Vaginal probiotics as an adjunct to antibiotic prophylaxis in the management of preterm premature rupture of membranes: A systematic review and meta-analysis of randomized controlled trials.

OBJECTIVE: To investigate the efficacy of vaginal probiotics administration in combination with prophylactic antibiotics versus antibiotic prophylaxis only on perinatal outcomes in women with preterm premature rupture of membrane (PPROM). METHODS: Four different databases were searched from inception till March 2023. We selected randomized controlled trials (RCTs) that compared vaginal probiotics along with antibiotics versus antibiotics only among pregnant women who were presented with PPROM between 24 and 34 weeks of gestation. We performed the meta-analysis using Revman software. Our primary outcomes were gestational age at birth and latency period duration. Our secondary outcomes were the rate of admission in the neonatal intensive care unit (NICU), infant birth weight, length of stay in the NICU, and neonatal complications. RESULTS: Four RCTs, involving a total of 339 patients, were included in the meta-analysis. The gestational age at the time of delivery and latency period duration were significantly higher among probiotics + antibiotics group (p = 0.01 & p < 0.001). There was a significant reduction in the rate of NICU admission and length of NICU stay among the probiotics + antibiotics group compared to the antibiotics only group. A significant improvement in the infant birth weight after delivery was demonstrated among the probiotics + antibiotics group (p = 0.002). Although there was a decrease in the incidence of neonatal sepsis and respiratory distress syndrome within probiotics + antibiotics group versus antibiotics only group, these differences were not statistically significant (p > 0.05). CONCLUSIONS: The combination of vaginal probiotics and antibiotic prophylaxis has been shown to effectively improve perinatal outcomes in women with PPROM. Further trials are needed to validate our findings.

Elevated CO2 reduced antimony toxicity in wheat plants by improving photosynthesis, soil microbial content, minerals, and redox status.

Introduction: Antimony (Sb), a common rare heavy metal, is naturally present in soils at low concentrations. However, it is increasingly used in industrial applications, which in turn, leads to an increased release into the environment, exerting a detrimental impact on plant growth. Thus, it is important to study Sb effects on plants under the current and future CO2 (eCO2). Methods: To this end, high Sb concentrations (1500 mg/kg soil) effects under ambient (420 ppm) and eCO2 (710 ppm) on wheat growth, physiology (photosynthesis reactions) and biochemistry (minerals contents, redox state), were studied and soil microbial were evaluated. Results and discussion: Our results showed that Sb uptake significantly decreased wheat growth by 42%. This reduction could be explained by the inhibition in photosynthesis rate, Rubisco activity, and photosynthetic pigments (Cha and Chb), by 35%, 44%, and 51%, respectively. Sb significantly reduced total bacterial and fungal count and increased phenolic and organic acids levels in the soil to decrease Sb uptake. Moreover, it induced oxidative markers, as indicated by the increased levels of H2O2 and MDA (1.96 and 2.8-fold compared to the control condition, respectively). To reduce this damage, antioxidant capacity (TAC), CAT, POX, and SOD enzymes activity were increased by 1.61, 2.2, 2.87, and 1.86-fold, respectively. In contrast, eCO2 mitigated growth inhibition in Sb-treated wheat. eCO2 and Sb coapplication mitigated the Sb harmful effect on growth by reducing Sb uptake and improving photosynthesis and Rubisco enzyme activity by 0.58, 1.57, and 1.4-fold compared to the corresponding Sb treatments, respectively. To reduce Sb uptake and improve mineral availability for plants, a high accumulation of phenolics level and organic acids in the soil was observed. eCO2 reduces Sb-induced oxidative damage by improving redox status. In conclusion, our study has provided valuable insights into the physiological and biochemical bases underlie the Sb-stress mitigating of eCO2 conditions. Furthermore, this is important step to define strategies to prevent its adverse effects of Sb on plants in the future.

Lepidium sativum Sprouts Grown under Elevated CO2 Hyperaccumulate Glucosinolates and Antioxidants and Exhibit Enhanced Biological and Reduced Antinutritional Properties.

The nutritional and health-promoting properties of plants are largely determined by their tissue chemistry. Tuning growth conditions could affect the accumulation of phytochemicals and, therefore, enhance the biological activities. Herein, the impact of elevated CO2 (eCO2; 620 µmol CO2 mol-1 air) on growth and chemical composition of sprouts of three Lepidium sativum cultivars (Haraz, Khider and Rajab) was investigated. Changes in the sprout actions against some human chronic diseases were evaluated. eCO2 induced biomass accumulation (1.46-, 1.47- and 2-fold in Haraz, Khider and Rajab, respectively) and pigment accumulation and reduced the level of antinutrients in L. sativum cultivars. Compared to the control, eCO2 induced total glucosinolate accumulation (0.40-, 0.90- and 1.29-fold in Khider, Haraz and Rajab, respectively), possibly through increased amino acid production, and their hydrolysis by myrosinase. In line with increased polyphenol production, improved phenylalanine ammonia lyase activity was observed. The antioxidant, anti-inflammatory, hypocholesterolemic, antibacterial and anticancer activities of the produced sprouts were significantly improved by sprouting and eCO2 exposure. PCA indicated that the cultivars showed interspecific responses. Thus, the present study confirms the synergistic effect of sprouting with eCO2 exposure as a promising approach to produce more bioactive L. sativum sprouts.

Laser light as a promising approach to improve the nutritional value, antioxidant capacity and anti-inflammatory activity of flavonoid-rich buckwheat sprouts.

Buckwheat sprouts are rich in several nutrients such as antioxidant flavonoids that have a positive impact on human health. Although there are several studies reported the positive impact of laser light on crop plants, no studies have applied laser light to enhance the nutritive values of buckwheat sprouts. Herein, the contents of health-promoting minerals, metabolites and enzymes as well as the antioxidant and anti-inflammatory activities were determined in laser-treated (He-Ne laser, 632 nm, 5 mW) common buckwheat (CBW) and tartarybuckwheat (TBW) sprouts. Out of 49 targeted minerals, vitamins, pigments and antioxidants, more than 35 parameters were significantly increased in CBW and/or TBW sprouts by laser light treatment. Also, laser light boosted the antioxidant capacity and anti-inflammatory activities through inhibiting cyclooxygenase-2 and lipoxygenase activities, particularly in TBW sprouts. Accordingly, laser light could be recommended as a promising method to improve the nutritional and health-promoting values of buckwheat sprouts.

Influence of elevated CO2 on nutritive value and health-promoting prospective of three genotypes of Alfalfa sprouts (Medicago Sativa).

Alfalfa sprouts are well known for their nutritive values. Although there are several studies reported the positive impact of elevated CO2 (eCO2) on plants, there are no in-depth, comprehensive studies on how eCO2 could improve the sprouting of plant seeds. Herein, the production of health-promoting metabolites was determined in eCO2 (620 ppm)-treated Alfalfa sprout cultivars (Giza 1, Nubaria and Ismailia 1). eCO2 increased the photosynthetic process and pigment contents, which consequently induced carbohydrates, proteins, fats and fiber accumulation. eCO2 also boosted the levels of vitamins, phenolics, flavonoids and mineral individuals and enhanced the antioxidant capacity of alfalfa sprouts. Interestingly, eCO2 reduced the antinutritional factor l-canavanine content in Ismailia 1 cultivar and improved the anti-inflammatory activities through inhibiting cyclooxygenase-2 and lipoxygenase activity. Therefore, eCO2 is a promising approach to improve the health-promoting prospective of alfalfa sprouts to be a valuable source of nutritious and bioactive compounds in our daily diet.

Elevated CO2 improves glucosinolate metabolism and stimulates anticancer and anti-inflammatory properties of broccoli sprouts.

Sprouting process enhances plant bioactive compounds. Broccoli (Brassica oleracea L) sprouts are well known for their high levels of glucosinolates (GLs), amino acids, and antioxidants, which offer outstanding biological activities with positive impacts on plant metabolism. Elevated CO2 (eCO2, 620 ppm) was applied for 9 days to further improve nutritive and health-promoting values of three cultivars of broccoli sprouts i.e., Southern star, Prominence and Monotop. eCO2 improved sprouts growth and induced GLs accumulation e.g., glucoraphanin, possibly through amino acids production e.g., high methionine and tryptophan. There were increases in myrosinase activity, which stimulated GLs hydrolysis to yield health-promoting sulforaphane. Interestingly, low levels of ineffective sulforaphane nitrile were detected and positively correlated with reduced epithiospecifier protein after eCO2 treatment. High glucoraphanin and sulforaphane levels in eCO2 treated sprouts improved the anticarcinogenic and anti-inflammatory properties of their extracts. In conclusion, eCO2 treatment enriches broccoli sprouts with health-promoting metabolites and bioactivities.

Innovative application of helium-neon laser: enhancing the germination of Adansonia digitata and evaluating the hepatoprotective activities in mice.

The laser pretreatment of seed is drawing pronounced attention from the scientific community for its positive impact in boosting germination, seedling , and growth of plants. In this study, the laser pretreatment of Adansonia digitata (A. digitata) seeds was evaluated. Eight laser treatments were conducted at different powers, 10, 20, 40, and 80 mW, with the two-time interval for each power at 2 and 4 min. The outcomes indicated that the most efficient irradiation was 10 mW/2 min which induces the highest germination rate and polyphenolic contents for seeds. Based on these results, the animal experimental design was processed to assess the hepatoprotective activity of A. digitata extracts obtained through the optimum laser preillumination to enhance the resistance of liver damage in mice. The total phenol and flavonoid contents and the antioxidant properties of the methanolic extracts were estimated in vitro. The CCl4 was used to induce hepatotoxicity in mice. The animals were divided into five groups. The sera of the treated animals were used for the determination of transaminases, and the liver homogenates were used for the determination of antioxidant status, and further liver tissues were subjected to verify the anti-apoptotic effect of A. digitata methanolic extract. The in vivo results showed that the methanolic extract exposed to laser treatment at 10 mW/2 min provided better hepatoprotective capacity than the other treatments. Administration of A. digitata extract not only offered a significant decrease in liver enzyme activity but also markedly improved the antioxidant status and reduced the apoptotic progression induced by CCl4 toxicity in liver tissue.

Provenance effect on bioactive phytochemicals and nutritional and health benefits of the desert date Balanites aegyptiaca.

Balanites aegyptiaca L. is a multipurpose tree distributed in Africa and Middle East. Several parts of B. aegyptiaca have been suggested to have medicinal uses. So far the effect of ecological origin on the nutritional values and biological activities of B. aegyptiaca genotypes is rarely investigated. Further, metabolic profiling and assessment of the functional food value of B. aegyptiaca leaves are far from complete. In this study, biological activities and profiling of primary and secondary metabolites were investigated in the leaves of five B. aegyptiaca provenances collected from Egypt, Sudan, Saudi Arabia, and Yemen. Interestingly, all provenances showed notable antidiabetic, antioxidant, antiprotozoal, antibacterial, antifungal, and anticancer activities. Hierarchical clustering analysis revealed significant variability in the concentrations of individual sugars, organic acids, amino acids, fatty acids, vitamins, phenolics, and minerals among the provenances and these variations were provenance dependent. Medina provenance showed the heights diphenylpicrylhydrazyl (DPPH) scavenging and antifungal activities and was the most powerful against embryonic kidney adenocarcinoma and urinary bladder carcinoma cells. The highest inhibition against Escherichia coli and colon carcinoma cells was observed by Sudan and Cairo provenances. El-Kharga and Yemen provenances showed the greatest activity against Trypanosoma cruzi and hepatocellular and urinary bladder carcinoma. Therefore, leaves of B. aegyptiaca possess good nutritive and biological capacities and might have potential applications in the food and medical industries. However, the strength of such activities is significantly affected by the provenance. PRACTICAL APPLICATIONS: According to the national Research Council (NRC) of United States, Balanites aegyptiaca L. is recognized among the 24 priority lost crops of Africa. B. aegyptiaca leaves contain considerable amounts of primary metabolites (e.g., sugars, EAAs, USFAs) and secondary (e.g., phenolic acids and flavonoids) metabolites, vitamins, and macro and microelements. The obvious existence of these nutritionally and medicinally related compounds supports the functional food value of B. aegyptiaca leaves. Moreover, the present results revealed that B. aegyptiaca is not only a foliage dietary plant, but also could be considered as a valuable source for neutraceuticals, which support its pharmacological value. So far, this is the first report to explore, in detail, the functional food value of B. aegyptiaca leaves by presenting a clear image about its metabolic profiling and biological activities, and how the provenance factor could affect these values.