Synthetic α-Hydroxytropolones Inhibit Replication of Wild-Type and Acyclovir-Resistant Herpes Simplex Viruses.

Herpes simplex virus 1 (HSV-1) and HSV-2 remain major human pathogens despite the development of anti-HSV therapeutics as some of the first antiviral drugs. Current therapies are incompletely effective and frequently drive the evolution of drug-resistant mutants. We recently determined that certain natural troponoid compounds such as ß-thujaplicinol readily suppress HSV-1 and HSV-2 replication. Here, we screened 26 synthetic α-hydroxytropolones with the goals of determining a preliminary structure-activity relationship for the α-hydroxytropolone pharmacophore and providing a starting point for future optimization studies. Twenty-five compounds inhibited HSV-1 and HSV-2 replication at 50 µM, and 10 compounds inhibited HSV-1 and HSV-2 at 5 µM, with similar inhibition patterns and potencies against both viruses being observed. The two most powerful inhibitors shared a common biphenyl side chain, were capable of inhibiting HSV-1 and HSV-2 with a 50% effective concentration (EC50) of 81 to 210 nM, and also strongly inhibited acyclovir-resistant mutants. Moderate to low cytotoxicity was observed for all compounds (50% cytotoxic concentration [CC50] of 50 to >100 µM). Therapeutic indexes ranged from >170 to >1,200. These data indicate that troponoids and specifically α-hydroxytropolones are a promising lead scaffold for development as anti-HSV drugs provided that toxicity can be further minimized. Troponoid drugs are envisioned to be employed alone or in combination with existing nucleos(t)ide analogs to suppress HSV replication far enough to prevent viral shedding and to limit the development of or treat nucleos(t)ide analog-resistant mutants.

Drug-induced hepatocellular injury due to herbal supplement ashwagandha.

A 39-year-old female presented with a one-week history of jaundice and nausea after taking an over-the-counter herbal supplement containing ashwagandha root extract. Initial investigations revealed a hepatocellular pattern of liver enzyme abnormality with jaundice. Investigations, including viral serology, liver specific autoantibodies and an ultrasound scan of the abdomen, were unremarkable. Liver biopsy showed an acute cholestatic hepatitis with confluent necrosis but no features of chronicity. These histopathological findings differ to that of a previously reported case. Review of recent literature revealed that some clinical features and the time course of liver injury were similar to previous reports of ashwagandha drug-induced liver injury (DILI). The patient received treatment with ursodeoxycholic acid. We compare this case to previous reported cases of ashwagandha DILI and discuss the biochemical and histopathological features of ashwagandha DILI, therapeutic strategies and the importance of recognising herbal supplements as a possible cause of DILI.

Mechanisms for the clustering of inertial particles in the inertial range of isotropic turbulence.

In this paper, we consider the physical mechanism for the clustering of inertial particles in the inertial range of isotropic turbulence. We analyze the exact, but unclosed, equation governing the radial distribution function (RDF) and compare the mechanisms it describes for clustering in the dissipation and inertial ranges. We demonstrate that in the limit Str≪1, where Str is the Stokes number based on the eddy turnover time scale at separation r, the clustering in the inertial range can be understood to be due to the preferential sampling of the coarse-grained fluid velocity gradient tensor at that scale. When Str≳O(1) this mechanism gives way to a nonlocal clustering mechanism. These findings reveal that the clustering mechanisms in the inertial range are analogous to the mechanisms that we identified for the dissipation regime [see New J. Phys. 16, 055013 (2014)]. Further, we discuss the similarities and differences between the clustering mechanisms we identify in the inertial range and the "sweep-stick" mechanism developed by Coleman and Vassilicos [Phys. Fluids 21, 113301 (2009)]. We show that the idea that initial particles are swept along with acceleration stagnation points is only approximately true because there always exists a finite difference between the velocity of the acceleration stagnation points and the local fluid velocity. This relative velocity is sufficient to allow particles to traverse the average distance between the stagnation points within the correlation time scale of the acceleration field. We also show that the stick part of the mechanism is only valid for Str≪1 in the inertial range. We emphasize that our clustering mechanism provides the more fundamental explanation since it, unlike the sweep-stick mechanism, is able to explain clustering in arbitrary spatially correlated velocity fields. We then consider the closed, model equation for the RDF given in Zaichik and Alipchenkov [Phys. Fluids 19, 113308 (2007)] and use this, together with the results from our analysis, to predict the analytic form of the RDF in the inertial range for Str1, which, unlike that in the dissipation range, is not scale invariant. The results are in good agreement with direct numerical simulations, provided the separations are well within the inertial range.