Allergy & Immunology
A Comprehensive Review on the Antimicrobial Activities and Structure-Activity Relationships (SARs) of Rhodanine Analogues
Rhodanines are five-member heterocyclics having sulfur nitrogen and oxygen atoms in their ring structure and exhibit potent as well as a broad range of pharmacological activities. They are thiazolidine derivatives and are well-known in medicinal chemistry for their wide spectrum of antimicrobial activities. Various modifications can be made to the structure of the rhodanine ring. Studies in recent years have validated the possibility of the potential of rhodanine derivatives to exhibit antimicrobial activity against both Gram-positive and Gram-negative bacterial strains as well as mycobacterial and fungal strains. In this review the synthesis biological activity and Structure-activity Relationships (SARs) of molecules based on rhodanine against different microbes have been described
In-silico Screening of Natural Compound Library against COVID-19 Main Protease
To perform in-silico screening of the natural phytoconstituents against COVID-19 main protease.
COVID-19 is an atypical virus that is universal around the globe. WHO (World Health Organization) has also affirmed the emergency public health concerns regarding COVID-19. As COVID-19 spreads globally within a shorter duration there is a great demand for effective therapy with minimal side effects.
To perform SP and XP docking of the naturally obtained ligand Quercetin (flavonoid) based on HTVS.
To identify the effectiveness of natural phytoconstituents for COVID-19 main protease virus.
In the present study natural ligands were used for performing the virtual screening which was obtained from Prestwick Phytochemical Library by applying hierarchal screening. Several docking protocols such as SP and XP are used to screen the best natural hit compounds. The three best-hit compounds and hydroxychloroquine were further studied for SAR analysis. Moreover the ADME study by QikProp and the identification of biological sources were carried out by Duke's Phytochemical and Ethnobotanical Databases.
The results suggest that Quercetin showed good binding affinity towards 6LU7 (-56.689 kcal/mol) which could be an effective natural phytoconstituent for COVID-19.
Based on HTVS SP and XP docking the naturally obtained ligand Quercetin (a flavonoid) can be used in place of Hydroxychloroquine against COVID-19's main protease virus. This scientific exploration will help to identify the effective natural compound for the COVID-19 main protease virus.
Herbal Antibiotics: A Review of Traditional Medicinal Plants with Antibacterial Properties and Their Potential for Future Treatment
The active ingredient in medicinal herbs has a considerable therapeutic impact. Historically medicinal plants have been critical in helping people recover from unfavorable microbial infection-related illnesses. Therefore we can use these plants as raw materials to make antibiotics.
To summarize several traditional herbs have antibacterial properties and their use as a therapy option offers a successful treatment approach.
A detailed study of literature was started by looking through many data sets from the Herbalist Library and well-known scientific databases like the Cochrane Library PubMed ScienceDirect Web of Science and Google Scholar. Literature focusing on herbs having antibiotic potential specifically in the English language from the years 1980 to 2023 was considered to be included in this review.
In this review article all the natural herbal antibiotics are summarised with their pharmacological effects as well as the active components responsible for their biological role. The current analysis provides thorough information on many medicinal plants examined over the last few decades in order to investigate possible herbal antibiotics for future treatment.
The Frequency of Aminoglycoside and Vancomycin-resistant Genes in Enterococci Isolated from Chicken Meat in Qom City, Iran
Considering the emergence of antibiotic resistance in enterococci and the possibility of transmission of resistant strains to humans their spread in natural reservoirs is of particular importance. The food chain is known as a source of enterococci that is resistant to antimicrobial agents and these bacteria are present in foods of animal origin such as meat and milk. Hence the purpose of this study was to investigate the frequency of aminoglycoside- and vancomycin-resistant genes in Enterococcus spp isolates isolated from chicken meat in Qom City Iran.
After collecting and culturing 200 chicken meat samples from September 2021 to August 2022 enterococci were isolated and identified using biochemical and microbial standard tests. Antibiotic sensitivity and resistance of the isolates aph(2”)1c ، aph(2”)1b ، aph(2”)1d ، ant(3') ، aph(3')IIIa ، ant(4')1a، ant(6') و aac(6') vanA and vanB genes were determined.
From 200 chicken meat samples 40(40%) isolates of Enterococcus faecalis and 60 (60%) isolates of Enterococcus faecium were isolated. Resistance to gentamicin tobramycin amikacin neomycin tetracycline chloramphenicol vancomycin and ampicillin were 33 30 33 20 69 38 28 and 45 respectively. Frequency of aph(2”)1c aph(2”)1b aph(2”)1d ant(3') aph(3')IIIa ant(4')1a ant(6') and aac (6') vanA and vanB were reported to be 13% 2% 3% 45% 20% 7% 19% 21% 7% and 6% respectively.
To reduce the infection with this organism and to prevent and control its spread and mortality investigating the epidemiology and determining the frequency of resistance to aminoglycosides are important.
Insight into the Potential Antiviral Properties of the Genus Clerodendrum: Bioactive compounds with Mechanism of Action
Antiviral compounds from plant origin have been the focus of researchers throughout the world for a long time as the potential alternative to classical antiviral therapies. The search for antiviral phytochemicals comes into the limelight amidst the recent COVID-19 pandemic. This tremendous surge in the hunt for effective and alternative treatment from the plant source is mainly due to the toxicity and inadequate responses of synthetic antiviral drugs to resistant viral strains.
A comprehensive literature survey on the antiviral activity of bioactive compounds from the genus Clerodendrum was conducted using known and widely acknowledged scientific databases.
This in-depth review is prepared to shed light on the promising effect of the bioactive phytochemicals isolated from different Clerodendrum spp. against some of the most pathogenically relevant viruses such as Severe Acute Respiratory Syndrome-Corona Virus-2 (SARS-CoV-2) Human Immunodeficiency Virus (HIV) Influenza Virus Hepatitis C Virus (HCV) Herpes Simplex Virus (HSV) Japanese Encephalitis Virus (JEV) Dengue Virus (DENV) and Chikungunya Virus (CHIKV). Bioactive compounds such as ursolic acid sugiol and quercetin are reported to prevent virus-host cell adhesion. Harpagide is found to reduce intracellular Ca2+ and mitochondrial stress in infected cells preventing viral infection. Researchers reported the efficacy of β-sitosterol in inhibiting immune responses via RIG-I signalling and IFN production. Rengyolone is found to mitigate viral infection by preventing acute inflammation. Betulinic acid tricin and oleanolic acid are found to prevent IAV and HIV replication. Evidence has also suggested the possible action of kaempferol acacetin and apigenin to inhibit mRNA and protein production in virus-infected cells.
Future research should be oriented towards the isolation and quantitation of these bioactive compounds from Clerodendrum spp. along with their efficacy both in vitro and in vivo prior to their clinical applications in combating a variety of viral infections.
From Plants to Pills: Malaria Treatment Advancements in India
Since 2019 the world's primary focus has been shifted towards the new virus i.e. coronavirus. So on a priority basis the global interest shifts increasingly to fighting a battle against this pandemic but what about other infectious diseases like malaria? In regions with limited resources (Sub-Saharan Africa South Asia and Southeast Asia) malaria remains a significant health threat transmitted by mosquitoes and caused by the Plasmodium parasite. Approximately 608000 deaths were associated with malaria in 2022 according to the World Health Organization (WHO). The severity of malaria depends upon the various stages of the malarial parasite life cycle (Transmission to humans Exoerythrocytic Stage Erythrocytic Stage and Gametocyte Stage). Symptoms that appear within 7-10 days after a mosquito bite include discomfort fever chills nausea vomiting diarrhea and muscle pain. Today to make and confirm the diagnosis of malaria a variety of direct and indirect methods are used which take us towards the early identification and prevention of disease. Healthy collaborations between pharmacological and non-pharmacological fields are essential to developing malaria therapeutic strategies with artificial intelligence also playing a supportive role. Meanwhile WHO launched Global Technical Strategy 2016-2030 for Malaria eradication which serves as a crucial framework guiding efforts to control and eliminate the disease. This study targets the historical roots of malaria pathophysiological grounds advancements in diagnostics and new treatment regimens and adherence to government guidelines. Additionally it also focuses on the scenario of India for the upliftment of Malaria Eradication Programme.
In silico Screening of Plectranthus amboinicus and Hyptis suaveolens Phytochemicals: Novel Repellents Targeting Odorant Binding Proteins of Aedes aegypti and Aedes albopictus
Mosquitoes significantly threaten public health transmitting dangerous diseases to humans and animals. Conventional insecticide spraying while common has limitations in effectively controlling vector-borne diseases. Many chemical pesticides harm humans and animals and some persist in the environment and cause toxic effects. Recently there has been renewed interest in plant-based products due to concerns about insecticide resistance cross-resistance potential toxicity associated with synthetic options and rising costs. Therefore this study aimed to screen the Plectranthus amboinicus and Hyptis suaveolens phytochemicals targeting the odorant binding proteins (OBPs) of Aedes aegypti and Aedes albopictus.
In this study we conducted molecular docking analyses using specific plant-derived compounds from H. suaveolens and P. amboinicus.
We focused on the interaction of these compounds with OBPs from dengue and chikungunya vectors (Aedes aegypti and Aedes albopictus). The selected phytochemical compounds exhibited strong binding with the OBP of both Ae. aegypti and Ae. albopictus. Tetrahydrofuran-2-carboxylic acid Carvacryl acetate and Brallobarbital showed high binding affinity and significant interaction with Ae. aegypti. Tetrahydrofuran-2-carboxylic acid and 3-Methyl-4-isopropylphenol also demonstrated substantial binding affinity and effective interaction with Ae. albopictus OBP.
These findings suggest that the identified compounds can potentially disrupt the attraction of mosquitoes to humans thus reducing human-vector contact. They may offer a promising alternative for developing natural and efficient mosquito repellents surpassing currently used synthetic options like N N-diethyl-meta-toluamide and other conventional repellents.
Chemical Composition and Antiparasitic Effects of Prangos ferulacea (L.) Lindl., Essential Oil against Echinococcus granulosus Protoscoleces
Hydatidosis is an infectious disease that occurs in the larval stage of Echinococcus granulosus. Benzimidazoles are the only official and approved drugs for treatment but their effectiveness varies among patients. Therefore safe discoveries are needed for new and safe herbal medicines and supplements to improve the treatment of this disease. The current research was carried out to investigate the chemical composition of the plant essential oil and its protoscolicidal effects on hydatid cyst protoscolex in laboratory conditions.
Gas chromatography/mass spectrometry (GC/MS) analysis was performed to identify the chemical composition of the essential oil EO(s). Hydatid cyst protoscoleces were collected from infected sheep's liver and then treated with concentrations of EO(s) (0.625 1.25 2.5 5 and 10 mg/mL) for 3 5 10 15 and 30 minutes in laboratory conditions. Then using eosin dye the viability of protoscolexes was examined.
According to GC/MS analyses the main components of the EO(s) were β-Pinene (27.01%) (+)-3-Carene (24.87%) α-Pinene (18.34%) and Sabinene (17.69%) respectively. The killing effects of 5 and 10 minutes of exposure to 2.5 mg/ml of this essential oil were 100% lethal. Statistical results showed that the best time was 5 minutes with a concentration of 5 mg/mL as the lowest concentration and the shortest incubation time (P<0.05).
Our findings show the strong protoscolide effects of P. ferulacea plant essential oil in vitro. However more studies are needed to assess the safety and efficacy of this plant as a promising anti-inflammatory agent in vivo and clinical studies.
Synthesis, Characterization, Molecular Docking, and Molecular Dynamics Studies of Schiff Bases of 2-Phenoxy-1-Phenyl-Ethanone as Antibacterial Agents
The development of antimicrobial resistance and reduced discovery and commercialization of newer antibiotics point to the need for the discovery of novel antibacterial agents. Schiff bases are reported to possess a broad range of pharmacological activities which also include antibacterial activity. With this background novel Schiff bases were synthesized.
The present study aimed to synthesize novel Schiff bases of 2-phenoxy-1-phenyl-ethanone with aryl amines and evaluate their antibacterial activity.
The desired Schiff bases were synthesized by condensing various aryl amines with 2-bromo-1-phenylethanone and characterized by physicochemical and spectral methods. The antibacterial activity of the synthesized Schiff bases was determined by the cup diffusion method. Molecular docking with Staphylococcus aureus tyrosyl-t-RNA synthetase (Protein Data Bank ID: 1JIJ) was performed using Autodock. Molecular dynamics simulation studies were performed using GROMACS. ADME analysis and drug-likeliness of the synthesized compounds were predicted using SwissADME. Protein-ligand interactions were studied using BIOVIA Discovery Studio Visualizer.
Out of the synthesized compounds two compounds sb_04 and sb_05 exhibited fair antibacterial activity. The compounds sb_04 and sb_05 exhibited better binding energy values than the original ligand of the target enzyme and comparable binding energy with ampicillin. The Autodock program estimated the binding free energy and inhibition constant values of compound sb_05 as -9.18 kcal/mol and 187.33 nM and for the compound sb_04 as -8.82 kcal/mol and 341.59 nM respectively. The RMSD values of the compound sb_04 were stable throughout the duration of the simulation; however the compound sb_05 showed lesser stability in the docked complex. Interestingly the compound sb_05 (-182.754 kJ/mol) exhibited stable interaction with a lower value of total interaction energy than sb_04 (-136.304 kJ/mol). The synthesized Schiff bases showed no violation of Lipinski’s rule of five and a bioavailability score in the range of 55% to 85%.
The synthesized Schiff bases present a scaffold for the development of novel antibacterial agents in particular the compounds sb_04 and sb_05.
Evaluation of the Antioxidant and Antimicrobial Properties of Hydrosol Extract and Essential oil Derived from the Aerial Parts of Salvia argentea
The increasing use of synthetic antimicrobials and antioxidants is a concern for human health.
The main objective of this study was to examine the chemical composition of the Essential oil extracted from Salvia argentea and its hydrosol extract while evaluating their antioxidant and antimicrobial effects in vitro.
The Essential oil was obtained by hydrodistillation while the hydrosol extract was obtained by the liquid-liquid extraction method. The volatile compounds of the Essential oil and hydrosol extract were analysed by gas chromatography (GC/FID) and gas chromatography coupled with mass spectrometry (GC/MS). Antioxidant activities were evaluated using two methods: free radical scavenging activity (DPPH) and iron reduction antioxidant power (FRAP) with BHT used as a positive control. The antimicrobial activity of the Essential oil and hydrosol extract was evaluated using the agar disc diffusion method.
According to the GC/FID and GC/MS analysis the Essential oil of S. argentea consisted mainly of germacrene D-4-ol (26.3%) epi-α-muurolol (19.2%) and epi-α-cadinol (10.2%). In contrast the hydrosol extract consisted of oxygenated compounds including (E)-phytol (23.5%) 14-hydroxy-δ-cadine (17.5%) caryophyllene oxide (11.5%) piperitone (13.5%) and piperitone oxide (11.5%). The Essential oil and hydrosol extract showed positive antioxidant activity with both tests. It should be noted that the hydrosol extract showed the best performance with an IC50 of 8.3 g/L with the DPPH and an IC50 of 12.3 g/L with the FRAP test compared to the BHT. The Essential oil revealed antimicrobial activity with strong inhibition against Escherichia coli Staphylococcus aureus Pseudomonas aeruginosa and Bacillus subtilis compared to Gentamicin.
The results showed that Essential oil and hydrosol extract have promising antimicrobial and antioxidant properties. These findings provide encouraging prospects for their potential use in the pharmaceutical or cosmetic sectors.
An Overview of the Pharmacological and Phytochemical Characteristics of Betula utilis
Betula utilis commonly known as the Himalayan Birch or Bhojpatra has been used for centuries in Traditional Chinese Medicine (TCM) for its diverse pharmacological and phytochemical properties. This overview delves into the rich history and therapeutic applications of Betula utilis from a TCM perspective. It discusses its role in promoting health and addressing various ailments drawing on the wisdom of traditional Chinese herbal medicine. Furthermore this abstract provides insights into the phytochemical constituents of Betula utilis shedding light on the active compounds responsible for its medicinal benefits.
Information regarding the different species within the Betula genus was gathered through electronic searches utilizing platforms such as Pubmed SciFinder Scirus Google Scholar JCCC@INSTIRC and Web of Science. Additionally a library search was conducted to locate articles published in peer-reviewed journals.
The bark of Betula utilis finds extensive usage in both Ayurveda and the Chinese system of medicine where it is employed to address a range of health issues and medical conditions. These include applications in wound healing skin sanitation bronchitis seizures leprosy blood disorders and ear-related ailments. Moreover the plant and its active components are frequently utilized for their anti-inflammatory liver-protective antimicrobial and anti-tumor properties. This comprehensive review aims to provide a thorough examination of the available literature concerning the pharmacological and chemical characteristics of Betula utilis.
Focus on Non-osteoporotic Post-menopausal Women with Asymptomatic Primary Hyperparathyroidism: A Monocentric Series
Primary Hyperparathyroidism (PHPT) is a common disease frequently diagnosed in post-menopausal women among whom Osteoporosis (OP) is a common finding. To date no study has specifically evaluated the asymptomatic PHPT (aPHPT) patients without OP in particular post-menopausal women who are exposed to an increased risk of developing OP.
This study involved a retrospective cross-sectional evaluation. From our database of 500 consecutive patients diagnosed with PHPT 178 post-menopausal aPHPT were retrieved.
The clinical biochemical and imaging data of the 85 patients without OP were not different from those of the 93 with OP except for bone alkaline phosphatase (significantly higher in the latter group). Among these 85 patients without OP the 45 patients meeting surgical criteria for parathyroidectomy had significantly higher values of serum PTH (240 vs. 99 ng/L p =0.03) and calcium (total 11.2 ± 0.7 vs. 10.6 ± 0.4 mg/dL p <0.001; ionized 1.45 ± 0.12 vs. 1.36 ± 0.8 mmol/L p =0.044) and lower values of serum phosphate (2.57 ± 0.7 vs. 2.94 ± 0.5 mg/dL p =0.009) and eGFR (68.5 ± 23.8 vs 80.8 ± 14.4 mL/min/1.73 m2 p =0.006) than the 40 aPHPT patients not meeting surgical criteria without any difference in densitometric data and calculated fracture risk.
In our series post-menopausal aPHPT patients without OP accounted for almost a sixth of the whole PHPT series. About half of these patients did not meet surgical criteria but their T scores and 10-year fracture risk calculated by FRAX were not significantly different from post-menopausal aPHPT without OP meeting surgical criteria.
Pregnancy in Autoimmune Hypophysitis: Management of a Rare Condition
Hypophysitis is an inflammatory disorder of the pituitary gland. It can manifest variously with endocrinological and neuro-ophthalmologic symptoms and signs due to the compression of sellar and parasellar structures.
Although hypophysitis is rare this pituitary disease can occur during pregnancy or in the postpartum period. In this report we describe the case of a woman with partial hypopituitarism secondary to autoimmune hypophysitis who five years after the diagnosis and the immunosuppressive treatment had an uneventful pregnancy and successfully delivered a healthy infant at term.
We reported the clinical history of the patient and the evolution of the disease and also reviewed the management and treatment of autoimmune hypophysitis during pregnancy.
Acceleration of Wound Healing in Diabetic Rats through a Novel 3D Organo-Hydrogel Nanocomposite of Polydopamine/TiO2 Nanoparticles and Cu (PDA-TiO2@Cu)
Diabetic wound represents a serious issue with a substantial impact and an exceptionally complex pathology affecting patients’ mental health and quality of life. So we have developed a novel 3D organo-hydrogel nanocomposite of polydopamine/TiO2 nanoparticles and cu (PDA-TiO2@Cu) and examined its efficacy in diabetic wound healing.
Forty-five adult male albino rats were divided into normal control rats (non-diabetic rats with non-treated skin wounds) diabetic control rats (diabetic rats with non-treated skin wounds) and organo-hydrogel-treated rats (diabetic wounds treated with topically applied organo-hydrogel once daily). Macroscopic changes of the wound were observed on days 0 3 5 7 and 10 to measure wound diameters. Skin specimens from the wound tissue were taken on days 3 7 and 10 respectively and examined histologically and immunohistochemically. Also the gene expressions of collagen I Matrix Metalloproteinase-9 (MMP-9) and Epidermal Growth Factor (EGF) and levels of Interleukin 6 (IL-6) and Superoxide Dismutase (SOD) were assessed.
Our observed results indicated that the developed patch significantly accelerated the healing time compared to the normal control and diabetic control groups. Moreover the patch-loaded group revealed complete re-epithelization and a highly significant increase in the mean area % of CD31 immunostaining on day 7. The organo-hydrogel-loaded group displayed a significant decrease in gene expression of MMP-9 and a significant increase in gene expression of EGF and collagen I. Additionally the organo-hydrogel-loaded group exhibited a significant decrease in levels of IL-6 and a significant increase in levels of SOD compared to the normal diabetic control groups.
The organo-hydrogel can be used for treating and decreasing the healing period of diabetic wounds.
The Therapeutic Target of IBD and the Mechanism of Dipyridamole in Treating IBD Explored by Geo Gene Chips, Network Pharmacology, and Molecular Docking
Inflammatory Bowel Disease (IBD) is a refractory disease with repeated attacks and there is no accurate treatment target at present. Dipyridamole a phosphodiesterase (PDE) inhibitor has been proven to be an effective treatment for IBD in a pilot study. This study explored the therapeutic target of IBD and the pharmacological mechanism of dipyridamole for the treatment of IBD.
The candidate targets of dipyridamole were obtained by searching the pharmMapper online server and Swiss Target Prediction Database. The IBD-related targets were selected from four GEO chips and three databases including Genecards DisGeNET and TTD database. A protein-protein interaction (PPI) network was constructed and the core targets were identified according to the topological structure. KEGG and GO enrichment analysis and BioGPS location were performed. Finally molecular docking was used to verify dipyridamole and the hub targets.
We obtained 112 up-regulated genes and 157 down-regulated genes as well as 105 composite targets of Dipyridamole-IBD. Through the PPI network analysis we obtained the 7 hub targets including SRC EGFR MAPK1 MAPK14 MAPK8 PTPN11 and LCK. The BioGPS showed that these genes were highly expressed in the immune system digestive system and endocrine system. In addition the 7 hub targets had good intermolecular interactions with dipyridamole. The therapeutic effect of dipyridamole on IBD may involve immune system activation and regulation of inflammatory reactions involved in the regulation of extracellular matrix perinuclear region of cytoplasm protein kinase binding and positive regulation of programmed cell death through cancer pathway (proteoglycans in cancer) lipid metabolism Ras signaling pathway MAPK signaling pathway PI3K-AKT signaling pathway Th17 cell differentiation and other cellular and innate immune signaling pathways.
This study predicted the therapeutic target of IBD and the molecular mechanism of dipyridamole in treating IBD providing a new direction for the treatment of IBD and a theoretical basis for further research.
PUERARIN: A Potential Supplement for Diabetes and its Complications
In recent years the prevalence of diabetes has gradually increased and has become one of the main chronic non-communicable diseases threatening the lives of people. Diabetic complications are characterized by high incidence and poor prognosis. Once they occur conventional drugs are difficult to reverse so it is extremely urgent to seek new drugs to treat diabetes and complications. Puerarin is an isoflavone derivative isolated from the root of Pueraria lobata; it has the functions of regulating blood glucose and lipids protecting pancreatic β cells improving insulin resistance anti-inflammation anti-oxidation and may become a potential supplement and substitute drug for diabetes and complications. Although puerarin is effective in the treatment of diabetes and complications there is a lack of induction and collation of related mechanisms. This paper reviewed the research progress of the protective effect of puerarin on diabetes mellitus and its complications in recent years and discussed its related mechanism providing a theoretical basis for the application of puerarin in the treatment of diabetes.
Efficacy and Safety of Semaglutide in Weight Loss of Non-diabetic People
The study aimed to investigate the efficacy and safety of semaglutide in weight loss in non-diabetic people.
In this study 84 non-diabetic people who used semaglutide to lose weight in the outpatient department of our hospital from January 1 2022 to June 30 2022 were enrolled and compared for changes in body weight waist circumference Body Mass Index (BMI) fasting blood glucose blood pressure pulse and body composition (body fat ratio visceral fat area and skeletal muscle) before treatment and 12 weeks after the treatment to analyze the weight loss efficacy and safety.
After administering semaglutide 0.25 mg 0.5 mg 0.75 mg or 1.0 mg subcutaneously once a week for 12 weeks 84 participants in this study obtained an average weight loss of 5.91 ± 3.37 kg equivalent to 6.15 ± 4.28% of baseline body weight and there was also a significant reduction in visceral fat area and a slight reduction in blood pressure. The most common adverse reactions included gastrointestinal reactions (nausea vomiting and diarrhea) which were mild and subsided within 1-2 days. No severe adverse reaction such as hypoglycemia and hypotension was observed.
Low-dose semaglutide has been found to be effective and safe for short-term weight loss in non-diabetic people.
Experimental Study of Interference in Calcitonin Testing: A Case Report and Literature Review
Calcitonin (CT) is a sensitive serum marker of medullary thyroid carcinoma usually detected via immunoassays; however its levels are easily disturbed by several endogenous factors.
The study aimed to discuss a case of suspected interference resulting in aberrant CT values and review previous reports of CT interference.
A female patient visited our clinic with a physical ultrasound examination showing a slightly enlarged thyroid gland with small nodules. She had elevated CT levels inconsistent with the clinical presentation and other findings. We evaluated the results by retesting using the same platform platform validation multiplex dilution Polyethylene Glycol (PEG) precipitation heterophilic blocking tubes and RET gene analysis.
Retesting CT using the same platform confirmed the high value obtained. However serial dilution of the sample produced nonlinear results suggesting some interference. While PEG precipitation did not significantly reduce the CT level incubating the sample in HBTs normalized the CT value indicating interference from heterophilic antibodies. Gene sequencing revealed no RET mutations.
In cases where elevated CT levels are inconsistent with clinical presentations and other findings the laboratory technicians should communicate with clinicians analyze the reasons for the inconsistent results and use different methods to verify the results. Accurate testing provides realistic and reliable data for doctors and patients and helps to avoid unnecessary procedures.
Honokiol Suppresses Cell Proliferation and Tumor Migration through ROS in Human Anaplastic Thyroid Cancer Cells
Honokiol is a natural polyphenolic compound extracted from Magnolia officinali which is commonly used material in Chinese herbal medicine has a variety of biological functions including anti-tumor anti-oxidant anti-inflammation anti-microbial and anti-allergy. Although honokiol has numerous beneficial effects on human diseases the underlying mechanisms of tumor metastasis are still unclear. Previously we reported that honokiol suppresses thyroid cancer cell proliferation with cytotoxicity through cell cycle arrest apoptosis and dysregulation of intracellular hemostasis. Herein we hypothesized that the anti-oxidant effect of honokiol might play a critical role in thyroid cancer cell proliferation and migration.
The cell viability assays cellular reactive oxygen species (ROS) activity cell migration and immunoblotting were performed after cells were treated with honokiol.
Based on this hypothesis we first demonstrated that honokiol suppresses cell proliferation in two human anaplastic thyroid carcinoma (ATC) cell lines KMH-2 and ASH-3 within a dosage- and time-dependent manner by cell counting kit-8 (CCK-8) assay. Next we examined that honokiol induced ROS activation and could be suppressed by pre-treated with an anti-oxidant agent N-acetyl-l-cysteine (NAC). Furthermore the honokiol suppressed cell proliferation can be rescued by pre-treated with NAC. Finally we demonstrated that honokiol inhibited ATC cell migration by modulating epithelial-mesenchymal transition (EMT)-related markers by Western blotting.
Taken together we provided the potential mechanism for treating ATC cells with honokiol which significantly suppresses tumor proliferation and inhibits tumor metastasis in vitro through reactive oxygen species (ROS) induction.
Open-bore MRI Scanner Assessment of Epicardial Adipose Tissue after Bariatric Surgery: A Pilot Study
The recognition of epicardial adipose tissue (EAT) as a cardiac risk factor has increased the interest in strategies that target cardiac adipose tissue.
The effect of bariatric and metabolic surgery (BMS)-induced weight loss on EAT volume was evaluated in this study.
Fifteen bariatric patients with (MS) or without (wMS) Metabolic Syndrome underwent magnetic resonance imaging (MRI) using an open-bore scanner to assess EAT volume visceral adipose tissue (VAT) thickness and other cardiac morpho-functional parameters at baseline and 12 months after BMS. Nine patients underwent laparoscopic sleeve gastrectomy (LSG) and 6 patients underwent Roux-en-Y Gastric Bypass (RYGBP).
EAT volume significantly decreased in all the patients 12 months post-BMS from 91.6 cm3 to 67.1 cm3; p = 0.0002 in diastole and from 89.4 cm3 to 68.2 cm3; p = 0.0002 in systole. No significant difference was found between the LSG and RYGBP group. Moreover EAT volume was significantly reduced among wMS compared with MS. In particular EAT volume in diastole was significantly reduced from 80.9 cm3 to 54.4 cm3; p = 0.0156 in wMS and from 98.3 cm3 to 79.5 cm3; p = 0.031 in MS. The reduction was also confirmed in systole from 81.2 cm3 to 54.1 cm3; p = 0.0156 in wMS and from 105.7 cm3 to 75.1 cm3; p = 0.031 in MS. Finally a positive correlation was found between EAT loss BMI (r = 0.52; p = 0.0443) and VAT (r = 0.66; p = 0.008) reduction after BMS.
These findings suggest that EAT reduction may be a fundamental element for improving the cardio-metabolic prognosis of bariatric patients. Moreover this is the first study performed with an open-bore MRI scanner to measure EAT volume.