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1.
R Soc Open Sci ; 4(6): 170006, 2017 Jun.
Article in English | MEDLINE | ID: mdl-28680664

ABSTRACT

A novel green and efficient one-pot multicomponent reaction of dihydropyridine derivatives was reported as having good to excellent yield. In the presence of the catalyst ceric ammonium nitrate (CAN), different 1,3-diones and same starting materials as 5-bromothiophene-2-carboxaldehyde and ammonium acetate were used at room temperature under solvent-free condition for the Hantzsch pyridine synthesis within a short period of time. All compounds were evaluated for their in vitro antibacterial and antifungal activity and, interestingly, we found that 5(b-f) show excellent activity compared with Ampicillin, whereas only the 5e compound shows excellent antifungal activity against Candida albicans compared with griseofulvin. The cytotoxicity of all compounds has been assessed against breast tumour cell lines (BT-549), but no activity was found. The X-ray structure of one such compound, 5a, viewed as a colourless block crystal, corresponded accurately to a primitive monoclinic cell.

2.
J Environ Sci Eng ; 55(4): 456-65, 2013 Oct.
Article in English | MEDLINE | ID: mdl-25906591

ABSTRACT

The present study calculates the water quality index (WQI) of some selected sites from South Gujarat (India) and assesses the impact of industries, agriculture and human activities. Chemical parameters were monitored for the calculation of WQI of some selected bore well samples. The results revealed that the WQI of the some bore well samples exceeded acceptable levels due to the dumping of wastes from municipal, industrial and domestic sources and agricultural runoff as well. Inverse Distance Weighting (IDW) was implemented for interpolation of each water quality parameter (pH, EC, alkalinity, total hardness, chloride, nitrate and sulphate) for the entire sampled area. The bore water is unsuitable for drinking and if the present state of affairs continues for long, it may soon become an ecologically dead bore.


Subject(s)
Environmental Monitoring , Water Quality , Water Wells/analysis , India
3.
Eur Rev Med Pharmacol Sci ; 16(13): 1753-64, 2012 Nov.
Article in English | MEDLINE | ID: mdl-23208959

ABSTRACT

OBJECTIVE: The two scaffold Quinazoline analogues (Compound 21, NSC: 95112/753439 and Compound 12, NSC: D-104834/ 758270) in three different concentrations were evaluated for their anti-tumor activity against Ehrlich ascites carcinoma (EAC) and two different concentration were evaluated for their anti-tumor activity against Dalton's ascites lymphoma (DLA) bearing Swiss albino mice. MATERIALS AND METHODS: The in vivo anti-tumor potency of Quinazoline bases was assessed in EAC model by measuring the increase in mean survival time of the drug treated over untreated control mice and treated standard (Gefitinib) mice. Their toxicity was assessed in vivo in normal, standard, and EAC-bearing mice by measuring the drug-induced changes in haematological parameters. The in vivo anti-tumor potency of Quinazoline bases was assessed in DLA model by measuring solid tumor volume, solid tumor weight and % inhibition of the tumor weight of the drug treated over untreated control mice and treated standard (Gefitinib) mice. RESULTS AND CONCLUSIONS: Among the two quinazoline bases studied, 3-(2-chloro benzylideneamine)-2-(furan-2-yl) quinazoline-4(3h)-one (Compound 21) at an optimal dose of 20 mg/kg body weight was found to enhance the mean survival time of infected mice. Haematological parameters and mean survival time in tumor bearing mice were found to be significantly restored towards normal after treatment with Compound 21 at 20 mg/kg body weight of mice in EAC model. Tumor volume and tumor weight in tumor bearing mice were found to be significantly restored towards normal after treatment with Compound 12 at 20 mg/kg body weight of mice in DLA model. Compound 21 at a prime dose of 20 mg has shown promising anticancer activity in vivo against EAC and DLA models when compared to standard drug with minimum toxic effects.


Subject(s)
Antineoplastic Agents/pharmacology , Neoplasms, Experimental/drug therapy , Quinazolines/pharmacology , Animals , Body Weight/drug effects , Cell Line, Tumor , Female , Mice , Neoplasms, Experimental/mortality
4.
Br Dent J ; 203(6): 339-45, 2007 Sep 22.
Article in English | MEDLINE | ID: mdl-17891089

ABSTRACT

AIMS: The aims of the study were two fold: to determine the influence of trainer expertise on the Vocational Training (VT) experience, particularly in terms of providing Vocational Dental Practitioners (VDPs) with positive role models; and to ascertain if it is possible to identify attributes of expertise that can signpost a successful path for new/less expert trainers. PARTICIPANTS: Thirty-five VDPs and each of their Vocational Trainers participated in the study. All training took place in the South East of England. DESIGN: The participants were followed through the 12 months of their VT year. Semi-structured interviews were conducted with both trainers and VDPs on two occasions, during the year and once VT had been completed. It was also possible to observe practice sessions and VT Study Day teaching. The descriptive analysis of the training partnerships has been previously described. The original data were revisited through a constant comparative analysis of the interview transcripts and observation notes. RESULTS: The influence of training expertise is identified and discussed as is the VDP view of the trainer as a role model. Attributes of training expertise are highlighted and presented as a guiding path for new/inexpert trainers. CONCLUSION: The training expertise of a trainer has a significant influence on the VT experience for both trainer and VDP. Expertise has the potential to be harnessed and used to good effect in VT.


Subject(s)
Education, Dental, Graduate/methods , Mentors , Preceptorship , Clinical Competence , England , General Practice, Dental/education , Humans , Interviews as Topic , Personnel Selection , Preceptorship/organization & administration , Professional Role
5.
Br Dent J ; 203(5 Suppl): 17-21, 2007 Sep.
Article in English | MEDLINE | ID: mdl-17828149

ABSTRACT

AIM: To explore aspects of the dental vocational training (VT) selection process. PARTICIPANTS: Thirty-five vocational dental practitioners (VDPs) and each of their trainers. The descriptive analysis of the VT year as experienced by these subjects has been previously described. DESIGN: Using a semi-structured interview format, the participants were interviewed once the prospective VDPs had secured a VT position. The interview transcript data were subject to a constant comparative analysis and a model of the typical selection experience was developed. RESULTS: The selection experience of the partnership that best fits the model is presented and where appropriate this is compared to the other VT partnerships. VDPs favoured practices close to their homes. A degree of formality within a pleasant atmosphere would result in an offer being accepted. For the trainer, again a local applicant was favoured, but above all else the prospective VDP had to fit into the practice team. CONCLUSION: The VT selection experience is not an easy one for VDPs - neither is it for trainers. The more effort participants put into the selection process, the more they are likely to achieve what they want. This is true not only for prospective VDPs finding a practice of their choice, but also for trainers finding a VDP who will become a successful member of the team.


Subject(s)
Education, Dental, Graduate , Personnel Selection , Preceptorship , England , Humans , Surveys and Questionnaires
6.
Br Dent J ; 202(5): E14; discussion 278-9, 2007 Mar 10.
Article in English | MEDLINE | ID: mdl-17273175

ABSTRACT

AIM: To determine aspects of the 'lived experience' of dental vocational training (VT) for vocational dental practitioners (VDPs) and their trainers. DESIGN: A qualitative study: semi-structured interviews were conducted with the participants halfway through VT and once the VT year had been completed. PARTICIPANTS: Two consecutive cohorts of 13 and 22 VDPs and their trainers. RESULTS: The experience of VT for the VDPs and their trainers is presented together with a model of VDP progression through the VT year. CONCLUSION: VT is a success for VDPs and their trainers. Not one VDP would have wanted to enter general practice without VT. With very few exceptions the trainers considered VDPs capable of independent practice, post VT. Trainers were considered as positive role models by their VDPs. VT facilitates the transition of novice dentists into competent practitioners.


Subject(s)
Clinical Competence , Education, Dental/methods , Students, Dental/psychology , Teaching/methods , Vocational Guidance , Adult , Attitude of Health Personnel , Cohort Studies , England , Female , Humans , Interviews as Topic , Male
7.
J Control Release ; 78(1-3): 55-65, 2002 Jan 17.
Article in English | MEDLINE | ID: mdl-11772449

ABSTRACT

We have studied the blood clearance and reticuloendothelial organ distribution of intravenously injected neutral (egg phosphatidylcholine, egg PC/cholesterol, mol ratio 7:2), anionic (egg PC/cholesterol/dicetylphosphate, mol ratio 7:2:1), and cationic (egg PC/cholesterol/stearylamine, mol ratio 7:2:1) liposomes of approximately the same size distribution in mice 3 days after treatment with the synthetic oestrogen diethylstilbestrol (DES). Male mice administered DES intraperitoneally at a dose of 1 mg per mouse (body weight 22-25 g) manifested an increase in the vascular clearance rate of liposomes irrespective of the initial vesicle surface charge. The enhancement in the vascular clearance of liposomes in DES-treated animals was associated with a concomitant increase in liver weight as well as hepatic phagocytosis. However, DES treatment significantly enhanced the hepatic sequestration (on the basis of % of injected dose of liposomes per g of liver tissue) of positively charged liposomes when compared to both neutral and negatively charged vesicles of similar size distribution. This observation was also confirmed by the 'hepatic-blockade' experiments where blockade was induced by prior intravenous injection of liposomes of the same size distribution and charge to that of test vesicles. The in vitro cell suspension studies suggested that the enhanced liposome uptake (irrespective of the initial vesicle surface charge) by Kupffer cells of DES-treated mice was independent of changes in the blood opsonization processes. Furthermore, in vitro studies also showed the operation of multiple mechanisms and involvement of different populations of liver macrophages (resident and recruited cells) in liposome recognition following DES treatment. For example, in DES-treated animals, the newly recruited liver macrophages were found to play a major role in the clearance of stearylamine incorporated liposomes via complement receptors (Mac-1). The resident Kupffer cells seem to recognize cationic vesicles via other receptors as the expression of Mac-1 is virtually absent in these cells. On the other hand, complement receptors seem to play a minor role in the uptake of anionic DCP vesicles by hepatic macrophages of DES-treated mice. DES appears to offer a new approach in dissecting the mechanisms of liposome-macrophage interaction.


Subject(s)
Diethylstilbestrol/pharmacology , Liposomes/metabolism , Liver/metabolism , Macrophage-1 Antigen/physiology , Macrophages/metabolism , Animals , Chromatography, Gel , Male , Metabolic Clearance Rate , Mice , Phagocytosis , Tissue Distribution
8.
Curr Opin Chem Biol ; 5(5): 525-34, 2001 Oct.
Article in English | MEDLINE | ID: mdl-11578925

ABSTRACT

Nonribosomal peptide synthetases are large enzyme complexes that synthesize a variety of peptide natural products through a thiotemplated mechanism. Assembly of the peptides proceeds through amino acid loading, amide-bond formation and chain translocation, and finally thioester lysis to release the product. The final products are often heavily modified, however, through methylation, epimerization, hydroxylation, heterocyclization, oxidative cross-linking and attachment of sugars. These activities are the province of specialized enzymes (either embedded in the multidomain nonribosomal peptide synthetase structure or standalone).


Subject(s)
Bacteria/metabolism , Multienzyme Complexes/metabolism , Peptide Biosynthesis , Peptide Synthases/chemistry , Peptides/metabolism , Cytochrome P-450 Enzyme System/metabolism , Esters/chemical synthesis , Esters/chemistry , Esters/metabolism , Glycosyltransferases , Methyltransferases/metabolism , Models, Chemical , Peptide Chain Elongation, Translational , Peptide Synthases/metabolism , Peptides/chemistry , Peptides, Cyclic/biosynthesis , Protein Conformation , Racemases and Epimerases/metabolism , Stereoisomerism
9.
Proteomics ; 1(8): 927-33, 2001 Aug.
Article in English | MEDLINE | ID: mdl-11683509

ABSTRACT

For complete characterization of larger proteins, primary structural analysis by mass spectrometry must be made more efficient. A straightforward approach is illustrated here using two proteins of 159 and 199 kDa with five and nine Lys residues, respectively. These proteins were degraded by Lys-C to mixtures of peptides ranging in size from 5 to 48 kDa, whose multiply charged ions (from electrospray ionization) are far more amenable than the intact proteins to direct interrogation in a Fourier-transform mass spectrometer. For the 199 kDa PchF of approximately 60% purity, an unfractionated Lys-C digest gave 106 isotopic distributions from 71 components (most of which were below 6 kDa); 15% sequence coverage was obtained. For the > 90% pure PchE (159 kDa), complete sequence coverage was obtained from six Lys-C peptides of 5, 8, 26, 32, 40 and 48 kDa, with all but the largest of these measured at isotopic resolution on a 4.7 Tesla instrument. Practical strategies for implementing this characterization strategy on a proteomic scale are considered.


Subject(s)
Proteins/analysis , Thiazoles , Amino Acid Sequence , Fourier Analysis , Mass Spectrometry/methods , Models, Biological , Molecular Sequence Data , Molecular Weight , Peptide Mapping , Phenols/analysis , Phenols/chemistry , Proteins/chemistry , Proteome
10.
Pharmacology ; 63(3): 154-9, 2001.
Article in English | MEDLINE | ID: mdl-11598421

ABSTRACT

The present study was designed to evaluate the effects of a potassium channel opener, nicorandil, and to elucidate its possible mechanism of action in aspirin plus pylorus ligation induced and ethanol-induced gastric ulcers in rats. In an attempt to ascertain the involvement of K(ATP) channels in the modulation of gastric ulcers, the effects of nicorandil alone as well as in the presence of the K(ATP) channel blocker glibenclamide were studied. Nicorandil and glibenclamide were administered orally at a dose of 2 mg/kg throughout the study. Nicorandil showed significant protection in all the selected models that was evident from a significant reduction in the ulcer index. The results of nicorandil treatment were comparable with those of cimetidine treatment in both models. Glibenclamide was found to inhibit this effect of nicorandil. Further, glibenclamide showed proulcerogenic potential in ethanol and aspirin plus pylorus ligation models. In the aspirin plus pylorus ligation model, nicorandil showed a significant reduction in total acidity, pepsin activity, and protein content and a significant rise in mucin activity. The effect of nicorandil was also studied on gastric mucosal blood flow (GMBF). The GMBF was found to be more increased in the test group than in the control group, indicating enhancement of GMBF by nicorandil. Glibenclamide reversed this effect of nicorandil as well. It is concluded from our study that nicorandil possesses antiulcer activity in the models employed in the present study. This may be attributed to the opening of K(ATP) channels, inhibition of acid secretion, enhancement of mucin activity, and improvement in GMBF.


Subject(s)
Nicorandil/pharmacology , Stomach Ulcer/prevention & control , Animals , Anti-Ulcer Agents/pharmacology , Aspirin/pharmacology , Cimetidine/pharmacology , Disease Models, Animal , Dose-Response Relationship, Drug , Ethanol/adverse effects , Female , Gastric Mucosa/blood supply , Gastric Mucosa/drug effects , Gastric Mucosa/metabolism , Gastric Mucosa/pathology , Glyburide/pharmacology , Ligation/adverse effects , Male , Proteins/drug effects , Proteins/metabolism , Pylorus/surgery , Rats , Rats, Wistar , Stomach/drug effects , Stomach/pathology , Stomach Ulcer/etiology , Stomach Ulcer/pathology
11.
Biochemistry ; 40(30): 9023-31, 2001 Jul 31.
Article in English | MEDLINE | ID: mdl-11467965

ABSTRACT

During iron starvation the Gram-negative pathogenic bacterium Pseudomonas aeruginosa makes the nonribosomal peptide siderophore pyochelin by a four protein, 11 domain assembly line, involving a cascade of acyl-S-enzyme intermediates on the PchE and PchF subunits that are elongated, heterocyclized, reduced, and N-methylated before release. Purified PchG is shown to be an NADPH-dependent reductase for the hydroxyphenylbisthiazoline-S-PchF acyl enzyme, regiospecifically converting one of the dihydroheterocyclic thiazoline rings to a thiazolidine. The K(m) for the PchG protein is 1 microM, and the k(cat) for throughput to pyochelin is 2 min(-1). The nitrogen of the newly generated thiazolidine ring can be N-methylated upon addition of SAM, to yield the mature pyochelin chain still tethered as a pyochelinyl-S-PchF at the PCP domain. A presumed methyltransferase (MT) domain embedded in the PchF subunit catalyzes this N-methylation. Mutation of a conserved G to R in the MT core motif abolishes MT activity and subsequent chain release from PchF. The thioesterase (TE) domain of PchF catalyzes hydrolytic release of the fully mature pyochelinyl chain to produce the pyochelin siderophore at a rate of 2 min(-1), at least 30-40-fold faster than in the absence of hydroxyphenylbisthiazolinyl-COOH (HPTT-COOH) chain reduction and N-methylation. A mutation in the PchF TE domain does not catalyze autodeacylation and release of the pyochelinyl-S-enzyme. Thus, full reconstitution of the nonribosomal peptide synthetase assembly line by purified protein components has been obtained for production of this tandem bisheterocyclic siderophore.


Subject(s)
Bacterial Proteins/metabolism , Methyltransferases/metabolism , Oxidoreductases Acting on CH-NH Group Donors/metabolism , Peptide Synthases/metabolism , Phenols/metabolism , Pseudomonas aeruginosa/enzymology , Siderophores/biosynthesis , Thiolester Hydrolases/metabolism , Amino Acid Sequence , Bacterial Proteins/genetics , Catalysis , Cloning, Molecular , Molecular Sequence Data , Oxidoreductases Acting on CH-NH Group Donors/genetics , Peptide Synthases/genetics , Protein Conformation , Protein Structure, Tertiary , Pseudomonas aeruginosa/genetics , Sequence Analysis, DNA , Thiazoles/metabolism , Thiolester Hydrolases/genetics
12.
J Bacteriol ; 183(3): 813-20, 2001 Feb.
Article in English | MEDLINE | ID: mdl-11208777

ABSTRACT

The biosynthetic genes pchDCBA and pchEF, which are known to be required for the formation of the siderophore pyochelin and its precursors salicylate and dihydroaeruginoate (Dha), are clustered with the pchR regulatory gene on the chromosome of Pseudomonas aeruginosa. The 4.6-kb region located downstream of the pchEF genes was found to contain three additional, contiguous genes, pchG, pchH, and pchI, probably forming a pchEFGHI operon. The deduced amino acid sequences of PchH and PchI are similar to those of ATP binding cassette transport proteins with an export function. PchG is a homolog of the Yersinia pestis and Y. enterocolitica proteins YbtU and Irp3, which are involved in the biosynthesis of yersiniabactin. A null mutation in pchG abolished pyochelin formation, whereas mutations in pchH and pchI did not affect the amounts of salicylate, Dha, and pyochelin produced. The pyochelin biosynthetic genes were expressed from a vector promoter, uncoupling them from Fur-mediated repression by iron and PchR-dependent induction by pyochelin. In a P. aeruginosa mutant lacking the entire pyochelin biosynthetic gene cluster, the expressed pchDCBA and pchEFG genes were sufficient for salicylate, Dha, and pyochelin production. Pyochelin formation was also obtained in the heterologous host Escherichia coli expressing pchDCBA and pchEFG together with the E. coli entD gene, which provides a phosphopantetheinyl transferase necessary for PchE and PchF activation. The PchG protein was purified and used in combination with PchD and phosphopantetheinylated PchE and PchF in vitro to produce pyochelin from salicylate, L-cysteine, ATP, NADPH, and S-adenosylmethionine. Based on this assay, a reductase function was attributed to PchG. In summary, this study completes the identification of the biosynthetic genes required for pyochelin formation from chorismate in P. aeruginosa.


Subject(s)
Iron Chelating Agents/metabolism , Oxidoreductases Acting on CH-NH Group Donors/metabolism , Phenols/metabolism , Pseudomonas aeruginosa/metabolism , Siderophores/metabolism , ATP-Binding Cassette Transporters/genetics , Bacterial Proteins , Chorismic Acid/metabolism , Gene Expression Regulation, Bacterial , Genes, Bacterial , Molecular Sequence Data , Oxidoreductases Acting on CH-NH Group Donors/genetics , Repressor Proteins , Salicylates/metabolism , Thiazoles/metabolism
13.
Am J Cardiol ; 85(10A): 36D-45D, 2000 May 25.
Article in English | MEDLINE | ID: mdl-10822039

ABSTRACT

Management strategies for the acute treatment of atrial fibrillation (AF) include: (1) the use of intravenous drugs for rate control, (2) drug termination, or (3) direct current (DC) cardioversion. Delays in cardioversion can promote atrial remodeling and add thromboembolic risk. Rate control awaiting spontaneous or pharmacologic conversion may be a cost-effective strategy in patients presenting with recent onset of symptoms. Early DC cardioversion can be cost-effective and minimize antiembolic therapy issues in the acute setting. In patients presenting with AF of unknown or >48 hours' duration, rate control and therapeutic warfarin for 3-4 weeks followed by medical or DC cardioversion is standard practice. However, delays in conversion promote atrial remodeling that makes restoration of sinus rhythm more difficult and increases the likelihood of postcardioversion AF recurrence. Transesophageal echocardiography can identify patients at low risk for a cardioversion-related embolic event and allows cardioversion to be performed earlier, thereby minimizing atrial remodeling.


Subject(s)
Atrial Fibrillation/therapy , Algorithms , Amiodarone/therapeutic use , Anti-Arrhythmia Agents/therapeutic use , Atrial Fibrillation/drug therapy , Atrial Fibrillation/economics , Atrial Fibrillation/surgery , Atrial Flutter/drug therapy , Cost-Benefit Analysis , Echocardiography, Transesophageal , Electric Countershock , Flecainide/therapeutic use , Humans , Procainamide/therapeutic use , Propafenone/therapeutic use , Quinidine/therapeutic use , Sotalol/therapeutic use , Verapamil/therapeutic use
14.
Curr Opin Cardiol ; 15(1): 64-72, 2000 Jan.
Article in English | MEDLINE | ID: mdl-10666663

ABSTRACT

Amiodarone is an antiarrhythmic agent commonly used in the treatment of supraventricular and ventricular tachyarrhythmias. This article reviews the results and clinical implications of primary and secondary prevention trials in which amiodarone was used in one of the treatment arms. Key post-myocardial infarction primary prevention trials include the European Myocardial Infarct Amiodarone Trial (EMIAT) and the Canadian Amiodarone Myocardial Infarction Trial (CAMIAT), both of which demonstrated that amiodarone reduced arrhythmic but not overall mortality. In congestive heart failure patients, amiodarone was studied as a primary prevention strategy in two pivotal trials: Grupo de Estudio de la Sobrevida en la Insuficiencia Cardiac en Argentina (GESICA) and Amiodarone in Patients With Congestive Heart Failure and Asymptomatic Ventricular Arrhythmia (CHF-STAT). Amiodarone was associated with a neutral overall survival and a trend toward improved survival in nonischemic cardiomyopathy patients in CHF/STAT and improved survival in GESICA. In post-myocardial infarction patients with nonsustained ventricular tachycardia and a depressed ejection fraction, the Multicenter Automatic Defibrillator Implantation Trial (MADIT) demonstrated that implantable cardioverter-defibrillators (ICD) statistically improved survival compared to the antiarrhythmic drug arm, most of whose patients were taking amiodarone. In patients with histories of sustained ventricular tachycardia or ventricular fibrillation, the Cardiac Arrest Study in Seattle: Conventional Versus Amiodarone Drug Evaluation (CASCADE) trial demonstrated that empiric amiodarone lowered arrhythmic recurrence rates compared to other drugs guided by serial Holter or electrophysiologic studies. However, arrhythmic death rates were high in both treatment arms of the study. Several secondary prevention trials, including the Antiarrhythmics Versus Implantable Defibrillators Study (AVID), the Canadian Implantable Defibrillator Study (CIDS), and the Cardiac Arrest Study Hamburg (CASH), have demonstrated the superiority of ICD therapy compared to empiric amiodarone in improving overall survival. Based on the above findings, amiodarone is safe to use in post-myocardial infarction and congestive heart failure patients that need antiarrhythmic therapy. Although amiodarone is effective in treating malignant arrhythmias, high-risk patients should be considered for an ICD as frontline therapy.


Subject(s)
Amiodarone/therapeutic use , Anti-Arrhythmia Agents/therapeutic use , Arrhythmias, Cardiac/drug therapy , Heart Failure/drug therapy , Myocardial Infarction/drug therapy , Arrhythmias, Cardiac/etiology , Arrhythmias, Cardiac/prevention & control , Clinical Trials as Topic , Death, Sudden/prevention & control , Defibrillators, Implantable , Electric Countershock , Heart Failure/complications , Humans , Myocardial Infarction/complications , Myocardial Infarction/mortality , Risk Factors , Survival Analysis , Tachycardia, Ventricular/therapy , Ventricular Fibrillation/therapy
15.
Clin Cardiol ; 23(2): 73-82, 2000 Feb.
Article in English | MEDLINE | ID: mdl-10676597

ABSTRACT

Amiodarone is an antiarrhythmic agent commonly used in the treatment of supraventricular and ventricular tachyarrhythmias. This paper reviews clinical trials in which amiodarone was used in one of the treatment arms. Key post-myocardial infarction trials include EMIAT and CAMIAT, both of which demonstrated that amiodarone reduced arrhythmic but not overall mortality. In patients with congestive heart failure (CHF), amiodarone was associated with a neutral survival in CHF/STAT and improvement in survival in GESICA. In patients with nonsustained ventricular tachycardia, the MADIT trial demonstrated that therapy with an implantable cardioverter-defibrillator (ICD) improved survival compared with the antiarrhythmic drug arm in such patients, most of whom were taking amiodarone. In sustained VT/VF patients, the CASCADE trial demonstrated that empiric amiodarone lowered arrhythmic recurrence rates compared with other drugs guided by serial Holter or electrophysiologic studies. Several trials including AVID, CIDS, and CASH have demonstrated the superiority of ICD therapy compared with empiric amiodarone in improving overall survival. Clinical implications of these trials are discussed.


Subject(s)
Amiodarone/therapeutic use , Anti-Arrhythmia Agents/therapeutic use , Clinical Trials as Topic , Death, Sudden, Cardiac/etiology , Death, Sudden, Cardiac/prevention & control , Defibrillators, Implantable , Heart Failure/complications , Humans , Multicenter Studies as Topic , Myocardial Infarction/complications , Randomized Controlled Trials as Topic , Tachycardia, Ventricular/etiology , Tachycardia, Ventricular/therapy , Ventricular Dysfunction, Left/etiology , Ventricular Dysfunction, Left/therapy
16.
Biochemistry ; 38(45): 14941-54, 1999 Nov 09.
Article in English | MEDLINE | ID: mdl-10555976

ABSTRACT

Three Pseudomonas aeruginosa proteins involved in biogenesis of the nonribosomal peptide siderophore pyochelin, PchD, PchE, and PchF, have been expressed in and purified from Escherichia coli and are found to produce the tricyclic acid hydroxyphenyl-thiazolyl-thiazolinyl-carboxylic acid (HPTT-COOH), an advanced intermediate containing the aryl-4,2-bis-heterocyclic skeleton of the bithiazoline class of siderophores. The three proteins contain three adenylation domains, one specific for salicylate activation and two specific for cysteine activation, and three carrier protein domains (two in PchE and one in PchF) that undergo posttranslational priming with phosphopantetheine to enable covalent tethering of salicyl and cysteinyl moieties as acyl-S-enzyme intermediates. Two cyclization domains (Cy1 in PchE and Cy2 in PchF) create the two amide linkages in the elongating chains and the cyclodehydrations of acylcysteine moieties into thiazolinyl rings. The ninth domain, the most downstream domain in PchF, is the chain-terminating, acyl-S-enzyme thioester hydrolase that releases the HPTT-S-enzyme intermediate to the observed tandem bis-heterocyclic acid product. A PchF-thioesterase domain active site double mutant fails to turn over, but a monocyclic hydroxyphenyl-thiazolinyl-cysteine (HPT-Cys) product continues to be released from PchE, allowing assignment of the cascade of acyl-S-enzyme intermediates involved in initiation, elongation, and termination steps.


Subject(s)
Bacterial Proteins/metabolism , Iron Chelating Agents/metabolism , Peptide Synthases/metabolism , Phenols/metabolism , Pseudomonas aeruginosa/metabolism , Siderophores/metabolism , Thiazoles , Adenosine Triphosphate/metabolism , Catalysis , Chromatography, High Pressure Liquid , Cysteine/metabolism , Diphosphates/metabolism , Pantothenic Acid/analogs & derivatives , Pantothenic Acid/metabolism , Protein Processing, Post-Translational , Salicylates/metabolism , Spectrometry, Mass, Matrix-Assisted Laser Desorption-Ionization
18.
J Cardiovasc Electrophysiol ; 9(8): 864-91, 1998 Aug.
Article in English | MEDLINE | ID: mdl-9727666

ABSTRACT

Multiple trials using antiarrhythmic drugs, pharmacologic therapy, and implantable cardioverter defibrillators have been performed in an attempt to improve survival in patients: (1) postmyocardial infarction; (2) with congestive heart failure, with and without nonsustained ventricular tachycardia; and (3) with sustained ventricular tachycardia and those who have survived an out-of-hospital cardiac arrest. This article reviews some of the key findings and limitations of completed and ongoing trials. We also make recommendations for the current treatment of such patients based on the results of these trials.


Subject(s)
Heart Failure/therapy , Myocardial Infarction/therapy , Tachycardia, Ventricular/therapy , Adrenergic beta-Antagonists/therapeutic use , Anti-Arrhythmia Agents/therapeutic use , Clinical Trials as Topic , Defibrillators, Implantable , Humans
19.
Brain Res Dev Brain Res ; 105(2): 325-37, 1998 Feb 10.
Article in English | MEDLINE | ID: mdl-9541749

ABSTRACT

Groups of young adult cats with a left hemineodecortication at postnatal (P) ages (in days) 5-15 (P10), 30 (P30) 60 (P60), 90 (P90), 120 (P120) and in adulthood, were used to measure the volume of the thalamus, bilaterally, and of the remaining neocortex (right hemisphere). The same subjects were employed for the behavioral studies reported in the preceding paper. There was a bilateral, age-dependent, thalamic volume decrease. Ipsilateral to the resection, the thalamic shrinkage was the largest for the adult-lesioned cats (by 56.7%) and it was the smallest for the P30 group (43.4%), with a tendency towards a greater atrophy as the age at lesion increased. A similar pattern of atrophy was seen for the contralateral thalamus but the volume reduction was much less pronounced such that it was significant only for the four older age-at-lesion groups (ranging from 18.2% to 11.2% for the P120 and P90 groups respectively). Once again, the shrinkage was the smallest for the P30 group (5.3%). The remaining neocortex also shrunk in these animals, but the volume decrease was significant only for the adult-lesioned (17.8%) and the P120 group (15.4%), while the P30 group had practically no shrinkage (2.4%). The frontal cortex had no atrophy or it was minimal but the shrinkage gradually increased caudally such that all lesioned groups had some size reduction of the occipital cortex. The present results, together with the main conclusion of the preceding paper, indicate that there is a critical maturation period (CMP) of reduced forebrain vulnerability to neocortical injury which, in cats, tends to end between 30 to 60 days postnatally. The implications for developmental brain damage in other higher mammal species as well as the possible morphological ontogenetical underpinnings of this period are discussed.


Subject(s)
Brain Injuries/pathology , Neocortex/growth & development , Thalamus/growth & development , Aging/physiology , Animals , Cats , Functional Laterality/physiology , Neocortex/injuries , Neocortex/pathology , Thalamus/injuries , Thalamus/pathology
20.
J Immunol ; 159(7): 3391-9, 1997 Oct 01.
Article in English | MEDLINE | ID: mdl-9317138

ABSTRACT

Of the six complementarity-determining regions (CDR) forming the structure of the Ab combining site, CDR3 of heavy chain is the most variable in length and sequence. Diversity of this loop is determined by the number of gene segments involved, extent of addition to or deletion from the joining genes, and imprecision of the site of recombination. In neonatal mice and Xenopus tadpoles, the last two factors occur less frequently than in adults, which in tadpoles result in low affinity Ab responses that do not mature. In contrast, adult urodele amphibians make larval-like responses and are notorious for lifelong poor immunocompetence. The mechanism for this is not known, and in this study we cloned germline VH genes from the axolotl and obtained rearrangements to these VH gene segments by reverse-transcriptase PCR. These sequences were analyzed for heavy chain junctional diversity and found to be even less variable than that in newborn mouse or Xenopus tadpoles, although for different reasons. Only 29% of the CDR3 loop in the axolotl consisted of somatically generated sequences, compared with 44% in tadpole, 39% in newborn mice, and 57% in both adult mice and Xenopus. This distinguishing feature of axolotl CDR3 results not only from shorter junctional sequences, but also unusually extensive integration of germline JH sequence. As the CDR3 loop is the most important portion of the Ig sequence for determining Ab combining site diversity, our data provide the molecular basis for a contributing factor in the deficient urodele amphibian Ab responses.


Subject(s)
Ambystoma mexicanum/immunology , Antibody Diversity , Immunoglobulin Variable Region/chemistry , Aging/genetics , Aging/immunology , Ambystoma mexicanum/genetics , Amino Acid Sequence , Animals , Antibody Diversity/genetics , Base Sequence , Blotting, Southern , Cloning, Molecular , DNA/isolation & purification , Gene Rearrangement/immunology , Germ Cells , Immunoglobulin Heavy Chains/chemistry , Immunoglobulin Heavy Chains/genetics , Immunoglobulin J-Chains/chemistry , Immunoglobulin J-Chains/genetics , Immunoglobulin Joining Region/chemistry , Immunoglobulin Joining Region/genetics , Immunoglobulin Variable Region/genetics , Male , Molecular Sequence Data
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