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Statistical analysis of data on emergency maxillofacial surgery 急诊颌面外科资料的统计分析
Q4 MEDICINE, GENERAL & INTERNAL Pub Date : 2023-10-01 DOI: 10.24075/brsmu.2023.038
AE Markarov, DA Eremin, AV Martirosov, AS Khandzratsyan, AI Orazvaliev, SA Bugayan, OI Khalifaev
There are no actual statistical data on maxillofacial trauma, nor is there a published analysis addressing morbidity patterns, including cases requiring admission to maxillofacial surgery departments. Such data and the respective analysis could help to assess effectiveness of the maxillofacial trauma and diseases prevention and treatment measures, improve the emergency care approaches, identify problems in the medical aid system's maxillofacial surgery domain. This study aimed to analyze the aspects of emergency admission to hospitals for reasons requiring maxillofacial surgery. We processed hospital records of 15,227 patients admitted from 2018 through 2022. The analysis revealed the number of emergency maxillofacial cases to be at a fairly high level and show no downward trend. The majority of the patients are young, able-bodied men. Of all the admitted persons, 28.6% came to the hospital on their own; 22.9% were nonresidents and foreigners. The average hospital stay was 3.85 days, it did not change significantly during the studied period. The prevailing types of trauma were maxillofacial injuries and mandibular fractures. For 29.9% of patients with the latter type, the treatment method of choice was osteosynthesis. Up to 70% of all the patients needed to be followed-up by a maxillofacial surgeon after discharge. The mortality rate in maxillofacial surgery departments is extremely low; all such cases involved concomitant pathologies.
没有颌面外伤的实际统计数据,也没有发表的关于发病率模式的分析,包括需要进入颌面外科的病例。这些数据及其分析有助于评估颌面外伤和疾病防治措施的有效性,改进急诊护理方法,发现颌面外科医疗救助体系中存在的问题。本研究旨在分析急诊住院患者因需要进行颌面外科手术的原因。我们处理了2018年至2022年收治的15227名患者的医院记录。分析显示,颌面部急诊病例数处于较高水平,无下降趋势。大多数病人都是年轻、健全的男性。在所有住院患者中,28.6%是自己来医院的;22.9%为非居民和外国人。平均住院时间为3.85天,研究期间无明显变化。主要创伤类型为颌面部损伤和下颌骨骨折。29.9%的后一种类型的患者选择的治疗方法是骨融合术。70%以上的患者出院后需接受颌面外科医生的随访。颌面外科死亡率极低;所有这些病例都伴有病变。
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引用次数: 0
ATOH1 factor expression induces rapid differentiation of iPSCs into neurons ATOH1因子表达诱导iPSCs向神经元快速分化
Q4 MEDICINE, GENERAL & INTERNAL Pub Date : 2023-09-01 DOI: 10.24075/brsmu.2023.036
AI Stepanov, LV Putlyaeva, DA Didych, AA Galiakberova, NG Gurskaya, KA Lukyanov
The study of human induced pluripotent stem cells (iPSCs) and developing the technology for their practical use is one of the most knowledge-intensive areas of modern biomedical research. Despite the potential of using iPSCs in personalized medicine and to build cell-based models for disorders of various etiology, iPSC utilization remains challenging. Thus, the iPSC intercellular heterogeneity and the lack of effective identity determination and assessment methods considerably hamper reproducibility of such studies. The study was aimed to generate an iPSC line carrying the gene encoding the ATOH1 transcription factor controlled by the Tet-One expression induction system, along with TagBFP2 fluorescent protein and the puromycin resistance gene for cell selection. Molecular cloning, lentiviral transduction, cell culturing, immunofluorescence staining, and fluorescence microscopy were used during the study. The created cell model will allow analyzing the state of single cells and, therefore, has great practical potential for both laboratory and medical research.
人类诱导多能干细胞(iPSCs)的研究及其实际应用技术的开发是现代生物医学研究中知识最密集的领域之一。尽管iPSC在个性化医疗和建立各种病因疾病的细胞模型方面具有潜力,但iPSC的利用仍然具有挑战性。因此,iPSC细胞间异质性和缺乏有效的身份确定和评估方法极大地阻碍了此类研究的可重复性。本研究的目的是产生一种携带由Tet-One表达诱导系统控制的ATOH1转录因子编码基因、TagBFP2荧光蛋白和嘌呤霉素耐药基因的iPSC细胞系,用于细胞选择。在研究过程中使用了分子克隆、慢病毒转导、细胞培养、免疫荧光染色和荧光显微镜。创建的细胞模型将允许分析单个细胞的状态,因此,在实验室和医学研究方面具有很大的实用潜力。
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引用次数: 2
Clinical significance of cytokine counting in patients with multiple sclerosis and its relationship with herpes infection 多发性硬化患者细胞因子计数的临床意义及其与疱疹感染的关系
IF 0.2 Q4 MEDICINE, GENERAL & INTERNAL Pub Date : 2023-08-01 DOI: 10.24075/brsmu.2023.032
NS Baranova, MS Gris, AA Baranov, NN Spirin, A. Artyuhov, KM Shakirova, EL Nasonov
There are persistent infections that contribute to the emergence and development of multiple sclerosis (MS) exacerbations; they are triggered by the Epstein–Barr, herpes type 6, herpes simplex types 1 and 2, varicella-zoster viruses. Cytokines are crucial to arresting the spread of a herpes infection in a body. If their production is out of balance, MS can progress faster. This study aimed at determining the level of cytokines in the blood serum of MS patients, assessing their clinical significance and how they affect reactivation of herpes infection. We examined 36 patients (12 male and 24 female) with confirmed MS (McDonald criteria) in remission. In 18 of them, we diagnosed reactivation of peripheral herpes virus. Serum levels of 15 cytokines (IL1ß, IL4, IL6, TNF-a, INF-γ, IL10, IL17A, IL17F, IL21, IL22, IL23, IL25, IL31, IL33, sCD40L) were determined with the help of xMAP multiplexing. Compared to the control group, MS patients had increased levels of IL10, IL33 (p < 0.001), with high IL33 identified most often (20 patients; 52.8%). During exacerbations, the average level of IL10 grew up (p < 0.01), as did that of IL31, the high levels of which were detected significantly more often (42.8 and 6.9%, respectively; p = 0.04). In addition, a prevailing scenario was the increased levels of IL33 and other cytokines (IL17A, IL17F, IL21, IL31) (57.1 and 6.9% of cases, respectively; p = 0.008). Reactivation of herpes translated into higher levels of IL1ß, IL23 and IL33 compared to cases without reactivation (p < 0.05 and p < 0.01, respectively). High levels of IL33 were significantly more frequently recorded in this group of patients (77.7 and 33.3%; p = 0.008). We discuss involvement of IL10, IL31, IL33 and other cytokines in the pathogenesis of herpes-associated MS.
持续感染可导致多发性硬化症(MS)恶化的发生和发展;它们是由爱泼斯坦-巴尔、6型疱疹、1型和2型单纯疱疹、水痘-带状疱疹病毒引发的。细胞因子对于阻止疱疹感染在体内的传播至关重要。如果它们的生产不平衡,MS就会进展得更快。本研究旨在测定MS患者血清中细胞因子的水平,评估其临床意义及其如何影响疱疹感染的再激活。我们检查了36例确诊MS (McDonald标准)缓解的患者(12男24女)。其中18例被诊断为外周疱疹病毒再激活。利用xMAP多路检测血清中15种细胞因子(IL1ß、IL4、IL6、TNF-a、INF-γ、IL10、IL17A、IL17F、IL21、IL22、IL23、IL25、IL31、IL33、sCD40L)的水平。与对照组相比,MS患者的IL10、IL33水平升高(p < 0.001),其中IL33水平高的患者最为常见(20例;52.8%)。在加重期间,il - 10的平均水平升高(p < 0.01), il - 31的高水平检测频率显著增加(分别为42.8%和6.9%);P = 0.04)。此外,普遍的情况是IL33和其他细胞因子(IL17A, IL17F, IL21, IL31)水平升高(分别为57.1和6.9%的病例;P = 0.008)。与未激活的病例相比,疱疹再激活可转化为更高水平的IL1ß、IL23和IL33(分别p < 0.05和p < 0.01)。高水平il - 33在这组患者中更为常见(77.7%和33.3%;P = 0.008)。我们讨论了IL10, IL31, IL33和其他细胞因子在疱疹相关MS发病中的作用。
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引用次数: 0
Noninvasive preimplantation genetic testing for aneuploidy 非整倍体的非侵入性植入前基因检测
IF 0.2 Q4 MEDICINE, GENERAL & INTERNAL Pub Date : 2023-08-01 DOI: 10.24075/brsmu.2023.034
OI Lisitsyna, AN Ekimov, EE Atapina, AG Syrkasheva, EG Goryainova, NP Makarova, DYu Trofimov, N.V. Dolgushina
To date the world community is actively working to optimize the approaches to determining chromosomal abnormalities in embryos. The study was aimed to assess the possibility of using noninvasive preimplantation genetic testing for aneuploidy (niPGT-A) through analysis of cell-free DNA in spent culture medium (SCM). We conducted niPGT-A of aneuploid embryos by analysis of cell-free DNA in SCM. All blastocysts were considered to be aneuploid based on the results of previous preimplantation genetic testing for aneuploidy (PGT-A) with trophectoderm (TE) biopsy. The study involved 11 embryos from seven couples. All the embryos were warmed and individually cultured in the 10 µL drops for 9 h. All SCM was collected and analyzed by niPGT-A. The results obtained were tested for concordance with previous PGT-A data. A total of 12 SCM samples were assessed: 11 samples, in which the embryos were cultured, and one control sample. Chaotic niPGT-A results not allowing the karyotype diagnosis were obtained in one case (9.1%) out of 11. Full concordance of the PGT-A and niPGT-A results was revealed in seven cases out of 10 (70%), while clinical concordance was found in nine cases out of 10 (90%). In one case (10%), the blastocyst was considered to have euploid karyotype based on the niPGT-A data. It has been concluded that niPGT-A can be a promising method of preimplantation embryonal chromosomal status diagnosis that requires no biopsy.
迄今为止,国际社会正在积极努力优化确定胚胎染色体异常的方法。本研究旨在通过分析废培养基(SCM)中的游离DNA,评估无创植入前基因检测非整倍体(niPGT-A)的可能性。我们通过分析SCM非整倍体胚胎的游离DNA进行了niPGT-A。根据胚胎着床前非整倍体基因检测(PGT-A)和滋养外胚层(TE)活检结果,所有囊胚均被认为是非整倍体。这项研究涉及7对夫妇的11个胚胎。所有胚胎在10µL滴液中单独培养9 h,收集SCM并通过niPGT-A进行分析。将所得结果与先前的PGT-A数据进行一致性检验。共评估12份SCM样本,其中11份为胚胎培养样本,1份为对照样本。11例患者中有1例(9.1%)的niPGT-A结果混乱,无法进行核型诊断。PGT-A和niPGT-A结果在10例中有7例(70%)完全一致,而临床一致性在10例中有9例(90%)。在一个病例(10%)中,根据niPGT-A数据,囊胚被认为具有整倍体核型。结论是,niPGT-A是一种很有前途的方法,可以在不需要活检的情况下诊断胚胎着床前染色体状态。
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引用次数: 2
Tryptophan catabolites and predicted gut flora enzyme-encoding genes 色氨酸分解产物和预测肠道菌群酶编码基因
IF 0.2 Q4 MEDICINE, GENERAL & INTERNAL Pub Date : 2023-08-01 DOI: 10.24075/brsmu.2023.027
OP Shatova, A. Gaponov, T. Grigoryeva, I. Vasilyev, LS Stoletova, VV Makarov, S. Yudin, S. Roumiantsev, A. Shestopalov
The signaling role of tryptophan and its catabolites is well known. However, their effects on the potential microbiota metabolic activity is still poorly understood. The study was aimed to assess concordance between changes in the predicted gut microbiome enzyme-encoding gene abundance and the tryptophan catabolites. The study involved 109 healthy volunteers and 114 obese patients. Quantification of tryptophan catabolites in the feces was performed by HPLC. Bacterial DNA was extracted from fecal samples, and the 16S rRNA gene V3-V4 region was sequenced. Primary processing of the sequencing data was performed using the QIIME v.1.9.1 tool. The alleged metabolic role of microbiota members was explored via reconstruction of unobservable states using PICRUSt. The maximum number of significant correlations between the unobservable states and the predicted gut microbiome enzyme-encoding gene abundance in obese individuals was reported for indole-3-lactate. A significant correlation between indole-3-lactate and the abundance of genes encoding the enzymes involved in metabolism of fructose, amino sugars, nucleotides, amino acids, polyamines, and sulfosaccharides was revealed. It has been found that obese patients show a threefold increase in the indole-3lactate-producing microbiota. It has been shown that in obese individuals microbial population of the intestine is represented by the totally different genera and species of microorganisms. It is concluded that indole-3-lactate has a significant effect on the predicted gut microbiome enzyme-encoding gene abundance in obese patients.
色氨酸及其分解产物的信号作用是众所周知的。然而,它们对潜在微生物群代谢活动的影响仍然知之甚少。该研究旨在评估预测肠道微生物组酶编码基因丰度变化与色氨酸分解代谢物之间的一致性。这项研究涉及109名健康志愿者和114名肥胖患者。采用高效液相色谱法测定粪便中色氨酸分解产物的含量。从粪便样品中提取细菌DNA,对16S rRNA基因V3-V4区进行测序。使用QIIME v.1.9.1工具对测序数据进行初步处理。通过使用PICRUSt重建不可观察状态,探索了微生物群成员所谓的代谢作用。据报道,在肥胖个体中,吲哚-3-乳酸盐的不可观察状态与预测的肠道微生物组酶编码基因丰度之间的显著相关性最大。研究发现,吲哚-3-乳酸与果糖、氨基糖、核苷酸、氨基酸、多胺和巯基糖代谢酶的基因丰度之间存在显著相关性。研究发现,肥胖患者体内产生吲哚-3乳酸的微生物群增加了三倍。研究表明,在肥胖个体中,肠道微生物群是由完全不同的微生物属和种所代表的。由此可见,吲哚-3-乳酸对肥胖患者肠道微生物组酶编码基因丰度的预测有显著影响。
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引用次数: 0
Possible links of wildfires with oncological diseases of children and adults in the Russian Far East 俄罗斯远东地区野火与儿童和成人肿瘤疾病的可能联系
IF 0.2 Q4 MEDICINE, GENERAL & INTERNAL Pub Date : 2023-08-01 DOI: 10.24075/brsmu.2023.028
SK Pinaev, S. Venevsky, VV Chakov, L. Tian, P. Gong, A. Kaprin, V. Starinsky, AYa Chizhov, OG Pinaeva
Russian Federal Far East District is a continental scale area where wildfires are frequent. We aimed to a) determine whether wildfires are related statistically to cancer for children and adults in the Russian Federal Far East District (FFED); b) to estimate time lags of such relationships and c) to find out which age groups are most vulnerable for wildfires. Annual number of fires (NF) in administrative units (AUs), normalized to the maximum value for all AUs in observation period 1992–2019, was taken as a characteristic of wildfires in our analysis. Annual cancer incidence (CI) for five cancer types for children up to 14 years and the entire population, normalized similarly to NF, was compared to normalized NF. ARIMA models were used for time series analysis for the period 1992–2019. Linear statistical analysis was done for NF and CI for short time series (10–12 years) for the central AU of FFED for “children up to 4 years”; Three additional embryonal types of cancer and five benign types of tumors were also focused in linear statistical analysis. ARIMA analysis revealed 27 associations between NF and CI with a lag from 0 to 3 years for two age groups, and five cancer types (p-values between 0.002 and 0.1). Linear statistical analysis for “children up to 4 years” revealed correlations for two from three embryonal types of cancer and three from five benign tumors (0.002 < p < 0.046). Incidences of hematopoietic, lymphoid, vascular, and soft tissue neoplasms, as well as CNS tumors had associations with wildfires for “children up to 4 years”, for “children up to 14 years” and “the entire population” age groups in many cases. Entire population and children up to 4 years in the central AU of FFED are most sensitive to wildfire — cancer interactions. Associations “number of fires — cancer incidence” as a rule have time lags from 0 to 3 years.
俄罗斯联邦远东区是一个大陆范围内野火频发的地区。我们的目的是a)确定俄罗斯联邦远东地区(FFED)的野火是否与儿童和成人的癌症有统计关系;b) 估计这种关系的时间滞后,以及c)找出哪些年龄组最容易受到野火的影响。在我们的分析中,行政单位(AU)的年火灾数量(NF)被视为野火的特征,该数量被归一化为1992-2019年观测期所有AU的最大值。将五种癌症类型的14岁以下儿童和整个人群的癌症年发病率(CI)与标准化NF进行比较,标准化类似于NF。将ARIMA模型用于1992-2019年期间的时间序列分析。对“4岁以下儿童”FFED中心AU的短时间序列(10-12年)的NF和CI进行线性统计分析;另外三种胚胎类型的癌症和五种良性肿瘤也集中在线性统计分析中。ARIMA分析显示,两个年龄组和五种癌症类型的NF和CI之间存在27种相关性,滞后期为0至3年(p值在0.002至0.1之间)。“4岁以下儿童”的线性统计分析显示,三种胚胎型癌症中有两种与五种良性肿瘤中有三种具有相关性(0.002
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引用次数: 1
Multidisciplinary approach to treatment of a patient with unresectable metastatic liver lesion spawned by HER2+ gastric adenocarcinoma giving 多学科方法治疗1例由HER2+胃腺癌引起的不可切除的转移性肝脏病变
IF 0.2 Q4 MEDICINE, GENERAL & INTERNAL Pub Date : 2023-08-01 DOI: 10.24075/brsmu.2023.031
KV Kolomiets, IV Isaev, VV Kovalev, NV Grishchenko, DI Kokovihina, AA Morozova, AR Torosyan, VV Shashkova, PV Snegireva
In 85% of patients worldwide, gastric cancer (GC) metastasizes from the very beginning or within three years. In 30–50% of cases, metastases, both synchronous and metachronous, grow into liver. Multifocal liver metastases translate into an unfavorable prognosis: the median survival period is 10–15 months, with less than 10% of the patients surviving past three years. In such cases, the palliative treatment option is systemic chemotherapy. Combined with immunotherapy, transarterial chemoembolization (TACE), a relatively new method of local treatment of metastatic foci, offer new options of combating liver metastases. This work presents a clinical case of application of this combination coupled with chemotherapy to treat a patient with unresectable liver metastases spawned by HER2+ gastric adenocarcinoma. From the day of diagnosis, the patient's life expectancy was 42 months.
在全世界85%的患者中,癌症(GC)从一开始就转移或在三年内转移。在30-50%的病例中,转移瘤,无论是同步的还是异时的,都会生长到肝脏中。多灶性肝转移转化为不良预后:中位生存期为10-15个月,过去三年的患者存活率不到10%。在这种情况下,姑息治疗的选择是全身化疗。动脉化疗栓塞(TACE)是一种相对较新的局部治疗转移灶的方法,与免疫疗法相结合,为对抗肝转移提供了新的选择。这项工作提出了一个临床案例,应用这种联合化疗来治疗由HER2+胃腺癌引起的不可切除的肝转移患者。从确诊之日起,患者的预期寿命为42个月。
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引用次数: 0
Promising biocemical markers of Parkinson's disease 帕金森病有前景的生物化学标记物
IF 0.2 Q4 MEDICINE, GENERAL & INTERNAL Pub Date : 2023-08-01 DOI: 10.24075/brsmu.2023.030
OA Gusyakova, SV Smirnov, OYu Kuznetsova, AR Apergenova, AR Albikova
Parkinson's disease (PD) is a chronic neurodegenerative disease associated with specific neurological deficits in patients, it mainly affects dopaminergic neurons in the substantia nigra causing accumulation of the neurotoxic amounts of aggregated α-synuclein protein in the neuronal cell bodies. The paper reports the authors' view of certain pathochemical and biochemical aspects of the Parkinson’s disease development in terms of interplay between the metabolic pathways of catecholamines and pigments, particularly the possible pathway of neuromelanin synthesis in the neuronal cell bodies and its importance in the life of cells. Assessment of the use of certain neurodegenerative disorder biomarkers, which are of direct pathognomonic value, in the laboratory diagnosis of the disease is provided. It is suggested to use the results in the field of deeper understanding of biochemical patterns underlying neuronal death for early diagnosis of PD in individuals of different age groups, as well as for further study of pathogenesis based on fundamental biochemistry and pathobiochemistry of intracellular processes.
帕金森病(PD)是一种慢性神经退行性疾病,伴患者特异性神经功能缺损,主要影响黑质多巴胺能神经元,导致神经元细胞体内聚集的α-突触核蛋白的神经毒性量积累。本文从儿茶酚胺和色素代谢途径的相互作用,特别是神经黑色素在神经元细胞体中合成的可能途径及其在细胞生命中的重要性等方面阐述了作者对帕金森病发展的某些病理化学和生化方面的看法。评估使用某些神经退行性疾病的生物标志物,这是直接的病理价值,在疾病的实验室诊断提供。建议将这一结果应用于更深入了解神经元死亡的生化模式,用于不同年龄组个体PD的早期诊断,以及基于细胞内过程的基础生物化学和病理生物化学进一步研究发病机制。
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引用次数: 0
Biochemical and morphological substantiation of the connective tissue hypothesis of mandibular third molar eruption 下颌第三磨牙萌出结缔组织假说的生化形态学证实
IF 0.2 Q4 MEDICINE, GENERAL & INTERNAL Pub Date : 2023-08-01 DOI: 10.24075/brsmu.2023.035
A. Korshunov, VD Vagner, L. Belskaya, KN Kuryatnikov, DO Serov, VA Krasnov, GO Tigranyan, IA Bondar
Studying the mechanism underlying tooth eruption is an important and promising area due to the increased incidence of the diseases associated with tooth eruption abnormalities or difficulties that can result in purulent and septic complications. The study was aimed to explore variability and structural features of the hard tissue mineral component and organic matrix in mandibular third molars being at different stages of tooth eruption. Microscopic examination and biochemical testing of the enamel, dentin, and dentin–enamel junction of the study participants’ (n = 67; females aged 14–36) mandibular third molars were performed by scanning electron microscopy and Fourier transform infrared (FT-IR) spectroscopy. The association of the tooth eruption stage with the hard tissue structural features, such as the degree of mineralization and the size of dentinal tubules, orientation and size of the enamel prisms, was revealed. There were significant differences in the mandibular third molar hard tissue water content, which was demonstrated by metabolic processes and maturation rate (p < 0.05). According to the IR spectroscopy data, intensity of the collagen absorption bands in the enamel increases with age, while in dentin it decreases (1202, 1249, and 1342 cm–1). Furthermore the combination of the reduced intensity of the 1202 cm–1 band with the increase in the 1342 cm–1 dentin–enamel junction band confirms the important role it plays as a link between the enamel and dentin due to its metabolic, shock-absorbing, protective, and nutritional functions. The findings demonstrate significant changes in the wrapping and orientation of the collagen fibrils and fibers in the hard tissue, which affect primary spatial orientation and mandibular dental topography.
由于与牙齿出牙异常相关的疾病的发病率增加,可能导致化脓性和脓毒性并发症,研究牙齿出牙的机制是一个重要的和有前途的领域。本研究旨在探讨下颌第三磨牙在不同萌牙阶段的硬组织矿物成分和有机基质的变化及其结构特征。研究参与者的牙釉质、牙本质和牙本质-牙釉质交界处的显微检查和生化测试(n = 67;采用扫描电镜和傅里叶变换红外(FT-IR)光谱对14-36岁女性下颌第三磨牙进行了观察。揭示出牙期与牙本质小管的矿化程度、牙釉质棱柱的取向和大小等硬组织结构特征的关系。两组下颌骨第三磨牙硬组织含水量差异有统计学意义(p < 0.05)。根据红外光谱数据,随着年龄的增长,牙本质中胶原蛋白吸收带的强度增加,而牙本质中胶原蛋白吸收带的强度降低(1202、1249和1342 cm-1)。此外,1202 cm-1波段强度的降低与1342 cm-1牙本质-牙釉质连接波段强度的增加的结合证实了它作为牙釉质和牙本质之间的纽带的重要作用,因为它具有代谢、减震、保护和营养功能。结果表明,硬组织中胶原原纤维和纤维的包裹和取向发生了明显的变化,影响了初级空间取向和下颌牙的地形。
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引用次数: 0
Assessment of metastatic traits of the cells with hybrid phenotype in breast cancer 乳腺癌杂交表型细胞转移特征的评估
IF 0.2 Q4 MEDICINE, GENERAL & INTERNAL Pub Date : 2023-08-01 DOI: 10.24075/brsmu.2023.033
R. Mukhamedzhanov, ES Grigoryeva, L. Tashireva, V. Perelmuter, M. Zavyalova, O. Savelieva
Nowadays, great attention is paid to the study of circulating tumor cells (CTCs) due to their key role in distant metastasis. At the same time there is little data on the properties of circulating cells showing simultaneous expression of the leukocyte and epithelial markers and their possible role in tumor progression and chemotherapy resistance. The study was aimed to assess subpopulations of cells with hybrid epithelial/leukocyte phenotype and estimate the features of stemness, epithelial–mesenchymal transition (EMT), and integrin interface, which determine the cells’ possible metastatic properties in breast cancer (BC). The survey data from 128 patients with invasive breast carcinoma of no special type were included. Multicolor flow cytometry was used to assess the population structure and metastatic potential of the cells circulating in blood and primary tumor cells with hybrid phenotype. The primary tumor cell suspension was prepared by mechanical disaggregation. The high degree of heterogeneity was noted in the population of cells with hybrid phenotype, including the combination of the stemness and EMT features, and diverse integrin interface. Cells with hybrid phenotype are involved in the mechanisms underlying lymph node and distant metastasis. In lymph node metastasis, metastatic potential of these cells is associated with the stemness features (р = 0.0422) and co-expression of β3-, β4-, and αVβ5-integrins (р = 0.0338). In distant metastasis, metastatic potential of hybrid cells is associated with the stemness features (р = 0.015) and is not associated with the EMT features and integrin expression.
循环肿瘤细胞(circulating tumor cells, ctc)因其在远处转移中的关键作用而受到广泛关注。同时,关于同时表达白细胞和上皮标志物的循环细胞的特性及其在肿瘤进展和化疗耐药中的可能作用的数据很少。该研究旨在评估具有上皮/白细胞杂交表型的细胞亚群,并估计干细胞、上皮-间质转化(EMT)和整合素界面的特征,这些特征决定了乳腺癌(BC)细胞可能的转移特性。我们收集了128例无特殊类型浸润性乳腺癌患者的调查资料。使用多色流式细胞术评估血液循环细胞和杂交表型原发肿瘤细胞的群体结构和转移潜力。采用机械分解法制备原代肿瘤细胞悬液。杂交表型细胞群体存在高度异质性,包括干性和EMT特征的结合,以及整合素界面的多样性。具有杂交表型的细胞参与了淋巴结和远处转移的机制。在淋巴结转移中,这些细胞的转移潜能与干细胞的干性特征(r = 0.0422)和β3-、β4-和α v β5整合素的共表达(r = 0.0338)有关。在远处转移中,杂交细胞的转移潜能与干性特征相关(χ = 0.015),而与EMT特征和整合素表达无关。
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引用次数: 0
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Bulletin of Russian State Medical University
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