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2.
Sci Rep ; 13(1): 17186, 2023 10 11.
Artigo em Inglês | MEDLINE | ID: mdl-37821523

RESUMO

Fungal infections are the inevitable limiting factor for productivity of tea. Transcriptome reprogramming recruits multiple regulatory pathways during pathogen infection. A comprehensive meta-analysis was performed utilizing previously reported, well-replicated transcriptomic datasets from seven fungal diseases of tea. The study identified a cumulative set of 18,517 differentially expressed genes (DEGs) in tea, implicated in several functional clusters, including the MAPK signaling pathway, transcriptional regulation, and the biosynthesis of phenylpropanoids. Gene set enrichment analyses under each pathogen stress elucidated that DEGs were involved in ethylene metabolism, secondary metabolism, receptor kinase activity, and various reactive oxygen species detoxification enzyme activities. Expressional fold change of combined datasets highlighting 2258 meta-DEGs shared a common transcriptomic response upon fungal stress in tea. Pervasive duplication events caused biotic stress-responsive core DEGs to appear in multiple copies throughout the tea genome. The co-expression network of meta-DEGs in multiple modules demonstrated the coordination of appropriate pathways, most of which involved cell wall organization. The functional coordination was controlled by a number of hub genes and miRNAs, leading to pathogenic resistance or susceptibility. This first-of-its-kind meta-analysis of host-pathogen interaction generated consensus candidate loci as molecular signatures, which can be associated with future resistance breeding programs in tea.


Assuntos
Perfilação da Expressão Gênica , MicroRNAs , Transcriptoma , Regulação Fúngica da Expressão Gênica , Chá/genética , Redes Reguladoras de Genes
5.
Appl Microbiol Biotechnol ; 106(8): 3051-3067, 2022 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-35441877

RESUMO

The most crucial yield constraint of pigeon pea is susceptibility to the pod borer Helicoverpa armigera, which causes extensive damage and severe economic losses every year. The Agrobacterium-mediated plumular meristem transformation technique was applied for the development of cry1Ac transgenic pigeon pea. Bioactivity of the cry1Ac gene was compared based on integration and expression driven by two promoters, the constitutive CaMV35S promoter and the green-tissue-specific ats1A promoter, in those transgenic events. The transgenic events also contained the selectable marker gene nptII flanked by loxP sites. Independent transgenic events expressing the Cre recombinase gene along with a linked bar selection marker were also developed. Integration and expression patterns of both cry1Ac and cre were confirmed through Southern and western blot analysis of T1 events. The constitutive expression of the Cry1Ac protein was found to be more effective for conferring resistant activity against H. armigera larvae in comparison to green-tissue-specific expression. Constitutively expressing Cry1Ac T1 events were crossed with Cre recombinase expressing T1 events. The crossing-based Cre/lox-mediated marker gene elimination strategy was demonstrated to generate nptII-free Cry1Ac-expressing T2 events. These events were subsequently analyzed in the T3 generation for the segregation of cre and bar genes. Five Cry1Ac-expressing T3 transgenic pigeon pea events were devoid of the nptII marker as well as cre-bar genes. H. armigera larval mortality in those marker-free T3 events was found to be 80-100%. The development of such nptII selectable marker-free Cry1Ac-expressing pigeon pea transgenics for the first time would greatly support the sustainable biotechnological breeding program for pod borer resistance in pigeon pea. KEY POINTS: • Constitutive expression of Cry1Ac conferred complete resistance against Helicoverpa armigera • Green-tissue-specific expression of Cry1Ac conferred partial pest resistance • Cre/lox-mediated nptII elimination was successful in constitutively expressing Cry1Ac transgenic pigeon pea events.


Assuntos
Cajanus , Mariposas , Agrobacterium/genética , Animais , Cajanus/genética , Cajanus/metabolismo , Mariposas/genética , Plantas Geneticamente Modificadas/genética , Tecnologia
6.
Sci Rep ; 11(1): 22319, 2021 11 16.
Artigo em Inglês | MEDLINE | ID: mdl-34785701

RESUMO

Vascular wilt caused by Fusarium udum Butler is the most important disease of pigeonpea throughout the world. F. udum isolate MTCC 2204 (M1) inoculated pigeonpea plants of susceptible (ICP 2376) and resistant (ICP 8863) cultivars were taken at invasion stage of pathogenesis process for transcriptomic profiling to understand defense signaling reactions that interplay at early stage of this plant-pathogen encounter. Differential transcriptomic profiles were generated through cDNA-AFLP from M1 inoculated resistant and susceptible pigeonpea root tissues. Twenty five percent of transcript derived fragments (TDFs) were found to be pathogen induced. Among them 73 TDFs were re-amplified and sequenced. Homology search of the TDFs in available databases and thorough study of scientific literature identified several pathways, which could play crucial role in defense responses of the F. udum inoculated resistant plants. Some of the defense responsive pathways identified to be active during this interaction are, jasmonic acid and salicylic acid mediated defense responses, cell wall remodeling, vascular development and pattering, abscisic acid mediated responses, effector triggered immunity, and reactive oxygen species mediated signaling. This study identified important wilt responsive regulatory pathways in pigeonpea which will be helpful for further exploration of these resistant components for pigeonpea improvement.


Assuntos
Cajanus , Resistência à Doença/genética , Fusarium/crescimento & desenvolvimento , Perfilação da Expressão Gênica , Doenças das Plantas , Cajanus/genética , Cajanus/microbiologia , Doenças das Plantas/genética , Doenças das Plantas/microbiologia
7.
Appl Microbiol Biotechnol ; 105(19): 7187-7199, 2021 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-34515843

RESUMO

The most consumed and economically important beverage plant, tea (Camellia sinensis), and its pests have coevolved so as to maintain the plant-insect interaction. In this review, findings of different research groups on pest responsive tolerance mechanisms that exist in tea manifested through the production of secondary metabolites and their inducers are presented. The phytochemicals of C. sinensis have been categorized into volatiles, nonvolatiles, enzymes, and phytohormones for convenience. Two types of pests, namely the piercing-sucking pests and chewing pests, are associated with tea. Both the insect groups can trigger the production of those metabolites and inducers through several primary and secondary biosynthetic pathways. These induced biomolecules can act as insect repellents and most of them are associated with lowering the nutrient quality of plant tissue and increasing the indigestibility in the pest's gut. Moreover, some of them also act as predator attractants of particular pests. The herbivore-induced plant volatiles secreted from tea plants during pest infestation were (E)-nerolidol, α-farnesene, (Z)-3-hexenol, (E)-4,8-dimethyl-1,3,7-nonatriene, indole, benzyl nitrile (BN), linalool, and ocimenes. The nonvolatiles like theaflavin and L-theanine were increased in response to the herbivore attack. Simultaneously, S-adenosyl-L-methionine synthase, caffeine synthase activities were affected, whereas flavonoid synthesis and wax formation were elevated. Defense responsive enzymes like peroxidase, polyphenol oxidase, phenylalanine ammonia-lyase, ascorbate peroxidase, and catalase are involved in pest prevention mechanisms. Phytohormones like jasmonic acid, salicylic acid, abscisic acid, and ethylene act as the modulator of the defense system. The objective of this review is to discuss the defensive roles of these metabolites and their inducers against pest infestation in tea with an aim to develop environmentally sustainable pesticides in the future.Key points• Herbivore-induced volatile signals and their effects on neighboring tea plant protection• Stereochemical conversion of volatiles, effects of nonvolatiles, expression of defense-responsive enzymes, and phytohormones due to pest attack• Improved understanding of metabolites for bio-sustainable pesticide development.


Assuntos
Camellia sinensis , Animais , Insetos , Chá
8.
Methods Mol Biol ; 2107: 317-333, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-31893456

RESUMO

A reliable pigeon pea transformation system can assist the rapid improvement of this important grain legume through transgenic development. Here we describe two methods of Agrobacterium tumefaciens-mediated pigeon pea transformation. In the tissue culture based embryonic explant transformation method, microshoot grafting was included to obtain rapid root induction, while the other method was culture independent and designated as plumular meristem transformation. Both methods drastically enhanced the transformation frequency and have the potential to provide reasonable solutions for maximum transgenic recovery in biotechnological breeding programs.


Assuntos
Agrobacterium tumefaciens/genética , Cajanus/microbiologia , Meristema/citologia , Plantas Geneticamente Modificadas/crescimento & desenvolvimento , Agrobacterium tumefaciens/fisiologia , Cajanus/genética , Cajanus/crescimento & desenvolvimento , Meristema/crescimento & desenvolvimento , Melhoramento Vegetal , Raízes de Plantas/crescimento & desenvolvimento , Plantas Geneticamente Modificadas/microbiologia , Técnicas de Cultura de Tecidos , Transformação Genética
9.
Artigo em Inglês | MEDLINE | ID: mdl-29360747

RESUMO

This study highlights the severity of arsenic contamination in the Ganga River basin (GRB), which encompasses significant geographic portions of India, Bangladesh, Nepal, and Tibet. The entire GRB experiences elevated levels of arsenic in the groundwater (up to 4730 µg/L), irrigation water (~1000 µg/L), and in food materials (up to 3947 µg/kg), all exceeding the World Health Organization's standards for drinking water, the United Nations Food and Agricultural Organization's standard for irrigation water (100 µg/L), and the Chinese Ministry of Health's standard for food in South Asia (0.15 mg/kg), respectively. Several individuals demonstrated dermal, neurological, reproductive, cognitive, and cancerous effects; many children have been diagnosed with a range of arsenicosis symptoms, and numerous arsenic-induced deaths of youthful victims are reported in the GRB. Victims of arsenic exposure face critical social challenges in the form of social isolation and hatred by their respective communities. Reluctance to establish arsenic standards and unsustainable arsenic mitigation programs have aggravated the arsenic calamity in the GRB and put millions of lives in danger. This alarming situation resembles a ticking time bomb. We feel that after 29 years of arsenic research in the GRB, we have seen the tip of the iceberg with respect to the actual magnitude of the catastrophe; thus, a reduced arsenic standard for drinking water, testing all available drinking water sources, and sustainable and cost-effective arsenic mitigation programs that include the participation of the people are urgently needed.


Assuntos
Arsênio/toxicidade , Água Subterrânea/química , Rios , Poluentes Químicos da Água/toxicidade , Poluição da Água , Bangladesh , Água Potável , Cadeia Alimentar , Humanos , Índia , Nepal , Fatores Socioeconômicos , Tibet
10.
Physiol Plant ; 160(3): 312-327, 2017 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-28369972

RESUMO

Basic helix-loop-helix (bHLH) transcription factors are involved in a wide range of developmental processes and in response to biotic and abiotic stresses. They represent one of the biggest families of transcription factors but only few of them have been functionally characterized. Here we report the characterization of AtbHLH68 and show that, although the knock out mutant did not have an obvious development phenotype, it was slightly more sensitive to drought stress than the Col-0, and AtbHLH68 overexpressing lines displayed defects in lateral root (LR) formation and a significant increased tolerance to drought stress, likely related to an enhanced sensitivity to abscisic acid (ABA) and/or increased ABA content. AtbHLH68 was expressed in the vascular system of Arabidopsis and its expression was modulated by exogenously applied ABA in an organ-specific manner. We showed that the expression of genes involved in ABA metabolism [AtAAO3 (AtALDEHYDE OXIDASE 3) and AtCYP707A3 (AtABSCISIC ACID 8'HYDROXYLASE 3)], in ABA-related response to drought-stress (AtMYC2, AtbHLH122 and AtRD29A) or during LRs development (AtMYC2 and AtABI3) was de-regulated in the overexpressing lines. We propose that AtbHLH68 has a function in the regulation of LR elongation, and in the response to drought stress, likely through an ABA-dependent pathway by regulating directly or indirectly components of ABA signaling and/or metabolism.


Assuntos
Ácido Abscísico/metabolismo , Proteínas de Arabidopsis/metabolismo , Arabidopsis/metabolismo , Estresse Fisiológico/genética , Ácido Abscísico/genética , Arabidopsis/genética , Proteínas de Arabidopsis/genética , Regulação da Expressão Gênica de Plantas , Germinação/genética , Germinação/fisiologia , Plantas Geneticamente Modificadas/genética , Plantas Geneticamente Modificadas/metabolismo , Fatores de Transcrição/genética , Fatores de Transcrição/metabolismo
11.
Chemosphere ; 180: 437-447, 2017 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-28419957

RESUMO

This study represents the first comprehensive report of groundwater arsenic contamination status in the Kolkata Municipal Corporation (KMC). During the past 23 years, 4210 groundwater samples were analysed from all 141 wards in the KMC: 14.2% and 5.2% samples had arsenic >10 µg/l and >50 µg/l, respectively, representing 77 and 37 wards. The study shows that the number of arsenic contaminated samples (and wards) in the southern part of the KMC exceeds that of other parts of the city. The daily intake of arsenic from drinking water was estimated as 0.95 µg per kg bw and the cancer risk was estimated as 1425/106. Analyses of biological samples (hair, nail and urine) showed elevated concentrations of arsenic indicating the presence of subclinical arsenic poisoning, predicting an enhanced lifetime cancer risk for the population in southern part of the KMC. In the KMC, groundwater is not a sustainable source of freshwater due to arsenic, high iron, hardness and total dissolved solids. Its continued use is impelled by the lack of an adequate infrastructure to treat and supply surface water and in some wards the unaccounted for water (UFW) is even >45% incurred during distribution. The rare imposition of a water tax makes the water supply systems unsustainable and fosters indifference to water conservation. To mitigate the arsenic problem, continuous groundwater monitoring for pollutants, a treated surface water supply with strict policy implications, rainwater harvesting in the urban areas and introduction of water taxes seem to be long-term visible solutions.


Assuntos
Arsênio/análise , Monitoramento Ambiental , Água Subterrânea/química , Poluentes Químicos da Água/análise , Intoxicação por Arsênico/epidemiologia , Cidades , Recuperação e Remediação Ambiental , Água Doce/química , Humanos , Índia , Abastecimento de Água/estatística & dados numéricos
12.
Plant Cell Rep ; 36(7): 1037-1051, 2017 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-28352969

RESUMO

KEY MESSAGE: Independent transgenic pigeonpea events were developed using two cry genes. Transgenic Cry2Aa-pigeonpea was established for the first time. Selected transgenic events demonstrated 100% mortality of Helicoverpa armigera in successive generations. Lepidopteran insect Helicoverpa armigera is the major yield constraint of food legume pigeonpea. The present study was aimed to develop H. armigera-resistant transgenic pigeonpea, selected on the basis of transgene expression and phenotyping. Agrobacterium tumefaciens-mediated transformation of embryonic axis explants of pigeonpea cv UPAS 120 was performed using two separate binary vectors carrying synthetic Bacillus thuringiensis insecticidal crystal protein genes, cry1Ac and cry2Aa. T0 transformants were selected on the basis of PCR and protein expression profile. T1 events were exclusively selected on the basis of expression and monogenic character for cry, validated through Western and Southern blot analyses, respectively. Independently transformed 12 Cry1Ac and 11 Cry2Aa single-copy events were developed. The level of Cry-protein expression in T1 transgenic events was 0.140-0.175% of total soluble protein. Expressed Cry1Ac and Cry2Aa proteins in transgenic pigeonpea exhibited significant weight loss of second-fourth instar larvae of H. armigera and ultimately 80-100% mortality in detached leaf bioassay. Selected Cry-transgenic pigeonpea events, established at T2 generation, inherited insect-resistant phenotype. Immunohistofluorescence localization in T3 plants demonstrated constitutive accumulation of Cry1Ac and Cry2Aa in leaf tissues of respective transgenic events. This study is the first report of transgenic pigeonpea development, where stable integration, effective expression and biological activity of two Cry proteins were demonstrated in subsequent three generations (T0, T1, and T2). These studies will contribute to biotechnological breeding programmes of pigeonpea for its genetic improvement.


Assuntos
Proteínas de Bactérias/metabolismo , Cajanus/metabolismo , Cajanus/parasitologia , Endotoxinas/metabolismo , Proteínas Hemolisinas/metabolismo , Mariposas/patogenicidade , Animais , Toxinas de Bacillus thuringiensis , Proteínas de Bactérias/genética , Cajanus/genética , Endotoxinas/genética , Proteínas Hemolisinas/genética , Controle Biológico de Vetores/métodos
13.
Environ Geochem Health ; 39(5): 1017-1029, 2017 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-27591763

RESUMO

Groundwater fluoride concentration and fluoride-related health problems were studied in twenty-two villages of Indi taluk of Vijayapura district, Karnataka, India. Present study (2015) was also used to compare groundwater fluoride concentration in same 22 villages with previous government report (2000). Groundwater fluoride concentrations of 62 bore wells of 22 villages were analyzed by using an ion-sensitive electrode. A total of 660 adults and 600 children were screened for fluorosis symptoms and signs. Sixty clinically suspected fluorosis patients' urine samples were further analyzed for fluoride. The mean value (1.22 ± 0.75 mg/L) of fluoride concentration of 62 bore wells and 54.83 % bore wells with ≥1.0 mg/L of fluoride concentrations in Indi taluk indicates higher than the permissible limit of drinking water fluoride concentration recommended for India. Clinical symptoms like arthritis, joint pains, gastrointestinal discomfort and lower limb deformities with high urinary fluoride concentrations in some subjects suggest fluorosis. Results also showed an increase in groundwater fluoride concentration of the same 22 villages between previous and present study. Preliminary arthritis symptom of the villagers could be due to drinking fluoride-contaminated water. Increase in fluoride concentration with time to the bore wells definitely indicates future danger.


Assuntos
Água Potável/química , Monitoramento Ambiental , Fluoretos/análise , Fluoretos/toxicidade , Fluorose Dentária/urina , Água Subterrânea/química , Poluentes Químicos da Água/toxicidade , Adolescente , Adulto , Idoso , Idoso de 80 Anos ou mais , Criança , Pré-Escolar , Feminino , Fluorose Dentária/etiologia , Fluorose Dentária/fisiopatologia , Humanos , Índia , Masculino , Pessoa de Meia-Idade , Poluentes Químicos da Água/análise , Poços de Água , Adulto Jovem
14.
J Trace Elem Med Biol ; 38: 33-45, 2016 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-27238728

RESUMO

During our last 27 years of field survey in India, we have studied the magnitude of groundwater arsenic and fluoride contamination and its resulting health effects from numerous states. India is the worst groundwater fluoride and arsenic affected country in the world. Fluoride results the most prevalent groundwater related diseases in India. Out of a total 29 states in India, groundwater of 20 states is fluoride affected. Total population of fluoride endemic 201 districts of India is 411 million (40% of Indian population) and more than 66 million people are estimated to be suffering from fluorosis including 6 million children below 14 years of age. Fluoride may cause a crippling disease. In 6 states of the Ganga-Brahmaputra Plain (GB-Plain), 70.4 million people are potentially at risk from groundwater arsenic toxicity. Three additional states in the non GB-Plain are mildly arsenic affected. For arsenic with substantial cumulative exposure can aggravate the risk of cancers along with various other diseases. Clinical effects of fluoride includes abnormal tooth enamel in children; adults had joint pain and deformity of the limbs, spine etc. The affected population chronically exposed to arsenic and fluoride from groundwater is in danger and there is no available medicine for those suffering from the toxicity. Arsenic and fluoride safe water and nutritious food are suggested to prevent further aggravation of toxicity. The World Health Organization (WHO) points out that social problems arising from arsenic and fluoride toxicity eventually create pressure on the economy of the affected areas. In arsenic and fluoride affected areas in India, crisis is not always having too little safe water to satisfy our need, it is the crisis of managing the water.


Assuntos
Arsênio/efeitos adversos , Arsênio/análise , Fluoretos/efeitos adversos , Fluoretos/análise , Neoplasias/induzido quimicamente , Poluentes Químicos da Água/efeitos adversos , Poluentes Químicos da Água/análise , Monitoramento Ambiental , Humanos , Índia , Fatores Socioeconômicos
15.
Chemosphere ; 152: 520-9, 2016 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-27011321

RESUMO

We investigated the extent and severity of groundwater arsenic (As) contamination in five blocks in Patna district, Bihar, India along with As in biological samples and its health effects such as dermatological, neurological and obstetric outcome in some villages. We collected 1365 hand tube-well water samples and analyzed for As by the flow injection hydride generation atomic absorption spectrometer (FI-HG-AAS). We found 61% and 44% of the tube-wells had As above 10 and 50 µg/l, respectively, with maximum concentration of 1466 µg/l. Our medical team examined 712 villagers and registered 69 (9.7%) with arsenical skin lesions. Arsenical skin lesions were also observed in 9 children of 312 screened. We analyzed 176 biological samples (hair, nail and urine). Out of these, 69 people had arsenical skin lesions and rest without skin lesions. We found 100% of the biological samples had As above the normal levels (concentrations of As in hair, nail and urine of unexposed individuals usually ranges from 20 to 200 µg/kg, 20-500 µg/kg and <100 µg/l, respectively), indicating many people are sub-clinically affected. Arsenical neuropathy was observed in 40.5% of 37 arsenicosis patients with 73.3% prevalence for predominant sensory neuropathy and 26.7% for sensor-motor. Among patients, different clinical and electrophysiological neurological features and abnormal quantitative sensory perception thresholds were also noted. The study also found that As exposed women with severe skin lesions had adversely affected their pregnancies. People including children in the affected areas are in danger. To combat As situation in affected areas, villagers urgently need (a) provision of As-safe water for drinking and cooking, (b) awareness about the danger of As toxicity, and (c) nutritious food.


Assuntos
Intoxicação por Arsênico/epidemiologia , Arsênio/toxicidade , Água Subterrânea/análise , Síndromes Neurotóxicas/epidemiologia , Dermatopatias/epidemiologia , Poluentes Químicos da Água/toxicidade , Adolescente , Adulto , Idoso , Arsênio/análise , Arsênio/urina , Intoxicação por Arsênico/urina , Criança , Feminino , Cabelo/química , Humanos , Índia/epidemiologia , Masculino , Pessoa de Meia-Idade , Unhas/química , Síndromes Neurotóxicas/urina , Gravidez , Dermatopatias/induzido quimicamente , Dermatopatias/urina , Espectrofotometria Atômica , Poluentes Químicos da Água/análise , Poluentes Químicos da Água/urina , Poços de Água , Adulto Jovem
16.
Environ Sci Pollut Res Int ; 23(10): 9492-504, 2016 May.
Artigo em Inglês | MEDLINE | ID: mdl-26838039

RESUMO

The objective of this study was to determine the magnitude of groundwater arsenic contamination in Shahpur block of Bhojpur district, Bihar state, India and its health effects such as dermal, neurological, obstetric effects, and cancer risk. The School of Environmental Studies (SOES) collected 4704 tube-well water samples from all 88 villages of Shahpur, which were analyzed for arsenic. We found 40.3 and 21.1 % of the tube-wells had arsenic above 10 and 50 µg/l, respectively, with maximum concentration of 1805 µg/l. The study shows that 75,000, 39,000, and 10,000 people could be exposed to arsenic-contaminated water greater than 10, 50, and 300 µg/l, respectively. Our medical team examined 1422 villagers from Shahpur and registered 161 (prevalence rate, 11.3 %) with arsenical skin lesions. Arsenical skin lesions were also observed in 29 children of 525 screened. We analyzed 579 biological samples (hair, nail, and urine) from Shahpur and found that 82, 89, and 91 % of hair, nail, and urine, respectively, had arsenic above the normal levels, indicating many people in the study area are sub-clinically affected. Arsenical neuropathy was observed in 48 % of 102 arsenicosis patients. The study also found that arsenic exposed women with severe skin lesions had adversely affected their pregnancies. The carcinogenic and non-carcinogenic risks were also estimated based on the generated data. Safe drinking water supply is urgently required to combat arsenic situation in affected villages of Shahpur.


Assuntos
Arsênio/análise , Água Subterrânea/química , Adolescente , Adulto , Idoso , Intoxicação por Arsênico , Criança , Feminino , Cabelo/química , Humanos , Índia , Masculino , Pessoa de Meia-Idade , Unhas/química , Gravidez , Medição de Risco , Pele/química , Dermatopatias , Poluentes Químicos da Água/análise , Abastecimento de Água , Adulto Jovem
18.
Lancet ; 385 Suppl 1: S80, 2015 Feb 26.
Artigo em Inglês | MEDLINE | ID: mdl-26312902

RESUMO

BACKGROUND: In Bihar state, India, the cure rate of antimonial compounds (eg, sodium stibogluconate) in the treatment of visceral leishmaniasis (VL) has fallen from more than 85% to less than 50%. This reduction has been attributed to long-term, widespread misuse of antimonial drugs within the Indian private health-care system. We aimed to test the hypothesis that exposure to arsenic in drinking water in this region has resulted in antimony-resistant Leishmania parasites. METHODS: L donovani parasites were serially passaged in mice exposed to environmentally relevant concentrations of arsenic in drinking water. Arsenic concentrations in murine organs were quantified and the sensitivity of L donovani to sodium stibogluconate assessed at each passage. A retrospective field study on a cohort of antimony-treated patients with VL was performed in an arsenic-contaminated area of Bihar to assess risk of treatment failure and death in people exposed to arsenic. FINDINGS: Arsenic accumulation in organs of exposed mice was proportional to exposure level. After five passages, isolated parasites were refractory to sodium stibogluconate in in-vitro drug sensitivity assays. Treatment of arsenic exposed, infected mice with this drug confirmed that these parasites retained resistance in vivo. In the field work study, 110 patients with VL treated with sodium stibogluconate, failure rate was 59%. Patients using well water with high mean arsenic concentrations had a higher risk of treatment failure than patients using wells with arsenic levels of less than 10 µg/L (odds ratio 1·78, 95% CI 0·7-4·6, p=0·23). 21 patients died, 16 directly as a result of their disease. Mean arsenic concentrations of more than 10 µg/L increased the risk of all-cause and VL-related mortality (hazard ratio 3·27, 95% CI 1·4-8·1, and 2·65, 0·96-7·65, respectively). INTERPRETATION: These data suggest that arsenic contamination might have contributed to the development of antimonial resistance in Leishmania parasites in Bihar. Our epidemiological study was underpowered and retrospective in nature, so firm conclusions cannot be made. Further research into the associations between arsenic exposure and antimonial treatment failure and death in the leishmaniases is warranted. FUNDING: Wellcome Trust.

19.
PLoS Negl Trop Dis ; 9(3): e0003518, 2015 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-25730310

RESUMO

BACKGROUND: In the late twentieth century, emergence of high rates of treatment failure with antimonial compounds (SSG) for visceral leishmaniasis (VL) caused a public health crisis in Bihar, India. We hypothesize that exposure to arsenic through drinking contaminated groundwater may be associated with SSG treatment failure due to the development of antimony-resistant parasites. METHODS: A retrospective cohort design was employed, as antimony treatment is no longer in routine use. The study was performed on patients treated with SSG between 2006 and 2010. Outcomes of treatment were assessed through a field questionnaire and treatment failure used as a proxy for parasite resistance. Arsenic exposure was quantified through analysis of 5 water samples from within and surrounding the patient's home. A logistic regression model was used to evaluate the association between arsenic exposure and treatment failure. In a secondary analysis survival curves and Cox regression models were applied to assess the risk of mortality in VL patients exposed to arsenic. RESULTS: One hundred and ten VL patients treated with SSG were analysed. The failure rate with SSG was 59%. Patients with high mean local arsenic level had a non-statistically significant higher risk of treatment failure (OR = 1.78, 95% CI: 0.7-4.6, p = 0.23) than patients using wells with arsenic concentration <10 µg/L. Twenty one patients died in our cohort, 16 directly as a result of VL. Arsenic levels ≥ 10 µg/L increased the risk of all-cause (HR 3.27; 95% CI: 1.4-8.1) and VL related (HR 2.65; 95% CI: 0.96-7.65) deaths. This was time dependent: 3 months post VL symptom development, elevated risks of all-cause mortality (HR 8.56; 95% CI: 2.5-29.1) and of VL related mortality (HR 9.27; 95% CI: 1.8-49.0) were detected. DISCUSSION/CONCLUSION: This study indicates a trend towards increased treatment failure in arsenic exposed patients. The limitations of the retrospective study design may have masked a strong association between arsenic exposure and selection for antimonial resistance in the field. The unanticipated strong correlation between arsenic exposure and VL mortality warrants further investigation.


Assuntos
Gluconato de Antimônio e Sódio/uso terapêutico , Antiprotozoários/uso terapêutico , Arsênio/toxicidade , Leishmaniose Visceral/tratamento farmacológico , Adolescente , Adulto , Criança , Pré-Escolar , Estudos de Coortes , Resistência a Medicamentos , Feminino , Humanos , Índia , Leishmaniose Visceral/mortalidade , Modelos Logísticos , Masculino , Pessoa de Meia-Idade , Estudos Retrospectivos , Falha de Tratamento
20.
J Trace Elem Med Biol ; 31: 237-48, 2015.
Artigo em Inglês | MEDLINE | ID: mdl-25660323

RESUMO

Department of Public Health Engineering (DPHE), Bangladesh first identified their groundwater arsenic contamination in 1993. But before the international arsenic conference in Dhaka in February 1998, the problem was not widely accepted. Even in the international arsenic conference in West-Bengal, India in February, 1995, representatives of international agencies in Bangladesh and Bangladesh government attended the conference but they denied the groundwater arsenic contamination in Bangladesh. School of Environmental Studies (SOES), Jadavpur University, Kolkata, India first identified arsenic patient in Bangladesh in 1992 and informed WHO, UNICEF of Bangladesh and Govt. of Bangladesh from April 1994 to August 1995. British Geological Survey (BGS) dug hand tube-wells in Bangladesh in 1980s and early 1990s but they did not test the water for arsenic. Again BGS came back to Bangladesh in 1992 to assess the quality of the water of the tube-wells they installed but they still did not test for arsenic when groundwater arsenic contamination and its health effects in West Bengal in Bengal delta was already published in WHO Bulletin in 1988. From December 1996, SOES in collaboration with Dhaka Community Hospital (DCH), Bangladesh started analyzing hand tube-wells for arsenic from all 64 districts in four geomorphologic regions of Bangladesh. So far over 54,000 tube-well water samples had been analyzed by flow injection hydride generation atomic absorption spectrometry (FI-HG-AAS). From SOES water analysis data at present we could assess status of arsenic groundwater contamination in four geo-morphological regions of Bangladesh and location of possible arsenic safe groundwater. SOES and DCH also made some preliminary work with their medical team to identify patients suffering from arsenic related diseases. SOES further analyzed few thousands biological samples (hair, nail, urine and skin scales) and foodstuffs for arsenic to know arsenic body burden and people sub-clinically affected. SOES and DCH made a few follow-up studies in some districts to know their overall situations after 9 to 18 years of their first exposure. The overall conclusion from these follow-up studies is (a) villagers are now more aware about the danger of drinking arsenic contaminated water (b) villagers are currently drinking less arsenic contaminated water (c) many villagers in affected village died of cancer (d) arsenic contaminated water is in use for agricultural irrigation and arsenic exposure from food chain could be future danger. Since at present more information is coming about health effects from low arsenic exposure, Bangladesh Government should immediately focus on their huge surface water management and reduce their permissible limit of arsenic in drinking water.


Assuntos
Arsênio/análise , Pesquisa Biomédica/tendências , Monitoramento Ambiental , Água Subterrânea/análise , Poluentes Químicos da Água/análise , Arsênio/toxicidade , Arsênio/urina , Bangladesh , Água Potável , Água Subterrânea/química , Humanos , Saúde Pública , População Rural , Poluição da Água/efeitos adversos , Qualidade da Água
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