{"title":"Expression of functional eGFP-fused antigen-binding fragment of ranibizumab in <i>Pichia pastoris</i>.","authors":"Shirin Movaghar Asareh, Tahereh Savei, Sareh Arjmand, Seyed Omid Ranaei Siadat, Fataneh Fatemi, Mehrab Pourmadadi, Javad Shabani Shayeh","doi":"10.34172/bi.2021.23219","DOIUrl":"https://doi.org/10.34172/bi.2021.23219","url":null,"abstract":"<p><p><b><i>Introduction:</i></b> Ranibizumab is a mouse monoclonal antibody fragment antigen-binding (Fab) against human vascular endothelial growth factor-A (VEGF-A), inhibiting angiogenesis. This antibody is commercially produced in <i>Escherichia coli</i> host and used to treat wet age-related macular degeneration (AMD). <b><i>Methods:</i></b> In this study, the heavy and light chains of ranibizumab were expressed in <i>Pichia pastoris</i>. The expressed chains were incubated overnight at 4°C for interaction. The formation of an active structure was evaluated based on the interaction with substrate VEGF-A using an indirect ELISA, and an electrochemical setup. Furthermore, reconstruction of split enhanced green fluorescent protein (eGFP) reporter, chimerized at the C-terminus of the heavy and light chains, was used to characterize chains' interaction. <b><i>Results:</i></b> <i>P. pastoris</i> efficiently expressed designed constructs and secreted them into the culture medium. The anti-Fab antibody detected the constructed Fab structure in western blot analysis. Reconstruction of the split reporter confirmed the interaction between heavy and light chains. The designed ELISA and electrochemical setup results verified the binding activity of the recombinant Fab structure against VEGF-A. <b><i>Conclusion:</i></b> In this work, we indicated that the heavy and light chains of ranibizumab Fab fragments (with or without linkage to split parts of eGFP protein) were produced in <i>P. pastoris</i>. The fluorescence of reconstructed eGFP was detected after incubating the equal ratio of chimeric-heavy and light chains. Immunoassay and electrochemical tests verified the bioactivity of constructed Fab. The data suggested that <i>P. pastoris</i> could be considered a potential efficient eukaryotic host for ranibizumab production.</p>","PeriodicalId":48614,"journal":{"name":"Bioimpacts","volume":"12 3","pages":"203-210"},"PeriodicalIF":2.6,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/b8/d6/bi-12-203.PMC9124873.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10308240","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"工程技术","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Graph theoretical network analysis, <i>in silico</i> exploration, and validation of bioactive compounds from <i>Cynodon dactylon</i> as potential neuroprotective agents against α-synuclein.","authors":"Raja Rajeswari Rajeshkumar, Banoth Karan Kumar, Pavadai Parasuraman, Theivendren Panneerselvam, Krishnan Sundar, Damodar Nayak Ammunje, Sureshbabu Ram Kumar Pandian, Sankaranarayanan Murugesan, Shanmugampillai Jeyarajaguru Kabilan, Selvaraj Kunjiappan","doi":"10.34172/bi.2022.24113","DOIUrl":"https://doi.org/10.34172/bi.2022.24113","url":null,"abstract":"<p><p><i><b>Introduction:</b> </i> Parkinson's disease (PD) is a chronic, devastating neurodegenerative disorder marked by the death of dopaminergic neurons in the midbrain's substantia nigra pars compacta (Snpc). In alpha-synuclein (α-Syn) self-aggregation, the existence of intracytoplasmic inclusion bodies called Lewy bodies (LBs) and Lewy neurites (LNs) causes PD, which is a cause of neuronal death. <i><b>Methods:</b> </i> The present study is aimed at finding potential bioactive compounds from <i>Cynodon dectylon</i> that can degrade α-Syn aggregation in the brain, through <i>in silico</i> molecular docking investigations. Graph theoretical network analysis was used to identify the bioactive compounds that target α-Syn and decipher their network as a graph. From the data repository, twenty-nine bioactive chemicals from <i>C. dactylon</i> were chosen and their structures were retrieved from Pubchem. On the basis of their docking scores and binding energies, significant compounds were chosen for future investigation. The <i>in silico</i> prediction of chosen compounds, and their pharmacokinetic and physicochemical parameters were utilized to confirm their drug-likeness profile. <i><b>Results:</b> </i> During molecular docking investigation the bioactive compounds vitexin (-7.3 kcal.mol<sup>-1</sup>) and homoorientin (-7.1 kcal.mol<sup>-1</sup>) showed significant binding energy against the α-Syn target protein. A computer investigation of molecular dynamics simulation study verifies the stability of the α-Syn-ligand complex. The intermolecular interactions assessed by the dynamic conditions indicate that the bioactive compound vitexin has the potency to prevent α-Syn aggregation. <i><b>Conclusion:</b> </i> Interestingly, the observed results indicate that vitexin is a potential lead compound against α-Syn aggregation, and <i>in vitro</i> and <i>in vivo</i> studies are warranted to confirm the promising therapeutic capability.</p>","PeriodicalId":48614,"journal":{"name":"Bioimpacts","volume":"12 6","pages":"487-499"},"PeriodicalIF":2.6,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/80/67/bi-12-487.PMC9809135.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9099869","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"工程技术","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"CFP10-loaded PLGA nanoparticles as a booster vaccine confer protective immunity against <i>Mycobacterium bovis</i>.","authors":"Zhengmin Liang, Miaoxuan Li, Jiamin Ni, Tariq Hussain, Jiao Yao, Yinjuan Song, Yiduo Liu, Haoran Wang, Xiangmei Zhou","doi":"10.34172/bi.2022.23645","DOIUrl":"https://doi.org/10.34172/bi.2022.23645","url":null,"abstract":"<p><p><b><i>Introduction:</i> </b> The limited efficacy of BCG (bacillus Calmette-Guérin) urgently requires new effective vaccination approaches for the control of tuberculosis. Poly lactic-co-glycolic acid (PLGA) is a prevalent drug delivery system. However, the effect of PLGA-based nanoparticles (NPs) against tuberculosis for the induction of mucosal immune response is no fully elucidated. In this study, we hypothesized that intranasal immunization with culture filtrate protein-10 (CFP10)-loaded PLGA NPs (CFP10-NPs) could boost the protective immunity of BCG against <i>Mycobacterium bovis</i> in mice. <i><b>Methods:</b> </i> The recombinant protein CFP10 was encapsulated with PLGA NPs to prepare CFP10-NPs by the classical water-oil-water solvent-evaporation method. Then, the immunoregulatory effects of CFP10-NPs on macrophages <i>in vitro</i> and on BCG-immunized mice <i>in vivo</i> were investigated. <i><b>Results:</b> </i> We used spherical CFP10-NPs with a negatively charged surface (zeta-potential -28.5 ± 1.7 mV) having a particle size of 281.7 ± 28.5 nm in diameter. Notably, CFP10-NPs significantly enhanced the secretion of tumor necrosis factor α (TNF-α) and interleukin (IL)-1β in J774A.1 macrophages. Moreover, mucosal immunization with CFP10-NPs significantly increased TNF-α and IL-1β production in serum, and immunoglobulin A (IgA) secretion in bronchoalveolar lavage fluid (BALF), and promoted the secretion of CFP10-specific interferon-γ (IFN-γ) in splenocytes of mice. Furthermore, CFP10-NPs immunization significantly reduced the inflammatory area and bacterial load in lung tissues at 3-week post-<i>M. bovis</i> challenge. <i><b>Conclusion:</b> </i> CFP10-NPs markedly improve the immunogenicity and protective efficacy of BCG. Our findings explore the potential of the airway mucosal vaccine based on PLGA NPs as a vehicle for targeted lung delivery.</p>","PeriodicalId":48614,"journal":{"name":"Bioimpacts","volume":"12 5","pages":"395-404"},"PeriodicalIF":2.6,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/82/f4/bi-12-395.PMC9596879.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40476934","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"工程技术","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Enhanced characterization of beta cell mass in a Tg(<i>Pdx1-GFP</i>) mouse model.","authors":"Fatemeh Karami, Behrouz Asgari Abibeiglou, Saghar Pahlavanneshan, Ali Farrokhi, Amin Tamadon, Mohsen Basiri, Keynoosh Khalooghi, Majid Fallahi, Yaser Tahamtani","doi":"10.34172/bi.2022.23840","DOIUrl":"https://doi.org/10.34172/bi.2022.23840","url":null,"abstract":"<p><p><i><b>Introduction:</b></i> Measurement of pancreatic beta cell mass in animal models is a common assay in diabetes researches. Novel whole-organ clearance methods in conjunction with transgenic mouse models hold tremendous promise to improve beta cell mass measurement methods. Here, we proposed a refined method to estimate the beta cell mass using a new transgenic Tg(<i>Pdx1-GFP</i>) mouse model and a recently developed free-of-acrylamide clearing tissue (FACT) protocol. <i><b>Methods:</b></i> First, we generated and evaluated a Tg(<i>Pdx1-GFP</i>) transgenic mouse model. Using the FACT protocol in our model, we could quantify the beta cell mass and alloxan-induced beta cell destruction in whole pancreas specimens. <i><b>Results:</b></i> Compiled fluorescent images of pancreas resulted in enhanced beta cell mass characterization in FACT-cleared sections (2928869±120215 AU) compared to No-FACT cleared sections (1292372±325632 AU). Additionally, the total number of detected islets with this method was significantly higher than the other clearance methods (155.7 and 109, respectively). Using this method, we showed green fluorescent protein (GFP) expression confined to beta cells in Tg(<i>Pdx1-GFP</i>) transgenic. This enhanced GFP expression enabled us to accurately measure beta cell loss in a beta cell destruction model. The results suggest that our proposed method can be used as a simple, and rapid assay for beta cell mass measurement in islet biology and diabetes studies. <i><b>Conclusion:</b></i> The Tg(<i>Pdx1-GFP</i>) transgenic mouse in conjunction with the FACT protocol can enhance large-scale screening studies in the field of diabetes.</p>","PeriodicalId":48614,"journal":{"name":"Bioimpacts","volume":"12 5","pages":"463-470"},"PeriodicalIF":2.6,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/65/d5/bi-12-463.PMC9596880.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40476932","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"工程技术","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
BioimpactsPub Date : 2022-01-01Epub Date: 2022-10-30DOI: 10.34172/bi.2022.23825
Maryam Moazeni, Majid Saeedi, Hamidreza Kelidari, Behrad Roohi, Mohammad T Hedayati, Tahereh Shokohi, Mojtaba Nabili, Kofi Asare-Addo, Ali Nokhodchi
{"title":"Role of nanostructured lipid carriers in the expression alterations of ATP-binding cassette transporter genes in fluconazole-resistant <i>Candida glabrata</i>.","authors":"Maryam Moazeni, Majid Saeedi, Hamidreza Kelidari, Behrad Roohi, Mohammad T Hedayati, Tahereh Shokohi, Mojtaba Nabili, Kofi Asare-Addo, Ali Nokhodchi","doi":"10.34172/bi.2022.23825","DOIUrl":"10.34172/bi.2022.23825","url":null,"abstract":"<p><p><i><b>Introduction:</b> </i> This study was proposed to assess the potential role of efflux transporters in reversing fluconazole resistance in <i>Candida glabrata</i> isolates treated with fluconazole loaded nanostructured lipid carriers (FLZ-NLCs). <i><b>Methods:</b> </i> The ultrasound technique was used to synthesize the FLZ-NLCs. Four fluconazole-resistant, as well as one susceptible standard <i>C. glabrata</i> isolates, were applied and exposed to FLZ/ FLZ-NLCs for 20 h at 37°C. Real-time PCRs were done to estimate the likely changes in ATP-binding cassette transporter genes. <i><b>Results:</b> </i> Similar to the FLZ-exposed-susceptible standard strain which showed no alteration, the genes were not up-regulated significantly under the FLZ-NLCs treated condition. While they were over-expressed when the yeasts were treated with fluconazole. <i><b>Conclusion:</b> </i> It is highly suggested that due to the nature of the NLCs which shields the whole conformation of the drug, FLZ is not recognized by the efflux transporter subunits and consequently the translocation would not happen.</p>","PeriodicalId":48614,"journal":{"name":"Bioimpacts","volume":"12 6","pages":"561-566"},"PeriodicalIF":2.2,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/89/44/bi-12-561.PMC9809133.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9099867","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"工程技术","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
BioimpactsPub Date : 2022-01-01Epub Date: 2022-06-08DOI: 10.34172/bi.2022.23263
Sanaz Javanmardi, Samira Sadat Abolmaali, Mohammad Javad Mehrabanpour, Mahmoud Reza Aghamaali, Ali Mohammad Tamaddon
{"title":"PEGylated nanohydrogels delivering anti-MicroRNA-21 suppress ovarian tumor-associated angiogenesis in matrigel and chicken chorioallantoic membrane models.","authors":"Sanaz Javanmardi, Samira Sadat Abolmaali, Mohammad Javad Mehrabanpour, Mahmoud Reza Aghamaali, Ali Mohammad Tamaddon","doi":"10.34172/bi.2022.23263","DOIUrl":"https://doi.org/10.34172/bi.2022.23263","url":null,"abstract":"<p><p><i><b>Introduction:</b> </i> Recently, MicroRNAs have gained increasing popularity as a novel nucleic acid-mediated medicine to regulate cancer-related protein expression. MicroRNA-21 (miR-21) is known as an oncogenic microRNA which is overexpressed in almost all cancers, including ovarian carcinoma that causes cisplatin (cis-Pt) resistance and vascular endothelial growth factor (VEGF) upregulation. So, miRNA-based therapy can be regarded as knocking down miR-21 expression, inducing tumor cell apoptosis, and suppressing tumor-associated angiogenesis. <i><b>Methods:</b> </i> PEG5k-carboxymethylated polyethyleneimine nanohydrogels (PEG5k-CMPEI) were loaded with AntagomiR-21 (As-21) at different ratios of nitrogen to phosphorus (N/P). Particle size and ζ potential were determined for the As-21 loaded nanohydrogels. In the cellular experiments, miR-21 expression, cytotoxicity, and cis-Pt sensitivity were studied on A2780 ovarian cancer cell lines. Finally, tumor cell apoptosis and tumor cell-associated angiogenesis were explored <i>in vitro</i> and <i>in vivo</i>. <i><b>Results:</b> </i> The nanohydrogels, featuring homogeneous size distribution and redox-responsiveness, were steadily loaded by As-21 at the optimum N/P ratio of 5 without any aggregation as determined by transmission electron microscopy (TEM). As-21-loaded nanohydrogels caused sequence-specific suppression of miR-21 expression and provoked apoptosis through ROS generation and caspase 3 activation. Cisplatin cytotoxicity was remarkably enhanced in A2780R as compared to A2780S following co-incubation with As-21-loaded nanohydrogels. Interestingly, the condition of the medium derived from As-21 nanohydrogel-treated A2780R cells inhibited VEGF suppression in human umbilical vein endothelial cells (HUVECs) and the formation of tubes in Matrigel. Moreover, the condition medium caused angiogenesis inhibition in the chicken chorioallantoic membrane (CAM) model. <i><b>Conclusion:</b> </i> These results suggest that nanohydrogel-based delivery of As-21 can be a promising neoadjuvant therapy for treating resistant tumors via apoptosis induction and angiogenesis suppression.</p>","PeriodicalId":48614,"journal":{"name":"Bioimpacts","volume":"12 5","pages":"449-461"},"PeriodicalIF":2.6,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/20/08/bi-12-449.PMC9596881.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40476935","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"工程技术","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Functional properties of thermally tampered poly(ethylene oxide).","authors":"Niloofar Babanejad, Umadevi Kandalam, Yadollah Omidi, Hamid Omidian","doi":"10.34172/bi.2022.24077","DOIUrl":"https://doi.org/10.34172/bi.2022.24077","url":null,"abstract":"<p><p><i><b>Introduction:</b> </i> Poly(ethylene oxide) (PEO) is the most common polymer used in commercial abuse-deterrent tablets. Due to its vulnerability to high-temperature manipulation, we investigated abuse-deterrent capability and the toxicity of this polymer upon thermal treatments at 80°C and 180°C for 1 hour. <i><b>Methods:</b> </i> Tablets (200 mg PEO and 300 mg Avicel®) were directly compressed under 2000 lb. The thermally manipulated PEOs were evaluated for their viscosity, crushability, structural changes, and cell toxicity. <i><b>Results:</b> </i> Our findings showed that 180°C-treated tablets underwent some degrees of oxidative degradation with profound toxicity in both mesenchymal stem cells and MG63 cells. The 180°C-treated tablets exhibited almost no resistance against crushing and were prone to abuse. While thermal processing of PEO at around its melting temperature is a common approach to enhance crush resistance of its dosage forms, thermal manipulation at close to the PEO's oxidation temperature can lead to structural changes, dramatic loss of crush and extraction resistance, and significant cell toxicity. <i><b>Conclusion:</b> </i> Similar to the low molecular weight PEO, when thermally manipulated at its thermo-oxidative temperature, the high molecular weight PEO loses its deterrence performance and causes severe cell toxicity.</p>","PeriodicalId":48614,"journal":{"name":"Bioimpacts","volume":"12 5","pages":"471-476"},"PeriodicalIF":2.6,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/45/68/bi-12-471.PMC9596876.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40476937","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"工程技术","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
BioimpactsPub Date : 2022-01-01DOI: 10.34172/bi.2022.23616
Alireza Khoshroo, Maryamosadat Mavaei, Masoume Rostami, Bahare Valinezhad-Saghezi, Ali Fattahi
{"title":"Recent advances in electrochemical strategies for bacteria detection.","authors":"Alireza Khoshroo, Maryamosadat Mavaei, Masoume Rostami, Bahare Valinezhad-Saghezi, Ali Fattahi","doi":"10.34172/bi.2022.23616","DOIUrl":"https://doi.org/10.34172/bi.2022.23616","url":null,"abstract":"<p><p><i><b>Introduction:</b> </i> Bacterial infections have always been a major threat to public health and humans' life, and fast detection of bacteria in various samples is significant to provide early and effective treatments. Cell-culture protocols, as well-established methods, involve labor-intensive and complicated preparation steps. For overcoming this drawback, electrochemical methods may provide promising alternative tools for fast and reliable detection of bacterial infections. <i><b>Methods:</b> </i> Therefore, this review study was done to present an overview of different electrochemical strategy based on recognition elements for detection of bacteria in the studies published during 2015-2020. For this purpose, many references in the field were reviewed, and the review covered several issues, including (a) enzymes, (b) receptors, (c) antimicrobial peptides, (d) lectins, (e) redox-active metabolites, (f) aptamer, (g) bacteriophage, (h) antibody, and (i) molecularly imprinted polymers. <i><b>Results:</b> </i> Different analytical methods have developed are used to bacteria detection. However, most of these methods are highly time, and cost consuming, requiring trained personnel to perform the analysis. Among of these methods, electrochemical based methods are well accepted powerful tools for the detection of various analytes due to the inherent properties. Electrochemical sensors with different recognition elements can be used to design diagnostic system for bacterial infections. Recent studies have shown that electrochemical assay can provide promising reliable method for detection of bacteria. <i><b>Conclusion:</b> </i> In general, the field of bacterial detection by electrochemical sensors is continuously growing. It is believed that this field will focus on portable devices for detection of bacteria based on electrochemical methods. Development of these devices requires close collaboration of various disciplines, such as biology, electrochemistry, and biomaterial engineering.</p>","PeriodicalId":48614,"journal":{"name":"Bioimpacts","volume":"12 6","pages":"567-588"},"PeriodicalIF":2.6,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/15/5b/bi-12-567.PMC9809139.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9099871","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"工程技术","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
BioimpactsPub Date : 2022-01-01Epub Date: 2022-08-23DOI: 10.34172/bi.2022.23995
Aleksandr L Urakov, Natalya A Urakova
{"title":"Modified Stange test gives new gynecological criteria and recommendations for choosing caesarean section childbirth.","authors":"Aleksandr L Urakov, Natalya A Urakova","doi":"10.34172/bi.2022.23995","DOIUrl":"https://doi.org/10.34172/bi.2022.23995","url":null,"abstract":"<p><p>Pregnancy and childbirth often threaten the life and health of the fetus. The greatest threat to the fetus during these periods is intrauterine hypoxia. The threat of intrauterine fetal hypoxia increases during natural childbirth and decreases during caesarean section. Therefore, it is no coincidence that the rate of C-section births is increasing worldwide. However, the generally accepted recommendations on the choice of caesarean delivery need to be clarified. A new test is needed to simulate intrauterine hypoxia and predict fetal survival during natural childbirth. Such a test would improve current C-section recommendations and newborn health outcomes. The most appropriate basis for such a functional test is the generally accepted Stange test. The fact is that the Stange test is a very easy to use and accurate functional test based on the duration of the longest breath hold. For more than 100 years, the Stange test has been successfully used to assess the adaptation reserves of adults to hypoxia in real time. The purpose of this letter is to present a new easy-to-use functional test designed to assess the resistance to hypoxia not only of the pregnant woman, but also of her fetus in real time. This new test could be a new vector in obstetric practice aimed at improving neonatal health and reducing infant mortality during delivery.</p>","PeriodicalId":48614,"journal":{"name":"Bioimpacts","volume":"12 5","pages":"477-478"},"PeriodicalIF":2.6,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/85/67/bi-12-477.PMC9596884.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40465662","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"工程技术","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}