Risk factors for initial antibiotic treatment failure in patients with aspiration pneumonia

Sulbactam/ampicillin （SBT/ABPC） and ceftriaxone （CTRX） are the initial antibiotics recommended for treating aspiration pneumonia without risk factors for drug-resistant pathogens. However, the condition of some patients does not improve with these antibiotics. Therefore, we investigated the new risk factors associated with failure of initial antibiotic treatment in patients with aspiration pneumonia. This study included 487 patients diagnosed with aspiration pneumonia who received initial antibiotic treatment with SBT/ABPC or CTRX, and were hospitalized at the Respiratory Medicine Department of the Yokohama City Minato Red Cross Hospital. The outcome was initial antibiotic treatment failure, which was defined as a change from initial to secondary antibiotic treatment. The characteristics of patients with and without antibiotic treatment failure were compared using univariate analyses, and significant independent risk factors for the initial antibiotic treatment failure were selected using multivariate analyses. The mean age of the patients was 84.1 ± 9.6 years; 302 （62％） of them were men and 93 patients experienced antibiotic treatment failure. Logistic regression analysis extracted no restriction of diet on admission （odds ratio ［OR］, 3.23; 95% confidence interval ［CI］, 1.35-7.74）, history of hospitalization due to aspiration pneumonia （OR, 1.81; 95％CI, 1.12-2.93）, the severity of pneumonia （OR, 1.37; 95％CI, 1.01-1.86）, and C-reactive protein （CRP） level （OR, 1.26; 95％CI, 1.09-1.45） as risk factors for initial antibiotic treatment failure. Our results suggested that no restriction of diet on admission, history of hospitalization due to aspiration pneumonia, severity of pneumonia, and increased CRP levels were the risk factors associated with failure of initial antibiotic treatment in patients with aspiration pneumonia. These factors will be useful for determining an effective initial treatment strategy for patients with aspiration pneumonia

Effect of the GSTM1 Null Genotype on Glutathione S-Transferase (GST) Activity in Patients with Non-Viral Liver Tumors

Glutathione S-transferase (GST) is a major phase II drug-metabolizing enzyme. Several isoforms of human GST as well as different GST genetic polymorphisms are known, but limited data exists concerning the relationship between GST polymorphisms and GST activity using 1-chloro-2,4-dinitrobenzene in human liver. To resolve this query, we analyzed the genetic polymorphisms of four main GST isoforms [GST mu 1 (GSTM1), GST theta 1 (GSTT1), GST alpha 1 (GSTA1), GST pi 1 (GSTP1)] and measured hepatic GST activity isolated from the same patients. We found that GSTM1 null individuals have significantly lower (P=0.0082) GST activity compared with GSTM1 positive individuals. No significant changes in GST activity were observed in individuals with GSTT1, GSTA1, and GSTP1 genotypes. Interestingly, the levels of GST activity exhibited were similar when compared with GSTA1*A/*A and GSTA1*A/*B, and GSTP1*A/*A and GSTP1*A/*B, respectively, if the genotype was GSTM1 null. Therefore, the genotypes of GSTA1*A/*B and GSTP1*A/*B individuals do not significantly affect the level of hepatic GST activity. An examination of the correlation between GST mRNA expression and GST activity subsequently revealed a significant correlation between GSTM1 mRNA levels and GST activity (r=0.626, P=0.007). These data are expected to facilitate research on the prediction of efficacy and safety of GSTM1 null-mediated drug metabolism and may establish whether genetic polymorphisms of the GST gene, specifically GSTM1, can act as a biomarker

Flavonoid compounds related to seed coat color of wheat

<p>In red wheat, reddish-brown pigments accumulate in testa of mature seeds. Half-cut wheat seeds were immersed in <i>p</i>-dimethylaminocinnamaldehyde (DMACA) reagent that stains flavanol structures blue. Testa of 10–40 days after flowering (DAF) in red wheat (“Norin 61” and “Satonosora”) seeds were stained blue and the reagent color changed to blue with 10–25 DAF seeds. No blue staining was observed in white wheat (“Tamaizumi”) seeds during maturation. “Norin 61” seed coats at 10 DAF contained dihydroquercetin, dihydromyricetin, (+)-catechin, procyanidin B3, and prodelphinidin B3, which were identified by HPLC-diode array detector and LC-MS/MS analyses. These five components began accumulating 7 DAF, reached maxima at 10 or 15 DAF, and then decreased in red wheat seeds, but were not detected in white wheat seeds. These results suggest that flavanol and proanthocyanidins are possible precursors of the reddish-brown pigments of red wheat seeds, and are converted to insoluble compounds as the seeds mature.</p> <p>Dihydroflavonols, flavanol, and proanthocyanidin dimers accumulated in immature red wheat seeds, whose mature seed coat has reddish-brown pigments, but not in white wheat seeds.</p

Radiocesium interception potential of agricultural soils in northeast Japan

<p>The health risks associated with the long-term intake of radiocesium from food have been of great concern since the Fukushima Daiichi Nuclear Power Station accident in 2011. Therefore, evaluating the phytoavailability and mobility of radiocesium in soil and determining the ability of soil to fix radiocesium are important research topics. The capacity and selectivity for ¹³⁷Cs sorption in soil is evaluated on the basis of the radiocesium interception potential (RIP). Here, we measured the RIP of 925 farmland soil samples collected from Fukushima Prefecture and surrounding regions and plotted the values on a soil classification map and a surface geological map. The RIP values ranged from 73 to 12700 mmol kg⁻¹, and a wide range was also observed among samples with identical soil types and geological features; however, the RIP values were significantly low for Andosols (P ≤ 0.05). In addition, soils that did not contain vermiculite, illite and smectite had low RIP values. All measured RIP values were negatively correlated with the total C content and phosphate absorption capacity and positively correlated with the clay, silt, and exchangeable K and Ca content (P ≤ 0.01). However, the relationship between the RIP and the measured soil properties, except for the exchangeable K content, is strongly dependent on the soil classification and clay mineral composition. Therefore, the soil properties that most significantly influence the RIP values are probably differences in the soil parent materials, which influence the soil classification and clay mineral composition.</p