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1.
Chemistry ; 30(10): e202303101, 2024 Feb 16.
Article in English | MEDLINE | ID: mdl-38116855

ABSTRACT

Developing luminescent materials that exhibit strong emissions in both solution and solid phases is highly desirable and challenging. Herein, we report imine-bond directed formation of a rigid organic cage (TPE-cage) that was synthesized by [2+4] imine condensation of a TPE-cored tetra-aldehyde (TPE-TA) with a clip-like diamine (XA) to illustrate confinement-induced fluorescence enhancement. Compared to the non-emissive TPE-TA (ϕF =0.26 %) in the dichloromethane (DCM) solution, the TPE-cage achieved a remarkable (~520-fold) emission enhancement (ϕF =70.38 %). In contrast, a monomeric tetra-imine model compound (TPE-model) showed only a minor enhancement (ϕF =0.56 %) in emission compared to the parent tetra-aldehyde TPE-TA. The emission of TPE-cage was further enhanced by ~1.5-fold (ϕF =80.96 %) in the aggregated state owing to aggregation-induced emission enhancement (AIEE). This approach establishes the potential for synthesizing luminescent materials with high emission in both solution and solid-state by employing a single-step imine condensation reaction.

2.
Colorectal Dis ; 26(6): 1145-1152, 2024 Jun.
Article in English | MEDLINE | ID: mdl-38702861

ABSTRACT

AIM: A treatment strategy for patients with a significant polyp or early colon cancer (SPECC) of the rectum presents a challenge due to the significant rate of covert malignancy and lack of standardized assessment. For this reason, NICE recommends multidisciplinary meetings to improve outcomes. The primary aim of the present study was to report the performance of our specialist early rectal cancer (SERC) multidisciplinary team (MDT) in correctly substratifying the risk of cancer and to discuss the limitations of staging investigations in those patients with "poor outcomes". METHOD: This was a retrospective review of patients referred to our SERC MDT from 2014 to 2019. Lesions were assigned by the MDT to three pre-resection categories (low, intermediate, high) according to the risk of covert malignancy. Resection method and final histology were compared to the pre-resection categories. RESULTS: Of 350 SPECC lesions, 174 were assessed as low-risk, 108 intermediate-risk and 68 high-risk. The cancer incidence was 4.8%, 8.3% and 53%, respectively (15.5% overall). Eight lesions were categorized as low-risk but following piecemeal resection were found to be malignant. Five lesions, three of which were categorized as high-risk, were ultimately benign following conventional surgery. One pT1sm1 cancer, removed by anterior resection, may have been treated by local excision. CONCLUSION: A total of 83% of malignant polyps were triaged to an en bloc resection technique and surgical resection avoided for nearly all benign lesions. However, 12 patients from this cohort were deemed to have a poor outcome because of miscategorization. Further comparative research is needed to establish the optimum strategy for rectal SPECC lesion assessment. ORIGINALITY STATEMENT: There is currently no consensus for staging significant polyps of the rectum. This paper reports the effectiveness of a specialist early rectal cancer MDT to correctly risk-stratify significant rectal polyps. It underscores the importance of accurate categorization for treatment decision-making, while acknowledging the limitations of current staging modalities.


Subject(s)
Patient Care Team , Rectal Neoplasms , Humans , Retrospective Studies , Rectal Neoplasms/therapy , Rectal Neoplasms/pathology , Male , Female , Middle Aged , Aged , Risk Assessment/methods , Neoplasm Staging , Intestinal Polyps/surgery , Intestinal Polyps/pathology , Proctectomy/methods , Adult , Aged, 80 and over , Rectum/surgery , Rectum/pathology
3.
Mol Divers ; 2024 Apr 25.
Article in English | MEDLINE | ID: mdl-38662177

ABSTRACT

Cathepsin K is a type of cysteine proteinase that is primarily expressed in osteoclasts and has a key role in the breakdown of bone matrix protein during bone resorption. Many studies suggest that the deficiency of cathepsin K is concomitant with a suppression of osteoclast functioning, therefore rendering the resorptive properties of cathepsin K the most prominent target for osteoporosis. This innovative work has identified a novel anti-osteoporotic agent against Cathepsin K by using a comparison of machine learning and deep learning-based virtual screening followed by their biological evaluation. Out of ten shortlisted compounds, five of the compounds (JFD02945, JFD02944, RJC01981, KM08968 and SB01934) exhibit more than 50% inhibition of the Cathepsin K activity at 0.1 µM concentration and are considered to have a promising inhibitory effect against Cathepsin K. The comprehensive docking, MD simulation, and MM/PBSA investigations affirm the stable and effective interaction of these compounds with Cathepsin K to inhibit its function. Furthermore, the compounds RJC01981, KM08968 and SB01934 are represented to have promising anti-osteoporotic properties for the management of osteoporosis owing to their significantly well predicted ADMET properties.

4.
Int J Phytoremediation ; 26(5): 710-726, 2024.
Article in English | MEDLINE | ID: mdl-37753953

ABSTRACT

Salt toxicity is one of the foremost environmental stresses that declines nutrient uptake, photosynthetic activity and growth of plants resulting in a decrease in crop yield and quality. Seed priming has become an emergent strategy to alleviate abiotic stress and improve plant growth. During the current study, turnip seed priming with sodium selenite (Na2SeO3) was investigated for its ability to mitigate salt stress. Turnip (Brassica rapa L. var. Purple Top White Globe) seeds primed with 75, 100, and 125 µML-1 of Se were subjected to 200 mM salt stress under field conditions. Findings of the current field research demonstrated that salt toxicity declined seed germination, chlorophyll content, and gas exchange characteristics of B. rapa seedling. Whereas, Se-primed seeds showed higher germination rate and plant growth which may be attributed to the decreased level of hydrogen peroxide (H2O2) and malondialdehyde (MDA) decreased synthesis of proline (36%) and besides increased total chlorophyll (46%) in applied turnip plants. Higher expression levels of genes encoding antioxidative activities (CAT, POD, SO,D and APX) mitigated oxidative stress induced by the salt toxicity. Additionally, Se treatment decreased Na+ content and enhanced K+ content resulting in elevated K+/Na+ ratio in the treated plants. The in-silico assessment revealed the interactive superiority of Se with antioxidant enzymes including CAT, POD, SOD, and APX as compared to sodium chloride (NaCl). Computational study of enzymes-Se and enzymes-NaCl molecules also revealed the stress ameliorative potential of Se through the presence of more Ramachandran-favored regions (94%) and higher docking affinities of Se (-6.3). The in-silico studies through molecular docking of Na2SeO3, NaCl, and ROS synthesizing enzymes (receptors) including cytochrome P450 (CYP), lipoxygenase (LOX), and xanthine oxidase (XO), also confirmed the salt stress ameliorative potential of Se in B. rapa. The increased Ca, P, Mg, and Zn nutrients uptake nutrients uptake in 100 µML-1 Se primed seedlings helped to adjust the stomatal conductivity (35%) intercellular CO2 concentration (32%), and photosynthetic activity (41%) resulting in enhancement of the yield attributes. More number of seeds per plant (6%), increased turnip weight (115 gm) root length (17.24 cm), root diameter (12 cm) as well as turnip yield increased by (9%tons ha-1) were recorded for 100 µML-1 Se treatment under salinity stress. Findings of the current research judiciously advocate the potential of Se seed priming for salt stress alleviation and growth improvement in B. rapa.


According to our best of knowledge, it is the first time that seed primed with Selenium have been evaluated regarding NaCl stress mitigation in turnip. Salinity toxicity negatively affected physiochemical activities and growth of B.rapa.Seed priming with Selenium (Na2SeO3) mitigated salinity stress.Selenium (Se) enhanced nutrition, photosynthetic and antioxidant activity of applied plants.Selenium treated plants exhibited improved growth and reduced salinity content.


Subject(s)
Brassica napus , Selenium , Selenium/metabolism , Brassica napus/metabolism , Hydrogen Peroxide/metabolism , Molecular Docking Simulation , Sodium Chloride/metabolism , Biodegradation, Environmental , Antioxidants/metabolism , Seedlings , Chlorophyll/metabolism , Saline Solution/metabolism , Sodium , Seeds/metabolism
5.
Fungal Genet Biol ; 164: 103764, 2023 01.
Article in English | MEDLINE | ID: mdl-36481249

ABSTRACT

The target of rapamycin (TOR), a major pathway for the regulation of cell growth and proliferation is conserved from yeast to humans. Fission yeast contains two tor complexes, TORC1 is crucial for cell growth while TORC2 gets activated under stress conditions. Pop3/Wat1, a mammalian Lst8 ortholog is an important component of both TOR complexes and has been implicated in the oxidative stress response pathway. Here in this study, the genetic interaction analysis revealed a synthetic lethal interaction of wat1 with tor2-287 mutant cells. Co-immunoprecipitation analysis revealed Wat1 interacts with TORC1 components Tor2, Mip1, and Tco89 while wat1-17 mutant protein fails to interact with these proteins. In the absence of Wat1, the cells arrest at G1 phase with reduced cell size at non-permissive temperature reminiscent of tor2-287 mutant phenotype. Similarly, inactivation of Wat1 results in the failure of TORC1 mediated phosphorylation of Psk1 and Rps602, leading to dysregulation of amino acid permeases and delocalization of Gaf1, a DNA binding transcription factor. Overall, we have hypothesized that Wat1/Pop3 is required to execute the function of TORC1.


Subject(s)
Mechanistic Target of Rapamycin Complex 1 , Schizosaccharomyces pombe Proteins , Schizosaccharomyces , Animals , Mechanistic Target of Rapamycin Complex 1/genetics , Mechanistic Target of Rapamycin Complex 1/metabolism , Phosphorylation/genetics , Schizosaccharomyces/genetics , Schizosaccharomyces/metabolism , Schizosaccharomyces pombe Proteins/metabolism , Signal Transduction/genetics , Trans-Activators/metabolism
6.
J Chem Inf Model ; 63(20): 6261-6282, 2023 10 23.
Article in English | MEDLINE | ID: mdl-37788831

ABSTRACT

Aldose reductase (ALR2) is a notable enzyme of the polyol pathway responsible for aggravating diabetic neuropathy complications. The first step begins when it catalyzes the reduction of glucose to sorbitol with NADPH as a coenzyme. Elevated concentrations of sorbitol damage the tissues, leading to complications like neuropathy. Though considerable effort has been pushed toward the successful discovery of potent inhibitors, its discovery still remains an elusive task. To this end, we present a 3D convolutional neural network (3D-CNN) based ALR2 inhibitor classification technique by dealing with snapshots of images captured from 3D chemical structures with multiple rotations as input data. The CNN-based architecture was trained on the 360 sets of image data along each axis and further prediction on the Maybridge library by each of the models. Subjecting the retrieved hits to molecular docking leads to the identification of the top 10 molecules with high binding affinity. The hits displayed a better blood-brain barrier penetration (BBB) score (90% with more than four scores) as compared to standard inhibitors (38%), reflecting the superior BBB penetrating efficiency of the hits. Followed by molecular docking, the biological evaluation spotlighted five compounds as promising ALR2 inhibitors and can be considered as a likely prospect for further structural optimization with medicinal chemistry efforts to improve their inhibition efficacy and consolidate them as new ALR2 antagonists in the future. In addition, the study also demonstrated the usefulness of scaffold analysis of the molecules as a method for investigating the significance of structurally diverse compounds in data-driven studies. For reproducibility and accessibility purposes, all of the source codes used in our study are publicly available.


Subject(s)
Aldehyde Reductase , Diabetes Complications , Humans , Molecular Docking Simulation , Aldehyde Reductase/chemistry , Aldehyde Reductase/metabolism , Reproducibility of Results , Enzyme Inhibitors/metabolism , Neural Networks, Computer , Sorbitol/pharmacology
7.
Mol Divers ; 27(3): 1255-1269, 2023 Jun.
Article in English | MEDLINE | ID: mdl-35793051

ABSTRACT

Nicotinamide N-methyltransferase (NNMT) is a protein coding gene, which methylates the nicotinamide (NA) (vitamin B3) to produce 1-methylnicotinamide (MNA). Several studies have suggested that the overexpression of NNMT is associated with different metabolic disorders like obesity and type-2 diabetes thereby making it an important therapeutic target for development of anti-diabetic agents. Here we describe a workflow for identification of new inhibitors of NNMT from a library of small molecules. In this study, we have hypothesized a four-point pharmacophore model based on the pharmacophoric features of reported NNMT inhibitors in the literature. The statistically significant pharmacophore hypothesis was used to explore the Maybridge compound library that resulted in mapping of 1330 hit compounds on the proposed hypothesis. Subsequently, a total of eight high scoring compounds, showing good protein-ligand interactions in the molecular docking study, were selected for biological evaluation of NNMT activity. Eventually, four compounds were found to show significant inhibitory activity for NNMT and can be further explored to design new derivatives around the identified scaffolds with improved activities as NNMT inhibitors.


Subject(s)
Diabetes Mellitus, Type 2 , Nicotinamide N-Methyltransferase , Humans , Molecular Docking Simulation , Nicotinamide N-Methyltransferase/genetics , Nicotinamide N-Methyltransferase/metabolism , Ligands , Obesity
8.
Exp Parasitol ; 248: 108497, 2023 May.
Article in English | MEDLINE | ID: mdl-36906252

ABSTRACT

Cyclospora cayetanensis infections, also known as cyclosporiasis, persist to be the prevalent emerging protozoan parasite and an opportunist that causes digestive illness in immunocompromised individuals. In contrast, this causal agent can affect people of all ages, with children and foreigners being the most susceptible populations. For most immunocompetent patients, the disease is self-limiting; in extreme circumstances, this illness can manifest as severe or persistent diarrhea as well as colonize on secondary digestive organs leading to death. According to recent reports, worldwide 3.55% of people are infected by this pathogen, with Asia and Africa being more prevalent. For the treatment, trimethoprim-sulfamethoxazole is the only licensed drug and does not appear to work as well in some patient populations. Therefore, the much more effective strategy to avoid this illness is immunization through the vaccine. This present study uses immunoinformatics for identifying a computational multi-epitope-based peptide vaccine candidate for Cyclospora cayetanensis. Following the review of the literature, a highly efficient, secure, and vaccine complex based on multi-epitopes was designed by utilizing the identified proteins. These selected proteins were then used to predict non-toxic and antigenic HTL-epitopes, B-cell-epitopes, and CTL-epitopes. Ultimately, both a few linkers and an adjuvant were combined to create a vaccine candidate with superior immunological epitopes. Then, to establish the vaccine-TLR complex binding constancy, the TLR receptor and vaccine candidates were placed into the FireDock, PatchDock, and ClusPro servers for molecular docking and iMODS server for molecular-dynamic simulation. Finally, this selected vaccine construct was cloned into Escherichia coli strain-K12; thus, the constructed vaccines against Cyclospora cayetanensiscould improve the host immune response and can be produced experimentally.


Subject(s)
Cyclospora , Cyclosporiasis , Child , Humans , Molecular Docking Simulation , Cyclosporiasis/prevention & control , Epitopes, T-Lymphocyte/chemistry , Epitopes, T-Lymphocyte/metabolism , Epitopes, B-Lymphocyte/chemistry , Cyclospora/genetics , Vaccine Development , Computational Biology/methods , Immunocompromised Host , Vaccines, Subunit
9.
Ecotoxicol Environ Saf ; 263: 115354, 2023 Sep 15.
Article in English | MEDLINE | ID: mdl-37595348

ABSTRACT

Chromium (Cr) is one of the toxic heavy metals that disturbs growth and physiological properties of plants. During the current study, Trigonella corniculata L. (Fenugreek) was exposed to different levels of Cr in potted soil. Chromium toxicity reduced fiber, ash, moisture, carbohydrate, protein, fats, and flavonoid content of T. corniculata. Considering the stress relieving effect of 28-homobrassinolide (28-HBR), seeds of T. corniculata were primed with different concentration of 28-HBR i.e., 0, 5, 10, and 20 µmol L-1. Application of 28-HBR reversed the toxic effect of Cr through improvement in activity of antioxidant enzymes like superoxide dismutase (SOD), peroxidase (POD) and catalase (CAT). Conclusively, 10 µmol L-1 28-HBR increased Cr tolerance in T. corniculata seedlings due to reduction in oxidative stress markers. It is further proposed that 28-HBR is an effective stress ameliorant to relive plants from various abiotic stresses.


Subject(s)
Alkaloids , Trigonella , Antioxidants/pharmacology , Oxidative Stress , Biomarkers , Chromium/toxicity
10.
Tech Coloproctol ; 27(11): 969-978, 2023 11.
Article in English | MEDLINE | ID: mdl-37233960

ABSTRACT

PURPOSE: Inguinal lymph nodes are a rare but recognised site of metastasis in rectal adenocarcinoma. No guideline or consensus exists for the management of such cases. This review aims to provide a contemporary and comprehensive analysis of the published literature to aid clinical decision-making. METHODS: Systematic searches were performed using the PubMed, Embase, MEDLINE and Scopus and Cochrane CENTRAL Library databases from inception till December 2022. All studies reporting on the presentation, prognosis or management of patients with inguinal lymph node metastases (ILNM) were included. Pooled proportion meta-analyses were completed when possible and descriptive synthesis was utilised for the remaining outcomes. The Joanna Briggs Institute tool for case series was used to assess the risk of bias. RESULTS: Nineteen studies were eligible for inclusion, encompassing 18 case series and one population-based study using national registry data. A total of 487 patients were included in the primary studies. The prevalence of ILNM in rectal cancer is 0.36%. ILNM are associated with very low rectal tumours with a mean distance from the anal verge of 1.1 cm (95% CI 0.92-1.27). Invasion of the dentate line was found in 76% of cases (95% CI 59-93). In patients with isolated inguinal lymph node metastases, modern chemoradiotherapy regimens in combination with surgical excision of inguinal nodes are associated with 5-year overall survival rates of 53-78%. CONCLUSION: In specific subsets of patients with ILNM, curative-intent treatment regimens are feasible, with oncological outcomes akin to those demonstrated in locally advanced rectal cancers.


Subject(s)
Adenocarcinoma , Rectal Neoplasms , Humans , Lymphatic Metastasis , Inguinal Canal/pathology , Inguinal Canal/surgery , Adenocarcinoma/pathology , Lymph Nodes/pathology , Rectal Neoplasms/surgery , Lymph Node Excision , Retrospective Studies
11.
Int J Phytoremediation ; 25(12): 1614-1624, 2023.
Article in English | MEDLINE | ID: mdl-37773032

ABSTRACT

Heavy metal toxicity is a major environmental issue that affects all life forms, including plants. The accumulation of lead (Pb) in agricultural soils is a significant contributor to reduced crop yields, and it poses serious health risks to people who consume lead-contaminated agricultural products. The current study was undertaken to investigate the beneficial effects of glutathione (GSH) on the amelioration of stress induced by Pb (300 mg kg-1 Pb) in Brassica rapa L. (turnip). For this purpose, B. rapa seeds primed with 25, 50, and 75 µmol L-1. The root and shoot length, seedling biomass, and leaf area, was reduced under Pb stress. Lead toxicity inhibited the net photosynthetic rate (31.36%), total chlorophyll content (74.54%) of B. rapa plants in comparison to control. Lead-stressed plants additionally exhibited changes in proline levels, as well as lower levels of total soluble protein and phenolic content. Nevertheless, seed priming with GSH resulted in higher concentrations of the nutritional content (Mg+2, Zn+2, Na+, K+) that increased Pb stress tolerance. The GSH2 treated seed enhanced the photosynthetic rate (46.34%), stomatal conductance (80.55%), and transpiration rate (53.125%) over Pb stress. Furthermore, GSH2 enhanced total soluble proteins (37.75%), phenolic content (58.38%), and DPPH (1.5fold) of turnip plant over control seedlings. According to our research, GSH2 primed B. rapa seed demonstrated a reduction in Pb toxicity, which could be used to help seedling establishment in soils contaminated with Pb.


Numerous studies highlight the advantages of plant growth regulators for agricultural crop development and productivity. Nevertheless, we know remarkably little about the role of glutathione as a seed-priming agent in vegetable crops. Additionally, little is known about how glutathione affects the physiological traits, nutrient content, and growth of B. rapa L. (turnip) under lead stress. Therefore, the goal of this work was to evaluate how exogenously applied glutathione improved the agronomic traits, physiochemical characteristics, and nutrient content of B. rapa L. under lead stress.


Subject(s)
Brassica napus , Brassica rapa , Humans , Lead/toxicity , Lead/metabolism , Brassica rapa/metabolism , Biodegradation, Environmental , Glutathione/metabolism , Glutathione/pharmacology , Seedlings , Brassica napus/metabolism , Soil , Seeds/metabolism , Antioxidants/metabolism , Antioxidants/pharmacology
12.
Int J Phytoremediation ; 25(9): 1173-1188, 2023.
Article in English | MEDLINE | ID: mdl-36384370

ABSTRACT

The most prevalent heavy metal pollutant in the environment is lead (Pb). Lead potentially contribute 10% of overall heavy metal contamination. Lead uptake by plants has been found to have an impact on their metabolic functions, photosynthetic activity, growth, and productivity. The current experiment was conducted to investigate the impact of triacontanol (Tria) for attenuating Pb stress in Brassica oleracea var. italic (broccoli). Three different Tria concentrations (10, 20 and 30 µmol L-1) were used to prime broccoli seeds. Growth of broccoli was reduced when exposed to Pb-driven toxicity. Additionally, Pb had a deleterious impact on the protein quantity, stomatal conductance, transpiration and photosynthetic rate. Nevertheless, plants grown from seeds primed with Tria2 (20 µmol L-1 Tria) exhibited improved morphological characteristics, uptake of mineral content (Mn+2, Zn+2, K+1, Na+1) along with biomass production. There was 1.6-fold increase in photosynthetic rate, the phenol (1.3 folds), and DPPH activity (1.2 folds) in seed primed with Tria2. Additionally, plants treated with Tria2 demonstrated enhanced MTI and gas exchange characteristics that improves plant stress tolerance under Pb stress. Seed priming with Tria can be used to increase plant tolerance to Pb stress as evidenced by the improved growth and biochemical characteristics of broccoli seedlings.


A number of studies emphasize the beneficial effects of plant growth regulators on the growth and yield of agricultural crops. The priming of seeds with triacontanol in vegetable crops, however, is a concern about which we know remarkably little. In addition, the effects of triacontanol on Brassica oleracea L var. italica under lead stress on growth, biomass, and nutrient content are largely unknown. Thus, the objective of this study was to evaluate the effects of seed priming with triacontanol on the agronomic traits, physiochemical traits, and nutrient content of Brassica oleracea L. var. italica under lead stress.


Subject(s)
Brassica , Metals, Heavy , Lead/toxicity , Lead/metabolism , Biodegradation, Environmental , Brassica/metabolism
13.
Physiol Mol Biol Plants ; 29(8): 1103-1116, 2023 Aug.
Article in English | MEDLINE | ID: mdl-37829699

ABSTRACT

A major obstacle to agricultural production and yield quality is heavy metal contamination of the soil and water, which leads to lower productivity and quality of crops. The situation has significantly worsened as a result of the growing population and subsequent rise in food consumption. The growth of nutrient-rich plants is hampered by lead (Pb) toxicity in the soil. Brassica oleracea L. (broccoli) is a prominent vegetable crop in the Brassicaceae family subjected to a number of biotic and abiotic stresses that dramatically lower crop yields. Seed priming is a novel, practicable, and cost-effective method that can improve various abiotic stress tolerances. Many plant metabolic activities depend on the antioxidant enzyme glutathione (GSH), which also chelates heavy metals. Keeping in view the stress mitigation potential of GSH, current research work was designed to inspect the beneficial role of seed priming with GSH on the growth, morphological and gas exchange attributes of broccoli seedlings under Pb stress. For this purpose, broccoli seeds were primed with 25, 50, and 75 µM L-1 GSH. Plant growth and photosynthetic activity were adversely affected by Pb stress. Furthermore, Pb stress enhanced proline levels along with reduced protein and phenol content. The application of GSH improved growth traits, total soluble proteins, chlorophyll content, mineral content, and gas exchange parameters. The involvement of GSH in reducing Pb concentrations was demonstrated by an improved metal tolerance index and lower Pb levels in broccoli plants. The results of the current study suggest that GSH can be used as a strategy to increase broccoli tolerance to Pb by enhancing nutrient uptake, growth and proline.

14.
Dis Colon Rectum ; 65(5): 628-640, 2022 05 01.
Article in English | MEDLINE | ID: mdl-35143429

ABSTRACT

BACKGROUND: Completion total mesorectal excision is recommended when local excision of early rectal cancers demonstrates high-risk histopathological features. Concerns regarding the quality of completion resections and the impact on oncological safety remain unanswered. OBJECTIVE: This study aims to summarize and analyze the outcomes associated with completion surgery and undertake a comparative analysis with primary rectal resections. DATA SOURCES: Data sources included PubMed, Cochrane library, MEDLINE, and Embase databases up to April 2021. STUDY SELECTION: All studies reporting any outcome of completion surgery after transanal local excision of an early rectal cancer were selected. Case reports, studies of benign lesions, and studies using flexible endoscopic techniques were not included. INTERVENTION: The intervention was completion total mesorectal excision after transanal local excision of early rectal cancers. MAIN OUTCOME MEASURES: Primary outcome measures included histopathological and long-term oncological outcomes of completion total mesorectal excision. Secondary outcome measures included short-term perioperative outcomes. RESULTS: Twenty-three studies including 646 patients met the eligibility criteria, and 8 studies were included in the meta-analyses. Patients undergoing completion surgery have longer operative times (standardized mean difference, 0.49; 95% CI, 0.23-0.75; p = 0.0002) and higher intraoperative blood loss (standardized mean difference, 0.25; 95% CI, 0.01-0.5; p = 0.04) compared with primary resections, but perioperative morbidity is comparable (risk ratio, 1.26; 95% CI, 0.98-1.62; p = 0.08). Completion surgery is associated with higher rates of incomplete mesorectal specimens (risk ratio, 3.06; 95% CI, 1.41-6.62; p = 0.005) and lower lymph node yields (standardized mean difference, -0.26; 95% CI, -0.47 to 0.06; p = 0.01). Comparative analysis on long-term outcomes is limited, but no evidence of inferior recurrence or survival rates is found. LIMITATIONS: Only small retrospective cohort and case-control studies are published on this topic, with considerable heterogeneity limiting the effectiveness of meta-analysis. CONCLUSIONS: This review provides the strongest evidence to date that completion surgery is associated with an inferior histopathological grade of the mesorectum and finds insufficient long-term results to satisfy concerns regarding oncological safety. International collaborative research is required to demonstrate noninferiority. REGISTRATION NO: CRD42021245101.


Subject(s)
Laparoscopy , Proctectomy , Rectal Neoplasms , Transanal Endoscopic Surgery , Humans , Laparoscopy/adverse effects , Postoperative Complications/etiology , Proctectomy/methods , Rectal Neoplasms/pathology , Rectum/pathology , Rectum/surgery , Retrospective Studies , Transanal Endoscopic Surgery/methods , Treatment Outcome
15.
Inorg Chem ; 61(21): 8121-8125, 2022 May 30.
Article in English | MEDLINE | ID: mdl-35559685

ABSTRACT

A conformationally flexible tetrapyridyl ligand L was assembled separately with three cis-blocked 90° PdII acceptors (M1, M2, and M3) containing different blocking diamines. Surprisingly, different conformations of the donor L were arrested by the acceptors depending on the nature of the blocking amine, leading to the formation of isomeric Pd6 barrels (B1, B2, and B3). B2 and B3 with larger windows have been used to encapsulate polyaromatic hydrocarbons.


Subject(s)
Ligands , Isomerism , Molecular Conformation
16.
Mol Biol Rep ; 49(12): 11359-11369, 2022 Dec.
Article in English | MEDLINE | ID: mdl-35916993

ABSTRACT

BACKGROUND: The plants of B. rapa (syn. B. campestris) are the most important food crop of Pakistan for the production of cooking oil. Brassica plants infected by phytoplasma exhibit floral abnormalities including phyllody, virescence, hypertrophied sepal and aborted reproductive organs and affected flower developmental genes which reduces the yield manifold. METHODS AND RESULTS: The expression level of flower developmental genes in healthy and phytoplasma infected brassica were compared by using semi-quantitative reverse transcription polymerase chain reaction and DNA hybridization. In infected brassica, LEAFY (LFY) gene, controlling the development and maintenance of floral organ, and directly involved in controlling the homeotic gene expression was affected, while APETALA2, regulate the production of sepals and petals, were not altered. Whereas the genes WUSCHEL, APETALA3 and AGAMOUS, were significantly down-regulated, that were responsible for the identity of shoot and central meristem, petals and stamens production, and stamens and carpels development, respectively. The GLUB gene, controlling the production of ß-1,3-glucanases enzyme, was highly up-regulated. According to DNA hybridization results, AGAMOUS and APETALA3 were restricted to floral organs territories in healthy and phytoplasma infected brassica, indicating that their expression was tissue-specific. These outcomes indicated that flower abnormalities of phytoplasma infected B. rapa are linked with DNA methylation in the expression of homeotic genes regulating flower development. CONCLUSIONS: Azacitidine act as a DNA demethylating reagent. By applying the foliar spray of azacitidine during the flower development, cells of Phytoplasma infected plants exhibits demethylation of DNA when treated with azacitidine chemical that incorporated as analogue of cytosine during the cell division stage. B. rapa showed the up-regulation of gene expression level significantly that restore the normal production of flowers, ultimately increase the oil production throughout the world.


Subject(s)
Brassica rapa , Brassica , Phytoplasma , Phytoplasma/genetics , Brassica rapa/genetics , Methylation , Flowers , Plants/genetics , Azacitidine , Gene Expression Regulation, Plant/genetics , Plant Proteins/genetics
17.
Int J Phytoremediation ; 24(9): 955-962, 2022.
Article in English | MEDLINE | ID: mdl-34632884

ABSTRACT

Abiotic stress reduces the plant growth and biomass production. Putrescine (Put) may be applied to alleviate numerous types of abiotic stresses in plants. The present research was intended to evaluate the role of exogenously applied Put in extenuation of cadmium (Cd) stress in coriander plants. Coriander seeds primed with 0.25, 0.5, and1 mM Put were allowed to grow in 50 mg kg-1 Cd contaminated soil for one month. Put treatment improved seed germination, gas exchange attributes, root growth and shoot growth of coriander. The improved activity of stress-responsive enzymes such as superoxide dismutase, catalase and peroxidase, besides amplification of proline was observed in Put treated seedlings under Cd stress. In addition, a reduced amount of total soluble protein and sugars content were noticed in Cd stressed seedlings. Nevertheless, Put reduced MDA level in treated plants. Our results demonstrated that Put mitigated Cd induced stress by modulating antioxidants and photosynthetic activity of coriander plants.Novelty statement Most of the researchers have studied the role of endogenous putrescine in alleviation of plant stress. However, during current study, we primed coriander seeds with putrescine. Our results elucidated very promising role of exogenously applied putrescine in stress mitigation and growth improvement of coriander seedlings under Cd stress. The findings of current study advocate the application of putrescine for stress alleviation in crop plants.


Subject(s)
Cadmium , Coriandrum , Antioxidants/metabolism , Biodegradation, Environmental , Cadmium/metabolism , Coriandrum/metabolism , Hydrogen Peroxide/metabolism , Putrescine/metabolism , Seedlings
18.
Int J Phytoremediation ; 24(10): 1025-1038, 2022.
Article in English | MEDLINE | ID: mdl-34705569

ABSTRACT

Water deficiency represents the major cause that affects agricultural output globally. A water-saving strategy was introduced by using water deficit conditions and growth regulators. Foliar application of folic acid (FA) has been found suitable not only for drought stress alleviation in Coriandrum. sativum but also beneficial for improvement in growth and yield under water deficit circumstances. The current study examined the potential roles of FA under drought to improve C. sativum growth. The C. sativum variety was subjected to three levels of irrigation regimes (IR100, IR75, and IR50) with or without the foliar application of FA concentrations. The results showed that the application of 50 mM FA was very effective in improving the plant height, number of secondary branches, number of umbels, and leaf area index in comparison to FA water deficit treated plants alone under IR75 and IR50. Similarly, physiological and gaseous exchange parameters also upgraded that improved the economic yield (81 and 163%), fresh biomass (28 and 131%), dry biomass (63 and 66%), and harvest index (10 and 58%) of C. sativum plants under irrigation regimes IR75 and IR50 compared to their non-treated FA plants. All the observed growth parameters showed a positive correlation with each other vs. LAI except a weight of 1,000. Overall, this study indicated that foliar-applied 50 mM FA may be used as an alternate strategy to improve C. sativum performance in biomass production and can play a key part in solving difficulties caused by drought stress on plant development.


Folic acid is a convenient, affordable growth regulator to increase the efficiency of plants and preserve their nutrients. As far as abiotic stress alleviation is concerned, we have not found sufficient literature explaining the possible role of folic acid in the reduction of water-deficit stress in plants. The role of folic acid in the orchestration of metabolic activities in Coriandrum sativum L. under water deficit conditions has never been documented. This study will open new avenues discussing the role of FA in the enhancement of crop production in drought conditions.


Subject(s)
Coriandrum , Biodegradation, Environmental , Biomass , Folic Acid , Photosynthesis , Plant Leaves , Stress, Physiological , Water
19.
Clin Infect Dis ; 73(2): 226-234, 2021 07 15.
Article in English | MEDLINE | ID: mdl-32421765

ABSTRACT

BACKGROUND: The World Health Organization recommends the Xpert MTB/RIF Ultra assay for diagnosing pulmonary tuberculosis (PTB) in children. Though stool is a potential alternative to respiratory specimens among children, the diagnostic performance of Xpert Ultra on stool is unknown. Thus, we assessed the diagnostic performance of Xpert Ultra on stool to diagnose PTB in children. METHODS: We conducted a cross-sectional study among consecutively recruited children (< 15 years of age) with presumptive PTB admitted in 4 tertiary care hospitals in Dhaka, Bangladesh, between January 2018 and April 2019. Single induced sputum and stool specimens were subjected to culture, Xpert, and Xpert Ultra. We considered children as bacteriologically confirmed on induced sputum if any test performed on induced sputum was positive for Mycobacterium tuberculosis and bacteriologically confirmed if M. tuberculosis was detected on either induced sputum or stool. RESULTS: Of 447 children, 29 (6.5%) were bacteriologically confirmed on induced sputum and 72 (16.1%) were bacteriologically confirmed. With "bacteriologically confirmed on induced sputum" as a reference, the sensitivity and specificity of Xpert Ultra on stool were 58.6% and 88.1%, respectively. Xpert on stool had sensitivity and specificity of 37.9% and 100.0%, respectively. Among bacteriologically confirmed children, Xpert Ultra on stool was positive in 60 (83.3%), of whom 48 (80.0%) had "trace call." CONCLUSIONS: In children, Xpert Ultra on stool has better sensitivity but lesser specificity than Xpert. A high proportion of Xpert Ultra assays positive on stool had trace call. Future longitudinal studies on clinical evolution are required to provide insight on the management of children with trace call.


Subject(s)
Antibiotics, Antitubercular , Mycobacterium tuberculosis , Tuberculosis, Pulmonary , Antibiotics, Antitubercular/therapeutic use , Bangladesh , Child , Cross-Sectional Studies , Humans , Rifampin , Sensitivity and Specificity , Sputum , Tuberculosis, Pulmonary/diagnosis , Tuberculosis, Pulmonary/drug therapy
20.
BMC Infect Dis ; 21(1): 51, 2021 Jan 11.
Article in English | MEDLINE | ID: mdl-33430786

ABSTRACT

BACKGROUND: Multidrug-resistant tuberculosis (MDR-TB) in HIV infected individuals is a serious threat to global efforts to combat tuberculosis. Inconsistent findings on the association between HIV infection and MDR-TB were present in many studies. We aimed to review existing data on the relationship between HIV infection and MDR-TB systematically to assess the contribution of HIV on MDR-TB worldwide. We also investigated the patterns of MDR-TB by age, country-wise income, study designs, and global regions. METHODS: We utilized PubMed, Google Scholar, and ScienceDirect databases to select eligible studies for meta-analysis that were published between January 12,010, and July 30, 2020. The random-effects model was used to obtain the pooled odds ratio of the crude association between HIV and MDR-TB with a 95% confidence interval. We investigated the potential publication-bias by checking funnel plot asymmetry and using the Egger's test. Moreover, we assessed the heterogeneity using the I2 statistic. Sensitivity analysis was performed based on sample size and adjustment factors. The protocol was registered with PROSPERO-CRD42019132752. RESULTS: We identified 1603 studies through a database search, and after subsequent eliminations we selected 54 studies including 430,534 TB patients. The pooled odds of MDR-TB was 1.42 times higher in HIV-positive patients than HIV-negative patients (OR=1.42,CI=1.17-1.71, I2=75.8%). Subgroup analysis revealed that the estimated pooled odds for South-East Asian countries was 1.86, which is the highest in WHO regions (OR=1.86,CI=1.30-2.67, I2=0.00%), followed by Europe and Africa. The effect estimate was found to be higher for primary MDR-TB (OR=2.76,CI=1.70-4.46, I2=0.00%). There was also a trend towards increased odds of MDR-TB for HIV patients older than 40 years (OR=1.56,CI=1.17-2.06). The association was found to be significant in high-burden TB countries (OR=1.75, CI=1.39-2.19) and in high-income countries (OR=1.55, CI=1.06-2.27). CONCLUSION: Such findings indicate that HIV infection raises the risk of MDR-TB, and after contrasting it with the results of the earlier pooled study, it appeared to be an upward risk trend. Moreover, we found that the risk is the highest in the South-East Asian region. A balanced allocation of resources is needed to halt both primary and secondary MDR-TB, particularly in HIV infected people with 40 years of age and older.


Subject(s)
AIDS-Related Opportunistic Infections/complications , AIDS-Related Opportunistic Infections/epidemiology , HIV/isolation & purification , Mycobacterium tuberculosis/isolation & purification , Tuberculosis, Multidrug-Resistant/complications , Tuberculosis, Multidrug-Resistant/epidemiology , Adult , Africa/epidemiology , Antitubercular Agents/therapeutic use , Asia, Southeastern/epidemiology , Europe/epidemiology , Female , Humans , Male , Middle Aged , Odds Ratio , Risk , Tuberculosis, Multidrug-Resistant/drug therapy
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