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Factors Associated with Silent Cerebral Events During Atrial Fibrillation Ablation in...
Masahide Harada
Yuji Motoike

Masahide Harada

and 9 more

April 08, 2020
Introduction: Silent cerebral events (SCEs) are related to the potential thromboembolic risk in atrial fibrillation (AF) ablation. Peri-procedural uninterrupted oral anticoagulation (OAC) reportedly reduced the risk of SCEs, but the incidence still remains. Methods and Results: AF patients undergoing catheter ablation were eligible. All patients took non-vitamin K antagonist oral anticoagulants (NOACs, n=248) or vitamin K antagonist (VKA, n=37) for peri-procedural OAC (>4 weeks) without interruption during the procedure. Brain magnetic resonance imaging was performed within 2 days after the procedure to detect SCEs. Clinical characteristics and procedure-related parameters were compared between patients with and without SCEs. SCEs were detected in 66 patients (23.1%, SCE[+]) but were not detected in 219 patients (SCE[-]). Average age was higher in SCE[+] than in SCE[-] (66±10 years vs. 62±12 years, p<0.05). Persistent AF prevalence, CHADS2/CHA2DS2-VASc scores, serum NT-ProBNP levels, left-atrial dimension (LAD), and spontaneous echo contrast prevalence in transesophageal echocardiography significantly increased in SCE[+] vs. SCE[-]. SCE[+] had lower baseline activated clotting time (ACT) before heparin injection and longer time to reach optimal ACT (>300 sec) than SCE [-] (146±27 sec vs. 156±29 sec and 44±30 sec vs. 35±25 sec, p<0.05, respectively). In multivariate analysis, LAD, baseline ACT, and time to reach the optimal ACT were predictors for SCEs. The average values of the ACT parameters were significantly different among NOACs/VKA. Conclusion: LAD and intra-procedural ACT kinetics significantly affect SCEs during AF ablation. Different anticoagulants have different impacts on ACT during the procedure, which should be considered when estimating the risk of SCEs.
Dysphagia after Lung Transplant: Consider Aberrant Right Subclavian Artery
Vipin Dulam
Maruti Kumaran

Vipin Dulam

and 5 more

April 08, 2020
Dysphagia is a common presenting symptom in lung transplant patients, especially post-operatively. Lot of emphasis is laid on them passing a swallow test before resuming oral diet. Some cases are intrinsically linked to the associated condition such as scleroderma while others present with reflux and dysmotility or gastroparesis. Sometimes there might be an anatomical condition which might lurk in the shadows as we tend to generalize these complaints. In this context we present this case with an aberrant right subclavian artery compressing the esophagus and compounding the dysphagia. With the proper diagnostic imaging techniques, the medical team and surgical team were able to successfully come to the appropriate diagnosis
Psychological impact of quarantine among pregnant women in unspecified areas of China...
Qiongjie Zhou
Xiaotian Li

Qiongjie Zhou

and 1 more

April 08, 2020
The outbreak of COVID-19 has become a health concern worldwide. Chinese government has taken rapid response including quarantining and gathering cancellation, and people under quarantine are expected to be negatively affected [1-3]. In order to assess the psychological impact on those pregnant women residing in an unspecified area, we did a cross-sectional e-survey of anxiety and depression, emotional response to COVID-19, and attitude to media emission among pregnant women in Shanghai during February 24th to March 11th, 2020.The outbreak of COVID-19 was begun around January 22nd 2020, when the diagnosed case in China was 571 and nine cases in Shanghai. According to the Chinese national report, during this survey period from February 24th to March 11th, national diagnosed case number were 77658 to 80793, and that number in Shanghai were 335 to 344. Primary outcome was anxiety and depression self-evaluation by Generalized anxiety disorder screener (GAD-7) [4] and Edinburgh postnatal depression scale (EPDS) [5], respectively. The Institutional Review Board of Obstetrics and Gynecological Hospital of Fudan University approved the project, and signed informed consent was obtained.Among 688 pregnant women completing the survey, 80% women were of younger than 35 years old, and of university degree or above (P<0.05). A total of 136 (19.8%) and 174 (25.3%) women were of anxious (Generalized anxiety disorder screener, GAD-7 scale ≥4) [4] and depressive (Edinburgh postnatal depression scale, EPDS scale ≥9) [5] mode, respectively. Anxiety and depression among pregnant women were associated with heavy work hours, having higher income, worries about infection and being influenced by media information and preferring more media information access (P<0.05) (Table 1). In logistic regression analysis, those women impacting less by media reports were at a lower risk of anxiety (P=0.001, 95%CI: 0.222-0.659), and those preferring more media access were at higher risk of depression (P=0.007, 95%CI: 1.181-2.800).This psychological survey among pregnant women in unspecified COVID-19 epidemic areas in China indicated that, proper media information is beneficial for relieving anxious and depressive mode. In unspecified areas such as Shanghai, anxiety and depression among pregnant women did not undergo a rise. More importantly, those women most influenced by media reporting were more likely being anxious, and therefore, timely media support is called for reliving anxiety and depression caused by concerns about COVID-19 among pregnant women.
Do the Neutrophil/Lymphocyte ratio and the Platelet/Lymphocyte ratio have an Effect o...
Ayca Nazli Bulut
Venhar Ceyhan

Ayca Nazli Bulut

and 1 more

April 08, 2020
ABSTRACT Objective: The aim of this study was to investigate whether the neutrophil/lymphocyte ratio (NLR) and the platelet/lymphocyte ratio (PLR) have an effect on birthweight, gestational age and the severity of prematurity. Design: Retrospective cohort study Setting: Kayseri Education and Research Hospital Methods: The data of 15000 women who delivered at the Kayseri Training and Research Hospital between May 2018 and December 2019 were retrospectively scanned. The complete blood count (CBC) values taken from the patients at least 1 month before the birth were used in the study. Main Outcome Measures: Primary outcome was to evaulate the effect of NLR and PLR on prematurity severity, birthweight and gestational week. Results: A total of 637 patients were included in the study. The gestational age at birth was determined to be associated with an increase in maternal Hb value and a decrease in PLR. A decrease in Hb, PLR, and neutrophil count, and an increase in BMI and NLR were each determined to be independent factors for birthweight. Conclusion: This is the first study to have investigated the effect of PLR and NLR on the severity of prematurity. While no correlation was determined between the severity of prematurity and NLR, there was seen to be a weak positive correlation with PLR. Key Words: neutrophil/lymphocyte ratio, platelet/lymphocyte ratio, prematurity, inflammation, birthweight Funding: None
Comparison of the ongoing pregnancy rate of first frozen-thawed embryo transfer cycle...
Hong Chen
zhi qin chen

Hong Chen

and 7 more

April 08, 2020
Objective To compare the pregnancy outcomes of first frozen-thawed embryo transfer in women undergoing IVF using progestin primed ovarian stimulation (PPOS) versus GnRH antagonist protocol. Design Retrospective cohort study. Setting Tertiary-care academic medical center. Population/Sample 382 infertile women with normal ovarian reserve underwent IVF. Methods Women were allocated to PPOS group (n=184) or GnRH antagonist group (n=198) at the discretion of the attending physicians. Main outcome measures The primary outcome was the ongoing pregnancy rate of first FET cycles. Results Both groups had almost comparable demographic and cycle stimulation characteristics. The ongoing pregnancy (34.0 % (49/114) vs 42.3% (52/123), P=0.166, RR=0.81(0.59-1.09)), clinical pregnancy (38.2% (55/144) vs 44.7% (55/123), P=0.281, RR=0.85 (0.64-1.14)) and implantation (29.5% (75/254) vs 31.6% (68/215), P=0.623, RR=0.93 (0.71-1.22)) rates were comparable between the PPOS group and the antagonist group respectively. In order to control the difference in demographic and index stimulated IVF cycle characteristics, a multivariate logistic regression revealed that only the stimulation protocol and number of embryos replaced were significant factors in predicting the ongoing pregnancy. Conclusion The use of medroxyprogesterone during ovarian stimulation is effective in blocking the LH surge, and does not affect the number of oocytes collected in the woman with normal ovarian reserve. However,developmental potential of embryos originating from this regimen seems to be affected compared to those from the antagonist group.
Outcome of cardiac catheterization performed in the early postoperative period after...
Saud Bahaidarah
Jameel Al-Ata

Saud Bahaidarah

and 10 more

April 08, 2020
Objective: The Main objective of the study was to evaluate the outcome of cardiac catheterization performed in the early postoperative period after congenital heart surgery. Background: Cardiac catheterization after congenital heart surgery may play an important role in the diagnosis and management of patients with complicated or unusual unexplained post-operative course. Methods: All patients underwent cardiac catheterization < 5 weeks after congenital heart surgery from November 2015 to May 2018 in pediatric cardiac center of King Abdul-Aziz University Hospital (KAUH) were included in the study. Results: Thirty procedures were performed for 27 patients (20 interventional and 10 diagnostic). The median age of the patients was 15 months (15 days to 20 years), weight 8.2 kg (3.4 to 53 kg), and time from surgery was 3 days (0-32 days). Eleven procedures performed for 11 patients on extracorporeal membrane oxygenation (ECMO). The main indications for catheterization were inability to wean from ECMO (10 procedures) and cyanosis (10 procedures). Interventional procedures were: Angioplasty using stents (10 procedures, success 90%), angioplasty using only balloons (2 procedures, success 50%), and occlusion for residual shunts (8 procedures, success 100%). No mortality was recorded during procedure. Procedural complications were recorded in 3 procedures. Survival among patients was 51.8%. There was no significant difference between interventional and diagnostic group regarding procedural complications. Patient on ECMO support had higher mortality than other patients. Conclusion: Cardiac catheterization could be performed safely in the early postoperative period; it could affect the outcome that is mostly dependent on complexity of cardiac lesions.
Does Diastolic Dysfunction Cause Exertional Dyspnea in Newly Diagnosed Hyperthyroid P...
Khadije Mohammadi
Zahra Davoudi

Khadije Mohammadi

and 6 more

April 08, 2020
Abstract Background: diastolic dysfunction has been reported as a cardiovascular effect of hyperthyroidism, and is also supposed to be a cause of heart failure manifestations in the patients with preserved ejection fraction (EF). Methods: for evaluation of diastolic function in hyperthyroid patients and also diastolic Function during performing exercise stress echocardiography, we conducted this study on 26 newly diagnosed hyperthyroid patients compared to 26 healthy subjects as control group. Diastolic function of the patients at rest was assessed using these parameters as follows: left atrium volume index, tricuspid regurgitation (TR) velocity, mitral inflow early diastolic flow (E wave), tissue doppler of mitral annular velocity (e’), E/e’ ratio, and isovolumic relaxation time (IVRT); and during exercise stress echocardiography, we judged diastolic response by measuring E/e’ ratio and TR velocity at the peak of stress in terms of the American Society of Echocardiography guideline. Results: the mean age of the patients was 39.77±12.0 years old and 53.8 % of them were female. Cardiovascular symptoms among the patients were the followings: palpitation (46.2%), exertional dyspnea (19.2%), and atypical chest pain (7.7%). All the patients had normal diastolic function at the time of resting and there was no significant difference in diastolic parameters between the two groups except for IVRT, which was lower in hyperthyroid patients. Interestingly, no patients developed diastolic dysfunction during exercise stress echocardiography. Conclusion: our finding did not support Hyperthyroidsm associated diastolic dysfunction as a cause of exertional intolerance and dyspnea in the patients with preserved EF.
Charged gatekeeper residues alone can’t determine the nucleotide specificity of succi...
KAPIL VASHISHT
PALLAVI SINGH

KAPIL VASHISHT

and 5 more

April 08, 2020
Understanding the molecular basis of substrate specificity of an enzyme is very crucial to its functional importance in any biological system. Previously, we had experimentally validated a novel phenomenon using an enzyme engineering approach, to alter the substrate specificity via modification of the electrostatic properties of the gatekeeper residues in succinyl-CoA synthetase (SCS) of Blastocystis. The multiple sequence alignment (MSA) of SCSβ subunits from phylogenetically diverse organisms, depicted P. falciparum SCS to club with ADP-forming human, bovine and murine SCS enzymes. In the present study, we have explored the gatekeeper residues of P. falciparum SCS (PfSCS), an enzyme crucial for the generation of a metabolic intermediate- succinyl-CoA, required during the mosquito stages of the Plasmodium. With the construction of various gatekeeper mutants, structural modeling and enzyme kinetics experiments, our study concluded that PfSCS is an ADP-forming enzyme (KmATP=48 µM). Introduction of the exclusively charged- positive (Lys & Lys) & negative gatekeeper residues (Glu & Asp), demonstrated significant reductions in the ATP affinity, while no significant GDP-forming potential was recorded. Interestingly, simultaneous refolding of the nucleotide-binding site containing PfSCSβ subunit with the Blastocystis SCSα produced the active enzyme conformation. Therefore, the present study concluded that only electrostatic interactions at the gatekeeper region are not sufficient enough to alter the substrate specificity in PfSCS, as in case of Blastocystis SCS and further structural analysis is warranted with particular focus on the binding site architecture of PfSCS.
Improved planting managements may increase vegetation carbon sequestration of an arti...
Fuquan He
Qi Li

Fuquan He

and 5 more

April 08, 2020
The cultivation of artificial grassland, which requires regular sowing and harvesting, is an important and common practice in grassland management and restoration on the Qinghai-Tibetan Plateau (QTP). However, the key factors and successional processes that determine its interannual variability of net ecosystem exchange (NEE) remains unclear. In this study, we analyzed 6 years of eddy covariance observations, quantified seasonal and annual NEE, net carbon uptake period length (CUP), two largest carbon emission periods length (CEPs), and daily minimum and maximum NEE (NEEmin, NEEmax) responses to management measures in an alley silvopasture system with planted Elymus nutans on the QTP. We examined NEE variations before and after sowing and harvesting and investigated how sowing and harvesting managements affect NEE. The five-year life cycle study revealed that this artificial perennial grassland was a weak net carbon sink with an uptake of -180 g C m–2 per plant cycle (2012–2016). Inter-annual variations in NEE was determined by CUP and the first largest carbon emission periods (CEP1). Sowing delayed the beginning of CUP (BCUP) by about 42 days and caused spring C uptake to decline by -36 g C m–2. In contrast, harvesting caused the ending of CUP (ECUP) to advance about 25 days, and caused a decease of autumn C uptake about -33 g C m–2. Sowing and harvesting shortened the CUP and extended the CEP1, which reduces the carbon sequestration potential of the artificial grassland. Based on our results, we recommend that policy makers and authorities consider the effect of timing of sowing and harvesting on C sequestration. Our results provide a new insight for grassland management and the inter-annual variability of NEE on climate mitigation and regional sustainability.
Prognostic factors of IVF&ICSI cycle cancellation in patients with endometriosis...
Elif Kulahci Aslan
Kiper Aslan

Elif Kulahci Aslan

and 6 more

April 08, 2020
Objective: To elucidate the prognostic factor for IVF&ICSI cycle cancellation in patients with endometriosis related infertility Design & Setting The study was a retrospective cohort study and conducted at Uludag University School of Medicine, ART center, between the years 2011-2017. Population Electronic database were screened and infertile patients with endometriosis, patients without male factor, systemic disease, undefined adnexal mass and aged <40 yrs were selected. Cycles were divided in two groups. (Cancelled vs. Embryo transferred) Results 44 cycles were cancelled and in 178 cycles embryo was able to transferred. When the groups were compared Age, day3 FSH were statically higher and AMH, AFC were statically lower in cycle cancelled (CC) group. Presence of adenomyosis was higher in CC group. (64% vs. 40% p<0.01) Surgery rate with laparotomy was higher in CC group. (54.5% vs. 13.5% p<0.01) AFC (OR:0.81, CI:0.70:0.93) remained as only independent factor associated with prognoses of IVF cycle with binary logistic regression analysis. Cancellation rates were similar between the phenotypes of endometriosis. Conclusions: Poor ovarian reserve, advanced age, presence of adenomyosis and the history of laparotomy are negative prognostic factors associated with IVF&ICSI cycle cancellation in endometriosis related infertility. AFC is the only independent factor to predict cycle cancellation. Phenotype of endometriosis does not affect the results. There is no funding in this study. Key Words: Endometriosis, Infertility, Adenomyosis, Intracytoplasmic Sperm Injections,
Tight coupling of soil quality with fungal community composition in a Chinese fir pla...
Liang Chen
Wenhua Xiang

Liang Chen

and 10 more

April 08, 2020
How soil quality and microbial communities change in conjunction with stand age in plantations is poorly understood. Here, we evaluated soil quality by using an integrated soil quality index (SQI) and traced the paralleled shifts in fungal community composition by high-throughput sequencing in a chronosequence of Chinese fir (Cunninghamia lanceolata) plantations (stand age of 3, 16, 25, 32, >80 years). Soil properties showed pronounced changes with stand age in the top 0-5 cm. The most prominent increase from 3 to >80-year-old stand was for soil organic carbon (SOC, by 2.1-times), total nitrogen (TN, 1.9-times) and available phosphorus (AP, 2.2-times). SQI increased logarithmically with stand age, with sharper change seen in the 0-5 cm layer than in the 5-15 cm layer. Mycorrhizal fungi increased in abundance initially in younger stands, but then they were gradually replaced by saprotrophic fungi in older stands due to the increase in litter input, which sustains saprotrophs. The positive correlation between saprotrophic fungi and the key soil quality indicators, such as TN, AP and NH4+, showed that higher soil quality was tightly linked with the enrichment of decomposers. Mycorrhizal taxa, such as orders Sebacinales, Thelephorales and Russulales, were positively correlated with acid phosphatase mobilizing P from organic matter. This suggests that the establishment of mycorrhizal fungi sustains tree productivity in younger stands under low soil quality. We conclude that the increase in soil quality throughout the development of Chinese fir plantations is closely linked with the observed transition of fungal communities from mycorrhizae to saprotrophs.
Three new CYP450 from Betula platyphylla Suk. with 28 oxidation function catalyze the...
jie yang
ying li

jie yang

and 7 more

April 08, 2020
Birch(Betula platyphylla Suk.) bark contains important pentacyclic triterpenes as betulin and betulinic acid, which play important functions in anti-tumor and anti-HIV.Cytochrome P450 monooxygenase(CYP450) is essential for the diversification and functional modification of the triterpene skeleton.In this study, five new CYP450 genes were cloned from birch with ORF lengths of 1284bp, 1533bp, 1188bp, 1704bp, and 1539bp, respectively.Phylogenetic tree analysis shown that five BpCYP450 genes are located in five subfamilies, named CYP94B89, CYP89S1, CYP97B62, CYP86B54, and CYP86A182.The expression characteristics of five CYP450 genes in different tissues and their responses to different stresses(MeJA, SA, GA3, ABA, ethylene, and mechanical damage) were significantly different, among which CYP89S1, CYP97B62 and squalene epoxidase(BpSE) and dammarenediol synthase(BpDS) were highly expressed in leaves.CYP89S1, CYP97B62, and CYP86A182 genes are induced by MeJA and significant synergistic expression effects with lupeol synthase(BpW).CYP89S1, CYP97B62, CYP86A182 have C-28 oxidation function and catalyzing the conversion of lupeol to betulinic acid.Among them, CYP97B62 gene has the highest catalytic efficiency, increasing the content of betulinic acid by 1136%.In addition, co expression of BpMYB21 and CYP86A182 can significantly enhance the conversion and synthesis efficiency of betulinic acid in tobacco(Nicotiana tabacum L.), and CYP89S1 can enhance salt and alkali resistance in yeast(Saccharomyces cerevisiae)
Pulmonary hypertension and right ventricular function in the sickle cell populace
Opeyemi Oni
Adewole Adebiyi

Opeyemi Oni

and 2 more

April 08, 2020
Sickle cell anaemia(SCA) is a recognized cause of heart failure and pulmonary hypertension(PHT). However, the impact of PHT of right ventricular(RV) function has not been well elucidated. Objective To determine the impact of PHT on right ventricular function in patients with SCA. Methods Cases were adults with SCA with PHT. Controls were SCA patients without pulmonary hypertension. All patients were recruited in steady-state. Echocardiography was done for cases and controls. Measures of RV function used were RV fractional area change (RV FAC), peak tricuspid annular systolic velocity (Sʹ) and Tricuspid annular plane systolic excursion (TAPSE). Pulmonary hypertension was estimated from Tricuspid regurgitation jet velocities. Right atrial pressure was estimated using the ratio of the Trans tricuspid early diastolic velocity to the early tissue doppler diastolic velocity of the tricuspid annulus. Values >35mmHg were said to have PHT. Results Out of 86 patients, there were 36 people with SCA that had tricuspid regurgitation- 11 with PHT, 25 without PHT. The mean values of RV systolic function- RV FAC (0.41SD0.1 vs 0.41SD0.1; p= 0.999), Sʹ (16.5SD5.1 vs 15.9SD4.3; p= 0.116) and TAPSE (30.7SD5 vs 29.7SD4.3; p=0.389) were not significantly different between cases and controls respectively. Trans tricuspid E/A ratio (1.49SD0.4 vs 1.61SD0.4; p=0.381) was essentially the same between both groups while the early trans tricuspid deceleration time showed a trend towards being shorter in those with PHT (194.1SD35.1vs 223.3SD53.6; p=0.084). Conclusion: The prevalence of PHT was 12.8% in SCA patients. There is no significant impact of PHT on RV function in SCA.
Performance anxiety -- prevalence amongst otolaryngologists
Rebecca Harrison
Sian Dobbs

Rebecca Harrison

and 2 more

April 08, 2020
Objectives To establish the prevalence of operating anxiety amongst otolaryngologists. Background Performance anxiety is a reaction to performing a task under pressure, and is linked to worse outcomes in professional sport. Awareness of the negative impact that performance anxiety can have on both surgical outcomes and the mental health of surgeons is increasing. The Royal College of Surgeons has recommended further evaluation of anxiety amongst surgeons so that we can greater understand its implications. Design The Sport Competition and Anxiety Test (SCAT) is a validated questionnaire used to assess anxiety in professional athletes. A modified version was distributed via the Association of Otolaryngologists in Training mailing list. Responses were accepted September-November 2019. Statistical analysis was carried out using SPSS. Participants Information was collected on the grade and sex of respondent. Main outcome measures Anxiety levels were calculated using SCAT guidelines. Results 106 questionnaires were returned 67M:38F (1 unspecified). 22 consultants, 72 registrars and 11 core trainees completed the questionnaire (1 unspecified). 6% of otolaryngologists were identified as having high levels of anxiety. Male trainees were less anxious than female trainees, mean score 15 vs 18 (range 10-27 vs 11-29, p<0.05). 6% of senior registrars and 9% of junior registrars had high anxiety compared to 0% consultants. Conclusion This data suggests high levels of performance anxiety exist amongst ENT surgeons. Interestingly, the highest anxiety levels were found in females and registrar level surgeons. With increasing levels of pressure and higher burn-out rates amongst surgeons, the need to understand the relationship between anxiety and surgical performance has never been so important.
Overexpression of exogenous biuret hydrolase in rice plants confers tolerance to biur...
Kumiko Ochiai
Asuka Uesugi

Kumiko Ochiai

and 4 more

April 08, 2020
Biuret, a common impurity in urea fertilizers, is toxic to plants, but little is known about the physiological mechanisms underlying its toxicity. Here, we analyzed biuret toxicity in rice (Oryza sativa) plants. We carried out uptake experiments using 15N-labelled biuret and demonstrated that biuret could reach sub millimolar concentrations in rice plants. We also demonstrated that the hydrolysis of biuret in plant cells could confer biuret tolerance to rice plants. This occurred because transgenic rice plants that overexpressed an exogenous biuret hydrolase cloned from a soil bacterium gained improved tolerance to biuret toxicity. Our results indicate that biuret toxicity is not an indirect toxicity caused by the presence of biuret outside the roots, and that biuret is not quickly metabolized in wild-type rice plants. Additionally, it was suggested that biuret was used as an additional nitrogen source in transgenic rice plants, because biuret hydrolase-overexpressing rice plants accumulated more biuret-derived N, as compared to wild-type rice.
‘Phormidin’, a novel, better fatty acid synthase inhibitor from marine cyanobacteria,...
Prasanth S
ARUN G

Prasanth S

and 3 more

April 08, 2020
Background and Purpose: Fatty acid synthase (FAS) is an attractive drug target for the treatment of cancer, obesity and microbial infections. Since FAS has an important role in primary metabolic process, targeting FAS by non-cross-reacting inhibitors will be operationally difficult to implement, though attractive. Experimental Approach: A novel FAS inhibitor, Phormidin, from the marine cyanobacteria, Phormidium ambiguum is reported. Its structure is similar to C75, the FAS inhibitor with a 17 carbon aliphatic chain and an open 6 carbon ring. But, it is comparatively less similar to Celurinin, another known FAS inhibitor lacking the epozxy ring. Key Results: In vitro assay of phormidin cytotoxicity with A549 lung carcinoma cell line showed it to be more active than cerulenin and C75, with an IC50 value 76.034 µg/mL, compared to 86.419 µg/mL for Cerulenin and 99.034 µg/mL for C75. Conclusion and Implications: Enzyme inhibition assay of microbial and mammalian FASs showed promising results, with potential to develop better FAS inhibitor drugs.
Characterization of the Mechanism of Action of RDR01752, a Novel Corrector of F508del...
Miquéias Lopes-Pacheco
Iris Silva

Miquéias Lopes-Pacheco

and 8 more

April 08, 2020
Background and Purpose: Despite progress in developing pharmacotherapies to rescue F508del-CFTR, the most prevalent Cystic Fibrosis (CF)-causing mutation, individuals homozygous for this mutation still face several disease-related symptoms. Thus, more potent compound combinations are still needed. Here, we investigated the mechanism of action (MoA) of RDR01752, a novel F508del-CFTR trafficking corrector. Experimental approach: F508del-CFTR correction by RDR01752 was assessed by biochemical, immunofluorescence microscopy and functional assays in cell lines and in intestinal organoids. To determine the MoA of RDR01752, we assessed its additive effects to those of genetic revertants of F508del-CFTR, the FDA-approved corrector drugs VX-809 and VX-661, and low temperature. Key Results: Our data demonstrated that RDR01752 rescues F508del-CFTR processing and plasma membrane (PM) expression to similar levels of VX-809 in cell lines, although RDR01752 produced lower functional rescue. However, in functional assays using intestinal organoids (F508del/F508del), RDR01752, VX-809 and VX-661 had similar efficacy. RDR01752 demonstrated additivity to revertants 4RK and G550E, but not to R1070W, as previously shown for VX-809. RDR01752 was also additive to low temperature. Co-treatment of RDR01752 and VX-809 further increased F508del-CFTR function compared to each corrector alone, but not PM expression. Conclusion and Implications: The lack of additivity of RDR01752 with the genetic revertant R1070W suggests that this compound has the same effect as the insertion of tryptophan at 1070, i.e., filling the pocket at the NBD1:ICL4 interface in F508del-CFTR, similarly to VX-809. Combination of RDR01752 with correctors mimicking the rescue by revertants G550E or 4RK could thus maximize rescue of F508del-CFTR.
Tumor specific hypoxia-activated expression of cardiac peptides using an engineered s...
Behrad  Darvishi
Mitra samadi

Behrad Darvishi

and 10 more

April 08, 2020
Background Application of genetically modified non-pathogenic bacteria expressing specific anti-tumor proteins under certain conditions specific to tumors is an effective approach for selective targeting of tumors. We developed here, for the first time, a novel spatiotemporal cancer targeted therapy applying engineered E. coli bacteria with capability of expressing cardiac peptides under hypoxic conditions of tumor. Method E. coli BW25133 was transformed with construction of co-expressing cardiac hormones and GFP. Bacteria bearing constructs were then IV administered in mice bearing tumors and then tumor localization, as well as tumor proliferation, invasion and angiogenesis biomarkers (Ki-67, VEGFR, CD31and MMP9), changes in cytokine profile, suppression of tumor growth and survival were analyzed. Results IV Administered bacteria bearing constructs could specifically localize at tumor site and express cardiac peptides under hypoxic conditions. Administration of bacteria significantly enhanced survival rate, suppressed tumor progression and lowered expression levels of MMP-9, VEGFR2, CD31and Ki67 as potent markers for angiogenesis, tumor proliferation and metastasis. Furthermore, applied bacteria resulted in significant reduction in the expression of IL-1β, IL-6, GC-SF, IL-12 and TNF-α proinflammatory cytokines, whereas increasing IL-10, IL-17A and INF-γ cytokines. Conclusion Overall, administration of E. coli bearing cardiac hormone expression construct could effectively suppress tumor growth, angiogenesis, invasion and metastasis while enhancing survival rate in mice model of breast cancer.
Characteristics of Dolutegravir and Bictegravir Plasma Protein Binding: A First Appro...
Thibaut Gelé
Hélène Gouget

Thibaut Gelé

and 6 more

April 08, 2020
Background and Purpose: The major obstacle to a functional cure for HIV infection is the persistence of a latent HIV reservoir. In addition, it is well recognized that the unbound concentration of a drug is considered the active moiety, which is available to cross cell membranes. Thus, this study aimed to characterize in vitro dolutegravir (DTG) and bictegravir (BIC) binding to either total human plasma proteins, human serum albumin (HSA) or human alpha-1-acid glycoprotein (HAAG). Experimental Approach: DTG and BIC protein binding was measured in vitro at a very wide range of concentrations, in either blank plasma or solutions containing HSA or HAAG. The pH effect was also studied on HSA binding at different pH. Bound and unbound drugs (DTG or BIC) were separated by ultrafiltration. Key Results: In human plasma, at therapeutic concentrations, the average DTG and BIC binding was ~99.0%. DTG and BIC had a preferential binding to HSA. DTG and BIC bound to two classes of albumin sites, one saturable with high affinity and one non-saturable with low affinity. A 0.2-U decrease in pH led to a 2% decrease in DTG and BIC HSA binding. DTG bound to a non-saturable and low affinity HAAG. HAAG binding of BIC showed an atypical nonlinear binding. Conclusion and Implications: The two low affinity sites (on HSA and on HAAG) suggest that the high protein binding rate is not a limiting factor of the diffusion of DTG and BIC.
Metastasis of a prostate adenocarcinoma to mandible: a case report and review of lite...
Mahboube Hasheminasab
Abbas  Karimi

Mahboube Hasheminasab

and 4 more

April 08, 2020
Bones, lymph nodes, lungs, or liver, are the common metastatic sites for prostate cancer. However, prostate adenocarcinoma metastasis to the mandible is very rare. In this case report we present a case of a 64-year-old man with poorly differentiated prostate cancer and metastasis to the mandible.
Principal Component Analysis to Understand Genomic Data    
Shahad Hardan
Samuel Feng

Shahad Hardan

and 1 more

June 07, 2021
ABSTRACT  DNA sequencing of the human genome significantly contributes to the investigation of the genomic patterns in population structure. However, genomic data is massively high dimensional and requires proper computational tools and statistical analysis methods to study it. In this paper, principal component analysis (PCA), a dimensionality reduction method, was applied to the Human Genome Diversity Panel (HGDP-CEPH) data to understand the population structure. The HGDP-CEPH data contains 660K SNPs of 1043 individuals from seven major population groups and 52 populations. We explored the structure of the population groups using both individual chromosomal as well as whole genome data. We also investigated populations within population groups. In addition, PCA was compared to two other dimensionality reduction methods: t-distributed stochastic neighbour embedding (t-SNE) and multi-dimensional scaling (MDS). Our findings show that PCA delivered several interesting insights into the structure of human populations, and is still an effective tool for extracting value from high dimensional DNA sequence data. INTRODUCTIONNext-generation sequencing technologies are significantly contributing to the study of the structure and organization of the human genome. Since such technologies can detect millions of genomic variants among fully sequenced population samples, they provide a path to discovering the population structure and inferring the demographic history of the natural populations \cite{Bamshad2004}. Previous studies show that 93%-95% of the human genetic variations is attributable to within population differences among individuals and 3%-5% is due to population differences \cite{Rosenberg_2002}. However, there are many computational challenges associated with next-generation sequencing, such as the production of high dimensional and complex data.  High dimensional data, as is found in genomic data, is a major challenge in data science. Currently, without highly advanced methods, genomic data is still subject to the curse of dimensionality. To overcome this problem, several dimensionality reduction algorithms appeared, one of which is principal component analysis (PCA) \cite{Siu_2012}. Principal component analysis is an unsupervised learning method that aims to produce a low dimensional representation of high dimensional data while capturing as much of the information as possible. The method uses the original variables to find a sequence of linear combinations, producing a new set of variables. The new variables, called principal components (PCs), maximize the variance and are mutually uncorrelated. To clarify, the first principal component has the highest variance, is the most informative, and is uncorrelated with all the other principal components.     Principal component analysis can be applied to genomic data to understand the population structure. Single nucleotide polymorphisms, or SNPs, are parts in the DNA that cause genetic variation among individuals. Therefore, using PCA to work with SNP data unfolds the genomic differences among populations and clusters them accordingly. This could potentially allow researchers to link diseases with specific genes and understand the history of evolutionary forces \cite{Barbujani_2010}.     The major contributions of this work can be summarized as follows: 1- PCA is able to make observations about the seven main population groups available in the HGDP-CEPH data.2- Applying PCA on the chromosome level shows that there are no major visual differences between chromosomes in clustering populations, and that a single chromosome is sufficient to draw conclusions related to population structure.3- PCA was used to reveal within population group structure and relationships between populations belonging to different population groups.4- Other dimensionality reduction methods, being Multi-dimensional Scaling (MDS) and t-Distributed Stochastic Neighbour Embedding (t-SNE), were tested to investigate their ability to explore the population structure, and to compare them with PCA. The goal of this paper is to visualize and make observations about the data using PCA, and to test PCA's effectiveness to explore the population structure. The paper is organized as follows: a detailed description about the data and the statistical problem is discussed in section 2. A brief explanation about the theory behind the statistical methods used and the procedure of splitting the data in section 3. Results are presented in section 4. Final discussion and closing remarks are presented in section 5.2. DETAILED DESCRIPTION OF PROBLEM2.1 Data  The dataset used for the analysis of this paper is  from the Human Genome Diversity  Project (HGDP-CEPH) which can be found on http://www.cephb.fr/hgdp/ . The dataset contains  660,918  SNPs for the 22 chromosomes of 1043 subjects. The subjects come from 52 populations of 7 major population groups: Africa, America, Central and South Asia, East Asia, Europe, Middle East and North Africa (MENA), and Oceania.  The location map of the subjects' origins is visualized in  Fig. \ref{591956}.  The raw data was encoded as 0,1, or 2, with 0 representing the major allele and 2 representing the minor allele. For the missing values, genotypes were imputed based on the mean of a SNP. Data encoding and imputation were done using R's programming language (3.6.3) by BiocManager::snpReady::raw.data.
When a patient walks in with a knife in his back: A scene from the movies, a case rep...
Tuhin Shah
Arjana Shakya

Tuhin Shah

and 1 more

April 08, 2020
Stab wounds are commonly seen in the emergency room of community hospitals especially in developing countries. The uniqueness of the case to be reported here was that the patient walked in the ER retaining the inflicting weapon in the wound over his back.
Prevalence and Predictors of Gastrointestinal Parasitic infection among Agro-Pastoral...
Olubukola Adelakun
Foluke Akande

Olubukola Adelakun

and 5 more

April 08, 2020
Gastrointestinal parasites (GIP) are a major setback to profitable cattle production in developing countries like Nigeria. However, despite the huge population of pastoralists and their cattle in Ibarapa Area, Nigeria, there is limited information on the prevalence of GIP among the resident cattle. This study was therefore carried out to determine the prevalence, distribution and factors associated with GIP among agro-pastoral cattle herds. Here, we carried out a cross-sectional study to screen different cattle herds for GIP between May and August 2019 in the Ibarapa Area of Oyo State, southwestern Nigeria. Faecal samples were obtained from randomly selected cattle and examined for GIP ova and oocysts using salt/ sugar centrifugal floatation technique at a specific gravity of 1.3. Factors such as breed, sex, age, body condition score (BCS) and herd size were obtained. Descriptive statistics and odds ratios (OR) were calculated. Chi-square test was used to determine the level of significance at a 95% confidence interval (95% CI). Predictors of GIP presence were determined using logistic regression. A total of 377 cattle comprising of 347 females from 39 different cattle herds, with age range 1 year to 15 years were screened. An overall prevalence of 58.1% (219) was obtained for cattle having at least one GIP. Eimeria spp had the highest prevalence (41.1%) followed by Neoascaris spp (10.1%), Strongyles spp (8.0%), Taenid spp (7.7%), Paraphistomum spp (6.1%), Monienza spp (2.9%), Nematodirus spp (2.9%), Schistosoma spp (2.7%) and Strongyloides spp (2.1%). Predictors of GIP infection were age (OR=0.5; CI: 0.3 – 0.8), BCS (OR=2.3; CI: 1.5 – 3.7), breed (OR = 0.5; CI: 0.3 – 0.7) and herd size (OR=0.6; CI: 0.4 – 0.8). High prevalence of GIP among agro-pastoralist cattle herds’ calls for improved animal health care delivery and assess to veterinary services among this population.
It's All About the Money, Honey! - A retrospective cost comparison between total endo...
Eishaan Bhargava
Oliver Wakelam

Eishaan Bhargava

and 4 more

April 08, 2020
Introduction and Objectives: Endoscopic ear surgery (EES) is rapidly emerging as a mainstream surgical modality, with recent literature highlighting its advantages over traditional approaches. This study tests the null hypothesis that there is no difference in direct costs of total endoscopic ear surgery and microscopic ear surgery for attic cholesteatoma in a British National Health Service District General Hospital setting. Study Design: Retrospective cost comparison Setting: district general hospital Participants: patients undergoing surgery for cholesteatoma limited to the attic, either via endoscopic or microscopic approach Cost comparison: Direct cost comparison of anaesthetic set up, surgical set up, and surgical time between total endoscopic ear surgery and microscopic ear surgery for attic cholesteatoma. Main outcome measures: Direct costs of anaesthetic set up, surgical set up, and surgical time Results: Total endoscopic ear surgery had a significant cost saving of £1419.01 per operation. Conclusion: Total endoscopic ear surgery is more cost-effective than microscopic surgery for attic cholesteatoma in a British National Health Service District General Hospital setting.
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