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1.
Front Plant Sci ; 15: 1376214, 2024.
Artículo en Inglés | MEDLINE | ID: mdl-38742215

RESUMEN

Sustainable food security and safety are major concerns on a global scale, especially in developed nations. Adverse agroclimatic conditions affect the largest agricultural-producing areas, which reduces the production of crops. Achieving sustainable food safety is challenging because of several factors, such as soil flooding/waterlogging, ultraviolet (UV) rays, acidic/sodic soil, hazardous ions, low and high temperatures, and nutritional imbalances. Plant growth-promoting rhizobacteria (PGPR) are widely employed in in-vitro conditions because they are widely recognized as a more environmentally and sustainably friendly approach to increasing crop yield in contaminated and fertile soil. Conversely, the use of nanoparticles (NPs) as an amendment in the soil has recently been proposed as an economical way to enhance the texture of the soil and improving agricultural yields. Nowadays, various research experiments have combined or individually applied with the PGPR and NPs for balancing soil elements and crop yield in response to control and adverse situations, with the expectation that both additives might perform well together. According to several research findings, interactive applications significantly increase sustainable crop yields more than PGPR or NPs alone. The present review summarized the functional and mechanistic basis of the interactive role of PGPR and NPs. However, this article focused on the potential of the research direction to realize the possible interaction of PGPR and NPs at a large scale in the upcoming years.

2.
Nanoscale Adv ; 6(9): 2469-2486, 2024 Apr 30.
Artículo en Inglés | MEDLINE | ID: mdl-38694466

RESUMEN

Neuronal loss in Alzheimer's disease has been reported to display features of apoptosis, pyroptosis (programmed necrosis), or necroptosis. This study thoroughly examines the production and characterization of MCM-41 based berberine (BBR)-loaded porous silica nanoparticles (MSNs) by a modified Stöber method, focusing on their possible role in inhibiting the apoptotic process. Particle size, polydispersity index, morphology, drug loading, zeta potential, entrapment efficiency, and drug release were examined. The formulation was analyzed using various spectroscopic techniques. The surface area was computed by the Brunauer-Emmett-Teller plot. Computational models were developed for molecular dynamics simulation studies. A small PDI value indicated an even distribution of particles at nanoscale sizes (80-100 nm). Results from XRD and SEAD experiments confirmed the amorphous nature of BBR in nanoparticles. Nanoparticles had high entrapment (75.21 ± 1.55%) and drug loading (28.16 ± 2.5%) efficiencies. A negative zeta potential value (-36.861.1 mV) indicates the presence of silanol groups on the surface of silica. AFM findings reveal bumps due to the surface drug that contributed to the improved roughness of the MSNs-BBR surface. Thermal gravimetric analysis confirmed the presence of BBR in MSNs. Drug release was controlled by simple diffusion or quasi-diffusion. Molecular dynamics simulations confirmed the existence of diffused drug molecules. Cellular studies using SH-SY-5Y cells revealed dose-dependent growth inhibition. Fragmented cell nuclei and nuclear apoptotic bodies in DAPI-stained cells exposed to nanoparticles showed an increase in apoptotic cells. Flow cytometry analysis demonstrated a lower red-to-green ratio in SH-SY-5Y cells treated with nanoparticles. This suggests improved mitochondrial health, cellular viability restoration, and prevention of the apoptotic process. This study provides essential data on the synthesis and potential of MSNs loaded with BBR, which may serve as a viable therapeutic intervention for conditions associated with apoptosis.

3.
Environ Sci Pollut Res Int ; 31(18): 26480-26496, 2024 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-38570430

RESUMEN

Air pollution is one of the most pressing environmental threats worldwide, resulting in several health issues such as cardiovascular and respiratory disorders, as well as premature mortality. The harmful effects of air pollution are particularly concerning in urban areas, where mismanaged anthropogenic activities, such as growth in the global population, increase in the number of vehicles, and industrial activities, have led to an increase in the concentration of pollutants in the ambient air. Among air pollutants, particulate matter is responsible for most adverse impacts. Several techniques have been implemented to reduce particulate matter concentrations in the ambient air. However, despite all the threats and awareness, efforts to improve air quality remain inadequate. In recent years, urban vegetation has emerged as an efficient Nature-based Solution for managing environmental air pollution due to its ability to filter air, thereby reducing the atmospheric concentrations of particulate matter. This review characterizes the various mitigation mechanisms for particulate matter by urban vegetation (deposition, dispersion, and modification) and identifies key areas for further improvements within each mechanism. Through a systematic assessment of existing literature, this review also highlights the existing gaps in the present literature that need to be addressed to maximize the utility of urban vegetation in reducing particulate matter levels. In conclusion, the review emphasizes the urgent need for proper air pollution management through urban vegetation by integrating different fields, multiple stakeholders, and policymakers to support better implementation.


Asunto(s)
Contaminantes Atmosféricos , Contaminación del Aire , Monitoreo del Ambiente , Material Particulado , Contaminación del Aire/prevención & control , Contaminantes Atmosféricos/análisis , Plantas , Ciudades
4.
Curr Pharm Des ; 2024 Mar 18.
Artículo en Inglés | MEDLINE | ID: mdl-38500283

RESUMEN

The popular perennial creeping plant known as Bacopa monnieri (also known as Brahmi) is being utilized in the Indian Ayurvedic medicine practice. It has a variety of bioactive phytoconstituents that have been used therapeutically to treat a number of serious illnesses. Ancient Vedic scholars used this herb because of its pharmacological effects, particularly as a nerve booster and nootropic supporter. However, it is vital to comprehend the active phytochemical components of Bacopa monnieri extract (BME) and their molecular mechanisms in order to better grasp the effect of BME on neurological illnesses and diseases. Understanding its active phytochemical constituents and their molecular processes is essential. Numerous clinical investigations indicated that BME may have neuroprotective benefits, so it is worthwhile to re-evaluate this wellknown plant. Here, we focused on neurological problems as we examined the pharmacological and phytochemical characteristics of BME. For their effective usage in neuroprotection and cognition, many clinical concerns and the synergistic potential of Bacopa extract have been investigated. Alzheimer's disease is a neurological condition caused by the production of reactive oxygen species, which also causes amyloid-beta (A) and tau protein aggregation and increases neuro-inflammation and neurotoxicity. Our review offers a more indepth molecular understanding of the neuroprotective functions of BME, which can also be connected to its therapeutic management of neurological illnesses and cognitive-improving effects.

5.
Int J Biol Macromol ; 264(Pt 1): 130639, 2024 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-38453122

RESUMEN

The natural interactions between various bacteria, fungi, and other cellulolytic microorganisms destroy lignocellulosic polymers. The efficacy of this process is determined by the combined action of three main enzymes: endoglucanases, exo-glucanases, and ß-glucosidase. The enzyme attacks the polymeric structure's ß-1,4-linkages during the cellulose breakdown reaction. This mechanism is crucial for the environment as it recycles cellulose in the biosphere. However, there are problems with enzymatic cellulose breakdown, including complex cellulase structure, insufficient degradation efficacy, high production costs, and post-translational alterations, many of which are closely related to certain unidentified cellulase properties. These issues impede the practical use of cellulases. A developing area of research is the application of this similar paradigm for industrial objectives. Cellulase enzyme exhibits greater promise in many critical industries, including biofuel manufacture, textile smoothing and finishing, paper and pulp manufacturing, and farming. However, the study on cellulolytic enzymes must move forward in various directions, including increasing the activity of cellulase as well as designing peptides to give biocatalysts their desired attributes. This manuscript includes an overview of current research on different sources of cellulases, their production, and biochemical characterization.


Asunto(s)
Celulasa , Celulasas , Celulasas/química , Celulasa/metabolismo , Celulosa/química , Hongos/metabolismo , Bacterias/metabolismo
6.
Environ Sci Pollut Res Int ; 31(1): 127-143, 2024 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-38044406

RESUMEN

Aquatic ecosystems provide a large number of cultural, regulating, and supporting services to humans and play a pivotal role in sustaining freshwater-dependent ecosystems. However, an increase in human population coupled with economic growth in the last few decades has severely affected their functioning and ecological health. This has led to an increase in concentrations of pollutants originating from anthropogenic activities such as heavy metals, plastics, semi-volatile organic compounds, and endocrine disruptors. These pollutants provoke deleterious impacts on aquatic biodiversity and affect the water quality and functioning. In this paper, we discuss the sources and impacts of such pollutants as well as restoration techniques for reducing their impact on aquatic ecosystems. Several physical and chemical ecological restoration techniques, such as dredging, sediment capping, water diversion, adsorption, aeration, and flushing, can be employed to improve the water quality of water bodies. Additionally, biological techniques such as phytoremediation, phycoremediation, the use of biomembranes, and the construction of ecological floating beds can be employed to increase the population of aquatic organisms and improve the overall ecological health of aquatic ecosystems. Restoration techniques can effectively reduce the concentrations of suspended solids and dissolved phosphorus and increase the levels of dissolved oxygen. The restoration techniques for improving the ecological health of water bodies should not be limited to simply improving the water quality but should also focus on improving the biological processes and ecosystem functioning since it is essential to mitigate the adverse effects of pollutants and restore the vital ecosystem services provided by water bodies for future generations.


Asunto(s)
Contaminantes Ambientales , Contaminantes Químicos del Agua , Humanos , Ecosistema , Efectos Antropogénicos , Contaminantes Químicos del Agua/análisis , Contaminación del Agua , Monitoreo del Ambiente/métodos
7.
Infect Disord Drug Targets ; 24(3): e021123223085, 2024.
Artículo en Inglés | MEDLINE | ID: mdl-37937569

RESUMEN

BACKGROUND: Dengue is a major health burden worldwide, notably in tropical and subtropical countries, with symptoms ranging from asymptomatic infection to severe hemorrhagic or shock syndrome. The clinical and biochemical profile of dengue has been shown in the literature to be expanding as more atypical signs have been added over the past few decades. Most dengue-related symptoms are typically mild to moderate and self-limited. However, intracranial hemorrhage and acute respiratory distress syndrome in severe dengue is an event that has been encountered uncommonly. CASE PRESENTATION: A 30-year-old female presented with complaints of fever, headache, cough, and altered sensorium. Later, she was diagnosed with severe dengue fever complicated by dengue hemorrhagic fever, which manifested as subarachnoid and subdural bleeding and acute respiratory distress syndrome. She was managed conservatively with a positive outcome. CONCLUSION: Atypical manifestation, though rare, should be kept in mind while dealing with severe dengue patients, as early detection based on anticipated risk factors and timely treatment have the potential to save lives.


Asunto(s)
Dengue , Síndrome de Dificultad Respiratoria , Dengue Grave , Femenino , Humanos , Adulto , Dengue Grave/complicaciones , Dengue Grave/diagnóstico , Dengue Grave/terapia , Dengue/complicaciones , Dengue/diagnóstico , Síndrome de Dificultad Respiratoria/diagnóstico , Síndrome de Dificultad Respiratoria/etiología , Fiebre , Hemorragias Intracraneales/complicaciones , Hemorragias Intracraneales/diagnóstico por imagen
8.
Sci Total Environ ; 912: 169421, 2024 Feb 20.
Artículo en Inglés | MEDLINE | ID: mdl-38128664

RESUMEN

Calcareous soils, comprising vast areas in northern and eastern parts of India, are characterized by low soil organic carbon (SOC) with high free CaCO3 that results in low nutrient bioavailability with poor soil structure. Improvement of this soil can be achieved with conservation tillage with residue retention coupled with diversification of cropping system including legumes, and oilseeds in the system. Concerning all these, a long-term experiment was carried out in the calcareous soils having low organic carbon and high free CaCO3 (∼33 %) with varied tillage practices, viz. permanent bed with residue (PB), zero tillage with residue (ZT), and conventional tillage without residue (CT); and cropping systems viz. maize-wheat-greengram (MWGg), rice-maize (RM), and maize-mustard-greengram (MMuGg) during 2015-2021. From this study, it was observed that PB and ZT resulted in ∼25-30 % increment in SOC compared to the initial SOC, while CT showed a 4 % decrease in the SOC. Conservation tillage practices also resulted in better soil aggregation and favourable bulk density of the soil. Furthermore, PB and ZT practice exhibited 10-13 %; 15-18 %; 11-15 %; 40-60 %, 20-36 %, and 23-45 % increments in the soil available N, P, K, soil microbial biomass carbon, dehydrogenase activity, and urease activity, respectively over those under CT. Crop diversification with the inclusion of legume and oilseed crops (MMuGg, and MWGg) over cereal-dominated RM systems resulted in better soil health. Maize equivalent yield and energy use efficiency (%) were also found to be the maximum under PB, and ZT, in combination with the MMuGg system. ZT and PB also reduced the carbon footprint by 465 and 822 %, respectively over CT by elevating SOC sequestration. Hence, conservation tillage practices with residue retention coupled with diversification in maize-based cropping systems with mustard and greengram can improve soil health, system productivity, and energetics, and reduce the carbon footprint in calcareous soils.

9.
Molecules ; 28(23)2023 Nov 24.
Artículo en Inglés | MEDLINE | ID: mdl-38067489

RESUMEN

Pharmaceutical companies are investigating more source matrices for natural bioactive chemicals. Friedelin (friedelan-3-one) is a pentacyclic triterpene isolated from various plant species from different families as well as mosses and lichen. The fundamental compounds of these friedelane triterpenoids are abundantly found in cork tissues and leaf materials of diverse plant genera such as Celastraceae, Asteraceae, Fabaceae, and Myrtaceae. They possess many pharmacological effects, including anti-inflammatory, antioxidant, anticancer, and antimicrobial activities. Friedelin also has an anti-insect effect and the ability to alter the soil microbial ecology, making it vital to agriculture. Ultrasound, microwave, supercritical fluid, ionic liquid, and acid hydrolysis extract friedelin with reduced environmental impact. Recently, the high demand for friedelin has led to the development of CRISPR/Cas9 technology and gene overexpression plasmids to produce friedelin using genetically engineered yeast. Friedelin with low cytotoxicity to normal cells can be the best phytochemical for the drug of choice. The review summarizes the structural interpretation, biosynthesis, physicochemical properties, quantification, and various forms of pharmacological significance.


Asunto(s)
Triterpenos , Humanos , Triterpenos/química , Antiinflamatorios , Antioxidantes/farmacología , Fitoquímicos
10.
Cureus ; 15(11): e48321, 2023 Nov.
Artículo en Inglés | MEDLINE | ID: mdl-38060722

RESUMEN

Introduction The purpose of this study was to evaluate the management of distal tibial fractures treated by interlocking nail and plate osteosynthesis and to assess their functional outcome according to the American Orthopaedic Foot and Ankle Society (AOFAS) score and complications. Methods Twenty patients were operated on in each group, i.e., intramedullary nailing (IMN) and plating (minimally invasive plate osteosynthesis, MIPO). The patients were regularly followed up at six weeks, 12 weeks, six months, and one year and evaluated clinically and radiologically with respect to operating time, union time, and functional outcome on the basis of AOFAS score and complications. Results The mean union time for the IMN group was 18.45±2.45 weeks and for the MIPO group was 20±3.21 weeks (p-value >0.05). The mean AOFAS score in the MIPO group was 91.2±6.81 and in the IMN group was 92.6±5.41 (p-value >0.05). Lesser complications in terms of implant irritation, ankle stiffness, and infection were observed in the IMN group than in the MIPO group (p-value <0.05). Conclusion Both the IMN and MIPO groups had satisfactory outcomes for treating distal tibial fractures, with a higher risk of wound complications in the MIPO group.

11.
Cureus ; 15(11): e48848, 2023 Nov.
Artículo en Inglés | MEDLINE | ID: mdl-38106741

RESUMEN

Background Non-union, chronic pain, functional disability, and infection are all things that have been associated with open fractures with severe soft tissue damage leading to the need for additional hospitalization, and sometimes even subsequent surgeries and weeks or months of rehabilitation. Open fractures and severe musculoskeletal injuries are occasionally treated with hyperbaric oxygen therapy (HBOT) in an effort to reduce the risk of complications and increase the likelihood of a successful recovery. Methods A prospective randomized controlled study was done between January 2019 and August 2022 at a tertiary health care center including 60 patients with a severe soft tissue injury (Grade II and III) divided into two groups - group-CT (30 patients who received conventional treatment) and group HT (30 patients, who received HBOT in addition to conventional treatment). The outcome was measured according to the Bates-Jensen Wound Assessment Tool. Results The wound size, depth, and granulation were significantly reduced in group-HT patients. In the final session, the patient's severity of the wound in group-HT was significantly reduced (P = 0.0001) compared to group-CT. Conclusions Patients who received HBOT reported a significant improvement in their wounds.

12.
Environ Monit Assess ; 195(12): 1436, 2023 Nov 09.
Artículo en Inglés | MEDLINE | ID: mdl-37940796

RESUMEN

Soil microbes are microscopic organisms that inhabit the soil and play a significant role in various ecological processes. They are essential for nutrient cycling, carbon sequestration, and maintaining soil health. Importantly, soil microbes have the potential to sequester carbon dioxide (CO2) from the atmosphere through processes like carbon fixation and storage in organic matter. Unlocking the potential of microbial-driven carbon storage holds the key to revolutionizing climate-smart agricultural practices, paving the way for sustainable productivity and environmental conservation. A fascinating tale of nature's unsung heroes is revealed by delving into the realm of soil microbes. The guardians of the Earth are these tiny creatures that live beneath our feet and discreetly work their magic to fend off the effects of climate change. These microbes are also essential for plant growth enhancement through their roles in nutrient uptake, nitrogen fixation, and synthesis of growth-promoting chemicals. By understanding and managing soil microbial communities, it is possible to improve soil health, soil water-holding capacity, and promote plant growth in agricultural and natural ecosystems. Added to it, these microbes play an important role in biodegradation, bioremediation of heavy metals, and phytoremediation, which in turn helps in treating the contaminated soils. Unfortunately, climate change events affect the diversity, composition, and metabolism of these microbes. Unlocking the microbial potential demands an interdisciplinary endeavor spanning microbiology, ecology, agronomy, and climate science. It is a call to arms for the scientific community to recognize soil microbes as invaluable partners in the fight against climate change. By implementing data-driven land management strategies and pioneering interventions, we possess the means to harness their capabilities, paving the way for climate mitigation, sustainable agriculture, and promote ecosystem resilience in the imminent future.


Asunto(s)
Ecosistema , Suelo , Suelo/química , Cambio Climático , Microbiología del Suelo , Monitoreo del Ambiente
13.
Cureus ; 15(10): e46840, 2023 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-37954723

RESUMEN

Introduction In the present study, we aimed to compare the clinical and radiological results of the single lateral locking plate fixation method to the dual plate (DP) fixation method in cases of unstable bicondylar proximal tibial plateau fractures. Materials and methods Fifty-six patients managed surgically with internal fixation for unstable bicondylar tibial plateau fractures (UBTF) (Schatzker type V and type VI or Arbeitsgemeinschaft für Osteosynthesefragen/Orthopaedic Trauma Association {AO/OTA} type 41-C) over 36 months from January 2017 to December 2020 were included in this prospective study. All the fractures were fixed surgically either using dual locking plates through double incisions (DP group) or with a single lateral locking plate (single plate {SP} group). All intraoperative and postoperative complications were assessed and recorded. Oxford Knee Score (OKS), Rasmussen's functional grading system, and Rasmussen's radiological scoring system were used to evaluate the functional and radiological outcomes. Result All of the patients were followed for at least 12 months. Twenty-six patients were fixed with a single lateral locking plate, and 30 patients were fixed with a double-incision dual locking plate. The mean Oxford Knee Score (OKS) was 43.24 ± 4.46 in the DP group and 42.7 ± 2.57 in the SP group (P = 0.544). The mean Rasmussen's functional score (RFS) score in the present study was 26.6 ± 2.21 in the DP group and 24.97 ± 3.92 in the SP group (P = 0.056). At the final follow-up, the mean Rasmussen's radiological score (RRS) was 9.06 ± 1.01 in the DP group and 8.1 ± 0.81 in the SP group (P = 0.0003). Conclusion There are no statistically significant differences in the functional outcomes between the two groups, but higher benefits were found in the radiological outcomes in the dual plating group as compared to single lateral locking plate group.

14.
BMJ Case Rep ; 16(11)2023 Nov 23.
Artículo en Inglés | MEDLINE | ID: mdl-37996145

RESUMEN

Choroid plexus papillomas (CPPs) are extremely rare lesions that originate in the central nervous system. Still rarely, these can occur in heterotopic locations. We report a case of aneonate who presented at fourth week of life with a small swelling in the left side of the oropharynx. There were no other symptoms. MRI scan revealed a cystic lesion with the possibility of lymphatic malformation or teratoma. Swelling which was gradually increasing in size was electively excised. Histopathological examination revealed it to be an extracerebral CPP. Postoperative period was uneventful, and baby had no further complications. CPP is a rare lesion and, almost always, cannot be anticipated before surgery. Imaging only helps in surgical planning. Complete excision is curative.


Asunto(s)
Papiloma del Plexo Coroideo , Recién Nacido , Humanos , Papiloma del Plexo Coroideo/diagnóstico por imagen , Papiloma del Plexo Coroideo/cirugía , Papiloma del Plexo Coroideo/complicaciones , Procedimientos Neuroquirúrgicos/métodos , Sistema Nervioso Central/patología , Imagen por Resonancia Magnética , Plexo Coroideo/patología
15.
J Ovarian Res ; 16(1): 220, 2023 Nov 21.
Artículo en Inglés | MEDLINE | ID: mdl-37990267

RESUMEN

BACKGROUND: High-grade serous ovarian cancer (OvCa) is the most common type of epithelial OvCa. It is usually diagnosed in advanced stages, leaving a woman's chance of survival below 50%. Despite traditional chemotherapeutic therapies, there is often a high recurrence rate following initial treatments. Hence, a targeted drug delivery system is needed to attack the cancer cells and induce apoptosis, overcome acquired drug resistance, and protect normal cells from cytotoxicity. The present study shows that targeting folate receptor alpha (FRα) through planetary ball milling (PBM) nanoparticles (NPs) induces apoptosis in OvCa cells. RESULTS: Human tissue microarrays (TMAs) show overexpression of FRα in Stage IV OvCa tissues compared to matched normal tissues. They provide a focus for a targeted delivery system. We formulated PBM nanoparticles encapsulated with paclitaxel (PTX) or fisetin (Fis) and conjugated with folic acid (FA). The cytotoxic effect of these PBM NPs reduced the concentration of the toxic chemotherapy drug PTX by five-fold. The combined treatment of PTX-FA NPs and Fis-FA NPs inhibited cell proliferation and induced apoptosis more extensively than the individual drugs alone. Apoptosis of OvCa cells, determined by flow cytometry, showed an increase from 14.4 to 80.4% (OVCAR3 cells) and from 2.69 to 90.0% (CAOV3 cells) in the number of apoptotic cells. Also, expressions of the pro-apoptotic markers, BAK and active caspase-3, were increased after PTX-FA + Fis-FA PBM NP treatment. In addition to looking at targeted treatment effects on apoptosis, drug resistance was investigated. Drug resistance in OvCa cells was reversed by ABCG2, an ABC-transporter marker. CONCLUSIONS: Our study shows that PTX-FA and Fis-FA PBM NPs directly target platinum-resistant OvCa cells, induce cytotoxic/apoptotic effects, and reverse multi-drug resistance (MDR). These findings allow us to create new clinical applications using PTX-FA and Fis-FA combination nanoparticles to treat drug-resistant cancers.


Asunto(s)
Antineoplásicos , Nanopartículas , Neoplasias Ováricas , Humanos , Femenino , Paclitaxel/farmacología , Paclitaxel/uso terapéutico , Neoplasias Ováricas/tratamiento farmacológico , Neoplasias Ováricas/genética , Neoplasias Ováricas/metabolismo , Apoptosis , Preparaciones Farmacéuticas , Línea Celular Tumoral , Antineoplásicos/uso terapéutico , Resistencia a Antineoplásicos , Carcinoma Epitelial de Ovario/tratamiento farmacológico , Ácido Fólico , Transportador de Casetes de Unión a ATP, Subfamilia G, Miembro 2 , Proteínas de Neoplasias
16.
J Cancer Res Ther ; 19(5): 1454-1456, 2023.
Artículo en Inglés | MEDLINE | ID: mdl-37787329

RESUMEN

The world and India, in particular, have been grappling with the coronavirus disease (COVID-19) pandemic for more than a year now. The simultaneous presence of active COVID-19 infection with lung cancer poses both a diagnostic and therapeutic dilemma, because of similar clinical, radiological features along with increased susceptibility to ICU admissions and death. We present the case of a metastatic EGFR mutant lung cancer patient who was started on Gefitinib during active COVID-19 infection. He had made a complete recovery from COVID-19 infection while achieving a partial response to therapy in terms of primary lung cancer. The case highlights the importance of active involvement of a medical oncologist in the care of all cancer patients with COVID-19 infection instead of the traditional holding of all therapy for cancer until COVID-19 recovery as suggested by the majority of guidelines.


Asunto(s)
COVID-19 , Neoplasias Pulmonares , Masculino , Humanos , Neoplasias Pulmonares/complicaciones , Neoplasias Pulmonares/diagnóstico , Neoplasias Pulmonares/tratamiento farmacológico , SARS-CoV-2 , Gefitinib , Receptores ErbB/genética
17.
J Infect Public Health ; 16(12): 1925-1932, 2023 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-37866270

RESUMEN

BACKGROUND: Recently, a wide range variety of manifestations, including a self­limiting to severe illness, has been increasingly reported in dengue. Few studies attract attention to severe dengue, mainly observed in secondary infection. With this background, this study aims to provide a comprehensive overview to differentiate primary from secondary dengue using serology (IgG) and the possible association of severity of illness in secondary dengue. METHODS: Present retrospective cross-sectional study was conducted at a North Indian tertiary care center from September 2021 to January 2022. Clinical data of confirmed dengue patients from the medicine department were collected and assigned as primary and secondary dengue. RESULTS: Of the 220 dengue patients, 22 (10 %) had secondary dengue infection. Hemorrhagic manifestations were reported in 58/220 (26.4 %) cases while 7/22 (31.8 %) in secondary dengue. Prevalent hemorrhagic manifestations in secondary dengue include purpura (27.3 %), vaginal bleeding (4.5 %), melaena (9.1 %), and epistaxis (4.5 %). In addition, 42 (19.1 %) patients had pancytopenia, and 8 (36.6 %) cases were of secondary dengue. Hepatic dysfunction was noted in 164 (74.5 %) cases. Notably, all secondary dengue cases (22;100 %) had hepatic dysfunction and severe in 9 (40.9 %) cases. In addition, in secondary dengue patients, evidence of plasma leakages such as hypoproteinemia 7 (31.8 %) and ascites (35 %) were statistically more frequent. Overall, two deaths (0.9 %) were reported, and were one in each group. CONCLUSIONS: Many parameters, including hemorrhagic manifestation (melaena), hematological characteristic (pancytopenia), evidence of plasma leakage (hypoproteinemia and ascites), gastrointestinal (GB wall thickening and hepatic dysfunction) and reduction in mean hemoglobin and platelet count were found to be statistically significant in secondary dengue infection. Additionally, early classification of secondary dengue may help to anticipate its severity and allow for early strategic intervention/management to lower morbidity and mortality.


Asunto(s)
Coinfección , Dengue , Hipoproteinemia , Pancitopenia , Femenino , Humanos , Dengue/complicaciones , Dengue/epidemiología , Estudios Transversales , Coinfección/complicaciones , Centros de Atención Terciaria , Melena/complicaciones , Pancitopenia/complicaciones , Estudios Retrospectivos , Ascitis , India/epidemiología , Hipoproteinemia/complicaciones
18.
Front Biosci (Landmark Ed) ; 28(7): 151, 2023 Jul 27.
Artículo en Inglés | MEDLINE | ID: mdl-37525917

RESUMEN

BACKGROUND: Breast cancer is one of the most common types of cancer among women worldwide, and its metastasis is a significant cause of mortality. Therefore, identifying potential inhibitors of proteins involved in breast cancer metastasis is crucial for developing effective therapies. BUB1 mitotic checkpoint serine/threonine kinase B (BUB1B) is a key regulator of mitotic checkpoint control, which ensures the proper segregation of chromosomes during cell division. Dysregulation of BUB1B has been linked to a variety of human diseases, including breast cancer. Overexpression of BUB1B has been observed in various cancer types, and its inhibition has been shown to induce cancer cell death. Additionally, BUB1B inhibition has been suggested as a potential strategy for overcoming resistance to chemotherapy and radiation therapy. Given the importance of BUB1B in regulating cell division and its potential as a therapeutic target, the development of BUB1B inhibitors has been the focus of intense research efforts. Despite these efforts, few small molecule inhibitors of BUB1B have been identified, highlighting the need for further research in this area. In this study, the authors aimed to identify potential inhibitors of BUB1B from mushroom bioactive compounds using computational methods, which could ultimately lead to the development of new treatments for breast cancer metastasis. METHODS: This study has incorporated 70 bioactive compounds (handpicked through literature mining) of distinct mushrooms that were considered and explored to identify a suitable drug candidate. Their absorption, distribution, metabolism and excretion (ADME) properties were obtained to predict the drug-likeness of these 70 mushroom compounds based on Lipinski's rule of 5 (RO5). Screening these bioactive compounds and subsequent molecular docking against BUB1B provided compounds with the best conformation-based binding affinity. The best two complexes, i.e., BUB1B-lepitaprocerin D and BUB1B-peptidoglycan, were subjected to molecular dynamic simulations. Both complexes were assessed for their affinity, stability, and flexibility in protein-ligand complex systems. RESULTS: The molecular dynamic (MD) simulation studies revealed that lepitaprocerin D has an energetically favorable binding affinity with BUB1B. Results showed that the formation of a hydrogen bond between residues ASN123 and SER157, and lepitaprocerin D had strengthened the affinity of lepitaprocerin D with BUB1B. CONCLUSIONS: This study identified lepitaprocerin D as a potential and novel inhibitor for BUB1B that could be a plausible drug candidate for identifying and controlling the spread of breast cancer metastasis.

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