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1.
J Family Med Prim Care ; 11(10): 5961-5968, 2022 Oct.
Article in English | MEDLINE | ID: mdl-36618178

ABSTRACT

Background: Diabetes, is known to have a bilateral relationship with severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). Precise mechanism of diabetes onset in COVID-19 patients remains unclear. Aim: To analyse the incidence of new onset diabetes (NODM) among COVID-19 patients, as well as the effect of body mass index (BMI), family history, and steroid use on the incidence of the disease. Methods: Adult, not known diabetic patients, tested positive with Rapid Antigen Test or RT-PCR admitted to a tertiary care hospital and research institute were included in the present prospective observational study. The patients who developed NODM and NOPD (New Onset Pre-diabetes) during the three months follow-up and the risk factors associated were assessed. Patients with HbA1c >6.4% were diagnosed with NODM. An HbA1c of 5.7% to 6.4% was used to characterize NOPD. Results: Out of 273 previously not known diabetic COVID-19 infected individuals, a total of 100 were studied for three months after consent. Mean age of the patients 48.31 ± 19.07 years with male predominance (67%). Among these, 58% were non-diabetics and 42% were pre-diabetics. 6 (10.3%) of the 58 non-diabetics developed NOPD, and 8 (13.8%) developed NODM. 6 (14.2%) of the 42 pre-diabetics became non-diabetic, and 16.6% (7) developed NODM. Family history of DM (P < 0.001), severity at admission (P < 0.006), diabetic ketoacidosis (P < 0.0275), and persistent symptoms were associated significantly with NODM. Those with NODM had significantly greater BMI, O2 duration, steroid duration, FBS, and PPBS (P < 0.001 for all). Nearly 67% of the patients who developed NOPD had shortness of breath as the common symptom at time of admission (P = 0.0165). Conclusion: The incidence of NODM was strongly influenced by positive family history of DM, higher BMI, steroid dosage, and its duration. Hence, patients with COVID-19 need to be under surveillance for blood glucose screening.

2.
Org Biomol Chem ; 17(44): 9627-9630, 2019 11 28.
Article in English | MEDLINE | ID: mdl-31667479

ABSTRACT

A metal-free radical cyclization strategy has been developed for the synthesis of fused benzimidazo[2,1-a]isoquinolin-6(5H)-one derivatives from N-methacryloyl-2-arylbenzoimidazole and aryl aldehydes using 70% tert-butylhydroperoxide in water (TBHP). The reaction proceeds through a sequential acyl radical addition/cyclization strategy. This method is useful for the generation of biologically relevant tetracyclic scaffolds in a single-step process.

3.
Indian J Exp Biol ; 54(3): 180-6, 2016 Mar.
Article in English | MEDLINE | ID: mdl-27145631

ABSTRACT

Newcastle Disease (ND) is one of the major causes of economic loss in the poultry industry. Newcastle Disease Virus (NDV) is a single-stranded, negative-sense enveloped RNA virus (Fam. Paramyxoviridae; Order Mononegavirales). In the present study three monoclonal antibodies (MAbs) were produced by polyethyleneglycol (PEG)-mediated fusion of lymphocytes sensitized to NDV Bareilly strain and myeloma cells. NDV possesses ability to agglutinate erythrocytes of avian species. All the three MAbs designated as 2H7, 3E9 and 3G6 caused hemagglutination inhibition of NDV by specifically binding to NDV. The reactivity for all the 3 MAbs on indirect ELISA was found to be significantly higher than the antibody and antigen controls. On flowcytometry of HeLa cells infected with NDV using the MAbs as primary antibodies, there was a significant difference in the percentage of cells showing positive fluorescence compared to the mock control. One of the MAbs (3E9) was found to react with hemagglutinin-neuraminidase (HN) protein on western blot.


Subject(s)
Antibodies, Monoclonal/biosynthesis , Antibodies, Viral/biosynthesis , Newcastle disease virus/immunology , Amino Acid Sequence , Animals , Antibodies, Monoclonal/immunology , Enzyme-Linked Immunosorbent Assay , HeLa Cells , Humans , Mice , Mice, Inbred BALB C , Molecular Sequence Data
4.
Infect Genet Evol ; 41: 100-106, 2016 07.
Article in English | MEDLINE | ID: mdl-27020545

ABSTRACT

Babesia gibsoni is a tick borne intraerythrocytic protozoan parasite causing piroplasmosis in dogs and has been predominantly reported in Asian countries, including Japan, Korea, Taiwan, Malaysia, Bangladesh and India. The present communication is the first evidence on the genetic diversity of B. gibsoni of dogs in India. Blood samples were collected from 164 dogs in north and northeast states of India and 13 dogs (7.9%) were found positive for B. gibsoni infection by microscopic examination of blood smears. Molecular confirmation of these microscopic positive cases for B. gibsoni was carried out by 18S rRNA nested-PCR, followed by sequencing. Nested-PCR for the 18S rRNA gene was also carried out on microscopically B. gibsoni negative samples that detected a higher percentage of dogs (28.6%) infected with B. gibsoni. Genetic diversity in B. gibsoni in India was determined by studying B. gibsoni thrombospondin-related adhesive protein (BgTRAP) gene fragments (855bp) in 19 isolates from four north and northeast states of India. Phylogenetic analysis of the BgTRAP gene revealed that B. gibsoni parasite in India and Bangladesh formed a distinct cluster away from other Asian B. gibsoni isolates available from Japan, Taiwan and Korea. In addition, tandem repeat analysis of the BgTRAP gene clearly showed considerable genetic variation among Indian isolates that was shared by B. gibsoni isolates of Bangladesh. These results suggested that B. gibsoni parasites in a different genetic clade are endemic in dogs in India and Bangladesh. Further studies are required for better understanding of the genetic diversity of B. gibsoni prevalent in India and in its neighbouring countries.


Subject(s)
Babesia/genetics , Babesiosis/epidemiology , DNA, Protozoan/genetics , Dog Diseases/epidemiology , Phylogeny , Protozoan Proteins/genetics , Animals , Babesia/classification , Babesia/isolation & purification , Babesiosis/parasitology , Babesiosis/transmission , Bangladesh/epidemiology , Base Sequence , Dog Diseases/parasitology , Dog Diseases/transmission , Dogs , Female , Genetic Variation , India/epidemiology , Male , RNA, Ribosomal, 18S/genetics , Sequence Alignment , Sequence Analysis, DNA
5.
Indian J Exp Biol ; 53(5): 249-55, 2015 May.
Article in English | MEDLINE | ID: mdl-26040021

ABSTRACT

Viral gene oncotherapy, targeted killing of cancer cells by viral genes, is an emerging non-infectious therapeutic cancer treatment modality. Chemo and radiotherapy in cancer treatment is limited due to their genotoxic side effects on healthy cells and need of functional p53, which is mutated in most of the cancers. VP3 (apoptin) of chicken infectious anaemia (CIA) and NS1 (Non structural protein 1) of Canine Parvovirus-2 (CPV-2) have been proven to have oncolytic potential in our laboratory. To evaluate oncolytic potential of VP3 and NS1 together these genes needed to be cloned in a bicistronic vector. In this study, both these genes were cloned and characterized for expression of their gene products and its apoptotic potential. The expression of VP3 and NS1 was studied by confocal microscopy and flowcytometry. Expression of VP3 and NS1 in pVIVO.VP3.NS1 transfected HeLa cells in comparison to mock transfected cells indicated that the double gene construct expresses both the products. This was further confirmed by flowcytometry where there was increase in cells expressing VP3 and NS1 in pVIVO.VP3.NS1 transfected group in comparison with the mock control group. The apoptotic inducing potential of this characterized pVIVO.VP3.NS1 was evaluated in human cervical cancer cell line (HeLa) by DNA fragmentation assay, TUNEL assay and Hoechst staning. This double construct was observed to induce apoptosis in HeLa cells.


Subject(s)
Apoptosis/genetics , Capsid Proteins/genetics , Oncogenic Viruses/genetics , Oncolytic Virotherapy , Viral Nonstructural Proteins/genetics , Animals , Capsid Proteins/therapeutic use , Chickens/virology , Dogs , Genetic Vectors , HeLa Cells , Humans , Parvovirus, Canine/genetics , Viral Nonstructural Proteins/therapeutic use
6.
Appl Biochem Biotechnol ; 176(1): 196-212, 2015 May.
Article in English | MEDLINE | ID: mdl-25809990

ABSTRACT

The use of viruses for treatment of cancer overcomes the bottlenecks of chemotherapy and radiotherapy. Several viruses and their proteins have been evaluated for oncolytic effect. The VP3 protein (apoptin) of chicken anemia virus is one such protein with an inherent ability to lyse cancer and transformed cells while leaving normal cells unharmed. In the present study, the apoptosis inducing potential of VP3 protein of CAV was evaluated in human cervical cancer cell line (HeLa). It was found that in VP3-induced apoptosis, caspase-dependent intrinsic pathway plays an important role with the cleavage of poly (ADP-ribose) polymerase (PARP) and there was no evidence of involvement of death receptor-mediated extrinsic pathway. The results of this study provide intuitive information and strengthen the candidacy of apoptin as a viral oncotherapeutic agent.


Subject(s)
Apoptosis , Capsid Proteins/biosynthesis , Chicken anemia virus/metabolism , Neoplasms/therapy , Oncolytic Virotherapy , Oncolytic Viruses/metabolism , Capsid Proteins/genetics , Chicken anemia virus/genetics , HeLa Cells , Humans , Neoplasms/genetics , Neoplasms/metabolism , Neoplasms/pathology , Oncolytic Viruses/genetics
7.
Indian J Exp Biol ; 52(10): 935-42, 2014 Oct.
Article in English | MEDLINE | ID: mdl-25345242

ABSTRACT

Development and study of dog mammary tumour xenograft in immunosuppressed Swiss Albino Mice adds a new dimension in cancer research as dog tumors have many similarities with human tumors regarding progression, histopathology, molecular mechanism, immune response and therapy. Failure of the immune system to recognize and eliminate cancer cells leads to cancer progression and the fight between immune cells and cancer cells has a great role in understanding the mechanism of cancer progression and elimination. Rejection and acceptance of tumour xenograft depends on efficiency of CD4+, CD8+ and NK cell populations. In the present investigation, dog mammary tumor xenograft in cyclosporine-A and gamma-irradiated, immunosuppressed Swiss Albino mice was developed and the immune cell status of graft accepted and rejected mice was assessed. It was observed that all the major immune cells (CD4+, CD8+ and NK cells) play an equal role in tumour rejection.


Subject(s)
Mammary Neoplasms, Experimental/pathology , Neoplasm Transplantation/methods , Transplantation, Heterologous/methods , Animals , CD4-Positive T-Lymphocytes/immunology , Dogs , Female , Graft Rejection/immunology , Immunocompromised Host , Killer Cells, Natural/immunology , Mammary Neoplasms, Experimental/immunology , Mice
8.
Appl Biochem Biotechnol ; 172(1): 497-508, 2014 Jan.
Article in English | MEDLINE | ID: mdl-24092455

ABSTRACT

The canine parvovirus type 2 (CPV-2) causes an acute disease in dogs. It has been found to induce cell cycle arrest and DNA damage leading to cellular lysis. In this paper, we evaluated the apoptotic potential of the "new CPV-2a" in MDCK cells and elucidated the mechanism of the induction of apoptosis. The exposure of MDCK cells to the virus was found to trigger apoptotic response. Apoptosis was confirmed by phosphatidylserine translocation, DNA fragmentation assays, and cell cycle analysis. Activation of caspases-3, -8, -9, and -12 and decrease in mitochondrial potential in CPV-2a-infected MDCK cells suggested that the CPV-2a-induced apoptosis is caspase dependent involving extrinsic, intrinsic, and endoplasmic reticulum pathways. Increase in p53 and Bax/Bcl2 ratio was also observed in CPV-2a-infected cells.


Subject(s)
Apoptosis , Caspases/metabolism , Parvovirus, Canine/physiology , Signal Transduction , Animals , Biological Transport , Cell Membrane/metabolism , Diploidy , Dogs , Endoplasmic Reticulum/metabolism , Madin Darby Canine Kidney Cells , Nucleosomes/metabolism , Phosphatidylserines/metabolism , Tumor Suppressor Protein p53/metabolism
9.
Indian J Exp Biol ; 51(2): 116-23, 2013 Feb.
Article in English | MEDLINE | ID: mdl-23923604

ABSTRACT

Viral gene oncotherapy is emerging as a biotherapeutic cancer treatment modality based on targeted killing of cancer cells by viral genes. Newcastle disease virus (NDV) has the property to cause selective oncolysis of tumor cells sparing normal cells. NDV has a single stranded negative sense RNA genome, which is 15,186 nucleotide long and consists of six genes, which codes for eight proteins. NDV like other paramyxoviruses has the ability to generate multiple proteins from the P gene. P protein is encoded by an unedited transcript of the P gene, whereas the V and W protein are the results of RNA editing event in which one and two G residues are inserted at a conserved editing site within the P gene mRNA resulting in V and W transcripts, respectively. Although NDV is known to cause oncolysis by triggering apoptosis, the role of different viral proteins in selective oncolysis is still unclear. P gene edited products are known for its anti-apoptotic property in homologous host. In the present study, NDV P gene and its RNA edited products were amplified, cloned, sequenced and in vitro expression was done in HeLa cells. Further constructs were assayed for their apoptosis inducing ability in HeLa cells. Preliminary study suggested that P, V and W proteins are not apoptotic to HeLa cells.


Subject(s)
Genes, Viral/genetics , Newcastle disease virus/genetics , Phosphoproteins/genetics , Phosphoproteins/metabolism , Viral Proteins/genetics , Viral Proteins/metabolism , Amino Acid Sequence , Animals , Annexin A5/metabolism , Base Sequence , Chickens , Cloning, Molecular , Gene Expression Regulation, Viral , HeLa Cells , Humans , Molecular Sequence Data , Open Reading Frames/genetics , Phosphoproteins/chemistry , Reproducibility of Results , Viral Proteins/chemistry
10.
Virus Res ; 173(2): 426-30, 2013 May.
Article in English | MEDLINE | ID: mdl-23416147

ABSTRACT

Apoptosis is programmed cell death that normally occurs during development and aging in multicellular animals. Apoptosis also occurs as a defense mechanism against disease or harmful external agents. It can be initiated by a variety of stimuli including viruses and viral proteins. Canine parvovirus type 2 (CPV-2) that causes acute disease in dogs has been found to induce cell cycle arrest and DNA damage leading to cellular lysis. Though non structural protein 1 (NS1) of many parvoviruses has been found to be apoptotic, no report on the apoptotic potential of NS1 of CPV-2 (CPV-2.NS1) exists. In this study, we evaluated the apoptotic potential of CPV-2.NS1 in HeLa cells. CPV-2.NS1 has been found to induce apoptosis which was evident through characteristic DNA fragmentation, increase in hypodiploid cell count, phosphatidyl serine translocation and activation of caspase-3. Increase in caspase-3 activity and no change in p53 activity with time in CPV-2.NS1 expressing HeLa cells showed the induction of apoptosis to be caspase dependent and p53 independent.


Subject(s)
Apoptosis , Caspase 3/metabolism , Parvovirus, Canine/pathogenicity , Tumor Suppressor Protein p53/metabolism , Viral Nonstructural Proteins/metabolism , Virulence Factors/metabolism , DNA Fragmentation , Epithelial Cells/physiology , Epithelial Cells/virology , HeLa Cells , Humans , Phosphatidylserines/analysis
11.
Int J Clin Pediatr Dent ; 6(1): 33-7, 2013 Jan.
Article in English | MEDLINE | ID: mdl-25206185

ABSTRACT

Crouzon's syndrome (CS) is a rare autosomal dominant condition with multiple mutations of the fibroblast growth factor receptor (FGFR2) gene, which accounts for 4.8% of all cases of craniosynostosis. It is characterized by premature closure of cranial sutures, cranial deformities, midface hypoplasia, relative mandibular prognathism, hypertelorism, proptosis, strabismus and short upper lip, crowding of teeth, pseudocleft or sometimes cleft palate and other associated abnormalities. The CS can vary in severity from mild presentation to severe forms involving multiple cranial sutures. We report a case of CS in 11-year-old boy. How to cite this article: Kumar GR, Jyothsna M, Ahmed SB, Lakshmi KS, Crouzon's Syndrome: A Case Report. Int J Clin Pediatr Dent 2013;6(1):33-37.

12.
Int J Clin Pediatr Dent ; 6(2): 119-23, 2013 May.
Article in English | MEDLINE | ID: mdl-25206205

ABSTRACT

Chronic suppurative osteomyelitis (CSO) of the maxillofacial region is primarily caused by infections of odontogenic microorganisms. It may also arise as a complication of dental extractions, maxillofacial trauma, inadequate treatment of a fracture and irradiation to the mandible. This condition is characterized by areas of devitalized bone (sequestra) which serves as a nidus for recurrent episodes of infection. This case report describes a case of CSO in an untreated right subcondylar fracture of the mandible which was successfully treated with a combination of antibiotic therapy and surgical debridement in an 8-year-old boy. How to cite this article: Kumar GR, Syed BA, Prasad N, Praveen SP. Chronic Suppurative Osteomyelitis of Subcondylar Region: A Case Report. Int J Clin Pediatr Dent 2013;6(2): 119-123.

13.
Indian J Exp Biol ; 50(9): 618-24, 2012 Sep.
Article in English | MEDLINE | ID: mdl-23140019

ABSTRACT

The canine Parvovirus 2, non-structural 1 (NS1) is a novel candidate tumor suppressor gene. To confirm the expression of the NS1 in HeLa cells after transfection there was a need to raise antiserum against CPV2- NS1. Therefore, this study was carried out to express and purify the recombinant NS1 (rNS1), and characterize the polyclonal serum. CPV2-NS1, complete coding sequence (CDS) was amplified, cloned in pET32a+ and expressed in BL21 (DE3) (pLysS). SDS-PAGE analysis revealed that the expression of the recombinant protein was maximum when induced with 1.5 mM IPTG. The 6 x His tagged fusion protein was purified on Ni-NTA resin under denaturing conditions and confirmed by western blot using CPV2 specific antiserum. The rabbits were immunized with the purified rNS1 to raise anti-NS1 polyclonal antiserum. The polyclonal serum was tested for specificity and used for confirming the expression of NS1 in HeLa transfected with pcDNA.cpv2.ns1 by indirect fluorescent antibody test (IFAT), flow cytometry and western blot. The polyclonal antiserum against NS1 could be very useful to establish functional in vitro assays to explore role of NS1 in cancer therapeutics.


Subject(s)
Gene Expression/immunology , Immune Sera , Parvovirus, Canine/metabolism , Viral Nonstructural Proteins/metabolism , Animals , Antibodies/immunology , Antigens/immunology , Dogs , Escherichia coli , HeLa Cells , Humans , In Vitro Techniques , Parvovirus, Canine/immunology , Rabbits , Recombinant Proteins/immunology , Viral Nonstructural Proteins/immunology
14.
Indian J Med Res ; 136(4): 571-84, 2012 Oct.
Article in English | MEDLINE | ID: mdl-23168697

ABSTRACT

Cancer is one of the major causes of death worldwide. In spite of achieving significant successes in medical sciences in the past few decades, the number of deaths due to cancer remains unchecked. The conventional chemotherapy and radiotherapy have limited therapeutic index and a plethora of treatment related side effects. This situation has provided an impetus for search of novel therapeutic strategies that can selectively destroy the tumour cells, leaving the normal cells unharmed. Viral oncotherapy is such a promising treatment modality that offers unique opportunity for tumour targeting. Numerous viruses with inherent anti-cancer activity have been identified and are in different phases of clinical trials. In the era of modern biotechnology and with better understanding of cancer biology and virology, it has become feasible to engineer the oncolytic viruses (OVs) to increase their tumour selectivity and enhance their oncolytic activity. In this review, the mechanisms by which oncolytic viruses kill the tumour cells have been discussed as also the development made in virotherapy for cancer treatment with emphasis on their tumour specific targeting.


Subject(s)
Apoptosis/physiology , Drug Delivery Systems/methods , Genetic Engineering/methods , Neoplasms/therapy , Oncolytic Virotherapy/methods , Oncolytic Viruses/metabolism , Humans , Oncolytic Virotherapy/trends
15.
Appl Biochem Biotechnol ; 167(7): 2005-22, 2012 Aug.
Article in English | MEDLINE | ID: mdl-22644640

ABSTRACT

Cancer is one of the killer diseases in humans and needs alternate curative measures despite recent improvement in modern treatment modalities. Oncolytic virotherapy seems to be a promising nonconventional way to treat cancers. Newcastle disease virus (NDV), a poultry virus, is nonpathogenic to human and domestic animals and has a long history of being used in oncotherapy research in several preclinical studies. The ability of NDV to successfully infect and destroy cancer cells is dependent on the strain and the pathotype of the virus. Adaptation of viruses to heterologous hosts without losing its replicative and oncolytic potential is prerequisite for use as cancer virotherapeutics. In the present study, velogenic NDV was adapted for replication in HeLa cells, and its cytotoxic potential was evaluated by observing morphological, biochemical, and nuclear landmarks of apoptosis. Our results indicated that the NDV-induced apoptosis in HeLa cells was dependent on upregulation of TNF-related apoptosis-inducing ligand (TRAIL) and caspases activation. Different determinants of apoptosis evaluated in the present study indicated that this strain could be a promising candidate for cancer therapy in future.


Subject(s)
Newcastle disease virus/physiology , Oncolytic Virotherapy/methods , Adaptation, Physiological , Animals , Annexin A5/metabolism , Biological Transport , Caspases/metabolism , Cell Nucleus/metabolism , Cell Survival , Chickens , Chromatin/metabolism , DNA Fragmentation , G1 Phase , HeLa Cells , Hemagglutination , Hemagglutination Inhibition Tests , Humans , Kinetics , Membrane Potential, Mitochondrial , Newcastle Disease/virology , Newcastle disease virus/growth & development , Phosphatidylserines/metabolism , Propidium/metabolism , Real-Time Polymerase Chain Reaction , Staining and Labeling , TNF-Related Apoptosis-Inducing Ligand/metabolism , Up-Regulation
16.
Indian J Exp Biol ; 49(9): 654-9, 2011 Sep.
Article in English | MEDLINE | ID: mdl-21941937

ABSTRACT

Parvoviruses are small, 260-A-diameter, icosahedral, non-enveloped, single-stranded DNA viruses with a genome of approximately 5 kb. Non structural protein, (NS-1) is especially relevant, being both essential for virus replication and the main factor responsible for virus pathogenicity and cytotoxicity. This protein has also been reported to possess the property of killing of transformed cells. The present study was carried out to clone, characterize and express the NS-1 gene of canine parvovirus. NS-1 complete CDS 2020bp was amplified, cloned into eukaryotic expression vector pcDNA 3.1(+), sequenced and characterized by in vitro expression analysis. Functional activity of recombinant construct, pcDNA.cpv.NS-1, was evaluated by RT-PCR and flow cytometry for the expression of NS-1 specific mRNA and NS-1 protein, respectively, in transfected HeLa cells. This recombinant plasmid may serve as an important tool to evaluate the apoptotic potential of NS-1 protein of canine parvovirus in cultured HeLa cells.


Subject(s)
Parvovirus, Canine/genetics , Viral Nonstructural Proteins/biosynthesis , Base Sequence , Cloning, Molecular , DNA, Recombinant/genetics , DNA, Viral/genetics , Flow Cytometry , HeLa Cells , Humans , Molecular Sequence Data , Plasmids , Reverse Transcriptase Polymerase Chain Reaction , Viral Nonstructural Proteins/genetics , Viral Nonstructural Proteins/physiology
17.
Bioresour Technol ; 102(11): 6617-20, 2011 Jun.
Article in English | MEDLINE | ID: mdl-21482464

ABSTRACT

In this study, microwave assisted transesterification of Pongamia pinnata seed oil was carried out for the production of biodiesel. The experiments were carried out using methanol and two alkali catalysts i.e., sodium hydroxide (NaOH) and potassium hydroxide (KOH). The experiments were carried out at 6:1 alcohol/oil molar ratio and 60°C reaction temperature. The effect of catalyst concentration and reaction time on the yield and quality of biodiesel was studied. The result of the study suggested that 0.5% sodium hydroxide and 1.0% potassium hydroxide catalyst concentration were optimum for biodiesel production from P. pinnata oil under microwave heating. There was a significant reduction in reaction time for microwave induced transesterification as compared to conventional heating.


Subject(s)
Alkalies/pharmacology , Biofuels , Biotechnology/methods , Microwaves , Millettia/chemistry , Plant Oils/metabolism , Seeds/chemistry , Biofuels/supply & distribution , Catalysis/drug effects , Esterification/drug effects , Hydroxides/pharmacology , Potassium Compounds/pharmacology , Seeds/drug effects , Sodium Hydroxide/pharmacology , Temperature , Time Factors
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