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[Psychosomatic Aspects of Bronchial Asthma in Children]. [儿童支气管哮喘的心身方面]。
Q3 Medicine Pub Date : 2015-12-02 DOI: 10.15690/VRAMN.V70.I5.1435
T. S. Krivonogova, T. Shemyakina, Yu A Babikova, A. N. Gavrilova
Bronchial asthma is the most common chronic disease in children affecting 30% of the child population. The purpose of this review was to analyze and summarize the works offoreign and Russian authors who evaluated the impact of mental disorders on the course of asthma in children. The article presents the definition of asthma as a psychosomatic disease and relevance of the study against this background. The authors adduce the results of research studies which allow us to estimate the interaction between the degree of anxiety, accentuation of the nature, severity of asthma, and the duration of the disease. The existing publications demonstrate that the researchers' opinions are polarized regarding the cause-and-effect relationship between psychological disorders and controlled asthma. The authors came to a conclusion that early detection ofpsychopathological symptoms and appropriate psychotherapeutic administration would improve the efficacy of treatment in children with bronchial asthma and the social adaptation, adjust the system offamily relations, and have a positive effect on the course of the disease.
支气管哮喘是儿童中最常见的慢性疾病,影响了30%的儿童人口。本综述的目的是分析和总结国外和俄罗斯作者评价精神障碍对儿童哮喘病程影响的作品。本文介绍了哮喘作为一种心身疾病的定义和在此背景下研究的相关性。作者引用了一些研究结果,这些研究结果使我们能够估计焦虑程度、哮喘性质的加重程度、哮喘的严重程度和疾病持续时间之间的相互作用。现有的出版物表明,研究人员对心理障碍与控制哮喘之间的因果关系的看法两极分化。结论:早期发现支气管哮喘患儿的精神病理症状,给予适当的心理治疗,可提高治疗效果和社会适应能力,调节家庭关系系统,对支气管哮喘患儿的病程有积极作用。
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引用次数: 0
[Epigenetic Aspects of Osteoporosis]. [骨质疏松症的表观遗传方面]。
Q3 Medicine Pub Date : 2015-12-02 DOI: 10.15690/VRAMN.V70.I5.1440
T. Grebennikova, Belaya ZhE, Liudmila Rozhinskaya, Galina A. Melnichenko, Dedov
This review describes the epigenetic regulation of osteoblastogenesis and osteoclastogenesis and its future implementation in the diagnosis and treatment of osteoporosis. A considerable part of the review is dedicated to the microRNAs (miRNAs). miRNAs are small regulatory factors that regulate gene expression, by post-transcriptional regulation of genes playing an important role in numerous cellular processes, including cell differentiation and apoptosis. Recently, a number of studies have revealed that miRNAs participate in bone homeostasis and their role in the pathogenesis of osteoporosis is practically evident. In this review, we highlight the miRNAs involved in bone remodelling and their roles in osteoporosis. miRNAs are stable molecules which make them promising potential markers for bone remodeling and osteoporosis.
本文综述了成骨细胞和破骨细胞发生的表观遗传调控及其在骨质疏松症诊断和治疗中的应用前景。这篇综述的相当一部分是关于microRNAs (miRNAs)的。mirna是调节基因表达的小调控因子,通过转录后调控基因在许多细胞过程中发挥重要作用,包括细胞分化和凋亡。近年来,大量研究表明,mirna参与骨稳态,在骨质疏松的发病机制中所起的作用是切实可见的。在这篇综述中,我们重点介绍了参与骨重塑及其在骨质疏松症中的作用的mirna。mirna是一种稳定的分子,是骨重塑和骨质疏松症的潜在标记物。
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引用次数: 16
[In vitro Cultivation of Functioning Passaged Ciliated Epithelium for Trachea Tissue Engineering]. 体外培养用于气管组织工程的功能传代纤毛上皮
Q3 Medicine Pub Date : 2015-12-02 DOI: 10.15690/VRAMN.V70.I5.1442
D. S. Baranovsky, A. Lyundup, V. Parshin
BACKGROUNDCurrently all tissue engineered trachea transplants had no ciliated epithelium until transplantation, and long-term temporary lack of mucociliary clearance leads to patients' condition decline and reduced life quality in postoperative period. So, the need for a better cultivation method and studying ciliated epithelium growth characteristics in cell culture increased rapidly.OBJECTIVEThe aim of our study was to investigate cultivation offunctionally complete passaged ciliated epitheliumfor trachea tissue engineering.METHODSHuman ciliated epithelium isolated from intraoperative bioptate was used for culturing in the special complex medium with morphological and functional characteristics evaluation.RESULTSCiliated epithelial cell-groups were obtained by culturing in the special complex medium. Generated cell-groups had ciliary activity and showed well-coordinated movement with functional characteristics similar to native epithelial tissue. The basic parameters of cell-activity were studied.CONCLUSIONThus our study provides a new insight for the problem of ciliated epithelium in vitro culturing as well as developing the optimal laboratory method.
目前所有的组织工程气管移植在移植前都没有纤毛上皮,长期暂时缺乏纤毛粘膜清除导致患者术后病情下降,生活质量下降。因此,对更好的培养方法和研究纤毛上皮在细胞培养中的生长特性的需求迅速增加。目的为气管组织工程培养功能完整的传代纤毛上皮。方法采用手术中分离的人纤毛上皮在特殊的复合培养基中培养,并评价其形态和功能特征。结果在特殊的复合培养基中培养获得了带状上皮细胞群。生成的细胞群具有纤毛活性,运动协调良好,功能特征与天然上皮组织相似。研究了细胞活性的基本参数。结论本研究为纤毛上皮的体外培养问题提供了新的思路,并建立了最佳的实验室培养方法。
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引用次数: 1
[Clinical and Immunological Features of Infectious Complications in Patients with Multiple Myeloma]. 【多发性骨髓瘤患者感染性并发症的临床及免疫学特点】。
Q3 Medicine Pub Date : 2015-12-02 DOI: 10.15690/VRAMN.V70.I5.1439
O. Smirnova, V. Manchuk, Yu N Agilova
BACKGROUNDInfectious complications--the leading cause of mortality in patients with multiple myeloma (MM), their appearance is regarded as an adverse prognostic factor in the course of the disease.OBJECTIVEThe aim of our study was to evaluate the clinical and immunological features of infectious complications in patients with G-immunochemical MM to find the most informative indicators in their forecasting.METHODSA randomized controlled trial was made. All patients were divided into 3 groupsfor comparison: Group 1 (n = 47)--MM patients, G-immunochemical variant with infection, Group 2 (n = 54)--MM patients, G-immunochemical option no infectious complications, and Group 3 (n = 125)--healthy volunteers. Research material was deoxygenated blood taken on admission of a patient to the hematology department before the pathogenetic treatment. Identification of G-variant was carried by immunofixation and electrophoresis. The immune status was assessed by indirect immunofluorescence. The concentration of IgA, M, E and G, and the levels of IL 2, IL 4, IL 8, TNFα, IFNγ in serum was determined by enzyme immunoassay. The activity of neutrophil granulocytes (NG) was studied by chemiluminescent analysis of spontaneous and induced production of reactive oxygen species. Statistical analysis was performed using the software STATISTICA v. 8.0 (USA), RESULTS: We analyzed data from 101 patients with MM and 125 healthy volunteers. The average age of MM patients was 60.53 ± 6.78 years. The group of healthy volunteers was similar in sex and age to groups of patients with MM. In patients with MM in the presence of infectious complications the researchers detected combined secondary development of T and B cell immunodeficiency, changes in non-specific immunity depended on the stage of the disease, unidirectional irregularities in spontaneous and induced chemiluminescence activity NG in II stage disease and multidirectional irregularities in stage III (p = 0.045). Prevalence of the content of proinflammatory cytokines on inflammatory (p < 0.001) and the deviation of the immune response to Th1-type were detected.CONCLUSIONthe set of 6 informative indicators (the content of IL 4, IL 2, TNF α, IgG, the absolute number of CD4+ and CD19+ cells) enables the development of prediction method of infectious complications in patients with MM.
感染性并发症是多发性骨髓瘤(MM)患者死亡的主要原因,其外观被认为是疾病过程中的不良预后因素。目的探讨g免疫化学性MM患者感染性并发症的临床和免疫学特征,寻找预测感染性并发症的最具信息性的指标。方法采用随机对照试验。所有患者被分为3组进行比较:1组(n = 47)- MM患者,g免疫化学变体感染,2组(n = 54)- MM患者,g免疫化学选项无感染并发症,3组(n = 125)-健康志愿者。研究材料为病源治疗前患者入院血液科取的脱氧血。通过免疫固定和电泳鉴定g -变异。采用间接免疫荧光法评价免疫状态。采用酶免疫法测定血清中IgA、M、E、G的浓度以及IL 2、IL 4、IL 8、TNFα、IFNγ的水平。用化学发光法研究了中性粒细胞(NG)自发和诱导产生活性氧的活性。采用美国STATISTICA v. 8.0软件进行统计分析。结果:我们分析了101例MM患者和125名健康志愿者的数据。MM患者平均年龄为60.53±6.78岁。健康志愿者的组织类似的患者在性别和年龄群体毫米。在MM患者感染性并发症的研究人员发现结合二次开发的T细胞和B细胞免疫缺陷,非特异性免疫的变化取决于疾病的阶段,单向不规则自发和诱发化学发光活动NG在第二阶段疾病和多向不规则III期(p = 0.045)。检测促炎因子含量对炎症的患病率(p < 0.001)和免疫应答对th1型的偏差。结论利用白细胞介素4、白细胞介素2、肿瘤坏死因子α、IgG、CD4+和CD19+细胞绝对数量这6项信息指标,可建立MM患者感染性并发症的预测方法。
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引用次数: 2
[Mathematical Modeling of the Blood Glucose Regulation System in Diabetes Mellitus Patients]. 糖尿病患者血糖调节系统的数学建模
Q3 Medicine Pub Date : 2015-12-02 DOI: 10.15690/VRAMN.V70.I5.1441
V. A. Karpel'ev, Yu. I. Filippov, Y. Tarasov, M. D. Boyarsky, A. Y. Mayorov, M. Shestakova, I. Dedov
Interest in the mathematical modeling of the carbohydrate metabolism regulation system increases in recent years. This is associated with a "closed loop" insulin pump development (it controls an insulin infusion depending on the blood glucose level). To create an algorithm for the automatic control of insulin (and other hormones) infusion using an insulin pump it is necessary to accurately predict glycaemia level. So, the primary objective of mathematical modeling is to predict the blood glucose level changes, caused by the wide range of external factors. This review discusses the main mathematical models of blood glucose level control physiological system (simplified insulin-glucose system). The two major classes of models--empirical and theoretical--are described in detail. The ideal mathematical model of carbohydrate metabolism regulatory system is absent. However, the success in the field of blood glucose level control modeling and simulating is essentialfor the further development of diabetes prevention and treatment technologies, and creating an artificial pancreas in particular.
近年来,人们对碳水化合物代谢调节系统的数学建模越来越感兴趣。这与胰岛素泵的“闭环”发展有关(它根据血糖水平控制胰岛素输注)。为了创建一个使用胰岛素泵自动控制胰岛素(和其他激素)输注的算法,有必要准确预测血糖水平。因此,数学建模的首要目的是预测由多种外部因素引起的血糖水平变化。本文综述了血糖水平控制生理系统(简化胰岛素-葡萄糖系统)的主要数学模型。详细描述了两大类模型——经验模型和理论模型。目前还没有理想的碳水化合物代谢调控系统的数学模型。然而,在血糖水平控制建模和模拟领域的成功对于糖尿病预防和治疗技术的进一步发展,特别是创造人工胰腺是必不可少的。
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引用次数: 10
[Thyroid Adenomas in Children]. [儿童甲状腺腺瘤]。
Q3 Medicine Pub Date : 2015-12-02 DOI: 10.15690/vramn.v70.i5.1436
D. Morozov, E. Pimenova, E. D. Mirokova
According to the papers thyroid nodules are quite rare in the first two decades of life. However, there are some exceptions, relating to areas with an iodine deficiency or affected by radioactive fallout, where the risk of nodules and carcinomas is increased. Therefore, it is a great challenge for the physician to distinguish between benign and malignant lesions preoperatively, and not only in these areas of greater risk. The authors analyzed current works, which are devoted to diagnostics and treatment of adenomas of thyroid gland in children. This literature review is based on works dedicated to epidemiology, histotypes study, and methods of diagnostics, surgical treatment, prognosis and complications of this pathology. The current tendencies in surgical approaches, intraoperative monitoring of recurrent laryngeal nerve are also discussed. The actuality of this problem is connected with last decade increase of adenomas in structure of thyroid gland nodules, increase of number of patients with multiple adenomas and with polypathias: adenomas with nodular goiter, autoimmune thyroiditis and cancer in children. The difficulties of diagnostic of adenomas are related to the similar clinical symptoms, cytogenetic characteristics of growth of benign and malignant lesions of thyroid gland. Additionally there is no systematic review about thyroid adenomas in children recent years.
根据论文,甲状腺结节在生命的头二十年是相当罕见的。不过,也有一些例外,如缺碘或受放射性沉降物影响的地区,那里的结节和癌风险增加。因此,术前区分良恶性病变是医生面临的巨大挑战,而且不仅是在这些风险较大的区域。作者分析了目前致力于儿童甲状腺腺瘤诊断和治疗的工作。本文献综述是基于致力于流行病学、组织型研究、诊断方法、手术治疗、预后和并发症的工作。并对手术入路、术中喉返神经监测的最新趋势进行了讨论。这一问题的现状与近十年来甲状腺结节结构腺瘤的增加、多发性腺瘤和多发性病变患者的增加有关:儿童腺瘤伴结节性甲状腺肿、自身免疫性甲状腺炎和癌症。腺瘤的诊断困难与甲状腺良恶性病变具有相似的临床症状和生长的细胞遗传学特征有关。此外,近年来没有关于儿童甲状腺腺瘤的系统综述。
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引用次数: 0
[Orbital Adipose Tissue: Just a Fat Pad or Terra Incognita in Ophthalmology]. 眼窝脂肪组织:只是一个脂肪垫或眼科的未知领域。
Q3 Medicine Pub Date : 2015-09-29 DOI: 10.15690/VRAMN.V70.I4.1413
S. Borzenok, D. Afanasyeva, M. Gushchina
Our understanding of the role of adipose tissue has been completely changed during the past decades. The knowledge of its contribution to endocrine and immune pathways opened the new insights on the pathogenesis and therapy of many diseases and new perspectives for the regenerative medicine. The further researches should be provided to study anatomy and functions of local fat depots in more details. Of the most interest is the orbital adipose tissue due to its origin from the neural crest. This review represents the current data about anatomy, structure, cell composition and biochemistry of orbital fat. The main attention is put to such cell types as adipocytes and adipose derived mesenchymal stem cells. The foreign authors' findings on such characteristics of stem cells from orbital adipose tissue as CD markers and differential capacity are reviewed. The found evidences of interaction between orbital adipose tissue, eyeball and associated structures allow us to hypothesize that this fat depot may contribute to various ocular pathology. In this paper, we outlined the possible directions for further investigation and clinical application of orbital fat and cells its composing in ophthalmology, reconstructive and plastic surgery and regenerative medicine.
在过去的几十年里,我们对脂肪组织作用的理解已经完全改变了。对其在内分泌和免疫途径中的作用的认识,为许多疾病的发病机制和治疗开辟了新的见解,并为再生医学开辟了新的前景。局部脂肪库的解剖结构和功能有待进一步深入研究。最令人感兴趣的是眼眶脂肪组织,因为它起源于神经嵴。本文综述了眼窝脂肪的解剖、结构、细胞组成和生物化学方面的最新研究进展。主要关注脂肪细胞和脂肪源性间充质干细胞等细胞类型。本文对眼窝脂肪组织干细胞作为CD标记物和差异容量等特性的研究进展进行了综述。眼窝脂肪组织、眼球和相关结构之间相互作用的证据使我们假设这种脂肪储存可能有助于各种眼部病理。本文综述了眶脂肪及其组成细胞在眼科、重建整形外科和再生医学等方面的进一步研究和临床应用的可能方向。
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引用次数: 3
[β-Catenin: Structure, Function and Role in Malignant Transformation of Epithelial Cells]. [β-连环蛋白:结构、功能及在上皮细胞恶性转化中的作用]。
Q3 Medicine Pub Date : 2015-09-29 DOI: 10.15690/VRAMN.V70.I4.1415
A. Isaeva, A. P. Zima, I. Shabalova, N. Ryazantseva, Vasil'eva Oa, Kasoayn Kt, T. Saprina, Latypova Vn, I. S. Berezkina, V. Novitskii
The article presents the data on the structure and mechanisms of β-catenin functioning. The basic aspects of the role of β-catenin in malignant transformation have been studied at various tumors. Primary structure of β-catenin allows it to interact with many factors and ligands, including transcription factors, α-catenin, cadherin, Axin, Rho family GTPases, Bcl9 et al. This interaction is the base for β-catenin's intracellular multi-functioning. The review presents data on the participation of β-catenin in the mechanisms of adhesion, regulation of RNA metabolism, formation contacts with the cytoskeleton and its role in the canonical Wnt signaling pathway, marked examples pro-inflammatory and anti-inflammatory effects of β-catenin. The β-catenin involvement in malignant transformation and progression of certain tumors is not in doubt. The data on the changes in β-catenin expression in the given examples of colon cancer, prostate cancer, different forms of thyroid cancer and hepatocellular carcinoma are presented with the prospects of its use as a marker and a predictor of malignant transformation. Continued research in this area will not only make use of β-catenin as a potential predictor of malignant tumors, but also to develop approaches to targeted therapy.
本文介绍了β-连环蛋白的结构和作用机制。β-连环蛋白在恶性转化中作用的基本方面已经在各种肿瘤中得到了研究。β-catenin的初级结构允许其与多种因子和配体相互作用,包括转录因子、α-catenin、cadherin、Axin、Rho家族GTPases、Bcl9等。这种相互作用是β-连环蛋白细胞内多功能的基础。本文综述了β-catenin参与粘附机制、RNA代谢调节、与细胞骨架形成接触及其在典型Wnt信号通路中的作用,以及β-catenin的促炎和抗炎作用的显著例子。β-连环蛋白参与某些肿瘤的恶性转化和进展是毫无疑问的。本文介绍了β-catenin在结肠癌、前列腺癌、不同形式的甲状腺癌和肝细胞癌中表达变化的数据,并展望了β-catenin作为恶性转化标志物和预测因子的应用前景。在这一领域的持续研究不仅将利用β-catenin作为恶性肿瘤的潜在预测因子,而且还将开发靶向治疗的方法。
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引用次数: 11
[Hyposlenism After Splenectomy]. [脾切除术后肾功能低下]。
Q3 Medicine Pub Date : 2015-09-28 DOI: 10.15690/VRAMN.V70.I4.1406
D. A. Morozov, S. Klyuev
Splenectomy is a serious operation, which includes the removal of the largest peripheral immune organ. Vast array of different pools of immunocompetent cells and immune-factors eliminate from the body as a result of this operation. Occurrence of hyposplenism in our country pediatric service is not determined--there are neither clear criteria for its diagnosis, nor approved algorithms for prevention. Data of postsplenectomy sepsis incidence in Russia are unknown. In this review article authors give contemporary literature data relating to the issue of developing hyposplenism and changes in the body after removal of spleen. Systemic effect of organ-resecting operation and the basic directions of overwhelming postsplenectomy infection and sepsis prevention are discussed.
脾切除术是一项严重的手术,包括切除最大的外周免疫器官。由于这种手术,大量不同种类的免疫细胞和免疫因子从体内消失。在我国儿科服务中,脾功能低下的发生率是不确定的——既没有明确的诊断标准,也没有批准的预防算法。脾切除术后脓毒症在俄罗斯的发生率尚不清楚。在这篇综述文章中,作者提供了有关脾功能减退和脾切除后身体变化问题的当代文献资料。讨论了器官切除手术的全身性效果及脾切除术后压倒性感染和脓毒症预防的基本方向。
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引用次数: 4
[Species Diversity of Bifidobacteria in the Intestinal Microbiota Studied Using MALDI-TOF Mass-Spectrometry]. [利用MALDI-TOF质谱法研究肠道微生物群中双歧杆菌的物种多样性]。
Q3 Medicine Pub Date : 2015-09-28 DOI: 10.15690/VRAMN.V70.I4.1409
A. V. Chaplin, A. G. Brzhozovskii, T. Parfenova, L. I. Kafarskaia, N. Volodin, A. Shkoporov, E. Ilina, B. A. Efimov
BACKGROUNDThe members of genus Bifidobacterium represent a significant part of intestinal microbiota in adults and predominate in infants. Species repertoire of the intestinal bifidobacteria is known to be subjected to major changes with age; however, many details of this process are still to be elucidated.OBJECTIVEOur aim was to study the diversity of intestinal bifidobacteria and changes of their qualitative and quantitative composition characteristics during the process of growing up using MALDI-TOF mass-spectrometric analysis ofpure bacterial cultures.METHODSA cross-sectional study of bifidobacteria in the intestinal microbiota was performed in 93 healthy people of the ages from 1 month to 57 years. Strains were identified using Microflex LT MALDI-TOF MS, the confirmation was performed by 16S rRNA gene fragment sequencing.RESULTS93% of isolated bifidobacterial strains were successfully identified using MALDI-TOF mass-spectrometry. At least two of the strains from each species were additionally identified by 16S rRNA gene fragment sequencing, in all of the cases the results were the same. It was shown that the total concentration of bifidobacteria decreases with age (p<0.001) as well as the frequency of isolation of Bifidobacterium bifidum (p=0.020) and Bifidobacterium breve (p<0.001), and the frequency of isolation of Bifidobacterium adolescentis, increases (p<0.001), representing the continuous process of transformation of microbiota.CONCLUSIONThe method of MALDI-TOF mass spectrometry demonstrated the ability to perform rapid and reliable identification of bifidobacteria that allowed the study of changes in the quantitative and qualitative characteristics of human microbiota in the process of growing up.
双歧杆菌属的成员代表了成人肠道微生物群的重要组成部分,在婴儿中占主导地位。众所周知,肠道双歧杆菌的物种库会随着年龄的增长而发生重大变化;然而,这一过程的许多细节仍有待阐明。目的利用MALDI-TOF质谱分析纯细菌培养物,研究肠道双歧杆菌的多样性及其在生长过程中质定量组成特征的变化。方法对93例年龄在1个月~ 57岁的健康人进行肠道菌群双歧杆菌的横断面研究。采用Microflex LT MALDI-TOF MS对菌株进行鉴定,采用16S rRNA基因片段测序进行鉴定。结果MALDI-TOF质谱法成功鉴定了93%的双歧杆菌分离菌株。通过16S rRNA基因片段测序对每个菌种中至少2株进行鉴定,结果一致。结果表明,双歧杆菌总浓度随年龄的增长而降低(p<0.001),两歧双歧杆菌(p=0.020)和短双歧杆菌(p<0.001)的分离频率随年龄的增长而降低,青少年双歧杆菌的分离频率随年龄的增长而增加(p<0.001),代表了菌群转化的连续过程。结论MALDI-TOF质谱法能够快速、可靠地鉴定双歧杆菌,可用于研究人类成长过程中微生物群的定量和定性特征变化。
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引用次数: 17
期刊
Vestnik Rossiiskoi Akademii Meditsinskikh Nauk
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