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Šťastná K, Musdal Y, Ismail A, Ebihara K, Niwa R, Mannervik B. Supreme glutathione-dependent ketosteroid isomerase in the yellow-fever transmitting mosquito Aedes aegypti. Biochem Biophys Res Commun 2024; 711:149914. [PMID: 38608434 DOI: 10.1016/j.bbrc.2024.149914] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/14/2024] [Revised: 03/28/2024] [Accepted: 04/06/2024] [Indexed: 04/14/2024]
Abstract
The steroid hormone ecdysone is essential for the reproduction and survival of insects. The hormone is synthesized from dietary sterols such as cholesterol, yielding ecdysone in a series of consecutive enzymatic reactions. In the insect orders Lepidoptera and Diptera a glutathione transferase called Noppera-bo (Nobo) plays an essential, but biochemically uncharacterized, role in ecdysteroid biosynthesis. The Nobo enzyme is consequently a possible target in harmful dipterans, such as disease-carrying mosquitoes. Flavonoid compounds inhibit Nobo and have larvicidal effects in the yellow-fever transmitting mosquito Aedes aegypti, but the enzyme is functionally incompletely characterized. We here report that within a set of glutathione transferase substrates the double-bond isomerase activity with 5-androsten-3,17-dione stands out with an extraordinary specific activity of 4000 μmol min-1 mg-1. We suggest that the authentic function of Nobo is catalysis of a chemically analogous ketosteroid isomerization in ecdysone biosynthesis.
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Affiliation(s)
- Katarína Šťastná
- Department of Biochemistry and Biophysics, Stockholm University, Stockholm, 10691, Sweden
| | - Yaman Musdal
- Department of Biochemistry and Biophysics, Stockholm University, Stockholm, 10691, Sweden; Department of Pediatric Genetics, Faculty of Medicine, Hacettepe University, Ankara, 06230, Turkey
| | - Aram Ismail
- Department of Biochemistry and Biophysics, Stockholm University, Stockholm, 10691, Sweden
| | - Kana Ebihara
- Degree Programs in Life and Earth Sciences, Graduate School of Science and Technology, University of Tsukuba, Tsukuba, 305-8572, Japan
| | - Ryusuke Niwa
- Life Science Center for Survival Dynamics, Tsukuba Advanced Research Alliance (TARA), University of Tsukuba, Tsukuba, 305-8577, Japan
| | - Bengt Mannervik
- Department of Biochemistry and Biophysics, Stockholm University, Stockholm, 10691, Sweden; Department of Chemistry, Scripps Research, La Jolla, CA, 92037, USA.
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Mustapa M, Ustari D, Wicaksono A, Algina A, Ismail A, Concibido V, Suganda T, Karuniawan A. Agromorphological traits dataset of butterfly pea accessions from Thailand, Indonesia, and Brazil. Data Brief 2024; 53:110079. [PMID: 38328282 PMCID: PMC10847470 DOI: 10.1016/j.dib.2024.110079] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/28/2023] [Revised: 12/27/2023] [Accepted: 01/16/2024] [Indexed: 02/09/2024] Open
Abstract
Butterfly pea (Clitoria ternatea L.) is a horticultural crop also known as underutilized crop. All parts of the butterfly pea can be used into various products including flowers that can be used as natural dyes and traditional medicines. Besides that, the plant parts can be used as fodder and cover crop. The development of butterfly pea in Indonesia is still very low both in cultivation and utilization. Therefore, a breeding program is required to increase usefulness of butterfly pea can be done for the development. To assemble superior varieties of butterfly pea, it is necessary to determine the genetic diversity of both in agronomy and morphology. Genetic diversity and relationships are needed to evaluate plant germplasm. Raw data analysis was conducted after standardization using Principal Componet Analysis (PCA) and Hierarchical Clustering Analysis (HCA) to determine phenotypic diversity and relationship among the newly collected genetic resources. The data in this article showed broad phenotypic diversity with weight of fresh flower per plant, seed color, weight of total seed, pod width, calix length, flower color, petal number, number of total pods, plant height, number of seed per pod, weight total fresh flower, seed width, weight of fresh flower per plant, and seed length as distinguishing traits among the accessions. PCA based on agromorphogical traits showed eigenvalue ranged from 1.13 to 9.47 with a cumulative contribution of 93.02%. HCA showed butterfly pea accessions divided into two cluster with euclidean distance 0.27-4.65.
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Affiliation(s)
- M.B. Mustapa
- Faculty of Agriculture, Universitas Padjadjaran, Jl. Ir. Soekarno Km. 21 Jatinangor, Sumedang, West Java 45363, Indonesia
| | - D. Ustari
- Faculty of Agriculture, Universitas Padjadjaran, Jl. Ir. Soekarno Km. 21 Jatinangor, Sumedang, West Java 45363, Indonesia
- Faculty of Agriculture, Universitas Islam Nusantara, Jl. Soekarno-Hatta No. 530 Sekejati, Buah Batu, Bandung, West Java 40286, Indonesia
| | - A.A. Wicaksono
- Faculty of Agriculture, Universitas Padjadjaran, Jl. Ir. Soekarno Km. 21 Jatinangor, Sumedang, West Java 45363, Indonesia
| | - A. Algina
- Faculty of Agriculture, Universitas Padjadjaran, Jl. Ir. Soekarno Km. 21 Jatinangor, Sumedang, West Java 45363, Indonesia
| | - A. Ismail
- Faculty of Agriculture, Universitas Padjadjaran, Jl. Ir. Soekarno Km. 21 Jatinangor, Sumedang, West Java 45363, Indonesia
| | - V. Concibido
- Sensient Colors LLC, North Jefferson Eve., St. Louis, MO 63106-1939, USA
| | - T. Suganda
- Faculty of Agriculture, Universitas Padjadjaran, Jl. Ir. Soekarno Km. 21 Jatinangor, Sumedang, West Java 45363, Indonesia
| | - A. Karuniawan
- Faculty of Agriculture, Universitas Padjadjaran, Jl. Ir. Soekarno Km. 21 Jatinangor, Sumedang, West Java 45363, Indonesia
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Ismail A, Govindarajan S, Mannervik B. Human GST P1-1 Redesigned for Enhanced Catalytic Activity with the Anticancer Prodrug Telcyta and Improved Thermostability. Cancers (Basel) 2024; 16:762. [PMID: 38398153 PMCID: PMC10887215 DOI: 10.3390/cancers16040762] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/14/2023] [Revised: 02/09/2024] [Accepted: 02/10/2024] [Indexed: 02/25/2024] Open
Abstract
Protein engineering can be used to tailor enzymes for medical purposes, including antibody-directed enzyme prodrug therapy (ADEPT), which can act as a tumor-targeted alternative to conventional chemotherapy for cancer. In ADEPT, the antibody serves as a vector, delivering a drug-activating enzyme selectively to the tumor site. Glutathione transferases (GSTs) are a family of naturally occurring detoxication enzymes, and the finding that some of them are overexpressed in tumors has been exploited to develop GST-activated prodrugs. The prodrug Telcyta is activated by GST P1-1, which is the GST most commonly elevated in cancer cells, implying that tumors overexpressing GST P1-1 should be particularly vulnerable to Telcyta. Promising antitumor activity has been noted in clinical trials, but the wildtype enzyme has modest activity with Telcyta, and further functional improvement would enhance its usefulness for ADEPT. We utilized protein engineering to construct human GST P1-1 gene variants in the search for enzymes with enhanced activity with Telcyta. The variant Y109H displayed a 2.9-fold higher enzyme activity compared to the wild-type GST P1-1. However, increased catalytic potency was accompanied by decreased thermal stability of the Y109H enzyme, losing 99% of its activity in 8 min at 50 °C. Thermal stability was restored by four additional mutations simultaneously introduced without loss of the enhanced activity with Telcyta. The mutation Q85R was identified as an important contributor to the regained thermostability. These results represent a first step towards a functional ADEPT application for Telcyta.
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Affiliation(s)
- Aram Ismail
- Arrhenius Laboratories, Department of Biochemistry and Biophysics, Stockholm University, SE-10691 Stockholm, Sweden;
| | | | - Bengt Mannervik
- Arrhenius Laboratories, Department of Biochemistry and Biophysics, Stockholm University, SE-10691 Stockholm, Sweden;
- Department of Chemistry, Scripps Research, La Jolla, CA 92037, USA
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Garba I, Engel-Hills P, Davidson F, Ismail A. Knowledge of computed tomography dose optimisation and justification among CT users and referring physicians: A single hospital study. J Med Imaging Radiat Sci 2023; 54:644-652. [PMID: 37596237 DOI: 10.1016/j.jmir.2023.07.019] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/13/2023] [Revised: 06/26/2023] [Accepted: 07/28/2023] [Indexed: 08/20/2023]
Abstract
INTRODUCTION Radiation dose associated with computed tomography (CT) remains a concern, and radiation risk does not receive the needed attention, especially in low and middle-income countries. This because the frequency of this high-dose examination is rapidly growing and systems for protocol optimisation and dose justification are yet to be provided in CT imaging. OBJECTIVE To determine radiographers' and radiologists' awareness and knowledge of CT dose optimisation. We also determined knowledge of dose justification and use of the referral guidelines amongst the referring physicians. METHODS Radiographers and radiologists were invited to complete a web-based questionnaire whilst the referring physicians completed a self-administered questionnaire. The returned questionnaires were analysed and a significant difference was determined using Yates corrected Chi-square, and a p-value of 0.05 was considered at the 95% confidence interval. RESULTS The response rates were 50% (17 out 34) and 35% (16 out 46) for radiographers and radiologists respectively while referring physicians had a response rate of 84% (92 out of 110). Overall, more radiographers (47.1%) than radiologists (18.8%) had good knowledge of CT doses and image quality, however, the difference in knowledge was not found to be significant (p = 0.167). In addition, knowledge of diagnostic reference levels (DRLs) was significantly (p = 0.033) higher amongst radiographers (52.9%) as compared to radiologists (12.5%). Meanwhile, physicians understood the principles of dose justification. However, their knowledge of referral guidelines was limited. CONCLUSION The study revealed that radiographers were more knowledgeable on matters relating to radiation dose and image quality as well as DRLs when compared to radiologists. Meanwhile, the concept of dose justification was understood among physicians, however, they had limited awareness and knowledge of referral guidelines.
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Affiliation(s)
- I Garba
- Department of Medical Imaging and Therapeutic Sciences, Faculty of Health and Wellness Sciences, Cape Peninsula University of Technology, South Africa.
| | - P Engel-Hills
- Department of Medical Imaging and Therapeutic Sciences, Faculty of Health and Wellness Sciences, Cape Peninsula University of Technology, South Africa
| | - F Davidson
- Department of Medical Imaging and Therapeutic Sciences, Faculty of Health and Wellness Sciences, Cape Peninsula University of Technology, South Africa
| | - A Ismail
- Department of Radiology, Faculty of Clinical Sciences, College of Health Sciences, Bayero University Kano, Nigeria
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Ismail A, Umar A, Umar N, Muhammad A, Ahmad J, Hassan M, Tabari A. INFERIOR VENA CAVA FILTER PLACEMENT FOR PREVENTION OF PULMONARY THROMBOEMBOLISM: CASE SERIES FROM NORTHWESTERN NIGERIA. Ann Ib Postgrad Med 2023; 21:96-102. [PMID: 38706618 PMCID: PMC11065183] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/06/2023] [Accepted: 12/30/2023] [Indexed: 05/07/2024] Open
Abstract
Background Inferior vena cava (IVC) filter placement is an image-guided procedure aimed at primarily preventing pulmonary thromboembolism in patients with lower limb venous thromboembolic (VTE) disease. In Northern Nigeria with a relatively high incidence of thromboembolic disease such as Deep vein thrombosis, reports on IVC filter placement are largely low. We report the feasibility of IVC filter placement on eight patients for the first time in a typical low-resource setting in Northern Nigeria. Case Presentations We had an equal number of males and females of the eight patients. Their ages ranged from 20 to 80 years. Five patients presented with bilateral lower limbs Deep vein thrombosis (DVT) of which one had a pulmonary embolism. Two other patients had extensive left femoral DVT and one had extensive IVC, iliac, femoral, and popliteal veins thrombosis. The medical records of seven patients, who had IVC filter placement in our department, were reviewed. The IVC filter was deployed with the aid of a C-arm fluoroscopic unit. In a single case, access was secured via an indwelling dialysis catheter. Conclusions All the patients had successful deployment with satisfactory postprocedure conditions. The intended benefit of pulmonary embolism prevention was achieved in the series of procedures that were performed. Indicating the value of IVC filter even in resource-poor settings and effort should be made towards exploring such intervention.
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Affiliation(s)
- A. Ismail
- Department of Radiology, Bayero University, Kano, Nigeria
| | - A.B. Umar
- Department of Radiology, Bayero University, Kano, Nigeria
| | - N. Umar
- Department of Radiology, Aminu Kano Teaching Hospital, Kano, Nigeria
| | - A.R. Muhammad
- Department of Radiology, Aminu Kano Teaching Hospital, Kano, Nigeria
| | - J.I. Ahmad
- Department of Surgery, Bayero University, Kano, Nigeria
| | - M.M. Hassan
- Department of Anaesthesia, Aminu Kano Teaching Hospital, Kano, Nigeria
| | - A.M. Tabari
- Department of Radiology, Barau Dikko Teaching Hospital, Kaduna, Nigeria
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Mahdi M, Dachi RA, Musa I, Ahmed SG, Gwarzo AK, Ismail A, Abdu A, Mustapha FG. RELATIONSHIP BETWEEN SICKLE CELL NEPHROPATHY AND SOME BIOCHEMICAL MARKERS OF HAEMOLYSIS AMONGST PATIENTS WITH SICKLE CELL ANAEMIA IN KANO, NORTHWESTERN NIGERIA. West Afr J Med 2023; 40:S23-S24. [PMID: 37976329] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/19/2023]
Abstract
Introduction Advancements in the care of patients with sickle cell anaemia have led to significant improvement in survival with many patients reaching adulthood. As they age, long-term complications of the disease manifest in them, notable amongst which is nephropathy which is one of the leading causes of morbidity and mortality in them. There is limited information about sickle cell nephropathy and some biochemical markers of haemolysis that can detect it early in our setting. This study aimed to determine the relationship between some indirect markers of haemolysis and sickle cell nephropathy. Methodology The study was a descriptive cross-sectional one where 204 adolescent and adult patients with sickle cell anaemia attending the clinic of AKTH Kano were recruited. An interviewer-administered questionnaire was utilized. Blood samples were taken for determination of serum bilirubin, LDH, and reticulocyte count. Spot urine was used to quantitatively determine albumin to creatinine ratio. Data collated was analyzed using SPSS version 22.0. P-value <0.05 was considered significant. Result Two hundred and four (204) participants were enrolled in to the study. Their mean age was 19.6±5years. Females were the majority 131/204 (64.2%). The median (IQR) serum lactate dehydrogenase, bilirubin, direct bilirubin, and reticulocyte count were 607.0(487.3-758.5) U/L, 54.5(37.0-119.0) umol/L, 16.0(11.3-29.0) umol/L and 4.0(3.0-8.4%) respectively. Sickle cell nephropathy was found in 29/204 (14.2%). There were positive significant associations between sickle cell nephropathy with raised serum bilirubin and serum lactate dehydrogenase (p-value = 0.02 and 0.032 respectively). Conclusion Sickle cell nephropathy is common amongst patients with sickle cell anaemia and raised serum bilirubin and lactate dehydrogenase are predictors of sickle cell nephropathy.
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Affiliation(s)
- M Mahdi
- Department of Haematology and Blood Transfusion, Abubakar Tafawa Balewa University Teaching Hospital Bauchi, Bauchi State, Nigeria.
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Ismail A, Lawal Y, Isyaku K, Garba I, Ismail JA, Tabari AM, Umar MS. Burden, Severity and Characteristic Pattern of Coronary Artery Disease using 160-Slice Computed Tomographic Angiography: Earliest Report from Northern Nigeria. West Afr J Med 2023; 40:779-785. [PMID: 37638969] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 08/29/2023]
Abstract
BACKGROUND Coronary computed tomography angiography (CCTA) allows for non-invasive visualization of the coronary arteries which is promising in diagnosing coronary artery disease. OBJECTIVES To determine the prevalence, morphology, anatomic distribution pattern and correlates of CAD in our environment. METHODS This cross-sectional study was conducted on the first cohort of patients referred for CCTA in our hospital. The patients were examined with 160-slice Toshiba® CT scanner. Their demographic data, relevant clinical information as well as the findings on CCTA were extracted and documented. The data were analysed using the R programming software version 4.0.4. RESULTS Out of a total of 153 patients who presented for CCTA within the study period, 133 (84.7%) were eligible for analysis. Their age ranged from 22-78 years with a mean ± SD of 55.8 ± 11.7 years. A total of 33 (24.8%) had normal CCTA, while 100 (75.2%) had either stenosis or total occlusion. There was a significantly higher (p-value of 0.00001) calcium score among those with stenosis compared to those with normal CCTA. The severity of the stenotic lesion was associated with the calcium score. The logistic regression analyses showed a statistically significant (P = 0.0415, OR = 1.0569, 97.5% CI =1.078152-1.123240) association between age and the presence of coronary stenosis. In addition, most of the stenotic lesions were in the left anterior descending artery (LAD). CONCLUSION Majority of the patients had coronary artery disease of variable severity and the LAD was the most involved artery. There was no significant association between sex and severity of the disease; however, old age and higher number of lesions were associated with severe disease.
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Affiliation(s)
- A Ismail
- Department of Radiology, Bayero University, Kano State, Nigeria
| | - Y Lawal
- Department of Radiology, Bayero University, Kano State, Nigeria
| | - K Isyaku
- Department of Radiology, Bayero University, Kano State, Nigeria
| | - I Garba
- Department of Medical Radiography, Bayero University, Kano State, Nigeria
| | - J A Ismail
- Cardiothoracic Unit, Department of Surgery, Bayero University, Kano State, Nigeria
| | - A M Tabari
- Department of Radiology, Barau Dikko Teaching Hospital, Kaduna State, Nigeria
| | - M S Umar
- Cardiology Unit, Department of Internal Medicine, Bayero University, Kano State, Nigeria
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Ismail A, Wong M, Dhoodhat S, Vangu MDT. Clinicians' interpretation of ventilation/perfusion lung scan reports: Where are we today? Afr J Thorac Crit Care Med 2023; 29:10.7196/AJTCCM.2023.v29i2.271. [PMID: 37622102 PMCID: PMC10446162 DOI: 10.7196/ajtccm.2023.v29i2.271] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/12/2022] [Accepted: 05/02/2023] [Indexed: 08/26/2023] Open
Abstract
Background Clinicians' interpretation of lung scan reports will determine which further management decisions are taken when potentially fatal pulmonary embolism (PE) is suspected. Objectives To assess current referring clinicians' interpretation of the terminology used in ventilation/perfusion (V/Q) scan reports, whether this interpretation is affected by experience level, and how it affects clinical management decisions. Methods This was a questionnaire-based cross-sectional study. Between September 2020 and May 2021, 300 questionnaires were distributed among clinicians who refer patients for V/Q scans. Results Of the 162 clinicians who responded, 94% thought that there is >85% likelihood of PE or definitely PE present when a scan is reported as 'high probability of PE'; 87% interpreted 'low probability of PE' as <10% likelihood of PE or definitely no PE present. Overall, >70% of clinicians across all experience levels correctly interpreted the intended meaning of probability categories according to the Modified Prospective Investigation of Pulmonary Embolism Diagnosis (PIOPED) II criteria. Of the respondents, 77% agreed that clinically significant PE is ruled out by a normal scan. Further investigation for inconclusive findings, features of parenchymal lung disease and cardiomegaly were selected by 72%, 93% and 98% of clinicians, respectively. Conclusion The findings of this study regarding high-probability scan results were in line with existing literature on lung scan report interpretation. However, our findings regarding low-probability scan results and negative V/Q scan specificity contrasted with the findings in these articles, suggesting that clinicians are now more familiar with lung scan interpretation guidelines. Experience level did not significantly affect interpretation of reports. Although most clinicians agreed that a negative scan excludes clinically significant PE, two-thirds of them would still subject the patient to further unnecessary investigations to exclude PE. Study synopsis What the study adds. Our findings regarding a low-probability ventilation/perfusion (V/Q) scan and the specificity of a negative V/Q scan contrasted with previous articles on lung scan interpretation, suggesting that clinicians are now more familiar with lung scan interpretation guidelines.Implications of the findings. Although most clinicians understood the negative predictive value of a V/Q scan, 20% would still investigate further with computed tomography pulmonary angiography or treat as confirmed pulmonary embolism. Education of clinicians about the negative predictive value of V/Q scans is important to avoid unnecessary radiation or anticoagulation.
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Affiliation(s)
- A Ismail
- Department of Nuclear Medicine, Charlotte Maxeke Johannesburg Academic Hospital and Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa
| | - M Wong
- Division of Pulmonology, Department of Internal Medicine, Chris Hani Baragwanath Hospital and Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa
| | - S Dhoodhat
- Department of Nuclear Medicine, Charlotte Maxeke Johannesburg Academic Hospital and Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa
| | - M D T Vangu
- Department of Nuclear Medicine, Charlotte Maxeke Johannesburg Academic Hospital and Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa
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Musdal Y, Ismail A, Sjödin B, Mannervik B. Potent GST Ketosteroid Isomerase Activity Relevant to Ecdysteroidogenesis in the Malaria Vector Anopheles gambiae. Biomolecules 2023; 13:976. [PMID: 37371556 DOI: 10.3390/biom13060976] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/03/2023] [Revised: 06/03/2023] [Accepted: 06/09/2023] [Indexed: 06/29/2023] Open
Abstract
Nobo is a glutathione transferase (GST) crucially contributing to ecdysteroid biosynthesis in insects of the orders Diptera and Lepidoptera. Ecdysone is a vital steroid hormone in insects, which governs larval molting and metamorphosis, and the suppression of its synthesis has potential as a novel approach to insect growth regulation and combatting vectors of disease. In general, GSTs catalyze detoxication, whereas the specific function of Nobo in ecdysteroidogenesis is unknown. We report that Nobo from the malaria-spreading mosquito Anopheles gambiae is a highly efficient ketosteroid isomerase catalyzing double-bond isomerization in the steroids 5-androsten-3,17-dione and 5-pregnen-3,20-dione. These mammalian ketosteroids are unknown in mosquitoes, but the discovered prominent catalytic activity of these compounds suggests that the unknown Nobo substrate in insects has a ketosteroid functionality. Aminoacid residue Asp111 in Nobo is essential for activity with the steroids, but not for conventional GST substrates. Further characterization of Nobo may guide the development of new insecticides to prevent malaria.
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Affiliation(s)
- Yaman Musdal
- Department of Biochemistry and Biophysics, Stockholm University, SE-10691 Stockholm, Sweden
- Department of Pediatric Genetics, Faculty of Medicine, Hacettepe University, 06230 Ankara, Turkey
| | - Aram Ismail
- Department of Biochemistry and Biophysics, Stockholm University, SE-10691 Stockholm, Sweden
| | - Birgitta Sjödin
- Department of Biochemistry and Biophysics, Stockholm University, SE-10691 Stockholm, Sweden
| | - Bengt Mannervik
- Department of Biochemistry and Biophysics, Stockholm University, SE-10691 Stockholm, Sweden
- Department of Chemistry, Scripps Research, La Jolla, CA 92037, USA
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Qaeed MA, Hendi A, Thahe AA, Al-Maaqar SM, Osman AM, Ismail A, Mindil A, Eid AA, Aqlan F, Al-Nahari EG, Obaid AS, Warsi MK, Saif AA, AL-Farga A. Effect of Different Ratios of Mentha spicata Aqueous Solution Based on a Biosolvent on the Synthesis of AgNPs for Inhibiting Bacteria. Journal of Nanomaterials 2023; 2023:1-10. [DOI: 10.1155/2023/3599501] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/20/2023]
Abstract
Our work was devoted to studying the effect of different concentrations of Mentha spicata aqueous extract on the green synthesis of silver nanoparticles (AgNPs) in order to obtain the most effective of these concentrations for bacteria inhibitory activity. Different concentrations of the aqueous M. spicata extract (0.25, 0.50, 0.75, and 1.00 mM) were used as biological solvent to synthesize AgNPs by means of the reduction method. The crystal structure and morphology of the NPs were characterized UV–vis spectra, X-ray diffraction (XRD), and scanning electron microscopy (SEM). The inhibition effect of AgNPs on Escherichia coli was studied to determine the minimum inhibitory concentration (MIC). The dark yellow color of the M. spicata extract aqueous solution indicates the successful synthesis of the AgNPs. UV spectra of the NPs show a gradual increase in absorption with increasing concentration of aqueous M. spicata extract solution from 0.25 to 1.00 mM, accompanied by a shift in the wavelength from 455 to 479 nm along with a change in the nanoparticle size from 31 to 9 nm. The tests also showed a high activity of the particles against bacteria (E. coli) ranging between 15.6 and 62.5 µg/ml. From the AgNPs, it was confirmed that aqueous M. spicata extract is an effective biosolvent for the synthesis of different sizes of AgNPs according to the solvent concentration. The AgNPs also proved effectual for the killing of bacteria.
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Affiliation(s)
- Motahher A. Qaeed
- Department of Physics, Faculty of Science, University of Jeddah, Jeddah, Saudi Arabia
| | - Abdulmajeed Hendi
- Department of Physics, IRC Hydrogen and Energy Storage, King Fahd University of Petroleum and Minerals, Dhahran 31261, Saudi Arabia
| | - Asad A. Thahe
- Department of Medical Physics, College of Applied Science, University of Fallujah, Fallujah, Iraq
| | - Saleh M. Al-Maaqar
- Faculty of Education, Department of Biology, Al-Baydha University, Al-Baydha, Yemen
| | - Abdalghaffar M. Osman
- Department of Chemistry, IRC Hydrogen and Energy Storage, King Fahd University of Petroleum and Minerals, Dhahran 31261, Saudi Arabia
| | - A. Ismail
- Department of Physics, University of Hafr Al Batin, Hafr Al Batin 31991, Saudi Arabia
| | - A. Mindil
- Department of Physics, Faculty of Science, University of Jeddah, Jeddah, Saudi Arabia
| | - Alharthi A. Eid
- Department of Physics, Faculty of Science, University of Jeddah, Jeddah, Saudi Arabia
| | - Faisal Aqlan
- Department of Chemistry, Faculty of Science, University of Jeddah, Jeddah, Saudi Arabia
| | - E. G. Al-Nahari
- Department of Physics, Center of Excellence in Development of Non-Profit Organizations, King Fahd University of Petroleum and Minerals, Dhahran 31261, Saudi Arabia
| | - Ahmed. S. Obaid
- Department of Physics, College of Science, University of Anbar, Ramadi, Iraq
| | - Mohiuddin Khan Warsi
- Department of Biochemistry, Faculty of Science, University of Jeddah, Jeddah, Saudi Arabia
| | - Ala’eddin A. Saif
- Department of Physics, Faculty of Science, University of Jeddah, Jeddah, Saudi Arabia
| | - Ammar AL-Farga
- Department of Biochemistry, Faculty of Science, University of Jeddah, Jeddah, Saudi Arabia
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Qaeed MA, Hendi A, Obaid AS, Thahe AA, Osman AM, Ismail A, Mindil A, Eid AA, Aqlan F, Osman NMA, Al-Farga A, Al-Maaqar SM, Saif AA. The effect of different aqueous solutions ratios of Ocimum basilicum utilized in AgNPs synthesis on the inhibition of bacterial growth. Sci Rep 2023; 13:5866. [PMID: 37041159 PMCID: PMC10088745 DOI: 10.1038/s41598-023-31221-7] [Citation(s) in RCA: 3] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/15/2022] [Accepted: 03/08/2023] [Indexed: 04/13/2023] Open
Abstract
This study examined the effect of varying concentrations of Ocimum basilicum aqueous extract, which was done via the green synthesis of Silver nanoparticles (AgNPs), on the identification of the most effective concentration for bacteria inhibitory activity. Different concentrations of the aqueous Ocimum basilicum extract (0.25, 0.50, 0.75 and 1.00 mM) were used as reducing and stabilizing agent to synthesize AgNPs by means of the reduction method. The crystal structure and morphology of the NPs were characterized UV-Vis spectra, X-ray diffraction (XRD) and scanning electron microscopy (SEM). The antibacterial efficacy of AgNPs was studied against E. coli ATCC 35218 using well diffusion, MIC, MBC, and time-kill curve. The dark yellow color of the Ocimum basilicum aqueous solution indicates the successful synthesis process of the AgNPs. UV-spectra of the AgNPs display a gradual increase of absorption in sequence with concentration increase of aqueous Ocimum basilicum extract solution from 0.25 to 1.00 mM. This, in turn, led to a shift in the wavelength from 488 to 497 nm, along with a change in the nanoparticle size from 52 to 8 nm. The tests also showed a high activity of the particles against bacteria (E. coli), ranging between 15.6 and 62.5 µg/ml. Based on AgNPs, it was confirmed that an aqueous Ocimum basilicum extract can be used as an effective, reducing and stabilizing agent for the synthesis of different sizes of AgNPs based on the solvent concentration. The AgNPs also proved to be effective in inhibiting and killing bacteria.
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Affiliation(s)
- Motahher A Qaeed
- Physics Department, Faculty of Science, University of Jeddah, Jeddah, Saudi Arabia
| | - Abdulmajeed Hendi
- Physics Department and IRC Hydrogen and Energy Storage, King Fahd University of Petroleum and Minerals, Dhahran, 31261, Saudi Arabia
| | - Ahmed S Obaid
- Physics Department, College of Science, University of Anbar, Ramadi, Iraq
| | - Asad A Thahe
- Department of Medical Physics College of Applied Science, University of Fallujah, Fallujah, Iraq
| | - Abdalghaffar M Osman
- Chemistry Department and IRC Hydrogen and Energy Storage, King Fahd University of Petroleum and Minerals, Dhahran, 31261, Saudi Arabia
| | - A Ismail
- Department of Physics, University of Hafr Al Batin, Hafar Al-Batin, 31991, Saudi Arabia
| | - A Mindil
- Physics Department, Faculty of Science, University of Jeddah, Jeddah, Saudi Arabia
| | - Alharthi A Eid
- Physics Department, Faculty of Science, University of Jeddah, Jeddah, Saudi Arabia
| | - Faisal Aqlan
- Chemistry Department, Faculty of Science, University of Jeddah, Jeddah, Saudi Arabia
| | - Nadir M A Osman
- Chemistry Department, College of Chemicals and Materials, King Fahd University of Petroleum and Minerals, Dhahran, 31261, Saudi Arabia
| | - Ammar Al-Farga
- Department of Biochemistry, Faculty of Science, University of Jeddah, Jeddah, Saudi Arabia
| | - Saleh M Al-Maaqar
- Department of Biology, Faculty of Education, Albaydha University, Albaydha, Yemen.
| | - Ala'eddin A Saif
- Physics Department, Faculty of Science, University of Jeddah, Jeddah, Saudi Arabia
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Loo G, Yap J, Hon JS, Ismail A, Lim CL, Sumanthy P, Ruan W, Sewa DW, Phua GC, Ng SA, Hong C, Low A, Lim ST, Tan JL. Real-world outcomes of Selexipag for treatment of pulmonary hypertension in an Asian population. Eur Heart J 2023. [DOI: 10.1093/eurheartj/ehac779.081] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/26/2023] Open
Abstract
Abstract
Funding Acknowledgements
Type of funding sources: None.
Introduction
Selexipag is an oral selective prostacyclin IP receptor agonist indicated for treatment of pulmonary arterial hypertension (PAH). Data on its real-world safety and efficacy in Asians is lacking.
Purpose
We sought to evaluate the clinical characteristics, treatment regimens and outcomes of patients initiated on selexipag in a tertiary cardiac centre in Asia.
Methods
This was a retrospective study on all patients initiated on selexipag from January 2017 to December 2020. Baseline and follow up characteristics including demographics, functional status and clinical data were collected. Clinical outcomes evaluated included hospitalisation for PH related complications and all-cause mortality. Patients were risk stratified using the COMPERA 2.0 risk scores.
Results
A total of 36 PAH patients were treated with selexipag. At baseline, most patients were WHO functional class II or III (36.4% and 51.5% respectively), with a NT-proBNP of 1335 pg/ml (557 – 2918) and 6 minute walk test (6MWT) duration of 327.5 ±126.4 meters. Selexipag was initiated at 200mcg twice daily dosage for all except one patient (started at 200mcg once daily) and the maximum tolerated dose ranged from 200mcg twice daily to 1400mcg twice daily, with majority tolerating up to a dose of 600mcg twice daily (58.3%). Side effects were reported in 23 patients (63.9%), of which headache (27.8%), diarrhea (30.6%) or musculoskeletal symptoms (27.8%) were predominant. After a median follow up duration of 25.9 ± 23.1 months, selexipag was stopped in 20 patients (55.6%), of which eight patients were due to PAH progression requiring alternative therapy, and 12 patients due to side effects from selexipag. At baseline, patients were classified into low (8.3%), intermediate-low (30.6%), intermediate-high (33.3%) and high risk (27.8%) respectively. Patients who continued on selexipag at follow up showed no change (46.2%), improvement (15.4%) and deterioration (38.5%) in risk score. In the overall cohort of 36 patients, majority (75%) had at least one hospitalisation for PAH related complications and 15 patients (41.7%) demised.
Conclusion
In this real-world study, while selexipag was associated with a stable or improved PAH risk scores in majority of patients, there was a subset of patients with disease progression or intolerance to the medication. Further studies are warranted to identify patients who will benefit most from this therapy.
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Affiliation(s)
- G Loo
- National Heart Centre Singapore , Singapore , Singapore
| | - J Yap
- National Heart Centre Singapore , Singapore , Singapore
| | - J S Hon
- National Heart Centre Singapore , Singapore , Singapore
| | - A Ismail
- National Heart Centre Singapore , Singapore , Singapore
| | - C L Lim
- National Heart Centre Singapore , Singapore , Singapore
| | - P Sumanthy
- National Heart Centre Singapore , Singapore , Singapore
| | - W Ruan
- National Heart Centre Singapore , Singapore , Singapore
| | - D W Sewa
- Singapore General Hospital , Singapore , Singapore
| | - G C Phua
- Singapore General Hospital , Singapore , Singapore
| | - S A Ng
- Singapore General Hospital , Singapore , Singapore
| | - C Hong
- Singapore General Hospital , Singapore , Singapore
| | - A Low
- Singapore General Hospital , Singapore , Singapore
| | - S T Lim
- National Heart Centre Singapore , Singapore , Singapore
| | - J L Tan
- National Heart Centre Singapore , Singapore , Singapore
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13
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Robin P, Emmerich T, Ismail A, Niguès A, You Y, Nam GH, Keerthi A, Siria A, Geim AK, Radha B, Bocquet L. Long-term memory and synapse-like dynamics in two-dimensional nanofluidic channels. Science 2023; 379:161-167. [PMID: 36634187 DOI: 10.1126/science.adc9931] [Citation(s) in RCA: 37] [Impact Index Per Article: 37.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/14/2023]
Abstract
Fine-tuned ion transport across nanoscale pores is key to many biological processes, including neurotransmission. Recent advances have enabled the confinement of water and ions to two dimensions, unveiling transport properties inaccessible at larger scales and triggering hopes of reproducing the ionic machinery of biological systems. Here we report experiments demonstrating the emergence of memory in the transport of aqueous electrolytes across (sub)nanoscale channels. We unveil two types of nanofluidic memristors depending on channel material and confinement, with memory ranging from minutes to hours. We explain how large time scales could emerge from interfacial processes such as ionic self-assembly or surface adsorption. Such behavior allowed us to implement Hebbian learning with nanofluidic systems. This result lays the foundation for biomimetic computations on aqueous electrolytic chips.
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Affiliation(s)
- P Robin
- Laboratoire de Physique de l'Ecole normale Supérieure, ENS, Université PSL, CNRS, Sorbonne Université, Université de Paris, Paris, France
| | - T Emmerich
- Laboratoire de Physique de l'Ecole normale Supérieure, ENS, Université PSL, CNRS, Sorbonne Université, Université de Paris, Paris, France
| | - A Ismail
- National Graphene Institute, The University of Manchester, Manchester, UK.,Department of Physics and Astronomy, The University of Manchester, Manchester, UK
| | - A Niguès
- Laboratoire de Physique de l'Ecole normale Supérieure, ENS, Université PSL, CNRS, Sorbonne Université, Université de Paris, Paris, France
| | - Y You
- National Graphene Institute, The University of Manchester, Manchester, UK.,Department of Physics and Astronomy, The University of Manchester, Manchester, UK
| | - G-H Nam
- National Graphene Institute, The University of Manchester, Manchester, UK.,Department of Physics and Astronomy, The University of Manchester, Manchester, UK
| | - A Keerthi
- National Graphene Institute, The University of Manchester, Manchester, UK.,Department of Chemistry, The University of Manchester, Manchester, UK
| | - A Siria
- Laboratoire de Physique de l'Ecole normale Supérieure, ENS, Université PSL, CNRS, Sorbonne Université, Université de Paris, Paris, France
| | - A K Geim
- National Graphene Institute, The University of Manchester, Manchester, UK.,Department of Physics and Astronomy, The University of Manchester, Manchester, UK
| | - B Radha
- National Graphene Institute, The University of Manchester, Manchester, UK.,Department of Physics and Astronomy, The University of Manchester, Manchester, UK
| | - L Bocquet
- Laboratoire de Physique de l'Ecole normale Supérieure, ENS, Université PSL, CNRS, Sorbonne Université, Université de Paris, Paris, France
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14
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Ismail A, Deeb A, Alhawary I, Elkassas W, Hegazy Y. Influence of lysozyme utilization with lactic acid bacteria in yoghurt on some foodborne pathogens. J HELL VET MED SOC 2022. [DOI: 10.12681/jhvms.27796] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/20/2023]
Abstract
Despite the existence of many different food preservation methods, foodborne pathogens are still the most common related problems to dairy products. Developing naturally alternative techniques to control such problems is necessary. This research was planned to assess the bacteriological quality of yoghurt samples commercially available in Kafr El-Sheikh city, Egypt. Also to study the impact of natural antibacterial agents on the inhibition of selected foodborne pathogens artificially inoculated in yoghurt samples. The obtained results revealed poor bacteriological quality of the examined yoghurt samples, as total staphylococci and coliforms were detected in 80% and 90% yoghurt samples, with mean values of 2.4 ×103±0.13× 103cfu/gm and 3.6×105± 2.4×105 MPN/gm, respectively. S. aureus was noticed in 4% of examined samples, polymerase chain reaction (PCR) confirmed the presence of virulence adhesion gene (clfA) in one isolate. E. coli was detected in 14% of yoghurt samples, then serologically identified as O146:H5 (2), O111:H2 (2), O125:H11 (1), O26:H10 (1) and O158:H7 (1). Artificially inoculated yoghurt with S. aureus (7.39 log cfu/gm) and E. coli (8.3 log cfu/gm), were used to investigate the ability of hen egg-white lysozyme either with LAB classic or with ABT-5 (L. acidophilus LA5+ S. thermophiles + Bifidobacterium Bb12) starter cultures to inhibit the growth of these pathogens. During refrigerated storage, all yoghurt batches showed a reduction in pH value. It was observed that both pathogens couldn't be detected in the yoghurt batch containing LAB classic starter + heated lysozyme. Furthermore, S. aureus was completely inhibited in that containing ABT-5 cultures alone, while E. coli decreased by 6.23 log. Conversely, there was not complete inhibition in other batches containing (LAB classic starter, LAB classic starter+ native lysozyme, ABT-5 culture+ native lysozyme and ABT-5 culture+ heated lysozyme) as the reduction rate during all storage periods for S. aureus count was 1.66, 2.63, 4.47 and 4.19 log, While for E. coli count was 3.3, 3.81, 5.53 and 4.89 log, respectively. This study highlighted the importance of adding natural antibacterial agents like lysozyme with LAB culture to yoghurt as a bio-control strategy to overcome foodborne pathogens that cause a public health hazard.
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15
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Nolan GS, Dunne JA, Lee AE, Wade RG, Kiely AL, Pritchard Jones RO, Gardiner MD, Abbassi O, Abdelaty M, Ahmed F, Ahmed R, Ali S, Allan A, Allen L, Anderson I, Bakir A, Berwick D, Sarala BBN, Bhat W, Bloom O, Bolton L, Brady N, Campbell E, Capitelli-McMahon H, Cassell O, Chalhoub X, Chalmers R, Chan J, Chu HO, Collin T, Cooper K, Curran TA, Cussons D, Daruwalla M, Dearden A, Delikonstantinou I, Dobbs T, Dunlop R, El-Muttardi N, Eleftheriadou A, Elamin SE, Eriksson S, Exton R, Fourie LR, Freethy A, Gardner E, Geh JL, Georgiou A, Georgiou M, Gilbert P, Gkorila A, Green D, Haeney J, Hamilton S, Harper F, Harrison C, Heinze Z, Hemington-Gorse S, Hever P, Hili S, Holmes W, Hughes W, Ibrahim N, Ismail A, Jallali N, James NK, Jemec B, Jica R, Kaur A, Kazzazi D, Khan M, Khan N, Khashaba H, Khera B, Khoury A, Kiely J, Kumar S, Patel PK, Kumbasar DE, Kundasamy P, Kyle D, Langridge B, Liu C, Lo M, Macdonald C, Anandan SM, Mahdi M, Mandal A, Manning A, Markeson D, Matteucci P, McClymont L, Mikhail M, Miller MC, Munro S, Musajee A, Nasrallah F, Ng L, Nicholas R, Nicola A, Nikkhah D, O'Hara N, Odili J, Oudit D, Patel A, Patel C, Patel N, Patel P, Peach H, Phillips B, Pinder R, Pinto-Lopes R, Plonczak A, Quinnen N, Rafiq S, Rahman K, Ramjeeawon A, Rinkoff S, Sainsbury D, Schumacher K, Segaren N, Shahzad F, Shariff Z, Siddiqui A, Singh P, Sludden E, Smith JRO, Song M, Stodell M, Tanos G, Taylor K, Taylor L, Thomson D, Tiernan E, Totty JP, Vaingankar N, Toh V, Wensley K, Whitehead C, Whittam A, Wiener M, Wilson A, Wong KY, Wood S, Yeoh T, Yii NW, Yim G, Young R, Zberea D, Jain A. National audit of non-melanoma skin cancer excisions performed by plastic surgery in the UK. Br J Surg 2022; 109:1040-1043. [DOI: 10.1093/bjs/znac232] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/15/2022] [Accepted: 05/30/2022] [Indexed: 11/13/2022]
Abstract
A national, multi-centre audit of non-melanoma skin cancer excisions by plastic surgery.
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Affiliation(s)
- Grant S Nolan
- Department of Plastic and Reconstructive Surgery, Royal Preston Hospital, Lancashire Teaching Hospitals NHS Trust , Fulwood, Preston , UK
| | - Jonathan A Dunne
- Department of Plastic and Reconstructive Surgery, Charing Cross and St Mary’s Hospitals, Imperial College Healthcare NHS Trust , London , UK
| | - Alice E Lee
- Department of Plastic and Reconstructive Surgery, Charing Cross and St Mary’s Hospitals, Imperial College Healthcare NHS Trust , London , UK
| | - Ryckie G Wade
- Leeds Institute for Medical Research, University of Leeds , Leeds , UK
- Department of Plastic and Reconstructive Surgery, Leeds Teaching Hospitals NHS Trust , Leeds , UK
| | - Ailbhe L Kiely
- Department of Plastic and Reconstructive Surgery, Royal Preston Hospital, Lancashire Teaching Hospitals NHS Trust , Fulwood, Preston , UK
| | - Rowan O Pritchard Jones
- Department of Plastic and Reconstructive Surgery, Whiston Hospital, St Helens and Knowsley Teaching Hospitals NHS Trust , Prescot , UK
| | - Matthew D Gardiner
- Department of Plastic and Reconstructive Surgery, Wexham Park Hospital, Frimley Health NHS Foundation Trust, Wexham , Slough , UK
- Nuffield Department of Orthopaedics, Rheumatology and Musculoskeletal Sciences, University of Oxford , Oxford , UK
| | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | - Abhilash Jain
- Department of Plastic and Reconstructive Surgery, Charing Cross and St Mary’s Hospitals, Imperial College Healthcare NHS Trust , London , UK
- Nuffield Department of Orthopaedics, Rheumatology and Musculoskeletal Sciences, University of Oxford , Oxford , UK
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Luani B, Ismail A, Kaese S, Pankraz K, Schmeisser A, Wiemer M, Braun-Dullaeus RC, Genz C. Zero-fluoroscopy ablation of the cavotricuspid isthmus guided by intracardiac echocardiography in patients with typical atrial flutter. Eur Heart J 2022. [DOI: 10.1093/eurheartj/ehac544.441] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Abstract
Abstract
Introduction
In previous studies we have demonstrated the advantages of electrophysiology catheter navigation by intracardiac echocardiography (ICE). In this prospective study we investigated ICE-guided zero-fluoroscopy ablation of the cavotricuspid isthmus (CTI) involving a decapolar diagnostic and an irrigated radiofrequency (RF) ablation catheter in patients with typical atrial flutter (AFL).
Methods and results
Twenty-seven consecutive patients (mean age 73.4±11.6 years, 18 male) with ECG-recordings suggesting ongoing (n=19) or recent CTI-dependent AFL underwent an electrophysiological study (EPS) utilizing solely ICE for catheter navigation. All EPS could be successfully accomplished without the need for fluoroscopy. CTI-dependent AFL was confirmed by entrainment manoeuvre in all patients with ongoing AFL. Mean EPS duration was 44.0±20.3 minutes and mean ablation procedure duration was 22.3±16.4 minutes. RF ablation was applied for 6.3±3.1 minutes (50 Watts, irrigated RF-ablation in all patients). After the last RF application, bidirectional CTI-Block was confirmed by differential pacing in all patients. Echocardiographic parameters such as CTI-length, prominence of the eustachian ridge (ER), and depth of the CTI-pouch on the ablation plane (Figure 1) were assessed to analyse their correlation with EPS- or ablation procedure duration. CTI-pouch was shallower in patients with ablation procedure duration above median (4,9±1.09mm vs. 6.3±0.9mm, p=0.048), suggesting a more laterally ablation plane in these patients, where the CTI musculature is stronger. CTI-length or ER-prominence above the respective median did not correlated with longer EPS duration. However, in some cases with prominent ER inversion of the ablation catheter was needed to achieve contact of catheter-tip to the tissue. An asymptomatic intramural hematoma was diagnosed by ICE after successful ablation in one patient, no other major or minor complications were documented in this study.
Conclusions
Zero-fluoroscopy CTI ablation guided solely by intracardiac echocardiography in patients with CTI-dependent AFL is feasible and safe. ICE visualisation may help to localize the optimal ablation plane, to detect and correct poor tissue contact of the catheter tip and recognise early potential complications during the ablation procedure.
Funding Acknowledgement
Type of funding sources: None.
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Affiliation(s)
- B Luani
- Johannes Wesling University Hospital, Ruhr-University Bochum, Cardiology and Intensive Care Medicine , Minden , Germany
| | - A Ismail
- Johannes Wesling University Hospital, Ruhr-University Bochum, Cardiology and Intensive Care Medicine , Minden , Germany
| | - S Kaese
- Johannes Wesling University Hospital, Ruhr-University Bochum, Cardiology and Intensive Care Medicine , Minden , Germany
| | - K Pankraz
- Johannes Wesling University Hospital, Ruhr-University Bochum, Cardiology and Intensive Care Medicine , Minden , Germany
| | - A Schmeisser
- Otto-von-Guericke University of Magdeburg, Department of Internal Medicine - Cardiology and Angiology , Magdeburg , Germany
| | - M Wiemer
- Johannes Wesling University Hospital, Ruhr-University Bochum, Cardiology and Intensive Care Medicine , Minden , Germany
| | - R C Braun-Dullaeus
- Otto-von-Guericke University of Magdeburg, Department of Internal Medicine - Cardiology and Angiology , Magdeburg , Germany
| | - C Genz
- Otto-von-Guericke University of Magdeburg, Department of Internal Medicine - Cardiology and Angiology , Magdeburg , Germany
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Rowenczyk L, Cai H, Nguyen B, Sirois M, Côté-Laurin MC, Toupoint N, Ismail A, Tufenkji N. From freshwaters to bivalves: Microplastic distribution along the Saint-Lawrence river-to-sea continuum. J Hazard Mater 2022; 435:128977. [PMID: 35487001 DOI: 10.1016/j.jhazmat.2022.128977] [Citation(s) in RCA: 8] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/31/2022] [Revised: 04/16/2022] [Accepted: 04/18/2022] [Indexed: 06/14/2023]
Abstract
Despite the close connection of freshwaters to human health, the occurrence and fate of microplastics in marine estuaries remain poorly documented. To study these particles in the Saint-Lawrence River (Quebec, Canada), surface water and marine bivalve samples were collected along the river-to-sea continuum. The water samples were subdivided to characterize the large microplastics (LMPs; 300-3200 µm) and the small microplastics (SMPs; 20-300 µm). Particles were identified by microscopy and infrared spectroscopy techniques. The concentration of LMPs was higher in the surface water in the downstream stations (0.0319 ± 0.0147 items.L-1) compared to the upstream stations (0.0007 ± 0.0006 items.L-1). No clear trend was observed for the SMPs. After digestion of the biological tissues, the microplastics ingested by the bivalves were recovered and characterized by microscopy coupled with infrared spectroscopy. Up to 3 items were found per bivalve suggesting that these particles are also present in the water column of the marine estuary and the gulf. The physico-chemical gradients along the continuum were monitored since they could be directly involved in the vertical and horizontal transport of microplastics. This study provides scarce field data collected along the world's largest estuary and gives new insights concerning the fate of microplastics along a river-to-sea continuum.
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Affiliation(s)
- L Rowenczyk
- Department of Chemical Engineering, McGill University, Montreal H3A 0C5, QC, Canada.
| | - H Cai
- Department of Chemical Engineering, McGill University, Montreal H3A 0C5, QC, Canada; State Key Laboratory of Estuarine and Coastal Research, East China Normal University, Shanghai 200241, China
| | - B Nguyen
- Department of Chemical Engineering, McGill University, Montreal H3A 0C5, QC, Canada
| | - M Sirois
- Merinov, 96, montée de Sandy Beach, Gaspé G4X 2V6, QC, Canada
| | - M-C Côté-Laurin
- Merinov, 96, montée de Sandy Beach, Gaspé G4X 2V6, QC, Canada
| | - N Toupoint
- Merinov, 96, montée de Sandy Beach, Gaspé G4X 2V6, QC, Canada
| | - A Ismail
- Department of Food Science & Agricultural Chemistry, McGill University, 21111 Lakeshore Road, Sainte-Anne-de-Bellevue H9X 3V9, QC, Canada
| | - N Tufenkji
- Department of Chemical Engineering, McGill University, Montreal H3A 0C5, QC, Canada
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18
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Garba I, Fatima AM, Mansur Y, Ismail A, Abubakar A. FIRST CARDIAC COMPUTED TOMOGRAPHY TYPICAL RADIATION DOSE VALUES FROM A SINGLE CENTRE IN NIGERIA: A PILOT STUDY. Radiat Prot Dosimetry 2022; 198:434-439. [PMID: 35640252 DOI: 10.1093/rpd/ncac073] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/07/2022] [Revised: 03/30/2022] [Accepted: 04/23/2022] [Indexed: 06/15/2023]
Abstract
Concern regarding radiation dose associated with cardiac computed tomography (CT) still exists and requires the use of diagnostic reference levels for dose optimisation. Typical median doses were established for 58 consented adult patients from a single centre for coronary artery calcium score (CACS) as volume computed tomography dose index (CTDIvol): 5.9 mGy; dose length product (DLP): 86.6 mGy*cm and cardiac CT angiography (CCTA) as CTDIvol: 11.1 mGy; DLP: 190.8 mGy*cm. Wide radiation dose variability in terms of CTDIvol was noted for CACS: 2.7-15.9 mGy, a 6-fold, whereas for CCTA it ranges from 3.8 to 52.8 mGy, a 14-fold. The DLP values for CACS range from 33.2 to 344.2 mGy*cm, which is 10-fold, whereas for CCTA it ranges from 32.8 to 834.9 mGy*cm, a 25-fold. The typical values compared lower than the radiation dose from other countries; however, the wide variability in dose remains a call for concern.
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Affiliation(s)
- I Garba
- Department of Radiography, College of Health Sciences, Bayero University Kano, Kano, Kano State, Nigeria
| | - A M Fatima
- Department of Radiography, College of Health Sciences, Bayero University Kano, Kano, Kano State, Nigeria
| | - Y Mansur
- Department of Radiology, College of Health Sciences, Bayero University Kano, Nigeria
| | - A Ismail
- Department of Radiology, College of Health Sciences, Bayero University Kano, Nigeria
| | - A Abubakar
- Department of Radiography, College of Medical Sciences, University of Maiduguri, Nigeria
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Ismail A, Evans C, Yaseen K, Hall M, Doherty M, Zhang W. POS1521-HPR UNDERSTANDING AND IDENTIFYING KEY CONTEXTUAL FACTORS THAT INFLUENCE THE PRACTITIONER-PATIENT ENCOUNTER IN THE MANAGEMENT OF OSTEOARTHRITIS: A QUALITATIVE SYSTEMATIC REVIEW. Ann Rheum Dis 2022. [DOI: 10.1136/annrheumdis-2022-eular.1223] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
Abstract
BackgroundContextual factors (CFs) related to the patient, healthcare practitioners, and their therapeutic relationship are integral to the overall treatment effect of any given intervention (1). In osteoarthritis (OA), around 75% of the treatment effect is directly attributable to CFs (2). Identifying and understanding the role of CFs may encourage healthcare practitioners to develop and enhance the contextual aspects of care.ObjectivesTo explore and understand the experience and perspectives of patients and health practitioners regarding CFs in consultations for OA.MethodsA systematic search was conducted between March 15 and May 18, 2020, on the following databases: MEDLINE via Ovid, EMBASE, AMED, PsycINFO and CINAHL. The search for unpublished studies included ProQuest Dissertations and Google Scholar. The search was not limited to any language or publication year. The Joanna Briggs Institute (JBI) methodology for quality assessment, study selection, data extraction and synthesis were used. Findings were assessed for credibility, categorised based on similarity in meaning and subjected to a meta-aggregation. The ConQual approach was used to assess the confidence of the synthesised findings (3).ResultsOf 1808 records generated from the systematic search of databases and grey literature, eight studies were included in the meta-aggregation (Figure 1). All included papers were moderate to high quality based on the JBI qualitative critical appraisal tool. Meta-aggregation generated three synthesised findings. According to the ConQual criteria, all the synthesised findings’ level of evidence was rated as moderate (Table 1). The key, potentially modifiable, factors identified were positive communication; clear and relevant information provided by the health practitioner; patient expectation concerning their outcome and the consultation experience; sufficient consultation time; and easy access to consultations.Table 1.ConQual summary of findingsSynthesized findingType of researchDependabilityCredibilityConQual scoreI. People with OA will likely experience comprehensive and satisfactory management of their condition if the key contextual enhancers are implemented.QualitativeUnchanged*Downgrade 1 level**ModerateII. Health providers acknowledged that information provision and efficient communication skills are likely to enhance management during consultations for OA.QualitativeUnchanged*Downgrade 1 level**ModerateIII. Effective consultations are affected by an intersection of organizational challenges and patient and provider characteristics. Limited experience with OA of some practitioners, unrealistic patients’ expectations, and short consultation duration are barriers that need to be adjusted for better management.QualitativeUnchanged*Downgrade 1 level**Moderate* The average score was (4/5) for dependability.** Downgraded one level due to a mix of unequivocal and credible findings.Figure 1.PRISMA flowchart of the study selection and inclusion processConclusionThis qualitative systematic review has defined three synthesized findings. Identification of modifiable CFs that are deemed important by both patients and health practitioners can inform the development of a training package for healthcare professional.References[1]Di Blasi Z, Harkness E, Ernst E, Georgiou A, Kleijnen J. Influence of context effects on health outcomes: a systematic review. The Lancet. 2001;357(9258):757-762.[2]Zou K, Wong J, Abdullah N, Chen X, Smith T, Doherty M et al. Examination of overall treatment effect and the proportion attributable to contextual effect in osteoarthritis: meta-analysis of randomised controlled trials. Annals of the Rheumatic Diseases. 2016;75(11):1964-1970.[3]Munn, Z., Porritt, K., Lockwood, C., Aromataris, E. & Pearson, A. 2014. Establishing confidence in the output of qualitative research synthesis: the ConQual approach. BMC medical research methodology, 14, 1-7.Disclosure of InterestsNone declared
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Ismail A, Ibrahim AL, Rabiu A, Muhammad Z, Garba I. Predictive value of doppler cerebroplacental ratio for adverse perinatal outcomes in postdate pregnancies in Northwestern Nigeria. Niger J Clin Pract 2022; 25:406-414. [PMID: 35439898 DOI: 10.4103/njcp.njcp_14_21] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
Abstract
Background Postdate pregnancy is a very common obstetric condition, increasing the risk of perinatal morbidity and mortality from uteroplacental insufficiency. Aim To determine the predictive values of Doppler cerebroplacental ratio (CPR), that is, the ratio between middle cerebral artery (MCA) and UA pulsatility indices (UA PI), and other potential velocimetric predictors of adverse perinatal outcomes in women with postdated pregnancies. Patients and Methods A prospective cohort study was conducted on consenting 212 low-risk pregnant women beyond 40 weeks' gestational age. The pulsatility indices of MCA, UA, and CPR as well as non-stress tests (NST) and amniotic fluid index (AFI) were measured and recorded. The women were divided into two groups based on the presence or absence of adverse perinatal outcome defined as: meconium stained liquor, meconium aspiration syndrome, perinatal asphyxia, cesarean section for suspected fetal distress, and perinatal death. Results : Of the 200 women whose data were available for analysis, 40 (20%) of them had adverse perinatal outcome and 160 (80%) had normal perinatal outcome. The CPR showed statistically significant difference in predicting adverse perinatal outcome (P < 0.001). CPR had a better predictive value than UA-PI and outperformed MCA-PI and NST for adverse perinatal outcomes. The sensitivity, specificity, negative predictive value (NPV), and accuracy of prediction of adverse perinatal outcomes by CPR were 90%, 81.25%, 97.01%, and 83%, respectively. Conclusion The Doppler CPR shows the highest diagnostic accuracy in prediction of adverse perinatal outcome in pregnant women after 40 weeks' gestation than UA PI and velocimetric indices when used as stand-alone test.
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Affiliation(s)
- A Ismail
- Department of Radiology, Bayero University, Kano, Nigeria
| | - A L Ibrahim
- Department of Obstetrics and Gynaecology, Federal Medical Centre, Katsina, Nigeria
| | - A Rabiu
- Department of Obstetrics and Gynaecology, Bayero University, Kano, Nigeria
| | - Z Muhammad
- Department of Obstetrics and Gynaecology, Bayero University, Kano, Nigeria
| | - I Garba
- Department of Obstetrics and Gynaecology, Bayero University, Kano, Nigeria
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Quzwain K, Yamada Y, Kamardin K, Abd Rahman NH, Ismail A. New Reflector Shaping Methods for Dual-Reflector Antenna. RADIOENGINEERING 2022; 31:39-53. [DOI: 10.13164/re.2022.0039] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 09/01/2023]
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Shellanabilla C, Ismail A, Pramesthi A, Muhadzib M, Werdani K, Arifah I, Wijayanti A, Kusumawati Y, Junaedi F, Darmawan E, Jati S, Taki S, Suswardany D. Content Analysis of Risk Communication on Three Instagram Accounts of Provincial Health Offices in Indonesia During the Covid-19 Pandemic. Int J Infect Dis 2022. [DOI: 10.1016/j.ijid.2021.12.272] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022] Open
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Obeid MH, Ismail A, Bitar A, Shweikani R. ESTIMATION OF SCATTERED NEUTRONS CONTRIBUTION IN A NEUTRON CALIBRATION BUNKER USING A MONTE CARLO SIMULATION. Radiat Prot Dosimetry 2022; 198:37-43. [PMID: 35034129 DOI: 10.1093/rpd/ncab184] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/24/2021] [Revised: 10/24/2021] [Accepted: 12/08/2021] [Indexed: 06/14/2023]
Abstract
The contribution of scattered neutrons is inevitable in neutron calibration facilities. This contribution complicates the measurements of neutron radiation, therefore, it should be estimated to correct the response of neutron probe instruments. In the present work, Monte Carlo simulation was performed for a neutron calibration bunker using the MCNP-4C code. This simulation aimed to calculate the contribution ratio of scattered neutrons to the neutron field. To simulate the neutron field, 241Am-Be neutron source defined in the ISO 8529-1 was used. The results of the simulation reported in this work were found to be consistent with those found experimentally in previous work. Additionally, the distribution of both the ambient dose equivalent rate and the contribution ratio of scattered neutrons in the bunker were mapped using this simulation.
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Affiliation(s)
- M H Obeid
- Protection and Safety Department, Atomic Energy Commission of Syria, P. O. Box 6091, Damascus, Syria
| | - A Ismail
- Protection and Safety Department, Atomic Energy Commission of Syria, P. O. Box 6091, Damascus, Syria
| | - A Bitar
- Protection and Safety Department, Atomic Energy Commission of Syria, P. O. Box 6091, Damascus, Syria
| | - R Shweikani
- Protection and Safety Department, Atomic Energy Commission of Syria, P. O. Box 6091, Damascus, Syria
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Handley SA, Every-Palmer S, Ismail A, Flanagan RJ. Clozapine-induced gastrointestinal hypomotility: presenting features and outcomes, UK pharmacovigilance reports, 1992-2017. Br J Psychiatry 2022; 220:1-9. [PMID: 35164895 DOI: 10.1192/bjp.2022.24] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/12/2022]
Abstract
BACKGROUND Clozapine-induced gastrointestinal hypomotility (CIGH) affects some 75% of patients treated with clozapine. AIMS To document the incidence of potentially harmful CIGH in the UK. METHOD We studied spontaneous UK pharmacovigilance reports recorded as clozapine-related gastrointestinal adverse drug reactions, 1992-2017. RESULTS There were 527 patients reported with potentially harmful CIGH; 33% (n = 172) died. Deaths averaged 1 per year 1992-1999, 5 per year 2000-2009 and 15 per year 2010-2017. Those who died were older (median 52 years v. 49 years) and had been prescribed clozapine for longer than those who recovered (median 11.3 years v. 4.8 years), but there was no difference in prescribed dose. Within the first 4 years of clozapine treatment, there were 169 reports of CIGH, of which 3% (n = 5) were fatal. At 10-14 years there were 63 reports of CIGH, of which 25% (n = 16) were fatal. Among the deaths, males were younger (median 51, range 22-89 v. median 57, range 24-89 years) with higher clozapine doses (median 450, range 100-900 v. median 300, range 12.5-800 mg/d) than females. In non-fatal CIGH, surgery was the most frequent outcome (n = 92). The procedures included appendectomy, ileostomy, total/partial colectomy, colostomy/stoma and proctosigmoidectomy. Clozapine dosage was reduced in 6 patients, stopped and restarted in 23, 'continued' in 6 and discontinued permanently in at least 76 patients. CONCLUSIONS The risk of serious morbidity/mortality from CIGH is substantial. The need to actively monitor bowel function and give laxatives to patients treated with clozapine is clear.
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Affiliation(s)
- S A Handley
- Department of Pathology, Royal Hobart Hospital, Australia
| | - S Every-Palmer
- Department of Psychological Medicine, University of Otago, New Zealand
| | - A Ismail
- Manor Drive Medical Centre and West Barnes Surgery, UK and Medicines and Healthcare Products Regulatory Agency, UK
| | - R J Flanagan
- Precision Medicine, Networked Services, King's College Hospital, UK
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Mannervik B, Ismail A, Lindström H, Sjödin B, Ing NH. Glutathione Transferases as Efficient Ketosteroid Isomerases. Front Mol Biosci 2021; 8:765970. [PMID: 34881290 PMCID: PMC8645602 DOI: 10.3389/fmolb.2021.765970] [Citation(s) in RCA: 10] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/27/2021] [Accepted: 11/01/2021] [Indexed: 01/01/2023] Open
Abstract
In addition to their well-established role in detoxication, glutathione transferases (GSTs) have other biological functions. We are focusing on the ketosteroid isomerase activity, which appears to contribute to steroid hormone biosynthesis in mammalian tissues. A highly efficient GST A3-3 is present in some, but not all, mammals. The alpha class enzyme GST A3-3 in humans and the horse shows the highest catalytic efficiency with kcat/Km values of approximately 107 M-1s-1, ranking close to the most active enzymes known. The expression of GST A3-3 in steroidogenic tissues suggests that the enzyme has evolved to support the activity of 3β-hydroxysteroid dehydrogenase, which catalyzes the formation of 5-androsten-3,17-dione and 5-pregnen-3,20-dione that are substrates for the double-bond isomerization catalyzed by GST A3-3. The dehydrogenase also catalyzes the isomerization, but its kcat of approximately 1 s-1 is 200-fold lower than the kcat values of human and equine GST A3-3. Inhibition of GST A3-3 in progesterone-producing human cells suppress the formation of the hormone. Glutathione serves as a coenzyme contributing a thiolate as a base in the isomerase mechanism, which also involves the active-site Tyr9 and Arg15. These conserved residues are necessary but not sufficient for the ketosteroid isomerase activity. A proper assortment of H-site residues is crucial to efficient catalysis by forming the cavity binding the hydrophobic substrate. It remains to elucidate why some mammals, such as rats and mice, lack GSTs with the prominent ketosteroid isomerase activity found in certain other species. Remarkably, the fruit fly Drosophila melanogaster, expresses a GSTE14 with notable steroid isomerase activity, even though Ser14 has evolved as the active-site residue corresponding to Tyr9 in the mammalian alpha class.
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Affiliation(s)
- Bengt Mannervik
- Department of Biochemistry and Biophysics, Stockholm University, Stockholm, Sweden
| | - Aram Ismail
- Department of Biochemistry and Biophysics, Stockholm University, Stockholm, Sweden
| | - Helena Lindström
- Department of Biochemistry and Biophysics, Stockholm University, Stockholm, Sweden
| | - Birgitta Sjödin
- Department of Biochemistry and Biophysics, Stockholm University, Stockholm, Sweden
| | - Nancy H. Ing
- Department of Animal Science, Texas A&M AgriLife Research, Texas A&M University, College Station, TX, United States
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Goolam Mahomed T, Peters RPH, Allam M, Ismail A, Mtshali S, Goolam Mahomed A, Ueckermann V, Kock MM, Ehlers MM. Lung microbiome of stable and exacerbated COPD patients in Tshwane, South Africa. Sci Rep 2021; 11:19758. [PMID: 34611216 PMCID: PMC8492659 DOI: 10.1038/s41598-021-99127-w] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/27/2021] [Accepted: 09/14/2021] [Indexed: 02/08/2023] Open
Abstract
Chronic obstructive pulmonary disease (COPD) is characterised by the occurrence of exacerbations triggered by infections. The aim of this study was to determine the composition of the lung microbiome and lung virome in patients with COPD in an African setting and to compare their composition between the stable and exacerbated states. Twenty-four adult COPD patients were recruited from three hospitals. Sputum was collected and bacterial DNA was extracted. Targeted metagenomics was performed to determine the microbiome composition. Viral DNA and RNA were extracted from selected samples followed by cDNA conversion. Shotgun metagenomics sequencing was performed on pooled DNA and RNA. The most abundant phyla across all samples were Firmicutes and Proteobacteria. The following genera were most prevalent: Haemophilus and Streptococcus. There were no considerable differences for alpha and beta diversity measures between the disease states. However, a difference in the abundances between disease states was observed for: (i) Serratia (3% lower abundance in exacerbated state), (ii) Granulicatella (2.2% higher abundance in exacerbated state), (iii) Haemophilus (5.7% higher abundance in exacerbated state) and (iv) Veillonella (2.5% higher abundance in exacerbated state). Virome analysis showed a high abundance of the BeAn 58058 virus, a member of the Poxviridae family, in all six samples (90% to 94%). This study is among the first to report lung microbiome composition in COPD patients from Africa. In this small sample set, no differences in alpha or beta diversity between stable and exacerbated disease state was observed, but an unexpectedly high frequency of BeAn 58058 virus was observed. These observations highlight the need for further research of the lung microbiome of COPD patients in African settings.
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Affiliation(s)
- T. Goolam Mahomed
- grid.49697.350000 0001 2107 2298Department of Medical Microbiology, University of Pretoria, Pretoria, South Africa
| | - R. P. H. Peters
- grid.49697.350000 0001 2107 2298Department of Medical Microbiology, University of Pretoria, Pretoria, South Africa ,grid.442327.40000 0004 7860 2538Foundation for Professional Development, Research Unit, East London, South Africa
| | - M. Allam
- grid.416657.70000 0004 0630 4574National Institute for Communicable Diseases, National Health Laboratory Service, Johannesburg, South Africa
| | - A. Ismail
- grid.416657.70000 0004 0630 4574National Institute for Communicable Diseases, National Health Laboratory Service, Johannesburg, South Africa
| | - S. Mtshali
- grid.416657.70000 0004 0630 4574National Institute for Communicable Diseases, National Health Laboratory Service, Johannesburg, South Africa
| | | | - V. Ueckermann
- grid.49697.350000 0001 2107 2298Department of Internal Medicine, University of Pretoria, Pretoria, South Africa
| | - M. M. Kock
- grid.49697.350000 0001 2107 2298Department of Medical Microbiology, University of Pretoria, Pretoria, South Africa ,grid.416657.70000 0004 0630 4574Department of Medical Microbiology, Tshwane Academic Division, National Health Laboratory Service, Johannesburg, South Africa
| | - M. M. Ehlers
- grid.49697.350000 0001 2107 2298Department of Medical Microbiology, University of Pretoria, Pretoria, South Africa ,grid.416657.70000 0004 0630 4574Department of Medical Microbiology, Tshwane Academic Division, National Health Laboratory Service, Johannesburg, South Africa
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Zailani MAH, Raja Sabudin RZA, Abdul Rahman R, Mohd Saiboon I, Ismail A, Mahdy ZA. Drone technology in maternal healthcare in Malaysia: A narrative review. Malays J Pathol 2021; 43:251-259. [PMID: 34448789] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/13/2023]
Abstract
INTRODUCTION The vast advancement of technology and breakthrough in high-tech disciplines created multiple areas of research activities, including the emergence of the medical drone. Malaysia, a rapidly developing country in Southeast Asia is on track to achieving high-income status. However, the stagnant growth of Malaysian maternal healthcare does not run parallel with the aspiration. This review paper assessed and reported narratively the current condition of maternal healthcare in Malaysia, the possible application of drones in improving the sector, exploring in detail several challenges, and providing recommendations for experts in studying the rising technological phenomena. MATERIALS AND METHODS A literature search was done from June 2019 to November 2019 with restrictions to the English language. The search was performed in ScienceDirect, PubMed, and EMBASE databases, using a combination of search terms related to drones, Unmanned Aerial Vehicles (UAV), Unmanned Aerial Systems (UAS), maternal, obstetric, healthcare, medical products transportation and Malaysia. A discourse analysis followed and a narrative review was provided on this subject. RESULTS AND DISCUSSION The validated ability of drones in the delivery of blood products is highlighted as a possible application in improving maternal healthcare in Malaysia, particularly in the state of Sabah. Five key challenges are identified: infrastructure, technicalities, regulations, expertise, and social acceptance. Future predictions of drone technology in healthcare were outlined with the suggestion of three principle arms of application. CONCLUSION The usage of the medical drone in medical products transportation supports the objectives of WHO MDG 5 for Malaysian maternal health. A study on the impact of drones in reducing the maternal mortality ratio is recommended for further exploration.
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Affiliation(s)
- M A H Zailani
- Universiti Kebangsaan Malaysia Medical Center (UKMMC), Faculty of Medicine, Department of Pathology, Kuala Lumpur, Malaysia
| | - R Z A Raja Sabudin
- Universiti Kebangsaan Malaysia Medical Center (UKMMC), Faculty of Medicine, Department of Pathology, Kuala Lumpur, Malaysia
| | - R Abdul Rahman
- Universiti Kebangsaan Malaysia Medical Center (UKMMC), Faculty of Medicine, Department of Obstetrics & Gynaecology, Kuala Lumpur, Malaysia
| | - I Mohd Saiboon
- Universiti Kebangsaan Malaysia Medical Center (UKMMC), Faculty of Medicine, Department of Emergency Medicine, Kuala Lumpur, Malaysia
| | - A Ismail
- Universiti Kebangsaan Malaysia Medical Center (UKMMC), Faculty of Medicine, Department of Community Health, Kuala Lumpur, Malaysia
| | - Z A Mahdy
- Universiti Kebangsaan Malaysia Medical Center (UKMMC), Faculty of Medicine, Department of Obstetrics & Gynaecology, Kuala Lumpur, Malaysia.
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Abstract
The common marmoset Callithrix jacchus encodes two glutathione transferase (GST) enzymes with ketosteroid double-bond isomerase activity. The most active enzyme is CjaGST A3-3 showing a specific activity with 5-androsten-3,17-dione (Δ5-AD) of 62.1 ± 1.8 μmol min-1 mg-1, and a kcat value of 261 ± 49 s-1. The second ketosteroid isomerase CjaGST A1-1 has a 30-fold lower specific activity with Δ5-AD and a 37-fold lower kcat value. Thus, the marmoset CjaGST A3-3 would be the main contributor to the biosynthesis of the steroid hormones testosterone and progesterone, like the human ortholog HsaGST A3-3. Two residues differ in the H-site of the 91.4% sequence identical CjaGST A1-1 and CjaGST A3-3, and modeling of the structures suggests that the bulky phenyl ring of Phe111 in CjaGST A1-1 causes steric hindrance in the binding of the steroid substrate. Tributyltin acetate (IC50=0.16 ± 0.004 μM) and ethacrynic acid (IC50=3.3 ± 0.2 μM) were found to be potent inhibitors of CjaGST A3-3, as previously demonstrated with the human and equine orthologs. Marmoset glutathione transferase A3-3 displays potent ketosteroid isomerase activity. Marmoset glutathione transferase A1-1 shows weak ketosteroid isomerase activity. A model of marmoset A1-1 suggests active-site Phe to interfere with steroid binding. Common marmoset monkey – a possible model animal for steroid biosynthesis research.
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Key Words
- 1-chloro-2,4-dinitrobenzene, (CDNB)
- 4-androsten-3,17-dione, (Δ4-AD)
- 5-Androsten-3,17-dione
- 5-Pregnen-3,20-dione
- 5-androsten-3,17-dione, (Δ5-AD)
- 5-pregnen-3,20-dione, (Δ5-PD)
- Alpha glutathione transferase
- CjaGST A1-1
- CjaGST A3-3
- Glutathione transferase, (GST)
- Glutathione, (GSH)
- SDS-PAGE, (sodium dodecyl sulfate-polyacrylamide gel electrophoresis)
- Steroid hormone synthesis
- allyl isothiocyanate, (AITC)
- phenethyl isothiocyanate, (PEITC)
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Affiliation(s)
- Aram Ismail
- Department of Biochemistry and Biophysics, Arrhenius Laboratories, Stockholm University, SE-10691, Stockholm. Sweden
| | - Julia Sawmi
- Department of Biochemistry and Biophysics, Arrhenius Laboratories, Stockholm University, SE-10691, Stockholm. Sweden
| | - Bengt Mannervik
- Department of Biochemistry and Biophysics, Arrhenius Laboratories, Stockholm University, SE-10691, Stockholm. Sweden
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Amir M, Riaz M, Chang YF, Ismail A, Hameed A, Ahsin M. Antibiotic Resistance in Diarrheagenic Escherichia coli Isolated from Broiler Chickens in Pakistan. JFQHC 2021. [DOI: 10.18502/jfqhc.8.2.6472] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022] Open
Abstract
Background: Diarrheagenic Escherichia coli (DEC) strains are predominant cause of gastrointestinal tract illnesses. The main objective of the study was to determine antibiotic resistance in various types of DEC isolated from chicken broilers farmed in Pakistan.
Methods: A total of 200 feces and 200 meat samples from broiler chickens were collected from the slaughtering shops in Southern Punjab, Pakistan. The confirmed fecal (n=150) and meat (n=150) E. coli isolates were investigated against 16 antibiotics. Fourteen virulence genes specific for Enteropathogenic (EPEC), Shiga Toxin-producing (STEC), Enteroinvasive (EIEC), Enteroaggregative (EAEC), and Enterotoxigenic (ETEC) E. coli were identified using Polymerase Chain Reaction.
Results: EPEC was the most detected pathotype in both feces (76%) and meat (90%) samples, followed by STEC, EIEC, and ETEC. The highest resistance (40-90%) was observed against penicillin, oxytetracycline, and nalidixic acid in fecal isolates. More than 50% EPEC and EAEC fecal isolates, and 60% EAEC meat isolates were simultaneously resistant to 6 or more antibiotics.
Conclusion: Conclusively, the broiler meat sold in open markets of Pakistan was considerably contaminated with multi-drug resistant DEC. To mitigate the issue, the gov- ernment should regulate the use of antibiotics at poultry farms and monitor slaughtering practices in slaughterer houses.
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Ismail A, Hall M, Yaseen K, Doherty M, Zhang W. OP0302-HPR IDENTIFYING THE CONTEXTUAL FACTORS IN THE PATIENT-PRACTITIONER ENCOUNTER THAT HAVE THERAPEUTIC EFFECT: A SYSTEMATIC REVIEW AND META-ANALYSIS. Ann Rheum Dis 2021. [DOI: 10.1136/annrheumdis-2021-eular.125] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
Abstract
Background:Placebo or contextual effect is an integral part of the treatment effect (1). The factors related to this effect are “contextual factors” (CFs) (2). CFs may be categorised into five groups as factors related to practitioner, patient, practitioner-patient interaction, treatment and therapeutic environment (3). Several CFs have demonstrated their therapeutic effect, whereas others not (4). The majority of musculoskeletal pain relief result from CFs (5). Identifying the key CFs may encourage health practitioners to optimize the contextual aspects of care.Objectives:To identify the modifiable CFs that can improve clinical outcomes in published randomised controlled trials (RCTs).Methods:A systematic search was carried out, up until April 18th 2019, on the following databases: MEDLINE via Ovid, EMBASE, AMED, PsycINFO and Cochrane library. RCTs comparing contextual enhanced interventions versus non-enhanced control in adults for any health conditions were searched. The outcomes included both self-reported outcomes and objectively measured outcomes. The effect size and 95%confidence interval were calculated using the standard mean difference. Risk of bias was evaluated using the modified Cochrane tool. The random effects model was used to pool the results.Results:Of 3900 records generated from the systematic search, 15 trials (4615 participants) met the inclusion criteria, and 13 were included in this meta-analysis (Figure 1). Conditions studied included musculoskeletal [4], cardiovascular [2], irritable bowel syndrome [1], diabetes [1], asthma [1], GP or hospital patients [6]. Three CFs have been identified from these trials, including empathy, patient involvement and positive communication. All were found to be effective for patient experience i.e. satisfaction. Positive communication was also effective for symptoms but not objective outcomes (Table 1).Table 1.Summary of results.OutcomeInterventionNumber of studies (Number of participants) SMD (95% CI)I2Patient experience outcomes,e.g. satisfactionEmpathy2 (137)0.45 (0.11, 0.79)42.2 %Patient involvement4 (1596)0.31 (0.21, 0.41)93.0 %Positive communication3 (793)0.38 (0.24, 0.52)93.9 %Symptomatic outcomes,e.g. painEmpathy1 (221)-0.18 (-0.45, 0.08)0.0 %Patient involvement1 (314)-0.05 (-0.27, 0.17)0.0 %Positive communication3 (658)0.20 (0.05, 0.35)64.8 %Objective outcomes,e.g. peak expiratory flowPositive communication2 (266)0.10 (-0.14, 0.34)66.6 %Positive SMD favours intervention group. SMD= Standard mean difference, CI= Confidence interval, I2= heterogeneity.Figure 1.Summary of screening process.Conclusion:This systematic review has identified three CFs (empathy, patient involvement and positive communication) that have therapeutic effects for different conditions in trials, especially for self-reported outcomes. More research is needed to examine the clinical outcomes of CFs and to understand the influence of health practitioners on disease processes.References:[1]Zou K, Wong J, Abdullah N, Chen X, Smith T, Doherty M et al. Examination of overall treatment effect and the proportion attributable to contextual effect in osteoarthritis: meta-analysis of randomised controlled trials. Annals of the Rheumatic Diseases. 2016;75(11):1964-1970.[2]Miller F, Kaptchuk T. The power of context: reconceptualizing the placebo effect. Journal of the Royal Society of Medicine. 2008;101(5):222-225.[3]Di Blasi Z, Harkness E, Ernst E, Georgiou A, Kleijnen J. Influence of context effects on health outcomes: a systematic review. The Lancet. 2001;357(9258):757-762.[4]Howick J, Moscrop A, Mebius A, R Fanshawe T, Lewith G, L Bishop F et al. Effects of empathic and positive communication in healthcare consultations: a systematic review and meta-analysis. Journal of the Royal Society of Medicine. 2018;111(7):240–252.[5]Rossettini G, Carlino E, Testa M. Clinical relevance of contextual factors as triggers of placebo and nocebo effects in musculoskeletal pain. BMC Musculoskeletal Disorders. 2018;19(1).Disclosure of Interests:None declared.
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Ismail A, Lani M, Zakeri H, Hasim N, Alias R, Mansor A. Synergistic of antimicrobial activities of lactic acid bacteria in fermented Tilapia nicoliticus incorporated with selected spices. Food Res 2021. [DOI: 10.26656/fr.2017.5(3).534] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
Abstract
Fermented tilapia (Tilapia nicoliticus) is one of the famous fermented food in Malaysia.
Lactic acid bacteria (LAB) which well known as GRAS (Generally Regarded as Safe) are
present in most fermented foods and they are well-known non-pathogenic bacteria that
play an important role in everyday life. Apart from LAB, spices have also been used for
centuries across different regions of the world to improve aroma, flavour and food
preservative. This research was aimed to explore a potential natural food preservative
using LAB isolated from fermented Tilapia nicoliticus incorporated with various spices
(9% turmeric, 6% chilli and 9% black pepper) against foodborne pathogens. The isolation
of LAB in different media (MRS, MRS+CaCO3, M17 and Tomato Juice Agar) showed the
highest LAB count on day-9 and day-15 during the fermentation period in fermented
Tilapia incorporated with black pepper, turmeric and chilli. The highest antimicrobial
activity by LAB against Bacillus cereus was observed in fermented tilapia incorporated
with black pepper. On the other hand, fermented fish incorporated with chilli showed the
highest antimicrobial activity against Staphylococcus aureus, Escherichia coli and
Salmonella enterica serovar Typhimurium. Higher antimicrobial activity was detected in
fermented Tilapia in the presence of LAB together with the spices, in comparison to the
presence of LAB alone, suggesting synergistic effects between LAB in fermented fish
with spices could enhance stronger antimicrobial activities against food pathogens and
therefore, served as a natural food preservative.
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Baida G, Ismail A, Budunova I. 642 REDD1 (regulated in development and DNA damage 1) is essential for skin wound healing. J Invest Dermatol 2021. [DOI: 10.1016/j.jid.2021.02.671] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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Ismail A, Lewis E, Sjödin B, Mannervik B. Characterization of Dog Glutathione Transferase P1-1, an Enzyme Relevant to Veterinary Medicine. Int J Mol Sci 2021; 22:ijms22084079. [PMID: 33920860 PMCID: PMC8071248 DOI: 10.3390/ijms22084079] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/17/2021] [Revised: 04/09/2021] [Accepted: 04/12/2021] [Indexed: 11/25/2022] Open
Abstract
Glutathione transferases (GSTs) form a family of detoxication enzymes instrumental in the inactivation and elimination of electrophilic mutagenic and carcinogenic compounds. The Pi class GST P1-1 is present in most tissues and is commonly overexpressed in neoplastic cells. GST P1-1 in the dog, Canis lupus familiaris, has merits as a marker for tumors and as a target for enzyme-activated prodrugs. We produced the canine enzyme CluGST P1-1 by heterologous bacterial expression and verified its cross-reactivity with antihuman-GST P1-1 antibodies. The catalytic activity with alternative substrates of biological significance was determined, and the most active substrate found was benzyl isothiocyanate. Among established GST inhibitors, Cibacron Blue showed positive cooperativity with an IC50 value of 43 nM. Dog GST P1-1 catalyzes activation of the prodrug Telcyta, but the activity is significantly lower than that of the human homolog.
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Affiliation(s)
- Aram Ismail
- Department of Biochemistry and Biophysics, Arrhenius Laboratories, Stockholm University, SE-10691 Stockholm, Sweden; (A.I.); (B.S.)
| | - Elizabeth Lewis
- College of Liberal Arts & Sciences, University of Illinois Urbana-Champaign, Champaign, IL 61801, USA;
| | - Birgitta Sjödin
- Department of Biochemistry and Biophysics, Arrhenius Laboratories, Stockholm University, SE-10691 Stockholm, Sweden; (A.I.); (B.S.)
| | - Bengt Mannervik
- Department of Biochemistry and Biophysics, Arrhenius Laboratories, Stockholm University, SE-10691 Stockholm, Sweden; (A.I.); (B.S.)
- Correspondence:
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Hatim H, Zainuddin AA, Anizah A, Kalok A, Daud TIM, Ismail A, Nurazurah AG, Grover S. The Missing Uterus, the Missed Diagnosis, and the Missing Care. Mayer-Rokitansky-Küster-Hauser Syndrome in the Lives of Women in Malaysia. J Pediatr Adolesc Gynecol 2021; 34:161-167. [PMID: 33189898 DOI: 10.1016/j.jpag.2020.11.009] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/30/2020] [Revised: 10/18/2020] [Accepted: 11/06/2020] [Indexed: 11/26/2022]
Abstract
STUDY OBJECTIVE To explore the effect of the diagnosis of Mayer-Rokitansky-Küster-Hauser (MRKH) syndrome on affected Malaysian women. DESIGN Qualitative study with a quantitative component. SETTING Pediatric and adolescent gynecology unit at Universiti Kebangsaan Malaysia Medical Centre, Malaysia. PARTICIPANTS Twelve women with MRKH. INTERVENTIONS Face-to-face interview and short questionnaire. MAIN OUTCOME MEASURES Thematic analysis was used to understand participants' experiences. RESULTS There were 7 themes identified: (1) delayed diagnoses; (2) doctors' roles and attitudes; (3) gender identity; (4) family and society's response; (5) reaction toward infertility; (6) managing sexual intimacy; and (7) coping mechanisms. Several participants consulted their physicians regarding their primary amenorrhea at an opportunistic setting. When they were referred to the gynecologists, they were dismayed at the lack of information given. The term, "MRKH" plays an important role to ease information-seeking. Participants felt that the doctors were insensitive toward them. Mental illness is a significant complication of MRKH. All participants acknowledged that infertility was the hardest part of the condition. The importance of blood lineage affects their outlook on childbearing options. Some were afraid of sexual intimacy and worried that they would not be able to satisfy their partners. Participants gained support and bonded with their counterparts in the MRKH support group. CONCLUSION A multidisciplinary approach including medical, psychological, and social support is essential for the management of MRKH. Adequate information and sexual education plays the utmost importance in preventing social-related complications of MRKH.
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Affiliation(s)
- H Hatim
- Department of Obstetric and Gynaecology, Universiti Kebangsaan Malaysia Medical Centre, Kuala Lumpur, Malaysia.
| | - A A Zainuddin
- Paediatric Adolescent Gynaecology Unit, Department of Obstetric and Gynaecology, Universiti Kebangsaan Malaysia Medical Centre, Kuala Lumpur, Malaysia
| | - A Anizah
- Department of Obstetric and Gynaecology, Universiti Kebangsaan Malaysia Medical Centre, Kuala Lumpur, Malaysia
| | - A Kalok
- Department of Obstetric and Gynaecology, Universiti Kebangsaan Malaysia Medical Centre, Kuala Lumpur, Malaysia
| | - T I Mohd Daud
- Department of Psychiatry, Universiti Kebangsaan Malaysia Medical Centre, Kuala Lumpur, Malaysia
| | - A Ismail
- Department of Public Health, Universiti Kebangsaan Malaysia Medical Centre, Kuala Lumpur, Malaysia
| | - A G Nurazurah
- Paediatric Adolescent Gynaecology Unit, Department of Obstetric and Gynaecology, Universiti Kebangsaan Malaysia Medical Centre, Kuala Lumpur, Malaysia
| | - S Grover
- Department of Gynaecology, Royal Children Hospital Melbourne, Melbourne, Australia
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Zakaria SA, Lew MP, Anasyida AS, Idris MN, Zuhailawati H, Ismail A. Mechanical and Corrosion Properties of Low-Carbon Steel Processed by Cryorolling: Effect of Different Initial Microstructures. Arab J Sci Eng 2021. [DOI: 10.1007/s13369-021-05507-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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Škerlová J, Ismail A, Lindström H, Sjödin B, Mannervik B, Stenmark P. Structural and functional analysis of the inhibition of equine glutathione transferase A3-3 by organotin endocrine disrupting pollutants. Environ Pollut 2021; 268:115960. [PMID: 33162212 DOI: 10.1016/j.envpol.2020.115960] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/25/2020] [Revised: 10/02/2020] [Accepted: 10/28/2020] [Indexed: 06/11/2023]
Abstract
Organotin compounds are highly toxic environmental pollutants with neurotoxic and endocrine-disrupting effects. They are potent inhibitors of glutathione transferases (GSTs), thus impeding their detoxication and antioxidant functions. Several GSTs, including equine GST A3-3 (EcaGST A3-3), exhibit steroid double-bond isomerase activity and are involved in the biosynthesis of testosterone and progesterone. We have performed enzyme kinetics analyses of the inhibition of EcaGST A3-3 by organotin compounds. We have also solved crystal structures of EcaGST A3-3 in complexes with glutathione, and with glutathione together with covalently bound triethyltin. Our structural data indicate that the tin atom forms strong bonds with a covalent character not only with the glutathione, but also with a tyrosyl residue of the enzyme itself, thereby preventing the release of the glutathione-organotin adduct and completely blocking the enzyme function. This work presents a structural basis for the general mechanism of GST inhibition by organotin compounds and contributes to the understanding of their neurotoxic and endocrine disrupting effects.
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Affiliation(s)
- Jana Škerlová
- Department of Biochemistry and Biophysics, Stockholm University, SE-10691, Stockholm, Sweden
| | - Aram Ismail
- Department of Biochemistry and Biophysics, Stockholm University, SE-10691, Stockholm, Sweden
| | - Helena Lindström
- Department of Biochemistry and Biophysics, Stockholm University, SE-10691, Stockholm, Sweden
| | - Birgitta Sjödin
- Department of Biochemistry and Biophysics, Stockholm University, SE-10691, Stockholm, Sweden
| | - Bengt Mannervik
- Department of Biochemistry and Biophysics, Stockholm University, SE-10691, Stockholm, Sweden.
| | - Pål Stenmark
- Department of Biochemistry and Biophysics, Stockholm University, SE-10691, Stockholm, Sweden; Department of Experimental Medical Science, Lund University, SE-22100, Lund, Sweden.
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Mohd Adib S, Harun A, Ismail A. Isolation, identification and distribution of environmental Burkholderia pseudomallei isolates in districts of Kelantan, Malaysia. Int J Infect Dis 2020. [DOI: 10.1016/j.ijid.2020.09.934] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
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Cohen O, Ismail A, Manwani R, Ravichandran S, Foard D, Mahmood S, Sachchithanantham S, Martinez-Naharro A, Fontana M, Lachmann H, Hawkins P, Gillmore J, Whelan C, Wechalekar A. Global longitudinal strain predicts survival and response in patients with systemic AL amyloidosis. analysis of 915 patients from the ALchemy prospective trial. Eur Heart J 2020. [DOI: 10.1093/ehjci/ehaa946.0856] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Abstract
Abstract
Background
Cardiac involvement determines prognosis in systemic AL amyloidosis. The extent is assessed by biomarker-based staging systems. This a prospective report of a large cohort of patients assessing the utility of changes in longitudinal function by 2D strain (GLS%), impairment - a hallmark of amyloidosis.
Purpose
To evaluate the prognostic role of GLS% and other echocardiographic parameters in systemic AL amyloidosis.
Methods
915 newly diagnosed patients seen at the UK National Amyloidosis Centre (February 2010–August 2017) were included. All patients underwent 6-monthly comprehensive assessments inclusive of echocardiogram. The European modification of the Mayo 2004 staging was used with Mayo stage III patients stratified into IIIa (NT-proBNP <8500ng/L) and IIIb (NT-proBNP ≥8500ng/L).
Results
653/915 (71.4%) patients had cardiac involvement. Mayo stage 1, 2, 3a and 3b in 144 (15.7%), 302 (33.0%) 344 (37.6%) and 125 (13.7%) respectively. The median NT-proBNP was 2228ng/L and TNT was 0.54ng/ml. The GLS% significantly worsened with increasing Mayo stage (p<0.0001 between GLS% for each Mayo stage). Poorer baseline GLS% associated with significantly worse OS and stratified patients into three groups: GLS% <−12.8%: OS 69.1 months; GLS% −12.8% to −9%: OS 54.5 months; GLS% >−9%: OS 45.3 months (p<0.0001). On univariate analysis, 11/14 parameters predicted survival (LV wall thickness, LV ejection fraction, systolic velocities of the septal (s'sep) and lateral mitral annulus (s' lat), mitral annulus movement at the lateral corner (e' lat), transmitral early peak flow velocity (E) divided by tissue Doppler mitral annular motion velocity (e') – E/e' and mitral annular plane systolic excursion (MAPSE)). Baseline GLS% >−17% was independent of Mayo stage in predicting survival [Mayo II: Hazard ratio (HR) 2.10 (95% CI: 1.12–3.92) p=0.02, Mayo III: HR 3.94 (95% CI: 2.13–7.32) p<0.0001, Mayo IV: HR 7.49 (95% CI: 3.94–14.21) p<0.0001, GLS <17%: HR 2.14 (95% CI: 1.59–2.88) p<0.0001]. At 12 months, only patients in a haematological complete response (CR) had significant improvement in overall GLS% (p=0.02) as well as baso-lateral (p=0.0004) and baso-septal (p=0.0001) GLS% and MAPSE (p=0.002). The OS was significantly better in patients who achieved a minimum absolute improvement in GLS% of 1.5% improvement (not reached in those with improved GLS% vs. 72 mo in those without) (p=0.034)).
Conclusion
These data show that baseline GLS% is an independent predictor of survival in AL amyloidosis. GLS% is the first functional marker that is independent of the Mayo staging in predicting outcomes and should be incorporated in prognostic staging for patients with AL amyloidosis. GLS% shows improvement in patients who achieve a complete haematologic response to treatment and improvement in GLS% of 1.5% is associated with improved outcomes. An absolute improvement in GLS% should be considered as a criterion for cardiac response in AL amyloidosis.
Funding Acknowledgement
Type of funding source: None
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Affiliation(s)
- O Cohen
- National Amyloidosis Centre, Royal Free Hospital, Greater London, United Kingdom
| | - A Ismail
- National Amyloidosis Centre, Royal Free Hospital, Greater London, United Kingdom
| | - R Manwani
- National Amyloidosis Centre, Royal Free Hospital, Greater London, United Kingdom
| | - S Ravichandran
- National Amyloidosis Centre, Royal Free Hospital, Greater London, United Kingdom
| | - D Foard
- National Amyloidosis Centre, Royal Free Hospital, Greater London, United Kingdom
| | - S Mahmood
- National Amyloidosis Centre, Royal Free Hospital, Greater London, United Kingdom
| | - S Sachchithanantham
- National Amyloidosis Centre, Royal Free Hospital, Greater London, United Kingdom
| | - A Martinez-Naharro
- National Amyloidosis Centre, Royal Free Hospital, Greater London, United Kingdom
| | - M Fontana
- National Amyloidosis Centre, Royal Free Hospital, Greater London, United Kingdom
| | - H Lachmann
- National Amyloidosis Centre, Royal Free Hospital, Greater London, United Kingdom
| | - P Hawkins
- National Amyloidosis Centre, Royal Free Hospital, Greater London, United Kingdom
| | - J Gillmore
- National Amyloidosis Centre, Royal Free Hospital, Greater London, United Kingdom
| | - C Whelan
- National Amyloidosis Centre, Royal Free Hospital, Greater London, United Kingdom
| | - A.D Wechalekar
- National Amyloidosis Centre, Royal Free Hospital, Greater London, United Kingdom
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Ali S, Ismail A, Abdel-Hafez S, El-Genaidy H. The Protective Effect of Cinnamon against Thermally Oxidized Palm Oil in Broiler Chickens. Egyptian Academic Journal of Biological Sciences C, Physiology and Molecular Biology 2020. [DOI: 10.21608/eajbsc.2020.100600] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022] Open
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Lahfi Y, Ismail A. EVALUATION OF RADIATION DOSE IN DIFFERENT POSITIONS AROUND THE PATIENT TABLE DURING INTERVENTIONAL CARDIOLOGY PROJECTIONS. Radiat Prot Dosimetry 2020; 188:199-204. [PMID: 31786614 DOI: 10.1093/rpd/ncz276] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/12/2018] [Revised: 10/03/2019] [Accepted: 10/30/2019] [Indexed: 06/10/2023]
Abstract
The aim of the present study was to evaluate the radiation exposure around the patient table as relative to the cardiologist position dose value. The dose rates at eight points presuming staff positions were measured for PA, LAO 30° and RAO 30° radiographic projections, and then normalized to the cardiologist's position dose-rate value. The results show that in PA and RAO 30° projections, the normalized dose rate was higher by 9-22% at the right side of the table at a distance of 50 cm, while it was higher up to 31% at the left side for the same measured points in the LAO 30°. The differences of normalized dose rates for the both table sides were lower and decreased at farther positions. The obtained results correspond to the recommendations of staff radiation protection in Cath-labs with regards to X-ray tube and detector positions.
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Affiliation(s)
| | - A Ismail
- Department of Protection and Safety, Atomic Energy Commission of Syria, P.O. Box 6091, Damascus, Syria
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Ali S, Ismail A, Abdel-Hafez S, El-Genaidy H. Influence of Thermally Oxidized Palm Oil on Growth Performance and PPAR-α Gene Expression in Broiler Chickens. Egyptian Academic Journal of Biological Sciences C, Physiology and Molecular Biology 2020. [DOI: 10.21608/eajbsc.2020.68442] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022] Open
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Moshrif A, Abdelkareem M, Moneer M, Mosallam A, Ismail A, Elwan M, Saad A, Abdelaziz T. AB0956 VERTICAL NAIL RIDGING IN PATIENTS WITH FIBROMYALGIA: FREQUENCY, PROPOSED GRADING AND CORRELATION WITH OTHER DISEASE FEATURES. Ann Rheum Dis 2020. [DOI: 10.1136/annrheumdis-2020-eular.5317] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
Abstract
Background:The vertical nail ridging (VNR) has long been reported to be related to stressful conditions1Objectives:to evaluate the frequency of VNS in FM patients and its relation to other disease parameters depending on a proposed grading.Methods:VNR has been searched for in 212 FM patients (2016 criteria). The number of fingers, the degree of VNR according to this proposed grading (0: no ridging, 1: ridging only detected by a magnifying lens, 2: ridging seen by naked eye and 3: ridging that can be seen and felt) and other FM features according to the new and old ACR criteria have been recorded. 80 subjects of those consulting for knee osteoarthritis have been examined for VNR and those found positive were asked about the FM features and examined for tender points. Patients aged >50 years and those with psoriasis and fungal infections were excluded.Results:the mean age of patients was 32.4±9.9 (73.6% were female). The mean disease duration was 5.8±3.7, while the means of WPI, SSS and tender points were 9.4±2.9, 7.3±1.2 and 14.7±2.3 respectively. VNR was found in 209 patients (98.6%). Of 80 controls, VNR has been found in 61 subjects, of whom FM has been diagnosed in 32 patients (52.4%) by 2016 FM criteria and in 46 (75.4%) by 1990 criteria. The number of fingers with VNR has been found only correlated with the disease duration (r= 0.276, P = 0.000). The severity of VNR was significantly correlating with fatigue (P= 0.002), sleep disturbance (P= 0.001), awaking unrefreshed (P = 0.000), WPI (p = 0.01) and mean tender points (P =0.02). Considering the 2016 criteria as a gold standard, the sensitivity of VNR was 98.37%, the specificity was 9.68% and the diagnostic accuracy was 82.8%.Conclusion:vertical nail ridging is a frequent finding and can be considered helpful for diagnosis of patients with FM. Further studies are needed to validate this sign for diagnosis and follow up of FM patients.References:[1]American Academy of Dermatology. (2007, November 12). Feeling Stressed? How Your Skin, Hair And Nails Can Show It.Science Daily. Retrieved December 30, 2019 fromwww.sciencedaily.com/releases/2007/11/071109194053.htmDisclosure of Interests:None declared
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Roslan AS, Ismail A, Ando Y, Azlan A. Effect of drying methods and parameters on the antioxidant properties of tea (Camellia sinensis) leaves. Food Prod Process and Nutr 2020. [DOI: 10.1186/s43014-020-00022-0] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/10/2022]
Abstract
Abstract
Background
Conventional drying using heated air oven is commonly used as a method for preserving the product but often affects the nutritional value, taste, and texture. However, the heat from the drying method can oxidize and destroy heat-sensitive compounds. Superheated steam (SHS) drying uses superheated steam instead of hot air or combustion gases in a direct dryer and was reported better at preserving the nutritional values of food products.
Aim
To evaluate the effect of SHS drying on antioxidant properties of tea leaves. The study also compared SHS drying with conventional and freeze-drying methods.
Results
Tea leaves dried using freeze drying retained the highest level of antioxidant properties compared to other drying methods. The leaves dried using SHS exhibited significantly higher radical scavenging activity, ORAC and FRAP values compared to oven drying method. At different drying temperatures (150 °C and 175 °C), oven dried leaves showed significantly higher (p < 0.05) antioxidant properties than that of SHS dried ones. Tea leaves dried for 60, 75, and 90 min using SHS showed significantly higher (p < 0.05) FRAP and ORAC values, and also total phenolic content compared to oven dried tea leaves.
Conclusion
Tea leaves dried using SHS drying method retained higher level of antioxidant properties compared to oven drying. The drying method also retained lower antioxidant properties as drying time increased. Further study involving SHS drying in food-related fields should be conducted to support its usefulness.
Graphical abstract
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Ismail A, Ismail A, Tabari A, Ahidjo A, Isyaku K, Ugwueze C, Doo F, Hunt S, Somwaru A. Abstract No. 469 Current state of interventional radiology in Nigeria. J Vasc Interv Radiol 2020. [DOI: 10.1016/j.jvir.2019.12.530] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022] Open
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El-Houseini ME, Ismail A, Abdelaal AA, El-Habashy AH, Abdallah ZF, Mohamed MZ, El-Hadidi M, Cho WCS, Ahmed H, Al-Shafie TA. Role of TGF-β1 and C-Kit Mutations in the Development of Hepatocellular Carcinoma in Hepatitis C Virus-Infected Patients: in vitro Study. Biochemistry (Mosc) 2019; 84:941-953. [PMID: 31522676 DOI: 10.1134/s0006297919080108] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/16/2022]
Abstract
Transforming growth factor beta (TGF-β) acts as a tumor-suppressing cytokine in healthy tissues and non-malignant tumors. Yet, in malignancy, TGF-β can exert the opposite effects that can promote proliferation of cancer cells. C-Kit plays a prominent role in stem cell activation and liver regeneration after injury. However, little is known about the cross-talk between TGF-β and C-Kit and its role in the progression of hepatocellular carcinoma (HCC). Here, we studied the effect of increasing doses of TGF-β1 on CD44+CD90+ liver stem cells (LSCs) and C-Kit gene expression in malignant and adjacent non-malignant liver tissues excised from 32 HCC patients. The percentage of LSCs in malignant tumors was two times higher compared to their counterparts from the non-malignant tissues. When treated with increasing doses of TGF-β1, proliferation of both malignant and non-malignant LSCs was progressively suppressed, but low TGF-β1 dose failed to suppress the growth of malignant LSCs. Moreover, C-Kit exons 9 and 11 were expressed in malignant LSCs, but not in their non-malignant counterparts. Analysis of C-Kit detected mutations in exon 9 (but not in exon 11) in some malignant liver cells resulting in the changes in the amino acid sequence and dysregulation of protein structure and function. Interestingly, in malignant liver cells, mutations in exon 9 were associated with high-viremia hepatitis C virus (HCV), and expression of this exon was not suppressed by the TGF-β1 treatment at all doses. To our knowledge, this is the first report that mutations in the C-Kit gene in HCC patients are associated with high- viremia HCV. Our study emphasizes the need for investigation of the TGF-β1 level and C-Kit mutations in patients with chronic HCV for HCC prevention and better therapy management.
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Affiliation(s)
- M E El-Houseini
- Cairo University, National Cancer Institute, Department of Cancer Biology, Cairo, 11796, Egypt
| | - A Ismail
- Ain Shams University, Faculty of Medicine, Department of Surgery, Cairo, 11566, Egypt
| | - A A Abdelaal
- Ain Shams University, Faculty of Medicine, Department of Surgery, Cairo, 11566, Egypt
| | - A H El-Habashy
- Cairo University, National Cancer Institute, Department of Pathology, Cairo, 11796, Egypt
| | - Z F Abdallah
- Cairo University, National Cancer Institute, Department of Cancer Biology, Cairo, 11796, Egypt
| | - M Z Mohamed
- Medical Center of Egyptian Railways, Department of Medical Laboratory, Cairo, 11669, Egypt
| | - M El-Hadidi
- Nile University, Center of Informatics Science, Giza, 12525, Egypt
| | - W C S Cho
- Queen Elizabeth Hospital, Department of Clinical Oncology, Kowloon, Hong Kong, China
| | - H Ahmed
- GlycoMantra, Inc., Baltimore, MD 21227, USA
| | - T A Al-Shafie
- Cairo University, National Cancer Institute, Department of Cancer Biology, Cairo, 11796, Egypt. .,Pharos University in Alexandria, Faculty of Pharmacy and Drug Manufacturing, Department of Pharmacology and Therapeutics, Alexandria, 21311, Egypt
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Ramdzan AR, Ismail A, Mohd Zanib ZS. Prevalence of malaria and its risk factors in Sabah, Malaysia. Int J Infect Dis 2019; 91:68-72. [PMID: 31785400 DOI: 10.1016/j.ijid.2019.11.026] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/06/2019] [Revised: 11/22/2019] [Accepted: 11/22/2019] [Indexed: 02/01/2023] Open
Abstract
OBJECTIVES The aim of this study was to determine the prevalence of malaria in Sabah and its potential risk factors. METHODS This cross-sectional study analysed secondary data obtained from the health clinics in Sabah, Malaysia from January to August 2016. The Pearson Chi-square test was used to analyse the relationships between malaria infection and socio-demographic characteristics. Multivariable logistic regression was performed in order to determine the risk factors for malaria in Sabah. RESULTS Out of 1222 patients, 410 (33.6%) had a laboratory-confirmed malaria infection. Infection by Plasmodium knowlesi accounted for the majority of malaria reports in Sabah (n=340, 82.9%). Multivariable analysis indicated that males (prevalence odds ratio 0.023, 95% confidence interval 0.012-0.047) and those living in a rural area (prevalence odds ratio 0.004, 95% confidence interval 0.002-0.009) were at higher risk 24.0-95.9) and those living in a rural area (adjusted odds ratio 212.6, 95% confidence interval 105.8-427.2) were at higher risk of acquiring a malaria infection. CONCLUSIONS Malaria infections in Sabah, Malaysia are common, with P. knowlesi being the most common malaria parasite. The infection was associated with several socio-demographic and geographical factors. Thus, mitigation measures should be considered to address modifiable risk factors for malaria infection.
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Affiliation(s)
- A R Ramdzan
- Department of Community Health, Faculty of Medicine, Universiti Kebangsaan Malaysia, Kuala Lumpur, Malaysia; Department of Community and Family Medicine, Faculty of Medicine & Health Sciences, Universiti Malaysia Sabah, Sabah, Malaysia.
| | - A Ismail
- Department of Community Health, Faculty of Medicine, Universiti Kebangsaan Malaysia, Kuala Lumpur, Malaysia.
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Rippaus N, Manning J, Droop A, Al-Jabri M, Care M, Bruns AF, Jenkinson MD, Brodbelt A, Chakrabarty A, Ismail A, Short S, Stead LF. OS9.5 Evidence that adult glioblastoma adapts to standard therapy though chromatin remodeling. Neuro Oncol 2019. [DOI: 10.1093/neuonc/noz126.063] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Abstract
Abstract
BACKGROUND
Glioblastoma (GBM) tumours recur following standard treatment in almost all cases. We use ‘omics technologies to simultaneously profile pairs of primary and matched recurrent GBM to specifically identify and characterise the cells that resisted treatment, with the aim of determining how to more effectively kill them.
MATERIAL AND METHODS
We have analysed high coverage RNAseq data from pairs of GBM tumours: primary de novo tumour and matched local recurrence from patients that underwent standard therapy. Our original cohort constituted 23 pairs and our validation cohort was an additional 22 pairs. We also cultured two plates of spheroids directly from a patient’s GBM, treating one with radiation and temozolomide. We monitored growth and captured and sequenced RNA from single cells at two time-points: one week post-treatment when the deviation between untreated and treated spheroid growth curves was most pronounced; and three weeks post-treatment when the growth rate of treated spheroids had recovered. We investigated differential gene expression between primary and recurrent pairs, and single cells pre- and post-treatment, and performed a bespoke per patient gene set enrichment analysis.
RESULTS
Differential gene expression analysis in 23 tumour pairs indicated a treatment-induced shift in cell states linked to normal neurogenesis and prompted us to develop a novel gene set enrichment analysis approach to identify gene regulatory factors that may orchestrate such a shift. This revealed the significant and universal dysregulation of genes, through therapy, that are targeted by a specific chromatin remodeling machinery. This finding was validated in an independent cohort of 22 further GBM pairs. To understand the therapeutic potential of this finding we must determine whether genes are dysregulated through therapy owing to a) their fixed expression in inherently treatment resistance cells in the primary tumour which get selected during therapy to increase the signal of that profile, or b) changes in expression during the process of cells acquiring treatment resistance. To inspect this, we analysed single cell gene expression data from GBM spheroids pre- and post-treatment. We found that there was significant dysregulation of the genes associated with the chromatin remodeling complex but only at the three-week post-treatment time-point.
CONCLUSION
Our results indicate that GBM cells are being transcriptionally reprogrammed in response to treatment; the mechanism of which may represent a therapeutic opportunity.
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Affiliation(s)
- N Rippaus
- Leeds Institute of Medical Research at St James’s, Leeds, United Kingdom
| | - J Manning
- Leeds Institute of Medical Research at St James’s, Leeds, United Kingdom
| | - A Droop
- Leeds Institute of Data Analytics, Leeds, United Kingdom
| | - M Al-Jabri
- Leeds Institute of Medical Research at St James’s, Leeds, United Kingdom
| | - M Care
- Leeds Institute of Data Analytics, Leeds, United Kingdom
| | - A F Bruns
- Leeds Institute of Medical Research at St James’s, Leeds, United Kingdom
- Leeds Institute of Cardiovascular and Metabolic Medicine, Leeds, United Kingdom
| | - M D Jenkinson
- Walton Centre NHS Trust, Liverpool, United Kingdom
- Institute of Translational Medicine, Liverpool, United Kingdom
| | - A Brodbelt
- Walton Centre NHS Trust, Liverpool, United Kingdom
| | - A Chakrabarty
- Leeds Teaching Hospitals NHS Trust, Leeds, United Kingdom
| | - A Ismail
- Leeds Teaching Hospitals NHS Trust, Leeds, United Kingdom
| | - S Short
- Leeds Institute of Medical Research at St James’s, Leeds, United Kingdom
| | - L F Stead
- Leeds Institute of Medical Research at St James’s, Leeds, United Kingdom
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Ismail A, Tabari AM, Alhasan SU, Abdullahi A. Dynamic and morphologic evaluation of erectile dysfunction on penile doppler sonography and contrast cavernosography. Niger J Clin Pract 2019; 20:729-733. [PMID: 28656928 DOI: 10.4103/njcp.njcp_158_16] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
Abstract
BACKGROUND Penile erection is a complex phenomenon that involves coordinated interaction of the psychologic, hormonal, nervous, arterial, venous, and sinusoidal systems. Erectile dysfunction (ED) is the persistent inability to attain or maintain penile erection sufficient for sexual intercourse. This study aims to determine the real-time morphologic vascular abnormalities in men with ED using penile Doppler sonography in Kano, Nigeria. MATERIALS AND METHODS Twenty-one patients who were referred from urology clinics on account of suspected vasculogenic ED were reviewed. The cavernorsal arteries were examined with 7.5 MHz linear transducer in gray scale and duplex Doppler modes before and after intracavernosal injection of 60 mg papevarine. Serial peak systolic velocity (PSV), end diastolic velocity (EDV), and diameter measurements were performed at 5-min intervals for 30 min. RESULTS The mean age of the patients was 43.14 ± 9.84 years. Out of the 21 patients examined, 5 showed normal findings while 10 had evidence of venous leakage. Five patients had arterial insufficiency; out of which 3 patients showed calcifications of the tunica albuginea, suggesting Peyronie's disease. Interestingly, 1 patient showed combining features of arterial insufficiency and of venous leakage. Those with arterial insufficiency were relatively older than other patients. They also had compounding medical conditions of diabetes and hypertension. CONCLUSION Vascular etiologies are important contributors of ED in our setting. Papavarine-induced Doppler sonography and cavernosography shows promise in accurate assessment and overall care of these patients.
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Affiliation(s)
- A Ismail
- Department of Radiology, College of Health Sciences, Bayero University/Aminu Kano Teaching Hospital, Kano, Nigeria
| | - A M Tabari
- Department of Radiology, College of Health Sciences, Bayero University/Aminu Kano Teaching Hospital, Kano, Nigeria
| | - S U Alhasan
- Department of Surgery, College of Health Sciences, Bayero University/Aminu Kano Teaching Hospital, Kano, Nigeria
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Ismail A, Tabari AM, Isyaku K. Doppler sonographic evaluation of venogenic extremity swellings: Analysis of 170 patients from Kano, Nigeria. Niger J Clin Pract 2019; 20:930-935. [PMID: 28891535 DOI: 10.4103/njcp.njcp_169_16] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
Abstract
INTRODUCTION Deep venous thrombosis (DVT) is a serious problem that can potentially lead to many complications including life-threatening pulmonary arterial thrombosis. Screening and confirmation of the diagnosis are critical in the care of this condition. OBJECTIVES The objective of this study was to evaluate the role of Doppler sonography in diagnosing DVT and to illustrate the pattern in 170 suspected cases from our local environment. MATERIALS AND METHODS This study was conducted at our department over 18 months. A total of 170 patients with clinical suspicion of limb DVT were recruited. The characteristics of the patients, risk factor for DVT, and the site of the lesion were documented. Sonographic examination was done using 7.5 MHz linear and 3.5 MHz convex transducers. RESULTS Out of the 170 patients, there are 89 (52.35%) males and 81 (47.65%) females. Their mean age was 50.6 years (+17.9 years). The common risk factors for DVT include chronic medical illness (28.8%), long distance travel (15.3%), previous DVT (8.8%), stroke/paralysis (5.3%), neoplasms (5.9%), pregnancy (5.9%), and trauma/surgery (5.9%). About 55.8% (95) of them were confirmed to have DVT on ultrasound while 44.2% (75) had normal ultrasound findings. There was a female preponderance among the 95 cases of DVT, 58.9% of them were females while 41.1% of them were males. It was found that contiguous femoro-popliteal and ilio-femoro-popliteal segments were most commonly thrombosed. These lesions were predominantly left sided (59.5%). CONCLUSION There was a predominance of females and femoro-popliteal segments in DVT. Doppler ultrasound is very useful in the evaluation of extremity DVT. All clinically suspected cases should be evaluated with this modality due to limited sensitivity of clinical evaluation in the diagnosis of DVT. Further correlative studies in comparison to venography and hematologic indices are also recommended.
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Affiliation(s)
- A Ismail
- Department of Radiology, Bayero University, Aminu Kano Teaching Hospital, Kano, Nigeria
| | - A M Tabari
- Department of Radiology, Bayero University, Aminu Kano Teaching Hospital, Kano, Nigeria
| | - K Isyaku
- Department of Radiology, Bayero University, Aminu Kano Teaching Hospital, Kano, Nigeria
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Affiliation(s)
- A Ismail
- Department of Rheumatology, Stockport NHS Foundation Trust, Poplar Grove, Stockport, Greater Manchester, UK
| | - A A A Ismail
- Retired Consultant Biochemist, 4 Chevet Lane, Wakefield, West Yorkshire, UK
| | - Y Ismail
- Department of Cardiology, Bristol Heart Institute, Upper Maudlin Street, Bristol, UK
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