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جستجوی مقالات مرتبط با کلیدواژه « Serum » در نشریات گروه « پزشکی »

  • Zahra Ghahremani, Narges Tajik, Zahra Alamdar, Nafise Shaabani, Mohammad Ayati *
    Immunology has played a prominent role in the history of medicine and considerable research has been conducted to explore the history of this science. However, the use of blood serum to treat diseases in pre-medieval times lacks a well-documented history. Despite this knowledge gap, Emil Adolf von Behring is recognized for his groundbreaking discovery of serum therapy. Serum therapy involves the administration of animal or human blood serums as a means of combating infections, paving the way for more effective disease management in the medical field.This research, citing the book, The Canon of Medicine, written by Avicenna, states that there is evidence suggesting that serum therapy can be seen much earlier than its use in the Western world. In the discussion of poisonous animal bites, Avicenna first states the significance of fortifying the immune system to protect the body. In Avicenna’s work on rabies, he states that if a patient bitten by a rabid dog eats the blood of the rabid dog that bit him, or eats the rabid dog’s liver and heart, or puts it on his wound, especially if the liver and heart belong to the same dog that bit him, the patient will be healed. This early exploration of utilizing animal-derived substances to combat disease may be regarded as an antecedent to contemporary serum therapy, which was later developed by Emil Adolf von Behring.This research reveals that Islamic scholars, especially Avicenna, through their clinical and practical experiences, possessed knowledge of the immune system and serum therapy long before the discoveries of Edward Jenner and Emil Adolf von Behring. Consequently, they were able to successfully apply this knowledge in treating patients well before the formal recognition of these principles in Western medicine.
    Keywords: Immunology, Serum Therapy, serum, History of medicine, Disease management, Avicenna, The Canon of Medicine}
  • Niknam Lakpour, Mohammad Reza Sadeghi †, Naser Jafarzadeh, Ralf Henkel, Azadeh Hajiparvaneh, Zohreh Fathi, Roya Ghods, Kambiz Gilany, Zahra Madjd *
    Background

    Testicular cancer (TC) is a relatively rare type of cancer in men. Early diagnosis of TC remains challenging. Metabolomics holds promise in offering valuable insights in this regard. In this study, a metabolic fingerprinting approach was employed to identify potential biomarkers in both serum and seminal plasma of TC patients.

    Methods

    A total of 9 patients with testicular cancer and 10 controls were included in the study. The metabolic fingerprinting approach was utilized as a rapid diagnostic tool to analyze the metabolome in serum and seminal plasma of TC patients in comparison to fertile men. Raman spectroscopy was applied for the analysis of metabolites in these biological samples.

    Results

    Principal component analysis (PCA) and functional group analysis showed that the differentiation between serum samples from healthy men and TC patients was not possible. However, when analyzing seminal plasma, a significant difference was found between the two groups (p<0.05). Functional group analysis of serum only showed an increase in tryptophan concentration ratio in TC patients as compared to healthy men (p=0.03). In contrast, in seminal plasma of TC patients, this increase was observed in all analyzed compounds, including phenylalanine, tyrosine, lipids, proteins, phenols (p<0.001).

    Conclusion

    Our study highlights the potential of metabolic fingerprinting as a fast diagnostic tool for screening TC patients, with seminal plasma serving as a valuable biological sample. Furthermore, several potential biomarkers, particularly phenylalanine, were identified in seminal plasma. This research contributes to our understanding of TC pathogenesis and has the potential to pave the way for early detection and personalized treatment approaches.

    Keywords: Metabolic fingerprinting, Raman spectroscopy, Seminal plasma, Serum, Testicular cancer}
  • Sylvester Adejo*, Rose Kukwa, Saater Ape, Francis Igbua
    Background and Objectives

    The nutrient contents of maize and cassava composite flour used in the preparation of cakes, pastas and porridges are low in protein with high carbohydrates, leading consumers to several nutritional and health challenges. The study aimed to investigate impact of consuming maize-cassava-soybean flour blends on the nutritional value and safety of the diet in wistar rats.

    Materials and Methods

    The flours were prepared from maize, cassava and soybean at the ratios of 70:25:5, 70:20:10, 70:15:15 and 70:10:20 (maize: cassava: soybean). The proximate composition was determined using standard methods. The flour blends were, thereafter, fed to 15 wistar rats for 21 days using 100 % maize flour, 70:30% (maize-cassava) and 70:15:15% (maize-cassava-soybean). Subsequently, their blood samples were collected and analyzed for blood glucose and biochemical indices.

    Results

    Protein, fats and ash increased with the addition of soybeans, whereas, moisture, fibre and carbohydrate decreased. The animals were observed to consume more feeds of soybean inclusion, with a significant weight gain and a reduced fasting and post prandial blood glucose. The intake of maize-cassava flour supplemented with 15 % soybean flour by the rats, elevated serum protein, albumin, globulin, cholesterol, high density lipoprotein, sodium, chloride and magnesium. The intake, however, decreased triglycerides, low density lipoprotein as well as calcium, potassium and phosphorus levels. It also caused reduction in the activities of liver enzymes, suggestive of no liver damage and toxicity.

    Conclusions

    Therefore, the incorporation of soybean to our maize-cassava-based diet can enhance its nutritional value and safe for healthy living.

    Keywords: Nutrients, Serum, Protein, Electrolytes, Cholesterol, Enzymes}
  • Gholamreza Habibi, Asghar Afshari, Amin Shahedi, Mousa Hashemlo, Ali Es-Haghi, MohamadHosein Fallah Mehrabadi, Saeid Fathi
    Background

    The production of bovine theileriosis vaccine involves in vitro cultivation of Theileria annulata schizont-infected cell lines. Fetal bovine serum (FBS) is commonly used in animal cell culture, including the Theileria cell line. However, we aimed to reduce the amount of serum needed for cell culture by modifying the Stoker culture medium with supplements such as excretion factor and serum substitutes.  

    Methods

    To evaluate the effectiveness of these modifications, techniques such as cell counting, cell viability assays, and genomic analysis were employed in the Parasitic Vaccines Production Department of Razi institute of Iran, from 2020 to 2022.  Statistical analysis was used to compare the results of different experimental conditions.  

    Results

    The three experimental media were as effective as the commonly used 10% Stoker medium in supporting the growth and viability of cells.

    Conclusion

    The significant reduction in the required amount of serum and the remarkable cell growth achieved by using defined serum replacements for the production of cell culture media is a significant step towards the preparation of a proper cell culture medium for the production of bovine Theileriosis vaccine.

    Keywords: Stoker, Cell culture medium, Theileria annulata, Serum}
  • Abdolrasoul Namjou*, Esfandiar Heidarian, Abuzar Alikhani
    Background and aims

    This study investigated the effects of gonadal removal in male and female rats on changes in serum biochemical parameters.

    Methods

    Twenty-eight adult male and female rats were divided into four groups of 7 animals for a period of 9 weeks. The first and second groups of intact male and female rats, as well as the third and fourth groups of male and female rats, were gonadectomized, respectively. At the end of the ninth week of the study, the rats were anesthetized with chloroform, and the amount of glucose, some lipid parameters in serum, and the activity of a number of serum enzymes were measured after taking blood from the heart.

    Results

    Alanine aminotransferase, and alkaline phosphatase (ALP) levels were higher in intact male rats than in intact female rats, respectively (P=0.03, P=0.015). The amounts of glucose and cholesterol of low-density lipoprotein (LDL) in intact female rats were higher than in the ovariectomized rats, respectively (P=0.07, P=0.039, P=0.03). The amount of lactate dehydrogenase (LDH) in spayed female rats demonstrated a significant increase compared to other groups (P=0.001). However, there was a significant decrease in calcium levels in gonadectomized rat groups in comparison to intact female rats (P=0.02). Finally, a significant increase was found in phosphorous levels in the intact male rats group compared to other groups (P=0.002).

    Conclusion

    Decreased sex hormones in gonadectomized rats compared with intact rats could lead to increased serum levels of LDH, ALP, and LDL cholesterol that may result in the development of metabolic and atherogenesis syndromes and acute liver failure.

    Keywords: Orchidectomy, Ovariectomy, Gender, Serum, Lipid profile, Rat}
  • Nima Rahimi Petrudi, Iraj Mirzaii-Dizgah *, Ali Atashabparvar, Seyyed-Javad Hosseini-Shokouh
    Background

     The complement system plays a role in chronic immune activation during viral infections.

    Objectives

     This study aimed to evaluate the levels of saliva and serum complements C3 and C4 in coronavirus disease 2019 (COVID-19) patients and healthy individuals.

    Methods

     This cross-sectional study included 36 severe and 22 critical COVID-19 hospitalized patients and 22 healthy individuals. Serum and unstimulated salivary C3 and C4 levels were assessed using the immunoturbidimetric method and analyzed using one-way analysis of variance (ANOVA) with the Student-Newman-Keuls test as a post hoc analysis.

    Results

     Salivary C3 and C4 levels were significantly lower in patients with severe and critical COVID-19 than in healthy individuals. There was no significant difference between the groups infected with severe and critical COVID-19. Serum C3 and C4 levels were lower in critical COVID-19 patients than in healthy individuals; nevertheless, no significant difference was observed between severe COVID-19 patients and healthy individuals. Additionally, serum C4 levels were lower in critical COVID-19 patients than in severe COVID-19 patients.

    Conclusions

     It appears that serum and salivary C3 and C4 levels decrease in patients with COVID-19 infection.

    Keywords: Complement Proteins, Saliva, Serum, COVID-19}
  • Manila Makaju, Pritika Luitel, Rupa Nepal, Saroj Kunwar, Ram Krishna Shrestha, Govinda Akela, Suresh Jaiswal, Rajesh Kumar Thakur*
    Background & Aims

     The liver plays an important role in the regulation of glucose concentration and metabolism. Diabetic patients develop abnormalities in liver enzymes affecting the liver and its function. A recent study shows the association between liver enzymes and diabetes mellitus (DM) which leads to diabetic neuropathy, nephropathy, and retinopathy if left untreated. The aim of the present study was to determine the impairment of liver enzymes in the patients with diabetic individuals compared to non-diabetic individuals.

    Materials & Methods

     This is a cross-sectional study that was carried out at the Star Hospital, Sanepa, Lalitpur, Nepal, from June 2021 to August 2021. A total of 260 participants were included in this study, out of which, 135 were known diabetic cases and 125 were nondiabetic control. Fasting plasma glucose was analyzed with semi-automated analyzer STAT Fax 3300 by GOP-POD method and liver enzymes were analyzed by IFCC method. An Independent T-test was applied. Statistical analysis was done with SPSS version 16.0.

    Results

     The prevalence of elevated liver enzymes was significantly higher in diabetic individuals compared to nondiabetic ones. ALT, AST, and ALP were raised by 28.8%, 23.7%, and 48.8%, respectively among the patients with DM. significant increases in AST and ALT was observed in men compared to women, but changes in ALP level was insignificant when compared by gender. A significant elevation of AST and ALP was seen in diabetic patients compared to controls (P<0.05).

    Conclusion

     Positive correlation was found between fasting sugar, ALT, AST, and ALP. Similarly, a positive correlation was found between HbA1C and liver enzymes (AST< ALT and ALP).

    Keywords: Diabetes Mellitus, Liver Enzymes, Plasma, Serum}
  • Ali Nour Neamatollahi, Samira Tarashi, Nayereh Ebrahimzadeh, Farzam Vaziri, _ Mohammad Ali Zaheri Birgani, Mohammadreza Aghasadeghi, _ Abolfazl Fateh, Seyed Davar Siadat *, Saeid Bouzari
    Background and Objectives

    The role of microRNAs (miRNAs) in tuberculosis infection is well established. As microR- NAs are able to change expression profiles according to different conditions, they can be useful biomarkers. Iranians and Afghans with tuberculosis were studied for three immune-related miRNAs (miR-let-7f, miR-125a, and miR-125b).

    Materials and Methods

    A total of 60 Iranian and Afghan patients with active pulmonary TB were enrolled in the Pulmo- nary Department of the Pasteur Institute of Iran. Serum and sputum samples were collected simultaneously from all partici- pants. A Real-time PCR was conducted to detect differentially expressed miRNAs.

    Results

    Iranian (P<0.0001) and Afghan (P<0.0001) serum samples and Afghan (P<0.0001) sputum samples overexpressed miR-125a, whereas Iranian sputum samples showed downregulation (P=0.0039). In both Iranian (P<0.0001; P=0.0007) and Afghan (P<0.0001; P<0.0001) serum and sputum samples, miR-125b was overexpressed. Furthermore, miR-let-7f down- regulation was observed in serum and sputum samples (P<0.0001), whereas Iranian sputum samples had no statistically significant differences (P=0.348).

    Conclusion

    Overexpression of miR-125a and miR-125b has been detected in Iranian and Afghan samples. In both races, miR-let-7f downregulation has been confirmed. Identification of miRNA profiles under different conditions opens the door to evaluating potential new biomarkers for diagnosis, disease monitoring, and therapeutic markers in TB infection.

    Keywords: Mycobacterium tuberculosis, MicroRNA, Sputum, Serum}
  • Zhale Ashrafnezhad, Mohamad Naji, Ashraf Aleyasin, Azim Hedayatpour, Forough Mahdavinezhad, Roghaye Gharaei, Maryam Qasemi, Fardin Amidi*

    Polycystic ovary syndrome (PCOS) is the most prevalent endocrine disorder of women in reproductive age with significant effects on reproductive and metabolic functions. Many molecular players may be involved in PCOS pathology; however, miRNAs possess great ability in gene expression control in normal ovarian function and folliculogenesis. We appraised the relative expression of miR-146a, miR-222, miR-9, and miR-224 in serum and follicular fluid (FF) of PCOS patients compared to control subjects. PCOS (n = 35) and control (n = 30) subjects were recruited in the study during their enrolment in IVF cycles. Serum and FF of human subjects were collected and stored. Total RNA was isolated from samples and cDNA was synthesized using miRNA-specific stem-loop RT primers. Quantitative real-time PCR was used to evaluate the expression of miRNAs relative to U6 expression. The predictive value of miRNAs’ expression for discrimination of PCOS patients from control subjects was evaluated by receiver-operating characteristic (ROC) curve analysis. miR-224 was not detected in serum and FF samples. Significantly, higher levels of miR-146a and miR-9 in serum of PCOS group were detected. In contrast, relative expression of miR-146a and miR-9 significantly decreased in FF. In PCOS group, relative expression of all detected miRNAs was elevated in serum in comparison to FF, whereas in control group no change was noticed. Combination of FF miRNAs showed improved predictive value with area under the ROC curve (AUC) of 0.84, 93.8% sensitivity, and 83.3% specificity. Contradicting alternations of miRNAs in serum and FF are indicative of different sources of miRNAs in body fluids. Presumptive target genes of studied miRNAs in signaling pathways may show the potential role of these miRNA in folliculogenesis.

    Keywords: miRNA, follicular fluid, Polycystic ovary syndrome, serum}
  • یاسر باقری، محمد موجرلو، سمیه سدنی*
    زمینه و هدف

    25 هیدروکسی ویتامین D 25 (OH)D)) در بیماران مبتلا به مرحله نهایی بیماری کلیوی (ESRD- end stage renal disease) کاهش می یابد. برخی شواهد موجود نشان می دهد که اندازه گیری 25 (OH) D می تواند سطوح سرمی فرم فعال 1،25 دی هیدروکسی ویتامین D 1,25 (OH) 2D)) را در بیماران ESRD منعکس کند. هدف از این مطالعه بررسی ارتباط سطح سرمی 25 (OH) D با کمبود 1,25(OH)2D در بیماران ESRD بود.

    روش کار

    در این مطالعه توصیفی- تحلیلی و مقطعی، 88 بیمار ESRD مراجعه کننده به بیمارستان پنجم آذر گرگان  مورد بررسی قرار گرفتند. پس از ثبت اطلاعات دموگرافیک، سطوح سرمی25(OH)D و 1,25(OH)2D  و سایر پارامترهای آزمایشگاهی اندازه گیری شد. داده های جمع آوری شده با استفاده از نرم افزار آماری SPSS-18 و آزمون های مجذور کای و تی و مدل همبستگی پیرسون مورد تجزیه و تحلیل قرار گرفت.

    یافته ها

    میانگین سنی بیماران 1/14±1/56 سال بود که 2/43 درصد مرد و 8/56 درصد زن بودند. 1/51 درصد از بیماران چاق یا اضافه وزن داشتند. میانگین غلظت سرمی 25(OH) D و 1,25 (OH) 2D  به ترتیب 7/16±3/23 و 2/49±3/147 نانوگرم در دسی لیتر بود. همچنین 51.1 درصد از آن ها کمبود 25 (OH) D ، 44.3 درصد نارسایی و 4.5 درصد کفایت داشتند. 1.1% از بیماران کمبود 1,25(OH)2D  و 98.9% افزایش 1,25(OH)2D  داشتند. سطح سرمی 25 (OH) D در بیماران ESRD با سطح سرمی 1,25 (OH) 2D   همراه بود (037/0=P). بین غلظت سرمی ویتامین D و متغیرهای مورد مطالعه ارتباطی وجود نداشت (05/0>p).

    نتیجه گیری

      نتایج این مطالعه نشان داد که سطح سرمی 25(OH) D با سطح سرمی1,25(OH) 2D  همبستگی معکوس و معنی داری دارد. سطوح سرمی ویتامین  Dبا هیچ یک از متغیرهای مورد بررسی ارتباط معناداری نداشت. اختلاف معناداری بین دو گروه سنی، جنسیتی و شاخص توده بدنی از لحاظ سطوح سرمی 25 (OH) D و 1,25 (OH) 2D وجود نداشت.

    کلید واژگان: 25 هیدروکسی ویتامین D, مرحله نهایی بیماری کلیوی, سرم, همبستگی}
    Yasser Bagheri, Mohammad Mojarloo, Somayeh Sadani*
    Background & Aims

    25(OH)D is decreased in the patients with end stage renal disease (ESRD). Some evidences are available showed that 25(OH)D measurement can reflected the serum levels of active form of vitamin D [1,25(OH)2D] in ESRD patients. The aim of this study was to assess the association of serum 25-hydroxyvitamin D levels with 1,25-dihydroxyvitamin D deficiency in end stage renal disease patients (1, 2). The hormones related to vitamin D are calcitonin and parathyroid hormone, all of which are involved in renal calcium reabsorption (3). Vitamin D production is stimulated by parathyroid hormone and decreased by calcium. Extrarenal synthesis of vitamin D occurs under the influence of cytokines and is essential for paracrine regulation and cell differentiation (4). Plasma concentrations of 1 and 25-hydroxyvitamin D (1,25 (OH) 2D) in plasma are constantly monitored by parathyroid hormone (PTH), serum calcium and phosphate, and fibroblast-like growth factor 23. Low levels of 1,25 (OH) 2D are observed even in the early stages of kidney failure. Decreased levels of 1,25 (OH) 2D are exacerbated by the progression of renal failure (5). Deficiency in the production of 1-alpha hydroxylase enzyme in renal failure is thought to be the main mechanism of this process. However, phosphate retention and FGF-23 have also been attributed to reduced synthesis of 1,25 (OH) 2D. However, phosphate retention and FGF-23 have also been attributed to reduced synthesis of 1,25 (OH) 2D. In addition, hyperphosphatemia, metabolic acidosis, and other uremic toxins may suppress 1-alpha hydroxylase activity and 1,25 (OH) 2D synthesis, but its effects in advanced stages of chronic kidney disease (CKD) such as stages 4 and 5 Reaches the maximum (6, 7). Due to the fact that studies have shown that replacing vitamin D deficiency with active drug forms D2 and D3 is more effective and potency than inactive forms of vitamin D, and these compounds suppress the increase of serum PTH and thus the side effects and pain. Therefore, the aim of this study was to investigate the relationship between serum levels of 25-hydroxyvitamin D (25 (OH) D) and deficiency of 1 and 25-hydroxyvitamin D (1,25 (OH) 2D) in patients. The final stage was kidney disease (ESRD).

    Methods

    This study is descriptive-analytical and cross-sectional. The study population included all patients with end-stage renal disease referred to the Panj Azar Educational and Medical Center in Gorgan during 2014. Based on the study of Urena et al. In 2011 (20) and estimating the correlation coefficient of 0.29 for the linear relationship between serum level of -25-hydroxyvitamin D with 1 and -25-hydroxyvitamin D in ESRD patients and the following relationship at the significant level of 0.05 and Test power was 80%, sample size was calculated to be 91 people. In this study, 88 ESRD patients referred to 5th Azar Hospital in Gorgan in 2014 were studied. After recording demographic data, the serum levels of 25(OH)D and 1,25(OH)2D and other laboratory parameters were measured. Collected data were analyzed by SPSS-18 statistical software and chi-square and t tests and Pearson’s correlation model. This study was approved by the ethics committee of Golestan University of Medical Sciences with ethics code IR.GOUMS.REC 31078693122416. Blood samples from all patients up to 10 cc for routine tests of patients with renal failure including CBC, Na, K, Ca, P, BUN, Cr, PTH and ALP and in the next step to measure serum level 25 - Hydroxyvitamin D as well as 1 and 25-hydroxyvitamin D were performed. Vitamin D was measured by ELISA method with a special kit. Serum levels of 25-hydroxyvitamin D less than 15-30 ng / ml were considered as insufficient vitamin D, values ​​less than 15 ng / ml were considered as vitamin D deficiency and high values ​​above 30 ng / ml were considered normal. And outside this range was considered abnormal. The range of normal values ​​of 1 and 25-hydroxyvitamin D was determined in a large study of 20-60 pg / ml (4). Inclusion criteria included end-stage renal disease and non-inclusion criteria were not receiving vitamin D supplements during the last month. The researcher asked all the patients included in the study about not taking vitamin D and if they did not take it, they entered the study. Dialysis adequacy factor is calculated by the formula KT / V, which was calculated monthly in the forms of dialysis patients in the 5 Azar Medical Center, and in fact, a number less than 1.5 was considered as the optimal dialysis adequacy. The sun-damaging factor was removed so that all samples were collected in one season, and all patients received normal community nutrition. The collected data were analyzed after coding and entry in SPSS software version 18. Mean, median, standard deviation and percentage were used to describe the data. If the serum levels of vitamin D were normal, t-test was used to compare the mean serum levels of vitamin D between groups (insufficient amounts, deficiency and normality of vitamin D). Chi-square test (2 χ) was used to compare the ratio of vitamin deficiency between groups and Pearson correlation test was used to compare numerical variables. If the data were not normal, non-parametric tests were used. The significance level of the tests was considered 0.05.

    Results

    The mean age of patients was 56.1±14.1 years and 43.2% of them were male and 56.8% were female. 51.1% of patients were obese or overweight. The mean serum concentrations of 25(OH)D and 1,25(OH)2D were 23.3±16.7 and 147.3±49.2 ng/dl, respectively. Moreover, 51.1% of them had 25(OH)D deficiency, 44.3% insufficiency and 4.5% sufficiency. 1.1% of patients had 1,25(OH)2D deficiency and 98.9% had increased 1,25(OH)2D. 25(OH)D serum levels in ESRD patients were associated with 1,25(OH)2D serum levels (P=0.037). There was no association between vitamin D serum concentrations and studied variables (P>0.05).

    Conclusion

    The results of this study showed that 25(OH)D serum level had a negative and significant correlation with 1,25(OH)2D serum level.

    Keywords: 25 hydroxyvitamin D, End stage of kidney disease, Serum, Correlation}
  • Maryam Tangarpoor, Bijan Khademi, Maryam Mardani, Mahyar Malekzadeh, Zohreh Jaafari-Ashkavandi *
    Background
    This study aimed to evaluate serum vitamin D levels in patients with oral lichen planus (OLP) and oral squamous cell carcinoma (OSCC) in comparison to healthy controls in an Iranian population.
    Method
    A cross-sectional study was conducted, which included 69 patients with OLP, 40 patients with OSCC, and 60 healthy controls. Serum vitamin D levels were measured using the ELISA method. The data were analyzed using Mann-Whitney and T-tests, and statistical significance was set at P < 0.05.
    Results
    The study found that 17.9% of OLP patients, 27.25% of OSCC patients, and 25% of the control group had normal vitamin D levels. The mean vitamin D level in OLP patients (17.00 ± 14.16 ng/mL) was significantly lower than that in the control group (22.99 ± 14.46 ng/mL) (P = 0.003). However, in OSCC patients, the mean vitamin D level (24.63 ± 16.19 ng/mL) was not significantly different from that of the control group.
    Conclusion
    The study revealed a high rate of vitamin D deficiency and insufficiency in OLP, OSCC, and control group patients. Vitamin D deficiency was more common in patients with OLP. Vitamin D deficiency may potentially increase the risk of OLP and OSCC development and progression.
    Keywords: Neoplasms, Lichen planus, Oral, Vitamin D, serum}
  • Fatma Turğut, Hatice Esra Duran*
    Background

     Reducing uric acid (UA) levels can provide some improvements in terms of the development risk and course of various diseases. Early diagnosis and treatment of UA elevation have become an important research area in recent years.

    Objectives

     The present study aimed to investigate the relationship between diets and the change in serum UA levels after diets with different carbohydrate, and fat ratios were applied in male and female patients with or without high serum UA levels.

    Methods

     In the study, three different diets were applied, including a low-carbohydrate diet, a low-fat diet, and a diet low in both carbohydrates and fat. The research was performed with a total of 41 patients (10 males and 31 females) who were referred to the diet polyclinic. Diet programs containing different carbohydrate and fat ratios were applied to the patients. The UA parameters of the participants were evaluated retrospectively. Afterward, pre-diet and post-diet serum UA levels were measured, and the results were compared statistically.

    Results

     Following diet programs, there was a significant decrease in both serum UA levels and weight loss in patients. No significant difference was found between the diets applied in terms of reducing serum UA levels. Further, no significant correlation was observed between serum UA levels and diet duration. However, in the correlation graph, there was a more pronounced reduction trend in serum UA levels with an increase in the diet period. No significant correlation was found between weight values and duration of diet. Finally, the difference between UA levels and weight changes was statistically significant (P<0.001).

    Conclusion

     In addition to examinations for various diseases, adding UA levels to the test panel in routine biochemistry screenings and evaluating the results together with clinical findings and taking necessary precautions in a timely manner are of critical importance for public health.

    Keywords: Uric acid, Serum, Diet}
  • شادی ثقفی خادم*، محمد سوختانلو، فاطمه زیدآبادی، عبدالله جوان رشید
    مقدمه

    بیماری قلبی_عروقی علت مهم مرگ و میر در جهان می باشد. علی رغم اهمیت تشخیص زودهنگام و پیشرفتهای دانش پزشکی یک سوم موارد انفارکتوس میوکاردیال (MI) ناشناخته باقی می مانند. بیومارکرها در نتیجه اعمال فیزیولوژیک و تغییرات پاتولوژیک در بدن ایجاد می شوند. بزاق پلاسمای تصفیه شده است و مطالعه بر روی آن می تواند جایگزین آزمایشات خون و سبب تسریع و آسانتر شدن روند تشخیص بیماریها گردد. هدف از انجام این مطالعه تعیین مقدار High- Sensitivity C-Reactive Protein و آیریزین در بزاق و سرم بیماران مبتلا به انفارکتوس میوکارد و تعیین ارتباط بین hs-CRP و آیریزین موجود در بزاق و در سرم بود.

    مواد و روش ها

    در این مطالعه مورد شاهدی، 46 نمونه شامل 24 نمونه از بیماران مبتلا به MI حاد و 22 نمونه کنترل سالم انتخاب شدند. نمونه بزاق و سرم افراد مورد مطالعه جمع آوری شد و در آزمایشگاه تخصصی بیوشیمی دانشکده پزشکی مشهد میزان آیریزین و hs-CRP هر یک از نمونه های بزاق و سرم مورد اندازه گیری قرار گرفت. داده ها توسط SPSS با ویرایش 22 با استفاده از آزمون ضریب همبستگی پیرسون مورد تجزیه و تحلیل قرار گرفت (P < 0.05).

    یافته ها

    غلظت آیریزین سرم در گروه بیمار کمتر از گروه کنترل بود (P=0.205). غلظت آیریزین بزاق نیز در گروه بیمار به شکل معنی داری کمتر از گروه کنترل بود (P=0.021). میزان hs-CRP سرم و بزاق در گروه بیمار بطور معنی داری بیشتر از گروه کنترل بود (P<0.001). با افزایش غلظت مارکر در سرم، غلظت مارکر در بزاق نیز بطور معنی داری افزایش یافت (P<0.001).

    نتیجه گیری

    سنجش غلظت آیریزین بزاق و کاهش آن می تواند معیار قابل اعتمادی برای تشخیص و پیش بینی سکته قلبی باشد. غلظت بیومارکر hs-CRP بزاق و سرم ارتباط مستقیمی با سکته قلبی دارد.

    کلید واژگان: Hs-CRP, آیریزین, انفارکتوس میوکارد, بزاق, سرم}
    Shadi Saghafi Khadem *, Mohammad Sookhtanloo, Fatemeh Zeidabadi, Abdollah Javan Rashid
    Introduction

    Cardiovascular diseases are the leading cause of mortality worldwide. Despite the importance of early diagnosis and advances in medicine, one-third of Myocardial Infarction (MI) cases remain undiagnosed. Biomarkers are a reflection of the physiologic function and pathologic changes in the body. Saliva is a refined plasma that can replace blood to facilitate and accelerate the diagnosis process given the benefits of its collection and storage. The present study aimed to investigate the correlation between serum and saliva hs-CRP and Irisin concentration in MI patients.

    Materials and Methods

    In this case-control study, 46 cases were selected including 24 acute MI and 22 controls. The serum and saliva samples were collected and the amount of Irisin and hs-CRP was measured in each sample in the specialized biochemistry laboratory of Mashhad Medical School. Data were analyzed using SPSS (version 22) by Pearson correlation coefficient test (P<0.05).

    Results

    The concentration of Saliva Irisin was significantly lower in the patient group than that in the control group (P=0.021). The levels of serum and salivary hs-CRP were significantly higher in the patient group than those in the control group (for both P<0.001). The concentration of marker in saliva significantly increased as the concentration of marker increased in serum (P<0.001).

    Conclusion

    Measurement and reduction of salivary Irisin concentrations can be a reliable criterion for diagnosing and predicting MI. The concentration of hs-CRP in saliva and serum is directly related to MI.

    Keywords: Biomarkers, C-reactive protein, Irisin, Myocardial infarction, Saliva, Serum}
  • Mina Jazaeri*, Shahrbanoo Radi, Mehrdad Hajilooi, MohammadAli Seifrabiei, Aref Esmaeili
    Background

    According to the high prevalence of iron (Fe) deficiency anemia, it is highly important to reach simple and cost-effective methods for accurate diagnosis. Considering that saliva, as a diagnostic substance is of great value, the present study aimed to compare the amount of salivary Fe and total iron-binding capacity (TIBC) levels of patients with Fe deficiency anemia and healthy individuals.

    Methods

    In this descriptive-analytic cross-sectional study, thirty 20-40-year-old women participated in case (patients with anemia) and control (healthy individuals) groups. After collecting the serum and saliva samples of each participant, Fe and TIBC levels were measured in µg/dL. Data were analyzed using SPSS with Kolmogorov-Smirnov, t test and Pearson correlation tests at the significant level of 0.05.

    Results

    The mean age of the participants of the case and control groups was 31.25 and 30.6, respectively. The average amounts of salivary Fe and TIBC of patients with Fe deficiency were 28.60 and 610.00 µg/dL, respectively. Further, the means of salivary Fe and TIBC of the control group were 78.80 and 290.00 µg/dL, respectively. Based on the results, the serum Fe and TIBC of anemic patients were 27.05 and 589.70 µg/ dL, whereas the means of the serum Fe and TIBC of the control group were 80.27 and 286.80, respectively. There were significant differences between both salivary and serum values of the Fe and TIBC of case and control groups (P<0.05). Furthermore, the relationship between the serum and salivary levels of Fe and TIBC were positive and significant (P<0.05).

    Conclusions

    Based on the results of the present study, significant changes were found in the salivary amount of the Fe and TIBC of patients with Fe deficiency anemia corresponding to the serum levels of Fe and TIBC, thus saliva could be considered as a diagnostic substance for the detection of Fe deficiency anemia.

    Keywords: Iron, Anemia, Serum, Total iron-binding capacity}
  • امیرعلی فرامرزی، ناصر بهنام پور، الهام فخاری*
    مقدمه

    پریودنتیت مزمن در نتیجه تقابل بین میکروارگانیسم های بیوفیلم پلاک و سلول های ایمنی میزبان ایجاد می شود. سطح برخی از ویتامین ها ممکن است در پیشگیری و کنترل این بیماری نقش داشته باشند. هدف از مطالعه حاضر، تعیین ارتباط سطح سرمی ویتامین D با پریودنتیت مزمن در بیماران مراجعه کننده به دانشکده دندانپزشکی دانشگاه علوم پزشکی گلستان بود.

    مواد و روش ها

    در این مطالعه مورد-شاهدی، 49 فرد سالم از نظر پریودنتال (گروه کنترل) و 49 بیمار مبتلا به پریودنتیت مزمن(گروه مورد) شرکت کردند. نمونه خون از افراد شرکت کننده تهیه شد و سطح ویتامین D با استفاده از روش الایزا اندازه گیری شد. داده ها با استفاده از آزمون من-ویتنی برای مقایسه سطح ویتامین D در دو گروه در سطح اطمینان 05/0 تجزیه و تحلیل شدند.

    یافته ها

     در مجموع (8/37%) 37 مرد و (2/62%) 61 زن وارد مطالعه شدند. سطح ویتامین D سرمی در دو گروه شاهد و مورد به ترتیب برابر با 12/16 ± 61/35 و 54/10 ± 98/24 نانوگرم بر میلی لیتر بود (P˂0.001). نسبت شانس ابتلا به پریودنتیت مزمن در هر واحد تغییر در سطح ویتامین D با حذف عوامل مخدوش کننده برابر با 94/0 (97/0 - 90/0) نانوگرم بر میلی لیتر بود (P˂0.001). 

    نتیجه گیری

    سطح سرمی ویتامین D در افراد دارای پریودنتیت مزمن نسبت به افراد سالم از نظر پریودنتال پایین تر بود. کاهش سطح ویتامین D سرمی، ممکن است شانس ابتلا به پریودنتیت مزمن را افزایش دهد.

    کلید واژگان: پریودنتیت مزمن, سرم, ویتامین D}
    Amirali Faramarzi, Nasser Behnampour, Elham Fakhari *
    Background

    Chronic periodontitis is caused by the interaction between plaque biofilm microorganisms and host immune cells. The serum level of some vitamins may play a role in the prevention and control of the disease. This study aimed to determine the relationship between serum vitamin D levels and chronic periodontitis in patients referring to Dental School, Golestan University of Medical Sciences, Gorgan, Iran.

    Materials and Methods

    A total of 49 individuals with healthy periodontium (control group) and 49 patients with chronic periodontitis (case group) participated in this case-control study. Blood samples were taken from the participants, and serum vitamin D levels were measured using an enzyme-linked immunosorbent assay. Serum vitamin D levels were compared between the two groups using the Mann-Whitney test. Data were analyzed in SPSS 22 software at a 0.05% confidence level.

    Results

    A total of 37 (37.8%) males and 61 (62.2%) females were included in the study. Serum vitamin D levels in the control and case groups were 35.61±16.12 ng/ml and 24.98±10.54 ng/ml, respectively (P˂0.001). The odds ratio of periodontitis per unit change in vitamin D level with the removal of confounders was 0.94 (95% confidence interval: 0.90-0.97) (P˂0.001).

    Conclusion

    Serum vitamin D levels were lower in patients with chronic periodontitis than in healthy individuals. It seems that decreased serum vitamin D levels may increase the chances of developing chronic periodontitis.

    Keywords: chronic periodontitis, Serum, Vitamin D}
  • Amin Saeedi, Milad Rezaiye, Fatemeh Saeed, Rasoul Raesi, Mehdi Raei, Salman Farahbakhsh, Salman Daneshi

    Introduction: The most common hepatic disease is fatty liver. Raised serum ferritin levels are often described as an indicator of liver function. The present study aimed to evaluate the correlation between fatty liver in men by ultrasound and serum ferritin levels in patients referred to Imam Khomeini Hospital in Jiroft in 2020. Materials and Methods: In this case series study, there is both a descriptive and an analytical component. The study population consisted of all male patients with fatty liver. Patients were included in the study after being visited by a specialist and thus diagnoses their fatty liver were mades by ultrasound. After clinical examination and diagnosis of fatty liver, patients were prepared on a fasting basis for Paraclinical tests (serum levels of iron, and ferritin). After collecting data from patient surveys based on a researcher-made checklist, the data were entered into SPSS V23 (22). Results: The mean age of patients was 46.8± 16.7. 27. There was a statistically significant correlation between ferritin level and disease severity based on the ultrasound view (P-value = 0.000). Also, there was a significant correlation between serum iron level and disease severity based on the ultrasound view (P-value = 0.005). Conclusion: The present study findings indicate a correlation between the severity of fatty liver disease and the level of serum ferritin and iron. Therefore, we need to pay special attention to the level of these indicators in patients with fatty liver.

    Keywords: Fatty liver, Ferritin, Serum}
  • Esmaeil Mortaz, Mehrnaz Movassaghi, Ali Bassir, Neda Dezfuli, Neda Roofchayee, Hamidreza Jamaati, Johan Garssen, Ian Adcock *

    The cytokine storm and lymphopenia are reported in coronavirus disease 2019 (COVID-19). Myeloid-derived suppressive cells (MDSCs) exist in two different forms, granulocyte (G-MDSCs) and monocytic (M-MDSCs), that both suppress T-cell function. In COVID-19, the role of chemokines such as interleukin (IL)-8 in recruiting MDSCs is unclear. A recent report has correlated IL-8 and MDSCs with poor clinical outcomes in melanoma patients. In the current study, we evaluated the frequency of MDSCs and their correlation with serum IL-8 levels in severe COVID-19 patients from Iran. Thirty-seven severe patients (8 on ventilation, 29 without ventilation), thirteen moderate COVID-19 patients, and eight healthy subjects participated in this study between 10th April 2020 and 9th March 2021. Clinical and biochemical features, serum, and whole blood were obtained. CD14, CD15, CD11b, and HLA-DR expression on MDSCs was measured by flow cytometry. COVID-19 patients compared to healthy subjects had a greater frequency of M-MDSCs (12.7±13.3% vs 0.19±0.20%,), G-MDSCs (15.8±12.6% vs 0.35±0.40%,) and total-MDSCs (27.5±17.3% vs 0.55±0.41%,). M-MDSC (16.8±15.8% vs 5.4±4.8%,) and total-MDSC (33.3±18.5% vs 17.3±13.3%) frequency was higher in non- ventilated compared to moderate COVID-19 subjects. Serum IL-8 levels were higher in patients with COVID-19 than in normal healthy subjects (6.4±7.8 vs. 0.10±00 pg/mL). Ventilated patients (15.7±6.7 pg/mL), non-ventilated patients (5.7±2.7 pg/mL) and moderate patients (2.8±3.0 pg/mL) had significantly different levels of IL-8.  A negative correlation was found between the frequency of G-MDSCs and the international normalized ratio (INR) test (r=-0.39), and between the frequency of total-MDSCs and oxygen saturation (%) (r=-0.39). COVID-19 patients with severe non-ventilated disease had the highest levels of M-MDSCs. In addition to systemic MDSCs, lung, serum IL-8, and other inflammatory biomarkers should be measured.

    Keywords: Blood, COVID-19, Interleukin-8, Myeloid-derived suppressor cells, Serum}
  • Hosseinali Ghaffaripour, Amir Rezaei *, Maryam Hasanzad, Habib Emami, Esmaeil Mortaz, Alireza Mahdaviani, Ali Akbar Velayati
    Background
    It is known that inflammatory responses occur in the airways of patients with non-cystic fibrosis bronchiectasis during respiratory exacerbations but the role of these cytokines is not clear in this condition. Herein we evaluated the levels of interleukin-1b (IL-1b), IL-8 and tumor necrosis factor a (TNF-a) in the serum and bronchoalveolar lavage among children with non-cystic fibrosis bronchiectasis.
    Materials and Methods
    This cross-sectional study was performed on all children with non-cystic fibrosis bronchiectasis who were admitted with respiratory exacerbation in the pediatric pulmonology ward of Masih Daneshvari Hospital, Tehran-Iran. All patients underwent fiberoptic bronchoscopy and spirometry before and after the bronchoscopy. IL-1b, IL-8, and TNF-a levels were measured in the serum and bronchoalveolar lavage.
    Results
    Patients included 10 (59%) female and 7 (41%) male subjects with mean age of 13.8 years (range, 5-18). Mean values for forced vital capacity (FVC) and forced expiratory volume in one second (FEV1) were below the normal range before and after bronchoscopy. Mean value for FVC (from 55% to 63%, P= 0.01) and FEV1 (from 60% to 64%, P= 0.26) increased after bronchoscopy compared to before that. IL-1b and IL-8 levels were increased and TNF-a level was decreased in the serum and bronchoalveolar lavage but no significant correlation was found between spirometry and these cytokines levels.
    Conclusion
    Changes in inflammatory cytokines levels in serum and bronchoalveolar lavage during respiratory exacerbation in patients with non-cystic fibrosis bronchiectasis have no significant correlation with spirometry and cannot be used in clinical practice.
    Keywords: Non-cystic fibrosis bronchiectasis, Inflammatory cytokine, Bronchoalveolar Lavage, Serum}
  • Mohammad-Reza Mirzaii-Dizgah, Iraj Mirzaii-Dizgah *, Marjan Mokhtare
    Background

    Gastroesophageal reflux disease (GERD) is one of the most common gastrointestinal diseases. One of the factors that are known to play a role in reducing inflammation is acetylcholine (Ach), which decreases cholinesterase to increase Ach. The present study investigated cholinesterase activity in the serum of patients with GERD.

    Methods

    In this cross-sectional study, 30 patients with GERD were referred to Imam Reza Hospital, and 30 healthy individuals were included in the study. Serum was collected in the morning and the fasting state. Cholinesterase activity was measured photometrically and analyzed by unpaired student t-test and receiver operating characteristic (ROC) curve analysis.

    Results

    The mean serum cholinesterase activity was significantly lower in the GERD group (5,445 ± 411 IU/L) than in healthy individuals (6,728 ± 305 IU/L). The cut-off for the detection of patients suffering from GERD by the serum activity of cholinesterase was 5,637 IU/L.

    Conclusions

    It seems that the cholinesterase activity reduces in the serum of patients with GERD.

    Keywords: Cholinesterase, GERD, Serum}
  • Maryam Jari, Javad Sadeghi Allah Abadi, Davood Fathi, Marzieh Attar, Zahra Maleki, Majid Shahbazi *
    Background

    Various factors contribute to the pathogenesis of Multiple Sclerosis (MS), one of which is Fibroblast Growth Factor 2 (FGF2). The function of FGF2 is pleiotropic. The investigation of the role of this factor in the myelination has produced conflicting results.

    Objective

    To investigate the serum levels of FGF2 in patients with MS.

    Material and methods

    Eighty patients with MS and eighty healthy volunteers with no history of inflammation or demyelinating disorders were included, and serum samples were collected to evaluate serum levels of FGF2 using the ELISA technique. Both groups had the same age and gender distribution. For analysis, the Mann-Whitney U test was used.

    Results

    Patients with MS had considerably greater serum FGF2 levels than the control group (p = 0.005). There was no difference between the FGF2 level in men and women.

    Conclusion

    Our data indicate that FGF2 levels may be related to the susceptibility of Iranian patients with MS. Further studies are required to analyze the involvement of FGF2 in enhancing the inflammatory process in MS.

    Keywords: Demyelination, ELISA, Fibroblast Growth Factor-2, Multiple Sclerosis, serum}
نکته
  • نتایج بر اساس تاریخ انتشار مرتب شده‌اند.
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