28 research outputs found

    Bentho-pelagic relations in the deep-water part of the Okhotsk Sea by the data of stable isotopes Π‘ and N analysis

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    Composition, abundance, diet and trophic status are analyzed for dominant benthic and pelagic species in the deep-water Okhotsk Sea on the data collected in demersal and pelagic trawl surveys conducted by Pacific Fisheries Research Center (TINRO). Isotope composition of13Π‘ and15N is determined for tissues of 107 species of plankton, benthos, demersal fish, and cephalopods, which form a basis of pelagic and benthic communities. The carbon isotope content is significantly different between these groups: d13Π‘ ranges from -23.30 to -19.90 ‰ for zooplankton, from -18.90 to -13.33 ‰ for benthos, from -22.10 to -18.90 ‰ for fish (mean values), and from -20.08 to -15.75 ‰ for cephalopods. It depends mainly on proportion of pelagic and benthic food in their diet. Following to these values, 30 % of examined species of demersal fishes and cephalopods use resources of detritus food chain as the base of their diet. The range of d15N is from 6.79 ( Megayoldia thraciaeformis ), 6.88 ( Eucalanus bungii ) to 18.26 ‰ ( Molpadia roretzii ). Its highest level is observed for 4 species of benthic invertebrates and 8 species of demersal fishes on the continental slope characterized by high tropic level (β‰₯5) and included to the bentho-pelagic food chain, that corresponds with their d13Π‘ values. Trophic relations in the deep-water Okhotsk Sea demonstrates high dependence between benthic and pelagiс communities, as far as many dominant species of pelagic and demersal nekton consume both benthic and pelagic food. Feeding about of 70 % of dominant species of demersal fishes and cephalopods is based on grazing rather than on detritus food

    Новая мутация Π² Π³Π΅Π½Π΅ TYMP: ΠΊΠ»ΠΈΠ½ΠΈΠΊΠΎ-морфологичСская характСристика ΠΏΠ°Ρ†ΠΈΠ΅Π½Ρ‚Π° с синдромом MNGIE

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    Mitochondrial neurogastrointestinal encephalomyopathy is an extremely rare (1–9:1 000 000, Orphanet, 2021) multisystem genetic disease caused by mutations in the TYMP gene encoding the enzyme thymidine phosphorylase.The article presents the data of a thirteen‑year survey on 40‑year‑old patient D. with clinical manifestations of mitochondrial neurogastrointestinal encephalomyopathy syndrome associated with the previously undescribed missense mutation c.1301G>T (p.Gly434Val) of the TYMP gene. Detailed clinical picture (gastrointestinal dysfunction, cachexia, blepharoptosis, ophthalmoparesis, peripheral polyneuropathy and leukoaraiosis), electroneuromyography data (demyelination with secondary axonopathy), high blood serum level of dihydrothymine together with normal levels of thymidine and deoxyuridine made it possible to verify the diagnosis. Histopathological examination revealed atrophy of the longitudinal (outer) muscle layer of the small and large intestines and a significant decrease in the number of CD117+ cells (telocytes), signs of damage to the striated skeletal muscles of a mixed nature with a predominance of the myogenic pattern, as well the destruction of the myelin sheaths of peripheral nerves. Histochemical examination did not reveal β€œragged red fibers” characteristic of mitochondrial pathology. Transmission electron microscopy demonstrated the presence of megalomitochondria in the myocardium.Π‘ΠΈΠ½Π΄Ρ€ΠΎΠΌ ΠΌΠΈΡ‚ΠΎΡ…ΠΎΠ½Π΄Ρ€ΠΈΠ°Π»ΡŒΠ½ΠΎΠΉ Π½Π΅ΠΉΡ€ΠΎΠ³Π°ΡΡ‚Ρ€ΠΎΠΈΠ½Ρ‚Π΅ΡΡ‚ΠΈΠ½Π°Π»ΡŒΠ½ΠΎΠΉ энцСфаломиопатии – Ρ€Π΅Π΄ΠΊΠΎΠ΅ (1–9:1000000, Orphanet, 2021) гСнСтичСскоС ΠΌΡƒΠ»ΡŒΡ‚ΠΈΡΠΈΡΡ‚Π΅ΠΌΠ½ΠΎΠ΅ Π·Π°Π±ΠΎΠ»Π΅Π²Π°Π½ΠΈΠ΅, обусловлСнноС мутациями Π² ядСрном Π³Π΅Π½Π΅ TYMP, ΠΊΠΎΠ΄ΠΈΡ€ΡƒΡŽΡ‰Π΅ΠΌ Ρ„Π΅Ρ€ΠΌΠ΅Π½Ρ‚ тимидинфосфорилазу.ΠŸΡ€Π΅Π΄ΡΡ‚Π°Π²Π»Π΅Π½Ρ‹ Π΄Π°Π½Π½Ρ‹Π΅ 13‑лСтнСго наблюдСния ΠΏΠ°Ρ†ΠΈΠ΅Π½Ρ‚ΠΊΠΈ Π”., 40 Π»Π΅Ρ‚, с синдромом ΠΌΠΈΡ‚ΠΎΡ…ΠΎΠ½Π΄Ρ€ΠΈΠ°Π»ΡŒΠ½ΠΎΠΉ Π½Π΅ΠΉΡ€ΠΎΠ³Π°ΡΡ‚Ρ€ΠΎΠΈΠ½Ρ‚Π΅ΡΡ‚ΠΈΠ½Π°Π»ΡŒΠ½ΠΎΠΉ энцСфаломиопатии, связанным с Ρ€Π°Π½Π΅Π΅ Π½Π΅ описанной миссСнс‑замСной c.1301G>T (p.Gly434Val) Π² Π³Π΅Π½Π΅ TYMP. Π”ΠΈΠ°Π³Π½ΠΎΠ· синдрома ΠΌΠΈΡ‚ΠΎΡ…ΠΎΠ½Π΄Ρ€ΠΈΠ°Π»ΡŒΠ½ΠΎΠΉ Π½Π΅ΠΉΡ€ΠΎΠ³Π°ΡΡ‚Ρ€ΠΎΠΈΠ½Ρ‚Π΅ΡΡ‚ΠΈΠ½Π°Π»ΡŒΠ½ΠΎΠΉ энцСфаломиопатии Π±Ρ‹Π» поставлСн Π½Π° основании клиничСских проявлСний (дисфункция ΠΆΠ΅Π»ΡƒΠ΄ΠΎΡ‡Π½ΠΎβ€‘ΠΊΠΈΡˆΠ΅Ρ‡Π½ΠΎΠ³ΠΎ Ρ‚Ρ€Π°ΠΊΡ‚Π°, кахСксия, Π±Π»Π΅Ρ„Π°Ρ€ΠΎΠΏΡ‚ΠΎΠ·, ΠΎΡ„Ρ‚Π°Π»ΡŒΠΌΠΎΠΏΠ°Ρ€Π΅Π·, пСрифСричСская полинСйропатия ΠΈ лСйкоэнцСфалопатия), Ρ€Π΅Π·ΡƒΠ»ΡŒΡ‚Π°Ρ‚ΠΎΠ² элСктронСйромиографии (дСмиСлинизация с Π²Ρ‚ΠΎΡ€ΠΈΡ‡Π½ΠΎΠΉ аксонопатиСй), Π° Ρ‚Π°ΠΊΠΆΠ΅ ΠΏΠΎΠ²Ρ‹ΡˆΠ΅Π½ΠΈΡ уровня Π΄ΠΈΠ³ΠΈΠ΄Ρ€ΠΎΡ‚ΠΈΠΌΠΈΠ½Π° Π² сывороткС ΠΊΡ€ΠΎΠ²ΠΈ ΠΏΡ€ΠΈ Π½ΠΎΡ€ΠΌΠ°Π»ΡŒΠ½Ρ‹Ρ… уровнях Ρ‚ΠΈΠΌΠΈΠ΄ΠΈΠ½Π° ΠΈ дСзоксиуридина. ΠŸΠ°Ρ‚ΠΎΠ³ΠΈΡΡ‚ΠΎΠ»ΠΎΠ³ΠΈΡ‡Π΅ΡΠΊΠΎΠ΅ исслСдованиС выявило Π°Ρ‚Ρ€ΠΎΡ„ΠΈΡŽ ΠΏΡ€ΠΎΠ΄ΠΎΠ»ΡŒΠ½ΠΎΠ³ΠΎ (Π½Π°Ρ€ΡƒΠΆΠ½ΠΎΠ³ΠΎ) ΠΌΡ‹ΡˆΠ΅Ρ‡Π½ΠΎΠ³ΠΎ слоя Ρ‚ΠΎΠ½ΠΊΠΎΠΉ ΠΈ толстой кишок ΠΈ Π·Π½Π°Ρ‡ΠΈΠΌΠΎΠ΅ ΡƒΠΌΠ΅Π½ΡŒΡˆΠ΅Π½ΠΈΠ΅ количСства CD117+‑клСток (Ρ‚Π΅Π»ΠΎΡ†ΠΈΡ‚ΠΎΠ²), ΠΏΠΎΡ€Π°ΠΆΠ΅Π½ΠΈΠ΅ скСлСтных ΠΌΡ‹ΡˆΡ† смСшанного Ρ…Π°Ρ€Π°ΠΊΡ‚Π΅Ρ€Π° с ΠΏΡ€Π΅ΠΎΠ±Π»Π°Π΄Π°Π½ΠΈΠ΅ΠΌ ΠΌΠΈΠΎΠ³Π΅Π½Π½ΠΎΠ³ΠΎ ΠΏΠ°Ρ‚Ρ‚Π΅Ρ€Π½Π°, Π° Ρ‚Π°ΠΊΠΆΠ΅ Π΄Π΅ΡΡ‚Ρ€ΡƒΠΊΡ†ΠΈΡŽ ΠΌΠΈΠ΅Π»ΠΈΠ½ΠΎΠ²Ρ‹Ρ… ΠΎΠ±ΠΎΠ»ΠΎΡ‡Π΅ΠΊ пСрифСричСских Π½Π΅Ρ€Π²ΠΎΠ². ИсслСдованиС S100β€‘ΠΏΠΎΠ»ΠΎΠΆΠΈΡ‚Π΅Π»ΡŒΠ½Ρ‹Ρ… Π²Π΅Π³Π΅Ρ‚Π°Ρ‚ΠΈΠ²Π½Ρ‹Ρ… ΠΎΠ±Ρ€Π°Π·ΠΎΠ²Π°Π½ΠΈΠΉ ΠΊΠΈΡˆΠ΅Ρ‡Π½ΠΎΠΉ стСнки Π½Π΅ выявило патологичСских ΠΈΠ·ΠΌΠ΅Π½Π΅Π½ΠΈΠΉ. ΠŸΡ€ΠΈ гистохимичСском исслСдовании Π½Π΅ Π±Ρ‹Π»ΠΈ ΠΎΠ±Π½Π°Ρ€ΡƒΠΆΠ΅Π½Ρ‹ Β«Ρ€Π²Π°Π½Ρ‹Π΅ красныС Π²ΠΎΠ»ΠΎΠΊΠ½Π°Β», Ρ…Π°Ρ€Π°ΠΊΡ‚Π΅Ρ€Π½Ρ‹Π΅ для ΠΌΠΈΡ‚ΠΎΡ…ΠΎΠ½Π΄Ρ€ΠΈΠΎΠΏΠ°Ρ‚ΠΈΠΉ. Врансмиссионная элСктронная микроскопия продСмонстрировала Π½Π°Π»ΠΈΡ‡ΠΈΠ΅ ΠΏΠΎΠ»ΠΈΠΌΠΎΡ€Ρ„ΠΈΠ·ΠΌΠ° ΠΌΠΈΡ‚ΠΎΡ…ΠΎΠ½Π΄Ρ€ΠΈΠΉ ΠΊΠ°Ρ€Π΄ΠΈΠΎΠΌΠΈΠΎΡ†ΠΈΡ‚ΠΎΠ² ΠΈ ΠΌΠ΅Π³Π°Π»ΠΎΠΌΠΈΡ‚ΠΎΡ…ΠΎΠ½Π΄Ρ€ΠΈΠΉ Π»Π΅ΠΉΠΎΠΌΠΈΠΎΡ†ΠΈΡ‚ΠΎΠ² ΠΊΠΈΡˆΠ΅Ρ‡Π½ΠΈΠΊΠ°

    ΠŸΡ€ΠΈΡ‡ΠΈΠ½Ρ‹ Π»ΠΎΠΆΠ½ΠΎΠΉ диагностики ΠΏΠΎΠ»ΠΈΠΌΠΈΠΎΠ·ΠΈΡ‚Π° Ρƒ ΠΏΠ°Ρ†ΠΈΠ΅Π½Ρ‚ΠΎΠ² с дисфСрлинопатиСй: клиничСский случай

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    Differential diagnosis of inflammatory myopathies with hereditary muscular dystrophies accompanied by a secondary inflammatory process is a time‑consuming clinical and pathomorphological task. In particular, false diagnosis of polymyositis in patients with dysferlinopathy reaches 25 % of cases.A 40‑year‑old female patient with a limb‑girdle phenotype of dysferlinopathy, initially diagnosed as polymyositis, is presented. The reasons that led to the erroneous diagnosis were: sporadic case; subacute onset; proximal muscle weakness; myalgia, which stopped on the glucocorticosteroid therapy; high levels of creatine phosphokinase (up to 17 times); the presence of lymphocytic‑macrophage infiltrate in the muscle biopsy and the absence of magnetic resonance imaging data in primary examination of the patient.The refractoriness of clinical and laboratory signs to complex immunosuppressive therapy was the reason for revising the muscle biopsy with typing of the inflammatory infiltrate. The predominantly unexpressed perivascular infiltrate was characterized by the predominance of macrophages and, to a lesser extent, CD4+, which indicated the secondary nature of the inflammation in the muscle observed in some hereditary muscular dystrophies. When conducting an immunohistochemical reaction, the absence of the dysferlin protein in the sarcoplasmic membrane was revealed.Whole‑exome sequencing (NGS) revealed a mutation in exon 39 of the DYSF gene (p.Gln1428Ter) in the heterozygous state, which leads to the appearance of a stop codon and premature termination of protein translation. MLPA method registered 3 copies of exons 18, 19, 20, 22, 24 of the DYSF gene.Thus, this clinical example reflects the main methodological errors and possible effects of immunosuppressive therapy in patients with dysferlinopathy.Π”ΠΈΡ„Ρ„Π΅Ρ€Π΅Π½Ρ†ΠΈΠ°Π»ΡŒΠ½Π°Ρ диагностика Π²ΠΎΡΠΏΠ°Π»ΠΈΡ‚Π΅Π»ΡŒΠ½Ρ‹Ρ… ΠΌΠΈΠΎΠΏΠ°Ρ‚ΠΈΠΉ, ΡΠΎΠΏΡ€ΠΎΠ²ΠΎΠΆΠ΄Π°ΡŽΡ‰ΠΈΡ…ΡΡ Π²Ρ‚ΠΎΡ€ΠΈΡ‡Π½Ρ‹ΠΌ Π²ΠΎΡΠΏΠ°Π»ΠΈΡ‚Π΅Π»ΡŒΠ½Ρ‹ΠΌ процСссом, с наслСдствСнными ΠΌΡ‹ΡˆΠ΅Ρ‡Π½Ρ‹ΠΌΠΈ дистрофиями являСтся слоТной ΠΈ Ρ‚Ρ€ΡƒΠ΄ΠΎΠ΅ΠΌΠΊΠΎΠΉ клинико‑патоморфологичСской Π·Π°Π΄Π°Ρ‡Π΅ΠΉ. Π’ частности, лоТная диагностика ΠΏΠΎΠ»ΠΈΠΌΠΈΠΎΠ·ΠΈΡ‚Π° Ρƒ ΠΏΠ°Ρ†ΠΈΠ΅Π½Ρ‚ΠΎΠ² с дисфСрлинопатиСй достигаСт 25 % случаСв.ΠŸΡ€Π΅Π΄ΡΡ‚Π°Π²Π»Π΅Π½Π° ΠΏΠ°Ρ†ΠΈΠ΅Π½Ρ‚ΠΊΠ° 40 Π»Π΅Ρ‚ с поясно‑конСчностным Ρ„Π΅Π½ΠΎΡ‚ΠΈΠΏΠΎΠΌ дисфСрлинопатии, ΠΏΠ΅Ρ€Π²ΠΈΡ‡Π½ΠΎ диагностированной ΠΊΠ°ΠΊ ΠΏΠΎΠ»ΠΈΠΌΠΈΠΎΠ·ΠΈΡ‚. ΠŸΡ€ΠΈΡ‡ΠΈΠ½Ρ‹, повлСкшиС ΠΎΡˆΠΈΠ±ΠΎΡ‡Π½ΡƒΡŽ диагностику: спорадичСскоС происхоТдСниС; подострый Π΄Π΅Π±ΡŽΡ‚; ΠΏΡ€ΠΎΠΊΡΠΈΠΌΠ°Π»ΡŒΠ½Π°Ρ ΠΌΡ‹ΡˆΠ΅Ρ‡Π½Π°Ρ ΡΠ»Π°Π±ΠΎΡΡ‚ΡŒ; миалгия, ΠΊΡƒΠΏΠΈΡ€ΠΎΠ²Π°Π²ΡˆΠ°ΡΡΡ Π½Π° Ρ„ΠΎΠ½Π΅ Π³Π»ΡŽΠΊΠΎΠΊΠΎΡ€Ρ‚ΠΈΠΊΠΎΡΡ‚Π΅Ρ€ΠΎΠΈΠ΄Π½ΠΎΠΉ Ρ‚Π΅Ρ€Π°ΠΏΠΈΠΈ; ΠΏΠΎΠ²Ρ‹ΡˆΠ΅Π½ΠΈΠ΅ уровня крСатинфосфокиназы (Π΄ΠΎ 17 Ρ€Π°Π·); Π½Π°Π»ΠΈΡ‡ΠΈΠ΅ Π»ΠΈΠΌΡ„ΠΎΡ†ΠΈΡ‚Π°Ρ€Π½ΠΎβ€‘ΠΌΠ°ΠΊΡ€ΠΎΡ„Π°Π³Π°Π»ΡŒΠ½ΠΎΠ³ΠΎ ΠΈΠ½Ρ„ΠΈΠ»ΡŒΡ‚Ρ€Π°Ρ‚Π° Π² ΠΌΡ‹ΡˆΠ΅Ρ‡Π½ΠΎΠΌ Π±ΠΈΠΎΠΏΡ‚Π°Ρ‚Π΅ ΠΈ отсутствиС Π΄Π°Π½Π½Ρ‹Ρ… магнитно‑рСзонансной Ρ‚ΠΎΠΌΠΎΠ³Ρ€Π°Ρ„ΠΈΠΈ ΠΏΡ€ΠΈ ΠΏΠ΅Ρ€Π²ΠΈΡ‡Π½ΠΎΠΌ обслСдовании.Π Π΅Ρ„Ρ€Π°ΠΊΡ‚Π΅Ρ€Π½ΠΎΡΡ‚ΡŒ клинико‑лабораторных ΠΏΡ€ΠΈΠ·Π½Π°ΠΊΠΎΠ² ΠΊ комплСксной иммуносупрСссивной Ρ‚Π΅Ρ€Π°ΠΏΠΈΠΈ послуТила ΠΏΡ€ΠΈΡ‡ΠΈΠ½ΠΎΠΉ пСрСсмотра Ρ€Π΅Π·ΡƒΠ»ΡŒΡ‚Π°Ρ‚ΠΎΠ² биопсии ΠΌΡ‹ΡˆΡ†Ρ‹ с Ρ‚ΠΈΠΏΠΈΡ€ΠΎΠ²Π°Π½ΠΈΠ΅ΠΌ Π²ΠΎΡΠΏΠ°Π»ΠΈΡ‚Π΅Π»ΡŒΠ½ΠΎΠ³ΠΎ ΠΈΠ½Ρ„ΠΈΠ»ΡŒΡ‚Ρ€Π°Ρ‚Π°. НСвыраТСнный, прСимущСствСнно пСриваскулярный ΠΈΠ½Ρ„ΠΈΠ»ΡŒΡ‚Ρ€Π°Ρ‚ характСризовался ΠΏΡ€Π΅ΠΎΠ±Π»Π°Π΄Π°Π½ΠΈΠ΅ΠΌ ΠΌΠ°ΠΊΡ€ΠΎΡ„Π°Π³ΠΎΠ² ΠΈ, Π² мСньшСй стСпСни, CD4+, Ρ‡Ρ‚ΠΎ ΡƒΠΊΠ°Π·Ρ‹Π²Π°Π»ΠΎ Π½Π° Π²Ρ‚ΠΎΡ€ΠΈΡ‡Π½Ρ‹ΠΉ Ρ…Π°Ρ€Π°ΠΊΡ‚Π΅Ρ€ воспалСния Π² ΠΌΡ‹ΡˆΠ΅Ρ‡Π½ΠΎΠΉ Ρ‚ΠΊΠ°Π½ΠΈ, наблюдаСмого ΠΏΡ€ΠΈ Π½Π΅ΠΊΠΎΡ‚ΠΎΡ€Ρ‹Ρ… наслСдствСнных ΠΌΡ‹ΡˆΠ΅Ρ‡Π½Ρ‹Ρ… дистрофиях. ΠŸΡ€ΠΈ ΠΏΡ€ΠΎΠ²Π΅Π΄Π΅Π½ΠΈΠΈ иммуногистохимичСской Ρ€Π΅Π°ΠΊΡ†ΠΈΠΈ выявлСно отсутствиС Π±Π΅Π»ΠΊΠ° дисфСрлина Π² саркоплазматичСской ΠΌΠ΅ΠΌΠ±Ρ€Π°Π½Π΅.Π’ Ρ…ΠΎΠ΄Π΅ полноэкзомного сСквСнирования (NGS) выявлСна мутация Π² 39‑м экзонС Π³Π΅Π½Π° DYSF (p.Gln1428Ter) Π² Π³Π΅Ρ‚Π΅Ρ€ΠΎΠ·ΠΈΠ³ΠΎΡ‚Π½ΠΎΠΌ состоянии, приводящая ΠΊ появлСнию стоп‑кодона ΠΈ ΠΏΡ€Π΅ΠΆΠ΄Π΅Π²Ρ€Π΅ΠΌΠ΅Π½Π½ΠΎΠΉ Ρ‚Π΅Ρ€ΠΌΠΈΠ½Π°Ρ†ΠΈΠΈ трансляции Π±Π΅Π»ΠΊΠ°. ΠœΠ΅Ρ‚ΠΎΠ΄ΠΎΠΌ MLPA зарСгистрировано ΠΏΠΎ 3 ΠΊΠΎΠΏΠΈΠΈ 18, 19, 20, 22, 24‑го экзонов Π³Π΅Π½Π° DYSF. ΠšΠ»ΠΈΠ½ΠΈΡ‡Π΅ΡΠΊΠΈΠΉ случай ΠΎΡ‚Ρ€Π°ΠΆΠ°Π΅Ρ‚ основныС ошибки ΠΎΡ†Π΅Π½ΠΊΠΈ Ρ€Π΅Π·ΡƒΠ»ΡŒΡ‚Π°Ρ‚ΠΎΠ² обслСдования ΠΈ эффСктивности иммуносупрСссивной Ρ‚Π΅Ρ€Π°ΠΏΠΈΠΈ Ρƒ ΠΏΠ°Ρ†ΠΈΠ΅Π½Ρ‚ΠΎΠ² с дисфСрлинопатиСй

    Piezo modulated active grating for selecting X ray pulses separated by one nanosecond

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    We present a novel method of temporal modulation of X-ray radiation for time resolved experiments. To control the intensity of the X-ray beam, the Bragg reflection of a piezoelectric crystal is modified using comb-shaped electrodes deposited on the crystal surface. Voltage applied to the electrodes induces a periodic deformation of the crystal that acts as a diffraction grating, splitting the original Bragg reflection into several satellites. A pulse of X-rays can be created by rapidly switching the voltage on and off. In our prototype device the duty cycle was limited to similar to 1 ns by the driving electronics. The prototype can be used to generate X-ray pulses from a continuous source. It can also be electrically correlated to a synchrotron light source and be activated to transmit only selected synchrotron pulses. Since the device operates in a non-resonant mode, different activation patterns and pulse durations can be achieved. Published by The Optical Society under the terms of the Creative Commons Attribution 4.0 License

    he amyloid hypothesis of Alzheimer's disease: past and present, hopes and disappointments

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    In 1887, S.A. Belyakov, a physician of the Imperial Medical and Surgical Academy, first described amyloid deposits in the brain of patients with dementia. Later, in 1906, A. Alzheimer revealed amyloid plaques and tau tangles in a patient with clinical signs of dementia. Over the following 100 years, the development of the concept of the amyloid origin of Alzheimer's disease (AD) confirmed numerous relationships between the brain accumulation of APs and cognitive decline. And if at the beginning of the amyloid era many researchers considered that the disease was caused by amyloid beta (AΞ²) protein overproduction, in recent years they have increasingly pointed to a defect in the mechanisms of AΞ² clearance, especially after the discovery of the lymphatic system of the brain. The role of disturbed homeostasis of redox-active metals, primarily iron and copper, in the development of the disease is also considered.The amyloid hypothesis of AD has served as the basis for several areas in the design of drugs, such as secretase inhibitors, immunomodulatory drugs for active and passive immunization. However, only one drug (Akatinol memantine, an inhibitor of NMDA receptors and glutamatergic excitotoxicity) for the treatment of AD has been introduced into clinical practice over the past 20 years. Of interest are the data obtained in new studies of Akatinol memantine, which suggest that the latter is able to some extent affect the main pathophysiological processes underlying the development of cognitive impairment in Alzheimer-type pathology

    The homocharge in polymer films

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