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Analiza porównawcza wyników oznaczeń laboratoryjnych biomarkerów zapalenia – wskaźnika sedymentacji krwinek czerwonych (ESR) i białka C-reaktywnego (CRP) w stanach zapalnych u pacjentów hospitalizowanych

100%
Siudzińska A., Łobos M., Sujecki A., Paradowski M., Łobos M.
Folia Medica Lodziensia
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2013
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vol. 40
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issue 2
207-233
EN
Introduction: Erythrocyte sedimentation rate (ESR, in Poland known as OB) and C-reactive protein (CRP) are biomarkers most often used to diagnose and monitor systemic inflammation. However, they are independent markers and have different properties. The aim of this study was to compare the values of specific markers of systemic inflammation such as ESR and CRP in patients hospitalized in the internal wards and suspected of suffering from systemic inflammation. Material and methods: The study group included 187 patients (99 women and 88 men, aged from 20 to 97 years) hospitalized in the internal medicine clinics of the Military Medical Academy University Teaching Hospital - Central Veterans' Hospital in Lodz. Each marker of inflammation, ESR and CRP, were measured in patients’ peripheral blood (ESR) and serum (CRP). Results: For the diagnosis of inflammation there was no significant correlation between CRP and ESR in groups of patients both with mild (CRP > 6.1 – 40 mg/L) and severe (CRP ≥ 40.1) inflammation. However, in persons with highly developed inflammation (ESR ≥ 31 mm/h and CRP ≥ 40.1 mg/L) there was a strong correlation between the mentioned biomarkers (r = 0.9973). Conclusions: The results indicate that CRP and ESR biomarkers are independent parameters that are clinically useful for the diagnosis and monitoring of inflammations. For the diagnosis of acute inflammation the designation of serum CRP is clinically more useful than the measurement of ESR.
PL
Wstęp: Odczyn opadania krwinek czerwonych (ESR, w Polsce znany pod nazwą odczyn Biernackiego - OB) i stężenie białka C-reaktywnego (CRP) są najczęściej wykorzystywanymi przez lekarzy biomarkerami do rozpoznawania i monitorowania stanu zapalnego ustroju. Jednak są one wskaźnikami niezależnymi i cechują się różnymi własnościami. Celem niniejszej pracy była analiza porównawcza wyników oznaczeń dwóch laboratoryjnych biomarkerów zapalenia: ESR i CRP u pacjentów leczonych na oddziałach internistycznych, u których podejrzewano narastający lub istniejący proces zapalny. Materiał i metody: Badaniem objęto 187 chorych (99 kobiet i 88 mężczyzn, w wieku od 20 do 97 lat) hospitalizowanych w klinikach chorób wewnętrznych Uniwersyteckiego Szpitala Klinicznego im. Wojskowej Akademii Medycznej – Centralnego Szpitala Weteranów w Łodzi. U każdego pacjenta w tym samym czasie wykonano oznaczenie dwóch wskaźników stanu zapalnego: ESR i CRP. Wyniki: Dla rozpoznawania narastającego zapalenia nie wykazano istotnej korelacji między CRP i ESR w grupach pacjentów zarówno o małym (CRP > 6,1 – 40 mg/L), jak i dużym (CRP ≥ 40,1) nasileniu zapalenia. Z drugiej strony, u ludzi z silnie już rozwiniętym zapaleniem (ESR ≥ 31 mm/h i CRP ≥ 40,1 mg/L) zaznaczyła się wysoka korelacja pomiędzy tymi biomarkerami (r = 0,9973). Wnioski: Wyniki wskazują, że analizowane biomarkery CRP i ESR są parametrami niezależnymi i są klinicznie użyteczne w rozpoznawaniu i obserwacji stanów zapalnych. W rozpoznawaniu zapalenia o ostrym przebiegu bardziej użytecznym klinicznie biomarkerem jest stężenie CRP w surowicy niż wartość ESR.
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A dimeric copper coumarin complex: synthesis and crystal structure of [{Cu(4-methyl-7-(salicylideneamino)coumarin)2}2]

88%
Aazam E., EL Husseiny A., Hitchcock P., Alshehri J.
Open Chemistry
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2008
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vol. 6
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issue 2
319-323
EN
A binuclear copper complex [{Cu(L)2}2], C68H48Cu2N4O12C (where L is 4-methyl-7-(salicylideneamino)coumarin), has been synthesized and characterized using elemental analysis, molar conductance measurements, and infrared, ultraviolet and ESR spectrosopy. The molecular structure of title compound, determined by single-crystal X-ray diffraction studies, reveals that the two symmetric Cu(L)2 units are associated into a dimer by rather long Cu...O bonds. The Cu(II) ions are bridged via the phenolic oxygen of one of the monomers and have distorted trigonal bipyramidal conformation geometry. Within each monomer the two methylsubstituted coumarin skeletons are trans to one another, but adopt a parallel arrangement with respect to the other monomer. Only half of the complex molecule can be found in the asymmetric unit, Z′ = 0.5, the other half is generated by the symmetry centre. [...]
3
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ESR and XRD investigation of effects induced by gamma radiation on PVA-TiO2 membranes

88%
Todica M., Stefan T., Trandafir D., Simon S.
Open Physics
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2013
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vol. 11
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issue 7
928-935
EN
The effects of gamma radiation on the local structure of PVA membranes containing TiO2 were investigated by ESR and XRD methods. An intense ESR signal is observed after irradiation at 16 KGy dose. This signal appears only for irradiated samples and it is associated with the breaking of the polymeric chain, followed by local reorganization of the polymeric segments and the apparition of the unpaired electrons and free radicals. The intensity of the signal decreases with the concentration of TiO2, indicating a shielding effect of the dopand. That the modification of local order of the polymeric chains has been modified after irradiation is confirmed by XRD method.
4
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Taurine-EVA copolymer-paraffin rods dosimeters for EPR high-dose radiation dosimetry

88%
Maghraby A. M., Mansour A., Abdel-Fattah A. A.
Nukleonika
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2014
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vol. 59
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issue 1
9-13
EN
Taurine/EPR rods (3 × 10 mm) have been prepared by a simple technique in the laboratory where taurine powder was mixed with a molten mixture of paraffin wax and an ethylene vinyl acetate (EVA) copolymer. The binding mixture EVA/Paraffin does not present interference or noise in the EPR signal before or after irradiation. The rods show good mechanical properties for safe and multi-use handling. An EPR investigation of radiation induced radicals in taurine rods revealed that there are two types of radicals produced after exposure to gamma radiation (60Co). EPR spectra were recorded and analyzed - also the microwave power saturation and modulation amplitude were studied and optimized. Response of taurine to different radiation doses (1.5-100 kGy) was studied and found to follow a linear relationship up to 100 kGy. Radiation induced radicals in taurine persists and showed a noticeable stability over 94 days following irradiation. Uncertainities associated with the evaluation of radiation doses using taurine dosimeters were discussed and tabulated. It was found that taurine possesses good dosimetric properties using EPR spectroscopy in high doses in addition to its simple spectrum.
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Lipid radicals: Properties and detection by spin trapping.

75%
Stolze K., Udilova N., Nohl H.
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2000
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vol. 47
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issue 4
923-930
EN
Unsaturated lipids are rapidly oxidized to toxic products such as lipid hydroperoxides, especially when transition metals such as iron or copper are present. In a Fenton-type reaction Fe2+ converts lipid hydroperoxides to the very short-lived lipid alkoxyl radicals. The reaction was started upon the addition of Fe2+ to an aqueous linoleic acid hydroperoxide (LOOH) emulsion and the spin trap in the absence of oxygen. Even when high concentrations of spin traps were added to the incubation mixture, only secondary radical adducts were detected, probably due to the rapid rearrangement of the primary alkoxyl radicals. With the commercially available nitroso spin trap MNP we observed a slightly immobilized ESR spectrum with only one hydrogen splitting, indicating the trapping of a methinyl fragment of a lipid radical. With DMPO or 5-diethoxyphosphoryl-5-methyl-1-pyrroline N-oxide (DEPMPO) adducts were detected with carbon-centered lipid radical, with acyl radical, and with the hydroxyl radical. We also synthesized lipophilic derivatives of the spin trap DEPMPO in order to detect lipid radical species generated in the lipid phase. With all spin traps studied a lipid-derived carbon-centered radical was obtained in the anaerobic incubation system Fe2+/LOOH indicating the trapping of a lipid radical, possibly generated as a secondary reaction product of the primary lipid alkoxyl radical formed. Under aerobic conditions an SOD-insensitive oxygen-centered radical adduct was formed with DEPMPO and its lipophilic derivatives. The observed ESR parameters were similar to those of alkoxyl radical adducts, which were independently synthesized in model experiments using Fe3+-catalyzed nucleophilic addition of methanol or t-butanol to the respective spin trap.
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