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Detection of neutrophil extracellular traps formation using the hexaazotated fuchsin and determination of the immunoglobulin classes A and M abzyme activity in patients with bronchial asthma and COPD 六氮化品红检测支气管哮喘和慢性阻塞性肺病患者中性粒细胞胞外陷阱形成及免疫球蛋白A类和M类抗体酶活性测定
Pub Date : 2021-10-01 DOI: 10.14427/jipai.2021.4.34
S. Generalov, O. Ishchenko, S. Sushkova, I. Generalov
Netosis and abzyme activity are the significant components of the innate immunity. Spontaneous and induced netosis, various types of proteolytic and oxidoreductase abzyme activity in patients with COPD and BA were determined in this study. NETs were determined by both light and fluorescence microscopy using a previously developed staining method. As a result of the work, an increase of the induced netosis was found in patients with COPD, relative to patients with BA. A significant increase in the IgA peroxidase activity was found in patients with BA relative to patients with COPD. Data on hyaluronidase, catalase, elastase, dipeptidyl dipeptidase-4-similar activity were obtained. A correlation between the peroxidase and catalase activity of IgA in patients with BA was found.
Netosis和抗体酶活性是先天免疫的重要组成部分。本研究测定了慢性阻塞性肺病和BA患者的自发性和诱导性netosis、各种类型的蛋白水解和氧化还原酶酶活性。使用先前开发的染色方法,通过光和荧光显微镜测定NETs。研究结果表明,COPD患者的诱发性netosis发生率高于BA患者。与COPD患者相比,BA患者IgA过氧化物酶活性显著升高。获得了透明质酸酶、过氧化氢酶、弹性酶、二肽基二肽酶-4类似活性的数据。发现BA患者IgA过氧化物酶和过氧化氢酶活性之间存在相关性。
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引用次数: 0
Cell-mediated immunity in patients with post-CoVID syndrome covid - 19后综合征患者的细胞介导免疫
Pub Date : 2021-10-01 DOI: 10.14427/jipai.2021.4.28
N. Asfandiyarova, V. Demikhov, E. Yakovleva, E. Akimova
Aim: to study the investigate of the cell-mediate immunity in post-COVID syndrome. Material and Methods: 278 patients with mild, moderate or severe Covid-19 in acute period with post-COVID syndrome were examined. All patients were questioned, and, if necessary, were examined by doctors of various specialties. The patients were divided into 2 groups depending on the severity of the course of the disease in the acute period and the duration of manifestations of post-COVID symptoms (up to 12 weeks or more). The state of cell-mediated immunity was assessed using the reaction of blast transformation of peripheral blood lymphocytes (morphological method for evaluating the reaction) in response to PHA. The activity of cells synthesizing cyclooxygenase was also determined. The control group included 200 practically healthy people of the same sex and age, who were not vaccinated and did not have a coronavirus infection. Results: a decrease in the proliferative activity of lymphocytes in response to PHA was found in patients who underwent Covid-19, both in mild (51,4±1.1%, p<0.01) and severe (49,3± 1,2% p<0,001), more pronounced in the latter in the first three months after the acute period of the disease (p<0,001). In all groups, there is an increase in the activity of cells synthesizing cyclooxygenase, which causes inflammation, which is more pronounced in patients who have had a severe form of Covid-19. Conclusion: The proliferative activity of peripheral blood lymphocytes in people who have had a coronavirus infection is reduced, both in the period up to 12 weeks and beyond; this is especially pronounced in patients who have had severe forms of Covid-19. In all groups, an increase in the activity of cells synthesizing cyclooxygenase, which plays a role in the development of inflammation, and possibly determines the progression of the course, was noted.
目的:研究新冠肺炎后综合征的细胞免疫机制。材料与方法:对278例轻、中、重度新冠肺炎急性期合并后综合征患者进行检测。所有的病人都接受了询问,如果有必要,还由不同专业的医生进行检查。根据急性期病程的严重程度和covid后症状表现的持续时间(最长12周或更长)将患者分为2组。采用外周血淋巴细胞对PHA的细胞转化反应(形态学评价反应的方法)来评价细胞介导的免疫状态。同时测定了细胞合成环氧合酶的活性。对照组包括200名几乎健康的同性和年龄相同的人,他们没有接种疫苗,也没有感染冠状病毒。结果:新冠肺炎患者淋巴细胞对PHA的增殖活性降低,轻度(51,4±1.1%,p<0.01)和重度(43,3±1.2%,p< 0.001),重度在急性期后3个月内更为明显(p< 0.001)。在所有组中,合成环氧合酶的细胞活性都有所增加,这会导致炎症,这在患有严重形式的Covid-19的患者中更为明显。结论:冠状病毒感染者外周血淋巴细胞增殖活性在12周内及12周以上均有所降低;这在患有严重形式的Covid-19的患者中尤为明显。在所有组中,细胞合成环氧合酶活性的增加,在炎症的发展中起作用,并可能决定病程的进展。
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引用次数: 0
Skin tests in the diagnosis of food allergy 皮肤试验在食物过敏诊断中的应用
Pub Date : 2021-10-01 DOI: 10.14427/jipai.2021.4.6
N. Titova
Skin tests are an important step in diagnosing food allergy. Several types of skin tests are used: prick test, intradermal, patch tests, as well as a special version of skin tests - these are tests with native (fresh allergens) – prick-prick tests. We review sensitivity, specificity, the possibility of false positive and false negative results when using natural products in testing. The safety of skin tests and certain contraindications for their use have to be considered. The advantages of using fresh products specimens for skin tests, their high sensitivity and negative predictive value of tests are described. This allows to reduce the likelihood of missing true positives:: the real patients with risk of a severe systemic reaction.
皮肤试验是诊断食物过敏的重要步骤。使用了几种类型的皮肤试验:点刺试验,皮内试验,贴片试验,以及一种特殊版本的皮肤试验-这些是天然(新鲜过敏原)-刺刺试验。我们回顾敏感性,特异性,假阳性和假阴性结果的可能性,当使用天然产品在测试。必须考虑皮肤试验的安全性及其使用的某些禁忌症。介绍了用新鲜产品标本进行皮肤试验的优点、高灵敏度和阴性预测值。这可以减少错过真正阳性的可能性:真正有严重全身反应风险的患者。
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引用次数: 0
Non-antimicrobial effects of macrolides: literature review 大环内酯类药物的非抗菌作用:文献综述
Pub Date : 2021-10-01 DOI: 10.14427/jipai.2021.4.20
A. Skryabina, V. Nikiforov, M. Shakhmardanov, M. Zastrozhin, D. Sychev
The aim of this work is to review current publications on the non-antibacterial effects of macrolides. Macrolides are among the most widely prescribed broad-spectrum antibacterial drugs, especially in patients with respiratory infections. It is now recognized that drugs of this group, in particular azithromycin, also have an immunomodulatory effect, which leads to their therapeutic effect not only in infectious but in other chronic inflammatory diseases also. However, the frequent and prolonged use of macrolides in the treatment of respiratory tract diseases, and recently azithromycin in the treatment of COVID-19, has led to an increase in bacterial resistance to antibiotics of this group. Results: it was shown that one of the key aspects of the development of chronic inflammation of the respiratory tract (for instance, chronic obstructive pulmonary disease) is the loss of the protective epithelial barrier due to the effects of pathogens and pollutants. Azithromycin has been shown to enhance the barrier properties of airway epithelial cells over time, which makes an important contribution to its therapeutic effectiveness. The main non-antibacterial effects of macrolides are considered, which in the future can be applied in treatment of inflammatory diseases associated with airway epithelium damage.
本工作的目的是回顾目前的出版物对大环内酯类药物的非抗菌作用。大环内酯类药物是最广泛使用的广谱抗菌药物之一,特别是在呼吸道感染患者中。现在认识到,这类药物,特别是阿奇霉素,也具有免疫调节作用,这导致它们不仅对感染性疾病而且对其他慢性炎症性疾病也有治疗作用。然而,大环内酯类药物在呼吸道疾病治疗中的频繁和长期使用,以及最近在COVID-19治疗中使用阿奇霉素,导致这一群体的细菌对抗生素的耐药性增加。结果:研究表明,呼吸道慢性炎症(例如,慢性阻塞性肺病)发展的一个关键方面是由于病原体和污染物的影响而失去保护性上皮屏障。随着时间的推移,阿奇霉素已被证明可以增强气道上皮细胞的屏障特性,这对其治疗效果有重要贡献。考虑了大环内酯类药物的主要非抗菌作用,未来可应用于治疗与气道上皮损伤相关的炎性疾病。
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引用次数: 0
Modern aspects of coccidioidomycosis laboratory diagnosis 球虫病实验室诊断的现代方面
Pub Date : 2021-10-01 DOI: 10.14427/jipai.2021.4.54
A. Murugova, N. Polovets, A. Lipnitsky, R. Surkova
Coccidioidomycosis is a disease caused by fungi Coccidioides spp. Clinical manifestations range from asymptomatic to severe disseminated forms. The disease is endemic to the southwestern United States and many countries of Central and South America. The lack of specific symptoms and X-ray picture makes impossible to diagnosis without laboratory confirmation. Our review is about the modern features of coccidioidomycosis laboratory diagnostics.
球孢子菌病是一种由球孢子真菌引起的疾病,临床表现从无症状到严重的播散形式不等。这种疾病是美国西南部以及中美洲和南美洲许多国家的地方病。由于缺乏具体症状和x光片,在没有实验室确认的情况下无法诊断。现就球虫真菌病实验室诊断的现代特点作一综述。
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引用次数: 0
Oral-pharyngeal and skin testing in the diagnosis of food allergy to tangerine 口腔咽皮试验在柑橘食物过敏诊断中的价值
Pub Date : 2021-07-01 DOI: 10.14427/jipai.2021.3.98
E. Derkach, N. Aliakhnovich
The purpose. To assess the diagnostic significance of the oral-pharyngeal challenge test with extract (1) and tangerine juice (2) in comparison with intradermal allergy test with tangerine extract and prick-prick test with fresh tangerine in patients with food allergy. Materials and methods. The peroxidase activity of the oral fluid was assessed in healthy individuals after breakfast. Patients with allergic reactions to tangerine (study group), patients with allergic rhinitis, bronchial asthma and hay fever, but without food allergy (risk group) and healthy individuals (control group) underwent oral-pharyngeal challenge test with tangerine allergen extract (20 PNU/ ml)/freshly squeezed tangerine juice (1 PNU/ml) followed by evaluation of peroxidase activity of the oral fluid, intradermal tests with tangerine extract and prick-prick tests with fresh tangerine were performed. Results. The majority of patients with food allergy to tangerine had polyvalent sensitization to household/epidermal (76%) and pollen allergens (39%). The most common manifestation of tangerine allergy were urticaria (48% of cases), bronchospasm (21% of cases) and oral allergy syndrome (10%) After breakfast, the optical density of the oral fluid decreased compared to the initial level in all healthy volunteers (p=0,001). After oral-pharyngeal challenge test with tangerine extract (1) and juice (2), the average increase of peroxidase activity of the oral fluid in patients with food allergy was М1=+23,5 [7,0;40,1], М2=+41,4 [4,2;78,6], which was significantly higher than in controls M1=-2,1 [-9,6;5,4], p1=0,038, M2=+4,4 [-9,6;18,4], p2=0,047 and in patients with chronic allergopathology, but without food allergy M2=+0,4 [-13,1;13,8], p2=0,049. The positive prick-prick test with fresh tangerine was observed in 44% of patients in the study group, the standard intradermal test with tangerine allergen extract - in 12%. The intradermal test with tangerine extract and prick-prick test with fresh tangerine were negative in patients without food allergy and healthy individuals. Conclusions. The oral-pharyngeal challenge test with extract (1) and tangerine juice (2), prick-prick test with fresh tangerine (3) can be used in the diagnosis of food allergy to tangerine. The sensitivity and specificity of the challenge test with tangerine allergen extract were 53% and 88%, with tangerine juice – 44% and 89%, prick-prick test with fresh tangerine – 44% and 100%. The proposed tests had a higher diagnostic efficiency than the standard intradermal test with tangerine allergen extract (p1=0,01, p2=0,03, p3=0,039).
的目的。评价提取液(1)和柑桔汁(2)口咽激射试验与柑桔提取液皮内过敏试验和鲜柑桔皮刺试验对食物过敏患者的诊断意义。材料和方法。在健康个体早餐后评估口服液的过氧化物酶活性。对橘子有过敏反应的患者(研究组)、有变应性鼻炎、支气管哮喘和花粉热但无食物过敏的患者(危险组)和健康个体(对照组)分别进行了橘子过敏原提取物(20 PNU/ml) /鲜榨橘子汁(1 PNU/ml)的口咽刺激试验,随后进行了口服液过氧化物酶活性评价、橘子提取物皮内试验和新鲜橘子刺刺试验。结果。大多数对橘子食物过敏的患者对家庭/表皮(76%)和花粉过敏原(39%)有多价致敏。橘子过敏最常见的表现是荨麻疹(48%的病例)、支气管痉挛(21%的病例)和口腔过敏综合征(10%)。早餐后,与所有健康志愿者的初始水平相比,口腔液的光密度下降(p= 0.001)。经陈皮提取物(1)和陈皮汁(2)口咽激射试验后,食物过敏患者口服液过氧化物酶活性平均升高М1=+23,5 [7,0,40,1], М2=+41,4[4,2,78,6],显著高于对照组M1=-2,1 [- 9,6,5,4], p1= 0.038, M2=+4,4 [-9,6;18,4], p2= 0.047;非食物过敏慢性变态反应病理患者M2=+0,4 [-13,1;13,8], p2= 0.049。在研究组中,44%的患者用新鲜橘子进行针刺试验,12%的患者用橘子过敏原提取物进行标准皮内试验。无食物过敏者和健康者皮内用陈皮提取物试验和新鲜陈皮刺试验均为阴性。结论。用提取液(1)和陈皮汁(2)进行口咽刺激试验,用新鲜陈皮进行刺刺试验(3)可用于诊断陈皮食物过敏。陈皮浸提液激发试验的敏感性和特异性分别为53%和88%,陈皮汁激发试验的敏感性和特异性分别为44%和89%,鲜陈皮刺刺试验的敏感性和特异性分别为44%和100%。该试验的诊断效率高于橘子过敏原提取物标准皮内试验(p1=0,01, p2=0,03, p3=0,039)。
{"title":"Oral-pharyngeal and skin testing in the diagnosis of food allergy to tangerine","authors":"E. Derkach, N. Aliakhnovich","doi":"10.14427/jipai.2021.3.98","DOIUrl":"https://doi.org/10.14427/jipai.2021.3.98","url":null,"abstract":"The purpose. To assess the diagnostic significance of the oral-pharyngeal challenge test with extract (1) and tangerine juice (2) in comparison with intradermal allergy test with tangerine extract and prick-prick test with fresh tangerine in patients with food allergy. Materials and methods. The peroxidase activity of the oral fluid was assessed in healthy individuals after breakfast. Patients with allergic reactions to tangerine (study group), patients with allergic rhinitis, bronchial asthma and hay fever, but without food allergy (risk group) and healthy individuals (control group) underwent oral-pharyngeal challenge test with tangerine allergen extract (20 PNU/ ml)/freshly squeezed tangerine juice (1 PNU/ml) followed by evaluation of peroxidase activity of the oral fluid, intradermal tests with tangerine extract and prick-prick tests with fresh tangerine were performed. Results. The majority of patients with food allergy to tangerine had polyvalent sensitization to household/epidermal (76%) and pollen allergens (39%). The most common manifestation of tangerine allergy were urticaria (48% of cases), bronchospasm (21% of cases) and oral allergy syndrome (10%) After breakfast, the optical density of the oral fluid decreased compared to the initial level in all healthy volunteers (p=0,001). After oral-pharyngeal challenge test with tangerine extract (1) and juice (2), the average increase of peroxidase activity of the oral fluid in patients with food allergy was М1=+23,5 [7,0;40,1], М2=+41,4 [4,2;78,6], which was significantly higher than in controls M1=-2,1 [-9,6;5,4], p1=0,038, M2=+4,4 [-9,6;18,4], p2=0,047 and in patients with chronic allergopathology, but without food allergy M2=+0,4 [-13,1;13,8], p2=0,049. The positive prick-prick test with fresh tangerine was observed in 44% of patients in the study group, the standard intradermal test with tangerine allergen extract - in 12%. The intradermal test with tangerine extract and prick-prick test with fresh tangerine were negative in patients without food allergy and healthy individuals. Conclusions. The oral-pharyngeal challenge test with extract (1) and tangerine juice (2), prick-prick test with fresh tangerine (3) can be used in the diagnosis of food allergy to tangerine. The sensitivity and specificity of the challenge test with tangerine allergen extract were 53% and 88%, with tangerine juice – 44% and 89%, prick-prick test with fresh tangerine – 44% and 100%. The proposed tests had a higher diagnostic efficiency than the standard intradermal test with tangerine allergen extract (p1=0,01, p2=0,03, p3=0,039).","PeriodicalId":425120,"journal":{"name":"Immunopathology, Allergology, Infectology","volume":"154 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126642678","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Post­Covid syndrome during the Covid-­19 pandemic Covid- 19大流行期间的后Covid综合征
Pub Date : 2021-07-01 DOI: 10.14427/jipai.2021.3.105
O. Chernokov, I. Shchurok
We review the classification, mechanisms of infection and multiple organ damage, as well as clinical manifestations of Post-CoVid syndrome (Post-CoViD Conditions, Long CoViD, Post-acute CoViD). The data was obtained via search in the PubMed system. For the query (long) AND (covid) at the time of 06.20.2021, 12 221 results were found, which underlines the relevance of this issue. The issues of the immunopathogenesis of Covid-19 development and possible causes of the development of Post-Covid syndrome were also highlighted.
本文就新冠肺炎后综合征(Post-CoVid Conditions、Long CoViD、Post-acute CoViD)的分类、感染机制、多器官损害及临床表现进行综述。数据通过PubMed系统检索获得。对于2021年6月20日的查询(long) AND (covid),发现了12 221个结果,这强调了该问题的相关性。重点讨论了新冠肺炎的免疫发病机制和后冠综合征的可能病因。
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引用次数: 0
Searching for safe SARS COV­2 immunodominant peptides in silico 在计算机上寻找安全的SARS COV-2免疫优势肽
Pub Date : 2021-07-01 DOI: 10.14427/jipai.2021.3.45
A. Tsygankov, V. Yanchenko
HLA molecules function to control the constancy of the internal environment of the body. HLA class I molecules are expressed on the surface of all nucleated cells and represent the peptides of all proteins that are synthesized in each individual cell. When a cell is infected with a virus, the peptides of its proteins bind to HLA class I and inform the immune system of the presence of the virus in that cell. The SARS COV-2 virus is chosen as a relevant example. This publication discusses an algorithm for selecting immunodominant peptides of SARS COV-2 virus that can be used to determine body immunoreactivity, immunoprophylaxis and immunotherapy. Proteins from the original strain hCoV-19/Wuhan/WIV04/2019 (hereafter WIV04), the isolate MW674675.1. from RB (hereafter MW674675.1.), strain B.1.617.2 from India (hereafter delta or MZ314977.1.), and the worrisome variant B.1.1.529 (hereafter omicron or OL677199.1) were analyzed. Immunodominant peptides from the SARS COV-2 proteome were searched using various programs on open access platforms: NCBI – GenBank, Protein; IEDB – MHC-I Processing Predictions, Population Coverage; GISAID – CoVsurver: Mutation Analysis of hCoV-19, UNIPROT – BLAST; ToxinPred. The search work resulted in the selection of 27 immunodominant peptides – targets for cytotoxic T-lymphocytes by representation through HLA-A *02:01. We hope that this information will contribute to the dissemination and implementation of ideas aimed at the safest prevention of infections. In predicting in silico bases for peptide vaccines, the practical component can be approached in an early and efficient manner, leading to personalized vaccination of humans as an extremely effective measure.
HLA分子的功能是控制体内环境的稳定性。HLA I类分子在所有有核细胞表面表达,代表每个细胞中合成的所有蛋白质的肽。当一个细胞被病毒感染时,其蛋白质的肽与HLA I类结合,并通知免疫系统该细胞中存在病毒。以SARS COV-2病毒为例。本文讨论了一种选择SARS COV-2病毒免疫优势肽的算法,该算法可用于确定机体免疫反应性、免疫预防和免疫治疗。原株hCoV-19/Wuhan/WIV04/2019(以下简称WIV04)蛋白,分离物MW674675.1。分析了来自RB(以下简称MW674675.1.)、来自印度的B.1.617.2菌株(以下简称delta或MZ314977.1.)和令人担忧的B.1.1.529变种(以下简称omicron或OL677199.1)。利用开放获取平台上的各种程序搜索SARS COV-2蛋白质组的免疫优势肽:NCBI - GenBank, Protein;IEDB - MHC-I处理预测,人口覆盖率;hCoV-19, UNIPROT - BLAST突变分析ToxinPred。通过HLA-A *02:01筛选到27个免疫优势肽-细胞毒性t淋巴细胞靶点。我们希望,这一信息将有助于传播和执行旨在最安全地预防感染的想法。在预测多肽疫苗的硅基时,可以以早期和有效的方式接近实际成分,从而使人类的个性化疫苗接种成为一种极其有效的措施。
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引用次数: 0
The use of MALDI­-TOF mass­spectrometry for the identification of fungal pathogens 利用MALDI -TOF质谱法鉴定真菌病原体
Pub Date : 2021-07-01 DOI: 10.14427/jipai.2021.3.73
R. Surkova, R. Sharov, N. Polovets, A. Lipnitsky, A. Murugova
Here we review modern data on the advantages and disadvantages of identifying mycoses pathogens using the MALDI-TOF mass spectrometry method. The advantages of this method are the high accuracy of the results obtained, the simplicity of the analysis, and the ability to determine the indicators of sensitivity to antifungal drugs. Limitations in using the method are associated with the lack of reference mass spectra of many micromycetes in the databases and standardized protocols for preparing micromycete cultures for MALDI-TOF mass spectrometry. Additional difficulties arise in the identification of pathogens of especially dangerous mycoses due to the limited representation of reference mass spectra in databases. When developing unified protocols for sample preparation, it is also necessary to take into account the growth phase of dimorphic micromycetes.
在这里,我们回顾了使用MALDI-TOF质谱法鉴定真菌病原体的优点和缺点的现代数据。该方法的优点是所得结果准确度高,分析简便,能够确定抗真菌药物敏感性指标。使用该方法的局限性与数据库中缺乏许多微菌的参考质谱和为MALDI-TOF质谱法制备微菌培养物的标准化方案有关。由于数据库中参考质谱的代表性有限,在鉴定特别危险的真菌的病原体方面出现了额外的困难。在制定统一的样品制备方案时,还需要考虑到二态微菌的生长阶段。
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引用次数: 0
Neutrophil extracellular traps (NETs) in complicated course of respiratory disorders in newborns 新生儿呼吸系统疾病复杂病程中的中性粒细胞胞外陷阱(NETs)
Pub Date : 2021-07-01 DOI: 10.14427/jipai.2021.3.16
A. Golubeva, V. Novikova, Y. Derkach
Introduction. The pathology of the respiratory tract during the neonatal period remains one of the leading causes of morbidity in children. Respiratory disorders lead to severe consequences for the subsequent quality of life of the child. Therefore, early diagnosis of complicated course is critical for optimizing the prognosis in respiratory distress syndrome and congenital pneumonia. The aim of the work was to assess the severity of the formation of neutrophil extracellular traps in the peripheral blood in pneumonia and respiratory distress syndrome in newborns. Material and methods. We observed 2 groups of newborns: 35 newborns with neonatal pneumonia and respiratory distress syndrome, and the control group consisted of 15 "almost healthy" newborns without respiratory tract pathology. Results. It was found that pneumonia and respiratory distress syndrome occur against the background of increased formation of neutrophil extracellular traps (NET) in the peripheral blood, the number of which was significantly greater than in the control group (1.2 [0.8; 2.1] and 0.6 [ 0.3; 1.4], respectively (p=0.02)). The percentage of NETs in the blood was also higher in the group of children with respiratory disorders (p=0.0005). A correlation was found between the severity of pneumonia and increased netosis by the 3-5th day of life in premature infants. The percentage of neutrophil extracellular traps of more than 23% in blood on the third -fifth day of life can be used as an additional diagnostic criterion for a complicated and unfavorable course of pneumonia and RDS in newborns. Conclusion. Determination of the percentage of neutrophil extracellular traps in the peripheral blood makes it possible to determine the possibility of developing complications in respiratory disorders in newborns and to initiate adequate therapeutic and preventive measures in a timely manner.
介绍。新生儿期呼吸道病理仍然是儿童发病的主要原因之一。呼吸系统疾病会对儿童随后的生活质量造成严重后果。因此,早期诊断并发症对改善呼吸窘迫综合征和先天性肺炎的预后至关重要。这项工作的目的是评估新生儿肺炎和呼吸窘迫综合征外周血中中性粒细胞胞外陷阱形成的严重程度。材料和方法。我们观察了两组新生儿:35例新生儿肺炎合并呼吸窘迫综合征,对照组15例新生儿“基本健康”,无呼吸道病变。结果。研究发现,肺炎和呼吸窘迫综合征是在外周血中性粒细胞胞外陷阱(NET)形成增加的背景下发生的,其数量明显高于对照组(1.2 [0.8;2.1]和0.6 [0.3;1.4] (p=0.02)。呼吸系统疾病患儿血液中NETs的百分比也较高(p=0.0005)。在早产儿出生后3-5天,发现肺炎的严重程度与坏死症的增加之间存在相关性。出生第3 - 5天血液中中性粒细胞胞外陷阱的百分比超过23%可作为新生儿肺炎和RDS复杂和不利病程的附加诊断标准。结论。测定外周血中中性粒细胞胞外陷阱的百分比,可以确定新生儿呼吸系统疾病发生并发症的可能性,并及时采取适当的治疗和预防措施。
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引用次数: 0
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Immunopathology, Allergology, Infectology
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