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Treatment of human papillomavirus infection in HIV-infected patients hiv感染者人乳头瘤病毒感染的治疗
IF 0.4 Q4 INFECTIOUS DISEASES Pub Date : 2021-02-01 DOI: 10.15789/2220-7619-toh-1233
V. Smirnov, T. A. Kudryavtseva
The first reports about HIV (human immunodeficiency virus) were appeared  to the  1980s. By 2017 more than 37 million people were living with HIV. Human papilloma virus (HPV) is universally spread, with some estimates showing that about 1% of the sexually active population having genital warts. Human papilloma virus (HPV)-induced infection frequently ac-companies the clinical course of HIV and can manifest itself in a full spectrum of clinical-pathologic forms ranging from common warts to malignant neoplasia. Due to the widespread use of antiretroviral therapy, the number of patients with a combined infection (HIV + HPV) is steadily increasing. Here we review current clinical treatment options for HPV manifestations. High-dose antiretroviral therapy does not impede HPV treatment, and can even improve its efficacy in some cases. The topical administration of imiquimod, an immune response modifier, is an effective conservative treatment in HIV-infected patients with HPV. The immunomodulation therapy of imiquimod can serve as an effective alternative of aggressive chemical and mechanical procedures. Maximum efficacy with the lowest replaces rates may be expected from combined use of mechanical ablation methods with a subsequent follow up treatment with imiquimod. The best therapeutic result is expected in HIV-positive patients who are received high-dose antiretroviral treatment. The advantages of Vartocid, the modified Russian equivalent of the generic imiquimod, are discussed.
关于HIV(人类免疫缺陷病毒)的第一批报告出现在20世纪80年代。到2017年,有3700多万人感染了艾滋病毒。人类乳头瘤病毒(HPV)普遍传播,据估计,约1%的性活跃人群患有生殖器疣。人乳头状瘤病毒(HPV)引起的感染经常伴随HIV的临床病程,并且可以表现为从普通疣到恶性肿瘤的各种临床病理形式。由于抗逆转录病毒治疗的广泛使用,合并感染(HIV + HPV)的患者数量正在稳步增加。在这里,我们回顾目前的临床治疗方案的HPV表现。大剂量抗逆转录病毒治疗不会阻碍HPV治疗,在某些情况下甚至可以提高其疗效。局部给予咪喹莫特,一种免疫反应调节剂,是一种有效的保守治疗hiv感染的HPV患者。咪喹莫特的免疫调节治疗可以作为一种有效的替代侵略性的化学和机械程序。机械性消融术联合后续咪喹莫特治疗可获得最大疗效和最低替代率。预期接受大剂量抗逆转录病毒治疗的艾滋病毒阳性患者的治疗效果最好。本文讨论了改良后的俄制咪喹莫特的优点。
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引用次数: 0
Born in Wuhan: lessons from COVID-19 epidemic in China 出生在武汉:中国新冠肺炎疫情的教训
IF 0.4 Q4 INFECTIOUS DISEASES Pub Date : 2020-05-22 DOI: 10.15789/2220-7619-biw-1453
A. Semenov, N. Pshenichnaya
The COVID-19 epidemic curve in China can be divided into several stages. Despite transparency in informing the world public about clusters of undiagnosed viral pneumonia, the country’s health care at the first stage of the epidemic was not ready to provide adequate and rapid response for a fast increase in the number of patients with COVID-19, infection control measures were not fully implemented, which also led to a large number of nosocomial cases of infection among medical workers and patients. Socially vulnerable groups of the population did not refer for medical assistance in a timely manner due to the lack of the disease danger understanding and also in connection with the high cost for them of medical aid. At the second stage, simultaneously with the restrictive measures introduced by the government, the entire health care system was rebooted: free medical care for patients with COVID-19 was provided and the strictest infection control measures were implemented, multi-level contact tracking system using IT technologies was organized, and the capacity of hospitals was increased many times. Through the joint efforts of ministries, mass media, social networks and volunteer movements, an unprecedented social mobilization of the population was achieved. Strict implementation of the entire set of measures aimed at fighting the epidemic allowed to take it under strict control at the third stage and practically eliminate the epidemic after 2,5 months. China’s response to the COVID-19 epidemic can be useful to other countries, in fighting the current pandemic and in preparing for a response to biological threats in the future.
中国新冠肺炎疫情曲线可以分为几个阶段。尽管在向世界公众通报未确诊的聚集性病毒性肺炎方面是透明的,但在疫情的第一阶段,该国的卫生保健没有准备好为COVID-19患者人数的快速增长提供充分和快速的应对,感染控制措施没有得到充分实施,这也导致了大量医务工作者和患者的医院感染病例。人口中的社会弱势群体由于缺乏对疾病危险的了解以及医疗援助的高昂费用而没有及时寻求医疗援助。第二阶段,在政府出台限制措施的同时,整个医疗体系重新启动:为新冠肺炎患者提供免费医疗服务,实施最严格的感染控制措施,组织使用IT技术的多层次接触者跟踪系统,医院容量成倍增加。通过各部委、大众传播媒介、社会网络和志愿人员运动的共同努力,实现了前所未有的人口社会动员。严格执行旨在防治这一流行病的一整套措施,使其在第三阶段得到严格控制,并在2.5个月后实际上消除了这一流行病。中国应对新冠肺炎疫情的经验可以为其他国家抗击当前疫情和为未来应对生物威胁做准备提供借鉴。
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引用次数: 3
Dynamics of proinflammatory cytokine serum levels in patients with acute inflammatory diseases of pelvic organs in the early stages of conservative treatment 盆腔器官急性炎症性疾病保守治疗早期血清促炎细胞因子的动态变化
IF 0.4 Q4 INFECTIOUS DISEASES Pub Date : 2019-11-15 DOI: 10.15789/2220-7619-2019-3-4-612-616
N. A. Burova, P. Soltys, N. Zharkin, M. Selikhova, N. I. Sviridova, E. Belan
Dynamics of serum proinflammatory cytokines such as interleukins (IL)-1, -2 and -6, tumor necrosis factor alpha (TNFα) was examined in patients of reproductive age suffering from acute inflammatory diseases of the pelvic organs. Our study was carried out with female patients at hospital admission prior to therapy applied with conventional methods of treatment and improved treatment by using vaginal low-frequency laser in a constant continuous magnetic field. The data obtained were compared with serum cytokine level from 20 healthy female volunteers of reproductive age consulted on better contraception methods. It was found that cytokine profile of in patients with acute inflammatory processes in pelvic organs was characterized by a high level of proinflammatory cytokines. It was shown that patients receiving conventional treatment contained decreased level of serum IL-1, IL-2, IL-6 and TNFα displaying slight dynamics, which did not reach it in control group. This may contribute to ongoing inflammatory process, despite the positive clinical dynamics. In turn, imbalance of immune responses leads to a persistently impaired fertility in women and need to perform subsequent comprehensive rehabilitation measures. Moreover, patients applied with intravaginal low-frequency laser radiation in a constant magnetic field were found to contain serum TNFα < 100 pg/ml observed in 59.7% of cases, IL-6 level was lower than 20 pg/ml (prevalent in control group) found in 54.2% of cases. Serum IL-2 level was decreased by 3.5-fold compared to baseline, whereas for IL-1β it was higher than 100 pg/ml in as few as 23.6% patients. Such temporal pattern of inflammatory markers with rapid significant decrease of serum proinflammatory cytokines in patients with preformed pathogenic factors can reduce probability of connective tissue formation and activate their own repair as well as regenerative events. The results obtained allow to wider use combined physical interventional factors for therapy of patients with acute inflammatory diseases of the pelvic organs.
探讨育龄盆腔器官急性炎性疾病患者血清促炎因子如白细胞介素(IL)-1、-2、-6、肿瘤坏死因子α (tnf - α)的动态变化。我们的研究是对入院的女性患者进行的,她们在接受常规治疗和改进阴道低频激光恒定连续磁场治疗之前。将所获得的数据与20名健康育龄女性志愿者的血清细胞因子水平进行比较,并咨询更好的避孕方法。研究发现,盆腔器官急性炎症过程患者的细胞因子谱以高水平的促炎细胞因子为特征。结果表明,常规治疗组血清IL-1、IL-2、IL-6、tnf - α水平均有轻微下降,未达到对照组水平。这可能有助于持续的炎症过程,尽管积极的临床动态。反过来,免疫反应的不平衡导致妇女生育能力持续受损,需要采取后续的综合康复措施。经阴道内恒定磁场低频激光照射患者血清TNFα < 100 pg/ml的占59.7%,IL-6低于20 pg/ml的占54.2%(对照组普遍存在)。与基线相比,血清IL-2水平下降了3.5倍,而IL-1β在23.6%的患者中高于100 pg/ml。这种炎症标志物的时间模式,在预先形成致病因子的患者中,血清促炎细胞因子迅速显著下降,可以降低结缔组织形成的概率,激活自身修复和再生事件。本研究结果可为盆腔脏器急性炎症性疾病的综合干预治疗提供更广泛的应用。
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引用次数: 0
COMMUNITY-ACQUIRED PNEUMONIA PNEUMOCOCCAL ETIOLOGY AND MICROBIOLOGICAL ASPECTS OF NASOPHARYNGEAL CARRIAGE IN CHILDREN IN THE REPUBLIC OF TATARSTAN 鞑靼斯坦共和国儿童鼻咽部感染的社区获得性肺炎肺炎球菌病原学和微生物学方面
IF 0.4 Q4 INFECTIOUS DISEASES Pub Date : 2017-09-28 DOI: 10.15789/2220-7619-2017-3-271-278
L. Bayazitova, O. F. Tyupkina, T. A. Chazova, Y. Tyurin, G. Isaeva, A. Z. Zaripova, M. Patyashina, L. Avdonina, L. R. Yuzlibaeva
Prevalence estimate of pneumococcus carrier in preschool age children (medically fragile children with respiratory diseases and practically healthy organized children) have been carried out; microbiological features of clinical isolates S. pneumoniae have been studied. 511 S. pneumoniae strains isolated from medically fragile children with respiratory diseases aged between 6 months to 7 years during the period 2009–2016 and 47 isolates isolated from 200 practically healthy children attending preschool institutions of Kazan (2016) have been included in the research. Among 343 strains, 76 isolates were isolated during the period of 2009–2011; 82 strains — in 2012–2013; 87 strains — in 2014; 98 strains — in 2015; 168 strains — in 2016. Analysis of microbiocenosis of nasopharynx in medically fragile children showed that S. pneumoniae was sowed in 32.9% cases. In 58.4% of children it was as a monoculture (degree of colonization is 10 4 –10 6  CFU/ml). S. pneumoniae contaminated nasopharynx in bacterial associations with other respiratory pathogens (S. aureus, Moraxella spp., Haemophilus spp.) in 41.6% of children. The analysis of microbiocenosis character of nasopharynx in children aged between 2.5–7 years attending preschool institutions in Kazan (n = 200) have showed that contamination S. pneumoniae (23.5%) was observed in 47 children. Pneumococcus have been isolated in monoculture in 82.9% of children; the contamination degree made 10 3 –10 6 CFU/ml. According to serotyping data, nasopharynx of often and long-term ill children living in Kazan is colonized by serotypes of pneumococcus which are covered with 13 valence conjugated serum. The obtained data on the dynamics of strain S. pneumoniae antibiotic sensitivity among medically fragile children with respiratory diseases in Kazan during 2009–2015 showed high activity of β-lactams antibiotics (from 96 to 90.8% sensitive isolates) and clyndamicin (94.7–91.8% sensitive straines). Macrolides (azytromicin, clarytromicin) and phtorchinolons (ciprof loxacin) are less active in regard to isolates S. рneumoniae. S. pneumoniae with multiple antibiotic resistance were detected in children nasopharynx: 3.8–9.95 in medically fragile children and 8.5% in organized children-bactericides. Identification of the carrier level S. pneumoniae and monitoring the dynamics on antibiotic resistance and serotyping composition of nasopharyngeal pneumococcus will optimize prevention and treatment of infections S. pneumoniae in preschool children.
开展了学龄前儿童(医学上脆弱的呼吸道疾病儿童和实际健康的有组织儿童)肺炎球菌携带者患病率估算;对临床分离的肺炎链球菌的微生物学特征进行了研究。本研究选取2009-2016年从6个月至7岁呼吸道疾病医学脆弱儿童中分离的511株肺炎链球菌和喀山市(2016年)200名实际健康儿童中分离的47株肺炎链球菌。在343株中,2009-2011年分离到76株;2012-2013年82株;87株——2014年;98株- 2015年;2016年是168株。医学体质脆弱儿童鼻咽部微生物病分析显示,32.9%的患儿感染肺炎链球菌。58.4%的儿童为单一培养(定植度为10.4 - 10.6 CFU/ml)。41.6%的儿童鼻咽部感染肺炎链球菌,与其他呼吸道病原体(金黄色葡萄球菌、莫拉菌、嗜血杆菌)存在细菌关联。通过对喀山地区200例2.5 ~ 7岁学龄前儿童鼻咽部微生物病特征的分析,发现47例患儿感染肺炎链球菌(23.5%)。82.9%的儿童在单一培养中分离出肺炎球菌;污染程度为103 ~ 106 CFU/ml。根据血清分型资料,喀山地区常见病和长期患病儿童的鼻咽部被13价结合血清覆盖的肺炎球菌血清型定植。2009-2015年喀山地区医学脆弱呼吸道疾病患儿肺炎链球菌抗生素敏感性动态数据显示,β-内酰胺类抗生素(96 ~ 90.8%敏感株)和克林霉素(94.7% ~ 91.8%敏感株)活性较高。大环内酯类(阿奇霉素、克拉霉素)和phtorchinolons(环丙沙星)对分离的肺炎链球菌活性较低。儿童鼻咽部检出多重耐药肺炎链球菌,体质脆弱儿童为3.8% ~ 9.95%,有组织儿童为8.5%。确定带菌者水平的肺炎链球菌,监测鼻咽肺炎球菌的抗生素耐药动态和血清分型组成,将优化学龄前儿童肺炎链球菌感染的预防和治疗。
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引用次数: 5
ИММУНОГЕННОСТЬ ИММУНОАДЪЮВАНТНОЙ ВАКЦИНЫ ПРОТИВ ГРИППА У БЕРЕМЕННЫХ 孕妇流感免疫辅助疫苗的免疫原性
IF 0.4 Q4 INFECTIOUS DISEASES Pub Date : 2017-06-19 DOI: 10.15789/2220-7619-2017-2-193-202
Kostinov Mp, A. P. Cherdantsev, A. D. Shmitko, D. A. Praulova, A. Protasov, U. A. Dagil, Kostinova Ta, N. Akhmatova, E. A. Chromova, A. Ryzhov, D. A. Blagovidov, V. B. Polishchuk, O. O. Magarshak, E. S. Korovkina
Recent epidemiological events showed that pregnant women are the most vulnerable part of population if there is the flu in the country and they die much more often than the rest part of people. That is why influenza vaccination of population including pregnant women is one of the priorities of public health service in our state. Worldwide experience of influenza vaccination of either adults or children by new adjuvant vaccine has caused our research of its efficiency among pregnant women. The aim of the study was to investigate the level of antibodies to influenza virus strain A/H1N1/v, A/H3N2 and B in pregnant women vaccinated adjuvant trivalent subunit vaccine. Our research is randomized and comparative on parallel groups. It was carried out within the demands of Russian Federation and International ethic norms adapted to such kind of researches. Evaluation of the immunogenicity of the vaccine was conducted in 27 pregnant women in the II trimester of gestation, and in 23 pregnant women in the III trimester of gestation, 19 non-pregnant women was in the control group. The level of antibodies in the serum was determined using a reaction of hemagglutination inhibition before and 1, 3, 6, 9 and 12 months after the vaccination. Revealed that influenza vaccination of pregnant women in the II and III trimester, causes the increase in titers of antibodies to vaccine influenza strains A and B, to fully meet the required criteria CPMP, and does not differ from the nonpregnant group. In a month after vaccination the level of seroprotective against A/H1N1/v was 77.0%, A/H3N2 — 88.9%, B — 85.2% after vaccination in II trimester, and 87.0; 87.0; 91.35% in III trimester of gestation. The factor of seroconversion after vaccination in II trimester for A/H1N1/v was equal to 6.5, A/H3N2 — 7.2, B — 6.5, after vaccination in III trimester of pregnancy: 7.1, 6.5 and 5.1 correspondingly. At the same time revealed accelerated decline in antibody titer against influenza in pregnant women compared to nonpregnant women in a year after immunization The set of results of the study can be concluded that adjuvant trivalent subunit vaccine effective in vaccination of pregnant women in II and III trimester of pregnancy, and it is able to effectively provide immune protection against viruses of the flu A and B within all pregnancy long.
最近的流行病学事件表明,如果该国发生流感,孕妇是人口中最脆弱的部分,她们的死亡率比其他人群高得多。因此,为包括孕妇在内的人口接种流感疫苗是我国公共卫生服务的优先事项之一。世界范围内使用新佐剂疫苗接种成人或儿童流感疫苗的经验使我们对其在孕妇中的有效性进行了研究。本研究的目的是调查接种佐剂三价亚单位疫苗的孕妇对流感病毒株A/H1N1/v、A/H3N2和B的抗体水平。我们的研究是随机的,并在平行组中进行比较。它是在俄罗斯联邦的要求和适应这种研究的国际伦理规范的范围内进行的。对27例妊娠2期孕妇和23例妊娠3期孕妇进行了免疫原性评价,对照组为19例非妊娠妇女。在接种前和接种后1、3、6、9和12个月用血凝抑制反应测定血清抗体水平。结果显示,妊娠期II和III期孕妇接种流感疫苗,可导致流感疫苗A和B株抗体滴度升高,完全符合CPMP要求的标准,且与未妊娠组无差异。接种后1个月对a /H1N1/v、a /H3N2、B抗体的血清保护水平分别为77.0%、88.9%、85.2%和87.0;87.0;91.35%发生在妊娠晚期。妊娠中期接种后A/H1N1/v血清转化因子为6.5,A/H3N2 - 7.2, B - 6.5;妊娠中期接种后A/H1N1/v血清转化因子分别为7.1,6.5和5.1。同时揭示了孕妇免疫后一年内抗流感抗体滴度较非孕妇下降速度加快。本组研究结果可以得出结论,佐剂三价亚单位疫苗在妊娠二、三个月的孕妇中接种有效,并且能够在整个妊娠期内有效地提供对甲型和乙型流感病毒的免疫保护。
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引用次数: 3
СОВЕРШЕНСТВОВАНИЕ КОНТРОЛЯ КАЧЕСТВА ИССЛЕДОВАНИЙ МЕТОДОМ ИФА ПРИ ЛАБОРАТОРНОМ ПОДТВЕРЖДЕНИИ КОРИ И КРАСНУХИ НА ЭТАПЕ ЭЛИМИНАЦИИ ЭТИХ ИНФЕКЦИЙ 通过实验室证实麻疹和风疹来改善研究质量控制
IF 0.4 Q4 INFECTIOUS DISEASES Pub Date : 2017-03-28 DOI: 10.15789/2220-7619-2017-1-69-78
T. A. Mamaeva, N. V. Zheleznova, M. A. Nаumova, T. S. Chekhlyaeva, E. V. Vorobeychikovc, M. B. Mamou, V. A. Aleshkin
To estimate ELISA serological studies results of IgM and IgG specific Measles and Rubella Viruses (MRV) antibodies detection the “in-house” laboratory controls (ILC) including the specific markers of MRV infections were for the first time commercially prepared by the Vector Best PLC (Russia): “Measles-IgM, ser.1”, “Measles-IgM, ser.2”, “Rubella-IgM”, Measles-IgG” and “Rubella-IgG”. This task was realized under the special Executive Order of the Government of Russia N 523-r, 2014, April, 4. According to passport characteristics ILC samples are the lyophilized human sera, inactivated by heating (1 hour at 56°C) and stabilized by the mixture of sucrose (5%) and ProClin-3000 as the conservation agent. Samples are free of HBs Ag, anti-HVC, T.Pallidum, HIV-1/2, HIV-1Ag р24.The aim of the study was to evaluate the possibility of using the ILC for detection of the MRV IgM and IgG antibodies by ELISA with commercial ELISA kits used in Russia and CIS countries. In the process of detecting the specific activity of “Measles-IgM, ser.1”, “Measles-IgM, ser.2” and “Rubella-IgM” by ELISA kits of different formats (Vector Best, EcoLab and Siemens Companies) the statistically different results were received (p < 0.05). The optical density (OD) values of IgM in the “Measles-IgM, ser.1” and “Measles-IgM, ser.2” ILC, obtained by ELISA “VectoMeasles IgM” (Vector Best) were significantly higher than those obtained by ELISA IgEnzygnost®Anti-MeaslesVirus/IgМ. These values consisted for the ser. 1–1.33±0.02 о.u. vs. 0.18±0.01 о.u. (р < 0.05) and for the ser. 2–2.83±0.03 о.u. vs. 0.7±0.02 о.е. (р < 0.05) in the Vector Best and Siemens ELISA kits correspondently. In the “Rubella-IgM” ILC the OD values of the specific IgM by the “ELISA-Rubella IgM” EcoLab were also higher than those obtained by IgEnzygnost®Anti-RubellaVirus/IgМ ELISA kit. These values consisted 2.92±0.04 о.u. vs. 0.88±0.03 о.u. (р < 0.05) in EcoLab and Siemens ELISA test-systems correspondently. In the studies when the ILC working solution parameters for ELISA of “capture” and “indirect” formats were evaluated the statistic reliability and high information capability of the mathematic models of the OD value changes vs. the degree of dilution of the initial ILC were determined. For the “capture” and “indirect” formats the determination coefficient (R2) consisted 97.34 and 99.29 correspondently, the Fisher criteria (F) — 219.62 and 556.55 correspondently, the significance level (p) — < 0.05 for both formats. The evaluated optimal working dilution degrees of the IgM-containing ILC make possible to exclude the influence of the IgG antibodies as the non-target marker in the ILC. On the other hand, taking into account the format of the used ELISA kit the optimal working dilution degrees give the possibility to obtain the desirable 2–3 “cut-off” values of the specific marker. Moreover, the issue of the target marker quantitative content in ILC is discussed in the study. In order to improve the quality of the commer
为了估计IgM和IgG特异性麻疹和风疹病毒(MRV)抗体检测的ELISA血清学研究结果,包括MRV感染特异性标记的“内部”实验室对照(ILC)首次由Vector Best PLC(俄罗斯)商业化制备:“麻疹-IgM, ser。1、“麻疹- igm,先生。2”、“风疹- igm”、“麻疹- igg”和“风疹- igg”。这项任务是在2014年4月4日俄罗斯政府n523 -r特别行政命令下实现的。根据护照特征,ILC样品是冻干的人血清,在56°C下加热1小时灭活,用蔗糖(5%)和proclin3000作为保存剂的混合物稳定。样品不含HBs Ag,抗hvc, T.Pallidum, HIV-1/2, HIV-1Ag 24。本研究的目的是评估利用俄罗斯和独联体国家使用的商用ELISA试剂盒,利用ILC检测MRV IgM和IgG抗体的可能性。在检测“麻疹- igm”特异活性的过程中,1、“麻疹- igm,先生。不同格式(Vector Best、EcoLab和Siemens Companies)的2”和“风疹- igm”ELISA试剂盒检测结果差异有统计学意义(p < 0.05)。“麻疹-IgM, ser”中IgM的光密度(OD)值。“1”和“麻疹- igm,先生。ELISA“VectoMeasles IgM”(Vector Best)获得的2”ILC显著高于ELISA igenzymatic®anti -麻疹病毒/IgМ获得的ILC。这些值由用户组成。1 - 1.33±0.02о.u。Vs. 0.18±0.01。(p < 0.05);2 - 2.83±0.03о.u。Vs. 0.7±0.02。在Vector Best和Siemens ELISA试剂盒中差异有统计学意义(p < 0.05)。在“风疹-IgM”ILC中,“ELISA-风疹IgM”EcoLab检测到的特异性IgM OD值也高于ig酶诺斯特®抗风疹病毒/IgМ ELISA试剂盒检测到的OD值。这些数值为2.92±0.04。Vs. 0.88±0.03。在EcoLab和Siemens ELISA检测系统中,差异有统计学意义(p < 0.05)。在评估“捕获”和“间接”两种形式的ELISA法ILC工作液参数的研究中,确定了OD值随初始ILC稀释度变化的数学模型的统计可靠性和高信息能力。“捕获”和“间接”两种格式的决定系数(R2)分别为97.34和99.29,Fisher标准(F)分别为219.62和556.55,两种格式的显著性水平(p)均< 0.05。所评估的含igm的ILC的最佳工作稀释度可以排除IgG抗体作为ILC非靶标记物的影响。另一方面,考虑到所用ELISA试剂盒的格式,最佳工作稀释度可以获得所需的特定标记物的2-3个“截止”值。此外,本研究还讨论了ILC中靶标记物的定量含量问题。为了提高商业化MRV IgM和IgG ELISA测试系统的质量,需要组织与开发和生产这些系统的人进行联合研究。
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引用次数: 1
Анализ инфицированности клещей видов Ixodes persulcatus и Dermacentor reticulatus возбудителями трансмиссивных заболеваний на территории Кировской области persulcatus和Dermacentor reticulatus是基洛地区传播疾病病原体感染的分析
IF 0.4 Q4 INFECTIOUS DISEASES Pub Date : 2016-06-25 DOI: 10.15789/2220-7619-2016-2-173-178
Волков Станислав Александрович, Е. А. Бессолицына, Ф. С. Столбова, И. В. Дармов
Borreliosis, encephalitis, anaplasmosis, ehrlichiosis and babesiosis belongs to tick-borne transmissive diseases. These diseases are dangerous for human and animals as well. Moreover, some animals can have no clinical signs of these diseases. These diseases are widely spread across Russian Federation, although only encephalitis and borreliosis (Lyme disease) are being monitored nowadays. At the same time anaplasmosis, ehrlichiosis and babesiosis (pyroplasmosis) are not being monitored. Thus a goal of monitoring of these diseases appears. The main vector for these diseases are ticks. Ticks can carry and transmit causative agents of the diseases to domestic and wild animals. Thus a goal of monitoring transmissible diseases in different population of ticks gathered in our country appears. In this study PCR was chose. This method is perspective and is widely used to detect infectious diseases nowadays. Moreover this method allows getting results in quite short period of time. The goal of this work is to determine the presence of causative agents of tick-borne diseases in ticks of different species gathered in different areas of Kirov region in 2010–2015 with the help of PCR. Moreover the goal was to determine if there is a relation between a number of infected ticks and its species. To solve these goal a primers, PCR conditions, method of extraction of total nucleic acid from fixed and alive ticks were engineered. Method of extraction of total nucleic acids allowed with the help of a reverse transcriptase to determine tick-borne encephalitis virus in samples. Analyzed ticks were gathered in Kirov region. It was determined that main vectors in these region are of an Ixodes persulcatus and a Dermacentor reticulatus species. It was prooved that the number of infected ticks can vary in time. It was also proved that there is no significant difference in the number of infected with TBEV and Lyme disease causative agents but there is a significant difference in the number of infected ticks with anaplasmosis, ehrlichiosis and babesiosis causative agents.
疏螺旋体病、脑炎、无形体病、埃立克体病和巴贝斯虫病属于蜱传疾病。这些疾病对人类和动物都很危险。此外,有些动物可能没有这些疾病的临床症状。这些疾病在俄罗斯联邦各地广泛传播,但目前只监测脑炎和螺旋体病(莱姆病)。同时,未监测无形体病、埃立克体病和巴贝斯虫病(热形体病)。因此,监测这些疾病的目标出现了。这些疾病的主要媒介是蜱虫。蜱可以携带和传播疾病的病原体给家畜和野生动物。因此,对我国不同种群的蜱虫进行传染病监测的目标出现了。本研究采用PCR方法。该方法具有前瞻性,是目前广泛应用于传染病检测的方法。此外,这种方法可以在很短的时间内得到结果。本研究的目的是利用PCR检测2010-2015年在基洛夫地区不同地区采集的不同种类蜱中是否存在蜱传疾病病原。此外,目的是确定受感染蜱虫的数量与其种类之间是否存在联系。为解决这些问题,设计了引物、PCR条件、固定蜱和活蜱总核酸的提取方法。总核酸的提取方法允许在逆转录酶的帮助下测定样品中的蜱传脑炎病毒。分析蜱虫聚集在基洛夫地区。结果表明,该地区主要病媒生物为过狭纹伊蚊和网状革螨。事实证明,受感染的蜱虫数量会随时间而变化。结果还表明,感染TBEV和莱姆病病原体的蜱数无显著性差异,但感染无形体病、埃利希体病和巴贝斯虫病病原体的蜱数有显著性差异。
{"title":"Анализ инфицированности клещей видов Ixodes persulcatus и Dermacentor reticulatus возбудителями трансмиссивных заболеваний на территории Кировской области","authors":"Волков Станислав Александрович, Е. А. Бессолицына, Ф. С. Столбова, И. В. Дармов","doi":"10.15789/2220-7619-2016-2-173-178","DOIUrl":"https://doi.org/10.15789/2220-7619-2016-2-173-178","url":null,"abstract":"Borreliosis, encephalitis, anaplasmosis, ehrlichiosis and babesiosis belongs to tick-borne transmissive diseases. These diseases are dangerous for human and animals as well. Moreover, some animals can have no clinical signs of these diseases. These diseases are widely spread across Russian Federation, although only encephalitis and borreliosis (Lyme disease) are being monitored nowadays. At the same time anaplasmosis, ehrlichiosis and babesiosis (pyroplasmosis) are not being monitored. Thus a goal of monitoring of these diseases appears. The main vector for these diseases are ticks. Ticks can carry and transmit causative agents of the diseases to domestic and wild animals. Thus a goal of monitoring transmissible diseases in different population of ticks gathered in our country appears. In this study PCR was chose. This method is perspective and is widely used to detect infectious diseases nowadays. Moreover this method allows getting results in quite short period of time. The goal of this work is to determine the presence of causative agents of tick-borne diseases in ticks of different species gathered in different areas of Kirov region in 2010–2015 with the help of PCR. Moreover the goal was to determine if there is a relation between a number of infected ticks and its species. To solve these goal a primers, PCR conditions, method of extraction of total nucleic acid from fixed and alive ticks were engineered. Method of extraction of total nucleic acids allowed with the help of a reverse transcriptase to determine tick-borne encephalitis virus in samples. Analyzed ticks were gathered in Kirov region. It was determined that main vectors in these region are of an Ixodes persulcatus and a Dermacentor reticulatus species. It was prooved that the number of infected ticks can vary in time. It was also proved that there is no significant difference in the number of infected with TBEV and Lyme disease causative agents but there is a significant difference in the number of infected ticks with anaplasmosis, ehrlichiosis and babesiosis causative agents.","PeriodicalId":42907,"journal":{"name":"Infektsiya i Immunitet","volume":"6 1","pages":"173-178"},"PeriodicalIF":0.4,"publicationDate":"2016-06-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67113533","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: 4
ИЗОТИПИЧЕСКАЯ СТРУКТУРА ВИРУССПЕЦИФИЧЕСКОГО СИСТЕМНОГО ГУМОРАЛЬНОГО ИММУННОГО ОТВЕТА У ВЗРОСЛЫХ ПАЦИЕНТОВ, ГОСПИТАЛИЗИРОВАННЫХ С ГРИППОМ А 成人感染者a型流感患者病毒特异性腐蚀性免疫反应异型结构
IF 0.4 Q4 INFECTIOUS DISEASES Pub Date : 2016-06-09 DOI: 10.15789/2220-7619-2016-1-55-66
Кривицкая Вера Зорьевна, А. А. Васильева, Е М Войцеховская, Е Р Петрова, М. М. Писарева, Ж. В. Бузицкая, Е А Елпаева, А. А. Го, Любовь Васильевна Волощук, Н. И. Львов, Т. Д. Смирнова, А. А. Соминина
The aim of this investigation was a comparative analysis of isotypic structure of specific antiviral systemic humoral immune response in hospitalized patients with influenza caused by virus A(H3N2) or A(H1N1), including the A(H1N1)pdm09. Paired acute and convalescent phase sera from 109 adult patients aged 18 to 67 years with laboratoryconfirmed influenza A were analyzed by ELISA. Purified surface glycoproteins of influenza A viruses of different subtypes containing the hemagglutinin and neuraminidase were used as antigen for sensitization of plates in ELISA.The absence of type-specific conserved internal proteins in antigenic material allowed to carry out a subtype-specific differentiation of antibodies against influenza viruses in ELISA. Regardless of the subtype of influenza A viruses caused the disease, the most pronounced response was observed by subtype-specific IgG1 (70–90% of seroconversions). It has been shown for the first time that low activity of virus-induced IgG2 (6–9% of seroconversions) is a peculiarity of the immune response both to primary or recurrent infections with A(H1N1)pdm09. In patients repeatedly suffered by «seasonal» influenza A(H1N1) in 2007/2008 or influenza A(H3N2) in 2012–2014 IgG2 seroconversion’s rates were 40–59% (р < 0,05). Reaction virusspecific IgG3 was also weaker in patients with influenza A(H1N1)pdm09 (29–44% of seroconversions) than in subjects with influenza A(H1N1) or A(H3N2) (65% and 56% of seroconversions, respectively). Geometric mean titers of virus neutralizing antibodies identified during recovery phase in patients with primary and secondary influenza A(H1N1)pdm09 (1/28 and 1/103, respectively) were significantly lower than in patients recovered from influenza A(H1N1) or A(H3N2) (GMT were 1/594 and 1/378, respectively). It was shown that the surface glycoproteins of influenza A viruses may be an allergens. Virus-specific IgE seroconversion rates were comparable in all groups reaching 25–45%. The high activity of virus-induced serum IgA was detected in patients with influenza A(H3N2) or A(H1N1)pdm09 (60–79% of seroconversions). Thus, study of virus-specific activity of various immunoglobulin isotypes provides important information about the formation of adaptive antiviral immune response to influenza A viruses, and also estimate the contribution of its protective and immunopathogenic components to pathogenesis of the disease.
本研究的目的是比较分析a (H3N2)或a (H1N1)病毒(包括a (H1N1)pdm09)引起的流感住院患者特异性抗病毒全身体液免疫反应的同型结构。对109例18 ~ 67岁成人甲型流感确诊患者急性期和恢复期配对血清进行ELISA分析。以含血凝素和神经氨酸酶的甲型流感病毒表面纯化糖蛋白为抗原,进行酶联免疫吸附试验。抗原材料中缺乏类型特异性保守的内部蛋白,允许在ELISA中进行针对流感病毒的亚型特异性抗体分化。无论A型流感病毒的哪种亚型引起疾病,亚型特异性IgG1(70-90%的血清转化)的反应最为明显。研究首次表明,病毒诱导的IgG2低活性(占血清转化的6-9%)是对甲型H1N1 pdm09原发性或复发性感染的免疫反应的特点。在2007/2008年反复感染“季节性”甲型H1N1流感或2012-2014年反复感染甲型H3N2流感的患者中,IgG2血清转换率为40-59% (p < 0.05)。甲型H1N1流感pdm09患者的反应病毒特异性IgG3(29-44%的血清转化率)也弱于甲型H1N1流感或甲型H3N2患者(分别为65%和56%的血清转化率)。原发性和继发性甲型H1N1流感pdm09患者恢复期检测到的病毒中和抗体几何平均滴度(分别为1/28和1/103)显著低于甲型H1N1流感或甲型H3N2流感恢复期患者(GMT分别为1/594和1/378)。结果表明,甲型流感病毒的表面糖蛋白可能是一种过敏原。病毒特异性IgE血清转换率在所有组中具有可比性,达到25-45%。在甲型流感(H3N2)或甲型流感(H1N1)pdm09患者中检测到病毒诱导的血清IgA高活性(60-79%的血清转化)。因此,研究各种免疫球蛋白同型的病毒特异性活性,为甲型流感病毒适应性抗病毒免疫应答的形成提供了重要信息,并估计其保护性和免疫致病性成分对疾病发病机制的贡献。
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引用次数: 0
МОЛЕКУЛЯРНЫЕ ОСНОВЫ ПАТОГЕННОСТИ COXIELLA BURNETII Burnetii coxiella致病性的分子基础
IF 0.4 Q4 INFECTIOUS DISEASES Pub Date : 2016-06-09 DOI: 10.15789/2220-7619-2016-1-7-24
Yu. A. Panferova
Coxiella burnetii is an obligate intracellular gram-negative bacterial pathogen, an ethiological agent of Q-fever, a zoonotic disease, elapsing as an acute (mostly atypical pneumonia) or a chronic (mostly endocarditis) form. The host range is represented by wide range of mammal, avian and arthropod species, but the main source of human infection are farm animals. The main route of infection is aerosolic. In case of contact with organism pathogen binds with phagocytal monocytic-macrophagal cell line. C. burnetii promotes maturation of specific phagolysosome-like compartment in host cell, called coxiella-containing vacuole, within this vacuole pathogen becames metabolically activated and actively replicates. Coxiella persists as metabolically inactive spore-like form in environment. Internalisation of C. burnetii occurs using actin-mediated phagocytosis and zipper mechanism. After internalization of bacteria maturation of phagolysosome-like compartment and large coxiella-containing vacuole formation occure, and vacuole can occupy nearly the whole cytoplasm of the host cell. Survivance of infected cells is important for chronic infection with C. burnetii. C. burnetii elongate the viability of host cell by two ways: it actively inhibits apoptotic signal cascades and induce pro-survival factors. Except that C. burnetii involves autophagic pathway during coxiella-containing vacuole formation, and induction of autophagy promotes pathogen replication. During infection C. burnetii translocates effector substrates from bacterial cytosole to euca ryotic host cell cytosole using type IV secretion system, where effectors modulate host cell proteins. Overall approximately 130 secreted effectors of type IV transport system, but function of most of them remains unknown to date. Specific sec reted proteins for variety of strains and isolates were identified, confirmed that certain pathotypes of C. burnetii can exist. Identification and characterization of novel virulence factors it is now possible through axenic media for C. burnetii cultivation and development of site-specific mutagenesis and other genetic technics, which is important for research of C. burnetii molecular pathogenesis.
伯纳蒂克希菌是一种专性细胞内革兰氏阴性细菌病原体,是q热(一种人畜共患疾病)的病原,以急性(多为非典型肺炎)或慢性(多为心内膜炎)形式消失。宿主范围广泛,以哺乳动物、鸟类和节肢动物为代表,但人类感染的主要来源是农场动物。主要的感染途径是气溶胶。在与生物体接触的情况下,病原体与吞噬细胞单核-巨噬细胞系结合。伯氏梭菌促进宿主细胞中特定的吞噬溶酶体样腔室成熟,称为含coxiella液泡,在这个液泡内病原体被代谢激活并积极复制。Coxiella在环境中以代谢不活跃的孢子样形式存在。伯氏梭菌的内化是通过肌动蛋白介导的吞噬和拉链机制发生的。细菌内化成熟后,形成吞噬溶酶体样腔室和含有大叶藻的液泡,液泡几乎可以占据宿主细胞的整个细胞质。感染细胞的存活对慢性伯纳氏梭菌感染很重要。burnetii通过积极抑制凋亡信号级联反应和诱导促存活因子两种途径延长宿主细胞的生存能力。但伯纳氏梭菌在含柯氏菌液泡形成过程中涉及自噬途径,自噬的诱导促进了病原体的复制。在感染过程中,伯纳氏梭菌利用IV型分泌系统将效应底物从细菌胞底转运到真核细胞胞底,其中效应物调节宿主细胞蛋白。总共约有130种IV型转运系统的分泌效应物,但其中大多数的功能至今仍不清楚。鉴定了多种菌株和分离株的特异性特异性蛋白质,证实了伯纳蒂胞杆菌可能存在某些致病型。鉴定和表征新的毒力因子,现在有可能通过无菌培养基对伯纳蒂胞杆菌进行培养和开发位点特异性诱变等遗传技术,这对研究伯纳蒂胞杆菌的分子发病机制具有重要意义。
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引用次数: 4
СОЗДАНИЕ ИММУНОГЕНА ПРОТИВ ВИРУСА ПАПИЛЛОМЫ ЧЕЛОВЕКА НА ОСНОВЕ ХИМЕРНОГО РЕКОМБИНАНТНОГО БЕЛКА L2E7 在L2E7重组蛋白的基础上,创造一种针对人类乳头状瘤病毒的免疫基因。
IF 0.4 Q4 INFECTIOUS DISEASES Pub Date : 2016-01-01 DOI: 10.15789/2220-7619-2016-4-345-352
I. S. Malakhov, R. I. Al-Shehadat, I. V. Duckhovlinov, A. S. Simbirtsev
The cervical cancer is one of the most common diseases in world. This malignancy is the seventh highest prevalence oncological disease worldwide and the second highest prevalence oncological disease of women in the world. Meanwhile women need to be infected by human papilloma virus (HPV) is absolutely necessary for it further evolution, HPV DNA was found in 99.97% cases of disease. Except cervical cancer, HPV cause 85% of rectal cancer, 50% of the vulva, vagina and penis cancers, 20% of oropharyngeal cancer and 10% of larynx and esophagus cancers. In 2009, 14 000 women were diagnosed with cervical cancer in Russia. The growth in morbidity was 19% (in comparison with 1999). The most effective recognised measure for almost each infection prophylaxis is a vaccination. Two human papilloma virus vaccines are available in Russia nowadays — Gardasil and Cervarix, produced in Belgium and the Netherlands respectively. Cervarix is a bivalent vaccine based on virus-like particles (VLP) of two types. Recombinant major capsid proteins L1 HPV 16 and HPV 18 express in baculovirus expression system and self-assembled into virus-like particles (about 70 percent of cervical cancers are caused by HPV 16 and HPV 18). VLP of each strain produced in different baculovirus vectors and then combined in single drug. Gardasil is like Cervarix with few exceptions. Producing organisms are fungi S. cerevisiae in this case, and this vaccine contains low-risk HPV 6 and HPV 11 VLP. Thus, Gardasil is quadrivalent HPV-6/11/16/18 vaccine. These vaccines are very effective in averting infection of disease and don’t have significant side-effects, however they have some disadvantages. Firstly, they have a high price because of necessity of their expression in eukaryotic cells. Secondly, they are strain-specific, so vaccines are completely effective only for virus’s strains which are represented in the vaccine. Thirdly, it`s the absence of therapeutic (treatment of established infection) value of stated vaccines. According to information from literature, N-terminus of the L2 protein can induce non strain-specific neutralizing antibody that protects organism from papillomavirus challenge. E7 protein is a virus oncogene, its function is unlimited proliferation of infected cells that cause malignization in chronic course of disease. This protein is a very attractive target for therapeutic vaccines because of its necessity both for virus life cycle and sustenance of malignant phenotype in cancer cells. So, in this research the design of immunogen on the base of proteins HPV L2 and E7 is selected, vaccine on the base of which will avoid the disadvantages of Gardasil and Cervarix listed above. The stain-producer of protein on the base of cells E. coli was created. The protein was purified in denaturing reducing conditions by metal-affine chromatography and refold by sequential remove of urea and 2-mercaptoethanol.
宫颈癌是世界上最常见的疾病之一。这种恶性肿瘤是世界上发病率第七高的肿瘤疾病,也是世界上妇女发病率第二高的肿瘤疾病。同时女性感染人乳头瘤病毒(HPV)是其进一步进化的绝对必要条件,在99.97%的病例中发现了HPV DNA。除子宫颈癌外,85%的直肠癌、50%的外阴、阴道和阴茎癌、20%的口咽癌、10%的喉癌和食道癌都是由HPV引起的。2009年,俄罗斯有14000名妇女被诊断患有宫颈癌。发病率增长了19%(与1999年相比)。对于几乎每一种感染预防,公认的最有效措施是接种疫苗。目前俄罗斯有两种人类乳头瘤病毒疫苗——加德西和赛瑞适,分别在比利时和荷兰生产。Cervarix是一种基于两种病毒样颗粒(VLP)的二价疫苗。重组主要衣壳蛋白L1 HPV 16和HPV 18在杆状病毒表达系统中表达并自组装成病毒样颗粒(约70%的宫颈癌是由HPV 16和HPV 18引起的)。在不同杆状病毒载体上产生各菌株的VLP,然后联合成单药。Gardasil和Cervarix一样,只有少数例外。在这种情况下,生产生物是真菌酿酒葡萄球菌,这种疫苗含有低风险的HPV 6和HPV 11 VLP。因此,Gardasil是四价HPV-6/11/16/18疫苗。这些疫苗在避免疾病感染方面非常有效,没有明显的副作用,但它们也有一些缺点。首先,由于它们必须在真核细胞中表达,因此价格很高。其次,它们是毒株特异性的,因此疫苗只对疫苗中所代表的病毒株完全有效。第三,所述疫苗缺乏治疗(治疗已确定的感染)价值。根据文献资料,L2蛋白的n端可以诱导非株特异性中和抗体,保护生物体免受乳头瘤病毒的攻击。E7蛋白是一种病毒致癌基因,其功能是使感染细胞无限增殖,引起慢性疾病的恶性化。该蛋白是治疗性疫苗的一个非常有吸引力的靶标,因为它对病毒生命周期和癌细胞恶性表型的维持都是必要的。因此,本研究选择基于HPV L2和E7蛋白的免疫原设计,以其为基础的疫苗将避免Gardasil和Cervarix的上述缺点。在大肠杆菌细胞的基础上创造了蛋白质的染色生产者。用金属仿射色谱法在变性还原条件下纯化该蛋白,并通过尿素和2-巯基乙醇的顺序去除进行再折叠。
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