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RME-based pharmacology: The inhibition of viral entry as therapeutic perspective in viral diseases including AIDS. Hypothesis updated and enlarged 基于rme的药理学:抑制病毒进入作为包括艾滋病在内的病毒性疾病的治疗观点。更新和扩大假设
Pub Date : 2018-12-15 DOI: 10.14748/bmr.v29.5856
G. Chaldakov, S. Yanev
coated pits/vesicles was the best-characterized endocytic pathway. Since then now, intensive research on the mechanisms of both RME and receptor-mediated virus-cell fusion (receptor-mediated fusion - RMF) helped to expand the list of chemical compounds with potential clinical application as antiviral agents, the so-called entry inhibitors, e.g. (i) inhibitors of clathrin-, dynamin-2-, caveolin- and/or lipid rafts-dependent RME, and (ii) inhibitors of RMF. Accordingly, in the present Dance Round we update and enlarge our hypothesis of RME-based antiviral pharmacology. Biomed Rev 2018; 29: 109-118
包被凹坑/囊泡是最具特征的内吞途径。从那时起,对RME和受体介导的病毒-细胞融合(receptor-mediated fusion - RMF)机制的深入研究有助于扩大具有潜在临床应用的抗病毒药物的化合物列表,即所谓的进入抑制剂,例如(i)网格蛋白-、动力蛋白-2-、小窝蛋白和/或脂质raft依赖的RME抑制剂,以及(ii) RMF抑制剂。因此,在本文中,我们更新并扩大了基于rme的抗病毒药理学假设。Biomed Rev 2018;29日:109 - 118
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引用次数: 1
Functional outcomes in supracricoid laryngectomy 锁骨上喉切除术的功能结局
Pub Date : 2018-12-15 DOI: 10.14748/BMR.V29.5851
V. D’Aguanno, M. Ralli, M. Fiore, M. Ceccanti, C. Severini, Flavia Flaccadoro, L. Longo, A. Greco, M. Vicentiis
Supracricoid laryngectomies (SCLs) are conservative surgical techniques for the treatment of selected laryngeal carcinomas and are considered an organ-sparing alternative to total laryngectomy and chemo-radiotherapy. The main characteristics of SCLs are the preservation of the main laryngeal functions as respiration, phonation and swallowing, without a permanent tracheostomy. Supracricoid laryngectomies have been questioned for many years as regarding functional and oncological outcomes and are currently accepted, although patient selection criteria and functional results are still debated. The mainstream of this surgery is the maintenance of one functioning cricoarytenoid unit to allow restoring of swallowing and phonation. Thus, post-operative rehabilitation protocol is required to archive functional outcomes and avoid functional failure of this surgery; an early rehabilitation protocol improves functional results, in particular regarding swallowing. Swallowing and voice functional outcomes differ among several centres and are often related to the post-operative management, although SCLs provide commonly good swallowing and respiratory outcomes. To date, SCLs are proven surgical procedures for the treatment of laryngeal cancer and should be a valuable option to total laryngectomy and chemo-radiotherapy for selected advanced laryngeal squamous cell carcinoma. In this clinical review, we discuss the clinical outcomes in patients treated with SCLs with particular attention to rehabilitation protocol and functional outcomes for swallowing and voice rehabilitation.
滑膜上喉切除术(SCLs)是一种保守的手术技术,用于治疗喉癌,被认为是一种保留器官的替代全喉切除术和化疗。scl的主要特点是保留了主要的喉部功能,如呼吸、发声和吞咽,而不需要永久性的气管切开术。尽管患者选择标准和功能结果仍有争议,但多年来关于功能和肿瘤结果的问题一直受到质疑,目前已被接受。这种手术的主流是维持一个功能环杓骨单位,以恢复吞咽和发声。因此,术后康复方案需要记录功能结果,避免手术功能失败;早期康复方案可改善功能结果,特别是吞咽方面。吞咽和语音功能结果在不同的中心不同,通常与术后处理有关,尽管scl通常提供良好的吞咽和呼吸结果。到目前为止,scl已被证实是治疗喉癌的外科手术,对于某些晚期喉癌,它应该是全喉切除术和化疗放疗的一个有价值的选择。在这篇临床综述中,我们讨论了scl患者治疗的临床结果,特别关注康复方案和吞咽和语音康复的功能结果。
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引用次数: 0
Fetal alcohol spectrum disorders in pediatrics. FASD and the pediatrician 儿科胎儿酒精谱系障碍FASD和儿科医生
Pub Date : 2018-12-15 DOI: 10.14748/BMR.V29.5847
Valentina Carito, G. Parlapiano, D. Rasio, R. Paparella, V. Paolucci, G. Ferraguti, A. Greco, M. Ralli, S. Pichini, M. Fiore, G. Coriale, M. Ceccanti, L. Tarani
Fetal alcohol syndrome (FAS) is a complex and malformative condition due to the teratogenic effect of alcohol consumed during pregnancy. Several epidemiological studies have shown that maternal alcohol use during pregnancy is the most common preventable cause of mental retardation in childhood. The effects of alcohol on the fetus range from abortion to a spectrum of clinical manifestations called Fetal Alcohol Spectrum Disorders (FASD) that includes partial FAS (PFAS), neonatal Alcohol Related Birth Defects (ARBD) and Alcohol Related Neurodevelopmental Disorders (ARND) up to the most severe disease which is the so-called FAS.
胎儿酒精综合征(FAS)是一种复杂的畸形疾病,是由于怀孕期间饮酒的致畸作用造成的。几项流行病学研究表明,孕妇在怀孕期间饮酒是造成儿童智力迟钝的最常见的可预防原因。酒精对胎儿的影响范围广泛,从流产到胎儿酒精谱系障碍(FASD)的一系列临床表现,包括部分FAS (PFAS),新生儿酒精相关出生缺陷(ARBD)和酒精相关神经发育障碍(ARND),直到最严重的疾病,即所谓的FAS。
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引用次数: 6
Clotho, give all the Earthians a chance for healthy and creative longevity 克洛索,给所有地球人一个健康和创造性长寿的机会
Pub Date : 2018-12-15 DOI: 10.14748/BMR.V29.5842
G. Chaldakov
In ancient Greek mythology, the Moirai (apportioners), known in English as the Fates, were the white-robed incarnations of destiny. The three Moirai were: • Clotho (Greek spinner) spun the thread of life from her Distaff onto her Spindle. Her Roman equivalent was Nona (the Ninth), who was originally a Goddess called upon in the ninth month of pregnancy. • Lachesis (Greek allotter) measured the thread of life allotted to each person with her measuring rod. Her Roman equivalent was Decima (the Tenth). • Atropos (Greek – inexorable or inevitable) was the cutter of the thread of life. Her Roman equivalent was Morta (Dead). Klotho protein* may indeed be one of the keys that could open the doors of longevity, presented herein as Chow-Ju (Japanese, Longevity is a Good Thing Chow is long, Ju something nice), a calligraphy given to me by Professor Hiroshi Yamamoto from the University of Kanazawa, Kanazawa, Japan. The Coming 2019 Year is illustrated herein by our BHF (Brain-and-Heart Friend) Todor Krastev, Professor of Architecture. CLOTHO, GIVE ALL THE EARTHIANS A CHANCE FOR HEALTHY AND CREATIVE LONGEVITY
在古希腊神话中,Moirai(摊派者),在英语中被称为命运之神,是白袍的命运化身。三个Moirai是:•Clotho(希腊纺纱者)将生命之线从她的纺锤上纺到她的纺锤上。她的罗马等同是诺娜(第九),她最初是在怀孕的第九个月被召唤的女神。•Lachesis(希腊分配者)用她的测量杆测量分配给每个人的生命线。在罗马相当于她的是德西玛(十世)。•Atropos(希腊语-无情的或不可避免的)是生命之线的切割者。她在罗马的对应词是Morta(死亡)。Klotho蛋白*可能确实是打开长寿之门的钥匙之一,本文以日本金泽大学的山本博教授送给我的书法“Chow-Ju”(日语,长寿是一件好事,周很长,居很好)呈现。即将到来的2019年由我们的BHF(大脑和心脏的朋友)建筑学教授Todor Krastev在这里说明。克洛索,给所有地球人一个健康和创造性长寿的机会
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引用次数: 0
The ubiquitous biochemical logic of murburn concept 默本概念的普遍生化逻辑
Pub Date : 2018-12-15 DOI: 10.14748/BMR.V29.5854
K. Manoj
In peroxidative biotransformations, reactions occurring outside the enzyme’s “active site” were seen to yield selective and specific outcomes. These observations had inspired me then to postulate that “such a non-active site and environment-dependent mechanism could play significant roles in life-sustenance processes, besides the well-established hierarchical molecular control mechanisms at genes’ and proteins’ levels”. Through the decade that followed, further research on these strings culminated into the formation of murburn concept, a stochastic scheme of electron/moiety transfers and interactions among molecules, unbound ions and radicals present in reaction milieu. The new understanding explained key qualitative and quantitative aspects of heme/flavin enzymology (substrate diversity, reaction stoichiometry, etc.) and electron transfer mechanism in these enzymes’ in vitro setups. Further, murburn schemes were proposed to explain xenobiotic metabolism, cellular respiration, bio-thermogenesis and maverick physiological dose-responses. This article deals with a brief summation of the development of murburn concept, its current status and potential implications/applications in biology and medicine.
在过氧化生物转化中,在酶的“活性位点”之外发生的反应被认为产生选择性和特异性的结果。这些观察启发了我当时的假设,“这样一个非活性位点和依赖于环境的机制,除了在基因和蛋白质水平上建立的分层分子控制机制外,还可能在生命维持过程中发挥重要作用”。在接下来的十年里,对这些弦的进一步研究最终形成了murburn概念,这是一种随机方案,描述了反应环境中分子、未结合离子和自由基之间的电子/片段转移和相互作用。新的认识解释了血红素/黄素酶学的关键定性和定量方面(底物多样性,反应化学计量学等)和这些酶的电子转移机制的体外设置。此外,提出了murburn方案来解释异种代谢,细胞呼吸,生物产热和特立独行的生理剂量反应。本文简要综述了murburn概念的发展、现状及其在生物学和医学上的潜在意义和应用。
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引用次数: 23
Murburn scheme for mitochondrial thermogenesis 线粒体产热的Murburn图式
Pub Date : 2018-12-15 DOI: 10.14748/BMR.V29.5852
K. Manoj, D. A. Gideon, Vivian David Jacob
The physiology of thermogenesis in mitochondria (mediated by uncoupling protein, UCP) has traditionally been explained as the dissipation of proton gradient across the inner mitochondrial membrane into heat. However, there are differences of opinion on how thermogenesis is achieved by UCPs and the mechanistic theories have not been correlated sufficiently with UCP’s structure. Recent experimental evidence suggests strong correlation of diffusible reactive oxygen species (DROS) with UCP-induced thermogenesis. Further, the mechanistic explanations of mitochondrial oxidative phosphorylation (mOxPhos) were recently revamped with murburn concept, which considers DROS as an obligatory catalytic agent in mOxPhos. Herein, we propose that UCPs (aided by the large pore and positively charged amino acids of aqueous-phase loops) enable protonation and transport of DROS. Thus, UCP facilitates DROS-reactions amongst themselves, forming water and liberating heat around the inner mitochondrial membrane. Thereby, the simple murburn scheme for biothermogenesis integrates structural information of UCP with its attributed physiological function.
线粒体中的产热生理(由解偶联蛋白介导)传统上被解释为质子梯度穿过线粒体内膜消散为热。然而,关于UCP是如何产生热的存在不同的观点,并且机制理论还没有与UCP的结构充分相关。最近的实验证据表明,扩散性活性氧(DROS)与ucp诱导的产热有很强的相关性。此外,线粒体氧化磷酸化(mOxPhos)的机制解释最近被murburn概念所改进,该概念认为DROS是mOxPhos的强制性催化剂。在此,我们提出ucp(在水相环的大孔和带正电的氨基酸的帮助下)能够促进质子化和DROS的运输。因此,UCP促进了它们之间的ros反应,在线粒体内膜周围形成水并释放热量。因此,简单的murburn生热方案将UCP的结构信息与其固有的生理功能结合起来。
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引用次数: 22
Towards Open Access Scientific Publishing 走向开放获取科学出版
Pub Date : 2018-03-23 DOI: 10.14748/BMR.V28.4459
S. Akterian
Here my aim is to relate, in outline, the two general models for scientific publishing - subscription-based and open access. Accordingly, the features and the ways for realising of two main types of open access publications - Gold open access and Green open access - are described. The quest to know the basic difference between these two types of open access continues. In addressing them I also highlight their current diffusion and some forecasts for their further extension. The open access publishing is a part of the subsequent goal for open science. Altogether, the present review should hopefully help the reader to appreciate what is required to advance knowledge, and how to benefit from open access publishing. Biomed Rev 2017; 28:125-133 Keywords: publishing model, gold open access, green open access, open science, predatory journals
在这里,我的目的是概述科学出版的两种一般模式——基于订阅和开放获取。因此,描述了两种主要类型的开放获取出版物的特征和实现方法-金色开放获取和绿色开放获取。了解这两种类型的开放获取之间的基本区别的探索仍在继续。在讨论这些问题时,我也强调它们目前的扩散和对它们进一步扩大的一些预测。开放获取出版是开放科学后续目标的一部分。总之,本文的综述希望能帮助读者理解推进知识需要什么,以及如何从开放获取出版中获益。Biomed Rev 2017;关键词:出版模式,黄金开放获取,绿色开放获取,开放科学,掠夺性期刊
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引用次数: 3
Management of health risk related to use of engineered nanomaterials. An analogy with biosafety 管理与使用工程纳米材料有关的健康风险。这与生物安全有关
Pub Date : 2018-03-23 DOI: 10.14748/BMR.V28.4455
D. Prodanov
Safety of nanomaterials is a new scientific field, which draws increasing attention in literature. Among the challenges the field is facing are the insufficient amount and quality of nanotoxicological data and the ambiguity in the metrics describing the exposure. This results in substantial difficulties in the actual quantification of risk in terms of dose-response relationships and exposure limits, which is a cornerstone of chemical risk assessment. While there is no golden standard for risk assessment and management several pragmatic systems have come into being. All of these employ some form of categorization and grouping of materials into hazard groups. The present review aims to draw analogies between the nascent field of nanosafety and the well established field of biosafety, where the risk is also difficult to quantify. Biomed Rev 2017; 28:100-104.
纳米材料的安全性是一个新兴的科学领域,越来越受到文献的关注。该领域面临的挑战之一是纳米毒理学数据的数量和质量不足,以及描述暴露的指标不明确。这导致在剂量-反应关系和暴露限度方面实际量化风险方面存在很大困难,而这是化学品风险评估的基石。虽然没有风险评估和管理的黄金标准,但一些实用的系统已经形成。所有这些都采用某种形式将材料分类和分组到危险组中。这篇综述的目的是在新兴的纳米安全领域和成熟的生物安全领域之间进行类比,后者的风险也难以量化。Biomed Rev 2017;28:100 - 104。
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引用次数: 2
Colchicine, Inflammation and Fibrosis in Cardiovascular Disease: Merging Three Classical Tales 秋水仙碱、心血管疾病的炎症和纤维化:合并三个经典故事
Pub Date : 2018-03-23 DOI: 10.14748/BMR.V28.4456
G. Chaldakov
Colchicine, isolated from Colchicum autumnale, is a drug for acute gouty arthritis known from thousands of years whose use has survived to modernity. Over the past decades, the use for this very old drug extended beyond gout therapy. This was due to the advance in knowledge of (i) association of hyperuricemia and gout with cardiovascular disease, (ii) cytoskeletal microtubules (МТ), and (iii) anti-inflammatory and antifibrotic effects of colchicine, a classical MT-disassembling agent (antitubulin). Here, we present the Bulgarian contribution to colchicine potential in the therapy of cardiovascular disease that has emerged in the early 1970`s in the Laboratory of Electron Microscopy, Medical Institute, Varna, Bulgaria, studying the secretory (fibrogenic) function of vascular smooth muscle cells. From this time onward, low-dose colchicine (LoDoCo, 0.5 - 1.0 mg/daily) was increasingly administered orally for therapy of cardiovascular disease such as acute coronary syndromes, cardiac surgery postoperative atrial fibrillation, pericarditis, cardiac hypertrophy-associated heart failure, and systemic necrotizing vasculitis. Thus colchicine might be a new tool in the present therapeutic armamentarium for these diseases. It is simply an example of MT-disassembling drugs. Further studies will definitely be required before gaining real confidence in this kind of antitubulin therapy. This may lead to developing new and more specific antitubulins for therapy of cardiovascular disease. Biomed Rev 2017; 28: 105-110. Keywords: microtubules, tubulin, colchicine, antitubulins, cardiovascular diseases, inflammation, fibrosis
秋水仙碱,从秋水仙中分离出来,是一种治疗急性痛风性关节炎的药物,几千年来一直沿用至今。在过去的几十年里,这种非常古老的药物的使用已经超出了痛风治疗的范围。这是由于以下知识的进步:(1)高尿酸血症和痛风与心血管疾病的关联,(2)细胞骨架微管(ÐœÐⅱ),以及(3)秋水仙碱的抗炎和抗纤维化作用,秋水仙碱是一种经典的mt分解剂(抗微管蛋白)。在这里,我们介绍了保加利亚在20世纪70年代初在保加利亚瓦尔纳医学研究所电子显微镜实验室研究血管平滑肌细胞的分泌(纤维生成)功能时对秋水秋碱治疗心血管疾病的潜力的贡献。从那时起,低剂量秋水秋碱(LoDoCo, 0.5 - 1.0 mg/d)越来越多地被口服用于心血管疾病的治疗,如急性冠状动脉综合征、心脏手术后心房颤动、心包炎、心脏肥厚相关性心力衰竭和系统性坏死性血管炎。因此,秋水仙碱可能成为目前治疗这些疾病的新工具。这只是一个mt分解药物的例子。在对这种抗微管蛋白疗法获得真正的信心之前,肯定需要进一步的研究。这可能导致开发新的和更特异的抗微管蛋白治疗心血管疾病。Biomed Rev 2017;28日:105 - 110。关键词:微管,微管蛋白,秋水仙碱,抗微管蛋白,心血管疾病,炎症,纤维化
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引用次数: 4
On the Nature of Scientific Discovery and Progress – Lessons From a Career in Cancer Research 论科学发现与进步的本质——从癌症研究生涯的经验教训
Pub Date : 2018-03-23 DOI: 10.14748/BMR.V28.4457
D. Wheatley
While there is a tendency for career scientists to focus throughout most of their careers on a quite narrow range of research topics, my experience over a period of more than 50 years has been broad, from carcinogenesis to diffusion theory. There have been times when intense work has been done on particular subjects, for example, in exploring the structure and function of primary cilia, now implicated in 40-50 medical disorders. Such experiences constantly inform one how best to approach difficult and often fundamental issues regarding the nature of life, and also how it becomes distorted in the development of cancer. The quest to know the basic difference between normal and malignant cells continues. In addressing these problems we also learn how little we know about such matters, and about the Universe, life and ourselves. I relate, in outline, many of the experiences I have had since they have taught me lessons about how to go about scientific and medical research and how to maintain an enthusiasm for the work. My aim here is to relate from a personal (highly subjective) viewpoint the issues that should help the reader to appreciate what is required to advance knowledge, and how to benefit from the little advice that I can offer regarding their future endeavours. Biomed Rev 2017; 28:111-119. Keywords: Eureka moment, scientific career, research experience, carcinogenesis, primary cilia, cell metabolism
虽然职业科学家倾向于在他们的大部分职业生涯中专注于相当狭窄的研究主题,但我在50多年的时间里经历了广泛的研究,从致癌作用到扩散理论。曾经有一段时间,在特定的主题上进行了大量的工作,例如,在探索初级纤毛的结构和功能方面,现在涉及40-50种医学疾病。这样的经历不断地告诉人们如何最好地处理关于生命本质的困难和往往是基本的问题,以及它如何在癌症的发展中变得扭曲。了解正常细胞和恶性细胞之间基本区别的探索仍在继续。在解决这些问题的过程中,我们也认识到我们对这些问题、宇宙、生命和我们自己所知甚少。我扼要地叙述了我的许多经历,因为它们教会了我如何进行科学和医学研究,以及如何保持对工作的热情。我在这里的目的是从个人(高度主观的)观点出发,阐述一些问题,这些问题应该有助于读者理解提高知识所需的条件,以及如何从我提供的关于他们未来努力的小建议中受益。Biomed Rev 2017;28:111 - 119。关键词:顿悟时刻,科研生涯,科研经历,癌变,初级纤毛,细胞代谢
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引用次数: 0
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