Developing theragnostics for Alzheimer's disease: Insights from cancer treatment.

The prevalence of Alzheimer's disease (AD) and its associated economic and societal burdens are on the rise, but there are no curative treatments for AD. Interestingly, this neurodegenerative disease shares several biological and pathophysiological features with cancer, including cell-cycle dysregulation, angiogenesis, mitochondrial dysfunction, protein misfolding, and DNA damage. However, the genetic factors contributing to the overlap in biological processes between cancer and AD have not been actively studied. In this review, we discuss the shared biological features of cancer and AD, the molecular targets of anticancer drugs, and therapeutic approaches. First, we outline the common biological features of cancer and AD. Second, we describe several anticancer drugs, their molecular targets, and their effects on AD pathology. Finally, we discuss how protein-protein interactions (PPIs), receptor inhibition, immunotherapy, and gene therapy can be exploited for the cure and management of both cancer and AD. Collectively, this review provides insights for the development of AD theragnostics based on cancer drugs and molecular targets.

Design of a Novel Sericite-Phosphoric Acid Framework for Enhancement of Pb(II) Adsorption.

In this study, phosphoric acid was used to attach anions to the weak interlayer structure of sericite, one of the clay minerals composed of a tetrahedral structure of silicate, to increase the adsorption capacity of cations. Natural sericite beads (NSB) and activated sericite beads with phosphoric acid (PSB) were prepared as beads in order to increase reusability and facilitate the separation of adsorbates and adsorbents. Using this, lead (Pb(II)) removal efficiency from an aqueous solution was comparatively analyzed. The pHpzc was 6.43 in NSB but lowered to 3.96 in PSB, confirming that more acidic functional groups were attached to the PSB surface. According to FT-IR analysis, P=O, P-O-C, P=OOH and P-O-P bonds appeared on the surface of the PSB adsorbent, and the peaks of carboxyl groups and OH-groups were large and broad. The maximum adsorption capacity of Langmuir was 52.08 mg/g for NSB and 163.93 mg/g for PSB. The adsorption process was close to physical adsorption for NSB and chemical adsorption for PSB, and both adsorbents were endothermic reactions in nature in that the higher the temperature, the higher the adsorption efficiency. The adsorption mechanism of Pb(II) to PSB was achieved by ion exchange, electrostatic interaction, hydrogen bonding, and complexation. The adsorption of Pb(II) using PSB was not significantly affected by the adsorption of competing ions and showed a high adsorption efficiency of 94% in reuse up to 6 times. This confirms the favorable feasibility of removing Pb(II) from industrial wastewater using PSB.

EGFR is a potential dual molecular target for cancer and Alzheimer's disease.

Many researchers are attempting to identify drugs that can be repurposed as effective therapies for Alzheimer's disease (AD). Several recent studies have highlighted epidermal growth factor receptor (EGFR) inhibitors approved for use as anti-cancer drugs as potential candidates for repurposing as AD therapeutics. In cancer, EGFR inhibitors target cell proliferation and angiogenesis, and studies in AD mouse models have shown that EGFR inhibitors can attenuate amyloid-beta (Aß) pathology and improve cognitive function. In this review, we discuss the different functions of EGFR in cancer and AD and the potential of EGFR as a dual molecular target for AD diseases. In addition, we describe the effects of anti-cancer EGFR tyrosine kinase inhibitors (TKIs) on AD pathology and their prospects as therapeutic interventions for AD. By summarizing the physiological functions of EGFR in cancer and AD, this review emphasizes the significance of EGFR as an important molecular target for these diseases.

Fe12LaO19 fabricated biochar for removal of phosphorus in water and exploration of its adsorption mechanism.

Phosphorus (P) runoff from untreated wastewater and agricultural runoff has become an issue of concern because excessive P is detrimental to the health of water bodies and aquatic organisms such as fishes. Hence, different methods are being developed to salvage this challenge. However, most of the methods are expensive, while some are unsustainable. In this study, a simple method was employed in fabricating an absorbent through the co-precipitation of iron and lanthanum on the matrix of biochar prepared from the spent coffee ground for P uptake. The adsorbent named Fe12LaO19@BC was able to attain equilibrium fast within 60 min when used to adsorb P with 98% P removal within the first 30 min Fe12LaO19@BC also maintained high P adsorption across a pH range of 3-7. In the presence of other anions (SO42-, CO32-, NO3-, Cl-, HCO3-) in the solution, Fe12LaO19@BC enabled 71.5-97.8% uptake of P. 81.58 mg P/g maximum adsorption capacity at was reached at 40 °C. The reusability test reveals that about 60% of P uptake was maintained after five adsorption cycles with almost an undisturbed desorption efficiency. The negative value of ΔG°, as shown by the thermodynamic analysis, indicates a favorable and spontaneous reaction during P removal by Fe12LaO19@BC. The XRD analysis showed a major peak corresponding to Fe12LaO19, which is believed to have facilitated the adsorption of P. The adsorption was controlled by multiple mechanisms. An overview of the study indicates Fe12LaO19@BC as a promising adsorbent for the removal of P in the water.

Assessment of sludge reduction and biogas production in two-step anaerobic co-digestion using sesame oil cake and sewage sludge.

The aim of this study was to investigate the sewage sludge reduction and biogas production using two-stage anaerobic co-digestion of sesame oil cake and sewage sludge. In the first stage (acidogenic fermentation), sesame oil cake (SOC) was acidogenic fermented to produce fermented sesame oil cake (FSOC). In the second step (anaerobic co-digestion), sewage sludge and FSOC were mixed in various ratios of (100:0 (R1), 70:30 (R2), 50:50 (R3), and 30:70 (R4)) and observed for 30 days at a mesophilization temperature of 35±2 °C. In the anaerobic co-digestion using FSOC as a co-feedstock, the volatile solids (VS) and total solids (TS) removal were in the range of 53.7-64.9 and 42.6-53.2% for R2 and R3, respectively. The highest cumulative biogas production (389.67 mL/g·VSin) and methane production (0.56 m3·CH4/kg·VS) was achieved with the R3. In addition, R3 had the shortest reaction delay time (λ), and stabilization of the process was the fastest of all samples. The co-digestion performance index (CPI) was determined to be 1.29, 1.39, and 1.10 for R2, R3, and R4, respectively. The highest value for R3 confirmed the highest synergistic effect. This suggests the possibility of biogas production using sesame oil cake.

Donepezil ameliorates Aß pathology but not tau pathology in 5xFAD mice.

The cholinesterase inhibitor donepezil is used to improve Aß pathology and cognitive function in patients with Alzheimer's disease (AD). However, the impact of donepezil on tau pathology is unclear. Thus, we examined the effects of donepezil on Aß and tau pathology in 5xFAD mice (a model of AD) in this study. We found that intraperitoneal injection of donepezil (1 mg/kg, i.p.) exhibited significant reductions in Aß plaque number in the cortex and hippocampal DG region. In addition, donepezil treatment (1 mg/kg, i.p.) reduced Aß-mediated microglial and, to a lesser extent, astrocytic activation in 5xFAD mice. However, neither intraperitoneal/oral injection of donepezil nor oral injection of rivastigmine altered tau phosphorylation at Thr212/Ser214 (AT100), Thr396, and Thr231 in 5xFAD mice. Surprisingly, we observed that intraperitoneal/oral injection of donepezil treatment significantly increased tau phosphorylation at Thr212 in 5xFAD mice. Taken together, these data suggest that intraperitoneal injection of donepezil suppresses Aß pathology but not tau pathology in 5xFAD mice.

Optimization of the extraction conditions of Nypa fruticans Wurmb. using response surface methodology and artificial neural network.

In this study, we conducted response surface methodology (RSM) and artificial neural network (ANN) to predict and estimate the optimized extraction condition of Nypa fruticans Wurmb. (NF). The effect of ethanol concentration (X1; 0-100%), extraction time (X2; 6-24 h), and extraction temperature (X3; 40-60 °C) on the antioxidant potential was confirmed. The optimal conditions (57.6% ethanol, 19.0 h extraction time, and 51.3 °C extraction temperature) of 2,2-diphenyl-1-1picrylhydrazyl (DPPH) scavenging activity, cupric reducing antioxidant capacity (CUPRAC) and ferric reducing antioxidant power (FRAP), total phenolic content (TPC), and total flavonoid contents (TFC) resulted in a maximum value of 62.5%, 41.95 and 48.39 µM, 143.6 mg GAE/g, and 166.8 CAE/g, respectively. High-resolution mass spectroscopic technique was performed to profile phenolic and flavonoid compounds. Upon analyzing, total 48 compounds were identified in NF. Altogether, our findings can provide a practical approach for utilizing NF in various bioindustries.

High Resolution Mass Spectroscopy-Based Secondary Metabolite Profiling of Nymphaea nouchali (Burm. f) Stem Attenuates Oxidative Stress via Regulation of MAPK/Nrf2/HO-1/ROS Pathway.

The secondary metabolites profiling of Nymphaea nouchali stem (NNSE) extract was carried out using a high-resolution mass spectroscopic technique. The antioxidant effects of NNSE, as well as the underlying mechanisms, were also investigated in tert-butyl hydroperoxide (t-BHP)-stimulated oxidative stress in RAW264.7 cells. Tandem mass spectroscopy with (-) negative mode tentatively revealed the presence of 54 secondary metabolites in NNSE. Among them, phenolic acids and flavonoids were predominant. Phenolic acids (brevifolincarboxylic acid, p-coumaroyltartaric acid, niazinin B, lalioside, 3-feruloylquinic acid, and gallic acid-O-rutinoside), flavonoids (elephantorrhizol, apigenin-6-C-galactoside 8-C-arabinoside, and vicenin-2), sialic acid (2-deoxy-2,3-dehydro-N-acetylneuraminic acid), and terpenoid (α-γ-onoceradienedione) were identified in NNSE for the first time. Unbridled reactive oxygen species/nitrogen species (ROS/RNS) and redox imbalances participate in the induction and development of many oxidative stress-linked diseases. The NNSE exhibited significant free radical scavenging capabilities and was also able to reduce t-BHP-induced cellular generation in RAW264.7 cells. The NNSE prevented oxidative stress by inducing the endogenous antioxidant system and the levels of heme oxygenase-1 (HO-1) by upregulating Nrf2 through the modulation of mitogen-activated protein kinases (MAPK), such as phosphorylated p38 and c-Jun N terminal kinase. Collectively, these results indicate that the NNSE exhibits potent effects in preventing oxidative stress-stimulated diseases and disorders through the modulation of the MAPK/Nrf2/HO-1 signaling pathway. Our findings provide new insights into the cytoprotective effects and mechanisms of Nymphaea nouchali stem extract against oxidative stress, which may be a useful remedy for oxidative stress-induced disorders.

Prunus mume Seed Exhibits Inhibitory Effect on Skin Senescence via SIRT1 and MMP-1 Regulation.

The Prunus mume seed is a by-product of the food industry, and we studied its potential as a food biomaterial, particularly for nutraceutical and inner beauty products. Alternative animal tests showed that an extract of P. mume ripened seed (PmRS) was not toxic on the skin. PmRS exhibited protective effects against ultraviolet- (UV-) induced skin aging in mice, confirmed by phenotypic indications, including increased collagen levels and decreased skin thickness. Compared with the UV-saline group, the UV-PmRS group showed increased levels of silent mating type information regulation 2 homolog 1 (SIRT1) and collagen and decreased matrix metalloproteinase- (MMP-) 1 expression. The protective effect of PmRS treatment against UVB-mediated cell viability was observed in vitro without any cytotoxicity, and PmRS prevented UVB-induced reactive oxygen species generation in HaCaT cells. PmRS downregulated MMP-1 and MMP-13 compared with the UVB-irradiated group. However, mRNA expressions of tissue inhibitor of metalloproteinase-1 and SIRT1 were upregulated by PmRS treatment. MMP-1 and SIRT1 treated with PmRS were decreased and increased, respectively, at the protein level. Moreover, PmRS treatment reduced c-Jun N-terminal kinase and p38 phosphorylation compared with the UVB-treated group. We postulate that P. mume seed could be a useful ingredient in nutraceuticals and inner beauty-purpose foods.

Lablab Purpureus Protects HaCaT Cells from Oxidative Stress-Induced Cell Death through Nrf2-Mediated Heme Oxygenase-1 Expression via the Activation of p38 and ERK1/2.

Ultraviolet B (UV-B) radiation induces the extreme production of either reactive oxygen species (ROS) or inflammatory mediators. The aim of this study was to evaluate the antioxidant activities of 70% ethanolic extract of Lablab purpureus (LPE) and the underlying mechanisms using HaCaT cells exposed to UV-B. High-performance liquid chromatography (HPLC) confirmed the presence of gallic acid, catechin, and epicatechin in LPE. LPE was shown to have a very potent capacity to scavenge free radicals. The results showed that LPE prevented DNA damage and inhibited the generation of ROS in HaCaT cells without causing any toxicity. LPE increased the expression of endogenous antioxidant enzymes such as superoxide dismutase-1 and catalase. Furthermore, LPE treatment facilitates the nuclear translocation of nuclear factor (erythroid-derived 2)-like 2 (Nrf-2), boosting the phase II detoxifying enzyme heme oxygenase-1 (HO-1) leading to the combatting of oxidative stress. However, pretreatment of LPE also caused the phosphorylation of mitogen-activated protein kinases (MAPK kinase) (p38 kinase) and extracellular signal-regulated kinase (ERK), whereas treatment with p38 and ERK inhibitors substantially suppressed LPE-induced Nrf2 and heme oxygenase (HO)-1 expression. These findings suggest that LPE exhibits antioxidant activity via Nrf-2-mediated HO-1 signaling through the activation of p38 and ERK, indicating that LPE can potentially be used as a remedy to combat oxidative stress-induced disorder.

Phytochemical Characterization of Dillenia indica L. Bark by Paper Spray Ionization-Mass Spectrometry and Evaluation of Its Antioxidant Potential Against t-BHP-Induced Oxidative Stress in RAW 264.7 Cells.

The antioxidant effects of the ethyl acetate fraction of Dillenia indica bark (DIBEt) and the underlying mechanisms were investigated in tert-butyl hydroperoxide (t-BHP)-stimulated oxidative stress in RAW 264.7 cells. Paper spray ionization-mass spectroscopy with positive-ion mode tentatively revealed 27 secondary metabolites in D. indica bark extract; predominant among them were alkaloids, phenolic acids, and flavonoids. A new triterpenoid (nutriacholic acid) was confirmed in DIBEt for the first time. DIBEt had strong free radical-scavenging capabilities and was also able to reduce t-BHP-induced cellular reactive oxygen species (ROS) generation in RAW 264.7 cells. DIBEt was found to prevent oxidative stress by boosting the levels of heme oxygenase-1 (HO-1) through the up-regulation of nuclear factor erythroid 2-related factor 2 (Nrf2) via the regulation of extracellular signal-regulated kinase (ERK) phosphorylation in RAW 264.7 cells. These results support the potential of DIBEt for defense against oxidative stress-stimulated diseases.

Protection against UVB-Induced Photoaging by Nypa fruticans via Inhibition of MAPK/AP-1/MMP-1 Signaling.

Ultraviolet B (UVB) irradiation is major causative factor in skin aging. The aim of the present study was to investigate the protective effect of a 50% ethanol extract from Nypa fruticans (NF50E) against UVB-induced skin aging. The results indicated that NF50E exerted potent antioxidant activity (IC50 = 17.55 ± 1.63 and 10.78 ± 0.63 µg/mL for DPPH and ABTS-radical scavenging activity, respectively) in a dose-dependent manner. High-performance liquid chromatography revealed that pengxianencin A, protocatechuic acid, catechin, chlorogenic acid, epicatechin, and kaempferol were components of the extract. In addition, the extract exhibited elastase inhibitory activity (IC50 = 17.96 ± 0.39 µg/mL). NF50E protected against UVB-induced HaCaT cell death and strongly suppressed UVB-stimulated cellular reactive oxygen species generation without cellular toxicity. Moreover, topical application of NF50E mitigated UVB-induced photoaging lesions including skin erythema and skin thickness in BALB/C mice. NF50E treatment inhibited UVB-induced collagen degradation as well as MMP-1 and IL-1ß expressions and significantly stimulated SIRT1 expression. Furthermore, the extract treatment markedly suppressed the activation of NF-κB and AP-1 (p-c-Jun) by deactivating the p38 and JNK proteins. Taken together, current data suggest that NF50E exhibits potent antioxidant potential and protection against photoaging by attenuating MMP-1 activity and collagen degradation possibly through the downregulation of MAPK/NF-κB/AP-1 signaling and SIRT1 activation.

Acid-fermented fish by-products broth: An influence to sludge reduction and biogas production in an anaerobic co-digestion.

This study investigates the effects of anaerobic co-digestion of a fishery by-products broth (FFB) mixed with sewage sludge on biogas production and sludge reduction. A 5:5 mixing ratio of sewage sludge and FFB generated the highest removal efficiency of volatile solids (VS) (51.3%), total solids (TS) (48.7%) and chemical oxygen demand (COD) (51.3%). In addition, the highest biogas production (0.585 L/g·VSin·d) was also achieved with a mixing ratio of 5:5, followed 0.305 L/g·VSin·d for 7:3. The methane content in produced biogas was associated more than 70% with ratios of 7:3 and 5:5. Moreover, the 5:5 ratio produced the greatest amount of the energy recovered at 4.1 kWh, followed by the 7:3 mixing ratio at 3.4 kWh. Therefore, the mixing ratio from 7:3 to 5:5 for anaerobic co-digestion of sewage sludge and FFB may be suitable for biogas production and organic matter removal. However, a 5:5 mixing ratio is recommended for anaerobic digestion of sewage sludge and FFB because it has the highest digestion efficiency, can treat larger quantities of fish by-products, and can recover the most energy. Biogas produced by mixing FFB with sewage sludge opens up the possibility of biogas production using organic waste because of the higher methane content.

Use of hybrid microcapsules, chitosan-methyl esterified sericite-tannin, for the removal of harmful lake algae and nutrient.

This paper outlines the development of a novel, low-cost, hybrid material from chitosan-methyl esterified sericite-tannin. The adsorbent material is then successfully utilized for the efficient removal of lake nutrients and harmful algae. In a FT-IR analysis, peaks related to -OH stretching, carbonyl and carboxylic groups, and CH stretching were newly created or expanded, and microcapsules were found to facilitate the removal of harmful algae and nutrients. The hybrid microcapsules obtained high removal efficiencies of 98% TN, 98% TP, and 99% Chl-a from the lake water by a quantity of hybrid microcapsules of 1 g/L, pH (7-8), and 30 min contact time at (25-30)°C. In addition, the experimental data were applied to various harmful algae growth models and were most suitable for the Heldane model. Based on the above results, microcapsules can be applied in the field, and can be expected to rapidly remove nutrients and harmful algae.

Assessment of the adsorption kinetics, equilibrium and thermodynamic for Pb(II) removal using a hybrid adsorbent, eggshell and sericite, in aqueous solution.

Hybrid adsorbents (ES) were prepared with mixing of eggshell and sericite as binders, and Pb(II) was removed from aqueous solutions. Sericite has the advantage of not only serving as a binder for hybrid adsorbent but also having a negative charge on the surface to improve the removal efficiency of heavy metals. Various parameters affecting the removal of Pb(II) from aqueous solutions were investigated using the optimal conditions derived. In addition, adsorption kinetics, adsorption isotherms and thermodynamic analyses were performed using the experimental results of each parameter. The ES had a more specific surface area and porosity than sericite or eggshell and contained a large number of OH groups favoring heavy metal adsorption. As a result of the adsorption of Pb(II) using the ES, the adsorption process was physical and suitable for the Freundlich isotherm. In addition, the adsorption process of Pb(II) by the ES was a spontaneous endothermic reaction. The ES can quickly reach the adsorption equilibrium and strong adsorption strength. In addition, the CaOH contained in the ES can neutralize the pH of wastewater, and it is possible to treat heavy metal ions in industrial wastewater and acid mine wastewater without controlling the pH. ES adsorbents using waste eggshells are very economic because they recycle what would otherwise be waste and have great significance in terms of resource reuse.

Ventricular Septal Defect Closure in a Neonate with Osteogenesis Imperfecta.

A male patient weighing 2.5 kg was admitted for respiratory difficulty, and a large ventricular septal defect (VSD) was diagnosed. During care, sudden right leg swelling with a femur shaft fracture occurred. The patient's father had a history of recurrent lower extremity fractures; thus, osteogenesis imperfecta was considered. The patient's respiratory difficulty became aggravated, and VSD repair in the neonatal period was therefore performed with gentle sternal traction and great vessel manipulation under total intravenous anesthesia to prevent malignant hyperthermia. The patient was discharged without notable problems, except minor wound dehiscence. Outpatient genetic testing revealed that the patient had a COL1A1/COL1A2 mutation.

Assessment of the adsorption kinetics, equilibrium, and thermodynamic for Pb(II) removal using a low-cost hybrid biowaste adsorbent, eggshell/coffee ground/sericite.

A hybrid adsorbent (CES), coffee grounds, eggshell powder and sericite as a binder, was prepared to remove Pb(II) from aqueous solution. The Fourier-transform infrared spectroscopy analysis showed that the CES contained a large amount of OH groups and had a favorable structure for adsorbing heavy metals. The value of pHpzc of CES was estimated at 7.08. In the neutral pH region, the surface of CES is negatively charged and favorable for adsorption of Pb(II). The maximum Langmuir adsorption amount was 155.67 mg/g, and the adsorption process of Pb(II) using CES fitted pseudo-second-order kinetic model and Langmuir isotherm model. Moreover, the analysis of adsorption energy, free energy, enthalpy, and entropy found that the adsorption of Pb(II) onto CES was physical and a spontaneous exothermic reaction. CES is a hybrid adsorbent using general municipal waste and has great advantages in terms of environmental conservation and sustainable environmental circulation. This allows it to compete with other adsorbents. PRACTITIONER POINTS: A hybrid adsorbent, coffee grounds, eggshell, and sericite (CES), was used to remove Pb(II) Adsorption of Pb(II) using CES in an aqueous solution was physical rather than chemical CES contained a large amount of OH groups and had a favorable structure for adsorbing heavy metals The reactivity and strength of the adsorption of Pb(II) onto CES was very good CES has great advantages in terms of environmental conservation and sustainable environmental circulation.

Application of hybrid bead, persimmon leaf and chitosan for the treatment of aqueous solution contaminated with toxic heavy metal ions.

In this study, hybrid beads, which are made by mixing persimmon leaf and chitosan, was used to remove Pb(II) and Cd(II) from aqueous solution. According to the Fourier transform infrared spectrometry (FT-IR) analysis, the hybrid bead has a structure that enables the easy adsorption of heavy metals because it has carboxylic, carbonyl groups, O-H carboxylic acid, and bonded -OH groups. The adsorption of Pb(II) and Cd(II) by hybrid beads was more suitable with the Langmuir isothermal adsorption and showed an ion exchange reaction which occurred in the uneven adsorption surface layer. The maximum adsorption capacity of Pb(II) and Cd(II) was determined to be 278.68 mg/g and 87.91 mg/g, respectively. Furthermore, the adsorption removal process of Pb(II) and Cd(II) using hybrid beads is a spontaneous exothermic reaction and the affinity of the adsorbed material for the adsorbent is excellent. Hybrid beads are inexpensive, have a high removal efficiency of heavy metals, and are environmentally friendly.

Cytotoxic properties of the anthraquinone derivatives isolated from the roots of Rubia philippinensis.

BACKGROUND: Cancer is one of the most frequently occurring diseases and is the second leading cause of death worldwide. In this study, anthraquinone derivatives (Compounds 1-5) were evaluated for their anti-cancer potential against various skin and breast cancer cell lines to assess whether these anthraquinone derivatives may serve as a lead for the augmentation of anti-cancer drug. METHODS: Anthraquinone derivatives, 2-methyl-1,3,6-trihydroxy-9,10-anthraquinone-3-O-(6'-O-acetyl)-α-rhamnosyl(1 → 2)-ß-glucoside (Comp 1), 2-methyl-1,3,6-trihydroxy-9,10-anthraquinone (Comp 2), and alizarin (Comp 3) were isolated from the dichloromethane fraction of the roots of Rubia philippinensis., whereas ethyl acetate fraction yielded xanthopurpurin (Comp 4) and lucidin-ω-methyl ether (Comp 5). Structures of all the isolated compounds were determined by spectral data analysis. All isolated compounds (Comp 1-5) were assessed for cytotoxicity by the 3-(4,5-dimethylthiazol-2-yl)-2,5-diphenyltetrazolium bromide (MTT) assay against four different cancer cell lines, i.e. human melanoma (SK-MEL-5), murine melanoma (B16F10), and human breast adenocarcinoma (MCF7 and MDA-MB-231). RESULTS: Significant activity of the compounds 4 and 5 was observed against the breast cancer cell line MDA-MB-231 with IC50 values of 14.65 ± 1.45 and 13.03 ± 0.33 µM, respectively. Encouragingly, IC50 values of 67.89 ± 1.02 and 79.01 ± 0.03 µM against normal kidney epithelial cells (MDCK) were also obtained for compounds 4 and 5, respectively, which indicated very low toxicity and favorable selectivity indices for compounds 4 and 5 in the range of 1.85 to 3.95 and 2.11 to 6.06 against skin cancer cell lines (SK-MEL-5, and B16F10), and breast cancer cell lines (MCF7 and MDA-MB-231), respectively. CONCLUSION: Our results suggested that the compounds 4 (xanthopurpurin) and 5 (lucidin-ω-methyl ether) showed high selective toxicity towards breast cancer cells at lower concentrations without showing toxicity towards normal cells, thus could be of potential as new lead molecules in cancer treatment.

Effectiveness of group cognitive behavioral therapy with mindfulness in end-stage renal disease hemodialysis patients.

BACKGROUND: Many patients with end-stage renal disease (ESRD) undergoing hemodialysis (HD) experience depression. Depression influences patient quality of life (QOL), dialysis compliance, and medical comorbidity. We developed and applied a group cognitive behavioral therapy (CBT) program including mindfulness meditation for ESRD patients undergoing HD, and measured changes in QOL, mood, anxiety, perceived stress, and biochemical markers. METHODS: We conducted group CBT over a 12-week period with seven ESRD patients undergoing HD and suffering from depression. QOL, mood, anxiety, and perceived stress were measured at baseline and at weeks 8 and 12 using the World Health Organization Quality of Life scale, abbreviated version (WHOQOL-BREF), the Beck Depression Inventory II (BDI-II), the Hamilton Rating Scale for Depression (HAM-D), the Beck Anxiety Inventory (BAI), and the Perceived Stress Scale (PSS). Biochemical markers were measured at baseline and after 12 weeks. The Temperament and Character Inventory was performed to assess patient characteristics before starting group CBT. RESULTS: The seven patients showed significant improvement in QOL, mood, anxiety, and perceived stress after 12 weeks of group CBT. WHOQOL-BREF and the self-rating scales, BDI-II and BAI, showed continuous improvement across the 12-week period. HAM-D scores showed significant improvement by week 8; PSS showed significant improvement after week 8. Serum creatinine levels also improved significantly following the 12 week period. CONCLUSION: In this pilot study, a CBT program which included mindfulness meditation enhanced overall mental health and biochemical marker levels in ESRD patients undergoing HD.