Inhibition of the development of pathogenic fungi by extracts of some marine algae from the red sea of Jeddah, Saudi Arabia

In this study, the predominant marine algae were collected from three different sites in the coastal area of Al-Kumrah at south of the Red sea of Jeddah, during summer and autumn 2009. The different marine algae belonged to Chlorophyta (Enteromorpha prolifera and Ulva reticulata), Phaeophyta (Cystoseira myrica, Padina pavonica, Sargassum portieriatum and Turbinaria triquetra) and Rhodophyta (Gracilaria multipartita). Algal extraction was achieved successively by using petroleum ether, diethyl ether, ethyl acetate and methanol. The algae extracts were tested in vitro for antifungal activity against Aspergillus flavus, Aspergillus fumigatus, Aspergillus niger and the yeast Candida albicans, by using agar-well diffusion method. The crude extracts of the tested algae revealed differences in their bioactivities. The maximum growth inhibition for fungi was recorded in ethyl acetate extract of T. triquetra against C. albicans (30 mm), methanol extract of E. prolifera (29 mm) and ethyl acetate extract of Padina pavonica (28 mm) against A. fumigatus. The results clarified that Chlorophyta and Phaeophyta exhibited the highest biological activity against the tested fungi, whereas the lowest was achieved in Rhodophyta. The minimal inhibitory concentrations (MICs) of the crude extracts of the tested algae ranged from 0.5 to 3.0 μg/ml. The results confirmed the potential of seaweed extracts as a natural source of antimicrobial compounds. The antifungal activity of different extracts of marine algae which belongs to Chlorophyta, Phaeophyta and Rhodophyta were examined against A. flavus, A. fumigatus, A. niger and the yeast C. albicans. The algae belonging to Chlorophyta and Phaeophyta exhibited the highest inhibitory effect against the test pathogenic fungi. The different extracts showed different activities against fungi. The antimicrobial activity depended on both algal species and the efficiency of solvents in the extraction of bioactive substances.Keywords: Green algae, brown algae, red algae, solvent extracts, antifungal activity, minimal inhibitory concentrations (MICs

Antibacterial activity of extracts of marine algae from the Red Sea of Jeddah, Saudi Arabia

In the present study, marine algae were collected from the southern coast of Jeddah, Saudi Arabia during summer and autumn 2009. The antibacterial activities of petroleum ether, diethyl ether, ethyl acetate and  methanol extracts of marine algae belonging to the Chlorophyta, Phaeophyta and Rhodophyta were studied. Their crude extracts were tested against different types of Gram-positive bacteria (Bacillus subtilis,  Methicillin-Resistant Staphylococcus aureus (MRSA) and Staphylococcus aureu) and Gram-negative bacteria  (Escherichia coli, Klebsiella pneumoniae and Pseudomonas aeruginosa). All marine algae extracts tested  exhibited a broad spectrum of antibacterial activity. The maximum inhibition activities were shown for  extracts of Padina pavonica and Turbinaria triquetra. The growth inhibitions of bacteria by Sargassum  portieriatum extracts were higher in samples collected during autumn than that investigated in summer. The  maximum inhibitory effect of Gracilaria multipartita was observed in the petroleum ether extract against B.  subtilis and E. coli. The ethyl acetate and petroleum ether extract of Enteromorpha prolifera and Ulva reticulata  showed strong activity against the tested bacteria. The tested microorganisms that were susceptible to the most effective extracts were further tested for the minimum inhibitory concentration (MIC).  The MIC of the tested microorganisms was between 0.5 and 1.25 µg/ml. The results of the present study confirmed the potential use of marine algae as a good source of antibacterial agent.Key words: Chlorophyta, Phaeophyta, Rhodphyta, gram-positive bacteria, gram-negative bacteria,  solvent extract, minimum inhibitory concentration (MIC)

Novel spectrophotometric method for determination of cinacalcet hydrochloride in its tablets via derivatization with 1,2-naphthoquinone-4-sulphonate

This study represents the first report on the development of a novel spectrophotometric method for determination of cinacalcet hydrochloride (CIN) in its tablet dosage forms. Studies were carried out to investigate the reaction between CIN and 1,2-naphthoquinone-4-sulphonate (NQS) reagent. In alkaline medium (pH 8.5), an orange red-colored product exhibiting maximum absorption peak (λmax) at 490 nm was produced. The stoichiometry and kinetic of the reaction were investigated and the reaction mechanism was postulated. This color-developing reaction was employed in the development of a simple and rapid visible-spectrophotometric method for determination of CIN in its tablets. Under the optimized reaction conditions, Beer's law correlating the absorbance with CIN concentration was obeyed in the range of 3 - 100 μg/ml with good correlation coefficient (0.9993). The molar absorptivity (ε) was 4.2 × 105 l/mol/cm. The limits of detection and quantification were 1.9 and 5.7 μg/ml, respectively. The precision of the method was satisfactory; the values of relative standard deviations (RSD) did not exceed 2%. No interference was observed from the excipients that are present in the tablets. The proposed method was applied successfully for the determination of CIN in its pharmaceutical tablets with good accuracy and precisions; the label claim percentage was 100.80 - 102.23 ± 1.27 - 1.62%. The results were compared favorably with those of a reference pre-validated method. The method is practical and valuable in terms of its routine application in quality control laboratories

Laparoscopy in management of appendicitis in high-, middle-, and low-income countries: a multicenter, prospective, cohort study.

BACKGROUND: Appendicitis is the most common abdominal surgical emergency worldwide. Differences between high- and low-income settings in the availability of laparoscopic appendectomy, alternative management choices, and outcomes are poorly described. The aim was to identify variation in surgical management and outcomes of appendicitis within low-, middle-, and high-Human Development Index (HDI) countries worldwide. METHODS: This is a multicenter, international prospective cohort study. Consecutive sampling of patients undergoing emergency appendectomy over 6 months was conducted. Follow-up lasted 30 days. RESULTS: 4546 patients from 52 countries underwent appendectomy (2499 high-, 1540 middle-, and 507 low-HDI groups). Surgical site infection (SSI) rates were higher in low-HDI (OR 2.57, 95% CI 1.33-4.99, p = 0.005) but not middle-HDI countries (OR 1.38, 95% CI 0.76-2.52, p = 0.291), compared with high-HDI countries after adjustment. A laparoscopic approach was common in high-HDI countries (1693/2499, 67.7%), but infrequent in low-HDI (41/507, 8.1%) and middle-HDI (132/1540, 8.6%) groups. After accounting for case-mix, laparoscopy was still associated with fewer overall complications (OR 0.55, 95% CI 0.42-0.71, p < 0.001) and SSIs (OR 0.22, 95% CI 0.14-0.33, p < 0.001). In propensity-score matched groups within low-/middle-HDI countries, laparoscopy was still associated with fewer overall complications (OR 0.23 95% CI 0.11-0.44) and SSI (OR 0.21 95% CI 0.09-0.45). CONCLUSION: A laparoscopic approach is associated with better outcomes and availability appears to differ by country HDI. Despite the profound clinical, operational, and financial barriers to its widespread introduction, laparoscopy could significantly improve outcomes for patients in low-resource environments. TRIAL REGISTRATION: NCT02179112

Pooled analysis of WHO Surgical Safety Checklist use and mortality after emergency laparotomy

Background The World Health Organization (WHO) Surgical Safety Checklist has fostered safe practice for 10 years, yet its place in emergency surgery has not been assessed on a global scale. The aim of this study was to evaluate reported checklist use in emergency settings and examine the relationship with perioperative mortality in patients who had emergency laparotomy. Methods In two multinational cohort studies, adults undergoing emergency laparotomy were compared with those having elective gastrointestinal surgery. Relationships between reported checklist use and mortality were determined using multivariable logistic regression and bootstrapped simulation. Results Of 12 296 patients included from 76 countries, 4843 underwent emergency laparotomy. After adjusting for patient and disease factors, checklist use before emergency laparotomy was more common in countries with a high Human Development Index (HDI) (2455 of 2741, 89.6 per cent) compared with that in countries with a middle (753 of 1242, 60.6 per cent; odds ratio (OR) 0.17, 95 per cent c.i. 0.14 to 0.21, P <0001) or low (363 of 860, 422 per cent; OR 008, 007 to 010, P <0.001) HDI. Checklist use was less common in elective surgery than for emergency laparotomy in high-HDI countries (risk difference -94 (95 per cent c.i. -11.9 to -6.9) per cent; P <0001), but the relationship was reversed in low-HDI countries (+121 (+7.0 to +173) per cent; P <0001). In multivariable models, checklist use was associated with a lower 30-day perioperative mortality (OR 0.60, 0.50 to 073; P <0.001). The greatest absolute benefit was seen for emergency surgery in low- and middle-HDI countries. Conclusion Checklist use in emergency laparotomy was associated with a significantly lower perioperative mortality rate. Checklist use in low-HDI countries was half that in high-HDI countries.Peer reviewe

Global variation in anastomosis and end colostomy formation following left-sided colorectal resection

Background End colostomy rates following colorectal resection vary across institutions in high-income settings, being influenced by patient, disease, surgeon and system factors. This study aimed to assess global variation in end colostomy rates after left-sided colorectal resection. Methods This study comprised an analysis of GlobalSurg-1 and -2 international, prospective, observational cohort studies (2014, 2016), including consecutive adult patients undergoing elective or emergency left-sided colorectal resection within discrete 2-week windows. Countries were grouped into high-, middle- and low-income tertiles according to the United Nations Human Development Index (HDI). Factors associated with colostomy formation versus primary anastomosis were explored using a multilevel, multivariable logistic regression model. Results In total, 1635 patients from 242 hospitals in 57 countries undergoing left-sided colorectal resection were included: 113 (6·9 per cent) from low-HDI, 254 (15·5 per cent) from middle-HDI and 1268 (77·6 per cent) from high-HDI countries. There was a higher proportion of patients with perforated disease (57·5, 40·9 and 35·4 per cent; P < 0·001) and subsequent use of end colostomy (52·2, 24·8 and 18·9 per cent; P < 0·001) in low- compared with middle- and high-HDI settings. The association with colostomy use in low-HDI settings persisted (odds ratio (OR) 3·20, 95 per cent c.i. 1·35 to 7·57; P = 0·008) after risk adjustment for malignant disease (OR 2·34, 1·65 to 3·32; P < 0·001), emergency surgery (OR 4·08, 2·73 to 6·10; P < 0·001), time to operation at least 48 h (OR 1·99, 1·28 to 3·09; P = 0·002) and disease perforation (OR 4·00, 2·81 to 5·69; P < 0·001). Conclusion Global differences existed in the proportion of patients receiving end stomas after left-sided colorectal resection based on income, which went beyond case mix alone

Synthetic Lethal Targeting of PTEN-Deficient Cancer Cells Using Selective Disruption of Polynucleotide Kinase/Phosphatase

A recent screen of 6,961 siRNAs to discover possible synthetic lethal partners of the DNA repair protein polynucleotide kinase/phosphatase (PNKP) led to the identification of the potent tumor suppressor phosphatase and tensin homolog deleted on chromosome 10 (PTEN). Here, we have confirmed the PNKP/PTEN synthetic lethal partnership in a variety of different cell lines including the PC3 prostate cancer cell line, which is naturally deficient in PTEN. We provide evidence that codepletion of PTEN and PNKP induces apoptosis. In HCT116 colon cancer cells, the loss of PTEN is accompanied by an increased background level of DNA double-strand breaks, which accumulate in the presence of an inhibitor of PNKP DNA 3'-phosphatase activity. Complementation of PC3 cells with several well-characterized mutated PTEN cDNAs indicated that the critical function of PTEN required to prevent toxicity induced by an inhibitor of PNKP is most likely associated with its cytoplasmic lipid phosphatase activity. Finally, we show that modest inhibition of PNKP in a PTEN knockout background enhances cellular radiosensitivity, suggesting that such a "synthetic sickness" approach involving the combination of PNKP inhibition with radiotherapy may be applicable to PTEN-deficient tumors