ASSOCIATION OF GENERATION TIME WITH ANTI-TUBERCULAR DRUG(S) RESISTANCE PATTERN OF MYCOBACTERIUM TUBERCULOSIS ISOLATES AMONG TREATMENT FAILURE PULMONARY TUBERCULOSIS PATIENTS

ABSTRACTObjective: The emergence of drug resistance has complicated tuberculosis (TB) scenario and is associated to treatment failure. The causative agent,Mycobacterium tuberculosis is usually slow growing and has been implicated as a contributing factor for drug tolerance and development of resistantstrains. On the other hand, if rapidly growing bacilli, with shorter generation time emerge, mutations may lead to the development of drug resistance.From the hypothesis, this study was aimed to explore the whether there is any association between the generation time of Mycobacteria with theirdistinct drug resistant pattern.Methods: In-vitro generation time was determined from 77 mycobacterial isolates with varied drug resistance pattern, i.e. rifampicin resistant (RIFR),isoniazid resistant, multi-drug resistant (MDR), the sensitive clinical strains along with reference strains. The minimal inhibitory concentration wasalso determined for the respective resistant groups.Results: Among the individual group of clinical isolates, there was a significant negative association between generation time and drug resistancepattern of RIFR isolates.Conclusion: Keeping the current upsurge of the MDR-TB epidemic in India and the influence of generation time on dosing schedule and treatmentstrategy, necessary customization of dosing and therapeutic planning seemed urgent to minimize the operational and clinical potential for developmentof drug resistance among treatment failure pulmonary TB patients in this country.Keywords: Mycobacterium tuberculosis, Generation time, Multi-drug resistant, Treatment failure

Modulacijska nestabilnost visokofrekventnih površinskih valova na granici plazma – vakuum

Nonlinear propagation of surface waves in a cold electron-plasma half-space is theoretically investigated by using the method of multiple scale. It is shown that high-frequency surface waves are modulationally unstable at a plasma - vacuum interface. The growth of the modulational instability of the surface waves is discussed. It is also shown that the electric field associated with a finite amplitude surface wave can take the form of an envelope soliton which propagates along the plasma - vacuum interface with a velocity independent of the soliton height.Teorijski istražujemo nelinearno širenje površinskih valova u poluprostoru s hladnom elektronskom plazmom metodom višestruke ljestvice. Pokazuje se da su visokofrekventni površinski valovi modulacijski nestabilni na granici plazma – vakuum. Raspravlja se rast modulacijske nestabilnosti površinskih valova. Također pokazujemo da električno polje, koje je povezano s površinskim valovima konačne amplitude, može primiti oblik anvelopnog solitona koji se širi duž granice plazma – vakuum brzinom koja ne ovisi o visini solitona

Chronic inflammation in polycystic ovary syndrome: A case–control study using multiple markers

Background: Polycystic ovary syndrome (PCOS) is associated with insulin resistance and elevated risk of cardiovascular disease and diabetes. Chronic inflammation has been observed in PCOS in several studies but there is also opposing evidence and a dearth of research in Indians. Objective: To estimate chronic inflammation in PCOS and find its relationship with appropriate anthropometric and biochemical parameters. Materials and Methods: Chronic inflammation was assessed in 30 women with PCOS (Group A) and 30 healthy controls (Group B) with highly sensitive C-reactive protein (hsCRP), interleukin-6 (IL-6), tumour necrosis factor alpha (TNFα), and platelet microparticles (PMP). In group A, the relationship of chronic inflammation with insulin resistance, waist hip ratio (WHR) serum testosterone, and serum glutamate pyruvate transaminase (SGPT) were examined. Results: In group A, the hsCRP, TNFα, and PMP were significantly elevated compared to group B. However, IL-6 level was similar between the groups. In group A, PMP showed a significant positive correlation with waist-hip ratio and serum testosterone. IL-6 showed a significant positive correlation with insulin sensitivity and significant negative correlation with insulin resistance and serum glutamate pyruvate transaminase. Conclusion: PCOS is associated with chronic inflammation and PMP correlates positively with central adiposity and biochemical hyperandrogenism in women with PCOS. Key words: Polycystic ovary syndrome, Inflammation, C-reactive protein, Interleukin-6, Tumor necrosis factor, Microparticles

Increased toll-like receptor-2 expression on nonclassic CD16⁺monocytes from patients with inflammatory stage of eales' disease

Purpose.: To identify the distribution, differential Toll-like receptor (TLR) expression, and functional contribution of monocyte subpopulations in the inflammatory stage of Eales' disease (ED). Methods.: Peripheral blood mononuclear cells were isolated from nine patients during the inflammatory stage of ED and nine age- and sex-matched healthy controls. The expression of CD14, CD16, TLR-2, and TLR-4 on monocytes was measured by flow cytometry. The CD14+, CD16−, and CD16+ monocyte populations were sorted on the basis of magnetic-activated cell-sorting methodology, and levels of cytokines were measured by ELISA. Results.: In ED patients, the number of circulating monocytes was significantly expanded compared with that in controls (P = 0.01), with a marked increase in the nonclassic CD16+ subset, which showed an activated phenotype in patients that correlated with levels of serum proinflammatory cytokines and clinical progression. A higher expression of cell surface TLR-2 (P = 0.02), but not TLR-4, was found in monocytes of patients with ED. Furthermore, TLR-2 was expressed at higher levels on CD16+ monocytes than on CD16− monocytes in patients, whereas no significant variation was found in TLR-4 expression on different monocyte subsets. Peptidoglycan-induced TNF-α expression correlated with TLR-2 expression in monocytes isolated from controls (r = 0.85, P = 0.0061), but not in monocytes isolated from ED patients (r = 0.553, P = 0.1328). Conclusions.: These results indicate that in the pathogenesis of ED, TLR activation and increased numbers of nonclassic CD16+ monocytes are crucial regulators, along with the secretion of proinflammatory cytokines that perpetuate the inflammatory process in the retina

Multiplex PCR technique could be an alternative approach for early detection of leprosy among close contacts - a pilot study from India

<p>Abstract</p> <p>Background</p> <p>Implementation of Multi drug Therapy (MDT) regimen has resulted in the decline of the total number of leprosy cases in the world. Though the prevalence rate has been declining, the incidence rate remains more or less constant and high in South East Asian countries particularly in India, Nepal, Bangladesh, Pakistan and Srilanka. Leprosy, particularly that of multibacillary type spreads silently before it is clinically detected. An early detection and treatment would help to prevent transmission in the community. Multiplex PCR (M-PCR) technique appears to be promising towards early detection among contacts of leprosy cases.</p> <p>Methods</p> <p>A total of 234 paucibacillary (PB) and 205 multibacillary (MB) leprosy cases were studied in a community of an endemic area of Bankura district of West Bengal (Eastern India). They were assessed by smear examination for acid-fast bacilli (AFB) and M-PCR technique. These patients were treated with Multidrug Therapy (MDT) as prescribed by WHO following detection. A total of 110 MB and 72 PB contacts were studied by performing M-PCR in their nasal swab samples.</p> <p>Results</p> <p>83.4% of MB patients were observed to be positive by smear examination for AFB and 89.2% by M-PCR. While 22.2% of PB patients were found to be positive by smear examination for AFB, 80.3% of these patients were positive by M-PCR. Among leprosy contacts (using M-PCR), 10.9% were found to be positive among MB contacts and 1.3% among PB contacts. Interestingly, two contacts of M-PCR positive MB cases developed leprosy during the period of two years follow up.</p> <p>Conclusion</p> <p>The M-PCR technique appears to be an efficient tool for early detection of leprosy cases in community based contact tracing amongst close associates of PB and MB cases. Early contact tracing using a molecular biology tool can be of great help in curbing the incidence of leprosy further.</p