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Grujičić D, Mirkov L, Banković D, Virijević K, Marinković D, Milošević-Djordjević O. Homozygous-Recessive Characteristics as a Biomarker of Predisposition for COVID-19. Clin Nurs Res 2023; 32:589-600. [PMID: 36695163 PMCID: PMC9902784 DOI: 10.1177/10547738221147754] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/26/2023]
Abstract
Coronavirus disease (COVID-19), a new form of severe acute respiratory syndrome, has caused a global pandemic. The aim of this study was to analyze homozygous-recessive characteristics (HRC) in the group of COVID-19 patients, considering their gender, forms of the disease (mild and severe symptoms), risk factors: hypertension, diabetes mellitus type 2, hyperlipidemia, smoking habits, and the distribution of ABO blood group. Using the HRC test, we analyzed 20 HRCs in a sample of 321 individuals: 205 patients and 116 controls. The average HRC in patients was significantly higher than controls, as well as in patients with severe symptoms compared to patients with mild symptoms. The patients with higher HRC (cut-off ≤5.5) experienced a significantly increased risk of disease of 2.3 times (OR = 2.315, p < .0005). Our results indicate that the HRC test could be used as a screening in recognizing predisposition for COVID-19.
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Karan R, Kovačević-Kostić N, Kirćanski B, Čumić J, Terzić D, Milićević V, Velinović V, Velinović M, Obrenović-Kirćanski B. Morphogenetic dispositions for variability in acute kidney injury after cardiac surgery: Pilot study. Front Med (Lausanne) 2022; 9:943254. [PMID: 36186791 PMCID: PMC9523005 DOI: 10.3389/fmed.2022.943254] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/13/2022] [Accepted: 08/01/2022] [Indexed: 11/13/2022] Open
Abstract
Background The aim of our study was to evaluate the degree of genetic homozygosity in cardiac surgical patients with postoperative acute kidney injury (AKI), compared to the subgroup without postoperative AKI, as well as to evaluate antropomorpho-genetic variability in cardiac surgical patients with regard to the presence and severity degree of AKI. Materials and methods The prospective cohort study included an analysis of 138 eligible coronary artery disease (CAD) surgical patients that were screened consecutively. The tested group was divided into three subgroups according to RIFLE criteria: Subgroup NoAKI (N = 91), risk (N = 31), and injury (N = 16). All individuals were evaluated for the presence of 19 observable recessive human traits (ORHT) as a marker of chromosomal homozygosity and variability. Results Comparing subgroups NoAKI and risk, four ORHTs were significantly more frequent in the risk subgroup. Comparing subgroups NoAKI and injury, nine ORHTs were significantly more frequent in the injury subgroup; while comparing the injury subgroup and risk, five ORHTs were significantly more frequent in injury than in the risk subgroup. Results also showed a significant increase in the mean value of ORHTs for the injury subgroup compared to NoAKI subgroup (p = 0.039). Variability decreased proportionally to the increase in the severity of AKI (VNoAKI = 32.81%, VRisk = 30.92%, and VInjury = 28.62%). Conclusion Our findings pointed to the higher degree of recessive homozygosity and decreased variability in AKI patients vs. NoAKI individuals, thus presumably facilitating the development and severity degree expression of AKI in patients after cardiac surgery.
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Affiliation(s)
- Radmila Karan
- Faculty of Medicine, University of Belgrade, Belgrade, Serbia
- Department of Anesthesiology and Intensive Care at Clinic for Cardiac Surgery, Clinical Center of Serbia, Belgrade, Serbia
- *Correspondence: Radmila Karan,
| | - Natasa Kovačević-Kostić
- Faculty of Medicine, University of Belgrade, Belgrade, Serbia
- Department of Anesthesiology and Intensive Care at Clinic for Cardiac Surgery, Clinical Center of Serbia, Belgrade, Serbia
| | - Bratislav Kirćanski
- Faculty of Medicine, University of Belgrade, Belgrade, Serbia
- Pacemaker Center, Clinical Center of Serbia, Belgrade, Serbia
| | - Jelena Čumić
- Faculty of Medicine, University of Belgrade, Belgrade, Serbia
- Department of Anesthesiology and Intensive Care at Clinic for Cardiac Surgery, Clinical Center of Serbia, Belgrade, Serbia
| | - Duško Terzić
- Faculty of Medicine, University of Belgrade, Belgrade, Serbia
- Department for Transplantation and LVAD at Clinic for Cardiac Surgery, Clinical Center of Serbia, Belgrade, Serbia
| | | | | | - Miloš Velinović
- Faculty of Medicine, University of Belgrade, Belgrade, Serbia
- Clinic for Cardiac Surgery, Clinical Center of Serbia, Belgrade, Serbia
| | - Biljana Obrenović-Kirćanski
- Faculty of Medicine, University of Belgrade, Belgrade, Serbia
- Clinic for Cardiology, Clinical Center of Serbia, Belgrade, Serbia
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Savic M, Cvjeticanin S, Lazovic M, Nikcevic L, Petronic I, Cirovic D, Nikolic D. Morphogenetic Variability as Potential Biomarker of Functional Outcome After Ischemic Stroke. Brain Sci 2019; 9:E138. [PMID: 31197109 PMCID: PMC6627147 DOI: 10.3390/brainsci9060138] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/03/2019] [Revised: 06/07/2019] [Accepted: 06/12/2019] [Indexed: 11/24/2022] Open
Abstract
The aim of our study was to evaluate the role of morphogenetic variability in functional outcome of patients with ischemic stroke. The prospective study included 140 patients with acute ischemic stroke, all of whom were tested upon: admission; discharge; one month post-discharge; and three months post-discharge. The age was analyzed, as well. The Functional Independence Measure (FIM) test and the Barthel Index (BI) were used for the evaluation of functional outcomes for the eligible participants. We analyzed the presence of 19 homozygous recessive characteristics (HRC) in the studied individuals. There was a significant change in FIM values at discharge (p = 0.033) and in BI values upon admission (p = 0.012) with regards to the presence of different HRCs. Age significantly negatively correlated for the FIM score and BI values at discharge for the group with 5 HRCs (p < 0.05), while for BI only, negative significant correlation was noticed for the group with 5 HRCs at three months post-discharge (p < 0.05), and for the group with 3 HRCs at one month post-discharge (p < 0.05) and three months post-discharge (p < 0.05). Morphogenetic variability might be one among potentially numerous factors that could have an impact on the response to defined treatment protocols for neurologically-impaired individuals who suffered an ischemic stroke.
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Affiliation(s)
- Milan Savic
- Special Hospital for Cerebrovascular Disorders "Sveti Sava", 11000 Belgrade, Serbia.
| | - Suzana Cvjeticanin
- Institute for Human Genetics, Faculty of Medicine, University of Belgrade, 11000 Belgrade, Serbia.
- Faculty of Medicine, University of Belgrade, 11000 Belgrade, Serbia.
| | - Milica Lazovic
- Faculty of Medicine, University of Belgrade, 11000 Belgrade, Serbia.
- Institute for Rehabilitation, 11000 Belgrade, Serbia.
| | - Ljubica Nikcevic
- Special Hospital for Cerebrovascular Disorders "Sveti Sava", 11000 Belgrade, Serbia.
- Faculty of Medicine, University of Belgrade, 11000 Belgrade, Serbia.
| | - Ivana Petronic
- Faculty of Medicine, University of Belgrade, 11000 Belgrade, Serbia.
- Physical Medicine and Rehabilitation Department, University Children's Hospital, 11000 Belgrade, Serbia.
| | - Dragana Cirovic
- Faculty of Medicine, University of Belgrade, 11000 Belgrade, Serbia.
- Physical Medicine and Rehabilitation Department, University Children's Hospital, 11000 Belgrade, Serbia.
| | - Dejan Nikolic
- Faculty of Medicine, University of Belgrade, 11000 Belgrade, Serbia.
- Physical Medicine and Rehabilitation Department, University Children's Hospital, 11000 Belgrade, Serbia.
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