|
|
Role of IL-34 in the pathogenesis of autoimmune rheumatic diseases
Reichlová, Petra ; Andrés Cerezo, Lucie (advisor) ; Brdička, Tomáš (referee)
Interleukin-34 (IL-34) is a cytokine described in 2008 using proteomic analysis. As IL-34 does not share any sequence similarity with other interleukins, it fell into the group so-called "orphan" cytokines. IL-34 binds to three receptors: CSF-1R, syndecan-1 and PTP-ζ. These interactions influence signal pathways which lead to proliferation, differenciation of monocytes or to an increased expression of other cytokines. Up-regulated expression of IL-34 has been observed in many autoimmune rheumatic diseases such as rheumatoid arthritis, systemic lupus erythematosus, Sjögrenʼs syndrome or systemic scleroderma. These findings indicate that IL- 34 may be involved in the pathogenesis of these diseases and may become one of the diagnostic markers or even the target of medical therapy in the future. Key words: interleukin-34, cytokine, autoimmune rheumatic diseases, rheumatoid arthritis, systemic scleroderma, systemic lupus erythematosus, Sjögrenʼs syndrome
|
|
|
Epigenetické regulace u autoimunitních onemocnění se zaměřením na revmatoidní artritidu
Horková, Veronika ; Daňková, Pavlína (advisor) ; Hušáková, Markéta (referee)
Exact cause of rheumatoid arthritis, as well as other autoimmune diseases has not been identified yet. In last twenty years, epigenetics showed a new face of immune system. DNA methylation, modification of histones - proteins around which DNA is wrapped, or interference of small RNA sequences - microRNAs, these all are heritable changes outside the DNA sequence that provide another component involved in autoimmunity. Presented epigenetic mechanisms alter gene expression and thus facilitate production of pro- inflammatory factors leading to autoimmune reactions. Moreover, genes regulating apoptosis are also frequently targeted by epigenetic modifications. Not only these mechanisms provide another level of immune defense, they also explain higher female susceptibility to autoimmune diseases and the influence of environment on pathogenesis of these diseases.
|
|
|
Expression analysis of new follicullar B cell populations characterized by absence of CD27 molecule and down-modulation of CD38 molecule.
Kerdíková, Zuzana ; Růžičková, Šárka (advisor) ; Drda Morávková, Alena (referee)
Two novel B cell populations were characterized in peripheral blood of patients with common variable immunodeficiency and healthy controls were observed using flow cytometry in the study supported by the grant IGA MZ ČR NKT11414-3. These B cell populations were defined as CD19+ CD27- CD21+ CD38low CD24+ IgM+ FO I and CD19+ CD27- CD21+ CD38low CD24++ IgM++ cells. Since none of found populations has ever been described, the aim of this thesis was to characterize these populations with focus on analysis of variable regions of the heavy chains of immunoglobulins and genes coding proteins participating in the process of VHDHJH formation (Rag 1, Rag 2, and TdT) produced by cells of these populations. Flow cytometry, single cell sorting, single-cell RT-PCR, IgVH, Rag 1, Rag 2, and TdT specific PCR amplification and cycle sequencing were employed to perform the molecular analysis in individual B lymphocytes. Both populations in two patients with common variable immunodeficiency, two healthy controls, and in two patients with autoimmune diseases - rheumatoid arthritis and systemic lupus erythematosus (as the disease control) - were examined. Finally, the statistical analysis was used to evaluate the differences in expression of variable regions of the heavy chains of immunoglobulins and in Rag1 and 2, and...
|
|
|
Case study of physiotherapy treatment of patient with diagnosis systemic lupus erythematosus
Mrázková, Tereza ; Nováková, Tereza (advisor) ; Taušová, Eva (referee)
Title: Case study of physiotherapy treatment of patient with diagnosis systemic lupus erythematosus Objective: A summary of theoretical background, study of comprehensive rehabilitation methodology, proposal of therapy and evaluation of its effect in a patient with diagnosis systemic lupus erythematosus. Methods: The Review of literature and the case study were made during practice in Institute of Rheumatology in Prague from 5. to 30. 1. 2015. It is devided into two parts. Theoretical part summarizes definition, etiology, epidemiology, diagnostics, clinical manifestation, therapy and use of physiotherapy in diagnosis systemic lupus erythematosus. The case study is presented in the special part. Therapeutical approach was prescribed according to the medical history and physical examination and its effect was assessed using kinesiology analysis at the end of the study. Results: The pain of the patient substantialy decreased, she has no more breathing problems and lying in horizontal position is also no longer a problem, the quality of sleep enhanced, the body posture and balance were positively enfluenced and range of motion and stabilization ability of spine improved. Therapeutic methods were chosen appropriately and stated goals of physiotherapy were fulfilled. Keywords: systemic lupus...
|
|
|
Immunogenetic and hormonal markers of predisposition to systemic rheumatic diseases particularly systemic lupus erythematosus
Fojtíková, Markéta ; Pavelka, Karel (advisor) ; Hrnčíř, Zbyněk (referee) ; Rovenský, Jozef (referee)
Fojtikova 2011 INTRODUCTION: Several factors like genetic susceptibility is required for systemic rheumatic diseases development. Immunomodulatory PRL effect supports autoimmunity. AIMS: 1. To detect the immunogenetic background (alleles HLA class I, II and microsatellite polymorphism of the transmembrane part exon 5 of MIC-A gene) of SLE and PsA. 2. To detect PRL serum and synovial fluid with regard to clinical and laboratory RA activity. 3. To find the role of the functional polymorphism -1149G/T SNP PRL of extrapituitary promoter of PRL gene in SLE, RA, PsA, SSc and inflammatory myopathies development. METHODS: Genetic analyses of pateints with SLE (n=156), RA (n=173), PsA (n=100), SSc (n=75), PM (n=47) a DM (n=68) and 123 healthy individuals: PCR-SSP (HLA clase I and II), PCR-fragment analysis (MIC-A) a PCR-RFLP (-1149 G/T SNP PRL). In 29 RA a 26 OA PRL serum and synovial fluid concentrations were detected using immunoradiometric assay. RESULTS: 1. The allele HLA-DRB1*03 (pc=0.008; OR 2.5) and haplotype HLA-DRB1*03-DQB1*0201 (pc <0.001; OR 4.54) were determined as risk immunogenetic markers for SLE in Czech population. In SLE versus controls allele MIC-A5.1 was increased (pc =0.005; OR 1.88). MIC-A5.1 together with HLA-DRB1*03 increases the risk for SLE development, pc <0.000001; OR 9.71....
|
|
|
Quality of life with scleroderma
Bendlová, Iva ; Tomášková, Anežka (advisor) ; Anděl, Michal (referee)
This bachelor thesis deals with the evaluation of the quality of life with scleroderma, a chronic autoimmune disease. The work is focused on determining the health-related quality of life of patients with localized and systemic scleroderma. The values obtained are then compared with the quality of life of the healthy population and with the health-related quality of life of the patients with selected diseases (psoriasis, systemic lupus erythematosus, rheumatoid arthritis and breast cancer). The research was conducted in the form of a randomized SF-36 questionnaire, a globally used tool for assessing the quality of life in chronically ill patients, which evaluates 8 areas of life. The results of the SF-36 questionnaire were further evaluated by T-test to determine statistically significant values. This questionnaire was further extended by supplementary questions. The results show that patients with scleroderma do not achieve the same quality of life as a healthy population in all evaluated areas. Patients with scleroderma rate their quality of life worse than all selected diseases (except for patients with localized scleroderma compared to those with systemic lupus erythematosus). Keywords - scleroderma - localized scleroderma (morphea) - systemic scleroderma - quality of life (QoL) - health related...
|
|
|
The Physiotherapy in Patients with Systemic Lupus Erythematosus
Hladíková, Alena ; Muchová, Renáta (advisor) ; Hroboňová, Lucia (referee)
Name: Alena Hladíková Supervisor: Mgr. Renáta Muchová Opponent: Title of bachelor thesis: The Physiotherapy in Patients with Systemic Lupus Erythematosus Abstract: This bachelor thesis concerns physiotherapy in patients with systemic lupus erythematosus diagnose. It mainly focuses on physiotherapeutic techniques indicated in this kind of patients. Another task is evaluating the effect of physiotherapy in acute issues caused by this disease. The thesis is divided into theoretical and practical part. In theoretical part the diagnose, clinical symptoms and treatment options are mentioned. The largerst part describes non-pharmacologic treatment and above all, different conservative physiotherapeutic methods. The practical part consists of thesis methodology and two case studies of patients with systemic lupus erythematosus. The case studies involve anamnesis and detailed physiotherapeutic examination and evaluate results of therapy, which demonstrates the positive effect of therapy on physical and psychical functions. The conservative way may reduce pathology in musculoskeletal system occuring due to lupus. Key words: systemic lupus erythematosus, rheumatic disease, autoimmune disease, physiotherapy, SLE
|
|
|
Epigenetické regulace u autoimunitních onemocnění se zaměřením na revmatoidní artritidu
Horková, Veronika ; Daňková, Pavlína (advisor) ; Hušáková, Markéta (referee)
Exact cause of rheumatoid arthritis, as well as other autoimmune diseases has not been identified yet. In last twenty years, epigenetics showed a new face of immune system. DNA methylation, modification of histones - proteins around which DNA is wrapped, or interference of small RNA sequences - microRNAs, these all are heritable changes outside the DNA sequence that provide another component involved in autoimmunity. Presented epigenetic mechanisms alter gene expression and thus facilitate production of pro- inflammatory factors leading to autoimmune reactions. Moreover, genes regulating apoptosis are also frequently targeted by epigenetic modifications. Not only these mechanisms provide another level of immune defense, they also explain higher female susceptibility to autoimmune diseases and the influence of environment on pathogenesis of these diseases.
|
|
|
Case study of physiotherapy treatment of patient with diagnosis systemic lupus erythematosus
Mrázková, Tereza ; Nováková, Tereza (advisor) ; Taušová, Eva (referee)
Title: Case study of physiotherapy treatment of patient with diagnosis systemic lupus erythematosus Objective: A summary of theoretical background, study of comprehensive rehabilitation methodology, proposal of therapy and evaluation of its effect in a patient with diagnosis systemic lupus erythematosus. Methods: The Review of literature and the case study were made during practice in Institute of Rheumatology in Prague from 5. to 30. 1. 2015. It is devided into two parts. Theoretical part summarizes definition, etiology, epidemiology, diagnostics, clinical manifestation, therapy and use of physiotherapy in diagnosis systemic lupus erythematosus. The case study is presented in the special part. Therapeutical approach was prescribed according to the medical history and physical examination and its effect was assessed using kinesiology analysis at the end of the study. Results: The pain of the patient substantialy decreased, she has no more breathing problems and lying in horizontal position is also no longer a problem, the quality of sleep enhanced, the body posture and balance were positively enfluenced and range of motion and stabilization ability of spine improved. Therapeutic methods were chosen appropriately and stated goals of physiotherapy were fulfilled. Keywords: systemic lupus...
|
|
|
Caring for a patient with a disease of systemic connective tissue.
BAUEROVÁ, Eliška
The aim of this Bachelor Thesis is to find out what are the specifics of nursing care of a patient suffering from systemic connective tissue disease, and the specific needs of the patient. These goals were met by qualitative research.The data collection technique was semi-structured interviews with patients with systemic lupus erythematosus.This disease is one of the most prominent representatives of the group of systemic connective tissue diseases.The research part of the Bachelor Thesis has revealed how the disease started in patients, what the symptoms are now, what is the impact on the patient's psyche, the family approach to the illness, and also how the patients were hospitalized.These responses identified the specifics of nursing care of patients with systemic connective tissue disease.This specificity lies primarily in the focus of the nursing staff on the patient's pain, his or her tolerance to it and assessment. The research also reveals that the nurse should focus on assessing the patient's mobility and also on areas where the patient needs to be educated.Patients with this disease have a number of specific needs that the nurse should focus on.This is primarily the need to be painless. These patients also need enough sleep and rest. For the patients it is also important to avoid stressful situations, because stress often invokes and worsens symptoms of the illness.In addition, it has been found that the illness brings a number of constraints to patients' lives that patients need to learn to live with.It has also been found how much are the nurses informed about the disease according to the patients responses.In some departments, the nurses do know the issue of the disease, and in some other departments the nurses are not informed about it on sucha high level.This bachelor thesis could raise awareness of this disease among healthcare professionals and also improve the quality of care for patients with this disease.
|
guest ::
