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The relationship of hemorheological disorders with the development of endotoxicosis in the rehabilitation period of acute poisoning 急性中毒康复期血液流变学障碍与内毒素中毒发展的关系
Pub Date : 2023-02-28 DOI: 10.47470/0869-7922-2023-31-1-4-17
Y. S. Goldfarb, A. N. Yelkov, A. V. Badalyan, Mikhail Mikhailovich Potshveriya, E. E. Bitkova
The aim of the study. Obtaining new data on the pathogenesis of endotoxicosis (ET) in the rehabilitation period of acute poisoning by assessing the conjugacy of hemorheology (HR) disorders with the development of ET. Material and methods. To obtain new information about the pathogenesis of acute poisoning in the rehabilitation period in 145 patients with severe acute poisoning with psychopharmacological agents (PFAp) due to the addition of pneumonia, neurotoxicants (NTp) with the development of toxic hypoxic encephalopathy and corrosive substances (CSp) with deep and widespread burns of the mucous membranes of the gastrointestinal tract, a pair correlation analysis of the block structure of the obtained correlation matrix was undertaken, establishing the relationship between the two indicators, as well as a canonical correlation analysis revealing the nature of the statistical relationship between groups of indicators, with the calculation of the canonical correlation coefficient. Results. As a result, statistically significant correlations were established between the indicators HR (viscometric, aggregation and indicators hemostasis) and ET (total and effective albumin concentration, the level of medium molecular weight peptides, the content of leukocytes, lymphocytes, neutrophils and circulating immune complexes detected in the blood, and his integral indicators) (-0.32-0.48 for PFAp, 0.29-0.35 for NTp and 0.28-(-0.51) for CSp), as well as statistically significant values canonical correlation coefficients, which indicated the development of ET due to disorders of HR. Limitations. The study was performed on laboratory data obtained during the examination of patients with acute poisoning, and therefore has no restrictions for the further use of this methodological approach in clinical trials. Conclusion. The obtained data can serve to optimize the treatment of ET in this pathology by targeted therapeutic effects on parameters of HR (on viscosity and hemostasis in PFAp and NTp, and in CSp, in addition, on aggregation).
研究的目的。通过评估血液流变学(HR)障碍与内毒素中毒(ET)发展的耦合关系,获得急性中毒康复期内毒素中毒(ET)发病机制的新数据。材料和方法目的探讨145例急性急性精神药物中毒(PFAp)合并肺炎、神经毒物(NTp)合并中毒性缺氧性脑病、腐蚀性物质(CSp)合并胃肠道粘膜深部广泛烧伤患者康复期急性中毒的发病机制。对得到的相关矩阵的块结构进行配对相关分析,建立两个指标之间的关系,并进行典型相关分析,揭示指标组之间统计关系的本质,并计算典型相关系数。结果。结果,HR(黏度、聚集和止血指标)与ET(血液中检测到的总白蛋白和有效白蛋白浓度、中等分子量肽水平、白细胞、淋巴细胞、中性粒细胞和循环免疫复合物的含量)与其积分指标(PFAp为-0.32-0.48,NTp为0.29-0.35,CSp为0.28-(-0.51))之间的相关性具有统计学意义。典型相关系数的值具有统计学显著性,表明ET的发展是由HR障碍引起的。的局限性。该研究是根据急性中毒患者检查期间获得的实验室数据进行的,因此在临床试验中进一步使用该方法没有限制。结论。所获得的数据可以通过靶向治疗HR参数(PFAp和NTp的粘度和止血,以及CSp的聚集)来优化该病理ET的治疗。
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引用次数: 0
Protective influence of the zinc complex of 1-butylvioluric acid on the development of the liver tissue culture in the presence of convulsive poisons 1-丁基紫尿酸锌络合物对惊厥中毒肝组织培养发育的保护作用
Pub Date : 2023-02-28 DOI: 10.47470/0869-7922-2023-31-1-18-23
T. A. Kolbasova, N. Chalisova, E. S. Egozova, Polina Nikolaevna Ivanova, K. Krasnov, Aleksandr Yakovlevich Bespalov
Introduction. Currently, the actual problem is the search for substances that can be used as drugs for the pharmacological correction of the effects of cytostatic damage by convulsive poisons. It is known that the liver is the first organ to encounter any foreign molecule carried by the portal bloodstream, and it is the most damaged. The aim of this work was to study the effect of the zinc complex of 1-butylvioluric acid on the development of an organotypic culture of rat liver tissue after poisoning with 2-(dimethylaminomethyl)phenyl ester of dimethylcarbamic acid hydrochloride. Material and methods. White 3-month-old male Wistar rats were used in the experiment. To study the effects of the test substances, liver tissue was selected and the method of organotypic cultivation was applied. Poisoning with convulsive poisons was modeled using 2-(dimethylaminomethyl)phenyl ester of dimethylcarbamic acid hydrochloride and the zinc complex of 1-butylvioluric acid was used as a drug for pharmacological correction of the effects of liver tissue damage. Results. The data obtained indicate that under the action of 2-(dimethylaminomethyl) phenyl ester of dimethylcarbamic acid hydrochloride, which simulates the effect of convulsive poisons on liver cells, their cell proliferation is inhibited. It was also found that the zinc complex of 1-butylvioluric acid eliminates the inhibitory effect of 2-(dimethylaminomethyl)phenyl ester of dimethylcarbamic acid hydrochloride on the proliferation of liver tissue culture. Research limitations. The study was performed on a culture of rat liver cells; to extrapolate data to the whole organism, it is necessary to take into account the data of toxicodynamics and toxicokinetics. Conclusion. Thus, the data obtained in the experiments prove the effectiveness of the use of the zinc complex of 1-butylvioluric acid as a drug for the pharmacological correction of the consequences of exposure to convulsive poisons, and also create a basis for its further study.
介绍。目前,实际的问题是寻找可以用作药物的物质,以药理学上纠正抽搐毒物造成的细胞抑制损伤的影响。众所周知,肝脏是第一个遇到门静脉血流携带的外来分子的器官,也是受损最严重的。本研究旨在研究1-丁基紫尿酸锌配合物对2-(二甲氨基甲基)苯基酯中毒大鼠肝组织器官型培养的影响。材料和方法。实验选用3个月大的雄性Wistar大鼠。为研究试验物质对肝组织的影响,采用器官型培养方法。以2-(二甲氨基甲基)苯基酯二甲氨基甲酸盐酸盐为模型,以1-丁基紫尿酸锌配合物作为药物对肝组织损伤的药理矫正作用。结果。结果表明,模拟惊厥毒物作用于肝细胞的2-(二甲氨基甲基)苯基酯在其作用下,抑制肝细胞增殖。还发现1-丁基紫尿酸锌配合物消除了2-(二甲氨基甲基)盐酸二甲氨基甲酸苯酯对肝组织培养增殖的抑制作用。研究的局限性。该研究是在大鼠肝细胞培养上进行的;为了将数据外推到整个生物体,有必要考虑到毒物动力学和毒物动力学的数据。结论。因此,本实验所获得的数据证明了1-丁基紫尿酸锌配合物作为药物对惊厥中毒暴露后果的药理学矫正的有效性,也为其进一步的研究奠定了基础。
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引用次数: 0
Characterization of a chloroacetanilide derivative in a chronic oral toxicology study in rats 氯乙酰苯胺衍生物在大鼠慢性口服毒理学研究中的表征
Pub Date : 2023-02-28 DOI: 10.47470/0869-7922-2023-31-1-37-46
Natal’ya Sergeevna Beloedova, T. Sinitskaya, M. A. Poroshin, Khalidya Khizbulaevna Khamidulina, Vitaly Vasilyevich Safandeev
Introduction. For the treatment of agricultural crops, an original herbicide of selective action was created - propisochlor, a derivative of chloroacetanilide. Its characteristics in an acute toxicological experiment didn’t reveal the features of the pathogenesis of intoxication. The identification of regularities in the manifestation of the toxic properties of propisochlor in various regimens with the oral route of exposure is necessary at the stage of production design. Moreover, it is necessary to substantiate a number of hygienic regulations for safe production and its further application in agriculture, which lies in the plane of solving the leading state tasks aimed at protecting human health and its environment, and meets the requirements of international legislation. A special role in the development of such methods and methods belongs to the sanitary-toxicological study of new xenobiotics and generic molecules, as a result of which threshold and subthreshold doses of pesticide preparations and their active substances are determined. The aim of this study was to characterize propisochlor in a chronic oral toxicology study in rats. To achieve the goal, it was necessary to solve the following tasks: to study the chronic oral effect of the chloroacetanilide derivative on the rat organism; establish a dose that does not have a visible undesirable effect (NOELch); set the lowest dose at which no adverse effects are observed (LOAELch); calculate the allowable daily intake, or allowable daily exposure (ADD, or ADI, or PDE) for a person. Material and methods. The object of testing in this work was a herbicide from the class of chloroacetanilide, propisochlor. The test system in the chronic experiment was white male rats, on which the influence of the test compound was evaluated in dynamics after 1, 3, 6 and 12 months according to the state of integral indicators. Results. The parameters of the oral toxicity of the test compound were determined and the changes in the studied integral indicators were evaluated at various stages of the experiment in a chronic experiment. Conclusion. Based on the comparative characterization of a new herbicide propisochlor in a chronic oral toxicology study in rats, a non-acting dose (NOEL), the lowest effective dose (LOAEL), and an acceptable daily dose for humans (ADI, or PDE) are justified.
介绍。为了处理农作物,一种具有选择性作用的除草剂——异丙氯,一种氯乙酰苯胺的衍生物被创造出来。其急性毒理学实验特征未揭示中毒发病机制的特点。在生产设计阶段,有必要确定异丙草胺在不同方案中与口服暴露途径毒性表现的规律。此外,有必要充实一些安全生产及其在农业中的进一步应用的卫生条例,这既符合解决旨在保护人类健康及其环境的国家主要任务的范围,也符合国际立法的要求。在这些方法和方法的发展中,具有特殊作用的是对新的异种生物和通用分子进行卫生毒理学研究,从而确定农药制剂及其活性物质的阈值和亚阈剂量。本研究的目的是表征异丙氯在大鼠慢性口服毒理学研究。为实现这一目标,必须解决以下问题:研究氯乙酰苯胺衍生物对大鼠机体的慢性口服作用;确定不产生明显不良影响的剂量(NOELch);设定没有观察到不良反应的最低剂量(loelch);计算一个人的允许日摄入量,或允许日暴露量(ADD, ADI或PDE)。材料和方法。本工作的试验对象为氯乙醯胺类除草剂异丙氯。慢性实验的试验系统为雄性白鼠,分别在1、3、6、12个月后,根据各项积分指标状态,动态评价试验化合物对雄性白鼠的影响。结果。在慢性实验中,测定被试化合物的口服毒性参数,并评价所研究的综合指标在实验各阶段的变化。结论。基于在大鼠慢性口服毒理学研究中对一种新型除草剂异丙氯的比较特性,证明了其无作用剂量(NOEL)、最低有效剂量(LOAEL)和人类可接受日剂量(ADI或PDE)是合理的。
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引用次数: 0
Use of bovine spermatozoa as a rapid test for mitochondrial toxicity of T-2-toxin and deltamethrin 用牛精子快速检测t -2毒素和溴氰菊酯的线粒体毒性
Pub Date : 2023-02-28 DOI: 10.47470/0869-7922-2023-31-1-47-53
L. Valiullin, Leysan Maratovna Timerbulatova, Vladislav Ivanovich Egorov, F. R. Zaripov, I. Raginov, Aleksey Anatolevich Nabatov
Introduction. The testing for mitochondrial dysfunction has become routine assay for drug and cosmetics safety evaluation. Mitochondria are targets of many pharmaceutical and therapeutic agents that can damage them and lead to changes in morphology and function. Spermatozoa have one of the highest ratios of mitochondria to body size, they lack the cytoplasm between the mitochondria and the plasma membrane, which makes them a good potential model for a rapid test on mitochondrial toxicity. The aim of our work - assessment of motility and mitochondrial membrane potential of bovine spermatozoa Bos taurus taurus in the presence of T-2-toxin and deltamethrin. Material and methods. T-2-toxin and deltamethrin were used as toxins. The main parameters studied were the level of mitochondrial potential (using the MitoTracker™ Green FM dye), sperm motility and their relationship. Results. We found a strong correlation between the motility of bovine spermatozoa and the mitochondrial potential of their mitochondria (R>0.87; p<0.05). The mitochondrial toxicity of deltamethrin has been confirmed, although to a much lesser extent than that of the T-2-toxin. In addition, certain patterns were found in the distribution of active zones of the mitochondrial potential in bull spermatozoa. Conclusion. Using deltamethrin and T-2-toxin in this study, it was shown that the sperm cells of bulls and their mitochondrial potential can be used as an express test for mitochondrial toxicity. Limitations. Determination of the mitochondrial potential of the studied spretamotozoa using the MitoTracker™ dye was rather of a qualitative nature, reflecting not so much the level of the mitochondrial potential but the number of spermatozoa that have the potential sufficient to initiate the luminescence of the dye.
介绍。线粒体功能障碍检测已成为药品和化妆品安全性评价的常规检测方法。线粒体是许多药物和治疗剂的靶标,这些药物和治疗剂可以破坏线粒体并导致其形态和功能的改变。精子的线粒体与身体大小的比例最高,它们缺乏线粒体和质膜之间的细胞质,这使它们成为快速测试线粒体毒性的一个很好的潜在模型。本研究的目的是研究t -2毒素和溴氰菊酯对牛精子运动和线粒体膜电位的影响。材料和方法。毒素选用t -2毒素和溴氰菊酯。研究的主要参数是线粒体电位水平(使用MitoTracker™Green FM染料),精子活力及其关系。结果。我们发现牛精子的活力与其线粒体电位有很强的相关性(R>0.87;p < 0.05)。溴氰菊酯的线粒体毒性已得到证实,尽管其毒性程度远低于t -2毒素。此外,在公牛精子线粒体电位活动区的分布中发现了一定的模式。结论。本研究利用溴氰菊酯和t -2毒素,证明公牛精子细胞及其线粒体电位可以作为线粒体毒性的表达试验。的局限性。使用MitoTracker™染料测定所研究的游动虫的线粒体电位是定性的,反映的不是线粒体电位的水平,而是具有足以启动染料发光的电位的精子的数量。
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引用次数: 0
Assessment of the effect of cell transplantation on DNA repair in rat hepatocytes exposed to carbon tetrachloride (CCl4) by DNA comet assay 细胞移植对四氯化碳(CCl4)暴露大鼠肝细胞DNA修复的影响
Pub Date : 2023-02-28 DOI: 10.47470/0869-7922-2023-31-1-30-36
L. V. Shabasheva, G. Protasova, V. B. Popov
Introduction. The effect of carbon tetrachloride (freon-10, asordin, hladon-10) is an organochlorine compound with the chemical formula CCl4 and the subsequent transplantation of fetal liver cells (FLC) on DNA degradation and repair in rat hepatocytes by means of alkaline single-cell gel electrophoresis (DNA comet assay) was assessed. Material and methods. Acute toxic damage to the rat liver was simulated by a single oral administration to female Wistar rats of CCl4 in an oil solution at a dose of 3000 mg/kg. As a protective agent, a suspension of FLC of E19 rat fetuses was used. Quantitative assessment of the degree of damage to the nuclear DNA of liver cells was performed by DNA comet assay on days 1, 3, 5, 7 and 16 of the experiment. Results. Intravenous injections of fetal liver cells 6 h after exposure to CCl4 induces DNA repair processes in rat hepatocytes in 5-7 days and led to a decrease in the intensity of nuclear DNA damage. The trend toward a decrease in the number of undamaged hepatocytes continued on the 16th day of the experiment, and, therewith, the enhancement of reparative processes after FLC injection revealed itself in in a significant decrease in the number of hepatocytes with a high intensity of nuclear DNA damage. Limitations. To prevent unwanted death of animals in the group, studies were limited to a dose of 3000 mg/kg of CCl4 in oil solution. Conclusion. The method of alkaline single-cell gel electrophoresis (DNA comet assay) allowed quantitative assessment of the degrees of genome damage and repair. The obtained positive results suggest that FLC exert a protective effect of the structure of the DNA of rat liver role after acute exposure to CCl4.
介绍。采用碱性单细胞凝胶电泳(DNA彗星法)研究了化学式为CCl4的有机氯化合物四氯化碳(氟利昂-10、蛇毒素、hladon-10)和胎儿肝细胞移植对大鼠肝细胞DNA降解和修复的影响。材料和方法。雌性Wistar大鼠单次口服剂量为3000 mg/kg的CCl4油溶液,模拟大鼠肝脏急性毒性损伤。采用E19大鼠胎儿FLC悬浮液作为保护剂。在实验第1、3、5、7、16天采用DNA彗星法定量评价肝细胞核DNA的损伤程度。结果。暴露于CCl4后6小时静脉注射胎儿肝细胞可诱导大鼠肝细胞在5-7天内的DNA修复过程,并导致核DNA损伤强度降低。实验第16天,未损伤的肝细胞数量继续减少,因此,FLC注射后修复过程的增强表现为核DNA高强度损伤的肝细胞数量显著减少。的局限性。为了防止该组动物意外死亡,研究仅限于在油溶液中使用3000 mg/kg的CCl4剂量。结论。碱性单细胞凝胶电泳(DNA彗星测定)方法可以定量评估基因组损伤和修复的程度。结果表明,FLC对大鼠急性CCl4暴露后肝脏DNA结构具有保护作用。
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引用次数: 0
Research of the alginate-pectin sorbent influence on the elimination of cadmium from the body of rats 海藻酸-果胶吸附剂对大鼠体内镉清除影响的研究
Pub Date : 2023-02-28 DOI: 10.47470/0869-7922-2023-31-1-24-29
M. E. Shemaev, Alexandr Mikhajlovich Malov, R. K. Glushkov, K. Krasnov, Dmitrij Konstantinovich Shchegolihin, N. Lapina
Introduction. Heavy metals have a serious toxic effect on the human body. The availability of adequate models for the elimination of toxicants and the testing of enterosorbents based on them will improve the quality of poisoning therapy. Material and methods. To assess the effectiveness of the sorbent, a formalized model based on data on the cumulative excretion of cadmium in urine and feces for 20 days was used. Intramuscular priming with cadmium acetate was carried out during the first three days of the experiment at a daily dose of 3 mg/ kg, the enterosorbent was administered orally at a dose of 100 mg/kg during the study. The cadmium content in the biological media was determined by methods of inversion voltammetry. Results. During the experiment, no more than 3% of the injected toxicant was removed from the animals of both groups. The enterosorbent in the conditions of the experiment did not change the amount of cadmium excreted, but affected the redistribution between the renal and intestinal elimination streams. A significant effect of the enterosorbent on the cadmium content in the liver was noted. Limitations. Evaluation of the effect of the drug on the elimination of the toxicant was carried out for a limited period of time. Additional experiments with longer observation periods and other metals and their dosages would allow to reveal in more detail the beneficial properties of the studied drug. Conclusion. A significant effect of the enterosorbent on the cadmium content in the liver was noted. There may be a secondary intake of cadmium into the blood from the intestine and a negative effect of this process on kidneys.
介绍。重金属对人体有严重的毒性作用。有足够的模型来消除毒物,并在此基础上测试肠道吸收剂,将提高中毒治疗的质量。材料和方法。为了评估吸附剂的有效性,使用了基于20天尿液和粪便中镉累积排泄数据的形式化模型。在实验的前三天,以每日3mg /kg的剂量给药醋酸镉,在研究期间,以100mg /kg的剂量口服肠吸收剂。采用反相伏安法测定了生物培养基中的镉含量。结果。在实验过程中,两组动物体内注射毒物的去除量均不超过3%。在本实验条件下,肠道吸收剂并未改变镉的排泄量,但影响了肾脏和肠道消除流之间的再分配。肠道吸收剂对肝脏中镉含量有显著影响。的局限性。在一段有限的时间内,对药物对消除毒物的影响进行了评估。用更长的观察期和其他金属及其剂量进行额外的实验,可以更详细地揭示所研究药物的有益特性。结论。肠道吸收剂对肝脏中镉含量有显著影响。镉可能会从肠道二次进入血液,这一过程对肾脏有负面影响。
{"title":"Research of the alginate-pectin sorbent influence on the elimination of cadmium from the body of rats","authors":"M. E. Shemaev, Alexandr Mikhajlovich Malov, R. K. Glushkov, K. Krasnov, Dmitrij Konstantinovich Shchegolihin, N. Lapina","doi":"10.47470/0869-7922-2023-31-1-24-29","DOIUrl":"https://doi.org/10.47470/0869-7922-2023-31-1-24-29","url":null,"abstract":"Introduction. Heavy metals have a serious toxic effect on the human body. The availability of adequate models for the elimination of toxicants and the testing of enterosorbents based on them will improve the quality of poisoning therapy. Material and methods. To assess the effectiveness of the sorbent, a formalized model based on data on the cumulative excretion of cadmium in urine and feces for 20 days was used. Intramuscular priming with cadmium acetate was carried out during the first three days of the experiment at a daily dose of 3 mg/ kg, the enterosorbent was administered orally at a dose of 100 mg/kg during the study. The cadmium content in the biological media was determined by methods of inversion voltammetry. Results. During the experiment, no more than 3% of the injected toxicant was removed from the animals of both groups. The enterosorbent in the conditions of the experiment did not change the amount of cadmium excreted, but affected the redistribution between the renal and intestinal elimination streams. A significant effect of the enterosorbent on the cadmium content in the liver was noted. Limitations. Evaluation of the effect of the drug on the elimination of the toxicant was carried out for a limited period of time. Additional experiments with longer observation periods and other metals and their dosages would allow to reveal in more detail the beneficial properties of the studied drug. Conclusion. A significant effect of the enterosorbent on the cadmium content in the liver was noted. There may be a secondary intake of cadmium into the blood from the intestine and a negative effect of this process on kidneys.","PeriodicalId":23128,"journal":{"name":"Toxicological Review","volume":"33 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82673723","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
Acute poisoning in children: a retrospective case study 儿童急性中毒:回顾性病例研究
Pub Date : 2022-12-30 DOI: 10.47470/0869-7922-2022-30-6-351-358
A. Kamalova, Galina Alekseevna Garina, Yu.A. Kadyrova, R. A. Nizamova, Madina Shigapovna Zainetdinova, E. M. Kvitko
Introduction. Acute exposure to chemicals is the most common cause of poisoning in pediatric practice and one of the leading causes of morbidity and mortality worldwide [1]. In the available domestic literature, we have not found publications concerning up-to-date data on the etiological structure, clinical characteristics of patients and outcomes of acute poisoning in children. Knowledge of clinical manifestations and prognosis for various poisoning in children will help doctors of the outpatient level and the reception department of hospitals to quickly determine the tactics of patient management and prevent serious consequences. Material and methods. In this retrospective study, the case histories of 300 children aged 0 to 18 years who were admitted to the emergency department of the third - level hospital - the Children’s Republican Clinical Hospital of the Ministry of Health of the Republic of Tatarstan with acute poisoning for the period from 2018 to 2020 were studied. Results. The study included 176 boys (58.6%) and 124 girls (41.4%). Poisoning was most common in the age periods from 1 to 3 years - 127 (42.3%) and from 12 to 18 years - 76 (25.3%). 67% of poisoning were unintentional, and in 33% of cases - intentional. The largest number of poisonings - 248 (82.7%) occurred at home, and 52 (17.3%) were poisoned outside the home. Of the 300 cases of poisoning, 70 (23.3%) were of mild severity, 151 (50.3%) of moderate severity, 79 (26.3%) of severe severity. The most common toxic substances were: chemical detergents, carbon monoxide, vasoconstrictor drugs, nonsteroidal anti-inflammatory drugs. All 300 patients survived. Limitations of the study. The data of patients living in the Republic of Tatarstan who were admitted to the emergency department of the DRKB for the time period from 2018 to 2020 were studied. Conclusion. Over the past 2 years, there has been an increase in the frequency of poisoning in the city of Kazan. Most patients had mild to moderate poisoning, more often unintentional. A serious condition was observed in adolescents when the cause of poisoning was a suicide attempt. The increase in the number of poisonings can be associated with the over-the-counter sale of a large number of drugs, their aggressive advertising, as well as improper storage at home.
介绍。急性接触化学品是儿科实践中最常见的中毒原因,也是世界范围内发病率和死亡率的主要原因之一[1]。在现有的国内文献中,我们没有发现关于儿童急性中毒的病因结构、患者临床特征和结果的最新数据的出版物。了解儿童各种中毒的临床表现和预后,有助于医院门诊部和接待部的医生快速确定患者管理策略,防止严重后果的发生。材料和方法。本研究回顾性分析了2018 - 2020年在鞑靼斯坦共和国卫生部儿童共和国临床医院三级医院急诊科收治的急性中毒患儿300例的病例史。结果。该研究包括176名男孩(58.6%)和124名女孩(41.4%)。中毒最常见于1至3岁的127例(42.3%)和12至18岁的76例(25.3%)。67%的中毒是无意的,33%的中毒是故意的。发生在家中的中毒人数最多,为248例(82.7%),发生在家庭以外的中毒人数为52例(17.3%)。300例中毒中,轻度70例(23.3%),中度151例(50.3%),重度79例(26.3%)。最常见的有毒物质是:化学洗涤剂、一氧化碳、血管收缩药物、非甾体抗炎药。300名患者全部存活。本研究的局限性。研究了2018年至2020年期间住在鞑靼斯坦共和国的患者在DRKB急诊科就诊的数据。结论。在过去两年中,喀山市的中毒频率有所增加。大多数患者有轻度到中度中毒,更多的是无意中毒。在青少年中,当中毒的原因是自杀企图时,观察到一种严重的情况。中毒人数的增加可能与大量药物的非处方销售、这些药物咄咄逼人的广告以及在家中储存不当有关。
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引用次数: 0
Prevalence, structure, frequency of complications and outcomes of treatment of rhabdomyolysis in acute exogenous intoxication in a multidisciplinary hospital 多学科医院急性外源性中毒横纹肌溶解的患病率、结构、并发症发生率及治疗结果
Pub Date : 2022-12-30 DOI: 10.47470/0869-7922-2022-30-6-370-376
S. V. Masolitin, D. Protsenko, I. N. Tyurin, O. Mamontova, M. Magomedov, T. Kim, A. V. Marukhov, N. V. Chubchenko
Introduction. The prevalence of rhabdomyolysis among people admitted to the hospital due to acute poisoning reaches, according to various foreign sources, from 30 to 40%. In 60% of cases, the development of rhabdomyolysis in adult patients is associated with acute exogenous intoxication. Currently, data on the prevalence, structure and outcomes of treatment of rhabdomyolysis in toxicological patients are mainly presented by the results of foreign clinical and epidemiological studies. The aim is to study the prevalence, structure, frequency of complications and outcomes of treatment of rhabdomyolysis in acute exogenous intoxication in a multidisciplinary hospital. Material and methods. The study included 1,363 patients who were treated from 2017 to 2020 with acute exogenous intoxication. During the study, 98 patients with rhabdomyolysis were selected from the general group. The frequency of poisoning with various toxicants was analyzed, the effects of which led to the development of rhabdomyolysis in acute exogenous intoxication. The incidence of acute kidney injury (AKI) was detected, the outcomes of acute poisoning treatment, the duration of inpatient treatment were determined, and a comparative analysis was carried out between groups of patients with rhabdomyolysis in acute exogenous intoxication (n=98) and without it (n=1265). Results. The prevalence of rhabdomyolysis among patients hospitalized for acute poisoning was 7%. The main reason for the development of rhabdomyolysis was the use of narcotic drugs - 87% of cases. The development of rhabdomyolysis in acute exogenous intoxication in 59.2% of cases is accompanied by the occurrence of AKI, which is significantly higher than among patients without rhabdomyolysis (11.6%). The occurrence of rhabdomyolysis in toxicological patients increases hospital mortality from 6.1 to 10.2%, as well as the duration of inpatient treatment and intensive care by 5.2 and 3.3 days, respectively. Limitations. The study was conducted based on only one multidisciplinary hospital in Moscow in the period from 2017 to 2020. Conclusion. Rhabdomyolysis is a serious complication of acute poisoning, the development of which significantly worsens the outcomes of treatment of patients with a toxicological profile, which requires the development of effective methods for the prevention, diagnosis and treatment of rhabdomyolysis in acute exogenous intoxication.
介绍。根据各种国外消息来源,在因急性中毒而入院的人中,横纹肌溶解的患病率达到30%至40%。在60%的病例中,成年患者横纹肌溶解的发展与急性外源性中毒有关。目前,关于毒理学患者横纹肌溶解的患病率、结构和治疗结果的数据主要来自国外的临床和流行病学研究结果。目的是研究在多学科医院急性外源性中毒横纹肌溶解的患病率,结构,并发症的频率和治疗的结果。材料和方法。该研究包括2017年至2020年期间接受急性外源性中毒治疗的1363名患者。在研究中,从普通组中选取98例横纹肌溶解患者。分析了急性外源性中毒中各种毒物对横纹肌溶解的影响。检测急性肾损伤(AKI)发生率,测定急性中毒治疗结局及住院时间,并对急性外源性中毒横纹肌溶解患者组(n=98)和非横纹肌溶解患者组(n=1265)进行对比分析。结果。急性中毒住院患者横纹肌溶解患病率为7%。发生横纹肌溶解的主要原因是麻醉药物的使用(87%)。59.2%的急性外源性中毒患者发生横纹肌溶解时伴有AKI的发生,明显高于无横纹肌溶解的患者(11.6%)。毒理学患者横纹肌溶解的发生使住院死亡率从6.1%增加到10.2%,住院治疗和重症监护时间分别增加5.2天和3.3天。的局限性。该研究是在2017年至2020年期间仅在莫斯科一家多学科医院进行的。结论。横纹肌溶解是急性中毒的一种严重并发症,其发展会显著恶化有毒理学特征的患者的治疗结果,这就需要开发有效的方法来预防、诊断和治疗急性外源性中毒的横纹肌溶解。
{"title":"Prevalence, structure, frequency of complications and outcomes of treatment of rhabdomyolysis in acute exogenous intoxication in a multidisciplinary hospital","authors":"S. V. Masolitin, D. Protsenko, I. N. Tyurin, O. Mamontova, M. Magomedov, T. Kim, A. V. Marukhov, N. V. Chubchenko","doi":"10.47470/0869-7922-2022-30-6-370-376","DOIUrl":"https://doi.org/10.47470/0869-7922-2022-30-6-370-376","url":null,"abstract":"Introduction. The prevalence of rhabdomyolysis among people admitted to the hospital due to acute poisoning reaches, according to various foreign sources, from 30 to 40%. In 60% of cases, the development of rhabdomyolysis in adult patients is associated with acute exogenous intoxication. Currently, data on the prevalence, structure and outcomes of treatment of rhabdomyolysis in toxicological patients are mainly presented by the results of foreign clinical and epidemiological studies. The aim is to study the prevalence, structure, frequency of complications and outcomes of treatment of rhabdomyolysis in acute exogenous intoxication in a multidisciplinary hospital. Material and methods. The study included 1,363 patients who were treated from 2017 to 2020 with acute exogenous intoxication. During the study, 98 patients with rhabdomyolysis were selected from the general group. The frequency of poisoning with various toxicants was analyzed, the effects of which led to the development of rhabdomyolysis in acute exogenous intoxication. The incidence of acute kidney injury (AKI) was detected, the outcomes of acute poisoning treatment, the duration of inpatient treatment were determined, and a comparative analysis was carried out between groups of patients with rhabdomyolysis in acute exogenous intoxication (n=98) and without it (n=1265). Results. The prevalence of rhabdomyolysis among patients hospitalized for acute poisoning was 7%. The main reason for the development of rhabdomyolysis was the use of narcotic drugs - 87% of cases. The development of rhabdomyolysis in acute exogenous intoxication in 59.2% of cases is accompanied by the occurrence of AKI, which is significantly higher than among patients without rhabdomyolysis (11.6%). The occurrence of rhabdomyolysis in toxicological patients increases hospital mortality from 6.1 to 10.2%, as well as the duration of inpatient treatment and intensive care by 5.2 and 3.3 days, respectively. Limitations. The study was conducted based on only one multidisciplinary hospital in Moscow in the period from 2017 to 2020. Conclusion. Rhabdomyolysis is a serious complication of acute poisoning, the development of which significantly worsens the outcomes of treatment of patients with a toxicological profile, which requires the development of effective methods for the prevention, diagnosis and treatment of rhabdomyolysis in acute exogenous intoxication.","PeriodicalId":23128,"journal":{"name":"Toxicological Review","volume":"2 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83173712","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
Preclinical acute toxicity studies of the CAR technology products for malignant neoplasms therapy on the example of the «anti-HER2-CAR-T/CAR-NK» CAR技术产品用于恶性肿瘤治疗的临床前急性毒性研究,以“抗her2 -CAR- t /CAR- nk”为例
Pub Date : 2022-12-30 DOI: 10.47470/0869-7922-2022-30-6-377-385
N. A. Goryacheva, Dmitrij Ivanovic Rzhevskiy, Gulsara Amsngalievna Slashheva, N. I. Novikova, Mikhail Valentinivich Kisilevskiy, I. Chikileva, Rajmonda Yanovna Vlasenko, I. A. Dyachenko, A. N. Murashev, Dmitrij Aleksandrovich Bondarenko
Introduction. The Car-T-cell therapy is current and modern promising method for the oncology treatment. USA Food and Drug Sanitary Control Department confirms six drugs for cellular immunotherapy the blood oncology today. But the information about biomedical product preclinical test is absent, because used T-cells (cell with chimeric antigen receptor) are autologous for humans, which is the problem for use classic toxicity tests. Besides the biomedical product safety becomes questionable, therefore the different preclinical research strategy is developed to solve those problems and produce normal test-systems with therapeutic target. The aim of the study was to evaluate the acute toxicity in immunodeficient BALB/c Nude mice of an antineoplastic drug based on genetically modified T/NK cells that express a chimeric T-cell anti-HER2 receptor. Material and methods. Test and control groups consisted of five males and five females. Animals were injected a single intravenous or intraperitoneal injection of the testing product and the solvent-cryopreserving carrier at the dose 0,2 ml/animal. There were two doses: equal to the human therapeutic 0,5•106 cell/animal dose and ten times over then the therapeutic dose 5•106 cell/animal. During the test the animal’s weight, the food intake and clinically symptoms of the testing product toxicity were registered. On the fifteenth of the study day animals were euthanatized and exposed to a necropsy with the organs’ macroscopic inspection, the weighting and fixating. The detection of the testing biomedical product toxicity was the aim of the histology analysis. Results. A single intravenous or intraperitoneal injection of the biomedical product «anti-HER2-CAR-T/ CAR-NK» at the human therapeutic dose, as well as in 10 times more than the same, is safe for BALB/c Nude mice. The preclinical study has shown the absence of significant toxic effects. Limitations. The research was performed on Balb/c nude line immunodeficient mice, because the tested product contained living foreign cells. Conclusion. This work can be the main basis for the creation of biomedical product preclinical research protocol of biomedical cell products produced from CAR-technology.
介绍。car - t细胞疗法是目前最具发展前景的肿瘤治疗方法。美国食品和药物卫生控制部门今天确认了六种用于细胞免疫治疗血液肿瘤的药物。但由于使用的t细胞(嵌合抗原受体细胞)对人体来说是自体的,这是传统的毒性试验存在的问题,因此缺乏生物医学产品临床前试验的相关信息。此外,生物医药产品的安全性也受到质疑,因此,人们制定了不同的临床前研究策略来解决这些问题,并生产出具有治疗目标的正常试验系统。该研究的目的是评估一种基于表达嵌合T细胞抗her2受体的转基因T/NK细胞的抗肿瘤药物对免疫缺陷BALB/c裸鼠的急性毒性。材料和方法。实验组和对照组分别为5名男性和5名女性。动物单次静脉或腹腔注射试验品和溶剂-低温保存载体,剂量为0.2 ml/只。有两种剂量:等于人类治疗剂量0,5•106细胞/动物和10倍以上的治疗剂量5•106细胞/动物。试验期间记录动物体重、摄食量和试验产品毒性的临床症状。在研究当天的第15天,对动物实施安乐死,并进行尸检,对器官进行肉眼检查,称重和固定。组织学分析的目的是检测被试生物制品的毒性。结果。单次静脉或腹腔注射人体治疗剂量的生物医学产品“抗her2 - car - t / CAR-NK”,以及10倍以上的剂量,对BALB/c裸鼠是安全的。临床前研究显示没有明显的毒性作用。的局限性。本研究是在Balb/c裸系免疫缺陷小鼠身上进行的,因为被测产品含有活的外源细胞。结论。本工作可为car技术生产的生物医学细胞产品临床前研究方案的制定提供主要依据。
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引用次数: 0
Application of OECD QSAR Toolbox software for predicting the mutagenic effects of chemicals OECD QSAR工具箱软件在化学物质诱变效应预测中的应用
Pub Date : 2022-12-30 DOI: 10.47470/0869-7922-2022-30-6-403-413
Khalidya Khizbulaevna Khamidulina, E. Tarasova, Mikhail Leonidovich Lastovetskiy
Introduction. The introduction of new chemical products to the market requires a preliminary assessment of their danger to human health and the environment, including specific and long-term effects. Taking into account the medical and social significance of the consequences of exposure to chemicals with a mutagenic effect on the body, the study of genotoxicity / mutagenicity seems to be extremely relevant. In order to reduce the number of experiments performed on animals, calculation methods are being actively introduced into toxicological practice, in particular OECD QSAR Toolbox software. Therefore, the aim of our research was to study the possibility of using the OECD QSAR Toolbox software to predict the mutagenic effects of chemicals. Material and methods. OECD QSAR Toolbox software version 4.4.1., OECD guidelines on the assessment of the mutagenic effect. Results and discussion. We have developed the “Guidelines for predicting the mutagenic effects of chemicals”, which includes a detailed description and work with the program when predicting the mutagenic effects of chemicals. Based on the analysis of OECD documents on the assessment of the mutagenic potential of chemicals, seven most widely used tests were selected, which allow evaluating the effect on various test objects in the presence / absence of metabolic activation systems. For methods, indicators were selected that must be set to start the calculation in the QSAR Toolbox software. The most suitable databases and profilers were also indentified. Conclusion. Forecasting using the OECD QSAR Toolbox software is a screening method that involves performing several calculations using the results of various experimental studies for analogs, and subsequent expert interpretation of the data obtained.
介绍。在向市场推出新的化学产品时,需要对其对人类健康和环境的危害进行初步评估,包括具体和长期影响。考虑到接触对人体具有诱变作用的化学品的后果的医学和社会意义,对遗传毒性/诱变性的研究似乎极为重要。为了减少在动物身上进行的实验数量,计算方法正在积极引入毒理学实践,特别是OECD QSAR工具箱软件。因此,我们的研究目的是研究使用OECD QSAR工具箱软件预测化学物质致突变效应的可能性。材料和方法。OECD QSAR工具箱软件版本4.4.1。经合组织关于评估致突变效应的准则。结果和讨论。我们制定了“预测化学品致突变作用的指导方针”,其中包括详细的描述和在预测化学品致突变作用时与程序的合作。根据对经合组织关于评估化学品致突变潜力的文件的分析,选择了七个最广泛使用的试验,这些试验可以评估在存在/不存在代谢激活系统的情况下对各种试验对象的影响。对于方法,选择了在QSAR工具箱软件中必须设置才能开始计算的指标。还确定了最合适的数据库和分析器。结论。使用OECD QSAR工具箱软件进行预测是一种筛选方法,涉及使用各种类似物实验研究的结果进行多次计算,并随后对所获得的数据进行专家解释。
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引用次数: 1
期刊
Toxicological Review
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