Study of association between C-reactive protein and albuminuria in type 2 diabetes mellitus

Background: Inflammatory markers are excessively produced by adipocytes in T2DM due to obesity-induced dysregulation of adipocytes. Inflammation is recognised by elevated level of inflammatory markers like C-reactive protein. It has been reported that patients with nephropathy and those with albuminuria have higher levels of inflammatory markers. Methods: Study design observational descriptive cross-sectional study. 150 subjects having age more than 30 years and less than 55 years diagnosed with type 2 diabetes mellitus were included. HbA1c, FPG, creatinine, urea, CRP, and albuminuria were analysed. Results: A strong and statistically significant correlation was seen between serum CRP levels and albuminuria levels with a p value of 0.831 and a p value of 0.00. The study group was divided into two groups with normal CRP (n=40) and elevated CRP (n=110). Average values of all parameters showed a statistically significant increase in the group with abnormal CRP levels. In the ROC analysis, an area of .957 under the curve shows a very high predictive value of 15.5 mg/l of CRP for predicting albuminuria in patients of T2DM. Conclusions: From our results, we have been able to establish a strong association as well as a predictive relationship between the level of CRP and albuminuria in T2DM. We have shown that serum CRP levels at a cut-off of 15.5 mg/l are a predictor of clinically significant albuminuria. This makes serum CRP level an effective screening tool for albuminuria

Streblus asper Lour. (Shakhotaka): A Review of its Chemical, Pharmacological and Ethnomedicinal Properties

Streblus asper Lour is a small tree found in tropical countries, such as India, Sri Lanka, Malaysia, the Philippines and Thailand. Various parts of this plant are used in Ayurveda and other folk medicines for the treatment of different ailments such as filariasis, leprosy, toothache, diarrhea, dysentery and cancer. Research carried out using different in vitro and in vivo techniques of biological evaluation support most of these claims. This review presents the botany, chemistry, traditional uses and pharmacology of this medicinal plant

A comparative study on polyp classification using convolutional neural networks

This work is licensed under a Creative Commons Attribution 4.0 International License.Colorectal cancer is the third most common cancer diagnosed in both men and women in the United States. Most colorectal cancers start as a growth on the inner lining of the colon or rectum, called ‘polyp’. Not all polyps are cancerous, but some can develop into cancer. Early detection and recognition of the type of polyps is critical to prevent cancer and change outcomes. However, visual classification of polyps is challenging due to varying illumination conditions of endoscopy, variant texture, appearance, and overlapping morphology between polyps. More importantly, evaluation of polyp patterns by gastroenterologists is subjective leading to a poor agreement among observers. Deep convolutional neural networks have proven very successful in object classification across various object categories. In this work, we compare the performance of the state-of-the-art general object classification models for polyp classification. We trained a total of six CNN models end-to-end using a dataset of 157 video sequences composed of two types of polyps: hyperplastic and adenomatous. Our results demonstrate that the state-of-the-art CNN models can successfully classify polyps with an accuracy comparable or better than reported among gastroenterologists. The results of this study can guide future research in polyp classification.University of Kansas grant (2228901

In vitro antifilarial activity, antioxidant potential and phenolic constituents of Quisqualis indica L.

648-654Quisqualis indica L., commonly known as ‘Rangoon-ki-bel’ or ‘Madhumalti’, has been used by the traditional healers as it is active against some of the commonly occurring diseases like boils, fevers diarrhea and helminthiasis. However, no systematic and scientifically validated studies on antifilarial activity of Q. indica are available. In the present study, we report in vitro antifilarial activity of ethanolic and hydroethanolic extracts of the leaves (QILE and QILEW) and flowers (QIFE and QIFEW) of this plant on microfilariae (mf) and female adult worms of human lymphatic filariid Brugia malayi using motility and or 3-(4,5-dimethylthiazol-2-yl)-2,5 diphenyltetrazolium bromide (MTT)-reduction assays. The hydroalcoholic extract of flowers (QIFEW) was found effective as it killed adult female worms (LC100: 62.5 µg/mL) and mf (LC100: 125 µg/mL); IC50 values for the respective parasite stages were 34.50 and 31.88 µg/mL. SI values recorded with respect to motility of female parasite and mf was more than 20. The active principle(s) responsible for antifilarial activity may thus be present in QIFEW. The antioxidant activity results also indicated QIFEW to possess better antioxidant potential than the other extracts studied. HPLC analysis showed that the 02 keyphenolics present in hydroalcoholic extract of the flowers (QIFEW) were gallic acid and ellagic acid. In the different extracts, the concentration of gallic acid was found to vary from 26.9 mg/g to 2.50 mg/g while ellagic acid ranged between 11.5 mg/g to 6.77 mg/g. It was also observed that the leaves were rich in flavonoids whereas the flowers were rich in phenolics. The findings indicate that active molecule (s) of hydroalcoholic extractfrom Q. indica flowers may help in providing new leads for developing antifilarial agents. We believe that this is the first systematically studied report on the in vitro antifilarial activity of the hydroalcoholic extract of Q. indica flowers

A detailed analysis of next generation sequencing reads of microRNA expression in Barrett’s Esophagus: absolute versus relative quantification

Background Next generation sequencing (NGS) is a state of the art technology for microRNA (miRNA) analysis. The quantitative interpretation of the primary output of NGS i.e. the read counts for a miRNA sequence that can vary by several orders of magnitude (1 to 107) remains incompletely understood. Findings NGS (SOLiD 3 technology) was performed on biopsies from 6 Barrett’s esophagus (BE) and 5 Gastroesophageal Reflux Disease (GERD) patients. Read sequences were aligned to miRBase 18.0. Differential expression analysis was adjusted for false discovery rate of 5%. Quantitative real-time polymerase chain reaction (qRT-PCR) was performed for 36 miRNA in a validation cohort of 47 patients (27 BE and 20 GERD). Correlation coefficients, accuracy, precision and recall of NGS compared to qRT-PCR were calculated. Increase in NGS reads was associated with progressively lower Cq values, p 1000 vs. 500 vs. 100 vs. <100). The accuracy, precision and recall of NGS to label a miRNA as differentially expressed were 0.71, 0.88 and 0.74 respectively. Conclusion Absolute NGS reads correlated modestly with qRT-PCR but fold changes correlated highly. NGS is robust at relative but not absolute quantification of miRNA levels and accurate for high-throughput identification of differentially expressed miRNA.The current work was supported by a pilot grant from the American Cancer Society (AB and LKC), the American College of Gastroenterology Junior Faculty Development Award (AB) and Hall Family Foundation (LKC)

Colonoscopy polyp detection and classification: Dataset creation and comparative evaluations

Colorectal cancer (CRC) is one of the most common types of cancer with a high mortality rate. Colonoscopy is the preferred procedure for CRC screening and has proven to be effective in reducing CRC mortality. Thus, a reliable computer-aided polyp detection and classification system can significantly increase the effectiveness of colonoscopy. In this paper, we create an endoscopic dataset collected from various sources and annotate the ground truth of polyp location and classification results with the help of experienced gastroenterologists. The dataset can serve as a benchmark platform to train and evaluate the machine learning models for polyp classification. We have also compared the performance of eight state-of-the-art deep learning-based object detection models. The results demonstrate that deep CNN models are promising in CRC screening. This work can serve as a baseline for future research in polyp detection and classification

MicroRNA Expression can be a Promising Strategy for the Detection of Barrett's Esophagus: A Pilot Study

Clinical and Translational Gastroenterology is an open-access journal published by Nature Publishing Group.Patient outcomes for esophageal adenocarcinoma (EAC) have not improved despite huge advances in endoscopic therapy because cancers are being diagnosed late. Barrett's esophagus (BE) is the primary precursor lesion for EAC, and thus the non-endoscopic molecular diagnosis of BE can be an important approach to improve EAC outcomes if robust biomarkers for timely diagnosis are identified. MicroRNAs (miRNAs) are tissue-specific novel biomarkers that regulate gene expression and may satisfy this requirement.The current work was supported by a pilot grant from the American Cancer Society (A.B. and L.K.C.), the American College of Gastroenterology Junior Faculty Development Award (A.B.) and grants from Hall Family Foundation (L.K.C.) and Kansas IDeA Network of Biomedical Research Excellence (A.B., L.K.C.). None of the funding bodies had any role in design, in the collection, analysis and interpretation of data; in the writing of the manuscript; and in the decision to submit the manuscript for publication

Concurrent variations of median and musculocutaneous nerves and their clinical correlation – a cadaveric study

Variations of median nerve, musculocutaneous nerve and their communicating branches are of interest for anatomists and surgeons. These variations may be vulnerable to damage in surgical procedures. We examined median nerve and musculocutaneous nerve concurrently in 58 cadavers, i.e. 116 superior extremities, and found median nerve innervating muscle of the anterior compartment of arm in the absence of musculocutaneous nerve in 11.2% superior extremities, splitting of median nerve in the arm into median nerve proper and musculocutaneous nerve in 5.12% superior extremities, and communication between median and musculocutaneous nerves in 20.7% superior extremities. Knowledge of such anatomical variations is helpful for surgeons treating neoplasm or repairing trauma

Discovery and Validation of Barrett's Esophagus MicroRNA Transcriptome by Next Generation Sequencing

Objective: Barrett's esophagus (BE) is transition from squamous to columnar mucosa as a result of gastroesophageal reflux disease (GERD). The role of microRNA during this transition has not been systematically studied. Design: For initial screening, total RNA from 5 GERD and 6 BE patients was size fractionated. RNA <70 nucleotides was subjected to SOLiD 3 library preparation and next generation sequencing (NGS). Bioinformatics analysis was performed using R package “DEseq”. A p value<0.05 adjusted for a false discovery rate of 5% was considered significant. NGS-identified miRNA were validated using qRT-PCR in an independent group of 40 GERD and 27 BE patients. MicroRNA expression of human BE tissues was also compared with three BE cell lines. Results: NGS detected 19.6 million raw reads per sample. 53.1% of filtered reads mapped to miRBase version 18. NGS analysis followed by qRT-PCR validation found 10 differentially expressed miRNA; several are novel (-708-5p, -944, -224-5p and -3065-5p). Up- or down- regulation predicted by NGS was matched by qRT-PCR in every case. Human BE tissues and BE cell lines showed a high degree of concordance (70–80%) in miRNA expression. Prediction analysis identified targets that mapped to developmental signaling pathways such as TGFβ and Notch and inflammatory pathways such as toll-like receptor signaling and TGFβ. Cluster analysis found similarly regulated (up or down) miRNA to share common targets suggesting coordination between miRNA. Conclusion: Using highly sensitive next-generation sequencing, we have performed a comprehensive genome wide analysis of microRNA in BE and GERD patients. Differentially expressed miRNA between BE and GERD have been further validated. Expression of miRNA between BE human tissues and BE cell lines are highly correlated. These miRNA should be studied in biological models to further understand BE development

In vitro antifilarial activity, antioxidant potential and phenolic constituents of Quisqualis indica L.

Quisqualis indica L., commonly known as ‘Rangoon-ki-bel’ or ‘Madhumalti’, has been used by the traditional healers as it is active against some of the commonly occurring diseases like boils, fevers diarrhea and helminthiasis. However, no systematic and scientifically validated studies on antifilarial activity of Q. indica are available. In the present study, we report in vitro antifilarial activity of ethanolic and hydroethanolic extracts of the leaves (QILE and QILEW) and flowers (QIFE and QIFEW) of this plant on microfilariae (mf) and female adult worms of human lymphatic filariid Brugia malayi using motility and or 3-(4,5-dimethylthiazol-2-yl)-2,5 diphenyltetrazolium bromide (MTT)-reduction assays. The hydroalcoholic extract of flowers (QIFEW) was found effective as it killed adult female worms (LC100: 62.5 μg/mL) and mf (LC100: 125 μg/mL); IC50 values for the respective parasite stages were 34.50 and 31.88 μg/mL. SI values recorded with respect to motility of female parasite and mf was more than 20. The active principle(s) responsible for antifilarial activity may thus be present in QIFEW. The antioxidant activity results also indicated QIFEW to possess better antioxidant potential than the other extracts studied. HPLC analysis showed that the 02 keyphenolics present in hydroalcoholic extract of the flowers (QIFEW) were gallic acid and ellagic acid. In the different extracts, the concentration of gallic acid was found to vary from 26.9 mg/g to 2.50 mg/g while ellagic acid ranged between 11.5 mg/g to 6.77 mg/g. It was also observedthat the leaves were rich in flavonoids whereas the flowers were rich in phenolics. The findings indicate that active molecule (s) of hydroalcoholic extractfrom Q. indica flowers may help in providing new leads for developing antifilarial agents. We believe that this is the first systematically studied report on the in vitro antifilarial activity of the hydroalcoholicextract of Q. indica flowers