Effect of triple drug antiretroviral therapy on CD4+ count in pregnant women with HIV and prevention of parent to child transmission

Background: India has moved from single drug Antiretroviral Therapy (ART) in 2002 to triple drug ART in 2013 to prevent parent to child transmission of HIV. The aim of the study was to know the effects of triple drug ART on maternal CD4+ count and prevention of HIV transmission to baby along with its adherence, side effects and pregnancy outcome.Methods: A prospective study wsas done in Safdarjung Hospital, New Delhi on 40 HIV positive pregnant women who received single dose combination of triple drug ART. CD4+ count, LFT and KFT were done before beginning of ART and repeated after 6 months of ART. The infants received nevirapine prophylaxis and HIV status was determined by DBS PCR at 6 weeks.Results: The median CD4+ count was 317 and 397 pre and post ART for 6 months respectively (p value<0.001. Low birth weight (LBW) was seen in 43.59% which was statistically significant but confounded as 76.4% of these babies were preterm. 23.08% of babies had an APGAR of < 7 at 1 minute, out of which 77.7% were preterm. Nine out of 39 infants (one had abortion) needed NICU admission. Only one baby (2.56%) was HIV positive who died at 4 months of age due to pneumonia. There was no defaulter and no statistically significant changes in LFT and KFT after 6 months of ART.Conclusions: Triple drug ART offers greater convenience improves fetomaternal outcome and minimize the risk of HIV transmission from mother to child

An earth-friendly herbal pesticide from Pongamia pinnata L.

Today use of hazardous chemical pesticides is a major environmental problem in global agriculture. The large scale use of these pesticides is degrading soil quality, underground and surface water quality, food quality of products. Herbal pesticides are a potential option for their chemical counterparts. It was observed that the crop fields where Pongamia pinnata trees are planted, there is less or no infestation of various insect-pests round the year.The trees of Pongamia pinnata are found allover India and the use of Pongamia as pesticide is cost effective, environment friendly and is in the reach of common villagers and farmers of India

Evaluation of the heavy metals tolerant UV rays treated bacteria isolated from anthropogenic sites of Chambal region, India

Industrial waste is released into the environment and leads to various types of heavy metal, which are toxic, mutagenic and carcinogenic in nature. Heavy metals are not biodegradable but accumulated by living organisms and cause diseases at even low concentrations. In this study, we selected four anthropogenic sites from Chambal region, isolated bacteria and investigated its heavy metal removal capability. The bacteria was isolated and identified as Escherichia coli (Ag-5), on the basis of biochemical and 16S rRNA gene sequence. Among the five (cadmium, cobalt, lead, nickel and zinc) heavy metals studied, Ni2+ has been observed to be highly toxic with minimum inhibitory concentration score of 200 ppm. E. coli could tolerate Zn2+ (300 ppm), Cd2+ (400 ppm), Co2+ (400 ppm) and Pb+2 (500 ppm). Heavy metal tolerance capability was also evaluated by UV rays treated E. coli (Ag-5) isolate and compared with wild strain Ag-5. The result indicated that the tolerance capability was enhanced by UV rays treated bacterial isolate as compared to wild strain with respect to all tested heavy metals. Atomic absorption spectroscopy results revealed that wild strain removed 78.2% cadmium nitrate, while UV rays 30 and 60 s. exposed strain removed 85.9 and 83% cadmium nitrate. Wild strain removed 64.4% nickel chloride, while UV rays 30 and 60 s exposed strain removed 66.9 and 74.5% nickel chloride. The results indicate that indigenous E. coli treated with UV rays could serve as heavy metal tolerant bacteria and utilized in bioremediation processes

The uncharted territory of host-pathogen interaction in tuberculosis

Mycobacterium tuberculosis (M.tb) effectively manipulates the host processes to establish the deadly respiratory disease, Tuberculosis (TB). M.tb has developed key mechanisms to disrupt the host cell health to combat immune responses and replicate efficaciously. M.tb antigens such as ESAT-6, 19kDa lipoprotein, Hip1, and Hsp70 destroy the integrity of cell organelles (Mitochondria, Endoplasmic Reticulum, Nucleus, Phagosomes) or delay innate/adaptive cell responses. This is followed by the induction of cellular stress responses in the host. Such cells can either undergo various cell death processes such as apoptosis or necrosis, or mount effective immune responses to clear the invading pathogen. Further, to combat the infection progression, the host secretes extracellular vesicles such as exosomes to initiate immune signaling. The exosomes can contain M.tb as well as host cell-derived peptides that can act as a double-edged sword in the immune signaling event. The host-symbiont microbiota produces various metabolites that are beneficial for maintaining healthy tissue microenvironment. In juxtaposition to the above-mentioned mechanisms, M.tb dysregulates the gut and respiratory microbiome to support its replication and dissemination process. The above-mentioned interconnected host cellular processes of Immunometabolism, Cellular stress, Host Microbiome, and Extracellular vesicles are less explored in the realm of exploration of novel Host-directed therapies for TB. Therefore, this review highlights the intertwined host cellular processes to control M.tb survival and showcases the important factors that can be targeted for designing efficacious therapy

Research Paper DESIGN, OPTIMIZATION AND EVALUATION OF EMPAGLIFLOZIN ORODISPERSIBLE TABLETS USING DIFFERENT SUPERDISINTEGRANTS

Objective: The objective of this study was to formulate orodispersible tablets containing empagliflozin by direct compression method with sufficient hardness and rapid disintegration time and to study the effect of functionality differences of super-disintegrants on the tablet properties. Methods: A two factor three level factorial design (32) was used for the formulation optimization of orodispersible tablets of Empagliflozin and experimental trials were performed on all possible formulations, in which the amount of β-cyclodextrin, crospovidone and croscarmellose sodium were selected as independent variables (factor) varied at three different levels: low (-1), medium (0), and high (+1) levels. The drug release and disintegration time were used as dependent variables (response). All formulations were characterized for parameters such as diameter, hardness, weight, thickness, friability, disintegration time, drug release. Results: Formulation FD6 having 30 sec disintegration time, 98.84% drug release after 30 min, 2.8 kg/cm2 hardness and 0.292% friability was found best among all formulations and selected as an optimized formulation with rapid onset of action and enhanced bioavailability (more than 98% drug release within 30 min.) as compared to the oral empagliflozin tablet. Conclusion: Empagliflozin orodispersible tablets with different superdisintegrants were successfully prepared and formulation containing highest percentage of crospovidone was found best among all other formulations in terms of bioavailability and rapid onset of action

Evaluation of the heavy metals tolerant UV rays treated bacteria isolated from anthropogenic sites of Chambal region, India

864-869Industrial waste is released into the environment and leads to various types of heavy metal, which are toxic, mutagenic and carcinogenic in nature. Heavy metals are not biodegradable but accumulated by living organisms and cause diseases at even low concentrations. In this study, we selected four anthropogenic sites from Chambal region, isolated bacteria and investigated its heavy metal removal capability. The bacteria was isolated and identified as Escherichia coli (Ag-5), on the basis of biochemical and 16S rRNA gene sequence. Among the five (cadmium, cobalt, lead, nickel and zinc) heavy metals studied, Ni2+ has been observed to be highly toxic with minimum inhibitory concentration score of 200 ppm. E. coli could tolerate Zn2+ (300 ppm), Cd2+ (400 ppm), Co2+ (400 ppm) and Pb+2 (500 ppm). Heavy metal tolerance capability was also evaluated by UV rays treated E. coli (Ag-5) isolate and compared with wild strain Ag-5. The result indicated that the tolerance capability was enhanced by UV rays treated bacterial isolate as compared to wild strain with respect to all tested heavy metals. Atomic absorption spectroscopy results revealed that wild strain removed 78.2% cadmium nitrate, while UV rays 30 and 60 s. exposed strain removed 85.9 and 83% cadmium nitrate. Wild strain removed 64.4% nickel chloride, while UV rays 30 and 60 s exposed strain removed 66.9 and 74.5% nickel chloride. The results indicate that indigenous E. coli treated with UV rays could serve as heavy metal tolerant bacteria and utilized in bioremediation processes