Bullous pemphigoid associated with dipeptidyl peptidase-4 inhibitor - A case report

Dipeptidyl peptidase-4 inhibitors (DPP-4i) are one of the mainstay drugs in the management of type 2 diabetes mellitus. It has been well-documented that these class of drugs cause allergic reactions. Bullous pemphigoid (BP) is a blistering skin condition commonly associated with many drugs. Here, we report a case of probable DPP-4i-induced BP in an elderly man, which resolved on discontinuation of the drug. Although this adverse drug reaction has been documented in Western world and Japanese ethnicity, this seems to be the first case report of such occurrence in Indian ethnicity.

Removal of atrazine from water by low cost adsorbents derived from agricultural and industrial wastes

In the present study six adsorbents viz. wood charcoal, fly ash, coconut charcoal, saw dust, coconut fiber and baggasse charcoal were studied for their capacity to remove atrazine from water. The removal efficiency of different adsorbents varied from 76.5% to 97.7% at 0.05 ppm concentration and 78.5% to 95.5% at 0.1 ppm concentration of atrazine solution, which was less than removal efficiency of activated charcoal reported as 98% for atrazine (Adams and Watson, J Environ Eng ASCE 39:327-330, 1996). Wood charcoal was a cheap (Rs 15 kg(-1)) and easily available material in house holds. Since wood charcoal was granular in nature, it could be used for the removal of atrazine from water to the extent of 95.5%-97.7%. Fly ash is a waste product of thermal plant containing 40%-50% silica, 20%-35% alumina, 12%-30% carbon and unburnt minerals having a high pH of 9-10. It is very cheap and abundant material and has comparatively good adsorption capacity. It was found that fly ash effectively removed about 84.1%-88.5% atrazine from water at 0.05 and 0.1 ppm levels. Coconut shell is also waste product. Therefore, both are inexpensive. The removal efficiency of atrazine from water was 92.4%-95.2% by coconut shell charcoal and 85.9%-86.3% by coconut fiber. Sawdust is generally used as domestic fuel and found everywhere. It is also very cheap (Re. 1 kg(-1)). Baggasse charcoal is a waste product of sugar mill and abundant material. Its cost is due to transport expense, which depends upon distance from the sugar mill. The removal efficiency of sawdust and baggasse charcoal was found 78.5-80.5 and 76.5-84.6, respectively. The efficacy of chemically treated adsorbents for the removal of atrazine from water is in the order: wood charcoal > coconut shell charcoal > fly ash > coconut fiber charcoal > baggasse charcoal > sawdust.

Organochlorine pesticide contamination of ground water in the city of Hyderabad

Organochlorine pesticides are ubiquitous and persistent organic pollutants used widely throughout the world. Due to the extensive use in agriculture, organic environmental contaminants such as HCH, DDT along with other organochlorine pesticides are distributed globally by transport through air and water. The main aim of present study is to determine contamination levels of organochlorine pesticides in the ground water of Hyderabad City. Water samples were collected from 28 domestic well supplies of the city. For this study, random sampling technique was applied, all the samples were collected in high purity glass bottles and refrigerated at 4 degrees C until analysis. Solid Phase Extraction (SPE) is used for the extraction of organochlorine pesticide residues in water sample. The collected water samples were pre-filtered through a 0.45 microg glass fiber filter (Wattman GF/F) to remove particulate matter and were acidified with hydrochloric acid (6N) to pH 2.5. Methanol modifier (BDH, for pesticide residue analysis, 10 mL) was added to water sample for better extraction. SPE using pre-packed reversed phase octadecyl (C-18 bonded silica) contained in cartridges was used for sample preparation. Prior to the extraction, the C-18 bonded phase, which contains 500 mg of bonded phase, was washed with 20 mL methanol. The sample was mixed well and allowed to percolate through the cartridges with flow rate of 10-15 mL/min under vacuum. After sample extraction, suction continued for 15 min to dry the packing material and pesticides trapped in the C-18 bonded phases were eluted by passing 10 mL hexane and fraction was evaporated in a gentle steam of Nitrogen. In all samples pesticide residues were analyzed by GC (Chemito-8510) with Ni63 ECD detector. Helium was used as carrier gas and nitrogen was used as make up gas. The injection technique was split/split less. All the samples analyzed were found to be contaminated with four pesticides i.e. DDT, beta-Endosulfan, alpha-Endosulfan and Lindane. DDT was found to range between 0.15 and 0.19 microg L(-1), beta-Endosulfan ranges between 0.21 and 0.87 microg L(-1), alpha-Endosulfan ranges between 1.34 and 2.14 microg L(-1) and Lindane ranges between 0.68 and 1.38 microg L(-1) respectively. These concentrations of pesticides in the water samples were found to be above their respective Acceptable Daily Intake (ADI) values for Humans.

DDT and HCH residue load in mother's breast milk: a survey of lactating mother's from remote villages in Agra region

Breast milk is the natural and optimal food for the infants. In addition to meeting the nutritional needs, breast milk provides numerous immunological, developmental, psychological, ecological and practical advantages. The levels of the DDT and HCH residues in human milk collected from remote rural part of Agra were analysed. Beta and gamma isomers of HCH accounts for the major residue of total HCH excreted in breast milk. Delta-HCH was not detected in the samples. 95% of the samples were found to be contaminated with DDT and its metabolites. DDD was found in 88% of the samples analyzed. The total concentration of DDT and HCH were found lower than the previous studies carried out in India. The study shows the decreasing levels of these organochlorine pesticides from the environment. Total concentration of total DDT is higher than total HCH.

AZT incorporation into mitochondria: study in a human myeloid cell line

Zidovudine (AZT) is widely used in the treatment of human immunodeficiency virus (HIV) infection because of its ability to act as a false substrate for the viral reverse transcriptase. AZT in the clinical setting has also been shown to produce significant hematologic and other toxicity, even though prior reports in the literature indicate that AZT is not readily incorporated into mammalian nuclear DNA. The human myeloid leukemia cell line HL-60 was grown in the presence of radiolabeled AZT or radiolabeled deoxythymidine as an in vitro model to study AZT toxicity for human myeloid cells. Radioactivity was reversibly incorporated into the mitochondria, suggesting that AZT toxicity may result in part from its toxic effects on human mitochondria rather than on human nuclear DNA.

Emergence of resistance to VP-16/cisplatin chemotherapy: study in a lymphoblast model system

Etoposide (VP-16) and cisplatin are widely used in the treatment of malignancy. It is a common clinical observation that patients may initially respond to this two drug combination but later become resistant to it. Data from the CCL-159 lymphoblast cell line suggests that the emergence of resistance may be by means other than multiple drug resistance gene expression. The data suggest that chemotherapeutic failure may be mediated in part by a relatively inefficient method of drug resistance, the unstable expression of low-level drug resistance by a minority of cells. These results may help explain how patients whose malignancies are initially sensitive to VP-16/cisplatin later develop drug resistance.

Mitogenic induction of ornithine decarboxylase in human mononuclear leukocytes: relationships with adenosine diphosphate ribosyltransferase

1. Relationships between ornithine decarboxylase (ODC) and adenosine diphosphate ribosyl transferase (ADPRT) in human mononuclear leukocytes (HML) were tested by statistical comparisons of their values in a group of 46 people, and by use of inhibitors of ADPRT. 2. ODC was assayed following exposure of HML, for 20 hr, to mitogens [phytohemagglutinin (PHA) and pokeweed mitogen]; ADPRT was measured following exposure of HML to H2O2 (100 microM) for 1 hr (activated ADPRT), and in parallel cultures without H2O2 (constitutive ADPRT). 3. Significant correlations were found between ODC and ADPRT values; the effects of smoking disturbed the correlations. PHA induction of ODC was negatively influenced by age (standardized beta coefficient = -2.95, P = 0.005), while age also influenced ADPRT values negatively in non-smokers (for H2O2 activated ADPRT, standardized beta coefficient = -2.74, P less than 0.008). 4. Inhibitors of ADPRT, nicotinamide, caffeine and benzamide inhibited the induction of ODC by PHA in a concentration-dependent manner, in the range (0.6-10 mM) known to inhibit ADPRT.

Ornithine decarboxylase in resting human mononuclear leucocytes: evidence for an endogenous inhibitor

1. Ornithine decarboxylase (ODC) was measured in human mononuclear leucocytes (HML) by retention of putrescine on cation exchange paper. 2. The method was validated with unstimulated HML, phytohemagglutinin-stimulated HML, and a commercial preparation of ODC. The average enzyme activity of unstimulated HML (50 samples) was 22.6 +/- 7.3 pmol/hr 10(7) cells, with 29 values less than 5 pmol/hr 107 cells. 3. The results show that an endogenous inhibitor or inactivator of ODC exists in unstimulated HML: enzyme activity in extracts of mitogen-stimulated cells were inhibited by extracts of unstimulated cells (37-55%) inhibition under the conditions used.

Yeast DNA primase is encoded by a 59-kilodalton polypeptide: purification and immunochemical characterization

The DNA primase from the yeast Saccharomyces cerevisiae has been purified 9200-fold to homogeneity. The yeast DNA primase is a monomeric protein of molecular weight 59,000, and under conditions described in this report, it is stable at 4 or -80 degrees C. The primase does not bind to DEAE-cellulose, is not inhibited by a high concentration of alpha-amanitin (4 mg/mL), and is capable of synthesizing small (up to 15 nucleotides in length) ribo or ribo-deoxy mixed initiator RNA primers. The primer synthesis is stimulated by ATP; however, other ribonucleotides could be replaced by deoxynucleotides without any measurable effect on the overall DNA synthesis. Thus, the purified primase is distinct from the RNA polymerases of S. cerevisiae. Immunoblot analysis of the polypeptides in a crude cell extract using a mouse polyclonal antibody prepared against the highly purified primase indicates that the 59-kilodalton polypeptide is the native form and not a degraded form of a larger polypeptide; however, primase is degraded rapidly to smaller polypeptides by yeast proteases especially in the absence of protease inhibitors.