Patterns of Deranged Lipid Profiles in Patients of Chronic Hepatitis C Deranged lipid profile in hepatitis C patients

Liver plays an important role in lipid metabolism and any acute or chronic malfunction of the liver due to viral hepatitis or liver cirrhosis may induce lipid derangements Objective: To determine the patterns of deranged lipid profiles in patients of chronic hepatitis C Methods: It is a prospective, observational study, conducted at Medicine Department, Mayo Hospital Lahore for 6 months i.e.1stJanuary to 30th June 2018. After the ethical approval, 160 diagnosed cases of chronic hepatitis C of ages 18-70 years of either gender were selected by non-probability purposive sampling. Informed written consent was taken. Demographic information such as name, age and gender were recorded. Venous blood samples from patients after 10 to 14 hours of fasting were drawn for lipid profiles and sent to pathology laboratory. All results were expressed as mg/dl. Data were analyzed in SPSS version 22 Results: Out of 160 patients in this study, there were 94 males and 66 females. Total cholesterol was lower in 62.5% patients, normal in 33.75% patients and higher in 3.75% patients. Triglycerides levels were low in 66.25%, normal in 33.125%, and high in 0.625% patients. Low density lipoprotein (LDL) levels were low in 82.5% patients, normal in 10% and raised in 7.5% patients. High density lipoprotein (HDL) levels were low in 95%, normal in 4.375% & high in 0.625% patients Conclusions: Low levels of serum lipids including total cholesterol, triglycerides, LDL and HDL are seen in population suffering from chronic HCV infection.

Isolation and Characterization of Thermoduric Microflora from the Hot Springs of Azad Kashmir As Potential Biotechnological Agents

The present study is concerned with the isolation of thermoduric microflora from the hot springs of Azad Kashmir. A total of seventy two water samples mixed with some mud were collected from nine hot springs in Tatta Pani (Azad Kashmir) at four different time intervals depending upon seasonal variation, and were analyzed in-situ and ex-situ in terms of pH, temperature, soluble anions and cations, biological oxygen demand, chemical oxygen demand and electric conductivity. The temperature and pH of Tatta Pani hot springs (Azad Kashmir) ranged from 38-110 o C and 6.82-7.18, respectively. Thirty seven pure cultures were isolated from the said hot springs. Based on morphological, physiological and biochemical characterization, the isolates were divided into seven groups. One representative isolate from each group was further subjected to molecular characterization. All isolates showed thermoduricity, TP-1, TP-2, TP-3, TP-4 and TP-5 isolates tolerated 100 o C for 30 min, 105 o C for 20 min and 110 o C for 10 min while isolates TP-33 and TP-37 tolerated 110 o C for 30 min and 115 o C for 10 min. Isolate TP-1 was facultative anaerobic bacterium that formed pale yellow, round, smooth, flat and slimy colonies while the cells were Gram positive rods, about 3.5-5.0 μm in length to 0.6-0.7 μm in width and were motile. It showed growth within the temperature range of 35-80 o C with optimum growth observed at 65 o C. It grew within the pH range of 5.5-8.5 with optimal growth observed at pH 7.0. It tolerated NaCl within the range of 0-4.5% (w/v) with optimum growth observed at 1%. It showed growth on maltose, fructose, lactose, starch, xylan and CMC used as sole carbon source. It was oxidase and catalase positive and gave positive tests for o-nitro phenyl β-D- galactopyranoside, gelatin hydrolysis and produced acid from maltose. Almost complete 16S rRNA gene sequence analysis showed that it had 97% similarity with Geobacillus pallidus. TP-2 isolate was aerobic, Gram positive, motile, rod shaped bacterium that ranged in size from about 2.1-3.6 μm to 0.2-0.3 μm in width. It formed cream colored, round, smooth, flat and slimy colonies. The temperature and pH range for growth was found to be 45-75 o C and 5.5-8.5, respectively with optimum growth observed at 65 o C and pH 7.0. It showed growth within the NaCl concentration of 0-3.5% (w/v) with optimal growthxii observed at 0.5%. It was capable of growing on CMC, lactose, sucrose, starch, glucose, maltose, xylan, fructose and filter paper used as sole carbon source. It was catalase and oxidase positive and gave positive test for o-nitro phenyl β-D-galactopyranoside, gelatin hydrolysis and nitrate reduction and produced acid from glucose, maltose and sucrose. Based on 16S rRNA gene sequence analysis, isolate TP-2 gave low level of similarity (89%) with Geobacillus debilis. Isolates TP-3 and TP-4 were facultative anaerobic, Gram positive, catalase and oxidase negative, motile, rod shaped bacteria that showed growth within the temperature range and pH range of 45-75 o C and 5.5-9.0, respectively with optimal growth observed at 70 o C and pH 7.0. Isolates TP-3 and TP-4 showed optimal growth at 1.5% and 1.0% NaCl concentration, respectively and produced acid from maltose, sucrose and mannose while isolate TP-3 produced acid from glucose also. Isolate TP-3 utilized glucose, maltose, fructose, lactose, sucrose, starch, CMC, wheat bran extract and filter paper for growth while isolate TP-4 showed growth on maltose, fructose, lactose, sucrose, starch, wheat bran extract, xylan and CMC. 16S rRNA gene sequences showed that isolates TP-3 and TP-4 displayed 94% and 96% similarity, respectively with Geobacillus vulcani. Isolate TP-5 was facultative anaerobic, motile, Gram positive, catalase positive, oxidase negative, rod shaped bacterium, 2.7-3.8 μm in length to about 0.6-0.7 μm in width. It formed whitish, round, smooth, convex and slimy colonies. It grew optimally at 70 o C and pH 7.0 and tolerated NaCl concentration of 0-4% (w/v) with optimum growth observed at 0.5%. Isolate TP-5 utilized all the carbon sources (glucose, maltose, fructose, lactose, sucrose, starch, xylan, wheat bran extract, CMC and filter paper) for growth. It gave positive results for gelatin hydrolysis and nitrate reduction and produced acid from glucose, maltose, sucrose and mannose. 16S rRNA gene sequence analysis displayed 94% similarity with Geobacillus stearothermophilus. Based on phenotypic (morphological, physiological and biochemical) and genotypic (16S rRNA gene sequence analysis) characterization, and taking phylogenetic analysis into consideration, it was concluded that isolates TP-1, TP-3, TP-4 and TP-5 belonged to the genus Geobacillus while isolate TP-2 was quite distinct in its characters from the known Geobacillus species as well as to other established genra, so it mayxiii represent a novel strain. Further, intracellular protein profiling of bacterial isolates using SDS-PAGE analysis with the type strain of Geobacillus pallidus displayed that intracellular protein pattern of isolate TP-1 was most closely related to the intracellular protein pattern of Geobacillus pallidus ATCC 51176 (type strain), isolates TP-3, TP-4 and TP-5 displayed intermediate level of differences in protein pattern in comparison to that of type strain while the intracellular protein pattern of isolate TP-2 was most distant as compared to type strain. Isolates TP-33 and TP-37 were anaerobic archaea that formed off-white, round colonies. The cells were Gram negative cocci having diameter of 0.7-1.5 and 0.7-1.7 μm for isolates TP-33 and TP-37, respectively. Isolates TP-33 and TP-37 grew optimally at 80 o C and 75 o C, respectively and at pH 7.0. The optimal NaCl concentration for growth was determined to be 0.5% and 0.3% for isolates TP-33 and TP-37, respectively. Isolates TP-33 and TP-37 grew on complex proteinaceous substrates i.e, peptone, tryptone and yeast extract while were unable to grow in the absence of cystine. Isolate TP-33 utilized maltose and starch for growth while isolate TP-37 was unable to grow on any of the carbon sources tested in the absence of proteinaceous substrates but grew on xylan and glucose in the presence of 0.1% peptone. 16S rRNA gene sequence analysis showed that isolates TP-33 and TP-37 displayed 97% and 95% similarity with Thermococcus waiotapuensis and Thermococcus zilligii, respectively. Based on morphological, physiological and molecular characterization as well as phylogenetic analysis it was found that isolates TP-33 and TP-37 belonged to the genus Thermococcus. Isolate TP-1 produced extracellular α-amylase, CMCase, xylanase, lipase and protease, isolate TP-2 produced extracellular α-amylase, CMCase, FPase, xylanase, lipase and protease, isolate TP-3 gave extracellular activities for α-amylase, CMCase, FPase, lipase, protease and phytase enzymes, isolate TP-4 gave extracellular activities for α-amylase, CMCase, lipase, protease and phytase and isolate TP-5 gave extracellular activities for α-amylase, CMCase, FPase, xylanase, lipase and protease. Intracellular CMCase activity was recorded for isolates TP-1, TP-2, TP-3, TP-4 and TP-5 while intracellular FPase activity was observed for isolates TP-2, TP-3 and TP-5. Isolate TP-33 gave positive result for extracellular α-amylase while isolate TP-37 gave positive resultxiv for extracellular xylanase and protease. Maximum α-amylase activity (0.993 U/ml/min) was given by isolate TP-5, isolate TP-1 gave maximum production of extracellular CMCase (0.091 U/ml/min), intracellular CMCase (0.025 U/g/min), extracellular xylanase (0.587 U/ml/min), extracellular lipase (0.23 U/ml/min) and extracellular protease (0.314 U/ml/min). Maximum extracellular FPase activity (0.021 U/ml/min) was given by isolate TP-5 while isolate TP-3 gave maximum production of intracellular FPase (0.009 U/g/min) and extracellular phytase (0.023 U/ml/min).