Invited review
Printed September 15, 2025;
Published ahead of print September 15, 2025; Printed September 15, 2025; OM&P 2025 Volume 12 Issue 3, pages 28-48; doi:10.24412/2500-2295-2025-3-28-48
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Familial hypercholesterolemia (FH) is a prevalent inherited lipid disorder marked by elevated low-density lipoprotein cholesterol (LDL-C) from early life, significantly increasing the risk of premature atherosclerotic cardiovascular disease (ASCVD). Recent advances in pharmacotherapy have transformed treatment possibilities, particularly for patients unresponsive to traditional therapies. This review synthesizes current evidence on emerging lipid-lowering agents, including PCSK9 monoclonal antibodies (e.g., evolocumab), small interfering RNA-based therapies (e.g., inclisiran), and angiopoietin-like protein 3 (ANGPTL3) inhibitors (e.g., evinacumab). Clinical trials demonstrate that these agents achieve substantial LDL-C reductions – often exceeding 40% – with favorable safety profiles, even in homozygous FH patients with null LDL receptor activity. Additionally, advances in genomic research have enabled more precise classification of pathogenic variants in genes such as APOB and ANGPTL3, improving diagnostic accuracy and guiding targeted therapy. The integration of these pharmacologic and genetic strategies represents a significant shift toward individualized management of FH. Further long-term and population-based studies are needed to validate these approaches and ensure equitable access across healthcare settings.
Full-length research paper
Printed September 15, 2025;
Published ahead of print September 15, 2025; Printed September 15, 2025; OM&P 2025 Volume 12 Issue 3, pages 13-27; doi:10.24412/2500-2295-2025-3-13-27
Abstract
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Full-length research paper
Printed September 15, 2025;
Published ahead of print September 15, 2025; Printed September 15, 2025; OM&P 2025 Volume 12 Issue 3, pages 5-12; doi:10.24412/2500-2295-2025-3-5-12
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Breast cancer is a severe global health issue, having a high fatality rate worldwide. Because conventional cancer therapy is linked to tumour spread, drug resistance, and chemotherapy side effects, researchers should look into non-traditional methods. One intriguing strategy to deal with this issue is using nanoparticles and natural compounds like Lactobacillus metabolites as possible cancer treatments. Here, we tested the cytotoxicity of Lactobacillus cell-free supernatant (CFS), gold nanoparticles (AuNPs), and their combination against two cell lines MDA-MB-231 and Rat Embryonic Fibroblasts (REF) using MTT (3-(4,5-dimethylthiazol-2-yl)-2,5-diphenyltetrazolium bromide) assay and percentage of cell viability was recorded. Results showed a synergistic impact of the combination on MDA-MB-231 cells when the IC50 recorded was 70 µg/ml compared to treatments of CFS and AuNps alone when the IC50 recorded were 187 and 196 µg/ml respectively. On rat embryonic fibroblasts (REF) CFS displayed the most cytotoxic impact with IC50 equal to 115 µg/ml followed by combination treatment (IC50 = 693 µg/ml) and then by AuNPs with recorded IC50 of 895 µg/ml. In summary, we demonstrated that Lactobacillus cell-free supernatant, gold nanoparticles and their combination represent a promising candidate as anticancer agents. The cytotoxicity against breast cancer cell line was enhanced when the supernatant was combined with gold nanoparticles while the supernatant gave the best cytotoxic effect against REF cells.
Full-length research paper
Printed May 30, 2025;
Published ahead of print May 30, 2025; Printed May 30, 2025; OM&P 2025 Volume 12 Issue 2, pages 147-156; doi:10.24412/2500-2295-2025-2-147-156
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The article presents the peculiarities of adaptive reactions of heart work to functional tests in young badminton players and children not engaged in sports at the age of 8-12 years. Continuous recording of electrocardiogram registration of children during the whole research protocol was carried out. It was shown that there are reliable changes of electrocardiographic parameters of heart work on active orthostatic test, as well as on the test with breath-holding. The analysis of electrocardiogram showed the presence of adaptive mechanisms of cardiovascular system of badminton players at the initial stage of sports training, it reflects a higher level of body fitness and contractility of the heart.
Full-length research paper
Printed May 30, 2025;
Published ahead of print May 30, 2025; Printed May 30, 2025; OM&P 2025 Volume 12 Issue 2, pages 133-146; doi:10.24412/2500-2295-2025-2-133-146
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Purulent-septic skin infections occupy a leading position in the morbidity structure of newborns in obstetric hospitals, with Staphylococcus aureus identified as the primary etiological agent. Whole-genome sequencing (WGS) enables the acquisition of highly detailed genomic data on the spectra of pathogenicity genes, the mobilome, and the resistome of epidemic strains, as well as facilitating intraspecific typing of isolates. Aim of the study: To apply WGS technology to gain new insights into the genetic characteristics of S. aureus strains isolated during a period of epidemic occurrence in an obstetric hospital. This study employed WGS along with a range of bioinformatic tools, including dendrogram construction, calculation of average nucleotide identity (ANI) indices, and genetic mapping. The analysis established that the etiological agent of the epidemic outbreak of pemphigus neonatorum was a population of hospital-associated S. aureus ST121 t435 strains, isolated from both a healthcare worker and affected newborns. Strains of this genotype had not previously been associated with staphyloderma and were characterized by the presence of the eta gene (exfoliative toxin A) and two prophage-associated determinants of Panton-Valentine leukocidin, suggesting a high potential for horizontal gene transfer and dissemination among other S. aureus strains circulating within the hospital environment. Seven strains demonstrated resistance to oxacillin, attributed to modifications in native penicillin-binding proteins – an alternative mechanism to the well-known mec-mediated methicillin resistance pathway. These findings underscore the necessity of incorporating WGS technologies into molecular epidemiological surveillance in obstetric healthcare settings.
Full-length research paper
Printed May 30, 2025;
Published ahead of print May 30, 2025; Printed May 30, 2025; OM&P 2025 Volume 12 Issue 2, pages 123-132; doi:10.24412/2500-2295-2025-2-123-132
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The aim is to determine the role of polymorphic loci of IL-1β, IL-10, TNF-α genes in families of patients with Helicobacter pylori-associated diseases. Materials and methods: Molecular genetic identification of H. pylori was carried out by PCR. Determination of cytokine gene polymorphisms (IL-1β (-31T/C), TNF-α (-308 G/A), IL-10 (-592C/A) and (+1082G/A) in 108 individuals – family members of individuals with chronic H. pylori-associated gastritis, was carried out by allele-specific PCR in real time. Results: H. pylori DNA was detected in 55.6% of patients' relatives, which is higher than the average prevalence in Russia (35.3%) and the Volga Federal District (33.0%). The distribution of gene polymorphisms of the studied cytokines in relatives of patients with and without H. pylori infection differed significantly. In H. pylori-infected family members, the T/T genotype and T allele of IL-1β (-31T/C), the C/C genotype of IL-10 (-592 C/A), and the G/G genotype of TNFα (-308 G/A) were significantly more frequently detected. No significant differences in IL-10 polymorphisms (+1082 G/A) were found in H. pylori positive and H. pylori negative individuals. Conclusions: IL 1β (-31T/C) T/T, IL 10 (-592 C/A) C/C, TNFα (-308 G/A) G/G gene polymorphisms increase the risk of H. pylori infection by more than 2 times. Carriers of such genotypes constitute a risk group for H. pylori-associated diseases, and in case of subclinical infection they are a source of infection and reinfection of relatives. Identification and treatment of infected family members is an important task in preventing the spread and recurrence of H. pylori infection.
Full-length research paper
Printed May 30, 2025;
Published ahead of print May 30, 2025; Printed May 30, 2025; OM&P 2025 Volume 12 Issue 2, pages 114-122; doi:10.24412/2500-2295-2025-2-114-122
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The effect of a surgical laser on the physicochemical properties of molecules of two model proteins was studied: human immunoglobulin IgG and bovine serum albumin. After exposure to laser radiation, the optical density of protein solutions changes, the fluorescence intensity decreases, and the refractive index of the solutions does not change significantly. No massive damage or ruptures of the protein polypeptide chain were observed; on the contrary, intense aggregation of protein molecules was recorded. Thus, when exposed to a laser scalpel, partial denaturation and aggregation processes prevail in IgG and bovine serum albumin solutions, and aromatic amino acid residues are damaged to a lesser extent.
Invited review
Printed May 30, 2025;
Published ahead of print May 30, 2025; Printed May 30, 2025; OM&P 2025 Volume 12 Issue 2, pages 89-113; doi:10.24412/2500-2295-2025-2-89-113
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Colorectal cancer (CRC) is characterized by a high mutational load and resistance to chemotherapy. Therefore, new approaches in the treatment of CRC include viral mimicry aimed at activating the expression of retroelements to stimulate the immune response against cancer. However, the role of activated retroelements in CRC carcinogenesis must be considered. Retroelements are implicated in CRC-specific chromothripsis and one of the highest percentages of retroelement insertions in CRC of any cancer type has been identified. In addition, retroelements are evolutionarily and functionally related to long noncoding RNAs, microRNAs, and circular RNAs. Therefore, a differentiated approach is needed in targeted therapy of CRC using circular RNAs as tools (as the most stable non-coding RNAs) to control the activity of retroelements. This article describes the analysis of scientific literature on the relationship in the mechanisms of CRC development of retroelements with circular RNAs, microRNAs and long non-coding RNAs. Data on the functioning of specific circular RNAs as tumor suppressors and oncogenes with their influence on microRNA and the expression of protein-coding genes are systematized. The nature of changes in the expression of transposon-derived microRNAs interacting with circRNAs and long noncoding RNAs in CRC is presented. The obtained data may form the basis for more correct epigenetic therapy of CRC with activation of only those retroelements that are not involved in CRC carcinogenesis.
Full-length research paper
Printed May 30, 2025;
Published ahead of print May 30, 2025; Printed May 30, 2025; OM&P 2025 Volume 12 Issue 2, pages 74-88; doi:10.24412/2500-2295-2025-2-74-88
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Hypoxia is a common pathological condition that contributes to the development of various neurological disorders. Hypoxia-inducible factor (HIF) represents a promising therapeutic target for enhancing resistance to hypoxia and correcting neuronal dysfunction in the post-hypoxic period. In this study, the effects of two classes of HIF-prolyl hydroxylase (HIF-PHD) inhibitors on the resistance of C57BL/6 mice to hypoxic injury were investigated. The findings demonstrated that the HIF-PHD inhibitors Roxadustat and Adaptaquin exert a neuroprotective effect in hypoxic conditions by increasing the animals' resistance to acute hypobaric hypoxia. Among the tested compounds, Adaptaquin at a dose of 10 mg/kg exhibited the highest efficacy, reducing neuronal damage and edema in the prefrontal cortex during the post-hypoxic period and promoting the recovery of cognitive and motor functions. These results suggest the potential of HIF-PHD inhibitors for the treatment of hypoxic brain injury and neurodegenerative diseases.
Full-length research paper
Printed May 30, 2025;
Published ahead of print May 30, 2025; Printed May 30, 2025; OM&P 2025 Volume 12 Issue 2, pages 68-73; doi:10.24412/2500-2295-2025-2-68-73
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Cardiovascular diseases are among the most prevalent pathologies worldwide, and myocardial infarction (MI) is a common cause of ventricular arrhythmias and sudden cardiac death. The development of MI is accompanied by profound alterations in the electrophysiological properties of cardiomyocytes, including a decrease in the amplitude and propagation velocity of the action potential. These changes lead to disturbances in excitability and impulse conduction not only in the affected region but also throughout the entire heart. Understanding the mechanisms underlying these alterations is crucial for developing novel approaches to the prevention and treatment of cardiovascular complications. The study aimed to investigate the dynamics of electrical activity changes in the right atrial myocardium at different stages of left ventricular myocardial infarction (MI) development in rats. Experimental MI was induced by ligation of the left coronary artery. We evaluated the effects of acute, subacute, and long-term consequences MI phases on the amplitude-time characteristics of action potentials in working right atrial cardiomyocytes.