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Devrajani T, Abid S, Shaikh H, Shaikh I, Devrajani DB, Memon SM, Waryah AM, Ujjan ID, Syed BM. Relationship between aging and control of metabolic syndrome with telomere shortening: a cross-sectional study. Sci Rep 2023; 13:17878. [PMID: 37857729 PMCID: PMC10587132 DOI: 10.1038/s41598-023-44715-1] [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: 05/05/2023] [Accepted: 10/11/2023] [Indexed: 10/21/2023] Open
Abstract
Aging is considered one of the major risk factors for several human disorders. The telomere plays a crucial role in regulating cellular responsiveness to stress and growth stimuli as well as maintaining the integrity of the Deoxyribonucleic Acid (DNA), and aging leads to the progressive decline in the telomere length (TL) due to continuous cell division. The aim of this study was to determine the relationship between TL and advancing age and the impact of metabolic syndrome (MetS) on TL. Firstly, we determined the association of advancing age and TL, by measuring telomere length (T/S ratio) in healthy volunteers (n = 90). The TL was compared between normal population and patients with metabolic syndrome (n = 298). The age matched controlled and uncontrolled MetS patients (n = 149) were also compared for their TL T/S ratio. The TL showed negative correlation with advancing age, whereas the significant change was observed at the cut-offs of 40 and 70 years defining 40 with longer TL and 70 as shorter TL. The longest T/S ratio at 2.46 was measured at the age range of 1 year in healthy volunteers, while elderly population showed considerably shorter TL. The patients older than 60 years with poor or uncontrolled MetS had shorter TL, as compared to the controlled MetS. In conclusion our findings suggest that TL was negatively correlated with advancing age. Uncontrolled metabolic syndrome appeared to have worsening effects on TL. Telomere length appears to have potential to be used a parameter to determine age. However, further large scale studies are recommended to make firm guidelines.
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Affiliation(s)
- Tarachand Devrajani
- Clinical Research Division, Medical Research Center, Liaquat University of Medical and Health Sciences, Jamshoro, Pakistan
- Department of Medicine, Liaquat University of Medical and Health Sciences, Jamshoro, Pakistan
| | - Shariq Abid
- Clinical Research Division, Medical Research Center, Liaquat University of Medical and Health Sciences, Jamshoro, Pakistan
| | - Hina Shaikh
- Department of Molecular Biology and Genetics, Medical Research Center, Liaquat University of Medical and Health Sciences, Jamshoro, Pakistan
| | - Iram Shaikh
- Department of Molecular Biology and Genetics, Medical Research Center, Liaquat University of Medical and Health Sciences, Jamshoro, Pakistan
| | - Durshana Bai Devrajani
- Department of Molecular Biology and Genetics, Medical Research Center, Liaquat University of Medical and Health Sciences, Jamshoro, Pakistan
| | - Sikander Munir Memon
- Clinical Research Division, Medical Research Center, Liaquat University of Medical and Health Sciences, Jamshoro, Pakistan
| | - Ali Muhammad Waryah
- Department of Molecular Biology and Genetics, Medical Research Center, Liaquat University of Medical and Health Sciences, Jamshoro, Pakistan
| | - Ikram Din Ujjan
- Department of Pathology, Liaquat University of Medical and Health Sciences, Jamshoro, Pakistan
| | - Binafsha Manzoor Syed
- Clinical Research Division, Medical Research Center, Liaquat University of Medical and Health Sciences, Jamshoro, Pakistan.
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Waryah YM, Khidri FF, Nigar R, Devrajani T, Rajput AR, Waryah AM, Ujjan ID. Impact of ACE2 gene variations on COVID-19 pathogenicity in Pakistani patients. Saudi J Biol Sci 2023; 30:103813. [PMID: 37811480 PMCID: PMC10550763 DOI: 10.1016/j.sjbs.2023.103813] [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: 07/14/2023] [Revised: 08/24/2023] [Accepted: 09/15/2023] [Indexed: 10/10/2023] Open
Abstract
Background COVID-19, caused by the SARS-CoV-2 virus, swiftly disseminated and was declared a pandemic. Variations in the ACE2 gene can impact the virus's ability to bind to ACE2 receptor, potentially influencing an individual's susceptibility and its association with COVID-19 severity across various populations. Methods In total, 200 individuals were sequenced for the ACE2 gene and potential impact of the found variants on the ACE2 protein was assessed using in-silico tools. Results Eight variations in the ACE2 gene were identified in 27 COVID-19 patients, of which four were missense and four were intronic variants. Three variants had a MAF of < 0.01 (c.251C > T, p.Pro86Leu; 15C > G, p.S5S; and c. 91 A > G, p.Lys31Glu). A missense variant, p.Pro86Leu, C > T, TT genotype, was found in 9 out of 200 individuals with an allele frequency of 0.045 and showed a significant association with COVID-19 (P = 0.003). The heterozygous allele of 15C > G, p.S5S, was found with a frequency of 0.02 (8/400) in eight patients, and its CG genotype showed a significant association with COVID-19 (P = 0.0068). The remaining identified variants were not associated with COVID-19 susceptibility. Conclusion The ACE2 gene sequence in Pakistani individuals exhibited a low frequency of identified variants in COVID-19 patients. Overall, only two variants were associated with susceptibility to the disease, possibly contributing to Pakistan's lower COVID-19 mortality and infection rates. However, individuals carrying the mutant variant experienced more severe symptoms.
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Affiliation(s)
- Yar Muhammad Waryah
- Scientific Ophthalmic and Research Laboratory, Sindh Institute of Ophthalmology and Visual Sciences, Hyderabad 71500, Pakistan
- Department of Pathology, Liaquat University of Medical and Health Sciences, Jamshoro, Pakistan
| | - Feriha Fatima Khidri
- Department of Biochemistry, Bilawal Medical College, Liaquat University of Medical and Health Sciences, Jamshoro, Pakistan
- Department of Molecular Biology and Genetics, Liaquat University of Medical and Health Sciences, Jamshoro, Pakistan
| | - Roohi Nigar
- Department of Gynecology, Bilawal Medical College, Liaquat University of Medical and Health Sciences, Jamshoro, Pakistan
| | - Tarachand Devrajani
- Department of Medicine, Liaquat University of Medical and Health Sciences, Jamshoro, Pakistan
| | - Ali Raza Rajput
- Department of Pathology, Liaquat University of Medical and Health Sciences, Jamshoro, Pakistan
- Department of Molecular Biology and Genetics, Liaquat University of Medical and Health Sciences, Jamshoro, Pakistan
| | - Ali Muhammad Waryah
- Department of Pathology, Liaquat University of Medical and Health Sciences, Jamshoro, Pakistan
- Department of Molecular Biology and Genetics, Liaquat University of Medical and Health Sciences, Jamshoro, Pakistan
| | - Ikram Din Ujjan
- Department of Pathology, Liaquat University of Medical and Health Sciences, Jamshoro, Pakistan
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Abstract
Background: Alopecia induced by androgens in genetically predisposed individuals is termed as Androgenetic alopecia (AGA). There is proof appearance the relationship between Androgenetic alopecia and metabolic condition.
Objective: To determine frequency of metabolic syndrome in Androgenetic alopecia as a biomarker of disease in adult male patients.
Materials and methods: It was a Cross Sectional Study conducted at the Department of Dermatology, Liaquat University of Medical and Health Sciences Hospital, Jamshoro/Hyderabad.
Total 178 diagnosed male patients of Androgenetic alopecia were included. The grading of male pattern Androgenetic alopecia was done according to modified Norwood-Hamilton classification. Norwood-Hamilton Stage I-III were regarded to be mild to moderate and Stage IV and higher were regarded as severe. Vein was engorged by a tourniquet applied above the cubital fossa. Blood glucose levels were estimated. The level of triglycerides was determined. HDL-Cholesterol was estimated by a precipitant method. Descriptive statistics were calculated using SPSS. Chi square tests were applied to determine the relationship of independent variables with metabolic syndrome.
Results: The overall mean age of the patients was 39.08±10.14 years. The mean waist circumference, triglycerides, high-density lipoprotein cholesterol, systolic blood pressure, diastolic blood pressure and fasting blood glucose were 94.71±12.30 cm, 133.83±13.27 mg/dl, 48.10±7.89 mg/dl,102.94±17.67 mmHg, 76.88±8.56 mmHg, and 93.06±9.78 mg/dl respectively. A total of 10.1% of the patients were found to have metabolic syndrome. There was a significant association between metabolic syndrome and age and family income.
Conclusion: Metabolic syndrome was observed in 10.1% of the patients and this was more commonly found in: the age group >40 years, married individuals, low socioeconomic status individuals, and illiterate individuals.
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Dall AQK, Shaikh MK, Shah SZA, Devrajani T, Memon AS, Karim I, Raza S. Clinical and Echocardiographic Profile of Rheumatic Heart Disease: A Cross-Sectional Study. JPRI 2021. [DOI: 10.9734/jpri/2021/v33i27b31496] [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: 11/09/2022]
Abstract
Background: Rheumatic Heart disease (RHD) is the leading cause of acquired heart disease and more prevalent in developing countries. The objective of the study was to determine the clinical and echocardiographic profiles of patients with rheumatic heart disease (RHD).
Materials and Methods: All patients above the age of 12 years of either gender diagnosed with Rheumatic heart disease from January 2018 to December 2019 at tertiary care hospital, Hyderabad were enrolled in the study. Detailed patient data was obtained from the hospital records. Information regarding gender, age, Electrocardiogram findings, clinical and echocardiographic manifestations was obtained.
Results: Throughout the two-year study period, a total of fifty patients with RHD were studied. The mean age of the population was 33.71 years. Females (64%) outnumbered males and 60% were rural population. The clinical features observed were fever (80%), joint pain (64%), palpitation (60%), breathlessness (90%) and chest pain (50%), tachycardia (60%), raised JVP (10%), hypertension (20%). The common echocardiographic findings observed were mitral stenosis (50%), mitral regurgitation (24%) and pulmonary hypertension (36%), left atrial enlargement (56%), and right atrial enlargement (16%) whereas the majority of the patients (70%) have ejection fraction between 40-50% and thrombus was identified in 15 (30%) patients respectively.
Conclusion: Common clinical findings observed were breathlessness and fever while the common echocardiographic findings were mitral stenosis and regurgitation, pulmonary hypertension, and left atrial enlargement. Population-based screening by echocardiography could be a potential route for early screening of rheumatic heart disease.
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Iqbal M, Clement-Pervaiz MV, Ansari MJ, Pervaiz S, Sheikh S, Katpar S, Meo SA, Sattar K, Schofield S, Karabulut AK, Memon AI, Memon FN, Ahmed H, Rahman AA, Ujjan ID, Ahmed M, Altaf J, Mahesar MA, Jatoi T, Sunder J, Jewat S, Memon A, Feroz H, Aijaz R, Bux KH, Rathore MI, Memon S, Goswami P, Samejo J, Humaira M, Zakria K, Ghani RH, Ghani H, Ansari S, Nizamani MA, Memon JM, Talpur KI, Memon IU, Mangrio KB, Shaikh S, Kumar M, Arafat Y, Fatima N, Qazi M, Hashmi SFA, Bohyo MA, Bibi S, Sikundar R, Shahani Y, Waryah AM, Bano U, Sheikh P, Gul S, Rafique N, Memon S, Muhammad SW, Memon YA, Sheikh S, Shaikh MK, Wagan G, Das PC, Zahiruddin S, Sham N, Jabeen N, Maree S, Syed BM, Derajani BR, Talpur A, Abbas S, Memon AG, Abbas A, Iqbal M, Riaz W, Hussain M, Qadri F, Shaikh AR, Naz A, Soomro AK, Bajaj D, Shah S, Syed MA, Rahman AAU, Shamsi TS, Patoli AQ, Sehto N, Aijaz S, Arshad A, Mukry SN, Saud M, Shamim I, Nadeem M, Shamsi T, Khan AH, Muneeb M, Talpur A, Chang F, Bhatti FA, Effendi S, Memon FA, Memon KN, Memon P, Usman G, Memon BR, Memon FA, Memon F, Rahmaan AAU, Siddiqui MI, Ahmed FS, Fatima F, Rajpar F, Shaikh F, Memon MY, Shah T, Ansari S, Mangi FH, Qureshi JN, Laghari NA, Syed FS, Shah M, Pahnwar S, Riaz H, Laghari Z, pirzada S, Shaikh H, Jeeaindo S, Mahesar H, Narejo NT, Badvi MJ, Badvi JA, Jawed K, Haroon MI, Khan N, Perveen N, Fatima N, Borhany M, Anwar N, Naseer I, Ansari R, Boota S, Zaidi M, Hafeez N, Memon FA, Akhtar P, Khatoon Z, Vectoria M, Abass G, Talpur R, Ahmed R, Naz R, Memon AR, Memon Z, Munwar R, Rajpar S, Memon F, Bilquees M, Shoukat R, Abbasi S, Qazi SS, paras S, Fatima S, Shaikh ARK, Zaheeruddin S, Memon S, Shaikh M, Memon SK, Qadir S, Shaikh S, Ahmad SF, Nasir Z, Singha SP, Kazi AS, Isaac U, Shaikh TA, Devrajani T, Shah SZA, Raza S, Bhatti U, Nayab T, Syed N, Waryah YM, Zaidi U, Shahid S, Fatima N, Ahmed S, Safaida G. Proceedings of the 1st Liaquat University of Medical & Health Sciences (LUMHS) International Medical Research Conference. Eur J Med Res 2017. [PMCID: PMC5808744 DOI: 10.1186/s40001-017-0296-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/10/2022] Open
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