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1.
Cell ; 170(1): 127-141.e15, 2017 Jun 29.
Artigo em Inglês | MEDLINE | ID: mdl-28666115

RESUMO

Homeostatic programs balance immune protection and self-tolerance. Such mechanisms likely impact autoimmunity and tumor formation, respectively. How homeostasis is maintained and impacts tumor surveillance is unknown. Here, we find that different immune mononuclear phagocytes share a conserved steady-state program during differentiation and entry into healthy tissue. IFNγ is necessary and sufficient to induce this program, revealing a key instructive role. Remarkably, homeostatic and IFNγ-dependent programs enrich across primary human tumors, including melanoma, and stratify survival. Single-cell RNA sequencing (RNA-seq) reveals enrichment of homeostatic modules in monocytes and DCs from human metastatic melanoma. Suppressor-of-cytokine-2 (SOCS2) protein, a conserved program transcript, is expressed by mononuclear phagocytes infiltrating primary melanoma and is induced by IFNγ. SOCS2 limits adaptive anti-tumoral immunity and DC-based priming of T cells in vivo, indicating a critical regulatory role. These findings link immune homeostasis to key determinants of anti-tumoral immunity and escape, revealing co-opting of tissue-specific immune development in the tumor microenvironment.


Assuntos
Interferon gama/imunologia , Melanoma/imunologia , Monócitos/imunologia , Metástase Neoplásica/patologia , Neoplasias Cutâneas/imunologia , Proteínas Supressoras da Sinalização de Citocina/metabolismo , Microambiente Tumoral , Animais , Diferenciação Celular , Células Dendríticas/imunologia , Homeostase , Humanos , Melanoma/genética , Melanoma/patologia , Camundongos , Monócitos/patologia , Análise de Sequência de RNA , Análise de Célula Única , Neoplasias Cutâneas/genética , Neoplasias Cutâneas/patologia , Transcriptoma
2.
PLoS Pathog ; 18(11): e1010915, 2022 11.
Artigo em Inglês | MEDLINE | ID: mdl-36322537

RESUMO

The clinical presentation of MIS-C overlaps with other infectious/non-infectious diseases such as acute COVID-19, Kawasaki disease, acute dengue, enteric fever, and systemic lupus erythematosus. We examined the ex-vivo cellular parameters with the aim of distinguishing MIS-C from other syndromes with overlapping clinical presentations. MIS-C children differed from children with non-MIS-C conditions by having increased numbers of naïve CD8+ T cells, naïve, immature and atypical memory B cells and diminished numbers of transitional memory, stem cell memory, central and effector memory CD4+ and CD8+ T cells, classical, activated memory B and plasma cells and monocyte (intermediate and non-classical) and dendritic cell (plasmacytoid and myeloid) subsets. All of the above alterations were significantly reversed at 6-9 months post-recovery in MIS-C. Thus, MIS-C is characterized by a distinct cellular signature that distinguishes it from other syndromes with overlapping clinical presentations. Trial Registration: ClinicalTrials.gov clinicaltrial.gov. No: NCT04844242.


Assuntos
COVID-19 , Lúpus Eritematoso Sistêmico , Criança , Humanos , Linfócitos T CD8-Positivos , Síndrome de Resposta Inflamatória Sistêmica/diagnóstico
3.
Dent Traumatol ; 40(1): 91-110, 2024 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-37638637

RESUMO

BACKGROUND/AIM: Individuals with special healthcare needs (SHCN) are more likely to sustain traumatic dental injuries (TDIs) due to distinct risk factors. The aim of this review was to assess various risk factors associated with TDIs in individuals with SHCN. MATERIALS AND METHODS: The protocol was designed according to the recommendations of the Cochrane-handbook, Joanna Briggs Institute, and the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines and registered in PROSPERO (CRD42022357422). A comprehensive search was performed in PubMed, LILACS, Web of Science, EMBASE and Scopus using a pre-defined strategy without any limitation of language and year of publication. It was last updated on 25 April 2023. Studies addressing the TDIs in individuals with SHCN were included. Data extraction and analyses were performed, risk of bias (ROB) assessment was done using the Joanna Briggs Institute's critical appraisal tool, and a meta-analysis was performed using random-effects model. RESULTS: A total of 21 studies were included in the review. They were categorized according to the target disease/condition: cerebral palsy (n = 5), ADHD and autism spectrum disorders (n = 5), visually impaired (n = 4), and multiple disorders (n = 7). The studies showed variability in the design and methods; however, 17 out of 21 studies showed moderate to low ROB. Increased overjet and lip incompetence were the main risk factors reported in the studies. The commonest injuries were observed to be enamel and enamel and dentine fractures. CONCLUSION: The overall pooled prevalence of TDI in individuals with special healthcare needs was 23.16% with 20.98% in males and 27.06% in females. Overjet >3 mm and inadequate lip coverage were found to be associated with a higher risk of TDI in all the categories of individuals with special healthcare needs except ADHD and ASD. Falls at home in cerebral palsy, falls while walking and self-harm in ADHD and ASD, falls at home and collision in visual impairment, and unspecified falls in multiple disorders could be identified as the most common cause of TDI.


Assuntos
Traumatismos Dentários , Feminino , Humanos , Masculino , Paralisia Cerebral/complicações , Atenção à Saúde , Sobremordida , Fatores de Risco , Traumatismos Dentários/complicações , Traumatismos Dentários/epidemiologia , Transtornos do Neurodesenvolvimento/complicações , Transtornos da Visão/complicações
4.
Mol Biol Rep ; 50(2): 1727-1741, 2023 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-36441373

RESUMO

Lung cancer is the most devastating cause of death among all cancers worldwide, and non-small cell lung cancer (NSCLC) accounts for 80% of all the lung cancer cases. Beyond common genetic research and epigenomic studies, the extraordinary investigations of non-coding RNAs have provided insights into the molecular basis of cancer. Existing evidence from various cancer models highlights that the regulation of non-coding RNAs is crucial and that their deregulation may be a common reason for the development and progression of cancer, and competition of cancer therapeutics. Non-coding RNAs, such as long non-coding RNAs (lncRNAs) and microRNAs (miRNAs), are increasingly recognized as potential cancer biomarkers for early detection and application of therapeutic strategies. The miRNAs have gained importance as master regulators of target mRNAs by negatively regulating their expression. The lncRNAs function as both tumor suppressors and oncogenes, and also compete with miRNAs that influence the translational inhibition processes. This review addresses the role of lncRNAs in lung cancer development, highlights their mechanisms of action, and provides an overview of the impact of lncRNAs on lung cancer survival and progression via miRNA sponging. The improved understanding of lung cancer mechanisms has opened opportunities to analyze molecular markers and their potential therapeutics.


Assuntos
Carcinoma Pulmonar de Células não Pequenas , Neoplasias Pulmonares , MicroRNAs , RNA Longo não Codificante , Humanos , MicroRNAs/genética , MicroRNAs/metabolismo , Neoplasias Pulmonares/patologia , RNA Longo não Codificante/genética , RNA Longo não Codificante/metabolismo , Carcinoma Pulmonar de Células não Pequenas/genética , Regulação Neoplásica da Expressão Gênica/genética
5.
Indian J Public Health ; 67(1): 170-173, 2023.
Artigo em Inglês | MEDLINE | ID: mdl-37039226

RESUMO

Socio-ecological determinants of high myopia incidence among school students largely remain unexplored, especially in developing countries. A cross-sectional study was conducted in rural schools in North India to assess the relationship between these determinants and myopia among adolescent students. A public health nurse used a pre-tested questionnaire (demographics, family ocular status, and screen time) and Snellen's chart for testing visual acuity, and referred suspected cases for cycloplegic refraction assessment. Among the total of 955 students, the median (range) age was 14 (13-15) years. The prevalence of myopia was 5.03% (95% confidence interval [CI]: 4.99-5.07). Myopia was found to be associated with computer usage at school (P = 0.058), malnutrition (P = 0.001), and familial myopia (P = 0.079) in the bivariate analysis. Significant predictors of myopia in the regression model were females (odd ratio [OR]: 6.29; 95% CI: 2.69-14.72), higher maternal age (OR: 1.09; 95% CI: 1-1.17), and reading distance <20 cm (OR: 1.98; 95% CI: 1.01-3.87).


Assuntos
Miopia , Refração Ocular , Feminino , Adolescente , Humanos , Masculino , Estudos Transversais , Papel do Profissional de Enfermagem , Índia/epidemiologia , Miopia/epidemiologia , Estudantes , Prevalência
6.
Chem Rec ; 22(11): e202200136, 2022 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-35866502

RESUMO

Magnesium phosphate (MgP) is a family of newly developed resorbable bioceramics for bone tissue engineering. Although calcium phosphates (CaP) are the most commonly used bioceramics, low solubility, and slow degradation, when implanted in vivo, are their main drawbacks. Magnesium (Mg) is an essential element in the human body as it plays important role in bone metabolism, DNA stabilization, and skeletal development. Recent research on magnesium phosphates has established their higher degradability, in vitro, and in vivo biocompatibility. Compared to CaP, very limited research work has been found in the area of MgP. The prime goal of this review is to bring out the importance of magnesium phosphate ceramics for biomedical applications. In this review, we have discussed the synthesis methods, mechanical properties, in vitro and in vivo biocompatibility of MgP bioceramics. Moreover, we have highlighted the recent developments in metal ion-doped MgPs and MgP scaffolds for bone tissue engineering.


Assuntos
Magnésio , Engenharia Tecidual , Humanos , Engenharia Tecidual/métodos , Materiais Biocompatíveis/farmacologia , Fosfatos
7.
Indian J Med Res ; 155(1): 156-164, 2022 01.
Artigo em Inglês | MEDLINE | ID: mdl-35859441

RESUMO

Background & objectives: COVID-19 pandemic has triggered social stigma towards individuals affected and their families. This study describes the process undertaken for the development and validation of scales to assess stigmatizing attitudes and experiences among COVID-19 and non-COVID-19 participants from the community. Methods: COVID-19 Stigma Scale and Community COVID-19 Stigma Scale constituting 13 and six items, respectively, were developed based on review of literature and news reports, expert committee evaluation and participants' interviews through telephone for a multicentric study in India. For content validity, 61 (30 COVID-19-recovered and 31 non-COVID-19 participants from the community) were recruited. Test-retest reliability of the scales was assessed among 99 participants (41 COVID-19 recovered and 58 non-COVID-19). Participants were administered the scale at two-time points after a gap of 7-12 days. Cronbach's alpha, overall percentage agreement and kappa statistics were used to assess internal consistency and test-retest reliability. Results: Items in the scales were relevant and comprehensible. Both the scales had Cronbach's α above 0.6 indicating moderate-to-good internal consistency. Test-retest reliability assessed using kappa statistics indicated that for the COVID-19 Stigma Scale, seven items had a moderate agreement (0.4-0.6). For the Community COVID-19 Stigma Scale, four items had a moderate agreement. Interpretation & conclusions: Validity and reliability of the two stigma scales indicated that the scales were comprehensible and had moderate internal consistency. These scales could be used to assess COVID-19 stigma and help in the development of appropriate stigma reduction interventions for COVID-19 infected, and mitigation of stigmatizing attitudes in the community.


Assuntos
COVID-19 , Estigma Social , Humanos , Índia/epidemiologia , Pandemias , Psicometria , Reprodutibilidade dos Testes , Inquéritos e Questionários
8.
Arch Microbiol ; 203(10): 6253-6265, 2021 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-34591146

RESUMO

The present study aimed to evaluate the microplastic degradation efficiency of bacterial isolates collected from Vaigai River, Madurai, India. The isolates were processed with proper methods and incorporated in to the UV-treated polyethylene (PE) and polypropylene (PP) degradation. Based on preliminary screening, four bacterial isolates such as Bacillus sp. (BS-1), Bacillus cereus (BC), Bacillus sp. (BS-2), and Bacillus paramycoides (BP) were proceed to further degradation experiment for 21 days. The microplastics were filled with bacterial isolates which is use microplastic (PE, PP) as carbon source for their growth and proceed for shake flask experiment were carried out by two approaches with control. The microplastic degradation was confirmed through their weight loss, increasing fragmentations and changes of surface area against control experiments (microplastic without isolates) also confirms degrading efficiency of isolated bacterial strains through non-changes in their weight and surface area. The highest degradation of PP and PE were observed in BP (78.99 ± 0.005%), and BC (63.08 ± 0.009%) in single approach, while in combined approach BC & BP recorded the highest degradation in both PP (78.62 ± 2.16%), and PE (72.50 ± 20.53%). The formation of new functional groups is confirming the biofilm formation in the surface area of microplastics by isolates and proving their efficiency in degrade the microplastics. The degradation of microplastic experiments should be cost effective and zero waste which is helpful to save the environment and the present findings could reveal the way to degrade the microplastics and prevent the microplastic pollution in aquatic environment.


Assuntos
Rios , Poluentes Químicos da Água , Bacillus , Monitoramento Ambiental , Índia , Plásticos , Polietileno , Polipropilenos , Poluentes Químicos da Água/análise
9.
Arch Microbiol ; 204(1): 84, 2021 Dec 27.
Artigo em Inglês | MEDLINE | ID: mdl-34958418

RESUMO

The effect of microplastic adsorption on marine microalgae Tetraselmis suecica, Amphora subtropica, and copepod Pseudodiaptomus annandalei was investigated in the present study. Fluorescence microscopic images were used to evaluate MP interactions with algae and copepods. T. suecica growth rate decreased with effects of 0.1 µm polystyrene exposure to 75 µl/100 ml (0.899 to 0.601 abs), 50 µl/100 ml (0.996 to 0.632 abs) and 25 µl/100 ml (0.996 to 0.632 abs), respectively. On the other hand, at 10th day of experiment, the control T. suecica showed the highest growth rate (0.965 abs), chlorophyll concentration (Chl-'a' = 21.36 µg/L; Chl-'b' = 13.65 µg/L), and cell density (3.3 × 106 cells/ml). A marine diatom A. subtropica absorbed 2.0 µm microplastics, and the maximal inhibition rate increased at higher MP concentration until 10th day. The highest MPs (75 µl/100 ml) treatment resulted in decreased growth rate of A. subtropica from 0.163 to 0.096 abs. A. subtropica (without MPs) had the highest lipid concentration of 27.15%, whereas T. suecica had the lowest lipid concentration of 11.2% (without MP). The maximum survival (80%) of P. annandalei was found in control on 15th day whereas on 12th day, the microplastics ingested copepod had the lowest survival rate (0%). On 15th day, the maximum Nauplii Production Rate (NPR) (19.33) female-1 was observed in control, whereas the minimum (17.33) female-1 NPR was observed in copepod ingested with MPs. The maximum lipid production (17.33% without MPs) was reported in control, whereas MPs fed copepods had the lowest lipid production (16%). Long-term exposure to polystyrene microplastics significantly reduced algae growth and chlorophyll concentration and also NPR and lipid concentration rate of copepod. We inferred that microplastic exposure of algae and copepods might results in persistent decreases in ingested carbon biomass over time.


Assuntos
Copépodes , Poluentes Químicos da Água , Animais , Feminino , Microplásticos , Fitoplâncton , Plásticos , Poliestirenos , Poluentes Químicos da Água/análise
10.
Arch Microbiol ; 203(9): 5647-5659, 2021 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-34463810

RESUMO

The present study was aimed to assess the effect of gibberellic acids to enhance the growth, biomass, pigment, and exopolysaccharides production in Tetraselmis suecica under reciprocal nitrogen concentrations. For this study, the seven types of experimental media (N-P, NL-P/2GA3, N0-P/2GA3, NL-P/4GA3, N0-P/4GA3, NL-P/6GA3, and N0-P/6GA3) were prepared with the addition of gibberellic acids under various nitrogen concentrations. The experiment lasted for 15 days and the cell density, biomass, chlorophyll 'a', and exopolysaccharides (EPS) concentration of T. suecica were estimated for every 3 days. Then the EPS was subjected to the analyses of chemical (carbohydrate, protein, sulfate, and uronic acid), and antioxidant activity. In addition, nutrient removal efficiency was evaluated using different concentration of EPS. The highest DPPH (2,2-diphenyl-1-picrylhydrazyl) (86.7 ± 0.95%) and hydroxyl radical activity (85.7 ± 2.48%) were observed at the EPS concentrations 2.5 and 1.2 mg/mL, respectively. The immobilized magnetic Fe3O4-EPS (ferric oxide-exopolysaccharides) nanoparticles (5.0 and 10.0 g/L) have efficiently removed the excessive phosphate (89.5 ± 1.65%) and nitrate (73.5 ± 1.72%) from the Litopenaeus vannamei cultured wastewater. Thus, the application of gibberellic acids combined with limited nitrogen concentration could produce higher EPS that could exhibit excellent antioxidant activity, and nutrient removal efficacy in the form of Fe3O4-EPS magnetic nanoparticles.


Assuntos
Antioxidantes , Nanopartículas de Magnetita , Antioxidantes/farmacologia , Ferro , Nitrogênio , Nutrientes
11.
Indian J Med Res ; 153(5&6): 671-676, 2021 05.
Artigo em Inglês | MEDLINE | ID: mdl-34528524

RESUMO

Background & objectives: Vaccination against SARS-CoV-2 is a recommendation from the World Health Organization as the foremost preference in the current situation to control the COVID-19 pandemic. BBV152 is one of the approved vaccines against SARS-CoV-2 in India. In this study, we determined SARS-CoV-2-specific antibody levels at day 0 (baseline, before vaccination), day 28 ± 2 post-first dose (month 1) and day 56 ± 2 post-first dose (month 2) of BBV152 whole-virion-inactivated SARS-CoV-2 recipients, and compared the antibody responses of individuals with confirmed pre-vaccination SARS-CoV-2 infection to those individuals without prior evidence of infection. Methods: Blood samples were collected from 114 healthcare professionals and frontline workers who received BBV152 vaccine from February to May & June 2021. Prior infection with SARS-CoV-2 was determined at baseline. Serum samples were used to estimate SARS-CoV-2 nucleoprotein-specific IgG [IgG (N)], spike protein-specific IgG [IgG (S)] and neutralizing antibodies (NAb). Results: Participants with previous SARS-CoV-2 infection after a single vaccine dose elicited IgG (N) and IgG (S) antibody levels along with NAb binding inhibition responses levels were similar to infection-naïve vaccinated participants who had taken two doses of vaccine. Interpretation & conclusions: Our preliminary data suggested that a single dose of BBV152-induced humoral immunity in previously infected individuals was equivalent to two doses of the vaccine in infection-naïve individuals. However, these findings need to be confirmed with large sized cohort studies.


Assuntos
Formação de Anticorpos , Vacinas contra COVID-19 , COVID-19 , Anticorpos Antivirais , Humanos , Pandemias , Projetos Piloto , SARS-CoV-2
12.
Int Arch Occup Environ Health ; 94(6): 1147-1171, 2021 08.
Artigo em Inglês | MEDLINE | ID: mdl-33725176

RESUMO

Zoonotic tuberculosis caused by Mycobacterium bovis (M. bovis), a member of Mycobacterium tuberculosis complex (MTBC) has increasingly gathered attention as a public health risk, particularly in developing countries with higher disease prevalence. M. bovis is capable of infecting multiple hosts encompassing a number of domestic animals, in particular cattle as well as a broad range of wildlife reservoirs. Humans are the incidental hosts of M. bovis whereby its transmission to humans is primarily through the consumption of cattle products such as unpasteurized milk or raw meat products that have been contaminated with M. bovis or the transmission could be due to close contact with infected cattle. Also, the transmission could occur through aerosol inhalation of infective droplets or infected body fluids or tissues in the presence of wound from infected animals. The zoonotic risk of M. bovis in humans exemplified by miscellaneous studies across different countries suggested the risk of occupational exposure towards M. bovis infection, especially those animal handlers that have close and unreserved contact with cattle and wildlife populations These animal handlers comprising of livestock farmers, abattoir workers, veterinarians and their assistants, hunters, wildlife workers as well as other animal handlers are at different risk of contracting M. bovis infection, depending on the nature of their jobs and how close is their interaction with infected animals. It is crucial to identify the underlying transmission risk factors and probable transmission pathways involved in the zoonotic transmission of M. bovis from animals to humans for better designation and development of specific preventive measures and guidelines that could reduce the risk of transmission and to protect these different occupational-related/populations at risk. Effective control and disease management of zoonotic tuberculosis caused by M. bovis in humans are also hindered by various challenges and factors involved at animal-human interface. A closer look into factors affecting proper disease control and management of M. bovis are therefore warranted. Hence, in this narrative review, we have gathered a number of different studies to highlight the risk of occupational exposure to M. bovis infection and addressed the limitations and challenges underlying this context. This review also shed lights on various components and approaches in tackling M. bovis infection at animal-human interface.


Assuntos
Mycobacterium bovis , Exposição Ocupacional , Tuberculose/transmissão , Animais , Humanos
13.
World J Microbiol Biotechnol ; 37(11): 192, 2021 Oct 12.
Artigo em Inglês | MEDLINE | ID: mdl-34637049

RESUMO

In India, the tribal population constitutes almost 8.6% of the nation's total population. Despite their large presence, there are only a few reports available on Mycobacterium tuberculosis (M. tb) strain prevalence in Indian tribal communities considering the mobile nature of this population and also the influence of the mainstream populations they coexist within many areas for their livelihood. This study attempts to provide critical information pertaining to the TB strain diversity, its public health implications, and distribution among the tribal population in eleven Indian states and Andaman & Nicobar (A&N) Island. The study employed a population-based molecular approach. Clinical isolates were received from 66 villages (10 states and Island) and these villages were selected by implying situation analysis. A total of 78 M. tb clinical isolates were received from 10 different states and A&N Island. Among these, 16 different strains were observed by spoligotyping technique. The major M. tb strains spoligotype belong to the Beijing, CAS1_DELHI, and EAI5 family of M. tb strains followed by EAI1_SOM, EAI6_BGD1, LAM3, LAM6, LAM9, T1, T2, U strains. Drug-susceptibility testing (DST) results showed almost 15.4% of clinical isolates found to be resistant to isoniazid (INH) or rifampicin (RMP) + INH. Predominant multidrug-resistant (MDR-TB) isolates seem to be Beijing strain. Beijing, CAS1_DELHI, EAI3_IND, and EAI5 were the principal strains infecting mixed tribal populations across India. Despite the small sample size, this study has demonstrated higher diversity among the TB strains with significant MDR-TB findings. Prevalence of Beijing MDR-TB strains in Central, Southern, Eastern India and A&N Island indicates the transmission of the TB strains.


Assuntos
Etnicidade , Mycobacterium tuberculosis/classificação , Mycobacterium tuberculosis/genética , Tuberculose Pulmonar/epidemiologia , Tuberculose Pulmonar/microbiologia , Antituberculosos/farmacologia , Proteínas de Bactérias/genética , Técnicas de Tipagem Bacteriana , RNA Polimerases Dirigidas por DNA/genética , Farmacorresistência Bacteriana , Farmacorresistência Bacteriana Múltipla , Feminino , Genes Bacterianos , Humanos , Índia/epidemiologia , Ilhas , Masculino , Mycobacterium tuberculosis/efeitos dos fármacos , Mycobacterium tuberculosis/isolamento & purificação , Filogenia , Prevalência , Tuberculose Resistente a Múltiplos Medicamentos/epidemiologia , Tuberculose Resistente a Múltiplos Medicamentos/microbiologia
14.
Niger J Clin Pract ; 24(11): 1641-1644, 2021 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-34782502

RESUMO

BACKGROUND: Chronic otitis media (COM) remains a major public health issue and is associated with relentless discharge from the ear, pain, significant functional limitation of hearing, leading to communication problems and frequent specialist visits. AIMS: To assess the improvement in quality of life of patients of COM (safe type) and surgical success in terms of graft uptake and improvement in hearing. PATIENTS AND METHODS: A prospective questionnaire-based outcome study was directed in 100 patients with COM who were treated with Type I Tympanoplasty at our institution between May 2018 and May 2020. All patients were asked to fill Modified Chronic Otitis Media 4 (COM-4) survey before operation and 3 months after operation. Preoperative and postoperative total ear scores, audiological results, postoperative graft uptake were assessed. RESULTS: The correlation between preoperative and postoperative assessment by questionnaire was statistically critical (P < 0.001). There was significant improvement in hearing postoperatively (P < 0.001). Effective graft uptake was seen in 80%. CONCLUSION: The current study emphasizes that Type 1 Tympanoplasty fundamentally improves quality of life of patients in terms of physical suffering, hearing loss, emotional distress postoperatively.


Assuntos
Otite Média , Qualidade de Vida , Doença Crônica , Humanos , Otite Média/cirurgia , Estudos Prospectivos , Resultado do Tratamento , Timpanoplastia
15.
Indian J Med Res ; 151(4): 361-370, 2020 04.
Artigo em Inglês | MEDLINE | ID: mdl-32461400

RESUMO

Background & objectives: Drug resistance surveillance offers useful information on trends of drug resistance and the efficacy of control measures. Studies and reports of drug-resistant mutations and phenotypic assays thus become important. This study was conducted to investigate the molecular characteristics of ofloxacin (OFX)-resistant, multidrug-resistant tuberculosis (MDR-TB) isolates from different geographical regions of India and their association with strains of different genotypes. Further, the nitrate reductase assay (NRA) was tested against Mycobacteria Growth Indicator Tube(MGIT) for the determination of OFX resistance as an alternative and cost-effective method. Methods: A total of 116 Mycobacterium tuberculosis isolates were used to assess the mutations in the gyrA, gyrB genes and resistance levels to OFX. Mutational analysis in gyrA and gyrB genes and genotype analysis of M. tuberculosis isolates was done by gene-specific polymerase chain reaction (PCR) followed by DNA sequencing and spoligotyping, respectively. Results: Three (6.25%), 12 (44.44%) and 12 (29.27%) MDR-TB isolates from western, northern and southern India, respectively, were found to be OFX-resistant MDR-TB isolates. OFX resistance was observed to be significantly higher in MDR-TB cases for all study regions. Beijing genotypes from northern India were observed to be associated with OFX-resistant MDR-TB cases (P <0.05). Among 35 (30.15%) phenotypically OFX-resistant isolates, 22 (62.86%) had mutations in the gyrA gene and two (5.71%) isolates had mutations in the gyrB gene. Interpretation & conclusions: These results caution against the PCR-based prediction of OFX resistance patterns and highlight the need for searching other genetic loci for the detection of mutations conferring resistance to OFX in M. tuberculosis. Our study also showed the usefulness of NRA as an alternative method to detect OFX resistance.


Assuntos
Antituberculosos/farmacologia , Farmacorresistência Bacteriana Múltipla/genética , Mycobacterium tuberculosis/efeitos dos fármacos , Mycobacterium tuberculosis/genética , Ofloxacino/farmacologia , Reação em Cadeia da Polimerase/métodos , Adolescente , Adulto , Antituberculosos/uso terapêutico , Feminino , Genótipo , Humanos , Índia/epidemiologia , Masculino , Testes de Sensibilidade Microbiana/métodos , Pessoa de Meia-Idade , Mutação/efeitos dos fármacos , Mycobacterium tuberculosis/isolamento & purificação , Peptídeo Hidrolases , Tuberculose Resistente a Múltiplos Medicamentos/tratamento farmacológico , Tuberculose Resistente a Múltiplos Medicamentos/epidemiologia , Tuberculose Resistente a Múltiplos Medicamentos/genética , Tuberculose Resistente a Múltiplos Medicamentos/microbiologia , Adulto Jovem
16.
Mikrochim Acta ; 187(10): 585, 2020 09 30.
Artigo em Inglês | MEDLINE | ID: mdl-32997226

RESUMO

The fabrication of a nanointerfaced electrochemical immunosensor is described for the rapid determination of cystatin C, a biomarker that is elevated in diabetic retinopathy. A dispersion of graphene oxide-chitosan (GO-Chit) nanocomposite was used to modify the carbon working electrode, allowing for a high conjugation of anti-cystatin C antibody. This modified sensor was characterized both morphologically and electrochemically, and the sensor performance was evaluated towards selective quantification of cystatin C in simulated as well as serum samples using cyclic voltammetry and differential pulse voltammetry. The sensor was able to detect cystatin C in the concentration range1 - 10 mg/L with a detection limit of 0.0078 mg/L. The preparation time of the sensor was 420 s, which was faster than that of conventional ELISA and other electrochemical sensors reported in literature. The clinical applicability of the proposed electrochemical biosensor was demonstrated through quantification of cystatin C in human serum samples and identification of diabetic retinopathy. A cutoff value of 1.2 mg/L of cystatin C was used beyond which the samples were classified as positive for diabetic retinopathy. Two different working electrodes, namely a glassy carbon electrode (GCE) and paper electrodes, were used in the study. The working potential was set to 0.25 V vs. Ag/AgCl for experiments with the GCE and 0.15 V for the paper electrodes. The prediction was validated by clinical diagnosis wherein the prediction accuracy of the sensor exceeded 85%. The sensor platform was translated onto a paper substrate and characterized for achieving an optimum sensing performance. This work is the first attempt to employ an electrochemical cystatin C sensor for the diagnosis of diabetic retinopathy from serum samples. Graphical abstract.


Assuntos
Cistatina C/química , Técnicas Eletroquímicas/métodos , Microfluídica/métodos , Humanos
17.
Sensors (Basel) ; 20(1)2019 Dec 23.
Artigo em Inglês | MEDLINE | ID: mdl-31878023

RESUMO

Metabolic syndrome is a condition that results from dysfunction of different metabolic pathways leading to increased risk of disorders such as hyperglycemia, atherosclerosis, cardiovascular diseases, cancer, neurodegenerative disorders etc. As this condition cannot be diagnosed based on a single marker, multiple markers need to be detected and quantified to assess the risk facing an individual of metabolic syndrome. In this context, chemical- and bio-sensors capable of detecting multiple analytes may provide an appropriate diagnostic strategy. Research in this field has resulted in the evolution of sensors from the first generation to a fourth generation of 'smart' sensors. A shift in the sensing paradigm involving the sensing element and transduction strategy has also resulted in remarkable advancements in biomedical diagnostics particularly in terms of higher sensitivity and selectivity towards analyte molecule and rapid response time. This review encapsulates the significant advancements reported so far in the field of sensors developed for biomarkers of metabolic syndrome.

18.
Acta Virol ; 63(2): 139-148, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31230442

RESUMO

The pumpkin leaf curl disease is an emerging disease of pumpkin in Assam, India. Symptomatic pumpkin leaf samples from different locations were immunologically tested using Begomovirus specific antibody. PCR with the ELISA-positive samples, using Geminivirus universal primers amplified 1.4 kb virus-specific fragments. Sequence of these amplicons showed around 95% identity with squash leaf curl China virus-[Pumpkin: Varanasi] (SLCCV-Pumpkin: Varanasi EU573715). To investigate the possible functions of the viral proteins present in the fragment, the full-length C2 and C3 genes were conceptually translated and were subjected to in silico proteomic analyses. The phylogenetic analysis of both the proteins divulged the relationship of our isolate with related viruses and isolates. Multiple sequence alignment (MSA) of the proteins revealed the presence of the known viral conserved motifs, viz., zinc-finger (ZNF) motif [36CXCX(7)CX(6)H53], the arginine-rich nuclear localization signal (NLS) motif (28RRRR31) as well as the minimal activation domain in C2 protein. In the C3 protein, the 91LKYLD95 and the replication enhancer motif (30YFK32) were found to be conserved. Finally, 3-D models of the two proteins were predicted via ab initio approach and subsequently, the models were validated. To our knowledge, this study is a pioneering attempt to construct the ab initio 3-D models of two begomoviral proteins taking a SLCCV isolate as a model. Keywords: begomovirus; ELISA; ZNF motif; NLS motif; ab initio modelling.


Assuntos
Begomovirus , Simulação por Computador , Cucurbita , Proteínas Virais , Begomovirus/classificação , Begomovirus/genética , Cucurbita/virologia , Índia , Filogenia , Proteômica , Análise de Sequência de DNA , Proteínas Virais/genética
19.
Langmuir ; 34(24): 7048-7058, 2018 06 19.
Artigo em Inglês | MEDLINE | ID: mdl-29792028

RESUMO

Owing to the versatility and biocompatibility, a self-polymerized DA (in the presence of air at pH 8.5 tris buffer solution) as a polydopamine (pDA) film has been used for a variety of applications. Indeed, instability under electrified condition (serious surface-fouling) and structural ambiguity of the pDA have been found to be unresolved problems. Previously, pDA films (has hygroscopic and insoluble property) prepared by various controlled chemical oxidation methods have been examined for the structural analysis using ex situ solid-state NMR and mass spectroscopic techniques. In this work, a new in situ approach has been introduced using an electrochemical quartz crystal microbalance (EQCM) technique for the improved structural elucidation of pDA that has been formed by a controlled electrochemical oxidation of DA on a carboxylic acid functionalized multiwalled carbon nanotube-Nafion (cationic perfluoro polymer) modified electrode (f-MWCNT-Nf) system in pH 7 phosphate buffer solution. Key intermediates like 5,6-dihydroxy indole (DHI; 150.7 g mol-1), dopamine (154.1 g mol-1), Na+, PO42-, and polymeric product of high molecular weight, 2475 g mol-1, have been trapped on f-MWCNT-Nf surface via π-π (sp2 carbon of MWCNT and aromatic e-s), covalent (amide-II bonding, minimal), hydrogen, and ionic bonding and identified its molecular weights successfully. The new pDA film system showed well-defined peaks at E°' = 0.25 V and -0.350 vs Ag/AgCl corresponding to the surface-confined dopamine/dopamine quinone and DHI/5,6-indolequinone redox transitions without any surface-fouling complication. As an electroanalytical application of pDA, selective recognition of Pb2+ ion via {(pDA)-hydroquinone-Pb0} complexation with detection limit (signal-to-noise ratio = 3) 840 part-per-trillion has been demonstrated.


Assuntos
Dopamina/química , Técnicas Eletroquímicas , Indóis/síntese química , Íons/química , Chumbo/química , Polímeros/síntese química , Eletrodos , Nanotubos de Carbono , Oxirredução , Polímeros/química
20.
Analyst ; 143(13): 3114-3123, 2018 Jul 07.
Artigo em Inglês | MEDLINE | ID: mdl-29868662

RESUMO

The sulfide ion and its associated species (H2S and HS-) are widely referred to as toxic chemicals. However, at concentrations of ∼10-100 µM, it serves as a neurotransmitter and signaling agent in biological systems. Abnormalities in blood serum sulfide can be an indication of several diseases, including diabetes, wherein there is a significant reduction in the sulfide ion concentration (<10 µM). Herein, we wish report a 9,10-phenanthrenequinone (PQn) tethered graphene oxide (GO) modified glassy carbon electrode (GCE/GO@PQn) for the highly selective and stable electrocatalytic oxidation and flow injection analysis (FIA) of sulfide ions. The electrode exhibits a detection range of 1-100 µM, and is suitable for the common biochemical interference-free detection of blood serum sulfide in pH 7 phosphate buffer solution. The modified electrode was found to be tolerant of interfering chemicals such as cysteine, uric acid, ascorbic acid, nitrate, glucose, hydrogen peroxide, nitrate, nitrite and dissolved oxygen. This is unlike conventional redox mediator modified electrodes, which all show marked interference with the above-mentioned chemicals during sulfide detection. A constructed FIA calibration plot (applied potential, Eapp = 0.15 V vs. Ag/AgCl) was linear in the sulfide concentration ranges of 1-100 µM (1st region) and 300 µM-5 mM (2nd region) with a detection limit value of 700 nM. The selective and quick FIA of sulfide ions in three diabetic patient blood samples along with a control was demonstrated as a proof of concept.

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