Enalapril protect human lymphocytes from genotoxicity of Hydrochlorothiazide.

Hydrochlorothiazide (HCTZ) belongs to the thiazide diuretics family that is used for the treatment of hypertension. Enalapril is another drug that is used for the treatment of hypertension. Recently, both drugs were combined in a single medication called vaseretic that showed a strong synergistic effect against hypertension. The aim of this investigation is to examine genotoxicity of HCTZ/enalapril on chromosomal damage by measuring the frequency of sister-chromatid exchanges (SCEs) in cultured human lymphocytes. Findings showed that HCTZ (5µg/mL) significantly increased SCEs frequency (P<0.01) in cultured cells relative to the untreated cells. The levels of SCEs induced by Enalapril (10µg/mL) was similar to the level detected in the untreated cultures (P>0.05). Interestingly, SCEs induced by combined treatment were significantly lower than HCTZ alone (P<0.05). Thus, enalapril seems to protect lymphocytes from genotoxicity induced by HCTZ. Neither HCTZ nor enalapril treatment (alone or in combination) induced changes in the mitotic index and the proliferative index (P>0.05). In conclusion, HCTZ increased SCEs in cultured lymphocytes, and this increase is reduced by enalapril.

Lead exposure among five distinct occupational groups: a comparative study.

This study was conducted to evaluate blood lead concentration among five selected occupational groups. The five groups were: hospital health workers, shop workers, taxi drivers, automobiles mechanics, and wood workers. The groups did not significantly differ among each other in the average of age and work years. ANOVA test revealed significantly higher mean lead blood concentration in taxi drivers, automechanics, and wood workers compared to other groups. Additionally, workers with lead concentration >0.483 umol/L (10µg/dL) were more likely to have frequent muscle pain compared to those with lower concentrations. No association between other symptoms of lead exposure/toxicity and blood lead concentration was detected. In conclusion, special attention must be directed toward lead blood levels and lead poisoning symptoms when examining patients from certain occupational groups such as taxi drivers, automechanics, and wood workers. Special safety precautions and educational programs are also needed to limit the lead exposure in these occupational groups.

Antibacterial activity of some medicinal plants grown in Jordan.

In the present study, we evaluated the antimicrobial activity of 16 Jordanian medicinal plant extracts against four reference bacteria; Staphylococcus aureus, Enterobacter faecalis, Escherichia coli, and Salmonella typhi. For that purpose, whole plants were extracted and antimicrobial susceptibility testing and minimum inhibitory concentration (MIC) were determined. Ethanolic extracts of most medicinal plants exerted a dose-dependent cytotoxiciy against different reference bacteria. Origanum syriaca, Varthemia iphionoides, Psidium guajava, Sarcopoterium spinosa plant extracts were most active against S. aureus (MIC; 70 µg/mL), E. faecalis (MIC; 130 µg/mL), E. coli (MIC; 153 µg/mL), and S. typhi (MIC; 110 µg/mL), respectively. Results indicate that medicinal plants grown in Jordan might be a valuable source of starting materials for the extraction and/or isolation of new antibacterial agents.

Acute myocardial infarction with cardiogenic shock in a young physically active physician concurrently using the anabolic steroid sustanon: A case report.

The association between ischemic heart disease (IHD) and the concurrent use of anabolic androgenic steroids (AASs) is underestimated in clinical settings. The tendency of patients to not disclose AASs use may explain this underestimation. In the present case report, the clinical case of a 26-year-old physically active male, who was a physician, without any classical coronary risk factors, who presented with chest pain that was misdiagnosed by the peripheral care unit as skeletal muscle pain is described. Later, the patient was brought to our central hospital (King Abdullah University Hospital) suffering from a massive acute myocardial infarction with marked ECG changes and cardiogenic shock. Following stabilization of his condition, a detailed history of the patient was taken, during which the patient admitted that he was a chronic user of the anabolic steroid sustanon (250 mg, once/week for 6 months) and amino acid supplements (whey protein isolate, 6 tabs every day for 1 year). Specific cardiac markers were increased and the patient exhibited dynamic ischemic changes in his electrocardiogram. Notably, the coronary angiogram of the patient demonstrated ostial occlusion of the left anterior descending artery, which was associated with mid-right coronary artery embolic obstruction. Other than the anabolic steroids and protein supplementation use, the patient history, examination and lab evaluation were normal. During follow up, the patient continued to suffer heart failure with low ejection fraction. In addition, he developed apical thrombus 2 months after primary admission. The patient developed tachycardia in spite of optimal medical treatment and finally received an implantable cardioverter defibrillator. Physicians should always be aware of the possibility of AASs use in young physically active patients. IHD should always be suspected and investigated with typical chest pain in healthy young patients, even if regular risk factors are not present. Medical professionals should not be excluded as potential AASs users/abusers.