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1.
Cell Commun Signal ; 20(1): 69, 2022 05 23.
Artículo en Inglés | MEDLINE | ID: mdl-35606749

RESUMEN

BACKGROUND: Many eukaryote cells produce membrane-enclosed extracellular vesicles (EVs) to establish cell-to-cell communication. Plant-derived EVs (P-EVs) contain proteins, RNAs, lipids, and other metabolites that can be isolated from the juice, the flesh, and roots of many species. METHODS: In the present review study, we studied numerous articles over the past two decades published on the role of P-EVs in plant physiology as well as on the application of these vesicles in different diseases. RESULTS: Different types of EVs have been identified in plants that have multiple functions including reorganization of cell structure, development, facilitating crosstalk between plants and fungi, plant immunity, defense against pathogens. Purified from several edible species, these EVs are more biocompatible, biodegradable, and extremely available from many plants, making them useful for cell-free therapy. Emerging evidence of clinical and preclinical studies suggest that P-EVs have numerous benefits over conventional synthetic carriers, opening novel frontiers for the novel drug-delivery system. Exciting new opportunities, including designing drug-loaded P-EVs to improve the drug-delivery systems, are already being examined, however clinical translation of P-EVs-based therapies faces challenges. CONCLUSION: P-EVs hold great promise for clinical application in the treatment of different diseases. In addition, despite enthusiastic results, further scrutiny should focus on unravelling the detailed mechanism behind P-EVs biogenesis and trafficking as well as their therapeutic applications. Video Abstract.


Asunto(s)
Exosomas , Vesículas Extracelulares , Comunicación Celular , Sistemas de Liberación de Medicamentos , Vesículas Extracelulares/metabolismo , Nanomedicina
2.
Appl Opt ; 58(29): 8046-8054, 2019 Oct 10.
Artículo en Inglés | MEDLINE | ID: mdl-31674359

RESUMEN

We present methyl-ammonium lead iodide perovskite solar cells coupled with one-dimensional photonic crystals (PCs) to achieve enhancement in light harvesting and photocurrent efficiencies. The introduction of PCs as a light reflection layer in the solar cells attributes to the increase in light harvesting efficiency and photocurrent density, which can be tuned by controlling the PC parameters such as the number of layers and layer thickness. Another important feature of the design is the introduction of a thin Au/Ag layer on top, which lets through more than 70% sunlight incident on it into the device, protects the hole transporting layer, and also helps in containing the light reflected from the PC layer into the device for further harvesting. The effects of layer thickness of the perovskite, hole transporting, and metallic contact layers on solar absorption enhancement and photocurrent density are also studied to achieve high power conversion efficiencies. We propose the optimum structural parameters of the considered solar cell structures, which provide the required guidance and also give further opportunities in the design of organo-metal halide perovskite solar cells coupled with PC structures.

3.
Appl Opt ; 57(28): 8171-8181, 2018 Oct 01.
Artículo en Inglés | MEDLINE | ID: mdl-30461765

RESUMEN

We present the tunability of terahertz (THz) photonic bandgaps and localization modes in one-dimensional (1D) periodic and quasi-periodic structures based on alternating layers of graded-index materials and InSb. These configurations show that operation frequencies of photonic bands and localization modes can be tuned by controlling temperature, structural and grading parameters, grading profiles, and different quasi-periodic arrangements. The number of photonic bands and localization modes can also be modulated with layer thickness and quasi-periodic arrangements. Changes in the grouping of the materials considered also modulate the operation frequencies of photonic bands and localization modes in quasi-periodic structures. Results can be implemented to design thermo-tunable THz filters, reflectors, sensors, etc.

4.
J Comput Aided Mol Des ; 30(10): 899-916, 2016 10.
Artículo en Inglés | MEDLINE | ID: mdl-27696241

RESUMEN

Molecular level understanding of mutational effects on stability and activity of enzymes is challenging particularly when several point mutations are incorporated during the directed evolution experiments. In our earlier study, we have suggested the lack of consistency in the effect of point mutations incorporated during the initial generations of directed evolution experiments, towards conformational stabilization of B. subtilis lipase mutants of later generations. Here, we report that the cumulative point mutations incorporated in mutants 2M (with two point mutations) to 6M (with six point mutations) possibly do not retain their original stabilizing nature in the most thermostable 12M mutant (with 12 point mutations). We have carried out MD simulations using structures incorporating reversal of different sets of point mutations to assess their effect on the conformational stability and activity of 12M. Our analysis has revealed that reversal of certain point mutations in 12M had little effect on its conformational stability, suggesting that these mutations were probably inconsequential towards the thermostability of the 12M mutant. Interestingly these mutations involved evolutionarily conserved residues. On the other hand, some of the other point mutations incorporated in nonconserved regions, appeared to contribute significantly towards the conformational stability and/or activity of 12M. Based on the analysis of dynamics of in silico mutants generated using the consensus sequence, we identified experimentally verifiable residue positions to further increase the conformational stability and activity of the 12M mutant.


Asunto(s)
Bacillus subtilis/enzimología , Proteínas Bacterianas/química , Lipasa/química , Proteínas Bacterianas/genética , Descubrimiento de Drogas , Estabilidad de Enzimas , Calor , Lipasa/genética , Simulación de Dinámica Molecular , Mutación Puntual , Conformación Proteica , Relación Estructura-Actividad
5.
Appl Opt ; 55(21): 5684-92, 2016 Jul 20.
Artículo en Inglés | MEDLINE | ID: mdl-27463924

RESUMEN

Engineering of thermally tunable terahertz photonic and omnidirectional bandgaps has been demonstrated theoretically in one-dimensional quasi-periodic photonic crystals (PCs) containing semiconductor and dielectric materials. The considered quasi-periodic structures are taken in the form of Fibonacci, Thue-Morse, and double periodic sequences. We have shown that the photonic and omnidirectional bandgaps in the quasi-periodic structures with semiconductor constituents are strongly depend on the temperature, thickness of the constituted semiconductor and dielectric material layers, and generations of the quasi-periodic sequences. It has been found that the number of photonic bandgaps increases with layer thickness and generation of the quasi-periodic sequences. Omnidirectional bandgaps in the structures have also been obtained. Results show that the bandwidths of photonic and omnidirectional bandgaps are tunable by changing the temperature and lattice parameters of the structures. The generation of quasi-periodic sequences can also change the properties of photonic and omnidirectional bandgaps remarkably. The frequency range of the photonic and omnidirectional bandgaps can be tuned by the change of temperature and layer thickness of the considered quasi-periodic structures. This work will be useful to design tunable terahertz PC devices.

6.
Opt Express ; 23(17): 22730-9, 2015 Aug 24.
Artículo en Inglés | MEDLINE | ID: mdl-26368241

RESUMEN

We propose, analyze and optimize a two-dimensional conical photonic crystal geometry to enhance light extraction from a high refractive index material, such as an inorganic scintillator. The conical geometry suppresses Fresnel reflections at an optical interface due to adiabatic impedance matching from a gradient index effect. The periodic array of cone structures with a pitch larger than the wavelength of light diffracts light into higher-order modes with different propagating angles, enabling certain photons to overcome total internal reflection (TIR). The numerical simulation shows simultaneous light yield gains relative to a flat surface both below and above the critical angle and how key parameters affect the light extraction efficiency. Our optimized design provides a 46% gain in light yield when the conical photonic crystals are coated on an LSO (cerium-doped lutetium oxyorthosilicate) scintillator.

7.
Cell Immunol ; 289(1-2): 76-85, 2014.
Artículo en Inglés | MEDLINE | ID: mdl-24732062

RESUMEN

In Leishmania species, protein disulfide isomerase (PDI) - a redox chaperone is primarily associated with virulence and survival. The precise mechanism, especially in relation to redox changes and its effects on immunological responses in visceral leishmaniasis (VL) is not completely understood as yet. Therefore, we purified a recombinant PDI from Leishmania donovani (r-LdPDI) which was of ∼15 kDa molecular size and examined its effects on immunological responses in peripheral blood (PBMC) of human VL cases. For these studies, alanine was tested as an inhibitor and was used in parallel to all experiments. This protein was identified to have a direct correlation with parasite growth which significantly increased number of promastigotes as well as axenic amastigotes after 96 h of culture. Our experiments examining the immunological response against r-LdPDI also indicate the activation of pro-L. donovani dictated immunological responses in VL. The stimulation of PBMC with r-LdPDI induced lactate dehydrogenase (LDH) activities and up regulated interleukin-10 (IL-10) production but not the HLA-DR expression, Nitric oxide (NO) release and IFN-γ production indicating a pivoted role for r-LdPDI in causing a strong immunosuppression in a susceptible host. Further, we observed that an addition of alanine in L. donovani culture offers a significant inhibition in growth of parasite and helps in reconstitution of protective immune response in VL cases. Therefore, we demonstrate a future cross talk on use of alanine which can reduce the activities of PDI of L. donovani, eliminating the parasite induced immunosuppression and inducing collateral host protective response in VL.


Asunto(s)
Alanina/farmacología , Leishmania donovani/enzimología , Leishmaniasis Visceral/inmunología , Proteína Disulfuro Isomerasas/inmunología , Adolescente , Adulto , Femenino , Humanos , Inmunidad Celular/inmunología , Factores Inmunológicos/inmunología , Terapia de Inmunosupresión , Interferón gamma/biosíntesis , Interleucina-10/biosíntesis , L-Lactato Deshidrogenasa , Macrófagos/inmunología , Macrófagos/parasitología , Masculino , Óxido Nítrico/metabolismo , Adulto Joven
8.
Opt Express ; 22(15): 18020-6, 2014 Jul 28.
Artículo en Inglés | MEDLINE | ID: mdl-25089421

RESUMEN

We demonstrate phase contrast enhancement of X-ray computed tomography derived from propagation based imaging. In this method, the absorption and phase components are assumed to be correlated, allowing for phase retrieval from a single image. Experimental results are shown for liquid samples. Signal-to-noise ratio is greatly enhanced relative to pure attenuation based imaging.

9.
Front Pharmacol ; 15: 1380371, 2024.
Artículo en Inglés | MEDLINE | ID: mdl-38766631

RESUMEN

ATP-binding cassette transporters represent a superfamily of dynamic membrane-based proteins with diverse yet common functions such as use of ATP hydrolysis to efflux substrates across cellular membranes. Three major transporters-P-glycoprotein (P-gp or ABCB1), multidrug resistance protein 1 (MRP1 or ABCC1), and breast cancer resistance protein (BCRP or ABCG2) are notoriously involved in therapy resistance in cancer patients. Despite exhaustive individual characterizations of each of these transporters, there is a lack of understanding in terms of the functional role of mutations in substrate binding and efflux, leading to drug resistance. We analyzed clinical variations reported in endometrial cancers for these transporters. For ABCB1, the majority of key mutations were present in the membrane-facing region, followed by the drug transport channel and ATP-binding regions. Similarly, for ABCG2, the majority of key mutations were located in the membrane-facing region, followed by the ATP-binding region and drug transport channel, thus highlighting the importance of membrane-mediated drug recruitment and efflux in ABCB1 and ABCG2. On the other hand, for ABCC1, the majority of key mutations were present in the inactive nucleotide-binding domain, followed by the drug transport channel and membrane-facing regions, highlighting the importance of the inactive nucleotide-binding domain in facilitating indirect drug efflux in ABCC1. The identified key mutations in endometrial cancer and mapped common mutations present across different types of cancers in ABCB1, ABCC1, and ABCG2 will facilitate the design and discovery of inhibitors targeting unexplored structural regions of these transporters and re-engineering of these transporters to tackle chemoresistance.

10.
Biochim Biophys Acta Gene Regul Mech ; 1867(1): 195003, 2024 Mar.
Artículo en Inglés | MEDLINE | ID: mdl-37992989

RESUMEN

Post-translational modifications (PTMs) of transcription factors regulate transcriptional activity and play a key role in essentially all biological processes and generate indispensable insight towards biological function including activity state, subcellular localization, protein solubility, protein folding, substrate trafficking, and protein-protein interactions. Amino acids modified chemically via PTMs, function as molecular switches and affect the protein function and characterization and increase the proteome complexity. Krüppel-like transcription factors (KLFs) control essential cellular processes including proliferation, differentiation, migration, programmed cell death and various cancer-relevant processes. We investigated the interactions of KLF group-2 members with their binding partners to assess the role of acetylation and phosphorylation in KLFs on their binding affinity. It was observed that acetylation and phosphorylation at different positions in KLFs have a variable effect on binding with specific partners. KLF2-EP300, KLF4-SP1, KLF6-ATF3, KLF6-JUN, and KLF7-JUN show stabilization upon acetylation or phosphorylation at variable positions. On the other hand, KLF4-CBP, KLF4-EP300, KLF5-CBP, KLF5-WWP1, KLF6-SP1, and KLF7-ATF3 show stabilization or destabilization due to acetylation or phosphorylation at variable positions in KLFs. This provides a molecular explanation of the experimentally observed dual role of KLF group-2 members as a suppressor or activator of cancers in a PTM-dependent manner.


Asunto(s)
Factores de Transcripción de Tipo Kruppel , Neoplasias , Humanos , Factores de Transcripción de Tipo Kruppel/genética , Fosforilación , Acetilación , Procesamiento Proteico-Postraduccional , Neoplasias/genética , Ubiquitina-Proteína Ligasas/metabolismo
11.
J Phys Conf Ser ; 425(9)2013.
Artículo en Inglés | MEDLINE | ID: mdl-24489595

RESUMEN

There are a growing number of high brightness synchrotron sources that require high-frame-rate detectors to provide the time-scales required for performing time-resolved diffraction experiments. We report on the development of a very high frame rate CMOS X-ray detector for time-resolved muscle diffraction and time-resolved solution scattering experiments. The detector is based on a low-afterglow scintillator, provides a megapixel resolution with frame rates of up to 120,000 frames per second, an effective pixel size of 64 µm, and can be adapted for various X-ray energies. The paper describes the detector design and initial results of time-resolved diffraction experiments on a synchrotron beamline.

12.
Materials (Basel) ; 15(22)2022 Nov 12.
Artículo en Inglés | MEDLINE | ID: mdl-36431481

RESUMEN

Cutting tool characterization plays a crucial role in understanding the behavior of machining operations. The selection of a suitable cutting material, the operating conditions for the work piece, is necessary to yield good cutting-tool life. Several pieces of research have been carried out in cutting-tool characteristics for turning operation. Only a few pieces of research have focused on correlating the vibrations and stress with wear characteristics. This research article deals with stress induced in silicon carbide tool inserts and coated tool inserts while machining SS304 steel. Since this material is much less resistant to corrosion and oxidation it is widely used in engineering applications such as cryogenics, the food industry and liquid contact surfaces. Moreover, these materials have much lower magnetic permeability so they are used as nonmagnetic engineering components which are very hard. This article focuses on the machining of SS304 by carbide tool inserts and then, the cutting forces were observed with a tool dynamometer. Using observed cutting forces, the induced stress in the lathe tool insert was determined by FEA investigation. This research also formulates an idea to predict the tool wear due to vibration. Apparently, the worn-out tool vibrates more than new tools. Using the results, the relation between stress, strain and feed rate, depth of cut and speed was found and mathematically modeled using MINI TAB. It was observed that carbide tool inserts with coating withstand better than uncoated tools while machining SS304. The results were anticipated and correlation between the machining parameters furnished the prediction of tool life and obtaining the best machining outcomes by using coated tool inserts.

13.
IEEE Trans Nucl Sci ; 58(3): 634-638, 2011 Jun 01.
Artículo en Inglés | MEDLINE | ID: mdl-21731108

RESUMEN

Preclinical SPECT offers a powerful means to understand the molecular pathways of drug interactions in animal models by discovering and testing new pharmaceuticals and therapies for potential clinical applications. A combination of high spatial resolution and sensitivity are required in order to map radiotracer uptake within small animals. Pinhole collimators have been investigated, as they offer high resolution by means of image magnification. One of the limitations of pinhole geometries is that increased magnification causes some rays to travel through the detection scintillator at steep angles, introducing parallax errors due to variable depth-of-interaction in scintillator material, especially towards the edges of the detector field of view. These parallax errors ultimately limit the resolution of pinhole preclinical SPECT systems, especially for higher energy isotopes that can easily penetrate through millimeters of scintillator material. A pixellated, focused-cut (FC) scintillator, with its pixels laser-cut so that they are collinear with incoming rays, can potentially compensate for these parallax errors and thus improve the system resolution. We performed the first experimental evaluation of a newly developed focused-cut scintillator. We scanned a Tc-99m source across the field of view of pinhole gamma camera with a continuous scintillator, a conventional "straight-cut" (SC) pixellated scintillator, and a focused-cut scintillator, each coupled to an electron-multiplying charge coupled device (EMCCD) detector by a fiber-optic taper, and compared the measured full-width half-maximum (FWHM) values. We show that the FWHMs of the focused-cut scintillator projections are comparable to the FWHMs of the thinner SC scintillator, indicating the effectiveness of the focused-cut scintillator in compensating parallax errors.

14.
Infect Disord Drug Targets ; 21(4): 640-642, 2021.
Artículo en Inglés | MEDLINE | ID: mdl-32753027

RESUMEN

The recent outbreak of novel coronavirus (SARS-CoV-2 or 2019-nCoV) and its worldwide spread is posing one of the major threats to human health and the world economy. It has been suggested that SARS-CoV-2 is similar to SARS-CoV based on the comparison of the genome sequence. Despite the genomic similarity between SARS-CoV-2 and SARS-CoV, the spike glycoprotein and receptor binding domain in SARS-CoV-2 shows the considerable difference compared to SARS-CoV, due to the presence of several point mutations. The analysis of receptor binding domain (RBD) from recently published 3D structures of spike glycoprotein of SARS-CoV-2 (Yan, R., et al. (2020); Wrapp, D., et al. (2020); Walls, A. C., et al. (2020)) highlights the contribution of a few key point mutations in RBD of spike glycoprotein and molecular basis of its efficient binding with human angiotensin-converting enzyme 2 (ACE2).


Asunto(s)
Mutación Puntual , SARS-CoV-2/genética , Glicoproteína de la Espiga del Coronavirus , Sitios de Unión , Unión Proteica , Dominios Proteicos , Receptores Virales , Glicoproteína de la Espiga del Coronavirus/genética
15.
Int J Biol Macromol ; 137: 774-782, 2019 Sep 15.
Artículo en Inglés | MEDLINE | ID: mdl-31260764

RESUMEN

CIA17 is a PP2-like, homodimeric lectin made up of 17 kDa subunits present in the phloem exudate of ivy gourd (Coccinia indica). Isothermal titration calorimetric (ITC) studies on the interaction of chitooligosaccharides [(GlcNAc)2-6] showed that the dimeric protein has two sugar binding sites which recognize chitotriose with ~70-fold higher affinity than chitobiose, indicating that the binding site is extended in nature. ITC, atomic force microscopic and non-denaturing gel electrophoresis studies revealed that the high-affinity interaction of CIA17 with chitohexaose (Ka = 1.8 × 107 M-1) promotes the formation of protein oligomers. Computational studies involving homology modeling, molecular docking and molecular dynamics simulations on the binding of chitooligosaccharides to CIA17 showed that the protein binding pocket accommodates up to three GlcNAc residues. Interestingly, docking studies with chitohexaose indicated that its two triose units could interact with binding sites on two protein molecules to yield dimeric complexes of the type CIA17-(GlcNAc)6-CIA17, which can extend in length by the binding of additional chitohexaose and CIA17 molecules. These results suggest that PP2 proteins play a role in plant defense against insect/pathogen attack by directly binding with the higher chain length chitooligosaccharides and forming extended, filamentous structures, which facilitate wound sealing.


Asunto(s)
Quitosano/química , Oligosacáridos/química , Oligosacáridos/metabolismo , Lectinas de Plantas/metabolismo , Acetilación , Simulación del Acoplamiento Molecular , Simulación de Dinámica Molecular , Lectinas de Plantas/química , Conformación Proteica , Termodinámica
16.
Anal Chem ; 80(10): 3803-10, 2008 May 15.
Artículo en Inglés | MEDLINE | ID: mdl-18399660

RESUMEN

Narrow peaks are observed in the transmission spectra of p-polarized light passing through a thin gold film that is coated on the surface of a transparent diffraction grating. The spectral position and intensity of these peaks can be tuned over a wide range of wavelengths by simple rotation of the grating. The wavelengths where these transmission peaks are observed correspond to conditions where surface plasmon resonance occurs at the gold-air interface. Light diffracted by the grating couples with surface plasmons in the metal film to satisfy the resonant condition, resulting in enhanced light transmission through the film. Notably, this phenomenon is not observed at flat, gold-coated surfaces or uncoated gratings, where coupling to surface plasmons does not occur. The nature of the coupling and, thus, the details of light transmission are governed by the momentum matching conditions between the diffracted light and the surface plasmons. In the presence of bound analytes or surface films, the enhanced transmission peaks are red-shifted, making a simple, yet highly responsive sensing platform. The utility of this platform is demonstrated for ex situ sensing by analyzing thin films of various thicknesses and detecting a model immunoreaction between bovine serum albumin and anti-bovine serum albumin. This grating-based transmission surface plasmonic device represents a simple and sensitive platform, which can be readily tuned to enhance performance and be used in the study of a variety of surface adsorption processes or analysis of biomolecular interactions.


Asunto(s)
Oro , Resonancia por Plasmón de Superficie/métodos , Microscopía de Fuerza Atómica , Espectrofotometría Ultravioleta
17.
Iran J Parasitol ; 13(4): 541-548, 2018.
Artículo en Inglés | MEDLINE | ID: mdl-30697307

RESUMEN

BACKGROUND: Visceral Leishmaniasis (VL) caused by protozoa belonging to the genus Leishmania, usually have anthroponotic mode of transmission and is issue of great public health importance in Indian subcontinent. Asymptomatic cases of VL and PKDL are subject of keen interest to find their role in the transmission of VL in epidemic areas. We evaluated the immunological cytokine determinants expressed in most clinical suspects of asymptomatic VL and PKDL (IL-10, IFN-γ, and TNF-α). METHODS: Eighty-four participants were included at RMRIMS, Patna, India in 2016-17 out of which 64 asymptomatic individual positive for rK-39, without sign and symptoms of VL; 15 PKDL patient's with past history of VL and 5 endemic healthy subjects were recruited from VL endemic areas. DAT and quantitative assessment of plasma cytokines was determined from the blood samples collected in a plain and sodium-EDTA vacutainer respectively from the subjects. RESULTS: The mean level of IL-10 in DATpos LOW of asymptomatic VL and PKDL was significantly higher than endemic healthy (P<0.05). The cytokine polarization index (IFN-γ versus IL-10) was significantly low in PKDL cases compared with asymptomatic VL cases in DATpos LOW titre (P<0.05). This index was low again but statistically not significant in PKDL than in asymptomatic VL when TNF-α was considered against IL-10. The ratio of IFN-γ: IL-10 and TNF-α: IL-10 was observed decreased both in asymptomatic VL and PKDL cases than in healthy from endemic areas. CONCLUSION: Collectively we surmise from our data that asymptomatic VL can also play an important role like PKDL in transmission of VL.

18.
J Phys Chem B ; 119(2): 392-409, 2015 Jan 15.
Artículo en Inglés | MEDLINE | ID: mdl-25495458

RESUMEN

Improving the thermostability of industrial enzymes is an important protein engineering challenge. Point mutations, induced to increase thermostability, affect the structure and dynamics of the target protein in several ways and thus can also affect its activity. There appears to be no general rules for improving the thermostabilty of enzymes without adversely affecting their enzymatic activity. We report MD simulations, of wild type Bacillus subtilis lipase (WT) and its six progressively thermostable mutants (2M, 3M, 4M, 6M, 9M, and 12M), performed at different temperatures, to address this issue. Less thermostable mutants (LTMs), 2M to 6M, show WT-like dynamics at all simulation temperatures. However, the two more thermostable mutants (MTMs) show the required flexibility at appropriate temperature ranges and maintain conformational stability at high temperature. They show a deep and rugged free-energy landscape, confining them within a near-native conformational space by conserving noncovalent interactions, and thus protecting them from possible aggregation. In contrast, the LTMs having marginally higher thermostabilities than WT show greater probabilities of accessing non-native conformations, which, due to aggregation, have reduced possibilities of reverting to their respective native states under refolding conditions. Our analysis indicates the possibility of nonadditive effects of point mutations on the conformational stability of LTMs.


Asunto(s)
Bacillus subtilis/enzimología , Lipasa/química , Lipasa/metabolismo , Simulación de Dinámica Molecular , Mutación , Temperatura , Dominio Catalítico , Estabilidad de Enzimas , Enlace de Hidrógeno , Cinética , Lipasa/genética , Termodinámica , Agua/química
20.
Urol Ann ; 6(4): 328-33, 2014 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-25371611

RESUMEN

OBJECTIVES: SACHSE COLD KNIFE IS CONVENTIONALLY USED FOR OPTICAL INTERNAL URETHROTOMY INTENDED TO MANAGE URETHRAL STRICTURES AND HO: YAG laser is an alternative to it. The aim of this study was to evaluate the role of urethral stricture treatment outcomes, efficacy, and complications using cold knife and Ho: YAG (Holmium laser) for optical internal urethrotomy. MATERIALS AND METHODS: In this prospective study included, 90 male patients age >18 years, with diagnosis of urethral stricture admitted for internal optical urethrotomy during April 2010 to March 2012. The patients were randomized into two groups containing 45 patients each using computer generated random number. In group A (Holmium group), internal urethrotomy was done with Holmium laser and in group B (Cold knife group) Sachse cold knife was used. Patients were followed up for 6 months after surgery in Out Patient Department on 15, 30 and 180 post-operative days. At each follow up visit physical examination, and uroflowmetry was performed along with noting complaints, if any. RESULTS: The peak flow rates (PFR) were compared between the two groups on each follow up. At 180 days (6 month interval) the difference between mean of PFR for Holmium and Cold knife group was statistically highly significant (P < 0.001). Complications were seen in 12.22% of cases. CONCLUSION: Both modalities are effective in providing immediate relief to patients with single and short segment (<2 cm long) urethral strictures but more sustained response was attained with Cold knife urethrotomy.

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