Assessment of groundwater from an industrial coastal area of south India for human health risk from consumption and irrigation suitability.

We assessed the groundwater quality in an industrial area (Tiruchendur Taluk) of Tamil Nadu state in coastal south India for human health risk from drinking as well as irrigation suitability by using the drinking water quality index (DWQI), irrigation factors (sodium adsorption ratio, sodium percentage, residual sodium carbonate and permeability index) and health hazard valuation (THQI- by consuming NO3- and F-). About 57% of the samples represented Ca2+-Mg2+-Cl--SO42- facies and the anthropological unhygienic inputs elevated the salinity. Our results indicated that all the samples are unsuitable for drinking (DWQI up to 1063) and almost half of them are also unsuitable for irrigation due to sodium risk. Total hazard quotient index (THQI; HQ nitrate and HQ fluoride) suggested the order of health risk as children > women > men with about 64%, 70% and 79% of the samples posing non-carcinogenic risks for men, women and children, respectively. Different mitigation measures and sustainable development should be enforced to minimize the health issues from contamination caused by industries, fertilizers in agro-fields and natural processes and reduce the sodium dominance in groundwater. The spatial distribution maps of this study could also be helpful in organization of proper treatment plans to provide safe and hygienic groundwater to the community.

Cytomorphological characteristics of low-grade papillary urothelial carcinoma for differential diagnosis from benign papillary urothelial lesions: logistic regression analysis in SurePath(™) liquid-based voided urine cytology.

OBJECTIVE: The diagnosis of low-grade papillary urothelial carcinoma (LGPUC) in urine cytology specimens is challenging because of its subtle, minimally atypical findings. Furthermore, as SurePath(™) liquid-based cytology (LBC) is becoming a widely used method in urine cytology, the inevitable cytomorphological alterations resulting from this technique call for new morphological diagnostic criteria in LGPUC. METHODS: Logistic regression analysis was carried out on SurePath slides from surgically proven voided urine specimens. The study was designed to include a test set (n = 141) and a validation set (n = 61), and evaluated significant discriminative parameters between LGPUC and benign papillary urothelial neoplasm (BPUN). RESULTS: Of the seven cytological findings that were found to have statistical significance in univariate analysis, five were found to be independent variables: loss of polarity of papillaroid clusters, irregular contours, absence of columnar cells, hobnail features and hyperchromasia. These independent variables had an area under the curve (AUC) of 0.781. CONCLUSIONS: The distinctive cytological criteria identified above may prove to be helpful in cases in which other conventional criteria for LGPUC are insufficient for diagnosis.

Environmental monitoring and assessment of heavy metals in surface sediments at Coleroon River Estuary in Tamil Nadu, India.

The combined studies on grain size distribution, organic matter contents of sediments, sequential extraction and bulk concentration of heavy metals, statistical analysis, and ecological risk assessments were carried out to investigate the contamination sources and ecological risks of surface sediments at Coleroon River Estuary in Tamil Nadu, India. The sequential extraction of metals showed that a larger portion of the metals was associated with the residual phase and also in other fractions. The low concentrations of heavy metals were found in exchangeable and carbonate bounds (bioavailable phases). It revealed that sediments of Coleroon River Estuary were relatively unpolluted and were influenced mainly by natural sources. The observed order of bulk concentrations of heavy metals in the sediments was as follows: Fe > Mn > Zn > Cu > Pb > Cr > Ni > Co. Factor analyses represented that the enrichment of heavy metals was mostly resulted from lithogenic origins associated with anthropogenic sources. These sources were reconfirmed by cluster analysis. Risk assessment code (RAC) suggested that all metals were not harmful in monsoon season. However, Fe was in medium risk, and Mn and Cu were in low risk in summer. According to pollution load index (PLI) of sediments, all heavy metals were toxic. Cu might be related with adverse biological effects on the basis of sediment quality guidelines (SQG) in both seasons. These integrated approaches were very useful to identify the contamination sources and ecological risks of sediments in estuarine environment. It is expected that this research can give a useful information for the remediation of heavy metals in sediments.

An assessment of selected hydrochemical parameter trend of the Nakdong River water in South Korea, using time series analyses and PCA.

Time series analyses (autocorrelation, spectral density, and cross-correlation) and principal component analysis (PCA) were used to understand the characteristics of the selected hydrochemical parameters pH, turbidity, alkalinity, Cl, hardness, total dissolved solids (TDS), and metals Fe and Mn in the Nakdong River, South Korea. Autocorrelation and spectral density for pH, alkalinity, hardness, and Cl were very similar to TDS, whereas Fe, Mn, and turbidity showed different trends from TDS. Cross-correlograms of pH, alkalinity, hardness, and Cl versus TDS were very similar to each other. Those of Fe and turbidity represented the opposite relations with other components. Cross-correlation coefficients had the highest values at zero lag, indicating that pH, alkalinity, hardness, and Cl are controlling factors for TDS. On the other hand, Fe and turbidity showed the highest values at 6-month lag and Mn at a month lag. PCA indicated that TDS had very close relation with hardness, pH, and Cl and very small relation with Mn. Turbidity and Fe had relatively opposite relations with TDS. It was concluded that the geostatistical methods were very useful for evaluating the hydrochemical characteristics of the Nakdong River water in South Korea.

Set-up uncertainty during breast radiotherapy. Image-guided radiotherapy for patients with initial extensive variation.

PURPOSE: The aim of this work was to establish a customized strategy for image-guided radiotherapy during whole breast irradiation. Risk factors associated with extensive errors were assessed. METHODS AND MATERIALS: A series of 176 consecutive breasts in 174 patients were retrospectively assessed. Electronic portal images from 914 medial and 807 lateral directions were reviewed. On the basis of the chest wall, the deviations between the simulation and each treatment were measured. The systematic (Σ) and random error (σ) of population, and the planning target volume (PTV) margin (2 Σ + 0.7σ) were calculated for each direction. Extensive set-up errors were defined as the fraction over the PTV margins in any direction. For extensive set-up errors, χ(2) tests and logistic regression analyses were conducted. RESULTS: The medial and lateral PTV margins for the right-left, superior-inferior, and anterior-posterior axes and the rotation of collimator were 2.6 and 2.4 mm, 4.6 and 4.6 mm, and 3.1 and 3.3 mm and 2.8 and 2.9 ° and cut-off values for extensive errors were 3, 5, and 4 mm and 3 °, respectively. In χ(2) tests, tumor in upper outer quadrant (p = 0.012) and chest wall thickness ≥ 2.0 cm (p = 0.003) for medial portals and age group (p = 0.036) for lateral portals were associated with extensive errors. In multivariate tests, the extensive error on the initial fraction had a high probability of extensive set-up errors in both medial (OR = 4.26, p < 0.001) and lateral portals (OR = 3.07, p < 0.001). CONCLUSION: In terms of the set-up uncertainty during breast irradiation, patients with extensive error in the initial treatment should be closely observed with serial image-guided radiotherapy.

Serial examination of serum IL-8, IL-10 and IL-1Ra levels is significant in neonatal seizures induced by hypoxic-ischaemic encephalopathy.

We investigated changes in the levels of significant cytokines in relation to neonatal seizures, a pattern of cytokine concentrations serially and the severity of brain insult. The hypoxic-ischaemic encephalopathy-induced seizure group consisted of 13 patients, and another 15 normal newborns were enrolled as a control group. All of the initial samples were obtained within the first 24 h of admission, and the second samples were obtained between 48 and 72 h in both groups. Only the third samples were taken in the seizure group on the 5th day. During neonatal seizures, the levels of most cytokines increased within 24 h, and, in particular, the levels of interleukin (IL)-8 significantly increased (P < 0.05). After 48-72 h of seizure onset, the levels of most cytokines decreased, especially, IL-1Ra; however, IL-8 and IL-10 remained increased (P < 0.05). During the prognosis, one patient who was diagnosed with quadriplegic cerebral palsy at 6 months of age presented extreme elevation of IL-1beta, IL-1Ra, IL-6, IL-8, IL-10 and tumor necrosis factor-alpha in the initial sample, reflecting the severity of brain damage. A significant increase in IL-8 may serve as a biomarker for earlier detection of brain damage in neonatal seizure, if detected within 24 and 48-72 h of the seizure.

Measurement of submarine groundwater discharge (SGD) into Tiruchendur coast at southeast India using 222Rn as a naturally occurring tracer.

Application of natural tracers such as radon isotope mass balance has been useful in estimating the submarine groundwater discharge (SGD). This study used 222Rn and evaluated the magnitude of SGD at Tiruchendur coast of southeast India in the Gulf of Mannar (Indian Ocean). Higher magnitudes of 222Rn in the porewater and seawater in comparison with the groundwater suggest simultaneous SGD with fluxes of 0.1-0.25 m3 m-2 d-1 at offshore and 0.4-0.20 m3 m-2 d-1 at the near shore. These baseline data would contribute to the management and protection of the Gulf of Mannar region in near future.

Submarine groundwater discharge and associated nutrient influx in surroundings of the estuary region at Gulf of Mannar coast, Indian Ocean.

The influx of fresh groundwater and re-circulated sea water into coastal ecosystem occurs through the submarine groundwater discharge (SGD). Measurement of salinity, radium tracers (224Ra, and 226Ra isotopes) and nutrients in estuarine water, coastal surface water and groundwater during December 2019 estimated the SGD and associated nutrient fluxes near the Karameniyar estuary (Gulf of Mannar) and surroundings of the Manapad region at southern part of Tamil Nadu state in India. The presence of excessive radium tracers revealed that the SGD was contributing to Ra desorption from the sediments and enrichment in the coastal waters. We estimated SGD of approximately 0.03-0.59 m3 m-2 d-1 for the Manapad region and relatively more homogeneous but comparatively less values in the Karameniyar estuary (0.03-0.34 m3 m-2 d-1). Higher average values of dissolved inorganic nitrogen (DIN; 43.62 µmol L-1) and soluble reactive phosphate (SRP; 1.848 µmol L-1) suggested greater influence of SGD on the overall coastal water nutrient budget. This study also indicated simultaneous occurrence of fresh and saline SGD in this region.

Characteristics of microplastics in the beach sediments of Marina tourist beach, Chennai, India.

Marina beach in Chennai metropolitan city attracts numerous tourists from all around the world, and it is an important ecological habitat for many life forms. Rapid urbanisation and industrial developments have led to excessive use of plastics and increased the amount of plastic waste generated in the natural environment. This first baseline study evaluates the microplastic (MP) accumulation in beach surface sediments of Marina and Pattinapakkam beaches through FTIR, AFM and SEM analyses. Sediment samples were collected from 40 stations and different types of MP polymers were identified. On average, 459 (60.8%) and 297 (39.2%) MP particles were found in the samples from Marina and Pattinapakkam beaches, respectively. We found that polyethylene types and additives are the dominant MPs in both areas. This study provided us with new insights into the human activities and natural processes in these marine environments. To solve the problem of plastic accumulation in the marine environment, the government should first play an active role in addressing the problem of plastic waste by introducing laws to control the sources of plastic waste and the use of plastic additives.

Microplastics and trace metals in fish species of the Gulf of Mannar (Indian Ocean) and evaluation of human health.

The importance of microplastic (MPs) contamination in marine environments is reflected by increasing number of studies in fish species. Some even dedicated to the toxicological effects from the ingestion. Microplastics (MPs) and their trace metal composition were examined in the muscle and intestine of five commercially important fish species (i.e., Sufflamen fraenatus, Heniochus acuminatus, Atropus atropos, Pseudotriacanthus and Leiognathus brevirostris) from Thoothukudi at the Gulf of Mannar coast in south India. The abundance and morphology of MPs (size, shape, and texture) in muscle and intestinal were investigated by micro-Fourier Transform Infrared Spectroscopy (µ-FT-IR) and atomic force microscope (AFM). ICP-OES was used to investigate the adsorption/leaching of trace metals in microplastics in order to assess health risk for adults and children. Particles of 100-250 µm and white color dominated, and the mean abundances (items/100 g) of total MPs were more in Pseudotriacanthus (muscle: 51.2; intestine: 50.1) compared to Heniochus acuminatus (muscle: 9.6; intestine: 15), Leiognathus brevirostris (muscle: 12; intestine: 13.2) and Atropus atropus (muscle: 15.2; intestine: 44.1). Polyethylene (35.3%), polypropylene (27.2%), polyamide (nylon) (22.2%) and fiber (15.3%) represented the MPs present in muscles, and polyamide (nylon) (30.2%), polyethylene (28.1%), polypropylene (25.9%), and fiber (15.8%) composed the intestine MPs. We estimated possible consumption of 121-456 items of MPs/week by adults and about 19-68 items of MPs/week by children by considering the sizes of safe meals. Zn, Cu, Mn and Cr in these fish species reflected influence of the sewage waste. However, the non-carcinogenic risk evaluated through EDI, THQ, HI, and CR did not suggest any immediate health problem for the consumers.

Microplastic presence in commercial marine sea salts: A baseline study along Tuticorin Coastal salt pan stations, Gulf of Mannar, South India.

The present baseline research infers that the salts present in the sea may contain microplastics (MPs), as the seawater is contaminated due to a number of anthropogenic activities. Herein, 25 types of sea salt samples were collected from salt pans located in the Tuticorin coastal region. The MPs present in the samples were separated and identified by various methods such as handpicking, visual classification, and micro-Fourier transform infrared spectroscopy (µ-FT-IR) and atomic force microscopy (AFM). The MPs that measured less than 100 µm formed the major part of the salts, accounting to 60% of the MPs among the total pollutants. The MPs that were found in abundance in the sea salts were polypropylene, followed by polyethylene, nylon, and cellulose. This study was conducted in salt pan areas and demarcated the percentage of MPs present in sea salts. Table salt, which is a prime edible commodity, was found to be contaminated with MPs through polluted seawater, which poses a threat to public health.

Imprints of pandemic lockdown on subsurface water quality in the coastal industrial city of Tuticorin, South India: A revival perspective.

Globally, the incidences of environmental improvements owing to seizing the anthropogenic activities during the lockdown have been reported through news articles and photographs, yet a formal scholarly study has been lacking to substantiate the imprints of lockdown. We hereby present the imprints of lockdown on water quality (both chemical and biological) parameters during the nationwide lockdown (COVID-19 epidemic) in India between 25th March to 30th May 2020. The present study describes the changes in chemical and biological water quality parameters based on twenty-two groundwater samples from the coastal industrial city of Tuticorin in Southern India, taken before (10 and 11th February 2020) and during the lockdown (19 and 20th April 2020) periods. The physico-chemical parameters compared are pH, total dissolved solids (TDS) and electrical conductivity (EC), nitrate (NO3), fluoride (F), chromium (Cr), iron (Fe), copper (Cu), zinc (Zn), cadmium (Cd), lead (Pb), arsenic (As), and selenium (Se), and the bacterial parameters are total coliforms, fecal coliforms, E. coli, and fecal streptococci. Among the metals, the significant reductions in Se (42%), As (51%), Fe (60%) and Pb (50%) were noticed probably owing to no or very less wastewater discharges from metal-based industries, seafood-based industries and thermal power plants during the lockdown. Reduction in NO3 (56%), total coliform (52%) and fecal coliforms (48%) indicated less organic sewage from the fishing industries. Contents of Cr, Cu, Zn and Cd, however, remained similar and fluoride did not show any change, probably as they were sourced from rock-water interactions. Similarly, we did not observe alterations in E. coli and fecal streptococci due to no significant change in domestic sewage production during the lockdown. The multivariate analyses aptly illustrated this and the principal component analyses helped to identify the sources that controlled water qualities of the lockdown compared to the pre-lockdown period. Our observation implies that groundwater is definitely under active interaction with surface waters and thus a quick revival could be observed following the seizing of anthropogenic activities.

Clinical outcomes of multicenter domino kidney paired donation.

Domino kidney paired donation (KPD) is a method by which an altruistic living nondirected donor (LND) is allocated to a pool of incompatible donor-recipient pairs (DRP) and a series of KPDs is initiated. To evaluate the feasibility and clinical outcomes of multicenter domino KPD, we retrospectively analyzed a cohort of DRPs who underwent domino KPD between February 2001 and July 2007 at one of 16 transplant centers. One hundred seventy-nine kidney transplants were performed, with 70 domino chains initiated by altruistic LND. There were 45 two-pair chains, 15 three-pair chains, 7 four-pair chains, 2 five-pair chains and 1 six-pair chain. A majority of donors were spouses (47.5%) or altruistic LNDs (39.1%). DRPs with a blood type O recipient or an AB donor comprised 45.9% of transplanted DRPs. HLA mismatch improved in transplanted donors compared to intended donors in pairs enrolled to improve HLA mismatch (3.4 +/- 0.7 vs. 4.8 +/- 1.0, p < 0.001). One-year and 5-year graft survival rates were 98.3% and 87.7%, respectively, with a median follow-up of 46 months. One-year and 5-year patient survival rates were 97.2% and 90.8%, respectively. In conclusion, multicenter domino KPD could multiply the benefits of donation from LNDs, with patients and graft survival rates comparable to those seen with conventional KPD.

Identification of a new HLA-A*11 allele, HLA-A*1135, by sequence-based typing in Korean individual.

A novel human leukocyte antigen (HLA)-A allele has been identified in the cord blood of a Korean baby. New HLA-A*1135 allele was different from HLA-A*1131 by three nucleotide substitution at codon 142 (ATC-->ACC) and codon 163 (CGG-->ACG), resulting in two amino acid change, Ile 142 Thr and Arg 163 Thr.

Identification of a new HLA-DRB1*14 variant, HLA-DRB1*1478, in a Korean individual.

We report the identification of novel allele HLA-DRB1*1478 that was found during routine high-resolution sequence-based typing of the cord blood unit in Korean population. The DRB1*1478 allele shows two nucleotide differences from DRB1*1463 in exon 2 at nucleotide position 344 (G-->T) and 345 (T-->G), resulting in an amino acid change, Gly86Val.

General organization of protein in HeLa 40S nuclear ribonucleoprotein particles.

The majority of the protein mass of HeLa 40S heterogeneous nuclear ribonucleoprotein monoparticles is composed of multiple copies of six proteins that resolve in SDS gels as three groups of doublet bands (A1, A2; B1, B2; and C1, C2) (Beyer, A. L., M. E. Christensen, B. W. Walker, and W. M. LeStourgeon. 1977. Cell. 11: 127-138). We report here that when 40S monoparticles are exposed briefly to ribonuclease, proteins A1, C1, and C2 are solubilized coincidentally with the loss of most premessenger RNA sequences. The remaining proteins exist as tetramers of (A2)3(B1) or pentamers of (A2)3(B1)(B2). The tetramers may reassociate in highly specific ways to form either of two different structures. In 0.1 M salt approximately 12 tetramers (derived from three or four monoparticles) reassemble to form highly regular structures, which may possess dodecahedral symmetry. These structures sediment at 43S, are 20-22 nm in width, and have a mass near 2.3 million. These structures possess 450-500 bases of slowly labeled RNA, which migrates in gels as fragments 200-220 bases in length. In 9 mM salt the tetramers reassociate to form 2.0 M salt-insoluble helical filaments of indeterminant length with a pitch near 60 nm and diameter near 18 nm. If 40S monoparticles are treated briefly with nuclease-free proteases, the same proteins solubilized by nuclease (A1, C1, and C2) are preferentially cleaved. This protein cleavage is associated with the dissociation of most of the heterogeneous nuclear RNA. Proteins A2 and B1 again reassemble to form uniform, globular particles, but these sediment slightly slower than intact monoparticles. These findings indicate that proteins A1, C1, and C2 and most of the premessenger sequences occupy a peripheral position in intact monoparticles and that their homotypic and heterotypic associations are dependent on protein-RNA interactions. Protein cross-linking studies demonstrate that trimers of A1, A2, and C1 exist as the most easily stabilized homotypic association in 40S particles. This supports the 3:1 ratio (via densitometry) of the A and C proteins to the B proteins and indicates that 40S monoparticles are composed of three or four repeating units, each containing 3(A1),3(A2),1(B1),1(B2),3(C1), and 1(C2).

Developmental exposure to 3,4-methylenedioxymethamphetamine results in downregulation of neurogenesis in the adult mouse hippocampus.

3,4-Methylenedioxymethamphetamine (MDMA, ecstasy) is a powerful releaser of 5-HT and chronic use of this drug can cause depletion of monoamines. Recently, concerns about the risk of adult brain damage due to fetal exposure to MDMA have been raised. We investigated whether developmental MDMA exposure affected adult neurogenesis in C57 black/6 mice. MDMA (1.25 or 20 mg/kg, p.o.) or vehicle was administered daily to the mother from prenatal 6th day to postnatal 21st day. When the offspring were 11 weeks old, they were injected with 5-bromo-2'-deoxyuridine (BrdU) (120 mg/kg, i.p.) once a day for 4 days. After 24 h or 28 days, the animals were killed to count the BrdU-positive cells in the dentate gyrus. At 24 h after the last BrdU injection, the number of BrdU-positive cells in the offspring developmentally exposed to MDMA was significantly lower than that of the control group. At 28 days post-BrdU labeling, BrdU-positive cells in the dentate gyrus of female offspring with developmental exposure to high dose MDMA were significantly fewer compared with the control group. In addition, most BrdU-positive cells were co-labeled with the mature neuronal marker, neuronal nuclei, while a few BrdU-labeled cells were merged with an astrocyte marker. Our results suggest that developmental exposure to MDMA can result in decreases in the proliferation and survival of mature newborn cells in the adult dentate gyrus.

Effect of a DanJeon Breathing Exercise Program on the quality of life in patients with kidney transplants.

This quasi-experimental study attempted to show that nursing intervention using the DanJeon Breathing Exercise Program (DJBEP) improved the quality of life of recipients after kidney transplantation. DJBEP progressed in three steps. We prospectively included 29 outpatient volunteers: experimental group: n = 15; control group: n = 14. DJBEP derived from the Roy's adaptation model decreased both the stress and the uncertainty of kidney transplantation recipients. It has also been shown to restore serum cholesterol and serum creatinine levels and enhance strength and flexibility. Simultaneously, self-esteem was enhanced, and eventually adaptation was promoted both physiologically and psychologically. The quality of life of kidney transplantation recipients was enhanced. DJBEP played an effective role as a nursing intervention to promote the quality of life of kidney transplant patients by increasing their physiological and psychological status.

Tacrolimus-induced apoptotic signal transduction pathway.

Tacrolimus (FK506) has been widely used as an immunosuppressant. We examined the effects of FK506 on expression of apoptotic signal transduction pathway proteins of Jurkat human T lymphocytes. We investigated the effects of FK506 on apoptosis, cell viability, caspase family protein activity, Western blotts of Bcl-2, Bak, Fas, Fas-L, CDK4, and cyclin D1, as well as reactive oxygen species (ROS) generation and mitochondrial membrane potential transition. Cells were cultured in the presence or absence of FK506. Flow cytometric analysis was performed after staining with propidium iodide. Viability of Jurkat cells was decreased by the addition of FK506 in dose- and time- dependent manner. FK506-induced cytotoxicity was characterized by G0/G1 phase cell cycle arrest. FK506-induced cell death was confirmed by apoptosis characterized by nuclear fragmentation and caspase-3 protease activation. FK506 induced no change in catalytic activity of caspase-6, -8, and -9 proteases. No change in expression of Bcl-2 protein was noted but we confirmed increased expression of Bak protein. No changes of expressions of Fas and Fas-L were seen. Increased expressions of CDK4 and cyclin D1 were identified. In addition, pharmacological scavenging study of ROS, including H2O2, revealed that cytotoxicity was achieved by generation of ROS, which might modulate Bak protein expression and mitochondrial dysfunction. In conclusion, FK506-induced cell death was apoptotic, characterized by nuclear fragmentation and caspase-3 activation. FK506 induced G0/G1 phase cell cycle arrest via expression of CDK4 and cyclin D1. Apoptosis was also achieved by generation of H2O2, which modulated Bak protein expression and mitochondrial dysfunction.

Rapamycin-induced cytotoxic signal transduction pathway.

We examined the effects of rapamycin on activation, proliferation, and expression of cytotoxic effector molecules in Molt-4 human T lymphocytes. We investigated the effects of rapamycin on cell viability, caspase family protein activities. Western blots of Bcl-2, Bak, p53, p21, p27, Rb, CDK2, and cyclin B1, as well as measurement of reactive oxygen species (ROS) generation and mitochondrial membrane potential transition. Cells were cultured in the presence or absence of rapamycin. Flow cytometric analysis was performed using propidium iodide stain. Viability of Molt-4 cells was decreased by the addition of rapamycin in dose- and time-dependent manners. Rapamycin induced no nuclear fragmentation in Molt-4 cells. Generation of H2O2 in rapamycin-treated Molt-4 cells increased in a time-dependent manner. There were no changes among catalytic activities of caspase proteases. And there was no evidence of expression of Bcl-2, p53, p21, p27, or Rb proteins. G2/M phase cell cycle arrest was identified by flow cytometry. We noted decreased expressions of CDK2 and cyclin B1. We also noted increased Bak protein expression and change in mitochondrial membrane potential transition. In conclusion, rapamycin-induced cytotoxicity was characterized by generation of ROS, which modulated Bak protein expression and mitochondrial dysfunction. G2/M phase cell cycle arrest was achieved by decreased expressions of CDK2 and cyclin B1.