175 results on '"Alexander Karaulov"'
Search Results
2. The cytoskeletal protein profilin is an important allergen in saltwort (Salsola kali)
- Author
-
Ludmila Peterkova, Daria Trifonova, Pia Gattinger, Margarete Focke-Tejkl, Victoria Garib, Nigora Magbulova, Gulnara Djambekova, Nodira Zakhidova, Mokhigul Ismatova, Bulent Enis Sekerel, Sevda Tuten Dal, Mikhail Tulaev, Michael Kundi, Walter Keller, Alexander Karaulov, and Rudolf Valenta
- Subjects
allergy ,allergen molecules ,profilin ,pollen allergy ,Salsola kali ,diagnosis ,Immunologic diseases. Allergy ,RC581-607 - Abstract
Pollen from Salsola kali, i.e., saltwort, Russian thistle, is a major allergen source in the coastal regions of southern Europe, in Turkey, Central Asia, and Iran. S. kali-allergic patients mainly suffer from hay-fever (i.e., rhinitis and conjunctivitis), asthma, and allergic skin symptoms. The aim of this study was to investigate the importance of individual S. kali allergen molecules. Sal k 1, Sal k 2, Sal k 3, Sal k 4, Sal k 5, and Sal k 6 were expressed in Escherichia coli as recombinant proteins containing a C-terminal hexahistidine tag and purified by nickel affinity chromatography. The purity of the recombinant allergens was analyzed by SDS-PAGE. Their molecular weight was determined by matrix-assisted laser desorption/ionization time-of-flight mass spectrometry, and their fold and secondary structure were studied by circular dichroism (CD) spectroscopy. Sera from clinically well-characterized S. kali-allergic patients were used for IgE reactivity and basophil activation experiments. S. kali allergen-specific IgE levels and IgE levels specific for the highly IgE cross-reactive profilin and the calcium-binding allergen from timothy grass pollen, Phl p 12 and Phl p 7, respectively, were measured by ImmunoCAP. The allergenic activity of natural S. kali pollen allergens was studied in basophil activation experiments. Recombinant S. kali allergens were folded when studied by CD analysis. The sum of recombinant allergen-specific IgE levels and allergen-extract-specific IgE levels was highly correlated. Sal k 1 and profilin, reactive with IgE from 64% and 49% of patients, respectively, were the most important allergens, whereas the other S. kali allergens were less frequently recognized. Specific IgE levels were highest for profilin. Of note, 37% of patients who were negative for Sal k 1 showed IgE reactivity to Phl p 12, emphasizing the importance of the ubiquitous cytoskeletal actin-binding protein, profilin, for the diagnosis of IgE sensitization in S. kali-allergic patients. rPhl p 12 and rSal k 4 showed equivalent IgE reactivity, and the clinical importance of profilin was underlined by the fact that profilin-monosensitized patients suffered from symptoms of respiratory allergy to saltwort. Accordingly, profilin should be included in the panel of allergen molecules for diagnosis and in molecular allergy vaccines for the treatment and prevention of S. kali allergy.
- Published
- 2024
- Full Text
- View/download PDF
3. The PreS-Based Recombinant Vaccine VVX001 Induces Hepatitis B Virus Neutralizing Antibodies in a Low-Responder to HBsAg-Based HBV Vaccines
- Author
-
Inna Tulaeva, Felix Lehmann, Nora Goldmann, Alexandra Dubovets, Daria Trifonova, Mikhail Tulaev, Carolin Cornelius, Milena Weber, Margarete Focke-Tejkl, Alexander Karaulov, Rainer Henning, David Niklas Springer, Ursula Wiedermann, Dieter Glebe, and Rudolf Valenta
- Subjects
HBV vaccines ,preS surface protein ,HBsAg ,non-responsiveness ,Medicine - Abstract
Background: Approximately 10–20% of subjects vaccinated with HBsAg-based hepatitis B virus (HBV) vaccines are non-responders. BM32 is a recombinant grass pollen allergy vaccine containing the HBV-derived preS surface antigen as an immunological carrier protein. PreS includes the binding site of HBV to its receptor on hepatocytes. We investigated whether immunological non-responsiveness to HBV after repeated HBsAg-based vaccinations could be overcome by immunization with VVX001 (i.e., alum-adsorbed BM325, a component of BM32). Methods: A subject failing to develop protective HBV-specific immunity after HBsAg-based vaccination received five monthly injections of 20 µg VVX001. PreS-specific antibody responses were measured by enzyme-linked immunosorbent assay (ELISA) and micro-array technology. Serum reactivity to subviral particles of different HBV genotypes was determined by sandwich ELISA. PreS-specific T cell responses were monitored by carboxyfluorescein diacetate succinimidyl ester (CFSE) staining and subsequent flow cytometry. HBV neutralization was assessed using cultured HBV-infected HepG2 cells. Results: Vaccination with VVX001 induced a strong and sustained preS-specific antibody response composed mainly of the IgG1 subclass. PreS-specific IgG antibodies were primarily directed to the N-terminal part of preS containing the sodium taurocholate co-transporting polypeptide (NTCP) attachment site. IgG reactivity to subviral particles as well as to the N-terminal preS-derived peptides was comparable for HBV genotypes A–H. A pronounced reactivity of CD3+CD4+ lymphocytes specific for preS after the complete injection course remaining up to one year after the last injection was found. Maximal HBV neutralization (98.4%) in vitro was achieved 1 month after the last injection, which correlated with the maximal IgG reactivity to the N-terminal part of preS. Conclusions: Our data suggest that VVX001 may be used as a preventive vaccination against HBV even in non-responders to HBsAg-based HBV vaccines.
- Published
- 2024
- Full Text
- View/download PDF
4. Allergen Microarrays and New Physical Approaches to More Sensitive and Specific Detection of Allergen-Specific Antibodies
- Author
-
Pavel Sokolov, Irina Evsegneeva, Alexander Karaulov, Alyona Sukhanova, and Igor Nabiev
- Subjects
allergen microarrays ,sensitivity ,specificity ,antibody detection ,quantum dots ,Biotechnology ,TP248.13-248.65 - Abstract
The prevalence of allergic diseases has increased tremendously in recent decades, which can be attributed to growing exposure to environmental triggers, changes in dietary habits, comorbidity, and the increased use of medications. In this context, the multiplexed diagnosis of sensitization to various allergens and the monitoring of the effectiveness of treatments for allergic diseases become particularly urgent issues. The detection of allergen-specific antibodies, in particular, sIgE and sIgG, is a modern alternative to skin tests due to the safety and efficiency of this method. The use of allergen microarrays to detect tens to hundreds of allergen-specific antibodies in less than 0.1 mL of blood serum enables the transition to a deeply personalized approach in the diagnosis of these diseases while reducing the invasiveness and increasing the informativeness of analysis. This review discusses the technological approaches underlying the development of allergen microarrays and other protein microarrays, including the methods of selection of the microarray substrates and matrices for protein molecule immobilization, the obtainment of allergens, and the use of different types of optical labels for increasing the sensitivity and specificity of the detection of allergen-specific antibodies.
- Published
- 2024
- Full Text
- View/download PDF
5. Cytotoxic Effects of Doxorubicin on Cancer Cells and Macrophages Depend Differently on the Microcarrier Structure
- Author
-
Daria Kalenichenko, Irina Kriukova, Alexander Karaulov, Igor Nabiev, and Alyona Sukhanova
- Subjects
microparticles ,microcapsules ,doxorubicin ,cancer cells ,macrophages ,Pharmacy and materia medica ,RS1-441 - Abstract
Microparticles are versatile carriers for controlled drug delivery in personalized, targeted therapy of various diseases, including cancer. The tumor microenvironment contains different infiltrating cells, including immune cells, which can affect the efficacy of antitumor drugs. Here, prototype microparticle-based systems for the delivery of the antitumor drug doxorubicin (DOX) were developed, and their cytotoxic effects on human epidermoid carcinoma cells and macrophages derived from human leukemia monocytic cells were compared in vitro. DOX-containing calcium carbonate microparticles with or without a protective polyelectrolyte shell and polyelectrolyte microcapsules of about 2.4–2.5 μm in size were obtained through coprecipitation and spontaneous loading. All the microstructures exhibited a prolonged release of DOX. An estimation of the cytotoxicity of the DOX-containing microstructures showed that the encapsulation of DOX decreased its toxicity to macrophages and delayed the cytotoxic effect against tumor cells. The DOX-containing calcium carbonate microparticles with a protective polyelectrolyte shell were more toxic to the cancer cells than DOX-containing polyelectrolyte microcapsules, whereas, for the macrophages, the microcapsules were most toxic. It is concluded that DOX-containing core/shell microparticles with an eight-layer polyelectrolyte shell are optimal drug microcarriers due to their low toxicity to immune cells, even upon prolonged incubation, and strong delayed cytotoxicity against tumor cells.
- Published
- 2024
- Full Text
- View/download PDF
6. Functionalized Calcium Carbonate-Based Microparticles as a Versatile Tool for Targeted Drug Delivery and Cancer Treatment
- Author
-
Lara Biny, Evgeniia Gerasimovich, Alexander Karaulov, Alyona Sukhanova, and Igor Nabiev
- Subjects
calcium carbonate ,microparticles ,microcapsules ,core/shell structures ,targeted delivery ,anticancer treatment ,Pharmacy and materia medica ,RS1-441 - Abstract
Nano- and microparticles are increasingly widely used in biomedical research and applications, particularly as specific labels and targeted delivery vehicles. Silica has long been considered the best material for such vehicles, but it has some disadvantages limiting its potential, such as the proneness of silica-based carriers to spontaneous drug release. Calcium carbonate (CaCO3) is an emerging alternative, being an easily available, cost-effective, and biocompatible material with high porosity and surface reactivity, which makes it an attractive choice for targeted drug delivery. CaCO3 particles are used in this field in the form of either bare CaCO3 microbeads or core/shell microparticles representing polymer-coated CaCO3 cores. In addition, they serve as removable templates for obtaining hollow polymer microcapsules. Each of these types of particles has its specific advantages in terms of biomedical applications. CaCO3 microbeads are primarily used due to their capacity for carrying pharmaceutics, whereas core/shell systems ensure better protection of the drug-loaded core from the environment. Hollow polymer capsules are particularly attractive because they can encapsulate large amounts of pharmaceutical agents and can be so designed as to release their contents in the target site in response to specific stimuli. This review focuses first on the chemistry of the CaCO3 cores, core/shell microbeads, and polymer microcapsules. Then, systems using these structures for the delivery of therapeutic agents, including drugs, proteins, and DNA, are outlined. The results of the systematic analysis of available data are presented. They show that the encapsulation of various therapeutic agents in CaCO3-based microbeads or polymer microcapsules is a promising technique of drug delivery, especially in cancer therapy, enhancing drug bioavailability and specific targeting of cancer cells while reducing side effects. To date, research in CaCO3-based microparticles and polymer microcapsules assembled on CaCO3 templates has mainly dealt with their properties in vitro, whereas their in vivo behavior still remains poorly studied. However, the enormous potential of these highly biocompatible carriers for in vivo applications is undoubted. This last issue is addressed in depth in the Conclusions and Outlook sections of the review.
- Published
- 2024
- Full Text
- View/download PDF
7. Albumins represent highly cross-reactive animal allergens
- Author
-
Zicheng Liu, Daria Trifonova, Inna Tulaeva, Ksenja Riabova, Antonina Karsonova, Evgeny Kozlov, Olga Elisyutina, Musa Khaitov, Margarete Focke-Tejkl, Ting-Huan Chen, Alexander Karaulov, and Rudolf Valenta
- Subjects
allergy ,allergen ,epitope ,albumin ,cross-reactivity ,tolerance ,Immunologic diseases. Allergy ,RC581-607 - Abstract
Albumins from animals are highly cross-reactive allergens for patients suffering from immunoglobulin E (IgE)-mediated allergy. Approximately 20-30% of cat and dog allergic patients show IgE reactivity and mount IgE-mediated allergic reactions to cat and dog albumin. It is astonishing that allergic patients can develop specific IgE responses against animal albumins because these proteins exhibit a more than 70% sequence identity to human serum albumin (HSA) which is the most abundant protein in the blood of the human body. The sequence identity of cat albumin (Fel d 2) and dog albumin (Can f 3) and HSA are 82% and 80%, respectively. Given the high degree of sequence identity between the latter two allergens and HSA one would expect that immunological tolerance would prohibit IgE sensitization to Fel d 2 and Can f 3. Here we discuss two possibilities for how IgE sensitization to Fel d 2 and Can f 3 may develop. One possibility is the failed development of immune tolerance in albumin-allergic patients whereas the other possibility is highly selective immune tolerance to HSA but not to Fel d 2 and Can f 3. If the first assumption is correct it should be possible to detect HSA-specific T cell responses and HSA-containing immune complexes in sensitized patients. In the latter scenario few differences in the sequences of Fel d 2 and Can f 3 as compared to HSA would be responsible for the development of selective T cell and B cell responses towards Fel d 2 as well as Can f 3. However, the immunological mechanisms of albumin sensitization have not yet been investigated in detail although this will be important for the development of allergen-specific prevention and allergen-specific immunotherapy (AIT) strategies for allergy to albumin.
- Published
- 2023
- Full Text
- View/download PDF
8. Photonic Crystal Surface Mode Real-Time Imaging of RAD51 DNA Repair Protein Interaction with the ssDNA Substrate
- Author
-
Galina Nifontova, Cathy Charlier, Nizar Ayadi, Fabrice Fleury, Alexander Karaulov, Alyona Sukhanova, and Igor Nabiev
- Subjects
one-dimensional photonic crystal ,surface mode imaging ,microfluidic array ,label-free detection ,DNA repair protein ,RAD51 ,Biotechnology ,TP248.13-248.65 - Abstract
Photonic crystals (PCs) are promising tools for label-free sensing in drug discovery screening, diagnostics, and analysis of ligand–receptor interactions. Imaging of PC surface modes has emerged as a novel approach to the detection of multiple binding events at the sensor surface. PC surface modification and decoration with recognition units yield an interface providing the highly sensitive detection of cancer biomarkers, antibodies, and oligonucleotides. The RAD51 protein plays a central role in DNA repair via the homologous recombination pathway. This recombinase is essential for the genome stability and its overexpression is often correlated with aggressive cancer. RAD51 is therefore a potential target in the therapeutic strategy for cancer. Here, we report the designing of a PC-based array sensor for real-time monitoring of oligonucleotide–RAD51 recruitment by means of surface mode imaging and validation of the concept of this approach. Our data demonstrate that the designed biosensor ensures the highly sensitive multiplexed analysis of association–dissociation events and detection of the biomarker of DNA damage using a microfluidic PC array. The obtained results highlight the potential of the developed technique for testing the functionality of candidate drugs, discovering new molecular targets and drug entities. This paves the way to further adaption and bioanalytical use of the biosensor for high-content screening to identify new DNA repair inhibitor drugs targeting the RAD51 nucleoprotein filament or to discover new molecular targets.
- Published
- 2024
- Full Text
- View/download PDF
9. Cumulative IgE-levels specific for respiratory allergens as biomarker to predict efficacy of anti-IgE-based treatment of severe asthma
- Author
-
Veronika Naumova, Evgeny Beltyukov, Katarzyna Niespodziana, Peter Errhalt, Rudolf Valenta, Alexander Karaulov, and Darina Kiseleva
- Subjects
asthma biomarker ,Omalizumab ,biologicals ,molecular therapy ,targeted therapy ,Immunologic diseases. Allergy ,RC581-607 - Abstract
Molecular therapies, including anti-IgE, biologicals and small molecules are increasingly used for treatment of asthma. The effectiveness of these therapies may be increased with biomarkers. Aim of this study was to assess the value of measuring cumulative IgE levels specific for respiratory allergens to increase the efficacy of anti-IgE therapy for severe bronchial asthma. One hundred and thirty seven patients with severe asthma were recruited from 2016 to 2022. Standard empirical allergy diagnosis (i.e., anamnesis, skin testing, allergen-specific IgE measurement), blood eosinophil counting, measurement of total IgE and of cumulative IgE-specific for respiratory allergens by Phadiatop™ were performed. Thirty four patients with severe allergic asthma, for whom all three diagnostic methods were performed, were then used to analyze the efficacy of anti-IgE treatment in patients stratified in two groups according to cumulative IgE levels specific for respiratory allergens determined by Phadiatop™. Group #1 patients (n = 8) had cumulative specific IgE values ≥ 0.35 and < 1.53 PAU/l while in group #2 patients (n = 26) they were ≥ 1.53 PAU/l. Treatment with Omalizumab was performed for at least 12 months. The level of asthma control (ACT questionnaire), the number of asthma exacerbations, the quality of life (AQLQ questionnaire), the need for systemic corticosteroids, and the respiratory function (FEV1) was determined by “before-after” analysis for each group, followed by a comparison of the dynamics between groups. In group 2 patients with an initial allergen-specific IgE level ≥ 1.53 kUA/L, the efficacy of Omalizumab treatment was better regarding asthma control, number of exacerbations, and quality of life than in group 1 patients. Our study provides evidence that measuring cumulative levels of IgE specific for respiratory allergens could be a useful screening method for detecting an allergic phenotype of severe asthma and may serve as biomarker to enhance the success of IgE-targeted therapy.
- Published
- 2022
- Full Text
- View/download PDF
10. Mechanisms of toxicity mediated by neutrophil and eosinophil granule proteins
- Author
-
Lea Gigon, Shida Yousefi, Alexander Karaulov, and Hans-Uwe Simon
- Subjects
Cytotoxicity ,Eosinophil ,Granule protein ,Innate immunity ,Neutrophil ,Immunologic diseases. Allergy ,RC581-607 - Abstract
Neutrophils and eosinophils are granulocytes which are characterized by the presence of granules in the cytoplasm. Granules provide a safe storage site for granule proteins that play important roles in the immune function of granulocytes. Upon granulocytes activation, diverse proteins are released from the granules into the extracellular space and contribute to the fight against infections. In this article, we describe granule proteins of both neutrophils and eosinophils able to kill pathogens and review their anticipated mechanism of antimicrobial toxicity. It should be noted that an excess of granules protein release can lead to tissue damage of the host resulting in chronic inflammation and organ dysfunction.
- Published
- 2021
- Full Text
- View/download PDF
11. Physiological and Pathophysiological Roles of Metabolic Pathways for NET Formation and Other Neutrophil Functions
- Author
-
Darko Stojkov, Lea Gigon, Shuang Peng, Robert Lukowski, Peter Ruth, Alexander Karaulov, Albert Rizvanov, Nickolai A. Barlev, Shida Yousefi, and Hans-Uwe Simon
- Subjects
neutrophil ,metabolism ,neutrophil extracellular traps ,metabolic switch ,glycolysis ,Immunologic diseases. Allergy ,RC581-607 - Abstract
Neutrophils are the most numerous cells in the leukocyte population and essential for innate immunity. To limit their effector functions, neutrophils are able to modulate glycolysis and other cellular metabolic pathways. These metabolic pathways are essential not only for energy usage, but also for specialized effector actions, such as the production of reactive oxygen species (ROS), chemotaxis, phagocytosis, degranulation, and the formation of neutrophil extracellular traps (NETs). It has been demonstrated that activated viable neutrophils can produce NETs, which consists of a DNA scaffold able to bind granule proteins and microorganisms. The formation of NETs requires the availability of increased amounts of adenosine triphosphate (ATP) as it is an active cellular and therefore energy-dependent process. In this article, we discuss the glycolytic and other metabolic routes in association with neutrophil functions focusing on their role for building up NETs in the extracellular space. A better understanding of the requirements of metabolic pathways for neutrophil functions may lead to the discovery of molecular targets suitable to develop novel anti-infectious and/or anti-inflammatory drugs.
- Published
- 2022
- Full Text
- View/download PDF
12. Autophagy and Skin Diseases
- Author
-
Kim Klapan, Dagmar Simon, Alexander Karaulov, Marina Gomzikova, Albert Rizvanov, Shida Yousefi, and Hans-Uwe Simon
- Subjects
atopic dermatitis ,autophagy ,inflammation ,psoriasis ,skin cancer ,Therapeutics. Pharmacology ,RM1-950 - Abstract
Autophagy is a highly conserved lysosomal degradation system that involves the creation of autophagosomes, which eventually fuse with lysosomes and breakdown misfolded proteins and damaged organelles with their enzymes. Autophagy is widely known for its function in cellular homeostasis under physiological and pathological settings. Defects in autophagy have been implicated in the pathophysiology of a variety of human diseases. The new line of evidence suggests that autophagy is inextricably linked to skin disorders. This review summarizes the principles behind autophagy and highlights current findings of autophagy’s role in skin disorders and strategies for therapeutic modulation.
- Published
- 2022
- Full Text
- View/download PDF
13. Nontoxic Fluorescent Nanoprobes for Multiplexed Detection and 3D Imaging of Tumor Markers in Breast Cancer
- Author
-
Pavel Sokolov, Galina Nifontova, Pavel Samokhvalov, Alexander Karaulov, Alyona Sukhanova, and Igor Nabiev
- Subjects
breast cancer ,biomarkers ,tumor microenvironment ,optical imaging ,3D imaging ,fluorescent nanocrystals ,Pharmacy and materia medica ,RS1-441 - Abstract
Multiplexed fluorescent immunohistochemical analysis of breast cancer (BC) markers and high-resolution 3D immunofluorescence imaging of the tumor and its microenvironment not only facilitate making the disease prognosis and selecting effective anticancer therapy (including photodynamic therapy), but also provides information on signaling and metabolic mechanisms of carcinogenesis and helps in the search for new therapeutic targets and drugs. The characteristics of imaging nanoprobe efficiency, such as sensitivity, target affinity, depth of tissue penetration, and photostability, are determined by the properties of their components, fluorophores and capture molecules, and by the method of their conjugation. Regarding individual nanoprobe components, fluorescent nanocrystals (NCs) are widely used for optical imaging in vitro and in vivo, and single-domain antibodies (sdAbs) are well established as highly specific capture molecules in diagnostic and therapeutic applications. Moreover, the technologies of obtaining functionally active sdAb–NC conjugates with the highest possible avidity, with all sdAb molecules bound to the NC in a strictly oriented manner, provide 3D-imaging nanoprobes with strong comparative advantages. This review is aimed at highlighting the importance of an integrated approach to BC diagnosis, including the detection of biomarkers of the tumor and its microenvironment, as well as the need for their quantitative profiling and imaging of their mutual location, using advanced approaches to 3D detection in thick tissue sections. The existing approaches to 3D imaging of tumors and their microenvironment using fluorescent NCs are described, and the main comparative advantages and disadvantages of nontoxic fluorescent sdAb–NC conjugates as nanoprobes for multiplexed detection and 3D imaging of BC markers are discussed.
- Published
- 2023
- Full Text
- View/download PDF
14. Dependence of Quantum Dot Toxicity In Vitro on Their Size, Chemical Composition, and Surface Charge
- Author
-
Alyona Sukhanova, Svetlana Bozrova, Evgeniia Gerasimovich, Maria Baryshnikova, Zinaida Sokolova, Pavel Samokhvalov, Chris Guhrenz, Nikolai Gaponik, Alexander Karaulov, and Igor Nabiev
- Subjects
quantum dots ,semiconductor nanocrystals ,cytotoxicity ,nanotoxicity ,nanomaterial biological interactions ,Chemistry ,QD1-999 - Abstract
Semiconductor nanocrystals known as quantum dots (QDs) are of great interest for researchers and have potential use in various applications in biomedicine, such as in vitro diagnostics, molecular tracking, in vivo imaging, and drug delivery. Systematic analysis of potential hazardous effects of QDs is necessary to ensure their safe use. In this study, we obtained water-soluble core/shell QDs differing in size, surface charge, and chemical composition of the core. All the synthesized QDs were modified with polyethylene glycol derivatives to obtain outer organic shells protecting them from degradation. The physical and chemical parameters were fully characterized. In vitro cytotoxicity of the QDs was estimated in both normal and tumor cell lines. We demonstrated that QDs with the smallest size had the highest in vitro cytotoxicity. The most toxic QDs were characterized by a low negative surface charge, while positively charged QDs were less cytotoxic, and QDs with a greater negative charge were the least toxic. In contrast, the chemical composition of the QD core did not noticeably affect the cytotoxicity in vitro. This study provides a better understanding of the influence of the QD parameters on their cytotoxicity and can be used to improve the design of QDs.
- Published
- 2022
- Full Text
- View/download PDF
15. Microarray-Based Allergy Diagnosis: Quo Vadis?
- Author
-
Huey-Jy Huang, Raffaela Campana, Oluwatoyin Akinfenwa, Mirela Curin, Eszter Sarzsinszky, Antonina Karsonova, Ksenja Riabova, Alexander Karaulov, Katarzyna Niespodziana, Olga Elisyutina, Elena Fedenko, Alla Litovkina, Evgenii Smolnikov, Musa Khaitov, Susanne Vrtala, Thomas Schlederer, and Rudolf Valenta
- Subjects
allergy ,allergen ,IgE ,molecular diagnosis ,microarrayed allergens ,allergen chip ,Immunologic diseases. Allergy ,RC581-607 - Abstract
More than 30% of the world population suffers from allergy. Allergic individuals are characterized by the production of immunoglobulin E (IgE) antibodies against innocuous environmental allergens. Upon allergen recognition IgE mediates allergen-specific immediate and late-phase allergic inflammation in different organs. The identification of the disease-causing allergens by demonstrating the presence of allergen-specific IgE is the key to precision medicine in allergy because it allows tailoring different forms of prevention and treatment according to the sensitization profiles of individual allergic patients. More than 30 years ago molecular cloning started to accelerate the identification of the disease-causing allergen molecules and enabled their production as recombinant molecules. Based on recombinant allergen molecules, molecular allergy diagnosis was introduced into clinical practice and allowed dissecting the molecular sensitization profiles of allergic patients. In 2002 it was demonstrated that microarray technology allows assembling large numbers of allergen molecules on chips for the rapid serological testing of IgE sensitizations with small volumes of serum. Since then microarrayed allergens have revolutionized research and diagnosis in allergy, but several unmet needs remain. Here we show that detection of IgE- and IgG-reactivity to a panel of respiratory allergens microarrayed onto silicon elements is more sensitive than glass-based chips. We discuss the advantages of silicon-based allergen microarrays and how this technology will allow addressing hitherto unmet needs in microarray-based allergy diagnosis. Importantly, it described how the assembly of silicon microarray elements may create different microarray formats for suiting different diagnostic applications such as quick testing of single patients, medium scale testing and fully automated large scale testing.
- Published
- 2021
- Full Text
- View/download PDF
16. Label-Free Detection of the Receptor-Binding Domain of the SARS-CoV-2 Spike Glycoprotein at Physiologically Relevant Concentrations Using Surface-Enhanced Raman Spectroscopy
- Author
-
Andrey K. Sarychev, Alyona Sukhanova, Andrey V. Ivanov, Igor V. Bykov, Nikita V. Bakholdin, Daria V. Vasina, Vladimir A. Gushchin, Artem P. Tkachuk, Galina Nifontova, Pavel S. Samokhvalov, Alexander Karaulov, and Igor Nabiev
- Subjects
SARS-CoV-2 ,S glycoprotein ,RBD ,surface-enhanced Raman spectroscopy ,Raman spectroscopy ,SERS ,Biotechnology ,TP248.13-248.65 - Abstract
Surface-enhanced Raman scattering (SERS) spectroscopy is a surface- or cavity-enhanced variant of Raman scattering spectroscopy that allows the detection of analytes with a sensitivity down to single molecules. This method involves the use of SERS-active surfaces or cavities capable of concentrating incident radiation into small mode volumes containing the analyte. Here, we have engineered an ultranarrow metal–dielectric nano-cavity out of a film of the receptor-binding domain (RBD) of SARS-CoV-2 spike (S) glycoprotein and a silver surface, held together by interaction between reduced protein sulfhydryl groups and silver. The concentration of light in this nano-cavity allows the label-free recording of the characteristic Raman spectra of protein samples smaller than 1 pg. This is sufficient for the ultrasensitive detection of viral protein antigens at physiologically relevant levels. Moreover, the protein SERS signal can be increased by several orders of magnitude by coating the RBD film with a nanometer-thick silver shell, thereby raising the cavity Q-factor. This ensures a sub-femtogram sensitivity of the viral antigen detection. A simple theoretical model explaining the observed additional enhancement of the SERS signal from the silver-coated protein is proposed. Our study is the first to obtain the characteristic Raman and SERS spectra of the RBD of S glycoprotein, the key SARS-CoV-2 viral antigen, directly, without the use of Raman-reporter molecules. Thus, our approach allows label-free recording of the characteristic spectra of viral antigens at concentrations orders of magnitude lower than those required for detecting the whole virus in biological media. This makes it possible to develop a high-performance optical detection method and conformational analysis of the pathogen and its variants.
- Published
- 2022
- Full Text
- View/download PDF
17. Redistribution of TNF Receptor 1 and 2 Expression on Immune Cells in Patients with Bronchial Asthma
- Author
-
Alina Alshevskaya, Julia Zhukova, Fedor Kireev, Julia Lopatnikova, Irina Evsegneeva, Daria Demina, Vera Nepomniashchikch, Victor Gladkikh, Alexander Karaulov, and Sergey Sennikov
- Subjects
TNF-alpha ,bronchial asthma ,cellular immunology ,cytokine receptors expression ,immune regulation ,Cytology ,QH573-671 - Abstract
Background: The co-expression patterns of type 1 and 2 tumor necrosis factor (TNF)-α membrane receptors (TNFR1/TNFR2) are associated with the presence, stage, and activity of allergic diseases. The aim of this study was to assess the expression levels and dynamics of TNFRs on immune cells and to assess associations between their expression and severity of bronchial asthma (BA). Methods: Patients with severe (n = 8), moderate (n = 10), and mild (n = 4) BA were enrolled. As a comparison group, data from 46 healthy volunteers (HV) were accessed. Co-expression of TNFR1/2 was evaluated as a percentage of cells and the number of receptors of each type per cell. Multivariate logistic regression analysis was used to identify diagnostic biomarkers of BA. Results: More than 90% of the monocytes in patients with mild BA were TNFR1+TNFR2+ but had significantly lower TNFR1 expression density compared with HV (7.82- to 14.08-fold, depending on disease severity). Lower percentages of the TNFR+ B-lymphocytes were observed in combination with significantly lower receptors density in BA compared with HV (2.59- to 11.64-fold for TNFR1 and 1.72- to 3.4-fold for TNFR2, depending on disease severity). The final multivariate model for predicting the presence of BA included the percentage of double-positive CD5+ B-lymphocytes and average number of TNFR1 molecules expressed on cytotoxic naive T-lymphocytes and T-helper cells (R2 = 0.87). Conclusions: The co-expression patterns of TNFRs on immune cells in BA differed significantly compared with HV. The expression differences were associated with disease severity. TNFR1 expression changes were key parameters that discriminated patients with BA from those with HV.
- Published
- 2022
- Full Text
- View/download PDF
18. Preventive Allergen-Specific Vaccination Against Allergy: Mission Possible?
- Author
-
Inna Tulaeva, Bernhard Kratzer, Raffaela Campana, Mirela Curin, Marianne van Hage, Antonina Karsonova, Ksenja Riabova, Alexander Karaulov, Musa Khaitov, Winfried F. Pickl, and Rudolf Valenta
- Subjects
vaccine ,vaccination ,allergy ,allergen ,allergen-specific immunotherapy ,therapeutic vaccine ,Immunologic diseases. Allergy ,RC581-607 - Abstract
Vaccines for infectious diseases have improved the life of the human species in a tremendous manner. The principle of vaccination is to establish de novo adaptive immune response consisting of antibody and T cell responses against pathogens which should defend the vaccinated person against future challenge with the culprit pathogen. The situation is completely different for immunoglobulin E (IgE)-associated allergy, an immunologically-mediated hypersensitivity which is already characterized by increased IgE antibody levels and T cell responses against per se innocuous antigens (i.e., allergens). Thus, allergic patients suffer from a deviated hyper-immunity against allergens leading to inflammation upon allergen contact. Paradoxically, vaccination with allergens, termed allergen-specific immunotherapy (AIT), induces a counter immune response based on the production of high levels of allergen-specific IgG antibodies and alterations of the adaptive cellular response, which reduce allergen-induced symptoms of allergic inflammation. AIT was even shown to prevent the progression of mild to severe forms of allergy. Consequently, AIT can be considered as a form of therapeutic vaccination. In this article we describe a strategy and possible road map for the use of an AIT approach for prophylactic vaccination against allergy which is based on new molecular allergy vaccines. This road map includes the use of AIT for secondary preventive vaccination to stop the progression of clinically silent allergic sensitization toward symptomatic allergy and ultimately the prevention of allergic sensitization by maternal vaccination and/or early primary preventive vaccination of children. Prophylactic allergy vaccination with molecular allergy vaccines may allow halting the allergy epidemics affecting almost 30% of the population as it has been achieved for vaccination against infectious diseases.
- Published
- 2020
- Full Text
- View/download PDF
19. The allergenic activity and clinical impact of individual IgE-antibody binding molecules from indoor allergen sources
- Author
-
Luis Caraballo, Rudolf Valenta, Leonardo Puerta, Anna Pomés, Josefina Zakzuk, Enrique Fernandez-Caldas, Nathalie Acevedo, Mario Sanchez-Borges, Ignacio Ansotegui, Luo Zhang, Marianne van Hage, Eva Fernández, Luisa Arruda, Susanne Vrtala, Mirela Curin, Hans Gronlund, Antonina Karsonova, Jonathan Kilimajer, Ksenja Riabova, Daria Trifonova, and Alexander Karaulov
- Subjects
Immunologic diseases. Allergy ,RC581-607 - Abstract
A large number of allergens have been discovered but we know little about their potential to induce inflammation (allergenic activity) and symptoms. Nowadays, the clinical importance of allergens is determined by the frequency and intensity of their IgE antibody binding (allergenicity). This is a rather limited parameter considering the development of experimental allergology in the last 20 years and the criteria that support personalized medicine. Now it is known that some allergens, in addition to their IgE antibody binding properties, can induce inflammation through non IgE mediated pathways, which can increase their allergenic activity. There are several ways to evaluate the allergenic activity, among them the provocation tests, the demonstration of non-IgE mediated pathways of inflammation, case control studies of IgE-binding frequencies, and animal models of respiratory allergy. In this review we have explored the current status of basic and clinical research on allergenic activity of indoor allergens and confirm that, for most of them, this important property has not been investigated. However, during recent years important advances have been made in the field, and we conclude that for at least the following, allergenic activity has been demonstrated: Der p 1, Der p 2, Der p 5 and Blo t 5 from HDMs; Per a 10 from P. americana; Asp f 1, Asp f 2, Asp f 3, Asp f 4 and Asp f 6 from A. fumigatus; Mala s 8 and Mala s 13 from M. sympodialis; Alt a 1 from A. alternata; Pen c 13 from P. chrysogenum; Fel d 1 from cats; Can f 1, Can f 2, Can f 3, Can f 4 and Can f 5 from dogs; Mus m 1 from mice and Bos d 2 from cows. Defining the allergenic activity of other indoor IgE antibody binding molecules is necessary for a precision-medicine-oriented management of allergic diseases.
- Published
- 2020
- Full Text
- View/download PDF
20. Dependence of Nanoparticle Toxicity on Their Physical and Chemical Properties
- Author
-
Alyona Sukhanova, Svetlana Bozrova, Pavel Sokolov, Mikhail Berestovoy, Alexander Karaulov, and Igor Nabiev
- Subjects
Nanoparticles ,Quantum dots ,Nanotoxicity ,Surface chemistry ,Theranostics ,Imaging ,Materials of engineering and construction. Mechanics of materials ,TA401-492 - Abstract
Abstract Studies on the methods of nanoparticle (NP) synthesis, analysis of their characteristics, and exploration of new fields of their applications are at the forefront of modern nanotechnology. The possibility of engineering water-soluble NPs has paved the way to their use in various basic and applied biomedical researches. At present, NPs are used in diagnosis for imaging of numerous molecular markers of genetic and autoimmune diseases, malignant tumors, and many other disorders. NPs are also used for targeted delivery of drugs to tissues and organs, with controllable parameters of drug release and accumulation. In addition, there are examples of the use of NPs as active components, e.g., photosensitizers in photodynamic therapy and in hyperthermic tumor destruction through NP incorporation and heating. However, a high toxicity of NPs for living organisms is a strong limiting factor that hinders their use in vivo. Current studies on toxic effects of NPs aimed at identifying the targets and mechanisms of their harmful effects are carried out in cell culture models; studies on the patterns of NP transport, accumulation, degradation, and elimination, in animal models. This review systematizes and summarizes available data on how the mechanisms of NP toxicity for living systems are related to their physical and chemical properties.
- Published
- 2018
- Full Text
- View/download PDF
21. Designing Functionalized Polyelectrolyte Microcapsules for Cancer Treatment
- Author
-
Daria Kalenichenko, Galina Nifontova, Alexander Karaulov, Alyona Sukhanova, and Igor Nabiev
- Subjects
polyelectrolyte microcapsules ,doxorubicin encapsulation ,quantum dots ,optical encoding ,fluorescence imaging ,Chemistry ,QD1-999 - Abstract
The engineering of delivery systems for drugs and contrasting labels ensuring the simultaneous imaging and treatment of malignant tumors is an important hurdle in developing new tools for cancer therapy and diagnosis. Polyelectrolyte microcapsules (MCs), formed by nanosized interpolymer complexes, represent a promising platform for the designing of multipurpose agents, functionalized with various components, including high- and low-molecular-weight substances, metal nanoparticles, and organic fluorescent dyes. Here, we have developed size-homogenous MCs with different structures (core/shell and shell types) and microbeads containing doxorubicin (DOX) as a model anticancer drug, and fluorescent semiconductor nanocrystals (quantum dots, QDs) as fluorescent nanolabels. In this study, we suggest approaches to the encapsulation of DOX at different stages of the MC synthesis and describe the optimal conditions for the optical encoding of MCs with water-soluble QDs. The results of primary characterization of the designed microcarriers, including particle analysis, the efficacy of DOX and QDs encapsulation, and the drug release kinetics are reported. The polyelectrolyte MCs developed here ensure a modified (prolonged) release of DOX, under conditions close to normal and tumor tissues; they possess a bright fluorescence that paves the way to their exploitation for the delivery of antitumor drugs and fluorescence imaging.
- Published
- 2021
- Full Text
- View/download PDF
22. Conjugates of Ultrasmall Quantum Dots and Acridine Derivatives as Prospective Nanoprobes for Intracellular Investigations
- Author
-
Pavel Linkov, Pavel Samokhvalov, Maria Baryshnikova, Marie Laronze-Cochard, Janos Sapi, Alexander Karaulov, and Igor Nabiev
- Subjects
quantum dots ,multifunctional nanoprobes ,acridine derivatives ,G-quadruplex ,Chemistry ,QD1-999 - Abstract
Designing nanoprobes in which quantum dots (QDs) are used as photoluminescent labels is an especially promising line of research due to their possible medical applications ranging from disease diagnosis to drug delivery. In spite of the significant progress made in designing such nanoprobes, the properties of their individual components, i.e., photoluminescent QDs, vectorization moieties, and pharmacological agents, still require further optimization to enhance the efficiency of diagnostic or therapeutic procedures. Here, we have developed a method of engineering compact multifunctional nanoprobes based on functional components with optimized properties: bright photoluminescence of CdSe/ZnS (core/shell) QDs, a compact and effective antitumor agent (an acridine derivative), and direct conjugation of the components via electrostatic interaction, which provides a final hydrodynamic diameter of nanoprobes smaller than 15 nm. Due to the possibility of conjugating various biomolecules with hydroxyl and carboxyl moieties to QDs, the method represents a versatile approach to the biomarker-recognizing molecule imaging of the delivery of the active substance as part of compact nanoprobes.
- Published
- 2021
- Full Text
- View/download PDF
23. Nanoparticles With a Specific Size and Surface Charge Promote Disruption of the Secondary Structure and Amyloid-Like Fibrillation of Human Insulin Under Physiological Conditions
- Author
-
Alyona Sukhanova, Simon Poly, Svetlana Bozrova, Éléonore Lambert, Maxime Ewald, Alexander Karaulov, Michael Molinari, and Igor Nabiev
- Subjects
nanomaterials ,protein adsorption ,quantum dots ,proteinopathies ,insulin ,fibrillation ,Chemistry ,QD1-999 - Abstract
Nanoparticles attract much interest as fluorescent labels for diagnostic and therapeutic tools, although their applications are often hindered by size- and shape-dependent cytotoxicity. This cytotoxicity is related not only to the leak of toxic metals from nanoparticles into a biological solution, but also to molecular cytotoxicity effects determined by the formation of a protein corona, appearance of an altered protein conformation leading to exposure of cryptic epitopes and cooperative effects involved in the interaction of proteins and peptides with nanoparticles. In the last case, nanoparticles may serve, depending on their nature, as centers of self-association or fibrillation of proteins and peptides, provoking amyloid-like proteinopathies, or as inhibitors of self-association of proteins, or they can self-assemble on biopolymers as on templates. In this study, human insulin protein was used to analyze nanoparticle-induced proteinopathy in physiological conditions. It is known that human insulin may form amyloid fibers, but only under extreme experimental conditions (very low pH and high temperatures). Here, we have shown that the quantum dots (QDs) may induce amyloid-like fibrillation of human insulin under physiological conditions through a complex process strongly dependent on the size and surface charge of QDs. The insulin molecular structure and fibril morphology have been shown to be modified at different stages of its fibrillation, which has been proved by comparative analysis of the data obtained using circular dichroism, dynamic light scattering, amyloid-specific thioflavin T (ThT) assay, transmission electron microscopy, and high-speed atomic force microscopy. We have found important roles of the QD size and surface charge in the destabilization of the insulin structure and the subsequent fibrillation. Remodeling of the insulin secondary structure accompanied by remarkable increase in the rate of formation of amyloid-like fibrils under physiologically normal conditions was observed when the protein was incubated with QDs of exact specific diameter coated with slightly negative specific polyethylene glycol (PEG) derivatives. Strongly negatively or slightly positively charged PEG-modified QDs of the same specific diameter or QDs of bigger or smaller diameters had no effect on insulin fibrillation. The observed effects pave the way to the control of amyloidosis proteinopathy by varying the nanoparticle size and surface charge.
- Published
- 2019
- Full Text
- View/download PDF
24. The Release Kinetics of Eosinophil Peroxidase and Mitochondrial DNA Is Different in Association with Eosinophil Extracellular Trap Formation
- Author
-
Nina Germic, Timothée Fettrelet, Darko Stojkov, Aref Hosseini, Michael P. Horn, Alexander Karaulov, Dagmar Simon, Shida Yousefi, and Hans-Uwe Simon
- Subjects
degranulation ,eosinophils ,eosinophil extracellular traps ,eosinophil peroxidase ,kinetics ,mitochondrial DNA ,Cytology ,QH573-671 - Abstract
Eosinophils are a subset of granulocytes characterized by a high abundance of specific granules in their cytoplasm. To act as effector cells, eosinophils degranulate and form eosinophil extracellular traps (EETs), which contain double-stranded DNA (dsDNA) co-localized with granule proteins. The exact molecular mechanism of EET formation remains unknown. Although the term “EET release” has been used in scientific reports, it is unclear whether EETs are pre-formed in eosinophils and subsequently released. Moreover, although eosinophil degranulation has been extensively studied, a precise time-course of granule protein release has not been reported until now. In this study, we investigated the time-dependent release of eosinophil peroxidase (EPX) and mitochondrial DNA (mtDNA) following activation of both human and mouse eosinophils. Unexpectedly, maximal degranulation was already observed within 1 min with no further change upon complement factor 5 (C5a) stimulation of interleukin-5 (IL-5) or granulocyte/macrophage colony-stimulating factor (GM-CSF)-primed eosinophils. In contrast, bulk mtDNA release in the same eosinophil populations occurred much slower and reached maximal levels between 30 and 60 min. Although no single-cell analyses have been performed, these data suggest that the molecular pathways leading to degranulation and mtDNA release are at least partially different. Moreover, based on these data, it is likely that the association between the mtDNA scaffold and granule proteins in the process of EET formation occurs in the extracellular space.
- Published
- 2021
- Full Text
- View/download PDF
25. Phage phiKZ—The First of Giants
- Author
-
Victor Krylov, Maria Bourkaltseva, Elena Pleteneva, Olga Shaburova, Sergey Krylov, Alexander Karaulov, Sergey Zhavoronok, Oxana Svitich, and Vitaly Zverev
- Subjects
giant phages ,phage phiKZ ,phage particles structure ,inner body ,Pseudomonas ,pseudolysogeny ,Microbiology ,QR1-502 - Abstract
The paper covers the history of the discovery and description of phiKZ, the first known giant bacteriophage active on Pseudomonas aeruginosa. It also describes its unique features, especially the characteristic manner of DNA packing in the head around a cylinder-shaped structure (“inner body”), which probably governs an ordered and tight packaging of the phage genome. Important properties of phiKZ-like phages include a wide range of lytic activity and the blue opalescence of their negative colonies, and provide a background for the search and discovery of new P. aeruginosa giant phages. The importance of the phiKZ species and of other giant phage species in practical phage therapy is noted given their broad use in commercial phage preparations.
- Published
- 2021
- Full Text
- View/download PDF
26. Biofunctionalized Polyelectrolyte Microcapsules Encoded with Fluorescent Semiconductor Nanocrystals for Highly Specific Targeting and Imaging of Cancer Cells
- Author
-
Galina Nifontova, Daria Kalenichenko, Maria Baryshnikova, Fernanda Ramos Gomes, Frauke Alves, Alexander Karaulov, Igor Nabiev, and Alyona Sukhanova
- Subjects
quantum dots ,fluorescent imaging ,fluorescent nanolabels ,polyelectrolyte microcapsules ,antibody-mediated targeted delivery ,Applied optics. Photonics ,TA1501-1820 - Abstract
Fluorescent semiconductor nanocrystals or quantum dots (QDs) are characterized by unique optical properties, including a high photostability, wide absorption spectrum, and narrow, symmetric fluorescence spectrum. This makes them attractive fluorescent nanolabels for the optical encoding of microcarriers intended for targeted drug delivery, diagnosis, and imaging of transport processes on the body, cellular, and subcellular levels. Incorporation of QDs into carriers in the form of polyelectrolyte microcapsules through layer-by-layer adsorption of oppositely charged polyelectrolyte polymers yields microcapsules with a bright fluorescence signal and adaptable size, structure, and surface characteristics without using organic solvents. The easily modifiable surface of the microcapsules allows for its subsequent functionalization with capture molecules, such as antibodies, which ensures specific and selective interaction with cells, including tumor cells, with the use of the bioconjugation technique developed here. We obtained stable water-soluble nanolabels based on QDs whose surface was modified with polyethylene glycol (PEG) derivatives and determined their colloidal and optical characteristics. The obtained nanocrystals were used to encode polyelectrolyte microcapsules optically. The microcapsule surface was modified with humanized monoclonal antibodies (Abs) recognizing a cancer marker, epidermal growth factor receptor (EGFR). The possibility of effective, specific, and selective delivery of the microcapsules to tumor cells expressing EGFR has been demonstrated. The results show that the QD-encoded polyelectrolyte microcapsules functionalized with monoclonal Abs against EGFR can be used for targeted imaging and diagnosis.
- Published
- 2019
- Full Text
- View/download PDF
27. Tracing IgE-Producing Cells in Allergic Patients
- Author
-
Julia Eckl-Dorna, Sergio Villazala-Merino, Nicholas James Campion, Maria Byazrova, Alexander Filatov, Dmitry Kudlay, Antonina Karsonova, Ksenja Riabova, Musa Khaitov, Alexander Karaulov, Verena Niederberger-Leppin, and Rudolf Valenta
- Subjects
allergy ,IgE ,human ,mouse ,CD23 ,FcεRI ,B cell ,T cell ,tracing ,targeting ,therapy ,Cytology ,QH573-671 - Abstract
Immunoglobulin E (IgE) is the key immunoglobulin in the pathogenesis of IgE associated allergic diseases affecting 30% of the world population. Recent data suggest that allergen-specific IgE levels in serum of allergic patients are sustained by two different mechanisms: inducible IgE production through allergen exposure, and continuous IgE production occurring even in the absence of allergen stimulus that maintains IgE levels. This assumption is supported by two observations. First, allergen exposure induces transient increases of systemic IgE production. Second, reduction in IgE levels upon depletion of IgE from the blood of allergic patients using immunoapheresis is only temporary and IgE levels quickly return to pre-treatment levels even in the absence of allergen exposure. Though IgE production has been observed in the peripheral blood and locally in various human tissues (e.g., nose, lung, spleen, bone marrow), the origin and main sites of IgE production in humans remain unknown. Furthermore, IgE-producing cells in humans have yet to be fully characterized. Capturing IgE-producing cells is challenging not only because current staining technologies are inadequate, but also because the cells are rare, they are difficult to discriminate from cells bearing IgE bound to IgE-receptors, and plasma cells express little IgE on their surface. However, due to the central role in mediating both the early and late phases of allergy, free IgE, IgE-bearing effector cells and IgE-producing cells are important therapeutic targets. Here, we discuss current knowledge and unanswered questions regarding IgE production in allergic patients as well as possible therapeutic approaches targeting IgE.
- Published
- 2019
- Full Text
- View/download PDF
28. Identification of Phylogenetic Position in the Chlamydiaceae Family for Chlamydia Strains Released from Monkeys and Humans with Chlamydial Pathology
- Author
-
Alexander Karaulov, Vladimir Aleshkin, Vladimir Slobodenyuk, Olga Grechishnikova, Stanislav Afanasyev, Boris Lapin, Eteri Dzhikidze, Yuriy Nesvizhsky, Irina Evsegneeva, Elena Voropayeva, Maxim Afanasyev, Andrei Aleshkin, Valeria Metelskaya, Ekaterina Yegorova, and Alexandra Bayrakova
- Subjects
Gynecology and obstetrics ,RG1-991 ,Infectious and parasitic diseases ,RC109-216 - Abstract
Based on the results of the comparative analysis concerning relatedness and evolutional difference of the 16S–23S nucleotide sequences of the middle ribosomal cluster and 23S rRNA I domain, and based on identification of phylogenetic position for Chlamydophila pneumoniae and Chlamydia trichomatis strains released from monkeys, relatedness of the above stated isolates with similar strains released from humans and with strains having nucleotide sequences presented in the GenBank electronic database has been detected for the first time ever. Position of these isolates in the Chlamydiaceae family phylogenetic tree has been identified. The evolutional position of the investigated original Chlamydia and Chlamydophila strains close to analogous strains from the Gen-Bank electronic database has been demonstrated. Differences in the 16S–23S nucleotide sequence of the middle ribosomal cluster and 23S rRNA I domain of plasmid and nonplasmid Chlamydia trachomatis strains released from humans and monkeys relative to different genotype groups (group B-B, Ba, D, Da, E, L1, L2, L2a; intermediate group-F, G, Ga) have been revealed for the first time ever. Abnormality in incA chromosomal gene expression resulting in Chlamydia life development cycle disorder, and decrease of Chlamydia virulence can be related to probable changes in the nucleotide sequence of the gene under consideration
- Published
- 2010
- Full Text
- View/download PDF
29. SARS-CoV-2-NEUTRALISING MONOCLONAL ANTIBODIES: MECHANISM OF ACTION AND RESEARCH RESULTS
- Author
-
Ekaterina Alexeeva, Daria Fomina, Marina Lebedkina, and Alexander Karaulov
- Subjects
Pediatrics, Perinatology and Child Health - Abstract
The COVID-19 vaccination has become a way of effective prevention of the decease for most people globally. However, there is a cohort of patients who are not able to form a full-fledged immune response due to primary or secondary immunodeficiency conditions caused by genetic disorders, severe course of chronic diseases, due to their age or the use of drugs that suppress the immune response. The use of monoclonal viral antibodies for immunocompromised patients is the most efficient method of pre- and post-contact and even long-term prevention, as well as the treatment of coronavirus infection. Monoclonal antibodies are obtained from B-lymphocytes of patients recovered from COVID-19. As a result of further modification aimed at increasing of the efficiency and reducing the risk of unwanted phenomena in the use, the virus-neutralizing recombinant monoclonal antibodies of the IgG1 class were designed to implement preventive and therapeutic schemes for COVID-19. Treatment of a new coronavirus infection with drugs with direct etiotropic action is most effective when prescribing in the early stages of the disease, which is especially relevant in patients at risk for a severe/critical clinical course of the disease and can be performed as outpatient clinical procedures. The article analyzes the results of clinical studies of efficacy and safety of mono- and combined drugs of monoclonal antibodies to SARS-CoV-2 in patients with the new coronavirus infection, as well as potential possibilities for their use for the treatment of COVID-19 caused by the new SARS-CoV-2 strains with multiple mutations on the example of the Omicron strain.
- Published
- 2022
- Full Text
- View/download PDF
30. Label-Free Multiplexed Microfluidic Analysis of Protein Interactions Based on Photonic Crystal Surface Mode Imaging
- Author
-
Galina Nifontova, Irina Petrova, Evgeniia Gerasimovich, Valery N. Konopsky, Nizar Ayadi, Cathy Charlier, Fabrice Fleury, Alexander Karaulov, Alyona Sukhanova, and Igor Nabiev
- Subjects
Inorganic Chemistry ,photonic crystal surface mode imaging ,label-free biosensing ,protein array ,multiplexed detection ,immunoassay ,Organic Chemistry ,General Medicine ,Physical and Theoretical Chemistry ,Molecular Biology ,Spectroscopy ,Catalysis ,Computer Science Applications - Abstract
High-throughput protein assays are crucial for modern diagnostics, drug discovery, proteomics, and other fields of biology and medicine. It allows simultaneous detection of hundreds of analytes and miniaturization of both fabrication and analytical procedures. Photonic crystal surface mode (PC SM) imaging is an effective alternative to surface plasmon resonance (SPR) imaging used in conventional gold-coated, label-free biosensors. PC SM imaging is advantageous as a quick, label-free, and reproducible technique for multiplexed analysis of biomolecular interactions. PC SM sensors are characterized by a longer signal propagation at the cost of a lower spatial resolution, which makes them more sensitive than classical SPR imaging sensors. We describe an approach for designing label-free protein biosensing assays employing PC SM imaging in the microfluidic mode. Label-free, real-time detection of PC SM imaging biosensors using two-dimensional imaging of binding events has been designed to study arrays of model proteins (antibodies, immunoglobulin G-binding proteins, serum proteins, and DNA repair proteins) at 96 points prepared by automated spotting. The data prove feasibility of simultaneous PC SM imaging of multiple protein interactions. The results pave the way to further develop PC SM imaging as an advanced label-free microfluidic assay for the multiplexed detection of protein interactions.
- Published
- 2023
- Full Text
- View/download PDF
31. «Storm» of soluble differentiation molecules in COVID-19
- Author
-
Alexander Karaulov
- Subjects
Immunology - Published
- 2022
- Full Text
- View/download PDF
32. Structure–function relationships in polymeric multilayer capsules designed for cancer drug delivery
- Author
-
Galina Nifontova, Tatiana Tsoi, Alexander Karaulov, Igor Nabiev, and Alyona Sukhanova
- Subjects
Structure-Activity Relationship ,Drug Delivery Systems ,Polymers ,Neoplasms ,Biomedical Engineering ,Humans ,Antineoplastic Agents ,Capsules ,General Materials Science - Abstract
The targeted delivery of cancer drugs to tumor-specific molecular targets represents a major challenge in modern personalized cancer medicine. Engineering of micron and submicron polymeric multilayer capsules allows the obtaining of multifunctional theranostic systems serving as controllable stimulus-responsive tools with a high clinical potential to be used in cancer therapy and detection. The functionalities of such theranostic systems are determined by the design and structural properties of the capsules. This review (1) describes the current issues in designing cancer cell-targeting polymeric multilayer capsules, (2) analyzes the effects of the interactions of the capsules with the cellular and molecular constituents of biological fluids, and (3) presents the key structural parameters determining the effectiveness of capsule targeting. The influence of the morphological and physicochemical parameters and the origin of the structural components and surface ligands on the functional activity of polymeric multilayer capsules at the molecular, cellular, and whole-body levels are summarized. The basic structural and functional principles determining the future trends of theranostic capsule development are established and discussed.
- Published
- 2022
- Full Text
- View/download PDF
33. Effect of Tilorone on the Dynamics of Viral Load and the Levels of Interferons and Interleukin-1β in the Lung Tissue and Blood Serum of Mice with Experimental Influenza
- Author
-
O V Kalyuzhin, A I Chernysheva, E I Isaeva, Alexander Karaulov, L O Ponezheva, and E N Vetrova
- Subjects
Male ,Interferon Inducers ,interleukin-1β ,medicine.medical_treatment ,Interleukin-1beta ,Tilorone ,Antiviral Agents ,Drug Administration Schedule ,General Biochemistry, Genetics and Molecular Biology ,Virus ,Proinflammatory cytokine ,Interferon-gamma ,Mice ,Blood serum ,interferon-α ,Orthomyxoviridae Infections ,interferon-γ ,Animals ,Medicine ,Respiratory system ,Lung ,Immunology and Microbiology ,Mice, Inbred BALB C ,business.industry ,Influenza A Virus, H3N2 Subtype ,Interferon-alpha ,General Medicine ,Viral Load ,medicine.disease ,Pneumonia ,Cytokine ,experimental influenza ,Host-Pathogen Interactions ,Immunology ,business ,Viral load ,medicine.drug - Abstract
We studied the effect of tilorone on the dynamics of IFNα, IFNγ, and IL-1β levels in the lung tissue and blood serum in relation to viral load in the lungs of BALB/c mice with pneumonia caused by influenza virus A/Aichi/2/68 (H3N2). Tilorone was administered per os in doses of 40, 150, and 540 μg per mouse 6, 30, and 78 h postinfection, which simulated the drug regimen used in the clinic for the treatment of influenza and acute respiratory viral infections in Russia and post-Soviet countries. Tilorone reduced viral load with the maximum amplitude (2-3 lg) after 1-2 administrations. The results of studying the dynamics of the cytokine levels in the infected animals in general support the previous hypothesis that, in repeated dosing, tilorone enhances the IFN response (compensates for its deficiency) at the early stages of acute respiratory viral infections and suppresses (damps) excessive production of IFN and proinflammatory cytokines at the later stages.
- Published
- 2021
- Full Text
- View/download PDF
34. Triamcinolone Acetonide in the Treatment of Perennial Allergic Rhinitis: A post hoc Efficacy Analysis of a Phase III Study Performed in Russia
- Author
-
Natalia I Ilina, Natalia Shartanova, Aleksandr Maslakov, Alexander Karaulov, and Luiz Lucio
- Subjects
medicine.medical_specialty ,Rhinitis, Allergic, Perennial ,Triamcinolone acetonide ,medicine.drug_class ,Immunology ,Population ,Anti-Inflammatory Agents ,Kaplan-Meier Estimate ,Triamcinolone Acetonide ,Fluticasone propionate ,Russia ,Internal medicine ,Post-hoc analysis ,Humans ,Immunology and Allergy ,Medicine ,Cumulative incidence ,education ,education.field_of_study ,Clinical Allergy − Research Article ,business.industry ,Disease Management ,General Medicine ,Prognosis ,Clinical trial ,Treatment Outcome ,Quality of Life ,Corticosteroid ,Nasal administration ,business ,Immunosuppressive Agents ,medicine.drug - Abstract
Introduction: Allergic rhinitis (AR) is a disease which affects >24% of the population in Russia. Triamcinolone acetonide (TAA) is a corticosteroid used for treating AR. This post hoc analysis assesses the efficacy of intranasal TAA in improving perennial AR (PAR) symptom scores over 4 weeks. Methods: NASANIF (NCT03317015) was a double-blind, parallel-group, multicenter, prospective, non-inferiority, phase III clinical trial in which patients with PAR were randomized (1:1) to receive TAA or fluticasone propionate (FP) over 4 weeks. Our post hoc analysis evaluates weekly change in PAR symptoms using the reflective Total Nasal Symptom Score (rTNSS), overall and for individual symptoms (sneezing, nasal itching, rhinorrhoea, and nasal obstruction). Proportion of patients and time to achieve a ≥50 or ≥75% reduction in rTNSS were assessed. For rTNSS endpoints, a linear mixed-model methodology was used; for time-to-event endpoints, cumulative incidence functions were estimated using the Kaplan-Meier method, in the per-protocol population. Results: Of 260 patients, 128 each completed the study and were randomized to receive TAA or FP. From baseline to week 4, the changes in total rTNSS were −7.78 (95% CI: −8.1701 to −7.3967; p < 0.001) and −7.52 (−7.9053 to −7.1320; p < 0.001) for TAA and FP, respectively. Individual symptoms improved significantly from baseline. The proportion of patients achieving ≥50 and ≥75% reductions in total rTNSS was 88.0 and 67.2%, respectively in the TAA group. No significant differences were observed between the TAA and FP in any analyses. Conclusions: TAA produced effective and prolonged improvement of PAR symptoms over a 4-week treatment period.
- Published
- 2021
- Full Text
- View/download PDF
35. Triamcinolone Acetonide in the Treatment of Perennial Allergic Rhinitis: A post hoc Analysis of Quality of Life during a Phase III Study
- Author
-
Luiz Lucio, Natalia Nenasheva, Alexander Karaulov, Yury Smolkin, and Aleksandr Maslakov
- Subjects
medicine.medical_specialty ,Rhinitis, Allergic, Perennial ,Randomization ,Triamcinolone acetonide ,Immunology ,Anti-Inflammatory Agents ,Subgroup analysis ,Triamcinolone Acetonide ,Fluticasone propionate ,Quality of life ,Internal medicine ,Post-hoc analysis ,medicine ,Humans ,Immunology and Allergy ,Clinical Allergy − Research Article ,business.industry ,Disease Management ,General Medicine ,medicine.disease ,Allergic conjunctivitis ,Clinical trial ,Treatment Outcome ,Quality of Life ,business ,Immunosuppressive Agents ,medicine.drug - Abstract
Introduction: Allergic rhinitis (AR) is a disease that affects ≤24% of people in Russia, significantly impairing quality of life (QoL). Intranasal corticosteroids, such as triamcinolone acetonide (TAA), are considered effective drugs for treatment. A post hoc analysis of data (phase III NASANIF trial) examined weekly QoL changes in patients receiving TAA for the treatment of perennial AR (PAR). Methods: NASANIF (NCT03317015) was a double-blind, parallel group, multicenter, prospective, noninferiority, phase III clinical trial. Patients with PAR were randomized (1:1) to receive TAA or fluticasone propionate (FP) for 4 weeks. Here, a post hoc analysis measures QoL using a shortened Rhinoconjunctivitis Quality of Life Questionnaire (miniRQLQ). Differences in miniRQLQ score were evaluated using a mixed linear model and descriptive statistics. A subgroup analysis was performed in patients with a previous diagnosis of allergic conjunctivitis. Results: Of 260 patients eligible for randomization, 128 each completed treatment with TAA or FP. Overall and individual domain scores progressively improved and were significantly different versus baseline at week 4 in both treatment groups: LS mean difference TAA: −30.92 (95% CI [−33.01 to −28.83]), p < 0.001, and FP: −31.13 (−33.23 to −29.04), p < 0.001. In both arms of the subgroup, there was a significant reduction in eye symptoms. There was no significant difference between the TAA and FP treatment groups in any analyses. Conclusions: TAA is effective in improving overall and individual domains of QoL in patients with PAR, over 4 weeks. Patients with a previous diagnosis of allergic conjunctivitis experienced significant improvements in QoL related to the resolution of these symptoms.
- Published
- 2021
- Full Text
- View/download PDF
36. Digital analysis and quantitative assessment of the cervical surface with dysplasia
- Author
-
Aleshkin Va, A. D. Dushkin, T. G. Grishacheva, S.S. Afanasiev, Yu.V. Nesvizhsky, M. S. Afanasiev, A Yu Mironov, O.Y. Borisova, Alexander Karaulov, and A M Zatevalov
- Subjects
Colposcopy ,Mild Dysplasia ,medicine.medical_specialty ,030219 obstetrics & reproductive medicine ,medicine.diagnostic_test ,business.industry ,Biochemistry (medical) ,Digital analysis ,Physical examination ,General Medicine ,medicine.disease ,female genital diseases and pregnancy complications ,03 medical and health sciences ,Medical Laboratory Technology ,0302 clinical medicine ,Dysplasia ,030220 oncology & carcinogenesis ,Cervical surface ,Quantitative assessment ,medicine ,Radiology ,business ,Moderate Dysplasia - Abstract
The investigation aims - a quantitative assessment of cervical surface changes with digital analysis and computer technologies in dysplasia. Colposcopy was made in 90 women from 21 to 52 years (avr. age 33,9±8,13 y.o.) with mild epithelial dysplasia (CIN1), moderate dysplasia (CIN2), severe dysplasia (CIN3). The algorithm detected indicators which provide the cervical dysplasia classification on pre cytological and pre molecular-genetic patients investigations. The outcome of an algorithm was the identification of the cervix surface condition severity by an objective quantification. The cervical dysplasia type (CIN) was classified as IndGV values. The mild dysplasia (CIN1) had IndGV=8,5, moderate dysplasia (CIN2) - IndGV=13, severe dysplasia (CIN3) - IndGV=15,6. The cervical affected surface area (IndInt) equalled 0,17 in CIN1, 0,19 in CIN2, 0,22 in CIN3. A change severity has a direct relation with a grey color value. It demonstrates quantify classification in digital analysis. The algorithm is used in real-time mode and no requires considerable material outlays. This makes it possible to use an algorithm after clinical examination and predict patient management.
- Published
- 2021
- Full Text
- View/download PDF
37. Milk Allergen Micro-Array (MAMA) for Refined Detection of Cow’s-Milk-Specific IgE Sensitization
- Author
-
Victoria Garib, Daria Trifonova, Raphaela Freidl, Birgit Linhart, Thomas Schlederer, Nikolaos Douladiris, Alexander Pampura, Daria Dolotova, Tatiana Lepeshkova, Maia Gotua, Evgeniy Varlamov, Evgeny Beltyukov, Veronika Naumova, Styliani Taka, Alina Kiyamova, Stefani Katsamaki, Alexander Karaulov, and Rudolf Valenta
- Subjects
Nutrition and Dietetics ,cow’s milk allergy ,allergen molecules ,milk allergen micro-array ,peptides ,anaphylaxis ,milk tolerance ,diagnosis ,IgE sensitization ,children ,Food Science - Abstract
Background: Immunoglobulin-E(IgE)-mediated hypersensitivity to cow’s milk allergens is a frequent cause of severe and life-threatening anaphylactic reactions. Besides case histories and controlled food challenges, the detection of the IgE antibodies specific to cow’s milk allergens is important for the diagnosis of cow-milk-specific IgE sensitization. Cow´s milk allergen molecules provide useful information for the refined detection of cow-milk-specific IgE sensitization. Methods: A micro-array based on ImmunoCAP ISAC technology was developed and designated milk allergen micro-array (MAMA), containing a complete panel of purified natural and recombinant cow’s milk allergens (caseins, α-lactalbumin, β-lactoglobulin, bovine serum albumin-BSA and lactoferrin), recombinant BSA fragments, and α-casein-, α-lactalbumin- and β-lactoglobulin-derived synthetic peptides. Sera from 80 children with confirmed symptoms related to cow’s milk intake (without anaphylaxis: n = 39; anaphylaxis with a Sampson grade of 1–3: n = 21; and anaphylaxis with a Sampson grade of 4–5: n = 20) were studied. The alterations in the specific IgE levels were analyzed in a subgroup of eleven patients, i.e., five who did not and six who did acquire natural tolerance. Results: The use of MAMA allowed a component-resolved diagnosis of IgE sensitization in each of the children suffering from cow’s-milk-related anaphylaxis according to Sampson grades 1–5 requiring only 20–30 microliters of serum. IgE sensitization to caseins and casein-derived peptides was found in each of the children with Sampson grades of 4–5. Among the grade 1–3 patients, nine patients showed negative reactivity to caseins but showed IgE reactivity to alpha-lactalbumin (n = 7) or beta-lactoglobulin (n = 2). For certain children, an IgE sensitization to cryptic peptide epitopes without detectable allergen-specific IgE was found. Twenty-four children with cow-milk-specific anaphylaxis showed additional IgE sensitizations to BSA, but they were all sensitized to either caseins, alpha-lactalbumin, or beta-lactoglobulin. A total of 17 of the 39 children without anaphylaxis lacked specific IgE reactivity to any of the tested components. The children developing tolerance showed a reduction in allergen and/or peptide-specific IgE levels, whereas those remaining sensitive did not. Conclusions: The use of MAMA allows for the detection, using only a few microliters of serum, of IgE sensitization to multiple cow’s milk allergens and allergen-derived peptides in cow-milk-allergic children with cow-milk-related anaphylaxis.
- Published
- 2023
- Full Text
- View/download PDF
38. Combination of Muramylpeptides from Gram-Negative Bacteria Corrects Cyclophosphamide-Induced Disorders of Hematopoiesis and Spleen Cell Composition in Mice with B16 Melanoma
- Author
-
S. M. Sitdikova, M. V. Kiselevskii, Alexander Karaulov, N. Yu. Anisimova, V L L'vov, F. V. Donenko, A. Yu. Nurtazina, and O V Kalyuzhin
- Subjects
0301 basic medicine ,White pulp ,medicine.medical_specialty ,Gram-negative bacteria ,Cyclophosphamide ,Spleen ,Filgrastim ,General Biochemistry, Genetics and Molecular Biology ,03 medical and health sciences ,Subcutaneous injection ,0302 clinical medicine ,Internal medicine ,medicine ,biology ,business.industry ,Melanoma ,General Medicine ,biology.organism_classification ,medicine.disease ,Haematopoiesis ,030104 developmental biology ,medicine.anatomical_structure ,Endocrinology ,business ,030217 neurology & neurosurgery ,medicine.drug - Abstract
We studied the effect of a combination of three muramylpeptides from gram-negative bacteria (Polymuramyl) on hematological parameters, morphology of the spleen, and serum cytokine level in mice with B16 melanoma treated with cyclophosphamide. Intraperitoneal administration of cyclophosphamide to tumor-bearing animals sharply reduced the number of leukocytes, especially neutrophils, in the blood and depleted the cellular composition of the spleen white pulp. Subsequent three daily intramuscular injections of Polymuramyl in doses of 70 and 860 ng/mouse for 3 days, as well as subcutaneous injection of the reference drug filgrastim (granulocytic CSF) in a dose of 12 μg/mouse partially corrected hematopoietic disorders and restored the cellular composition of the spleen. Granulocytic CSF more effectively replenished the content of mature neutrophils in the blood, while Polymuramyl restored the content of stab neutrophils. In contrast to granulocytic CSF, administration of Polymuramyl was followed by an increase in the level of granulocyte-macrophage CSF and a tendency to an increase in the serum content of IL-6, which indicates the involvement of these cytokines in the hematopoietic activity of Polymuramyl.
- Published
- 2021
- Full Text
- View/download PDF
39. The Multi-Course Approach of Photodynamic Therapy to Treat Invasive Cervical Cancer IB2: A Case Report
- Author
-
T. G. Grishacheva, Yuri Nesvizhsky, S.S. Afanasiev, Alexander D. Dushkin, M. S. Afanasiev, Alexander Karaulov, and Andrey Pylev
- Subjects
Colposcopy ,Cervical cancer ,Abdominal pain ,Pregnancy ,medicine.medical_specialty ,multi-course photodynamic therapy ,medicine.diagnostic_test ,cervical cancer ,business.industry ,fertility-preserving surgery ,Cancer ,Case Report ,lcsh:Neoplasms. Tumors. Oncology. Including cancer and carcinogens ,medicine.disease ,lcsh:RC254-282 ,medicine.anatomical_structure ,photodynamic therapy ,Oncology ,Biopsy ,medicine ,Blood test ,Radiology ,medicine.symptom ,business ,Cervical canal - Abstract
Cervical cancer is an important problem in women’s health and a worldwide oncological disease. In 2018, the WHO registered 569,847 new cases in the world, and 3.4% were in the Russian Federation. We describe here a case of invasive cervical cancer stage IB2 associated with human papilloma virus in a woman who was treated by multicourse photodynamic therapy (PDT). A 38-year-old woman presented with abdominal pain and genital tract spotting in October 2015. Colposcopy revealed a neoplasm in cauliflower form. PAP smear result was cancer in situ (Tis). The biopsy result from the cervical canal and neoplasm was invasive squamous cell carcinoma. The patient underwent full preoperative examination (blood test, biochemical blood test, coagulation test, urinalysis, X-ray of chest organs, ECG, ultrasound investigation of pelvic organs, and PAP smear). Magnetic resonance imaging investigation showed a heterogeneous tumor, uneven contours, and intensity accumulating contrast. The patient was not pregnant, and a fertility-preserving treatment method was used. Three PDT sessions allowed to avoid vaginal radical trachelectomy. Pregnancy occurred 3 years and 8 months after the first PDT session. The patient had testing after treatment 4 times (3rd, 12th, 24th, and 60th months). She had a pregnancy without complications and had operative delivery by Cesarean section in April 2020. There was a 5-year remission period without episodes of relapse. The patient has an 8-month-old baby.
- Published
- 2021
- Full Text
- View/download PDF
40. Determination of Bactericidal Activity Spectrum of Recombinant Endolysins of ECD7, Am24, Ap22, Si3, and St11 Bacteriophages
- Author
-
A.V. Aleshkin, V V Kaminskii, S.S. Bochkareva, A M Vorob'ev, E R Zul'karneev, E O Rubalskii, Alexander Karaulov, Irina A. Kiseleva, V.A. Gushchin, A I Laishevtsev, Nataliia P Antonova, D.V. Vasina, E R Mekhtiev, M. N. Anurova, and E. O. Bakhrushina
- Subjects
0301 basic medicine ,biology ,Chemistry ,Pseudomonas aeruginosa ,Klebsiella pneumoniae ,Lysin ,General Medicine ,Enterobacter ,biology.organism_classification ,medicine.disease_cause ,Campylobacter jejuni ,General Biochemistry, Genetics and Molecular Biology ,Microbiology ,Acinetobacter baumannii ,Multiple drug resistance ,03 medical and health sciences ,030104 developmental biology ,0302 clinical medicine ,Salmonella enterica ,medicine ,030217 neurology & neurosurgery - Abstract
The bactericidal activity of recombinant endolysins LysECD7, LysAm24, LysAp22, LysSi3 and LysSt11 was assayed in multidrug resistant strains (n=120) of Salmonella enterica, E. coli, Acinetobacter baumannii, Enterobacter spp., Pseudomonas aeruginosa, Klebsiella pneumoniae, and Campylobacter jejuni. The assay showed that the recombinant endolysins had a wide spectrum of bactericidal activity compared to endolysins of their progenitor phages. Among examined endolysins, we selected the active pharmaceutical substances with broad spectrum of bactericidal activity. Most strains were sensitive to LysECD7 (70.7%), LysAm24 (65%), and LysAp22 (58.6%), which seems to be promising causative agents for the development of finished dosage form.
- Published
- 2021
- Full Text
- View/download PDF
41. Comorbidity defines asthmatic patients' risk of COVID-19 hospitalization: A global perspective
- Author
-
Chrysanthi Skevaki, R. Sharon Chinthrajah, Daria Fomina, Gernot Rohde, Shu Cao, Ziyuan He, Sofia Serdotetskova, Christian Seidemann, Achim Grünewaldt, Abisha Vengadeswaran, Min Xie, Antonina Karsonova, Alexander Karaulov, Kari C. Nadeau, Ho-Ryun Chung, and Harald Renz
- Subjects
Immunology ,Immunology and Allergy - Abstract
The global epidemiology of asthma among patients with coronavirus disease 2019 (COVID-19) presents striking geographic differences, defining prevalence zones of high and low co-occurrence of asthma and COVID-19.We aimed to compare asthma prevalence among hospitalized patients with COVID-19 in major global hubs across the world by applying common inclusion criteria and definitions.We built a network of 6 academic hospitals in Stanford (Stanford University)/the United States; Frankfurt (Goethe University), Giessen (Justus Liebig University), and Marburg (Philipps University)/Germany; and Moscow (Clinical Hospital 52 in collaboration with Sechenov University)/Russia. We collected clinical and laboratory data for patients hospitalized due to COVID-19.Asthmatic individuals were overrepresented among hospitalized patients with COVID-19 in Stanford and underrepresented in Moscow and Germany as compared with their prevalence among adults in the local community. Asthma prevalence was similar among patients hospitalized in an intensive care unit and patients hospitalized in other than an intensive care unit, which implied that the risk for development of severe COVID-19 was not higher among asthmatic patients. The numbers of males and comorbidities were higher among patients with COVID-19 in the Stanford cohort, and the most frequent comorbidities among these patients with asthma were other chronic inflammatory airway disorders such as chronic obstructive pulmonary disease.The observed disparity in COVID-19-associated risk among asthmatic patients across countries and continents is connected to the varying prevalence of underlying comorbidities, particularly chronic obstructive pulmonary disease.
- Published
- 2022
42. Comorbidity defines risk of asthmatics for COVID-19 hospitalization: a global perspective
- Author
-
Chrysanthi Skevaki, Sharon Chinthrajah, Daria Fomina, Gernot Rohde, Shu Cao, Ziyuan He, Sofia Serdotetskova, Christian Seidemann, Achim Grünewaldt, Abisha Vengadeswaran, Min Xie, Antonina Karsonova, Alexander Karaulov, Kari Nadeau, Ho-Ryun Chung, and Harald Renz
- Abstract
Background: The global epidemiology of asthma among COVID-19 patients presents striking geographic differences defining high and low [asthma and COVID-19] co-occurrence prevalence zones (1). The objective of the present study was to compare asthma prevalence among hospitalized COVID-19 patients in major global hubs across the world with the application of common inclusion criteria and definitions. Methods: We built a network of six academic hospitals in Stanford (Stanford University)/USA, Frankfurt (Goethe University), Giessen (Justus Liebig University) and Marburg (Philipps University)/Germany, and Moscow (Clinical Hospital 52 in collaboration with Sechenov University)/Russia. We collected clinical and laboratory data for patients hospitalized due to COVID-19. Comorbidities reported were based on the 2020 International Classification of Diseases-10th Revision codes. Results: Asthmatics were overrepresented among hospitalized COVID-19 patients in Stanford and underrepresented in Moscow and Germany as compared to the prevalence among adults in the local community. Asthma prevalence was similar among ICU and hospital non-ICU patients, which implied that the risk for developing severe COVID-19 was not higher among asthmatics. The number of males and comorbidities was higher among COVID-19 patients in the Stanford cohort, and the most frequent comorbidities among these asthma patients were other chronic inflammatory airway disorders such as chronic obstructive pulmonary disease (COPD). Conclusion: Observed disparity in COVID-19-associated risk among asthmatics across countries and continents is connected to varying prevalence of underlying comorbidities, particularly COPD. Public health policies in the future will need to consider comorbidities with an emphasis on COPD for prioritization of vaccination and preemptive treatment.
- Published
- 2022
- Full Text
- View/download PDF
43. Molecular Allergen-Specific IgE Recognition Profiles and Cumulative Specific IgE Levels Associated with Phenotypes of Cat Allergy
- Author
-
Ksenja Riabova, Antonina V. Karsonova, Marianne van Hage, Ulrika Käck, Jon R. Konradsen, Hans Grönlund, Daria Fomina, Evgeny Beltyukov, Polina A. Glazkova, Dmitry Yu. Semenov, Rudolf Valenta, Alexander Karaulov, and Mirela Curin
- Subjects
Organic Chemistry ,allergy ,allergen molecules ,cat allergy ,cat allergens ,IgE reactivity ,allergy diagnosis ,allergy phenotypes ,General Medicine ,Allergens ,Immunoglobulin E ,Catalysis ,Asthma ,respiratory tract diseases ,Computer Science Applications ,Inorganic Chemistry ,Phenotype ,immune system diseases ,Hypersensitivity ,Humans ,Physical and Theoretical Chemistry ,Molecular Biology ,Spectroscopy ,Alveolitis, Extrinsic Allergic ,Glycoproteins ,Rhinitis - Abstract
Cat allergy is a major trigger factor for respiratory reactions (asthma and rhinitis) in patients with immunoglobulin E (IgE) sensitization. In this study, we used a comprehensive panel of purified cat allergen molecules (rFel d 1, nFel d 2, rFel d 3, rFel d 4, rFel d 7, and rFel d 8) that were obtained by recombinant expression in Escherichia coli or by purification as natural proteins to study possible associations with different phenotypes of cat allergy (i.e., rhinitis, conjunctivitis, asthma, and dermatitis) by analyzing molecular IgE recognition profiles in a representative cohort of clinically well-characterized adult cat allergic subjects (n = 84). IgE levels specific to each of the allergen molecules and to natural cat allergen extract were quantified by ImmunoCAP measurements. Cumulative IgE levels specific to the cat allergen molecules correlated significantly with IgE levels specific to the cat allergen extract, indicating that the panel of allergen molecules resembled IgE epitopes of the natural allergen source. rFel d 1 represented the major cat allergen, which was recognized by 97.2% of cat allergic patients; however, rFel d 3, rFel d 4, and rFel d 7 each showed IgE reactivity in more than 50% of cat allergic patients, indicating the importance of additional allergens in cat allergy. Patients with cat-related skin symptoms showed a trend toward higher IgE levels and/or frequencies of sensitization to each of the tested allergen molecules compared with patients suffering only from rhinitis or asthma, while there were no such differences between patients with rhinitis and asthma. The IgE levels specific to allergen molecules, the IgE levels specific to cat allergen extract, and the IgE levels specific to rFel d 1 were significantly higher in patients with four different symptoms compared with patients with 1–2 symptoms. This difference was more pronounced for the sum of IgE levels specific to the allergen molecules and to cat extract than for IgE levels specific for rFel d 1 alone. Our study indicates that, in addition to rFel d 1, rFel d 3, rFel d 4, and rFel d 7 must be considered as important cat allergens. Furthermore, the cumulative sum of IgE levels specific to cat allergen molecules seems to be a biomarker for identifying patients with complex phenotypes of cat allergy. These findings are important for the diagnosis of IgE sensitization to cats and for the design of allergen-specific immunotherapies for the treatment and prevention of cat allergy.
- Published
- 2022
44. Modern immunology education: traditions and actual trends
- Author
-
L.V. Gankovskaya, F.Yu. Garib, and Alexander Karaulov
- Subjects
2019-20 coronavirus outbreak ,Coronavirus disease 2019 (COVID-19) ,Political science ,Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) ,Immunology ,Library science - Abstract
Currently, fundamental and clinical immunology is undergoing rapid development, and this science is becoming one of the leading disciplines of modern biology and medicine, interdisciplinary, the base of life sciences. Thus the growing interest in immunology, and accordingly, spread of teaching thereof, observed in various countries. This review presents the main stages of development of teaching immunology in our country: creation of the 1st Department of Immunology at the II N.I. Pirogov Moscow Medical Institute by acad. R.V. Petrov, publication of the 1st textbook on immunology, establishment of the 1st departments of immunology and allergology in medical universities, creation of a new specialty – «physician allergologist-immunologist », the recent publication of the 4th edition of textbook «Immunology» by R.M. Khaitov. The principle of immunology education in 2 semesters within a single department was formulated and proved its practicability. Considering the fact that immunology is one of the most rapidly progressing sciences and disciplines taught in higher education, important for future doctors of all specialties, biologists of many specialties, etc., there is a need to make additions to the basic university medical and biological education. Particularly, there is a need for the introduction of the discipline «Allergology and immunology» into the new generation of the Federal State Educational Standard, supplemented with an obligatory exam, which will greatly increase student motivation. To increase the efficiency of the education process, it is advisable to conduct practical classes using interactive forms of studying based on the active interaction between teachers and students: role-playing and business games, collective problem solving, work in small groups (teams), problem-based learning, etc. Cross-disciplinary education is encouraged, specifically the use of knowledge derived from different fields, their grouping and application in the context of the discussed subject. The importance of information and communication technologies in the process of immunology education is increasing as well. The establishment of a unified educational environment ensures effective interaction between teacher and student. These approaches are most relevant in the context of the current COVID-19 pandemic, when the significant part of education is on-line performed. This review also debates the issues regarding the difficulty of training highly qualified immunology teaching staff. Science is developing dynamically, soliciting the need to ensure the continuity and consistency of immunological education of students, medical residents and physicians of different specialties. (English) [ FROM AUTHOR] Ð’ наNN‚оNN‰ÐµÐµ вN€ÐµÐ¼N Ð?N€Ð¾Ð¸NN…одиN‚ NN‚N€ÐµÐ¼Ð¸N‚елNŒÐ½Ð¾Ðµ N€Ð°Ð·Ð²Ð¸N‚ие N„NƒÐ½Ð´Ð°Ð¼ÐµÐ½N‚алNŒÐ½Ð¾Ð¹ и ÐoлиниN‡ÐµNÐoой иммNƒÐ½Ð¾Ð»Ð¾Ð³Ð¸Ð¸, она NN‚ановиN‚NN одной из ведNƒN‰Ð¸N… диNN†Ð¸Ð?лин NовN€ÐµÐ¼ÐµÐ½Ð½Ð¾Ð¹ биологии и медиN†Ð¸Ð½N‹, междиNN†Ð¸Ð?линаN€Ð½Ð¾Ð¹ оNновой наNƒÐo о жизни. Ð’ NвNзи N NN‚им заÐoономеN€ÐµÐ½ возN€Ð°NN‚аNŽN‰Ð¸Ð¹ инN‚еN€ÐµN Ðo иммNƒÐ½Ð¾Ð»Ð¾Ð³Ð¸Ð¸ и, NооN‚веN‚NN‚венно, N€Ð°NNˆÐ¸N€ÐµÐ½Ð¸Ðµ Ð?N€ÐµÐ?одаваниN NN‚ой диNN†Ð¸Ð?линN‹, наблNŽÐ´Ð°ÐµÐ¼Ð¾Ðµ в N€Ð°Ð·Ð»Ð¸N‡Ð½N‹N… NN‚N€Ð°Ð½Ð°N…. Ð’ обзоN€Ðµ Ð?N€ÐµÐ´NN‚авленN‹ оNновнN‹Ðµ NN‚аÐ?N‹ NN‚ановлениN Ð?N€ÐµÐ?одаваниN иммNƒÐ½Ð¾Ð»Ð¾Ð³Ð¸Ð¸ в наNˆÐµÐ¹ NN‚N€Ð°Ð½Ðµ: Nоздание Ð .Ð’. ПеN‚N€Ð¾Ð²N‹Ð¼ 1-й ÐoаN„едN€N‹ иммNƒÐ½Ð¾Ð»Ð¾Ð³Ð¸Ð¸ во II МоNÐoовNÐoом медиN†Ð¸Ð½NÐoом инNN‚иN‚NƒN‚е имени Ð.И. ПиN€Ð¾Ð³Ð¾Ð²Ð°, издание 1-го NƒN‡ÐµÐ±Ð½Ð¸Ðoа Ð?о иммNƒÐ½Ð¾Ð»Ð¾Ð³Ð¸Ð¸, оN€Ð³Ð°Ð½Ð¸Ð·Ð°N†Ð¸N ÐoаN„едN€ иммNƒÐ½Ð¾Ð»Ð¾Ð³Ð¸Ð¸ N аллеN€Ð³Ð¾Ð»Ð¾Ð³Ð¸ÐµÐ¹ в медиN†Ð¸Ð½NÐoиN… вNƒÐ·Ð°N…, Nоздание новой NÐ?еN†Ð¸Ð°Ð»NŒÐ½Ð¾NN‚и «вN€Ð°N‡ – аллеN€Ð³Ð¾Ð»Ð¾Ð³-иммNƒÐ½Ð¾Ð»Ð¾Ð³Â», недавний вN‹N…од в NвеN‚ 4-го изданиN NƒN‡ÐµÐ±Ð½Ð¸Ðoа Ð .Ðœ. ХаиN‚ова «ИммNƒÐ½Ð¾Ð»Ð¾Ð³Ð¸N». БN‹Ð» NN„оN€Ð¼NƒÐ»Ð¸N€Ð¾Ð²Ð°Ð½ и доÐoазал NвоNŽ N†ÐµÐ»ÐµNообN€Ð°Ð·Ð½Ð¾NN‚NŒ Ð?N€Ð¸Ð½N†Ð¸Ð? Ð?N€ÐµÐ?одаваниN иммNƒÐ½Ð¾Ð»Ð¾Ð³Ð¸Ð¸ в 2 NN‚аÐ?а в N€Ð°Ð¼ÐoаN… единой ÐoаN„едN€N‹. УN‡Ð¸N‚N‹Ð²Ð°N N‚оN‚ N„аÐoN‚, N‡N‚о иммNƒÐ½Ð¾Ð»Ð¾Ð³Ð¸N NвлNеN‚NN одной из наиболее бN‹NN‚N€Ð¾ Ð?N€Ð¾Ð³N€ÐµNNиN€NƒNŽN‰Ð¸N… наNƒÐo и диNN†Ð¸Ð?лин, Ð?N€ÐµÐ?одаваемN‹N… в вN‹NNˆÐµÐ¹ NˆÐoоле, важной длN бNƒÐ´NƒN‰Ð¸N… вN€Ð°N‡ÐµÐ¹ вNеN… NÐ?еN†Ð¸Ð°Ð»NŒÐ½Ð¾NN‚ей, биологов многиN… NÐ?еN†Ð¸Ð°Ð»NŒÐ½Ð¾NN‚ей и дN€., необN…одимо внеNN‚и доÐ?олнениN в базовое NƒÐ½Ð¸Ð²ÐµN€NиN‚еN‚NÐoое медиN†Ð¸Ð½NÐoое и биологиN‡ÐµNÐoое обN€Ð°Ð·Ð¾Ð²Ð°Ð½Ð¸Ðµ. ÐsонÐoN€ÐµN‚но – N†ÐµÐ»ÐµNообN€Ð°Ð·Ð½Ð¾ вÐoлNŽN‡Ð¸N‚NŒ диNN†Ð¸Ð?линNƒ «ÐллеN€Ð³Ð¾Ð»Ð¾Ð³Ð¸N и иммNƒÐ½Ð¾Ð»Ð¾Ð³Ð¸N» в новое Ð?оÐoоление ФГОÐi N обNзаN‚елNŒÐ½N‹Ð¼ введением NÐoзамена, N‡N‚о в знаN‡Ð¸N‚елNŒÐ½Ð¾Ð¹ NN‚еÐ?ени Ð?овN‹NиN‚ моN‚иваN†Ð¸NŽ обNƒN‡Ð°NŽN‰Ð¸N…NN. ДлN Ð?овN‹NˆÐµÐ½Ð¸N NN„N„еÐoN‚ивноNN‚и NƒNвоениN маN‚еN€Ð¸Ð°Ð»Ð° Ð?N€Ð°ÐoN‚иN‡ÐµNÐoие занNN‚иN N†ÐµÐ»ÐµNообN€Ð°Ð·Ð½Ð¾ Ð?N€Ð¾Ð²Ð¾Ð´Ð¸N‚NŒ N иNÐ?олNŒÐ·Ð¾Ð²Ð°Ð½Ð¸ÐµÐ¼ инN‚еN€Ð°ÐoN‚ивнN‹N… N„оN€Ð¼ обNƒN‡ÐµÐ½Ð¸N, оNнованнN‹N… на аÐoN‚ивном взаимодейNN‚вии Ð?N€ÐµÐ?одаваN‚елN и NN‚NƒÐ´ÐµÐ½N‚ов: иNÐ?олNŒÐ·Ð¾Ð²Ð°Ð½Ð¸Ðµ деловN‹N… игN€, NовмеNN‚ное N€ÐµNˆÐµÐ½Ð¸Ðµ Ð?N€Ð¾Ð±Ð»ÐµÐ¼, N€Ð°Ð±Ð¾N‚а в малN‹N… гN€NƒÐ?Ð?аN… (Ðoоманде), Ð?N€Ð¾Ð±Ð»ÐµÐ¼Ð½Ð¾Ðµ обNƒN‡ÐµÐ½Ð¸Ðµ и дN€. БолNŒNˆNƒNŽ N€Ð¾Ð»NŒ Ð?N€Ð¸Ð¾Ð±N€ÐµN‚аеN‚ междиNN†Ð¸Ð?линаN€Ð½Ð¾Ðµ обNƒN‡ÐµÐ½Ð¸Ðµ – иNÐ?олNŒÐ·Ð¾Ð²Ð°Ð½Ð¸Ðµ знаний из N€Ð°Ð·Ð½N‹N… облаNN‚ей, иN… гN€NƒÐ?Ð?иN€Ð¾Ð²Ðoа и Ð?N€Ð¸Ð¼ÐµÐ½ÐµÐ½Ð¸Ðµ в ÐoонN‚еÐoNN‚е N€ÐµNˆÐ°ÐµÐ¼Ð¾Ð¹ Ð?N€Ð¾Ð±Ð»ÐµÐ¼N‹. ÐiегоднN N€Ð°NN‚еN‚ знаN‡ÐµÐ½Ð¸Ðµ инN„оN€Ð¼Ð°N†Ð¸Ð¾Ð½Ð½Ð¾-ÐoоммNƒÐ½Ð¸ÐoаN†Ð¸Ð¾Ð½Ð½N‹N…N‚еN…нологий в Ð?N€Ð¾N†ÐµNNе обNƒN‡ÐµÐ½Ð¸N иммNƒÐ½Ð¾Ð»Ð¾Ð³Ð¸Ð¸, оN‡ÐµÐ½NŒ важно Nоздание единой обN€Ð°Ð·Ð¾Ð²Ð°N‚елNŒÐ½Ð¾Ð¹ NN€ÐµÐ´N‹, обеNÐ?еN‡Ð¸Ð²Ð°NŽN‰ÐµÐ¹ NN„N„еÐoN‚ивное взаимодейNN‚вие Ð?N€ÐµÐ?одаваN‚елN и NN‚NƒÐ´ÐµÐ½N‚а. Ðаиболее аÐoN‚NƒÐ°Ð»NŒÐ½N‹ NN‚и Ð?одN…одN‹ в NƒNловиNN… Ð?андемии ÐiОVID-19, Ðoогда знаN‡Ð¸N‚елNŒÐ½Ð°N N‡Ð°NN‚NŒ обNƒN‡ÐµÐ½ ¸N Ð?N€Ð¾N…одиN‚ в диNN‚анN†Ð¸Ð¾Ð½Ð½Ð¾Ð¼ N€ÐµÐ¶Ð¸Ð¼Ðµ. Ð’ обзоN€Ðµ N‚аÐoже обNNƒÐ¶Ð´Ð°ÐµN‚NN Ð?N€Ð¾Ð±Ð»ÐµÐ¼Ð° Ð?одгоN‚овÐoи вN‹NоÐoоÐoвалиN„иN†Ð¸N€Ð¾Ð²Ð°Ð½Ð½N‹N… ÐoадN€Ð¾Ð² Ð?N€ÐµÐ?одаваN‚елей иммNƒÐ½Ð¾Ð»Ð¾Ð³Ð¸Ð¸. Ð’ NƒNловиNN… динамиN‡Ð½Ð¾ N€Ð°Ð·Ð²Ð¸Ð²Ð°NŽN‰ÐµÐ¹NN наNƒÐoи необN…одимо обеNÐ?еN‡Ð¸N‚NŒ Ð?N€ÐµÐµÐ¼NN‚венноNN‚NŒ и неÐ?N€ÐµN€N‹Ð²Ð½Ð¾NN‚NŒ иммNƒÐ½Ð¾Ð»Ð¾Ð³Ð¸N‡ÐµNÐoого обN€Ð°Ð·Ð¾Ð²Ð°Ð½Ð¸N NN‚NƒÐ´ÐµÐ½N‚ов, оN€Ð´Ð¸Ð½Ð°N‚оN€Ð¾Ð² и вN€Ð°N‡ÐµÐ¹ N€Ð°Ð·Ð½N‹N… NÐ?еN†Ð¸Ð°Ð»NŒÐ½Ð¾NN‚ей. (Russian) [ FROM AUTHOR] Copyright of Immunologiya is the property of Publishing Group GEOTAR-Media and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full . (Copyright applies to all s.)
- Published
- 2021
- Full Text
- View/download PDF
45. Asthma-associated risk for COVID-19 development
- Author
-
Chrysanthi Skevaki, Min Xie, Harald Renz, Antonina Karsonova, and Alexander Karaulov
- Subjects
0301 basic medicine ,medicine.medical_specialty ,HI, Heterologous immunity ,Immunology ,Inflammation ,Context (language use) ,Coronary artery disease ,03 medical and health sciences ,0302 clinical medicine ,ACE-2, Angiotensin-converting enzyme-2 ,Diabetes mellitus ,Epidemiology ,Pandemic ,medicine ,Humans ,type 2 asthma ,Immunology and Allergy ,Intensive care medicine ,Pandemics ,Asthma ,COVID-19, Coronavirus disease 2019 ,TMPRSS2, Transmembrane proteases serine 2 ,non–type 2 asthma ,ICS, Inhaled corticosteroid ,SARS-CoV-2 ,business.industry ,Reviews and Feature Article ,COVID-19 ,asthma ,medicine.disease ,Pathophysiology ,respiratory tract diseases ,030104 developmental biology ,030228 respiratory system ,endotypes ,medicine.symptom ,business - Abstract
The newly described severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) is responsible for a pandemic (coronavirus disease 2019 [COVID-19]). It is now well established that certain comorbidities define high-risk patients. They include hypertension, diabetes, and coronary artery disease. In contrast, the context with bronchial asthma is controversial and shows marked regional differences. Because asthma is the most prevalent chronic inflammatory lung disease worldwide and SARS-CoV-2 primarily affects the upper and lower airways leading to marked inflammation, the question arises about the possible clinical and pathophysiological association between asthma and SARS-CoV-2/COVID-19. Here, we analyze the global epidemiology of asthma among patients with COVID-19 and propose the concept that patients suffering from different asthma endotypes (type 2 asthma vs non–type 2 asthma) present with a different risk profile in terms of SARS-CoV-2 infection, development of COVID-19, and progression to severe COVID-19 outcomes. This concept may have important implications for future COVID-19 diagnostics and immune-based therapy developments.
- Published
- 2020
- Full Text
- View/download PDF
46. Temporal Clinical and Laboratory Response to Interleukin-6 Receptor Blockade With Tocilizumab in 89 Hospitalized Patients With COVID-19 Pneumonia
- Author
-
Alexander Karaulov, Anton A. Chernov, Inna V. Samsonova, Irina P. Beloglazova, Daria Fomina, M. A. Lysenko, Zinaida Yu. Mutovina, Nataliya G. Poteshkina, and Tat'yana S. Kruglova
- Subjects
lcsh:Immunologic diseases. Allergy ,Microbiology (medical) ,medicine.medical_specialty ,medicine.medical_treatment ,Immunology ,Gastroenterology ,chemistry.chemical_compound ,tocilizumab ,Tocilizumab ,Internal medicine ,lcsh:Pathology ,Immunology and Allergy ,Medicine ,pneumonia ,Interleukin 6 ,Molecular Biology ,Mechanical ventilation ,IL-6 ,biology ,business.industry ,SARS-CoV-2 ,C-reactive protein ,medicine.disease ,Blockade ,Pneumonia ,Infectious Diseases ,chemistry ,cytokine storm ,biology.protein ,Lymphocytopenia ,lcsh:RC581-607 ,business ,Cytokine storm ,Covid-19 ,lcsh:RB1-214 ,Research Article - Abstract
Background: Pandemic COVID-19 pneumonia due to SARS-2 is an important cause of morbidity and mortality. Emerging evidence links poor outcomes to an inflammatory cytokine storm.Methods: We treated 89 hospitalized patients with COVID-19 pneumonia and heightened systemic inflammation (elevated serum C reactive protein and interleukin-6 levels) with an infusion of tocilizumab (TCZ), a human monoclonal IgG1 antibody to the interleukin-6 receptor.Results: Clinical and laboratory evidence of improvement was evident when baseline and 1-2-day post-infusion indices were compared. Among the 72 patients receiving supplemental oxygen without mechanical ventilation, severity of condition on the NEWS2 scale scores fell from 5 to 2 (P30 mg/L) and low lymphocyte counts (
- Published
- 2020
47. DISCRIMINANT ANALYSIS IN ESTABLISHING THE RELATIONSHIP OF PATHOGENETIC MECHANISMS OF GESTATIONAL COMPLICATIONS IN UROGENITAL INFECTION IN PREGNANT WOMEN
- Author
-
Yu.V. Nesvizhsky, Alexander Karaulov, A B Borisova, Yu.N. Urban, S.S. Afanasiev, O.Y. Borisova, A.D. Voropaev, A M Zatevalov, Voropaeva Ea, A Y Mironov, N.L. Bondarenko, and M. S. Afanasiev
- Subjects
macromolecular substances ,Abortion ,Miscarriage ,03 medical and health sciences ,Obstetric Labor, Premature ,Pregnancy ,Humans ,Medicine ,Childbirth ,Pregnancy Complications, Infectious ,030304 developmental biology ,0303 health sciences ,business.industry ,Genitourinary system ,030302 biochemistry & molecular biology ,Biochemistry (medical) ,Infant, Newborn ,Discriminant Analysis ,General Medicine ,biochemical phenomena, metabolism, and nutrition ,medicine.disease ,Pathophysiology ,Abortion, Spontaneous ,Pregnancy Complications ,Medical Laboratory Technology ,Premature birth ,Immunology ,Premature Birth ,Gestation ,Female ,business - Abstract
The aim of the work - to establish the interconnection and interdependence of toll-like mediated pathogenetic mechanisms of urogenital infection in pregnant women from the position of epigenomics. Using discriminant analysis in 89 patients with urogenital infection in pregnant women for the first time was established a reliable evidence-based relationship and interdependence between mucosal immunity, the severity of the infectious process, clinical manifestations, symptoms of miscarriage in the background of simultaneous development of the infectious process and pregnancy. For urgent delivery (infection), urgent childbirth (infection and clinical manifestation) and premature birth, mucosal immunity determines the severity of anti-infective resistance (with increasing mucosal immunity oppression of infectious process and clinical manifestations is logged , and its decrease increases the severity of infection process and clinical manifestations); the inhibition of mucosal immunity prevails over its hyperreaction (inhibition of mucosal immunity is determined by the physiological immunodepression in response to the development of pregnancy, as well as in response to herpes virus infection when activated); the severity of the infectious process depends on the severity of clinical manifestations and symptoms of miscarriage. During miscarriage mucosal immunity provides the pathophysiological course of infectious process and the clinical manifestations and development of symptoms of misacrriage; increasing levels of mucosal immunity to hyperreaction contributes to the development of symptoms of abortion and miscarriage; not registered mutual influence of oppression, mucosal immunity and its hyperreaction; the severity of the infectious process does not depend on the severity of clinical signs and symptoms of miscarriage. In urgent childbirth (infection), the oppression of mucosal immunity does not affect the severity of clinical manifestations, symptoms of abortion and the infectious process. In urgent or premature birth, and termination of pregnancy, the oppression of mucosal immunity affects the severity of clinical manifestations, the severity of the infectious process and the symptoms of abortion; the severity of clinical manifestations and the severity of the symptoms of abortion are interrelated. In urgent birth (infection) mucosal immunity overreaction affects the severity of clinical manifestations, symptoms of miscarriage and infection; in case of term and preterm labour overreaction mucosal immunity on the severity of infection and symptoms of abortion and does not affect the severity of clinical manifestations and at the termination of a pregnancy mucosal immunity on the severity of the infectious process and does not affect the severity of clinical signs and symptoms of abortion. The levels of mucosal immunity inhibition, its hyperreaction, clinical manifestations, symptoms of pregnancy termination and the severity of the infectious process do not depend on the type of herpes simplex virus. In the absence of infection with herpes simplex virus in patients with urogenital infections of pregnant women, there is no mutual influence and the relationship between the oppression of mucosal immunity and hyperreaction of mucosal immunity, the oppression of mucosal immunity prevails over its hyperreaction. With increasing mucosal immunity oppression, increased anti-infectious resistance of the body (the decreased activity of the infectious process), and with its decrease decreased (increased activity of the infectious process). Hyperreaction of mucosal immunity influenced the severity of pregnancy termination symptoms, clinical manifestations and infectious process, and also determined the severity of pregnancy termination symptoms. The severity of the infectious process and clinical manifestations influenced the symptoms of abortion. The severity of the infectious process did not affect the clinical manifestations. During infection with herpes simplex virus type I or type I and II on the background prevalence of oppression mucosal immunity over hyperreaction mucosal immunity, the presence of relationships between them, and the impact of mucosal immunity on the severity of the infectious process and the clinical manifestations increase mucosal immunity has been shown to decrease the severity of infection and clinical manifestations (reduction of anti-infective resistance), while reducing mucosal immunity the severity of infection and clinical manifestations increased. Hyperreaction of mucosal immunity influenced the severity of pregnancy termination symptoms and determined the severity of pregnancy termination symptoms. The severity of the infectious process and clinical manifestations influenced the symptoms of abortion. The severity of clinical manifestations reflects the severity of the infectious process. In type I and type II of pregnancy, the level of mucosal immunity determines the anti-infectious resistance of the body in urogenital infection of pregnant women. Inhibition of mucosal immunity and its hyperreactions are interrelated, have an impact on each other, as a result of their integral interaction, increasing the levels of mucosal immunity leads to a decrease in the severity of clinical manifestations and the infectious process, reducing the levels of mucosal immunity contributes to the manifestation of clinical manifestations, as well as increasing the severity of the infectious process. Hyperreaction of mucosal immunity affects the severity of symptoms of abortion, infection and clinical manifestations. The infectious process and clinical manifestations determine the severity of the symptoms of abortion. In type III and type IV of pregnancy course, there is no mutual influence of mucosal immunity oppression and its hyperreaction. The levels of indicators of mucosal immunity oppression and its hyperreaction are interrelated; the increase in the severity of mucosal immunity oppression is accompanied by a decrease in clinical manifestations and severity of the infectious process and vice versa. Hyperreaction of mucosal immunity affects the severity of symptoms of abortion, infection and clinical manifestations. The infectious process determines the severity of the symptoms of abortion and clinical manifestations, acting as a leading component of gestational complications in urogenital infection of pregnant women. In the III type of pregnancy course oppression of mucosal immunity does not affect the severity of symptoms of miscarriage. In the IV type of pregnancy course, the levels of mucosal immunity oppression prevail over the indicators of mucosal immunity hyperreaction, which is due to the integral interaction of physiological inhibition of immunological reactivity of the organism in response to pregnancy and inhibition of immunological reactivity of the organism, accompanying the activation of infectious process of viral genesis. Hyperreaction of mucosal immunity determines the symptoms of abortion.
- Published
- 2020
- Full Text
- View/download PDF
48. Toward personalization of asthma treatment according to trigger factors
- Author
-
Luis Caraballo, Susanne Greber-Platzer, W. Pohl, Bulent Enis Sekerel, Valérie Siroux, Elena S. Fedenko, Natalia Ilina, Paolo Maria Matricardi, Harald Renz, Petra Pazderova, Zhanat Ispayeva, Elopy Sibanda, Kian Fan Chung, Nikolaos G. Papadopoulos, Hugo Van Bever, Marianne van Hage, Alexander Emelyanov, S. G. Makarova, Roxana S. Bumbacea, Carmen Panaitescu, Erika von Mutius, Faith H. A. Osier, Sebastian L. Johnston, Jin Lyu Sun, Gary W.K. Wong, R S Fassakhov, Ludmila P. Sizyakina, Kristina Borochova, Jiu-Yao Wang, Evgeny Beltyukov, Zhongshan Gao, Kari C. Nadeau, Antonina Karsonova, Marco Idzko, Snezhana Bychkovskaya, A.N. Pampura, Katarzyna Niespodziana, Peter Errhalt, Tatiana Baranovskaya, Dmitry Kudlay, M. Gotua, Natalia Astafyeva, Thomas Schlederer, Marek L. Kowalski, Rezeda Fayzullina, Musa Khaitov, Tetiana Umanets, Ksenja Riabova, Leyla Namazova-Baranova, Pedro Giavina-Bianchi, Ruby Pawankar, Mohamed-Ridha Barbouche, Zsolt Szépfalusi, Sergii Zaikov, Hae-Sim Park, Guillermo Horacio Docena, Irina Evsegneeva, Mihaela Zidarn, Michael Levin, Adnan Custovic, Jean Bousquet, Elena Kovzel, Paul M. O'Byrne, Daria Fomina, Oleksandr Nazarenko, Elena Borzova, Thomas Eiwegger, Olga Naumova, Gunilla Hedlin, Omer Kalayci, Rudolf Valenta, Vanitha Sampath, Angelika Berger, Margarita Vasileva, Alexander Karaulov, Graduate School, Medical Microbiology and Infection Prevention, AII - Inflammatory diseases, Salvy-Córdoba, Nathalie, Medizinische Universität Wien = Medical University of Vienna, Saratov State Medical University, Partenaires INRAE, Belarusian Medical Academy of Post-Graduate Education [Minsk] (BelMAPGE), Laboratoire d'immunologie clinique [Institut Pasteur de Tunis], Institut Pasteur de Tunis, Réseau International des Instituts Pasteur (RIIP)-Réseau International des Instituts Pasteur (RIIP), South Ural State Medical University, Russian Medical Academy for Continuous Medical Education [Moscow], Pirogov Russian National Research Medical University, Sechenov First Moscow State Medical University, Centre Hospitalier Régional Universitaire [Montpellier] (CHRU Montpellier), Contre les MAladies Chroniques pour un VIeillissement Actif en Languedoc-Roussillon (MACVIA-LR), Université Montpellier 1 (UM1)-Centre Hospitalier Régional Universitaire [Montpellier] (CHRU Montpellier)-Institut National de la Santé et de la Recherche Médicale (INSERM)-Centre Hospitalier Universitaire de Nîmes (CHU Nîmes)-Université de Montpellier (UM)-Centre National de la Recherche Scientifique (CNRS)-European Innovation Partnership on Active and Healthy Ageing Reference Site (EIP on AHA), Commission Européenne-Commission Européenne-Organisation Mondiale de la Santé / World Health Organization Office (OMS / WHO), Humboldt University Of Berlin, Berlin Institute of Health (BIH), University of Medicine and Pharmacy 'Carol Davila' Bucharest (UMPCD), Krasnoyarsk State Medical University (KrasSMU), Universidad de Cartagena [Cartagena de Indias], National Heart and Lung Institute [London] (NHLI), Imperial College London-Royal Brompton and Harefield NHS Foundation Trust, Universidad Nacional de la Plata [Argentine] (UNLP), The Hospital for sick children [Toronto] (SickKids), North-Western State Medical University [St Petersburg, Russia], Krems University Hospital, Kazan Federal University (KFU), Bashkir State University (BASHEDU), NRC Institute of immunology FMBA, Moscow Russian federation, Zhejiang Gongshang University [Hangzhou] (ZJSU), Universidade de São Paulo = University of São Paulo (USP), Tbilisi State University, Astrid Lindgren Children's Hospital, Karolinska University Hospital [Stockholm], Karolinska Institutet [Stockholm], Al-Farabi Kazakh National University [Almaty] (KazNU), Faculty of Medicine [Hacettepe University], Hacettepe University = Hacettepe Üniversitesi, Nazarbayev University [Kazakhstan], Medical University of Łódź (MUL), University of Cape Town, Dmitry Rogachev National Research Center of Pediatric Hematology, Charité - UniversitätsMedizin = Charité - University Hospital [Berlin], Sean N. Parker Center for Allergy and Asthma Research [Stanford], Stanford Medicine, Stanford University-Stanford University, Pirogov Russian National Reasearch Medical University Moscow, National Academy of Medical Sciences of Ukraine, Shupyk National Medical Academy of Postgraduate Education [Kiev] (SNMAPE), Michael DeGroote School of Medicine [Hamilton, ON, Canada], Faculty of Health Sciences [Hamilton, ON, Canada], McMaster University [Hamilton, Ontario]-McMaster University [Hamilton, Ontario], KEMRI-Wellcome Trust Research Programme (KWTRP), Pius Branzeu Clinical Emergency Hospital (OncoGen), University of Manchester [Manchester], National and Kapodistrian University of Athens (NKUA), Ajou University, Nippon Medical School [Tokyo, Japon], Hietzing Hospital, Karl Landsteiner Institute for Dermatological Research, Landesklinikum St. Poelten, University of Giessen and Marburg Lung Center [Gießen, Germany] (UGMLC), German Center for Lung Research, University of Zimbawe [Harare] (UZ), University of Zimbawe, National University of Science and Technology [Bulawayo], Institute for Advanced Biosciences / Institut pour l'Avancée des Biosciences (Grenoble) (IAB), Centre Hospitalier Universitaire [Grenoble] (CHU)-Institut National de la Santé et de la Recherche Médicale (INSERM)-Etablissement français du sang - Auvergne-Rhône-Alpes (EFS)-Centre National de la Recherche Scientifique (CNRS)-Université Grenoble Alpes (UGA), Southern Federal University [Rostov-on-Don] (SFEDU), Peking Union Medical College Hospital [Beijing] (PUMCH), Chinese Academy of Medical Sciences and Peking Union Medical College, National University of Singapore (NUS), Center of Allergology and Clinical Immunology, Dr von Hauner Children's Hospital [Munich, Germany], Ludwig-Maximilians-Universität München (LMU), Helmholtz Centre Munich, German Centre for Lung Research, National Cheng Kung University Hospital [Tainan], The Chinese University of Hong Kong [Hong Kong], Respiratory and Allergic Diseases [Golnik, Slovenia], University Clinic of Respiratory and Allergic Diseases Golnik, University of Ljubljana, and Karl Landsteiner University of Health Sciences - Karl Landsteiner Privatuniversität für Gesundheitswissenschaften [Krems an der Donau, Austria]
- Subjects
0301 basic medicine ,Allergy ,MESH: Asthma ,Rhinovirus ,Asthma treatment ,CHILDREN ,EPITOPE ,Disease ,Microarray ,medicine.disease_cause ,sopenje ,alergeni ,Personalization ,Atopy ,0302 clinical medicine ,immune system diseases ,astma ,Immunology and Allergy ,MESH: Animals ,Precision Medicine ,RISK ,MESH: Rhinovirus ,respiratorni znaki in simptomi ,analiza mikromrež ,Allergen ,alergija in imunologija ,SENSITIZATION ,personalizirana medicina ,Wheeze ,rhinovirus ,allergy and immunology ,INFECTIONS ,1107 Immunology ,wheeze ,ATOPY ,[SDV.IMM]Life Sciences [q-bio]/Immunology ,medicine.symptom ,Life Sciences & Biomedicine ,Bioquímica ,medicine.medical_specialty ,MESH: Allergens ,[SDV.IMM] Life Sciences [q-bio]/Immunology ,precision medicine ,Immunology ,udc:616-097 ,MESH: Precision Medicine ,03 medical and health sciences ,[SDV.MHEP.PED] Life Sciences [q-bio]/Human health and pathology/Pediatrics ,rinovirus ,medicine ,Animals ,Humans ,allergens ,IMMUNOTHERAPY ,Intensive care medicine ,Asthma ,[SDV.MHEP.PED]Life Sciences [q-bio]/Human health and pathology/Pediatrics ,MESH: Humans ,Science & Technology ,business.industry ,Allergens ,asthma ,respiratory ,medicine.disease ,respiratory tract diseases ,signs and symptoms ,030104 developmental biology ,ANTIBODY ,030228 respiratory system ,Ciencias Médicas ,MESH: Biomarkers ,microarray analysis ,business ,Biomarkers ,RESPONSES - Abstract
Asthma is a severe and chronic disabling disease affecting more than 300 million people worldwide. Although in the past few drugs for the treatment of asthma were available, new treatment options are currently emerging, which appear to be highly effective in certain subgroups of patients. Accordingly, there is a need for biomarkers that allow selection of patients for refined and personalized treatment strategies. Recently, serological chip tests based on microarrayed allergen molecules and peptides derived from the most common rhinovirus strains have been developed, which may discriminate 2 of the most common forms of asthma, that is, allergen- and virus-triggered asthma. In this perspective, we argue that classification of patients with asthma according to these common trigger factors may open new possibilities for personalized management of asthma., La lista completa de autores que integran el documento puede consultarse en el archivo., Facultad de Ciencias Exactas
- Published
- 2020
- Full Text
- View/download PDF
49. Past, present, and future of allergen immunotherapy vaccines
- Author
-
Thomas Wekerle, Roman Khanferyan, Ksenja Riabova, Antonina Karsonova, Winfried F. Pickl, Sabine Flicker, Rudolf Valenta, Margarete Focke-Tejkl, I P Shilovskiy, Dmitriy A. Kudlay, Inna Tulaeva, Musa Khaitov, Alexander Karaulov, and Yulia Dorofeeva
- Subjects
Allergen immunotherapy ,Allergy ,molecular allergy vaccines ,medicine.medical_treatment ,Immunology ,Reviews ,Review Article ,Disease ,Immunoglobulin E ,medicine.disease_cause ,Allergen ,Immune system ,Hypersensitivity ,Humans ,Immunology and Allergy ,Medicine ,Vaccines ,biology ,business.industry ,Immunotherapy ,Allergens ,allergy ,medicine.disease ,allergen‐specific immunotherapy ,Desensitization, Immunologic ,biology.protein ,Antibody ,business ,allergen - Abstract
Allergen‐specific immunotherapy (AIT) is an allergen‐specific form of treatment for patients suffering from immunoglobulin E (IgE)‐associated allergy; the most common and important immunologically mediated hypersensitivity disease. AIT is based on the administration of the disease‐causing allergen with the goal to induce a protective immunity consisting of allergen‐specific blocking IgG antibodies and alterations of the cellular immune response so that the patient can tolerate allergen contact. Major advantages of AIT over all other existing treatments for allergy are that AIT induces a long‐lasting protection and prevents the progression of disease to severe manifestations. AIT is cost effective because it uses the patient´s own immune system for protection and potentially can be used as a preventive treatment. However, broad application of AIT is limited by mainly technical issues such as the quality of allergen preparations and the risk of inducing side effects which results in extremely cumbersome treatment schedules reducing patient´s compliance. In this article we review progress in AIT made from its beginning and provide an overview of the state of the art, the needs for further development, and possible technical solutions available through molecular allergology. Finally, we consider visions for AIT development towards prophylactic application.
- Published
- 2020
- Full Text
- View/download PDF
50. Analysis of the Pharmacokinetics of Suppository Forms of Bacteriophages
- Author
-
M. N. Anurova, A O Styshnev, A.V. Aleshkin, E O Rubalskii, E R Mekhtiev, E R Zul'karneev, L.I. Novikova, E. O. Bakhrushina, S.S. Bochkareva, Andrey V. Letarov, Alexander Karaulov, and Irina A. Kiseleva
- Subjects
Male ,0301 basic medicine ,biology.animal_breed ,Biological Availability ,Rectum ,Urine ,Suppository ,General Biochemistry, Genetics and Molecular Biology ,Microbiology ,Feces ,03 medical and health sciences ,0302 clinical medicine ,Pharmacokinetics ,Administration, Rectal ,medicine ,Animals ,Bacteriophages ,biology ,Chemistry ,Suppositories ,General Medicine ,Chinchilla rabbit ,030104 developmental biology ,medicine.anatomical_structure ,Rectal administration ,DNA, Viral ,Rabbits ,030217 neurology & neurosurgery - Abstract
Pharmacokinetics of suppository forms of bacteriophages was studied on male Chinchilla rabbits. Suppositories with various composition of bacteriophages were administered once per rectum to rabbits, and the presence of phage particles was estimated in the blood, urine, and feces over 24 h. Pharmacokinetic study showed that the phages were detected in the blood, urine, and feces at various terms of the experiment irrespective of the size of viral particles, which confirmed the possibility of their systemic effects after rectal administration. Thus, the use of suppository form of bacteriophages can ensure the presence of phage particles even in infection foci that cannot directly contact with the preparation.
- Published
- 2020
- Full Text
- View/download PDF
Catalog
Discovery Service for Jio Institute Digital Library
For full access to our library's resources, please sign in.