Number Of Blood Cells Research Articles

Decorin-armed oncolytic adenovirus promotes natural killers (NKs) activation and infiltration to enhance NK therapy in CRC model

Colorectal cancer (CRC) is a prevalent malignant tumor of the gastrointestinal system, with the third and second highest incidence and mortality rates globally in 2020, respectively. Immunotherapy has developed rapidly in recent years. Natural killer (NK) cells have received increasing attention in the field of tumor immunotherapy due to their recognition and killing tumor cells without the limitations of major histocompatibility complexes. However, constraints within the tumor microenvironment that impede the infiltration and proliferation of NK cells result in poor efficacy of NK cell therapy for solid tumors. Oncolytic viral therapy is an immunogenic treatment with the potential to enhance anti-tumour immune responses and promote immune cell infiltration. In this study, we synergistically combine NK cells with an oncolytic adenovirus carrying Decorin (rAd.DCN) for the treatment of colorectal cancer (CRC) in a xenograft mouse model. By using Flow cytometry, real-time quantitative PCR and Calcein-AM release assay, we found that rAd.DCN could effectively promote proliferation, activation and degranulation of NK cells, up-regulate expression and secretion of NK cell killing activity-related factors, and enhance their killing activity. The efficacy is better than that of the blank control oncolytic virus rAd.Null. Combined treatment significantly inhibited tumor growth, increased the number of NK cells in peripheral blood, promoted the killing function of NK cells, and increased the expression levels of perforin and IFN-γ. At the same time, more NK cells were recruited to infiltrate tumor tissue. Our study established the feasibility of combination NK cells and oncolytic adenovirus application, thus expanding the scope of potentially curative treatments for NK cells in CRC.

INVESTIGASI KADAR HEMOGLOBIN PASIEN CANCER PAYUDARA PRE DAN POST KEMOTERAPI

Anemia refers to a decrease in serum hemoglobin concentration to pathological levels where hemoglobin level in women is <12 g/dl and in men <14 g/dl. More than 40% of cancer patients undergoing chemotherapy are subjected to anemia. As chemotherapy drugs are unable to distinguish between normal and neoplastic cells, their destructive nature results in a reduced number of red blood cells through the hemolysis process. The principles of chemotherapy are required to maintain a number of normal cells to avoid unintended side effects. This study aimed to investigate the hemoglobin levels before and after chemotherapy. The method of this study was qualitative, using a case study approach. The study sample consisted of three individuals, and the hemoglobin levels were assessed using the EasyTouch hemoglobinometer. The data were processed using Colaizzi’s analysis method: reading, meaning formulation, and theming. The results of this study were presented in three themes: (1) anemia occurred due to oxidative stress, (2) a decrease in the number of red blood cells caused by lysis; and (3) PRC transfusion as a way to overcome anemia. It can be concluded that a decrease in the number of red blood cells is inevitable. Therefore, patients are advised to get sufficient rest, increase their intake of nutritious food, and consume iron vitamins.

Effects of chronic heat stress on spleen structure, apoptosis and immune response in Siberian Sturgeon (Acipenser baerii)

Chronic heat stress induced by global warming has important implications for fish survival, and the response of important immune organs, such as the spleen, to chronic heat stress remains to be investigated. In this study, one control group (20 ℃) and two heat stress groups (24 ℃ and 28 ℃) were set up to investigate the effects of heat stress on the spleen of Siberian Sturgeon (Acipenser baerii). As per the histological section analysis, heat stress caused vacuolization, reticulocyte hyperplasia, and macrophage infiltration in the spleen, with hyperplasia being more pronounced in the 28 ℃ group. The flow cytometry results showed that the spleen’s apoptosis level significantly increased at 28 ℃ (p < 0.05). Hematological studies revealed a significant increase in the number of red blood cells in the 28 ℃ group (p < 0.05). Meanwhile, the mRNA expression of immune-related factors (tgf-β, il-1β, and il-8) was significantly higher in the 28 ℃ heat stress group compared with the control group. This study reveals the effects of heat stress on the A. baerii spleen and contributes to the understanding of coping strategies of cold-water fish to chronic heat stress.

Comparison of blood parameters in two genetically different groups of horses for functional longevity in show jumping

IntroductionIn order to find early selection criteria to improve the longevity of show jumping horses, a specific protocol was designed.MethodsBefore entering competition, young horses selected from extreme stallions for longevity were measured for many traits, including blood parameters. Blood samples were taken from 952 horses aged 2–4 years old, sired by two groups of stallions: one with unfavorable (U) and the other with favorable (F) extreme estimated breeding values for functional longevity. These breeding values were previously calculated from data on 202,320 horses that participated in show jumping competitions between 1985 and 2022. Functional longevity was defined as time spent in competition, adjusted for the level of performance. The 59 measured parameters included hematology, proteins, cytokines, liver and kidney function, bone and joint health, oxidative stress and endocrinology. Heritability was estimated using a mixed model that accounted for the effect of age, sex, estimated weight, visit (place and date of collection), and animal random additive value with 10,280 horses in pedigree. A Partial Least Square logistic regression was performed to predict the sire group.ResultsAge, sex and estimated weight significantly affected 36, 19 and 16 variables, respectively. The visit had a significant effect on all variables. Heritability estimates were high, with 75% higher than 0.20% and 30% higher than 0.50. The most heritable traits included mean corpuscular volume (0.92, se 0.11), mean corpuscular hemoglobin (0.90, se 0.11), white blood cells (0.55, se 0.13), total alkaline phosphatase (0.68, se 0.12) and percentage of γ-globulin (0.57, se 0.12). The logistic regression that predicted the group of sires favorable for longevity identified 16 significant variables. Key findings included: lower mean corpuscular hemoglobin (p-value < 0.001), lower mean corpuscular volume (p-value < 0.001), lower number of white blood cells (p-value < 0.01), higher percentage of intestinal and bone alkaline phosphatase (p-value < 0.01) for a lower total alkaline phosphatase (p-value < 0.01), higher percentage of α2-globulin (p-value < 0.001) and lower percentage of β1-globulin (p-value < 0.01).DiscussionBlood parameters measured at rest in young horses may be predictive of their genetic value for functional longevity in show jumping.

Dietary β-mannanase reduced post-weaning diarrhea of pigs by positively modulating gut microbiota and attenuating systemic immune responses

BackgroundAfter weaning, nursery pigs have difficulty digesting non-starch polysaccharides in their diets, which can result in growth and health problems. Among non-starch polysaccharides, β-mannan is easily found in various cereal grains that form the basis of livestock diets and interferes the digestion and utilization of nutrients. Supplementation of dietary β-mannanase in nursery diet can alleviate the negative effects on nutrient utilization efficiency caused by β-mannan and improve growth and health of pigs. This study was conducted to evaluate effects of dietary β-mannanase supplementation on growth performance, nutrient digestibility, intestinal morphology, fecal microbiota, and systemic immune responses of weaned pigs.ResultsDietary β-mannanase (MAN) improved average daily gain (P = 0.053), average daily feed intake (P < 0.05), and gain to feed ratio (P = 0.077) of pigs for 3 weeks after weaning and apparent total tract digestibility of crude protein (P = 0.060) and reduced post-weaning diarrhea (P < 0.05). The MAN did not affect the ileal morphology. Pigs fed with MAN had more diverse fecal microbiota based on the results of alpha diversity [the number of operational taxonomic units (OTUs; P = 0.061), Shannon (P = 0.071), and Simpson indices (P = 0.078)] and relative abundance of phylum Bacteroidetes (P = 0.064) and genus Prevotella (P < 0.05) than pigs fed control diet (CON). As a result of beta diversity, fecal microbiota was clustered (P < 0.05) into two distinct groups between dietary treatments. The MAN decreased (P < 0.05) packed cell volume (PCV), the number of white blood cells (WBC), C-reactive protein (CRP), tumor necrosis factor-α (TNF-α), transforming growth factor-β1 (TGF-β1), and cortisol of the pigs for 2 weeks after weaning compared with CON.ConclusionDietary β-mannanase reduced post-weaning diarrhea of pigs by positively modulating gut microbiota and attenuating systemic immune responses.

Heat shock protein 70 promotes the progression of type 2 diabetic nephropathy by inhibiting T-cell immunoglobulin and mucin domain-3 and thereby promoting Th17/Treg imbalance.

Diabetic nephropathy (DN) is the most common complication of diabetes mellitus. We aimed to investigate the role of regulatory T cells (Tregs) and helper T cells 17 (Th17) in the development and progression of DN. A mouse type 2 diabetic nephropathy (T2DN) model was established. Immunohistochemistry was used to detect the expression of HSP70 and Tim-3 in mouse kidney tissues, and western blotting was used to detect the expression levels of HSP70 and Tim-3. PAS staining and Masson's trichrome staining were used to detect the degree of kidney injury. Flow cytometry was used to detect the number of Th17 and Treg cells in blood and kidney tissues. The expression levels of interleukin 17 (IL-17) and interleukin 10 (IL-10) in the serum were measured via ELISA. The expression of HSP70 was significantly increased while the expression of Tim-3 was significantly decreased in the kidneys of mice in the T2DN group compared with those in the control (NC) group. Additionally, the inhibition of HSP70 upregulated the expression of Tim-3 in T2DN mice. The Th17/Treg ratio was significantly greater in the blood and kidneys of the mice in the T2DN group than in those of the NC group, the expression of serum IL-17 was increased, and the expression of IL-10 was decreased. Increased HSP70 inhibits Tim-3 expression in T2DN mouse kidney tissues, and subsequently causes a Th17/Treg imbalance and an inflammatory response, ultimately leading to kidney injury. The inhibition of HSP70 may alleviate the progression of T2DN.

Diethylhexyl phthalate induces immune dysregulation and is an environmental immune disruptor

Diethylhexyl phthalate (DEHP) is the most abundant phthalate compound in the environment, and has been linked with multiple human diseases. The immune system is closely associated with the occurrence and progression of various diseases. However, minimal research has addressed the impact of DEHP on the immune system. In this study, single-cell RNA sequencing was performed using spleen tissue of mice to comprehensively determine alterations of the immune system in response to DEHP. The results showed that DEHP exposure reduced the absolute number of peripheral white blood cells (WBCs), including lymphocytes, monocytes, eosinophils, basophils, and neutrophils in mice. In addition, scRNA-seq analyses showed that inflammatory signaling and the expression of heat shock proteins (HSPs) were reduced in all peripheral immune cell populations. Furthermore, we established a mice cecal ligation and puncture (CLP) model, and showed that DEHP exacerbated sepsis-induced immunosuppression and organ damage. These results suggest that DEHP is an environmental immune disruptor that undermines the immune system, exacerbating acute infections and organ damage. Our findings offer a novel perspective on the hazards of DEHP to human health.

Scientometrics Analysis of Global Researches on Anemia

Background: Anemia is a condition in which the number of red blood cells or the hemoglobin concentration within them is lower than normal. This study aims to show the intellectual structure of knowledge regarding anemia and gives a comprehensive and up-to-date image of research in this area. Materials and Methods: This is a descriptive-analytical study with a scientometric approach. The PubMed database was searched for research publications indexed under "anemia" including 8484 records between 2011 and 2020. Data were analyzed using Co-word analysis, clustering methods, and strategic diagrams with the help of SPSS and Ucinet 6 software. Results: The keyword “Anemia Sickle Cell” and two pairs of frequently used keywords, namely “Anemia, Iron *Iron” were the most frequent in the research area. The results shaped the concepts of anemia in 9 clusters. The clusters "Hydroxyurea and sickle cell anemia", "Fetus transfusion", "Management of Thalassemia Major", "Hemolytic Uremic Syndrome", "Management and Control of Anemia", "Chronic Kidney Failure and Anemia", "Hematopoietic Stem Cell Transplantation" are topics that may be emerging or disappearing. The “Thalassemia and blood transfusion" are immature clusters. Conclusion: This study uses co-word networks that indicate important links between keywords of the research areas. Most research approaches are in the therapeutic aspects. Despite the importance of the effect of anemia on all levels of society, including economics, education, and other types of anemia, as well as its impact on learning and mental disorders, these subjects have not been given sufficient consideration.

The effect of Capparis spinosa extract on some immunological and physiological variables of mice

Background The pungent taste and numerous health advantages of the caper plant are not to be overlooked. Thanks to its high vitamin content—including B12, niacin, vitamin K, vitamin A, vitamin E, and fiber—it finds widespread usage as both a culinary seasoning and a medicinal herb. Methodology The Soxhlet device was the most efficient and effective way to isolate the plant's active organic ingredient crude. I ground the plant into a powder using a blender. Then, I added 250 mL of ethanol and added 95% after extraction. I extracted the plant within 24 hours and concentrated the mixture using a rotary evaporator. Finally, I frozen it at -20 ° until I needed it. The mice were housed in sanitary cages that met their nutritional, thermal, and ventilation needs. The experiment did not begin until the mice had been allowed to acclimate for one week without treatment. Result The results presented here appear to be descriptive statistics for a number of physiological characteristics measured in mice treated with varying concentrations of Capparis spinosa extract (control, 10%, and 20%). Haemoglobin (Hb), packed cell volume (PCV), red blood cell count (RBC), white blood cell count (WBC), and the total count for each therapy group are the variables that are being considered. In order to compare the control group with the groups treated with varying doses of Capparis spinosa extract, this data sheds light on the central tendency and variability of physiological variables under different treatments. The results showed an increase in some blood variables compared to the control. There is also an increase in the number of white blood cells, which enhances the increase in the first line of defense against pathogenic organisms.

Immunity Induction in Catfish (Clarias gariepinus) with Feed Containing Red Ginger Extract after High Temperature Treatment

This study aims to evaluate the effect of feeding feed containing red ginger extract on the immunity and survival of catfish (Clarias gariepinus) fingerlings exposed to high temperature conditions. The research was carried out experimentally with a Completely Randomized Design (CRD) consisting of four treatment doses of red ginger extract (A: 0 ml/kg, B: 30 ml/kg, C: 40 ml/kg, D: 50 ml/kg) and three replications. Parameters observed included survival rate, white blood cell count, red blood cell count. The results showed that the addition of red ginger extract to feed was able to increase catfish survival by up to 90% at a dose of 50 ml/kg. A significant increase in the number of white blood cells and red blood cells in fish given red ginger extract indicates a better immune response. Red ginger extract has proven effective in helping fish adapt to thermal stress by increasing immunity and resistance to high water temperatures.

Evaluation of the effectiveness and safety of Korean red ginseng extract as immune-enhancer in Vietnamese adults: A randomized placebo-controlled trial

Purpose: To investigate the safety and immune-enhancing effect of Korean red ginseng (KRG) extract in Vietnamese adults. Methods: Participants in this randomized, placebo-controlled double-blinded study were administered either 960 mg of KRG extract (n = 51) or placebo capsules (n = 50) for 12 weeks at Hanoi Medical University, Vietnam. The KRG extract was standardized to contain 5.27 mg of 3 ginsenosides (Rg1, Rb1, and Rg3) per gram. Blood samples for assessment of treatment effectiveness were collected from the subjects on days 21 and 84. Immune cytokines were quantified using enzyme-linked immunosorbent assay (ELISA). Blood samples for safety assessment, hematological and biochemical variables, and urinalysis were performed at the beginning and end of the intervention (days 21 and 84, respectively). Results: The KRG group showed a significant increase in lymph T cell % at the end of the 12-week intervention (p &lt; 0.001). There were significant decreases in numbers of white blood cells (WBC) and natural killer (NK) cells in both groups. However, there were no significant differences in populations of WBC and NK cells between the 2 groups. Serum concentrations of cytokines, i.e., TNF-α, β, γ; IFN- α, γ; IL-1β and 4β were decreased in the KRG group when compared to baseline values. There were no probable or definite adverse events (AEs) related to KRG. A total of 9 participants (4 in KRG group and 5 in placebo group) tested positive for COVID-19 during the trial. Conclusion: The KRG extract-induced increase in population of T-cells and reductions in cytokine levels following a 12-week exposure may be beneficial for COVID-19 patients.

Systematic literature review of published cases of reactive plasmacytosis in peripheral blood and bone marrow

AimsThis study aims to summarise published cases of reactive plasmacytosis to provide a resource to aid haematopathologists and clinicians in the diagnostic workup of reactive plasmacytosis.MethodsWe searched published articles on...

Characteristics of risk factors and molecular genetic parameters in children with chronic kidney disease

Introduction. Information about the health status of children with nephrological pathology includes many manifestations of functional system disorders. However, early diagnosis of chronic kidney disease (CKD) is rarely carried out due to the lack of reliable predictors of this process.The aim: To analyze the association of anamnestic signs, laboratory and genetic research results with chronic kidney disease in children to identify potential predictors of the disease.Material and Methods. The data were obtained from a single-center retrospective catamnestic cohort study (2011–2022). The main group included 128 children with chronic kidney disease aged 1 to 17 years. The comparison group consisted of 30 children without diagnosed kidney pathology aged from 1 to 17 years. There were no statistically significant differences in sex and age between the two groups. The informative value of more than 150 features, including anamnestic ones, the state of the mother’s health during pregnancy, antenatal and perinatal factors, features of the child’s development and manifestation of the disease, the results of clinical, laboratory, and genetic research methods were evaluated. An integrated approach to the study included methods for hypotheses testing on statistical significance of indicators differences, regression analysis, and ROC analysis.Results. Hereditary burden of nephrological pathology in the family, unfavorable course of pregnancy (anemia, toxicosis of the first half), obstetric and somatic pathology in the mother, the serial number of childbirth are associated with the subsequent development of CKD. Erythrocytes in the urine and daily protein loss were detected only in the group of children with CKD. In this group, a decrease in the number of red blood cells, increased erythrocyte sedimentation rate (ESR), allergies at an early age, otitis media, persistent viral and bacterial infections, and a number of signs of connective tissue dysplasia were more common. The main group statistically significantly differed from the comparison group by a number of polymorphic genetic markers. It can be assumed that the polymorphisms AGT1 Thr174Thr, AGT2 Thr235Thr, NO3 C786T are associated with a predisposition to CKD, and the products of polymorphisms AGT1 Thr174Met, AGT2 Met235Met, R1 AGT2 C1166C, NO3 T786T may have a protective effect according to development of CKD.Conclusion. The risk factors for CKD identified in this study can be used to develop software to support medical decision making for early detection of children at high risk of disease progression.

The impact of delayed versus early administration of granulocyte colony-stimulating factor following autologous hematopoietic stem cell transplantation on transplantation outcome.

Granulocyte colony-stimulating factor (G-CSF) is routinely administered after autologous hematopoietic stem cell transplantation (auto-HSCT) to decrease the duration of neutropenia and diminish the incidence of febrile neutropenia. Nevertheless, the most advantageous timeframe for administering G-CSF in the transplantation setting remains elusive. We conducted a cross-sectional study of 200 patients diagnosed with hematological malignancies who underwent auto-HSCT between July 2017 and January 2022. Patients were divided into two groups of 100 individuals based on the timing of G-CSF administration after auto-HSCT. In the first group, G-CSF was administered on post-transplantation day +1, while in the second group, G-CSF was administered on post-transplantation day +5. Patient demographics and clinical outcomes, including time to neutrophil engraftment, time to platelet engraftment, length of hospital stay, duration of fever, and incidence of bacterial and fungal bloodstream infections, were compared between the two groups. We identified a significantly shorter platelet engraftment time in the day +5 group than in the day +1 group (P<0.001), though the groups were similar regarding neutrophil engraftment time. The total number of G-CSF injections differed significantly according to the administration schedule. The number of red blood cells and length of hospital stay was greater in the day +1 group (all P<0.001). The incidence of bacterial and fungal bloodstream infections and duration of fever did not differ between the groups. Delayed administration of G-CSF on day +5 is as effective as early administration and can positively influence platelet engraftment, transfusion support, and hospitalization time.

Protective Effect of Endogenous ω-3 Polyunsaturated Fatty Acid Against Cisplatin Induced Myelosuppression

To investigate the protective effect of endogenous ω-3 polyunsaturated fatty acid (PUFA) against cisplatin-induced myelosuppression and the mechanism of reducing apoptosis in bone marrow nucleated cells using mfat-1 transgenic mice. The experimental animals were divided into 4 groups: wild-type mice normal control group, mfat-1 transgenic mice normal control group, wild-type mice model group and mfat-1 transgenic mice model group. The mice in the model group were injected intraperitoneally with 7.5 mg/kg cisplatin on day 0 and day 7 to construct a myelosuppression model, while the mice in the normal control group were injected intraperitoneally with an equal amount of saline, and their status was observed and their body weight was measured daily. Peripheral blood was taken after 14 day for routine blood analysis, and the content and proportion of PUFA in peripheral blood were detected using gas chromatography. Bone marrow nucleated cells in the femur of mice were counted. The histopathological changes in bone marrow were observed by histopathological staining. The apoptosis of nucleated cells and the expression level changes of apoptosis-related genes in the bone marrow of mice were detected by flow cytometry and fluorescence quantitative PCR. Compared with wild-type mice, mfat-1 transgenic mice showed significantly increased levels of ω-3 PUFA in peripheral blood and greater tolerance to cisplatin. Peripheral blood analysis showed that endogenous ω-3 PUFA promoted the recovery of leukocytes, erythrocytes, platelets and haemoglobin in peripheral blood of myelosuppressed mice. The results of HE staining showed that endogenous ω-3 PUFA significantly improved the structural damage of bone marrow tissue induced by cisplatin. Flow cytometry and PCR showed that, compared with wild-type mice model group, the apoptosis rate of bone marrow nucleated cells in mfat-1 transgenic mice was significantly reduced ( P < 0.001), and the expression of anti-apoptotic genes Bcl-2 mRNA was significantly increased ( P < 0.01), while the expressions of pro-apoptotic genes Bax and Bak mRNA were significantly reduced ( P < 0.001, P < 0.05). Endogenous ω-3 PUFA can reduce cisplatin-induced apoptosis in bone marrow nucleated cells, increase the number of peripheral blood cells and exert a protective effect against cisplatin-induced myelosuppression by regulating the expression of apoptosis-related genes.

Evaluation of Immuno-Hematological Parameters of Severe and Mild COVID-19 Cases in Babylon Province, Iraq

The hematopoietic system plays a very important role in contracting the corona virus infection. Hematology indicators are among the factors related to the clinical results of patients with covid-19 due to their cost-effectiveness, availability, speed and convenience of testing. The aim of this study was comparing hematological parameters including the number of Red Blood Cells (RBC), hemoglobin, hematocrit, and platelet count among mild and severe COVID-19 patients. Methods: The study was conducted on 100 Iraqi patients COVID-19 patients. Subjects were classified into two groups with mild (n= 50) and severe (n=50) COVID-19 infection symptoms based on the clinical criteria. The hematological parameters measurement included Red Blood Cell (RBC) count, Hemoglobin (Hb) levels, White Blood Cell (WBC) count, Platelet count (PLT), Hematocrit (HCT) levels, Platelet Distribution Width (PDW), and Mean Platelet Volume (MPV). An independent sample T-test was used to compare the means of hematological parameters between two groups. Results: The RBC count was significantly lower in severe group compared to mild group (P ≤ 0.05). HCT levels were significantly reduced in the severe group compared to mild group (P ≤ 0.05). The severe patients had a significantly lower PLT than mild patients (P ≤ 0.05). No significant difference in Hb levels was observed between severe and mild patients. The severe patients had a significantly higher PDW than mild patients (P ≤ 0.05). Additionally, the severe patients had a significantly higher MPV than mild patients (P ≤ 0.05). Conclusion: The findings of this study indicate that complete blood count measurements can be used as useful biomarkers to assess the severity of Covid-19. Early identification of severe COVID-19 patients using these markers can help to better manage and accelerate the treatment process for COVID-19 patients.

Designing an Electronic Blood Analysis System

Background: The primary use of this tool is to assist in calibrating the degree of clinical suspicion for a diagnosis, aiding in either confirming or excluding it. Additionally, it is employed for the purpose of illness monitoring. The amount of clinical suspicion and the probability of a specific test result might be positively associated in practical terms. Materials and Methods: The proposed method used to build the website is Visual Studio 2015 with SQL server Database to provide the possibility of electronic interaction and communication between the patient and the laboratory official, through prior online reservation and it is possible to create an account for the patient as well, allowing him to access information about blood analysis within the laboratory as well as the ability to print the report in the form of a paper report. Results: The proposed system website provides the ability to test blood for eight of the common blood test methods, represented by the following tests: Knowing the blood type (ABO), white blood cell count (WBC) / red blood cell number, platelet count, erythrocyte sedimentation time (ESR), estimation of hemoclopane (HB) to sixth experiment, hematocrit determination (PVC), The seventh experiment measured bleeding time (BTE). Conclusion: The current study is able to provide fast, accurate, and detailed analysis of blood samples without the need for manual processing and it leads to cost savings for healthcare facilities in the long run.

Pathogenesis of respiratory failure in COVID-19 due to coagulopathy and endothelial dysfunction

Respiratory failure is known to be the main clinical manifestation of COVID-19. However, the mechanism of its development has not been sufficiently studied. The originality of the study is that for the first time, coagulation, fibrinolysis and endothelial dysfunction indicators were studied depending on the SpO2/FiO2 index in patients with COVID-19.The aim of the work. To assess the role of impaired activity of the blood coagulation system and the development of endothelial dysfunction in patients with COVID-19 in the pathogenesis of respiratory failure.Methods. The study included 134 patients infected with SARS-CoV-2 virus having varying severity of the clinical picture. They were divided into three groups according to the SpO2/FiO2 index. We determined the number of venous blood cells and studied the level of transferrin (TF), D-dimer, tissue-type plasminogen activator (tPA), plasminogen activator inhibitor-1 (PAI-1), inter-cellular adhesion molecule 1 (ICAM-1) and vascular cell adhesion molecule 1 (VCAM-1) in the blood serum.Results. The study revealed that the tissue factor content increased by 24 % in patients of the third group compared to the first. The PAI-1 level was high in the second group and significantly decreased in the third (p &lt; 0.001). An increase in the D-dimer level was recorded in the second and third groups. The levels of ICAM-1 and VCAM-1 molecules increased significantly in the third group of patients (p = 0.021 and p = 0.028, respectively). A moderate positive correlation was found between the SpO2/FiO2 index and the VCAM-1 level (p &lt; 0.001), a weak positive correlation with PAI-1 (p = 0.012), and a weak negative correlation with TF (p = 0.027).Conclusion. Respiratory failure in patients with COVID-19 is caused by disorders in the hemostasis and fibrinolysis systems, as evidenced by an increase in the level of tissue factor and D-dimer, “consumption” of tissue activator and plasminogen activator inhibitor. Developing endothelial dysfunction, accompanied by increased secretion of adhesion molecules, aggravates the pathogenesis of respiratory failure.

Statistical Study on Maternal Immunological Adaptation During Normal Pregnancy

Background: The immune system of the mother’s body undergoes several modifications throughout pregnancy to protect the baby from harm and prevent the mother’s immune system from attacking it. In addition, physiological and immunological changes that occur during pregnancy increase the risk and severity of some infections. Aim of the study: Provide comprehensive documentation of immune system adaptation in pregnant mothers and variables associated with the immune system. Methods: In this study, 40 pregnant women between the ages of 15 and 43 participated. The Abu Alkhaseeb General Hospital in Basra City filed data from March 2023 to August 2023. The data gathered included age, the number of abortions, the impact of WBC levels during pregnancy, and frequent diseases during pregnancy. Results and Discussion: Urinary tract infection was found to be the most frequent referral among pregnant women, constituting about 62% of the data, and comparisons of proportions were performed. A p-value below 0.05 was considered statistically significant. The results indicated that the number of white blood cells in the first, second, and third trimesters does not differ significantly. The highest white blood cell count was recorded in the third trimester (10.34), while the percentages for the first and second trimesters were close at 9.935 and 9.510, respectively. Conclusion: There are no significant associations with maternal white blood cell count during the first, second, and third trimester. Urinary tract infection was indicated to be the most frequent among pregnant women. 86% of pregnant women did not miscarry.

Structural characterization of polysaccharides from Panax ginseng C. A. Meyer root and their triggered potential immunoregulatory and radioprotective activities

With people's increasing awareness of healthy diet, the diverse health-promoting functions of ginseng have been widely recognized. As one of the key functional components, ginseng polysaccharides have attracted increasing research interest. Here, three purified polysaccharide fractions, GPS-1a, GPS-1b, and GPS-2, were obtained from the root extract of Panax ginseng C. A. Meyer. Structurally, GPS-1a and GPS-1b were both linked in a → 6)-α-D-Glcp-(1 → pattern but composed of glucose and galactose in molar ratios of 9.76:0.24 and 9.81:0.19. In contrast, GPS-2 was composed of glucose, galactose, arabinose, rhamnose, and galacturonic acid in a molar ratio of 1.82:1.94:0.79:0.52:4.93. The main backbone consisted of →4)-α-D-GalpA-(1→, →4)-α-D-GalpA-6OMe-(1→, →3, 4)-α-D-GalpA-(1→, →3)-α-L-Rhap-(1 → linages, and its branches are composed of →5)-α-L-Araf-(1→, →4)-β-D-Galp-(1→, →2)-β-D-Glcp-(1→, α-D-GalAp-(1→. Benefitting from this structural variance, GPS-2 exhibited the most significant immunoregulatory and radioprotective efficacies. Specifically, GPS-2 promoted TLR2, NF-κB, and TRAF6 protein expression levels, thereby significantly improving macrophage phagocytosis, splenic lymphocyte proliferation, and stimulation of NO, IL-1β, IL-6, and TNF-α secretion, which activated RAW264.7 and splenic lymphocytes. The following radioprotection activity tests unveiled that GPS-2 increased the organ index, number of peripheral blood cells, cellularity of splenocytes, and bone marrow cell numbers in irradiated mice. This investigation revealed the contribution of polysaccharide structure characteristics to the bioactive expression and elucidated the potential utilization of GPS-2 as a radioprotective agent or immunomodulator.