Urinary iodine level assessment during third trimester in a sample of Egyptian pregnant women and its relation to thyroid function

Background: Inadequate intakes of iodine during pregnancy may cause thyroid dysfunctions that adversely affect pregnancy outcomes. Aim of the work was to evaluate the urinary iodine level as a marker of iodine status in a sample of Egyptian pregnant women during 3rd trimester and assess its relation to thyroid functions.Methods: This cross-sectional study was conducted on 100 pregnant females at their 3rd trimester aged (18-35) years. They were divided according to their urinary iodine concentration into 3 groups; Group (I): Pregnant females with deficient iodine (<150 μg/l), Group (II): Pregnant females with adequate iodine (150-249) μg/l, Group (III): pregnant females including who have above requirements (250-499 μg/l), and excessive (≥500 μg/l). TSH, free t4, free t3, Anti-Thyroglobulin (TgAb) and anti-thyroid perioxidase (TPOAb), medium urinary Iodine concentration (UIC) by ELISA and neck U/S were performed to all participants.Results: 18% of the pregnant women in our study had iodine deficiency during 3rd trimester (UIC<150 ug/l) whereas 55% of pregnant women had excess iodine level, and adequate iodine level was observed in 27%.  Serum TSH was significantly higher in group I with deficient iodine level (p value<0.01). All pregnant women included at group I were suffering from subclinical hypothyroidism. Serum TSH and thyroid volume were inversely correlated with urinary iodine among pregnant females at 3rd trimester (p value<0.01).Conclusions: Serum TSH and thyroid volume were inversely correlated with urinary iodine level among pregnant females at 3rd trimester

T cell activation markers “CD45RO and CD45RA”; neutrophil CD11b expression and soluble tumor necrosis factor receptor (p55) in early diagnosis of neonatal sepsis

Background: Neonatal sepsis is a common and life threatening disorder whose outcome and prognosis depend on early and efficient therapy. A sensitive and specific indicator at an early stage of the disease would certainly aid the early diagnosis of neonatal sepsis. Objective: We sought to investigate the diagnostic value of measuring the up-regulation of T-lymphocyte activation markers CD45RA/CD45RO, CD45RO, neutrophil CD11b expression, and soluble tumor necrosis factor receptor (P55) as tests for early detection of neonatal sepsis; as well as comparing them with the conventional methods of diagnosis. Methods: The subjects of this study comprised 39 neonates: 25 males (64%) and 14 females (36%). In addition to the clinical assessment, different laboratory investigations for the diagnosis of sepsis were done. These included a complete blood picture, quantitative measurement of C-reactive protein and blood and or CSF culture and sensitivity. Assays for T cell activation markers CD45RA/CD45RO and neutrophil CD11b by flow cytometry and soluble tumor necrosis factor receptor sTNFR1 by ELISA were carried out as well as chest plain x-raying. Results: The up-regulation of CD45RA/ CD45RO dual expression and CD45RO expression on T-lymphocytes was observed in the septic group. The percent expression of CD45RA/CD45RO and CD45RO was significantly elevated in the high-risk group when compared to the control group. However, CD45RA/CD45RO and CD45RO showed no significant difference in percent expression between the septic group and the high-risk group. CD11b expression was also significantly higher in the septic (72.8± 17.8) than the control group (17.2 ±9.9%, p &lt; 0.05) and also in the high- risk group (42.2 ± 25.9%, p &lt; 0.05) as compared to the control group. sTNFR55 was significantly high in septic group (18.14 ± 9.38 ng/ml) as well as in the high risk group (26.90 ± 16.89 ng/ml) when compared to the control group (6.44 ± 1.49 ng/ml, p &lt; 0.05) with no significant difference between the former two groups (p &gt; 0.05). In addition and according to the follow up sample taken after one week, a significant increase in the expression of CD45RO was realized in the septic group. Conclusion: The surface activation markers of T-lymphocytes (CD45RA/ CD45RO, CD45RO), neutrophil activation marker (CD11b) and soluble TNF receptor 1 are useful early indicators of neonatal sepsis, and are superior to the hematological scoring system and CRP in the early detection of the disease.Keywords: neonatal sepsis, surface activation markers, neutrophil activation marker, CD45RA/CD45RO, CD45RO, CD11b, soluble TNF receptor 1Egypt J Pediatr Allergy Immunol 2003; 1(2): 110-

INVESTIGATION OF SOME CHEMICAL CONSTITUENTS AND ANTIOXIDANT ACTIVITY OF ASPARAGUS SPERNGERI

Objective: Asparagus sprengeri (A S) is an ornamental plant cultivated in EGYPT. This study was designed to investigate some lipid and flavanoid constituents, in addition to the evaluation of antioxidant activity of different extracts of the plant. Methods: Two phospholipid were identified by (HPTLC). The fatty acid methyl ester and unsaponifiable matter were analyzed by GC. Four flavonoids were isolated by CC and purified by PPc. Identification of isolated flavanoidal compounds was carried by spectroscopic analysis Viz, TLC,PC, UV, EL-MS and H-1– NMR. The different extracts were tested for their free radical scavenging activity using DPPH and β-Carotene- linoleic acid bleaching assay. Results: Four flavonoids, were isolated, apigenin, dihydroquercitin, naringenin, apigenin- 7-o- glucoside Nine fatty acids, Myrestic and linoliec acids were the major components. The unsaponifiable matter was found to be a mixture of hydrocarbons from (C13– C28) and cholesterol two classes of phospholipid were identified namely L-α-Phosphatidyl-DL-glycerol and L-α- Phosphatidylethanolamine. The alcoholic extract of the plant has moderate antioxidant activity with EC50 0.114 and 0.110 mg/ml for the DppH and β-carotene methods respectively Conclusion: Asparagus sprengeri can be used as the natural antioxidant. Flavonoids are suggested to be a group of key antioxidants in Asparagus

Antibacterial and cytotoxic properties of isoprenoids from the red sea soft coral, Lobophytum sp

Purpose: To evaluate the antibacterial and cytotoxic activities of the secondary metabolites of Lobophytum sp.Methods: Maceration with methanol: chloroform (1:1) was applied to extract the coral material. Chromatographic and spectroscopic techniques were employed for fractionation, isolation and elucidation of pure compounds. Antibacterial activities were performed by well diffusion method against three Gram-positive and four Gram-negative bacteria. Brine shrimp lethality test was employed to predict toxicity, while antitumor activity were tested by 3-(4, 5-dimethylthiazol-2-yl)-2, 5- diphenyltetrazolium bromide (MTT) method against Ehrlich carcinoma cells.Results: Four sesquiterpenes, one cembranoid type diterpenes and two steroids were isolated. 1 exhibited significant antibacterial activity against four tested bacteria (P. aeruginosa, S. aureus, S. epidermis, and S. pneumonia) with MIC value of 15 μg/mL. Moreover, 1 showed high diameter zone of inhibition ranging from 16 - 18 mm against test bacteria. Compounds 4 and 5 displayed moderate antibacterial activity against all test bacteria with inhibition zone diameter (IZD) ranging from 11 – 15 mm and MIC values of 30 μg/mL. 2, 3, 6 and 7 exhibited weak antibacterial activity (IZD, 7 - 11 mm; MIC ≥ 30 μg/mL). In addition, only diterpene compound (4) showed high toxicity against A. Salina and antitumor activity against Erhlich carcinoma cells with the LD50 of 25 and 50 μg/mL, respectively.Conclusion: This study reveals the strong antibacterial activity of sesquiterpene alismol (1) and the potential antibacterial and antitumor activity of cembranoid type diterpene, cembrene A (4).Keywords: Soft coral, Lobophytum sp., Red Sea, Antibacterial, Cytotoxicity, Sesquiterpene Alismol, Cembranoid, Diterpene, Cembren

Novel Sequence Variants in the NPC1 Gene in Egyptian Patients with Niemann-Pick Type C

BACKGROUND: Niemann-Pick disease type C (NPC) is a rare, autosomal recessive, progressive neuro-visceraldisease caused by biallelic mutations in either NPC1gene (95% of cases) or NPC2 gene. AIM: This caseseries study aimed at the molecular analysis of certain hot spots of NPC1 genein NPC Egyptian patients. METHODS: The study included 15 unrelated NPC patients and selected parents,as well as20 healthy controls of matched sex and age. Clinical investigations were performed according to well established clinical criteria. Assessment of the chitotriosidase level, as an initial screening tool for NPC, was done in all cases. Polymerase chain reaction amplification of NPC1 exons (17–25) encountering the hotspot residues (855–1098 and1038–1253) was carried out followed by direct sequencingfor mutational analysis. RESULTS: All includedpatients with mainly neurovisceral involvement were characterized. The onset of the disease varied from early-infantile (58.3%) to late-infantile (26.7%) and juvenile-onset (6.7%). Ahigh chitotriosidase level wasobservedin all patients. Molecular analysis of NPC1 (exons 17–25) confirmed 15 mutant alleles out of 30 studied ones. They included two novel homozygous missense variants (p.Ser1169Arg and p.Ser1197Phe) and previously reportedfour mutations (p.Arg958*, p.Gly910Ser, p.Ala927Glyfs*38, and andp.Cys1011*). CONCLUSION: The two studied amino acid residues (855–1098 and 1038–1253) could beconsidered aspotential hotspot regions in NPC1 Egyptian patients

Optimization of mosquitocidal toxins production by Lysinibacillus sphaericus under solid state fermentation using statistical experimental design

Taguchi’s experimental design of surface response methodology was applied to optimize the culture medium conditions for Lysinibacillus sphaericus (Ls) mosquitocidal toxins production under solid state fermentation (SSF). The predicted results of this design revealed that the optimum culture medium conditions for the maximum mosquitocidal activity against second instar Culex pipiens larvae were: 3.08 ± 0.05% substrate concentration, 33 ± 1.5% moisture content, 7.8 ± 0.1 initial pH, 1.35 ± 0.15% (5.7 × 107 CFU) inoculum size and 5.9 ± 0.2 days incubation period. Sporulation titer of Lysinibacillus sphaericus (Ls 14N1) and mortality percentage of second instar Culex pipiens larvae of the fermented culture under these conditions were 2.8 × 1010 CFU/g fermented culture and 97.5 ± 1%, respectively. The results of practical validation of the design were incomparable with the mathematical results. Sporulation titer was 2.7 × 10 10 CFU/g fermented culture; LC50 was 2.8 × 10-5 final fermented culturedilution and toxin protein concentration was 2.24 mg/g fermented culture

Appraisal on the Wound Healing Potential of Deverra tortuosa DC. and Deverra triradiata Hochst Essential Oil Nanoemulsion Topical Preparation

Deverra tortuosa (Desf.) DC. and Deverra. triradiata Hochst. ex Bioss are perennial desert shrubs widely used traditionally for many purposes and they are characteristic for their essential oil. The objective of the present study was to investigate the in vivo wound healing activity of the essential oil (EO) of D. tortuosa and D. triradiata through their encapsulation into nanoemulsion. EO nanoemulsion was prepared using an aqueous phase titration method, and nanoemulsion zones were identified through the construction of phase diagrams. The EO was prepared by hydrodistillation (HD), microwave-assisted hydrodistillation (MAHD), and supercritical fluid extraction (SFE) and analyzed using GC/MS. D. tortuosa oil is rich in the non-oxygenated compound, representing 74.54, 73.02, and 41.19% in HD, MADH, and SFE, respectively, and sabinene represents the major monoterpene hydrocarbons. Moreover, D. triradiata is rich in oxygenated compounds being 69.77, 52.87, and 61.69% in HD, MADH, and SFE, respectively, with elemicin and myristicin as major phenylpropanoids. Topical application of the nanoemulsion of D. tortuosa and D. triradiata (1% or 2%) exhibited nearly 100% wound contraction and complete healing at day 16. Moreover, they exhibit significant antioxidant and anti-inflammatory effects and a significant increase in growth factors and hydroxyproline levels. Histopathological examination exhibited complete re-epithelialization accompanied by activated hair follicles and abundant collagen fibers, especially at a concentration of 2%. Therefore, the incorporation of the two Deverra species into nanoemulsion could professionally endorse different stages of wound healing

Serum Level of the Adipokine “Vaspin†in Relation to Metabolic Parameters: Short – Term Effect of Specific Dietary Therapy

AIM: To investigate the association between the circulating vaspin concentration and both of glucose homeostasis and insulin resistance in metabolic syndrome (MetS) patients, and also to evaluate the metabolic impact of two different dietary therapies on such conditions.MATERIALS AND METHODS:  Fifty eight obese female volunteers suffering from MetS, followed a specially designed dietary therapy consists of a low caloric balanced diet, accompanied by either 30% doum biscuits (group A), or whole wheat biscuits (group B) for four weeks (phase 1). During the next four weeks, they were continued on the hypocaloric diet alone (phase 2).RESULTS: The health effects of two dietary therapies were more prominent in improving the biochemical markers of the MetS than in the body weight reduction. The lower levels of serum vaspin were significantly increased at the end of the 1st phase in both groups especially group (A). Sustained negative correlations were detected between vaspin level and both of C-peptide and insulin resistance expressed as modified homeostatic model assessment (M.HOMA).CONCLUSION: The effect of the dietary supplements may play a role in alleviating the impact of the components of the MetS and may also sustain the level of the vaspin in the sensitization of the C-peptide in order to attain glucose homeostasis