A case series of a luteolin formulation (NeuroProtek®) in children with autism spectrum disorders

There has been an impressive, little understood increase in cases of autism spectrum disorders (ASD). The lack of any distinctive pathogenetic mechanism has hampered the development of any effective treatments. Increasing evidence indicates oxidative stress, brain inflammation, gastrointestinal (GI) dysfunction and allergic symptoms may be present in ASD patients. The flavone luteolin has anti-oxidant, anti-flammatory, anti-allergy and neuroprotective properties. Given these findings, a dietary supplement was developed with a unique mixture of luteolin with the related flavonoids quercetin and rutin in a liposomal formulation of olive kernel oil (OKO), which increases their absorption. Results are presented for children with ASD (n=37, 4-14 years old) who had not obtained any benefit from multiple other regimens and who used this formulation for at least 4 months. GI and allergy symptoms improved in about 75 percent of children, eye contact and attention in 50 percent, social interaction in 25 percent and resumption of speech in about 10 percent. There were no adverse effects. Even though these results represent an uncontrolled open case series, they are encouraging because they suggest good tolerability and potential effectiveness.

Coronavirus pandemic (COVID-19) and its natural environmental impacts

Coronavirus Disease 2019 (COVID-19) is the official name of a respiratory infectious disease caused by a new coronavirus that started first in Wuhan, China, and outspread worldwide with an unexpectedly fast speed. Flights have been canceled worldwide and transportation has been closed nationwide and across international borders. As a consequence, the economic activity has been stopped and stock markets have been dropped. The COVID-19 lockdown has several social and economic effects. Additionally, COVID-19 has caused several impacts on global migration. On the other hand, such lockdown, along with minimal human mobility, has impacted the natural environment somewhat positively. Overall carbon emissions have dropped, and the COVID-19 lockdown has led to an improvement in air quality and a reduction in water pollution in many cities around the globe. A summary of the existing reports of the environmental impacts of COVID-19 pandemic are discussed and the important findings are presented focusing on several aspects: air pollution, waste management, air quality improvements, waste fires, wildlife, global migration, and sustainability.

Evaluation of pro-oxidant-antioxidant balance (PAB) and its association with inflammatory cytokines in polycystic ovary syndrome (PCOS)

Chronic low-grade inflammation has been suggested as a key contributor of the pathogenesis and development of polycystic ovary syndrome (PCOS). To investigate the association between oxidative stress status and inflammatory cytokines in follicular fluid of 21 PCOS women compared to 21 women with normal ovarian function who underwent intra-cytoplasmic sperm injection. Concentration of IL-6, IL-8, IL-10, and TNF-α was measured using sandwich ELISA. Oxidative stress was examined by measuring total oxidant status (TOS), malondialdehyde (MDA), total antioxidant capacity (TAC), and thiol groups. PCOS women had an elevated concentration of MDA and TOS compared to controls. Levels of TAC and thiol groups were lower in PCOS compared to controls. PCOS patients had a higher concentration of IL-6, IL-8, and TNF-α compared to controls. Concentration of IL-10 was lower in PCOS compared to controls. Significant correlations were found between MDA and TOS concentration with TNF-α and between IL-6 and MDA, IL-8 and TAC, IL-10 and TOS levels and also between IL-10 and TAC levels. TAC and thiol groups were negatively correlated with TNF-α. Increased oxidative stress in PCOS is associated with inflammation which is closely linked. Inflammation can induce production of inflammatory cytokines in this syndrome and directly stimulates excess ovarian androgen production.

Folic acid efficacy as an alternative drug added to sodium valproate in the treatment of acute phase of mania in bipolar disorder: a double-blind randomized controlled trial

OBJECTIVE

The purpose of this study was to evaluate the efficacy of adding folic acid to sodium valproate in the acute phase of mania.

METHOD

Following a double-blind randomized controlled trial, 88 clinically manic patients with diagnosis of type I bipolar disorder (BID) were divided randomly into two groups (case and control). The case group was treated with folic acid and sodium valproate and the control group with sodium valproate and placebo. The severity of mania was assessed using the Young Mania Rating Scale (YMRS) at the beginning and end of the first, second and third weeks of the study.

RESULTS

The case group's mean manic YMRS measurements (SD) before the initiation of therapy and in the first, second and third weeks of treatment were 34.0 +/- 7.7, 26.7 +/- 2.1, 18.1 +/- 2.1 and 7.1 +/- 0.9 respectively. The control group's measurements were 34.7 +/- 3.8, 27.3 +/- 2.3, 20.7 +/- 2.5 and 10.1 +/- 1.1. There was a statistically significant difference in YMRS scaling results between the case and control groups after 3 weeks of treatment (7.1 +/- 0.9 vs. 10.1 +/- 1.1, P = 0.005).

CONCLUSION

Based on our findings, folic acid seems to be an effective adjuvant to sodium valproate in the treatment of the acute phase of mania in patients with bipolar disorder.

Luteolin and thiosalicylate inhibit HgCl(2) and thimerosal-induced VEGF release from human mast cells

HgCl2 is a known environemental neurotoxin, but is also used as preservative in vaccines as thimerosal containing ethyl mercury covalently linked to thiosalicylate. We recently reported that mercury choloride (HgCl(2)) can stimulate human mast cells to release vascular endothelial growth factor (VEGF), which is also vasoactive and pro-inflammatory. Here we show that thimerosal induces significant VEGF release from human leukemic cultured LAD2 mast cells (at 1 microM 326 ± 12 pg/106 cells and 335.5 ± 12 pg/106 cells at 10 microM) compared to control cells (242 ± 21 pg/106 cells, n=5, p less than 0.05); this effect is weaker than that induced by HgCl2 at 10 microM (448 ± 14 pg/106 cells) (n=3, p less than 0.05). In view of this finding, we hypothesize that the thiosalicylate component of thimerosal may have an inhibitory effect on VEGF release. Thimerosal (10 microM) added together with the peptide Substance P (SP) at 2 microM, used as a positive control, reduced VEGF release by 90 percent. Methyl thiosalicylate (1 or 10 microM) added with either SP or HgCl2 (10 microM) inhibited VEGF release by 100 percent, while sodium salicylate or ibuprofen had no effect. Pretreatment for 10 min with the flavonoid luteolin (0.1 mM) before HgCl2 or thimerosal compeletly blocked their effect. Luteolin and methyl thiosalicylate may be useful in preventing mercury-induced toxicity.

Iron status in female athletes participating in team ball-sports

Iron deficiency anemia is the most prevalent micronutrient deficiency in the world, affecting 20-50% of the world's population. It is estimated that 10 and 20% of male and female athletes are iron deficient, respectively. Iron deficiency has deleterious effects on the physical performance of athletes. It decreases aerobic capacity, increases heart rate and elongates the recovery time after exercise. In this cross-sectional study, 42 semi-professional female athletes who had been playing in basketball, volleyball and handball super league teams served as subjects. Data on socioeconomic and fertility status as well as the type of sport were obtained through a questionnaire. Nutritional data were gathered with a 3 day dietary recall. Total intake of calorie, iron, zinc, folate, vitamin C and B12 were also analyzed. In addition, ferritin and TIBC were measured and a CBC test was done for each subject. The results showed that the mean total calorie intake of women was 2049.79 +/- 735.12 kcal, where their iron intake was 22.33 +/- 9.24 mg day(-1). There was a significant difference between the iron intake of basketball and volleyball players (p = 0.036). Of our subjects, 33.33% had low ferritin levels (< 30 ng mL(-1)) and it was lowest in handball players. Higher than normal ferritin levels were seen in 12.5% of the subjects. We saw a significant difference in ferritin levels of basketball and handball players (p = 0.047). We conclude that the intake of calorie and iron is low in female athletes and therefore, their hematological indices such as ferritin level are below standard values.

Investigating the effect of Crocus sativus L. petal hydroalcoholic extract on inflammatory and enzymatic indices resulting from alcohol use in kidney and liver of male rats

Background

Studies have shown that consumption of high levels of alcohol causes many negative effects on the liver and kidneys where antioxidant ingredients can be a proper solution to reducing the resulting damages. So, the present study investigated the effect of hydroalcoholic extract of Crocus sativus L. (saffron) petal with antioxidant properties on the changes in inflammatory and enzymatic indices resulting from alcohol use in the male rats’ kidney and liver.

Materials and methods

After preparing the extract, LD₅₀ was determined and high-performance liquid chromatography (HPLC) was employed to specify the type and the rate of the active ingredients of the extract. Then, 36 male Wistar rats were randomly assigned into six groups (n=6). The first group was only administered with normal saline and the second group only received ethyl alcohol 6 mL/kg/day·BW. The third and the fourth groups received ethyl alcohol 6 mL/kg/day·BW plus 167.5 and 335 mg/kg/day·BW saffron petal extract for 8 weeks. The fifth and the sixth groups received ethyl alcohol 6 mL/kg/day·BW for the first 8 weeks and were subsequently gavage fed on saffron extract for 167.5 and 335 mg/kg/day·BW, respectively, during the next 8 weeks. In the beginning and after the termination of the treatment, blood samples were collected from all rats.

Results

The LD₅₀ of the extract was about 670 mg/kg. The HPLC results indicated that the extract contains important antioxidant ingredients. At the end of the study, the serum concentration of the inflammatory indices, renal enzymes, and hepatic enzymes experienced a significant reduction in all of the intervened groups compared to the negative control group (minimum significant difference: P<0.05) except for the treatment group 1.

Conclusion

Based on the current results, the extract has a protective effect in a dosage-dependent way and greater protective roles were documented for higher dosages.

Evaluation of different gridded rainfall datasets for rainfed wheat yield prediction in an arid environment

The accuracy of daily output of satellite and reanalysis data is quite crucial for crop yield prediction. This study has evaluated the performance of APHRODITE (Asian Precipitation-Highly-Resolved Observational Data Integration Towards Evaluation), PERSIANN (Rainfall Estimation from Remotely Sensed Information using Artificial Neural Networks), TRMM (Tropical Rainfall Measuring Mission), and AgMERRA (The Modern-Era Retrospective Analysis for Research and Applications) precipitation products to apply as input data for CSM-CERES-Wheat crop growth simulation model to predict rainfed wheat yield. Daily precipitation output from various sources for 7 years (2000-2007) was obtained and compared with corresponding ground-observed precipitation data for 16 ground stations across the northeast of Iran. Comparisons of ground-observed daily precipitation with corresponding data recorded by different sources of datasets showed a root mean square error (RMSE) of less than 3.5 for all data. AgMERRA and APHRODITE showed the highest correlation (0.68 and 0.87) and index of agreement (d) values (0.79 and 0.89) with ground-observed data. When daily precipitation data were aggregated over periods of 10 days, the RMSE values, r, and d values increased (30, 0.8, and 0.7) for AgMERRA, APHRODITE, PERSIANN, and TRMM precipitation data sources. The simulations of rainfed wheat leaf area index (LAI) and dry matter using various precipitation data, coupled with solar radiation and temperature data from observed ones, illustrated typical LAI and dry matter shape across all stations. The average values of LAI_max were 0.78, 0.77, 0.74, 0.70, and 0.69 using PERSIANN, AgMERRA, ground-observed precipitation data, APHRODITE, and TRMM. Rainfed wheat grain yield simulated by using AgMERRA and APHRODITE daily precipitation data was highly correlated (r² ≥ 70) with those simulated using observed precipitation data. Therefore, gridded data have high potential to be used to supply lack of data and gaps in ground-observed precipitation data.

Investigating the histopathological effects of saffron petal (Crocus Sativus L.) hydroalcoholic extract on kidney and liver functional parameters in rats

Background: Saffron is one of the main food products in Iran, and its countless medicinal properties have been used widely in traditional medicine. Many studies conducted and reported in the literature have shown that plant-based medicines, such as chemical drugs, may also have unexpected side effects. Thus, the present study aimed to investigate the histopathological effects of the hydroalcoholic extract of the saffron petal (HAESP) on the liver and kidney, particularly on their functional parameters in rats. Methods: The first group (control) received ordinary daily dietary regime. In addition, Groups 2, 3 and 4 were fed an ordinary dietary regimen along with HAESP (at 200, 400, or 600 mg/kg/day). The treatment was continued on a daily basis for four weeks, and upon the termination of the treatment, blood samples were collected from all the rats. Then, tissue samples were prepared from the animals’ kidney and liver for histological studies. Results: The histological results are indicators of notable changes in the glomerulus, tubules, and interstitial tissue of the kidney cross-sections for the groups receiving HAESP. In the central vein region and the port space of the liver cross-sections, dose-dependent changes were found in the groups that had received HAESP. The study results also suggest a considerable statistical increase in the mean levels of renal enzymes and hepatic enzymes in different groups receiving HAESP. Conclusion: The findings of the present study reflect the idea that the saffron petal hydroalcoholic extract can be effective even on renal and hepatic cells, and even in non-poisonous dosages. Therefore, care should be exercised in using the extract for its potentially therapeutic effects.  

Coronavirus pandemic (COVID-19) and its natural environmental impacts

Coronavirus Disease 2019 (COVID-19) is the official name of a respiratory infectious disease caused by a new coronavirus that started first in Wuhan, China, and outspread worldwide with an unexpectedly fast speed. Flights have been canceled worldwide and transportation has been closed nationwide and across international borders. As a consequence, the economic activity has been stopped and stock markets have been dropped. The COVID-19 lockdown has several social and economic effects. Additionally, COVID-19 has caused several impacts on global migration. On the other hand, such lockdown, along with minimal human mobility, has impacted the natural environment somewhat positively. Overall carbon emissions have dropped, and the COVID-19 lockdown has led to an improvement in air quality and a reduction in water pollution in many cities around the globe. A summary of the existing reports of the environmental impacts of COVID-19 pandemic are discussed and the important findings are presented focusing on several aspects: air pollution, waste management, air quality improvements, waste fires, wildlife, global migration, and sustainability.

Prevalence of zinc deficiency in 3-18 years old children in shiraz-iran

BACKGROUND

Zinc is an essential trace element with a prominent role in human nutrition. Zinc deficiency has been linked to growth retardation, hypogonadism in males, and lack of sexual development in females. It ranges from 50% in sub-Saharan Africa to 5% in high income countries. The aim of this study is to evaluate the prevalence of zinc deficiency in healthy children in Shiraz, southern Iran.

METHODS

In this study, 902 children aged 3-18 years old were randomly sampled for serum zinc level. Age, sex, weight, height, BMI, stunting and wasting indices were also recorded. With atomic absorption spectrophotometry method, the serum level of zinc less than 70 µg/dL was considered as deficient.

RESULTS

Mean serum level of zinc was 122.3±55 µg/dL. The prevalence of zinc deficiency was 7.9%. There was no relationship among serum zinc level and age, sex, height, weight or BMI, but mild wasting (weight for age) and mild stunting (height for age) were significantly more prevalent among zinc deficient children compared to children with normal or high level of zinc.

CONCLUSION

Zinc deficiency in Shiraz is not as prevalent as other areas of Iran. It was significantly more frequent among stunted and wasted (malnourished) children. Difference in soil zinc level, recent wide prescription of zinc supplements by pediatricians and especial pattern of nutrition, considered as possible factors responsible for lower prevalence of zinc deficiency in Shiraz, deserve more investigations.

HSV-2 Seroepidemiology and Risk Factors among Iranian Women: A Time to New Thinking

BACKGROUND

Genital herpes is a common sexually transmitted disease in many developed and developing countries mostly caused by Herpes simplex virus type 2 (HSV-2). This study determines the prevalence of HSV-2 infection between two groups of women with high and low risk behaviors.

METHODS

In this seroepidemiologic study, 362 women attending obstetrics and gynecology clinics as low risk group and 156 prisoners and drop in center resident women in Tehran as high risk group were enrolled. HSV infection was identified by serologic tests on blood samples.

RESULTS

The prevalence of IgG antibody in high risk group was significantly more than low risk women (26.3% vs. 2.5%). The prevalence of IgM antibody in high risk group was less than low risk group (3.8% vs. 7.1%) but the difference was not statistically significant. In high risk group, there was significant association between positive IgG and anal/oral sex, use of condom, smoking and drug addiction as well as genital pain, burning, itching, ulcer, dysuria, and history of genital infection. In low risk group, association between positive IgM and IgG test results and risky behaviors were not significant. There was significant association between IgM and genital itching, rash, and ulcer.

CONCLUSION

Relatively high seroprevalence of anti-HSV-2 IgG and high frequency of genital Herpes among high risk women necessitates regular screening and safe sex education programs. Moreover, risk of acute infection in this group should not be ignored and its distribution in Iranian population should be alarmingly concerned.