important problems of the modern biomedical science problem of studying the processes of human adaptation to a complex of climatic and geographic factors and conditions of the Far North in the period of increased necessity in realization of the economic, industrial and defense activity of the government. The review presents the data of scientific study of cognitive functions and neurophysiological changes in people permanently living in or arriving to the Arctic zone. In the first part, the factors are considered that evidence different disorders in memory, concentration, efficiency of performing simple and complex cognitive tasks by test persons in conditions of low temperature, seasonal photoperiodicity, a particular working regime, such as rotational team method, etc. The age-related peculiarities of dynamics of the cognitive processes in children and adolescents living in the Arctic region are considered. The second part of the article presents analysis of scientific data on changes of electrophysiological parameters of the brain structure activity under the influence of individual or complex factors of Arctic conditions. In particular, changes of the encephalographic rhythms, evoked potentials, hemispheric asymmetry and parameters of autonomic regulation of the heart rate variability in the initial condition and on exposure to the factors of the Far North, are described. A necessity of individual typological analysis of the adaptation process characteristics depending on the initial regulatory peculiarities, neurophysiological characteristics of people, duration of their stay in the mentioned conditions, is emphasized. Inconsistency or ambiguity of the presented data indicate the importance of using a complex approach to scientific research which should include systemic analysis of the dynamics of neurophysiological characteristics and parameters of achieved effectiveness of modeled or professional activity in the Arctic conditions. CONCLUSION: The paper substantiates the necessity of elaboration of personalized methods of increasing the adaptive reserves of people working and living in the Arctic zones; one of these may be modern systems based on biocontrol with feedback from physiological systems of a human. Besides, it is noted that application of the principles of the theory of the functional systems formulated by academician P. K. Anokhin, can contribute to deeper understanding of adaptation processes, changes of cognitive and professional abilities, their neurophysiological support in the Arctic conditions.
简介:这项工作的目的是分析现代生物医学科学问题中最重要的问题之一,即在实现政府经济、工业和国防活动日益必要的时期,研究人类对远北地区复杂的气候和地理因素和条件的适应过程。这篇综述介绍了长期居住在北极地区或到达北极地区的人们的认知功能和神经生理变化的科学研究数据。在第一部分中,考虑了在低温、季节性光周期、特定工作制度(如轮转团队方法)等条件下,被试者在记忆力、注意力、执行简单和复杂认知任务效率等方面的不同障碍因素。在儿童和青少年生活在北极地区的认知过程动力学的年龄相关的特点被认为。文章的第二部分分析了北极条件下个体或复杂因素影响下脑结构活动电生理参数变化的科学数据。特别是,脑电图节律的变化,诱发电位,半球不对称和参数的自主调节心率变异性在初始条件和暴露于远北的因素,描述。强调了根据初始调节特性、人的神经生理特征、在上述条件下停留的时间对适应过程特征进行个体类型学分析的必要性。所提供数据的不一致或不明确表明了采用复杂方法进行科学研究的重要性,这种方法应包括系统分析北极条件下模拟或专业活动的神经生理特征动态和达到有效性的参数。结论:本文论证了制定个性化方法增加北极地区工作和生活人口适应性储备的必要性;其中之一可能是基于生物控制的现代系统,它有来自人类生理系统的反馈。此外,本文还指出,应用p.k. Anokhin院士提出的功能系统理论原理,有助于更深入地了解北极条件下的适应过程、认知和专业能力的变化及其神经生理支持。
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引用次数: 0
Criteria of Formation of Fatty Liver Disease in Individuals of Different Age Groups in the Long-Term Period after Minimally Invasive Cholecystectomy 微创胆囊切除术后长期不同年龄人群脂肪肝形成标准
Pub Date : 2023-07-16 DOI: 10.17816/pavlovj110948
Aleksandr R. Ambartsumyan, B. A. Chumak, L. Deryagina, Sergey S. Batskov, E. D. Pyatibrat
INTRODUCTION: Despite the technical advance in medicine and the use of minimally invasive laparoscopic techniques, complications of cholecystectomy considerably reduce the quality of life of the operated patients. Development of the most common and severe complication fatty liver disease (FLD) is difficult to predict due to numerous factors that influence its formation. AIM: To identify prognostic criteria of formation of FLD in the long-term period after cholecystectomy and to scientifically substantiate their significance. MATERIALS AND METHODS: To identify prognostic criteria of formation of FLD in the long-term period after minimally invasive cholecystectomy, 330 patients (159 men and 171 women) who underwent surgical treatment, were examined. Anthropometric data, hemodynamic parameters were evaluated, autonomic index was calculated. US evaluation of choledoch and Elastography of the liver, magnetic resonance tomography of the liver and magnetic resonance cholangiopancreatography were performed. Using chromatography-mass-spectrometry, microbial markers of parietal microbiome of the intestine were determined. RESULTS: Parameters of body mass index indicate the interrelation between the formation of FLD and increased body mass in patients of older age. In the first group with FLD, sympathetic status prevailed, and in the control group of the same age, parasympathicotonia was predominating. At the older age, in the second and third subgroup, the autonomic regulation did not influence the formation of FLD. The choledoch diameter in men and women with FLD of the first age subgroup was greater relative to patients of the control group and of the preoperative period and also relative to older patients of the same group. In the long-term period after cholecystectomy in the group with fatty liver disease, the opportunistic microflora prevailed over essential one, and aerobic microflora over anaerobic one. Besides, increased amount of fungi and viruses was noted, as well as a change in the distribution of obligate microflora due to decrease in the content of eubacteria and predomination of lactobacteria over bifidobacteria in the parietal layer of the intestine. In the individuals of older age, reduction of the obligate and increase in the opportunistic microflora including aerobic one, was noted. CONCLUSIONS: Age, autonomic regulation and body mass have a significant influence on the formation of FLD in the long-term period after cholecystectomy. In the group of older patients, the influence of the autonomic regulation is lower, and increase in body mass is higher than in younger individuals.
导论:尽管医学技术进步和微创腹腔镜技术的使用,胆囊切除术的并发症大大降低了手术患者的生活质量。由于影响其形成的因素众多,最常见和最严重的并发症脂肪肝(FLD)的发展难以预测。目的:探讨胆囊切除术后长期FLD形成的预后标准,并科学地证实其意义。材料与方法:为了确定微创胆囊切除术后长期内FLD形成的预后标准,对330例接受手术治疗的患者(159例男性,171例女性)进行了检查。评估人体测量数据、血流动力学参数,计算自主神经指数。进行肝超声心动图、肝弹性成像、肝磁共振断层扫描和胰胆管磁共振成像。采用色谱-质谱联用技术测定了肠道壁微生物群的微生物标记物。结果:体重指数参数显示老年患者FLD的形成与体重增加之间存在相关性。FLD第一组以交感神经状态为主,同龄对照组以副交感神经张力为主。在老年,在第二和第三亚组中,自主调节不影响FLD的形成。男性和女性FLD第一年龄亚组的胆总管直径均大于对照组和术前患者,也大于同年龄组的老年患者。脂肪肝患者胆囊切除术后长期内,条件菌群优于必需菌群,好氧菌群优于厌氧菌群。此外,真菌和病毒的数量增加,专性菌群的分布也发生了变化,这是由于肠道壁层真菌含量减少和乳杆菌对双歧杆菌的优势。在年龄较大的个体中,专性菌群减少,机会性菌群增加,包括好氧菌群。结论:年龄、自主神经调节和体重对胆囊切除术后长期FLD的形成有显著影响。在老年患者组中,自主神经调节的影响较低,体重的增加高于年轻个体。
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引用次数: 0
Voluntary Consumption of Sodium Glutamate Solution as a Factor of Depression-Like Behavior in Adult Rats: an Experimental Study 自愿食用谷氨酸钠溶液是成年大鼠抑郁样行为的一个因素:一项实验研究
Pub Date : 2023-07-16 DOI: 10.17816/pavlovj109411
Daniil O. Parot'kin, Natal'ya G. Bogdanova, G. Nazarova, S. Sudakov
INTRODUCTION: Use of sodium glutamate solution with food is a widely spread practice. The glutamate-ergic system has been shown to directly participate in the mechanisms of depression, however, up to the moment, no data have been found to evidence that use of sodium glutamate causes depression. AIM: To study the effect of intake of sodium glutamate on the formation of depression-like behavior in male rats. MATERIALS AND METHODS: Formation of depression-like behavior was evaluated in male rats of Wistar line with 230 g250 g weight at the beginning of the experiment in the situation of inescapable swimming according to the method of R. D. Porsolt, and of hanging by the tail according to T. A. Voronina. In the course of the experiment, the rats of the experimental group consumed 1.1% sodium glutamate solution daily for 30 days, the control animals drank water. During the experiment, the rats were kept in individual cages and had free access to water. The animals of the control group (n = 7) had only water in the drinking bowls. The animals of the experimental group (n = 7) were given water in one drinking bowl and 60 mМ (1.1%) sodium glutamate solution (Henan Lotus Flower Gourmet Powder Cо., LTD, China) in the other. RESULTS: Consumption of 1.1% sodium glutamate solution for 30 days led to reduction of the time of active movements and to increase in the number of periods of immobilization in animals in both tests. Besides, in the tests for depression-like behavior of animals, increased rhythmologic index of depression was found in the group of rats receiving sodium glutamate solution. CONCLUSION: Based on the results of study, it was found that chronic voluntary consumption of 60 mM (1.1%) sodium glutamate solution for 30 days provokes the formation of depression-like behavior in rats.
简介:在食品中使用谷氨酸钠溶液是一种广泛的做法。谷氨酸能系统已被证明直接参与抑郁症的机制,然而,到目前为止,还没有发现证据表明使用谷氨酸钠会导致抑郁症。目的:研究谷氨酸钠摄入对雄性大鼠抑郁样行为形成的影响。材料与方法:实验开始时,体重230 g250 g的Wistar系雄性大鼠在R. D. Porsolt法不可避免游泳和T. A. Voronina法吊尾的情况下,评估抑郁样行为的形成。在实验过程中,实验组大鼠每天饮用1.1%谷氨酸钠溶液,连续30 d,对照组大鼠饮水。在实验中,老鼠被关在单独的笼子里,可以自由饮水。对照组(n = 7)只在饮水碗中喝水。实验组动物(n = 7)饮水1碗,灌胃60 mМ(1.1%)谷氨酸钠溶液(河南莲花味精)。(中国)。结果:服用1.1%谷氨酸钠溶液30天,两组动物的活动时间均减少,固定时间均增加。此外,在动物抑郁样行为实验中,谷氨酸钠溶液组大鼠抑郁节律指标升高。结论:根据研究结果,长期自愿饮用60 mM(1.1%)谷氨酸钠溶液30天,可引起大鼠抑郁样行为的形成。
{"title":"Voluntary Consumption of Sodium Glutamate Solution as a Factor of Depression-Like Behavior in Adult Rats: an Experimental Study","authors":"Daniil O. Parot'kin, Natal'ya G. Bogdanova, G. Nazarova, S. Sudakov","doi":"10.17816/pavlovj109411","DOIUrl":"https://doi.org/10.17816/pavlovj109411","url":null,"abstract":"INTRODUCTION: Use of sodium glutamate solution with food is a widely spread practice. The glutamate-ergic system has been shown to directly participate in the mechanisms of depression, however, up to the moment, no data have been found to evidence that use of sodium glutamate causes depression. \u0000AIM: To study the effect of intake of sodium glutamate on the formation of depression-like behavior in male rats. \u0000MATERIALS AND METHODS: Formation of depression-like behavior was evaluated in male rats of Wistar line with 230 g250 g weight at the beginning of the experiment in the situation of inescapable swimming according to the method of R. D. Porsolt, and of hanging by the tail according to T. A. Voronina. In the course of the experiment, the rats of the experimental group consumed 1.1% sodium glutamate solution daily for 30 days, the control animals drank water. During the experiment, the rats were kept in individual cages and had free access to water. The animals of the control group (n = 7) had only water in the drinking bowls. The animals of the experimental group (n = 7) were given water in one drinking bowl and 60 mМ (1.1%) sodium glutamate solution (Henan Lotus Flower Gourmet Powder Cо., LTD, China) in the other. \u0000RESULTS: Consumption of 1.1% sodium glutamate solution for 30 days led to reduction of the time of active movements and to increase in the number of periods of immobilization in animals in both tests. Besides, in the tests for depression-like behavior of animals, increased rhythmologic index of depression was found in the group of rats receiving sodium glutamate solution. \u0000CONCLUSION: Based on the results of study, it was found that chronic voluntary consumption of 60 mM (1.1%) sodium glutamate solution for 30 days provokes the formation of depression-like behavior in rats.","PeriodicalId":113364,"journal":{"name":"I.P. Pavlov Russian Medical Biological Herald","volume":"27 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-07-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132414532","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Comparative Analysis of Gene Expression Profile in Tumor and Healthy Tissue in Patients with Colorectal Cancer 结直肠癌患者肿瘤组织与健康组织基因表达谱的比较分析
Pub Date : 2023-07-16 DOI: 10.17816/pavlovj134974
S. A. Mertsalov, E. P. Kulikov, V. V. Strel'nikov, Aleksey I. Kalinkin, Evgeniya I. Shumskaya, R. Piskunov
INTRODUCTION: Colorectal cancer (CRC) is a sure leader among malignant neoplasms (12.3%), without taking into account gender. Five-year survival rate in stage I CRC is 91%, in stage IV 14%. The currently existing treatment methods are helpless to significantly reduce mortality the approaches should be personalized and include the use of molecular genetic methods. AIM: To perform a comparative evaluation of expression profile of samples of tumor and healthy colon tissue in CRC. MATERIALS AND METHODS: The material for the study was 19 samples of tumor tissue taken from the pathologically altered colonic mucosa of 19 patients with CRC, and 7 samples of healthy tissue taken 10 cm12 cm distally or proximally from the visual boundary of the tumor. Biopsy materials were homogenized using a mechanical method. The quality and quantity of ribonucleic acid in the eluted solution were evaluated using IMPLEN nanospectrophotometer (Germany). Gene expression was evaluated using microchip kit SurePrint G3 HumanGeneExpv3 ArrayKit (Agilent, USА). Microchips were scanned on InnoScan 1100 AL apparatus (США) with subsequent image processing in Mapix Software program (USA). RESULTS: The analysis of expression profile demonstrated 505 differentially expressed genes, 337 of which showed reduced expression and 168 enhanced expression in the tumor material. The highest expression was demonstrated by genes bound with miRNA: hsa-miR-29b-3p and hsa-miR-1-5p, and also genes Н19, FOXQ1, INHBA, MMP1, CDH3, CXCL2, MDFI, THBS2. On the contrary, genes TMIGD1, GUCA2B, ZG16, AQP8, SLC4A4, CDKN2B-AS1, CA4, СА1 demonstrated a low expression in the tumor material. Expression of genes responsible for functioning of signal pathways: IL-17, NF-kappa B, TNF, was increased in tumor samples. Genes responsible for signal pathways Fatty acid degradation, Drug metabolism cytochrome P450, Metabolic pathways, Fatty acid metabolism and Steroid hormone biosynthesis, showed reduced expression. CONCLUSION: Significant differences were found in the expression profile of tumor and healthy tissue in patients with CRC. A comparative analysis of gene enrichment and the data of the international databases permitted to identify a number of terms, genes, clusters that can be used in future in search for predictors of prognosis and of response to treatment.
导读:不考虑性别,结直肠癌(CRC)无疑是恶性肿瘤中的领头羊(12.3%)。I期CRC的5年生存率为91%,IV期为14%。目前的治疗方法无法显著降低死亡率,应该个性化的方法,包括使用分子遗传方法。目的:比较评价结直肠癌中肿瘤组织和健康结肠组织的表达谱。材料和方法:本研究的材料是19例结直肠癌患者病理改变的结肠粘膜的19份肿瘤组织样本,以及7份离肿瘤视觉边界远端或近端10 cm12 cm的健康组织样本。活检材料采用机械方法均质。用德国IMPLEN纳米分光光度计测定洗脱液中核糖核酸的质量和数量。使用芯片试剂盒SurePrint G3 HumanGeneExpv3 ArrayKit (Agilent, USА)评估基因表达。在InnoScan 1100 AL设备(США)上扫描微芯片,随后在Mapix Software程序(美国)中进行图像处理。结果:表达谱分析显示505个差异表达基因,其中337个在肿瘤材料中表达减少,168个表达增加。与miRNA结合的基因hsa-miR-29b-3p和hsa-miR-1-5p以及Н19、FOXQ1、INHBA、MMP1、CDH3、CXCL2、MDFI、THBS2表达量最高。相反,TMIGD1、GUCA2B、ZG16、AQP8、SLC4A4、CDKN2B-AS1、CA4、СА1等基因在肿瘤材料中低表达。肿瘤样品中负责信号通路功能的基因:IL-17、nf - κ B、TNF的表达增加。脂肪酸降解信号通路、药物代谢细胞色素P450、代谢通路、脂肪酸代谢和类固醇激素生物合成等基因表达减少。结论:结直肠癌患者肿瘤组织与健康组织表达谱存在显著差异。对基因富集和国际数据库的数据进行比较分析,可以确定一些术语、基因和群集,这些术语、基因和群集将来可用于寻找预后和治疗反应的预测因子。
{"title":"Comparative Analysis of Gene Expression Profile in Tumor and Healthy Tissue in Patients with Colorectal Cancer","authors":"S. A. Mertsalov, E. P. Kulikov, V. V. Strel'nikov, Aleksey I. Kalinkin, Evgeniya I. Shumskaya, R. Piskunov","doi":"10.17816/pavlovj134974","DOIUrl":"https://doi.org/10.17816/pavlovj134974","url":null,"abstract":"INTRODUCTION: Colorectal cancer (CRC) is a sure leader among malignant neoplasms (12.3%), without taking into account gender. Five-year survival rate in stage I CRC is 91%, in stage IV 14%. The currently existing treatment methods are helpless to significantly reduce mortality the approaches should be personalized and include the use of molecular genetic methods. \u0000AIM: To perform a comparative evaluation of expression profile of samples of tumor and healthy colon tissue in CRC. \u0000MATERIALS AND METHODS: The material for the study was 19 samples of tumor tissue taken from the pathologically altered colonic mucosa of 19 patients with CRC, and 7 samples of healthy tissue taken 10 cm12 cm distally or proximally from the visual boundary of the tumor. Biopsy materials were homogenized using a mechanical method. The quality and quantity of ribonucleic acid in the eluted solution were evaluated using IMPLEN nanospectrophotometer (Germany). Gene expression was evaluated using microchip kit SurePrint G3 HumanGeneExpv3 ArrayKit (Agilent, USА). Microchips were scanned on InnoScan 1100 AL apparatus (США) with subsequent image processing in Mapix Software program (USA). \u0000RESULTS: The analysis of expression profile demonstrated 505 differentially expressed genes, 337 of which showed reduced expression and 168 enhanced expression in the tumor material. The highest expression was demonstrated by genes bound with miRNA: hsa-miR-29b-3p and hsa-miR-1-5p, and also genes Н19, FOXQ1, INHBA, MMP1, CDH3, CXCL2, MDFI, THBS2. On the contrary, genes TMIGD1, GUCA2B, ZG16, AQP8, SLC4A4, CDKN2B-AS1, CA4, СА1 demonstrated a low expression in the tumor material. Expression of genes responsible for functioning of signal pathways: IL-17, NF-kappa B, TNF, was increased in tumor samples. Genes responsible for signal pathways Fatty acid degradation, Drug metabolism cytochrome P450, Metabolic pathways, Fatty acid metabolism and Steroid hormone biosynthesis, showed reduced expression. \u0000CONCLUSION: Significant differences were found in the expression profile of tumor and healthy tissue in patients with CRC. A comparative analysis of gene enrichment and the data of the international databases permitted to identify a number of terms, genes, clusters that can be used in future in search for predictors of prognosis and of response to treatment.","PeriodicalId":113364,"journal":{"name":"I.P. Pavlov Russian Medical Biological Herald","volume":"20 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-07-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130319120","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Prognostic Significance of Cardiac Fat Deposits in Patients with Coronary Heart Disease 冠心病患者心脏脂肪沉积的预后意义
Pub Date : 2023-07-16 DOI: 10.17816/pavlovj322796
O. M. Uryasyev, A. V. Solov’yeva, Aleksey V. Cheskidov, Anastasiya A. Filimonova, E. А. Nikiforova
INTRODUCTION: Obesity is one of the leading risk factors for the development of cardiovascular diseases. At present, of the greatest scientific interest are local deposits of adipose tissue as a possible morphological substrate for the development of this group of diseases. Along with the traditional risk factors, one more risk factor for a poor prognosis of cardiovascular disease can be a change in the thickness of the epicardial fat (EF) and of the interatrial septum (IAS) in case of its lipomatosis. AIM: To study the significance of EF and of IAS thickness as markers of cardiovascular risk in coronary heart disease. MATERIALS AND METHODS: The study involved 116 individuals with coronary heart disease (55 men (47%) and 61 women (53%), mean age 68 [61; 72] years). Thickness of EF and IAS was evaluated by the method of echocardiography. The frequency of poor outcomes was evaluated using KaplanMeier method, ROC-curve analysis. The differences were considered statistically significant at p 0.05. RESULTS: In the group of patients with unstable angina, the threshold value of IAS thickness was 0.7 cm (p 0.001), and of EF thickness 0.8 cm (2 = 10.89, p = 0.001), in the group of patients with myocardial infarction 0.7 cm (p 0.001) and 0.8 cm (p 0.001), respectively. In the group of patient with unstable angina, IAS thickness 0.7 cm (2 = 10.3, p = 0.0013) and EF thickness 0.8 cm (2 = 10.89, p = 0.001) demonstrate a poor prognosis in comparison with the parameters below the threshold values. In the group of patients with myocardial infarction, IAS thickness 0.7 cm (2 = 8.4, p = 0.005) and EF 0.8 cm (2 = 9.66, p = 0.0019) demonstrate poor prognosis in comparison with the parameters below the threshold values. CONCLUSION: In unstable angina and myocardial infarction, the value of IAS thickness 0.7 cm (p = 0.0013 and p = 0.005, respectively) and of EF thickness 0.8 cm (p = 0.001 and p = 0.0019, respectively) present a poor prognosis compared to lower values. It is recommended that EF and IAS thickness be determined in echocardiography as an additional marker for a poor prognosis in coronary heart disease.
简介:肥胖是心血管疾病发展的主要危险因素之一。目前,最大的科学兴趣是脂肪组织的局部沉积作为这组疾病发展的可能形态学基础。除了传统的危险因素外,心血管疾病预后不良的另一个危险因素可能是心外膜脂肪(EF)和房间隔(IAS)脂肪化时厚度的变化。目的:探讨EF和IAS厚度作为冠心病心血管危险指标的意义。材料和方法:研究纳入116例冠心病患者,其中男性55例(47%),女性61例(53%),平均年龄68岁[61;72年)。超声心动图法评价EF和IAS厚度。采用KaplanMeier法、roc曲线分析评估不良预后的频率。p < 0.05认为差异有统计学意义。结果:不稳定心绞痛组IAS厚度阈值为0.7 cm (p 0.001), EF厚度阈值为0.8 cm (2 = 10.89, p = 0.001),心肌梗死组IAS厚度阈值为0.7 cm (p 0.001), EF厚度阈值为0.8 cm (p 0.001)。在不稳定型心绞痛患者组中,IAS厚度0.7 cm (2 = 10.3, p = 0.0013)和EF厚度0.8 cm (2 = 10.89, p = 0.001)与低于阈值的参数相比,预后较差。在心肌梗死患者组中,IAS厚度0.7 cm (2 = 8.4, p = 0.005)和EF 0.8 cm (2 = 9.66, p = 0.0019)与低于阈值的参数相比,预后较差。结论:在不稳定型心绞痛和心肌梗死中,IAS厚度为0.7 cm (p = 0.0013和p = 0.005)和EF厚度为0.8 cm (p = 0.001和p = 0.0019)的患者预后较差。建议在超声心动图中确定EF和IAS厚度,作为冠心病预后不良的额外标志。
{"title":"Prognostic Significance of Cardiac Fat Deposits in Patients with Coronary Heart Disease","authors":"O. M. Uryasyev, A. V. Solov’yeva, Aleksey V. Cheskidov, Anastasiya A. Filimonova, E. А. Nikiforova","doi":"10.17816/pavlovj322796","DOIUrl":"https://doi.org/10.17816/pavlovj322796","url":null,"abstract":"INTRODUCTION: Obesity is one of the leading risk factors for the development of cardiovascular diseases. At present, of the greatest scientific interest are local deposits of adipose tissue as a possible morphological substrate for the development of this group of diseases. Along with the traditional risk factors, one more risk factor for a poor prognosis of cardiovascular disease can be a change in the thickness of the epicardial fat (EF) and of the interatrial septum (IAS) in case of its lipomatosis. \u0000AIM: To study the significance of EF and of IAS thickness as markers of cardiovascular risk in coronary heart disease. \u0000MATERIALS AND METHODS: The study involved 116 individuals with coronary heart disease (55 men (47%) and 61 women (53%), mean age 68 [61; 72] years). Thickness of EF and IAS was evaluated by the method of echocardiography. The frequency of poor outcomes was evaluated using KaplanMeier method, ROC-curve analysis. The differences were considered statistically significant at p 0.05. \u0000RESULTS: In the group of patients with unstable angina, the threshold value of IAS thickness was 0.7 cm (p 0.001), and of EF thickness 0.8 cm (2 = 10.89, p = 0.001), in the group of patients with myocardial infarction 0.7 cm (p 0.001) and 0.8 cm (p 0.001), respectively. In the group of patient with unstable angina, IAS thickness 0.7 cm (2 = 10.3, p = 0.0013) and EF thickness 0.8 cm (2 = 10.89, p = 0.001) demonstrate a poor prognosis in comparison with the parameters below the threshold values. In the group of patients with myocardial infarction, IAS thickness 0.7 cm (2 = 8.4, p = 0.005) and EF 0.8 cm (2 = 9.66, p = 0.0019) demonstrate poor prognosis in comparison with the parameters below the threshold values. \u0000CONCLUSION: In unstable angina and myocardial infarction, the value of IAS thickness 0.7 cm (p = 0.0013 and p = 0.005, respectively) and of EF thickness 0.8 cm (p = 0.001 and p = 0.0019, respectively) present a poor prognosis compared to lower values. It is recommended that EF and IAS thickness be determined in echocardiography as an additional marker for a poor prognosis in coronary heart disease.","PeriodicalId":113364,"journal":{"name":"I.P. Pavlov Russian Medical Biological Herald","volume":"99 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-07-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124088465","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Free Radical Oxidation and Metabolic Processes of Cartilage and Bone Tissues in Animals with Surgical Model of Posttraumatic Osteoarthrosis 创伤后骨关节病手术模型动物软骨和骨组织的自由基氧化和代谢过程
Pub Date : 2023-07-16 DOI: 10.17816/pavlovj111575
S. Belova, R. Zubavlenko, E. V. Gladkova, I. Babushkina, V. Ul'yanov
INTRODUCTION: Posttraumatic osteoarthrosis (PTOA) resulting from injuries of connective-tissue components of the joint, is accompanied by formation of free radicals activating chondro- and osteoresorption, which leads to fragmentation of biopolymers of the extracellular matrix of the joint tissues. AIM: To study the peculiarities of free radical oxidation and metabolic processes of cartilage and bone tissues in animals with a surgical model of PTOA of the knee joint. MATERIALS AND METHODS: The study was conducted on 31 rats (11 intact animals and 20 animals with PTOA model). The metabolic processes of the connective tissue were evaluated by the changes in the content of biomarkers of the cartilage (hyaluronan, aggrecan) and bone (fibroblast growth factor-23, osteprotegerin, sclerostin, osteocalcin) tissues. The condition of the free radical oxidation processes was evaluated by the level of lipid hydroperoxides, and the activity of antioxidant system by the parameters of the total antioxidant and thiol statuses. RESULTS: In rats with the PTOA model, an increase in cartilage tissue biopolymers aggrecan and hyaluronan (p 0.001) was noted with a negative change in the marker of bone formation (a tendency to increase in the content of osteocalcin) and markers of regulation of bone homeostasis (increased fibroblast growth factor-23, p 0.001), with a tendency to decrease in the content of osteoprotegerin and sclerostin, in comparison with intact animals of the control group. In parallel with this, an increase in lipid hydroperoxides (p 0.01) in the systemic bloodstream was detected with a decrease in the thiol status index (p 0.01) with preserved normal total antioxidant activity (p 0.05). CONCLUSION: The data of the conducted study evidences intensification of free radical oxidation and derangement of metabolic processes in the bone and cartilage tissues in animals with a surgical model of PTOA of the knee joint. A negative change in the metabolism of the bone tissue was manifested by the loss of balance of remodeling processes, and metabolic disorders in the cartilage tissue consisted in the destruction of its biopolymers in conditions of intensification of free radical oxidation processes and relative tension of the thiol system with the total antioxidant activity remaining within the physiological norm. The established facts are promising from the point of view of using the studied biomarkers both for the identification of pathogenetic triggers of PTOA of the knee joint, and for the determination of the direction of therapeutic measures.
导语:创伤后骨关节病(PTOA)是由关节结缔组织成分损伤引起的,伴随着自由基的形成,激活软骨和骨吸收,导致关节组织细胞外基质生物聚合物的断裂。目的:研究膝关节上睑下垂手术模型动物软骨和骨组织自由基氧化和代谢过程的特点。材料与方法:选用大鼠31只,其中完整动物11只,pta模型动物20只。结缔组织的代谢过程通过软骨(透明质酸、聚集蛋白)和骨(成纤维细胞生长因子-23、骨保护素、硬化蛋白、骨钙素)组织生物标志物含量的变化来评估。以脂质氢过氧化物水平评价自由基氧化过程的条件,以总抗氧化剂和硫醇状态参数评价抗氧化系统的活性。结果:在PTOA模型的大鼠中,与对照组的完整动物相比,软骨组织生物聚合物聚集蛋白和透明质酸增加(p 0.001),骨形成标记物(骨钙素含量增加的趋势)和骨稳态调节标记物(成纤维细胞生长因子-23增加,p 0.001)的负变化,骨保护素和硬化蛋白含量减少的趋势。与此同时,全身血液中脂质氢过氧化物增加(p 0.01),硫醇状态指数下降(p 0.01),总抗氧化活性保持正常(p 0.05)。结论:本研究的数据表明,在手术模型的动物膝关节上睑胬肉中,骨和软骨组织中自由基氧化增强,代谢过程紊乱。骨组织代谢的负变化表现为重塑过程平衡的丧失,软骨组织的代谢紊乱表现为在自由基氧化过程加剧和硫醇系统相对紧张的情况下破坏其生物聚合物,而总抗氧化活性保持在生理规范内。从使用所研究的生物标志物来识别膝关节上睑下垂的致病诱因和确定治疗措施方向的角度来看,已确定的事实是有希望的。
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引用次数: 0
Complex Approach in Examination of Function of the Knee Joint in Patients with Osteoarthritis 复杂入路检查骨关节炎患者膝关节功能
Pub Date : 2023-07-16 DOI: 10.17816/pavlovj109633
A. Fedoseyev, Aleksandr A. Chekushin, R. V. Tishkin, Aleksey N. Dobychin, Grigoriy Yu. Zenkin, Aleksandra D. Prints, Mariya S. Melyokhina, Anna V. Tkachik, Andrey A. Zubov
INTRODUCTION: Osteoarthritis (OA) of the knee joint (KJ) is a common problem. The basic factors impairing the function of the KJ are pain and restriction of movement. Evaluation of function of the KJ in OA is an indispensable part of the diagnostic and treatment process. There exists a problem of a quantitative evaluation of pain and restriction of movement of the KJ in OA, associated with the absence of a single standard for evaluation of the KJ function. In the article, the data are given on the modern possibilities for evaluation of the KJ function in OA. The KJ function is evaluated in clinical examination, functional tests, numerous functional questionnaires, as well as with the use of devices for record of movements. Clinical picture of OA of the KJ is evaluated in the clinical examination which includes diagnostic tests, evaluation of the volume of movement, force of muscles, with conclusions about the phenotype of the disease. Functional tests recommended by OARSI (Osteoarthritis Research Society International) are preferable for express-testing, but not all of them have reference values. Functional questionnaires for evaluation of the KJ function exist in many variants, which impedes their choice and interaction between specialists, and they are characterized by different labor intensity in use. There exists a diversity of devices for evaluation of function of the KJ, some of which are expensive, require special rooms, training of the specialist, and take considerable time. Others are simpler in use and inexpensive, but give less reliable results. CONCLUSION: The authors showed the possibilities of a comprehensive evaluation, described the problem of the lack of a single standard for investigation of the KJ function. A conclusion is made about the necessity to develop a software-hardware complex that maximally satisfies the criteria of objectivity, accessibility and quickness of use for evaluation of function of the KJ in OA.
膝关节(KJ)的骨关节炎(OA)是一个常见的问题。损害KJ功能的基本因素是疼痛和活动受限。评估骨性关节炎中KJ的功能是诊断和治疗过程中不可缺少的一部分。由于缺乏评价KJ功能的单一标准,存在着对OA患者KJ疼痛和活动受限进行定量评价的问题。本文给出了评价OA中KJ函数的现代可能性的数据。KJ功能通过临床检查、功能测试、大量功能问卷以及使用运动记录设备进行评估。KJ骨性关节炎的临床表现在临床检查中进行评估,包括诊断测试、活动量评估、肌肉力量评估,以及关于疾病表型的结论。OARSI(国际骨关节炎研究学会)推荐的功能测试是表达测试的首选,但并非所有的功能测试都有参考价值。用于评价KJ函数的功能问卷存在多种变体,阻碍了专家之间的选择和互动,并且在使用时具有不同的劳动强度。有各种各样的设备用于评估KJ的功能,其中一些是昂贵的,需要特殊的房间,专家的培训,并需要相当长的时间。其他方法使用简单,价格便宜,但结果不太可靠。结论:作者展示了综合评价的可能性,描述了缺乏单一标准调查KJ功能的问题。提出了开发一种最大限度地满足客观、可及性和使用快速性标准的软硬件综合评价OA中KJ功能的必要性。
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引用次数: 0
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I.P. Pavlov Russian Medical Biological Herald
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