Редкий вариант АНЦА-ассоциированного гранулематоза с полиангиитом, осложненного диффузной альвеолярной геморрагией

Diagnostic criteria of vasculitis associated with antineutrophil cytoplasmic antibodies (ANCA) are of limited usefulness as they involve resembling conditions and do not make possible distinguishing nosology of vasculitis. A challenging clinical case of an elderly female patient with ANCA-associated vasculitis, diffuse alveolar hemorrhage syndrome, cardiac injury and blood eosinophilia, but without bronchial asthma, is described in the article.Классификационные критерии васкулитов, ассоциированных с антинейтрофильными цитоплазматическими антителами (АНЦА), значительно ограничены, т. к. включают схожие клинические состояния, не позволяющие четко разграничить нозологический вариант васкулита. В статье представлен сложный случай диагностики АНЦА-ассоциированного васкулита у пожилой пациентки с диффузным альвеолярным геморрагическим синдромом, поражением сердца, эозинофилией крови, без бронхиальной астмы

Specific Thiazolidinediones Inhibit Ovarian Cancer Cell Line Proliferation and Cause Cell Cycle Arrest in a PPARγ Independent Manner

Peroxisome Proliferator Activated Receptor gamma (PPARγ) agonists, such as the thiazolinediones (TZDs), have been studied for their potential use as cancer therapeutic agents. We investigated the effect of four TZDs--Rosiglitazone (Rosi), Ciglitazone (CGZ), Troglitazone (TGZ), and Pioglitazone (Pio)--on ovarian cancer cell proliferation, PPARγ expression and PPAR luciferase reporter activity. We explored whether TZDs act in a PPARγ dependent or independent manner by utilizing molecular approaches to inhibit or overexpress PPARγ activity.Treatment with CGZ or TGZ for 24 hours decreased proliferation in three ovarian cancer cell lines, Ovcar3, CaOv3, and Skov3, whereas Rosi and Pio had no effect. This decrease in Ovcar3 cell proliferation was due to a higher fraction of cells in the G(0)/G(1) stage of the cell cycle. CGZ and TGZ treatment increased apoptosis after 4 hours of treatment but not after 8 or 12 hours. Treatment with TGZ or CGZ increased PPARγ mRNA expression in Ovcar3 cells; however, protein levels were unchanged. Surprisingly, luciferase promoter assays revealed that none of the TZDs increased PPARγ activity. Overexpression of wild type PPARγ increased reporter activity. This was further augmented by TGZ, Rosi, and Pio indicating that these cells have the endogenous capacity to mediate PPARγ transactivation. To determine whether PPARγ mediates the TZD-induced decrease in proliferation, cells were treated with CGZ or TGZ in the absence or presence of a dominant negative (DN) or wild type overexpression PPARγ construct. Neither vector changed the TZD-mediated cell proliferation suggesting this effect of TZDs on ovarian cancer cells may be PPARγ independent.CGZ and TGZ cause a decrease in ovarian cancer cell proliferation that is PPARγ independent. This concept is supported by the finding that a DN or overexpression of the wild type PPARγ did not affect the changes in cell proliferation and cell cycle

Chronic fibrosing progressing interstitial lung disease: a decision of Multidisciplinary Expert Board

The natural course of some interstitial lung diseases (ILD) is characterized by progressive fibrosing phenotype resembling idiopathic pulmonary fibrosis (IPF). Until recently, the antifibrotic drug nintedanib was approved for treatment of the only fibrosing ILD which was IPF. A new indication for this drug which has been registered in Russian Federation in 2021 includes other fibrosing ILDs with progressive phenotype (PF-ILDs) and ILD associated with systemic scleroderma (SS-ILD). The aim of this publication is to describe general considerations of the decision of Multidisciplinary Expert Board on diagnosis and treatment of PF-ILDs including SS-ILD. Results. According to the extension in nintedanib use mentioned above, the Expert Board created an algorithm for diagnosis and treatment of patients with PF-ILDs and criteria for nuntedanib administration in PF-ILDs. Conclusion. Antifibrotic therapy is needed for patients with PF-ILDs with the failure of the stanrard therapy. In those patients antifibrotic treatment should be initiated as early as possible to better preserve the lung functionПри формировании фибротических изменений в легких многие интерстициальные заболевания легких (ИЗЛ) могут приобретать прогрессирующее течение. По прогнозу выживаемости, риску летальности и обострений такой фенотип ИЗЛ при отсутствии антифибротической терапии очень близок к идиопатическому легочному фиброзу. В 2020 г. в Российской Федерации разрешено использование антифибротического препарата нинтеданиб при фиброзирующих ИЗЛ с прогрессирующим фиброзным фенотипом (ПФФ) и при ИЗЛ, связанных с системной склеродермией. Целью работы Междисциплинарного Совета экспертов явилось ознакомление с основными положениями резолюции Междисциплинарного Совета экспертов о диагностике и лечении ИЗЛ ПФФ. Результаты. В декабре 2020 г. состоялся Междисциплинарный Совет экспертов, по результатам работы которого разработаны алгоритм диагностики и ведения пациентов с ИЗЛ ПФФ и критерии отбора больных для назначения антифибротической терапии. Заключение. Установлено, что в случае когда при стандартной терапии ИЗЛ ПФФ клиническое состояние пациента и легочная функция и / или фибротические изменения в легких по данным компьютерной томографии высокого разрешения не стабилизируются, показана антифибротическая терапия нинтеданибом. Начиная антифибротическую терапию в возможно более ранние сроки заболевания, можно замедлить прогрессирующее снижение легочной функции при более сохранных исходных показателях

Lead Isotopic Characteristics and Metal Sources for the Jewelry in the Medieval Rural Settlements from the Suzdal Region (Kievan Rus’)

The article considers the results of the study of lead isotope composition of 38 non-ferrous artifacts discovered at medieval rural sites of the Suzdal Region (Kievan Rus’). The copper-alloy, silver and pewter artifacts were compared with reference data from geographically and temporally diverse medieval artifacts and ore deposits and revealed differing source regions and supply networks within and between metal types. The identification in some cases was difficult due to the conformity of the lead isotopic composition of deposits of some regions. The copper-alloys, represented mostly by crosses made of high-tin bronze, show close isotopic parallels to contemporary copper alloys from Southern Scandinavia, Westphalia and Lower Saxony. Since the copper alloys contain significant quantities of lead, this lead may have entered the metal by alloying with lead-tin alloys, by smelting mixed copper-lead ore, or through haphazard alloying with lead. The lead isotope ratios for nearly all copper alloys are consistent with deposits in Cornwall and Devon and remobilized ore from the Rhenish Massif. For silver and lead-tin alloy objects, lead isotope analyses point to wide ranging sources. Most silver objects are consistent with mid-to-late 10th century silver stocks circulating in the Baltic area and 10th century Volga-Bulgar silver dirham imitations probably representing mixtures of 9th-10th century Islamic silver. The silver shows a heavy reliance on 10th century mixed stocks and there are little indications of Central and Western European silver, which was common in the 11th century Baltic region. The pewter and lead, however, indicate other sources. Lead isotope ratios are consistent with sources connected to Mediterranean and Baltic networks, some being consistent with sources in England, but it is possible that the lead found in some pewter objects could come from the Olkusz lead district in southern Poland.

A Crystallographic Study of a Novel Tetrazolyl-Substituted Nitronyl Nitroxide Radical

Spin-labelled compounds are widely used in chemistry, physics, biology, and material sciences, but the directed synthesis of some functionalized organic radicals is still a challenge. We succeeded in the preparation of a tetrazolyl-substituted nitronyl nitroxide radical in pure crystalline form. According to the single-crystal X-ray data, intra- (NH…O, 2.43 Å) and inter-molecular hydrogen bonds (NH…O, 1.91 Å) are formed between NH groups of the tetrazole cycles and O atoms of the paramagnetic moieties. The intermolecular H-bonds connect the molecules forming chains along the a-axis. Moreover, there are short intermolecular contacts between the O atoms (3.096 Å) and between the O and C atoms (3.096 Å) of the nitronyl nitroxide moieties within the chain. The spin-unrestricted broken-symmetry calculations performed at the BS-UB3LYP/def2-TZVP level of theory predicted a sufficient ferromagnetic interaction (J ≈ 20 cm–1) between the adjacent radicals inside the chain, but a weak antiferromagnetic interaction (−J ≤0.2 cm−1) between the nearest radicals belonging to the different chains. Thus, a rare case when stable radicals, the tetrazolyl-substituted nitronyl nitroxides, are ordered into ferromagnetic chains was revealed; an investigation of the magneto-structural correlations inherent in the nitroxide radical will demand a special experiment in the sub-Kelvin regime

Tautomerism in cytosine and uracil: an experimental and theoretical core level spectroscopic study

The O, N, and C 1s core level photoemission spectra of the nucleobases cytosine and uracil have been measured in the vapor phase, and the results have been interpreted via theoretical calculations. Our calculations accurately predict the relative binding energies of the core level features observed in the experimental photoemission results and provide a full assignment. In agreement with previous work, a single tautomer of uracil is populated at 405 K, giving rise to relatively simple spectra. At 450 K, three tautomers of cytosine, one of which may consist of two rotamers, are identified, and their populations are determined. This resolves inconsistencies between recent laser studies of this molecule in which the rare imino-oxo tautomer was not observed and older microwave spectra in which it was reported

An experimental and theoretical core-level study of tautomerism in guanine

The core level photoemission and near edge X-ray photoabsorption spectra of guanine in the gas phase have been measured and the results interpreted with the aid of high level ab initio calculations. Tautomers are clearly identified spectroscopically, and their relative free energies and Boltzmann populations at the temperature of the experiment (600 K) have been calculated and compared with the experimental results and with previous calculations. We obtain good agreement between experiment and the Boltzmann weighted theoretical photoemission spectra, which allows a quantitative determination of the ratio of oxo to hydroxy tautomer populations. For the photoabsorption spectra, good agreement is found for the C 1s and O 1s spectra but only fair agreement for the N 1s edge

Modulation of Notch Signaling at Early Stages of Differentiation of Human Induced Pluripotent Stem Cells to Dopaminergic Neurons

Elaboration of protocols for differentiation of human pluripotent stem cells to dopamine neurons is an important issue for development of cell replacement therapy for Parkinson’s disease. A number of protocols have been already developed; however, their efficiency and specificity still can be improved. Investigating the role of signaling cascades, important for neurogenesis, can help to solve this problem and to provide a deeper understanding of their role in neuronal development. Notch signaling plays an essential role in development and maintenance of the central nervous system after birth. In our study, we analyzed the effect of Notch activation and inhibition at the early stages of differentiation of human induced pluripotent stem cells to dopaminergic neurons. We found that, during the first seven days of differentiation, the cells were not sensitive to the Notch inhibition. On the contrary, activation of Notch signaling during the same time period led to significant changes and was associated with an increase in expression of genes, specific for caudal parts of the brain, a decrease of expression of genes, specific for forebrain, as well as a decrease of expression of genes, important for the formation of axons and dendrites and microtubule stabilizing proteins

X-ray Spectroscopy of Heterocyclic Biochemicals: Xanthine, Hypoxanthine, and Caffeine

The electronic structures of the purine derivatives xanthine, hypoxanthine and caffeine have been investigated in the gas phase using C, N, and O 1s X-ray photoemission (XPS) and near edge X-ray absorption fine structure (NEXAFS) spectroscopy. The results have been interpreted by means of ab initio calculations using the third-order algebraic-diagrammatic construction (ADC(3)) method for the one-particle Green’s function and the second-order ADC method (ADC(2)) for the polarization propagator. The carbon, nitrogen and oxygen K-edge NEXAFS spectra of xanthine and caffeine are very similar, since the molecules differ only by substitution of three hydrogen atoms by methyl groups. For hypoxanthine, the electronic structure and spectra differ considerably from xanthine as the purine ring is more highly conjugated, and there is one less oxo group. Effects due to oxo-hydroxy tautomerism were not observed. However, the two oxo tautomeric forms of hypoxanthine oxo-N(9)-H and oxo-N(7)-H are populated in the gas phase, and the C 1s spectra can be simulated only by taking account of these two tautomers, with appropriate Boltzmann population ratios which we have also calculated. For xanthine and caffeine, single tautomeric forms were observed