184 research outputs found
Self-organization of conducting pathways explains electrical wave propagation in cardiac tissues with high fraction of nonconducting cells
Cardiac fibrosis occurs in many forms of heart disease and is considered to be one of the main arrhythmogenic factors. Regions with a high density of fibroblasts are likely to cause blocks of wave propagation that give rise to dangerous cardiac arrhythmias. Therefore, studies of the wave propagation through these regions are very important, yet the precise mechanisms leading to arrhythmia formation in fibrotic cardiac tissue remain poorly understood. Particularly, it is not clear how wave propagation is organized at the cellular level, as experiments show that the regions with a high percentage of fibroblasts (65-75%) are still conducting electrical signals, whereas geometric analysis of randomly distributed conducting and non-conducting cells predicts connectivity loss at 40% at the most (percolation threshold). To address this question, we used a joint in vitro-in silico approach, which combined experiments in neonatal rat cardiac monolayers with morphological and electrophysiological computer simulations. We have shown that the main reason for sustainable wave propagation in highly fibrotic samples is the formation of a branching network of cardiomyocytes. We have successfully reproduced the morphology of conductive pathways in computer modelling, assuming that cardiomyocytes align their cytoskeletons to fuse into cardiac syncytium. The electrophysiological properties of the monolayers, such as conduction velocity, conduction blocks and wave fractionation, were reproduced as well. In a virtual cardiac tissue, we have also examined the wave propagation at the subcellular level, detected wavebreaks formation and its relation to the structure of fibrosis and, thus, analysed the processes leading to the onset of arrhythmias. Β© 2019 Kudryashova et al
Use of Sorghum for Enhancing the Biodiversity and Nutritional Value of Semi-Desert Pasture Ecosystems
The article presents the results of studies on the adaptive potential of sorghum used for restoration of degraded pasture ecosystems, increasing their biodiversity and nutritional value. The region chosen for the experiment is a semi-desert arid part of southern Russia. The aridity coefficient is 0.11β0.30 which is typical of the arid zone. The annual volume of precipitation is 125-265 mm. Two varieties of sorghum β Travinka and Caravan β were studied. They were grown with different thickness: 10 thousand, 20 thousand and 40 thousand plants per 1 hectare. During the growing season, there was soil and atmospheric drought. The best indicators of green mass yield were recorded for Travinka for the variant β40 thousand plants per hectare β 7.9 tons per hectare, and for Caravan for the variant β20 thousand plants per hecrate β 3.9 tons per hectare. Compared with natural pasture, sorghum productivity is 18 times higher by green mass yield and 26 times higher by dry mass yield (the best options). The analysis of the chemical composition and nutritional value of sorghum showed that compared to the plants of natural pasture, sorghum is a more nutritious fodder plant. Its nutritional value is more by 0.24 feed units per 1 kg and by 1.9 % by the mass of crude protein. It is better than other plants by the content of sugar content (79 g per 1 kg) and macronutrients
ROLE OF CYTOXIC T-LYMPHOCYTES IN THE PATHOGENESIS OF PRETERM BIRTH
Currently, the existence of a wide range of subpopulations of CD8+T-lymphocytes has been revealed, among which there are subpopulations of naive and effector cells, as well as memory cells. CD8+T-lymphocytes are thought to be a population of lymphocytes with high cytotoxic activity, which is of extreme importance during pregnancy. Given that each subpopulation is characterized by a set of produced mediators, surface and intracellular markers, we can assume their role in the pathogenesis of preterm birth. This determined the need to investigate the role of naive cells, effector cells, and memory cells in the development of spontaneous preterm birth. Data on the content of naive CD8+-lymphocytes in the peripheral blood of women with threatened preterm birth are practically absent. It was found that the infiltration of CD8+-lymphocytes in the area of uteroplacental contact was associated with the development of timely delivery. Chronic chorioamnionitis is the most common condition in idiopathic preterm birth and is characterized by the infiltration of maternal CD8+Tcells into the chorioamniotic membranes. Currently, it is believed that chronic inflammatory lesions of the placenta represent maternal antifetal rejection. This led to the study of the role of these cells in the pathogenesis of preterm birth. Purpose. To establish a possible pathogenetic mechanism of preterm birth in women with threatened preterm birth on the basis of the revealed features of differentiation and functional activity of CD8+- lymphocytes at the systemic levelMaterials and methods. The survey of women was carried out on the basis of the Federal State Budgetary Institution βV. Gorodkov Ivanovo Research Institute of Maternity and Childhoodβ of the Ministry of Health of the Russian Federation. A total of 126 women were examined, which were retrospectively divided into 2 main groups β women with threatened preterm birth(n = 68), which was divided into 2 subgroups β with the outcome of pregnancy preterm birth (n = 30) and timely delivery (n = 38). The control group included 58 women with uncomplicated pregnancy and who gave birth on time. In the CD8+-lymphocyte population, the content of central β Tcm (CD45RACD62L+), preterminally differentiated-Tem (CD45RACD62L- ) and terminally differentiated-Temra (CD45RA+CD62L- ) memory cells was determined. In all memory cell populations, the content of cells producing Granzyme B intracellularly was determined. The studies were performed using monoclonal antibodies (mAT) by flow cytometry on a FACSCanto II cytometer using the FACSDiva software (Becton Dickinson, USA).The analysis of the features of the relative content of CD8+-lymphocytes in the main group of women, depending on the outcome of pregnancy, was carried out. When comparing patients with a clinic of threatened preterm birth, whose pregnancy ended prematurely, a higher content of CD8+-lymphocytes was revealed than in group c of women who gave birth in a timely manner, which indicates a high stimulation of cytotoxic T-lymphocytes in this group of women. With threatening preterm birth, there is an increase in the content of naive CD8+-lymphocytes in the peripheral blood. Data on the content of naive CD8+-lymphocytes in the peripheral blood of women with threatened preterm birth are practically absent. The increase in CD8+Tn levels is more pronounced in the subgroup of women with a favorable pregnancy outcome. Given this fact, it can be assumed that in women with preterm birth, a lower CD8+Tn is associated with their increased differentiation into effector T-lymphocytes with their subsequent migration to the placental zone. This process could determine the observed decrease in the level of terminally differentiated granzyme-producing CD8+-lymphocytes in a subgroup of women with a pregnancy outcome of preterm birth, which coincided with the literature data
Over-expression of Oct4 and Sox2 transcription factors enhances differentiation of human umbilical cord blood cells in vivo
Gene and cell-based therapies comprise innovative aspects of regenerative medicine. Even though stem cells represent a highly potential therapeutic strategy, their wide-spread exploitation is marred by ethical concerns, potential for malignant transformation and a plethora of other technical issues, largely restricting their use to experimental studies. Utilizing genetically modified human umbilical cord blood mono-nuclear cells (hUCB-MCs), this communication reports enhanced differentiation of transplants in a mouse model of amyotrophic lateral sclerosis (ALS). Over-expressing Oct4 and Sox2 induced production of neural marker PGP9.5, as well as transformation of hUCB-MCs into micro-glial and endothelial lines in ALS spinal cords. In addition to producing new nerve cells, providing degenerated areas with trophic factors and neo-vascularisation might prevent and even reverse progressive loss of moto-neurons and skeletal muscle paralysis. Β© 2014 Elsevier Inc. All rights reserved
Over-expression of Oct4 and Sox2 transcription factors enhances differentiation of human umbilical cord blood cells in vivo
Β© 2014 Elsevier Inc. All rights reserved. Gene and cell-based therapies comprise innovative aspects of regenerative medicine. Even though stem cells represent a highly potential therapeutic strategy, their wide-spread exploitation is marred by ethical concerns, potential for malignant transformation and a plethora of other technical issues, largely restricting their use to experimental studies. Utilizing genetically modified human umbilical cord blood mono-nuclear cells (hUCB-MCs), this communication reports enhanced differentiation of transplants in a mouse model of amyotrophic lateral sclerosis (ALS). Over-expressing Oct4 and Sox2 induced production of neural marker PGP9.5, as well as transformation of hUCB-MCs into micro-glial and endothelial lines in ALS spinal cords. In addition to producing new nerve cells, providing degenerated areas with trophic factors and neo-vascularisation might prevent and even reverse progressive loss of moto-neurons and skeletal muscle paralysis
Human umbilical cord blood mononuclear cells transfected with dual cassette plasmids (VEGF + neurotrophic factor) for the treatment of amyotrophic lateral sclerosis
To increase the viability of neural cells in neurodegenerative diseases, after neurotraumas and ischemic strokes the most important neurotrophic and neuroprotective factors, which can be used as therapeutic agents were identified in long-term studies in vitro and in vivo. These include brain-derived neurotrophic factor (BDNF), glial-derived neurotrophic factor (GDNF), insulin-like growth factor (IGF) and vascular endothelial growth factor (VEGF). One of the promising ways of the delivery of supporting neuron survival factors is considered to be transplantation of genetically modified cells overexpressing recombinant therapeutic genes. This article describes generation of cellular delivery vectors of therapeutic genes - human umbilical cord blood mononuclear cells genetically modified by dual cassette plasmids, expressing two therapeutic genes. Efficiency of transgene expression was confirmed in vitro using RT-PCR. Analysis of survival, migration, and phenotype of genetically modified cells was performed 2 weeks after transplantation into transgenic mice with amyotrophic lateral sclerosis phenotype
Improved method for the obtaining DTTA-appended 2,2β-bipyridine ligands for lanthanide cations
The composition of the reaction mixture after DTTA tert-butyl ester alkylation with 6'-halomethyl-5-phenyl-2,2'-bipyridines was studied. In addition to the target product, DTTA-appended 2,2β-bipyridine, the corresponding 6'-hydroxymethyl-substituted 2,2β-bipyridine and (5'-phenyl-[2,2'-bipyridin]-6-yl)methyl formate were isolated as by-products in some cases. Finally, an improved procedure for the DTTA tert-butyl ester alkylation with 6'-halomethyl-5-phenyl-2,2'-bipyridines by using Finkelstein reaction was developed
Development of ELISA test for the quality control of Pseudomonas aeruginosa recombinant vaccine based on the hybrid recombinant protein
A hybrid recombinant protein containing the aminoΒ acid sequences of the threeΒ most significant Pseudomonas aeruginosa antigensΒ (membrane proteins OprF, OprIΒ and toxoidΒ aTox)Β was incorporated into a vaccine against Pseudomonas infection. Quality control of a hybrid recombinant protein and appropriate vaccine includesΒ determination of authentity and completeness of adsorption upon aluminum hydroxide adjuvant. The aim of our study was to developΒ techniques of qualityΒ control for a vaccineΒ based on the hybridΒ OprF-aToxOprIΒ recombinant protein specificΒ toΒ P. aeruginosa.Β Hybridomas secretingΒ specificΒ monoclonal antibodies for OprF-aTox-OprI were derivedΒ from the fusion of myeloma cells and murine spleenΒ cells immunized with recombinant proteins P. aeruginosa. ToΒ produce sufficientΒ quantities of antibodies, theΒ hybridΒ cells were in vivo cultured in BALB/c mice.Β Supernates and ascite liquids were chromatographically purifiedΒ with immune sorbent. Conjugation of antibodies withΒ horseradish peroxidase was carriedΒ outΒ according toΒ P.K.Nakane. TheΒ hybridΒ OprF-aTox-OprI recombinant protein was detected by theΒ solid-phase ELISA, using a panelΒ of monoclonal antibodies andΒ conjugates of monoclonal antibodies withΒ horseradish peroxidase. Monoclonal antibodies were specific for differentΒ OprF-aTox-OprI epitopes. Titration assays containing OprF-aTox-OprI protein at 78 ng/ml to 5000 ng/ml were used as quantitative standards for calibration curves.To identifyΒ the recombinant protein OprF-aTox-OprI, 55 variantsΒ of of MAb pairs were tested.Β LimitsΒ of quantitative detection servedΒ for selection of mostΒ sensitiveΒ andΒ specificΒ ELISAΒ variants.Β TheΒ quantitative detection limit was calculated for all 11 ELISAΒ variants.Β Two ELISAΒ variantsΒ with the highestΒ sensitivity were selectedΒ forΒ qualityΒ control of theΒ hybridΒ recombinant protein. TheΒ limitsΒ of quantitative detection were, respectively, 2.9 and 13.6 ng/ml (0.0058Β and 0.027% of the estimated antigenΒ content in the vaccine)Β for the first andΒ secondΒ ELISAΒ variants.Β TheΒ first variantΒ included a pairΒ of monoclonal antibodies specificΒ for the OprFΒ and OprIΒ epitopes, the secondΒ variantΒ represented aTox and OprIΒ epitopes. Two variantsΒ of ELISAΒ were developed to detectΒ the hybrid recombinant OprF-aTox-OprI protein. The first variant allows to determine the protein amount and to evaluate completeness of its adsorption on aluminum hydroxide. To confirm authenticity of the protein, both methods must be used, since they can detect all three antigens (OprF, aTox and OprI) which are presentΒ in the fusion protein
ΠΡΠ΅Π½ΠΊΠ° ΡΡΡΠ΅ΠΊΡΠΈΠ²Π½ΠΎΡΡΠΈ ΠΎΠΏΠ΅ΡΠ°ΡΠΈΠ²Π½ΠΎΠ³ΠΎ Π»Π΅ΡΠ΅Π½ΠΈΡ Π±ΠΎΠ»ΡΠ½ΡΡ Ρ Ρ ΡΠΎΠ½ΠΈΡΠ΅ΡΠΊΠΎΠΉ ΠΊΡΠΈΡΠΈΡΠ΅ΡΠΊΠΎΠΉ ΠΈΡΠ΅ΠΌΠΈΠ΅ΠΉ Π½ΠΈΠΆΠ½ΠΈΡ ΠΊΠΎΠ½Π΅ΡΠ½ΠΎΡΡΠ΅ΠΉ Π² ΡΡΠ°Π΄ΠΈΠΈ ΡΡΠΎΡΠΈΡΠ΅ΡΠΊΠΈΡ ΠΎΡΠ»ΠΎΠΆΠ½Π΅Π½ΠΈΠΉ
Relevance. Chronic critical ischemia of the lower extremities (CCILE) in the stage of trophic complications is the final stage of diseases of the arteries of the lower extremities, leading to disability of patients and having a poor prognosis in terms of preservation of the lower extremities and mortality.Aim of study. Objective assessment of the efficacy of lower limb revascularization in trophic disorders.Material and methods. The analysis of treatment of 52 patients with stage IV CCILE (according to the classification of R. Fontaine and A.V. Pokrovsky) was carried out. Of these, 42 patients underwent three-phase scintigraphy combined with X-ray computed angiography on a hybrid apparatus. After the operation, this study was conducted in 37 patients.Results. Out of 52 patients, surgery for revascularization of the lower extremities was performed in 37 patients, 15 were not operated on. Out of 37 operated patients, improvement of blood circulation occurred in 32 (86.5%). Circulatory decompensation was observed in 5 patients (9.7%). Among non-operated patients, improvement of blood circulation occurred in 9 patients (17.3%), no effect or decompensation β in 5 (9.7%). Subjective improvement in the condition and decrease in the degree of ischemia corresponded to the improvement of microcirculation according to the data of three-phase scintigraphy.Conclusion.1. Revascularization of the lower extremities in patients with trophic disorders is an effective method of treating this pathology. Therefore, all patients with chronic ischemia threatening limb loss should be considered as candidates for revascularization.2. If the leg arteries or short occlusive or stenotic lesions of the main arteries are affected, such patients should be discussed together with specialists in endovascular surgery for endovascular treatment or joint intervention.3. Hybrid radiation method (three-phase scintigraphy and single-photon emission computed tomography, combined with X-ray computed angiography) is an objective method that reflects the state of peripheral circulation and microcirculation, and allows you to objectively assess the effectiveness of the treatment.ΠΠΊΡΡΠ°Π»ΡΠ½ΠΎΡΡΡ. Π₯ΡΠΎΠ½ΠΈΡΠ΅ΡΠΊΠ°Ρ ΠΊΡΠΈΡΠΈΡΠ΅ΡΠΊΠ°Ρ ΠΈΡΠ΅ΠΌΠΈΡ Π½ΠΈΠΆΠ½ΠΈΡ
ΠΊΠΎΠ½Π΅ΡΠ½ΠΎΡΡΠ΅ΠΉ (Π₯ΠΠΠΠ) Π² ΡΡΠ°Π΄ΠΈΠΈ ΡΡΠΎΡΠΈΡΠ΅ΡΠΊΠΈΡ
ΠΎΡΠ»ΠΎΠΆΠ½Π΅Π½ΠΈΠΉ ΠΏΡΠ΅Π΄ΡΡΠ°Π²Π»ΡΠ΅Ρ ΡΠΎΠ±ΠΎΠΉ ΠΊΠΎΠ½Π΅ΡΠ½ΡΡ ΡΡΠ°Π΄ΠΈΡ Π·Π°Π±ΠΎΠ»Π΅Π²Π°Π½ΠΈΠΉ Π°ΡΡΠ΅ΡΠΈΠΉ Π½ΠΈΠΆΠ½ΠΈΡ
ΠΊΠΎΠ½Π΅ΡΠ½ΠΎΡΡΠ΅ΠΉ, ΠΏΡΠΈΠ²ΠΎΠ΄ΡΡΡΡ ΠΊ ΠΈΠ½Π²Π°Π»ΠΈΠ΄ΠΈΠ·Π°ΡΠΈΠΈ Π±ΠΎΠ»ΡΠ½ΡΡ
ΠΈ ΠΈΠΌΠ΅ΡΡΡΡ Π½Π΅Π±Π»Π°Π³ΠΎΠΏΡΠΈΡΡΠ½ΡΠΉ ΠΏΡΠΎΠ³Π½ΠΎΠ· ΠΏΠΎ ΠΏΠΎΠΊΠ°Π·Π°ΡΠ΅Π»ΡΠΌ ΡΠΎΡ
ΡΠ°Π½Π΅Π½ΠΈΡ Π½ΠΈΠΆΠ½ΠΈΡ
ΠΊΠΎΠ½Π΅ΡΠ½ΠΎΡΡΠ΅ΠΉ ΠΈ Π»Π΅ΡΠ°Π»ΡΠ½ΠΎΡΡΠΈ.Π¦Π΅Π»Ρ ΠΈΡΡΠ»Π΅Π΄ΠΎΠ²Π°Π½ΠΈΡ. ΠΠ±ΡΠ΅ΠΊΡΠΈΠ²Π½Π°Ρ ΠΎΡΠ΅Π½ΠΊΠ° ΡΡΡΠ΅ΠΊΡΠΈΠ²Π½ΠΎΡΡΠΈ ΡΠ΅Π²Π°ΡΠΊΡΠ»ΡΡΠΈΠ·Π°ΡΠΈΠΈ Π½ΠΈΠΆΠ½ΠΈΡ
ΠΊΠΎΠ½Π΅ΡΠ½ΠΎΡΡΠ΅ΠΉ ΠΏΡΠΈ ΡΡΠΎΡΠΈΡΠ΅ΡΠΊΠΈΡ
ΡΠ°ΡΡΡΡΠΎΠΉΡΡΠ²Π°Ρ
.ΠΠ°ΡΠ΅ΡΠΈΠ°Π» ΠΈ ΠΌΠ΅ΡΠΎΠ΄Ρ. ΠΡΠΎΠ²Π΅Π΄Π΅Π½ Π°Π½Π°Π»ΠΈΠ· Π»Π΅ΡΠ΅Π½ΠΈΡ 52 Π±ΠΎΠ»ΡΠ½ΡΡ
Π₯ΠΠΠΠ IV ΡΡΠ°Π΄ΠΈΠΈ (ΠΏΠΎ ΠΊΠ»Π°ΡΡΠΈΡΠΈΠΊΠ°ΡΠΈΠΈ R. Fontaine ΠΈ Π.Π. ΠΠΎΠΊΡΠΎΠ²ΡΠΊΠΎΠ³ΠΎ). ΠΠ· Π½ΠΈΡ
42 ΠΏΠ°ΡΠΈΠ΅Π½ΡΠ°ΠΌ Π²ΡΠΏΠΎΠ»Π½Π΅Π½Π° ΡΡΠ΅Ρ
ΡΠ°Π·Π½Π°Ρ ΡΡΠΈΠ½ΡΠΈΠ³ΡΠ°ΡΠΈΡ, ΡΠΎΠ²ΠΌΠ΅ΡΠ΅Π½Π½Π°Ρ Ρ ΡΠ΅Π½ΡΠ³Π΅Π½ΠΎΠ²ΡΠΊΠΎΠΉ ΠΊΠΎΠΌΠΏΡΡΡΠ΅ΡΠ½ΠΎΠΉ Π°Π½Π³ΠΈΠΎΠ³ΡΠ°ΡΠΈΠ΅ΠΉ Π½Π° Π³ΠΈΠ±ΡΠΈΠ΄Π½ΠΎΠΌ Π°ΠΏΠΏΠ°ΡΠ°ΡΠ΅. ΠΠΎΡΠ»Π΅ ΠΎΠΏΠ΅ΡΠ°ΡΠΈΠΈ Π΄Π°Π½Π½ΠΎΠ΅ ΠΈΡΡΠ»Π΅Π΄ΠΎΠ²Π°Π½ΠΈΠ΅ ΠΏΡΠΎΠ²Π΅Π΄Π΅Π½ΠΎ 37 ΠΏΠ°ΡΠΈΠ΅Π½ΡΠ°ΠΌ.Π Π΅Π·ΡΠ»ΡΡΠ°ΡΡ. ΠΠ· 52 ΠΏΠ°ΡΠΈΠ΅Π½ΡΠΎΠ² ΠΎΠΏΠ΅ΡΠ°ΡΠΈΡ ΠΏΠΎ ΡΠ΅Π²Π°ΡΠΊΡΠ»ΡΡΠΈΠ·Π°ΡΠΈΠΈ Π½ΠΈΠΆΠ½ΠΈΡ
ΠΊΠΎΠ½Π΅ΡΠ½ΠΎΡΡΠ΅ΠΉ Π²ΡΠΏΠΎΠ»Π½Π΅Π½Π° 37 ΠΏΠ°ΡΠΈΠ΅Π½ΡΠ°ΠΌ, Π½Π΅ ΠΎΠΏΠ΅ΡΠΈΡΠΎΠ²Π°Π½Ρ 15. ΠΠ· 37 ΠΎΠΏΠ΅ΡΠΈΡΠΎΠ²Π°Π½Π½ΡΡ
ΡΠ»ΡΡΡΠ΅Π½ΠΈΠ΅ ΠΊΡΠΎΠ²ΠΎΠΎΠ±ΡΠ°ΡΠ΅Π½ΠΈΡ ΠΏΡΠΎΠΈΠ·ΠΎΡΠ»ΠΎ Ρ 32 (86,5%). ΠΠ΅ΠΊΠΎΠΌΠΏΠ΅Π½ΡΠ°ΡΠΈΡ ΠΊΡΠΎΠ²ΠΎΠΎΠ±ΡΠ°ΡΠ΅Π½ΠΈΡ ΠΎΡΠΌΠ΅ΡΠ΅Π½Π° Ρ 5 ΠΏΠ°ΡΠΈΠ΅Π½ΡΠΎΠ² (9,7%). Π‘ΡΠ΅Π΄ΠΈ Π½Π΅ΠΎΠΏΠ΅ΡΠΈΡΠΎΠ²Π°Π½Π½ΡΡ
ΠΏΠ°ΡΠΈΠ΅Π½ΡΠΎΠ² ΡΠ»ΡΡΡΠ΅Π½ΠΈΠ΅ ΠΊΡΠΎΠ²ΠΎΠΎΠ±ΡΠ°ΡΠ΅Π½ΠΈΡ ΠΏΡΠΎΠΈΠ·ΠΎΡΠ»ΠΎ Ρ 9 ΠΏΠ°ΡΠΈΠ΅Π½ΡΠΎΠ² (17,3%), ΠΎΡΡΡΡΡΡΠ²ΠΈΠ΅ ΡΡΡΠ΅ΠΊΡΠ° ΠΈΠ»ΠΈ Π΄Π΅ΠΊΠΎΠΌΠΏΠ΅Π½ΡΠ°ΡΠΈΡ β Ρ 5 (9,7%). Π‘ΡΠ±ΡΠ΅ΠΊΡΠΈΠ²Π½ΠΎΠ΅ ΡΠ»ΡΡΡΠ΅Π½ΠΈΠ΅ ΡΠΎΡΡΠΎΡΠ½ΠΈΡ ΠΈ ΡΠ½ΠΈΠΆΠ΅Π½ΠΈΠ΅ ΡΡΠ΅ΠΏΠ΅Π½ΠΈ ΠΈΡΠ΅ΠΌΠΈΠΈ ΡΠΎΠΎΡΠ²Π΅ΡΡΡΠ²ΠΎΠ²Π°Π»ΠΈ ΡΠ»ΡΡΡΠ΅Π½ΠΈΡ ΠΌΠΈΠΊΡΠΎΡΠΈΡΠΊΡΠ»ΡΡΠΈΠΈ ΠΏΠΎ Π΄Π°Π½Π½ΡΠΌ ΡΡΠ΅Ρ
ΡΠ°Π·Π½ΠΎΠΉ ΡΡΠΈΠ½ΡΠΈΠ³ΡΠ°ΡΠΈΠΈ.ΠΡΠ²ΠΎΠ΄Ρ.1. Π Π΅Π²Π°ΡΠΊΡΠ»ΡΡΠΈΠ·Π°ΡΠΈΡ Π½ΠΈΠΆΠ½ΠΈΡ
ΠΊΠΎΠ½Π΅ΡΠ½ΠΎΡΡΠ΅ΠΉ Ρ ΠΏΠ°ΡΠΈΠ΅Π½ΡΠΎΠ² Ρ ΡΡΠΎΡΠΈΡΠ΅ΡΠΊΠΈΠΌΠΈ Π½Π°ΡΡΡΠ΅Π½ΠΈΡΠΌΠΈ ΡΠ²Π»ΡΠ΅ΡΡΡ ΡΡΡΠ΅ΠΊΡΠΈΠ²Π½ΡΠΌ ΠΌΠ΅ΡΠΎΠ΄ΠΎΠΌ Π»Π΅ΡΠ΅Π½ΠΈΡ Π΄Π°Π½Π½ΠΎΠΉ ΠΏΠ°ΡΠΎΠ»ΠΎΠ³ΠΈΠΈ. ΠΠΎΡΡΠΎΠΌΡ Π²ΡΠ΅ ΠΏΠ°ΡΠΈΠ΅Π½ΡΡ Ρ Ρ
ΡΠΎΠ½ΠΈΡΠ΅ΡΠΊΠΎΠΉ ΠΈΡΠ΅ΠΌΠΈΠ΅ΠΉ, ΡΠ³ΡΠΎΠΆΠ°ΡΡΠ΅ΠΉ ΠΏΠΎΡΠ΅ΡΠ΅ΠΉ ΠΊΠΎΠ½Π΅ΡΠ½ΠΎΡΡΠΈ, Π΄ΠΎΠ»ΠΆΠ½Ρ Π±ΡΡΡ ΡΠ°ΡΡΠΌΠΎΡΡΠ΅Π½Ρ ΠΊΠ°ΠΊ ΠΊΠ°Π½Π΄ΠΈΠ΄Π°ΡΡ Π΄Π»Ρ ΡΠ΅Π²Π°ΡΠΊΡΠ»ΡΡΠΈΠ·Π°ΡΠΈΠΈ.2. ΠΡΠΈ ΠΏΠΎΡΠ°ΠΆΠ΅Π½ΠΈΠΈ Π°ΡΡΠ΅ΡΠΈΠΉ Π³ΠΎΠ»Π΅Π½ΠΈ ΠΈΠ»ΠΈ ΠΊΠΎΡΠΎΡΠΊΠΈΡ
ΠΎΠΊΠΊΠ»ΡΠ΄ΠΈΡΡΡΡΠΈΡ
ΠΈΠ»ΠΈ ΡΡΠ΅Π½ΠΎΡΠΈΡΠ΅ΡΠΊΠΈΡ
ΠΏΠΎΡΠ°ΠΆΠ΅Π½ΠΈΡΡ
ΠΌΠ°Π³ΠΈΡΡΡΠ°Π»ΡΠ½ΡΡ
Π°ΡΡΠ΅ΡΠΈΠΉ ΡΠ°ΠΊΠΈΠ΅ ΠΏΠ°ΡΠΈΠ΅Π½ΡΡ Π΄ΠΎΠ»ΠΆΠ½Ρ Π±ΡΡΡ ΠΎΠ±ΡΡΠΆΠ΄Π΅Π½Ρ ΡΠΎΠ²ΠΌΠ΅ΡΡΠ½ΠΎ ΡΠΎ ΡΠΏΠ΅ΡΠΈΠ°Π»ΠΈΡΡΠ°ΠΌΠΈ ΠΏΠΎ ΡΠ΅Π½ΡΠ³Π΅Π½ΡΠ½Π΄ΠΎΠ²Π°ΡΠΊΡΠ»ΡΡΠ½ΠΎΠΉ Ρ
ΠΈΡΡΡΠ³ΠΈΠΈ Π½Π° ΠΏΡΠ΅Π΄ΠΌΠ΅Ρ ΡΠ½Π΄ΠΎΠ²Π°ΡΠΊΡΠ»ΡΡΠ½ΠΎΠ³ΠΎ Π»Π΅ΡΠ΅Π½ΠΈΡ ΠΈΠ»ΠΈ Π²ΡΠΏΠΎΠ»Π½Π΅Π½ΠΈΡ Π²ΠΌΠ΅ΡΠ°ΡΠ΅Π»ΡΡΡΠ²Π° ΡΠΎΠ²ΠΌΠ΅ΡΡΠ½ΠΎ.3. ΠΠΈΠ±ΡΠΈΠ΄Π½ΡΠΉ Π»ΡΡΠ΅Π²ΠΎΠΉ ΠΌΠ΅ΡΠΎΠ΄ (ΡΡΠ΅Ρ
ΡΠ°Π·Π½Π°Ρ ΡΡΠΈΠ½ΡΠΈΠ³ΡΠ°ΡΠΈΡ ΠΈ ΠΎΠ΄Π½ΠΎΡΠΎΡΠΎΠ½Π½Π°Ρ ΡΠΌΠΈΡΡΠΈΠΎΠ½Π½Π°Ρ ΠΊΠΎΠΌΠΏΡΡΡΠ΅ΡΠ½Π°Ρ ΡΠΎΠΌΠΎΠ³ΡΠ°ΡΠΈΡ, ΡΠΎΠ²ΠΌΠ΅ΡΠ΅Π½Π½Π°Ρ Ρ ΡΠ΅Π½ΡΠ³Π΅Π½ΠΎΠ²ΡΠΊΠΎΠΉ ΠΊΠΎΠΌΠΏΡΡΡΠ΅ΡΠ½ΠΎΠΉ Π°Π½Π³ΠΈΠΎΠ³ΡΠ°ΡΠΈΠ΅ΠΉ) ΡΠ²Π»ΡΠ΅ΡΡΡ ΠΎΠ±ΡΠ΅ΠΊΡΠΈΠ²Π½ΡΠΌ ΠΌΠ΅ΡΠΎΠ΄ΠΎΠΌ, ΠΎΡΠΎΠ±ΡΠ°ΠΆΠ°ΡΡΠΈΠΌ ΡΠΎΡΡΠΎΡΠ½ΠΈΠ΅ ΠΏΠ΅ΡΠΈΡΠ΅ΡΠΈΡΠ΅ΡΠΊΠΎΠ³ΠΎ ΠΊΡΠΎΠ²ΠΎΠΎΠ±ΡΠ°ΡΠ΅Π½ΠΈΡ ΠΈ ΠΌΠΈΠΊΡΠΎΡΠΈΡΠΊΡΠ»ΡΡΠΈΠΈ, ΠΈ ΠΏΠΎΠ·Π²ΠΎΠ»ΡΠ΅Ρ ΠΎΠ±ΡΠ΅ΠΊΡΠΈΠ²Π½ΠΎ ΠΎΡΠ΅Π½ΠΈΡΡ ΡΡΡΠ΅ΠΊΡΠΈΠ²Π½ΠΎΡΡΡ ΠΏΡΠΎΠ²Π΅Π΄Π΅Π½Π½ΠΎΠ³ΠΎ Π»Π΅ΡΠ΅Π½ΠΈΡ
ASSESSMENT OF CEREBRAL PERFUSION IN PATIENTS WITH HEMODYNAMIC ISCHEMIC STROKE UNDERGOING RECONSTRUCTIVE BRACHIOCEPHALIC ARTERY INTERVENTIONS
The paper deals with the assessment of cerebral perfusion in patients in the acute period of acute cerebrovascular accident before and after revascularization surgery. It gives a clinical example of using contrast-free perfusion magnetic resonance imaging (MRI) in a patient with hemodynamic ischemic stroke. The use of this technique made it possible to determine indications for early carotid endarterectomy for the contralateral internal carotid artery and to evaluate positive postoperative changes in cerebral perfusion and the patientβs neurological status. The authors analyzed the current literature on this problem with a particular emphasis on the possibilities of using dynamic susceptibility contrast-enhanced and arterial spin-labeling contrast-free perfusion MRI in this category of patients. Carotid endarterectomy in the acute period of acute cerebrovascular accident can improve cerebral hemodynamics and the patientβs neurological status and prevent recurrent cerebral circulatory disorders. Indications for this surgery should be determined by taking into consideration the results of perfusion MRI techniques (single-photon computed tomography contrastenhanced and contrast-free perfusion MRI)
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