Bushehr University of Medical Sciences

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    Genetically engineered fusion of allergen and viral-like particle induces a more effective allergen-specific immune response than a combination of them

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    Chimeric virus-like particles (VLPs) were developed as a candidate for allergen-specific immunotherapy. In this study, hepatitis B core antigen (HBcAg) that genetically fused to Chenopodium album polcalcin (Che a 3)–derived peptide was expressed in E. coli BL21, purified, and VLP formation was evaluated using native agarose gel electrophoresis (NAGE) and transmission electron microscopy (TEM). Chimeric HBc VLPs were characterized in terms of their reactivity to IgE, the induction of blocking IgG and allergen-specific IgE, basophil-activating capacity, and Th1-type immune responses. Results from IgE reactivity and basophil activation test showed that chimeric HBc VLPs lack IgE-binding capacity and basophil degranulation activity. Although chimeric HBc VLPs induced the highest level of efficient polcalcin-specific IgG antibody in comparison to those induced by recombinant Che a 3 (rChe a 3) mixed either with HBc VLPs or alum, they triggered the lowest level of polcalcin-specific IgE in mice following immunization. Furthermore, in comparison to the other antigens, chimeric HBc VLPs produced a polcalcin-specific Th1 cell response. Taken together, genetically fusion of allergen derivatives to HBc VLPs, in comparison to a mix of them, may be a more effective way to induce appropriate immune responses in allergen-specific immunotherapy. Key points: • The insertion of allergen-derived peptide into major insertion region (MIR) of hepatitis B virus core (HBc) antigen resulted in nanoparticles displaying allergen-derived peptide upon its expression in prokaryotic host. • The resultant VLPs (chimeric HBc VLPs) did not exhibit IgE reactivity with allergic patients’ sera and were not able to degranulate basophils. • Chimeric HBc VLPs dramatically improved protective IgG antibody response compared with those induced by allergen mixed either with HBc VLPs or alum. • Chimeric HBc VLPs induced Th1 responses that were counterparts of Th2 responses (allergic). • Chimeric HBc VLPs increased IgG2a/ IgG1 ratio and the level of IFN-γ compared to those induced by allergen mixed with either HBc VLPs or alum. [Figure not available: see fulltext.]

    Imaging of the muscle and bone from benchtop to bedside

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    Studies have begun to show that muscles and bones play a role in the regulation of biological functions through a combination of biomechanical and biochemical signals. In vivo and ex vivo imaging techniques are crucial in the understanding of the morphology and architecture of muscle and bone for further understanding of musculoskeletal physiology and pathophysiology. This systematic review of the literature summarizes current knowledge and outlines new insights into the functions of muscle and bone elucidated by imaging techniques, with a focus on the recent advances in the musculoskeletal system enabled by novel technologies, such as CLARITY, Fast Free-of-Acrylamide Clearing Tissue (FACT), computed tomography (CT), and positron emission tomography (PET). This may serve as guidance for the development of new strategies to prevent and diagnose motor or metabolism disorders related to the malfunction of muscle and bone

    Optimization and characterization of zeolite-titanate for ibuprofen elimination by sonication/hydrogen peroxide/ultraviolet activity

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    In this study, a photo-catalyst of titanium oxide was coated on zeolite by the sol–gel method. The generation of the zeolite-titanate photo-catalyst was optimized at conditions of calcination temperature (300, 350, 400 and 500 °C), calcination time (1, 2, 3, and 4 h), and titanate content (0, 2, 4, 6, and 8 mL). The catalyst was used for ‘Sonication/UV/H2O2″ activity and finally, eliminating ibuprofen. Physicochemical properties of the as-built photo-catalysts for all optimized conditions were determined using FESEM-EDX-mapping, BET, FTIR, and XRD. The highest percentage of ibuprofen removal (98.9%) was obtained at conditions of zeolite to titanium ratio of 1 g: 2 mL, time in the furnace of 1 h, and temperature of the furnace of 350 °C. The optimum photo-catalytic (namely, Cat-350-1-2) had a surface area value of 39 m2/g and a crystalline size of 4.9 nm. The surface area for all photo-catalysts increased after being used for ibuprofen removal, possibly due to ultrasonic waves. The presence of Ti-O, benzene ring, O-Al-O, O-Si-O, C–H, and O–H in the photo-catalysts structure were confirmed. Growing the calcination time resulted in an increase in the crystallinity of titanium dioxide in the photo-catalysts and, ultimately a reduction in the ibuprofen removal. The consumed energy by the developed system was calculated for the presence (0.094 kJ/g) and absence (17.5 kJ/g) of the ultrasonic wave. The degradation pathway and reaction kinetic are also explored and proposed. The results showed that the ultrasonic-UV-activated H2O2-based technique can be applied as an alternative method for ibuprofen removal from aqueous medi

    Quantification of mortality and morbidity attributed to the ambient air criteria pollutants in Shiraz city, Iran

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    According to the epidemiological surveys, ambient air pollution has directly related to mortality and different diseases such as cardiovascular and respiratory defects. Among the atmospheric contaminants, criteria air ones (NO2, O3, PM2.5/10, SO2) demonstrated that have particular importance in the community disease. The overall goal of this paper was to study the impact of criteria air contaminants on the health of the inhabitants of Shiraz city, Iran. To accomplish this, the AirQ2.2.3 software was applied. The results of the study revealed that the annual average NO2, SO2, PM2.5, PM10, and O3 concentrations are 39.98, 27.6, 14.35, 46.16, and 120.03 μg/m3 in 2016 and 30.27, 23.97, 16.45, 51.65, and 52.58 μg/m3 in 2017. The total International Classification of Diseases (ICD), cardiovascular, and respiratory mortalities caused by air contaminants in Shiraz was predicted as 911, 628, and 182 cases in 2016, and 346, 370, and 82 cases in 2017, respectively. Sulfur dioxide (SO2) had the greatest rate of total mortality with the attributable equivalent of 4.3% in 2016, but this value has been decreased to 0.42% in 2017. The findings of this research revealed that air contamination has caused problems in Shiraz city according to the predicted results. The findings of this work provide useful data for regional and national health policymakers, who should take decisions to develop strategies for control air contaminants and estimate the cost-effectiveness of interventions

    Evaluation of juxta-apical radiolucency as a risk factor for inferior alveolar nerve damage: A cone-beam computed tomography (cbct) study

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    Background: Injuries to the lingual and inferior alveolar nerves (IAN) through third molar surgery are common and complicated clinical problems. Juxta-apical radiolucency (JAR) is one of the new radiographic signs, suggestive of IAN damage. Objectives: This study aimed to assess the relationship between JAR and IAN and to determine its effects on the cortical plate. Methods: In this cross-sectional study, after evaluating an initial sample of 450 cases, the cone-beam computed tomography (CBCT) images of 20 patients with JAR were compared with those of 20 age-matched patients without JAR in the axial and multi-planar images. The relationship between JAR and IAN was evaluated, and thinning of the mandibular cortical plates was also investigated. Statistical analysis was performed using descriptive tests and chi-square test in SPSS version 23. Results: The relationship between JAR and IAN was statistically significant (P = 0.001). The cortical plates were perforated in 75% of cases with JAR as opposed to 45% of cases without JAR (P = 0.06). The relationship between the location of JAR and IAN was also significant (P = 0.004). Conclusions: Based on the present results, JAR was associated with IAN in most cases. Thinning of the cortical plates was observed in all cases of JAR

    The association of tobacco smoking and bone health in the elderly population of Iran: results from Bushehr elderly health (BEH) program

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    Smoking has been linked with osteoporosis, but further evidence is required, especially concerning the effects of different types of tobacco smoking. We sought to examine the association between smoking and bone health in a large cohort of elderly Iranians. Methods: The data from 2377 participants aged >60 years of Bushehr Elderly Health (BEH) program were used. Regardless of the type of smoking, participants were initially classified as non-smokers, ex-smokers and current smokers. Current smokers were also categorized based on the smoking type (pure cigarette, pure hookah and both). Dual-energy X-ray absorptiometry was used to evaluate bone density as well as Trabecular Bone Score (TBS). T-score ≤ −2.5 in either of the femoral neck, total hip or spinal sites was applied to determine the osteoporosis. The association of smoking and osteoporosis was assessed using multivariable modified Poisson regression model and reported as adjusted prevalence ratios (APR). The linear regression model was used to assess the association between smoking and TBS, adjusting for potential factors. Results: A total of 2377 (1225 women) were enrolled [mean age: 69.3 (±6.4) years], among which 1054 (44.3%) participants were nonsmokers. In all, 496 (20.9%) participants were current smokers. Multivariable regression analysis revealed no significant association between smoking (either current or past) and osteoporosis in women. In men, current smoking was negatively associated with osteoporosis (APR: 1.51, 95%CI: 1.16–1.96). Among current users, cigarette smoking was associated with osteoporosis (APR: 1.57, 95%CI: 1.20–2.03); however, we could not detect a significant association between current smoking of hookah and osteoporosis. In men, a significant association was also detected between current cigarette smoking and TBS (coefficient: -0.03, 95%CI: −0.01, −0.04). Conclusion: Current cigarette smoking is associated with both the quantity and quality of bone mass in elderly men. Although we could not detect a significant association between hookah and osteoporosis in men, considering the prevalence of hookah smoking in the middle eastern countries, further studies are needed to determine the effect of hookah smoking on bone health

    Nanomedicine for improvement of dendritic cell-based cancer immunotherapy

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    Dendritic cell (DC)-based cancer immunotherapy has shown impressive outcomes, including the development of the first FDA-approved anti-cancer vaccine. However, the clinical application of DC-based cancer immunotherapy is associated with various challenges. Promising novel tools for the administration of cancer vaccines has emerged from recent developments in nanoscale biomaterials. One current strategy to enhance targeted drug delivery, while minimizing drug-related toxicities, is the use of nanoparticles (NPs). These can be utilized for antigen delivery into DCs, which have been shown to provide potent T cell-stimulating effects. Therefore, NP delivery represents one promising approach for creating an effective and stable immune response without toxic side effects. The current review surveys cancer immunotherapy with particular attention toward NP-based delivery methods that target DCs

    Protocol for a multicentre, prospective cohort study of clinical, proteomic and genomic patterns associated with osteoporosis to develop a multidimensional fracture assessment tool: the PoCOsteo Study

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    INTRODUCTION: The HORIZON 2020 project PoCOsteo aims (1) to develop a multidimensional fracture risk assessment tool which would take into account all factors known to be related to an individual's fracture risk. The fracture risk model is intended to be developed in two different populations, namely a European and a Middle Eastern one; (2) to develop a medical device, which would measure and/or quantify proteomic as well as genomic factors as present in whole blood samples collected through finger prick; (3) to test the clinical applicability and the validity of prototypes of the to be developed point of care device at both clinical centres. METHODS AND ANALYSIS: This article presents the protocol of this prospective cohort that will be carried out independently at two different centres (Division of Endocrinology and Diabetology at the Medical University of Graz (MUG) as a clinic-based cohort, and Endocrinology and Metabolism Research Institute (EMRI) at the Tehran University of Medical Sciences (TUMS) as a population-based cohort). The final aim is to develop a fracture risk assessment model, which would include clinical risk factors, biochemical markers of bone turnover, as well as specific genomic factors. The derivation cohorts will consist of individuals aged 50 years and above. The period of observation for each patient will be 12 months; an extension phase, which would last for another 2 years, is also planned. ETHICS AND DISSEMINATION: These studies are conducted in accordance with the World Medical Association Declaration of Helsinki. The Iranian part was approved by the Research Ethics Committee of EMRI, TUMS. The Austrian part was approved by the Ethics Committee of the Medical University of Graz. Based on the gathered information, a multidimensional fracture assessment tool will be designed which will later be added to the PoCOsteo device

    Total antioxidant capacity assessment by a development of an antioxidant assay based on green synthesized MnO2nanosheets

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    The determination of total antioxidant capacity (TAC) as an integration activity of several antioxidants in samples is a significant parameter in the analysis of biological or food matrices. In this study, MnO2 nanosheets were for the first time employed for TAC measurements. Gum Arabic, a highly branched polysaccharide, was both the reducing and templating agent for the synthesis of MnO2 nanosheets. MnO2 nanosheets are a potent oxidizing agent to oxidize tetramethylbenzidine (TMB) in physiological pH to a blue product. Due to the redox reaction between MnO2 nanosheets and antioxidants, the color intensity of the MnO2 mixture in the presence of antioxidants decreased and the absorbance difference of the resulting suspension was measured at 652 nm. The trolox equivalent antioxidant capacity (TEAC) values of several antioxidant compounds were also measured using the new assay and conventional standard CUPRAC assay (r = 0.989). Under an optimal condition, linear concentration range, detection limit, precision and accuracy of the proposed assay were evaluated for the detection of various antioxidant compounds and represented the reliability and robustness of this assay. This assay was operated in physiological pH and could be applicable in the detection of TAC in the biological samples

    Hepatopulmonary syndrome with right-to-left shunt in cirrhotic patients using macro-aggregated albumin lung perfusion scan: Comparison with contrast echocardiography and association with clinical data [Sirotik hastalardaki sağ-sol şant ile ilişkili hepatopulmoner sendromun tanısında makro-agregant albümin akciğer perfüzyon sintigrafisinin kontrast ekokardiyografi ile karşılaştırılması ve klinik veriler ile ilişkisi]

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    Objectives: The diagnosis of hepatopulmonary syndrome (HPS) which is a common complication in cirrhotic patients is still subject to debate. This study investigated the association of clinical findings with HPS in cirrhotic patients using macro-aggregated albumin lung perfusion scan (99mTc-MAA lung scintigraphy). In addition, comparison between99mTc-MAA lung scintigraphy and contrast echocardiography (CEE) in detection of HPS was also performed. Methods: In this study, 27 patients with cirrhosis underwent99mTc-MAA lung scintigraphy and contrast echocardiography comparison CEE and the frequency of HPS was assessed in them and also was compared across the other variables. Results: The99mTc-MAA lung scintigraphy showed HPS in 13 patients (48.1%) while CEE demonstrated HPS in 5 patients with cirrhosis (18.51%). HPS was mild in 40.74% (11/27) of the patients, and severe in only 2 patients. There was no relationship between gender, disease duration, having diagnosis of disease previously, pulmonary symptoms and Child-Pugh score variations and HPS (p>0.05). Comparison of hemodynamic indices, arterial blood gas analysis and laboratory indices between patients with and without HPS was also non-significant (p value >0.05). Among coagulation factors assessed in cirrhotic patients, we found only significant correlation between HPS and prothrombin time (p<0.05). Conclusion: HPS, particularly its mild form, is noted in a great number of patients with cirrhosis using 99mTc-MAA lung scintigraphy. Because of its technical ease, and possibility to obtain objective quantitative information,99mTc-MAA lung scintigraphy can be complementary to other diagnostic methods in the evaluation of HPS assessment, although additional studies are needed

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