1.Genetic landscape of thrombophilia in recurrent miscarriages
Alina ATHAR ; Poonam KASHYAP ; Shagufta KHAN ; Real Sumayya Abdul SATTAR ; Suhail Ahmed KHAN ; Sudha PRASAD ; Syed Akhtar HUSAIN ; Farah PARVEEN
Obstetrics & Gynecology Science 2024;67(5):435-448
		                        		
		                        			
		                        			 The etiology of recurrent miscarriage (RM) is extremely heterogeneous, encompassing genetic, immunological, anatomical, endocrine, thrombophilic, infectious, and uterine abnormalities. Thrombophilia is a major contributor to pregnancy complications, potentially harming the fetus and jeopardizing the continuation of pregnancy. Therefore, successful pregnancy outcomes depend on maintaining a delicate balance between coagulation and fibrinolytic factors, crucial for ensuring the adjustment of the basal plate to facilitate adequate placental perfusion. Despite numerous studies shedding light on the role of thrombophilic factors and genetic variations in RM, the exact pathogenesis remains unclear. It is imperative to systematically rule out thrombophilia and other related factors responsible for pregnancy disorders and RMs to guide appropriate and active management strategies. Addressing thrombophilia continues to present challenges in terms of effective treatment. The current review aims to address the heterogeneity of RM as a therapeutic challenge, emphasizing the need for standardized diagnostic tests and welldesigned multicenter research trials to gather robust, evidence-based data on thrombophilic causes of RM and provide effective treatment. The goal is to enhance the understanding of thrombophilic factors and genetic landscapes associated with RM through various approaches, including candidate gene studies, genome-wide association studies, and high-throughput sequencing. Meta-analyses have underscored the significance of genetic aberrations in RM, highlighting the necessity for identifying critical mutations implicated in the etiopathogenesis of miscarriages to pave the way for implementation of targeted clinical therapies. 
		                        		
		                        		
		                        		
		                        	
2.Genetic landscape of thrombophilia in recurrent miscarriages
Alina ATHAR ; Poonam KASHYAP ; Shagufta KHAN ; Real Sumayya Abdul SATTAR ; Suhail Ahmed KHAN ; Sudha PRASAD ; Syed Akhtar HUSAIN ; Farah PARVEEN
Obstetrics & Gynecology Science 2024;67(5):435-448
		                        		
		                        			
		                        			 The etiology of recurrent miscarriage (RM) is extremely heterogeneous, encompassing genetic, immunological, anatomical, endocrine, thrombophilic, infectious, and uterine abnormalities. Thrombophilia is a major contributor to pregnancy complications, potentially harming the fetus and jeopardizing the continuation of pregnancy. Therefore, successful pregnancy outcomes depend on maintaining a delicate balance between coagulation and fibrinolytic factors, crucial for ensuring the adjustment of the basal plate to facilitate adequate placental perfusion. Despite numerous studies shedding light on the role of thrombophilic factors and genetic variations in RM, the exact pathogenesis remains unclear. It is imperative to systematically rule out thrombophilia and other related factors responsible for pregnancy disorders and RMs to guide appropriate and active management strategies. Addressing thrombophilia continues to present challenges in terms of effective treatment. The current review aims to address the heterogeneity of RM as a therapeutic challenge, emphasizing the need for standardized diagnostic tests and welldesigned multicenter research trials to gather robust, evidence-based data on thrombophilic causes of RM and provide effective treatment. The goal is to enhance the understanding of thrombophilic factors and genetic landscapes associated with RM through various approaches, including candidate gene studies, genome-wide association studies, and high-throughput sequencing. Meta-analyses have underscored the significance of genetic aberrations in RM, highlighting the necessity for identifying critical mutations implicated in the etiopathogenesis of miscarriages to pave the way for implementation of targeted clinical therapies. 
		                        		
		                        		
		                        		
		                        	
3.Nitrosamines crisis in pharmaceuticals-Insights on toxicological implications,root causes and risk assessment:A systematic review
P.R.Vikram HEMANTH ; Kumar Pramod TEGGINAMATH ; Kumar GUNJAN ; M.Beeraka NARASIMHA ; Deka RAJASHREE ; Suhail Mohammed SHEIK ; Jat SANDEEP ; Bannimath NAMITHA ; Padmanabhan GAYATIRI ; S.Chandan RAVANDUR ; Kumar PRAMOD ; Gurupadayya BANNIMATH
Journal of Pharmaceutical Analysis 2024;14(5):639-652
		                        		
		                        			
		                        			The presence of N-nitroso compounds,particularly N-nitrosamines,in pharmaceutical products has raised global safety concems due to their significant genotoxic and mutagenic effects.This systematic review investigates their toxicity in active pharmaceutical ingredients(APIs),drug products,and phar-maceutical excipients,along with novel analytical strategies for detection,root cause analysis,refor-mulation strategies,and regulatory guidelines for nitrosamines.This review emphasizes the molecular toxicity of N-nitroso compounds,focusing on genotoxic,mutagenic,carcinogenic,and other physiological effects.Additionally,it addresses the ongoing nitrosamine crisis,the development of nitrosamine-free products,and the importance of sensitive detection methods and precise risk evaluation.This compre-hensive overview will aid molecular biologists,analytical scientists,formulation scientists in research and development sector,and researchers involved in management of nitrosamine-induced toxicity and promoting safer pharmaceutical products.
		                        		
		                        		
		                        		
		                        	
4.Genetic landscape of thrombophilia in recurrent miscarriages
Alina ATHAR ; Poonam KASHYAP ; Shagufta KHAN ; Real Sumayya Abdul SATTAR ; Suhail Ahmed KHAN ; Sudha PRASAD ; Syed Akhtar HUSAIN ; Farah PARVEEN
Obstetrics & Gynecology Science 2024;67(5):435-448
		                        		
		                        			
		                        			 The etiology of recurrent miscarriage (RM) is extremely heterogeneous, encompassing genetic, immunological, anatomical, endocrine, thrombophilic, infectious, and uterine abnormalities. Thrombophilia is a major contributor to pregnancy complications, potentially harming the fetus and jeopardizing the continuation of pregnancy. Therefore, successful pregnancy outcomes depend on maintaining a delicate balance between coagulation and fibrinolytic factors, crucial for ensuring the adjustment of the basal plate to facilitate adequate placental perfusion. Despite numerous studies shedding light on the role of thrombophilic factors and genetic variations in RM, the exact pathogenesis remains unclear. It is imperative to systematically rule out thrombophilia and other related factors responsible for pregnancy disorders and RMs to guide appropriate and active management strategies. Addressing thrombophilia continues to present challenges in terms of effective treatment. The current review aims to address the heterogeneity of RM as a therapeutic challenge, emphasizing the need for standardized diagnostic tests and welldesigned multicenter research trials to gather robust, evidence-based data on thrombophilic causes of RM and provide effective treatment. The goal is to enhance the understanding of thrombophilic factors and genetic landscapes associated with RM through various approaches, including candidate gene studies, genome-wide association studies, and high-throughput sequencing. Meta-analyses have underscored the significance of genetic aberrations in RM, highlighting the necessity for identifying critical mutations implicated in the etiopathogenesis of miscarriages to pave the way for implementation of targeted clinical therapies. 
		                        		
		                        		
		                        		
		                        	
5.Genetic landscape of thrombophilia in recurrent miscarriages
Alina ATHAR ; Poonam KASHYAP ; Shagufta KHAN ; Real Sumayya Abdul SATTAR ; Suhail Ahmed KHAN ; Sudha PRASAD ; Syed Akhtar HUSAIN ; Farah PARVEEN
Obstetrics & Gynecology Science 2024;67(5):435-448
		                        		
		                        			
		                        			 The etiology of recurrent miscarriage (RM) is extremely heterogeneous, encompassing genetic, immunological, anatomical, endocrine, thrombophilic, infectious, and uterine abnormalities. Thrombophilia is a major contributor to pregnancy complications, potentially harming the fetus and jeopardizing the continuation of pregnancy. Therefore, successful pregnancy outcomes depend on maintaining a delicate balance between coagulation and fibrinolytic factors, crucial for ensuring the adjustment of the basal plate to facilitate adequate placental perfusion. Despite numerous studies shedding light on the role of thrombophilic factors and genetic variations in RM, the exact pathogenesis remains unclear. It is imperative to systematically rule out thrombophilia and other related factors responsible for pregnancy disorders and RMs to guide appropriate and active management strategies. Addressing thrombophilia continues to present challenges in terms of effective treatment. The current review aims to address the heterogeneity of RM as a therapeutic challenge, emphasizing the need for standardized diagnostic tests and welldesigned multicenter research trials to gather robust, evidence-based data on thrombophilic causes of RM and provide effective treatment. The goal is to enhance the understanding of thrombophilic factors and genetic landscapes associated with RM through various approaches, including candidate gene studies, genome-wide association studies, and high-throughput sequencing. Meta-analyses have underscored the significance of genetic aberrations in RM, highlighting the necessity for identifying critical mutations implicated in the etiopathogenesis of miscarriages to pave the way for implementation of targeted clinical therapies. 
		                        		
		                        		
		                        		
		                        	
6.Genetic landscape of thrombophilia in recurrent miscarriages
Alina ATHAR ; Poonam KASHYAP ; Shagufta KHAN ; Real Sumayya Abdul SATTAR ; Suhail Ahmed KHAN ; Sudha PRASAD ; Syed Akhtar HUSAIN ; Farah PARVEEN
Obstetrics & Gynecology Science 2024;67(5):435-448
		                        		
		                        			
		                        			 The etiology of recurrent miscarriage (RM) is extremely heterogeneous, encompassing genetic, immunological, anatomical, endocrine, thrombophilic, infectious, and uterine abnormalities. Thrombophilia is a major contributor to pregnancy complications, potentially harming the fetus and jeopardizing the continuation of pregnancy. Therefore, successful pregnancy outcomes depend on maintaining a delicate balance between coagulation and fibrinolytic factors, crucial for ensuring the adjustment of the basal plate to facilitate adequate placental perfusion. Despite numerous studies shedding light on the role of thrombophilic factors and genetic variations in RM, the exact pathogenesis remains unclear. It is imperative to systematically rule out thrombophilia and other related factors responsible for pregnancy disorders and RMs to guide appropriate and active management strategies. Addressing thrombophilia continues to present challenges in terms of effective treatment. The current review aims to address the heterogeneity of RM as a therapeutic challenge, emphasizing the need for standardized diagnostic tests and welldesigned multicenter research trials to gather robust, evidence-based data on thrombophilic causes of RM and provide effective treatment. The goal is to enhance the understanding of thrombophilic factors and genetic landscapes associated with RM through various approaches, including candidate gene studies, genome-wide association studies, and high-throughput sequencing. Meta-analyses have underscored the significance of genetic aberrations in RM, highlighting the necessity for identifying critical mutations implicated in the etiopathogenesis of miscarriages to pave the way for implementation of targeted clinical therapies. 
		                        		
		                        		
		                        		
		                        	
7.Mitochondrial oxidative damage by co-exposure to bisphenol A and acetaminophen in rat testes and its amelioration by melatonin
Hina RASHID ; Mohammad Suhail AKHTER ; Saeed ALSHAHRANI ; Marwa QADRI ; Yousra NOMIER ; Maryam SAGEER ; Andleeb KHAN ; Mohammad F. ALAM ; Tarique ANWER ; Razan AYOUB ; Rana J. H. BAHKALI
Clinical and Experimental Reproductive Medicine 2023;50(1):26-33
		                        		
		                        			 Objective:
		                        			Human exposure to multiple xenobiotics, over various developmental windows, results in adverse health effects arising from these concomitant exposures. Humans are widely exposed to bisphenol A, and acetaminophen is the most commonly used over-the-counter drug worldwide. Bisphenol A is a well-recognized male reproductive toxicant, and increasing evidence suggests that acetaminophen is also detrimental to the male reproductive system. The recent recognition of male reproductive system dysfunction in conditions of suboptimal reproductive outcomes makes it crucial to investigate the contributions of toxicant exposures to infertility and sub-fertility. We aimed to identify toxicity in the male reproductive system at the mitochondrial level in response to co-exposure to bisphenol A and acetaminophen, and we investigated whether melatonin ameliorated this toxicity. 
		                        		
		                        			Methods:
		                        			Male Wistar rats were divided into six groups (n=10 each): a control group and groups that received melatonin, bisphenol A, acetaminophen, bisphenol A and acetaminophen, and bisphenol A and acetaminophen with melatonin treatment. 
		                        		
		                        			Results:
		                        			Significantly higher lipid peroxidation was observed in the testicular mitochondria and sperm in the treatment groups than in the control group. Levels of glutathione and the activities of catalase, glutathione peroxidase, glutathione reductase, and manganese superoxide dismutase decreased significantly in response to the toxicant treatments. Likewise, the toxicant treatments significantly decreased the sperm count and motility, while significantly increasing sperm mortality. Melatonin mitigated the adverse effects of bisphenol A and acetaminophen. 
		                        		
		                        			Conclusion
		                        			Co-exposure to bisphenol A and acetaminophen elevated oxidative stress in the testicular mitochondria, and this effect was alleviated by melatonin. 
		                        		
		                        		
		                        		
		                        	
8.Chronic exposure of bisphenol S (BPS) affect hypothalamic-pituitary-testicular activities in adult male rats: possible in estrogenic mode of action.
Hizb ULLAH ; Faizan ULLAH ; Owais REHMAN ; Sarwat JAHAN ; Tayyaba AFSAR ; Dara AL-DISI ; Ali ALMAJWAL ; Suhail RAZAK
Environmental Health and Preventive Medicine 2021;26(1):31-31
		                        		
		                        			BACKGROUND:
		                        			The industrial revolution has resulted in increased synthesis and the introduction of a variety of compounds into the environment and their potentially hazardous effects have been observed in the biota. The present study was aimed to evaluate the potential endocrine-disrupting effects of chronic exposure to the low concentrations of bisphenol S (BPS) in male rats.
		                        		
		                        			METHODS:
		                        			Weaning male Sprague-Dawley rats (22 days old) were either exposed to water containing 0.1% ethanol for control or different concentrations of BPS (0.5, 5, and 50 μg/L) in drinking water for 48 weeks in the chronic exposure study. After completion of the experimental period, animals were dissected and different parameters (hormone concentrations, histology of testis and epididymis, oxidative stress and level of antioxidant enzymes in the testis, daily sperm production (DSP), and sperm parameters) were determined.
		                        		
		                        			RESULTS:
		                        			Results of the present study showed a significant alteration in the gonadosomatic index (GSI) and relative reproductive organ weights. Oxidative stress in the testis was significantly elevated while sperm motility, daily sperm production, and the number of sperm in epididymis were reduced. Plasma testosterone, luteinizing hormone (LH), and follicle-stimulating hormone (FSH) concentrations were reduced and estradiol levels were high in the 50 μg/L-exposed group. Histological observations involved a significant reduction in the epithelial height of the testis along with disrupted spermatogenesis, an empty lumen of the seminiferous tubules, and the caput region of the epididymis.
		                        		
		                        			CONCLUSION
		                        			These results suggest that exposure to 5 and 50 μg/L of BPS for the chronic duration started from an early age can induce structural changes in testicular tissue architecture and endocrine alterations in the male reproductive system which may lead to infertility in males.
		                        		
		                        		
		                        		
		                        			Animals
		                        			;
		                        		
		                        			Biomarkers
		                        			;
		                        		
		                        			Endocrine Disruptors/toxicity*
		                        			;
		                        		
		                        			Environmental Exposure/adverse effects*
		                        			;
		                        		
		                        			Environmental Pollutants/toxicity*
		                        			;
		                        		
		                        			Hypothalamo-Hypophyseal System/physiopathology*
		                        			;
		                        		
		                        			Infertility, Male/physiopathology*
		                        			;
		                        		
		                        			Male
		                        			;
		                        		
		                        			Phenols/toxicity*
		                        			;
		                        		
		                        			Rats
		                        			;
		                        		
		                        			Rats, Sprague-Dawley
		                        			;
		                        		
		                        			Sulfones/toxicity*
		                        			;
		                        		
		                        			Testis/physiopathology*
		                        			;
		                        		
		                        			Toxicity Tests, Chronic
		                        			
		                        		
		                        	
9.Role of Calcium calmodulin-dependent protein kinase II (CaMKII) in synapse formation and synaptic Transmission between Lymnaea neurons
Atiq Hassan ; Nazim Nasir ; Mohammad Suhail khan ; Izhar Husain
ASEAN Journal of Psychiatry 2021;22(9):1-9
		                        		
		                        			
		                        			Networks of synaptically connected neurons underlie all brain functions. Various 
cell-cell signaling and extrinsic molecules influence synapse assembly at the synaptic 
site. Calcium ions play a significant role in signal transduction pathways that control 
various neuronal functions. Multifunctional Ca2+/calmodulin-dependent protein 
kinase II (CaMK II) is an important mediator of calcium signaling in neurons, it 
plays an essential role in controlling synaptic strength and plasticity, and it is highly 
expressed in the cytosol of developing neurons, especially in presynaptic neurons. 
However, the precise role of CaMKII in synapse formation and synaptic 
transmission has not yet been determined. We hypothesized that CaMKII activity 
could be necessary for synapse formation and synaptic transmission. To test whether 
CaMKII activity is required for the synapse formation and synaptic transmission, 
the identified neurons visceral dorsal 4 (VD4 – presynaptic) and its postsynaptic 
partner left pedal dorsal 1 (LPeD1) from the freshwater snail Lymnaea stagnalis 
were paired in soma-soma configuration in cell culture. The soma-soma paired cells 
recapitulated their excitatory connections in vitro. To test the possible role of 
CaMKII in synapse formation and synaptic transmission, the in vitro paired 
neurons were exposed to a CaMKII-specific inhibitor KN-93 and its inactive analog 
KN-92. The incidence of synapse formation and efficacy of synaptic transmission 
was tested electrophysiologically.
		                        		
		                        		
		                        		
		                        	
10.Multilocus Sequence Typing Analysis of Invasive and Non-Invasive Group B Streptococcus of Hospital Origin in Malaysia
Menagah Ezhumalai ; AbdulRahman Muthanna ; Zarizal Suhail ; Nurul Diana Dzaraly ; Syafinaz Amin-Nordin ; Mohammad Noor Azmai Amal ; Mohd Nasir Mohd Desa
Malaysian Journal of Medical Sciences 2020;27(1):134-138
		                        		
		                        			
		                        			The aim of this study was to study the genotype of a hospital collection of Group B
Streptococcus (GBS) from invasive and non-invasive sites. Fifty-one pre-characterised human
of GBS were re-identified and further analysed by multilocus sequence typing (MLST) in relation
to previously published serotypes. Fifteen sequence types (ST) were found with ST1 being the
most predominant. ST1 was also associated with majority of the invasive isolates. The genotypic
distribution patterns of GBS in this study were largely in agreement with previous reports from
other countries indicating the tendency of certain genotypes to prevail in human infection settings.
		                        		
		                        		
		                        		
		                        	
            

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