Publications by authors named "Zali Alireza"

Neuropathic pain is a debilitating complication following spinal cord injury (SCI). Currently, effective treatments for SCI-induced neuropathic pain are highly lacking. This clinical trial aimed to investigate the efficacy of combined intrathecal injection of Schwann cells (SCs) and bone marrow-derived mesenchymal stem cells (BMSCs) in improving SCI-induced neuropathic pain.

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Purpose: Glioblastoma multiforme (GBM) is an aggressive brain tumor. This meta-analysis investigates the association between HOTAIR expression levels and GBM.

Methods: We searched the literature for studies on HOTAIR expression in GBM patients.

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Parkinson's disease (PD) is a progressive neurodegenerative disorder that is characterized by the formation of Lewy bodies, which are primarily composed of misfolded α-Synuclein (α-Syn). DJ-1 is a crucial protein involved in the correct folding of α-Syn, and mutations impairing its function are associated with the onset of PD. One such mutation, the L166P substitution in DJ-1, which has been linked to early-onset PD and results in the loss of DJ-1's homodimer structure.

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Objective: To investigate the efficacy of intrathecal combined administration of autologous bone marrow-derived mesenchymal stem cells (BMSCs) and Schwann cells (SCs) in urinary function improvement in complete spinal cord injury (SCI) patients for the first time.

Methods: This study was a randomized phase II clinical trial, including treatment and control arms. Patients with traumatic complete SCI-induced neurogenic bladder were included.

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Article Synopsis
  • Cannabidiol (CBD) is a non-psychoactive cannabinoid with various therapeutic benefits, drawing interest in its medical applications.
  • This study focuses on the relationship between CBD and the Nrf2 signaling pathway, which is linked to various health issues like cardiovascular problems and neurodegenerative diseases.
  • Research into how CBD interacts with Nrf2 could lead to new treatments for a variety of conditions, but further studies are needed to fully understand this connection.
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Article Synopsis
  • * The connectome is like a map of these connections, and studying it helps doctors discover new treatments for brain disorders.
  • * Artificial Intelligence (AI) helps analyze connectome data to improve diagnosis and treatments, but researchers need to fix problems like small data sets and bias for better results in the future.
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Introduction: In infectious diseases, there are essential indices used to describe the disease state. In this study, we estimated the basic reproduction number, R0, peak level, doubling time, and daily growth rate of COVID-19.

Methods: This ecological study was conducted in 5 provinces of Iran.

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Background: Tuberculosis (TB) remains a significant global health concern, with extrapulmonary manifestations, including central nervous system involvement, posing substantial morbidity and mortality. While medical treatment with anti-TB drugs is the mainstay of therapy, certain TB-related cerebral complications, such as hydrocephalus, abscesses, and large symptomatic tuberculomas, may require surgical intervention. This study aimed to evaluate the outcomes of surgical management in patients with TB-related cerebral disorders.

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Despite reaching enormous achievements in therapeutic approaches worldwide, GBM still remains the most incurable malignancy among various cancers. It emphasizes the necessity of adjuvant therapies from the perspectives of both patients and healthcare providers. Therefore, most emerging studies have focused on various complementary and adjuvant therapies.

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Objective: Neurological and functional impairments are commonly observed in individuals with spinal cord injury (SCI) due to insufficient regeneration of damaged axons. Exosomes play a crucial role in the paracrine effects of mesenchymal stem cells (MSCs) and have emerged as a promising therapeutic approach for SCI. Thus, this study aimed to evaluate the safety and potential effects of intrathecal administration of allogeneic exosomes derived from human umbilical cord MSCs (HUC-MSCs) in patients with complete subacute SCI.

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Ras-related C3 botulinum toxin substrate 1 (Rac1) is a small GTPase belonging to the Rho family. It acts as a binary molecular switch regulating several cellular functions, including cell adhesion and migration. Malfunctions due to the P29S mutation in Rac1 increase the stability of the activated form of Rac1.

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Multiple sclerosis (MS) is a chronic neurodegenerative, inflammatory, and demyelinating disease of the central nervous system (CNS). Current medicines are not sufficient to control the inflammation and progressive damage to the CNS that is known in MS. These drawbacks highlight the need for novel treatment options.

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Objective: Malignant gliomas constitute the most common type of primary malignant brain tumors. Most previous studies have evaluated the epidemiology of malignant gliomas in developed countries. Hence, there is a lack of evidence in this regard from developing countries.

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Rationale: Probiotics have beneficial effects on the nervous system by modulating the gut-brain axis. Additionally, vitamin D supplementation presents a potential way for ameliorating neuropsychological disorders, particularly in regions with a high prevalence of vitamin D deficiency.

Objectives: The current clinical trial aimed to investigate the role of co-administered supplementation of probiotics and Vitamin D on the different inflammatory aspects of patients with Parkinson's disease.

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Article Synopsis
  • This study examined the incidence and severity of side effects from COVID-19 vaccinations among healthcare workers in Iran from March to June 2021.
  • Researchers found that over half (55.85%) of the 42,018 participants reported side effects, with factors like gender, education level, comorbidities, and vaccine type influencing the risk and severity.
  • Overall, while side effects were common, especially with certain vaccines, the study concluded that the benefits of vaccination significantly outweigh the risks, particularly for high-risk groups.
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Background: Malignant gliomas are known with poor prognosis and low rate of survival among brain tumors. Resection surgery is followed by chemotherapy and radiotherapy in treatment of gliomas which is known as the conventional treatment. However, this treatment method results in low survival rate.

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Article Synopsis
  • Cellular ACE2 (cACE2) is crucial for maintaining a balance between harmful AngII and protective Ang (1-7) in the brain's renin-angiotensin system, essential for normal brain function.
  • SARS-CoV-2 uses cACE2 to enter cells, leading to its downregulation, which disrupts the balance of brain-RAS and undermines neuroprotective pathways, resulting in inflammation and oxidative stress.
  • This disruption is linked to various neurological issues in COVID-19 patients, including sensory disturbances and cerebrovascular problems, highlighting the importance of RAS in brain health during viral infections.
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Article Synopsis
  • - The study explores the combined treatment of Cabergoline and Mdivi-1 to counteract the changes caused by prolonged morphine exposure on neural cells, focusing on their effectiveness against neuroadaptive responses in human neuroblastoma and glioblastoma cell lines.
  • - Findings suggest that this combination therapy can normalize autophagy, reduce oxidative stress, mitigate cell death, and restore important protein expressions, providing insights into morphine's impact on mitochondrial dynamics and the dopaminergic pathway.
  • - The research identifies potential neuroprotective markers (BDNF and PCNA) for assessing drug effectiveness against opioid toxicity and highlights the need for more studies to explore new treatment avenues in the context of addiction and neural cell adaptability.
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Parkinson's disease (PD) is a progressive neuro-degenerative disease and olfactory dysfunction is considered as an important issue in these patients. The prevalence of olfactory dysfunction in patients with PD was reported variously in previous studies. Therefore, we designed this systematic review and meta-analysis to estimate the pooled prevalence of olfactory dysfunction in patients with PD.

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Assessing the impact of coronavirus disease 2019 (COVID-19) reveals unique challenges for pregnant women, who experience distinct clinical manifestations and health outcomes compared to their non-pregnant counterparts. We aimed to evaluate the clinical features, disease severity, and health outcomes of COVID-19 in pregnant women and compare them to those of non pregnant women. In this population-based study, we included all women diagnosed with COVID-19 across the province of Tehran during the first two years of the epidemic.

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Lumbar spinal stenosis (LSS) is a prevalent cause of leg and back pain. In the youth, LSS is not common and mainly results from hereditary musculoskeletal disorders. Moreover, spinal fusion is a surgical approach to the treatment of LSS.

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Background: Percutaneous transforaminal endoscopic discectomy (PTED) has become popular over the years due to its safety and low invasiveness. This surgery can be performed with different anesthesia techniques; however, the extent to which the surgeon and patient are satisfied with the analgesia is debatable.

Objectives: This study investigated the efficiency of the S1 transforaminal epidural block.

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Background And Objectives: No study has evaluated the efficacy of using preoperative antiseptic dressings in reducing the rate of surgical site infection (SSI) in spine surgery thus far. To investigate the efficacy of the use of preoperative povidone-iodine-impregnated antiseptic dressings in patients undergoing instrumented posterolateral lumbar spinal fusion.

Methods: This was a randomized, nonblinded, active-controlled, parallel-group clinical trial.

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Article Synopsis
  • * This systematic review and meta-analysis evaluated various biomarkers to understand their connection to SSNHL prognosis, with a focus on studies up to October 2022.
  • * Findings indicated that a higher neutrophil to lymphocyte ratio (NLR) correlates with poorer outcomes, while the platelet to lymphocyte ratio (PLR) and other biomarkers like blood glucose and serum endocan have mixed results; overall, PLR, NLR, and neutrophil counts are useful for predicting recovery in SSNHL patients.
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