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Safety of Gam-COVID-Vac (Sputnik V) Combined Vector Vaccine in Patients With Immunoinflammatory Rheumatic Diseases: Preliminary Data Gam-COVID-Vac (Sputnik V)联合载体疫苗在免疫炎性风湿病患者中的安全性:初步数据
Pub Date : 2022-11-16 DOI: 10.37489/0235-2990-2022-67-7-8-33-39
A. Kulikov, N. Muravyeva, B. Belov
Background. Patients with autoimmune and inflammatory rheumatic diseases (AIRDs) are at high risk of developing COVID-19. Vaccination is an effective method of preventing this disease, which may be unsafe for patients with AIRDs. The aim of the study is to assess the safety of Gam-COVID-Vac in patients with IVRD in real clinical practice. Material and methods. A cross-sectional study was carried out. The main group consisted of patients with AIRDs, the control group consisted of individuals without AIRDs. All participants were interviewed by the research physician using a unified questionnaire, additional information was obtained from medical records. Results. The study included 222 patients with AIRDs (119 with rheumatoid arthritis, 36 with ankylosing spondylitis, 17 with psoriatic arthritis, 17 with Sjögren's disease, 10 with undifferentiated spondyloarthritis, 8 with systemic lupus erythematosus, 4 with metabolic arthritis, 3 with systemic scleroderma, 3 with systemic vasculitis, 2 with polymyalgia rheumatica, 2 with undifferentiated systemic connective tissue disease, 1 with adult Still's disease) and 111 patients without AIRDs. The number of patients with AIRDs who had a combination of local and systemic adverse events (AE) on the introduction of the first component of the vaccine was significantly less than in the control group (22.1 and 44.1%, respectively, P<0.001). Similar differences were also noted after the introduction of the second component (14.0 and 29.7%, respectively, P<0.001). AEs such as pain at the injection site without restriction of movement, weakness, fever, arthralgia/myalgia, headache, and chills were significantly more common in the control group after the introduction of the first component of the vaccine. After complete immunization, AEs were absent in 35.6% of patients with AIRDs and in 21.6% of control group patients (P=0.01). Exacerbations of AIRDs and new autoimmune phenomena were not registered in any cases. Conclusions. According to preliminary data, immunization of patients with AIRDs with the Gam-COVID-Vac combined vector vaccine appears to be quite safe.
背景。自身免疫性和炎症性风湿病(AIRDs)患者发展为COVID-19的风险很高。疫苗接种是预防该病的有效方法,但对AIRDs患者可能不安全。本研究的目的是在实际临床实践中评估Gam-COVID-Vac在IVRD患者中的安全性。材料和方法。进行了一项横断面研究。主要组为AIRDs患者,对照组为无AIRDs个体。所有参与者由研究医师使用统一的问卷进行访谈,其他信息从医疗记录中获得。结果。研究纳入222例AIRDs患者,其中类风湿关节炎119例,强直性脊柱炎36例,银屑病关节炎17例,Sjögren病17例,未分化型脊柱炎10例,系统性红斑狼疮8例,代谢性关节炎4例,系统性硬皮病3例,系统性血管炎3例,风湿性多肌痛2例,未分化型系统性结缔组织病2例,成人Still病1例,无AIRDs患者111例。在引入疫苗第一组分时出现局部和全身不良事件(AE)的AIRDs患者数量显著少于对照组(分别为22.1%和44.1%,P<0.001)。在引入第二个成分后也注意到类似的差异(分别为14.0和29.7%,P<0.001)。注射部位不受运动限制的疼痛、虚弱、发热、关节痛/肌痛、头痛和寒战等不良反应在接种疫苗第一组分后的对照组中明显更为常见。完全免疫后,35.6%的AIRDs患者和21.6%的对照组患者无ae (P=0.01)。在任何病例中均未出现AIRDs恶化和新的自身免疫现象。结论。根据初步数据,用Gam-COVID-Vac联合载体疫苗对AIRDs患者进行免疫接种似乎是相当安全的。
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引用次数: 1
Study of the Antiviral Activity of Adamantane-Containing Chemical Compounds 含金刚烷类化合物抗病毒活性的研究
Pub Date : 2022-11-16 DOI: 10.37489/0235-2990-2022-67-7-8-19-23
I. I. Lyubimov, E. Isaeva, E. Vetrova, A. Lavrova, N. Gretskaya, I. Serkov, V. Bezuglov, G. Galegov
Influenza and coronavirus infections are especially dangerous due to being capable of causing pandemics and clinical complications in the nervous and cardiovascular systems, as well as exacerbation of chronic diseases (diabetes mellitus, heart failure, chronic obstructive bronchopneumonia, etc.), which can cause delayed death, especially in children under two years of age, the elderly, and individuals with poor health. The aim of the study was to search for compounds effective against these two topical viruses which possess constant epidemic activity - influenza virus and betacoronavirus - among new adamantane derivatives containing a NO-donor fragment or a dopamine residue. Another purpose of the study was determination of cytotoxicity and antiviral activity of compounds on cell lines permissive for influenza virus and betacoronavirus. The antiviral activity of 6 adamantane derivatives against strains of the influenza virus (H1N1) and betacoronavirus was studied. It was established that the NO-donor derivative of aminoadamantane succinate and the dopamine derivative of adamantanebenzoic acid had the greatest ability to suppress the development of the influenza virus with a chemotherapeutic index above 60. No promising compounds against betacoronavirus were identified.
流感和冠状病毒感染尤其危险,因为它们能够引起大流行和神经系统和心血管系统的临床并发症,以及慢性疾病(糖尿病、心力衰竭、慢性阻塞性支气管肺炎等)的恶化,这可能导致延迟死亡,特别是在两岁以下儿童、老年人和健康状况不佳的个人中。该研究的目的是在含有no供体片段或多巴胺残基的新型金刚烷衍生物中寻找对具有持续流行活性的两种局部病毒(流感病毒和乙型冠状病毒)有效的化合物。该研究的另一个目的是确定流感病毒和乙型冠状病毒允许的细胞系上化合物的细胞毒性和抗病毒活性。研究了6种金刚烷衍生物对甲型H1N1流感病毒和乙型冠状病毒的抗病毒活性。结果表明,氨基金刚烷琥珀酸no供体衍生物和金刚烷苯甲酸多巴胺衍生物对流感病毒的抑制能力最强,化疗指数均在60以上。没有发现有希望的抗冠状病毒化合物。
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引用次数: 1
The Effect of Carriage of CYP3A5*3 and CYP3A4*22 Polymorphic Variants on the Safety of Remdesivir Therapy in Patients with COVID-19 携带CYP3A5*3和CYP3A4*22多态性变异对新冠肺炎患者瑞德西韦治疗安全性的影响
Pub Date : 2022-11-16 DOI: 10.37489/0235-2990-2022-67-7-8-45-50
I. Temirbulatov, A. V. Kryukov, K. Mirzaev, N. Denisenko, S. Abdullaev, A. S. Zhiryakova, Y. Shevchuk, V. I. Vechorko, O. Averkov, D. Sychev
The aim of the study was to assess the association of polymorphic variants CYP3A5*3 6986 A>G rs776746 and CYP3A4*22 rs35599367 C>T with the safety parameters of remdesivir therapy in patients with COVID-19. Material and methods. The study included 156 patients admitted to the City Clinical Hospital No. 15 of the Moscow Health Department with COVID-19 diagnosis, who received remdesivir as an antiviral drug. The frequency of adverse reactions (bradycardia, dyspeptic disorders), as well as various laboratory parameters (ALT, AST, creatinine, ferritin, interleukin-6, and d-dimer levels) were compared between the carriers of wild-type and polymorphic variants of the studied genes. Results. Carriers of CYP3A5*3 polymorphic variants (GA+AA) had higher ALT levels after the treatment with remdesivir than carriers of the wild variant (GG). When comparing the level of interleukin-6 after therapy with remdesivir, carriers of the polymorphic variant of the CYP3A4*22 (CT) gene had a significantly higher level of this cytokine. Conclusion. An association between the carriage of polymorphic variants of CYP3A5*3 and an increase in the level of liver enzymes was found. Polymorphic variants of CYP3A4*22 were associated with higher levels of interleukin-6. Additional pharmacogenetic studies are required to assess the possibilities of personalizing antiviral therapy for COVID-19.
本研究的目的是评估多态性变异CYP3A4* 3 6986 A>G rs776746和CYP3A4*22 rs35599367 C>T与瑞德西韦治疗COVID-19患者安全性参数的相关性。材料和方法。该研究包括156名被诊断为COVID-19的莫斯科卫生局第15市临床医院收治的患者,他们接受了瑞德西韦作为抗病毒药物的治疗。比较研究基因野生型和多态性变异携带者的不良反应频率(心动过缓、消化不良)以及各种实验室参数(ALT、AST、肌酐、铁蛋白、白细胞介素-6和d-二聚体水平)。结果。CYP3A5*3多态性变异体(GA+AA)与野生变异体(GG)相比,经瑞德西韦治疗后ALT水平升高。在比较瑞德西韦治疗后的白细胞介素-6水平时,CYP3A4*22 (CT)基因多态性变异携带者的白细胞介素-6水平明显升高。结论。发现CYP3A5*3多态性变异的携带与肝酶水平的增加之间存在关联。CYP3A4*22的多态性变异与较高水平的白细胞介素-6相关。需要进一步的药物遗传学研究来评估针对COVID-19的个性化抗病毒治疗的可能性。
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引用次数: 1
The Problem of Comorbid Socially Significant Infections Under The Conditions of The COVID-19 Pandemic COVID-19大流行条件下的共病性社会重大感染问题
Pub Date : 2022-11-16 DOI: 10.37489/0235-2990-2022-67-7-8-40-44
V. Kolomiets, N. A. Polshikova, A. Kovalenko, E. Pavlenko
The aim of the study. To analyze formation features of the epidemic situation for tuberculosis (TB) in the context of the COVID-19 pandemic in order to predict the further actions of medical organizations. Materials and methods. The data for the region for the last 5 years (2017-2021) were analyzed, including 1,762 newly diagnosed cases of patients with TB and comorbidities (according to the data of the Regional Public Health Organization «Regional Clinical Anti-Tuberculosis Dispensary»). All cases were verified using standard diagnostic methods, including molecular genetic methods, to determine the resistance of pathogens to antibacterial drugs. Results. It was revealed that the epidemiological situation in the region was multidirectional: thus, during the COVID-19 epidemic, the most pronounced incidence decrease was observed among cases of chronic course hepatitis (by 16.4 times), while among patients with tuberculosis the incidence decreased by 2.75 times, and among patients with acute hepatitis - only by 1.5 times (P<0.05). Among the cases of comorbid infection, the most severe course was observed in patients with combined (TB + HIV) infection: there was both a more severe general condition, and the development of adverse (undesirable) reactions to anti-TB drugs, which required an extension of maintenance therapy. Conclusions. The results of the study showed that against the background of the COVID-19 pandemic in the region, there was no tendency towards a worsening of the epidemic situation, primarily for the more socially significant infection - tuberculosis. At the same time, there was an increase in the number of cases of comorbid pathology, including HIV + TB. In the treatment of patients with comorbid forms of infection, it is necessary to take into account the possibility of developing hepatotoxic reactions and, as a result, the appointment of accompanying drugs with hepatoprotective and detoxification effects in therapy.
研究的目的。分析新冠肺炎大流行背景下结核病疫情形成特征,预测医疗机构下一步行动。材料和方法。分析了该地区过去5年(2017-2021年)的数据,包括1762例新诊断的结核病和合并症患者(根据区域公共卫生组织«区域临床抗结核药房»的数据)。所有病例均采用标准诊断方法进行验证,包括分子遗传学方法,以确定病原体对抗菌药物的耐药性。结果。结果表明,该地区的流行病学形势具有多向性:在新冠肺炎疫情期间,慢性肝炎发病率下降最为明显(下降16.4倍),结核病发病率下降2.75倍,急性肝炎发病率仅下降1.5倍(P<0.05)。在合并症感染病例中,最严重的病程发生在合并(TB + HIV)感染的患者中:既有更严重的一般情况,也有对抗结核药物产生不良(不希望的)反应,这需要延长维持治疗。结论。研究结果表明,在2019冠状病毒病大流行的背景下,该地区的疫情没有恶化的趋势,主要是对更具社会意义的感染-结核病。与此同时,包括艾滋病毒+结核病在内的共病病理病例数量有所增加。在治疗合并感染的患者时,有必要考虑到发生肝毒性反应的可能性,因此,在治疗中指定具有肝保护和解毒作用的伴随药物。
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引用次数: 1
Assessment of The Toxicological Profile of The New Dioxidine Dosage Form (Solution for Topical and External Use, 0.025%) 新二氧化二醇剂型(局部和外用溶液,0.025%)毒理学特征评估
Pub Date : 2022-11-16 DOI: 10.37489/0235-2990-2022-67-7-8-24-32
M. V. Zhuravleva, E. Roshchina, C. A. Loseva, A. V. Gurov
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引用次数: 1
Microbiomes of Kefir Grains From Regions of Historical Origin and Their Probiotic Potential 历史原产地开菲尔颗粒微生物组及其益生菌潜力
Pub Date : 2022-11-15 DOI: 10.37489/0235-2990-2022-67-7-8-4-7
Fan Ding, L. Stoyanova, A. Netrusov
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引用次数: 0
Evaluation of the Bactericidal Activity of Gramicidin S Against Streptococcus pneumoniae and Staphylococcus aureus Clinical Isolates with Single and Multiple Exposure 革兰西菌素S对肺炎链球菌和金黄色葡萄球菌临床分离株单次和多次接触的杀菌活性评价
Pub Date : 2022-11-15 DOI: 10.37489/0235-2990-2022-67-7-8-8-18
A. V. Gurov, K. E. Borovkova, K. Kryshen, L. R. Nikiforova, J. V. Salmova
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引用次数: 1
Immunogenicity of Vaccines Against SARS-CoV-2 In Patients With Rheumatic Diseases 抗SARS-CoV-2疫苗在风湿病患者中的免疫原性
Pub Date : 2022-09-09 DOI: 10.37489/0235-2990-2022-67-5-6-70-80
B. Belov, N. Muravyeva, A. Kulikov
The problem of coronavirus disease 2019 (COVID-19) still remains relevant even now, after two years. As one of the methods of combating the current COVID-19 pandemic, most experts suggest the widespread use of vaccination. The use of anticovid vaccines in patients with rheumatic diseases raises a number of questions related to efficacy, immunogenicity (especially in patients receiving immunosuppressive therapy), as well as safety of immunization. With that in mind, it is very important to analyze the data on the above-mentioned aspects in real time. This review presents the results of studies on COVID-19 vaccination immunogenicity in rheumatology conducted over the past two years. The ability of a number of antirheumatic drugs to have a negative effect (to varying degrees) on the post-vaccination response has been demonstrated. Interpretation and comparison of the results of vaccine immunogenicity studies are complicated by a number of factors usually associated with the design of works. Within the framework of the problem under consideration, there are still a sufficient number of questions, the answers to which should be found in further research.
即使在两年后的今天,2019冠状病毒病(COVID-19)的问题仍然具有相关性。作为应对当前COVID-19大流行的方法之一,大多数专家建议广泛使用疫苗接种。在风湿病患者中使用抗covid - 19疫苗引发了一些与疗效、免疫原性(特别是接受免疫抑制治疗的患者)以及免疫安全性相关的问题。考虑到这一点,对上述方面的数据进行实时分析是非常重要的。本文综述了近两年在风湿病学领域开展的COVID-19疫苗免疫原性研究的结果。许多抗风湿药物对疫苗接种后反应(在不同程度上)有负面影响的能力已被证明。疫苗免疫原性研究结果的解释和比较由于许多通常与工作设计有关的因素而变得复杂。在考虑的问题的框架内,仍然有足够多的问题,这些问题的答案应该在进一步的研究中找到。
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引用次数: 1
Cycloferon as a Means for Prevention, Treatment, and Control of COVID-19: Multidisciplinary and Comparative Historical Aspects 环铁作为预防、治疗和控制COVID-19的手段:多学科和比较历史方面
Pub Date : 2022-09-09 DOI: 10.37489/0235-2990-2022-67-5-6-61-69
P. Mazin, R. Khafisianova, V. P. Mazin, A. A. Galkin, A. K. Oskanov
The study of coronaviruses, including those capable of causing life-threatening diseases, continued for many decades. So did the study of interferons, as well as acridine acetic acid, which is a powerful interferon inducer. For a long time, both directions of research developed in parallel to each other. However, the discovery of SARS-CoV and the creation of Cycloferon based on acridine acetic acid made both research directions converge. To date, the abundance of factual and theoretical tenets is enough to estimate the potential effectiveness of acridine acetic acid against COVID-19.
对冠状病毒,包括那些能够导致危及生命疾病的冠状病毒的研究持续了几十年。对干扰素和吖啶乙酸的研究也是如此,吖啶乙酸是一种强大的干扰素诱导剂。长期以来,这两个研究方向是并行发展的。然而,SARS-CoV的发现和基于吖啶乙酸的Cycloferon的产生使这两个研究方向趋于一致。迄今为止,大量的事实和理论原则足以估计吖啶乙酸对COVID-19的潜在有效性。
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引用次数: 0
Enveloped Viruses: Pathogenetic Targets for Cyanobacterial Lectins 包膜病毒:蓝藻凝集素的致病靶点
Pub Date : 2022-09-09 DOI: 10.37489/0235-2990-2022-67-5-6-39-60
Н. Н. Беседнова, Б. Г. Андрюков, Т. С. Запорожец, С. П. Ермакова, Т. А. Кузнецова, С. П. Крыжановский, М. Ю. Щелканов, Г. Б. Елякова Дво Ран, N. Besednova, B. Andryukov, T. Zaporozhets, Svetlana P. Ermakova, Tatiana A. Kuznetsova, S. Kryzhanovsky, M. Shchelkanov
Lectins are a group of highly specific carbohydrate-binding proteins with a wide spectrum of action, involved in the so-called «first line» of body defense. These unique biomolecules show high specificity for various mono- and oligosaccharides, primarily for viral and bacterial glycoconjugates. Cyanobacteria lectins are effective against enveloped viruses and are an appealing alternative to existing synthetic drugs. Virtually complete absence of resistance formation in viruses to these compounds is known. The purpose of this review is to analyze, summarize, and discuss the results of experimental studies in vivo and in vitro, illustrating the mechanisms of action and antiviral effects of lectins obtained from cyanobacteria in relation to the most dangerous and socially significant viruses: SARS-Cov-2, HIV, Ebola viruses, influenza, and hepatitis C. In addition, the article outlines some of the challenges that must be overcome in order to obtain effective antiviral drugs in the future.
凝集素是一组高度特异的碳水化合物结合蛋白,具有广泛的作用,参与所谓的身体防御“第一线”。这些独特的生物分子对各种单糖和寡糖具有高特异性,主要针对病毒和细菌的糖缀合物。蓝藻凝集素对包膜病毒有效,是现有合成药物的一种有吸引力的替代品。已知病毒对这些化合物几乎完全不形成耐药性。本综述的目的是分析、总结和讨论体内和体外实验研究的结果,说明从蓝藻中获得的凝集素对最危险和最具社会意义的病毒(SARS-Cov-2、HIV、埃博拉病毒、流感和丙型肝炎)的作用机制和抗病毒作用。此外,文章概述了为了在未来获得有效的抗病毒药物必须克服的一些挑战。
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引用次数: 0
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Antibiotics and Chemotherapy
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