1.Chronic obstructive pulmonary disease: new information about pathogenetic mechanisms
Solongo Kh ; Narantsetseg J ; Odonchimeg B ; Gombosuren B ; Ambaga B
Mongolian Medical Sciences 2013;164(2):101-106
The pathogenesis of chronic obstructive pulmonary disease (COPD) encompasses a number of injurious processes, including an abnormal inflammatory response in the lungs to inhaled particles and gases. Other processes, such as failure to resolve inflammation, abnormal cell repair, apoptosis, abnormal cellular maintenance programs, extracellular matrix destruction (protease/antiprotease imbalance), and oxidative stress (oxidant/antioxidant imbalance) also have a role. The inflammatory responses to the inhalation of active and passive tobacco smoke and urban and rural air pollution are modified by genetic and epigenetic factors. The subsequent chronic inflammatory responses lead to mucus hypersecretion, airway remodeling, and alveolar destruction. This article provides an update on the cellular and molecular mechanisms of these processes in the pathogenesis of COPD. During the past decade a plethora of studies have unravelled the multiple roles of nitric oxide (NO) in airway physiology and pathophysiology. In the respiratory tract, NO is produced by a wide variety of cell types and is generated via oxidation ofL-arginine that is catalyzed by the enzyme NO synthase (NOS). NOS exist in three distinct are forms: neuronal NOS (nNOS), inducible NOS (iNOS), and endothelial NOS (eNOS). NO derived from the constitutive are forms of NOS (nNOS and eNOS) and other NO-adduct molecules (nitrosothiols) have been shown to be modulators of bronchomotor tone. On the other hand, NO derived from iNOS seems to be a proinflammatory mediator with immunomodulatory effects. Finally, the production of NO under oxidative stress conditions secondarily generates strong oxidizing agents (reactive nitrogen species) that may modulate the development of chronic inflammatory airway diseases and/or amplify the inflammatory response.
2.Mode of energy and metabolism which related to three state line systems of membrane-redoxy potentials and rlung, mkris, badgan symbolic coded
Narantsetseg B ; Narantsetseg J, Sarantsetseg B ; Khishigjargal S ; Ambaga M
Mongolian Medical Sciences 2013;166(4):57-62
Background. This study is to determine mode of metabolism on triple collaboration bridges of traditional medicine, modern medicine and NCM.Goal. To determine membrane redoxy potentials three line involves important regulation factors on mode of metabolism which relationship connected with rlung, mkris, and badgan symbolic code.Materials and Methods. Only 81 healthy individuals were involved in the study. Proton leak was determined by quantity rate of MDA in cell membrane and membrane resistance, proton conductance was determined by serum and urine oxidase activity.Results. The table 1 shows quantity rate of membrane resistance was decreased 1.08-1.52 fold, HDL content was decreased, and however LDL was increased. This result is to manifest low proton leak which means this type is likely belonged to badgan symbolic code with qualities cold fatty, earth, water. The table 2 shows serum and urine oxidize activity 2.22-6.1 fold was increased, HDL content was increased; UCP-3 gene activity relatively was increased. This result is to manifest highproton conductance which means this type is likely belonged to mkris symbolic code with qualities hot fatty, fire.Conclusions:1. Individuals with high proton leak and slow proton conductance had serum and urine oxidize activity were weak, therefore there are visceral and subcutaneous fat were low.2. Individuals with medium proton leak and high proton conductance had serum and urine oxidize activity were high, therefore there are visceral was low and subcutaneous fat was high.3. Individuals with weak proton leak and medium proton conductance had serum and urine oxidize activity were medium, therefore there are visceral was high and subcutaneous fat was low.
3.The study of allergen of mare’s milk, airag and mugwort pollen
Oyuntsatsral B ; Gantulga B ; Munkhbayarlakh S ; Narantsetseg L
Mongolian Medical Sciences 2015;173(3):19-22
BACKGROUND: Mugwort is the important source of fall allergic symptoms in the Mongolia. Mugwort pollen allergicpatients frequently present allergic symptoms of ingestion after several kinds of foods.OBJECTIVE: We sought to study the clinical manifestations of airag (fermented mare’s milk) and mare’s milkhypersensitivity in patients with mugwort allergy, identify the molecular weight of allergens, andevaluate their IgE cross-reactivity.MATERIAL AND METHODS: We collected to mugwort pollens from around UB in august and practiced fresh airag and mare’s milk.Airag, mare’s milk and mugwort extracts prepared by Hames Richmond method and their allergenswere identified by means of SDS-PAGE. ELISA inhibition experiments were done to study crossreactivitybetween airag and mugwort.RESULTS: In SDS-PAGE determined mugwort allergen 12-43 kDa, mare’s milk allergen 13-70 kDa, airag allergen12-68 kDamolecular weight.The study of the cross-reactivity between mugwort allergens and some food allergens was becamepractical significance on diagnosis, treatment and prevention of respiratory allergies. We were definedallergenic cross-reactivity between airag allergens and mugwort allergens which are common causesof upper respiratory allergy. On the Mugwort-ELISA inhibition test, the 50 % inhibitory dose to MugwortspecificIgE was 0.01μg/ml Mugwort allergens and 0.025μg/ml Airag allergens.However, the 1.0 μg/mlof Mugwort and Airag allergens were completely inhibited to Mugwort-specific IgE and Airag-specificIgE antibodies.CONCLUSION: In determined the mugwort pollen has 5 band(12, 23, 28, 38, 43kDa), in mare’s milk (13, 15, 60, 70кДа) and airag(12, 30, 50, 68 кДа) has separately 4 bands allergen protein by SDS-PAGE. ELISAinhibition study was strong cross-reactivity between airag allergen and mugwort allergen.
4.The total protein and some characterization of allergenic proteins in the body of blatella germanica cockroach
Narantsetseg L ; Oyuntsatsral B ; Javzandolgor N ; Myagmarsuren D ; Munkhbayarlakh S
Mongolian Medical Sciences 2012;161(3):17-19
Introduction: Prevalence of asthma is increasing year by year, especially among children and exposure to high levels of indoor allergens is a very important factor [1]. Cockroaches are an important cause of asthma in many other regions of the world, including Taiwan, Thailand and Singapore in the Pacific Rim, Costa Rica and Puerto Rico in Centrel America, India, South Africa and more recently, Europe [2]. Goal: The aim of this study was determined total protein amounts allergenic proteins and protein bands of сockroach.Material and Methods: The сockroachs were collected in Ulaanbaatar. The allergenic protein components of the сockroach was purified by the method of Hames Richmond. The total protein of extracts was measured by the Bradford method and the protein components of cockroach were determined by the SDS-PAGE.Results: Among the 4000 known species of cockroaches, only 5 commonly inhabit homes and have the potential to contribute to indoor allergens. These include the American (periplaneta americana), German (Blattella germanica), Oriental (Blatta orientals), Smokey brown (Periplaneta fuliginosa), and brownbanded (Supella longipalpis) varieties [3]. We were defined 2,25mg/ml protein amounts (w/v) in extracts of the purified and lyophilized protein of the сockroach. We were used a standard marker 195,7; 104,0; 59,8; 41,6; 27,8; 21,1; 15,2; 6,5kd molecular weight proteins on the 13% separation gel of SDS-PAGE. On column determined protein bands with 82,3; 59,9; 55,2; 44,0; 41,6; 34,4, 22,7, 17,1 kd molecular weights.Conclusions: The сockroach was included 8 allergenic protein components between ranges of 17,1-82,3 kd molecular weights were determined in the extracts of the body Blatella germanica.
5.The study of allergen’s protein of bromus inermis pollen
Narantsetseg L ; Javzandolgor N ; Oyuntsatsral B ; Khandsuren G ; Munkhbayarlakh S
Mongolian Medical Sciences 2010;153(3):23-25
Background: The prevalence and incidence of allergic rhinitis is increasing in the last years in the Asia Pacific countries and for this reason, the number of research in aeroallergen and aeropollinology increasing. It depends on changes of geography, weather and plants, pollination period of time and air pollution.Goal: The aim of this study was determined allergenic characterization of proteins detected from Bromus inermis pollen.Mаterials and Methods: To define morphologic characteristics of Bromus inermis grass pollen and allergenic protein amounts’ of pollen and protein components.- The pollen morphologic characteristics of the Bromus inermis were defined and measured by optic microscopy (Aristoplan, Leitz, Germany).- The allergenic protein components of the Bromus inermis pollen were purified by the method of Hames, Richmond- Protein contents were measured by the Bradford method- The protein components of Bromus inermis pollen were determined by the SDS-PAGEResults and discussion:The diameter of the B.inermis dry pollen were mean length 41, 5±2, 3 μm and mean wide 32, 3±4, 1 μm. B.inermis dry pollen has oval and sphere shape and concaved on 3 sides with diameter 32.3-41.5 μm and was similar results one of subfamily of the Gramineae, Poaceae pollen size were defined 22-80 μm in diameter and with oval and sphere shapes. We were defined 1.5±0.02 mg protein amounts in the 5mg/ml extracts of the purified of the Bromus inermis pollen. Researcher [3] determined 1, 45 mg/ml protein on Elymus chinensis, 1, 96 mg/ml protein on Artimesia sieversiana, 3, 29 mg/ ml protein on Chenopodium album allergens. These study results are similar with our study result on Bradford method. We were defined 7 bands with 12, 26, 32, 55, 66, 84, 97 kDa molecular weight protein components. SDS-PAGE were deteсted relatively bright bands of 12, 32, 55, 66 kDa molecular weight protein components of Bromus inermis pollen proteins. Researcher Kaiser M et al were defined 16, 30, 40, 47, 50, 57, 60, 67, 70, 90, 95 and 110 kDa molecular weight bands in Lolium perenne pollen allergens. These study results are similar with our study result on SDS-PAGE. Conclusions:- The pollen of Bromus inermis was oval and sphere shapes with 32.3-41.5 μm in diameter.- We were defined 1.5±0.02 mg protein amounts in the 1mg/ml of the Bromus inermis pollen.- The 7 bands with 12, 26, 32, 55, 66, 84, 97 kDa molecular weight protein components of Bromus inermis pollen. SDS-PAGE were deteсted relatively bright bands of 12, 32, 55, 66 kDa molecular weight protein components.
6.Immunobiological characteristic of grass pollen allergens
Narantsetseg L ; Javzandolgor N ; Enkhbayar B ; Munkhbayarlakh S
Mongolian Medical Sciences 2014;169(3):81-86
Grass pollens are one of the most important airborne allergen sources worldwide. The Poaceaefamily comprises about 9000 species, 20 species from five subfamilies are considered to be the mostfrequent causes of grass pollen allergy, and the allergenic relationships among them closely follow theirphylogenetic relationships. The allergic immune response to pollen of several grass species has beenstudied extensively over more than three decades. Eleven groups of allergens have been identified anddescribed, in most cases from more than one species. The most complete set of allergens has so farbeen isolated and cloned from Phleum pratense (timothy grass) pollen. Based on the prevalence of IgEantibody recognition among grass pollen-sensitized individuals, several allergens qualify as major, butmembers of two groups, groups 1 and 5, have been shown to dominate the immune response to grasspollen extract. Isoform variation has been detected in members of several of the allergen groups, whichin some cases can be linked to observed genetic differences. N-linked glycosylation occurs in membersof at least three groups. Carbohydrate- reactive IgE antibodies have been attributed to grass pollensensitization and found to cross-react with glycan structures from other allergen sources, particularlyvegetable foods. Another cause of extensive cross-reactivity are the group 12 allergens (profilins), whichbelong to a family of proteins highly conserved throughout the plant kingdom and present in all tissues.Members of eight allergen groups have been cloned and expressed as recombinant proteins capableof specific IgE binding. This development now allows diagnostic dissection of the immune response tograss pollen with potential benefits for specific immunotherapy.
7.The inhibitory effects of rotenone, 2, 4-dinitrophenol, oligomycin on the electron proton flow through “The membrane redox potential three state line”
Delgermaa E ; Narantsetseg J ; Ambaga M ; Sarantsetseg B ; Tumen-Olzii A
Mongolian Medical Sciences 2014;170(4):78-83
Rotenone is a specific inhibitor of the NADH dehydrogenase complex. In mitochondria, rotenone inhibitsthe oxidation of NADH to NAD, thereby blocking the oxidation of NAD and the substrates such asglutamate, alpha-ketoglutarate, and pyruvate. Rotenone also inhibits the mitochondrial respiratory chainbetween diphosphopyridine nucleotide and flavine.2, 4-Dinitrophenol – (DNP) is lipophilic weak acids that pick up a proton, transport across the mitochondrialinner membrane into the matrix, deprotonate, then exit as anions before repeating the catalytic cycle,and dissipating the proton gradient. In this situation, electrons continue to pass through the electrontransport system, reduce oxygen to water and metabolic rate, heat are increased, but ATP is lesssynthesized in this process.The macrolide antibiotic - oligomycin binds to the surface of the c8-10 ring of the Fo domain of ATPsynthase, making contact with two neighboring molecules and blocking proton flow, which explains theinhibitory effect on ATP synthesis. Intraperitoneal injection of oligomycin into the rat (0.5 mg per kg)reduces the oxygen consumption by about 50%; decreases ATP production by the aerobic pathway andincreases formation of lactate in blood serum. These changes may cause a decelerated metabolism andan increased formation of free radicals or ROS in membranes.
8.Some results of the study of adults' lung ventilation function in Ulaanbaatar city
Sarangerel D ; Narantsetseg I ; Zolbayar B ; Naidansuren TS ; Davaa G ; Munkhbayarlakh S
Mongolian Medical Sciences 2011;158(4):18-21
Introduction: According to World Health Organization, air pollution is a major environmental risk to health and is estimated to cause approximately 1.6 million premature deaths worldwide per year. The air pollution of Ulaanbaatar city is rising year after year.Goal: The aim of this study was to define the lung function of adults in Ulaanbaatar.Materials and Methods: 1196 adults were randomly chosen aged over 20 years of Ulaanbaatar city. Of them 238 subjects were excluded because they had at least one of the following: a history of lung diseases including asthma, COPD, pulmonary tuberculosis, lung fibrosis; symptoms of chronic cough, wheeze, or dyspnea; history of thoracic surgery; history of major acute illness in the past 3 months; or a history of respiratory tract infection in the past 4 weeks. Besides demographic data, information on smoking habits was collected. The lung ventilation function of subjects was checked using a spirometry EasyOne, calculating the indexes Forced expiratory volume 1sec (FEV1), forced vital capacity (FVC), FEV1/FVC ratio. Lung function measurements followed a standardized protocol and fulfilled the ATS criteria.Results: Of the respondents, 486 were males (50.7%) and 472 were females (49.3%). There was a negative correlation between each lung function and age (p<0.05). The lung function was significantly lower in female than in male, for FEV1, FVC (male - FEV1 3.66±0.659 L, FVC 4.467±0.716 L, female-FEV1 2.663+0.559 L, FVC 3.237+0.586 L). In overall, FVC, FEV1 was decreased by 34.5, 37.2 percent, respectively compared with European LLN value.Conclusion: The mean value for FEV1, FVC, FEV1/FVC ratio was 3.17±0.78 L, 3.86+0.89 L and 82.02±6.75 % in overall, respectively.
9.The study of co sentization allergens to pollen of dandelion (taraxacum), pyrethrum (aquilegia and) weed, grass plants
Nyamdavaa N ; Janerke T ; Enkhbayar B ; Munkhbayrlakh C ; Narantsetseg L
Mongolian Medical Sciences 2015;172(2):87-90
IntroductionOver the last few years, the prevalence of aeroborn allergic disease is rising rapidly throughoutdeveloped and developing countries, and one of every four children in Western Europe has had allergy.In any country of the world over the last 10-20 years, studies on airopollinology and aeroallergenshowing increase of allergen rhinitis to pollen. This is catching many scientists and researchersattentions. These studies deemed that geological locations, climate and plant patterns changing as airpollution increases. Studies identified that pollen allergy in Europe is mainly produced by segmentedplants and in north Europe Betulacease type of allergy is dominating [2]. In our country, Mongolia,plant sturctures are relatively well studied geologically and climatically, and 203 species of plants,98 types and 31 families showed plants may cause allergies. Specifically recent years in Umnugoviprovince, with the expanding operations of many mining companies, increased air pollution leadingto a respiratory disease. With the uses of Compositae in medicine, cosmetics and food, sentization toplant of this family has been increasing in Europe as well as in Asia [3].Goal:To determine co sentization allergens to pollen of Taraxacum, columbine and weed, grass plants.Materials and МethodsThe Research has been done under the Biochemistry Department of Bio – Medical School, HSUMwith the help of “Effect” Allergy – Asthma Hospital. During the study of research, one period descriptiveresearch is done by studying the selected 432 patients who are diagnosed positive for the TaraxacumandAquilegia allergens by skin pricking test and these group is chosen from the airborne allergic patients“Effect” Allergy – Asthma Hospital in 2010 -2014 census.Tables and graphs showing study result were processed by using Excel-2013, SPSS-21.0 software.ResultIn this study, in 2010-2014, aeroallergens skin prick test was done on 5601 people and 18% or 1031people were aeroallergen sensitized.ConclusionsFindings from the skin prick tests for airborne allergens show that 8%, 5% of the patient is positive forTaraxacum, Aquilegia allergen. On SPTs taraxacum, aquilegia and mugwort 60% and grass pollen56,90% of population was cosensitized to all pollens.
10.Membrane- Redoxy Potentials 3 Stage Line System- Related Mode Metabolism And Abstractly Coded By Thermin As Rlung, Mkhis,Badgan
Narantsetseg B ; Narantsesteg J ; Solongo Kh ; Ambaga M
Journal of Oriental Medicine 2013;4(1):19-24
The identification of individuals of predominant Rlung, Mkhis,
badgan symbolic code quantativeratiotypes were carried out
by our coworkers, a preliminary assessment of constitution
type was carried out on a total of 81 volunteers, using
subjective assessment and a screening questionnaire, many
individuals were heterogeneous constitution type. Individuals
with rlung symbolic code in the third compartment, consisting
of visceral-alpha 10% fats and subcutaneous alpha 30% fats
(the form of decrease of both visceral-alpha 10% fats and
subcutaneous alpha 30% fats) were distinguished by more
high value of redoxypontials i.e. in individuals with rlung
symbolic code in the fourth compartment the contents of
visceral-alpha 10% fats and subcutaneous alpha 30% fats
were decreased in 1,73 fold and value of membrane MDA
were increased in 2,57 fold, which are indicator of slowing of
H+, e- flow because of relatively shortage of H+, e- donators
and H+, e- acceptors.
Individuals with badgan symbolic code in the third
compartment, consisting of visceral-alpha 10% fats and
subcutaneous alpha 30% fats (the form of increase of both
visceral-alpha 10% fats and decrease of and subcutaneous
alpha 30% fats) were distinguished by relatively high value of
membrane MDA i.e. in individuals with badgan symbolic code
in the third compartment the ratio of visceral-alpha 10% fats
and subcutaneous alpha 30% fats were increased in 1,12 fold
and value of membrane MDA were increased in 2,57 fold,
which are indicator of slowing of H+, e- flow because of
relatively shortage of H+, e- acceptors with relatively
accumulation of H+, e- donators in the second compartment,
consisting of serum glucose, LPHD, LPLD,
Individuals with mkhris symbolic code in the third
compartment, consisting of visceral-alpha 10% fats and
subcutaneous alpha 30% fats (the form of decrease of both
visceral-alpha 10% fats and increase of and subcutaneous
alpha 30% fats) were distinguished by relatively low value of
membrane MDA i.e. in individuals with mkhris symbolic code
in the fourth compartment the ratio of visceral-alpha 10% fats
and subcutaneous alpha 30% fats were decreased in 1,04 fold
and value of membrane MDA were decreased in 1,48 fold,
which are indicator of intensifying of H+,e- flow because of
relatively optimal concentration of H+,e- acceptors with
relatively rapid utilization of H+, e- donators in the second
compartment, consisting of LPHD, LPLD, AO-SPOL.