[EFFECTIVE SCREENING METHODS FOR CARBOHYDRATE METABOLISM DISORDERS].

There has been a significant increase in diabetes morbidity in the past years. Prolonged asymptomatic progression of disease presents a problem and leads to late diagnosis and development of complications. Present study shows efficiency of screening measures to determine actual spread of carbohydrate metabolism disorders among residents of Odessa, frequency of type 2 diabetes mellitus risk factors determination and prevention of complications.

The relationship between nonalcoholic fatty liver disease and colorectal cancer: the future challenges and outcomes of the metabolic syndrome.

Nonalcoholic fatty liver disease (NAFLD) is closely related to insulin resistance, metabolic syndrome, obesity, type 2 diabetes, and dyslipidaemia. Obesity and metabolic syndrome are associated with an increased cancer risk, and recent evidence demonstrated an association between NAFLD and colorectal cancer (CRC). The mechanism of how NAFLD can be associated with increased risk of CRC is not fully understood; however, NAFLD represents a condition of profound insulin resistance and a proinflammatory state. Insulin and insulin-like growth factors may promote the development of CRC through their proliferative and antiapoptotic effects. Patients with NAFLD have reduced expression of adiponectin, an adipokine with anti-inflammatory effects. Importantly, hypoadiponectinemia is associated with an increased risk of CRC. Decreased levels of adiponectin lead to increased insulin levels due to marked insulin resistance and in turn increased insulin growth factor-1 (IGF-1). Insulin binds to IGF-1 receptors and plays an important role in cell proliferation, apoptosis, and increased production of vascular endothelial growth factor, an angiogenic factor that supports cancer growth. Further studies are needed to establish (i) the pathophysiology of NAFLD with colorectal cancer, (ii) the benefit of early screening of CRC in NAFLD patients, and (iii) the impact of treatment of NAFLD in the modulation of the risk of colorectal cancer.

Characterization of aerobic polycyclic aromatic hydrocarbon-degrading bacteria from Bizerte lagoon sediments, Tunisia.

AIMS: To characterize polycyclic aromatic hydrocarbon (PAH)-degrading bacteria from sediments of the Bizerte lagoon, and to determine their ability to resist other pollutants such as antibiotics and heavy metals. METHODS AND RESULTS: More than 100 strains were isolated for their ability to use fluoranthene as the sole carbon and energy source. Most of them showed antibiotic and heavy metal resistance; 20 representative strains were selected for further analysis. 16S rRNA coding sequences analysis showed that the majority of the selected bacteria (75%) were affiliated to the Gammaproteobacteria. The selected strains also utilized high molecular weight PAHs containing up to four benzene rings and showed different profiles of PAH substrate usage suggesting different PAH degradation pathways. These results are consistent with the fact that nah-like genes and idoA-like genes, involved in PAH degradation, were detected in 6 and 1 strains respectively. CONCLUSIONS: The Bizerte lagoon, polluted by many human activities, leads to the co-selection of strains able to cope with multiple contaminants. SIGNIFICANCE AND IMPACT OF THE STUDY: Polluted areas are often characterized by the concomitant presence of organic pollutants, heavy metals and antibiotics. This study is one of the first showing bacterial strains adapted to multiple contaminants, a promising potential for the development of bioremediation processes.

Cardiopulmonary assessment: is improvement needed?

Clinical parameters alone have repeatedly been proven unreliable in assessing cardiopulmonary status, especially in hemodynamically unstable patients. To learn if we had a diagnostic problem in our hospital, we compared physician assessment of cardiac index (CI) and thoracic fluid content (TFC) to values obtained using impedance cardiography (ICG). We selected the newest available ICG monitor, the BioZ, which employs this noninvasive technology. For CI measurements we have shown it to be equivalent to thermodilution and to be more reproducible (variability: 6.3% vs. 24.7%). Physician assessment of CI and TFC (high, normal, or low) was compared to the BioZ monitor's results in 186 patients, considered to be hemodynamically unstable, from the emergency room, the intensive care units, and the floors. Normal values were defined for CI (2.5-4.2 L/min m(2)) and for TFC (males: 30-50 kohm(-1) and females: 21-37 kohm(-1)). The concordance between physician assessment and the BioZ was 51% for CI with Kappa of 0.14 and 58% for TFC with Kappa of 0.19. Attendings did slightly better than the surgical residents with CI (52% vs. 48%) but slightly worse with TFC (57% vs. 61%). The potentially serious conditions of low CI and high TFC were misdiagnosed 42% and 46% of the time, respectively, by all physicians. Analysis of the data revealed that physician use of clinically available objective hemodynamic data, such as heart rate, blood pressure, and pulse pressure index, would not have been helpful. Furthermore, assistance from the pulmonary artery catheter (PAC) is often not available in our hospital, which has experienced a 90% decrease in its utilization over the past six years. Considering the increasing acuity of our aging patient population, accurate assessment of cardiopulmonary status is needed. The use of ICG could be a valuable addition to the physician's armamentarium.

Ethnobotanical knowledge of local Arab practitioners in the Middle Eastern region.

An ethnobotanical survey was conducted among 31 local Arab practitioners living in Galilee, Negev, Golan Heights and West Bank. Seeing that the Arabic traditional medicine is in danger of disappearing, a multilevel program is required, involving the training of local practitioners, an establishment of a regional medicinal plant botanical garden and a field gene bank for plant preservation.

Ethnopharmacological survey of medicinal herbs in Israel, the Golan Heights and the West Bank region.

An extensive ethnopharmacological survey was conducted among the most well known Arabic indigenous herbal practitioners in Israel, the Golan Heights and the West Bank in order to evaluate the potential of local plants used in treating different diseases and illnesses. Thirty-one indigenous practitioners' of Arabic traditional medicine ranging in age from 40 to 116 years, were interviewed using a previously prepared questionnaire. The current survey revealed that 129 plant species are still in use in Arabic traditional medicine for the treatments of various diseases. Among these plants, there are 40 species used for treating skin diseases, 27 species for treating kidney and urinary system, 26 species for treating diabetes, 23 species for treating digestive system including stomach and intestinal pain and inflammation, 22 species for treating liver diseases, 16 species for treating respiratory system and coughing, 13 species for treating forms of cancer and nine species for treating weight loss and cholesterol reduction. Additional findings and implications of this current survey including preparation methods and route of use are discussed in this report.

On the in vitro vasoactivity of bile acids.

We compared the vasorelaxant action of nine different bile acids and correlated their vasorelaxant activity with their individual indices for hydrophobicity or lipophilicity. Vasorelaxant activity correlated with the relative lipid solubility of bile acids with lipophilic bile acids exhibiting the greatest vasorelaxant activity with modest to no vasorelaxant activity exhibited by hydrophilic bile acids. We also investigated whether bile acid-induced vasorelaxation is mediated by antagonism of a prototypal contractile receptor, the alpha(1)-adrenoceptor, by stimulation of a bile acid surface membrane receptor, by the release of endothelium-derived relaxant factors, by promoting the generation of reactive oxygen species and increasing the extent of lipid peroxidation, or by modifying membrane fluidity. Lipophilic bile acids induce vasorelaxation possibly by antagonizing alpha(1)-adrenoceptors, a phenomenon that manifests itself as a lowering of the affinity of vascular alpha(1)-adrenoceptors. Bile acid-induced vasorelaxation was not dependent upon stimulation of a bile acid surface membrane receptor or the release of endothelium-derived relaxant factors. Lipophilic bile acids can also increase the extent of lipid peroxidation with a subtle reduction in the fluidity of rat vascular smooth muscle membranes not associated with loss of membrane cholesterol or phospholipid. We have concluded that lipophilic bile acids are non-selective vasorelaxants whose mechanism of action is a multifaceted process involving antagonism of contractile surface membrane receptors possibly effected by an increased extent of lipid peroxidation and/or membrane fluidity but occurs independent of the release of endothelial-derived relaxant factors or stimulation of a surface membrane bile acid binding site.

Down-regulation of vascular alpha1-adrenoceptors does not account for the loss of vascular responsiveness to catecholamines in experimental cholestasis.

AIMS/BACKGROUND: Vascular hyporesponsiveness to sympathomimetic stimulation occurs in jaundice. Recently, we reported that this vascular adrenergic hyporesponsiveness was associated with the loss of reactivity of vascular alpha1-adrenoceptors. This study examines the possibility that the vascular adrenergic hyporesponsiveness is due to down-regulation of vascular alpha1-adrenoceptors. METHODS: This question was addressed by measuring the changes in the plasma norepinephrine (NE) and epinephrine (E) concentrations, determined by high performance liquid chromatography, and the affinity and number of alpha1-adrenoceptors determined by a competitive antagonist radioligand binding assay in vascular smooth muscle membranes prepared from 3-day bile duct ligated (BDL) rats. The results were compared to data obtained from 3-day bile duct manipulated (sham-operated; SO) and control (C) rats. RESULTS: Compared to C and SO rats, the plasma concentrations of NE and E in the BDL rats were significantly elevated reflecting increased sympathetic nervous system activity. BDL did not change either the affinity or the number of vascular alpha1-adrenoceptors. CONCLUSIONS: Since the affinity and number of vascular alpha1-adrenoceptors were unchanged in the face of elevated plasma concentrations of catecholamines in the BDL rats, we have concluded that down-regulation of vascular alpha1-adrenoceptors does not account for the vascular adrenergic hyporesponsiveness in experimental cholestasis.

The effect of bile duct manipulation and pair-feeding on peripheral vascular neuroeffector mechanisms: in vitro studies.

Investigators studying the pathophysiological sequelae of bile duct ligation use different species of laboratory animals at varying postoperative times. There is also considerable variation in the type of control animal used for these experiments. In this study, we have attempted to validate our choice of the 3-day bile-duct-manipulated rat as the most appropriate control to study peripheral vascular neuroeffector mechanisms in bile-duct-ligated rats. We have compared the in vitro contractile response to norepinephrine in the absence and presence of cocaine, and the accumulation of the amine using 3H-norepinephrine of arterial rings and portal veins prepared from three different types of control rats--unoperated control, the 3-day bile-duct-manipulated and the 3-day pair-fed, bile-duct-manipulated rats. In vitro arterial reactivity to norepinephrine in the sham-operated rats was significantly attenuated and was associated with a cocaine-sensitive increase in norepinephrine uptake. Portal veins from the same animals showed no changes in in vitro reactivity to norepinephrine, although bile-duct manipulation and pair-feeding enhanced amine uptake. This study has demonstrated that bile-duct manipulation and pair-feeding attenuate in vitro vascular reactivity and enhance norepinephrine uptake. These in vitro changes are more pronounced in arterial tissue than venous tissue. In conclusion, these data indicate that bile-duct manipulation is the control of choice when measuring in vitro vascular neuroeffector mechanisms in 3-day bile-duct-ligated rats. Furthermore, these data emphasize the need to validate the control when experiments involving bile-duct ligation are undertaken.

Peripheral vascular neuroeffector mechanisms in experimental cholestasis.

Jaundiced patients have systemic hypotension and are more susceptible to hemorrhagic shock than nonjaundiced individuals. We have hypothesized that the mechanism whereby these cardiovascular complications arise is linked to a disturbance of the vascular neuroeffector process in the cardiovascular system. With the use of 3-day bile duct-manipulated (sham-operated) and bile duct-ligated rats, we have evaluated alpha-adrenoceptor function and amine uptake using in vivo and in vitro techniques. Blunted pressor responsiveness to norepinephrine, electrical stimulation, and the alpha 1-adrenoceptor agonists, methoxamine and phenylephrine, was observed in the bile duct-ligated pithed rats. In contrast, normal responsiveness to BHT-933 and clonidine, the alpha 2-adrenoceptor agonists, was seen in these animals. The uptake 1 blocker, cocaine, caused potentiation of equal magnitudes of the pressor responsiveness to electrical stimulation and norepinephrine in the sham-operated and bile duct-ligated pithed rats. In aortic rings prepared from the bile duct-ligated rats, blunted in vitro vascular reactivity to norepinephrine and the same alpha 1-adrenoceptor agonists was seen. Bile duct ligation had no effect on norepinephrine uptake or its kinetics in stressed and unstressed arterial rings and portal veins. We have thus concluded that bile duct ligation induces a defect in the functional expression of cardiovascular alpha 1-adrenoceptors without any effects on the activity of alpha 2-adrenoceptors or norepinephrine uptake.

A Research Note Antimicrobial Activity of (+)-Tuberine.

A new alkaloid, (+)-tuberine isolated from Haplophyllum tuberculatum , had high antimicrobial activity against Staphylococcus aureus , Bacillus subtilis and Saccharomyces cerevisiae at 1 µg/ml. (+)-Tuberine was slightly inhibitory to Escherichia coli .

Antimicrobial Activity of Compounds from Artemisia campestris.

The antimicrobial activities of several compounds isolated from Artemisia campestris were studied using an agar diffusion technique. At a concentration of 125 µg/ml, six of the extracted compounds inhibited growth of Staphylococcus aureus , three of the compounds inhibited Escherichia coli and two inhibited growth of Proteus vulgaris . Pseudomonas pyocyanea was resistant to all extracted compounds.