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1.
New Phytol ; 241(5): 2227-2242, 2024 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-38151719

RESUMO

The tomato (Solanum lycopersicum) ripening inhibitor (rin) mutation is known to completely repress fruit ripening. The heterozygous (RIN/rin) fruits have extended shelf life, ripen normally, but have inferior taste/flavour. To address this, we used genome editing to generate newer alleles of RIN (rinCR ) by targeting the K-domain. Unlike previously reported CRISPR alleles, the rinCR alleles displayed delayed onset of ripening, suggesting that the mutated K-domain represses the onset of ripening. The rinCR fruits had extended shelf life and accumulated carotenoids at an intermediate level between rin and progenitor line. Besides, the metabolites and hormonal levels in rinCR fruits were more akin to rin. To overcome the negative attributes of rin, we crossed the rinCR alleles with Nps1, a dominant-negative phototropin1 mutant, which enhances carotenoid levels in tomato fruits. The resulting Nps1/rinCR hybrids had extended shelf life and 4.4-7.1-fold higher carotenoid levels than the wild-type parent. The metabolome of Nps1/rinCR fruits revealed higher sucrose, malate, and volatiles associated with tomato taste and flavour. Notably, the boosted volatiles in Nps1/rinCR were only observed in fruits bearing the homozygous Nps1 mutation. The Nps1 introgression into tomato provides a promising strategy for developing cultivars with extended shelf life, improved taste, and flavour.


Assuntos
Carotenoides , Solanum lycopersicum , Carotenoides/metabolismo , Solanum lycopersicum/genética , Proteínas de Domínio MADS/metabolismo , Proteínas de Plantas/genética , Proteínas de Plantas/metabolismo , Paladar , Frutas/genética , Frutas/metabolismo , Regulação da Expressão Gênica de Plantas , Etilenos/metabolismo
2.
Plant J ; 106(1): 95-112, 2021 04.
Artigo em Inglês | MEDLINE | ID: mdl-33370496

RESUMO

The role of ethylene in plant development is mostly inferred from its exogenous application. The usage of mutants affecting ethylene biosynthesis proffers a better alternative to decipher its role. In tomato (Solanum lycopersicum), 1-aminocyclopropane carboxylic acid synthase2 (ACS2) is a key enzyme regulating ripening-specific ethylene biosynthesis. We characterised two contrasting acs2 mutants; acs2-1 overproduces ethylene, has higher ACS activity, and has increased protein levels, while acs2-2 is an ethylene underproducer, displays lower ACS activity, and has lower protein levels than wild type. Consistent with high/low ethylene emission, the mutants show opposite phenotypes, physiological responses, and metabolomic profiles compared with the wild type. The acs2-1 mutant shows early seed germination, faster leaf senescence, and accelerated fruit ripening. Conversely, acs2-2 has delayed seed germination, slower leaf senescence, and prolonged fruit ripening. The phytohormone profiles of mutants were mostly opposite in the leaves and fruits. The faster/slower senescence of acs2-1/acs2-2 leaves correlated with the endogenous ethylene/zeatin ratio. The genetic analysis showed that the metabolite profiles of respective mutants co-segregated with the homozygous mutant progeny. Our results uncover that besides ripening, ACS2 participates in the vegetative and reproductive development of tomato. The distinct influence of ethylene on phytohormone profiles indicates the intertwining of ethylene action with other phytohormones in regulating plant development.


Assuntos
Frutas/metabolismo , Liases/metabolismo , Solanum lycopersicum/metabolismo , Frutas/genética , Regulação da Expressão Gênica de Plantas/genética , Regulação da Expressão Gênica de Plantas/fisiologia , Germinação/genética , Germinação/fisiologia , Liases/genética , Solanum lycopersicum/genética , Mutação/genética , Proteínas de Plantas/genética , Proteínas de Plantas/metabolismo , Plantas Geneticamente Modificadas/genética , Plantas Geneticamente Modificadas/metabolismo
3.
Plant J ; 106(3): 844-861, 2021 05.
Artigo em Inglês | MEDLINE | ID: mdl-33608974

RESUMO

Phototropins, the UVA-blue light photoreceptors, endow plants to detect the direction of light and optimize photosynthesis by regulating positioning of chloroplasts and stomatal gas exchange. Little is known about their functions in other developmental responses. A tomato Non-phototropic seedling1 (Nps1) mutant, bearing an Arg495His substitution in the vicinity of LOV2 domain in phototropin1, dominant-negatively blocks phototropin1 responses. The fruits of Nps1 mutant were enriched in carotenoids, particularly lycopene, compared with its parent, Ailsa Craig. On the contrary, CRISPR/CAS9-edited loss of function phototropin1 mutants displayed subdued carotenoids compared with the parent. The enrichment of carotenoids in Nps1 fruits is genetically linked with the mutation and exerted in a dominant-negative fashion. Nps1 also altered volatile profiles with high levels of lycopene-derived 6-methyl 5-hepten2-one. The transcript levels of several MEP and carotenogenesis pathway genes were upregulated in Nps1. Nps1 fruits showed altered hormonal profiles with subdued ethylene emission and reduced respiration. Proteome profiles showed a causal link between higher carotenogenesis and increased levels of protein protection machinery, which may stabilize proteins contributing to MEP and carotenogenesis pathways. The enhancement of carotenoid content by Nps1 in a dominant-negative fashion offers a potential tool for high lycopene-bearing hybrid tomatoes.


Assuntos
Carotenoides/metabolismo , Frutas/genética , Fototropinas/genética , Solanum lycopersicum/genética , Proteína 9 Associada à CRISPR , Sistemas CRISPR-Cas , Frutas/metabolismo , Edição de Genes , Mutação com Perda de Função , Solanum lycopersicum/metabolismo , Redes e Vias Metabólicas/genética , Mutação/genética , Fototropinas/metabolismo
4.
Physiol Plant ; 173(4): 1514-1534, 2021 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-34165187

RESUMO

Salinity stress results in significant losses in plant productivity and loss of cultivable lands. Although Pongamia pinnata is reported to be a salt-tolerant semiarid biofuel tree, the adaptive mechanisms to saline environments are elusive. Despite a reduction in carbon exchange rate (CER), the unchanged relative water content provides no visible salinity induced symptoms in leaves of hydroponic cultivated Pongamia seedlings for 8 days. Our Na+ -specific fluorescence results demonstrated that there was an effective apoplastic sodium sequestration in the roots. Salinity stress significantly increased zeatin (~5.5-fold), and jasmonic acid (~3.8-fold) levels in leaves while zeatin (~2.5-fold) content increased in leaves as well as in roots of salt-treated plants. Metabolite analysis suggested that osmolytes such as myo-inositol and mannitol were enhanced by ~12-fold in leaves and roots of salt-treated plants. Additionally, leaves of Pongamia showed a significant enhancement in carbohydrate content, while fatty acids were accumulated in roots under salt stress condition. At the molecular level, salt stress enhanced the expression of genes related to transporters, including the Salt Overly Sensitive 2 gene (SOS2), SOS3, vacuolar-cation/proton exchanger, and vacuolar-proton/ATPase exclusively in leaves, whereas the Sodium Proton Exchanger1 (NHX1), Cation Calcium Exchanger (CCX), and Cyclic Nucleotide Gated Channel 5 (CNGC5) were up-regulated in roots. Antioxidant gene expression analysis clearly demonstrated that peroxidase levels were significantly enhanced by ~10-fold in leaves, while Catalase and Fe-superoxide Dismutase (Fe-SOD) genes were increased in roots under salt stress. The correlation interaction studies between phytohormones and metabolites revealed new insights into the molecular and metabolic adaptations that confer salinity tolerance to Pongamia.


Assuntos
Millettia , Tolerância ao Sal , Hormônios , Redes e Vias Metabólicas , Folhas de Planta , Raízes de Plantas , Salinidade , Estresse Fisiológico
5.
Org Biomol Chem ; 19(16): 3698-3706, 2021 04 28.
Artigo em Inglês | MEDLINE | ID: mdl-33908575

RESUMO

A concise and divergent chiron approach for the first total synthesis of (+)-pseudonocardide A, (+)-pseudonocardide C and an epimer of ent-pseudonocardide D is reported starting from d-ribose. The salient features of this synthesis are a highly Z-selective Wittig olefination, one-pot formation of γ-butyrolactone and γ-butenolide through [1,4] O-to-O silyl migration followed by lactonization and an intramolecular oxa-Michael reaction.

6.
Plant Biotechnol J ; 18(11): 2225-2240, 2020 11.
Artigo em Inglês | MEDLINE | ID: mdl-32181964

RESUMO

Cytokinin group of phytohormones regulate root elongation and branching during post-embryonic development. Cytokinin-degrading enzymes cytokinin oxidases/dehydrogenases (CKXs) have been deployed to investigate biological activities of cytokinin and to engineer root growth. We expressed chickpea cytokinin oxidase 6 (CaCKX6) under the control of a chickpea root-specific promoter of CaWRKY31 in Arabidopsis thaliana and chickpea having determinate and indeterminate growth patterns, respectively, to study the effect of cytokinin depletion on root growth and drought tolerance. Root-specific expression of CaCKX6 led to a significant increase in lateral root number and root biomass in Arabidopsis and chickpea without any penalty to vegetative and reproductive growth of shoot. Transgenic chickpea lines showed increased CKX activity in root. Soil-grown advanced chickpea transgenic lines exhibited higher root-to-shoot biomass ratio and enhanced long-term drought tolerance. These chickpea lines were not compromised in root nodulation and nitrogen fixation. The seed yield in some lines was up to 25% higher with no penalty in protein content. Transgenic chickpea seeds possessed higher levels of zinc, iron, potassium and copper. Our results demonstrated the potential of cytokinin level manipulation in increasing lateral root number and root biomass for agronomic trait improvement in an edible legume crop with indeterminate growth habit.


Assuntos
Cicer , Cicer/genética , Secas , Oxirredutases , Raízes de Plantas
7.
FASEB J ; 33(4): 5626-5640, 2019 04.
Artigo em Inglês | MEDLINE | ID: mdl-30640524

RESUMO

During physiologic stresses, like micronutrient starvation, infection, and cancer, the cytosolic moonlighting protein glyceraldehyde-3-phosphate dehydrogenase (GAPDH) is trafficked to the plasma membrane (PM) and extracellular milieu (ECM). Our work demonstrates that GAPDH mobilized to the PM, and the ECM does not utilize the classic endoplasmic reticulum-Golgi route of secretion; instead, it is first selectively translocated into early and late endosomes from the cytosol via microautophagy. GAPDH recruited to this common entry point is subsequently delivered into multivesicular bodies, leading to its membrane trafficking through secretion via exosomes and secretory lysosomes. We present evidence that both pathways of GAPDH membrane trafficking are up-regulated upon iron starvation, potentially by mobilization of intracellular calcium. These pathways also play a role in clearance of misfolded intracellular polypeptide aggregates. Our findings suggest that cells build in redundancy for vital cellular pathways to maintain micronutrient homeostasis and prevent buildup of toxic intracellular misfolded protein refuse.-Chauhan, A. S., Kumar, M., Chaudhary, S., Dhiman, A., Patidar, A., Jakhar, P., Jaswal, P., Sharma, K., Sheokand, N., Malhotra, H., Raje, C. I., Raje. M. Trafficking of a multifunctional protein by endosomal microautophagy: linking two independent unconventional secretory pathways.


Assuntos
Endossomos/metabolismo , Microautofagia/fisiologia , Transporte Proteico/fisiologia , Via Secretória/fisiologia , Animais , Autofagia/fisiologia , Linhagem Celular , Membrana Celular/metabolismo , Movimento Celular/fisiologia , Citosol/metabolismo , Retículo Endoplasmático/metabolismo , Exossomos/metabolismo , Gliceraldeído-3-Fosfato Desidrogenases/metabolismo , Complexo de Golgi/metabolismo , Lisossomos/metabolismo , Camundongos , Corpos Multivesiculares/metabolismo , Regulação para Cima/fisiologia
8.
Cell Physiol Biochem ; 52(3): 517-531, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-30897319

RESUMO

BACKGROUND/AIMS: Hypoxia triggers a rapid increase in iron demand to meet the requirements of enhanced erythropoiesis. The mobilization of iron stores from macrophage to plasma as holo-transferrin (Tf) from where it is accessible to erythroid precursor cells impacts iron homeostasis. Despite the immediate need for enhanced iron uptake by bone marrow cells, numerous studies have shown that transferrin receptor levels do not rise until more than 24 hours after the onset of hypoxia, suggesting the existence of heretofore unknown rapid response cellular machinery for iron acquisition in the early stages of cellular hypoxia. METHODS: We performed flow cytometry to measure cell surface levels of TfR1, GAPDH, and Tf binding after hypoxia treatment. We utilized FRET analysis and co-immunoprecipitation methods to establish the interaction between Tf and GAPDH. RESULTS: In the current study, we demonstrated that hypoxia induces K562 cells to translocate the cytosolic moonlighting protein glyceraldehyde-3-phosphate dehydrogenase (GAPDH) onto cell surfaces and into the extracellular milieu to acquire transferrin-bound iron, even while levels of the classical transferrin receptor TfR1 (CD71) remain suppressed. GAPDH knockdown confirmed this protein's role in transferrin acquisition. Interestingly, macrophages did not show enhanced levels of extracellular GAPDH under hypoxia. CONCLUSION: Our results suggest the role of GAPDH-mediated Tf uptake as a rapid response mechanism by which cells acquire iron during the early stages of hypoxia. This is a tissue-specific phenomenon for the distinct requirements of cells that are consumers of iron versus cells that play a role in iron storage and recycling. This rapid deployment of an abundantly available multipurpose molecule allows hypoxic cells to internalize more Tf and maintain enhanced iron supplies in the early stages of hypoxia before specialized receptors can be synthesized and deployed to the cell membrane.


Assuntos
Hipóxia Celular , Gliceraldeído-3-Fosfato Desidrogenases/metabolismo , Ferro/metabolismo , Antígenos CD/genética , Antígenos CD/metabolismo , Membrana Celular/metabolismo , Citosol/metabolismo , Gliceraldeído-3-Fosfato Desidrogenases/antagonistas & inibidores , Gliceraldeído-3-Fosfato Desidrogenases/genética , Humanos , Células K562 , Macrófagos/citologia , Macrófagos/metabolismo , Ligação Proteica , Interferência de RNA , RNA Interferente Pequeno/metabolismo , Receptores da Transferrina/genética , Receptores da Transferrina/metabolismo , Transferrina/metabolismo
9.
BMC Psychiatry ; 18(1): 289, 2018 09 08.
Artigo em Inglês | MEDLINE | ID: mdl-30195335

RESUMO

BACKGROUND: We evaluated change in response to multi-modal psychosocial 'treatment as usual' programs offered within a forensic hospital. METHODS: Sixty nine patients with a diagnosis of schizophrenia or schizoaffective disorder were followed for up to four years. Patient progress was evaluated using the DUNDRUM-3, a measure of patient ability to participate and benefit from multi-modal psychosocial programs and the HCR-20 dynamic items, a measure of violence proneness. We report reliable change index (RCI) and reliable and clinically meaningful change (RMC). We assessed patients' cognition using the MCCB, psychopathology using the PANSS. The effect of cognition and psychopathology on change in DUNDRUM-3 was examined using hierarchical multiple regression with age, gender, and baseline DUNDRUM-3 scores. RESULTS: The DUNDRUM-3 changed significantly (p < 0.004, d = 0.367, RCI 32% of 69 cases, RMC 23%) and HCR-20-C (p < 0.003, d = 0.377, RCI 10%). Both cognition and psychopathology accounted for significant variance in DUNDRUM-3 at follow up. Those hospitalized for less than five years at baseline changed more than longer stay patients. Mediation analysis demonstrated that the relationship between cognition and change in violence proneness (HCR-20-C) was both directly affected and indirectly mediated by change in DUNDRUM-3. CONCLUSIONS: Change in response to multi-modal psychosocial programs (DUNDRUM-3) reduced a measure of violence proneness over four years. Forensic in-patients' ability to benefit from psychosocial treatment appears to be a function of the outcome measure used, unit of measurement employed, degree of cognitive impairment, psychopathology, and length of stay. Lower risk of re-offending may be partially attributable to participation and engagement in psychosocial interventions.


Assuntos
Criminosos/psicologia , Psiquiatria Legal/métodos , Transtornos Psicóticos/terapia , Esquizofrenia/terapia , Psicologia do Esquizofrênico , Adulto , Cognição , Terapia Combinada , Feminino , Hospitais Psiquiátricos , Humanos , Pacientes Internados/psicologia , Masculino , Participação do Paciente , Estudos Prospectivos , Psicopatologia , Transtornos Psicóticos/psicologia , Fatores de Tempo , Violência/psicologia
10.
South Med J ; 111(12): 716-720, 2018 12.
Artigo em Inglês | MEDLINE | ID: mdl-30512122

RESUMO

OBJECTIVE: To compare the incidence of hypersensitivity reactions following copperhead envenomation treated with Fab antivenom (FabAV) or placebo. METHODS: Patients with copperhead snakebites received treatment and follow-up in a prospective, randomized, double-blind, placebo-controlled trial of FabAV or placebo. The treatment allocation ratio was 2:1 (FabAV:placebo). All of the included patients received at least one dose of study treatment. We reviewed all treatment-emergent adverse events (AEs) using a previously published scale to classify likely hypersensitivity reactions as mild, moderate, or severe. RESULTS: We enrolled 74 patients at 13 sites. Forty-five patients received FabAV, and 29 patients received placebo. Five FabAV patients and 4 placebo patients had moderate envenomations; the rest were mild. Twenty-five FabAV patients and 8 placebo patients had at least 1 AE. Mild skin reactions occurred in 11 (24%) FabAV patients (pruritis, urticaria, rash, ecchymosis, erythema) and 1 (3%) placebo patient (pruritis). Moderate gastrointestinal AEs occurred in 7 (16%) FabAV patients (nausea, vomiting, constipation, diarrhea, oral paresthesia) and in 2 (7%) placebo patients (nausea). Respiratory AEs occurred in 3 (7%) FabAV patients (dyspnea, pulmonary embolism, nasal congestion, sneezing) and no placebo patients. Hypotension occurred in 1 patient in each group. CONCLUSIONS: In a randomized controlled trial of FabAV for copperhead bites, the incidence of hypersensitivity reactions was low. Most reactions were mild skin reactions.


Assuntos
Agkistrodon , Antivenenos/efeitos adversos , Hipersensibilidade a Drogas/etiologia , Fragmentos Fab das Imunoglobulinas/efeitos adversos , Mordeduras de Serpentes/tratamento farmacológico , Adolescente , Adulto , Idoso , Idoso de 80 Anos ou mais , Animais , Antivenenos/uso terapêutico , Criança , Método Duplo-Cego , Hipersensibilidade a Drogas/epidemiologia , Feminino , Seguimentos , Humanos , Fragmentos Fab das Imunoglobulinas/uso terapêutico , Incidência , Masculino , Pessoa de Meia-Idade , Estudos Prospectivos , Resultado do Tratamento , Adulto Jovem
11.
J Anaesthesiol Clin Pharmacol ; 34(1): 18-22, 2018.
Artigo em Inglês | MEDLINE | ID: mdl-29643617

RESUMO

BACKGROUND AND AIMS: The aim is to determine the effect of addition of clonidine to ropivacaine for epidural labor analgesia with regard to onset of analgesia, duration of analgesia, neonatal outcome, and quality of analgesia. MATERIAL AND METHODS: A total of 60 term parturients of the American Society of Anesthesiologists Grade I and II with uncomplicated pregnancy, vertex presentation, posted for on-demand epidural labor analgesia after informed consent were divided in two groups. Group R (n = 30) patients received 10 ml solution comprising 0.2% ropivacaine. Group RC (n = 30) patients received a total of 10 ml of 0.2% ropivacaine and clonidine 1 µg/kg. Characteristics of the block, onset and duration of analgesia, and total analgesic requirements were noted. Pain and overall satisfaction scores were assessed with a 10-point visual analog scale. Mode of delivery and neonatal APGAR scores were recorded. RESULTS: Maternal demographic characteristics were comparable between the groups. Addition of clonidine to ropivacaine shortened the onset and prolonged the duration of analgesia with decrease in ropivacaine requirement in Group RC. There was a significant difference between the two groups regarding visual analog score and quality of analgesia, which was better in Group RC. There were no significant differences between the two groups regarding motor block, hemodynamic parameters, and neonatal outcomes. CONCLUSION: We conclude that clonidine in low doses is a useful adjuvant to local anesthetics for epidural labor analgesia and a good alternative to opioids.

12.
Biochim Biophys Acta ; 1863(11): 2560-2573, 2016 11.
Artigo em Inglês | MEDLINE | ID: mdl-27395830

RESUMO

Heat shock protein-70kDa (Hsp70) is a member of molecular chaperone family, involved in the proper folding of various proteins. Hsp70 is important for tumor cell survival and is also reported to be involved in enhancing the drug resistance of various cancer types. Hsp70 controls apoptosis both upstream and downstream of the mitochondria by regulating the mitochondrial membrane permeabilization (MMP) and apoptosome formation respectively. In the present study, we have elucidated the role of Hsp70 in Gambogic acid (GA) induced apoptosis in bladder cancer cells. We observed that functional inhibition of Hsp70 by Pifithrin-µ switches GA induced caspase dependent (apoptotic) cell death to caspase independent cell death. However, this cell death was not essentially necrotic in nature, as shown by the observations like intact plasma membranes, cytochrome-c release and no significant effect on nuclear condensation/fragmentation. Inhibition of Hsp70 by Pifithrin-µ shows differential effect on MMP. GA induced MMP and cytochrome-c release was inhibited by Pifithrin-µ at 12h but enhanced at 24h. Pifithrin-µ also reverted back GA inhibited autophagy which resulted in the degradation of accumulated ubiquitinated proteins. Our results demonstrate that Hsp70 plays an important role in GA induced apoptosis by regulating caspase activation. Therefore, inhibition of Hsp70 may hamper with the caspase dependent apoptotic pathways induced by most anti-cancer drugs and reduce their efficacy. However, the combination therapy with Pifithrin-µ may be particularly useful in targeting apoptotic resistant cancer cells as Pifithrin-µ may initiate alternative cell death program in these resistant cells.


Assuntos
Protocolos de Quimioterapia Combinada Antineoplásica/farmacologia , Apoptose/efeitos dos fármacos , Carcinoma/tratamento farmacológico , Caspases/metabolismo , Proteínas de Choque Térmico HSP70/antagonistas & inibidores , Sulfonamidas/farmacologia , Neoplasias da Bexiga Urinária/tratamento farmacológico , Xantonas/farmacologia , Idoso , Autofagia/efeitos dos fármacos , Carcinoma/enzimologia , Carcinoma/genética , Carcinoma/patologia , Linhagem Celular Tumoral , Citocromos c/metabolismo , Relação Dose-Resposta a Droga , Resistencia a Medicamentos Antineoplásicos/efeitos dos fármacos , Ativação Enzimática , Feminino , Proteínas de Choque Térmico HSP70/metabolismo , Humanos , Masculino , Potencial da Membrana Mitocondrial/efeitos dos fármacos , Pessoa de Meia-Idade , Necrose , Proteólise , Espécies Reativas de Oxigênio/metabolismo , Transdução de Sinais/efeitos dos fármacos , Células Tumorais Cultivadas , Ubiquitinação , Neoplasias da Bexiga Urinária/enzimologia , Neoplasias da Bexiga Urinária/genética , Neoplasias da Bexiga Urinária/patologia
13.
Liver Int ; 37(10): 1497-1507, 2017 10.
Artigo em Inglês | MEDLINE | ID: mdl-28393476

RESUMO

BACKGROUND AND AIM: There is limited data on predictors of acute kidney injury in acute on chronic liver failure. We developed a PIRO model (Predisposition, Injury, Response, Organ failure) for predicting acute kidney injury in a multicentric cohort of acute on chronic liver failure patients. PATIENTS AND METHODS: Data of 2360 patients from APASL-ACLF Research Consortium (AARC) was analysed. Multivariate logistic regression model (PIRO score) was developed from a derivation cohort (n=1363) which was validated in another prospective multicentric cohort of acute on chronic liver failure patients (n=997). RESULTS: Factors significant for P component were serum creatinine[(≥2 mg/dL)OR 4.52, 95% CI (3.67-5.30)], bilirubin [(<12 mg/dL,OR 1) vs (12-30 mg/dL,OR 1.45, 95% 1.1-2.63) vs (≥30 mg/dL,OR 2.6, 95% CI 1.3-5.2)], serum potassium [(<3 mmol/LOR-1) vs (3-4.9 mmol/L,OR 2.7, 95% CI 1.05-1.97) vs (≥5 mmol/L,OR 4.34, 95% CI 1.67-11.3)] and blood urea (OR 3.73, 95% CI 2.5-5.5); for I component nephrotoxic medications (OR-9.86, 95% CI 3.2-30.8); for R component,Systemic Inflammatory Response Syndrome,(OR-2.14, 95% CI 1.4-3.3); for O component, Circulatory failure (OR-3.5, 95% CI 2.2-5.5). The PIRO score predicted acute kidney injury with C-index of 0.95 and 0.96 in the derivation and validation cohort. The increasing PIRO score was also associated with mortality (P<.001) in both the derivation and validation cohorts. CONCLUSIONS: The PIRO model identifies and stratifies acute on chronic liver failure patients at risk of developing acute kidney injury. It reliably predicts mortality in these patients, underscoring the prognostic significance of acute kidney injury in patients with acute on chronic liver failure.


Assuntos
Injúria Renal Aguda/etiologia , Insuficiência Hepática Crônica Agudizada/complicações , Técnicas de Apoio para a Decisão , Injúria Renal Aguda/sangue , Injúria Renal Aguda/diagnóstico , Injúria Renal Aguda/mortalidade , Insuficiência Hepática Crônica Agudizada/sangue , Insuficiência Hepática Crônica Agudizada/diagnóstico , Insuficiência Hepática Crônica Agudizada/mortalidade , Adulto , Ásia , Biomarcadores/sangue , Feminino , Humanos , Estimativa de Kaplan-Meier , Modelos Lineares , Modelos Logísticos , Masculino , Pessoa de Meia-Idade , Análise Multivariada , Nomogramas , Razão de Chances , Valor Preditivo dos Testes , Prognóstico , Estudos Prospectivos , Reprodutibilidade dos Testes , Estudos Retrospectivos , Medição de Risco , Fatores de Risco
14.
Ann Emerg Med ; 70(2): 233-244.e3, 2017 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-28601268

RESUMO

STUDY OBJECTIVE: Copperhead snake (Agkistrodon contortrix) envenomation causes limb injury resulting in pain and disability. It is not known whether antivenom administration improves limb function. We determine whether administration of antivenom improves recovery from limb injury in patients envenomated by copperhead snakes. METHODS: From August 2013 through November 2015, we performed a multicenter, randomized, double-blind, placebo-controlled, clinical trial to evaluate the effect of ovine Crotalidae polyvalent immune Fab (ovine) (CroFab; FabAV) antivenom therapy on recovery of limb function in patients with copperhead snake envenomation at 14 days postenvenomation. The study setting was 18 emergency departments in regions of the United States where copperhead snakes are endemic. Consecutive patients aged 12 years or older with mild- to moderate-severity envenomation received either FabAV or placebo. The primary outcome was limb function 14 days after envenomation, measured by the Patient-Specific Functional Scale. Additional outcomes included the Patient-Specific Functional Scale at other points; the Disorders of the Arm, Shoulder, and Hand, Lower Extremity Functional Scale, and Patient's Global Impression of Change instruments; grip strength; walking speed; quality of life (Patient-Reported Outcomes Measurement Information System Physical Fucntion-10); pain; and analgesic use. RESULTS: Seventy-four patients received study drug (45 FabAV, 29 placebo). Mean age was 43 years (range 12 to 86 years). Fifty-three percent were men, 62% had lower extremity envenomation, and 88% had mild initial severity. The primary outcome, the least square mean Patient-Specific Functional Scale score at 14 days postenvenomation, was 8.6 for FabAV-treated subjects and 7.4 for placebo recipients (difference 1.2; 95% confidence interval 0.1 to 2.3; P=.04). Additional outcome assessments generally favored FabAV. More FabAV-treated subjects experienced treatment-emergent adverse events (56% versus 28%), but few were serious (1 in each group). CONCLUSION: Treatment with FabAV reduces limb disability measured by the Patient-Specific Functional Scale 14 days after copperhead envenomation.


Assuntos
Agkistrodon , Antivenenos/uso terapêutico , Venenos de Crotalídeos/intoxicação , Fragmentos Fab das Imunoglobulinas/uso terapêutico , Extremidade Inferior/lesões , Mordeduras de Serpentes/tratamento farmacológico , Extremidade Superior/lesões , Adolescente , Adulto , Idoso , Idoso de 80 Anos ou mais , Animais , Criança , Método Duplo-Cego , Feminino , Seguimentos , Humanos , Extremidade Inferior/fisiopatologia , Masculino , Pessoa de Meia-Idade , Avaliação de Resultados da Assistência ao Paciente , Recuperação de Função Fisiológica , Mordeduras de Serpentes/fisiopatologia , Mordeduras de Serpentes/reabilitação , Estados Unidos , Extremidade Superior/fisiopatologia , Adulto Jovem
15.
Biochim Biophys Acta ; 1840(12): 3374-84, 2014 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-25218692

RESUMO

BACKGROUND: Gambogic acid is a potent anticancer agent and has been found effective against various types of cancer cells. The present study was addressed to explore the cytotoxic potential of Gambogic acid and the modulation of autophagy and apoptosis in bladder cancer cells T24 and UMUC3. METHODS: Bladder cancer cell lines T24 and UMUC3 were treated with Gambogic acid, apoptosis was checked by flow-cytometry and expression of various autophagy and apoptosis related proteins was monitored by Western blotting. Confocal microscope was used for colocalization of p62 and Beclin-1. RESULTS: Gambogic acid induces reactive oxygen species, and elicits a strong autophagic response by activating JNK at earlier time points, which is inhibited at later time points with the activation of caspases. Reactive oxygen species mediated caspase activation causes degradation of autophagic proteins, cleavage of molecular chaperones (Hsp90 and GRP-78) and adaptor proteins (p62 and NBR1). Gambogic acid treatment results in mitochondrial hyperpolarization and cytochrome c release and activates caspases involved in both extrinsic and intrinsic apoptotic pathways. Gambogic acid abrogates NF-κB activation by ROS mediated inhibition of IκB-α phosphorylation. Functionally Gambogic acid induced autophagy acts as a strong cell survival response and delays caspase activation. CONCLUSION: Our study provides the new insights about the mechanism of Gambogic acid induced modulation of autophagy and apoptosis in bladder cancer cells. All the molecular events responsible for Gambogic acid induced autophagy and apoptosis are mediated by reactive oxygen species. GENERAL SIGNIFICANCE: Since Gambogic acid targets various cell survival molecules therefore, it may be considered as a potential anticancer agent against bladder cancer.

16.
J Emerg Med ; 46(4): 491-4, 2014 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-24262061

RESUMO

BACKGROUND: Sodium azide is a chemical with a mechanism similar to cyanide. There is concern that it could be used as a chemical warfare agent. OBJECTIVES: We report a cluster of poisonings that occurred at a public restaurant and the subsequent investigation that identified iced tea contaminated with sodium azide (NaN3) and hydrazoic acid, as the foodborne vehicle and agents, respectively. CASE REPORT: Five patients became ill within minutes of drinking iced tea at a restaurant. They all presented to the same Emergency Department with similar symptoms, and improved with fluids, antiemetics, and supportive care. A joint investigation by the Dallas County Department of Health and Human Services, the Texas State Health Department, the Dallas County Southwestern Institute of Forensic Sciences, and the medical toxicologists at the University of Texas Southwestern School of Medicine identified iced tea, contaminated with sodium azide (NaN3) and hydrazoic acid, as the foodborne vehicle and agents, respectively. CONCLUSION: The recurrence, and seriousness, of these events suggests a need for continued education of emergency providers. Emergency physicians should consider exposures to toxic chemicals in their differential when a cluster of patients presents with similar symptoms over a short period of time.


Assuntos
Azidas/intoxicação , Contaminação de Alimentos , Azida Sódica/intoxicação , Chá/química , Vasodilatadores/intoxicação , Adulto , Azidas/análise , Surtos de Doenças , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Restaurantes , Azida Sódica/análise , Texas/epidemiologia , Vasodilatadores/análise
17.
Sci Rep ; 14(1): 25163, 2024 Oct 24.
Artigo em Inglês | MEDLINE | ID: mdl-39448704

RESUMO

The difficulty of selecting features efficiently in histopathology image analysis remains unresolved. Furthermore, the majority of current approaches have approached feature selection as a single objective issue. This research presents an enhanced multi-objective whale optimisation algorithm-based feature selection technique as a solution. To mine optimal feature sets, the suggested technique makes use of a unique variation known as the enhanced multi-objective whale optimisation algorithm. To verify the optimisation capability, the suggested variation has been evaluated on 10 common multi-objective CEC2009 benchmark functions. Furthermore, by comparing five classifiers in terms of accuracy, mean number of selected features, and calculation time, the effectiveness of the suggested strategy is verified against three other feature-selection techniques already in use. The experimental findings show that, when compared to the other approaches under consideration, the suggested method performed better on the assessed parameters.

18.
Artigo em Inglês | MEDLINE | ID: mdl-38676631

RESUMO

The performance of strontium titanate-based perovskite materials, widely employed as electrode materials for reversible solid oxide cells, is directly characterized by their efficiency and their ability to facilitate the diffusion of generated oxygen ions. A technique frequently employed for enhancing oxygen ion diffusivity involves artificially generating A-site vacancies in these structures. In this study, the molecular-level mechanism of oxygen ion diffusion for a range of A-site deficient structures is extensively investigated using combined molecular dynamics simulations and machine learning-based technique. The analysis of molecular simulation trajectories yields diffusion parameters for the bulk system. Additionally, clustering analysis of time-overlapped locations of oxygen ions provides a spatial distribution of oxygen ion dislocations. Concurrently, tracking the motion of individual oxygen ions elucidates the contribution of each ion to the overall ionic conductance. Overall, the systematic generation of A-site deficiency is found to significantly influence oxygen ion dislocations, thereby impacting the performance of these materials in terms of oxide ion conduction.

19.
Environ Sci Pollut Res Int ; 31(12): 17578-17590, 2024 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-36652078

RESUMO

Dewatered sludges from twenty-two sewage treatment facilities were characterized to develop the quality control indices in India. This study used fertilizer index (FI) and clean index (CI) as a tool for categorizing sludge utilization into different classes (A, B, C and limited use classes LU-1, LU-2, LU-3) by their fertilizing potential, toxicity level, pathogen presence, and vector attraction reduction criteria. The findings revealed that total P (as P2O5), total N, and K (as K2O) in the sludge samples ranged from 0.9 to 5.7%, 1.2 to 3.8%, and 0.1 to 1.5%, respectively. Moreover, all sludges belong to Class C and lower category due to the presence of toxic metals and pathogens. The helminth eggs were found in the range of 25-1450 Numbers/4gTS in sludge samples. The highest number of helminth eggs of 1450/4 g of TS was found in the fecal sludge. The specific oxygen uptake rate (SOUR) values in the sludge samples varied from 0.3 to 4.9, with a median value of 1.3 and an RSD of 86% is way too high. It indicates that the sludge samples need further treatment to be less attractive as a food source for vectors and rodents. However, sludge samples have fertilizing potential and FI values ranges from 4.1 to 4.9, and CI value ranges from 2.5 to 5.0. It indicates that compost is best in quality and has high-fertilizer potential and low heavy-metal content, which is suitable for high-value crops such as organic farming. Further sludge treatment using typical composting, aerobic or anaerobic digestion, and solar or thermal drying could bring the sludges into the Class A and B categories.


Assuntos
Metais Pesados , Esgotos , Fertilizantes , Metais Pesados/análise , Controle de Qualidade , Índia
20.
Heliyon ; 10(16): e36136, 2024 Aug 30.
Artigo em Inglês | MEDLINE | ID: mdl-39253197

RESUMO

Nutrients and water are important ecophysiological components for apples' development and productivity. The combination of high-density plantation, drip irrigation, and weekly fertigation not only conserves irrigation water, but also reduces cultivation costs compared to conventional methods. Leaf nutrient analysis provides insight into nutrient levels and assists in determining irrigation and fertigation schedules. We conducted the current research over two years (2021-22 and 2022-23) to evaluate different drip-fertigation effects on leaf nutrient status, vegetative growth, and yield of high-density apples. The experimental study employed a factorial randomised block design, replicating 16 different treatment combinations three times each. Each replication consisted of three plants, and the treatments included four irrigation levels (100 %, 80 %, 60 %, and control) and four fertigation levels (absolute control, 100 %, 75 %, and 50 % of the recommended NPK dosage). Analysis of the leaves indicated that IR1 (Drip irrigation at 100 % ETc) showed notably higher levels of nitrogen at (3.06 %), phosphorus at (0.48 %) and potassium at (2.07 %) compared to other treatments. Regarding fertigation levels, FN1 [100 % (AD) NPK] showed the highest nitrogen (3.12 %), phosphorus (0.50 %), and potassium (2.09 %) content. Parameters related to vegetative growth, including tree height, plant spread in both east-west (EW) and north-south (NS) directions, trunk girth, annual extension growth, and leaf area showed significant increases with higher irrigation and fertigation levels, surpassing conventional irrigation (IR4) by 6.17 percent, 7.78 percent (EW), 8.62 percent (NS), 10.49 percent, 4.53 percent and 1.96 percent, respectively. Among fertigation, FN1- 100 % AD (NPK) registered a maximum increase in growth parameters. Our analysis demonstrated that combining irrigation and fertigation improved leaf nutrient status and vegetative growth characteristics, which are critical determinants of fruit yield.

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