What is Nutrition & Metabolism?

A new Open Access journal, Nutrition & Metabolism (N&M) will publish articles that integrate nutrition with biochemistry and molecular biology. The open access process is chosen to provide rapid and accessible dissemination of new results and perspectives in a field that is of great current interest. Manuscripts in all areas of nutritional biochemistry will be considered but three areas of particular interest are lipoprotein metabolism, amino acids as metabolic signals, and the effect of macronutrient composition of diet on health. The need for the journal is identified in the epidemic of obesity, diabetes, dyslipidemias and related diseases, and a sudden increase in popular diets, as well as renewed interest in intermediary metabolism

Hepatic steatosis in hepatitis C is a storage disease due to HCV interaction with microsomal triglyceride transfer protein (MTP)

Liver steatosis is a frequent histological feature in patients chronically infected with hepatitis C virus (HCV). The relationship between HCV and hepatic steatosis seems to be the result of both epigenetic and genetic factors. In vivo and in vitro studies have shown that HCV can alter intrahepatic lipid metabolism by affecting lipid synthesis, oxidative stress, lipid peroxidation, insulin resistance and the assembly and secretion of VLDL. Many studies suggest that HCV-related steatosis might be the result of a direct interaction between the virus and MTP. It has been demonstrated that MTP is critical for the secretion of HCV particles and that inhibition of its lipid transfer activity reduces HCV production. However, higher degrees of hepatic steatosis were found in chronic hepatitis C patients carrying the T allele of MTP -493G/T polymorphism that seems to be associated with increased MTP transcription. We propose here that liver steatosis in hepatitis C could be a storage disease induced by the effects of the virus and of its proteins on the intracellular lipid machinery and on MTP. Available data support the hypothesis that HCV may modulate MTP expression and activity through a number of mechanisms such as inhibition of its activity and transcriptional control. Initial up regulation could favour propagation of HCV while down regulation in chronic phase could cause impairment of triglyceride secretion and excessive lipid accumulation, with abnormal lipid droplets facilitating the "storage" of virus particles for persistent infection

Toe-tourniquet syndrome: A rare potentially devastating entity

Toe-tourniquet syndrome is a rare and commonly misdiagnosed condition caused by a hair or a fiber wrapped around digits (fingers and toes). A four months baby girl who was crying and presented with redness and swelling at her 2nd and 3rd toes of right foot. Child had red and swollen 2nd and 3rd toes of right foot with hair end protruding through wounds. Constricting hairs were cut and removed. Toetourniquet syndrome is a rare entity which is caused by hair wrapped around a toe or a digit. Diagnosis is mostly clinical. In order to prevent this condition to happen, education of parents and clinicians is a cornerstone

Multiple functions of microsomal triglyceride transfer protein

Microsomal triglyceride transfer protein (MTP) was first identified as a major cellular protein capable of transferring neutral lipids between membrane vesicles. Its role as an essential chaperone for the biosynthesis of apolipoprotein B (apoB)-containing triglyceride-rich lipoproteins was established after the realization that abetalipoproteinemia patients carry mutations in the MTTP gene resulting in the loss of its lipid transfer activity. Now it is known that it also plays a role in the biosynthesis of CD1, glycolipid presenting molecules, as well as in the regulation of cholesterol ester biosynthesis. In this review, we will provide a historical perspective about the identification, purification and characterization of MTP, describe methods used to measure its lipid transfer activity, and discuss tissue expression and function. Finally, we will review the role MTP plays in the assembly of apoB-lipoprotein, the regulation of cholesterol ester synthesis, biosynthesis of CD1 proteins and propagation of hepatitis C virus. We will also provide a brief overview about the clinical potentials of MTP inhibition

Effect of tannery effluents on seed germination and growth of two sunflower cultivars

The wastewater of a tannery in Multan, Pakistan, was alkaline with high biochemical oxygen demand (BOD) and chemical oxygen demand (COD) values along with much higher concentrations of total settle able salts and suspended solids, sodium adsorption ratio and high amount of sodium having the water quality class C3S1. Effluent was examined for its chemical constituents and the effect of its various dilutions was examined in greenhouse on two newly recommended sunflower cultivars (FH-330 and FH- 245) during their whole growth period. Percentage of germination, chlorophyll, carbohydrates and protein contents of both the sunflower cultivars showed significant (p = 0.05) decreasing trend with increasing effluent concentrations. Vegetative growth parameters like plant height and number of leaves per plant were significantly (p = 0.05) reduced with the increasing levels of effluents. Rate of leaf senescence of both cultivars was higher under higher effluent concentrations. Yield of sunflower crop in both cultivars was significantly (p = 0.05) reduced due to effluent concentrations. Seeds per capitulum were decreased to 49%, seeds weight per plant to 61 - 66% and 100-seed weight to 49 - 59%. The appearance of pale yellowish color of the affected plants was due to reduction in photosynthetic material under higher effluent concentration. Full strength effluent concentration caused the reduction in biomass accumulation and reproductive growth of sunflower cultivars. The results revealed that cultivar FH-330 was relatively resistant to varying effluent concentrations as compared to the cultivar FH- 245. However, the tannery effluents due to the presence of chemicals are not suitable for inclusion in irrigation system.Key words: Tannery effluents, sunflower, seed germination, growth, adverse effect, reduced yield

MicroRNA-30c Mimic Mitigates Hypercholesterolemia and Atherosclerosis in Mice

High plasma cholesterol levels are a major risk factor for atherosclerosis. Plasma cholesterol can be reduced by inhibiting lipoprotein production; however, this is associated with steatosis. Previously we showed that lentivirally mediated hepatic expression of microRNA-30c (miR-30c) reduced hyperlipidemia and atherosclerosis in mice without causing hepatosteatosis. Because viral therapy would be formidable, we examined whether a miR-30c mimic can be used to mitigate hyperlipidemia and atherosclerosis without inducing steatosis. Delivery of a miR-30c mimic to the liver diminished diet-induced hypercholesterolemia in C57BL/6J mice. Reductions in plasma cholesterol levels were significantly correlated with increases in hepatic miR-30c levels. Long term dose escalation studies showed that miR-30c mimic caused sustained reductions in plasma cholesterol with no obvious side effects. Furthermore, miR-30c mimic significantly reduced hypercholesterolemia and atherosclerosis in Apoe−/− mice. Mechanistic studies showed that miR-30c mimic had no effect on LDL clearance but reduced lipoprotein production by down-regulating microsomal triglyceride transfer protein expression. MiR-30c had no effect on fatty acid oxidation but reduced lipid synthesis. Additionally, whole transcriptome analysis revealed that miR-30c mimic significantly down-regulated hepatic lipid synthesis pathways. Therefore, miR-30c lowers plasma cholesterol and mitigates atherosclerosis by reducing microsomal triglyceride transfer protein expression and lipoprotein production and avoids steatosis by diminishing lipid syntheses. It mitigates atherosclerosis most likely by reducing lipoprotein production and plasma cholesterol. These findings establish that increasing hepatic miR-30c levels is a viable treatment option for reducing hypercholesterolemia and atherosclerosis

PRODUCTION OF HYPERIMMUNE SERUM AGAINST INFECTIOUS BURSAL DISEASE VIRUS IN RABBITS

The early and accurate diagnosis of infectious bursal disease requires known hyperimmune serum against the disease. In this study, an attempt was made to raise anti-infectious bursal disease virus hyperimmune serum in rabbits. The infectious bursal disease (IBD) virus was isolated from field outbreaks, identified, purified, titrated and its infectivity titre was determined in embryonated eggs. Three different semi purified and purified doses were prepared for inoculation in rabbits: (i) chloroform treated IBD virus; (ii) ultra centrifuged and resuspended virus using sucrose as gradients and (iii) pelleted and resuspended virus with addition of incomplete Freund's adjuvant. Killed IBD virus vaccine (Cevac IBDK) was used as 4th inoculum. It was observed that the serum collected after series of inoculation of 1st and 2nd inoculum provided maximum antibody titre upto log26 and Log29, respectively. However, the serum collected after series of injection of 3rd and 4th inoculum gave maximum indirect haemagglutination (IHA) titer (log210). This study suggested that live antigen containing incomplete Freund's adjuvant provided better immune response and may be a good choice for raising a hyperimmune serum against IBD virus in rabbits

Electronic Prescribing Usability: Reduction of Mental Workload and Prescribing Errors Among Community Physicians

Background: Medical errors are common in hospitals, and research is always needed to find ways of reducing these. This study attempts to address three gaps in this field. First, the factors leading to the reduction of mental workload and its relationship with the reduction of prescribing errors by improving electronic prescribing (e-prescribing) usability have not been empirically examined before. Second, the past research in the field of e-prescribing usability lacks robust theoretical models. Third, there are no existing studies to examine the direct influences of user interface consistency and error prevention with the reduction of mental workload and prescribing errors. Materials and Methods: A quantitative survey method was used to collect data from 188 community physicians. The partial least squares path modeling technique was applied to analyze the data. Results: Prescribing errors were reduced by improving the information quality, user interface consistency, system ease of use, and mental workload reduction. Mental workload is reduced by ease of use, error prevention, and consistency. No significant relationships between prescribing error reduction with error prevention and also between information quality with mental workload reduction were found. Conclusions: The designers of e-prescribing should improve the error prevention and consistency of the system and make it easy to use if they wish for the system to reduce users’ mental workload. They should also improve the system information quality, ease of use, and consistency if they claim that their system reduces physicians’ prescribing errors. The system should also reduce users’ mental workload to meet this objective