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COVID-19 and risk of cardiomyocyte injury: The prevailing scenario COVID-19和心肌细胞损伤的风险:普遍情况
Pub Date : 2021-05-25 DOI: 10.53517/cmdr.2581-5008.512021211
M. Al-Niemi, Nawar R. Hussain, H. Al-kuraishy, Ali I. Al-Gareeb
The novel coronavirus which is also called severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), is responsible for COVID-19 (coronavirus disease 2019). SARS-CoV-2 is known to cause substantial pulmonary disease, including pneumonia and acute respiratory distress syndrome (ARDS), clinicians have observed many extra-pulmonary manifestations of COVID-19. SARS-CoV-2 infection is associated with a variety of pro-inflammatory mediators that may play important roles in the pathophysiology of cardiac and arrhythmic complications. Systemic inflammatory response syndrome (cytokine storm) is another putative mechanism of myocardial injury. In addition to lung damage, there may be significant cardiac involvement in patients with COVID-19, which is responsible for worsening the clinical condition of the host. The main cardiac manifestations can be oedema, pericarditis, cardiac fibrosis, myocarditis, impairment of contractile function and cardiac electrophysiology. The cardiac status of patients with ongoing SARS-CoV-2 infection of surviving patients in convalescence period should be carefully monitored.
新型冠状病毒也被称为严重急性呼吸综合征冠状病毒2 (SARS-CoV-2),是COVID-19(2019冠状病毒病)的罪魁祸首。众所周知,SARS-CoV-2会导致严重的肺部疾病,包括肺炎和急性呼吸窘迫综合征(ARDS),临床医生已经观察到许多COVID-19的肺外表现。SARS-CoV-2感染与多种促炎介质相关,这些介质可能在心脏和心律失常并发症的病理生理中发挥重要作用。全身性炎症反应综合征(细胞因子风暴)是另一种假定的心肌损伤机制。除了肺损伤外,COVID-19患者还可能有明显的心脏受累,这是导致宿主临床状况恶化的原因。主要表现为水肿、心包炎、心肌纤维化、心肌炎、收缩功能和心电生理损害。应密切监测恢复期存活患者持续感染SARS-CoV-2患者的心脏状况。
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引用次数: 2
Current and future role of immobilized enzymes in medical field 固定化酶在医学领域的应用现状及前景
Pub Date : 2021-05-25 DOI: 10.53517/cmdr.2581-5008.512021213
M. R. Khan
Although the history of immobilized enzymes and their applications in different fields are traced back to the second half of the twentieth century, their importance in bioreactors and biosensors highlighted at the turn of the current century is under active consideration in these days for broad-spectrum applications in different medical fields. Thus, this article presents a review of the literature concerning the current and future role of the immobilized enzymes in different medical fields. As the author and his supervised research groups have also been actively involved in research on immobilized enzymes, he has also made some input with a recommendation to revise the current classification of immobilized enzymes basically into “Naturally Immobilized” and “Artificially Immobilized Enzymes”, keeping the sub-classification intact. He has also suggested the development of some medical products based on the results of his research groups.
虽然固定化酶的历史及其在不同领域的应用可以追溯到20世纪下半叶,但它们在本世纪初突出的生物反应器和生物传感器中的重要性在这些天正在积极考虑在不同医学领域的广谱应用。因此,本文就固定化酶在不同医学领域的研究现状和前景作一综述。由于作者和他所指导的课题组也积极参与固定化酶的研究,他也提出了一些意见,建议将目前固定化酶的分类基本修改为“自然固定化”和“人工固定化”,保持子分类的完整。他还建议根据他的研究小组的成果开发一些医疗产品。
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引用次数: 2
The potential role of Bromhexine in the management of COVID-19: Decipher and a real game-changer 溴甲胺在COVID-19管理中的潜在作用:破译和真正的游戏规则改变者
Pub Date : 2021-05-25 DOI: 10.53517/cmdr.2581-5008.512021212
H. Al-kuraishy, M. Al-Niemi, Nawar R. Hussain, Ali I. Al-Gareeb, C. Lugnier
Primary infection of SARS-CoV-2 (novel coronavirus or 2019-nCoV), which leads to Covid-19, targets specific cells, such as nasal, bronchial epithelial and pneumocytes, through the viral structural spike (S) protein that binds to the angiotensin-converting enzyme 2 (ACE2) receptor. Also, type 2 transmembrane serine protease (TMPRSS2) present in the host cell promotes viral uptake by cleaving ACE2 and triggering the SARS-CoV-2 S protein, which facilitates SARS-CoV-2 entry into host cells. One of the TMPRSS2 inhibitors with a greater distribution capacity into the lung tissue is bromhexine hydrochloride which attenuates the entry and proliferation of SARS-CoV-2. Bromhexine is an effective drug in the management and treatment of Covid-19 pneumonia via targeting ACE2/ TMPRSS2 pathway. However, prospective and controlled clinical trials are recommended to confirm this observation.
导致Covid-19的SARS-CoV-2(新型冠状病毒或2019-nCoV)的原发性感染通过与血管紧张素转换酶2 (ACE2)受体结合的病毒结构刺突(S)蛋白靶向特定细胞,如鼻、支气管上皮细胞和肺细胞。此外,宿主细胞中存在的2型跨膜丝氨酸蛋白酶(TMPRSS2)通过切割ACE2和触发SARS-CoV-2 S蛋白来促进病毒摄取,从而促进SARS-CoV-2进入宿主细胞。其中一种在肺组织中分布能力较大的TMPRSS2抑制剂是盐酸溴克辛,它可以减弱SARS-CoV-2的进入和增殖。溴甲基辛是一种靶向ACE2/ TMPRSS2通路治疗Covid-19肺炎的有效药物。然而,建议前瞻性和对照临床试验来证实这一观察结果。
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引用次数: 2
Elucidation of the origin of autoimmune diseases via computational multiscale mechanobiology and extracellular matrix remodeling: theories and phenomenon of immunodominance 通过计算多尺度机械生物学和细胞外基质重塑阐明自身免疫性疾病的起源:免疫优势的理论和现象
Pub Date : 2021-05-25 DOI: 10.53517/cmdr.2581-5008.512021215
R. Kumar
Experimental practices of computational multiscale mechanobiology were applied to explicate different topographies of mechanobiology and to predict the fine minutiae of mechanosensing and mechanotransduction in a cellular system accurately. Autoimmune diseases denoted as biologically implausible. Recently, scientific and medical communities investigated autoimmune diseases and associated settings to conclude the disarrays of autoimmune as earlier as possible. Therefore, an urgent need is there to evaluate ocular immunology and the route of growth of autoimmune diseases. Scientific investigations play a significant role to detect interrelated cures and bearing research for probing treatments for autoimmune diseases, which are yet undiscovered. Extracellular matrix remodeling followed in the cellular microenvironment dynamically to manage remodelling events. Immunodominance deals with the immunodominance mechanism evolved in response to clearing any type of infection and not yet distinguished entirely.
应用计算多尺度力学生物学的实验实践来解释力学生物学的不同地形,并准确预测细胞系统中力学传感和力学转导的细节。自身免疫性疾病被认为是生物学上难以置信的。近年来,科学界和医学界对自身免疫性疾病及其相关环境进行了调查,以期尽早总结自身免疫性疾病的紊乱。因此,迫切需要评估眼免疫学和自身免疫性疾病的发展途径。科学研究在发现相互关联的治疗方法和对尚未发现的自身免疫性疾病的探索性治疗进行研究方面发挥着重要作用。细胞外基质重塑随后在细胞微环境中动态地管理重塑事件。免疫优势涉及免疫优势机制进化,以应对清除任何类型的感染,尚未完全区分。
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引用次数: 1
Spatial mapping and enshrined capacity: Assessment of COVID-19 servicing Indian hospitals 空间制图和庄严的能力:评估为印度医院提供服务的COVID-19
Pub Date : 2021-05-25 DOI: 10.53517/cmdr.2581-5008.512021214
N. Ravichandran, S. Shivangi, B. Rakesh
In Public health crises like COVID-19, healthcare services alone won‟t essentially cause the well-liked changes within the health status and outcome. Human resources with needed competency for managing healthcare crisis could be a challenge, and can‟t be over accentuated. A systemic approach adopted to analyze knowledge, management, and delivery of COVID-19 services in the Indian context while the concentration curve alongside regression statistical techniques was used to examine the nature of competency and skill variations among the health-functionaries. Training processes on COVID-19 aren‟t streamlined and systematic. The method of organizing a training programme depends upon the need-based mostly. This mirrored within the variability of health-functionaries reported with adverse events, infected with the coronavirus. Several COVID-19 strategies focused on healthcare-functionaries and its associated front-liners to save lots of lives and alter the lifestyles of the population. The stigmatized COVID-19 disease brutally distanced the frontline health-workers and socially distanced the sufferers' delay in reporting, with heightened morbidity and mortality. Training is just on information rather than on competencies for action. The quality training and the level of community-based health intervention flaunted not to expect health functionaries to perform expectedly. Training-competency and skills-related inequality and inequity in health exist. There‟s a necessity to sources information equitably to empower the healthcare providers to deliver service effectively.
在像COVID-19这样的公共卫生危机中,仅靠医疗服务并不会在健康状况和结果中引起人们所喜欢的变化。具有管理医疗危机所需能力的人力资源可能是一个挑战,不能过分强调。采用系统方法分析印度背景下COVID-19服务的知识、管理和提供,同时使用浓度曲线和回归统计技术来检查卫生工作人员的能力和技能差异的性质。COVID-19培训流程不精简和系统。组织培训方案的方法主要取决于需要。这反映在报告发生不良事件的卫生工作人员感染冠状病毒的可变性上。若干COVID-19战略侧重于卫生保健工作人员及其相关一线人员,以挽救大量生命并改变人口的生活方式。被污名化的COVID-19疾病残酷地疏远了一线卫生工作者,也疏远了患者报告延迟的社会距离,导致发病率和死亡率上升。培训只是关于信息而不是行动能力。高质量的培训和基于社区的卫生干预水平表明,不能指望卫生工作人员能达到预期的效果。与培训能力和技能有关的不平等和卫生不公平现象依然存在。有必要公平地获取信息,使医疗保健提供者能够有效地提供服务。
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引用次数: 0
Cotrimoxazole and teicoplanin in the management of Covid-19: Pleiotropic effects, shadows and lights 复方新诺明和替柯planin在Covid-19治疗中的作用:多效性、阴影和光明
Pub Date : 2020-09-25 DOI: 10.53517/cmdr.2581-5008.422020210
H. Al-kuraishy, Ali I. Al-Gareeb, Ali K. Al-buhadily
At present, coronavirus disease 2019 (Covid-19), caused by SARS-CoV-2 infection, has turned into a global pandemic. Comparable to the H7N9 virus, SARS-CoV-2 causes soaring mortality in elderly patients who have pre-existing chronic diseases. SARS-CoV-2 infects human epithelial cells by binding to human angiotensin-converting enzyme2 (ACE2). Multi-organ failure has been observed in some patients with severe COVID-19. TheACE2 expression profile suggests that SARS-CoV-2 infection may initiate or even directly cause organ failure. In addition to direct infection, evidence shows that an elevated inflammatory immune response is also involved in the pathogenesis of SARS-CoV-2 infection. The immunomodulatory and anti-inflammatory activity of the cotrimoxazole (CTX) and teicoplanin are seen in several studies that show the lower concentrations of plasma pro-inflammatory markers like CRP, IL6 in continuous CTX prophylaxis, suggesting its role as anti-inflammatory and immunomodulation. The present review concludes that both teicoplanin and CTX are effective in the management of Covid-19 through anti-SARS-CoV-2 and anti-inflammatory effects as well as controlling of secondary bacterial infections.
目前,由SARS-CoV-2感染引起的2019冠状病毒病(Covid-19)已演变为全球大流行。与H7N9病毒相比,SARS-CoV-2会导致已有慢性疾病的老年患者死亡率飙升。SARS-CoV-2通过与人血管紧张素转换酶2 (ACE2)结合感染人上皮细胞。部分重症患者出现多器官功能衰竭。ace2的表达谱表明,SARS-CoV-2感染可能启动甚至直接导致器官衰竭。除直接感染外,有证据表明炎症免疫反应升高也参与了SARS-CoV-2感染的发病机制。复方新诺明(CTX)和替柯planin的免疫调节和抗炎活性在一些研究中被发现,在连续的CTX预防中,血浆促炎标志物如CRP、IL6浓度较低,表明其具有抗炎和免疫调节作用。本综述认为,替柯planin和CTX均可通过抗sars - cov -2和抗炎作用以及控制继发性细菌感染来有效管理Covid-19。
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引用次数: 3
Galenic Hospital Laboratory during COVID-19 emergency - A practical experience in an advanced country 盖伦医院实验室在COVID-19紧急情况下-先进国家的实践经验
Pub Date : 2020-09-25 DOI: 10.53517/cmdr.2581-5008.422020209
C. Fiazza, A. Ferraiuolo, M. Luisetto, R. Sahu
In the actual Covid-19 emergency, as pandemic disease, in many countries at the same time, there was the rapid need to use preventive and therapeutic measures to control the diffusion of infection. In PC Area (Italy North) during the period between March and May 2020, there were observed about 1000 deaths related to Covid-19 (in March 2020 +271% death vs 2019). Between all the measures submitted by a public international institution like WHO, OMS, CDC and many others, the deeply use of disinfectants product became a crucial fact in safety procedure and protocols. The high amount of these disinfectants and antiseptic was needed especially in hospital settings or assimilates structure (named as the Covid-19 hospital) but also for territorial healthcare need. So, it was needed to buy these products from industries but also to start an internal production in Galenic Laboratories. This was because of pharmaceutical industries were not provided, in some cases, the requested amount of these safe life products. In this work, we reported a practical experience in a public hospital, PC area related galenic extra-ordinary production of disinfectants and antiseptics. The result of this local experience can be easily translated to other advanced and developing countries in the world.
在实际的Covid-19紧急情况中,作为大流行疾病,在许多国家同时,迫切需要采取预防和治疗措施来控制感染的扩散。2020年3月至5月期间,在PC区(意大利北部),观察到约1000例与Covid-19相关的死亡(2020年3月比2019年增加271%)。在世界卫生组织、OMS、疾病预防控制中心等公共国际机构提交的所有措施中,消毒剂产品的深度使用成为安全程序和协议中的一个关键事实。特别是在医院环境或同化结构(称为Covid-19医院)中需要大量这些消毒剂和防腐剂,但也需要用于地区医疗保健需求。因此,需要从工业中购买这些产品,同时也需要在盖伦实验室开始内部生产。这是因为在某些情况下,制药工业没有提供所需数量的这些安全生命产品。在这项工作中,我们报告了在某公立医院,PC区相关galenic超常规生产消毒剂和防腐剂的实践经验。这种地方经验的结果可以很容易地转化为世界上其他发达国家和发展中国家。
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引用次数: 1
Phytochemical, antimicrobial and antioxidant studies of the leaf extract of Hamelia patens 金缕梅叶提取物的植物化学、抗菌和抗氧化研究
Pub Date : 2020-09-25 DOI: 10.53517/cmdr.2581-5008.422020206
S. Megala, G. Kumar, R. Shalini, V. P. Manjamadha
This study aimed to characterise the different extracts of the leaves of Hamelia patens Jacq. (Rubiaceae) and to evaluate their antibacterial and antioxidant activities in vitro. Phytochemical screening of the leaf extract revealed the presence of alkaloids, flavonoids, sterols, tannins and carotenoids. The extracts were further characterised with the help of FTIR and UV-VIS spectroscopy. The antibacterial activity was evaluated by agar well diffusion method and the zone of inhibition was measured. 1,1-diphenyl-2- picrylhydrazyl (DPPH) assay was used to evaluate the antioxidant capability of the extract. The extract was found effective in inhibiting the growth of both E. coli and S. aureus at 5 μg/mL concentration. The methanolic extract was also found to scavenge DPPH radicals. Although the extract is found effective in the present study, however, further research is required to evaluate the biological activity in higher experimental models.
本研究的目的是表征Hamelia patens Jacq叶片的不同提取物。(Rubiaceae),并评价其体外抗菌和抗氧化活性。叶提取物的植物化学筛选显示存在生物碱,类黄酮,甾醇,单宁和类胡萝卜素。利用红外光谱和紫外可见光谱对提取物进行了进一步的表征。采用琼脂孔扩散法测定其抑菌活性,并测定其抑菌区。采用1,1-二苯基-2-苦味酰肼(DPPH)法评价提取物的抗氧化能力。在5 μg/mL浓度下,对大肠杆菌和金黄色葡萄球菌的生长均有抑制作用。甲醇提取物还具有清除DPPH自由基的作用。虽然在本研究中发现提取物是有效的,但还需要进一步的研究来评估更高的实验模型的生物活性。
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引用次数: 0
Antimicrobial activity of the water-soluble ash extract from the invasive weed Parthenium hysterophorus L. 入侵杂草子宫草水溶性灰分提取物的抑菌活性研究。
Pub Date : 2020-09-25 DOI: 10.53517/cmdr.2581-5008.422020208
S. Joshi, D. Semwal, Amit Kumar, A. Chauhan
Parthenium hysterophorus L., also known as congress grass or carrot grass, is a widely distributed invasive weed which is a big challenge for sustainable agriculture. For the past several years, a number of attempts have been made to evaluate its medicinal properties. The present study aimed to evaluate the antimicrobial activity of the water-soluble ash extract of P. hysterophorus against different bacterial and fungal pathogens. The disc diffusion method was used to measure zone of inhibition (ZOI) whereas broth microdilution method was used to evaluate minimum inhibitory concentration (MIC) of the extract. The extract was found most effective against Staphylococcus aureus with a ZOI value of 33.5 mm at 33 mg/mL concentration when compared with ofloxacin (ZOI = 39.5 mm at 5 μg/disc). The extract was also found active against Salmonella enterica, Staphylococcus epidermidis and Escherichia coli with ZOI values of 25.5, 32.5 and 25.5 mm, respectively. The present study revealed that the ash extract of P. hysterophorus has potential to inhibit various bacterial species. However, the tested fungal pathogens like Candida albicans were found unaffected after treating with the ash extract.
Parthenium hysterophorus L.,又称会草或胡萝卜草,是一种分布广泛的入侵杂草,对可持续农业构成了巨大挑战。在过去的几年中,已经进行了许多尝试来评估其药用特性。本研究旨在评价子宫草水溶性灰分提取物对不同病原菌和真菌的抑菌活性。采用盘片扩散法测定其抑菌带(ZOI),用微量肉汤稀释法测定其最低抑菌浓度(MIC)。与氧氟沙星(5 μg/片时,ZOI = 39.5 mm)相比,该提取物在33 mg/mL浓度下对金黄色葡萄球菌的抑制效果最好,其ZOI值为33.5 mm。提取物对肠沙门氏菌、表皮葡萄球菌和大肠杆菌的ZOI值分别为25.5、32.5和25.5 mm。本研究表明,宫内藤灰分提取物具有抑制多种细菌的潜力。然而,被测试的真菌病原体,如白色念珠菌,在用灰烬提取物处理后没有受到影响。
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引用次数: 0
Baicalein inhibits KB oral cancer cells by inducing apoptosis via modulation of ROS 黄芩素通过调控ROS诱导KB口腔癌细胞凋亡抑制KB口腔癌细胞
Pub Date : 2020-08-20 DOI: 10.53517/cmdr.2581-5008.412020204
S. Vijay, R. Vidhyavathi, E. Raj, Vijaya Lobo, R. A. Kumar
The theme of the current examination was to evaluate the anticancer activity of baicalein (5,6,7-trihydroxyflavone) in human oral cancer KB-cells by observing cell restraint intercellular ROS movement and apoptotic changes using 3-(4,5-dimethylthiazol-2-yl)- 2,5-diphenyltetrazolium bromide (MTT) assay and 2,7-dichlorodihydrofluorescein diacetate (DCFH-DA) test. The concentration of baicalein at 80 μM caused 100% cancer cell inhibition. Therefore, lower concentrations i.e. 10, 20 and 40 μM were selected in the present study. Baicalein at 40 μM significantly hindered human oral cancer KB cells. In the interim, incendiary and apoptosis were seen through expanded ROS action that actuated apoptotic cell death. The results of the present study suggested that the anticancer effect of baicalein is likely due to its potential to improve ROS level and hence the increased apoptotic activity. This study suggested that baicalein might be a potential candidate for the treatment of oral cancer.
采用3-(4,5-二甲基噻唑-2-基)- 2,5-二苯基溴化四唑(MTT)法和2,7-二氯双氢荧光素(DCFH-DA)法观察黄芩素(5,6,7-三羟黄酮)对人口腔癌kb细胞的抑制作用,观察细胞间ROS运动和细胞凋亡变化。黄芩素浓度为80 μM时,对肿瘤细胞的抑制率为100%。因此,本研究选择了较低的浓度,即10、20和40 μM。40 μM黄芩素对人口腔癌KB细胞有明显抑制作用。在此期间,通过扩大的ROS作用可以观察到燃烧和凋亡,激活凋亡细胞死亡。本研究结果提示黄芩素的抗癌作用可能是由于其可能提高ROS水平,从而增加细胞凋亡活性。本研究提示黄芩素可能是治疗口腔癌的潜在候选者。
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引用次数: 0
期刊
CURRENT MEDICAL AND DRUG RESEARCH
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