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Home > Comparative Analysis of Biochemically and Behaviorally Symptomatic and Asymptomatic Hepatitis C Positive Patients, Karachi and Effect of Aflatoxin B1 on Hepatitis C.

Comparative Analysis of Biochemically and Behaviorally Symptomatic and Asymptomatic Hepatitis C Positive Patients, Karachi and Effect of Aflatoxin B1 on Hepatitis C.

Thesis Info

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Author

Zia, Zubia

Program

PhD

Institute

Baqai Medical University

City

Karachi

Province

Sindh

Country

Pakistan

Thesis Completing Year

2019

Thesis Completion Status

Completed

Subject

Pharmacology

Language

English

Link

http://prr.hec.gov.pk/jspui/bitstream/123456789/12418/1/Zubia%20Zia%20Pharmacology%202019%20Baqai%20medical%20uni%20prr.pdf

Added

2021-02-17 19:49:13

Modified

2024-03-24 20:25:49

ARI ID

1676725750853

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Pakistan is the country, which has contributed to the excessive burdens of hepatitis C of chronic nature as a result of which high rate of mortality has been reported that are triggered by the conditions of liver failure and hepatocellular carcinoma. Simultaneously, there is very less recent data available for depicting the prevalence and risk factors associated with the clinical condition on the national level, whereas different studies have been put forth with varying rate of prevalence in the country. High prevalence rate of hepatitis C has been observed in Pakistan, which elaborates that about 10 million of the population has been diagnosed with the infection of hepatitis C alone. The study was designed to obtain adequate information about underlying factors that are contributing to the increase prevalence of this disease. Knowledge regarding high risk factors among carriers of HCV, role of biochemical parameters, therapeutic effect of drugs prescribed against the disease on clinical outcome along with this, the exposure of aflatoxin B1 among HCV infected patients and quality of lifestyle of these patients were studied in depth that provides significant insight into the study. This is a cross sectional designed study conducted to collect data from HCV patients. Patients visiting hospital setting (JMPC) were approached to participate in the study and explained the purpose of this research. Those who accepted to contribute, their approval in written has been taken on informed consent form signed by patients. Afterwards, their blood samples were withdrawn for confirmation of HCV RNA that was detected by the polymerase chain reaction (PCR). Patient, who were found positive after evaluation through PCR, i.e. 88 patients were enrolled in the study. Their blood samples were also evaluated for liver enzymes and aflatoxin B1 levels. Patients were then provided with a structured proforma containing various questions for evaluation of their demographic data, to assess their knowledge status, history of exposure to high risk factors (to identify possible cause of Hepatitis C Virus acquaintance) and to observe their routine lifestyle practices. Afterwards, their blood samples were also evaluated to assess hepatic biomarkers, and other biochemical test. Elisa was used to assess the levels of aflatoxin B1. Appropriate treatment regimen was then provided to enroll patients including interferon and ribavirin for the period of 6 months. During the period patients were properly followed and after that, their blood samples were again withdrawn for post-treatment analysis of HCV status, hepatic biomarkers and other biochemical tests. Conferring to the findings of this study, based on post treatment analysis, patients were divided into two groups. Those found negative with HCV RNA were placed in one group named `treatment responder group`, others with positive HVC RNA were placed in second group named `treatment non-responder group`. Statistical analysis was performed on IBM SPSS 20. Chi-square test was used to find possible association among various parameters qualitatively. Socio-demographic assessment of the study population revealed that the high incidence of HCV patients reported at above 40 years of age make up to 60% of total population. While females were found to be the most susceptible ones. This study also reported that the rate of incidence of this disease is higher in patients who are illiterate or have received no formal education i.e. 60%. Along with this high incidence of HCV have also been observed in patients with less earning outcome. However, most of the patients affected lived in proper houses which indicate the lack of serious apprehension towards avoidance of associated risk for this disease. On assessing the knowledge of patients toward the risk factors associated with transmission of hepatitis C, most of the patients found aware of the fact that blood transfusion, unsafe sex, blade, razor, miswak, used needles, tattoo along with ear and nose piercing have potential to spread disease whereas they were found quiet unaware about body secretion as well as use of utensils of persons already infected with HCV which also have the ability to transmit the disease. On evaluating the historical events of studied patients, foremost reason responsible for transmission of hepatitis C infection was possibly the use of unsterile instruments during any surgery or dental procedure. However, the other reasons accounts for transmission of this disease in patients could be a family member affected with HCV, may be blood transfusion, piercing of any body part usually ear or nose, exposed to needle stick injury etc. Insecure sex along with injecting drug are also contributing for the disease but to a lesser extent. The effects of therapy provided against HCV infection comprising of interferon and ribavirin on hepatic biomarkers and various blood parameters have been investigated in this study. In post treatment analysis significant adaptations have been observed in serum ALT levels, bilirubin, HBA1c, prothrombin time and levels of uric acid i.e. P-value < 0.05. While there is no such association recorded between anti HCV drugs and serum levels of AST, GGT, alkaline phosphatase, total proteins and serum creatinine. The established side effects of therapy on hematopoietic lineages have also been observed representing reduction in Hb levels and platelet count. Exposure of aflatoxin B1 among HCV patients have also being ruled out. Aflatoxins are mutagenic, carcinogenic, teratogenic, and immunosuppressive in nature. It is present in nuts, grains, and cottonseed as well as other commodities that are related to food for human consumption or animal feeds. On the other hand, some of crops may be observed contaminated by the manifestation of one or more sub-types of the aflatoxins including B1, B2, G1, and G2. Aflatoxin B1 is known for its toxic nature among other types of aflatoxins, which is mainly due to its hepatotoxic and hepatocarcinogenic properties that not only leads to the development of hepatitis, but also contribute to the manifestation of lung cancer, HCC, and immune suppression. This study did not found any association on treatment outcome of therapy directed against HCV in connection with AFB1 exposure. On the other hand, the evaluation of patients exposed to AFB1 showed that most cases of AFB1 exposure has been reported at age group of 50-59 years. However, with the increase in age, increase in exposure has also been observed upto 60 years. Females were found to have more exposed gender with AFB1 whereas males are also exposed to this toxin. Educational standing of the patients exposed to AFB1 suggest that there is no difference recorded based on literacy. As noted in study most educated people have more AFB1 exposure. Similarly, income level as well as the type of house in which patients are living does not affect the level of AFB1exposure. In a nut shell, this study through light primary factors accountable for increase prevalence of HCV in which socio-demographic characteristic play a vital role. Patients were quiet aware of most of the transmission factors that are increasing burden of the disease. Most of the patients could have received this virus (HCV) after some surgical procedures. Moreover, after receiving therapy against this disease, mostly patients have responded and the consequence of therapy on hepatic biomarkers and other biochemical parameters were also noted. Significant correlation was documented against serum ALT levels, bilirubin, HBA1c, prothrombin time and levels of uric acid along with decreasing effect on hematopoietic lineages. The level of aflatoxin exposure among patients were independents of socio-demographic factors.
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پہچان

 

رات پہلے بھییہاں آتی رہی

چیختی چنگھاڑتی تاریکیاں

بیڑیوں کا شور، کوڑوں کی صدا

شب کا اندھا حکم، سہمی سی ہوا

رات کو پہچان لیتے تھے سبھی

 

رات پھر آئی ہے

لیکن روشنی کے بھیس میں

دن کے پردے میں اندھیرے فیصلے

خامشی میں چھپ کے آئے

ہونکتے، پھنکارتے

ظلمتوں کے ضابطے

 

پھر بھی دنیا جانتی ہے رات کو

خلق اب پہچانتی ہے رات کو

دور الإنفاق في سبیل اللہ في رفاھیة المجتمع المعاصر في ضوء فقه السیرۃ

Spending in the cause of Allh is one of the most important ways for the welfare of society and all the divine books agreed about its vital role in the betterment of human lives. But it is obvious from Quraan that not everyone has capacity for it but only those who are saved from stinginess: And whoever is protected from the stinginess of his soul - it is those who will be the successful. (Al-Hashr: 09) It is also very relevant question in this regard that what should be spent? And how and where should be spent? Hence only that type of spending which is according to the need of time is worthy to be called as best use of it, as Prophet (Peace be upon Him) pointed out to the charity of water when Saad ibn e ubadah asked him about the best mean of charity after the death of his mother and people were in urgent need of water. So it is clear that the one who intended to charity must have the actual and original idea about the demand of those who are in crises and then he should decide to arrange the appropriate means in this regard. We found crystal clear indications in the seerat ur rasool (Peace be upon Him) about the appropriate spending in accordance with the demands of current time like the encouraging the release of slaves especially in the Makkah and the treaty of brotherhood among the immigrants and the ansaar and promoting the building of prophetic mosque and preparing the army for battles and promising the abode in paradise in response. This article deals with role of charity in welfare of current society by the proper means and ways, some of the important points are as follows: 1. Introduction. 2. Importance of Infaq in Quraan and Sunnah. 3. Examples of charity in accordance with the demands of society in light of seerah. 4. Charity endowments and its role in the well-being of society in the light of fiqh us seerah. 5. The needs of contemporary society and the role of Charity endowments. 6. Pre-protection from negativity, because prevention is better than cure. 7. Recommendations or proposals for proper expenditure

Green Synthesis of Antimicrobial Nanoparticles Silver and Zinc Oxide and Production of Commercially Important Secondary Metabolites from in Vitro-Derived Cultures of Linum Usitatissimum L.

2.1. ABSTRACT Linum usitatissimum L. is well-known for production of pharmacologically important secondary metabolites. Due to their tremendous beneficial effects on human health, these compounds are receiving greater attention throughout the World, especially in the treatment of various types of cancers. In present study, we have developed an efficient protocol for production of lignans like secoisolariciresinol diglucoside (SDG) and lariciresinol diglucoside (LDG) and neolignans like dehydrodiconiferyl alcohol glucoside (DCG) and guaiacylglycerol-β-coniferyl alcohol ether glucoside (GGCG) by exploiting in vitro callus cultures of flax. These cultures were established from stem and leaf explants, inoculated on Murashige and Skoog (MS) media supplemented with various concentrations of α-naphthalene acetic acid (NAA), thidiazuron (TDZ) and 6-benzyl adenine (BA). Results revealed that the leaf-derived calli (1.0 mg/l = 5.37 μM NAA) accumulated highest levels of biomass (DW; 15.7 g/l) with antioxidant activity of 91.51%, while highest production of total phenolics (111.09 mg/l) and flavonoids (45.02 mg/l) were observed in stem-derived calli (1.0 mg/l = 5.37 μM NAA). The high-performance liquid chromatography (HPLC) analysis revealed that the stem-derived calli (1.0 mg/l = 5.37 μM NAA) accumulated optimum concentrations of SDG (2.7 ± 0.021 mg/g DW), LDG (9.8 ± 0.062 mg/g DW) and DCG (13.8 ± 0.076 mg/g DW), while leaf-derived calli (1.0 mg/l = 5.37 μM NAA) showed optimum accumulation of GGCG (3.8 ± 0.022 mg/g DW) as compared to all other treatments. These results provided an evidence that the NAA differentially influence the production of lignans and neolignans in callus culture of flax. This study open new dimensions to devise strategies to enhance the production of these valuable metabolites. 3.1. ABSTRACT Flax lignans and neolignans are well-known for their incredible beneficial effects on human health, especially in the treatment of various types of cancers. The present study enhances the comprehension of biosynthesis of lignans, neolignans and other biochemical markers in in vitro callus and adventitious root cultures of flax. The results showed that the adventitious root culture was more efficient for production of lignans (at day-40) and neolignans (at day-30) than callus culture of flax. Reverse phase-high performance liquid chromatography (RP-HPLC) analysis showed that the accumulation of secoisolariciresinol diglucoside (5.5 mg/g DW) and dehydrodiconiferyl alcohol glucoside (21.6 mg/g DW) was 2-fold higher, while lariciresinol glucoside (11.9 mg/g DW) and guaiacylglycerol-βconiferyl alcohol ether glucoside (4.9 mg/g DW) was 1.5-fold higher in adventitious root culture than callus culture. Furthermore, the highest level of total phenolic production (119.01 mg/l) with antioxidant activity of 91.01% was found in adventitious root culture at day-40 while maximum level of total flavonoid production (45.51 mg/l) was observed in callus culture at day-30 of growth dynamics. These findings suggest that adventitious root culture can be scaled up to bioreactor for commercial production of these valuable metabolites. 4.1. ABSTRACT Lignans and neolignans are principal bioactive components of Linum usitatissimum L. (flax), having multiple pharmacological activities. In present study, we are reporting an authoritative abiotic elicitation strategy of photoperiod regimes along with UV-C radiations. Cell cultures were grown in different photoperiod regimes (24h-dark, 24h-light and 16L/8D h photoperiod) either alone or in combination with various doses (1.8-10.8 KJ/m2) of ultraviolet-C (UV-C) radiations. Secoisolariciresinol diglucoside (SDG), lariciresinol diglucoside (LDG), dehydrodiconiferyl alcohol glucoside (DCG), and guaiacylglycerol-β-coniferyl alcohol ether glucoside (GGCG) were quantified by using reverse phase-high performance liquid chromatography (RP-HPLC). Results showed that the cultures exposed to UV-C radiations, accumulated higher levels of lignans, neolignans and other biochemical markers than cultures grown under different photoperiod regimes. 3.6 KJ/m2 dose of UV-C radiations resulted in 1.86-fold (7.1 mg/g DW) increase in accumulation of SDG, 2.25-fold (21.6 mg/g DW) in LDG, and 1.33-fold (9.2 mg/g DW) in GCGG in cell cultures grown under UV + photoperiod than their respective controls. While cell cultures grown under UV + dark showed 1.36-fold (60.0 mg/g DW) increase in accumulation of DCG in response to 1.8 KJ/m2 dose of UV-C radiations. Additionally, 3.6 KJ/m2 dose of UV-C radiations also resulted in 2.82-fold (195.65 mg/l) increase in total phenolic production, 2.94-fold (98.9 mg/l) in total flavonoid production and 1.04-fold (95%) in antioxidant activity of cell cultures grown under UV + photoperiod. These findings open new dimensions for reliable, consistent and enhanced production of biologically active lignans and neolignans at commercially feasible levels. 5.1. ABSTRACT Green synthesis of silver nanoparticles (AgNPs) by using plants is an emerging class of Nanobiotechnology. It revolutionizes all domains of medical sciences, by synthesizing the chemical-free AgNPs for various biomedical applications. In current report, AgNPs were successfully synthesized by using whole plant extract (WPE) and Thidiazuron-induced callus extract (CE) of L. usitatissimum. The phytochemical analysis revealed that the total phenolic and flavonoid content were higher in CE than WPE. Ultra violet-visible spectroscopy (UV-Vis) of synthesized AgNPs showed characteristic surface plasmon band in the range of 410-426 nm. Bioreduction of CE-mediated AgNPs was completed in shorter time than that of WPE-mediated AgNPs. Scanning electron microscopy (SEM) showed that both types of synthesized AgNPs were spherical in shape but CE-mediated AgNPs were smaller in size (19-24 nm) and more scattered in distribution than WPEmediated AgNPs (49-54 nm). X-ray diffraction (XRD) analysis confirmed crystalline nature (face-centered cubic) of both types of AgNPs. Fourier-transform infrared spectroscopy (FTIR) revealed that the polyphenols and flavonoids were mainly responsible for reduction and capping of synthesized AgNPs. Energy dispersive X-ray analysis (EDX) further confirmed the successful synthesis of AgNPs. Moreover, the synthesized AgNPs were found stable over months with no change in the surface plasmon bands. More importantly, CE-mediated AgNPs displayed significantly higher bactericidal activity against multiple drug resistant human pathogens than WPE-mediated AgNPs. The present work highlighted the potent role of TDZ in in vitro-derived cultures for enhanced biosynthesis of chemical-free AgNPs, which can be used as nanomedicines in many biomedical applications. 6.1. ABSTRACT The use of plants and plant-derived materials for biosynthesis of zinc oxide nanoparticles (ZnONPs) is developing into a lucrative field of green nanotechnology and gaining more importance owing to its simplicity, rapidity, and eco-friendliness. In present study, a novel and efficient green approach has been developed for biosynthesis of ZnONPs by exploiting the in vitro platform of plants. Two different in vitro cultures extracts i.e.; callus extract (CE) and adventitious root extract (RE) of flax were used as a source of reducing and stabilizing agents. Phytochemical analysis revealed that the RE was rich in phytochemical reducing agents as compared to CE. UV-visible spectroscopy showed that the bioreduction of RE-mediated ZnONPs completed in shorter time than CE-mediated ZnONPs. Scanning electron microscopy showed that CE-mediated ZnONPs were spherical with weak agglomeration but the RE-mediated ZnONPs were hexagonal in shape with uniform distribution of particles. X-ray diffraction analysis showed that the both type of ZnONPs exhibited the same crystalline nature (wurtzite hexagonal) but vary in their sizes. REmediated ZnONPs were smaller in size (34.97 nm) than CE-mediated ZnONPs (61.44 nm). Fourier-transform infrared spectroscopy revealed that the polyphenols (lignans), carboxylic acids and aromatic compounds were mainly involved in reduction and capping of both type of ZnONPs. Moreover, the RE-mediated ZnONPs showed more potent antibacterial and antileishmanial activity against multidrug resistant bacterial strains and parasite of Leishmania major than CE-mediated ZnONPs. The present work highlighted the potent role of in vitro cultures of flax in enhanced biosynthesis, antibacterial and antileishmanial activities of ZnONPs." xml:lang="en_US