ISSN Print 2500–1094    ISSN Online 2542–1204
Bulletin of RSMU
BIOMEDICAL JOURNAL OF PIROGOV UNIVERSITY (MOSCOW, RUSSIA)
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Original research Perivascular mast cells and angiogenesis in the tumor microenvironment of synovial sarcoma
Bulanov DV, Makhachev DR, Suntsov MA, Gubich DS, Filippova YD, Krutilina AA, Svoyak AV, Ivannikova AA, Ghabibullaev RM
Synovial sarcoma is characterized by marked histological and molecular heterogeneity, and angiogenesis as well as innate immune cells are considered potential sources of prognostic markers and therapeutic targets. This study aimed to evaluate the relationship between the quantitative and spatial characteristics of mast cells and angiogenesis in the tumor microenvironment of synovial sarcoma, as well as their prognostic significance. Using immunohistochemistry (tryptase/ CD117, CD31/CD34, VEGF-A, α-SMA, CD3/CD8, CD68/CD163) and digital morphometry normalized to 1 mm2, we analyzed 140 cases of synovial sarcoma. The intrathumoral, peritumoral, and perivascular (≤50 µm from CD31+/CD34+ vessels) zones, as well as the mastocyte degranulation index, were evaluated separately. Mast cells were detected in all observations; their density and signs of degranulation were greatest in the perivascular zone. Perivascular mast cells were positively correlated with both microvascular density and VEGF-A expression, and inversely correlated with α-SMA pericyte coverage; these relationships remained significant even after accounting for CD163+ macrophages. A high microvascular density and increased perivascular mast cell counts were associated with an unfavorable survival prognosis, while pronounced CD8+ infiltration predicted better outcomes. The developed integral Mast-Angio Score, which combines perivascular density, mast cell degranulation, microvascular density, and VEGF-A expression, improves the accuracy of prognostic stratification and can serve as a morphological basis for justifying combined antiangiogenic and immune therapy.
Received: 2025-10-07
Published online: 2025-11-21
DOI: 10.24075/brsmu.2025.034
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Original research Expression of microRNA miR146a in the blood plasma of rats with obesity and knee arthrosis after administration of dexamethasone
Ivanov AS, Tananakina TP, Kashchenko SA, Pogorelova IA
MicroRNAs are resistant to RNases and are highly specific for various pathological conditions, particularly inflammation, allowing them to be considered inflammation biomarkers. They were detected in all body fluids, and miR146a plays a key role in the pathogenesis of inflammation. A total of 180 male white Wistar rats were selected for the study. All animals were 8–10 weeks old and weighed 200–250 grams. The animals were divided into five groups of 36 each. The first received saline solution intramuscularly, while the others underwent experimental modeling of obesity and knee arthrosis. The second group received 1.0 ml of saline solution intramuscularly, while the third, fourth, and fifth groups received dexamethasone at doses of 1 ng/ml, 10 ng/ml, and 100 ng/ml, respectively. Blood samples for the study were collected on days 3, 5, and 10. The obtained parameters were analyzed at the statistical significance level (p < 0.05). Increased miR146a levels were observed in animals in the second group compared to the others, due to the development of inflammation associated with obesity and concomitant gonarthrosis. In the third group, expression levels decreased slightly, remaining high. In the fourth group, with the use of 10 ng/ml dexamethasone, miR146a expression levels decreased most significantly on days 3 and 5. In the fifth group, virtually no changes were observed, with the parameter decreasing only slightly. The 10 ng/ml dexamethasone dose demonstrated the greatest efficacy during the experiment, possessing the greatest anti-inflammatory activity compared to the other doses.
Received: 2025-10-04
Published online: 2025-11-11
DOI: 10.24075/brsmu.2025.056
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Opinion The terms "dominant" and "recessive" should be avoided due to gene therapy
Gamisonia AM, Rebrikov DV
The accumulation of scientific data can conflict with theoretical propositions, requiring their revision. Ptolemy's model of celestial motion was repeatedly "upgraded" until the paradigm fundamentally changed. Today, we not only understand the structure of the solar system but also see the universe across fourteen billion lightyears. Similarly, phenotype-based medical genetics still operates with concepts such as dominance, recessiveness, penetrance, expressivity, complementarity, epistasis, and so on. These are descriptive terms of limited accuracy, which are redundant and often confounding in clinical settings. This opinion article re-examines the relationship between molecular inheritance and its phenotypic manifestations in light of the growing role of gene editing and gene therapy. We believe that the use of the classical terms “dominant” and “recessive” in a medical context should be avoided as non-informative and possibly misleading in terms of clinical decisions and treatment choices.
Received: 2025-10-23
Published online: 2025-10-31
DOI: 10.24075/brsmu.2025.055
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VIEWS 228
Original research Susceptibility of the nontuberculous mycobacteria circulating in Russia to bedaquiline
Smirnova TG, Andreevskaya SN, Larionova EE, Zaytseva AS, Kiseleva EA, Ustinova VV, Chernousova LN, Ergeshov AE
The diseases caused by nontuberculous mycobacteria (NTM) are a public health problem all over the world due to increasing incidence and the associated mortality. Since it is difficult to treat mycobacteriosis, the search for drugs effective against NTM is relevant. Bedaquiline was approved in 2012 as a drug for tuberculosis treatment. The study aimed to determine susceptibility to bedaquiline of the main clinically significant NTM species that were common in the Russian Federation. In 2011–2024, a total of 345 NTM isolates were obtained: 289 isolates of slow growing NTM species (M. avium, M. intracellulare, M. chimaera, M. kansasii, M. xenopi) and 56 of the fast growing one (M. abscessus). Drug susceptibility testing for bedaquiline was performed by microdilution in a 96-well plate using the bedaquiline concentration range of 0.125–4 µg/mL. The minimum inhibitory concentration of bedaquiline inhibiting 50% (MIC50) and 90% (MIC90) of NTM strains of each spesies was determined. It has been shown that the bedaquiline MIC50 for M. avium, M. intracellulare, M. chimaera, M. kansasii is < 0.125 µg/mL, MIC90 — from < 0.125 to 0.5 µg/mL, for M. xenopi: MIC50 —4 µg/mL, MIC90 — > 4 µg/mL, M. abscessus: MIC50 — 1 µg/mL, MIC90 — 2 µg/mL.
Received: 2025-10-02
Published online: 2025-10-30
DOI: 10.24075/brsmu.2025.054
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VIEWS 228
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Clinical case Case report of the patient with four multiple primary malignant tumors in the duodenum and colon
Popova ES, Agbalyan AN, Titov VD, Moiseeva VP, Mashin SV, Anfimiadi VA, Zhukov GM, Bondarevskaya AO, Gavrilyuk LM
Currently, the occurrence of multiple primary malignant tumors is one of the complex and poorly understood issues of oncology. After the diagnosis of malignant neoplasm is established, the risk of a new primary, non-metastatic tumor increases in a patient. The paper presents a case report of the patient with four multiple primary malignant tumors in the duodenum and colon. Synchronous cancer of the cecum and rectosigmoid junction occurred after 9 months of the duodenal cancer pancreatoduodenal resection, photodynamic therapy, and 12 multiagent chemotherapy courses. The patient received 8 courses of chemotherapy with capecitabine, during which cancer progression was reported, and 16 multiagent chemotherapy courses. Two years later rectal cancer occurred, due to which rectal re-resection was conducted, along with 4 multiagent chemotherapy courses and target therapy. This clinical case emphasizes that it is necessary to perform additional assessment when treating patients with synchronous or metachronous multiple primary tumors to ensure the timely diagnosis and multidisciplinary approach to treatment of cancer patients.
Received: 2025-04-07
Published online: 2025-05-27
DOI: 10.24075/brsmu.2025.028
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VIEWS 945
Original research Analysis of the Russians' awareness of bone marrow donation and the Federal Bone Marrow Donor Registry infrastructure
Butunts MA, Dyuzhina KA, Nifatova ES, Muradyan TG
Bone marrow transplant is the leading method to treat hematologic malignancies, immunodeficiency, and hereditary metabolic disorders. The Federal Bone Marrow Donor Registry effectiveness depends directly on public awareness of bone marrow donation and infrastructure development. A comprehensive approach to public awareness is necessary to increase the system effectiveness. The study aimed to investigate factors that influence joining the Federal Bone Marrow Donor Registry, with a focus on motivation, sources of information, impact of infrastructure, environment, and common myths. The respondents (potential donors registered in the Federal Registry; n = 3100) filled an online questionnaire of 24 questions aimed at studying and assessing the socio-demographic characteristics, motivation, sources of information, influence of the environment, awareness of bone marrow donation, and readiness to donate. It was found that young adults aged 18–36 (n = 1860) more often join the Federal Registry through informal channels, such as work/school events (n = 843; 27.2%), while respondents over the age of 37 (n = 1240) prefer healthcare institutions (n = 1590; 51.3%). Women make up the majority of potential donors (n = 2304; 74.3%), especially in Moscow (n = 1650; 74.5%), while higher prevalence of myths is reported for the regions (n = 1646; 53.1%). The findings emphasize the need for the differentiated approach to information policy, which will make it possible to increase the donor movement effectiveness nationwide. A key factor in scaling this work is partnership with commercial laboratories, which significantly expands the Federal Registry recruitment network and provides convenient conditions for donors to join.
Received: 2025-05-26
Published online: 2025-06-26
DOI: 10.24075/brsmu.2025.032
Comments 0
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Special Project Author's Work
Dear researcher!
At the end of 2015, Bulletin of RSMU saw an important change in its typographic design and content. We formulated new editorial policies and established strict ethical standards for submitted manuscripts in accordance with the guidelines of reputable international bodies. As a result, about a quarter of the submitted works have been rejected, the primary reason being the author trying to submit a previously published article. Sometimes authors believe that by making slight changes to the introduction, excluding a few people from the study, performing a new statistical analysis, and thus obtaining totally new results they will turn their old manuscript into a novel work. That is why we would like to talk about scientific integrity, honesty, plagiarism, and self-plagiarism in our special project “Author’s work”.
Richard FEYNMAN Cargo cult science
American physicist Richard P. Feynman, a Nobel laureate, was always very scrupulous about the quality of a research study. During his commencement address at the California Institute of Technology in 1974, he talked about scientific integrity and honesty and warned young researchers “not to fool” themselves. A must-read for anyone who believes he/she is a true scientist.
Ivan PAVLOV On the Russian mind
In 1918, Russian physiologist Ivan Pavlov, a Nobel laureate, delivered two lectures: on the mind in general and the Russian mind in particular; on those mind qualities that determine the success of a research work and on how these qualities are present in the Russian mind. Pavlov's thoughts are an effective vaccine against poor intellectual work.
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