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69 result(s) for "Pant, Amit"
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Advances in sepsis diagnosis and management: a paradigm shift towards nanotechnology
Sepsis, a dysregulated immune response due to life-threatening organ dysfunction, caused by drug-resistant pathogens, is a major global health threat contributing to high disease burden. Clinical outcomes in sepsis depend on timely diagnosis and appropriate early therapeutic intervention. There is a growing interest in the evaluation of nanotechnology-based solutions for sepsis management due to the inherent and unique properties of these nano-sized systems. This review presents recent advancements in nanotechnology-based solutions for sepsis diagnosis and management. Development of nanosensors based on electrochemical, immunological or magnetic principals provide highly sensitive, selective and rapid detection of sepsis biomarkers such as procalcitonin and C-reactive protein and are reviewed extensively. Nanoparticle-based drug delivery of antibiotics in sepsis models have shown promising results in combating drug resistance. Surface functionalization with antimicrobial peptides further enhances efficacy by targeting pathogens or specific microenvironments. Various strategies in nanoformulations have demonstrated the ability to deliver antibiotics and anti-inflammatory agents, simultaneously, have been reviewed. The critical role of nanoformulations of other adjuvant therapies including antioxidant, antitoxins and extracorporeal blood purification in sepsis management are also highlighted. Nanodiagnostics and nanotherapeutics in sepsis have enormous potential and provide new perspectives in sepsis management, supported by promising future biomedical applications included in the review.
Triggering Receptor Expressed on Myeloid Cells-1 (TREM-1) in Inflammation and Disease: Mechanisms, Therapeutic Potential, and Future Directions
Triggering receptor expressed on myeloid cells-1 (TREM-1), a member of the immunoglobulin superfamily, plays a crucial role in amplifying inflammatory responses, thereby contributing to the pathogenesis and progression of various inflammatory diseases. This review presents a comprehensive analysis of the current understanding of TREM-1 signaling and its dysregulation in disease pathology. Additionally, it explores the prognostic significance of TREM-1 across a spectrum of conditions. Targeting TREM-1 signaling represents a promising therapeutic approach for managing a wide range of diseases, including cancer, neurodegenerative disorders, cardiovascular diseases, and other inflammation-driven conditions. Previous reviews on TREM-1 have largely focused on its immunological role across diverse disease conditions and selective peptide-based inhibitors targeting its signaling pathway. However, recent discoveries have identified small-molecule modulators of TREM-1 that offer new opportunities for therapeutic intervention. Incorporating these findings would provide a more comprehensive and updated perspective on TREM-1 biology, particularly regarding its molecular regulation, drug-target potential, and translational relevance in inflammatory and immune-mediated disorders. Advances in this field are expected to be driven by structure-based drug design, particularly in the development of TREM-1 inhibitors. However, further research is needed to elucidate the predictive value of TREM-1 alterations and to evaluate them in prospective human studies prior to clinical decision-making.
Smallest Organism; Highest Threat
Ever since the discovery of virus in beginning of 20th century, infections caused by these organisms have captured attention of researchers. The evolution of viruses is still a controversy, even same for their categorization in either living or non-living. It is clear that besides many controversies virus remains challenging to treat as well as to control in some extent. Though vaccines are available as prophylactic tool and antiviral drugs for treatment, still virus exist in host cells if they successfully invade biological machinery. Now it remains as challenge to treat these smallest organisms with high degree of efficacy and safety. To answer the demand of the present world there is urgent need of more potent and novel drugs for treatment and vaccines to prevent infection. Answer to this problem will definitely reduce casualties occurring worldwide. This review presents few of the pandemics, their causative agents, current status of treatment and future prospective.
Procalcitonin as a predictive marker in COVID-19: A systematic review and meta-analysis
Coronavirus disease 2019 has emerged as a global pandemic causing millions of critical cases and deaths. Early identification of at-risk patients is crucial for planning triage and treatment strategies. We performed this systematic review and meta-analysis to determine the pooled prognostic significance of procalcitonin in predicting mortality and severity in patients with COVID-19 using a robust methodology and clear clinical implications. We used Preferred Reporting Items for Systematic Reviews and Meta-Analyses and Cochrane Handbook for Systematic Reviews of Interventions guidelines. We included thirty-two prospective and retrospective cohort studies involving 13,154 patients. The diagnostic odds ratio of procalcitonin for predicting mortality were estimated to be 11 (95% CI: 7 to 17) with sensitivity, specificity, and summary area under the curveof 0.83 (95% CI: 0.70 to 0.91), 0.69 (95% CI: 0.58 to 0.79), and 0.83 (95% CI: 0.79 to 0.86) respectively. While for identifying severe cases of COVID-19, the odds ratio was 8.0 (95% CI 5.0 to 12.0) with sensitivity, specificity, and summary area under the curve of 0.73 (95% CI 0.67 to 0.78), 0.74 (0.66 to 0.81), and 0.78 (95% CI 0.74 to 0.82) respectively. Procalcitonin has good discriminatory power for predicting mortality and disease severity in COVID-19 patients. Therefore, procalcitonin measurement may help identify potentially severe cases and thus decrease mortality by offering early aggressive treatment.
Plant hairy roots enable high throughput identification of antimicrobials against Candidatus Liberibacter spp
A major bottleneck in identifying therapies to control citrus greening and other devastating plant diseases caused by fastidious pathogens is our inability to culture the pathogens in defined media or axenic cultures. As such, conventional approaches for antimicrobial evaluation (genetic or chemical) rely on time-consuming, low-throughput and inherently variable whole-plant assays. Here, we report that plant hairy roots support the growth of fastidious pathogens like Candidatus Liberibacter spp., the presumptive causal agents of citrus greening, potato zebra chip and tomato vein greening diseases. Importantly, we leverage the microbial hairy roots for rapid, reproducible efficacy screening of multiple therapies. We identify six antimicrobial peptides, two plant immune regulators and eight chemicals which inhibit Candidatus Liberibacter spp. in plant tissues. The antimicrobials, either singly or in combination, can be used as near- and long-term therapies to control citrus greening, potato zebra chip and tomato vein greening diseases. The putative causal agent of citrus greening Candidatus Liberibacter asiaticus ( C Las) cannot be cultured, which hampers finding new therapies to control this devastating disease. Here, the authors show that hairy roots support C Las propagation and enable high throughput antimicrobial screening.
A critical review on sustainable hazardous waste management strategies: a step towards a circular economy
Globally, industrialisation and urbanisation have led to the generation of hazardous waste (HW). Sustainable hazardous waste management (HWM) is the need of the hour for a safe, clean, and eco-friendly environment and public health. The prominent waste management strategies should be aligned with circular economic models considering the economy, environment, and efficiency. This review critically discusses HW generation and sustainable management with the strategies of prevention, reduction, recycling, waste-to-energy, advanced treatment technology, and proper disposal. In this regard, the major HW policies, legislations, and international conventions related to HWM are summarised. The global generation and composition of hazardous industrial, household, and e-waste are analysed, along with their environmental and health impacts. The paper critically discusses recently adapted management strategies, waste-to-energy conversion techniques, treatment technologies, and their suitability, advantages, and limitations. A roadmap for future research focused on the components of the circular economy model is proposed, and the waste management challenges are discussed. This review stems to give a holistic and broader picture of global waste generation (from many sources), its effects on public health and the environment, and the need for a sustainable HWM approach towards the circular economy. The in-depth analysis presented in this work will help build cost-effective and eco-sustainable HWM projects.
The neuropathy-linked protein TECPR2 is a Rab5 effector that regulates cargo recycling from early endosomes
Small GTP-binding proteins of the Rab, Arf, and Arf-like family mediate the recruitment of their effectors to subcellular membrane-bound compartments, which in turn mediate vesicle budding, motility, and tethering. Here, we report that Tectonin-β-propeller repeat containing protein 2 (TECPR2), a protein mutated in a form of hereditary sensory and autonomic neuropathy (HSAN), is an effector of early endosomal Rab protein, Rab5. We demonstrate that the HSAN-associated missense variants of TECPR2 are defective in Rab5 binding and, consequently, in membrane recruitment. Furthermore, our findings reveal that depletion of TECPR2 impairs recycling of a subset of cargo receptors, including α5β1 integrins, leading to their lysosomal degradation. TECPR2 interacts with SNX17 and subunits of the WASH complex, molecular players that regulate the formation of actin-dependent cargo retrieval subdomain on the early endosomes. Finally, we show that TECPR2 depletion in zebrafish embryos results in decreased survival, impaired movement and altered neuromuscular synaptic morphology. Our study suggests that TECPR2 functions as a linker between Rab5 and the actin-dependent cargo retrieval machinery, providing insights into how mutations in TECPR2 may result in a neurodegenerative disorder. Loss-of-function mutations in TECPR2 result in a form of hereditary sensory and autonomic neuropathy. Here, the authors report that TECPR2 is a Rab5 effector that mediates actin-dependent endocytic cargo recycling from early endosomes to the cell surface.
Groundwater Quality and Potential Health Risk Assessment for Potable Use
The Ramganga River basin, comprising three rivers, the Dhela, Dhandi, and Ramganga, plays a vital role in groundwater recharge, sustaining numerous industries, urban areas, and rural communities reliant on these rivers for daily activities. The study’s primary purpose was to analyze the groundwater quality in the context of potability, irrigation, and health risks to the local inhabitants of the Ramganga River basin. In 2021–2022, 52 samples (26 × 2) were collected from 13 locations in two different seasons, i.e., pre-monsoon and post-monsoon, and 20 physico-chemical and heavy metal and metalloids were analyzed using the standard protocols. The result shows that heavy metal and metalloids and metalloid concentrations of Zn (0.309–1.787 and 0.613–1.633); Fe (0.290–0.965 and 0.253–1.720), Cd (0.001–0.002 and 0.001–0.002); As (0.001–0.002 and 0.001–0.002), Cr (0.009–0.027 and 0.011–0.029), and Pb (−0.001–0.010 and 0.00–0.010) values in mg/L are present in both seasons. The groundwater quality index (GWQI), heavy metal pollution Index (HPI), and heavy metal evaluation index (HEI) were used to assess the water quality and metal pollution in the basin area. As per GWQI values, water quality lies from excellent water quality (41.639 and 43.091) to good water quality (56.326 and 53.902); as per HPI values, it shows good (29.51 and 30.03) to poor quality (60.26 and 59.75) and HEI values show the low-level contamination (1.03–2.57 and 1.13–3.37) of heavy metal and metalloids in both seasons. According to the potential health risk assessment, infants show low risk in pre-monsoon and low risk to medium post-monsoon, while children and adults show low risk to high risk in both seasons. From the health risk perspective, it shows that children and adults have more concerns about non-carcinogenic effects, so adequate remedial measures and treatment are required to avoid the groundwater quality of the Ramganga River basin.