Maksim Zagura "Biochemical, functional and structural profiling of arterial damage in atherosclerosis" | University of Tartu

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Contacts of UT units

Faculty of Arts and Humanities
Faculty phone: 
+372 737 5341
Faculty address: 
Jakobi 2, rooms 116–121, 51005 Tartu
  • Dean's Office
    Faculty phone: 
    + 372 737 5341
    Faculty address: 
    Jakobi 2, rooms 116–121, 51005 Tartu
  • Institute of History and Archaeology
    Faculty phone: 
    +372 737 5651
    Faculty address: 
    Jakobi 2, 51005 Tartu
  • Institute of Estonian and General Linguistics
    Faculty phone: 
    +372 737 5221
    Faculty address: 
    Jakobi 2, 51005 Tartu
  • Institute of Philosophy and Semiotics
    Faculty phone: 
    +372 737 5314
    Faculty address: 
    Jakobi 2, rooms 309–352, 51005 Tartu
  • Institute of Cultural Research
    Faculty phone: 
    (+372) 737 5223
    Faculty address: 
    Ülikooli 16, 51003 Tartu
  • School of Theology and Religious Studies
    Faculty phone: 
    +372 737 5301
    Faculty address: 
    Ülikooli 18–310, 50090 Tartu
  • College of Foreign Languages and Cultures
    Faculty address: 
    J. Liivi 4, 50409, Tartu
  • Viljandi Culture Academy
    Faculty phone: 
    +372 435 5232
    Faculty address: 
    Posti 1, 71004 Viljandi
Faculty of Social Sciences
Faculty phone: 
+372 737 5957
Faculty address: 
Lossi 36, 51003 Tartu
  • Dean's Office
    Faculty phone: 
    + 372 737 5900
    Faculty address: 
    Lossi 36, 51003 Tartu
  • Institute of Education
    Faculty phone: 
    +372 737 6440
    Faculty address: 
    Salme 1a–29, 50103 Tartu
  • Johan Skytte Institute of Political Studies
    Faculty phone: 
    +372 737 5582
    Faculty address: 
    Lossi 36–301, 51003 Tartu
  • School of Economics and Business Administration
    Faculty phone: 
    +372 737 6310
    Faculty address: 
    Narva mnt 18, 51009 Tartu
  • Institute of Psychology
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    +372 737 5902
    Faculty address: 
    Näituse 2, 50409 Tartu
  • School of Law
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    Näituse 20–324, 50409 Tartu
  • Institute of Social Studies
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    Lossi 36, 51003 Tartu
  • Narva College
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  • Pärnu College
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Faculty of Medicine
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+372 737 5326
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Ravila 19, 50411 Tartu
  • Dean's Office
    Faculty phone: 
    +372 737 5326
    Faculty address: 
    Ravila 19, 50411 Tartu
  • Institute of Biomedicine and Translational Medicine
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    +372 737 4210
    Faculty address: 
    Biomeedikum, Ravila 19, 50411 Tartu
  • Institute of Pharmacy
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    Nooruse 1, 50411 Tartu
  • Institute of Dentistry
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    +372 731 9856
    Faculty address: 
    Raekoja plats 6, 51003 Tartu
  • Institute of Clinical Medicine
    Faculty phone: 
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    Faculty address: 
    L. Puusepa 8, 50406 Tartu
  • Institute of Family Medicine and Public Health
    Faculty phone: 
    +372 737 4190
    Faculty address: 
    Ravila 19, 50411 Tartu
  • Institute of Sport Sciences and Physiotherapy
    Faculty phone: 
    +372 737 5360
    Faculty address: 
    Jakobi 5–205, 51005 Tartu
Faculty of Science and Technology
Faculty phone: 
+372 737 5820
Faculty address: 
Vanemuise 46–208, 51014 Tartu
  • Dean's Office
    Faculty phone: 
    +372 737 5820
    Faculty address: 
    Vanemuise 46–208, 51003 Tartu
  • Institute of Computer Science
    Faculty phone: 
    +372 737 5445
    Faculty address: 
    Narva mnt 18, 51009 Tartu
  • Estonian Marine Institute
    Faculty phone: 
    +372 671 8902
    Faculty address: 
    Mäealuse 14, 12618 Tallinn
  • Institute of Physics
    Faculty address: 
    W. Ostwaldi 1, 50411 Tartu
  • Institute of Chemistry
    Faculty phone: 
    +372 737 5261
    Faculty address: 
    Ravila 14a, 50411 Tartu
  • Institute of Mathematics and Statistics
    Faculty phone: 
    +372 737 5860
    Faculty address: 
    Narva mnt 18, 51009 Tartu
  • Institute of Molecular and Cell Biology
    Faculty phone: 
    +372 737 5027
    Faculty address: 
    Riia 23, 23b–134, 51010 Tartu
  • Tartu Observatory
    Faculty phone: 
    +372 737 4510
    Faculty address: 
    Observatooriumi 1, Tõravere, 61602 Tartumaa
  • Institute of Technology
    Faculty phone: 
    +372 737 4800
    Faculty address: 
    Nooruse 1, 50411 Tartu
  • Institute of Ecology and Earth Sciences
    Faculty phone: 
    +372 737 5835
    Faculty address: 
    Vanemuise 46, 51003 Tartu
Institutions
  • Library
    Faculty phone: 
    +372 737 5702
    Faculty address: 
    W. Struve 1, 50091 Tartu
  • Youth Academy
    Faculty phone: 
    +372 737 5581
    Faculty address: 
    Uppsala 10, 51003 Tartu
  • Institute of Genomics
    Faculty phone: 
    +372 737 4000
    Faculty address: 
    Riia 23b, 51010 Tartu
  • Museum
    Faculty phone: 
    +372 737 5674
    Faculty address: 
    Lossi 25, 51003 Tartu
  • University of Tartu Natural History Museum and Botanical Garden
    Faculty phone: 
    +372 737 6076
    Faculty address: 
    Vanemuise 46, 51003 Tartu
Support Units
  • Administrative Office
    Faculty phone: 
    +372 737 5606
    Faculty address: 
    Ülikooli 18a, 51005 Tartu
  • Centre for Entrepreneurship and Innovation
    Faculty phone: 
    +372 737 4809
    Faculty address: 
    Narva mnt 18, 51009, Tartu
  • University Office in Tallinn
    Faculty phone: 
    +372 737 6600
    Faculty address: 
    Teatri väljak 3, 10143 Tallinn
  • Estates Office
    Faculty phone: 
    +372 737 5137
    Faculty address: 
    Ülikooli 18a, 51005 Tartu
  • Finance Office
    Faculty phone: 
    +372 737 5125
    Faculty address: 
    Jakobi 4, 51005 Tartu
  • Grant Office
    Faculty phone: 
    +372 737 6215
    Faculty address: 
    Raekoja plats 9, 51004 Tartu
  • Information Technology Office
    Faculty phone: 
    +372 737 6000, IT-help: +372 737 5500
    Faculty address: 
    Ülikooli 18a, 51005 Tartu
  • Human Resources Office
    Faculty phone: 
    +372 737 5145
    Faculty address: 
    Ülikooli 18, rooms 302 and 304, 50090 Tartu
  • Internal Audit Office
    Faculty address: 
    Ülikooli 18-244, 51005 Tartu
  • Marketing and Communication Office
    Faculty phone: 
    +372 737 5687
    Faculty address: 
    Ülikooli 18, rooms 102, 104, 209, 210, 50090 Tartu
  • Office of Academic Affairs
    Faculty phone: 
    +372 737 5620
    Faculty address: 
    Ülikooli 18, 50090 Tartu
  • Procurement Office
    Faculty phone: 
    +372 737 6632
    Faculty address: 
    Ülikooli 18a, 51005 Tartu
  • Rector's Strategy Office
    Faculty phone: 
    +372 737 5600
    Faculty address: 
    Ülikooli 18, 50090 Tartu
  • Student Council
    Faculty address: 
    Ülikooli 18b, 51005 Tartu
  • University of Tartu Press
    Faculty phone: 
    +372 737 5945
    Faculty address: 
    W. Struve 1, 50091 Tartu
Other Units
  • University of Tartu Academic Sports Club
    Faculty phone: 
    +372 737 5371
    Faculty address: 
    Ujula 4, 51008 Tartu
  • Tartu Student Village
    Faculty phone: 
    +372 740 9959
    Faculty address: 
    Narva mnt 25, 51013 Tartu
  • Tartu Students’ Club
    Faculty phone: 
    +372 730 2400
    Faculty address: 
    Kalevi 24, 51010 Tartu
  • Tartu University Hospital
    Faculty address: 
    L. Puusepa 1a, 50406 Tartu
  • University of Tartu Foundation
    Faculty phone: 
    +372 737 5852
    Faculty address: 
    Ülikooli 18, 50090 Tartu
  • View all other units

Maksim Zagura "Biochemical, functional and structural profiling of arterial damage in atherosclerosis"

Date: 
01.06.2012 - 13:00 to 15:00

1. juunil 2012.a. kell 13 kaitseb Maksim Zagura Biomeedikumi auditooriumis 1006 (Ravila 19 filosoofiadoktori kraadi (PhD (arstiteadus)) taotlemiseks esitatud väitekirja "Biochemical, functional and structural profiling of arterial damage in atherosclerosis" (Arterikahjustuste biokeemiline, funktsionaalne ja strukturaalne profileerimine ateroskleroosi korral).

Juhendajad: professor Mihkel Zilmer (TÜ biokeemia instituut), professor Jaan Eha (TÜ kardioloogia kliinik) ja teadur Jaak Kals (TÜ biokeemia instituut).

Oponent: professor Toste Länne (Linköpingi Ülikooli meditsiini- ja terviseteaduste osakond, Rootsi).

Arterite jäikus iseloomustab arterite laienemisvõimet vererõhu tõusu mõjul. Jäigenenud arterid tõstavad vasaku vatsakese järelkoormust, mis omakorda põhjustab vasaku vatsakese hüpertroofiat ja suurendab müokardi hapnikuvajadust. Lisaks langetab arterite jäigenemine diastoolset vererõhku ja vähendab veelgi koronaarperfusiooni, mis viib circulus vitiosus'e tekkeni. Aordi suurenenud jäikus ennustab iseseisvalt üld- ja kardiovaskulaarset suremust kõrge riskiga patsientidel ja üldrahvastikus. Arterite kaltsifikatsioonil on oluline roll ateroskleroosi patogeneesis. Nii eksperimentaalsete kui kliiniliste uuringute tulemused viitavad sellele, et kaltsiumi ladestumine aordi seinas on reguleeritud mitmete kaltsifikatsiooni aktivaatorite ja inhibiitoritega. Osteoprotegeriin on kaltsifikatsiooni inhibiitor, mis kuulub tuumornekroosi-faktori retseptorite perekonda. Loomkatsetega on näidatud osteoprotegeriini protektiivset rolli ateroskleroosi korral. Osteopontiin kuulub samuti kaltsifikatsiooni inhibiitorite hulka ja osaleb põletiku poolt vahendatud aterosklerootilises protsessis. Vitamiin D on oluline lüli luu ainevahetuse ning südame- ja veresoonkonnahaiguste vahel. Kuid vitamiin D roll arterite kaltsifikatsiooni patogeneesis on vastuoluline - nii vitamiin D defitsiit kui liigsus on seotud arterite väljendunud kaltsifikatsiooniga.
Süsteemne krooniline põletik ja tugev kestev oksüdatiivne stress on keskses rollis ateroskleroosi patogeneesis. β2 mikroglobuliin on glükoproteiin, mis osaleb põletikulise protsessi regulatsioonis. β2-mikroglobuliini sisaldus seerumis on suurenenud infektsioonide, autoimmuunhaiguste ja ateroskleroosi korral ning on üldsuremuse riski sõltumatuks teguriks. Oksüdeeritud madala tihedusega lipoproteiin on oksüdatiivse stressi marker, mis omab tugevat proaterogeenset toimet ja ennustab kardiovaskulaarseid tüsistusi ja suremust. Alajäsemete arterite ateroskleroos on levinud haigus, mis avaldub vahelduva lonkamise ja rahuolekuvaludena, kuid võib raskematel juhtudel tüsistuda gangreeniga. Samuti on nendel haigetel oluliselt suurenenud ka müokardi- ja ajuinfarkti tekke risk. Varasemate uuringute tulemused viitavad sellele, et süsteemne krooniline põletik, tugev oksüdatiivne stress ja arterite kaltsifikatsioon ning jäigenemine võivad mõjutada alajäseme arterite ateroskleroosi kliinilist kulgu. Ometi on vähe andmeid nende tegurite vaheliste seoste kohta alajäseme arterite ateroskleroosi korral.
Käesolevas uurimustöös leidsime, et alajäsemete arterite ateroskleroosiga patsientidel oli suurenenud aordi jäikus ja kaltsifikatsioon, tõusnud osteoprotegeriini, osteopontiini, β2 mikroglobuliini ning oksüdeeritud madala tihedusega lipoproteiini seerumi tase, kuid vähenenud vitamiin D sisaldus seerumis. Nii osteoprotegeriini, osteopontiini kui ka oksüdeeritud madala tihedusega lipoproteiini seerumi tase oli sõltumatult seotud aordi jäikusega nii ateroskleroosiga patsientidel kui ka kliiniliselt tervetel uuritavatel. β2-mikroglobuliini tase oli iseseisvalt seotud aordi jäikusega ateroskleroosiga patsientidel. Aordi kaltsifikatsioon oli sõltumatult seotud aordi jäikusega nii ateroskleroosiga haigetel kui ka kontrollrühma uuritavatel. Aordi kaltsifikatsioon oli seotud vitamiin D taseme suurenemisega ateroskleroosiga haigetel, kuid vitamiin D taseme vähenemisega tervetel inimestel. Lisaks oli aordi jäikus seotud aterosklerootilise kahjustuse ulatuse ja raskusastmega alajäsemete arterite ateroskleroosiga haigetel.

Location: 
Ravila 19-1006
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