Impact of Interleukin-28B gene polymorphism (rs12979860) on Egyptian patients infected with hepatitis C virus genotype-4.

Single nucleotide polymorphisms (SNPs) in the Interleukin (IL)-28B gene, namely rs12979860, could predict response to pegylated interferon-α-ribavirin (PR) therapy in hepatitis C virus genotype 1 (HCV-1)-infected patients. A similar role was investigated in a case-control study conducted on 93 Egyptian patients chronically infected with HCV-4 in comparison to 22 individuals with spontaneous HCV clearance and 70 healthy volunteers. The homozygous C allele genotype (CC) was associated with sustained viral response (SVR) to therapy compared with the homozygous T allele genotype (TT) and the heterozygous genotype (CT). In the SVR group, the response rate was statistically significantly higher in CC genotypes (58.6%) compared with CT/TT (20.3%). There was no correlation between SVR patients' genotypes and early response to therapy or HCV baseline viral load. Our findings describe how IL-28B SNP genotyping may guide appropriate selection of HCV-4-infected patients for PR therapy.

Impact of Interleukin-28B gene polymorphism (rs12979860) on Egyptian patients infected with hepatitis C virus genotype-4

Single nucleotide polymorphisms [SNPs] in the Interleukin [IL]-28B gene, namely rs12979860, could predict response to pegylated interferon-?-ribavirin [PR] therapy in hepatitis C virus genotype 1 [HCV-1]-infected patients. A similar role was investigated in a case-control study conducted on 93 Egyptian patients chronically infected with HCV-4 in comparison to 22 individuals with spontaneous HCV clearance and 70 healthy volunteers. The homozygous C allele genotype [CC] was associated with sustained viral response [SVR] to therapy compared with the homozygous T allele genotype [TT] and the heterozygous genotype [CT]. In the SVR group, the response rate was statistically significantly higher in CC genotypes [58.6%] compared with CT/TT [20.3%]. There was no correlation between SVR patients' genotypes and early response to therapy or HCV baseline viral load. Our findings describe how IL-28B SNP genotyping may guide appropriate selection of HCV-4-infected patients for PR therapy. We underscore IL28B genotyping as a tool that might increase PR cost-benefit in Egypt

Natural radioactivity and chemical concentrations in Egyptian groundwater.

Measurements of natural radioactivity in drinking water have been performed in many parts of the world, mostly for assessment of the doses and risk resulting from consuming water. A study of the radionuclide and chemical components in groundwater from Beni Suef Governate, Egypt has been carried out. Fifty water samples were analyzed by gamma ray spectroscopy to determine the 226Ra, 232Th, and 40K concentrations; major elements, pH, alkalinity, and conductivity were also measured. The specific activity values ranged from 0.008 to 0.040 Bq/l for 226Ra, from 0.003 to 0.019 Bq/l for 232Th, and from 0.025 to 0.344 Bq/l for 40K. The annual ingestions of these radionuclides, using local consumption rates (average over the whole population) of 1.5 l day(-1), were estimated to be 8.59, 4.86, and 83.47 Bq year(-1) for 226Ra, 232Th, and 40K, respectively. The estimated values and weighted means of these radionuclides compare well with the world average. The estimated effective doses from drinking water were found to be 2.4 µSv year(-1) (226Ra), 1.1 µSv year(-1) (232Th), and 0.51 µSv year(-1) (40K). Contribution of these radionuclides to the committed effective dose from 1 year consumption of drinking water is estimated to be only 4%.

Analysis of common MEFV mutations in Egyptian patients with familial Mediterranean fever: molecular characterisation of the disease.

Familial Mediterranean fever (FMF) is a hereditary inflammatory disorder transmitted as an autosomal recessive trait. It predominantly affects people living in, or originating from, areas around the Mediterranean and was difficult to diagnose until mutations in the MEFV gene were identified. This study aims to analyse the five most common MEFV mutations in Egyptian patients diagnosed clinically as FME Thirty-eight unrelated patients were tested for the presence of the MEFV gene mutations V726A, M694V, M694I, M680I and E148Q, using polymerase chain reaction-restriction fragment length polymorphism (PCR-RFLP) and the amplification refractory mutation system (ARMS). Twenty-three patients (60.5%) had one or more mutations, whereas no mutation was found in the remaining 15 patients (39.5%). The most common mutation was M694I (42.5%), followed by V726A (22.5%), M680I (17.5%) and E148Q (17.5%). The M694V mutation was not detected. The profile of MEFV gene mutations in this study suggests that the origin of FMF in Egypt is heterogeneous, a finding in concordance with that for other Arab populations; however, some differences were observed as M694V, the most common mutation reported in Arabs, was not detected in this study.

Natural radioactive nuclides and chemical components in the groundwater of Beni Suef Governate, Middle Egypt.

Measurements of natural radioactivity in drinking water have been performed in many parts of the world, mostly for assessment of the doses and risk resulting from consuming water. A study of the radionuclide and chemical components in groundwater from Beni Suef Governate, Egypt has been carried out. Fifty water samples were analysed by gamma-ray spectroscopy to determine the (226)Ra, (232)Th and (40)K concentrations; major elements, pH, alkalinity and conductivity were also measured. The activity concentration values ranged from 0.008 to 0.040 Bq l(-1) for (226)Ra, from 0.003 to 0.019 Bq l(-1) for (232)Th and from 0.025 to 0.344 Bq l(-1) for (40)K. The annual ingestion of these radionuclides, using local consumption rates (averaged over the whole population) of 1.5 l d(-1), was estimated to be 8.59, 4.86 and 83.47 Bq y(-1) for (226)Ra, (232)Th and (40)K, respectively. The estimated effective doses from drinking water were found to be 2.4 microSv y(-1) ((226)Ra), 1.1 microSv y(-1) ((232)Th) and 0.5 microSv y(-1) ((40)K). The contribution of these radionuclides to the committed effective dose from a year's consumption of drinking water is therefore estimated to be only 4% of the WHO value (0.1 mSv y(-1)). The moderate pH value is the most important parameter, and there was no observed correlation between natural radioactivity and electrical conductivity or concentrations of major ions.

Absorption and metabolism of oral zinc gluconate in humans in fasting state, during, and after a meal.

The absorption and metabolism of zinc in a commercial form for oral use (Rubozinc, 15 mg zinc as gluconate) were investigated in 10 subjects by a kinetic study of the serum zinc profile after administration of 45 mg zinc under three conditions: after an overnight fast, during a standardized breakfast, and 2 h after this meal. The pharmacokinetic parameters were calculated by a method suitable to the characterization of rebound effects (recycling of the element in the gastrointestinal tract). In fasting state, the parameters were comparable to those previously collected in the same subjects with oral 45 mg zinc as sulfate, except with very significantly higher Cmax and area under curve (AUC), showing a better bioavailability for zinc in the commercial form. The light meal perturbed the absorption process as evidenced by the significant increases in the lag time (+180%), the tmax (+57%), and the lag times for the first two cycles during the meal. However, the parameters returned to normal values 2 h after the meal. The Cmax only moderately decreased during the meal (31%) as did the AUC (-28%). An important delay in the absorption of zinc in the commercial form when taken during a meal was therefore demonstrated, but the effect on zinc bioavailability was only moderate.

HPLC quantification of zolpidem and prothipendyl in a voluntary intoxication.

Zolpidem, a recently developed sleep inducer, and prothipendyl, a neuroleptic azaphenothiazine, were involved in a voluntary intoxication along with ethanol. After administration of flumazenil, a specific benzodiazepines antagonist, respiratory depression was corrected. HPLC with UV detection methods after selective extraction were developed to measure simultaneously prothipendyl and zolpidem without flumazenil interaction. These methods could be applied in drug monitoring and in emergency toxicology.