Your browser doesn't support javascript.
loading
Mostrar: 20 | 50 | 100
Resultados 1 - 20 de 110
Filtrar
1.
Nat Commun ; 15(1): 4696, 2024 Jun 01.
Artigo em Inglês | MEDLINE | ID: mdl-38824133

RESUMO

Age-related microangiopathy, also known as small vessel disease (SVD), causes damage to the brain, retina, liver, and kidney. Based on the DNA damage theory of aging, we reasoned that genomic instability may underlie an SVD caused by dominant C-terminal variants in TREX1, the most abundant 3'-5' DNA exonuclease in mammals. C-terminal TREX1 variants cause an adult-onset SVD known as retinal vasculopathy with cerebral leukoencephalopathy (RVCL or RVCL-S). In RVCL, an aberrant, C-terminally truncated TREX1 mislocalizes to the nucleus due to deletion of its ER-anchoring domain. Since RVCL pathology mimics that of radiation injury, we reasoned that nuclear TREX1 would cause DNA damage. Here, we show that RVCL-associated TREX1 variants trigger DNA damage in humans, mice, and Drosophila, and that cells expressing RVCL mutant TREX1 are more vulnerable to DNA damage induced by chemotherapy and cytokines that up-regulate TREX1, leading to depletion of TREX1-high cells in RVCL mice. RVCL-associated TREX1 mutants inhibit homology-directed repair (HDR), causing DNA deletions and vulnerablility to PARP inhibitors. In women with RVCL, we observe early-onset breast cancer, similar to patients with BRCA1/2 variants. Our results provide a mechanistic basis linking aberrant TREX1 activity to the DNA damage theory of aging, premature senescence, and microvascular disease.


Assuntos
Dano ao DNA , Exodesoxirribonucleases , Fosfoproteínas , Animais , Exodesoxirribonucleases/genética , Exodesoxirribonucleases/metabolismo , Humanos , Fosfoproteínas/genética , Fosfoproteínas/metabolismo , Camundongos , Reparo de DNA por Recombinação , Fenótipo , Mutação , Drosophila/genética , Envelhecimento/genética , Envelhecimento/metabolismo , Feminino , Drosophila melanogaster/genética , Masculino , Doenças Retinianas , Doenças Vasculares , Doenças Desmielinizantes Hereditárias do Sistema Nervoso Central
2.
Indian J Otolaryngol Head Neck Surg ; 74(Suppl 2): 853-857, 2022 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-36452807

RESUMO

Epiphora is a bothersome condition seen in chronic dacryocystitis. The mainstay of treatment is surgical, that is creating an opening to establish a drainage pathway. With the advent of endoscope, endonasal DCR has gained popularity. Use of silicone stent in endonasal DCR has added advantage in improving the surgical outcome. And the use of DOS system in improving the success rates of endonasal DCR: (Mohammad et al. in Clin Ophthalmol 8:2491-2499, 2014) a total of 35 patients with chronic dacryocystitis were subjected for endonasal DCR with silicone bicanalicular stent. Patients were followed up at an interval of 1 week, 3 weeks, 6 weeks and 6 months post surgery. DCR ostium parameters were evaluated using DOS system. Silicone stent removal was done at sixth week and evaluated for success. The success rate in our study was 89%. The DOS score of the patient with successful surgery had a score of more than 30 and in the failed cases the score was between 22 and 28. The success rate of the procedure primarily depends on the ostium parameters and the position of the silicone stent. The DOS scoring system can be suitable tool in evaluating the same.

3.
Indian J Ophthalmol ; 70(11): 3871-3874, 2022 11.
Artigo em Inglês | MEDLINE | ID: mdl-36308117

RESUMO

Purpose: To assess the change in the amount of astigmatism caused by frown, straight, and smile incision in patients with pre-existing against-the-rule (ATR) astigmatism of more than and equal to 1 diopter. Methods: This is a prospective, comparative study conducted over 18 months on 60 patients. Twenty patients were allocated to each incision using simple random sampling. Demographic details, best-corrected visual acuity (BCVA), intraocular pressure (IOP), anterior and posterior segment evaluation, and A-scan were done. An average of three measurements of K horizontal (Khavg), K vertical (Kvavg), and difference between the two (Khavg - Kvavg) were taken using manual keratometry. All surgeries were performed by a single surgeon. All the data analyses were performed by using IBM Statistical Package for the Social Sciences (SPSS) version 20 software. Frequency distribution and cross tabulation were performed to prepare the tables. Results: In frown incision, Khavg - Kvavg was significantly decreased on day 45 from the preoperative value (P < 0.001), followed by straight incision (P < 0.001), and smile incision (P < 0.001). Maximum decrease was observed in frown incision (49.15%) followed by straight (37.75%) and smile (28.57%) incisions. Conclusion: Our results are consistent with reduction of pre-existing ATR astigmatism with temporal incisions, and frown incision seems to be the best approach.


Assuntos
Astigmatismo , Extração de Catarata , Catarata , Facoemulsificação , Ferida Cirúrgica , Humanos , Astigmatismo/diagnóstico , Astigmatismo/etiologia , Astigmatismo/cirurgia , Estudos Prospectivos , Extração de Catarata/efeitos adversos , Extração de Catarata/métodos , Córnea/cirurgia , Ferida Cirúrgica/complicações , Ferida Cirúrgica/cirurgia , Catarata/complicações , Facoemulsificação/métodos
4.
J Clin Pathol ; 74(10): 620-624, 2021 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-33361148

RESUMO

Hexokinase (EC 2.7.1.1, Adenosine Tri Phosphate (ATP): D-hexose-6-phosphotransferase) is a crucial regulatory enzyme of the glycolytic pathway (Embden-Meyerhof pathway). Hexokinase deficiency is associated with chronic non-spherocytic haemolytic anaemia (HA) with some exceptional cases showing psychomotor/mental retardation and fetus death. The proband is a four-and-half-year-old female child born of a four-degree consanguineous marriage hailing from South India with autosomal recessive congenital HA associated with developmental delay. She was well till 3 months of her age post an episode of diarrhoea when she was noted to be severely anaemic and requiring regular transfusions. The common causes of HA, haemoglobinopathies, red cell membranopathies and common red cell enzymopathies (G6PD, GPI, PK and P5N) were ruled out. Targeted analysis of whole exome sequencing (WES) using an insilico gene panel for hereditary anaemia was performed to identify pathogenic variants in the patient. Next-generation sequencing revealed a novel homozygous variant in hexokinase gene c.2714C>A (p. Thr905Lys) in exon-18. The pathogenic nature of the variant p. Thr905Lys in the HK1 gene was confirmed collectively by biochemical and molecular studies. Insilico analysis (PolyPhen-2, Provean, Mutation Taster) predicted the variant to be severe disease causing. Multiple sequence alignment demonstrated the conservation of p. Thr905 across the species. The impact of the mutation on the protein structure was studied by PyMOL and Swiss Protein databank viewer.


Assuntos
Anemia Hemolítica/genética , Deficiências do Desenvolvimento/genética , Hexoquinase/deficiência , Mutação de Sentido Incorreto , Adulto , Fatores Etários , Anemia Hemolítica/diagnóstico , Anemia Hemolítica/enzimologia , Desenvolvimento Infantil , Pré-Escolar , Análise Mutacional de DNA , Deficiências do Desenvolvimento/diagnóstico , Deficiências do Desenvolvimento/enzimologia , Feminino , Predisposição Genética para Doença , Hereditariedade , Hexoquinase/genética , Hexoquinase/metabolismo , Sequenciamento de Nucleotídeos em Larga Escala , Homozigoto , Humanos , Índia , Masculino , Linhagem , Fenótipo , Índice de Gravidade de Doença , Sequenciamento do Exoma , Adulto Jovem
6.
Cell Rep Med ; 1(3)2020 06 23.
Artigo em Inglês | MEDLINE | ID: mdl-32699843

RESUMO

CD137 is a costimulatory receptor expressed on natural killer cells, T cells, and subsets of dendritic cells. An agonistic monoclonal antibody (mAb) against CD137 has been used to reduce tumor burden or reverse autoimmunity in animal models and clinical trials. Here, we show that mice treated with an agonistic anti-CD137 mAb have reduced numbers of germinal center (GC) B cells and follicular dendritic cells (FDCs) in lymphoid tissues, which impair antibody responses to multiple T-cell-dependent antigens, including infectious virus, viral proteins, and conjugated haptens. These effects are not due to enhanced apoptosis or impaired proliferation of B cells but instead correlate with changes in lymphoid follicle structure and GC B cell dispersal and are mediated by CD137 signaling in CD4+ and CD8+ T cells. Our experiments in mice suggest that agonistic anti-CD137 mAbs used in cancer and autoimmunity therapy may impair long-term antibody and B cell memory responses.


Assuntos
Anticorpos Monoclonais/imunologia , Linfócitos T CD4-Positivos/imunologia , Linfócitos T CD8-Positivos/imunologia , Células Dendríticas Foliculares/imunologia , Tecido Linfoide/imunologia , Membro 9 da Superfamília de Receptores de Fatores de Necrose Tumoral/imunologia , Animais , Formação de Anticorpos/imunologia , Linfócitos B/imunologia , Linhagem Celular , Proliferação de Células/fisiologia , Centro Germinativo/imunologia , Células Matadoras Naturais/imunologia , Masculino , Camundongos , Camundongos Endogâmicos C57BL , Neoplasias/imunologia
7.
JCI Insight ; 5(3)2020 02 13.
Artigo em Inglês | MEDLINE | ID: mdl-31945014

RESUMO

Current models of B lymphocyte biology posit that B cells continuously recirculate between lymphoid organs, without accumulating in peripheral healthy tissues. Nevertheless, B lymphocytes are one of the most prevalent leukocyte populations in the naive murine heart. To investigate this apparent inconsistency in the literature, we conducted a systematic analysis of myocardial B cell ontogeny, trafficking dynamics, histology, and gene expression patterns. We found that myocardial B cells represent a subpopulation of circulating B cells that make close contact with the microvascular endothelium of the heart and arrest their transit as they pass through the heart. The vast majority (>95%) of myocardial B cells remain intravascular, whereas few (<5%) myocardial B cells cross the endothelium into myocardial tissue. Analyses of mice with B cell deficiency or depletion indicated that B cells modulate the myocardial leukocyte pool composition. Analysis of B cell-deficient animals suggested that B cells modulate myocardial growth and contractility. These results transform our current understanding of B cell recirculation in the naive state and reveal a previously unknown relationship between B cells and myocardial physiology. Further work will be needed to assess the relevance of these findings to other organs.


Assuntos
Linfócitos B/citologia , Miocárdio/citologia , Animais , Células da Medula Óssea/citologia , Células da Medula Óssea/imunologia , Citometria de Fluxo , Imunofenotipagem , Camundongos , Camundongos Endogâmicos C57BL , Miocárdio/imunologia
8.
Eur J Mass Spectrom (Chichester) ; 26(3): 213-224, 2020 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-31698942

RESUMO

Screening of chemicals related to chemical weapons convention including their all possible degradation and reaction products in environmental samples is important in the organization for prohibition of chemical weapons verification process. Sulfur mustards, commonly known as blistering agents, are included in schedule 1 chemicals of chemical weapons convention. Because of the presence of chlorine atoms in sulfur mustards, they are highly reactive and prone to react with other organic molecules such as phenols to produce corresponding reaction products. Thus, it is important to screen for not only the sulfur mustards but also their reaction products for verification process. The sulfur mustards and their degradation products have been routinely analyzed by gas chromatography/mass spectrometry method, however, the methods are yet to establish for the reaction products. In this study, the reaction products of the sulfur mustards with phenol (compounds 1-7) were studied by gas chromatography/mass spectrometry under electron ionization and chemical ionization conditions. The EI spectra of 1-7 displayed molecular ion and characteristic fragments that provided structure information. Mostly the fragment ions were due to homolytic cleavages involving C-O, C-S, and C-C cleavages. The methane or isobutane CI spectra showed M+., [M + H]+, and [M - H]+ ions including reagent specific adduct ions. The CI spectra also showed other adduct ions formed by association of analyte molecule with its most abundant fragment ion. The gas chromatography/retention index values were also calculated, which support unambiguous identification of targeted molecules in suspected environmental samples. The method was demonstrated for detection of the targeted molecules spiked in soil samples.

9.
Int J Hematol ; 110(5): 618-626, 2019 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-31401766

RESUMO

Most patients with anemia are diagnosed through clinical phenotype and basic laboratory testing. Nonetheless, in cases of rare congenital anemias, some patients remain undiagnosed despite undergoing an exhaustive workup. Genetic testing is complicated by the large number of genes that are involved in rare anemias, due to similarities in the clinical presentation. We sought to enhance the diagnosis of patients with congenital anemias by using targeted next-generation sequencing. The genetic diagnosis was performed by gene capture followed by next-generation sequencing of 76 genes known to cause anemia syndromes. Genetic diagnosis was achieved in 17 of 21 transfusion-dependent patients and undiagnosed by conventional workup. Four cases were diagnosed with red cell membrane protein defects, four patients were diagnosed with pyruvate kinase deficiency, one case of adenylate kinase deficiency, one case of glucose phosphate isomerase deficiency, one case of hereditary xerocytosis, three cases having combined membrane and enzyme defect, two cases with Diamond-Blackfan anemia (DBA) and 1 with CDA type II with 26 different mutations, of which 21 are novel. Earlier incorporation of this NGS method into the workup of patients with congenital anemia may improve patient care and enable genetic counselling.


Assuntos
Anemia/congênito , Testes Genéticos/métodos , Sequenciamento de Nucleotídeos em Larga Escala/métodos , Mutação , Adenilato Quinase/genética , Anemia/genética , Anemia de Diamond-Blackfan/genética , Anemia Hemolítica Congênita/genética , Anemia Hemolítica Congênita não Esferocítica/genética , Citocinas/genética , Glucose-6-Fosfato Isomerase/genética , Humanos , Hidropisia Fetal/genética , Índia , Piruvato Quinase/deficiência , Piruvato Quinase/genética , Erros Inatos do Metabolismo dos Piruvatos/genética
10.
Plant Cell Rep ; 38(9): 1127-1137, 2019 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-31154513

RESUMO

KEY MESSAGE: Genetically engineered onion expressing codon-optimized VvSTS1 gene accumulated stilbenes and extended life span in yeast and can serve as potential nutraceutical. Resveratrol (RV) is a natural polyphenolic compound found in certain plant species including grapes. RV is well known for its nutraceutical properties and to assuage several disease conditions. Onion is the second most consumed vegetable worldwide and contains large quantities of precursor molecules, malonyl-CoA and para-coumaroyl-CoA that are needed for RV biosynthesis. The present study reports the development of nutraceutical onion by engineering RV biosynthetic pathway. A codon-optimized grapevine synthetic stilbene synthase gene (VvSTS1) was synthesized using native grapevine sequence. Six-week-old healthy yellowish compact nodular calli were co-cultivated with Agrobacterium tumefaciens harbouring pCAMBIA1300-hpt II-CaMV35S-VvSTS1-nos. PCR analysis revealed the presence of VvSTS1 and hpt II genes in putative transgenics. Southern blot analysis confirmed the integration of VvSTS1 gene and independent nature of transformants. LC-ESI-HRMS analysis revealed the accumulation of variable quantities of RV (24.98-50.18 µg/g FW) and its glycosylated form polydatin (33.6-67.15 µg/g FW) in both leaves and bulbs, respectively, indicating the successful engineering of RV biosynthetic pathway into onion. The transgenic onion bulb extracts extended the life span in haploid yeast. The transgenic onion accumulating RV and polydatin, developed for the first of its kind, may serve as a potential nutraceutical resource.


Assuntos
Glucosídeos/metabolismo , Cebolas/genética , Proteínas de Plantas/genética , Resveratrol/metabolismo , Estilbenos/metabolismo , Vitis/enzimologia , Aciltransferases/genética , Aciltransferases/metabolismo , Vias Biossintéticas , Suplementos Nutricionais , Cebolas/química , Cebolas/metabolismo , Proteínas de Plantas/metabolismo , Plantas Geneticamente Modificadas , Vitis/genética
11.
Indian J Pediatr ; 86(8): 692-699, 2019 08.
Artigo em Inglês | MEDLINE | ID: mdl-31030358

RESUMO

OBJECTIVES: Glucose-6-phosphate isomerase (GPI) deficiency is an autosomal recessive genetic disorder causing hereditary non-spherocytic hemolytic anemia (HNSHA) coupled with a neurological disorder. The aim of this study was to identify GPI genetic defects in a cohort of Indian patients with HNSHA coupled with neurological dysfunction. METHODS: Thirty-five patients were screened for GPI deficiency in the HNSHA patient group; some were having neurological dysfunction. Enzyme activity was measured by spectrophotometric method. The genetic study was done by single-stranded conformation polymorphism (SSCP) analysis, restriction fragment length polymorphism (RFLP) analysis by the restriction enzyme AciI for p.Arg347His (p.R347H) and confirmation by Sanger's sequencing. RESULTS: Out of 35 patients, 15 showed 35% to 70% loss of GPI activity, leading to neurological problems with HNSHA. Genetic analysis of PCR products of exon 12 of the GPI gene showed altered mobility on SSCP gel. Sanger's sequencing revealed a homozygous c1040G > A mutation predicting a p.Arg347His replacement which abolishes AciI restriction site. The molecular modeling analysis suggests p.Arg347 is involved in dimerization of the enzyme. Also, this mutation generates a more labile enzyme which alters its three-dimensional structure and function. CONCLUSIONS: This report describes the high prevalence of p.Arg347His pathogenic variant identified in Indian GPI deficient patients with hemolytic anemia and neuromuscular impairment. It suggests that neuromuscular impairment with hemolytic anemia cases could be investigated for p.Arg347His pathogenic variant causing GPI deficiency because of neuroleukin activity present in the GPI monomer which has neuroleukin action at the same active site and generates neuromuscular problems as well as hemolytic anemia.


Assuntos
Anemia Hemolítica Congênita não Esferocítica/enzimologia , Anemia Hemolítica Congênita não Esferocítica/genética , Glucose-6-Fosfato Isomerase/genética , Deficiência Intelectual/enzimologia , Deficiência Intelectual/genética , Doenças Neuromusculares/enzimologia , Doenças Neuromusculares/genética , Adolescente , Criança , Pré-Escolar , Feminino , Humanos , Índia , Lactente , Masculino , Mutação de Sentido Incorreto , Prevalência
12.
J Clin Pathol ; 72(1): 81-85, 2019 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-30337328

RESUMO

Glucose-6-phosphate isomerase (GPI) deficiency is an autosomal recessive genetic disorder causing congenital haemolytic anaemia (CHA). Diagnosis of GPI deficiency by the biochemical method is unpredicted. Molecular diagnosis by identifying genetic mutation is the gold standard method for confirmation of disease, but causative genes involved in CHA are numerous, and identifying a gene-by-gene approach using Sanger sequencing is also cumbersome, expensive and labour intensive. Recently, next-generation targeted sequencing is more useful in the diagnosis of unexplained haemolytic anaemia. We used targeted next-generation sequencing (NGS) clinical panel for diagnosis of unexplained haemolytic anaemia in two Indian patients which were pending for a long time. All possible causes of haemolytic anaemia were found within normal limit. NGS by clinical exome panel revealed homozygous novel missense mutation in exon 12, c.1009G>A (p.Ala337Thr) in both patients. We further confirm by measuring red blood cell GPI activity in the patients and showed deficiency whereas parents were having intermediate activity. c.1009G>A mutation was also confirmed by Sanger sequencing of exon 12 of GPI gene. The structural-functional analysis by bioinformatics software like Swiss PDB, PolyPhen-2 and PyMol suggested that this pathogenic variant has a direct impact on the structural rearrangement at the region near the active site of the enzyme. This rapid and high-performance targeted NGS assay can be configured to detect specific CHA mutations unique to an individual defect, making it a potentially valuable method for diagnosis of unexplained haemolytic anaemia.


Assuntos
Anemia Hemolítica/diagnóstico , Glucose-6-Fosfato Isomerase/genética , Adulto , Substituição de Aminoácidos , Anemia Hemolítica/genética , Criança , Citocinas/genética , Eritrócitos , Feminino , Sequenciamento de Nucleotídeos em Larga Escala , Homozigoto , Humanos , Índia , Mutação de Sentido Incorreto , Patologia Molecular , Análise de Sequência de DNA
13.
Eur J Mass Spectrom (Chichester) ; 24(6): 442-453, 2018 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-30301377

RESUMO

N-Alkylaminoethanols, N,N'-dialkylaminoethanols, and triethanolamine are the hydrolyzed products or precursors of V-agents/nitrogen mustards. These compounds are prone to undergo oxidation in environmental matrices. Detection of the oxidized products provides a clue for the presence of parent amine compounds and it is an important task in the verification process of chemical weapons convention. Gas chromatography/mass spectrometry is the technique of choice for the detection of most of the chemical warfare agents; however, it is ideal to develop gas chromatography/mass spectrometry techniques for all the possible degradation products of chemical warfare agents as well. In general, the N-oxides of amines are expected to be thermally unstable; hence, the gas chromatography/mass spectrometry analysis of the N-oxides of triethanolamine, N-alkyldiethanolamines and N,N'-dialkylaminoethanols is not explored. In this study, the N-oxides of chemical weapons convention-related aminoethanols (13 compounds) were successfully silylated and then analyzed by gas chromatography/mass spectrometry under electron ionization and chemical ionization techniques. The electron ionization mass spectra showed abundant molecular ions and structure indicative fragment ions including [M-(O+CH2CH2OH)]+. The alkyl groups attached to nitrogen resulted in structure-specific fragment ions that enable differentiation of isomeric compounds. The methane/chemical ionization spectra showed considerably abundant [M+H]+ (>10%) and the expected adduct ions. The retention indices of all the compounds were calculated using Van den Dool's formula. The gas chromatography/mass spectrometry data together with retention index values could be used for unambiguous identification of the N-oxides of aminoethanols during off-site analysis or proficiency tests.

14.
Hematology ; 23(8): 567-573, 2018 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-29482478

RESUMO

OBJECTIVE: To investigate the cause of recessive congenital methemoglobinemia (RCM) in Indian families and to identify molecular defect associated with RCM. METHODS: Eight cases of RCM have been addressed to our laboratory in order to investigate the cause of cyanosis associated with genetic disorders. NADH-cytochrome b5 reductase (cytb5r) enzyme activities were measured by standard methods, and molecular analysis was performed by polymerase chain reaction (PCR) followed by DNA sequencing. The interpretation of mutation effect and the molecular modeling were performed by using specific software DEEP VIEW SWISS-PDB VIEWER and Pymol molecular graphics program. RESULTS AND DISCUSSION: Eight index cases from four unrelated families were referred for the cause of cyanosis. All patients showed mild to moderate cyanosis without mental retardation or any neurologic abnormalities. The methemoglobin levels were in the range of 11.5-22.41% with 50-70% reduction in CYTB5R activity. Spectroscopic analysis of the hemolysate showed normal peaks suggesting the absence of Hb-M. Molecular characterization showed a novel homozygous mutation p.Arg192Cys in CYB5R3 gene is an evolutionarily conserved position located in exon 7 in all eight index cases. The substitution of Cys is located on the interface of two domains of NADH-binding domain and is close proximity to the adenosine moiety would preclude the reciprocal ionic interaction (salt bridge) between Arg192 and Ile97 and may influence binding of the NADH coenzyme is hypothesized to cause disruption of hydrogen bonding and instability. Our study indicated that novel homozygous mutation p.Arg192Cys in CYB5R3 gene present in eight cases and the possibility of high prevalence of heterozygous in Indian population causing Type I RCM.


Assuntos
Citocromo-B(5) Redutase/genética , Genes Recessivos , Doenças Genéticas Inatas/genética , Metemoglobinemia/genética , Mutação de Sentido Incorreto , Adulto , Substituição de Aminoácidos , Criança , Citocromo-B(5) Redutase/metabolismo , Feminino , Doenças Genéticas Inatas/enzimologia , Humanos , Masculino , Metemoglobinemia/enzimologia , Pessoa de Meia-Idade
15.
Asian J Psychiatr ; 29: 59-62, 2017 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-29061429

RESUMO

INTRODUCTION: A reliable plasma biomarker in differentiating between Alzheimer's disease (AD) and Vascular dementia (VaD) is the need of the hour, in most memory clinics. Even though there is no disease modifying treatment, it is important to know the type of dementia for both symptomatic treatment and prognostication. METHODS: Neuropsychological assessment, MRI brain, FDG-PET brain and CSF biomarkers of AD (Aß42 and total tau) were used for establishing the diagnosis of Mild Cognitive Impairment (MCI), AD or VaD. RESULTS: 68 diagnosed patients of AD/MCI/VaD were included. FDG PET brain, plasma fibrinogen, d dimer, IL6 and CRP were done in all 68 patients while 48 patients underwent CSF biomarker analysis. Sixteen patients had MCI, of which 11 were MCI-AD and 5 were MCI-VaSC. There were 41 patients with AD (Mild AD-9, Mod AD-23, Severe AD-9) and 11 patients with VaD. Alzheimer group (MCI-AD and AD) and Vascular group (MCI VaSC & VaD) consisted of 52 and 16 patients respectively. Alzheimer and Vascular groups did not exhibit significant difference in IL6 and CRP levels. Plasma fibrinogen levels were significantly higher in VaD and vascular group as compared to Alzheimer group. But MCI-VaSC was not significantly different from MCI-AD. Plasma d dimer levels were significantly higher in all vascular subgroups compared to Alzheimer subgroups except between MCI-VaSC and MCI-AD. CONCLUSION: Hemostatic biomarkers were higher in Vascular group compared to Alzheimer group whereas there was no difference in inflammatory biomarkers. But the sensitivity and specificity of fibrinogen and d-dimer were not high enough for routine clinical use. Further studies in a larger sample are required to confirm these results.


Assuntos
Doença de Alzheimer/diagnóstico , Encéfalo/diagnóstico por imagem , Proteína C-Reativa/metabolismo , Demência Vascular/diagnóstico , Fibrinogênio/metabolismo , Interleucina-6/sangue , Doença de Alzheimer/sangue , Doença de Alzheimer/diagnóstico por imagem , Biomarcadores/sangue , Demência Vascular/sangue , Demência Vascular/diagnóstico por imagem , Diagnóstico Diferencial , Progressão da Doença , Humanos , Índia , Imageamento por Ressonância Magnética , Projetos Piloto , Tomografia por Emissão de Pósitrons , Sensibilidade e Especificidade
16.
J Neurol Sci ; 379: 131-136, 2017 Aug 15.
Artigo em Inglês | MEDLINE | ID: mdl-28716226

RESUMO

BACKGROUND: Though animal studies have suggested a role for proinflammatory cytokines in pathogenesis their exact role in pathogenesis of human meningeal tuberculosis continues to be controversial with different studies yielding contradictory results. AIM AND OBJECTIVES: To study the levels of proinflammatory cytokines in serum and cerebrospinal fluid (CSF) of patients with tubercular meningitis (TBM) and to determine whether these correlate with disease severity. PATIENTS AND METHODS: Present study included 146 patients with TBM (90- Definite TBM; 56- Probable TBM), diagnosed according to criteria laid by Ahuja et al. which were modified to include CSF nucleic acid based tests. Serum (n=146) and CSF (n=140) levels of various proinflammatory cytokines (IL-1ß, IL-2, IL-6, TNF-α and IFNγ) were compared between TBM patients and healthy volunteers (n=99). These levels were correlated with various clinical, radiological and CSF parameters of TBM patients. RESULTS: Proinflammatory cytokines include cytokines which promote systemic inflammation. In current study, the serum and CSF levels of various cytokines (IL-2, IL-4, IL-6, IL-1ß, IFN-γ and TNF-α) were significantly elevated in TBM patients compared to controls. A significant correlation was found between a) Higher stage of TBM and various cytokines (except for serum IL-6 and CSF IFN-γ); b) High CSF TNF-α, IL-4 and IL-1ß with severity of hydrocephalus; c) High CSF IL1ß and IFN-γ with presence of exudates on MRI; d) Serum and CSF levels of all cytokines with poor outcome as determined by death or as defined by S and E ADL (Schwab and England activities of daily living) score or by GOS (Glasgow outcome scale) (except for interferon gamma); and e) Serum and CSF IL-4 and IL1ß with presence of infarcts on MRI brain. CONCLUSION: Proinflammatory cytokines play an important role in the pathogenesis of TBM and contribute significantly towards severity of disease.


Assuntos
Citocinas/sangue , Citocinas/líquido cefalorraquidiano , Tuberculose Meníngea/sangue , Tuberculose Meníngea/líquido cefalorraquidiano , Adolescente , Adulto , Idoso , Infarto Encefálico/sangue , Infarto Encefálico/líquido cefalorraquidiano , Infarto Encefálico/complicações , Infarto Encefálico/diagnóstico por imagem , Estudos de Casos e Controles , Feminino , Escala de Resultado de Glasgow , Humanos , Hidrocefalia/líquido cefalorraquidiano , Hidrocefalia/complicações , Masculino , Pessoa de Meia-Idade , Estudos Prospectivos , Índice de Gravidade de Doença , Centros de Atenção Terciária , Tuberculose Meníngea/complicações , Tuberculose Meníngea/diagnóstico , Adulto Jovem
18.
Rom J Ophthalmol ; 60(4): 255-259, 2016.
Artigo em Inglês | MEDLINE | ID: mdl-29450358

RESUMO

Objective. To describe the course of events that followed from the time of the diagnosis to the management of a rare case of recurrent inverted papilloma presenting as an acute proptosis. Methods. A seventy-year-old diabetic female patient presented with a painful left eye proptosis for 15 days. She had a history of resection of inverted papilloma of paranasal sinus followed by radiotherapy for eight years before. The examination revealed a 23 mm proptosis, with restricted ocular movements, corneal oedema, funnel shaped anterior chamber, and total retinal detachment with a complete visual loss. The lobulated fixed hard mass was palpable circumferentially but more in the inferior orbital compartment. The transconjunctival incisional biopsy showed features of highly undifferentiated cytology. The lid sparing exenteration was done under general anesthesia with cosmetic reconstruction. Results. Immunohistochemistry of exenterated mass was doubtfully suggestive of a small cell tumor. However, histopathology confirmed features of rhabdomyosarcoma. Conclusion. The present case study revealed rhabdomyosarcoma cytology presenting as an association-inverted papilloma. Abbreviations : IP = Inverted papilloma, PNS = Paranasal sinus, SCC = Squamous cell carcinoma, IOP = Intraocular pressure, CT = Computed tomography.


Assuntos
Exoftalmia/diagnóstico , Recidiva Local de Neoplasia , Segunda Neoplasia Primária , Papiloma Invertido/diagnóstico , Neoplasias dos Seios Paranasais/diagnóstico , Rabdomiossarcoma/diagnóstico , Doença Aguda , Idoso , Biópsia , Enucleação Ocular , Feminino , Humanos , Implantes Orbitários , Papiloma Invertido/cirurgia , Neoplasias dos Seios Paranasais/cirurgia , Rabdomiossarcoma/cirurgia , Tomografia Computadorizada por Raios X
19.
Rapid Commun Mass Spectrom ; 29(12): 1155-64, 2015 Jun 30.
Artigo em Inglês | MEDLINE | ID: mdl-25981546

RESUMO

RATIONALE: Sulforaphane (SFN) is a natural isothiocyanate, known to reduce the risk of cancer and also aortic damage and diabetic cardiomyopathy induced by type 2 diabetes, etc. A more detailed knowledge on the direct interaction of SFN with insulin and its binding sites is necessary for better understanding the role of SFN on diabetes. METHODS: Liquid chromatography/electrospray ionization mass spectrometry (LC/ESI-MS) and in-source fragmentation experiments were performed on a Thermo Exactive orbitrap mass spectrometer. The solution of insulin and SFN was incubated and analyzed by mass spectrometry. Isotopic distribution pattern, accurate mass values and theoretical product ions were used to analyze the mass spectrometry data. The nature of binding of SFN and its binding sites with insulin were evaluated by LC/MS data. RESULTS: ESI-MS analysis of the incubated solution of insulin and SFN showed 1:1 and 1:2 complexes of [Insulin-SFN]. LC/MS analysis revealed that the [Insulin+SFN] complexes were due to covalent binding of SFN at two different sites. The in-source fragmentation experiments revealed that the SFN is binding to the NH2 groups of N-terminal amino acids of A and B chains of insulin. Further study of SFN with insulin reduced with dithiothreitol (DTT) showed exclusive modification of cysteines with SFN. CONCLUSIONS: The interaction of SFN was studied with insulin using ESI-MS. SFN is found to bind covalently with the free NH2 group of the N-terminal of the A and B chains of insulin. However, when insulin is reduced SFN preferably binds to SH groups of cysteines. Hence, the present study helps in the understanding of the binding sites of SFN on insulin.


Assuntos
Insulina/química , Insulina/metabolismo , Isotiocianatos/metabolismo , Espectrometria de Massas por Ionização por Electrospray/métodos , Sítios de Ligação , Cromatografia Líquida , Ditiotreitol/química , Isotiocianatos/química , Sulfóxidos
20.
Fitoterapia ; 100: 166-73, 2015 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-25481374

RESUMO

Ten malabaricane type triterpenes were isolated from the oleoresin of Ailanthus malabarica, out of which six (1-6) were new. For three of the known compounds (7-9), NMR assignments are being reported for the first time. Compound 10, a known one, is a new report from this source. The structures were established by extensive 1D and 2D NMR spectroscopy. The oleoresin and some of the isolates did not possess antimicrobial activity and did not lyse RBCs.


Assuntos
Ailanthus/química , Extratos Vegetais/química , Triterpenos/química , Estrutura Molecular , Triterpenos/isolamento & purificação
SELEÇÃO DE REFERÊNCIAS
DETALHE DA PESQUISA