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1.
Microbiol Spectr ; 11(6): e0222523, 2023 Dec 12.
Artigo em Inglês | MEDLINE | ID: mdl-37855642

RESUMO

IMPORTANCE: Energy generation pathways are a potential avenue for the development of novel antibiotics. However, bacteria possess remarkable resilience due to the compensatory pathways, which presents a challenge in this direction. NADH, the primary reducing equivalent, can transfer electrons to two distinct types of NADH dehydrogenases. Type I NADH dehydrogenase is an enzyme complex comprising multiple subunits and can generate proton motive force (PMF). Type II NADH dehydrogenase does not pump protons but plays a crucial role in maintaining the turnover of NAD+. To study the adaptive rewiring of energy metabolism, we evolved an Escherichia coli mutant lacking type II NADH dehydrogenase. We discovered that by modifying the flux through the tricarboxylic acid (TCA) cycle, E. coli could mitigate the growth impairment observed in the absence of type II NADH dehydrogenase. This research provides valuable insights into the intricate mechanisms employed by bacteria to compensate for disruptions in energy metabolism.


Assuntos
NADH Desidrogenase , Bombas de Próton , NADH Desidrogenase/genética , NADH Desidrogenase/metabolismo , Bombas de Próton/metabolismo , Escherichia coli/metabolismo , Prótons , NAD/metabolismo , Bactérias/metabolismo
2.
Cell Rep ; 42(9): 113105, 2023 09 26.
Artigo em Inglês | MEDLINE | ID: mdl-37713311

RESUMO

Relationships between the genome, transcriptome, and metabolome underlie all evolved phenotypes. However, it has proved difficult to elucidate these relationships because of the high number of variables measured. A recently developed data analytic method for characterizing the transcriptome can simplify interpretation by grouping genes into independently modulated sets (iModulons). Here, we demonstrate how iModulons reveal deep understanding of the effects of causal mutations and metabolic rewiring. We use adaptive laboratory evolution to generate E. coli strains that tolerate high levels of the redox cycling compound paraquat, which produces reactive oxygen species (ROS). We combine resequencing, iModulons, and metabolic models to elucidate six interacting stress-tolerance mechanisms: (1) modification of transport, (2) activation of ROS stress responses, (3) use of ROS-sensitive iron regulation, (4) motility, (5) broad transcriptional reallocation toward growth, and (6) metabolic rewiring to decrease NADH production. This work thus demonstrates the power of iModulon knowledge mapping for evolution analysis.


Assuntos
Escherichia coli , Paraquat , Paraquat/farmacologia , Espécies Reativas de Oxigênio/metabolismo , Escherichia coli/metabolismo , Transcriptoma/genética , Perfilação da Expressão Gênica
3.
Eur J Med Chem ; 259: 115633, 2023 Nov 05.
Artigo em Inglês | MEDLINE | ID: mdl-37524010

RESUMO

Growing global demand for new molecules to treat tuberculosis has created an urgent need to develop novel strategies to combat the menace. BM212 related compounds were found to be potent anti-TB agents and they inhibit mycolic acid transporter, MmpL3, a known potent drug target from Mycobacterium tuberculosis. In order to enhance their inhibitory potency, several silicon analogues of diarylpyrroles related to BM212 were designed, synthesized, and evaluated for anti-tubercular activities. In Alamar blue assay, most of the silicon-incorporated compounds were found to be more potent than the parent compound (BM212), against Mycobacterium tuberculosis (MIC = 1.7 µM, H37Rv). Docking results from the crystal structure of MmpL3 and silicon analogues as pharmacophore model also strongly correlate with the biological assays and suggest that the incorporation of silicon in the inhibitor scaffold could enhance their potency by stabilizing the hydrophobic residues at the binding pocket. The best docking hit, compound 12 showed an MIC of 0.1 µM against H37Rv with an acceptable in vitro ADME profile and excellent selectivity index. Overall, the present study indicates that, the designed silicon analogues, especially compound 12 could be a good inhibitor for an intrinsically flexible drug-binding pocket of MmpL3 and has potential for further development as anti-tubercular agents.


Assuntos
Mycobacterium tuberculosis , Tuberculose , Humanos , Antituberculosos/química , Silício/farmacologia , Testes de Sensibilidade Microbiana , Tuberculose/tratamento farmacológico , Proteínas de Bactérias/metabolismo
4.
Nat Commun ; 13(1): 3682, 2022 06 27.
Artigo em Inglês | MEDLINE | ID: mdl-35760776

RESUMO

The bacterial respiratory electron transport system (ETS) is branched to allow condition-specific modulation of energy metabolism. There is a detailed understanding of the structural and biochemical features of respiratory enzymes; however, a holistic examination of the system and its plasticity is lacking. Here we generate four strains of Escherichia coli harboring unbranched ETS that pump 1, 2, 3, or 4 proton(s) per electron and characterized them using a combination of synergistic methods (adaptive laboratory evolution, multi-omic analyses, and computation of proteome allocation). We report that: (a) all four ETS variants evolve to a similar optimized growth rate, and (b) the laboratory evolutions generate specific rewiring of major energy-generating pathways, coupled to the ETS, to optimize ATP production capability. We thus define an Aero-Type System (ATS), which is a generalization of the aerobic bioenergetics and is a metabolic systems biology description of respiration and its inherent plasticity.


Assuntos
Escherichia coli , Biologia de Sistemas , Transporte de Elétrons/genética , Escherichia coli/metabolismo , Proteoma/metabolismo , Sistema Respiratório
5.
mSphere ; 6(4): e0044321, 2021 08 25.
Artigo em Inglês | MEDLINE | ID: mdl-34431696

RESUMO

In vitro antibiotic susceptibility testing often fails to accurately predict in vivo drug efficacies, in part due to differences in the molecular composition between standardized bacteriologic media and physiological environments within the body. Here, we investigate the interrelationship between antibiotic susceptibility and medium composition in Escherichia coli K-12 MG1655 as contextualized through machine learning of transcriptomics data. Application of independent component analysis, a signal separation algorithm, shows that complex phenotypic changes induced by environmental conditions or antibiotic treatment are directly traced to the action of a few key transcriptional regulators, including RpoS, Fur, and Fnr. Integrating machine learning results with biochemical knowledge of transcription factor activation reveals medium-dependent shifts in respiration and iron availability that drive differential antibiotic susceptibility. By extension, the data generation and data analytics workflow used here can interrogate the regulatory state of a pathogen under any measured condition and can be applied to any strain or organism for which sufficient transcriptomics data are available. IMPORTANCE Antibiotic resistance is an imminent threat to global health. Patient treatment regimens are often selected based on results from standardized antibiotic susceptibility testing (AST) in the clinical microbiology lab, but these in vitro tests frequently misclassify drug effectiveness due to their poor resemblance to actual host conditions. Prior attempts to understand the combined effects of drugs and media on antibiotic efficacy have focused on physiological measurements but have not linked treatment outcomes to transcriptional responses on a systems level. Here, application of machine learning to transcriptomics data identified medium-dependent responses in key regulators of bacterial iron uptake and respiratory activity. The analytical workflow presented here is scalable to additional organisms and conditions and could be used to improve clinical AST by identifying the key regulatory factors dictating antibiotic susceptibility.


Assuntos
Antibacterianos/farmacologia , Farmacorresistência Bacteriana/genética , Escherichia coli K12/efeitos dos fármacos , Escherichia coli K12/genética , Aprendizado de Máquina , Transcriptoma , Meios de Cultura/química , Meios de Cultura/farmacologia , Perfilação da Expressão Gênica , Regulação Bacteriana da Expressão Gênica/efeitos dos fármacos , Regulação Bacteriana da Expressão Gênica/genética , Humanos , Ferro/metabolismo , Testes de Sensibilidade Microbiana
6.
Commun Biol ; 4(1): 793, 2021 06 25.
Artigo em Inglês | MEDLINE | ID: mdl-34172889

RESUMO

While microbiological resistance to vancomycin in Staphylococcus aureus is rare, clinical vancomycin treatment failures are common, and methicillin-resistant S. aureus (MRSA) strains isolated from patients after prolonged vancomycin treatment failure remain susceptible. Adaptive laboratory evolution was utilized to uncover mutational mechanisms associated with MRSA vancomycin resistance in a physiological medium as well as a bacteriological medium used in clinical susceptibility testing. Sequencing of resistant clones revealed shared and media-specific mutational outcomes, with an overlap in cell wall regulons (walKRyycHI, vraSRT). Evolved strains displayed similar properties to resistant clinical isolates in their genetic and phenotypic traits. Importantly, resistant phenotypes that developed in physiological media did not translate into resistance in bacteriological media. Further, a bacteriological media-specific mechanism for vancomycin resistance associated with a mutated mprF was confirmed. This study bridges the gap between the understanding of clinical and microbiological vancomycin resistance in S. aureus and expands the number of allelic variants (18 ± 4 mutations for the top 5 mutated genes) that result in vancomycin resistance phenotypes.


Assuntos
Staphylococcus aureus/efeitos dos fármacos , Resistência a Vancomicina/genética , Evolução Molecular , Genes Reguladores , Humanos , Mutação , Staphylococcus aureus/genética
7.
Cell Rep ; 35(1): 108961, 2021 04 06.
Artigo em Inglês | MEDLINE | ID: mdl-33826886

RESUMO

Pyruvate dehydrogenase complex (PDC) functions as the main determinant of the respiro-fermentative balance because it converts pyruvate to acetyl-coenzyme A (CoA), which then enters the TCA (tricarboxylic acid cycle). PDC is repressed by the pyruvate dehydrogenase complex regulator (PdhR) in Escherichia coli. The deletion of the pdhR gene compromises fitness in aerobic environments. We evolve the E. coli pdhR deletion strain to examine its achievable growth rate and the underlying adaptive strategies. We find that (1) optimal proteome allocation to PDC is critical in achieving optimal growth rate; (2) expression of PDC in evolved strains is reduced through mutations in the Shine-Dalgarno sequence; (3) rewiring of the TCA flux and increased reactive oxygen species (ROS) defense occur in the evolved strains; and (4) the evolved strains adapt to an efficient biomass yield. Together, these results show how adaptation can find alternative regulatory mechanisms for a key cellular process if the primary regulatory mode fails.


Assuntos
Escherichia coli/enzimologia , Complexo Piruvato Desidrogenase/metabolismo , Ribossomos/metabolismo , Sítios de Ligação , Ciclo do Ácido Cítrico , Elétrons , Proteínas de Escherichia coli/metabolismo , Glicólise , Homeostase , Oxirredução , Ácido Pirúvico/metabolismo , Transcrição Gênica
8.
PLoS Comput Biol ; 17(1): e1008596, 2021 01.
Artigo em Inglês | MEDLINE | ID: mdl-33465077

RESUMO

The fitness landscape is a concept commonly used to describe evolution towards optimal phenotypes. It can be reduced to mechanistic detail using genome-scale models (GEMs) from systems biology. We use recently developed GEMs of Metabolism and protein Expression (ME-models) to study the distribution of Escherichia coli phenotypes on the rate-yield plane. We found that the measured phenotypes distribute non-uniformly to form a highly stratified fitness landscape. Systems analysis of the ME-model simulations suggest that this stratification results from discrete ATP generation strategies. Accordingly, we define "aero-types", a phenotypic trait that characterizes how a balanced proteome can achieve a given growth rate by modulating 1) the relative utilization of oxidative phosphorylation, glycolysis, and fermentation pathways; and 2) the differential employment of electron-transport-chain enzymes. This global, quantitative, and mechanistic systems biology interpretation of fitness landscape formed upon proteome allocation offers a fundamental understanding of bacterial physiology and evolution dynamics.


Assuntos
Escherichia coli , Aptidão Genética/genética , Proteoma , Trifosfato de Adenosina/metabolismo , Escherichia coli/classificação , Escherichia coli/genética , Escherichia coli/metabolismo , Proteínas de Escherichia coli/genética , Proteínas de Escherichia coli/metabolismo , Evolução Molecular , Regulação Bacteriana da Expressão Gênica/genética , Genoma Bacteriano/genética , Modelos Genéticos , Nitratos/metabolismo , Fenótipo , Proteoma/genética , Proteoma/metabolismo , Biologia de Sistemas
9.
Proc Natl Acad Sci U S A ; 117(29): 17228-17239, 2020 07 21.
Artigo em Inglês | MEDLINE | ID: mdl-32616573

RESUMO

The ability of Staphylococcus aureus to infect many different tissue sites is enabled, in part, by its transcriptional regulatory network (TRN) that coordinates its gene expression to respond to different environments. We elucidated the organization and activity of this TRN by applying independent component analysis to a compendium of 108 RNA-sequencing expression profiles from two S. aureus clinical strains (TCH1516 and LAC). ICA decomposed the S. aureus transcriptome into 29 independently modulated sets of genes (i-modulons) that revealed: 1) High confidence associations between 21 i-modulons and known regulators; 2) an association between an i-modulon and σS, whose regulatory role was previously undefined; 3) the regulatory organization of 65 virulence factors in the form of three i-modulons associated with AgrR, SaeR, and Vim-3; 4) the roles of three key transcription factors (CodY, Fur, and CcpA) in coordinating the metabolic and regulatory networks; and 5) a low-dimensional representation, involving the function of few transcription factors of changes in gene expression between two laboratory media (RPMI, cation adjust Mueller Hinton broth) and two physiological media (blood and serum). This representation of the TRN covers 842 genes representing 76% of the variance in gene expression that provides a quantitative reconstruction of transcriptional modules in S. aureus, and a platform enabling its full elucidation.


Assuntos
Regulação Bacteriana da Expressão Gênica , Redes Reguladoras de Genes/genética , Staphylococcus aureus/genética , Staphylococcus aureus/fisiologia , Transcriptoma , Proteínas de Bactérias/genética , Proteínas de Ligação a DNA/genética , Redes e Vias Metabólicas , Proteínas Repressoras/genética , Análise de Sequência de RNA , Fator sigma/genética , Infecções Estafilocócicas , Virulência/genética , Fatores de Virulência/genética
10.
Proc Natl Acad Sci U S A ; 117(11): 6264-6273, 2020 03 17.
Artigo em Inglês | MEDLINE | ID: mdl-32132208

RESUMO

Auxotrophies constrain the interactions of bacteria with their environment, but are often difficult to identify. Here, we develop an algorithm (AuxoFind) using genome-scale metabolic reconstruction to predict auxotrophies and apply it to a series of available genome sequences of over 1,300 Gram-negative strains. We identify 54 auxotrophs, along with the corresponding metabolic and genetic basis, using a pangenome approach, and highlight auxotrophies conferring a fitness advantage in vivo. We show that the metabolic basis of auxotrophy is species-dependent and varies with 1) pathway structure, 2) enzyme promiscuity, and 3) network redundancy. Various levels of complexity constitute the genetic basis, including 1) deleterious single-nucleotide polymorphisms (SNPs), in-frame indels, and deletions; 2) single/multigene deletion; and 3) movement of mobile genetic elements (including prophages) combined with genomic rearrangements. Fourteen out of 19 predictions agree with experimental evidence, with the remaining cases highlighting shortcomings of sequencing, assembly, annotation, and reconstruction that prevent predictions of auxotrophies. We thus develop a framework to identify the metabolic and genetic basis for auxotrophies in Gram-negatives.


Assuntos
Metabolismo Energético/genética , Genoma Bacteriano/fisiologia , Bactérias Gram-Negativas/fisiologia , Interações entre Hospedeiro e Microrganismos/fisiologia , Modelos Biológicos , Algoritmos , Simulação por Computador , Genômica , Sequências Repetitivas Dispersas/genética , Redes e Vias Metabólicas/genética , Metabolômica , Nutrientes/metabolismo
11.
Mol Biol Evol ; 37(3): 660-667, 2020 03 01.
Artigo em Inglês | MEDLINE | ID: mdl-31651953

RESUMO

Oxidative stress is concomitant with aerobic metabolism. Thus, bacterial genomes encode elaborate mechanisms to achieve redox homeostasis. Here we report that the peroxide-sensing transcription factor, oxyR, is a common mutational target using bacterial species belonging to two genera, Escherichia coli and Vibrio natriegens, in separate growth conditions implemented during laboratory evolution. The mutations clustered in the redox active site, dimer interface, and flexible redox loop of the protein. These mutations favor the oxidized conformation of OxyR that results in constitutive expression of the genes it regulates. Independent component analysis of the transcriptome revealed that the constitutive activity of OxyR reduces DNA damage from reactive oxygen species, as inferred from the activity of the SOS response regulator LexA. This adaptation to peroxide stress came at a cost of lower growth, as revealed by calculations of proteome allocation using genome-scale models of metabolism and macromolecular expression. Further, identification of similar sequence changes in natural isolates of E. coli indicates that adaptation to oxidative stress through genetic changes in oxyR can be a common occurrence.


Assuntos
Proteínas de Escherichia coli/genética , Escherichia coli/crescimento & desenvolvimento , Proteínas Repressoras/genética , Fatores de Transcrição/genética , Vibrio/crescimento & desenvolvimento , Adaptação Fisiológica , Proteínas de Bactérias/genética , Domínio Catalítico , Evolução Molecular Direcionada , Escherichia coli/genética , Proteínas de Escherichia coli/química , Regulação Bacteriana da Expressão Gênica , Modelos Moleculares , Mutação , Estresse Oxidativo , Conformação Proteica , Espécies Reativas de Oxigênio/metabolismo , Proteínas Repressoras/química , Fatores de Transcrição/química , Vibrio/genética
12.
Proc Natl Acad Sci U S A ; 116(50): 25287-25292, 2019 12 10.
Artigo em Inglês | MEDLINE | ID: mdl-31767748

RESUMO

Evolution fine-tunes biological pathways to achieve a robust cellular physiology. Two and a half billion years ago, rapidly rising levels of oxygen as a byproduct of blooming cyanobacterial photosynthesis resulted in a redox upshift in microbial energetics. The appearance of higher-redox-potential respiratory quinone, ubiquinone (UQ), is believed to be an adaptive response to this environmental transition. However, the majority of bacterial species are still dependent on the ancient respiratory quinone, naphthoquinone (NQ). Gammaproteobacteria can biosynthesize both of these respiratory quinones, where UQ has been associated with aerobic lifestyle and NQ with anaerobic lifestyle. We engineered an obligate NQ-dependent γ-proteobacterium, Escherichia coli ΔubiC, and performed adaptive laboratory evolution to understand the selection against the use of NQ in an oxic environment and also the adaptation required to support the NQ-driven aerobic electron transport chain. A comparative systems-level analysis of pre- and postevolved NQ-dependent strains revealed a clear shift from fermentative to oxidative metabolism enabled by higher periplasmic superoxide defense. This metabolic shift was driven by the concerted activity of 3 transcriptional regulators (PdhR, RpoS, and Fur). Analysis of these findings using a genome-scale model suggested that resource allocation to reactive oxygen species (ROS) mitigation results in lower growth rates. These results provide a direct elucidation of a resource allocation tradeoff between growth rate and ROS mitigation costs associated with NQ usage under oxygen-replete condition.


Assuntos
Escherichia coli/crescimento & desenvolvimento , Escherichia coli/metabolismo , Naftoquinonas/metabolismo , Estresse Oxidativo , Oxigênio/metabolismo , Aerobiose , Evolução Biológica , Transporte de Elétrons , Escherichia coli/genética , Oxo-Ácido-Liases/genética , Oxo-Ácido-Liases/metabolismo , Espécies Reativas de Oxigênio/metabolismo
13.
Proc Natl Acad Sci U S A ; 116(28): 14368-14373, 2019 07 09.
Artigo em Inglês | MEDLINE | ID: mdl-31270234

RESUMO

Catalysis using iron-sulfur clusters and transition metals can be traced back to the last universal common ancestor. The damage to metalloproteins caused by reactive oxygen species (ROS) can prevent cell growth and survival when unmanaged, thus eliciting an essential stress response that is universal and fundamental in biology. Here we develop a computable multiscale description of the ROS stress response in Escherichia coli, called OxidizeME. We use OxidizeME to explain four key responses to oxidative stress: 1) ROS-induced auxotrophy for branched-chain, aromatic, and sulfurous amino acids; 2) nutrient-dependent sensitivity of growth rate to ROS; 3) ROS-specific differential gene expression separate from global growth-associated differential expression; and 4) coordinated expression of iron-sulfur cluster (ISC) and sulfur assimilation (SUF) systems for iron-sulfur cluster biosynthesis. These results show that we can now develop fundamental and quantitative genotype-phenotype relationships for stress responses on a genome-wide basis.


Assuntos
Proteínas Ferro-Enxofre/genética , Ferro/metabolismo , Metaloproteínas/genética , Espécies Reativas de Oxigênio/metabolismo , Catálise , Proliferação de Células/genética , Escherichia coli/genética , Escherichia coli/metabolismo , Regulação da Expressão Gênica/genética , Peróxido de Hidrogênio/metabolismo , Óperon/genética , Estresse Oxidativo/genética , Enxofre/metabolismo
14.
Nat Microbiol ; 4(3): 386-389, 2019 03.
Artigo em Inglês | MEDLINE | ID: mdl-30692668

RESUMO

Pseudogenes represent open reading frames that have been damaged by mutations, rendering the gene product non-functional. Pseudogenes are found in many genomes and are not always eliminated, even if they are potentially 'wasteful'. This raises a fundamental question about their prevalence. Here we report pseudogene efeU repair that restores the iron uptake system of Escherichia coli under a designed selection pressure during adaptive laboratory evolution.


Assuntos
Reparo de Erro de Pareamento de DNA , Evolução Molecular Direcionada , Pseudogenes , Seleção Genética , Proteínas de Transporte de Cátions/genética , Escherichia coli/genética , Proteínas de Escherichia coli/genética , Evolução Molecular , Ferro/metabolismo , Fases de Leitura Aberta , Filogenia
15.
Nat Commun ; 9(1): 4306, 2018 10 17.
Artigo em Inglês | MEDLINE | ID: mdl-30333483

RESUMO

Mycobacterium tuberculosis is a serious human pathogen threat exhibiting complex evolution of antimicrobial resistance (AMR). Accordingly, the many publicly available datasets describing its AMR characteristics demand disparate data-type analyses. Here, we develop a reference strain-agnostic computational platform that uses machine learning approaches, complemented by both genetic interaction analysis and 3D structural mutation-mapping, to identify signatures of AMR evolution to 13 antibiotics. This platform is applied to 1595 sequenced strains to yield four key results. First, a pan-genome analysis shows that M. tuberculosis is highly conserved with sequenced variation concentrated in PE/PPE/PGRS genes. Second, the platform corroborates 33 genes known to confer resistance and identifies 24 new genetic signatures of AMR. Third, 97 epistatic interactions across 10 resistance classes are revealed. Fourth, detailed structural analysis of these genes yields mechanistic bases for their selection. The platform can be used to study other human pathogens.


Assuntos
Farmacorresistência Bacteriana/genética , Genoma Bacteriano , Aprendizado de Máquina , Mycobacterium tuberculosis/genética , Frequência do Gene , Seleção Genética
16.
Indian J Microbiol ; 57(4): 499-502, 2017 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-29151652

RESUMO

Four (1, 2, 4 and 6) synthetic quaternary ammonium derivatives of pyranochromenones and (coumarinyloxy)acetamides were synthesized and investigated for their antimicrobial efficacy on MRSA (Methicillin-resistant Staphylococcus aureus), and multi-drug resistant Pseudomonas aeruginosa, Salmonella enteritidis and Mycobacterium tuberculosis H37Rv strain. One of the four compounds screened i.e. N,N,N-triethyl-10-((4,8,8-trimethyl-2-oxo-2,6,7,8-tetrahydropyrano[3,2-g]chromen-10-yl)oxy)decan-1-aminium bromide (1), demonstrated significant activity against S. aureus, P. aeruginosa and M. tuberculosis with MIC value of 16, 35, and 15.62 µg/ml respectively. The cytotoxicity evaluation of compound 1 on A549 cell lines showed it to be a safe antimicrobial molecule, TEM study suggested that the compound led to the rupture of the bacterial cell walls.

17.
Indian J Cancer ; 54(4): 601-604, 2017.
Artigo em Inglês | MEDLINE | ID: mdl-30082542

RESUMO

INTRODUCTION: The stage at diagnosis of renal cell cancer (RCC) in developed countries is lower due to increased utilization of routine health checkups by patients compared to developed countries. This study aims to determine the sociodemographic and clinical distribution of RCC in patients presenting to Tata Memorial Hospital (TMH). SUBJECTS AND METHODS: We performed a retrospective audit of all patients presenting to TMH with a diagnosis of RCC. Data were retrieved from our electronic medical record system from January 1, 2013 to December 31, 2013. The survival analysis was done by Kaplan-Meir analysis method of estimating survival. Log-rank test of comparison was applied to estimate the difference in the survival among the different stages of renal cancer. RESULTS: Of the 35,197 new registered patients at TMH, 338 were diagnosed with RCC. Most patients were in the 50-60 years age group, with 56.6 years being the median age at presentation. Among patients treated at TMH, 84 underwent surgery and tyrosine kinase inhibitor was given in 55 (16%) patients. The patients' characteristics, clinical characteristics of RCC, treatment modalities offered, and survival of patients treated for RCC are presented in this paper. CONCLUSION: In the absence of robust Indian data on RCC, this audit provides baseline information on epidemiology, stage at presentation, and outcomes of RCC at our center compared with the West.


Assuntos
Neoplasias Renais/tratamento farmacológico , Neoplasias Renais/cirurgia , Prognóstico , Inibidores de Proteínas Quinases/administração & dosagem , Adulto , Idoso , Institutos de Câncer , Intervalo Livre de Doença , Feminino , Humanos , Índia/epidemiologia , Estimativa de Kaplan-Meier , Neoplasias Renais/epidemiologia , Neoplasias Renais/patologia , Masculino , Pessoa de Meia-Idade , Estadiamento de Neoplasias , Centros de Atenção Terciária
18.
Eur J Med Chem ; 122: 723-730, 2016 Oct 21.
Artigo em Inglês | MEDLINE | ID: mdl-27476117

RESUMO

The structural similarity between an MmpL3 inhibitor BM212, and a cannabinoid receptor modulator rimonabant, prompted us to investigate the anti-tubercular activity of rimonabant and its analogues. Further optimization, particularly through incorporation of silicon into the scaffold, resulted in new compounds with significant improvement in anti-tubercular activity against Mycobacterium tuberculosis (H37Rv). The sila analogue 18a was found to be the most potent antimycobacterial compound (MIC, 31 ng/mL) from this series with an excellent selectivity index.


Assuntos
Antituberculosos/química , Antituberculosos/farmacologia , Reposicionamento de Medicamentos , Piperidinas/química , Piperidinas/farmacologia , Pirazóis/química , Pirazóis/farmacologia , Antituberculosos/metabolismo , Antituberculosos/toxicidade , Células Hep G2 , Humanos , Testes de Sensibilidade Microbiana , Modelos Moleculares , Conformação Molecular , Mycobacterium tuberculosis/efeitos dos fármacos , Piperidinas/metabolismo , Piperidinas/toxicidade , Pirazóis/metabolismo , Pirazóis/toxicidade , Rimonabanto , Relação Estrutura-Atividade
19.
Int J Biol Macromol ; 87: 460-5, 2016 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-26968926

RESUMO

Oxidized celluloses have been used for decades as antimicrobial wound gauzes and surgical cotton. We now report the successful synthesis of a next generation narrow size range (25-35nm) spherical shaped nanoparticles of 2,3,6-tricarboxycellulose based on cellulose I structural features, for applications as new antimicrobial materials. This study adds to our previous study of 6-carboxycellulose. A wide range of bacteria such as Escherichia coli, Staphloccocus aureus, Bacillus subtilis and Mycobacterium tuberculosis (non-pathogenic as well as pathogenic strains) were affected by these polymers in in vitro studies. Activity against Mycobacteria were noted at high concentrations (MIC99 values 250-1000µg/ml, as compared to anti-TB drug Isoniazid 0.3µg/ml). However, the broad spectrum activity of oxidized celluloses and their nanoparticles against a wide range of bacteria, including Mycobacteria, show that these materials are promising new biocompatible and biodegradable drug delivery vehicles wherein they can play the dual role of being a drug encapsulant as well as a broad spectrum anti-microbial and anti-TB drug.


Assuntos
Antibacterianos/química , Antibacterianos/farmacologia , Celulose Oxidada/química , Celulose Oxidada/farmacologia , Nanoestruturas/química , Nanotecnologia , Bactérias/efeitos dos fármacos , Testes de Sensibilidade Microbiana
20.
Mol Cell ; 60(4): 637-50, 2015 Nov 19.
Artigo em Inglês | MEDLINE | ID: mdl-26585386

RESUMO

Mycobacterium tuberculosis (Mtb) adaptation to hypoxia is considered crucial to its prolonged latent persistence in humans. Mtb lesions are known to contain physiologically heterogeneous microenvironments that bring about differential responses from bacteria. Here we exploit metabolic variability within biofilm cells to identify alternate respiratory polyketide quinones (PkQs) from both Mycobacterium smegmatis (Msmeg) and Mtb. PkQs are specifically expressed in biofilms and other oxygen-deficient niches to maintain cellular bioenergetics. Under such conditions, these metabolites function as mobile electron carriers in the respiratory electron transport chain. In the absence of PkQs, mycobacteria escape from the hypoxic core of biofilms and prefer oxygen-rich conditions. Unlike the ubiquitous isoprenoid pathway for the biosynthesis of respiratory quinones, PkQs are produced by type III polyketide synthases using fatty acyl-CoA precursors. The biosynthetic pathway is conserved in several other bacterial genomes, and our study reveals a redox-balancing chemicocellular process in microbial physiology.


Assuntos
Biofilmes , Mycobacterium smegmatis/fisiologia , Mycobacterium tuberculosis/fisiologia , Policetídeos/metabolismo , Quinonas/metabolismo , Acil Coenzima A/metabolismo , Proteínas de Bactérias/metabolismo , Vias Biossintéticas , Hipóxia Celular , Oxirredução , Policetídeo Sintases/metabolismo
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