Erythrocyte transketolase deficiency in patients suffering from Crohn's disease.

OBJECTIVE: Aim of the study was to assess the possible vitamin B1 deficiency in relation to the exacerbation of Crohn's disease (CD) in adult patients. PATIENTS AND METHODS: Forty-nine Crohn's disease (CD) patients with different disease activity (The Crohn's Disease Activity Index-CDAI) were included in the study. Anthropometrical and biochemical parameters, i.e., high sensitive C-reactive protein, were assessed. The spectrophotometric method was used to measure the transketolase activity (TK) in erythrocytes. The normalized transketolase activity ratio (NTKZ) and the percentage of activation with thiamine pyrophosphate (%TPP) were also evaluated. RESULTS: The mean values of BMI were close to cut-off: 18.5 kg/m2, indicating a poor nutritional status in CD patients. The patients with moderate-to-severe active CD had a statistically significant higher value of CDAI and hsCRP concentrations compared to those being in the asymptomatic remission or at the mildly active stage of the disease. The level of NTKZ and %TPP were statistically different between the analyzed groups, showing the deficit of vitamin B1 in the group of moderate-to-severe active CD patients (Mean ± SD; NTKZ: 1.99 ± 0.87 vs. 1.54 ± 0.62 U/g Hb; % of TPP: 0.15 ± 0.78 vs. 54.90 ± 38.80). CONCLUSIONS: Vitamin B1 deficiency is part of the Crohn's disease manifestation in moderate-to-severe active patients.

Comparison of chemical composition and antibacterial activity of lavender varieties from Poland.

The aim of the study was comparing the chemical composition of the essential oils from five varieties of lavender (Lavandula angustifolia L.), and its biological activity against two pathogenic bacteria, Staphylococcus aureus and Pseudomonas aeruginosa. In the comparison we included the following varieties: 'Munstead', 'Munstead Strain', 'Lavender Lady', 'Ellegance Purple' and 'Blue River'. Selected varieties of lavender (L. angustifolia) are characterised by exactly the same main compounds with only variations in the percentage of content. The primary components of the essential oils were: linalool (23.9-15.8%), linalyl anthranilate (12.3-1.6%), 1-terpinen-4-ol (9.7-5.5%), p-menth-1-en-8-ol (7.9-4.0%) and linalool oxide (4.7-1.1%). From the essential oils that were tested, the 'Blue River' and 'Munstead' varieties have the greatest antibacterial activity against S. aureus and P. aeruginosa.

Identification and differentiation of Trichophyton rubrum clinical isolates using PCR-RFLP and RAPD methods.

Trichophyton rubrum represents the most frequently isolated causative agent of superficial dermatophyte infections. Several genotyping methods have recently been introduced to improve the delineation between pathogenic fungi at both the species and the strain levels. The purpose of this study was to apply selected DNA fingerprinting methods to the identification and strain discrimination of T. rubrum clinical isolates. Fifty-seven isolates from as many tinea patients were subjected to species identification by polymerase chain reaction restriction fragment length polymorphism (PCR-RFLP) analysis and strain differentiation using a randomly amplified polymorphic DNA (RAPD) method, with two primers designated 1 and 6. Using PCR-RFLP, 55 of the isolates studied were confirmed to be T. rubrum. Among those, a total of 40 and five distinct profiles were obtained by RAPD with primers 1 and 6, respectively. The combination of profiles from both RAPD assays resulted in 47 genotypes and an overall genotypic diversity rate of 85.4%. A dendrogram analysis performed on the profiles generated by RAPD with primer 1 showed most of the isolates (87.3%) to be genetically related. PCR-RFLP serves as a rapid and reliable method for the identification of T. rubrum species, while the RAPD analysis is rather a disadvantageous tool for T. rubrum strain typing.

Infectious complications after simultaneous pancreas-kidney transplantation.

Simultaneous pancreas-kidney transplantation (SPKT) improves long-term survival of insulin-dependent diabetes mellitus patients with diabetic nephropathy. The increasing success of SPKT is a result of improved surgical technique, better organ preservation, potent antirejection therapy, and effective use of antibiotics to prevent and treat infectious complications. However, morbidity and mortality following SPKT remain high mainly owing to infection. From 1988 to 2004, the 51 patients who underwent SPKT were 32 women and 19 men of mean age 34 +/- 4 years old with diabetes and end-stage renal disease. The mean duration of diabetes mellitus was 23 +/- 4 years. The incidence of HCV and HBV infections were 19.6% and 13.7%, respectively. Preoperative work-up included identification and elimination prior to surgery of potential sources of infection. All patients prior to SPKTx had been treated by dialysis (26 +/- 20 months). The kidneys were always placed into the left retroperitoneal space first; at the same time the pancreatic grafts were prepared on the back table. The reconstruction of the superior mesenteric and the splenic arteries was performed using a Y graft of donor iliac artery to the common or external donor's iliac artery. The pancreas was transplanted intraperitoneally to the right iliac vessels. The portal vein was sutured to the common or external iliac vein and the arterial conduit of donor iliac artery. In 20 of the patients, bladder drainage and in 31, enteric drainage was used for the pancreatic juice exterioration. Patients received immunosuppression with a calcineurin inhibitor (tacrolimus or cyclosporin), mycophenolic acid or azathioprine, and steroids. Antibody induction (alternatively anti-IL-2 monoclonal antibody or ATG) was used in last 38 patients. Antibacterial (tazobactam) and antifungal (fluconazole) as well as antiviral (gancyclovir) prophylactic treatment was given to all patients for 7 to 10 days after transplantation. Thirty-eight recipients are alive, 26 with function of both grafts; 8 with functioning kidney grafts; and 4 with nonfunctioning grafts on dialysis treatment from 1 to 14 years after transplantation. Thirteen patients (24.5%) died during the first year after transplantation. Infectious complications were the main cause of death. Systemic infections accounted for the death of five patients and CNS infection for death of another five patients. Three patients died with functioning grafts due to cardiopulmonary disorders (myocardial infarction, pulmonary embolus) early in the postoperative period. A total of 102 infections were diagnosed in 51 patients during the posttransplant course. Twenty-one episodes of CMV infection (systemic 20, duodenal site 1), 73 bacterial infections (systemic 13, pulmonary 13, urinary tract 15, intestinal 8, wound 23), and 8 fungal infections (central nervous system 5, gastrointestinal tract 3). Some patients had more than one type of infection. Overall mortality in the investigated group was 24.5%. Infectious complications were the main cause of death (77%), including systemic infection (38.5%) and CNS infection (38.5%). The predominant etiology of the systemic infections was bacterial. The etiology of CNS infections was fungal. In conclusion, infectious complications are the main cause of morbidity and mortality following SPKT. The early diagnosis of infection, particularly fungal complications, is necessary. The administration of broad-spectrum prophylactic antibiotics, antifungal, and antiviral agents is recommended.

Transferrin, haematological indices and liver glycogen in field mice collected from a coal mining area and a control site in Poland.

A polymorphism for serum transferrin in field mice from polluted and control sites was compared with body-morphological and haematological parameters, and with liver glycogen concentration. The distribution of genotypes in the polluted area was not panmictic, due to higher frequencies of the rare allele Trf(c) occurring mainly in males. In the polluted area, transferrin-c was accompanied by slowly migrating, Fe-binding protein fractions. Since the Trf(c)/Trf(c) homozygote possessed higher red blood cell parameters, it is suggested that these extra proteins have an Fe-transport function. The morpho-physiology of heterozygotes from the polluted area did not differ significantly from those from the control site. The animals from the polluted area possessed a high concentration of liver glycogen, indicative of poor environmental conditions. Also, a generally lower level of red blood cell parameters suggests that non-oxygenic processes dominate over oxygenic ones in the polluted area.

Age and androgen-related changes in morphological parameters, haematological indices and serum protein fraction in common vole (Microtus arvalis Pall.) growing in different photoperiods.

In male voles raised under different light conditions (L:D = 24:0, L:D = 18:6, L:D = 6:18) the following results were obtained. In the young males erythropoiesis seemed to be greatest in voles growing in "winter" photoperiod. In this light condition RBC count showed a tendency to decrease with age while in other illuminations erythrocyte numbers increased. The age related changes in RBC count were very similar to those observed in common voles aging in the different natural seasonal generations. The androgen level was higher after birth and then decreased. After reaching sexual maturity (13-15 weeks of vole life) it showed a peak and then decreased progressively. The age related changes in alpha 2-globulins (considered to be a potential binding proteins for steroid hormones) and in androgen level suggested a regulating mechanism based on a balance of hormones--blood proteins. The correlations stated between androgens and the parameters studied indicated more steroid than age-related metabolic changes. The more androgens, the less beta-globulin and fibrinogen while the greater rate of body and testes weight, as well as of albumin level and of RBC count were observed. All those might affect the transmission of lipoproteins from blood to adipose tissue and less predisposition to fighting with potentially lower blood coagulation capacity and more effective anabolic (erythropoietic) processes in the more "androgenic", reproductively active male voles. A higher protein metabolism in constant light, i.e. the higher level of the majority of plasma protein fraction and small weight was suggested. The high level of androgens in "winter" photoperiod might condition the aggressiveness and prevent hibernation in natural winter conditions.

Influence of photoperiod on morphological parameters, androgen concentration, haematological indices and serum protein fractions in common vole (Microtus arvalis, pall.).

1. In male voles developed under three different photoperiods (L:D = 24:0, L:D = 18:6, L:D = 6:18) the following results were obtained. 2. Higher variability of most of the parameters (except testes weight and protein fraction levels) was observed in young males. Hormonal synchronization of parameters studied in adult voles was discussed. 3. Sexual activity measured by morphological symptoms was related to increase of body and testes weights, RBC count, alpha 2- and gamma-globulin levels. There was no parallelism between testes weight and androgen concentration. 4. The increasing photoperiod synchronized groups as far as testes weight, WBC count and androgen concentration was concerned. Constant illumination inhibited sexual maturity and probably haemopoesis and androgen secretion. 5. A long "summer" photoperiod was optimal for male vole reproductive form which was related to high body and testes weight as well as value of red blood cell indices. 6. In the shortest "winter" photoperiod puberty was attained more slowly and blood cell counts showed high values. The high level of androgens might play a role in winter reproduction and aggressive behaviour observed in natural vole population. 7. The lowest values of total protein, albumin and alpha 2-globulin levels were observed in the "summer" photoperiod. Constant light and a long photoperiod did not suppress alpha 1- and beta-globulin fractions which showed the lowest level in short photoperiod ("winter"). It was suggested that light was not the most important factor acting on gamma-globulin (immunoglobulin) level in animals developed in laboratory conditions but can act on their heterogeneity in occurrence of the fraction.

Serum gamma-globulin concentration in different stages of sexual activity in females of common vole, Microtus arvalis, Pall.

1. In young and adult females of common vole low gamma-globulin levels at the greatest individual variability in the estrous phase were observed. 2. In natural population when the nonactive females were probably not under hormonal suppression (northern Poland, late summer) they had significantly higher level of gamma-globulins than pregnant, lactating and post partum ones. 3. It is suggested that decreases of gamma-globulin concentration may be an important physiological consequences of hormonal events and influence the viability of females in natural population during reproduction period.

Variability of hematocrit value, blood serum beta- and gamma-globulin level and body weight in different transferrin genotypes of common vole (Microtus arvalis, Pallas 1779) from natural population.

1. Heterozygotes TfF/TfE of voles did not differ in body weight, they had higher hematocrit value (males and females), higher beta-globulin fraction (males) or higher gamma-globulin fraction (females). 2. A smaller variability of parameters studied was observed in heterozygotes than in homozygotes. Small and similar variability occurred in hematocrit value and beta-globulins while higher variability occurred in body weight and gamma-globulins. 3. In common voles the faster migrating E system of transferrin may have a higher capacity for iron transport than the F system. 4. Seasonal changes of hematocrit value in vole populations seems to result from genetical and physiological variability. 5. Sexual and seasonal changes in beta-globulin level appear to be related to changes in sexual activity of the animals during the seasons. 6. In autumn, low weight of animals and high serum gamma-globulin level, with the same physiological variability of these two parameters, suggest the synthesis of gamma-globulins with tissue (muscle) proteins. 7. Autumnal increase of gamma-globulin level seems to be very important, taking into consideration the role of the protein in water retention and its filtration from the tissues. Very high level of the protein fraction may play a role in winter high mortality of voles.