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Demyashkin G, Kogan E, Boldyrev D, Demura T, Tyatyushkina A, Annenkova E, Semenov K, Zorin I, Zverev A. Molecular changes in the testes of COVID-19 patients. J Biomol Struct Dyn 2024; 42:3731-3736. [PMID: 37325835 DOI: 10.1080/07391102.2023.2224881] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/21/2023] [Accepted: 05/11/2023] [Indexed: 06/17/2023]
Abstract
After the sudden outbreak of the COVID-19 pandemic, scientists and clinicians around the world have significantly expanded understanding of the pathogenesis of the disease as well as the impact of SARS-CoV-2 on various organs and tissues. To date, it is accepted to consider the new coronavirus infection as a multisystem disease, but the data on the effect on fertility remains unclear. Previous works by other authors have presented controversial results, and there is no evidence of a direct effect of the new coronavirus on the male gonads. Thus, further studies are needed to verify the hypothesis that the testicles are the target organ for SARS-CoV-2. Groups were formed: Group I (n = 109; age from 25 to 75 years, Median (IQR) - 60 (23) years), cause of death - new coronavirus infection; Group II (n = 21, age from 25 to 75 years, Median (IQR) - 55 (29.5) years) - autopsy testicular material obtained outside the pandemic. We used RT-PCR to detect the presence of viral RNA in testicular tissue. In addition, we investigated the levels of proteins that provide viral invasion, such as ACE-2 and Furin. In the present study, we detected genetic material of a new coronavirus and increased proteins required for viral invasion in testicular tissue of patients with COVID-19 by RT-PCR. Thus, based on our findings, we assume that testicular tissue is potentially vulnerable to SARS-CoV-2.Communicated by Ramaswamy H. Sarma.
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Affiliation(s)
- G Demyashkin
- I.M. Sechenov First Moscow State Medical University (Sechenov University), Moscow, Russia
- National Medical Research Radiological Centre of the Ministry of Health of the Russian Federation, Obninsk, Russia
| | - E Kogan
- I.M. Sechenov First Moscow State Medical University (Sechenov University), Moscow, Russia
| | - D Boldyrev
- Pirogov Russian National Research Medical University, Moscow, Russia
| | - T Demura
- I.M. Sechenov First Moscow State Medical University (Sechenov University), Moscow, Russia
| | - A Tyatyushkina
- Pirogov Russian National Research Medical University, Moscow, Russia
| | - E Annenkova
- Pirogov Russian National Research Medical University, Moscow, Russia
| | - K Semenov
- I.M. Sechenov First Moscow State Medical University (Sechenov University), Moscow, Russia
| | - I Zorin
- I.M. Sechenov First Moscow State Medical University (Sechenov University), Moscow, Russia
| | - A Zverev
- I.M. Sechenov First Moscow State Medical University (Sechenov University), Moscow, Russia
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Belyshev SI, Levit A, Leĭderman I, Baĭbikov V, Batakov L, Bashkirova A, Besedina E, Boltaev P, Bulgakova I, Burtsev M, Gazenkampf A, Gapoian L, Gladkov N, Davydov A, Danchenko S, Dianov A, Drozd A, Dubina O, Zaryvnykh I, Zverev A, Zigmantovich E, Ivan'kov K, Il'in V, Kadnikov M, Kokarev E, Kolegova Z, Kondrashkin M, Kotkova E, Kul'minskaia N, Leshkova V, Litiaĭkin A, Makhmutov I, Medvedeva G, Napol'skikh V, Orekhov A, Orlov A, Piontek A, Reshetnikova S, Samatov I, Samsonova M, Semen'kova G, Smirnov M, Sobetova G, Strel'tsova E, Tiul'pin A, Khanov D, Khardin E, Khlebnikova I, Cherniak A, Chipinskaia E, Shvedova M, Shevelev M, Shevchuk D, Shen' N, Shleĭkher V, Shliapnikova L. [Are we controlling the sedation in ICU? A multicenter study results]. Anesteziol Reanimatol 2012:72-77. [PMID: 22834294] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/01/2023]
Abstract
The aim of this study is to evaluate the issues of sedation and analgesia in all-purpose ICUs in Russia. To obtain that, a single-day observational survey was performed in 55 ICUs of Ural and Siberia regions. This work enabled to describe the targets, instruments of control and patterns of sedative and analgetics and sedatives prescription, as well as to make conclusions about issues in this area and possibilities of creation and necessity of analgesia and sedation standards. The study has shown a decent percentage of use of standardized scales evaluating pain in ICU and predominance of effectivae drugs and analgesia patterns, which leads to "formalization" of analgesia and decrease of it's effectiveness. Sedation indications do not satisfy the modern concept, sedation level evaluation scores are used only in 13%, schemes and drugs are traditional. The results of this study may serve as a reason for discussion of necessity of introducing of sedative and analgetic therapy in ICU standarts.
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