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Showing 20 results for Research Article: Review Article

Movahedian A, Alizadeh Sharg Sh, Rahmani S Z, Dolatkhah H,
Volume 6, Issue 1 (4-2012)
Abstract

Abstract Background and objectives: Familial hypercholesterolemia (FH) is an autosomal disorder characterized by increased levels of total cholesterol and low density lipoprotein cholesterol. The FH clinical phenotype has been associated with increased risk of coronary heart disease and premature death. The mutation in LDLR gene in most cases is responsible for FH phenotype. Furthermore, other gene mutations such as apolipoprotein B- gene may cause similar results. Preliminary research indicates that the FH phenotype is also influenced by other genetic and environmental Factors therefore, routine clinical analysis such as total cholesterol and LDL-C levels in serum, for early diagnosis and treatment, are not sufficient. Molecular diagnostic investigations, because of high specifity and sensitivity near %100, administered for determining the prevalent mutations in LDLR (and probably other genes) are needed for exact diagnosis and accurate therapy. Currently, PCR-SSCP and southern blotting techniques are among the common techniques that could detect major mutations in gene. Because of wide diversity in kinds of mutations in LDLR gene, we recommend, first, determining the proband's mutation and kinds of mutation, then, performing routine test based on type of mutation. Key words: Familial hyperlipoproteinemia, LDL-R gene molecular diagnosis, mutation, Molecular Diagnostic Method
Sadeghi D (msc), Mosavari N (phd), Rafiee B (msc), Mohamad Taheri M (msc), Dashtipour Sh (bsc), Zare A (phd), Ghahremanlo E (msc), Tebyanian M (phd),
Volume 6, Issue 1 (4-2012)
Abstract

Abstract Background and objectives: Tuberculin is the proteins existed in tuberculosis culture medium which precipitated by trichloroacetic acid (TCA) or ammonium sulfate. Tuberculin is used for diagnosis of Tuberculosis. The aim of this study is to compare the human tuberculin produced by Razi Institute and Mycobacterium tuberculosis Culture Filtrate Protein. Material and Methods: Initially By biphasic medium, Bacteria from Lowenstein–Jensen solid medium was transferred to a Dorset−Henley Liquid medium. After 6 weeks of growth, the bacteria were isolated from liquid medium containing secretory proteins by the 0, 22 micron filter and the solution containing secretory proteins was precipitated by TCA and ammonium sulfate, separately. Then, using spectrophotometer and kjeldahl protein assay, the presence of protein in solution was confirmed. At the end, the precipitated proteins are compared with the human tuberculin by Coomassie-Blue stained SDS-PAGE Results: The protein samples precipitated by TCA have more bands in the limit of higher than 20 kDa, but the protein samples by ammonium sulfate have more bands in the limit of less than 20 kDa. Human tuberculin proteins are like smear and their weight is less than 16 kDa. Conclusion: It seems that ammonium sulfate is more suitable for low molecular weight proteins than TCA for precipitation. Key words: Mycobacterium tuberculosis, SDS-PAGE, tuberculin
A Talebi Bezminabadi, T Taghvaei,
Volume 8, Issue 1 (4-2014)
Abstract

Abstract Undoubtedly, H. pylori is the major human gastric pathogen, which infects the mucosal epithelium in 50% of world population. However, H. pylori infection is relatively prevalent globally the majority of infected individuals are asymptomatic. The recent epidemiological studies show that the various gastro intestinal complications can be the result of genetic variation in H. pylori strains. To date, different virulence factors had been suggested for H. pylori, but none of them can be a good biomarker for specific gastric disorders. In this review article, we aim to describe a comprehensive view on what we found in H. pylori virulence research in Iran. Hopefully, in parallel with new advances in sequencing systems, we will have better overview of virulence phenomenon of H. pylori in near future. Keywords: Helicobacter pylori, Iran, virulence, homB, dupA
Livani, S., Ghaemi, Ea,
Volume 8, Issue 3 (8-2014)
Abstract

Abstract Mycobacterium genus, including pathogenic and environmental species, is called non-tuberculosis mycobacteria. In this review, we assessed the research about the frequency of non-tuberculosis mycobacteria in Iran. The analyses showed that there are 16 and 28 mycobacterial species isolated in water and soil samples, respectively. The most frequent mycobacterial species in water were M. fortuitum (25.4%) and M. chelonae (25.4%), and in soil it was M. fortuitum (19.7%). The most frequent species in clinical samples was M. fortuitum, too. The frequency of non-tuberculosis mycobacteria in various clinical samples was various, and on average 1.1% of the suspected tuberculosis clients referred to the healthcare centers have non-tuberculosis mycobacteria. Keywords: Environmental Mycobacteria, Non-Tuberculous Mycobacteria, Iran, M. fortuitum
Hamid Asadzadeh Aghdaei , Zahra Pezeshkian, Meghdad Abdollahpour-Alitappeh , Ehsan Nazemalhosseini Mojarad , Mohammad Reza Zali,
Volume 12, Issue 4 (7-2018)
Abstract

ABSTRACT
          Colorectal cancer remains a leading cause of morbidity and mortality worldwide. Most colorectal cancers begin as a growth of tissue called a polyp, some types of which can change into cancer over the course of several years. Angiogenesis, the formation of new blood vessels, is known to play a key role in the initiation, growth and progression of polyp and colorectal cancer. In this review, we discuss the mechanisms involved in colorectal cancer and polyp angiogenesis.
          Keywords: Colorectal Neoplasms, Polyps, Angiogenesis
Behrouz Farhadihosseinabadi , Fahimeh Hosseini , Pegah Larki , Nader Bagheri , Kazem Abbaszadeh-Goudarzi , Koushan Sinehsepehr , Behrooz Johari , Meghdad Abdollahpour-Alitappeh ,
Volume 12, Issue 5 (9-2018)
Abstract

ABSTRACT
          Breast cancer remains the most common cancer of women and one of the most common causes of cancer-related deaths worldwide. In spite of major advances in breast cancer diagnosis and treatment, the incidence of breast cancer remains high and the treatment of metastatic breast cancer remains challenging. This review presents an overview of breast cancer with a particular focus on its clinical aspects and therapies.
          Keywords: Breast Cancer, Risk Factors, Diagnosis, Treatment.

Mahsa Yazdi, Majid Bouzari, Ezzat Allah Ghaemi,
Volume 12, Issue 5 (9-2018)
Abstract

ABSTRACT
             Background and objectives: Urinary tract infections (UTIs) are one of the most common infectious diseases caused by bacteria. The primary etiologic agent of UTIs is Escherichia coli. Uropathogenic E.coli (UPEC) strains have a number of specific virulence factors, which can worsen UTIs. This study was performed to detect fim, pap, sfa and afa genes among E.coli strains isolated from UTIs.
             Methods: A total of 100 E. coli isolates from patients with UTI was collected between June and December 2015 from Mosavi and Sayyad Shirazi hospitals in Gorgan, Iran. All bacterial isolates were identified via standard biochemical testing and Gram straining. Presence of the genes was assessed by polymerase chain reaction.
             Results: The frequency of the fim, pap, sfa and afa genes was 100%, 79%, 69% and 8%, respectively. All isolates contained at least one virulence gene. Prevalence of multiple adhesion genes was 6% for all genes and 65% for three genes (fim, pap and sfa) together. In addition, the frequency of the fim gene was significantly higher than that of the other genes (P<0.0001).
             Conclusion: The results of this study indicate the high prevalence of virulence factors that can enhance pathogenicity of E. coli. Therefore, these factors could be used as diagnostic markers or vaccine targets.
             Keywords: Virulence factors, Urinary tract infection, Uropathogenic Escherichia coli.

Abolfazl Khandandel , Hami Kaboosi , Ailar Jamalli , Fatemeh Peyravii Ghadikolaii ,
Volume 13, Issue 4 (7-2019)
Abstract

          Background and Objectives: Staphylococcus aureus is a common cause of nosocomial infections. The ability of S. aureus to form biofilm and acquire antimicrobial resistance has made this organism a major health problem. In this study, we investigate the biofilm-forming ability of S. aureus isolates from clinical samples.
          Methods: Sixty S. aureus isolates from clinical specimens were collected from the 5th Azar Hospital of Gorgan (Iran) in 2018. The isolates were identified using conventional methods including Gram staining and biochemical tests (catalase and coagulase). Biofilm formation by S. aureus isolates was evaluated using a microplate-based method.
          Results: Of 60 S. aureus isolates, 47 (78.3%) strains were identified as biofilm-forming and 13 (21.7%) strains were non-biofilm-forming.
          Conclusion: The high prevalence of biofilm-producing S. aureus isolates in the 5th Azar hospital of Gorgan could pose a major health challenge with serious consequences for hospitalized patients. Therefore, it is crucial to disinfect and sterilize hospital surfaces and equipment effectively to minimize the risk of contamination and spread of bacteria in the hospital settings.
          Keywords: Biofilms, Staphylococcus aureus, sample.

Ommolbanin Younesian, Samareh Younesian, Sara Hosseinzadeh, Hamid Reza Joshaghani,
Volume 14, Issue 1 (1-2020)
Abstract

ABSTRACT
           Esophageal cancer (EC) is one of the most common types of cancer, especially in Asia. Esophageal squamous cell cancer (ESCC) is the most important histological subtype of EC, which accounts for 90% of all EC cases worldwide. ESCC is highly prevalent in Turkey, Iran, Kazakhstan and northern and central parts of China. Selenium is an essential micronutrient that is required for cellular functioning and synthesis of several selenoproteins. It also modulates the antioxidant defense system, cell cycle and apoptosis. This article reviews the most important molecular mechanisms of EC and investigates the association between selenium level and incidence of EC in high-risk areas.
           Keywords: Esophageal cancer, selenium, selenoprotein.

Zeinab Nazari, Javad Ghaffari, Negar Ghaffari,
Volume 14, Issue 3 (5-2020)
Abstract

Background and Objectives: Human T lymphotropic virus type I (HTLV-I) is a virus of the Retroviridae family, which has infected more than 20 million people around the world. The study aimed to review the prevalence of HTLV infection in pregnant women. 
           Methods: We searched various databases including PubMed, EMBASE, Scopus, Google Scholar, SID, Magiran and Irandoc using the following keywords: HTLV-1, HTLV-2, Retroviridae, pregnancy, prevalence, incidence, women and female. Abstracts, short/brief reports as well as original and review articles published on HTLV-1 and/or HTLV-2 infection during pregnancy until October 2018 were included in the study.
           Results: We found five articles from Iran and 14 articles from other parts of the world on the prevalence of HTLV-1 infection in pregnant women. Prevalence of HTLV-1 and or HTLV-2 was higher in pregnant women than in non-pregnant women in cities of Mashhad and Neyshabur, Razavi Khorasan Province (1.5 to 3.3 %), northeastern Iran, which are endemic areas of Iran for HTLV-1 infection. The incidence rate of HTLV-1 infection was 400-500 per 10,000 pregnant women in endemic areas of Japan. In Brazil, the rate of HTLV-1 infection in pregnant women was estimated to be 1.05%.
           Conclusion: The prevalence of HTLV-1 varies among pregnant women depending on residence in endemic or non-endemic areas for HTLV-1. In endemic areas, it is recommended to perform routine screening for HTLV-1 infection in the general population, especially pregnant women.

Mehdi Roostaei, Hossein Pirani, Amir Rashidlamir,
Volume 14, Issue 5 (9-2020)
Abstract

The aim of this study was to investigate the rate of Myostatin (MSTN) and Follistatin (FLST) gene expression in fast and slow twitch muscles in response to 8 weeks of high intensity interval training (HIIT).  To this end, 12 male 8-week old Wistar rats were randomly classified into two groups of exercise (n=6) and control (n=6). Exercise group performed a progressive HIIT protocol, five times weekly for 8 weeks using alternating sprint running for 30 min/session that divided into three 4min bouts (35-50m/min speed, >90% VO2 max) separated by a 2min active recovery period (30-50% VO2 max). Gene expression levels for MSTN and FLST in Soleus (SOL) and Extensor digitorum longus (EDL) muscles were measured by real-time RT-PCR. MSTN mRNA levels has slightly (7%); yet significantly (p<0.001), decreased in SOL muscle, while expression of this gene in EDL muscle decreased (30%) (p<0.001). Moreover, FLST gene expression in SOL muscle increased 31% (p<0.001). Interestingly, level of FLST gene expression in EDL muscle increased 100% compared to control group (p<0.001).The results provide a perspective regarding muscle differentiation in MSTN and FLST and their variation in response to HIIT and suggests that HIIT may be an effective way to decrease adipose tissue by MSTN and FLST regulation in skeletal muscles.
 
Masoud Soosaraei, Ahmad Daryani, Shahabeddin Sarvi, Mohamad Taghi Rahimi, Mahdi Fakhar, Hajar Ziaei Hezarjaribi, Mehdi Sharif,
Volume 14, Issue 5 (9-2020)
Abstract

Background and objectives: Intestinal parasitic infections are a major public health problem worldwide, especially in developing countries. It is estimated that around 3.5 billion people are infected with intestinal parasites. Human intestinal parasites (HIP) are clinically important due to broad epidemiological distribution, reinfection and drug resistance. In the last decades, bioactive compounds from herbs were used against a wide variety of microorganisms including parasites. We aimed to perform a systematic review on studies on the effects of medicinal herbs on HIPs in Iran.
 
      Methods: Relevant scientific publications until April, 2015 were extracted from five English databases (PubMed, Google Scholar, Ebsco, Science Direct and Scopus) and four Persian databases (Magiran, Irandoc, IranMedex and the Scientific Information Database).
 
      Results: A total of 18 papers and two dissertations met the inclusion criteria. Overall, 22 different plant extracts were used against Giardia lamblia, Entamoeba histolytica, Cryptosporidium and Hymenolepis nana. Based on the results, the extracts could exert time- and dose-dependent inhibitory effects against the tested HIPs. Five plants types including Allium, Chenopodium botrys, Carum copticum, F. asafoetida and Artemisia annua were able to completely inhibit the tested parasites, while Thymus vulgaris and A. paradoxum showed the lowest inhibitory effect (7%).
 
      Conclusions: Given the findings, it is recommended to conduct in vivo studies on medicinal herbs with favorable in vitro effects against HIPs.

Sona Rostampour Yasouri, Masoud Ghane, Monir Doudi, Abolhasan Rezaee, Nafiseh Sadat Naghavi,
Volume 14, Issue 6 (11-2020)
Abstract

     Leptospirosis is a zoonotic disease with a high incidence rate in many parts of the world due to the presence of various hosts for the pathogenic Leptospira. Tropical, subtropical and humid regions are suitable for long-term survival of the bacterium. Because of the temperate and humid climate, northern areas of Iran are suitable for pathogenic Leptospira and outbreak of the disease. Therefore, identification of infected areas is important from a public health and economic point of view. Previous studies show that the incidence rate of leptospirosis is increasing every year. Therefore, accurate diagnosis, control and prevention of this disease seem necessary through vaccination and raising public awareness, especially among high-risk groups. Today, diagnostic methods including immunofluorescence assay, enzyme-linked immunosorbent assay, microscopic agglutination test (MAT) and polymerase chain reaction (PCR) are used to diagnose the leptospirosis. MAT is the gold standard test for the diagnosis of leptospirosis with extensive applications in Iran. Due to the importance of this disease and its high prevalence in recent years, the present study aimed to investigate the epidemiology and diagnosis of leptospirosis in Iran.

Neda Gharagozloo Hesari, Davoud Esmaeili, Taher Mohammadian, Mohammad Hasan Shahhosseini, Atousa Ferdosi,
Volume 14, Issue 6 (11-2020)
Abstract

Background and objectives: Industrial wastewater is worldwide health concern. Microorganisms present in the environment have an important role in the biodegradation of lipids, fats and proteins from wastewater. In this regard, microbial lipases and proteases are interesting research targets because of high stability, broad substrate specificity, high yields and availability. In this study, we analyze sequences encoding lipase of Pseudomonas putida and subtilisin of Bacillus subtilis for generation of a new recombinant protein for degradation of environmental contaminations caused by lipids and proteins.
      Methods: In this study, sequences of the genes encoding lipase and subtilisin were obtained from GenBank. To predict the 3D structure of the protein, modeling was carried out. The prediction of secondary structure, tertiary structure and solvent accessibility was carried using bioinformatics tools including I-TASSER, GoR4 and ExPasy.
      Results: The lipase-subtilisin fusion protein was well-characterized by bioinformatical studies with appropriate spatial and secondary structures. The protein had appropriate hydrophilicity, biological half-life and thermal and acidic stability. The codon optimization was performed appropriately.
      Conclusion: Overall, the bioinformatical analysis of the designed protein showed that the recombinant lipase-subtilisin protein has a stable structure both in vitro and in vivo, a negative normalized B-factor and lipolytic and proteolytic activities, which makes it suitable for treatment of lipid and protein contaminations.
Behnoush Khasheii, Pezhman Mahmoodi, Abdolmajid Mohammadzadeh,
Volume 15, Issue 5 (9-2021)
Abstract

Increasing antibiotic resistance is a global health problem. In recent years, due to the indiscriminate use of antibacterial compounds, many bacterial pathogens, including staphylococci, members of the Enterobacteriaceae family including Klebsiella pneumoniae and bacteria such as Pseudomonas aeruginosa and Acinetobacter baumannii have become multi-drug resistant. Consequently, it is important to explore alternative approaches for eliminating resistant strains. Bacteria synthesize low-weight molecules called siderophores to chelate iron from the environment as a vital element for their growth and survival. One way to deal with resistant bacterial strains is to utilize siderophore-mediated iron uptake pathways as entrance routes for drug delivery. Therefore, the production of drugs with Trojan horse strategy in the form of conjugated siderophore-antibiotic complexes has recently received much attention for dealing with resistant isolates. In this review, we discuss the efficacy of siderophore-antibiotic conjugates as a Trojan horse strategy for eliminating drug-resistant pathogens.
Fatemeh Asadi, Hamedreza Goodarzi, Javad Zahiri, Mojtaba Jafarinia,
Volume 16, Issue 1 (1-2022)
Abstract

Coma is a state of prolonged unconsciousness. Some coma cases result from inherited disorders such as fatty-acid β-oxidation disorder, acute intermittent porphyria (due to mutations in genes CPT I, CPTII and ACADM), urea cycle defects (due to mutation in OTC gene), organic acidurias, mitochondrial diseases and familial hemiplegic migraine (due to mutations in CACNA1A, ATP1A2 and SCN1A). The evaluation of familial cases of coma or sporadic coma can be performed using next generation sequencing (NGS), a high-throughput  sequencing technique that can sequence an entire genome in a single reaction. This technique has been widely applied in the genetic diagnosis of diseases. In this review, we describe some genes associated with coma or recurrent coma and discuss the role of NGS in detection of these genes.  
Mohsen Najjari, Mohammadreza Karimazar, Mohammad Ebrahimipour, Christine M. Budke,
Volume 16, Issue 2 (3-2022)
Abstract

The current study aimed to introduce key ethical issues related to laboratory-based diagnostics that any individual may encounter during the provision of healthcare services. In a systematic review, relevant studies published on electronic databases including the PubMed, Scopus, Web of Science, Medline and Cochrane Library were collected for the years 1975 to 2020. The ethical issues related to clinical laboratories diagnosis and patients, colleagues, and society in different phases of laboratory testing were surveyed in this study. Considering ethical issues must be prioritized in each clinical laboratory for better dealing with clients, collaborators, and the community.
Akhtar Seifi, Negarsadat Taheri, Hanieh Kia, Hady Reza Mansourian, Azad Reza Mansourian,
Volume 16, Issue 4 (7-2022)
Abstract

The prevalence of hypothyroidism is much higher among women than in men. Hypothyroidism is also one of the most prevalent thyroid disorders among women of reproductive age. The disease exerts its effect on female sex hormones by manipulating the production of luteinizing hormone and follicle-stimulating hormone that are crucial for the production of estrogen by the ovaries. Various studies demonstrated the adverse effect of overt hypothyroidism on ovulation, menstrual cycle, and fertility. This review surveys the adverse effects of hypothyroidism on fertility and pregnancy.
 
Mahmoud Karimizadeh Esfahani, Mohsen Najjari, Saeed Hosseini Teshnizi, Somayeh Dolatabadi, Mohammad Javad Najafzadeh,
Volume 16, Issue 5 (9-2022)
Abstract

Background and objectives: Mycotic keratitis is a fungal infection of the cornea that can cause blindness. Its incidence, risk factors, and the etiological agents vary worldwide and nationwide. Therefore, proper documentation of these data is essential for better disease management. In this review, we aimed to make a clear picture of this infection in the Middle East.
Methods: Data on fungal keratitis from 1986 to 2018 in the Middle East were systematically collected from five English databases (PubMed, Scopus, Science Direct, Web of Science, and Google Scholar) and four Persian databases (Magiran, Scientific Information Database, IranMedex, and Irandoc). A total of 35 studies were included in the review.
Result: The pooled prevalence of fungal keratitis in the Middle East was estimated at 26% (95% confidence interval: 19-32%; I2=98.88%, p<0.001)  using random-effect model, with considerable variation among the countries. The prevalence of fungal keratitis was highest in Egypt (36%) and Iran (34%) and lowest in Oman (9%). Aspergillus and Fusarium spp. were the most common causative agents (28%) among filamentous fungi, and Candida (13%) was the predominant yeast species causing fungal keratitis. Based on the data, fungal keratitis was more prevalent in males (39%) than in females (23%).
Conclusion: Our study is the first systematic review on mycotic keratitis among the Middle Eastern countries. These epidemiological estimates can be used by policy makers to improve treatment strategies, especially in this part of the world.
Background and objectives: Mycotic keratitis is a fungal infection of the cornea that can cause blindness. Its incidence, risk factors, and the etiological agents vary worldwide and nationwide. Therefore, proper documentation of these data is essential for better disease management. In this review, we aimed to make a clear picture of this infection in the Middle East.
Methods: Data on fungal keratitis from 1986 to 2018 in the Middle East were systematically collected from five English databases (PubMed, Scopus, Science Direct, Web of Science, and Google Scholar) and four Persian databases (Magiran, Scientific Information Database, IranMedex, and Irandoc). A total of 35 studies were included in the review.
Result: The pooled prevalence of fungal keratitis in the Middle East was estimated at 26% (95% confidence interval: 19-32%; I2=98.88%, p<0.001)  using random-effect model, with considerable variation among the countries. The prevalence of fungal keratitis was highest in Egypt (36%) and Iran (34%) and lowest in Oman (9%). Aspergillus and Fusarium spp. were the most common causative agents (28%) among filamentous fungi, and Candida (13%) was the predominant yeast species causing fungal keratitis. Based on the data, fungal keratitis was more prevalent in males (39%) than in females (23%).
Conclusion: Our study is the first systematic review on mycotic keratitis among the Middle Eastern countries. These epidemiological estimates can be used by policy makers to improve treatment strategies, especially in this part of the world.
 
Kirandeep Kaur,
Volume 18, Issue 1 (1-2024)
Abstract

Abstract
Escherichia coli is a Gram-negative, rod-shaped bacterium, responsible for 90% of all community-acquired infections and 50% of hospital-acquired infections, with opportunistic infections found in intensive care unit (ICU) patients. The β-lactam antibiotics, which inhibit cell wall synthesis, are known for their high efficacy and broad-spectrum activity. They also have low toxicity and provide long-term effects, making them widely used drugs against Gram-negative bacteria. Bacteria develop resistance to β-lactams primarily through the expression of hydrolytic enzymes, called β-lactamases, which are divided into serine β-lactamases (classes A, C, and D) and metallo-β-lactamases (class B), based on their molecular mechanism. This study aimed to clarify the mechanism of action of β-lactams against Gram-negative bacilli and to emphasize the multidrug resistance of cephalosporins and carbapenems to E. coli.

 

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