Nevin Manimala

J Appl Lab Med. 2022 Sep 22:jfac069. doi: 10.1093/jalm/jfac069. Online ahead of print.

ABSTRACT

BACKGROUND: High-sensitivity C-reactive protein (hs-CRP) is a biomarker used for risk prediction for cardiovascular disease by assessing low concentration of inflammation. Measurements of regular CRP have become very sensitive with a lower detection limit of 0.3 mg/L. This study aimed to compare and explore the association between CRP and hs-CRP.

METHODS: Data from 607 consecutive patients referred for cardiovascular risk assessment with hs-CRP were reviewed retrospectively. In total, 570 patients were included in the analysis and classified into 3 (low-, medium-, and high-risk) groups (hs-CRP cutoff: <1, 1-3, >3 mg/L). Correlation between hs-CRP and CRP was assessed with the kappa statistic and visualized with a Bland-Altman plot. The association between hs-CRP and occurrence of the composite outcome (acute myocardial infarction, stroke, coronary intervention [percutaneous coronary intervention or bypass surgery], or death) was determined with Cox regression analysis and visualized with Kaplan-Meier curves.

RESULTS: A total number reclassification occurred in 8.6% of the cases for CRP risk groups, which demonstrates an agreement of 91.4% (kappa 0.87; P < 0.001). The correlation between CRP and hs-CRP was significant (P < 0.001), Spearman regression R2 = 0.98. A Bland-Altman plot displayed an average difference of 0.19 mg/L (95%CI, 0.17 to 0.23) between the CRP and hs-CRP. Cardiovascular events were more likely to occur in patients who were older, with hs-CRP or CRP >3 mg/L and a history of coronary artery disease.

CONCLUSIONS: The usual laboratory tests for CRP values in the lower range highly correlate with the hs-CRP tests and can therefore replace the costlier hs-CRP measurements.

PMID:36136302 | DOI:10.1093/jalm/jfac069

Int Urol Nephrol. 2022 Sep 22. doi: 10.1007/s11255-022-03368-1. Online ahead of print.

ABSTRACT

INTRODUCTION: Hemodialysis (HD) patients are at increased risk of severe COVID-19 infection but infection rates vary. Our objectives are to describe COVID-19 positive HD patients’ characteristics, infection rates, and factors associated with mortality in HD COVID-19 cases in Kuwait.

METHODS: Data on demographics, comorbidities, and treatments received, as well as mortality for HD patients admitted to hospitals for COVID-19, from 1/March to 31/July 2020, prospectively collected and analyzed.

RESULTS: A total of 141 infected HD patients were admitted (Mean age 58 ± 16.1; Males 56%), representing 7% of the total HD population and 0.2% of all COVID-19 cases during the study period. Of those 141 infected HD patients, 27 (19%) died, and this represents 6% of total COVID-19-related mortality and 27% of the total HD mortality. In contrast, total covid-19-related mortality of all positive cases was only 0.7%, and total HD mortality during the study period was only 5%. COVID-19-positive HD patients who died were older and 59% were males. However, the differences were not statistically significant. Of the 61 infected HD patients who needed to be switched to continuous kidney replacement therapy (CKRT), 34% died, and of the 29 infected HD patients who needed admission to intensive care, 65% died.

CONCLUSION: HD population represents a small fraction of the total population; however, positive HD COVID-19 cases represent a sizable proportion of COVID-19 cases and a significant percentage of total COVID-19-related mortality, and total HD mortality.

PMID:36136260 | DOI:10.1007/s11255-022-03368-1

Aging Clin Exp Res. 2022 Sep 22. doi: 10.1007/s40520-022-02250-5. Online ahead of print.

ABSTRACT

BACKGROUND: While fish oil (FO) has attracted great attention due to their health-enhancing properties, its potential to enhance benefits from resistance exercise training (RET) has not been fully elucidated yet.

AIMS: The aim of this study was to investigate effects of FO administration during 12 weeks of programmed RET on muscular strength, resting metabolic rate (RMR), and systemic inflammation in healthy older adults.

METHODS: Twenty-eight healthy older adults were randomly assigned to three experimental groups: sedentary control (CON), resistance exercise training (RET), or RET combined with FO (RET-FO). A one-repetition (1RM) of maximum muscle strength, RMR, substrate oxidation, and blood inflammatory biomarkers were assessed before and after the intervention. Statistical significance was set at p ≤ 0.05.

RESULTS: 1RM muscle strength was significantly increased in RET and RET-FO while substantially decreased in CON. RMR greatly increased in RET and RET-FO with no change in CON. RET-FO exhibited significantly increased fatty acid oxidation, but no change was found in CON and RET. Systemic interleukin 6 (IL-6) and C-reactive protein (CRP) were significantly decreased from baseline in RET-FO while no change was observed in CON and RET.

CONCLUSION: Our data indicate chronic RET reversed aging-induced loss of muscle strength and improved RMR, while FO administration combined with RET appears to enhance fat metabolism and mildly reduce some indicators of systemic inflammation.

PMID:36136236 | DOI:10.1007/s40520-022-02250-5

J Comput Aided Mol Des. 2022 Sep 22. doi: 10.1007/s10822-022-00475-0. Online ahead of print.

ABSTRACT

Despite the massive application of end-point free energy methods in protein-ligand and protein-protein interactions, computational understandings about their performance in relatively simple and prototypical host-guest systems are limited. In this work, we present a comprehensive benchmark calculation with standard end-point free energy techniques in a recent host-guest dataset containing 13 host-guest pairs involving the carboxylated-pillar[6]arene host. We first assess the charge schemes for solutes by comparing the charge-produced electrostatics with many ab initio references, in order to obtain a preliminary albeit detailed view of the charge quality. Then, we focus on four modelling details of end-point free energy calculations, including the docking procedure for the generation of initial condition, the charge scheme for host and guest molecules, the water model used in explicit-solvent sampling, and the end-point methods for free energy estimation. The binding thermodynamics obtained with different modelling schemes are compared with experimental references, and some practical guidelines on maximizing the performance of end-point methods in practical host-guest systems are summarized. Further, we compare our simulation outcome with predictions in the grand challenge and discuss further developments to improve the prediction quality of end-point free energy methods. Overall, unlike the widely acknowledged applicability in protein-ligand binding, the standard end-point calculations cannot produce useful outcomes in host-guest binding and thus are not recommended unless alterations are performed.

PMID:36136209 | DOI:10.1007/s10822-022-00475-0

Environ Sci Pollut Res Int. 2022 Sep 22. doi: 10.1007/s11356-022-23055-z. Online ahead of print.

ABSTRACT

The abundant release of toxic heavy metals into wastewater has been a serious threat to human health, aquatic environments, plants, and animals; thus, it is critical to purify wastewater of these pollutants through a proper treatment process. A novel hydrogel compound was synthesized using partially hydrolyzed polyacrylamide (PHPAm) and functionalized Fe₃O₄-coated magnetic nanoparticles (PHPAm/Fe₃O₄@SiO₂-SH) that is efficient in removal of mercury and lead from wastewater. This new magnetic nanoadsorbent is characterized using scanning electron microscope, Fourier-transform infrared, thermogravimetric analysis, vibrating sample magnetometer, and energy-dispersive X-ray analysis. The central composite design under response surface methodology (CCD-RSM) was applied in designing the experiments to optimize the main parameters affecting the adsorption capacity: initial concentration (77.50 mg L^-1), pH (6.11 and 6.48), adsorbent dosage (25 mg), and contact time (115 and 106 min) for both Hg²⁺ and Pb²⁺ adsorption, respectively. Quadratic models were used for variable predictions and analysis of variance was applied to evaluate the statistical parameters and investigate the interactions of the variables. The high determination coefficient (R² 0.99) for both metals indicates a good correlation between actual and predicted response values. Additionally, thermodynamic modeling showed an endothermic and exothermic for Hg²⁺ and Pb²⁺, respectively, and also the spontaneous nature of both metals’ adsorption process within the temperature range of 288-318 K. Mercury and lead kinetic studies were in agreement with pseudo-second-order modeling, and the equilibrium results revealed that the Langmuir isotherm best fit the experimental data with maximum adsorption capacities of 256.41 and 227.27 (mg g^-1) for Hg²⁺ and Pb²⁺, respectively. Overall, PHPAm/Fe₃O₄@SiO₂-SH is thought to have highly promising potential for investigating heavy metals in wastewater treatment, and will make important contributions to similar studies that may be conducted in the future.

PMID:36136188 | DOI:10.1007/s11356-022-23055-z

Environ Sci Pollut Res Int. 2022 Sep 22. doi: 10.1007/s11356-022-23129-y. Online ahead of print.

ABSTRACT

Nitrate pollution of groundwater has become a global concern as it can affect drinking water quality and human health. In this paper, an extensive hydrochemical investigation was performed to assess the spatial distribution, source identification, and health risk of groundwater nitrate pollution in the Subei Lake basin. The prevalent pollutant, nitrate (NO₃^–), was identified based on descriptive statistical method and box plots, and most of the other parameters of groundwater samples met water standards and can be used for drinking purpose. The results showed that nearly 23.53% of groundwater samples displays the NO₃^– concentrations higher than the limit of 50 mg/L recommended by the World Health Organization, and the highest nitrate content (199 mg/L) is mainly distributed around the Mukai Lake. Piper triangle diagram demonstrated that the dominated anions of hydrochemical types exhibit a gradual evolving trend from HCO₃^– to SO₄^2- and Cl^– with increasing nitrate concentration. The correspondence analysis suggested that agricultural activities are identified as the most possible source of nitrate contamination, while the higher content of other parameters in individual groundwater samples may be controlled by natural factors. The impacts of pollutant NO₃^– on human health were quantified using human health risk assessment method, and results showed that the order of non-carcinogenic health risk values through drinking water intake is Infants>Children>Adult males>Adult females, and 65%, 53%, 41%, and 35% of samples exceed the acceptable risk level (hazard quotient=1), respectively. The main findings obtained from this study can provide valuable insight on drinking water safety and groundwater pollution prevention.

PMID:36136183 | DOI:10.1007/s11356-022-23129-y

Maxillofac Plast Reconstr Surg. 2022 Sep 22;44(1):30. doi: 10.1186/s40902-022-00354-6.

ABSTRACT

PURPOSE: Surgical removal of intra-bony calcific benign lesions is technically challenging regarding its accessibility, proximity to vital structures, and deteriorating effect on the remaining bony structures.

METHODS: Computer-guided buccal cortical plate separation was performed for ten patients using patient-specific osteotomy locating guides and pre-bent plates. The guide was designed to outline the osteotomy, the buccal cortical plate was separated, the lesion was removed, and finally, the pre-bent plates were used to fix the separated cortex.

RESULTS: Surgical procedures were uneventful for all patients, operation time was 39.5 ± 13.01 min, postoperative pain decreased within the follow-up time intervals, and there was a statistical significant difference between the time intervals (P value < 0.001). Edema and trismus were acceptable. One case showed nerve affection which resolved after 4 weeks.

CONCLUSION: Computer-guided buccal cortical plate separation for removal of intra-bony calcified benign lesions provides a promising approach, especially for inexperienced surgeons.

TRIAL REGISTRATION: ClinicalTrials.gov NCT05329974 . Registered on 6 April 2022-retrospectively registered.

PMID:36136180 | DOI:10.1186/s40902-022-00354-6

Environ Monit Assess. 2022 Sep 22;194(11):818. doi: 10.1007/s10661-022-10490-1.

ABSTRACT

The potential contamination levels and human health risk of heavy metals in sediment of the Turnasuyu Stream in Ordu, Turkey, were evaluated comprehensively by taking seasonal samples from three different locations. The order of the mean heavy metals (HMs) concentrations (mg/kg) were as follows: Fe > Al > Mn > Pb > Zn > Cu > Co > Cr > Ni > Cd > As. All HM levels, except Cd and Pb, were in the minimum enrichment range as assessed by the sediment enrichment factor (EF). Similar low contamination levels for all HM, except Pb and Cd, were also observed when the contamination factor (CF) and geo-accumulation index (I_geo) were taken into account. The low risk of the study area has also been confirmed by the ecological risk index (E_rⁱ) values. The probable human health risk assessment has been performed, and the lifetime cancer risk (LCR) values for adults were found as negligible with values below 10^-6. In addition, the hazard index (HI) and total hazard index (THI) results were both higher in children than in adults. The Pearson correlation coefficient (PCC) revealed the highest correlation between Cd and Pb (0.85). When the ecological indexes and statistical results are evaluated together, it is thought that the presence of HMs in the sediment may be due to lithological reasons as well as anthropogenic activities such as quarrying, municipal, agricultural, and domestic discharges in the region. Mitigation measures should be taken in accordance with the standards within the river basin to prevent the potential risks of pollution.

PMID:36136175 | DOI:10.1007/s10661-022-10490-1

Discov Oncol. 2022 Sep 22;13(1):90. doi: 10.1007/s12672-022-00558-2.

ABSTRACT

BACKGROUND: Nectin-4 contributes to tumor proliferation, lymphangiogenesis and angiogenesis in malignant tumors and is an emerging target in tumor therapy. In renal cell carcinoma (RCC) VEGF-directed tyrosine kinase inhibitors and checkpoint inhibitors are currently treatments of choice. Enfortumab vedotin-ejf (EV) is an antibody drug conjugate that targets Nectin-4. The aim of our study was to investigate the expression of Nectin-4 in a large cohort of papillary RCC specimens.

PATIENTS AND METHODS: Specimens were derived from the PANZAR consortium (Erlangen, Heidelberg, Herne, Homburg, Mainz, Mannheim, Marburg, Muenster, LMU Munich, TU Munich, and Regensburg). Clinical data and tissue samples from n = 190 and n = 107 patients with type 1 and 2 pRCC, respectively, were available. Expression of Nectin-4 was determined by immunohistochemistry (IHC).

RESULTS: In total, Nectin-4 staining was moderately or strongly positive in of 92 (48.4%) of type 1 and 39 (36.4%) type 2 of pRCC cases. No associations between Nectin-4 expression and age at diagnosis, gender, grading, and TNM stage was found. 5 year overall survival rate was not statistically different in patients with Nectin-4 negative versus Nectin-4 positive tumors for the overall cohort and the pRCC type 2 subgroup, but higher in patient with Nectin-4 positive pRCC type 1 tumors compared to Nectin-4 negative tumors (81.3% vs. 67.8%, p = 0.042).

CONCLUSION: Nectin-4 could not be confirmed as a prognostic marker in pRCC in general. Due to its high abundance on pRCC specimens Nectin-4 is an interesting target for therapeutical approaches e.g. with EV. Clinical trials are warranted to elucidate its role in the pRCC treatment landscape.

PMID:36136143 | DOI:10.1007/s12672-022-00558-2

Ann Hematol. 2022 Sep 22. doi: 10.1007/s00277-022-04984-8. Online ahead of print.

ABSTRACT

Despite widespread concern about energy imbalance due to tumor and chemotherapy-related side effects, little is known about detailed variations in energy input, metabolic rate, and physical activity. This study explored changes in energy balance components and serum biomarkers of patients with hematologic malignancies undergoing chemotherapy. Our prospective study included 40 patients with hematologic malignancies hospitalized for chemotherapy. We measured energy balance components, physical function, and serum biomarkers at baseline and weekly after chemotherapy for 3 weeks. Significant weight loss, representing negative energy balance, occurred at 2 (p = 0.002) and 3 weeks (p < 0.001) post-chemotherapy. Statistically reduced oral intake was observed at 3 weeks post-chemotherapy (p = 0.040), and resting energy expenditure statistically decreased according to Harris-Benedict equation, but not to Penn State University equation. Physical function according to DEMMI score decreased significantly at 3 weeks post-chemotherapy (p = 0.002). Serum biomarker analysis demonstrated significant changes in albumin, total protein, CXCL13, and GDF15, with exception of leptin. Although conventional serum biomarkers (total protein and albumin) did not reach pathological states despite their statistical differences, subgroup analysis showed CXCL13 in weight loss group and GDF15 in reduced oral intake group were significantly changed. Over half of patients (65.0%, n = 26) suffered from energy imbalance associated with weight loss and reduced oral intake during chemotherapy. Serial laboratory results suggested that novel biomarkers (CXCL13, GDF15) could be correlated with cachexic state and reduced food intake. Monitoring clinical and serum biomarkers associated with energy balance together can help identify needs for nutritional support in patients with hematologic malignancies undergoing chemotherapy.

PMID:36136099 | DOI:10.1007/s00277-022-04984-8