Granulomatosis with Polyangiitis (GPA) Mimicking Tuberculosis

Granulomatosis with Polyangiitis (GPA) is a rare disease with varied clinical manifestations. We present a case of GPA which manifested initially with symptoms suggestive of meningeal tuberculosis. High index of suspicion and collective review of all clinical features helped in the correct diagnosis. Treatment of this case with rituximab provided significant symptomatic relief.

Vesicles: self-assembly beyond biological lipids

This review presents an overview of synthetic systems that self-assemble to form vesicles.

Synthetic minimalistic tryptophan zippers as a chiroptical switch

Supramolecular helices with left and right handed chirality were designed and synthesized based on l-tryptophan that undergo helical inversion upon addition of H₂PO₄⁻.

Annexin A2 and its downstream IL-6 and HB-EGF as secretory biomarkers in the differential diagnosis of Her-2 negative breast cancer

Background

AnnexinA2 (AnxA2) membrane deposition has a critical role in HB-EGF shedding as well as IL-6 secretion in breast cancer cells. This autocrine cycle has a major role in cancer cell proliferation, migration and metastasis. The objective of the study is to demonstrate annexinA2-mediated autocrine regulation via HB-EGF and IL-6 in Her-2 negative breast cancer progression.

Methods

Secretory annexinA2, HB-EGF and IL-6 were analysed in the peripheral blood sample of Her-2 negative ( n = 20) and positive breast cancer patients ( n = 16). Simultaneously, tissue expression was analysed by immunohistochemistry. The membrane deposition of these secretory ligands and their autocrine regulation was demonstrated using triple-negative breast cancer cell line model.

Results

Annexina2 and HB-EGF expression are inversely correlated with Her-2, whereas IL-6 expression is seen in both Her-2 negative and positive breast cancer cells. RNA interference studies and upregulation of annexinA2 proved that annexinA2 is the upstream of this autocrine pathway. Abundant soluble serum annexinA2 is secreted in Her-2 negative breast cancer (359.28 ± 63.73 ng/mL) compared with normal (286.10 ± 70.04 ng/mL, P < 0.01) and Her-2 positive cases (217.75 ± 60.59 ng/mL, P < 0.0001). In Her-2 negative cases, the HB-EGF concentrations (179.16 ± 118.81 pg/mL) were highly significant compared with normal (14.92 ± 17.33 pg/mL, P < 0.001). IL-6 concentrations were increased significantly in both the breast cancer phenotypes as compared with normal ( P < 0.001).

Conclusion

The specific expression pattern of annexinA2 and HB-EGF in triple-negative breast cancer tissues, increased secretion compared with normal cells, and their major role in the regulation of EGFR downstream signalling makes these molecules as a potential tissue and serum biomarker and an excellent therapeutic target in Her-2 negative breast cancer.

A tryptophan-containing fluorescent intramolecular complex as a designer peptidic proton sensor

Pyrene and tryptophan groups judiciously placed on a novel molecular scaffold, namely, bispidine exhibited fluorescence due to the formation of an unprecedented emissive intramolecular complex in polar solvents. Upon protonation, the emission signal from the pyrene unit enhances at the expense of the emission signal from the complex. The probe demonstrates good sensitivity, excellent selectivity, and adequate reversibility towards proton sensing. The present design based on the bispidine scaffold opens up newer opportunities for the design of novel bispidine-peptide sensors.

Spontaneous vesiculation: a mechanistic insight from the study of hybrid peptide molecules

We report a series of hybrid peptide molecules that display spontaneous vesiculation. A closer look at their vesicle formation revealed a toroidal intermediate en route to the final vesicular form.

Morphology engineering: dramatic roles of serine and threonine in supramolecular assembly

Macrocycles containing serine self-assembled into fibres, while threonine induced vesicular self-assembly. Macrocycles with serine can be driven to form vesicular assembly by incorporating a non-planar spacer.

Cysteine-based silver nanoparticles as dual colorimetric sensors for cations and anions

The synthesis of amide–triazole-based Ag NPs and their sensing ability towards anions and cations in aqueous solution were investigated. The importance of amide–triazole as a binding motif, in conjunction with Ag NPs, and the mode of the sensing ability of these amide–triazole Ag NPs as dual colorimetric sensors have been studied in detail.

A prospective, randomized, double-blind, multicentre, parallel-group, active controlled study to compare efficacy and safety of biosimilar adalimumab (Exemptia; ZRC-3197) and adalimumab (Humira) in patients with rheumatoid arthritis

AIM

In this study, efficacy, tolerability and safety of biosimilar adalimumab (Exemptia; Zydus Cadila) was compared with reference adalimumab (Humira; AbbVie) in patients with moderate to severe rheumatoid arthritis (RA).

METHOD

In this multicentre, prospective, randomized, double-blind, active controlled parallel arm study, 120 patients with moderate to severe RA were given 40 mg of either test adalimumab (Exemptia) or reference adalimumab (Humira) by subcutaneous route every other week for 12 weeks. The primary endpoint was proportion of responders in two tretament groups by American College of Rheumatology 20 (ACR20) at week 12. The secondary endpoints were change in Disease Activity Score of 28 joints - C-reactive protein (DAS28-CRP) and proportion of patients with an ACR50 and ACR70 response in two treatment groups at week 12. Safety outcomes were also assessed.

RESULTS

After 12 weeks, patients treated every other week with test adalimumab (Zydus Cadila) had statistically similar response rates as compared to reference adalimumab (AbbVie): ACR20 (82% vs. 79.2%; P > 0.7); ACR50 (46%, vs. 43.4%; P > 0.7); ACR70 (14% vs. 15.1%; P > 0.8). The change in DAS28-CRP score was -2.1 ± 1.09 and -2.1 ± 1.21, in test and reference products, respectively. It was statistically significant compared to baseline, but not significantly different between the two products. Three serious adverse events and no death was reported during the study. Both adalimumab preparations were safe and well tolerated in this study.

CONCLUSION

The results demonstrated biosimilarity with respect to efficacy, tolerability and safety of test adalimumab (Exemptia) and reference adalimumab (Humira) in patients with moderate to severe RA.

A supramolecular approach to metal ion sensing: cystine-based designer systems for Cu2+, Hg2+, Cd2+ and Pb2+ sensing

Here, we demonstrate an emergent property from a mixture of two simple cystine containing molecules. The 1 : 1 mixture of pyrene-labelled S1 and tryptophan appended S2 form the heterodimeric system S1 : S2, which shows a unique metal binding ability.

Self-assembling triazolophanes: from croissants through donuts to spherical vesicles

A detailed ultramicroscopic analysis of three novel triazolophanes demonstrated a hierarchical self-assembly mechanism. These macrocycles self-assemble in a concentration dependent manner to hemi-toroids, toroids and finally to vesicles. The finding was supported by ultramicroscopy and X-ray crystal structure studies.

Sortase-based bio-organic strategies for macromolecular synthesis

Protein ligation sorted: SrtA is one of the molecules nature uses to perform chemoselective ligation on amazingly complex protein molecules. Sortase-mediated ligation (SML) with chemoselective reactions will find a variety of applications in chemistry, biology, and medicine in the near future.

Lysine-appended polydiacetylene scaffolds for human mesenchymal stem cells

We report on the self-assembly based fabrication of fibrous polymers for tissue engineering applications. Directed self-assembly followed by polymerization of lysine-appended diacetylenes generated a variety of polymers (P1-P5) with distinct chemical properties. The self-assembly along with the conjugated double and triple bonds and rigid geometry of diacetylene backbone imposed a nanofibrous morphology on the resulting polymers. Chemical properties including wettability of the polymers were tuned by using lysine (Lys) with orthogonal protecting groups (Boc and Fmoc). These Lys-appended polydiacetylene scaffolds were compared in terms of their efficiency toward human mesenchymal stem cells adhesion and spreading. Interestingly, polymer P4 containing Lys N(α)-NH2 and Lys N(ε)-Boc with balanced wettability supported cell adhesion better than the more hydrophobic polymer P2 with N(ε)-Boc and N(α)-Fmoc or more hydrophilic polymer P5 containing free N(ε) and N(α) amino groups. The molecular level control in the fabrication of nanofibrous polymers compared with other existing methods for the generation of fibrous polymers is the hallmark of this work.

Cysteine-based fluorescence “turn-on” sensors for Cu2+ and Ag+

Amino acid cysteine was transformed to fluorescent turn-on sensors for Cu⁺² and Ag⁺. The metal ion binding was studied in detail by spectroscopic, microscopic, calorimetric and computational methods.

Self-assembly of lipidated pseudopeptidic triazolophanes to vesicles

We have transformed the amino acid serine to 32-membered lipidated cyclophanes employing CuAAc reaction. These serine-based lipidated triazolophanes assemble to sturdy and robust vesicles.