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Bone Marrow Mesenchymal Stem Cells Alleviate Methotrexate-Induced Renal Toxicity in leukemia Rats 骨髓间充质干细胞可缓解甲氨蝶呤诱导的白血病大鼠肾毒性
Pub Date : 2024-01-01 DOI: 10.21608/besps.2023.226616.1150
Hanan abdellatief
Background: The chemotherapeutic drug methotrexate (MTX) is administered for managing multiple kinds of cancer. Aim: To determine if bone marrow mesenchymal stem cells (BM-MSCs) might protect rats against renal damage brought on by MTX. Materials and Methods : Rats were divided into five groups : (i) Control group received 2.5 ml saline. (ii) group received MTX as a single IP of 20 mg/Kg body weight. (iii) LEUK group: Benzene-induced leukemia group was injected intravenously every 2 days for 3 consecutive weeks by 0.2 ml benzene. (iv) LEUK/MTX group was injected intravenously every 2 days for 3 consecutive weeks by 0.2 ml benzene and treated by intraperitoneal injection of 2.5 mg/kg.bw/week MTX for 4 consecutive weeks. (v) (LEUK/ MTX/MSCs) group was injected intravenously every 2 days for 3 consecutive weeks by 0.2 ml benzene and treated by intraperitoneal injection of 2.5 mg/kg.bw/week MTX for 4 consecutive weeks. This group was also left for 8 days for kidney injury induction then injected intravenously with a single dose of 3x10 6 MSCs. After 4 weeks of MSCs transplantation. Kidney histopathology, Catalase and Superoxide dismutase activities as well as Capase-3 expression levels were examined. Results: Methotrexate induced marked pathological lesion which characterized by focal necrosis, cell infiltration and high immuno-expression ofTGF-β1 . Besides, treatment with MSCs successfully improved the severe effects of MTX on the kidney and restored histological architecture which confirmed by oxidative enzymes and apoptosis marker
背景:化疗药物甲氨蝶呤(MTX)用于治疗多种癌症。目的:确定骨髓间充质干细胞(BM-MSCs)是否能保护大鼠免受 MTX 对肾脏的损害。材料与方法 :将大鼠分为五组:(i) 对照组接受 2.5 毫升生理盐水。(ii)MTX组:单次IP注射20毫克/千克体重的MTX。(iii) LEUK 组:苯诱导白血病组每 2 天静脉注射 0.2 毫升苯,连续 3 周。(iv) LEUK/MTX 组:每 2 天静脉注射 0.2 毫升苯,连续 3 周,然后腹腔注射 2.5 毫克/千克体重/周 MTX,连续 4 周。(v) (LEUK/MTX/MSCs)组连续 3 周每 2 天静脉注射 0.2 毫升苯,并连续 4 周腹腔注射 2.5 毫克/千克体重/周 MTX。该组还留置 8 天进行肾损伤诱导,然后静脉注射单剂量 3x10 6 MSCs。间充质干细胞移植 4 周后。对肾脏组织病理学、过氧化氢酶和超氧化物歧化酶活性以及Capase-3表达水平进行检测。结果甲氨蝶呤诱导了明显的病理损伤,其特征为局灶性坏死、细胞浸润和TGF-β1的高免疫表达。此外,间充质干细胞治疗成功改善了 MTX 对肾脏的严重影响,恢复了组织学结构,氧化酶和细胞凋亡标志物证实了这一点。
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引用次数: 0
Role of melatonin and garlic treatment in cisplatin induced acute kidney injury in in adult male rats 褪黑素和大蒜治疗在顺铂诱导的成年雄性大鼠急性肾损伤中的作用
Pub Date : 2024-01-01 DOI: 10.21608/besps.2023.243265.1156
islam elsamman, Zienab Abdallah, Hanaa Elserougy, Refka Messiha
Objective: assess possible role of melatonin and garlic in cisplatin-induced AKI in rats. Materials and methods: Forty adult male rats were divided into 5 groups. Group 1: control group. Group 2: cisplatin group (6 mg/kg) IP injection on the 8th day. Group 3: melatonin group (10 mg/kg/day) in saline orally for 12 days+ IP injection of cisplatin on the 8th day. Group 4: garlic group (500mg/kg/day) in saline orally for 12 days+ IP injection of cisplatin on the 8th day. Group 5: received same doses of melatonin and garlic in saline orally +IP injection of cisplatin on the 8th day. By the end of 12th day, blood samples were collected for biochemical analysis. Renal tissue was examined for oxidative stress markers and caspase3. Results: Histopathology and caspase 3 expression revealed marked damage and marked expression of caspase 3 in group 2. The use of melatonin or garlic caused marked reduction of this damage and caspase 3 expression with the best outcome in combined group. Serum creatinine and urea showed a significant increase in group 2 compared to group 1. However, this elevation was significantly reduced by melatonin in group 3 and garlic in group 4 and best outcome in group 5. KIM-1 significantly increased with cisplatin and decreased with treated groups with best outcome in group 5. The oxidative stress showed a significant improvement in group 5 compared to group 2. Conclusion: Melatonin and garlic may protect against cisplatin induced AKI in rats with best outcome in combined group.
目的:评估褪黑素和大蒜在顺铂诱导的大鼠 AKI 中可能发挥的作用。材料和方法:将 40 只成年雄性大鼠分为 5 组。第 1 组:对照组。第 2 组:顺铂组(6 毫克/千克),第 8 天 IP 注射。第 3 组:褪黑素组(10 毫克/千克/天),生理盐水口服 12 天+第 8 天 IP 注射顺铂。第 4 组:大蒜组(500 毫克/千克/天),口服生理盐水 12 天+第 8 天 IP 注射顺铂。第 5 组:口服相同剂量的褪黑素和大蒜于生理盐水中,第 8 天 IP 注射顺铂。第 12 天结束时,收集血液样本进行生化分析。对肾组织进行氧化应激标记物和 caspase3 检测。结果组织病理学和 caspase 3 表达显示,第 2 组有明显的损伤和 caspase 3 的明显表达。使用褪黑素或大蒜可明显减轻损伤和 caspase 3 的表达,联合组的疗效最好。血清肌酐和尿素在第 2 组比第 1 组明显升高,但在第 3 组褪黑素和第 4 组大蒜的作用下,血清肌酐和尿素的升高明显降低,第 5 组的疗效最好。 KIM-1 在顺铂的作用下明显升高,而在治疗组的作用下降低,第 5 组的疗效最好。 氧化应激在第 5 组比第 2 组明显改善。结论褪黑素和大蒜可预防顺铂诱导的大鼠 AKI,联合治疗组效果最佳。
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引用次数: 0
Multiple choice questions as a tool for summative assessment in medical schools 作为医学院终结性评估工具的多项选择题
Pub Date : 2024-01-01 DOI: 10.21608/besps.2023.238298.1152
Saeed Alqahtani
Objectives: To evaluate the quality of multiple-choice questions (MCQs) used in a summative assessment of a Central Nervous System (CNS) module at the Faculty of Medicine, Jazan University. Methods: Item analysis was conducted on a 70-item MCQ exam administered to 57 medical students after completing the CNS module. Various departments teach the module utilizing a systems-based curriculum. Item difficulty, discrimination, reliability, and standard error of measurement were analyzed. Results: Item difficulty ranged from 0.3 to 0.9 on the difficulty index for most items (moderate difficulty). Most items (62/70) appropriately discriminated between high-and low-scoring students. Reliability was very high (Kuder-Richardson 20 = 0.91). The standard error of measurement was 3.7. Analysis of validity evidence included evaluation of content validity through alignment of exam items with module learning objectives using a test blueprint, as well as analysis of internal structure validity supported by item difficulty and discrimination statistics. Discrimination indices above 0.2 indicate items distinguished well between students performing at the upper and lower score ranges. Feasibility of MCQs was evidenced by the resources required. Minimal training and no specialized equipment or longer administration/scoring times were needed compared to other assessment methods. MCQs were well-accepted by students and faculty involved in test development and implementation. Conclusion: Psychometric analysis of item and exam characteristics provides validity evidence that scores from this MCQ reasonably represent CNS module achievement. While not capturing higher-order skills, MCQs proved a feasible and effective summative assessment of this pre-clinical module when used within an integrated evaluation program. .
目的评估贾占大学医学院中枢神经系统 (CNS) 单元终结性评估中使用的选择题 (MCQ) 的质量。方法:对 70 道选择题进行项目分析:在完成中枢神经系统(CNS)模块后,对 57 名医科学生进行了 70 题的 MCQ 考试,并进行了题目分析。该模块由各系利用基于系统的课程进行教学。对题目难度、区分度、信度和测量标准误差进行了分析。结果显示大多数项目的难度指数在 0.3 至 0.9 之间(中等难度)。大多数项目(62/70)能适当区分高分和低分学生。信度非常高(Kuder-Richardson 20 = 0.91)。测量标准误差为 3.7。效度证据分析包括通过使用测试蓝图使考试项目与模块学习目标相一致来评估内容效度,以及通过项目难度和区分度统计来分析内部结构效度。区分度指数超过 0.2 表明,考试项目能很好地区分高分学生和低分学生。所需的资源证明了 MCQ 考试的可行性。与其他测评方法相比,微机问答只需少量培训,无需专门设备或较长的施测/评分时间。参与测试开发和实施的学生和教师都非常认可 MCQ。结论对题目和考试特点的心理测量分析提供了有效性证据,证明该 MCQ 的分数合理地代表了中枢神经系统模块的成绩。虽然 MCQ 无法反映高阶技能,但在综合评估计划中使用 MCQ 时,证明对临床前模块进行总结性评估是可行且有效的。.
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引用次数: 0
Galectin-3, a potential predictor and contributor of placenta accreta spectrum pathogenesis by inducing local vascular cell adhesion molecule-1 expression: A longitudinal study 半乳糖凝集素-3:一项纵向研究:通过诱导局部血管细胞粘附分子-1表达,可能预测和促进胎盘增生谱发病
Pub Date : 2023-10-01 DOI: 10.21608/besps.2023.224206.1148
Amany Mohamed, Mahmoud Abdel-Fadeil, Mohammed Ali, Rania Ahmed, Heba Iraqy
Background: Galectin-3 (Gal-3) is a unique glycoprotein expressed in different tissues with several biological functions. Vascular cell adhesion molecule-1 (VCAM-1) is a cell adhesion molecule, expressed from vascular endothelium, and is implicated in the process of tissue angiogenesis. Both Gal-3 and VCAM-1 are expressed normally in placental tissue to achieve successful trophoblastic invasion. Placenta accreta spectrum (PAS) is a serious pregnancy-related complication, with a progressively rising incidence worldwide. Massive trophoblastic invasion is a major contributor to its pathogenesis, and its diagnosis prenatally depends solely on Doppler ultrasonography. Aim: This study aimed to investigate the possible predictive value of serum Gal-3 in the occurrence of PAS and to highlight the potential involvement of Gal-3, macrophage recruitment, and VCAM-1 in its pathogenesis. Methods: This longitudinal study included 62 pregnant women; divided into group N, comprising31 pregnant women with normal placenta, and group P, comprising 31 pregnant women with PAS. Results: placental Gal-3 increased from 2.597 ± 0.061 to 4.392 ± 0.181 ng/mg protein, placental VCAM-1 increased from 2.901 ± 0.096 to 41.911 ± 1.885 ng/mg protein, and placental macrophage count increased from 2.323 ± 0.106 to 11.174 ± 0.643 /10 HPF. Serum Gal-3 had a significant predictive value for PA with a cutoff value ≥ 8.012 ng/ml. Conclusion: The overexpression of placental Gal-3 and VCAM-1 can be regarded as important key players in the pathogenesis of PAS. Remarkably, the detection of high serum levels of Gal-3 as early as the second trimester can predict the occurrence of PAS .
{"title":"Galectin-3, a potential predictor and contributor of placenta accreta spectrum pathogenesis by inducing local vascular cell adhesion molecule-1 expression: A longitudinal study","authors":"Amany Mohamed, Mahmoud Abdel-Fadeil, Mohammed Ali, Rania Ahmed, Heba Iraqy","doi":"10.21608/besps.2023.224206.1148","DOIUrl":"https://doi.org/10.21608/besps.2023.224206.1148","url":null,"abstract":"Background: Galectin-3 (Gal-3) is a unique glycoprotein expressed in different tissues with several biological functions. Vascular cell adhesion molecule-1 (VCAM-1) is a cell adhesion molecule, expressed from vascular endothelium, and is implicated in the process of tissue angiogenesis. Both Gal-3 and VCAM-1 are expressed normally in placental tissue to achieve successful trophoblastic invasion. Placenta accreta spectrum (PAS) is a serious pregnancy-related complication, with a progressively rising incidence worldwide. Massive trophoblastic invasion is a major contributor to its pathogenesis, and its diagnosis prenatally depends solely on Doppler ultrasonography. Aim: This study aimed to investigate the possible predictive value of serum Gal-3 in the occurrence of PAS and to highlight the potential involvement of Gal-3, macrophage recruitment, and VCAM-1 in its pathogenesis. Methods: This longitudinal study included 62 pregnant women; divided into group N, comprising31 pregnant women with normal placenta, and group P, comprising 31 pregnant women with PAS. Results: placental Gal-3 increased from 2.597 ± 0.061 to 4.392 ± 0.181 ng/mg protein, placental VCAM-1 increased from 2.901 ± 0.096 to 41.911 ± 1.885 ng/mg protein, and placental macrophage count increased from 2.323 ± 0.106 to 11.174 ± 0.643 /10 HPF. Serum Gal-3 had a significant predictive value for PA with a cutoff value ≥ 8.012 ng/ml. Conclusion: The overexpression of placental Gal-3 and VCAM-1 can be regarded as important key players in the pathogenesis of PAS. Remarkably, the detection of high serum levels of Gal-3 as early as the second trimester can predict the occurrence of PAS .","PeriodicalId":9347,"journal":{"name":"Bulletin of Egyptian Society for Physiological Sciences","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135324141","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
The Effect of Berberine on Thioacetamide Induced Hepatic Toxicity in Rats 小檗碱对硫乙酰胺所致大鼠肝毒性的影响
Pub Date : 2023-10-01 DOI: 10.21608/besps.2023.222916.1147
Maha Eldeeb, Nahid Tahoon, Ahmed Abdalfattah, reham younis
Background: Most hepatotoxic chemicals primarily harm the liver by lipid peroxidation and oxidative damages. Aim: To study the impact of Berberine on thioacetamide-induced hepatic toxicity and its underlying mechanisms. Methods: This work was performed on 40 male albino rats. The animals were randomly divided into 4 groups (10 rats each): Control group: was given 0.5 ml saline intraperitoneal injection (IP) twice /week for 8 weeks. Berberine group: was given Berberine (200 mg/kg/day) by oral gavage plus 0.5 ml saline by IP twice /week for 8 weeks. Thioacetamide group: received 200mg/kg thioacetamide I.P. twice /week for 8 weeks. berberine treated group: was given 200mg/kg thioacetamide I.P. twice /week plus Berberine 200 mg/kg/day by oral gavage for 8 weeks. Results: Berberine group showed insignificant change in all studied parameters as compared to control group. While thioacetamide group demonstrated significant elevation in serum level of bilirubin, aspartate aminotransferase (AST), alanine aminotransferase (ALT), alkaline phosphatase (ALP), interleukin 6 and hepatic hydroxyproline, with significant decrease in serum level of total antioxidant capacity compared to control and berberine group. However, thioacetamide group treated with Berberine 200 mg showed significant decrease in serum level of AST, ALT, ALP, bilirubin, interleukin 6 and hepatic hydroxyproline, with significant elevation in serum level of total antioxidant capacity as compared to liver toxicity group. Conclusions: BBR may be considered a therapeutic agent against hepatic injury, its hepatoprotective mechanism might be mediated via suppression of inflammation, oxidative stress, endogenous antioxidant defense system activation and reduction of DNA damage.
{"title":"The Effect of Berberine on Thioacetamide Induced Hepatic Toxicity in Rats","authors":"Maha Eldeeb, Nahid Tahoon, Ahmed Abdalfattah, reham younis","doi":"10.21608/besps.2023.222916.1147","DOIUrl":"https://doi.org/10.21608/besps.2023.222916.1147","url":null,"abstract":"Background: Most hepatotoxic chemicals primarily harm the liver by lipid peroxidation and oxidative damages. Aim: To study the impact of Berberine on thioacetamide-induced hepatic toxicity and its underlying mechanisms. Methods: This work was performed on 40 male albino rats. The animals were randomly divided into 4 groups (10 rats each): Control group: was given 0.5 ml saline intraperitoneal injection (IP) twice /week for 8 weeks. Berberine group: was given Berberine (200 mg/kg/day) by oral gavage plus 0.5 ml saline by IP twice /week for 8 weeks. Thioacetamide group: received 200mg/kg thioacetamide I.P. twice /week for 8 weeks. berberine treated group: was given 200mg/kg thioacetamide I.P. twice /week plus Berberine 200 mg/kg/day by oral gavage for 8 weeks. Results: Berberine group showed insignificant change in all studied parameters as compared to control group. While thioacetamide group demonstrated significant elevation in serum level of bilirubin, aspartate aminotransferase (AST), alanine aminotransferase (ALT), alkaline phosphatase (ALP), interleukin 6 and hepatic hydroxyproline, with significant decrease in serum level of total antioxidant capacity compared to control and berberine group. However, thioacetamide group treated with Berberine 200 mg showed significant decrease in serum level of AST, ALT, ALP, bilirubin, interleukin 6 and hepatic hydroxyproline, with significant elevation in serum level of total antioxidant capacity as compared to liver toxicity group. Conclusions: BBR may be considered a therapeutic agent against hepatic injury, its hepatoprotective mechanism might be mediated via suppression of inflammation, oxidative stress, endogenous antioxidant defense system activation and reduction of DNA damage.","PeriodicalId":9347,"journal":{"name":"Bulletin of Egyptian Society for Physiological Sciences","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135324142","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
Impairment of Insulin Signalling Pathway: AMPKα/SIRT1 and Pathophysiological Involvement of Gut Microbiota in Monosodium Glutamate Induced Polycystic Ovary Syndrome with Palliative Role of Flaxseed. 胰岛素信号通路损伤:AMPKα/SIRT1和肠道菌群在谷氨酸钠诱导的多囊卵巢综合征中的病理生理参与及亚麻籽的缓解作用
Pub Date : 2023-10-01 DOI: 10.21608/besps.2023.108924.1149
Marwa Awad, Nada Ayad, Sarah Ibrahim, Asmaa Azzam, Basma Helal, Rehab El-shaer
Aim: This study aims to investigate the role of gut microbiota in polycystic ovarian syndrome (PCOS) induction by monosodium glutamate (MSG) with the study of the protective effect of flaxseeds. Methods: 24 female rats were divided into three groups: Group 1: distilled water; Group 2: MSG; and Group 3: flaxseed + MSG. Finally, body and ovarian weights, HOMA-IR, plasma (gonadal hormones, triglycerides, HDL, LDL, adiponectin, TNF-α, IL-6, and lipopolysaccharides), intestinal (alkaline phosphatase, myeloperoxidase, Trimethylamine N-oxide, and free fatty acid receptor 2 gene expression), ovarian tissue (Silent Information Regulator 1 (SIRT1), reduced glutathione, and gene expression of mitogen activated protein kinase (AMPKα) and SIRT1) were determined. In addition, vaginal swaps, ovarian histopathology, and immunohistochemical staining of BCL2 and Bax were done. Results: MSG-induced insulin resistance, dyslipidemia, intestinal dysbiosis, ovarian oxidative stress, and inflammation through modulation of the AMPKα/SIRT1 pathway. On the other hand, flaxseed significantly prevented these findings. Conclusion: MSG-induced gut dysbiosis that predisposes to PCOS and ingestion of flaxseed can be considered a prospective protective agent against PCOS development
{"title":"Impairment of Insulin Signalling Pathway: AMPKα/SIRT1 and Pathophysiological Involvement of Gut Microbiota in Monosodium Glutamate Induced Polycystic Ovary Syndrome with Palliative Role of Flaxseed.","authors":"Marwa Awad, Nada Ayad, Sarah Ibrahim, Asmaa Azzam, Basma Helal, Rehab El-shaer","doi":"10.21608/besps.2023.108924.1149","DOIUrl":"https://doi.org/10.21608/besps.2023.108924.1149","url":null,"abstract":"Aim: This study aims to investigate the role of gut microbiota in polycystic ovarian syndrome (PCOS) induction by monosodium glutamate (MSG) with the study of the protective effect of flaxseeds. Methods: 24 female rats were divided into three groups: Group 1: distilled water; Group 2: MSG; and Group 3: flaxseed + MSG. Finally, body and ovarian weights, HOMA-IR, plasma (gonadal hormones, triglycerides, HDL, LDL, adiponectin, TNF-α, IL-6, and lipopolysaccharides), intestinal (alkaline phosphatase, myeloperoxidase, Trimethylamine N-oxide, and free fatty acid receptor 2 gene expression), ovarian tissue (Silent Information Regulator 1 (SIRT1), reduced glutathione, and gene expression of mitogen activated protein kinase (AMPKα) and SIRT1) were determined. In addition, vaginal swaps, ovarian histopathology, and immunohistochemical staining of BCL2 and Bax were done. Results: MSG-induced insulin resistance, dyslipidemia, intestinal dysbiosis, ovarian oxidative stress, and inflammation through modulation of the AMPKα/SIRT1 pathway. On the other hand, flaxseed significantly prevented these findings. Conclusion: MSG-induced gut dysbiosis that predisposes to PCOS and ingestion of flaxseed can be considered a prospective protective agent against PCOS development","PeriodicalId":9347,"journal":{"name":"Bulletin of Egyptian Society for Physiological Sciences","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135324140","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
Low-Dose Maintenance Intravenous Iron Therapy Can Prevent Anemia in Children with End-Stage Renal Disease Undergoing Chronic Hemodialysis 低剂量维持性静脉铁治疗可预防接受慢性血液透析的终末期肾病儿童贫血
Pub Date : 2023-07-14 DOI: 10.21608/besps.2023.204099.1139
N. Bisheer
Background: Anemia, a common complication of end-stage renal disease, is associated with elevated morbidity, mortality, and health care costs. A primary cause of anemia in end-stage renal disease is iron deficiency, particularly among patients requiring Hemodialysis. Therefore, the purpose of this study was to determine if IV iron maintenance treatment is helpful for avoiding anaemia in children withEnd-Stage Renal Disease( ESRD). Methods: This study is a randomized clinical trial and was carried out at Pediatric Dialysis Unit from March 2021 till September 2022. Results: there was statistically significant difference between the studied groups as regard Hb , red cell indicies (MCH, MCHC), serum iron andtransferrin saturation( TSAT) at the end of the study. Conclusion: IV iron maintenance therapy along witherythropoiesis-stimulating agents (ESAs) in children with ESRD who were undergoing regularHemodialysis (HD) was beneficial for maintaining hemoglobin levels and reducing the risk of anemia. This therapy should therefore be considered for this patient group. However, iron supplementation for patients with hyperferritinemia is a challenging issue because the high serum ferritin level may not confirm iron marker overload. Hence, the decision to start IV iron maintenance therapy in patients with hyperferritinemia should follow a holistic approach, taking into consideration the patient’s clinical condition and morbidity .
背景:贫血是终末期肾脏疾病的常见并发症,与发病率、死亡率和医疗费用升高有关。终末期肾病患者贫血的主要原因是缺铁,特别是需要血液透析的患者。因此,本研究的目的是确定IV铁维持治疗是否有助于避免终末期肾病(ESRD)患儿的贫血。方法:本研究是一项随机临床试验,于2021年3月至2022年9月在儿科透析病房进行。结果:研究结束时,两组Hb、红细胞指数(MCH、MCHC)、血清铁和转铁蛋白饱和度(TSAT)比较,差异均有统计学意义。结论:静脉铁维持治疗联合促红细胞生成素(ESAs)对接受定期血液透析(HD)的ESRD患儿有利于维持血红蛋白水平,降低贫血风险。因此,这种疗法应该被考虑用于这一患者群体。然而,高铁蛋白血症患者的铁补充是一个具有挑战性的问题,因为高血清铁蛋白水平可能无法证实铁标志物过载。因此,在高铁素血症患者开始静脉滴注维持铁治疗时,应综合考虑患者的临床状况和发病率。
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引用次数: 0
Serum uric acid as a biological marker for assessment of progression of glycemic status and polyneuropathy in experimentally induced type 2 diabetic rats 血清尿酸作为评估2型糖尿病大鼠血糖状态进展和多神经病变的生物学标志物
Pub Date : 2023-07-14 DOI: 10.21608/besps.2023.204057.1138
D. E. El Agamy, Rasha Elseadawy, Mahmoud El Tohamy, S. AbdElaziz, R. Abo-Elsoud
Background: Screening for laboratory indicators and modifiable risk factors for diabetic polyneuropathy (DPN) is crucial for early detection and development of novel treatments. This study investigated the possible correlation of serum uric acid to the progression of glycemic status and polyneuropathy in experimentally induced type 2 diabetic rats. Methods: Sixty rats were divided into non-diabetic, diabetic 4-week non-treated, diabetic 8-week non-treated, diabetic 4-week metformin-treated, diabetic 8-week metformin-treated. Rats were evaluated for glycemic state, serum uric acid, lipid profile, inflammatory and oxidative stress parameters. Hot plate test, sciatic nerve conduction speed, and sciatic nerve histopathological changes were assessed. Results: Four weeks after high-fat diet (HFD) and low dose of streptozotocin (STZ) injection, rats showed significant elevation in blood glucose, HbA1c and HOMA-IR, uric acid, malondialdehyde, TNF-α, IL-6, thermal hyperalgesia and significant reduction of nerve conduction speed and total antioxidant capacity associated with significant changes in lipid profile and histopathological structure of sciatic nerve. These changes were more prominent after 8 weeks of STZ injection than in 4-week diabetic-non-treated group. Metformin treatment significantly improved all parameters, meanwhile the improvement was more prominent in 8-week than 4-week group. Conclusion: Serum uric acid can be taken as a useful biological marker for assessment of progression of diabetic status and polyneuropathy in type 2 diabetes.
背景:筛查糖尿病多发神经病变(DPN)的实验室指标和可改变的危险因素对于早期发现和开发新的治疗方法至关重要。本研究探讨血清尿酸与实验性2型糖尿病大鼠血糖状态及多神经病变的关系。方法:60只大鼠分为非糖尿病、糖尿病4周未治疗、糖尿病8周未治疗、糖尿病4周二甲双胍治疗、糖尿病8周二甲双胍治疗。评估大鼠的血糖状态、血清尿酸、血脂、炎症和氧化应激参数。观察热板试验、坐骨神经传导速度及坐骨神经组织病理学变化。结果:高脂饮食(HFD)和低剂量链脲佐菌素(STZ)注射4周后,大鼠血糖、HbA1c、HOMA-IR、尿酸、丙二醛、TNF-α、IL-6、热痛觉明显升高,神经传导速度和总抗氧化能力明显降低,坐骨神经脂质谱和组织病理结构明显改变。这些变化在STZ注射8周后比4周未治疗组更明显。二甲双胍治疗组各指标均有显著改善,且8周组较4周组改善更明显。结论:血清尿酸可作为评价2型糖尿病病情进展及多神经病变的生物学指标。
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引用次数: 0
Effects of environmental enrichment on the behavioural consequences of early-life stress in rats 环境富集对大鼠早期应激行为的影响
Pub Date : 2023-07-01 DOI: 10.21608/besps.2023.211010.1143
A. Dief, Yara Ezz, A. Elshorbagy, R. Deacon, Ahmed Alrifaee, A. Eltahan, chahd Wael Mansour, Ahmed Shaheen
Background: Maternal separation (MS) is a major cause of chronic life stress and increased risk of psychiatric illness. Environmental enrichment (EE) enhances brain plasticity and neurogenesis. We investigated the consequences of maternal separation and early weaning and whether these could be prevented by environment enrichment. Methods: Wistar rat pups were divided into 3 groups; an MS group subjected to 3 h/day of maternal separation from postnatal day (PND) 4 till early weaning at PND 18; a maternal separation + environment enrichment (MSEE) group subjected to 3 h/day of maternal separation from PND 4 during which rats were transferred to an enriched cage, till early weaning at PND 18; and a control group. Rats were then subjected to a series of behavioural tests to assess exploratory behaviour, anxiety, memory, species-typical behaviour and depression. At PND 48, rats were sacrificed, and their brains excised for biochemical assessment. Results: Anxiety was increased in MS rats, evidenced by a marked reduction of time spent in the light side of the black-white alley. Anxiety was significantly decreased by EE. MS rats had suppression of their natural exploratory behaviour, with decreased number of squares crossed in the open field test (P = 0.031), and a complete absence of rearing behaviour. Early life EE of MS rats restored exploratory behaviour to or towards control values in the open field test. Spatial memory showed a marked improvement by EE. Conclusion: Early life EE during and after maternal separation in rats ameliorates multiple adverse psychological consequences. Keywords
背景:产妇分离(MS)是慢性生活压力和精神疾病风险增加的主要原因。环境富集(EE)增强大脑可塑性和神经发生。我们调查了产妇分离和早期断奶的后果,以及是否可以通过环境富集来预防这些后果。方法:Wistar大鼠幼崽分为3组;MS组从产后4天(PND)至产后18天早期断奶,每天3小时分离;母鼠分离+环境富集(MSEE)组,母鼠与PND 4分离3 h/d,期间将大鼠转入富集笼,直至PND 18断奶早期;还有一个对照组。然后,研究人员对老鼠进行了一系列行为测试,以评估它们的探索行为、焦虑、记忆、物种典型行为和抑郁。在PND 48时,处死大鼠,切除其大脑进行生化评估。结果:MS大鼠的焦虑增加,在黑白小巷的光侧花费的时间显着减少。情感表达显著降低了焦虑。MS大鼠的自然探索行为受到抑制,在野外试验中交叉的方块数量减少(P = 0.031),完全没有饲养行为。在野外试验中,MS大鼠早期生活EE使其探索性行为恢复到或接近控制值。空间记忆表现出EE的显著改善。结论:母亲分离期间和分离后早期生活情感表达可改善大鼠多种不良心理后果。关键字
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引用次数: 0
Probiotic Lactobacillus Acidophilus prevents bone loss in aged osteoporosis in rats; the possible implication of NLRP3 Inflammasome 益生菌嗜酸乳杆菌预防老年骨质疏松大鼠骨质流失;NLRP3炎性体的可能含义
Pub Date : 2023-07-01 DOI: 10.21608/besps.2023.206894.1141
M. Allam, Hala Anwer, W. E. El Gazzar, N. Ahmed, N. El-shaer
Senile osteoporosis (SOP) is a degenerative bone disease associated with increasing susceptibility to fractures and mortality in the elderly. Innate immunity and specifically the nucleotide-binding oligomerization domain (NOD)-like receptor family pyrin domain containing 3 (NLRP3) inflammasome, with its subsequent mediators caspase1-and interlukin-1b (IL-1b),have recently been linked to osteoporosis. Probiotic lactobacillus acidophilus (L.A) was reported to exert favorable effects on osteoporosis. The aim of this study was to identify the protective effects of probiotic L.A in aged osteoporotic rat model and to evaluate the possible underlying mechanisms focusing on NLRP3 inflammasome and its effectors caspase-1 and interleukin -1b. Thirty-two adult male albino rats were designated to four equivalent groups. Group I; control, group II; probiotic L.A, group III; osteoporotic group, and group IV; probiotic LA+ osteoporosis group. Osteoporotic rats pretreated with L.A in a dose of 10 9 CFU/ml / day for 8 weeks revealed a significantly lower oxidative stress state, increased bone mineral density (BMD), enhanced bone histological architecture, lower serum calcium, higher bone formation markers associated with lower bone resorption marker, lower serum receptor activator of nuclear factor kappa- Β ligand (RANKL), decreased bone NLRP3 inflammasome as well as caspase-1 expression levels and lower serum IL-1b.Osteoprotective effects of probiotic L.A in SOP rat model mediated even in part via its anti-inflammatory effects that was represented by decreased NLRP3 inflammasome and its subsequent mediators caspase-1 and IL-1b, that resulted in enhancement of bone formation and reduction of bone resorption.
老年性骨质疏松症(SOP)是一种退行性骨病,与老年人骨折易感性和死亡率增加有关。先天免疫,特别是含有3 (NLRP3)炎性体的核苷酸结合寡聚化结构域(NOD)样受体家族pyrin结构域,及其随后的介质caspase1和interleukin -1b (IL-1b),最近与骨质疏松症有关。据报道,益生菌嗜酸乳杆菌(L.A)对骨质疏松症有良好的作用。本研究旨在确定益生菌L.A对老年骨质疏松大鼠模型的保护作用,并以NLRP3炎症小体及其效应物caspase-1和白细胞介素-1b为重点,评估其可能的潜在机制。32只成年雄性白化大鼠被分为四个相等的组。组我;对照组,第二组;益生菌L.A, III组;骨质疏松组和IV组;LA+骨质疏松组。以10 9 CFU/ml /天的剂量L.A预处理骨质疏松大鼠,连续8周,其氧化应激状态显著降低,骨密度(BMD)升高,骨组织结构增强,血清钙水平降低,骨形成标志物升高,骨吸收标志物降低,血清核因子κ - Β配体受体激活物(RANKL)降低,骨NLRP3炎性体和caspase-1表达水平降低,血清IL-1b降低。益生菌L.A在SOP大鼠模型中的骨保护作用甚至部分是通过其抗炎作用介导的,其表现为NLRP3炎性体及其随后的介质caspase-1和IL-1b的减少,从而促进骨形成和减少骨吸收。
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引用次数: 0
期刊
Bulletin of Egyptian Society for Physiological Sciences
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