1.First diagnosis of IgA nephropathy by renal biopsy in Mongolia
Baigalmaa S ; Buyan-Od D ; Bolor-Erdene G ; Otgonsuren D, Amartuvshin B ; Otgonchimeg I ; Enkhtamir E ; Galtsog L
Mongolian Medical Sciences 2015;172(2):35-41
BackgroundIgA nephropathy and MPGN are common glomerulonephritis in the world that progresses slowly andrenal function can even remain unchanged for decades. Clinically, it presents by isolated hematuria,proteinuria. Histologically, IgA nephropathy presents with acute glomerular damage, mesangial cellproliferation, endocapillary leucocyte infiltration, and crescent formations, these lesions can undergoresolution with sclerotic healing. Since 2013, renal biopsy has been done at the First Central Hospitalof Mongolia a few times. However, the confirmative diagnosis of IgA nephropathy and MPGN remainunknown in Mongolia by renal biopsy. Therefore, we intended to test renal biopsy techniques andconfirm its diagnosis by renal biopsy at the Second Central Hospital of Mongolia.MethodsUltrasound guided renal biopsy had been done for four patients by nephrologist at the Departmentof Nephrology of the Second Central Hospital of Mongolia. All four specimens were evaluated assatisfactory which show more than 8 glomerulus under the light microscopy. Each renal cortical tissuewas divided into two tips: one piece for routine H&E stain and special stains, including Masson’strichrome, and PAS stain; another piece for immunofluorescence by frozen section, which werestained with IgG, IgM, IgA and complement component 3 (C3). Each case was screened by threepathologists.Results:The case which shows mesengial widening, mesengial hypercellularity under the light microscopyor mesangial granular deposition of IgA and C3 by immunofluorescence was diagnosed as IgAnephropathy. We obtained crescent formation with glomerular adhesion in most cases. In addition, weobserved secondary MPGN in one case, which is caused by hepatitis C virus infection.Conclusion: Probably, it is a new step for developing pathologic diagnosis for nephrology in Mongolia.We needs further study for improving renal biopsy technique and confirming the diagnosis of IgAnephropathy and MPGN using electron microscopy and pathological report by oxford classification forIgA nephropathy.
2. RESULT OF KASAI OPERATION, CHILDREN LIVER TRANSPLANTATION IN MONGOLIA
Chuluunkhuu D ; Zorigtbaatar M ; Nurjanar R ; Ganbayr L ; Otgonsuren G ; Dashaa M ; Enkhzul P ; Khandmaa B ; Sergelen O ; Bat-Ireedui B ; Ganzorig B ; Pagaldulam M ; Saruul G ; Tsendjav A
Journal of Surgery 2016;20(2):56-61
Introduction: Biliary Atresia is a fibroobliterativedisorder of the intra andextrahepatic bile ducts in infancy, which isgoing progressively cholestatic liver disease.The failed Kasaiportoenterostomy requiresliver transplantation. The goal of this studyis to show the outcome of Kasai operation,recent improvement and correlation the datato overseas.Methods and Materials: This study wasconducted in the department of generalsurgery of National Center for Maternal andChild Health of Mongolia between 2010 and2016 on a total of 66 infancies with biliaryatresia.Results: Patient diagnosed with biliaryatresia, which performed Kasai operationwithin first 2 months the outcome is verygood early and late post-operation period.There were 3 patients with 10 year survival, 4patients with 5-10 year and 28 patients with5 year survival after Kasai operation. The mostcomport age for liver transplantation is 1 yearlater after Kasai operation in Mongolia. Livertransplantation programme is necessary forMongolian pediatric surgery, and we thoughtour team was assembled.Conclusion: The children with biliary atresiaperform the Kasai operation within 2 monthsthe outcome is very good. Children with biliaryatresia often experience long wait times fortransplant unless exception points are grantedto reflect severity of disease.In Mongolia livertransplantation done in 2 child.
3.Technological study on the preparation of vitamin E loaded liposomal gel
Khaliun J ; Buyankhishig D ; Otgonsuren D ; Shinezaya D ; Baatarbolat J ; Maralmaa Ts ; Jambaninj D
Mongolian Journal of Health Sciences 2025;87(3):161-165
Background:
Vitamin E is an oil-soluble compound with antioxidant properties
against free radicals. It has been used in cosmetic practice since long
time ago. However, it is unstable to light and heat, and even when formulated
into pharmaceuticals, it has poor skin penetration, which can reduce the effectiveness
of the treatment. Therefore, by encapsulating Vitamin E in liposomes
and forming a gel, it is possible to produce a highly therapeutically effective
drug form that supports skin homeostasis and provides moisturizing benefits.
To this reason, it is necessary to determine the appropriate methods and conditions
for encapsulation in liposomes, which is the basis for conducting this
study.
Aim:
The goal of the research is to develop a technology for preparing vitamin
E-loaded liposomes and incorporating them into a gel formulation.
Materials and Methods:
Liposomes were formed using thin film hydration,
ethanol injection, and heating methods, each with 5 different concentrations,
and liposome formation was determined spectrophotometrically for each sample.
The size of the formed liposomes was determined using a Nanophox instrument.
Six gel models were prepared and compared for quality parameters.
Results:
The highest yield was obtained when 75 mg of phospholipids were
used in the thin film hydration method, which is 82.3%; the highest yield was
obtained when 50 mg of phospholipids were used in the ethanol injection
method, which is 86.75%; and the highest yield was obtained when 50 mg of
phospholipids were used in the heating method, which is 58.8%. The average
size of liposomes prepared by ethanol injection and dissolved in distilled water
was 106 nm. The gel bases were prepared using models F1-F6, and the pH
values of models F4 and F5 were suitable.
Conclusions
1. Among the three methods for liposome formation, the ethanol injection
method had the highest yield.
2. The ethanol injection method had the highest encapsulation when prepared
with a phospholipid:vitamin E ratio of (1:10).
3. For gel base model F5 was suitable which is carbomer 1.0%, preservative
propylparaben 0.02%, pH adjuster sodium hydroxide, and permeability
enhancer propylene glycol 10%.
4. Establishment and evaluation of a lung metastasis model of colorectal cancer in experimental animals
Anujin D ; Manaljav B ; Barsbold M ; Altanchimeg Ch ; Otgonsuren B ; Khuselt-Od T ; Suvd-Erdene U ; Enkhsaikhan L ; Gansukh Ch ; Juramt B
Mongolian Journal of Health Sciences 2025;88(4):19-23
Background:
Currently, colorectal cancer (CRC) ranks as the third most common cancer and the second leading cause
of cancer-related mortality worldwide. CRC frequently metastasizes to the liver (50%), lungs (10–15%), peritoneum
(4%), bones (10.7%–23.7%), brain (0.3%–6%), and spinal cord. Approximately 35% of CRC cases are diagnosed before
distant metastasis, 36% upon lymph node involvement, and 23% after distant organ metastasis. Although several studies
have established primary tumor models in mice in our country, there are limited studies on experimental lung metastasis
models, prompting the need for this research.
Aim:
To establish and evaluate a lung metastasis model of colorectal cancer in C57BL/6J mice using the MC38 cell line.
Materials and Methods:
This study was conducted at the Institute of Biomedical Sciences, Mongolian National University of Medical Sciences. Approval was obtained from the Ethics Review Board of the Mongolian National University of Medical Sciences (2023/3-09) and all laboratory safety regulations and protocols were strictly followed. Male
C57BL/6J mice bred at the Experimental Animal Center of Mongolian National University of Medical Sciences were
used. MC38 murine colorectal carcinoma cells were cultured and injected intravenously (via the tail vein) at a concentration of 0.25×10⁶ cells per mouse (n=12) to induce lung metastasis. Histological analysis was subsequently performed.
Results:
Histological examination revealed significant alterations in lung tissue architecture, characterized by areas of
dense infiltration by pleomorphic, hyperchromatic cells, disrupting the normal alveolar structure. No histological abnormalities were observed in other organs.
Conclusion
Intravenous injection of MC38 colorectal adenocarcinoma cells into the tail vein of C57BL/6J mice successfully induced lung metastases, characterized by hyperchromatic, pleomorphic cell infiltrates forming glandular structures within the lung parenchyma.