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Publikacije (58)

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Damir Suljevic, Lejla Hodžić-Klapuh, Nejira Handžić, M. Fočak

BACKGROUND Lead and cadmium are significant environmental pollutants that cause pathophysiological responses in many organs. Heavy metal absorption into many tissues is very fast due to a pronounced affinity for metallothioneins. METHOD Japanese quail were exposed to different concentrations of metals (cadmium 0.20 mg/L and lead 0.25 and 0.50 mg/L) for 20 days. Erythrocytes (normal and hemolyzed) and lymphocytes (normal and altered) were monitored in this study. The analysis observed the percentage of normal and altered cells, as well as erythrocyte surface area. Cell counts were analyzed using light microscopy, while surface area and cytological changes in cells and nuclei were analyzed using licensed software. RESULTS Different concentrations of metals have caused erythrocyte hemolysis as well as structural and morphological alterations in lymphocytes. Destruction of cell and nucleus membrane, changes in cell size, erythrocyte denucleation and reduced erythrocyte surface area were observed. Cadmium has caused erythrocyte hemolysis (29.30 %) and lymphocyte damage (92.10 %). Higher doses of lead resulted in greater damage to lymphocytes (63 %). Also, treatment with higher dose of lead produced a higher percentage of hemolyzed erythrocytes (19.20 %) in comparison to lower dose (9.90 %). CONCLUSION The toxicity of heavy metals leads to reduced maturation of the blast, which causes the appearance of immature cells in peripheral circulation and severe destruction of blood cell membranes. Erythrocyte hemolysis can lead to anemia, while lymphocyte damage can lead to lymphocytopenia.

Abstract Methadone eliminates heroin use, reduces death rates and criminality associated with heroin use, and improves patients’ health and social productivity. This study included long-term addicts who completed a methadone therapy program as well as relapsed patients. Liver and renal markers important for methadone metabolism were analyzed. Renal markers included urea and creatinine, while hepatic markers included total bilirubin, AST, ALT, γGT, and LDH as nonspecific but significant parameters of liver metabolism. The study included 34 male and 6 female heroin-dependent patients undergoing a rehabilitation program with methadone maintenance treatment (MMT). During therapy, average values of all parameters remained within the reference interval but individual parameters in some patients were very high. Significant differences for urea (0.00) and very high individual variations in all parameters, especially γGT and LDH, were found in patients who were in relapse. Age of the patients did not show a correlation with the presence of significant differences in serum biochemical parameters during therapy. Prolonged use of methadone therapy stabilizes high variations of liver and renal markers. MMT achieves a stabilization of serum indicators relevant for methadone metabolism that correlates with the duration of consumption and the type of opioid substance. The most important hepato-renal markers as indicators of therapy success are γGT, LDH, and creatinine. The validity of former enzymatic tests (AST, ALP, and ALT) should be seriously reconsidered in terms of MTT treatment success and monitoring the health of heroin addicts.

Damir Suljevic, Erna Islamagić, Anida Čorbić, M. Fočak, Filip Filipić

Abstract Cadmium is a heavy metal, toxic even in trace amounts and its biological function in the human body has not been described to date. It is assumed that cadmium manifests in dose-dependent genotoxic and cytotoxic effects on many organs and tissue types. In this study, we have analyzed the biochemical parameters in the serum of Japanese quails (Coturnix japonica) after chronic in vivo exposure to cadmium. Adult animals were exposed to cadmium in the form of CdCl2 dissolved in water (0.20 mg/L) for 20 days. Significant differences between controls and exposed animals were found in 12 out of 13 analyzed biochemical parameters. Total bilirubin concentrations did not show any significant differences between the two groups. Exposure to cadmium has resulted in a significant increase in lactate dehydrogenase activity, sodium and chloride concentration, as well as significant reductions in total proteins, albumins, globulins, glucose, triglycerides, cholesterol, calcium concentration, and alkaline phosphatase activity. In this sense, chronic in vivo exposure to low doses of cadmium has induced severe changes in the levels of observed biochemical parameters and enzyme activity. Additionally, evident cytogenetic changes in the liver were also noted, where hepatocyte damage and even lack of organized nuclei, including nuclear fragmentation, clearly indicated ongoing apoptotic processes.

Damir Suljevic, Anida Čorbić, Erna Islamagić, M. Fočak, Filip Filipić, Andi Alijagic

Cadmium is a heavy metal classified as an environmental hazard, and its toxicity is subject to extensive research. Japanese quails were exposed to cadmium chloride (CdCl2) ad libitum for 20 days. Bone marrow, peripheral blood and liver were analyzed following the exposure. Moreover, we have provided the very first explanation of hematopoietic lines in Japanese quail. Following CdCl2 exposure, changes in the number, size and morphology of blood cells were observed in both peripheral blood and bone marrow. Alterations included severe erythrocyte damage, monocytosis and lymphopenia. In the liver of Cd-exposed animals we observed necrotic cells, absence of hematopoietic regions and cytogenetic changes of hepatocytes. Alterations in the bone marrow were also noted, as well as giant phagocytic cells, most likely macrophages. In vivo, CdCl2 exposure caused swift and destructive changes in the hematopoietic niche, liver and other tissues responsible for the detoxification cycle of cadmium and its compounds.

M. Fočak, Subha Džafić, Damir Suljevic

The main circulatory medium of echinoderms is the coelomic fluid. Biochemistry of coelomic fluid is very complex and slightly different from seawater. The main aim of this research was to analyse concentration of electrolytes (potassium, calcium, magnesium, chlorine and sodium), heavy metals (lead, chromium, cadmium and cobalt) and iron in coelomic fluid of sea urchin, Arbacia lixula as an indirect indicator of seawater contamination. After precise statistical evaluation it was observed that electrolyte concentrations were; Na 189.20±11.41 mmol/l, Cl 134.06±37.08 mmol/l, Mg 4.24±1.08 mmol/l, Ca 3.04±0.84 mmol/l. Biochemical content of heavy metals in coelomic fluid was; Co 1.292±0.879 ppm, Pb 0.644±0.131 ppm, Cr 0.116±0.055 ppm, Cd 0.031±0.017 ppm and iron 0.259±0.058 ppm, and it depends on the potential accumulation level in the organism. The composition of electrolyte and heavy metal content varies depending on the composition of seawater. Obtained values are within the range of values most commonly found in low polluted areas of the Adriatic sea. Similar models may be applied for monitoring of heavy metal contamination in marine environment.

E. Hasković, Jasmina Marušić, Denis Hasković, M. Fočak, S. Herenda

The incidence of thyroid dysfunction in the area of central Bosnia with special reference to hyperthyroidism was being monitored. Considering that there were disagreements among earlier authors and even their contradictory results, the goal was to determine the percentage ratio between the thyroid hyperfunction and other dysfunctions and to identify the degree of correlation between thyroid hormones and the age structure of women. The study included 76 women aged 20 to 82 years with increased values of thyroid hormones and 49 women with reduced values of thyroid hormones. Thirty female patients with baseline thyroid hormone levels comprised a control group. Hyperthyroidism was observed in 60.8 % of women, with the highest percentage of getting ill in their fourth and fifth decade of life (64 %). The monitoring of TSH, FT4 and FT3 hormone values in thyroid dysfunction compared to women with thyroid gland hormone reference values by age groups showed that there was a statistically significant difference in the age group between 40 and 59 years (p < 0.05). For the age group of 60 years and older, there was no significant difference (p > 0.05). The TSH hormone value and the age of women are positively correlated and mutually dependent (p < 0.05). The observed reduction in the thyroid hormone values with an increase in women’s age can be considered an adaptation of the organism to the reduced need for energy and represents an important metabolic parameter of the biological process of aging.

Damir Suljevic, Erna Islamagić, Filip Filipić, M. Fočak

Total number and types of hemocytes were analysed in hemolymph of Roman snail (Helix pomatia L.). Significant differences in the number and types of hemocytes during the season at different locations were identified. The average number of hemocytes ranged from 154 to 288 per 10 μL of hemolymph. The highest number of hemocytes was recorded in snails at higher altitudes. Significant intergroup differences between all sites were identified. The most numerous hemocytes were granulocytes, followed by agranulocytes, while hyalinocytes were the least common in the post-hibernation period. Post hoc analysis showed certain intragroup differences for most locations except for comparison between wet habitat and habitats with anthropogenic influence, and between wet habitats and urban place with wet vegetation. A large number of transformed hemocytes in the encapsulated phase were identified in snail hemolymph infected with flat worms. Our results represent the first record of data for the number of hemocytes in molluscs and the first data for hemocytes of Helix pomatia. Further investigations and development of a uniform classification of hemocytes and their role in the immune response would be necessary in the future.

E. Hasković, Azra Bureković, A. Husic, M. Fočak, Erna Islamagić

Abstract The aim of this study was to analyze the values of biochemical parameters in patients with diabetic ketoacidosis and ketonuria. In this prospective comparative study conducted at the Clinical Center of the University of Sarajevo, hundred patients of both genders with diabetes mellitus were enrolled. Newly diagnosed diabetic patients with complications like acute ketoacidosis (n = 50) and ketonuria (n = 50) were included in this study and compared. The values of biochemical parameters in these patients were analyzed. We found that mean values of pH, base excess, hydrogencarbonate, sodium, glucose, urea and creatinine concentrations in patients with ketoacidosis were significantly different compared to patients with ketonuria. The values of potassium and calcium serum concentrations were not significantly different. Also, values of pH, base excess, as well as concentrations of hydrogencarbonate, sodium, potassium, calcium, glucose, urea and creatinine were not significantly different between male and female patients with diabetic ketoacidosis. In patients with diabetic ketonuria we found a correlation between admission glucose concentration and acid-base balance.

A. Alijagić, Erna Islamagić, M. Fočak, Damir Suljevic

Trivalent chromium is an essential trace element for humans and animals and it is the final product of hexavalent chromium reduction in the cell. It is an integral part of the glucose-tolerance factor, which increases the systemic impact of insulin. The aim of this study was to analyse the effect of trivalent and hexavalent chromium on selected biochemical parameters in Japanese quails. Birds were divided into three groups: group I (control group, n=12), group II (treated with trivalent chromium, n=12) and group III (treated with hexavalent chromium, n=12). During 20 days of follow-up, control and experimental groups of quails had identical diet; chromium was added daily into the food (5 mg/kg) and water (5 mg/L) of the experimental groups. Glucose concentrations were the highest in Group III, while lowest glucose concentrations were obtained in Group I. There were higher differencies regarding blood biochemical parameters between control group and quails treated with Cr(VI). Our results showed that hexavalent chromium had negative effects on biochemical parameters in quails, while treatment with Cr(III) showed minor fluctuations in concentrations or activities of blood biochemical parameters.

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