First case of New Delhi metallo ß-lactamase-1 (NDM-1)-producing Burkholderia cepacia complex in Iran.

The Burkholderia cepacia complex (Bcc) is a gram-negative bacillus, which is intrinsically resistant to several used antibiotics, and is now recognized as a group of opportunistic pathogens in Cystic Fibrosis patients. Here, for the first time, we report the case of a patient with New Delhi metallo ß-lactamase (NDM)-positive Bcc lower respiratory tract infection in Iran. The patient was a 57-year-old male admitted to our hospital due to breathlessness, with a history of pulmonary thromboembolism and hypertension. On day 14, the patient underwent bronchoscopy and a bronchoalveolar lavage (BAL) specimen was taken. BAL culture grew Bcc. The drug resistance analysis showed positive NDM resistance, with susceptibility to only quinolones, therefore, levofloxacin was prescribed to the patient. He was discharged from the hospital on the 20th day, 4 days after the initiation of levofloxacin therapy, and died at home on the fifth day after discharge. This is the first report of a lung infection caused by an extensively drug-resistant NDM-positive Bcc strain in Iran.

The Relationship between VDR Gene Polymorphisms Bsm1 and Apa1 with Breast Cancer Risk.

Background In addition to its multifaceted physiological functions, vitamin D is recognized for its protective role against cancer. To manifest its effects, vitamin D engages with the vitamin D receptor ( VDR ) gene responsible for its encoding. Investigations have unveiled that polymorphisms within the VDR gene exert influence over the expression and/or functionality of the VDR protein. Notably, certain VDR gene polymorphisms have emerged as particularly pertinent in the context of tumorigenesis, including Fok1 (rs2228570), Bsm1 (rs1544410), Taq1 (rs771236), and Apa1 (rs7975232). This study aims to scrutinize the correlation between the Bsm1 and Apa1 polymorphisms and the susceptibility to breast cancer development. Materials and Methods In this study, 50 patients suffering from breast cancer with less than 6 months breast cancer diagnosis and 50 healthy control individuals have been chosen. Restriction fragment length polymorphism polymerase chain reaction was used to determine the genotype of polymorphisms. Results The results of the statistical analysis showed that among the studied polymorphisms, there was no correlation with the development of breast cancer. Conclusion Studies on various cancers have produced inconsistent results regarding vitamin D's role in the development and progression of cancer. Therefore, further research is necessary to determine vitamin D's role in cancer development and progression.

Pyrolyzed magnetic NiO/carbon-derived nanocomposite from a hierarchical nickel-based metal-organic framework with ultrahigh adsorption capacity.

Herein, a simple one-pot solvothermal approach is used to create magnetic porous carbon nanocomposites which obtained from a nickel-based metal-organic framework (Ni-MOF) and examined for their ability to uptake methyl orange (MO) dye. Derived carbons with exceptional porosity and magnetic properties were created during the different pyrolysis temperatures of Ni-MOF (700, 800, and 900 °C) under a nitrogen atmosphere. The black powders were given the names CDM-700, CDM-800, and CDM-900 after they were obtained. A variety of analysis methods, including FESEM, EDS, XRD, FTIR, VSM, and N2 adsorption-desorption were used to characterize as-prepared powders. Furthermore, adsorbent dosage, contact time, pH variation, and initial dye concentration effects was investigated. The maximum adsorption capacities were 307.38, 5976.35, 4992.39, and 2636.54 mg/g for Ni-MOF, CDM-700, CDM-800, and CDM-900, respectively, which show the ultrahigh capacity of the resulted nanocomposites compared to newest materials. The results showed that not only the crystallinity turned but also the specific surface area was increased about four times after pyrolyzing. The results showed that the maximum adsorption capacity of MO dye for CDM-700 was obtained at adsorbent dosage of 0.083 g/L, contact time of 60 min, feed pH of 3, and temperature of 45 °C. The Langmuir model has the best match and suggests the adsorption process as a single layer. According to the results of reaction kinetic studies using well-known models, the pseudo-second-order model (R2 = 0.9989) displayed high agreement with the experimental data. The synthesized nanocomposite is introduced as a promising superadsorbent for eliminating dyes from contaminated water due to strong recycling performance up to the fifth cycle.

Removal of tetracycline with aluminum boride carbide and boehmite particles decorated biochar derived from algae.

For the first time, using aluminum-boron electrodes in the electrocoagulation cell for harvesting the cultivated Chlorella microalgae and then performing a hydrothermal process of producing biofuel, mesoporous biochar was produced with an average pore diameter of 11.62 nm, a high specific surface area of 126.4 m2/g and a total pore volume of 0.55 cm3/g. Based on the chemical characterization, aluminum boride carbide (Al3B48C2) and boehmite [Al2(OOH)2] were identified in the biochar composition so that 7.17 wt% Al and 16.67 wt% B were measured on the biochar surface by EDS analysis. As the by-product of hydrothermal converting microalgae Chlorella into biofuel, the residual biochar was innovatively used to separate tetracycline from aqueous solutions. The nonlinear form of the Freundlich model fitted theadsorption equilibrium data well with the least error function value explained by the intraparticle diffusion model. The maximum adsorption capacity of 25.94 mg/g was obtained through endothermic physical adsorption.

Genetic Analysis of MECP2 Gene in Iranian Patients with Rett Syndrome.

OBJECTIVES: Rett syndrome is an X linked dominant neurodevelopmental disorder which almost exclusively affects females. The syndrome is usually caused by mutations in MECP2 gene, which is a nuclear protein that selectively binds CpG dinucleotides in the genome. MATERIALS & METHODS: To provide further insights into the distribution of mutations in MECP2 gene, we investigated 24 females with clinical characters of Rett syndrome referred to Alzahra University Hospital in Isfahan, Iran during 2015-2017. We sequenced the entire MECP2 coding region and splice sites for detection of point mutations in this gene. Freely available programs including JALVIEW, SIFT, and PolyPhen were used to find out the damaging effects of unknown mutations. RESULTS: Direct sequencing revealed MECP2 mutations in 13 of the 24 patients. We identified in 13 patients, 10 different mutations in MECP2 gene. Three of these mutations have not been reported elsewhere and are most likely pathogenic. CONCLUSION: Defects in MECP2 gene play an important role in pathogenesis of Rett syndrome. Mutations in MECP2 gene can be found in the majority of Iranian RTT patients. We failed to identify mutations in MECP2 gene in 46% of our patients. For these patients, further molecular analysis might be necessary.

A novel homozygous DPH1 mutation causes intellectual disability and unique craniofacial features.

Biallelic mutations of the gene encoding diphthamide biosynthesis 1 (DPH1, NM_001383.3) cause developmental delay, dysmorphic features, sparse hair, and short stature (MIM *603527). Only two missense DPH1 mutations have been reported to date. Here, we describe a consanguineous family with two siblings both showing developmental delay, agenesis of the corpus callosum, dysmorphic facial features, sparse hair, brachycephaly, and short stature. By wholeexome sequencing, a homozygous frameshift mutation in DPH1 (c.1227delG, p.[Ala411Argfs*91]) was identified, which is likely responsible for the familial condition. The unique clinical features of the affected siblings are cleft palate and absent renal findings.

Factors influencing sperm retrieval following testicular sperm extraction in nonobstructive azoospermia patients.

OBJECTIVE: Azoospermia owing to testicular disorders is the most severe manifestation of male infertility. The main concern for patients with nonobstructive azoospermia (NOA) is the probability of successful sperm retrieval following testicular sperm extraction (TESE). Therefore, the goal of this study was to determine predictive factors correlated with sperm retrieval. METHODS: We assessed the testicular histopathological patterns, the choice of TESE surgical procedure, hormone levels, and chromosomal abnormalities in patients with NOA (n=170). The histopathology specimens were analyzed based on the histopathological patterns of hypospermatogenesis, maturation arrest, and Sertoli cell-only syndrome. RESULTS: The mean rate of sperm retrieval was 48.8%. The rate of sperm retrieval was significantly higher in the hypospermatogenesis group than in the other groups (p<0.001). There was a positive correlation between micro-TESE (vs. conventional TESE) and the sperm retrieval rate (odds ratio, 8.077; p<0.01). A logistic regression model demonstrated that high levels of follicle-stimulating hormone (FSH) and small testicular volume were significantly associated with lower chances of successful sperm retrieval. CONCLUSION: Some parameters, including testicular histopathology patterns, FSH levels, testicular volume, and method of TESE surgery, may be able to predict the chances of obtaining spermatozoa in patients with NOA. However, despite the efficiency of some predictive models, the hope of retrieving any functioning spermatozoa may be sufficient to disregard predictive factors of the success of intracytoplasmic sperm injection in these patients.