433 research outputs found
Investigation of the structure and properties of surface composite layers on multi-alloyed steels
In this work were studied the structures and properties of surface composite layers obtained by chemical-thermal treatment and combined chemical-thermal treatment, combining liquid-free electrolysis-free boriding with gas nitriding. The properties of surface composite layers on steels with different alloys are analyzed depending on various parameters of chemical-thermal treatment. The study showed that, during boriding, phases of iron borides FeB, Fe2B are formed on the surface of the samples, and their volume ratio strongly depends on the degree of steel alloying. A strong effect of carbon on the morphology of surface layers was revealed. Finely dispersed strengthening particles were found in the borated layers on the VKS-5 steel, large superhard particles on the Ch12MF steel near the borated layers. The study of the microstructure of the composite layers showed that during gas nitriding, a layer 80 ΞΌm in size is obtained, which penetrates deep into the borated layer. The study of the properties of surface layers showed that carbon has the greatest influence on the formation of borated layers. The resulting composite layers are characterized by reduced microbrittleness and increased corrosion resistance
DANSSino: a pilot version of the DANSS neutrino detector
DANSSino is a reduced pilot version of a solid-state detector of reactor
antineutrinos (to be created within the DANSS project and installed under the
industrial 3 GW(th) reactor of the Kalinin Nuclear Power Plant -- KNPP).
Numerous tests performed at a distance of 11 m from the reactor core
demonstrate operability of the chosen design and reveal the main sources of the
background. In spite of its small size (20x20x100 ccm), the pilot detector
turned out to be quite sensitive to reactor antineutrinos, detecting about 70
IBD events per day with the signal-to-background ratio about unity.Comment: 16 pages, 11 figures, 3 tables. arXiv admin note: substantial text
overlap with arXiv:1304.369
Significance of individual management plan for the patients with hereditary lymphangioedema during pregnancy and lactation, and in newborns
Hereditary angioedema (HAE) is a genetically caused orphan disease with a high risk of developing life-threatening attacks, thus requiring availability for up-to-date information on this problem for the doctors of any specialties. A limited number of observations determine the value of the analysis for each clinical case. Many facets of clinical manifestations, a list of predisposing and triggering factors, as well as limitations of some diagnostic and therapeutic algorithms, require the development of individual management schemes under distinct clinical situations. In this paper, we present the unique clinical cases with certain limitations, describing unexpected onset of the disease in the course of pregnancy, management aspects during delivery and post-delivery periods in a women with a previously confirmed HAE diagnosis. Adapted diagnostic algorithms of postnatal diagnostic verification are presented for children with burdened genetic history. We express some assumptions about involvement of a multidisciplinary team of specialists, personalized approach to building a management plan with an βonlineβ correction depending on observation stage of ΠΠΠ patient
Search for sterile neutrinos at the DANSS experiment
DANSS is a highly segmented 1~m plastic scintillator detector. Its 2500
one meter long scintillator strips have a Gd-loaded reflective cover. The DANSS
detector is placed under an industrial 3.1~ reactor of the
Kalinin Nuclear Power Plant 350~km NW from Moscow. The distance to the core is
varied on-line from 10.7~m to 12.7~m. The reactor building provides about 50~m
water-equivalent shielding against the cosmic background. DANSS detects almost
5000 per day at the closest position with the cosmic
background less than 3. The inverse beta decay process is used to detect
. Sterile neutrinos are searched for assuming the model
(3 active and 1 sterile ). The exclusion area in the plane is obtained using a ratio of positron energy
spectra collected at different distances. Therefore results do not depend on
the shape and normalization of the reactor spectrum, as well
as on the detector efficiency. Results are based on 966 thousand antineutrino
events collected at 3 distances from the reactor core. The excluded area covers
a wide range of the sterile neutrino parameters up to
in the most sensitive region.Comment: 10 pages, 13 figures, version accepted for publicatio
ΠΠΠΠΠΠ Π£ΠΠΠ ΠΠΠΠΠΠΠ‘Π’Π Π ΠΠΠ’ΠΠΠΠ ΠΠΠΠ ΠΠ£ΠΠΠ
Visibility conditions in the assembly hall of National University of Water and Environmental Engineering are analysed. It was established that the mutual placement of seats for viewers and a stage does not ensure compliance with the regulatory requirements for visibility. The blinding value on cylindrical surface for real conditions in the assembly hall was shown. The cylindrical surface was created by moving focal line points upstairs along the generatrixes of this surface. Rows arrangement options on curved line of the least ascending gradient, on plane at an angle and on three planes at an angle were proposed. Measures for improvement of visibility conditions are offered. It was proposed to add additional stairs along the rows rising.ΠΡΠΎΠ°Π½Π°Π»ΠΈΠ·ΠΈΡΠΎΠ²Π°Π½Ρ ΡΡΠ»ΠΎΠ²ΠΈΡ Π²ΠΈΠ΄ΠΈΠΌΠΎΡΡΠΈ Π°ΠΊΡΠΎΠ²ΠΎΠ³ΠΎ Π·Π°Π»Π° ΠΠ£ΠΠ₯Π. Π£ΡΡΠ°Π½ΠΎΠ²Π»Π΅Π½ΠΎ, ΡΡΠΎ Π²Π·Π°ΠΈΠΌΠ½ΠΎΠ΅ ΡΠ°ΡΠΏΠΎΠ»ΠΎΠΆΠ΅Π½ΠΈΠ΅ ΠΌΠ΅ΡΡ Π΄Π»Ρ Π·ΡΠΈΡΠ΅Π»Π΅ΠΉ ΠΈ ΡΡΡΡΠ°Π΄Ρ Π½Π΅ ΠΎΠ±Π΅ΡΠΏΠ΅ΡΠΈΠ²Π°ΡΡ Π²ΡΠΏΠΎΠ»Π½Π΅Π½ΠΈΡ Π½ΠΎΡΠΌΠ°ΡΠΈΠ²Π½ΡΡ
ΡΡΠ΅Π±ΠΎΠ²Π°Π½ΠΈΠΉ ΠΏΠΎ Π²ΠΈΠ΄ΠΈΠΌΠΎΡΡΠΈ. ΠΡΠ΅Π΄Π»ΠΎΠΆΠ΅Π½Ρ ΠΌΠ΅ΡΡ ΠΏΠΎ ΡΠ»ΡΡΡΠ΅Π½ΠΈΡ ΡΡΠ»ΠΎΠ²ΠΈΠΉ Π²ΠΈΠ΄ΠΈΠΌΠΎΡΡΠΈ.ΠΡΠΎΠ°Π½Π°Π»ΡΠ·ΠΎΠ²Π°Π½ΠΎ ΡΠΌΠΎΠ²ΠΈ Π²ΠΈΠ΄ΠΈΠΌΠΎΡΡΡ Π² Π°ΠΊΡΠΎΠ²ΡΠΉ Π·Π°Π»Ρ ΠΠ£ΠΠΠ. ΠΡΡΠ°Π½ΠΎΠ²Π»Π΅Π½ΠΎ, ΡΠΎ Π²Π·Π°ΡΠΌΠ½Π΅ ΡΠΎΠ·ΠΌΡΡΠ΅Π½Π½Ρ ΠΌΡΡΡΡ Π΄Π»Ρ Π³Π»ΡΠ΄Π°ΡΡΠ² Ρ Π΅ΡΡΡΠ°Π΄ΠΈ Π½Π΅ Π·Π°Π±Π΅Π·ΠΏΠ΅ΡΡΡΡΡ Π²ΠΈΠΊΠΎΠ½Π°Π½Π½Ρ Π½ΠΎΡΠΌΠ°ΡΠΈΠ²Π½ΠΈΡ
Π²ΠΈΠΌΠΎΠ³ ΡΠΎΠ΄ΠΎ Π²ΠΈΠ΄ΠΈΠΌΠΎΡΡΡ. ΠΠ°ΠΏΡΠΎΠΏΠΎΠ½ΠΎΠ²Π°Π½ΠΎ Π·Π°Ρ
ΠΎΠ΄ΠΈ Π΄Π»Ρ ΠΏΠΎΠ»ΡΠΏΡΠ΅Π½Π½Ρ ΡΠΌΠΎΠ² Π²ΠΈΠ΄ΠΈΠΌΠΎΡΡΡ
Π‘ΡΠ°Π²Π½Π΅Π½ΠΈΠ΅ ΡΡΡΠ΅ΠΊΡΠΈΠ²Π½ΠΎΡΡΠΈ ΠΌΠ΅ΡΠΎΠ΄ΠΎΠ² Π½Π΅ΠΈΠ½Π²Π°Π·ΠΈΠ²Π½ΠΎΠΉ ΡΠ΅ΡΠΏΠΈΡΠ°ΡΠΎΡΠ½ΠΎΠΉ ΠΏΠΎΠ΄Π΄Π΅ΡΠΆΠΊΠΈ Π² ΠΏΠΎΡΠ»Π΅ΠΎΠΏΠ΅ΡΠ°ΡΠΈΠΎΠ½Π½ΠΎΠΌ ΠΏΠ΅ΡΠΈΠΎΠ΄Π΅ Ρ ΠΊΠ°ΡΠ΄ΠΈΠΎΡ ΠΈΡΡΡΠ³ΠΈΡΠ΅ΡΠΊΠΈΡ Π±ΠΎΠ»ΡΠ½ΡΡ : ΠΏΠΈΠ»ΠΎΡΠ½ΠΎΠ΅ ΠΈΡΡΠ»Π΅Π΄ΠΎΠ²Π°Π½ΠΈΠ΅
ΠΠΠ’Π£ΠΠΠ¬ΠΠΠ‘Π’Π¬: Π§Π°ΡΡΠΎΡΠ° ΡΠ°Π·Π²ΠΈΡΠΈΡ Π΄ΡΡ
Π°ΡΠ΅Π»ΡΠ½ΠΎΠΉ Π½Π΅Π΄ΠΎΡΡΠ°ΡΠΎΡΠ½ΠΎΡΡΠΈ ΠΏΠΎΡΠ»Π΅ ΠΊΠ°ΡΠ΄ΠΈΠΎΡ
ΠΈΡΡΡΠ³ΠΈΡΠ΅ΡΠΊΠΈΡ
Π²ΠΌΠ΅ΡΠ°ΡΠ΅Π»ΡΡΡΠ² ΡΠΎΡΡΠ°Π²Π»ΡΠ΅Ρ 17β22Β % [1β3]. ΠΠ΅ΡΠΎΠ΄Ρ Π½Π΅ΠΈΠ½Π²Π°Π·ΠΈΠ²Π½ΠΎΠΉ ΡΠ΅ΡΠΏΠΈΡΠ°ΡΠΎΡΠ½ΠΎΠΉ ΠΏΠΎΠ΄Π΄Π΅ΡΠΆΠΊΠΈ: Π½Π΅ΠΈΠ½Π²Π°Π·ΠΈΠ²Π½Π°Ρ ΠΌΠ°ΡΠΎΡΠ½Π°Ρ Π²Π΅Π½ΡΠΈΠ»ΡΡΠΈΡ Π»Π΅Π³ΠΊΠΈΡ
(ΠΠΠΠΠ), Π²ΡΡΠΎΠΊΠΎΠΏΠΎΡΠΎΡΠ½Π°Ρ Π½Π°Π·Π°Π»ΡΠ½Π°Ρ ΠΎΠΊΡΠΈΠ³Π΅Π½ΠΎΡΠ΅ΡΠ°ΠΏΠΈΡ (ΠΠΠ) ΠΈΒ Π½Π΅ΠΈΠ½Π²Π°Π·ΠΈΠ²Π½Π°Ρ Π²Π΅Π½ΡΠΈΠ»ΡΡΠΈΡ ΡΒ ΠΏΠΎΠΌΠΎΡΡΡ ΡΠ»Π΅ΠΌΠ° (ΠΠΠΠΠ¨) Π½Π°Ρ
ΠΎΠ΄ΡΡ Π²ΡΠ΅ Π±ΠΎΠ»Π΅Π΅ ΡΠΈΡΠΎΠΊΠΎΠ΅ ΠΏΡΠΈΠΌΠ΅Π½Π΅Π½ΠΈΠ΅ Π²Β ΡΠ΅ΡΠ°ΠΏΠΈΠΈ Π΄ΡΡ
Π°ΡΠ΅Π»ΡΠ½ΠΎΠΉ Π½Π΅Π΄ΠΎΡΡΠ°ΡΠΎΡΠ½ΠΎΡΡΠΈ ΡΒ ΡΡΠΈΡ
ΠΏΠ°ΡΠΈΠ΅Π½ΡΠΎΠ². Π¦ΠΠΠ¬ ΠΠ‘Π‘ΠΠΠΠΠΠΠΠΠ―: Π‘ΡΠ°Π²Π½Π΅Π½ΠΈΠ΅ ΡΡΡΠ΅ΠΊΡΠΈΠ²Π½ΠΎΡΡΠΈ ΠΌΠ΅ΡΠΎΠ΄ΠΎΠ² ΡΠ΅ΡΠΏΠΈΡΠ°ΡΠΎΡΠ½ΠΎΠΉ ΠΏΠΎΠ΄Π΄Π΅ΡΠΆΠΊΠΈ Π²Β Π·Π°Π²ΠΈΡΠΈΠΌΠΎΡΡΠΈ ΠΎΡ ΠΈΡ
Π²Π»ΠΈΡΠ½ΠΈΡ Π½Π° Π³Π°Π·ΠΎΠΎΠ±ΠΌΠ΅Π½ ΡΒ ΠΏΠ°ΡΠΈΠ΅Π½ΡΠΎΠ² ΡΒ Π»Π΅Π³ΠΊΠΎΠΉ ΡΡΠ΅ΠΏΠ΅Π½ΡΡ ΡΡΠΆΠ΅ΡΡΠΈ Π΄ΡΡ
Π°ΡΠ΅Π»ΡΠ½ΠΎΠΉ Π½Π΅Π΄ΠΎΡΡΠ°ΡΠΎΡΠ½ΠΎΡΡΠΈ Π²Β ΡΠ°Π½Π½Π΅ΠΌ ΠΏΠ΅ΡΠΈΠΎΠ΄Π΅ ΠΏΠΎΡΠ»Π΅ ΠΊΠ°ΡΠ΄ΠΈΠΎΡ
ΠΈΡΡΡΠ³ΠΈΡΠ΅ΡΠΊΠΈΡ
Π²ΠΌΠ΅ΡΠ°ΡΠ΅Π»ΡΡΡΠ². ΠΠΠ’ΠΠ ΠΠΠΠ« Π ΠΠΠ’ΠΠΠ«: Π ΡΠ°Π±ΠΎΡΡ Π²ΠΊΠ»ΡΡΠ΅Π½Ρ 42Β ΠΊΠ°ΡΠ΄ΠΈΠΎΡ
ΠΈΡΡΡΠ³ΠΈΡΠ΅ΡΠΊΠΈΡ
ΠΏΠ°ΡΠΈΠ΅Π½ΡΠ° ΡΒ 200Β <Β P/FΒ <Β 300, ΠΊΠΎΡΠΎΡΡΠ΅ Π±ΡΠ»ΠΈ ΡΠ°Π·Π΄Π΅Π»Π΅Π½Ρ Π½Π° 3Β Π³ΡΡΠΏΠΏΡ Π²Β Π·Π°Π²ΠΈΡΠΈΠΌΠΎΡΡΠΈ ΠΎΡ ΠΏΡΠΈΠΌΠ΅Π½ΡΠ΅ΠΌΠΎΠ³ΠΎ ΠΌΠ΅ΡΠΎΠ΄Π° ΡΠ΅ΡΠΏΠΈΡΠ°ΡΠΎΡΠ½ΠΎΠΉ ΠΏΠΎΠ΄Π΄Π΅ΡΠΆΠΊΠΈ (ΠΠΠΠΠ, ΠΠΠ ΠΈΠ»ΠΈ ΠΠΠΠΠ¨). ΠΡΠ½ΠΎΠ²Π½Π°Ρ ΡΠΎΡΠΊΠ° ΠΈΡΡΠ»Π΅Π΄ΠΎΠ²Π°Π½ΠΈΡΒ β ΠΎΡΠ΅Π½ΠΊΠ° Π΄ΠΈΠ½Π°ΠΌΠΈΠΊΠΈ ΠΏΠΎΠΊΠ°Π·Π°ΡΠ΅Π»Π΅ΠΉ Π³Π°Π·ΠΎΠΎΠ±ΠΌΠ΅Π½Π° Π΄ΠΎ, Π²ΠΎ Π²ΡΠ΅ΠΌΡ ΠΈΒ ΠΏΠΎΡΠ»Π΅ ΠΈΡ
ΠΏΡΠΈΠΌΠ΅Π½Π΅Π½ΠΈΡ. Π ΠΠΠ£ΠΠ¬Π’ΠΠ’Π«: ΠΡΠ΅ ΡΡΠΈ ΠΌΠ΅ΡΠΎΠ΄Π° ΠΠΠΠ ΡΠΏΠΎΡΠΎΠ±ΡΡΠ²ΡΡΡ ΡΡΠ°ΡΠΈΡΡΠΈΡΠ΅ΡΠΊΠΈ Π΄ΠΎΡΡΠΎΠ²Π΅ΡΠ½ΠΎΠΌΡ ΡΠ»ΡΡΡΠ΅Π½ΠΈΡ ΠΏΠΎΠΊΠ°Π·Π°ΡΠ΅Π»Π΅ΠΉ Π³Π°Π·ΠΎΠΎΠ±ΠΌΠ΅Π½Π° Π²ΠΎ Π²ΡΠ΅ΠΌΡ ΠΏΡΠΎΠ²Π΅Π΄Π΅Π½ΠΈΡ ΠΠΠΠ, ΠΊΠΎΡΠΎΡΠΎΠ΅ ΡΠΎΡ
ΡΠ°Π½ΡΠ»ΠΎΡΡ ΠΈΒ ΠΏΠΎΡΠ»Π΅ Π·Π°Π²Π΅ΡΡΠ΅Π½ΠΈΡ ΡΠ΅ΡΠ°ΠΏΠΈΠΈ (SpO2, PaO2, P/F, Qsp/Qt). Π Π³ΡΡΠΏΠΏΠ΅ ΡΒ ΠΏΡΠΈΠΌΠ΅Π½Π΅Π½ΠΈΠ΅ΠΌ ΠΠΠΠΠ ΠΈΒ ΠΠΠ ΠΎΡΠΌΠ΅ΡΠ΅Π½ ΠΏΡΠΈΡΠΎΡΡ ΡΡΠ°ΠΊΡΠΈΠΈ ΠΎΠΊΡΠΈΠ³Π΅ΠΌΠΎΠ³Π»ΠΎΠ±ΠΈΠ½Π°. ΠΠ½Π°ΡΠ΅Π½ΠΈΡ PaCO2 Π²Β Π³ΡΡΠΏΠΏΠ°Ρ
ΡΡΠ°Π²Π½Π΅Π½ΠΈΡ Π½Π΅ ΡΠ°Π·Π»ΠΈΡΠ°Π»ΠΈΡΡ. ΠΠ°ΠΈΠ±ΠΎΠ»ΡΡΠΈΠΉ ΠΏΡΠΈΡΠΎΡΡ SpO2 Π½Π°Π±Π»ΡΠ΄Π°Π΅ΠΌ Π²Β Π³ΡΡΠΏΠΏΠ°Ρ
ΡΒ ΠΈΡΠΏΠΎΠ»ΡΠ·ΠΎΠ²Π°Π½ΠΈΠ΅ΠΌ ΠΌΠ°ΡΠΊΠΈ ΠΈΒ ΡΠ»Π΅ΠΌΠ°, Π½ΠΎ ΠΏΠΎ Π·Π°Π²Π΅ΡΡΠ΅Π½ΠΈΠΈ ΡΠ΅Π°Π½ΡΠ° ΠΠΠΠ ΡΡΠ°ΡΠΈΡΡΠΈΡΠ΅ΡΠΊΠΈ Π·Π½Π°ΡΠΈΠΌΡΡ
ΡΠ°Π·Π»ΠΈΡΠΈΠΉ ΠΌΠ΅ΠΆΠ΄Ρ Π³ΡΡΠΏΠΏΠ°ΠΌΠΈ Π½Π΅ Π±ΡΠ»ΠΎ. ΠΠΎΠ»Ρ ΠΏΠ°ΡΠΈΠ΅Π½ΡΠΎΠ² ΡΒ P/FΒ <Β 300 ΠΏΠΎΡΠ»Π΅ ΠΎΠ΄Π½ΠΎΠΊΡΠ°ΡΠ½ΠΎΠ³ΠΎ ΡΠ΅Π°Π½ΡΠ° Π²Β Π³ΡΡΠΏΠΏΠ΅ ΠΠΠΠΠ ΡΠ½ΠΈΠ·ΠΈΠ»Π°ΡΡ Π²Β 2Β ΡΠ°Π·Π°, Π²Β Π³ΡΡΠΏΠΏΠ΅ ΠΠΠΒ β Π²Β 1,6Β ΡΠ°Π·Π°, Π²Β Π³ΡΡΠΏΠΏΠ΅ ΠΠΠΠΠ¨Β β Π²Β 3,5Β ΡΠ°Π·Π°. ΠΠ«ΠΠΠΠ«: ΠΡΠΎΠ²Π΅Π΄Π΅Π½ΠΈΠ΅ Π½Π΅ΠΈΠ½Π²Π°Π·ΠΈΠ²Π½ΠΎΠΉ ΡΠ΅ΡΠΏΠΈΡΠ°ΡΠΎΡΠ½ΠΎΠΉ ΠΏΠΎΠ΄Π΄Π΅ΡΠΆΠΊΠΈ Π·Π½Π°ΡΠΈΡΠ΅Π»ΡΠ½ΠΎ ΡΠ»ΡΡΡΠ°Π΅Ρ ΠΏΠΎΠΊΠ°Π·Π°ΡΠ΅Π»ΠΈ ΠΎΠΊΡΠΈΠ³Π΅Π½ΠΈΡΡΡΡΠ΅ΠΉ ΡΡΠ½ΠΊΡΠΈΠΈ Π»Π΅Π³ΠΊΠΈΡ
Π²Β ΡΠ°Π½Π½Π΅ΠΌ ΠΏΠΎΡΠ»Π΅ΠΎΠΏΠ΅ΡΠ°ΡΠΈΠΎΠ½Π½ΠΎΠΌ ΠΏΠ΅ΡΠΈΠΎΠ΄Π΅ ΡΒ ΠΊΠ°ΡΠ΄ΠΈΠΎΡ
ΠΈΡΡΡΠ³ΠΈΡΠ΅ΡΠΊΠΈΡ
Π±ΠΎΠ»ΡΠ½ΡΡ
. ΠΠΠΠΠ¨ ΠΈΒ ΠΠΠΠΠ Π±ΠΎΠ»Π΅Π΅ ΡΡΡΠ΅ΠΊΡΠΈΠ²Π½Ρ ΠΏΠΎ ΡΡΠ°Π²Π½Π΅Π½ΠΈΡ ΡΒ ΠΠΠ. ΠΡΠΈ ΠΈΡΠΏΠΎΠ»ΡΠ·ΠΎΠ²Π°Π½ΠΈΠΈ ΡΠ»Π΅ΠΌΠ° ΡΡΠ΅Π±ΡΠ΅ΡΡΡ Π±ΠΎΠ»Π΅Π΅ Π²ΡΡΠΎΠΊΠΈΠΉ ΡΡΠΎΠ²Π΅Π½Ρ ΡΠ΅ΡΠΏΠΈΡΠ°ΡΠΎΡΠ½ΠΎΠΉ ΠΏΠΎΠ΄Π΄Π΅ΡΠΆΠΊΠΈ
ΠΠ·ΠΌΠ΅Π½Π΅Π½ΠΈΠ΅ Π°ΠΊΡΠΈΠ²Π½ΠΎΡΡΠΈ Π»ΠΈΠ·ΠΎΡΠΎΠΌΠ°Π»ΡΠ½ΡΡ ΡΠΈΡΡΠ΅ΠΈΠ½ΠΎΠ²ΡΡ ΠΏΡΠΎΡΠ΅Π°Π· ΠΏΠ»Π°Π·ΠΌΡ, ΠΌΠΎΠ½ΠΎΡΠ΄Π΅ΡΠ½ΡΡ ΠΈ ΠΏΠΎΠ»ΠΈΠΌΠΎΡΡΠ½ΠΎΡΠ΄Π΅ΡΠ½ΡΡ Π»Π΅ΠΉΠΊΠΎΡΠΈΡΠΎΠ² ΠΊΡΠΎΠ²ΠΈ ΠΏΡΠΈ Π±ΠΎΠ»Π΅Π·Π½ΠΈ ΠΠ»ΡΡΠ³Π΅ΠΉΠΌΠ΅ΡΠ°
Aim. To study the level of activity of lysosomal cysteine proteases (cathepsins H, B, L) in blood plasma andΒ fractionated leukocytes (polymorphonuclear and mononuclear) in patients with Alzheimerβs disease in comparisonΒ with similar indicators in persons without signs of neurodegeneration as a possible marker of Alzheimerβs diseaseΒ development and diagnosis.Materials and methods. The spectrofluorimetric study of cathepsins B, L, H activity level in plasma andΒ fractionated leukocytes was conducted in 22 patients diagnosed with Alzheimerβs disease in comparison with theΒ same indicators in 22 patients matched by sex, age and associated diseases with patients of the observation group,Β but having no signs of neurodegeneration.Results. The activity of all three enzymes, and especially cathepsin H, increased significantly in blood plasma.Β A significant increase is also noted in the activity of cathepsins H, B, and L in homogenates of fractionatedΒ leukocytes. AtΒ the same time, in both polymorphonuclear and mononuclear leukocytes the greatest degree of changes is demonstratedΒ by the activity of cathepsin B, and the least is the activity of cathepsin L. Given the available data on an increasedΒ cathepsin B activity in the cerebrospinal fluid of patients with Alzheimerβs disease, we can assume a correlationΒ between the state of lysosomal proteases activity in the Central nervous system and in the peripheral blood cells.Conclusion. Alzheimerβs disease is associated with increased activity of cysteine cathepsins in plasma,Β polymorphonuclear and mononuclear leukocytes of peripheral blood, which can be considered as one of theΒ possible markers of development and diagnosis of the disease.Β Β Π¦Π΅Π»Ρ. ΠΠ·ΡΡΠΈΡΡ ΡΡΠΎΠ²Π΅Π½Ρ Π°ΠΊΡΠΈΠ²Π½ΠΎΡΡΠΈ Π»ΠΈΠ·ΠΎΡΠΎΠΌΠ°Π»ΡΠ½ΡΡ
ΡΠΈΡΡΠ΅ΠΈΠ½ΠΎΠ²ΡΡ
ΠΏΡΠΎΡΠ΅ΠΈΠ½Π°Π· (ΠΊΠ°ΡΠ΅ΠΏΡΠΈΠ½ΠΎΠ² H, B, L) Π² ΠΏΠ»Π°Π·ΠΌΠ΅Β ΠΊΡΠΎΠ²ΠΈ ΠΈ ΡΡΠ°ΠΊΡΠΈΠΎΠ½ΠΈΡΠΎΠ²Π°Π½Π½ΡΡ
Π»Π΅ΠΉΠΊΠΎΡΠΈΡΠ°Ρ
(ΠΏΠΎΠ»ΠΈΠΌΠΎΡΡΠ½ΠΎΡΠ΄Π΅ΡΠ½ΡΡ
ΠΈ ΠΌΠΎΠ½ΠΎΡΠ΄Π΅ΡΠ½ΡΡ
) ΠΏΠ°ΡΠΈΠ΅Π½ΡΠΎΠ² Ρ Π±ΠΎΠ»Π΅Π·Π½ΡΡΒ ΠΠ»ΡΡΠ³Π΅ΠΉΠΌΠ΅ΡΠ° Π² ΡΡΠ°Π²Π½Π΅Π½ΠΈΠΈ Ρ Π°Π½Π°Π»ΠΎΠ³ΠΈΡΠ½ΡΠΌΠΈ ΠΏΠΎΠΊΠ°Π·Π°ΡΠ΅Π»ΡΠΌΠΈ Ρ Π»ΠΈΡ, Π½Π΅ ΠΈΠΌΠ΅ΡΡΠΈΡ
ΠΏΡΠΈΠ·Π½Π°ΠΊΠΎΠ² Π½Π΅ΠΉΡΠΎΠ΄Π΅Π³Π΅Π½Π΅ΡΠ°ΡΠΈΠΈ,Β ΠΊΠ°ΠΊ Π²ΠΎΠ·ΠΌΠΎΠΆΠ½ΡΠΉ ΠΌΠ°ΡΠΊΠ΅Ρ ΡΠ°Π·Π²ΠΈΡΠΈΡ ΠΈ Π΄ΠΈΠ°Π³Π½ΠΎΡΡΠΈΠΊΠΈ Π±ΠΎΠ»Π΅Π·Π½ΠΈ ΠΠ»ΡΡΠ³Π΅ΠΉΠΌΠ΅ΡΠ°.ΠΠ°ΡΠ΅ΡΠΈΠ°Π»Ρ ΠΈ ΠΌΠ΅ΡΠΎΠ΄Ρ. ΠΡΠΎΠ²Π΅Π΄Π΅Π½ΠΎ ΡΠΏΠ΅ΠΊΡΡΠΎΡΠ»ΡΠΎΡΠΈΠΌΠ΅ΡΡΠΈΡΠ΅ΡΠΊΠΎΠ΅ ΠΈΡΡΠ»Π΅Π΄ΠΎΠ²Π°Π½ΠΈΠ΅ ΡΡΠΎΠ²Π½Ρ Π°ΠΊΡΠΈΠ²Π½ΠΎΡΡΠΈ ΠΊΠ°ΡΠ΅ΠΏΡΠΈΠ½ΠΎΠ²Β B, L, H Π² ΠΏΠ»Π°Π·ΠΌΠ΅ ΠΊΡΠΎΠ²ΠΈ ΠΈ ΡΡΠ°ΠΊΡΠΈΠΎΠ½ΠΈΡΠΎΠ²Π°Π½Π½ΡΡ
Π»Π΅ΠΉΠΊΠΎΡΠΈΡΠ°Ρ
22 ΠΏΠ°ΡΠΈΠ΅Π½ΡΠΎΠ² Ρ Π΄ΠΈΠ°Π³Π½ΠΎΠ·ΠΎΠΌ Β«ΠΠΎΠ»Π΅Π·Π½Ρ ΠΠ»ΡΡΠ³Π΅ΠΉΠΌΠ΅Ρа» в ΡΡΠ°Π²Π½Π΅Π½ΠΈΠΈ Ρ Π°Π½Π°Π»ΠΎΠ³ΠΈΡΠ½ΡΠΌΠΈ ΠΏΠΎΠΊΠ°Π·Π°ΡΠ΅Π»ΡΠΌΠΈ 22 ΠΏΠ°ΡΠΈΠ΅Π½ΡΠΎΠ², ΡΠΎΠΏΠΎΡΡΠ°Π²ΠΈΠΌΡΡ
ΠΏΠΎ ΠΏΠΎΠ»Ρ, Π²ΠΎΠ·ΡΠ°ΡΡΡ ΠΈ ΡΠΎΠΏΡΡΡΡΠ²ΡΡΡΠΈΠΌΒ Π·Π°Π±ΠΎΠ»Π΅Π²Π°Π½ΠΈΡΠΌ Ρ ΠΏΠ°ΡΠΈΠ΅Π½ΡΠ°ΠΌΠΈ Π³ΡΡΠΏΠΏΡ Π½Π°Π±Π»ΡΠ΄Π΅Π½ΠΈΡ, Π½ΠΎ Π½Π΅ ΠΈΠΌΠ΅ΡΡΠΈΡ
Β ΠΏΡΠΈΠ·Π½Π°ΠΊΠΎΠ² Π½Π΅ΠΉΡΠΎΠ΄Π΅Π³Π΅Π½Π΅ΡΠ°ΡΠΈΠΈ.Π Π΅Π·ΡΠ»ΡΡΠ°ΡΡ. Π ΠΏΠ»Π°Π·ΠΌΠ΅ ΠΊΡΠΎΠ²ΠΈ ΡΡΠ°ΡΠΈΡΡΠΈΡΠ΅ΡΠΊΠΈ Π·Π½Π°ΡΠΈΠΌΠΎ ΠΏΠΎΠ²ΡΡΠ΅Π½Π° Π°ΠΊΡΠΈΠ²Π½ΠΎΡΡΡ Π²ΡΠ΅Ρ
ΡΡΠ΅Ρ
ΡΠ΅ΡΠΌΠ΅Π½ΡΠΎΠ²,Β Π² Π½Π°ΠΈΠ±ΠΎΠ»ΡΡΠ΅ΠΉ ΡΡΠ΅ΠΏΠ΅Π½ΠΈ β Π°ΠΊΡΠΈΠ²Π½ΠΎΡΡΠΈ ΠΊΠ°ΡΠ΅ΠΏΡΠΈΠ½Π° Π. Π Π³ΠΎΠΌΠΎΠ³Π΅Π½Π°ΡΠ°Ρ
ΡΡΠ°ΠΊΡΠΈΠΎΠ½ΠΈΡΠΎΠ²Π°Π½Π½ΡΡ
Π»Π΅ΠΉΠΊΠΎΡΠΈΡΠΎΠ²Β ΡΠ°ΠΊΠΆΠ΅ ΠΎΡΠΌΠ΅ΡΠ°Π΅ΡΡΡ ΡΡΠ°ΡΠΈΡΡΠΈΡΠ΅ΡΠΊΠΈ Π·Π½Π°ΡΠΈΠΌΠΎΠ΅ ΠΏΠΎΠ²ΡΡΠ΅Π½ΠΈΠ΅ Π°ΠΊΡΠΈΠ²Π½ΠΎΡΡΠΈ ΠΊΠ°ΡΠ΅ΠΏΡΠΈΠ½ΠΎΠ² Π, B, L, ΠΏΡΠΈ ΡΡΠΎΠΌ ΠΊΠ°ΠΊ Π²Β ΠΏΠΎΠ»ΠΈΠΌΠΎΡΡΠ½ΠΎΡΠ΄Π΅ΡΠ½ΡΡ
, ΡΠ°ΠΊ ΠΈ Π² ΠΌΠΎΠ½ΠΎΡΠ΄Π΅ΡΠ½ΡΡ
Π»Π΅ΠΉΠΊΠΎΡΠΈΡΠ°Ρ
Π² Π½Π°ΠΈΠ±ΠΎΠ»ΡΡΠ΅ΠΉ ΡΡΠ΅ΠΏΠ΅Π½ΠΈ ΠΈΠ·ΠΌΠ΅Π½ΡΠ΅ΡΡΡ Π°ΠΊΡΠΈΠ²Π½ΠΎΡΡΡΒ ΠΊΠ°ΡΠ΅ΠΏΡΠΈΠ½Π° Π, Π½Π°ΠΈΠΌΠ΅Π½ΡΡΠ΅ΠΉ βΠΊΠ°ΡΠ΅ΠΏΡΠΈΠ½Π° L. Π£ΡΠΈΡΡΠ²Π°Ρ ΠΈΠΌΠ΅ΡΡΠΈΠ΅ΡΡ Π΄Π°Π½Π½ΡΠ΅ ΠΎ ΠΏΠΎΠ²ΡΡΠ΅Π½ΠΈΠΈ Π°ΠΊΡΠΈΠ²Π½ΠΎΡΡΠΈ ΠΊΠ°ΡΠ΅ΠΏΡΠΈΠ½Π°Β Π Π² ΡΠ΅ΡΠ΅Π±ΡΠΎΡΠΏΠΈΠ½Π°Π»ΡΠ½ΠΎΠΉ ΠΆΠΈΠ΄ΠΊΠΎΡΡΠΈ ΠΏΠ°ΡΠΈΠ΅Π½ΡΠΎΠ² Ρ Π±ΠΎΠ»Π΅Π·Π½ΡΡ ΠΠ»ΡΡΠ³Π΅ΠΉΠΌΠ΅ΡΠ°, ΠΌΠΎΠΆΠ½ΠΎ ΠΏΡΠ΅Π΄ΠΏΠΎΠ»ΠΎΠΆΠΈΡΡ Π²Π·Π°ΠΈΠΌΠΎΡΠ²ΡΠ·ΡΒ ΠΌΠ΅ΠΆΠ΄Ρ ΡΠΎΡΡΠΎΡΠ½ΠΈΠ΅ΠΌ Π°ΠΊΡΠΈΠ²Π½ΠΎΡΡΠΈ Π»ΠΈΠ·ΠΎΡΠΎΠΌΠ°Π»ΡΠ½ΡΡ
ΠΏΡΠΎΡΠ΅ΠΈΠ½Π°Π· Π² ΡΠ΅Π½ΡΡΠ°Π»ΡΠ½ΠΎΠΉ Π½Π΅ΡΠ²Π½ΠΎΠΉ ΡΠΈΡΡΠ΅ΠΌΠ΅ ΠΈ ΠΏΠ΅ΡΠΈΡΠ΅ΡΠΈΡΠ΅ΡΠΊΠΈΡ
Β ΠΊΠ»Π΅ΡΠΊΠ°Ρ
ΠΊΡΠΎΠ²ΠΈ.ΠΠ°ΠΊΠ»ΡΡΠ΅Π½ΠΈΠ΅. ΠΠΎΠ»Π΅Π·Π½Ρ ΠΠ»ΡΡΠ³Π΅ΠΉΠΌΠ΅ΡΠ° Π°ΡΡΠΎΡΠΈΠΈΡΠΎΠ²Π°Π½Π° Ρ Π½Π°ΡΠ°ΡΡΠ°Π½ΠΈΠ΅ΠΌ Π°ΠΊΡΠΈΠ²Π½ΠΎΡΡΠΈ ΡΠΈΡΡΠ΅ΠΈΠ½ΠΎΠ²ΡΡ
ΠΊΠ°ΡΠ΅ΠΏΡΠΈΠ½ΠΎΠ² Π²Β ΠΏΠ»Π°Π·ΠΌΠ΅, ΠΏΠΎΠ»ΠΈΠΌΠΎΡΡΠ½ΠΎΡΠ΄Π΅ΡΠ½ΡΡ
ΠΈ ΠΌΠΎΠ½ΠΎΡΠ΄Π΅ΡΠ½ΡΡ
Π»Π΅ΠΉΠΊΠΎΡΠΈΡΠ°Ρ
ΠΏΠ΅ΡΠΈΡΠ΅ΡΠΈΡΠ΅ΡΠΊΠΎΠΉ ΠΊΡΠΎΠ²ΠΈ, ΡΡΠΎ ΠΌΠΎΠΆΠ΅Ρ ΡΠ°ΡΡΠΌΠ°ΡΡΠΈΠ²Π°ΡΡΡΡΒ ΠΊΠ°ΠΊ ΠΎΠ΄ΠΈΠ½ ΠΈΠ· Π²ΠΎΠ·ΠΌΠΎΠΆΠ½ΡΡ
ΠΌΠ°ΡΠΊΠ΅ΡΠΎΠ² ΡΠ°Π·Π²ΠΈΡΠΈΡ ΠΈ Π΄ΠΈΠ°Π³Π½ΠΎΡΡΠΈΠΊΠΈ Π·Π°Π±ΠΎΠ»Π΅Π²Π°Π½ΠΈΡ
Changes in the T and B lymphocyte subset profiles upon treatment of patients with Gravesβ disease with radioactive iodine
The aim of the present study was to evaluate the subpopulation profile of T and B lymphocytes, and their relationships during therapy of the patients with Gravesβ disease (GD) treated by means of radioactive iodine. We have examined 36 women with verified diagnosis of GD. The contents of thyroid hormones were determined by immunoradiometric analysis. The levels of thyroid-stimulating hormone receptor autoantibodies (rTSH) were evaluated by enzyme-linked immunosorbent assay. On the basis of comprehensive pre-therapeutic examination, all patients were exposed to the fixed-activity therapy with radioactive iodine-131 at a dose of 400 to 700 MBq administered orally in isotonic aqueous solution of sodium iodide. 56 practically healthy women were examined as a control group. The phenotype of T and B cells in whole blood was studied by flow cytometry using direct immunofluorescence. It was shown that the patients, prior to treatment with radioactive iodine, had high levels of cellular functional activity, as determined by expression of CD25 antigen on T cells and CD23-antigen on B lymphocytes. Higher functional activity of the cells responsive for adaptive immunity in the patients with GD manifests in the presence of increased levels of autoantibodies to rTSH. By means of correlation analysis, we found that the patients with GD examined before the therapy had the thyroid status may determine the functional stimulation of T and B cells, thus increasing the levels of autoimmune processes. One month after radioiodine therapy (RIT), the GD patients, along with transient hyperthyroidism with increased concentration of autoantibodies to rTSH, showed a reduction of activated T lymphocyte contents (including T helpers and cytotoxic T cells) to control values. However, the level of cytotoxic T lymphocytes in the blood remained low, and the content of Treg cells was significantly increased in the patients. Decreased contents of B cells activated memory B cell to the control levels were found in patients with GD over 1 month after RIT when studying the phenotype of blood B lymphocytes. In this case, increased levels of naive B lymphocytes and B2 cells were detected, as well as decreased numbers of activated B1 lymphocytes. The observed changes in the subpopulation composition of T and B cells, and in their phenotype developed against the background of complete absence of relationships between the studied parameters, thus suggesting loss of thyroid control of immune processes and cooperative cell interaction during the development of the immune response. Generally, the phenotypic changes of T and B lymphocyte subsets in the blood of patients with GD through 1 month after treatment with radioactive iodine may reflect a trend for decreased functional activity of adaptive cellular immunity which may also account for inhibition of autoimmune processes
- β¦