Variation in the gut hydrolytic enzymes of legume pod borer, Maruca vitrata (Fabricius) feeding on different pulses

Maruca vitrata (Fabricius), commonly known as legume pod borer, is a serious pest in pulses affecting the yield. Liberal use of chemical insecticides to control has resulted in diverse array of insect detoxification enzymes produced by the pest to metabolize these toxic chemicals and develop resistance. Here, we studied the gut hydrolytic enzymes of M. vitrata up on its field exposure to different insecticides in order to have an idea about level of adaptation. Among the larval samples collected from different pulses, the maximum protein content of 547.14 mg was recorded per g of gut sample of legume pod borer, M. vitrata collected from green gram. Total trypsin activity was insignificant in gut samples of larvae collected from different samples. The total chymotrypsin and aminopeptidase activities were found maximum in cowpea of 0.5655 and 0.1184 mM/mL/min/g, respectively. Whereas, the maximum GST activity in lablab populations of M. vitrata (2.3335 mM/mL/min/g). The specific activity of trypsin was maximum in Maruca larval populations from lablab (0.0050 nM/mL/min/mg of protein) and red gram or pigeonpea (0.0049 nM/mL/min/mg of protein) and chymotrypsin activity in cowpea (0.0098 nM/mL/min/mg of protein). The larval samples collected from lablab (0.0052 nM/mL/min/mg of protein) and cowpea (0.0037 nM/mL/min/mg of protein) showed the maximum specific activity of aminopeptidase. Maximum specific GST activity of 0.0325 and 0.0294 nM/mL/min/mg of protein was recorded in larvae collected from lablab and red gram, respectively. Larval samples from black gram ranked the last with respect to the activity of gut enzymes.

Hematological changes following early ligation of splenic artery during splenectomy in shunt surgery for portal hypertension.

Objective and background data: Reduction in cellular elements of blood, secondary to hypersplenism is an established component of non-cirrhotic portal hypertension. Prior transfusion of blood or blood components is frequently required for safe surgical intervention. Due to thrombocytopenia, epidural catheter insertion for effective and durable analgesia is not possible. The aim of the present study was to objectively demonstrate the gain in blood components following early ligation of splenic artery for splenectomy in shunt surgery. Methods: From Jan 2008 to July 2010, 30 patients underwent elective proximal spleno renal shunt for portal hypertension, for various indications and were analyzed prospectively. We followed the standard protocol of ligating the splenic artery in situ, first in the lesser sac. Proximal spleno shunt was done . After the surgical procedure and before extubation, an epidural catheter was placed for effective and durable analgesia. 5ml of venous blood was drawn in the following order of sequence: prior to induction of anesthesia, immediately after the ligation of splenic artery, 30 minutes after ligation of splenic artery and 30 minutes after splenectomy. Samples were sent for complete hemogram and values were analyzed in respective order. Patients requiring transfusion of blood or blood components during surgery were excluded from the study. Results: 30 patients (M - 9, F- 21) with mean age of 29.4 years ( 11-60 years) were analyzed (NCPF- 20, EHPVO- 9, cirrhosis- 1). We objectively demonstrated a significant gain in RBCs (p=0.016) and platelets (p=0.000) using this standard protocol. As there were no intrinsic abnormalities in RBCs, red blood cell indices (MCV, MCH, MCHC) showed no changes as expected (p-0.9). Conclusion: By following this standard protocol, in addition to reduction in blood loss there was a significant gain in RBCs and platelets. This gain allows the surgeon to perform the surgical procedure safely and the anesthetist to secure an epidural catheter immediately after surgery for effective and durable analgesia without prior transfusion.

Level of oxidative stress in the red blood cells of patients with liver cirrhosis.

BACKGROUND & OBJECTIVE: Liver cirrhosis is associated with gastrointestinal haemorrhage and oesophageal variceal bleeding. Altered platelet functions has been reported to be a cause of bleeding complication. We carried out this study to find out the level of oxidative stress in the red blood cells of patients with liver cirrhosis. METHODS: Fifty patients admitted with the complication of liver cirrhosis (with bleeding complications, n=30 and without bleeding complications, n=20) were included in the study. Age and sex matched normal healthy volunteers (n=45) served as controls. The levels of oxyhaemoglobin and methaemoglobin were assayed in the red blood cells. Oxidative stress markers such as lipid peroxides, lipid hydroperoxides and nitric oxide were determined along with enzymatic antioxidants. Membrane bound adenosine triphosphatases, cytosolic glucose-6-phosphate dehydrogenase and NADHmethaemoglobin reductase were also measured. The levels of cholesterol and total phospholipids were assessed in red blood cell membrane. The osmotic fragility of red blood cells was monitored using different concentrations of sodium chloride. RESULTS: The level of methaemoglobin was significantly higher (P < 0.001) in the red blood cells of liver cirrhotic patients with bleeding complication compared to that of non bleeding patients. The activity level of NADH-methaemoglobin reductase was significantly lower (P<0.001) compared to that of normal subjects. Levels of oxidative stress markers including nitric oxide were found to be higher in patients. The levels of enzymatic antioxidants were low except of glutathione peroxidase. The activity levels of adenosine triphosphatases were also found to be significantly lower (P<0.001) in patients compared to normal subjects. A significant alteration (P<0.05) was found in membrane cholesterol/phospholipid ratio of cirrhotic bleeders. Osmotic fragility of red blood cells was also altered in patients. INTERPRETATION & CONCLUSION: In cirrhotic condition red blood cells are subjected to severe oxidative stress with significant alterations in the membrane properties.

Acquired volvulus following Nissen fundoplication.

Nissen fundoplication is the procedure of choice for the management of gastroesophageal reflux disease. We report a case of acquired gastric volvulus following open fundoplication. The mechanism of formation and correction of the volvulus is discussed.

Surgical practice in symptomatic and asymptomatic gallstone disease.

AIMS: To determine the surgical practice in individuals with symptomatic and asymptomatic gallstone disease using a questionnaire survey. METHODS: A questionnaire was sent to 724 patients with gallstone disease. Details of symptoms, duration of illness, nature of treatment including surgery, color of gallstones retrieved and postoperative follow-up particulars were obtained. RESULTS: The study group included 225 (54%) men; there was a rising trend of prevalence of gallstones in men with increasing age (p<0.05). A third of the patients (142 [34%]) were symptomatic. The mean duration of symptoms was 12.1 months. One hundred and ninety seven patients (48%), including 90 asymptomatic ones, underwent cholecystectomy. Most patients (92.5% of those symptomatic and 76.6% of those asymptomatic) underwent cholecystectomy within one year of diagnosis. Eight asymptomatic patients underwent surgery 3 years or more after diagnosis. The predominant color of stones retrieved was black or brown (57%) or mixed (39%). CONCLUSIONS: A majority of patients with gallstone disease had cholecystectomy within one year of diagnosis. Black or brown pigment stones were the dominant types of gallstones.

Predicting the composition of gallstones by infrared spectroscopy.

AIM: To determine the composition of gallstones in South India by comparing visual assessment with graphic interpretation of infrared spectra. METHODS: Infrared spectroscopy (IRS) was used in qualitative analysis of 168 gallstones from Tamilnadu, Kerala and Karnataka and compared with visual interpretation. The spectrum of cholesterol, calcium bilirubinate and calcium carbonate for each stone was correlated with visual inspection. RESULTS: Fifty four percent of gallstones were of pigment variety, 43% were of mixed and the remaining 3% were cholesterol gallstones as categorised by visual interpretation. Based on infrared spectrocopic interpretation the percentages were 58%, 39% and 2% respectively. There was a good agreement between the visual inspection and IRS in classification of gallstones (Kappa value 85%; 95% CI 77-93%). CONCLUSION: Visual inspection of gallstones can predict the composition of gallstone with good accuracy and was comparable to infrared spectroscopic interpretation.