In vitro antiplasmodial activity of marine sponge Clathria indica associated bacteria against Palsmodium falciparum

Objective: To identify the possible antiplasmodial drugs from bacteria associated with marine sponge Clathria indica. Methods: Clathria indica samples were collected from Thondi coast and subjected for enumeration and isolation of associated bacteria. Filter sterilized extracts (100, 50, 25, 12.5, 6.25 and 3.125 μg.mL-1) from isolated bacterial isolates were screened for antiplasmodial activity against Palsmodium falciparum and potential extracts were also screened for biochemical constituents. Results: The count of bacterial strains were maximum in November 2007 (19×104 CFU.g-1) and the average count was maximum during the monsoon season (107×10 3 CFU.g-1). Thirty one morphologically different bacterial isolates were isolated from Clathria indica and the ethyl acetate bacterial extracts were screened for antiplasmodial activity against Palsmodiumfalciparum. The antiplasmodial activity of a isolate THB23 (IC 50 28.80 μg.mL-1) extract is highly comparable with the positive control chloroquine (IC50 19.59 μg.mL-1) and 17 bacterial extracts which showed IC50 value of more than 100 μg.mL-1. Statistical analysis reveals that, significant in vitro antiplasmodial activity (P<0.05) was observed between the concentrations and time of exposure. The chemical injury to erythrocytes showed no morphological changes in erythrocytes by the ethyl acetate extract of bacterial strains after 48 h of incubation. The in vitro antiplasmodial activity might be due to the presence of carbohydrates and alkaloids in the ethyl acetate extracts of bacterial isolates. Conclusions: The ethyl acetate extracts of THB23 possesses novel compounds for the development of antiplasmodial drugs.

In vitro antiplasmodial effect of ethanolic extracts of coastal medicinal plants along Palk Strait against Plasmodium falciparum

Objective: To identify the possible antiplasmodial compounds from Achyranthes aspera (A. aspera), Acalypha indica (A. indica), Jatropha glandulifera (J. glandulifera) and Phyllanthusamarus (P. amarus). Methods: The A. aspera, A. indica, J. glandulifera and P. amarus were collected along Palk Strait and the extraction was carried out in ethanol. The filter sterilized extracts (100, 50, 25, 12.5, 6.25 and 3.125 μg/mL) of leaf, stem, root and flower extracts of A. aspera, A. indica, J. glandulifera and P. amarus were tested for antiplasmodial activity against Plasmodiumfalciparum. The potential extracts were also tested for their phytochemical constituents. Results:Of the selected plants species parts, the stem extract of A. indica showed excellent antiplasmodial activity (IC50= 43.81μg/mL) followed by stem extract of J. glandulifera (IC50= 49.14μg/mL). The stem extract of A. aspera, leaf and root extracts of A. indica, leaf, root and seed extracts of J.glandulifera and leaf and stem extracts of P. amarus showed IC 50 values between 50 and 100 μg/mL. Statistical analysis revealed that, significant antiplasmodial activity (P<0.01) was observed between the concentrations and time of exposure. The chemical injury to erythrocytes was also carried out and it showed that there were no morphological changes in erythrocytes by the ethanolic extract of all the tested plant extracts. The in vitro antiplasmodial activity might be due to the presence of alkaloids, glycosides, flavonoids, phenols, saponins, triterpenoids, proteins, and tannins in the ethanolic extracts of tested plants. Conclusions: The ethanolic stem extracts of P. amarus and J. glandulifera possess lead compounds for the development of antiplasmodial drugs.

In vitro antiplasmodial activity of marine sponge Hyattella intestinalis associated bacteria against Plasmodium falciparum

Objective: To identify the antiplasmodial drugs from the marine sponge Hyattella intestinalis (H. intestinalis) associated bacteria. Methods: The H. intestinalis samples were collected from Thondi coast and subjected for enumeration and isolation of associated bacteria. Filter sterilized extracts (100, 50, 25, 12.5, 6.25 and 3.125μg/mL) from bacterial isolates were screened for antiplasmodial activity against P. falciparum and potential extracts were also screened for biochemical constituents. Results: The count of THB isolates were maximum in November 2007 (20×10 4 CFU/g) and the average count was maximum during the monsoon season (77×103 CFU/g). A total of 29 bacteria were isolated based on the morphological characteristics and screened for antiplasmodial activity. The antiplasmodial activity of THB20 extract (IC50 41.88 μg/mL) showed at two fold concentration of IC50 value of the positive control chloroquine (IC50 19.59 μg/mL) and 14 bacterial isolates showed IC50 value of more than 100 μg/mL. Statistical analysis reveals that, significant in vitro antiplasmodial activity (P<0.05) was observed between the concentrations and time of exposure. The chemical injury to erythrocytes showed no morphological changes in erythrocytes by the ethyl acetate extract of THB isolates after 48 h of incubation. The antiplasmodial activity of potential bacterial isolates might be due to the presence of sugars and alkaloids in the ethyl acetate extracts. Conclusions: It is concluded from the present study that, the ethyl acetate extracts of THB20 posses novel metabolites for the development of newer antiplasmodial drugs.

Gastric leiomyosarcoma: first case report from the Kingdom of Bahrain and review of literature

Gastric leiomyosarcoma are very rare tumors. We are reporting the first case of gastric leiomyosarcoma diagnosed in Bahrain and documented in the cancer registry. Unfortunately, the patient died due to rapidly progressing nature of the disease despite the multimodality treatment

Cancer pattern in Western Nepal: a hospital based retrospective study.

Information on cancer patterns is an important basis for determining the priorities for cancer control in different countries worldwide. There is no reliable information about the incidence or pattern of cancer in Nepal and hence an attempt was made to assess the situation based on hospital data which is the only source in the western region of Nepal. Cancer cases diagnosed by all methods or treated in Manipal Teaching Hospital, affiliated to Manipal College of Medical Sciences, Pokhara, during 1st January 2003 to 30th May 2005 were used for the present study. A total of 957 cancer cases were identified with a male to female ratio of 1.1:1. The median age of male and female patients was 63 and 60 years, respectively. The proportion of microscopically confirmed cases, both from primary and metastatic sites was 87.5% and tobacco-related cancers constituted 48% of all cancers among males and 28% among females. For males the leading cancer sites were lung (22.2%), larynx (9.8%) and stomach (9%) and that for females was lung (20%), cervix (19.7%) and breast (7.8%). Among males, 33.1% of all cancers were in the respiratory system followed by digestive organ cancers (23.2%). Among females, 28.4% cancers were related to the reproductive system, 22.8% to the respiratory system and 14.1% to digestive organs. The cancer pattern revealed by the present study provides valuable leads to cancer epidemiology in Nepal, particularly in the western region, and provides useful information for health planning and future research.

Spinal cord response to altered fractionation and re-irradiation: radiobiological considerations and role of bioeffect models.

The aim of radiation oncologist is to implement an uncomplicated loco regional control of cancer by radiation therapy. The bioeffect of a physical dose depends on the nature of the tissue, fractionation scheme, dose rate and treatment time. The transformation of absorbed dose into a bioeffect dose is controlled by treatment variables and the radiobiological characteristics of the relevant tissue. Various bioeffect models have been proposed to predict the biological effect of radiotherapy treatments. Dale has proposed extrapolated response dose (ERD) equations for external beam therapy, intracavitary brachytherapy and interstitial brachytherapy. Within the context of the LQ model, the parameter which quantifies the overall biological effect on a given tissue is the biologically effective dose (BED) which is obtained by applying repopulation correction to ERD (Orton). Thames proposed the total effect (TE) concept based on the incomplete repair LQ model which accounts for the biological effect of a fractionated course of radiotherapy. Spinal cord myelitis limits the dose to tumours in the head and neck, thoracic and upper abdominal regions resulting in reduction of tumour control probability. Radiation myelopathy is one of the most devastating complications of clinical radiotherapy. Treatment techniques that are designed to minimize the risk of spinal cord injury are likely to underdose the tumour consequent failure to control the disease. Since radiation myelopathy results in severe and irreversible morbidity, it is important to establish the tolerance dose of the spinal cord. A number of patients have recently been reported to have developed radiation myelopathy following hyperfractionated accelerated radiotherapy. As the survival rates of patients increase, radiation oncologists are more frequently faced with the problem of treatment of late recurrence or second tumours situated within or close to previously treated site. A rationale for taking a decision in treating in such a condition is even more complex than the original condition and requires knowledge of the kinetics of decay of occult injury of the previous treatment. To test the validity of ERD, clinically reported data of altered fractionation to the spinal cord for 7 patients reported by Wong et al, Saunders et al and Bogaert et al, were analysed, ERD values were calculated and compared with compiled clinical literature data of 3233 patients for the incidence of spinal cord myelitis reported by Cohen and Creditor, Wara et al, Abbatucci et al and Jeremic et al for conventional fractionation. ERD values were estimated with alpha/beta of 2.5 Gy for the conventional and altered fractionation data. To test the validity of TE concept for clinical data of re-irradiation tolerance of the spinal cord, the data of the 22 patients compiled by Nieder et al were used. Clinical data compiled from the literature of Cohen and Creditor, Wara et al, Abbatucci et al and Jeremic et al, were used for comparison.

Ampicilina de açäo prolongada em infecçöes pulmonares pediátricas / Long action ampicillin in pediatric lung infections

Neste trabalho estudou-se a eficácia da ampicilina de açäo prolongada (associaçäo de ampicilina sódica e benzatina) em única injeçäo diária, administrada parenteralmente em 30 crianças com infecçöes pulmonares agudas, de leve a moderada gravidade. Foram hospitalizadas e tratadas durante sete dias 30 crianças ambos os sexos com peso e idades variáveis. O diagnóstico clínico e radiológico de inclusäo foi de broncopneumonia (15 crianças), pneumonia lobar (14) e pneumonia intersticial (uma criança). Os sintomas e sinais clássicos foram observados e avaliados por escores diariamente. A temperatura foi medida a cada seis horas em graus centígrados. A dor local à injeçäo foi registrada. A partir do 3§ dia houve melhora significante, com cura clínica no 6§ dia em todas as crianças. O quadro radiológico evoluiu com melhora em todas, com exceçäo de uma. Em conclusäo, a associaçäo empregada teve excelente eficácia clínica na posologia empregada, sendo a injeçäo bem tolerada