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On the issue of diagnostic value of determining the level of receptors and their ligands in blood in non-small cell lung cancer. 血液中受体及其配体水平测定对非小细胞肺癌的诊断价值。
Q4 Health Professions Pub Date : 2022-05-21 DOI: 10.51620/0869-2084-2022-67-5-277-285
D. I. Murashka, A. Tahanovich, M. M. Kauhanka, O. Gotko, V. Prokhorova
Non-small cell lung cancer (NSCLC) occupies the first place in the structure of mortality due to oncological diseases. Late diagnosis worsens the effectiveness of its treatment. There are no informative biomarkers that allow us to judge the prevalence of the tumor process, especially in the early stages of NSCLC. To determine the level of CXCL5, CXCL8, CXCR1 and CXCR2 in the peripheral blood of patients with NSCLC to assess the possibility of their use in the diagnosis of the disease. The material was the blood of 218 patients with NSCLC, 19 patients with lung hamartoma and 42 healthy people. The concentration of CXCL5, CXCL8, and SCC in blood serum was determined by enzyme immunoassay, the CYFRA 21-1 level was determined by immunochemiluminescence analysis. The proportion of leukocytes equipped with CXCR1 and CXCR2 receptors and the fluorescence intensity of receptor complexes with antibodies (MFI) in them were measured by flow cytometry. MFI CXCR1 in granulocytes and the proportion of lymphocytes supplied CXCR2, increased in the blood already at stage I of NSCLC and showed an even more significant increase in subsequent stages. The level of these indicators was correlatively related to the stages and characteristics of NSCLC. Measuring the level of MFI CXCR1 in the blood serum makes it possible to diagnose the early stages of NSCLC with a sensitivity of 87.4% (specificity - 73.8%). Determination of the proportion of lymphocytes equipped with CXCR2 demonstrates comparable diagnostic sensitivity (87.2%) and specificity of 66.7% in the detection of stages I-II of NSCLC. MFI CXCR1 in granulocytes can also be used to differentiate stages I and II of NSCLC (diagnostic sensitivity - 75,3%, specificity - 69,6%). The sensitivity of determining for this purpose the proportion of lymphocytes equipped with CXCR2 is 75.0% with a specificity of 71.7%. In 89.7% of patients with stages III-IV NSCLC, the MFI CXCR1 in granulocytes exceeds the threshold value of 47.8 (specificity - 74.8%). Diagnostic sensitivity of determining the proportion of lymphocytes for this purpose was 90.7%.
非小细胞肺癌(NSCLC)在肿瘤疾病死亡结构中占据首位。晚期诊断会使其治疗效果恶化。目前还没有信息性的生物标志物可以让我们判断肿瘤进程的普遍性,特别是在NSCLC的早期阶段。目的:检测非小细胞肺癌患者外周血中CXCL5、CXCL8、CXCR1和CXCR2的水平,探讨其在疾病诊断中的应用价值。材料为218例非小细胞肺癌患者、19例肺错构瘤患者和42例健康人的血液。采用酶免疫法检测血清中CXCL5、CXCL8和SCC的浓度,免疫化学发光法检测CYFRA 21-1的水平。用流式细胞术检测携带CXCR1和CXCR2受体的白细胞比例及其抗体受体复合物的荧光强度(MFI)。粒细胞中的MFI CXCR1和提供CXCR2的淋巴细胞比例在NSCLC的I期血液中已经增加,并且在随后的阶段中表现出更显著的增加。这些指标的水平与NSCLC的分期和特征相关。通过测定血清中MFI CXCR1的水平,可以诊断早期NSCLC,敏感性为87.4%(特异性为73.8%)。检测携带CXCR2的淋巴细胞比例对I-II期NSCLC的诊断灵敏度为87.2%,特异性为66.7%。粒细胞中的MFI CXCR1也可用于区分I期和II期NSCLC(诊断敏感性为75.3%,特异性为69.6%)。检测携带CXCR2的淋巴细胞比例的灵敏度为75.0%,特异性为71.7%。在89.7%的III-IV期NSCLC患者中,粒细胞中的MFI CXCR1超过47.8的阈值(特异性- 74.8%)。测定淋巴细胞比例的诊断敏感性为90.7%。
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引用次数: 0
Characteristics of Stenotrophomonas maltophilia isolates from cystic fibrosis patients in Russia. 俄罗斯囊性纤维化患者嗜麦芽窄养单胞菌分离株的特征。
Q4 Health Professions Pub Date : 2022-05-21 DOI: 10.51620/0869-2084-2022-67-5-315-320
Y. Bocharova, T. Savinova, A. Lyamin, O. Kondratenko, S. Polikarpova, S. Zhilina, N. Fedorova, S. Semykin, A. V. Chaplin, D. Korostin, N. A. Mayansky, I. Chebotar
Stenotrophomonas maltophilia is a common opportunistic microorganism and an important respiratory pathogen in cystic fibrosis (CF). The aim of this study was to determine antimicrobial resistance phenotypes, sequence-types (ST) and genetic determinants of antibiotic resistance in S. maltophilia strains recovered from CF patients in Russia. S. maltophilia isolates recovered from 170 CF patients were analyzed. Minimum inhibitory concentrations of antibacterial agents were determined using Sensititre Gram Negative GNX2F plates and the results were interpreted according to Clinical and Laboratory Standards Institute (CLSI) criteria. Whole-genome sequencing (WGS) was performed on MGISEQ-2000 platform. SPAdes software, Galaxy, ResFinder, Integrall and PubMLST were used for analysis of WGS data. S. maltophilia strains were identified from 24/170 (14%) CF patients. In total, 25 isolates were detected, two strains were isolated from the same patient. The isolates belonged to 17 different STs, including 5 new STs; ST4 was the most prevalent ST. Resistance to ceftazidime was observed in 60% of strains, to ticarcillin-clavulanate - in 32%, to levofloxacin - in 24%, to trimethoprim/sulfamethoxazole - in 12% of strains. All isolates were susceptible to minocycline. All ST4 isolates were resistant or intermediate to ceftazidime and ticarcillin-clavulanate. In two isolates, the sul1 gene was detected. In one isolate, sul1 was part of a class 1 integron. The detected integron also contained the blaGES-7 and aac(6')-Ib-cr genes. The ST4 sequence-type was the most prevalent ST among S. maltophilia strains recovered from CF patients in Russia. Antibiotic resistance genes, including sul1, blaGES-7, aac(6')-Ib-cr, were detected in single strains.
嗜麦芽窄养单胞菌是囊性纤维化(CF)中常见的条件微生物和重要的呼吸道病原体。本研究的目的是确定从俄罗斯CF患者中恢复的嗜麦芽链球菌的抗生素耐药表型,序列型(ST)和抗生素耐药的遗传决定因素。对170例CF患者分离的嗜麦芽葡萄球菌进行了分析。采用Sensititre革兰氏阴性GNX2F板测定抗菌药物的最低抑菌浓度,并根据临床与实验室标准协会(CLSI)标准进行解释。全基因组测序(WGS)在MGISEQ-2000平台上进行。WGS数据分析采用SPAdes软件、Galaxy软件、ResFinder软件、Integrall软件和PubMLST软件。170例CF患者中检出嗜麦芽链球菌(S. maltopophilia)。共检出25株,其中2株来自同一患者。分离株属于17个不同的STs,其中5个为新STs;ST4是最常见的ST. 60%的菌株对头孢他啶耐药,32%的菌株对替卡西林-克拉维酸耐药,24%的菌株对左氧氟沙星耐药,12%的菌株对甲氧苄啶/磺胺甲恶唑耐药。所有分离株均对米诺环素敏感。所有ST4菌株对头孢他啶和替卡西林-克拉维酸酯均有耐药或中间耐药。在两个分离株中检测到sul1基因。在一个分离物中,sul1是1类整合子的一部分。检测到的整合子还含有blaGES-7和aac(6’)-Ib-cr基因。ST4序列型是俄罗斯CF患者感染的嗜麦芽链球菌中最常见的ST。在单株菌株中检测到sul1、blaGES-7、aac(6′)-Ib-cr等耐药基因。
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引用次数: 1
Effect of different types of dry swabs and their storage conditions on the inoculation of Corynebacterium diphtheriae. 不同类型干拭子及其贮存条件对白喉棒状杆菌接种的影响。
Q4 Health Professions Pub Date : 2022-05-21 DOI: 10.51620/0869-2084-2022-67-5-296-300
A. S. Pimenova, N. Gadua, O. Borisova, A. Mironov, M. Afanasiev, S. Afanasiev
The results of evaluating the effectiveness of C. diphtheriae inoculation using different types of dry swabs in studies simulating various conditions of its storage at the preanalytical stage of a laboratory study for diphtheria are presented. A typical toxigenic strain of C. diphtheriae biovar gravis No. 665 was used. A commercial dry, sterile cotton swab probe (Ningbo Greetmed Medical Instruments Co., LTD, China), a commercial dry, sterile swab probe (plastic and viscose) (COPAN, Italy), tufters with a fluffy probe-tampon on a polystyrene applicator, standard (DELTALAB, SL, Spain). The tampons were pooled with a 24-hour bacterial culture of C. diphtheriae, then immediately seeded on Tellurite-containing blood agar and Corynebacagar. Storage conditions were simulated for 3 hours: at room conditions +(20-25)°C, in the refrigerator +(4-8)°C, in a thermostat +(37±1)°C. Optimal storage of C. diphtheriae on all three types of dry swabs at + (4-8) ° C; at +(20-25)° C - growth is observed when seeding from a cotton swab; in a swab with a fleecy probe-tampon, a decrease in the inoculation of C. diphtheriae was noted; when using a viscose swab - a significant loss of C. diphtheriae. At +(37±1)°C, a significant decrease in the inoculation of C. diphtheriae on all three types of tampons was noted, up to the absence of growth when using a viscose tampon. To exclude the loss of C. diphtheriae, it is necessary to observe the conditions for taking and storing biological material at the preanalytical stage of a laboratory study, which will improve the quality of laboratory microbiological studies for diphtheria infection.
在白喉实验室研究的分析前阶段,模拟白喉疫苗的不同储存条件,用不同类型的干拭子对白喉疫苗接种效果进行了评估。以白喉白喉生物变种665号典型产毒株为研究对象。商用干式无菌棉签探针(宁波格瑞med医疗器械有限公司,中国),商用干式无菌棉签探针(塑料和粘胶)(意大利COPAN),标准(DELTALAB, SL,西班牙),在聚苯乙烯涂抹器上带有蓬松探针-卫生棉条。将卫生棉条与24小时培养的白喉支原体放在一起,然后立即将其撒在含碲的血琼脂和棒状杆菌上。模拟3小时的储存条件:室温+(20-25)℃,冰箱+(4-8)℃,恒温器+(37±1)℃。+(4-8)℃条件下三种干拭子上白喉支原体的最佳保存条件;在+(20-25)℃条件下,棉签播种可观察到生长;用棉球棉条棉签拭子,白喉支原体接种减少;当使用粘胶棉签时-白喉白喉杆菌的显著损失。在+(37±1)°C时,所有三种类型的卫生棉条上的白喉球菌接种量均显著减少,直到使用粘胶卫生棉条时没有生长。为了排除白喉支原体的损失,有必要在实验室研究的分析前阶段对生物材料的采集和储存条件进行观察,这将提高白喉感染实验室微生物学研究的质量。
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引用次数: 0
Laboratory markers of adaptation to Arctic conditions: scientific search and prospects of implementation. 适应北极条件的实验室标志:科学探索和实施前景。
Q4 Health Professions Pub Date : 2022-05-21 DOI: 10.51620/0869-2084-2022-67-5-267-270
S. Aleksanin, N. A. Alkhutova, O. L. Zhizhina, N. A. Kovyazina, N. V. Nesterenko, V. Rybnikov
The complex of climatic and geographical conditions of the Arctic determines the high intensity of the polysystem adaptive response of the organism, the duration of which is additionally influenced by individual genetic characteristics, social conditions, psychological and work loads. Taking into account the relevance of timely prevention and early diagnosis of stress-induced somatic pathology in EMERCOM employees working in unfavorable climatic and geographical zones, the authors evaluated the informative value of determining the level of steroid hormones and insulin as laboratory markers of adaptation to Arctic conditions. The expediency of developing objective criteria for the interpretation of the insulin/cortisol index and studying the informativeness of the 17ONprogesterone level as the earliest marker of adaptation to unfavorable climatic and geographical conditions of the Arctic is substantiated.
北极复杂的气候和地理条件决定了生物体多系统适应性反应的高强度,这种反应的持续时间还受到个体遗传特征、社会条件、心理和工作负荷的影响。考虑到在不利气候和地理区域工作的EMERCOM员工及时预防和早期诊断压力诱发的躯体病理的相关性,作者评估了确定类固醇激素和胰岛素水平作为适应北极条件的实验室标志物的信息价值。为解释胰岛素/皮质醇指数和研究17on孕酮水平作为适应北极不利气候和地理条件的最早标志的信息,制定客观标准的权宜性得到了证实。
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引用次数: 1
Autoimmune thyroiditis (review of literature). 自身免疫性甲状腺炎(文献综述)。
Q4 Health Professions Pub Date : 2022-05-21 DOI: 10.51620/0869-2084-2022-67-5-286-291
R. Rahimova
Autoimmune thyroiditis is a group of organ-specific autoimmune thyropathies, which are caused by a genetically determined defect in immune tolerance to thyroid antigens, as a result of which its autoimmune damage occurs. The aim of the study was to analyze literature data on the pathogenetic role of genetic and biochemical parameters in patients with autoimmune thyroiditis.
自身免疫性甲状腺炎是一组器官特异性自身免疫性甲状腺病变,由对甲状腺抗原免疫耐受的遗传决定缺陷引起,其结果是发生自身免疫性损伤。本研究的目的是分析有关自身免疫性甲状腺炎患者的遗传和生化参数的发病作用的文献资料。
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引用次数: 2
The fluorescent immunocytochemical diagnostics of precancerous diseases and cancer of the oral mucosa. 口腔黏膜癌前病变和癌的荧光免疫细胞化学诊断。
Q4 Health Professions Pub Date : 2022-04-17 DOI: 10.51620/0869-2084-2022-67-4-219-226
A. Pursanova, L. N. Kazarina, I. Kruglova, S. Zinovev, O. Utkin, E. Filatova
Purpose of the study improving the diagnosis of precancerous diseases and cancer of the oral mucosa using fluorescent immunocytochemical studies by direct immunofluorescence. A clinical laboratory examination of 111 patients was carried out: 46 patients with squamous cell carcinoma of the oral mucosa, 35 people with precancerous lesions (17 leukoplakia, 18 - oral lichen planus) and 30 healthy people. All patients underwent a traditional cytological examination and an additional immunocytochemical examination by direct immunofluorescence, the expression levels of tumor markers P53, P16 and Ki67 were determined. The data were compared with the results of histological analysis. As a result of the study, it was revealed that in patients with cancer, the expression of oncomarker P53 was four times higher than in patients with precancerous pathology. In 6.52% of cases, co-expression of markers Ki67 and P16 was found. Thus, the advantages of fluorescent immunocytochemical diagnostics were the absence of invasive traumatic intake of the biomaterial in the patient, reduction in the timing of obtaining the result, high sensitivity, and the possibility of remote evaluation of the results. Therefore, that increases the accessibility of the method, and the possibility of using this method for a screening study of population.
目的探讨直接免疫荧光荧光免疫细胞化学对口腔黏膜癌前病变和癌的诊断价值。本文对111例患者进行了临床实验室检查,其中口腔黏膜鳞状细胞癌46例,癌前病变35例(白斑17例,口腔扁平苔藓18例),健康人30例。所有患者均接受传统细胞学检查和直接免疫荧光免疫细胞化学检查,检测肿瘤标志物P53、P16和Ki67的表达水平。将数据与组织学分析结果进行比较。研究结果显示,在癌症患者中,癌标记物P53的表达比癌前病理患者高4倍。6.52%的病例共表达Ki67和P16标记物。因此,荧光免疫细胞化学诊断的优点是患者体内没有创伤性生物材料的侵入性摄入,减少了获得结果的时间,灵敏度高,并且可以远程评估结果。因此,这增加了该方法的可及性,以及将该方法用于人群筛选研究的可能性。
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引用次数: 0
Possibilities of transmission electron microscopy in assessing the quality of bacterial cells and microbial population. 透射电子显微镜在评估细菌细胞和微生物种群质量方面的可能性。
Q4 Health Professions Pub Date : 2022-04-17 DOI: 10.51620/0869-2084-2022-67-4-237-243
V. N. Gerasimov, N. N. Marinina, G. G. Kharseeva, O. S. Sherbataya
Determination of changes in the morphostructure of microorganisms under the influence of antibiotics, disinfectants, biocins, physical and chemical agents is carried out using the method of visualization of ultrathin sections in a transmission electron microscope. The aim is to develop methodological techniques for express preparation and visualization of the ultrastructure of bacteria in a transmission electron microscope to detect structural damage to cells and assess the quality of the microbial population. A technique of accelerated sample preparation for visualization of the fine structure of bacteria and diagnosis of structural damage to cells in a transmission electron microscope has been developed. The use of this method will make it possible to more effectively investigate the mechanisms of inactivation of microorganisms at different stages of contact with antibiotics, disinfectants, biocines, including various stressful, damaging and lethal physical and chemical effects.
采用透射电子显微镜超薄切片可视化的方法,测定抗生素、消毒剂、生物素、物理和化学制剂对微生物形态结构的影响。目的是开发在透射电子显微镜下快速制备和可视化细菌超微结构的方法学技术,以检测细胞的结构损伤并评估微生物种群的质量。本文提出了一种在透射电子显微镜下进行细菌精细结构可视化和细胞结构损伤诊断的加速样品制备技术。使用这种方法将有可能更有效地研究微生物在接触抗生素、消毒剂、生物制剂的不同阶段的失活机制,包括各种紧张的、破坏性的和致命的物理和化学效应。
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引用次数: 2
Immunohematological provision of red blood cells transfusions to alloimmunized recipients (clinical case). 免疫血液学提供红细胞输注异体免疫受体(临床病例)。
Q4 Health Professions Pub Date : 2022-04-17 DOI: 10.51620/0869-2084-2022-67-4-234-236
A. Yovdiy, E. Butina, E. Poponina
Timely diagnostics of red blood cells (RBC) antibodies and selection of immunologically compatible donors can prevent the occurrence of hemolytic transfusion reactions in recipients of RBC. The article presents an analysis of a clinical case describing the variability of the antibody screening results and the difficulties of individual selection of donors for a alloimmunized patient with myelodysplastic syndrome. The basic immunohematological principles have been formulated to ensure the safety of transfusions in patients with RBC antibodies.
及时诊断红细胞(RBC)抗体和选择免疫相容的供者可以防止红细胞受体发生溶血性输血反应。本文介绍了一个临床病例的分析,描述了抗体筛选结果的可变性和个体选择供体的困难为异体免疫患者骨髓增生异常综合征。已经制定了基本的免疫血液学原理,以确保红细胞抗体患者输血的安全性。
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引用次数: 1
Features of the humoral response to immunization "Gam-COVID-Vac" and in patients with COVID-19. 免疫“Gam-COVID-Vac”和COVID-19患者的体液反应特征
Q4 Health Professions Pub Date : 2022-04-17 DOI: 10.51620/0869-2084-2022-67-4-227-233
Yuliya Aleksandrovna Akinshina, S. Mardanly, S. Rotanov, V. V. Pomazanov, V. A. Kiseleva, I. I. Ermolaev
The paper present the results of a survey of people who have undergone immunization with a combined vector vaccine for the prevention of coronavirus infection COVID-19 «Sputnik V - Gam-COVID-Vac», as well as COVID-19 recovalents. Using a quantitative enzyme-linked immunosorbent assay, the levels of specific IgG were determined in persons who had had different degrees of severity before vaccination, in persons who were immuno-negative before immunization, as well as in convalescents who had undergone coronavirus infection of varying severity. The immunological targeting of antibodies against various SARS-CoV-2 proteins is considered.
本文介绍了预防冠状病毒感染的COVID-19“Sputnik V - Gam-COVID-Vac”联合载体疫苗免疫接种人群以及COVID-19恢复价的调查结果。采用定量酶联免疫吸附试验,对接种疫苗前有不同严重程度的人、接种疫苗前免疫阴性的人以及不同严重程度的冠状病毒感染的康复者进行特异性IgG水平测定。考虑了针对各种SARS-CoV-2蛋白的抗体的免疫靶向。
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引用次数: 0
Pecularities of Candida yeast identification by mass spectrometric analysis (MALDI-ToF MS). 质谱分析(MALDI-ToF MS)鉴定念珠菌的特点。
Q4 Health Professions Pub Date : 2022-04-17 DOI: 10.51620/0869-2084-2022-67-4-244-249
A. Anisimova, M. V. Poleeva, N. Aronova, M. V. Tsimbalistova, N. V. Pavlovich
To carry the comparative analysis of sample preparation methods for the most effective identification of Candida yeast by mass spectrometric analysis. 265 strains of yeast and yeast-like fungi isolated from the sputum of patients with pneumonia were investigated. The selected strains were identified by conventional methods (cultural, morphological, tinctorial, enzymatic properties) and MALDI-ToF MS using the Autoflex speed III Bruker Daltonics mass spectrometer (Germany) and Flex Control software. To evaluate the effectiveness of fungi species determinination, the comparative analysis of sample preparation was performed using 4 methods: direct application to the target, an extended direct application method, protein extraction using ethanol/formic acid or trifluoroacetic acid. The accelerated scheme of identification of fungi by the culture method does not provide clear and unambiguous results. When using mass spectrometric analysis, the reliability of the results depended on the sample preparation. A comparative study of the effectiveness of fungi species determination by various methods of the sample preparation of 50 clinical isolates was carried out. It was revealed that the extraction of cells using TFC acid does not lead to the appearance of the recordable protein spectra. The use of direct and extended direct application methods made it possible to establish the species only in 32-44% of the strains. The most effective method of sample preparation was the method using formic acid and ethanol, which allowed us to determine the species affiliation in 100% of the studied fungi (Score 2.0). Depending on the yeast species, a high statistical indicator (Score≥2.3) was registered for 42-100% of samples. The results of present study show that the use of MALDI-ToF MS is the most reliable and informative method of Candida spp.identification.
对质谱法鉴定念珠菌最有效的样品制备方法进行比较分析。对从肺炎患者痰液中分离的265株酵母菌和酵母菌样真菌进行了调查。所选菌株采用常规方法(培养、形态学、染色、酶学性质)和MALDI-ToF MS进行鉴定,使用Autoflex speed III Bruker Daltonics质谱计(德国)和Flex Control软件。为评价真菌种类测定的有效性,采用直接作用于靶点、扩展直接作用于靶点、乙醇/甲酸和三氟乙酸提取蛋白质4种方法对样品制备进行对比分析。用培养法鉴定真菌的加速方案不能提供明确和明确的结果。当使用质谱分析时,结果的可靠性取决于样品的制备。对50株临床分离菌不同制样方法的菌种测定效果进行了比较研究。结果表明,使用TFC酸提取细胞不会导致可记录的蛋白质光谱的出现。采用直接和扩展直接施用的方法,只在32-44%的菌株中建立了菌种。最有效的样品制备方法是使用甲酸和乙醇的方法,该方法使我们能够在100%的研究真菌中确定物种归属(得分2.0)。根据酵母菌种类的不同,42-100%的样品具有高统计指标(得分≥2.3)。本研究结果表明,利用MALDI-ToF质谱法鉴定念珠菌属是最可靠、信息最丰富的方法。
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引用次数: 1
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Klinichescheskaya Laboratornaya Diagnostika
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