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Multiple functions of tumor supressor p53 肿瘤抑制因子p53的多种功能
Pub Date : 2022-07-19 DOI: 10.17816/maj79623
A. Gudkova, O. Antimonova, M. Shavlovsky
One of the most investigated and inscrutable eukaryotic proteins is a factor positioned as tumor suppressor which structural changes are observed in 50% of malignant cells. In the literature this protein is referred to as p53. The generalized function of p53 resolves to maintaining of cell genetic stability and preventing cell automatization. Therefore, p53 was called the keeper, or guardian, of the genome. Suppressive activity of p53 in regard to appearance of malignant cells seems to be side function of this protein. The present review prоvides data on the role of p53 in various vital processes in eukaryotic cells. p53 is a complex protein in its domain structure, and the semi-autonomous role of individual domains is clearly discernible. Normally, p53 is not a crucial factor in ontogenesis. At the same time p53 modulates the activity of about 500 different genes and also maintains homeostasis in cells and organism directly via protein-protein interactions. In response to exogenous and endogenous impacts p53 provides a balance of cellular metabolism and either promotes elimination of abnormalities, or triggers an apoptotic cascade. The review summarizes current considerations of p53 multiple functions as well as discusses already established and not yet disclosed mechanisms concerning involvement of said factor in cellular metabolism.
作为肿瘤抑制因子的真核蛋白之一,其结构变化在50%的恶性细胞中观察到。在文献中,这种蛋白质被称为p53。p53的广义功能是维持细胞遗传稳定性和防止细胞自动化。因此,p53被称为基因组的守护者。p53在恶性细胞出现方面的抑制活性似乎是该蛋白的副功能。本文综述了p53在真核细胞各种重要过程中的作用。P53是一个结构域结构复杂的蛋白,单个结构域的半自治作用是清晰可辨的。正常情况下,p53并不是个体形成的关键因素。同时,p53调节约500种不同基因的活性,并通过蛋白-蛋白相互作用直接维持细胞和生物体的内稳态。在应对外源性和内源性影响时,p53提供细胞代谢平衡,促进异常消除或触发凋亡级联反应。这篇综述总结了目前对p53多种功能的考虑,并讨论了已经建立的和尚未披露的有关该因子参与细胞代谢的机制。
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引用次数: 0
Modern understanding of the consequences of lack of sleep 对睡眠不足后果的现代理解
Pub Date : 2022-07-19 DOI: 10.17816/maj81192
Yury V. Gavrilov
Sleep deficit disrupts the normal function of systems and organs in humans and becomes epidemic in nature. Knowledge of the physiology of sleep and the impact of sleep deprivation on the body has expanded in recent years and allows a new assessment of the scale and depth of the problem. In the review summarizes current ideas about the effect of lack of sleep on chronic diseases and pathological processes, taking into account various body systems. Different reviews and studies over the past years have been analyzed, related to lack of sleep which contributes to the development of various diseases, have been analyzed. The use of new information about the impact of sleep on human health and the consequences of its lack opens up additional perspectives in understanding experimental and clinical work. This information can be actively used in diagnostics and therapy within the framework of integrative medicine.
睡眠不足会扰乱人体系统和器官的正常功能,并成为自然界的流行病。近年来,关于睡眠生理学和睡眠剥夺对身体影响的知识得到了扩展,并允许对问题的规模和深度进行新的评估。本文总结了目前关于睡眠不足对慢性疾病和病理过程影响的观点,并考虑了不同的身体系统。分析了过去几年的不同评论和研究,分析了睡眠不足导致各种疾病的发展。关于睡眠对人类健康的影响以及缺乏睡眠的后果的新信息的使用,为理解实验和临床工作开辟了额外的视角。这些信息可以在综合医学的框架内积极用于诊断和治疗。
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引用次数: 0
The impact of nebivolol, carvedilol and propranolol on pulmonary microhemodynamics in case of experimental pulmonary thromboembolism in rabbits 奈比洛尔、卡维地洛尔和心得安对实验性肺血栓栓塞兔肺微血流动力学的影响
Pub Date : 2022-07-19 DOI: 10.17816/maj96368
V. I. Evlakhov, I. Z. Poyassov, T. P. Berezina
BACKGROUND: Beta-adrenoblockers nebivolol, carvedilol and propranolol are used in clinical cardiology for the treatment of patients with ischemic heart disease. Pulmonary thromboembolism can develop in such patients. However, its unknown, what will be the pulmonary microcirculatory changes in case of pulmonary thromboembolism after pretreatment with beta-blockers. AIM: The comparative analysis of the pulmonary microhemodynamics changes following experimental pulmonary thromboembolism in rabbits after pretreatment with nebovolol, carvedilol and propranolol. MATERIAL AND METHODS: In 35 isolated perfused rabbit lungs we investigated the changes of pulmonary microcirculation in case of experimental pulmonary thromboembolism after pretreatment with 1-blocker nebivolol, combined blocker of 1- and 1, 2-adrenoceptors carvedilol, and blocker of 1, 2-adrenoceptors propranolol. RESULTS: After administration of 1, 2-adrenoceptors blocker propranolol and 1-blocker nebivolol the most of the pulmonary microcirculatory parameters increased. Combined 1-, 1, 2-blocker carvedilol caused mainly vasodilatory effects of the pulmonary arterial vessels, however, the pulmonary venous resistance increased. Pulmonary thromboembolism after pretreatment with beta-blockers caused pronounced increase of pulmonary artery pressure, precapillary and pulmonary vascular resistance. In that case after pretreatment with carvedilol capillary filtration coefficient was increased two times more than after propranolol administration; after pretreatment with nebivolol capillary filtration coefficient increased less, than after propranolol administration. CONCLUSIONS: Acute pulmonary embolism caused less pronounced increasing of capillary filtration coefficient in case of nebivolol administration, than after pretreatment with carvedilol and propranolol.
背景:β -肾上腺素阻滞剂奈比洛尔、卡维地洛尔和心得安在临床心脏病学中用于缺血性心脏病患者的治疗。这类患者可发生肺血栓栓塞。然而,在肺血栓栓塞的情况下,β受体阻滞剂预处理后的肺微循环变化是未知的。目的:比较分析纳波洛尔、卡维地洛尔和心得安预处理后实验性肺血栓栓塞兔肺微血流动力学的变化。材料与方法:对35只离体兔肺进行灌注,研究1-受体阻滞剂奈比洛、1-和1,2 -肾上腺素受体阻滞剂卡维地洛和1,2 -肾上腺素受体阻滞剂普萘洛尔预处理后实验性肺血栓栓塞时肺微循环的变化。结果:1,2 -肾上腺素受体阻滞剂普萘洛尔和1-受体阻滞剂奈比洛尔给药后,肺微循环参数大部分升高。联用1-,1,2 -阻滞剂卡维地洛主要引起肺动脉血管的扩张作用,但肺静脉阻力增加。β受体阻滞剂预处理后的肺血栓栓塞引起肺动脉压、毛细血管前和肺血管阻力明显升高。卡维地洛预处理后毛细血管过滤系数比普萘洛尔预处理后提高2倍;纳比洛尔预处理后毛细血管过滤系数比普萘洛尔处理后的增加幅度小。结论:与卡维地洛和心得安预处理相比,纳比洛尔对急性肺栓塞患者毛细血管滤过系数的升高不明显。
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引用次数: 0
Receptor-binding domain of SARS-CoV-2 contribution to the neutrophil activation during 100 nm particle-induced immune response in conduction airway mucosa of mice SARS-CoV-2受体结合域在100 nm颗粒诱导的小鼠气道粘膜免疫应答中对中性粒细胞激活的贡献
Pub Date : 2021-12-06 DOI: 10.17816/maj79206
E. Bolkhovitina, J. Vavilova, A. Bogorodskiy, I. Okhrimenko, V. Borshchevskiy, M. Shevchenko
BACKGROUND: Airborne pathogens such as virus particles undergo elimination from the respiratory tract by mucociliary clearance and phagocytosis by immune cells. The data about phagocytic cell type infiltration and stimuli that attract phagocytic cells to conducting airway are required for the anti-virus immune response mechanism understanding and the treatment strategy development. AIM: To detect the role of the receptor-binding domain of SARS-CoV-2 in neutrophil immune response activation in conducting airway mucosa after 100 nm particles application. MATERIALS AND METHODS: C57BL/6 mice received an oropharyngeal application of fluorescent 100 nm particles suspended in the receptor-binding domain of SARS-CoV-2 solution. 24 hours after, conducting airways of mice were dissected and subjected for immunohistochemistry as whole-mounts. Three-dimensional images of conducting airway regions were obtained using confocal microscopy. Quantitative image analysis was performed to estimate the ingestion activity of neutrophils in conducting airway mucosa. RESULTS: Neutrophil migration to conducting airway mucosa was detected in case of the application of particles in receptor-binding domain solution, but not in phosphate buffer or bovine serum albumin solution. Receptor-binding domain solution alone also induced neutrophil migration to conducting airway mucosa. Infiltrating conducting airway wall mucosa neutrophils contributed to particles internalization. CONCLUSIONS: The receptor-binding domain of SARS-CoV-2 can activate the neutrophil-mediated response in conducting airway mucosa.
背景:空气传播的病原体,如病毒颗粒,通过粘膜纤毛清除和免疫细胞的吞噬从呼吸道中消除。了解吞噬细胞类型的浸润和吸引吞噬细胞进入气道的刺激因素是了解抗病毒免疫反应机制和制定治疗策略的必要条件。目的:探讨SARS-CoV-2受体结合结构域在100 nm导气管粘膜中性粒细胞免疫反应激活中的作用。材料与方法:C57BL/6小鼠接受悬浮在SARS-CoV-2溶液受体结合区域的荧光100 nm颗粒口咽应用。24小时后,解剖小鼠导气管,作全载免疫组化处理。利用共聚焦显微镜获得导气管区域的三维图像。定量图像分析用于估计导气管粘膜中性粒细胞的摄取活性。结果:在受体结合域溶液中应用颗粒可检测到中性粒细胞向导气管粘膜的迁移,而在磷酸盐缓冲液或牛血清白蛋白溶液中未检测到中性粒细胞向导气管粘膜的迁移。受体结合结构域溶液也能诱导中性粒细胞向导气管粘膜迁移。浸润性导气管壁粘膜中性粒细胞有助于颗粒内化。结论:SARS-CoV-2受体结合域可激活导气管粘膜中性粒细胞介导的应答。
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引用次数: 0
Analysis of metabolomic and genomic markers for diagnosing cardiovascular diseases 诊断心血管疾病的代谢组学和基因组标记分析
Pub Date : 2021-12-06 DOI: 10.17816/maj76043
Z. V. Zharkova, A. Yasenyavskaya, I. B. Nikitina, I. V. Goretova, I. Fedoseev, O. Bashkina, M. Samotrueva
Cardiovascular disease is the leading cause of death in the population. Unfortunately, cardiovascular disease and its associated risks are often difficult to diagnose due to the many factors associated with age and other comorbidities that lead to significant uncertainty in diagnostic classification and therapeutic decision making. Therefore, there is a great need to find new biomarkers for more accurate diagnosis, risk assessment and treatment recommendations for both acute and chronic cardiovascular disease. This article presents an analysis of metabolomic and genomic markers used for the diagnosis of cardiovascular disease. The study of the metabolome in combination with the genome and proteome can provide important information about both the pathogenesis of cardiovascular disease and the ability to search for and identify new cardiovascular disease biomarkers. Along with the fundamental data on new cardiovascular disease biomarkers, there is an urgent need for further research confirming their great potential for practical health care.
心血管疾病是人口死亡的主要原因。不幸的是,由于与年龄和其他合并症相关的许多因素导致诊断分类和治疗决策的重大不确定性,心血管疾病及其相关风险往往难以诊断。因此,迫切需要寻找新的生物标志物,以更准确地诊断、评估急性和慢性心血管疾病的风险并提出治疗建议。本文介绍了用于心血管疾病诊断的代谢组学和基因组标记的分析。代谢组学与基因组和蛋白质组学的结合研究可以为心血管疾病的发病机制和寻找和鉴定新的心血管疾病生物标志物提供重要信息。随着新的心血管疾病生物标志物的基础数据,迫切需要进一步研究,以确认其在实际医疗保健中的巨大潜力。
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引用次数: 0
The role of coinfection with influenza viruses in the pathogenesis of severe infection in patients with COVID-19 合并流感病毒感染在COVID-19重症感染发病机制中的作用
Pub Date : 2021-12-06 DOI: 10.17816/maj78155
T.N. Shvedova, O. Kopteva, Polina Kudar, A. Lerner, Yuliya A. Desheva
BACKGROUND: Despite the continuing global spread of the coronavirus infection COVID-19 caused by the SARS-CoV-2 coronavirus, the mechanisms of the pathogenesis of severe infections remain poorly understood. The role of comorbidity with other seasonal viral infections, including influenza, in the pathogenesis of the severe course of COVID-19 remains unclear. MATERIALS AND METHODS: The present study used sera left over from ongoing laboratory studies of patients with varying degrees of severity of COVID-19. The study was approved by the Local Ethics Committee of the Federal State Budgetary Scientific Institution IEM (protocol 3/20 from 06/05/2020). We studied 28 paired samples obtained upon admission of patients to the hospital and after 57 days of hospital stay. Paired sera of patients with COVID-19 were tested for antibodies to influenza A and B viruses. The presence of IgG antibodies specific to the SARS-CoV-2 spike (S) protein was studied using an enzyme-linked immunosorbent assay (ELISA). The serum concentration of C-reactive protein and the neutrophil-lymphocyte ratio on the day of hospitalization were also assessed. RESULTS: At least a 4-fold increase in serum IgG antibodies to SARS-CoV-2 S protein was found both in patients with PCR-confirmed SARS-CoV-2 infection and without PCR confirmation. It was shown that out of 18 patients with moderate and severe forms of COVID-19 infection, six of them showed at least a 4-fold increase in antibodies to influenza A/H1N1, in one to influenza A/H3N2 and in two cases to the influenza B. Laboratory data in these two groups were characterized by significant increases in serum C-reactive protein and neutrophil-lymphocyte ratio concentrations compared with the moderate COVID-19 group. CONCLUSIONS: Serological diagnostics can additionally detect cases of coronavirus infection when the virus was not detected by PCR. In moderate and severe cases of COVID-19, coinfections with influenza A and B viruses have been identified. The results obtained confirm the need for anti-influenza immunization during the SARS-CoV-2 pandemic. Influenza virus screening can significantly improve patient management because recommended antiviral drugs (neuraminidase inhibitors) are available.
背景:尽管由SARS-CoV-2冠状病毒引起的冠状病毒感染COVID-19在全球持续传播,但严重感染的发病机制尚不清楚。与包括流感在内的其他季节性病毒感染的合并症在COVID-19严重病程的发病机制中的作用尚不清楚。材料和方法:本研究使用了正在进行的COVID-19严重程度不同的患者的实验室研究剩余的血清。该研究已获得联邦国家预算科学机构IEM当地伦理委员会的批准(协议3/20,从2020年6月5日开始)。我们研究了患者入院时和住院57天后获得的28个配对样本。对COVID-19患者配对血清进行甲型和乙型流感病毒抗体检测。采用酶联免疫吸附试验(ELISA)研究了SARS-CoV-2刺突(S)蛋白特异性IgG抗体的存在。同时测定患者入院当日血清c反应蛋白浓度及中性粒细胞/淋巴细胞比值。结果:在PCR证实的SARS-CoV-2感染患者和未PCR证实的患者中,血清SARS-CoV-2 S蛋白IgG抗体至少增加4倍。结果显示,在18例中重度COVID-19感染患者中,其中6例甲型流感/H1N1抗体增加至少4倍,1例甲型流感/H3N2抗体增加至少4倍,2例乙型流感抗体增加至少4倍。实验室数据显示,与中度COVID-19感染组相比,这两组患者血清c反应蛋白和中性粒细胞淋巴细胞比例浓度显著升高。结论:血清学诊断可以在PCR检测不到冠状病毒的情况下额外检测到冠状病毒感染病例。在COVID-19中度和重度病例中,已发现合并感染甲型和乙型流感病毒。结果证实了在SARS-CoV-2大流行期间进行抗流感免疫接种的必要性。流感病毒筛查可以显著改善患者管理,因为推荐的抗病毒药物(神经氨酸酶抑制剂)是可用的。
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引用次数: 0
Growth characteristics of experimental live influenza vaccine strains with modified NP and NS genes NP和NS基因修饰流感活疫苗实验株的生长特性
Pub Date : 2021-12-06 DOI: 10.17816/maj77800
P. Prokopenko, Виктория A. Matyushenko, I. Isakova-Sivak, L. Rudenko
BACKGROUND: Vaccination is the most effective means of fighting influenza epidemics, but the immunogenicity of licensed influenza vaccines is not always satisfactory. One of the ways to increase the immunogenicity of an attenuated live influenza vaccine is to shorten the open reading frame of the NS1 protein, a modulator of innate antiviral immunity. In addition, the T-cell response to vaccination can be optimized by including the NP gene from the epidemic parental virus into the genome of vaccine strains. MATERIALS AND METHODS: The open reading frame of the NS1 protein of the master donor virus A/Leningrad/134/17/57 was truncated to 126 amino acids by site-directed mutagenesis. The HA, NA, and NP genes of the model virus A/Anhui/1/2013 (H7N9) were cloned into the pCIPolISapIT vector. The rescue of recombinant influenza viruses was performed by transfection of Vero cells with a desired set of plasmids. The growth properties of the recombinant viruses were determined in embryonated chicken eggs incubated at different temperatures, as well as in the tissues of the respiratory tract of mice (nasal turbinates, lungs). RESULTS: Experimental live influenza vaccine strains of subtype H7N9 with genome compositions 6:2 and 5:3 and carrying a full-length or truncated NS1 gene were actively replicated in eggs under optimal conditions, while maintaining the temperature-sensitive and cold-adapted phenotypes characteristic of classical live influenza vaccine strains. All viruses lacked the ability to grow in the lungs of C57BL/6J mice, which confirms the attenuated phenotype of the viruses. In the nasal passages of mice, only viruses with the full-length NS1 gene replicated, while viruses expressing the truncated NS1 protein were not detected in the respiratory tract of animals. CONCLUSIONS: The results indicate that modification of the NS1 gene of the vaccine virus and the inclusion of wild-type NP gene in its genome does not affect its growth characteristics in eggs. A decrease in the activity of viral replication in the upper respiratory tract of mice with a shortening of the NS1 open reading frame indicates an increase in the attenuating properties of modified vaccines, which opens up prospects for the use of new vaccines in children under three years of age.
背景:疫苗接种是对抗流感流行最有效的手段,但已获得许可的流感疫苗的免疫原性并不总是令人满意。增加流感减毒活疫苗免疫原性的方法之一是缩短NS1蛋白的开放阅读框,NS1蛋白是先天抗病毒免疫的调节剂。此外,通过将流行亲本病毒的NP基因加入疫苗株基因组中,可以优化t细胞对疫苗接种的反应。材料与方法:采用定点诱变法将主供体病毒A/Leningrad/134/17/57的NS1蛋白开放阅读框截断为126个氨基酸。将模型病毒A/Anhui/1/2013 (H7N9)的HA、NA和NP基因克隆到pCIPolISapIT载体中。重组流感病毒的拯救是通过用一组所需的质粒转染Vero细胞来完成的。在不同温度下孵育的鸡胚和小鼠呼吸道组织(鼻鼻甲、肺)中测定了重组病毒的生长特性。结果:基因组组成为6:2和5:3、携带全长或截断的NS1基因的H7N9亚型流感活疫苗实验株在最佳条件下可在鸡蛋中积极复制,同时保持了经典流感活疫苗株的温度敏感和冷适应表型特征。所有病毒都缺乏在C57BL/6J小鼠肺中生长的能力,这证实了病毒的减毒表型。在小鼠鼻道中,只复制了全长NS1基因的病毒,而在动物呼吸道中未检测到表达截断NS1蛋白的病毒。结论:疫苗病毒NS1基因的修饰和野生型NP基因在其基因组中的包含不影响其在蛋中的生长特性。NS1开放阅读框缩短导致小鼠上呼吸道病毒复制活性降低,表明改性疫苗的减毒特性增强,这为3岁以下儿童使用新疫苗开辟了前景。
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引用次数: 0
Infectious complications in patients with chronic lymphocytic leukemia treated with bruton’s tyrosine kinase inhibitors 布鲁顿酪氨酸激酶抑制剂治疗慢性淋巴细胞白血病患者的感染并发症
Pub Date : 2021-12-06 DOI: 10.17816/maj76060
Yulia S. Torshina, N. Serebryanaya
The aim of this study is to analyze the scientific literature data on the frequency and characteristics of infectious complications during the treatment of patients with lymphoproliferative diseases with a new class of drugs, selective inhibitors of Brutons tyrosine kinase (BTK). This work describes the indications for appointing these drugs as well as the participation of BTK in the development and activation of B cells. We have studied the main characteristics of BTK inhibitors used in clinical practice and associated disorders in the activity of off-target tyrosine kinases. The work describes the main types of known infectious complications developing during the treatment with the drugs of this group, the period of their appearance, and characteristic pathogens.
本研究的目的是分析一类新型药物布鲁顿酪氨酸激酶选择性抑制剂(BTK)治疗淋巴细胞增生性疾病患者感染并发症的频率和特点的科学文献资料。这项工作描述了这些药物的适应症以及BTK在B细胞的发育和激活中的参与。我们研究了在临床实践中使用的BTK抑制剂的主要特征以及脱靶酪氨酸激酶活性的相关疾病。该工作描述了主要类型的已知感染并发症的发展与该组的药物治疗,其出现的时期,和特征性病原体。
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引用次数: 0
Respiratory viral infections including caused by coronaviruses in oncological and oncohematological patients 呼吸道病毒感染,包括由冠状病毒引起的肿瘤和血液肿瘤患者
Pub Date : 2021-12-06 DOI: 10.17816/maj78565
Alena V. Kuleshova, Inna P. Iskova, E. Kiseleva, Vitaliy N. Chebotkevich
BACKGROUND: Patients with cancer are prone to developing infectious complications. They significantly aggravate the course of the underlying disease and worsen the quality of life of patients. The emergence of infections is largely promoted by immunosuppression associated with the use of cytostatic drugs, high-dose chemotherapy and hematopoietic stem cell transplantation in hematological cancer patients. Among infectious agents, respiratory viruses, especially influenza viruses, play an important role. The urgency of this problem has increased many times in connection with the development of the COVID-19 pandemic. AIM: To study the features of the course of respiratory infections, including coronavirus (seasonal and COVID-19), infections in cancer and oncohematological patients during hospitalization and in outpatient settings. MATERIALS AND METHODS: The study of the frequency and course of infectious complications in cohorts of patients with oncological diseases, who were under dispensary supervision in the polyclinic in Kirovsk, Leningrad region. Retrospective analysis of the frequency and characteristics of the course of coronavirus infection caused by HCoVs (OC43, 229E, NL63, HKU1) in patients treated at the clinics of the Russian research institute of Hematology and Transfusionology. Prospective study of the coronavirus COVID-19 of patients hospitalized at the Russian research institute of Hematology and Transfusionology and at the Kirov interdistrict hospital in Leningrad Region during the period of its conversion to specialized infection diseases hospital. RESULTS: Coronavirus infection caused by HCoVs (OC43, 229E, NL63, HKU1), occurs in hematological cancer patients more often in association with other respiratory viruses. In the cases of detection of the SARS-CoV-2 in hospitalized patients, they need to be transferred to specialized infectious hospitals. CONCLUSIONS: Respiratory viral infections are risk factors in cancer and oncohematological patients. Outpatient oncological and oncohematological patients require constant dispensary observation and special attention during the COVID-19 pandemic, outbreaks of influenza and other viral infections.
背景:癌症患者易发生感染性并发症。它们显著加重了基础疾病的病程,并使患者的生活质量恶化。血液学癌症患者使用细胞抑制药物、大剂量化疗和造血干细胞移植相关的免疫抑制,在很大程度上促进了感染的发生。在传染因子中,呼吸道病毒,特别是流感病毒,起着重要作用。随着COVID-19大流行的发展,这一问题的紧迫性已多次增加。目的:研究住院期间和门诊癌症、血液病患者呼吸道感染的过程特征,包括冠状病毒(季节性和COVID-19)、感染。材料和方法:在列宁格勒地区基洛夫斯克综合诊所的药房监督下,研究肿瘤疾病患者队列中感染性并发症的频率和病程。俄罗斯血液学和输血研究所门诊hcov (OC43、229E、NL63、HKU1)引起的冠状病毒感染的频率和病程特点的回顾性分析俄罗斯血液学和输血研究所和列宁格勒地区基洛夫区际医院在其转变为专科感染医院期间住院患者的冠状病毒COVID-19前瞻性研究结果:hcov (OC43、229E、NL63、HKU1)引起的冠状病毒感染在血液癌患者中多与其他呼吸道病毒联合发生。如果在住院患者中检测到SARS-CoV-2,则需要将其转移到专科感染医院。结论:呼吸道病毒感染是癌症和血液肿瘤患者的危险因素。在COVID-19大流行、流感和其他病毒感染爆发期间,门诊肿瘤和血液肿瘤患者需要持续的药房观察和特别关注。
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引用次数: 0
Estimation of 100 nm particle distribution kinetics in mouse lung using confocal laser scanning microscopy 用共聚焦激光扫描显微镜观察100 nm颗粒在小鼠肺中的分布动力学
Pub Date : 2021-12-06 DOI: 10.17816/maj79200
J. Vavilova, E. Bolkhovitina, A. Bogorodskiy, I. Okhrimenko, V. Borshchevskiy, M. Shevchenko
BACKGROUND: Daily, people inhale airborne viral particles, some of which have a size of about 100 nm, such as particles of SARS-CoV-2. Kinetics of such 100 nm particle distribution in the respiratory tract is important, however, not a properly investigated question. AIM: To estimate the dissemination of inert viral particles based on the analysis of the spatial distribution of fluorescent 100 nm particles in the mouse lungs at different time points after the application. MATHERIALS AND METHODS: Fluorescent particles of 100 nm size were applied to C57BL/6 mice. 6, 24, 48 and 72 hours after, lungs were excised and fixed. Lung lobes were stained with immunohistochemistry as whole-mounts and then underwent optical clearance. Three-dimensional images of whole-mount mouse lung lobes were acquired using confocal laser scanning microscopy. RESULTS: 6 hours after the particle application particles were detected in lungs both as single particles and as particle agglomerates. Particles were both free and internalized by phagocytic cells. 24 hours after the application particles were detected both in bronchial lumen and in the alveolar space. Particles were detected in the mouse lungs up to 72 hours after the application. CONCLUSIONS: Reaching the respiratory tract of mammalian, inert particles which size equal to SARS-CoV-2 particle size distribute both in bronchi and in alveoli and undergoes internalization of phagocytic cells.
背景:人们每天都会吸入空气中的病毒颗粒,其中一些颗粒的大小约为100纳米,例如SARS-CoV-2颗粒。这种100纳米颗粒在呼吸道分布的动力学是重要的,然而,不是一个适当的研究问题。目的:通过分析100 nm荧光颗粒在应用后不同时间点小鼠肺内的空间分布,估计惰性病毒颗粒的传播情况。材料与方法:C57BL/6小鼠采用100 nm大小的荧光颗粒。6、24、48和72小时后,切除肺并固定。免疫组织化学染色肺叶作为整体载具,然后进行光学清除。采用激光共聚焦扫描显微镜获得小鼠肺叶全贴装的三维图像。结果:给药6小时后,肺组织中均检测到颗粒为单个颗粒和颗粒团块。颗粒既游离又被吞噬细胞内化。应用24小时后,支气管腔和肺泡腔均检测到颗粒。应用后72小时,在小鼠肺中检测到颗粒。结论:到达哺乳动物呼吸道时,与SARS-CoV-2颗粒大小相当的惰性颗粒分布在支气管和肺泡内,并被吞噬细胞内化。
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