27 results on '"Mohammadian M"'
Search Results
2. Effects of different light spectra on the performance of lettuce in a closed vertical system
- Author
-
Karimi, M., primary, Roozban, M., additional, Seifikalhor, M., additional, Mohammadian, M., additional, Mokhtarpour, Z., additional, Hasan Mousavi, S., additional, and Aliniaeifard, S., additional
- Published
- 2024
- Full Text
- View/download PDF
3. Survival rate and quality characteristics of grafted cucumber seedlings as influenced by lighting environment
- Author
-
Mohammadian, M., primary, Bekhradi, F., additional, Lotfi, M., additional, Rahafrouz, H., additional, Esmaeili, S., additional, and Aliniaeifard, S., additional
- Published
- 2024
- Full Text
- View/download PDF
4. Validity and reliability of torso- versus waist-worn inertial measurement units in the assessment of vertical jumps.
- Author
-
Amin Mohammadian M, Mozayyany H, Bagheri Koudakani S, and Maloney SJ
- Subjects
- Humans, Male, Female, Reproducibility of Results, Young Adult, Biomechanical Phenomena, Adult, Wearable Electronic Devices, Accelerometry methods, Accelerometry instrumentation, Movement physiology, Athletes, Torso physiology
- Abstract
The aim of the current study was to compare the reliability and validity of jump variables determined from torso- and waist-worn inertial measurement units (IMU) in comparison to force platform measures. Twenty-seven students-athletes completed eight countermovement (CMJ) and squat jumps (SJ) on a force platform with IMUs mounted on the pelvis and torso. Variables including jump height and phase-specific duration, impulse and power were calculated from force platform and both IMUs independently. Considering both IMU locations, the coefficients of variation (CV) observed for all CMJ variables were ≤ 2.5 % larger than the force platform with the exception of concentric impulse with the torso-worn worn IMU (6.9 %). Differences in CVs observed between IMU and force platform variables appeared greater in the SJ. For velocity-derived jump height and concentric impulse from both IMU placements, and torso-worn IMU mean power, CVs were > 2.5 % larger than the force platform. Both IMU placements overestimated jump height determined by flight time (+22 to +35 %) and underestimated jump height determined by take-off velocity (-10 to -18 %). In conclusion, the reliability of IMU metrics was largely comparable to the force platform. However, systematic bias was observed for most metrics. Practitioners should exercise caution if seeking to model jump performance with IMUs., Competing Interests: Declaration of competing interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper., (Copyright © 2024 Elsevier Ltd. All rights reserved.)
- Published
- 2024
- Full Text
- View/download PDF
5. Multifaceted Role of Vitamin D in Breast Cancer: A Systematic Review of Genetic and Pathway-Based Mechanisms.
- Author
-
Abdollahi S, Vahdat M, Saeedirad Z, Mahmoudi Z, Torkaman M, Abbassi Mobarakeh K, Mirshafahi MA, Keshavarz Mohammadian M, Ataei Kachooei M, Azizi-Tabesh G, Shamsi-Goushki A, Gholamalizadeh M, Khoshdooz S, Doaei S, and Poorhosseini SM
- Subjects
- Humans, Female, Vitamin D Deficiency complications, Apoptosis, Vitamins pharmacology, Vitamins therapeutic use, Breast Neoplasms genetics, Breast Neoplasms pathology, Breast Neoplasms metabolism, Vitamin D, Autophagy
- Abstract
Background: Despite advancements in breast cancer (BC) diagnosis and treatment, it continues to be a serious health concern among women due to its high incidence rate. Thus, prevention strategies in BC are essential. Some nutrients such as vitamin D may play a preventive role against BC through different genes which have a vital role in several pathways. These pathways include autophagy, tumorigenesis, apoptosis, immunity, and genome stability. This study aimed to review the role of vitamin D in BC via the network of vitamin D-regulated pathways., Methods: This systematic review was conducted following PRISMA guidelines. PubMed, ScienceDirect, and Scopus were searched using a combination of MeSH terms and keywords related to molecular and cellular mechanisms of the effects of vitamin D on breast cancer. A total of 200 articles were initially found, from which 14 relevant studies were selected based on specific inclusion and exclusion criteria., Results: Experimental studies have shown possible anti-carcinogenic effects of vitamin D-related genes due to their participation in regulating autophagy, tumorigenesis, apoptosis, immunity, and genome stability in normal and malignant breast cells. Moreover, vitamin D deficiency has the potential to create a supportive environment that promotes proangiogenic processes, tumor cell dissemination, metastasis, and establishment at secondary sites., Conclusion: Vitamin D may have systematic roles against BC in humans through various interactions with different genes, which have roles in different and important pathways as underlying mechanisms in the pathophysiology of BC. More broadly, research is also needed to determine the exact protective effect of vitamin D on BC risk.
- Published
- 2024
- Full Text
- View/download PDF
6. The association between mode of childbirth delivery and early childhood caries: A comprehensive systematic review and meta-analysis.
- Author
-
Xiang L, Kozlitina IA, Mohammadian M, Choopani R, and Mohammadian-Hafshejani A
- Subjects
- Humans, Female, Pregnancy, Child, Preschool, Child, Parturition, Dental Caries epidemiology, Dental Caries etiology, Delivery, Obstetric, Cesarean Section
- Abstract
Background: Early childhood caries (ECC), also known as dental caries, poses a significant challenge to the oral health and overall well-being of young children. This study aims to investigate the potential relationship between the mode of delivery and the odds of ECC., Methods: We conducted a meticulous systematic review and meta-analysis, gathering studies from reputable databases, including Web of Science, Scopus, PubMed, Cochrane, Google Scholar, and Embase. The selected studies underwent rigorous evaluation for heterogeneity, utilizing statistical tests such as the Chi-square test, I2, meta-regression analysis, sensitivity analysis, and subgroup analysis. We assessed the presence of publication bias using Begg's and Egger's tests, while the quality of the articles was evaluated using the Newcastle-Ottawa Scale checklist., Results: Our analysis included a robust dataset of 24 studies conducted between 1997 and 2024, involving a total of 71,732 participants. The meta-analysis revealed an odds ratio of 1.05 (95% CI: 0.86-1.30; P-value = 0.610) for dental caries in children born via cesarean section. Importantly, we found no evidence of publication bias, as indicated by non-significant results from Begg's test (P-value = 0.568) and Egger's test (P-value = 0.807). Meta-regression analysis did not identify any significant associations between the study variables and the observed heterogeneity (P > 0.10). Sensitivity analysis further confirmed the stability of the study results, with no significant changes detected., Conclusion: In conclusion, our comprehensive meta-analysis provides compelling evidence that there is no significant association between the mode of delivery and the odds of ECC. These findings enhance our understanding of this important topic and have implications for clinical practice and public health interventions., Competing Interests: The authors have declared that no competing interests exist., (Copyright: © 2024 Xiang et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.)
- Published
- 2024
- Full Text
- View/download PDF
7. Synthesis of Novel 3,4-Dihydropyrimidine Derivatives, Cytotoxic Activity Evaluation, Apoptosis, Molecular Docking Studies, and MD Simulations.
- Author
-
Faeze Mortazavi S, Ebadi A, Navid Mohammadian M, Mojaddami A, and Toolabi M
- Abstract
In this study, twelve 3,4-dihydropyrimidines derivatives were synthesized through Biginelli multi-component reaction. The efficacy of these compounds against MCF-7, A549, and HeLa cells was evaluated using the MTT method. The results showed that designed derivatives were more effective against A549 cancer cells than MCF-7 and HeLa cells. Compound 5l (bearing 4-Cl-phenyl at C4 of 3, 4-dihydropyrimidin-2(1H)-one ring) was the most potent analogue (A549: 18.65±1.87 μM, HeLa: 26.59±2.71 μM, MCF-7: 31.82±2.64 μM). The presence of an electron-withdrawing group with optimum lipophilicity at the C4 position of the phenyl ring increased the cytotoxic effect. The flow cytometry findings indicated that compound 5l induced apoptosis in A549 cancer cells in a dose-dependent manner. Eg5 and AKT1 were selected as molecular modeling target by applying pharmacology network analyses. The molecular docking results indicated that both enantiomers of compound 5l had significant interactions with key residues in both Eg5 (Gly117 and Glu116) and AKT1 (Ala123 and Glu121) active sites. However, MD simulation revealed that the R enantiomer had a more stable complex and a higher binding affinity to the Eg5 enzyme active site than the S-enantiomer. The affinity of 5l (R enantiomer) to Eg5 was predicted more than AKT1., (© 2024 Wiley-VHCA AG, Zurich, Switzerland.)
- Published
- 2024
- Full Text
- View/download PDF
8. Dynamic Effects Analysis in Fractional Memristor-Based Rulkov Neuron Model.
- Author
-
Ghasemi M, Raeissi ZM, Foroutannia A, Mohammadian M, and Shakeriaski F
- Abstract
Mathematical models such as Fitzhugh-Nagoma and Hodgkin-Huxley models have been used to understand complex nervous systems. Still, due to their complexity, these models have made it challenging to analyze neural function. The discrete Rulkov model allows the analysis of neural function to facilitate the investigation of neuronal dynamics or others. This paper introduces a fractional memristor Rulkov neuron model and analyzes its dynamic effects, investigating how to improve neuron models by combining discrete memristors and fractional derivatives. These improvements include the more accurate generation of heritable properties compared to full-order models, the treatment of dynamic firing activity at multiple time scales for a single neuron, and the better performance of firing frequency responses in fractional designs compared to integer models. Initially, we combined a Rulkov neuron model with a memristor and evaluated all system parameters using bifurcation diagrams and the 0-1 chaos test. Subsequently, we applied a discrete fractional-order approach to the Rulkov memristor map. We investigated the impact of all parameters and the fractional order on the model and observed that the system exhibited various behaviors, including tonic firing, periodic firing, and chaotic firing. We also found that the more I tend towards the correct order, the more chaotic modes in the range of parameters. Following this, we coupled the proposed model with a similar one and assessed how the fractional order influences synchronization. Our results demonstrated that the fractional order significantly improves synchronization. The results of this research emphasize that the combination of memristor and discrete neurons provides an effective tool for modeling and estimating biophysical effects in neurons and artificial neural networks.
- Published
- 2024
- Full Text
- View/download PDF
9. Predictive factors for COVID-19 severity and mortality in hospitalized children.
- Author
-
Mahmoudi S, Pourakbari B, Jafari E, Eshaghi H, Movahedi Z, Heydari H, Mohammadian M, Rahmati MB, Tariverdi M, Shalchi Z, Navaeian A, and Mamishi S
- Subjects
- Humans, Male, Female, Child, Retrospective Studies, Child, Preschool, Infant, Risk Factors, ROC Curve, Adolescent, L-Lactate Dehydrogenase blood, Child, Hospitalized statistics & numerical data, Hospitalization statistics & numerical data, COVID-19 mortality, COVID-19 diagnosis, COVID-19 blood, Severity of Illness Index, C-Reactive Protein analysis, SARS-CoV-2
- Abstract
Background: Understanding the factors influencing disease progression and severity in pediatric COVID-19 cases is essential for effective management and intervention strategies. This study aimed to evaluate the discriminative ability of clinical and laboratory parameters to identify predictors of COVID-19 severity and mortality in hospitalized children., Methods: In this multicenter retrospective cohort study, we included 468 pediatric patients with COVID-19. We developed a predictive model using their demographic, clinical, and laboratory data. The performance of the model was assessed using various metrics including sensitivity, specificity, positive predictive value rates, and receiver operating characteristics (ROC)., Results: Our findings demonstrated strong discriminatory power, with an area under the curve (AUC) of 0.818 for severity and 0.873 for mortality prediction. Key risk factors for severe COVID-19 in children include low albumin levels, elevated C-reactive protein (CRP), lactate dehydrogenase (LDH), and underlying medical conditions. Furthermore, ROC curve analysis highlights the predictive value of CRP, LDH, and albumin, with AUC values of 0.789, 0.752, and 0.758, respectively., Conclusion: Our study indicates that laboratory values are valuable in predicting COVID-19 severity in children. Various factors, including CRP, LDH, and albumin levels, demonstrated statistically significant differences between patient groups, suggesting their potential as predictive markers for disease severity. Implementing predictive analyses based on these markers could aid clinicians in making informed decisions regarding patient management., (© 2024. The Author(s).)
- Published
- 2024
- Full Text
- View/download PDF
10. Correction: In vitro effect of granulocyte-macrophage colony-stimulating factor (GM-CSF) on the expression of genes related to sperm motility and energy metabolism and intracytoplasmic sperm injection outcomes in obstructive azoospermic patients.
- Author
-
Tanhaye Kalate Sabz F, Hosseini E, Amjadi FS, Mohammadian M, Zandieh Z, Mohammadian F, Kafaeinezhad R, and Ashrafi M
- Published
- 2024
- Full Text
- View/download PDF
11. The IC87201 (a PSD95/nNOS Inhibitor) Attenuates Post- Stroke Injuries.
- Author
-
Mohammadian M, Bahaoddini A, and Namavar MR
- Subjects
- Animals, Male, Infarction, Middle Cerebral Artery drug therapy, Rats, Neuroprotective Agents therapeutic use, Neuroprotective Agents pharmacology, Rats, Wistar, Stroke drug therapy, Rats, Sprague-Dawley, Disks Large Homolog 4 Protein metabolism
- Abstract
N-methyl-D-aspartate receptor-dependent excitotoxicity is one of the most important mechanisms underlying stroke injury and the resulting neuronal death. In the present study, in order to reduce post-stroke brain injury and improve behavioral performance, a new molecule named IC87201, which acts as an inhibitor of PSD95/nNOS interaction in the intracellular signaling pathway of NMDA receptors, was administered. Using the middle cerebral artery occlusion (MCAO) technique, 24 adult male rats were subjected to one hour of cerebral ischemia. Animals were randomly divided into sham, MCAO, MCAO + DXM, and MCAO + IC87201 groups, and in the last two groups, intraperitoneal injection of dextromethorphan hydrobromide monohydrate (DXM), as an NMDA antagonist, and IC87201 was performed after ischemia. Neurobehavioral scores were evaluated for seven days, and on the last two days, the rats' memory performance was appraised using the passive avoidance test. On seventh day, the brain tissue was properly prepared for stereological analysis. Stereological studies of the hippocampus CA1 and CA3 regions revealed that changes in the total and infarcted volumes, total number of neurons, non-neurons, and dead neurons are the consequences of cerebral ischemia. Also, following cerebral ischemia, neurobehavioral and memory function impairments which were assessed by modified neurological severity scores (mNSS) and passive avoidance test, were observed. The aforementioned impairments were recovered after administration of IC87201 significantly and more potently than DXM. Based on our findings, IC87201 successfully attenuated post-ischemia damages. Therefore, this molecule can be considered as a new therapeutic approach in future research., (© 2024. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.)
- Published
- 2024
- Full Text
- View/download PDF
12. In vitro effect of granulocyte-macrophage colony-stimulating factor (GM-CSF) on the expression of genes related to sperm motility and energy metabolism and intracytoplasmic sperm injection outcomes in obstructive azoospermic patients.
- Author
-
Tanhaye Kalate Sabz F, Hosseini E, Amjadi FS, Mohammadian M, Zandieh Z, Mohammadian F, Kafaeinezhad R, and Ashrafi M
- Subjects
- Adult, Female, Humans, Male, Glucose Transporter Type 3 genetics, Glucose Transporter Type 3 metabolism, Signal Transduction drug effects, Spermatozoa drug effects, Testis metabolism, Testis drug effects, Azoospermia genetics, Azoospermia drug therapy, Energy Metabolism drug effects, Energy Metabolism genetics, Gene Expression Regulation drug effects, Granulocyte-Macrophage Colony-Stimulating Factor pharmacology, Sperm Injections, Intracytoplasmic, Sperm Motility drug effects, Sperm Motility genetics
- Abstract
Background: The presence of granulocyte-macrophage colony-stimulating factor (GM-CSF) and its receptor in various testicular cells and spermatozoa suggests a potential role in enhancing spermatogonial and postmeiotic cell development. Moreover, GM-CSF activates the pivotal pathways implicated in sperm motility regulation and glucose metabolism. However, the impact of GM-CSF on testicular biopsies from patients with obstructive azoospermia (OA) remains unexplored. Therefore, this study aimed to investigate the in vitro effects of GM-CSF on the expression of genes related to glucose transporters and signaling pathways, sperm motility, and viability in testicular biopsies., Methods and Results: Following testicular sperm extraction from 20 patients diagnosed with OA, each sample was divided into two parts: the experimental samples were incubated with medium containing 2 ng/ml GM-CSF at 37 °C for 60 min, and the control samples were incubated with medium without GM-CSF. Subsequently, the oocytes retrieved from the partner were injected with sperm from the treatment and control groups. The sperm parameters (motility and viability), the expression levels of sperm motility-related genes (PIK3R1, PIK3CA, and AKT1), and the expression levels of sperm energy metabolism-related genes (GLUT1, GLUT3, and GLUT14) were assessed. Furthermore, the fertilization and day 3 embryo development rate and embryo quality were evaluated. Compared with those in the nontreated group, the motility parameters and the mRNA expression levels of PIK3R1, AKT1, and GLUT3 in testicular sperm supplemented with GM-CSF were significantly greater (p < 0.05). However, no significant differences in the mRNA expression of PIK3CA, GLUT1, or GLUT14 were detected. According to the ICSI results, compared with the control group, the GM-CSF treatment group exhibited significantly greater fertilization rates (p = 0.027), Day 3 embryo development rate (p = 0.001), and proportions of good-quality embryos (p = 0.002)., Conclusions: GM-CSF increased the expression of genes related to motility and the energy metabolism pathway and effectively promoted the motility of testis-extracted spermatozoa, consequently yielding positive clinical outcomes., (© 2024. The Author(s), under exclusive licence to Springer Nature B.V.)
- Published
- 2024
- Full Text
- View/download PDF
13. A systematic review of the beneficial effects of prebiotics, probiotics, and synbiotics on ADHD.
- Author
-
Allahyari P, Abbas Torki S, Aminnezhad Kavkani B, Mahmoudi Z, Mousavi Hoseini MS, Moradi M, Alami F, Keshavarz Mohammadian M, Bahoo Sele Bani S, Abbasi Mobarakeh K, Shafaei H, Khoshdooz S, Hajipour A, Doaei S, and Gholamalizadeh M
- Subjects
- Humans, Child, Randomized Controlled Trials as Topic methods, Attention Deficit Disorder with Hyperactivity therapy, Prebiotics administration & dosage, Probiotics administration & dosage, Synbiotics administration & dosage
- Abstract
Background: Children with attention deficit hyperactivity disorder (ADHD) may benefit from probiotics and prebiotics, but the effects are unclear. To determine whether probiotics and prebiotics affect children with ADHD, a systematic review was conducted., Methods: The present systematic review analyzed cohort studies and randomized controlled trials that examined whether prebiotics and probiotics are associated with ADHD. Seven randomized controlled trials and two cohort studies met our inclusion criteria., Results: Research on Lactobacillus rhamnosus GG (LGG) probiotic supplementation showed that children with ADHD had better emotional, physical, social, and school functioning, and a higher health-related quality of life compared to the placebo group. The studies also showed that Synbiotic 2000 reduces markers of intestinal and vascular inflammation in children with ADHD, in part through increasing SCFA levels., Conclusion: The use of probiotics and prebiotics as adjuvants therapy in patients with ADHD is beneficial. Further studies with longer duration, including more participants and a variety of age groups, and using various evaluation techniques such as in vivo observation are required to examine the effects of prebiotics and probiotics on ADHD., (© 2024 The Authors. Neuropsychopharmacology Reports published by John Wiley & Sons Australia, Ltd on behalf of The Japanese Society of Neuropsychopharmacology.)
- Published
- 2024
- Full Text
- View/download PDF
14. Giant pedunculated hepatic hemangioma accompanied by a 10-year history of taking oral contraceptive: A case report and literature review.
- Author
-
Samidoust P, Moayerifar M, Mohammadian M, Zamani A, Jafari M, Moayerifar M, Kalavari F, and Foroughifar M
- Abstract
Key Clinical Message: Giant pedunculated hepatic hemangiomas, mostly seen in women, are considered a rare type of giant hepatic hemangioma, with challenging diagnosis. Unlike other types of liver hemangiomas, they can manifest different kinds of symptoms, and are prone to life-threatening manifestations like rupture or torsion., Abstract: Hemangioma is the most common benign liver primary tumor. Hepatic hemangioma >4 cm (some studies suggest >10 cm) is referred to as a giant hemangioma. Although hepatic hemangioma does not manifest symptoms in most cases, a giant hepatic hemangioma can manifest different kinds of symptoms. Giant pedunculated hepatic hemangiomas are considered a rare type of giant hepatic hemangioma, with challenging diagnosis, as the thin pedicle could be hard to be detected on imaging. A 41-year-old woman was admitted to our hospital, with dull discomfort of the right upper quadrant and epigastric region and early satiety for the past 7 months, with the history of taking oral contraceptive (OCP) for 10 years. Ultrasound and computed tomography revealed a 130 × 124 × 76 mm solid mass, with central cystic lesion, located in the midline of the epigastric region, attaching to the inferior surface of the third segment of the left lobe of the liver. Due to the potential risk for torsion, and rupture of the hemangioma, the management of the patient proceeded to surgical excision. Pathological examination of the specimen confirmed the diagnosis of hepatic hemangioma. Giant pedunculated hepatic hemangioma is a rare benign tumor. It demonstrates higher incidence rate in women, as some hemangiomas have estrogen receptors, and estrogen can lead to endothelial cell proliferation and organization in vascular structure. Most hemangiomas do not express any symptoms; therefore, no treatment is needed except for the patients who manifest symptoms, or in giant pedunculated hemangiomas, as they are prone to rupture or torsion. In this review most cases were female, and most of them presented with abdominal pain, in most cases the tumor located in the left lobe of the liver. Almost all the reviewed cases underwent surgery. Giant hepatic hemangioma is a differential diagnosis of palpable mass, or other symptoms of the right upper quadrant, and epigastric region specially in women taking OCP. Imaging is needed to rule out these tumors, and most often, pedunculated hemangioma is harder to be defined on imaging. It requires surgery because of the risk of acute problems, such as torsion and rupture., (© 2024 The Author(s). Clinical Case Reports published by John Wiley & Sons Ltd.)
- Published
- 2024
- Full Text
- View/download PDF
15. Increasing the radiation-induced cytotoxicity by silver nanoparticles and docetaxel in prostate cancer cells.
- Author
-
Hatami Zharabad S, Mohammadian M, Zohdi Aghdam R, Hassanzadeh Dizaj M, and Behrouzkia Z
- Subjects
- Humans, Male, Cell Line, Tumor, Oxidative Stress drug effects, Oxidative Stress radiation effects, Hydrogen Peroxide pharmacology, Cell Survival drug effects, Cell Survival radiation effects, Caspase 3 metabolism, Caspase 3 genetics, Antineoplastic Agents pharmacology, Epidermal Growth Factor metabolism, Epidermal Growth Factor pharmacology, Gene Expression Regulation, Neoplastic drug effects, Gene Expression Regulation, Neoplastic radiation effects, Apoptosis drug effects, Apoptosis radiation effects, Cadherins metabolism, Cadherins genetics, Docetaxel pharmacology, Silver pharmacology, Prostatic Neoplasms radiotherapy, Prostatic Neoplasms drug therapy, Prostatic Neoplasms metabolism, Prostatic Neoplasms genetics, Metal Nanoparticles, Radiation-Sensitizing Agents pharmacology
- Abstract
Background: Radiation therapy is utilized for treatment of localized prostate cancer. Nevertheless, cancerous cells frequently develop radiation resistance. While higher radiation doses have not always been effective, radiosensitizers have been extensively studied for their ability to enhance the cytotoxic effects of radiation. So, this study aims to evaluate the possible radiosensitization effects of docetaxel (DTX) and silver nanoparticles (SNP) in LNCaP cells., Methods: The cytotoxic effects of DTX, SNP and 2 Gy of X-Ray radiation treatments were assessed in human LNCaP cell line using the MTT test after 24 h. Moreover, the effects of DTX, SNP and radiation on Epidermal growth factor (EGF), Caspase 3, inducible nitric oxide synthase and E-cadherin gene expression were analyzed using the Real-time PCR method. The level of Hydrogen peroxide (H
2 O2 ), an oxidative stress marker, was also detected 24 h after various single and combined treatments., Results: The combinations of SNP (in low toxic concentration) and/or DTX (0.25× IC50 and 0.5 × IC50 concentrations for triple and double combinations respectively) with radiation induced significant cytotoxicity in LNCaP cells in comparison to monotherapies. These cytotoxic effects were associated with the downregulation of EGF mRNA. Additionally, H2 O2 levels increased after Radiation + SNP + DTX triple combination and double combinations including Radiation + SNP and Radiation + DTX versus single treatments. The triple combination treatment also increased Caspase 3 and and E-cadherin mRNA levels in compared to single treatments in LNCaP cells., Conclusion: Our results indicate that the combination of SNP and DTX with radiation induces significant anti-cancer effects. Upregulation of Caspase 3 and E-cadherin gene expression, and decreased mRNA expression level of EGF may be exerted specifically by use of this combination versus single treatments., (© 2024. The Author(s), under exclusive licence to Springer Nature B.V.)- Published
- 2024
- Full Text
- View/download PDF
16. Efficacy of a Comprehensive Weight Reduction Intervention in Male Adolescents With Different FTO Genotypes.
- Author
-
Roumi Z, Salimi Z, Mahmoudi Z, Mobarakeh KA, Ladaninezhad M, Zeinalabedini M, Keshavarz Mohammadian M, Shamsi-Goushki A, Saeedirad Z, Bahar B, Khoshdooz S, Kalantari N, Azizi Tabesh G, Doaei S, and Gholamalizadeh M
- Subjects
- Humans, Adolescent, Male, Body Mass Index, Genotype, Obesity genetics, Obesity therapy, Weight Loss genetics, Alpha-Ketoglutarate-Dependent Dioxygenase FTO genetics, Overweight genetics, Polymorphism, Single Nucleotide
- Abstract
Background: The FTO gene polymorphisms may influence the effects of lifestyle interventions on obesity. The present study aimed to assess the influence of the rs9930506 FTO gene polymorphism on the success of a comprehensive weight loss intervention in male adolescents with overweight and obesity., Methods: This study was carried out on 96 adolescent boys with overweight and obesity who were randomly assigned to the intervention (n = 53) and control (n = 43) groups. The blood samples of the participants were collected, and the FTO gene was genotyped for the rs9930506 polymorphism. A comprehensive lifestyle intervention including changes in diet and physical activity was performed for 8 weeks in the intervention group., Results: Following the lifestyle intervention, BMI and fat mass decreased significantly in the intervention group compared with the control group (both p < 0.05), while no change was found in weight, height or body muscle percentage between the groups. The participants in the intervention group with the AA/AG genotype and not in carriers of the GG genotype had a significantly higher reduction in BMI (-1.21 vs. 1.87 kg/m
2 , F = 4.07, p < 0.05) compared with the control group., Conclusion: The intervention in individuals with the AA/AG genotype has been significantly effective in weight loss compared with the control group. The intervention had no association effect on anthropometric indices in adolescents with the GG genotype of the FTO rs9930506 polymorphism., Trial Registration: Name of the registry: National Nutrition and Food Technology Research Institute; Trial registration number: IRCT2016020925699N2; Date of registration: 24/04/2016; URL of trial registry record: https://www.irct.ir/trial/21447., (© 2024 The Authors. Endocrinology, Diabetes & Metabolism published by John Wiley & Sons Ltd.)- Published
- 2024
- Full Text
- View/download PDF
17. Effects of silymarin supplementation on liver and kidney functions: A systematic review and dose-response meta-analysis.
- Author
-
Mohammadi S, Ashtary-Larky D, Asbaghi O, Farrokhi V, Jadidi Y, Mofidi F, Mohammadian M, and Afrisham R
- Subjects
- Humans, Antioxidants pharmacology, Randomized Controlled Trials as Topic, Dose-Response Relationship, Drug, Biomarkers blood, Silymarin pharmacology, Kidney drug effects, Liver drug effects, Dietary Supplements, Oxidative Stress drug effects
- Abstract
It is suggested that supplementation with silymarin (SIL) has beneficial impacts on kidney and liver functions. This systematic review and dose-response meta-analysis assessed the impact of SIL administration on certain hepatic, renal, and oxidative stress markers. A systematic search was conducted in various databases to identify relevant trials published until January 2023. Randomized controlled trials (RCTs) that evaluated the effects of SIL on kidney and liver markers were included. A random-effects model was used for the analysis and 41 RCTs were included. The pooled results indicated that SIL supplementation led to a significant reduction in serum levels of alkaline phosphatase, alanine transaminase, creatinine, and aspartate aminotransferase, along with a substantial elevation in serum glutathione in the SIL-treated group compared to their untreated counterparts. In addition, there was a nonsignificant decrease in serum levels of gamma-glutamyl transferase, malondialdehyde (MDA), total bilirubin, albumin (Alb), total antioxidant capacity, and blood urea nitrogen. Sub-group analyses revealed a considerable decline in MDA and Alb serum values among SIL-treated participants with liver disease in trials with a longer duration (≥12 weeks). These findings suggest that SIL may ameliorate certain liver markers with potential hepatoprotective effects, specifically with long-term and high-dose supplementation. However, its nephroprotective effects and impact on oxidative stress markers were not observed. Additional high-quality RCTs with longer durations are required to determine the clinical efficacy of SIL supplementation on renal and oxidative stress markers., (© 2024 John Wiley & Sons Ltd.)
- Published
- 2024
- Full Text
- View/download PDF
18. Effective biosorption of Al ions from drinking water by lignocellulosic biomass rice straw.
- Author
-
Dakhem M, Ghanati F, Afshar Mohammadian M, and Sharifi M
- Subjects
- Adsorption, Kinetics, Water Purification methods, Thermodynamics, Oryza, Aluminum chemistry, Lignin metabolism, Water Pollutants, Chemical metabolism, Biomass, Drinking Water chemistry, Biodegradation, Environmental
- Abstract
High concentration of aluminum (Al) in drinking water is a major intake source of it and can result in serious diseases. Rice straw (RS) as lignocellulosic biomasses has great potential to peak up metal ions from aqueous environment, however, feasibility of Al
3+ removal by RS has not been investigated yet. The present study aimed to evaluate the capacity of RS as a novel biosorbent for Al3+ from drinking water. Biosorption characteristics of RS were surveyed through several biological and physiochemical techniques. Additionally, isotherm, kinetic and thermodynamic studies were evaluated using various common models. BET profiles revealed the presence of textural mesoporosity on heterogeneous surface, which leading to improve the biosorption capacity. SEM-EDS analysis confirmed the morphological changes as irregularly particles of Al3+ on external surface via physical mechanism. The results of bioassays and FTIR analysis showed carboxylic and hydroxyl groups in lignin and pectin as the main Al3+ binding site. The batch experimental results showed the maximum biosorption capacity of 283.09 mg/g and removal efficiency of 94.86% for Al3+ at biosorbent dosage of 0.05 g/100 mL, contact time of 50 min, pH 7.5, and temperature of 30 °C. The Freundlich model has the best match and suggests the biosorption process as a multi-layer. According to the results of free activation energy, biosorption process was also physical. As thermodynamic result, the biosorption behavior was found spontaneous and endothermic. Consequently, results showed RS as an economical biosorbent for reducing Al3+ of drinking water. Meanwhile, it can be considered as one of the most appropriate methods for management of rice paddies waste.- Published
- 2024
- Full Text
- View/download PDF
19. Nutritional interventions for exercise-induced muscle damage: an umbrella review of systematic reviews and meta-analyses of randomized trials.
- Author
-
Talebi S, Mohammadi H, Zeraattalab-Motlagh S, Arab A, Keshavarz Mohammadian M, Ghoreishy SM, Abbaspour Tehrani Fard M, Amiri Khosroshahi R, and Djafarian K
- Subjects
- Humans, Amino Acids, Branched-Chain therapeutic use, Anthocyanins, Carnitine, Dietary Supplements, Muscles, Plant Extracts, Randomized Controlled Trials as Topic, Systematic Reviews as Topic, Meta-Analysis as Topic, Curcumin, Myalgia
- Abstract
Context: Several meta-analyses have been conducted on the effect of nutritional interventions on various factors related to muscle damage. However, the strength of the evidence and its clinical significance are unclear., Objectives: This umbrella review aimed to provide an evidence-based overview of nutritional interventions for exercise-induced muscle damage (EIMD)., Data Sources: PubMed, Scopus, and ISI Web of Science were systematically searched up to May 2022., Data Extraction: Systematic reviews and meta-analyses of randomized controlled trials investigating nutritional interventions' effects on recovery following EIMD were included. The certainty of the evidence was rated using the Grading of Recommendations Assessment, Development, and Evaluation (GRADE)., Results: Fifty-three randomized controlled trial meta-analyses were included, evaluating 24 nutritional interventions on 10 different outcomes. The results revealed a significant effect of hydroxymethylbutyrate (HMB) supplementation and l-carnitine supplementation for reducing postexercise creatine kinase; HMB supplementation for reducing lactate dehydrogenase; branched-chain amino acids and leaf extract supplementation for reducing the delayed onset of muscle soreness; and l-carnitine, curcumin, ginseng, polyphenols, and anthocyanins for reducing muscle soreness, all with moderate certainty of evidence., Conclusions: Supplementation with HMB, l-carnitine, branched-chain amino acids, curcumin, ginseng, leaf extract, polyphenols, and anthocyanins showed favorable effects on some EIMD-related outcomes., Protocol Registration: PROSPERO registration no. CRD42022352565., (© The Author(s) 2023. Published by Oxford University Press on behalf of the International Life Sciences Institute. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.)
- Published
- 2024
- Full Text
- View/download PDF
20. Occupational Fatigue and Its Relationship with Musculoskeletal Disorders and Heat Stress among the Workers of Summer Crops in Southeast Iran in 2021.
- Author
-
Sharif S, Hasheminejad N, Sharifi H, Tahernejad S, and Mohammadian M
- Abstract
Aims: This research aimed to evaluate work fatigue and its relationship with musculoskeletal disorders (MSDs) and heat stress (WBGT) among greenhouse workers in Jiroft County, southeast Iran., Materials and Methods: This cross-sectional study was carried out between September 2021 and February 2022 among 150 workers in summer crop greenhouses. Data were collected by a demographic questionnaire, the Swedish occupational fatigue inventory (SOFI-20), and the Nordic musculoskeletal questionnaire (NMQ), and wet bulb globe temperature (WBGT) was measured as per ISO 7243. The collected data were analyzed by the χ
2 test, logistic regression, and multivariable linear regression in the Stata 17.0 software., Results: The results showed a higher total fatigue score among the studied workers (mean = 100.71 out of 200). Among the fatigue dimensions, the three dimensions of lack of energy, physical discomfort, and physical exertion had the highest scores of 27.28, 26.71, and 25.71, respectively. The highest rate of MSD prevalence was in the back (54.7%), neck (50.7%), and shoulders (49.3%). Based on ISO 7243, the mean WBGT was beyond the allowed level for most tasks for greenhouse workers. There was a statistically significant relationship between occupational fatigue with MSDs and WBGT., Conclusion: Given the relatively high score reported for fatigue and its relationship with MSDs and heat stress, it is recommended to conduct further and more applied studies to investigate the approaches to alleviating heat stress and physical ergonomic risk factors in greenhouses in this occupational group., Competing Interests: There are no conflicts of interest., (Copyright: © 2024 Indian Journal of Occupational and Environmental Medicine.)- Published
- 2024
- Full Text
- View/download PDF
21. All about blinatumomab: the bispecific T cell engager immunotherapy for B cell acute lymphoblastic leukemia.
- Author
-
Mirfakhraie R, Dehaghi BK, Ghorbi MD, Ghaffari-Nazari H, Mohammadian M, Salimi M, Ardakani MT, and Parkhideh S
- Abstract
Introduction: B cell acute lymphoblastic leukemia-lymphoma (B-ALL) accounts for approximately 75% of ALL cases and is observed in children and adults. Recent advances in disease diagnosis, stratification and prognostication have led to a better characterization of different subgroups of ALL. Notwithstanding the significant improvement in the complete remission rate of B-ALL, patients with minimal residual disease (MRD) and relapsed/refractory (R/R) settings suffer from poor outcomes., Hypothesis: However, novel therapies, such as agents targeting tyrosine kinases or the CD20 molecule, combination therapies and improved supportive care, have changed the treatment landscape of B-ALL., Method and Results: Meanwhile, blinatumomab has been FDA-approved for MRD-positive or R/R B-ALL patients. Blinatumomab is a bispecific T cell engager containing the CD3 and CD19 that recognize domains redirecting cytotoxic T cells to lyse B cells. Promising outcomes, including long-term overall survival and improved MRD-negative response rates, have been reported in patients who received this drug. Adding blinatumomab to new ALL regimens seems promising for achieving better outcomes in poor prognosis B-ALL patients. Nevertheless, the neurotoxicity and cytokine release syndrome are the two major adverse events following the blinatumomab therapy., Conclusion: This review summarizes the function and effectiveness of blinatumomab in R/R and MRD positive B-ALL patients. Furthermore, blinatumomab's positive and negative aspects as a novel therapy for B-ALL patients have been briefly discussed., Competing Interests: Conflicts of interest The authors have no conflicts of interest to declare., (Copyright © 2023. Published by Elsevier España, S.L.U.)
- Published
- 2024
- Full Text
- View/download PDF
22. COVID-19 pandemic and the prevalence of domestic violence against Iranian married women.
- Author
-
Mahdavifar N, Kalan Farmanfarma K, Hiteh M, Mohammadian M, Abbasian A, Vafi Sani F, Khosrorad R, and Salehiniya H
- Subjects
- Humans, Female, Adult, Iran epidemiology, Prevalence, Cross-Sectional Studies, Pandemics, COVID-19 epidemiology, Domestic Violence psychology
- Abstract
Aim: Domestic violence is an important public health and human rights problem. In most countries of the world, including Iran, the COVID-19 pandemic made quarantine necessary to reduce the disease transmission rate. Therefore, due to the spread of the COVID-19 disease and the emergence of mandatory quarantine conditions, the present study was conducted to determine the prevalence of domestic violence against women during the COVID-19 pandemic in Iran., Methods: In this cross-sectional study, which was done in 2020, 240 married women were investigated. Due to the COVID-19 pandemic, data collection was performed through virtual networks using standard questionnaires. Data were analyzed using SPSS. Descriptive statistics (relative frequencies, mean, and standard deviation) were used to determine the extent of violence. Independent t-test and Chi-square were used to analyze the data of the relation between the types of violence with independent variables. Also, the data were analyzed using the logistic regression model., Results: In this study, 240 married women with a mean age of 36.27 were studied. The highest frequency was related to social violence (56.3%), and the lowest was related to financial and verbal violence (11.7%). In addition, a significant relationship was observed between sexual violence and age (p-value < 0.05). A significant relationship was also observed between social violence and education [(OR = 1.99)] Jobs [(OR = 2.4, CI = 95%, 1.30-4.4), quarantine duration [(OR = 1.94, CI = 95%, 0.98-3.7)] and underlying diseases [OR = 1.90]., Conclusion: The high prevalence of domestic violence against women during quarantine indicates the poor health of women in society. Therefore, the roots of violence against women and methods to reduce this problem should be sought. Therefore, identification of subjects at risk and raising women's knowledge may be useful for the prevention of domestic violence and its physical and psychological complications., (© 2023 The Authors. Neuropsychopharmacology Reports published by John Wiley & Sons Australia, Ltd on behalf of The Japanese Society of Neuropsychopharmacology.)
- Published
- 2024
- Full Text
- View/download PDF
23. Late Blood Levels of Neurofilament Light Correlate With Outcome in Patients With Traumatic Brain Injury.
- Author
-
Tuure J, Mohammadian M, Tenovuo O, Blennow K, Hossain I, Hutchinson P, Maanpää HR, Menon DK, Newcombe VF, Takala RSK, Tallus J, van Gils M, Zetterberg H, and Posti JP
- Subjects
- Humans, Prospective Studies, Intermediate Filaments, Glasgow Outcome Scale, Brain Injuries, Traumatic complications, Brain Injuries complications
- Abstract
Neurofilament light (NF-L) is an axonal protein that has shown promise as a traumatic brain injury (TBI) biomarker. Serum NF-L shows a rather slow rise after injury, peaking after 1-2 weeks, although some studies suggest that it may remain elevated for months after TBI. The aim of this study was to examine if plasma NF-L levels several months after the injury correlate with functional outcome in patients who have sustained TBIs of variable initial severity. In this prospective study of 178 patients with TBI and 40 orthopedic injury controls, we measured plasma NF-L levels in blood samples taken at the follow-up appointment on average 9 months after injury. Patients with TBI were divided into two groups (mild [mTBI] vs. moderate-to-severe [mo/sTBI]) according to the severity of injury assessed with the Glasgow Coma Scale upon admission. Recovery and functional outcome were assessed using the Extended Glasgow Outcome Scale (GOSE). Higher levels of NF-L at the follow-up correlated with worse outcome in patients with moderate-to-severe TBI (Spearman's rho = -0.18; p < 0.001). In addition, in computed tomography-positive mTBI group, the levels of NF-L were significantly lower in patients with GOSE 7-8 (median 18.14; interquartile range [IQR] 9.82, 32.15) when compared with patients with GOSE <7 (median 73.87; IQR 32.17, 110.54; p = 0.002). In patients with mTBI, late NF-L levels do not seem to provide clinical benefit for late-stage assessment, but in patients with initially mo/sTBI, persistently elevated NF-L levels are associated with worse outcome after TBI and may reflect ongoing brain injury.
- Published
- 2024
- Full Text
- View/download PDF
24. Granulocyte-Macrophage Colony-Stimulating Factor Cytokine Addition After the Freeze-Thawing Process Improves Human Sperm Motility and Vitality in Asthenoteratozoospermia Patients.
- Author
-
Hosseini E, Afradiasbagharani P, Mohammadian M, Amjadi F, Tabatabaei M, Tanhaye Kalate Sabz F, and Zandieh Z
- Subjects
- Humans, Male, Freezing, Sperm Motility, Granulocyte-Macrophage Colony-Stimulating Factor pharmacology, Semen, Cytokines, Spermatozoa, Cryopreservation methods, Cryoprotective Agents pharmacology, Asthenozoospermia, Semen Preservation methods
- Abstract
The cryopreservation-thawing process of spermatozoa cells has negative impacts on their structure, function, and fertility parameters, which are known as cryoinjury. Asthenozoospermia patients are more susceptible to cryoinjury. Granulocyte-macrophage colony-stimulating factor (GM-CSF) increases sperm glucose uptake via the induction of glucose transporters, resulting in increased sperm motility. This study aimed to investigate the efficiency of GM-CSF supplementation of the cryopreservation media for semen samples of asthenoteratozoospermia patients. The study was carried out on 20 semen samples from infertile men referred to diagnosing semen analysis. To avoid subjective bias, two main sperm motility parameters, including velocity along the curvilinear path and velocity along the straight-line path were considered by the computer-assisted sperm analysis system. Afterward, each semen sample was divided into three equal aliquots and randomly assigned to one of the following groups: group I (control, freezing media only), group II (+GM-CSF, freezing medium supplemented with 2 μL/mL GM-CSF), or group III (GM-CSF added after thawing and washing). Following semen thawing, standard parameters, mitochondrial membrane potential (MMP), and the DNA Fragmentation Index were analyzed. Total sperm motility (progressive and non-progressive) improved significantly in group III samples after a 30-minute incubation with GM-CSF compared with the control group (26.5% ± 3.1% vs. 17.51% ± 2.59%). However, no differences in progressive motility or sperm morphology were found among the three thawed samples. The percentage of vitality was significantly higher in group III compared with the other two groups (28.38% ± 3.4% vs. 22.4% ± 3.08% and 22.14% ± 2.77%, respectively) ( p < 0.05). JC-1 levels (a marker of MMP) were not significantly different between the examined groups (44.95% ± 8.26% vs. 36.61% ± 6.95% vs. 46.67% ± 7.7%, for control, group II, and group III, respectively) ( p > 0.05). GM-CSF may be advantageous as an additive after freezing, improving total motility and viability after 30 minutes of post-thaw incubation; however, when supplied to the freezing media before cryopreservation, it is unable to protect against cryoinjury.
- Published
- 2024
- Full Text
- View/download PDF
25. Neuroimmune activation and increased brain aging in chronic pain patients after the COVID-19 pandemic onset.
- Author
-
Brusaferri L, Alshelh Z, Schnieders JH, Sandström A, Mohammadian M, Morrissey EJ, Kim M, Chane CA, Grmek GC, Murphy JP, Bialobrzewski J, DiPietro A, Klinke J, Zhang Y, Torrado-Carvajal A, Mercaldo N, Akeju O, Wu O, Rosen BR, Napadow V, Hadjikhani N, and Loggia ML
- Subjects
- Adult, Humans, Pandemics, Retrospective Studies, Brain diagnostic imaging, Brain metabolism, Positron-Emission Tomography methods, Aging, Receptors, GABA metabolism, Chronic Pain metabolism, COVID-19
- Abstract
The COVID-19 pandemic has exerted a global impact on both physical and mental health, and clinical populations have been disproportionally affected. To date, however, the mechanisms underlying the deleterious effects of the pandemic on pre-existing clinical conditions remain unclear. Here we investigated whether the onset of the pandemic was associated with an increase in brain/blood levels of inflammatory markers and MRI-estimated brain age in patients with chronic low back pain (cLBP), irrespective of their infection history. A retrospective cohort study was conducted on 56 adult participants with cLBP (28 'Pre-Pandemic', 28 'Pandemic') using integrated Positron Emission Tomography/ Magnetic Resonance Imaging (PET/MRI) and the radioligand [
11 C]PBR28, which binds to the neuroinflammatory marker 18 kDa Translocator Protein (TSPO). Image data were collected between November 2017 and January 2020 ('Pre-Pandemic' cLBP) or between August 2020 and May 2022 ('Pandemic' cLBP). Compared to the Pre-Pandemic group, the Pandemic patients demonstrated widespread and statistically significant elevations in brain TSPO levels (P =.05, cluster corrected). PET signal elevations in the Pandemic group were also observed when 1) excluding 3 Pandemic subjects with a known history of COVID infection, or 2) using secondary outcome measures (volume of distribution -VT - and VT ratio - DVR) in a smaller subset of participants. Pandemic subjects also exhibited elevated serum levels of inflammatory markers (IL-16; P <.05) and estimated BA (P <.0001), which were positively correlated with [11 C]PBR28 SUVR (r's ≥ 0.35; P's < 0.05). The pain interference scores, which were elevated in the Pandemic group (P <.05), were negatively correlated with [11 C]PBR28 SUVR in the amygdala (r = -0.46; P<.05). This work suggests that the pandemic outbreak may have been accompanied by neuroinflammation and increased brain age in cLBP patients, as measured by multimodal imaging and serum testing. This study underscores the broad impact of the pandemic on human health, which extends beyond the morbidity solely mediated by the virus itself., Competing Interests: Declaration of competing interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper., (Copyright © 2023 Elsevier Inc. All rights reserved.)- Published
- 2024
- Full Text
- View/download PDF
26. Combined tracheoesophageal transection following a life-threatening clothesline-type blunt neck trauma: A case report.
- Author
-
Ebrahimian R, Moayerifar M, Gholipour M, Mohammadian M, and Moayerifar M
- Abstract
Introduction: Blunt neck trauma is an uncommon, life-threatening injury that may result in tracheoesophageal transection. The manifestations of these traumas are rather vague and nonspecific; therefore, the injury may be missed, if a careful attention is not paid., Case Presentation: A 23-year-old young man presented with complete transection of the trachea and concurrent esophageal injury, caused by clothesline-type blunt neck trauma, while riding a motorcycle. On early examination, the patient was hemodynamically stable; however, after a few minutes, he manifested respiratory distress and progressive subcutaneous emphysema. The airway immediately was secured by inserting an endotracheal tube in distal part of the transected trachea. Afterward, the patient underwent primary repair of transected trachea and esophagus, and tracheostomy. The post-operative period was uneventful., Discussion: The blunt traumas to neck, which lead to complete transection of the trachea and the esophagus, are rare injuries. Clothesline-type injuries are the principal reasons for cricotracheal separation and further esophageal injuries. In most cases, subcutaneous emphysema is a sign of significant trauma to the aerodigestive tract. After securing the patient's airway, early surgical repair of the transected trachea and esophagus reduces the risk of further complications., Conclusion: This report discusses a rare, life-threatening presentation of blunt neck trauma called clothesline-type injury, that led to complete transection of the trachea and concurrent esophageal rupture. Establishing a secure airway for those patients with tracheal injuries is required. Repairing the injured trachea and esophagus primarily at the earliest possible time can improve the patient prognosis and prevent further complications., Competing Interests: Declaration of competing interest There are none to declare., (Copyright © 2023 The Authors. Published by Elsevier Ltd.. All rights reserved.)
- Published
- 2024
- Full Text
- View/download PDF
27. Outlier Analysis for Acute Blood Biomarkers of Moderate and Severe Traumatic Brain Injury.
- Author
-
Korhonen O, Mononen M, Mohammadian M, Tenovuo O, Blennow K, Hossain I, Hutchinson P, Maanpää HR, Menon DK, Newcombe VF, Sanchez JC, Takala RSK, Tallus J, van Gils M, Zetterberg H, and Posti JP
- Subjects
- Humans, Fatty Acid Binding Protein 3, Prospective Studies, Biomarkers, S100 Calcium Binding Protein beta Subunit, Glial Fibrillary Acidic Protein, Interleukin-10, Brain Injuries, Traumatic diagnostic imaging
- Abstract
Blood biomarkers have been studied to improve the clinical assessment and prognostication of patients with moderate-severe traumatic brain injury (mo/sTBI). To assess their clinical usability, one needs to know of potential factors that might cause outlier values and affect clinical decision making. In a prospective study, we recruited patients with mo/sTBI ( n = 85) and measured the blood levels of eight protein brain pathophysiology biomarkers, including glial fibrillary acidic protein (GFAP), S100 calcium-binding protein B (S100B), neurofilament light (Nf-L), heart-type fatty acid-binding protein (H-FABP), interleukin-10 (IL-10), total tau (T-tau), amyloid β40 (Aβ40) and amyloid β42 (Aβ42), within 24 h of admission. Similar analyses were conducted for controls ( n = 40) with an acute orthopedic injury without any head trauma. The patients with TBI were divided into subgroups of normal versus abnormal ( n = 9/76) head computed tomography (CT) and favorable (Glasgow Outcome Scale Extended [GOSE] 5-8) versus unfavorable (GOSE <5) ( n = 38/42, 5 missing) outcome. Outliers were sought individually from all subgroups from and the whole TBI patient population. Biomarker levels outside Q1 - 1.5 interquartile range (IQR) or Q3 + 1.5 IQR were considered as outliers. The medical records of each outlier patient were reviewed in a team meeting to determine possible reasons for outlier values. A total of 29 patients (34%) combined from all subgroups and 12 patients (30%) among the controls showed outlier values for one or more of the eight biomarkers. Nine patients with TBI and five control patients had outlier values in more than one biomarker (up to 4). All outlier values were > Q3 + 1.5 IQR. A logical explanation was found for almost all cases, except the amyloid proteins. Explanations for outlier values included extremely severe injury, especially for GFAP and S100B. In the case of H-FABP and IL-10, the explanation was extracranial injuries (thoracic injuries for H-FABP and multi-trauma for IL-10), in some cases these also were associated with abnormally high S100B. Timing of sampling and demographic factors such as age and pre-existing neurological conditions (especially for T-tau), explained some of the abnormally high values especially for Nf-L. Similar explanations also emerged in controls, where the outlier values were caused especially by pre-existing neurological diseases. To utilize blood-based biomarkers in clinical assessment of mo/sTBI, very severe or fatal TBIs, various extracranial injuries, timing of sampling, and demographic factors such as age and pre-existing systemic or neurological conditions must be taken into consideration. Very high levels seem to be often associated with poor prognosis and mortality (GFAP and S100B).
- Published
- 2024
- Full Text
- View/download PDF
Catalog
Discovery Service for Jio Institute Digital Library
For full access to our library's resources, please sign in.