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Correlation of Serum C-Reactive Protein with Disease Severity in Tuberculosis Patients 结核病患者血清c反应蛋白与病情严重程度的相关性
Pub Date : 2012-11-06 DOI: 10.4236/OJRD.2012.24014
M. Shameem, Nazish Fatima, Asrar Ahmad, A. Malik, Q. Husain
Purpose: To study the factors influencing sputum smear conversion including Serum C-Reactive Protein (CRP) and its correlation with disease severity in tuberculosis patients. Method: Levels of Serum-CRP concentrations were deter-mined in 60 patients with pulmonary tuberculosis, 30 healthy volunteers and patients in follow-up after completion of antitubercular treatment (DOTS therapy). Results: Serum-CRP levels were found to be significantly higher in smear-positive group as compared with the follow-up patients and smear-negative control group. The values were 43.65 ± 23.68, 9.88 ± 5.23 and 4.04 ± 3.85 mg/L respectively (P Conclusion: Serum-CRP levels are significantly correlated with disease severity in patients with active pulmonary tuberculosis. Thus these findings from the present study would certainly add new criteria for early diagnosis of TB, which may lead to development of new strategies to treat TB.
目的:探讨肺结核患者痰涂片转化的影响因素,包括血清c反应蛋白(CRP)及其与病情严重程度的关系。方法:测定60例肺结核患者、30例健康志愿者及完成DOTS治疗后随访患者的血清crp水平。结果:与随访患者及涂片阴性对照组相比,涂片阳性组血清crp水平明显升高。分别为43.65±23.68、9.88±5.23、4.04±3.85 mg/L。(P)结论:活动性肺结核患者血清crp水平与病情严重程度显著相关。因此,本研究的这些发现肯定会为结核病的早期诊断增加新的标准,这可能会导致开发新的治疗结核病的策略。
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引用次数: 15
Prevalence of Self-Reported Respiratory Symptoms, Asthma and Chronic Bronchitis in Slum Area of a Rapidly Developing Indian City 印度一个快速发展城市贫民窟地区自报呼吸道症状、哮喘和慢性支气管炎的患病率
Pub Date : 2012-08-10 DOI: 10.4236/OJRD.2012.23011
B. Brashier, J. Londhe, S. Madas, Vandana Vincent, S. Salvi
Background: Poverty is an important surrogate marker for obstructive airway diseases (OAD). Slum constitutes a habitat wherein various poverty related parameters are perpetually prevalent in the ambience. 1/6th of world population lives in slums yet there is no information regarding their health status in context to asthma and COPD. Aims: We investigated the prevalence of asthma and chronic-bronchitis symptoms and associated risk-factors in slum habitats of Pune city. Methodology: 7062 adult slum-dwellers living in 12 slums of Pune city were cross-sectionally interviewed by local healthcare workers with respiratory health questionnaire which was designed using respiratory symptoms of validated European Community Respiratory Health Survey (ECRHS II) questionnaire and International Union against Tuberculosis and Lung Disease (IUATLD) bronchial symptoms questionnaire. Results: The overall prevalence of selfreported asthma symptoms was 10% (18 - 40 years: 6.5%; >40 years: 13.5%). The overall prevalence of chronic bronchitis was 8.5% [18 - 40 years: 7% (males: 7%, females: 7%); >40 years: 10% (males: 10%, females: 10%)]. Increasing age (p = 0.00), female gender (p = 0.001), unemployment (0.00) current smoking (p = 0.00) and ex-smoking (p = 0.004) emerged as significant risk factor for asthma. While, ex-smoking (p = 0.004) and low-education status (p = 0.00) emerged as significant risk factors for chronic bronchitis. Conclusion: In slums reporting of asthma and chronic-bronchitis symptoms was much higher than what has been reported earlier from India. Asthma was commonly seen in females, old age, unemployed and ever-smokers. While chronic bronchitis was commonly seen in ex-smokers and illiterate subjects. Chronic bronchitis was equally distributed amongst male and females, despite 0% prevalence of smoking in females.
背景:贫困是阻塞性气道疾病(OAD)的重要替代指标。贫民窟构成了一个栖息地,其中各种与贫困相关的参数在环境中永远普遍存在。世界人口的六分之一生活在贫民窟,但没有关于他们在哮喘和慢性阻塞性肺病方面的健康状况的信息。目的:我们调查了浦那市贫民窟哮喘和慢性支气管炎症状的患病率及相关危险因素。方法:采用经验证的欧洲共同体呼吸健康调查(ECRHS II)呼吸道症状问卷和国际抗结核与肺病联盟(IUATLD)支气管症状问卷设计的呼吸健康问卷,对浦那市12个贫民窟的7062名成年贫民窟居民进行横断面访谈。结果:自我报告哮喘症状的总体患病率为10%(18 - 40岁:6.5%;40年:13.5%)。慢性支气管炎的总患病率为8.5%[18 - 40岁:7%(男性:7%,女性:7%);>40岁:10%(男性:10%,女性:10%)。年龄增加(p = 0.00)、女性(p = 0.001)、失业(0.00)、目前吸烟(p = 0.00)和戒烟(p = 0.004)是哮喘的重要危险因素。而戒烟(p = 0.004)和教育程度低(p = 0.00)是慢性支气管炎的重要危险因素。结论:贫民窟报告的哮喘和慢性支气管炎症状远高于印度早期报告的情况。哮喘常见于女性、老年人、无业人员和长期吸烟者。而慢性支气管炎常见于戒烟者和文盲。慢性支气管炎在男性和女性中分布均匀,尽管女性吸烟率为0%。
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引用次数: 29
Systemic Inflammation in Patients with Chronic Obstructive Pulmonary Disease: Results from the Cosmic Study 慢性阻塞性肺疾病患者的全身性炎症:来自Cosmic研究的结果
Pub Date : 2012-08-10 DOI: 10.4236/OJRD.2012.23010
Breyer Marie-Kathrin, A. RuttenEricP., A. SpruitMartijn, J. HopWimC., S. PostmaDirkje, M. WoutersEmielF.
Objective: The study aims to elucidate the association of host-related factors on systemic inflammation in COPD patients. Methods: In 295 clinically stable and optimally treated COPD patients from 39 outpatient centers, age, gender, and body composition (body mass index, BMI; fat-free mass index, FFMI; fat mass index, FMI) were related to inflammatory biomarkers: CRP, fibrinogen, TNFα, and its soluble receptors (s)TNFαR1 and sTNFαR2. Furthermore, forced expiratory volume in the first second (FEV1), BMI, FFMI, and FMI were stratified by quartiles to elucidate the influence on inflammatory biomarkers. Monovariate and multivariate regression analyses were performed for associations between inflammatory biomarkers. Results: Positive correlations were found for FFMI with sTNFαR1, FMI with CRP and age with TNFα, sTNFαR1 and sTNFαR2 (p < 0.01). FEV1 was not correlated with body composition and inflammatory markers. Mono- and multivariate analysis showed weak correlations between the acute phase markers and the TNFα system after correcting for multiple co-variants. Conclusions: This study highlights the modest role of age and body composition on levels of systemic inflammatory biomarkers in COPD. Results show the degree of airflow limitation does not affect systemic inflammation. Last, a weak relationship between acute phase markers and markers of the TNFα system is present in COPD.
目的:研究宿主相关因素与COPD患者全身性炎症的关系。方法:对来自39个门诊中心的295例临床稳定且经最佳治疗的COPD患者的年龄、性别和身体组成(体重指数,BMI;脱脂质量指数(FFMI);脂肪质量指数(FMI)与炎症生物标志物:CRP、纤维蛋白原、TNFα及其可溶性受体TNFα r1和sTNFαR2相关。此外,第一秒用力呼气量(FEV1)、BMI、FFMI和FMI按四分位数分层,以阐明对炎症生物标志物的影响。对炎症生物标志物之间的关联进行单因素和多因素回归分析。结果:FFMI与sTNFαR1、FMI与CRP、年龄与TNFα、sTNFαR1、sTNFαR2呈正相关(p < 0.01)。FEV1与身体成分和炎症标志物无关。单因素和多因素分析显示,在校正多个协变后,急性期标志物与tnf - α系统之间的相关性较弱。结论:这项研究强调了年龄和身体组成对慢性阻塞性肺病全身炎症生物标志物水平的适度作用。结果显示,气流受限程度不影响全身炎症。最后,急性期标志物和tnf - α系统标志物之间存在微弱的关系。
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引用次数: 5
Resistance Measured by Airflow Perturbation Compared with Standard Pulmonary Function Measures 气流扰动测量阻力与标准肺功能测量的比较
Pub Date : 2012-05-01 DOI: 10.4236/OJRD.2013.32010
Tania Haque, J. Vossoughi, A. Johnson, Wanda Bell-Farrell, T. Fitzgerald, S. Scharf
Background: Routine lung function testing requires expensive equipment, or requires maximum expiratory effort. The airflow perturbation device (APD) is a light handheld device, allowing for serial measures of respiratory resistance noninvasively and effortlessly. Methods: In a convenience sample of 398 patients undergoing pulmonary function testing, we compared routine spirometric indices (forced expired volume in 1 second (FEV1), peak expiratory flow (PEF)), and airways resistance (Raw-272 patients), to measures of respiratory resistance measured with the APD including inspiratory (IR), expiratory (ER) and averaged (AR) resistance. Results: Measures of lung function were significantly correlated (p < 0.001). On regression analysis, between 7% - 17% of the variance (R2) for FEV1, PEF, and Raw was explained by APD measurements. Approximately 2/3 of the variance in FEV1 was explained by PEF measurements. Conclusions: APD measurements of lung function correlate with conventional measures. Future studies should be directed at exploring the use of the APD device in serial measures of lung function in patients with lung disease.
背景:常规肺功能检测需要昂贵的设备,或者需要最大的呼气力。气流扰动装置(APD)是一种轻便的手持设备,允许无创和毫不费力地进行呼吸阻力的一系列测量。方法:在398例接受肺功能检测的患者中,我们比较了常规肺活量指标(1秒内强制呼气量(FEV1)、呼气峰流量(PEF))和气道阻力(Raw-272例患者),以及APD测量的呼吸阻力指标,包括吸气(IR)、呼气(ER)和平均(AR)阻力。结果:肺功能指标显著相关(p < 0.001)。在回归分析中,FEV1、PEF和Raw的7% - 17%的方差(R2)可以通过APD测量来解释。大约2/3的FEV1方差可以通过PEF测量来解释。结论:APD测量肺功能与常规测量相关。未来的研究应着眼于探索APD装置在肺部疾病患者肺功能系列测量中的应用。
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引用次数: 7
Comparison of Protein Profiles in Sputum between COPD and Acute Exacerbation of COPD COPD与COPD急性加重期患者痰中蛋白谱的比较
Pub Date : 2012-03-28 DOI: 10.4236/OJRD.2012.22004
S. Uh, Seung Ah Ko, A. Jang, Sung-woo Park, Yong‐Hoon Kim, Y. Paik, Choon-Sik Park
Background and objective: Chronic obstructive pulmonary disease (COPD) is characterized by progressive airflow limitation that is associated with an abnormal inflammatory response of the lung to noxious particles or gases. Cigarette smoking is the major risk factor for the development of COPD. This study evaluated the levels of cyclophilin B in sputa from patients with COPD and COPD with acute exacerbation (AECOPD). Materials and Methods: Two-dimensional electrophoresis was used for differential display proteomics. Western blotting was used to identify and quantify cyclophilin B in sputum from subjects with AECOPD and COPD. Results: Forty-nine protein spots differed in relative intensity between the AECOPD (n = 6) and COPD (n = 6) subjects. Twenty proteins showed increased expression in the sputum of AECOPD subjects, and 29 proteins were present at lower levels in AECOPD sputum compared with COPD sputum. One of these proteins was associated with cyclophilin B. Cyclophilin B concentrations were lower in sputum from subjects with COPD (n = 4) versus AECOPD (n = 4). Conclusion: The sputum proteomic analysis suggests that changes in various proteins are associated with the development of AECOPD.
背景和目的:慢性阻塞性肺疾病(COPD)以进行性气流受限为特征,并伴有肺部对有害颗粒或气体的异常炎症反应。吸烟是慢性阻塞性肺病的主要危险因素。本研究评估了COPD和COPD急性加重(AECOPD)患者痰液中亲环蛋白B的水平。材料与方法:采用双向电泳技术进行差异显示蛋白质组学研究。采用免疫印迹法对AECOPD和COPD患者痰液中的亲环蛋白B进行鉴定和定量。结果:在AECOPD (n = 6)和COPD (n = 6)受试者中,49个蛋白点的相对强度存在差异。20种蛋白在AECOPD患者的痰液中表达升高,29种蛋白在AECOPD患者的痰液中表达低于COPD患者。其中一种蛋白与亲环蛋白B相关。COPD患者(n = 4)的痰中亲环蛋白B浓度低于AECOPD患者(n = 4)。结论:痰蛋白组学分析表明,各种蛋白的变化与AECOPD的发展有关。
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引用次数: 1
Influence of MnTE-2-PyP on Inflammation and Lipid Peroxidation in Mouse Asthma Model MnTE-2-PyP对小鼠哮喘模型炎症及脂质过氧化的影响
Pub Date : 2012-03-28 DOI: 10.4236/OJRD.2012.22006
L. Terziev, V. Shopova, Violeta Y. Dancheva, G. Stavreva, M. Atanasova, A. Stoyanova, T. Lukanov, A. Dimitrova
Our aim was to investigate the effects of MnTE-2-PyP on some markers of inflammation and lipid peroxidation in mouse asthma model. 24 female mice were divided into four groups: group 1, controls; group 2, injected with ovalbumin (OVA); group 3, treated with MnTE-2-PyP; and group 4, treated with ovalbumin and MnTE-2-PyP. The mice from groups 2 and 4 were injected with 10 μg OVA and 1 mg Imject Alum? in 100 μL phosphate buffered saline (PBS) on days 0 and 14. The animals from groups 1 and 3 were injected with 100 μL PBS + Imject Alum? (1:1). The animals from groups 2 and 4 were subjected to a 30 min aerosol challenge of 1% ovalbumin on days 24, 25 and 26 and those from groups 1 and 3 were subjected to aerosol challenge of PBS at the same time and duration. One hour before inhalation, and 12 hours later the animals from groups 3 and 4 were injected with 100 μL MnTE-2-PyP solution in PBS containing 5 mg/kg. The total cell number, total protein content and 8-isoprostane, IL-4 and IL-5 levels in the bronchialveolar lavage fluid increased in group 2 as compared to the control group. Malone dialdehyde content in the lung homogenate and IgE levels in the serum also increased in this group. The total cell number, total protein content, and levels of 8-isoprostane, IL-4, IL-5 and IgE decreased significantly in group 4 as compared to the OVA group. The parameters set out above in group 3 did not differ significantly from those of the control group. MnTE-2-PyP administered intraperitoneally, 48 hours after the last nebulization, reduced the inflammation and lipid peroxidation in mouse asthma model.
我们的目的是研究MnTE-2-PyP对小鼠哮喘模型中一些炎症和脂质过氧化标志物的影响。24只雌性小鼠分为四组:第一组为对照组;2组,注射卵清蛋白(OVA);第三组,用MnTE-2-PyP治疗;第4组给予卵清蛋白和MnTE-2-PyP治疗。第2组和第4组小鼠分别注射OVA 10 μg和注射明矾1 mg。在100 μL磷酸盐缓冲盐水(PBS)中,第0和14天。第1组和第3组动物注射100 μL PBS +注射明矾?(1:1)。第2组和第4组分别于第24、25和26天接受1%卵清蛋白气溶胶刺激30 min,第1组和第3组在相同时间和持续时间内接受PBS气溶胶刺激。分别于吸入前1 h和12 h注射含5 mg/kg PBS的MnTE-2-PyP溶液100 μL。2组大鼠支气管肺泡灌洗液细胞总数、总蛋白含量及8-异前列腺素、IL-4、IL-5水平均高于对照组。肺匀浆中Malone双醛含量和血清中IgE水平均升高。与OVA组相比,4组总细胞数、总蛋白含量、8-异前列腺素、IL-4、IL-5、IgE水平均显著降低。上述参数在第3组与对照组没有显著差异。mte -2- pyp在末次雾化48 h后腹腔注射,可减轻小鼠哮喘模型的炎症反应和脂质过氧化。
{"title":"Influence of MnTE-2-PyP on Inflammation and Lipid Peroxidation in Mouse Asthma Model","authors":"L. Terziev, V. Shopova, Violeta Y. Dancheva, G. Stavreva, M. Atanasova, A. Stoyanova, T. Lukanov, A. Dimitrova","doi":"10.4236/OJRD.2012.22006","DOIUrl":"https://doi.org/10.4236/OJRD.2012.22006","url":null,"abstract":"Our aim was to investigate the effects of MnTE-2-PyP on some markers of inflammation and lipid peroxidation in mouse asthma model. 24 female mice were divided into four groups: group 1, controls; group 2, injected with ovalbumin (OVA); group 3, treated with MnTE-2-PyP; and group 4, treated with ovalbumin and MnTE-2-PyP. The mice from groups 2 and 4 were injected with 10 μg OVA and 1 mg Imject Alum? in 100 μL phosphate buffered saline (PBS) on days 0 and 14. The animals from groups 1 and 3 were injected with 100 μL PBS + Imject Alum? (1:1). The animals from groups 2 and 4 were subjected to a 30 min aerosol challenge of 1% ovalbumin on days 24, 25 and 26 and those from groups 1 and 3 were subjected to aerosol challenge of PBS at the same time and duration. One hour before inhalation, and 12 hours later the animals from groups 3 and 4 were injected with 100 μL MnTE-2-PyP solution in PBS containing 5 mg/kg. The total cell number, total protein content and 8-isoprostane, IL-4 and IL-5 levels in the bronchialveolar lavage fluid increased in group 2 as compared to the control group. Malone dialdehyde content in the lung homogenate and IgE levels in the serum also increased in this group. The total cell number, total protein content, and levels of 8-isoprostane, IL-4, IL-5 and IgE decreased significantly in group 4 as compared to the OVA group. The parameters set out above in group 3 did not differ significantly from those of the control group. MnTE-2-PyP administered intraperitoneally, 48 hours after the last nebulization, reduced the inflammation and lipid peroxidation in mouse asthma model.","PeriodicalId":83134,"journal":{"name":"The Journal of respiratory diseases","volume":"02 1","pages":"37-42"},"PeriodicalIF":0.0,"publicationDate":"2012-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70581797","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Asthma-Like Tracheo-Bronchial Amyloidosis 哮喘样气管-支气管淀粉样变
Pub Date : 2012-03-28 DOI: 10.4236/OJRD.2012.22008
F. Abdallah, H. Smadhi, R. Mahouachi, A. Chtourou, S. Taktak, A. Ayadi, F. Mezni, A. B. Kheder
Localized bronchial Amyloidosis is an uncommon disease of unknown origin. Clinical signs are not specific. Tracheobronchial symptoms are the most frequent. We report a case of a 31 year-old man complaining of asthma-like dyspnea. Bronchoscopy was performed because of ineffectiveness of antiasthmatic treatment, showed a submucosal infiltration with stenosis of both right and left upper bronchi and a complete stenosis of intermediate troncus. Multiple biopsies were performed and concluded to Amyloidosis of AL type. Oral corticosteroids were indicated with clinical improvement.
局限性支气管淀粉样变性是一种病因不明的罕见疾病。临床症状不明确。气管支气管症状最为常见。我们报告一例31岁男性主诉哮喘样呼吸困难。由于平喘治疗无效,行支气管镜检查,发现粘膜下浸润伴左右上支气管狭窄,中间支气管完全狭窄。多次活检证实为AL型淀粉样变性。口服糖皮质激素的临床改善。
{"title":"Asthma-Like Tracheo-Bronchial Amyloidosis","authors":"F. Abdallah, H. Smadhi, R. Mahouachi, A. Chtourou, S. Taktak, A. Ayadi, F. Mezni, A. B. Kheder","doi":"10.4236/OJRD.2012.22008","DOIUrl":"https://doi.org/10.4236/OJRD.2012.22008","url":null,"abstract":"Localized bronchial Amyloidosis is an uncommon disease of unknown origin. Clinical signs are not specific. Tracheobronchial symptoms are the most frequent. We report a case of a 31 year-old man complaining of asthma-like dyspnea. Bronchoscopy was performed because of ineffectiveness of antiasthmatic treatment, showed a submucosal infiltration with stenosis of both right and left upper bronchi and a complete stenosis of intermediate troncus. Multiple biopsies were performed and concluded to Amyloidosis of AL type. Oral corticosteroids were indicated with clinical improvement.","PeriodicalId":83134,"journal":{"name":"The Journal of respiratory diseases","volume":"02 1","pages":"720-726"},"PeriodicalIF":0.0,"publicationDate":"2012-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70581984","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Investigation of the Anti-Mycobacterial Mechanism of Action of 7-Methyljuglone * 7-甲基核桃酮抗分枝杆菌作用机制的研究*
Pub Date : 2012-03-28 DOI: 10.4236/OJRD.2012.22009
V. Thaver, J. Meyer, R. Cockeran, M. Cholo, R. Anderson, N. Lall
Objectives: Although the naphthoquinone, 7-methyljuglone (7-MJ), is active against Mycobacterium tuberculosis (MTB) in vitro, neither the cellular site nor mechanism of anti-mycobacterial action of this agent has been identified. The primary objective of the current study was to investigate the mycobacterial outer membrane as a potential target of 7-MJ by measuring the effects of this agent (0.023 - 1.5 mg/L) on microbial ATP levels and uptake of K+ . Methods: Bioluminescence and radiometric (uptake of 86Rb+) procedures were used to assay microbial ATP levels and K+ transport respectively. Results: Exposure of MTB (strain H37Rv) to 7-MJ for 60 min resulted in dose-related decreases in both microbial ATP levels and uptake of 86Rb+ which achieved statistical significance (P < 0.05) at concentrations of 0.4 and 0.1 mg/L respectively. Conclusions: These observations are compatible with the mycobacterial membrane as being the putative site of action of 7-MJ, targeting microbial energy metabolism and K+ transport.
目的:虽然萘醌,7-甲基核桃酮(7-MJ)在体外抗结核分枝杆菌(MTB)有活性,但该药物的细胞部位和抗分枝杆菌作用机制尚未确定。本研究的主要目的是通过测量7-MJ (0.023 - 1.5 mg/L)对微生物ATP水平和K+吸收的影响,研究分枝杆菌外膜作为7-MJ的潜在靶标。方法:采用生物发光法和放射法(86Rb+摄取法)分别测定微生物ATP水平和K+转运。结果:MTB(菌株H37Rv)暴露于7-MJ 60 min后,微生物ATP水平和86Rb+摄取均呈剂量相关下降,在浓度为0.4和0.1 mg/L时,两者均有统计学意义(P < 0.05)。结论:这些观察结果与分枝杆菌膜作为7-MJ作用部位的假设相一致,7-MJ作用于微生物能量代谢和K+运输。
{"title":"Investigation of the Anti-Mycobacterial Mechanism of Action of 7-Methyljuglone *","authors":"V. Thaver, J. Meyer, R. Cockeran, M. Cholo, R. Anderson, N. Lall","doi":"10.4236/OJRD.2012.22009","DOIUrl":"https://doi.org/10.4236/OJRD.2012.22009","url":null,"abstract":"Objectives: Although the naphthoquinone, 7-methyljuglone (7-MJ), is active against Mycobacterium tuberculosis (MTB) in vitro, neither the cellular site nor mechanism of anti-mycobacterial action of this agent has been identified. The primary objective of the current study was to investigate the mycobacterial outer membrane as a potential target of 7-MJ by measuring the effects of this agent (0.023 - 1.5 mg/L) on microbial ATP levels and uptake of K+ . Methods: Bioluminescence and radiometric (uptake of 86Rb+) procedures were used to assay microbial ATP levels and K+ transport respectively. Results: Exposure of MTB (strain H37Rv) to 7-MJ for 60 min resulted in dose-related decreases in both microbial ATP levels and uptake of 86Rb+ which achieved statistical significance (P < 0.05) at concentrations of 0.4 and 0.1 mg/L respectively. Conclusions: These observations are compatible with the mycobacterial membrane as being the putative site of action of 7-MJ, targeting microbial energy metabolism and K+ transport.","PeriodicalId":83134,"journal":{"name":"The Journal of respiratory diseases","volume":"02 1","pages":"60-62"},"PeriodicalIF":0.0,"publicationDate":"2012-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70582064","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
Should We Measure the FEV1 or the Specific Resistance of the Airways? An Evaluation in Patients with Either COPD, Chronic Dyspnea or Chronic Cough 我们应该测量FEV1还是气道的比阻?慢性阻塞性肺病、慢性呼吸困难或慢性咳嗽患者的评价
Pub Date : 2012-03-28 DOI: 10.4236/OJRD.2012.22005
K. Simon, V. Maertelaer, A. Noseda
Background: The purpose of this study was to evaluate the relative contribution of measuring the forced expiratory volume in one second (FEV1) or the specific resistance of the airways (sRaw) in adults referred for chronic obstructive pulmonary disease (COPD), chronic dyspnea or chronic cough. Methods: This was a prospective study of 321 subjects referred for lung function testing, in a setting of routine clinical management, for suspicion of COPD (or follow-up of known COPD), chronic dyspnea or chronic cough. The proportions of FEV1 values below the normal range and of sRaw values above the normal range were compared using a Chi-square exact test of Fisher. Results: In the COPD and chronic dyspnea groups, sRaw was as frequently abnormal as FEV1. In the chronic cough group, sRaw was increased in 56.5% of subjects, while FEV1 was decreased in solely 34.8% (p = 0.059). Conclusions: This study suggests that sRaw may be a better tool than FEV1 to detect bronchial obstruction in patients presenting with chronic cough.
背景:本研究的目的是评估慢性阻塞性肺疾病(COPD)、慢性呼吸困难或慢性咳嗽的成人患者一秒钟用力呼气量(FEV1)或气道特异性阻力(sRaw)的相对贡献。方法:这是一项前瞻性研究,321名受试者在常规临床管理的情况下进行肺功能测试,以怀疑COPD(或已知COPD的随访),慢性呼吸困难或慢性咳嗽。FEV1值低于正常范围的比例和sRaw值高于正常范围的比例使用Fisher的卡方精确检验进行比较。结果:慢性阻塞性肺疾病组和慢性呼吸困难组的sRaw异常与FEV1异常发生率相当。慢性咳嗽组sRaw升高的占56.5%,FEV1降低的占34.8% (p = 0.059)。结论:本研究提示sRaw可能比FEV1更好地检测慢性咳嗽患者的支气管阻塞。
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引用次数: 0
Comparative Variability of Nasal Potential Difference Measurements in Human and Mice 人类和小鼠鼻电位差测量的比较变异性
Pub Date : 2012-03-28 DOI: 10.4236/OJRD.2012.22007
A. Leonard, Bob A. Lubamba, B. Dhooghe, Sabrina Noël, P. Wallemacq, P. Lebecque, T. Leal
Background: Nasal potential difference (NPD) test has long been used to assist in the diagnosis of Cystic Fibrosis (CF) and more recently as an outcome measure in clinical trials of new CF therapies. This test has also been adapted to the mouse nose. Objectives: We aimed at evaluating variability of the NPD measurements in CF patients displaying two severe CFTR mutations and in sex-matched healthy controls. NPD recorded from F508del-CF and normal wild-type mice were also compared. Methods and results: In each setting, tests were performed by a single qualified operator. In the clinical setting, the latest standardized operation protocol of the CF foundation was followed. A total of 80 tracings were obtained from 10 patients (23.2 y; range 14 to 32) and 10 healthy subjects (34 y; range 24 to 53), each tested twice, in both nostrils. Two CF and two controls were excluded from the statistical data analysis due to the presence of a single non interpretable NPD tracing (4/80, 5%). To achieve equal sample size, tests were obtained from 8 CF mice and normal wild-type. Comprehensive multivariate analysis of paired data showed a good reproducibility of NPD parameters in the clinical and the preclinical setting; lower variability was observed in mice. However, 95% repeatability limits of NPD parameters were large indicating a large measurement error, poor precision and low within-subject repeatability. In both settings, chloride secretion was shown to be the most reproducible and repeatable parameter. Conclusion: In human as in mice, NPD showed good reproducibility but limited within-subject repeatability.
背景:鼻电位差(NPD)测试长期以来被用于辅助囊性纤维化(CF)的诊断,最近被用作CF新疗法临床试验的结果测量指标。这个测试也适用于老鼠的鼻子。目的:我们旨在评估两种严重CFTR突变的CF患者和性别匹配的健康对照中NPD测量的变异性。F508del-CF与正常野生型小鼠的NPD记录也进行了比较。方法和结果:在每种设置中,由一名合格的操作人员执行测试。在临床环境中,遵循CF基金会最新的标准化操作方案。10例患者(23.2 y;范围14至32)和10名健康受试者(34岁;范围24到53),每个人都测试了两次,在两个鼻孔。由于存在单一的不可解释NPD追踪,两个CF和两个对照被排除在统计数据分析之外(4/ 80,5 %)。为了达到相同的样本量,从8只CF小鼠和正常野生型小鼠中进行了测试。对配对数据的综合多变量分析显示,NPD参数在临床和临床前具有良好的再现性;在小鼠中观察到较低的变异性。然而,NPD参数的95%重复性限较大,表明测量误差大,精度差,受试者内重复性低。在这两种情况下,氯化物分泌被证明是最可重现和可重复的参数。结论:在人和小鼠中,NPD具有良好的重复性,但受试者内重复性有限。
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引用次数: 9
期刊
The Journal of respiratory diseases
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