Fine-needle diathermy for corneal vascularisation

Background:Corneal angiogenesis occurs as a sequel to an insult and it brings with it cells that mediate immunity as well as repair and aids in flushing toxins out. These vessels are formed in haste and leak lipid and cells, ultimately resulting in loss of transparency, lipid keratopathy and immunogenicity. So, they may need treatment prior to an optical keratoplasty.Purpose:To demonstrate the procedure of Fine Needle Diathermy (FND) to treat corneal neovascularization, its indications and contraindications.Synopsis:FND uses coagulating current from a monopolar cautery unit to occlude the afferent and efferent blood vessels. FND works best at the stage of mature vessel formation. The needle is placed across a tuft of vessels or parallel to a single large vessel, being mindful of the depth and direction. FND is avoided in necrotic tissue where the blood vessel is needed for healing process. Occlusion of the vessel in these situations may result in tissue melt.Highlights:Corneal neovascularization follows the stages of latent phase, active neovascularization, mature vessel formation and then regression. The treatment modality depends on the stage of angiogenesis. FND works best for neovascularization due to infectious keratitis. Keratoplasty is best performed 3 to 4 months later when regression of corneal vascularization occurs.Video Link: https://youtu.be/2RK6d_a2Gdc     

Mitigating the Impact of Emerging Animal Infectious Disease Threats: First Emerging Animal Infectious Diseases Conference (EAIDC) Report

From 29 November to 1 December 2021, an “emerging animal infectious disease conference (EAIDC)” was held at the Pennsylvania State University. This conference brought together distinguished thought leaders in animal health, veterinary diagnostics, epidemiology and disease surveillance, and agricultural economics. The conference’s primary objective was to review the lessons learned from past experiences in dealing with high-consequence animal infectious diseases to inform an action plan to prepare for future epizootics and panzootics. Invited speakers and panel members comprised world-leading experts in animal infectious diseases from federal state agencies, academia, professional societies, and the private sector. The conference concluded that the biosecurity of livestock operations is critical for minimizing the devastating impact of emerging animal infectious diseases. The panel also highlighted the need to develop and benchmark cutting-edge diagnostics for rapidly detecting pathogens in clinical samples and the environment. Developing next-generation pathogen agnostic diagnostics will help detect variants of known pathogens and unknown novel pathogens. The conference also highlighted the importance of the One Health approach in dealing with emerging animal and human infectious diseases. The recommendations of the conference may be used to inform policy discussions focused on developing strategies for monitoring and preventing emerging infectious disease threats to the livestock industry.     

Larvicidal activity of fatty acid methyl esters of <Emphasis Type="Italic">Vitex</Emphasis> species against <Emphasis Type="Italic">Culex quinquefasciatus</Emphasis>

The larvicidal activity of fatty acid methyl ester (FAME) extracts of Vitex altissima, Vitex negundo and Vitex trifolia was studied against early fourth-instar larvae of Culex quinquefasciatus. The fatty composition was analysed by gas chromatography. The highest percentage of lauric acid, palmitic acid, stearic acid, oleic acid and linolenic acid were recorded in V. negundo. The highest percentage of linolenic acid was recorded in V. trifolia. The FAME extract of V. trifolia showed the highest larvicidal activity with an LC50 value of 9.25 ppm followed by V. altissima (14.82 ppm) and V. negundo (18.64 ppm).     

Paternal contribution of HLA-G*0106 significantly increases risk for pre-eclampsia in multigravid pregnancies

Pre-eclampsia (PE) is a leading cause of maternal and fetal mortality and morbidity. Structural or functional alterations of human leukocyte antigen (HLA)-G present at the maternal-fetal interface may predispose women to PE. We tested the HLA-G gene for association with PE in a case-control study of 83 PE and 240 normotensive Malay women. HLA-G was amplified in a single-tube multiplex-PCR reaction and genotyped for 18 single nucleotide polymorphisms (SNPs) by multiplex-minisequencing. Case-control comparisons were performed, and associations with disease were expressed as odds ratios (ORs). Risk for PE was significantly associated with fetal allele G*0106 only in multigravid pregnancies (P = 0.002, OR = 5.0, 95% CI = 1.8-13.8). Among multigravid pregnancies, the frequency of PE babies heterozygous or homozygous for G*0106 was also significantly higher compared with normal control babies (P = 0.002, OR = 5.4, 95% CI = 1.9-15.4). Multivariate analyses with adjustment for factors associated with PE revealed similar results (P = 0.003, OR = 10.1, 95% CI = 2.2-46.8). Additionally, a significantly higher frequency of fetal-maternal G*0106 genotype mismatch was observed in PE compared with normal multigravid pregnancies (P = 0.001, OR = 9.6, 95% CI = 2.4-38.7). Thus, paternal HLA-G G*0106 contribution significantly increases risk for PE in multigravidas who do not carry this allele, potentially mediated by a gradual maternal alloimmune response to repeated exposure to the paternal HLA-G variant.     

Novel Metal‐Containing Polyurethane Elastomers Prepared Using Tetradentate Schiff Base Metal Complexes

Summary: A series of divalent metal (Co²⁺, Ni²⁺, Cu²⁺)‐incorporated tetradentate Schiff base complexes of the generic name 1,2‐bis[{4‐(2‐hydroxy)ethoxy‐2‐hydroxyphenyl}methyl ketimino]ethane‐metal(II) (BHEHPMKE‐M)—metal‐containing dihydroxy monomers—were synthesized and characterized by UV‐visible, FT‐IR, MS, and atomic absorption spectroscopies and elemental analysis. Structure of one of the monomers was also confirmed by single‐crystal X‐ray diffraction technique. Several metal‐containing polyurethanes were prepared using these dihydroxy compounds and 1,4‐butanediol as chain extenders for prepolymers based on poly(oxytetramethylene) glycol‐2000 (PTMG‐2000) and 4,4′‐methylene bis(phenyl isocyanate) (MDI). The amount of metal‐containing monomer was varied from 0 to 1 equivalent to find the influence of the metal‐incorporated tetradentate Schiff base segment on thermal and mechanical properties of polyurethanes. The properties of metal‐containing polyurethanes were compared with those prepared using 1,4‐butanediol and 1,2‐bis[{4‐(2‐hydroxy)ethoxy phenyl}methyl ketimino]ethane—a diol without metal—as chain extenders. The polymers were characterized by FT‐IR, GPC, DSC, TGA, viscosity, and solubility measurements. The glass transition temperature (T_g) of the polyurethane prepared from the Schiff base diol (without metal) was found to increase when used alone as chain extender. Thermal and mechanical properties of polyurethanes were also found to improve markedly by the introduction of metal‐incorporated tetradentate Schiff base moiety into the polymer chain. The viscosity of the metal‐containing polyurethane decreased abruptly upon increasing the metal content.

A series of polyurethanes derived from novel divalent metal (Co²⁺, Ni²⁺, Cu²⁺)‐incorporated tetradentate Schiff base complexes.     

Regulation of parasite antigen-driven immune responses by interleukin-10 (IL-10) and IL-12 in lymphatic filariasis.

We investigated the mechanisms by which interleukin-10 (IL-10) regulates antigen-specific hyporesponsiveness in asymptomatic microfilaremic (MF) individuals. Peripheral blood mononuclear cells from MF individuals (n = 11) were stimulated in vitro with Brugia malayi antigen (BMA) or mycobacterial purified protein derivative (PPD) in the presence of neutralizing anti-IL-10 or isotype control monoclonal antibodies. As expected, BMA stimulated little or no gamma interferon (IFN-gamma) secretion in MF individuals, whereas PPD stimulated IFN-gamma in all but one. Neutralization of endogenous BMA-driven IL-10 secretion led to augmentation of IFN-gamma in seven of nine MF individuals (1.5- to 10-fold) and did so in a BMA-specific manner (PPD-driven IFN-gamma was augmented in only two of eight MF individuals and only 1.5- to 2-fold), indicating that IL-10 downregulates type 1 responses in these individuals. Type 2 responses (IL-5 secretion) were unaffected by the IL-10 blockade. To assess whether IL-12 could reverse the type 1 downregulation observed, the effect of recombinant human IL-12 (rhIL-12) on BMA-driven IL-5 and IFN-gamma production was also evaluated. rhIL-12 augmented both BMA- and PPD-driven IFN-gamma production 5- to 10-fold in six of nine MF individuals. These data demonstrate that IL-10 downregulates BMA-driven type 1 responses and that IL-12 can overcome downregulation of Th1 responses associated with MF but does so in a non-antigen-specific manner.     

Trichosporon loubieri infection in a patient with adult polycystic kidney disease

A 45-year-old man from Nepal with a 13-year history of polycystic kidney disease was diagnosed as suffering from chronic renal failure with end-stage renal disease. After receiving empirical antituberculosis treatment, he was treated with broad-spectrum antibiotics. A left nephrectomy was performed, and after 4 months, he received a kidney transplant. The left kidney was grossly enlarged, with multiple cystic spaces filled with blackish material. Histologic examination of the excised left kidney tissue stained with hematoxylin and eosin and Gomori's methenamine silver stains showed numerous hyaline, septate, fungal hyphae of various lengths, many broken into rectangular arthroconidia in the cystic spaces. Culture of the kidney tissue yielded white, glabrous, yeast-like colonies. Based on its micromorphology, growth at 42 degrees C, and ribosomal DNA (rDNA) sequence analysis, and also sequence analysis of the internal-transcribed-spacer and D1/D2 rDNA regions, the yeast was identified as Trichosporon loubieri. Postsurgically, the patient was treated with amphotericin B and oral itraconazole, followed by maintenance therapy with fluconazole. He remained afebrile and asymptomatic. At the final follow-up, all parameters were found normal and the patient was doing well, with normal renal function reports. This paper presents the first known case of human infection caused by T. loubieri.     

In Vivo Cell Tracking with Bioluminescence Imaging

Molecular imaging is a fast growing biomedical research that allows the visual representation, characterization and quantification of biological processes at the cellular and subcellular levels within intact living organisms. In vivo tracking of cells is an indispensable technology for development and optimization of cell therapy for replacement or renewal of damaged or diseased tissue using transplanted cells, often autologous cells. With outstanding advantages of bioluminescence imaging, the imaging approach is most commonly applied for in vivo monitoring of transplanted stem cells or immune cells in order to assess viability of administered cells with therapeutic efficacy in preclinical small animal models. In this review, a general overview of bioluminescence is provided and recent updates of in vivo cell tracking using the bioluminescence signal are discussed.