Cloning a sequence of small harpin RNA directed to human gelatinase B into the expression vector pGPV-17019250
Remodeling in psoriasis by matrix metalloproteinases of the epidermis due to its ability to change the composition of the extracellular matrix and modulate intercellular contacts. Penetration of immune cells into the microcapillaries of the dermis.
Рубрика | Медицина |
Вид | статья |
Язык | английский |
Дата добавления | 18.02.2021 |
Размер файла | 295,1 K |
Отправить свою хорошую работу в базу знаний просто. Используйте форму, расположенную ниже
Студенты, аспиранты, молодые ученые, использующие базу знаний в своей учебе и работе, будут вам очень благодарны.
Размещено на http://www.allbest.ru/
Science Russian State Agrarian University
N.I. Vavilov Russian Institute of General Genetics - IOGen RAS
Cloning a sequence of small harpin RNA directed to human gelatinase b into the expression vector pgpv-17019250
Mogulevtseva J.A. Bachelor of Science Russian State Agrarian University - Moscow Timiryazev Agricultural Academy
MezentsevA.V. Doctor of Philosophy
Moscow
Summary
INTRODUCTION: Matrix metalloproteinases are a group of zinc-containing calcium-dependent endopeptidases that play a crucial role in the pathogenesis of hyperproliferative disorders, such as psoriasis. In psoriasis, matrix metalloproteinases contribute to epidermal remodeling due to their ability to modify the composition of the extracellular matrix and modulate the intercellular contacts. They also regulate the penetration of dermal microcapillaries by immune cells.
AIM of this study was to create a vector that would express small hairpin RNA (shRNA) specific to human gelatinase B and suppress its expression in cultured epidermal keratinocytes.
METHODS: shRNA specific to gelatinase B was designed using “RNAi-designer” online tool. The sequence encoding shRNA was cloned into the vector pGPV-17019250 using commercial T4 DNA-ligase and restriction endonucleases BamHl and EcoRI. The integrity of the obtained expression vector pGPV-17019250-GB was confirmed by PCR amplification and DNA sequencing with vector-specific primers.
RESULTS: In this study, we selected a DNA sequence that encodes shRNA specific to human gelatinase B. We also synthesized and cloned the named sequence into the expression vector pGPV-17019250. In addition, we confirmed that the selected DNA sequence was properly cloned into the vector.
IN CONCLUSION, we obtained the expression vector pGPV-17019250-GB that encodes a sequence of shRNA directed to human gelatinase B. The named vector is designated for the experiments that aim to explore the consequences of gelatinase B silencing in cultured human cells.
Key words: psoriasis, gelatinase B, molecular cloning, expression vector, shRNA, gene silencing.
Introduction
Psoriasis is a chronic T-cell mediated skin disorder associated with systemic inflammation and overproduction of inflammatory cytokines. The prevalence of psoriasis in different populations varies from 0.91% in the United States to 8.5% in Norway [1]. In the midland Russia, the disease rate does not exceed 2.0% [2]. Although multiple treatment options are available, to date there is no cure for the disease. For this reason, search for new therapeutic approaches is needed to target the specific groups of psoriasis patients that either do not respond well to the traditional therapies or develop a drug resistance. Accomplishing this task would be hard to imagine without identification of key participants that play a decisive role in the pathogenesis of the disease and evaluation of their clinical potential. In the lab, we are studying the molecular basis of psoriasis. Particularly, we are interested in exploring the signaling pathways modulated by matrix metalloproteinases, such as gelatinase B (GB)/matrix metalloproteinase 9.
Matrix metalloproteinases (MMPs) are a group of enzymes that play a crucial role in maintenance of extracellular matrix [3]. In psoriasis, MMPs contribute to epidermal remodeling and regulate permeability of blood vessels for immune cells. Moreover, MMPs modulate the biological effects of proinflammatory cytokines that provoke the immune response in diseased skin. Upregulation of several MMPs, including GB, in skin lesions coincides with exacerbation of psoriasis. Furthermore, their expression correlates with disease severity [4]. For this reason, it would be important to control MMPs expression in lesional skin and develop new therapeutic approaches that would specifically target their individual isoforms.
The aim of this study was to obtain a vector that would express shRNA directed to human gelatinase B (GB shRNA) and could be used to target GB in cultured human cells.
Materials and methods
Design of shRNA
The sequence of GB cDNA (NM_004994.3) was downloaded from the database "NCBI Nucleotide" [5]. This sequence was used to identify target sequences in GB cDNA as described earlier [6]. The specificity of selected fragments was confirmed using "Blastn" [7]. The online application "Oligo Calc" [8] was used to verify whether the selected fragments form thermodynamically stable elements of secondary structure, such as internal dimmers and pins. The online application "RNAi designer" (Clontech) was used to obtain DNA sequences encoding GB shRNAs.
Digestion of the expression vector pGPV- 17019250 by restriction endonucleases
To clone the shRNA encoding sequence into the expression vector pGPV-17019250 (Evrogen, Russia), the vector (1 pg) was digested by restriction endonucleases BamHl and EcoRI, 1U each, for 2 h at 37°C. Then, the obtained DNA fragments were separated by electrophoresis in 1% agarose gel.
Purification of DNA from agarose gel
At the completion of electrophoresis, the desired DNA fragment was cut from the gel by a razor blade and incubated in 6M KJ at 55°C until dissolved (5-10 min). Then, DNA was precipitated on "glassmilk", washed and eluted in a small volume of bidistilled water (~30 pL) [9].
Annealing
Double strand DNA (dsDNA) that encodes GB shRNA was obtained by annealing of complementary single strand DNAs (ssDNA). Briefly, a water solution of the desired oligonucleotides was prepared in 1x TE buffer, incubated for 2 min at 95°C and gradually cooled down to room temperature for 30-45 min.
Ligation
To ligate GB shRNA encoding oligonucleotide with electrophoretically pure fragment of the vector, they were mixed in the ratio 10:1 in 1x ligation buffer. Then, 2.5-12.5 U ofT4 DNA ligase (ThermoFisher, USA) was added per 1 pg of total DNA and the obtained probes were kept in an ice bath overnight. Next morning, the ice bath was placed on a desk and kept at room temperature for couple of hours.
Transformation of E, coli
The ligation products were introduced into XL-1 Blue E. coli (ThermoFisher) through heat shock transformation [10]. Before the transformation, the tubes contained competent cells of the mentioned E. coli strain were cooled on ice (4°C, 30 min). Then, 10 pL aliquots of DNA were dispersed among the cells (1 aliquot per transformation). The prepared samples were transferred to a heat block (42°C) for 2 min and then, put back on ice for 5 min. The transformed cells were mixed with LB medium, incubated for 1h at 37°C without shaking and plated on 1% LB-agar contained ampicillin (12 pg/mL) for selection. Next morning, the bacterial clones resistant to ampicillin were counted using “Cell counter” plug-in of ImageJ freeware [11].
Validation of the cloning results
To check the length of the cloned fragment, samples of plasmid DNA were amplified with vector-specific primers EXT-F
The amplified PCR-products were separated in 2% agarose gel. Then, samples were subjected to DNA-sequencing with the same primers in a local Evrogen service center. The sequencing results were analyzed using SnapGene Viewer (SnapGene, USA).
Statistical analysis
Data were represented as means ± SE. The statistical differences between the means were analyzed by one-way ANOVA. Multiple comparison procedures were performed using the Holm Sidak method. If p values were less than 0.05, means were considered to be significantly different.
Table 1 Sequences of target DNA selected by “siDRM” online tool for the design of GB shRNA
№ |
Target cDNA sequence |
Position in cDNA |
Predicted Efficacy* |
|
1. |
T ACCTGT ACCGCT ATGGTT |
161-179 |
very high |
|
2. |
TCAAGTGGCACCACCACAACA |
360-379 |
medium |
|
3. |
CATCACCTATTGGATCCAA |
378-397 |
very high |
|
4. |
CAGTTTCCATTCATCTTCCAA |
883-904 |
very high |
*The parameter “predicted efficacy” was assessed by “siDRM”.
Results
Selection target sequences in mRNA
Analysis of mRNA encoding human GB performed with siDRM online tool [6] identified four cDNA target sequences that could be used to design GB shRNA (Table 1). Using "Primer-Blast" [7], we found that they had 75% or less sequence homology with other human protein encoding mRNAs (Table 2).
Design of GB shRNA
The sequence encoding shRNA was designed for a randomly chosen cDNA target (Table 1, sequence 4) using "RNAi designer" online tool [12]. This sequence was 70 bp long (Figure 1) and it was composed of two strains flanked by half-binding sites of the restriction endonucleases EcoRI and BamHl. The mentioned halfsites were needed for proper ligation of the named dsDNA with the vector pGPV-17019250. Both DNA
Table 2 Analysis of target sequences for the ability to form stable elements of secondary structure and their specificity to GB mRNA
№ |
cDNA target sequence |
Sequence |
Contribution to stable* |
||
homology |
dimers |
pins |
|||
1. |
TACCTGTACCGCTATGGTT |
ARSI, 73% |
no |
no |
|
2. |
TCAAGTGGCACCACCACAACA |
NAA35, 71% |
no |
no |
|
3. |
CATCACCTATTGGATCCAA |
BRCA2, 73% |
no |
no |
|
4. |
CAGTTTCCATTCATCTTCCAA |
GNG4, 75% |
no |
no |
“Blastn ” online tool was used to assess sequence homology of the identified target sequences with other protein encoding mRNAs;
“Oligo Calc” online tool was used to verify whether the identified target sequences were capable to form the named elements of secondary structure.
Then, we verified whether the mentioned above fragments could form the elements of secondary structure using “OligoCalc” online tool [8]. Respectively, we found that the selected fragments formed neither stable pins nor dimers. Based on the obtained results, we concluded that all identified target sequences (Table 1) could be used to design GB shRNA.
strains also contained so-called “sense” sequence that was necessary for binding GB shRNA to GB mRNA, its complementary sequence (“antisense”), a 9-base sequence TTCAAGAGA that encoded the middle loop and poly-A tail. Thus, upper (+) and lower (-) cDNA strains were complementary to each other, except several terminal nucleotides that mostly belonged to the EcoRI and BamHl binding sites.
Figure 1. dsDNA sequence encoding GB shRNA.
BamHl and EcoRI - half-sites of the named restriction endonucleases; sense - GB mRNA binding sequence; antisense -the sequence complementary to the sense sequence; loop - the sequences encoding the middle loop (marked in bold); poly(T) - the sequence encoding poly(A) tail.
Cloning of the GB shRNA encoding sequence into the expression vector pGPV-17019250
The selected cloning strategy included several consequent steps, which were the following: digestion of the vector with restriction endonucleases EcoRI and BamHl, electrophoretic separation of the digested DNA fragments (7,852 and 59 b.p.) in 1% agarose gel (Figure 2), purification of the larger 7,852 b.p. DNA fragment from the gel, ligation of GB shRNA encoding cDNA with the purified vector DNA and transformation of E. coli with the products of the ligase reaction.
Figure 2. Separation of DNA fragments originated from the expression vector pGPV-17019250 after its digestion with the restriction endonucleases BamHl u EcoRl.
M- 1 kB DNA ladders; V- 7,852 b.p DNA fragment of the vector. The vector (1 gg) was incubated in the presence of restriction endonucleases BamH1 and EcoRI (1 U) for 2h at 370C.
The results of bacterial transformation demonstrated that the highest number of transformed E. coli clones was observed in the sample prepared with 7,5 U of T4 DNA ligase per 1 gg of total DNA (Figure 3). The differences between the respective means for the amplified the obtained DNA samples with vector-specific primers. The following separation of PCR- products in 2% agarose gel revealed a 150 bp band that could belong to the cloned DNA (Figure 4). The following DNA sequencing (Figure 5) confirmed that the mentioned above insert was the DNA sequence that we intended to clone.
Figure 3. Transformation of E. coli with the products of ligation reaction
Figure 4. PCR amplification ofplasmid DNA isolated from the transformed E.coli clones
The probes used in the experiments contained 2.5 -12.5 U T4 of DNA ligase per 1 gg of total DNA. The samples were processed as described in the section “Materials and methods”.
Validation of the cloning results To prove that the plasmid DNA isolated from the clones of transformed E. coli encoded GB shRNA, we samples obtained with 7.5, 10.0 and 12.5 U of the enzyme were insignificant (P = 0.81) when multiple comparison procedures were used. In contrast, the means were significantly different (P < 0.05) when the sample obtained with 5.0 U of the enzyme was compared with any subsequent sample. Based on these findings, we concluded that the ratio 7.5 U of the enzyme per 1 gg of total DNA was optimal for our experiments because a further increase of enzyme activity did not produce evident changes in the number of transformed clones.
M - 50+ bp DNA ladders; 1-3 -the tested DNA samples. The sequences of PCR primers used for amplification were represented in the section “Materials and Methods”.
Discussion
Small interfering RNAs (siRNAs) that destroy protein-encoding mRNAs are present in any viable cell. Targeting mRNAs, siRNAs prevent their translation into proteins by the ribosomes. Respectively, even partial degradation of mRNA by siRNA decreases protein expression. For this reason, the artificially designed siRNAs, known as small hairpin RNAs (shRNAs), are often used in routine experimental practice to knock down disease-associated genes. For instance, GB shRNA could be used to target GB in cultured mammalian cells.
To date, it is well-documented that GB expression is increased in lesional skin [4]. The previously published results suggest that GB expression level correlates with disease severity and, therefore, can be used as a biomarker of disease activity [13]. The other data indicate that GB is directly involved in epidermal remodeling that precedes the development of psoriatic plaques [3] and contributes to the activation of dis- eases-associated cytokines, such as TNF [14].
Figure 5. Sequence analysis ofplasmid DNA isolated from transformed E. coli.
The purified plasmid DNA was sequenced with vector-specific primers EXT-F and EXT-R. The primer sequences are described in the section “Materials and methods”. The binding sites of restriction endonucleases are identified by their names.
In this study, we indentified and prepared dsDNA oligonucleotide that encodes GB shRNA (Figure 1) and confirmed its specificity to GB mRNA (Table 2) to minimize the possibility of so-called “off-target effects” [15]. We also cloned it into the expression vector pGPV-17019250 and sequenced a part of the vector that contained the cloned sequence (Figure 5).
The sequence that we selected for cloning was one of four possible targets in GB cDNA (see Table 1). To verify whether these sequences were already used by others to study the biological effects of GB silencing, we performed a literature search. We found that Turner N.A. et al. used sequence 1 (Table 1) to explore GB role in the stenosis of saphenous vein [16]. In their study, the authors silenced GB by 90%. In turn, Gondi C.S. et al. used sequence 2 to design the expression vector for simultaneous silencing of three genes that encoded proteases uPA, uPAR and GB [17]. After the authors infected glioma cells with the vector, the level of the remained GB dropped by 90%, compared to the control. They also found that suppression of targeted proteases, including GB, delayed the cell migration by 15% and inhibited angiogenesis by 60%. In addition, they achieved a 25% regress of pre-established intracranial tumors in nude mice.
Sequence 3 was used in three different studies. Sanceau J et al used it as a part of RNA duplex (dsRNA) to prevent migration of metastatic Ewing's sarcoma cells [18]. Brule S. et al. used the same dsRNA to explore the role of GB in shedding syndecans 1 and -4 of the cell membrane [19]. Meyer E et al, used sequence 3 in the form ssRNA to prove the role of GB in protection of colon cancer cells from apoptosis [20]. In the mentioned experiments (e.g. [19]), targeting GB led to 70% and 50% decreases in GB mRNA and protein levels, respectively.
Finally, sequence 4 that we chose for cloning was also used by Hu M, et al. to explore the interaction of epithelial and stromal cell in breast cancer [21]. In their study, the authors integrated GB shRNA encoding sequence into a lentiviral genome, achieved a stable shRNA expression in the infected cells and knocked GB down by >90%.
Similarly to the vector that Hu M, et al. used in their study, the vector pGPV-17019250 that we chose for our experiments [22] encoded a lentiviral genome. In the present time, commercial lentiviral vectors are frequently used to deliver and express the genes of interest in mammalian cells including human epidermal keratinocytes. For safety reasons, the commercial lentiviral vectors are missing several viral genes that make them infectious. In the same time, they usually contain additional genes. These genes are needed to replicate the vector in E. coli and monitor the infection of mammalian cells. For instance, the vector pGPV-17019250 contained three additional genes. The first of them was the resistance factor to ampicillinAmpR. Expression of this gene in bacteria made possible to select E. coli clones transformed with pGPV-17019250. The second gene was the resistance factor to puromycin PuroR. This gene was needed to make mammalian cells infected with pGPV-17019250 resistant to puromycin. Respectively, PuroR expression made possible a selection of infected cells on a puromycin-containing medium. The third gene was the fluorescent protein Cop- GFP. The expression of CopGFP made possible to track the infected cells in a fluorescent microscope.
In our study, we cloned the sequence encoding GB shRNA between the binding sites of two restriction endonucleases EcoRI and BamH1 (Figure 1). These sites are important for successful cloning for two reasons, First, they are unique, i.e. each enzyme cut pGPV- 17019250 only in one place. Second, the space located between these sites does not contain DNA motifs, such as open reading frames, that could be essential for proper functioning of the vector.
To optimize the enzyme activity in the ligation reaction, we varied T4 DNA ligase in the probes (Figure 3). Optimizing the ligase activity is important because the stock solution of the enzyme might contain nonspecific exo- and endonucleases that could introduce mutations into DNA [23]. Respectfully, than more nonspecific nucleases the probes contain, than more mutations and less transformed clones may appear (Figure 3).
To minimize chances of acquiring a mutation, we randomly selected three E. coli clones from the plate with the highest number of transformed clones. Then, we verified whether plasmid DNA isolated from these clones contained an insert of the expected size and this sequence did not have any mutations. First, we amplified the plasmid DNA with the specific primers, EXT- F and EXT-R that supposed to flank the cloned sequence. We found (Figure 4) that the amplified DNA contained ~150 bp PCR-product. Since the size of the amplified DNA was close to the expected size (154 bp), we sequenced one of the samples of plasmid DNA with the same primers. Particularly, we sequenced both DNA strands using one primer at the time and found that both strands contained the cloned oligonucleotide. Moreover, the sequenced DNA fragments overlapped each other. The latter helped us to explore the so-called "junction regions", i.e. clarify whether the cloned oligonucleotide was properly integrated into the vector. Thus, we confirmed that the plasmid DNA contained the sequence encoding GB shRNA (Figure 5), i.e. the DNA sequence that we aimed to clone (Figure 1).
In conclusion, we would like to acknowledge that we obtained vector pGPV-17019250-GB that encoded GB shRNA. We also preserved E. coli clones that were transformed with the named vector. The obtained vector can be used to express GB shRNA in cultured cell and study the biological effects of GB silencing in vitro. psoriasis epidermis immune cell
References
1. Parisi R., Symmons D.P., Griffiths C.E. and Ashcroft D.M. Global epidemiology of psoriasis: a systematic review of incidence and prevalence. J. Invest. Dermatol. 2013. 133(2):p. 377-385.
2. Znamenskaya L.F., Melehina L.E., Bogdanova E.V. and Mineeva A.A. Prevalence and distribution of psoriasis in Russian Federation. Vestn. Dermatol. Venerol. (5):p. 20-29.
3. Mezentsev, A., A. Nikolaev, and S. Bruskin, Matrix metalloproteinases and their role in psoriasis. Gene, 2014. 540(1): p. 1-10.
4. Starodubtseva N.L, Sobolev V.V., Soboleva A.G., Nikolaev A.A. and Bruskin S.A. Expression of genes for metalloproteinases (MMP-1, MMP-2, MMP- 9, and MMP-12) associated with psoriasis. Genetika. 2011. 47(9):p. 1254-1261.
5. Database "NCBI Nucleotide"
6. Ren Y, Gong W., Zhou H., Wang Y., Xiao F. and Li T. siRecords: a database of mammalian RNAi experiments and efficacies. Nucleic Acids Res. 2009. 37(Database issue): D146-149.
7. Online Application "blastn suite"
8. Kibbe W.A. OligoCalc: an online oligonucleotide properties calculator. Nucleic Acids Res. 2007. 35(Web Server issue): W43-6.
9. Vogelstein B. and Gillespie D. Preparative and analytical purification of DNA from agarose. Proc Natl Acad Sci U S A. 1979. 76(2): p. 615-619.
10. Huff J.P., Grant B.J., Penning C.A., Sullivan K.F. Optimization of routine transformation of Escherichia coli with plasmid DNA . Biotechniques. 1990. 9(5):p. 570-572, 574, 576-577.
11. Rueden C.T., Schindelin J., Hiner M.C., DeZonia B.E., Walter A.E., Arena E.T., Eliceiri K.W. ImageJ2: ImageJ for the next generation of scientific image data, BMC Bioinformatics 2017. 18:p. 529.
12. Online Application "RNAi designer"
13. Glazewska E.K., Niczyporuk M., Lawicki S., Szmitkowski M., Zajkowska M., Donejko M., Przylipiak A. ROC analysis of selected matrix metalloproteinases (MMPs) and tissue inhibitors of metalloproteinases (TIMPs) in psoriatic patients. Postepy Dermatol. Alergol. 2018. 35(2):p. 167-173.
14. Gearing A.J., Beckett P., Christodoulou M., Churchill M., Clements J., Davidson A.H., Drummond A.H., Galloway W.A., Gilbert R., Gordon J.L, Processing of tumour necrosis factor-alpha precursor by metalloproteinases. Nature. 1994. 370(6490):p. 555-557.
15. Boese Q., Leake D., Reynolds A., Read S., Scaringe S.A., Marshall W.S. and Khvorova A. Mechanistic insights aid computational short interferingRNA design. Methods Enzymol, 2005. 392: p. 73-96.
16. Turner N.A., Hall K.T., Ball S.G. and Porter K.E. Selective gene silencing of either MMP-2 or MMP-9 inhibits invasion of human saphenous vein smooth muscle cells. Atherosclerosis. 2007. 193(1):p. 36-43.
17. Gondi C.S., Lakka S.S., Dinh D.H., Olivero W.C., Gujrati M. and Rao J.S. Downregulation of uPA, uPAR and MMP-9 using small, interfering, hairpin RNA (siRNA) inhibits glioma cell invasion, angiogenesis and tumor growth. Neuron Glia Biol. 2004. 1(2):p. 165-176.
18. Sanceau J, Truchet S, Bauvois B. Matrix metalloproteinase-9 silencing by RNA interference triggers the migratory-adhesive switch in Ewing's sarcoma cells. J. Biol. Chem. 2003. 278(38):p. 3653736546.
19. Brule S., Charnaux N., Sutton A., Ledoux D., Chaigneau T., Saffar L. and Gattegno L. The shedding of syndecan-4 and syndecan-1 from HeLa cells and human primary macrophages is accelerated by SDF- 1/CXCL12 and mediated by the matrix metalloproteinase-9. Glycobiology. 2006. 16(6):p. 488-501.
20. Meyer E., Vollmer J.Y., Bovey R. and Stamenkovic I. Matrix metalloproteinases 9 and 10 inhibit protein kinase C-potentiated, p53-mediated apoptosis. Cancer Res. 2005. 65(10):p. 4261-4272.
21. Hu M., Peluffo G., Chen H., Gelman R., Schnitt S. and Polyak K. Role of COX-2 in epithelial- stromal cell interactions and progression of ductal carcinoma in situ of the breast. Proc. Natl. Acad. Sci U S A. 2009. 106(9):p. 3372-3377.
22. Mogulevtseva J.A. and Mezentsev A.V. Cloning of the sequence encoding small interfering RNA directed to human matrix metalloproteinase 1 into the expression vector pGPV-17019250. Wschodnioeuropejskie Czasopismo Naukowe. 2016. 9(1):p. 85-93
23. Kuhn, H. and Frank-Kamenetskii M.D.
24. Template-independent ligation of single-stranded DNA by T4 DNA ligase. FEBS J. 2005. 272(23): p. 59916000.
Размещено на Allbest.ru
...Подобные документы
Classification of the resistance. External and internal barnry protecting the human body from pathological factors of the environment. The chemical composition of the blood, its role and significance. Influence the age on individual reactivity progeria.
презентация [4,5 M], добавлен 17.10.2016The concept and the internal structure of the human respiratory system, the relationship of the individual components and functions, the value in the living organism. Principles of breathing gas composition.Scheme of the human respiratory system.
презентация [1,4 M], добавлен 08.09.2015Risk Factors. The following symptoms may indicate advanced disease. A barium contrast study of the small intestine. Surgical removal is the primary treatment for cancer of the small intestine. The association of small bowel cancer with underlying.
презентация [4,1 M], добавлен 28.04.2014The complement system - part of the immune system as a set of complex proteins. History of the concept. Its biological functions, regulation, role in diseases. Stages of activation: the alternative and lectin pathway. Mannose-binding Lectin deficiency.
презентация [932,7 K], добавлен 17.03.20178 bad habits that reduce youth and life. Effect of nicotine to the brain, nervous system and the associated excess sweating. The composition of tobacco smoke. Closely relation of sport and health. The harm of smoking for women, the human psyche.
презентация [777,7 K], добавлен 07.11.2014Features of the structure and anatomy of the heart, it's main functions and tasks in the body. Changes taking place in the human heart in the course of his life from birth to aging. Age-related disorders in the blood supply system and the heart.
презентация [725,8 K], добавлен 16.10.2016Disease of the calcified tissues of the teeth. Demineralization of the mineral portion of enamel and dentine followed by disintegration of their organic material. Classification of caries. Prevention and treatment of caries. The composition of the pulp.
презентация [424,6 K], добавлен 14.12.2016Churg-Strauss syndrome, microscopic polyangiitis as one of the basic types of the small vessel vasculitis. Specific features of differential diagnosis of pulmonary-renal syndrome. Characteristics of the anti-neutrophil cytoplasmic autoantibodies.
презентация [8,2 M], добавлен 18.10.2017The development of modern medicine. The creation of internal organs, implants. The use of modern orthopaedics mechanical devices. The replacement of lost parts of the human body by means of surgical operations. Bridge denture. The use of prostheses.
презентация [5,0 M], добавлен 31.05.2016The concept and the internal structure of the lungs, the main components and their interaction. Functional features of the lungs in the human body, their relationship with other anatomical systems. Existing pathology of respiratory organ and control.
презентация [2,5 M], добавлен 12.02.2015Gastroesophageal reflux disease. Factors contributing to its the development. Esophageal symptoms of GERD. Aim of treatment. Change the life style. A basic medical treatment for GERD includes the use of prokinetic drugs with antisecretory agents.
презентация [390,7 K], добавлен 27.03.2016The structure of the human lung: diaphragmatic, rib, interlobar and medial surface; front, rear and bottom edges; tip and base. Gaseous exchange in the alveoli and bronhyoly. Lung volumes and capacities. Peak flow and causes of narrowing of the airways.
презентация [441,9 K], добавлен 21.05.2014Introduction to the functionality of the most important internal organs. The main causes of supraventricular and ventricular tachycardia. Features of the structure and basic functions of the human heart. The study of the three phases of the heart.
презентация [3,8 M], добавлен 12.05.2013Improvement of antibiotic production. Use of antibiotics in human, veterinary and plant medicine. Genetic manipulation of antibiotic producers. Influence of low molecular compounds. Conservation of microorganisms. Protection of workers and life safety.
дипломная работа [1,2 M], добавлен 12.04.2015The brain as one of the largest and most complex organ in the human body. The physiological function of the brain, its divisions and share. The cerebral cortex of man. The principles of domination of the right and left hemispheres of different people.
презентация [1,1 M], добавлен 20.11.2014Study of method of determining the amount of osteocyte lacunar and estimation of specific numerical closeness of lacunes by a three-dimensional impartial expecting method at the analysis of anisotropy of types of the vascular ductings of human bone.
реферат [8,6 K], добавлен 01.12.2010Analysis of factors affecting the health and human disease. Determination of the risk factors for health (Genetic Factors, State of the Environment, Medical care, living conditions). A healthy lifestyle is seen as the basis for disease prevention.
презентация [1,8 M], добавлен 24.05.2012The history of the public health system in Kazakhstan. Human resources, the capacity of organizations and reform of the health system. Pharmaceutical market in the country. Priority sectors of the medical equipment market. Medical education and science.
презентация [987,7 K], добавлен 04.02.2015Organizational structure: types of organizational structures (line organizations, line-and-Stuff organizations, committee and matrix organization). Matrix organization for a small and large business: An outline, advantages, disadvantages, conclusion.
реферат [844,8 K], добавлен 20.03.2011Improvement in English proficiency. Theoretical background of reading. Structure-proposition-evaluation method to read a book. Advantages of a Guided Matrix, the importance of rereading. Matrix Options at Different Levels. Assessing reading outcomes.
курсовая работа [39,7 K], добавлен 22.02.2014