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Changes in the <i>MIR-143</i. gene methylation pattern in the tumor tissue of the diffuse large B-cell lymphoma MIR-143&lt;/i;弥漫性大b细胞淋巴瘤肿瘤组织的基因甲基化模式
Q4 Biochemistry, Genetics and Molecular Biology Pub Date : 2023-10-31 DOI: 10.18699/ssmj20230519
E. N. Voropaeva, T. I. Pospelova, A. M. Nesterets, M. I. Churkina, O. V. Berezina, V. N. Maksimov
The study of DNA methylation status in malignant lymphomas is a new field of research in oncohematology. The aim of this study was to quantify the level of methylation of the MIR-143 gene in the tumor tissue of patients with diffuse large B-cell lymphoma (DLBCL). Material and methods. The study included 81 tumor samples of DLBCL (26 of germinal and 55 of non-germinal origin) and 11 biopsies of reactive lymph nodes. To quantify the methylation of the MIR-143 gene, the method of direct bisulfite sequencing by Sanger was used with the calculation of the average level of methylation of the analyzed CpG-sites. Results. The average level of MIR-143 methylation in tumor samples was significantly lower than the values in reactive lymph nodes (64.43 ± 19.92 и 76.27 ± 4.92 %, respectively, p = 0.049), did not depend on the immunohistochemical subtype of the tumor and showed a greater spread of values. In the lymphoma samples, there was predominant hypomethylation of one of the four analyzed CpG-dinucleotides within the boundaries of the analyzed fragment. Conclusion. The data on a change in the pattern of the MIR-143 gene methylation in the tumor tissue of DLBCL were obtained. To establish the role of microRNA in the pathogenesis of DLBCL further studies aimed at clarifying the mechanisms of epigenetic regulation of MIR-143 expression in lymphoma cells and identification of this microRNA targets are required.
恶性淋巴瘤DNA甲基化状态的研究是肿瘤血液学研究的一个新领域。本研究的目的是量化弥漫性大b细胞淋巴瘤(DLBCL)患者肿瘤组织中MIR-143基因的甲基化水平。材料和方法。该研究包括81例DLBCL肿瘤样本(26例生发源性和55例非生发源性)和11例反应性淋巴结活检。为了量化MIR-143基因的甲基化,采用Sanger直接亚硫酸氢盐测序方法,计算所分析的cpg位点的甲基化平均水平。结果。肿瘤样本中MIR-143甲基化的平均水平显著低于反应性淋巴结(分别为64.43±19.92和76.27±4.92%,p = 0.049),不依赖于肿瘤的免疫组织化学亚型,且具有较大的分布性。在淋巴瘤样本中,在分析片段的边界内,有四种分析的cpg二核苷酸中的一种存在明显的低甲基化。结论。我们获得了DLBCL肿瘤组织中MIR-143基因甲基化模式变化的数据。为了确定microRNA在DLBCL发病机制中的作用,需要进一步研究淋巴瘤细胞中MIR-143表达的表观遗传调控机制,并鉴定该microRNA靶点。
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引用次数: 0
The relationship between methylation of tumor suppressor genes <i>APC</i>, <i>GSTP1</i>, <i>RASSF1A</i> and content of prostate-specific antigen- associated markers in prostate cancer diagnosis 抑癌基因&lt;i&gt;APC&lt;/i&gt; &lt;i&gt;GSTP1&lt;/i&gt; &lt;i&gt;RASSF1A&lt;/i&gt;前列腺特异性抗原相关标志物含量在前列腺癌诊断中的意义
Q4 Biochemistry, Genetics and Molecular Biology Pub Date : 2023-10-31 DOI: 10.18699/ssmj20230518
I. A. Aboyan, E. N. Fedotova, A. Yu. Maksimov, E. F. Кomarova, S. N. Vlasov
Despite the improvement of prostate cancer (PCa) diagnostic methods and the introduction of prostate-specific antigen (PSA) monitoring, the incidence of advanced PCa in Russia remains high. New more informative variables are needed for the effective diagnosis of early stage and high-grade PCa. In the field of epigenetics of special interest is the detection of DNA hypermethylation, which can serve as a PCa biomarker, since it is common to find and may induce a stable appropriate gene silencing, leading to significant cell changes. Aim of the study was to analyze the relationship between methylation of the APC, GSTP1 and RASSF1A genes and total PSA and prostate health index (PHI) in PCa. Material and methods. The present study included 54 patients with suspicion of PCa, up to 75-years old, who had an initial total PSA level from 2.5 to 10 ng/ml. To calculate PHI value the concentrations of total PSA, free PSA and pre-mature form of PSA ([–2]proPSA) in blood serum were measured by chemiluminescence immunoassay. Results and discussion. The study has revealed the statistically significant correlation between the degree of methylation in blood plasma samples and biopsy material of only the GSTP1 gene and PSA-associated markers. We found an increase of parameters contingency as Gleason score increased. Conclusions. As a result of this work, statistically significant direct correlations were identified between changes in methylation patterns of the promoter region of the GSTP1 gene and PHI, which allows us to consider them as potential candidates for inclusion in a diagnostic panel for more effective early detection of prostate cancer.
尽管前列腺癌(PCa)诊断方法的改进和前列腺特异性抗原(PSA)监测的引入,晚期前列腺癌在俄罗斯的发病率仍然很高。早期和高级别前列腺癌的有效诊断需要新的更多信息变量。在表观遗传学领域,特别感兴趣的是DNA超甲基化的检测,它可以作为PCa的生物标志物,因为它很容易发现并可能诱导稳定的适当基因沉默,导致显著的细胞变化。本研究的目的是分析APC、GSTP1和RASSF1A基因甲基化与前列腺癌总PSA和前列腺健康指数(PHI)的关系。材料和方法。本研究包括54例疑似PCa的患者,年龄在75岁以下,初始总PSA水平为2.5至10 ng/ml。采用化学发光免疫法测定血清中总PSA、游离PSA和早成熟PSA ([-2] prosa)的浓度,计算PHI值。结果和讨论。该研究揭示了血浆样本中甲基化程度与活检材料中仅GSTP1基因和psa相关标记物之间具有统计学意义的相关性。我们发现参数的偶然性随着Gleason评分的增加而增加。结论。这项工作的结果是,在GSTP1基因启动子区域甲基化模式的变化和PHI之间发现了统计上显著的直接相关性,这使我们能够将它们作为潜在的候选者纳入诊断小组,以更有效地早期检测前列腺癌。
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引用次数: 0
Some indicators of nutritional security of children with restrictive types of nutrition 限制性营养类型儿童的一些营养安全指标
Q4 Biochemistry, Genetics and Molecular Biology Pub Date : 2023-10-31 DOI: 10.18699/ssmj20230517
N. A. Svistunova, A. V. Naletov, D. I. Masyuta
Following vegetarian diets means, to varying degrees, the exclusion of animal products from diets, which, if poorly planned, can lead to deficiency of some nutrients. Aim of the study was to evaluate some indicators of nutritional security of children with a restrictive type of nutrition and living in the territory of a long-term military conflict in the Donbass. Material and methods. 80 school-age children following restrictive diets were examined. All patients were divided into two groups: 40 children following a dairy-free diet (group 1), 40 children on a vegetarian type of diet (group 2). The control group consisted of 30 children who adhere to the traditional type of diet. Calcium, ferritin, vitamin B12 and zinc content in blood serum were studied in all children, living in Donbass. Results. In group 1 deficiency of calcium was found in 60.0 %, of zinc – in 32.5 %, of vitamin B12 – in 15.0 %, a decrease in ferritin content – in 22.5 %. In group 2 level of ferritin was declined in 55.0%, zinc deficiency was detected in 37.5 %, vitamin B12 deficiency – in 30.0 %, calcium deficiency – in 10.0 %. Conclusions. For children on a long-term dairy-free diet, calcium and zinc deficiency is characteristic, as well as a decrease in tissue iron reserves. Children who observe lactovegetarianism are characterized by a deficiency of zinc and vitamin B12, as well as a decrease in the concentration of ferritin in the blood serum. Children living in the Donbass in the conditions of a long military conflict and adhering to restrictive types of nutrition can be considered as a risk group for the development of deficient conditions. To correct the identified imbalance, it is necessary to develop programs for the supplementation of macro- and micronutrients.
遵循素食饮食意味着,在不同程度上,从饮食中排除动物产品,如果计划不当,可能会导致某些营养素的缺乏。这项研究的目的是评估一些营养受到限制的儿童的营养安全指标,这些儿童生活在顿巴斯长期军事冲突的地区。材料和方法。对80名学龄儿童进行了限制性饮食检查。所有患者被分为两组:40名儿童遵循无乳制品饮食(第一组),40名儿童遵循素食饮食(第二组)。对照组由30名坚持传统饮食的儿童组成。研究了顿巴斯所有儿童血清中钙、铁蛋白、维生素B12和锌的含量。结果。在第一组中,60.0%的人缺钙,32.5%的人缺锌,15.0%的人缺乏维生素B12, 22.5%的人缺乏铁蛋白。第二组铁蛋白水平下降55.0%,缺锌37.5%,维生素B12缺乏症30.0%,缺钙10.0%。结论。对于长期不吃乳制品的儿童来说,钙和锌的缺乏是典型的,同时组织铁储备也会减少。观察到乳素食主义的儿童的特点是缺乏锌和维生素B12,以及血清中铁蛋白浓度的降低。在长期军事冲突的条件下生活在顿巴斯的儿童,坚持限制类型的营养,可被视为发展为缺乏条件的风险群体。为了纠正这种确定的不平衡,有必要制定补充宏量和微量营养素的计划。
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引用次数: 0
New synthetic monophenolic antioxidant TS-13 penetrates the blood-brain barrier 新合成的单酚类抗氧化剂TS-13可穿透血脑屏障
Q4 Biochemistry, Genetics and Molecular Biology Pub Date : 2023-10-30 DOI: 10.18699/ssmj20230513
M. V. Khrapova, O. S. Bryushinina, Yu. G. Zyuzkova, N. V. Kandalintseva, E. B. Menshchikova
TS-13 (sodium 3-(3’-tert-butyl-4’-hydroxyphenyl)propylthiosulfonate) is a synthetic antioxidant that has demonstrated biological effectiveness in numerous studies in modeling pathological conditions in vivo, in particular, in the model of Parkinson’s disease. In order to establish whether these effects are mediated or associated, among other things, with the direct effect of TS-13 on the organs and tissues of animals, in this work, the concentration of TS-13 in rat blood plasma and brain after intragastric administration was determined. Material and methods . After a single intragastric administration of a solution of TS-13 at a dose of 100 mg/kg, biomaterial (blood, brain) was taken for 24 h in male Sprague Dawley stock rats (n = 57). To measure the concentration of a substance in samples, a bioanalytical method was developed and validated using high-performance liquid chromatography with UV detection. Results and discussion . The method of quantitative determination was developed by us for the first time and validated before the study. It has been established that the calculated values of the calibration samples meet the acceptance criteria (have the required accuracy and precision) in the concentration range from 0.05 to 6 µg/ml, R=0.9998. The results of determining TS-13 concentration in rat blood plasma and brain showed that after a single administration per os, the compound enters the blood, where it is detected for 15 h (mean retention time 7.94 h, half-life 7.59 h, elimination constant 0.13 h-1, total clearance 40.1 l/(kg × h)), and also penetrates the blood-brain barrier, quickly entering the brain (maximum concentration is reached after 1 h). The compound has a low affinity for brain tissue (tissue availability 0.32), and therefore its concentration does not reach high values, however, a slow excretion of the substance is observed - the average retention time is 6.56 h, the half-life is 6.43 h, the elimination constant 0.11 h-1. Conclusions. After a single intragastric administration to rats, TS-13 enters the blood, where at least part of it is detected unchanged after 30 minutes, reaching maximum values after 1 hour. Similar kinetics of the substance is characteristic of the brain, where it is found in smaller amounts. Thus, as a result of the study, it was shown that TS-13 penetrates the blood-brain barrier and is able to directly affect brain structures, which, however, does not negate the possibility of an indirect effect mediated by the ability to change the activity of intra- and intercellular signaling systems.
TS-13(3 -(3 ' -叔丁基-4 ' -羟基苯基)丙基硫磺酸钠)是一种合成抗氧化剂,在许多体内病理条件建模研究中,特别是在帕金森病模型中,已经证明了其生物学有效性。为了确定这些作用是否与TS-13对动物器官和组织的直接作用有关,本研究测定了灌胃后大鼠血浆和脑组织中TS-13的浓度。材料和方法。57只雄性sd大鼠单次灌胃剂量为100 mg/kg的TS-13溶液后,取生物材料(血、脑)24 h。为了测量样品中某种物质的浓度,建立了一种生物分析方法,并利用高效液相色谱和紫外检测进行了验证。结果和讨论。该方法是我们首次建立的定量测定方法,并在研究前进行了验证。在0.05 ~ 6µg/ml的浓度范围内,标定样品的计算值符合验收标准(具有要求的准确度和精密度),R=0.9998。测定大鼠血浆和脑组织中TS-13的浓度结果表明,单次给药后,化合物进入血液,在血液中检测15 h(平均滞留时间7.94 h,半衰期7.59 h,消除常数0.13 h-1,总清除率40.1 l/(kg × h)),并能穿透血脑屏障,快速进入大脑(1 h后达到最大浓度)。化合物对脑组织亲和力低(组织有效度0.32)。因此其浓度不高,但排泄缓慢,平均滞留时间为6.56 h,半衰期为6.43 h,消除常数为0.11 h-1。结论。大鼠单次灌胃后,TS-13进入血液,30分钟后检测到至少部分TS-13不变,1小时后达到最大值。这种物质的类似动力学是大脑的特征,在大脑中发现的量较少。因此,研究结果表明,TS-13可以穿透血脑屏障,并能够直接影响大脑结构,然而,这并不能否定通过改变细胞内和细胞间信号系统活性的能力介导的间接影响的可能性。
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引用次数: 0
Influence of alcohol consumption on the levels of surfactant proteins SP-A and SP-D in blood in men and women in Novosibirsk 饮酒对新西伯利亚男性和女性血液中表面活性剂蛋白SP-A和SP-D水平的影响
Q4 Biochemistry, Genetics and Molecular Biology Pub Date : 2023-10-30 DOI: 10.18699/ssmj20230514
K. Yu. Nikolaev, I. A. Kosarev, N. F. Dadashova, Ya. K. Lapitskaya
The purpose of the study is to associate alcohol consumption with the level of surfactant proteins SP-A and SP-D in Novosibirsk population. Material and methods. 174 people (87 men and 87 women) aged from 45 to 69 were examined. The study participants were randomly selected. Alcohol consumption was assessed using the AUDIT test. The content of surfactant proteins SP-A and SP-D in blood serum was determined by enzyme immunoassay using standard ELISA test sets. Statistical analysis was performed using parametric and nonparametric methods of descriptive statistics, correlation analysis was performed using Spearman criterion, and multivariate analysis was performed using binary logistic regression. ROC analysis was used to evaluate the diagnostic significance of the variables and to determine sensitivity and specificity. The critical level of significance for the null hypothesis (p) was accepted to be 0.05 in all statistical analysis procedures. Results. A typical single dose of alcohol consumed of 7–9 alcohol units (TSDAC) was inversely associated with SP-A content (r = –0.154, p = 0.043) in a general sample of men and women aged 45–59 years in Novosibirsk. By means of ROC analysis, SP-A was found to be a marker (area under the ROC curve equals 71.2 %) of alcohol intake in TSDAC. With a SP-A level not more than 921 pg/ml, its sensitivity to the determination of alcohol consumption in TSDAC is 68.7 %, the specificity is 87.5 %. Regression analysis showed that the variable “TSDAC” directly affects the presence of SP-A in a concentration not preceding 921 pg/ml (Exp (B) = 13.0; 95 % CI = 1.5; 111.0, p = 0.019) regardless of age and sex. In the general sample of men and women in Novosibirsk aged 45–69 years, as well as in men, inverse associations of Sp-D content with the presence of >0 points were found in the answer to the AUDIT test question “How often during the last year have you not done something that was expected of you?”. It was determined that women had a higher level of SP-A in the blood than men. Perhaps this is due to the fact that women smoked less often than men (10.3 and 23.0 %, respectively, p = 0.020). So, it was established that a high TSDAC is an independent factor directly influencing the presence of SP-A level in the blood not exceeding 921 pg/ml for men and women aged 45–69 years in Novosibirsk.
该研究的目的是将酒精消费与新西伯利亚人群中表面活性剂蛋白SP-A和SP-D的水平联系起来。材料和方法。174人(87男87女),年龄从45岁到69岁。研究参与者是随机选择的。使用AUDIT测试评估酒精消耗。采用酶免疫法测定血清中表面活性蛋白SP-A和SP-D的含量。采用参数和非参数描述性统计方法进行统计分析,采用Spearman标准进行相关性分析,采用二元逻辑回归进行多变量分析。采用ROC分析评价各变量的诊断意义,确定敏感性和特异性。在所有统计分析程序中,原假设的临界显著性水平(p)均接受为0.05。结果。在新西伯利亚45-59岁的男性和女性一般样本中,7-9个酒精单位(TSDAC)的典型单剂量饮酒与SP-A含量呈负相关(r = -0.154, p = 0.043)。通过ROC分析,发现SP-A是TSDAC中酒精摄入量的标志(ROC曲线下面积为71.2%)。在SP-A含量不大于921 pg/ml的条件下,其测定TSDAC中酒精消耗量的灵敏度为68.7%,特异性为87.5%。回归分析表明,TSDAC变量直接影响SP-A在不低于921 pg/ml的浓度下的存在(Exp (B) = 13.0;95% ci = 1.5;111.0, p = 0.019),与年龄和性别无关。在新西伯利亚45-69岁的男性和女性以及男性的一般样本中,在审计测试问题“过去一年中你有多少次没有做你应该做的事情?”的答案中,发现Sp-D含量与>0分的存在呈负相关。结果表明,女性血液中的SP-A含量高于男性。这可能是由于女性吸烟的频率低于男性(分别为10.3%和23.0%,p = 0.020)。因此,确定高TSDAC是直接影响新西伯利亚地区45-69岁男女血液中SP-A水平不超过921 pg/ml的独立因素。
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引用次数: 0
Association of vitamin D deficiency and preterm birth 维生素D缺乏和早产的关系
Q4 Biochemistry, Genetics and Molecular Biology Pub Date : 2023-10-30 DOI: 10.18699/ssmj20230515
T. G. Denisova, E. N. Vasileva, A. E. Sidorov, E. A. Denisovа, V. M. Levitskaya, T. N. Sidorova
In 70 % of cases of neonatal death, in 36 % of cases of infant mortality, in 25–50 % of cases of long-term neurological consequences in children, one of the causes is preterm birth. The course of pregnancy depends on the availability of vitamin D. The aim of the study was to determine the level of vitamin D and to analyze the obstetric and gynecological history in patients with preterm labor. Materials and methods. The study included 35 patients with preterm delivery and 30 women with the physiological course of labor. In the surveyed, vitamin D sufficiency was assessed by the content of 25(OH)D in blood serum, which was determined according to the clinical recommendations of the Russian Association of Endocrinologists, using the enzyme immunoassay method. Results. In patients with preterm labor, vitamin D deficiency and a high level of chronic inflammatory diseases of the respiratory, kidney and pelvic organs were revealed. Conclusions . Therefore, when managing pregnant women, it is necessary to take into account their availability of vitamin D and, possibly, recommend taking vitamin D preparations from the period of preconception preparation and during gestation.
在70%的新生儿死亡病例、36%的婴儿死亡病例、25 - 50%的儿童长期神经后果病例中,原因之一是早产。妊娠过程取决于维生素D的可获得性。本研究的目的是确定维生素D的水平,并分析早产患者的产科和妇科病史。材料和方法。该研究包括35例早产患者和30例生理分娩过程的妇女。在调查中,维生素D的充足性是通过血清中25(OH)D的含量来评估的,该含量是根据俄罗斯内分泌学家协会的临床建议,使用酶免疫分析法确定的。结果。在早产患者中,维生素D缺乏和呼吸、肾脏和盆腔器官的高水平慢性炎症疾病被揭示出来。结论。因此,在管理孕妇时,有必要考虑到其维生素D的可用性,并可能建议从孕前准备和妊娠期间服用维生素D制剂。
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引用次数: 0
Study of the immunotoxic properties of pegylated hyaluronidase 聚乙二醇化透明质酸酶免疫毒性的研究
Q4 Biochemistry, Genetics and Molecular Biology Pub Date : 2023-10-30 DOI: 10.18699/ssmj20230512
K. I. Ershov, A. M. Shvetsova, E. Yu. Sherstoboev, A. A. Churin, V. V. Zhdanov, M. A. Korolev, P. G. Madonov
The development of safe drugs occupies a special place in the pharmaceutical industry. One of the main tasks of its preclinical phase is to evaluate possible toxic effects of the developed drug on the body and on various systems, including the immune system. The aim of our work was to study immunotoxic properties of pegylated hyaluronidase (PEG- HYAL). Material and methods. Mice F1(CBA/C57Bl/6) were divided into subgroups which were intragastric and intraperitoneally administered with PEG-HYAL in different dosages (50, 500, 1250, 2500 and 5000 U/kg). The number of antibody-producing cells in the spleen, the mass and cellularity of central and peripheral immune organs, phagocytic activity of peritoneal macrophages and neutrophils, delayed hypersensitivity reaction (DHR), level of hemagglutinin to sheep erythrocytes, spontaneous and mitogen-induced splenocyte proliferation were determined. Results. PEG-HYAL did not induce DHR, did not suppress phagocyte activity of peritoneal macrophages, at a dose of 50 ED/kg did not significantly affect the hemagglutinin content to erythrocytes, but at a dose of 500 ED/kg did statistically significantly reduce the titer of specific antibodies. When experimental animals were exposed to PEG-HYAL at doses of 50 and 500 U/kg, spontaneous and mitogen-induced proliferation of splenocytes decreased. Conclusions. The PEG-HYAL trial produced results that can be used to substantiate the administration of the PEG-HYAL-based medication.
安全药物的开发在医药工业中占有特殊的地位。其临床前阶段的主要任务之一是评估所开发药物对身体和各种系统(包括免疫系统)可能产生的毒性作用。本研究的目的是研究聚乙二醇透明质酸酶(PEG- HYAL)的免疫毒性。材料和方法。将F1(CBA/C57Bl/6)小鼠分为不同剂量(50、500、1250、2500、5000 U/kg)灌胃和腹腔注射PEG-HYAL的亚组。测定脾脏中抗体产生细胞的数量、中央和外周免疫器官的质量和细胞数量、腹腔巨噬细胞和中性粒细胞的吞噬活性、延迟性超敏反应(DHR)、绵羊红细胞血凝素水平、自发和丝裂原诱导的脾细胞增殖。结果。PEG-HYAL不诱导DHR,不抑制腹腔巨噬细胞的吞噬活性,50 ED/kg剂量对红细胞血凝素含量无显著影响,500 ED/kg剂量可显著降低特异性抗体滴度。当实验动物暴露于PEG-HYAL剂量为50和500 U/kg时,脾细胞自发增殖和丝裂原诱导的增殖减少。结论。PEG-HYAL试验产生的结果可用于证实基于PEG-HYAL的药物的施用。
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引用次数: 0
Possibilities of a computerized training program for recovery of the attention and memory function in vascular cognitive disorders 血管性认知障碍患者注意力和记忆功能恢复的计算机化训练方案的可能性
Q4 Biochemistry, Genetics and Molecular Biology Pub Date : 2023-10-30 DOI: 10.18699/ssmj20230516
I. V. Tarasova, O. M. Razumnikova, O. A. Trubnikova, I. N. Kukhareva, I. D. Syrova, O. L. Barbarash
Aim of the study was to assess the possibilities of recovering the functions of attention and short-term memory in patients with vascular cognitive disorders using a computer program for cognitive training. Material and methods. The study included 17 cardiac surgery patients who underwent a course of cognitive training, starting from 3–4 days after surgery, daily for 5–7 days. The cognitive training program consisted of tasks stimulating the functions of selective attention, visuospatial and working memory. Results. Almost all patients (88 %) reported an acceptable level of subjective difficulty in the performing cognitive training. After completing the cognitive training program, the selective attention improved in 53 % of cases, working memory – in 67 %, the visuospatial memory test scores – in 47 % of patients. Conclusions . The computer-based cognitive training program showed acceptable subjective difficulty in cardiac surgery patients. Approximately 50 % of patients showed an improvement in trained cognitive functions at the final stage of training. The results of approbation of the cognitive training program give an opportunity to determine the degree of compliance of cognitive rehabilitation methods with the psychophysiological status of patients undergoing cardiac surgery, including in the late postoperative period.
该研究的目的是评估使用计算机程序进行认知训练恢复血管性认知障碍患者的注意力和短期记忆功能的可能性。材料和方法。该研究包括17名心脏手术患者,他们接受了一个认知训练课程,从手术后3-4天开始,每天5-7天。认知训练项目包括刺激选择性注意、视觉空间和工作记忆功能的任务。结果。几乎所有的患者(88%)报告在进行认知训练时主观难度达到可接受的水平。在完成认知训练项目后,53%的患者的选择性注意力有所改善,67%的患者的工作记忆有所改善,47%的患者的视觉空间记忆测试成绩有所改善。结论。以计算机为基础的认知训练程序显示心脏手术患者的主观难度是可以接受的。大约50%的患者在训练的最后阶段表现出训练后认知功能的改善。认知训练方案的批准结果为确定认知康复方法与心脏手术患者(包括术后后期)心理生理状态的依从程度提供了机会。
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引用次数: 0
Synthetic antioxidant TS-13 reduces doxorubicin cardiotoxicity 合成抗氧化剂TS-13降低阿霉素心脏毒性
Q4 Biochemistry, Genetics and Molecular Biology Pub Date : 2023-10-29 DOI: 10.18699/ssmj20230511
E. B. Menshchikova, R. A. Knyazev, N. V. Trifonova, N. A. Deeva, A. R. Kolpakov, L. P. Lidia P. Romakh, N. V. Kandalintseva
The antitumor antibiotic doxorubicin, a representative of a large group of anthriacyclines, is widely and quite effectively used to treat patients with malignant neoplasms. The aim of this study was to study the effect of TS-13, a synthetic phenolic antioxidant and an activator of the antioxidant-responsive element redox-sensitive signaling system Keap1/ Nrf2/ARE, on the functional parameters of an isolated rat heart after a course of doxorubicin administration. Material and methods. Male Wistar rats (n = 24) were divided into three groups: control (n = 10), doxorubicin group (n = 7) (3 weekly intraperitoneal injections of doxorubicin solution at a cumulative dose of 15 mg/kg) and doxorubicin + TS-13 (n = 7) (administration of doxorubicin according to a similar scheme, TS-13 solution with drinking water). On the 21st day after the start of the experiment, the cardioprotective effect of TS-13 was assessed on the ex vivo model of perfusion of the heart isolated according to Langendorff. Coronary flow, heart rate (HR), pressure in the left ventricle (myocardial contractility) were recorded as parameters of myocardial functional activity; the integral indicator of myocardial contractility (working capacity) was calculated as the product of HR and pressure in the left ventricle. Results and discussion. The general toxic effect of doxorubicin was manifested in a significant decrease in rat body weight (by 21 %), the administration of TS-13 reduced the cachectic effect of the cytostatic. Doxorubicin worsened heart work by all studied parameters (coronary flow, HR, myocardial contractility and integral index of contractility); the effect persisted throughout the entire perfusion period (40 min). Animals treated with intraperitoneal injections of doxorubicin and TS-13 per os lost weight to a lesser extent, the functional activity of isolated hearts improved significantly – coronary flow, pressure in the left ventricle, and working capacity increased. Conclusions. Since, as we have shown earlier, TS-13 administration not only does not cancel, but even potentiates the antitumor activity of doxorubicin, the results obtained indicate the promise of using TS-13 as an adjuvant therapy for malignant neoplasms, enhancing the antitumor effect of the cytostatic and leveling its side effects, including cardiotoxicity.
抗肿瘤抗生素阿霉素是一大类蒽环类药物的代表,广泛有效地用于治疗恶性肿瘤患者。本研究旨在研究TS-13(一种合成酚类抗氧化剂和抗氧化反应元件氧化还原敏感信号系统Keap1/ Nrf2/ARE的激活剂)对阿霉素给药一个疗程后离体大鼠心脏功能参数的影响。材料和方法。雄性Wistar大鼠(n = 24)分为3组:对照组(n = 10)、阿霉素组(n = 7)(每周3次腹腔注射阿霉素溶液,累积剂量为15 mg/kg)和阿霉素+ TS-13 (n = 7)(按类似方案,TS-13溶液与饮用水一起给药)。实验开始后第21天,采用Langendorff法分离心脏体外灌注模型,评价TS-13的心脏保护作用。记录冠状动脉血流、心率(HR)、左心室压(心肌收缩力)作为心肌功能活动参数;心肌收缩力积分指标(工作能力)计算为HR与左心室压力的乘积。结果和讨论。阿霉素的一般毒性作用表现为大鼠体重的显著下降(21%),TS-13的施用减少了细胞抑制剂的恶病质作用。阿霉素使所有研究参数(冠状动脉血流、HR、心肌收缩力和整体收缩力指数)的心脏工作恶化;这种效果持续整个灌注期(40分钟)。腹腔注射阿霉素和TS-13的动物体重减轻程度较轻,离体心脏的功能活动显著改善——冠状动脉血流、左心室压力和工作能力增加。结论。因为,正如我们之前所展示的,TS-13给药不仅不会取消,甚至会增强阿霉素的抗肿瘤活性,所获得的结果表明,TS-13有望作为恶性肿瘤的辅助治疗,增强细胞抑制剂的抗肿瘤作用,并消除其副作用,包括心脏毒性。
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引用次数: 0
Anterior talofibular ligament plastic in patients with chronic ankle instability (literature review) 距腓骨前韧带成形术治疗慢性踝关节不稳(文献回顾)
Q4 Biochemistry, Genetics and Molecular Biology Pub Date : 2023-10-27 DOI: 10.18699/ssmj20230508
G. G. Zakharov, M. A. Zakharova, A. V. Lychagin, A. R. Drogin, A. A. Podlesnaya
Ankle joint injury is one of the leading nosologies in the general structure of the musculoskeletal system lesions, not only among professional athletes, but also among the adult population in general. In case of conservative therapy ineffectiveness, chronic instability of the ankle joint develops, which can significantly reduce the patient’s quality of life, in this situation, the surgical treatment becomes uncontested. The choice of the surgical intervention method is determined not only by the nature of the injury, but also by the ligamentous-tendon apparatus condition. In addition, to a large extent, surgical tactics is chosen based on the preferences of the individual surgeon. The article describes the anatomical and physiological features and risk factors that determine the occurrence of acute the ankle joint instability and its transition to a chronic state, as well as the main methods of the anterior talofibular ligament plastic surgery and their common modifications. Special attention is paid to the effectiveness evaluating methods of surgical techniques on cadaveric ligamentous material. An analysis of the literature shows that the study of the issue remains insufficient. New clinical data obtaining will increase the effectiveness of the surgical technique for ankle instability treating and significantly improve the quality of life of patients.
踝关节损伤是肌肉骨骼系统一般结构病变的主要分类学之一,不仅在专业运动员中如此,而且在一般成年人中也是如此。在保守治疗无效的情况下,踝关节发生慢性不稳定,这可以显著降低患者的生活质量,在这种情况下,手术治疗变得毫无争议。手术干预方法的选择不仅取决于损伤的性质,还取决于韧带-肌腱装置的状况。此外,在很大程度上,手术策略的选择是基于个体外科医生的偏好。本文介绍了急性踝关节不稳的发生及向慢性状态过渡的解剖、生理特点和危险因素,以及距腓骨前韧带整形手术的主要方法和常见的改良方法。特别注意对尸体韧带材料的手术技术的有效性评价方法。对文献的分析表明,对这一问题的研究仍然不足。新的临床数据的获得将提高手术技术治疗踝关节不稳的有效性,并显著改善患者的生活质量。
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Sibirskii nauchnyi meditsinskii zhurnal
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