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Zhao XJ, Sampath V, Caughey WS. Cytochrome c oxidase catalysis of the reduction of nitric oxide to nitrous oxide. Biochem Biophys Res Commun 1995; 212:1054-60. [PMID: 7626092 DOI: 10.1006/bbrc.1995.2076] [Citation(s) in RCA: 58] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/26/2023]
Abstract
Reduction of nitric oxide (NO) to nitrous oxide (N2O) is catalyzed by bovine heart cytochrome c oxidase (CcO) in anaerobic solutions at pH 7.2 and 20 degrees C. Cyanide inhibits and forms Fea3(3+)CN. The mononitrosyl (Fea3(2+)NO), but not the dinitrosyl (Fea3(2+)NO; CuB+NO), is a likely intermediate in N2O formation. One-electron reduction of NO at Fea3(2+) could yield N2O via HNO. However, a two-electron reduction of the NO ligand to give an intermediate that reacts with a second NO to give N2O and H2O appears more likely. Conversion of NO to N2O is favored by low levels of both NO and O2, higher NO levels can inhibit both cytochrome c oxidase and NO reductase activities. Raising the O2 level will favor catalysis of NO oxidation to NO2 by CcO. The reactions of NO and the specific CcO activity that occur in tissue will be critically dependent on NO, O2, and CcO levels.
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Zhao XJ, Sampath V, Caughey WS. Infrared characterization of nitric oxide bonding to bovine heart cytochrome c oxidase and myoglobin. Biochem Biophys Res Commun 1994; 204:537-43. [PMID: 7980511 DOI: 10.1006/bbrc.1994.2492] [Citation(s) in RCA: 49] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/28/2023]
Abstract
The stable binding of nitric oxide to both Cu+B and Fe2+a3 in cytochrome c oxidase is shown in infrared spectra. The N-O stretch band for Fe2+a3-NO at 1610 cm-1 is similar to the band for MbNO at 1612 cm-1. The Cu+B-NO band is at 1700 cm-1. Thus, electron donation from metal to NO is greater with Fe2+a3 than Cu+B. However, the affinity for NO is only slightly greater at Fe2+a3 than at Cu+B. In contrast CO binds stably only to Fe2+a3. Infrared spectra of oxidase, myoglobin and hemoglobin NO and CO complexes are consistent with only one stable protein structure at the ligand binding site of nitrosyls and with dynamic multiple protein conformers at carbonyl sites. The binding of NO to both Cu+B and Fe2+a3 of cytochrome c oxidase can contribute to NO cytotoxicity and to the catalysis of NO reduction to N2O and makes possible the effective use of infrared spectroscopy in investigations of Cu as well as Fe at the binuclear O2 reduction sites of oxidases.
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Caughey WS, Dong A, Sampath V, Yoshikawa S, Zhao XJ. Probing heart cytochrome c oxidase structure and function by infrared spectroscopy. J Bioenerg Biomembr 1993; 25:81-91. [PMID: 8389753 DOI: 10.1007/bf00762850] [Citation(s) in RCA: 42] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/30/2023]
Abstract
IR spectra directly probe specific vibrators in bovine heart cytochrome c oxidase, yielding quantitative as well as qualitative information on structures and reactions at these vibrators. C-O IR spectra reveal that CO binds to Fe2+ a3 as two conformers each in isolated immobile environments sensitive to Fea and/or CuA oxidation state but remarkably insensitive to pH, medium, anesthetics, and other factors that affect activity. C-N IR spectra reveal that the one CN- that binds to fully and partially oxidized enzyme can be in three different structures. These structures vary in relative amounts with redox level, thereby reflecting dynamic electron exchange among Fea, CuA, and CuB with associated changes in protein conformation of likely significance in O2 reduction and H(+)-pumping. Azide IR spectra also reflect redox-dependent long-range effects. The amide I IR bands, due to C-O vibrators of peptide linkages and composed of multiple bands derived from different secondary structures, reveal high levels of alpha-helix (approximately 60%) and subtle changes with redox level and exposure to anesthetics. N2O IR spectra reveal that these anesthetic molecules at clinically relevant levels occupy three sites of different polarity within the enzyme as the enzyme is reversibly, but only partially, inhibited.
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Gunther MR, Sampath V, Caughey WS. Potential roles of myoglobin autoxidation in myocardial ischemia-reperfusion injury. Free Radic Biol Med 1999; 26:1388-95. [PMID: 10401602 DOI: 10.1016/s0891-5849(98)00338-4] [Citation(s) in RCA: 40] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
The source(s) of reactive partially reduced oxygen species associated with myocardial ischemia/reperfusion injury remain unclear and controversial. Myoglobin has not been viewed as a participant but is present in relatively high concentrations in heart muscle and, even under normal conditions, undergoes reactions that generate met (Fe3+) species and also superoxide, hydrogen peroxide, and other oxidants, albeit slowly. The degree to which the decrease in pH and the freeing of copper ions, as well as the variations in pO2 associated with ischemia and reperfusion increase the rates of such myoglobin reactions has been investigated. Solutions of extensively purified myoglobin from bovine heart in 50 mM sodium phosphate buffer were examined at 37 degrees C. Sufficiently marked rate increases were observed to indicate that reactions of myoglobin can indeed contribute substantially to the oxidant stress associated with ischemia/reperfusion injury in myocardial tissues. These findings provide additional targets for therapeutic interventions.
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Pillai B, Sampath V, Sharma N, Sadhale P. Rpb4, a non-essential subunit of core RNA polymerase II of Saccharomyces cerevisiae is important for activated transcription of a subset of genes. J Biol Chem 2001; 276:30641-7. [PMID: 11382749 DOI: 10.1074/jbc.m010952200] [Citation(s) in RCA: 32] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/06/2022] Open
Abstract
A major role in the regulation of eukaryotic protein-coding genes is played by the gene-specific transcriptional regulators, which recruit the RNA polymerase II holoenzyme to the specific promoter. Several components of the mediator complex within the holoenzyme also have been shown to affect activation of different subsets of genes. Only recently has it been suggested that besides the largest subunit of RNA polymerase II, smaller subunits like Rpb3 and Rpb5 may have regulatory roles in expression of specific sets of genes. We report here, the role of Rpb4, a non-essential subunit of core RNA polymerase II, in activation of a subset of genes in Saccharomyces cerevisiae. We have shown below that whereas constitutive transcription is largely unaffected, activation from various promoters tested is severely compromised in the absence of RPB4. This activation defect can be rescued by the overexpression of cognate activators. We have localized the region of Rpb4 involved in activation to the C-terminal 24 amino acids. We have also shown here that transcriptional activation by artificial recruitment of the TATA-binding protein (TBP) to the promoter is also defective in the absence of RPB4. Surprisingly, the overexpression of RPB7 (the interacting partner of Rpb4) does not rescue the activation defect of all the promoters tested, although it rescues the activation defect of the heat shock element-containing promoter and the temperature sensitivity associated with RPB4 deletion. Overall, our results indicate that Rpb4 and Rpb7 play independent roles in transcriptional regulation of genes.
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Sampath V, Zhao XJ, Caughey WS. Characterization of interactions of nitric oxide with human hemoglobin A by infrared spectroscopy. Biochem Biophys Res Commun 1994; 198:281-7. [PMID: 8292032 DOI: 10.1006/bbrc.1994.1039] [Citation(s) in RCA: 26] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/29/2023]
Abstract
Infrared spectra permit direct measurements of cysteine thiols as well as nitric oxide bound to heme iron in human hemoglobin A nitrosyl. A single symmetric N-O stretch band of nitric oxide bound to Fe2+ is detected amid strong water and protein bands in the Hb14N16O minus Hb15N16O difference spectrum. Nitric oxide accepts electron density from metal in bent-end-on FeI2+)-14N-16O (nu NO = 1616.5 cm-1) and donates electron density to metal in linear Fe(3+)-14N-16O (nu NO = 1925 cm-1). S-H stretch bands reveal that changes in protein conformation occur at alpha-104, beta-93, and beta-112 cysteines upon conversion of deoxyHb to HbNO but that no reactions of thiols with NO occur. Furthermore, no infrared band for S-nitrosothiol is detected. Changes in amide I spectra reflect NO binding induced changes in protein secondary structure.
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Kumar N, Leverence J, Bick D, Sampath V. Ontogeny of growth-regulating genes in the placenta. Placenta 2011; 33:94-9. [PMID: 22154689 DOI: 10.1016/j.placenta.2011.11.018] [Citation(s) in RCA: 25] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/05/2011] [Revised: 11/07/2011] [Accepted: 11/19/2011] [Indexed: 12/25/2022]
Abstract
BACKGROUND Placental nutrient flow is the primary determinant of fetal growth. This key function of the placenta depends on several growth-promoting or -suppressing imprinted genes including Insulin-like growth factor [IGF] axis genes, which regulate nutrient transfer across the placenta. However whether changes in the placental expression of these genes parallel increased fetal growth observed in the second and third trimester remains unknown. OBJECTIVE The aim of our study was to determine the ontogeny of key IGF axis genes and other growth regulating imprinted genes in the placenta and to characterize patterns of placental gene expression associated with intrauterine growth restriction (IUGR). STUDY DESIGN Real time RT-PCR analysis of 11 genes using specific probes were performed in the placental tissue collected at the time of delivery from 63 subjects with live birth pregnancies from 24 to 40 weeks gestation between 2009 -2010. RESULTS We found that paternally expressed gene ZNF127 (p < 0.001) was upregulated whereas IGF1 (p = 0.001) and maternally expressed gene PHLDA2 (p = 0.001) were downregulated with advancing gestational age. ROC analysis revealed a significant change in the expression of the above genes early in the third trimester. When compared to age-matched appropriate for gestational age (AGA) infants, expression of PHLDA2 (p = 0.03) IGF2R (p < 0.05) was upregulated in IUGR infants. Maternal age was also a significant predictor for IUGR (p = 0.05). CONCLUSION We found increased placental expression of growth-promoting imprinted genes and decreased expression of growth-suppressive imprinted genes with advancing gestational age. These changes in placental gene expression could potentially explain accelerated fetal growth seen in the third trimester. Upregulation of maternally expressed imprinted genes in IUGR population supports the "parental conflict hypothesis".
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Journal Article |
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Sampath V, Zhao XJ, Caughey WS. Anesthetic-like interactions of nitric oxide with albumin and hemeproteins. A mechanism for control of protein function. J Biol Chem 2001; 276:13635-43. [PMID: 11278308 DOI: 10.1074/jbc.m006588200] [Citation(s) in RCA: 18] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/06/2022] Open
Abstract
Noncovalent bonding interactions of nitric oxide (NO) with human serum albumin (HSA), human hemoglobin A, bovine myoglobin, and bovine cytochrome c oxidase (CcO) have been explored. The anesthetic nitrous oxide (NNO) occupies multiple sites within each protein, but does not bind to heme iron. Infrared (IR) spectra of NNO molecules sequestered within albumin, with NO present, support the binding of NO and NNO to the same sites with comparable affinities. Perturbations of IR spectra of the Cys(34) thiol of HSA indicate NO, NNO, halothane, and chloroform can induce similar changes in protein structure. Experiments evaluating the relative affinities of binding of NO and carbon monoxide (CO) to iron(II) sites of the hemeproteins led to evidence of NO binding to noniron, nonsulfur sites as well. With HbA, IR spectra of cysteine thiols and/or the iron(II) N-O stretching region denote changes in protein structure due to NO, NNO, or CO occupying noniron sites with an order of decreasing affinities of NO > NNO > CO. Loss of NO from some, not all, noniron sites in hemeproteins is very slow (t(1/2) approximately hours). These findings provide examples in which NO and anesthetics alter the structure and properties of protein similarly, and support the hypothesis that some physiological effects of NO (and possibly CO) result from anesthetic-like noncovalent bonding to sites within protein or other tissue components. Such bonding may be involved in mechanisms for control of oxygen transport, mitochondrial respiration, and activation of soluble guanylate cyclase by NO.
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Sampath V, Gowda MR, Vinay HR, Preethi S. Persistent hiccups (singultus) as the presenting symptom of lateral medullary syndrome. Indian J Psychol Med 2014; 36:341-3. [PMID: 25035568 PMCID: PMC4100430 DOI: 10.4103/0253-7176.135397] [Citation(s) in RCA: 17] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/18/2022] Open
Abstract
Lateral medullary syndrome (LMS) is a constellation of varied neurologic manifestations seen in cerebrovascular accidents. The posterolateral part of the medulla oblongata of the brain stem and cerebellum receiving arterial blood supply from the posterior inferior cerebellar artery are the areas commonly affected. We present a case of a middle aged gentleman referred to our hospital for persistent intractable hiccups as presenting symptom of LMS. He presented to our emergency room with persistent hiccups and left sided cerebellar signs. The patient had significant past history of alcohol and tobacco (smoking) dependence since 30 years apart from being a hypertensive.
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Case Reports |
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17 |
11
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Dong A, Huang P, Zhao X, Sampath V, Caughey W. Characterization of sites occupied by the anesthetic nitrous oxide within proteins by infrared spectroscopy. J Biol Chem 1994. [DOI: 10.1016/s0021-9258(19)51025-0] [Citation(s) in RCA: 14] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022] Open
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12
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Odabaşi A, Miles R, Balaban M, Portier K, Sampath V. Vitamin C Overcomes the Detrimental Effect of Vanadium on Brown Eggshell Pigmentation. J APPL POULTRY RES 2006. [DOI: 10.1093/japr/15.3.425] [Citation(s) in RCA: 12] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
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19 |
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Balu SK, Sampath V, Andra S, Alagar S, Manisha Vidyavathy S. Fabrication of carbon and silver nanomaterials incorporated hydroxyapatite nanocomposites: Enhanced biological and mechanical performances for biomedical applications. MATERIALS SCIENCE & ENGINEERING. C, MATERIALS FOR BIOLOGICAL APPLICATIONS 2021; 128:112296. [PMID: 34474847 DOI: 10.1016/j.msec.2021.112296] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/22/2021] [Revised: 06/14/2021] [Accepted: 06/30/2021] [Indexed: 10/20/2022]
Abstract
Hydroxyapatite is widely utilized for different biomedical applications because of its outstanding biocompatibility and bioactivity. Cuttlefish bones, which are available aplenty, are both inexpensive and eco-friendly sources for calcium carbonate. In the present study, cuttlefish bones-derived HAp nanorods have been utilized to fabricate HAp nanocomposites incorporating 1, 3 and 5 wt% each of GO, MWCNTs, GONRs and Ag NPs. Characterization using such techniques as XRD, FTIR, HRSEM and EDS was performed to analyze the physicochemical properties of nanocomposites, and MTT assay, hemolysis, bioactivity and drug release to evaluate the biological properties. The XRD and HRSEM results reveal that crystallite and particle size increase with increasing wt% of carbon nanomaterials and Ag NPs. However, the addition of nanomaterials did not modify the shape of HAp. The MTT assay and hemolysis results suggest GONRs possess better biocompatibility than GO and CNTs due to their smooth edge structure. While adding carbon materials up to 3 wt% caused an increase in the hardness, adding up to 5 wt% of them caused a decrease in the hardness due to the agglomeration of the particles. Biocompatibility and Vicker's hardness studies show that adding carbon nanomaterials up to 3 wt% caused significant improvement in biocompatibility and mechanical properties. Antibacterial activity test was performed to analyze the ability to preclude the formation of biofilms. The results showed better activity for silver-incorporated nanocomposites in the presence of E. coli and S. aureus bacteria. Drug release studies were performed using lidocaine drug and the results showed nearly similar drug release profile for all the samples except HAg3. Finally, nanocomposite HRA3 could be a suitable candidate for biomedical applications since it shows better biological and mechanical properties than GO and MWCNTs nanocomposites.
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Osmulski PA, Vossbrinck CR, Sampath V, Caughey WS, Debrunner PG. Spectroscopic studies of an insect hemoglobin from the backswimmer Buenoa margaritacea (Hemiptera:Notonectidae). Biochem Biophys Res Commun 1992; 187:570-6. [PMID: 1326950 DOI: 10.1016/0006-291x(92)91232-f] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/26/2022]
Abstract
Hemoglobin (Hb) isolated from the backswimmer Buenoa margaritacea has been analyzed spectroscopically. The met form at pH less than 6 shows a 30nm red shift in the Qv and Qo bands and a 5nm red shift in the Soret band compared to mammalian Hb, while only minor differences are seen in the spectra of the CO and O2 adducts of Hb from Buenoa and mammals. EPR spectra of the metHb show a superposition of signals; at low pH they are mainly of axial high-spin character, while at high pH a low-spin signal predominates with an O-type g-tensor (2.54, 2.61, 1.85) comparable to that of hydroxy myoglobin. Infrared spectra of Hb12C-16O at pH 8.2 reveal two major absorption bands at 1934 cm-1 and 1967 cm-1, which shift to 1892 cm-1 and 1923 cm-1, respectively, for Hb12C-18O. As isolated the Buenoa Hb consists of several isozymes, all of which have a histidine as the proximal ligand of the heme iron.
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Rajamanickam M, Michael R, Sampath V, John JA, Viswabandya A, Srivastava A. Should ice be used in the treatment of acute haemarthrosis in haemophilia? Haemophilia 2013; 19:e267-8. [DOI: 10.1111/hae.12163] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 04/02/2013] [Indexed: 11/29/2022]
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Maheswari SU, Sampath V, Ramesh A, Manoharan K. Macrodystrophia Lipomatosa: An Unusual Cause of Localized Gigantism. Indian J Dermatol 2016; 61:347. [PMID: 27293271 PMCID: PMC4885204 DOI: 10.4103/0019-5154.182469] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022] Open
Abstract
Macrodystrophia lipomatosa (MDL) is a rare congenital form of localized gigantism characterized by progressive overgrowth of all mesenchymal elements with a disproportionate increase in fibro adipose tissue. Here we report a case of 20 years old male who presented with history of painless gradual enlargement of entire left upper limb since childhood. Magnetic resonance imaging and histopathology confirmed the diagnosis of macrodystrophia lipomatosa. This condition has to be differentiated from other causes of localized gigantism, since these conditions differ in their course, prognosis, complications and treatment.
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Ganesan R, Sampath V, Okogbaa OG, Polavarapu I, Weatherspoon MH. Regression and ANOVA: An Integrated Approach Using SAS Software. ACTA ACUST UNITED AC 2004. [DOI: 10.1080/07408170490507855] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
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21 |
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18
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Maheswari SU, Sampath V, Ramesh A. Granulomatous slack skin syndrome: Report of a unique case. Indian J Dermatol Venereol Leprol 2018; 84:169-173. [PMID: 29067930 DOI: 10.4103/ijdvl.ijdvl_727_16] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
Abstract
Granulomatous slack skin syndrome is a rare variant of cutaneous T-cell lymphoma (mycosis fungoides). It is characterized clinically by redundant skin folds, which show a predilection towards flexural areas such as the axilla and the groin. Histologically, it shows a granulomatous T-cell infiltrate and loss of elastic tissue. It has an indolent but progressive course; and is usually refractory to treatment. We report a unique case of slack skin syndrome, sparing the classical sites with rapid and unusual involvement of non-intertriginous areas.
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Case Reports |
7 |
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19
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Kavitha R, Nirmala S, Sampath V, Shanmugavalli V, Latha B. Studies of synthesis, crystal structure and antidiabetic activity of quinolinium 2-carboxylate 2-chloroacetic acid. J Mol Struct 2021. [DOI: 10.1016/j.molstruc.2021.130572] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/04/2023]
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Olmstead MM, Sampath V, Schore NE. Structure of an oxatriquinane: cis,anti,cis-7b-methylperhydrodicyclopenta[b,d]furan-1,6-dione. Acta Crystallogr C 1987. [DOI: 10.1107/s0108270187089546] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/10/2022] Open
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21
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Sampath V, Park JH, Ha BD, Han K, Kim IH. Evaluation of Lactobacillus Plantarum Additive on Growth Performance, Excreta Microbiota, Nutrient Digestibility, Gas Emission, and Meat Quality in Ross308-Broilers. BRAZILIAN JOURNAL OF POULTRY SCIENCE 2022. [DOI: 10.1590/1806-9061-2021-1551] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/21/2022]
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22
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Pei F, Bonneh Y, Sampath V, Hou C, Norcia AM. Texture detection in infants. J Vis 2002. [DOI: 10.1167/2.10.88] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022] Open
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23
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Sivasankri P, Ramesh A, Sampath V. Hypereosinophilic syndrome masquerading as acrodermatitis enteropathica. Indian J Dermatol Venereol Leprol 2019; 85:418-422. [PMID: 31172983 DOI: 10.4103/ijdvl.ijdvl_607_17] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
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Case Reports |
6 |
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24
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Sampath V, Thiyagarajan P, Tamilarasan T, Balasubramaniam S, Sivaramakrishnan SA, Irulappan VSK, Gopinath I, Rajamal SK, Fernando RN, Ramasubramanian S. Anosmia in COVID-19: Investigating the Role of Paranasal Sinus Mucosal Thickening. Cureus 2024; 16:e56019. [PMID: 38606227 PMCID: PMC11008317 DOI: 10.7759/cureus.56019] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 03/12/2024] [Indexed: 04/13/2024] Open
Abstract
Background Anosmia has been identified as a distinctive symptom of COVID-19, leading to hypotheses about its pathophysiological underpinnings, including the potential role of paranasal sinus mucosal thickening. Objective To investigate the association between paranasal sinus mucosal thickening and anosmia in COVID-19 patients, providing insights into the complex clinical manifestations of the disease. Methods This retrospective cohort study analyzed CT paranasal sinus from 270 confirmed COVID-19 patients, divided into those with anosmia (n = 23, 8.52%) and those without anosmia (n = 247, 91.48%). Statistical analysis, including independent t-tests, was employed to compare mucosal thickening between the groups. Results The study found an average mucosal thickening of 0.03 in patients with anosmia and 0.02 in those without, with no statistically significant difference between the groups (p = 0.480, which is greater than 0.05). The findings suggest that mucosal thickening in the paranasal sinuses does not serve as a definitive correlate of anosmia among COVID-19 patients. Conclusion The absence of a significant correlation between paranasal sinus mucosal thickening and anosmia in COVID-19 patients indicates that the pathophysiology of anosmia may involve factors beyond anatomical changes, including direct viral effects and systemic inflammatory responses.
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research-article |
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Ramesh A, Sampath V, Kumar KV, Janaki VR, Boopalraj JM. Cauda equina syndrome masquerading as leprosy. INDIAN JOURNAL OF LEPROSY 1997; 69:275-9. [PMID: 9394178] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/05/2023]
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Case Reports |
28 |
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