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1.
Chemosphere ; 360: 142454, 2024 Jul.
Article in English | MEDLINE | ID: mdl-38810801

ABSTRACT

The aim of the present study was to find environmentally friendly solutions for the disposal of problematic and toxic textile sludge (TS) by producing textile sludge biochar (TSB) by pyrolysis and evaluating its chemical properties, polycyclic aromatic hydrocarbon (PAH) content, heavy metals (HMs) speciation, environmental risks, and effects on seed germination. Pyrolysis of TS at temperatures ranging from 300 to 700 °C significantly reduced (85-95%) or eliminated certain PAHs in the biochar, enriched heavy metal content within land use limits, and increased bioavailability of HMs in biochar produced at 300 °C and decreased leaching capacity of HMs in biochar produced at 700 °C. The speciation of HMs and their bioavailability during pyrolysis processes was strongly temperature dependent, with lower temperatures increasing the toxic and bioavailable forms of Zn and Ni, while higher temperatures converted the bioavailable Ni to a more stable form, while Cu, Cr, and Pb were transformed from stable to toxic and bioavailable forms. The ecological risk index (RI) values of TSB-300 and TSB-700 are below the threshold value of 150, indicating a low-risk level, and the risk level decreases at temperatures above 500 °C. Further, the extracts of TSB-300 and TSB-700 had the highest percentage of germinating seeds, while the extracts of TS and TSB-500 inhibited seed germination by 20-30% compared to the control. These results indicate that pyrolysis effectively reduces PAHs and binds leachable HMs in biochar, however, the specific pyrolysis temperature influences metal speciation, bioavailability, seed germination, and environmental risk.


Subject(s)
Charcoal , Metals, Heavy , Polycyclic Aromatic Hydrocarbons , Pyrolysis , Sewage , Temperature , Metals, Heavy/analysis , Metals, Heavy/chemistry , Charcoal/chemistry , Sewage/chemistry , Polycyclic Aromatic Hydrocarbons/analysis , Polycyclic Aromatic Hydrocarbons/chemistry , Textiles , Germination/drug effects , Industrial Waste
2.
Environ Pollut ; 354: 124134, 2024 Aug 01.
Article in English | MEDLINE | ID: mdl-38734050

ABSTRACT

This review article explores the challenges associated with landfill leachate resulting from the increasing disposal of municipal solid waste in landfills and open areas. The composition of landfill leachate includes antibiotics (0.001-100 µg), heavy metals (0.001-1.4 g/L), dissolved organic and inorganic components, and xenobiotics including polyaromatic hydrocarbons (10-25 µg/L). Conventional treatment methods, such as biological (microbial and phytoremediation) and physicochemical (electrochemical and membrane-based) techniques, are available but face limitations in terms of cost, accuracy, and environmental risks. To surmount these challenges, this study advocates for the integration of artificial intelligence (AI) and machine learning (ML) to strengthen treatment efficacy through predictive analytics and optimized operational parameters. It critically evaluates the risks posed by recalcitrant leachate components and appraises the performance of various treatment modalities, both independently and in tandem with biological and physicochemical processes. Notably, physicochemical treatments have demonstrated pollutant removal rates of up to 90% for various contaminants, while integrated biological approaches have achieved over 95% removal efficiency. However, the heterogeneous nature of solid waste composition further complicates treatment methodologies. Consequently, the integration of advanced ML algorithms such as Support Vector Regression, Artificial Neural Networks, and Genetic Algorithms is proposed to refine leachate treatment processes. This review provides valuable insights for different stakeholders specifically researchers, policymakers and practitioners, seeking to fortify waste disposal infrastructure and foster sustainable landfill leachate management practices. By leveraging AI and ML tools in conjunction with a nuanced understanding of leachate complexities, a promising pathway emerges towards effectively addressing this environmental challenge while mitigating potential adverse impacts.


Subject(s)
Machine Learning , Waste Disposal Facilities , Water Pollutants, Chemical , Water Pollutants, Chemical/analysis , Refuse Disposal/methods , Biodegradation, Environmental , Solid Waste , Metals, Heavy/analysis , Artificial Intelligence
3.
Environ Res ; 225: 115592, 2023 05 15.
Article in English | MEDLINE | ID: mdl-36863654

ABSTRACT

"Save Soil Save Earth" is not just a catchphrase; it is a necessity to protect soil ecosystem from the unwanted and unregulated level of xenobiotic contamination. Numerous challenges such as type, lifespan, nature of pollutants and high cost of treatment has been associated with the treatment or remediation of contaminated soil, whether it be either on-site or off-site. Due to the food chain, the health of non-target soil species as well as human health were impacted by soil contaminants, both organic and inorganic. In this review, the use of microbial omics approaches and artificial intelligence or machine learning has been comprehensively explored with recent advancements in order to identify the sources, characterize, quantify, and mitigate soil pollutants from the environment for increased sustainability. This will generate novel insights into methods for soil remediation that will reduce the time and expense of soil treatment.


Subject(s)
Metals, Heavy , Soil Pollutants , Humans , Ecosystem , Artificial Intelligence , Environmental Pollution/prevention & control , Metals, Heavy/analysis , Soil Pollutants/toxicity , Soil Pollutants/analysis , Soil
4.
Chemosphere ; 311(Pt 1): 136877, 2023 Jan.
Article in English | MEDLINE | ID: mdl-36257395

ABSTRACT

The recent upsurge in the studies on micro/nano plastics and antimicrobial resistance genes has proven their deleterious effects on the environmental and human health. Till-date, there is a scarcity of studies on the interactions of these two factors and their combined influence. The interaction of microplastics has led to the formation of new plastics namely plastiglomerates, pyroplastics. and anthropoquinas. It has long been ignored that the occurrence of microplastics has become a breeding ground for the emergence of antimicrobial resistance genes. Evidently microplastics are also associated with the occurrence of other pollutants such as polyaromatic hydrocarbons and pesticides. The increased use of antibiotics (after Covid breakout) has further elevated the detrimental effects on human health. Therefore, this study highlights the relation of microplastics with antibiotic resistance generation. The factors such as uncontrolled use of antibiotics and negligent plastic consumption has been evaluated. Furthermore, the future research prospective was provided that can be helpful in correctly identifying the seriousness of the environmental occurrence of these pollutants.


Subject(s)
COVID-19 , Environmental Pollutants , Water Pollutants, Chemical , Humans , Microplastics , Anti-Bacterial Agents/pharmacology , Plastics , Prospective Studies , Drug Resistance, Bacterial/genetics , Environmental Pollution , Environmental Pollutants/toxicity , Water Pollutants, Chemical/toxicity , Water Pollutants, Chemical/analysis , Environmental Monitoring
5.
Sci Total Environ ; 832: 155083, 2022 Aug 01.
Article in English | MEDLINE | ID: mdl-35395309

ABSTRACT

The global rise in industrialization and vehicularization has led to the increasing trend in the use of different crude oil types. Among these mobil oil has major application in automobiles and different machines. The combustion of mobil oil renders a non-usable form that ultimately enters the environment thereby causing problems to environmental health. The aliphatic and aromatic hydrocarbon fraction of mobil oil has serious human and environmental health hazards. These components upon interaction with soil affect its fertility and microbial diversity. The recent advancement in the omics approach viz. metagenomics, metatranscriptomics and metaproteomics has led to increased efficiency for the use of microbial based remediation strategy. Additionally, the use of biosurfactants further aids in increasing the bioavailability and thus biodegradation of crude oil constituents. The combination of more than one approach could serve as an effective tool for efficient reduction of oil contamination from diverse ecosystems. To the best of our knowledge only a few publications on mobil oil have been published in the last decade. This systematic review could be extremely useful in designing a micro-bioremediation strategy for aquatic and terrestrial ecosystems contaminated with mobil oil or petroleum hydrocarbons that is both efficient and feasible. The state-of-art information and future research directions have been discussed to address the issue efficiently.


Subject(s)
Petroleum Pollution , Petroleum , Soil Pollutants , Biodegradation, Environmental , Ecosystem , Humans , Hydrocarbons/metabolism , Petroleum/metabolism , Soil Microbiology , Soil Pollutants/analysis
6.
Environ Sci Pollut Res Int ; 28(30): 40431-40444, 2021 Aug.
Article in English | MEDLINE | ID: mdl-33447984

ABSTRACT

The outbreak of novel severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) has affected the entire world with its infectious spread and mortality rate. The severe cases of coronavirus disease 2019 (COVID-19) are characterized by hypoxia and acute respiratory distress syndrome. In the absence of any specific treatment, just the preventive and supportive care options are available. Therefore, much focus is given to assess the available therapeutic options not only to avoid acute respiratory failure and hypoxia but also to reduce the viral load to control the severity of the disease. The antimalarial drug hydroxychloroquine (HCQ) is among the much-discussed drugs for the treatment and management of COVID-19 patients. This article reviews the therapeutic potential of HCQ in the treatment of COVID-19 based on the available in vitro and clinical evidence, current status of registered HCQ-based clinical trials investigating therapeutic options for COVID-19, and environmental implications of HCQ.


Subject(s)
COVID-19 Drug Treatment , Coronavirus Infections , Antiviral Agents , Coronavirus Infections/drug therapy , Humans , Hydroxychloroquine/therapeutic use , SARS-CoV-2
7.
Front Pharmacol ; 11: 582025, 2020.
Article in English | MEDLINE | ID: mdl-33123014

ABSTRACT

The recent outbreak of the COVID-2019 (coronavirus disease 2019) due to the infectious severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) has realized the requirement of alternative therapeutics to mitigate and alleviate this lethal infection. These alternative therapies are effective when they are started at the initial stage of the infection. Some drugs that were used in previous other related infections SARS-CoV-2003 and Middle East respiratory syndrome coronavirus (MERS-CoV)-2012 could be potentially active against currently emerging SARS-CoV-2. This fact imparts some rationale of current interventions, in the absence of any specific therapeutics for SARS-CoV-2. It is imperative to focus on the available antimicrobial and adjunct therapies during the current emergency state and overcome the challenges associated with the absence of robust controlled studies. There is no established set of drugs to manage SARS-CoV-2 infected patients. However, closely following patients' conditions and responding with the dosage guidelines of available drugs may significantly impact our ability to slow down the infection. Of note, it depends upon the condition of the patients and associated comorbid; therefore, the health workers need to choose the drug combinations judiciously until COVID-19 specific drug or vaccine is developed with the collective scientific rigor. In this article, we reviewed the available antimicrobial drug, supportive therapies, and probable high importance vaccines for the COVID-19 treatment.

8.
Bioresour Technol ; 307: 123206, 2020 Jul.
Article in English | MEDLINE | ID: mdl-32240926

ABSTRACT

Two bacterial species with the ability to produce biosurfactants were isolated from a pesticide contaminated soil and identified as Planococcus rifietoensis IITR53 and Planococcus halotolerans IITR55. Formation of froth indicating the surfactant production was observed when grown in basal salt medium containing 2% glucose. The culture supernatant after 72 h showed reduction in surface tension from 72 N/m to 46 and 42 N/m for strain IITR53 and IITR55 with emulsification index of 51 and 54% respectively. The biosurfactant identified as rhamnolipid based on liquid chromatography-mass spectrometry analysis, was found to inhibit the growth of both gram- positive and negative pathogenic bacteria. Both the rhamnolipids at 40 mg/mL exhibited the release of extracellular DNA and protein content. Also at one third of the MIC, a significant generation of reactive oxygen species was recorded. These rhamnolipids effectively emulsified different vegetable oils suggesting their possible utilization as antimicrobial agent.


Subject(s)
Glycolipids , Planococcus Bacteria , Bacteria , Pseudomonas aeruginosa , Surface-Active Agents
9.
Bioresour Technol ; 285: 121314, 2019 Aug.
Article in English | MEDLINE | ID: mdl-30992159

ABSTRACT

Biosurfactants from the yeast strains Candida albicans SC5314 and Candida glabrata CBS138 were isolated and characterized. Surface tension of the cell-free broth was reduced from 72 N/m to 42 N/m and 55 N/m respectively. The biosurfactants showed emulsifying ability as the indices against castor oil were determined to be 51% and 53% for C. albicans and C. glabrata respectively and were found stable between pH 2 and 10, temperature 4-120 °C and salt concentration 2-14%. The partially purified surfactants were identified as sophorolipid using Fourier transform infrared spectroscopy. Isolated sophorolipid showed antibacterial properties against pathogenic bacteria and generated reactive oxygen species in Bacillus subtilis and Escherichia coli. Flow cytometric analysis revealed that 60 mg/L of C. glabrata biosurfactant killed 65.8% B. subtilis and 4% E. coli. The data here obtained indicates applications of biosurfactant focusing mainly as antimicrobial and therapeutic perspectives.


Subject(s)
Anti-Bacterial Agents , Candida , Emulsifying Agents , Escherichia coli , Surface-Active Agents
10.
Appl Microbiol Biotechnol ; 103(5): 2007-2032, 2019 Mar.
Article in English | MEDLINE | ID: mdl-30645689

ABSTRACT

Biopolymeric polyhydroxyalkanoates (PHAs) are fabricated and accumulated by microbes under unbalanced growth conditions, primarily by diverse genera of bacteria. Over the last two decades, microbially engineered PHAs gained substantial interest worldwide owing to their promising wide-range uses in biomedical field as biopolymeric biomaterials. Because of non-hazardous disintegration products, preferred surface alterations, inherent biocompatibility, modifiable mechanical properties, cultivation support for cells, adhesion devoid of carcinogenic impacts, and controllable biodegradability, the PHAs like poly-3-hydroxybutyrate, 3-hydroxybutyrate and 3-hydroxyvalerate co-polymers, 3-hydroxybutyrate and 4-hydroxybutyrate co-polymers, etc., are available for various medical applications. These PHAs have been exploited to design in vivo implants like sutures as well as valves for direct tissue repairing as well as in regeneration devices like bone graft substitutes, nerve guides as well as cardiovascular patches, etc. Furthermore, they are also emerged as attractive candidates for developing effective/novel drug delivery systems because of their biocompatibility and biodegradability with the ability to deliver and release the drugs at a specific site in a controllable manner and, therefore widen the therapeutic window with reduced side effects. However, there still remain some bottlenecks related to PHA purity, mechanical properties, biodegradability, etc., that are need to be addressed so as to make PHAs a realistic biomaterial. In addition, innovative approaches like PHAs co-production with other value-added products, etc., must be developed currently for economical PHA production. This review provides an insight toward the recent advances, bottlenecks, and potential solutions for prospective biomedical applications of PHAs with conclusion that relatively little research/study has been performed presently toward the viability of PHAs as realistic biopolymeric biomaterials.


Subject(s)
Bacteria/metabolism , Biocompatible Materials/therapeutic use , Drug Delivery Systems/methods , Polyhydroxyalkanoates/metabolism , Prostheses and Implants , Bacteria/genetics , Biocompatible Materials/chemistry , Polyhydroxyalkanoates/biosynthesis
11.
Bioresour Technol ; 272: 19-25, 2019 Jan.
Article in English | MEDLINE | ID: mdl-30296609

ABSTRACT

Rhamnolipid produced from a Lysinibacillus sphaericus IITR51 was characterized and its ability for dissolution of hydrophobic pesticides were evaluated. L. sphaericus produced 1.6 g/L of an anionic biosurfactant that reduced surface tension from 72 N/m to 52 N/m with 48% emulsification index. The biosurfactant was found stable over a wide range of pH (4.0-10.0), temperature (4-100 °C), salt concentration (2-14%) and was identified as rhamnolipid. At the concentration of 90 mg/L rhamnolipid showed enhanced dissolution of α-, ß-endosulfan, and γ-hexachlorocyclohexane up to 7.2, 2.9, and 1.8 folds, respectively. The bacterium utilized benzoic acid, chlorobenzene, 3- and 4-chlorobenzoic acid as sole source of carbon and was found resistant to arsenic, lead and cadmium. Furthermore, the isolated biosurfactant showed antimicrobial activities against different pathogenic bacteria. The results obtained indicate the usefulness of rhamnolipid for enhanced dissolution and thereby increasing the bioavailability.


Subject(s)
Bacillus/chemistry , Glycolipids/chemistry , Pesticides/chemistry , Hydrophobic and Hydrophilic Interactions , Solubility , Surface Tension , Temperature
12.
Clin Chim Acta ; 469: 42-52, 2017 Jun.
Article in English | MEDLINE | ID: mdl-28315295

ABSTRACT

BACKGROUND: Cerebrospinal fluid (CSF) is an essential bio-fluid of the central nervous system (CNS), playing a vital role in the protection of CNS and performing neuronal function regulation. The chemical composition of CSF varies during onset of meningitis, neurodegenerative disorders (positive controls) and in traumatic cases (negative controls). METHODS: The study design was broadly categorized into meningitis cases, negative controls and positive controls. Further differentiation among the three groups was carried out using Principal Component Analysis (PCA) followed by supervised Partial Least Square Discriminant Analysis (PLS-DA). RESULTS: The statistical analysis of meningitis vs. negative controls using PLS-DA model resulted in R2 of 0.97 and Q2 of 0.85. There was elevation in the levels of ketone bodies, total free amino acids, glutamine, creatine, citrate and choline containing compounds (choline and GPC) in meningitis cases. Similarly, meningitis vs. positive controls resulted in R2 of 0.80 and Q2 of 0.60 and showed elevation in the levels of total free amino acids, glutamine, creatine/creatinine and citrate in the meningitis group. Four cases of HIV were identified by PLS-DA model as well as by clinical investigations. CONCLUSION: On the basis of metabolic profile it was found that negative control CSF samples are more appropriate for differentiation of meningitis than positive control CSF samples.


Subject(s)
Meningitis/cerebrospinal fluid , Meningitis/diagnosis , Metabolomics , Proton Magnetic Resonance Spectroscopy , Adolescent , Adult , Aged , Biomarkers/cerebrospinal fluid , Case-Control Studies , Female , Humans , Male , Meningitis/metabolism , Middle Aged , Young Adult
13.
J Glob Antimicrob Resist ; 8: 110-114, 2017 03.
Article in English | MEDLINE | ID: mdl-28109847

ABSTRACT

OBJECTIVES: The objective of this study was to compare the genetic features of heterogeneous vancomycin-intermediate Staphylococcus aureus (hVISA) and vancomycin-sensitive methicillin-resistant S. aureus (VS-MRSA) isolates. METHODS: The presence of staphylococcal cassette chromosome mec (SCCmec) types, Panton-Valentine leukocidin (PVL), accessory gene regulator (agr) types, and vanA and vanB genes in hVISA and VS-MRSA isolates was evaluated by PCR. Genetic relatedness was studied by pulsed-field gel electrophoresis (PFGE). RESULTS: The distribution of SCCmec types in hVISA was as follows: 13/29 (44.8%) each of types II and V, 1/29 (3.4%) type III and 2/29 (6.9%) type IVa. Among VS-MRSA isolates, 20/50 (40.0%) were SCCmec type II, 17/50 (34.0%) were type III, 3/50 (6.0%) were type IVa and 10/50 (20.0%) were type V. SCCmec type V was significantly associated with hVISA, whereas SCCmec type III showed an association with VS-MRSA (P=0.020 and P=0.001, respectively). The PVL gene was detected in 9/29 hVISA (31.0%) and 13/50 VS-MRSA (26.0%). By PFGE analyses, both hVISA and VS-MRSA strains were found to be clonally unrelated. In hVISA isolates, 24/29 (82.8%) were agr type I, 3/29 (10.3%) were type III and 2/29 (6.9%) were non-typeable. However, in VS-MRSA isolates, 25/50 (50.0%) were type II, 15/50 (30.0%) were type I, 7/50 (14.0%) were type III and 3/50 (6.0%) were non-typeable. CONCLUSIONS: The study shows that healthcare-associated MRSA strains may harbour community-acquired MRSA genetic markers. The changing molecular epidemiology and role of agr I in reduced vancomycin susceptibility in hVISA requires further investigation.


Subject(s)
Bacterial Proteins/genetics , Methicillin-Resistant Staphylococcus aureus/genetics , Methicillin-Resistant Staphylococcus aureus/isolation & purification , Staphylococcal Infections/epidemiology , Staphylococcal Infections/microbiology , Trans-Activators/genetics , Vancomycin Resistance , Bacterial Toxins/genetics , Carbon-Oxygen Ligases/genetics , Electrophoresis, Gel, Pulsed-Field , Exotoxins/genetics , Genotype , Humans , India/epidemiology , Leukocidins/genetics , Methicillin-Resistant Staphylococcus aureus/drug effects , Molecular Epidemiology , Molecular Typing , Polymerase Chain Reaction
14.
Microb Drug Resist ; 21(5): 545-50, 2015 Oct.
Article in English | MEDLINE | ID: mdl-26430942

ABSTRACT

Heterogeneous vancomycin intermediate Staphylococcus aureus (hVISA) strains are increasingly reported, and their association with vancomycin treatment failure is a well-known problem worldwide. A total of 500 clinical isolates of methicillin-resistant S. aureus were screened for hVISA by four different methods from May 2011 to May 2014. The number of strains screened for hVISA from May to April in 2011-2012, 2012-2013, and 2013-2014 were 198, 123, and 179, respectively. hVISA strains were studied by transmission electron microscopy (TEM) for cell wall thickness and also for their ability to form biofilm on a polystyrene microtiter plate. hVISA strains detected by four different methods-brain heart infusion agar with vancomycin with 4 mg/L/gradient plate/macro E-test/and glycopeptide resistance detection (GRD) E test-were as follows: 11.6%/10%/9%, and 9.5% in 2011-2012, 12.1%/9.7%/8.9%, and 10.5% in 2012-2013, and 13.9%/11.7%/11.1%, and 12.8% in 2013-2014, respectively. Population analysis profile-area under curve analysis confirmed hVISA in 4.5% (9/198), 6.5% (8/123), and 6.7% (12/179) in respective years; 24% (7/29) of hVISA isolates were nonsusceptible to daptomycin. TEM showed a significant increase in cell wall thickness of hVISA isolates (p<0.001) with a distinct reduction in their biofilm formation ability.


Subject(s)
Anti-Bacterial Agents/pharmacology , Biofilms/drug effects , Daptomycin/pharmacology , Staphylococcus aureus/drug effects , Vancomycin Resistance , Vancomycin/pharmacology , Area Under Curve , Biofilms/growth & development , Cell Wall/drug effects , Cell Wall/ultrastructure , Humans , India , Microbial Sensitivity Tests , Microscopy, Electron, Transmission , Retrospective Studies , Staphylococcal Infections/drug therapy , Staphylococcal Infections/microbiology , Staphylococcus aureus/growth & development , Staphylococcus aureus/isolation & purification , Staphylococcus aureus/ultrastructure , Tertiary Care Centers
15.
Int Urol Nephrol ; 47(12): 2031-7, 2015 Dec.
Article in English | MEDLINE | ID: mdl-26490558

ABSTRACT

BACKGROUND: Toll-like receptors (TLRs), expressed on cells of the innate immune system, are the first line of host defense. Recognition of bacterial pathogens by the peritoneum is mediated in part by TLR. In this study, we investigated the role of TLR4 (Asp299Gly and Thr399Ile) and TLR2 (Arg677Trp and Arg753Gln) gene polymorphisms in end-stage renal disease (ESRD) patients on peritoneal dialysis (PD). METHOD: A total of 100 ESRD patients on PD and 150 healthy controls were enrolled in the study. The patients were divided into two groups: ESRD patients on PD with peritonitis (n = 38) and without peritonitis (n = 62). Genotyping of TLR4 (Asp299Gly and Thr399Ile) and TLR2 (Arg677Trp and Arg753Gln) genes were performed by polymerase chain reaction-restriction fragment-length polymorphism (PCR-RFLP). RESULTS: Heterozygous variant of TLR4 (Thr399Ile) Thr/Ile genotype showed significant association with both groups of patients (patients with and without peritonitis) with no difference between the groups. Overall, TLR4 (Thr399Ile) Thr/Ile genotype demonstrated an association with ESRD on PD (OR 3.9). Further, TLR4 (Thr399Ile) polymorphism showed significant association with PD patients having two or more episodes of peritonitis compared to patients with no peritonitis. No such association of increased risk of ESRD was observed with TLR4 (Asp299Gly) Asp/Gly genotype and TLR2 polymorphisms. Haplotype frequencies, Gly/Ile and Asp/Ile, conferred 2.46- and 4.62-fold increased risk of ESRD, respectively. CONCLUSIONS: TLR4 Thr399Ile genotype was associated with ESRD patients on PD; however, the genotype frequency was similar in PD patients with and without peritonitis.


Subject(s)
Kidney Failure, Chronic/genetics , Kidney Failure, Chronic/therapy , Peritonitis/genetics , Toll-Like Receptor 2/genetics , Toll-Like Receptor 4/genetics , Adult , Aged , Case-Control Studies , Female , Gene Frequency , Haplotypes , Heterozygote , Humans , Male , Middle Aged , Peritoneal Dialysis/adverse effects , Peritonitis/etiology , Polymorphism, Single Nucleotide
16.
Nephrology (Carlton) ; 20(6): 387-91, 2015 Jun.
Article in English | MEDLINE | ID: mdl-25589331

ABSTRACT

AIM: Cytokines play a critical role in the pathophysiology of end stage renal disease (ESRD). Tumour necrosis factor-a (TNF-α) is an important cytokine involved in initiation and progression of renal diseases. The present study evaluated the association of specific alleles/genotype of TNF-α with chronic renal failure (CRF) and ESRD. METHODS: A total of 30 CRF patients who were not on renal replacement therapy, 85 ESRD patients and 120 healthy controls were included in the study. The ESRD patients belonged to two subgroups: patients on peritoneal dialysis (PD) without peritonitis (n = 50) and with peritonitis (n = 35). TNF-α genotype (-308 G > A) was determined by polymerase chain reaction-restriction fragment length polymorphism. Level of TNF-α was detected in the sera of patients and healthy controls by enzyme linked immunosorbent assay (ELISA), and also in the dialysate of patients on PD. RESULTS: The genotypic distributions of TNF-α (-308 G > A) were significantly different between patients and controls. Homozygous A/A genotype had significant association with CRF and ESRD (P < 0.001, odds ratio [OR] = 25.02). Frequency of homozygous A/A genotype was significantly higher in all subgroups of patients than controls (CRF 40% vs control 2.5%, P = 0.001; PD 54% vs control 2.5%, P < 0.001 and PD with peritonitis 62.8% vs control 2.5%, P < 0.001). Patients with homozygous A/A genotype had significantly elevated levels of TNF-α in the sera of patients and in the dialysate of PD patients. CONCLUSIONS: Individuals with homozygous TNF-α (-308 G > A) polymorphisms has significant association with CRF and ESRD, and thus may be a predictor for development of the disease. Elevated TNF-α may be a contributory factor.


Subject(s)
Kidney Failure, Chronic/genetics , Polymorphism, Single Nucleotide , Tumor Necrosis Factor-alpha/genetics , Adult , Case-Control Studies , Chi-Square Distribution , Female , Gene Frequency , Genetic Association Studies , Genetic Predisposition to Disease , Heterozygote , Homozygote , Humans , India , Kidney Failure, Chronic/blood , Kidney Failure, Chronic/diagnosis , Kidney Failure, Chronic/immunology , Kidney Failure, Chronic/therapy , Logistic Models , Male , Middle Aged , Odds Ratio , Peritoneal Dialysis/adverse effects , Peritonitis/etiology , Phenotype , Risk Factors , Tumor Necrosis Factor-alpha/blood
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