The exudative-constrictive tuberculosis pericarditis diagnosed by toracoscopic biopsy
|
01.08.2020 |
Blagova O.V.
Alijeva I.N.
Nedostup A.V.
Senchihin P.V.
Parshin V.D.
Kogan E.A.
|
Journal of Clinical Tuberculosis and Other Mycobacterial Diseases |
10.1016/j.jctube.2020.100165 |
0 |
Ссылка
© 2020 The Authors Purpose: To present the problems and possibilities of diagnostic and treatment in a patient with resistant exudative-constrictive pericarditis. Methods: The male patient 31 y. was admitted to the clinic due to exudative pericarditis and arthritis of the left knee joint. His medical history periodic febrile fever with a cough, episodes of syncope and atrial fibrillation, treatment with antibiotics and corticosteroids with a temporary effect. Results: No data were received for systemic disease, hypothyroidism, tumors. With CT in both lungs, small areas of fibrosis and lymphadenopathy were identified. Pericardial sheets diffusely thickened. EchoCG shows one liter of pericardial fluid with fibrin. All tests for viruses and tuberculosis are negative. Thoracoscopy was performed. Morphological examination showed tuberculosis granulomas with caseous necrosis. The growth of mycobacteria of tuberculosis from sputum was obtained. Therapy included pyrazinamide, ethambutol, levofloxacin, prednisolone 20 mg / day. Ponce's disease regressed. Due to the increase of constriction, subtotal pericardectomy was performed. Conclusion: Tuberculosis is one of the real causes of pericarditis with massive effusion and an outcome in constriction. The negative results of all laboratory tests for tuberculosis do not exclude the diagnosis. It is necessary to use invasive morphological diagnosis, including thoracoscopic biopsy.
Читать
тезис
|
The exudative-constrictive tuberculosis pericarditis diagnosed by toracoscopic biopsy
|
01.08.2020 |
Blagova O.V.
Alijeva I.N.
Nedostup A.V.
Senchihin P.V.
Parshin V.D.
Kogan E.A.
|
Journal of Clinical Tuberculosis and Other Mycobacterial Diseases |
10.1016/j.jctube.2020.100165 |
0 |
Ссылка
© 2020 The Authors Purpose: To present the problems and possibilities of diagnostic and treatment in a patient with resistant exudative-constrictive pericarditis. Methods: The male patient 31 y. was admitted to the clinic due to exudative pericarditis and arthritis of the left knee joint. His medical history periodic febrile fever with a cough, episodes of syncope and atrial fibrillation, treatment with antibiotics and corticosteroids with a temporary effect. Results: No data were received for systemic disease, hypothyroidism, tumors. With CT in both lungs, small areas of fibrosis and lymphadenopathy were identified. Pericardial sheets diffusely thickened. EchoCG shows one liter of pericardial fluid with fibrin. All tests for viruses and tuberculosis are negative. Thoracoscopy was performed. Morphological examination showed tuberculosis granulomas with caseous necrosis. The growth of mycobacteria of tuberculosis from sputum was obtained. Therapy included pyrazinamide, ethambutol, levofloxacin, prednisolone 20 mg / day. Ponce's disease regressed. Due to the increase of constriction, subtotal pericardectomy was performed. Conclusion: Tuberculosis is one of the real causes of pericarditis with massive effusion and an outcome in constriction. The negative results of all laboratory tests for tuberculosis do not exclude the diagnosis. It is necessary to use invasive morphological diagnosis, including thoracoscopic biopsy.
Читать
тезис
|
Criterion of non monotonic magnetic relaxation in Pt/Co/Ir/Co/Pt synthetic ferrimagnet with perpendicular anisotropy
|
01.06.2020 |
Morgunov R.B.
Bezverkhnii A.I.
|
Superlattices and Microstructures |
10.1016/j.spmi.2020.106509 |
0 |
Ссылка
© 2020 Elsevier Ltd In Pt/Co/Ir/Co/Pt synthetic ferrimagnet, non-monotonic magnetic relaxation (NMMR) caused by switching of external magnetic dependends on Co layer thicknesse and temperature. In this paper, we have varied thickness of one of the Co layers in the Pt/Co/Ir/Co/Pt synthetic ferrimagnet in the 0.6–1.0 nm range at fixed Co layer thickness of another layer 1.1 nm in the 50–300 K range to find experimental conditions for NMMR. We found interdependence between Co layer thickness tCo and temperature T providing NMMR. Energy balance between magnetic anisotropies and exchange interaction of the two Co layers stipulates linear dependence of nessecary T on tCo. Exsact expression limitating magnetic anisotropies of the thick and thin Co layers and predicting NMMR conditions in tCo - T space is proposed. Altough all mentioned results relates to experiments in permanent magnetic field, the contribution of the NMMR to the magnetic hysteresis loops recorded in sweeping magetic field was experimentally found. Obtained results can be used for wide family of synthetic ferrimagnets with perpendicular anisotropy.
Читать
тезис
|
Serotonin (5-HT) neuron-specific inactivation of Cadherin-13 impacts 5-HT system formation and cognitive function
|
15.05.2020 |
Forero A.
Ku H.P.
Malpartida A.B.
Wäldchen S.
Alhama-Riba J.
Kulka C.
Aboagye B.
Norton W.H.J.
Young A.M.J.
Ding Y.Q.
Blum R.
Sauer M.
Rivero O.
Lesch K.P.
|
Neuropharmacology |
10.1016/j.neuropharm.2020.108018 |
0 |
Ссылка
© 2020 The Authors Genome-wide screening approaches identified the cell adhesion molecule Cadherin-13 (CDH13) as a risk factor for neurodevelopmental disorders, nevertheless the contribution of CDH13 to the disease mechanism remains obscure. CDH13 is involved in neurite outgrowth and axon guidance during early brain development and we previously provided evidence that constitutive CDH13 deficiency influences the formation of the raphe serotonin (5-HT) system by modifying neuron-radial glia interaction. Here, we dissect the specific impact of CDH13 on 5-HT system development and function using a 5-HT neuron-specific Cdh13 knockout mouse model (conditional Cdh13 knockout, Cdh13 cKO). Our results show that exclusive inactivation of CDH13 in 5-HT neurons selectively increases 5-HT neuron density in the embryonic dorsal raphe, with persistence into adulthood, and serotonergic innervation of the developing prefrontal cortex. At the behavioral level, adult Cdh13 cKO mice display delayed acquisition of several learning tasks and a subtle impulsive-like phenotype, with decreased latency in a sociability paradigm alongside with deficits in visuospatial memory. Anxiety-related traits were not observed in Cdh13 cKO mice. Our findings further support the critical role of CDH13 in the development of dorsal raphe 5-HT circuitries, a mechanism that may underlie specific clinical features observed in neurodevelopmental disorders.
Читать
тезис
|
Serotonin (5-HT) neuron-specific inactivation of Cadherin-13 impacts 5-HT system formation and cognitive function
|
15.05.2020 |
Forero A.
Ku H.P.
Malpartida A.B.
Wäldchen S.
Alhama-Riba J.
Kulka C.
Aboagye B.
Norton W.H.J.
Young A.M.J.
Ding Y.Q.
Blum R.
Sauer M.
Rivero O.
Lesch K.P.
|
Neuropharmacology |
10.1016/j.neuropharm.2020.108018 |
0 |
Ссылка
© 2020 The Authors Genome-wide screening approaches identified the cell adhesion molecule Cadherin-13 (CDH13) as a risk factor for neurodevelopmental disorders, nevertheless the contribution of CDH13 to the disease mechanism remains obscure. CDH13 is involved in neurite outgrowth and axon guidance during early brain development and we previously provided evidence that constitutive CDH13 deficiency influences the formation of the raphe serotonin (5-HT) system by modifying neuron-radial glia interaction. Here, we dissect the specific impact of CDH13 on 5-HT system development and function using a 5-HT neuron-specific Cdh13 knockout mouse model (conditional Cdh13 knockout, Cdh13 cKO). Our results show that exclusive inactivation of CDH13 in 5-HT neurons selectively increases 5-HT neuron density in the embryonic dorsal raphe, with persistence into adulthood, and serotonergic innervation of the developing prefrontal cortex. At the behavioral level, adult Cdh13 cKO mice display delayed acquisition of several learning tasks and a subtle impulsive-like phenotype, with decreased latency in a sociability paradigm alongside with deficits in visuospatial memory. Anxiety-related traits were not observed in Cdh13 cKO mice. Our findings further support the critical role of CDH13 in the development of dorsal raphe 5-HT circuitries, a mechanism that may underlie specific clinical features observed in neurodevelopmental disorders.
Читать
тезис
|
Serotonin (5-HT) neuron-specific inactivation of Cadherin-13 impacts 5-HT system formation and cognitive function
|
15.05.2020 |
Forero A.
Ku H.P.
Malpartida A.B.
Wäldchen S.
Alhama-Riba J.
Kulka C.
Aboagye B.
Norton W.H.J.
Young A.M.J.
Ding Y.Q.
Blum R.
Sauer M.
Rivero O.
Lesch K.P.
|
Neuropharmacology |
10.1016/j.neuropharm.2020.108018 |
0 |
Ссылка
© 2020 The Authors Genome-wide screening approaches identified the cell adhesion molecule Cadherin-13 (CDH13) as a risk factor for neurodevelopmental disorders, nevertheless the contribution of CDH13 to the disease mechanism remains obscure. CDH13 is involved in neurite outgrowth and axon guidance during early brain development and we previously provided evidence that constitutive CDH13 deficiency influences the formation of the raphe serotonin (5-HT) system by modifying neuron-radial glia interaction. Here, we dissect the specific impact of CDH13 on 5-HT system development and function using a 5-HT neuron-specific Cdh13 knockout mouse model (conditional Cdh13 knockout, Cdh13 cKO). Our results show that exclusive inactivation of CDH13 in 5-HT neurons selectively increases 5-HT neuron density in the embryonic dorsal raphe, with persistence into adulthood, and serotonergic innervation of the developing prefrontal cortex. At the behavioral level, adult Cdh13 cKO mice display delayed acquisition of several learning tasks and a subtle impulsive-like phenotype, with decreased latency in a sociability paradigm alongside with deficits in visuospatial memory. Anxiety-related traits were not observed in Cdh13 cKO mice. Our findings further support the critical role of CDH13 in the development of dorsal raphe 5-HT circuitries, a mechanism that may underlie specific clinical features observed in neurodevelopmental disorders.
Читать
тезис
|
Lipid dynamics in nanoparticles formed by maleic acid-containing copolymers: EPR spectroscopy and molecular dynamics simulations
|
01.05.2020 |
Colbasevici A.
Voskoboynikova N.
Orekhov P.
Bozdaganyan M.
Karlova M.
Sokolova O.
Klare J.
Mulkidjanian A.
Shaitan K.
Steinhoff H.
|
Biochimica et Biophysica Acta - Biomembranes |
10.1016/j.bbamem.2020.183207 |
0 |
Ссылка
© 2020 Elsevier B.V. Amphiphilic maleic acid-containing copolymers account for a recent methodical breakthrough in the study of membrane proteins. Their application enables a detergent-free extraction of membrane proteins from lipid bilayers, yielding stable water-soluble, discoidal lipid bilayer particles with incorporated proteins, which are wrapped with copolymers. Although many studies confirm the potential of this approach for membrane protein research, the interactions between the maleic acid-containing copolymers and extracted lipids, as well as possible effects of the copolymers on lipid-embedded proteins deserve further scrutinization. Here, we combine electron paramagnetic resonance spectroscopy and coarse-grain molecular dynamics simulations to compare the distribution and dynamics of lipids in lipid particles of phospholipid bilayers encased either by an aliphatic diisobutylene/maleic acid copolymer (DIBMALPs) or by an aromatic styrene/maleic acid copolymer (SMALPs). Nitroxides located at the 5th, 12th or 16th carbon atom positions in phosphatidylcholine-based spin labels experience restrictions of their reorientational motion depending on the type of encasing copolymer. The dynamics of the lipids was less constrained in DIBMALPs than in SMALPs with the affinity of spin labeled lipids to the polymeric rim being more pronounced in SMALPs.
Читать
тезис
|
Lung-on-a-chip: the future of respiratory disease models and pharmacological studies
|
01.03.2020 |
Shrestha J.
Razavi Bazaz S.
Aboulkheyr Es H.
Yaghobian Azari D.
Thierry B.
Ebrahimi Warkiani M.
Ghadiri M.
|
Critical reviews in biotechnology |
10.1080/07388551.2019.1710458 |
0 |
Ссылка
Recently, organ-on-a-chip models, which are microfluidic devices that mimic the cellular architecture and physiological environment of an organ, have been developed and extensively investigated. The chips can be tailored to accommodate the disease conditions pertaining to many organs; and in the case of this review, the lung. Lung-on-a-chip models result in a more accurate reflection compared to conventional in vitro models. Pharmaceutical drug testing methods traditionally use animal models in order to evaluate pharmacological and toxicological responses to a new agent. However, these responses do not directly reflect human physiological responses. In this review, current and future applications of the lung-on-a-chip in the respiratory system will be discussed. Furthermore, the limitations of current conventional in vitro models used for respiratory disease modeling and drug development will be addressed. Highlights of additional translational aspects of the lung-on-a-chip will be discussed in order to demonstrate the importance of this subject for medical research.
Читать
тезис
|
Data on occurrence of miRNA precursors in the Cucurbita maxima phloem sap
|
01.02.2020 |
Tolstyko E.
Lezzhov A.
Solovieva A.
Solovyev A.
|
Data in Brief |
10.1016/j.dib.2019.105083 |
0 |
Ссылка
© 2019 The Author(s) The phloem sieve elements (SEs), enucleate cells, contain RNAs, which are imported from surrounding tissues and cells, mostly companion cells tightly associated with SEs, and transported via the phloem over the whole plant body. The RNA phloem transport is essential for plant individual development and responses to environmental cues. Recently, we identified primary miRNA (pri-miRNA) sequences in de novo assembled transcriptome of Cucurbita maxima phloem sap and reported 11 most abundant pri-miRNAs [1]. Here, we provide the output of this analysis in complete detail. For the full set of pri-miRNAs identified in the C. maxima phloem sap transcriptome, data on relative abundance are provided along with annotated sequence data.
Читать
тезис
|
Oncobox Method for Scoring Efficiencies of Anticancer Drugs Based on Gene Expression Data
|
01.01.2020 |
Tkachev V.
Sorokin M.
Garazha A.
Borisov N.
Buzdin A.
|
Methods in Molecular Biology |
10.1007/978-1-0716-0138-9_17 |
0 |
Ссылка
© Springer Science+Business Media, LLC, part of Springer Nature 2020. We describe here the Oncobox method for scoring efficiencies of anticancer target drugs (ATDs) using high throughput gene expression data. The method rationale, design, and validation are given along with the examples of its practical applications in biomedicine. The method is based on the analysis of intracellular molecular pathways activation and measuring expressions of molecular target genes for every ATD under consideration. Using Oncobox method requires collection of normal (control) expression profiles and annotated databases of molecular pathways and drug target genes. Both microarray and RNA sequencing profiles are acceptable, although the latter type of data prevails in the most recent applications of this technique.
Читать
тезис
|
Quantitation of Molecular Pathway Activation Using RNA Sequencing Data
|
01.01.2020 |
Borisov N.
Sorokin M.
Garazha A.
Buzdin A.
|
Methods in Molecular Biology |
10.1007/978-1-0716-0138-9_15 |
1 |
Ссылка
© Springer Science+Business Media, LLC, part of Springer Nature 2020. Intracellular molecular pathways (IMPs) control all major events in the living cell. IMPs are considered hotspots in biomedical sciences and thousands of IMPs have been discovered for humans and model organisms. Knowledge of IMPs activation is essential for understanding biological functions and differences between the biological objects at the molecular level. Here we describe the Oncobox system for accurate quantitative scoring activities of up to several thousand molecular pathways based on high throughput molecular data. Although initially designed for gene expression and mainly RNA sequencing data, Oncobox is now also applicable for quantitative proteomics, microRNA and transcription factor binding sites mapping data. The Oncobox system includes modules of gene expression data harmonization, aggregation and comparison and a recursive algorithm for automatic annotation of molecular pathways. The universal rationale of Oncobox enables scoring of signaling, metabolic, cytoskeleton, immunity, DNA repair, and other pathways in a multitude of biological objects. The Oncobox system can be helpful to all those working in the fields of genetics, biochemistry, interactomics, and big data analytics in molecular biomedicine.
Читать
тезис
|
Trabecular bone attenuation and velocity assess by ultrasound pulse-echoes
|
01.01.2020 |
Rusnak I.
Rosenberg N.
Halevy-Politch J.
|
Applied Acoustics |
10.1016/j.apacoust.2019.107007 |
0 |
Ссылка
© 2019 Elsevier Ltd Attenuation and velocity (Speed-of-Sound) in a trabecular bone were calculated and evaluated from ultrasound pulse-echoes detection and their processing, applying a single US transducer that operates in transmit/receive mode. The processing of US pulse-echoes utilized development of algorithms for the attenuation and the Speed-of-Sound in trabecular bone. These ultra-sound pulse-echoes were obtained from the front and rear surfaces of a trabecular bone sample. The motivation for this work was to develop an efficient intraosseous monitoring device that provides the Speed-of-Sound and attenuation intraoperatively and in real-time and therefore can be implemented during a surgery. Ultrasonic measurements were performed in the frequency range of 3.5–6.5 [MHz]. In these experiments, the fresh trabecular bone samples were from sheep femora and humerus. The measuring results were correlated (R2 ≥ 0.95) with those obtained previously, mainly during transmission mode studies. According to the obtained results, the presented method presumably will be utilized as a clinical tool in bone surgical procedures and therefore will be able to provide better outcomes, while monitoring intraoperatively and in real-rime intraosseous trabecular bone attenuation and its velocity: In the next stage of this study, the method will be carried out on human tissues and also intraoperatively, during human clinical trials. It is planned to perform it on long bones/tibia, vertebra, in neurosurgery – for drilling the skull and also in dental implantation surgery.
Читать
тезис
|
Industrial Cyber-Physical Systems: Risks Assessment and Attacks Modeling
|
01.01.2020 |
Kravets A.
Salnikova N.
Dmitrenko K.
Lempert M.
|
Studies in Systems, Decision and Control |
10.1007/978-3-030-32648-7_16 |
0 |
Ссылка
© 2020, Springer Nature Switzerland AG. The chapter is devoted to the attacks modeling for Cyber-Physical systems of industrial enterprises with regard to risk assessment. In this chapter the analysis of corporate systems of industrial is held; systems’ attacks and risk assessment techniques were studied; software for attacks modeling are compared. Information models of corporate networks and attacks are developed; describes the design and basic functions of the module for assessing the risks of attacks in the corporate system. Corporate networks of more than 70% of industrial enterprises are potentially vulnerable to hacker attacks. Today, according to research by Positive Technologies analysts, hackers can cross the perimeter and get into the corporate network of 73% of the companies in the industrial segment. In 82% of companies, penetration from the corporate network to the technological one is possible. One of the main opportunities for obtaining unauthorized access to the enterprise network turned out to be administrative control channels. Solving the problem of ensuring the information security of Cyber-Physical systems is an urgent task today.
Читать
тезис
|
Molecular Pathway Analysis of Mutation Data for Biomarkers Discovery and Scoring of Target Cancer Drugs
|
01.01.2020 |
Zolotovskaia M.
Sorokin M.
Garazha A.
Borisov N.
Buzdin A.
|
Methods in Molecular Biology |
10.1007/978-1-0716-0138-9_16 |
0 |
Ссылка
© Springer Science+Business Media, LLC, part of Springer Nature 2020. DNA mutations govern cancer development. Cancer mutation profiles vary dramatically among the individuals. In some cases, they may serve as the predictors of disease progression and response to therapies. However, the biomarker potential of cancer mutations can be dramatically (several orders of magnitude) enhanced by applying molecular pathway-based approach. We developed Oncobox system for calculation of pathway instability (PI) values for the molecular pathways that are aggregated mutation frequencies of the pathway members normalized on gene lengths and on number of genes in the pathway. PI scores can be effective biomarkers in different types of comparisons, for example, as the cancer type biomarkers and as the predictors of tumor response to target therapies. The latter option is implemented using mutation drug score (MDS) values, which algorithmically rank the drugs capacity of interfering with the mutated molecular pathways. Here, describe the mathematical basis and algorithms for PI and MDS values calculation, validation and implementation. The example analysis is provided encompassing 5956 human tumor mutation profiles of 15 cancer types from The Cancer Genome Atlas (TCGA) project, that totally make 2,316,670 mutations in 19,872 genes and 1748 molecular pathways, thus enabling ranking of 128 clinically approved target drugs. Our results evidence that the Oncobox PI and MDS approaches are highly useful for basic and applied aspects of molecular oncology and pharmacology research.
Читать
тезис
|
An international cross-cultural study of nursing students' perceptions of caring
|
01.01.2020 |
Pajnkihar M.
Kocbek P.
Musović K.
Tao Y.
Kasimovskaya N.
Štiglic G.
Watson R.
Vrbnjak D.
|
Nurse Education Today |
10.1016/j.nedt.2019.104214 |
0 |
Ссылка
© 2019 Elsevier Ltd Background: Single studies suggest that nursing students perceive caring as more an instrumental than expressive behaviour and indicate some differences between caring perceptions in junior and senior nursing students. However, there are limited studies investigating caring perceptions in nursing students across multiple cultures. Objective: To determine perceptions of caring in Slovene, Croatian, Chinese and Russian nursing students and explore whether there are statistically significant differences in perceptions of caring between countries and between first and third-year nursing students. Design: A cross-sectional descriptive study design was used. Settings and participants: The study included 604 nursing students enrolled in first and third year in seven different nursing faculties in four countries: Slovenia; China; Croatia; and the Russian Federation. Methods: The 25-item Caring Dimension Inventory (CDI-25) was used to measure caring perceptions. We also included demographic questions regarding age, gender, country, year of study and type of study. Demographic data were analysed using descriptive analysis while a two-way analysis of variance (ANOVA) adjusted for unequal sample sizes was performed together with a post hoc analysis of the results. Results: The results of two-way ANOVA showed that both main effects (country and year of study) were statistically significant, as well as their interaction at the 0.05 significance level. The main effect for country was F(3, 596) = 3.591, p < 0.0136 indicating a significant difference in CDI-25 between Slovenia (M = 108.9, SD = 9.2), Russian Federation (M = 107.1, SD = 8.2), China (M = 102.8, SD = 9.7) and Croatia (M = 110.0, SD = 8.6). Conclusions: Perceptions of caring in nursing students differ across countries, probably due to different educational systems, curricula, cultural differences and societal values. Implementing caring theories in nursing curricula could help students to cultivate caring during their education.
Читать
тезис
|
Association between sleep duration and executive function differs between diabetic and non-diabetic middle-aged and older adults
|
01.01.2020 |
Titova O.
Lindberg E.
Tan X.
Elmståhl S.
Lind L.
Schiöth H.
Benedict C.
|
Psychoneuroendocrinology |
10.1016/j.psyneuen.2019.104472 |
0 |
Ссылка
© 2019 The Authors Executive function is defined as a set of cognitive skills that are necessary to plan, monitor, and execute a sequence of goal-directed complex actions. Executive function is influenced by a variety of factors, including habitual sleep duration and diabetes. In the present study, we investigated in 18,769 Swedish adults (mean age: 61 y) the association between executive function, diabetes, and self-reported sleep duration. We observed a significant interaction between diabetes and sleep duration for the Trail Making Test (TMT) ratio (P < 0.01). This ratio is a measure of executive function where higher values indicate worse performance. Among diabetic participants (n = 1,523), long (defined as ≥9 h per day) vs. normal sleep duration (defined as 7–8 hours per day) was associated with a higher TMT ratio (P < 0.05). Similar significant results were observed in diabetic individuals without pharmacological treatment for diabetes (n = 1,062). Among non-diabetic participants (n = 17,246), no association between long sleep duration and the TMT ratio was observed (P > 0.05). Instead, short (defined as <7 h per day) vs. normal sleep duration was linked to a higher TMT ratio (P < 0.05). These findings suggest that the association between sleep duration and executive function differs between diabetic and non-diabetic middle-aged and older adults. Based on the cross-sectional design of the study, no firm conclusions can be drawn on the causality of the relations.
Читать
тезис
|
Safety of retigabine in adults with partial-onset seizures after long-term exposure: focus on unexpected ophthalmological and dermatological events
|
01.01.2020 |
Brickel N.
Hewett K.
Rayner K.
McDonald S.
De'Ath J.
Daniluk J.
Joshi K.
Boll M.
Tiamkao S.
Vorobyeva O.
Cooper J.
|
Epilepsy and Behavior |
10.1016/j.yebeh.2019.106580 |
0 |
Ссылка
© 2019 The Authors Background: Retigabine is an antiepileptic drug developed for the adjunctive treatment of adults with epilepsy and partial-onset seizures (POS). Following its approval in 2011, reports of ophthalmological/dermatological pigmentation/discoloration led to a restriction of the indication in 2013, and in 2017, retigabine was voluntarily withdrawn from the market because of its limited usage. Here, data are reported from four open-label extension studies focusing on long-term safety with particular emphasis on ophthalmological and dermatological events. Methods: Studies 113413 (NCT01336621), 114873 (NCT01777139), 115097 (NCT00310388), and 115098 (NCT00310375) were multicenter, open-label extension studies of retigabine (300–1200 mg/day) for the adjunctive treatment of adults with POS. Safety assessments included monitoring treatment-emergent adverse events (TEAEs) and serious adverse events (SAEs). When new safety issues were identified, protocols were amended to include additional on-treatment safety evaluations, including ophthalmological and dermatological examinations. Patients who had abnormal retinal pigmentation, unexplained vision change, pigmentation of nonretinal ocular tissue, or abnormal discoloration of skin, lips, nails, and/or mucosa at the end of the treatment phase were asked to enter a safety follow-up continuation phase comprising 6-monthly ophthalmological/dermatological assessments. Results: The safety population (patients receiving ≥ 1 dose of retigabine in the open-label phase) comprised 98, 30, 376, and 181 patients for studies 113413, 114873, 115097, and 115098, respectively. Mean (standard deviation) treatment exposure ranged from 529 (424) to 1129 (999) days. In total, 68%–96% and 4%–27% of patients across the studies experienced TEAEs and TE SAEs, respectively. There were seven on-treatment deaths and two after discontinuation. Overall, 14%–73% of patients had an on-treatment eye examination, of whom 8/53, 4/22, 17/54, and 14/36 had abnormal retinal pigmentation and 15/53, 7/22, 15/54, and 11/36 had nonretinal ocular pigmentation in studies 113413, 114873, 115097, and 115098, respectively. Four patients had confirmed acquired vitelliform maculopathy. In patients with unresolved events at discontinuation and ≥ 1 posttreatment follow-up, retinal pigmentation resolved completely in 1/3, 0/3, 0/10, and 1/7 patients and nonretinal ocular pigmentation in 1/4, 0/3, 8/10, and 4/6 patients, respectively. Overall, 12%–83% of patients had an on-treatment dermatological examination, of whom 11/58, 0/25, 23/46, and 23/37 had any-tissue discoloration, respectively. In patients with unresolved events at discontinuation and ≥ 1 posttreatment follow-up, discoloration of skin, lips, nails, and/or mucosa resolved completely in 2/3, 0/0, 7/13, and 1/11 patients, respectively. Conclusions: The safety profile of retigabine in adults with POS across four open-label studies was generally consistent with data from previous placebo-controlled studies. Discoloration of various tissues occurred in a proportion of patients treated with retigabine and resolved completely in a small number of these patients following treatment discontinuation. In addition, comprehensive eye examination identified a new adverse reaction of acquired vitelliform maculopathy in a limited number of patients.
Читать
тезис
|
Harnessing the potential of killers and altruists within the microbial community: A possible alternative to antibiotic therapy?
|
01.12.2019 |
Ikryannikova L.
Kurbatov L.
Soond S.
Zamyatnin A.
|
Antibiotics |
10.3390/antibiotics8040230 |
0 |
Ссылка
© 2019 by the authors. Licensee MDPI, Basel, Switzerland. In the context of a post-antibiotic era, the phenomenon of microbial allolysis, which is defined as the partial killing of bacterial population induced by other cells of the same species, may take on greater significance. This phenomenon was revealed in some bacterial species such as Streptococcus pneumoniae and Bacillus subtilis, and has been suspected to occur in some other species or genera, such as enterococci. The mechanisms of this phenomenon, as well as its role in the life of microbial populations still form part of ongoing research. Herein, we describe recent developments in allolysis in the context of its practical benefits as a form of cell death that may give rise to developing new strategies for manipulating the life and death of bacterial communities. We highlight how such findings may be viewed with importance and potential within the fields of medicine, biotechnology, and pharmacology.
Читать
тезис
|
First-in-human trials of gamtbvac, a recombinant subunit tuberculosis vaccine candidate: Safety and immunogenicity assessment
|
01.12.2019 |
Vasina D.
Kleymenov D.
Manuylov V.
Mazunina E.
Koptev E.
Tukhovskaya E.
Murashev A.
Gintsburg A.
Gushchin V.
Tkachuk A.
|
Vaccines |
10.3390/vaccines7040166 |
0 |
Ссылка
© 2019, MDPI AG. All rights reserved. Tuberculosis is known to be the biggest global health problem, causing the most deaths by a single infectious agent. Vaccine-development efforts are extremely important. This paper represents the results of the first-in-human trial of recombinant subunit tuberculosis vaccine GamTBvac in a Phase I study. GamTBvac is a new BCG booster candidate vaccine containing dextran-binding domain modified Ag85a and ESAT6-CFP10 MTB antigens and CpG ODN adjuvant, formulated with dextrans. Safety and immunogenicity of GamTBvac were estimated in an open-label clinical trial on 60 Mycobacterium tuberculosis uninfected (MTB-uninfected) volunteers previously-vaccinated with Bacillus Calmette—Guérin vaccine (BCG). The candidate vaccine had an acceptable safety profile and was well-tolerated. Three different vaccine doses with a double-immunization scheme were assessed for immunogenicity and induced a significant increase in IFN-γ in-house IGRA response and IgG ELISA analysis. Among them, the half dose vaccine group (containing DBD-ESAT6-CFP10, 12.5 μg; DBD-Ag85a, 12.5 μg; CpG (ODN 2216), 75 μg; DEAE-Dextran 500 kDa, 250 μg; and Dextran 500 kDa, 5 mg) provided high, early and stable in time immune response specific to both protein antigen fusions and is proposed for the further studies.
Читать
тезис
|
Toxicity assessment of particulate matter emitted from different types of vehicles on marine microalgae
|
01.12.2019 |
Pikula K.
Chernyshev V.
Zakharenko A.
Chaika V.
Waissi G.
Hai L.
Hien T.
Tsatsakis A.
Golokhvast K.
|
Environmental Research |
10.1016/j.envres.2019.108785 |
0 |
Ссылка
© 2019 Elsevier Inc. Air pollution caused by vehicle emissions remains a serious environmental threat in urban areas. Sedimentation of atmospheric aerosols, surface wash, drainage water, and urbane wastewater can bring vehicle particle emissions into the aquatic environment. However, the level of toxicity and mode of toxic action for this kind of particles are not fully understood. Here we explored the aquatic toxic effects of particulate matter emitted from different types of vehicles on marine microalgae Porphyridium purpureum and Heterosigma akashiwo. We used flow cytometry to evaluate growth rate inhibition, changes in the level of esterase activity, changes in membrane potential and size changes of microalgae cells under the influence of particulate matter emitted by motorcycles, cars and specialized vehicles with different types of engines and powered by different types of fuel. Both microalgae species were highly influenced by the particles emitted by diesel-powered vehicles. These particle samples had the highest impact on survival, esterase activity, and membrane potential of microalgae and caused the most significant increase in microalgae cell size compared to the particles produced by gasoline-powered vehicles. The results of the algae-bioassay strongly correlate with the data of laser granulometry analyses, which indicate that the most toxic samples had a significantly higher percentage of particles in the size range less than 1 μm. Visual observation with an optical microscope showed intensive agglomeration of the particles emitted by diesel-powered vehicles with microalgae cells. Moreover, within the scope of this research, we did not observe the direct influence of metal content in the particles to the level of their aquatic toxicity, and we can conclude that physical damage is the most probable mechanism of toxicity for vehicle emitted particles.
Читать
тезис
|