Composite "Crosslinked Polyvinyl Alcohol-Magnetite" as a Stimuli-Responsive Matrix for Optical Methods.

The preparation and application of the composite material "crosslinked polyvinyl alcohol-magnetite" as a sensitive matrix for use in digital colorimetry and optical micrometry methods are discussed. The material was synthesized in the form of spherical granules (for micrometry) and thin films (for digital colorimetry). The obtained composites were characterized by the registration of magnetization curves. It was shown that the amount of grown Fe3O4 particles in the polymer gel is in linear dependence with the iron salt concentrations in the impregnating solutions. The composite granules were applied to determining monosaccharides using optical micrometry. The optimal pH value for the total amount of monosaccharides' determination was 8.6. The study of the analytical response of composite granules and films performed with a low limit of detection (7.9 mmol/dm3) of both glucose and fructose and a possibility of the control of high alcohol contention in water media. The granules were used to determine the total carbohydrate content in samples of natural honey and syrups with high fructose contents, while the films were used to control the alcohol content in hand antiseptics. The results obtained are in good agreement with the data provided by the manufacturers.

Symmetry breaking charge transfer and control of the transition dipole moment in excited octupolar molecules.

The structure of the energy levels of excited symmetric donor-acceptor octupolar molecules suggests a completely symmetric state and a degenerate doublet. For most molecules, the doublet is the first excited state, which is called the normal level order, but there are molecules with the reverse level order. Symmetry breaking charge transfer (SBCT) and its effect on the transient dipole moment in these structures are studied. It has been established that for reverse level order, SBCT is possible only if the reorganization energy exceeds a certain threshold, whereas for the normal level order, there is no such threshold. The lowest completely symmetric excited state is shown to become bright after SBCT. The dependence of the fluorescence transition dipole moment on the SBCT extent is calculated. It was established that the direction and magnitude of the transition dipole moment change similarly to the change in the dipole moment for the reverse level order, whereas for the normal level order, the changes are opposite. The effect of solvent thermal fluctuations on the transition dipole moment is simulated and discussed. A way for controlling the direction of the transition dipole moment by an external electric field is suggested.

Lipoxygenases at the Intersection of Infection and Carcinogenesis.

The persisting presence of opportunistic pathogens like Pseudomonas aeruginosa poses a significant threat to many immunocompromised cancer patients with pulmonary infections. This review highlights the complexity of interactions in the host's defensive eicosanoid signaling network and its hijacking by pathogenic bacteria to their own advantage. Human lipoxygenases (ALOXs) and their mouse counterparts are integral elements of the innate immune system, mostly operating in the pro-inflammatory mode. Taking into account the indispensable role of inflammation in carcinogenesis, lipoxygenases have counteracting roles in this process. In addition to describing the structure-function of lipoxygenases in this review, we discuss their roles in such critical processes as cancer cell signaling, metastases, death of cancer and immune cells through ferroptosis, as well as the roles of ALOXs in carcinogenesis promoted by pathogenic infections. Finally, we discuss perspectives of novel oncotherapeutic approaches to harness lipoxygenase signaling in tumors.

Heating and Evaporation of Sessile Droplets: Simple and Advanced Models.

New advanced and simple two-dimensional (2D) models of sessile droplet heating and cooling and evaporation are suggested. In contrast to the earlier developed one-dimensional (1D) model, based on the assumption that heat supplied from the supporting surface is homogeneously and instantaneously spread throughout the droplet, both new 2D models consider the spatial distribution of this heat. The advanced 2D model is based on the numerical solution to the equations of conservation of mass, momentum, vapor mass fraction, and energy with standard boundary and initial conditions, using COMSOL Multiphysics code. Simple 2D and 1D models assume that droplets retain their truncated spherical shapes during the evaporation process. In the 1D model, the analytical solution to the 1D heat conduction equation inside the droplet is implemented into a numerical code. In the simple 2D model, the 2D version of this equation is solved numerically using COMSOL Multiphysics code. Droplet deformation, temperature gradients along the droplet surface, and the Marangoni effect are not considered in this model. The predictions of all three models are validated using in-house experimental data obtained from studies of sessile droplets of distilled water with initial volumes of 5.2, 3.2, and 2.2 µL, at an ambient temperature of 298.15 K, and at atmospheric pressure. The observed values of normalized droplet radii squared are shown to be close to those predicted by all three models. This allows us to recommend the application of the simplest 1D model for predicting this parameter. The time dependences of the droplet average surface temperature predicted by the advanced 2D model are shown to be close to those observed experimentally. The simple 2D and 1D models can correctly predict the initial rapid decrease in droplet average surface temperature followed by its gradual increase, in agreement with experimental data.

At the Crossroads of the cGAS-cGAMP-STING Pathway and the DNA Damage Response: Implications for Cancer Progression and Treatment.

The evolutionary conserved DNA-sensing cGAS-STING innate immunity pathway represents one of the most important cytosolic DNA-sensing systems that is activated in response to viral invasion and/or damage to the integrity of the nuclear envelope. The key outcome of this pathway is the production of interferon, which subsequently stimulates the transcription of hundreds of genes. In oncology, the situation is complex because this pathway may serve either anti- or pro-oncogenic roles, depending on context. The prevailing understanding is that when the innate immune response is activated by sensing cytosolic DNA, such as DNA released from ruptured micronuclei, it results in the production of interferon, which attracts cytotoxic cells to destroy tumors. However, in tumor cells that have adjusted to significant chromosomal instability, particularly in relapsed, treatment-resistant cancers, the cGAS-STING pathway often supports cancer progression, fostering the epithelial-to-mesenchymal transition (EMT). Here, we review this intricate pathway in terms of its association with cancer progression, giving special attention to pancreatic ductal adenocarcinoma and gliomas. As the development of new cGAS-STING-modulating small molecules and immunotherapies such as oncolytic viruses involves serious challenges, we highlight several recent fundamental discoveries, such as the proton-channeling function of STING. These discoveries may serve as guiding lights for potential pharmacological advancements.

Arachidonic acid: reconciling the dichotomy of its oxidative cascade through specific deuteration.

A new approach to attenuating pathological inflammatory reactions by buffering the eicosanoid pathways with oxidation-resistant hexadeuterated arachidonic acid (D-ARA) is discussed. Enzymatic processing of ARA, released by phospholipase A2, by lipoxygenases, cyclooxygenases, and cytochromes yields a wide range of bioactive eicosanoids, including pro-inflammation, pro-angiogenesis and pro-thrombosis species that, when produced in excess, are an underlying cause of pathology. Conversely, some products of ARA oxidation possess pro-resolving properties. Non-enzymatic free radical oxidation of ARA generates another large group of products such as isoprostanes and their metabolites, associated with inflammation, ischemia-reperfusion stress, and atherosclerosis. A separate group comprises reactive carbonyl derivatives that irreversibly damage diverse biomolecules. Being resistant to both enzymatic and non-enzymatic oxidation pathways due to large kinetic isotope effects, D-ARA may play a role in mitigating inflammation-related disorders and conditions, including inflammaging.

Flaviviruses in AntiTumor Therapy.

Oncolytic viruses offer a promising approach to tumor treatment. These viruses not only have a direct lytic effect on tumor cells but can also modify the tumor microenvironment and activate antitumor immunity. Due to their high pathogenicity, flaviviruses have often been overlooked as potential antitumor agents. However, with recent advancements in genetic engineering techniques, an extensive history with vaccine strains, and the development of new attenuated vaccine strains, there has been a renewed interest in the Flavivirus genus. Flaviviruses can be genetically modified to express transgenes at acceptable levels, and the stability of such constructs has been greatly improving over the years. The key advantages of flaviviruses include their reproduction cycle occurring entirely within the cytoplasm (avoiding genome integration) and their ability to cross the blood-brain barrier, facilitating the systemic delivery of oncolytics against brain tumors. So far, the direct lytic effects and immunomodulatory activities of many flaviviruses have been widely studied in experimental animal models across various types of tumors. In this review, we delve into the findings of these studies and contemplate the promising potential of flaviviruses in oncolytic therapies.

Subchronic toxicity of Sideritis scardica, Lamiaceae on male Wistar rats.

INTRODUCTION: Sideritisscardica, Lamiaceae, is a plant with anti-inflammatory, antirheumatic, digestive, and antimicrobial properties that is widely used in folk medicine throughout the Balkan Peninsula. The name derives from the Greek word 'sideros', meaning iron, and it is believed that the plant was also used by soldiers to heal wounds caused by cutting weapons.

An SPS-RS Technique for the Fabrication of SrMoO4 Powellite Mineral-like Ceramics for 90Sr Immobilization.

This paper reports a method for the fabrication of mineral-like SrMoO4 ceramics with a powellite structure, which is promising for the immobilization of the high-energy 90Sr radioisotope. The reported method is based on the solid-phase "in situ" interaction between SrO and MoO3 oxides initiated under spark plasma sintering (SPS) conditions. Dilatometry, XRD, SEM, and EDX methods were used to investigate the consolidation dynamics, phase formation, and structural changes in the reactive powder blend and sintered ceramics. The temperature conditions for SrMoO4 formation under SPS were determined, yielding ceramics with a relative density of 84.0-96.3%, Vickers microhardness of 157-295 HV, and compressive strength of 54-331 MPa. Ceramic samples demonstrate a low Sr leaching rate of 10-6 g/cm2·day, indicating a rather high hydrolytic stability and meeting the requirements of GOST R 50926-96 imposed on solid radioactive wastes. The results presented here show a wide range of prospects for the application of ceramic matrixes with the mineral-like composition studied here to radioactive waste processing and radioisotope manufacturing.

Non-Immunoglobulin Synthetic Binding Proteins for Oncology.

Extensive application of technologies like phage display in screening peptide and protein combinatorial libraries has not only facilitated creation of new recombinant antibodies but has also significantly enriched repertoire of the protein binders that have polypeptide scaffolds without homology to immunoglobulins. These innovative synthetic binding protein (SBP) platforms have grown in number and now encompass monobodies/adnectins, DARPins, lipocalins/anticalins, and a variety of miniproteins such as affibodies and knottins, among others. They serve as versatile modules for developing complex affinity tools that hold promise in both diagnostic and therapeutic settings. An optimal scaffold typically has low molecular weight, minimal immunogenicity, and demonstrates resistance against various challenging conditions, including proteolysis - making it potentially suitable for peroral administration. Retaining functionality under reducing intracellular milieu is also advantageous. However, paramount to its functionality is the scaffold's ability to tolerate mutations across numerous positions, allowing for the formation of a sufficiently large target binding region. This is achieved through the library construction, screening, and subsequent expression in an appropriate system. Scaffolds that exhibit high thermodynamic stability are especially coveted by the developers of new SBPs. These are steadily making their way into clinical settings, notably as antagonists of oncoproteins in signaling pathways. This review surveys the diverse landscape of SBPs, placing particular emphasis on the inhibitors targeting the oncoprotein KRAS, and highlights groundbreaking opportunities for SBPs in oncology.

Chromium-Lanthanide Complexes Containing the Cr═P═Cr Fragment: Synthesis, Characterization, and Computational Study.

Heterometallic complexes [Cp*2Ln(µ-isoCO)2{Cr2(µ-P)Cp2(CO)2}] [Ln = Yb (1), Sm (2)] were obtained in reactions of [Cp*2Ln(thf)2] (Ln = Sm, Yb) with [{CpCr(CO)2}2(µ,η2:2-P2)] (4). An analogous yttrium compound [Cp*2Y(µ-isoCO)2{Cr2(µ-P)Cp2(CO)2}] (3) was synthesized using a three-component reaction between [Cp*2Y(BPh4)], 4, and KC8. Compounds 1-3 were isolated as solvent-free crystalline phases; in the case of 2, the 2·0.5C7H8 solvate was also obtained. The structures of all crystalline phases were determined by single-crystal X-ray diffraction analysis. All compounds contain a unique {((CO)2CpCr═P═CrCp(CO)2)}- unit, which is linked to Ln3+ ions through CO ligands in the isocarbonyl mode. Compounds 1 and 3 have a molecular structure, while compound 2 contains polymeric chains of triangular [Cp*2Sm(µ-isoCO)2{Cr2(µ-P)Cp2(CO)2}] units linked by µ-isoCO-ligands. 31P NMR studies demonstrated similar dramatic downfield shifts for complexes 1-3. To realize the electronic structure of 1-3 and to elucidate the nature of the high downfield chemical 31P shift, quantum chemical calculations were performed both for 1-3 and for related Cr- and Fe-phosphido complexes. Calculations show that the anomalously high downfield chemical shifts for 1-3 are due to the anisotropic effect of the Cr═P double bonds.

Sulfur-Containing Radical Anions Formed by Photolysis of Thiosulfate: Quantum-Chemical Analysis.

The photochemistry of sodium thiosulfate (S2O32-) in aqueous solutions is rather complicated. Several sulfur-containing radical anions are formed upon photoexcitation. Any of them are rather common (SO3•-, SO2•-, and SO5•-); others are rare (S2O3•-, •S4O63-, and S•-) or never documented (S2O5•-). In order to support the identification of intermediate radical anions, quantum-chemical (QM─quantum mechanical) calculations of the geometric and electronic structures of S2O3•-, S2O5•-, and •S4O63- were performed. Two different approaches, time-dependent density functional theory and complete active space self-consistent field, were applied to identify the method optimal for the reproduction of the experimental electronic absorption spectra. Several of the most commonly used functionals were considered. The best agreement with the experimentally observed spectra of reference compounds (common sulfur-containing anions and radical anions) was achieved for the WB97X-D3 functional. Using this approach, satisfactory agreement between experimental and calculated spectra of S2O3•-, S2O5•-, and •S4O63- was achieved. It was shown that S2O5•- and •S4O63- can exist in two isomeric forms with different spectral properties. These isomers are S2O3O2•-; SO3SO2•- for the case of S2O5•- and (S2O3)2•3-; (S3O32-...SO3•-) for the case of •S4O63-.

The effect of energy level degeneracy on symmetry-breaking charge transfer: Excited octupolar dyes.

A three-level model of symmetry-breaking charge transfer (SBCT) in excited octupolar molecules is developed. The model describes the joint dynamics of the solvent and the dye in the excited state. For this, a distribution function in the space of two reaction coordinates is introduced. An evolution equation of this function is derived. A strict definition of the reaction coordinates is given, and its dynamic characteristics are determined. The free energy surface in the space of these coordinates is calculated. To quantify the symmetry-breaking degree, a two-dimensional dissymmetry vector is introduced. The model predicts the absence of SBCT in apolar solvents and an abrupt increase in its degree to half the maximum value in weakly polar solvents. The dye dipole moment is revealed to be directed along a molecular arm independently of the direction and the strength of the electric field of the solvent created by its orientational polarization. The conditions for the occurrence and nature of this effect are discussed. The effect of the degeneracy of excited states, which is inherent in octupolar dyes in the excited state, on SBCT is revealed. Degeneracy of energy levels is shown to lead to a significant increase in the symmetry-breaking degree. The effect of SBCT on the dependence of the Stokes on the solvent polarity is calculated and compared with the available experimental data.

Proposing national diagnostic reference levels for electrophysiology studies and catheter ablation procedures in Bulgaria.

INTRODUCTION: The implementation of diagnostic reference levels (DRLs) is an essential tool for optimisation of the routine practice, better management of patient exposure while maintaining sufficient image quality. National DRLs for electrophysiology (EP) procedures are not available in our country. PURPOSE: The main purpose of the study was to propose, for first time in Bulgaria, national DRLs (NDRLs) for EP studies and ablation procedures of two different levels of complexity. The proposed DRLs can be later used to establish NDRLs by the national authority with regulatory functions related to medical exposure. METHOD: A retrospective study was done with the three highest volume Bulgarian EP centers, where over 95% of all cardiac ablations were performed. Data were extracted from the electronic registry for invasive electrophysiology BG-EPHY. Independently of the proposed NDRLs, we also compared the air kerma-area product (KAP) between the participating centers for procedures of the same level of complexity. RESULTS: The proposed NDRL in terms of KAP were: 5.2 Gy.cm2 for diagnostic EP studies, 25.5 Gy.cm2 for simple ablations, and 52.1 Gy.cm2 for complex ablations. There was a significant variation in KAP for procedures with the same degree of complexity within each center. CONCLUSION: This study is the first to propose NDLRs for EP studies and ablation procedures of two levels of complexity in Bulgaria. The results identified EP procedures requiring further optimization of patient protection and provided a basis for future comparisons and standardization with further investigations on the topic. The proposed NDRLs are recommended to be used for better management of radiation exposure during EP procedures of different levels of complexity.

BRCA Mutations-The Achilles Heel of Breast, Ovarian and Other Epithelial Cancers.

Two related tumor suppressor genes, BRCA1 and BRCA2, attract a lot of attention from both fundamental and clinical points of view. Oncogenic hereditary mutations in these genes are firmly linked to the early onset of breast and ovarian cancers. However, the molecular mechanisms that drive extensive mutagenesis in these genes are not known. In this review, we hypothesize that one of the potential mechanisms behind this phenomenon can be mediated by Alu mobile genomic elements. Linking mutations in the BRCA1 and BRCA2 genes to the general mechanisms of genome stability and DNA repair is critical to ensure the rationalized choice of anti-cancer therapy. Accordingly, we review the literature available on the mechanisms of DNA damage repair where these proteins are involved, and how the inactivating mutations in these genes (BRCAness) can be exploited in anti-cancer therapy. We also discuss a hypothesis explaining why breast and ovarian epithelial tissues are preferentially susceptible to mutations in BRCA genes. Finally, we discuss prospective novel therapeutic approaches for treating BRCAness cancers.

Eutherian-Specific Functions of BetaM Acquired through Atp1b4 Gene Co-Option in the Regulation of MyoD Expression.

Vertebrate ATP1B4 genes represent a rare instance of orthologous gene co-option, resulting in radically different functions of the encoded BetaM proteins. In lower vertebrates, BetaM is a Na, K-ATPase ß-subunit that is a component of ion pumps in the plasma membrane. In placental mammals, BetaM lost its ancestral role and, through structural alterations of the N-terminal domain, became a skeletal and cardiac muscle-specific protein of the inner nuclear membrane, highly expressed during late fetal and early postnatal development. We previously determined that BetaM directly interacts with the transcriptional co-regulator SKI-interacting protein (SKIP) and is implicated in the regulation of gene expression. This prompted us to investigate a potential role for BetaM in the regulation of muscle-specific gene expression in neonatal skeletal muscle and cultured C2C12 myoblasts. We found that BetaM can stimulate expression of the muscle regulatory factor (MRF), MyoD, independently of SKIP. BetaM binds to the distal regulatory region (DRR) of MyoD, promotes epigenetic changes associated with activation of transcription, and recruits the SWI/SNF chromatin remodeling subunit, BRG1. These results indicate that eutherian BetaM regulates muscle gene expression by promoting changes in chromatin structure. These evolutionarily acquired new functions of BetaM might be very essential and provide evolutionary advantages to placental mammals.

Anti-cancer Virotherapy in Russia: Lessons from the Past, Current Challenges and Prospects for the Future.

The idea of using the lytic power of viruses against malignant cells has been entertained for many decades. However, oncolytic viruses gained broad attention as an emerging anti-cancer therapy only recently with the successful implementation of several oncolytic viruses to treat advanced melanoma. Here we review the history of oncolytic viruses in the Russian Federation and recent biotechnological advances in connection with the perspectives of their practical use against aggressive tumors such as glioblastoma or pancreatic cancer. A particular emphasis is made on novel applications of safe non-lytic virus-derived vectors armed with prodrug-converting enzyme transgenes. Rational improvement of oncotropism by conjugation with biopolymers and nanoformulations is also discussed.

High-temperature mass spectrometric study and modeling of ceramics based on the Al2 O3 -SiO2 -ZrO2 system.

RATIONALE: Materials based on the Al2 O3 -SiO2 -ZrO2 system are promising for a wide range of high-temperature technological applications, such as thermal barrier coatings in the aviation and space industry or advanced materials in nuclear power reactors. Experimental studies of the ceramics based on this system by the Knudsen effusion mass spectrometric (KEMS) method are of significant interest in designing technological processes for the synthesis and exploitation of the Al2 O3 -SiO2 -ZrO2 materials. METHODS: Samples of ceramics in the Al2 O3 -SiO2 -ZrO2 system, including the Al2 O3 -ZrO2 and SiO2 -ZrO2 binaries, were prepared by solid-state synthesis. Analysis of the samples was performed by X-ray fluorescence and diffraction techniques. The vapor composition and thermodynamic properties of the components in this system were determined by KEMS. The derived thermodynamic functions were optimized within the generalized lattice theory of associated solutions (GLTAS). RESULTS: In the temperature range 1900-2600 K, the SiO, Al, AlO, Al2 O, ZrO, ZrO2 , and O vapor species were identified over the samples in the systems under study. For the thermodynamic properties to be determined correctly, the samples of the Al2 O3 -SiO2 -ZrO2 system had to be vaporized at temperatures less than 2000 K, where data could be obtained only for the SiO species. The SiO2 activities obtained were taken as the experimental basis for the modeling within the GLTAS approach. This allowed evaluation of the component activities and excess Gibbs energy, and assessment of the relative number of bonds of different types. CONCLUSIONS: At 1920 K, the Al2 O3 -SiO2 -ZrO2 system is characterized by negative deviations of its thermodynamic properties from the ideal behavior. The consistency of the obtained modeling results was illustrated by comparison of the values derived from the data for the ternary and the boundary binary systems and thereby indicates the reasonable uniformity of the energy parameters of the lattice model derived in the calculations, which may be used in further modeling of multicomponent systems.

Treatment of Depression with Vortioxetine and Second Generation Antipsychotics During the Period of Remission Formation in Schizophrenia (Interim Data Analysis).

BACKGROUND: Depression in patients with schizophrenia worsens the course of the disease by increasing the risk of suicide, by complicating the clinical picture of the disorder, and by reducing the quality of the social functioning; its treatment is difficult, since monotherapy, even when involving modern antipsychotics, does not always prove successful. While the prescription of additional antidepressants (ADs) can improve the likelihood of a better outcome, the effectiveness of such augmentation in many cases is yet to be proven. Therefore, it is still important that one weighs the effectiveness of various combinations between most of the known ADs and some second-generation antipsychotic (SGA) in the treatment of depression that occurs at different stages of schizophrenia. In previous studies, the use of vortioxetine as an adjunct to an antipsychotic yielded a reduction in negative symptoms, a clinically significant improvement in cognitive functions that differed from its antidepressant effect, and good tolerability, which affects how committed to treatment a patient remains. AIM: To study the changes that occur over time in the clinical manifestations of depression, negative and cognitive impairment, as well as the social adequacy of patients receiving a combination therapy with second-generation antipsychotics and vortioxetine, which were prescribed in real clinical practice at doses approved in the Russian Federation. METHODS: We performed a comparative analysis of the changes in depression symptoms and negative symptoms, cognitive impairment, as well as function of 78 patients with severe manifestations of depression at the stage of exacerbation reduction and subsequent remission of paranoid schizophrenia. Combination treatment with SGA and vortioxetine was used in 39 patients, and 39 patients who had similar clinical manifestations received just SGA. During the observation period, the mental disorder severity and depression symptom severity were assessed 3 times (before the start of treatment, after three months, and after six months) using the Clinical Global Impression (CGI) scale and Calgary Depression Scale for Schizophrenia (CDSS), respectively; patients were also assessed using the Negative Symptoms Assessment-5 (NSA-5) scale, Perceived Deficits Questionnaire-20 items (PDQ-20) scale, and Personal and Social Performance (PSP) scale. RESULTS: According to the ANOVA results, by the end of the observation period, patients, regardless of their therapeutic group, showed a statistically significant decrease in the level of depression on the CDSS scale, the severity of negative symptoms on the NSA-5 scale, cognitive symptoms on the PDQ-20 scale, as well as an improvement in personality and society, judging by the increase in the total PSP scores. There were also significant differences between the compared main (SGA + vortioxetine) and control (SGA) groups in terms of the changes in the total score on the CDSS and PSP scales. An interesting aspect of the changes in the clinical scores was a noticeable improvement in the SGA + vortioxetine group after 3 months of treatment, in the absence of a similar improvement in the control group, and the achievement of approximately the same scores in both groups after 6 months. In particular, there were significant differences between the SGA + vortioxetine and SGA groups in terms of the mean CDSS (p 0.001), NSA-5 (p=0.003), PDQ-20 (p 0.001), and PSP (p=0.004) scores after 3 months. Analysis of the time before early withdrawal from the study showed that significantly more patients in the SGA + vortioxetine group completed the study program (n=27, 69.23%) compared with the SGA group (n=13, 33.33%) (2 =14.618, df=1, p 0.001, log-rank test. The mean survival time in the SGA group was significantly (p 0.001) less and amounted to 101.436 days (95% CI: 81.518121.354), and in the SGA + vortioxetine group it amounted to 161.744 days (147.981175.506). The relative risk of full study completion in the vortioxetine + SGA group compared with that in SGA was 3.618 (1.8716.994). CONCLUSION: The addition of vortioxetine to the SGA therapy accelerates the reduction of the depression symptoms that occur at the stage of psychosis regression and early remission, contributes to the accelerated reduction in negative symptoms, positively affects the subjective assessment of cognitive impairment severity, and has a significant positive effect on the level of psychosocial functioning.

Oncogenic BRCA1,2 Mutations in the Human Lineage-A By-Product of Sexual Selection?

In this review, we discuss the long-known problem of tissue-specific carcinogenesis in BRCA1 and BRCA2 mutation carriers: while the genes are expressed ubiquitously, increased cancer risk is observed mostly in the breast and ovaries, and to a much lesser extent, in some other tissues such as the prostate or pancreas. We reevaluate hypotheses on the evolutionary origin of these mutations in humans. Also, we align together the reports that at least some great apes have much lower risks of epithelial cancers in general and breast cancer in particular with the fact that humans have more voluminous breast tissue as compared to their closest extant relatives, particularly chimpanzees and bonobos. We conjecture that this disparity may be a consequence of sexual selection, augmented via selection for enhanced lactation. Further, we argue that there is an organ-specific enigma similar to the Peto paradox: breast cancer risk in humans is only minimally correlated with breast size. These considerations lead to the hypothesis that, along with the evolutionary development of larger breasts in humans, additional changes have played a balancing role in suppressing breast cancer. These yet-to-be-discovered mechanisms, while purely speculative, may be valuable to understanding human breast cancer, though they may not be exclusive to the mammary gland epithelial cells. Combining these themes, we review some anti-carcinogenesis preventive strategies and prospects of new interventions against breast cancer.