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Vol 19, No 4 (2021)

Articles

Organization of work of a multidisciplinary hospital in a pandemic of a new coronavirus infection

Perekhodov S.N., Rodyukova I.S., Chaus N.I., Karpun N.A.

Abstract

The appearance and spread of a new coronavirus infection around the world has led to the urgent need to open additional hospitals to receive infectious patients. The Department of Health of the city of Moscow decided to re-profile the city’s multidisciplinary hospitals, one of which was the City clinical Hospital V.P. Demikhova. In the shortest possible time a method for receiving infectious patients was created, anti-epidemic measures were worked out, personnel were trained, a patient routing map was created, and algorithms for the treatment of COVID-19 were introduced. As the number of patients with a new coronavirus infection grew, all the buildings of the Hospital were involved in the work, and a new 800-bed infectious diseases hospital was built and opened on the territory of New Moscow - the Moscow Clinical center for infectious diseases «Voronovskoye». The measures taken and the coherence of the team’s work contributed to the timely and high-quality provision of medical care to patients with COVID-19. The gradual recession of the epidemic allowed the multidisciplinary hospital to return to the previous mode of operation, however, in the conditions of the continuing high level of the disease, strict anti-epidemic measures are observed, and the «Voronovskoye» continues to receive patients with a new coronavirus infection.
Molekulyarnaya Meditsina (Molecular medicine). 2021;19(4):3-9
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The role of VEGF and microRNA in the formation of the endometrioid phenotype of endometrial cells

Ukrainets R.V., Korneva Y.S.

Abstract

This review attempts to generalize current data on the role of microRNAs in the pathogenesis of endometriosis and their pathogenetic relationship with the main pathomorphological phenomena in this pathology. Nowadays, many microRNAs were studied to clarify the pathogenesis of endometriosis and its reliable diagnostic marker. The difference between heterotopic endometrioid cells and intact endometrial cells is referred to in the literature as «endometrioid phenotype formation» and probably depends on changes in the expression of specific microRNAs. Increasing VEGF expression in endometriosis has a common pathogenetic axis with impaired expression of many microRNAs, like miR-29c, miR-33b, miR-199a-5p, and miR-210. Probably, changes in the expression of these microRNAs lead to the formation of an endometrioid phenotype. The subsequent pathogenetic cascade in the form of changes in the expression of miR-145 and miR-451 promotes the formation of endometriosis-associated infertility. Changes in the expression of miR-199a-5p, miR-125b-5P and miR-191 in turn increase the risk of malignization of endometrioid heterotopia. This data may serve to create both prevention and targeted therapy for endometriosis and related infertility, as well as to prevent the development of endometriosis-associated cancer.
Molekulyarnaya Meditsina (Molecular medicine). 2021;19(4):10-14
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Atopic dermatitis: a modern view of intercellular interactions

Iskra E.L., Iskra A.S., Polyakova V.O., Nasirov R.A.

Abstract

Atopic dermatitis (AD) is characterized by a violation of the epidermal barrier dysfunction. This review examines the work of the authors who describe mutations in the filaggrin gene as predisposing factors for the development of AD and describe the dysfunction of the epidermal barrier as a causal mechanism. In recent years, signaling molecules have been widely studied as a key factor in the development of a particular pathology, including signaling molecules of intercellular contacts that play an important role in the pathogenesis of AD. Claudins are the main proteins that make up dense compounds. The analyzed articles in which proteins with dense compounds of claudin-1,7, claudin-10, occludin. It determines the density of these contacts and plays an important role in providing the barrier function. Evaluation of the expression level for further correction of proteins with dense compounds may be an important therapeutic target for targeted therapy of various diseases, including AD.
Molekulyarnaya Meditsina (Molecular medicine). 2021;19(4):15-18
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Methods for modeling hypothyroidism: classification and modeling principles

Chaulin A.M., Grigorieva Y.V., Suvorova G.N., Duplyakov D.V.

Abstract

Researchers widely use methods for modeling experimental pathological conditions to develop and preclinically evaluate the effectiveness of new drugs and study structural and functional changes in various organs and tissues. Hypothyroidism (hypofunction of the thyroid gland) is one of the most widespread diseases, which affects almost all structures of the human body. Due to the large number of methods developed to date for modeling hypothyroidism, there is a need to systematize them.The purpose of the literature review is to systematize the principles of modeling the thyroid gland’s hypofunction. This review presents a general classification, discusses the principles of implementation, and analyzes the advantages and disadvantages of the following hypothyroidism modeling methods: dietary, surgical, medicinal, immunological, radiosotopic, and genetic. These methods allow creating various specific conditions for the formation of hypofunction of the thyroid gland. To achieve the study’s goal, we analyzed the literature of domestic and foreign sources on the RSCI/elibrary and PubMed/Medline databases, respectively, published mainly during the last 20 years.
Molekulyarnaya Meditsina (Molecular medicine). 2021;19(4):19-26
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The alteration of microrna expression profiles in cutaneous malignant melanoma and benign melanocytic nevi

Tsyrenzhapova S.V., Belonogov R.N., Sergeeva E.Y., Ruksha T.G.

Abstract

Introduction. Early diagnostics of such oncological disease as cutaneous malignant melanoma is strictly important for the decrease of mortality. It is known that microRNA expression in melanoma cells and in bening melanocytic nevi is different, that can be used for improvement of early melanoma diagnostics. The aim of the study. The evaluation of microRNA expression profiles in melanoma and bening melanocytic nevi on the base of microarray; the identification of pathways and target genes for altered microRNA by means of bioinformatics analysis to expanse the view of the melanocytic tumors pathogenesis and to reveal new diagnostic markers. Material and methods. The study included biopsies of patients with melanoma and bening melanocytic nevi. The human melanoma cell line BRO was chosen to investigate the influence of miR-4286 inhibition on target genes expression. The microRNA expression profiles were estimated with a microarray and followed by bioinformatics analysis. MicroRNA target genes expression was assessed by real-time PCR. Results. The 16.15-fold increase of miR-4306expression level (pFDR=0,036), the 2.11-fold decrease of miR-6853-3p expression level (pFDR=0,036) were revealed in melanoma compared with bening melanocytic nevi. The pathways, proteins, and molecular functions of the detected target genes of the microRNA are associated, mostly, with cell proliferation, motility, and migration. The miR-4286 inhibition in melanoma BRO cells results in the decrease of miR-4286 target genes CCND1 and PLXNA2 expression. Conclusion. The microRNAs expression levels alteration can be supposed to associated with the stages of cell malignant transformation. MicroRNA profiling can be used both the improved comprehension of functional aspects of cancer development and the malignant tumor diagnostics.
Molekulyarnaya Meditsina (Molecular medicine). 2021;19(4):27-33
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Novacutan preparations as potential dermatogeroprotectors: molecular-microscopic study

Gazitaeva Z.I., Drobintseva A.O., Polyakova V.O., Kvetnoy I.M., Prokopov A.Y.

Abstract

Introduction. The work is devoted to study of new medication Novacutan SBio and Novacutan YBio as potential geroprotectors for biorevitalization of the skin. Klotho was used as a marker - to assess the overall aging of cells; MTH1 - the antioxidant status of cells; AR-1 - U.V. resistance of cells; synthetic activity of cells: elastin and collagen. The aim of the study was to compare the geroprotective properties of Novacutan YBio and Novacutan SBio. Methods. To study the aging of skin cells in culture, we used the method of combined cultivation of fibroblasts and keratinocytes of human skin, and to verify the expression of signaling molecules - aging markers - methods of immunocytochemistry and confocal microscopy. An in vitro experiment was performed to study of biopsies of the skin of patients after applying various therapies using Novacutan preparations. Results. We studied the expression of signaling molecules/markers AP-1, Klotho, Elastin, MTH-1 in samples of “young” and «old» cell cultures of human fibroblasts and keratinocytes when exposed to them with Novacutan YBio and Novacutan SBio. The authors showed a stimulating effect of Novacutan on the expression of markers Klotho, Elastin, MTH-1, and inhibitory effect on AP-1 expression during cell aging in cultures. Under in vitro conditions. Novacutan Y and S preparations were found to activate synthetic processes in the skin. In this case, the combination therapy of laser skin resurfacing with Novacutan biorevitalization courses is the most favorable. Conclusion. These studies allow considering the preparation Novacutan as a drug with pronounced general regulatory and dermatogeroprotective properties.
Molekulyarnaya Meditsina (Molecular medicine). 2021;19(4):34-41
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The influence of peptide bioregulators on the structural and functional specific of face skin in elderly women

Fridman N.V., Linkova N.S., Bojko L.V., Kacheli M.A.

Abstract

The actual goal of molecular medicine is the search for effective and safe peptide bioregulators for applying in cosmetology. Elderly women now need the applying of innovative methods of cosmetology. It allows such persons to avoid the visible manifestation of skin aging. This is an important aspect of the psychological comfort and social activity of patients. The goal of this work is the investigation of the influence of short peptides and polypeptides complexes on the structural and functional peculiarities of the facial skin in elderly women. Material and methods. The research included 30 elderly women. All patients were divided into three groups. Patients of the 1st control group had electrophoresis with the physiological solution once a day for eight weeks. Women in the 1st base group had electrophoresis with KED, EDR, EDP, and EDG peptides. Patients in the 2nd base group had the same as in the 1st group and per os applying polypeptide complexes of the pineal gland, cartilage, and ovary. The authors investigated the influence of peptide on the epidermis and derma thickness. Results. The increase of derma echogenicity in patients of the 2nd and 3rs groups was found in ultrasound scanogramms. The combined applying of short peptides and polypeptides complexes was more effective than applying only short peptides. In the 3rd group, the increase of epidermis and derma thickness was found to increase by 38 and 15%, respectively. Conclusion. Obtained data shown high efficiency of KED, EDR, EDP, EDG tripeptides, and polypeptide complexes of ovary, cartilage, and pineal gland for skin histoarchitectonic restoration in elderly women.
Molekulyarnaya Meditsina (Molecular medicine). 2021;19(4):42-46
pages 42-46 views

Impact of weakened geomagnetic field on the organotypic cell culture of various genesis

Ivanova P.N., Zalomaeva E.S., Surma S.V., Chalisova N.I., Ivko O.M., Nikitina E.A., Shchegolev B.F.

Abstract

Introduction. The investigations of the magnetic-biological effects are actual because of the permanent impact of changing Earth geomagnetic field on the live organisms. Purpose of the study was to investigate the impact of the weakened geomagnetic field (WGF) on the tissues of various genesis - ecto-, meso- and entodermal. The method of organotypic culture of tissues of Wistar line rats was used. Results. WGF stimulates cell proliferation in the mesodermal tissue (spleen, myocardium), whereas without its impact on other tissues under analysis. The WGF impact on the aerobic cells of spleen and myocardium can lead to the accumulation of the oxygen radicals, promoting a cell proliferation. The WGF stimulating effect of bioregulator peptides upon cell proliferation of all tissues, with the exception of myocardium and spleen tissue-specific peptides, was similar to the Earth magnetic field. Conclusion. The data about WGF stimulating effect on the cellular proliferation in myocardium, spleen can be used for creating physiotherapeutic methods of a regeneration increase in these tissues by pathology. The stimulating influence of bioregulator peptides upon all tissues under WGF impact is just the same as it is with the common geomagnetic field. It creates a base to its using under the WGF conditions by the fly in the cosmic space.
Molekulyarnaya Meditsina (Molecular medicine). 2021;19(4):47-51
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Shagen metabolism dynamics in tissues of rats with experimental diabetes on the background of chronic emotional stress

Savinova N.V., Danilova O.V., Perevedentseva S.E., Trofimova S.R., Naumova N.G.

Abstract

Introduction. Developing of chronic emotional stress reduces adaptive capabilities of people ill with diabetes mellitus causing the condition of decompensation with significant elevation of counterinsular hormones production and further progressive metabolic disturbances in the body tissues. Wherein, studying metabolism of the main structural component of the connective tissue, - collagen, is of interest since qualitative and quantitative changes of the given biopolymer metabolism are considered to be one of the chief link of diabetes mellitus pathogenesis. The aim of the study. To study the indices of collagen metabolism in tissues of rats with experimental diabetes developing under prolonged emotional stress. Methods. Total collagen content, neutral salt-soluble collagen and free hydroxyproline were determined in the myocardium, the liver and diaphysis of the right femur in diabetic rats under prolonged influence of stress factors applying the colorimetric method. Listed above indices were studied in dynamics of the experiment on the 10th, 20th and 30th day. Results. Stress load in alloxan-induced animals with diabetes caused changings in collagen metabolism in the organs studied. Significant accumulation of total collagen was noted in the liver, mainly due to intensification processes of synthesis. In the myocardium it was noted speed increase of collagen synthesis on the 10th and 20th days of the experiment, activation of decay processes occurred in the last decade. In the bone tissue the content of total collagen in animals with combined impact did not differ from the indice in diabetic rats. Conclusion. Daily stress impacts on animals with alloxan diabetes stimulated the accumulation of total collagen in the liver, caused phase changings of collagen metabolism indices in the myocardium, but they did not aggravate the decrease of the total collagen content in the bone tissue, observed in experimental diabetes.
Molekulyarnaya Meditsina (Molecular medicine). 2021;19(4):52-58
pages 52-58 views

Molecular and genetic potential of the virulent effects of Escherichia coli isolates taken from ulcer colitis patients

Myakisheva Y.V., Kruglov E.E., Zhestkov A.V., Halitova Y.A.

Abstract

Introduction. The human microbiota is part of the «human-microbiome» system and is actively involved in developing various pathological responses and conditions in the body. It is currently essential to study the pathogenesis of ulcerative colitis (UC), a polyetiologic disease, by assessing the contribution of representatives of the indigenous microbiota to this pathology’s development. A particular role is assigned to the major representatives of the microflora - strains of E. coli, abundantly inhabiting the large intestine, the plasticity of the genome that allows the transition from a commensal state to a pathogenic one. The aim of the study. To study the genomic potential of virulence and resistance of strains of E. coli isolated from UC patients. Methods. As part of the study, PCR indication of a collection of 87 (n=87) E. coli strains isolated from patients with ulcerative colitis was carried out. Results. The subgroup At - 48.28% of strains (n=42) was the main phylogenetic group inhabiting UC patients’ large intestine. 75.86 and 36.78% of strains, respectively, possess invasive and adhesive properties. The primary representatives of the spectrum of genes encoding pathogenicity factors are pap, aer, cnf. The prevalence of genes encoding extended-spectrum beta-lactamases in clade ABt is due to the occurrence of blaTEM, blaSHV, and blaOXA in 35.71%, 33.33%, 9.52% of strains (p=0.01). The presence of more evolutionarily late beta-lactamases of the CTX-M class, which have a worldwide tendency to spread, is noted in phylogroups B1 - 81.82% and D2 - 52.38% (p=0.01). Conclusion. The study of genetic predictors encoding proteins responsible for virulent interaction with the human body made it possible to assess the pathogenic potential of Escherichia coli strains isolated from UC patients residing in the Samara region. Determination of the phenotypic properties of fermentation of antibacterial drugs proposed in the National Clinical Guidelines made it possible to describe the level of resistance of E. coli isolates in the microecological niche of the large intestine in inflammatory disease. The proposed approach makes it possible to use the experience to characterize isolated strains of the microbiome and in other inflammatory bowel diseases, in order to study the possibilities of metabolic conjugation of a microorganism and humans.
Molekulyarnaya Meditsina (Molecular medicine). 2021;19(4):59-64
pages 59-64 views

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