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1.
Environ Monit Assess ; 194(8): 546, 2022 Jun 30.
Artículo en Inglés | MEDLINE | ID: mdl-35773550

RESUMEN

Bio-monitoring freshwater bodies using macro-invertebrates is an excellent way to detect biological water quality. Organic contamination in aquatic settings is well indicated by benthic macro-invertebrates. The use of macro-invertebrates to bio-monitor freshwater bodies is an effective method for determining biological water quality. Benthic macro-invertebrates are excellent indicators of organic pollution in aquatic environments. In the present study, the distribution of pollution-sensitive and pollution-tolerant families of benthic macro-invertebrates from 33 different locations along the Ganga River in Uttarakhand, Uttar Pradesh, Bihar, and West Bengal was studied. Benthic macro-invertebrates collected from different studied locations were identified up to family level and it was observed that a total of 15 pollution-sensitive families belong to four taxonomic orders, while eight pollution-tolerant families come from two taxonomic orders. Several moderately tolerant families have also been observed, but in this paper the distribution of only pollution-sensitive and pollution-tolerant families is presented as they reflect the extreme states of organic pollution. In the majority of locations, the pollution-sensitive Ephemeroptera family Ameletidae predominated. Likewise, the pollution-tolerant families Chironomidae (order-Diptera) and Naididae (order-Oligochaeta) dominated the Ganga River locations. Besides, the relationship between macro-invertebrate diversity and physicochemical factors (pH, water temperature, and dissolved oxygen) was investigated, and 3D surface distribution maps were displayed for qualitative interpretation. The correlation coefficients for all parameters were found to be positive. Macro-invertebrate pollution indices for bio-monitoring are based on community impacts and assist in evaluating the success of action plans to prevent industrial and anthropogenic pollution that contributes to the Ganga.


Asunto(s)
Ephemeroptera , Oligoquetos , Animales , Monitoreo del Ambiente/métodos , Agua Dulce , Invertebrados , Ríos , Calidad del Agua
2.
Clin Exp Ophthalmol ; 49(2): 186-202, 2021 Mar.
Artículo en Inglés | MEDLINE | ID: mdl-33426799

RESUMEN

Neuromyelitis optica spectrum disorder (NMOSD) is an antibody-mediated inflammatory disease of the central nervous system that involves the optic nerves, spinal cord, and often other specific brain regions such as area postrema of the medulla. NMOSD was formerly classified as a variant of multiple sclerosis (MS), given the similar symptomatology and relapsing course but is now considered to have distinct clinical, paraclinical, immunological and prognostic features. The discovery of aquaporin 4 (AQP4) immunoglobulin G (IgG) has improved the ability to diagnose NMOSD. AQP4-IgG targets the astrocytic AQP4 water channel leading to complement activation and increased blood-brain barrier permeability. Accurate and early diagnosis is crucial as timely treatment may result in mitigation of long-term disability. Myelin oligodendrocyte glycoprotein (MOG)-IgG associated disorder (MOGAD) is a distinct nosologic entity, which has been more recently described. Its clinical spectrum partly overlaps that of seronegative NMOSD and MS. Although it is considered to have fewer relapses and better prognosis than NMOSD, the clinical course and outcome of MOGAD has not been fully characterized.


Asunto(s)
Neuromielitis Óptica , Acuaporina 4 , Autoanticuerpos , Humanos , Inmunoglobulina G , Glicoproteína Mielina-Oligodendrócito/metabolismo , Neuromielitis Óptica/diagnóstico
4.
Curr Genet ; 64(1): 117-123, 2018 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-28856415

RESUMEN

Prions are infectious misfolded proteins that assemble into oligomers and large aggregates, and are associated with neurodegeneration. It is believed that the oligomers contribute to cytotoxicity, although genetic and environmental factors have also been shown to have additional roles. The study of the yeast prion [PSI +] has provided valuable insights into how prions form and why they are toxic. Our recent work suggests that SDS-resistant oligomers arise and remodel early during the prion formation process, and lysates containing these newly formed oligomers are infectious. Previous work shows that toxicity is associated with prion formation and this toxicity is exacerbated by deletion of the VPS5 gene. Here, we show that newly made oligomer formation and infectivity of vps5∆ lysates are similar to wild-type strains. However using green fluorescent protein fusions, we observe that the assembly of fluorescent cytoplasmic aggregates during prion formation is different in vps5∆ strains. Instead of large immobile aggregates, vps5∆ strains have an additional population of small mobile foci. We speculate that changes in the cellular milieu in vps5∆ strains may reduce the cell's ability to efficiently recruit and sequester newly formed prion particles into central deposition sites, resulting in toxicity.


Asunto(s)
Susceptibilidad a Enfermedades , Priones/química , Priones/metabolismo , Animales , Proteínas Fúngicas/metabolismo , Humanos , Priones/genética , Agregado de Proteínas , Agregación Patológica de Proteínas , Unión Proteica , Multimerización de Proteína , Levaduras/genética , Levaduras/metabolismo
5.
Drug Dev Ind Pharm ; 44(5): 800-807, 2018 May.
Artículo en Inglés | MEDLINE | ID: mdl-29228819

RESUMEN

CONTEXT: Short residence time, poor bioavailability and poor permeability are the major problems for conventional eye drops treatment. OBJECTIVE: The aim of this article is to develop, optimize and ex vivo-in vivo investigation of brimonidine tartrate in situ gel as compared to marketed eye drops for the treatment of glaucoma. MATERIALS AND METHODS: The effect of independent variables, namely concentrations of polymers, on various dependent variables like viscosity at physiological pH and in vitro drug release were studied by using 32 factorial design. Further the optimized formulation was characterized for ex vivo and in vivo study. RESULTS AND DISCUSSION: Experimental data demonstrated that optimized in situ gel formulation (F8) showed in vitro-ex vivo sustained release profile with polymer composites carbopol 974P and HPMC K4M. After 5 h of ex vivo transcorneal permeation study, the amount recovered from the corneal surface on the donor chamber 12.40% (124 ug) and the amount collected from the receptor chamber 76.8% (760 ug) of the initial dose 1 mg. The total amount recovered from the permeation experiment was 89.2%. Bioadhesive carbopol 974P and viscosity HPMC K4M composites optimized formulation (F 8) produce greater influence on the duration of drug action and improved intraocular pressure reduction activity as compared to marketed eye drop solution in in vivo study. CONCLUSION: The developed in situ gelling system as a promising ophthalmic formulation to prolong the drug lowering effect on the intraocular pressure.


Asunto(s)
Resinas Acrílicas/química , Tartrato de Brimonidina/administración & dosificación , Geles/química , Glaucoma/tratamiento farmacológico , Soluciones Oftálmicas/administración & dosificación , Soluciones Oftálmicas/química , Polímeros/química , Disponibilidad Biológica , Tartrato de Brimonidina/química , Córnea , Geles/administración & dosificación , Presión Intraocular , Viscosidad
6.
J Environ Manage ; 217: 754-761, 2018 Jul 01.
Artículo en Inglés | MEDLINE | ID: mdl-29656256

RESUMEN

Achromobacter xylosoxidans strain SJ11, tolerating up to 4.0 mM lead nitrate, in a defined minimal medium was isolated from the waste of a battery manufacturing industry, Goa, India. Interestingly, it formed white precipitate on exposure to lead nitrate which was also evident from scanning electron micrograph (SEM). Energy dispersive X-ray spectroscopic analysis revealed the presence of lead (48.5% by weight) along with phosphorus and chlorine in the precipitate. Transmission electron microscopy (TEM) of bacterial cells clearly refuted the possibility of intracellular lead uptake confirming extracellular precipitation as a predominant mechanism of lead resistance in this bacterium. The extracellular precipitate was further identified as pyromorphite [Pb5(PO4)3Cl] by X-ray diffraction analysis. This was also corroborated by fourier transformed infrared spectroscopy (FTIR) indicating a significant involvement of phosphate groups. Atomic absorption spectroscopic analysis clearly demonstrated that 465.8 mg g-1 lead was precipitated by the bacterial cells. There was remarkable increase of 160% in phosphatase activity suggesting it's important role in lead precipitation. This was further substantiated by significant up-regulation of phosphatase, CheZ using LC-MS/MS. Therefore phosphatase mediated extracellular precipitation of lead as pyromorphite by A. xylosoxidans strain SJ11 clearly demonstrated it's potential in bioremediation of lead contaminated environmental sites.


Asunto(s)
Plomo/aislamiento & purificación , Minerales , Fosfatos , Achromobacter denitrificans , India , Plomo/química , Monoéster Fosfórico Hidrolasas , Purificación del Agua , Difracción de Rayos X
7.
AAPS PharmSciTech ; 19(6): 2751, 2018 08.
Artículo en Inglés | MEDLINE | ID: mdl-29380281

RESUMEN

This article has been retracted by the journal because the editors have clear evidence that the scientific findings in this article are unreliable.

8.
Blood ; 125(16): 2471-6, 2015 Apr 16.
Artículo en Inglés | MEDLINE | ID: mdl-25736312

RESUMEN

Lenalidomide is an immunomodulatory drug (IMiD) with activity in lymphoid malignancies occurring primarily through immune modulation (eg, T-cell immune synapse enhancement and NK-cell/T-cell effector augmentation) and antiproliferative effects. Food and Drug Administration-approved for bortezomib-resistant, relapsed/refractory mantle-cell lymphoma, lenalidomide has demonstrated efficacy in several additional lymphoma subtypes. There are many ongoing clinical trials examining the use of lenalidomide alone or in combinatorial therapy. It will be important in these studies to delineate reliable, predictive biomarkers to optimally integrate lenalidomide into lymphoma treatment paradigms.


Asunto(s)
Protocolos de Quimioterapia Combinada Antineoplásica/uso terapéutico , Linfoma no Hodgkin/tratamiento farmacológico , Talidomida/análogos & derivados , Ensayos Clínicos como Asunto , Resistencia a Antineoplásicos/efectos de los fármacos , Humanos , Factores Inmunológicos/administración & dosificación , Factores Inmunológicos/uso terapéutico , Lenalidomida , Linfoma de Células del Manto/tratamiento farmacológico , Recurrencia Local de Neoplasia/prevención & control , Talidomida/administración & dosificación , Talidomida/uso terapéutico , Resultado del Tratamiento
9.
Cancer Treat Res ; 165: 197-226, 2015.
Artículo en Inglés | MEDLINE | ID: mdl-25655611

RESUMEN

Follicular lymphoma (FL) is an indolent non-Hodgkin's lymphoma that remains an incurable disease for most patients. It is responsive to a variety of different treatments, however it follows a pattern of relapsing and remitting disease. Traditional therapeutic options for patients with untreated FL include expectant observation for asymptomatic and low tumor burden and multiagent cytotoxic chemotherapy for symptomatic and/or high tumor burden. Biologics have become an integral part of therapy with agents that target B lymphocytes, including monoclonal anti-CD20 antibodies and radiolabeled anti-CD20 antibodies. Treatment response to cytotoxic and biologic therapy is high initially; however, with subsequent treatments, response rate and remission duration typically decline and cumulative toxicities increase. The identification of novel targeted agents, use of stem cell transplantation, and new treatment combinations provide the opportunity to enhance patient outcomes. In this review, we critically examine standard treatment strategies for patients with newly diagnosed and relapsed or refractory FL and discuss established and emerging novel therapeutic approaches.


Asunto(s)
Linfoma Folicular/terapia , Anticuerpos Monoclonales/farmacología , Anticuerpos Monoclonales/uso terapéutico , Antineoplásicos/farmacología , Antineoplásicos/uso terapéutico , Humanos , Factores Inmunológicos/farmacología , Factores Inmunológicos/uso terapéutico , Inmunoterapia/métodos , Linfoma Folicular/patología , Pronóstico , Inhibidores de Proteasoma/farmacología , Inhibidores de Proteasoma/uso terapéutico , Radioinmunoterapia , Trasplante de Células Madre , Trasplante Autólogo
10.
Prostate ; 74(3): 225-34, 2014 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-24132762

RESUMEN

BACKGROUND: Insulin-like growth factor (IGF) and adipokines have been implicated in prostate cancer carcinogenesis. METHOD: Data from 122 men with serum samples drawn within 3 months of starting ADT for metastatic prostate cancer was accessed retrospectively. IGF-1, IGF binding protein (BP)-1, leptin, and adiponectin levels were measured by multiplex electrochemiluminescence assays. A multivariable Cox model assessed the association of time to castration resistant prostate cancer (CRPC) and overall survival by the protein levels, adjusted for clinical variables, age and prostate specific antigen (PSA) levels at start of ADT, race, ECOG status, extent of metastases and were reported as hazard ratio (HR) with 95% confidence interval (CI). RESULTS: Median follow-up and overall survival were 44 and 42.2 months, respectively. ECOG performance status (≥ 1 vs. 0) was negatively associated with overall survival [H = 2.8 (1.1-7.0), P = 0.03], and PSA nadir <0.2 was predictive of longer time to CRPC [HR = 0.3 (0.2-0.5), P < 0.0001]. The median time to CRPC by low, middle, and top IGFBP-1 tertile distribution was 20.7, 18.1, and 12.4 months, respectively, with HR for middle versus low tertile levels 3.1 (1.7-5), P = 0.0003, and for top versus low tertile levels was 2.4 (1.3-4.2), P = 0.003. The median overall survival by low, middle and top tertile IGFBP-1 level was 48.5, 46.4, and 32.8 months, respectively, with HR for top versus low tertile 2.5 (1.2-5.1), P = 0.01. There was no association with IGF-1, adiponectin and leptin. CONCLUSION: Elevated IGFBP-1 appears to be associated with shorter time to CRPC and lower overall survival in men with metastatic prostate cancer.


Asunto(s)
Antineoplásicos Hormonales/uso terapéutico , Proteína 1 de Unión a Factor de Crecimiento Similar a la Insulina/sangre , Neoplasias de la Próstata Resistentes a la Castración/sangre , Neoplasias de la Próstata/sangre , Neoplasias de la Próstata/mortalidad , Adiponectina/sangre , Anciano , Anciano de 80 o más Años , Humanos , Leptina/sangre , Masculino , Persona de Mediana Edad , Metástasis de la Neoplasia , Antígeno Prostático Específico/sangre , Neoplasias de la Próstata/terapia , Estudios Retrospectivos , Tasa de Supervivencia , Factores de Tiempo
11.
Prostate ; 74(8): 820-8, 2014 Jun.
Artículo en Inglés | MEDLINE | ID: mdl-24668612

RESUMEN

BACKGROUND: Chemokines and cytokines have been implicated in progression to castration-resistant prostate cancer (CRPC). METHODS: Retrospective data were accessed from 122 men with serum samples drawn at a median of 0.5 months after starting ADT for metastatic prostate cancer. MCP-1, IL-1-ß, IL-2, IL-8, IL-6, and TNF-α levels were measured by multiplex electrochemiluminescence assays. A multivariable Cox model assessed the association of time to CRPC and overall survival by the protein levels and adjusted for clinical variables (age and prostate specific antigen (PSA) levels at start of ADT, race, ECOG status, and extent of metastases). Associations were reported as hazard ratio (HR) with 95% confidence interval (CI). RESULTS: Median follow-up and overall survival were 44 and 42.2 months, respectively. ECOG performance status (≥1 vs. 0) was negatively associated with overall survival [HR = 2.8 (1.1-7.0), P = 0.03], and PSA nadir < 0.2 was predictive of longer time to development of CRPC [HR = 0.3 (0.2-0.5), P < 0.0001]. The HR for time to CRPC by protein above the median was 1.4 (95% CI: 0.9, 2.2, P = 0.13) for IL-8; 1.3 (95% CI: 0.8, 2, P = 0.18) for TNF-α; 1.0 (95% CI: 0.7, 1.6, P = 0.95) for MCP-1. The HR for median overall survival for protein levels above the median was: 1.9 (95% CI: 1.0, 3.5, P = 0.04) for IL-8; 2.0 (95% CI: 1.1, 3.5, P = 0.02) for TNF-α; 1.7 (95% CI: 1.7, 3.0, P = 0.08) for MCP-1. There was no association with IL-1-ß, IL-2, or IL-6. CONCLUSION: Higher levels of inflammation-associated cytokines correlate with poorer prostate cancer outcomes and may guide strategies to improve prostate cancer therapy.


Asunto(s)
Antagonistas de Andrógenos/uso terapéutico , Quimiocina CCL2/biosíntesis , Interleucina-8/biosíntesis , Neoplasias de la Próstata/mortalidad , Neoplasias de la Próstata/patología , Factor de Necrosis Tumoral alfa/biosíntesis , Anciano , Anciano de 80 o más Años , Biomarcadores de Tumor/biosíntesis , Biomarcadores de Tumor/sangre , Quimiocina CCL2/sangre , Estudios de Cohortes , Estudios de Seguimiento , Humanos , Interleucina-8/sangre , Masculino , Persona de Mediana Edad , Orquiectomía , Neoplasias de la Próstata/tratamiento farmacológico , Neoplasias de la Próstata Resistentes a la Castración/tratamiento farmacológico , Neoplasias de la Próstata Resistentes a la Castración/mortalidad , Neoplasias de la Próstata Resistentes a la Castración/patología , Estudios Retrospectivos , Tasa de Supervivencia/tendencias , Factores de Tiempo , Factor de Necrosis Tumoral alfa/sangre , Regulación hacia Arriba/efectos de los fármacos
12.
Andrology ; 2024 Feb 20.
Artículo en Inglés | MEDLINE | ID: mdl-38376008

RESUMEN

Androgen receptors are expressed in the kidney and serum testosterone is negatively associated with serum phosphate in males, suggesting a role of testosterone in renal phosphate handling. In this cross-sectional study, we examined the association of serum total and free testosterone with acute phosphate and calcium excretion in males in response to an oral phosphate challenge. Thirty-five healthy adult males with normal baseline testosterone levels consumed a 500 mg phosphorus drink and the urinary excretion of minerals, as well as levels of relevant circulating parameters, were assessed at baseline and hourly for 4 h. Serum total testosterone was positively associated with overall phosphate excretion (r = 0.35, p = 0.04) and calcium excretion (r = 0.44, p = 0.00) in response to the challenge. Serum free testosterone was positively associated with post-challenge calcium excretion (r = 0.34, p = 0.048), but significance was not reached for phosphate excretion (r = 0.31, p = 0.07). Serum total and free testosterone were not associated with parathyroid hormone, fibroblast growth factor-23, or vitamin D-key factors implicated in phosphate and calcium regulation. Overall, higher serum total testosterone levels in healthy middle-aged males are associated with a greater capacity to acutely excrete phosphate and calcium after a single oral phosphate challenge, suggesting potential ramifications of testosterone deficiency related to mineral homeostasis.

13.
Mol Microbiol ; 86(4): 866-81, 2012 Nov.
Artículo en Inglés | MEDLINE | ID: mdl-22998111

RESUMEN

Differences in the clinical pathology of mammalian prion diseases reflect distinct heritable conformations of aggregated PrP proteins, called prion strains. Here, using the yeast [PSI(+) ] prion, we examine the de novo establishment of prion strains (called variants in yeast). The [PSI(+) ] prion protein, Sup35, is efficiently induced to take on numerous prion variant conformations following transient overexpression of Sup35 in the presence of another prion, e.g. [PIN(+) ]. One hypothesis is that the first [PSI(+) ] prion seed to arise in a cell causes propagation of only that seed's variant, but that different variants could be initiated in different cells. However, we now show that even within a single cell, Sup35 retains the potential to fold into more than one variant type. When individual cells segregating different [PSI(+) ] variants were followed in pedigrees, establishment of a single variant phenotype generally occurred in daughters, granddaughters or great-granddaughters - but in 5% of the pedigrees cells continued to segregate multiple variants indefinitely. The data are consistent with the idea that many newly formed prions go through a maturation phase before they reach a single specific variant conformation. These findings may be relevant to mammalian PrP prion strain establishment and adaptation.


Asunto(s)
Factores de Terminación de Péptidos/metabolismo , Priones/metabolismo , Pliegue de Proteína , Proteínas de Saccharomyces cerevisiae/metabolismo , Saccharomyces cerevisiae/metabolismo , Expresión Génica , Factores de Terminación de Péptidos/química , Priones/química , Conformación Proteica , Saccharomyces cerevisiae/química , Proteínas de Saccharomyces cerevisiae/química
14.
JOP ; 14(2): 123-5, 2013 Mar 10.
Artículo en Inglés | MEDLINE | ID: mdl-23474551

RESUMEN

The optimal management of borderline resectable pancreatic cancer remains unclear. Neoadjuvant chemoradiation remains the most common approach in the United States, while neoadjuvant chemotherapy alone is also widely utilized and has demonstrated efficacy but there has been no clear consensus about a regimen that would be most beneficial in this setting. We will discuss three abstracts that were presented in the 2013 ASCO Gastrointestinal Cancers Symposium in which various regimens were evaluated in the neoadjuvant setting.


Asunto(s)
Adenocarcinoma/patología , Adenocarcinoma/terapia , Neoplasias Pancreáticas/patología , Neoplasias Pancreáticas/terapia , Adenocarcinoma/cirugía , Quimioradioterapia/métodos , Humanos , Terapia Neoadyuvante/métodos , Invasividad Neoplásica , Estadificación de Neoplasias , Pancreatectomía , Neoplasias Pancreáticas/cirugía
16.
Nutrients ; 15(13)2023 Jul 07.
Artículo en Inglés | MEDLINE | ID: mdl-37447398

RESUMEN

Vitamin D has been shown to have multiple pleiotropic effects beyond bone and mineral metabolism, with purported roles in cardiovascular disease, cancer, and host immunity. Vitamin D deficiency is common in patients with end-stage kidney disease (ESKD); however, current clinical practice has favored the use of the active hormone. Whether vitamin D deficiency should be corrected in patients with ESKD remains unclear, as few randomized trials have been conducted. In this systematic review, we summarize the current evidence examining whether vitamin D supplementation improves outcomes, beyond mineral metabolism, in patients with ESKD. Data from randomized controlled trials of adults with ESKD were obtained by searching Ovid MEDLINE, Embase, the Cochrane Central Register of Controlled Trials, and the Web of Science Core Collection from inception to February 2023. Twenty-three trials composed of 2489 participants were identified for inclusion. Data were synthesized by two independent reviewers and summarized in tables organized by outcome. Outcomes included measures of mortality, cardiovascular disease, inflammation, muscle strength/function, nutrition, patient well-being, and outcomes specific to ESKD including erythropoietin usage, pruritus, and dialysis access maturation. The Cochrane risk of Bias Tool (RoB 2, 2019) was used to assess study quality. Overall, our findings indicate a minimal and varied benefit of native vitamin D supplementation. From the largest studies included, we determine that vitamin D has no demonstrated effect on patient-reported measures of well-being or utilization of erythropoietin, nor does it change levels of the inflammation biomarker C-reactive protein. Included trials were heterogeneous with regards to outcomes, and the majority studied small participant populations with a relatively short follow-up. We conclude that vitamin D supplementation corrects vitamin D deficiency and is safe and well-tolerated in humans with ESKD. However, it is not clear from clinical trials conducted to date that a causal pathway exists between 25(OH)D and pleiotropic effects that is responsive to vitamin D treatment.


Asunto(s)
Enfermedades Cardiovasculares , Eritropoyetina , Fallo Renal Crónico , Deficiencia de Vitamina D , Adulto , Humanos , Vitamina D/uso terapéutico , Enfermedades Cardiovasculares/inducido químicamente , Diálisis Renal/efectos adversos , Ensayos Clínicos Controlados Aleatorios como Asunto , Vitaminas/uso terapéutico , Fallo Renal Crónico/terapia , Deficiencia de Vitamina D/terapia , Suplementos Dietéticos , Eritropoyetina/uso terapéutico , Minerales/uso terapéutico
17.
Can J Kidney Health Dis ; 10: 20543581231212039, 2023.
Artículo en Inglés | MEDLINE | ID: mdl-38033482

RESUMEN

Background: Type 2 diabetes (T2D) and kidney disease are risk factors for vitamin D deficiency. Native forms of vitamin D have a lower risk of hypercalcemia than calcitriol, the active hormone. The enzyme responsible for activating native vitamin D is now known to be expressed throughout the body; therefore, native vitamin D may have clinically relevant effects in many body systems. Objective: The objective of this systematic review was to examine the effect of native vitamin D supplementation on clinical outcomes and surrogate laboratory measures in patients with T2D and diabetic kidney disease (DKD). Design: Systematic review. Setting: Randomized controlled trials (RCTs) conducted in any country. Patients: Adults with T2D and DKD receiving supplementation with any form of native vitamin D (eg, ergocalciferol, cholecalciferol, calcifediol). Measurements: Clinical outcomes and surrogate clinical and laboratory measures reported in each of the trials were included in this review. Methods: The following databases were searched from inception to January 31, 2023: Embase, MEDLINE, Cochrane CENTRAL, Web of Science, ProQuest Dissertations and Theses, and medRxiv. Only RCTs examining supplementation with a native vitamin D form with a control or placebo comparison group were included. We excluded studies reporting only vitamin D status or mineral metabolism parameters, without any other outcomes of clinical relevance or surrogate laboratory measures. Study quality was evaluated using the Cochrane risk-of-bias tool (RoB2). Results were synthesized in summary tables for each type of outcome with the P values from the original studies displayed. Results: Nine publications were included, corresponding to 5 separate RCTs (377 participants total). Mean age ranged from 40 to 63. All trials administered vitamin D3. Intervention groups experienced improvements in vitamin D status and a reduction in proteinuria in 4 of the 5 included RCTs. There was a decrease in low-density lipoprotein and total cholesterol in the 2 trials in which they were measured. Improvements in bone mass, flow-mediated dilation, and inflammation were also reported, but each was only measured in 1 RCT. Effects on glucose metabolism, high-density lipoprotein, triglycerides, blood pressure, oxidative stress, and kidney function were mixed. No serious adverse effects were reported. Limitations: Limitations include the small number of RCTs and lack of information on the use of drugs that affect measured outcomes (eg, proteinuria-lowering renin-angiotensin-aldosterone system inhibitors and lipid-lowering medication) in most studies. Our study is also limited by the absence of a prestudy protocol and registration. Conclusions: Native vitamin D is a safe treatment that improves vitamin D status in patients with DKD. Vitamin D may modify proteinuria and lipid metabolism in DKD, but further well-designed trials that include well-established treatments are necessary. Overall, there is limited evidence for beneficial pleiotropic effects of vitamin D in patients with DKD.


Contexte: Le diabète de type 2 (DT2) et l'insuffisance rénale sont des facteurs de risque pour une carence en vitamine D. Les formes natives de la vitamine D représentent un risque plus faible d'hypercalcémie que le calcitriol, la forme active sur le plan hormonal de la vitamine D. On sait maintenant que l'enzyme responsable de l'activation de la vitamine D peut être exprimée dans tout le corps et donc, que la vitamine D native peut avoir des effets cliniquement significatifs dans de nombreux systèmes de l'organisme. Objectif: Examiner l'effet d'une supplémentation en vitamine D native sur les résultats cliniques et les mesures de laboratoire de substitution de patients atteints de DT2 et de maladie rénale diabétique (MRD). Conception: Revue systématique. Sources: Les essais contrôlés randomisés (ECR) pertinents, sans égard au pays où ils ont été menés. Sujets: Des adultes atteints de DT2 et de MRD recevant une supplémentation de toute forme de vitamine D native (ergocalciférol, cholécalciférol, calcifédiol). Mesures: Les mesures biologiques et cliniques de substitution ainsi que les résultats cliniques rapportés dans chacun des essais inclus. Méthodologie: Une recherche des articles pertinents a été effectuée dans les bases de données Embase, MEDLINE, Cochrane CENTRAL, Web of Science, ProQuest Dissertations and Theses et medRxiv depuis leur création jusqu'au 31 janvier 2023. Seuls les ECR examinant la supplémentation avec une forme native de vitamine D contre un groupe témoin ou un placebo ont été inclus. Nous avons exclu les études ne rapportant que le statut en vitamine D ou les paramètres du métabolisme minéral, sans aucun autre résultat significatif sur le plan clinique ou mesure de laboratoire de substitution. La qualité des études a été évaluée à l'aide de l'outil Cochrane sur le risque de biais (RoB2). Les résultats ont été résumés dans des tableaux récapitulatifs pour chaque type de résultat avec les valeurs de p tirées des essais originaux. Résultats: Neuf publications ont été incluses, lesquelles portaient sur cinq ECR distincts (377 participants au total). L'âge moyen des sujets variait de 40 à 63 ans. De la vitamine D3 avait été administrée dans tous les essais. Dans quatre des cinq ECR inclus, le groupe d'intervention avait connu une amélioration du statut en vitamine D et une réduction de la protéinurie. Une diminution des LDL et du cholestérol total avait été observée dans les deux essais où ces paramètres avaient été mesurés. Des améliorations de la masse osseuse, de la dilatation médiée par le débit et de l'inflammation avaient également été rapportées, mais chacun de ces paramètres n'avait été mesuré que dans un seul ECR. Lorsque rapportés, les effets sur le métabolisme du glucose, les HDL, les triglycérides, la pression artérielle, le stress oxydatif et la fonction rénale étaient mitigés. Aucun effet indésirable grave à la supplémentation n'a été signalé. Limites: Les résultats sont limités par le faible nombre d'ECR inclus et par le manque d'information dans la plupart des études sur l'utilisation de médicaments qui affectent les résultats mesurés (par exemple, les inhibiteurs du SRAA abaissant la protéinurie et les médicaments abaissant le taux de lipides). Aussi, notre étude n'est pas enregistrée et ne comportait pas de protocole pré-étude. Conclusion: La supplémentation en vitamine D native est sûre et elle améliore le statut en vitamine D des patients atteints de MRD. La vitamine D semble modifier la protéinurie et le métabolisme lipidique en contexte de MRD, mais d'autres essais bien conçus et intégrant des traitements bien établis sont nécessaires. Globalement, il existe peu de données probantes sur les effets pléiotropiques bénéfiques de la vitamine D chez les patients atteints de MRD.

18.
Environ Monit Assess ; 184(12): 7299-307, 2012 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-22270588

RESUMEN

The present research study investigates bioremediation potential of biostimulated microbial culture isolated from heavy metals waste disposal contaminated site located at Bhayander (east), Mumbai, India. The physicochemical and microbial characterization including heavy metal contaminants have been studied at waste disposal site. The microorganisms adapted at heavy metal-contaminated environment were isolated, cultured, and biostimulated in minimal salt medium under aerobic conditions in a designed and developed laboratory bioreactor. Heavy metals such as Fe, Cu, and Cd at a selected concentration of 25, 50, and 100 µg/ml were taken in bioreactor wherein biostimulated microbial culture was added for bioremediation of heavy metals under aerobic conditions. The remediation of heavy metals was studied at an interval of 24 h for a period of 21 days. The biostimulated microbial consortium has been found effective for remediation of Cd, Cu, and Fe at higher concentration, i.e., 100 mg/l up to 98.5%, 99.6%, and 100%, respectively. Fe being a micronutrient was remediated completely compared to Cu and Cd. During the bioaccumulation of heavy metals by microorganisms, environmental parameters such as pH, total alkalinity, electronic conductivity, biological oxygen demand, chemical oxygen demand, etc. were monitored and assessed. The pilot scale study would be applicable to remediate heavy metals from waste disposal contaminated site to clean up the environment.


Asunto(s)
Reactores Biológicos , Restauración y Remediación Ambiental/métodos , Metales Pesados/análisis , Contaminantes del Suelo/análisis , Biodegradación Ambiental , Monitoreo del Ambiente , India
19.
Cureus ; 10(1): e2049, 2018 Jan 10.
Artículo en Inglés | MEDLINE | ID: mdl-29541570

RESUMEN

Myiasis is the infestation of humans with dipterous larvae. Traditionally, myiasis was thought to affect individuals living in tropical regions, however, several cases in temperate zones have been reported. We encountered two patients with histories of malignancies that presented with complaints of myiasis, in Chicago, in the spring and summer of 2016. The first patient, a 54-year-old female with a history of breast cancer, presented with complaints of maggots infesting her postsurgical chest wounds. She was diagnosed with sepsis, cellulitis, and wound myiasis. The second patient, a 63-year-old female with a history of recurrent ovarian cancer, presented with complaints of passing maggots vaginally and seeing worms mixed with her stools. She was diagnosed with internal urogenital myiasis. The first lesson that we learned from these cases is that myiasis can occur in individuals living in any part of the world. Second of all, for patients with accidental myiasis, a sample of the larvae should be sent for analysis to help guide the treatment. Third of all, myiasis has been associated with new or recurrent malignancies, and therefore a biopsy of the affected tissue should be sent for analysis. Finally, we learned that myiasis can serve as a form of tissue debridement; this coinciding benefit should not prevent the treatment of accidental myiasis.

20.
3 Biotech ; 7(3): 182, 2017 Jul.
Artículo en Inglés | MEDLINE | ID: mdl-28664369

RESUMEN

Metagenomic DNA from sediments of selective estuaries of Goa, India was extracted using a simple, fast, efficient and environment friendly method. The recovery of pure metagenomic DNA from our method was significantly high as compared to other well-known methods since the concentration of recovered metagenomic DNA ranged from 1185.1 to 4579.7 µg/g of sediment. The purity of metagenomic DNA was also considerably high as the ratio of absorbance at 260 and 280 nm ranged from 1.88 to 1.94. Therefore, the recovered metagenomic DNA was directly used to perform various molecular biology experiments viz. restriction digestion, PCR amplification, cloning and metagenomic library construction. This clearly proved that our protocol for metagenomic DNA extraction using silica gel efficiently removed the contaminants and prevented shearing of the metagenomic DNA. Thus, this modified method can be used to recover pure metagenomic DNA from various estuarine sediments in a rapid, efficient and eco-friendly manner.

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