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Hypolipidemic effects of Hypericum Scabrum extract on the serum lipid profile and obesity in high-fat diet fed rats. 金丝桃提取物对高脂饲粮大鼠血脂及肥胖的降血脂作用。
Q3 Medicine Pub Date : 2021-01-01 DOI: 10.3233/HAB-200430
Nafiseh Faraji, Ahmad Ganji, Neda Heshami, Iraj Salehi, Ahmad Haddadian, Shiva Shojaie, Alireza Komaki

Diets included high-fat (HFD) and high calories intake is correlated with greater risk of obesity and oxidative stress, which lead to increase the risk of related diseases such as cardiovascular and metabolic disease. In the present study, we have examined the hypolipidemic activity of Hypericum Scabrum extract on HFD fed rats. Fifty-four male Wistar rats divided into six groups: 1) control, 2) H. Scabrum extract (100 mg/kg gavage per day), 3) H. Scabrum extract (300 mg/kg), 4) HFD, 5) HFD and H. Scabrum extract (100 mg/kg), 6) HFD and H. Scabrum extract (300 mg/kg). The groups were fed their diet and treatment for 3 months. Biochemical analysis showed elevated lipid serum profile in HFD rats compared to control group. H. Scabrum extract supplementation significantly ameliorated triglyceride, total cholesterol and LDL-cholesterol. H. Scabrum extract supplementation leading to increase HDL-cholesterol in HFD treated groups. This experiment showed that H. Scabrum extract decreased HFD complications and might be beneficial herbal drug for treatment of hyperlipidemia and obesity.

高脂肪(HFD)和高卡路里的饮食摄入与肥胖和氧化应激的风险增加相关,从而导致心血管和代谢疾病等相关疾病的风险增加。在本研究中,我们检测了金丝桃提取物对HFD喂养大鼠的降血脂活性。雄性Wistar大鼠54只,随机分为6组:1)对照组,2)黄芩提取物(每天灌胃100 mg/kg), 3)黄芩提取物(300 mg/kg), 4) HFD, 5) HFD +黄芩提取物(100 mg/kg), 6) HFD +黄芩提取物(300 mg/kg)。各组按上述方法饲喂饲粮和治疗3个月。生化分析显示,与对照组相比,HFD大鼠血清脂质谱升高。皂荚提取物补充显著改善甘油三酯,总胆固醇和低密度脂蛋白胆固醇。在HFD处理组中,补充剑鞘提取物导致hdl -胆固醇升高。本实验表明,苦参提取物可降低HFD并发症,可能是治疗高脂血症和肥胖症的有益中药。
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引用次数: 1
Detection of SARS-CoV-2 antibodies in pediatric patients: An Iranian referral hospital-based study. 儿童患者SARS-CoV-2抗体检测:一项基于伊朗转诊医院的研究
Q3 Medicine Pub Date : 2021-01-01 DOI: 10.3233/HAB-210448
Setareh Mamishi, Golnaz Ghazizadeh Esslami, Mohsen Mohammadi, Mohammad Reza Abdolsalehi, Reihaneh Hosseinpour Sadeghi, Shima Mahmoudi, Babak Pourakbari

Background: As the extent of the pandemic and its seroprevalence pattern has been less clarified in pediatrics to date, we aimed to conduct this study to investigate the clinical and laboratory characteristics of COVID-19 in Iranian children, with a focus on evaluating the antibody prevalence and its relation with the laboratory tests.

Methods: All children with highly suspected COVID-19 were included. Anti-nucleoprotein SARS-CoV-2 were measured using SARS-CoV-2 immunoglobulin M (IgM) and SARS-CoV-2 IgG ELISA kits. Hypothesis testing was carried out through SPSS to unravel any association between the measurement tools and important clinical and laboratory characteristics.

Results: In this study, 254 patients were evaluated and 117 cases (46%) were male. The nucleic acid detection results for patient 55 were negative, but the IgM and IgG results were positive. Totally, 190 patients were tested for IgM in which only 14 (7.3%) had positive tests. Positive IgG was detected in 51 (20%) out of 254 patients; among them, 30 patients had negative SARS-CoV-2 RT-PCR (59%). Lower level of platelets in IgG positive group in comparison with the IgG negative group was observed (P value: 0.015). Moreover, higher alanine aminotransferase (ALT) was observed in the in IgG positive group (P value: 0.02). In patients with positive IgM, relative hypocalcemia (median of 8.25; IQR: 8.02-8.62) was found which appeared to be significant (P value: 0.02).

Conclusion: This is the first largest study describing the SARS-CoV-2 seropositivity among children in Iran and provides important insight about the COVID-19 infection in children.

背景:由于迄今为止在儿科中大流行的程度及其血清阳性率模式尚不清楚,我们旨在开展本研究,调查伊朗儿童COVID-19的临床和实验室特征,重点评估抗体流行率及其与实验室检测的关系。方法:纳入所有高度疑似COVID-19患儿。采用SARS-CoV-2免疫球蛋白M (IgM)和SARS-CoV-2 IgG ELISA试剂盒检测SARS-CoV-2抗核蛋白水平。通过SPSS进行假设检验,以揭示测量工具与重要临床和实验室特征之间的任何关联。结果:本研究共评估254例患者,其中男性117例(46%)。55例患者核酸检测结果为阴性,但IgM和IgG结果为阳性。总共有190例患者接受了IgM检测,其中只有14例(7.3%)呈阳性。254例患者中IgG阳性51例(20%);其中SARS-CoV-2 RT-PCR阴性30例(59%)。IgG阳性组血小板水平低于IgG阴性组(P值:0.015)。IgG阳性组丙氨酸转氨酶(ALT)升高(P值:0.02)。在IgM阳性的患者中,相对低钙(中位数为8.25;IQR: 8.02-8.62),差异有统计学意义(P值:0.02)。结论:这是首个描述伊朗儿童SARS-CoV-2血清阳性的大型研究,为了解儿童COVID-19感染提供了重要见解。
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引用次数: 2
Circulating macrophage inflammatory protein-1β/IL-12p40 ratio predicts sofosbuvir-based treatment outcome in HCV- genotype 4 patients. 循环巨噬细胞炎症蛋白-1β/IL-12p40比值预测HCV-基因型4患者索非布韦治疗结果
Q3 Medicine Pub Date : 2021-01-01 DOI: 10.3233/HAB-211504
Heba Shawky, Reem El-Shenawy, Naiera M Helmy

This study aimed to evaluate the prognostic value of baseline macrophage inflammatory protein (MIP)-1β/IL12p40 ratio for antiviral treatment outcome in HCV genotype 4 patients.

Methods: Sera of 450 treatment-naïve chronic HCV patients and 50 healthy individuals were collected. Liver transaminases, total bilirubin and albumin were biochemically tested, viral RNA was quantified, and circulating MIP-1β and IL-12p40 were estimated using human anti-MIP-1β and IL-12p40 antibodies in Sandwich ELISA.

Results: No difference was observed in the baseline chemokines levels between responders and relapsers, but the later had a significantly higher MIP-1β/IL-12p40 ratio (P< 0.0001). Multivariate regression analysis of baseline characteristics showed that gender, age, viral load, albumin level and chemokine ratios can significantly predict treatment outcome (P= 0.0114, 0.0095, 0.042, 0.0004 and < 0.0001; respectively). Accordingly, a predictive threshold of baseline chemokine ratio was calculated and it showed an AUC of 0.6917 (P= 0.0108; 95% CI: 0.5566 to 0.8268). The calculated threshold for predicting virologic response was 8.245, with positive and negative predictive values of 92.98% and 100%; respectively. The chemokine ratios had significant correlations with liver transaminases in treated groups whether pre or post-treatment.

Conclusion: Baseline MIP-1β/IL-12p40 ratio represents a non-invasive prognostic biomarker that would provide shorter treatment duration and minimizes the emergence of drug-resistant variants in HCV genotype 4-patients.

本研究旨在评估基线巨噬细胞炎症蛋白(MIP)-1β/IL12p40比值对HCV基因型4患者抗病毒治疗结果的预后价值。方法:收集450例treatment-naïve慢性HCV患者和50例健康人的血清。采用Sandwich ELISA法检测肝脏转氨酶、总胆红素和白蛋白,定量检测病毒RNA,检测循环MIP-1β和IL-12p40抗体。结果:缓解者和复发者的基线趋化因子水平无差异,但复发者的MIP-1β/IL-12p40比值显著高于缓解者(P< 0.0001)。基线特征的多因素回归分析显示,性别、年龄、病毒载量、白蛋白水平和趋化因子比值能显著预测治疗结果(P= 0.0114、0.0095、0.042、0.0004和< 0.0001;分别)。据此,计算基线趋化因子比值的预测阈值,AUC为0.6917 (P= 0.0108;95% CI: 0.5566 ~ 0.8268)。预测病毒学反应的计算阈值为8.245,阳性预测值为92.98%,阴性预测值为100%;分别。治疗前后各组趋化因子比值与肝转氨酶有显著相关性。结论:基线MIP-1β/IL-12p40比值是一种非侵入性预后生物标志物,可缩短HCV基因型4患者的治疗时间,并最大限度地减少耐药变异的出现。
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引用次数: 0
Blood microbiota composition in Iranian pre-diabetic and type 2 diabetic patients. 伊朗糖尿病前期和2型糖尿病患者血液微生物群组成
Q3 Medicine Pub Date : 2021-01-01 DOI: 10.3233/HAB-210450
Farahnaz Ghaemi, Abolfazl Fateh, Abbas Akhavan Sepahy, Mehrangiz Zangeneh, Mostafa Ghanei, Seyed Davar Siadat

Background: Type 2 diabetes as the most prevalent metabolic disorder, is one of the major causes of morbidity and mortality worldwide. Recent studies suggest that body microbiota may play a role in developing metabolic disorders including type 2 diabetes. The objective of the present study was to investigate the blood microbiota composition in Iranian pre-diabetic and type 2 diabetic patients compared to healthy individuals.

Methods: Blood samples were taken after 12-h fasting from 90 participants, 30 healthy individuals, 30 type 2 diabetes patients and 30 pre-diabetic participants. The buffy coat layer separated by centrifugation at 800 and DNA was extracted using a column-based method. Composition and load of blood microbiota was evaluated by real-time PCR method using genus specific 16S rRNA primers.

Results: The load of Akkermansia, and Faecalibacterium was higher in normal volunteers compared to pre-diabetic and type 2 diabetes group (p< 0.05).The load of Bifidobacterium was higher in normal volunteers compared to type 2 diabetes patients (p= 0.02). In contrast, the load of Lactobacillus and Escherichia coli was higher in pre-diabetics and type 2 diabetes patients compared to normal volunteers (p< 0.05).The load of Bacteroides fragilis was not statistically different between studied groups but it was higher in males compared to female group (p= 0.04). the load of other bacteria was not significantly different between male and female participants.

Conclusion: There is difference between microbiota composition in white blood cells of pre-diabetic and type 2 diabetes patients compared to healthy people. Determination of blood microbiota pattern may have a role in diagnosis and preventive of type 2 diabetes in a certain population. For more clarification about correlation between blood microbiota and type 2 diabetes, larger studies with more participants in different ethnical populations is suggested.

背景:2型糖尿病是最常见的代谢性疾病,是世界范围内发病率和死亡率的主要原因之一。最近的研究表明,体内微生物群可能在包括2型糖尿病在内的代谢紊乱中发挥作用。本研究的目的是调查伊朗糖尿病前期和2型糖尿病患者与健康人的血液微生物群组成。方法:90名受试者、30名健康人、30名2型糖尿病患者和30名糖尿病前期受试者空腹12 h后采血。在800℃下离心分离出褐皮层,用柱状法提取DNA。采用属特异性16S rRNA引物,采用实时荧光定量PCR法评估血液微生物群的组成和负荷。结果:与糖尿病前期和2型糖尿病组相比,正常组Akkermansia、Faecalibacterium的负荷明显增高(p< 0.05)。与2型糖尿病患者相比,正常志愿者的双歧杆菌负荷更高(p= 0.02)。相比之下,糖尿病前期和2型糖尿病患者的乳酸杆菌和大肠杆菌负荷高于正常志愿者(p< 0.05)。各组间易碎拟杆菌负荷差异无统计学意义,但男性组高于女性组(p= 0.04)。其他细菌的负荷在男性和女性参与者之间没有显著差异。结论:糖尿病前期和2型糖尿病患者白细胞微生物群组成与健康人存在差异。血液微生物群模式的测定可能对一定人群2型糖尿病的诊断和预防有一定的作用。为了进一步明确血液微生物群与2型糖尿病之间的相关性,建议在不同种族人群中进行更大规模的研究。
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引用次数: 4
A review of monoclonal antibodies in COVID-19: Role in immunotherapy, vaccine development and viral detection. 单克隆抗体在COVID-19免疫治疗、疫苗开发和病毒检测中的作用
Q3 Medicine Pub Date : 2021-01-01 DOI: 10.3233/HAB-200441
Ashraf A Tabll, Yasser E Shahein, Mohamed M Omran, Mostafa M Elnakib, Ameera A Ragheb, Khaled E Amer

The harmful COVID-19 pandemic caused by the SARS-CoV-2 coronavirus imposes the scientific community to develop or find conventional curative drugs, protective vaccines, or passive immune strategies rapidly and efficiently. Passive immunity is based on recovering hyper-immune plasma from convalescent patients, or monoclonal antibodies with elevated titer of neutralizing antibodies with high antiviral activity, that have potential for both treatment and prevention. In this review, we focused on researching the potentiality of monoclonal antibodies for the prevention and treatment of COVID-19 infection. Our research review includes antibody-based immunotherapy, using human monoclonal antibodies targeting SARS-CoV-2 viral protein regions, specifically the spike protein regions, and using hyper-immune plasma from convalescent COVID-19 patients, in which monoclonal antibodies act as immunotherapy for the cytokine storm syndrome associated with the COVID-19 infection. In addition, we will demonstrate the role of the monoclonal antibodies in the development of candidate vaccines for SARS-CoV-2. Moreover, the recent progress of the diagnostic mouse monoclonal antibodies' role will be highlighted, as an accurate and rapid diagnostic assay, in the antigen detection of SARS-CoV-2. In brief, the monoclonal antibodies are the potential counter measures that may control SARS-CoV-2, which causes COVID-19 disease, through immunotherapy and vaccine development, as well as viral detection.

由SARS-CoV-2冠状病毒引起的有害的COVID-19大流行迫使科学界迅速有效地开发或寻找常规治疗药物、保护性疫苗或被动免疫策略。被动免疫是基于恢复恢复期患者的超免疫血浆,或具有高抗病毒活性的中和抗体滴度升高的单克隆抗体,具有治疗和预防的潜力。本文就单克隆抗体在预防和治疗COVID-19感染方面的潜力进行综述。我们的研究综述包括基于抗体的免疫治疗,利用人单克隆抗体靶向SARS-CoV-2病毒蛋白区域,特别是刺突蛋白区域,以及利用COVID-19恢复期患者的超免疫血浆,其中单克隆抗体作为与COVID-19感染相关的细胞因子风暴综合征的免疫治疗。此外,我们将展示单克隆抗体在SARS-CoV-2候选疫苗开发中的作用。此外,本文还将重点介绍诊断小鼠单克隆抗体作为一种准确、快速的诊断方法在SARS-CoV-2抗原检测中的作用。简而言之,单克隆抗体是可能通过免疫治疗和疫苗开发以及病毒检测来控制导致COVID-19疾病的SARS-CoV-2的潜在对策。
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引用次数: 14
Sero-epidemiology of human T-cell lymphotropic viruses-1 and -2 infection among pregnant women attending Abuja Teaching Hospital, Nigeria. 尼日利亚阿布贾教学医院孕妇中嗜人t细胞病毒-1和-2感染的血清流行病学
Q3 Medicine Pub Date : 2021-01-01 DOI: 10.3233/HAB-200435
Amos Dangana, Idris Nasir Abdullahi, Olusoji Matthew Adeyemi Billyrose, Anthony Uchenna Emeribe, Joel Monday Abu, Abubakar Umar Anka, Olawale Sunday Animasaun, Peter Elisha Ghamba

Background: There is the paucity of HTLV-1/-2 studies on Nigerian pregnant women despite the medical and public health significance of maternal-to-child transmission of HTLV-1/-2.

Objective: This study aims to determine the seroprevalence and risk factors of HTLV-1/-2 infections among pregnant women attending the University of Abuja Teaching Hospital (UATH), Abuja, Nigeria.

Materials and methods: Blood samples were collected from consented pregnant women and analysed for ant-HTLV-1/-2 total antibodies using a commercial Enzyme-Linked Immunosorbent Assay (ELISA) kit. Pretested structured questionnaires were used to collate participants' socio-demographic variables and risk factors of HTLV infection.

Results: Out of the 156 pregnant women tested for HTLV-1/-2 antibodies, 16 (10.3%) were seropositive. There was no significant association between the socio-demographic variables collated and seroprevalence of HTLV-1/-2 infection among pregnant women (p> 0.05). Pregnant women with HIV infection had a lower prevalence of HLTV-1/-2 infection than those without HIV infections (7.5% versus 11.7%). Pregnant women with multiple sexual partners had a higher risk of HTLV-1/-2 infection than those who had single (OR = 2.08, 95% CI: 0.53-8.18). Women with a history of needles injury had a higher risk of HTLV-1/-2 infection than those who do not (OR = 1.24, 95% CI: 0.38-4.08). The history of blood transfusion was significantly associated with HTLV-1/-2 infection (p= 0.027). However, no significant association existed between other risk factors of HTLV-1/-2 infection among pregnant women (p> 0.05).

Conclusion: Considering the 3% pooled national prevalence of HTLV-1/-2 infection in Nigeria, the seroprevalence reported in this study is relatively high. Thus, there is a need for more large cohort studies and routine screening of population at increased risk of infection.

背景:尽管HTLV-1/ 2母婴传播具有医学和公共卫生意义,但尼日利亚孕妇HTLV-1/ 2研究较少。目的:本研究旨在了解尼日利亚阿布贾大学教学医院(UATH)孕妇HTLV-1/ 2感染的血清阳性率及其危险因素。材料和方法:收集同意的孕妇的血液样本,使用商用酶联免疫吸附试验(ELISA)试剂盒分析抗htlv -1/ 2总抗体。采用预先测试的结构化问卷来整理参与者的社会人口学变量和HTLV感染的危险因素。结果:156例孕妇HTLV-1/ 2抗体检测中,16例(10.3%)血清阳性。经整理的社会人口学变量与孕妇HTLV-1/ 2血清感染阳性率无显著相关性(p> 0.05)。感染艾滋病毒的孕妇HIV -1/ 2感染率低于未感染艾滋病毒的孕妇(7.5% vs 11.7%)。有多个性伴侣的孕妇感染HTLV-1/ 2的风险高于单一性伴侣的孕妇(OR = 2.08, 95% CI: 0.53-8.18)。有针伤史的妇女感染HTLV-1/ 2的风险高于没有针伤史的妇女(OR = 1.24, 95% CI: 0.38-4.08)。输血史与HTLV-1/ 2感染有显著相关性(p= 0.027)。而其他危险因素与孕妇HTLV-1/ 2感染无显著相关性(p> 0.05)。结论:考虑到尼日利亚HTLV-1/ 2感染的全国总流行率为3%,本研究报告的血清患病率相对较高。因此,有必要进行更多的大型队列研究,并对感染风险增加的人群进行常规筛查。
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引用次数: 1
Infertility cell therapy and epigenetic insights. 不孕症细胞治疗和表观遗传学见解。
Q3 Medicine Pub Date : 2021-01-01 DOI: 10.3233/HAB-200438
Nahal Eshghifar, Behnam Kamali Dehghan, Atieh Abedin Do, Saeideh Zamani Koukhaloo, Mohsen Habibi, Farkhondeh Pouresmaeili

Recent advances in assisted reproductive technology (ART) have allowed couples with severe infertility to conceive, but the methods are not effective for all cases. Stem cells as undifferentiated cells which are found in different stages of embryonic, fetal and adult life are known to be capable of forming different cell types, tissues, and organs. Due to their unlimited resources and the incredible power of differentiation are considered as potential new therapeutic biological tools for treatment of infertility. For reproductive medicine, stem cells are stimulated in vitro to develop various specialized functional cells including male and female gametes. The epigenetic patterns can be modified in the genome under certain drugs exposure or lifestyle alterations. Therefore, epigenetics-related disorders may be treated if the nature of the modifications is completely admissible. It is proved that our understanding of epigenetic processes and its association with infertility would help us not only to understand the etiological factors but also to treat some type of male infertilities. Exploration of both genetic and epigenetic variations in the disease development could help in the identification of the interaction patterns between these two phenomena and possible improvement of therapeutic methods.

辅助生殖技术(ART)的最新进展使严重不孕症的夫妇能够怀孕,但这种方法并不是对所有病例都有效。干细胞是未分化的细胞,存在于胚胎、胎儿和成年生命的不同阶段,能够形成不同的细胞类型、组织和器官。由于其无限的资源和难以置信的分化能力,被认为是治疗不孕症的潜在的新的治疗生物学工具。在生殖医学中,干细胞在体外刺激下发育出各种特化功能细胞,包括雄性和雌性配子。表观遗传模式可以在某些药物暴露或生活方式的改变下改变基因组。因此,如果修饰的性质是完全可以接受的,表观遗传学相关的疾病可能会得到治疗。事实证明,我们对表观遗传过程及其与不育症的关系的了解不仅有助于我们了解病因,而且有助于治疗某些类型的男性不育症。探索疾病发展中的遗传和表观遗传变异可以帮助确定这两种现象之间的相互作用模式,并可能改进治疗方法。
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引用次数: 1
Immunotherapy: New insights in breast cancer treatment. 免疫疗法:乳腺癌治疗的新见解。
Q3 Medicine Pub Date : 2021-01-01 DOI: 10.3233/HAB-210443
Bader Alshehri

Breast cancer being the most malignant and lethal disease persistent among women globally. Immunotherapy as a new treatment modality has emerged in understanding the loopholes in the treatment of breast cancer which is mainly attributed to the potential of tumor cells to evade and survive the immune response by developing various strategies. Therefore, improved understanding of the immune evasion by cancer cells and the monoclonal antibodies against PD- and PD-L1 can help us in the diagnosis of this malignancy. Here in this article, I have highlighted that in addition to focusing on other strategies for breast cancer treatment, the involvement of immune system in breast cancer is vital for the understanding of this malignancy. Further, the complete involvement of immune system in the relapse or recurrence of the breast tumor and have also highlighted the role of vaccines, PD-1 and CTLA-4 with the recent advances in the field. Moreover, in addition to the application of immunotherapy as a sole therapy, combinations of immunotherapy with various strategies like targeting it with MEK inhibitors, Vaccines, chemotherapy and PARP inhibitor has shown to have significant benefits is also discussed in this article.

乳腺癌是全球妇女中最恶性和最致命的疾病。免疫治疗作为一种新的治疗方式,在认识乳腺癌治疗的漏洞时出现,主要是由于肿瘤细胞通过发展各种策略来逃避免疫反应并存活。因此,提高对癌细胞免疫逃避和PD-和PD- l1单克隆抗体的了解有助于我们对这种恶性肿瘤的诊断。在这篇文章中,我强调了除了关注乳腺癌治疗的其他策略外,免疫系统在乳腺癌中的参与对于理解这种恶性肿瘤至关重要。此外,免疫系统在乳腺肿瘤复发或复发中的完全参与以及疫苗、PD-1和CTLA-4的作用也随着该领域的最新进展而得到强调。此外,除了将免疫治疗作为单一治疗外,本文还讨论了免疫治疗与MEK抑制剂、疫苗、化疗和PARP抑制剂等多种策略的联合治疗也显示出显著的益处。
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引用次数: 2
Clinical and demographic characteristics of patients with COVID-19 infection: Statistics from a single hospital in Iran. COVID-19感染患者的临床和人口统计学特征:来自伊朗一家医院的统计数据
Q3 Medicine Pub Date : 2021-01-01 DOI: 10.3233/HAB-200428
Majid Samsami, Elham Mehravaran, Payam Tabarsi, Abdolreza Javadi, Shahram Arsang-Jang, Alireza Komaki, Mohammad Taheri, Soudeh Ghafouri-Fard

Coronavirus disease 2019 (COVID-19) has caused a global pandemic in early 2020. This infectious disorder has a heterogeneous course ranging from asymptomatic disorder to a critical situation needing intensive cares. In the current study, we present a report of affected patients admitted in a single hospital in Iran. Eighty-two hospitalized patients with COVID-19 were assessed. Demographic, clinical, and paraclinical parameters were gathered and statistically analyzed. The median age (IQR) of the patients was 57.32 (45.75, 70) years. At primary evaluation, fever was present in 45.12% of the affected individuals. The most common clinical symptoms were dyspnea (81.71%) and cough (65.85%). Totally, 12 (14.63%) and 14 (17.07%) of patients had low and high WBC counts, respectively. Lymphopenia was detected in 36 (43.9%) of patients, while 6 (7.32%) of patients had lymphocytosis. High levels of Il-6 were detected in 4 (4.88%) of patients. CRP levels were elevated in 69 (84.1%) of patients. The median (IQR) of hospitalization was 7 (5, 9) days. Totally, 26 patients (31%) were hospitalized in ICU. All patients were discharged with good health conditions except for one patient who died. The current study shows the heterogeneous clinical manifestations and paraclinical parameters of COVID-19 patients.

2019冠状病毒病(COVID-19)在2020年初引发了全球大流行。这种传染性疾病具有不同的病程,从无症状的疾病到需要重症监护的危急情况。在目前的研究中,我们提出了一份在伊朗一家医院住院的受影响患者的报告。对82例新冠肺炎住院患者进行评估。收集人口学、临床和临床旁参数并进行统计分析。患者的中位年龄(IQR)为57.32(45.75,70)岁。初步评估时,45.12%的感染者出现发热。临床症状以呼吸困难(81.71%)和咳嗽(65.85%)最为常见。WBC低、高患者分别为12例(14.63%)和14例(17.07%)。淋巴细胞减少36例(43.9%),淋巴细胞增多6例(7.32%)。4例(4.88%)患者Il-6水平较高。69例(84.1%)患者CRP水平升高。住院的中位数(IQR)为7(5,9)天。26例(31%)患者在ICU住院。除一名患者死亡外,所有患者出院时健康状况良好。目前的研究显示COVID-19患者的临床表现和临床旁参数存在异质性。
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引用次数: 4
Anti-drug antibodies to antibody-based therapeutics in multiple sclerosis. 多发性硬化症中基于抗体的治疗方法的抗药物抗体。
Q3 Medicine Pub Date : 2021-01-01 DOI: 10.3233/HAB-210453
David Baker, A Nazli Asardag, Olivia A Quinn, Alex Efimov, Angray S Kang

Multiple sclerosis is the major demyelinating autoimmune disease of the central nervous system. Relapsing MS can be treated by a number of approved monoclonal antibodies that currently target: CD20, CD25 (withdrawn), CD49d and CD52. These all target potentially pathogenic memory B cell subsets and perhaps functionally inhibit pathogenic T cell function. These consist of chimeric, humanized and fully human antibodies. However, despite humanization it is evident that all of these monoclonal antibodies can induce binding and neutralizing antibodies ranging from < 1% to over 80% within a year of treatment. Importantly, it is evident that monitoring these allow prediction of future treatment-failure in some individuals and treatment cessation and switching therefore potentially limiting disease breakthrough and disability accumulation. In response to the COVID-19 pandemic and the need to avoid hospitals, shortened infusion times and extended dose intervals have been implemented, importantly, subcutaneous delivery of alternative treatments or formulations have been developed to allow for home treatment. Therefore, hospital-based and remote monitoring of ADA could therefore be advantageous to optimize patient responses in the future.

多发性硬化症是中枢神经系统的主要脱髓鞘性自身免疫性疾病。复发性多发性硬化症可以通过目前批准的靶向单克隆抗体治疗:CD20, CD25(已退出),CD49d和CD52。这些都针对潜在的致病性记忆B细胞亚群,并可能在功能上抑制致病性T细胞功能。这些抗体包括嵌合抗体、人源化抗体和全人源抗体。然而,尽管人源化,但很明显,所有这些单克隆抗体都可以在治疗一年内诱导结合和中和抗体,范围从< 1%到超过80%。重要的是,很明显,监测这些可以预测某些个体未来的治疗失败和治疗停止和转换,因此可能限制疾病突破和残疾积累。为应对COVID-19大流行和避免住院的需要,缩短了输注时间,延长了给药间隔,重要的是,开发了皮下给药替代疗法或配方,以便在家治疗。因此,基于医院和远程监测ADA可能有利于优化患者在未来的反应。
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Human Antibodies
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