[Multi-center open comparative randomized study of efficacy and safety of Akatinol Memantine 20 mg (single-doses) vs Akatinol Memantine 10 mg (double-doses) in patients with vascular dementia]. / Mnogotsentrovoe otkrytoe sravnitel'noe randomizirovannoe issledovanie effektivnosti i bezopasnosti primeneniya preparata Akatinol Memantin, 20 mg (odnokratnyi priem) v sravnenii s preparatom Akatinol Memantin, 10 mg (dvukratnyi priem) u patsientov s sosudistoi dementsiei.

OBJECTIVE: Evaluation of the efficacy and safety of the drug Acatinol Memantine, 20 mg (once daily) in comparison with the drug Acatinol Memantine, 10 mg (twice daily) in patients with moderate to moderate severe vascular dementia. MATERIAL AND METHODS: The study included 130 patients aged 50-85 years of both sexes with instrumentally and clinically confirmed vascular dementia. The patients were randomized into 2 groups. Group I consisted of 65 patients receiving Akatinol Memantine, 20 mg once daily, group II - 65 patients receiving Akatinol Memantine, 10 mg twice daily for 24 weeks. Clinical, parametric and statistical research methods were used. The Alzheimer's disease assessment scale, the cognitive subscale (ADAS-cog), the short mental Status Assessment Scale (MMSE) and the general clinical impression scale for patients condition and illness severity (CGI-C and CGI-S) and the Hamilton Depression Rating scale (HAM-D) were used. Adverse events were collected and analyzed. RESULTS: At week 24, both groups showed statistically significant positive change in ADAS-cog total score: in group I the total score was 27.2±8.76 points (absolute difference from baseline 3.5 points; p<0.01), and in group II - 26.1±7.86 points (absolute difference from baseline 2.5 points; p<0.01) with no statistically significant differences between groups. Evaluation of secondary efficacy criteria (change in ADAS-cog total score at week 12 and MMSE at weeks 4, 12, and 24) also revealed statistically significant benefit in both groups compared to baseline with no significant differences between groups. Statistically significant improvement was noticed on CGI-S and CGI-C scales in both groups. Akatinol Memantine was safe and well tolerated in both groups. CONCLUSION: The study showed no lesser efficacy and safety of Akatinol Memantine, 20 mg (once daily) compared to Akatinol Memantine, 10 mg (twice daily) in patients with moderate and moderately severe vascular dementia.

[Results of a clinical study of the combination of flurbiprofen and cetylpyridinium chloride in patients with sore throat]. / Rezul'taty klinicheskogo issledovaniya kombinatsii flurbiprofena i tsetilpiridiniya khlorida u patsientov s bol'yu v gorle.

Sore throat is one of the most frequent complaints with which patients seek medical help from an otorhinolaryngologist, therapist and pediatrician. OBJECTIVE: To evaluate the efficacy and safety of a combined topical drug with flurbiprofen and cetylpyridinium chloride in patients with sore throat caused by upper respiratory tract infections. MATERIAL AND METHODS: A prospective multicenter open randomized comparative study in parallel groups included 266 adult patients with an established diagnosis of acute pharyngitis or acute tonsillitis aged 18 to 60 years with the main complaint of sore throat caused by viral infections of the upper respiratory tract. The patients included in the study were randomized into two groups of 133 participants each: the 1st group included patients who received the combined agent flurbiprofen 8.75 mg and cetylpyridinium chloride 1.00 mg in the form of tablets for resorption, the 2nd group included patients who received cetylpyridinium chloride 1.2 mg in the form of medicinal lozenges. The effectiveness was evaluated on several scales (RADT, STPIS, TPA, STPR) reflecting subjective and objective indicators of the dynamics of the disease. RESULTS: The studied combination proved to be more effective than the monocomponent agent and was characterized by a more pronounced decrease in sore throat within 2 hours after taking the drug and a decrease in pharyngeal hyperemia. CONCLUSION: According to the results of the study, the use of a drug based on a combination of flurbiprofen and cetylpyridinium chloride was accompanied by a rapid and pronounced decrease in sore throat and pharyngeal hyperemia in patients with upper respiratory tract infections.

[Rebamipide using in gastroesophageal reflux disease treatment].

Rebamipide is a mucoprotective drug which was developed in Japan in 1990. The therapeutic effect of rebamipide based on the induction of cyclooxygenase-2 and increasing level of prostaglandins, inhibition of oxygen free radicals production, epidermal growth factor stimulation, vascular endothelial growth factor, nitric oxide, and decreasing of lipid peroxidation and neutrophils migration. The combination of proton pump inhibitors and rebamipide is more effective in relieving of gastroesophageal reflux disease symptoms and reducing recurrence rate of disease. Using rebamipide in the treatment of gastroesophageal reflux disease is justified because this drug has a unique mechanism of action, which eliminating the main stages of pathogenesis of the disease.

[The impact of the high dose-refuge strategy on the Bt-crop yield. Mathematical simulations].

A mathematical model is presented, which describes interactions between Bt-plants and pests in terms of the plant growth rate, plant annual reseeding, consumption of plant biomass by pests, the action of Bt toxins, and the emergence of Bt-resistant insects. It has been shown that the migration of Bt-susceptible insects affects the Bt-crop yield dynamics and provides the exclusion of Bt-resistant pests if the migration exceeds the threshold value.

TMEM132D, a new candidate for anxiety phenotypes: evidence from human and mouse studies.

The lifetime prevalence of panic disorder (PD) is up to 4% worldwide and there is substantial evidence that genetic factors contribute to the development of PD. Single-nucleotide polymorphisms (SNPs) in TMEM132D, identified in a whole-genome association study (GWAS), were found to be associated with PD in three independent samples, with a two-SNP haplotype associated in each of three samples in the same direction, and with a P-value of 1.2e-7 in the combined sample (909 cases and 915 controls). Independent SNPs in this gene were also associated with the severity of anxiety symptoms in patients affected by PD or panic attacks as well as in patients suffering from unipolar depression. Risk genotypes for PD were associated with higher TMEM132D mRNA expression levels in the frontal cortex. In parallel, using a mouse model of extremes in trait anxiety, we could further show that anxiety-related behavior was positively correlated with Tmem132d mRNA expression in the anterior cingulate cortex, central to the processing of anxiety/fear-related stimuli, and that in this animal model a Tmem132d SNP is associated with anxiety-related behavior in an F2 panel. TMEM132D may thus be an important new candidate gene for PD as well as more generally for anxiety-related behavior.

Proteomic-based genotyping in a mouse model of trait anxiety exposes disease-relevant pathways.

In our biomarker identification efforts, we have reported earlier on a protein that differs in its electrophoretic mobility between mouse lines bred either for high or low trait anxiety. The altered electrophoretic behavior of enolase phosphatase (EP) is now identified to be caused by two single-nucleotide polymorphisms. In both cases, the genetic polymorphism introduces an amino acid change in the protein's sequence resulting in differential mobility on SDS gels. This was shown by recombinantly expressing the two EP isoforms. Functional studies indicate that the EP isoform from the high anxiety mouse line has a lower enzymatic activity than does its low anxiety mouse counterpart. EP is a member of the methionine salvage pathway that is responsible for the synthesis of S-adenosyl-L-methionine, a natural compound with potential antidepressant activities. In addition, it is linked to the polyamine pathway whose members have functions in anxiety/depression-related behaviors. In a freely-segregating F2 panel, both single-nucleotide polymorphisms were significantly associated with locomotion-independent trait anxiety, further supporting a functional role of EP for this phenotype. The study shows that proteomic analysis can reveal genotypic differences relevant for the phenotype. The identified protein alterations, in turn, can expose metabolic pathways pertinent to the behavioral phenotype.

[Research of the Bt crop biomass dynamics upon the invasion of Bt-resistant pests. A mathematical model].

The results of simulations of some consequences of the invasion of Bt-resistant pests into an agricultural ecosystem containing a Bt crop are presented. It is shown that the invasion of Bt-resistant pests leads to changes in the plant biomass dynamics, a decrease in the Bt crop production, and the deterioration of the predictability of the Bt crop production. We show that the parameter values at which the badly predictable Bt crop production takes place, occupy a minor area in the model parameter space. The size of the area depends on the insect reproduction period and the duration of the growing season.

[A conceptual mathematical model of aquatic communities in lakes Naroch and Myastro (Belarus)].

A conceptual mathematical model of fish and zooplankton (rotifer) populations inhabiting the lakes Naroch and Myastro has been developed and studied. The parametrization of the model was carried out having regard to the field observation data. The population dynamics was simulated taking into account that the lakes Naroch and Myastro are coupled with each other by a channel. It was shown that both the population coupling and trophic interactions result in regular and irregular oscillations of the population size.

[Invasion of an intermediate predator: the dynamics of fish populations in the mathematical model of a trophic chain (as applied to the Syamozero lake)].

We present a mathematical model of the dynamics of a spatially heterogeneous predator-prey population system. A prototype of the model system is the Syamozero lake fish community. We study the impact of the invader, an intermediate predator, on the dynamics of the fish community. We show that the invasion can lead to the appearance of chaotic oscillations in the population density. We show also that different dynamical regimes resulting from the invasion, i.e., stationary, non-chaotic oscillatory and chaotic ones, can coexist. The "choice" of a specific regime therewith depends on the initial invader density. Our analysis of solutions of the mathematical models shows that the successful invasion of the alien species takes place solely in the absence of the competition between the invaders and the native species.

[A conceptual model of the dynamics of the Syamozero lake community].

We have developed a conceptual mathematical model of the dynamics of a spatially heterogeneous population system, the prototype of which is the Syamozero lake fish community. Based on the analysis of solutions of the model, we show that interrelations between prey and predator populations in two neighboring habitats (pelagic and offshore zones) can lead to both undamped oscillations and stationary values of the population size. The population density was found to be close to the values oblained in the course of long-term observations of the biota of the Syamozero lake. Besides, we showed that the transition to the stationary states can be accompanied by long-term (dozens and hundreds of years) damped oscillations of the prey and predator population size. In natural waters, long-term transition periods can prevent the attainment of stationary regimes of fish community functioning.

[Evolution of rotifer population dynamics in a heterogeneous habitat: mathematical modeling].

We present the results of mathematical modeling of a rotifer species inhabiting two coupled habitats with different environmental conditions. We use the modified Consensus model and show that the exchange between the habitats can lead to chaotization of originally regular plankton dynamics and synchronization of plankton biomass oscillations. As a result, the invasion of a chaotic regime takes place.