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2.
ACS Omega ; 9(11): 13006-13016, 2024 Mar 19.
Article in English | MEDLINE | ID: mdl-38524439

ABSTRACT

Breast milk serves as a vital source of essential nutrients for infants. However, human milk contamination via the transfer of environmental chemicals from maternal exposome is a significant concern for infant health. The milk to plasma concentration (M/P) ratio is a critical metric that quantifies the extent to which these chemicals transfer from maternal plasma into breast milk, impacting infant exposure. Machine learning-based predictive toxicology models can be valuable in predicting chemicals with a high propensity to transfer into human milk. To this end, we build such classification- and regression-based models by employing multiple machine learning algorithms and leveraging the largest curated data set, to date, of 375 chemicals with known milk-to-plasma concentration (M/P) ratios. Our support vector machine (SVM)-based classifier outperforms other models in terms of different performance metrics, when evaluated on both (internal) test data and an external test data set. Specifically, the SVM-based classifier on (internal) test data achieved a classification accuracy of 77.33%, a specificity of 84%, a sensitivity of 64%, and an F-score of 65.31%. When evaluated on an external test data set, our SVM-based classifier is found to be generalizable with a sensitivity of 77.78%. While we were able to build highly predictive classification models, our best regression models for predicting the M/P ratio of chemicals could achieve only moderate R2 values on the (internal) test data. As noted in the earlier literature, our study also highlights the challenges in developing accurate regression models for predicting the M/P ratio of xenobiotic chemicals. Overall, this study attests to the immense potential of predictive computational toxicology models in characterizing the myriad of chemicals in the human exposome.

4.
Plant Cell Environ ; 47(3): 961-975, 2024 Mar.
Article in English | MEDLINE | ID: mdl-38044749

ABSTRACT

Sesuvium portulacastrum (L.) is a halophyte, adapted to grow naturally under saline environments. The ability to use Na and K interchangeably indicated its facultative halophyte nature. No significant growth reduction occurs in seedlings up to 250 mM NaCl, except for curling of the youngest leaf. Within 8 h of salt treatment, seedlings accumulate proline, glycine betaine and other amino acids in both root and shoot. Despite a continued increase of tissue Na content, the number of differentially expressed genes (DEGs) decreases between 8 and 24 h of salt exposure, indicating transcriptional restoration after the initial osmotic challenge. At 8 h, upregulated genes mainly encode transporters and transcription factors, while genes in growth-related pathways such as photosynthesis and ribosome-associated biogenesis are suppressed. Overexpression of SpRAB18 (an ABA-responsive dehydrin), one of the most strongly induced DEGs, in soybean was found to increase biomass in control conditions and the growth benefit was maintained when plants were grown in 100 mM NaCl, indicating conservation of function in halophyte and glycophyte. An open-access transcriptome database "SesuviumKB" (https://cb.imsc.res.in/sesuviumkb/) was developed to involve the scientific community in wide-scale functional studies of S. portulacastrum genes, that could pave the way to engineer salt tolerance in crops.


Subject(s)
Aizoaceae , Salt-Tolerant Plants , Salt-Tolerant Plants/genetics , Salt-Tolerant Plants/metabolism , Sodium Chloride/pharmacology , Sodium Chloride/metabolism , Photosynthesis , Salt Tolerance/genetics , Aizoaceae/genetics , Aizoaceae/metabolism , Sodium/metabolism
5.
Sci Total Environ ; 913: 169711, 2024 Feb 25.
Article in English | MEDLINE | ID: mdl-38160837

ABSTRACT

Vitiligo is a complex disease wherein the environmental factors, in conjunction with the underlying genetic predispositions, trigger the autoimmune destruction of melanocytes, ultimately leading to depigmented patches on the skin. While genetic factors have been extensively studied, the knowledge on environmental triggers remains sparse and less understood. To address this knowledge gap, we present the first comprehensive knowledgebase of vitiligo-triggering chemicals namely, Vitiligo-linked Chemical Exposome Knowledgebase (ViCEKb). ViCEKb involves an extensive and systematic manual effort in curation of published literature and subsequent compilation of 113 unique chemical triggers of vitiligo. ViCEKb standardizes various chemical information, and categorizes the chemicals based on their evidences and sources of exposure. Importantly, ViCEKb contains a wide range of metrics necessary for different toxicological evaluations. Notably, we observed that ViCEKb chemicals are present in a variety of consumer products. For instance, Propyl gallate is present as a fragrance substance in various household products, and Flutamide is used in medication to treat prostate cancer. These two chemicals have the highest level of evidence in ViCEKb, but are not regulated for their skin sensitizing effects. Furthermore, an extensive cheminformatics-based investigation revealed that ViCEKb chemical space is structurally diverse and comprises unique chemical scaffolds in comparison with skin specific regulatory lists. For example, Neomycin and 2,3,5-Triglycidyl-4-aminophenol have unique chemical scaffolds and the highest level of evidence in ViCEKb, but are not regulated for their skin sensitizing effects. Finally, a transcriptomics-based analysis of ViCEKb chemical perturbations in skin cell samples highlighted the commonality in their linked biological processes. Overall, we present the first comprehensive effort in compilation and exploration of various chemical triggers of vitiligo. We believe such a resource will enable in deciphering the complex etiology of vitiligo and aid in the characterization of human chemical exposome. ViCEKb is freely available for academic research at: https://cb.imsc.res.in/vicekb.


Subject(s)
Exposome , Vitiligo , Male , Humans , Vitiligo/chemically induced , Vitiligo/drug therapy , Vitiligo/genetics , Skin , Melanocytes , Knowledge Bases
7.
Environ Sci Pollut Res Int ; 30(27): 69751-69773, 2023 Jun.
Article in English | MEDLINE | ID: mdl-37156955

ABSTRACT

Sulfide-based ternary chalcogenides have been recognized widely as exceptional photocatalysts, thanks to their narrow band gap enabling them to harvest solar energy to the maximum extent. They provide excellent optical, electrical, and catalytic performance and are of abundant use as a heterogeneous catalyst. Among sulfide-based ternary chalcogenides, compounds exhibiting AB2X4 structure form a new class of materials with excellent stability in photocatalytic performance. In the AB2X4 family of compounds, ZnIn2S4 is one of the top performing photocatalyst for energy and environmental applications. However, to date, only limited information is available on the mechanism behind the photo-induced migration of charge carriers in ternary sulfide chalcogenides. Ternary sulfide chalcogenides with their visible region activity and substantial chemical stability greatly depend on crystal structure, morphology, and optical characteristics for their photocatalytic activity. Hence, in this review, a comprehensive assessment of the reported strategies for enhancement of the photocatalytic efficiency of this compound is presented. In addition, a meticulous investigation of the applicability of ternary sulfide chalcogenide compound ZnIn2S4, in particular, has been delivered. Also, the photocatalytic behavior of other sulfide-based ternary chalcogenides for water remediation applications has also been briefed. Finally, we conclude with an insight into the challenges and future advancements in the exploration of ZnIn2S4-based chalcogenide as a photocatalyst for various photo-responsive applications. It is believed that this review could contribute to a better understanding of ternary chalcogenide semiconductor photocatalysts for solar-driven water treatment applications.


Subject(s)
Electricity , Water Purification , Catalysis , Sulfides
8.
Comput Biol Chem ; 104: 107866, 2023 Jun.
Article in English | MEDLINE | ID: mdl-37030102

ABSTRACT

Ectopic pregnancy (EP) is one of the leading causes of maternal mortality, where the fertilized embryo grows outside of the uterus. Recent experiments on mice have uncovered the importance of genetic factors in the transport of embryos inside the uterus. In the past, efforts have been made to identify possible gene or protein markers in EP in humans through multiple expression studies. Although there exist comprehensive gene resources for other maternal health disorders, there is no specific resource that compiles the genes associated with EP from such expression studies. Here, we address that knowledge gap by creating a computational resource, Ectopic Pregnancy Expression Knowledgebase (EPEK), that involves manual compilation and curation of expression profiles of EP in humans from published articles. In EPEK, we compiled information on 314 differentially expressed genes, 17 metabolites, and 3 SNPs associated with EP. Computational analyses on the gene set from EPEK showed the implication of cellular signaling processes in EP. We also identified possible exosome markers that could be clinically relevant in the diagnosis of EP. In a nutshell, EPEK is the first and only dedicated resource on the expression profile of EP in humans. EPEK is accessible at https://cb.imsc.res.in/epek.


Subject(s)
Pregnancy, Ectopic , Pregnancy , Female , Humans , Animals , Mice , Pregnancy, Ectopic/genetics , Pregnancy, Ectopic/diagnosis , Knowledge Bases , Risk Factors
9.
Sci Total Environ ; 873: 162263, 2023 May 15.
Article in English | MEDLINE | ID: mdl-36801331

ABSTRACT

Androgen mimicking environmental chemicals can bind to Androgen receptor (AR) and can cause severe effects on the reproductive health of males. Predicting such endocrine disrupting chemicals (EDCs) in the human exposome is vital for improving current chemical regulations. To this end, QSAR models have been developed to predict androgen binders. However, a continuous structure-activity relationship (SAR) wherein chemicals with similar structure have similar activity does not always hold. Activity landscape analysis can help map the structure-activity landscape and identify unique features such as activity cliffs. Here we performed a systematic investigation of the chemical diversity along with the global and local structure-activity landscape of a curated list of 144 AR binding chemicals. Specifically, we clustered the AR binding chemicals and visualized the associated chemical space. Thereafter, consensus diversity plot was used to assess the global diversity of the chemical space. Subsequently, the structure-activity landscape was investigated using SAS maps which capture the activity difference and structural similarity among the AR binders. This analysis led to a subset of 41 AR binding chemicals forming 86 activity cliffs, of which 14 are activity cliff generators. Additionally, SALI scores were computed for all pairs of AR binding chemicals and the SALI heatmap was also used to evaluate the activity cliffs identified using SAS map. Finally, we provide a classification of the 86 activity cliffs into six categories using structural information of chemicals at different levels. Overall, this investigation reveals the heterogeneous nature of the structure-activity landscape of AR binding chemicals and provides insights which will be crucial in preventing false prediction of chemicals as androgen binders and developing predictive computational toxicity models in the future.


Subject(s)
Androgens , Receptors, Androgen , Humans , Receptors, Androgen/metabolism , Structure-Activity Relationship , Quantitative Structure-Activity Relationship
10.
Sci Total Environ ; 826: 154112, 2022 Jun 20.
Article in English | MEDLINE | ID: mdl-35219661

ABSTRACT

An adverse outcome pathway (AOP) is a compact representation of the available mechanistic information on observed adverse effects upon environmental exposure. Sharing of events across individual AOPs has led to the emergence of AOP networks. Since AOP networks are expected to be functional units of toxicity prediction, there is current interest in their development tailored to specific research question or regulatory problem. To this end, we have developed a detailed workflow to construct an endocrine-relevant AOP (ED-AOP) network based on the existing information available in AOP-Wiki. We propose a cumulative weight of evidence (WoE) score for each ED-AOP based on the WoE scores assigned to key event relationships (KERs) by AOP-Wiki, revealing gaps in AOP development. Connectivity analysis of the ED-AOP network comprising 48 AOPs reveals 7 connected components and 12 isolated AOPs. Subsequently, we apply standard network measures to perform an in-depth analysis of the two largest connected components of the ED-AOP network. Notably, the graph-theoretic analyses led to the identification of important events including points of convergence or divergence in the ED-AOP network. These findings can suggest potential adverse outcomes and facilitate the development of new endpoints or assays for chemical risk assessment. Detailed analysis of the largest component in the ED-AOP network gives insights on the systems-level perturbations caused by endocrine disruption, emergent paths, and stressor-event associations. In sum, the derived ED-AOP network can provide a broader view of the biological events disrupted by endocrine disruption, as well as facilitate better risk assessment of environmental chemicals.


Subject(s)
Adverse Outcome Pathways , Drug-Related Side Effects and Adverse Reactions , Humans , Risk Assessment
11.
Sci Total Environ ; 818: 151682, 2022 Apr 20.
Article in English | MEDLINE | ID: mdl-34793786

ABSTRACT

Exposure to environmental chemicals during early childhood is a potential health concern. At a tender age, children are exposed to fragrance chemicals used in toys and child care products. Although there are few initiatives in Europe and United States towards monitoring and regulation of fragrance chemicals in children's products, such efforts are still lacking elsewhere. Besides there has been no systematic effort to create a database compiling the surrounding knowledge on fragrance chemicals used in children's products from published literature. Here, we built a database of Fragrance Chemicals in Children's Products (FCCP) that compiles information on 153 fragrance chemicals from published literature. The fragrance chemicals in FCCP have been classified based on their chemical structure, children's product source, chemical origin and odor profile. Moreover, we have also compiled the physicochemical properties, predicted Absorption, Distribution, Metabolism, Excretion and Toxicity (ADMET) properties, molecular descriptors and human target genes for the fragrance chemicals in FCCP. After building FCCP, we performed multiple analyses of the associated fragrance chemical space. Firstly, we assessed the regulatory status of the fragrance chemicals in FCCP through a comparative analysis with 21 chemical lists reflecting current guidelines or regulations. We find that several fragrance chemicals in children's products are potential carcinogens, endocrine disruptors, neurotoxicants, phytotoxins and skin sensitizers. Secondly, we performed a similarity network based analysis of the fragrance chemicals in children's products to reveal the high structural diversity of the associated chemical space. Lastly, we identified skin sensitizing fragrance chemicals in children's products using ToxCast assays. In a nutshell, we present a comprehensive resource and detailed analysis of fragrance chemicals in children's products highlighting the need for their better risk assessment and regulation to deliver safer products for children. FCCP is accessible at: https://cb.imsc.res.in/fccp.


Subject(s)
Endocrine Disruptors , Perfume , Child, Preschool , Endocrine Disruptors/toxicity , Humans , Odorants , Play and Playthings , Risk Assessment , United States
12.
J Steroid Biochem Mol Biol ; 214: 105998, 2021 11.
Article in English | MEDLINE | ID: mdl-34534667

ABSTRACT

Human exposure to environmental chemicals is a major contributor to the global disease burden. To characterize the external exposome it is important to assess its chemical components and to study their impact on human health. Biomonitoring studies measure the body burden of environmental chemicals detected in biospecimens from a wide range of the population. The detection of these chemicals in biospecimens (and, hence, human tissues) is considered an important biomarker of human exposure. However, there is no readily available resource that compiles such exposure data for human tissues from published literature, and no studies that explore the patterns in the associations between tissue-specific exposures and human diseases. We present Human Tissue-specific Exposome Atlas (TExAs), a compilation of 380 environmental chemicals detected across 27 human tissues. TExAs is accessible via a user friendly webserver: https://cb.imsc.res.in/texas. We compare the chemicals in TExAs with 55 global chemical regulations, guidelines, and inventories, which represent several categories of the external exposome of humans. Further to understand the potential implications on human health of chemicals detected across human tissues, we employ a network biology approach and explore possible chemical exposure-disease associations. Ensuing analyses reveal the possibilities of disease comorbidities and demonstrate the application of network biology in unraveling complex disease associations due to chemical exposure.


Subject(s)
Environmental Exposure/analysis , Exposome , Liver/drug effects , Biology , Biomarkers , Comorbidity , Computational Biology , Databases, Factual , Environmental Monitoring/methods , Humans , Systems Biology
13.
Chemosphere ; 278: 130387, 2021 Sep.
Article in English | MEDLINE | ID: mdl-33838427

ABSTRACT

Exposure to environmental neurotoxicants is a significant concern due to their potential to cause permanent or irreversible damage to the human nervous system. Here, we present the first dedicated knowledgebase, NeurotoxKb 1.0, on environmental neurotoxicants specific to mammals. Using a detailed workflow, we have compiled 475 potential non-biogenic neurotoxicants from 835 published studies with evidence of neurotoxicity specific to mammals. A unique feature of NeurotoxKb 1.0 is the manual curation effort to compile and standardize the observed neurotoxic effects for the potential neurotoxicants from 835 published studies. For the 475 potential neurotoxicants, we have compiled diverse information such as chemical structures, environmental sources, chemical classification, physicochemical properties, molecular descriptors, predicted ADMET properties, and target human genes. To better understand the prospect of human exposure, we have explored the presence of potential neurotoxicants in external exposomes via two different analyses. By analyzing 55 chemical lists representing global regulations and guidelines, we reveal potential neurotoxicants both in regular use and produced in high volume. By analyzing human biospecimens, we reveal potential neurotoxicants detected in them. Lastly, a construction of the chemical similarity network and ensuing analysis revealed the diversity of the toxicological space of 475 potential neurotoxicants. NeurotoxKb 1.0 is accessible online at: https://cb.imsc.res.in/neurotoxkb/.


Subject(s)
Neurotoxicity Syndromes , Animals , Humans , Knowledge Bases , Mammals
14.
Chemosphere ; 271: 129583, 2021 May.
Article in English | MEDLINE | ID: mdl-33460906

ABSTRACT

Human milk is a vital source of nourishment for infants. However, numerous environmental contaminants also find their way into human milk, making up the major part of a newborn's external exposome. While there are chemical regulations in India and scientific literature on environmental contaminants is available, the systematic compilation, monitoring, and risk management of human milk contaminants are inadequate. We have harnessed the potential of this large body of literature to develop the Exposome of Human Milk across India (ExHuMId) version 1.0 containing detailed information on 101 environmental contaminants detected in human milk samples across 13 Indian states, compiled from 36 research articles. ExHuMId also compiles the detected concentrations of the contaminants, structural and physicochemical properties, and factors associated with the donor of the sample. We also present findings from a three-pronged analysis of ExHuMId and two other resources on human milk contaminants, with a focus on the Indian scenario. Through a comparative analysis with global chemical regulations and guidelines, we identify human milk contaminants of high concern, such as potential carcinogens, endocrine disruptors and neurotoxins. We then study the physicochemical properties of the contaminants to gain insights on their propensity to transfer into human milk. Lastly, we employ a systems biology approach to shed light on potential effects of human milk contaminants on maternal and infant health, by identifying contaminant-gene interactions associated with lactation, cytokine signalling and production, and protein-mediated transport. ExHuMId 1.0 is accessible online at: https://cb.imsc.res.in/exhumid/.


Subject(s)
Endocrine Disruptors , Exposome , Breast Feeding , Female , Humans , India , Infant , Infant, Newborn , Milk, Human
15.
Chemosphere ; 267: 128898, 2021 Mar.
Article in English | MEDLINE | ID: mdl-33190914

ABSTRACT

The regulatory assessment of endocrine disrupting chemicals (EDCs) is complex due to the lack of a standardized definition of EDCs and validated testing criteria. In spite of these challenges, there is growing scientific interest in EDCs which has resulted in the rapid expansion of published literature on endocrine disruption upon chemical exposure. Here, we explore how academic research leading to curated knowledgebases can inform current chemical regulations on EDCs. To this end, we present an updated knowledgebase, DEDuCT 2.0, containing 792 potential EDCs with supporting evidence from 2218 research articles. Thereafter, we study the distribution of potential EDCs across several chemical lists that reflect guidelines for use or regulations. Further, to understand the scale of possible exposure to the potential EDCs present in chemical lists, we compare them with high production volume chemicals. Notably, we find many potential EDCs are in use across various product categories such as 'Food additives and Food contact materials' and 'Cosmetics and household products'. Several of these EDCs are also produced or manufactured in high volume across the world. Lastly, we illustrate using an example how diverse information in curated knowledgebases such as DEDuCT 2.0 can be helpful in the risk assessment of EDCs. In sum, we highlight the need to bridge the gap between academic and regulatory aspects of chemical safety, as a step towards the better management of environment and health hazards such as EDCs.


Subject(s)
Endocrine Disruptors , Endocrine Disruptors/toxicity , Endocrine System , Knowledge Bases , Risk Assessment
16.
Biochim Biophys Acta Mol Basis Dis ; 1866(4): 165506, 2020 04 01.
Article in English | MEDLINE | ID: mdl-31276770

ABSTRACT

Neurodegenerative diseases are devastating mental illnesses without a cure. Alzheimer's disease (AD) characterized by memory loss, multiple cognitive impairments, and changes in personality and behavior. Although tremendous progress has made in understanding the basic biology in disease processes in AD and PD, we still do not have early detectable biomarkers for these diseases. Just in the United States alone, federal and nonfederal funding agencies have spent billions of dollars on clinical trials aimed at finding drugs, but we still do not have a drug or an agent that can slow the AD or PD disease process. One primary reason for this disappointing result may be that the clinical trials enroll patients with AD or PD at advances stages. Although many drugs and agents are tested preclinical and are promising, in human clinical trials, they are mostly ineffective in slowing disease progression. One therapy that has been promising is 'stem cell therapy' based on cell culture and pre-clinical studies. In the few clinical studies that have investigated therapies in clinical trials with AD and PD patients at stage I. The therapies, such as stem cell transplantation - appear to delay the symptoms in AD and PD. The purpose of this article is to describe clinical trials using 1) stem cell transplantation methods in AD and PD mouse models and 2) regenerative medicine in AD and PD mouse models, and 3) the current status of investigating preclinical stem cell transplantation in patients with AD and PD.


Subject(s)
Alzheimer Disease , Parkinson Disease , Regeneration , Regenerative Medicine , Stem Cell Transplantation , Alzheimer Disease/metabolism , Alzheimer Disease/pathology , Alzheimer Disease/therapy , Animals , Clinical Trials as Topic , Disease Models, Animal , Humans , Mice , Parkinson Disease/metabolism , Parkinson Disease/pathology , Parkinson Disease/therapy
17.
Sci Total Environ ; 692: 281-296, 2019 Nov 20.
Article in English | MEDLINE | ID: mdl-31349169

ABSTRACT

Human well-being can be affected by exposure to several chemicals in the environment. One such group is endocrine disrupting chemicals (EDCs) that can perturb the hormonal homeostasis leading to adverse health effects. In this work, we have developed a detailed workflow to identify EDCs with supporting evidence of endocrine disruption in published experiments in humans or rodents. Thereafter, this workflow was used to manually evaluate more than 16,000 published research articles and identify 686 potential EDCs with published evidence in humans or rodents. Importantly, we have compiled the observed adverse effects or endocrine-specific perturbations along with the dosage information for the potential EDCs from their supporting published experiments. Subsequently, the potential EDCs were classified based on the type of supporting evidence, their environmental source and their chemical properties. Additional compiled information for potential EDCs include their chemical structure, physicochemical properties, predicted ADMET properties and target genes. In order to enable future research based on this compiled information on potential EDCs, we have built an online knowledgebase, Database of Endocrine Disrupting Chemicals and their Toxicity profiles (DEDuCT), accessible at: https://cb.imsc.res.in/deduct/. After building this comprehensive resource, we have performed a network-centric analysis of the chemical space and the associated biological space of target genes of EDCs. Specifically, we have constructed two networks of EDCs using our resource based on similarity of chemical structures or target genes. Ensuing analysis revealed a lack of correlation between chemical structure and target genes of EDCs. Though our detailed results highlight potential challenges in developing predictive models for EDCs, the compiled information in our resource will undoubtedly enable future research in the field, especially, those focussed towards mechanistic understanding of the systems-level perturbations caused by EDCs.


Subject(s)
Endocrine Disruptors/toxicity , Environmental Pollutants/toxicity , Knowledge Bases , Animals , Humans , Rodentia
18.
Indian J Ophthalmol ; 67(4): 477-483, 2019 Apr.
Article in English | MEDLINE | ID: mdl-30900578

ABSTRACT

PURPOSE: To report the prevalence and risk factors of cataract and its subtypes in older age group. METHODS: A total of 6617 subjects were recruited from both rural and urban areas. A detailed history including data on demographic, socioeconomic and ocular history was obtained. Lens opacity was graded according to the Lens Opacity Classification System III (LOCS III). RESULTS: Cataract was present in 1094 of the rural and 649 subjects in the urban population. Monotype subtype cataracts were found in 32% and 25% in rural and urban population and 12.68% and 18.6% were mixed cataracts in the rural and urban groups. In baseline characteristics history of diabetes, alcohol intake and presence of age-related macular degeneration were the risk factors in urban group. On multivariate analysis, the only significant risk factors for any cataract in subjects ≥60 years were increasing age in both rural [odds ratio (OR), 1.07] and urban (OR, 1.08) population, and HbA1c (OR, 1.14) in rural population. Overweight (OR, 0.6) was found to be a protective factor, and lower social economic status (OR, 1.52) a risk factor for cataract in urban population. A significant urban-rural difference was found in the prevalence of cataract and its subtypes (P ≤ 0.05). CONCLUSION: We found the risk factors for any cataract in older age group to be increasing age and HbA1c in rural group. Age and lower social economic status were found to be the risk factors in urban arm. A statistically significant difference was found on comparison of the prevalence of cataract and its subtypes between the rural and urban population.


Subject(s)
Cataract/epidemiology , Risk Assessment/methods , Rural Population , Urban Population , Aged , Cross-Sectional Studies , Female , Humans , India/epidemiology , Male , Middle Aged , Prevalence , Retrospective Studies , Risk Factors , Socioeconomic Factors
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