Association of Inflammatory Markers/Cytokines with Cardiovascular Risk Manifestation in Patients with Endometriosis.

This study is aimed at determining the association of inflammatory markers and proinflammatory cytokines with cardiovascular risk manifestation in women with endometriosis as compared to healthy controls. A total of 181 females of reproductive age with the absence of other inflammatory or autoimmune disorders and a lack of hormonal therapy for at least 6 months voluntarily participated in this investigation. Patients were 81 females, laparoscopically diagnosed with endometriosis, while the control group comprised 80 healthy females without any pelvic pathology. All subjects were 20-40 years of age. Exclusion criteria were diabetes, obesity, hypertension, metabolic diseases, cardiovascular, and renal disorders. C-reactive protein, fibrinogen, homocysteine, interleukin-17, and interleukin-33 were analyzed using commercially available ELISA kits. For statistical interpretation, the unpaired Student "t" test was used. All inflammatory markers and cytokines demonstrated elevated levels (P < 0.001) in endometriosis patients as compared to healthy controls. The results of the study revealed that the patients with endometriosis demonstrate a hypercoagulable status due to inflammation, which initiates atherosclerosis and associated complications. Hence, endometriosis can cause a risk of cardiovascular disorders in these patients.

Assessment of heavy metals in different organs of cattle egrets (Bubulcus ibis) from a rural and urban environment in Pakistan.

The study was conducted to evaluate the concentration of essential elements (Cu, Fe, Mn, Ni, Se, Zn, and B) and non-essential elements (Cd, Pb, Hg, Cr, As, and Ni) in muscle, liver, bone, and intestine of matured cattle egret (Bubulcus ibis). Sampling was carried out at two sites of Lahore, Pakistan-Havalian Karbath (site I) and Mehmood Booti (site II)-over a period of 1 month in the winter season. Metal analyses of samples were carried out using inductively coupled plasma mass spectroscopy (ICPMS). The trend of essential elements in liver and intestine of site I was noticed as Fe > Zn > Cu > B > Mn > Se > Ni and almost same for bone and muscle as Fe > Zn > B > Mn > Cu > Se > Ni. It was noticed that Cu was less deposited in bone and muscle tissues compared to liver and intestine from site I. The deposition of essential elements in liver and intestine from site II was noticed as Fe > Zn > Cu > Mn > B > Se > Ni. Similar trend was found for bone and muscle: Fe > Zn > B > Mn > Cu > Se > Ni with great deposition of B than Cu compared to liver and intestine. The findings of the present study revealed almost similar trend for essential elements deposition at both sites. However, a random trend was observed for deposition of non-essential elements (Ag, As, Ba, Cd, Cr, Hg, Pb) in organs from both sites. Moreover, data showed higher levels of non-essential elements accumulation (particularly As, Ba, and Pb) in the body tissues/organs of cattle egret in an urban area (site II) as compared to rural area (site I) of Lahore. Furthermore, non-essential elements were more in intestine, bone, and muscles from site II showing more exposure to some non-essential elements at urban site due to human and natural activities. However, higher concentration of non-essential elements in liver from site I as compared to other organs not only reflect the land exposure to plant growth promoting fertilizers and sewage water for irrigation purpose but also better detoxification abilities of the rural birds. The study gave a new insight to inform contamination levels in the rural and urban sites. Future implications of this study need remediation strategies to clean environment requisite for avian species.