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Frontmatter 头版头条
Q3 Medicine Pub Date : 2023-03-01 DOI: 10.1515/hmbci-2023-frontmatter1
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引用次数: 0
Omicron variant of SARS-CoV-2: a review of existing literature. SARS-CoV-2的组粒变异:现有文献综述
IF 1 Q3 Medicine Pub Date : 2023-03-01 DOI: 10.1515/hmbci-2022-0023
Lovedeep Kaur, Ashok Kumar Ahirwar

On November 24th, 2021 a case of a new viral variant of SARS-CoV-2 was reported by South Africa and Botswana to WHO, which later was designated as the variant of concern on 26th November 2021. It has around 60 mutations (50 non synonymous, 8 synonymous, and 2 non coding) as compared to the original parent strain of Wuhan. Different hypotheses have been put forward as an explanation for the origin like reverse zoonosis i.e. animal to human transmission, origin from an immune compromised patient or use of highly mutagenic drug like molnupiravir as treatment. A huge spike in cases around the globe is suggestive of a high rate of infectivity and transmissivity as compared to the previous known variants. With whatever cases have been documented so far, it is said that omicron causes mostly mild clinical illnesses and there is a less chance of hospitalization according to the clinicians. Among the reported cases, there were already vaccinated patients also. So there is a possibility that omicron might be able to evade the vaccine induced immunity due to a huge number of mutations (especially in the spike protein sequences). Until new vaccines specific to the pathogen are being developed, the coverage of the currently acceptable vaccines should be increased so that none is deprived of the mandatory doses and a third booster dose might help to reduce the chances of serious complications of this new strain beforehand. So an equal focus on the host and environment is required along with the pathogen.

2021年11月24日,南非和博茨瓦纳向世卫组织报告了一例新的SARS-CoV-2病毒变体,随后于2021年11月26日将其指定为值得关注的变体。与原亲本武汉株相比,它有大约60个突变(50个非同义突变,8个同义突变,2个非编码突变)。人们提出了不同的假设来解释其起源,如反向人畜共患病,即动物到人类的传播,来自免疫功能低下的患者或使用高度诱变的药物,如molnupiravir作为治疗。全球病例的急剧增加表明,与以前已知的变异相比,这种病毒的传染性和传播性很高。根据临床医生的说法,无论迄今为止记录的病例是什么,据说奥米克隆引起的大多是轻微的临床疾病,住院治疗的可能性较小。在报告的病例中,也有已经接种疫苗的患者。因此,组粒有可能通过大量突变(特别是在刺突蛋白序列中)而逃避疫苗诱导的免疫。在研制出针对该病原体的新疫苗之前,应扩大目前可接受的疫苗的覆盖范围,使任何人都不被剥夺强制剂量,第三次加强剂量可能有助于减少这种新菌株事先发生严重并发症的机会。因此,除了病原体外,还需要对宿主和环境进行同等的关注。
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引用次数: 0
The effect of miR-372-5p regulation on CDX1 and CDX2 in the gastric cancer cell line. miR-372-5p调节对癌症细胞系中CDX1和CDX2的影响。
IF 1 Q3 Medicine Pub Date : 2023-02-28 eCollection Date: 2023-09-01 DOI: 10.1515/hmbci-2022-0045
Elaheh Asghari Gharakhyli, Agheel Tabar Molla Hassan, Majid Alipour, Sogand Vahidi, Ali Akbar Samadani

Objectives: MicroRNA expression disruptions play an important function in the expansion of gastric cancer. Previous investigation has indicated that miR-372-5p doing as an oncogene in several malignancies. CDX1 and CDX2, as target genes of miR-372-5p, play the role of tumor suppressors and oncogenes in gastric cancer cells, respectively. The current investigation explored the effects of miR-372-5p regulation on CDX2 and CDX1 in AGS cell lines and studied their molecular mechanism.

Methods: hsa-miR-372-5p miRCURY LNA miRNA Inhibitors and Mimic were transfected into AGS cell line. The cell viability and cell cycle calculation were defined by MTT assay and flow cytometry, respectively. The Expression levels of miR-372-5p, CDX1, CDX2 and transfection efficiency were measured using Real-time PCR. Statistical investigation p values <0.05 were considered to be meaningful.

Results: miR-372-5p particularly was upregulated in control cells and also after transfection by mimic. While its expression was reduced by the inhibitor. Upregulation of miR-372-5p remarkably increased cell growth and led to accumulation in the G2/M phase, although the inhibitor decreased cell growth and accumulation in the S phase. Accordingly, upregulation of miR-372-5p increased CDX2 and decreased CDX1 expression. By inhibition of miR-372-5p, expression of CDX2 was decreased and expression of CDX1 was increased.

Conclusions: Up and down-regulation of miR-372-5P has a potential effect on the expression levels of its target genes, CDX1 and CDX22. Accordingly, the downregulation of miR-372-5p may be assumed as a possible therapeutic target in treating gastric cancer.

目的:微小RNA的表达破坏在癌症的发生发展中起着重要作用。先前的研究表明,miR-372-5p在几种恶性肿瘤中作为致癌基因发挥作用。CDX1和CDX2作为miR-372-5p的靶基因,分别在癌症细胞中发挥肿瘤抑制剂和致癌基因的作用。本研究探讨了miR-372-5p对AGS细胞系中CDX2和CDX1的调控作用,并研究了其分子机制。方法:将hsa-miR-372-5p-miRCURY-LNA-miRNA抑制剂和Mimic转染AGS细胞系。MTT法和流式细胞术分别测定细胞活力和细胞周期。使用实时PCR测量miR-372-5p、CDX1、CDX2的表达水平和转染效率。统计研究p值结果:miR-372-5p在对照细胞中特别上调,在模拟转染后也上调。而其表达被抑制剂降低。miR-372-5p的上调显著增加了细胞生长并导致G2/M期的积累,尽管抑制剂降低了细胞生长和S期的积累。因此,miR-372-5p的上调增加了CDX2并降低了CDX1的表达。通过抑制miR-372-5p,CDX2的表达减少,CDX1的表达增加。结论:miR-372-5P的上调和下调对其靶基因CDX1和CDX22的表达水平具有潜在影响。因此,miR-372-5p的下调可以被认为是治疗癌症的可能治疗靶点。
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引用次数: 0
Plasma IL-6, TREM1, uPAR, and IL6/IL8 biomarkers increment further witnessing the chronic inflammation in type 2 diabetes. 血浆IL-6、TREM1、uPAR和IL6/IL8生物标志物的增加进一步见证了2型糖尿病的慢性炎症。
IF 1 Q3 Medicine Pub Date : 2023-02-28 eCollection Date: 2023-09-01 DOI: 10.1515/hmbci-2022-0103
Mai S Sater, Dhuha M B AlDehaini, Zainab Hasan Abdulla Malalla, Muhalab E Ali, Hayder Ahmed Giha

Objectives: Type 2 diabetes (T2D) is known to be associated with chronic inflammation, but the inflammatory regulators/markers are not exactly defined and the link between them remains undetermined. The objective of this study is to identify these markers by testing traditional (IL6 & IL8) and non-traditional (TREM1 & uPAR) inflammatory markers.

Methods: Data and blood samples were obtained from 114 T2D and 74 non-diabetic Kuwaiti subjects attending health facilities in Kuwait. Chemical analyzers were used to measure glycemic and lipid profiles, while ELISA was used to measure plasma levels of insulin and several inflammatory markers.

Results: Showed that the IL-6 and TREM1 were significantly higher in T2D compared to non-diabetic controls, and the uPAR level was borderline higher in T2D but significantly correlated with IL-6 levels. Unexpectedly, IL8 was significantly below normal in T2D and IL6/IL8 ratio was significantly higher in T2D patients. Unlike other tested markers, uPAR was in addition strongly correlated with insulin levels and HOMA-IR index.

Conclusions: Raised levels of IL6, TREMI, IL6/IL8 ratio, and the strong positive correlation of plasma levels of uPAR with IL-6, insulin, and HOMA-IR index, are reliable spectators of chronic inflammation in T2D patients. The reduced level of IL-8 in T2D was a peculiar observation that needs further explanation. Finally, the consequences and impact of the sustained rise of these inflammatory regulators in diabetic tissues need to be meticulously explored.

目的:已知2型糖尿病(T2D)与慢性炎症有关,但炎症调节因子/标志物尚未确切定义,它们之间的联系尚不确定。本研究的目的是通过测试传统(IL6和IL8)和非传统(TREM1和uPAR)炎症标记物来鉴定这些标记物。方法:从科威特卫生机构的114名T2D和74名非糖尿病科威特受试者中获得数据和血液样本。化学分析仪用于测量血糖和脂质状况,而ELISA用于测量血浆胰岛素和几种炎症标志物的水平。结果:与非糖尿病对照组相比,T2D患者的IL-6和TREM1显著升高,uPAR水平在T2D患者中处于临界水平,但与IL-6水平显著相关。出乎意料的是,T2D患者的IL8明显低于正常水平,而T2D患者IL6/IL8的比例明显更高。与其他测试的标志物不同,uPAR与胰岛素水平和HOMA-IR指数密切相关。结论:IL6、TREMI、IL6/IL8比值的升高,以及血浆uPAR水平与IL-6、胰岛素和HOMA-IR指数的强正相关,是T2D患者慢性炎症的可靠观察者。T2D患者的IL-8水平降低是一个特殊的观察结果,需要进一步解释。最后,这些炎症调节因子在糖尿病组织中持续升高的后果和影响需要仔细研究。
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引用次数: 2
The association of paraoxonase I gene polymorphisms Q192R (rs662) and L55M (rs854560) and its activity with metabolic syndrome components in fars ethnic group. 对氧磷酶I基因多态性Q192R(rs662)和L55M(rs854560)及其活性与法尔斯族代谢综合征成分的相关性。
IF 1 Q3 Medicine Pub Date : 2023-02-17 eCollection Date: 2023-09-01 DOI: 10.1515/hmbci-2022-0064
Abdoljalal Marjani, Nahid Poursharifi, Mohammad Mostakhdem Hashemi, Atefe Sajedi, Mahin Tatari

Objectives: Metabolic syndrome (MetS) may cause premature development of some diseases. PON1 genes may be involved in the pathogenesis of MetS. The aim of study was to evaluate the association between Q192R and L55M gene polymorphisms and its enzyme activity with the MetS components in subjects with and without MetS.

Methods: Polymerase Chain Reaction and Restriction Fragment Length Polymorphism analysis were performed to determine polymorphisms of the paraoxonase1 gene in subjects with and without metabolic syndrome. Biochemical parameters were measured by spectrophotometer.

Results: The MM, LM, and LL genotype frequencies of the PON1 L55M polymorphism were 10.5, 43.4, and 46.1%, and 22.4, 46.6, and 31% and; the QQ, QR, and RR genotype frequencies of the PON1 Q192R polymorphism were 55.4, 38.6 and 6%; and 56.5, 34.8 and 8.7% in subjects with and without MetS, respectively. The L and M allele frequencies were 68 and 53%; and 32 and 47% for PON1 L55M in subjects with and without MetS, respectively. The Q and R allele frequencies for PON1 Q192R were 74 and 26% in both groups. There were significant differences in HDL-cholesterol level and PON1 activity in the genotypes QQ, QR, and RR of the PON1 Q192R polymorphism in subjects with MetS.

Conclusions: The PON1 Q192R genotypes had only effected on PON1 activity and HDL-cholesterol level in subjects with MetS. Different genotypes of the PON1 Q192R seem to be important candidates to make the subjects susceptible to MetS in the Fars ethnic group.

目的:代谢综合征(MetS)可能导致某些疾病的过早发展。PON1基因可能参与MetS的发病机制。本研究的目的是评估患有和不患有代谢综合征的受试者中Q192R和L55M基因多态性及其酶活性与代谢综合征成分之间的关系。用分光光度计测定生化参数。结果:PON1 L55M多态性的MM、LM和LL基因型频率分别为10.5%、43.4%和46.1%,22.4%、46.6%和31%;PON1 Q192R多态性的QQ、QR和RR基因型频率分别为55.4%、38.6%和6%;患有和不患有MetS的受试者分别为56.5%、34.8%和8.7%。L和M等位基因频率分别为68%和53%;在患有和不患有MetS的受试者中PON1 L55M分别为32%和47%。PON1 Q192R的Q和R等位基因频率在两组中分别为74%和26%。MetS患者PON1 Q192R多态性基因型QQ、QR和RR的HDL胆固醇水平和PON1活性存在显著差异。PON1 Q192R的不同基因型似乎是使法尔斯族受试者易感MetS的重要候选者。
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引用次数: 0
Analytical and therapeutic profiles of DNA methylation alterations in cancer; an overview of changes in chromatin arrangement and alterations in histone surfaces. 癌症DNA甲基化改变的分析和治疗概况;染色质排列的变化和组蛋白表面的变化综述。
IF 1 Q3 Medicine Pub Date : 2023-02-17 eCollection Date: 2023-09-01 DOI: 10.1515/hmbci-2022-0043
Seyedeh Elham Norollahi, Sogand Vahidi, Shima Shams, Arman Keymoradzdeh, Armin Soleymanpour, Nazanin Solymanmanesh, Ebrahim Mirzajani, Vida Baloui Jamkhaneh, Ali Akbar Samadani

DNA methylation is the most important epigenetic element that activates the inhibition of gene transcription and is included in the pathogenesis of all types of malignancies. Remarkably, the effectors of DNA methylation are DNMTs (DNA methyltransferases) that catalyze de novo or keep methylation of hemimethylated DNA after the DNA replication process. DNA methylation structures in cancer are altered, with three procedures by which DNA methylation helps cancer development which are including direct mutagenesis, hypomethylation of the cancer genome, and also focal hypermethylation of the promoters of TSGs (tumor suppressor genes). Conspicuously, DNA methylation, nucleosome remodeling, RNA-mediated targeting, and histone modification balance modulate many biological activities that are essential and indispensable to the genesis of cancer and also can impact many epigenetic changes including DNA methylation and histone modifications as well as adjusting of non-coding miRNAs expression in prevention and treatment of many cancers. Epigenetics points to heritable modifications in gene expression that do not comprise alterations in the DNA sequence. The nucleosome is the basic unit of chromatin, consisting of 147 base pairs (bp) of DNA bound around a histone octamer comprised of one H3/H4 tetramer and two H2A/H2B dimers. DNA methylation is preferentially distributed over nucleosome regions and is less increased over flanking nucleosome-depleted DNA, implying a connection between nucleosome positioning and DNA methylation. In carcinogenesis, aberrations in the epigenome may also include in the progression of drug resistance. In this report, we report the rudimentary notes behind these epigenetic signaling pathways and emphasize the proofs recommending that their misregulation can conclude in cancer. These findings in conjunction with the promising preclinical and clinical consequences observed with epigenetic drugs against chromatin regulators, confirm the important role of epigenetics in cancer therapy.

DNA甲基化是激活基因转录抑制的最重要的表观遗传学元件,并参与所有类型恶性肿瘤的发病机制。值得注意的是,DNA甲基化的效应物是DNMT(DNA甲基转移酶),它在DNA复制过程后催化半甲基化DNA的从头甲基化或保持甲基化。癌症的DNA甲基化结构发生了改变,DNA甲基化有助于癌症的发展,包括直接突变、癌症基因组的低甲基化和TSG(肿瘤抑制基因)启动子的局部高甲基化。显而易见,DNA甲基化,核小体重塑,RNA介导的靶向,组蛋白修饰平衡调节许多生物学活性,这些活性对癌症的发生是必不可少的,也可以影响许多表观遗传学变化,包括DNA甲基化和组蛋白修饰,以及在预防和治疗许多癌症中调节非编码miRNA的表达。表观遗传学指出基因表达的可遗传修饰不包括DNA序列的改变。核小体是染色质的基本单位,由147个碱基对(bp)的DNA组成,结合在由一个H3/H4四聚体和两个H2A/H2B二聚体组成的组蛋白八聚体周围。DNA甲基化优先分布在核小体区域,而在侧翼核小体缺失的DNA上增加较少,这意味着核小体定位和DNA甲基化之间存在联系。在致癌过程中,表观基因组的畸变也可能包括耐药性的进展。在本报告中,我们报道了这些表观遗传信号通路背后的基本注释,并强调了在癌症中可以得出其失调结论的证据。这些发现与表观遗传学药物对抗染色质调节因子观察到的有希望的临床前和临床结果相结合,证实了表观遗传学在癌症治疗中的重要作用。
{"title":"Analytical and therapeutic profiles of DNA methylation alterations in cancer; an overview of changes in chromatin arrangement and alterations in histone surfaces.","authors":"Seyedeh Elham Norollahi,&nbsp;Sogand Vahidi,&nbsp;Shima Shams,&nbsp;Arman Keymoradzdeh,&nbsp;Armin Soleymanpour,&nbsp;Nazanin Solymanmanesh,&nbsp;Ebrahim Mirzajani,&nbsp;Vida Baloui Jamkhaneh,&nbsp;Ali Akbar Samadani","doi":"10.1515/hmbci-2022-0043","DOIUrl":"10.1515/hmbci-2022-0043","url":null,"abstract":"<p><p>DNA methylation is the most important epigenetic element that activates the inhibition of gene transcription and is included in the pathogenesis of all types of malignancies. Remarkably, the effectors of DNA methylation are DNMTs (DNA methyltransferases) that catalyze <i>de novo</i> or keep methylation of hemimethylated DNA after the DNA replication process. DNA methylation structures in cancer are altered, with three procedures by which DNA methylation helps cancer development which are including direct mutagenesis, hypomethylation of the cancer genome, and also focal hypermethylation of the promoters of TSGs (tumor suppressor genes). Conspicuously, DNA methylation, nucleosome remodeling, RNA-mediated targeting, and histone modification balance modulate many biological activities that are essential and indispensable to the genesis of cancer and also can impact many epigenetic changes including DNA methylation and histone modifications as well as adjusting of non-coding miRNAs expression in prevention and treatment of many cancers. Epigenetics points to heritable modifications in gene expression that do not comprise alterations in the DNA sequence. The nucleosome is the basic unit of chromatin, consisting of 147 base pairs (bp) of DNA bound around a histone octamer comprised of one H3/H4 tetramer and two H2A/H2B dimers. DNA methylation is preferentially distributed over nucleosome regions and is less increased over flanking nucleosome-depleted DNA, implying a connection between nucleosome positioning and DNA methylation. In carcinogenesis, aberrations in the epigenome may also include in the progression of drug resistance. In this report, we report the rudimentary notes behind these epigenetic signaling pathways and emphasize the proofs recommending that their misregulation can conclude in cancer. These findings in conjunction with the promising preclinical and clinical consequences observed with epigenetic drugs against chromatin regulators, confirm the important role of epigenetics in cancer therapy.</p>","PeriodicalId":13224,"journal":{"name":"Hormone Molecular Biology and Clinical Investigation","volume":null,"pages":null},"PeriodicalIF":1.0,"publicationDate":"2023-02-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10795874","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
Population status of selenium in Colombia and associated factors: a cross-sectional study. 哥伦比亚人口的硒状况及相关因素:一项横断面研究。
IF 1 Q3 Medicine Pub Date : 2022-12-27 eCollection Date: 2023-06-01 DOI: 10.1515/hmbci-2022-0047
Hernando Vargas-Uricoechea, Beatriz Bastidas, María V Pinzón

Objectives: This study aims to investigate the population status of selenium in Colombia and other associated factors.

Methods: Cross-sectional study, in population of urban or rural origin (n=412). Main outcome measures were: median serum selenium, thyrotropin, the prevalence of and positivity of anti-thyroid peroxidase, anti-thyroglobulin, and anti-TSH receptor.

Results: This study found that 96.6% of the subjects had normal selenium levels, and no significant associations were found between the population median of selenium and overweight/obesity, sociodemographic variables, age, goiter, and thyroid antibody positivity.

Conclusions: In Colombia, the population status of selenium is normal, and the geological characteristics may contribute to the state of selenium in this population. However, additional studies are required to evaluate the content of selenium in plants and other foods.

研究目的本研究旨在调查哥伦比亚人口的硒状况及其他相关因素:横断面研究,对象为城市或农村人口(n=412)。主要结果指标为:血清硒中位数、促甲状腺激素、抗甲状腺过氧化物酶、抗甲状腺球蛋白和抗TSH受体的患病率和阳性率:研究发现,96.6%的受试者硒水平正常,人群硒含量中位数与超重/肥胖、社会人口学变量、年龄、甲状腺肿大和甲状腺抗体阳性之间没有明显关联:结论:哥伦比亚人口的硒状况正常,地质特征可能会影响人口的硒状况。不过,还需要进行更多的研究,以评估植物和其他食物中的硒含量。
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引用次数: 0
The effect of resistance training on serum levels of sex hormones and sperm quality in male rats under X-ray radiation. x射线照射下抗阻训练对雄性大鼠性激素水平和精子质量的影响。
IF 1 Q3 Medicine Pub Date : 2022-12-01 DOI: 10.1515/hmbci-2021-0086
Mohammadreza Bayatiani, Fatemeh Seif, Shiva Molavi, Zahra Ansari, Mohammad Parastesh

Objectives: The present study aims to investigate the effects of resistance training on sex hormones and sperm parameters in male rats under X-ray.

Methods: In this experimental study, 24 Sprague Dawley rats (200-250 g) were randomly assigned into four groups: healthy control, irradiated control, healthy training and irradiated training. Irradiation was induced at a dose of 4 Gy on the whole body. The resistance training protocol was performed for 10 weeks. Finally, blood serum was used to assess FSH, LH and testosterone and sperm quality. Data were analyzed using ANOVA and Tukey's post hoc test.

Results: The results showed that radiation significantly reduced serum levels of LH (p=0.42), FSH (p=0.001) and testosterone (p=0.28) between radiation control and healthy control groups. Also, no significant difference was observed between serum levels of LH (p=0.135) and testosterone (p=0.419) in radiation resistance training and the healthy control groups. In addition, significant differences were observed between radiation resistance training and radiation control groups in sperm parameters such as sperm count (p=0.02) and progressively motile sperm (p=0.031).

Conclusions: It seems that short-term resistance training can improve sperm parameters, including sperm count and sperm motility through increasing serum levels testosterone and LH in male rat under X-ray.

目的:探讨x线下抗阻训练对雄性大鼠性激素和精子参数的影响。方法:选取24只(200 ~ 250 g) sd大鼠,随机分为健康对照组、辐照对照组、健康训练组和辐照训练组。全身照射剂量为4gy。阻力训练方案进行10周。最后用血清测定FSH、LH、睾酮和精子质量。数据分析采用方差分析和Tukey事后检验。结果:辐射显著降低了辐射对照组和健康对照组血清LH (p=0.42)、FSH (p=0.001)和睾酮(p=0.28)水平。抗辐射训练组与健康对照组血清LH (p=0.135)和睾酮(p=0.419)水平无显著差异。此外,抗辐射训练组与辐射对照组在精子数量(p=0.02)和精子活动度(p=0.031)等精子参数上也存在显著差异。结论:短期抗阻训练似乎可以通过提高x线下雄性大鼠血清睾酮和LH水平来改善精子参数,包括精子数量和精子活力。
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引用次数: 0
Efficacy of rectal progesterone on maternal and neonatal outcomes in pregnant women with Preterm Premature Rupture of membranes: a triple-blind randomised clinical trial. 直肠黄体酮对早产胎膜早破孕妇产妇和新生儿结局的疗效:一项三盲随机临床试验
IF 1 Q3 Medicine Pub Date : 2022-12-01 DOI: 10.1515/hmbci-2021-0103
Shohre Vosoogh, Marzieh Zanganeh, Behnaz Gonabadi

Objectives: This study was conducted to evaluate the efficacy of rectal progesterone suppositories on pregnancy outcomes of pregnant women diagnosed with PPROM at the gestational age of 26-34 weeks, as well as on maternal and neonatal outcomes.

Methods: This is a double-blind, randomized clinical trial in pregnant women with PROM with gestational age of 26-24 weeks, conducted between February 2020 and December 2020 in Sayyad Shirazi Hospital, Gorgan, Iran.

Results: According to the results of the present study; Rectal progesterone suppository in pregnant women with PPROM is associated with improved delivery outcomes such as neonatal APGAR score, increased latent delivery stage without complications or severe and dangerous complications, without increased risk of mortality and NICU hospitalization in infants, so prescribing suppository rectal progesterone in pregnant women with PPROM with a gestational age of 26 to 34 weeks is associated with positive outcomes and is recommended based on the findings and opinions of the researchers.

Conclusions: According to the results of the present study; Rectal progesterone suppository in pregnant women with PPROM is associated with improved delivery outcomes such as neonatal APGAR score, increased latent delivery stage without complications or severe and dangerous complications, without increased risk of mortality and NICU hospitalization in infants, so prescribing suppository rectal progesterone in pregnant women with PPROM with a gestational age of 26 to 34 weeks is associated with positive outcomes and is recommended based on the findings and opinions of the researchers.

目的:本研究旨在评估直肠黄体酮栓剂对26-34周诊断为PPROM的孕妇妊娠结局的影响,以及对孕产妇和新生儿结局的影响。方法:这是一项双盲、随机临床试验,研究对象为胎龄为26-24周的胎膜早PROM孕妇,于2020年2月至2020年12月在伊朗戈尔根的Sayyad Shirazi医院进行。结果:根据本研究结果;PPROM孕妇直肠孕酮栓剂可改善分娩结局,如新生儿APGAR评分,增加无并发症或严重危险并发症的潜在分娩期,不增加婴儿死亡率和新生儿重症监护病房住院风险。因此,根据研究人员的发现和意见,建议对胎龄在26至34周的PPROM孕妇使用直肠黄体酮栓剂与积极结果相关。结论:根据本研究结果;PPROM孕妇直肠孕酮栓剂可改善分娩结局,如新生儿APGAR评分,增加无并发症或严重危险并发症的潜在分娩期,不增加婴儿死亡率和新生儿重症监护病房住院风险。因此,根据研究人员的发现和意见,建议对胎龄在26至34周的PPROM孕妇使用直肠黄体酮栓剂与积极结果相关。
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引用次数: 0
Adrenocorticotropic hormone (ACTH) level and adrenal deficiency in patients with mucocutaneous pemphigus. 促肾上腺皮质激素(ACTH)水平与皮肤粘膜性天疱疮患者肾上腺缺乏的关系。
IF 1 Q3 Medicine Pub Date : 2022-12-01 DOI: 10.1515/hmbci-2021-0097
Mohammadreza Salehi, Zabihollah Shahmoradi, Seyed Mohammad Razavi, Iraj Lali, Elham Faghihian

Objectives: This study aimed to evaluate the level of adrenocorticotropic hormone (ACTH) and adrenal insufficiency in patients with mucocutaneous pemphigus lesions who use oral corticosteroids.

Methods: This descriptive-analytical study was performed on 54 patients (48.44 ± 12.74 years) with mucocutaneous pemphigus in 2019. Those patients taken corticosteroids in different doses and way. At first, collected patients information including age, sex, type of pemphigus, duration of use, patient dosage, duration of corticosteroid administration, and method of administration were collected daily. Adrenal gland function was measured by evaluating ACTH levels. Data were analyzed by using Pearson correlation coefficient and t-test.

Results: Our study showed that 37 cases (68.5%) had normal ACTH average hormone level (7.3-63.3 mL/pg), 11 cases (20.4%) were lower levels (<7.2 mL/pg), and 6 cases (11.1%) were higher levels (63.3 > mL/pg). Wo observed no significant relationship between ACTH and duration of corticosteroids usage (p=0.207).

Conclusions: Taking a maintenance dose of between 12.5 and 25 mg daily does not usually lead to adrenal insufficiency. The present study showed that the lower the daily dose of corticosteroids, the lower the likelihood of adrenal insufficiency.

目的:本研究旨在评估口服糖皮质激素的皮肤粘膜天疱疮患者促肾上腺皮质激素(ACTH)水平和肾上腺功能不全。方法:对2019年54例(48.44±12.74岁)皮肤粘膜天疱疮患者进行描述性分析研究。这些患者以不同的剂量和方式服用皮质类固醇。首先,每天收集患者的年龄、性别、天疱疮类型、使用时间、患者剂量、皮质类固醇给药时间和给药方法等信息。通过ACTH水平测定肾上腺功能。数据分析采用Pearson相关系数和t检验。结果:37例(68.5%)ACTH平均激素水平正常(7.3 ~ 63.3 mL/pg), 11例(20.4%)ACTH平均激素水平较低(mL/pg)。我们观察到ACTH与皮质类固醇使用时间无显著关系(p=0.207)。结论:每天服用12.5 - 25mg维持剂量通常不会导致肾上腺功能不全。目前的研究表明,皮质类固醇的日剂量越低,肾上腺功能不全的可能性越低。
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引用次数: 0
期刊
Hormone Molecular Biology and Clinical Investigation
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