Opera Medica et Physiologica

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Full-length research paper
Printed December 02, 2024;
Published ahead of print December 01, 2024; Printed December 02, 2024; OM&P 2024 Volume 11 Issue 4, pages 111-121; doi:10.24412/2500-2295-2024-4-111-121
Abstract Full Text

This study aimed to evaluate the efficacy of High-Frequency Transcutaneous Electrical Nerve Stimulation (TENS) in combination with Complex Decongestive Physical Therapy (CDPT) on lower limb lymphedema. Every participant provided informed consent for the randomized controlled trial. The trial was conducted at Ahmed Maher Teaching Hospital and High-Top Clinic in Egypt. 60 patients with secondary lower limb lymphedema, ages 35 to 65, were involved in the trial and were split into two groups at random. Group A received CDPT and High-Frequency TENS, while Group B received CDPT only. Both interventions were administered thrice weekly for eight weeks. A non-flexible tape was used to assess the limb girth as the major result; the Lymphedema Quality of Life Questionnaire (LYMQOL) was used as a secondary outcome. ANOVA tests were used in the statistical analysis to compare the pre and post-treatment outcomes within and across groups. The findings revealed that both groups had significantly lower limb girth and improved LYMQOL scores, with Group A showing more improvements than Group B (p < 0.05). The results indicate that for patients with lower limb lymphedema, the combination of High-Frequency TENS and CDPT is superior to CDPT alone in terms of limb girth reduction and improved quality of life. This combination of therapies may be a useful strategy for treating lymphedema and enhancing patient outcomes.

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12_Albarakat_111-121.pdf935.92 KB

Invited review
Printed December 02, 2024;
Published ahead of print December 01, 2024; Printed December 02, 2024; OM&P 2024 Volume 11 Issue 4, pages 104-110; doi:10.24412/2500-2295-2024-4-104-110
Abstract Full Text

Cognitive impairments are among the most common types of neurological disorders that require the creation of reliable diagnostic and correction tools. Along with the development of effective drugs, in recent years a line of research has been actively developing, in which various methods of non-invasive brain stimulation with feedback from the current physiological parameters of a person, and primarily from the rhythmic components of the electroencephalogram (EEG), are successfully used to diagnose and correct cognitive impairments. The purpose of the presented work is to analyze recent publications, consider the achievements of this line of research and highlight the most promising directions for its further development. Studies using transcranial magnetic and electrical stimulation, as well as sensory types of stimulation - acoustic, photic and audiovisual stimulations, in which non-invasive stimulation is carried out on the basis of feedback signals from the patient's own bioelectrical processes, are considered. The advantages of EEG-guided light-music stimulation, developed by the authors for the correction of various cognitive disorders, are demonstrated.

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11_Федотчев_104-110.pdf462.07 KB

Full-length research paper
Printed December 02, 2024;
Published ahead of print December 01, 2024; Printed December 02, 2024; OM&P 2024 Volume 11 Issue 4, pages 93-103; doi:10.24412/2500-2295-2024-4-93-103
Abstract Full Text

Asthma is a common chronic multifactorial respiratory disease. Genes involved in the metabolism of drugs used for asthma management play an important role in asthma development. The aim of the study was to analyze the methylation of the promoter regions of AOC1, GLCCI1 and ARG2 genes involved in the metabolism of drugs used for asthma treatment in asthma patients and controls from the Republic of Bashkortostan. DNA was extracted from peripheral blood samples of 157 asthma patients and 155 control subjects. Methylation-Sensitive High Resolution Melting analysis and sequencing of bisulfite-treated genomic DNA were applied to estimate the degree of methylation. Analysis of the methylation status of promoter region of the AOC1 gene revealed a higher frequency of full methylation (100%) of the studied region in patients with severe and moderate asthma than in controls (38.61%; p=0.002; OR=2.58; 95%CI 1.4-4.75). A significantly higher level of promoter methylation of the GLCCI1 gene was found in patients with severe and moderate asthma compared to control group (p=0.01; OR=3.1; 95%CI 1.22-7.88). A low level of promoter methylation of the ARG2 gene was determined in both analyzed groups of patients and controls. The results of MS-HRM analysis were confirmed by bisulfite sequencing of analyzed samples. Thus, this study revealed differences in the level of methylation of promoter regions of AOC1 and GLCCI1 genes between samples of asthma patients and controls. The results of the study expand general understanding of the possible contribution of DNA methylation to asthma development.

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10_Савельева_93-103 +.pdf1.06 MB

Full-length research paper
Printed December 02, 2024;
Published ahead of print December 01, 2024; Printed December 02, 2024; OM&P 2024 Volume 11 Issue 4, pages 80-92; doi:10.24412/2500-2295-2024-4-80-92
Abstract Full Text

Previous studies have demonstrated that administration of clobetasol at a concentration of 0.25 mg/kg stimulates the synthesis of neurotrophic growth factors, likely triggering the phosphatidylinositol-3-kinase (PI3K) and mitogen-activated protein kinase (MAPK) signaling pathways, resulting in increased levels of structural and axonal proteins necessary for the functional recovery of damaged somatic nerves. However, it has been shown that using higher concentrations of the drug (0.5 and 1.0 mg/kg) leads to a reduction in both structural and axonal proteins in both segments of the nerve conduit and exerts an inhibitory effect on the expression of neurotrophic factors responsible for cytoskeletal remodeling and axonal growth regulation.

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09_Ревин_80-92.pdf1.09 MB

Full-length research paper
Printed December 02, 2024;
Published ahead of print December 01, 2024; Printed December 02, 2024; OM&P 2024 Volume 11 Issue 4, pages 71-79; doi:10.24412/2500-2295-2024-4-71-79
Abstract Full Text

The liver is a vital organ involved in a wide range of processes such as detoxification, protein synthesis, metabolism, and hormone production. Liver diseases, both inherited and viral hepatitis, liver cancer and fatty degeneration are among the leading causes of death in the world. Recent advances in 3D cell culture technology include the use of pluripotent stem cells and adult stem cells that are cultured in vitro to form self-organizing systems. Organoids are self-organizing multicellular structures that reproduce the structure and function of organs and can be used to model the development, maintenance and repair of organs ex vivo. That is why the search for new methods for the formation of hepatic organoids seen as an urgent task. For the fabrication of 3D organoids we isolated hepatic duct cells from rat liver. The obtained cellular structures were analyzed using atomic force microscopy to estimate their mechanical properties and demonstrated increasing of Young Modulus in comparison with normal liver sections. Morphometric evaluation showed that extracellular matrix fibers occupy up to 60% of the organoid, while cell agglomerations up to 40% of it. We observed the spontaneously formed fibrotic liver tissue-like constructs within 21 days. So, obtained hepatic organoids characterized by a tissue-like structure with a predominance of extracellular matrix fibers in its composition similar to liver tissue affected by fibrosis. 

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Invited review
Printed December 02, 2024;
Published ahead of print December 01, 2024; Printed December 02, 2024; OM&P 2024 Volume 11 Issue 4, pages 60-70; doi:10.24412/2500-2295-2024-4-60-70
Abstract Full Text

Molecular genetic studies make it possible to determine associations of multifactorial diseases (MFDs) with many specific SNPs, which influence on MFDs etiopathogenesis is often difficult to explain. This is due to the one-sided focus of strategies in the search for mechanisms of these SNPs influence, which are mainly limited to determining the role of protein-coding genes, near or within which these polymorphisms are located. This article provides data on the mechanisms of SNP influence on MFDs etiopathogenesis due to changes in the transposable elements, which leads to their activation, dysfunction or susceptibility to exogenous viral infections. As a result, the relationship of transposable elements with specific proteins, non-coding RNA and epigenetic factors changes, which is a predisposing factor for MFDs development. Indeed, most disease-associated SNPs are located in intronic and regulatory regions of genes, and in intergenic regions. Transposable elements of the human genome are also localized in these places. Therefore, the association of specific SNPs with certain MFDs is due to the different activities of specific transposable elements. Determining the influence of SNPs on transposable elements is promising in bioinformatics studies with the construction of maps of the distribution of these elements in the genome within genes and in intergenic regions with the identification of changes in their structure under the influence of polymorphisms. Using neurodegenerative diseases as an example, it has been shown that pathological functioning and activation of retroelements due to SNPs in the regions of their location in the human genome leads to these MFDs development.

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07_Мустафин_60-70.pdf478.11 KB

Full-length research paper
Printed December 02, 2024;
Published ahead of print December 01, 2024; Printed December 02, 2024; OM&P 2024 Volume 11 Issue 4, pages 51-59; doi:10.24412/2500-2295-2024-4-51-59
Abstract Full Text

During cardiac surgery, as well as on-pump CABG, it is crucial to monitor arterial blood parameters in order to assess the condition of patients and risks that might occur in the operating room. In some cases, the cardiac activity of patients undergoing on-pump CABG cannot be self-restored and resuscitation measures are required. Thus, the aim of the study was to analyze the differences between the two groups of patients (self-restoration of cardiac activity vs additional resuscitation measures were required) and identify arterial blood parameters potentially indicating that the patient is at risk. The data of 21 patients were analyzed with Python packages. Statistically significant differences were found between the control group (self-restoration of cardiac activity) and the test group (additional resuscitation measures were required) in the following arterial blood parameters: the levels of sodium, chloride, glucose and blood osmolality. We believe that hyponatremia and blood hypoosmolality might be a reason for cell edema which creates a greater load on the heart and leads to inability of self-restoration of cardiac activity.

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06_Киселева_51-59.pdf1.33 MB

Full-length research paper
Printed December 02, 2024;
Published ahead of print December 01, 2024; Printed December 02, 2024; OM&P 2024 Volume 11 Issue 4, pages 40-50; doi:10.24412/2500-2295-2024-4-40-50
Abstract Full Text

Over the past three decades, the majority of norovirus outbreaks and sporadic cases have been caused by strains of the GII.4 genotype. Notably, this period has seen a periodic change in the norovirus variants within the GII.4 genotype, with some variants acquiring epidemic distribution. Currently, six polymerase gene variants classified as P-type GII.P4 (GII.P4US95, GII.P4FarmingtonHills, GII.P4Hunter, GII.P4Yerseke, GII.P4DenHaag, and GII.P4NewOrleans) are represented in public nucleotide sequence databases, corresponding to GII.4 genotype variants of the gene encoding the main capsid protein VP1 of norovirus. In this study, the nucleotide sequence of the complete RdRp gene was obtained for a strain from Nizhny Novgorod, identified as GII.4Sydney[P4NewOrleans]. According to the results of Bayesian phylogenetic analysis based on RdRp GII.P4 gene sequences available in the GenBank database divided the analyzed strains into clusters according to polymerase variant. Within these clusters, lineages of intervariant recombinants are formed in accordance with the affiliation of the capsid protein variants associated with this polymerase variant. Analysis of the deduced amino acid sequences revealed substitutions specific to different polymerase variants that have emerged and become established within the norovirus population. It appears that the emergence of new norovirus variants within the GII.4 genotype involves selection for strains in which the polymerase and major capsid protein genes have coevolved, conferring certain advantages that facilitate further dissemination. These findings are highly relevant for advancing therapeutic strategies targeting RdRp inhibition for norovirus treatment and for development of specific prophylactic agents.

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05_Епифанова_40-50.pdf1.5 MB

Full-length research paper
Printed December 02, 2024;
Published ahead of print December 01, 2024; Printed December 02, 2024; OM&P 2024 Volume 11 Issue 4, pages 35-39; doi:10.24412/2500-2295-2024-4-35-39
Abstract Full Text

The effect of molecular hydrogen (H2) on the functional state of spermatozoa through signaling pathways was studied. In the work, drugs that affect elements of intracellular signaling cascades were used to study the mechanisms of action of H2. We used the adenylatecyclase stimulator – forskolin, the Ca2+-channel blocker – verapamil, and the proteinkinase C inhibitor – staurosporine. We studied concentrations of MDA, ATP, the percentage of total motility and the average speed of spermatozoa under the action of H2 against the background of the action of drugs and without the action of drugs. It was shown that the concentration of MDA in all series did not change. Forskolin causes an increase in sperm motility and velocity. The use of H2 increased the effects stimulated by forskolin: sperm motility and average velocity increased. The concentration of ATP, the percentage of motility and the velocity of sperm decreased under the action of staurosporine and verapamil. The combined action of H2 and verapamil as well as the combined action of H2 and staurosporine determined an increase in sperm motility and velocity. Thus, H2 had a modulating effect through signaling pathways and caused an increase in the functional indices of sperm.

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Full-length research paper
Printed December 02, 2024;
Published ahead of print December 01, 2024; Printed December 02, 2024; OM&P 2024 Volume 11 Issue 4, pages 21-34; doi:10.24412/2500-2295-2024-4-21-34
Abstract Full Text
Chronic kidney disease biomarkers are not studied well yet. Klotho and fibroblast growth factor 23 can be used as sensitive chronic kidney disease biomarkers, as well as single nucleotide polymorphisms of renin-angiotensin-aldosterone system genes may signal the risk of a genetic predisposition to this pathology. In this regard, the purpose of our work is to study the association of polymorphisms of renin-angiotensin-aldosterone system genes with physiological indicators of end-stage renal disease. Levels of fibroblast growth factor 23, Klotho, urea, creatinine, albumin, C-reactive protein, complete blood count parameters were considered in end-stage renal disease patients and control group. Also single nucleotide polymorphisms of AGT (rs4762), AGTR1 (rs5186) and AGTR2 (rs1403543) genes were determined. As a result, a statistically significant increase of fibroblast growth factor 23, urea and creatinine in the plasma of patients with end-stage renal disease was revealed. Statistically significant relationships were found between the complete blood count parameters, between albumin level and parathyroid hormone, between mean corpuscular hemoglobin and C-reactive protein. No difference of the frequency of polymorphisms of the studied genes between the groups was found.  An increase of albumin and decrease of Klotho levels were recorded in carriers of the heterozygous genotype of the rs5186 polymorphism and in the case of a complete replacement for the wild allele in the FGFR2 gene (rs1403543) in the group of patients with end-stage renal disease. In the control group a relationship was found between the levels of urea, albumin and creatinine and the carriage of rs4762 and rs1403543 polymorphisms.
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