Clinical outcomes of a dedicated bifurcation stent system.

INTRODUCTION: Percutaneous coronary intervention (PCI) of bifurcation lesions is technically challenging and associated with higher rates of complications such as stent thrombosis or in-stent restenosis. In this paper, we present the clinical outcomes of BiOSS LIM C (Balton, Poland), a dedicated bifurcation stent. METHODS: In this retrospective single-center study we analyzed the outcome of patients with bifurcation coronary artery disease treated with the BiOSS LIM C stent system. The primary endpoint was the cumulative rate of major adverse cardiac events (MACE) including cardiac death, myocardial infarction (MI) and target lesion revascularisation (TLR) at the longest available follow-up. RESULTS: The study population consisted of 25 patients (mean age 73.6 ± 9.7 years, 25 % females). In 80 % of the cases (n = 20) BiOSS LIM C stent was implanted in the left main coronary artery. Intravascular imaging was used in 70 % of the cases and an additional regular drug-eluting stent (DES) was deployed in the side branch in 24 % of the cases. The device success rate was 100 % and we observed no in-hospital adverse events. At a median follow-up of 15 ± 6 months, the MACE rate was 56 %, cardiac death was 4 %, and clinically driven TLR was 55 %. One patient died in the LM subgroup, 5 months after the index PCI, due to NSTEMI complicated by cardiogenic shock. Two patients died due to non-cardiac causes. CONCLUSIONS: In this consecutive series of patients treated with BiOSS LIM C in major coronary bifurcation lesions, mostly in the left main stem, the mid-term clinical outcomes demonstrated a high incidence of major adverse events, mainly caused by TLR, despite an adequate implantation technique.

Green Synthesis of Zinc Oxide Nanoparticles Using Viscum album Extracts: Unveiling Bioactive Compounds, Antibacterial Potential, and Antioxidant Activities.

The current study explored the antioxidant and antibacterial capabilities of zinc oxide nanoparticles (ZnONPs) synthetized using methanolic leaf extracts of the medicinal herb Viscum album. Through TEM investigation and UV-Vis analysis, which peaked at 406 nm, the synthesis of ZnONPs was verified. TEM analyses showed that the synthesized ZnONPs had a size distribution with an average of 13.5 nm and a quasi-spherical shape. Forty-four phytoconstituents were found in the methanolic leaf extracts of V. album. Additionally, a comparison of the antibacterial effectiveness and antioxidant capacity of aqueous and methanolic extracts of wild-grown V. album phytomedicine and green-manufactured ZnONPs was conducted. The green-generated ZnONPs were examined against Escherichia coli, Staphylococcus aureus, and Pseudomonas aeruginosa and shown to have superior antibacterial activity by 22%, 66%, and 44%, respectively, as compared to wild herbal medicinal extracts. Since the ZnONPs' aqueous extracts had higher concentrations of DNA gyrase-B inhibitory components, they were shown to be more effective in limiting bacterial growth. In contrast to the percentages of 49% and 57% for a wild plant extract, the aqueous- and methanolic-extract-mediated green ZnONPs, with a 100 g/mL concentration, showed 94% and 98% scavenging capacity for DPPH free radicals, respectively. However, methanolic extracts were more effective than aqueous extracts in terms of the antioxidant analyses. This study establishes that greenly produced ZnONPs have the potential to be used in nanomedicine to treat bacteria that are resistant to a variety of drugs, as well as those with reactive oxygen species toxicity.

Synergistic Influence of Yeast Extract and Calcium Oxide Nanoparticles on the Synthesis of Bioactive Antioxidants and Metabolites in Swertia chirata In Vitro Callus Cultures.

The challenges in the production of metabolites of medicinal potential from wild plants include low yields, slow growth rates, seasonal variations, genetic variability and regulatory as well as ethical constraints. Overcoming these challenges is of paramount significance and interdisciplinary approaches and innovative strategies are prevalently applied to optimize phytoconstituents' production, enhance yield, biomass, ensure sustainable consistency and scalability. In this study, we investigated the effects of elicitation with yeast extract and calcium oxide nanoparticles (CaONPs) on in vitro cultures of Swertia chirata (Roxb. ex Fleming) Karsten. Specifically, we examined the effects of different concentrations of CaONPs in combination with different concentrations of yeast extract on various parameters related to callus growth, antioxidant activity, biomass and phytochemical contents. Our results showed that elicitation with yeast extract and CaONPs had significant effects on the growth and characteristics of callus cultures of S. chirata. The treatments involving yeast extract and CaONPs were found to be the most effective in increasing the contents of total flavonoid contents (TFC), total phenolic contents (TPC), amarogentin and mangiferin. These treatments also led to an improvement in the contents of total anthocyanin and alpha tocopherols. Additionally, the DPPH scavenging activity was significantly increased in the treated samples. Furthermore, the treatments involving elicitation with yeast extract and CaONPs also led to significant improvements in callus growth and characteristics. These treatments promoted callus response from an average to an excellent level and improved the color and nature of the callus from yellow to yellow-brown and greenish and from fragile to compact, respectively. The best response was observed in treatments involving 0.20 g/L yeast extract and 90 ug/L CaONPs. Overall, our findings suggest that elicitation with yeast extract and CaONPs can be a useful strategy for promoting the growth, biomass, phytochemical contents and antioxidant activity of callus cultures of S. chirata in comparison to wild plant herbal drug samples.

Seed Nano-Priming with Calcium Oxide Maintains the Redox State by Boosting the Antioxidant Defense System in Water-Stressed Carom (Trachyspermum ammi L.) Plants to Confer Drought Tolerance.

This paper explores the potential of nano seed priming with calcium oxide nanoparticles in maintaining the redox status in carom (Trachyspermum ammi L.) plants by modulating non-enzymatic antioxidants and enzymatic antioxidants. Calcium oxide nanoparticles were prepared in four testing regimes comprising 25, 50, 75, and 100 ppm along with the control treatment of 0 ppm (distilled water). Priming was performed by soaking the carom seeds in the aerated water, and plants were grown under split plots corresponding to drought and water. Seed priming with 75 ppm CaONPs reduced hydrogen peroxide, malondialdehyde contents and electrolyte leakage by 23.3%, 35.9% and 31.6%, respectively, in the water-stressed carom plants. The glutathione s-transferase, superoxide dismutase and peroxidase functions improved under water stress by 42.3%, 24.1% and 44.8%, respectively, in the carom plants raised through 100 ppm primed seeds with CaO_NPs. Priming induced better Ca2+ signaling, which affected the enzymes of the ascorbate glutathione cycle, enabling them to maintain redox status in the carom plants exposed to drought stress. The morpho-agronomic traits of carom plants in terms of number of umbels, hundred seeds weights, shoot and root length and biomass improved significantly upon seed priming treatments. Seed priming with CaO_NPs is a viable strategy to combat reactive oxygen species-mediated damages in the carom plants.

Seed Priming with the Selenium Nanoparticles Maintains the Redox Status in the Water Stressed Tomato Plants by Modulating the Antioxidant Defense Enzymes.

In the present research, selenium nanoparticles (SeNPs) were tested for their use as seed priming agents under field trials on tomatoes (Solanum lycopersicum L.) for their efficacy in conferring drought tolerance. Four different seed priming regimes of SeNPs were created, comprising 25, 50, 75, and 100 ppm, along with a control treatment of 0 ppm. Seeds were planted in split plots under two irrigation regimes comprising water and water stress. The results suggest that seed priming with SeNPs can improve tomato crop performance under drought stress. Plants grown with 75 ppm SeNPs-primed seeds had lower hydrogen peroxide (H2O2) and malondialdehyde (MDA) levels by 39.3% and 28.9%, respectively. Seed priming with 75 ppm SeNPs further increased the superoxide dismutase (SOD) and catalase (CAT) functions by 34.9 and 25.4%, respectively. The same treatment increased the total carotenoids content by 13.5%, α-tocopherols content by 22.8%, total flavonoids content by 25.2%, total anthocyanins content by 19.6%, ascorbic acid content by 26.4%, reduced glutathione (GSH) content by 14.8%, and oxidized glutathione (GSSG) content by 13.12%. Furthermore, seed priming with SeNPs upregulated the functions of enzymes of ascorbate glutathione cycle. Seed priming with SeNPs is a smart application to sustain tomato production in arid lands.

Synergistic application of calcium oxide nanoparticles and farmyard manure induces cadmium tolerance in mung bean (Vigna radiata L.) by influencing physiological and biochemical parameters.

Mung bean (Vigna radiata L.) grown under heavy metals such as cadmium stress shows poor growth patterns and yield attributes which can be extenuated by the application of calcium and organic manure to the contaminated soil. The present study was designed to decipher the calcium oxide nanoparticles and farmyard manure-induced Cd stress tolerance through improvement in physiological and biochemical attributes of mung bean plants. A pot experiment was conducted by defining appropriate positive and negative controls under differential soil treatments with farmyard manure (1% and 2%) and calcium oxide nanoparticles (0, 5, 10, and 20 mg/L). Root treatment of 20 mg/L calcium oxide nanoparticles (CaONPs) and 2% farmyard manure (FM) reduced the cadmium acquisition from the soil and improved growth in terms of plant height by 27.4% compared to positive control under Cd stress. The same treatment improved shoot vitamin C (ascorbic acid) contents by 35% and functioning of antioxidant enzymes catalase and phenyl ammonia lyase by 16% and 51%, respectively and the levels of malondialdehyde and hydrogen peroxide decreased by 57% and 42%, respectively with the application of 20 mg/L CaONPs and 2% of FM. The gas exchange parameters such as stomata conductance and leaf net transpiration rate were improved due to FM mediated better availability of water. The FM improved soil nutrient contents and friendly biota culminating in good yields. Overall, 2% FM and 20 mg/L CaONPs proved as the best treatment to reduce cadmium toxicity. The growth, yield, and crop performance in terms of physiological and biochemical attributes can be improved by the application of CaONPs and FM under the heavy metal stress.

Efficacy of Zn-Aspartate in comparison with ZnSO4 and L-Aspartate in amelioration of drought stress in maize by modulating antioxidant defence; osmolyte accumulation and photosynthetic attributes.

Human population is exceeding beyond the carrying capacity of earth resources and stresses like water shortage faced by the plants is jeopardizing the food security. Current research study was aimed to investigate the potentials of Zn-Aspartate (Zn-Asp), Zn-Sulphate (ZnSO4) and L-Aspartate (L-Asp) to be used as osmolytes and role of various levels of these chemicals in combating drought stress in maize plants in Punjab, Pakistan. Study was performed on two plots corresponding to drought and controlled environments. The lamina of maize plants was sprinkled row wise with various treatments including No spray (NS), water sprinkle (WS), sprinkle with ZnSO4 0.25% and 0.50%, sprinkle with Zn-Asp 0.25% and 0.50% and Foliar sprinkle of L-Asp 0.5% and 1%, respectively. Role of major osmoprotectants and secondary metabolites was analyzed and positive changes were found in total soluble sugars (41.16), flavonoids (5387.74), tocopherol content (9089.18), ascorbic acid (645.27) and anthocyanin (14.84) conc. which assists in mitigating drought menace on maize. Shoot mineral ions (Ca, K, Zn, P, Mg and N) status of water stressed maize plants was also analyzed and it was found that application experimental dose enhanced their availability to crop. Physio-biochemical studies were performed on antioxidants enzymes like superoxide dismutase (SOD), peroxidase (POD), carotenoid content (CC), malondialdehyde, hydrogen peroxide, aspartate and free amino acid contents. The activity of SOD was increased by 28.5% and activity of POD was increased by 33.33% due to foliar applied 0.5% Zn-Asp under drought stress. Photosynthetic pigments (chlorophyll A, B and total chlorophyll content) analysis was also carried out in this study. It was found that conc. of different chlorophylls pigments increased (chl-A: 2.24, chl-B: 25.12, total chl: 24.30) which enhanced photosynthetic activity culminating into better growth and yield). The level of malondialdehyde and hydrogen peroxide decreased by 43.9% and 32.8% respectively on treatment with 0.5% Zn-Asp proving the efficacy of the treatment in drought amelioration. Study reveals that Zn-Asp induced modulations are far better than conventional sulphate salts in mitigating water scarce environment. Current study recommends the use of the Zn-Asp to meet the global food and agricultural challenges as compared to ZnSO4 and L-Asp due to its better drought amelioration properties. This research provides valuable informations which can used for future research and practical use in agriculture fields by indigenous and other people to enhance yield of maize to meet the food necessities of country.