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Perspectives of personalized approach to prevention and treatment of anticonvulsant-induced osteoporosis via action on vitamin D exchange and VDR expression 通过对维生素D交换和VDR表达的作用预防和治疗抗惊厥性骨质疏松症的个性化方法的前景
Pub Date : 2021-11-14 DOI: 10.52667/2712-9179-2021-1-2-46-62
E. Dontseva, V. V. Trefilova, T. Popova, M. Petrova, M. Al-Zamil
Anticonvulsant-induced osteoporosis (AIO) and associated pain syndromes and patient disabilities are an important interdisciplinary medical problem generated by various molecular, genetic and pathophysiological mechanisms. AIO are the most important pathological processes associated with chronic pain in adults with epilepsy. Standard approaches to their prevention and treatment do not always solve the problem of the progression of the pathological process and chronicity of AIO. This is the reason for the search for new personalized strategies for the prevention and treatment of AIO. Vitamin D metabolism, expression and specificity of vitamin D receptors (VDRs) may play a key role in the development of AIO and chronic back pain in patients with epilepsy. The aim of the study was to review publications on changes in the vitamin D system in patients with AIO. We searched for articles published in e-Library, PubMed, Oxford Press, Clinical Case, Springer, Elsevier, and Google Scholar. The search was carried out by key-words and their combinations. The role of vitamin D and VDR in the development of AIO and the chronicity of back pain has been demonstrated mainly in animal models and humans. Associative genetic studies have shown that single nucleotide variants (SNVs) of the VDR gene encoding VDR may be associated with the development of osteoporosis of the spine (including those associated with the intake of an anticonvulsants). The prospects for the use of vitamin D preparations for modulating the effect of anticonvulsants used to treat epilepsy are discussed. Genetic association studies of VDR gene SNVs are important for understanding the genetic predictors of AIO and chronic back pain in patients with epilepsy, as well as for developing new personalized pharmacotherapy strategies.
抗惊厥性骨质疏松症(AIO)及其相关疼痛综合征和患者残疾是一个重要的跨学科医学问题,由多种分子、遗传和病理生理机制引起。AIO是与成人癫痫慢性疼痛相关的最重要的病理过程。标准的预防和治疗方法并不总能解决AIO病理过程的进展和慢性问题。这就是寻求新的个性化策略来预防和治疗AIO的原因。维生素D代谢、维生素D受体(VDRs)的表达和特异性可能在癫痫患者AIO和慢性背痛的发展中起关键作用。这项研究的目的是回顾有关AIO患者体内维生素D系统变化的出版物。我们搜索了发表在e-Library, PubMed, Oxford Press, Clinical Case, Springer, Elsevier和Google Scholar上的文章。搜索是通过关键词及其组合进行的。维生素D和VDR在AIO的发展和背部疼痛的慢性性中的作用主要在动物模型和人类中得到证实。相关遗传学研究表明,编码VDR的VDR基因的单核苷酸变异(SNVs)可能与脊柱骨质疏松症的发生有关(包括与服用抗惊厥药有关的骨质疏松症)。讨论了利用维生素D制剂调节用于治疗癫痫的抗惊厥药的作用的前景。VDR基因snv的遗传关联研究对于了解癫痫患者AIO和慢性背痛的遗传预测因素,以及制定新的个性化药物治疗策略具有重要意义。
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引用次数: 1
Candidate genes associated with athletes' skeletal muscle functions regulation 与运动员骨骼肌功能调控相关的候选基因
Pub Date : 2021-11-14 DOI: 10.52667/2712-9179-2021-1-2-83-94
O. Balberova, E. Bykov, G. V. Medvedev
It is generally recognized that an elite athlete's status is a multifactorial phenotype depending on many environmental and genetic factors. Variations in the sequence of nucleotides in deoxyribonucleic acid (DNA), in particular, single-nucleotide variants (SNVs) act as key internal factors associated with achieving high results in sports. The determination of specific individuals' genetic characteristics allows us to identify athletes who have the greatest genetically determined potential for certain sports that require speed, strength or endurance manifestation. Of course, peculiarities of the structure and function of skeletal muscles are among the most important characteristics in sports results context, in sports associated with the development of power / strength or endurance phenotypes. The composition and function of skeletal muscles are controlled by many different genes, and their SNVs can serve as strength or endurance athletes' status biomarkers. (1) Background: to conduct a thematic review of candidate genes studies and their single-nucleotide variants (SNVs) associated with the functioning of skeletal muscles in athletes. (2) Methods: A search for articles for the period from 2010 to 2020 was conducted in the databases SCOPUS, Web of Science, Google Calendar, Clinical keys, PubMed, e-LIBRARY using keywords and their combinations; (3) Conclusions: The identification of genetic biomarkers associated with muscular system regulation can help neurologists, sports doctors and coaches in developing personalized strategies for selecting children, adolescents and young adults for endurance, strength and speed sports (for example, running short, medium or long distances). Such a personalized approach will increase sports performance and reduce the risk of sports injuries of the musculoskeletal system.
人们普遍认为,优秀运动员的地位是一个多因素表型,取决于许多环境和遗传因素。脱氧核糖核酸(DNA)中核苷酸序列的变异,特别是单核苷酸变异(SNVs)是在运动中取得高成绩的关键内部因素。通过确定特定个体的基因特征,我们可以确定哪些运动员在某些需要速度、力量或耐力表现的运动中具有最大的基因决定潜力。当然,骨骼肌结构和功能的特殊性是运动结果中最重要的特征之一,在运动中与力量/力量或耐力表型的发展有关。骨骼肌的组成和功能受到许多不同基因的控制,其snv可以作为力量或耐力运动员状态的生物标志物。(1)背景:对与运动员骨骼肌功能相关的候选基因研究及其单核苷酸变异(snv)进行专题综述。(2)方法:在SCOPUS、Web of Science、谷歌Calendar、Clinical keys、PubMed、e-LIBRARY等数据库中检索2010 ~ 2020年的文献,采用关键词及其组合进行检索;(3)结论:识别与肌肉系统调节相关的遗传生物标志物可以帮助神经科医生、运动医生和教练员制定个性化的策略,以选择儿童、青少年和年轻人进行耐力、力量和速度运动(如短距离、中距离或长距离跑步)。这种个性化的方法将提高运动表现,减少肌肉骨骼系统运动损伤的风险。
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引用次数: 2
Possibilities and limitations of antidepressant use to correct depressive and negative symptoms in schizophrenia 使用抗抑郁药纠正精神分裂症抑郁和阴性症状的可能性和局限性
Pub Date : 2021-11-14 DOI: 10.52667/2712-9179-2021-1-2-21-45
M. Novitsky, A. Sousa, A. Asadullin, O. Gavrilyuk, Artem V. Petrov, F. Regina, Nasyrova
The purpose of this review is to analyze approaches to the treatment of depressive and negative disorders in schizophrenia in terms of their level of efficacy and safety. Materials and Methods: A search was conducted for full-text articles published over the last 10 years in PubMed, Springer, Wiley Online Library, Taylor & Francis Online, APA PsycInfo, CORE, Science Direct, and eLIBRARY.RU databases. Several articles published previously to this period were also included into the review due to their high scientific value. Results: Our review suggests that antidepressants (ADs) are effective medications and they can be prescribed to correct depressive disorders and negative symptoms in patients with schizophrenia when used in combination with antipsychotics (АPs). However, when administering ADs and АPs combinations, it is important to consider the safety profile of these combinations as well as their tolerance. Negative symptoms of schizophrenia, including those induced by a number of АP, are less amenable to correction by АDs monotherapy, which requires a long period of АPs (on average - 8 weeks), which can be limited in the real life of the patient outside the hospital. Current approaches to the therapy of depressive disorders in patients suffering from schizophrenia vary from country to country. However, most of АDs used in clinical psychiatric practice are widely used in the comorbid state under consideration. Conclusion: The efficacy and safety of АDs of the different classes considered in this review depends on their mechanisms of action, duration of admission, type of АPs taken, and specific clinical situation (acute depressive disorder, major depressive episode, or chronic depressive episode). Most promising in clinical practice are serotonin–norepinephrine reuptake inhibitors (SNRIs) and dual ADs. The use of tricyclic antidepressants (TCAs) is limited due to a higher risk of adverse drug reactions (ADRs). The use of most selective serotonin reuptake inhibitors (SSRIs) is limited due to the risk of aggravation of hallucinations (this risk being higher for patients with visual hallucinations, and lower for those with auditory hallucinations) andor iatrogenic psychosis. These ADRs may probably occur in patients suffering from schizophrenia due to their ideal "poor metabolizer" pharmacogenetic profile, since most of the drugs considered in this review have hepatic metabolism.
本综述的目的是分析精神分裂症患者抑郁和负性障碍的治疗方法的有效性和安全性。材料和方法:对过去10年在PubMed、b施普林格、Wiley Online Library、Taylor & Francis Online、APA PsycInfo、CORE、Science Direct和eLIBRARY上发表的全文文章进行了检索。俄文数据库。在此期间之前发表的几篇文章也因其较高的科学价值被纳入综述。结果:我们的综述表明,抗抑郁药(ADs)是有效的药物,当与抗精神病药物联合使用时,它们可以用于纠正精神分裂症患者的抑郁障碍和阴性症状(АPs)。然而,当使用ADs和АPs联合用药时,重要的是要考虑这些联合用药的安全性及其耐受性。精神分裂症的阴性症状,包括由一些АP引起的症状,不太容易通过АDs单一疗法加以纠正,这需要很长一段时间的АPs(平均- 8周),这在患者出院后的实际生活中可能是有限的。目前治疗精神分裂症患者抑郁症的方法因国家而异。然而,在临床精神病学实践中使用的АDs大多是在合并症状态下广泛使用的。结论:本综述中考虑的不同类别АDs的疗效和安全性取决于它们的作用机制、入院时间、服用АPs的类型和特定的临床情况(急性抑郁障碍、重度抑郁发作或慢性抑郁发作)。在临床实践中最有希望的是5 -羟色胺-去甲肾上腺素再摄取抑制剂(SNRIs)和双ad。由于药物不良反应(adr)的风险较高,三环抗抑郁药(TCAs)的使用受到限制。大多数选择性5 -羟色胺再摄取抑制剂(SSRIs)的使用是有限的,因为有加重幻觉的风险(这种风险在视觉幻觉患者中较高,在听觉幻觉患者中较低)和医源性精神病。这些不良反应可能发生在精神分裂症患者身上,因为他们理想的“不良代谢物”药理学特征,因为本综述中考虑的大多数药物都具有肝脏代谢。
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引用次数: 2
Pharmacogenetics of fluoxetine 氟西汀的药物遗传学
Pub Date : 2021-05-24 DOI: 10.52667/712-9179-2021-1-1-93-101
M. Novitsky, S. D. Skopin, V. Kravtsov
There is a number of antidepressants (ADs) which prevent reabsorption of neurotransmitters in the body. Known together as reuptake inhibitors, they prevent the reuptake of one or some neurotransmitters so that the majority of them is present and active in the brain. Selective serotonin reuptake inhibitors (SSRIs) work at the expense of specific inhibition of serotonin reuptake. Such new SSRIs fluoxetine (FXT), are effective for treatment of depressive disorders in most cases of schizophrenia. The effectiveness of SSRIs is not immediate; therefore, medication can take up to several weeks to be fully effective. FXT is one of the top ten prescribed antidepressants. FXT is prescribed in cases of depressive disorders in adults and adolescents [1], obsessive-compulsive and anxiety-depressive disorders [2], as well as for the therapy of bulimia nervosa [3]. Pharmacogenetic markers of FXT safety are being actively studied. Some pharmacogenetic markers of therapy safety have been established: genes of serotonin receptor isoforms and its transporters (HTR1A, HTR1B, SCL6A4).
有许多抗抑郁药(ADs)可以阻止体内神经递质的重新吸收。它们一起被称为再摄取抑制剂,它们阻止一种或几种神经递质的再摄取,因此大多数神经递质在大脑中存在并活跃。选择性5 -羟色胺再摄取抑制剂(SSRIs)以牺牲5 -羟色胺再摄取的特异性抑制为代价。这种新的SSRIs氟西汀(FXT)对大多数精神分裂症患者的抑郁症治疗有效。ssri类药物的效果不是立竿见影的;因此,药物可能需要几个星期才能完全有效。FXT是十大处方抗抑郁药之一。FXT用于成人和青少年抑郁症[1]、强迫症和焦虑抑郁症[2],以及神经性贪食症[3]的治疗。FXT安全性的药物遗传标记正在积极研究中。已经建立了一些治疗安全性的药理学标记:5 -羟色胺受体亚型及其转运体(HTR1A, HTR1B, SCL6A4)的基因。
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引用次数: 0
Relations of CYP2C19*2 genetic polymorphisms to plasma and saliva concentrations of diazepam in patients hospitalized for alcohol withdrawal CYP2C19*2基因多态性与酒精戒断住院患者血浆和唾液中安定浓度的关系
Pub Date : 2021-05-18 DOI: 10.52667/2712-9179-2021-1-1-84-92
V. Skryabin, M. Zastrozhin, E. Grishina, K. Ryzhikova, V. Shipitsyn, T. Galaktionova, E. Bryun, D. Sychev
Diazepam is one of the most widely prescribed tranquilizers for the therapy of alcohol withdrawal syndrome (AWS). However, diazepam therapy often turns out to be ineffective, and some patients experience dose-dependent adverse drug reactions. Previous studies have shown that the metabolism of diazepam involves the CYP2C19 isoenzyme, whose activity is highly dependent on polymorphism of the encoding gene. The objective of our study was to investigate the effects of CYP2C19*2 genetic polymorphisms on plasma and saliva concentrations of diazepam as well as its impact on the efficacy and safety rates of therapy in patients with AWS. The study was conducted on 100 Russian male patients with AWS who received diazepam in injections at a dosage of 30.0 mg/day for 5 days. Genotyping was performed by real-time polymerase chain reaction. The efficacy and safety assessment was performed using psychometric scales. We revealed differences in the efficacy and safety of therapy in patients with different CYP2C19 681G>A genotypes. Therapeutic drug monitoring (TDM) revealed the statistically significant differences in the levels of diazepam plasma concentration: (GG) 199.83 [82.92; 250.58] vs (GA+AA) 313.47 [288.99; 468.33], p=0.040, and diazepam saliva concentration: (GG) 2.80 [0.73; 3.80] vs (GA+AA) 5.33 [5.14; 6.00], p=0.003).
安定是治疗酒精戒断综合征(AWS)最常用的镇静剂之一。然而,地西泮治疗往往被证明是无效的,一些患者经历剂量依赖的药物不良反应。既往研究表明,地西泮的代谢涉及CYP2C19同工酶,其活性高度依赖于编码基因的多态性。本研究旨在探讨CYP2C19*2基因多态性对AWS患者血浆和唾液中地西泮浓度的影响及其对治疗疗效和安全性的影响。该研究对100名俄罗斯男性AWS患者进行了研究,他们接受注射剂量为30.0 mg/天的地西泮,持续5天。实时聚合酶链反应进行基因分型。采用心理测量量表进行疗效和安全性评价。我们揭示了不同CYP2C19 681G>A基因型患者的疗效和安全性差异。治疗药物监测(TDM)显示两组地西泮血药浓度水平差异有统计学意义:(GG) 199.83 [82.92;250.58] vs (GA+AA) 313.47 [288.99;468.33], p=0.040,地西泮唾液浓度:(GG) 2.80 [0.73;3.80] vs (GA+AA) 5.33 [5.14;6.00, p = 0.003)。
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引用次数: 0
Pharmacogenetics of quetiapine 喹硫平的药物遗传学
Pub Date : 2021-05-18 DOI: 10.52667/2712-9179-2021-1-1-73-83
A. Abdyrakhmanova, N. A. Shnayder, N. Neznanov, R. Nasyrova
(1) Introduction: Quetiapine (QTP) is a dibenzothiazepine derivative, a second generation antipsychotic (AP), which is structurally similar to clozapine. The main indications for use are schizophrenia and depressive disorder. Under manic episodes in bipolar disorder can be used alone or in combination with lithium. The frequency of prescribing QTP is on average 11,987 per 100,000 population, with a positive trend in dynamics: a growth rate of more than 800% within the period 2002 to 2017.(2) Purpose: The review of studies of pharmacogenetic pharmacokinetic and pharmacogenetic pharmacodynamic markers of QTP efficacy and safety.(3) Materials and Methods: A search was carried out for publications of the Science Index, PubMed, Web of Science, Springer databases by keywords and their combinations over the last 10 years. In addition, the review includes earlier publications of historical interest. Despite extensive searches of these commonly used databases and search terms, it cannot be ruled out that some publications may have been missed.(4) Results: The review considers the following pharmacokinetic markers of QTP efficacy and safety: genes are coding isoforms of cytochrome P450 (CYP2D6, CYP2C19, CYP3A4, CYP3A5), P-glycoprotein (ABCB1); pharmacogenetic pharmacodynamic markers of the efficacy and safety of QTP : genes of dopamine receptor isoform (DRD3), dopamine transporter (SCL1A1) and catecholO-methyltransferase (COMT), serotonin receptor isoforms (HTR2C), melanocortin receptor (MC4R), NOTCH protein (NOTCH4), phosphodiesterase 4D (PDE4D), SPoPL protein (SPoPL), multiple EGFlike domain (MEGF10), protocadherin-7 (PCDH7), contactin-associated protein 5 (CNTNAP5) , TRAF2 and NCK-interacting protein kinase (TNIK), spermatogenesis-associated protein 6 (SPATA6L), neurobihin (NBEA), synaptic vesicle protein-2C (SVC2) .(5) Conclusion: Disclosure of pharmacogenetic markers of pharmacokinetics and pharmacodynamics of QTP efficacy and safety in the treatment of patients with schizophrenia and other psychiatric disorders, may provide a key to developing a strategy for its personalized prevention of adverse grug reactions (ADRs) and therapy strategy in real clinical practice.
(1)简介:喹硫平(QTP)是二苯并噻唑类衍生物,是第二代抗精神病药(AP),结构与氯氮平相似。使用的主要适应症是精神分裂症和抑郁症。双相情感障碍躁狂发作时可单独使用或与锂盐联合使用。QTP处方频次平均为11,987例/ 10万人口,呈积极的动态趋势,2002 - 2017年增长率超过800%。(2)目的:QTP疗效和安全性的药物遗传药代动力学和药物遗传药效学指标研究综述。通过关键词及其组合,检索了近10年来Science Index、PubMed、Web of Science、Springer等数据库的出版物。此外,该评论还包括具有历史意义的早期出版物。尽管对这些常用的数据库和检索词进行了广泛的检索,但不能排除一些出版物可能被遗漏。(4)结果:本综述考虑了QTP有效性和安全性的以下药代动力学标记:基因是细胞色素P450 (CYP2D6、CYP2C19、CYP3A4、CYP3A5)、p -糖蛋白(ABCB1)的编码异构体;QTP疗效和安全性的药效学指标;多巴胺受体异构体(DRD3)、多巴胺转运体(SCL1A1)和儿茶酚甲基转移酶(COMT)、5 -羟色胺受体异构体(HTR2C)、黑素皮质素受体(MC4R)、NOTCH蛋白(NOTCH4)、磷酸二酯酶4D (PDE4D)、SPoPL蛋白(SPoPL)、多个egf样结构域(MEGF10)、原钙粘蛋白7 (PCDH7)、接触蛋白相关蛋白5 (CNTNAP5)、TRAF2和nck相互作用蛋白激酶(TNIK)、精子发生相关蛋白6 (SPATA6L)、神经比因(NBEA)、(5)结论:揭示QTP治疗精神分裂症等精神障碍患者的药代动力学和药效学标志物的有效性和安全性,可能为其在实际临床实践中制定个性化的药物不良反应(adr)预防策略和治疗策略提供关键。
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引用次数: 3
Personalized approach to antipsychotic-induced weight gain prognosis 抗精神病药物致体重增加预后的个性化方法
Pub Date : 2021-05-15 DOI: 10.52667/2712-9179-2021-1-1-3-10
V. Dobrodeeva, Aiperi K. Abdyrahmanova, R. Nasyrova
Abstract: Antipsychotics (APs) are the base of schizophrenia pharmacotherapy. There are large individual differences in effectiveness and adverse drug reactions (ADRs) of APs. There is an urgent need for a personalized approach to the therapy. Genetic factors are predisposed to patient's response to APs therapy. Pharmacogenetic studies of APs have examined a number of single nucleotide variants (SNVs), of which only a few were associated with therapeutic efficacy and ADRs development. However, only a limited number of these results have clinical applications in psychiatry. Nowadays, it seems promising to study SNVs of leptin system genes (LEP, LEPR) and neuropeptide Y (NRY). Studying the mechanisms of APs-induced weight growth will allow their transmission to a personalized approach. It will help psychiatrists in patients’ selection for the APs therapy. This will increase safety and effectiveness of the therapy, improve the quality of life and adherence to therapy in patients with schizophrenia.
摘要:抗精神病药物是精神分裂症药物治疗的基础。ap的有效性和不良反应(adr)存在较大的个体差异。目前迫切需要一种个性化的治疗方法。遗传因素易影响患者对APs治疗的反应。APs的药物遗传学研究已经检测了许多单核苷酸变异(snv),其中只有少数与治疗效果和不良反应的发生有关。然而,这些结果中只有有限的一部分在精神病学中有临床应用。目前,瘦素系统基因(LEP、LEPR)和神经肽Y (NRY)的SNVs研究前景广阔。研究aps诱导体重增长的机制将使它们的传播成为一种个性化的方法。这将有助于精神科医生对患者进行ap治疗的选择。这将增加治疗的安全性和有效性,改善精神分裂症患者的生活质量和治疗依从性。
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引用次数: 8
Genetic aspects of primary headaches in Siberia (Russia) 西伯利亚(俄罗斯)原发性头痛的遗传方面
Pub Date : 2021-05-15 DOI: 10.52667/2712-9179-2021-1-1-54-63
A. Kondratiev, N. A. Shnayder, A. Shulmin, D. Dmitrenko, V. V. Trefilova, S. Zobova, E. Kantimirova, M. Petrova, D. Kaskaeva, E. Vaiman, R. Nasyrova
Primary headaches are common neurological problem in the world. Migraine (M) and tension type headache (TTH) are the leaders in the structure of primary headaches in the population; (1) Background: The study of the association of single nucleotide variants (SNVs) of MTHFR (meth-ylenetetrahydrofolate reductase) and HTR2C (5-Hydroxytryptamine Receptor 2C) genes with M and TTH development in the European population in Siberia (Russia); (2) Methods: 192 adults were examined: 82 (42.7%) males and 110 (57.3%) females. Control group: 81 healthy adults, median age 49.5 [36; 59] years; 53 (66.7%) males and 27 (33.3%) females. Headache group consisted of 111 patients with primary headache, median age 54 [45; 64] years, including two subgroups: subgroup 1 (M) of 39 patients; subgroup 2 (TTH) of 72 patients. Carriage of alleles and genotypes rs1801133 and rs1801131 of the MTHFR gene and rs6318 of the HTR2C gene was determined using PCR-RT by TaqMan allelic discrimination technology; (3) Results: A statistically significant association of the carriage of the A allele rs1801133 of the MTHFR gene with the formation of M (p = 0.025) and TTH (p = 0.022), as well as the GA genotype with the development of TTH (p = 0.024) was revealed. Carriage of the G allele and the TG and GG genotypes of the MTHFR gene, associated with a decreased activity of the MTHFR enzyme, does not affect the development of primary headache. A statistically significant association was revealed between the carriage of the heterozygous GC genotype (rs6318) of the HTR2C gene and the formation of M (p = 0.013); (4) Conclusions: Carriage of the A allele (OR 1.77; 95% CI 1.09-2.89) and the GA genotype (OR 2.24; 95% CI 1.17-4.29) rs1801133 of the MTHFR gene is a risk factor for the development of TTH (p <0.05). Carriage of the A allele rs1801133 of the MTHFR gene is a risk factor for the development of M (OR 1.97; 95% CI 1.08-3.57; p <0.05). Carriage of the variant G allele and rs1801131 GT and GG genotypes associated with reduced activity of the MTHFR enzyme does not affect the development of primary headache. In the control group, the prevalence of the T allele associated with normal enzymatic activity was noted (p = 0.024). Carriage of the heterozygous genotype CG SNV rs6318 of the HTR2C gene increases the risk of developing migraine by 3.6 times.
原发性头痛是世界上常见的神经系统疾病。偏头痛(M)和紧张性头痛(TTH)是人群原发性头痛的主要结构;(1)背景:研究MTHFR(亚甲基四氢叶酸还原酶)和HTR2C(5-羟色胺受体2C)基因单核苷酸变异(SNVs)与西伯利亚(俄罗斯)欧洲人群M和TTH发生的关系;(2)方法:对192只成人进行调查,其中男性82只(42.7%),女性110只(57.3%)。对照组:健康成人81例,中位年龄49.5 [36];59)年;男性53例(66.7%),女性27例(33.3%)。头痛组包括111例原发性头痛患者,中位年龄54 [45];64]年,包括两个亚组:亚组1 (M) 39例;2亚组(TTH) 72例。采用TaqMan等位基因鉴别技术,采用PCR-RT检测MTHFR基因rs1801133、rs1801131和HTR2C基因rs6318等位基因及其基因型的携带情况;(3)结果:携带MTHFR基因A等位基因rs1801133与M的形成(p = 0.025)、TTH的形成(p = 0.022)、GA基因型与TTH的发生(p = 0.024)有统计学意义。携带G等位基因和MTHFR基因的TG和GG基因型,与MTHFR酶活性降低相关,不影响原发性头痛的发展。携带HTR2C基因杂合GC基因型(rs6318)与M的形成有统计学意义(p = 0.013);(4)结论:携带A等位基因(OR 1.77;95% CI 1.09-2.89)和GA基因型(OR 2.24;MTHFR基因的rs1801133是TTH发生的危险因素(95% CI 1.17-4.29) (p <0.05)。携带MTHFR基因的A等位基因rs1801133是M发生的危险因素(OR 1.97;95% ci 1.08-3.57;p < 0.05)。携带变异G等位基因和与MTHFR酶活性降低相关的rs1801131 GT和GG基因型并不影响原发性头痛的发展。在对照组中,与正常酶活性相关的T等位基因的患病率被注意到(p = 0.024)。携带HTR2C基因的杂合基因型CG SNV rs6318可使患偏头痛的风险增加3.6倍。
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引用次数: 2
The role of NO system in low back pain chronicity NO系统在腰痛慢性性中的作用
Pub Date : 2021-05-15 DOI: 10.52667/2712-9179-2021-1-1-37-45
V. V. Trefilova, N. Shnayder, T. Popova, O. Balberova, R. Nasyrova
Low back pain (LBP) is an important interdisciplinary medical problem, in the development of which various molecular genetics, pathomorphological and pathobiomechanical mechanisms play a role. Intervertebral disc degeneration (IVDD), facet joints arthrosis and myofascial syndrome are the most important pathological processes associated with chronic lower back pain in adults. The nitric oxide (NO) system may play one of the key roles in the development of LBP and its chronicity. (1): Background: The review of publications which are devoted to changes in the NO system in patients with LBP. (2): Materials: We have carried out a search for Russian-language and English-language full-text articles published in e-Library, PubMed, Oxford Press, Clinical Case, Springer, Elsevier, Google Scholar databases. The search was carried out using keywords and their combinations. The search depth was 10 years (2011-2021). (3): Results: Role of NO and various NOsynthase (NOS) isoforms in LBP process demonstrated primarily from animal models to humans. The most studied are the neuronal NOS (nNOS). The role of inducible nose (iNOS) and endothelial (eNOS) - continues to be studied. Associative genetic studies have shown that single nucleotide variants (SNV) of genes encoding all three NOS isoforms (nNOS, NOS1 gene; iNOS, NOS2 gene; eNOS, NOS3 gene) may be associated with chronic LBP. Prospects for the use of NOS inhibitors to modulate the effect of drugs used to treat back pain are discussed. (4): Conclusion: Associative genetic studies of SNV NOS1, NOS2, NOS3 genes are important for understanding genetic predictors of LBP chronicity and development of new personalized pharmacotherapy strategies.
腰痛是一个重要的跨学科医学问题,在其发展过程中,各种分子遗传学、病理形态学和病理生物力学机制都起着重要作用。椎间盘退变(IVDD)、关节突关节病和肌筋膜综合征是与成人慢性腰痛相关的最重要病理过程。一氧化氮(NO)系统可能在LBP的发展及其慢性性中起关键作用之一。(1):背景:回顾有关腰痛患者NO系统变化的文献。(2):材料:我们检索了e-Library、PubMed、Oxford Press、Clinical Case、施普林格、Elsevier、谷歌Scholar数据库中发表的俄语和英语全文文章。搜索是使用关键字及其组合进行的。搜索深度为10年(2011-2021年)。(3):结果:NO和各种NO合成酶(NOS)异构体在LBP过程中的作用主要从动物模型到人类。研究最多的是神经元NOS (nNOS)。诱导鼻(iNOS)和内皮细胞(eNOS) -的作用仍在研究中。关联遗传学研究表明,编码NOS所有三种亚型的基因(nNOS、NOS1基因;iNOS, NOS2基因;eNOS (NOS3基因)可能与慢性腰痛有关。展望使用NOS抑制剂调节药物的作用,用于治疗背部疼痛的讨论。(4)结论:SNV NOS1、NOS2、NOS3基因的关联遗传研究对于了解LBP慢性性的遗传预测因子和制定新的个性化药物治疗策略具有重要意义。
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引用次数: 4
Candidate genes of empty sella 空鞍候选基因
Pub Date : 2021-05-15 DOI: 10.52667/2712-9179-2021-1-1-46-53
Victoria B. Sharavii, N. A. Shnayder, M. Petrova
Empty sella (ES) is a condition characterized by arachnoid herniation into the sellar fossa which leads to flattening of the pituitary gland against the sellar floor. Besides endocrine disturbances, patients with ESS may also have neuropsychiatric symptoms such as headache, dizziness, seizures, schizophrenia. Typically, ES is not inherited. However, due to the advent of new methods of brain imaging and molecular genetics, the perspective on the genetics of ESS has been changing. The aim of this study is to analyze genome-wide association studies of candidate genes related to the development of ESS in humans. Based on the available studies which have been analyzed, all candidate genes of ESS were divided into 4 groups: group 1 - candidate genes related to ESS, group 2 - candidate genes related to pathways of ESS, group 3 - candidate genes related to cellular components of ESS, group 4 - candidate genes related to biological processes of ESS.
空鞍(ES)是一种以蛛网膜突出进入鞍窝为特征的疾病,它导致垂体对鞍底变平。除内分泌紊乱外,ESS患者还可能出现神经精神症状,如头痛、头晕、癫痫发作、精神分裂症。通常,ES不是遗传的。然而,由于脑成像和分子遗传学的新方法的出现,对ESS的遗传学观点已经发生了变化。本研究的目的是分析与人类ESS发展相关的候选基因的全基因组关联研究。根据已有研究结果,将ESS候选基因分为4组:1组为ESS相关候选基因,2组为ESS通路相关候选基因,3组为ESS细胞组分相关候选基因,4组为ESS生物过程相关候选基因。
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引用次数: 1
期刊
Personalized Psychiatry and Neurology
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