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Effect of pioglitazone treatment on serum chemerin and vaspin levels in polycystic ovary syndrome. 吡格列酮治疗对多囊卵巢综合征患者血清趋化素和血管素水平的影响。
Pub Date : 2022-04-19 DOI: 10.32947/ajps.v21i1.789
Rana Hussein Kutaif, Mustafa G. Alabbassi, Weqar Akram Hussein, Zainab Faleh Ali, Shatha Khayun Jassim
Abdominal fat synthesizes a variety of adipokines, including vaspin and chemerin, that affect the resistance to insulin. This research was conducted to demonstrate the effect of pioglitazone, one insulin sensitizer used to decrease insulin resistance, on these adipokines in   obese patients with polycystic ovary (PCOS). Twenty-five obese women with PCOS were treated with pioglitazone 15mg/bid for 12 weeks. Modifications in fasting blood glucose (FBG), serum fasting insulin (FSI), chemerin and vaspin serum levels, follicle stimulation hormone (FSH), luteinizing hormone (LH), testosterone (T), and in baseline and post-therapy were assessed. Body mass index decreased without any substantial variance after 12 weeks of pioglitazone therapy (P> 0.05). T, FSI, HOMA-IR, LH, and FBG levels have decreased considerably (P≤0.01, P≤0.05) after the therapy. No substantial variations were found in FSH (P>0.05). Serum chemerin and vaspin levels were observed no significant difference than before treatment (P>0.05) in obese women with polycystic ovarian syndrome cases.
腹部脂肪会合成多种影响胰岛素抵抗的脂肪因子,包括血管素和趋化素。本研究旨在证明吡格列酮(一种用于降低胰岛素抵抗的胰岛素增敏剂)对肥胖多囊卵巢(PCOS)患者这些脂肪因子的影响。25名患有多囊卵巢综合征的肥胖妇女接受吡格列酮15mg/bid治疗12周。评估空腹血糖(FBG)、血清空腹胰岛素(FSI)、趋化素和血管素血清水平、卵泡刺激激素(FSH)、黄体生成素(LH)、睾酮(T)以及基线和治疗后的变化。吡格列酮治疗12周后,体重指数下降,但无显著差异(P> 0.05)。治疗后T、FSI、HOMA-IR、LH、FBG水平均显著降低(P≤0.01,P≤0.05)。各组FSH无显著差异(P>0.05)。肥胖女性多囊卵巢综合征患者血清趋化素、vaspin水平与治疗前比较差异无统计学意义(P>0.05)。
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引用次数: 0
Co-occurrence of Wilson disease and Auto-Immune Hepatitis in 14-year-old female: A case report 14岁女性肝豆状核变性合并自身免疫性肝炎1例
Pub Date : 2022-04-19 DOI: 10.32947/ajps.v21i2.803
Fadwa Ghassan Hameed, Inam Sameh Arif, Mohammed Mahmood Mohammed, Hala S. Arif
Unusual cases of coexistence between Wilson's disease and autoimmune hepatitis have occurred. There are characteristics of both diseases in this community of patients, and laboratory and histo pathological findings can be misleading. Wilson disease's clinical appearance can differ widely; thus, there is not always an easy diagnosis. In addition to being childhood and young adult illnesses, Wilson's disease can also be triggered at any age. Liver disease and cirrhosis, neuropsychiatric disorders, Kayser-Fleischer(KF.) rings, and acute hemolysis events are the primary characteristics of Wilson's disease, frequently in combination with acute liver failure. Diagnosis is extremely difficult for children and adults with active liver disease. None of the latest Wilson's disease laboratory tests are optimal and may not be specific. Therefore, by taking into account acute hepatitis similar to Wilson's disease and autoimmune hepatitis, concomitant treatment with immunosuppression and penicillamine may have a superior impact.
肝豆状核变性与自身免疫性肝炎共存的罕见病例也有发生。这两种疾病在患者群体中都有其特点,实验室和病理组织学结果可能会产生误导。肝豆状核变性的临床表现差异很大;因此,诊断并不总是容易的。除了儿童和年轻人的疾病,威尔逊氏病也可以在任何年龄触发。肝脏疾病和肝硬化、神经精神疾病、Kayser-Fleischer(KF.)环和急性溶血事件是Wilson病的主要特征,经常合并急性肝衰竭。诊断是极其困难的儿童和成人活动性肝病。最新的威尔逊氏病实验室检测没有一项是最佳的,可能也不具体。因此,考虑到类似于Wilson病和自身免疫性肝炎的急性肝炎,免疫抑制和青霉胺联合治疗可能会有更好的效果。
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引用次数: 1
Effect of human insulin and insulin analogue on some inflammatory markers and total antioxidant capacity in a sample of Iraqi type 1 diabetic children and adolescents 人胰岛素和胰岛素类似物对伊拉克1型糖尿病儿童和青少年某些炎症标志物和总抗氧化能力的影响
Pub Date : 2022-04-19 DOI: 10.32947/ajps.v21i2.804
Noor Wafaa Hashim, Kadhim Ali Kadhim, Abbas Mahdi Rahmah
Background: Both human insulin and insulin analogue used in the treatment of type 1 diabetes mellitus. The modification in amino acids sequences of human insulin lead to produce analogue form which have a pharmacokinetic and pharmacodynamics effect near to normal human endogenous   insulin release. Aim of study: This study designed to compare between the effect of each type of insulin on high sensitive C-reactive protein and interleukin-6 and total antioxidant capacity in a sample of Iraqi type 1 diabetic children and adolescents. Study design: The study was enrolled on fifty-one Iraqi type 1 diabetic children and adolecence age range (6-18) year. The patients allocated into two groups, Group (1) includes 20 patients assigned to receive conventional human insulin (regular and NPH), and Group (2) includes 20 patients assigned to receive insulin analogue (insulin aspart and glargine) for three months. The inflammatory and antioxidant markers measured at baseline and after three months of intervention. Results: After three months of treatment, both insulin groups did not affect high sensetive C_reactive protein (hs-CRP) significantly from baseline to 3 months. Only insulin analogue reduced Interleukin-6 (IL-6) significantly, while human insulin reduced   level of IL-6 but it was not statistically significant. Both therapies reduced total antioxidant capacity (TAOC) significantly; however, insulin analogue had higher reduction percentage (15.1% vs. 5.7%) compared to the conventional insulin. Conclusion: Only insulin analogue reduced IL-6 significantly. Both types of insulins did not effect on hs-CRP. Both therapies reduce TAOC significantly.
背景:人胰岛素和胰岛素类似物均用于1型糖尿病的治疗。通过对人胰岛素氨基酸序列的修饰,产生了类似的胰岛素,其药代动力学和药效学效应接近于正常的人内源性胰岛素释放。研究目的:本研究旨在比较伊拉克1型糖尿病儿童和青少年样本中每种胰岛素对高敏c反应蛋白和白细胞介素-6以及总抗氧化能力的影响。研究设计:本研究纳入51名伊拉克1型糖尿病儿童和青少年(6-18岁)。患者被分为两组,组(1)包括20名患者接受常规人胰岛素(常规和非ph),组(2)包括20名患者接受胰岛素类似物(胰岛素分离和甘精),为期3个月。在基线和干预三个月后测量炎症和抗氧化标志物。结果:治疗3个月后,从基线到3个月,两组胰岛素对高敏C_reactive protein (hs-CRP)无显著影响。只有胰岛素类似物能显著降低白细胞介素-6 (IL-6)水平,而人胰岛素能降低IL-6水平,但无统计学意义。两种疗法均显著降低总抗氧化能力(TAOC);然而,与传统胰岛素相比,胰岛素类似物具有更高的降低百分比(15.1%对5.7%)。结论:仅胰岛素类似物可显著降低IL-6。两种胰岛素对hs-CRP均无影响。两种疗法均可显著降低TAOC。
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引用次数: 3
Strategies in anti-adhesion therapy: A review article 抗粘连治疗策略综述
Pub Date : 2022-04-19 DOI: 10.32947/ajps.v21i1.799
Fitua Al-Saedi
Bacterial diseases are an important cause of mortality and morbidity worldwide. The Improper and uncontrolled use of antibiotics contribute to the bacterial resistance to antibiotics. It is well known that the antibiotics stop bacterial infections by killing or   inhibiting their growth. Antibiotics are interfering with critical functions that are important for bacterial growth. To overcome this, bacteria developed different mechanisms to resist the antibiotics and survive.  Targeting bacterial function without killing them is a promising way to inhibit bacterial infection. Bacterial adherence is a serious step towards infection. Anti –adhesion therapy aims to inhibit bacterial infection via interfering with bacterial attachment without killing them. This review will cover different strategies in anti-adhesion therapy.
细菌性疾病是世界范围内死亡率和发病率的重要原因。抗生素使用不当和不加控制是导致细菌对抗生素产生耐药性的原因之一。众所周知,抗生素通过杀死或抑制细菌的生长来阻止细菌感染。抗生素正在干扰对细菌生长至关重要的关键功能。为了克服这个问题,细菌发展出了不同的机制来抵抗抗生素并存活下来。针对细菌的功能而不杀死它们是一种很有前途的抑制细菌感染的方法。细菌附着是导致感染的重要一步。抗黏附治疗的目的是通过干扰细菌附着而不杀死细菌来抑制细菌感染。这篇综述将涵盖抗粘连治疗的不同策略。
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引用次数: 0
Development and validation of bioanalytical method for the determination of valsartan in human plasma 测定人血浆中缬沙坦的生物分析方法的建立与验证
Pub Date : 2022-04-19 DOI: 10.32947/ajps.v21i4.795
S. H. Ramadhan
A bioanalytical method which utilizes high performance liquid chromatography with mass spectrometry method has been developed and validated for the quantification of valsartan in human plasma. The samples were processed by precipitation with formic acid then extracted with diethyl ether. Benazepril   was used as an internal standard. The chromatographic separation is performed through C18 column with a mobile phase consisting of deionized water, acetonitrile and formic acid, followed by mass spectrometric detection in the positive ionization mode. The proposed method was specific and had been validated in the linear range of 50.0 – 5000.0 ng/ml for valsartan. The validation results were as follows: the intra-day and inter-day precision were 3.46 to 8.33% and 5.85 to 7.05% respectively, the intra-day and inter-day accuracy were 93.53 to 107.13% and 95.26 to 104.0% respectively. The recovery for valsartan and benazepril was 81.4% and 113.7% respectively. Also, stability was studied and the results obtained for short-term stability 99.24 to 102.32%, for freeze / thaw stability 99.75 to 99.95% and for long-term stability 98.24 to 103.03%. It can be concluded that the method can be applied in pharmacokinetic bioequivalence studies.
建立了一种高效液相色谱-质谱联用的生物分析方法,用于人血浆中缬沙坦的定量分析。样品经甲酸沉淀处理,乙醚萃取。以苯那普利为内标。色谱分离采用C18柱,流动相为去离子水、乙腈和甲酸,质谱检测采用正电离模式。该方法具有特异性,在50.0 ~ 5000.0 ng/ml的线性范围内有效。验证结果为:日内、日间准确度分别为3.46 ~ 8.33%和5.85 ~ 7.05%,日内、日间准确度分别为93.53 ~ 107.13%和95.26 ~ 104.0%。缬沙坦和苯那普利的回收率分别为81.4%和113.7%。稳定性测试结果表明:短期稳定性为99.24 ~ 102.32%,冻融稳定性为99.75 ~ 99.95%,长期稳定性为98.24 ~ 103.03%。结果表明,该方法可用于药代动力学生物等效性研究。
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引用次数: 0
Preparation and evaluation of oral capsules containing apigenin nanocrystals prepared by ultrasonication 超声法制备芹菜素纳米晶口服胶囊的制备与评价
Pub Date : 2022-04-19 DOI: 10.32947/ajps.v21i3.793
Mahmood A. Haiss, Nidhal K. Maraie
This work aims to enhance dissolution rate, increase absorption and bioavailability of Apigenin by formulating it as nanocrystal suspension employing ultrasonic technology. Two different diluents; (5%, 10%) microcrystalline cellulose (MCC) and (2%, 3%) anhydrous lactose were used to prepare hard gelatin capsules for two optimum types for apigenin nanocrystals prepared in our laboratory utilizing ultrasonication technique using 1% tween 80 (F6) and 2% poloxamer 188 (F20). The results showed that the marketed capsules (containing MCC) had about half the dissolution rate than all the prepared nanocrystals capsules formulas, and the nanocrystals prepared with poloxamer gave 90% release within 20 minutes and 100% release with 2 hours with excellent flow properties with no effect of the added diluents while the addition of diluents improved significantly the release of nanocrystals capsules (F6) with 1% tween 80 with good flow properties. The results suggested that utilizing apigenin nanocrystals prepared by ultrasonication technique may improve drug absorption and bioavailability with a reduced required dose.
本研究旨在利用超声技术制备芹菜素纳米晶悬浮液,提高芹菜素的溶出率、吸收率和生物利用度。两种不同的稀释剂;采用(5%,10%)微晶纤维素(MCC)和(2%,3%)无水乳糖制备硬明胶胶囊,以1%的tween 80 (F6)和2%的poloxam188 (F20)为超声技术制备了两种最佳类型的芹菜素纳米晶体。结果表明,市售微胶囊(含MCC)的溶出率约为所有制备的纳米晶胶囊配方的一半;波洛沙姆制备的纳米晶在20分钟内释放90%,2小时内释放100%,具有良好的流动性能,不受稀释剂的影响;而稀释剂的加入显著提高了1% tween 80的纳米晶胶囊(F6)的释放度,具有良好的流动性能。结果表明,利用超声技术制备的芹菜素纳米晶体可以提高药物的吸收和生物利用度,同时降低所需剂量。
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引用次数: 1
The Impact of Vitamin D on The Development of Multiple Sclerosis (Review article) 维生素D对多发性硬化发展的影响(综述文章)
Pub Date : 2022-04-19 DOI: 10.32947/ajps.v21i3.792
Aseel Ghassan Daoud, Huda Jaber Waheed, Mayssaa Essam Abdala
Multiple Sclerosis is a harmful disease causes severe and painful symptoms. In the recent period, researchers have tended to study the effect of vitamin D deficiency on general health. Several studies have reported that there is a relation between vitamin D levels and MS disease progression. Epidemiological testimony and reports have recorded that there are an association between the decrement in plasma vitamin D levels and the incidence of MS also with the disease development; and it has seen that when take vitamin D as supplement may protect the MS patients against disease development. Despite clear evidence of the correlation between disease progression and vitamin D deficiency but the mechanism yet unclear.
多发性硬化症是一种有害的疾病,引起严重和痛苦的症状。近年来,研究人员倾向于研究维生素D缺乏对总体健康的影响。一些研究报道了维生素D水平与多发性硬化症进展之间的关系。流行病学证据和报告记录了血浆维生素D水平下降与多发性硬化症发病率之间的联系,也与疾病发展有关;研究表明,服用维生素D补充剂可以保护多发性硬化症患者免受疾病发展的影响。尽管有明确的证据表明疾病进展与维生素D缺乏之间存在关联,但其机制尚不清楚。
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引用次数: 0
Phytochemical study and thin layer chromatography of Ficusreligiosa leaves extract cultivated in Iraq 伊拉克栽培榕叶提取物的植物化学研究及薄层色谱分析
Pub Date : 2022-04-19 DOI: 10.32947/ajps.v21i2.807
Noor S Jaafar, Maha N Hamad, Duha A Alshammaa, Zainab S Noori
Ficusreligiosa Linn, (Moraceae), is a large evergreen or deciduous, irregularly shaped tree. Traditionally the leaves are used for the treatment of constipation, vomiting, hiccup, and others. Leaves were extracted by two methods; maceration and soxhelt using hexane and   80% aqueous methanol, then subjected to preliminary phytochemical examination, fractionation with chloroform, ethyl acetate, and n.butanol, then TLC. Soxhelt was the suitable extraction method. Sterols, alkaloids, saponins, tannins, and flavonoids were identified in leaves. TLC examination demonstrates the possible presence of stigmasterol, chlorogenic acid, caffeic acid, rutin, and luteolin or apigenin.
榕树,(桑科),是一种大型常绿或落叶,形状不规则的乔木。传统上,叶子被用来治疗便秘、呕吐、打嗝等。采用两种方法提取叶片;用己烷和80%的甲醇水溶液浸泡和浸泡,然后进行初步的植物化学检查,用氯仿、乙酸乙酯和正丁醇分馏,然后进行薄层色谱分析。索氏提取法是比较合适的提取方法。在叶片中鉴定出甾醇、生物碱、皂苷、单宁和黄酮类化合物。薄层色谱检查显示可能存在豆甾醇、绿原酸、咖啡酸、芦丁、木犀草素或芹菜素。
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引用次数: 0
Clinical Signs, Laboratory Diagnosis and Treatments Involved in Corona Viruses-19 冠状病毒-19的临床体征、实验室诊断和治疗
Pub Date : 2022-04-19 DOI: 10.32947/ajps.v21i1.776
Israa Burhan Raoof, Zahraa Ahmed Okhti, Mayssaa E. Abdalah
Covid -19 is a viral disease play important role in danger pathogens for human, it is infecting on respiratory, hepatic, central nervous systems and gastrointestinal, in addition to that, the triggers included cytokine storm is inflammatory response to viral infection     Therefore, excessive enhance of immune cells lead to new of pro-inflammatory cytokines. COVID-19 interaction with the cardiovascular system on different levels, rising death percent in people underlying cardiovascular state provoking myocardial injury. Respiratory infection varying from   mild  cold to  the severe illness like  as Middle East Respiratory Syndrome and Severe Acute Respiratory Syndrome the most important coronavirus (COVID-19) complications, however individuals with asymptomatic disease were also suspected of possible infectious transmission, which further adds to the uncertainty of the dynamic of disease transmission in COVID-19 infections, Suppression of  angiotensin-converting enzyme (ACE2) expression by inflammatory cytokines accompanied by the decrease of estrogens and androgens  of the elderly, establish a negative correlation between   ACE2 expression and mortality in other cases may lead to infertility. Early detection by PCR has aided the identification of the pathogen at an early level.  Furthermore, the treatment includes the effectiveness of glucocorticoid drugs (dexamethasone), anti-malaria drug (hydroxychloroquine), azithromycin (antibacterial drug) and favipiravir are all drugs recommended in illness with Covid-19. Remdesivir suppression COVID-19 replication and decreases viral load, alleviates clinical signs and improves pulmonary injury, therefore Remdesivir drug has been used as a compassionate medicine for treating COVID-19 patients.
Covid -19是一种对人类具有重要危险作用的病毒性疾病,它可感染呼吸道、肝脏、中枢神经系统和胃肠道,除此之外,触发因子风暴包括对病毒感染的炎症反应,因此免疫细胞的过度增强导致促炎细胞因子的产生。COVID-19在不同层面上与心血管系统相互作用,导致心血管状态引发心肌损伤的人群死亡率上升。呼吸道感染从轻度感冒到中东呼吸综合征和严重急性呼吸综合征(最重要的冠状病毒感染并发症)等严重疾病不等,但无症状患者也被怀疑可能存在传染性传播,这进一步增加了COVID-19感染中疾病传播动态的不确定性。炎症细胞因子抑制血管紧张素转换酶(ACE2)表达,并伴有老年雌激素和雄激素的降低,建立ACE2表达与死亡率的负相关关系,其他情况下可能导致不孕。PCR的早期检测有助于在早期鉴定病原体。此外,治疗包括糖皮质激素药物(地塞米松)、抗疟疾药物(羟氯喹)、阿奇霉素(抗菌药物)和法匹拉韦都是Covid-19疾病时推荐使用的药物。瑞德西韦抑制COVID-19复制,降低病毒载量,缓解临床症状,改善肺损伤,因此瑞德西韦药物已被用作治疗COVID-19患者的同情心药物。
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引用次数: 2
Detection of Human Herpes Virus-6 in saliva of Patients with Bell's palsy 贝尔麻痹患者唾液中人类疱疹病毒-6的检测
Pub Date : 2022-04-19 DOI: 10.32947/ajps.v21i1.801
Mustafa Hameed Majeed, Abdul–Kareem Kadhim Alkhazraji
Background: Bell’s palsy is unilateral peripheral paralysis of the seventh cranial nerve, several mechanisms have been proposed in the pathogenesis of this disease, among the viral infections specially herpes virus's family including roseola viruses that have been detected in patients' saliva. Method: A case-control study conducted on Bell’s palsy patients at al-Imamein Al-kadhimein Medical City throughout the period from March 2019 to November 2019. Saliva samples were taken from 50 patients (18-55) years of age with early stages of Bell's palsy and from 50 apparently healthy and age and sex matched volunteers as control. Viral DNA was extracted from the saliva and then real time PCR for detection and quantification of HHV6 DNA in these patients Results: Saliva samples taken from 28 patients in the Bell’s palsy patients (56%) tested positive for HHV6, as vs. to just 8 (16%) in the healthy group(control) (P= 0.028). There was increase amount of HHV6 load in patients compare to control group (p=0.001). Regarding the demographic values, an important difference in the detection rate for Human herpes virus-6 between male (64%) and females (35%) (P= 0.02). There was significant correlation between age and grading (p =0.01), as increase age correlate with high grading, also between viral load of HH6 and grading as increase viral load of the virus correlate with high grading (p = 0.001). Conclusion: HHV-6 virus might have a potential role in the pathogenesis of Bell’s palsy.
背景:贝尔麻痹是第七脑神经的单侧周围性麻痹,该病的发病机制有多种,在病毒感染中,特别是在患者唾液中检测到包括玫瑰疹病毒在内的疱疹病毒家族。方法:对2019年3月至2019年11月在al-Imamein Al-kadhimein医疗城就诊的贝尔氏麻痹患者进行病例对照研究。唾液样本取自50名(18-55岁)早期贝尔氏麻痹患者和50名明显健康且年龄和性别匹配的志愿者作为对照。从这些患者的唾液中提取病毒DNA,然后实时PCR检测和定量这些患者的HHV6 DNA。结果:从贝尔氏麻痹患者中提取的唾液样本中有28例(56%)检测出HHV6阳性,而健康组(对照组)只有8例(16%)检测出HHV6阳性(P= 0.028)。与对照组相比,患者HHV6负荷增加(p=0.001)。在人口统计学值方面,男性(64%)和女性(35%)的人类疱疹病毒6检出率有重要差异(P= 0.02)。年龄与分级呈正相关(p =0.01),年龄越大分级越高;HH6病毒载量与分级呈正相关(p = 0.001)。结论:HHV-6病毒可能在贝尔麻痹的发病机制中起潜在作用。
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引用次数: 1
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Al Mustansiriyah Journal of Pharmaceutical Sciences
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