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Immune status and cytokine spectrum as predictive signs of the severity of the disease and the effectiveness of intensive care in patients with coronavirus infection COVID-19 免疫状态和细胞因子谱作为COVID-19冠状病毒感染患者疾病严重程度和重症监护效果的预测指标
Pub Date : 2023-03-29 DOI: 10.17816/rcf109220
V.F. Sadykov, R. Poltavtseva, A. Chaplygina, N. Bobkova
The pandemic caused by a new strain of SARS-CоV-2 coronavirus has swept the whole world, however, despite the developed strategic directions for the treatment of coronavirus infection and intensive research in all countries, effective methods for treating this severe pathology have not yet been created. The list of drugs against COVID-19 practically does not use compounds that affect the renin-angiotensin system, in the functioning of which the ACE2 coronavirus binding receptor plays a central role. It is assumed that the virus, causing a decrease in the density of ACE2 receptors, leads to disruption of RAS activity. This review presents current research on the response of the immune system to infection with the SARS-CoV-2 virus, describes adaptive and innate cellular mechanisms, and describes a number of predictors of severe COVID-19. To write this review, a search was made in the PubMed database and the scientific electronic library eLibrary.ru. The selection of articles was carried out manually with the main goal of synthesizing data and describing the mechanisms of influence of SARS-CoV-2 on the renin-angiotensin system, and, as a result, on the activation of the adaptive and innate immune response. This review includes 53 publications, including methodological recommendations of the Ministry of Health of the Russian Federation, data from ongoing clinical trials and patents. Data from selected scientific sources were structured and visualized.
新型冠状病毒sars - cavirv -2引起的大流行席卷全球,然而,尽管各国制定了治疗冠状病毒感染的战略方向,并进行了深入研究,但仍未找到治疗这一严重病理的有效方法。抗COVID-19药物清单实际上不使用影响肾素-血管紧张素系统的化合物,而ACE2冠状病毒结合受体在该系统的功能中起着核心作用。据推测,该病毒引起ACE2受体密度的降低,导致RAS活性的破坏。本文综述了免疫系统对SARS-CoV-2病毒感染的反应的最新研究,描述了适应性和先天细胞机制,并描述了严重COVID-19的一些预测因素。为了撰写这篇综述,我们在PubMed数据库和科学电子图书馆eLibrary.ru中进行了搜索。文章的选择是人工进行的,主要目的是综合数据并描述SARS-CoV-2对肾素-血管紧张素系统的影响机制,从而激活适应性和先天免疫反应。本次审查包括53份出版物,包括俄罗斯联邦卫生部的方法学建议、正在进行的临床试验数据和专利。来自选定的科学来源的数据被结构化和可视化。
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引用次数: 0
Prospects of pharmacological regulation of aquaporin function in CNS diseases 水通道蛋白在中枢神经系统疾病中的药理调控前景
Pub Date : 2023-03-29 DOI: 10.17816/rcf321506
N. Ponamareva, V. Novikov, E. V. Pozhilova
The review analyzes the results of scientific research on the role of aquaporins in the pathogenesis of CNS diseases and the possibility of their pharmacological regulation. Aquaporins (AQP) are proteins involved in the transmembrane transport of water and other substances. They form the water channels of cell membranes and are widely represented in various mammalian cells, including the membranes of human brain and spinal cord cells. To date, about 300 types of proteins of the aquaporin family have been discovered, of which 13 (AQP0AQP12) have been identified in human cells. Localization of different types of AQP in CNS structures, their functional activity and involvement in the development of CNS diseases differ. There are mainly three types of AQPs in the central nervous system: AQP1, AQP4 and AQP9. The results of scientific research indicate the most important role of AQP in maintaining water-salt homeostasis and ensuring physiological processes in the central nervous system, and also confirm the role of AQP in the pathogenesis of a number of diseases of the central nervous system (cerebral edema of various genesis, invasion of tumor cells and the formation of peritumorous edema, in the development of autoimmune diseases opticomyelitis, Alzheimers disease). Pharmacological regulation of the functional activity of aquaporins can influence the course of these diseases. Therefore, there is a natural interest in drugs that can change the expression of AQP. Proteins of the aquaporin family provide transmembrane transport of water and play an essential role in the development of pathological conditions of the central nervous system. They can be potential targets for pharmacological effects in a number of diseases of the central nervous system. The search and study of drugs affecting the expression and functional activity of AQP is pathogenetically justified and is a promising direction in the development of pharmacotherapy strategies for cerebral edema, malignant brain tumors and other CNS diseases.
本文就水通道蛋白在中枢神经系统疾病发病机制中的作用及其药理调控的可能性进行综述。水通道蛋白(AQP)是一种参与水和其他物质跨膜运输的蛋白质。它们形成细胞膜的水通道,广泛存在于各种哺乳动物细胞中,包括人脑和脊髓细胞的细胞膜。迄今为止,已经发现了大约300种水通道蛋白家族的蛋白质,其中13种(AQP0AQP12)已在人类细胞中被鉴定出来。不同类型AQP在中枢神经系统结构中的定位、它们的功能活性和参与中枢神经系统疾病的发展是不同的。在中枢神经系统中主要有AQP1、AQP4和AQP9三种类型的aqp。科学研究结果表明,AQP在维持中枢神经系统水盐稳态和保证中枢神经系统生理过程中发挥着重要作用,也证实了AQP在多种中枢神经系统疾病(各种原因的脑水肿、肿瘤细胞的侵袭和瘤周水肿的形成、自身免疫性疾病视髓炎、阿尔茨海默病的发展)的发病过程中所起的作用。水通道蛋白功能活性的药理调节可影响这些疾病的病程。因此,人们自然对能够改变AQP表达的药物感兴趣。水通道蛋白家族的蛋白质提供水的跨膜运输,并在中枢神经系统病理状况的发展中发挥重要作用。它们可能是许多中枢神经系统疾病药理作用的潜在靶点。寻找和研究影响AQP表达和功能活性的药物在病理上是合理的,是开发脑水肿、恶性脑肿瘤等中枢神经系统疾病药物治疗策略的一个有希望的方向。
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引用次数: 0
Effect of intragastric administration on the morphology of laboratory rats’ gastrointestinal tract 灌胃给药对实验大鼠胃肠道形态的影响
Pub Date : 2023-03-29 DOI: 10.17816/rcf138659
Y. Gushchin, M. Makarova, P. Shabanov
BACKGROUND: In preclinical studies on laboratory animals, oral administration with special probe for test substances is very in demand. Most studies are devoted to the psychophysiological and clinical-biochemical reaction of the animals body to this effect, but extremely few studies consider the effect of the manipulation itself on the development of pathology in the tissues of the gastrointestinal tract associated with the inevitable mechanical impact of the probe on the mucous membranes. AIM: To identify pathological changes in the organs of the gastrointestinal tract of laboratory rats that are associated with the effects of intragastric administration of the tested substances, and compare the data obtained with the frequency of spontaneous diseases. MATERIALS AND METHODS: The data of pathomorphological observations obtained from Wistar rats involved in the course of scientific work carried out at NPO Dom Pharmacy in the period from 2018 to 2021 were used. 1400 sentinel animals were analyzed, and the same number of intact rats. Intact animals were gavaged with a control substance (distilled water) for 14 days. RESULTS: In less than 5% of clinically healthy animals, inflammatory diseases of insignificant intensity and prevalence in all parts of the intestine can be detected. As a result of the anipulation of intragastric administration, an almost twofold increase in the number of cases of catarrhal esophagitis and gastritis, erosive and ulcerative lesions of the mucous membrane of the esophagus and stomach in its glandular part and hyperkeratosis in its non-glandular part was noted. CONCLUSIONS: The type and frequency of occurrence of the background pathology of the gastrointestinal tract of laboratory rats were determined. It has been proven that repeated traumatization of the mucous membrane associated with mechanical contact of a solid metal probe with the epithelium provokes the development of inflammatory diseases of the esophagus and stomach, without affecting the underlying parts of the intestine.
背景:在实验动物的临床前研究中,需要用特殊的探针给药。大多数研究致力于动物身体对这种效果的心理生理和临床生化反应,但很少有研究考虑操作本身对胃肠道组织病理发展的影响,这些病理发展与探针对粘膜的不可避免的机械影响有关。目的:探讨实验大鼠胃肠道脏器的病理变化与灌胃给药作用的关系,并与自发性疾病发生频率进行比较。材料与方法:采用NPO Dom药房2018 - 2021年科研过程中Wistar大鼠的病理形态学观察数据。分析了1400只哨兵动物,以及相同数量的完整大鼠。用对照物质(蒸馏水)灌胃完整动物14天。结果:在不到5%的临床健康动物中,在肠道各部位均可检出强度和患病率不显著的炎症性疾病。由于胃内给药的操作,卡他性食管炎和胃炎的病例几乎增加了两倍,食管和胃的腺部粘膜糜烂和溃疡性病变,非腺部角化过度。结论:确定了实验大鼠胃肠道背景病理的类型和发生频率。已经证明,与固体金属探针与上皮机械接触有关的粘膜的反复创伤可引起食道和胃的炎症性疾病的发展,而不影响肠道的底层部分。
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引用次数: 0
Chronic mental stress in early ontogenesis increased risks of development for chemical and non-chemical forms of addiction 个体发育早期的慢性精神压力增加了化学和非化学成瘾形式的风险
Pub Date : 2023-03-29 DOI: 10.17816/rcf321507
S. S. Pyurveev, Mikhail S. Nekrasov, Nikolay S. Dedanishvili, Albina S. Nekrasova, Tatyana V. Brus, A. Lebedev, Nicanor V. Lavrov, A. V. Podrezova, R. Glushakov, P. Shabanov
BACKGROUND: Exposure to acute or chronic stress contributes to the occurrence of various disorders of the central nervous system, psycho-emotional sphere, as well as increases the risks of development of various forms of addiction. AIM: The aim of the study is analyze the influence of maternal deprivation on voluntary alcohol consumption in adolescents and to determine the degree of the signs of compulsive behavior in experimental animals. MATERIALS AND METHODS: Thirty male Wistar rats were taken in the research. A maternal deprivation model was carried out from day 2 to day 12 of the postnatal period (MD). Compulsivity (compulsive tendency) was evaluated in the ball burial test. Voluntary alcoholization with 10% ethyl alcohol solution in a two-bottle test was employed. Level of progesterone in blood plasma was determined by enzyme- immune analyses. RESULTS: Changes in the level of progesterone in blood plasma in MD and control group of animals were detected. In the test of two bottles 10% of ethanol solution presented on days 2 and 3, statistically significant differences in consumption were determined in contrast to the control group. In the test of balloon diapering, MD group of animals showed a statistically proved significant increase in compulsiveness both before the beginning of voluntary alcoholization and on day 3 from the start. CONCLUSIONS: The increase in compulsivity and voluntary ethanol consumption was significantly higher in the MD group, that is comparable to the increased level in blood plasma progesterone samples.
背景:暴露于急性或慢性应激有助于中枢神经系统,心理-情绪领域的各种疾病的发生,以及增加各种形式的成瘾发展的风险。目的:本研究的目的是分析母亲剥夺对青少年自愿饮酒的影响,并确定实验动物强迫行为迹象的程度。材料与方法:以30只雄性Wistar大鼠为研究对象。从产后第2天至第12天进行产妇剥夺模型。强迫性(强迫倾向)在球埋试验中评估。在两瓶试验中采用10%乙醇溶液自愿酒精化。采用酶免疫分析法测定血浆中黄体酮水平。结果:检测了MD组和对照组动物血浆中黄体酮水平的变化。在第2天和第3天提供的两瓶10%乙醇溶液的测试中,与对照组相比,消费量有统计学意义。在气球换尿布的测试中,MD组的动物在自愿酒精化开始前和开始后的第3天都显示出统计学上显著的强迫性增加。结论:MD组强迫性和自愿酒精消费的增加明显高于MD组,与血浆黄体酮水平升高相当。
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引用次数: 0
Toxicology of carbon nanostructures. Part 2. Nanoscale materials based on graphene sheets 碳纳米结构的毒理学。第2部分。基于石墨烯片的纳米级材料
Pub Date : 2023-03-28 DOI: 10.17816/rcf113017
E. Litasova, V. Iljin, M. A. Brusina, L. B. Piotrovskiy
The review is a continuation of the previously published one on the toxicity of spherical nanostructures of carbon, namely fullerenes and nanoonions. This review considers data on the toxicity of carbon nanostructures in sp2-hybridization of carbon atoms, which can be considered as formed from graphene sheets, and nanostructures formed by carbon atoms in sp3-hybridization, namely, nanodiamonds. Unfortunately, it should be repeated the conclusion made in the previous review that at the moment there is not enough data to use carbon nanostructures in practice, and therefore it is necessary to develop more effective and informative tests on animals, taking into account the characteristics of each type of nanomaterials.
这篇综述是先前发表的关于碳的球形纳米结构,即富勒烯和纳米洋葱的毒性的综述的延续。本文综述了碳原子sp2-杂化碳纳米结构(可认为是由石墨烯片形成的)和碳原子sp3-杂化碳纳米结构(即纳米金刚石)的毒性数据。不幸的是,应该重复之前综述中得出的结论,即目前没有足够的数据在实践中使用碳纳米结构,因此有必要在考虑到每种纳米材料的特性的情况下,在动物身上开发更有效和信息丰富的测试。
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引用次数: 0
Circular RNAs in eukaryotic cells: origin, characteristics, mechanisms of molecular functioning in human malignant diseases 真核细胞中的环状rna:起源、特征、在人类恶性疾病中的分子功能机制
Pub Date : 2023-03-06 DOI: 10.17816/rcf204335-384
V. I. Vashchenko, Alexey B. Chuklovin, P. Shabanov
Circular RNAs (circRNAs) are an evolutionarily conserved novel class of non-coding endogenous RNAs (ncRNAs) found in the eukaryotic transcriptome, originally believed to be aberrant RNA splicing by-products with limited functionality. However, recent advances in highthroughput genomic technology have allowed circRNAs to be characterized in detail and revealed their important functions in controlling various biological and molecular processes, the most essential being gene regulation. Due to structural stability, high expression, availability of microRNA (miRNA) binding sites and tissue-specific expression, circRNAs have become hot topic of research in RNA 2 biology. Unlike linear RNAs, circRNAs are produced differentially by backsplicing exons or lariat introns from a pre-messenger RNA (mRNA) forming covalently closed loop-like molecules missing 3' poly-(A) tail or 5' cap structures, thus rendering them resistant to exonuclease-mediated degradation. Previous studies have revealed multiple roles of circRNAs as sponges for miRNA and RNA-binding proteins (RBP), as well as regulators of transcription, translation, and splicing events. Recent advances in the field suggest that the circRNAs are involved in many human disorders, including cancer and neurodegenerative disorders such as Alzheimers and Parkinsons disease, due to their aberrant expression in different pathological conditions. The circRNAs are stable in cells, owing to their circular structure. Participation of circRNAs in programmed cellular destruction by autophagy is discussed in details. The autophagy is a catabolic process which promotes decomposition and recycling of harmful or redundant biological macromolecules and initiates destruction of ageing cells. Processes how circRNAs influence a course of a disease, including an autophagy are in detail discussed, specifying that it joins at the beginning and upon development of various illnesses, and it can influence drug resistance (for example, antitumor efficiency of Cisplatin). The functional versatility exhibited by circRNAs enables them to serve as potential diagnostic or predictive biomarkers for various diseases. This review discusses the properties, characterization, profiling, and the diverse molecular actions of circRNAs and their usage as potential therapeutic targets in different human malignancies.
环状RNA (circRNAs)是真核生物转录组中发现的一类进化保守的新型非编码内源性RNA (ncRNAs),最初被认为是功能有限的异常RNA剪接副产物。然而,近年来高通量基因组技术的进步使circrna得以详细表征,并揭示了其在控制各种生物和分子过程中的重要功能,其中最重要的是基因调控。由于结构稳定、高表达、microRNA (miRNA)结合位点的可获得性和组织特异性表达,circRNAs已成为RNA生物学研究的热点。与线性RNA不同,环状RNA是通过前信使RNA (mRNA)的外显子或分支内含子的反剪接产生的,形成共价的闭环样分子,缺少3' poly-(a) tail或5' cap结构,从而使它们抵抗外切酶介导的降解。先前的研究已经揭示了circRNAs作为miRNA和rna结合蛋白(RBP)的海绵,以及转录、翻译和剪接事件的调节因子的多种作用。该领域的最新进展表明,由于circrna在不同病理条件下的异常表达,它们参与了许多人类疾病,包括癌症和神经退行性疾病,如阿尔茨海默病和帕金森病。环状rna由于其环状结构在细胞中是稳定的。详细讨论了circrna参与程序性细胞自噬破坏。自噬是一种分解代谢过程,促进有害或多余的生物大分子的分解和再循环,并开始破坏老化细胞。详细讨论了环状rna如何影响疾病的进程,包括自噬,指出它在各种疾病的开始和发展时加入,并且它可以影响耐药性(例如,顺铂的抗肿瘤效率)。环状rna所表现出的功能多功能性使它们能够作为各种疾病的潜在诊断或预测性生物标志物。本文综述了circrna的性质、特征、分析和不同的分子作用,以及它们在不同人类恶性肿瘤中作为潜在治疗靶点的用途。
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引用次数: 0
JAK-inhibitors: clinical pharmacology and application perspectives jak -抑制剂:临床药理学及应用前景
Pub Date : 2023-03-06 DOI: 10.17816/rcf204421-434
Svetlana A. Doktorova, V. Rafalskiy, Y. Y. Grabovetskaya, S. Korenev
BACKGROUND: For the last decade, physicians and researchers have been actively developing and investigating a novel targeted synthetic disease-modifying antirheumatic drugs. The application of drugs that affect the JAK-STAT pathway and multiple proinflammatory cytokines certainly has great potential for the treatment of different inflammatory diseases. This review provides articles from the past 10 years describing these small-molecule inhibitors: clinical pharmacology, safety, adverse effects and application. There is a growing body of literature that recognises the importance of JAK inhibitors as attractive pharmacological alternative to biologics. AIM: The article aims to explore clinical pharmacology of JAK inhibitors, safety, drug interactions, comparison with biologic disease-modifying antirheumatic drugs and perspective applications for these drugs. MATERIALS AND METHODS: The research data in this review is drawn from five main sources: PubMed, Scopus, Medline, GoogleScholar, eLibrary. A search was conducted for the period from 2012 to 2022 in Russian and English, by combinations of words: janus kinase inhibitors, disease-modifying antirheumatic drugs, safety, adverse effects, autoimmune diseases, pharmacokinetics, pharmacodynamics. RESULTS: The most important clinically relevant findings were that these small-molecule inhibitors have a main advantages like oral administration, rapid therapeutics effect and less of patients-non-responders to therapy. On the other hand, JAK inhibitors have a classic pharmacokinetics and pharmacodynamics, this allows to study such parameters using standard methods. CONCLUSIONS: In this review, the aim was to assess clinical pharmacology of JAK inhibitors, safety, comparison withbiologic disease-modifying antirheumatic drugs and perspective applications for these drugs. In general, it seems that the safety issues of JAK inhibitors unresolved, in particular the development of thromboembolic complications, infectiousdiseases, and malignancies. This is an important issue for future research.
背景:在过去的十年中,医生和研究人员一直在积极开发和研究一种新的靶向合成疾病改善抗风湿药物。影响JAK-STAT通路和多种促炎细胞因子的药物的应用对于治疗不同的炎性疾病具有很大的潜力。本文综述了近10年来小分子抑制剂的临床药理学、安全性、不良反应和应用。越来越多的文献认识到JAK抑制剂作为生物制剂的有吸引力的药理替代品的重要性。目的:探讨JAK抑制剂的临床药理学、安全性、药物相互作用、与生物减病抗风湿药物的比较及其应用前景。材料和方法:本综述中的研究数据来自五个主要来源:PubMed, Scopus, Medline, GoogleScholar, library。对2012年至2022年期间的俄语和英语进行了检索,检索词组合为:janus激酶抑制剂、改善疾病的抗风湿药物、安全性、不良反应、自身免疫性疾病、药代动力学、药效学。结果:最重要的临床相关发现是这些小分子抑制剂具有口服给药、治疗效果快、患者对治疗无反应少等主要优势。另一方面,JAK抑制剂具有经典的药代动力学和药效学,因此可以使用标准方法研究这些参数。结论:本综述旨在评价JAK抑制剂的临床药理学、安全性、与生物减病抗风湿药物的比较以及这些药物的应用前景。总的来说,JAK抑制剂的安全性问题似乎尚未解决,特别是血栓栓塞并发症、传染病和恶性肿瘤的发展。这是今后研究的一个重要问题。
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引用次数: 0
Effects of agonists of melanocortin receptors MC3Rand MC4R on components of sexual behavior of male rats reared in condition of chronic social isolation 黑素皮质素受体mc3和MC4R激动剂对长期社会隔离条件下饲养的雄性大鼠性行为成分的影响
Pub Date : 2023-03-06 DOI: 10.17816/rcf204415-420
Llya Yu. Tissen, L. Magarramova, Mihail D. Ayzup, A. Lebedev, P. Shabanov
BACKGROUND: Melanocortins, including -melanocyte stimulating hormone (MSH), MSH, MSH, and adrenocorticotropic hormone, are products of the polypeptide proopiomelanocortin. These products bind to five different melanocortin receptors (MC1R, MC2R, MC3R, MC4R, MC5R) with different affinities. Because MC3R and MC4R are the major types expressed in the brain, these two receptors can mediate the behavioral effects of melanocortins. AIM: To clear the role of MC4R in sexual behavior of male rats after social isolation from relatives. MATERIALS AND METHODS: In the present study, 40 naive male Wistar rats divided into 4 groups, 3 of which were grown in complete social and partial sensory isolation, received saline, PT-141 (MC3R/MC4R agonist) in a dose 0.3 g intraperitoneally, and THIQ (MC4R agonist) in a dose 0.1 g intranasally. Behavioral effects were registered in a cage with unreachable reinforcement in which the female in the estrus phase, separated by a transparent perforated barrier, was kept for 10 minutes under red light. Blood samples were taken 30 minutes after administration from the tail vein. Testosterone concentrations were measured by ELISA. RESULTS: Social isolation had no significant effect on latent time before trying to reach a female but decreased the time spent near the cage with a female. Isolated animals did not show genital grooming acts during the experiment. PT-141 decreased the latent time to approach the female, increased the time spent near the female cage, and stimulated genital grooming. THIQ decreased the latent time to reach a female and stimulated genital grooming. At the same time, THIQ had no effect on the time spent near the female cage. Social isolation reduced testosterone levels more than twice compared to controls. The administration of PT-141 and THIQ had no effect on testosterone concentration. CONCLUSIONS: The results confirm the depressing effect of chronic social isolation stress on the sexual motivation of male rats and demonstrate different roles of melanocortin MC3R/MC4R receptors in the realization of sexual behavior.
背景:黑素皮质素,包括-促黑素细胞激素(MSH)、MSH、MSH和促肾上腺皮质激素,是多肽促黑素皮质素原的产物。这些产物以不同的亲和力结合五种不同的黑素皮质素受体(MC1R, MC2R, MC3R, MC4R, MC5R)。由于MC3R和MC4R是大脑中表达的主要类型,这两种受体可以介导黑素皮质素的行为效应。目的:明确MC4R基因在与亲属社会隔离后雄性大鼠性行为中的作用。材料与方法:在本研究中,40只雄性Wistar大鼠分为4组,其中3组在完全社会和部分感觉隔离条件下生长,接受生理盐水,PT-141 (MC3R/MC4R激动剂)腹腔注射0.3 g, THIQ (MC4R激动剂)鼻注射0.1 g。行为效应被记录在一个牢笼中,牢笼中有难以到达的强化物,处于发情期的雌性被透明穿孔屏障隔开,在红灯下被关押10分钟。给药30分钟后从尾静脉采血。ELISA法测定睾酮浓度。结果:社会隔离对试图接触雌鼠的潜伏时间没有显著影响,但减少了与雌鼠在笼子附近的时间。在实验中,孤立的动物没有表现出生殖器梳理行为。PT-141减少了接近雌性的潜伏时间,增加了在雌性笼子附近的时间,并刺激了生殖器梳理。THIQ减少了接触雌性的潜伏时间,并刺激了生殖器梳理。同时,THIQ对在雌笼附近停留的时间没有影响。与对照组相比,社会隔离使睾酮水平降低了两倍多。PT-141和THIQ对睾酮浓度无影响。结论:研究结果证实了慢性社会隔离应激对雄性大鼠性动机的抑制作用,并揭示了黑素皮质素MC3R/MC4R受体在性行为实现中的不同作用。
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引用次数: 0
Sacubitril/valsartan as a component of therapy for chronic heart failure 沙克比利/缬沙坦作为慢性心力衰竭治疗的一个组成部分
Pub Date : 2023-03-06 DOI: 10.17816/rcf204407-413
Andrey I. Danilov, A. V. Evseev, M. A. Evseeva, Olga V. Pavluchenkova, V. A. Pereverzev
Chronic heart failure is in the vast majority of cases the outcome of many cardiovascular diseases. Despite significant achievements in the early diagnosis and treatment of cardiological pathology, the prevalence of chronic heart failure is steadily increasing, increasing the material costs of the healthcare system. Experts explain this aspect by the aging of the population of the developed countries of the world due to an increase in life expectancy. The presented review highlights the possibilities of using sacubitril/valsartan in clinical practice in order to inhibit the progression of chronic heart failure.
慢性心力衰竭在绝大多数情况下是许多心血管疾病的结果。尽管在心脏病理学的早期诊断和治疗方面取得了重大成就,但慢性心力衰竭的患病率正在稳步上升,增加了医疗保健系统的物质成本。专家们对这方面的解释是,由于预期寿命的延长,世界发达国家的人口正在老龄化。本综述强调了在临床实践中使用苏比里尔/缬沙坦以抑制慢性心力衰竭进展的可能性。
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引用次数: 0
Biochemical mechanisms of the energy-protective action of blockers of slow high-threshold L-type calcium channels 慢速高阈l型钙通道阻滞剂能量保护作用的生化机制
Pub Date : 2023-03-06 DOI: 10.17816/rcf204395-405
V. V. Vorobieva, O. S. Levchenkova, P. Shabanov
This review discusses information about the structure and function of calcium channels in the plasma membrane and mitochondria of the heart, and pharmacological methods for modulating their conductance. Experimental data are presented that characterize the change in the energy metabolism of cardiomyocytes against the background of the transformation of the conductivity of L-type calcium channels of the cell membrane in a non-invasive model of vibration-mediated (56 sessions of total vertical vibration, with a frequency of 44 Hz and an amplitude of 0.5 mm) hypoxia. It was shown that in animals treated with calcium channel blocker adalat (nifedipine INN) against the background of vibration, the rate of endogenous respiration (Ve), measured by the polarographic method using a closed Clark electrode in native homogenate of rabbit myocardial tissue, remained at the level of intact animals and amounted to 16.3 4.3 ng-O atom/ min mg of protein, amytal sensitivity increased by 39% (p 0.05) compared to the group of vibrated animals, low-natality decreased by 40% (p 0.05). The dynamics of the rate of substrate respiration (Vac and Vglu + mal) in the group with adalat returned to that of intact animals, which indicated the restoration of the physiological predominance of the activity of theNADH CoQ-reductase complex in redox reactions. It was found that the blockade of transport of Ca2+ ions at the level of high-threshold (HVA) voltage-dependent ion channels of the L-type of the cell membrane, normalizing the activity of the I enzyme-substrate complex of the respiratory chain and regulatoryly restraining the hyperactivity of succinate dehydrogenase in zone II of the enzyme-substrate complex, has an energy-protective effect. Adalat prevented a low-energy shift and the development of bioenergetic hypoxia in the myocardial tissue of experimental animals.
本文综述了心脏质膜和线粒体钙通道的结构和功能,以及调节其传导的药理学方法。在振动介导的无创缺氧模型(56次总垂直振动,频率为44 Hz,振幅为0.5 mm)中,研究了细胞膜l型钙通道电导率变化背景下心肌细胞能量代谢的变化。结果表明,在振动背景下,经钙通道阻断剂阿达拉特(硝苯地平INN)处理后,兔心肌组织天然浆液中封闭Clark电极极谱法测定的内源性呼吸速率(Ve)保持在正常动物水平,为16.3 - 4.3 ng-O原子/ min mg蛋白,amytal敏感性较振动组提高39% (p 0.05);低出生率降低40% (p 0.05)。adalat组底物呼吸速率(Vac和Vglu + mal)的动态恢复到完整动物的水平,这表明theNADH coq -还原酶复合物活性在氧化还原反应中恢复了生理优势。研究发现,在高阈值(HVA)电压依赖性离子通道水平上阻断Ca2+离子的运输,使呼吸链I酶-底物复合物的活性正常化,并调节抑制酶-底物复合物II区琥珀酸脱氢酶的过度活性,具有能量保护作用。阿达拉特可阻止实验动物心肌组织低能转移和生物能性缺氧的发生。
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Reviews on Clinical Pharmacology and Drug Therapy
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