Analysis of Adipokines and some Steroid Hormones in Myocardial Infarction

الموت الشامل بسبب أمراض القلب والأوعية الدموية هو السبب السائد للوفاة، ومرض القلب الإقفاري هو السبب البارز. هناك ميل لزيادة حساسية الأساليب في المختبر المعاصر لتشخيص الأمراض القلبية الوعائية، وتقييم المفتاح كمؤشرات حيوية للأمراض القلبية الوعائية. المهمة العاجلة هي البحث عن مؤشرات مختلفة كأداة للكشف المبكر عن احتشاء عضلة القلب ومراقبته. ضمت هذه المحاولة ١١٧ متطوعًا، تم تسجيلهم من كلا الجنسين في الفئة العمرية من ٣٢ إلى ٦٤ عامًا. تم تصنيف المتطوعين إلى مجموعتين: ٦٧ مريضًا من احتشاء عضلة القلب، واحتضنت المجموعات الأخرى ٥٠ فردًا سليمًا. تم جمع عينات الدم وتوجيهها للتحليل الكيميائي الحيوي لتقييم مستويات هرمون الاستراديول والتستوستيرون والبروجسترون والأديبونكتين واللبتين والدهون في كل مجموعة. بناءً على التقييم الإحصائي لمعلمات المؤشر الحيوي، يمكن الإعلان عن الاستنتاج التالي من هذه الدراسة، وهو انخفاض كبير في مستويات هرمون التستوستيرون والبروتين  الدهني عالي الكثافة (P <0.001) في احتشاء عضلة القلب، ضمن P <0.061 المرتفعة بشكل ملحوظ من مستويات البروجسترون في عضلة القلب مرضى الاحتشاء بالمقارنة مع الأفراد الأصحاء. أشارت الاختبارات الكيميائية الحيوية المتبقية إلى مستويات مرتفعة بشكل ملحوظ في المرضى الذين يعانون من احتشاء عضلة القلب مثل استراديول (P <0.001) ، أديبونكتين (P <0.001)، ليبتين (P <0.001) ، الكلي الكوليسترولالكوليسترول (P <0.001) ، الدهون الثلاثية P) <0.001) ومستويات البروتين الدهني منخفض الكثافة ) P <0.001). تُظهر الأديبوكينات (أديبونكتين ، لبتين) وبعض هرمونات الستيرويد (استراديول ، هرمون التستوستيرون) أدوارًا حاسمة في تحسين أمراض التمثيل الغذائي والقلب والأوعية الدموية ويمكن استخدامها كمؤشر حيوي للتعرض لاحتشاء عضلة القلب، والسلوك الطبي والشدة. يقدم هذا الإقرار التشخيص المبكر للمرض وتطوره.The most common cause of death is cardiovascular disease (CVD), with ischemic heart disease being the most notable type.  There is a propensity to raise the sensitivity of methods in contemporary laboratory for diagnosing of CVD, and assessing key as CVD bio-indicators. The urgent task is to seek for different indicators as a hopeful tool for early detection and monitoring of myocardial infarction in blood samples only. This study comprised 117 Volunteers, recorded with both genders in the age range of 32-64 years old. The volunteers were categorized into two groups: 67patients of myocardial infarction, other group embraced 50 healthy individuals. The samples of blood were collected and directed for biochemical analysis to evaluate estradiol, testosterone, progesterone, adiponectin, leptin, and lipid profile [total cholesterol, triglycerides, high density lipoprotein (HDL), and low-density lipoprotein (LDL)] levels in each group. The following conclusion can be drawn from this study based on statistical assessment of bio-indicator parameters, significantly reduced of testosterone and HDL (P <0.001) levels in myocardial infarction, within non-significantly elevated P <0.061 of progesterone levels in myocardial infarction patients as compared with healthy individuals. The remaining biochemical tests indicated significantly elevated levels in patients with myocardial infarction such as estradiol (P <0.001), adiponectin (P <0.001), leptin (P <0.001), total cholesterol (P <0.001), triglycerides (P <0.001) and LDL (P <0.001) levels. Adipokines (adiponectin, leptin) and some steroid hormones (estradiol, testosterone) show crucial roles in the improvement of metabolic and cardiovascular diseases and may be utilized as bio-pointer for myocardial infarction exposure, medical conduct and severity. This acknowledgment offers early diagnosis of disease and progression.

Association of potent inflammatory Cytokine and Oxidative DNA Damage Biomarkers in Stomach cancer patients

تحفز الإصابة بالبكتيريا الحلزونية سلسلة إشارات تؤدي إلى إنتاج السيتوكينات وتسبب الإجهاد التأكسدي، الذي يشارك في الاستجابة الالتهابية المزمنة التي تؤدي إلى الإصابة بسرطان المعدة. تنتج أنواع الأكسجين التفاعلية (ROS). 8-Hydroxydeoxyguanosine (8-OHdG) منتج متلف الحمض النووي المؤكسد المستمر. الغرض من الدراسة هو تقييم الارتباط بين مستويات السيتوكينات الالتهابية ووجود تلف الحمض النووي المؤكسد في مرضى المصابين بسرطان المعدة. بالإضافة إلى ذلك، تم إجراء تقييم للقيمة التشخيصية والإنذارية لتلف الحمض النووي المؤكسد والمؤشرات الحيوية السيتوكينية الالتهابية لسرطان المعدة. أجريت الدراسة على مرضى سرطان المعدة الذين تم تشخيصهم طبيا قبل اخذ العلاج. حيث تم اختيار 33 مريضا من المصابين بسرطان المعدة وتقسيمهم إلى المراحل الأولى والثانية والثالثة وفقا لعلم الأمراض السريرية، و32 فردا من الأشخاص الأصحاء المتطابقين مع العمر كمجموعة ضابطة. تم قياس مستوى كل من (8-OHdG)، السيتوكينات (IL-6، TNF-α،IFN-γ, CEA). أظهرت النتائج ارتفاعً بشكل ملحوظ (P<0.0001) في مستويات الدم كل من 8-OHdG وTNF-α وIFN-γ ارتفاعً بشكل غير ملحوظ (IL-6) (P=0.4747) في مرضى GC بالمقارنة بالمجموعة ضابطة، مع زيادة المستويات تدريجياً مع تقدم مراحل المرض. علاوة على ذلك، كان هناك ارتباط إيجابي ضئيل (P=0.3472) (r=0.12 بين مستويات 8-OHdG وIL-6، وارتباط إيجابي ملحوظ (P<0.0001) (r=0.7235) بين مستويات 8-OHdG, TNF-α, CEA,. في مرضى سرطان المعدة ومع ذلك، كان هناك ارتباط سلبي ضئيل (P= 0.6342) (r=-0.06559) بين مستويات 8-OHdG وIFN-γ. تظهر نتائج الدراسة الحالية وجود صلة قوية بين مستويات مصل 8-OHdG والسيتوكينات الالتهابية في مرضى GC. تشير الزيادة المعنوية في تلف الحمض النووي المؤكسد والمؤشرات الحيوية للسيتوكينات الالتهابي وCEA في الدم إلى أن الإجهاد التأكسدي والالتهاب المزمن متضمنان في تسرطن المعدة. تهدف هذه الملاحظات إلى أن 8-OHdG وTNF-α وIFN-γ هي مؤشرات حيوية قابلة للتطبيق لتشخيص ورم المعدة.The infection with H. Pylori stimulates a signaling cascade that causes the generation of Cytokines and provokes Oxidative stress that is involved in the chronic inflammatory response leads to Gastric cancers. Reactive oxygen species (ROS) produce 8-Hydroxydeoxyguanosine (8-OHdG), the persistent oxidative DNA damage product. The study objective was to assess if there was a link between inflammatory cytokine levels and the presence of Oxidative DNA damage in Gastric tumor patients. In addition, evaluation of the diagnostic and prognostic value of Oxidative DNA damage and inflammatory cytokine biomarkers for Stomach cancers is being conducted. The study was accomplished on medically diagnosed Stomach cancer patients before any form of treatment. A total of 33 patients with Gastric cancers were selected and divided into Stages I, II, and III according to clinical pathology, and 32 age-matched healthy subjects as a control group. The Serum 8-OHdG, IL-6, TNF-α, IFN-γ & CEA were evaluated. The results revealed a highly significant rise (P<0.0001) in blood levels of 8-OHdG, TNF-α, & IFN-γ, and a non-significant (P=0.4747) increasing in IL-6 in GC patients compared to Controls, with levels gradually increasing as disease stages progressed. Furthermore, in GC patients, there was an insignificant (P=0.3472) positive correlation (r=0.1292) among 8-OHdG, IL-6, and CEA levels, but a noteworthy (P<0.0001) positive correlation (r=0.7235) among 8-OHdG, TNF-α, and CEA levels. In GC patients, however, there was an insignificant (P=0.6342) negative correlation (r=-0.06559) among 8-OHdG, IFN-γ, and CEA levels. The results of the current study show a strong link between serum levels of the 8-OHdG as well as inflammatory cytokines in GC patients. The significant enhancement in oxidative DNA damage, as well as overexpression of inflammatory cytokine biomarkers and CEA in the blood suggests that Oxidative stress and chronic inflammation are included in GC carcinogenesis. These observations suggest that 8-OHdG, TNF-α, & IFN-γ are viable biomarkers for the Gastric tumor prediction

Clinical significance of salivary, serum, nitric oxide, and arginase in breast cancer

Background: Breast cancer is the most commonly diagnosed cancer among females. A source of sampling for clinical diagnosis is saliva which has been utilized and it is a promising approach as collecting saliva is relatively easy and non-invasive. Over the past two decades, utilizing saliva as a biomarker, specifically for early cancer diagnosis has attracted much research interest. Aim: To alter the sample collection from blood to saliva for some components such as nitric oxide (NO) and arginase, in order to detect an easy, earlier and noninvasive diagnostic test as biomarkers and prognostic tools in patients with breast cancer. Methods: A total of 73 female volunteers were participated in this study, 25 healthy volunteers compared with 48 patients with breast cancer in order to estimate and compare both salivary and blood level components such as NO and arginase. Results: The mean blood and salivary samples for both nitric oxide and arginase levels were significantly raised in patients with breast cancer when they compared with controls (p<0.001). Conclusions: In this study the changing of salivary levels of NO and arginase as compared with blood may be used as a non-invasive diagnostic tool alternative to serum testing component, which were significantly increased in patients with breast cancer in both blood and saliva and also, may be used as biomarkers and tumor progression tests in diagnosing of breast cancer

The role of Adipocytokines, Vitamin D, and C in Colorectal Cancer

يعد سرطان القولون و المستقيم ثالث أكثر الأورام الخبيثة انتشارًا في العالم ورابع أكثر أنواع السرطانات شيوعًا في العراق. اللبتين و الأديبونكتين هما نوعان من السيتوكينات الشحمية الرئيسية التي تنتجها الخلايا الدهنية التي لها تأثيرات معاكسة على تكوين أورام القولون والمستقيم. اللبتين يحفز نمو الورم وانتشاره، بينما الأديبونكتين يمنع نمو الورم. ١،٢٥- ديهيدروكسي فيتامين د يتحكم ويحد من تكاثر الخلايا السرطانية والتمايز والبقاء على قيد الحياة. من ناحية أخرى، تم اكتشاف نقص فيتامين سي بانتظام في الأنسجة السرطانية وله خصائص قوية مضادة للسرطان. الغرض من هذه الدراسة هو تقييم التأثير الكيميائي الحيوي لمستويات أديبوسيتوكينات (اللبتين والأديبونكتين) في الدورة الدموية، وكذلك التأثيرات المضادة للسرطان لفيتامينات د وسي في مرضى سرطان القولون و المستقيم العراقيين. يركز البحث على الحالات المؤكدة المصابة بسرطان القولون والمستقيم الذين شوهدوا في مستشفى ناناكالي لأمراض الدم والسرطان في أربيل قبل جلسات العلاج. تم تشخيص ٣٥ مريضا المؤكد إصابتهم بسرطان القولون و المستقيم و ٣٦ شخصا من الاصحاء كمجموعة ضابطة المتطابقين من العمر والجنس و مؤشر كتلة الجسم. تم استخدام تقنية إليزأ لقياس مستويات اللبتين، الأديبونكتين، فيتامين د وفيتامين سي في المصل. أظهرت النتائج زيادة معنوية (ف القيمة&lt;0,001) في مستوى الأديبونكتين (١،٥٩±١٢،٠٦) في دم المصابين بسرطان القولون و المستقيم بالنسبة إلى مستوياته في مجموعة ضابطة (٩٦، ٠± ٠٥، ٢). على العكس من ذلك، كان مستوى اللبتين في المصل أقل بشكل ملحوظ(ف القيمة&lt;0,098) في مرضى سرطان القولون والمستقيم (٢،٩٢±٢٤،٠٩)مقارنة بمجموعة الضوابط (٥٤ ،١±٨٤ ،٥٣). علاوة على ذلك، كانت مستويات فيتامين د في الدم (١٣،١٤ ± ١،٢١) و فيتامين سي (١،٠٣ ± ٠،١)  في مرضى سرطان القولون و المستقيم أقل بشكل ملحوظ (ف القيمة&lt;0,001) مقارنة بمجموعة الضوابط (٢٤،٤٩ ± ١،٤٧ &amp; ٥،٧٨ ± ٢،١٦)، على التوالي. وتشير نتائج الدراسة الحالية إلى دور كيميائي حيوي الحتمي لـأديبوسيتوكينات (اللبتين و الأديبونكتين) و خلل الأنسجة الدهنية في التسبب في مرضى سرطان القولون و المستقيم. إلى جانب ذلك، فإن انخفاض مستويات فيتامين د و سي في المصل يضعف آثارهما القوية المضادة للأورام ويسمح بالبقاء على قيد الحياة وتطور الأورام الخبيثة في القولون والمستقيم. وكما أن نتائج الدراسة الحالية تظهر أن (اللبتين والأديبونكتين) عوامل تنبؤية وخطورة قوية لمرض سرطان القولون والمستقيم. بالإضافة إلى أن نقص فيتامين د وفيتامين سي يعتبر من عوامل الخطر الرئيسية بين مرضى سرطان القولون والمستقيم العراقيين.Colorectal cancer is the world's 3rd most frequent malignant neoplasm and the 4th most common cancer in Iraq. Leptin and Adiponectin are two major Adipocytokines produced by adipose cells that have opposite effects on the formation of colorectal tumors. Leptin induces tumor growth and metastasis, whereas Adiponectin inhibits it. 1,25-Dihydroxyvitamin D controls and limits cancer cell proliferation, differentiation, and survival. Vitamin C deficiency, on the other hand, has been regularly detected in cancer tissues and has potent anti-cancer properties. The purpose of this study was to look at the biochemical role of circulatory Adipocytokine levels (Adiponectin and Leptin) as well as the anti-cancer potentials of Vitamin D and C in CRC patients from Iraq. The research looked at confirmed cases of CRC who were seen at Nanakali Hospital for Blood diseases and Cancer in Erbil before their treatment sessions. A total of 35 patients with confirmed CRC cases and 36 healthy participants who were age, gender, and BMI matched were recruited. ELISA technique was used to quantify serum levels of Adiponectin, Leptin, Vitamin D, &amp; C. The results showed a significant increase (P&lt;0.0001) of serum Adiponectin levels (12.06±1.59) in CRC patients relative to the controls (2.05±0.96). On the contrary, the serum Leptin levels (24.09±2.92) were non-significantly lower (P=0.098) in CRC patients in comparison to controls (53.84±1.54). Furthermore, serum Vitamin D (13.14±1.21) and Vitamin C (1.03±0.10) levels in CRC patients were significantly lower (P&lt;0.0001) when compared to controls (24.49±1.47, 5.78±2.16), respectively. The findings in the current study suggest an imperative biochemical role of Adipocytokines (Adiponectin and Leptin) and Adipose tissue dysfunction in the pathogenesis of CRC patients. Furthermore, decreased serum levels of Vitamin D and C reduce their effective anti-cancer effects, allowing Colorectal malignant neoplasms to survive and develop. Thus, the present study findings suggest Adiponectin and Leptin as potent prognostic and risk factors of CRCs. Also, Vitamin D and C deficiencies are the major risk factors among Iraqi CRC patients

Steroid Hormones, Immunoglobulins and Some Biochemical Parameters Changes in Patients with Breast Cancer

Background: Breast cancer is one of the diseases that a woman may have to face during her lifetime. Hormones play a role in breast cancer spread, determining the association between plasma hormones and breast cancer risk may provide insight into the etiology of breast cancer.   Objective: To evaluate the use of sex steroid hormone levels with some biochemical parameters as a serum tumor marker in patients with breast cancer.        Materials and Methods: Two groups of subjects were included, 50 patients with histologically confirmed diagnosis of Breast Cancer (group I) and 40 healthy female (group II) the age range was (35-70) years were collected from Rizgary hospital and Nanakaly hospital, in Erbil city, Iraq. During the period from May 2015 till November 2015. The measured biochemical parameters included: the level of estrogen, progesterone, prolactin, estradiol, testosterone hormones, some immunoglobulins (IgG, IgA and IgM), also ferritin, sodium and calcium ions levels have been measured in the study. Results: The results demonstrated significantly high values of steroid hormones (p<0.001, p<0.01, p<0.002, p<0.05, p<0.05 (estrogen, progesterone, prolactin, estradiol, testosterone) and significantly high values in immunoglobulins IgA, IgG, IgM in breast cancer in comparison with control group. There were also high values of sera ferritin, sodium, and calcium in women breast cancer in comparison with control group. Conclusion: An elevation of serum steroid hormone, immunoglobulins (IgA, IgG, IgM), Na, and Ca levels in cases of carcinoma breast in our study is signifies, and its importance as a marker of the disease. A serial measurement of these steroid hormones and with some biochemical parameters will have a prognostic significance and help treatment decisions

Clinical significance of salivary, serum, nitric oxide, and arginase in breast cancer

Background: Breast cancer is the most commonly diagnosed cancer among females. A source of sampling for clinical diagnosis is saliva which has been utilized and it is a promising approach as collecting saliva is relatively easy and non-invasive. Over the past two decades, utilizing saliva as a biomarker, specifically for early cancer diagnosis has attracted much research interest. Aim: To alter the sample collection from blood to saliva for some components such as nitric oxide (NO) and arginase, in order to detect an easy, earlier and noninvasive diagnostic test as biomarkers and prognostic tools in patients with breast cancer. Methods: A total of 73 female volunteers were participated in this study, 25 healthy volunteers compared with 48 patients with breast cancer in order to estimate and compare both salivary and blood level components such as NO and arginase. Results: The mean blood and salivary samples for both nitric oxide and arginase levels were significantly raised in patients with breast cancer when they compared with controls (p&lt;0.001). Conclusions: In this study the changing of salivary levels of NO and arginase as compared with blood may be used as a non-invasive diagnostic tool alternative to serum testing component, which were significantly increased in patients with breast cancer in both blood and saliva and also, may be used as biomarkers and tumor progression tests in diagnosing of breast cancer.</jats:p

Association of potent inflammatory Cytokine and Oxidative DNA Damage Biomarkers in Stomach cancer patients

The infection with H. Pylori stimulates a signaling cascade that causes the generation of Cytokines and provokes Oxidative stress that is involved in the chronic inflammatory response leads to Gastric cancers. Reactive oxygen species (ROS) produce 8-Hydroxydeoxyguanosine (8-OHdG), the persistent oxidative DNA damage product. The study objective was to assess if there was a link between inflammatory cytokine levels and the presence of Oxidative DNA damage in Gastric tumor patients. In addition, evaluation of the diagnostic and prognostic value of Oxidative DNA damage and inflammatory cytokine biomarkers for Stomach cancers is being conducted. The study was accomplished on medically diagnosed Stomach cancer patients before any form of treatment. A total of 33 patients with Gastric cancers were selected and divided into Stages I, II, and III according to clinical pathology, and 32 age-matched healthy subjects as a control group. The Serum 8-OHdG, IL-6, TNF-α, IFN-γ &amp; CEA were evaluated. The results revealed a highly significant rise (P&lt;0.0001) in blood levels of 8-OHdG, TNF-α, &amp; IFN-γ, and a non-significant (P=0.4747) increasing in IL-6 in GC patients compared to Controls, with levels gradually increasing as disease stages progressed. Furthermore, in GC patients, there was an insignificant (P=0.3472) positive correlation (r=0.1292) among 8-OHdG, IL-6, and CEA levels, but a noteworthy (P&lt;0.0001) positive correlation (r=0.7235) among 8-OHdG, TNF-α, and CEA levels. In GC patients, however, there was an insignificant (P=0.6342) negative correlation (r=-0.06559) among 8-OHdG, IFN-γ, and CEA levels. The results of the current study show a strong link between serum levels of the 8-OHdG as well as inflammatory cytokines in GC patients. The significant enhancement in oxidative DNA damage, as well as overexpression of inflammatory cytokine biomarkers and CEA in the blood suggests that Oxidative stress and chronic inflammation are included in GC carcinogenesis. These observations suggest that 8-OHdG, TNF-α, &amp; IFN-γ are viable biomarkers for the Gastric tumor prediction.</jats:p

Alteration of Serum Immunoglobulin Levels in Woman with Ovarian Cancer

Ovarian cancer has a high mortality and delayed diagnosis. Several immunological alterations take place during ovarian carcinogenesis, and can be of value in the surveillance of the diseases. This research was conducted to evaluate serum immunoglobulin levels in women with ovarian cancer and to assess their role in disease process. The present study is composed of 85 women (mean age = 62.03±12.4 yrs) with clinically and pathologically confirmed ovarian cancer and 65 healthy females as a control group (mean age = 61±12.1 yrs). ELISA test was achieved for the determination of serum [IgG, IgA, IgM]. The findings of current study illustrated significant (P=0.001) increase in serum IgG, IgA, and IgM levels as compared to controls. Analyzing serum immunoglobulins levels might assist in identify patients with a weak prediction, the elevation of serum immunoglobulins can be considered as an indication for disease status