Gut Microbiome and Polycystic Ovary Syndrome: Interplay of Associated Microbial-Metabolite Pathways and Therapeutic Strategies

Polycystic ovary syndrome (PCOS) is a multifaceted disease with an intricate etiology affecting reproductive-aged women. Despite attempts to unravel the pathophysiology, the molecular mechanism of PCOS remains unknown. There are no effective or suitable therapeutic strategies available to ameliorate PCOS; however, the symptoms can be managed. In recent years, a strong association has been found between the gut microbiome and PCOS, leading to the formulation of novel ideas on the genesis and pathological processes of PCOS. Further, gut microbiome dysbiosis involving microbial metabolites may trigger PCOS symptoms via many mechanistic pathways including those associated with carbohydrates, short-chain fatty acids, lipopolysaccharides, bile acids, and gut-brain axis. We present the mechanistic pathways of PCOS-related microbial metabolites and therapeutic opportunities available to treat PCOS, such as prebiotics, probiotics, and fecal microbiota therapy. In addition, the current review highlights the emerging treatment strategies available to alleviate the symptoms of PCOS.

Clinical and CT Scan Evaluation of Outcomes of Modified SARPE Using a Bone-Borne Hyrax Appliance in Unilateral Posterior Crossbite

Objective

The objective of this study was to evaluate, using clinical and computed tomography, outcomes of unilateral SARPE with a bone-borne hyrax appliance in case of unilateral crossbite and to assess the correlations between hyrax appliance opening and post-SARPE skeletal changes.

Materials and Methods

Two patients of unilateral crossbite underwent Unilateral SARPE and post-surgical expansion of maxilla using a bone-borne hyrax appliance. Computed tomography was used to make comparative linear and angular measurements of the anterior, intermediate, and posterior portions of the maxilla. The correlation between maxillary expansion and appliance opening was also investigated.

Results

Significant overall expansion was observed with maximum expansion in the anterior and inferior portions of the maxilla. The degree of appliance opening was significantly greater than that of the skeletal expansion. Comparative CAD measurements showed maximum increase in interdental width at the second premolar level.

Conclusion

The transverse expansion of the maxilla obtained with a bone-borne hyrax is less than uniform. The lack of linear correlation between appliance opening and skeletal expansion is attributable to multiple factors, including those related to the device, the surgical technique, and the craniofacial deformity itself.

Novel Nanoarchitectured Cu2Te as a Photocathodes for Photoelectrochemical Water Splitting Applications

Designing photocathodes with nanostructures has been considered a promising way to improve the photoelectrochemical (PEC) water splitting activity. Cu₂Te is one of the promising semiconducting materials for photoelectrochemical water splitting, the performance of Cu₂Te photocathodes remains poor. In this work, we report the preparation of Cu₂Te nanorods (NRs) and vertical nanosheets (NSs) assembled film on Cu foil through a vapor phase epitaxy (VPE) technique. The obtained nano architectures as photocathodes toward photoelectrochemical (PEC) performance was tested afterwards for the first time. Optimized Cu₂Te NRs and NSs photocathodes showed significant photocurrent density up to 0.53 mA cm^-2 and excellent stability under illumination. Electrochemical impedance spectroscopy and Mott-Schottky analysis were used to analyze in more detail the performance of Cu₂Te NRs and NSs photocathodes. From these analyses, we propose that Cu₂Te NRs and NSs photocathodes are potential candidate materials for use in solar water splitting.

Hollow spheres of iron oxide as an “enzyme-mimic”: preparation, characterization and application as biosensors

Nanostructured hollow spheres of iron oxide are demonstrated as “nanozymes” for the dual mode (spectrophotometric and electrochemical) detection of hydrogen peroxide & cholesterol biomarkers and a novel electrochemical sensing mechanism is proposed.

Tuning optical properties of nitrogen-doped carbon dots through fluorescence resonance energy transfer using Rhodamine B for the ratiometric sensing of mercury ions

Carbon dots (CDs) that exhibit fluorescence properties are generally derived from carbonaceous materials, and possess ultrasmall sizes with various exciting physical, chemical and photo-properties, which have been used in many different fields in recent time. Here, we have focused on the preparation of nitrogen-doped CDs (N-CDs) that emit a bright blue fluorescence upon exposure to UV excitation. Furthermore, by employing Rhodamine B (RhB) as a donor molecule, the emission color of N-CDs is altered from blue to red. Interestingly, the optical tuning based upon emission from one particular color to various other colors has been achieved by varying the doping ratio of the donor molecule, RhB. The reason is mainly attributed to the non-radiative energy transfer of the exciton energy from an excited donor to an acceptor through fluorescence resonance energy transfer (FRET). Furthermore, this emission behavior is explored for the ratiometric sensing of mercury ion (Hg2+) in aqueous medium. Among different color emissions, we chose one particular emission color, namely violet, for the detection of the Hg2+ ion. The photoluminescence properties of N-CDs are effectively and systematically quenched with the addition of different mercury ion concentrations, leading to efficient energy transformation arising from the synergetic effect of the electrostatic interaction and metal - ligand coordination between the surface functional groups of N-CDs and Hg2+ ion. On the other hand, RhB has no interaction with Hg2+ ions. These findings provide a way for developing a cheap, selective and suitable sensing matrix for the detection of toxic metal ions, such as mercury (Hg2+) at a low concentration level.

Electron transfer studies of a conventional redox probe in human sweat and saliva bio-mimicking conditions

Modern day hospital treatments aim at developing electrochemical biosensors for early diagnosis of diseases using unconventional human bio-fluids like sweat and saliva by monitoring the electron transfer reactions of target analytes. Such kinds of health care diagnostics primarily avoid the usage of human blood and urine samples. In this context, here we have investigated the electron transfer reaction of a well-known and commonly used redox probe namely, potassium ferro/ferri cyanide by employing artificially simulated bio-mimics of human sweat and saliva as unconventional electrolytes. Typically, electron transfer characteristics of the redox couple, [Fe(CN)₆]^3−/4− are investigated using electrochemical techniques like cyclic voltammetry and electrochemical impedance spectroscopy. Many different kinetic parameters are determined and compared with the conventional system. In addition, such electron transfer reactions have also been studied using a lyotropic liquid crystalline phase comprising of Triton X-100 and water in which the aqueous phase is replaced with either human sweat or saliva bio-mimics. From these studies, we find out the electron transfer reaction of [Fe(CN)₆]^3−/4− redox couple is completely diffusion controlled on both Au and Pt disc shaped electrodes in presence of sweat and saliva bio-mimic solutions. Moreover, the reaction is partially blocked by the presence of lyotropic liquid crystalline phase consisting of sweat and saliva bio-mimics indicating the predominant charge transfer controlled process for the redox probe. However, the rate constant values associated with the electron transfer reaction are drastically reduced in presence of liquid crystalline phase. These studies are essentially carried out to assess the effect of sweat and saliva on the electrochemistry of Fe^2+/3+ redox couple.

Bio-assisted preparation of efficiently architectured nanostructures of γ-Fe2O3 as a molecular recognition platform for simultaneous detection of biomarkers

Magnetic nanoparticles of iron oxide (γ-Fe2O3) have been prepared using bio-assisted method and their application in the field of biosensors is demonstrated. Particularly in this work, different nanostructures of γ-Fe2O3 namely nanospheres (NS), nanograsses (NG) and nanowires (NW) are prepared using a bio-surfactant namely Furostanol Saponin (FS) present in Fenugreek seeds extract through co-precipitation method by following "green" route. Three distinct morphologies of iron oxide nanostructures possessing the same crystal structure, magnetic properties, and varied size distribution are prepared and characterized. The resultant materials are analyzed using field emission scanning electron microscopy, transmission electron microscopy, powder X-ray diffraction, X-ray photoelectron spectroscopy, vibrating sample magnetometer and Fourier transform infrared spectroscopy. Moreover, the effect of reaction time and concentration of FS on the resultant morphologies of γ-Fe2O3 nanostructures are systematically investigated. Among different shapes, NWs and NSs of γ-Fe2O3 are found to exhibit better sensing behaviour for both the individual and simultaneous electrochemical detection of most popular biomarkers namely dopamine (DA) and uric acid (UA). Electrochemical studies reveal that γ-Fe2O3 NWs showed better sensing characteristics than γ-Fe2O3 NSs and NGs in terms of distinguishable voltammetric signals for DA and UA with enhanced oxidation current values. Differential pulse voltammetric studies exhibit linear dependence on DA and UA concentrations in the range of 0.15-75 µM and 5 μM - 0.15 mM respectively. The detection limit values for DA and UA are determined to be 150 nM and 5 µM. In addition γ-Fe2O3 NWs modified electrode showed higher sensitivity, reduced overpotential along with good selectivity towards the determination of DA and UA even in the presence of other common interferents. Thus the proposed biosensor electrode is very easy to fabricate, eco-friendly, cheaper and possesses higher surface area suggesting the unique structural patterns of γ-Fe2O3 nanostructures to be a promising candidate for electrochemical bio-sensing and biomedical applications.

Colour Doppler evaluation of uterine and ovarian blood flow in patients of polycystic ovarian disease and post-treatment changes

AIM

To assess the morphology and colour Doppler parameters in patients with polycystic ovarian syndrome (PCOS) and also to assess the changes in Doppler parameters in follow-up patients, who underwent treatment.

MATERIALS AND METHODS

The study was conducted on 50 women of reproductive age who had clinical and biochemical findings suggestive of PCOS. Clinico-hormonal parameters were recorded. Ultrasound and colour Doppler flow measurements of bilateral ovaries were performed in the early proliferative phase of the menstrual cycle. After assessment of the bilateral ovaries, colour Doppler ultrasound was used to evaluate the main uterine artery at the cervico-uterine junction. Follow-up imaging after 3 months was undertaken in patients who underwent treatment (metformin) and changes in the imaging and hormonal parameters were correlated.

RESULTS

The mean value of luteinising hormone (LH) and the ratio of LH: follicle-stimulating hormone (FSH) was significantly higher in PCOS patients. Ultrasound parameters were significantly higher in PCOS patients. Ovarian stromal vessels in PCOS patients had a significantly higher peak systolic velocity (PSV), low resistance index (RI), and pulsatility index (PI). The PSV of uterine arteries were significantly decreased and the RI and PI were significantly increased. On follow-up patients revealed changes in hormonal parameters.

CONCLUSION

PCOS is a heterogeneous disorder and is a convergence of multisystem endocrine derangements. Ultrasound is good diagnostic tool for PCOS and the use of Doppler aids in the evaluation of haemodynamic changes in small vessels of utero-ovarian circulation and in response assessment.

Ultrasound-Guided Focused Ultrasound Treatment for Painful Bone Metastases: A Pilot Study

Focused ultrasound (FUS) for palliation of bone metastases has typically been performed under magnetic resonance guidance. To address limitations of this approach, this pilot study evaluated a stand-alone, portable FUS device guided by diagnostic ultrasound alone (ultrasound [US]-guided FUS). Nine patients were treated; safety and efficacy were assessed for 10 d after the procedure, and medical charts were evaluated to assess durability of pain response. The procedure was safe and tolerable, with four patients reporting minor skin-related irritations. Average pain score decreased from 6.9 at baseline to 3.2 at day 10; analgesic use on average also decreased from baseline to day 10. Six patients had durable pain relief as assessed after the follow-up period. Our study provides evidence that US-guided FUS is a safe, tolerable and versatile procedure. It appears to be effective in achieving durable pain response in patients with painful bone metastases. Further research is required to refine the technology and optimize its efficacy.

MnFe₂O₄ Nanoparticles as an Efficient Electrode for Energy Storage Applications

In this study, solvothermal method was used for the synthesis of MnFe₂O₄ nanoparticles at different processing period of 7, 14, and 21 h. X-ray diffraction (XRD) pattern study confirms that MnFe₂O₄ nanoparticles correspond to the face-centered cubic spinel structure and belong to the Fd3m [227] space group. From Raman spectra analysis, two major peaks were observed at 476 and 616 cm^-1, which correspond to the vibration modes of MnFe₂O₄ nanoparticles; especially, the broad peak at 620 cm^-1 (A1g) corresponds to the symmetric stretching vibration of oxygen atoms at tetrahedral site. Infrared spectra (FTIR) analysis at 490 and 572 cm^-1 can be attributed to the stretching vibration of tetrahedral groups of FeO₄, and the vibration of octahedral groups of FeO₆ belongs to the intrinsic vibrations of manganese ferrites. The uniformly distributed MnFe₂O₄ nanospheres (RT2) can be affirmed by field emission scanning electron microscopy images and confirmed by the high-resolution transmission electron microscopic studies. The electrochemical properties of synthesized MnFe₂O₄ nanoparticles investigated by cyclic voltammetry, impedance spectroscopy and galvanstatic charging and discharging (GCD) studies clearly predict the reversible faradaic reactions of MnFe₂O₄ nanospheres. Further, the MnFe₂O₄ nanospheres (RT2) exhibit high specific capacitance of 697 F g^-1 at 0.5 A g^-1 current density in galvanostatic charging and discharging profile and after 1000 cycles exhibits 79% retain ability of initial specific capacitance and hence can be considered as the efficient electrode for supercapacitor applications.