Acquired immunodeficiency syndrome (AIDS) is a global pandemic. Since its discovery >36.9 million people have lost their lives. Although highly active antiretroviral therapy (HAART) has been successful in significantly lowering viral titers as HIV-1 integrates into host genome it is not targeted by HAART and hence not eliminated. Therefore, the virus rebounds on discontinuation of drugs. Hence, patients are likely to take therapy for a lifetime and long-term drug treatment leads to severe drug-induced toxicity and also the emergence of multidrug-resistant viruses. It is pertinent to mention that the rate of emergence of resistant strains of HIV-1 is much greater than the rate of new drug development. Hence there is an urgent need to develop new strategies to tackle HIV-1 and emerging resistant strains.
Compounds from plant origin have enormous potential in terms of their incomparable structural diversity and plant kingdom needs to be explored for anti-HIV-1 molecules. In the present study medicinal plants namely Catharanthusroseus, Ocimumgratissimum, Mangifera sp., Tinospora sp., Solanum sp., Swertia bimaculata were evaluated for their anti-HIV-1 activity in cell culture. Crude extracts of the dried plants were prepared using solvents viz. hexane, chloroform, and methanol or Ethyl Acetate. Extracts were dissolved in DMSO and filter sterilized and screened for anti-HIV-1 activity using pseudotyped HIV-1 virus with GFP (Green Fluorescent Protein) reporter system. Prior cytotoxic concentrations 50 (CC50) of each extract was determined and all the extracts used in the present study were below their respective CC50 concentrations.
The significant anti-HIV-1 activity was observed in methanolic extracts of Ocimum gratissimum, ethyl Acetate extracts of Tinospora sp. Further fractionation of Ocimum gratissimum showed anti-HIV-1 activity in- E3M7 1 fraction.
Evaluation of anti-HIV potential in selected medicinal plantsTitas Mallick
This document summarizes the evaluation of anti-HIV potential in selected medicinal plants. Cell culture assays were conducted to test crude extracts of several plants for anti-HIV activity. Methanolic extracts of Ocimum gratissimum, Tinospora sp., and Swertia bimaculata showed anti-HIV activity, reducing green foci in the cell culture. Further fractionation of the active O. gratissimum extract did not identify any fractions with improved anti-HIV activity compared to the crude extract. The study found preliminary evidence of anti-HIV activity in some plant extracts warranting further investigation.
This presentation summarizes recent facts and news regarding tuberculosis. It discusses the worldwide epidemiology of TB, the continuum from latent infection to active disease, implications for diagnosing latent TB infection, the role of innate immunity in host-pathogen interactions, and progress in the TB vaccine pipeline. Key vaccine candidates discussed include those aiming to replace or boost BCG, with some showing promise in pre-clinical studies for both pre- and post-exposure prevention and treatment of TB.
RECENT ADVANCES IN DIAGNOSIS OF TUBERCULOSISANGAN KARMAKAR
TRADITIONAL TESTS AND RECENT DIAGNOSTIC MODALITIES FOR TUBERCULOSIS WITH EMPHASIS TO MOLECULAR DETECTION TECHNIQUES, DRUG SENSITIVITY ASSESMENT IN INDIAN PERSPECTIVE
This document discusses establishing mycobacteriology laboratory services in India. It outlines the need to improve diagnostic capacity for tuberculosis (TB) and drug-resistant TB. Establishing quality-assured diagnosis through microscopy, culture, and drug susceptibility testing (DST) in laboratories is critical for effective TB care and treatment. The document also reviews various TB diagnostic tools and their limitations, including microscopy, culture, and newer molecular tests. It emphasizes the importance of strengthening laboratory infrastructure, supplies, training, and quality management to enhance diagnostic capacity.
Evaluation of anti-HIV-1 potential in selected medicinal plants | Last VersionTitas Mallick
Acquired immunodeficiency syndrome (AIDS) is a global pandemic. Since its discovery >36.9 million people have lost their lives. Although highly active antiretroviral therapy (HAART) has been successful in significantly lowering viral titers as HIV-1 integrates into host genome it is not targeted by HAART and hence not eliminated. Therefore, the virus rebounds on discontinuation of drugs. Hence, patients are likely to take therapy for a lifetime and long-term drug treatment leads to severe drug-induced toxicity and also the emergence of multidrug-resistant viruses. It is pertinent to mention that the rate of emergence of resistant strains of HIV-1 is much greater than the rate of new drug development. Hence there is an urgent need to develop new strategies to tackle HIV-1 and emerging resistant strains.
Compounds from plant origin have enormous potential in terms of their incomparable structural diversity and plant kingdom needs to be explored for anti-HIV-1 molecules. In the present study medicinal plants namely Catharanthus roseus, Ocimum gratissimum, Mangifera sp., Tinospora sp., Solanum sp., Swertia bimaculata were evaluated for their anti-HIV-1 activity in cell culture. Crude extracts of the dried plants were prepared using solvents viz. hexane, chloroform, and methanol or Ethyl acetate. Extracts were dissolved in DMSO and filter sterilized and screened for anti-HIV-1 activity using pseudotyped HIV-1 virus with GFP (Green Fluorescent Protein) reporter system. Prior cytotoxic concentrations 50 (CC50) of each extract was determined and all the extracts used in the present study were below their respective CC50concentrations.
The significant anti-HIV-1 activity was observed in methanolic extracts of Ocimum gratissimum, ethyl acetate extracts of Tinospora sp. Further fractionation of Ocimum gratissimum showed anti-HIV-1 activity in- E3M7 1 fraction.
Evaluation of anti-HIV potential in selected medicinal plantsTitas Mallick
This document summarizes the evaluation of anti-HIV potential in selected medicinal plants. Cell culture assays were conducted to test crude extracts of several plants for anti-HIV activity. Methanolic extracts of Ocimum gratissimum, Tinospora sp., and Swertia bimaculata showed anti-HIV activity, reducing green foci in the cell culture. Further fractionation of the active O. gratissimum extract did not identify any fractions with improved anti-HIV activity compared to the crude extract. The study found preliminary evidence of anti-HIV activity in some plant extracts warranting further investigation.
This presentation summarizes recent facts and news regarding tuberculosis. It discusses the worldwide epidemiology of TB, the continuum from latent infection to active disease, implications for diagnosing latent TB infection, the role of innate immunity in host-pathogen interactions, and progress in the TB vaccine pipeline. Key vaccine candidates discussed include those aiming to replace or boost BCG, with some showing promise in pre-clinical studies for both pre- and post-exposure prevention and treatment of TB.
RECENT ADVANCES IN DIAGNOSIS OF TUBERCULOSISANGAN KARMAKAR
TRADITIONAL TESTS AND RECENT DIAGNOSTIC MODALITIES FOR TUBERCULOSIS WITH EMPHASIS TO MOLECULAR DETECTION TECHNIQUES, DRUG SENSITIVITY ASSESMENT IN INDIAN PERSPECTIVE
This document discusses establishing mycobacteriology laboratory services in India. It outlines the need to improve diagnostic capacity for tuberculosis (TB) and drug-resistant TB. Establishing quality-assured diagnosis through microscopy, culture, and drug susceptibility testing (DST) in laboratories is critical for effective TB care and treatment. The document also reviews various TB diagnostic tools and their limitations, including microscopy, culture, and newer molecular tests. It emphasizes the importance of strengthening laboratory infrastructure, supplies, training, and quality management to enhance diagnostic capacity.
Evaluation of anti-HIV-1 potential in selected medicinal plants | Last VersionTitas Mallick
Acquired immunodeficiency syndrome (AIDS) is a global pandemic. Since its discovery >36.9 million people have lost their lives. Although highly active antiretroviral therapy (HAART) has been successful in significantly lowering viral titers as HIV-1 integrates into host genome it is not targeted by HAART and hence not eliminated. Therefore, the virus rebounds on discontinuation of drugs. Hence, patients are likely to take therapy for a lifetime and long-term drug treatment leads to severe drug-induced toxicity and also the emergence of multidrug-resistant viruses. It is pertinent to mention that the rate of emergence of resistant strains of HIV-1 is much greater than the rate of new drug development. Hence there is an urgent need to develop new strategies to tackle HIV-1 and emerging resistant strains.
Compounds from plant origin have enormous potential in terms of their incomparable structural diversity and plant kingdom needs to be explored for anti-HIV-1 molecules. In the present study medicinal plants namely Catharanthus roseus, Ocimum gratissimum, Mangifera sp., Tinospora sp., Solanum sp., Swertia bimaculata were evaluated for their anti-HIV-1 activity in cell culture. Crude extracts of the dried plants were prepared using solvents viz. hexane, chloroform, and methanol or Ethyl acetate. Extracts were dissolved in DMSO and filter sterilized and screened for anti-HIV-1 activity using pseudotyped HIV-1 virus with GFP (Green Fluorescent Protein) reporter system. Prior cytotoxic concentrations 50 (CC50) of each extract was determined and all the extracts used in the present study were below their respective CC50concentrations.
The significant anti-HIV-1 activity was observed in methanolic extracts of Ocimum gratissimum, ethyl acetate extracts of Tinospora sp. Further fractionation of Ocimum gratissimum showed anti-HIV-1 activity in- E3M7 1 fraction.
This document discusses methods for identifying plant pathogens. Traditional visual examination can only identify damage after it has already occurred. More sensitive early diagnosis methods are needed to treat pathogens before irreparable damage. Modern methods like polymerase chain reaction (PCR) and serological techniques can identify pathogens before visible symptoms appear, allowing treatment before significant yield losses. These methods help identify the causal agent through DNA analysis and other laboratory techniques.
This document discusses newer diagnostic methods for tuberculosis (TB), specifically focusing on liquid culture and drug susceptibility testing (DST). It describes several technologies used for TB diagnosis, including light-emitting diode (LED) microscopy, liquid culture methods like MGIT, and nucleic acid amplification tests (NAATs) like Xpert MTB/RIF. Liquid culture methods like MGIT and BACTEC provide results faster than solid culture, in 2-3 weeks versus 6-8 weeks, and also allow simultaneous DST. Newer NAATs like Xpert MTB/RIF can provide results in under 2 hours and detect TB as well as rifampin resistance directly from sputum samples.
This presentation is about lab diagnosis of tuberculosis. It highlights use of currently available diagnostic methods in identifying pulmonary and extrapulmonary tuberculosis.
This document discusses new technologies for the diagnosis of tuberculosis. It describes how microscopy using light emitting diodes has advanced diagnosis by providing a simple, robust method. Molecular tests like PCR and line probe assays can rapidly detect TB and drug resistance from samples, but are more expensive and complex. The WHO endorses tests like Xpert MTB/RIF that can simultaneously detect TB and rifampicin resistance in a few hours. While promising, molecular methods still have limitations around cost, availability, and cannot replace clinical assessment.
Line Probe Assay: A New Arrival at the PRL discusses a new diagnostic tool, the line probe assay, that has arrived at the Provincial Tuberculosis Reference Lab in Sindh, Pakistan. The line probe assay can simultaneously detect resistance to rifampicin and isoniazid in mycobacterium tuberculosis, with a sensitivity of over 90% and specificity of over 99% for smear-positive specimens. It provides results faster than conventional drug susceptibility testing methods like solid and liquid culture. The new diagnostic tool will help improve case detection and management of drug-resistant tuberculosis in Pakistan.
This document discusses recent updates in the diagnosis of tuberculosis (TB). Direct diagnostic methods discussed include microscopic examination of samples after staining, various culture methods, and nucleic acid amplification tests. Microscopic examination remains the quickest method but has limited sensitivity. Culture allows for identification of the causative organism and is more sensitive but takes longer. Newer rapid culture methods using broth take less time than traditional solid culture. Molecular tests like PCR and LAMP can directly detect TB from samples and provide results faster than culture, but require more validation and quality control.
Newer diagnostic methods for tuberculosis Shweta Anand
The document discusses newer diagnostic methods for tuberculosis. It describes various specimen collection methods that improve sample quality like the Lung Flute device. Sputum smear microscopy and automated methods like the TBDx system are outlined. Culture-based techniques involving liquid and solid media are explained, including automated systems like MGIT and BacT/Alert. Newer culture-based drug susceptibility tests such as MODS, TLA, and NRA are also introduced. Overall the document provides an overview of advances in TB diagnostics from sample collection to molecular and culture-based methods.
Microbiological tests detect microorganisms or the host immune response to infection. They can identify infectious agents, provide information to guide antimicrobial therapy, and assess drug susceptibility. Test results must be interpreted carefully based on factors like specimen type, test characteristics, clinical findings, and communication between clinician and microbiologist. A variety of methods are used, including microscopy, culture, antigen and antibody detection, and nucleic acid amplification tests.
This document summarizes information presented about Mycobacterium tuberculosis and tuberculosis. It discusses that M. tuberculosis grows slowly, doubling every 24 hours, and takes 3-4 weeks to culture. It also notes that tuberculosis infects around 2 billion people globally and causes 1.6 million deaths per year. The document also mentions that multidrug resistant tuberculosis is emerging worldwide and there are an estimated 50 million people infected with multidrug resistant strains.
Investigations in Tuberculosis and advancesNirish Vaidya
This document discusses various techniques for investigating Mycobacterium tuberculosis and advances in the field. It summarizes key characteristics of M. tuberculosis and the global burden of tuberculosis. It then describes several laboratory techniques for detecting and diagnosing tuberculosis, including sputum smear microscopy, mycobacterial culture methods, tuberculin skin testing, and newer molecular techniques such as nucleic acid amplification tests and interferon-gamma release assays. Advances in rapid molecular diagnostics and their applications for tuberculosis detection and drug resistance testing are also discussed.
detect and identify common human bacterial pathogens in high purity water.Saad Farooqi
A rapid culture independent methodology toquantitatively detect and identify common human bacterial pathogens associated with contaminated high purity water
This document discusses drug resistant tuberculosis (TB) and recent updates in diagnostics and management. It covers the different types of drug resistant TB like mono, poly, MDR, XDR, and TDR. India has an estimated 3% prevalence of MDR-TB among new cases and 12-17% among previously treated cases. Diagnosis of drug resistant TB involves tests like culture, Xpert MTB/RIF, and line probe assays (LPA). Newer versions of tests like Xpert and LPA have increased sensitivity. Proper diagnosis is important for treatment, with principles including treating according to drug susceptibility testing to improve outcomes.
Recent advances in Tuberculosis diagnosisNishantTawari
This document discusses recent advances in tuberculosis diagnosis. It notes that in 2017 there were over 10 million new TB cases globally, including 2.8 million in India. New diagnostic techniques have been developed to improve detection of both drug-sensitive and drug-resistant TB. These include nucleic acid amplification tests like Xpert MTB/RIF, which can detect TB and rifampin resistance in under 3 hours. Other techniques discussed are line probe assays, automated liquid culture systems, and urine lipoarabinomannan tests. The document examines the advantages and limitations of various methods for directly and indirectly detecting active TB.
Recent advances in the diagnosis of tuberculosis include molecular methods that can rapidly detect Mycobacterium tuberculosis and resistance to rifampicin. The Xpert MTB/RIF assay can detect M. tuberculosis and rifampicin resistance directly from sputum samples in less than one day, which is much faster than traditional solid or liquid culture methods requiring weeks. Meta-analyses show the Xpert MTB/RIF assay has high sensitivity and specificity for detecting rifampicin resistance. While a major improvement, the Xpert MTB/RIF assay is still being evaluated for use with extra-pulmonary samples which typically yield lower sensitivity. Rapid molecular diagnostics are transforming tuberculosis diagnosis and treatment monitoring.
This document provides a summary of frequently asked questions about antibiotic use and infectious diseases. It addresses topics such as the treatment of asymptomatic bacteriuria, ESBL urinary tract infections, VRE in stool, C. difficile therapy, and molecular testing for tuberculosis diagnosis. It also compares antibiotics and provides guidance on de-escalation of empiric broad-spectrum therapy. Order sets are referenced for common infections like skin and soft tissue infections, neutropenic fever, sepsis, and pyelonephritis.
The document discusses various laboratory methods for the diagnosis of Mycobacterium tuberculosis infection and tuberculosis, including:
1) Microscopic examination of sputum or other samples to look for acid-fast bacilli via staining techniques.
2) Culture-based techniques to isolate M. tuberculosis from samples on solid or liquid media over several weeks.
3) Biochemical and molecular tests to identify M. tuberculosis and determine drug resistance from cultures.
4) Immunological tests like the Mantoux test, interferon-gamma release assays, and ELISPOT to detect immune responses to M. tuberculosis antigens.
1) Tuberculosis (TB) is commonly diagnosed through direct microscopy, culture, immunodiagnostic tests, molecular tests, and histopathology using samples from sputum, BAL, CSF, tissues, and other body fluids.
2) Direct microscopy has low sensitivity but is quick, while culture has higher sensitivity and allows drug susceptibility testing but takes 1-2 weeks for results. Newer liquid culture systems can provide results in only a few days.
3) Molecular tests like PCR and interferon-gamma release assays provide rapid results within hours and are also used for diagnosis, but many have high costs.
The document provides information on the molecular diagnosis of tuberculosis. It discusses the historical aspects of TB identification and increasing drug resistance. It notes that in 1993, WHO declared TB a global emergency, with one-third of the world's population infected. Current estimates from WHO in 2010 show over 8 million new TB cases annually. Molecular diagnostic methods like the AMTD and MTBDRplus tests can rapidly detect Mycobacterium tuberculosis complex and resistance patterns in days rather than the months needed for conventional culture. These new tests are especially useful for screening patients in high burden areas and for detecting drug resistant TB.
Moleecular mechanism of disease diagnosisjeeva raj
This document discusses molecular techniques for disease diagnosis, including antibody-based and nucleic acid-based methods. Antibody-based methods include using polyclonal and monoclonal antibodies in techniques like ELISA and lateral flow. PCR and RAPD are described as nucleic acid-based techniques that use primers and DNA amplification to detect pathogens. DNA microarrays are also mentioned as a diagnostic tool that screens for multiple pathogens by probing arrays of known DNA sequences.
This document summarizes a presentation on immunological testing for tuberculosis (TB) and HIV co-infection. It discusses the clinical utility of interferon gamma release assays (IGRAs) for detecting latent TB infection (LTBI) in HIV-infected individuals. While IGRAs perform similarly to the tuberculin skin test (TST) in identifying those who could benefit from LTBI treatment, important questions remain about their use in HIV-positive populations with different CD4 counts. The document also examines the diagnostic value of IGRAs for active TB, finding no evidence they are more sensitive than the TST, especially in low- and middle-income countries.
Research Paper presentation on "Antiviral activity of Acacia nilotica agains...Zohaib HUSSAIN
Presented by: : Zohaib HUSSAIN
Hepatitis C virus (HCV) belonging to the family Flaviviridae has infected 3% of the population worldwide and 6% of the population in Pakistan.
Pegylated INF-α plus ribavirin only treatment available
Thirteen medicinal plants were collected from different areas of Pakistan on the basis of undocumented antiviral reports against different viral infections.
Medicinal plants were air dried, extracted and screened out against HCV by infecting HCV inoculums of 3a genotype in liver cells
RT-PCR results demonstrate that acetonic and methanolic extract of Acacia nilotica(AN) showed more than 50% reduction at non toxic concentration
This document describes a study that analyzed the secondary metabolites and antimicrobial activity of Neisseria gonorrhoeae, the bacteria that causes gonorrhea. 39 bioactive compounds were identified in the methanolic extract of N. gonorrhoeae using GC-MS analysis. The extract showed high antimicrobial activity against fungi such as Aspergillus flavus. Nerium olender was found to be very effective at inhibiting the growth of N. gonorrhoeae with a zone of inhibition of 6.800±0.24 mm. Overall, the results suggest that compounds from N. gonorrhoeae have potential as antifungal agents.
This document discusses methods for identifying plant pathogens. Traditional visual examination can only identify damage after it has already occurred. More sensitive early diagnosis methods are needed to treat pathogens before irreparable damage. Modern methods like polymerase chain reaction (PCR) and serological techniques can identify pathogens before visible symptoms appear, allowing treatment before significant yield losses. These methods help identify the causal agent through DNA analysis and other laboratory techniques.
This document discusses newer diagnostic methods for tuberculosis (TB), specifically focusing on liquid culture and drug susceptibility testing (DST). It describes several technologies used for TB diagnosis, including light-emitting diode (LED) microscopy, liquid culture methods like MGIT, and nucleic acid amplification tests (NAATs) like Xpert MTB/RIF. Liquid culture methods like MGIT and BACTEC provide results faster than solid culture, in 2-3 weeks versus 6-8 weeks, and also allow simultaneous DST. Newer NAATs like Xpert MTB/RIF can provide results in under 2 hours and detect TB as well as rifampin resistance directly from sputum samples.
This presentation is about lab diagnosis of tuberculosis. It highlights use of currently available diagnostic methods in identifying pulmonary and extrapulmonary tuberculosis.
This document discusses new technologies for the diagnosis of tuberculosis. It describes how microscopy using light emitting diodes has advanced diagnosis by providing a simple, robust method. Molecular tests like PCR and line probe assays can rapidly detect TB and drug resistance from samples, but are more expensive and complex. The WHO endorses tests like Xpert MTB/RIF that can simultaneously detect TB and rifampicin resistance in a few hours. While promising, molecular methods still have limitations around cost, availability, and cannot replace clinical assessment.
Line Probe Assay: A New Arrival at the PRL discusses a new diagnostic tool, the line probe assay, that has arrived at the Provincial Tuberculosis Reference Lab in Sindh, Pakistan. The line probe assay can simultaneously detect resistance to rifampicin and isoniazid in mycobacterium tuberculosis, with a sensitivity of over 90% and specificity of over 99% for smear-positive specimens. It provides results faster than conventional drug susceptibility testing methods like solid and liquid culture. The new diagnostic tool will help improve case detection and management of drug-resistant tuberculosis in Pakistan.
This document discusses recent updates in the diagnosis of tuberculosis (TB). Direct diagnostic methods discussed include microscopic examination of samples after staining, various culture methods, and nucleic acid amplification tests. Microscopic examination remains the quickest method but has limited sensitivity. Culture allows for identification of the causative organism and is more sensitive but takes longer. Newer rapid culture methods using broth take less time than traditional solid culture. Molecular tests like PCR and LAMP can directly detect TB from samples and provide results faster than culture, but require more validation and quality control.
Newer diagnostic methods for tuberculosis Shweta Anand
The document discusses newer diagnostic methods for tuberculosis. It describes various specimen collection methods that improve sample quality like the Lung Flute device. Sputum smear microscopy and automated methods like the TBDx system are outlined. Culture-based techniques involving liquid and solid media are explained, including automated systems like MGIT and BacT/Alert. Newer culture-based drug susceptibility tests such as MODS, TLA, and NRA are also introduced. Overall the document provides an overview of advances in TB diagnostics from sample collection to molecular and culture-based methods.
Microbiological tests detect microorganisms or the host immune response to infection. They can identify infectious agents, provide information to guide antimicrobial therapy, and assess drug susceptibility. Test results must be interpreted carefully based on factors like specimen type, test characteristics, clinical findings, and communication between clinician and microbiologist. A variety of methods are used, including microscopy, culture, antigen and antibody detection, and nucleic acid amplification tests.
This document summarizes information presented about Mycobacterium tuberculosis and tuberculosis. It discusses that M. tuberculosis grows slowly, doubling every 24 hours, and takes 3-4 weeks to culture. It also notes that tuberculosis infects around 2 billion people globally and causes 1.6 million deaths per year. The document also mentions that multidrug resistant tuberculosis is emerging worldwide and there are an estimated 50 million people infected with multidrug resistant strains.
Investigations in Tuberculosis and advancesNirish Vaidya
This document discusses various techniques for investigating Mycobacterium tuberculosis and advances in the field. It summarizes key characteristics of M. tuberculosis and the global burden of tuberculosis. It then describes several laboratory techniques for detecting and diagnosing tuberculosis, including sputum smear microscopy, mycobacterial culture methods, tuberculin skin testing, and newer molecular techniques such as nucleic acid amplification tests and interferon-gamma release assays. Advances in rapid molecular diagnostics and their applications for tuberculosis detection and drug resistance testing are also discussed.
detect and identify common human bacterial pathogens in high purity water.Saad Farooqi
A rapid culture independent methodology toquantitatively detect and identify common human bacterial pathogens associated with contaminated high purity water
This document discusses drug resistant tuberculosis (TB) and recent updates in diagnostics and management. It covers the different types of drug resistant TB like mono, poly, MDR, XDR, and TDR. India has an estimated 3% prevalence of MDR-TB among new cases and 12-17% among previously treated cases. Diagnosis of drug resistant TB involves tests like culture, Xpert MTB/RIF, and line probe assays (LPA). Newer versions of tests like Xpert and LPA have increased sensitivity. Proper diagnosis is important for treatment, with principles including treating according to drug susceptibility testing to improve outcomes.
Recent advances in Tuberculosis diagnosisNishantTawari
This document discusses recent advances in tuberculosis diagnosis. It notes that in 2017 there were over 10 million new TB cases globally, including 2.8 million in India. New diagnostic techniques have been developed to improve detection of both drug-sensitive and drug-resistant TB. These include nucleic acid amplification tests like Xpert MTB/RIF, which can detect TB and rifampin resistance in under 3 hours. Other techniques discussed are line probe assays, automated liquid culture systems, and urine lipoarabinomannan tests. The document examines the advantages and limitations of various methods for directly and indirectly detecting active TB.
Recent advances in the diagnosis of tuberculosis include molecular methods that can rapidly detect Mycobacterium tuberculosis and resistance to rifampicin. The Xpert MTB/RIF assay can detect M. tuberculosis and rifampicin resistance directly from sputum samples in less than one day, which is much faster than traditional solid or liquid culture methods requiring weeks. Meta-analyses show the Xpert MTB/RIF assay has high sensitivity and specificity for detecting rifampicin resistance. While a major improvement, the Xpert MTB/RIF assay is still being evaluated for use with extra-pulmonary samples which typically yield lower sensitivity. Rapid molecular diagnostics are transforming tuberculosis diagnosis and treatment monitoring.
This document provides a summary of frequently asked questions about antibiotic use and infectious diseases. It addresses topics such as the treatment of asymptomatic bacteriuria, ESBL urinary tract infections, VRE in stool, C. difficile therapy, and molecular testing for tuberculosis diagnosis. It also compares antibiotics and provides guidance on de-escalation of empiric broad-spectrum therapy. Order sets are referenced for common infections like skin and soft tissue infections, neutropenic fever, sepsis, and pyelonephritis.
The document discusses various laboratory methods for the diagnosis of Mycobacterium tuberculosis infection and tuberculosis, including:
1) Microscopic examination of sputum or other samples to look for acid-fast bacilli via staining techniques.
2) Culture-based techniques to isolate M. tuberculosis from samples on solid or liquid media over several weeks.
3) Biochemical and molecular tests to identify M. tuberculosis and determine drug resistance from cultures.
4) Immunological tests like the Mantoux test, interferon-gamma release assays, and ELISPOT to detect immune responses to M. tuberculosis antigens.
1) Tuberculosis (TB) is commonly diagnosed through direct microscopy, culture, immunodiagnostic tests, molecular tests, and histopathology using samples from sputum, BAL, CSF, tissues, and other body fluids.
2) Direct microscopy has low sensitivity but is quick, while culture has higher sensitivity and allows drug susceptibility testing but takes 1-2 weeks for results. Newer liquid culture systems can provide results in only a few days.
3) Molecular tests like PCR and interferon-gamma release assays provide rapid results within hours and are also used for diagnosis, but many have high costs.
The document provides information on the molecular diagnosis of tuberculosis. It discusses the historical aspects of TB identification and increasing drug resistance. It notes that in 1993, WHO declared TB a global emergency, with one-third of the world's population infected. Current estimates from WHO in 2010 show over 8 million new TB cases annually. Molecular diagnostic methods like the AMTD and MTBDRplus tests can rapidly detect Mycobacterium tuberculosis complex and resistance patterns in days rather than the months needed for conventional culture. These new tests are especially useful for screening patients in high burden areas and for detecting drug resistant TB.
Moleecular mechanism of disease diagnosisjeeva raj
This document discusses molecular techniques for disease diagnosis, including antibody-based and nucleic acid-based methods. Antibody-based methods include using polyclonal and monoclonal antibodies in techniques like ELISA and lateral flow. PCR and RAPD are described as nucleic acid-based techniques that use primers and DNA amplification to detect pathogens. DNA microarrays are also mentioned as a diagnostic tool that screens for multiple pathogens by probing arrays of known DNA sequences.
This document summarizes a presentation on immunological testing for tuberculosis (TB) and HIV co-infection. It discusses the clinical utility of interferon gamma release assays (IGRAs) for detecting latent TB infection (LTBI) in HIV-infected individuals. While IGRAs perform similarly to the tuberculin skin test (TST) in identifying those who could benefit from LTBI treatment, important questions remain about their use in HIV-positive populations with different CD4 counts. The document also examines the diagnostic value of IGRAs for active TB, finding no evidence they are more sensitive than the TST, especially in low- and middle-income countries.
Research Paper presentation on "Antiviral activity of Acacia nilotica agains...Zohaib HUSSAIN
Presented by: : Zohaib HUSSAIN
Hepatitis C virus (HCV) belonging to the family Flaviviridae has infected 3% of the population worldwide and 6% of the population in Pakistan.
Pegylated INF-α plus ribavirin only treatment available
Thirteen medicinal plants were collected from different areas of Pakistan on the basis of undocumented antiviral reports against different viral infections.
Medicinal plants were air dried, extracted and screened out against HCV by infecting HCV inoculums of 3a genotype in liver cells
RT-PCR results demonstrate that acetonic and methanolic extract of Acacia nilotica(AN) showed more than 50% reduction at non toxic concentration
This document describes a study that analyzed the secondary metabolites and antimicrobial activity of Neisseria gonorrhoeae, the bacteria that causes gonorrhea. 39 bioactive compounds were identified in the methanolic extract of N. gonorrhoeae using GC-MS analysis. The extract showed high antimicrobial activity against fungi such as Aspergillus flavus. Nerium olender was found to be very effective at inhibiting the growth of N. gonorrhoeae with a zone of inhibition of 6.800±0.24 mm. Overall, the results suggest that compounds from N. gonorrhoeae have potential as antifungal agents.
This document describes a study that analyzed the secondary metabolites and antimicrobial activity of Neisseria gonorrhoeae, the bacteria that causes gonorrhea. 39 bioactive compounds were identified in the methanolic extract of N. gonorrhoeae using GC-MS analysis. The extract showed high antimicrobial activity against fungi such as Aspergillus flavus. Nerium olender was found to be very effective at inhibiting the growth of N. gonorrhoeae with a zone of inhibition of 6.800±0.24 mm. Overall, the results suggest that compounds from N. gonorrhoeae have potential as antifungal agents.
This document summarizes a study that screened 40 plant extracts for antimicrobial activity against Mycobacterium tuberculosis. The study aimed to screen extracts from plants traditionally used to treat tuberculosis and other infections in Sudan. The screening identified 5 extracts that showed distinct antimicrobial properties against M. tuberculosis through high-throughput screening using luciferase to determine bacterial growth and confirmation of inhibition through CFU plating and analysis of bacterial growth. The extracts warrant further study to evaluate their potential as sources of new anti-tuberculosis drugs.
Inhibition of hdac by vorinostat in human lung cancer cellsMustafaFathy6
The document describes a research study aiming to identify the role of Vorinostat, a histone deacetylase (HDAC) inhibitor, in treating lung cancer. The study will culture A519 lung cancer cell lines and treat them with varying concentrations of Vorinostat for 4-5 days. Trypan Blue and MTT tests will then assess cell viability. DNA will be extracted and analyzed using methylation kits to study the drug's effects on methylation. Flow cytometry will examine effects on the cell cycle. The goal is to evaluate Vorinostat's potential as an anti-cancer agent for lung cancer.
The document describes screening methods for new anticancer drugs. It discusses how cancer arises from genetic mutations and different cancer types. Current treatments include chemotherapy, surgery and radiation. There is a need for more selective anticancer agents due to drug resistance and side effects. Various in vitro and in vivo screening assays are described to test compounds for cytotoxicity against cancer cells and tumors in animal models. The goal is to develop more effective and safer anticancer drugs.
Anti- Tumor assay / Screening of Anticancer DrugsPratik Parikh
This document presents information about in vitro and in vivo anti-tumor assays. It discusses several in vitro assays including tetrazolium salt, sulphorhodamine B, and 3H-thymidine uptake assays. It also describes various in vivo models like carcinogen-induced tumors in mice, viral infection models, transplantation models, and genetically engineered mouse models. Specific techniques covered include DMBA-induced skin papillomas in mice and MNU-induced rat mammary gland cancer models. The document concludes by discussing parameters to evaluate anti-tumor effects in an EAC liquid tumor mouse model.
This document discusses the basic principles of chemotherapy. It provides a history of chemotherapy beginning in the 19th century with Pasteur and Koch's germ theory of disease. Early developments included Ehrlich's discovery of arsphenamine to treat syphilis. Later discoveries included sulfa drugs, penicillin, streptomycin, and other antibiotics produced by soil microbes. The document discusses the mechanisms of several classes of antimicrobial drugs including those that inhibit cell wall synthesis, protein synthesis, and nucleic acid synthesis. It also covers the desirable properties of chemotherapeutic agents and issues like resistance.
- Newer diagnostic methods for tuberculosis include molecular detection methods like polymerase chain reaction (PCR) and loop-mediated isothermal amplification (LAMP), which can identify Mycobacterium tuberculosis directly from sputum samples.
- Culture-based methods remain the gold standard and allow for drug susceptibility testing, though newer rapid culture methods like microscopic observed drug susceptibility (MODS) and thin layer agar (TLA) provide results within 2 weeks.
- Automated microscopy systems expedite slide reading but sensitivity remains lower than culture. Sputum collection devices improve sample quality for all diagnostics.
- Newer diagnostic methods for tuberculosis include molecular detection methods like polymerase chain reaction (PCR) and loop-mediated isothermal amplification (LAMP), which can identify Mycobacterium tuberculosis directly from sputum samples.
- Culture-based methods remain the gold standard and allow for drug susceptibility testing; newer culture methods like microscopic observed drug susceptibility (MODS) and thin layer agar (TLA) provide results within 2 weeks.
- Automated microscopy systems expedite slide reading but sensitivity remains lower than culture. Sputum processing methods also aim to improve sample quality and volume.
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Analytical techniques in plant pathology Iram Wains
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Evaluation of anti-HIV potential in selected medicinal plants
1. Evaluation of anti-HIV potential
in selected medicinal plants
Titas Mallick. Sem IIII. Dept. Of Botany. M.sc. CU.
2. HIV and AIDS: Overview, causes, symptoms,
and treatments
• HIV is a Group VI ssRNA-RT virus belong to the genus Lentivirus.
• It infects the Human CD4 T cells. As a result of reduction of the
number of T cells in the immune system, the body becomes
progressively more susceptible to opportunistic infections, leading to
the development of AIDS.
• The symptom ranges from fever and sore throat in early stages to
diseases like Toxoplasmosis, HIV-related encephalopathy and many
more that ultimately causes the death of the patient.
• The treatment includes HAART (highly active anti retroviral therapy)
or PrEP (Pre-exposure prophylaxis).
3. HIV as a global pandemic
36.9 Million
3%
14%
24%
2%
HIV Statistics, Report: UNAIDS, 2017
Total infected
children
unaware of HIV
No drug avilable
Death
Fig 1. Chart Showing UNAIDS 2017 statistic of HIV-AIDS Fig 2. Global distribution of AIDS
0.502% of the global population suffers from HIV, still no cure is known. And
no vaccines have been produced. HIV is truly a global pandemic.
4. HIV as a global pandemic
36.9 Million
3%
14%
24%
2%
HIV Statistics, Report: UNAIDS, 2017
Total infected
children
unaware of HIV
No drug avilable
Death
Fig 1. Chart Showing UNAIDS 2017 statistic of HIV-AIDS Fig 2. Global distribution of AIDS
0.502% of the global population suffers from HIV, still no cure is known. And
no vaccines have been produced. HIV is truly a global pandemic.
5. HAART and necessity of new drug
development
• HAART or highly active anti retroviral therapy includes a combination
of 7 classes of HIV drugs [non-nucleoside reverse transcriptase
inhibitors (NNRTIs), nucleoside reverse transcriptase inhibitors
(NRTIs), post-attachment inhibitors, protease inhibitors (PIs), CCR5
antagonists, integrase strand transfer inhibitors (INSTIs), fusion
inhibitors] that prevents the virus in different points.
• HAART is a potent solution but no sterilizing cure of the disease is
possible.
• The drugs doesn’t work for long because of the error prone
replication machinery of the virus. The drug target sites of the
enzymes alters and the drugs stop to work. So new drug development
is required.
6. Plant could be a potent source of new drug research
• Plants naturally synthesize thousands of compounds. Many of the
naturally occurring phytochemicals show anti-viral properties.
• This huge numbers of phytochemicals could potentially be HIV
inhibitors.
• This natural compounds can be screened for their anti-HIV activity.
• Anti-HIV natural compounds could be used in new drug development.
• New HAART drug could be developed from these naturally occurring
phytochemicals.
7. Objectives of the project
• Objective 1: Bioactivity guided fractionations of selected plants.
• Objective 2: Evaluation of anti-HIV activity in cell culture and in in-vitro.
8. 1. Bioactivity guided fractionations of selected
plants.
Collection of
plants
Drying and
grinding
Crude
extraction by
cold extraction
method
Bioactive
assays
Further
fractionations
9. 1. Bioactivity guided fractionations of selected
plants.
Collection of
plants
Drying and
grinding
Crude
extraction by
cold extraction
method
Bioactive
assays
Further
fractionations
1. Some plants are selected based on their specific selection criteria
2. Plants are dried and ground
3. Cold extraction performed in non-polar to polar solvents
4. Bioactive assays performed to evaluate crude extracts
5. Crudes showing anti-HIV activity were again fractioned through chromatographic methods and were
evaluated
10.
11. Further Fractinations
• Methanolic crude extract of Ocimum gratissimum showed positive
result in cell culture assay, Further fractionation of the crude
performed
• Each Fractions should be evaluated
SOLVENT NUMBER OF FRACTION
E (Ethyl Acetate 100%) 3
E7M3 (Ethyl Acetate: Methanol 70:30) 4
E5M5 (Ethyl Acetate: Methanol 50:50) 0
E3M7 (Ethyl Acetate: Methanol 30:70) 1
M (Methanol 100%) 4
12. 2. Evaluation of anti-HIV activity in cell culture
and in in-vitro
Isolation of transfection
grade plasmid: pNL4-3-
GFP (env-)
Isolation of transfection
grade plasmid: pVSV-G
Co transfection into 293
T ells
Production of pseudo
virus
Infecting Huh 7.5 cells
Application of crude at
24hr with controls
Microscopy: Count of
green foci
Positive Negative
Further
Fractionation
Plant Crude prepared MTT Assay
Drug dissolved below
its cytotoxic level
13. 293 T cells after 60 hours treated with Catharanthus crude extract in Ethyl Acetate
293 T cells after 60 hours treated with Catharanthus crude extract in Methanol
293 T cells after 60 hours treated with Catharanthus crude extract in Petrolium Benzene
Blank: No drug treated, DMSO: Solvent control, EFV: Efavirenz. Top row: Fluorescence microscopy, Bottom
row: Bright field Microscopy
ResultsofCellCulturebasedAssay
NO PROMINENT ANTI-HIV ACTIVITY WAS DETECTED IN ANY OF THEM
EvaluationofCrudeextractsofCatharanthusroseus
14. 293 T cells after 60 hours treated with Ocimum gratissimum crude extract in Ethyl Acetate
293 T cells after 60 hours treated with Ocimum gratissimum crude extract in Methanol
293 T cells after 60 hours treated with Ocimum gratissimum crude extract in Petroleum Benzene
Blank: No drug treated, DMSO: Solvent control, EFV: Efavirenz. Top row: Fluorescence microscopy, Bottom
row: Bright field Microscopy
ResultsofCellCulturebasedAssay
ANTI-HIV ACTIVITY WAS DETECTED IN METHANOLIC CRUDE EXTRACT
EvaluationofCrudeextractsofOcimumgratissimum
15. 293 T cells after 60 hours treated with Tinospora crude extract in Petroleum benzene
293 T cells after 60 hours treated with Tinospora crude extract in Ethyl Acetate
293 T cells after 60 hours treated with Tinospora crude extract in Methanol
Blank: No drug treated, DMSO: Solvent control, EFV: Efavirenz. Top row: Fluorescence microscopy, Bottom
row: Bright field Microscopy
ResultsofCellCulturebasedAssay
EvaluationofCrudeextractsofTinosporasp.
ANTI-HIV ACTIVITY WAS DETECTED IN PETROLEUM BENZENE METHANOLIC CRUDE EXTRACT
16. 293 T cells after 60 hours treated with Mangifera indica Hexane extract
293 T cells after 60 hours treated with Mangifera indica Chloroform extract
293 T cells after 60 hours treated with Mangifera indica Methanolic extract
Blank: No drug treated, DMSO: Solvent control, EFV: Efavirenz. Top row: Fluorescence microscopy, Bottom
row: Bright field Microscopy
ResultsofCellCulturebasedAssay
NO PROMINENT ANTI-HIV ACTIVITY WAS DETECTED IN ANY OF THEM
EvaluationofCrudeextractsofMangiferaindica
17. 293 T cells after 60 hours treated with Swertia bimaculata Hexane extract
293 T cells after 60 hours treated with Swertia bimaculata Chloroform extract
293 T cells after 60 hours treated with Swertia bimaculata Methanolic extract
Control: No drug treated, DMSO: Solvent control, EFV: Efavirenz. Top row: Fluorescence microscopy, Bottom
row: Bright field Microscopy
ResultsofCellCulturebasedAssay
ANTI-HIV ACTIVITY WAS DETECTED IN METHANOLIC CRUDE EXTRACT
EvaluationofCrudeextractsofSwertiabimaculata
18. 293 T cells after 60 hours treated with Solanum sp. Hexane extract
293 T cells after 60 hours treated with Solanum sp. Chloroform extract
293 T cells after 60 hours treated with Solanum sp. Methanolic extract
Control: No drug treated, DMSO: Solvent control, EFV: Efavirenz. Top row: Fluorescence microscopy, Bottom
row: Bright field Microscopy
ResultsofCellCulturebasedAssay
NO PROMINENT ANTI-HIV ACTIVITY WAS DETECTED IN ANY OF THEM
EvaluationofCrudeextractsofSolanumsp.
19. 293 T cells after 60 hours treated with E1
293 T cells after 60 hours treated with E2A
293 T cells after 60 hours treated with E2B
Control: No drug treated, DMSO: Solvent control, EFV: Efavirenz. Top row: Fluorescence microscopy, Bottom
row: Bright field Microscopy
ResultsofCellCulturebasedAssay
NO PROMINENT ANTI-HIV ACTIVITY WAS DETECTED IN ANY OF THEM
EvaluationofCrudeextractsofFractionsofOcimum
gratissimumMethanoliccrudeextract
20. 293 T cells after 60 hours treated with E7M3-1
293 T cells after 60 hours treated with E7M3-2
293 T cells after 60 hours treated with E7M3-3
Control: No drug treated, DMSO: Solvent control, EFV: Efavirenz. Top row: Fluorescence microscopy, Bottom
row: Bright field Microscopy
ResultsofCellCulturebasedAssay
NO PROMINENT ANTI-HIV ACTIVITY WAS DETECTED IN ANY OF THEM
EvaluationofCrudeextractsofFractionsofOcimum
gratissimumMethanoliccrudeextract
21. 293 T cells after 60 hours treated with E7M3-4
293 T cells after 60 hours treated with E3M7
293 T cells after 60 hours treated with M1
Control: No drug treated, DMSO: Solvent control, EFV: Efavirenz. Top row: Fluorescence microscopy, Bottom
row: Bright field Microscopy
ResultsofCellCulturebasedAssay
ANTI-HIV ACTIVITY WAS DETECTED IN E3M7 FRACTION
EvaluationofCrudeextractsofFractionsofOcimum
gratissimumMethanoliccrudeextract
22. 293 T cells after 60 hours treated with M2
293 T cells after 60 hours treated with M3
293 T cells after 60 hours treated with M4
Control: No drug treated, DMSO: Solvent control, EFV: Efavirenz. Top row: Fluorescence microscopy, Bottom
row: Bright field Microscopy
ResultsofCellCulturebasedAssay
NO PROMINENT ANTI-HIV ACTIVITY WAS DETECTED IN ANY OF THEM
EvaluationofCrudeextractsofFractionsofOcimum
gratissimumMethanoliccrudeextract
23. Thin Layer Chromatography
• Thin Layer chromatography was performed to identify components of E3M7 (Ethyl Acetate 30%+ Methanol
70% - Methanolic Extract of Ocimum gratissimum). Three different bands were observed under UV.
Thin Layer chromatography to identify components of E3M7 (Ethyl Acetate 30%+ Methanol 70% -
Methanolic Extract of Ocimum gratissimum) showing three bands.
BAND Y X 𝑿
𝒀
Rf Value
Band 1 9.8 9.5 9.5
9.8
0.96
Band 2 9.8 8.4 8.4
9.8
0.857
Band 3 9.8 7.6 7.6
9.8
0.775
24. Cell culture assay to in vitro study
• Cell culture assays shown positive anti HIV activity of some extracts.
• Methanolic fraction of Ocimum gratissimum and Petroleum Benzene
fraction of Tinospora sp. Have shown positive result.
• But their target is unknown, i.e. it could be a RT inhibitor or PR
inhibitor or may be INT inhibitor.
• To check whether it have RT inhibitory property or not in-silico
molecular docking was done.
25. In-silico molecular docking
3D PDB of HIV RT
downloaded
>1REV:A|PDBID|
Literature studied:
GC MS studies on
O. gratissimum
List of Molecules
prepared
Molecules
downloaded from
PubChem as *.sdf
Converted to
.mol2 using
OpenBabel
Used as binding site
Used as ligands
Docked using igemDock,
Population size: 1000,
Generation: 40, Solution: 1
Default scoring Matrix
Results Analyzed
Standard Drugs
28. Results of in-silico docking
• Results Suggests some molecules significantly binds with HIV RT at its
active binding site.
• Some of the molecules even binds with RT with more stability than
some established drugs. So in-vitro studies are needed.
• Molecules with significant binding are: DL-Alpha-Tocopherol Acetate
C31H52O3, CID 2117 and Theophylline, C7H8N4O2, CID 2153 and others.
29. Evaluation of anti-HIV activity in cell culture
and in in-vitro
Primary Culture
of E. coli BL21DE3
containing
PET28a-RT51,66
Secondary
Culture
Induction
Cell Pellet Sonication
Ni-iMAC
Dialysis
Quantification RNA isolation
RT PCR
RT activity
tested
Radioactive Primer
Extension Assay
Evaluation of natural
compounds
30. Radioactive primer extension assay
Poly RA
Oligo DT
Primer
Primer/template dimer Radio labeled 3HdTTP
HIV RT as enzyme
incubation
Treatment with different Drugs
Stop the Reaction
Filtration
Reading in scintillation counter
PROCESS IS UNDER OPTIMISATION