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Background: Increased serum concentrations of inflammatory biomarkers in patients indicate a strong association between COVID-19 and inflammation. However, the association between diet-related inflammation and COVID-19 has been less investigated. The aim of this study is to investigate whether the inflammatory scores of the diet are associated with the severity of COVID-19 disease and the probability of hospitalization of patients. Methods: The authors conducted a cross-sectional study involving 141 patients with COVID-19. The empirical dietary inflammatory pattern (EDIP) and dietary inflammation scores (DIS) were calculated based on a 147-item semiquantitative food frequency questionnaire. The association between serum levels of inflammatory biomarkers and diet-related inflammation was also investigated. Results: 74 inpatients and 87 outpatients participated in this study. Higher DIS scores were significantly associated with an increased risk of COVID-related hospitalization (Tertile3 vs. tertile1: OR = 3·62; 95 % CI 1·43 to 9·14, P=0·008 after fully adjustment). This association with EDIP was also observed, but it was not significant. Conclusion: The data from this provide evidence that a pro-inflammatory diet was associated with higher risk of hospitalization due to high severity of COVID-19. [ABSTRACT FROM AUTHOR]

Sulfur mustard (SM) is an established chemical weapon that can result in severe damage to parts of the body. Currently, there are no effective treatments available for SM-caused damage. We aimed to investigate the therapeutic potential of adipose-derived mesenchymal stromal cells (AD-MSCs) and conditioned medium (CM-MSCs) in acute and chronic pulmonary mouse models caused by 2- chloroethyl ethyl sulfide (CEES), an SM analog. The mice were divided into 4 experimental groups:(1) CEES+AD-MSCs, (2) CEES+CMMSCs, (3) CEES, and (4) control. The model observation time was divided into 7 days for the short and 6 months for the long term. AD-MSCs were injected into mice via intraperitoneal injection 24 hours after CEES exposure. The therapeutic effects of AD-MSCs on pulmonary tissue damage were assessed using a histopathologic assay, measuring the neutrophil count, and bronchial alveolar lavage fluid (BALF) protein level. The levels of inflammatory and anti-inflammatory cytokines were evaluated using the enzyme-linked immunosorbent assay as the outcomes of interest. Lung damage progression was reduced by AD-MSC treatment in mice after CEES injection into the peritoneum. The proportion of CD11b+F4/80+ macrophages in the peritoneum was significantly lowered by AD-MSC treatment following CEES exposure. AD-MSC administration also reduced the level of pro-inflammatory cytokines, BALF protein, and nitric oxide levels in the peritoneal cavity. By reducing inflammation and enhancing tissue healing, AD-MSCs and CM-MSC help prevent acute lung damage caused by CEES. The current study supports the use of a mouse model as a solid experimental foundation and indicates potential use for future cell treatment. [ABSTRACT FROM AUTHOR]

Background and Objectives: Respiratory infections are the most serious condition in cystic fibrosis (CF) patients; therefore, a thorough comprehension of the diversity and dominant microbial species in CF airways has a crucial role in treatment. Our objective was to determine the antibiotic resistance profile of CF airways microbiota and compare culture methods and PCR-DGGE to evaluate bacterial diversity. Materials and Methods: Pharyngeal swabs from 121 CF patients were collected. The samples were then cultured, identified and antibiotic resistance testing was performed. Thirty samples were subjected to further molecular surveys. DNA contents of these samples were extracted and amplified using nested-PCR technique and their bacterial diversity was assessed by DGGE. The DGGE patterns were visualized and certain bands were excised and purified. Next, the DNA was amplified by another round of PCR and sent out for sequencing. Results: Staphylococcus aureus, Pseudomonas aeruginosa, and Klebsiella pneumoniae were the most prevalent species isolated using culture methods. S. aureus was the most common bacteria among 6 years and younger patients; while, P. aeruginosa had more prevalence among older ones. The PCR-DGGE results showed more diversity than culture methods, particularly in younger patients who exhibited more bacterial diversity than the older groups. Sequencing results unveiled the presence of certain bacterial species including Haemophilus parainfluenzae and Stenotrophomonas maltophilia which were completely missed in culture. Conclusion: Even though culture-dependent methods are cost-effective, PCR-DGGE appeared to be more efficient to determine bacterial diversity. PCR-DGGE detects less abundant species, though their viability could not be determined using this method. [ABSTRACT FROM AUTHOR]

Sulfur mustard (SM) is a chemical warfare agent with well-known severe toxic effects and may cause long-term debilitating injuries. We aimed to evaluate aging and longevity in Iranian SM-exposed survivors using some endocrine and molecular biomarkers for the first time. Dehydroepiandrosterone (DHEA), prolactin (PRL), cortisol, testosterone, and luteinizing hormone (LH) were measured in 289 male SM-veterans and 66 age-matched males using the ELISA method. Leukocyte Telomere Length (LTL) measurement and p16INK4a expression were measured in the peripheral blood leukocytes of 55 males who were exposed to SM. We found a significantly lower serum DHEAS level and higher serum PRL level in SM-exposed groups (without any related to the severity of lung injuries) compared to healthy controls, but no significant difference in serum levels of cortisol, testosterone, and LH. The molar ratio of DHEAS/cortisol was significantly higher in controls compared to the SM-exposed individuals especially those with severe lung damage. Some biological parameters of allostatic load score such as DHEAS and DHEAS/cortisol ratio significantly decreased long-term after the SM exposure. Additionally, we found that LTL was shorter in SM-exposed veterans rather than unexposed controls while p16INK4a gene expression significantly increased in these groups. It seems that DHEAS, DHEAS/cortisol ratio, LTL, and p16INK4a gene expression have changed significantly in favor of cellular senescence in SM-exposed patients. Therefore, it seems that SM exposure increases biological age compared to chronological age in SM-exposed survivors. [ABSTRACT FROM AUTHOR]

Introduction: The goal of this study was to identify biomarker(s) to assign risk of mortality in COVID‐19 patients to improve intensive care unit (ICU) and coronary care unit management. A total of 100 confirmed COVID‐19 patients admitted at Imam Khomeini Hospital in Tehran, were compared to 70 control subjects. Peripheral blood leukocyte was studied using staining reagents included CD3, CD4, CD8, HLA‐DR, CD19, CD16, and CD56. The immunophenotyping analysis was evaluated using the FACSCalibur instrument. To investigate the cell density of lung infiltrating T cells, postmortem slides of needle necropsies taken from the lung tissue of 3 critical patients were evaluated by immunohistochemistry staining. The number of lymphocyte subpopulations was significantly lower in COVID‐19 patients than in the control group. Regarding the disease severity, the absolute count of T, NK, and HLA‐DR+ T cells were significantly reduced in severe patients compared to the moderate ones. The critical patients had a significantly lower count of CD8‐HLA‐DR+ T cells than the moderate cases. Regarding the disease mortality, based on univariate analysis, the count of HLA‐DR+ T, CD8− HLA‐DR+ T, and CD8+ HLA‐DR+ T cells was associated with mortality in COVID‐19 patients. Receiver operating characteristic curve analysis showed the count of CD8+ HLA‐DR+ T cells is the best candidate as a biomarker for mortality outcome. Furthermore, pulmonary infiltration of T cells in the lung tissue showed only slight infiltrations of CD3+ T cells, with an equal percentage of CD4+ and CD8+ T cell subpopulation in the lung tissue. These findings suggest that close monitoring of the value of CD8+ HLA‐DR+ T cells in COVID‐19 patients may be helpful to identify high‐risk patients. However, further studies with larger sample size are needed. [ABSTRACT FROM AUTHOR]

Background: Sulfur mustard as a chemical warfare agent causes short and long-term pulmonary complications in its victims. MicroRNAs are known to act as remarkable regulators of biological pathways, monitoring, and treatment of diseases including respiratory problems. In this study, we investigated the expression of miR-106a-5p and miR-106b-5p, two regulators of TGF-ß signaling, as well as their target molecule, TGFß1I1, in peripheral blood mononuclear cells from SM-exposed individuals. Materials and Methods: A total of 70 veterans with SM-induced pulmonary complications were examined and compared to 35 gender and age-matched healthy controls. After clinical examination and pulmonary function tests, the severity of pulmonary complications was classified. Total RNA was extracted from PBMCs and the purity of extracted RNA samples was evaluated by a NanoDrop 2000. The miR-106a-5p, miR-106b-5p, and TGFß1I1 expression levels were measured by real-time RT-PCR. Results: The miR-106a-5p expression levels were significantly increased in both mild (P=0.015) and severe groups compared with the control group. The miR-106b-5p expression levels were considerably elevated in the severe group TGFß1I1 expression levels were notably reduced in the severe group compared with the control group. Although, a slight decrease in TGFß1I1 expression levels was observed in the mild group compared with the control. Conclusion: Our results indicate that exposure to sulfur mustard affects the expression of miR-106a-5p, miR-106b-5p, and their target gene, TGFβ1I1, in peripheral blood mononuclear cells. Considering the role of TGFβ1I1 in the regulation of TGF-β signaling, the mentioned changes might point to a potential mechanism by which SM exposure causes chronic pulmonary complications. In a ROC analysis, miR-106a-5p and miR-106b-5p potentially turned out to be a suitable diagnostic biomarker in the mild and severe categories of patients. Although, miR-106a-5p could be considered a better biomarker than miR-106b-5p. [ABSTRACT FROM AUTHOR]

The lives of people all over the world have been affected by the coronavirus disease 2019 (COVID-19) pandemic since 2019. The virus originated in Wuhan City, China, and many people around the world are still infected with it daily, and many of them die. Following the prevalence of the virus, many countries were quarantined and came under economic, social, and medication pressure. As a result, various countries, including the United States, United Kingdom, China, and Iran, have begun to develop vaccines against SARS-COV-2 and have achieved great success. The Pfizer-BioNTech Comirnaty vaccine was the first vaccine against the virus that obtained World Health Organization (WHO) emergency use listing (EUL) on the last day of 2020 and promised hope for the people of the world. Clinical trials of the vaccines were not performed on all people including those with compromised immune systems such as cancer patients, or children under 12. Therefore, important questions arose: Are these vaccines available to everyone? Or do these vaccines protect everyone? As a result, studies were performed to evaluate the safety and efficacy of the vaccines in specific groups of individuals such as cancer patients. This review article addresses some of the ambiguities surrounding the vaccination of cancer patients and suggestions for improving their condition. [ABSTRACT FROM AUTHOR]

A safe and effective vaccine would be the best solution to eradicate the COVID-19 pandemic. Classic platforms are used to develop vaccines including live-attenuated vaccines, inactivated vaccines, protein subunit vaccines, and viral vectors. The high vaccine production rate has raised concerns about their safety, although vaccines are still the sole promising solution to vanish COVID-19. The reported severe adverse effects have raised fear about their complications. Previous studies have unveiled that some vaccines like measles, mumps, rubella, influenza, Hepatitis A, Hepatitis B, human papillomavirus, diphtheria, tetanus, and acellular pertussis induce some diseases. It becomes critical to know whether COVID-19 vaccines will cause neurologic disorders, ischaemic stroke, encephalomyelitis, acute transverse myelitis, myocarditis, kidney disease, myositis, and allergic reactions. We exemplify potential problems these vaccines could cause by looking at previous studies. By reviewing the reports of side effects of different COVID-19 vaccines, we have investigated some diseases that may be associated with vaccination; however, it should be noted that the observation of the long-time effect is still needed. [ABSTRACT FROM AUTHOR]