Biodegradation of chemical contamination by lactic acid bacteria: A biological tool for food safety.

Chemical pollutants such as mycotoxins and pesticides exert harmful effects on human health such as inflammation, oxidative stress, and cancer. Several strategies were applied for food decontamination, including physicochemical and biological strategies. The present review comprehensively discussed the recent efforts related to the biodegradation of eight food chemical contaminants, including mycotoxins, acrylamide, biogenic amines, N-nitrosamines, polycyclic aromatic hydrocarbons, bisphenol A, pesticides, and heavy metals by lactic acid bacteria (LAB). Biological detoxification by LAB such as Lactobacillus is a promising approach to remove the risks related to the presence of chemical and environmental pollutants in foodstuffs. It is a safe, efficient, environmentally friendly, and low-cost strategy to remove hazardous compounds. LAB can directly decrease these chemical pollutants by degradation or adsorption. Also, it can indirectly reduce the content of these pollutants by reducing their precursors. Hence, LAB can contribute to reducing chemical pollutants in contaminated foods and enhance food safety.

The evolving treatment of congenital heart disease in patient with Down syndrome: Current state of knowledge.

OBJECTIVES: Children with Down syndrome are usually seen as not worthy of high-risk cardiac surgery. Through this review, we try to show the results of curative and palliative surgery for functional single ventricle syndrome in patients with Down syndrome, as there is currently no standard protocol for the treatment of this category of patients. METHODS: An exhaustive search of all related published medical literature included the following domains: Down syndrome and diagnosis, Down syndrome and taxonomy, Down syndrome, and natural history, Down syndrome and cardiovascular abnormalities, Down syndrome and pulmonary hypertension, Down syndrome and institutionalization, Down syndrome and surgical repair, Down syndrome, and single ventricle palliation, Down syndrome and Glenn, Down syndrome, and Fontan. RESULTS: 12 articles were included from 775 identified. Low-risk cardiac surgery procedure should be provided for Down syndrome with a balanced ventricular septal defect. There is no universal agreement about the surgical approach for Down syndrome with unbalanced ventricular septal defects, but it can be performed at relatively low risk. CONCLUSIONS: TCPC in Down syndrome patients could be a relatively low-risk procedure if patients are prepared well and their pulmonary vascular resistance is low. Randomized prospective studies are required to show the long-term impact of TCPC palliation and develop a better understanding of standardized care of these patients.

Construction of a magnetic solid-phase extraction method for the analysis of azole pesticides residue in medicinal plants.

In this work, a sensitive and cost-effective method for the quantitative analysis of azole pesticides residues in six medicinal plants was established based on magnetic cyclodextrin crosslinked with tetrafluoroterephthalonitrile (Fe3O4@TFN-CDPs) coupled with high-performance liquid chromatography (HPLC). Through characterization analysis, the outer shell of Fe3O4@TFN-CDPs has observed coating with a network of the polymer and forming a core-shell structure. Under the optimum conditions, the limits of detection (LODs) and limits of qualification (LOQs) of target pesticides were ranged from 0.011 to 0.106 µg Kg-1 and from 0.036 to 0.354 µg Kg-1, respectively. Finally, the achieved recoveries of pesticides in six medicinal samples fluctuated from 60.1% to 102.3%. Altogether, this method based on Fe3O4@TFN-CDPs composites provided a new idea for the analysis of trace pesticides in complicated matrices.

Cardiac recovery and outcome of neonates and infants presenting with severe aortic coarctation and depressed cardiac function.

OBJECTIVES: Coarctation of the aorta represents 5-8% of all congenital heart diseases. Children with severe coarctation of the aorta may present with significant depression of myocardial function. The aim of this study is to identify short and midterm outcomes of neonates and infants with isolated coarctation of the aorta and depressed left ventricular systolic function with regard to recovery of their cardiac function. METHODS: All patients with isolated coarctation of the aorta who underwent surgical repair between December 2002 and December 2015 were retrospectively reviewed in a cohort study. The patients were divided into 2 groups: (1) Patients with depressed left ventricle systolic function who were found to have an ejection fraction and fractional shortening less than 55% and 25%, respectively, (2) Patients with coarctation of the aorta and normal left ventricle systolic function (Control Group). We reviewed both groups after surgery and compared them in terms of their cardiac function recovery. RESULTS: 58 patients were included. 25 patients (43%) depressed left ventricle systolic function group, 33 patients (57%) Control Group. There were statistically significant differences in ejection fraction and fractional shortening (p < 0.0001) between the two groups before surgery. Follow-up demonstrated improvement and recovery of ventricular function in most of the patients, six months after surgery there was no more statistical difference between the groups in terms of cardiac function. CONCLUSION: Majority of the patients with isolated coarctation of the aorta and depressed left ventricle systolic function showed improvement of ventricular function within 4 weeks after surgery, except for patients with residual coarctation of the aorta.

Immuno-Stimulating Peptide Derived from HMGB1 is More Effective Than the N-Terminal Domain of Gp96 as an Endogenous Adjuvant for Improvement of Protein Vaccines.

Up to now, different protein vaccine modalities against human papillomavirus (HPV) have been designed to control cervical cancer. The important issue is to increase their immunogenicity using appropriate adjuvants. Among heat shock proteins (HSPs), glycoprotein 96 (Gp96) and its Nterminal region (NT-gp96) have attracted a specific interest in stimulation of antigen-specific immune responses in vivo. Furthermore, the potency of high mobility group box 1 (HMGB1) protein and its fragment (Hp91) was reported to enhance the desired immune responses against various disorders. In this study, the recombinant (r) HPV16 E7 and rNT-gp96 proteins were generated in bacterial expression system. Mice were vaccinated three times with E7 antigen mixed with Montanide, Hp91, and NT-gp96 as the adjuvant and their preventive and therapeutic efficiencies were evaluated in a murine tumor model. Mice vaccinated with E7 co-delivered by Hp91 peptide induced higher IgG2a and IFN-γ responses in comparison with E7 co-injected with Montanide and NT-gp96 protein suggesting a strong Th1 cellular immune response. The data showed that vaccination with noncovalent rE7 + rNT-gp96 complex delayed the tumor growth as compared to control groups. Mice immunized with rE7 + Montanide and rE7 + Hp91 protected 100% of mice versus 75% survival in groups vaccinated with rE7 + rNT-gp96 after TC-1 tumor challenge. The percentage of tumor free mice was decreased in group immunized with rE7 + rNT-gp96 in therapeutic experiments (~ 50%). These results demonstrated that Hp91 peptide is a safe and strong adjuvant against rNT-gp96 with the potent anti-tumor effects similar to Montanide adjuvant.

Influenza vaccination in patients with pulmonary sarcoidosis: efficacy and safety.

BACKGROUND: Sarcoidosis is an inflammatory, granulomatous disorder of unknown etiology. The role of cellular and humoral immune systems in this disease is unclear, whereas dysregulation of the immune system is suggested. Patients with sarcoidosis show diverse responses while exposed to various antigens. Although influenza vaccination is recommended in pulmonary sarcoidosis, its efficacy and safety has not been investigated. OBJECTIVES: To evaluate safety and immunogenicity of influenza vaccine in patients with sarcoidosis. PATIENTS/METHODS: Influenza vaccination was performed in 23 eligible patients with sarcoidosis (SP) and 26 healthy controls (HC). Antibody titers against H1N1, H3N2, and B influenza virus antigens were evaluated just before and 1 month after vaccination. Patients were followed for 6 months to assess vaccine safety. RESULTS: Serological response and magnitude of changes in antibody titers against influenza vaccine antigens were comparable between SPs and HCs. Women showed a better serological response against B antigen (P = 0·034) than men. Twenty-four-hour urine calcium was associated with antibody response against H1N1 [correlation coefficient (CC) = 0·477, P = 0·003] and H3N2 (CC = 0·352, P = 0·028) antigens. Serum angiotensin-converting enzyme correlated negatively with antibody response against B antigen (CC = -0·331, P = 0·040). Higher residual volume was associated with fewer rises in antibody titer against H3N2 antigen (CC = -0·377, P = 0·035). No major adverse events or disease flare-up was observed during follow-up. CONCLUSIONS: In this study, influenza vaccination did not cause any major adverse event in SPs, and their serological response was equal to HCs. Studies with larger sample size and a broader selection of subjects could help validate the results of this study.

Upregulation of P-glycoprotein by probiotics in intestinal epithelial cells and in the dextran sulfate sodium model of colitis in mice.

P-glycoprotein (P-gp) mediates efflux of xenobiotics and bacterial toxins from the intestinal mucosa into the lumen. Dysregulation of P-gp has been implicated in inflammatory bowel disease. Certain probiotics have been shown to be effective in treating inflammatory bowel disease. However, direct effects of probiotics on P-gp are not known. Current studies examined the effects of Lactobacilli on P-gp function and expression in intestinal epithelial cells. Caco-2 monolayers and a mouse model of dextran sulfate sodium-induced colitis were utilized. P-gp activity was measured as verapamil-sensitive [(3)H]digoxin transepithelial flux. Multidrug resistant 1 (MDR1)/P-gp expression was measured by real-time quantitative PCR and immunoblotting. Culture supernatant (CS; 1:10 or 1:50, 24 h) of Lactobacillus acidophilus or Lactobacillus rhamnosus treatment of differentiated Caco-2 monolayers (21 days postplating) increased (∼3-fold) MDR1/P-gp mRNA and protein levels. L. acidophilus or L. rhamnosus CS stimulated P-gp activity (∼2-fold, P < 0.05) via phosphoinositide 3-kinase and ERK1/2 MAPK pathways. In mice, L. acidophilus or L. rhamnosus treatment (3 × 10(9) colony-forming units) increased mdr1a/P-gp mRNA and protein expression in the ileum and colon (2- to 3-fold). In the dextran sulfate sodium (DSS)-induced colitis model (3% DSS in drinking water for 7 days), the degree of colitis as judged by histological damage and myeloperoxidase activity was reduced by L. acidophilus. L. acidophilus treatment to DSS-treated mice blocked the reduced expression of mdr1a/P-gp mRNA and protein in the distal colon. These findings suggest that Lactobacilli or their soluble factors stimulate P-gp expression and function under normal and inflammatory conditions. These data provide insights into a novel mechanism involving P-gp upregulation in beneficial effects of probiotics in intestinal inflammatory disorders.

Agro-industrial waste 'wheat bran' for the biosorptive remediation of selenium through continuous up-flow fixed-bed column.

Present study deals with the utilization of an agro-industrial waste wheat bran for the remediation of selenium species, Se(IV) and Se(VI) by continuous up-flow fixed-bed column system. Laboratory-scale column tests were performed to determine potentiality of wheat bran at various bed height, flow rates and initial metal ion concentration and it was found to be very potential biosorbent as it showed good sorption capacities of 72.54 microg/g and 62.51 microg/g for Se(IV) and Se(VI) respectively. Different models like Bed Depth Service Time (BDST), Thomas and Yoon-Nelson were applied to the experimental sorption data. The data showed very good fit to BDST model and sorption capacities (N(o)) computed using BDST model were 26,664 microg/L and 26,400 microg/L for Se(IV) and Se(VI) respectively. Also Yoon-Nelson model was found to show good agreement with the experimental kinetic results as compared to the Thomas model. Wheat bran was amenable to efficient regeneration with 10% NaOH. The biosorbent retained most of its original uptake capacity over three cycles of use. The excellent reusability of the biosorbent could lead to development of a viable metal remediation technology. Life factor calculation revealed that biosorbent bed will have sufficient capacity to avoid breakthrough at time t=0 up to 12.17 cycles for Se(IV) and 6.28 cycles for Se(VI) and bed would be completely exhausted after 56.89 cycles for Se(IV) and 18.73 cycles for Se(VI).

Isolated non-compaction cardiomyopathy.

BACKGROUND: Isolated non-compaction cardiomyopathy (NCCM) was first described in 1984. This disorder, a primary genetic cardiomyopathy, is now attracting increased attention. METHOD: The current state of the epidemiology, pathogenesis, pathophysiology, clinical features, diagnosis, treatment, and prognosis of NCCM are discussed on the basis of a review of selected literature as well as the authors' personal experience. RESULTS: The pathogenesis of NCCM is thought to involve a genetically determined disturbance of the myocardial compaction process during fetal endomyocardial morphogenesis. It is not accompanied by any other cardiac anomalies. Echocardiography is the diagnostic method of choice. The diagnosis is based on the following echocardiographic criteria: the presence of at least 4 prominent trabeculations and deep intertrabecular recesses, blood flow from the ventricular cavity into the intertrabecular recesses, and a typical bilaminar structure of the affected portion of the left ventricular myocardium. NCCM can also be diagnosed with magnetic resonance imaging of the heart. The clinical severity of NCCM is variable; its manifestations include heart failure, thromboembolic events, and arrhythmias. The treatment is symptom-based. Patients with symptomatic NCCM have a poor prognosis. CONCLUSION: NCCM is a type of cardiomyopathy that was first described 25 years ago. Its molecular genetic basis is not yet fully clear, and the same is true of its diagnosis, treatment, and prognosis. Further study of these matters is needed.

Biosorption of lead using immobilized Aeromonas hydrophila biomass in up flow column system: factorial design for process optimization.

Free and immobilized biomass of Aeromonas hydrophila has been utilized for the removal of Pb(II) from aqueous solution. Fitness of Langmuir sorption model to the sorption data indicated the sorption was monolayer and uptake capacity of biomass was 163.9 and 138.88 mg/g for the free and immobilized biomass respectively. 85.38% Pb(II) removal was achieved at bed height of 19 cm and flow rate of 2 mL/min and BDST model was in a good agreement with the experimental results (r(2)>0.997). An attempt has been made to optimize the process conditions for the maximum removal using Central Composite Design with the help of Minitab 15 software and the result predicted by optimization plots was 88.27% which is close to the experimental data i.e. 85.38%. Sorption-desorption studies revealed that polysulfone immobilized biomass could reused up to 16 cycles and bed was completely exhaust after 33 cycles.

Biosorption of Pb(II) from water using biomass of Aeromonas hydrophila: central composite design for optimization of process variables.

Biomass of Aeromonas hydrophila was successfully utilized for the removal of lead from aqueous solution. The effect of process variables such as pH, initial Pb(II) concentration, biomass dose and temperature on the uptake of lead were investigated using two level four factor (2(4)) full factorial central composite design with the help of MINITAB version 15 software. The predicted results thus obtained were found to be in good agreement (R(2)=98.6%) with the results obtained by performing experiments. The multiple regression analysis and analysis of variance (ANOVA) showed that the concentration has positive and temperature and biomass dose have negative whereas pH has curved relationship with the uptake of Pb(II). The maximum uptake of Pb(II) predicted by optimization plots was 122.18 mg/g at 20 degrees C, initial Pb(II) concentration of 259 mg/L, pH 5.0, temperature 20 degrees C and biomass dose 1.0 g. Langmuir isotherm model was applicable to sorption data and sorption capacity was found to be 163.3mg/g at 30 degrees C, pH 5.0 and Pb(II) concentration range 51.8-259 mg/L indicate that the biosorbent was better in comparison of the biosorbent reported in the literature. Dubinin-Radushkevich (D-R) isotherm model was also applied and it was found that sorption was chemisorption (E=12.98 kJ/mol). FT-IR studies indicate the involvement of various functional groups present on biomass surface in the sorption of Pb(II).

Biosorption of Cr(VI) from aqueous solution using A. hydrophila in up-flow column: optimization of process variables.

In the present study, continuous up-flow fixed-bed column study was carried out using immobilized dead biomass of Aeromonas hydrophila for the removal of Cr(VI) from aqueous solution. Different polymeric matrices were used to immobilized biomass and polysulfone-immobilized biomass has shown to give maximum removal. The sorption capacity of immobilized biomass for the removal of Cr(VI) evaluating the breakthrough curves obtained at different flow rate and bed height. A maximum of 78.58% Cr(VI) removal was obtained at bed height of 19 cm and flow rate of 2 mL/min. Bed depth service time model provides a good description of experimental results with high correlation coefficient (> 0.996). An attempt has been made to investigate the individual as well as cumulative effect of the process variables and to optimize the process conditions for the maximum removal of chromium from water by two-level two-factor full-factorial central composite design with the help of Minitab version 15 statistical software. The predicted results are having a good agreement (R (2) = 98.19%) with the result obtained. Sorption-desorption studies revealed that polysulfone-immobilized biomass could be reused up to 11 cycles and bed was completely exhausted after 28 cycles.

Biosorption of arsenic from aqueous solution using agricultural residue 'rice polish'.

'Rice polish' (an agricultural residue) was utilized successfully for the removal of arsenic from aqueous solution. Various parameters viz. pH, biosorbent dosage, initial metal ion concentration and temperature were studied. Langmuir, Freundlich and Dubinin-Radushkevich (D-R) isotherm models were used and the system followed all three isotherms, showing sorption to be monolayer on the heterogeneous surface of the biosorbent. The maximum sorption capacity calculated using Langmuir model was 138.88 microg/g for As(III) at 20 degrees C and pH 7.0 and 147.05 microg/g at 20 degrees C and pH 4.0 for As(V). The mean sorption energy (E) calculated from D-R model indicated chemisorption nature of sorption. Study of thermodynamic parameters revealed the exothermic, spontaneous and feasible nature of sorption process in case of both As(III) and As(V). The pseudo-second-order rate equation described better the kinetics of arsenic sorption with good correlation coefficients than pseudo-first-order equation. Mass transfer, intraparticle diffusion, richenberg and elovich models were applied to the data and it was found that initially the sorption of arsenic was governed by film diffusion followed by intraparticle diffusion. Rice polish was found to be efficient in removing arsenic from aqueous solution as compared to other biosorbents already used for the removal of arsenic.

Biosorption of Cr(VI) from water using biomass of Aeromonas hydrophila: central composite design for optimization of process variables.

The potential use of biomass of Aeromonas hydrophila for biosorption of chromium from aqueous solution was investigated. The variables (pH, initial Cr(VI) concentration, biomass dose, and temperature) affecting process were optimized by performing minimum number of experimental runs with the help of central composite design. The results predicted by design were found to be in good agreement (R2 = 99.1%) with those obtained by performing experiments. Multiple regression analysis shows that uptake decreases with increase in pH and biomass dose, whereas it increases with increase in temperature and concentration. The maximum removal of Cr(VI) predicted by contour and optimization plots was 184.943 mg/g at pH 1.5, initial Cr(VI) concentration 311.97 mg/L, temperature 60 degrees C, and biomass dose 1.0 g. The removal of Cr(VI) was governed by adsorption of Cr(VI) as well as its reduction into Cr(III), which further gets adsorbed. The sorption capacity of biomass was calculated from experimental data using Langmuir sorption model and was found to be 151.50 mg/g at 40 degrees C and pH 1.5, which is comparable to other biosorbents. In addition to this, Dubinin-Radushkevich model was applied, and it was found that nature of sorption was chemisorption.

Function, expression, and characterization of the serotonin transporter in the native human intestine.

The enteric serotonin transporter (SERT) plays a critical role in modulating serotonin availability and thus has been implicated in the pathogenesis of various intestinal disorders. To date, SERT expression and function in the human intestine have not been investigated. Current studies were designed to characterize the function, expression, distribution, and membrane localization of SERT in the native human intestine. Real-time PCR studies showed relatively higher SERT mRNA expression in the human small intestine compared with colon (ileum >> duodenum >> jejunum). Northern blot analysis revealed three mRNA hybridizing species encoding SERT (3.0, 4.9, and 6.8 kb) in the human ileum. Consistent with SERT mRNA expression, SERT immunostaining was mainly detected in the epithelial cells of human duodenal and ileal resected tissues. Notably, SERT expression was localized predominantly to the apical and intracellular compartments and was distributed throughout the crypt-villus axis. Immunoblotting studies detected a prominent protein band ( approximately 70 kDa) in the ileal apical plasma membrane vesicles (AMVs) isolated from mucosa obtained from organ-donor intestine. Functional studies showed that uptake of [(3)H]serotonin (150 nM) in human ileal AMVs was 1) significantly increased in the presence of both Na(+) and Cl(-); 2) inhibited ( approximately 50%) by the neuronal SERT inhibitor, fluoxetine (10 microM) and by unlabeled 5-HT; and 3) exhibited saturation kinetics indicating the presence of a carrier-mediated process. Our studies demonstrated differential expression of SERT across various regions of the human intestine and provide evidence for the existence of a functional SERT capable of removing intraluminal serotonin in human ileal epithelial cells.

Removal of Cr(VI) from aqueous solutions using agricultural waste 'maize bran'.

Novel biosorbent 'maize bran' has been successfully utilized for the removal of Cr(VI) from aqueous solution. The effect of different parameters such as contact time, sorbate concentration, pH of the medium and temperature were investigated and maximum uptake of Cr(VI) was 312.52 (mgg(-1)) at pH 2.0, initial Cr(VI) concentration of 200mgL(-1) and temperature of 40 degrees C. Effect of pH showed that maize bran was not only removing Cr(VI) from aqueous solution but also reducing toxic Cr(VI) into less toxic Cr(III). The sorption kinetics was tested with first order reversible, pseudo-first order and pseudo-second order reaction and it was found that Cr(VI) uptake process followed the pseudo-second order rate expression. Mass transfer of Cr(VI) from bulk to the solid phase (maize bran) was studied at different temperatures. Different thermodynamic parameters, viz., DeltaG degrees , DeltaH degrees and DeltaS degrees have also been evaluated and it has been found that the sorption was feasible, spontaneous and endothermic in nature. The Langmuir and Freundlich equations for describing sorption equilibrium were applied and it was found that the process was well described by Langmuir isotherm. Desorption studies was also carried out and found that complete desorption of Cr(VI) took place at pH of 9.5.

Staphylococcus lugdunensis endocarditis following lower extremity revascularization.

We describe a fatal case of Staphylococcus lugdunensis aortic valve endocarditis that was diagnosed in a 75-year-old man approximately 6 months following a lower extremity by-pass surgery. A relatively indolent clinical course in the early phase following the suspicious exposure may have contributed to a delay in the diagnosis. At the time of presentation the patient had evidence of rapidly progressive congestive heart failure with anasarca, dyspnea and low grade fevers. Blood cultures were positive for coagulase-negative staphylococci and a transthoracic echocardiogram was not clearly suggestive of infective endocarditis. Despite intense medical treatment the patient expired on day four of hospitalization. On post-mortem examination, multiple vegetations were observed on the aortic valve and culture identification showed S. lugdunensis. Early detection of coagulase-negative bacteremia from multiple blood culture samples in this clinical setting is critical and should give rise to a suspicion of this rare but often fatal form of infective endocarditis. Besides appropriate antibiotic treatment, early surgical referral for valve replacement should be considered since it appears to be the only treatment positively affecting survival. Finally, further studies are needed to establish the efficacy of antibiotic prophylaxis in patients undergoing angiograms with a femoral approach.

Sorption of cadmium and zinc from aqueous solutions by water hyacinth (Eichchornia crassipes).

The water hyacinth (Eichchornia crassipes) has been successfully utilized for the removal of Zn(II) and Cd(II) as well as their admixture from samples of aqueous solutions. The growth of the plant after 16 days of exposure to the metal ions showed an increasing trend up to 2.5 ppm of Cd(II) and 6.0 ppm of Zn(II) concentrations, however, the growth became nondetectable or inhibited above these concentrations. The overall metal uptake by the plant was dependent upon the concentration of the metal and the duration of the exposure time. The metal uptake from a mixture of Cd(II) and Zn(II) was reflected by a rate constant quite different from those solutions containing only one metal ion. An analysis of metal in roots and tops of the plants showed that more Zn(II) was accumulated in the root when compared to Cd(II). However, the accumulation factor for the tops and the roots for Cd(II) and Zn(II) was higher than those obtained admixture of Zn(II) and Cd(II). The rate of metal mobility in the root was slower than that in the top of the plant for Zn(II) and Cd(II). A water hyacinth based system can be used to remove Cd(II) and Zn(II) from water/wastewater.

Fracture of the anterior iliac crest following autogenous bone grafting.

Anterior iliac crest is the most common donor site for anterior cervical spine surgeries. We searched the literature to summarize the reported fractures of the anterior iliac crest following bone graft harvesting for anterior cervical fusion and documented our experience with such complication. In this account, we report 3 new patients with this rare complication of fracture of the anterior iliac crest following bone graft for anterior cervical fusion. The dual energy x-ray absorptiometry scan was performed in all our patients to assess bone mineral density and all patients had osteoporosis. Non-operative treatment was the method of treatment in our patients. A better understanding of surgical technique and complications of iliac crest bone grafting is important to minimize graft site morbidity, and even more important is identification of risk factors that are involved in fracture of the iliac crest.