Nailya Bulatova

Professor of Pharmacology & Therapeutics, Department of Biopharmaceutics & Clinical Pharmacy
The University of Jordan


More than 35 years of teaching and research experience in pharmacology and therapeutics


PhD in Pharmacology from Scientific Research Institute of Pharmacology, Academy of Medical Sciences, Moscow, USSR
Medical Doctor from Bashkir Sate Medical Institute, Ufa, USSR


Rational drug use, Drug safety, Multidrug resistance, Cardiometabolic biomarkers


Scopus Publications


Scholar Citations


Scholar h-index


Scholar i10-index

Scopus Publications

  • Results of Preclinical Studies of 4-(2-(4-nitrophenyl)-2-oxoethyl)-1-(thietane-3-yl)-1H-1,2,4-triazole-4-th Bromide in Relation to the Hemostasis System in vivo
    Y. Wang, N. R. Bulatova, E. E. Klen, G. A. Rozit, I. L. Nikitina, E. A. Smolyarchuk, K. A. Zavadich, I. D. Krylova, and A. V. Samorodov

    Center of Pharmaceutical Analytics Ltd
    Introduction. A characteristic manifestation of vascular brain damage is depressive disorders that accompany both acute and chronic disorders of cerebral circulation. Depression not only reduces the patient's quality of life, but also complicates the treatment of basic vascular disease, increases the risk of stroke and death. Therefore, complex therapy of vascular depression includes not only antidepressants, but also basic means to correct the consequences of disorders of cerebral blood flow, including with antiplatelet activity. In this regard, the development of a new molecule based on thietane-containing heterocycles, combining the properties of an antidepressant and an antiplatelet agent.Aim. To conduct a preclinical evaluation of 4-(2-(4-nitrophenyl)-2-oxoethyl)-1-(thietane-3-yl)-1H-1,2,4-triazol-4 bromide when administered to rats.Materials and methods. A study was conducted of the effect of 4-(2-(4-nitrophenyl)-2-oxoethyl)-1-(thietan-3-yl)-1H-1,2,4-triazol-4-bromide on the hemostasis system during intravenous and intragastric administration to healthy white non-linear sexually mature male rats (n = 160). Thromboelastography was performed on a TEG 5000 device, activated with a 0.2 M solution of calcium chloride, Born aggregometry and standard clotting tests to assess the coagulation component of hemostasis.Result and discussion. The findings show that 4-(2-(4-nitrophenyl)-2-oxoethyl)-1-(thietane-3-yl)-1H-1,2,4-triazole-4-th bromide with peroral administration exceeded acetylsalicylic acid by 2.8 times in terms of ED50, and by 1.8 times with intravenous way of administration accordingly. A similar effect of pentoxifylline in the intravenous route of administration was recorded at a concentration of 27.8 mg/kg versus 12.4 mg/kg of compound I. The results of a complex method to assess the state of the hemostasis system indicate a more pronounced antiaggregational effect of compound I compared with pentoxifylline and acetylsalicylic acid.Conclusion. Preclinical studies of 4-(2-(4-nitrophenyl)-2-oxoethyl)-1-(thietane-3-yl)-1H-1,2,4-triazole-4 bromide, was demonstrated that a combination of antidepressant and antiplatelet activity, which can serve as a basis for further drug development.

  • Alteration in the expression of the chemotherapy resistance-related genes in response to chronic and acute hypoxia in pancreatic cancer
    Malek Zihlif, Tareq Hameduh, Nailya Bulatova, and Hana Hammad

    Spandidos Publications
    Pancreatic cancer is currently one of the least curable types of human cancer and remains a key health problem. One of the most important characteristics of pancreatic cancer is its ability to grow under hypoxic conditions. Hypoxia is associated with resistance of cancer cells to radiotherapy and chemotherapy. It is a major contributor to pancreatic cancer genetic instability, which local and systemic resistance that may result in poor clinical outcome. Accordingly, identifying gene expression changes in cancer resistance genes that occur under hypoxic conditions may identify a new therapeutic target. The aim of the present study was to explore the association between hypoxia and resistance to chemotherapy and determine the alteration in the expression of cancer resistance-related genes in the presence of hypoxia. Pancreatic cancer cells (PANC-1) were exposed to 8 h hypoxic episodes (<1% oxygen) three times/week for a total of 20 episodes (chronic hypoxia) or 72 h hypoxic episodes twice/week for a total of 10 episodes (acute hypoxia). The alterations in gene expression were examined using reverse transcription-quantitative PCR array compared with normoxic cells. Chemoresistance of hypoxic cells toward doxorubicin was assessed using MTT cell proliferation assay. Both chronic and acute hypoxia induced chemoresistance toward doxorubicin in PANC-1 pancreatic cancer cell line. The greatest changes occurred in estrogen Receptor Alpha Gene (ESR1) and ETS Like-1 protein (ELK1) pathways, in nucleic transcription factor Peroxisome proliferator-activated receptors (PPARs) and in a cell cycle inhibitor cyclin dependent kinase inhibitor 1A (CDKN1A). The present study demonstrated that exposing cells to prolonged hypoxia results in different gene expression changes involving pleotropic pathways that serve a role in inducing resistance in pancreatic cancer.

  • Plasma carnitine, choline, γ-butyrobetaine, and trimethylamine-N-oxide, but not zonulin, are reduced in overweight/obese patients with pre/diabetes or impaired glycemia
    Alia Snouper, Violet Kasabri, Nailya Bulatova, Maysa Suyagh, Monther Sadder, Khaldoun Shnewer, and Ismail Yousef

    Springer Science and Business Media LLC

  • A Cross-sectional Study of the Catalase Genetic Polymorphism (-262 cytosine/ thymine) and Blood Catalase Activity among Jordanian Vitiligo Patients
    Ebtesam Alhawamdeh, Nailya R. Bulatova, Al Motassem F. Yousef, Mohammed A. AlAbbadi, and Ethar A. Omer

    The University of Jordan
    Vitiligo is brought on by functional melanocyte loss and manifests as white maculae that may cover the whole body's skin. There is a genetic background in the pathogenesis of vitiligo. Polymorphisms in different parts of catalase gene may affect the disease activity and result in less functional catalase, thus, accumulation of hydrogen peroxide, one of the oxidative factors that damage melanocytes. We evaluated the CAT 262 genetic polymorphism of vitiligo patients using the polymerase chain reaction (PCR) technique with at least one C and at least one T model. The study included 48 vitiligo patient and 51 control individuals. Family history of vitiligo was present in 27.1% of patients and autoimmune disease were diagnosed in 16.7% of patients. Three quarters of vitiligo patients (75.0%) reported that emotional stress was the major triggering factor for their disease. The CC genotype was predominant (56.2% in vitiligo patients and 62.7% in control) with no significant difference between the study groups (p=0.7). Catalase activity in blood was comparable between the study arms (159.1±21.6 MU/L in vitiligo patients and 151.3±25.4 MU/L in controls (p=0.15). We conclude that neither genetic polymorphism in CAT 262 C/T nor blood catalase activity is associated with vitiligo.

  • The Effect of Antipsychotics and Their Combinations with Other Psychotropic Drugs on Electrocardiogram Intervals Other Than QTc among Jordanian Adult Outpatients
    Nailya Bulatova, Noor Altaher, Radwan BaniMustafa, Akram Al-Saleh, Haya Yasin, Mohammed Zawiah, Hala Khalefah, Mokhtar Ghilan, Ala’a Al-Lahham, Mohummad Hudaib,et al.

    The ECG changes produced by antipsychotics and other psychotropic medications are studied mostly regarding QTc interval prolongation. This study aimed to investigate ECG changes beyond long QTc interval produced by psychotropic medications. A cross-sectional study was conducted to assess the effect of these agents on RR, PR, TpTe intervals and TpTe/QT ratio among Jordanian outpatients. The RR interval was significantly shorter among patients on TCAs versus those not receiving TCAs and among patients on polytherapy versus those on monotherapy (p &lt; 0.05 for both comparisons), when adjusted for age, gender, BMI, caffeine intake, smoking, presence of diabetes mellitus, cardiovascular disease and medications known to produce heart rate changes. Positive correlations were found between the PR interval and age in patients treated with SGAs, SSRIs, citalopram, polytherapy and in the total sample (p &lt; 0.01 for all). Inverse correlations were found between the RR interval and the number of psychotropic medications among patients treated with SSRIs and in the whole study sample (p &lt; 0.01 for both). In conclusion, various ECG changes beyond QTc interval prolongation are observed in patients on antipsychotics and other psychotropic medications, in those on polytherapy. It is recommended to obtain an ECG before starting patients on psychotropic drugs known to produce electrocardiographic changes and their combinations.

  • Use of traditional and complementary medicine for COVID 19 prophylaxis among healthcare professionals and students in Jordan: A cross-sectional study
    Nailya Bulatova, Sara Younes, Majd Arabiyat, Ahmad Abukaff, Sara Madanat, Eman Alqudah, Anoud Hamati, Farah Halawa, and Abdallah Younes

    Public Library of Science (PLoS)
    Introduction There is inadequate evidence to recommend the use of any traditional and complementary medicine (T&amp;CM) methods such as vitamin, mineral, herbal or other dietary supplements to prevent or treat COVID 19. Members of the medical team are particularly at risk of exposure to high viral load of coronavirus. They have also the best access to professional information regarding disease treatment and prophylaxis and disseminate such knowledge. The aim of the study was to assess the prevalence of use of T&amp;CM for the prophylaxis of COVID 19 among the healthcare professionals and students in Jordan, along with the most common types and the factors associated with T&amp;CM use. Methodology A cross-sectional study of T&amp;CM use was conducted in Jordan using a snowball sampling method to distribute Google Forms and to enrol participants during coronavirus outbreak between June 10, 2021, and August 28, 2021. The study included healthcare professionals or students who consented to participate in the survey. The survey excluded those participants who had filled the questionnaire at least once or were pregnant/breast-feeding at the time of the study. The questionnaire consisted of 29 items, including screening, checkbox, dichotomous, matrix and open-ended questions. Results The response rate was 97.1%. Out of 560 study respondents, 359 (64.1%) reported using T&amp;CM for COVID 19 prevention. Vitamins and nutrients were consumed by almost half (48.4%) of study participants, while nonpharmacological methods and herbal remedies were consumed by 35.2% and 25.2%, respectively. The most common source of information regarding T&amp;CM use for COVID 19 prophylaxis included scientific publications (59.5%), followed by disease treatment guidelines (38.0%) and social media (32.3%). Adverse effects were reported by 8.5% and possible adverse effects were reported by another 8.5% of participants. The T&amp;CM use was associated with working in contact with COVID 19 patients (OR: 1.625 (95% CI 1.047–2.523) (P = 0.03) and having a colleague as a source of information (OR: 1.720 (95% CI 1.026–2.883) (P = 0.04). Conclusions The prevalence of T&amp;CM use for COVID 19 prevention among healthcare professionals and students in Jordan is high, with a significant proportion of participants reporting adverse effects. There is an urgent need for further research toward efficacy and safety of T&amp;CM in COVID 19 prophylaxis as well as development of appropriate public health policy on this issue specific to each country.

  • Identification of Insulin Resistance Biomarkers in Metabolic Syndrome Detected by UHPLC-ESI-QTOF-MS
    Leen Oyoun Alsoud, Nelson C. Soares, Hamza M. Al-Hroub, Muath Mousa, Violet Kasabri, Nailya Bulatova, Maysa Suyagh, Karem H. Alzoubi, Waseem El-Huneidi, Bashaer Abu-Irmaileh,et al.

    Metabolic syndrome (MetS) is a disorder characterized by a group of factors that can increase the risk of chronic diseases, including cardiovascular diseases and type 2 diabetes mellitus (T2D). Metabolomics has provided new insight into disease diagnosis and biomarker identification. This cross-sectional investigation used an untargeted metabolomics-based technique to uncover metabolomic alterations and their relationship to pathways in normoglycemic and prediabetic MetS participants to improve disease diagnosis. Plasma samples were collected from drug-naive prediabetic MetS patients (n = 26), normoglycemic MetS patients (n = 30), and healthy (normoglycemic lean) subjects (n = 30) who met the inclusion criteria for the study. The plasma samples were analyzed using highly sensitive ultra-high-performance liquid chromatography electrospray ionization quadrupole time-of-flight mass spectrometry (UHPLC-ESI-QTOF-MS). One-way ANOVA analysis revealed that 59 metabolites differed significantly among the three groups (p &lt; 0.05). Glutamine, 5-hydroxy-L-tryptophan, L-sorbose, and hippurate were highly associated with MetS. However, 9-methyluric acid, sphinganine, and threonic acid were highly associated with prediabetes/MetS. Metabolic pathway analysis showed that arginine biosynthesis and glutathione metabolism were associated with MetS/prediabetes, while phenylalanine, D-glutamine and D-glutamate, and lysine degradation were highly impacted in MetS. The current study sheds light on the potential diagnostic value of some metabolites in metabolic syndrome and the role of their alteration on some of the metabolic pathways. More studies are needed in larger cohorts in order to verify the implication of the above metabolites on MetS and their diagnostic value.

  • Serotonin reuptake inhibitors effect on fluconazole activity against resistant Candida glabrata strains
    Bashar A. Alkhalifa, Nailya R. Bulatova, Waed abuRokba, and Rula M. Darwish

    Elsevier BV

  • Painful subacute thyroiditis occurring after the administration of influenza vaccine and hyaluronic acid dermal filler
    Nailya R. Bulatova, Ayman A. Zayed, Ula Qasem Hijjawi, Satani G. Sharkas, and Faris G. Bakri

    Ovid Technologies (Wolters Kluwer Health)
    RATIONALE The occurrence of subacute thyroiditis (SAT) after vaccines or after hyaluronic acid skin fillers is very rare and might be related to genetic susceptibility. We suggest that the co-administration of both products could potentially increase the possibility of development of SAT. PATIENT CONCERNS A 58-year-old Caucasian healthy female initially presented with chills, myalgia, dysphagia, sore throat, dry cough, fatigue, and intermittent fever of 38.5°C orally after simultaneous injection of an influenza vaccine and a dermal filler containing hyaluronic acid. Ten days later the patient developed palpitations and neck pain radiating to the left jaw. DIAGNOSIS AND INTERVENTIONS She was diagnosed with SAT on day 16 after her first visit and responded promptly to etoricoxib treatment. OUTCOMES The patient progressed clinically from hyperthyroidism to euthyroid state and eventually to hypothyroidism and further testing showed she had HLA B-35 haplotype. LESSONS Physicians should be aware that SAT might be associated with the administration an influenza vaccine and this possible association might increase if the vaccine was co-administered with a dermal filler.

  • Silver nanoparticles, a promising treatment against clinically important fluconazole-resistant Candida glabrata
    R.M. Darwish, M.Y. AlKawareek, N.R. Bulatova, and A.M. Alkilany

    Resistance to azole antifungal agents is a challenging limitation in Candida glabrata treatment. It is associated with decreased intracellular concentrations of antifungal agents as a result of overexpression of efflux pumps on the cellular plasma membranes. This work evaluates the potential of silver nanoparticles (AgNPs) to reverse the resistance of fungal cells to fluconazole. Silver nanoparticles were prepared using wet chemical method and characterised by UV‐Vis spectrophotometry, dynamic light scattering, and zeta potential. Broth microdilution and pour plates methods were used to study the anticandidal activity using two C. glabrata fluconazole‐resistant strains (DSY565 and CBS138) known to overexpress active efflux pumps, and a standard fluconazole sensitive strain ATCC 22553. Silver nanoparticles–fluconazole combinations decreased concentrations of fluconazole substantially without compromising the activity. These findings suggest that AgNPs enhance the efficacy of fluconazole and offer a promising application in therapy of C. glabrata infections.

  • Characterization of staphylococci sampled from diabetic foot ulcer of Jordanian patients
    A.G. Al‐Bakri, N.R. Bulatova, N.A. Younes, G. Othman, D. Jaber, N. Schleimer, A. Kriegeskorte, and K. Becker

    The aim of this study was to isolate and characterize staphylococcal isolates from diabetic foot ulcers (DFU) in Jordanian patients.

  • Pharmaceutical Care in the Treatment of Substance Use Disorders in Jordan: A Randomized Controlled Trial
    Haya Yasin, Nailya Bulatova, and Mayyada Wazaify

    Informa UK Limited
    Abstract Background Substance Use Disorder is a chronic relapsing disease that is characterized by compulsive drug seeking and use, despite harmful consequences. The aim of this study was to evaluate the impact of clinical pharmacist intervention/recommendation on the treatment of patients admitted to addiction rehabilitation centers in Jordan. Methods A randomized controlled trial was conducted in two public addiction treatment centers in Amman. Patients (n = 93) were randomized into 2 groups (control and intervention). Medication review was conducted for both groups at baseline, during stay and at discharge. Treatment related problems (TRPs) were identified by the clinical pharmacist and recommendations provided to the therapeutic team in the intervention group. Additionally, quality of life and quality of sleep were assessed at baseline and 2 weeks later. Results A total of 392 TRPs were identified during the study period. The mean number of TRPs ± SD was 4.22 ± 2.58 per patient. The clinical pharmacist intervention led to a reduction in the mean number of TRPs at discharge by 2.2 ± 0.85 (p < 0.001) in comparison to the control group (by 0.23 ± 0.27, p = 0.066). After 2 weeks of admission, there was an improvement of physical health (p = 0.035) and of the overall sleep status (p = 0.048) in the intervention vs. control groups. Conclusion Clinical pharmacy services provided to patients with substance use disorder reduced the number of TRPs and improved other outcomes such as physical health and quality of sleep during detoxification. Long term studies with larger sample sizes are needed.

  • The effect of psychotropic medications and their combinations on the QTC interval among jordanian outpatients: A cross-sectional study
    Nailya Bulatova, , Noor Altaher, Radwan A. BaniMustafa, Akram Al-Saleh, Haya Yasin, Mohammad Zawiah, Hala M. Khalefah, Sara Younes, Ala'a Joul Al-Lahham,et al.

    AVES Publishing Co.
    Objective To investigate the effect of psychotropic drugs and their combinations on the QTc interval as well as the prevalence of long QTc (LQTc) among ambulatory patients with psychiatric illness in Jordan. Methods A cross-sectional study that included patients treated in an outpatient psychiatric clinic was conducted. The QTc duration was calculated using a combined QT correction (Bazett’s formula for heart rate 60–100 and the Framingham formula for extremes of HR). Results Among 307 patients, about 60% received multiple psychotropic drugs. The LQTc frequency was 1.2%. QTc interval prolongation was observed in patients receiving selective serotonin reuptake inhibitors (SSRIs) (P = .011), tricyclic antidepressants (TCAs) (P = .033), citalopram (P = .044), or psychotropic polytherapy (P = .005). The addition of SSRIs to second-generation antipsychotics (SGAs) also lengthened the QTc interval (P = .029). There was a correlation between the number of psychotropic medications and the QTc length (P = .018). All patients with LQTc carried at least one risk factor for it other than the use of psychotropic medication(s), 3 of 4 patients had a combination therapy, all patients were prescribed SSRIs, and 2 of them had comorbid conditions. Conclusion There is a high prevalence of psychotropic drugs polytherapy, and it is clearly associated with LQTc. Citalopram, SSRIs, and TCAs prolong QTc interval. It is recommended to assess non-pharmacological factors for LQTc and, if necessary, to obtain an electrocardiogram before starting patients on psychotropic drugs known to prolong the QTc interval.

  • Patterns of Substance Use among Patients in Addiction Rehabilitation in Jordan.
    Haya Yasin, Nailya Bulatova, and Mayyada Wazaify

    Informa UK Limited
    Abstract Background: This study aimed to identify pattern of substance use among patients at two public addiction rehabilitation centers in Amman. It provided a description of substance use career and assessment of addiction severity, quality of life and quality of sleep among participants. Methods: A quantitative cross-sectional study using a structured data collection form consisting of 4 parts: 1. General data including the demographic characteristics, medical history and career of drug abuse. 2. Severity of addiction using the severity of dependence scale (SDS). 3. Quality of life measured by the EQ-5D and 4. Quality of sleep measured by the insomnia severity index (ISI) scale. Results: A total of 93 patients from 2 treatment settings were recruited over 5 months. The total number of actively used substances was 196, with an average of 2 substances per patient. Alcohol and synthetic cannabinoids were the two most commonly used substances (39.8% and 38.7% respectively) followed by benzodiazepines (33.4%). A notable drop in heroin use was observed (5.4%, 5 out of 23 opioid user) compared to the years 2007-2009. The mean SDS score among patients was 11.43 (SD ± 3.48) indicating high dependence. Sleep problems were reported by 45% of patients. Data showed a significant role of community pharmacies in supplying drugs of abuse for users. Conclusion: Pattern of substance use changed significantly in Jordan with synthetic cannabinoids being of the top substances used and heroin use dropping. Actions should be taken to reframe the legalization of dispensing certain drugs by pharmacists without a prescription.

  • Patterns and perceived efficacy of herbal medicine for weight loss and maintenance: A cross-sectional survey from Jordan
    Amal Akour, Violet Kasabri, Nailya Bulatova, Suha Al Muhaissen, Ruba Al Tarawneh, Bayan Al-Anati, and Noor Alhourani

    Elsevier BV

  • A pre-post study of vitamin d supplement effects on urinary megalin: The emerging predictive role of megalin in diabetic nephropathy progression
    Violet Kasabri, Amal Akour, Nailya Bulatova, Maysa Suyagh, Al Motassem Yousef, Hussein Al Hawari, Sameeha Al Shelleh, Jameel Bzour, and Hiba Fahmawi

    Bentham Science Publishers Ltd.
    Introduction: Megalin is a renal proximal tubular protein that reabsorbs vitamin D from glomerular filtrates. Previous studies found significantly higher levels of urinary megalin in chronic microvascular complications of diabetes with associated metabolic derangements. This study aimed at testing the effect of vitamin D supplements on urinary megalin levels in diabetic nephropathy (DN) patients with vitamin D hypovitaminosis. Methods: Sixty-three participants with vitamin D deficiency and diabetic nephropathy (DN) were enrolled in the pre-post study; urinary megalin levels with various clinical parameters and serum levels of vitamin D3 were measured and compared to the baseline at 3- and 6-month intervals. Results: Interestingly, a supplementation related increase in serum vitamin D3 levels at 3- and 6- month interventions affected a constellation of ameliorations in the DN progression of clinical and metabolic factors. There was a decrease in ACR with a concomitant decrease in urinary megalin and a decrease in blood pressure, fasting plasma glucose (FPG), and low-density lipoprotein – cholesterol (LDL-C) – but an increase in glomerular filtration rate (GFR). Principally, pellet urinary megalin associated positively (p &lt; 0.05) with vitamin D hypovitaminosis and the albumin-to-creatinine ratio (ACR) but negatively (p &lt; 0.05) with Ca2+ and body mass index (BMI). Conclusion: Vitamin D supplementation could elucidate underlying pathophysiological mechanisms and a prognostic significance of urinary megalin association with DN, obesity/MetS-related dyslipidemia, and hyperglycemia modification. Megalin is a putative sensitive and precise predictive marker and an emerging therapeutic target of renal anomalies.

  • Assessment of inappropriate medication use in Jordanian elderly hospitalized patients using 2015 beers criteria
    Nailya BULATOVA, Eman ELAYEH, Shayma ABDULLAH, and Lana HALASEH

    The Turkish Journal of Geriatrics
    Introduction: Inappropriate prescribing in the elderly is associated with poor clinical outcomes. Using 2015 Beers criteria update, we aimed to evaluate the prevalence of inappropriate medication prescribing among elderly non-critically ill inpatients and to identify factors associated with inappropriate prescribing. Materials and Method: This cross-sectional study included patients aged 65 years and over admitted to the internal medicine and surgical wards. Using 2015 Beers criteria, we assessed potentially inappropriate medication prescribing, both prior to admission and during the hospital stay. Binary logistic regression analysis was used to assess the predictors of PIM. Results: Among 351 patients, the use of at least one PIM was identified in 29.3% of cases prior to admission, 98% of which continued to receive PIMs during the hospital stay. Additionally, at least one potentially inappropriate medication was identified in 47.2% of patients during the hospital stay. The most common PIMs prior to admission were proton pump inhibitors (26.2%), followed by alpha blockers (5.1%) and digoxin (4%). Proton pump inhibitors were also the most common PIMs in the hospital (42.5%), followed by alpha blockers (4.8%) and metoclopramide (4.3%). According to the binary logistic regression analysis, factors that significantly affected PIM prescription in the hospital were the number of drugs prescribed in the hospital (odds ratio 1.222, P=0.001) and medical ward admission (odds ratio 1.686, P=0.035). Conclusion: There is an alarmingly high prevalence of PIM use among Jordanian elderly patients, with polypharmacy being its major factor.

  • Urinary megalin in association with progression factors of diabetic nephropathy
    A. Akour, V. Kasabri, N. Bulatova, Y. Al-Motassem, H. Fahmawi, M. Momani, A. Zayed, R. Alquoqa, and H. AlHawari

    AEPress, s.r.o.
    AIM The aim of this study is to evaluate the association between urinary megalin, renal function, blood pressure, lipid profile, vitamin D and glycemic control in patients with type 2 diabetes mellitus (T2DM). METHODS . This was a cross-sectional study which recruited 209 patients with T2DM. Urinary megalin was positively associated with systolic blood pressure (SBP) (r=0.218, p=0.04) but negatively with glomerular filtration rate (GFR) (r=-0.16, p=0.023). The levels of urinary albumin, triglycerides (TGs) and glycosylated hemoglobin (HbA1c) were higher in the "high-megalin" group, compared to those in "low-megalin" group. Moreover, there was a significant inverse association between vitamin D3 levels and megalin levels in urine (OR=0.281, p=0.047). CONCLUSION Our study showed for the first time that megalin is associated with progression factors of diabetic nephropathy as well as vitamin D deficiency (Tab. 3, Fig. 1, Ref. 15).

  • Correlations of oxytocin, fibroblast growth factor-21 and hepatocyte growth factor in diabetic and non-diabetic metabolic syndrome patients: Acase- control study from Jordan

  • The effect of an innovative psychiatry clerkship on pharmacy students perceptions towards mental health and stigma: A pilot intervention study from Jordan

  • Correlates of ghrelin and visfatin in metabolic syndrome patients with and without prediabetes
    Heba Salah Abushahla, Nailya Bulatova, Violet Kasabri, and Randa Naffa

    Springer Science and Business Media LLC

  • Correlates of zinc finger BED domain-containing protein 3 and ghrelin in metabolic syndrome patients with and without prediabetes
    Rawan AbuZayed, Nailya Bulatova, Violet Kasabri, Maysa Suyagh, Lana Halaseh, and Sundus AlAlawi

    Walter de Gruyter GmbH
    Abstract Background Ghrelin and zinc finger BED domain-containing protein 3 (ZBED3) are distinctively cross linked with prediabetes (preDM) and metabolic syndrome (MetS). Materials and methods In a cross-sectional design with 29 normoglycemic MetS and 30 newly diagnosed drug naïve preDM/MetS patients vs. 29 lean and normoglycemic controls; ghrelin and ZBED3 were evaluated using colorimetric enzymatic assays. Results While ZBED3 mean circulating levels (ng/mL) in both MetS groups (normoglycemic and preDM) invariably lacked discrepancy vs. controls; Appreciably ghrelin levels (ng/mL) in preDM/MetS (but not normoglycemic MetS) participants were markedly higher vs. controls. Except for fasting plasma glucose (FPG) and glycosylated-hemoglobin (HbA1C); no further intergroup discrepancy could be identified between the MetS arms. Remarkably adiposity indices (body mass index (BMI), body adiposity index (BAI), and lipid accumulation product (LAP), but not conicity index (CI) or visceral adiposity index (VAI)); atherogenicity index of plasma (but not non-high-density lipoprotein-cholesterol (non-HDL-C/HDL-C) ratio, or total cholesterol (TC)/HDL-C ratio) or any of hematological indices (red cell distribution width (RDW-CV%), monocyte to lymphocyte ratio (MLR), neutrophil to lymphocyte ratio (NLR) and platelet (PLT) to lymphocyte ratio (PLR)) were substantially higher in both MetS (non- and preDM) groups vs. those of controls. Exceptionally low-density lipoprotein -cholesterol (LDL-C)/HDL-C ratio, and waist circumference (WC)/hip circumference (HC) ratio were much more pronounced in MetS-preDM vs. normoglycemic MetS recruits. In the MetS pool (both normoglycemic and preDM, n = 58), neither biomarker could relate to each other, or any of clinical parameters, adiposity or atherogenecity indices. Exceptionally ghrelin correlated significantly and inversely with age. ZBED3 correlated significantly and directly with RDW-CV% in the same pool of MetS recruits (n = 59). Conclusions Both biomarkers can not be ruled out as putative predictive/surrogate prognostic tools for metabolic anomalies prevention and pharmacotherapy.

  • Glycated LDL-C and glycated HDL-C in association with adiposity, blood and atherogenicity indices in metabolic syndrome patients with and without prediabetes
    Rawan Mohammad Al Saudi, Violet Kasabri, Randa Naffa, Nailya Bulatova, and Yasser Bustanji

    SAGE Publications
    Background: The aim of the study was to compare and correlate glycated high-density lipoprotein (GHDL-C) and glycated low-density lipoprotein (GLDL-C) plasma levels with adiposity indices [weight/hip ratio (WHR) and body adiposity index (BAI)], lipid ratios and hematological indices [platelet/lymphocyte ratio (PLR), monocyte/lymphocyte ratio (MLR)]. Methods: This was a cross-sectional study of 30 nondiabetic metabolic syndrome (MetS) patients, 30 prediabetic or type 2 diabetes mellitus (T2DM) patients and 30 normoglycemic controls. Results: Remarkably both GHDL-C and GLDL-C levels lacked any intergroup statistically significant discrepancy in either MetS or MetS-pre/T2DM versus control ( p &gt; 0.05). Unlike GLDL-C/LDL-C ratios for either MetS groups; there were highly significant intergroup differences in the means of GHDL-C/HDL-C ratios when comparing both nondiabetic MetS and MetS-pre/T2DM groups versus controls ( p = 0.001). In MetS patients; GHDL-C and GLDL-C proportionally correlated with WHR ( p &lt; 0.05). Also, MetS GHDL-C correlated inversely with MLR and monocytes ( p &lt; 0.05). In MetS-pre/T2DM; GLDL-C directly correlated with BAI, platelet count and PLR ( p &lt; 0.05). Conclusion: GLDL-C and GHDL-C are dysfunctional glucolipotoxicity lipoproteins and may present putatively surrogate biomarkers for prediction/prevention of metabolic disturbances.


  • Correlation of Plasma and Salivary Osteocalcin Levels with Nascent Metabolic Syndrome Components with and Without Pre/Diabetes Biochemical Parameters
    N Bulatova, VN Kasabri, AM Albsoul, L Halaseh, M Suyagh
    Pharmacy Practice (Granada) 22 (1), 2 2024

  • Differential changes in maternal proinflammatory IL6 plasma levels as a putatively surrogate marker of candidacy and clinical utility during mid-and late pregnancy
    A Albsoul, N Bulatova, V Kasabri, R AlQuoqa, N Khawaja, D Hyassat, ...
    Pharmacy Practice (Granada) 22 (1), 3 2024

  • Alteration in the expression of the chemotherapy resistance‑related genes in response to chronic and acute hypoxia in pancreatic cancer
    M Zihlif, T Hameduh, N Bulatova, H Hammad
    Biomedical Reports 19 (6), 1-9 2023

  • Plasma carnitine, choline, γ-butyrobetaine, and trimethylamine-N-oxide, but not zonulin, are reduced in overweight/obese patients with pre/diabetes or impaired glycemia
    A Snouper, V Kasabri, N Bulatova, M Suyagh, M Sadder, K Shnewer, ...
    International Journal of Diabetes in Developing Countries 43 (4), 592-605 2023

  • A cross-sectional study of the catalase genetic polymorphism (-262 cytosine/thymine) and blood catalase activity among Jordanian vitiligo patients
    E Alhawamdeh, NR Bulatova, FY Al Motassem, MA AlAbbadi, EA Omer
    Jordan Journal of Pharmaceutical Sciences, 330-344 2023

  • The Clinical Utility of salivary oxytocin as a putatively surrogate early Risk Identification biomarker of nascent Metabolic Syndrome with and without prediabetes
    NR Bulatova, VN Kasabri, AM Albsoul, L Halaseh, M Suyagh

  • The effect of antipsychotics and their combinations with other psychotropic drugs on electrocardiogram intervals other than QTc among Jordanian adult outpatients
    N Bulatova, N Altaher, R BaniMustafa, A Al-Saleh, H Yasin, M Zawiah, ...
    Biomedicines 11 (1), 13 2022

  • Use of traditional and complementary medicine for COVID 19 prophylaxis among healthcare professionals and students in Jordan: A cross-sectional study
    N Bulatova, S Younes, M Arabiyat, A Abukaff, S Madanat, E Alqudah, ...
    Plos one 17 (10), e0276015 2022

  • Identification of Insulin Resistance Biomarkers in Metabolic Syndrome Detected by UHPLC-ESI-QTOF-MS
    LO Alsoud, NC Soares, HM Al-Hroub, M Mousa, V Kasabri, N Bulatova, ...
    Metabolites 12 (6), 508 2022

  • Serotonin reuptake inhibitors effect on fluconazole activity against resistant Candida glabrata strains
    BA Alkhalifa, NR Bulatova, RM Darwish
    Journal of Global Antimicrobial Resistance 29, 49-54 2022

  • Painful subacute thyroiditis occurring after the administration of influenza vaccine and hyaluronic acid dermal filler: a case report
    NR Bulatova, AA Zayed, UQ Hijjawi, SG Sharkas, FG Bakri
    Medicine 101 (11), e29120 2022

  • School of Pharmacy
    NR Bulatova
    The University of Jordan 2022

  • Silver nanoparticles, a promising treatment against clinically important fluconazole‐resistant Candida glabrata
    RM Darwish, MY AlKawareek, NR Bulatova, AM Alkilany
    Letters in Applied Microbiology 73 (6), 718-724 2021

  • Characterization of staphylococci sampled from diabetic foot ulcer of Jordanian patients
    AG Al‐Bakri, NR Bulatova, NA Younes, G Othman, D Jaber, N Schleimer, ...
    Journal of Applied Microbiology 131 (5), 2552-2566 2021

  • Pharmaceutical care in the treatment of substance use disorders in Jordan: a randomized controlled trial
    H Yasin, N Bulatova, M Wazaify
    Substance Use & Misuse 56 (12), 1846-1859 2021

  • The effect of psychotropic medications and their combinations on the QTc interval among Jordanian outpatients: a cross-sectional study
    N Bulatova, N Altaher, RA BaniMustafa, A Al-Saleh, H Yasin, M Zawiah, ...
    Alpha Psychiatry 22 (4), 177 2021

  • Insulin resistance and levels of cardiovascular biomarkers in night-shift workers
    A Akour, RA Farha, E Alefishat, V Kasabri, N Bulatova
    Atherosclerosis 315, e117-e118 2020

  • A Pre-Post Study of Vitamin D Supplement Effects on Urinary Megalin: The Emerging Predictive Role of Megalin in Diabetic Nephropathy Progression
    V Kasabri, A Akour, N Bulatova, M Suyagh, AM Yousef, H Al Hawari, ...
    Endocrine, Metabolic & Immune Disorders-Drug Targets (Formerly Current Drug 2020

  • Patterns of Substance Use among Patients in Addiction Rehabilitation in Jordan.
    H Yasin, N Bulatova, M Wazaify
    Substance Use & Misuse 55 (7), 1035-1044 2020

  • Patterns and perceived efficacy of herbal medicine for weight loss and maintenance: a cross-sectional survey from Jordan
    A Akour, V Kasabri, N Bulatova, S Al Muhaissen, R Al Tarawneh, ...
    European Journal of Integrative Medicine 35, 101086 2020


  • Validation of a comprehensive classification tool for treatment-related problems
    SM AbuRuz, NR Bulatova, AM Yousef
    Pharmacy World and Science 28, 222-232 2006
    Citations: 114

  • The validity and reliability of the Arabic version of the EQ-5D: a study from Jordan
    S Aburuz, N Bulatova, M Twalbeh, M Gazawi
    Annals of Saudi medicine 29 (4), 304-308 2009
    Citations: 83

  • Comprehensive assessment of treatment related problems in hospitalized medicine patients in Jordan
    SM AbuRuz, NR Bulatova, AMM Yousef, MA Al-Ghazawi, IA Alawwa, ...
    International journal of clinical pharmacy 33, 501-511 2011
    Citations: 78

  • Allele and genotype frequencies of the polymorphic cytochrome P450 genes (CYP1A1, CYP3A4, CYP3A5, CYP2C9 and CYP2C19) in the Jordanian population
    AM Yousef, NR Bulatova, W Newman, N Hakooz, S Ismail, H Qusa, ...
    Molecular biology reports 39, 9423-9433 2012
    Citations: 67

  • The use of medicinal herbs in gynecological and pregnancy-related disorders by Jordanian women: a review of folkloric practice vs. evidence-based pharmacology
    A Akour, V Kasabri, FU Afifi, N Bulatova
    Pharmaceutical biology 54 (9), 1901-1918 2016
    Citations: 62

  • Smoking behaviour modulates pharmacokinetics of orally administered clopidogrel
    AM Yousef, T Arafat, NR Bulatova, R Al‐Zumyli
    Journal of clinical pharmacy and therapeutics 33 (4), 439-449 2008
    Citations: 61

  • Treatment related problems for outpatients with chronic diseases in Jordan: the value of home medication reviews
    IA Basheti, EA Qunaibi, NR Bulatova, S Samara, S AbuRuz
    International journal of clinical pharmacy 35, 92-100 2013
    Citations: 51

  • Home medication management review in outpatients with chronic diseases in Jordan: a randomized control trial
    IA Basheti, RA Al-Qudah, NM Obeidat, NR Bulatova
    International journal of clinical pharmacy 38, 404-413 2016
    Citations: 50

  • Associations between patient factors and medication adherence: a Jordanian experience
    IA Basheti, SS El Hait, EA Qunaibi, S Aburuz, N Bulatova
    Pharmacy Practice (Granada) 14 (1), 0-0 2016
    Citations: 48

  • Skin prick test reactivity to aeroallergens in Jordanian allergic rhinitis patients
    S Aburuz, N Bulatova, M Tawalbeh
    East Mediterr Health J 17 (7), 604-610 2011
    Citations: 42

  • Adverse effects of tacrolimus in renal transplant patients from living donors
    N Bulatova, AM Yousef, G Al-Khayyat, H Qosa
    Current drug safety 6 (1), 3-11 2011
    Citations: 33

  • Patient perspectives of the role of the community pharmacist in the Middle East: Jordan, United Arab Emirates and Iraq
    IA Basheti, EA Qunaibi, SA Hamadi, E Abu-Gharbieh, S Saleh, S AbuRuz, ...
    Pharmacology & Pharmacy 5 (06), 588 2014
    Citations: 31

  • The correlation between plasma levels of oxytocin and betatrophin in non-diabetic and diabetic metabolic syndrome patients: A cross sectional study from Jordan
    A Al-Rawashdeh, V Kasabri, N Bulatova, A Akour, A Zayed, M Momani, ...
    Diabetes & Metabolic Syndrome: Clinical Research & Reviews 11 (1), 59-67 2017
    Citations: 30

  • Association of oxytocin with glucose intolerance and inflammation biomarkers in metabolic syndrome patients with and without prediabetes
    A Akour, V Kasabri, N Bulatova, S Al Muhaissen, R Naffa, H Fahmawi, ...
    The review of diabetic studies: RDS 14 (4), 364 2017
    Citations: 28

  • Influence of genotype and haplotype of MDR1 (C3435T, G2677A/T, C1236T) on the incidence of breast cancer-a case-control study in Jordan
    MA Ali, AMF Yousef, NN El-Madany, R Nailya, NMA Bulatova, MA Yousef, ...
    Asian pacific journal of cancer prevention 17 (1), 261-266 2016
    Citations: 28

  • Effect of Chemosensitizers on Minimum Inhibitory Concentrations of Fluconazole in Candida albicans
    NR Bulatova, RM Darwish
    Medical Principles and Practice 17 (2), 117-121 2008
    Citations: 27

  • Knowledge, attitude and opinion of drug misuse and abuse by pharmacy students: a cross-sectional study in Jordan
    D Jaber, N Bulatova, M Suyagh, AM Yousef, M Wazaify
    Tropical Journal of Pharmaceutical Research 14 (8), 1501-1508 2015
    Citations: 26

  • Stroke awareness in the general population: a study from Jordan
    SS Madae’en, NR Bulatova, A Al-Qhewii, LH Sakran, HH El-Zayyat, ...
    Tropical Journal of Pharmaceutical Research 12 (6), 1071-1076 2013
    Citations: 25

  • Expectations and experiences of physicians regarding pharmaceutical care and the expanding role of pharmacists in Jordan
    SM AbuRuz, MA Al-Ghazawi, N Bulatova, AS Jarab, IA Alawwa, ...
    Jordan J Pharm Sci 5 (1), 74-85 2012
    Citations: 25

  • Glycated LDL-C and glycated HDL-C in association with adiposity, blood and atherogenicity indices in metabolic syndrome patients with and without prediabetes
    RM Al Saudi, V Kasabri, R Naffa, N Bulatova, Y Bustanji
    Therapeutic Advances in Endocrinology and Metabolism 9 (10), 311-323 2018
    Citations: 19