Clinico-epidemiological study of dengue fever in Ajmer region

Background: Dengue infection is a major challenge to public health, especially in South-East Asia. It present with a diverse clinical spectrum. Estimates suggest that annually over 50 million cases of dengue hemorrhagic fever (DHF) occur in Asian countries with a case fatality rate of less than 5%. Of those with DHF, at least 90% are children younger than 15 years old. In humans, dengue infection causes a spectrum of illness ranging from relatively mild, non-specific viral syndrome known as Dengue fever (DF) to severe hemorrhagic disease and death. Definitive early Dengue diagnosis requires laboratory tests and those suitable for use at this stage of illness are either costly, such as RT-PCR for Dengue; not sufficiently rapid, such as virus isolation. Currently test available are NS1 antigen detection and ELISA for dengue, IgM and IgG antibodies. Objective of this study is to study clinico-epidemiological and haematological features of Dengue infection.Methods: Prospective observational study involving initial 100 registered cases who were serologically confirmed dengue infection for a period of one year.Results: DF, DHF and DSS were found in 41%, 53% and 6% patients respectively. Most common presenting complaint and bleeding manifestation were fever and petechiae. Uncommonly altered sensorium and icterus were found in severe dengue infection. 6% patients had coagulopathy, 37 patients had hepatic involvement and 2 patients had deranged renal function who had DSS. Fever was present in (100%) cases of DF, DHF and DSS. 26% patients had their platelet count <50000/mm3.Conclusions: Dengue is a common disease in the India with wide spectrum of clinical presentations, affecting 5-15 years age group children commonly. It is one of the dreaded fevers but early diagnosis and management according to recent WHO guidelines can decrease case fatality rate significantly.

Using size-exclusion chromatography to quantify the 146S antigen in inactivated foot-and-mouth disease vaccine / 生物工程学报

The aim of this study is to quantify the 146S antigen in foot-and-mouth disease virus (FMDV) inactivated vaccine by size-exclusion chromatography (SEC). The analysis was performed on a TSKgel G4000SWXL column (7.8 mm×30 cm), with a pH 7.2 buffer salt system as the mobile phase. The flow rate was 0.6 mL/min, the injection volume was 100 μL and the detection wavelength was 259 nm. The calibration curve was established by using purified inactivated FMDV (serotype O) 146S antigen; 3 batches of vaccine formulated by inactivated antigen solution were tested to verify the accuracy, reproducibility, specificity and tolerability of the method. At last 16 batches of vaccine were determined by the SEC method. Results showed a good linearity between peak area and concentration of 146S antigen in the range between 0.56 and 67.42 μg/mL (R2=0.996, n=10), and the average recovery rate of 146S antigen in the 3 batches of vaccine formulated in lab were 93.6% (RSD=2.7%, n=3), 102.3% (RSD=2.6%, n=3), and 95.5% (RSD=5.1%, n=3). The method was proved accurate and reliable with good reproducibility (RSD=0.5%, n=6), and applied to determine 16 batches of the commercial FMDV vaccine. According to the above results, the SEC method is high effective for 146S antigen quantify in the inactivated FMDV vaccine and would provide strong support for the vaccine quality control.

Infección por virus de Hepatitis B y C en pacientes hemodializados / Hepatitis B and C virus' infection in hemodialysed patients

Introducción: Los pacientes en tratamiento con hemodiálisis constituyen un grupo de alto riesgo para la infección por virus de hepatitis B y C. Objetivo: Identificar marcadores serológicos y moleculares de infección viral de hepatitis B y C en pacientes hemodializados. Material y métodos: Se realizó un estudio observacional, descriptivo, transversal que incluyó a 103 pacientes con IRC sometidos a régimen de hemodiálisis de las regiones occidental y central de Cuba. Las muestras fueron recibidas entre enero y abril del 2016 para estudio de marcadores serológicos y moleculares de hepatitis B y C a realizar en el Instituto de Gastroenterología. Se estimó la seroprevalencia de anti HCV, HBsAg y Anti S, además se realizaron determinaciones de carga viral mediante prueba de amplificación de ácidos nucleicos para la cuantificación de ADN y ARN para virus de hepatitis B y C respectivamente. Las asociaciones fueron evaluadas mediante el estadígrafo x2. Resultados: EL 7.8 por ciento de los hemodializados fueron portadores inactivos de hepatitis B. El 70.8 por ciento de los pacientes poseían marcadores de infección por virus de hepatitis C con viremia oculta en 18.4 por ciento de los mismos. Conclusiones: Elevada prevalencia de infección y viremia oculta por virus de hepatitis C en los pacientes hemodializados(AU)

Introduction: Patients subjected to hemodialysis treatment are a high risk group for hepatitis B and C infection. Objective: To identify molecular and serologic markers of hepatitis B and C viral infection in hemodialysis patients. Materials and Methods: Was performed an observational, descriptive, cross-sectional study including 103 patients with chronic kidney disease undergoing hemodialysis regime from Cuba's Western and Central regions. The samples were received between January and April 2016 to study serologic and molecular markers of hepatitis B and C to be performed at the Gastroenterology's Institute. Seroprevalence of anti HCV, HBsAg and Anti S was estimated, plus viral load determinations using amplification test to measuring nucleic acids DNA and RNA for hepatitis B and C respectively. Associations were evaluated using the x2 statistician. Results: 7.8 por ciento of hemodialysis patients were inactive carriers of hepatitis B. The 70.8 por ciento of patients had infection markers of hepatitis C virus; being hepatitis C hidden viremia in 18.4 por ciento of them. Conclusions: High prevalence of infection and hepatitis C hidden viremia in hemodialysis patients(AU)

Expression of miR-181a and CA125 and their correlation in human type I and II endometrial carcinoma / 解放军医学杂志

Objective To investigate the expression and correlation of microRNA-181a (miR-181a) and CA12S in human types I and II endometrial carcinomas. Methods A total of 78 formalin-fixed and paraffin-embedded endometrium tissue specimens were used in the present study, and they were supplied by Xiaolan People's Hospital affiliated to Southern Medical University, Southern Hospital and Zhongshan Hospital affiliated to Zhongshan University during Jan. 2011 to Dec. 2013. Among them, 13 were determined as normal endothelium by pathological and examination with immunohistochemical staining, 18 were endometrial hyperplasia, and 47 of them diagnosed were as endometrial carcinoma (type I 37 and type E 10). Total RNA was extracted from each of the specimens, and then the expression of miR-181a was determined by real-time PCR, and the expression of CA125 was detected by immunohistochemical staining. Results The expression levels of both miR-181a and CA125 were obviously higher in type I and II endometrial carcinoma tissues than in normal tissue (P<0.05). In addition, the expression of miR-181a was significantly higher in type II endometrial carcinoma than in type I endometrial carcinoma and endometrial hyperplasia tissues (P<0.05). Moreover, it was found that the expression of miR-181a increased gradually from that of normal endometrium to endometrial hyperplasia and then endometrial carcinoma, with statistically significant difference among them (P<0.05). In addition, there was also a significant difference in the expression of CA12S in different types of endometrial carcinoma (P<0.05). Correlation analysis showed that the expressions of miR-181a and CA12S were negatively correlated with each other in the process of carcinogenesis of endometrium (P<0.05). Conclusion There is a difference in expression of miR-181a between type I and type II endometrial carcinoma, and it may be related to the development and progression of endometrial carcinoma. The mechanism may be related to the expression of CA12S as regulated by miR-181a in the process of endometrial carcinogenesis, but the specific mechanism still needs further validation with experiments on the cellular level.

CD44s and CD44v6 Are Predominantly Expressed in the Non-germinal Center B-Cell-like Type of Diffuse Large B-Cell Lymphomas

BACKGROUND: CD44 protein is known as a homing cellular adhesion molecule that is linked to diverse cellular functions such as adhesion, migration and invasion, which are all important in cancer progression and metastasis. The expression of CD44 standard and variant isoforms (CD44 standard isoform [CD44s] and CD44 splice variants containing exon v6 [CD44v6], respectively) is associated with an unfavorable clinical outcome in various neoplasms. METHODS: Forty patients who were diagnosed with diffuse large B-cell lymphoma (DLBCL) through biopsy at Hanyang University Hospital between 1996 and 2003 were included in this study. CD44 proteins expression was analyzed by immunohistochemical staining on a tissue microarray and the correlation of CD44 with the types of DLBCL and clinical parameters, including the factors defined by the International Prognostic Index, was evaluated. RESULTS: A high CD44s and intermediate to strong CD44v6 expression, including cytoplasmic membranous staining patterns, was present in 35% (14/40) and 25% (10/40) of DLBCL patients, respectively. High CD44s expression was correlated significantly with non-germinal center B-cell-like types (non-GCB, p=0.004) and patients with old age (p=0.041). CONCLUSIONS: High CD44s expression may be significantly associated with the non-GCB type compared to the GCB type and may be essential to the prediction of disease outcome in tumor stage III in DLBCL patients.

Expression of the Transmembrane Glycoprotein CD44s Is Potentially an Independent Predictor of Recurrence in Hepatocellular Carcinoma

BACKGROUND/AIMS: Cluster differentiation 44 standard isoform (CD44s) is a transmembrane glycoprotein. CD44s is a known prognostic factor in various cancers, due to its involvement in tumor cell growth, invasion and metastasis. Its prognostic role, however, is debated because it can be a positive or negative prognostic factor depending on tumor type and is still an ambiguous prognostic indicator in other cancers, especially hepatocellular carcinoma (HCC). We investigated the relationship between CD44s expression and survival in HCC patients. METHODS: A total of 260 HCC samples were collected to generate a tissue microarray. Staining of the arrays with a primary mouse CD44s monoclonal antibody was followed by evaluation of the relationship between CD44s expression and tumor differentiation. The effect of CD44s expression on patient survival was analyzed. RESULTS: CD44s protein expression correlated with histological grade (most and worst Edmondson grade) of the HCC (p=0.029 and p=0.039, respectively) and adversely affected the disease free survival period based on univariate and multivariate analyses (p=0.038 and p=0.077, respectively). CONCLUSIONS: High CD44s protein expression correlates with shorter disease free survival and poorly differentiated HCC. CD44s-targeted therapy may be efficacious for HCC treatment in the future.

Chemiluminescence Study of Pe roxynitrite in Experimental Autoimmune Uveitis

The purpose of this study is to evaluate the extent of peroxynitrite generation in the pool of radicals/oxidants from intraocular inflammation using luminol-dependent chemiluminescence(LDCL)method. S-antigen induced uveitis was produced in Lewis rats. The rats were killed at the peak of inflammation, and the retinas and choroids were collected for the LDCL. Sodium bicarbonate was used to confirm the peroxynitrite signal. Superoxide dismutase(SOD), N-nitro-L-arginine methyl ester(LNAME)and aminoguanidine(AG)were tried to evaluate the inhibitory effect of superoxide and nitric oxide. LDCL counts for 6 inflamed and 6 control retina/choroid preparations were 66, 429+/-413 cpm and 13, 941+/-105 cpm, respectively(p<0.01). In the presence of bicarbonate, emission was increased by 125.3+/-6.6%(n=6)and the signal was sustained for 2 hours. SOD, L-NAME and AG suppressed the LDCL by 39.8+/-6.1%(n=3), 20.4+/-4.4%(n=3) and 35.9+/-4.0 %(n=3), These observations suggest that peroxynitrite contributes considerably to the generation of the total pool of reactive species by the cellular infiltrate. The presence of a high level of peroxynitrite, a potent oxidizing and nitrating agent, in inflamed retina may cause irreversible tissue damage to the photoreceptors.

S Antigen Specific Rat Helper T Cell Line Induced Experimental Autoimmune Uveoretinitis / 대한면역학회지

No abstract available.

BIODEGRADABLE POLY (D,L-LACTIDE-CO-GLYCOLIC ACID) MICROSPHERES USED AS ADJUVANT IN DNA IMMUNIZATION OF HEPATITIS B VIRUS S GENE / 微生物学通报

Study the immunological adjuvant function of biodegradable microspheres for DNA immunization. Empty poly (D, L-lactide-co-glycolic acid) microspheres were prepared using the water- inoil-in-water (w-o-w) technique; A plasmid DNA pRc-CMV encoding hepatitis B virus S antigen was constructed; The mixture of the microspheres and the plasmid DNA was prepared by incubation method. The mixture was administered to Balb/c mice by intramuscular injection. Result: The high antibody titer(1:1600) of intramuscular injection of the mixture of microspheres and the plasmid DNA was obtained, similar to that of intramuscular injection of the mixture of AL(OH)3 and hepatitis B virus S antigen; while intramuscular injection the plasmid DNA elicited no serum antibody respones. Conclusion: biodegradable microspheres may be used as an good adjuvant for DNA immunization.

An Observation of Experimental Autoimmune Uveitis in Guinea Pigs by Light and Electron Microscope / 第二军医大学学报

The soluble antigen was isolated from pig retinal extract by precipitation with ammonium sulfate followed by molecular sieve. 50 ?g S antigen with equal volume complete Freund's adjuvant was injected into double hind foodpads of guinea pigs. Two weeks later, experimental autoimmune uveitis developed. Its pathologic feature is that a great number of lymphocytes infiltrated into chroid which was thickened gradually from anterior to posterior. Inflammatory variation was relative to disease phase. Ultrastructure pathology was characterized by swelling and necrosis in the inner and outer segments of photorecepter cells. This result suggests that S antigen has significant effect on inducing experimental autoimmune uveitis and the outer layer of retina is the sensitive target organ of S antigen.

A Study of HBsAg in Semen and Saliva (Preliminary Report) / 대한비뇨기과학회지

A group of 68 men who visited Urology Department of Severance hospital, including 11 patients with prostatitis and 57 patients with infertility were investigated for HBsAg from the specimen of serum, saliva and semen. HBsAg was detected by using a highly sensitive radioimmunoassay technique. The following results were obtained. 1. A case of 11 patients with prostatitis (9%) and 6 cases of 57 patients with infertility (10.5%) were HBsAg-positive in serum. 2. Of the 7 cases being HBsAg-positive in serum, 5 cases were HBsAg-positive in saliva (71%) and 3 cases in semen (43%) . 3. Type B hepatitis may be transmitted by parental, oral and probably venereal routes.