Iranian Journal of

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Gangliosidosis GM1, is a lipid storage disorder due to deficiency of the lysosomal enzyme &beta-galactosidase. This deficiency leads to lysosomal accumulation of gangliosidosis GM1 to be, which contributes to swelling, cell damage and dysfunction of the organs. Gangliosidosis GM1a rare neurodegenerative disorder. Mongolian spots are significant clinical sign in some of the metabolic diseases, such as gangliosidosis GM1, but limited information is available. Hepatomegaly, hypotonia, edema, seizures, and skeletal malformations and Cherry red spot in the macula of the eye are of other symptoms of the disease. In this paper, we present a 10-month-old child with gangliosidosis GM1 type 1 with extensive mongolian spots who was referred the Hajar Medical Educational Therapeutic Center Shahrekord.

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Background: Family members of C1q/tumor necrosis factor (TNF) related proteins (CTRPs) have been shown to play an important role in metabolism and inflammation. However, there is limited information on the association of high-intensity intermittent exercise (HIIT) with CTRP1 and CTRP3 protein levels in patients with type 2 diabetes. Therefore, this study aims to evaluate the effects of 12 weeks HIIT on CTRP1 and CTRP3 protein levels in women with type 2 diabetes.
Methods: In a quasi-experimental study and pretest and post-test design, 30 women with type 2 diabetes (mean±SD, age: 40.69±4.21 years and body mass index:34.81±2.88 kg/m² ) were randomly into two HIIT group (n=10) and control group (n=15). Exercise group performed a HIIT program three sessions per week, with and intensity of 80-90% MHR, 60 minutes per session for twele weeks. Weight, BMI, Vo2peak, FBG and serum levels of CTRP1 and CTRP3 were measured before and after the study period. The data were analyzed using paired sample t test and analysis of ANCOVA at the level of less than 0.05.
Results: After 12 weeks HIIT, there was significant differences in weight, BMI, Vo2peak, FBG and CTRP3 and CTRP5 serum levels between groups (p >0.05). However, ANCOVA test showed a significant decrease in weight, BMI, FBG and CTRP1 and CTRP3 serum levels and a significant increase in Vo2peak in the HIIT group compared to the control group after intervention (P<0.05).
Conclusion: The findings suggest that 12 weeks of HIIT program were an effective and safe method of improving the CTRP1 and CTRP3 serum levels in obese women with type 2 diabetes. However, more research with more control are needed to determine the effects of this non-pharmacological intervention on anti-inflammatory adipokine.

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Background: Coronary heart disease is a viral infection that has become a pandemic disease. Given the comprehensive impact that this disease has on the lifestyle of individuals, the economic situation of the country, imported drugs; the present study aims to investigate the self-care status of patients with type 2 diabetes during the Covid epidemic.
Methods: The study population in the present study was people with diabetes in Bushehr. The sampling method in the present study was purposeful and available sampling and the sample size was 13 people (7 men and 6 women). The research information was collected through a semi-structured interview for 40 to 60 minutes using open-ended questions. After the interview process, the answers were interpreted and coded using the content analysis method.
Results: According to the results of the present study, in general, patients with type 2 diabetes during the period of Covid-19 epidemic did not have a favorable self-care status and many problems in the field of self-care behavior (medication, nutrition and exercise and mobility) and in other Fields have experienced.
Conclusion: Diabetics have experienced many problems during the Quaid 19 epidemic, which further reduces their quality of life; therefore, the government, the media, the patient's family, the patient himself, doctors, psychologists and counselors can be used to reduce these problems.

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Background: The apoptosis process as a common status in heart injuries could be imposed significantly by hyperglycemia chronically. Therefore, the aim of this study was to investigate the inhibitory effects of concurrent training and antioxidant supplementation individually and in combination on biogenesis and function of mitochondrial in the heart tissue of diabetic rats with STZ.
Methods: In this experimental study, fifty male Sprague Dawley rats were classified into five groups (n=10 each group): healthy rats as control, diabetic rats, diabetic combined resistance/endurance training, diabetic rats which consumed supplementation vitamin E and C, and the combined supplementation and training. Here, we calculated changes in genes expression based on artificial intelligence methods and evaluated genes expression in apoptotic influencing combined training and antioxidants vitamins consumption in heart injured models by streptozotocin via Real-Time PCR. Combination training including, respectively, resistance training, 5 days a week with increasing intensity of 5-45% of rat weight and endurance training on treadmill increasingly from 10-30 minutes and intensity of 40-75% of maximum speed during 8 weeks. Data were analyzed by two-way ANOVA (P<0.05).
Results: the relative expression of PGC1α and Tfam were significantly decreased between healthy control and diabetes controls group. The results indicated that significantly increased of PGC1α and Tfam in the training(P<0.05), supplement(P<0.05) and combination groups(p<0.05). In addition, in this study, it was observed that supplementation and exercise had an increasing effect on the expression of PGC1α and Tfam genes. On the other hand, glucose concentration and weight of rats treated with supplementation and exercise were significantly reduced compared to other groups (P<0.05).
Conclusion: Based on the results, interaction between antioxidant supplements and exercise reduced the glucose concentration and improved the mitochondrial biogenesis of heart tissue, while the combination of these two interventions compared to the effect of each alone, the effect has more.
 

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Background: Artificial intelligence analysis based on the gene list obtained from the DisGeNET database identified the important genes involved in the heart damage process. Data enrichment highlighted the apoptosis signaling pathway as a vital pathway in cardiovascular risk. Hence, we estimated the binding affinity of chemical and plant bioactive molecules for cytochrome-c protein. Here, we performed to evaluate the effect of eight weeks of resistance training (RT) with Tribulus Terrestris (TT) consumption on the mechanism of apoptosis in the heart tissue of rats exposed to stanozolol.
Methods: Thirty-five male rats were divided into seven groups: (1) Control, (2) Stanozolol (ST), (3) ST + 100 mg / kg TT, (4) ST + 50 mg / kg TT, (5) ST + RT (SRT), (6) S + RT + 100 mg / kg T (SRTT100), and (7) ST + RT + 50 mg / kg T (SRTT50). Differential gene expression was measured by q-RT-PCR. In bioinformatics analysis, the apoptosis signaling pathway was defined as a critical process in heart damage. In addition, adverse effects of Tribulus Terrestris and stanozolol on heart tissue were detected through the apoptotic pathway by molecular docking.
Result: Resistance training along with 100 mg/kg reduced CRP and cytochrome-c Moreover, 100 mg/kg TT as a more favorable effect than 50 mg/kg TT
Conclusion: we showed the beneficial effects of Tribulus Terrestris, the plant’s bioactive compound that can reduce cardiovascular risks by impairing the formation of apoptosome assemblages and inflammation.

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Background: Dysfunction of pancreatic beta cells causes a decrease in insulin and an increase in serum glucose, resulting in diabetes. Diabetes has caused dysfunction by damaging various organs, including tissues that are at risk of diabetes. So we've looked at the effect of Vicia sativa on skin wounds caused by high blood sugar.
Methods: In this study, 48 male mouse heads of the wistar breed with a weight range of 220 to 250 grams were divided into 4 control groups, Shem, experimental one (diabetic group+ oserin), experimental two(diabetic+ V. sativa). At the same time as the mice became diabetic with a dose of 50 mg/kg streptosotocin, the rest of the groups received the citrate buffer intra-peritoneal. After the rats were unconscious with the anesthetic and their back hair was shaved in the 3 cm long test groups on the left side of the spine, and the treated groups were treated with 14 days of MG/kg200 dose of mascara extract on the wounds. The wound healing process was examined macroscopically and microscopically on days 7 and 14.
Results: The wound of diabetic groups treated with streptozocin showed a later repair compared to the control group, and the wound healing was faster in experimental groups treated with alcoholic extract of the mascara than in the control group.
Conclusion: The results indicated that the alcoholic extract of the mascara accelerated the healing of skin wounds of healthy and diabetic samples.

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Background: Type 2 diabetes and its relationship with cardiovascular diseases is one of the concerns of today's society. Although the favorable role of aerobic exercise and gymnema sylvester supplement consumption in diabetic patients has been reported, the effect of aerobic exercise and gymnema sylvester supplement consumption on heart tissue is not well known. Therefore, the purpose of this research is Comparison of the effect of aerobic exercise and gymnema sylvestre supplement on some markers related to cardiomyopathy in type 2 diabetic mice.
Methods: The present research was experimental. The statistical samples included 40 male C57BL/6 mice (with an average age of 8 to 10 weeks and a weight of 20 to 25 gr). who became diabetic after 20 weeks of feeding with a high-fat diet. Then randomly divided into five eight groups including: diabetes + exercise (TDM), diabetes + gymnema sylvester (GSDM), diabetes + exercise + gymnema sylvester (TGSDM), diabetes (DM) and healthy control (CN). The aerobic exercise program consisted of exercises at a speed of 10 m/min for six weeks and five training sessions per week on a treadmill. Daily consumption of gymnema sylvester at the rate of 0.1 g/kg orally alone and also with training intervention was done for six weeks. Serum glucose concentration was measured by enzymatic method, insulin level by ELISA method, insulin resistance by HOMA-IR method and expression of CASPASE-1 and NLRP3 genes by RT-PCR method. Data evaluation was calculated using covariance statistical test and Bonferroni's post hoc test, the significance level was considered as P≤ 0.05.
Results: The findings showed that aerobic exercise and gymnema sylvestre supplement alone caused a significant decrease in the levels of glucose, insulin, insulin resistance and the expression of CASPASE-1 and NLRP3 genes in the heart tissue (P≤ 0.05), the largest decrease in the dependent variables related to the aerobic exercise group with Gymnema Sylvester supplement (P≤0.05). Also, there is no significant difference between the dependent variables of the diabetes group and aerobic exercise and the diabetes group and Gymnema Sylvester supplement (P≤ 0.05).
Conclusion: Six weeks of aerobic exercise, gymnema sylvester supplement and aerobic exercise combined with gymnema sylvester supplement improves blood variables by reducing glucose, insulin and insulin resistance, as well as improving markers related to cardiomyopathy by reducing the expression of caspase-1 and NLRP3 genes in the heart tissue in type 2 diabetic mice.

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Background: The current study aimed to ascertain the impact of pulsed magnetic therapy, multicomponent exercise, and a combination of both modalities on bone markers type 2 diabetic patients with osteoporotic.
Methods: In a randomized controlled clinical trial study, 56 older patients with type 2 diabetic osteoporosis (age: 68.18±3.67 yr; weight: 78.13±7.65 kg, body mass index: 28.40±1.76 kg/m2) were randomly assigned to either the multicomponent exercise + Full-body pulsed electromagnetic field (MCEx+PEMF, n= 18) multicomponent exercise + placebo full-body PEMF (MCEx+PPEMF, n=17) and a full-body PEMF alone (PEMF, n= 21). PEMF was applied for the whole body using a full-body mat three times per week, 60 minutes for 12 weeks, with a multicomponent exercise protocol that includes flexibility, aerobic exercise, strengthening, weight-bearing, and balance exercises followed by whole-body vibration (WBV) training. The body composition, bone mineral density (BMD), bone metabolism markers (phosphorus, calcium, sclerostin, osteocalcin, Bone-specific alkaline phosphatase (BALP)) before and after the intervention. The data were analyzed using the dependent t test and the two-way repeated measures ANOVA at the level of less than 0.05.
Results: After 12 weeks of intervention, there is a significant difference in the serum levels of bone mineral density and bone metabolism markers (phosphorus, calcium, sclerostin, BALP) between the groups (P< 0.05). However, the bonferoni post-test showed an increase in serum levels of BMD, phosphorus, sclerostin, BALP with a significant decrease in calcium in the MCEx+PEMF group in compared to alone PEMF group.
Conclusion: The findings showed that the PEMF rehabilitation method combined with multicomponent exercise is more effective and safer than exercise or PEMF only for improving BMD and bone metabolism markers in the type 2 diabetic population with osteoporosis. Therefore, exercise rehabilitation clinics should be encouraged to consider exercise rehabilitation as a treatment method for type 2 diabetic patients with osteoporosis. More studies with long-term follow-up should be considered to confirm these findings.