Opera Medica et Physiologica

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Issue 3 | September 2026

Full-length research paper
Published ahead of print September 14, 2026; Printed September 14, 2026; OM&P 2026 Volume 13 Issue 3, pages 239-264; doi:10.24412/2500-2295-2026-3-239-264
Abstract Full Text

The aim of the study was to investigate the characteristics of convalescents with abdominal obesity (AO) and newly diagnosed impaired glucose metabolism (IGM) in the post-COVID period. Materials and Methods: study subgroup - 12 convalescents with AO and newly diagnosed IGM (from 98 patients with an endocrine phenotype; total sample - 208 patients with post-COVID syndrome (PCS)). Whole-exome sequencing and genotyping of the rs4646994 variant in the ACE gene were performed. Results: the age of the study subgroup was higher compared with other patients with an endocrine phenotype and other PCS manifestations (p = 0.002; p < 0.001). In the study subgroup, higher waist circumference (+15.1%, p = 0.003), systolic blood pressure (+8.2%, p = 0.015), fasting plasma glucose (+27.6%, p < 0.001), triglycerides (+46.2%, p = 0.005), and higher prevalence of pre-existing cardiovascular disease (+41.7%, p = 0.007) were observed. Genotyping did not reveal an association of rs4646994 with the phenotype of the study subgroup. Whole‑exome sequencing analysis identified common variants of the ACE gene: rs4362 (T>C), rs4343 (G>A), rs4342 (A>C), rs4331 (A>G), rs4316 (C>T), rs4309 (C>T), rs4298 (C>T), rs3730025 (A>G), rs4365 (G>A), rs4341 (G>C), rs4319 (A>AG), rs4363 (G>A) and rare variants: rs142947404 (C>A), rs61738840 (G>T), rs146515255 (C>T), rs150234417 (del); additionally, 48 rare variants in genes associated with IGM, dyslipidemia, and obesity were identified. Conclusions: Patients with AO and newly diagnosed IGM (n = 12) exhibit an unfavorable post-COVID cardiometabolic profile not associated with the ACE rs4646994 variant. Whole‑exome sequencing identified common and rare genetic variants as candidate markers for post‑COVID metabolic and cardiovascular changes, requiring further validation.


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20_Zorina_239-264.pdf810.28 KB
Full-length research paper
Published ahead of print September 14, 2026; Printed September 14, 2026; OM&P 2026 Volume 13 Issue 3, pages 221-238; doi:10.24412/2500-2295-2026-3-221-238
Abstract Full Text

Background: Repetitive transcranial magnetic stimulation (rTMS) has shown preliminary promise for improving fluency in adults who stutter, but controlled studies in children are lacking. This pilot randomized placebo‐controlled trial evaluated safety and preliminary efficacy of 10 Hz rTMS applied to left pars opercularis (Broca’s area) and left supplementary motor area (SMA) in children aged 6–10 years with developmental stuttering. Methods: Forty‐four children were randomized to Broca rTMS (n = 19), SMA rTMS (n = 9), or placebo (n = 16). The protocol consisted of 10 daily sessions (1000–1500 pulses/session). Stuttering severity was assessed before and after treatment using a standardized clinical tool and a blinded speech‐language pathologist (SLP) rating. Results: In the Broca group, significant pre‐post improvements were observed for physical concomitants (p = 0.0038, r = 0.67), syllable repetitions (p = 0.0072, r = 0.62), raw composite score (p = 0.016, r = 0.55), and rank‐based index (p = 0.0038, r = 0.67). Compared to placebo, the Broca group showed significantly greater improvement in the rank‐based index (p = 0.040, r = 0.35). Younger age correlated with greater improvement (rₛ = 0.55, p = 0.014). The SMA group did not differ from placebo and was associated with fluency deterioration, leading to protocol suspension. Adverse events in the Broca group were mild. Conclusions: Low‐intensity 10 Hz rTMS over Broca’s area appears feasible and may improve stuttering severity in children aged 6–10 years. The SMA protocol was not effective. These preliminary findings require confirmation in larger trials.


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19_Zhilyaeva_221-238.pdf1.27 MB
Full-length research paper
Published ahead of print September 14, 2026; Printed September 14, 2026; OM&P 2026 Volume 13 Issue 3, pages 206-220; doi:10.24412/2500-2295-2026-3-206-220
Abstract Full Text

Salmonella bacteria are a major cause of sporadic and clustered acute intestinal infections, with S. Enteritidis being the predominant serovar both in Russia and worldwide. This underscores the need to study and improve surveillance of S. Enteritidis using modern methods. The aim of this study was to investigate the antibiotic resistance phenotype and molecular genetic characteristics of S. Enteritidis circulating in the Nizhny Novgorod region, to perform molecular subtyping of strains using WGS data, and to conduct a comparative analysis with MALDI-TOF MS results. Antimicrobial susceptibility was assessed using the disk diffusion method. MALDI-TOF MS was applied for analysis of mass spectral similarities and differences, while WGS and whole-genome MLST approaches were used for strain characterization and subtyping. It was found that 11.6% of isolates exhibited reduced susceptibility to fluoroquinolones, and 4.65% were resistant, which was associated with the presence of plasmid-mediated genes (qnrB5, qnrB10, qnrB19) and point mutations in the gyrA gene (Ser83Tyr and Asp87Asn). The strains were shown to differ in the number of pathogenicity islands, and the presence of eight types of plasmid replicons was identified, indicating the presence of plasmids potentially capable of transferring antibiotic resistance genes. The studied strains were found to belong to the Global and Atlantic phylogenetic lineages. The cgMLST method was identified as the most effective approach for epidemiological investigation of local outbreaks. A comparison of the two methodological approaches demonstrated that MALDI-TOF MS results are comparable to cgMLST-based subtyping. The use of MALDI-TOF MS in epidemiological surveillance of clustered and outbreak-associated salmonellosis cases is therefore justified, cost-effective, and enables rapid epidemiological investigation.


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18_Tochilina_206-220.pdf1.3 MB
Full-length research paper
Published ahead of print September 14, 2026; Printed September 14, 2026; OM&P 2026 Volume 13 Issue 3, pages 201-205; doi:10.24412/2500-2295-2026-3-201-205
Abstract Full Text

This study investigated the effects of different sex steroid levels on the spectral characteristics of neocortex EEG in female WAG/Rij rats. The experiment was performed on three groups of animals: control (diestrus), after ovariectomy, and after hormone replacement therapy (17β-estradiol + progesterone). Spectral analysis of EEG from the frontal and parietal regions revealed region-specific changes. In the frontal cortex, ovariectomy caused a significant increase in delta power (from 39.78% to 57.70%) and a decrease in theta and low-frequency beta activity, whereas the parietal cortex showed an increase in theta rhythm and a tendency toward decreased alpha and beta activity. Hormone replacement therapy did not fully restore the spectral parameters to control levels. These data indicate region-specific modulatory effects of estrogens on cortical electrical activity and confirm the high value of EEG spectral analysis for identifying neurophysiological markers of sex hormone deficiency.


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17_Sadredinova_201-205.pdf375.8 KB
Full-length research paper
Published ahead of print September 14, 2026; Printed September 14, 2026; OM&P 2026 Volume 13 Issue 3, pages 191-200; doi:10.24412/2500-2295-2026-3-191-200
Abstract Full Text

This paper analyzes eye-gaze dynamics in individuals with autistic traits during an emotion recognition task using partial facial stimuli. A distinct emotion recognition strategy was identified in individuals with elevated autistic traits. Specifically, the target group demonstrated superior efficiency in recognizing neutral and negative emotions compared to the control group, characterized by a smaller scanning area, shorter recognition latency, and higher accuracy. The findings demonstrate that eye-tracking methodology is effective not only for clinical autism diagnostics but also for identifying the broader autism phenotype (BAP). These results suggest that the broader autism phenotype is not characterized by deficits in emotion recognition; rather, it reflects a qualitatively alternative strategy of social cognition.


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16_Ronzhin_191-200.pdf1.09 MB
Full-length research paper
Published ahead of print September 14, 2026; Printed September 14, 2026; OM&P 2026 Volume 13 Issue 3, pages 178-190; doi:10.24412/2500-2295-2026-3-178-190
Abstract Full Text

The molecular genetic structure of populations and an assessment of adaptation mechanisms were performed for the marsh frog (Pelophylax ridibundus) inhabiting water bodies differing in the type of environmental stress, defined by the level of environmental pollution (classified as water quality classes 4 and 5). Molecular genetic diagnostics revealed the presence of individuals with introgressive mtDNA of the Anatolian water frog (P. cf. bedriagae) in the marsh frog sample. Species identification was carried out using a multiplex PCR test system. We detected haplotypes and alleles of the invasive Anatolian marsh frog (Pelophylax cf. bedriagae) in marsh frog populations. The samples revealed a high infection intensity with intracellular parasites of the class Conoidasida (representatives of the genus Dactylosoma from the family Dactylosomatidae, and species of the genus Hepatozoon from the family Hepatozoidae) and extracellular parasites (class Nematoda, family Onchocercidae, microfilariae larvae). The dominant hemoparasite was Dactylosoma sp., while microfilariae larvae were extremely rare; representatives of the genera Hepatozoon, Trypanosoma, and Lankesterella showed moderate prevalence. It was found that under extreme environmental pollution (class 5), inhibition of humoral responses occurs (a decrease in the level of large and an increase in the level of small immune complexes), which is interpreted as a compensatory shift of resources towards cellular defense mechanisms in the marsh frog. Against the background of environmental stress, the presence of intraerythrocytic parasites acts as an additional modulator of amphibian cellular immunity.


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15_Romanova_178-190.pdf955.19 KB
Invited review
Published ahead of print September 14, 2026; Printed September 14, 2026; OM&P 2026 Volume 13 Issue 3, pages 163-177; doi:10.24412/2500-2295-2026-3-163-177
Abstract Full Text

Over the past fifteen years, nanozymes—artificial nanomaterials with enzyme-like catalytic activity—have evolved from a laboratory phenomenon into one of the most rapidly advancing platforms in nanomedicine. The unique ability of nanozymes to selectively modulate the levels of reactive oxygen species within the tumor microenvironment opens fundamentally new avenues for highly selective therapy of malignant neoplasms. This review systematically presents current advances in the development of "smart" nanozymes for cancer treatment. Catalytic mechanisms are discussed in detail, including peroxidase-like, oxidase-like, catalase-like, superoxide dismutase-like, and hydrolase-like activities, as well as the factors influencing these processes. The main classes of nanozymes are analyzed: metals and metal oxides, carbon-based materials, metal-organic frameworks, single-atom catalysts, bimetallic and biomimetic systems. Strategies for enhancing catalytic efficiency are examined: heterometallic doping, defect engineering, surface modification, control of porosity and dimensionality, and the use of hybrid constructs with natural enzymes. Special attention is given to the integration of artificial intelligence and machine learning methods for predicting nanozyme structure and activity, thereby accelerating the search for optimal candidates. Therapeutic modalities are described—chemodynamic, photothermal, photodynamic, and sonodynamic therapy, depletion therapy, immunotherapy, as well as the induction of novel forms of cell death. It is shown that combined approaches, in which nanozymes perform multiple catalytic functions simultaneously, are the most effective. Finally, barriers to clinical translation are critically assessed: long-term biosafety, incomplete in vivo specificity, the challenge of scalable synthesis, and the lack of standardized evaluation protocols. Potential strategies to overcome these limitations are proposed.


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14_Nikiforova_163-177.pdf546.53 KB
Invited review
Published ahead of print September 14, 2026; Printed September 14, 2026; OM&P 2026 Volume 13 Issue 3, pages 144-162; doi:10.24412/2500-2295-2026-3-144-162
Abstract Full Text

Long noncoding RNAs (lncRNAs) are crucial factors in the physiological development of an organism, regulating gene expression by binding to specific proteins, microRNAs, and genomic regions. Consequently, an imbalance in lncRNA activation has global implications and can lead to serious consequences, such as the development of malignancies. In evolution, the most important sources of formation and changes in lncRNA genes were transposable elements (TEs), which play a significant role in the carcinogenesis of one of the most aggressive and incurable brain tumors – glioblastoma. According to numerous studies, increased expression of TEs, which are involved in carcinogenesis, is detected in glioblastoma tissues and cell lines. Since most lncRNA gene regulatory sequences originate from TEs, it has been hypothesized that pathological activation of TEs also contributes to glioblastoma development by altering lncRNA expression. Indeed, lncRNAs involved in glioblastoma development interact with TE-derived microRNAs, supporting this hypothesis. This review describes the mechanisms by which lncRNAs influence glioblastoma pathogenesis, their relationship with TEs involved in this tumor, and with TE-derived microRNAs. The data obtained may form the basis for new methods of glioblastoma diagnosing and treating.


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13_Mustafin_144-162.pdf989.77 KB
Full-length research paper
Published ahead of print September 14, 2026; Printed September 14, 2026; OM&P 2026 Volume 13 Issue 3, pages 134-143; doi:10.24412/2500-2295-2026-3-134-143
Abstract Full Text

Photopolymer materials based on methacrylic acid esters are extensively utilized in additive manufacturing; nevertheless, their application in medicine is constrained by the absence of antimicrobial activity, which elevates the risk of infectious complications. The present paper puts forth a methodology for producing composites for stereolithographic 3D printing by introducing metal oxide nanoparticles (TiO2, CuO, ZnO, and Ag2O) into a methacrylate resin. The synthesis of the nanoparticles was accomplished via a laser ablation process in water, followed by their transfer to acetone and subsequent dispersion in the resin at concentrations ranging from 0.001 to 0.1 vol%. The utilization of dynamic and electrophoretic light scattering methodologies has elucidated that the nature of particle agglomeration in acetone is contingent upon the nature of the oxide and exhibits a correlation with the surface charge density, otherwise known as the zeta potential. It has been demonstrated that all composites retain their photopolymerizability, thereby enabling the fabrication of three-dimensional objects (i.e., test models and an orthodontic mouthguard). The antibacterial activity of the modified materials was assessed by measuring the inhibition of Escherichia coli growth over a 24-hour period. The results demonstrated a pronounced bacteriostatic effect for all modified materials. The composite with 0.1% Ag2O exhibited the strongest effect, with a maximum of 58% inhibition. ZnO and CuO, at the same concentration, showed similar results, with 48% and 45% inhibition, respectively. In contrast, TiO2 demonstrated saturation of activity at a lower concentration, with 0.01% resulting in complete inhibition. The study of the cytotoxic effect on human fibroblasts (HSF line) was conducted using fluorescence microscopy. The results indicated that cell viability on all composites exceeded 95% relative to the unmodified polymer. Consequently, the developed composites exhibit a synergistic combination of high antibacterial efficacy and low toxicity, along with technological suitability for 3D printing. This technological aptitude renders the composites promising candidates for utilization in the fabrication of implants, surgical templates, and dental structures that possess enhanced antiseptic properties.


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12_Kozlov_134-143.pdf782.28 KB
Full-length research paper
Published ahead of print September 14, 2026; Printed September 14, 2026; OM&P 2026 Volume 13 Issue 3, pages 125-133; doi:10.24412/2500-2295-2026-3-125-133
Abstract Full Text

Myocardial ischemia is a condition of inadequate blood supply to the cardiac muscle, resulting from impaired blood flow through the coronary vessels, as well as from the cessation of cardiac activity during cardiac surgical interventions. Understanding the molecular and cellular mechanisms underlying ischemia and the recovery of myocardial contractile function after ischemia may contribute to the development of novel therapeutic approaches aimed at protecting the myocardium from ischemic and reperfusion injury. The aim of this study was to investigate the effect varying duration of ischemia on the recovery isolated rat heart of functional parameters. Isolated hearts of 20-week-old rats were perfused using the Langendorff method. We analyzed systolic and diastolic blood pressures, left ventricular developed pressure, heart rate, and coronary flow rate of the isolated heart. In the experimental groups, total ischemia was induced by cessation of perfusion for 20, 30, and 60 minutes, followed by 40 minutes of myocardial reperfusion. The recovery of the cardiac contractility index, left ventricular developed pressure (LVP), demonstrated a direct dependence on the duration of ischemia: the longer the ischemic time, the lower the degree of recovery of this parameter. Cardiac reperfusion following simulated global ischemia is accompanied by elevated left ventricular diastolic pressure. Myocardial ischemia of 60-minute duration causes coronary artery dysfunction and reduces their vasodilatory capacity during reperfusion.


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11_Khabibrakhmanov_125-133.pdf735.71 KB
Full-length research paper
Published ahead of print September 14, 2026; Printed September 14, 2026; OM&P 2026 Volume 13 Issue 3, pages 111-124; doi:10.24412/2500-2295-2026-3-111-124
Abstract Full Text

Laser light‑scattering analyzers, based on recording the radiation intensity in forward, side, and back scattering, have physical and technical limitations that prevent the implementation of universal technical solutions based on them for integration into industrial systems. Within the scope of the study, an improved scatterometric method is proposed. It is based on recording the radiation intensity in back scattering and enables component‑level diagnostics of highly scattering media (in particular, milk) regardless of their geometric features. This will allow the development of universal technical tools based on this method for integration into industrial quality control systems. A mathematical model of such light‑scattering systems has been developed, and an experimental prototype of the device based on the described method has been proposed.


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10_Ivliev_111-124.pdf1.19 MB
Full-length research paper
Published ahead of print September 14, 2026; Printed September 14, 2026; OM&P 2026 Volume 13 Issue 3, pages 101-110; doi:10.24412/2500-2295-2026-3-101-110
Abstract Full Text

The molecular genetic polymorphism of human herpes virus 6B (HHV6B) circulating among healthy virus carriers of a large city in the European part of Russia (Nizhny Novgorod) was studied. Using sequencing, we established the nucleotide sequences of the U90B gene fragment of HHV6B isolated from samples of peripheral blood leukocytes and saliva of clinically healthy virus carriers. The virus genovariant was determined according to the previously developed subspecies classification of HHV6B. The circulation of four HHV6B genovariants with different pathogenetic potential was revealed: dominant GV2e and GV2b and minor GV1a and GV2a. There was the difference of HHV6B genovariant structure in subjects of different age: among healthy virus carriers over 35 years old, only one HHV6B genovariant (GV2e) was detected, among people from 8 to 35 years old — three genovariants (GV2e, GV2b, GV1a), among children under 8 years old — all four genovariants. Phylogenetic modeling of the HHV6B population dynamics in the territory of Nizhny Novgorod was performed. The most probable model of the spread of virus genovariants in the population was established, suggesting the initial circulation of GV2e and successive imports of genovariants GV2b (approximately 1979), GV1a (1996) and GV2a (2007). According to this model, for most healthy virus carriers after HHV6B infection in early childhood, the genovariant of the virus does not change during the rest of the life. However, a case of a healthy virus carrier with two genovariants of HHV6B localized in different compartments (blood leukocytes and saliva) was established.


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09_Filatova_101-110.pdf1.52 MB
Full-length research paper
Published ahead of print September 14, 2026; Printed September 14, 2026; OM&P 2026 Volume 13 Issue 3, pages 90-100; doi:10.24412/2500-2295-2026-3-90-100
Abstract Full Text

In recent years, Danio rerio fish (D. rerio) have become increasingly used in the field of biological narcology to study the effects of narcogens on behavior and neurochemistry in the brain. In order to study the effect of ethanol, D. rerio was used most often. We analyzed all available studies and summarized information on behavior and neurochemistry obtained using different protocols for modeling chronic ethanol exposure and withdrawal status on D. rerio. The analysis of the publications allowed us to identify three approaches used to model chronic alcoholism on D. rerio. Such a generalization of the available data will be beneficial for researchers who use D. rerio as a model object to solve their problems in this area of research.


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08_Eresko_90-100.pdf1.22 MB
Full-length research paper
Published ahead of print September 14, 2026; Printed September 14, 2026; OM&P 2026 Volume 13 Issue 3, pages 79-89; doi:10.24412/2500-2295-2026-3-79-89
Abstract Full Text

This work presents digital mapping of nonlinear processes in the neural networks of the human brain under different parameters of monochromatic sinusoidal photostimulation. It is shown that during complex bifrequency sinusoidal photostimulation, a nonlinear response is observed in the electrical activity of the cortex. This response manifests as the presence of components in the EEG spectra that are absent from the applied stimuli. These components are both harmonically related to the stimulus and are sums and differences of the stimulus frequencies. New data on the spatial and dynamic features of EEG mappings of nonlinear processes in the brain's neural networks are presented. Based on experimental data, an operational model of EEG response formation is proposed. This model is based on the operation of amplitude modulation (multiplication) of induced rhythms with each other. The products of these multiplications (paraharmonics) are localized in different neural networks, representing independent processes. The operation of rhythm multiplication can be considered a computational process that enables the implementation of various functional systems. Amplitude modulation, i.e., the multiplication of rhythms induced by external harmonic stimulation, may underlie the active nonlinear operations performed by the nervous system during the perception of sensory signals. The role of these nonlinear processes in activating neuroplasticity mechanisms is discussed.


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07_Bondar_79-89.pdf2.65 MB
Full-length research paper
Published ahead of print September 14, 2026; Printed September 14, 2026; OM&P 2026 Volume 13 Issue 3, pages 67-78; doi:10.24412/2500-2295-2026-3-67-78
Abstract Full Text

Genetic predisposition plays a significant role in the development of ovarian cancer (OC). Genetic variants in DNA repair genes, including XRCC1, may be significant markers for this disease. We aimed to assess the association of XRCC1 rs1799782 and rs25487 with ovarian cancer risk via a case-control study in Bashkortostan and a subsequent meta-analysis. Materials and Methods: This study included DNA samples isolated from venous blood of patients with ovarian cancer (n = 227) and women without cancer (n = 286). Genotyping of XRCC1 polymorphisms (rs1799782, rs25487) was performed using PCR-RFLP analysis. We assessed Hardy-Weinberg equilibrium and calculated odds ratios (ORs) with 95% CIs. Additionally, we conducted a meta-analysis incorporating our data with previously published studies. Pooled ORs were calculated using fixed- and random-effects models. Results: The rs1799782 polymorphism showed no significant association with ovarian cancer risk in the case-control study (p > 0.05), consistent with the low heterogeneity observed in the meta-analysis (I² = 35.2%). For rs25487, the A allele was associated with decreased ovarian cancer risk in the Bashkortostan population (p = 0,035). However, the meta-analysis revealed the opposite trend, with the same allele conferring increased risk of gynecologic malignancies (OR = 1.18, 95% CI: 1.00–1.39, p = 0.046), alongside substantial heterogeneity (I² = 69%). This pooled estimate aligns with previous meta-analyses reporting increased risk in Asian populations. Conclusion: XRCC1 rs25487 exhibits population-specific effects on ovarian cancer risk: protective in the Bashkortostan population but risk-associated globally. rs1799782 shows no association with ovarian cancer, despite its reported role in other gynecologic malignancies. These findings underscore the need for population-stratified genetic studies.


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06_Andreeva_67-78.pdf1.41 MB
Full-length research paper
Published ahead of print September 14, 2026; Printed September 14, 2026; OM&P 2026 Volume 13 Issue 3, pages 55-66; doi:10.24412/2500-2295-2026-3-55-66
Abstract Full Text

We investigated the effects of pulsed magnetic fields at various combinations of magnetic induction values on the development of stress responses induced by adrenaline administration. The study assessed blood glucose levels, malondialdehyde in erythrocytes, transaminase activity, sialic acid levels, beta-adrenergic reactivity using spectrophotometry, and the condition of white blood cells through microscopy. Preliminary exposure to the pulsed magnetic field (PMF), regardless of the mode of application, exhibited a cytoprotective effect by neutralizing reactions triggered by adrenaline administration. When applied to a conditionally healthy subject, the pulsed magnetic field, regardless of the exposure mode, acted as a stressor, causing increased membrane permeability due to heightened lipid peroxidation processes.


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05_Ananyeva_55-66.pdf543.6 KB
Full-length research paper
Published ahead of print September 14, 2026; Printed September 14, 2026; OM&P 2026 Volume 13 Issue 3, pages 40-54; doi:10.24412/2500-2295-2026-3-40-54
Abstract Full Text

Background: Chronic renal insufficiency (CRI) is a dysregulation in renal function concurrently present with systemic inflammatory processes and neuroimmune interactions. Among the Iraqi cohort of patients with CRI, the present study aimed to clarify the relationship between serum acetylcholinesterase (AChE) levels and the inflammatory cytokines (IL-1α, IL-10, TNF-α). Methods: Thirty CRI patients and thirty age- and sex-matched healthy controls were recruited. All participants had blood samples collected for measurement of serum AChE and inflammatory cytokines (IL-1α, IL-10, TNF-α) using validated commercial ELISA kits. The hematological and biochemical parameters were also assessed. Results: TNF‑α was markedly elevated in Iraqi CRI patients and moderately correlated with AChE (r = 0.472, p < 0.01), while IL-1α and IL-10 were elevated but weakly correlated with AChE (r = 0.196 and 0.239, p > 0.05). Conclusion: TNF‑α may be a central mediator linking systemic inflammation with cholinergic perturbation in Iraqi CRI patients, whereas IL-1α and IL-10 have less influence on AChE. This study is the first to measure these markers simultaneously, supporting further exploration of TNF‑α and the cholinergic anti-inflammatory pathway (CAP) as potential therapeutic targets.


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04_Majeed_40-54.pdf1.82 MB
Full-length research paper
Published ahead of print September 14, 2026; Printed September 14, 2026; OM&P 2026 Volume 13 Issue 3, pages 27-39; doi:10.24412/2500-2295-2026-3-27-39
Abstract Full Text

Hyperparathyroidism (HPT) is a complex endocrine condition true cppHip1 which is characterized by calcium imbalance with abnormal bone turnover with significant skeletal morbidities. The aim of the study was to investigate links between BMD markers and clinical evolution of variants of hyperparathyroidism, mainly focusing on primary and secondary forms related to vitamin D deficit and chronic renal failure. An observational cross-sectional study for 11 months on 200 adult male patients was conducted and the patients were divided into four groups as healthy control group, primary hyperparathyroidism (PHPT), secondary hyperparathyroidism (SHPT) due to vitamin D deficiency and SHPT due to renal failure. Plasma biochemical, hormonal and bone metabolic markers from blood samples were measured as previously described. The two groups presented different metabolic profile, including higher PTH levels, alterations in calcium and vitamin D homeostasis and markers for high bone turnover. This was particularly the case for kidney-related SHPT. PTH was inversely related to calcium and vitamin D3 and directly related to the bone resorption markers suggesting different patterns of skeletal remodeling. Conclusions: These findings highlight the progressive skeletal consequences of hyperparathyroidism and point to a potential use for these biochemical stand-ins in determining severity. Severe bone disease may be avoided with early detection and treatment of metabolic abnormalities.


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03_Kader_27-39.pdf1.03 MB
Full-length research paper
Published ahead of print September 14, 2026; Printed September 14, 2026; OM&P 2026 Volume 13 Issue 3, pages 15-26; doi:10.24412/2500-2295-2026-3-15-26
Abstract Full Text

Transient tachypnea of the newborn (TTN) is a common respiratory condition in neonates with many complications. Early identification of neonates at risk of complications is essential for timely management. This study aimed to evaluate the predictive value of serum biomarkers—lactate dehydrogenase (LDH), tumor necrosis factor-alpha (TNF-α), and interleukin-1 beta (IL-1β)—for complications in neonates with TTN. This is a cross-section study including 88 neonates diagnosed with TTN. Serum levels of LDH, TNF-α, and IL-1β were measured at admission. Receiver operating characteristic (ROC) curves were used to assess the predictive accuracy of each biomarker. Complications occurred in 13 neonates (14.8%). Median serum levels of LDH, TNF-α, and IL-1β were significantly higher in neonates who developed complications compared to those who did not. ROC curve analysis revealed that LDH had an area under the curve (AUC) of 0.926, with 90% sensitivity and 92% specificity at a cut-off value of 1000 U/L. TNF-α demonstrated an AUC of 0.938 (cut-off: 82.75 pg/mL), with 90% sensitivity and 85% specificity. IL-1β had an AUC of 0.878, with 80% sensitivity and 79% specificity at a cut-off of 19.4 pg/mL. Conclusion: Elevated serum levels of LDH, TNF-α, and IL-1β at admission are significantly associated with the risk of complications in neonates with TTN. These biomarkers may serve as valuable early predictors for identifying high-risk patients and guiding clinical decision-making.


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02_Al-Khayat_15-26.pdf908.57 KB
Full-length research paper
Published ahead of print September 14, 2026; Printed September 14, 2026; OM&P 2026 Volume 13 Issue 3, pages 5-14; doi:10.24412/2500-2295-2026-3-5-14
Abstract Full Text

Background: Peyer's patches represent highly specialized GALT that plays a key role in mucosal immune surveillance. FAE covering Peyer's patches differs structurally and functionally from the adjacent villous epithelium; however, regulation of its barrier function by cholinergic signaling remains poorly understood. Methods: Ex vivo, electrophysiological recordings were done with Peyer’s patch FAE isolated from the small intestine of male Wistar rats using the Ussing chamber technique. TER was recorded over a period of 70 minutes under control conditions, following the administration of acetylcholine, nicotinic receptor blockade using Mec, and combined treatment. Results: Control tissues exhibited a time-dependent progressive decline in TER. Blockade of nicotinic receptors with Mec significantly reduced TER, consistent with a contribution of endogenous cholinergic tone to barrier maintenance. Ach alone failed to produce a statistically significant alteration in TER. The combination of Ach and Mec produced an attenuated response compared to Mec alone, consistent with an interaction between cholinergic stimulation and receptor blockade in regulating epithelial barrier dynamics. Conclusions: These data provide evidence that cholinergic signaling regulates epithelial barrier function in Peyer’s patch FAE in a context-dependent manner. The different responses to Ach and nicotinic receptor inhibition underline the unique physiological properties of this specialized epithelium and point toward non-neuronal cholinergic pathways as modulators of the immune-epithelial interface in the gut.


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01_Alazzamee_5-14.pdf1.14 MB