Pre-clinical toxicology and pathology of 9-(2′-hydroxyethylamino)-4-methyl-1-nitroacridine (C-1748), a novel anti-cancer agent in male Beagle dogs

We have developed a group of 4-substituted-1-nitroacridines with potent anti-tumor activity against prostate cancer and less toxic than parent 1-nitroacridines. The most active 9-(2'-hydroxyethylamino)-4-methyl-1-nitroacridine (C-1748) was selected for pre-clinical studies. The current study was undertaken to evaluate clinical and/or morphological adverse effects of C-1748 as a single intravenous dose at concentrations ranging from 0.16 to 4.6 mg/kg administered to male Beagle dogs. The maximum tolerated dose was 1.5 mg/kg. Emesis was observed in all groups lasting an average of 30 min to 12 h post-dosing. At high dose, extreme aggression was observed in one dog followed by disorientation and depression lasting for 48 h a frequent observation with chemotherapy. Reductions in platelets and white blood cells were observed which was similar to that seen with other chemotherapeutic agents. A compensatory hyperplasia of lymph nodes and a transient and limited extravasation in the intestinal mucosa were also observed. Increases in aspartate aminotransferase, alkaline phosphatase and creatine phosphokinase were transient with normal levels restored by day 9. These enzyme increases were accompanied by epithelial hypertrophy of larger bile ductules in the periportal triads of the liver. The low toxicity profile and high tumor target activity make this novel class of drug a promising chemotherapeutic agent.

Excited state proton transfer in di-(2-hydroxy-3-formyl-5-tert butyl phenyl) methane and solvent effect

The proton transfer reaction and the spectroscopic properties of di-(2-hydroxy-3-formyl-5-tert butyl phenyl) methane (HFPM) have been examined in different nonpolar and polar solvents at room temperature and 77 K, by means of absorption, emission and time resolved fluorescence spectroscopy. In the ground state, the primary closed form has been identified in all the nonpolar and polar solvents and the anion is detected only in presence of base in some of the polar solvents. After photoexcitation, the excited state intramolecular proton transfer (ESIPT) is indicated by a large Stokes shifted emission (approximately 10,600 cm-1) in all the nonpolar and polar solvents used, except in water and ethylene glycol (EG). The ESIPT band is likely to be originated from the enol tautomer of the HFPM. Two types of anion and H-bonded complex have been detected in the excited state. In water and EG, only anion and H-bonded complex have been detected in the excited state. At 77 K, HFPM shows phosphorescence in pure ethanol, and in n-hexane in presence of triethylamine. It has been suggested that the appearance of phosphorescence is due to the rotation of the formyl group. The measured nonradiative decay rates have always been found to dominate in the decay processes of the excited state of HFPM. Some semiempirical calculations have been undertaken to rationalize the experimental findings.

The effect of sibutramine-assisted weight loss in men with obstructive sleep apnoea

OBJECTIVE

Obstructive sleep apnoea (OSA) occurs frequently in obese patients and may be reversible with weight loss. Obstructive sleep apnoea and obesity are both independent risk factors for hypertension and increased sympathetic activity. Sibutramine has been increasingly used in the management of obesity, but is relatively contraindicated in patients with hypertension. No studies have investigated the effect of sibutramine on OSA, blood pressure and heart rate. We aimed to assess the changes in OSA and cardiovascular parameters in obese men with OSA enrolled in a sibutramine-assisted weight loss programme (SIB-WL).

DESIGN

Open uncontrolled cohort study of obese male subjects with OSA in an SIB-WL.

SUBJECTS

Eighty-seven obese (body mass index =34.2+/-2.8 kg/m(2)) middle-aged (46.3+/-9.3 years) male subjects with symptomatic OSA (Epworth score 13.4+/-3.6; respiratory disturbance index (RDI) 46.0+/-23.1 events/h) completed the study.

RESULTS

At 6 months, there was significant weight loss (8.3+/-4.7 kg, P<0.0001), as well as a reduction in waist and neck circumference and sagittal height (all P<0.0001). These changes were accompanied by a reduction in OSA severity (RDI fell by 16.3+/-19.4 events/h and Epworth score by 4.5+/-4.6), both P<0.0001). There was no significant change to systolic (P=0.07) or diastolic blood pressure (P=0.87); however, there was a mild rise in resting heart rate (P<0.0001).

CONCLUSION

Moderate (approximately 10%) weight loss with SIB-WL results in improvement in OSA severity without increase in blood pressure in closely monitored OSA subjects.

Monthly variation in night time noise levels at residential areas of Asansol city (India)

Intense vehicular movement and industrial activities are the major noise producing sources in the Asansol city. Ambient night time noise levels were monitored in ten residential areas from August 2002 to July 2003, to study the existing quality of noise and their impact in the local community. Based on the monitored noise levels in the area, traffic-social survey was also conducted. About 39% of individuals surveyed were highly annoyed with noise pollution from different origins. The study revealed that night time noise levels (10.00 pm - 6.00 am) in all the locations exceeded the limit prescribed by Central Pollution Control Board. The day time noise level was much higher at all locations in respect of the night time noise level. The Day-Night equivalent noise level (Ldn) was determined and ranged between 67.16 dB(A) and 89.44 dB(A). The percentile noise level (L90) exceeded the CPCB standard in all cases and varied from 72.36 dB(A) to 102.45 dB(A). Based on the results of the study, it can be concluded that the local community is exposed to high noise environment.

Proton transfer reaction of a new orthohydroxy Schiff base in some protic and aprotic solvents at room temperature and 77 K

The ground and excited state proton transfer reactions of a new orthohydroxy Schiff base, salicylidine-3,4,7-methyl amine (SMA) has been studied by means of absorption, emission and time resolved fluorescence spectroscopy in some polar protic and aprotic solvents at room temperature and 77K. The spectral behavior of SMA has been investigated both in neutral and basic conditions. The intramolecularly hydrogen bonded enol and zwitterion have been detected in pure methanol and ethanol, the anion is detected in basic condition. At 77K, SMA shows phosphorescence in pure methanol and ethanol. From nanosecond measurements and quantum yields of fluorescence, we have estimated the decay rates of proton transfer reaction in methanol and ethanol.

The effect of oral clarithromycin on health status and sputum bacteriology in stable COPD

BACKGROUND

Chronic obstructive pulmonary disease (COPD) is characterised by airway inflammation, poor health status and recurrent infective exacerbations. Macrolide antibiotics have been shown to improve symptoms and exacerbation rate in chronic lung disease, particularly cystic fibrosis (CF) and diffuse pan-bronchiolitis. The effect of long-term oral clarithromycin on health status, sputum bacterial numbers and exacerbation rate in subjects with clinically stable COPD is undetermined.

METHODS

Subjects with moderate-to-severe COPD were recruited into a prospective, double-blind, randomised-controlled trial of 3-months oral clarithromycin (Klaricid XL) or placebo once-daily. The effect of clarithromycin on health status (St. George respiratory and Short Form-36 questionnaires), sputum quantitative bacterial numbers and exacerbation rate were investigated.

RESULTS

Sixty-seven subjects (46 males) were recruited; 31 and 36 subjects received clarithromycin and placebo, respectively. There were 7(10%) withdrawals. Compared to placebo, clarithromycin did not significantly improve health status, sputum bacterial numbers, or exacerbation rate.

CONCLUSIONS

Three months of oral clarithromycin given to subjects with stable COPD does not improve health status, sputum bacterial numbers or exacerbation rate. Treatment of COPD with clarithromycin during the clinical stable state yields no clinical advantages and therefore cannot be recommended as means of eliminating sputum bacteria or preventing infective exacerbations.

Impact of sputum bacteria on airway inflammation and health status in clinical stable COPD

Chronic obstructive pulmonary disease (COPD) is characterised by sputum production, bacterial colonisation, neutrophilic bronchial airway inflammation and poor health status. The aim of this study was to determine the impact of sputum potentially pathogenic microorganisms (PPMs) on bronchial airway inflammation, health status and plasma fibrinogen levels in subjects with moderate-to-severe COPD during the clinical stable state. Sputum total cell and neutrophil counts, supernatant interleukin-8, leukotriene B4, tumour necrosis factor-alpha and neutrophil elastase levels, neutrophil chemotaxis and plasma fibrinogen levels were estimated. Health status was determined using the St George's Respiratory Questionnaire and the 36-item Short-Form Health Survey questionnaire. Twenty-seven (40%) subjects had PPMs and 40 (60%) non-PPMs in their sputum. Both groups were of similar age, body mass index, smoking history and lung function. The PPMs group showed significantly higher levels of interleukin-8, leukotriene B4, tumour necrosis factor-a, neutrophil elastase and increased neutrophil chemotaxis. They also exhibited worse health status and raised plasma fibrinogen levels compared to the non-PPMs group. In conclusion, subjects with clinically stable moderate-to-severe chronic obstructive pulmonary disease who had potentially pathogenic microorganisms in their sputum demonstrated an exaggerated airway inflammatory response, poorer health status and increased plasma fibrinogen levels than those who had nonpotentially pathogenic microorganisms.

Molecular pathology of haemophilia B: identification of five novel mutations including a LINE 1 insertion in Indian patients

Heterogeneous mutations in factor IX (FIX) gene cause haemophilia B and a large number of mutations have been characterized. However, reports on gene defects among Indian haemophilia B patients are rare despite a high estimate of such patients in the country. We report identification of 22 independent mutations including five novel mutations in 24 unrelated patients. The novel gene defects include two point mutations, two deletions and one insertion of a LINE 1 element. Majority of the mutations (14 of 24) occurred on the same haplotype background, but do not suggest any founder effect. Direct identification of mutations can be utilized to perform the carrier detection and prenatal diagnosis, especially in families with isolated patients.

Interaction between methyl glyoxal and ascorbic acid: experimental and theoretical aspects

The absorption spectral change of methyl glyoxal (MG) due to the interaction with ascorbic acid (AA or Vitamin C) has been investigated using steady-state spectroscopic technique. A plausible explanation for the spectral change has been discussed on the basis of hydrogen bonding interaction between the two interacting species. The equilibrium constant for the complex formation due to hydrogen bonding interaction between MG and AA has been obtained from absorption spectral changes. Ab inito calculations with DFT B3LYP/6/31G (d,p) basis sets have been used to find out the molecular structure of the hydrogen bonded complex. The O...H distance found in the O-H...O hydrogen bond turns out to be quite short (1.974 A) which is in conformity with the large value of the equilibrium constant determined experimentally.

Thymidylate synthase as an oncogene?

A surprising finding in the report by Rahman et al. in this issue of Cancer Cell is that forced overexpression of human thymidylate synthase transforms immortalized murine cells into a malignant phenotype. We discuss the possibility that elevated levels of thymidylate synthase noted in some human malignancies may contribute to tumor progression and may also reflect increased levels of its transcriptional activator E2F-1.

Effect of tight glycaemic control on fetal complications in diabetic pregnancies

AIMS

To find the incidence of fetal complications in Indian diabetic mothers with tight glycaemic control (TC), its comparison with other levels of glycaemic control, i.e., acceptable control (AC), uncontrolled (UC), and relevant international data.

METHODS

A total of 240 mothers with diabetes mellitus (DM) and pregnancy were risk-matched and selected from the Antenatal Clinic of NRS Medical College, 176 of whom had gestational diabetes mellitus (GDM) and 64 had pregestational diabetes mellitus (PGDM), and were put on exercise, diet and or insulin therapy. Glycaemic parameters monitored include fasting plasma glucose (FPG), 2 hr. postprandial plasma glucose (PPPG) and HbA1C. TC had - FPG < 70 mg/dl, PPPG < 100 mg/dl, HBA1C < 6.5%; AC with FPG 70-95 mg/dl, 2 hr. PPPG 100-120, HBA1C 6.5-7.5% and UC had FPG > 95 mg/ dl, 2 hr. PPPG > 120 mg/dl and HBA1C > 7.5%. Fetal parameters monitored included large-for-date babies (LGA), small-for-date babies (SFD), birth asphyxia, perinatal death, neonatal hypoglycemia, neonatal hypocalcaemia and congenital anomalies.

RESULTS

(i) LGA-AC had the best results (0% vs. 12.5 and 22.29%); (ii) SFD-TC and AC had worst results (16.7% and 18.18% vs. 0%); (iii) Birth asphyxia-AC fared worse 18.18% vs. 4.16% and 0%; (iv) perinatal death and congenital anomalies showed significant reduction with tight control (4.16% and 0% respectively); (v) Neonatal hypoglycemia is lowered in TC compared with UC while neonatal hypocalcaemia does not show any alteration. For PGDM patients there is little intra-group variability of the parameters. The UC subgroups of GDM fared better than PGDM as far as all complications and congenital anomalies were concerned. Compared with international data, there is a dichotomy of the results of GDM and PGDM.

CONCLUSION

For GDM patients all parameters may not be uniformly affected by the same degree of glycaemic control. A tight control may not be theonly factor to decide on the outcomes for PGDM patients.

A study of hepatobiliary function in chronic heroin smokers

The controversy over the relationship between heroin addiction and hepatocellular dysfunction was examined by assay of serum activities of aspartate and alanine aminotransferases, total protein, albumin and globulin in 48 chronic heroin smokers and 33 controls. Biliary secretion in the addicts was compared to controls by assay of serum bilirubin and its conjugated and unconjugated fractions. Serum aminotransferases, total protein, albumin and globulin did not differ significantly between the addict and the control groups (p < 0.05), whereas total bilirubin and its conjugated fraction were significantly higher in the addicts (p < 0.02). The results indicate that chronic abuse of heroin by smoking affects biliary secretion but exercises little influence over hepatocellular function.

Concepts and approaches to in situ luminescence dating of Martian sediments

In this paper we present the concept of a robotic instrument for in situ luminescence dating of near-surface sediments on Mars. The scientific objectives and advantages to be gained from the development of such an instrument are described, and the challenges presented by the Mars surface environment to the design and operation of the instrument are outlined.

Angiomyofibrosarcoma: a rare ischiorectal fossa swelling

A33-year-old woman presented with a painful lump in the right gluteal region, 7 months after normal vaginal delivery of her child. There was no history of altered bowel habits, bleeding per rectum, dyspareunia or difficult labour. On examination she was afebrile. Local examination revealed asymmetry with a tender lump in the right gluteal region and some redness of the overlying skin. Rectal examination revealed a tender right lateral rectal wall. Magnetic resonance imaging (Figure 1) revealed a 12×8×8 cm complex ‘cyst’ in the right ischiorectal fossa displacing the levator ani upward and the rectum medially, with an apparent pseudo capsule. In the T1-weighted sequences, it had higher signal intensity than the bladder. On T2-weighted sequences, the lesion was of very high intensity. Also in the surrounding fat were multiple linear foci of high intensity, representing oedema or increased vascularity. In view of the location, it was suggested that this could be an abscess.

Examination under anaesthesia revealed a boggy swelling in the ischiorectal fossa. An incision to drain this abscess revealed no pus, however, a soft fatty lump protruded from the incision. The incision was extended and a soft tissue mass 12 cm in diameter was enucleated. The cavity was packed and skin incision closed after 3 days. Histopathology revealed an angiomyxoid tumour, extending to the resection margins. Subsequently she was sent to a specialist centre. Computed tomography of the chest was normal. After discussion with the patient about the possibility of incontinence and stoma, re-excision was performed.

Histology suggested low grade, sarcomatous changes in a pre-existing myofibroblastic lesion, either angiomyxoma or angiomyofibroblastoma. Immunostaining was positive for desmin and weakly positive for actin and calponin. Staining for caldesmin and myogenin were negative. CD34 was present in few scattered spindle cells. No adjuvant therapy was given. She had one admission since then with a wound collection, which was drained.