Cardiovascular diseases (CVDs) are the leading cause of mortality worldwide. Heart failure (HF), a major pathology of the myocardium, is characterized by impaired cardiac function that leads to an abnormal enlargement of the heart, known as hypertrophy. In the study of the molecular mechanisms of HF pathogenesis, animal models play a crucial role. To characterize induced HF in animal models, biochemical approaches, such as quantifying the concentration of biomarkers in blood serum, are extremely important. Here we report a new immunochemical test system based on the measurement of the concentration of the B-type natriuretic peptide, protein biomarker of HF and hypertrophy, that can be utilized for characterization of HF development in rats and serve as a tool for further BNP concentration analysis.
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Oncopathology, along with cardiovascular diseases, are the leading causes of premature death in most countries worldwide. Approximately 90% of all malignant tumors are multifactorial diseases that develop in the presence of a hereditary predisposition under the influence of both modifiable and non-modifiable factors. Non-modifiable factors include gender and age. Modifiable factors include stress, hormonal imbalances, environmental pollution, and dietary habits. The risk of cancer development and progression is increased by the consumption of meat, processed meat products, and sausages containing carcinogenic nitroso compounds, into which vegetable nitrates are also converted. Excess table salt, polycyclic aromatic hydrocarbons, benzopyrene, trans fats and acrylamide also contribute to oncopathology. Antitumor properties are possessed by dietary fiber, isoflavones, Bowman-Birk inhibitors, lectins, omega-3 and omega-6, flavonoids, carotenoids, sesamin, spermidine, chlorophyll, and epigallocatechin contained in raw and processed plant products without frying. This article describes the mechanisms of action of these food components, the study of which can form the basis for comprehensive cancer treatment and the development of new methods of antitumor therapy.
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Alzheimer’s disease (AD) is a multifactorial neurodegenerative disorder in which neuroinflammation plays a major role in its pathogenesis, alongside the formation of amyloid plaques and neurofibrillary tangles. Necroptosis, a recently discovered regulated form of cell death mediated by the kinases RIPK1 and RIPK3, is considered one of the mechanisms contributing to neuroinflammation and neuronal death in AD. In this study, we evaluated the effect of chronic necroptosis inhibition using Necrostatin-1, a RIPK1 blocker, on the progression of neurodegeneration in aged 5xFAD mice, a model of the familial form of AD. Over a 12-week treatment period, the animals’ neurological status was assessed, followed by evaluation of long-term memory using the Morris water maze test, histological analysis of the prefrontal cortex and hippocampus, and RT-PCR analysis of the expression of key genes associated with necroptosis and inflammation. Chronic administration of Nec-1 significantly slowed the progression of neurological deficits in both male and female 5xFAD mice. Inhibition of necroptosis prevented the loss of normal neurons, reduced the number of hyperchromic cells, and decreased the severity of pericellular and perivascular edema in the examined brain regions. However, in the Morris water maze test, learning and memory improved only partially in males, but not in female 5xFAD mice. This may be attributed to the increased expression of the anti-inflammatory cytokine IL-10 in the cortex and hippocampus of males. The results obtained indicate that inhibition of necroptosis by Necrostatin-1 represents a promising therapeutic approach for correcting neurological impairments and mitigating morphological brain alterations in Alzheimer’s disease.
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Objective: To investigate the levels of exhaled nitric oxide (FeNO) in children with mild bronchial asthma (BA) depending on disease control and the dynamics of FeNO levels after a 3-month course of treatment with leukotriene receptor antagonists (LTRA) or low doses of inhaled glucocorticosteroids (ICS). Materials and Methods: One hundred twenty children aged 5-15 years were examined, including 90 children with mild BA and 30 healthy controls. Measurements included FeNO, concentrations of nitrite (NO2-), nitrate (NO3-), their total concentration (TNN), and 3-nitrotyrosine in exhaled breath condensate. The main group was randomized into two subgroups: subgroup A - 60 children receiving montelukast, and subgroup B - 30 children receiving ICS. Results: In children with partially controlled BA, levels of FeNO, TNN, and NO3- in exhaled breath condensate were significantly higher compared to those with fully controlled BA. Following treatment with LTRA and ICS, a significant reduction in FeNO, TNN, and NO3- was observed in both subgroups. Conclusion: Dysregulation in the nitric oxide system plays a significant role in the pathogenesis of BA in children. Measurement of nitric oxide cycle parameters may be utilized for monitoring the effectiveness of basic therapy.
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Primary lactose non-persistence (LNP, hypolactasia) represents an autosomal-recessive condition, which is mainly attributed to the presence of the ancestral C-allele in the MCM6 -13910C>T (rs4988235) variant regulating the expression of the lactase (LCT) gene in individuals of European ancestry. Since the studies linking lactose intolerance C-allele and caloric accumulation, as well as gastrointestinal symptoms remain ambiguous to date, we decided to examine for a possible relation between the rs4988235 lactose intolerance allele and certain health parameters (body mass index, waist circumference, breastfeeding duration, and existing gastrointestinal tract diseases) in individuals (N = 2912) from four regions of the Volga-Ural region (VUR), i.e., Sverdlovsk Oblast, Republic of Bashkortostan, Chelaybinsk Oblast, and Udmurt Republic. In addition, we sought to clarify the genotype and allele frequencies of the MCM6 rs4988235 in the large sample from the VUR based on territorial and ethnic specificity. While examining a relation between several health conditions and the MCM6 variant, we determined a link between the rs4988235 CC genotype and prolonged breastfeeding duration (more than 1 year) in the total sample (OR = 1.63, 95%CI 2.32–5.88, p = 0.005) and in Russians (OR = 1.75, 95%CI 2.85–4.16, p = 0.024), which became more significant in individuals with a full-term period of gestation (more than 36 weeks) (OR = 1.67, 95%CI 1.13–2.45, p = 0.009) and was positively associated with higher birth weight (β = 3.11, p = 1.8x10-3). Findings obtained point to a compensatory effect of prolonged breastfeeding on diminishing manifestation of genetically predisposed primary hypolactasia.
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Gastric cancer (GC) is one of the most common cancers both globally and in Russia. In 2023, the incidence rate in Russia was 90.2 per 100,000 people (Kaprin et al., 2024). In the Republic of Bashkortostan (RB), 742 new cases were identified in 2023, ranking RB third in the Volga Federal District after the Republic of Tatarstan and Nizhny Novgorod Oblast. Our study used a sample consisting of DNA samples isolated from the peripheral venous blood of gastric cancer patients and healthy donors aged 21 to 88 years living in the Republic of Bashkortostan. The patient group consisted of 156 individuals. A control group of 307 unrelated healthy donors without gastrointestinal diseases, including individuals of various nationalities and residents of the Republic of Bashkortostan, was tested. One promising area is the study of mitochondrial dysfunction as a consequence of changes in energy metabolism, which are among the hallmarks of malignancy (Lee et al., 2014). We observed a risk effect of mtDNA haplogroup H in the Bashkir group (p = 0.03, OR = 3.14) and a protective effect in the Russian group (p = 0.01, OR = 0.296).
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Bacteria of the species Streptococcus pneumoniae, dominant in the etiological structure of community-acquired pneumonia in children, are represent a serious problem in the field of human infectious pathology. Detailed molecular and genetic characteristics of eleven S. pneumoniae strains isolated from sputum samples of children with community-acquired pneumonia were obtained using whole genome sequencing and bioinformatic analysis. Based on the analysis of the nucleotide sequences of seven housekeeping genes (aroE, gdh, gki, recP, spi, xpt, ddl), it was found that S. pneumoniae strains included in the study belong to six sequence types: ST1367, ST819, ST1262, ST180, ST15069, ST66. Using SeroBA algorithm S. pneumoniae strains were assigned to five serotypes:11C, 22F, 15C, 9N, 3. Genome annotation using ResFinder and CARD databases allowed us to identify determinants of resistance to macrolides (ermB, RImA), fluoroquinolones (patA, patB, pmrA), lincosamides (RImA), aminoglycosides (aph(3')-Ia) and tetracyclines (tetM and tet32). A high frequency of detection of pathogenicity genes encoding choline-binding proteins, fibronectin-binding proteins, pneumolysin, autolysin, hyaluronidase, neuraminidase, capsule proteins, zinc metalloproteinase in the genome of S. pneumoniae strains was noted. Phylogenetic analysis of the nucleotide sequences of the genome of Nishny Novgorod strains and strains deposited in GenBank/NCBI showed a high level of genetic variability of pneumococci circulating both in Russia and abroad.
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Chronic Rhinosinusitis With Nasal Polyps (CRSwNP): Pathophysiology and Advances in Treatment Options
The persistent inflammatory condition of sinonasal mucosa known as Chronic rhinosinusitis with nasal polyps (CRSwNP) commonly exists with asthma and allergic rhinitis and aspirin-exacerbated respiratory disease (AERD). The research investigated patient outcomes from CRSwNP treatment through medical and surgical methods with special emphasis on biologics and body mass index (BMI) effects on treatment results. The prospective observational research at Tikrit Teaching Hospital enrolled 200 adult CRSwNP patients from January 2024 through February 2025. The diagnostic evaluation included nasal endoscopy and high-resolution CT imaging as well as Sniffin’ Sticks olfactory testing and histopathological examination and inflammatory biomarker assessment. Medical treatments included corticosteroids, antibiotics, antihistamines, montelukast, and dupilumab in selected cases. Patients who needed surgery received functional endoscopic sinus surgery (FESS). The patients received follow-up care for 12 months through which evaluated their results. The Lund-Kennedy endoscopy scores together with Lund-Mackay CT scores and olfactory scores showed substantial post-treatment improvements (p < 0.001). The treatment of dupilumab resulted in positive responses in 85% of patients who had asthma and AERD. The effectiveness of dupilumab treatment decreased when patients had higher body mass index (BMI). The surgical procedure FESS produced symptom resolution in 90% of patients. The laboratory and histological results demonstrated that the inflammatory response was dominated by Th2 cells and eosinophils. The SNOT-22 scores showed significant improvement during the 12-month period. The treatment of CRSwNP requires a customized combination of medical and surgical interventions to achieve optimal results. The selection of biologic therapy needs to take BMI into account.
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Vitex negundo is a medicinal plant renowned for its wide spectrum of therapeutic properties, including significant anticancer activity. This study explores the inhibitory effects of V. negundo methanolic extract and essential oil on α-amylase purified from the serum of Iraqi lung cancer patients, as well as their cytotoxic effects on the A549 human lung cancer cell line. α-Amylase, an enzyme involved in carbohydrate metabolism, exhibits altered activity under cancerous conditions, making it a potential therapeutic target. The enzyme was purified through a multi-step procedure comprising ammonium sulfate precipitation, dialysis, ion-exchange chromatography, and gel filtration chromatography. This process resulted in an increase in specific activity from 0.94 to 17.0 U/mg protein. Both extracts of V. negundo were assessed for their capacity to inhibit α-amylase activity and reduce the viability of lung cancer cells. The methanolic extract demonstrated a more pronounced inhibitory effect on α-amylase (88.4% at 10 µg/mL) compared to the essential oil (77.0% at 10 µg/mL). Moreover, MTT assay results indicated concentration -dependent cytotoxicity against A549 cells, with IC₅₀ values of 68.79 µg/mL for the methanolic extract and 81.14 µg/mL for the essential oil. These findings underscore the potential of V. negundo—particularly its methanolic extract—as a promising natural anticancer agent, capable of targeting cancer-related metabolic pathways and suppressing tumor cell viability. The results warrant further investigation into the development of V. negundo-based therapeutics for lung cancer treatment.
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One of the consequences of type 1 and type 2 diabetes is diabetic nephropathy (DN), which can arise from the microvascular effects of the illnesses, often resulting in progressive renal impairment. It predominantly affects individuals in young and middle adulthood. This study included 60 patients diagnosed with DN at Baqubah Teaching Hospital and 30 healthy individuals as controls. Serum levels of MMP-7, YKL-40, KIM-1, and RBP-4 were measured using enzyme-linked immunosorbent assay (ELISA) to evaluate their role in the pathophysiology of DN. Among the DN cohort, 61.7% were male, with the highest representation in age groups 41-50 (23.3%), 51-60 (31.7%), and 61-70 years (23.3%). Most patients (73.3%) were non-obese. Serum levels of MMP-7, YKL-40, KIM-1, and RBP-4 were significantly elevated in DN patients compared to controls (p < 0.05). ROC curve analysis revealed that YKL-40 had the highest diagnostic performance, with 93% sensitivity and 87% specificity at a cut-off value >7.31 ng/mL. This was followed by KIM-1 (83% and 80%), MMP-7 (77% and 80%), and RBP-4 (70% and 71%) at cut-offs (>1.01, >7.31, and >49.39), respectively, in the diagnosis of DN patients. No statistically significant differences were found between biomarker levels in obese versus non-obese patients. Additionally, Pearson correlation analysis demonstrated a significant positive correlation between MMP-7 and YKL-40 (Pearson Correlation 0.442** and **p = 0.001). The elevated levels of MMP-7, YKL-40, KIM-1, and RBP-4 in DN patients reflect underlying kidney damage. Among these biomarkers, YKL-40 and KIM-1 demonstrated superior diagnostic utility due to their higher sensitivity and specificity, suggesting their potential value as reliable markers in the early detection and monitoring of diabetic nephropathy.
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