IOSR Journal of Pharmacy (IOSRPHR), www.iosrphr.org, call for paper, research paper publishing, where to publish research paper, journal publishing, how to publish research paper, Call for research paper, international journal, publishing a paper, call fo
This document summarizes a study that tested the effects of different concentrations of anti-glucosyltransferase (anti-GTF) antibody on the growth of Streptococcus sobrinus bacteria and the enzymatic activity of purified GTF-Ib enzyme isolated from the bacteria. The study found that various concentrations of inhibitors like sodium fluoride, chlorohexidine, and ZAK mouthrinse, as well as the anti-GTF antibody, were able to inhibit the enzymatic activity of GTF-Ib, with the exception of EDTA. Specifically, the anti-GTF antibody at a concentration of 1.5x10-3 mM inhibited 87.33% of GTF-Ib enzymatic
Evaluation the efficacy of IVIgG in treatment of Hemolytic Disease of Newborniosrphr_editor
Hemolytic disease of newborn (HDN) is an important cause of hyperbilirubinemia in the
neonatal period,and delayed diagnosis and treatment may lead to permanent brain damage. Traditional
neonatal treatment of HDN is intensive phototherapy and exchange transfusion.Intravenous
immunoglobulin(IVIgG) has been introduced as an alternative therapy to exchange transfusion. This study was
conducted to assess the effect of IVIG in HDN .
Correlation of Estrogen and Progesterone Receptor expression in Breast Canceriosrphr_editor
The IOSR Journal of Pharmacy (IOSRPHR) is an open access online & offline peer reviewed international journal, which publishes innovative research papers, reviews, mini-reviews, short communications and notes dealing with Pharmaceutical Sciences( Pharmaceutical Technology, Pharmaceutics, Biopharmaceutics, Pharmacokinetics, Pharmaceutical/Medicinal Chemistry, Computational Chemistry and Molecular Drug Design, Pharmacognosy & Phytochemistry, Pharmacology, Pharmaceutical Analysis, Pharmacy Practice, Clinical and Hospital Pharmacy, Cell Biology, Genomics and Proteomics, Pharmacogenomics, Bioinformatics and Biotechnology of Pharmaceutical Interest........more details on Aim & Scope).
“Hemodynamic and recovery profile with Dexmedetomidine and Fentanyl in intrac...iosrphr_editor
The IOSR Journal of Pharmacy (IOSRPHR) is an open access online & offline peer reviewed international journal, which publishes innovative research papers, reviews, mini-reviews, short communications and notes dealing with Pharmaceutical Sciences( Pharmaceutical Technology, Pharmaceutics, Biopharmaceutics, Pharmacokinetics, Pharmaceutical/Medicinal Chemistry, Computational Chemistry and Molecular Drug Design, Pharmacognosy & Phytochemistry, Pharmacology, Pharmaceutical Analysis, Pharmacy Practice, Clinical and Hospital Pharmacy, Cell Biology, Genomics and Proteomics, Pharmacogenomics, Bioinformatics and Biotechnology of Pharmaceutical Interest........more details on Aim & Scope).
Sulphasalazine Induced Toxic Epidermal Necrolysis A Case Reportiosrphr_editor
The document describes a case study of an 18-year-old female patient who developed toxic epidermal necrolysis as a severe adverse reaction to the drug sulfasalazine, which she had been taking for ankylosing spondylitis. She was admitted to the intensive care unit and treated with high dose corticosteroids, fluid replacement, and supportive care. She improved with treatment and was discharged with only post-inflammatory hypopigmentation.
The Comprehensive Review on Fat Soluble Vitaminsiosrphr_editor
This review article deals with brief description of fat soluble vitamins with figures and tables
showing statistical analytical data duly quoting the references wherever necessary. The word “soluble” actually
means “able to be dissolved.” Whether a vitamin is classified as 'fat-soluble' or 'water-soluble' has to do with
how the vitamin is absorbed, stored and removed from the body. Vitamins are tiny organic compounds with a
huge impact on the health and well-being of the body. The body needs a small amount of fat soluble vitamins in
order to stay in optimal health. Fat soluble vitamins play an important role in keeping the body healthy and
functioning from immune system and muscle and heart function, easy flow and clotting of blood as well as eye
health. They are critical to health and wellness–particularly reproductive health and wellness. Low-fat, no-fat
and vegan diets are woefully lacking in fat soluble vitamins. However a diet based on traditional foods can
naturally provide these vitamins. Science is still learning about many of the functions of vitamins. "Too much
vitamin A, D, or K can lead to increased levels that are unhealthy and can cause serious health consequences.
Diseased conditions leading to decreased fat absorption leads to decreased absorption of vitamins. The fatsoluble
vitamins work most safely and effectively when obtained them from natural foods within the context of a
diet rich in all their synergistic partners. If fat soluble vitamins are stored for lengthy time they generate threat
for toxicity than water soluble vitamins and such situation even aggravated, provided they are consumed in
excess. Vitamin products, above the legal limits are not considered food supplements and must be registered as
prescription or non-prescription (over-the-counter drugs) due to their potential side effects. Vitamin A and E
supplements do not provide health benefits for healthy individuals, instead they may enhance mortality, and it is
held proved that beta-carotene supplements can be harmful to smokers
Chest sonography images in neonatal r.d.s. And proposed gradingiosrphr_editor
BACKGROUND : Lung sonography has been used to monitor the patients of R.D.S. in
N.I.C.U. in recent times.
AIMS : To Describe and Grade the changes of R.D.S. by lung sonography.
SETTING & DESIGN : Tertiary care institutional set up in a rural medical college.
STUDY DURATION : September 2014 to May 2015. Follow-up variable, upto 2 weeks.
PROSPECTIVE, ANALYTICAL STUDY.
MATERIALS AND METHODS -This was a single institute study approved by the institutional ethics
committee. Prior informed consent was obtained from the parents. 100 consecutive patients admitted in
N.I.C.U. WITH gestational age < 36 weeks with respiratory complaints were enrolled. Chest x-ray was
obtained within few hours of admission and lung sonography was performed within 24 hours. Follow – up
sonography was performed as and when necessary. Sonography image was graded and correlated with chest
xray and clinical picture
Congenital Agenesis Of The Corpus Callosum With Intracerebral Lipoma And Fron...iosrphr_editor
The IOSR Journal of Pharmacy (IOSRPHR) is an open access online & offline peer reviewed international journal, which publishes innovative research papers, reviews, mini-reviews, short communications and notes dealing with Pharmaceutical Sciences( Pharmaceutical Technology, Pharmaceutics, Biopharmaceutics, Pharmacokinetics, Pharmaceutical/Medicinal Chemistry, Computational Chemistry and Molecular Drug Design, Pharmacognosy & Phytochemistry, Pharmacology, Pharmaceutical Analysis, Pharmacy Practice, Clinical and Hospital Pharmacy, Cell Biology, Genomics and Proteomics, Pharmacogenomics, Bioinformatics and Biotechnology of Pharmaceutical Interest........more details on Aim & Scope).
Evaluation the efficacy of IVIgG in treatment of Hemolytic Disease of Newborniosrphr_editor
Hemolytic disease of newborn (HDN) is an important cause of hyperbilirubinemia in the
neonatal period,and delayed diagnosis and treatment may lead to permanent brain damage. Traditional
neonatal treatment of HDN is intensive phototherapy and exchange transfusion.Intravenous
immunoglobulin(IVIgG) has been introduced as an alternative therapy to exchange transfusion. This study was
conducted to assess the effect of IVIG in HDN .
Correlation of Estrogen and Progesterone Receptor expression in Breast Canceriosrphr_editor
The IOSR Journal of Pharmacy (IOSRPHR) is an open access online & offline peer reviewed international journal, which publishes innovative research papers, reviews, mini-reviews, short communications and notes dealing with Pharmaceutical Sciences( Pharmaceutical Technology, Pharmaceutics, Biopharmaceutics, Pharmacokinetics, Pharmaceutical/Medicinal Chemistry, Computational Chemistry and Molecular Drug Design, Pharmacognosy & Phytochemistry, Pharmacology, Pharmaceutical Analysis, Pharmacy Practice, Clinical and Hospital Pharmacy, Cell Biology, Genomics and Proteomics, Pharmacogenomics, Bioinformatics and Biotechnology of Pharmaceutical Interest........more details on Aim & Scope).
“Hemodynamic and recovery profile with Dexmedetomidine and Fentanyl in intrac...iosrphr_editor
The IOSR Journal of Pharmacy (IOSRPHR) is an open access online & offline peer reviewed international journal, which publishes innovative research papers, reviews, mini-reviews, short communications and notes dealing with Pharmaceutical Sciences( Pharmaceutical Technology, Pharmaceutics, Biopharmaceutics, Pharmacokinetics, Pharmaceutical/Medicinal Chemistry, Computational Chemistry and Molecular Drug Design, Pharmacognosy & Phytochemistry, Pharmacology, Pharmaceutical Analysis, Pharmacy Practice, Clinical and Hospital Pharmacy, Cell Biology, Genomics and Proteomics, Pharmacogenomics, Bioinformatics and Biotechnology of Pharmaceutical Interest........more details on Aim & Scope).
Sulphasalazine Induced Toxic Epidermal Necrolysis A Case Reportiosrphr_editor
The document describes a case study of an 18-year-old female patient who developed toxic epidermal necrolysis as a severe adverse reaction to the drug sulfasalazine, which she had been taking for ankylosing spondylitis. She was admitted to the intensive care unit and treated with high dose corticosteroids, fluid replacement, and supportive care. She improved with treatment and was discharged with only post-inflammatory hypopigmentation.
The Comprehensive Review on Fat Soluble Vitaminsiosrphr_editor
This review article deals with brief description of fat soluble vitamins with figures and tables
showing statistical analytical data duly quoting the references wherever necessary. The word “soluble” actually
means “able to be dissolved.” Whether a vitamin is classified as 'fat-soluble' or 'water-soluble' has to do with
how the vitamin is absorbed, stored and removed from the body. Vitamins are tiny organic compounds with a
huge impact on the health and well-being of the body. The body needs a small amount of fat soluble vitamins in
order to stay in optimal health. Fat soluble vitamins play an important role in keeping the body healthy and
functioning from immune system and muscle and heart function, easy flow and clotting of blood as well as eye
health. They are critical to health and wellness–particularly reproductive health and wellness. Low-fat, no-fat
and vegan diets are woefully lacking in fat soluble vitamins. However a diet based on traditional foods can
naturally provide these vitamins. Science is still learning about many of the functions of vitamins. "Too much
vitamin A, D, or K can lead to increased levels that are unhealthy and can cause serious health consequences.
Diseased conditions leading to decreased fat absorption leads to decreased absorption of vitamins. The fatsoluble
vitamins work most safely and effectively when obtained them from natural foods within the context of a
diet rich in all their synergistic partners. If fat soluble vitamins are stored for lengthy time they generate threat
for toxicity than water soluble vitamins and such situation even aggravated, provided they are consumed in
excess. Vitamin products, above the legal limits are not considered food supplements and must be registered as
prescription or non-prescription (over-the-counter drugs) due to their potential side effects. Vitamin A and E
supplements do not provide health benefits for healthy individuals, instead they may enhance mortality, and it is
held proved that beta-carotene supplements can be harmful to smokers
Chest sonography images in neonatal r.d.s. And proposed gradingiosrphr_editor
BACKGROUND : Lung sonography has been used to monitor the patients of R.D.S. in
N.I.C.U. in recent times.
AIMS : To Describe and Grade the changes of R.D.S. by lung sonography.
SETTING & DESIGN : Tertiary care institutional set up in a rural medical college.
STUDY DURATION : September 2014 to May 2015. Follow-up variable, upto 2 weeks.
PROSPECTIVE, ANALYTICAL STUDY.
MATERIALS AND METHODS -This was a single institute study approved by the institutional ethics
committee. Prior informed consent was obtained from the parents. 100 consecutive patients admitted in
N.I.C.U. WITH gestational age < 36 weeks with respiratory complaints were enrolled. Chest x-ray was
obtained within few hours of admission and lung sonography was performed within 24 hours. Follow – up
sonography was performed as and when necessary. Sonography image was graded and correlated with chest
xray and clinical picture
Congenital Agenesis Of The Corpus Callosum With Intracerebral Lipoma And Fron...iosrphr_editor
The IOSR Journal of Pharmacy (IOSRPHR) is an open access online & offline peer reviewed international journal, which publishes innovative research papers, reviews, mini-reviews, short communications and notes dealing with Pharmaceutical Sciences( Pharmaceutical Technology, Pharmaceutics, Biopharmaceutics, Pharmacokinetics, Pharmaceutical/Medicinal Chemistry, Computational Chemistry and Molecular Drug Design, Pharmacognosy & Phytochemistry, Pharmacology, Pharmaceutical Analysis, Pharmacy Practice, Clinical and Hospital Pharmacy, Cell Biology, Genomics and Proteomics, Pharmacogenomics, Bioinformatics and Biotechnology of Pharmaceutical Interest........more details on Aim & Scope).
Analytical Study of Urine Samples for Epidemiology of Urinary Tract Infection...iosrphr_editor
The current study was carried out in District Abbottabad aimed to determine the common urinary
tract infections in local community to determine the epidemiology of significant diseases in asymptomatic patients
of renal disorder. In this study a total of 1000 urine samples were examined during 3rd February to 1st April 2015
from patients attending Ayub Teaching Hospital Abbottabad by using dipstick and microscopic analysis of urine.
There were 638 females and 362 males patients examined during this period. The range of age groups is between
1.5 years to 80 years. Results of this study was reported as Pyuria 11%, Proteinuria 21.1%, Hematuria 10.4%,
Epithelial Cells 8.2%, pH 7.8 %, Granular casts 7.3%, Triple phosphate 6.6%, Calcium oxalate 6.4%, Glycosuria
6.3%, Bacteria 6.2% and mucous 4.1%. This study concludes that routing urinalysis should be performed for all
individuals to diagnose the asymptomatic diseases that will help in simple therapeutic measurements as urinalysis
is a simple step to determine the root of Urinary tract disorders.
FIBROLIPOMATOUS HAMARTOMA OF ULNAR NERVE: A RARE CASE REPORT.iosrphr_editor
Nervous fibrolipomatous hamartoma is said to be a rare tumor-like condition involving the peripheral
nerves,in which the epineurium and perineurium are enlarged and distorted by excess of fatty and fibrous tissue
s that infiltrate between and around nerve boundaries. The median nerve is more likely to develop a hamartoma
than other nerves with a predilection for the carpal tunnel.
A fibrolipomatous hamartoma – is a rare, benign, congenital lesion most commonly found in the median nerve,
usually at the level of the wrist or hand.
We report a case of this rare condition in ulnar nerve.
SELF MEDICATION PRACTICES FOR ORAL HEALTH PROBLEMS AMONG DENTAL PATIENTS IN B...iosrphr_editor
This study examined self-medication practices for oral health problems among dental patients in Bangalore, India. The study found that 100% of the 175 dental patients surveyed practiced self-medication. Toothache was the most common triggering factor reported. Analgesics and herbal remedies were commonly used for self-treatment. Most participants consulted pharmacists for advice on self-medication and would see a dentist only if problems persisted after self-medicating. The high prevalence of self-medication indicates a need for education programs to increase awareness of risks.
Clinico-haematological Profile of Falciparum Malaria in a Rural Hospital of T...iosrphr_editor
Aim: To study the clinico-haematological profile malaria in a rural hospital of Tripura.
Material and methods: A cross-sectional hospital-based study was done from at Kulai District
Hospital,Tripura. This hospital based cross sectional study was done on 60 confirmed cases of falciparum
malaria (either by peripheral smear or rapid diagnostic test) admitted in Kulai District Hospital. A case sheet
proforma was prepared and data (demographic profile,clinical feature, investigation, treatment, and
complication) from all indoor patients was collected and analyzed.
Result: Out of 60 patients, 40(66.6%) were males and 20 (33.4%) were females. Most of the patients were
between the age group 21-40 years with the highest prevalence between the age group of 21-30. Fever was the
most common symptom. Anemia was present in 42(70%) patients, out of which 6(10%) patients had severe
anemia. Thrombocytopenia was present in 36(60%) patients.Abnormal liver function tests were observed in
26(43.3%) subjects while abnormal kidney function tests were observed in16(26.6%) patients. All the 60
patients received Artemisinin based antimalarial drugs.
Conclusion: Early detection, prompt management, and adequate supportive therapy may reduce mortality due
to falciparum cerebral malaria.
Indonesian Wild Ginger (Zingiber sp) Extract: Antibacterial Activity against ...iosrphr_editor
The document summarizes a study that tested the antibacterial activity of extracts from three species of wild ginger plants from Indonesia (Zingiber zerumbet, Zingiber amaricans, and Zingiber aromaticum) against Mycoplasma gallisepticum, a pathogen that causes respiratory disease in chickens. Phytochemical analysis revealed the presence of alkaloids, flavonoids, tannins, and terpenoids in the plant extracts. Disc diffusion and minimum inhibitory concentration assays showed that ethanol extracts of dried rhizomes had the strongest inhibitory effects against the pathogen, with minimum inhibitory concentrations ranging from 7.8 to 31.2 mg/ml. The results suggest that extracts from these wild ginger plants
A case of allergy and food sensitivity: the nasunin, natural color of eggplantiosrphr_editor
Abstract: Allergies and food sensitivities can both be considered as "adverse reactions individualistic" to food.
Are pathological and individual forms because they affect a few individuals in way rather serious; immediate
or delayed reactions occur instead with simple effects histamine, or, in severe cases with respiratory and
anaphylactic shock
The eggplant (Solanum melongena L.) is known to cause food allergies in some Asian countries, but detailed
studies on allergies caused by eggplant are lacking, however, it was highlighted the presence of allergens in
edible parts of eggplant with preponderance in the peel .
The purpose of this study was to propose an extraction method rapid, efficient and cost of natural dye from
waste products from the food industry, such as the peels of eggplant, from which it was extracted, isolated and
purified the nasunin,a colored molecule in red-fuchsia.
Nasusin was tested on 58 patients to evaluate the potential sensitizing effect on the skin. The results demonstrate
that allergenic effects are negligible and therefore the nasunin can be used as a colorant in various industrial
sectors with a certain safety margin
Complete NMR Assignment of MogrosidesII A2, II E andIII A1Isolated from Luo H...iosrphr_editor
NMR analysis allowed complete assignments of three known mogrol glycosides, Mogroside IIA2 (1),
II E (2)and IIIA1 (3), isolated from the extracts of Luo Han Guo. Herein, complete 1H and 13C NMR
assignmentsof all threemogrosidesare described based on NMR experiments (1H NMR, 13C NMR, COSY,
HSQC-DEPT, HMBC, NOESY and 1DTOCSY) and mass spectral data.
Nanoemulsion and Nanoemulgel as a Topical Formulationiosrphr_editor
: Nanoemulsion is referred type of emulsion with uniform and extremely small droplet size in the range
of 20-200 nm. Nanoemulsion provides numerous advantages over other carrier such as polymeric nanoparticle
and liposomes, including low cost preparation procedure, high hydrophilic and lipophilic drug loading system
to enhance the longer shelf live upon preserving the therapeutic agents. Incorporating the preparation of
nanoemulsion with hydrogel matrix to produce nanoemulgel exhibited by the two separate systems that forming
it. Nanoemulgel possesses the properties of thixotropic, non-greasy, effortlessly spreadable, easily be removed,
emollient, not staining, soluble in water, longer shelf life, bio-friendly, translucent and agreeable appearance.
Pharmacokinetics of High-Dose Methotrexate in Egyptian Children with Acute Ly...iosrphr_editor
Aim:Since several factors have been shown to influence the clearance of methotrexate, the purpose of this study
was to identify potential relationships between patient covariates and the methotrexate clearance estimates and
deduce a pharmacokinetic model for the estimation of methotrexate clearance in Egyptian pediatric ALL
patients that may help dosage adjustment and achieve target steady-state plasma concentrations in a similar
sittings.
Patients and methods: A total of 94 pediatric patients with B-cell ALL, of whom 70 were the studied population
and 24 were the test population, were treated with four courses of HDMTX doses 2.5 gm/m2
(low-risk arm) or 5
gm/m2
(standard-/high-risk arm) given every other week by intermittent intravenous infusions over 24 hours as
a part of their treatment protocol. Patients were monitored for the 24 hour MTX concentration and the systemic
methotrexate clearance was calculated for each methotrexate dose
Epidemiology of Tuberculosis (TB) in Albania 1998-2009iosrphr_editor
Abstract : In Albania, many people erroneously think that tuberculosis (TB) is a disease of the past-an illness
that no longer constitutes a public health threat. Surveillance is an integral part of tuberculosis (TB) control.
Albania has a highTB notification rate and there are doubts about underreporting. The evolution of the
incidence of tuberculosis is presented, together with more detailed figures over the period 1998-2009. These
figures were obtained by the monthly forms (called 14/Sh) compared with the individual notification data.
Objective: To examine the distribution and sources of increased tuberculosis (TB) morbidity and reporting
system deficiencies in the Albania from 1998 through 2009. Metodology: The study is descriptive one conductet
during the period 1998-2009. The statistical analysis is based on data reported from regional level (regional
epidemiological departments) to the central level (Public Health Institute). Results: The main findings were:
discordance between the collected data (individual form) and reported data (monthly form); tuberculosis
incidence rate shows little oscillations which ranges from 6.67 to 9.2 cases/100.000 population; 50% of the
regions show a lack of information on the confirmation of diagnosis and laboratory examination type used for
confirmation. Conclusion: TB disease in high-risk populations where it is difficult to detect, diagnose, and treat;
limitations of current control measures and the need for new tests and treatments, including an effective
vaccine; improving information system, regulation of individual form and personnel training.
Total Phenol and Antioxidant from Seed and Peel of Ripe and Unripe of Indones...iosrphr_editor
Study on total phenol and antioxidantactivity ofsugar apple fruits of various solvent, part of fruits, and level of ripening. Solvent extraction used were 80% (v/v) methanol, 50% (v/v) acetone, boiling water, and 50% (v/v) ethanol. Part of fruits thatbeen used for samples were seed and peel which are normally by products of sugar apple processing, level of ripening were unripe, and ripe sugar apple fruits. Total phenol was determined by Folin-ciocalteau method. Total antioxidant was quantified by 1,1-diphenyl-2-picrylhydrazyl(DPPH) method.Therewas a difference in type of solvent, part of fruits, and level of ripeningon total phenol and antioxidant concentration of sugar apple fruits. Seeds have higher total phenol concentration than peels of this fruits. Unripe sugar apple fruits have higher total phenol and antioxidant than ripe fruit. The best solvent for phenol extraction was ethanol 50%butthe best solvent for antioxidant extraction was acetone 50%.
A Review on Step-by-Step Analytical Method Validationiosrphr_editor
When analytical method is utilized to generate results about the characteristics of drug related samples it is essential that the results are trustworthy. They may be utilized as the basis for decisions relating to administering the drug to patients. Analytical method validation required during drug development and manufacturing and these analytical methods are fit for their intended purpose. To comply with the requirements of GMP pharmaceutical industries should have an overall validation policy which documents how validation will be performed. The purpose of this validation is to show that processes involved in the development and manufacture of drug, production and analytical testing can be performed in an effective and reproducible manner. This review article provides guidance on how to perform validation characteristics for the analytical method which are utilized in pharmaceutical analysis.
A Cross Sectional Study of Ethnic Differences in Occurrence and Severity of A...iosrphr_editor
Non-steroidal anti-inflammatory drugs are the most widely used "over the counter" medication all over the world despite their complications in different major organs. Present studies envisaged for knowing the occurrence and severity of adverse drug reactions from NSAIDs in different ethnic communities of Sikkim. A cross sectional study was undertaken in the medicine outpatients department of a secondary and tertiary care hospital. The patients belonging to Nepalese, Bhutias, Lepchas ethnic communities and others community (settlers from other parts of India) were included to analyzed the data based on the age and gender, ethnicity and ADRs, drugs and ADRs. Severity assessment was done using Hartwing and Siegel scale and causality assessment by Naranjo scale. Total 109 cases of ADRs, predominating in female were detected. Nepalese were the most affected and Gastrointestinal tract (GIT) being the most affected organ in them. Diclofenac showed maximum number of ADRs in all the communities. Maximum number of cases occurred on single day use (40.36%) of drugs. All the cases were belonging to the "possible category" and the maximum being the mild (72.48%) in nature. It is advisable to consider the ethnic/racial differences equally with other factors, to improve the safety and efficacy of a drug.
Hematological and biochemical alterations in malaria and their correlation wi...iosrphr_editor
Malaria is a major health problem in India with 1.04 million cases reported in 2012 leading to 504 deaths. The clinical spectrum depends on the infecting species, level of parasitemia and the immune status of the host. Malaria pathogenesis is based on extensive changes in hematological and biochemical parameters. The objective of this study was to study the clinical features, hematological and biochemical parameters in malaria patients and correlate them with the parasitic index (PI). Material and methods: We conducted a study on 300 malaria patients. The frequency of various symptoms and signs of malaria caused by various plasmodium species were determined. The degree of anemia, WBC count, platelet count serum bilirubin, liver enzymes and serum creatinine levels were studied and their variation depending on the parasitic index was documented. Results: 197 patients had vivax malaria, 76 patients had falciparum malaria and 27 patients had mixed infection. 171 patients had a PI of less than 2%, 100 patients had PI between 2 to 5%, 23 patients had PI between 5 to 10% and only 6 patients had PI of more than 10%. 72.3% of patients had thrombocytopenia, 46.66% had anaemia, 25% had increased bilirubin 29.66% showed increased liver enzymes and 7.66% had increased creatinine levels. Conclusion: There was a correlation between degree of parasitemia and severity of malaria in majority of cases. Derangements in hematological and biochemical parameters were more frequently seen in patients with higher PI. Hence PI can be used as an indicator by the clinician to know the severity of infection and plan appropriate treatment.
Treatment of Uthiravatha Suronitham (Rheumatoid Arthritis) with a Siddha Comp...iosrphr_editor
Uthiravathasuronitham, a vatha disease described by Sage Yugi can be correlated to Rheumatoid arthritis. A 53 year old lady diagnosed as Uthiravathasuronitham was treated with Siddha medicines Karpoora Chindhamani Mathirai and MannennaiKalavaiThylam. A single case study of Uthiravathasuronitham is detailed in this article.The patient presented with pain and swelling in minor joints of hand, wrist, ankle, shoulder joints and morning stiffness. The RA factor, CRP was positive at the time of enrollment. She was admitted in the IPD of Sirappu Maruthuvam Department of National Institute of Siddha for 45 days. The treatment outcome was encouraging. Hence further clinical studies can be carried out.
An analysis of the incidence and causes of road traffic accident in Kisii, Ce...iosrphr_editor
Background: Road traffic accidents (RTAs) are an emerging public health problem. It is estimated that more than 5 million people between 17-40 years of age die annually as a result of RTAs worldwide. Currently, RTA is the tenth leading cause of disease burden in the developing countries, especially in the Sub-Saharan African countries. The objective of the study was to analyze the proportion of accidents by vehicle, as well as investigate group of people vulnerable to RTA.
D-002 treatment attenuates esophagitis in a model of chronic gastro-esophagea...iosrphr_editor
To investigate the effects of D-002 (beeswax alcohols) on esophagitis induced by chronic gastroesophageal reflux (c-GER) in rats. Rats were randomized into a sham and five groups subjected to c-GER: a positive vehicle control, three D-002 (50, 100 and 200 mg/kg), and one omeprazole (20 mg/kg) group, all treated orally for seven days. cGER was induced by ligation of the junction between the forestomach and the duodenal side of the pylorus. Esophageal lesions index (ELI), esophageal malondialdehyde (MDA) and sulfhydril groups (SHG) concentrations were assessed. The positive control group exhibited macroscopically signs of esophageal injury assessed in term of ELI, which was significantly higher than in the negative control. D-002 (50, 100 and 200 mg/kg) reduced the ELI, showing 30.5, 72.9 and 76.4% protection, respectively; and also significantly attenuated the increased MDA (37.4, 63.6 and 94.2%, respectively) and SHG (16.6, 41.6 and 72.9%, respectively) esophageal concentrations versus the positive control. Omeprazole decreased the ELI (80.2%), MDA (99.3%) and SH (85.4%) esophageal concentrations. As conclusions, this study suggest that repeated oral administration with D-002 protects against reflux esophagitis and decreases esophageal lipid peroxidation and protein oxidation markers in rats with c-GER.
Reducing Uveitic Glaucoma: therapeutic judgement is the keyiosrphr_editor
Abstract: Background: Uveitic glaucoma (UG) due to disease and /or therapeutics is an important reason for reduced vision. Different therapeutic regimen employed in uveitis can alter the course of UG. Purpose: Evaluation of prevalence of UG with different commonly used therapy. Study design: Randomised prospective hospital based study Study Period: 2007-2012 Methods: Baseline IOP; Field and optic nerve head photographs were recorded. Three groups were randomised: 1.topical steroid 2.Systemic steroid +gr 1, 3.Topical synthetic steroids, cycloplegic and periorbital triamcinolone injection. Outcome measure: IOP more than 22 mm/4 mm increase from baseline is marker.
Studying the Analgesic, Anti-inflammatory and Antipyretic Properties of The A...iosrphr_editor
The document describes a study that investigated the analgesic, anti-inflammatory, and antipyretic properties of the aqueous extract of parsley (Petroselinum crispum) in experimental animal models. The extract showed significant anti-inflammatory effects in carrageenan, dextran, and histamine-induced paw edema models, as well as in a cotton pellet-induced granuloma model. It also exhibited analgesic effects in acetic acid-induced writhing and hot plate tests. Additionally, the extract reduced yeast-induced hyperpyrexia in rats. The study demonstrates that the aqueous extract of parsley possesses anti-inflammatory, analgesic, and antipyretic activities.
Physician-Pharmacist Comanagement of Postoperative Pain in Egyptian Patients:...iosrphr_editor
Thoracic(N):Lobectomy/Pneumonectomy
14/8 (64/36%) 15/8 (65/35%) 0.88
Comorbidities: Hypertension/DM/CVD N (%)
9/5/3 (41/23/14%) 10/4/2 (43/17/9%) 0.89
Drug History: NSAIDs/Steroids N (%)
4/2 (18/9%) 5/1 (22/4%) 0.72
Data are presented as mean ± SD or number (percentage).
ASA: American Society of Anesthesiologists physical status classification.
DM: Diabetes Mell
Analytical Study of Urine Samples for Epidemiology of Urinary Tract Infection...iosrphr_editor
The current study was carried out in District Abbottabad aimed to determine the common urinary
tract infections in local community to determine the epidemiology of significant diseases in asymptomatic patients
of renal disorder. In this study a total of 1000 urine samples were examined during 3rd February to 1st April 2015
from patients attending Ayub Teaching Hospital Abbottabad by using dipstick and microscopic analysis of urine.
There were 638 females and 362 males patients examined during this period. The range of age groups is between
1.5 years to 80 years. Results of this study was reported as Pyuria 11%, Proteinuria 21.1%, Hematuria 10.4%,
Epithelial Cells 8.2%, pH 7.8 %, Granular casts 7.3%, Triple phosphate 6.6%, Calcium oxalate 6.4%, Glycosuria
6.3%, Bacteria 6.2% and mucous 4.1%. This study concludes that routing urinalysis should be performed for all
individuals to diagnose the asymptomatic diseases that will help in simple therapeutic measurements as urinalysis
is a simple step to determine the root of Urinary tract disorders.
FIBROLIPOMATOUS HAMARTOMA OF ULNAR NERVE: A RARE CASE REPORT.iosrphr_editor
Nervous fibrolipomatous hamartoma is said to be a rare tumor-like condition involving the peripheral
nerves,in which the epineurium and perineurium are enlarged and distorted by excess of fatty and fibrous tissue
s that infiltrate between and around nerve boundaries. The median nerve is more likely to develop a hamartoma
than other nerves with a predilection for the carpal tunnel.
A fibrolipomatous hamartoma – is a rare, benign, congenital lesion most commonly found in the median nerve,
usually at the level of the wrist or hand.
We report a case of this rare condition in ulnar nerve.
SELF MEDICATION PRACTICES FOR ORAL HEALTH PROBLEMS AMONG DENTAL PATIENTS IN B...iosrphr_editor
This study examined self-medication practices for oral health problems among dental patients in Bangalore, India. The study found that 100% of the 175 dental patients surveyed practiced self-medication. Toothache was the most common triggering factor reported. Analgesics and herbal remedies were commonly used for self-treatment. Most participants consulted pharmacists for advice on self-medication and would see a dentist only if problems persisted after self-medicating. The high prevalence of self-medication indicates a need for education programs to increase awareness of risks.
Clinico-haematological Profile of Falciparum Malaria in a Rural Hospital of T...iosrphr_editor
Aim: To study the clinico-haematological profile malaria in a rural hospital of Tripura.
Material and methods: A cross-sectional hospital-based study was done from at Kulai District
Hospital,Tripura. This hospital based cross sectional study was done on 60 confirmed cases of falciparum
malaria (either by peripheral smear or rapid diagnostic test) admitted in Kulai District Hospital. A case sheet
proforma was prepared and data (demographic profile,clinical feature, investigation, treatment, and
complication) from all indoor patients was collected and analyzed.
Result: Out of 60 patients, 40(66.6%) were males and 20 (33.4%) were females. Most of the patients were
between the age group 21-40 years with the highest prevalence between the age group of 21-30. Fever was the
most common symptom. Anemia was present in 42(70%) patients, out of which 6(10%) patients had severe
anemia. Thrombocytopenia was present in 36(60%) patients.Abnormal liver function tests were observed in
26(43.3%) subjects while abnormal kidney function tests were observed in16(26.6%) patients. All the 60
patients received Artemisinin based antimalarial drugs.
Conclusion: Early detection, prompt management, and adequate supportive therapy may reduce mortality due
to falciparum cerebral malaria.
Indonesian Wild Ginger (Zingiber sp) Extract: Antibacterial Activity against ...iosrphr_editor
The document summarizes a study that tested the antibacterial activity of extracts from three species of wild ginger plants from Indonesia (Zingiber zerumbet, Zingiber amaricans, and Zingiber aromaticum) against Mycoplasma gallisepticum, a pathogen that causes respiratory disease in chickens. Phytochemical analysis revealed the presence of alkaloids, flavonoids, tannins, and terpenoids in the plant extracts. Disc diffusion and minimum inhibitory concentration assays showed that ethanol extracts of dried rhizomes had the strongest inhibitory effects against the pathogen, with minimum inhibitory concentrations ranging from 7.8 to 31.2 mg/ml. The results suggest that extracts from these wild ginger plants
A case of allergy and food sensitivity: the nasunin, natural color of eggplantiosrphr_editor
Abstract: Allergies and food sensitivities can both be considered as "adverse reactions individualistic" to food.
Are pathological and individual forms because they affect a few individuals in way rather serious; immediate
or delayed reactions occur instead with simple effects histamine, or, in severe cases with respiratory and
anaphylactic shock
The eggplant (Solanum melongena L.) is known to cause food allergies in some Asian countries, but detailed
studies on allergies caused by eggplant are lacking, however, it was highlighted the presence of allergens in
edible parts of eggplant with preponderance in the peel .
The purpose of this study was to propose an extraction method rapid, efficient and cost of natural dye from
waste products from the food industry, such as the peels of eggplant, from which it was extracted, isolated and
purified the nasunin,a colored molecule in red-fuchsia.
Nasusin was tested on 58 patients to evaluate the potential sensitizing effect on the skin. The results demonstrate
that allergenic effects are negligible and therefore the nasunin can be used as a colorant in various industrial
sectors with a certain safety margin
Complete NMR Assignment of MogrosidesII A2, II E andIII A1Isolated from Luo H...iosrphr_editor
NMR analysis allowed complete assignments of three known mogrol glycosides, Mogroside IIA2 (1),
II E (2)and IIIA1 (3), isolated from the extracts of Luo Han Guo. Herein, complete 1H and 13C NMR
assignmentsof all threemogrosidesare described based on NMR experiments (1H NMR, 13C NMR, COSY,
HSQC-DEPT, HMBC, NOESY and 1DTOCSY) and mass spectral data.
Nanoemulsion and Nanoemulgel as a Topical Formulationiosrphr_editor
: Nanoemulsion is referred type of emulsion with uniform and extremely small droplet size in the range
of 20-200 nm. Nanoemulsion provides numerous advantages over other carrier such as polymeric nanoparticle
and liposomes, including low cost preparation procedure, high hydrophilic and lipophilic drug loading system
to enhance the longer shelf live upon preserving the therapeutic agents. Incorporating the preparation of
nanoemulsion with hydrogel matrix to produce nanoemulgel exhibited by the two separate systems that forming
it. Nanoemulgel possesses the properties of thixotropic, non-greasy, effortlessly spreadable, easily be removed,
emollient, not staining, soluble in water, longer shelf life, bio-friendly, translucent and agreeable appearance.
Pharmacokinetics of High-Dose Methotrexate in Egyptian Children with Acute Ly...iosrphr_editor
Aim:Since several factors have been shown to influence the clearance of methotrexate, the purpose of this study
was to identify potential relationships between patient covariates and the methotrexate clearance estimates and
deduce a pharmacokinetic model for the estimation of methotrexate clearance in Egyptian pediatric ALL
patients that may help dosage adjustment and achieve target steady-state plasma concentrations in a similar
sittings.
Patients and methods: A total of 94 pediatric patients with B-cell ALL, of whom 70 were the studied population
and 24 were the test population, were treated with four courses of HDMTX doses 2.5 gm/m2
(low-risk arm) or 5
gm/m2
(standard-/high-risk arm) given every other week by intermittent intravenous infusions over 24 hours as
a part of their treatment protocol. Patients were monitored for the 24 hour MTX concentration and the systemic
methotrexate clearance was calculated for each methotrexate dose
Epidemiology of Tuberculosis (TB) in Albania 1998-2009iosrphr_editor
Abstract : In Albania, many people erroneously think that tuberculosis (TB) is a disease of the past-an illness
that no longer constitutes a public health threat. Surveillance is an integral part of tuberculosis (TB) control.
Albania has a highTB notification rate and there are doubts about underreporting. The evolution of the
incidence of tuberculosis is presented, together with more detailed figures over the period 1998-2009. These
figures were obtained by the monthly forms (called 14/Sh) compared with the individual notification data.
Objective: To examine the distribution and sources of increased tuberculosis (TB) morbidity and reporting
system deficiencies in the Albania from 1998 through 2009. Metodology: The study is descriptive one conductet
during the period 1998-2009. The statistical analysis is based on data reported from regional level (regional
epidemiological departments) to the central level (Public Health Institute). Results: The main findings were:
discordance between the collected data (individual form) and reported data (monthly form); tuberculosis
incidence rate shows little oscillations which ranges from 6.67 to 9.2 cases/100.000 population; 50% of the
regions show a lack of information on the confirmation of diagnosis and laboratory examination type used for
confirmation. Conclusion: TB disease in high-risk populations where it is difficult to detect, diagnose, and treat;
limitations of current control measures and the need for new tests and treatments, including an effective
vaccine; improving information system, regulation of individual form and personnel training.
Total Phenol and Antioxidant from Seed and Peel of Ripe and Unripe of Indones...iosrphr_editor
Study on total phenol and antioxidantactivity ofsugar apple fruits of various solvent, part of fruits, and level of ripening. Solvent extraction used were 80% (v/v) methanol, 50% (v/v) acetone, boiling water, and 50% (v/v) ethanol. Part of fruits thatbeen used for samples were seed and peel which are normally by products of sugar apple processing, level of ripening were unripe, and ripe sugar apple fruits. Total phenol was determined by Folin-ciocalteau method. Total antioxidant was quantified by 1,1-diphenyl-2-picrylhydrazyl(DPPH) method.Therewas a difference in type of solvent, part of fruits, and level of ripeningon total phenol and antioxidant concentration of sugar apple fruits. Seeds have higher total phenol concentration than peels of this fruits. Unripe sugar apple fruits have higher total phenol and antioxidant than ripe fruit. The best solvent for phenol extraction was ethanol 50%butthe best solvent for antioxidant extraction was acetone 50%.
A Review on Step-by-Step Analytical Method Validationiosrphr_editor
When analytical method is utilized to generate results about the characteristics of drug related samples it is essential that the results are trustworthy. They may be utilized as the basis for decisions relating to administering the drug to patients. Analytical method validation required during drug development and manufacturing and these analytical methods are fit for their intended purpose. To comply with the requirements of GMP pharmaceutical industries should have an overall validation policy which documents how validation will be performed. The purpose of this validation is to show that processes involved in the development and manufacture of drug, production and analytical testing can be performed in an effective and reproducible manner. This review article provides guidance on how to perform validation characteristics for the analytical method which are utilized in pharmaceutical analysis.
A Cross Sectional Study of Ethnic Differences in Occurrence and Severity of A...iosrphr_editor
Non-steroidal anti-inflammatory drugs are the most widely used "over the counter" medication all over the world despite their complications in different major organs. Present studies envisaged for knowing the occurrence and severity of adverse drug reactions from NSAIDs in different ethnic communities of Sikkim. A cross sectional study was undertaken in the medicine outpatients department of a secondary and tertiary care hospital. The patients belonging to Nepalese, Bhutias, Lepchas ethnic communities and others community (settlers from other parts of India) were included to analyzed the data based on the age and gender, ethnicity and ADRs, drugs and ADRs. Severity assessment was done using Hartwing and Siegel scale and causality assessment by Naranjo scale. Total 109 cases of ADRs, predominating in female were detected. Nepalese were the most affected and Gastrointestinal tract (GIT) being the most affected organ in them. Diclofenac showed maximum number of ADRs in all the communities. Maximum number of cases occurred on single day use (40.36%) of drugs. All the cases were belonging to the "possible category" and the maximum being the mild (72.48%) in nature. It is advisable to consider the ethnic/racial differences equally with other factors, to improve the safety and efficacy of a drug.
Hematological and biochemical alterations in malaria and their correlation wi...iosrphr_editor
Malaria is a major health problem in India with 1.04 million cases reported in 2012 leading to 504 deaths. The clinical spectrum depends on the infecting species, level of parasitemia and the immune status of the host. Malaria pathogenesis is based on extensive changes in hematological and biochemical parameters. The objective of this study was to study the clinical features, hematological and biochemical parameters in malaria patients and correlate them with the parasitic index (PI). Material and methods: We conducted a study on 300 malaria patients. The frequency of various symptoms and signs of malaria caused by various plasmodium species were determined. The degree of anemia, WBC count, platelet count serum bilirubin, liver enzymes and serum creatinine levels were studied and their variation depending on the parasitic index was documented. Results: 197 patients had vivax malaria, 76 patients had falciparum malaria and 27 patients had mixed infection. 171 patients had a PI of less than 2%, 100 patients had PI between 2 to 5%, 23 patients had PI between 5 to 10% and only 6 patients had PI of more than 10%. 72.3% of patients had thrombocytopenia, 46.66% had anaemia, 25% had increased bilirubin 29.66% showed increased liver enzymes and 7.66% had increased creatinine levels. Conclusion: There was a correlation between degree of parasitemia and severity of malaria in majority of cases. Derangements in hematological and biochemical parameters were more frequently seen in patients with higher PI. Hence PI can be used as an indicator by the clinician to know the severity of infection and plan appropriate treatment.
Treatment of Uthiravatha Suronitham (Rheumatoid Arthritis) with a Siddha Comp...iosrphr_editor
Uthiravathasuronitham, a vatha disease described by Sage Yugi can be correlated to Rheumatoid arthritis. A 53 year old lady diagnosed as Uthiravathasuronitham was treated with Siddha medicines Karpoora Chindhamani Mathirai and MannennaiKalavaiThylam. A single case study of Uthiravathasuronitham is detailed in this article.The patient presented with pain and swelling in minor joints of hand, wrist, ankle, shoulder joints and morning stiffness. The RA factor, CRP was positive at the time of enrollment. She was admitted in the IPD of Sirappu Maruthuvam Department of National Institute of Siddha for 45 days. The treatment outcome was encouraging. Hence further clinical studies can be carried out.
An analysis of the incidence and causes of road traffic accident in Kisii, Ce...iosrphr_editor
Background: Road traffic accidents (RTAs) are an emerging public health problem. It is estimated that more than 5 million people between 17-40 years of age die annually as a result of RTAs worldwide. Currently, RTA is the tenth leading cause of disease burden in the developing countries, especially in the Sub-Saharan African countries. The objective of the study was to analyze the proportion of accidents by vehicle, as well as investigate group of people vulnerable to RTA.
D-002 treatment attenuates esophagitis in a model of chronic gastro-esophagea...iosrphr_editor
To investigate the effects of D-002 (beeswax alcohols) on esophagitis induced by chronic gastroesophageal reflux (c-GER) in rats. Rats were randomized into a sham and five groups subjected to c-GER: a positive vehicle control, three D-002 (50, 100 and 200 mg/kg), and one omeprazole (20 mg/kg) group, all treated orally for seven days. cGER was induced by ligation of the junction between the forestomach and the duodenal side of the pylorus. Esophageal lesions index (ELI), esophageal malondialdehyde (MDA) and sulfhydril groups (SHG) concentrations were assessed. The positive control group exhibited macroscopically signs of esophageal injury assessed in term of ELI, which was significantly higher than in the negative control. D-002 (50, 100 and 200 mg/kg) reduced the ELI, showing 30.5, 72.9 and 76.4% protection, respectively; and also significantly attenuated the increased MDA (37.4, 63.6 and 94.2%, respectively) and SHG (16.6, 41.6 and 72.9%, respectively) esophageal concentrations versus the positive control. Omeprazole decreased the ELI (80.2%), MDA (99.3%) and SH (85.4%) esophageal concentrations. As conclusions, this study suggest that repeated oral administration with D-002 protects against reflux esophagitis and decreases esophageal lipid peroxidation and protein oxidation markers in rats with c-GER.
Reducing Uveitic Glaucoma: therapeutic judgement is the keyiosrphr_editor
Abstract: Background: Uveitic glaucoma (UG) due to disease and /or therapeutics is an important reason for reduced vision. Different therapeutic regimen employed in uveitis can alter the course of UG. Purpose: Evaluation of prevalence of UG with different commonly used therapy. Study design: Randomised prospective hospital based study Study Period: 2007-2012 Methods: Baseline IOP; Field and optic nerve head photographs were recorded. Three groups were randomised: 1.topical steroid 2.Systemic steroid +gr 1, 3.Topical synthetic steroids, cycloplegic and periorbital triamcinolone injection. Outcome measure: IOP more than 22 mm/4 mm increase from baseline is marker.
Studying the Analgesic, Anti-inflammatory and Antipyretic Properties of The A...iosrphr_editor
The document describes a study that investigated the analgesic, anti-inflammatory, and antipyretic properties of the aqueous extract of parsley (Petroselinum crispum) in experimental animal models. The extract showed significant anti-inflammatory effects in carrageenan, dextran, and histamine-induced paw edema models, as well as in a cotton pellet-induced granuloma model. It also exhibited analgesic effects in acetic acid-induced writhing and hot plate tests. Additionally, the extract reduced yeast-induced hyperpyrexia in rats. The study demonstrates that the aqueous extract of parsley possesses anti-inflammatory, analgesic, and antipyretic activities.
Physician-Pharmacist Comanagement of Postoperative Pain in Egyptian Patients:...iosrphr_editor
Thoracic(N):Lobectomy/Pneumonectomy
14/8 (64/36%) 15/8 (65/35%) 0.88
Comorbidities: Hypertension/DM/CVD N (%)
9/5/3 (41/23/14%) 10/4/2 (43/17/9%) 0.89
Drug History: NSAIDs/Steroids N (%)
4/2 (18/9%) 5/1 (22/4%) 0.72
Data are presented as mean ± SD or number (percentage).
ASA: American Society of Anesthesiologists physical status classification.
DM: Diabetes Mell
Physician-Pharmacist Comanagement of Postoperative Pain in Egyptian Patients:...
IOSR Journal of Pharmacy (IOSRPHR), www.iosrphr.org, call for paper, research paper publishing, where to publish research paper, journal publishing, how to publish research paper, Call for research paper, international journal, publishing a paper, call fo
1. IOSR Journal of Pharmacy
ISSN: 2250-3013, www.iosrphr.org
Volume 2 Issue 5 ‖‖ Sep-Oct. 2012 ‖‖ PP.06-10
The effects of anti-glucosyltransferase (anti-gtf-ib) antibody on
growth of mutans streptococci streptococcus sobrinus (serotype g)
n10 strain and purified gtf-ib enzyme activity
1
Essam F. A. Al-Jumaily, 2Nada H. A. Al-Mudallal,
3
Nidhal A.A. Muhimen, 4Abd Al-Wahid Al-Shaibany.
1,4
Biotechnology Department, Genetic Engineering and Biotechnology Institute for
Postgraduate students; University of Baghdad, Baghdad- Iraq.
2
Department of Biology, College of Medicine, Al-Iraqia University, Baghdad- Iraq
3
Microbiology Department, College of Medicine, Al-Nahrain University, Baghdad- Iraq.
Abstract––In this study the effect of different concentrations of anti-GTFIb antibody was tested on the
growth of Streptococcus sobrinus serotype G N10 strain and the enzymatic activity of purified GTF-Ib
enzyme which was isolated from the Streptococcus sobrinus serotype G N10 strain. It was found that
different concentrations of these compounds and the anti- GTF-Ib antibody were able to inhibit the
enzymatic activity of the purified GTF-Ib with an exception of EDTA. The result was proved that anti- GTF-
Ib antibody at concentration of (1.5x10 3 ml/ mol) has a great influence to inhibit (87.33%) of the enzymatic
activity of the purified GTF Ib enzyme followed by sodium fluoride (18ml M), chlorohexidine (20ml M) and
ZAK mouthrins which were able to inhibit (81.64%), (75.55%) and (60.40%) respectively from the enzymatic
activity of purified GTF- Ib enzyme.
Keywords––Streptococcus sobrinus, Glucosyltransferase (GTF), Anti-GTFIb,
I. INTRODUCTION
Mutans Streptococci is implicated as the primary etiological agents of human caries within this group ,
Streptococcus sobrinus and Streptococcus mutans were the most commonly isolated species from human.[1]
Most oral streptococci possess Glucosyltransferase (GTF) enzyme that use sucrose as substrate to
synthesize extracellular polysaccharide [2,3] which facilitate the accumulation and adhesion of oral bacterial
cells on the tooth.[4]
Several molecular components has been used as an antigen to stimulate the immune system against
cariogenic bacteria, GTF preparations were attractive possible vaccine that may constitute important target of
the antibacterial mechanism [5]. Also a variety of compounds capable to controlling dental caries have been
extensively used on the basis of the following criteria:
So the aim of this study to determine the antienzymatic activities of different concentrations of
inhibitors and anti- GTF antibody on the growth of mutans streptococci Streptococcus sobrinus local Iraqi
isolated bacterial strain from teeth and against the activity of purified GTF enzyme which that isolated and
purified from the same strain.
II. MATERIALS AND METHODS
Bacterial isolate : Streptococcus sobrinus (serotype G) N10 was isolated from dental plaque and
identified by growing on the surface of MS-agar[6], testing their tolerance to high concentration of sodium
chloride, utilization of different carbohydrate sources , antibiotic sensitivity test and Latex test (PASTOREX
STREP) for serotype identification.
Anti-GTF-Ib antibody: It was prepared by Al-Mudallal et al.,[6,7]. The antigen was a concentrated
purified GTF-Ib enzyme which was isolated and purified also by (Al-Mudallal et al., [8] from the previous
bacterial isolate. The antigen preparation and the immunization schedule were done following the method
describes by Wunder and Bowen, [9].
The effects of Inhibitors and Anti-GTF-Ib antibody on Purified GTF-Ib enzyme
The effect of inhibitors and anti-GTF antibody on the GTF activity was estimated following the method
described by Evans and Genco, [10], as follow:
6
2. The effects of anti-glucosyltransferase (anti-gtf-ib) antibody on growth of mutans streptococci….
A mixture of (200 μl) of purified (GTF) from S.sobrinus (Serotype G) N10 strain with (200 μl) of each
concentration of previous inhibitors and anti-GTF-Ib antibody was incubated at 37°C for an hour. Then a (20 μl)
of (50%) solution sucrose was added for each concentration of inhibitors and dilutions of anti-GTF-Ib with
(0.02%) sodium azide and incubated at 37°C for 18 hrs. Centrifugation was done at (5000 xg) for 30 minutes
and precipitation of glucan was done with an absolute ethanol then GTF activity was measured by phenol-
sulfuric acid method [11]. The blank was prepared using the same procedure which contained the same amount
of each concentration of the previous inhibitors and anti-GTF-Ib antibody with (200 μl) of phosphate buffer
saline (0.3M) (pH 7.5) instead of enzyme with (20 μl) of (50%) sucrose.
III. RESULTS AND DISCUSSION
The Effect of Inhibitors and Anti-GTF-Ib antibody on The Activity of Purified GTF-Ib
The effect of different concentrations of EDTA, sodium fluoride, chlorohexidine dichloride, ZAK
(mouthrinse) and anti-GTF-Ib antibody was done as described previously. Results shown in figures (1), (2), (3)
and (4), indicated that different concentrations of the inhibitors and anti-GTF-Ib antibody were capable to inhibit
the GTF-Ib antibody activity with the exception of EDTA. Sodium fluoride at concentration (18mM) was
capable to inhibit (81.64%) of the GTF-Ib enzyme activity, chlorohexidine at concentration of (20mM) was
capable to inhibit (75.55%) of the GTF-Ib activity, ZAK (mouthrinse) at concentration of (12mM) was capable
to inhibit (60.4%) of the GTF-Ib enzyme activity and anti-GTF-Ib antibody at concentration of (1.5x10-3mM)
was capable to inhibit (87.33%) of the GTF-Ib enzyme activity. No complete inhibition was recognized with any
concentrations of these inhibitors and anti-GTF-Ib antibody.
Accordingly, anti-GTF-Ib antibody was considered as the best inhibitor on the activity of purified GTF-
Ib enzyme followed by sodium fluoride, chlorohyexidine and ZAK (mouthrinse) respectively.
100
Remaining Activity (%)
90
80
70
60
50
40
30
20
10
0
0.075 1.5 3 5 10 15 20
Chlorohexidine (mM)
Figure (1): The effect of Chlorohexidine (CHX) mouthrinse on GTF-Ib activity.
7
3. The effects of anti-glucosyltransferase (anti-gtf-ib) antibody on growth of mutans streptococci….
100
90
80
Remaining activity (%)
70
60
50
40
30
20
10
0
1 2 4 8 12 16 18
NaF concentration (mM)
Figure (2): The effect of Sodium Fluoride (NaF) mouthrinse on GTF-Ib activity.
100
90
80
Remaining activity (%)
70
60
50
40
30
20
10
0
3 5 10 12
Zak cocentration (mM)
Figure (3): The effect of ZAK mouthrinse on GTF-Ib activity.
100
90
80
Remaining activity (%)
70
60
50
40
30
20
10
0
21 23 31 39 51 78 150
Anti-GTF-lb(M)x10-3
Figure (4): The effect of Anti-GTF-Ib mouthrinse on GTF-Ib activity.
8
4. The effects of anti-glucosyltransferase (anti-gtf-ib) antibody on growth of mutans streptococci….
Wunder and Bowen [9] demonstrated the inhibitory effect of antibodies specific for GTF-C, GTF-B
and GTF-D enzymes of S.mutans on the activity of these enzymes in solution and on the surface of
hydroxyapatite. Antibodies to GTF-B, GTF-C and GTF-D were found to inhibit (75%), (90%) and (90%) of the
activity of these enzymes respectively. No complete inhibition was found with any one of these antibodies
against the activity of GTF. These antibodies were capable to block the synthesis of insoluble and soluble
glucan polymers. So by inhibiting the activity of GTF the adsorption of bacteria on the tooth surface will be
prevented.
Fluoride was widely used as a highly effective anticaries agent [12]. It was found to inhibit the activity
as well as the production of GTF enzymes from the mutans streptococci through a set of action with
fundamentally different mechanisms. It inhibites the glycolytic enzyme enolase which had a vital role in the
breaking of the glucose moieties during glycolysis process, so it is capable to inhibit the formation of glucan.
Another mode of action was involved in the formation of metal –fluoride complexes, most commonly A1F4-.
These complexes were responsible for the fluoride inhibition of proton-translocation F-ATPases and were
thought to act by mimicking phosphate to form complexes with ADP at reaction center of the enzyme. The
linkage between the ATPs molecules and the F group was able to prevent the formation of glucan from the
glucose-6-phosphate, so inhibition of GTF was recognized .[13]
Chlorohexidine was defined as an effective ant plaque agent [12]. Chlorohexidine in solution at
concentration (1.25mM) was found to inhibit (100%) of GTF-C, (36%) of GTF-B and (15%) of GTF-D enzyme
activities of S. mutans bacteria [14]. The clinical effectiveness of chlorohexidine could be due to interaction of
antiplaque agent with the GTF-C enzyme prior to the adsorption of the enzyme onto tooth and apatitic surfaces,
thus inhibiting the enzyme before adsorption onto the tooth surface.[15]. This suggestion could be consistent
with the staining frequency absorbed on the tooth surfaces of persons who used chlorohexidine [16] (i.e
chlorohexidin interacte with GTF-C in solution and bound to tooth surface with GTF-C).
Many potential anti-plaque agents might be ineffective when they became in the form of mouthrinse,
because they were incompatible with other ingredients or materials that had found in the constituents of the
mouthrinse [17]. ZAK (mouthrinse) although it contains sodium fluoride and chlorohexidine, it did not reflect
the same effect as chlorohexidine or sodium fluoride alone.
In spite of the wide distribution of the antiplaque and anticaries agents, dental caries remained the most
prevalent oral disease in different parts of the world especially in developing countries [18] . Although the
concept of using the GTF of mutans streptococci as a possible immunogen against dental caries was attractive,
several major problems continue to plague the field including:
1. Vaccination against caries was based on the idea that the same principles that applied to mucosal
immunity were applicable for protection against caries.
2. Although the occurrence of dental plaque disease was not on a mucosal surface but on hard, non-
shedding, largely non-reactive surfaces, protective antibody was required to react on a solid surface in a
largely hostile environment with large variation in pH values, active proteases and limited diffusion into
and out plaque.
Furthermore, Antibodies which were reacted with epitopes on putative protective bacterial proteins in
solution might not identify the same epitopes when the proteins adsorbed to a surface undergo conformational
changes. Such changes were known to occur for example with GTF adsorbed on saliva-coated hydroxyapatite
[19]. It was assumed that even partial inhibition of GTF by antibodies might be beneficial. However, it was
cleared that the presence of antibody which partially inhibits or simply react with the enzyme, a glucan of novel
structure might be formed there by providing a distinctive structure to which microorganism might bind [20].
There had been an increasing interest in the possible use of topically applied antibodies as a mean of controlling
dental caries [21]. This approach certainly had attractions in that immunogens did not have to be administered
systematically. Nevertheless, although the approach was technically feasible, it shared many of the same
problems mentioned above. In addition, depending on the method of administration, it might suffer from the
same problem as many mourhrinse or topically application, in that it did not remain in the mouth for a sufficient
time to exert its therapeutic effect. Perhaps antibodies could be used as a "homing agent" to deliver therapeutic
substance to specific area of the mouth [20].
9
5. The effects of anti-glucosyltransferase (anti-gtf-ib) antibody on growth of mutans streptococci….
REFERENCES
[1]. Russell, R. R. B. (2000). Pathogenesis of oral streptococci. In: Gram-positive pathogens. Fischetti VA, Novick RP,
Ferretti JJ, Portnoy DA, Rood JI, eds. ASM Press: Washington, DC; pp. 272-279.
[2]. Monchois, V.; Willemot, R. M. and Monsan, P. (1999). Glucansucrases: mechanism of action and structure-
function relationships. FEMS Microbiol. Rev. 23: 131-151.
[3]. Al-Jumaily,E.F.A.; Al-Mudallal, N.H.A.; Muhimen,N.A.A. and Al-Shaibany, A.A. (2009). Eavluation of matans
streptococci local strains for production of glucosyltransferase enzyme. The 2 nd Kurdistan Conference on
Biological Sciences. J. Duhok Univ. Vol.12 No.1 (Special Issue)Pp. 44-48.
[4]. Bowen, W.H and Koo, H. (2011). Biology of Streptococcus mutans-derived glucosyltransferases: role in
extracellular matrix formation of cariogenic biofilms. Caries Res. 45(1):69-86. Epub .
[5]. Jespersagaard, C.; Hajishengallis, G.; Hung, Y. and Michalek, S. (2000). Protective immunity against
Streptococcus mutans infection in mice after intranasal immunization with glucan-binding region of Streptococcus
mutans. Infe. Immun. 67(12): 6543-9.
[6]. Al-Mudallal N. H. A (2006). Characterization of Glucosyltransferase of Mutans Streptococci Streptococcus
sobrinus (Serotype G) (Functional and Immunological Assessment). Ph.D thesis, Biotechnology Department,
College of Science, Al-Nahrain University.
[7]. Al-Mudallal N. H. A. ;. Al-Jumaily E. F. A ;.Al.- Muhimen N. A. and Abd Al-wahid Al-Shaibany (2008).
Isolation And Identification of Mutans streptococci Bacteria From Human Dental Plaque.Journal of .Al-Nahrain
Univ.Science. 11(3):98-105.
[8]. Al-Mudallal N. H. A. ; Al-Jumaily E. F. A ;.Al.- Muhimen N. A. and Abd Al-wahid Al-Shaibany (2011).
Isolation and Purification of Glucosyltransferase from mutans streptococci Streptococcus sobrinus serotype G
local isolate. Iraqi Journal of Medical Science.7:5-10.
[9]. 9. Wunder, D. E. and Bowen, W. H. (2000). Effects of antibodies to glucosyltransferase on soluble and
insolubilized enzymes. Oral Diseases. 6: 289-296.
[10]. Evans, R. T. and Genco, R. J. (1973). Inhibition of glucosyltransferase activity by antisera to known serotypes of
Streptococcus mutans. Infect. Immun. 7(2): 237-241
[11]. Dubois, M.; Gilles, K. A.; Hamilton, J. K.; Rebers, P. A.and Smith, F. (1956). Colorimetric method for
determination of sugars and related substances. Anal. Chem. 28: 350-356
[12]. Emilson, C. G. (1994). Potential efficacy of chlorohexidine against mutans streptococci and human dental caries. J.
Dent. Res. 73: 682-691
[13]. Marquis, R. E. (1995). Antimicrobial actions of fluoride for oral bacterial. Clin J. Microbiol. 41(11): 955-964.
[14]. Vacca-Smith, A. M. and Bowen, W. H. (1996). The effect of some anti-plaque agents on the activity of
glucosyltransferase of Streptococcus mutans adsorbed onto saliva-coated hydroxyapaptite and in solution. J.
Biofilm 1: 1-19.
[15]. Xiao, J.; Zuo, Y.; Liu, Y., Li, J.; Hao, Y. and Zhou, X. (2007). Effects of Nidus Vespae extract and chemical
fractions on glucosyltransferases, adherence and biofilm formation of Streptococcus mutans. Arch Oral Biol.
Sep;52(9):869-875.
[16]. Le, H. and Schiott, C. R. (1970). The effect of mouthrinse and topical application of chlorahexidin on the
developmental dental plaque and gingivitis in man. J. Periodant. Res. 5: 79-83.
[17]. Garcia-Gody, F. 1989. Triclosan copolymer dentifrices. A new technology for the control of plaque and gingivitis.
Amer. J. Dent. 2:1983.
[18]. WHO, (1997). Oral health surveys. Basic method. 4th ed. Geneva
[19]. Vacca-Smith, A. M.; Venkitaraman, A. R. and Schilling, K. M. (1996). Characterization of glucosyltransferase of
human saliva adsorbed onto hydroxyapatite surfaces. Caries. Res. 30: 354-360.
[20]. Bowen, W. H. (2002). Do we need to be concerned about dental caries in the coming Millennium? Crit. Rev. Oral
Biol. Med. 13(2): 126-131
[21]. Carpenter, P. L.(1972).Inhibition and killing of microorganisms. In: “Microbiology”. London P.259.
[22]. Ma, J. K.; Hiatt, A.; Hein, M.; Vine, N. D.; Wang, F. and Stabila, P. (1995). Generation and assembly of secretory
antibodies in plants. Scie.168:716-719.11.
10