RESUMO
Myocardial infarction in old age is the leading pathology and cause of deaths. The aim of the study was to evaluate the prognostic significance and informative value of cardiac markers of blood in elderly patients with myocardial infarction. The study of cardiac markers in 107 patients with myocardial infarction at the age of 65-75 years and in 83 patients with myocardial infarction at the age of 50-60 years was carried out by immunochromatographic, bioluminescent methods and by electrophoresis on cellulose acetate, followed by the calculation of informativeness and prognostic coefficients. 95 persons aged 65-75 years without myocardial infarction served as control. Troponin T, brain natriuretic peptide, glucose-6-phosphate dehydrogenase and lactate dehydrogenase-1 have the most informative and prognostic significance in elderly patients with myocardial infarction. The use of these cardiac markers will improve the diagnosis and isolation of patients with myocardial infarction at high risk.
Assuntos
Biomarcadores , Infarto do Miocárdio/diagnóstico , Idoso , Glucosefosfato Desidrogenase , Humanos , Isoenzimas , L-Lactato Desidrogenase , Pessoa de Meia-Idade , Peptídeo Natriurético Encefálico , Prognóstico , Troponina TRESUMO
A search for sub-GeV dark matter production mediated by a new vector boson A^{'}, called a dark photon, is performed by the NA64 experiment in missing energy events from 100 GeV electron interactions in an active beam dump at the CERN SPS. From the analysis of the data collected in the years 2016, 2017, and 2018 with 2.84×10^{11} electrons on target no evidence of such a process has been found. The most stringent constraints on the A^{'} mixing strength with photons and the parameter space for the scalar and fermionic dark matter in the mass range â²0.2 GeV are derived, thus demonstrating the power of the active beam dump approach for the dark matter search.
RESUMO
We report the first results on a direct search for a new 16.7 MeV boson (X) which could explain the anomalous excess of e^{+}e^{-} pairs observed in the excited ^{8}Be^{*} nucleus decays. Because of its coupling to electrons, the X could be produced in the bremsstrahlung reaction e^{-}Zâe^{-}ZX by a 100 GeV e^{-} beam incident on an active target in the NA64 experiment at the CERN Super Proton Synchrotron and observed through the subsequent decay into a e^{+}e^{-} pair. With 5.4×10^{10} electrons on target, no evidence for such decays was found, allowing us to set first limits on the X-e^{-} coupling in the range 1.3×10^{-4}â²Îµ_{e}â²4.2×10^{-4} excluding part of the allowed parameter space. We also set new bounds on the mixing strength of photons with dark photons (A^{'}) from nonobservation of the decay A^{'}âe^{+}e^{-} of the bremsstrahlung A^{'} with a mass â²23 MeV.
RESUMO
UNLABELLED: The article deals with a study of efficacy and safety of the dexmedetomidine as an analgesic adjuvant drug for anaesthesia during laparoscopic gynecological and abdominal surgeries. Patients and methods: 32 patients received intraoperative infusion of dexmedetomidine. We assessed an effects of dexmedetomidine on data of central circulation during surgeries. CONCLUSIONS: The use of dexmedetomidine allows to decrease an amount of opioid analgesics, inhalation anaesthetics and to avoid severe changes of circulation during traumatic phases of surgeries.
Assuntos
Analgesia/métodos , Analgésicos não Narcóticos/uso terapêutico , Anestesia Geral/métodos , Dexmedetomidina/uso terapêutico , Laparoscopia/métodos , Dor Pós-Operatória/prevenção & controle , Analgésicos não Narcóticos/administração & dosagem , Analgésicos não Narcóticos/efeitos adversos , Dexmedetomidina/administração & dosagem , Dexmedetomidina/efeitos adversos , Feminino , Hemodinâmica/efeitos dos fármacos , Humanos , Infusões Intravenosas , Cuidados Intraoperatórios , Masculino , Pessoa de Meia-Idade , Resultado do TratamentoRESUMO
We described our experience in using the new noninvasive hemodynamic monitoring (esCCO), which allowed recording most important parameters of heart capacity. Infusion therapy during laparoscopic operations might be based on dynamic of systolic blood volume. This functional approach can be used for evaluation of heart reaction on bolus fluid load, to optimike volemic status in situations associated with dynamical blood circulation changes. We compared intraoperative infused fluid volumes, calculated by traditional approach and by target approach. The obtained results had significant differences among groups, and didn't correspond with "liberal" and "restrictive" strategy for infusion therapy.
Assuntos
Hidratação/métodos , Coração/fisiologia , Hemodinâmica/fisiologia , Soluções Isotônicas/administração & dosagem , Laparoscopia/métodos , Monitorização Intraoperatória/métodos , Adulto , Soluções Cristaloides , Eletrocardiografia , Feminino , Decúbito Inclinado com Rebaixamento da Cabeça , Humanos , Hipovolemia/prevenção & controle , Masculino , Pessoa de Meia-IdadeRESUMO
So far, the ongoing debate about the appropriateness of combining drugs with different mechanisms of analgesic action for optimal antinociceptive protection. The review deals with the theoretical calculations arguing with the physiological rationality for the inclusion of central α2-agonists in the scheme of modern multimodal analgesia. We have presented data from recent reviews regarding the efficacy and safety of intraoperative application of dexmedetomidine as a one of the latest drugs in this class.
Assuntos
Agonistas de Receptores Adrenérgicos alfa 2/uso terapêutico , Analgésicos não Narcóticos/uso terapêutico , Dexmedetomidina/uso terapêutico , Dor/tratamento farmacológico , Agonistas de Receptores Adrenérgicos alfa 2/administração & dosagem , Agonistas de Receptores Adrenérgicos alfa 2/efeitos adversos , Agonistas de Receptores Adrenérgicos alfa 2/farmacocinética , Analgésicos não Narcóticos/administração & dosagem , Analgésicos não Narcóticos/efeitos adversos , Analgésicos não Narcóticos/farmacocinética , Dexmedetomidina/administração & dosagem , Dexmedetomidina/efeitos adversos , Dexmedetomidina/farmacocinética , Quimioterapia Combinada , Humanos , Dor/metabolismo , Receptores Adrenérgicos alfa 2/metabolismo , Transdução de Sinais , Transmissão Sináptica/efeitos dos fármacos , Distribuição TecidualRESUMO
AIMS/HYPOTHESIS: To date, the molecular function of most of the reported type 2 diabetes-associated loci remains unknown. The introduction or removal of cytosine-phosphate-guanine (CpG) dinucleotides, which are possible sites of DNA methylation, has been suggested as a potential mechanism through which single-nucleotide polymorphisms (SNPs) can affect gene function via epigenetics. The aim of this study was to examine if any of 40 SNPs previously associated with type 2 diabetes introduce or remove a CpG site and if these CpG-SNPs are associated with differential DNA methylation in pancreatic islets of 84 human donors. METHODS: DNA methylation was analysed using pyrosequencing. RESULTS: We found that 19 of 40 (48%) type 2 diabetes-associated SNPs introduce or remove a CpG site. Successful DNA methylation data were generated for 16 of these 19 CpG-SNP loci, representing the candidate genes TCF7L2, KCNQ1, PPARG, HHEX, CDKN2A, SLC30A8, DUSP9, CDKAL1, ADCY5, SRR, WFS1, IRS1, DUSP8, HMGA2, TSPAN8 and CHCHD9. All analysed CpG-SNPs were associated with differential DNA methylation of the CpG-SNP site in human islets. Moreover, six CpG-SNPs, representing TCF7L2, KCNQ1, CDKN2A, ADCY5, WFS1 and HMGA2, were also associated with DNA methylation of surrounding CpG sites. Some of the type 2 diabetes CpG-SNP sites that exhibit differential DNA methylation were further associated with gene expression, alternative splicing events determined by splice index, and hormone secretion in the human islets. The 19 type 2 diabetes-associated CpG-SNPs are in strong linkage disequilibrium (r² > 0.8) with a total of 295 SNPs, including 91 CpG-SNPs. CONCLUSIONS/INTERPRETATION: Our results suggest that the introduction or removal of a CpG site may be a molecular mechanism through which some of the type 2 diabetes SNPs affect gene function via differential DNA methylation and consequently contributes to the phenotype of the disease.
Assuntos
Ilhas de CpG , Metilação de DNA , Diabetes Mellitus Tipo 2/genética , Epigênese Genética , Ilhotas Pancreáticas/metabolismo , Polimorfismo de Nucleotídeo Único , Idoso , Processamento Alternativo , Estudos de Coortes , Diabetes Mellitus Tipo 2/metabolismo , Feminino , Regulação da Expressão Gênica , Estudos de Associação Genética , Humanos , Insulina/metabolismo , Secreção de Insulina , Desequilíbrio de Ligação , Masculino , Pessoa de Meia-Idade , RNA Mensageiro/metabolismo , Países Escandinavos e Nórdicos , Técnicas de Cultura de Tecidos , Doadores de TecidosRESUMO
Here we report the first isolation to homogeneous forms of two glucoamylases from the fungus Penicillium verruculosum and their study in comparison with known glucoamylases from Aspergillus awamori and Aspergillus niger. Genes that encode glucoamylases from P. verruculosum were cloned and expressed in the fungus Penicillium canescens, and the recombinant glucoamylases were obtained with subsequent study of their molecular weights, isoelectric points, optimal temperature and pH values, and stability. The catalytic activities of the recombinant glucoamylases were determined in relation to soluble potato starch. Changes in molecular mass distribution and content of low molecular weight products during starch hydrolysis by glucoamylases from P. verruculosum, A. awamori, and A. niger were studied. An exo-depolymerization mechanism was established to be the pathway for destruction of starch by the glucoamylases.
Assuntos
Aspergillus/enzimologia , Glucana 1,4-alfa-Glucosidase/metabolismo , Penicillium/enzimologia , Amilopectina/química , Amilopectina/metabolismo , Amilose/química , Amilose/metabolismo , Biocatálise , Estabilidade Enzimática , Glucana 1,4-alfa-Glucosidase/química , Glucana 1,4-alfa-Glucosidase/isolamento & purificação , Concentração de Íons de Hidrogênio , Hidrólise , Cinética , Amido/química , Amido/metabolismo , Especificidade por Substrato , TemperaturaRESUMO
The study deals with two mostly discussed techniques of postoperative analgesia for total knee joint arthroplasty. Surgeries were performed under subarachnoid anaesthesia with intravenous sedation. 9 patients of first group in received prolonged femoral nerve blockade as a component of multimodal analgesia. 8 patients of second group received epidural infusion of naropine. If basic technique of analgesia was not effective patients received trimeperidine 20 mg intramuscular. Patients of second group had less pain syndrome (in order to visual analogue scale) and did not need additional administration of opioids.
Assuntos
Analgesia Epidural/métodos , Artroplastia do Joelho , Bloqueio Nervoso Autônomo/métodos , Nervo Femoral , Dor Pós-Operatória/prevenção & controle , Idoso , Amidas/administração & dosagem , Amidas/uso terapêutico , Anestésicos Locais/administração & dosagem , Anestésicos Locais/uso terapêutico , Feminino , Nervo Femoral/efeitos dos fármacos , Hemodinâmica/efeitos dos fármacos , Humanos , Masculino , Pessoa de Meia-Idade , Medição da Dor/efeitos dos fármacos , Ropivacaina , Fatores de Tempo , Resultado do TratamentoRESUMO
The genes inuA and inu1, encoding two inulinases (32nd glycosyl hydrolase family) from filamentous fungi Aspergillus niger and A. awamori, were cloned into Penicillium canescens recombinant strain. Using chromatographic techniques, endoinulinase InuA (56 kDa, pI 3) and exoinulinase Inu1 (60 kDa, pI 4.3) were purified to homogeneity from the enzymatic complexes of P. canescens new transformants. The properties, such as substrate specificity, pH- and T-optima of activity, stability at different temperatures, influence of cations and anions on the catalytic activity, etc., of both recombinant inulinases were studied.
Assuntos
Aspergillus/enzimologia , Proteínas Fúngicas/metabolismo , Glicosídeo Hidrolases/metabolismo , Proteínas Fúngicas/genética , Proteínas Fúngicas/isolamento & purificação , Glicosídeo Hidrolases/genética , Glicosídeo Hidrolases/isolamento & purificação , Concentração de Íons de Hidrogênio , Cinética , Penicillium/metabolismo , Estabilidade Proteica , Proteínas Recombinantes/genética , Proteínas Recombinantes/isolamento & purificação , Proteínas Recombinantes/metabolismo , Especificidade por Substrato , TemperaturaRESUMO
An enzyme preparation has been produced on the basis of Penicillium canescens strains with the activity of cellibiohydrolase I, II; endo-1,4-beta-gluconase of Penicillium verruculosum; and beta-glucosidase of Aspergillus niger. It was shown that for the most effective hydrolysis of aspen wood pulp the optimal ratio of cellobiohydrolase and endo- 1,4-3-gluconase in enzyme preparations was 8 : 2 (by protein). It was also established that the homologous xylanase secreted by the Penicillium canescens fungus is a required component for the enzyme complex for hydrolysis of the hemicellulose matrix of aspen wood.
Assuntos
Aspergillus niger/enzimologia , Celulose/metabolismo , Proteínas Fúngicas/metabolismo , Penicillium/enzimologia , Populus/química , Madeira/química , Aspergillus niger/genética , Celulase/genética , Celulase/metabolismo , Celulose 1,4-beta-Celobiosidase/genética , Celulose 1,4-beta-Celobiosidase/metabolismo , Cromatografia Líquida de Alta Pressão , Eletroforese em Gel de Poliacrilamida , Endo-1,4-beta-Xilanases/genética , Endo-1,4-beta-Xilanases/metabolismo , Proteínas Fúngicas/genética , Hidrólise , Cinética , Engenharia Metabólica , Penicillium/genética , Polissacarídeos/metabolismo , beta-Glucosidase/genética , beta-Glucosidase/metabolismoRESUMO
The aim of the study is to analyze sepsis and septic shock incidence and their influence on the outcome in critically ill patients with intracranial hemorrhage. Sepsis incidence (33,7%) and septic shock incidence (18,6%) in the patients studied did not depend on intracranial hemorrhage etiology. Septic complications led to higher mortality which was 22,8% in patients with sepsis and 74,4% in patients with septic shock. Sepsis and septic shock risk factors are defined. The problem of sepsis and septic shock diagnosis in critically ill patients with intracranial hemorrhage are highlighted.
Assuntos
Hemorragias Intracranianas/epidemiologia , Sepse/mortalidade , Adulto , Estado Terminal , Feminino , Humanos , Incidência , Hemorragias Intracranianas/etiologia , Masculino , Pessoa de Meia-Idade , Prognóstico , Sepse/diagnósticoRESUMO
Effect of amines on formation of gold nanoparticles (AuNPs)/polymer nanocomposites has been observed and studied. Nanocomposites based on polyurethane foam and AuNPs were synthesized by interaction between the polymer modified with sodium borohydride and aqueous solution of tetrachloroauric acid. It has been shown that some amines cause a remarkable decrease of the surface plasmon resonance band of AuNPs in the nanocomposite material. Both aliphatic and aromatic amines as well as amines containing several amino groups were studied. A possible mechanism of the effect is discussed. It is probably based on stabilization of AuNPs with an amine that entails a decrease in the degree of their adsorption on PUF and appearance of the stabilized AuNPs in solution. The decrease of the nanocomposite surface plasmon resonance band is proportional to the concentration of amine in the solution. Based on this effect, a method for the determination of cetylamine, ß-naphthylamine and neomycin in water and medical formulations using a monitor calibrator as a portable household tool is proposed. Under the selected conditions, the detection limits for amines were in the range of 0.7-1.5 µM, the determination ranges were approximately an order of magnitude. The observed color change of the nanocomposite samples also provides a good basis for semiquantitative determinations.
RESUMO
The gene encoding Trichoderma harzianum fungus pustulanase (ThBGL1.6, GH5 family, endo-ß-1,6-glucanase, EC 3.2.1.75) was cloned and heterologously expressed by the highly productive Penicillium verruculosum fungus. The recombinant ThBGL1.6 was purified and its properties were studied. The ThBGL1.6 had an observed molecular mass of 46 kDa (SDS-PAGE data) and displayed maximum of the enzyme activity at pH 5.0 and 50 °C. At 45 °C, the ThBGL1.6 was stable for at least 3 h. The Km was 1.0 g/L with pustulan as the substrate. Reaction product analysis by HPLC clearly indicated that ThBGL1.6 has an endo-hydrolytic mode of action against pustulan as specific substrate. It was also identified that gentiobiose is the main reaction product at studying of long-term pustulan hydrolysis.
Assuntos
Glicosídeo Hidrolases/metabolismo , Hypocreales/enzimologia , Polissacarídeos/metabolismo , Sequência de Aminoácidos , Glicosídeo Hidrolases/química , Glicosídeo Hidrolases/genética , Hidrólise , Polissacarídeos/química , Conformação Proteica , Proteínas Recombinantes/química , Proteínas Recombinantes/genética , Proteínas Recombinantes/metabolismoRESUMO
Positively charged polyhexamethylene guanidine hydrochloride-stabilized silver nanoparticles (PHMG-AgNPs) were prepared and applied as a colorimetric probe for single-step determination of pyrophosphate and sulfate. The approach is based on the nanoparticles aggregation leading to change in their absorption spectra and color of the solution. Due to both electrostatic and steric stabilization these nanoparticles show decreased sensitivity relatively to many common anions, which allows for simple and rapid direct single-step determination of pyrophosphate and sulfate. Effects of different factors (time of interaction, pH, concentrations of anions and the nanoparticles) on aggregation of PHMG-AgNPs and analytical performance of the procedure were investigated. The method allows for the determination of pyrophosphate and sulfate in the range of 0.16-2µgmL-1 and 20-80µgmL-1 with RSD of 2-5%, respectively. The analysis can be performed using either spectrophotometry or naked-eye detection. Practical application of the method was shown by the example of pyrophosphate determination in baking powder sample.
Assuntos
Difosfatos/análise , Guanidina/química , Nanopartículas Metálicas/química , Prata/química , Espectrofotometria/métodos , Sulfatos/análise , Análise de Alimentos/métodos , Limite de Detecção , Nanopartículas Metálicas/ultraestruturaRESUMO
AIM: Adipose tissue has an important function in total energy homeostasis, and its dysregulation may contribute to lifestyle-related diseases such as type 2 diabetes, cancer and cardiovascular diseases. The aim of this study was to investigate genome-wide mRNA expression in adipose tissue in healthy men before and after an exercise intervention to identify genes or pathways that mediate the beneficial effect of regular exercise. We also investigated the difference in adipose tissue mRNA expression between individuals with or without a family history of type 2 diabetes. METHODS: The 6-month supervised exercise intervention was conducted in 47 healthy men (age 37.8 ± 4.3 years, BMI 28.5 ± 3.6 kg m(-2) ) with a previous low level of physical activity. RNA was analysed using GeneChip Human Gene 1.0 ST arrays (Affymetrix) before and after the exercise. RESULTS: We identified 2,560 significant transcripts differentially expressed before vs. after exercise with a false discovery rate (FDR) < 0.1%, including genes encoding the respiratory chain, histone subunits, small nucleolar RNAs and ribosomal proteins. Additionally, pathways enriched in response to exercise include the ribosome, oxidative phosphorylation, proteasome and many metabolic pathways, whereas the WNT and MAPK signalling pathways were down-regulated (FDR < 5%) after exercise. There were no significant differences in mRNA expression between individuals with or without a family history of type 2 diabetes. CONCLUSION: Exercise increased the expression of genes involved in oxidative phosphorylation, which is the opposite of what has been seen in adipose tissue from elderly or obese individuals with low physical fitness, and our study thereby demonstrates a mechanism for the beneficial effect of exercise.