Annals of the Russian academy of medical sciences最新文献

{"title":"Clinical Anatomical Characteristics of Patients with Rhino-Orbit-Cerebral Mucormycosis","authors":"A. Kolsanov, P. Zelter, O. V. Zeleva, O. Ivanova, A. Lyamin, E. A. Sidorov, Tatiana Yu. Vladimirova, Andrey V. Kozlov, Yulia S. Pyshkina","doi":"10.15690/vramn2193","DOIUrl":"https://doi.org/10.15690/vramn2193","url":null,"abstract":"Background. Postponed coronavirus infection (COVID-19), accompanied by an immunosuppressive state and associated with the risk of secondary diseases such as mucormycosis. Diabetes mellitus is an independent risk factor for both severe COVID-19 and mucormycosis. \u0000Aims our aim was to experience the diagnosis and treatment of rhino-orbitocerebral mucormycosis in post-COVID-19 patients. \u0000Materials. A single-center, observational, non-randomized, cohort comparative study was conducted. We assessed the clinical features, risk factors, diagnosis and outcomes of mucormycosis among recovered COVID-19 patients with hospitalisation in the otorhinolaryngology department of the Samara State Medical University Clinics, Samara, from SeptemberDecember 2021. CT examinations were performed on Revolution EVO CT scanner (GE, Russia) and MRI on Aera MR scanner 1.5 T (Siemens, Germany). Materials for microbiological and histopathological examination were taken from all examined patients intraoperatively. \u0000Results. The experience of diagnosing and treating rhinoorbitocerebral mucormycosis in patients after a new coronavirus infection was analyzed, the influence of the complex use of radiation diagnostic methods, histopathological and microbiological methods on the development and effectiveness of mucormycosis treatment was determined. \u0000Conclusions. The effectiveness of disease management directly depends on the early initiation of etiotropic treatment, while the role of complex radiological diagnostics, histopathological and microbiological methods is important for early confirmation of the fungal etiology of the disease.","PeriodicalId":178392,"journal":{"name":"Annals of the Russian academy of medical sciences","volume":"27 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-02-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127623713","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}

{"title":"The History of the Global Spread of the Causative Agent of Anthrax Based on the Whole Genome Phylogenetic Analysis of Bacillus anthracis","authors":"G. Onishchenko, A. Kulichenko, E. I. Eremenko, S. Pisarenko","doi":"10.15690/vramn2291","DOIUrl":"https://doi.org/10.15690/vramn2291","url":null,"abstract":"The review presents current data on the history of distribution, phylogeography, population structure, features of the evolution of the causative agent of anthrax. The results of foreign publications and our own original materials on the territorial distribution of genetic lines of Bacillus anthracis, the genetic relationship of variants isolated in Russia and abroad, the ways of distribution of variants of the pathogen in Russia and neighboring countries summarized. Based on the limited possibilities of spreading anthrax infection with sick animals and the high stability of pathogen spores in the environment, the leading role of human activity in the spread of B. anthracis shown. The probable ways of spread of the pathogen over long distances described, determined by the historical migration of people, the routes of conquerors, trade routes and the import of livestock products. The spread of the causative agent of anthrax on the territory of the Russian Federation began with Eastern Siberia and through the south of Siberia reached the European part of the Russian Federation, including the North Caucasus.","PeriodicalId":178392,"journal":{"name":"Annals of the Russian academy of medical sciences","volume":"202 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-02-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127628190","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}

{"title":"Omics technologies in screening for kidney disease in children with congenital uropathy","authors":"A. Bukharina, Anastasia O. Fedulkina, K.N. Demidova, A.V. Pento, L. Maltseva, Y. Simanovsky, S. Nikiforov, O. Morozova","doi":"10.15690/vramn2107","DOIUrl":"https://doi.org/10.15690/vramn2107","url":null,"abstract":"Background: Primary vesicoureteral reflux (VUR) is the most common congenital uropathy (CU) in children, leading to the development of reflux nephropathy and chronic kidney disease, reaching the terminal stage in 25-60% of patients. The insufficient sensitivity of modern methods of instrumental and laboratory diagnostics of the initial stages of renal parenchyma damage dictates the need to develop new non-invasive technologies for screening and monitoring kidney conditions in patients with CU. \u0000Aims: To evaluate the possibility of separating groups of healthy children and children with kidney damage with CU using the analysis of the mass spectra of volatile organic compounds (VOCs) in urine samples. \u0000Materials and methods: This study involved 42 patients (average age 5.4 + 2.3 years), divided into 2 groups: group 1 24 children with congenital uropathies (grade II-V PMR) and comparison group 2 - 18 patients with minor surgical pathology without pathology of the urinary system. Urine samples were collected before the start of treatment. Composition analysis of VOCs samples was carried out through express-analysis method for biological objects at atmospheric pressure without preliminary preparation using a mass spectrometer with ionization by laser plasma radiation. Urinary levels of markers of inflammation (MCP-1, IL-8, IL-18), angiogenesis (VEGF) and fibrosis (TGF-1) were measured by solid-phase ELISA. \u0000Results: Composition changes in urine VOCs were detected in group 1 patients with congenital uropathies (VUR). These changes made it possible to distinguish group 1 samples from the comparison group 2. Creatinine level and glomerular filtration rate (GFR) in both groups had no statistical difference. An increase in concentration of inflammatory markers MCP-1, IL-18, IL-8, VEGF angiogenesis and TGF-1 fibrosis was observed in the urine of children with congenital uropathies (VUR) (p0.001). In group 1 patients the concentration of markers did not correlate with the reflux level. \u0000Conclusions: The performed research allowed to find a set of peaks in the recorded mass spectra, according to which it is possible to divide groups into healthy and sick. It also demonstrated the potential of volatolom analysis to detect kidney damage in children with congenital uropathies. The use of standard methods: creatinine and GFR did not allow us to find a threshold value to divide patient into healthy and sick groups. The increase of biomarkers of inflammation, angiogenesis and fibrosis in the urine of children with congenital uropathies confirmed the presence of persistent kidney damage, parenchymal hypoxia, activation of fibrosis and inflammation in children with CU kidneys.","PeriodicalId":178392,"journal":{"name":"Annals of the Russian academy of medical sciences","volume":"5 1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-12-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124314667","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}

{"title":"Treatment of Parathyroid Cancer: Current Status and Near-Term Prospects","authors":"Ekaterina I. Kim, J. Krupinova, P. Belousov, K. Trutneva, N. Mokrysheva","doi":"10.15690/vramn2132","DOIUrl":"https://doi.org/10.15690/vramn2132","url":null,"abstract":"Parathyroid cancer (PС) is a rare malignant neoplasm of the endocrine system, characterized by a severe course due to the development of life-threatening hypercalcemia. Despite a relatively high survival rate, recurrence occurs about half the time. The aggressive course of PС is associated with both local spread of the process and distant metastasis. With the exception of isolated cases, cytotoxic chemo- and radiotherapy are inefficacious, and treatment protocols have not been developed. Therefore the only effective way is the surgical removal of secondary lesions, which is not always technically feasible and is associated with a high risk of postoperative complications. The literature describes individual cases of successful use of targeted therapy, as well as immunotherapy in the form of therapeutic vaccination to induce an immune response against parathyroid hormone (PTH) and block immune checkpoint. A promising direction of study is the tumor immunoenvironment, which has both diagnostic and prognostic value in relation to the likelihood of the spread of the tumor process. In this review, we describe the main directions in the treatment of PC, including disseminated forms, the possibilities of immunotherapy will be considered in details.","PeriodicalId":178392,"journal":{"name":"Annals of the Russian academy of medical sciences","volume":"26 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-12-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122676937","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}

{"title":"Composition and Possibility of Application in Practical Medicine of Exosom/Extracellular Vesicles from Multipotent Stromal Cells","authors":"I. Maiborodin, R. V. Maslov, M. Ryaguzov, V. I. Maiborodina, M. Voevoda","doi":"10.15690/vramn2076","DOIUrl":"https://doi.org/10.15690/vramn2076","url":null,"abstract":"The therapeutic effect of multipotent stem cells (MSCs) is largely mediated by the secretion of exosomes/extracellular vesicles (EMSCs), which reflect the biophysical characteristics of MSC-producers and are considered more effective. The use of EMSCs can help overcome practical and ethical issues that limit cell therapy. The importance of EMSCs is also recognized because of their ability to transfer various proteins, DNA and RNA to target cells and change the behavior of them and neighboring cells. EMSCs contribute to cellular processes such as transcription, proliferation, adhesion, migration and differentiation. EMSCs are involved in the induction of angiogenesis, inhibition of fibrosis, stimulation of extracellular matrix remodeling, abolition of the local inflammatory response, and also in the regulation of immune cell activity. A deeper understanding of the content of EMSC and its dynamics may affect the study and treatment of various diseases. However, EMSCs, even obtained from MSCs of the same origin and cultivated under the same conditions, can differ significantly in their components and, accordingly, in efficiency. Modification, including genetic modification, of the initial cellular elements is of certain importance for purposeful and, therefore, predictable changes in the content of EMSCs, but this approach also does not solve the problem of sufficient standardization of their components. Perhaps more promising is the artificial creation of exosome-like structures with a predetermined composition and, as a result, an accurate and predictable effect.","PeriodicalId":178392,"journal":{"name":"Annals of the Russian academy of medical sciences","volume":"78 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-12-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129426126","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}

{"title":"To the 85th Anniversary of Academician of the Russian Academy of Sciences Viktor Kuzmich Gostischev","authors":"I. Reshetov, N. Sergeeva, Alexei A. Serikov","doi":"10.15690/vramn2316","DOIUrl":"https://doi.org/10.15690/vramn2316","url":null,"abstract":"November 21 marks the 85th anniversary of Viktor Kuzmich Gostischev, Professor, Honored Scientist of the Russian Federation, Laureate of the State Prize of the Russian Federation and twice the Prize of the Government of the Russian Federation (1995, 2002), Academician of the Russian Academy of Sciences, Professor of the Department of General Surgery of the Faculty of Medicine of the First Moscow State Medical University. I.M. Sechenova, Chairman of the Problem Commission of the Russian Academy of Medical Sciences and the Ministry of Health of the Russian Federation Infection in Surgery, President of the Association of General Surgeons of the Russian Federation, member of the Board of the Russian Society of Endoscopic Surgeons, member of the editorial boards of scientific and practical journals Surgery. N.I. Pirogov Journal, Clinical and experimental surgery. Journal named after Academician B.V. Petrovsky, Bulletin of Experimental and Clinical Surgery, Wounds and wound infections. Journal named after prof. B.M. Kostyuchenka, member of the International Society of Surgeons and the International Association of Hepato-Pancreato-Biliary Surgery.","PeriodicalId":178392,"journal":{"name":"Annals of the Russian academy of medical sciences","volume":"51 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-12-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127174093","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}

{"title":"To the 75th Anniversary of Academician of the Russian Academy of Sciences Alexander Ivanovich Kiriyenko","authors":"I. Reshetov, N. Sergeeva, Alexei A. Serikov","doi":"10.15690/vramn2317","DOIUrl":"https://doi.org/10.15690/vramn2317","url":null,"abstract":"October 19, 2022 marked the 75th anniversary of the birth of Academician of the Russian Academy of Sciences, Professor, Doctor of Medical Sciences Alexander Ivanovich Kiriyenko a recognized leader in the field of phlebology.","PeriodicalId":178392,"journal":{"name":"Annals of the Russian academy of medical sciences","volume":"6 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-12-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121338453","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}

{"title":"Diagnostic Possibilities of Magnetic Resonance Cholangiography with Intravenous Contrast in Diseases of the Bile Ducts","authors":"G. Karmazanovsky, A. Chzhao, Khachatur A. Ayvazyan, A. Goncharov, V. A. Saraeva, Sergey A. Trifonov","doi":"10.15690/vramn2064","DOIUrl":"https://doi.org/10.15690/vramn2064","url":null,"abstract":"Every year the number of operations on the hepatobiliary zone is steadily increasing due to diseases of the bile ducts. Against this background, there is a need for an accurate diagnosis of complications of these interventions; classical magnetic resonance cholangiopancreatography (MRCP) is of limited use. With the introduction of a liver-specific contrast agent (Gd-EOB-DTPA), the possibility of diagnosing diseases of the bile ducts has expanded. In this clinical review, we review the technical aspects and benefits of Gd-EOB-DTPA-enhanced MR cholangiography. Various types of contrast agents, methods of their use in MRI, the dependence of the signal intensity in the bile ducts on the time of administration of the substance, the presence of chronic liver diseases are covered in detail. Separately, studies are given on the diagnosis of diseases of the bile ducts with altered biliary anatomy, biliary fistulas after surgical interventions. In conclusion, data are presented on promising studies of the functional state of the liver based on the use of MRI with hepatotropic contrast enhancement.","PeriodicalId":178392,"journal":{"name":"Annals of the Russian academy of medical sciences","volume":"16 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-12-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131702418","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}

{"title":"Systemic Inflammatory Response as a Prognostic Factor in Breast Cancer. Part I. Tumor-Promoting Inflammation. Serum Inflammatory Markers","authors":"N. Sergeeva, T. Karmakova, M. A. Polyak, I. Alentov, A. Kaprin","doi":"10.15690/vramn2229","DOIUrl":"https://doi.org/10.15690/vramn2229","url":null,"abstract":"Chronic inflammation caused by exposure to external or internal factors increases the risk of developing malignancies and promotes tumor progression due to the influence on the key elements of carcinogenic mechanisms. At the system level signs of a chronic inflammation are manifested by an increase of inflammatory mediators and acute phase proteins levels in the blood, a change in the ratio of circulating leukocyte populations, and disturbances in the hemostasis system. This review is devoted to serum and hematological parameters of the systemic inflammatory response (SIR) in breast cancer (BC). The first part of the review outlines general concept about the role of inflammatory factors in the development of malignant tumors. It provides information on the most well studied serum inflammatory markers in breast cancer: cytokines, including interleukin-6 (IL-6), interleukin-8 (IL-8), tumor necrosis factor-alpha (TNF-), as well as C-reactive protein (CRP). The main properties of these polypeptides, which link them with tumor-promoting inflammation, are considered. An analysis of the data on the clinical significance of the serum level of cytokines and CRP in breast cancer accumulated to date is presented. Correlations of the elevated levels of the serum inflammatory markers with clinical and morphological characteristics of the disease, tumor response to chemotherapy, overall and relapse-free survival of patients indicate the feasibility of in-depth investigation of the issue for the purpose of the practical application of the systemic inflammatory markers as predictive and prognostic indicators in BC.","PeriodicalId":178392,"journal":{"name":"Annals of the Russian academy of medical sciences","volume":"32 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-12-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121943364","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}

{"title":"The Relationship of Changes in Oral Microbiocenosis and Mucosal Immunity in the Conditions of 14-Day Isolation of a Person in a Hermetic Object with an Artificial Habitat","authors":"V. Ilyin, Z. Solovieva, M. Rykova, Maria A. Skedina, A. Kovaleva, Andrey M. Nosovskiy, A. S. Sheblaeva, V. Tsarev, M. Podporin, Olga V. Bystrova, O. Gizinger, S. M. Lovtsevich, D. V. Komissarova","doi":"10.15690/vramn2117","DOIUrl":"https://doi.org/10.15690/vramn2117","url":null,"abstract":"Background. Changes in the human oral microbiota is an adaptive process. Infections will be particularly manifest in extreme conditions, especially during a long stay in space flight, where the astronaut is exposed to various nonspecific stresses. Aim the aim of the work is to estimate the complex influence of 14-day isolation conditions of human being in sealed environment on the state of natural barriers of periodontal colonization. Methods. During the experiment 6 volunteer subjects (4 men and 2 women) aged 24 to 45 years old were confined for 14 days to an air-tight space simulating a spaceship capsule. Then from 6 to 18 days after leaving the experiment the experimental group (4 people) received Lactobacillus spp. autoprobiotics once a day on an empty stomach in the morning. During this period the control group (2 persons) took Linex (Lebenin: Lactobacillus acidophilus (species L. gasseri) 300 mg, Bifidobacterium infantis 300 mg, Enterococcus faecium 300 mg, lactose 50 mg). Qualitative and quantitative changes of oral microbiota, concentration of immunoglobulins (sIgA, IgA, IgM) and cytokines (IL-6, IL-8, IL-1, IL-4, INF, TNF) in periodontal samples were recorded. The number of periodontopathogens and regional blood flow in the periodontium under conditions of prolonged confinement and hypokinesia were studied. Results. In comparison with the background period during the time of isolation, a quantitative growth of obligate periodontopathogens was observed in the subjects. This was accompanied by increased levels of immunoglobulins (IgM, IgA, sIgA) and pro-inflammatory cytokines (IL-1, IL-6, IL-8). There was an increase in blood flow in the arteriolo- venular part of the microcirculatory channel of periodontal tissues after leaving isolation. Subsequently, there was a tendency to optimize microbiocenosis through the use of probiotic and autoprobiotic agents. Along with this, there was a decrease of anti-inflammatory interleukin IL-4 practically to the initial values on the 18th day.","PeriodicalId":178392,"journal":{"name":"Annals of the Russian academy of medical sciences","volume":"63 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-12-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"117153803","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}