Journal of medical and pharmaceutical innovation, 2015
Platinum based chemotherapeutic agents like carboplatin and cisplatin are highly recommended drug... more Platinum based chemotherapeutic agents like carboplatin and cisplatin are highly recommended drugs in ovarian cancers and now has become an integral part of adjuvant chemotherapy regimen in lung cancer patients. Hypersensitivity reactions developing immediately or a few days later have been sporadically reported in many literatures which included both ovarian and lung cancer patients. Knowledge and preparedness to tackle these adverse reactions which may also be life threatening at times is essential for the care givers. This case also very typically suffered from hypersensitivity reactions upon repeated administration of carboplatin which was effectively tackled by anti-allergic medications and the treatment could be completed by timely intervention.
Indian Journal of Clinical Biochemistry, Jun 22, 2014
Prostate specific antigen is considered to be a tumour marker having maximum utility and specific... more Prostate specific antigen is considered to be a tumour marker having maximum utility and specificity for prostate cancer since decades. After the discovery of methods to quantify different molecular fractions of prostate specific antigen (PSA), its usefulness in diagnosing early prostate cancer cases has increased tremendously. The ''specificity'' of PSA, is now challenged by many studies which proved that PSA, once believed to be secreted exclusively by prostatic epithelium, is also present in females. The exact biological role of extraprostatic PSA is still debatable though many theories substantiated by in vitro evidence has been put forward. With the advent of ultrasensitive analytical techniques, PSA is now quantifiable in female serum in its various molecular forms and this has led to many assumptions of it being useful as a marker in female breast cancers. In a similar scenario to prostate cancer, the ratio of free to total PSA is shown to be useful in detecting early breast cancer cases. It is also shown to be a good prognostic indicator and a predictor of response to therapy and recurrence. Apart from its role in breast cancer, it has been advocated to be a marker of hyper androgenic states in women like hirsutism and polycystic ovarian syndrome. Conflicting reports regarding the role of extra prostatic PSA is accumulating but it has been proven beyond doubt that PSA is no longer specific and confined to prostate gland. Various studies have registered that PSA is an ubiquitous molecule, secreted by hormone responsive organs and its synthesis is stimulated by androgens and progesterone but not oestrogens. In this article, a review of various literatures is done about the presence of extra prostatic PSA, its probable role in those sites as well as its utility as a tumour marker in breast cancer.
Oral squamous cell carcinoma is the sixth most common cancer worldwide. Despite the available tre... more Oral squamous cell carcinoma is the sixth most common cancer worldwide. Despite the available treatment, the survival rate is poor. The addition of agents to make chemotherapeutics safer and more effective is important. Curcumin is a common Indian spice that has shown anticarcinogenic properties. It has been possible to overcome its poor bio-availability using nanotechnology. We aimed to investigate the adjuvant effect of nanocurcumin (NC ~ 200 nm size) treatment on cetuximab (epidermal growth factor receptor inhibitor) in oral squamous cancer cells (KB 3-1 cell). Cancer cells were cultured and treated for 24 hours with cetuximab and NC, in various doses to find the drugs' half-maximal inhibitory concentration (IC 50). Experiments were conducted with a combination dose of both and sensitization treatment with NC before cetuximab with cytotoxicity assessment by 3-(4,5-dimethylthiazol-2-yl)-2,5-diphenyltetrazolium bromide assay. One-way analysis of variance (ANOVA) was used to compare different treatment groups. We found a concentration-dependent cancer cell death with NC, which was significant compared to cetuximab (p <0.001). The combination treatment group had highly significant cell death (p <0.0001) compared to a single drug, and the NC sensitization caused substantial cell death compared to a single cetuximab treatment (p<0.01). Our study findings indicate the potential chemo-adjuvant effect of NC in oral cancer.
Indian Journal of Clinical Biochemistry, Feb 4, 2011
Now a days measurement of molecular forms of PSA has gained importance in clinical practice. Seve... more Now a days measurement of molecular forms of PSA has gained importance in clinical practice. Several studies have demonstrated the production of PSA in female tissues, such as breast. The present piece of work has been undertaken with an objective to estimate the relative proportion of the molecular forms of PSA in serum along with serum testosterone in benign and malignant breast tumor cases and to analyze their association with the severity of the disease process 34 malignant and 26 benign breast disease cases along with 33 healthy controls of same age group were enrolled in this study for evaluation. Serum testosterone was measured by ELISA, whereas serum total PSA (TPSA) and free PSA (FPSA) were estimated by electrochemiluminescence immunoassay. A significant rise of fasting plasma glucose along with prominent dyslipidemia was observed in breast tumor cases. Marked rise in serum testosterone as well as TPSA and FPSA was documented in both benign and malignant breast tumor cases. Serum testosterone revealed a significant positive association with both TPSA and FPSA pointing towards an etiological association between them. However, surgical removal of tumor mass resulted in a marked decline of presurgical value of both TPSA and FPSA with a nonsignificant fall in serum testosterone revealing tumor tissue as the source of FPSA and TPSA. Thus, estimation of PSA provides prognostic information that may assist in future treatment.
Introduction Subclinical hypothyroidism (SCH) and gestational diabetes mellitus (GDM) are common ... more Introduction Subclinical hypothyroidism (SCH) and gestational diabetes mellitus (GDM) are common endocrinological abnormalities associated with pregnancy. The presence of a raised anti-thyroperoxidase (anti-TPO) antibody titer increases the risk of progression of subclinical hypothyroidism to overt hypothyroidism. Subclinical hypothyroidism and GDM are known to affect maternal and fetal outcomes adversely. A few studies have shown an increased risk of GDM with autoimmune hypothyroidism. However, data regarding this association between GDM, SCH, and anti-TPO Ab are scarce. This study aimed to find the prevalence of autoimmune subclinical hypothyroidism and its association with GDM in pregnancy. Materials and methods In a cross-sectional study, 382 pregnant women at their first antenatal checkup (ANC) were enrolled in the study. Serum thyroid-stimulating hormone (TSH), free T4 (FT4), anti-TPO Ab, and the 75 g oral glucose tolerance test (OGTT) were evaluated. The results obtained were analyzed in Systat Version 13.2 (SPSS Inc., Chicago, IL). Observations Results showed an SCH prevalence of 37.69% with a raised anti-TPO Ab titer in 49.31% of the diagnosed SCH cases, pointing towards an autoimmune etiology. Our study revealed a GDM prevalence of 12.04%. Out of the 46 GDM cases, 16 were found to have SCH and 3 cases had raised anti-TPO Ab titers. In our study, 27.73% of euthyroid pregnant women had a raised anti-TPO Ab titer. Our study revealed no significant association between GDM, SCH, and raised anti-TPO Ab titer. Conclusion Anti-TPO antibody subsequently leads to hypothyroxinemia, for which it is necessary that cases with high titer of anti-TPO antibody though euthyroid should be meticulously followed up and screened for to detect development of hypothyroidism or SCH, particularly in future pregnancies. However, GDM prevalence was at par with the national figure, but with no significant association of SCH and a high anti-TPO ab titer was found with GDM in our study. Further studies with a larger cohort may establish a causal association between the two most common endocrinological disorders observed in pregnancy.
Introduction Delay in the analysis of serum electrolytes along with clot contact time can lead to... more Introduction Delay in the analysis of serum electrolytes along with clot contact time can lead to difference in results significant enough to affect clinical decisions. This study was undertaken to evaluate the effect of time lag between centrifugation and analysis on levels of serum sodium, potassium, and ionized calcium in a tertiary level health care set up. Materials and Methods In this cross-sectional study, 70 serum samples were analyzed for ionized calcium, sodium, and potassium under different conditions with respect to time lag and clot contact time. The analysis of ionized calcium was done on Eschweiler Combiline 2, a direct ion-selective electrode (ISE) analyzer. Serum sodium and potassium were analyzed on fully automated chemistry analyzer, which is an indirect ISE analyzer. The statistical analysis was done in IBM SPSS software version 21. Results The results for intergroup comparison with different time lag and clot contact time between all the four groups for sodium, ...
Oral squamous cell carcinoma is the sixth most common cancer worldwide. Despite the available tre... more Oral squamous cell carcinoma is the sixth most common cancer worldwide. Despite the available treatment, the survival rate is poor. The addition of agents to make chemotherapeutics safer and more effective is important. Curcumin is a common Indian spice that has shown anticarcinogenic properties. It has been possible to overcome its poor bio-availability using nanotechnology. We aimed to investigate the adjuvant effect of nanocurcumin (NC ~ 200 nm size) treatment on cetuximab (epidermal growth factor receptor inhibitor) in oral squamous cancer cells (KB 3-1 cell). Cancer cells were cultured and treated for 24 hours with cetuximab and NC, in various doses to find the drugs' half-maximal inhibitory concentration (IC 50). Experiments were conducted with a combination dose of both and sensitization treatment with NC before cetuximab with cytotoxicity assessment by 3-(4,5-dimethylthiazol-2-yl)-2,5-diphenyltetrazolium bromide assay. One-way analysis of variance (ANOVA) was used to compare different treatment groups. We found a concentration-dependent cancer cell death with NC, which was significant compared to cetuximab (p <0.001). The combination treatment group had highly significant cell death (p <0.0001) compared to a single drug, and the NC sensitization caused substantial cell death compared to a single cetuximab treatment (p<0.01). Our study findings indicate the potential chemo-adjuvant effect of NC in oral cancer.
Clinical Journal of the American Society of Nephrology, 2008
Background/Aim: Subclinical hypothyroidism (SCH) and end-stage renal disease (ESRD) are independe... more Background/Aim: Subclinical hypothyroidism (SCH) and end-stage renal disease (ESRD) are independent risk factors for cardiovascular mortality. We aimed to study the prevalence of SCH in ESRD patients and assessed its associated risk factors. Methods: This cross-sectional study was conducted at 2 tertiary-care centers in Chennai, India, over a 3-year period. The study group comprised 137 patients with ESRD on thrice weekly regular maintenance hemodialysis. Free thyroxine (FT 4) and thyroid-stimulating hormone (TSH) were measured using an electrochemiluminescence immunoassay. SCH was defined as TSH ranging between 4.5 and 10 mIU/l with normal FT 4 (0.93-1.7 ng/dl). Patients with overt hypothyroidism, SCH and overt hyperthyroidism, those on medications affecting thyroid function and pregnant women were excluded from the study. Results: Of 137 ESRD patients (mean age: 43 8 13.38 years), 107 were males (78.1%), 45 diabetics (32.8%), 127 hypertensives (92.7%), and 38 smokers (27.7%). Prevalence of SCH was 24.8%. In unadjusted (OR: 3.37, 95% CI: 1.91-5.21) and adjusted (for age, gender, HbA 1C , and albumin/creatinine ratio; OR: 3.11, 95% CI: 2.15-4.98) logistic regression analysis, serum albumin was significantly associated with SCH. Further, multiple linear regression identified that for every 1 g/dl drop in serum albumin TSH increased by 4.61 mIU/l (95% CI: 2.75-5.92). Conclusion: We observed a high prevalence of SCH in our ESRD patients. Also, serum albumin was significantly associated with SCH in our study.
The newly discovered role of Vitamin D is now the current area of research as the ubiquitous pres... more The newly discovered role of Vitamin D is now the current area of research as the ubiquitous presence of its receptor VDR and the presence of its activating enzymes like 1 alpha Hydroxylase implies its effect in various other metabolic processes other than bone growth and calcium metabolism. This review articles discusses about the role of Vitamin D deficiency and beneficial effect of its replenishment in Diabetes Mellitus particularly at molecular level affecting gene expression through various pathways. This new fangled role of Vitamin D in Diabetes Mellitus opens a new arena of research and prevention of Diabetes mellitus by its supplementation therapy.
Effects of overt hypothyroidism on pregnancy outcomes and fetal development are well established ... more Effects of overt hypothyroidism on pregnancy outcomes and fetal development are well established and treatment protocol is reputable. Subclinical hypothyroidism poses a major health problem in pregnancy. Requirement of iodine increases in pregnancy as demand for synthesis of excess thyroid hormones is there during pregnancy. This is because of fetal dependency on maternal thyroid hormones till 12 weeks of gestation as fetal thyroid tissue is not matured enough to produce adequate hormones for the growing fetus. Hence, dietary iodine deficiency or intake of excess goitrogens in diet can be the major cause of overt and subclinical hypothyroidism in pregnancy. Apart from this autoimmune basis of overt and sub clinical hypothyroidism is also equally important in pregnant women. Data accumulating shows presence of antibodies like anti TPO antibody (anti thyroperoxidase antibody) and anti Tg antibody (anti thyroglobulin antibody) in pregnancy which is associated with increased prevalence of overt and sub clinical hypothyroidism and aggravation of the symptoms associated with it. Studies also document that pregnancy related complications are more prevalent in presence of these autoimmune antibodies. Hence, management of subclinical hypothyroidism in pregnancy also differs in positive and negative cases of anti TPO antibody and anti-Tg antibody.
Ischaemia Modified Albumin- An Indicator of Widespread Endothelial Damage in Diabetes Mellitus Hy... more Ischaemia Modified Albumin- An Indicator of Widespread Endothelial Damage in Diabetes Mellitus Hyperglycaemia in Type 2 Diabetes mellitus has been implicated in the pathogenesis and progression of the disease process with micro vascular complications as per various researches. Generation of free radicals with oxidative stress and associated ischemia leading to endothelial damage and subsequent inflammation, results in long term complications like retinopathy, neuropathy and nephropathy in type 2 Diabetes mellitus. A positive association of increased level of oxidative stress markers like Malondialdehyde (MDA) has been detected in Diabetes associated with complications.
Platinum based chemotherapeutic agents like carboplatin and cisplatin are highly recommended drug... more Platinum based chemotherapeutic agents like carboplatin and cisplatin are highly recommended drugs in ovarian cancers and now has become an integral part of adjuvant chemotherapy regimen in lung cancer patients. Hypersensitivity reactions developing immediately or a few days later have been sporadically reported in many literatures which included both ovarian and lung cancer patients. Knowledge and preparedness to tackle these adverse reactions which may also be life threatening at times is essential for the care givers. This case also very typically suffered from hypersensitivity reactions upon repeated administration of carboplatin which was effectively tackled by anti-allergic medications and the treatment could be completed by timely intervention.
Effects of overt hypothyroidism on pregnancy outcomes and fetal development are well established ... more Effects of overt hypothyroidism on pregnancy outcomes and fetal development are well established and treatment protocol is reputable. Subclinical hypothyroidism poses a major health problem in pregnancy. Requirement of iodine increases in pregnancy as demand for synthesis of excess thyroid hormones is there during pregnancy. This is because of fetal dependency on maternal thyroid hormones till 12 weeks of gestation as fetal thyroid tissue is not matured enough to produce adequate hormones for the growing fetus. Hence, dietary iodine deficiency or intake of excess goitrogens in diet can be the major cause of overt and subclinical hypothyroidism in pregnancy. Apart from this autoimmune basis of overt and sub clinical hypothyroidism is also equally important in pregnant women. Data accumulating shows presence of antibodies like anti TPO antibody (anti thyroperoxidase antibody) and anti Tg antibody (anti thyroglobulin antibody) in pregnancy which is associated with increased prevalence of overt and sub clinical hypothyroidism and aggravation of the symptoms associated with it. Studies also document that pregnancy related complications are more prevalent in presence of these autoimmune antibodies. Hence, management of subclinical hypothyroidism in pregnancy also differs in positive and negative cases of anti TPO antibody and anti-Tg antibody.
Background & objectives: Glycated hemoglobin level (HbA1c) is widely used for the diagnosis, prog... more Background & objectives: Glycated hemoglobin level (HbA1c) is widely used for the diagnosis, prognosis and monitoring of therapy in diabetes mellitus patients. The hemoglobin molecule is a part of the non- enzymatic glycation reaction, so it is assumed that the total hemoglobin concentration may have an effect on the HbA1c value along with blood glucose concentrations. Hence this study was done to evaluate the effect of total hemoglobin level on HbA1c value in type 2 diabetes mellitus patients and to find out whether reduced total hemoglobin level is reflected on the HbA1c level giving an erroneous impression on the glycaemic status of the patient. Methods: 100 diagnosed Type 2 Diabetes Mellitus patients were evaluated for their Fasting Blood Sugar (FBS), Total Hemoglobin level and HbA1c level and assessed for any effect of reduced total hemoglobin level on the HbA1c value. Results: It was observed that HbA1c value correlated significantly only with FBS level and total Hemoglobin le...
Prostate specific antigen is considered to be a tumour marker having maximum utility and specific... more Prostate specific antigen is considered to be a tumour marker having maximum utility and specificity for prostate cancer since decades. After the discovery of methods to quantify different molecular fractions of prostate specific antigen (PSA), its usefulness in diagnosing early prostate cancer cases has increased tremendously. The &quot;specificity&quot; of PSA, is now challenged by many studies which proved that PSA, once believed to be secreted exclusively by prostatic epithelium, is also present in females. The exact biological role of extraprostatic PSA is still debatable though many theories substantiated by in vitro evidence has been put forward. With the advent of ultrasensitive analytical techniques, PSA is now quantifiable in female serum in its various molecular forms and this has led to many assumptions of it being useful as a marker in female breast cancers. In a similar scenario to prostate cancer, the ratio of free to total PSA is shown to be useful in detecting early breast cancer cases. It is also shown to be a good prognostic indicator and a predictor of response to therapy and recurrence. Apart from its role in breast cancer, it has been advocated to be a marker of hyper androgenic states in women like hirsutism and polycystic ovarian syndrome. Conflicting reports regarding the role of extra prostatic PSA is accumulating but it has been proven beyond doubt that PSA is no longer specific and confined to prostate gland. Various studies have registered that PSA is an ubiquitous molecule, secreted by hormone responsive organs and its synthesis is stimulated by androgens and progesterone but not oestrogens. In this article, a review of various literatures is done about the presence of extra prostatic PSA, its probable role in those sites as well as its utility as a tumour marker in breast cancer.
Now a days measurement of molecular forms of PSA has gained importance in clinical practice. Seve... more Now a days measurement of molecular forms of PSA has gained importance in clinical practice. Several studies have demonstrated the production of PSA in female tissues, such as breast. The present piece of work has been undertaken with an objective to estimate the relative proportion of the molecular forms of PSA in serum along with serum testosterone in benign and malignant breast tumor cases and to analyze their association with the severity of the disease process 34 malignant and 26 benign breast disease cases along with 33 healthy controls of same age group were enrolled in this study for evaluation. Serum testosterone was measured by ELISA, whereas serum total PSA (TPSA) and free PSA (FPSA) were estimated by electrochemiluminescence immunoassay. A significant rise of fasting plasma glucose along with prominent dyslipidemia was observed in breast tumor cases. Marked rise in serum testosterone as well as TPSA and FPSA was documented in both benign and malignant breast tumor cases. Serum testosterone revealed a significant positive association with both TPSA and FPSA pointing towards an etiological association between them. However, surgical removal of tumor mass resulted in a marked decline of presurgical value of both TPSA and FPSA with a non-significant fall in serum testosterone revealing tumor tissue as the source of FPSA and TPSA. Thus, estimation of PSA provides prognostic information that may assist in future treatment.
Journal of medical and pharmaceutical innovation, 2015
Platinum based chemotherapeutic agents like carboplatin and cisplatin are highly recommended drug... more Platinum based chemotherapeutic agents like carboplatin and cisplatin are highly recommended drugs in ovarian cancers and now has become an integral part of adjuvant chemotherapy regimen in lung cancer patients. Hypersensitivity reactions developing immediately or a few days later have been sporadically reported in many literatures which included both ovarian and lung cancer patients. Knowledge and preparedness to tackle these adverse reactions which may also be life threatening at times is essential for the care givers. This case also very typically suffered from hypersensitivity reactions upon repeated administration of carboplatin which was effectively tackled by anti-allergic medications and the treatment could be completed by timely intervention.
Indian Journal of Clinical Biochemistry, Jun 22, 2014
Prostate specific antigen is considered to be a tumour marker having maximum utility and specific... more Prostate specific antigen is considered to be a tumour marker having maximum utility and specificity for prostate cancer since decades. After the discovery of methods to quantify different molecular fractions of prostate specific antigen (PSA), its usefulness in diagnosing early prostate cancer cases has increased tremendously. The ''specificity'' of PSA, is now challenged by many studies which proved that PSA, once believed to be secreted exclusively by prostatic epithelium, is also present in females. The exact biological role of extraprostatic PSA is still debatable though many theories substantiated by in vitro evidence has been put forward. With the advent of ultrasensitive analytical techniques, PSA is now quantifiable in female serum in its various molecular forms and this has led to many assumptions of it being useful as a marker in female breast cancers. In a similar scenario to prostate cancer, the ratio of free to total PSA is shown to be useful in detecting early breast cancer cases. It is also shown to be a good prognostic indicator and a predictor of response to therapy and recurrence. Apart from its role in breast cancer, it has been advocated to be a marker of hyper androgenic states in women like hirsutism and polycystic ovarian syndrome. Conflicting reports regarding the role of extra prostatic PSA is accumulating but it has been proven beyond doubt that PSA is no longer specific and confined to prostate gland. Various studies have registered that PSA is an ubiquitous molecule, secreted by hormone responsive organs and its synthesis is stimulated by androgens and progesterone but not oestrogens. In this article, a review of various literatures is done about the presence of extra prostatic PSA, its probable role in those sites as well as its utility as a tumour marker in breast cancer.
Oral squamous cell carcinoma is the sixth most common cancer worldwide. Despite the available tre... more Oral squamous cell carcinoma is the sixth most common cancer worldwide. Despite the available treatment, the survival rate is poor. The addition of agents to make chemotherapeutics safer and more effective is important. Curcumin is a common Indian spice that has shown anticarcinogenic properties. It has been possible to overcome its poor bio-availability using nanotechnology. We aimed to investigate the adjuvant effect of nanocurcumin (NC ~ 200 nm size) treatment on cetuximab (epidermal growth factor receptor inhibitor) in oral squamous cancer cells (KB 3-1 cell). Cancer cells were cultured and treated for 24 hours with cetuximab and NC, in various doses to find the drugs' half-maximal inhibitory concentration (IC 50). Experiments were conducted with a combination dose of both and sensitization treatment with NC before cetuximab with cytotoxicity assessment by 3-(4,5-dimethylthiazol-2-yl)-2,5-diphenyltetrazolium bromide assay. One-way analysis of variance (ANOVA) was used to compare different treatment groups. We found a concentration-dependent cancer cell death with NC, which was significant compared to cetuximab (p <0.001). The combination treatment group had highly significant cell death (p <0.0001) compared to a single drug, and the NC sensitization caused substantial cell death compared to a single cetuximab treatment (p<0.01). Our study findings indicate the potential chemo-adjuvant effect of NC in oral cancer.
Indian Journal of Clinical Biochemistry, Feb 4, 2011
Now a days measurement of molecular forms of PSA has gained importance in clinical practice. Seve... more Now a days measurement of molecular forms of PSA has gained importance in clinical practice. Several studies have demonstrated the production of PSA in female tissues, such as breast. The present piece of work has been undertaken with an objective to estimate the relative proportion of the molecular forms of PSA in serum along with serum testosterone in benign and malignant breast tumor cases and to analyze their association with the severity of the disease process 34 malignant and 26 benign breast disease cases along with 33 healthy controls of same age group were enrolled in this study for evaluation. Serum testosterone was measured by ELISA, whereas serum total PSA (TPSA) and free PSA (FPSA) were estimated by electrochemiluminescence immunoassay. A significant rise of fasting plasma glucose along with prominent dyslipidemia was observed in breast tumor cases. Marked rise in serum testosterone as well as TPSA and FPSA was documented in both benign and malignant breast tumor cases. Serum testosterone revealed a significant positive association with both TPSA and FPSA pointing towards an etiological association between them. However, surgical removal of tumor mass resulted in a marked decline of presurgical value of both TPSA and FPSA with a nonsignificant fall in serum testosterone revealing tumor tissue as the source of FPSA and TPSA. Thus, estimation of PSA provides prognostic information that may assist in future treatment.
Introduction Subclinical hypothyroidism (SCH) and gestational diabetes mellitus (GDM) are common ... more Introduction Subclinical hypothyroidism (SCH) and gestational diabetes mellitus (GDM) are common endocrinological abnormalities associated with pregnancy. The presence of a raised anti-thyroperoxidase (anti-TPO) antibody titer increases the risk of progression of subclinical hypothyroidism to overt hypothyroidism. Subclinical hypothyroidism and GDM are known to affect maternal and fetal outcomes adversely. A few studies have shown an increased risk of GDM with autoimmune hypothyroidism. However, data regarding this association between GDM, SCH, and anti-TPO Ab are scarce. This study aimed to find the prevalence of autoimmune subclinical hypothyroidism and its association with GDM in pregnancy. Materials and methods In a cross-sectional study, 382 pregnant women at their first antenatal checkup (ANC) were enrolled in the study. Serum thyroid-stimulating hormone (TSH), free T4 (FT4), anti-TPO Ab, and the 75 g oral glucose tolerance test (OGTT) were evaluated. The results obtained were analyzed in Systat Version 13.2 (SPSS Inc., Chicago, IL). Observations Results showed an SCH prevalence of 37.69% with a raised anti-TPO Ab titer in 49.31% of the diagnosed SCH cases, pointing towards an autoimmune etiology. Our study revealed a GDM prevalence of 12.04%. Out of the 46 GDM cases, 16 were found to have SCH and 3 cases had raised anti-TPO Ab titers. In our study, 27.73% of euthyroid pregnant women had a raised anti-TPO Ab titer. Our study revealed no significant association between GDM, SCH, and raised anti-TPO Ab titer. Conclusion Anti-TPO antibody subsequently leads to hypothyroxinemia, for which it is necessary that cases with high titer of anti-TPO antibody though euthyroid should be meticulously followed up and screened for to detect development of hypothyroidism or SCH, particularly in future pregnancies. However, GDM prevalence was at par with the national figure, but with no significant association of SCH and a high anti-TPO ab titer was found with GDM in our study. Further studies with a larger cohort may establish a causal association between the two most common endocrinological disorders observed in pregnancy.
Introduction Delay in the analysis of serum electrolytes along with clot contact time can lead to... more Introduction Delay in the analysis of serum electrolytes along with clot contact time can lead to difference in results significant enough to affect clinical decisions. This study was undertaken to evaluate the effect of time lag between centrifugation and analysis on levels of serum sodium, potassium, and ionized calcium in a tertiary level health care set up. Materials and Methods In this cross-sectional study, 70 serum samples were analyzed for ionized calcium, sodium, and potassium under different conditions with respect to time lag and clot contact time. The analysis of ionized calcium was done on Eschweiler Combiline 2, a direct ion-selective electrode (ISE) analyzer. Serum sodium and potassium were analyzed on fully automated chemistry analyzer, which is an indirect ISE analyzer. The statistical analysis was done in IBM SPSS software version 21. Results The results for intergroup comparison with different time lag and clot contact time between all the four groups for sodium, ...
Oral squamous cell carcinoma is the sixth most common cancer worldwide. Despite the available tre... more Oral squamous cell carcinoma is the sixth most common cancer worldwide. Despite the available treatment, the survival rate is poor. The addition of agents to make chemotherapeutics safer and more effective is important. Curcumin is a common Indian spice that has shown anticarcinogenic properties. It has been possible to overcome its poor bio-availability using nanotechnology. We aimed to investigate the adjuvant effect of nanocurcumin (NC ~ 200 nm size) treatment on cetuximab (epidermal growth factor receptor inhibitor) in oral squamous cancer cells (KB 3-1 cell). Cancer cells were cultured and treated for 24 hours with cetuximab and NC, in various doses to find the drugs' half-maximal inhibitory concentration (IC 50). Experiments were conducted with a combination dose of both and sensitization treatment with NC before cetuximab with cytotoxicity assessment by 3-(4,5-dimethylthiazol-2-yl)-2,5-diphenyltetrazolium bromide assay. One-way analysis of variance (ANOVA) was used to compare different treatment groups. We found a concentration-dependent cancer cell death with NC, which was significant compared to cetuximab (p <0.001). The combination treatment group had highly significant cell death (p <0.0001) compared to a single drug, and the NC sensitization caused substantial cell death compared to a single cetuximab treatment (p<0.01). Our study findings indicate the potential chemo-adjuvant effect of NC in oral cancer.
Clinical Journal of the American Society of Nephrology, 2008
Background/Aim: Subclinical hypothyroidism (SCH) and end-stage renal disease (ESRD) are independe... more Background/Aim: Subclinical hypothyroidism (SCH) and end-stage renal disease (ESRD) are independent risk factors for cardiovascular mortality. We aimed to study the prevalence of SCH in ESRD patients and assessed its associated risk factors. Methods: This cross-sectional study was conducted at 2 tertiary-care centers in Chennai, India, over a 3-year period. The study group comprised 137 patients with ESRD on thrice weekly regular maintenance hemodialysis. Free thyroxine (FT 4) and thyroid-stimulating hormone (TSH) were measured using an electrochemiluminescence immunoassay. SCH was defined as TSH ranging between 4.5 and 10 mIU/l with normal FT 4 (0.93-1.7 ng/dl). Patients with overt hypothyroidism, SCH and overt hyperthyroidism, those on medications affecting thyroid function and pregnant women were excluded from the study. Results: Of 137 ESRD patients (mean age: 43 8 13.38 years), 107 were males (78.1%), 45 diabetics (32.8%), 127 hypertensives (92.7%), and 38 smokers (27.7%). Prevalence of SCH was 24.8%. In unadjusted (OR: 3.37, 95% CI: 1.91-5.21) and adjusted (for age, gender, HbA 1C , and albumin/creatinine ratio; OR: 3.11, 95% CI: 2.15-4.98) logistic regression analysis, serum albumin was significantly associated with SCH. Further, multiple linear regression identified that for every 1 g/dl drop in serum albumin TSH increased by 4.61 mIU/l (95% CI: 2.75-5.92). Conclusion: We observed a high prevalence of SCH in our ESRD patients. Also, serum albumin was significantly associated with SCH in our study.
The newly discovered role of Vitamin D is now the current area of research as the ubiquitous pres... more The newly discovered role of Vitamin D is now the current area of research as the ubiquitous presence of its receptor VDR and the presence of its activating enzymes like 1 alpha Hydroxylase implies its effect in various other metabolic processes other than bone growth and calcium metabolism. This review articles discusses about the role of Vitamin D deficiency and beneficial effect of its replenishment in Diabetes Mellitus particularly at molecular level affecting gene expression through various pathways. This new fangled role of Vitamin D in Diabetes Mellitus opens a new arena of research and prevention of Diabetes mellitus by its supplementation therapy.
Effects of overt hypothyroidism on pregnancy outcomes and fetal development are well established ... more Effects of overt hypothyroidism on pregnancy outcomes and fetal development are well established and treatment protocol is reputable. Subclinical hypothyroidism poses a major health problem in pregnancy. Requirement of iodine increases in pregnancy as demand for synthesis of excess thyroid hormones is there during pregnancy. This is because of fetal dependency on maternal thyroid hormones till 12 weeks of gestation as fetal thyroid tissue is not matured enough to produce adequate hormones for the growing fetus. Hence, dietary iodine deficiency or intake of excess goitrogens in diet can be the major cause of overt and subclinical hypothyroidism in pregnancy. Apart from this autoimmune basis of overt and sub clinical hypothyroidism is also equally important in pregnant women. Data accumulating shows presence of antibodies like anti TPO antibody (anti thyroperoxidase antibody) and anti Tg antibody (anti thyroglobulin antibody) in pregnancy which is associated with increased prevalence of overt and sub clinical hypothyroidism and aggravation of the symptoms associated with it. Studies also document that pregnancy related complications are more prevalent in presence of these autoimmune antibodies. Hence, management of subclinical hypothyroidism in pregnancy also differs in positive and negative cases of anti TPO antibody and anti-Tg antibody.
Ischaemia Modified Albumin- An Indicator of Widespread Endothelial Damage in Diabetes Mellitus Hy... more Ischaemia Modified Albumin- An Indicator of Widespread Endothelial Damage in Diabetes Mellitus Hyperglycaemia in Type 2 Diabetes mellitus has been implicated in the pathogenesis and progression of the disease process with micro vascular complications as per various researches. Generation of free radicals with oxidative stress and associated ischemia leading to endothelial damage and subsequent inflammation, results in long term complications like retinopathy, neuropathy and nephropathy in type 2 Diabetes mellitus. A positive association of increased level of oxidative stress markers like Malondialdehyde (MDA) has been detected in Diabetes associated with complications.
Platinum based chemotherapeutic agents like carboplatin and cisplatin are highly recommended drug... more Platinum based chemotherapeutic agents like carboplatin and cisplatin are highly recommended drugs in ovarian cancers and now has become an integral part of adjuvant chemotherapy regimen in lung cancer patients. Hypersensitivity reactions developing immediately or a few days later have been sporadically reported in many literatures which included both ovarian and lung cancer patients. Knowledge and preparedness to tackle these adverse reactions which may also be life threatening at times is essential for the care givers. This case also very typically suffered from hypersensitivity reactions upon repeated administration of carboplatin which was effectively tackled by anti-allergic medications and the treatment could be completed by timely intervention.
Effects of overt hypothyroidism on pregnancy outcomes and fetal development are well established ... more Effects of overt hypothyroidism on pregnancy outcomes and fetal development are well established and treatment protocol is reputable. Subclinical hypothyroidism poses a major health problem in pregnancy. Requirement of iodine increases in pregnancy as demand for synthesis of excess thyroid hormones is there during pregnancy. This is because of fetal dependency on maternal thyroid hormones till 12 weeks of gestation as fetal thyroid tissue is not matured enough to produce adequate hormones for the growing fetus. Hence, dietary iodine deficiency or intake of excess goitrogens in diet can be the major cause of overt and subclinical hypothyroidism in pregnancy. Apart from this autoimmune basis of overt and sub clinical hypothyroidism is also equally important in pregnant women. Data accumulating shows presence of antibodies like anti TPO antibody (anti thyroperoxidase antibody) and anti Tg antibody (anti thyroglobulin antibody) in pregnancy which is associated with increased prevalence of overt and sub clinical hypothyroidism and aggravation of the symptoms associated with it. Studies also document that pregnancy related complications are more prevalent in presence of these autoimmune antibodies. Hence, management of subclinical hypothyroidism in pregnancy also differs in positive and negative cases of anti TPO antibody and anti-Tg antibody.
Background & objectives: Glycated hemoglobin level (HbA1c) is widely used for the diagnosis, prog... more Background & objectives: Glycated hemoglobin level (HbA1c) is widely used for the diagnosis, prognosis and monitoring of therapy in diabetes mellitus patients. The hemoglobin molecule is a part of the non- enzymatic glycation reaction, so it is assumed that the total hemoglobin concentration may have an effect on the HbA1c value along with blood glucose concentrations. Hence this study was done to evaluate the effect of total hemoglobin level on HbA1c value in type 2 diabetes mellitus patients and to find out whether reduced total hemoglobin level is reflected on the HbA1c level giving an erroneous impression on the glycaemic status of the patient. Methods: 100 diagnosed Type 2 Diabetes Mellitus patients were evaluated for their Fasting Blood Sugar (FBS), Total Hemoglobin level and HbA1c level and assessed for any effect of reduced total hemoglobin level on the HbA1c value. Results: It was observed that HbA1c value correlated significantly only with FBS level and total Hemoglobin le...
Prostate specific antigen is considered to be a tumour marker having maximum utility and specific... more Prostate specific antigen is considered to be a tumour marker having maximum utility and specificity for prostate cancer since decades. After the discovery of methods to quantify different molecular fractions of prostate specific antigen (PSA), its usefulness in diagnosing early prostate cancer cases has increased tremendously. The &quot;specificity&quot; of PSA, is now challenged by many studies which proved that PSA, once believed to be secreted exclusively by prostatic epithelium, is also present in females. The exact biological role of extraprostatic PSA is still debatable though many theories substantiated by in vitro evidence has been put forward. With the advent of ultrasensitive analytical techniques, PSA is now quantifiable in female serum in its various molecular forms and this has led to many assumptions of it being useful as a marker in female breast cancers. In a similar scenario to prostate cancer, the ratio of free to total PSA is shown to be useful in detecting early breast cancer cases. It is also shown to be a good prognostic indicator and a predictor of response to therapy and recurrence. Apart from its role in breast cancer, it has been advocated to be a marker of hyper androgenic states in women like hirsutism and polycystic ovarian syndrome. Conflicting reports regarding the role of extra prostatic PSA is accumulating but it has been proven beyond doubt that PSA is no longer specific and confined to prostate gland. Various studies have registered that PSA is an ubiquitous molecule, secreted by hormone responsive organs and its synthesis is stimulated by androgens and progesterone but not oestrogens. In this article, a review of various literatures is done about the presence of extra prostatic PSA, its probable role in those sites as well as its utility as a tumour marker in breast cancer.
Now a days measurement of molecular forms of PSA has gained importance in clinical practice. Seve... more Now a days measurement of molecular forms of PSA has gained importance in clinical practice. Several studies have demonstrated the production of PSA in female tissues, such as breast. The present piece of work has been undertaken with an objective to estimate the relative proportion of the molecular forms of PSA in serum along with serum testosterone in benign and malignant breast tumor cases and to analyze their association with the severity of the disease process 34 malignant and 26 benign breast disease cases along with 33 healthy controls of same age group were enrolled in this study for evaluation. Serum testosterone was measured by ELISA, whereas serum total PSA (TPSA) and free PSA (FPSA) were estimated by electrochemiluminescence immunoassay. A significant rise of fasting plasma glucose along with prominent dyslipidemia was observed in breast tumor cases. Marked rise in serum testosterone as well as TPSA and FPSA was documented in both benign and malignant breast tumor cases. Serum testosterone revealed a significant positive association with both TPSA and FPSA pointing towards an etiological association between them. However, surgical removal of tumor mass resulted in a marked decline of presurgical value of both TPSA and FPSA with a non-significant fall in serum testosterone revealing tumor tissue as the source of FPSA and TPSA. Thus, estimation of PSA provides prognostic information that may assist in future treatment.
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