Mamuka Khvedelidze

Publications

• Expansion of CD3/CD16/CD56 positive NKT cells in HIV/AIDS: the pilot study

  Khvedelidze M, Chkhartishvili N, Abashidze L, Dzigua L, Tsertsvadze T.

  Georgian Med News. 01/2008;

  Abstract NKT cells are a subset of lymphocytes possessing features of NK cells and T cells; they play a key role in the formation of innate immune response. Upon stimulation, rapid production of large quantities of both T(h1) and T(h2) type cytokines permits them to bridge the innate and adaptive i... [more] Abstract NKT cells are a subset of lymphocytes possessing features of NK cells and T cells; they play a key role in the formation of innate immune response. Upon stimulation, rapid production of large quantities of both T(h1) and T(h2) type cytokines permits them to bridge the innate and adaptive immune responses by activating NK cells, T cells, B cells and dendritic cells. Scientific knowledge has been collecting up to date toward the definition of the role of NKT lymphocytes in HIV/AIDS setting. This direction in HIV/AIDS immunopathogenesis is relatively new and quite concerning. The objective of this study was to investigate CD3+/CD16+/CD56+ NKT cell expansion in HIV/AIDS patients and explore its association with virologic and immunologic markers of HIV infection. Retrospective analysis of 30 HIV infected patients data, taken from the database of the laboratory of clinical immunology at the Infectious Diseases, AIDS and Clinical Immunology Research Center, was conducted. Results: there was slightly increased risk of higher plasma viral load related to lower NKT cell expansion. With regard to immunologic status, borderline significance between expansion of CD3/CD16/CD56 positive NKT cells and lower CD4 positive cell count was shown. However, study did not show strong associations of NKT cell expansion with either virologic or immunologic status, interestingly, all HIV/TB co infected patients where NKT cell positive, which underlines the possible role of TB in CD3+/CD16+/CD56+ NKT cell expansion phenomena in HIV infected individuals. We think these new findings may serve as prerequisite for future, larger scale research in this direction.

• Action of ethanol low doses on heart rate variability following intravenous administration in rabbits.

  M Khvedelidze, E Chitanava, D Nadareishvili, G Jiqia, M Gvasalia

  Georgian medical news. 06/2007;

  Effects of low ethanol doses on the vagosympathetic mechanisms of heart rate regulation were studied in rabbits. Analysis of heart rate variability showed that single intravenous administration of 0.5 mg/kg ethanol caused a higher probability of heart electrophysiological instability in sympathicoto... [more] Effects of low ethanol doses on the vagosympathetic mechanisms of heart rate regulation were studied in rabbits. Analysis of heart rate variability showed that single intravenous administration of 0.5 mg/kg ethanol caused a higher probability of heart electrophysiological instability in sympathicotonics in contrast to vagotonics. This was associated with activation of the whole complex of regulatory mechanisms. In vagotonics, perturbations in power spectrum indicated on rapidly shunting of regulatory activity from lower to high levels of regulatory mechanisms to realize a "first class" undifferentiated response on stress induction. Sympathicotonics were unready to ethanol intravenous administration that resulted in reduction of all spectral component. Intravenous administration of ethanol caused a higher probability of heart electrophysiological instability in sympathicotonics then in vagotonics. It is important to consider these differences for therapeutic application of ethanol to some acute poisoning (methyl alcohol, ethylene glycol).
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  Effects of low ethanol doses on heart rhythm in rabbits.

  K Sh Nadareishvili, I I Meskhishvili, D D Kakhiani, G L Ormrtsadze, M T Khvedelidze, E T Chitanava

  Bulletin of experimental biology and medicine. 10/2004; 138(3):271-5.

  Effects of low ethanol doses on the vagosympathetic mechanisms of heart rhythm regulation were studied in rabbits. Analysis of heart rhythm variability showed that single intragastric administration of 0.5 mg/kg ethanol caused tachycardia in animals with initial predominance of vagal activity and br... [more] Effects of low ethanol doses on the vagosympathetic mechanisms of heart rhythm regulation were studied in rabbits. Analysis of heart rhythm variability showed that single intragastric administration of 0.5 mg/kg ethanol caused tachycardia in animals with initial predominance of vagal activity and bradycardia in animals with predominating sympathetic mechanisms. This was associated with general activation of all regulatory effects on the heart rhythm and a drastic increase in power spectrum for all frequency ranges, though with a certain deficiency of vagal effects. However, after 24 h the vagal component of the spectrum drastically increased in animals of both groups, while other parameters did not differ from the control. Presumably, this rebound can be used as a physiological marker, ethanol tolerance measure, formation of the abstinence syndrome and liability to alcoholism.
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  Heart rate variability in Chinchilla rabbits.

  K Sh Nadareishvili, I I Meskhishvili, D D Kakhiani, G L Ormotsadze, G T Nazarishvili, M G Gvasalia, M T Khvedelidze, V Ya Sandodze

  Bulletin of experimental biology and medicine. 01/2003; 134(6):568-70.

  Temporal and spectral parameters of heart rate variability were studied as criteria for classification of mature Chinchilla rabbit population according to their basal neurovegetative status. The absolute values of total spectral power density and individual frequency bands differed significantly in ... [more] Temporal and spectral parameters of heart rate variability were studied as criteria for classification of mature Chinchilla rabbit population according to their basal neurovegetative status. The absolute values of total spectral power density and individual frequency bands differed significantly in vagotonics and sympathotonics. However, standardized spectral power distributions in high-, low- and very low-frequency ranges were similar in both groups. Our results suggest that the intensity of regulatory influences on the heart at all levels of regulation, which can be evaluated by spectral analysis, is similarly distributed in both groups. Hence, the observed differences in the heart rate variability can not be explained by peculiarities in sympathovagal balance, but are determined by more universal mechanisms.