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Therapeutic Pathology- The Pathology of Tomorrow 治疗病理学--未来的病理学
Pub Date : 2024-03-01 DOI: 10.33696/pathology.5.045
Sushma P Kulkarni
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引用次数: 0
Retesting of Neonatal Hearing Screening Before and During the COVID-19 Pandemic: A Longitudinal Study COVID-19 大流行之前和期间的新生儿听力筛查重测:纵向研究
Pub Date : 2024-03-01 DOI: 10.33696/pathology.5.046
Carolina Schmitz Tiezerin, Karina Mary de Paiva, Luciele Kauna Woide, L. Cigana, Marcos José Machado, Patrícia Haas
Introduction: Universal Newborn Hearing Screening (UNHS) plays an essential role in the early identification of hearing loss in neonates. Risk factors for hearing impairment may include family history, prematurity, and exposure to ototoxic substances. Coronavirus Disease 2019 (COVID-19) might be a significant contributing factor affecting the structures of the inner ear. Objective: To assess the auditory follow-up process of retesting for UNHS before and during the COVID-19 pandemic among neonates from an Outpatient Auditory Health Service (SASA) in the state of Santa Catarina with SUS (Unified Health System) assistance. Methods: A retrospective longitudinal study analyzed data from neonates attended at a SUS Auditory Health Service (SASA) from January 2018 to December 2022. Information related to UNHS and retest outcomes was assessed. Data were analyzed using Microsoft Excel® and MedCalc® Statistical Software version 22.006, utilizing statistical measures and regression analyses to identify factors associated with UNHS failures and retesting. Results: A failure to retest rate of 2.6% in the right ear and 2.2% in the left ear was observed among evaluated neonates. The average age of mothers of neonates who did not pass the test was 33 years, while the overall average was 27 years. Failure to pass the retest and a longer interval between UNHS and retesting were associated with UNHS Initial Retest Default (IRD). There was an increase in dropout rates for UNHS retesting, and the time interval between UNHS and retesting was extended during the pandemic. Conclusion: Several factors, including the interval between tests, mothers' age, and medical conditions, influenced the retest outcomes. The pandemic led to a significant increase in dropout rates and extended time for retesting.
导言:新生儿听力普查(UNHS)在早期发现新生儿听力损失方面发挥着至关重要的作用。听力损伤的风险因素可能包括家族史、早产和接触耳毒性物质。冠状病毒病 2019(COVID-19)可能是影响内耳结构的一个重要因素。研究目的在统一卫生系统(SUS)的协助下,评估圣卡塔琳娜州听力保健门诊服务机构(SASA)在 COVID-19 大流行之前和期间对新生儿进行统一卫生系统重测的听力随访过程。研究方法一项回顾性纵向研究分析了2018年1月至2022年12月期间在统一卫生系统听觉健康服务机构(SASA)就诊的新生儿数据。评估了与 UNHS 和复测结果相关的信息。数据使用 Microsoft Excel® 和 MedCalc® 统计软件 22.006 版进行分析,利用统计量和回归分析确定与 UNHS 失败和重测相关的因素。结果:在接受评估的新生儿中,右耳重测失败率为 2.6%,左耳重测失败率为 2.2%。未通过测试的新生儿母亲的平均年龄为 33 岁,而总体平均年龄为 27 岁。未通过复测和联合国健康调查与复测之间的间隔时间较长与联合国健康调查初次复测缺失(IRD)有关。在大流行期间,联合国人类健康调查重测的辍学率有所上升,联合国人类健康调查与重测之间的时间间隔也有所延长。结论包括检测间隔时间、母亲年龄和医疗条件在内的多个因素影响了重测结果。大流行导致了辍学率的显著上升和重测时间的延长。
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引用次数: 0
Evaluation of Antimicrobial Potential of Endophytic Fungi and GC-MS Metabolic Profiling of Cephalosporium sp., and Fusarium moniliforme 内生真菌的抗菌潜力评估及头孢菌素和镰刀菌的 GC-MS 代谢谱分析
Pub Date : 2023-11-21 DOI: 10.33696/pathology.4.043
Hafiza Farhat, Faizah Urooj, Nida Sohai̇l, Shahid Ullah, Muhammad Aamer
From last few decades, microbes gained special attention residing inside plant tissues, now called endophyte. Studies proved that these microbes are able to produce biologically active metabolites and effective candidates against various pathogens. Endophytic fungi are a source of natural therapeutic products. Therefore, endophytic Fusarium species are isolated from different plants. These endophytic Fusarium species showed a potential against common laboratory bacteria (Escherichia coli, Staphylococcus aureus, Pseudomonas aeruginosa, Salmonella typhimurium and Bacillus subtilis). Fusarium moniliforme and Cephalosporium sp., were further selected to isolate compounds by GC-MS techniques. The mycelial extract of Cephalosporium sp., and oily fraction of filtrates of F. moniliforme revealed the presence of several therapeutic compounds based on the peak areas, molecular weights, Rt (retention times) and m/z (mass fragmentations). The major bioactive metabolites identified from these fungi are Cholest-22-ene-21-ol, 3,5-dehydro-6-methoxy-pivalate, Salicylamide, 1,2-Benzenedicarboxylic acid, Geranyl isovalerate, and diisooctyl ester, and reported to possess antibacterial, antioxidant, nematicidal, and antifungal potential. These results will lead to further in-depth research into the potential cause of plants endophytes interactions. The wide application of fungal origin bio products offers an effective prospect for discovering novel therapeutic agents in order to combat infectious agents as well as agricultural pests.
过去几十年来,寄居在植物组织内的微生物受到了特别关注,这些微生物现在被称为内生菌。研究证明,这些微生物能够产生具有生物活性的代谢物,是抵抗各种病原体的有效候选菌。内生真菌是天然治疗产品的来源。因此,人们从不同植物中分离出了内生镰刀菌。这些内生镰刀菌对常见的实验室细菌(大肠杆菌、金黄色葡萄球菌、铜绿假单胞菌、鼠伤寒沙门氏菌和枯草芽孢杆菌)具有抗菌潜力。进一步选择了单孢镰刀菌(Fusarium moniliforme)和头孢菌(Cephalosporium sp.),利用气相色谱-质谱(GC-MS)技术分离化合物。根据峰面积、分子量、Rt(保留时间)和 m/z(质量碎片),头孢菌的菌丝体提取物和单孢镰刀菌滤液的油性馏分显示出多种治疗化合物的存在。从这些真菌中鉴定出的主要生物活性代谢物是胆甾-22-烯-21-醇、3,5-脱氢-6-甲氧基特戊酸酯、水杨酰胺、1,2-苯二甲酸、异戊酸香叶酯和二异辛酯,据报道它们具有抗菌、抗氧化、杀线虫和抗真菌的潜力。这些结果将有助于进一步深入研究植物内生菌相互作用的潜在原因。真菌源生物产品的广泛应用为发现新型治疗剂以对抗传染病病原体和农业害虫提供了有效的前景。
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引用次数: 0
Current Understanding and Gaps in Knowledge of Chlamydia trachomatis Infection 目前对沙眼衣原体感染的理解和认识差距
Pub Date : 2023-11-21 DOI: 10.33696/pathology.4.042
G. Bastidas, D. Bastidas, G. Bastidas-Delgado
Chlamydia trachomatis is a bacterial infection that most frequently causes sexually transmitted infection in the world, therefore, it is considered a serious public health problem. The objective of this commentary is to describe in a condensed but sufficient manner what has been reported by researchers on the subject based on the documentary review available in digital repositories on aspects of the infection. The information obtained was grouped into 7 categories as a result of the analysis of relevant ideas. There are many aspects to be revealed in terms of pathogenesis, biology of the microbial agent, and treatment, hence the need to generate new knowledge in this regard and to carry out thematic consolidations such as the one presented here.
沙眼衣原体是一种细菌感染,是世界上最常见的性传播疾病,因此被认为是一个严重的公共卫生问题。本评论的目的是,根据数字资料库中有关该感染各方面的文献综述,以简洁但充分的方式描述研究人员在该主题方面的报告。经过对相关观点的分析,所获得的信息被分为 7 类。在致病机理、微生物病原体生物学和治疗方面,还有许多方面有待揭示,因此有必要在这方面创造新的知识,并进行专题整合,如本文介绍的整合。
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引用次数: 0
Concurrent PIK3CA and TERT Mutation Promote the Proliferation and Invasion of Thyroid Carcinoma Cells and may be Caused by Up-regulating the Expression of GABPA/GABPB1 PIK3CA和TERT同时突变促进甲状腺癌细胞的增殖和侵袭,可能是通过上调GABPA/GABPB1的表达造成的
Pub Date : 2023-08-22 DOI: 10.33696/pathology.4.041
Huanli Duan, Qiang Ma, Leiming Wang, Shengnan Wang, Yanlei Xiong, Lianghong Teng
Our previous research demonstrated that TERT and concurrent PIK3CA mutations predict worse overall survival in patients with poorly differentiated thyroid carcinoma and anaplastic thyroid carcinoma. However, the molecular mechanism underlying the synergistic oncogenic operations of the two oncogenes is unclear. This study aimed to explore further the effect of TERT and PIK3CA co-mutation on the malignant biological phenotype of thyroid carcinoma and its possible mechanism. PIK3CA E545K mutation plasmid was transfected into thyroid anaplastic cancer cell line (C643) with TERT promoter mutation, then CCK-8 and transwell invasion assays were used to investigate the ability of cell proliferation and invasion, respectively. RT-qPCR and western blot were performed to detect the expression of PIK3CA, TERT, GABPA and GABPB1. GABPA/GABPB1 siRNA plasmid was transfected with C643 cells, then the ability of cell proliferation and invasion were identified. We also detected the expression of PIK3CA and TERT. C643 cells carry TERT promoter mutation C228T. Concurrent PIK3CA E545K and TERT mutation markedly enhanced the proliferation and invasion of C643 cell in vitro, with significantly increased mRNA/protein expression of PIK3CA, TERT, GABPA and GABPB1. Knocking down GABPA markedly inhibited cell proliferation. Knocking down of GABPB1 significantly decreased the proliferation and invasion of C643 cells, with much lower expression of PIK3CA and TERT. TERT and PIK3CA co-mutations promote the proliferation and invasion of thyroid anaplastic carcinoma cells and may be caused by up-regulating the expression of GABPA and GABPB1.
我们之前的研究表明,TERT和并发的PIK3CA突变预示着甲状腺分化不良癌和甲状腺无弹性癌患者的总生存率会降低。然而,这两种致癌基因协同致癌作用的分子机制尚不清楚。本研究旨在进一步探讨TERT和PIK3CA共突变对甲状腺癌恶性生物学表型的影响及其可能的机制。将PIK3CA E545K突变质粒转染至TERT启动子突变的甲状腺无性细胞系(C643),然后用CCK-8和经孔侵袭实验分别检测细胞的增殖和侵袭能力。采用RT-qPCR和Western blot检测PIK3CA、TERT、GABPA和GABPB1的表达。将 GABPA/GABPB1 siRNA 质粒转染 C643 细胞,检测细胞增殖和侵袭能力。我们还检测了 PIK3CA 和 TERT 的表达。C643 细胞携带 TERT 启动子突变 C228T。同时发生的PIK3CA E545K和TERT突变显著增强了C643细胞在体外的增殖和侵袭能力,PIK3CA、TERT、GABPA和GABPB1的mRNA/蛋白表达明显增加。敲除 GABPA 会明显抑制细胞增殖。敲除 GABPB1 能显著减少 C643 细胞的增殖和侵袭,同时 PIK3CA 和 TERT 的表达量也大大降低。TERT和PIK3CA共突变促进甲状腺无性细胞癌细胞的增殖和侵袭,可能是通过上调GABPA和GABPB1的表达引起的。
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引用次数: 0
News About the Extracellular Vesicles from Mesenchymal Stem Cells: Functions, Therapy and Protection from COVID-19. 来自间充质干细胞的细胞外囊泡:功能、治疗和对COVID-19的保护
Pub Date : 2021-01-01 DOI: 10.33696/pathology.2.015
Jacopo Meldolesi

This is a Commentary of a review about extracellular vesicles of immune cells published two years ago in Clinical and Experimental Immunology, a prestigious journal of the field. The aim is to establish whether, and to what extent, results in scientific area of the review have been extended and strengthened by innovative findings of considerable interest. The analysis of the recently published results has revealed that in various areas of the review developments have occurred. However, innovative findings have been only about the extracellular vesicles secreted by mesenchymal stem cells, usually indicated as MSC-EVs. Based on these findings, the Commentary has been focused on recent MSC-EVs findings presented in three Sections dealing with 1. recently appeared, relevant functions of the latter vesicles; 2. therapeutic processes developed according well known criteria, however innovative in many respects; and 3. protection of COVID-19 disease patients from organ lesions induced by the specific virus, SARS-CoV-2, during the disease. As everybody knows, the COVID-19 pandemic started at the end of 2019, thus after the publication of the aforementioned review. Data of Section 3 are therefore innovative, of great potential interest also at the clinical level, applied by translational medicine to various organs, from lung to brain, heart, kidney, immune and other cells. In view of its relevance, the author expects that research and medical use of MSC-EV, active at present, will be further developed, acquiring additional relevance in the near future.

这是对两年前发表在该领域权威杂志《临床与实验免疫学》上的一篇关于免疫细胞胞外囊泡的综述的评论。目的是确定是否,以及在何种程度上,审查的科学领域的结果已被相当感兴趣的创新发现所扩展和加强。对最近发表的结果的分析表明,在审查的各个领域都发生了发展。然而,创新的发现仅仅是关于间充质干细胞分泌的细胞外囊泡,通常被称为msc - ev。基于这些发现,评注将重点放在最近的msc - ev发现上,分为三个部分,涉及1。最近出现了后囊泡的相关功能;2. 根据众所周知的标准开发的治疗过程,然而在许多方面是创新的;和3。保护COVID-19患者在疾病期间免受特定病毒SARS-CoV-2引起的器官病变。众所周知,新冠肺炎疫情始于2019年底,也就是上述审查报告发表之后。因此,Section 3的数据具有创新性,在临床层面也具有巨大的潜在兴趣,可被转化医学应用于从肺到脑、心脏、肾脏、免疫和其他细胞的各个器官。鉴于其相关性,作者期望目前活跃的MSC-EV的研究和医疗应用将得到进一步发展,在不久的将来获得更大的相关性。
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引用次数: 2
Mechanistic and Translational Advances Using iPSC-Derived Blood Cells. 利用 iPSC 衍生血细胞的机制和转化进展。
Pub Date : 2020-01-01 DOI: 10.33696/pathology.1.010
Christopher S Thom, Stella T Chou, Deborah L French

Human induced pluripotent stem cell (iPSC)-based model systems can be used to produce blood cells for the study of both hematologic and non-hematologic disorders. This commentary discusses recent advances that have utilized iPSC-derived red blood cells, megakaryocytes, myeloid cells, and lymphoid cells to model hematopoietic disorders. In addition, we review recent studies that have defined how microglial cells differentiated from iPSC-derived monocytes impact neurodegenerative disease. Related translational insights highlight the utility of iPSC models for studying pathologic anemia, bleeding, thrombosis, autoimmunity, immunodeficiency, blood cancers, and neurodegenerative disease such as Alzheimer's.

以人类诱导多能干细胞(iPSC)为基础的模型系统可用于制造血液细胞,以研究血液病和非血液病。本评论讨论了利用 iPSC 衍生的红细胞、巨核细胞、髓样细胞和淋巴细胞建立造血疾病模型的最新进展。此外,我们还回顾了最近的研究,这些研究确定了从 iPSC 衍生的单核细胞分化出的小胶质细胞如何影响神经退行性疾病。相关的转化见解强调了 iPSC 模型在研究病理性贫血、出血、血栓形成、自身免疫、免疫缺陷、血癌和神经退行性疾病(如阿尔茨海默氏症)方面的实用性。
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引用次数: 0
Succinate Accumulation Links Mitochondrial MnSOD Depletion to Aberrant Nuclear DNA Methylation and Altered Cell Fate. 琥珀酸积累将线粒体MnSOD消耗与异常核DNA甲基化和细胞命运改变联系起来。
Pub Date : 2020-01-01 Epub Date: 2020-12-09
Kimberly L Cramer-Morales, Collin D Heer, Kranti A Mapuskar, Frederick E Domann

Previous studies showed that human cell line HEK293 lacking mitochondrial superoxide dismutase (MnSOD) exhibited decreased succinate dehydrogenase (SDH) activity, and mice lacking MnSOD displayed significant reductions in SDH and aconitase activities. Since MnSOD has significant effects on SDH activity, and succinate is a key regulator of TET enzymes needed for proper differentiation, we hypothesized that SOD2 loss would lead to succinate accumulation, inhibition of TET activity, and impaired erythroid precursor differentiation. To test this hypothesis, we genetically disrupted the SOD2 gene using the CRISPR/Cas9 genetic strategy in a human erythroleukemia cell line (HEL 92.1.7) capable of induced differentiation toward an erythroid phenotype. Cells obtained in this manner displayed significant inhibition of SDH activity and ~10-fold increases in cellular succinate levels compared to their parent cell controls. Furthermore, SOD2 -/- cells exhibited significantly reduced TET enzyme activity concomitant with decreases in genomic 5-hmC and corresponding increases in 5-mC. Finally, when stimulated with δ-aminolevulonic acid (δ-ALA), SOD2 -/- HEL cells failed to properly differentiate toward an erythroid phenotype, likely due to failure to complete the necessary global DNA demethylation program required for erythroid maturation. Together, our findings support the model of an SDH/succinate/TET axis and a role for succinate as a retrograde signaling molecule of mitochondrial origin that significantly perturbs nuclear epigenetic reprogramming and introduce MnSOD as a governor of the SDH/succinate/TET axis.

先前的研究表明,缺乏线粒体超氧化物歧化酶(MnSOD)的人细胞系HEK293表现出琥珀酸脱氢酶(SDH)活性降低,缺乏MnSOD的小鼠表现出SDH和乌头酶活性显著降低。由于MnSOD对SDH活性有显著影响,而琥珀酸盐是正常分化所需的TET酶的关键调节剂,我们假设SOD2的丢失会导致琥珀酸盐积累,抑制TET活性,并损害红细胞前体分化。为了验证这一假设,我们使用CRISPR/Cas9遗传策略在能够诱导分化为红系表型的人红细胞白血病细胞系(HEL 92.1.7)中遗传破坏SOD2基因。以这种方式获得的细胞显示出显著的SDH活性抑制,细胞琥珀酸水平比其亲本细胞对照组增加了约10倍。此外,SOD2 -/-细胞显示TET酶活性显著降低,同时基因组5-hmC降低,5-mC相应升高。最后,当受到δ-氨基乙酰丙酸(δ-ALA)刺激时,SOD2 -/- HEL细胞不能正确地向红系表型分化,这可能是由于未能完成红系成熟所需的必要的全局DNA去甲基化程序。总之,我们的研究结果支持SDH/琥珀酸盐/TET轴模型,以及琥珀酸盐作为线粒体起源的逆行信号分子的作用,该分子显著干扰核表观遗传重编程,并引入MnSOD作为SDH/琥珀酸盐/TET轴的调控因子。
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引用次数: 0
Anti-HHV-6 antibodies in normal population and in cancer patients in India. 印度正常人群和癌症患者的抗hhv -6抗体
Pub Date : 1992-01-01
K R Shanavas, V Kala, D M Vasudevan, T Vijayakumar, M Yadav

The prevalence and titre of IgG antibodies to human herpesvirus type 6 (HHV-6) were assayed in the serum samples from normal subjects and patients with Hodgkin's lymphoma (HL), non-Hodgkin's lymphoma (NHL), acute lymphoblastic leukaemia (ALL) and oral cancer (OC) using immunofluorescence and immunoperoxidase techniques. This forms the first study on the sero-prevalence and titre of antibodies to HHV-6 in India. There was no considerable difference in the prevalence (76%) and titre (10-160) of the antibodies in normal population from those reported for normal adults in other parts of the world. All the HL and ALL patients studied showed no significant elevation in the antibody titre, though a slight increase in the prevalence (95%) was noted. Antibody titre and prevalence were found highly elevated in OC. OC remained totally unstudied for the presence of anti-HHV-6 antibodies, and this is the first report of elevated levels of the antibody in this cancer. The role of HHV-6, if any, in the pathogenesis of OC is worth investigating.

采用免疫荧光和免疫过氧化物酶技术检测了正常人、霍奇金淋巴瘤(HL)、非霍奇金淋巴瘤(NHL)、急性淋巴细胞白血病(ALL)和口腔癌(OC)患者血清中6型人疱疹病毒(HHV-6) IgG抗体的流行率和滴度。这是印度首次对HHV-6抗体的血清流行率和滴度进行研究。正常人群中抗体的流行率(76%)和滴度(10-160)与世界其他地区正常成年人报告的抗体没有显著差异。所有被研究的HL和All患者的抗体滴度均未显著升高,但患病率略有增加(95%)。抗体滴度和患病率均明显升高。对于卵巢癌是否存在抗hhv -6抗体的研究仍然完全没有,这是首次报道这种癌症中抗体水平升高。如果有的话,HHV-6在卵巢癌发病机制中的作用值得研究。
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引用次数: 0
Aortic lysosomal hydrolases and pathological alterations in hypertensive and/or atherogenic diet fed rhesus monkeys. 高血压和/或动脉粥样硬化性饮食喂养恒河猴的主动脉溶酶体水解酶和病理改变。
Pub Date : 1992-01-01
G S Dhaunsi, S Majumdar, R N Chakravarti

Aortic lysosomal enzyme activities have been evaluated in relation to the extent and severity of aortic atherosclerosis in rhesus monkeys to see the biochemical and pathological effects of renal hypertension in experimental atherogenesis. The frequency and size of atherosclerotic plaques in aortas of atherogenic diet fed and/or hypertensive monkeys were calculated and an overall score of aortic atherosclerosis was computed on the basis of the gamut of pathological findings in relation to the biochemical alterations. This overall score of atherosclerosis was found to be significantly (p less than 0.01) greater in animals of all experimental groups as compared to the controls.

研究了恒河猴主动脉动脉粥样硬化程度和严重程度与主动脉溶酶体酶活性的关系,探讨了肾性高血压在实验性动脉粥样硬化中的生化和病理作用。计算致动脉粥样硬化斑块的频率和大小,并根据与生化改变相关的病理结果的范围计算主动脉粥样硬化的总体评分。与对照组相比,各实验组动物的动脉粥样硬化总评分均显著升高(p < 0.01)。
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引用次数: 0
期刊
Journal of Experimental Pathology
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