مجله دانشگاه علوم پزشکی اردبیل
پیاپی 84 (تابستان 1401)

One of the functions of RNA editing is to change the RNA sequence without changing the genomic DNA sequence and changing the fate of cellular RNA. Therefore, studying the clinical application of RNA editing for targeted therapies is necessary.

All articles related to the subject of the study were searched in the Scopus, PubMed/Medline, ISI Web of Knowledge, and Google Scholar database.

The changes that occur within the RNA editing are A to I base replacement by adenosine deaminase (ADAR) on RNA and C to U replacement by the apolipoprotein B mRNA-editing enzyme, catalytic polypeptide1 (APOBEC1). Recently, the role of RNA editing in human diseases has been reported.

RNA editing can be used as a new strategy to identify new disease biomarkers and more personalized treatments for various diseases.

Bleeding is a common complication during heart surgery, and management of heparin and protamine consumption during operation affects hemeostasis. The dosage of protamine sulfate is variable based on the amount of heparin used and studies have reported different results. The aim of this study was to evaluate the effect of protamine sulfate administration after cardiac surgery on the drainage of the patient's blood secretions.

In this retrospective cross- sectional study, required data from 120 medical records patients, from 2011 to 2020 undergoing heart surgery, for example CABG, was extracted and examined. Patients were grouped (60 people in each group) and compared based on protamine sulfate intake and not receiving it, in the intensive care unit and body mass index, age, sex, ACT values ​​and blood drainage rate.

76 (63.37%) patients were male and 44 (36.66%) patients were female. Most patients were in the age range of 50-70 years and most patients were overweight. Blood drainage in the protamine group was significantly lower than the control group. There was no statistically significant difference between the two groups in terms of ACT values. Blood drainage in the protamine group was significantly lower in normal BMI and overweight individuals than in the control group. The amount of blood drained in the protamine group in women and in people over 70 years was significantly lower than the control group.

despite previous studies, our study showed a reduction in the amount of postoperative bleeding following re-prescribing of protamine sulfate in the intensive care unit, which eliminated the effect of heparin and the coagulation disorder caused by heparin. The limitations of the present study included patients under 12 years of age, patients weighing more than 120 kg, and patients requiring hypothermia treatment less than 28 Cº.

One of the main effective factors in combating gastric cancer is having good health literacy in the community. The aim of this study was to determine the health literacy of gastric cancer in clients and patients admitted to Imam Khomeini Medical Center in Ardabil.

The present study was a cross-sectional study. The sample of this study consisted of clients and patients admitted to Imam Khomeini educational -medical center in Ardabil in the second half of 2019. The sample size was 320 people which were randomly sampled. Researcher-made tools were used after ensuring validity and reliability. The questionnaire had two parts: demographic characteristics and items of health literacy dimensions. Patients' informed consent was obtained before completing the questionnaire. Data were collected by nurses and entered into SPSS-26 software. By using descriptive and analytical statistical parameters such as frequency and frequency percentage, mean and standard deviation, t-test and ANOVA analyzed.

The mean and standard deviation of the age of participants was 42.98±14.35. The overall level of health literacy about stomach cancer was calculated as 31.13. The average gastric cancer health literacy in five dimensions in the clients and patients of Imam Khomeini educational-medical center in Ardabil was calculated as follows: access to health information resources was 38.02±10.6, reading health information was 13.47±4.41, understanding health information was 30.37±6.9, evaluation of health information was 16.73±4.58 and decision-making and application of health information was 58.49±10.77. Apart from reading in other dimensions of health literacy, no significant difference was found between clients and inpatients.

The results of this study showed that the mean score of health literacy of clients and patients admitted to Imam Khomeini medical center in Ardabil from gastric cancer is low and not sufficient. Considering the role of health literacy in energy storage, cost and time management of the individual's disease, it is necessary to plan and perform more efficient interventions to promote health literacy in the community, especially clients and patients admitted to Ardabil educational medical centers on gastric cancer.

Brain trauma is one of the most common causes of damage to the central nervous system which can lead to death and long-term disability. The present study aimed at investigating the effect of 8 weeks of swimming exercise on the level of memory and interleukin 10 (IL-10) in the hippocampus and prefrontal cortex of mice with brain trauma.

40 male NMRI mice were randomly divided into four groups (control, swimming, trauma, swimming + trauma). After completing the exercise protocol, induction of trauma was performed by the weight -drop method. Ten days after trauma induction, the mice were evaluated for spatial memory with Y-maze test. The IL- 10 level was measured using ELISA technique. One-way analysis of variance and Tukey post hoc test were used for statistical analysis at a significance level of p<0.05 and using SPSS software version 26.

The study results indicated that eight weeks of swimming exercise significantly increase memory in mice with brain trauma (p=0.001). Furthermore, eight weeks of swimming exercise significantly increase the level of IL-10 in the hippocampus of mice with brain trauma (p=0.001). However, this increase was not significant in the prefrontal cortex (p=0.126).

The results of the present study showed that swimming exercise before induction of brain trauma reduces inflammation and memory disorders and facilitates recovery after injury. Previous exercise training can probably reduce inflammation by increasing the amount of anti-inflammatory cytokines, including interleukin-10, and limit secondary damage with its protective effect.

The pathophysiology of depression is very complex. Rosa canina L fruit contains various antioxidant compounds. The aim of this study was to investigate the anti-depressant and anti-anxiety effects of the aqueous- alcoholic extract of the Rosa canina L fruit in the behavioral tests including forced swimming, tail suspension, maze, and sucrose preference tests, as well as biochemical tests such as antioxidant capacity and malondialdehyde levels. Rosa canina L with high amounts of vitamin C, has anti-depressant and anxiety effects.

In this experimental study, 60 Syrian male mice were divided into 5 groups of 12, including the control group, the bisphenol A group, and three groups treated with oral bisphenol A at a dose of 125 mg/kg per day and the aqueous- alcoholic extract of the Rosa canina L fruit at doses of 100, 200, 400 mg/kg/day was administered from day 50 to 120 after birth. The data were analyzed using SPSS statistical software and the One Way ANOVA test. The level of significance was set at p<0.05.

The findings showed that bisphenol A significantly increased the duration of immobility in the forced swimming and tail suspension test. The extract at the level of 400 mg/kg decreased the duration of immobility in both tests. Bisphenol A significantly reduced the antioxidant capacity of serum and brain. The extract at the level of 400 mg/kg significantly increased the antioxidant capacity of both the brain and serum.

The findings of this research showed that the fruit of the Rosa canina L has antioxidant effects, and with a significant decrease in antioxidant capacity and immobility in Syrian mice treated with the extract, therefore it has anti-depressant and anxiety effects.

Evidence suggests that microRNAs (miRNAs) are essential for immune cell differentiation and function. In addition, miRNAs play an essential role in regulating the expression of pro-inflammatory genes in neurons. Therefore, we investigated the relationship between miRNA expression and inflammatory markers in the CSF of patients with multiple sclerosis.

RT-PCR analysis was performed on CSF samples from patients with multiple sclerosis (MS) and a control group to measure the expression level of miRNA-21, miRNA-155, miRNA-182, and miRNA-437. In addition, the levels of the inflammatory cytokines including IL-1β, IL-6, and TNF-α in CSF were measured using ELISA. A quantitative turbidimetric method was also used to measure high-sensitivity C-reactive protein (hs-CRP).

A significant difference was found in the expression level of miRNAs and inflammatory factors in the CSF of patients with MS compared with the control group (p<0.05). The results of receiver operating characteristic (ROC) analysis showed the area under the curve for miRNA-21 (AUC=0.97, p<0.0001), miRNA-182 (AUC=0.97, p<0.0001), and miRNA-155 (AUC=0.96, p<0.0001). The miRNA-155 level in CSF played a very important role in the accurate diagnosis of MS. Significant correlations were found between inflammatory cytokines and miRNA-21, miRNA-155, and miRNA-182, as well as an indirect and moderate correlation between miRNA-437 and hs-CRP.

In MS patients, CSF levels of IL-1, IL-6, TNF-α, hs-CRP, and selected miRNAs can be used as biomarkers of CNS inflammation and neurodegenerative processes.

Diabetes causes chronic problems in the structure and function of tissues, such as apoptosis and fibrosis in addition to glycemic disorders. In this study the effect of 8 weeks of endurance and resistance training on various signaling pathways of apoptosis and tissue fibrosis of the heart of diabetic rats was investigated.

Thirty Wistar rats, approximately 8-10 weeks old, weight about 210-250 grams, received intraperitoneal injection of diabetic streptozotocin and were randomly divided into three groups: endurance training, resistance training and control group. The rats of the endurance training group were trained on the treadmill for 8 weeks, 5 days a week with intensity of vo2Max 60-80%. The resistance training group was trained on the ladder with a slope of 85 degrees and with a weight equals to 30-100% of their body weight. Forty eight hours after the last training session, blood samples were collected and ventricular tissues of mice were extracted. Glucose, insulin, serum insulin resistance index and Bcl-2, Bax, caspase 8 gene expression levels and Bax to Bcl-2 ratio were evaluated. Masson's trichrome and hematoxylin-eosin staining methods were used for histological examination of diabetic rat's heart structure to detect fibrosis.

There was a significant decrease in Bax gene expression and the ratio of Bax to Bcl-2, and also there was a significant increase in Bcl-2 and caspase 8 in the endurance and resistance training groups in comparison with the control group. The rate of cardiomyocyte fiber rupture in the endurance and resistance groups was less than the control group, and the presence of lymphocyte cells was observed in some fibers in the control group. (p≤0.05).

The results showed that high-intensity resistance training and moderate-intensity endurance training can prevent tissue fibrosis caused by collagen deposition in diabetes, and these two types of training can reduce the factors involved in apoptosis both in the internal and external pathways. On the other hand, this training intensity can be used as an effective non-pharmacological method to reduce the problems of apoptosis and fibrosis caused by diabetes in the heart tissue.

Menopause and especially acute menopause due to surgery is associated with many complications in women. The aim of this study was to determine the effects of genistein and regular swimming exercise (alone/or in combination) on pain through a possible mechanism of inflammation and oxidative stress in ovariectomized rats.

In this study, rats were divided into six groups, including: control, sham, ovariectomy (OVX), ovariectomized with eight weeks of swimming exercise training (OVX.E), ovariectomized with eight weeks of genistein administration (OVX.G), and ovariectomized with eight weeks of combined treatment (OVX.G.E). The effects of genistein and/or exercise were evaluated by examining the pain intensity with tail-flick and formalin tests. The serum levels of tumor necrosis factor-α (TNF-α), interleukin-1β (IL-1β), total antioxidant capacity (TAC), total oxidant status (TOS), and malondialdehyde (MDA) were also evaluated by ELISA and spectrophotometer.

In the OVX group compared to the control group, tail-flick and formalin tests showed an increase in pain response. Also, a significant increase in the serum levels of IL-1β, TNF-α, MDA, TOS and a decrease in TAC was observed in the OVX group, however, in the OVX.E, OVX.G and especially OVX.E.G groups, pro-inflammatory cytokines and oxidative stress as well as pain responses showed a significant decrease compared to the OVX group.

A combination of genistein and regular swimming exercise was synergistically more effective in reducing acute and chronic pain than using them alone in the postmenopausal period.