Fucoidan, a brown seaweed polysaccharide in nanodrug delivery.

Fucoidan-a sulfated marine seaweed obtained from brown algae-has raised considerable interest in the scientific community over the last decade as it possesses a wide range of biological activities such as antioxidant, antiviral, anti-inflammatory, anticoagulant, antithrombotic, anticarcinogenic, and immunoregulatory. This polysaccharide finds application as a drug delivery vehicle due to its non-cytotoxicity, biocompatibility, and biodegradability. Besides, nano biomedical systems have used this marine alga for diagnostic and therapeutic purposes. Fucoidan has been extensively studied for use in regenerative medicines, in wound healing, and for sustained drug delivery due to its large biodiversity, cost-effectiveness, and mild procedures for extraction and purification. However, the main concern that limits its application is the variance in its batch-to-batch extraction owing to species type, harvesting, and climatic factors. The current review encloses a compendious overview of the origin, chemical structure, and physicochemical and biological properties of fucoidan and its significant role in nanodrug delivery systems. Special emphasis is given to the recent advances in the use of native/modified fucoidan, its combination with chitosan and metal ions for nanodrug delivery applications, especially in cancer treatment. Additionally, use of fucoidan in human clinical trials as a complementary therapeutic agent is also reviewed.

Preparation and optimization of tetraethyl orthosilicate cross-linked chitosan-guar gum-poly(vinyl alcohol) composites reinforced with montmorillonite for sustained release of sitagliptin.

Development of efficient drug carriers has become an integral part of advanced drug delivery systems. This work aims at developing composites by adopting an economically viable method for sustained release of anti-diabetic drug sitagliptin - a potent and selective dipeptidyl peptidase-IV inhibitor. To combat the harsh environment of gastrointestinal tract, the composite (F13) was prepared using biodegradable polymers namely chitosan, guar gum and poly(vinyl alcohol) with montmorillonite clay as nano-filler and tetraethyl orthosilicate as the cross linker. The composites were characterized using FT-IR, XRD, DSC and SEM techniques. Physical properties such as thickness, swelling capacity, folding endurance and water solubility were studied. In vitro analysis of composites (F17, F19 and F20) in simulated gastric medium showed <14 % cumulative release in 2 h while a sustained release was observed in simulated intestinal medium. Drug release kinetics was investigated using five mathematical models namely zero order, first order, Higuchi, Hixon-Crowell and Korsemeyer-Peppas wherein the latter was the best fit model (R2, 0.969). Antimicrobial studies of drug free composite (F13) revealed good activity against bacteria as well as fungi. The results implied that the composites were pH sensitive and could serve as a potential choice for sustained release of drugs.

A Status Update on the Development of Polymer and Metal-Based Graphene Electrochemical Sensors for Detection and Quantitation of Bisphenol A.

The detection and quantitation of bisphenol A (BPA) in the environment and food products has been a subject of considerable interest. BPA, a diphenylmethane derivative is a well-known industrial raw material with wide range of applications. It is a well-known endocrine disruptor and acts as an estrogen mimic. BPA is an environmental health concern and its accumulation in hydro-geological cycles is a matter of serious ecological peril. This review basically assesses various chemically modified electrodes composed of diverse components that have been employed to recognize BPA in different matrices. Electrochemical sensors prepared using graphene materials in combination with metals and polymers for selective detection of BPA have been discussed extensively. The emphasis is on detection of BPA in various samples encountered in routine use such as plastic bottles, receipts, baby feed bottles, milk samples, mineralized water, tissue paper, DVDs, and others. Although research in this field is in the exploratory stage, deeper insights into fundamental studies of sensing systems, fast analysis of real samples and validation of sensors are some of the factors that need major impetus. It is expected that chemically modified electrode-based sensing systems will soon take over as a viable option for monitoring diverse pollutants.

Correlating Ultrasonographic Features of Lymph Nodes During Endobronchial Ultrasound With Final Outcome.

Background In clinical practice, metastatic primary lung cancer, TB, and sarcoidosis are the commonest causes of mediastinal lymphadenopathy. Differentiation of malignant from benign causes is essential. The sonographic features seem to correlate with malignancy in head and neck, breast, and cervix cancers and can be used to predict the etiology of lesions. The objective of our study was to assess the utility of different ultrasonographic features in differentiating benign and malignant lymph nodes by endobronchial ultrasound-guided transbronchial needle aspiration (EBUS-TBNA). Methods This is a prospective study analysis of all patients above 18 years presenting with mediastinal and hilar adenopathy on computed chest tomography with contrast, undergoing EBUS-TBNA for diagnosis. Lymph node ultrasonographic characteristics such as size, shape, echogenicity, margins, central hilar structure (CHS), and coagulation necrosis sign (CNS) were recorded and compared with histopathology. Results A total of 576 patients underwent the EBUS-TBNA procedure, and a total of 810 lymph nodes were evaluated. Three hundred and forty-eight patients (468 lymph nodes) were malignant; 228 patients (342 lymph nodes) were benign. Heterogeneous echotexture was significantly higher in malignant lymph nodes (<0.001). The multivariate analysis revealed that heterogeneous echotexture was an independent predictor for malignant etiology. Conclusion Heterogeneous echotexture of the lymph node on EBUS was predictive of malignancy. If heterogenicity is observed on EBUS, subsequent sampling of that lymph node might be considered, which may yield a higher diagnostic yield and may reduce the number of lymph nodes requiring sampling and further invasive procedures.

Photodynamic therapy with light emitting fabrics: a review.

Photodynamic therapy is a powerful tool in the localized and selective treatment of dermatologic diseases, such as actinic keratosis, acne vulgaris, Bowen's disease and basal cell carcinoma. The success of photodynamic therapy is mainly attributed to the development of flexible light sources for homogenous and reproducible illumination during clinical studies. The essential requirement for this therapy includes, a suitable photosensitizer, presence of oxygen and a light of specific wavelength and intensity. The use of light emitting fabric comprising of optical fibers provides an exciting and an efficient way to transfer light directly to the skin uniformly on the infected body parts. As the optical fibers can transmit light from 400 to 1200 nm it is possible to combine light emitting fabric with laser sources for medical applications. This review focusses on the challenges and recent developments in the use of light emitting fabric for photodynamic therapy in clinical studies and its future perspectives.

Quantitative histology-based classification system for assessment of the intestinal mucosal histological changes in patients with celiac disease.

BACKGROUND/AIMS: The existing histological classifications for the interpretation of small intestinal biopsies are based on qualitative parameters with high intraobserver and interobserver variations. We have developed and propose a quantitative histological classification system for the assessment of intestinal mucosal biopsies. METHODS: We performed a computer-assisted quantitative histological assessment of digital images of duodenal biopsies from 137 controls and 124 patients with celiac disease (CeD) (derivation cohort). From the receiver-operating curve analysis, followed by multivariate and logistic regression analyses, we identified parameters for differentiating control biopsies from those of the patients with CeD. We repeated the quantitative histological analysis in a validation cohort (105 controls and 120 patients with CeD). On the basis of the results, we propose a quantitative histological classification system. The new classification was compared with the existing histological classifications for interobserver and intraobserver agreements by a group of qualified pathologists. RESULTS: Among the histological parameters, intraepithelial lymphocyte count of ≥25/100 epithelial cells, adjusted villous height fold change of ≤0.7, and crypt depth-to-villous height ratio of ≥0.5 showed good discriminative power between the mucosal biopsies from the patients with CeD and those from the controls, with 90.3% sensitivity, 93.5% specificity, and 96.2% area under the curve. Among the existing histological classifications, our quantitative histological classification showed the highest intraobserver (69.7%-85.03%) and interobserver (24.6%-71.5%) agreements. CONCLUSIONS: Quantitative assessment increases the reliability of the histological assessment of mucosal biopsies in patients with CeD. Such a classification system may be used for clinical trials in patients with CeD. (Intest Res, Published online).

Natural biodegradable polymers based nano-formulations for drug delivery: A review.

Nanomedicines are now considered as the new-generation medication in the current era mainly because of their features related to nano size. The efficacy of many drugs in their micro/macro formulations is shown to have poor bioavailability and pharmacokinetics after oral administration. To overcome this predicament, use of natural/synthetic biodegradable polymeric nanoparticles (NPs) have gained prominence in the field of nanomedicine for targeted drug delivery to improve biocompatibility, bioavailability, safety, enhanced permeability, better retention time and lower toxicity. For drug delivery, it is essential to have biodegradable nanoparticle formulations for safe and efficient transport and release of drug at the intended site. Moreover, depending on the target organ, a suitable biodegradable polymer can be selected as the drug-carrier for target specific as well as for sustained drug delivery. The aim of this review is to present the current status and scope of natural biodegradable polymers as well as some emerging polymers with special characteristics as suitable carriers for drug delivery applications. The most widely preferred preparation methods are discussed along with their characterization using different analytical techniques. Further, the review highlights significant features of methods developed using natural polymers for drug entrapment and release studies.

Simultaneous quantitation of metformin and dapagliflozin in human plasma by LC-MS/MS: Application to a pharmacokinetic study.

A single LC-MS/MS assay has been developed and validated for the simultaneous determination of metformin and dapagliflozin in human plasma using ion-pair solid-phase extraction. Chromatographic separation of the analytes and their internal standards was carried out on a reversed-phase ACE 5CN (150 × 4.6 mm, 5 µm) column using acetonitrile-15 mm ammonium acetate, pH 4.5 (70:30, v/v) as the mobile phase. To achieve higher sensitivity and selectivity for the analytes, mass spectrometric analysis was performed using a polarity switching approach. Ion transitions studied using multiple reaction monitoring mode were m/z 130.1 [M + H]+ /60.1 for metformin and m/z 467.1 [M + CH3 COO]- /329.1 for dapagliflozin in the positive and negative modes, respectively. The linear calibration range of the assay was established from 1.00 to 2000 ng/mL for metformin and from 0.10 to 200 ng/mL for dapagliflozin to achieve a better assessment of the pharmacokinetics of the drugs. The limit of detection and limit of quantitation for the analytes were 0.39 and 1.0 ng/mL for metformin and 0.03 and 0.1 ng/mL for dapagliflozin, respectively. There was no interference of plasma matrix obtained from different sources, including hemolyzed and lipemic plasma. The method was successfully applied to study the effect of food on the pharmacokinetics of metformin and dapagliflozin in healthy subjects.

Small cell carcinoma of the lung in a treated case of Myoepithelial carcinoma of the tongue--report of a rare case with illustrated review of the literature.

Myoepithelial carcinoma has rarely been reported in the oral cavity and oropharynx. We found only 6 cases of myoepithelioma of the tongue reported till date. Two cases had a benign myoepithelioma; four had epithelial-Myoepithelial carcinoma. The present case had malignant myoepithelioma, a distinct entity from other histologies.

Primitive neuro-ectodermal tumour of kidney in adult: Report of four consecutive cases and review of the literature.

BACKGROUND: PNET of kidney is a rare entity and its diagnosis is complicated by the presence of a number of differential diagnoses. The disease is most commonly seen in young adults. Radical nephrectomy and adjuvant chemotherapy is the standard treatment. However, the patients have a modest survival and often develop distant metastasis. We herein report four cases of renal PNET (rPNET). METHODOLOGY: We retrospectively retrieved treatment chart of four cases of rPNET. RESULTS: Median age was 29 years. Radical nephrectomy was performed in three cases. All four cases received multiagent chemotherapy. VAC alternating with IE was the commonest regimen. Compliance and tolerance to treatment was excellent. At the last follow up two patients were in complete remission whereas the remaining two cases had systemic metastasis and alive with disease. CONCLUSION: Multimodality approach is required in rPNET. Patient with localized disease appears to have better disease control and survival.