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Androgen levels in blood and follicular fluid of IVF patients with diminished ovarian reserve 卵巢储备功能减退的体外受精患者血液和卵泡液中的雄激素水平
IF 0.2 Q4 MEDICINE, GENERAL & INTERNAL Pub Date : 2022-08-01 DOI: 10.24075/brsmu.2022.041
A. Gavisova, M. Shevtsova, SV Kindysheva, N. Starodubtseva, V. Frankevich, T. Nazarenko, N. Dolgushina
Androgen concentrations in follicular fluid samples collected from patients undergoing in vitro fertilization (IVF) may provide useful clinical indicators. This study aimed to analyze possible associations of the androgen levels in follicular fluid and blood plasma in patients with diminished ovarian reserve (POR) in IVF programs. Cross-sectional study with a parallel group design, conducted in 2019–2021, enrolled 300 patients with infertility, aged 18–42 years, applying for assisted reproduction involving IVF/intracytoplasmic sperm injection and embryo transfer. The androgen profiles of blood plasma and follicular fluid were determined by liquid chromatography with tandem mass spectrometry (LC-MS/MS). Androgen concentrations in blood plasma and follicular fluid, particularly those of dehydroepiandrosterone (DHEA-S), androstenedione and total testosterone, significantly correlated. The results implicate androgen levels in blood plasma and follicular fluid as early markers of POR in patients with infertility.
从接受体外受精(IVF)的患者收集的卵泡液样本中的雄激素浓度可能提供有用的临床指标。本研究旨在分析IVF项目中卵巢储备减少(POR)患者卵泡液和血浆中雄激素水平的可能相关性。2019年至2021年进行的平行组设计横断面研究招募了300名年龄在18岁至42岁之间的不孕患者,他们申请试管婴儿/细胞质内精子注射和胚胎移植辅助生殖。采用液相色谱-串联质谱法(LC-MS/MS)测定血浆和卵泡液中的雄激素谱。血浆和卵泡液中的雄激素浓度,特别是脱氢表雄酮(DHEA-S)、雄烯二酮和总睾酮的浓度,显著相关。研究结果表明,血浆和卵泡液中的雄激素水平是不孕患者POR的早期标志物。
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引用次数: 0
Content of CD4+ cells expressing CD39/CD73 ectonucleotidases in children with inflammatory bowel diseases 炎症性肠病患儿表达CD39/CD73外核苷酶的CD4+细胞含量
IF 0.2 Q4 MEDICINE, GENERAL & INTERNAL Pub Date : 2022-07-01 DOI: 10.24075/brsmu.2022.039
T. Radygina, S. Petrichuk, D. Kuptsova, A. Potapov, AS Illarionov, AO Anushenko, O. Kurbatova, E. Semikina
The regulation of TNF inhibitor therapy-associated immune responses in inflammatory bowel diseases (IBD) in children remains an urgent problem. The study aimed at analyzing the expression of CD39/CD73 endonucleotidases by different subsets of peripheral blood T cells in children with IBD including Crohn's disease (n = 34) and ulcerative colitis (n = 33) having received TNF inhibitors in comparison with conditionally healthy children (n = 45). Lymphocyte subsets including regulatory T cells (Treg, CD4+CD127lowCD25high), activated T cells (Tact, CD4+CD25+CD127high) and Th17 cells (CD4+CD161+CD3+) were studied by flow cytometry. The results are presented as medians (Me) and quartiles (Q25–Q75). In children with IBD the highest and the lowest relative counts of CD39+ cells were found in Treg and Tact subsets — 31% (15–38) and 4% (1–7), respectively. The highest relative counts of CD73+ cells were found in Tact — 13% (8–21). The CD39 and CD73 expression ratio in patients with IBD, and in the control group as well, depended on particular subset. CD39 expression in Treg, Tact and Th17 of patients with IBD was not age-dependent. Patients with acute Crohn's disease revealed decreased expression of CD39 in Treg compared with the control group (12% (9–23) vs 35% (28–39), respectively; р = 10–6). Patients with Crohn's disease in remission revealed increased expression of CD39 in Treg compared with the acute of the disease (31% (27–40) vs 12% (9–23); р = 9.4 × 10–5). Patients with Crohn's disease in remission revealed no significant differences with the control group apart from reduced expression of CD73 by Treg in Crohn's disease. The results indicate significant association of CD39 and CD73 expression levels in particular subsets of CD4+ cells with the phase of the disease (acute vs remission) and, accordingly, with the anti-TNF regimen efficacy.
儿童炎症性肠病(IBD)中TNF抑制剂治疗相关免疫反应的调节仍然是一个紧迫的问题。本研究旨在分析接受TNF抑制剂治疗的IBD患儿(包括克罗恩病(n = 34)和溃疡性结肠炎(n = 33))外周血T细胞不同亚群CD39/CD73内核苷酸酶的表达,并与条件健康儿童(n = 45)进行比较。淋巴细胞亚群包括调节性T细胞(Treg, CD4+CD127lowCD25high)、活化T细胞(Tact, CD4+CD25+CD127high)和Th17细胞(CD4+CD161+CD3+)。结果以中位数(Me)和四分位数(Q25-Q75)表示。在IBD患儿中,Treg和Tact亚群中CD39+细胞的相对计数最高和最低,分别为31%(15-38)和4%(1-7)。Tact中CD73+细胞的相对计数最高,为13%(8-21)。CD39和CD73在IBD患者和对照组中的表达比例取决于特定的亚群。IBD患者Treg、Tact和Th17中CD39的表达与年龄无关。与对照组相比,急性克罗恩病患者Treg中CD39的表达降低(分别为12%(9-23)和35% (28-39);= 10-6)。与克罗恩病急性期相比,缓解期克罗恩病患者Treg中CD39的表达增加(31% (27-40)vs 12% (9-23);= 9.4 × 10-5)。克罗恩病缓解期患者除了Treg在克罗恩病中CD73的表达降低外,与对照组无显著差异。结果表明,CD39和CD73在特定CD4+细胞亚群中的表达水平与疾病的阶段(急性期与缓解期)显著相关,因此也与抗tnf方案的疗效相关。
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引用次数: 0
Recent advances in diagnostics of neonatal hypoxic ischemic encephalopathy 新生儿缺氧缺血性脑病诊断的最新进展
IF 0.2 Q4 MEDICINE, GENERAL & INTERNAL Pub Date : 2022-07-01 DOI: 10.24075/brsmu.2022.038
N. Starodubtseva, ChM Eldarov, A. Kirtbaya, E. Balashova, A.S. Gryzunova, O.I. Ionov, VV Zubkov, DN Silachev
The prognosis in neonatal hypoxic ischemic encephalopathy (HIE) depends on early differential diagnosis for justified administration of emergency therapeutic hypothermia. The moment of therapy initiation directly affects the long-term neurological outcome: the earlier the commencement, the better the prognosis. This review analyzes recent advances in systems biology that facilitate early differential diagnosis of HIE as a pivotal complement to clinical indicators. We discuss the possibilities of clinical translation for proteomic, metabolomic and extracellular vesicle patterns characteristic of HIE and correlations with severity and prognosis. Identification and use of selective biomarkers of brain damage in neonates during the first hours of life is hindered by systemic effects of hypoxia. Chromatography– mass spectrometry blood tests allow analyzing hundreds and thousands of metabolites in a small biological sample to identify characteristic signatures of brain damage. Clinical use of advanced analytical techniques will facilitate the accurate and timely diagnosis of HIE for enhanced management.
新生儿缺氧缺血性脑病(HIE)的预后取决于早期鉴别诊断和合理的紧急治疗性低温治疗。治疗开始的时刻直接影响长期的神经系统结果:开始得越早,预后越好。这篇综述分析了系统生物学的最新进展,这些进展有助于HIE的早期鉴别诊断,作为临床指标的关键补充。我们讨论了HIE的蛋白质组、代谢组和细胞外囊泡模式的临床翻译的可能性,以及与严重程度和预后的相关性。新生儿出生后最初几个小时大脑损伤的选择性生物标志物的识别和使用受到缺氧的全身影响的阻碍。色谱-质谱血液测试可以在一个小的生物样本中分析成百上千的代谢物,以确定脑损伤的特征特征。临床上使用先进的分析技术将有助于准确及时地诊断HIE,以加强管理。
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引用次数: 1
In silico algorithm for optimization of pharmacokinetic studies of [25Mg2+]porphyrin-fullerene nanoparticles [25Mg2+]卟啉-富勒烯纳米颗粒药代动力学研究的计算机算法优化
IF 0.2 Q4 MEDICINE, GENERAL & INTERNAL Pub Date : 2022-07-01 DOI: 10.24075/brsmu.2022.037
V. Fursov, DI Zinchenko, DD Namestnikova, DA Kuznetsov
The search for effective pharmacophores to treat ischemic stroke is precipitated by the prevalence and high mortality of the condition. Optimization of preclinical scenarios for promising neuroprotectants by mathematical modeling using up-to-date computational platforms is a well-defined and urgent task. This study aimed to develop a drug-oriented model represented by an ordinary differential equation system to study pharmacokinetics of 25Mg2+-releasing porphyrin-fullerene nanocationite PMC16 in silico using MATLAB and adjust computating model's adequatness using in vivo rat model. The developed five-compartment model predicts the distribution of nanoparticles in organs and tissues (e.g. the brain, the heart and the liver) for the purpose of experimental parameters optimization. The in silico produced pharmacokinetic curves show good agreement with the data obtained using in vivo rat model of ischemic stroke. The in silico and in vivo results indicate that PMC16 nanoparticles effectively cross the blood-brain barrier.
寻找有效的药物载体来治疗缺血性中风是由发病率和高死亡率的条件沉淀。通过使用最新的计算平台进行数学建模来优化有前途的神经保护剂的临床前情景是一项明确而紧迫的任务。本研究旨在建立以常微分方程组为代表的药物导向模型,利用MATLAB研究25Mg2+释放卟啉-富勒烯纳米二氧化硅PMC16的药代动力学,并利用体内大鼠模型调整计算模型的充充性。开发的五室模型预测纳米颗粒在器官和组织(如大脑、心脏和肝脏)中的分布,以优化实验参数。计算机生成的药代动力学曲线与在体大鼠缺血性脑卒中模型数据吻合较好。计算机和体内实验结果表明,PMC16纳米颗粒可以有效地穿过血脑屏障。
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引用次数: 0
Comparative efficiency of accessible transfection methods in model cell lines for biotechnological applications 用于生物技术应用的模型细胞系中可接近转染方法的比较效率
IF 0.2 Q4 MEDICINE, GENERAL & INTERNAL Pub Date : 2022-06-01 DOI: 10.24075/brsmu.2022.031
P. Vorobyev, DV Kochetkov, K. Vasilenko, A. Lipatova
Transient gene expression is one of the most common methods in molecular biology, equally relevant for basic research projects and biotechnological industries. Despite the existence of commercial transfection systems, which afford high transfection efficiency and high expression levels of reporter genes, expanding such systems to industrial scales is often problematic due to high costs of the reagents. The well-described methods of cationic and calcium-phosphate transfection are accessible and ensure reproducible results at much lower costs. This study is aimed at comparative validation of calcium phosphate and cationic (polyethylenimine-based) transfection protocols along with the commercially available TurboFect reagent for mono- and cotransfections on a panel of commonly used cell lines including HEK293T, Huh7, BHK-21, CHO and MRC5. The efficiency of transfection with plasmid constructs encoding different fluorescent proteins was measured by flow cytometry. Of all the tested methods, calcium phosphate transfection afforded the highest efficiency of plasmid DNA delivery in all the cell lines except BHK21, for which the PEI method turned out to be more efficient than calcium phosphate transfection, and CHO, for which both methods showed comparable efficiency.
瞬时基因表达是分子生物学中最常见的方法之一,与基础研究项目和生物技术产业同样相关。尽管存在商业转染系统,其提供高转染效率和高报告基因表达水平,但由于试剂的高成本,将这种系统扩展到工业规模通常是有问题的。众所周知的阳离子和磷酸钙转染方法是可获得的,并确保以低得多的成本获得可重复的结果。本研究旨在对磷酸钙和阳离子(基于聚乙烯亚胺)转染方案以及市售的TurboFect试剂在一组常用细胞系上的单转染和共转染进行比较验证,这些细胞系包括HEK293T、Huh7、BHK-21、CHO和MRC5。通过流式细胞术测量用编码不同荧光蛋白的质粒构建体转染的效率。在所有测试的方法中,磷酸钙转染在除BHK21和CHO之外的所有细胞系中提供了最高的质粒DNA递送效率,对于BHK21,PEI方法被证明比磷酸钙转染更有效,对于CHO,两种方法都显示出相当的效率。
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引用次数: 0
Clinical and morphological features of non-small cell lung cancer in patients with different types of histological changes to the bronchial epithelium 不同类型支气管上皮组织学改变的非小细胞肺癌患者的临床形态学特征
IF 0.2 Q4 MEDICINE, GENERAL & INTERNAL Pub Date : 2022-06-01 DOI: 10.24075/brsmu.2022.030
M. Zavyalova, D. Loos, DS Pismenny, A. Durova, O. Pankova, E. Rodionov, SA Tuzikov, L. Tashireva, V. Perelmuter
Lung cancer occupies the leading position in the global structure of oncological diseases. Despite significant advances in its treatment, the survival remains low. Morphological changes to the bronchial epithelium outside the tumor may provide important cues on progression of the disease in patients with lung cancer. This study aimed to identify associations between morphological and clinical features of non-small cell lung cancer and morphological changes to the epithelium in small bronchi outside the tumor. The study encompassed tumor specimens collected from 90 patients, 75 (83%) men and 15 (17%) women, diagnosed with non-small cell lung cancer. The average age of the patients was 67.8 ± 7.4 years. The results indicate higher frequency of lymphogenous metastasis in patients with combined basal cell hyperplasia and squamous metaplasia (BCH+SM+ group) compared to patients with isolated basal cell hyperplasia (BCH+SM– group, p = 0.05). The BCH+SM– group presented with higher rates of hematogenous metastasis compared to BCH+SM+ and BCH–SM– groups (p = 0.004 and p = 0.0019, respectively), as well as increased representation of low-differentiated structures in the primary tumors. The results suggest a commonality of parenchymal-stromal interactions in non-small cell lung cancers and their surroundings and a significant impact of these interactions on differentiation status and progression of the tumors.
癌症在全球肿瘤疾病结构中占据领先地位。尽管其治疗取得了重大进展,但存活率仍然很低。肿瘤外支气管上皮的形态学变化可能为癌症患者的疾病进展提供重要提示。本研究旨在确定癌症的形态学和临床特征与肿瘤外小支气管上皮的形态学变化之间的关系。该研究包括从90名诊断为非小细胞肺癌癌症的患者、75名(83%)男性和15名(17%)女性中收集的肿瘤标本。患者的平均年龄为67.8±7.4岁。结果表明,与单独的基底细胞增生患者(BCH+SM-组,p=0.05)相比,合并基底细胞增生和鳞状化生患者(BCH+SM+组)的淋巴源性转移频率更高。与BCH+SM+和BCH–SM-组相比,BCH+SM-组的血行转移率更高(分别为p=0.004和p=0.0019),以及原发性肿瘤中低分化结构的代表性增加。研究结果表明,非小细胞肺癌及其周围环境中实质间质相互作用的共同性,以及这些相互作用对肿瘤分化状态和进展的显著影响。
{"title":"Clinical and morphological features of non-small cell lung cancer in patients with different types of histological changes to the bronchial epithelium","authors":"M. Zavyalova, D. Loos, DS Pismenny, A. Durova, O. Pankova, E. Rodionov, SA Tuzikov, L. Tashireva, V. Perelmuter","doi":"10.24075/brsmu.2022.030","DOIUrl":"https://doi.org/10.24075/brsmu.2022.030","url":null,"abstract":"Lung cancer occupies the leading position in the global structure of oncological diseases. Despite significant advances in its treatment, the survival remains low. Morphological changes to the bronchial epithelium outside the tumor may provide important cues on progression of the disease in patients with lung cancer. This study aimed to identify associations between morphological and clinical features of non-small cell lung cancer and morphological changes to the epithelium in small bronchi outside the tumor. The study encompassed tumor specimens collected from 90 patients, 75 (83%) men and 15 (17%) women, diagnosed with non-small cell lung cancer. The average age of the patients was 67.8 ± 7.4 years. The results indicate higher frequency of lymphogenous metastasis in patients with combined basal cell hyperplasia and squamous metaplasia (BCH+SM+ group) compared to patients with isolated basal cell hyperplasia (BCH+SM– group, p = 0.05). The BCH+SM– group presented with higher rates of hematogenous metastasis compared to BCH+SM+ and BCH–SM– groups (p = 0.004 and p = 0.0019, respectively), as well as increased representation of low-differentiated structures in the primary tumors. The results suggest a commonality of parenchymal-stromal interactions in non-small cell lung cancers and their surroundings and a significant impact of these interactions on differentiation status and progression of the tumors.","PeriodicalId":9344,"journal":{"name":"Bulletin of Russian State Medical University","volume":" ","pages":""},"PeriodicalIF":0.2,"publicationDate":"2022-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43983665","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Study of the human brain potentials variability effects in P300 based brain–computer interface 基于P300脑机接口的人脑电位变异性效应研究
IF 0.2 Q4 MEDICINE, GENERAL & INTERNAL Pub Date : 2022-06-01 DOI: 10.24075/brsmu.2022.033
IP Ganin, A. Kaplan
The P300-based brain–computer interfaces (P300 BCI) allow the user to select commands by focusing on them. The technology involves electroencephalographic (EEG) representation of the event-related potentials (ERP) that arise in response to repetitive external stimulation. Conventional procedures for ERP extraction and analysis imply that identical stimuli produce identical responses. However, the floating onset of EEG reactions is a known neurophysiological phenomenon. A failure to account for this source of variability may considerably skew the output and undermine the overall accuracy of the interface. This study aimed to analyze the effects of ERP variability in EEG reactions in order to minimize their influence on P300 BCI command classification accuracy. Healthy subjects aged 21–22 years (n = 12) were presented with a modified P300 BCI matrix moving with specified parameters within the working area. The results strongly support the inherent significance of ERP variability in P300 BCI environments. The correction of peak latencies in single EEG reactions provided a 1.5–2 fold increase in ERP amplitude with a concomitant enhancement of classification accuracy (from 71–78% to 92–95%, p < 0.0005). These effects were particularly pronounced in attention-demanding tasks with the highest matrix velocities. The findings underscore the importance of accounting for ERP variability in advanced BCI systems.
基于P300的脑机接口(P300-BCI)允许用户通过专注于命令来选择命令。该技术涉及对重复外部刺激产生的事件相关电位(ERP)的脑电图(EEG)表示。ERP提取和分析的常规程序意味着相同的刺激产生相同的反应。然而,脑电反应的浮动发作是一种已知的神经生理学现象。如果不能解释这种可变性的来源,可能会大大扭曲输出并破坏接口的整体准确性。本研究旨在分析脑电反应中ERP变异性的影响,以尽量减少其对P300脑机接口命令分类准确性的影响。向年龄在21-22岁(n=12)的健康受试者展示了一个修改的P300脑机接口矩阵,该矩阵在工作区域内以特定参数移动。研究结果有力地支持了P300脑机接口环境中ERP变异性的内在意义。校正单个EEG反应中的峰值潜伏期可使ERP幅度增加1.5–2倍,同时提高分类准确率(从71–78%提高到92–95%,p<0.0005)。这些影响在矩阵速度最高、注意力要求高的任务中尤为明显。这些发现强调了在先进的脑机接口系统中考虑ERP可变性的重要性。
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引用次数: 2
InlB protein secreted by Listeria monocytogenes controls the pathogen interaction with macrophages 单核增生李斯特菌分泌的InlB蛋白控制病原体与巨噬细胞的相互作用
IF 0.2 Q4 MEDICINE, GENERAL & INTERNAL Pub Date : 2022-06-01 DOI: 10.24075/brsmu.2022.034
YM Chalenko, MM Abdulkadieva, PV Safarova, E. Kalinin, D. Slonova, SA Yermolaeva
The virulence of gram-positive bacterium Listeria monocytogenes depends on its capacity to infect non-professional phagocytes and proliferate inside them. Listerias monocytogenes captured by mononuclear phagocytic cells during the infectious process are resistant to lysosomal digestion and can proliferate inside macrophages. Internalin B (InlB), one of the key pathogenicity factors of L. monocytogenes, interacts with mammalian receptors c-Met and gC1q-R. For epithelial cells, such interactions with surface receptors promote activation of these receptors and cytoskeletal remodeling, which leads to massive bacterial invasion into nonprofessional phagocytes. For macrophages, by contrast, nothing is known about the role of InlB in their interactions with L. monocytogenes apart from the fact that both receptors are abundantly expressed by macrophages and participate in the development of immune reactions. This study aimed at determination of the potential role of InlB in the interactions between L. monocytogenes and macrophages. We found that 1) InlB expression promoted a significant 3.5-fold increase in the rates of L. monocytogenes capture by macrophages; 2) the 24 h fold increase in bacterial number inside macrophages constituted 182.5 ± 16.7, 96 ± 12 and 13.3 ± 3 for EGDe∆inlB, EGDe and EGDe∆inlB::pInlB strains, respectively; 3) the EGDe∆inlB::pInlB strain, complemented with a plasmid copy of inlB, produced InlB at 3.3fold higher rates than the type strain EGDe. We conclude that InlB negatively affects the survival of listeria inside macrophages. The results enable advanced understanding of the host-pathogen interactions for L. monocytogenes.
革兰氏阳性细菌单核增生李斯特菌的毒力取决于其感染非专业吞噬细胞并在其内部增殖的能力。单核吞噬细胞在感染过程中捕获的单核增生李斯特菌抵抗溶酶体消化,并能在巨噬细胞内增殖。InlB与哺乳动物受体c-Met和gC1q-R相互作用,是单核增生乳杆菌的关键致病因子之一。对于上皮细胞,这种与表面受体的相互作用促进了这些受体的激活和细胞骨架重塑,从而导致大量细菌侵入非专业吞噬细胞。相比之下,对于巨噬细胞来说,除了这两种受体在巨噬细胞中大量表达并参与免疫反应的发展之外,对InlB在它们与单核增生乳杆菌相互作用中的作用一无所知。本研究旨在确定InlB在单核增生乳杆菌与巨噬细胞相互作用中的潜在作用。结果发现:1)表达InlB可使巨噬细胞捕获单核增生乳杆菌的率显著提高3.5倍;2) EGDe∆inlB、EGDe和EGDe∆inlB::pInlB菌株在24 h时巨噬细胞内细菌数量分别增加182.5±16.7、96±12和13.3±3倍;3) EGDe∆inlB::pInlB菌株与inlB的质粒拷贝互补后,inlB的产率比型菌株EGDe高3.3倍。我们得出结论,InlB对巨噬细胞内李斯特菌的存活有负面影响。这些结果使我们对单核增生乳杆菌的宿主-病原体相互作用有了更深入的了解。
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引用次数: 1
Predicting preterm birth based on vaginal microbiota assessment by real-time PCR in the first trimester 早期妊娠期阴道微生物群实时PCR评估预测早产
IF 0.2 Q4 MEDICINE, GENERAL & INTERNAL Pub Date : 2022-06-01 DOI: 10.24075/brsmu.2022.032
E. Voroshilina, L. Khayutin, E. Kudryavtseva, VV Kovalev, EE Plotko
Detecting high risk of preterm birth (PB) early makes its prevention possible. The aim of the work was to develop a mathematical predictive model for assessing the risk of preterm birth based on a quantitative analysis of the vaginal microbiota in the first trimester of pregnancy. The study included 199 pregnant women, i.e. 41 pregnancies that ended in preterm birth, and 158 — in term birth. Vaginal microbiota was analyzed in all patients in the 1st trimester of pregnancy by quantitative real-time PCR (qPCR). The method of dicriminant analysis was used to develop a predictive model. A method for predicting PB was developed with the calculation of the PRIMA prognostic index (Premature Birth. Index Of Microbiological Analysis). If the value of PRIMA > 0 – the risk of premature birth is low, if PRIMA < 0 – the risk is high. The sensitivity and specificity of the method are respectively 70.7% and 79.75%, the effectiveness is 77.89%. Evaluation of vaginal microbiota in the 1st trimester makes it possible to identify a high-risk group of PB and perform timely preventive measures.
早期发现高危早产(PB)使其预防成为可能。这项工作的目的是建立一个数学预测模型,基于对怀孕前三个月阴道微生物群的定量分析,来评估早产的风险。该研究包括199名孕妇,即41名孕妇以早产结束,158名以足月结束。采用实时荧光定量PCR (quantitative real-time PCR, qPCR)分析所有妊娠前三个月患者阴道微生物群。采用判别分析方法建立预测模型。通过计算早产儿预后指数(PRIMA),建立了一种预测早产的方法。微生物分析指标)。如果PRIMA值为0 - 0,早产风险低,如果PRIMA < 0,早产风险高。方法的灵敏度和特异度分别为70.7%和79.75%,有效性为77.89%。在妊娠早期评估阴道微生物群,可以识别高危人群,及时采取预防措施。
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引用次数: 0
Alleviation of neurological and cognitive impairments in rat model of ischemic stroke by 0.5 MAC xenon exposure 0.5 MAC氙气暴露对缺血性脑卒中模型大鼠神经和认知功能损害的缓解作用
IF 0.2 Q4 MEDICINE, GENERAL & INTERNAL Pub Date : 2022-06-01 DOI: 10.24075/brsmu.2022.035
IA Krukov, A. Ershov, RA Cherpakov, OA Grebenchikov
The majority of stroke patients have cognitive symptoms and about 50% of them live with neurological deficits that critically limit social adaptation capacities even in the absence of significant motor impairments. The aim of this study was to select the optimal length of 0.5 MAC xenon exposure in order to alleviate the neurological and cognitive impairments in experimental stroke. The focal ischemia-reperfusion injury was modeled in rats (n = 70) ising Longa method. The intervention was immediately followed by inhalation of 0.5 MAC xenon for 30, 60 or 120 min. The neurological deficit was assessed using a 'Limb placement' seven-test battery and the cognitive functionalities were assessed by the Morris water maze test. A 30 min 0.5 MAC xenon exposure provided a 40% increase in the limb placement scores and a 17.6% decrease in the Morris water maze test latency compared with the control group (р = 0.055 and р = 0.08, respectively). With a longer 60 min exposure, the trends became significant, the scores improving 2-fold and by 44.4% compared with the control group (р = 0.01 and р = 0.04, respectively), whereas 120 min exposures afforded 2-fold improvements in both tests (р = 0.01). We conclude that, although 30 min post-stroke inhalations provide negligible benefits in terms of neurological status and learning capacity, prolonged exposure times of 60–120 min afford significant improvement in neurological and cognitive indicators and largely alleviate the deteriorating ischemic damage.
大多数中风患者都有认知症状,其中约50%的患者患有神经系统缺陷,即使在没有严重运动障碍的情况下,这种缺陷也会严重限制社会适应能力。本研究的目的是选择0.5MAC氙暴露的最佳长度,以减轻实验性中风中的神经和认知损伤。采用Longa法建立大鼠(n=70)局灶性脑缺血再灌注损伤模型。干预后立即吸入0.5MAC氙30、60或120分钟。使用“肢体放置”七项测试组评估神经功能缺损,并通过Morris水迷宫测试评估认知功能。与对照组相比,30分钟0.5 MAC氙暴露使肢体放置得分增加40%,Morris水迷宫测试潜伏期减少17.6%(分别为р=0.055和р=0.08)。随着暴露时间的延长,趋势变得显著,与对照组相比,得分提高了2倍,提高了44.4%(分别为р=0.01和р=0.04),而暴露时间为120分钟,两项测试的得分提高了两倍(р=0.01%),60–120分钟的延长暴露时间可显著改善神经和认知指标,并在很大程度上缓解日益恶化的缺血性损伤。
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引用次数: 0
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Bulletin of Russian State Medical University
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