1.Serum levels of Aquaporin-4, IL-6, and TNF-α in Patients with Primary Brain Tumors
Baigalmaa D ; Orkhontuul Sh ; Enkhtuya S ; Tsogtsaikhan S ; Gansukh Ch ; Enkhsaikhan L ; ; Ariunzaya B ;
Mongolian Journal of Health Sciences 2025;89(5):79-84
Background:
Gliomas are common primary brain tumors of glial origin in adults with a poor prognosis. Tumor-related
inflammatory cytokines such as interleukin-6 (IL-6), tumor necrosis factor-alpha (TNF-α), and aquaporin-4 (AQP-4)
water channel protein have been reported to be expressed in gliomas
Aim:
This study aimed to determine their serum levels in patients with primary brain tumors compared to healthy controls
and to evaluate their potential diagnostic value.
Materials and Methods:
Serum AQP-4 levels were measured by ELISA in 28 patients with primary brain tumors (PBT)
and 26 healthy controls. IL-6 and TNF-α were assessed by flow cytometry in 59 PBT patients and 52 controls.
Results:
Among the primary brain tumor cases, 45.61% were meningiomas, 26.32% anaplastic astrocytomas, 8.77%
glioblastomas, and 12.28% other tumors (including chondroma, ependymoma, schwannoma, craniopharyngioma). Serum
IL-6, TNF-α, and AQP-4 levels were significantly higher in the PBT group compared with healthy controls.
Conclusion
Elevated serum levels of AQP-4, IL-6, and TNF-α in patients with primary brain tumors suggest that these
biomarkers molecules could represent valuable non-invasive biomarkers for the early detection of PBT.
2. Impact of Individual Temperament on the Immune Response After COVID-19 Vaccination
Burenjargal B ; Dashpagam O ; Shatar Sh ; Khongorzul T ; Ariunzaya B ; Zolmunkh N ; Gansukh Ch ; Ulziisaikhan B ; Chimidtseren S ; Baasanjargal B ; Enkh-Amar B ; Nomin-Erdene Ts ; Davaalkham D ; Tsogtsaikhan S ; Batbaatar G
Mongolian Journal of Health Sciences 2025;88(4):47-51
Background:
The first confirmed case of COVID-19 in Mongolia was reported on November 11, 2020. In response, the
government imposed a nationwide lockdown, which significantly impacted the population’s mental health. Heightened
levels of stress, anxiety, loneliness, and depression during the pandemic altered individuals’ psychological stability and
behavior. Personality traits—defined as relatively stable patterns of emotion, cognition, and behavior—play a key role in
stress responses and emotional regulation under pressure. Emerging evidence suggests that these psychological factors
may influence the immune system’s responsiveness, including vaccine-induced antibody production.
Aim:
To evaluate the association between post-vaccination antibody responses and personality types following two doses
of COVID-19 vaccines.
Materials and Methods:
A total of 738 participants who received two doses of COVID-19 vaccines (AstraZeneca
ChAdOx1, n=29; Pfizer-BioNTech, n=119; Sinopharm BBIBP, n=590) and had no prior SARS-CoV-2 infection were enrolled. Serum samples were collected 21–28 days after the second dose, and SARS-CoV-2 RBD (S) IgG antibodies
were measured using ELISA (Proteintech Inc., USA). Personality types were assessed using a 56-item temperament
questionnaire developed by A. Belov, categorizing individuals into classical temperament types (choleric, phlegmatic,
sanguine, melancholic). Logistic regression and ROC analysis were used to examine associations between personality
types and antibody response.
Results:
The presence of an antibody response was significantly higher among individuals with a melancholic temperament, and significantly lower among those with a phlegmatic temperament. Furthermore, antibody titers were higher in
participants with melancholic and sanguine temperaments and lower in those with a phlegmatic type.
Conclusions
1. During the early period following the second dose of COVID-19 vaccination, the antibody response was higher
in individuals with a pure melancholic temperament, while it was lower in those with a phlegmatic temperament.
2. After the second dose of the Sinopharm BBIBP COVID-19 vaccine, antibody titers were higher in individuals with
pure melancholic and sanguine temperaments, and lower in those with a phlegmatic temperament.
3.The impact of some risk factors on bone fractures
Enkhtuul B ; Ariunzaya B ; Delkhiitsetseg D ; Tuvshinbayar N ; Badrakh M ; Undral B ; Arigbukh E ; Ujin Sh ; Uurtuya Sh ; Lhagvasuren Ts ; Munkhzol M ; Erdenkhuu N ; Odkhuu E ; Nomundari B
Mongolian Journal of Health Sciences 2025;86(2):196-200
Background:
Osteoporotic fractures remain a major concern for public health and the economy. Osteoporosis is a chronic
disease characterized by reduced bone density due to genetic, hormonal, mineral, and lifestyle factors. Although often
asymptomatic, its primary complication is fractures, which lead to disability and loss of work capacity, impacting individuals,
families, and society. In Mongolia, no long-term study has examined bone density changes and fracture risk factors,
which forms the basis of this research.
Aim:
To assess 10-year changes in bone density and identify risk factors for fractures.
Materials and Methods:
This prospective cohort study was conducted at the Department of Pathophysiology, School of
Biomedicine, MNUMS. We have re-enrolled 133 adults from Ulaanbaatar between November 2023 and January 2024,
originally part of the ‘Study of some risk and pathophysiological factors of osteoporosis in the Mongolian population’
funded by the Ministry of Health and the Science and Technology Fund of Mongolia. Data collection included questionnaires,
anthropometric measurements, bone mineral density assessments using the ‘Sunlight Mini-Omni’ bone sonometer
(Beammed, USA)
Results:
The mean age of participants was 54.4±9.6 years (N=133), with 33.1% (n=44) male and 66.9% (n=89) female.
Among the participants, 51.1% had a history of bone fractures, with forearm fractures comprising 10.5% and other types
of fractures accounting for 40.7%. The bone fractures was significantly higher among elderly individuals and those diagnosed
with osteoporosis (p<0.05). The T-score was significantly lower in the fracture group than in the non-fracture group
(p<0.05). Vitamin D deficiency was identified as a significant risk factor for fractures (p<0.05).
Conclusion
All participants’ bone density has decreased over the decade. Bone fractures are more common in elderly
and people with osteoporosis. Inadequate vitamin D intake is a significant risk factor for bone fractures.
4.Food supplements
Bayasgalan J ; Erdenetsogt E ; Ganzorig T ; Ariunzaya Sh
Mongolian Medical Sciences 2025;214(4):75-84
At present, when the prevention from diseases became a priority in health system, developed
countries pay their attention to Food Supplements. The food supplements are products
containing biologically active substances of natural origin with a complex composition used
with food or for food fortification.
The daily dose of food supplements should not be higher than the content of the substances
in one curative dose of a drug. The food supplements can be divided into five groups -
nutraceuticals, parapharmaceuticals, probiotics, enterosorbents and cosmeceuticals. The
dose and frequency of use of food supplements with food is based on the specifics if a
person depending on factors such as age, weight, gender and physiology.
The modem nutrition guidelines require adequate intake not only of protein, fat, carbohydrates
and other nutrients but also of food supplements.
5.The study of the diagnostic value of determination of serum aquaporin-4 and glial fibrillary acidic protein in primary brain tumor
Orkhontuul Sh ; Angir-Ujin B ; Baigalmaa D ; Naranjargal D ; Enkhee O ; Tovuudorj A ; Ariunzaya B ; Tsogtsakhan S ; Enkhsaikhan L
Mongolian Medical Sciences 2021;196(2):27-31
Introduction:
According to the World Health Organization (WHO) in 2020, brain and central nervous system
(CNS) cancers account for 2% of all newly diagnosed cancers in the world and 1.5% in Mongolia.
Approximately 85-90% of all brain and other CNS tumors were diagnosed primary brain tumor. In
2019, the average 5 year survival probability was 50% for other cancers and 11% for the primary
brain tumors. There were 28 patients with primary brain tumor and 33 relatively healthy individuals
in our study.
Goal:
To study the diagnostic value of serum aquaporin-4 and glial fibrous acidic protein in the diagnosis of
primary brain cancer
Material and Methods:
The Department of Neurosurgery at Third central hospital included 28 patients with primary brain
cancer and 33 relatively healthy people. The study was conducted under the permission of the Medical
Ethics Review Committee of the Ministry of Health on June 19, 2019 №119. Serum aquaporin-4
and glial fibrous acidic protein content was determined by the ELISA kits method using the human
aquaporin-4 and glial fibrous acid protein test kit of the Chinese company “Sanlong”. The level is
assumed to be true if the p value is less than 0.05.
Results
Mean age of the all participants was 42.9±16.5, 64% female and 36% male. Serum aquaporin-4 protein
levels were 175.71±13.3 pg/ml and serum glial fibrilliary acidic protein levels were 2.682±0.218 ng/ml
in patient with primary brain tumor. Serum aquaporin-4 protein and glial fibrilliary acidic protein levels
were statistically significant high (p<0.001) in patient with primary brain tumor. Serum aquaporin-4
protein and glial fibrilliary acidic protein level differences were statistically significant (p<0.05) in benign
and malignant tumor. There was no statistically significant correlation between serum aquaporin-4
and glial fibrillary acidic protein level and primary brain tumor grade.
Result Analysis
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