Browse publications by year: 2020

  1. Ibrahim A, Shafie NH, Mohd Esa N, Shafie SR, Bahari H, Abdullah MA
    Nutrients, 2020 Oct 09;12(10).
    PMID: 33050310 DOI: 10.3390/nu12103077
    The present study aimed to determine the effect of an ethyl acetate extract of Mikania micrantha stems (EAMMS) in hypercholesterolemia-induced rats. Rats were divided into a normal group (NC) and hypercholesterolemia induced groups: hypercholesterolemia control group (PC), simvastatin group (SV) (10 mg/kg) and EAMMS extract groups at different dosages of 50, 100 and 200 mg/kg, respectively. Blood serum and tissues were collected for haematological, biochemical, histopathological, and enzyme analysis. Total cholesterol (TC), triglycerides (TG), low-density lipoprotein cholesterol (LDL-C), high-density lipoprotein cholesterol (HDL-C), aspartate aminotransferase (AST), alanine aminotransferase (ALT), urea, creatinine, malondialdehyde (MDA) level, as well as enzymes of HMG-CoA reductase (HMGCR) and acetyl-CoA acetyltransferase 2 (ACAT2), were measured. Feeding rats with high cholesterol diet for eight weeks resulted in a significantly (p < 0.05) increased of TC, TG, LDL-C, AST, ALT and MDA levels. Meanwhile, the administration of EAMMS extract (50, 100 and 200 mg/kg) and simvastatin (10 mg/kg) significantly reduced (p < 0.05) the levels of TC, TG, LDL-C and MDA compared to rats in the PC group. Furthermore, all EAMMS and SV-treated groups showed a higher HDL-C level compared to both NC and PC groups. No significant difference was found in the level of ALT, AST, urea and creatinine between the different dosages in EAMMS extracts. Treatment with EAMMS also exhibited the highest inhibition activity of enzyme HMGCR and ACAT2 as compared to the control group. From the histopathological examination, liver tissues in the PC group showed severe steatosis than those fed with EAMMS and normal diet. Treatment with EAMMS extract ameliorated and reduced the pathological changes in the liver. No morphological changes showed in the kidney structure of both control and treated groups. In conclusion, these findings demonstrated that EAMMS extract has anti-hypercholesterolemia properties and could be used as an alternative treatment for this disorder.
    MeSH terms: Acetyl-CoA C-Acetyltransferase/antagonists & inhibitors*; Acetyl-CoA C-Acetyltransferase/metabolism*; Animals; Cholesterol, Dietary/administration & dosage*; Cholesterol, Dietary/adverse effects*; Hydroxymethylglutaryl CoA Reductases/metabolism*; Hypercholesterolemia/drug therapy*; Hypercholesterolemia/etiology; Male; Phytotherapy*; Plant Extracts/administration & dosage*; Plant Extracts/isolation & purification; Plant Extracts/pharmacology*; Lipid Peroxidation/drug effects*; Rats, Sprague-Dawley; Hydroxymethylglutaryl-CoA Reductase Inhibitors; Mikania/chemistry*; Diet, High-Fat/adverse effects*
  2. Neik TX, Amas J, Barbetti M, Edwards D, Batley J
    Plants (Basel), 2020 Oct 10;9(10).
    PMID: 33050509 DOI: 10.3390/plants9101336
    Brassica napus (canola/oilseed rape/rapeseed) is an economically important crop, mostly found in temperate and sub-tropical regions, that is cultivated widely for its edible oil. Major diseases of Brassica crops such as Blackleg, Clubroot, Sclerotinia Stem Rot, Downy Mildew, Alternaria Leaf Spot and White Rust have caused significant yield and economic losses in rapeseed-producing countries worldwide, exacerbated by global climate change, and, if not remedied effectively, will threaten global food security. To gain further insights into the host-pathogen interactions in relation to Brassica diseases, it is critical that we review current knowledge in this area and discuss how omics technologies can offer promising results and help to push boundaries in our understanding of the resistance mechanisms. Omics technologies, such as genomics, proteomics, transcriptomics and metabolomics approaches, allow us to understand the host and pathogen, as well as the interaction between the two species at a deeper level. With these integrated data in multi-omics and systems biology, we are able to breed high-quality disease-resistant Brassica crops in a more holistic, targeted and accurate way.
    MeSH terms: Alternaria; Ascomycota; Brassica; Food Supply; Genomics; Brassica napus; Brassica rapa; Proteomics; Systems Biology; Host-Pathogen Interactions; Metabolomics; Climate Change; Transcriptome
  3. Ikram R, Mohamed Jan B, Vejpravova J, Choudhary MI, Zaman Chowdhury Z
    Nanomaterials (Basel), 2020 Oct 11;10(10).
    PMID: 33050617 DOI: 10.3390/nano10102004
    Nanocomposite materials have distinctive potential for various types of captivating usage in drilling fluids as a well-designed solution for the petroleum industry. Owing to the improvement of drilling fluids, it is of great importance to fabricate unique nanocomposites and advance their functionalities for amplification in base fluids. There is a rising interest in assembling nanocomposites for the progress of rheological and filtration properties. A series of drilling fluid formulations have been reported for graphene-derived nanocomposites as additives. Over the years, the emergence of these graphene-derived nanocomposites has been employed as a paradigm to formulate water-based drilling fluids (WBDF). Herein, we provide an overview of nanocomposites evolution as engineered materials for enhanced rheological attributes in drilling operations. We also demonstrate the state-of-the-art potential graphene-derived nanocomposites for enriched rheology and other significant properties in WBDF. This review could conceivably deliver the inspiration and pathways to produce novel fabrication of nanocomposites and the production of other graphenaceous materials grafted nanocomposites for the variety of drilling fluids.
    MeSH terms: Oil and Gas Industry; Filtration; Graphite; Rheology; Nanocomposites
  4. Khairuddin S, Ngo FY, Lim WL, Aquili L, Khan NA, Fung ML, et al.
    J Clin Med, 2020 Oct 12;9(10).
    PMID: 33053848 DOI: 10.3390/jcm9103260
    Major depression contributes significantly to the global disability burden. Since the first clinical study of deep brain stimulation (DBS), over 406 patients with depression have now undergone this neuromodulation therapy, and 30 animal studies have investigated the efficacy of subgenual cingulate DBS for depression. In this review, we aim to provide a comprehensive overview of the progress of DBS of the subcallosal cingulate in humans and the medial prefrontal cortex, its rodent homolog. For preclinical animal studies, we discuss the various antidepressant-like behaviors induced by medial prefrontal cortex DBS and examine the possible mechanisms including neuroplasticity-dependent/independent cellular and molecular changes. Interestingly, the response rate of subcallosal cingulate Deep brain stimulation marks a milestone in the treatment of depression. DBS among patients with treatment-resistant depression was estimated to be approximately 54% across clinical studies. Although some studies showed its stimulation efficacy was limited, it still holds great promise as a therapy for patients with treatment-resistant depression. Overall, further research is still needed, including more credible clinical research, preclinical mechanistic studies, precise selection of patients, and customized electrical stimulation paradigms.
    MeSH terms: Animals; Antidepressive Agents; Depression; Depressive Disorder, Major; Electric Stimulation; Humans; Neuronal Plasticity; Rodentia; Prefrontal Cortex; Patient Selection; Deep Brain Stimulation; Depressive Disorder, Treatment-Resistant
  5. Awais M, Ghayvat H, Krishnan Pandarathodiyil A, Nabillah Ghani WM, Ramanathan A, Pandya S, et al.
    Sensors (Basel), 2020 Oct 12;20(20).
    PMID: 33053886 DOI: 10.3390/s20205780
    Oral mucosal lesions (OML) and oral potentially malignant disorders (OPMDs) have been identified as having the potential to transform into oral squamous cell carcinoma (OSCC). This research focuses on the human-in-the-loop-system named Healthcare Professionals in the Loop (HPIL) to support diagnosis through an advanced machine learning procedure. HPIL is a novel system approach based on the textural pattern of OML and OPMDs (anomalous regions) to differentiate them from standard regions of the oral cavity by using autofluorescence imaging. An innovative method based on pre-processing, e.g., the Deriche-Canny edge detector and circular Hough transform (CHT); a post-processing textural analysis approach using the gray-level co-occurrence matrix (GLCM); and a feature selection algorithm (linear discriminant analysis (LDA)), followed by k-nearest neighbor (KNN) to classify OPMDs and the standard region, is proposed in this paper. The accuracy, sensitivity, and specificity in differentiating between standard and anomalous regions of the oral cavity are 83%, 85%, and 84%, respectively. The performance evaluation was plotted through the receiver operating characteristics of periodontist diagnosis with the HPIL system and without the system. This method of classifying OML and OPMD areas may help the dental specialist to identify anomalous regions for performing their biopsies more efficiently to predict the histological diagnosis of epithelial dysplasia.
    MeSH terms: Delivery of Health Care; Humans; Reference Standards; Optical Imaging*
  6. Kirmasha YK, Sharba MJ, Leman Z, Sultan MTH
    Materials (Basel), 2020 Oct 28;13(21).
    PMID: 33126437 DOI: 10.3390/ma13214801
    Fiber composites are known to have poor through-thickness mechanical properties due to the absence of a Z-direction binder. This issue is more critical with the use of natural fibers due to their low strength compared to synthetic fibers. Stitching is a through-thickness toughening method that is used to introduce fibers in the Z-direction, which will result in better through-thickness mechanical properties. This research was carried out to determine the mechanical properties of unstitched and silk fiber-stitched woven kenaf-reinforced epoxy composites. The woven kenaf mat was stitched with silk fiber using a commercial sewing machine. The specimens were fabricated using a hand lay-up method. Three specimens were fabricated, one unstitched and two silk-stitched with deferent stitching orientations. The results show that the stitched specimens have comparable in-plane mechanical properties to the unstitched specimens. For the tensile mechanical test, stitched specimens show similar and 17.1% higher tensile strength compared to the unstitched specimens. The flexural mechanical test results show around a 9% decrease in the flexural strength for the stitched specimens. On the other hand, the Izod impact mechanical test results show a significant improvement of 33% for the stitched specimens, which means that stitching has successfully improved the out-of-plane mechanical properties. The outcome of this research indicates that the stitched specimens have better mechanical performance compared to the unstitched specimens and that the decrease in the flexural strength is insignificant in contrast with the remarkable enhancement in the impact strength.
    MeSH terms: Dietary Fiber; Epoxy Resins; Tensile Strength; Hibiscus; Silk; Laxatives
  7. Wibisono Y, Fadila CR, Saiful S, Bilad MR
    Polymers (Basel), 2020 Oct 28;12(11).
    PMID: 33126730 DOI: 10.3390/polym12112516
    Since the widespread of severe acute respiratory syndrome of coronavirus 2 (SARS-CoV-2) disease, the utilization of face masks has become omnipresent all over the world. Face masks are believed to contribute to an adequate protection against respiratory infections spread through micro-droplets among the infected person to non-infected others. However, due to the very high demands of face masks, especially the N95-type mask typically worn by medical workers, the public faces a shortage of face masks. Many papers have been published recently that focus on developing new and facile techniques to reuse and reinforce commercially available face masks. For instance, the N95 mask uses a polymer-based (membrane) filter inside, and the filter membrane can be replaced if needed. Another polymer sputtering technique by using a simple cotton candy machine could provide a cheap and robust solution for face mask fabrication. This review discuss the novel approaches of face mask reuse and reinforcement specifically by using membrane-based technology. Tuning the polymeric properties of face masks to enhance filterability and virus inactivity is crucial for future investigation.
    MeSH terms: Candy; Health Personnel; Humans; Masks; Polymers; Respiratory Tract Infections; Coronavirus; Severe Acute Respiratory Syndrome
  8. Mathew M, Sasikumar P, Vivek VJ, Kala R
    BMJ Case Rep, 2020 Oct 30;13(10).
    PMID: 33127709 DOI: 10.1136/bcr-2020-237982
    MeSH terms: Female; Humans; Nasal Cavity/surgery*; Tomography, X-Ray Computed; Tooth, Supernumerary/surgery*; Young Adult
  9. Sathian B, Asim M, Banerjee I, Pizarro AB, Roy B, van Teijlingen ER, et al.
    Nepal J Epidemiol, 2020 Sep;10(3):878-887.
    PMID: 33042591 DOI: 10.3126/nje.v10i3.31622
    Background: The World Health Organization has reported more than 31,186,000 confirmed cases of coronavirus disease-19 (COVID-19), including 962,343 deaths, worldwide as on September 21, 2020. The current COVID-19 pandemic is affecting clinical research activities in most parts of the world. The focus on developing a vaccine for SARS-CoV-2 and the treatment of COVID-19 is, in fact, disrupting many upcoming and/or ongoing clinical trials on other diseases around the globe. On March 18, 2020, the United States Food and Drug Administration (FDA) issued an updated guideline for the conduct of clinical trials during the current health emergency situation. The potential challenges, such as social distancing and quarantines, result in study participants' inaccessibility and trial personnel for in-person scheduled study visits and/or follow-up. Due to the sudden onset and wide-spread impact of COVID-19, its influence on the management of clinical trials and research necessitates urgent attention. Therefore, our systematic review of the literature aims to assess the impact of the COVID-19 pandemic on the conduction of clinical trials and research. The search for the relevant articles for review included the keywords "COVID-19" AND "clinical trial" in PubMed, MEDLINE, Embase, Google scholar and Google electronic databases. Key findings include: delaying subject enrollment and operational gaps in most ongoing clinical trials, which in turn has a negative impact on trial programmes and data integrity. Globally, most sites conducting clinical trials other than COVID-19 are experiencing a delay in timelines and a complete halt of operations in lieu of this pandemic, thus affecting clinical research outcomes.
    MeSH terms: Attention; Follow-Up Studies; Humans; Longitudinal Studies; Quarantine; United States; United States Food and Drug Administration; Vaccines; World Health Organization; MEDLINE; Coronavirus; Coronavirus Infections; PubMed; Pandemics
  10. Yunita Sari E, Saddki N, Yusoff A
    PMID: 33049972 DOI: 10.3390/ijerph17197337
    The integration of oral health into primary health care denotes the important role of medical counterparts as the front liners in antenatal care to help screen mothers for oral symptoms and refer them to dentists accordingly. However, the validity of self-perceived oral health status is inconclusive. This study determined the association between self-perceived oral symptoms and the presence of clinically diagnosed oral diseases in a sample of pregnant women. A total of 192 pregnant women participated in this cross-sectional study. Clinical oral examinations were performed to record dental caries experience, gingival health and periodontal health. The women were also asked about their oral symptoms. Most women had at least one oral symptom (84.9%): cavitated tooth (62.0%), bad breath (38.5%), bleeding gums (28.6%), and toothache (22.9%). About half of the women had untreated dental caries (58.9%), and the odds were significantly higher in women who complained of having cavitated tooth. About half of the women had moderate to severe gingivitis (53.7%), and the odds were significantly higher in women who complained of bleeding gums. About half had periodontal pockets (46.3%), and the odds were higher in women who complained of bleeding gums and bad breath although lower in women who complained of swollen gums. In conclusion, the prevalence of dental caries and periodontal disease among pregnant women in this study were relatively high. The presence of untreated dental caries, moderate and severe gingivitis, and periodontal pockets were significantly associated with their corresponding oral symptoms.
    MeSH terms: Cross-Sectional Studies; Dental Caries*; Disease*; Female; Humans; Malaysia; Oral Health; Periodontal Diseases*; Pregnancy; Pregnant Women
  11. Khan AQ, Ahmad I, Alayachi HS, M Noorani MS, Khaliq A
    Math Biosci Eng, 2020 09 09;17(5):5944-5960.
    PMID: 33120584 DOI: 10.3934/mbe.2020317
    We explore the local dynamics, flip bifurcation, chaos control and existence of periodic point of the predator-prey model with Allee effect on the prey population in the interior of $\mathbb{R}^*{_+^2}$. Nu-merical simulations not only exhibit our results with the theoretical analysis but also show the complex dynamical behaviors, such as the period-2, 8, 11, 17, 20 and 22 orbits. Further, maximum Lyapunov exponents as well as fractal dimensions are also computed numerically to show the presence of chaotic behavior in the model under consideration.
    MeSH terms: Animals; Models, Biological*; Population Dynamics; Predatory Behavior*
  12. Yue ZM, Yusof FM, Shafie S
    Math Biosci Eng, 2020 09 15;17(5):6181-6202.
    PMID: 33120594 DOI: 10.3934/mbe.2020327
    In this paper, we establish a ZIKV model and investigate the transmission dynamics of ZIKV with two types of harvesting: proportional harvesting and constant harvesting, and give the stability of the steady states of both disease-free and endemic equilibrium, analyze the effect of harvesting on ZIKV transmission dynamics via numerical simulation. We find that proportional harvesting strategy can eliminate the virus when the basic reproduction number $R_0$ is less than 1, but the constant harvesting strategy may control the virus whether the basic reproduction number is less than 1 or not. Epidemiologically, we find that increasing harvesting may stimulate an increase in the number of virus infections at some point, and harvesting can postpone the peak of disease transmission with the mortality of mosquito increasing. The results can provide us with some useful control strategies to regulate ZIKV dynamics.
    MeSH terms: Zika Virus*; Animals; Computer Simulation; Basic Reproduction Number; Mosquito Vectors
  13. Allman MJ, Fraser JE, Ritchie SA, Joubert DA, Simmons CP, Flores HA
    Insects, 2020 Oct 27;11(11).
    PMID: 33120915 DOI: 10.3390/insects11110735
    The artificial introduction of the endosymbiotic bacterium, Wolbachia pipientis, into Aedes (Ae.) aegypti mosquitoes reduces the ability of mosquitoes to transmit human pathogenic viruses and is now being developed as a biocontrol tool. Successful introgression of Wolbachia-carrying Ae. aegypti into native mosquito populations at field sites in Australia, Indonesia and Malaysia has been associated with reduced disease prevalence in the treated community. In separate field programs, Wolbachia is also being used as a mosquito population suppression tool, where the release of male only Wolbachia-infected Ae. aegypti prevents the native mosquito population from producing viable eggs, subsequently suppressing the wild population. While these technologies show great promise, they require mass rearing of mosquitoes for implementation on a scale that has not previously been done. In addition, Wolbachia induces some negative fitness effects on Ae. aegypti. While these fitness effects differ depending on the Wolbachia strain present, one of the most consistent and significant impacts is the shortened longevity and viability of eggs. This review examines the body of evidence behind Wolbachia's negative effect on eggs, assesses nutritional parasitism as a key cause and considers how these impacts could be overcome to achieve efficient large-scale rearing of these mosquitoes.
    MeSH terms: Aedes; Animals; Australia; Eggs; Humans; Indonesia; Longevity; Malaysia; Male; Symbiosis; Viruses; Prevalence; Wolbachia
  14. Ivorra T, Hauser M, Low VL, Tomberlin JK, Aliah NAN, Cammack JA, et al.
    Insects, 2020 Oct 27;11(11).
    PMID: 33121084 DOI: 10.3390/insects11110737
    Meliponiculture, the keeping of domesticated stingless bees such as Geniotrigona thoracica (Smith, 1857) (Hymenoptera: Apidae), is an increasingly popular agricultural industry in Malaysia. This study reports the soldier fly (Diptera: Stratiomyidae) species of the genus Hermetia colonizing stingless bee colonies in Malaysia. The larvae were reared in the laboratory to the adult stage and identified through molecular and morphological approaches. Hermetia illucens (Linnaeus, 1758) and Hermetia fenestrata de Meijere, 1904 (Diptera: Stratiomyidae) were identified from the sample provided. Earlier records of stratiomyids in stingless bee nests were misidentified as H. illucens. This paper represents the first identified record of H. fenestrata colonizing a "spoiled" stingless bee colony. In addition, adult and larval morphological differences between both species and the roles of both species in bee nest decomposition are discussed.
    MeSH terms: Agriculture; Animals; Bees; Diptera; Hymenoptera; Larva; Malaysia; Domestication
  15. Efendie B, Abdullah I, Yusuf E
    Sr Care Pharm, 2020 Nov 01;35(11):484-486.
    PMID: 33121570 DOI: 10.4140/TCP.n.2020.484
    The pandemic has affected all walks of life and businesses, including education at all levels. Movement controls have forced the schools and universities to migrate the teaching and learning to be fully online. Some universities in large cities in Malyasia had already implemented blended learning and thus, were better prepared to adjust to the current situation. However, the universities, which practiced mainly traditional didactic courses, were struggling to suddenly change the mode of delivery. Many relied on the creativity of the lecturers and students.
    MeSH terms: Education, Pharmacy/trends*; Humans; Indonesia/epidemiology; Malaysia/epidemiology; Pneumonia, Viral*; Coronavirus Infections*; Pandemics*
  16. Xia C, Lam SS, Sonne C
    Science, 2020 Oct 30;370(6516):539.
    PMID: 33122375 DOI: 10.1126/science.abf0461
    MeSH terms: Agriculture; Animals; Animal Welfare; Mink/virology*; Netherlands
  17. Nawi AM, Chin SF, Mazlan L, Jamal R
    Sci Rep, 2020 10 29;10(1):18670.
    PMID: 33122698 DOI: 10.1038/s41598-020-75760-9
    The burden of colorectal cancer (CRC) is increasing worldwide especially in developing countries. This phenomenon may be attributable to lifestyle, dietary and environmental risk factors. We aimed to determine the level of 25 trace elements, their interaction with environmental risk factors, and subsequently develop a risk prediction model for CRC (RPM CRC). For the discovery phase, we used a hospital-based case-control study (CRC and non-CRC patients) and in the validation phase we analysed pre-symptomatic samples of CRC patients from The Malaysian Cohort Biobank. Information on the environmental risk factors were obtained and level of 25 trace elements measured using the ICP-MS method. CRC patients had lower Zn and Se levels but higher Li, Be, Al, Co, Cu, As, Cd, Rb, Ba, Hg, Tl, and Pb levels compared to non-CRC patients. The positive interaction between red meat intake ≥ 50 g/day and Co ≥ 4.77 µg/L (AP 0.97; 95% CI 0.91, 1.03) doubled the risk of CRC. A panel of 24 trace elements can predict simultaneously and accurate of high, moderate, and low risk of CRC (accuracy 100%, AUC 1.00). This study provides a new input on possible roles for various trace elements in CRC as well as using a panel of trace elements as a screening approach to CRC.
    MeSH terms: Environmental Exposure*; Female; Humans; Life Style*; Male; Risk Factors; Trace Elements/blood*; Colorectal Neoplasms/etiology; Colorectal Neoplasms/mortality; Colorectal Neoplasms/epidemiology*; Incidence
  18. Smallbone A, Hanipah MR, Jia B, Scott T, Heslop J, Towell B, et al.
    Energy Fuels, 2020 Oct 15;34(10):12926-12939.
    PMID: 33122874 DOI: 10.1021/acs.energyfuels.0c01647
    Free-piston engine generators (FPEGs) have huge potential to be the principal energy conversion device for generating electricity from fuel as part of a hybrid-electric vehicle (EV) powertrain system. The principal advantages lay in the fact that they are theoretically more efficient, more compact, and more lightweight compared to other competing EV hybrid and range-extender solutions (internal combustion engines, rotary engines, fuel cells, etc.). However, this potential has yet to be realized. This article details a novel dual-piston FPEG configuration and presents the full layout of a system and provides technical evidence of a commercial FPEG system's likely size and weight. The work also presents the first results obtained from a project which set-out to realize an operational FPEG system in hardware through the development and testing of a flexible prototype test platform. The work presents the performance and control system characteristics, for a first of a kind system; these show great technical potential with stable and repeatable combustion events achieved with around 700 W per cylinder and 26% indicated efficiency.
    MeSH terms: Body Weights and Measures; Computers; Electricity; Physical Phenomena
  19. Abd Rashid N, Hussan F, Hamid A, Adib Ridzuan NR, Halim SASA, Abdul Jalil NA, et al.
    EXCLI J, 2020;19:1246-1265.
    PMID: 33122975 DOI: 10.17179/excli2020-2355
    Oxidative stress, inflammation and apoptosis are thought as primary mediators of cisplatin-induced hepatotoxicity. The objective of this study was to determine the protective effect of Polygonum minus essential oil in cisplatin-induced hepatotoxicity. A total of forty-two male rats were randomly divided into seven groups: control, cisplatin, β-caryophyllene 150 mg/kg (BCP), PmEO 100 mg/kg + cisplatin (PmEO100CP), PmEO 200 mg/kg + cisplatin (PmEO200CP), PmEO 400 mg/kg + cisplatin (PmEO400CP) and PmEO 400 mg/kg (PmEO400). Rats in the BCP, PmEO100CP, PmEO200CP, PmEO400CP and PmEO400 group received respective treatment orally for 14 consecutive days prior to cisplatin injection. All animals except for those in the control group and PmEO400 were administered with a single dose of cisplatin (10 mg/kg) intraperitoneally on day 15 and all animals were sacrificed on day 18. PmEO100CP pretreatment protected against cisplatin-induced hepatotoxicity by decreasing CYP2E1 and indicators of oxidative stress including malondialdehyde, 8-OHdG and protein carbonyl which was accompanied by increased antioxidant status (glutathione, glutathione peroxidase, superoxide dismutase and catalase) as compared to cisplatin group. PmEO100CP pretreatment also modulated changes in liver inflammatory markers (TNF-α, IL-1α, IL-1β, IL-6 and IL-10). PmEO100CP administration also notably reduced cisplatin-induced apoptosis significantly as compared to cisplatin group. In conclusion, our results suggested that P. minus essential oil at a dose of 100 mg/kg may protect against cisplatin-induced hepatotoxicity possibly via inhibition of oxidative stress, inflammation and apoptosis.
    MeSH terms: Animals; Antioxidants; Catalase; Cisplatin; Glutathione; Glutathione Peroxidase; Male; Malondialdehyde; Sesquiterpenes; Tumor Necrosis Factor-alpha; Interleukin-6; Interleukin-10; Cytochrome P-450 CYP2E1; Polygonum; Control Groups; Protein Carbonylation; Rats
  20. Lee KW, Yusof Khan AHK, Ching SM, Chia PK, Loh WC, Abdul Rashid AM, et al.
    Front Neurol, 2020;11:579070.
    PMID: 33123082 DOI: 10.3389/fneur.2020.579070
    Background: As the world witnessed the devastation caused by the coronavirus disease 2019 (COVID-19) outbreak, a growing body of literature on COVID-19 is also becoming increasingly available. Stroke has increasingly been reported as a complication of COVID-19 infection. However, a systematic synthesis of the available data has not been conducted. Therefore, we performed a systematic review and meta-analysis of currently available epidemiological, clinical, and laboratory data related to both stroke and COVID-19 infection. Methods: We systematically searched Medline, Cinahl, and PubMed for studies related to stroke and COVID-19 from inception up to June 4, 2020. We selected cohort studies, case series, and case reports that reported the occurrence of stroke in COVID-19 patients. A fixed-effects model was used to estimate the pooled frequency of stroke in COVID-19 patients with a 95% confidence interval (CI). Results: Twenty-eight studies were included in the systematic review and seven studies for the meta-analysis. The pooled frequency of stroke in COVID-19 patients was 1.1% (95% CI: 0.8, 1.3). The heterogeneity was low (I2 = 0.0%). Even though the frequency of stroke among patients having COVID-19 infection was low, those with concomitant COVID-19 infection and stroke suffered from a more severe infection and eventually had a poorer prognosis with a higher mortality rate (46.7%) than COVID-19 alone. Many COVID-19 patients shared the common traditional risk factors for stroke. We noted that ischemic stroke involving the anterior circulation with large vessels occlusion is the most common type of stroke with more strokes seen in multi-territorial regions, suggesting systemic thromboembolism. An elevated level of D-dimers, C-reactive protein, ferritin, lactic acid dehydrogenase, troponin, ESR, fibrinogen, and a positive antiphospholipid antibody were also noted in this review. Conclusions: The occurrence of stroke in patients with COVID-19 infection is uncommon, but it may pose as an important prognostic marker and indicator of severity of infection, by causing large vessels occlusion and exhibiting a thrombo-inflammatory vascular picture. Physicians should be made aware and remain vigilant on the possible two-way relationship between stroke and COVID-19 infection. The rate of stroke among patients with COVID-19 infection may increase in the future as they share the common risk factors.
    MeSH terms: C-Reactive Protein; Brain Ischemia; Ferritins; Fibrin Fibrinogen Degradation Products; Fibrinogen; Humans; Prognosis; Risk Factors; Troponin; Confidence Intervals; Coronavirus; Coronavirus Infections; Stroke
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