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Jambarsang S.,Shahid Beheshti University of Medical Sciences | Baghban A.A.,Shahid Beheshti University of Medical Sciences | Nazari S.S.H.,Shahid Beheshti University of Medical Sciences | Zayeri F.,Proteomics Research Center | Nikfarjam A.,Tehran University of Medical Sciences
Tehran University Medical Journal | Year: 2015

Background: After primary infection, the number of CD4 T-cells decreases with disease progress. The patient’s immunological status could inform by The CD4 T-cell counts over the time. The main purpose of this study is to assess the trend of CD4 cell count in HIV+ patient that received Antiretroviral Therapy (ART) by using a multistate Markov model to estimate transition intensities and transition probabilities among various states. Methods: A total of 122 HIV+ patients were included in this cohort study who are undergoing Antiretroviral Therapy treatment in the Iran AIDS center in Imam Khomeini Hospital in Tehran that inter during March 1995 to January 2005 and then fallow up to October 2014. All adults with at least two follow-up visits in addition to their pre-ART treatment were considered to be eligible for inclusion in the study. Continuous-time Markov processes are used to describe the evolution of a disease over different states. The mean sojourn time for each state was estimated by multi state Markov model. Results: Sample included 22 (18%) female with a mean age of 43.32 (standard deviation 8.33) years and 100 (82%) male with a mean age of 45.28 (standard deviation 8.34) year. Age was divided in to two categories, 40 years old and lower than that 66 (54.1) patents and persons older than 40 years old 56 (45.9) patents. A total of 122 patients were included. 29 patients died during follow-up. One year transition probability for staying in state 1 of CD4 cell count was 51%. This probability for six year was 33%. The mean sojourn time for sate 4 was 21 month. The hazard ratio of transition from state 3 to state 4 was 4.4 in men related to women. Conclusion: The use of antiretroviral therapy in the treatment of HIV infected persons reduce viral replication and increase in CD4 T lymphocyte count, and delay the progression of disease. This paper is shown the progression of this trend. © 2015, Tehran University of Medical Sciences. All rights reserved.


Sarbakhsh P.,Tabriz University of Medical Sciences | Daneshpour M.,Research Institute for Endocrine science | Zayeri F.,Proteomics Research Center | Zarkesh M.,Research Institute for Endocrine science | Azizi F.,Shahid Beheshti University of Medical Sciences
Iranian Journal of Endocrinology and Metabolism | Year: 2013

Introduction: As High-density lipoprotein (HDL) is directly associated with cardiovascular disease, the factors affecting the levels of this fat can be effective in reducing heart diseases. In addition to biochemical and environmental factors, genetic interactions also affect HDL level. Since polymorphism effects can be time-dependent, study of genetic interactions on HDL over time is important. In this study, we proposed Transition Logic Regression to analyze interactions in binary longitudinal data and used it to investigate polymorphism interactions related to low HDL over time. Materials and Methods: Data of 329 subjects who participated in three phases of TLGS was analyzed using the proposed model. Results: Results showed that subjects with high triglyceride levels and increased waist circumference have an odds ratio of 2.29 (CI95%: 1.51, 3.48) of having low HDL. Also, being in phase 2 and being a carrier of the minor allele of ApoA1M1 or being homozygous for the common allele of ApoCIII, were associated with an increased odds of having low HDL (OR= 2.30, CI95%: 1.77, 2.99). The odds ratio for having low HDL in male subjects with high blood pressure or being homozygous for the minor allele of SRB1 is 0.38 (CI95%: 0.25,0.59). Conclusions: Considering the identification of gene interactions in genetic studies and their importance over time, Transition Logic Regression was introduced and used to find gene interactions influencing low HDL over time and the most important models for gene interactions were identified.


Wang X.-L.,Mayo Medical School | Ling T.-Y.,Mayo Medical School | Ling T.-Y.,Shanghai JiaoTong University | Charlesworth M.C.,Proteomics Research Center | And 4 more authors.
Translational Research | Year: 2013

Lipid rafts are specialized plasma membrane microdomains that serve as platforms for integrating cellular signal transductions. We have recently reported that autoantibodies against cardiac membrane proteins are present in patients with postural orthostatic tachycardia syndrome (POTS). In this study, we examined the presence of autoimmunoreactive IgGs against lipid raft proteins in these patients. IgGs were purified from the sera of 10 patients and 7 normal controls. Cardiac lipid raft preparations were isolated from normal human heart tissue. The lipid raft-associated proteins were resolved by 2-dimensional gel electrophoresis and immunoblotted against IgGs from each subject. Protein spots that reacted specifically with patient IgGs were identified by nano-liquid chromatography-mass spectrometry/mass spectrometry. Thirty-four such protein spots, and 72 unique proteins were identified. The targets of autoimmunoreactive IgGs include proteins associated with caveolae structure, adrenergic signaling, calcium signaling, cytostructures, chaperone and energy metabolism. Multiple pathways were involved including those that regulate caveolae-mediated signaling, oxidative phosphorylation, fatty acid metabolism, protein ubiquitination, and cardiac β-adrenergic signaling. Our results suggest that cardiac lipid raft-associated proteins are targets of autoimmunoreactive IgGs from patients with POTS. Autoimmunity may play a role in the pathogenesis of POTS. © 2013 Mosby, Inc. All rights reserved.


Wang X.-L.,Mayo Medical School | Chai Q.,Mayo Medical School | Charlesworth M.C.,Proteomics Research Center | Figueroa J.J.,Mayo Medical School | And 3 more authors.
Proteomics - Clinical Applications | Year: 2012

Purpose: Autoantibodies are implicated in the pathogenesis of cardiovascular diseases and cardiac arrhythmias. In this pilot study, we tested the hypothesis that autoantibodies are present in patients with postural orthostatic tachycardia syndrome (POTS). Experimental design: Seven control subjects (6 F:1 M, average age 36.1 years) and ten patients with the diagnosis of POTS (7 F: 3 M, average age 35.1 years) provided informed consent and 30 mL of venous blood. Human heart membrane proteins were resolved by 2DE and immunoblotted against purified IgGs from controls and patients. Results: Eighteen protein spots immunoreactive specifically against patient IgGs were detected and they were excised from gels, trypsin-digested, and analyzed by nanoLC-electrospray MS/MS. Forty unique proteins were identified and these include proteins that are associated with cardiac hypertrophy (mimecan, myozenin), cardiac remodeling (periostin), cardiomyopathy (desmin, desmoplakin), cell survival (laminin), structural integrity (filamin), chaperone proteins (crystalline, HSP70), mitochondrial enzymes, and channel proteins. Ingenuity Pathway Analysis showed multiple pathways were involved including those that regulate energy metabolism, redox, fibrosis, cardiac hypertrophy, and degeneration. Conclusions and clinical relevance: Autoantibodies are present in patients with POTS. These autoantibodies cross-react with a wide range of cardiac proteins and may induce alterations in cardiac function. Autoimmune pathogenetic mechanisms should be further explored in these patients. © 2012 WILEY-VCH Verlag GmbH & Co. KGaA, Weinheim.


Mansourian M.,Tarbiat Modares University | Kazemnejad A.,Tarbiat Modares University | Kazemi I.,University of Isfahan | Zayeri F.,Proteomics Research Center | Soheilian M.,Shahid Beheshti University of Medical Sciences
Journal of Research in Medical Sciences | Year: 2011

BACKGROUND: Diabetic Macular Edema (DME) is one of the major causes of visual loss and increase in central macular thickness (CMT). The aim of this study was to determine the efficacy of a single intravitreal injection of bevacizumab (IVB) alone or in combination with intravitreal triamcinolone acetonide (IVB/IVT) versus macular laser photocoagulation (MPC) as primary treatment for DME when confounders were considered. METHODS: Skew-symmetric bivariate mixed modeling according to best corrected visual acuity (BCVA) and CMT was done on the data of 103 diabetic patients from ophthalmic research center of Labbafinejad medical center (Tehran, Iran) to determine the best DME treatment by adjusting the effect of confounders. RESULTS: Although there was no significant difference between IVB/IVT (p > 0.05), these two treatments increased BCVA and decreased CMT better than MPC (p < 0.05). The following three groups showed better treatment responses: 1) women, 2) patients with more diabetes duration, 3) patients whose CMT were higher and VA were lower at the beginning of the clinical trial. CONCLUSIONS: Using skew-symmetric mixed effect model as updated statistical method in presence of asymmetric or outlier data, we received different results compared to the same investigation on this study by analyzing BCVA and CMT simultaneously. This research demonstrated the effect of IVB alone or in combination with intravitreal IVB/IVT on visual power and decreasing CMT during follow up.

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