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Metabolism effector links in diet-induced and genetically-based obesity: A full-transcriptome study of liver tissue in experimental models in rodents 饮食诱导和遗传肥胖的代谢效应链接:啮齿动物实验模型中肝组织的全转录组研究
Q4 Immunology and Microbiology Pub Date : 2023-07-11 DOI: 10.29413/abs.2023-8.3.3
S. Apryatin, N. V. Trusov, I. Gmoshinski, V. Tutelyan
Background. When developing methods for personalized diet therapy of obesity, an urgent task is to study the molecular genetics features of the obesity pathogenesis using in vivo experimental models in laboratory animals.The aim. To determine metabolism effector links in obesity based on a comparative analysis of full-transcriptome profiles of the liver tissue of mice and rats of various strains.Materials and methods. We carried out a comparative analysis of the changes in liver transcriptome in rats and mice fed with diets of excessive energy value and exerting lipogenic effect. Data of full-transcriptome profiling using DNA microarray technology have been presented previously in 8 publications. Results. In three strains of mice treated with a high-carbohydrate high-fat diet (HCHFD), a significant differential expression (DE) of 1849 genes was revealed, of which 74 genes responded jointly in at least two groups of animals. In Wistar and Zuckerfa rats, 2109 genes responded to the consumption of HCHFD, of which 242 genes responded jointly in two groups of animals. For rodents different in genetic predisposition to the development of diet-induced obesity, the groups of genes that responded with the opposite sign of DE (depending on the genotype) in reaction to the consumption of HCHFD were identified. Bioinformatical analysis allowed establishing the presence of 43 metabolic pathways, which are targeted for the applied experimental diets exposure, in rats and 77 pathways – in mice. Four of these pathways – the pathway of retinoid metabolism, PPAR signaling pathway associated with it the previous one, xenobiotics metabolism and drugs metabolism mediated by cytochrome P450 system – responded in all groups of animals (except for female mice). The importance of the expression of Tat gene encoding tyrosine aminotransferase in the modulation of biogenic amines synthesis in diet-induced obesity was shown, which may represent a new neurometabolic regulatory function of the liver in response to the consumption of high-calorie diets. Conclusion. The analysis of the results of full-transcriptome studies showed that within each studied species (Rattus rattus and Mus domesticus) and animal sex, a number of genetic variants with a greater or lesser predisposition to the development of diet-induced obesity phenotype can be identified; and at the same time, within these variants, there is a largely similar pattern in the response of metabolism effector links to hypercaloric dietary intake. This pattern creates new prospects for translating the results of transcriptomic and metabolomic studies of laboratory animals into clinical practice in order to substantiate new approaches to personalized diet therapy of alimentary dependent diseases in patients with different genetic predisposition to obesity.
背景。在发展肥胖个体化饮食治疗方法时,迫切需要利用实验动物体内实验模型研究肥胖发病机制的分子遗传学特征。的目标。通过对不同品系小鼠和大鼠肝脏组织全转录组谱的比较分析,确定肥胖的代谢效应联系。材料和方法。我们比较分析了高能值饲粮和发挥增脂作用的小鼠和大鼠肝脏转录组的变化。使用DNA微阵列技术的全转录组分析数据已在先前的8篇出版物中提出。结果。在高碳水化合物高脂肪饮食(HCHFD)处理的3个品系小鼠中,发现了1849个基因的显著差异表达(DE),其中74个基因在至少两组动物中共同响应。在Wistar和Zuckerfa大鼠中,2109个基因对HCHFD的消耗有反应,其中242个基因在两组动物中共同反应。对于不同遗传易感性的啮齿动物,研究人员确定了在食用HCHFD时产生相反DE症状(取决于基因型)的基因组。生物信息学分析允许在大鼠中建立43种代谢途径,这些途径是应用实验饮食暴露的目标,在小鼠中建立77种途径。这些途径中的四种——类视黄醇代谢途径、与之相关的PPAR信号通路、细胞色素P450系统介导的外源性代谢和药物代谢——在所有动物组中都有反应(雌性小鼠除外)。研究表明,编码酪氨酸转氨酶的Tat基因表达在饮食诱导的肥胖中调节生物胺合成的重要性,这可能代表了肝脏对高热量饮食消耗的一种新的神经代谢调节功能。结论。全转录组研究结果分析表明,在每个研究物种(Rattus Rattus和家鼠)和动物性别中,可以鉴定出许多遗传变异,这些遗传变异或多或少地倾向于饮食诱导的肥胖表型的发展;与此同时,在这些变异中,有一个很大程度上相似的模式代谢效应与高热量饮食摄入有关。这种模式为将实验动物的转录组学和代谢组学研究结果转化为临床实践创造了新的前景,从而为不同遗传易感性肥胖患者的消化依赖性疾病的个性化饮食治疗提供了新的途径。
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引用次数: 0
Obtaining emulsions of furanocoumarins from Sosnowsky’s hogweed and in vitro assessment of their phototoxic effect 从大猪草中提取呋喃香豆素乳剂并体外评价其光毒性作用
Q4 Immunology and Microbiology Pub Date : 2023-07-11 DOI: 10.29413/abs.2023-8.3.18
V. Shlyapkina, O. A. Kulikov, E. P. Brodovskaya, A. M. Al-khadj Aioub, V. P. Ageev, N. A. Pyataev
Background. Furanocoumarin-based drugs are used for photochemotherapy of various diseases. Sosnovsky’s hogweed can be an available source of furanocoumarins for the development of drugs.The aim of the study. To obtain stable emulsions containing furanocoumarins from Sosnowski’s hogweed and to evaluate their photocytotoxicity.Materials and methods. To obtain the emulsions, furanocoumarins were extracted with chloroform from the sap of the aerial part of the Sosnowski’s hogweed. The chloroform extract was clarified by silica gel gradient column chromatography. The extractive fraction containing furanocoumarins was analyzed by high performance liquid chromatography with ultraviolet (UV) detection. An extract with a high content of 8-methoxypsoralen was used to prepare two types of emulsions. The extract was dissolved in peach oil and emulsified in water with tween-80 (emulsion No. 1) and in an aqueous glycerin solution with lecithin (emulsion No. 2).The emulsions were tested for dark and photo-induced toxicity for human lung fibroblasts. The dose of UV radiation for the photoactivation of furanocoumarins was 9 J/cm2. A solution of chlorine e6 was used as a comparison photosensitizer.Results. The obtained emulsions contained 1 mg/ml 8-methoxypsoralen. Both emulsions were homogeneous at macro- and microscopic visualization, remained stable when stored under various temperature conditions for 14 days. Emulsion No. 2 did not show dark toxicity and caused a statistically significant inhibition of cell viability under UV irradiation at a concentration of 12.5–31.3 µg/mL. Emulsion No. 1 had a toxic effect on cells regardless of UV irradiation due to the content of tween-80. According to fluorescent microscopy, the phototoxic effect of emulsion No. 2 was manifested mainly due to apoptosis, in contrast to the effect of chlorine e6, in which there were more pronounced signs of cell necrosis.Conclusion. The developed experimental emulsions of furanocoumarins from Sosnovski’s hogweed are an example of promising medicinal photosensitizers of plant origin for phototherapy of various dermatological and oncological diseases.
背景。呋喃香豆素类药物用于各种疾病的光化学治疗。索斯诺夫斯基的猪草可以作为呋喃香豆素的有效来源,用于药物开发。研究的目的。目的制备含呋喃香豆素的稳定乳剂,并对其光细胞毒性进行评价。材料和方法。用氯仿从大猪草地上部分的汁液中提取呋喃香豆素,得到乳剂。采用硅胶梯度柱层析法对氯仿提取物进行澄清。采用紫外高效液相色谱法对呋喃香豆素提取部位进行分析。采用高含量的8-甲氧基补骨脂素提取液制备两种乳剂。将提取液溶解于桃油中,在乳剂1号和甘油-卵磷脂水溶液中乳化,并对乳剂进行暗毒性和光毒性试验。紫外辐射对呋喃香豆素光活化的作用剂量为9 J/cm2。用氯e6溶液作为比较光敏剂。所得乳剂含8-甲氧基补骨脂素1 mg/ml。两种乳剂在宏观和微观观察下均呈均匀状,在不同温度条件下保存14天保持稳定。2号乳剂在浓度为12.5-31.3µg/mL的紫外线照射下,对细胞活力的抑制具有统计学意义。乳剂1号由于吐温-80的含量,无论紫外线照射与否,都对细胞有毒性作用。荧光显微镜观察,2号乳剂的光毒性作用主要表现为细胞凋亡,而氯e6的作用则以细胞坏死的迹象更为明显。从索斯诺夫斯基猪草中提取呋喃香豆素的实验乳剂是植物来源的有前途的药用光敏剂,可用于各种皮肤病和肿瘤疾病的光疗。
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引用次数: 0
Modification of low-density lipoproteins by low molecular weight carbonyl products of free-radical oxidation of lipids and carbohydrates plays a key role in atherosclerotic lesion of the vascular wall and in endothelial dysfunction 脂质和碳水化合物自由基氧化的低分子量羰基产物对低密度脂蛋白的修饰在血管壁的动脉粥样硬化损伤和内皮功能障碍中起关键作用
Q4 Immunology and Microbiology Pub Date : 2023-07-11 DOI: 10.29413/abs.2023-8.3.2
V. Lankin, A. Tikhaze, V. Y. Kosach, G. Konovalova, A. V. Kudryashova
The review presents evidence of the participation of low-density lipoproteins (LDL) modified by low molecular weight dicarbonyl compounds formed during freeradical oxidation of lipids (malondialdehyde) and carbohydrates in the development of endothelial dysfunction and atherosclerotic vascular lesions. The authors believe that it is they, and not oxidized (hydroperoxide-containing) LDL, that are the main factors of pathogenesis. The role of dicarbonyl-modified LDL in LOX-1 dependent induction of processes leading to the development of endothelial dysfunction is discussed. The results of studies proving that damage to the glycocalyx (a layer of macromolecules that prevent the development of endothelial dysfunction) covering the luminal surface of the endothelium is caused by hyperproduction of reactive oxygen species. Ways of pharmacological correction of free-radical oxidation processes are discussed, due to which inhibition of atherogenesis and diabetogenesis can be achieved.
该综述提出了低密度脂蛋白(LDL)在脂质(丙二醛)和碳水化合物自由基氧化过程中形成的低分子量二羰基化合物修饰的证据,这些低密度脂蛋白参与了内皮功能障碍和动脉粥样硬化性血管病变的发展。作者认为,这是他们,而不是氧化(含氢过氧化物)LDL,是发病的主要因素。讨论了二羰基修饰LDL在LOX-1依赖性诱导过程中导致内皮功能障碍的作用。研究结果证明覆盖内皮管腔表面的糖萼(一层防止内皮功能障碍发展的大分子)的损伤是由活性氧的过量产生引起的。讨论了自由基氧化过程的药理学纠正方法,从而抑制动脉粥样硬化和糖尿病的发生。
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引用次数: 0
Possibilities of using branched-chain amino acids for the treatment and prevention of sarcopenia in elderly and old patients (literature review) 支链氨基酸治疗和预防老年及老年患者肌少症的可能性(文献复习)
Q4 Immunology and Microbiology Pub Date : 2023-07-11 DOI: 10.29413/abs.2023-8.3.11
D. P. Kurmayev, S. Bulgakova, E. Treneva, I. S. Chetverikova, O. Kosareva, L. A. Sharonova, Y. Dolgikh
Due to the high prevalence of sarcopenia among elderly and old patients, early prevention and treatment of sarcopenia and its complications are relevant. Protein supplements can be used to maintain muscle strength and mass during aging. The possibility of using branched-chain amino acids (BCAAs) in the treatment and prevention of sarcopenia in geriatric patients is of scientific interest. BCAAs promote the synthesis and inhibit the degradation of muscle tissue proteins, are involved in the regulation of tissue sensitivity to insulin, ammonia utilization, the tricarboxylic acid cycle, etc.Search strategy. The search for scientific articles for literature review was carried out in the PubMed and PubMed Central databases. The selection criterion was scientific articles published up to December 2022. We used the following search keywords: “branched-chain amino acids”, “BCAA”, “body composition”, “sarcopenia”, “aging”. The 2019 European Working Group on Sarcopenia in Older People 2 (EWGSOP2) Consensus was included in the list of articles.Conclusions. The possibility of using BCAAs in elderly and old patients for the prevention and treatment of sarcopenia is a relevant topic that continues to be actively studied. The effectiveness of BCAA supplementation in the diet is debatable as long as sufficient protein is consumed daily. On the other hand, BCAA supplementation may be justified in cases where it is not possible to consume enough high-quality protein in the diet. More research is needed on this topic.
由于骨骼肌减少症在老年人和老年患者中发病率高,因此早期预防和治疗骨骼肌减少症及其并发症具有重要意义。蛋白质补充剂可用于在衰老过程中保持肌肉力量和质量。利用支链氨基酸(BCAAs)治疗和预防老年患者肌肉减少症的可能性具有科学意义。支链氨基酸促进肌肉组织蛋白质的合成并抑制其降解,参与调节组织对胰岛素的敏感性、氨的利用、三羧酸循环等。在PubMed和PubMed Central数据库中检索用于文献综述的科学文章。评选标准是截止到2022年12月发表的科学论文。我们使用以下搜索关键词:“支链氨基酸”,“支链氨基酸”,“支链氨基酸”,“体成分”,“肌肉减少症”,“衰老”。2019年欧洲老年人肌肉减少症工作组2 (EWGSOP2)共识被纳入文章列表。在老年人及老年患者中应用支链氨基酸预防和治疗肌少症的可能性是一个相关课题,目前仍在积极研究中。只要每天摄入足够的蛋白质,在饮食中补充支链氨基酸的有效性是有争议的。另一方面,在饮食中无法摄入足够高质量蛋白质的情况下,补充支链氨基酸可能是合理的。在这个问题上需要更多的研究。
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引用次数: 0
Retrospective analysis and modern spatiotemporal characteristics of tularemia in the territory of the West Kazakhstan and North Kazakhstan regions 西哈和北哈地区土拉菌病的回顾性分析及现代时空特征
Q4 Immunology and Microbiology Pub Date : 2023-07-11 DOI: 10.29413/abs.2023-8.3.24
U. Izbanova, L. Lukhnova, T. Meka-Mechenko, N. S. Maykanov, V. Sadovskaya, V. G. Meka-Mechenko, A. Yusupov, A. B. Makulova
Rationale. An important task is to monitor the incidence of tularemia among the population of Kazakhstan. Natural foci of this infection occupy large areas. In some regions with large numbers of rodents and ectoparasites and low vaccination coverage, human cases of tularemia have been reported.The aim of the study. To carry out retrospective analysis and to study modern spatiotemporal characteristics of tularemia in the West Kazakhstan and North Kazakhstan regions in order to improve the effectiveness of preventive measures.Materials and methods. In our work, we used public records, the results of an epizootological survey of tularemia natural foci and the official data from the Departments of Sanitary and Epidemiological Control of two regions on the human cases of tularemia in 2000–2021. We used descriptive statistics methods, relative and absolute indicators of the tularemia incidence in the population for the analysis. The phenotypic and genetic properties of the strains isolated in 2000–2021 were studied according to the guidelines.Results. A retrospective analysis of the tularemia incidence among the population of the North Kazakhstan and West Kazakhstan regions showed an improvement in the epidemic situation. Over the past 20 years, 4 human cases of tularemia have been registered in the West Kazakhstan region, while the epizootic potential was quite high; more than 300 strains of the tularemia microbe were isolated during the studied period. In the North Kazakhstan region from 2000 to 2021, 11 human cases of tularemia were registered; when studying rodents, mammals and environmental objects, single positive samples for specific tularemia antibodies and antigens were detected; no strains of tularemia microbe were isolated.Conclusion. An analysis of long-term data on the epizootic and epidemic activity of tularemia natural foci, processed using descriptive statistics and GIS technology, made it possible to identify places of long-term persistence of the tularemia agent in the natural focus of the North Kazakhstan and West Kazakhstan regions and to create an electronic map of the territories endemic for tularemia to determine the scope of preventive measures.
基本原理。一项重要任务是监测哈萨克斯坦人口中土拉菌病的发病率。这种感染的自然疫源地占据大面积。在一些啮齿动物和外寄生虫大量存在以及疫苗接种覆盖率低的地区,已经报告了人间土拉菌病病例。研究的目的。对哈西、哈北地区土拉菌病流行现状进行回顾性分析,研究其现代时空特征,以提高预防措施的有效性。材料和方法。在我们的工作中,我们使用了公共记录、兔热病自然疫源地的流行病学调查结果以及2000-2021年两个地区卫生和流行病学控制部门关于兔热病人间病例的官方数据。我们采用描述性统计方法,对人群中兔热病发病率的相对和绝对指标进行分析。根据指南对2000-2021年分离的菌株进行表型和遗传特性研究。对北哈萨克斯坦和西哈萨克斯坦地区人口中土拉菌病发病率的回顾性分析表明,疫情有所改善。在过去20年中,在西哈萨克斯坦地区已登记了4例人间兔热病病例,而发生动物流行病的可能性相当高;研究期间共分离到300余株土拉菌。2000年至2021年,北哈萨克斯坦地区共登记了11例人间兔热病病例;在对啮齿动物、哺乳动物和环境物体进行研究时,检测到兔热病特异性抗体和抗原的单一阳性样本;未分离到土拉菌。利用描述性统计和地理信息系统技术对兔热病自然疫源地的动物流行病和流行活动的长期数据进行了分析,从而确定了在北哈萨克斯坦和西哈萨克斯坦地区的自然疫源地长期存在兔热病剂的地方,并制作了兔热病流行地区的电子地图,以确定预防措施的范围。
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引用次数: 0
Myocardial damage biomarkers and the first case of macrotroponin I detection in endurance athletes 耐力运动员心肌损伤生物标志物及第一例大肌钙蛋白I检测
Q4 Immunology and Microbiology Pub Date : 2023-07-11 DOI: 10.29413/abs.2023-8.3.8
M. S. Smirnov, V. Dorofeykov, N. D. Golberg, E. Kurochkina
Background. High levels of cardiac troponin in the blood indicates myocardial injury, including those caused by intense exercises. Recent studies have shown that an elevation in the troponin concentration in the patients can be caused by the macrotroponin circulation. There is no data in the scientific literature describing this problem in athletes.The aim. To identify the cases and possible causes of high blood levels of cardiac markers in athletes before and after endurance exercises.Materials and methods. The study was conducted on 11 male cross-country skiers aged 15–21 years. The study included two stages: the first was conducted at the end of the preparatory period (November, 2020–2021), the second – in the middle (March) of the 2020–2021 competitive period. At each stage, two blood samples were taken from a vein: the first – in the morning on an empty stomach after a day of rest, the second – 12–14 hours after a high-intensity exercise. In the blood serum, the activity of total creatine kinase (CK), weight concentration of the cardiac isoenzyme of creatine kinase (CK-MB), and concentration of high sensitive troponin I (Tn) were measured.Results. The activity of CK in athletes exceeded the upper limit threshold, and decreased from the preparatory (November) to the competitive (March) period. The concentration of CK-MB in response to exercise increased by 2 times and was not accompanied by the signs of myocardial injury. The most sensitive indicator, responsive to physical activity, was troponin I. However, the highest elevation of Tn in blood of one athlete, both before and after the exercise, was associated with the presence of macrotroponin without signs of myocardial injury.Conclusions. An increase of muscle tissue injury biomarkers in blood, including the heart muscle (CK, CK-MB, and Tn), by 2–4 times is a typical reaction for the body of a cross-country skier to an intense exercise. High levels of troponin in the blood, both before and after training or competition, may be associated with the presence of macrotroponin.
背景。血液中高水平的心肌肌钙蛋白表明心肌损伤,包括剧烈运动引起的心肌损伤。最近的研究表明,患者体内肌钙蛋白浓度升高可能是由大肌钙蛋白循环引起的。在科学文献中没有数据描述运动员的这个问题。的目标。确定运动员在耐力运动前后血液中心脏标志物高水平的病例和可能的原因。材料和方法。这项研究是对11名年龄在15-21岁之间的男性越野滑雪运动员进行的。该研究包括两个阶段:第一阶段在筹备阶段结束时(2020-2021年11月)进行,第二阶段在2020-2021年竞争期中期(3月)进行。在每个阶段,从静脉中抽取两份血液样本:第一次是在早上休息一天后空腹进行的,第二次是在高强度运动后12-14小时进行的。测定大鼠血清总肌酸激酶(CK)活性、心肌肌酸激酶同工酶(CK- mb)重浓度和高敏肌钙蛋白I (Tn)浓度。运动员CK活性超过上限阈值,从备战期(11月)到竞技期(3月)呈下降趋势。运动后CK-MB浓度升高2倍,无心肌损伤迹象。最敏感的指标是肌钙蛋白i,对身体活动有反应。然而,一名运动员在运动前后血液中Tn的最高升高与大肌钙蛋白的存在有关,但没有心肌损伤的迹象。血液中的肌肉组织损伤生物标志物,包括心肌(CK, CK- mb和Tn)增加2-4倍是越野滑雪运动员对高强度运动的典型反应。在训练或比赛前后,血液中肌钙蛋白的高水平可能与大肌钙蛋白的存在有关。
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引用次数: 0
Jean Pecquet (1622–1674). To the 400th anniversary of the birth 让·佩凯(1622-1674)。为他诞辰400周年干杯
Q4 Immunology and Microbiology Pub Date : 2023-07-11 DOI: 10.29413/abs.2023-8.3.25
T. A. Fominykh, S. Kutia, A. Zakharova, A. E. Malov
The article is dedicated to the 400th anniversary of the birth of the outstanding French anatomist, physician and philosopher Jean Pecquet (1622–1674). Pecquet’s biography is connected with the city of Dieppe, where the future scientist was born and got his primary education, and with Paris, where he made his main discoveries in anatomy. Throughout his life, Pecquet collaborated with many prominent scientists of that time (Jacques Mentel, Louis Gayant, Jean Riolan (the Younger)), including not only physicians and anatomists, but also physicists such as Blaise Pascal, Edme Mariotte, Marin Mersenne and Evangelista Torricelli. Pecquet’s most famous discovery is the chyle cictern, or cisterna chyli. The structure was named after of the scientist – “Pecquet’s reservoir (cistern)”. But more revolutionary discovery made by Pecquet is revealing and proving the fact that the lymphatic ducts flow into the superior vena cava indirectly through the venous angles and refuting the conventional opinion on the drainage of lymph into the liver. An important help in Pecquet’s anatomical research and experiments was his passion for the physical and mathematical sciences. In collaboration with Edme Marriott, Pecquet studied the structure of the eyeball and turned out to be more foresighted, because, unlike Marriott, he correctly understood the role of the retina in the functioning of the eye as an organ of vision. Pecquet was one of William Harvey’s supporters regarding his concept of blood circulation. He introduced cutting-edge at that moment technologies into the anatomy methodology, including animal experiments in vivo, and made a fateful contribution to the progress of anatomical science.
这篇文章是为了纪念杰出的法国解剖学家、医生和哲学家让·佩凯(1622-1674)诞辰400周年而写的。佩奎特的传记与迪耶普市有关,这位未来的科学家在迪耶普出生并接受了初等教育,而他在巴黎取得了解剖学的主要发现。在他的一生中,Pecquet与当时许多杰出的科学家(Jacques Mentel, Louis Gayant, Jean Riolan (the Younger))合作,不仅包括医生和解剖学家,还包括物理学家,如Blaise Pascal, Edme Mariotte, Marin Mersenne和Evangelista Torricelli。佩奎特最著名的发现是乳糜环,或称乳糜池。该结构以这位科学家的名字命名——“Pecquet水库(蓄水池)”。但Pecquet更具有革命性的发现是揭示和证明了淋巴管通过静脉角间接流入上腔静脉的事实,驳斥了传统的淋巴管流入肝脏的观点。佩奎特对物理和数学科学的热情对他的解剖研究和实验起到了重要的帮助。在与Edme Marriott的合作中,Pecquet研究了眼球的结构,结果证明他更有远见,因为与Marriott不同,他正确地理解了视网膜作为视觉器官在眼睛功能中的作用。佩奎特是威廉·哈维血液循环理论的支持者之一。他将当时的尖端技术引入解剖学方法论,包括动物活体实验,为解剖学的进步做出了决定性的贡献。
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引用次数: 0
Risk factors for vascular dementia 血管性痴呆的危险因素
Q4 Immunology and Microbiology Pub Date : 2023-07-11 DOI: 10.29413/abs.2023-8.3.13
L. A. Ivanova
Background. An increase in the number of older people with cognitive disorders, including dementia, is expected.The aim. To study the risk factors for vascular dementia.Material and methods. 39 patients with vascular dementia (ICD-10 diagnosis code F01) were examined. The comparison group consisted of 167 people. According to the MMSE (Mini Mental State Examination) scale, moderate dementia was detected in 56.4 % of cases, severe – in 43.6 %; in the comparison group, 94 % had mild and 6 % – moderate cognitive impairment.Results. In the vascular dementia group, the following risk factors were registered significantly more often: ischemic heart disease – at the age of 70–79 years (57.1 %; p = 0.000) and in the group as a whole (56.4 %; p = 0.000); diabetes mellitus – at the age of 60–69 years (100 %; p = 0.005); arterial hypertension – at the age of 70–79 years (100 %; p = 0.000) and in the group as a whole (87.2 %; p = 0.000). In the comparison group, the frequency of body mass index over 25 was significantly higher at the age of 70–79 years (60 %; p = 0.000), 80 years and older (64.3 %; p = 0.037) and in the group as a whole (68.9 %; p = 0.000). Among people with moderate cognitive impairment, the following risk factors were significantly more common: coronary heart disease – at the age of 60–69 years (10 %; p = 0.001); diabetes mellitus – at the age of 70–79 years (40 %; p = 0.025) and in the group as a whole (50 %; p = 0.033), the frequency of body mass index over 25 – at the age of 80 years and older (70 %; p = 0.000) and in the group as a whole (100 %; p = 0.000).Conclusion. Risk factors for the development of cognitive disorders (coronary heart disease, hypertension, diabetes mellitus, overweight) are potentially reversible; their timely detection can reduce the development of cognitive disorders and dementia.
背景。预计患有认知障碍(包括痴呆症)的老年人数量将会增加。的目标。探讨血管性痴呆的危险因素。材料和方法。对39例血管性痴呆患者(ICD-10诊断代码F01)进行了检查。对照组由167人组成。根据MMSE(迷你精神状态检查)量表,中度痴呆在56.4%的病例中被检测到,重度痴呆在43.6%;在对照组中,94%的人有轻度认知障碍,6%的人有中度认知障碍。在血管性痴呆组中,以下危险因素的记录更为频繁:缺血性心脏病——70-79岁(57.1%);P = 0.000),在整个组中(56.4%;P = 0.000);糖尿病- 60-69岁(100%;P = 0.005);动脉高血压——70-79岁(100%;P = 0.000),在整个组中(87.2%;P = 0.000)。对照组70 ~ 79岁体重指数超过25的频率显著高于对照组(60%;P = 0.000), 80岁及以上(64.3%;P = 0.037),在整个组中(68.9%;P = 0.000)。在中度认知障碍人群中,以下危险因素更为常见:冠心病——60-69岁(10%);P = 0.001);糖尿病- 70-79岁(40%;P = 0.025),在整个组中(50%;P = 0.033), 80岁及以上人群体重指数超过25 -的频率(70%;P = 0.000),在整个组中(100%;p = 0.000)。发生认知障碍的危险因素(冠心病、高血压、糖尿病、超重)可能是可逆的;及时发现它们可以减少认知障碍和痴呆的发展。
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引用次数: 0
Resection interventions in the treatment of hepatocellular cancer in a specialized surgery center 肝细胞癌在专科外科中心的切除干预治疗
Q4 Immunology and Microbiology Pub Date : 2023-07-11 DOI: 10.29413/abs.2023-8.3.15
V. Pelts, V. E. Tropin, V. A. Shatalin
Background. The relevance of the treatment of hepatocellular cancer (HCC) is determined by a significant increase in the incidence rate and its high prevalence among primary malignant hepatic tumors.The aim of the study. To summarize the experience of providing specialized medical care to patients with hepatocellular cancer.Methods. We studied the direct results of treatment of patients with primary hepatic cancer treated at the Kuzbass Regional Hepatological Center for the period from January 2015 to August 2022. The materials for the study were medical records of patients with an established diagnosis of primary hepatic cancer, surgical records, results of pathohistologic examination. The exclusion criterion was diagnosed cholangiocellular carcinoma.Results. During the period from 2015 to 2022, 59 patients with primary hepatic cancer were treated at the Kuzbass Regional Hepatological Center. Among them, hepatocellular cancer was diagnosed in 48 cases, cholangiocellular cancer – in 11 cases; radical surgery was performed in 12 patients with hepatocellular cancer; fatal outcome was noted in 1 (2.1 %) patient, complications in the postoperative period developed in 5 (41.7 %) cases and were ranked as I-3, IIIb-1 and IVb-1 according to Clavien – Dindo classification.Conclusion. The degree of risk of severe post-resection hepatic failure should be considered one of the main criteria in choosing a strategy for radical surgical treatment. New surgical approaches (laparoscopic vascular isolation of the portal blood flow, using temporary hemostasis in laparoscopic hepatic resections and the device for its implementation) in resection surgery of primary hepatic cancer can improve the immediate results of treatment.
背景。肝细胞癌(HCC)治疗的相关性是由原发性恶性肝肿瘤的发病率显著增加和高患病率决定的。研究的目的。目的总结为肝癌患者提供专科医疗护理的经验。我们研究了2015年1月至2022年8月期间在库兹巴斯地区肝病中心治疗的原发性肝癌患者的直接治疗结果。本研究的资料为确诊为原发性肝癌的患者的医疗记录、手术记录、病理组织学检查结果。排除标准为胆管细胞癌。2015年至2022年期间,59名原发性肝癌患者在库兹巴斯地区肝病中心接受了治疗。其中肝细胞癌48例,胆管细胞癌11例;12例肝细胞癌行根治性手术;死亡1例(2.1%),术后出现并发症5例(41.7%),按Clavien - Dindo分级分为I-3、iib -1和IVb-1。术后发生严重肝功能衰竭的风险程度应作为选择根治性手术治疗策略的主要标准之一。在原发性肝癌切除手术中采用新的手术入路(腹腔镜门静脉血流血管隔离、腹腔镜肝切除术采用临时止血术及其实施装置)可提高治疗的立竿见影效果。
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引用次数: 0
HPV-associated cervical cancer: Current status and prospects hpv相关宫颈癌:现状和前景
Q4 Immunology and Microbiology Pub Date : 2023-07-11 DOI: 10.29413/abs.2023-8.3.4
E. A. Kravtsova, M. Tsyganov, N. Litviakov, M. Ibragimova
Every year, 570,000 new cases of cervical cancer (CC) are diagnosed in the world, and 311,000 people die from this disease. CC is the fourth most common type of cancer and therefore the fourth leading cause of cancer death in women worldwide. Numerous data on the occurrence and development of cervical cancer indicate an association in most cases (up to 90 %) with human papillomaviruses (HPV) of high carcinogenic risk (HCR).CC prevention strategies are based on screening, and deaths from this oncopathology can be prevented through vaccination and treatment with early detection of the disease.In this review, much attention is paid to current issues of detection and prevention of HPV-associated pathologies, and cervical cancer in particular, aiming to summarize and analyze the latest international literature data on this issue. As a result of this study, it was shown that for countries implementing the National program of vaccination against HPV of high carcinogenic risk, a decrease in the incidence of both cervical pathologies of varying severity and other cancers associated with the HPV carriage was registered.While effective implementation of actual experience and future advances in human papillomavirus vaccine prophylaxis may make it possible for all countries to move to the high levels of vaccination coverage required to eliminate HPV-associated pathologies, the results also suggest that the path to complete cervical cancer elimination as a global public health problem can be extremely difficult due to a number of existing limitations.
全世界每年新诊断出57万例宫颈癌,31.1万人死于这种疾病。CC是第四大最常见的癌症类型,因此是全世界妇女癌症死亡的第四大原因。关于宫颈癌发生和发展的大量数据表明,在大多数情况下(高达90%)与具有高致癌风险(HCR)的人乳头瘤病毒(HPV)有关。CC预防战略以筛查为基础,这种肿瘤病理导致的死亡可以通过早期发现疾病的疫苗接种和治疗来预防。本文将重点关注hpv相关病变,特别是宫颈癌的检测和预防问题,并对国际上有关该问题的最新文献进行总结和分析。这项研究的结果表明,在实施国家高致癌风险HPV疫苗接种规划的国家,不同严重程度的宫颈病变和与HPV携带相关的其他癌症的发病率均有所下降。虽然有效实施人乳头瘤病毒疫苗预防方面的实际经验和未来的进展可能使所有国家都有可能达到消除人乳头瘤病毒相关病理所需的高水平疫苗接种覆盖率,但研究结果还表明,由于一些现有的限制,完全消除作为全球公共卫生问题的宫颈癌的道路可能极其困难。
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引用次数: 0
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