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INVESTIGATION OF BACTERIAL AND VIRAL SLOW INTERVERTEBRAL DISC INFECTIONS 慢性椎间盘细菌和病毒感染的调查
Pub Date : 2023-07-03 DOI: 10.15789/2220-7619-iob-2052
S. Isroilov, Marsel Albertovich Shigapov, Artur Murasov, Aliya Gumerovna Kuzhabaeva, K. Nikonorov, Maria Vyacheslavovna Skudarnova
Objective. Currently, few publications have been available regarding an effect of level, type of intrusion, and viral infections on spinal disc degeneration. The study was aimed to evaluate an incidence of indolent bacterial and viral intervertebral disc infections in unstratified group of patients operated on for spinal degenerative pathologies. Material and methods. For the study, intraoperative disc samples were collected from patients who underwent discectomy and total spinal fusion surgery for degenerative pathologies between the years December, 2018 to January, 2020. 447 samples were examined obtained from 392 patients (189 women and 203 men) with a mean age of 58.1 years. The following epidemiological and clinical data were collected: gender, age, spinal segments affected, type of surgical approach, preoperative C-reactive protein (CRP; reference range 0.00.5 mg/dL), and preoperative as well as 6-month postoperative ODI and NDI, both expressed as a percentage. The incidence of postoperative infections within six months after surgery as well as MI for each operated segment was assessed. Only patients with ventral cervical or dorsal thoracic access were enrolled in the study. In the lumbar region, the ventral assess was chosen for anterior lumbar interbody fusion, the lateral approach for oblique or extreme lateral interbody fusion, and the dorsal approach in case of standard microdiscectomy of posterior transforaminal interbody fusion or transforaminal interbody fusion. A logistic regression analysis was performed to model a risk of positive microbiological culture and a risk of emerging modal changes by using a set of independent variables selected in a stepwise manner by using the Akaike information criterion as a measure of quality of select procedure. Results. MRI for modal analysis was available for all 447 segments. MRI revealed 45 type 1 SCs (10.07% of all segments), 118 type 2 SCs (26.4%), and 5 type 3 SCs (1.12%). Microbiological culture was available in 410 segments. In these 410 segments, 39 type 1 MCs, 113 type 2 MCs, and 5 type 3 MCs were found. A statistically significant relationship was found between SC type 2 and a positive microbiological result (p = 0.0127). In contrast, there were no statistically significant associations for type 1 and type 3 SCs (p=0.3052 and p=0.0767, respectively). Conclusion. A relation between disc degeneration and infections seems unlikely. Histopathological evidence of inflammation in degenerated discs is rare and unrelated to microbiological findings.
目标。目前,关于侵入程度、侵入类型和病毒感染对椎间盘退变的影响的文献很少。本研究旨在评估因脊柱退行性病变而接受手术的非分层患者中惰性细菌和病毒椎间盘感染的发生率。材料和方法。在这项研究中,从2018年12月至2020年1月期间因退行性病变接受椎间盘切除术和全脊柱融合术的患者中收集术中椎间盘样本。从平均年龄58.1岁的392名患者(189名女性和203名男性)中获得447份样本进行了检查。收集以下流行病学和临床资料:性别、年龄、受影响的脊柱节段、手术入路类型、术前c反应蛋白(CRP);参考范围0.000.5 mg/dL),术前和术后6个月ODI和NDI均以百分比表示。评估术后6个月内感染发生率及各手术节段心肌梗死发生率。只有颈腹侧或胸背侧通路的患者被纳入研究。在腰椎区域,前路腰椎椎间融合术选择腹侧入路,斜侧或极外侧椎间融合术选择外侧入路,后路经椎间孔椎间融合术或经椎间孔椎间融合术标准显微椎间盘切除术选择背侧入路。通过使用赤池信息标准作为选择程序质量的衡量标准,以逐步选择的方式选择一组自变量,进行逻辑回归分析,以模拟微生物培养阳性的风险和出现模态变化的风险。结果。所有447节段均可用MRI进行模态分析。MRI显示45个1型sc(占所有节段的10.07%),118个2型sc(26.4%), 5个3型sc(1.12%)。微生物培养有410段。在这410个片段中,发现了39个1型MCs, 113个2型MCs, 5个3型MCs。SC 2型与微生物学阳性结果有统计学意义(p = 0.0127)。相比之下,1型和3型SCs无统计学意义(p=0.3052和p=0.0767)。结论。椎间盘退变与感染之间的关系似乎不太可能。退变椎间盘炎症的组织病理学证据是罕见的,且与微生物学结果无关。
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引用次数: 0
IgG-antibodies to individual cytomegalovirus (CMV) proteins and the peripheral blood subpopulation of lymphocytes in patients with anterior uveitis of varying severity 不同严重程度前葡萄膜炎患者的单个巨细胞病毒(CMV)蛋白igg抗体和外周血淋巴细胞亚群
Pub Date : 2023-06-30 DOI: 10.15789/2220-7619-iat-8875
Galina Kriсhevskaya, N. Balatskaya, G. Alatortseva, E. Sorozhkina, Lyudmila Kovaleva, I. Kulikova, Vera V. Dotsenko, L. Nesterenko, L. Lukhverchik
Relevance. Cytomegalovirus (CMV), a human beta-herpesvirus, persists in the human in a latent form for life after infection. CMV reactivation that occurs periodically can cause disease of end organs, including the eye, not only in immunosuppression, but also in immunocompetent people. Due to its immunosuppressive properties, persistent CMV is involved in the pathogenesis of diseases of various etiologies. Aim. To study the features of antibody formation to six individual CMV proteins and to conduct a correlation analysis with the indicators of the subpopulation of blood lymphocytes in patients with anterior uveitis of varying severity (without hypopion-mild course, with hypopion-more severe course). Materials and methods. 36 patients with anterior uveitis were examined. Group I consisted of 20 patients without hypopion, group II 16 people with hypopion. There were no characteristic features of CMV anterior uveitis(elevated intraocular pressure, stromal iris atrophy). IgG antibodies to CMV (markers of chronic infection) were determined in blood sera by ELISA, antibodies to individual recombinant CMV antigens were determined by Line-Immunoassay: to the main non-structural immediate early protein (IE), DNA-binding phosphoprotein p52, phosphoproteins of the tegument p150, p65, p28, GB-AD envelope glycoprotein. The subpopulation of lymphocytes was studied by flow cytometry: T-lymphocytes (CD3+), T-helper cells (CD3+CD4+CD8-), T-cytotoxic (CD3+CD4-CD8+), T-double-positive (CD3+CD4+CD8+), natural killers (CD16+CD56+), B-lymphocytes (CD19+). Statistical analysis was performed using StatTech v. 3.0.2 program (Stattech LLC, Russia). Results. In anterior uveitis of a light course, a statistically significant increase in the relative content of CD16+CD56+ and a decrease in the absolute number of CD3+CD8+ were found compared with anterior uveitis of a heavier course. Only in the group of patients with hypopion (more severe course) there was a direct correlation, a noticeable reliable relationship between the levels of antibodies to IE, p65, p28 antigens and the content of double-positive cells (CD3+CD4+CD8+) and an inverse reliable relationship between the levels of antibodies to IE, p65 and p52 antigens and CD19+ lymphocytes. Conclusion. The results obtained are consistent with the isolated reports on the role of double-positive lymphocytes in the pathogenesis of severe forms of some viral diseases. Further studies are needed to assess the effect of individual viral antigens on CD3+CD4+CD8+ content in patients with chronic CMV infection to confirm the role of double - positive lymphocytes in the pathogenesis of a more severe course of anterior uveitis.
的相关性。巨细胞病毒(CMV)是一种人类乙型疱疹病毒,感染后在人体内以潜伏形式存在终生。周期性发生的巨细胞病毒再激活可引起包括眼睛在内的终末器官疾病,不仅在免疫抑制人群中,而且在免疫正常人群中也是如此。由于其免疫抑制特性,持续性巨细胞病毒参与各种病因疾病的发病机制。的目标。研究6种CMV蛋白的抗体形成特征,并与不同严重程度的葡萄膜前炎患者(无低渗-轻度,低渗-重度)血液淋巴细胞亚群指标进行相关性分析。材料和方法。对36例前葡萄膜炎患者进行了检查。ⅰ组无垂体功能减退20例,ⅱ组有垂体功能减退16例。巨细胞病毒性前葡萄膜炎无特征性表现(眼压升高,虹膜间质萎缩)。ELISA法检测血清CMV IgG抗体(慢性感染标志物),Line-Immunoassay检测重组CMV抗原的抗体:主要非结构直接早期蛋白(IE)、dna结合磷酸化蛋白p52、被膜磷酸化蛋白p150、p65、p28、GB-AD包膜糖蛋白。流式细胞术研究淋巴细胞亚群:t淋巴细胞(CD3+)、t辅助细胞(CD3+CD4+CD8-)、t细胞毒性细胞(CD3+CD4-CD8+)、t双阳性细胞(CD3+CD4+CD8+)、自然杀伤细胞(CD16+CD56+)、b淋巴细胞(CD19+)。使用StatTech v. 3.0.2程序(StatTech LLC, Russia)进行统计分析。结果。轻病程的葡萄膜前炎与重病程的葡萄膜前炎相比,CD16+CD56+的相对含量增加,CD3+CD8+的绝对数量减少,具有统计学意义。只有在低热(病程较严重)患者组,IE、p65、p28抗原抗体水平与双阳性细胞(CD3+CD4+CD8+)含量呈显著的可靠关系,IE、p65、p52抗原抗体水平与CD19+淋巴细胞呈负相关。结论。所获得的结果与有关双阳性淋巴细胞在某些严重病毒性疾病发病机制中的作用的孤立报道是一致的。需要进一步的研究来评估单个病毒抗原对慢性巨细胞病毒感染患者CD3+CD4+CD8+含量的影响,以确认双阳性淋巴细胞在更严重的前葡萄膜炎发病机制中的作用。
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引用次数: 0
PROBIOTICS IN PREVENTION AND TREATMENT OF COVID-19: A SYSTEMATIC REVIEW OF CURRENT EVIDENCE 益生菌预防和治疗covid-19:对现有证据的系统回顾
Pub Date : 2023-06-29 DOI: 10.15789/2220-7619-pip-2118
Seyedahmad Seyedalinaghi, Ramin Shahidi, Arian Afzalian, Parinaz Paranjkhoo, K. Ghorbanzadeh, Hengameh Mojdeganlou, A. Razi, Paniz Mojdeganlou, Mohsen Dashti, Sahar Nooralioghli Parikhani, Afsaneh Ghasemzadeh, Z. Pashaei, A. Karimi, E. Mehraeen, Daniel Hackett, Ahmadi Sepide
Introduction: Clinical evidence suggests that certain probiotics may help treat and prevent viral infections. To date, the effectiveness of probiotics in the alleviation of COVID-19 has not been established. The aim of this systematic review was to assess the role of probiotics in the prevention and treatment of COVID-19. Methods: An extensive search of four electronic databases was performed which included Embase, Scopus, Web of Science, and PubMed from November 2019 to June 2022. After reviewing the references list of related articles additional studies were identified. A multiple combination of keywords validated by MESH were used to search the databases. Study selection was performed according to an inclusion and exclusion criteria. Results: Twenty-three articles met the study inclusion criteria. Six articles were conducted in vitro while the remaining studies were conducted in the human population (in vivo). The type of probiotic was defined in eighteen studies. There were two studies that used supplements (vitamins, herbals, minerals, etc.) in addition to probiotics. The largest sample size was 44,585 participants which were from a study that used an application-based survey. The majority of studies found that probiotics had a positive effect on the COVID-19 disease. The benefits included early remission of COVID-19 symptoms and a shorter duration of sickness (10 studies), lower mortality rates (3 studies), and decreased hospitalization and length of stay (3 studies). Six in vitro studies found that probiotics were beneficial against SARS-CoV-2 through antiviral effects. There were only two studies that found probiotics to be ineffective or caused negative effects when consumed in COVID-19 patients. Conclusion: Available evidence supports the antiviral role of probiotics on prevention and treatment of COVID-19. The antiviral potential of Lactobacillus paracasei metabolite PlnE and PlnFagainst SARS-CoV-2 may explain the effectiveness of probiotics on COVID-19.
临床证据表明,某些益生菌可能有助于治疗和预防病毒感染。迄今为止,益生菌在缓解COVID-19方面的有效性尚未得到证实。本系统综述的目的是评估益生菌在预防和治疗COVID-19中的作用。方法:从2019年11月至2022年6月对Embase、Scopus、Web of Science和PubMed四个电子数据库进行广泛检索。在查阅相关文献的参考文献列表后,确定了其他研究。使用MESH验证的多个关键词组合进行数据库搜索。根据纳入和排除标准进行研究选择。结果:23篇文章符合纳入标准。六篇文章是在体外进行的,其余的研究是在人体内进行的。在18项研究中定义了益生菌的类型。除了益生菌,还有两项研究使用了补充剂(维生素、草药、矿物质等)。最大的样本量是44,585名参与者,这些参与者来自一项基于应用程序的调查研究。大多数研究发现,益生菌对COVID-19疾病有积极作用。益处包括早期缓解COVID-19症状和缩短病程(10项研究),降低死亡率(3项研究),减少住院时间和住院时间(3项研究)。六项体外研究发现,益生菌通过抗病毒作用对SARS-CoV-2有益。只有两项研究发现,在COVID-19患者中食用益生菌是无效的或会产生负面影响。结论:现有证据支持益生菌在预防和治疗COVID-19中的抗病毒作用。副干酪乳杆菌代谢物PlnE和plnf2对SARS-CoV-2的抗病毒潜力可能解释了益生菌对COVID-19的有效性。
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引用次数: 0
Optimization and validation of flow cytometry method for quantification of SARS-COV-2 antigen reactive T-cells 流式细胞术定量SARS-COV-2抗原反应性t细胞方法的优化与验证
Pub Date : 2023-06-29 DOI: 10.15789/2220-7619-oav-2084
O. Strizhakova, A. S. Pershin, A. A. Kazarov, I. Lyagoskin, Yana A. Bahareva, Alexander P. Vasil'ev, Yu. A. Nikonova, I. Egorova, Rahim R. Shukurov, R. Khamitov
A proper and representative monitoring of SARS-CoV-2 herd immunity including a long-term health impact on recovered patients and vaccinated individuals is of great importance. For this, a monitoring campaign should assesses both humoral and T-cell immune arms. Upon that, analyzing antigen specific-cell activation and cellular phenotype are informative. We developed a flow cytometry method for detection of intracellular IFN-producing antigen-reactive T cells after exposure of human peripheral blood mononuclear cells (PBMC) to SARS-CoV-2 virus antigens. The method was validated according to the following characteristics: sensitivity, specificity, precision, and robustness. We used positive samples from donors recovered from COVID-19 and negative samples from donors who had no contact with COVID-19 patients and lacking antibodies to SARS-CoV-2. All samples were tested by laboratory methods. Peripheral blood mononuclear cells were isolated from donor blood by centrifugation in a Ficoll density gradient. Specific T cells were stimulated with S-protein as well as N, M, ORF3a, and ORF7a protein peptides to count IFN--producing T cells by flow cytometer. The data were statistically analyzed. AUC level was determined. The predictive value of the method was considered acceptable when AUC was greater than 0.7. Precision was considered acceptable if the coefficient of variation did not exceed 20%. Robustness was confirmed for frozen and freshly prepared PBMC samples. Based on the validation, the suitability of the method "Evaluation of antigen-reactive T cells that produce intracellular IFN- in response to SARS-CoV-2 virus antigens by flow cytometry" was confirmed. The method allows for reliable data that was used to characterize standard control samples for internal quality control of TigraTest SARS-CoV-2 kits.
对SARS-CoV-2群体免疫进行适当和有代表性的监测,包括对康复患者和接种疫苗个体的长期健康影响,是非常重要的。为此,监测活动应同时评估体液和t细胞免疫臂。在此基础上,分析抗原特异性细胞活化和细胞表型是有价值的。我们开发了一种流式细胞术方法,用于检测人外周血单核细胞(PBMC)暴露于SARS-CoV-2病毒抗原后细胞内产生ifn的抗原反应性T细胞。根据灵敏度、特异度、精密度和鲁棒性对该方法进行了验证。我们使用了从COVID-19恢复的捐献者的阳性样本和从没有接触过COVID-19患者且缺乏SARS-CoV-2抗体的捐献者的阴性样本。所有样品均采用实验室方法检测。用菲柯尔密度梯度离心从供体血液中分离外周血单个核细胞。用s蛋白和N、M、ORF3a、ORF7a蛋白肽刺激特异性T细胞,流式细胞仪对产生IFN的T细胞计数。对数据进行统计学分析。测定AUC水平。当AUC大于0.7时,认为该方法的预测值是可接受的。如果变异系数不超过20%,则认为精度是可以接受的。对于冷冻和新鲜制备的PBMC样品,鲁棒性得到了证实。在验证的基础上,确认了“流式细胞术评价细胞内产生IFN-的抗原反应性T细胞对SARS-CoV-2病毒抗原的反应”方法的适用性。该方法可获得可靠数据,用于表征TigraTest SARS-CoV-2试剂盒内部质量控制的标准对照样品。
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引用次数: 0
A MULTIFACTORIAL IMPACT ON RESPIRATORY MORBIDITY IN PEOPLE OF REPRODUCTIVE AGE AND EFFECTIVENESS OF NATOPHERINE- AND ANDROPHERINE-CONTAINING ODORANTS REGARDING A NON-SPECIFIC RESISTANCE OF THE NASAL MUCOSA AND LOWERED MORBIDITY OF RESPIRATORY INFECTIONS 对育龄人群呼吸道疾病发病率的多因素影响和含钠啡和雄啡的气味剂在鼻黏膜非特异性抵抗和降低呼吸道感染发病率方面的有效性
Pub Date : 2023-05-25 DOI: 10.15789/2220-7619-ami-8048
A. Bedareva, E. Shabaldina, Evgenia Astaf'eva, A. Chuyanova, A. Shabaldin
Prevention of respiratory infections during epidemic periods is an important task of modern health care in Russia and the world. One such approach may be the use of volatile substances capable of activating nonspecific resistance of the nasal mucosa. Long-term application of synthetic analogues of female pheromones to young men leads to a decrease in the frequency of respiratory diseases, an increase in the levels of secretory immunoglobulins, and in persons with allergic diseases, to a decrease in the levels of eosinophilia in the peripheral blood. Based on this, the aim of the study was set - to study the influence of catamnesis factors and indicators reflecting the functioning of the mucosal immunity of the nasal mucosa, its nonspecific resistance, on the formation of frequent respiratory morbidity; as well as to evaluate the effectiveness of odorants with natopherine and andropherine in relation to the dynamics of these indicators and to reduce the frequency of respiratory infections in young people. Materials and methods. A survey of 46 conditionally healthy boys and girls, in the age range from 18 to 22 years, was carried out. The frequency of respiratory morbidity, catamnesis factors, and the results of non-invasive studies (cytokine concentrations in the nasopharyngeal aspirate and rhinocytograms). Within 30 days, all young people were applied to the nasolabial fold synthetic analogues of male (andropherine) and female (natopherine) pheromones (andropherine for young woman, natopherine for young man). A re-examination with the above mentioned studies was carried out on the 14th and 30th day of the experiment. The frequency of respiratory infections was reassessed one year after the start of the experiment. Results. The study showed a number of predictors and protectors of frequent and long-term respiratory morbidity in young people. The predictors of this condition were catamnestics markers of allergic anomalies of the constitution, behavioral factors (smoking), as well as immune indicators of allergy (IL-4) and mucociliary clearance deficiency. A monthly course of applications on the skin of the nasolabial fold of odorants based on synthetic analogues of male and female pheromones (steranes) has a positive effect both on the nonspecific resistance of the nasal mucosa, on the immune parameters of its functioning. After a month of using steranes, complete decontamination of the nasal mucosa from coccal microorganisms occurs. A year after the experiment, there are no frequently and long-term ill young people. This indicates a significant clinical effect of the applied odorants.
在流行期间预防呼吸道感染是俄罗斯和世界现代卫生保健的一项重要任务。其中一种方法可能是使用能够激活鼻黏膜非特异性抗性的挥发性物质。年轻男子长期服用雌性信息素的合成类似物,可减少呼吸系统疾病的发病率,增加分泌性免疫球蛋白的水平,而在患有过敏性疾病的人中,可降低外周血嗜酸性粒细胞的水平。基于此,本研究的目的是研究反映鼻黏膜黏膜免疫功能的致病因子和指标及其非特异性抵抗对呼吸道常发发病形成的影响;以及评估与这些指标动态相关的含钠啡和雄啡的气味剂的有效性,并减少年轻人呼吸道感染的频率。材料和方法。对年龄在18岁至22岁之间的46名有条件健康的男女儿童进行了调查。呼吸系统疾病的发病率、损伤因素和非侵入性研究的结果(鼻咽吸气和鼻细胞图中的细胞因子浓度)。在30天内,所有的年轻人都被应用于鼻唇襞合成的雄性(雄啡)和雌性(钠托啡)信息素类似物(年轻女性用雄啡,年轻男性用钠托啡)。在试验第14天和第30天对上述研究进行复查。实验开始一年后,对呼吸道感染的频率进行了重新评估。结果。该研究显示了年轻人频繁和长期呼吸道疾病的一些预测因素和保护因素。这种情况的预测因素是体质的过敏异常、行为因素(吸烟)以及过敏的免疫指标(IL-4)和粘纤毛清除缺陷。每月在鼻唇襞皮肤上应用基于雄性和雌性信息素(甾烷)合成类似物的气味剂,对鼻黏膜的非特异性抗性和其功能的免疫参数都有积极影响。使用甾烷一个月后,鼻黏膜就会被球菌微生物完全净化。实验一年后,没有经常和长期患病的年轻人。这表明应用气味剂有显著的临床效果。
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引用次数: 0
VIRUS-LIKE PARTICLE ENDOCYTOSIS PATHWAYS AND CAPTURED ANTIGEN PRESENTATION 病毒样颗粒内吞途径和捕获抗原呈递
Pub Date : 2023-04-10 DOI: 10.15789/2220-7619-vpe-8045
The proteins of many viruses can be assembled into strictly organized structures virus-like particles bearing antigens of the original viruses and may also be artificially decorated with antigens of other pathogens. These particles contain no viral genome and lack infectivity but can be highly immunogenic and therefore being actively used for vaccine development. Undoubtedly, while designing vaccines, it is necessary to take into account information about the interaction of vaccine components with immune system particularly antigen-presenting cells. This is especially important for virus-like particles because, like other nanometer-sized particles, they can enter antigen-presenting cells using various endocytosis pathways. The latter exploit multiple receptors, generate endocytic vesicles of different sizes, and, most importantly, are associated with varying fates of captured material. Here we review the mechanisms of phagocytosis, macropinocytosis, clathrin-mediated endocytosis, rapid endophilin-mediated endocytosis, and several endocytic pathways associated with lipid rafts. The data are presented on the relationship between various endocytic pathways and sorting of absorbed cargo in early endosomes as well as enzymatic degradation of the late endosomes contents. We also describe the mechanisms of distribution of absorbed antigens within antigen-presenting cells to be loaded onto the class I and II major histocompatibility complex molecules. The data are presented on the endocytosis of various viruses during cell infection, as well as a comparative analysis of the endocytosis pathways for virus-like particles and related viruses. It has been noted that virus-like particles, along with the absorption pathway specific for parent virus, can rely on additional endocytic pathways to be also artificially targeted at the selected endocytic receptor and relevant absorption pathway. It allows to select or design particles with optimal endocytosis and antigen presentation to induce a protective immune response upon vaccination. It should be assumed that most prophylactic vaccines require particles that are well engulfed by antigen presenting cells and direct material to endolysosomal degradation, or particles whose uptake directs material to both late and static early endosomes, making antigens available for "direct" and cross presentations. Finally, we discuss virus-like particles for the delivery of drugs or genetically engineered constructs, as well as optimal endocytic pathways that should protect the payload of these particles from endolysosomal degradation.
许多病毒的蛋白质可以组装成严格有组织的结构——带有原病毒抗原的病毒样颗粒,也可以用其他病原体的抗原人工修饰。这些颗粒不含病毒基因组,缺乏传染性,但具有高度免疫原性,因此被积极用于疫苗开发。毫无疑问,在设计疫苗时,有必要考虑疫苗成分与免疫系统,特别是抗原提呈细胞相互作用的信息。这对病毒样颗粒尤其重要,因为像其他纳米大小的颗粒一样,它们可以通过各种内吞途径进入抗原呈递细胞。后者利用多个受体,产生不同大小的内吞囊泡,最重要的是,它们与捕获物质的不同命运有关。本文综述了吞噬作用、巨噬细胞作用、网格蛋白介导的内吞作用、快速内噬蛋白介导的内吞作用以及与脂筏相关的几种内吞途径的机制。数据提出了各种内吞途径和早期核内体中吸收货物的分类以及后期核内体内容物的酶降解之间的关系。我们还描述了吸收抗原在抗原呈递细胞内的分布机制,这些抗原被装载到I类和II类主要组织相容性复合体分子上。本文介绍了细胞感染过程中各种病毒的内吞作用,并对病毒样颗粒和相关病毒的内吞作用途径进行了比较分析。已经注意到,病毒样颗粒与亲本病毒特有的吸收途径一起,可以依靠额外的内吞途径,也可以人为地靶向选定的内吞受体和相关的吸收途径。它允许选择或设计具有最佳内吞作用和抗原呈递的颗粒,以在接种疫苗时诱导保护性免疫反应。应该假定,大多数预防性疫苗需要被抗原呈递细胞很好地吞噬的颗粒,并将物质引导到内溶酶体降解,或者颗粒的摄取将物质引导到晚期和静态早期内体,使抗原可用于“直接”和交叉呈递。最后,我们讨论了用于递送药物或基因工程构建物的病毒样颗粒,以及应保护这些颗粒有效载荷免受内溶酶体降解的最佳内吞途径。
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引用次数: 0
A clinical case of SARS-CoV-2 infection complicated by nephrogenic pulmonary edema and COVID-associated pneumonitis, alveolitis SARS-CoV-2感染并发肾源性肺水肿合并新冠肺炎、肺泡炎1例
Pub Date : 2023-04-01 DOI: 10.15789/2220-7619-acc-1985
O. Vorobeva, Natalya E. Gimaldinova, L. P. Romanova
COVID-19 is a highly transmissible disease with severe course especially in patients with nephrogenic hypertensive disease and chronic kidney disease due to a higher incidence of all-type infections than in the general population. The aim of the study is to describe a clinical case of SARS-CoV-2 infection complicated by nephrogenic pulmonary edema and COVID-associated pneumonitis, alveolitis. Description of the case. Patient K.S., born in 1975, was hospitalized 24 hours after symptom onset at emergency hospital due to complaints of increased blood pressure up to 180200/110120 mm Hg, temperature up to 38.7C, dry cough, feeling of heaviness in the chest, change in urine color. PCR smear for SARS-CoV-2 was positive. Computed tomography revealed a pattern of bilateral COVID-associated pneumonitis, alveolitis, with 75% involvement. The electrocardiogram revealed signs of left ventricular myocardial hypertrophy. Ultrasound examination showed numerous cysts in the kidneys. Urinalysis at admission: leukocytes 499, erythrocytes 386. Glomerular filtration rate (CKD-EPI: 29 ml/min/1.73 m2) and corresponds to stage IV of chronic kidney disease. Coagulogram: fibrinogen: 32.3 (1.64.0) g/l, D-dimer: 663 (0250). Despite the treatment, the patients condition worsened, the phenomena of cardiopulmonary and renal insufficiency increased, which led to a fatal outcome. During a virological study of sectional material: SARS-CoV-2 coronavirus RNA was found in the lung and kidneys. Signs of bilateral COVID-associated pneumonitis, alveolitis with diffuse cellular infiltrates in combination with changes in the alveolar apparatus, signs of pulmonary edema were revealed. Heart-related signs swelling of the interstitium, fragmented muscle fibers, some of them hypertrophied, a wave-like deformation of cardiomyocytes, blurring of the transverse striation. Arteries with thickened sclerosed walls. In the kidneys diffuse damage to the proximal tubules of the nephron with areas of cortical and proximal necronephrosis, areas of fibrinoid swelling. Conclusion. The cause of death of a 45-year-old patient was a severe course of bilateral COVID-associated pneumonitis, alveolitis, which contributed to the development of renal medullary hypoxia and type 1 cardiorenal syndrome, which led to early nephrogenic pulmonary edema.
COVID-19是一种高度传染性疾病,特别是肾源性高血压疾病和慢性肾脏疾病患者,由于所有类型感染的发生率高于一般人群,病程严重。本研究描述1例SARS-CoV-2感染并发肾源性肺水肿并与新冠病毒相关的肺炎、肺泡炎的临床病例。案件描述。患者k.s., 1975年出生,因血压升高至180200/110120毫米汞柱,体温高达38.7℃,干咳,胸部感觉沉重,尿色改变,在症状出现24小时后被送往急救医院。SARS-CoV-2 PCR涂片阳性。计算机断层扫描显示双侧冠状病毒相关肺炎,肺泡炎,累及75%。心电图显示左室心肌肥厚征象。超声检查显示肾脏内有大量囊肿。入院时尿检:白细胞499,红细胞386。肾小球滤过率(CKD-EPI: 29 ml/min/1.73 m2),对应慢性肾病IV期。凝血图:纤维蛋白原:32.3 (1.64.0)g/l, d -二聚体:663(0250)。尽管进行了治疗,但患者病情恶化,心肺、肾功能不全现象增多,最终导致死亡。在切片材料的病毒学研究中:在肺和肾脏中发现了SARS-CoV-2冠状病毒RNA。双侧新型冠状病毒肺炎征象、肺泡炎伴弥漫性细胞浸润并肺泡器官改变、肺水肿征象显露。心脏相关征象间质肿胀,肌纤维碎裂,部分肥厚,心肌细胞呈波浪形变形,横纹模糊。动脉壁增厚硬化。肾脏弥漫性损害肾元近端小管伴皮质区和近端坏死区,纤维蛋白样肿胀区。结论。45岁患者的死亡原因是严重的双侧新冠肺炎、肺泡炎,导致肾髓质缺氧和1型心肾综合征的发展,导致早期肾源性肺水肿。
{"title":"A clinical case of SARS-CoV-2 infection complicated by nephrogenic pulmonary edema and COVID-associated pneumonitis, alveolitis","authors":"O. Vorobeva, Natalya E. Gimaldinova, L. P. Romanova","doi":"10.15789/2220-7619-acc-1985","DOIUrl":"https://doi.org/10.15789/2220-7619-acc-1985","url":null,"abstract":"COVID-19 is a highly transmissible disease with severe course especially in patients with nephrogenic hypertensive disease and chronic kidney disease due to a higher incidence of all-type infections than in the general population. The aim of the study is to describe a clinical case of SARS-CoV-2 infection complicated by nephrogenic pulmonary edema and COVID-associated pneumonitis, alveolitis. Description of the case. Patient K.S., born in 1975, was hospitalized 24 hours after symptom onset at emergency hospital due to complaints of increased blood pressure up to 180200/110120 mm Hg, temperature up to 38.7C, dry cough, feeling of heaviness in the chest, change in urine color. PCR smear for SARS-CoV-2 was positive. Computed tomography revealed a pattern of bilateral COVID-associated pneumonitis, alveolitis, with 75% involvement. The electrocardiogram revealed signs of left ventricular myocardial hypertrophy. Ultrasound examination showed numerous cysts in the kidneys. Urinalysis at admission: leukocytes 499, erythrocytes 386. Glomerular filtration rate (CKD-EPI: 29 ml/min/1.73 m2) and corresponds to stage IV of chronic kidney disease. Coagulogram: fibrinogen: 32.3 (1.64.0) g/l, D-dimer: 663 (0250). Despite the treatment, the patients condition worsened, the phenomena of cardiopulmonary and renal insufficiency increased, which led to a fatal outcome. During a virological study of sectional material: SARS-CoV-2 coronavirus RNA was found in the lung and kidneys. Signs of bilateral COVID-associated pneumonitis, alveolitis with diffuse cellular infiltrates in combination with changes in the alveolar apparatus, signs of pulmonary edema were revealed. Heart-related signs swelling of the interstitium, fragmented muscle fibers, some of them hypertrophied, a wave-like deformation of cardiomyocytes, blurring of the transverse striation. Arteries with thickened sclerosed walls. In the kidneys diffuse damage to the proximal tubules of the nephron with areas of cortical and proximal necronephrosis, areas of fibrinoid swelling. Conclusion. The cause of death of a 45-year-old patient was a severe course of bilateral COVID-associated pneumonitis, alveolitis, which contributed to the development of renal medullary hypoxia and type 1 cardiorenal syndrome, which led to early nephrogenic pulmonary edema.","PeriodicalId":21412,"journal":{"name":"Russian Journal of Infection and Immunity","volume":"2 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84179049","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
Characteristics of the intestinal microflora in children receiving anti-tuberculosis therapy 接受抗结核治疗的儿童肠道菌群特征
Pub Date : 2023-04-01 DOI: 10.15789/2220-7619-cot-2037
E. Bryukhacheva, Y. Zakharova, L. Otdushkina, T. V. Pyanzova
The progress in investigating microbiome in children and adolescents as well as its impact on maintaining health is considered one of the most significant achievements of modern medicine. In children with various diseases, the qualitative and quantitative indicators of the intestinal microflora change, which causes the development of dysbiosis. The assessing changes in intestinal microflora in children during treatment with anti- tuberculosis drugs has retained its importance and relevance due to insufficient data in the field, which requires a more detailed understanding of this problem. The presented article assesses the state of gut microbial biocenosis in children receiving anti-tuberculosis treatment. The purpose of the study: to study the microbial landscape of the colonic contents in children receiving anti-tuberculosis therapy. Materials and methods. The study included 24 children with verified tuberculosis of the respiratory organs receiving treatment in a 24-hour hospital of the Kuzbass Clinical Phthisiopulmonological Medical Center named after I.F. Kopylova. The study of intestinal microflora was carried out by a quantitative bacteriological method. The material of the study was feces collected in a sterile disposable container, which was delivered to the Department of Microbiology, Immunology and Virology of the Federal State Budgetary Educational Institution of the Russian Ministry of Health. Results. Dysbiosis with predominance of microecological disorders of II (41.7%) and III (37.3%) degrees was detected in all children receiving anti-tuberculosis therapy. The microbial landscape of the intestine was characterized by a decrease in the quantitative content of representatives of the obligate flora Bifidobacterium spp. in 66.7% of children and Lactobacillus spp. in 45.8%, an increase in the number of facultative microorganisms: E. coli lac+ and Citrobacter freundii in 12.5%. Maintaining a full-fledged and active intestinal normobiota is possible by ensuring its dynamic control in children with tuberculosis during treatment. The results of studying the characteristics of the microbiota suggest that patients need probiotic therapy during the treatment of tuberculosis. Conclusion. Microecological disorders in children with tuberculosis therapy were characterized by a decrease in the quantitative content of representatives of obligate flora and an increase in the number of facultative microorganisms. Also in the material, various types of fungi of the genus Candida were identified.
在研究儿童和青少年微生物组及其对维持健康的影响方面取得的进展被认为是现代医学最重要的成就之一。在患有各种疾病的儿童中,肠道菌群的定性和定量指标发生变化,从而导致生态失调的发展。由于该领域的数据不足,评估儿童抗结核药物治疗期间肠道菌群的变化仍然具有其重要性和相关性,这需要对这一问题进行更详细的了解。本文评估了接受抗结核治疗的儿童肠道微生物病的状态。本研究目的:研究接受抗结核治疗的儿童结肠内容物的微生物景观。材料和方法。该研究包括24名经证实患有呼吸器官结核病的儿童,他们在库兹巴斯临床肺结核医学中心的一家24小时医院接受治疗,该医院以I.F. Kopylova命名。采用定量细菌学方法对肠道菌群进行了研究。研究的材料是收集在无菌一次性容器中的粪便,该容器交付给俄罗斯卫生部联邦国家预算教育机构微生物学、免疫学和病毒学司。结果。在所有接受抗结核治疗的儿童中均检测到以II级(41.7%)和III级(37.3%)微生态失调为主的生态失调。肠道微生物景观的特征是专性菌群双歧杆菌(66.7%)和乳酸杆菌(45.8%)的数量含量下降,兼性微生物(12.5%)的数量增加:E. coli lac+和Citrobacter freundii。通过确保结核病儿童在治疗期间对肠道正常菌群进行动态控制,就有可能维持完整和活跃的肠道正常菌群。研究结果表明,结核病患者在治疗过程中需要益生菌治疗。结论。结核治疗儿童的微生态紊乱的特点是专一菌群代表的定量含量减少,兼性微生物的数量增加。此外,材料中还鉴定了各种类型的念珠菌属真菌。
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引用次数: 0
Genotyping of rickettsias circulating in the territories of the Altai Republic and Khabarovsk krai 阿尔泰共和国和哈巴罗夫斯克边疆区流行立克次体的基因分型
Pub Date : 2023-04-01 DOI: 10.15789/2220-7619-gor-2014
S. Shtrek, N. Rudakov, S. Shpynov, Alexey V. Sannikov, I. Samoylenko, L. D. Shchuchinova, O. Trotsenko, Anna G. Dragomeretskaya, E. V. Matushchenko
The aim of the study was to verificate of the causative agent of Siberian tick-borne typhus (STT) upon ixodic tick mixed infection on the territory of the Altai Republic and Khabarovsk Krai using an integrated molecular biological approach. Materials and methods. The material for the study was presented as 304 imago of ixodic mites of six species. The ticks were collected on the territory of the Altai Republic and the Khabarovsk Krai in the years 20142022. Rickettsia DNA was identified by two-round PCR using genus- and species-specific primers for gltA and ompA genes, followed by sequencing and using PCR reagent kits RealBest DNA R. sibirica/R. heilongjiangensis (Vector-Best, Novosibirsk). Results. The detection of rickettsia in ticks in the Altai Republic was 82.6% (CI: 69.196.1), in the Khabarovsk Krai 53.1% (CI: 44.961.3). The species composition of rickettsias in various species of ixodic mites in these territories, endemic to Siberian tick typhus, is characterized by the presence of mixed forms. Rickettsia sibirica and R. raoultii were found in ticks Dermacentor nuttalli, Haemaphysalis concinna, D. silvarum. Only Candidatus R. tarasevichiae were detected in Ixodes persulcatus, I. pavlovsky mites and I. pavlovsky/persulcatus hybrids. The DNA of R. heilongjiangensis was found in H. mites. concinna in the Khabarovsk Krai. The DNA of Candidatus R. tarasevichiae is also present in the ticks of D. nuttalli and H. concinna from the Altai Republic. The DNA of the classic pathogenic species, R. sibirica, was detected in ticks D. nuttalli and H. concinna in the Altai Republic, ticks D. silvarum, H. concinna and H. japonica douglasi in the Khabarovsk Krai. In addition, in the Khabarovsk Krai, the DNA of R. heilongjiangensis was detected in H. concinna ticks, and a DNA fragment common to R. sibirica subsp. mongolitimonae and R. conorii was detected in H. japonica douglasi ticks, which requires further study. Candidatus R. tarasevichiae is common in Ixodes mites (I. persulcatus, I. pavlovsky and their hybrids), in the Altai Republic in D. nuttalli and H. concinna. R mites. raoultii was detected in ticks of the genus Dermacentor D. nuttalli in the Altai Republic and D. silvarum in the Khabarovsk Krai. Conclusions. During molecular biological monitoring of rickettsias in endemic territories, the detection of R. raoultii masks the presence of the etiological agent of STT R. sibirica. This phenomenon makes it possible to explain the high incidence of STT in the studied territories, with the rare detectability of R. sibirica DNA during molecular biological screening in ixodic mites.
本研究的目的是利用综合分子生物学方法在阿尔泰共和国和哈巴罗夫斯克边疆区境内的蜱混合感染中验证西伯利亚蜱传斑疹伤寒(STT)的病原体。材料和方法。本研究的材料为6种伊螨304张图像。这些蜱虫于2014年至2022年在阿尔泰共和国和哈巴罗夫斯克边疆区境内收集。采用gltA和ompA基因的属特异引物和种特异引物对立克次体DNA进行两轮PCR鉴定,然后使用RealBest DNA R. sibirica/R PCR试剂对立克次体DNA进行测序。黑龙江省(Vector-Best,新西伯利亚)结果。阿尔泰地区蜱类立克次体检出率为82.6% (CI: 69.196.1),哈巴罗夫斯克地区蜱类立克次体检出率为53.1% (CI: 44.961.3)。西伯利亚蜱斑疹伤寒在这些地区特有的各种蜱螨中的立克次体的物种组成,其特点是存在混合形式。蜱中检出西伯利亚立克次体和拉乌尔氏体,分别为肉芽革蜱、中国血蜱和森林蜱。在过狭角伊蚊、巴甫洛夫伊蚊和巴甫洛夫伊蚊/过狭角伊蚊杂交种中只检出了候选螨。在螨类中发现了黑龙江黑僵螨的DNA。在哈巴罗夫斯克边疆区。在阿尔泰地区的努塔利蠓和康斯纳蠓的蜱虫中也发现了塔拉斯韦氏候鸟的DNA。在阿尔泰共和国的nuttalli蜱和concinna蜱,哈巴罗夫斯克边疆区的silvarum蜱、concinna蜱和douglasjaponica蜱中检测到典型致病种西伯利亚蜱的DNA。此外,在哈巴罗夫斯克边疆区蜱虫中检测到黑龙江布氏蜱的DNA,并发现西伯利亚布氏蜱虫亚种共有的DNA片段。在douglasica蜱中检出蒙古疟原虫和conorir,有待进一步研究。在阿尔泰共和国的nuttalli和H. concinna中,有常见的蜱螨(persulcatus、I. pavlovsky及其杂种)。R螨虫。在阿尔泰共和国和哈巴罗夫斯克边疆区分别在努塔利革螨属蜱和西尔瓦鲁姆革螨属蜱中检测到拉乌尔蒂虫。结论。在流行地区立克次体的分子生物学监测过程中,检测到拉乌尔氏热体掩盖了STT西伯利亚热体病原的存在。这一现象可能解释了研究区域STT的高发病率,在分子生物学筛选中,西伯利亚r.b ibirica DNA很少被检测到。
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引用次数: 0
Features of lymphocyte subset composition in neonates born to mothers suffered from COVID-19 at different stages of pregnancy 不同妊娠阶段感染COVID-19母亲所生新生儿淋巴细胞亚群组成特征
Pub Date : 2023-04-01 DOI: 10.15789/2220-7619-fol-2098
E. Inviyaeva, Julia A Kosolapova, L. Krechetova, Valentine V. Vtorushina, Mziya I. Makieva, V. Zubkov
The relationship between the incidence of COVID-19 in pregnant women who have had a coronavirus infection at different gestational ages and the health status of paired neonates is of great interest. However, no sufficient convincing data fully reflecting features of subsequent neonatal period, the state of the immune system in this category of children, affecting characteristics of postnatal period have been accumulated. Based on this, it underlies the relevance of the current study aimed at investigating parameters of clinical and immunological state of neonatal health after paired mothers recovered from COVID-19 at different gestational ages. The prospective study included 131 women and 132 children. The main group consisted of women (n = 61) who had COVID-19 during pregnancy and paired newborns (n = 62) at gestational age (GA) of 3741 weeks, the comparison group women without laboratory-confirmed COVID-19 during pregnancy (n = 70) and paired newborns (n = 70) of similar gestational age. While analyzing the anamnesis of the patients, no significant differences in somatic and obstetric-gynecological diseases were found. Analyzing course of pregnancy revealed that low molecular weight heparins were significantly more often applied in the main group. The term and frequency of delivery by caesarean section in pregnant women in the main group did not significant differ from that of the control group. No significant difference in the frequency of causes accounting for the severity of the condition of neonates in paired mothers with COVID-19 at different trimester of gestation was found. Investigating lymphocyte subset composition, neutrophil phagocytic activity, and IgG class antibodies specific to SARS-CoV-2 was carried out. It was found that lymphocyte subset profile in newborns from paired mothers with COVID-19 at different trimesters of gestation differed only in the level of NK cells (CD56+) in children born to mothers recovered from COVID-19 in the first trimester. In this study, in general, no severe perinatal outcomes in newborns from paired mothers with COVID-19 during pregnancy were documented. No cases of moderate or severe maternal COVID-19 were observed. Therefore, further prospective studies are needed to assess an impact of COVID-19 severity on maternal and fetal birth outcomes and clarify optimal management of pregnant women in such cases.
不同胎龄感染冠状病毒孕妇的COVID-19发病率与配对新生儿健康状况的关系值得关注。然而,目前还没有足够的令人信服的数据充分反映新生儿期的特征,这类儿童的免疫系统状态,影响了出生后的特征。基于此,本研究旨在探讨不同胎龄配对母亲COVID-19康复后新生儿健康的临床和免疫状态参数。这项前瞻性研究包括131名妇女和132名儿童。主要组为妊娠期感染COVID-19的妇女(n = 61)和胎龄为3741周的配对新生儿(n = 62),对照组为妊娠期未确诊COVID-19的妇女(n = 70)和胎龄相近的配对新生儿(n = 70)。在对患者的记忆进行分析时,未发现躯体疾病和妇产科疾病有显著差异。分析妊娠过程发现,主组低分子肝素的应用频率明显高于对照组。主组孕妇剖宫产期和次数与对照组无显著差异。在不同妊娠期感染COVID-19的配对母亲中,导致新生儿病情严重程度的原因频率无显著差异。研究淋巴细胞亚群组成、中性粒细胞吞噬活性和SARS-CoV-2特异性IgG类抗体。研究发现,不同妊娠期感染COVID-19的配对母亲所生新生儿的淋巴细胞亚群谱仅在妊娠期前三个月从COVID-19中恢复的母亲所生儿童的NK细胞(CD56+)水平上存在差异。在本研究中,总体而言,在怀孕期间感染COVID-19的配对母亲的新生儿没有记录严重的围产期结局。未观察到中重度产妇COVID-19病例。因此,需要进一步的前瞻性研究来评估COVID-19严重程度对孕产妇和胎儿分娩结局的影响,并明确此类病例中孕妇的最佳管理方法。
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Russian Journal of Infection and Immunity
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