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Protonophores are compounds capable of electrogenic transport of protons across membranes. Protonophores have been intensively studied over the past 50 years owing to their ability to uncouple oxidation and phosphorylation in mitochondria and chloroplasts. The action mechanism of classical uncouplers, such as DNP and CCCP, in mitochondria is believed to be related to their protonophoric activity; i.e., their ability to transfer protons across the lipid part of the mitochondrial membrane. Given the recently revealed deviations in the correlation between the protonophoric activity of some uncouplers and their ability to stimulate mitochondrial respiration, this review addresses the involvement of some proteins of the inner mitochondrial membrane, such as the ATP/ADP antiporter, dicarboxylate carrier, and ATPase, in the uncoupling process. However, these deviations do not contradict the Mitchell theory but point to a more complex nature of the interaction of DNP, CCCP, and other uncouplers with mitochondrial membranes. Therefore, a detailed investigation of the action mechanism of uncouplers is required for a more successful pharmacological use, including their antibacterial, antiviral, anticancer, as well as cardio-, neuro-, and nephroprotective effects.The present review examines the use of chemiluminescence detection to evaluate the course of free radical reactions in biological model systems. The application of the method is analyzed by using luminescent additives that enhance the luminescence thanks to a triplet-singlet transfer of the electron excitation energy from radical reaction products and its emission in the form of light with a high quantum yield; these additives are called chemiluminescence enhancers or activators. Examples of these substances are provided; differences between the so-called chemical and physical enhancers are described; coumarin derivatives, as the most promising chemiluminescence enhancers for studying lipid peroxidation, are considered in detail. The main problems related to the use of coumarin derivatives are defined, and possible ways of solving these problems are presented. Intrinsic chemiluminescence and the mechanism of luminescence accompanying biomolecule peroxidation are discussed in the first part of the review.The use of traditional tools for the targeted delivery of nanostructures, such as antibodies, transferrin, lectins, or aptamers, often leads to an entire range of undesirable effects. The large size of antibodies often does not allow one to reach the required number of molecules on the surface of nanostructures during modification, and the constant domains of heavy chains, due to their effector functions, can induce phagocytosis. In the recent two decades, targeted polypeptide scaffold molecules of a non-immunoglobulin nature, antibody mimetics, have emerged as much more effective targeting tools. They are small in size (3-20 kDa), possess high affinity (from subnano- to femtomolar binding constants), low immunogenicity, and exceptional thermodynamic stability. These molecules can be effectively produced in bacterial cells, and, using genetic engineering manipulations, it is possible to create multispecific fusion proteins for the targeting of nanoparticles to cells with a given molecular portrait, which makes scaffold polypeptides an optimal tool for theranostics.Tandem exon duplications play an important role in the evolution of eukaryotic genes, providing a generic mechanism for adaptive regulation of protein function. In recent studies, tandem exon duplications have been linked to mutually exclusive exon choice, a pattern of alternative splicing in which one and only one exon from a group of tandemly arranged exons is included in the mature transcript. Here, we revisit the problem of identifying tandem exon duplications in eukaryotic genomes using bioinformatic methods and show that tandemly duplicated exons are abundant not only in the coding parts, but also in the untranslated regions. We present a number of remarkable examples of tandem exon duplications, identify unannotated duplicated exons, and provide statistical support for their expression using large panels of RNA-seq experiments.Inborn errors of immunity can be detected by evaluating circular DNA (cDNA) fragments of T- and B-cell receptors (TREC and KREC) resulting from the receptor gene rearrangement in T and B cells. Maturation and activation of the fetal immune system is known to proceed gradually according to the gestational age, which highlights the importance of the immune status in premature infants at different gestational ages. In this article, we evaluated TREC and KREC levels in infants of various gestational ages by real-time PCR with taking into account the newborn's weight and sex. The 95% confidence intervals for TREC and KREC levels (expressed in the number of cDNA copies per 105 cells) were established for different gestational groups. The importance of studying immune system development in newborns is informed by the discovered dependence of the level of naive markers on the gestational stage in the early neonatal period.Apoptosis plays a crucial role in chemotherapy-induced cell death. The conventional theory holding that apoptosis needs to be immunologically silent has recently been revised, and the concept of immunogenic cell death (ICD) has been proposed. This review describes the main features of ICD induction. These ICD markers are important for the effectiveness of anticancer therapy, as well as for basic research into cell death regulation. The mechanism of the "vaccination effect" of dying cancer cells undergoing ICD has been fully described, including the activation of specific antitumor response after re-challenge by the same living tumor cells. This review also discusses the whole set of molecular events attributing cell death to immunogenic type the exposure of calreticulin and the heat shock protein HSP70 to the outer surface of the cell membrane and the release of the nuclear protein HMGB1 and ATP into the extracellular space. ICD inducers of various nature (chemotherapy drugs, cytotoxic proteins, and oncolytic viruses), as well as physical methods, are classified in the current review.Cardiovascular manifestations are well recognized features of hyperthyroidism, particularly Graves' disease. Common cardiac complications include atrial fibrillation, hypertension, and high or normal output congestive heart failure. In rare cases, acute pericarditis can be a manifestation of Graves' disease. We present a 28-year-old male who presented with acute pericarditis and was later diagnosed with Graves' disease.

To evaluate the impact of late-onset sepsis (LOS) in preterm infants on brain injury and neurodevelopmental outcomes at 36 months corrected age (CA).

We retrospectively analyzed the medical records of 203 preterm neonates of 24-32 weeks gestational age who were admitted between January and December 2017 at the neonatal intensive care unit (NICU) of a maternity hospital in Kuwait. The cases were stratified into no sepsis, early-onset sepsis (first onset of sepsis ≤ 72 hours postnatally), and LOS (> 72 hours postnatally). Brain injury was assessed from MRI records. Neurodevelopmental outcomes were evaluated at 36 months CA using Bayley-III scales of infant development.

Out of 203 neonates, 16 had early-onset sepsis with

and group B

, and 93 developed LOS with

and gram-positive cocci in clusters. There were no group-wise differences in the prevalence of intraventricular hemorrhage (n = 68) or white matter injury (n = 42). However, higher cerebellar hemorrhage risk (adjusted odds ratio = 4.6 (1.3-18.6;

0.030) was observed in LOS group. At 36 months CA, infants in the LOS group were more likely to have lower motor, cognitive, and language composite scores. After adjusting for gestational age, birth weight, cerebellar hemorrhage, and white matter injury, the relationship between LOS and lower motor scores remained significant (adjusted β = -9.5, 95% CI -16.4 to -2.7;

0.007), whereas the association with cognitive and language scores were no longer significant.

LOS in preterm neonates significantly raises the risk of cerebellar hemorrhage and lower motor scores by three years of age.

LOS in preterm neonates significantly raises the risk of cerebellar hemorrhage and lower motor scores by three years of age.Cardiopulmonary resuscitation induced consciousness is a very rare phenomenon where patients who are in cardiac arrest and undergoing cardio-pulmonary resuscitation (CPR) express signs of consciousness such as talking, making purposeful limb movements, and opening eyes. selleck kinase inhibitor This phenomenon leads to frequent CPR interruptions and put the CPR team under psychological pressure, impacting the quality of the resuscitation proceedings. We report presents the case of a 49-year-old man who presented with ischemic chest pain, and then had a witnessed in-hospital cardiac arrest. During the CPR, he gave intermittent signs of consciousness despite the absence of return of spontaneous circulation. The CPR team had to restrain, sedate, and intubate the patient to facilitate the resuscitation process.Feeding tubes (FTs) are commonly used as urinary catheters in neonates and children. Though generally safe, serious complications can result if the catheter spontaneously knots inside the bladder. We report a case of a spontaneous knotting of an intravesical Fr 6 FT in a late preterm female baby following urethral catheterization to collect a urine sample. The knotted catheter was removed via suprapubic cystotomy. The infant had good postoperative recovery.

To analyze the concept of diet adherence and its components in the management of type 2 diabetes mellitus (T2DM).

The Walker and Avant (2011) method of concept analysis was used. Scientific databases were queried for research articles in the English language published during 2010-2020 using the search terms compliance, adherence, treatment adherence, diet adherence, T2DM, and concept analysis. The tools that measure diet adherence and its attributes were identified and evaluated.

The concept of diet adherence implies the process of following a diet plan by means of self-monitoring, maintaining, and preventing relapses. Diet adherence is facilitated by antecedents which comprise motivation, understanding the dietary recommendations, developing appropriate health beliefs, self-efficacy, setting achievable goals, and receiving social support. Successful diet adherence brings consequences in health as reflected in improved T2DM-specific clinical parameters and enhanced health-related quality of life.

Patients with T2DM often have poor diet adherence due to failure to understand, implement, and maintain the required antecedents, such as motivation, understanding, health beliefs, self-efficacy, practical goals, and social support. Healthcare providers need to ensure that the patients understand the concept of diet adherence and implement it in their daily lives. Further research is needed into diet adherence and its components to evolve more effective measures to be communicated to T2DM patients.

Patients with T2DM often have poor diet adherence due to failure to understand, implement, and maintain the required antecedents, such as motivation, understanding, health beliefs, self-efficacy, practical goals, and social support. Healthcare providers need to ensure that the patients understand the concept of diet adherence and implement it in their daily lives. Further research is needed into diet adherence and its components to evolve more effective measures to be communicated to T2DM patients.

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