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1.
Chemistry ; 27(68): 17059-17065, 2021 Dec 06.
Article in English | MEDLINE | ID: mdl-34499375

ABSTRACT

The interaction of molecules, especially hydrocarbons, at the gas/ionic liquid (IL) surface plays a crucial role in supported IL catalysis. The dynamics of this process is investigated by measuring the trapping probabilities of n-butane, iso-butane and 1-butene on a set of frozen 1-alkyl-3-methylimidazolium-based ILs [Cn C1 Im]X, where n=4, 8 and X- =Cl- , Br- , [PF6 ]- and [Tf2 N]- . The decrease of the initial trapping probability with increasing surface temperature is used to determine the desorption energy of the hydrocarbons at the IL surfaces. It increases with increasing alkyl chain length n and decreasing anion size for the ILs studied. We attribute these effects to different degrees of alkyl chain surface enrichment, while interactions between the adsorbate and the anion do not play a significant role. The adsorption energy also depends on the adsorbing molecule: It decreases in the order n-butane>1-butene>iso-butane, which can be explained by different dispersion interactions.

2.
Crit Rev Ther Drug Carrier Syst ; 38(2): 27-74, 2021.
Article in English | MEDLINE | ID: mdl-33639067

ABSTRACT

Self-emulsifying drug delivery system (SEDDS), a category of lipid-based technology, has gained interest in the recent years for enhancement of solubility and bioavailability of poorly water-soluble drugs. With the progress of research in this field, novel excipients have been developed with enhanced properties. But excipient selection is the key hurdle in the formulation of SEDDS. The objective of this review is to summarize different types of oils, surfactants, co-surfactants which are the key components of liquid SEDDS (L-SEDDS), various carriers utilized in the conversion of L-SEDDS to solid SEDDS (S-SEDDS), their description, properties, grades, and applications in pharmacy. This article provides an overview of solidification techniques to transform L-SEDDS to S-SEDDS which are more stable and have better patience compliance. This review presents numerous literature reports on various excipients used and the discussion on how these excipients affect the final results.


Subject(s)
Drug Carriers/chemistry , Drug Compounding/methods , Emulsifying Agents/chemistry , Emulsions/chemistry , Excipients/chemistry , Administration, Oral , Biological Availability , Chemistry, Pharmaceutical , Oils/chemistry , Solubility , Surface-Active Agents/chemistry
3.
J Chem Phys ; 153(21): 214706, 2020 Dec 07.
Article in English | MEDLINE | ID: mdl-33291894

ABSTRACT

The adsorption of reactants is an elementary step in the interaction of molecules with liquid or solid surfaces. We recently reported on the trapping of n-butane on the frozen surfaces of ionic liquids (ILs), namely, 1-alkyl-3-methylimidazolium bis(trifluoromethanesulfonyl)imide ILs ([CnC1Im][Tf2N]; n = 1, 2, 3, and 8). To study the influence of the anion, we now present results concerning the trapping of n-butane on 1-alkyl-3-methylimidazolium hexafluorophosphate ILs ([CnC1Im][PF6]; n = 2, 4, and 8), that is, ILs with a smaller anion. The adsorption energies close to zero coverage are determined from the temperature dependence of the initial trapping probability using a novel approach. For both groups of ILs, the binding energy is dominated by the interaction of n-butane with the alkyl chain of the cation, whereas the ionic headgroups contribute only weakly. Comparing ILs with different alkyl chains at the IL cation, we find that the adsorption strength of n-butane increases with increasing length of the alkyl chain. In addition, detailed information on the new setup and the data analysis is provided.

4.
Angew Chem Int Ed Engl ; 59(34): 14429-14433, 2020 Aug 17.
Article in English | MEDLINE | ID: mdl-32428352

ABSTRACT

The impact of a reactant from the gas phase on the surface of a liquid and its transfer through this gas/liquid interface are crucial for various concepts applying ionic liquids (ILs) in catalysis. We investigated the first step of the adsorption dynamics of n-butane on a series of 1-alkyl-3-methylimidazolium bis(trifluoromethanesulfonyl)imide ILs ([Cn C1 Im][Tf2 N]; n=1, 2, 3, 8). Using a supersonic molecular beam in ultra-high vacuum, the trapping of n-butane on the frozen ILs was determined as a function of surface temperature, between 90 and 125 K. On the C8 - and C3 -ILs, n-butane adsorbs at 90 K with an initial trapping probability of ≈0.89. The adsorption energy increases with increasing length of the IL alkyl chain, whereas the ionic headgroups seem to interact only weakly with n-butane. The absence of adsorption on the C1 - and C2 -ILs is attributed to a too short residence time on the IL surface to form nuclei for condensation even at 90 K.

5.
Langmuir ; 35(2): 398-405, 2019 01 15.
Article in English | MEDLINE | ID: mdl-30540199

ABSTRACT

In the context of applications with thin ionic liquid (IL) films on solid supports, we studied the ion distribution within mixed thin IL films by angle-resolved X-ray photoelectron spectroscopy. After the deposition of 1-methyl-3-octylimidazolium hexafluorophosphate, [C8C1Im][PF6], on top of a wetting layer (WL) of 3-methyl-1-(3,3,4,4,4-pentafluorobutyl)imidazolium hexafluorophosphate, [PFBMIm][PF6], on Ag(111) at room temperature (RT), we find a preferential enrichment of the [PFBMIm]+ cation at the IL/vacuum interface. In a similar deposition experiment at 82 K, this cation exchange at the IL/solid interface does not occur. Upon heating the film from 82 K to RT, we observe the replacement of [C8C1Im]+ by [PFBMIm]+ at the IL/vacuum interface between ∼160 and ∼220 K. No further changes in the surface composition were observed between 220 K and RT. Upon further heating the mixed IL film, we find the complete desorption of [PFBMIm][PF6] from the mixed film below 410 K, leaving a WL of pure [C8C1Im][PF6] on Ag(111), which desorbs until 455 K.

6.
Phys Chem Chem Phys ; 20(18): 12929-12938, 2018 May 09.
Article in English | MEDLINE | ID: mdl-29701209

ABSTRACT

Various amounts of the ionic liquids (ILs) [C1C1Im][Tf2N] and [C8C1Im][Tf2N] were deposited in vacuo by physical vapour deposition (PVD) on single crystalline Ag(111) at room temperature and subsequently monitored by angle-resolved X-ray photoelectron spectroscopy (ARXPS) as a function of time. For very low coverages of up to one closed molecular layer, an initial wetting layer was rapidly formed for both ILs. Deposition of higher amounts of [C1C1Im][Tf2N] revealed an initial three-dimensional film morphology. On the time scale of hours, characteristic changes of the XPS signals were observed. These are interpreted as island spreading and a transformation towards a nearly two dimensional [C1C1Im][Tf2N] film as the final state. In contrast, a film morphology close to 2D was found from the very beginning for [C8C1Im][Tf2N] deposited on Ag(111) demonstrating the influence of the alkyl chain length on the growth kinetics. These studies also highlight the suitability of time-resolved ARXPS for the investigation of IL/solid interfaces, which play a crucial role in IL thin film applications such as in catalysis, sensor, lubrication, and coating technologies.

7.
J Indian Soc Pedod Prev Dent ; 34(3): 257-61, 2016.
Article in English | MEDLINE | ID: mdl-27461810

ABSTRACT

BACKGROUND: This study explores the association of disabilities and oral health. The aim of the study was to assess the salivary and plaque pH and oral health status of children with and without disabilities. MATERIALS AND METHODS: A total of 100 schoolchildren (50 with disabilities and 50 without disabilities) were examined from 9 to 15 years age group. Saliva and plaque pH analysis were done to both the groups. Clinical data were collected on periodontal status, dental caries using WHO criteria. pH values of different groups, difference between the means were calculated using independent t-test, and frequency distribution was analyzed using Chi-square test. Statistical significance, P value was set at 0.05. RESULTS: Mean plaque and salivary pH scores were lesser (5.73 and 5.67) in children with intellectual disabilities (IDs) (P< 0.001). Subjects with disabilities had also statistically significant higher CPI scores and decayed, missing, and filled scores than their healthy counterparts (P< 0.001). CONCLUSION: There is a statistically significant difference in plaque and salivary pH among children with and without ID with lower plaque and salivary pH among children with ID. In addition to this, the oral health was also more compromised in children with ID, which confirms a need for preventive treatment for these children.


Subject(s)
Dental Plaque/chemistry , Intellectual Disability/complications , Oral Health , Saliva/chemistry , Adolescent , Case-Control Studies , Child , Cross-Sectional Studies , Dental Caries/complications , Dental Caries/epidemiology , Female , Humans , Hydrogen-Ion Concentration , India/epidemiology , Male , Oral Health/statistics & numerical data , Periodontal Index
8.
J Clin Diagn Res ; 9(7): SC04-7, 2015 Jul.
Article in English | MEDLINE | ID: mdl-26393179

ABSTRACT

AIM: The main aim of the study is to study the clinical profile of disorders of the liver and hepatobiliary system in paediatric patients and to correlate the histopathology findings of liver biopsy in chronic liver disease. Another aim being to assess the prognosis and to know the outcome and the effects of treatment in chronic liver diseases in paediatric age group. MATERIALS AND METHODS: It was a prospective study, included the clinical profile of Chronic Liver Diseases (CLD) in children and the histopathological correlation. A total of 55 children were thoroughly investigated by doing relevant investigations and liver biopsy. RESULTS: A male predominance (60%) was noted with maximum incidence in the age group of 6-12 years. The incidence of CLD was 1.1% of total admissions. The most common presenting complaint was jaundice and abdominal distension. Hepatic encephalopathy was noted in 29% patients. Hepatomegaly was seen in 63% patients and spleenomegaly was seen in 60% patients. The incidence of cirrhosis on liver biopsy was 42% (23cases) in CLD patients. The most common diagnosis on histopathology was Wilson's disease (22%), followed by hepatitis and autoimmune hepatitis. The predominant spectrum of CLD was metabolic liver disease and also the predominant cause of death. CONCLUSION: As the incidence of CLD is quite low, a very high index of suspicion is required for its diagnosis. Some uncommon causes of CLD in children were seen in our study like neutral lipid storage disease, α1-Antitrypsin deficiency disease, lupus hepatitis, Alagille syndrome and Budd-Chiari syndrome. A patient of CLD with jaundice and hepatomegaly should be treated aggressively as those are the poor prognostic indicators of the disease. Hepatic encephalopathy and cirrhosis are also associated with poor outcome in patients with CLD. Liver biopsy histopathology by an expert and its correlation with laboratory investigations plays an important role in the diagnosis of CLD. The major cause of deaths in patients with CLD is due to end stage liver disease and fulminant hepatic failure and the only way to prevent and treat these patients is by liver transplantation.

9.
Mater Sci Eng C Mater Biol Appl ; 50: 143-50, 2015 May.
Article in English | MEDLINE | ID: mdl-25746256

ABSTRACT

This study reports the microwave-assisted synthesis and characterization of nHAp (nano-hydroxyapatite)-alumina composites. The crystalline phase and interaction of alumina with nHAp was analyzed using X-ray diffraction (XRD) and Raman microscopy analysis, respectively. High resolution transmission electron microscopy (HRTEM) micrographs exhibit morphological changes of nHAp composites with increasing alumina concentrations. Microhardness studies reveal the enhanced mechanical strength of nHAp10 and nHAp20 nanocomposites than pure nHAp. In vitro bioactivity of the nanocomposites was studied by immersing samples in simulated body fluid (Hank's solution) for 21 days. The surface of biomineralized samples were analyzed using field emission scanning electron microscopy (FESEM) and energy dispersive X-ray spectroscopy (EDX). Hemolytic assay revealed acceptable compatibility for varying concentrations of all the samples. Cell proliferation assay was systematically investigated for 1 day and 3 days on Saos-2 osteoblast-like cell lines and it was found that nHAp nanocomposites improved the proliferation.


Subject(s)
Aluminum Oxide/pharmacology , Durapatite/pharmacology , Materials Testing/methods , Microwaves , Nanocomposites/chemistry , Cell Line , Cell Survival/drug effects , Durapatite/chemistry , Hardness , Hemolysis/drug effects , Humans , Nanocomposites/ultrastructure , Spectrum Analysis, Raman , X-Ray Diffraction
10.
J Basic Clin Pharm ; 4(2): 42-8, 2013 Mar.
Article in English | MEDLINE | ID: mdl-24808669

ABSTRACT

Proniosomes are dry formulation of water soluble carrier particles that are coated with surfactant. They are rehydrated to form niosomal dispersion immediately before use on agitation in hot aqueous media within minutes. Proniosomes are physically stable during the storage and transport. Drug encapsulated in the vesicular structure of proniosomes prolong the existence of drug in the systematic circulation and enhances the penetration into target tissue and reduce toxicity. From a technical point of view, niosomes are promising drug carriers as they possess greater chemical stability and lack of many disadvantages associated with liposomes, such as high- cost and variable purity problems of phospholipids. The present review emphasizes on overall methods of preparation characterization and applicability of proniosomes in targeted drug action.

11.
Blood ; 120(18): 3635-46, 2012 Nov 01.
Article in English | MEDLINE | ID: mdl-22968453

ABSTRACT

We conducted a gene therapy trial in 10 patients with adenosine deaminase (ADA)-deficient severe combined immunodeficiency using 2 slightly different retroviral vectors for the transduction of patients' bone marrow CD34(+) cells. Four subjects were treated without pretransplantation cytoreduction and remained on ADA enzyme-replacement therapy (ERT) throughout the procedure. Only transient (months), low-level (< 0.01%) gene marking was observed in PBMCs of 2 older subjects (15 and 20 years of age), whereas some gene marking of PBMC has persisted for the past 9 years in 2 younger subjects (4 and 6 years). Six additional subjects were treated using the same gene transfer protocol, but after withdrawal of ERT and administration of low-dose busulfan (65-90 mg/m(2)). Three of these remain well, off ERT (5, 4, and 3 years postprocedure), with gene marking in PBMC of 1%-10%, and ADA enzyme expression in PBMC near or in the normal range. Two subjects were restarted on ERT because of poor gene marking and immune recovery, and one had a subsequent allogeneic hematopoietic stem cell transplantation. These studies directly demonstrate the importance of providing nonmyeloablative pretransplantation conditioning to achieve therapeutic benefits with gene therapy for ADA-deficient severe combined immunodeficiency.


Subject(s)
Agammaglobulinemia/therapy , Bone Marrow Transplantation/methods , Genetic Therapy/methods , Genetic Vectors , Hematopoietic Stem Cell Transplantation/methods , Severe Combined Immunodeficiency/therapy , Adenosine Deaminase/deficiency , Adolescent , Antigens, CD34/metabolism , Child , Child, Preschool , Female , Humans , Infant , Male , Retroviridae/genetics , Transduction, Genetic , Transplantation Conditioning , Young Adult
12.
Curr Protoc Protein Sci ; Chapter 11: 11.7.1-11.7.20, 2011 Feb.
Article in English | MEDLINE | ID: mdl-21400688

ABSTRACT

Two enzymatic methods commonly used in N-terminal sequence analysis of blocked proteins are presented: one uses pyroglutamate aminopeptidase for N(α)-pyrrolidone carboxyl-proteins in solution or blotted onto a membrane, and the other uses acylaminoacyl-peptide hydrolase for N(α)-acyl-proteins blocked with other acyl groups. A Support Protocol describes a colorimetric assay for pyroglutamate aminopeptidase activity. Sequencing with acylaminoacyl-peptide hydrolase must include fragmentation of the protein before unblocking, so procedures are provided for chemically blocking newly generated peptides with either succinic anhydride or phenylisothiocyanate/performic acid. The hydrolase is then applied to the total mixture of peptides, only one of which, the acylated N-terminal peptide, should be a substrate for hydrolase. After incubation, the mixture of peptides is subjected to sequence analysis.


Subject(s)
Biochemistry/methods , Peptides/metabolism , Proteins/chemistry , Proteins/metabolism , Sequence Analysis/methods , Acylation , Colorimetry , Formates/metabolism , Hydrolases/metabolism , Isothiocyanates/metabolism , Peptide Fragments/metabolism , Peptide Hydrolases/metabolism , Pyroglutamyl-Peptidase I/metabolism , Pyrrolidonecarboxylic Acid/chemistry , Pyrrolidonecarboxylic Acid/isolation & purification , Solutions , Succinic Anhydrides/metabolism
13.
J Child Neurol ; 26(7): 904-6, 2011 Jul.
Article in English | MEDLINE | ID: mdl-21427444

ABSTRACT

Neurocysticercosis lesions can occur in the basal ganglia, but most of these are clinically silent. Neurocysticercosis manifesting as movement disorders is extremely uncommon. The authors report a case of neurocysticercosis in an 11-year-old girl presenting with right hemiballismus (a clinical manifestation not yet reported). Magnetic resonance imaging of the brain confirmed the solitary neurocysticercosis lesion in the left thalamus. The child was symptomatic for 5 years and improved dramatically within 2 days of starting definitive therapy for neurocysticercosis (albendazole and prednisolone).


Subject(s)
Dyskinesias/etiology , Dyskinesias/parasitology , Neurocysticercosis/complications , Taenia solium/isolation & purification , Thalamus/parasitology , Albendazole/therapeutic use , Animals , Anthelmintics/therapeutic use , Child , Dyskinesias/pathology , Female , Glucocorticoids/therapeutic use , Humans , Magnetic Resonance Imaging/methods , Neurocysticercosis/drug therapy , Neurocysticercosis/parasitology , Prednisolone/therapeutic use , Thalamus/pathology
14.
Microsc Res Tech ; 73(5): 555-9, 2010 May.
Article in English | MEDLINE | ID: mdl-19937749

ABSTRACT

It is not clear whether the Nissl substance is present at the axon hillock. To clarify this gap in knowledge, we conducted in situ hybridization (ISH) on mouse brain tissue using 30-microm cryostat and 1-3-microm acrylic resin sections. Cryostat and rehydrated resin sections were exposed to digoxygenin-labeled glutamic acid decarboxylase 1 sense and antisense riboprobes. Consecutive sections from tissue embedded in resin were subjected to the ribosomal protein L26 primary antibody to determine the distribution of the ribo/polysomes. ISH results from the antisense riboprobe in both cryostat and resin-embedded tissue sections demonstrated an abundance of message in the neurons from the substantia nigra pars reticulate. In addition, the resin sections demonstrated hybridization signal in the axon hillock of some neurons. Immunofluorescence labeling of consecutive sections using an antibody to the most abundant ribosomal protein L26 confirmed their distribution in the cell body and the axon hillock of similar neurons. Compared with the 30-microm cryostat sections, the most striking feature of ISH in the thinner resin (2-3 microm) sections was that there was a phenomenal improvement in the overall clarity and spatial resolution. Reexamination of the axon hillock when continuous with the cell body in cryostat sections revealed that the same message was also present, except it was overlooked initially because of overlapping cell populations in thick tissue slices. As ribosomes are a component of Nissl substance, we propose that the axon hillock, like other parts of the neuron, does contain Nissl substance.


Subject(s)
Axons/chemistry , Brain Chemistry , Fluorescent Antibody Technique , In Situ Hybridization , Nissl Bodies/chemistry , Animals , Mice , Mice, Inbred C57BL
15.
Eur J Pediatr ; 169(5): 629-31, 2010 May.
Article in English | MEDLINE | ID: mdl-19802631

ABSTRACT

The occurrence of acute myelogenous leukemia (AML) in HIV-infected patients is extremely rare with only adult patients reported so far. Our patient was a 7-year-old male who presented with fever and cough since 1 month with six episodes of intermittent hemoptysis. The child also had recurrent parotid swellings, melena, and purulent otitis media. Investigations revealed anemia (hemoglobin of 8.9 g/dl), thrombocytopenia (platelet count of 21,000 cells per microliter), and positive HIV antibody (perinatal transmission). The patient's bone marrow aspiration and biopsy suggested AML, and the leukemia panel 1 study showed CD13, CD33, CD34, and HLA DR-positive AML with CD7 expression. The child was given supportive treatment but succumbed to the disease. AML can occur in pediatric patients with HIV infection. A high index of suspicion of hematological malignancies should be kept in mind for patients presenting with cytopenias. This is the first HIV-infected pediatric patient (<12 years) with AML reported in the medical literature.


Subject(s)
HIV Infections/complications , Leukemia, Myeloid, Acute/complications , Child , Humans , Male
16.
J Child Neurol ; 24(5): 606-9, 2009 May.
Article in English | MEDLINE | ID: mdl-19189935

ABSTRACT

Tuberculosis is common in India, but the co-occurrence of intracranial and intramedullary tuberculomas as a manifestation of central nervous system tuberculosis is extremely rare in children. We report a case of concurrent intracranial and lumbar intramedullary tuberculomas in a 6-year-old girl. The child developed the intracranial and intramedullary tuberculomas while on antituberculous therapy for previously diagnosed tuberculous meningitis. The child improved well on antituberculous drugs and neurosurgical excision of the lumbar lesion. Histopathology confirmed tuberculous etiology of the intramedullary lesion.


Subject(s)
Lumbar Vertebrae , Spinal Diseases/complications , Tuberculoma, Intracranial/complications , Tuberculoma/complications , Antitubercular Agents/therapeutic use , Brain/pathology , Child , Diagnosis, Differential , Edema , Female , Humans , Isoniazid/therapeutic use , Magnetic Resonance Imaging , Rifampin/therapeutic use , Spinal Cord/pathology , Spinal Cord/surgery , Spinal Diseases/pathology , Spinal Diseases/therapy , Tomography, X-Ray Computed , Tuberculoma/pathology , Tuberculoma/therapy , Tuberculoma, Intracranial/drug therapy , Tuberculoma, Intracranial/pathology
17.
Indian J Pediatr ; 75(12): 1257-8, 2008 Dec.
Article in English | MEDLINE | ID: mdl-19057857

ABSTRACT

Familial hypertriglyceridemia (FHTG) is an uncommon primary (genetic) dyslipidemia. FHTG is characterized by moderately elevated serum triglycerides, usually in the absence of significant hypercholesterolemia and rarely manifests in childhood. We report an eight-month-old boy incidentally diagnosed as a case of FHTG due to lipemic serum (patient was admitted for malaria with anemia). He had elevated serum triglycerides with normal serum cholesterol, but had no symptoms related to the primary disorder (FHTG).


Subject(s)
Hypertriglyceridemia/diagnosis , Hypertriglyceridemia/genetics , Anemia/complications , Cholesterol/blood , Diagnosis, Differential , Diet, Fat-Restricted , Humans , Hypertriglyceridemia/complications , Hypertriglyceridemia/diet therapy , Infant , Lipids/blood , Malaria/complications , Male , Treatment Outcome , Triglycerides/blood
18.
Clin Cancer Res ; 14(2): 607-11, 2008 Jan 15.
Article in English | MEDLINE | ID: mdl-18223237

ABSTRACT

BACKGROUND: Patients seek herbal/hormonal dietary supplements (HHDS) to prevent and/or solve health and aging issues. After two men developed an unusual course of clinically aggressive prostate cancer within months of starting daily consumption of the same HHDS product, we investigated the effect of this product on prostate cancer progression. METHODS: We evaluated serum levels of total testosterone, luteinizing hormone, and follicle-stimulating hormone and screened prostate biopsy and metastatic specimens for androgen receptor protein expression and mutations. We did hormone analyses and capillary electrophoresis. We tested the effect of the HHDS product on androgen receptor-negative (DU-145 and PC-3) and androgen receptor-positive (LNCaP) human prostate cancer cell lines. RESULTS: Both patients had low hormone levels. The androgen receptor was expressed in all primary and metastatic prostate cancer tissues and no mutations were identified. Hormone analysis revealed that the HHDS contained testosterone and estradiol. The HHDS product was a more potent dose-dependent stimulator of cancer cell growth than testosterone both in androgen receptor-negative and receptor-positive cell lines. Blocking experiments with increasing concentrations of bicalutamide did not prevent the HHDS product-stimulated growth. We filed an adverse event report with the Food and Drug Administration who issued a warning letter. The manufacturer responded by removing this HHDS product from the market. CONCLUSIONS: The HHDS product contained one or more endocrinologically active tumor-promoting components that had cellular androgen receptor status-independent activity. The HHDS product exhibited potent prostate cancer growth stimulatory activity that was more powerful than that of testosterone, independent of the androgen-receptor status of prostate cancer cells, and resistant to antiandrogen blockade.


Subject(s)
Androgens/adverse effects , Dietary Supplements/adverse effects , Prostatic Neoplasms/physiopathology , Aged , Cell Line, Tumor , Disease Progression , Humans , Male , Middle Aged , Prostate/drug effects , Prostatic Neoplasms/etiology , Receptors, Androgen/metabolism , Testosterone/metabolism
19.
Trop Gastroenterol ; 29(4): 229-31, 2008.
Article in English | MEDLINE | ID: mdl-19323095

ABSTRACT

Tyrosinemia is a rare paediatric metabolic liver disorder. A 15-days-old neonate born of a third degree consanguineous marriage presented with jaundice due to tyrosinemia, which progressed to fatal hepatic encephalopathy. The diagnosis was based on very high alpha-fetoprotein level, with urine aminoacidogram revealing tyrosine spot and liver biopsy depicting cirrhosis. Very early neonatal presentation and rapid progression were the unusual features of this case.


Subject(s)
Tyrosinemias/diagnosis , Humans , Infant, Newborn , Male , Tyrosinemias/complications , Tyrosinemias/therapy
20.
Clin Biochem ; 40(1-2): 86-93, 2007 Jan.
Article in English | MEDLINE | ID: mdl-17005169

ABSTRACT

OBJECTIVES: Development of an ELISA for phosphorylated isoform of IGFBP-1. Serine phosphorylation is an important regulator of IGFBP-1 bioactivity, but specific immunoassays for its measurement are currently lacking. DESIGN AND METHODS: Assay design was based on a novel approach of first capturing the phosphorylated and non-phosphorylated IGFBP-1 by an anti-IGFBP-1 antibody and then selectively detecting the phosphorylated form by an anti-phosphoserine antibody. Method development involved pair-wise evaluation of the candidate antibodies and determinations of analytical performance and specificity. Specificity was monitored by reactivity with dephosphorylated IGFBP-1, with antibodies against other phosphorylated residues that are not expressed, and by comparative analysis of sample containing different IGFBP-1 phosphorylation profile. RESULTS: Analytical evaluation demonstrated acceptable performance; detection limit 0.3 microg/L, dynamic range 1.56-100 microg/L; intra- and inter-assay CVs 2.1-8.6%; mean recovery (+/-SD) 97.8+/-9.2%, and mean recovery of sample dilution 93.4+/-6.0%. The phosphorylated and total IGFBP-1 medians in non-pregnant adult serum, which mostly contain the highly phosphorylated isoform, were 11.9 and 18.6 microg/L, respectively, and the sample values were tightly correlated (r=0.99). As expected, the corresponding medians in 1st trimester (17.4 and 63.0 microg/L) and 2nd trimester (30.9 and 75.8) samples with altered IGFBP-1 phosphorylation were significantly different (p<0.001). Similarly, a fraction (1.29%) of total IGFBP-1 (13.3 mg/L) in amniotic fluids was found to be phosphorylated (0.172 mg/L). There was no reactivity with dephosphorylated IGFBP-1. CONCLUSIONS: The present ELISA is highly specific for the phosphorylated isoform of IGFBP-1 and its availability should help expedite further investigations of IGFBP-1 phosphorylation.


Subject(s)
Enzyme-Linked Immunosorbent Assay/methods , Insulin-Like Growth Factor Binding Protein 1/blood , Phosphoserine/blood , Adolescent , Adult , Amniotic Fluid/chemistry , Antibodies/immunology , Female , Humans , Middle Aged , Pregnancy , Protein Isoforms/blood , Reproducibility of Results , Sensitivity and Specificity
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