Даваа–Баасан 08:30–20:00 · Бямба 09:00–16:00
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    Determination of Filaggrin Gene Single Nucleotides Polymorphisms in Patients with Atopic Dermatitis
    (Mongolian National University of Medical Sciences, 2017-02-25) ; ;
    Ariunaa Munkhbayar
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    Objectives: The protein, filaggrin, is important in barrier function and epidermal differentiation facilitation. Filaggrin gene (FLG) mutations have been identified as the cause of ichthyosis vulgaris (IV), and certain mutations have been associated with atopic dermatitis (AD). We aimed to investigate genetic polymorphism of FLG in Mongolian AD patients. Methods: FLG mutations were determined using sequence analysis in 46 AD patients and 12 IV patients. Severity of AD was assessed using the Scoring Atopic Dermatitis (SCORAD) index. Allergen specific IgE were determined from serum. Filaggrin expression in skin punch biopsy samples of AD patients was investigated using immunohistochemistry (IHC). Results: Several single nucleotides polymorphisms (SNPs) (1150C>T, 1741A>T, 1791C>T, 2181C>G, 2191A>G, and 2263G>A) were demonstrated in AD patients using sequence analysis. Total IgE levels were significantly associated with age (p=0.03) and duration of disease (p=0.02). Presence of SNPs and mixed allergen specific IgE was significantly correlated (p=0.02); 2 SNPs were significantly associated with food allergen specific IgE levels (p=0.009). 2263G>A SNP was significantly correlated with food allergen specific IgE (p=0.003) and a history of atopic diseases (p=0.03). Conclusion: New mutations or genetic polymorphisms with ethnic characteristics may be detected among Mongolians.
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    Construction of Lentiviral Vectors for CAR-T Cell Applications in Mongolia
    (Atlantis Press International BV, 2025)
    Uurdmunkh, Suvd-Erdene
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    Tumurkhuyag, Ulziikhuu
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    Bat-Itgel, Ulziisaikhan
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    Treatment of Chronic HCV Infection with Direct Acting Antivirals
    (Mongolian National University of Medical Sciences, 2021-09-21)
    Bekhbold Dashtseren
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    Zulkhuu Genden
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    Odgerel Oidovsambuu
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    Anir Enkhbat
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    Ganbolor Jargalsaikhan
    Objectives: This study was conducted to discover the treatment outcome and side effects of chronic hepatitis C virus patients treated with Direct-Acting Antivirals (DAAs). Methods: Based on the Liver Center database, we studied the treatment effect of Sofosbuvir 400 mg/Ledipasvir 90 mg in 1109 patients with chronic hepatitis C virus infection during the time period from December 2015 to December, 2018. Results: In patients treated with Sofosbuvir/Ledipasvir, the sustained viral load (SVR12) was 97.9% (1086/1109) 12 weeks after the treatment. The SVR12 was 99.2% (845/851) in HCV-infected non-cirrhotic patients, 93.4% (241/258) in patients with cirrhosis, and 80% (8/10) among patients treated for liver cancer. The SVR12 (19/25) was lowered to 76% at 12 weeks of treatment with Sofosbuvir 400 mg/ Daclatasvir 60 mg in DAA-failure patients 23/1109 (2.07%). Conclusions: SVR12 rates in non-cirrhotic and cirrhotic patients were 99.2% and 93.4%, respectively, while it was 80% in liver cancer patients after DAA treatment. As for patients with viral relapse, 76% of them were successfully retreated with second-line DAA treatment. During the DAA treatment, only 17.6% of all patients had some adverse effects related to DAA treatment, thus, DAA treatment is suitable for Mongolian patients and has less adverse effects.
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    Impact of HLA-A-B-DR Matching in Kidney Transplantation: Graft and Patient Survival During Five Years
    (Mongolian National University of Medical Sciences, 2016-06-25)
    Jigjidsuren, Sarantsetseg
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    Davaajav, Nyamsuren
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    Objectives: A successful outcome of renal transplantation depends on various components, with one primary factor being donor and recipient ABO and human leukocyte antigen (HLA) compatibility. The primary aim of our investigation was to determine the impact of HLA-A-B-DR matching on overall and five-year graft and patient survival and to evaluate and improve kidney transplant outcomes. Methods: A total of 70 adult, immunologically low-risk, first-transplant recipients were enrolled in our retrospective study. HLA-A-B-DR typing was performed by the polymerase chain reaction sequence specific primer (PCR-SSP) method. Results: HLA compatibility was carefully matched before transplantation resulting in 81.4% renal transplants with 0-3 HLA mismatches (MM). Overall graft and patient survivals were 52 (74.3%) and 60 (85.7%), respectively, in 70 cases. Five-year graft and patient survivals were 23 (67.6%) and 29 (85.3%), respectively, in 34 cases. A significantly higher rate of graft and patient overall survivals were revealed in the 0-1 MM group compared with those in the 2-3 MM and 4-6 MM groups (p = 0.030 and p = 0.015, respectively). Conclusion: A highly statistically significant correlation of HLA matching enhancing kidney graft and patient survival rates was determined in our analysis. Better HLA matching was associated with better graft and patient survival. Despite the current era of potent immunosuppressive therapy and improved patient management, the data continue support organ sharing based on HLA matching in kidney transplantation.
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    Result of Bortezomib Induction Therapy Prior to Stem Cell Transplantation in Newly Diagnosed Multiple Myeloma Cases in Mongolia
    (Mongolian National University of Medical Sciences, 2017-06-25)
    Khishigjargal Batsukh
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    Oyundelger Norov
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    Narangerel Jigjidkhorloo
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    Altanshagai Boldbaatar
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    Saruul Tungalag
    Objectives: For last 5 years, we have focused on establishing autologous stem cell transplantation (ASCT) in Mongolia. Herein, we report on three Mongolian multiple myeloma (MM) cases treated with bortezomib and dexamethasone (VD) prior to ASCT. Methods: The MM diagnosis was confirmed by bone marrow aspiration, urine protein electrophoresis, and serum protein electrophoresis. Results: Circulating white blood cells appeared 8-10 days after ASCT. Platelet levels recovered 10 -15 days after ASCT. Conclusion: In our MM cases, the VD regimen prior to ASCT obtained good response rates without the impairment of stem cells.
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    Impact of Booster Vaccination on Infection and Hospitalization Rates during the Mass Vaccination in Mongolia
    (Mongolian National University of Medical Sciences, 2025-09-30) ; ; ; ;
    Objective: Our study aims to evaluate the effectiveness of booster vaccination in preventing new COVID-19 infections and related hospitalizations among groups that received the primary vaccination series. Methods: Booster vaccination started on August 31, 2021, at recruitment in May 2022. By May 2022, 64% of the Mongolian population had received two primary doses of a COVID-19 vaccine, and 31% had received a booster dose. We followed 1,251 participants (459 males and 792 females, with a mean age of 41.5 ± 14.5 years [18–93], and a median age of 39.0 years) over six months, from the start of booster immunization on September 1, 2021, to February 28, 2022. We compared infection and hospitalization rates among vaccinated groups using logistic regression and calculated vaccine effectiveness (VE) for booster recipients with the formula: VE = 1 – (vaccinated rate/unvaccinated rate) × 100. Results: All participants received two doses of one of four vaccines used in the nationwide campaign. During the study period, we identified 449 new infection cases, accounting for 35.9% of all participants, and 150 subsequent hospitalizations, or 12.0% of the total. Participants who did not receive a booster demonstrated significantly higher infection rates compared to those who did. Booster vaccination provided notably better protection against new infections among frontline workers and reduced hospitalizations in high-risk groups. No significant differences were found in VE when comparing participants based on seroconversion after initial vaccination or the type of booster vaccine used.Conclusion: Therefore, we concluded that COVID-19 booster vaccinations effectively enhanced protection against new SARS-CoV-2 infections among frontline healthcare workers, government employees, and individuals at higher risk for severe disease, thereby reducing their risk of hospitalization.
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    Relationship of Human Personal Characteristics in the three Independent Stratification Systems
    (Mongolian National University of Medical Sciences, 2021-04-01) ; ; ; ;
    Objectives: We aimed to analyze theassociation between the biophysiological characteristics of body constitution and temperament type with Mongolian Traditional Medicine (MTM) constitution type to understand further and integrate the application of these stratification systems in clinical medicine. Methods: Body constitution type was classified using the body-mass index, temperament type was determined using personality test, and dominant MTM constitution type was determined in 287 active blood donors. Age, gender, and ABO blood groups were considered as additional biophysiological characteristics. The correlation between the biophysiological characteristics and the nature of their relationship was investigated using likelihood ratio and receiver operating characteristics analysis. Results: Obesity and body-mass index were related to aging, and donor’s age and Badgan expression rate were shown as a sensitive and specific classifier for obesity state. The relationship between Badgan dominant types of human constitutions practiced in Mongolian Traditional Medicine and melancholic temperament was established. Badgan expression was a sensitive and specific classifier for melancholic and phlegmatic temperament. Conclusions: Stratification of human subjects using the primary types of human constitutions practiced in Mongolian Traditional Medicine may be helpful in clinical research and application.
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    Elevated Ammonia Level as a Diagnostic Marker of Hepatic Encephalopathy
    (Mongolian National University of Medical Sciences, 2016-06-25)
    Ochirkhuree, Bayarmaa
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    Jambal, Sarangerel
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    Objectives: Hepatic encephalopathy (HE) is a common and prognostic complication of cirrhosis. It may reflect either a reversible metabolic encephalopathy, brain atrophy, edema or any combination of these conditions. The mechanisms causing brain dysfunction in liver failure are still unknown. Ammonia is the best-characterized neurotoxin that precipitates HE. The purpose of this study was to ascertain the role of ammonia in HE. Methods: A hospital-based prospective study on HE was carried out at the First Central Hospital of Mongolia and the Chingeltei-Uul District Hospital in 2011-2013. Patients with hepatic failure were subdivided into the three following groups: (1) patients without HE, (2) patients with grade l-ll HE, (3) patients with grade lll-IV HE. We took liver function tests, Model for End-Stage Liver Disease (MELD) score and blood ammonia and correlated them with the severity of encephalopathy. The mean variables ±SD, p-values, and Pearson coefficients were calculated by SPSS 17.0. Results: The total sample size was 120 and the mean age was 36.8 ±15.4 years. Elevated ammonia level was observed in every stage of HE and increased by stage (p< 0.0001) MELD score and elevated ammonia level had a strong positive correlation (r = 0.54, p = 0.0001). In patients with any infection, the ammonia level was higher (p< 0.0001) than other groups. Conclusion: Ammonia is one of the diagnostic biomarkers of HE.
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