Breast Cancer in Younger and Older Women: A Comparison of Clinicopathological Traits

Breast cancer stands as the prevailing invasive cancer globally, bearing high mortality rates among women. Existing evidence indicates diminished survival rates in younger patients. Consequently, this study endeavors to assess and contrast the pathological features of breast cancer in women under 40 years of age with their older counterparts. Conducted as a cross-sectional analysis, this study encompasses 560 patients diagnosed with breast cancer, seeking treatment at Mymensingh Medical College Hospital (MMCH), Community Based Medical College Bangladesh (CBMCB) and several private hospitals in Mymensingh. The gathered data incorporates information such as age, residential area, occupation, tumor histopathology, TNM classification, staging and status of hormone receptor. The patients' mean age (standard deviation) was 49.7±11.9 years, with 20.5% below 40, most were from rural areas and were housewives. Ductal carcinoma prevailed as the most common histopathologic type (87.67%). However, younger patients exhibited a higher prevalence of lobular and other rare carcinomas compared to their older counterparts (p=0.04). Additionally, the younger group demonstrated larger tumor sizes (p=0.01), lymphatic node involvement (p=0.04) and advanced staging (p=0.004). Notably, younger age showed more negativity for estrogen and/or progesterone receptors. The results suggested that women under 40 years old exhibit more aggressive tumor characteristics and a more severe form of breast cancer compared to their older counterparts.

Minerals and fatty acid profile of small indigenous fish species from homestead ponds within a Sub-tropical coastal region

Malnutrition has emerged as a noticeable obstruction to the socio-economic advancement of rural areas along the coastal regions of Bangladesh. Small indigenous fish species (SIS) have the potential to alleviate the malnutrition issue because of having higher nutritional compositions. However, prior research has overlooked the detailed nutritional value of SIS originating from coastal regions. Consequently, the current investigation sought to analyze the mineral and fatty acid composition of twelve SIS obtained from coastal homestead ponds. The findings indicated that the mineral composition in SIS exhibited the following descending order: calcium (Ca) > phosphorus (P) > potassium (K) > magnesium (Mg) > iron (Fe) > zinc (Zn). Furthermore, when considering the overall mineral content in SIS, it ranked in the following decreasing order: A. testudineus, M. tengara, C. punctatus, N. nandus, P. sophore, C. fasciatus, A. mola, C. batrachus, H. fossilis, P. sarana, M. aculeatus, and O. pabda. The analysis of the fatty acid profile further revealed that SIS is a rich source of palmitic acid, linoleic acid, oleic acid, stearic acid, myristic acid, palmitoleic acid, and linolenic acid. The saturated fatty acid content of the SIS varied between 42.66 % and 63.37 %, and the highest content was found in A. mola whereas the lowest was in A. testudineus. On the other hand, the total monounsaturated fatty acid content of the SIS ranged from 26.49 % (A. mola) to 46.12 % (P. sarana), and the total PUFAs contents among the fish species ranged from 5.7 % (A. mola) to 16.54 % (H. fossilis). Therefore, SIS could be a key source of minerals and essential fatty acids for human well-being. This can help fulfill nutrient requirements and reduce malnutrition among coastal populations. It can be said that, if these fishes are introduced in the culture systems, it will be used for consumption as well as support the livelihood of coastal people.

Trace metals in transboundary (India-Myanmar-Bangladesh) anadromous fish Tenualosa ilisha and its consequences on human health

Hilsa shad (Tenualosa ilisha, Hamilton, 1822), the highly coveted table fish within the Indian subcontinent, is Bangladesh's most significant single-species fishery. To assess the risk that toxic metals pose to human health, certain health risk indices-estimated daily intake (EDI), target hazard quotient (THQ), total target hazard quotient (TTHQ), and target cancer risk (TR)-were calculated. The hierarchy of toxic metals (µg/g-ww) in Hilsa shad of the bay showed as Zn (13.64 ± 2.18) > Fe (9.25 ± 1.47) > Mn (2.98 ± 0.75) > Cu (0.57 ± 0.18) > Cr (0.23 ± 0.06) > Pb (0.22 ± 0.04) > As (0.08 ± 0.02) > Ni (0.06 ± 0.02) > Co (0.04 ± 0.01) > Cd (0.01 ± 0.003) in the wet season and Zn (11.45 ± 1.97) > Fe (10.51 ± 1.38) > Mn (3.80 ± 0.75) > Cu (0.73 ± 0.17) > Pb (0.30 ± 0.03) > Cr (0.20 ± 0.05) > As (0.09 ± 0.01) > Ni (0.08 ± 0.02) > Co (0.07 ± 0.02) > Cd (0.02 ± 0.004) in the dry season. The EDI of all the examined trace metals indicated no risk to human health from consuming Hilsa fish. The estimation of THQ and TTHQ suggested that the ingestion of both individual and combined trace metals through Hilsa shad consumption was safe from the perspective of human health. Also, there was no evidence of carcinogenic risk for consumers based on the evaluation of the TR value of metals (As, Pb, Cd, and Ni) due to Hilsa shad consumption.

Assessment of heavy metals migrated from food contact plastic packaging: Bangladesh perspective

Plastic-based food-contact materials are potentially threatening the environment and public health by releasing toxic heavy metals. This study aimed to identify the types of plastic commonly used in Bangladesh as food-contact materials (FCMs) and assess the migration of heavy metals from these FCMs. Plastic types were identified using attenuated total reflectance fourier transform infrared spectroscopy (ATR-FTIR), and 25 samples were selected based on the category, including Polyethylene Terephthalate (PET), Polyethylene (PE), Polypropylene (PP), Polystyrene (PS), and Polycarbonate (PC). Distilled water, 3% acetic acid, and 15% ethanol were used as food simulants to assess the overall migration of chemicals at 70 °C for 2 h. The concentrations of heavy metals (Pb, Cd, Hg, Cr, and Sb) were analyzed using an Atomic Absorption Spectrophotometer (AAS). Results revealed that the highest overall migration occurred in coffee cups measuring 3.50 ± 0.17 mg/kg (using water simulant) and in yogurt containers with a measurement of 9.17 ± 0.1 mg/kg (using 3% acetic acid). The highest concentrations of Pb, Cd, Hg, Cr, and Sb were found in PP-2 (0.45 ± 0.01 mg/kg), PP-2 (0.36 ± 0.01 mg/kg), PC-5 (0.27 ± 0.01 mg/kg), PET-2 (0.12 ± 0.01 mg/kg), and PET-1 (0.09 ± 0.01 mg/kg), respectively. The concentration of heavy metals migrated from the containers is likely to induce a health risk due to bioaccumulation from long-term ingestion of food packaged in them. The findings of this study added knowledge about harmful heavy metals leached from the FCMs in Bangladesh.

Sediment-bound hazardous trace metals(oid) in south-eastern drainage system of Bangladesh: First assessment on human health

Despite the beneficial aspect of a natural drainage system, increasing human-induced activities, which include urbanization and growth in industrialization, degrade the ecosystem in terms of trace metal contamination. In response, given the great importance of the south-eastern drainage system in Bangladesh, a detailed evaluation of the human health risk as well as the potential ecological risk of trace metals (Be, Cd, Co, Cr, Cu, Hg, Ni, Pb, Se, V, Zn, and As) in Karnaphuli riverbed sediment was conducted. Mean levels of the elements in mg/kg were As (5.62 ± 1.47); Se (0.84 ± 0.61); Hg (0.37 ± 0.23); Be (1.17 ± 0.49); Pb (15.62 ± 8.42); Cd (0.24 ± 0.33); Co (11.59 ± 4.49); Cr (112.75 ± 40.09); Cu (192.67 ± 49.71); V (27.49 ± 10.95); Zn (366.83 ± 62.82); Ni (75.83 ± 25.87). Pollution indicators, specifically contamination factor (CF), pollution load index (PLI), degree of contamination (Cd), enrichment factor (EF), geo-accumulation index (Igeo), and potential ecological risk index (RI), were computed to assess sediment quality. For the first observation of health risk, chronic daily intake (CDI), hazard quotient (HQ), hazard index (HI), carcinogenic risk (CR) and total carcinogenic risk (TCR) indices were calculated. According to the results, CDI values through the ingestion route of both the adult and child groups were organized in the following descending mode respectively: Zn > Cu > Cr > Ni > V > Pb > Co > As > Se > Be > Cd > Hg. The non-carcinogenic risks were generally low for all routes of exposure, except HQingestion was slightly higher for both adults and children. The calculated hazard index (HI) was, nevertheless, within the permitted range (HI < 1). Similarly, none of the metals exhibited any carcinogenic risks, as all CR values were within the 10-4-10-6 range. The need for authoritative efforts and water policy for the sake of the surrounding ecosystem and human health in the vicinity of the examined watershed is strongly felt as an outcome of this study. The purpose of this study is to protect public health by identifying trace metal sources and reducing industrial and domestic discharge into this natural drainage system.

Trace metal exposure and human health consequences through consumption of market-available Oreochromis niloticus (L.) in Bangladesh

Using Oreochromis niloticus (L.), commonly known as tilapia, as a model, this study evaluated the exposure of trace metal and their risk assessment on human health. In addition, the status of amino acids, fatty acids, vital elements, and their benefits is also studied. Estimating the nutrient composition of fish muscle is necessary to ensure that it meets the requirements for human health, food regulations, and commercial specifications. The species examined contained appreciable concentrations of amino acids, fatty acid content, and minerals, suggesting that the fish species could be a good source of protein, fat, and minerals. Hazardous heavy metals were found to be lower compared to their corresponding maximum tolerable limits. The order of trace metals is Zn (22,709 µg/kg) > Fe (19,878 µg/kg) > Cu (1261 µg /kg) > Mn (1228 µg/kg) > Cr (474 µg/kg) > Ni (152 µg/kg) As (318 µg /kg) > Pb (281 µg/kg) > Co (24 µg /kg) > Cd (13 µg/kg) > Hg (5 µg/kg); a number of health-related indices, including estimated daily intake (EDI), target hazard quotient (THQ), and hazard index (HI), as well as carcinogenic risk (CR) indices for adult and children, were calculated to evaluate the human health hazard of the heavy metals. The THQ and HI of heavy metals for tilapia are lower than 1, posing a non-carcinogenic threat to human health due to the biomagnifications of these deadly poisonous metals. Principal component, cluster, and correlation analyses delineated the common probabilistic sources of metal contamination origin and significant inter-parameter associations. Although no human health risks for the consumption of tilapia was found, more attention must be paid for the monitoring of Oreochromis niloticus before entering the market.

Profile of neonatal candidiasis in tertiary neonatal intensive care unit: A report from a developing country

BACKGROUND

Systemic candidiasis is an important nosocomial infection in neonatal intensive care units. The objective of this study was to identify the change in the profile of neonatal candidiasis in a tertiary neonatal intensive care unit (NICU) in eastern India in recent times.

METHODS

It was a retrospective review of case records from 2014 to 2019 from a tertiary NICU of eastern India. Data of the fungal sepsis, demographic details, risk factors of fungal sepsis and mortality were collected from 103 neonates.

RESULTS

One hundred and three neonates had blood culture positive for fungal species of which 91 (88.3%) infants weighed ≥1500 g and 66 (64%) infants were term. There was significant higher incidence of candidiasis among outborn (Relative risk of outborn 18.84, 95% CI 10.74-33.05). Prolonged antibiotic usage (>14 days), meropenem usage (>5 days), central catheterization (>5 days), invasive mechanical ventilation (>5 days), surgical intervention were found in 64 (62.1%), 46 (44.6%), 31(30.0%), 40 (38.8%) and 39 (37.8%) infants. Non albicans candida (NAC) was isolated as the predominant species (82/103, 79.6%). Resistance to both of fluconazole and amphotericin B were found in 19 (18.4%) babies. Presence of NAC infection and resistance to both amphotericin B and fluconazole were independent predictors of candida associated mortality in NICU.

CONCLUSION

Neonatal candidiasis is found among outborn infants with higher birth weight and gestational age. NAC species are predominant organisms with resistance to common antifungal drugs.

Seasonal changes and respiratory deposition flux of PM2.5 and PM10 bound metals in Dhaka, Bangladesh

Due to rapid urbanization and fast economic development, aerosol pollution is a serious environmental issue, especially in Bangladesh. Based on bioaccessibility and respiratory deposition doses (RDD), health risks of PM_2.5 and PM₁₀ bound 15 (fifteen) metals were investigated at fourteen urban sites (roadside, marketplace, industrial, and commercial areas). Sampling campaigns were conducted over four seasons (winter, summer, rainy, and autumn) from December 2020 to November 2021. A beta attenuation mass analyzer measured particulate matter concentrations in ambient air. The metals in PM fractions were analyzed by X-ray fluorescence spectroscopy and inductively coupled plasma mass spectrometry (ICP-MS). The airborne trace metals (Cd, As, Zn, Pb, Cr, Cu, Ni) with high enrichment factors indicate anthropogenic sources. The positive matrix factorization (PMF) categorized these elements as originating from automobile exhaust, industrial emissions, and solid waste/coal combustion, whereas the geologic elements came from earth crust/soil dust. During the winter, most of the air mass trajectories arrived from India across the land (82%) and Indo Gangetic Plain (IGP) region to the sampling sites, which may have aided in the transport of pollutants. The deposition flux of metals illustrated that compared to PM_2.5, PM₁₀ deposited a higher amount of metals in the upper airways (81.96%). In comparison, PM_2.5 accumulates more elevated amounts of metals in alveolar regions (11.77%), due to the ability of fine particles to penetrate deeper into the lower pulmonary region. Among age groups, an adult inhales a higher amount of metals than a child, on average 0.103 mg and 0.08 mg of metals per day via PM_2.5, respectively. Acute health impacts are caused by the deposited cancer-causing metals in alveolar tissue, which circulates through the bloodstream and affects several organs. Prolonged exposure to these carcinogenic metals poses significant health risks.

Platelet Count as a Prognostic Factor in Stage IV Non-Small Cell Lung Cancer

Increase platelet count can accompany various cancers including lung cancer. This finding has recently been suggested to indicate poor prognosis. In patients with malignancies, thrombocytosis has previously been related disease stage, histological type and survival. In this study, the prevalence of thrombocytosis and the prognostic information provided by platelet count were analyzed in patients with stage IV Non-Small Cell Lung Cancer (NSCLC) with an aim to assess elevated platelet count as a prognostic factor in patients with stage IV NSCLC and to investigate whether there is relationship between thrombocytosis, other clinico-pathologic factors and median survival. This prospective observational study was conducted in National Institute of Cancer Research and Hospital (NICRH), Dhaka, Bangladesh from September 2019 to August 2020. A total of 108 patients were enrolled purposively. Detail history taking, thorough physical examination was done along with relevant investigations. Data were collected by semi structured questionnaire and analysis was done with the help of Statistical Package for Social Science (SPSS), version 21.0. The mean age of the patients was found 56.4±12.2 years with range from 35 to 75 years. Majority (79.6%) patients were male, 52.8% patients came from low income and 36.1% were farmer. Majority (40.7%) were symptomatic; in bed >50.0% of day. Almost two third (59.3%) had <5.0% weight loss. Almost three fourth (69.4%) had squamous cell carcinoma. At the time of first assessment 75(69.4%) patients had normal and 33(30.6%) had elevated platelet count level. Age, sex and histological type were statistically not significant between normal and elevated platelet count level groups. But performance status, weight loss were statistically significant (p<0.05) between two groups. According to univariate analysis, age, performance status at presentation, weight loss more than 10.0% for 3 months and platelet count prior the start of treatment were all significant predictors for the overall survival. In multivariate analysis age, performance status at presentation and initial thrombocytosis were independent prognostic determinants for overall survival. Median survival time was significantly higher for the normal platelet count group and elevated platelet count group (7.5 months versus 5.5 months) respectively (95% CI, 5.5-7.5), p<0.001. The frequency of thrombocytosis in patients with stage-IV NSCLC at first presentation was 30.6% and median survival time in these patients was significantly shorter compared in patients without thrombocytosis. These results concluded that an elevated platelet count could be a useful prognostic factor for survival in patients with stage-IV NSCLC.

Regulation of STAT3 signaling in IFNγ and IL10 pathways and in their cross-talk

The pro-inflammatory IFNγ-STAT1 pathway and anti-inflammatory IL10-STAT3 pathway elicit cellular responses primarily utilizing their canonical STATs. However IL10 mediated STAT1 and IFNγ mediated STAT3 activation is also observed, suggesting crosstalk of these functionally opposing signaling pathways can potentially reshape the canonical dynamics both STATs and alter the expression of their target genes. Herein, we measured the dynamics of STATs in response to different doses of IL10 or IFNγ and in their co-stimulation and employed quantitative modeling to understand the regulatory mechanisms controlling signal responses in individual and co-simulation scenarios. Our experiments show, STAT3 in particular, exhibits a bell-shaped dose-response while treated with IFNγ or IL10 and our model quantiatively captured the dose-dependent dynamics of both the STATs in both pathways. The model next predicted and subsequent experiments validated that STAT3 dynamics would robustly remain IL10 specific when subjected to a co-stimulation of both IFNγ and IL10. Genes common to both pathways also exhibited IL10 specific expression during the co-stimulation. The findings thus uncover anovel feature of the IL10-STAT3 signaling axis during pathway crosstalk. Finally, parameter sampling coupled to information theory based analysis showed that bell-shaped signal-response of STAT3 in both pathways is primarily dependent on receptor concentration whereas robustness of IL10-STAT3 signaling axis in co-stimulation results from the negative regulation of the IFNγ pathway.

Accumulation of Trace Metals in Indigenous Fish Species from the Old Brahmaputra River in Bangladesh and Human Health Risk Implications

In this study, accumulation of the top six most toxic trace metals (Arsenic (As), Cadmium (Cd), Chromium (Cr), Mercury (Hg), Nickel (Ni) and Lead (Pb)) were assessed in six indigenous fish species (Barilius barila, Salmostoma acinaces, Gudusia chapra, Labeo bata, Corica soborna, and Sperata aor) collected from the Old Brahmaputra River in Bangladesh. Human health risk associated with these fish consumption was also evaluated. Metals were analyzed in whole body of fish by an atomic absorption spectrometer (AAS). Mean concentrations of metals (μg/g, wet weight) were in the range of As (< 0.02-0.278), Cd (< 0.002-0.005), Cr (0.239-0.761), Hg (0.008-0.057), Ni (< 0.02-0.044), and Pb (< 0.01-0.038). The metal contents varied significantly among the fishes regarding their feeding habits and living habitats. Concentrations of As, Cr, Hg, and Pb were significantly higher in omnivorous species, whereas the benthopelagic species showed significantly higher accumulation of As (p < 0.05). The target hazard quotient (THQ) for noncarcinogenic risk and target cancer risk (TR) for carcinogenic risk were calculated to estimate the probabilities of experiencing these adverse health effects for the fish consumers. Metal-specific THQ values were all below 1 indicating no potential human health risk. Nonetheless, the hazard index (HI) values to estimate the effects from exposure to all metals collectively elucidated chronic noncarcinogenic health risk particularly from G. chapra consumption. The TR values revealed that there was carcinogenic risk from exposure to As through consumption of the fish. This study finally suggests a systematic and continuous monitoring of trace metal contamination in fishes from the river to ensure the fitness of this food item regarding the safety for human health.

Incorporating ash removal unit in local rice parboiling industries for flue gas cleaning and heat recovery

Local rice parboiling industries of Bangladesh are burdened with heavy emission. Despite recent modification in the rice-parboiling boiler, the amount of stack emission (especially particulate matter) from local rice parboiling industry is still considerably high to jeopardize public health and environmental sustainability. There is no provision of flue gas cleaning in these industries since flue gas cleaning often requires significant investment, complicated installation and heavy-maintenance. Therefore, a modified flue gas cleaning system, namely Ash removal unit (ARU) was designed for simultaneously and synergistically removing particulate matter (PM), SO₂, NOx, CO₂ and heat from flue gas of local rice parboiling industries. In this study, ARU was incorporated in a local rice parboiling industry in order to evaluate the co-removal efficiency achieved by the ARU. Installation of ARU eliminated PM from flue gas by 91.8%, while it removed 78.5% SO₂, 78.3% NOx and 23.9% CO₂ respectively from the emitting stack. Other than flue gas cleaning , ARU also facilitates heat exchange between flue gas and boiler feed water. Hence, flue gas temperature was dropped by 42.1%, while boiler feed water temperature was raised by 36% in 30 min. Moreover, adopting ARU also improved the ambient air quality surrounding the industrial area, since it reduced SO₂, NOx, SPM, PM2.5 and PM10 level in ambient air by 81.7%, 78.2%, 21.1%, 22.9% and 43.1% respectively.

Enhanced exudation of malate in the rhizosphere due to AtALMT1 overexpression in blackgram (Vigna mungo L.) confers increased aluminium tolerance

Worldwide, 50% of soil is acidic, which induces aluminium (Al) toxicity in plants, as the phyto-availability of Al³⁺ increases in acidic soil. Plants responds to Al³⁺ toxicity by exuding organic acids into the rhizosphere. The organic acid responsible for Al³⁺ stress response varies from species to species, which in the case of blackgram (Vigna mungo L.) is citrate. In blackgram, an Arabidopsis malate transporter, AtALMT1, was overexpressed with the motive of inducing enhanced exudation of malate. Transgenics were generated using cotyledon node explants through Agrobacterium tumefaciens-mediated transformation. The putative transgenics were initially screened by AtALMT1-specific genomic DNA PCR, followed by quantitative PCR. Two independent transgenic events were identified and functionally characterized in the T₃ generation. The transgenic lines, Line 1 and 2, showed better root growth, relative water content and chlorophyll content under Al³⁺ stress. Both lines also accounted for less oxidative damage, due to reduced accumulation of ROS molecules. Photosynthetic efficiency, as measured in terms of F_v /F_m , NPQ and Y(II), increased when compared to the wild type (WT). Relative expression of genes (VmSTOP1, VmALS3, VmMATE) responsible for Al³⁺ stress response in blackgram showed that overexpression of a malate transporter did not have any effect on their expression. Malate exudation increased whereas citrate exudation did not show any divergence from the WT. A pot stress assay found that the transgenics showed better adaptation to acidic soil. This report demonstrates that the overexpression of a malate transporter in a non-malate exuding species improves adaptation to Al³⁺ toxicity in acidic soil without effecting its stress response mechanism.

Peptidoglycan-treated tumor antigen-pulsed dendritic cells impart complete resistance against tumor rechallenge

Solid tumors elicit suppressive T cell responses which impair antigen-presenting cell (APC) functions. Such immune suppression results in uncontrolled tumor growth and mortality. Addressing APC dysfunction, dendritic cell (DC)-mediated anti-tumor vaccination was extensively investigated in both mice and humans. These studies never achieved full resistance to tumor relapse. Herein, we describe a repetitive RM-1 murine tumor rechallenge model for recurrence in humans. Using this newly developed model, we show that priming with tumor antigen-pulsed, Toll-like receptor (TLR)2 ligand-activated DCs elicits a host-protective anti-tumor immune response in C57BL/6 mice. Upon stimulation with the TLR2 ligand peptidoglycan (PGN), the tumor antigen-pulsed DCs induce complete resistance to repetitive tumor challenges. Intra-tumoral injection of PGN reduces tumor growth. The tumor resistance is accompanied by increased expression of interleukin (IL)-27, T-box transcription factor TBX21 (T-bet), IL-12, tumor necrosis factor (TNF)-α and interferon (IFN)-γ, along with heightened cytotoxic T lymphocyte (CTL) functions. Mice primed four times with PGN-stimulated tumor antigen-pulsed DCs remain entirely resistant to repeat challenges with RM-1 tumor cells, suggesting complete prevention of relapse and recurrence of tumor. Adoptive transfer of T cells from these mice, which were fully protected from RM-1 rechallenge, confers anti-tumor immunity to syngeneic naive recipient mice upon RM-1 challenge. These observations indicate that PGN-activated DCs induce robust host-protective anti-tumor T cells that completely resist tumor growth and recurrence.

Bioaccumulation of trace metals in freshwater prawn, Macrobrachium rosenbergii from farmed and wild sources and human health risk assessment in Bangladesh

The giant freshwater prawn, Macrobrachium rosenbergii, is an important species for Bangladesh's national economy, aquatic biodiversity, and employment opportunities; furthermore, human health risk associated to consumption of this species has become a crucial issue. Eight trace metals (Pb, Cr, Ni, Cd, Fe, Cu, Zn, and Mn) in different body parts of M. rosenbergii (U/10 as large and U/12 and U/15 as medium size), and water collected from farm and wild sources along with the human health risks were assessed in this study. Except Cd, all trace metals exceeded the maximum permissible limits proposed by different authorities. Elevated levels of Pb, Cr, Fe, Cu, Zn, and Mn were found in the wild-caught prawn, whereas Ni and Cd were higher in farmed prawn. A higher trace metal contamination was recorded from the cephalothorax part than the abdomen of both sized prawns. However, trace metal concentrations between two sizes of prawns were not statistically significant (p > 0.05). The estimated daily intakes (EDI) values were higher than the recommended and/or tolerable daily intake for Pb and Cr. Moreover, the target hazard quotient (THQ) values were > 1 for Pb, Cd, Cu, and Zn, elucidating non-carcinogenic risks to the consumers. In addition, the target cancer risk (TR) values of Pb and Ni were high and exceeded the acceptable guideline of 10^-6, explicating the possibility of carcinogenic risks. Therefore, the study concludes that the consumption of the studied prawn species contaminated with elevated levels of toxic metals is associated with higher degree of potential health risks.

High titres of IgM-bound circulating immune complexes and erythrocytic oxidative damage are indicators of dengue severity

Global incidence of dengue has drastically increased in the last few years. Despite the global morbidity and mortality associated with dengue infection, mechanisms of immune control and viral pathogenesis are poorly explored. Pancytopenias, along with increased oxidative stress, are salient clinical findings in severe dengue patients. Previously, we demonstrated significant differences of circulating immune complexes (CICs) among severe and non-severe dengue patients. Accordingly, here we sought to determine the contributory role of affinity-purified antibody-bound CICs in dengue severity. To characterize intracellular oxidative stress induced by antibody-bound CICs, 5-(and-6)-chloromethyl-2'-7'-dichlorodihydrofluorescein diacetate (DCFDA) was measured by flow cytometry. At the same time, CICs sensitized healthy red blood cells (RBC) and patients' RBC morphology was determined by scanning electron microscopy and flow cytometry analysis. Erythrophagocytosis and ferritin levels were further determined in severe and non-severe dengue patients. Our results showed that the severe patients had high titres of immunoglobulin (Ig)M-bound CICs (P < 0·0001) in their sera, increased intracellular oxidative stress (P < 0·0001), high ferritin levels (P < 0·0001), altered morphology of RBC and finally enhanced erythrophagocytosis. This study shows for the first time that RBC morphology is altered in severe dengue patients. Taken together, this study suggests that the enhanced IgM-bound CICs could contribute to the increased oxidative stress and act directly on RBC destruction of severe dengue patients, and is an important pathophysiological determinant. Hence, IgM-bound CICs can serve as an important laboratory parameter to monitor dengue infection progression.

High-resolution cost-effective compact portable inverted light microscope

Commercial high-resolution optical microscopes are essential for microscopy imaging; however, they are expensive and bulky, which limits their use in point-of-care devices, resource-limited areas, and real-time imaging of a sample in a large apparatus. In this study, we report a novel compact (10 cm × 5 cm × 5 cm, without the light source) lightweight (∼0.5 kg) submicron-resolution inverted optical microscope at low cost (∼$ 300). Our technique utilises the proximity of the image sensor to a commercial microscope objective lens for compactness of the microscope. The use of an image sensor with a small pixel size helps to reduce the information loss, which provides high-resolution images. Moreover, our technique offers a freedom to tailor the design of microscope according to the required resolution, cost, and portability for specific applications, which makes it a suitable candidate for affordable point-of-care devices. Images of several micron-to-submicron scale patterns and spherical beads are acquired to observe the resolution and quality of the images obtained using our microscope. In addition, we demonstrate the applications of our microscope in various fields such as recording of high-speed water microdroplet formation inside a microfluidic device, high-resolution live cell imaging inside an incubator, and real-time imaging of crack propagation in a sample under stretching by a material testing system (MTS). Therefore, this portable and inexpensive microscope provides the essential functionalities of a bulky expensive high-performance microscope at a lower cost. LAY DESCRIPTION: Microscope is an essential tool in research allowing for observation of microsized objects and life forms. Contemporary commercial high-resolution microscopes have long optical paths involving series of lenses and filters. Although this configuration precisely corrects for optical distortions and produces clear images, it makes modern microscopes very costly and bulky, restricting their usage to low-funded research laboratories and at remote places. We have developed a simple digital microscope with high-resolution but with much smaller size and lighter in weight at low cost by removing the long optical terrain. Our microscope consists of a commercial microscope objective lens for magnification and semiconductor image sensor with small pixels placed right after the lens, both of which are affordable and easily available. The small pixel size helps to translate the magnified analogue sample image to high-resolution digital image. In our paper, we show that our microscope can view micro and submicron-sized patterns and beads. Moreover, our fist-sized microscope can be placed inside an incubator for real-time imaging of cells or rotated sideways for recording submicron-sized crack generation due stretching of novel materials, both of which could not be accomplished with the 2 feet tall laboratory microscopes.

Association of Low Level of High Density Lipoprotein cholesterol with Acute Coronary syndrome

Incidence of coronary artery disease (CAD) is increasing in developing countries in Bangladesh with improvement of socioeconomic status, urbanization, changes of dietary habits and lifestyle. Dyslipidaemia is one of the major contributors increase CAD risk. This study was aimed to find out the association of low level HDL-C with acute coronary syndrome. This cross sectional study was conducted in the department of cardiology, Mymensingh Medical College Hospital, Mymensingh, Bangladesh from August 2009 to May 2010. Sociodemographic characteristics, smoking, hypertension, FBS, serum total cholesterol level, HDL-C, LDL-C, Triglyceride level were important variable considered. A total number of 100 respondents consisted of 50 cases (patient) Group I and 50 healthy people (control) Group II. Investigations included ECG, Troponin-I, FBS and Fasting Lipid Profile. The data was analyzed by computer with the help of SPSS. Chi-square test, T-test, ANOVA test used as test of significance. The mean level in cases of HDL-C 39.3±5.1 and in control level HDL-C 34.2±3.4 statistically significant (p<0.0001). In both group low concentration HDL-C (<40mg/dl) risk for CAD. Un-adjusted odds ratio 95% CI determinants of ACS, HDL-C of OR was 0.2. So, HDL-C is not protective factor. In multivariate logistic regression analysis that adjusted for confounders of HDL-C level (age, sex, smoking, hypertension, TC, LDL-C, TG) associated with ACS. HDL-C was strong predictor of ACS (RR in the highest) compared with lowest quarantile = 0.02; (95% CI=0.003-0.173; P for trend <0.0001). The study reflected that low HDL-C level associated with ACS. Categorization of patients with ACS on the basis HDL-C level may be helpful for risk stratification and management.

Relationship between Triglyceride and HDL-C ratio with Acute Coronary Syndrome

Cardiovascular diseases (CVD) is the leading cause of death worldwide, responsible for one third of death, coronary artery disease (CAD) is the most common cause. Dyslipidaemiais one of the major contributors increased of CAD risk. This study was aimed to find out the relationship between triglyceride and HDL cholesterol ratio with acute coronary syndrome. This cross sectional study was conducted in the department of Cardiology, Mymensingh Medical College Hospital from August 2009 to May 2010. Smoking, hypertension, serum total cholesterol level, serum HDL-C, LDL-C, triglyceride (TG) level were important variable considered. A total number of 100 respondents consisted of 50 cases (patient) and 50 healthy persons (control). Investigations included ECG, Troponin-I, FBS and lipid profile. The data was analyzed by computer with the help of SPSS; Chi-square test, 't' test, ANOVA test used as test of significance. The mean level in cases of TG 168.2±88.0 vs. HDL 41.3±5.1 in control level TG 141.2±45.3 and HDL 34.2±3.4. TG/HDL ratio cases 4.2±1.7 and control 4.1±1.3. This ratio >4 is atherogenic for CAD. Unadjusted odds ratio TG/HDL ratio level high (>1). In multivariable regression analysis, TG/HDL ratio was strong relation with ACS. The study reflected that high TG/HDL ratio is associated with ACS. Categorization of patient with ACS on the basis of high TG/HDL ratio will be helpful for risk stratification and management.

Physicochemical and Antioxidant Properties of Honeys from the Sundarbans Mangrove Forest of Bangladesh

This study evaluated the physicochemical, nutritional, antioxidant, and phenolic properties of ten honey samples from the Sundarbans mangrove forest, Bangladesh. The average pH, electrical conductivity, total dissolved solid, ash, moisture, hydroxymethyl furfural, titrable acidity, and absorbance were 4.3, 0.38 mS/cm, 187.5 ppm, 0.14%, 17.88%, 4.4 mg/kg, 37.7 meq/kg, and 483 mAU, respectively. In the honeys, the average contents of Ca, Cu, Fe, K, Mg, Mn, and Na were 95.5, 0.19, 6.4, 302, 39.9, 3.4, and 597 ppm, respectively, whereas Cd, Cr, Pb, and Ni were not found. The average contents of total sugar, protein, lipid, vitamin C, polyphenols, flavonoids, and anthocyanins in the honeys were 69.3%, 0.8%, 0.29%, 107.3 mg/kg, 757.2 mg gallic acid equivalent/kg, 43.1 mg chatechin equivalent/kg, and 5.4 mg/kg, respectively. The honeys had strong 1,1-diphenyl-2-picrylhydrazyl free radical scavenging activity, reducing power and total antioxidant capacity. High-performance liquid chromatography analysis of the honey fractions revealed the quantification of six polyphenols namely, (+)-catechin, (-)-epicatechin, p-caumeric acid, syringic acid, trans-cinnamic acid, and vanillic acid at 194.98, 330.34, 74.64, 218.97, 49.55, and 118.84 mg/kg, respectively. Therefore, the honeys in the Sundarbans are of excellent quality and a prospective source of polyphenols, and antioxidants.

Correlation of Troponin-I Level with Left Ventricular Ejection Fraction and In-hospital outcomes after First Attack of Non-ST Segment Elevation Myocardial Infarction

Coronary heart disease (CHD) is the most common cause of heart disease and is the single most important cause of premature death in developed world. Recognizing a patient with ACS is important because the diagnosis triggers both triage and management. cTnI is 100% tissue-specific for the myocardium and it has been shown to be a very sensitive and specific marker for acute myocardial infarction (AMI). Ventricular function is the best predictor of death after an acute coronary syndrome. It serves as a marker of myocardial damage, provides information on systolic function as well as diagnosis and prognosis. The study aimed at investigating the impact of elevated Troponin-I level on LV ejection fraction and in-hospital outcomes in patients with first attack of Non ST-segment Elevation Myocardial Infarction (NSTEMI). This prospective analytical study was conducted in the Department of Cardiology in Mymensingh Medical College Hospital from December 2015 to November 2016. Total 130 first attack of NSTEMI patients were included considering inclusion and exclusion criteria. The sample population was divided into two groups: Group I - Patients with first attack of NSTEMI with good LV function (LVEF: ≥55%). Group II - Patients with first attack of NSTEMI with LV systolic dysfunction (LVEF: <55%). Then Troponin-I and LVEF levels were correlated using Pearson's correlation coefficient test. In this study mean Troponin-I of Group I and Group II were 5.53±7.43 and 16.46±15.79ng/ml respectively. It was statistically significant (p<0.05). Echocardiography showed that patients with high Troponin-I level had low ejection fraction (LVEF) and patients with low Troponin-I level had preserved ejection fraction (LVEF). Analysis showed that patients with severe left ventricular systolic dysfunction (LVEF <35%) had the highest level of Troponin-I with worse in-hospital outcomes and vice versa-the patients with the preserved systolic function (LVEF ≥55%) had the lowest levels of Troponin-I with better in-hospital outcomes. In our study, it also showed that the levels of Troponin-I had negative correlation with LV ejection fraction levels, with medium strength of association (r= -0.5394, p=0.001). The study enabled us to conclude that, the higher was the Troponin-I level, the lower was the LV ejection fraction level and thus worse in-hospital outcomes in first attack of NSTEMI patients.

Redundant and regulatory roles for Toll-like receptors in Leishmania infection

Toll-like receptors (TLRs) are germline-encoded, non-clonal innate immune receptors, which are often the first receptors to recognize the molecular patterns on pathogens. Therefore, the immune response initiated by TLRs has far-reaching consequences on the outcome of an infection. As soon as the cell surface TLRs and other receptors recognize a pathogen, the pathogen is phagocytosed. Inclusion of TLRs in the phagosome results in quicker phagosomal maturation and stronger adaptive immune response, as TLRs influence co-stimulatory molecule expression and determinant selection by major histocompatibility complex (MHC) class II and MHC class I for cross-presentation. The signals delivered by the TCR-peptide-MHC complex and co-stimulatory molecules are indispensable for optimal T cell activation. In addition, the cytokines induced by TLRs can skew the differentiation of activated T cells to different effector T cell subsets. However, the potential of TLRs to influence adaptive immune response into different patterns is severely restricted by multiple factors: gross specificity for the molecular patterns, lack of receptor rearrangements, sharing of limited number of adaptors that assemble signalling complexes and redundancy in ligand recognition. These features of apparent redundancy and regulation in the functioning of TLRs characterize them as important and probable contributory factors in the resistance or susceptibility to an infection.

trans-4,4'-Dihydroxystilbene (DHS) protects PC12 cells from oxidative damage but induces reactive oxygen species-mediated apoptosis in SHSY-5Y cell line

Polyphenols can exert both, antioxidant and pro-oxidant properties, depending on cell types as well as their concentrations. Hence, it was of interest to examine if the naturally occurring resveratrol analog, trans-4,4'-dihydroxystilbene (DHS) also exert both these activities in a biphasic or cell-specific manner. In this study, we established the cytoprotective action of DHS against hydrogen peroxide (H2O2)-induced apoptotic death of the PC12 cells. DHS reduced mitochondrial membrane permeabilization and deactivated reactive oxygen species (ROS)-mediated caspase-3 activation in the H2O2-treated PC12 cells. However, it induced apoptosis in the human neuroblastoma SHSY-5Y cell line by destabilizing mitochondrial membrane, augmenting ROS and activating caspapse-3. DHS showed better activity than resveratrol in both the chosen models.

A highly sensitive non-enzymatic hydrogen peroxide and hydrazine electrochemical sensor based on 3D micro-snowflake architectures of α-Fe2O3

In the present work, well crystalline 3D micro-snowflake structured α-Fe₂O₃ has been successfully synthesized on a large scale via a simple hydrothermal reaction by hydrolysis of a K₃Fe(CN)₆ precursor.

Immune-driven adaptation of hepatitis B virus genotype D involves preferential alteration in B-cell epitopes and replicative attenuation--an insight from human immunodeficiency virus/hepatitis B virus coinfection

An important driving force behind the sequence diversity of hepatitis B virus (HBV) is viral adaptation to host immune responses. To gain an insight into the impact of host immunity on genetic diversification and properties of HBV, we characterized HBV of genotype D from treatment-naive hepatitis B e antigen-positive (EP) and hepatitis B e antigen-negative (EN) patients with chronic hepatitis B (CHB), where HBV is under stronger immune pressure, with that of HBV derived from human immunodeficiency virus (HIV)/HBV-coinfected individuals, where HIV infection has significantly weakened the immune system. Full-length sequence analysis showed that HBV heterogeneity was most extensive in EN-CHB followed by EP-CHB and HIV/HBV coinfection. The relative magnitude of non-synonymous changes within B-cell epitopes was greater than that in T-cell epitopes of HBV open reading frames (ORFs) in both EP-CHB and EN-CHB. Nine amino acid substitutions were identified in B-cell epitopes and one in a T-cell epitope of HBV in EN-CHB, most of which resulted in altered hydrophobicities, as determined using the Kyte and Doolittle method, relative to wild-type residues found in HBV from the HIV-positive group. Additionally, 19 substitutions occurred at significantly higher frequencies in non-epitope regions of HBV ORF-P in EN-CHB than HIV/HBV-coinfected patients. In vitro replication assay demonstrated that the substitutions, particularly in reverse transcriptase and RNaseH domains of ORF-P, resulted in a decline in replication capacity of HBV. Hence, our results indicate that HBV adapts to increasing immune pressure through preferential mutations in B-cell epitopes and by replicative attenuation. The viral epitopes linked to immune response identified in this study bear important implications for future HBV vaccine studies.

Structural and electrochemical analysis of a novel co-electrodeposited Mn2O3–Au nanocomposite thin film

In this work we report the fabrication of both pristine Mn₂O₃ and Mn₂O₃–Au composite thin films on an indium tin oxide (ITO) substrate by a one-step novel co-electrodeposition technique.

Efficient and selective molybdenum based heterogeneous catalyst for alkene epoxidation using batch and continuous reactors

A polystyrene 2-(aminomethyl)pyridine supported molybdenum(vi) complex (Ps·AMP·Mo) has been prepared, characterised and used as a catalyst for epoxidation of 1-hexene and 4-vinyl-1-cyclohexene (4-VCH) using TBHP as an oxidant.

Toll-like receptors and CD40 modulate each other's expression affecting Leishmania major infection

Toll-like receptors (TLRs) recognize pathogen-associated molecular patterns and results in innate immune system activation that results in elicitation of the adaptive immune response. One crucial modulator of the adaptive immune response is CD40. However, whether these molecules influence each other's expression and functions is not known. Therefore, we examined the effects of TLRs on CD40 expression on macrophages, the host cell for the protozoan parasite Leishmania major. While polyinosinic-polycytidylic acid [poly (I:C)], a TLR-3 ligand, lipopolysaccharide (LPS), a TLR-4 ligand, imiquimod, a TLR-7/8 ligand and cytosine-phosphate-guanosine (CpG), a TLR-9 ligand, were shown to enhance CD40 expression, CD40 stimulation enhanced only TLR-9 expression. Therefore, we tested the synergism between CD40 and CpG in anti-leishmanial immune response. In Leishmania-infected macrophages, CpG was found to reduce CD40-induced extracellular stress-regulated kinase (ERK)1/2 activation; with the exception of interleukin (IL)-10, these ligands had differential effects on CD40-induced IL-1α, IL-6 and IL-12 production. CpG significantly enhanced the anti-leishmanial function of CD40 with differential effects on IL-4, IL-10 and interferon (IFN)-γ production in susceptible BALB/c mice. Thus, we report the first systematic study on CD40-TLR cross-talk that regulated the experimental L. major infection.

PKCλ/ι signaling promotes triple-negative breast cancer growth and metastasis

Triple-negative breast cancer (TNBC) is a distinct breast cancer subtype defined by the absence of estrogen receptor (ER), progesterone receptor (PR) and epidermal growth factor receptor 2 (HER2/neu), and the patients with TNBC are often diagnosed with higher rates of recurrence and metastasis. Because of the absence of ER, PR and HER2/neu expressions, TNBC patients are insensitive to HER2-directed and endocrine therapies available for breast cancer treatment. Here, we report that expression of atypical protein kinase C isoform, PKCλ/ι, significantly increased and activated in all invasive breast cancer (invasive ductal carcinoma or IDC) subtypes including the TNBC subtype. Because of the lack of targeted therapies for TNBC, we choose to study PKCλ/ι signaling as a potential therapeutic target for TNBC. Our observations indicated that PKCλ/ι signaling is highly active during breast cancer invasive progression, and metastatic breast cancers, the advanced stages of breast cancer disease that developed more frequently in TNBC patients, are also characterized with high levels of PKCλ/ι expression and activation. Functional analysis in experimental mouse models revealed that depletion of PKCλ/ι significantly reduces TNBC growth as well as lung metastatic colonization. Furthermore, we have identified a PKCλ/ι-regulated gene signature consisting of 110 genes, which are significantly associated with indolent to invasive progression of human breast cancer and poor prognosis. Mechanistically, cytokines such as TGFβ and IL1β could activate PKCλ/ι signaling in TNBC cells and depletion of PKCλ/ι impairs NF-κB p65 (RelA) nuclear localization. We observed that cytokine-PKCλ/ι-RelA signaling axis, at least in part, involved in modulating gene expression to regulate invasion of TNBC cells. Overall, our results indicate that induction and activation of PKCλ/ι promote TNBC growth, invasion and metastasis. Thus, targeting PKCλ/ι signaling could be a therapeutic option for breast cancer, including the TNBC subtype.