scholarly journals Methotrexate Polyglutamation in a Myasthenia Gravis Clinical Trial

2020 ◽  
Vol 13 ◽  
pp. 10-13
Author(s):  
Mamatha Pasnoor ◽  
Andrew J. Heim ◽  
Laura Herbelin ◽  
Jeffrey Statland ◽  
Mazen M. Dimachkie ◽  
...  

Introduction. Methotrexate (MTX) is an immunosuppressive and anti-inflammatory drug used to treat rheumatoid arthritis (RA) and other autoimmune conditions. MTX is transported into cells, where glutamate moieties are added and is retained as methotrexate polyglutamates (MTXPGs). In the RA literature, it has been reported that the degree of polyglutamation correlates with the anti-inflammatory effect of MTX in RA. There are no prior studies evaluating the relationship between MTXPGs and myasthenia gravis (MG) outcome measures. The objective of this study was to assess the correlation between methotrexate (MTX) polyglutamates (MTXPGs) with Myasthenia Gravis (MG) outcome measures. Methods.xAn analysis was done of blood drawn from patients enrolled in the 12-month randomized, placebo-controlled study of MTX in MG study. Red blood cell MTXPGs were measured via ultraperformance liquid chromatography and tandem mass spectrometry. MTXPG was correlated to MG outcome measures using Spearman Correlation Coefficient. A two-group t-test was used to determine the difference in MTXPG based on clinical outcome responder definitions. Results. Twenty-one polyglutamate samples were analyzed of subjects on MTX while eight samples were analyzed from subjects on placebo. Pentaglutamate had the strongest correlation with the MG-ADL (0.99), while tetraglutamate had the strongest correlation with the QMG (0.54). Triglutamate had the strongest correlation with MGC (0.76). Conclusion. There were variable correlations between MTXPG1-5 and MG outcomes (rho range: 0.08 to 0.99). There are strong correlations between MTXPG and the MG-ADL, QMG, and MGC. Long chain methotrexate polyglutamates correlate better with MG outcomes.

2007 ◽  
Vol 112 (11) ◽  
pp. 543-555 ◽  
Author(s):  
Kenneth R. Wilund

Engaging in regular physical activity reduces the risk of developing CVD (cardiovascular disease), but it is not certain to what degree this may be due to the anti-inflammatory effects of exercise. Following acute exercise, there is a transient increase in circulating levels of anti-inflammatory cytokines, whereas chronic exercise reduces basal levels of pro-inflammatory cytokines. Exercise training also induces the expression of antioxidant and anti-inflammatory mediators in the vascular wall that may directly inhibit the development of atherosclerosis. Limited studies in humans and more comprehensive assessments in animal models have confirmed that exercise is atheroprotective and helped identify a number of the mechanisms to explain these effects. This review explores the relationship between systemic and vascular wall inflammation and the role that the anti-inflammatory effects of exercise have on the development and progression of CVD.


2016 ◽  
Vol 1 (2) ◽  
pp. 259
Author(s):  
Asmawati Asmawati ◽  
Rafikah Hasyim ◽  
Andi Isti Ayu Lianingsih ◽  
Dwi Fitrah Ariani

<p>Seaweed is one of resourceful plants in Indonesia. Some researchers suggested that brown seaweed has a potential to be an anti-inflammatory agent because it contains polysaccharide sulfate, PUFA, and fuchosantin. Punaga Village that is located in South Sulawesi is an area where most people work as seaweed farmer and cultivation of seaweed. This is why researcher found it interest to use natural sources as an alternative of herbal medicine especially as an anti-inflammatory. The objective of this study was to evaluate the difference of anti-inflammatory effect of brown algae extract <em>Padina sp. </em>and <em>Sargassum sp</em>. that is derived from Punaga Beach, South Sulawesi toward mice. Twenty male mice were used as sample in this study weighing 14-35 g and divided into four groups. Thirty minutes after injection of test material, 0.5 ml pepton 1% is injected into mice leg. The assessment of mice leg use plethysmometer that is taken on the first hour until fourth hour after injection of pepton 1%. Data analysis use T-test to find out the difference of anti-inflamatory effect of brown algae extract <em>Padina sp</em>. and <em>Sargassum sp</em>. The result of this study showed that brown algae extract <em>Padina sp</em> has p&lt;0.05 and brown algae extract <em>Sargassum sp</em>. has p&lt; 0.05 which means that there are anti-inflammatory effect found in both test materials. It is found that brown algae extract <em>Padina sp.</em> has longer anti inflammatory effect half time than in brown algae extract <em>Sargassum sp.</em><strong></strong></p>


2008 ◽  
Vol 119 (3) ◽  
pp. e64-e65 ◽  
Author(s):  
J.M. Massey ◽  
D.B. Sanders ◽  
D.S. Saperstein ◽  
R.J. Barohn ◽  
M.N. Meriggioli ◽  
...  

2016 ◽  
Vol 1 (2) ◽  
pp. 116 ◽  
Author(s):  
Asmawati Asmawati ◽  
Rafikah Hasyim ◽  
Andi IA. Lianingsih ◽  
Dwi F. Ariani

Seaweed is one of resourceful plants in Indonesia. Some researchers suggested that brown seaweed has a potential to be an anti-inflammatory agent because it contains polysaccharide sulfate, PUFA, and fuchosantin. Punaga Village that is located in South Sulawesi is an area where most people work as seaweed farmer and cultivation of seaweed. This is why researcher found it interest to use natural sources as an alternative of herbal medicine especially as an anti-inflammatory. The objective of this study was to evaluate the difference of anti-inflammatory effect of brown algae extract Padina sp. and Sargassum sp. that is derived from Punaga Beach, South Sulawesi toward mice. Twenty male mice were used as sample in this study weighing 14-35 g and divided into four groups. Thirty minutes after injection of test material, 0.5 ml pepton 1% is injected into mice leg. The assessment of mice leg use plethysmometer that is taken on the first hour until fourth hour after injection of pepton 1%. Data analysis use T-test to find out the difference of anti-inflamatory effect of brown algae extract Padina sp. and Sargassum sp. The result of this study showed that brown algae extract Padina sp has p<0.05 and brown algae extract Sargassum sp. has p< 0.05 which means that there are anti-inflammatory effect found in both test materials. It is found that brown algae extract Padina sp.has longer anti inflammatory effect half time than in brown algae extract Sargassum sp.


1986 ◽  
Vol 51 (4) ◽  
pp. 362-369 ◽  
Author(s):  
Donna M. Risberg ◽  
Robyn M. Cox

A custom in-the-ear (ITE) hearing aid fitting was compared to two over-the-ear (OTE) hearing aid fittings for each of 9 subjects with mild to moderately severe hearing losses. Speech intelligibility via the three instruments was compared using the Speech Intelligibility Rating (SIR) test. The relationship between functional gain and coupler gain was compared for the ITE and the higher rated OTE instruments. The difference in input received at the microphone locations of the two types of hearing aids was measured for 10 different subjects and compared to the functional gain data. It was concluded that (a) for persons with mild to moderately severe hearing losses, appropriately adjusted custom ITE fittings typically yield speech intelligibility that is equal to the better OTE fitting identified in a comparative evaluation; and (b) gain prescriptions for ITE hearing aids should be adjusted to account for the high-frequency emphasis associated with in-the-concha microphone placement.


Author(s):  
Samira Salem ◽  
Essaid Leghouchi ◽  
Rachid Soulimani ◽  
Jaouad Bouayed

Abstract. Paw edema volume reduction is a useful marker in determining the anti-inflammatory effect of drugs and plant extracts in carrageenan-induced acute inflammation. In this study, the anti-inflammatory effect of Lobaria pulmonaria (LP) and Parmelia caperata (PC), two lichen species, was examined in carrageenan-induced mouse paw edema test. Compared to the controls in carrageenan-induced inflammation (n = 5/group), our results showed that pretreatment by single oral doses with PC extract (50–500 mg/kg) gives better results than LP extract (50–500 mg/kg) in terms of anti-edematous activity, as after 4 h of carrageenan subplantar injection, paw edema formation was inhibited at 82–99% by PC while at 35–49% by LP. The higher anti-inflammatory effect of PC, at all doses, was also observed on the time-course of carrageenan-induced paw edema, displaying profile closely similar to that obtained with diclofenac (25 mg/kg), an anti-inflammatory drug reference (all p < 0.001). Both LP and PC, at all doses, significantly ameliorated liver catalase (CAT) activity (all p < 0.05). However, superoxide dismutase (SOD) activity, glutathione peroxidase (GPx) activity and glutathione (GSH) levels were found increased in liver of PC- compared to LP-carrageenan-injected mice. Our findings demonstrated on one hand higher preventive effects of PC compared to LP in a mouse carrageenan-induced inflammatory model and suggested, on the other hand, that anti-inflammatory effects elicited by the two lichens were closely associated with the amelioration in the endogenous antioxidant status of liver.


VASA ◽  
2020 ◽  
pp. 1-6
Author(s):  
Hanji Zhang ◽  
Dexin Yin ◽  
Yue Zhao ◽  
Yezhou Li ◽  
Dejiang Yao ◽  
...  

Summary: Our meta-analysis focused on the relationship between homocysteine (Hcy) level and the incidence of aneurysms and looked at the relationship between smoking, hypertension and aneurysms. A systematic literature search of Pubmed, Web of Science, and Embase databases (up to March 31, 2020) resulted in the identification of 19 studies, including 2,629 aneurysm patients and 6,497 healthy participants. Combined analysis of the included studies showed that number of smoking, hypertension and hyperhomocysteinemia (HHcy) in aneurysm patients was higher than that in the control groups, and the total plasma Hcy level in aneurysm patients was also higher. These findings suggest that smoking, hypertension and HHcy may be risk factors for the development and progression of aneurysms. Although the heterogeneity of meta-analysis was significant, it was found that the heterogeneity might come from the difference between race and disease species through subgroup analysis. Large-scale randomized controlled studies of single species and single disease species are needed in the future to supplement the accuracy of the results.


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