Pantothenic acid

泛酸
  • 文章类型: Journal Article
    卵巢癌是女性人群中所有生殖癌症中最致命的,主要是由于其晚期诊断限制了手术和药物治疗。经典的,卵巢癌治疗包括常规化疗,和其他治疗方法现在被用来治疗这些患者,但是这种疾病的结果仍然很差。因此,需要新的策略来提高卵巢癌患者的预期寿命和生活质量.考虑到这一点,我们研究了营养补充剂Ocoxin口服液(OOS)在卵巢癌模型中的作用。OOS含有几种营养补充剂,其中一些具有抗肿瘤作用。体外研究表明,OOS抑制几种卵巢癌细胞系的增殖,尤其是子宫内膜样亚型的代表,以时间和剂量依赖的方式。观察到OOS处理后的快速细胞死亡诱导,当研究导致这种效应的分子机制时,检测到DNA损伤检查点的激活,如CHK1和CHK2激酶的活化(磷酸化)所示,随后是靶蛋白组蛋白H2AX的磷酸化。在卵巢癌动物模型中进行测试时,OOS降低肿瘤生长而没有任何观察到的副作用。此外,肿瘤增殖的这种减少是由CHK2和组蛋白H2AX的体内磷酸化证实的DNA损伤的诱导引起的。最后,OOS增强了卡铂或奥拉帕尼的作用,卵巢诊所使用的护理标准,在卵巢癌患者中,将OOS与标准治疗药物结合使用的可能性。
    Ovarian cancer is the most fatal of all the reproductive cancers within the female population, mainly due to its late diagnosis that limits surgery and medical treatment. Classically, ovarian cancer therapy has included conventional chemotherapy, and other therapeutic approaches are now being used to treat these patients, but the outcomes of the disease are still poor. Therefore, new strategies are needed to improve life expectancy and life quality of ovarian cancer patients. Considering that, we investigated the effect of the nutritional supplement Ocoxin Oral Solution (OOS) in ovarian cancer models. OOS contains several nutritional supplements, some of them with demonstrated antitumoral action. In vitro studies showed that OOS inhibited the proliferation of several ovarian cancer cell lines, especially of those representative of the endometrioid subtype, in a time- and dose-dependent manner. A fast cell death induction after OOS treatment was observed, and when the molecular mechanisms leading to this effect were investigated, an activation of the DNA damage checkpoint was detected, as shown by activation (phosphorylation) of CHK1 and CHK2 kinases that was followed by the phosphorylation of the target protein histone H2AX. When tested in animal models of ovarian cancer, OOS reduced tumor growth without any observed secondary effects. Moreover, such reduction in tumor proliferation was caused by the induction of DNA damage as corroborated by the in vivo phosphorylation of CHK2 and Histone H2AX. Finally, OOS potentiated the action of carboplatin or olaparib, the standard of care treatments used in ovarian clinics, opening the possibility of including OOS in combination with those standard of care agents in patients with ovarian cancer.
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  • 文章类型: Journal Article
    棕色脂肪是治疗肥胖相关代谢性疾病的治疗靶点。然而,增加人类棕色脂肪细胞质量和活性的营养干预策略尚未建立.为了确定棕色脂肪生成和脂肪细胞褐变所需的维生素,化合物诱导的棕色脂肪细胞(ciBA)在无血清和无维生素的条件下从人真皮成纤维细胞转化。发现胆碱对脂肪生成至关重要。用泛酸(PA)进行其他处理可提供胆碱诱导的未成熟脂肪细胞,具有褐变特性和代谢成熟,包括解偶联蛋白1(UCP1)的表达,脂解,和线粒体呼吸。然而,高PA浓度的治疗减弱了这些作用以及减少的糖酵解。转录组分析表明,低PA浓度激活代谢基因,包括无用的肌酸循环相关的产热基因,这被高PA浓度逆转。核黄素处理抑制了产热基因表达并增加了脂解,暗示与PA不同的代谢途径。硫胺素处理会稍微激活产热基因,同时糖酵解减少。总之,我们的结果表明,特定的B族维生素和胆碱通过细胞能量代谢以浓度依赖的方式参与脂肪细胞褐变的调节.
    Brown fat is a therapeutic target for the treatment of obesity-associated metabolic diseases. However, nutritional intervention strategies for increasing the mass and activity of human brown adipocytes have not yet been established. To identify vitamins required for brown adipogenesis and adipocyte browning, chemical compound-induced brown adipocytes (ciBAs) were converted from human dermal fibroblasts under serum-free and vitamin-free conditions. Choline was found to be essential for adipogenesis. Additional treatment with pantothenic acid (PA) provided choline-induced immature adipocytes with browning properties and metabolic maturation, including uncoupling protein 1 (UCP1) expression, lipolysis, and mitochondrial respiration. However, treatment with high PA concentrations attenuated these effects along with decreased glycolysis. Transcriptome analysis showed that a low PA concentration activated metabolic genes, including the futile creatine cycle-related thermogenic genes, which was reversed by a high PA concentration. Riboflavin treatment suppressed thermogenic gene expression and increased lipolysis, implying a metabolic pathway different from that of PA. Thiamine treatment slightly activated thermogenic genes along with decreased glycolysis. In summary, our results suggest that specific B vitamins and choline are uniquely involved in the regulation of adipocyte browning via cellular energy metabolism in a concentration-dependent manner.
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  • 文章类型: Journal Article
    基于CRISPR的调控工具能够微调基因转录,在生物制造和活体治疗领域显示出潜力。然而,现有的基于CRISPR的调节系统的细胞毒性和PAM特异性限制了它们的广泛应用。对于扩大基于CRISPR的工具的应用范围,开发新的且毒性较低的CRISPR控制的表达系统仍然是高度期望的。这里,我们从大肠杆菌中重建了I型CRISPR-Cas系统,以微调枯草芽孢杆菌中的基因表达。通过改造cas基因mRNA的5'非翻译区(UTR),我们显着提高了I型CRISPRi系统的功效。改进的I型CRISPRi系统已用于工程生产D-泛酸(DPA)的枯草芽孢杆菌,它是通过在转录和翻译水平上增强关键酶的表达来增强向β-丙氨酸和(R)-泛酰的代谢通量而产生的。通过用CRISPRi系统控制pdhA的表达,以微调向DPA和TCA循环的代谢通量,我们在摇瓶中将DPA滴度提高到0.88g/L,在不添加前体β-丙氨酸的分批补料发酵中提高到12.81g/L。本文报道的I型CRISPRi系统和微调代谢通量的策略不仅丰富了枯草芽孢杆菌中的CRISPR工具箱,并促进了通过微生物发酵的DPA生产,而且为编程重要生物体以廉价原料生产增值化学品提供了范例。
    The CRISPR-based regulation tools enable fine-tuning of gene transcription, showing potential in areas of biomanufacturing and live therapeutics. However, the cell toxicity and PAM specificity of existing CRISPR-based regulation systems limit their broad application. The development of new and less-toxic CRISPR-controlled expression systems remains highly desirable for expanding the application scope of CRISPR-based tools. Here, we reconstituted the type I CRISPR-Cas system from Escherichia coli to finely tune gene expression in Bacillus subtilis. Through engineering the 5\' untranslated region (UTR) of mRNAs of cas genes, we remarkably improved the efficacy of the type I CRISPRi system. The improved type I CRISPRi system was applied in engineering the D-pantothenic acid (DPA)-producing B. subtilis, which was generated by strengthening the metabolic flux toward β-alanine and (R)-pantoate via enhancing expression of key enzymes at both transcriptional and translational levels. Through controlling the expression of pdhA with the CRISPRi system for fine-tuning the metabolic flux toward DPA and the TCA cycle, we elevated the DPA titer to 0.88 g/L in shake flasks and 12.81 g/L in fed-batch fermentations without the addition of the precursor β-alanine. The type I CRISPRi system and the strategy for fine-tuning metabolic flux reported here not only enrich the CRISPR toolbox in B. subtilis and facilitate DPA production through microbial fermentation but also provide a paradigm for programming important organisms to produce value-added chemicals with cheap raw materials.
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  • 文章类型: Journal Article
    铅(Pb)的植物提取是一项具有挑战性的任务,因为它在土壤和植物系统中的迁移率极低。在这项研究中,我们测试了一些新型螯合剂对向日葵铅植物提取的影响。通过土壤加标,以对照(0.0278mM)和4.826mMPb作为Pb(NO3)2施用。添加Pb10天后,四种不同的有机配体(天冬氨酸,抗坏血酸,酒石酸,和泛酸)分别以1mM的浓度添加到土壤中。分别。在没有任何螯合物的情况下,在4.826mMPb水平下生长的向日葵植物在根中积累的Pb浓度高达104µgg-1DW,而拍摄中的DW为64µgg-1。相比之下,酒石酸显着促进了根中Pb的积累(191µgg-1DW;45.5%)和芽(131.6µg-1DW;51.3%)。泛酸还导致向日葵芽(123µgg-1DW;47.9%)和根部(177.3µgg-1DW;41.3%)中大量吸收Pb。测试的螯合物中效果最差的是天冬氨酸,但它仍然贡献了向日葵根和芽中40.1%的铅积累。此外,植物生长,生物化学,和生理参数受所用有机螯合物的正向调节。尤其是,叶片Ca的增加,P,在Pb胁迫的植物中,S对螯合物的反应很明显。这些结果突出表明,使用生物相容性有机螯合物会积极改变植物的生理生化特性,从而导致向日葵植物部分中更高的Pb螯合作用。
    Phytoextraction of lead (Pb) is a challenging task due to its extremely low mobility within soil and plant systems. In this study, we tested the influence of some novel chelating agents for Pb-phytoextraction using sunflower. The Pb was applied at control (0.0278 mM) and 4.826 mM Pb as Pb(NO3)2 through soil-spiking. After 10 days of Pb addition, four different organic ligands (aspartic, ascorbic, tartaric, and pantothenic acids) were added to the soil at 1 mM concentration each. respectively. In the absence of any chelate, sunflower plants grown at 4.826 mM Pb level accumulated Pb concentrations up to 104 µg g-1 DW in roots, whereas 64 µg g-1 DW in shoot. By contrast, tartaric acid promoted significantly Pb accumulation in roots (191 µg g-1 DW; + 45.5%) and shoot (131.6 µg g-1 DW; + 51.3%). Pantothenic acid also resulted in a significant Pb-uptake in the sunflower shoots (123 µg g-1 DW; + 47.9%) and in roots (177.3 µg g-1 DW; + 41.3%). The least effective amongst the chelates tested was aspartic acid, but it still contributed to + 40.1% more Pb accumulation in the sunflower root and shoots. In addition, plant growth, biochemical, and ionomic parameters were positively regulated by the organic chelates used. Especially, an increase in leaf Ca, P, and S was evident in Pb-stressed plants in response to chelates. These results highlight that the use of biocompatible organic chelates positively alters plant physio-biochemical traits contributing to higher Pb-sequestration in sunflower plant parts.
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  • 文章类型: Journal Article
    真菌感染,真核病原体死亡的主要原因,由于耐药菌株的增加,对全球健康构成了越来越大的威胁。迫切需要新的治疗策略来应对这一挑战。从维生素B5(泛酸)生物合成辅酶A(CoA)和乙酰辅酶A(AcCoA)的PCA途径已被验证为开发针对真菌和原生动物的新型抗菌剂的出色靶标。该途径调节关键的细胞过程,包括脂肪酸的代谢,氨基酸,固醇,和血红素。在这项研究中,我们提供了遗传证据,表明酿酒酵母中PCA途径的破坏导致真菌对多种异源生物的敏感性发生了显着改变,包括通过改变液泡形态和药物解毒的临床批准的抗真菌药物。可以使用pantazine类似物PZ-2891以及塞来昔布衍生物来概括PCA途径中基因的遗传调控介导的药物增强作用,AR-12通过抑制真菌AcCoA合酶活性。总的来说,数据验证了PCA途径作为增强当前抗真菌治疗疗效和安全性的合适靶点.
    Fungal infections, a leading cause of mortality among eukaryotic pathogens, pose a growing global health threat due to the rise of drug-resistant strains. New therapeutic strategies are urgently needed to combat this challenge. The PCA pathway for biosynthesis of Co-enzyme A (CoA) and Acetyl-CoA (AcCoA) from vitamin B5 (pantothenic acid) has been validated as an excellent target for the development of new antimicrobials against fungi and protozoa. The pathway regulates key cellular processes including metabolism of fatty acids, amino acids, sterols, and heme. In this study, we provide genetic evidence that disruption of the PCA pathway in Saccharomyces cerevisiae results in a significant alteration in the susceptibility of fungi to a wide range of xenobiotics, including clinically approved antifungal drugs through alteration of vacuolar morphology and drug detoxification. The drug potentiation mediated by genetic regulation of genes in the PCA pathway could be recapitulated using the pantazine analog PZ-2891 as well as the celecoxib derivative, AR-12 through inhibition of fungal AcCoA synthase activity. Collectively, the data validate the PCA pathway as a suitable target for enhancing the efficacy and safety of current antifungal therapies.
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  • 文章类型: Journal Article
    根据欧盟委员会的要求,EFSA被要求就D-泛酸钙的安全性和有效性发表科学意见,以更新其作为所有动物物种的营养饲料添加剂的授权。添加剂D-泛酸钙已经被授权用于所有动物物种(3a841)。申请人提供了证据,证明目前市场上的添加剂符合授权的现有条件,并且生产工艺没有修改。EFSA动物饲料中使用的添加剂和产品或物质小组(FEEDAP)得出结论,该添加剂对所有动物物种都是安全的。消费者和环境。D-泛酸钙对皮肤和眼睛没有刺激性,并且不是皮肤致敏剂。本申请的授权更新不包括任何会对添加剂的功效产生影响的修改建议,因此,没有必要重新评估疗效。
    Following a request from the European Commission, EFSA was asked to deliver a scientific opinion on the safety and efficacy of calcium D-pantothenate for the renewal of its authorisation as a nutritional feed additive for all animal species. The additive calcium D-pantothenate is already authorised for use in all animal species (3a841). The applicant provided evidence that the additive currently in the market complies with the existing conditions of the authorisation and that the production process has not been modified. The EFSA Panel on Additives and Products or Substances used in Animal Feed (FEEDAP) concluded that the additive remains safe for all animal species, consumers and the environment. Calcium D-pantothenate is not irritant to skin and eyes and is not a skin sensitiser. The present application for renewal of the authorisation does not include any modification proposal that would have an impact on the efficacy of the additive, and therefore, there is no need for re-assessing the efficacy.
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  • 文章类型: Journal Article
    过多的脂肪沉积导致肥胖和代谢异常的心血管疾病。泛酸(PA)是能量代谢所需的主要B族维生素。然而,PA对脂质代谢和肥胖的影响尚未被研究。我们研究了PA对成年雄性小鼠和原代脂肪细胞脂肪积累的影响和分子机制以及成脂标记基因的影响。首先,我们证明了PA可以减轻高脂饮食(HFD)小鼠的体重增加。此外,补充PA可显著改善肥胖小鼠的葡萄糖耐量和脂质代谢紊乱。此外,PA显着抑制白色脂肪组织(WAT)沉积以及放大显示的脂肪滴在食物和HFD组中。更重要的是,PA明显抑制CD36,IL-6和TNF-α的mRNA水平,减轻炎症反应,降低PPARγ的水平,aP2和C/EBPα基因与腹股沟白色脂肪组织(ing-WAT)和附睾白色脂肪组织(ei-WAT)中的脂质代谢有关。体外,PA补充显示出较低的脂滴聚集以及脂肪生成基因的表达水平降低。最后,我们发现PA抑制小鼠原代脂肪细胞中p38和JNK的磷酸化水平。总的来说,我们的数据首次证明PA通过JNK/p38MAPK信号通路减轻了脂质代谢紊乱和脂肪沉积.
    Excessive fat deposition leads to obesity and cardiovascular diseases with abnormal metabolism. Pantothenic acid (PA) is a major B vitamin required for energy metabolism. However, the effect of PA on lipid metabolism and obesity has not been explored. We investigated the effects and molecular mechanism of PA on fat accumulation as well as the influence of adipogenic marker genes in both adult male mice and primary adipocytes. First, we demonstrated that PA attenuates weight gain in mice fed high-fat diet (HFD). Besides, PA supplementation substantially improved glucose tolerance and lipid metabolic disorder in obese mice. Furthermore, PA significantly inhibited white adipose tissue (WAT) deposition as well as fat droplets visualized by magnification in both chow and HFD group. More importantly, PA obviously suppressed the mRNA levels of CD36, IL-6, and TNF-α to alleviate inflammation and reduced the levels of PPARγ, aP2, and C/EBPα genes that are related to lipid metabolism in inguinal white adipose tissue (ing-WAT) and epididymal white adipose tissue (ei-WAT). In vitro, PA supplementation showed a lower lipid droplet aggregation as well as reduced expression levels of adipogentic genes. Finally, we identified that PA inhibits the phosphorylation levels of p38 and JNK in murine primary adipocytes. Collectively, our data demonstrated for the first time that PA attenuates lipid metabolic disorder as well as fat deposition by JNK/p38 MAPK signaling pathway.
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  • 文章类型: Journal Article
    维生素B5[D-泛酸(D-PA)]是一种必需的水溶性维生素,广泛用于食品和饲料工业。目前,相对较低的发酵效率限制了D-PA的工业应用。这里,使用系统的代谢工程策略构建了无质粒的D-PA超生产者。首先,丙酮酸通过删除非磷酸转移酶系统来富集,抑制丙酮酸竞争性分支,并动态地控制TCA循环。接下来,通过筛选限速酶PanBC并逐个调节该途径的其他酶,可以增强(R)-泛解酸途径。然后,为了增强NADPH的可持续性,通过新的“PEACES”系统实现NADPH再生,方法是(1)表达谷氨酸梭菌的NAD激酶基因ppnk和乙酰丁酸梭菌的NADP依赖性gapCcae,(2)敲除内源性sthA基因,在D-PA生物合成途径中与ilvC和panE相互作用。结合转录组分析,发现膜蛋白OmpC和TolR通过增加膜流动性促进D-PA外排。菌株PA132通过两阶段补料分批发酵产生的D-PA滴度为83.26g/L,这是迄今为止报道的最高D-PA滴度。这项工作为D-PA的工业生产建立了有竞争力的生产者,并为相关产品的生产提供了有效的策略。
    Vitamin B5 [D-pantothenic acid (D-PA)] is an essential water-soluble vitamin that is widely used in the food and feed industries. Currently, the relatively low fermentation efficiency limits the industrial application of D-PA. Here, a plasmid-free D-PA hyperproducer was constructed using systematic metabolic engineering strategies. First, pyruvate was enriched by deleting the non-phosphotransferase system, inhibiting pyruvate competitive branches, and dynamically controlling the TCA cycle. Next, the (R)-pantoate pathway was enhanced by screening the rate-limiting enzyme PanBC and regulating the other enzymes of this pathway one by one. Then, to enhance NADPH sustainability, NADPH regeneration was achieved through the novel \"PEACES\" system by (1) expressing the NAD + kinase gene ppnk from Clostridium glutamicum and the NADP + -dependent gapCcae from Clostridium acetobutyricum and (2) knocking-out the endogenous sthA gene, which interacts with ilvC and panE in the D-PA biosynthesis pathway. Combined with transcriptome analysis, it was found that the membrane proteins OmpC and TolR promoted D-PA efflux by increasing membrane fluidity. Strain PA132 produced a D-PA titer of 83.26 g/L by two-stage fed-batch fermentation, which is the highest D-PA titer reported so far. This work established competitive producers for the industrial production of D-PA and provided an effective strategy for the production of related products.
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  • 文章类型: Journal Article
    背景:注意缺陷多动障碍(ADHD)是一种常见的儿童神经发育障碍,始于12岁之前。鉴于B族维生素在细胞代谢中的作用,核苷酸的合成,和神经递质,本研究系统调查了ADHD患儿血浆维生素B9和B12水平。方法:我们搜索了包括WebofScience在内的电子数据库,MEDLINE,EMBASE,Scopus,伊朗MEDEX,Cochran数据库,和SID从概念到2023年6月。全文病例对照或横断面研究纳入本研究。病例组中的参与者是6-12岁的ADHD儿童。使用ReviewManager软件(RevMan5.4)进行统计分析。使用95%CI的标准化平均差异(SMD)来确定两组之间的差异。结果:本荟萃分析包括6项研究。其中包括982名儿童,谁,204人是女孩,744人是男孩。儿童的平均年龄为8.86±2.03岁。有和没有ADHD的儿童之间的维生素B9水平显着不同[SMD-0.80,95%CI(-1.55,-0.04)]。ADHD患儿的维生素B12显著降低[SMD-0.29,95%CI(-0.42,-0.16)]。然而,由于高度异质性(I2=93%),采用敏感性分析,I2降至21%,两组间差异显著[SMD-0.19,95%CI(-0.34,-0.04)]。结论:本次系统评价结果显示,ADHD患儿维生素B9、B12水平明显低于健康儿童。
    Background: Attention deficit hyperactivity disorder (ADHD) is a common childhood neurodevelopmental disorder that begins before age 12. Given the role of B group vitamins in cell metabolism, synthesis of nucleotides, and neurotransmitters, the present study systematically investigated the plasma levels of vitamins B9 and B12 in children with ADHD. Methods: We searched electronic databases including Web of Science, MEDLINE, EMBASE, Scopus, Iran MEDEX, Cochran database, and SID from conception to June 2023. Full-text case-control or cross-sectional studies were included in this study. Participants in the case group were children with ADHD aged 6-12 years. Review Manager Software (RevMan 5.4) was used for statistical analyses. Standardized mean differences (SMD) with 95% CIs were used to determine the differences between the two groups. Results: Six studies were included in the present meta-analysis. They included 982 children, of whom, 204 were girls and 744 were boys. The mean age of the children was 8.86±2.03 years. The level of vitamin B9 was significantly different between children with and without ADHD [SMD -0.80, 95% CI (-1.55, -0.04)]. Vitamin B12 was significantly lower in children with ADHD [SMD -0.29, 95% CI (-0.42, -0.16)]. However, due to high heterogeneity (I2 = 93%), sensitivity analysis was used, I2 fell to 21%, and significant difference was observed between the two groups [SMD -0.19, 95% CI (-0.34, -0.04)]. Conclusion: The results of this systematic review showed that the level of vitamins B9 and B12 in children with ADHD was significantly lower than that in healthy children.
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  • 文章类型: English Abstract
    OBJECTIVE: To study the clinical and neurophysiological features of children with low cognitive tempo (NCT), as well as the effectiveness of the drug Pantogam in the treatment of this pathology.
    METHODS: A total of 90 children aged 8 to 10 years were examined. Of these, the main study group consisted of 30 children with NCT, the comparison group consisted of 30 children with a combined type of attention deficit hyperactivity disorder ADHD (ADHD-K), the control group consisted of 30 children without neuropsychiatric disorders. The study used clinical, neurophysiological (electroencephalography (EEG)) and parametric methods. The CMAS scale of apparent anxiety (The Children\'s Form of Manifest Anxiety Scale), the SNAP-IY scale (assessment of the degree of inattention, hyperactivity and impulsivity), the TOVA computer test (the Test of Variables of Attention), the scale «SCT» (Sluggish Cognitive Tempo) for assessing manifestations of low cognitive tempo, the «RAM» technique for quantifying working memory. Pantogam was used to treat patients at a dose of 750 mg per day for 8 weeks.
    RESULTS: Patients with NCT are characterized by more pronounced attention disorders compared with healthy peers and with children with ADHD-K, and they have a decrease in mainly not selective attention, but the overall level of functional activity. Also, the group of children with NCT has an increased level of anxiety compared to the group of children with ADHD. A comparative analysis of the level of impulsivity showed that children with NCT are less characterized by a deficit in inhibition processes. According to the quantitative analysis of the EEG, specific changes in functional activity in the frontal and central regions of the cerebral cortex were revealed (a statistically significant increase in the ratio of absolute theta rhythm to beta1 rhythm, compared with other groups), reflecting insufficient cortical arousal and less focused neural states. When re-evaluating the condition of children with NCT after a course of therapy with Pantogam, an improvement in the form of a decrease in the degree of inattention, the severity of memory impairment and a decrease in reaction time was recorded in 60% of cases. According to quantitative EEG analysis, there was a significant decrease in the ratio of absolute theta rhythm to beta1 rhythm in the central leads of both hemispheres and in the parietal-temporal leads of the left hemisphere, indicating an increase in the level of overall activation of the cerebral cortex after a course of treatment.
    CONCLUSIONS: Clinical and neurophysiological differences were revealed in patients with NCT and with combined ADHD. It has been shown that the use of Pantogam for the treatment of children with NCT leads not only to a decrease in the main manifestations of this disorder, but also to an improvement in the functional state of the brain.
    UNASSIGNED: Изучить клинические и нейрофизиологические особенности детей с низким когнитивным темпом (НКТ), а также эффективность применения препарата Пантогам в лечении данной патологии.
    UNASSIGNED: Были обследованы 90 детей в возрасте от 8 до 10 лет. Из них основную исследуемую группу составили 30 детей с НКТ, группу сравнения — 30 детей с комбинированным типом синдрома дефицита внимания с гиперактивностью (СДВГ-К), контрольную группу — 30 детей без психоневрологических расстройств. В исследовании применялись клинический, нейрофизиологический (электроэнцефалография (ЭЭГ)) и параметрический методы. Использовались шкала явной тревожности CMAS (The Children’s Form of Manifest Anxiety Scale), шкала SNAP-IY (оценка степени невнимательности, гиперактивности и импульсивности), компьютерный тест TOVA (the Test of Variables of Attention), шкала SCT (Sluggish Cognitive Tempo) для оценки проявлений низкого когнитивного темпа, методика «Оперативная память» для количественной оценки рабочей памяти. Для лечения пациентов использовался препарат Пантогам в дозе 750 мг/сут в течение 8 нед.
    UNASSIGNED: Пациенты с НКТ характеризуются более выраженными нарушениями внимания по сравнению со здоровыми сверстниками и детьми с СДВГ-К, причем у них отмечается снижение преимущественно не селективного внимания, а общего уровня функциональной активности. Также у группы детей с НКТ отмечается повышенный уровень тревожности по сравнению с группой детей с СДВГ. Сравнительный анализ уровня импульсивности показал, что для детей с НКТ менее характерен дефицит процессов торможения. По данным количественного анализа ЭЭГ выявлены специфические изменения функциональной активности во фронтальных и центральных областях коры головного мозга (статистически значимое, по сравнению с другими группами, увеличение отношения абсолютных мощностей тета-ритма к бета1-ритму), отражающие недостаточное возбуждение коры и менее сфокусированные нейронные состояния. При повторной оценке состояния детей с НКТ после курса терапии препаратом Пантогам улучшение в виде снижения степени невнимательности, выраженности нарушения оперативной памяти и уменьшения времени реакции было зарегистрировано в 60% случаев. По данным количественного анализа ЭЭГ отмечалось значимое уменьшение отношения абсолютных мощностей тета-ритма к бета1-ритму в центральных отведениях обоих полушарий и в теменно-височных отведениях левого полушария, свидетельствующее об увеличении уровня общей активации коры головного мозга после курса лечения.
    UNASSIGNED: Выявлены клинические и нейрофизиологические различия у пациентов с НКТ и с комбинированным СДВГ. Показано, что применение препарата Пантогам для лечения детей с НКТ приводит не только к уменьшению основных проявлений этого расстройства, но и к улучшению функционального состояния головного мозга.
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