A low cost point-of-care viscous sample preparation device for molecular diagnosis in the developing world; an example of microfluidic origami

The lab-on-a-chip concept has led to several point-of-care (POC) diagnostic microfluidic platforms. However, few of these can process raw samples for molecular diagnosis and fewer yet are suited for use in a resource-limited setting without permanent electrical infrastructure. We present here a very low cost paper microfluidic device for POC extraction of bacterial DNA from raw viscous samples--a challenge for conventional microfluidic platforms. This is an example of "microfluidic origami" in that the system is activated by folding; demonstrated here is room temperature cell lysis and DNA extraction from pig mucin (simulating sputum) spiked with E. coli without the use of external power. The microfluidic origami device features dry reagent storage and rehydration of the lysis buffer. We demonstrate DNA extraction from samples with a bacterial load as low as 33 CFU ml(-1). Extraction times, starting from the raw sample, have been optimized to about 1.5 h without the use of external power, or to within 1 h using an oven or a heater block. The fabrication of this paper microfluidic device can be translated into high volume production in the developing world without the need for a semiconductor clean room or a microfabrication facility. The sample preparation can be performed with the addition of just the sample, water, ethanol and elute buffer to the device, thus reducing chemical hazards during transport and handling.

Remineralization of early enamel lesions using casein phosphopeptide amorphous calcium Phosphate: an ex-vivo study

Objective:

This study aimed at qualitatively evaluating the remineralization potential of casein phosphopeptide amorphous calcium phosphate on artificial early enamel lesions in an ex-vivo scenario by observing the treated tooth surface using a scanning electron microscope (SEM).

Materials and Methods:

This randomized study was conducted on 10 subjects undergoing orthodontic treatment with premolar extraction as part of their treatment. Artificial white lesions were created with the application of 37% phosphoric acid for 20 mins. Teeth were then divided into two groups: one experimental and the other control. Customised orthodontic band with a window was luted with intermediate restorative material in the experimental group whereas in the control group, band without a window was luted. The casein phosphopeptide amorphous calcium phosphate (GC TOOTH MOUSSE) paste was then applied on the window region of the experimental group for 3 mins thrice daily after meals for 14 days, whereas no paste was applied in the control group. After 14 days, teeth were extracted and viewed under an SEM.

Results:

The study groups showed remineralization of the lesions as compared with the control group in most of the samples.

Conclusion:

Casein phophopeptide could significantly remineralize the artificial enamel lesions in vivo.

Effect of 10% sodium ascorbate on the calcium: Phosphorus ratio of enamel bleached with 35% hydrogen peroxide: an in vitro quantitative energy-dispersive X-ray analysis

Objectives:

The study assessed quantitatively the calcium and phosphorous loss from the enamel surface following bleaching with 35% hydrogen peroxide and reversal with 10% sodium ascorbate using energy-dispersive X-ray analysis (EDAX).

Materials and Methods:

Eight non-carious, freshly extracted human permanent maxillary central incisors without any visible defects were used. Each specimen was bleached with 35% hydrogen peroxide activated by light and reversed with sodium ascorbate antioxidant gel. The calcium and phosphorous content in weight percent of sound, bleached and reversed enamel was acquired using EDAX. The Ca/P ratio was calculated from the obtained data. One-way ANOVA followed by Post Hoc Tukey test was used for comparing the Ca/P ratio of sound, bleached and reversed enamel.

Results:

All the samples subjected to bleaching using 35% hydrogen peroxide showed a statistically significant decrease in the Ca/P ratio as compared with samples in which no bleaching procedure was performed (P-value < 0.01). The striking finding was that there was a significant increase in the Ca/P ratio on application of sodium ascorbate antioxidant gel when compared with the bleached enamel (P-value < 0.01).

Conclusion:

The authors concluded that 35% hydrogen peroxide causes a significant decrease in the Ca/P ratio. This decrease in the Ca/P ratio can be restored by the application of 10% sodium ascorbate antioxidant gel.

Antidiabetic and antihyperlipidemic potential of Abelmoschus esculentus (L.) Moench. in streptozotocin-induced diabetic rats

Objectives:

The present investigation was aimed to study the antidiabetic and antihyperlipidemic potential of Abelmoschus esculentus peel and seed powder (AEPP and AESP) in streptozotocin (STZ)-induced diabetic rats.

Materials and Methods:

Acute toxicity of AEPP and AESP was studied in rats at 2000 mg/kg dose and diabetes was induced in rats by administration of STZ (60 mg/kg, i.p.). After 14 days of blood glucose stabilization, diabetic rats received AEPP, AESP, and glibenclamide up to 28 days. The blood samples were collected on day 28 to estimate the hemoglobin (Hb), glycosylated hemoglobin (HbA1c), serum glutamate-pyruvate transferase (SGPT), total protein (TP), and lipid profile levels.

Results:

In acute toxicity study, AESP and AESP did not show any toxicity or death up to a dose of 2000 mg/kg. Therefore, to assess the antidiabetic action, one by fifth and one by tenth dose of both powders were selected. Administration of AEPP and AESP at 100 and 200 mg/kg dose in diabetic rats showed significant (P < 0.001) reduction in blood glucose level and increase in body weight than diabetic control rats. A significant (P < 0.001) increased level of Hb, TP, and decreased level of HbA1c, SGPT were observed after the treatment of both doses of AEPP and AESP. Also, elevated lipid profile levels returned to near normal in diabetic rats after the administration of AEPP and AESP, 100 and 200 mg/kg dose, compared to diabetic control rats.

Conclusion:

The present study results, first time, support the antidiabetic and antihyperlipidemic potential of A. esculentus peel and seed powder in diabetic rats.

Evaluation of Four Elastomeric Interocclusal Recording Materials

BACKGROUND

The fabrication of dental prosthesis requires the transfer of interocclusal records from patient's mouth to semi-adjustable articulators using different kinds of recording media. Any inaccuracy in these interocclusal records leads to occlusal errors in the final prosthesis. This study was conducted to evaluate the dimensional changes occurring in the interocclusal recording material over a given period of time and the material's resistance to compression during the cast mounting on the articulator.

METHODS

In this in vitro study, the linear dimensional change and compressive resistance of four commercially available elastomeric interocclusal recording media was tested. Three were addition silicones and the fourth was a polyether material. Cylindrical samples of 10mm diameter of each material were prepared in three different thicknesses of 2, 4 and 6mm. Ten samples each of thickness of 2, 4 and 6mm for all four materials were prepared (total of 120 samples). The linear dimensional changes of the samples were evaluated after 24 hours of fabrication. The compressive resistance was measured when each of these was subjected to a constant compressive load of 25 Newtons.

RESULTS

The mean linear dimensional change in a horizontal plane was minimum for Kanibite Hard, an addition silicone. Ramitec showed the maximum linear dimensional change. The mean compression distance was least for Futar D Occlusion (an addition silicone) and maximum for Ramitec (a polyether). It was observed that the samples of thickness 2mm for all the materials underwent least compression.

CONCLUSION

The compressive resistance of each elastomer was inversely proportional to the thickness of the sample. This implies that minimum thickness of the recording materials should be used for recording maxillomandibular relations without sacrificing the strength of the interocclusal record.

Comparison of temperature rise in the pulp chamber with different light curing units: An in-vitro study

Aims/Objectives:

This in vitro study was designed to measure and compare the temperature rise in the pulp chamber with different light curing units.

Materials and Methods:

The study was done in two settings-in-vitro and in-vivo simulation. In in-vitro setting, 3mm and 6mm acrylic spacers with 4mm tip diameter thermocouple was used and six groups were formed according to the light curing source- 3 Quartz-Tungsten-Halogen (QTH) units and 3 Light-Emitting-Diode (LED) units. For the LED units, three modes of curing like pulse-cure mode, fast mode and ramp mode were used. For in-vivo simulation, 12 caries free human third molar tooth with fused root were used. K-type thermocouple with 1 mm tip diameter was used. Occlusal cavity was prepared, etched, rinsed with water and blot dried; bonding agent was applied and incremental curing of composite was done. Thermal emission for each light curing agent was noted.

Results:

Temperature rise was very minimal in LED light cure units than in QTH light cure units in both the settings. Temperature rise was minimal at 6mm distance when compared to 3 mm distance. Among the various modes, fast mode produces the less temperature rise. Temperature rise in all the light curing units was well within the normal range of pulpal physiology.

Conclusion:

Temperature rise caused due to light curing units does not result in irreversible pulpal damage.

Cross-correlated (C2) imaging of fiber and waveguide modes

We demonstrate a method that enables reconstruction of waveguide or fiber modes without assuming any optical properties of the test waveguide. The optical low-coherence interferometric technique accounts for the impact of dispersion on the cross-correlation signal. This approach reveals modal content even at small intermodal delays, thus providing a universally applicable method for determining the modal weights, profiles, relative group-delays and dispersion of all guided or quasi-guided (leaky) modes. Our current implementation allows us to measure delays on a femtosecond time-scale, mode discrimination down to about - 30 dB, and dispersion values as high as 500 ps/nm/km. We expect this technique to be especially useful in testing fundamental mode operation of multi-mode structures, prevalent in high-power fiber lasers.

Dynamics of a polymer chain confined in a membrane

We present a Brownian dynamics theory with full hydrodynamics (Stokesian dynamics) for a Gaussian polymer chain embedded in a liquid membrane which is surrounded by bulk solvent and walls. The mobility tensors are derived in Fourier space for the two geometries, namely, a free membrane embedded in a bulk fluid, and a membrane sandwiched by the two walls. Within the preaveraging approximation, a new expression for the diffusion coefficient of the polymer is obtained for the free-membrane geometry. We also carry out a Rouse normal mode analysis to obtain the relaxation time and the dynamical structure factor. For large polymer size, both quantities show Zimm-like behavior in the free-membrane case, whereas they are Rouse-like for the sandwiched membrane geometry. We use the scaling argument to discuss the effect of excluded-volume interactions on the polymer relaxation time.

Role of SLC5A8, a plasma membrane transporter and a tumor suppressor, in the antitumor activity of dichloroacetate

There has been growing interest among the public and scientists in dichloroacetate as a potential anticancer drug. Credible evidence exists for the antitumor activity of this compound, but high concentrations are needed for significant therapeutic effect. Unfortunately, these high concentrations produce detrimental side effects involving nervous system, thereby precluding its use for cancer treatment. The mechanistic basis of the compound’s antitumor activity is its ability to activate pyruvate dehydrogenase complex through inhibition of pyruvate dehydrogenase kinase. Since the compound inhibits the kinase at micromolar concentrations, it is not known why therapeutically prohibitive high doses are needed for suppression of tumor growth. We hypothesized that lack of effective mechanisms for the entry of dichloroacetate into tumor cells may underlie this phenomenon. Here we show that SLC5A8 transports dichloroacetate very effectively with high affinity. This transporter is expressed in normal cells, but the expression is silenced in tumor cells via epigenetic mechanisms. The lack of the transporter makes tumor cells resistant to the antitumor activity of dichloroacetate. However, if the transporter is expressed in tumor cells ectopically, the cells become sensitive to the drug at low concentrations. This is evident in breast cancer cells, colon cancer cells, and prostate cancer cells. Normal cells, which constitutively express the transporter, are however not affected by the compound, indicating the tumor cell-selective therapeutic activity. The mechanism of the antitumor activity of the compound is still its ability to inhibit pyruvate dehydrogenase kinase and force mitochondrial oxidation of pyruvate. Since the silencing of SLC5A8 in tumors involves DNA methylation and its expression can be induced by treatment with DNA methylation inhibitors, our findings suggest that combining dichloroacetate with a DNA methylation inhibitor would offer a means to reduce the doses of dichloroacetate to avoid detrimental effects associated with high doses but without compromising antitumor activity.

Abstract 4419: Effect of sphingosine kinase 1 inhibition in validated syngeneic mouse breast cancer metastasis model

INTRODUCTION: Sphingosine kinase 1 (SphK1) is one of the two enzymes that generate sphingosine-1-phosphate (S1P), which promotes cancer growth, migration and angiogenesis. S1P is also known to have important roles in immune responses. Therefore, we utilized syngeneic models which better recapitulate the involvement of the host immune response to examine the role of SphK1 in breast cancer progression in vivo. The aims of this study are i) to critically evaluate syngeneic models to determine which is most appropriate for metastatic breast cancer drug development, and ii) to investigate the effect of inhibition of SphK1 on cancer progression using that model.

METHODS: One of the major challenges in preclinical cancer research is the identification of animal models that adequately mimic the human disease. Three commonly used syngeneic (implantation of 4T1-luc2 luciferase-tagged murine breast cancer cells into immune-competent mice) models were compared: cells implanted subcutaneously (Sq); cells implanted Orthotopically under direct vision with Surgery (OS); cells implanted Orthotopically with Percutaneous injection blindly into the area under a nipple (OP). Bioluminescence was used for macroscopic analysis, together with pathological analysis, and genome-wide microarrays for gene expression profiling, with confirmation by qPCR. An isozyme-specific inhibitor of SphK1 (SK1-I) was administered intraperitoneally. Tumor burden were quantified using an in vivo imaging system (IVIS 200).

RESULTS: Orthotopic implantation under direct vision with Surgery produced significantly more consistent tumors with less variability, more rapid cancer progression and metastasis, faster mortality, and more relevant clinical endpoints than OP or Sq models. There were significant differences between the genetic profiles of the tumors from OS compared to Sq tumors. Three fourth of the differentially expressed genes between OS and Sq are relevant to cancer biology. Using this OS model, we found that SK1-I treatment decreased tumor burden significantly.

CONCLUSIONS: Use of the OS model, in place of more commonly used Sq model, may improve the efficiency of cancer drug development. Our results support the notion that SphK1 play a critical role in breast cancer progression and suggest that SK1-I is a promising candidate for breast cancer targeted therapy. This work was supported by Sumitomo Life Social Welfare Services Foundation grant to MN, NIH (K12HD055881) and Susan G. Komen for the Cure (KG090510) to KT, and NCI (R01CA61774) to SS.

Citation Format: {Authors}. {Abstract title} [abstract]. In: Proceedings of the 102nd Annual Meeting of the American Association for Cancer Research; 2011 Apr 2-6; Orlando, FL. Philadelphia (PA): AACR; Cancer Res 2011;71(8 Suppl):Abstract nr 4419. doi:10.1158/1538-7445.AM2011-4419

Characterization of HCV-specific CD4+Th17 immunity in recurrent hepatitis C-induced liver allograft fibrosis

Hepatitis C virus (HCV) recurrence with accelerated fibrosis following orthotopic liver transplantation (OLT) is a universal phenomenon. To evaluate mechanisms contributing to HCV induced allograft fibrosis/cirrhosis, we investigated HCV-specific CD4+Th17 cells and their induction in OLT recipients with recurrence utilizing 51 HCV+ OLT recipients, 15 healthy controls and 9 HCV- OLT recipients. Frequency of HCV specific CD4+ Tcells secreting IFN-γ, IL-17 and IL-10 was analyzed by ELISpot. Serum cytokines and chemokines were analyzed by LUMINEX. Recipients with recurrent HCV induced allograft inflammation and fibrosis/cirrhosis demonstrated a significant increase in frequency of HCV specific CD4+Th17 cells. Increased pro-inflammatory mediators (IL-17, IL-1β, IL-6, IL-8 and MCP-1), decreased IFN-γ, and increased IL-4, IL-5 and IL-10 levels were identified. OLT recipients with allograft inflammation and fibrosis/cirrhosis demonstrated increased frequency of Foxp3+ regulatory T cells (Tregs) that inhibited HCV specific CD4+Th1 but not Th17 cells. This suggests that recurrent HCV infection in OLT recipients induces an inflammatory milieu characterized by increased IL-6, IL-1β and decreased IFN-γ which facilitates induction of HCV specific CD4+Th17 cells. These cells are resistant to suppression by Tregs and may mediate an inflammatory cascade leading to cirrhosis in OLT recipients following HCV recurrence.

Source apportionment of the ionic components in precipitation over an urban region in Western India

INTRODUCTION

Inorganic ion concentrations in event-based wet-only precipitation samples collected during the south-west (SW) monsoon at an urban location in Western India, Ahmedabad between July 2000 and September 2002 were measured by Rastogi and Sarin (2007).

METHODS

For the first time at a location in India, an advanced factor analysis model was retrospectively applied to the measured concentrations of ions (Rastogi and Sarin 2007) in precipitation for source apportionment. Positive matrix factorization resolved five factors, including crustal material, sea salt, nitrate/sulfate-rich factor, ammonium-rich factor, and free acidity.

RESULTS AND DISCUSSION

Amongst the model-resolved factors, crustal material was the highest contributor to the total dissolved solids (TDS) accounting for 44.1% on average. Potential source contribution function (PSCF) analysis identified source locations along the eastern coast of Somalia, Yemen, Oman, and the United Arab Emirates for this factor. Sea salt was the second highest contributor accounting for 29.8%. The potential source regions of this factor were also identified in the Arabian Sea and the southern Indian Ocean along the coast of Africa, and the Arabian Gulf. This study also examined the spatial relationships between the source locations of chemical species in precipitation and in ambient aerosol (resolved in an earlier study).

CONCLUSIONS

Crustal material was the highest contributor to TDS at the study location. Spatial relationships between aerosol and precipitation factor source regions suggested that below-cloud scavenging of aerosol particles was a likely contributor to the chemical species apportioned to various precipitation factors. Additionally, source types of chemical species in precipitation resolved in this study were qualitatively compared with those identified at other locations in India. The comparison showed that soil was an important contributor to the dissolved mass of chemical species in precipitation at all locations in India.

Contributions of Indian conservative dentists and endodontists to the Medline database during 1996-2009: A bibliometric analysis

BACKGROUND

Analysis of publication trends will guide the policy framers, administrators, and dentists to frame future policies and design programs for the development of scientific and technological policies in the field of dentistry.

AIMS AND OBJECTIVES

This study was undertaken to assess the trends in Indian Conservative dentists and endodontists' Publication in PubMed-Medline database during 1996-2009.

MATERIALS AND METHODS

Using the time limitation of publication date limit of 1(st) January 1996 to 31(st) December 2009, all articles where authors' affiliation had the words Dental AND India were selected. From this collection of articles, the following were noted down: year of publication, number of authors, name of the journal, reach of the journal, status of the journal, specialty of the first, state of origin, and type of research. From this database, the performance of department of conservative dentistry and endodontics was analyzed.

RESULTS

The number of articles published by conservative dentists and endodontists was 124. Among them, 63 got published in international journals and 61 in Indian journals. A majority of 33 journals were published in Indian Journal of Dental Research followed by 25 in the Journal of Conservative Dentistry. Out of these articles, 66 were on the basis of original research done by the authors. Nearly 45.2% of the published articles were from the institutes in Tamil Nadu, followed by Karnataka (30.6%), and Maharashtra (8.1%). Although the overall distribution of the publication trends seems to be constant from 1996 to 2006, there seems to be boom in the publication trend since 2007.

Paradoxical decrease in HDL-cholesterol and apolipoprotein A1 with simvastatin and atorvastatin in a patient with type 2 diabetes

Statins are agents widely used to lower LDL-cholesterol (LDL-C) in primary and secondary prevention of coronary heart disease. The five statins available in the UK (simvastatin, pravastatin, fluvastatin, atorvastatin and rosuvastatin) differ in many of their pharmacologic properties. In addition to lowering LDL-C, statins also increase HDL-cholesterol (HDL-C) moderately. There have been rare reports of significant HDL-C decreases in patients commenced on fibrates and when thiazolidinediones are added to fibrates. This is known as a 'paradoxical HDL-C decrease' as both groups of agents usually increase HDL-C. This phenomenon has never been clearly documented following statin therapy. We now describe a patient with type 2 diabetes who showed this paradoxical fall in HDL-C (baseline HDL-C: 1.8 mmol/L; on simvastatin 40 mg HDL-C 0.6 mmol/L; on atorvastatin 20 mg HDL-C 0.9 mmol/L) with a similar decrease in apolipoprotein A1. No similar decrease was observed with pravastatin and rosuvastatin therapy. This phenomenon appeared to be associated with statin treatment and not a statin/fibrate combination. Our patient clearly demonstrated a paradoxical HDL-C fall with simvastatin and atorvastatin, but not pravastatin or rosuvastatin. Simvastatin and atorvastatin share many pharmacokinetic properties such as lipophilicity while pravastatin and rosuvastatin are relatively hydrophilic and are not metabolized by cytochrome P450 3A4. However, these characteristics do not explain the dramatic reductions in HDL-C observed.

Spiral CT diagnosis and endodontic management of an anatomically variant palatal root with two canals in a maxillary first molar

This case report presents the endodontic management of an anatomically variant palatal root with 2 canals (Vertucci type II) in a maxillary first molar, which was confirmed with the help of spiral computed tomography (SCT). This serves to remind clinicians that such anatomic variations should be taken into account during the endodontic treatment of maxillary molars and highlights the invaluable aid of the SCT in accurate diagnosis and in negotiating the complex morphologic variations in root canals, thus enabling successful endodontic management.

A higher-order-mode erbium-doped-fiber amplifier

We demonstrate the first erbium-doped fiber amplifier operating in a single, large-mode area, higher-order mode. A high-power, fundamental-mode, Raman fiber laser operating at 1480 nm was used as a pump source. Using a UV-written, long-period grating, both pump and 1564 nm signal were converted to the LP(0,10) mode, which had an effective area of 2700 microm(2) at 1550 nm. A maximum output power of 5.8 W at 1564 nm with more than 20 dB of gain in a 2.68 m long amplifier was obtained. The mode profile was undistorted at the highest output power.

Source identification of ambient aerosols over an urban region in western India

A first-of-its-kind source apportionment study of the Ahmedabad, India aerosol was conducted in order to determine the major sources contributing to the measured total suspended particles (TSPs). TSP samples were collected approximately once every ten days between May 2000 and January 2003, and analyzed for TSP mass, anions, cations, and elemental concentrations. An advanced factor analysis technique, positive matrix factorization (PMF) was applied to the measured concentrations and six factors were resolved. The model resolved factors included airborne regional dust, calcium carbonate rich dust, biomass burning/vehicular emissions, secondary nitrate/sulfate, marine aerosol, and smelter. Among the resolved factors, airborne regional dust was the highest contributor to the measured TSP mass followed by calcium carbonate rich dust with their average contributions accounting for 57.9 and 19.0%, respectively. Thus, crustal factors were the most dominant sources of TSP in Ahmedabad accounting for nearly 77% of the mass. Potential source contribution function (PSCF) analysis identified parts of Madhya Pradesh and Uttar Pradesh, regions in southwestern Pakistan along the Indo-Gangetic Plain (IGP), and southern Iran as potential source locations for the airborne regional dust factor. In contrast, Rajasthan and Madhya Pradesh, and parts of northern Pakistan were identified as potential source locations for the calcium carbonate rich dust factor. It is hypothesized that aerosol contributions from several limestone quarries in Rajasthan and Madhya Pradesh may have resulted in this factor being calcium carbonate enriched.

Drag coefficient of a liquid domain in a two-dimensional membrane

Using a hydrodynamic theory that incorporates a momentum decay mechanism, we calculate the drag coefficient of a circular liquid domain of finite viscosity moving in a two-dimensional membrane. We derive an analytical expression for the drag coefficient which covers the whole range of domain sizes. Several limiting expressions are discussed. The obtained drag coefficient decreases as the domain viscosity becomes smaller with respect to the outer membrane viscosity. This is because the flow induced in the domain acts to transport the fluid in the surrounding matrix more efficiently.

Occurrence of organochlorine pesticide residues in green mussel (Perna viridis L.) and water from Ennore creek, Chennai, India

Green mussel (Perna viridis) and water samples were collected from Ennore creek, Chennai by seasonal sampling and analyzed for organochlorine pesticide residues (OCPs) like dichloro-diphenyl-trichloroethane (DDT) and its metabolites, isomers of hexachlorocyclohexane (HCH) and endosulfan. These residues were analyzed by using gas chromatograph (GC) with microECD. In the present study, mussel samples showed very low concentrations of OCPs in the statistical order of DDT (5.83 ng g(-1) wet tissue)>endosulfan (2.84 ng g(-1) wet tissue)>HCH (2.34 ng g(-1) wet tissue). Concentrations of OCPs in water samples were in the statistical order of endosulfan (29.21 ng L(-1))>HCH (17.14 ng L(-1))>DDT (14.63 ng L(-1)). To our knowledge, this is the first report on the seasonal variation of OCPs and especially the quantification of endosulfan in Ennore Creek. The present study recommends that continuous monitoring in Ennore creek is necessary to assess possible impact on human health.