Diversely functionalized isoquinolines and their core-embedded heterocyclic frameworks: a privileged scaffold for medicinal chemistry

Isoquinoline-enrooted organic small-molecules represent a challenging molecular target in the organic synthesis arsenal attributed to their structural diversity and therapeutic importance. Into the bargain, isoquinolines are significant structural frameworks in modern medicinal chemistry and drug development. Consequently, synthetic organic and medicinal chemists have been intensely interested in efficient synthetic tactics for the sustainable construction of isoquinoline frameworks and their derivatives in enantiopure or racemic forms. This review accentuates an overview of the literature on the modern synthetic approaches exploited in synthesising isoquinolines and their core embedded heterocyclic skeletons from 2021 to 2022. In detail, the methodologies and inspected pharmacological studies for the array of diversely functionalized isoquinolines or their core-embedded heterocyclic/carbocyclic structures involving the introduction of substituents at C-1, C-3, and C-4 carbon and N-2 atom, bond constructions at the C1-N2 atom and C3-N2 atom, and structural scaffolding within isoquinoline compounds have been reviewed. This intensive study highlights the need for and relevance of relatively unexplored bioisosterism employing isoquinoline-based small-molecules in drug design.

Combinations of an acetyl CoA carboxylase inhibitor with hepatic lipid modulating agents do not augment antifibrotic efficacy in preclinical models of NASH and fibrosis

Dysregulated hepatocyte lipid metabolism is a hallmark of hepatic lipotoxicity and contributes to the pathogenesis of nonalcoholic steatohepatitis (NASH). Acetyl CoA carboxylase (ACC) inhibitors decrease hepatocyte lipotoxicity by inhibiting de novo lipogenesis and concomitantly increasing fatty acid oxidation (FAO), and firsocostat, a liver‐targeted inhibitor of ACC1/2, is under evaluation clinically in patients with NASH. ACC inhibition is associated with improvements in indices of NASH and reduced liver triglyceride (TG) content, but also increased circulating TG in subjects with NASH and preclinical rodent models. Here we evaluated whether enhancing hepatocyte FAO by combining ACC inhibitors with peroxisomal proliferator‐activated receptor (PPAR) or thyroid hormone receptor beta (THRβ) agonists could drive greater liver TG reduction and NASH/antifibrotic efficacy, while ameliorating ACC inhibitor–induced hypertriglyceridemia. In high‐fat diet–fed dyslipidemic rats, the addition of PPAR agonists fenofibrate (Feno), elafibranor (Ela), lanifibranor (Lani), seladelpar (Sela) or saroglitazar (Saro), or the THRb agonist resmetirom (Res), to an analogue of firsocostat (ACCi) prevented ACCi‐induced hypertriglyceridemia. However, only PPARα agonists (Feno and Ela) and Res provided additional liver TG reduction. In the choline‐deficient high‐fat diet rat model of advanced liver fibrosis, neither PPARα (Feno) nor THRβ (Res) agonism augmented the antifibrotic efficacy of ACCi. Conclusion: These data suggest that combination therapies targeting hepatocyte lipid metabolism may have beneficial effects on liver TG reduction; however, they may not be sufficient to drive fibrosis regression.

BCAA Supplementation in Mice with Diet-induced Obesity Alters the Metabolome Without Impairing Glucose Homeostasis

Circulating branched chain amino acid (BCAA) levels are elevated in obese humans and genetically obese rodents. However, the relationship of BCAAs to insulin resistance in diet-induced obese mice, a commonly used model to study glucose homeostasis, is still ill-defined. Here we examined how high-fat high-sucrose (HFHS) or high-fat diet (HFD) feeding, with or without BCAA supplementation in water, alters the metabolome in serum/plasma and tissues in mice and whether raising circulating BCAA levels worsens insulin resistance and glucose intolerance. Neither HFHS nor HFD feeding raised circulating BCAA levels in insulin-resistant diet-induced obese mice. BCAA supplementation raised circulating BCAA and branched-chain α-keto acid levels and C5-OH/C3-DC acylcarnitines (AC) in muscle from mice fed an HFHS diet or HFD, but did not worsen insulin resistance. A set of short- and long-chain acyl CoAs were elevated by diet alone in muscle, liver, and white adipose tissue (WAT), but not increased further by BCAA supplementation. HFD feeding reduced valine and leucine oxidation in WAT but not in muscle. BCAA supplementation markedly increased valine oxidation in muscle from HFD-fed mice, while leucine oxidation was unaffected by diet or BCAA treatment. Here we establish an extensive metabolome database showing tissue-specific changes in mice on 2 different HFDs, with or without BCAA supplementation. We conclude that mildly elevating circulating BCAAs and a subset of ACs by BCAA supplementation does not worsen insulin resistance or glucose tolerance in mice. This work highlights major differences in the effects of BCAAs on glucose homeostasis in diet-induced obese mice versus data reported in obese rats and in humans.

Acetyl-CoA carboxylase inhibition disrupts metabolic reprogramming during hepatic stellate cell activation

BACKGROUND & AIMS

Non-alcoholic steatohepatitis (NASH) is a chronic liver disease characterized by hepatic lipid accumulation, inflammation, and progressive fibrosis. Acetyl-CoA carboxylase (ACC) catalyzes the rate-limiting step of de novo lipogenesis and regulates fatty acid β-oxidation in hepatocytes. ACC inhibition reduces hepatic fat content and markers of liver injury in patients with NASH; however, the effect of ACC inhibition on liver fibrosis has not been reported.

METHODS

A direct role for ACC in fibrosis was evaluated by measuring de novo lipogenesis, procollagen production, gene expression, glycolysis, and mitochondrial respiration in hepatic stellate cells (HSCs) in the absence or presence of small molecule inhibitors of ACC. ACC inhibitors were evaluated in rodent models of liver fibrosis induced by diet or the hepatotoxin, diethylnitrosamine. Fibrosis and hepatic steatosis were evaluated by histological and biochemical assessments.

RESULTS

Inhibition of ACC reduced the activation of TGF-β-stimulated HSCs, as measured by both α-SMA expression and collagen production. ACC inhibition prevented a metabolic switch necessary for induction of glycolysis and oxidative phosphorylation during HSC activation. While the molecular mechanism by which inhibition of de novo lipogenesis blocks glycolysis and oxidative phosphorylation is unknown, we definitively show that HSCs require de novo lipogenesis for activation. Consistent with this direct antifibrotic mechanism in HSCs, ACC inhibition reduced liver fibrosis in a rat choline-deficient, high-fat diet model and in response to chronic diethylnitrosamine-induced liver injury (in the absence of hepatic lipid accumulation).

CONCLUSIONS

In addition to reducing lipid accumulation in hepatocytes, ACC inhibition also directly impairs the profibrogenic activity of HSCs. Thus, small molecule inhibitors of ACC may lessen fibrosis by reducing lipotoxicity in hepatocytes and by preventing HSC activation, providing a mechanistic rationale for the treatment of patients with advanced liver fibrosis due to NASH.

LAY SUMMARY

Hepatic fibrosis is the most important predictor of liver-related outcomes in patients with non-alcoholic steatohepatitis (NASH). Small molecule inhibitors of acetyl-CoA carboxylase (ACC) reduce hepatic fat content and markers of liver injury in patients with NASH. Herein, we report that inhibition of ACC and de novo lipogenesis also directly suppress the activation of hepatic stellate cells - the primary cell responsible for generating fibrotic scar in the liver - and thus fibrosis. These data provide further evidence for the use of ACC inhibitors to treat patients with NASH and advanced fibrosis.

Interferenceless coded aperture correlation holography with synthetic point spread holograms

Lensless, interferenceless coded aperture correlation holography (LI-COACH) is an incoherent computational optical technique for three-dimensional (3D) imaging. In direct imaging, the image of the object is generated by a lens, whereas the LI-COACH is an indirect imaging technique that consists of two steps: one-time point spread hologram (PSH) training and then many times imaging of multiple-point objects. In the one-time training step, a point object moves in the object space along the optical axis. Light emitted from the point is modulated by a quasi-random phase mask, and the PSH library is recorded. In the imaging step, an object is mounted within the axial boundaries of the PSH library, and the object holograms are recorded using the same quasi-random phase masks. The 3D image of the object is reconstructed by the cross correlation of the object holograms with the PSH library. In this study, the entire PSH library is digitally synthesized from a single PSH, recorded at one plane only. The recorded PSH is scaled by magnification factors corresponding to the various axial planes. The reconstruction results from the synthetic PSH library are comparable with those from the recorded PSH library. The proposed approach can reduce the time of the training step in LI-COACH.

Spatial light modulator aided noninvasive imaging through scattering layers

We propose and demonstrate a new imaging technique to noninvasively see through scattering layers with the aid of a spatial light modulator (SLM). A relay system projects the incoherent light pattern emitting from the scattering layer onto the SLM. Two coded phase masks are displayed, one after another, on the SLM to modulate the projected scattered field and the two corresponding intensity patterns are recorded by a digital camera. The above procedure helps to achieve two goals. Firstly, since the coded phase masks are digitally synthesized, the point spread function of the imaging system can be engineered such that the image retrieval becomes more reliable. Secondly, the two recorded intensity patterns are subtracted one from the other and by that the background noise of the recovered image is minimized. The above two advantages along with a modified phase retrieval algorithm enable a relatively easier and accurate convergence to the image of the covered object.

PAHSAs attenuate immune responses and promote β cell survival in autoimmune diabetic mice

Palmitic acid esters of hydroxy stearic acids (PAHSAs) are endogenous antidiabetic and antiinflammatory lipids. Here, we show that PAHSAs protect against type 1 diabetes (T1D) and promote β cell survival and function. Daily oral PAHSA administration to nonobese diabetic (NOD) mice delayed the onset of T1D and markedly reduced the incidence of T1D, whether PAHSAs were started before or after insulitis was established. PAHSAs reduced T and B cell infiltration and CD4+ and CD8+ T cell activation, while increasing Treg activation in pancreata of NOD mice. PAHSAs promoted β cell proliferation in both NOD mice and MIN6 cells and increased the number of β cells in NOD mice. PAHSAs attenuated cytokine-induced apoptotic and necrotic β cell death and increased β cell viability. The mechanism appears to involve a reduction of ER stress and MAPK signaling, since PAHSAs lowered ER stress in NOD mice, suppressed thapsigargin-induced PARP cleavage in human islets, and attenuated ERK1/2 and JNK1/2 activation in MIN6 cells. This appeared to be mediated in part by glucagon-like peptide 1 receptor (GLP-1R) and not the G protein-coupled receptor GPR40. PAHSAs also prevented impairment of glucose-stimulated insulin secretion and improved glucose tolerance in NOD mice. Thus, PAHSAs delayed the onset of T1D and reduced its incidence by attenuating immune responses and exerting direct protective effects on β cell survival and function.

Implementation of a speckle-correlation-based optical lever with extended dynamic range

A speckle-correlation-based optical lever (SC-OptLev) is constructed for the measurement of small changes in the orientation angle of a surface. The dynamic range of SC-OptLev is found to be twice that of a conventional OptLev for the same experimental configurations. Different filtering mechanisms are implemented, and the correlation results are compared. Two types of computer-automated SC-OptLevs, an open-source-based computing system with a low-cost image sensor and a commercial computing system, are presented with assistive computational modules.

Superresolution beyond the diffraction limit using phase spatial light modulator between incoherently illuminated objects and the entrance of an imaging system

We present a superresolution technique for imaging objects beyond the diffraction limit imposed by the limited numerical aperture (NA) of a general optical system. A coded phase mask (CPM) displayed on a spatial light modulator is introduced between the object and the input aperture of an ordinary lens-based imaging system. Consequently, the effective NA is increased beyond the inherent NA of the optical imaging system. Unlike conventional systems, the imaging in our proposed method is not direct from an object to a sensor, and the system requires a one-time calibration. In the calibration mode, a point object is mounted in the object plane, and the point spread intensity pattern is recorded. Following the calibration, the system is ready for imaging an arbitrary number of 2D objects. The intensity pattern from any object placed at the same axial location of the point object, and modulated by the same CPM, is recorded once by a digital camera. The superresolved image of the object is reconstructed by a nonlinear cross-correlation between the abovementioned two intensity patterns. The effective NA and the new resolution limit can be tuned by changing the scattering degree of the CPM.

Generation of structured light by multilevel orbital angular momentum holograms

Structured light has been created by a myriad of near-and far-field techniques and has found both classical and quantum applications. In the case of orbital angular momentum (OAM), continuous spiral phase patterns in dynamic or geometric phase are often employed with the phase patterns existing across the entire transverse plane. Here, we exploit the uncertain relationship between OAM and angle in order to create structured OAM fields by using multilevel OAM holograms. We show theoretically and experimentally that only a multilevel angular phase contour in the near-field is needed to create structured OAM light in the far-field, exploiting the reciprocal nature of angular momentum and angle. We use this approach to demonstrate exotic 3D structured light control to show the Poynting vector's evolution in such fields and to highlight the physics underlying this phenomenon.

Synthesis, Optical, Morphological and Magnetic Properties of Hematite Nanorods in Deep Eutectic Solvent with its Antibacterial and Photocatalytic Applications

Deep eutectic solvent comprising of choline chloride and D(+)-glucose was synthesized by mixing in the molar ratio 2:1. Iron oxide nanoparticles were successfully synthesized by co-precipitation method. Deep eutectic solvent consisting of D(+)-glucose acts as a promising reducing agent for the synthesis of iron oxide nanoparticles. Direct optical band gap of iron oxide nanoparticles was found to be 2.262 eV. Powder X-ray diffraction technique was used to identify the crystalline phases. Surface morphology analysis by Field emission scanning electron microscopy and high resolution transmission electron microscopy confirmed the rod shape structure of the iron oxide nanoparticles. Selected area electron diffraction pattern revealed the identity of lattice planes with the XRD data. The antibacterial and photocatalytic activities of the iron oxide nanoparticles were also studied. The synthesized iron oxide nanoparticles showed appreciable antibacterial and photocatalytic activities

Resolution enhancement in nonlinear interferenceless COACH with point response of subdiffraction limit patterns

Interferenceless coded aperture correlation holography (I-COACH) is a non-scanning, motionless, incoherent digital holography technique for 3D imaging. The lateral and axial resolutions of I-COACH are equivalent to those of conventional direct imaging with the same numerical aperture. The main component of I-COACH is a coded phase mask (CPM) used as the system aperture. In this study, the CPM has been engineered using a modified Gerchberg-Saxton algorithm to generate a random distribution of subdiffraction spot arrays on the digital camera as a system response to a point source illumination. A library of point object holograms is created to calibrate the system for imaging different lateral sections of a 3D object. An object is placed within the calibrated 3D space and an object hologram is recorded with the same CPM. The various planes of the object are reconstructed by a non-linear cross-correlation between the object hologram and the point object hologram library. A lateral resolution enhancement of about 25% was noted in the case of I-COACH compared to direct imaging.

Non-linear adaptive three-dimensional imaging with interferenceless coded aperture correlation holography (I-COACH)

Interferenceless coded aperture correlation holography (I-COACH) is an incoherent digital holography technique for imaging 3D objects without two-wave interference. In I-COACH, the object beam is modulated by a pseudorandom coded phase mask (CPM) and propagates to the camera where its intensity pattern is recorded. The image of the object is reconstructed by a cross-correlation of the object intensity pattern with a point intensity response of the system, whereas the light from both the object and the point, are modulated by the same CPM. In order to recover the image of the object without bias level and background noise, multiple intensity recordings are necessary for both objects as well as the point object, which in turn significantly reduces the time resolution of imaging. In this study, a non-linear reconstruction technique is developed to reconstruct the image of the object with only a single camera shot. Furthermore, the proposed technique is adaptive to different experimental conditions in the sense of finding different optimal parameters for each experiment. The new method has been implemented on a regular I-COACH system in both transmission as well as reflection illumination modes.

A selective and sensitive high performance liquid chromatography assay for the determination of cycloserine in human plasma

BACKGROUND

Cycloserine (CYC) is a second line antitubercular drug that is used for the treatment of multidrug resistant tuberculosis (MDR-TB) along with other antitubercular agents and is often used in developing countries. Monitoring CYC levels in plasma could be useful in the clinical management of patients with MDR-TB. A high performance liquid chromatography method for the determination of CYC in human plasma was developed.

METHODS

The method involved extraction of the sample using solid phase extraction cartridges and analysis of the extracted sample using a reverse phase T3 column (150mm) and detection at 240nm with Photo Diode Array (PDA) detector. The chromatogram was run for 15min at a flow rate of 0.4ml/min at 30°C.

RESULTS AND CONCLUSION

The assay was specific for CYC and linear from 5.0 to 50.0μg/ml. The relative standard deviations of within- and between-day assays were less than 10%. Recovery of CYC ranged from 102% to 109%. The interference of other second line anti-TB drugs in the assay of CYC was ruled out. The assay spans the concentration range of clinical interest. The specificity and sensitivity of this assay makes it highly suitable for pharmacokinetic studies.

Extending the field of view by a scattering window in an I-COACH system

Interferenceless coded aperture correlation holography (I-COACH) is an incoherent digital holography technique developed to record and reconstruct 3D images of objects without two-wave interference. Herein, we introduce a novel technique to extend the field of view (FOV) of I-COACH beyond the limit imposed by the ratio between the finite area of the image sensor and the magnification of the optical system. Light diffracted from a point object located on the optical axis is modulated by a pseudorandom coded phase mask, and the central part of the point spread hologram (PSH) on the image sensor is recorded. The point object is shifted laterally to predetermined lateral locations in order to collect the exterior parts of the PSH. The recorded PSHs are stitched together to produce a synthetic PSH (SPSH) with an area nine times that of any individual PSH recorded by the image sensor. An object with a lateral extent beyond the FOV limit of the image sensor is placed at the same axial location as the point object, and the object hologram is recorded. The object is reconstructed by a cross-correlation between the zero-padded object hologram and the SPSH. Hence, the object parts beyond the FOV limit of the image sensor are recovered. An SPSH library is created for different axial planes, and the corresponding axial planes of the object are reconstructed.

Pharmacokinetics of thrice-weekly rifampicin, isoniazid and pyrazinamide in adult tuberculosis patients in India

OBJECTIVE

To study the pharmacokinetics of rifampicin (RMP), isoniazid (INH) and pyrazinamide (PZA) in adult tuberculosis (TB) patients and examine factors that influence drug pharmacokinetics.

METHODS

Adult TB patients (n = 101) receiving thrice-weekly anti-tuberculosis treatment in the Revised National TB Control Programme (RNTCP) were studied. The study was conducted at steady state after directly observed drug administration. RMP, INH and PZA concentrations were estimated using high-performance liquid chromatography and NAT2 genotyping by real-time polymerase chain reaction.

RESULTS

RMP peak concentration (Cmax) was sub-therapeutic (<8 μg/ml) in 88% of the patients. The Cmax of RMP, INH and PZA at 2 h was observed in respectively 83.2%, 97.0% and 92.1% of the patients. The Cmax and area under the curve from 0 to 8 h (AUC0-8) of PZA was lower in TB patients with diabetes mellitus than in non-diabetics. Significant associations were observed between the Cmax and the AUC0-8 of RMP, INH and PZA with drug doses; RMP with category of treatment; INH with smoking, body mass index and N-acetyl transferase 2 genotype; and PZA with sex and smoking.

CONCLUSIONS

Several risk factors for drug concentration variations were identified. Two-hour post-dosing drug concentrations mimicked Cmax. A high proportion of TB patients had RMP Cmax below the expected range, which is a matter of concern.

3D Imaging through Scatterers with Interferenceless Optical System

Imaging through a scattering medium is a challenging task. We propose and demonstrate an interferenceless incoherent opto-digital technique for 3D imaging through a scatterer with a single lens and a digital camera. The light diffracted from a point object is modulated by a scattering mask. The modulated wavefront is projected on an image sensor using a spherical lens and the impulse response is recorded. An object is placed at the same axial location as the point object and another intensity pattern is recorded with identical experimental conditions and with the same scattering mask. The image of the object is reconstructed by a cross-correlation between a reconstructing function and the object hologram. For 3D imaging, a library of reconstructing functions are created corresponding to different axial locations. The different planes of the object are reconstructed by a cross-correlation of the object hologram with the corresponding reconstructing functions.

Single camera shot interferenceless coded aperture correlation holography

We propose a new scheme for recording an incoherent digital hologram by a single camera shot. The method is based on a motionless, interferenceless, coded aperture correlation holography for 3D imaging. Two random-like coded phase masks (CPMs) are synthesized using the Gerchberg-Saxton algorithm with two different initial random phase profiles. The two CPMs are displayed side by side and used as the system aperture. Light from a pinhole is introduced into the system, and two impulse responses are recorded corresponding to the two CPMs. The two impulse responses are subtracted, and the resulting intensity profile is used as a reconstructing hologram. A library of reconstructing holograms is created corresponding to all possible axial locations. Following the above training stage, an object is placed within the axial limits of the library, and the intensity patterns of a single shot, corresponding to the same two CPMs, are recorded under identical conditions to generate the object hologram. The image of the object at any plane is reconstructed by a cross-correlation between the object hologram and the corresponding reconstructing hologram from the library.

Incoherent digital holograms acquired by interferenceless coded aperture correlation holography system without refractive lenses

We present a lensless, interferenceless incoherent digital holography technique based on the principle of coded aperture correlation holography. The acquired digital hologram by this technique contains a three-dimensional image of some observed scene. Light diffracted by a point object (pinhole) is modulated using a random-like coded phase mask (CPM) and the intensity pattern is recorded and composed as a point spread hologram (PSH). A library of PSHs is created using the same CPM by moving the pinhole to all possible axial locations. Intensity diffracted through the same CPM from an object placed within the axial limits of the PSH library is recorded by a digital camera. The recorded intensity this time is composed as the object hologram. The image of the object at any axial plane is reconstructed by cross-correlating the object hologram with the corresponding component of the PSH library. The reconstruction noise attached to the image is suppressed by various methods. The reconstruction results of multiplane and thick objects by this technique are compared with regular lens-based imaging.

Interferenceless coded aperture correlation holography-a new technique for recording incoherent digital holograms without two-wave interference

Recording digital holograms without wave interference simplifies the optical systems, increases their power efficiency and avoids complicated aligning procedures. We propose and demonstrate a new technique of digital hologram acquisition without two-wave interference. Incoherent light emitted from an object propagates through a random-like coded phase mask and recorded directly without interference by a digital camera. In the training stage of the system, a point spread hologram (PSH) is first recorded by modulating the light diffracted from a point object by the coded phase masks. At least two different masks should be used to record two different intensity distributions at all possible axial locations. The various recorded patterns at every axial location are superposed in the computer to obtain a complex valued PSH library cataloged to its axial location. Following the training stage, an object is placed within the axial boundaries of the PSH library and the light diffracted from the object is once again modulated by the same phase masks. The intensity patterns are recorded and superposed exactly as the PSH to yield a complex hologram of the object. The object information at any particular plane is reconstructed by a cross-correlation between the complex valued hologram and the appropriate element of the PSH library. The characteristics and the performance of the proposed system were compared with an equivalent regular imaging system.

Coded aperture correlation holography system with improved performance [Invited]

Coded aperture correlation holography (COACH) is a recently introduced technique for recording incoherent digital holograms of general three-dimensional scenes. In COACH, a random-like coded phase mask (CPM) is used as a coded aperture. Even though the CPM is optimized to reduce background noise, there is still a substantial amount of noise, mitigating the performance of COACH. In order to reduce the noise, we first modify the hologram reconstruction method. Instead of computing the correlation between a complex hologram of the entire object and a hologram of a source point, in this study the numerical correlation is performed with a phase-only filter. In other words, the phase function of the Fourier transform of the source point hologram is used as the spatial filter in the correlation process. Furthermore, we propose and demonstrate two additional methods for reducing the background noise in COACH. The first is based on the integration of a quadratic phase function, as used in Fresnel incoherent correlation holography (FINCH), with the CPM of COACH. This hybrid COACH-FINCH system enables a dynamic trade-off between the amount of background noise and the axial resolution of the system. The second method is employed by recording COACH holograms with multiple independent CPMs and averaging over the reconstructed images. The results of the above two techniques are compared with FINCH and with a regular imaging system.

Experimental demonstration of square Fresnel zone plate with chiral side lobes

In this study, we introduce what we believe is a novel holographic optical element called a chiral square Fresnel zone plate (CSFZP). The chirality is imposed on a square Fresnel zone plate (SFZP) using a nonclassical technique by rotating the half-period zones relative to one another. The rotation of the half-period zones, in turn, twists the side lobes of the diffraction pattern without altering the focusing properties inherent to a SFZP. As a consequence, the beam profile is hybrid, consisting of a strong central Gaussian focal spot with gradient force similar to that generated by a lens and twisted side lobes with orbital angular momentum. The optical fields at the focal plane were calculated and found to possess a whirlpool-phase profile and a twisted intensity profile. Analysis of the field variation along the direction of propagation revealed a spiraling phase and amplitude distribution. Poynting vector plot of the fields revealed the presence of angular momentum in the regions of chiral side lobes. The phase of the CSFZPs were displayed on a phase-only reflective spatial light modulator and illuminated using a laser. The intensity patterns recorded in the experiment match the calculated ones, with a strong central focal spot and twisted side lobes. The beam pattern was implemented in an optical trapping experiment and was found to possess particle trapping capabilities.

Spectrum and space resolved 4D imaging by coded aperture correlation holography (COACH) with diffractive objective lens

In this Letter, we present an advanced optical configuration of coded aperture correlation holography (COACH) with a diffractive objective lens. Four-dimensional imaging of objects at the three spatial dimensions and with an additional spectral dimension is demonstrated. A hologram of three-dimensional objects illuminated by different wavelengths was recorded by the interference of light diffracted from the objects with the light diffracted from the same objects, but through a random-like coded phase mask (CPM). A library of holograms denoted point spread function (PSF) holograms were prerecorded with the same CPM, and under identical conditions, using point objects along different axial locations and for the different illuminating wavelengths. The correlation of the object hologram with the PSF hologram recorded using a particular wavelength, and at a particular axial location, reconstructs only the object corresponding to the particular axial plane and to the specific wavelength. The reconstruction results are compared with regular imaging and with another well-established holographic technique called Fresnel incoherent correlation holography.

Coded aperture correlation holography-a new type of incoherent digital holograms

We propose and demonstrate a new concept of incoherent digital holography termed coded aperture correlation holography (COACH). In COACH, the hologram of an object is formed by the interference of light diffracted from the object, with light diffracted from the same object, but that passes through a coded phase mask (CPM). Another hologram is recorded for a point object, under identical conditions and with the same CPM. This hologram is called the point spread function (PSF) hologram. The reconstructed image is obtained by correlating the object hologram with the PSF hologram. The image reconstruction of multiplane object using COACH was compared with that of other equivalent imaging systems, and has been found to possess a higher axial resolution compared to Fresnel incoherent correlation holography.

Enhanced super resolution using Fresnel incoherent correlation holography with structured illumination

The structured illumination (SI) technique has already been well established as a resolution enhancer in many studies and well demonstrated in many optical imaging systems during the past decade. The ability to use the SI in incoherent imaging systems was also introduced, especially in fluorescence microscopy. In this Letter, we propose and demonstrate a new approach to combine the SI technique with the recently innovated motionless incoherent holographic system, called Fresnel incoherent correlation holography (FINCH), in order to enhance the resolution beyond the limits achieved in regular imaging with SI. The results obtained by use of SI-FINCH were compared against regular imaging, regular FINCH and SI-imaging.

A clinical study on drug-related problems associated with intravenous drug administration

Background:

Infusion therapy through intravenous (IV) access is a therapeutic option used in the treatment of many hospitalized patients. IV therapy is complex, potentially dangerous and error prone. The objectives were to ascertain the drug-related problems (DRPs) involved in IV medication administration and further to develop strategies to reduce and prevent the occurrence of DRPs during IV administration.

Materials and Methods:

A prospective observational study was carried out for a period of 4 months. Patients receiving more than two medications through IV route were included and studied.

Results:

Of 110 patients, 76 (69.09%) were male and the rest were female. Nearly, half of the patients (46.3%, n = 51) were reported with DRPs. Of the 80 DRPs (72.72%) documented, 61 problems (55.4%) were seen in patients given IV medications through peripheral line. Among the DRPs majority seen were incompatibilities (40.9%, n = 45), followed by complications developed (12.7%, n = 14), errors in rate of administration (10.9%), and dilution errors (8%). To study the association of DRPs among gender, statistical analysis was performed and significant association was seen between DRPs and gender (P = 0.03).

Conclusion:

Among the reported DRPs, simultaneous IV administration of two incompatible drugs was the main predicament faced.

Quasi-achromatic Fresnel zone lens with ring focus

The phase of a standard Fresnel zone lens (FZL) is periodically modulated in the radial direction using the phase of a binary fraxicon. The resulting element (rf-FZL) focuses light into a ring. The ring is found to be quasi-achromatic, in that the diameter is wavelength independent but its location is not. The binary rf-FZL is fabricated using electron beam direct writing. Experimental results confirm the generation of a wavelength-independent ring pattern at the focus of the rf-FZL. An efficiency of 24% was obtained. The variation in radius of ring pattern was reduced from 61 μm to less than 10 nm for a corresponding wavelength variation from 532 to 633 nm.

Deletion of growth hormone receptors in postnatal skeletal muscle of male mice does not alter muscle mass and response to pathological injury

In this study, we investigated whether loss of GH receptor (GHR) signaling in postnatal skeletal muscle alters muscle mass and regenerative ability in adult mice and whether this was dependent on IGF-1 receptor (IGF-1R) signaling. To do so, we used mouse models with skeletal muscle-specific loss of GHR signaling (mGHRKO), IGF-1R and insulin receptor signaling (MKR), or both GHR and IGF-1R/insulin receptor signaling (mGHRKO/MKR). We did not find a reduction in muscle cross-sectional area, fiber type composition, or response to pathological muscle injury in male mGHRKO and mGHRKO/MKR mice when compared with control and MKR mice, respectively. This could potentially be explained by unchanged skeletal muscle Igf-1 expression in mGHRKO and mGHRKO/MKR mice relative to control and MKR mice, respectively. Furthermore, MKR and mGHRKO/MKR mice, but not mGHRKO mice, demonstrated reduced fiber fusion after cardiotoxin injection, suggesting that IGF-1, and not GH, promotes fiber fusion in adult mice. In summary, our data suggest that GHR signaling in postnatal skeletal muscle does not play a significant role in regulating muscle mass or muscle regeneration. Additionally, in our model, muscle Igf-1 expression is not dependent on GHR signaling in postnatal skeletal muscle.

Characterization and correction of spherical aberration due to glass substrate in the design and fabrication of Fresnel zone lenses

As with a conventional lens, a Fresnel zone lens (FZL) can be used to image objects at infinity or nearby. In the latter case, the FZL converts a diverging spherical wavefront into a converging spherical wavefront. The glass substrate on which the FZL is fabricated introduces spherical aberration resulting in a shift of the image plane and blurring of the image. Two novel schemes for correction of this spherical aberration are proposed and studied in this paper. To demonstrate them, FZLs are designed with and without aberration correction. They are fabricated using electron beam direct writing. The devices are evaluated and the accuracy of the proposed aberration correction schemes is validated.

Current knowledge and future direction of research on soy isoflavones as a therapeutic agents

Isoflavones, the most abundant phytoestrogens in Soy beans, are structurally similar to 17beta-estradiol. The antioxidant property of the soy isoflavones, namely, genistein and daidzein is well established in different experimental models and also in clinical studies. The compounds have been found effective in the management of diabetes by acting on peroxisome proliferator-activated receptors. It reduces the risk of coronary heart disease by reducing the level of low-density lipoprotein and triglycerides. Soy isoflavones have the potential in the treatment of osteoporosis to act on osteoclasts further to inhibit tyrosine kinase. Among the soy isoflavones, genistein is the potential compound found effective in the treatment of cancer by acting on androgen receptor further to inhibit tyrosine kinases. In this article, various aspects of the diverse biological activities of soy isoflavones and their potential clinical implications with mechanism of action, especially in the treatment and prevention of diabetes, cardiovascular diseases, cancer, osteoporosis, neuroprotection, and also future area of research on soy isoflavones are reviewed and discussed.

Design, fabrication, and evaluation of a multilevel spiral-phase Fresnel zone plate for optical trapping

A compact optics configuration for the generation of donut beams for trapping atoms at the micrometer scale using a multilevel spiral-phase Fresnel zone plate (FZP) and a semiconductor laser is proposed. A FZP is designed and a multilevel spiral phase is integrated into it. A spiral-phase FZP with a radius of 1 mm and with more than 1300 half-period zones is designed with multiple angular levels for integer and fractional topological charges, and the device is fabricated using electron-beam lithography direct writing. The performance of the device is evaluated, and the generation of symmetric and asymmetric donut beams is successfully demonstrated.

Phase-shifted Fresnel axicon

We propose an optical element: a phase-shifted Fresnel axicon for generation of multiple Bessel beams. By giving a binary phase modulation to the standard Fresnel axicon, the proposed element is generated. The phase profile of the binary phase modulation is engineered to generate two and three Bessel beams of equal intensities. This composite optical element is fabricated using electron beam direct writing. The performance of the fabricated device is evaluated using a semiconductor laser, and the generation of two and three Bessel beams is successfully demonstrated.

Targeted loss of GHR signaling in mouse skeletal muscle protects against high-fat diet-induced metabolic deterioration

Growth hormone (GH) exerts diverse tissue-specific metabolic effects that are not revealed by global alteration of GH action. To study the direct metabolic effects of GH in the muscle, we specifically inactivated the growth hormone receptor (ghr) gene in postnatal mouse skeletal muscle using the Cre/loxP system (mGHRKO model). The metabolic state of the mGHRKO mice was characterized under lean and obese states. High-fat diet feeding in the mGHRKO mice was associated with reduced adiposity, improved insulin sensitivity, lower systemic inflammation, decreased muscle and hepatic triglyceride content, and greater energy expenditure compared with control mice. The obese mGHRKO mice also had an increased respiratory exchange ratio, suggesting increased carbohydrate utilization. GH-regulated suppressor of cytokine signaling-2 (socs2) expression was decreased in obese mGHRKO mice. Interestingly, muscles of both lean and obese mGHRKO mice demonstrated a higher interleukin-15 and lower myostatin expression relative to controls, indicating a possible mechanism whereby GHR signaling in muscle could affect liver and adipose tissue function. Thus, our study implicates skeletal muscle GHR signaling in mediating insulin resistance in obesity and, more importantly, reveals a novel role of muscle GHR signaling in facilitating cross-talk between muscle and other metabolic tissues.

Type 2 diabetes and cancer: what is the connection?

Epidemiological studies have demonstrated an association between type 2 diabetes and cancer. Type 2 diabetes is characterized by insulin resistance and hyperinsulinemia. Hyperinsulinemia may lead to cancer through insulin's effect on its cognate receptor and the insulin-like growth factor system. The effects of insulin and insulin-like growth factor I on cancer development and progression have been demonstrated in animal and human studies. Type 2 diabetes has been positively associated with cancers of the breast, colon, and pancreas. An inverse relationship has been observed between type 2 diabetes and prostate cancer, and this may be due to lower testosterone levels in men with type 2 diabetes. Medications used to treat type 2 diabetes may affect cancer cells directly or indirectly by affecting serum insulin levels. Hyperinsulinemia may be an important risk factor for cancer as well as a target for cancer therapy.

Growth hormone receptor regulates β cell hyperplasia and glucose-stimulated insulin secretion in obese mice

Insulin, growth hormone (GH), and insulin-like growth factor-1 (IGF-1) play key roles in the regulation of β cell growth and function. Although β cells express the GH receptor, the direct effects of GH on β cells remain largely unknown. Here we have employed a rat insulin II promoter-driven (RIP-driven) Cre recombinase to disrupt the GH receptor in β cells (βGHRKO). βGHRKO mice fed a standard chow diet exhibited impaired glucose-stimulated insulin secretion but had no changes in β cell mass. When challenged with a high-fat diet, βGHRKO mice showed evidence of a β cell secretory defect, with further deterioration of glucose homeostasis indicated by their altered glucose tolerance and blunted glucose-stimulated insulin secretion. Interestingly, βGHRKO mice were impaired in β cell hyperplasia in response to a high-fat diet, with decreased β cell proliferation and overall reduced β cell mass. Therefore, GH receptor plays critical roles in glucose-stimulated insulin secretion and β cell compensation in response to a high-fat diet.

The intricate role of growth hormone in metabolism

Growth hormone (GH), a master regulator of somatic growth, also regulates carbohydrate and lipid metabolism via complex interactions with insulin and insulin-like growth factor-1 (IGF-1). Data from human and rodent studies reveal the importance of GH in insulin synthesis and secretion, lipid metabolism and body fat remodeling. In this review, we will summarize the tissue-specific metabolic effects of GH, with emphasis on recent targets identified to mediate these effects. Furthermore, we will discuss what role GH plays in obesity and present possible mechanisms by which this may occur.

Mammalian target of rapamycin inhibition abrogates insulin-mediated mammary tumor progression in type 2 diabetes

Type 2 diabetes increases breast cancer risk and mortality, and hyperinsulinemia is a major mediator of this effect. The mammalian target of rapamycin (mTOR) is activated by insulin and is a key regulator of mammary tumor progression. Pharmacological mTOR inhibition suppresses tumor growth in numerous mammary tumor models in the non-diabetic setting. However, the role of the mTOR pathway in type 2 diabetes-induced tumor growth remains elusive. Herein, we investigated whether the mTOR pathway is implicated in insulin-induced mammary tumor progression in a transgenic mouse model of type 2 diabetes (MKR mice) and evaluated the impact of mTOR inhibition on the diabetic state. Mammary tumor progression was studied in the double transgenic MMTV-Polyoma Virus middle T antigen (PyVmT)/MKR mice and by orthotopic inoculation of PyVmT- and Neu/ErbB2-driven mammary tumor cells (Met-1 and MCNeuA cells respectively). mTOR inhibition by rapamycin markedly suppressed tumor growth in both wild-type and MKR mice. In diabetic animals, however, the promoting action of insulin on tumor growth was completely blunted by rapamycin, despite a worsening of the carbohydrate and lipid metabolism. Taken together, pharmacological mTOR blockade is sufficient to abrogate mammary tumor progression in the setting of hyperinsulinemia, and thus mTOR inhibitors may be an attractive therapeutic modality for breast cancer patients with type 2 diabetes. Careful monitoring of the metabolic state, however, is important as dose adaptations of glucose- and/or lipid-lowering therapy might be necessary.

Insulin-sensitizing therapy attenuates type 2 diabetes-mediated mammary tumor progression

OBJECTIVE

Type 2 diabetes increases breast cancer risk and mortality, and hyperinsulinemia has been identified as a major factor linking these two diseases. Thus, we hypothesized that pharmacological reduction of elevated insulin levels would attenuate type 2 diabetes-mediated mammary tumor progression.

RESEARCH DESIGN AND METHODS

We studied mammary tumor development in MKR(+/+) mice, a nonobese, hyperinsulinemic mouse model of type 2 diabetes. MKR(+/+) mice were either crossed with mice expressing the polyoma virus middle T oncogene specifically in the mammary gland or inoculated orthotopically with the mouse mammary tumor cell lines Met-1 and MCNeuA. MKR(+/+) or control mice harboring tumors were treated with CL-316243, a specific beta3-adrenergic receptor agonist, which sensitizes insulin action but has no direct effect on the mouse mammary epithelium or Met-1 and MCNeuA cells.

RESULTS

CL-316243 treatment significantly reduced the elevated insulin levels in MKR(+/+) mice and, as a consequence, attenuated mammary tumor progression in the three tumor models tested. This effect was accompanied by reductions in phosphorylation of insulin and IGF-I receptors in transformed mammary tissue.

CONCLUSIONS

Insulin-sensitizing treatment is sufficient to abrogate type 2 diabetes-mediated mammary tumor progression. Therefore, early administration of insulin-sensitizing therapy may reduce breast cancer risk and mortality in patients with type 2 diabetes.

Biological effects of growth hormone on carbohydrate and lipid metabolism

This review will summarize the metabolic effects of growth hormone (GH) on the adipose tissue, liver, and skeletal muscle with focus on lipid and carbohydrate metabolism. The metabolic effects of GH predominantly involve the stimulation of lipolysis in the adipose tissue resulting in an increased flux of free fatty acids (FFAs) into the circulation. In the muscle and liver, GH stimulates triglyceride (TG) uptake, by enhancing lipoprotein lipase (LPL) expression, and its subsequent storage. The effects of GH on carbohydrate metabolism are more complicated and may be mediated indirectly via the antagonism of insulin action. Furthermore, GH has a net anabolic effect on protein metabolism although the molecular mechanisms of its actions are not completely understood. The major questions that still remain to be answered are (i) What are the molecular mechanisms by which GH regulates substrate metabolism? (ii) Does GH affect substrate metabolism directly or indirectly via IGF-1 or antagonism of insulin action?

Insulin-mediated acceleration of breast cancer development and progression in a nonobese model of type 2 diabetes

Epidemiologic studies suggest that type 2 diabetes (T2D) increases breast cancer risk and mortality, but there is limited experimental evidence supporting this association. Moreover, there has not been any definition of a pathophysiological pathway that diabetes may use to promote tumorigenesis. In the present study, we used the MKR mouse model of T2D to investigate molecular mechanisms that link T2D to breast cancer development and progression. MKR mice harbor a transgene encoding a dominant-negative, kinase-dead human insulin-like growth factor-I receptor (IGF-IR) that is expressed exclusively in skeletal muscle, where it acts to inactivate endogenous insulin receptor (IR) and IGF-IR. Although lean female MKR mice are insulin resistant and glucose intolerant, displaying accelerated mammary gland development and enhanced phosphorylation of IR/IGF-IR and Akt in mammary tissue, in the context of three different mouse models of breast cancer, these metabolic abnormalities were found to accelerate the development of hyperplastic precancerous lesions. Normal or malignant mammary tissue isolated from these mice exhibited increased phosphorylation of IR/IGF-IR and Akt, whereas extracellular signal-regulated kinase 1/2 phosphorylation was largely unaffected. Tumor-promoting effects of T2D in the models were reversed by pharmacological blockade of IR/IGF-IR signaling by the small-molecule tyrosine kinase inhibitor BMS-536924. Our findings offer compelling experimental evidence that T2D accelerates mammary gland development and carcinogenesis,and that the IR and/or the IGF-IR are major mediators of these effects.

Physical and functional interaction between polyoma virus middle T antigen and insulin and IGF-I receptors is required for oncogene activation and tumour initiation

Polyoma virus middle T antigen (PyVmT) is a powerful viral oncogene; however, the mechanisms of PyVmT activation are poorly understood. The insulin-like growth factor I receptor (IGF-IR) and the insulin receptor (IR) are known to be implicated in the development of many cancers. Furthermore, PyVmT-overexpressing mouse mammary carcinoma Met-1 cells are highly responsive to IGF-I and insulin. Herein, we demonstrate that PyVmT physically interacts with IGF-IR and IR in Met-1 cells. Insulin and IGF-I increase association of the IR and IGF-IR with PyVmT, enhance tyrosine phosphorylation of PyVmT and augment the recruitment of Src and PLCgamma(1) to PyVmT. This is accompanied by robust and sustained phosphorylation of Akt and ERK1/2, which are implicated in both PyVmT and IGF-IR/IR signalling. Both ligands significantly increase proliferation, survival, migration and invasion of Met-1 cells. Furthermore, orthotopic inoculation of Met-1 cells with shRNAmir-mediated knockdown of IR or IGF-IR fails to initiate tumour growth in recipient mice. In conclusion, our data indicate that the physical and functional interaction between PyVmT and cellular receptor tyrosine kinases, including IR and IGF-IR, is critical for PyVmT activation and tumour initiation. These results also provide a novel mechanism for oncogene activation in the host cell.

Obesity and type 2 diabetes are associated with an increased risk of developing cancer and a worse prognosis; epidemiological and mechanistic evidence

Both obesity and Type 2 diabetes are independently associated with an increased risk of developing cancer and an increased mortality. The etiology is yet to be determined but insulin resistance and hyperinsulinemia maybe important factors. Hyperglycemia, hyperlipidemia and inflammatory cytokines in addition to the insulin-like growth factors are also possible factors involved in the process.

Insulin-like growth factor-I protects cells from ER stress-induced apoptosis via enhancement of the adaptive capacity of endoplasmic reticulum

Disruption of endoplasmic reticulum (ER) homeostasis causes accumulation of unfolded and misfolded proteins in the ER, triggering the ER stress response, which can eventually lead to apoptosis when ER dysfunction is severe or prolonged. Here we demonstrate that human MCF-7 breast cancer cells, as well as murine NIH/3T3 fibroblasts, are rescued from ER stress-initiated apoptosis by insulin-like growth factor-I (IGF-I). IGF-I significantly augments the adaptive capacity of the ER by enhancing compensatory mechanisms such as the IRE1 alpha-, PERK- and ATF6-mediated arms of ER stress signalling. During ER stress, IGF-I stimulates translational recovery and induces expression of the key molecular chaperone protein Grp78/BiP, thereby enhancing the folding capacity of the ER and promoting recovery from ER stress. We also demonstrate that the antiapoptotic activity of IGF-I during ER stress may be mediated by a novel, as yet unidentified, signalling pathway(s). Application of signal transduction inhibitors of MEK (U1026), PI3K (LY294002 and wortmannin), JNK (SP600125), p38 (SB203580), protein kinases A and C (H-89 and staurosporine) and STAT3 (Stattic) does not prevent IGF-I-mediated protection from ER stress-induced apoptosis. Taken together, these data demonstrate that IGF-I protects against ER stress-induced apoptosis by increasing adaptive mechanisms through enhancement of ER stress-signalling pathways, thereby restoring ER homeostasis and preventing apoptosis.