6- Comparative BRAF V600E immunohistochemical expression in differentiated thyroid tumors with papillary features
الباحثونMaha Hatem Abdul Wahid ، Rihab Hameed Almudhafar
المجلةjournal of medicine and life
مختصر البحثDifferentiated thyroid tumors (DTC) are the most common indolent tumors associated with a good prognosis compared with other tumors. Its incidence during the last few decades has increased. DTC includes papillary carcinoma and follicular carcinoma. The BRAF is the most prevalent genetic mutation in thyroid carcinoma, occurring in more than 50% of papillary thyroid cancers (PTCs). The study aimed to evaluate BRAF expression in differentiated thyroid tumors with papillary-like nuclear features. Formalin-fixed paraffin-embedded blocks (FFPE) were collected from archival samples of patients in private histopathology labs in Al-Najaf city from 55 cases, which included 27 papillary thyroid carcinoma (PTC) cases, 10 cases of NIFTP, 13 FVPTC cases, 2 papillary microcarcinoma cases, and 3 NIFTP coexist with papillary microcarcinoma cases. All samples were stained using the immunohistochemistry method in the Middle Euphrates unit for cancer research at the University of Kufa/Faculty of Medicine. 15/55 (27.3%) of cases increased BRAF expression. The BRAF expression was statistically significant with tumor type (p=0.008). The higher expression was associated with 13 (48.15%) of PTC cases. However, the BRAF expression did not correlate with gender (p=0.2), tumor size (p=0.07), and tumor focality (p=0.09). BRAF V600E has prognostic value as it correlates with tumor progression.
Serelaxin Protects the Kidney from Ischaemia Reperfusion Injury
by Down Regulation of Toll-4 Signaling
الباحثونMaryam A. AL-ISSA 1، Thu-Alfeqar R. TWEIJ 2, Rihab H. AL-MUDHAFAR 3,
Dhefaf H. AL-MUDHAFAR 3 & Najah R. HADI 4
المجلةLatin American Journal of Pharmacy
مختصر البحث SUMMARY. Ischemia reperfusion injury (IRI) is the net result of an inflammatory process which occurred when an organ suffered a transient decrease or cessation of the blood flow, followed by restoration of perfusion. The kidney is considered as one of the most susceptible organs to IRI. IRI is considered one of the major challenges of organ transplantation, because it directly correlates to the graft rejection. Oxidative stress is an important pathway that participates in the pathogenesis of IRI through enhancing of ROS production. ROS react with cellular component leading to lipid peroxidation, inactivation of enzymes, oxidation of glutathione, formation of organic radical, and destruction of the cell. The inflammation and immune system play a serious function in the pathogenesis of renal IRI; renal IR upregulates the gene expression of TLR in parts of kidney. Activation of these receptors leads to enhancement of inflammatory mediators which induce inflammatory responses, resulting in tubulointerstitial injury
Lipopolysaccharide from Rhodobacter spheroids modulate
toll-like receptors expression and tissue damage in an animal
model of bilateral renal ischemic reperfusion injury
الباحثون Munaf Aal-Aaboda، Ahmed Rahma Abu Raghif 2 , Rihab Hameed Almudhafer 3 , Najah Riesh Hadi
المجلةJOURNAL of MEDICINE and LIFE
مختصر البحثIschemic reperfusion injury (IRI) of the kidneys is a direct sequela of surgical procedures associated with the interrup tion of blood supply. The pathophysiology of IRI is complicated, and several inflammatories, apoptosis, and oxidative stress pathways are implicated. Among the major receptors directly involved in renal IRI are the toll-like receptors (TLRs), specifically TLR2 and TLR4. In this study, we investigated the effects of Lipopolysaccharide from Rhodobacter Sphaeroides (TLR2 and TLR4 antagonist, LPS-RS) and the ultrapure form (pure TLR4 antagonist, ULPS-RS) on the histopathological changes and TLRs expression in an animal model of bilateral renal IRI. Forty-eight adult male rats were allocated into six groups (N=8) as follows: sham group (negative control without IRI), control group (rats underwent bilateral renal ischemia for 30 minutes and 2 hours of reperfusion), vehicle group (IRI+ vehicle), LPS-RS group (IRI+ 0.5 mg/kg of LPS-RS), ULPS-RS group (IRI+ 0.1 mg/kg of ULPS-RS), ULPS-RSH group (IRI+ 0.2 mg/kg of ULPS-RS). Significant improvement in the histopathological damages induced by renal IRI was found in the ULPS-RS treated groups at both doses compared with the control group. The protective effect of ULPS-RS was associated with significantly reduced TLR4 expression without affecting TLR2. Regarding LPS-RS, the tested dose adversely affected the renal tissues as manifested by the histopathological findings, although it similarly affected TLRs expression as ULPS-RS. Our results demonstrated that ULPS-RS was renoprotective while LPS-RS had no protective effect against the tissue damages induced by renal IRI.
Age Distribution of Clinical
Symptoms, Isolation, Co-morbidities
and Case Fatality Rate of COVID-19
Cases in Najaf City, Iraq
الباحثون Rihab h. Al-Mudhaffer، Salam W. Ahjel2, Saif M. hassan3, Abdulkareem A.
Mahmood4 , Najah R. hadi
المجلةmedical archives journal
مختصر البحثIntroduction: The first case of coronavirus disease 2019 (COVID-19) in holy Najaf city in Feb
ruary 22, 2020. The outbreak then rose up all over Iraq from 519 cases and 20 deaths in June
2, 2020 to 3484 cases and 72 deaths per day in August 10, 2020 per 24 hours. Aim: The aim
of the study is to describe the distribution of confirmed cases by age, demographic factors,
isolation, comorbidities and case fatality rate. Methods: Prospectively collected and analyzed
data on patients with laboratory-confirmed 2019-nCoV infection by real-time RT-PCR and
next-generation sequencing. The demographic and clinical outcomes data of 1153 diagnosed
patients were collected from consecutive patients, analyzed, and described. About two third
of cases 789 (68.4%) acquired infection through contact with positive patients. Results: The
reported cases were 743 (64.4%) males and 410 (35.6%) females with large number among
age range 21 to 50 years. The most frequent presenting symptoms were fever, sore throat and
dyspnea or cough, most of patients; 868 (75%) patients were isolated at home versus 285
(24.72) patients required hospitalization which represented the intermediate and sever cas
es. The overall case fatality rate was 2.4%. Conclusion: Most of COVID-19 cases in this locality
were male from urban areas. The common onset symptoms were the fever, sore throat and
dyspnea or cough. Majority of cases were isolated and treated at home. The estimated case
fatality rate was within the global range (2.4%).
Transthyretin Gene Mutation Associated with Familial
Carpal Tunnel Syndrome in Sample of Iraqi Patients
الباحثون Rihab H. Al-Mudhafar، Ihsan
M Ajeena2, Iman J Al-Awadi3,
Dhefaf H. Al-Mudhafar3,
Najah R. Hadi4
المجلةacta medica informatica
مختصر البحثBackground: Carpal tunnel syndrome (CTS) is the most common entrapment neuropa
thy in upper limbs. It affects women more frequently than men. CTS can be caused by
many different systemic diseases and local mechanical conditions and it had signs and
symptoms due to compression of median nerve at the carpal tunnel in wrist. Objec
tive:The present study aims to study whether Transthyretin (TTR) gene polymorphisms
have association with the development of FCTS. Methods: Sixty-four patients suffering
from CTS were enrolled in this controlled cross sectional study. For all, nerve conduction
study was performed to prove the diagnosis of CTS and to classify its severity. The mean
age of all patients was 44.9±7.8 years, 89.1 % were female, 37.5 % had mild type CTS
and 40.7 % had right side CTS. 3 mL of peripheral blood was collected from all patients
which is a labeled (EDTA) tube at -20 C° for DNA extraction to identify a particular SNP
(rs28933979; 148G/A; V50M) that locates at position chr18:31592974 on the exon-2 region
which is reported to be associated to the Carpal Tunnel Syndrome. Exon-2 of TTR gene
was amplified using the PCR technique and subjected to be tested for presence of SNP
by Restriction Fragment Length Polymorphism (RFLP) assay. Results and Conclusion:
According to genetic variation, the study cannot discover any TTR gene polymorphism
that back to FCTS.
RanolazineProtectstheKidneyfromIschemia/Reperfusion
InjuryinAdultMaleRatsbyModulationofInflammatoryand
OxidativePathwaysandSuppressionofNotch2/Hes1
signalingpathway
الباحثون Lamaan M.Abbas، RihabH.Al-Mudhafar , DhefafH.Al-Mudhafarc, NajahR.Hadid
المجلةSystematic Reviews in Pharmacy
مختصر البحث Background: Renal ischemia and reperfusion is the main cause of acute injury of the kidney and associated with increase morbidity, mortality, and long stage hospitalization. Renal ischemia and reperfusion occur inapproximately10 20% of kidney transplant recipients. If ischemia and reperfusion occur, this will induce oxidative stress, inflammatory process and apoptosis. Objectives: This research aimed to investigate the possible nephroprotective effect of ranolazine in renal ischemia reperfusion injury in rat model by targetingNotch2/Hes1 signaling pathway.