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BDNF content and catalase activity in the blood of children with autism spectrum disorders 自闭症谱系障碍患儿血液中BDNF含量和过氧化氢酶活性
Pub Date : 2023-08-25 DOI: 10.17816/maj112295
S. G. Belokoskova, Emma M. Malsagova, I. Ivleva, M. Karpenko, S. G. Tsikunov
BACKGROUND: With the increasing prevalence of autism spectrum disorders worldwide, it is relevant to study the mechanisms contributing to their development and progression. The participation of brain-derived neurotrophic factor and oxidative stress in the pathogenesis of the disease is considered, however, their role in this process remains unclear. The relationship between BDNF levels and oxidative stress in the blood of patients with autism spectrum disorders has not been studied. AIM: The aim was to evaluate the content of brain neurotrophic factor, BDNF, and catalase, an antioxidant defense enzyme, in children with various clinical forms of autism spectrum disorders. MATERIALS AND METHODS: BDNF content and catalase activity were assessed in the blood plasma of 78 children with autism spectrum disorders, including 41 patients with childhood autism, 19 children with atypical autism, 6 patients with Aspergers syndrome, and 12 patients with other general developmental disorders (with elements of autism). The control group consisted of 20 conditionally healthy children. The diagnosis was established in accordance with the ICD-10. The severity of disorders was determined using the Childhood Autism Rating Scale. The content of BDNF was evaluated using the method of enzyme immunoassay, catalase activity was determined by colorimetric method. RESULTS: The content of BDNF in blood plasma was reduced in children with autism spectrum disorders compared to its levels in control group subjects. BDNF levels depended on the clinical form of the disease: the content of BDNF was reduced in patients with childhood autism, atypical autism, Aspergers syndrome compared to control group subjects; in patients with atypical autism it is lower than in patients with childhood autism; BDNF levels in the group of patients with other general developmental disorders and in control group did not differ. The content of BDNF did not depend on gender, age and severity of autism spectrum disorders. A negative correlation was found between BDNF levels and the age of control group children. There were no differences in the activity of catalase in the blood of children with autism spectrum disorders and in control group. A positive correlation was found between BDNF levels and catalase activity in children with autism spectrum disorders and control group subjects. CONCLUSIONS: A decrease in the content of BDNF in the blood of children with autism spectrum disorders was revealed. Neurotrophin content differed in children with separate clinical forms of the disease. To varying degrees the decrease in BDNF levels in patients with childhood autism, atypical autism, Aspergers syndrome and the absence of changes in patients with other general developmental disorders compared with controls could be associated with a different contribution of neurotrophin to the pathogenesis of clinical forms of autism spectrum disorders. In children with autism spectrum disorders, there were no age-r
背景:随着自闭症谱系障碍在世界范围内的患病率不断上升,研究其发展和进展的机制具有重要意义。脑源性神经营养因子和氧化应激参与了该病的发病机制,然而,它们在这一过程中的作用尚不清楚。自闭症谱系障碍患者血液中BDNF水平与氧化应激之间的关系尚未得到研究。目的:目的是评估脑神经营养因子、BDNF和过氧化氢酶(一种抗氧化防御酶)在各种临床形式的自闭症谱系障碍儿童中的含量。材料与方法:对78例自闭症谱系障碍患儿的血浆BDNF含量和过氧化氢酶活性进行了评估,其中包括41例儿童自闭症、19例非典型自闭症、6例阿斯伯格综合征和12例其他一般发育障碍(伴有自闭症因素)患者。对照组为条件健康儿童20例。根据ICD-10进行诊断。障碍的严重程度是用儿童自闭症评定量表来确定的。用酶免疫法测定BDNF含量,用比色法测定过氧化氢酶活性。结果:与对照组相比,自闭症谱系障碍儿童血浆中BDNF含量降低。BDNF水平取决于疾病的临床形式:与对照组受试者相比,儿童自闭症、非典型自闭症、阿斯伯格综合征患者的BDNF含量降低;非典型自闭症患者比儿童自闭症患者低;其他一般发育障碍患者组与对照组BDNF水平无差异。BDNF的含量不依赖于性别、年龄和自闭症谱系障碍的严重程度。BDNF水平与对照组儿童年龄呈负相关。自闭症谱系障碍患儿血液中过氧化氢酶活性与对照组无明显差异。在自闭症谱系障碍儿童和对照组中,BDNF水平与过氧化氢酶活性呈正相关。结论:发现自闭症谱系障碍儿童血液中BDNF含量降低。不同临床表现的患儿神经营养因子含量不同。与对照组相比,儿童自闭症、非典型自闭症、阿斯伯格综合症患者的BDNF水平在不同程度上下降,而其他一般发育障碍患者的BDNF水平没有变化,这可能与神经营养因子对自闭症谱系障碍临床形式发病机制的不同贡献有关。在患有自闭症谱系障碍的儿童中,神经营养因子水平没有与年龄相关的变化,而在健康儿童中,BDNF含量与年龄呈负相关。自闭症谱系障碍儿童血液中过氧化氢酶活性没有变化,表明抗氧化防御系统在这一指标方面是安全的。自闭症谱系障碍患者和对照组受试者血液中BDNF水平与过氧化氢酶活性呈正相关,反映了神经营养因子对氧化应激损伤的保护作用。
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引用次数: 0
The features of neuronal loss in the hippocampus during acute generalized seizure (experimental study) 急性全身性癫痫发作海马神经元丢失特征(实验研究)
Pub Date : 2023-08-25 DOI: 10.17816/maj340939
G. Demyashkin, Migran S. Grigoryan, Ivan V. Vetrov, Fedor V. Vetrov, V.P. Rauzheva, I. Zorin, E. Shapovalova
BACKGROUND: Today, epilepsy is one of the most frequently diagnosed neurological diseases. Despite more than several centuries of research on epileptogenesis and the development of treatment protocols, the neurobiological basis of the disease remains poorly understood. It is reliably known that patients with epilepsy are found to have a reduced number of hippocampal neurons and gliosis: mesial temporal sclerosis (hippocampal sclerosis), but the causal relationship with seizures has not yet been established. It is of particular interest to evaluate the survival of hippocampal neurons against the background of acute epileptic seizures, which will allow to determine the mechanisms of degenerative changes in nervous tissue. AIM: The aim of the study was to immunohistochemically assess the levels of NeuN and caspase-8 in the hippocampus during acute epileptic seizures. MATERIALS AND METHODS: Male mice of the CBA population were used as models. The animals were divided into groups: 1st (n = 28) simulated acute epileptic seizure by intraperitoneal injection of pentyltetrazole, 2nd (n = 20) control. Histological and immunohistochemical studies were performed on hippocampal fragments, regions: CA1, CA3 and dentate gyrus. RESULTS: Generalized epileptic seizures were noted in all animals of Group I. The weakest labeling of hippocampal pyramidal neurons with NeuN (light nuclei) was observed in CA3 region, which was observed 24 hours after pentyltetrazole injection. The same immunophenotypic pattern was observed in the CA3 region during reaction with caspase-8, which demonstrated an increase in the number of immunopositive hippocampal pyramidal neurons 24 hours after pentyltetrazole injection. CONCLUSIONS: After a single injection of pentyltetrazole at a dose of 45 g/kg, immunohistochemical evaluation of the distribution of NeuN- and caspase-8-positive pyramidal neurons of the hippocampus revealed: a decrease in the NeuN-positive neurons and an increase in caspase-8-positive neurons one day after the seizure with subsequent recovery of the studied markers by day 5.
背景:今天,癫痫是最常见的神经系统疾病之一。尽管几个多世纪以来对癫痫发生的研究和治疗方案的发展,这种疾病的神经生物学基础仍然知之甚少。目前已知的可靠证据是,癫痫患者海马神经元数量减少,神经胶质瘤:内侧颞叶硬化(海马硬化),但与癫痫发作的因果关系尚未确定。在急性癫痫发作的背景下评估海马神经元的存活是特别有趣的,这将允许确定神经组织退行性变化的机制。目的:本研究的目的是免疫组织化学方法评估急性癫痫发作时海马中NeuN和caspase-8的水平。材料与方法:以CBA种群雄性小鼠为模型。随机分为两组:第一组(28只)腹腔注射戊四唑模拟急性癫痫发作,第二组(20只)对照组。对海马碎片、CA1、CA3和齿状回进行组织学和免疫组化研究。结果:ⅰ组大鼠均出现全发性癫痫发作。注射戊四唑24 h后,海马锥体神经元在CA3区出现最弱的NeuN(轻核)标记。与caspase-8反应时,在CA3区观察到相同的免疫表型模式,表明注射戊四唑24小时后,免疫阳性的海马锥体神经元数量增加。结论:以45 g/kg剂量单次注射戊四唑后,免疫组化评价海马NeuN-和caspase-8阳性锥体神经元分布显示:癫痫发作后1天NeuN-阳性神经元减少,caspase-8阳性神经元增加,随后第5天所研究标记物恢复。
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引用次数: 0
Influence of constant lighting on the morphofunctional state and rhythmostasis of the liver of rats 恒定光照对大鼠肝脏形态功能状态及节律稳定的影响
Pub Date : 2023-08-25 DOI: 10.17816/maj322855
S. Grabeklis, L. Mikhaleva, M. A. Kozlova, D. Areshidze, A. Dygai
BACKGROUND: There are evidences that light pollution, which causes melatonin deficiency and disruption of circadian rhythm, is associated with the development of malignant neoplasms of the liver, non-alcoholic fatty liver disease, biliary cirrhosis, and a number of other pathologies of this organ. AIM: The aim of research was to study the features of chronic influence of constant lighting on lability of morphofunctional state of liver of mature Wistar rats and the structure of circadian rhythms of its parameters. MATERIALS AND METHODS: The study was conducted on 80 rats divided into 2 groups: a control group kept under a fixed light regime (light/dark 12/12 h, lights on at 8:00 and off at 20:00), and an experimental group kept under constant lighting 24 h a day. The duration of the experiment was 3 weeks. RESULTS: Its established that influence of constant light led to an increase in the size of hepatocytes and a decrease in nuclear-cytoplasmic ratio, average ploidy and proportion of binuclear hepatocytes, and also to development of fatty degeneration, a decrease in the expression of Bmal1 and Clock, and an increase in the expression of per2 and p53 in hepatocytes. At the same time, there was a decrease in glycogen content in hepatocytes. Dark deprivation also caused an increase in glucose levels, AST activity, and a decrease in blood levels of total protein and albumin. Constant lighting caused a rearrangement of the circadian rhythms of the area of nuclei, the area of the hepatocyte and nuclear-cytoplasmic ratio, Bmal1, per2, Clock expression, and led to destruction of Ki67 and p53 circadian rhythms in hepatocytes. Under conditions of constant lighting, the circadian rhythms of the content of lipids and glycogen in hepatocytes, ALT activity in the blood, and the content of total and direct bilirubin were also destroyed. CONCLUSIONS: It has been established that constant illumination causes a restructuring of the circadian rhythms of a number of studied parameters against the background of morphological and functional changes, indicating a decrease in the adaptive capacity of the liver.
背景:有证据表明,光污染导致褪黑激素缺乏和昼夜节律紊乱,与肝脏恶性肿瘤、非酒精性脂肪肝、胆汁性肝硬化和许多其他肝脏病理的发展有关。目的:研究持续光照对成年Wistar大鼠肝脏形态功能状态不稳定性及其参数昼夜节律结构的慢性影响特点。材料与方法:将80只大鼠分为2组,对照组为固定光照(12/12小时亮/暗,8:00开灯,20:00关灯),实验组为24小时恒定光照。试验期为3周。结果:确定恒定光的影响导致肝细胞体积增大,核质比、平均倍性和双核肝细胞比例降低,脂肪变性发生,Bmal1和Clock表达降低,per2和p53表达升高。同时,肝细胞糖原含量降低。黑暗剥夺还会导致葡萄糖水平、谷草转氨酶活性升高,以及血液中总蛋白和白蛋白水平下降。持续光照导致核区、肝细胞区、核质比、Bmal1、per2、Clock表达的昼夜节律重排,并导致肝细胞中Ki67和p53昼夜节律的破坏。在持续光照条件下,肝细胞中脂质和糖原含量、血液中ALT活性、总胆红素和直接胆红素含量的昼夜节律也被破坏。结论:已经确定,在形态学和功能改变的背景下,持续的光照会导致肝脏的生理节律发生重构,表明肝脏的适应能力下降。
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引用次数: 0
The molecular mechanisms of drug resistance of glioblastoma. Part 3. Differentiation and apoptosis of glioblastoma cells 胶质母细胞瘤耐药的分子机制。第3部分。胶质母细胞瘤细胞的分化和凋亡
Pub Date : 2023-08-25 DOI: 10.17816/maj83598
A. Chernov, E. Galimova, O. Shamova
Glioblastomas are one of the most malignant and frequent human tumors, characterized by rapid growth, metastasis, resistance to therapy and the formation of relapses. The formation of multidrug resistance mechanisms in glioblastomas cells is often combined with inhibition of cell death and differentiation pathways and prevents an increase in the effectiveness of therapy in this group of patients. The review examines the relationship of molecular mechanisms of multidrug resistance with differentiation and apoptosis of glioblastomas with an emphasis on identifying new targets among proteins, microRNAs, suppressor genes, and oncogenes.
胶质母细胞瘤是人类最常见的恶性肿瘤之一,具有生长快、转移快、治疗耐药、易形成复发等特点。胶质母细胞瘤细胞中多药耐药机制的形成通常与细胞死亡和分化途径的抑制相结合,并阻止了这类患者治疗效果的提高。本文综述了多药耐药与胶质母细胞瘤分化和凋亡的分子机制,重点介绍了蛋白质、microrna、抑制基因和癌基因之间的新靶点。
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引用次数: 0
The study of the spectrum of pharmacological activity of the new original NT-3 mimetic dipeptide GTS-302 新的原始NT-3模拟二肽GTS-302的药理学活性谱研究
Pub Date : 2023-08-25 DOI: 10.17816/maj430197
D. M. Nikiforov, P. Povarnina, T. Gudasheva, A. Nadorova, L. Kolik, E. Valdman, J. V. Vakhitova, S. Seredenin
BACKGROUND: The association of the pathogenesis of neurodegenerative diseases, depression, anxiety, and cognitive disorders with the deficit of neurotrophin-3 determines the prospect of creating drugs with a similar mechanism of action. Since the use of full-size neurotrophin-3 is limited by unsatisfactory pharmacokinetic properties, it is relevant to create low-molecular-weight mimetics of neurotrophin-3 that are active when administered systemically. A dimeric dipeptide mimetic of the 4th loop of neurotrophin-3, hexamethylenediamide bis(N--oxibutyryl-L-glutamyl-L-asparagine) GTS-302, which activates TrkC and TrkB receptors, has been developed at the V.V. Zakusov Research Institute of Pharmacology. AIM: The aim of this study was to investigate the spectrum of pharmacological activity of GTS-302. MATERIALS AND МETHODS: The pharmacological effects of GTS-302 were investigated following its intraperitoneal administration. The antidepressant-like activity of GTS-302 was studied in the forced swim test in mice after acute and 7-day administration. The anxiolytic and cognitive activity of the dipeptide were studied in the elevated plus maze test in mice and the novel object recognition test in rats after acute administration, respectively. The effect of GTS-302 on pain sensitivity was studied in the hot plate test in mice after acute administration. RESULTS: It was found that GTS-302 exhibits antidepressant-like activity after acute administration at doses of 0.5, 1.0, 5.0 and 10 mg/kg. After 7-day administration, the antidepressant-like activity of GTS-302 was more pronounced in terms of effect size and statistical significance. The dipeptide GTS-302 at doses of 1.0, 5.0 and 10.0 mg/kg showed anxiolytic and cognitive activity and did not affect pain sensitivity. CONCLUSIONS: The pharmacological spectrum of the low-molecular-weight mimetic of neurotrophin-3, dipeptide GTS-302, revealed upon systemic administration includes a number of neuropsychotropic effects characteristic of the full-sized neurotrophin. This allows us to consider GTS-302 as a potential neuropsychotropic drug.
背景:神经退行性疾病、抑郁、焦虑和认知障碍的发病机制与神经营养因子-3缺失的关联决定了开发具有类似作用机制的药物的前景。由于全尺寸神经营养因子-3的使用受到不理想的药代动力学特性的限制,因此有必要制造低分子量的神经营养因子-3模拟物,使其在系统给药时具有活性。V.V. Zakusov药理学研究所开发了一种二聚体二肽,模拟神经营养因子-3的第4环,六亚甲基二胺双(N-氧化丁基- l-谷氨酰胺- l-天冬酰胺)GTS-302,可激活TrkC和TrkB受体。目的:研究GTS-302的药理活性谱。材料及МETHODS:研究GTS-302腹腔给药后的药理作用。在小鼠急性和给药7 d后的强迫游泳实验中研究了GTS-302的抗抑郁样活性。急性给药后,分别在小鼠升高+迷宫实验和大鼠新物体识别实验中研究了该二肽的抗焦虑和认知活性。采用热板法研究了GTS-302急性给药后对小鼠疼痛敏感性的影响。结果:GTS-302在0.5、1.0、5.0和10mg /kg急性给药后表现出抗抑郁样活性。给药7 d后,GTS-302的抗抑郁样活性在效应量和统计学意义上更为显著。二肽GTS-302在1.0、5.0和10.0 mg/kg剂量下表现出抗焦虑和认知活性,不影响疼痛敏感性。结论:低分子神经营养因子-3的模拟物二肽GTS-302在全身给药后的药理学谱显示,它具有许多全尺寸神经营养因子所特有的神经精神作用。这使我们可以考虑将GTS-302作为一种潜在的神经精神药物。
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引用次数: 0
Nonimmune binding of human immunoglobulins G and A by Streptococcus pyogenes: the role of this phenomenon in pathology 化脓性链球菌对人免疫球蛋白G和A的非免疫结合:这一现象在病理学中的作用
Pub Date : 2023-08-25 DOI: 10.17816/maj430288
L. Burova, A. Suvorov, P. Pigarevsky, A. Totolian
M and M-like proteins are key pathogenicity factors of Streptococcus pyogenes, a widely prevalent and potentially lethal bacterium. These proteins confer resistance to the hosts innate and adaptive immune response by attracting specific human proteins to the streptococcal surface. The nonimmune binding of host immunoglobulins G (IgG) and A (IgA) to M and M-like proteins via their Fc domains was first described over 50 years ago, but its role in the pathogenicity of S. pyogenes remains unclear. This discovery has had a significant impact on the development of innovative diagnostic approaches, technologies, and tools in microbiology, immunology, and molecular biology. The nonimmune binding of immunoglobulins has been suggested to play a role in immune conditions on mucosal surfaces and their secretions, but not in blood plasma, while other studies suggest it protects microbes from phagocytosis in the hosts nonimmune blood. The Fc-binding effect has been shown to increase the pathogenicity of streptococci, contributing to the development of autoimmune diseases and tissue damage in experimental animals. The experimental autoimmune process can be prevented by administering purified Fc fragments of immunoglobulins to animals. Streptococcal diseases play a significant role in the pathogenesis of IgA-nephropathy (IgAN), a mesangial proliferative process caused by initial IgA-Fc deposition in renal mesangium cells. Literature suggests a relevance of recent ideas about the important role of nonimmune Ig binding in streptococcal diseases, and further efforts are required to study the binding of Fc fragments of IgG and IgA to M and M-like proteins of S. pyogenes, with the aim of developing preventive and potentially therapeutic applications. The paper speculates on the role of nonimmune Ig binding in streptococcal diseases, including cases with various mechanisms of development. These studies also focuses on preventive and potentially therapeutic applications of Fc fragments of IgG to M or M-like proteins of S. pyogenes.
M和M样蛋白是化脓性链球菌的关键致病因子,化脓性链球菌是一种广泛流行且具有潜在致命性的细菌。这些蛋白质通过吸引特定的人类蛋白质到链球菌表面,赋予宿主先天和适应性免疫反应的抵抗力。宿主免疫球蛋白G (IgG)和A (IgA)通过Fc结构域与M和M样蛋白的非免疫结合在50多年前首次被描述,但其在化脓性葡萄球菌致病性中的作用尚不清楚。这一发现对微生物学、免疫学和分子生物学的创新诊断方法、技术和工具的发展产生了重大影响。免疫球蛋白的非免疫结合被认为在粘膜表面及其分泌物的免疫条件下起作用,但在血浆中不起作用,而其他研究表明它可以保护宿主非免疫血液中的微生物免受吞噬。在实验动物中,fc结合效应已被证明可增加链球菌的致病性,促进自身免疫性疾病和组织损伤的发展。实验自身免疫过程可以通过给动物施用纯化的Fc免疫球蛋白片段来阻止。链球菌疾病在iga肾病(IgAN)的发病机制中起重要作用,IgAN是由肾系膜细胞初始IgA-Fc沉积引起的系膜增殖过程。文献表明,最近关于非免疫Ig结合在链球菌疾病中的重要作用的相关观点,需要进一步努力研究IgG和IgA的Fc片段与化脓性链球菌M和M样蛋白的结合,目的是开发预防和潜在的治疗应用。本文推测了非免疫性Ig结合在链球菌疾病中的作用,包括各种发展机制的病例。这些研究还侧重于IgG Fc片段对化脓性链球菌M或M样蛋白的预防和潜在治疗应用。
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引用次数: 0
Antimicrobial activity of the complement system 补体系统的抗菌活性
Pub Date : 2023-08-25 DOI: 10.17816/maj322841
E. V. Egorova, I. Krenev, N. N. Oborin, M. Berlov
The complement system plays a key role in homeostasis and defense against pathogens. The antimicrobial activity of serum against Gram-negative bacteria is usually attributed to the action of the membrane attack complex. However, there is increasing evidence that some other components of the complement system and the products of its activation are also capable of direct killing of both Gram-negative and Gram-positive bacteria. In the course of complement activation, anaphylatoxins C3a, C4a, C5a are produced, which, in addition to their main function, can exhibit a bactericidal effect and disrupt the bacterial membrane. Recent studies have shown that in fish, complement factors D, I, as well as a Ba fragment of factor B, are able to neutralize pathogens. The triggering and amplification of complement usually occurs on the surface of pathogen cells, so the local production of antimicrobial components can potentially make a significant contribution to their elimination. The aim of this review is to outline the role of individual complement members in the elimination of pathogens through direct antibiotic action. The problem of antimicrobial protection in the context of therapeutic complement inhibition is considered.
补体系统在体内平衡和防御病原体方面起着关键作用。血清对革兰氏阴性菌的抗菌活性通常归因于膜攻击复合物的作用。然而,越来越多的证据表明,补体系统的一些其他成分及其激活产物也能够直接杀死革兰氏阴性和革兰氏阳性细菌。在补体活化过程中,产生过敏毒素C3a、C4a、C5a,除其主要功能外,还可表现出杀菌作用,破坏细菌膜。最近的研究表明,在鱼类中,补体因子D, I以及因子B的Ba片段能够中和病原体。补体的触发和扩增通常发生在病原体细胞的表面,因此局部抗菌成分的产生可能对它们的消除做出重大贡献。这篇综述的目的是概述个体补体成员在通过直接抗生素作用消除病原体中的作用。在治疗补体抑制的背景下,抗菌保护的问题被考虑。
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引用次数: 0
Immunohistochemical study of human pineal vessels 人松果体血管的免疫组织化学研究
Pub Date : 2023-08-25 DOI: 10.17816/maj352563
D. Sufieva, E. Fedorova, V. S. Yakovlev, I. Grigorev
BACKGROUND: The pineal gland is a neuroendocrine organ located in the epithalamic area of the brain. By using the melatonin, a pineal hormone, the pineal gland synchronizes the work of the internal physiological systems of the body with the circadian light-darkness cycle. Melatonin is synthesized in pinealocytes, the endocrine cells of the pineal gland, and secreted into the bloodstream. However, the structural features of the blood vessels in the pineal gland are still not well understood. AIM: The purpose of this study was to elucidate the intraorgan localization and immunohistochemical pattern of the blood vessels of the pineal gland of human, which had not been previously studied. MATERIALS AND METHODS: In the research, immunohistochemistry methods were applied using two selective markers of blood vessels, the antibodies to von Willebrand factor and type IV collagen. Von Willebrand factor is expressed selectively in endothelial cells that form blood vessels, including small capillaries, while type IV collagen is inherent to the basement membrane that separates the vascular endothelium from the underlying tissue. RESULTS: The immunohistochemical reaction to both markers clearly visualize the blood vessels of the human pineal gland, which in both cases were observed mainly in the connective tissue septa (trabeculae), or, in the absence of a regular lobular structure, in the connective tissue layers. In lobules surrounded by connective tissue trabeculae and containing a large number of densely packed pinealocytes, von Willebrand factor- and type IV collagen-immunoreactive structures were very rare, and in many cases were not observed. The found phenomenon of distribution of blood vessels in the human pineal gland is described for the first time. CONCLUSIONS: Since blood vessel markers with well-proven selectivity were used, the results obtained with their usage can be considered reliable; this gives grounds with a high degree of probability to assert that the majority of pinealocytes in the human pineal gland do not have direct contact with blood vessels and, accordingly, cannot secrete melatonin directly into the bloodstream. On the basis of the results obtained, a hypothesis is proposed that the hormone secretion from pinealocytes into blood vessels is mediated by astroglial cells.
背景:松果体是一种神经内分泌器官,位于大脑上皮区。通过使用褪黑激素(一种松果体激素),松果体使身体内部生理系统的工作与昼夜节律的光-暗循环同步。褪黑素在松果体的内分泌细胞松果体细胞中合成,并分泌到血液中。然而,松果体血管的结构特征仍不清楚。目的:本研究的目的是阐明人类松果体血管的器官内定位和免疫组织化学模式,这是以前没有研究过的。材料与方法:本研究采用免疫组织化学方法,选取血管性血友病因子抗体和IV型胶原两种血管选择性标志物。血管性血血病因子在形成血管的内皮细胞中选择性表达,包括小毛细血管,而IV型胶原蛋白是将血管内皮与下层组织分离的基底膜所固有的。结果:两种标记物的免疫组化反应清楚地显示了人松果体的血管,在两种情况下,血管主要在结缔组织间隔(小梁)中观察到,或者在没有规则小叶结构的情况下,在结缔组织层中观察到。在被结缔组织小梁包围并含有大量密集排列的松果体细胞的小叶中,血管性血友病因子和IV型胶原免疫反应性结构非常罕见,在许多情况下未观察到。首次描述了人体松果体中血管分布的现象。结论:由于使用了选择性良好的血管标志物,因此使用血管标志物获得的结果可以认为是可靠的;这就很有可能得出结论:人类松果体中的大多数松果体细胞与血管没有直接接触,因此不能将褪黑激素直接分泌到血液中。在此基础上,提出了松果体细胞向血管分泌激素是由星形胶质细胞介导的假说。
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引用次数: 0
Role of the intestinal microbiota in the pathogenesis of multiple sclerosis. Part 2. Gut microbiota as a predisposition factor for the multiple sclerosis development 肠道菌群在多发性硬化发病机制中的作用。第2部分。肠道菌群是多发性硬化症发展的易感因素
Pub Date : 2023-05-22 DOI: 10.17816/maj115019
I. Abdurasulova
This part of the review focuses on the proposed involvement of the gut microbiota in the realization of the genetic risk of multiple sclerosis, the formation of the intestinal microbiome in early life, and provides data supporting the hypothesis that aberrant formation of the intestinal microbiota in early life may be a predisposing factor to multiple sclerosis.
本部分综述的重点是肠道微生物群参与多发性硬化症遗传风险的实现,以及生命早期肠道微生物群的形成,并提供数据支持早期肠道微生物群异常形成可能是多发性硬化症易感因素的假设。
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引用次数: 0
Anemia in patients with necrotizing soft tissue infections, pathogenetic and prognostic value 贫血患者坏死性软组织感染的发病及预后价值
Pub Date : 2023-05-22 DOI: 10.17816/maj109472
N. Serebryanaya, Ivan V. Avdoshin, O. B. Chernyshev, M. Shatil, Natalia A. Bubnova
BACKGROUND: Necrotizing soft tissue infection is one of the most severe life-threatening surgical infections with a very high mortality rate. A characteristic feature of necrotizing soft tissue infection is the rapid development of anemia, the causes and prognostic value of which are not well understood. AIM: The purpose of this study was to investigate the timing, development, and dynamics of anemia in generalized forms of necrotizing infection to identify clinical and bacteriological factors associated with its development. MATERIALS AND METHODS: 129 patients with necrotizing soft tissue infection who were treated from 09.2015 to 12.2019 in the department of purulent-septic surgery at Hospital of the Holy Great Martyr George were examined. All patients received surgical treatment, laboratory hematological, biochemical examination, bacteriological examination of blood, and wound discharge. Overall, 22 patients suffered from systemic inflammatory response syndrome, 63 patients with sepsis, and 41 patients with septic shock. RESULTS: The Counts of hemoglobin and red blood cells in necrotizing soft tissue infection patients with sepsis revealed the anemia already during the first day and then from the 15th day of the disease, the red blood cell values began to rise in the patients who survived. However, continued to decrease in the deceased patients. In the group of deceased sepsis patients from day 3 of hospitalization, correlations between red blood cells count and potassium ion concentration (r = 0.318; p 0.01), and red blood cells count and total plasma protein (r = 0.30; p 0.01) became significant. Among patients with hemoglobin 110 g/L on the day of hospitalization, 36 of 67 (53.7%) patients died, and among those with hemoglobin levels 110 g/L, 20 of 62 (32.2%) patients died (p = 0.004). The highest lethality was registered patients who suffered from wound discharge Klebsiella pneumoniae (12 of 18, 66.7%) or anaerobic infection, but marked anemia was noted only in patients with anaerobic infection (Proteus spp., Clostridium spp., Bacteroide spp.) (8 out of 12, 66.7%). CONCLUSIONS: We attribute the development of anemia in sepsis patients to the destruction of red blood cells. The type of infectious agent influences both the mortality rate and the degree of anemia, which is probably related to the ability of bacteria to destroy red blood cells.
背景:坏死性软组织感染是危及生命的最严重的外科感染之一,死亡率非常高。坏死性软组织感染的一个特点是贫血的迅速发展,其原因和预后价值尚不清楚。目的:本研究的目的是调查坏死性感染广义形式贫血的时间、发展和动态,以确定与其发展相关的临床和细菌学因素。材料与方法:对2015年9月至2019年12月在乔治圣大殉道者医院脓毒外科治疗的129例坏死性软组织感染患者进行检查。所有患者均接受手术治疗、实验室血液学、生化、血液细菌学检查和伤口排出。总体而言,22例患者出现全身性炎症反应综合征,63例患者出现脓毒症,41例患者出现感染性休克。结果:软组织坏死性感染合并脓毒症患者的血红蛋白和红细胞计数在发病第1天就已显示贫血,存活患者的红细胞计数从发病第15天开始升高。然而,在死亡患者中继续下降。在住院第3天死亡的败血症患者组中,红细胞计数与钾离子浓度的相关性(r = 0.318;P < 0.01),红细胞计数和血浆总蛋白(r = 0.30;P < 0.01)变得显著。当日血红蛋白水平为110 g/L的患者中,67例患者中有36例(53.7%)死亡,62例血红蛋白水平为110 g/L的患者中有20例(32.2%)死亡(p = 0.004)。肺炎克雷伯菌(12 / 18,66.7%)或无氧感染致死率最高,而明显贫血仅发生在无氧感染(变形杆菌、梭状芽胞杆菌、拟杆菌)患者中(8 / 12,66.7%)。结论:我们将败血症患者贫血的发生归因于红细胞的破坏。感染因子的类型影响死亡率和贫血程度,这可能与细菌破坏红细胞的能力有关。
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