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Biomedical subjects

C Prakash

Publications and source records attributed to C Prakash.

At least 91 records · Page 5Linked to original sources

Synthesis of trideuterated O-alkyl platelet activating factor and lyso derivatives.

Racemic heavy isotope analogs of 1-O-alkyl-sn-glycero-3-phosphocholine (lysoPAF) and 1-O-alkyl-2-O-acetyl-sn-glycero-3-phosphocholine (PAF) were prepared for use as internal standards to facilitate quantitative studies based on mass spectrometry. Starting from pentadecane-1,15-diol and rac-glycerol-1,2-acetonide, a convergent synthesis of 1-O-[16'-2H3]hexadecyl and 1-O-[18'-2H3]octadecyl rac-glycero-3-phosphocholine and their acetyl derivatives is described. Three deuterium atoms were introduced at the terminal position of the 1-O-alkyl group by displacement of the p-toluensulfonyl group from 1-O-alkyl-15'-p-toluensulfonate and 1-O-alkyl-17'-p-toluensulfonate with [2H3]-methylmagnesium iodide. The 1-O-alkyl-17'-p-toluensulfonate was obtained by reaction of the 1-O-alkyl-15'-p-toluensulfonate with allylmagnesium bromide, followed by reductive ozonolysis and treatment with p-toluene-sulfonyl chloride. The hydroxyl group at C-2 was protected by a benzyl group and removed at a late stage in the synthesis. This provided the corresponding lyso-derivatives or allowed preparation of racemic PAF by subsequent acetylation of the free hydroxy group. The phosphocholine moiety was introduced at glycerol C-3 by reaction with bromoethyldichlorophosphate and trimethylamine. The synthetic compounds were analyzed by FAB/MS and GC/NICIMS. They were shown to contain less than 0.6% protium impurity.

Acetylation↗

Preparation of omega trideuterated sulfidopeptide leukotrienes: analysis by FAB/MS.

C-20 Trideuterated leukotriene A4 methyl ester was prepared by Wittig condensation of a deuterated C9-phosphonium salt with a C11-epoxydienal. It was then treated separately with glutathione, cysteinylglycine and cysteine. The resulting esters were saponified to give C-20 trideuterated leukotrienes C4, D4 and E4 respectively. Fast atom bombardment mass spectrometry showed that the synthetic compounds contained from 0.5 to 1.0% protium impurity. Introduction of deuterium at C-20 ensures that it is stable to a wide variety of reagents and reaction conditions. The deuterated leukotrienes will serve as internal standards for the quantitative analysis by mass spectrometry of endogenous sulfidopeptide leukotrienes present in biological fluids.

Deuterium↗

Structure from two orthographic views of rigid motion.

We study the inference of rigid three-dimensional interpretations for the structure and motion of four or more moving points from but two orthographic views of the points. We develop an algorithm to determine whether image data are compatible with a rigid interpretation. As a corollary of this result we find that the measure of false targets (roughly, nonrigid objects that appear rigid) is zero. We find that if the two views have at least one rigid interpretation, then in fact there is a canonical one-parameter family of rigid interpretations; we show how to compute this family, and we describe precisely how the rigid interpretations vary within it. Since only two views are used, this analysis is relevant also to stereo vision.

Algorithms↗

Formocresol and glutaraldehyde pulpotomies in primary teeth.

The purpose of the present study was to compare clinically and radiologically the effects of formocresol and glutaraldehyde as a medicament in pulpotomized carious exposed vital human primary molars. In formocresol group 90% clinical and radiological success rate and in glutaraldehyde group 100% clinical and radiological success rate was observed. Thus it was concluded that glutaraldehyde is better fixative and less toxic agent than formocresol.

Aldehydes↗

Optimal exchange volume and dialysate flow rate in peritoneal dialysis. A clinical study.

To find the optimal exchange volume and dialysate flow rate for use in peritoneal dialysis, 24 adult patients with acute or acute on chronic renal failure were studied. Based on the exchange volume and duration of one cycle, patients were randomly divided into 4 equal groups. Peritoneal clearances for urea and creatinine were calculated at 2, 8 and 14 hours during dialysis. Increase of dialysate flow rate improved the peritoneal clearance of various solutes, and for the same flow rate 2 liter exchange volume gave better results than 1 liter exchange volume.

Acute Kidney Injury↗

Cisapride. A preliminary review of its pharmacodynamic and pharmacokinetic properties, and therapeutic use as a prokinetic agent in gastrointestinal motility disorders.

Cisapride, a substituted piperidinyl benzamide chemically related to metoclopramide, is an orally administered prokinetic agent which facilitates or restores motility throughout the length of the gastrointestinal tract. Its novel mechanism of action is thought to involve enhancement of acetylcholine release in the myenteric plexus of the gut. Because of its specificity cisapride is devoid of central depressant or antidopaminergic effects; side effects such as diarrhoea or loose stools, which occur infrequently, are related to its primary pharmacological action. Evidence exists from comparisons with placebo in initial trials to establish the efficacy of cisapride in improving healing rates and symptoms in patients with reflux oesophagitis, in alleviating symptoms in patients with non-ulcer dyspepsia, and in accelerating gastric emptying in gastroparesis. There are less conclusive data regarding the efficacy of cisapride in relieving symptoms in patients with gastroparesis, although preliminary results support a role for cisapride in certain groups such as diabetics. Limited data suggest that patients with chronic constipation due to underlying motility disorders may benefit from cisapride. Unfortunately, there is a paucity of trials comparing the efficacy of cisapride with other therapeutic agents. Thus, the relative position of cisapride in therapy cannot be defined at present. Should future results support preliminary evidence of comparable efficacy to metoclopramide, domperidone and ranitidine (in oesophagitis), cisapride with its favourable tolerability profile should claim a prominent position in the therapy of patients with a variety of gastrointestinal motility disorders.

Cisapride↗

Medication-induced esophageal injury: survey of the literature.

A review of the 127 cases of drug-induced esophagitis reported since 1970 indicates that commonly used medications may be a source of esophageal injury. Retrosternal pain, odynophagia, and dysphagia were the most commonly reported symptoms and most cases were self-limited with 7 to 10 days of symptomatic therapy. Occasionally, severe odynophagia or dysphagia necessitated hospitalization. Emepronium bromide, tetracycline, and its derivatives, potassium chloride, and quinidine accounted for 89% of the reported cases; the remaining 11% were caused by 14 other medications. Serious sequelae, including death, have been linked to potassium-induced esophageal injury. With other medications, however, serious complications were rare. The diagnostic study of choice for suspected medication-induced esophageal injury is endoscopy, although air contrast barium swallow may often detect subtle mucosal abnormalities. In uncomplicated cases the history alone may be sufficient to make the diagnosis. Concurrent ingestion of adequate amounts of fluid and avoidance of unnecessary bedtime medications may help to prevent medication-induced esophageal injury.

Adolescent↗

An outbreak of typhoid fever in Chandigarh, North India.

An outbreak of typhoid fever occurred among 54 hospital nurses after a picnic. The salient features were fever (100%), nausea and vomiting (46%), loose motions and abdominal pain (13%), and palpable splenomegaly (63%). None of the patients had any major complications. Blood cultures for Salmonella typhi were positive in 81%, blood Widal was positive (1:320 or more) in 43% and suggestive (1:160) in 25% of the blood culture positive patients. A comparable number of patients were administered chloramphenicol or co-trimoxazole and no differences in response were observed. Bacteriological examination of samples of water from the likely sources revealed it to be unfit for human consumption due to gross faecal contamination.

Adolescent↗

Tolbutamide kinetics in cigarette smokers in the Indian population.

A single oral dose of 500 mg tolbutamide was administered to 9 chronic cigarette smokers and 8 healthy matched control volunteers. Plasma tolbutamide half-life (t1/2 B) was shortened in cigarette smokers as compared to the nonsmokers, but the difference was not statistically significant (p greater than 0.05). However, the area under the plasma concentration (AUC O----x) and peak concentration (Cmax) were reduced significantly in smokers. Concern over enhanced metabolism of several drugs is probably warranted in cigarette smokers.

Adult↗

Characterization of Crithidia fasciculata oligosaccharide-lipid and its elongation by bovine mammary microsomes.

It was recently shown that a Man7(GlcNAc)2-lipid species serves as the precursor for the biosynthesis of asparagine-linked glycoproteins in the trypanosomatid Crithidia fasciculata. Preliminary results indicated it to be similar to the intermediate in the major pathway for the biosynthesis of lipid-linked Glc3Man9(GlcNAc)2 in animal systems. To explore the potential of this glycolipid as an acceptor for studying the biosynthesis of mammary glycoproteins, we conducted a detailed structural analysis of the labelled Man7(GlcNAc)2-lipid isolated from exponentially growing cells of C. fasciculata. The results showed its structure to be Man alpha 1----2Man alpha 1----2Man alpha 1----3(Man alpha 1----2Man alpha 1----3Man alpha 1----6)Man beta----GlcNAc beta----GlcNAc, identical to the nonasaccharide synthesized by the animal systems. Incubation of the Man7(GlcNAc)2-lipid with bovine mammary microsomes along with GDP-mannose or mannosyl-phosphodolichol elongates it to give Man9(GlcNAc)2-lipid having the same structure as the corresponding intermediate in animal systems. Inhibition of the elongation reaction by EDTA or amphomycin indicates that the intermediary formation of mannosyl-phosphodolichol is required for the incorporation of mannose residues into the nonasaccharide-lipid. Mannosyl.phosphoretinol failed to serve as a mannosyl donor in this reaction.

Acetylglucosamine↗

Solubilization of mannosyltransferase activities for the biosynthesis of mammary glycoproteins. Elongation of tetrasaccharide-lipid to heptasaccharide-lipid by a solubilized enzyme preparation.

The microsomal preparation from the lactating bovine mammary tissue was solubilized by treatment with nonionic detergent, NP-40, at a protein/detergent ratio of 1.5:1 and a detergent concentration of 0.5%. Following centrifugation at 147000 X g for 120 min, the supernatant fraction was incubated with labeled sugar nucleotides, GDP-Man and UDP-GlcNAc. It was found to synthesize a series of lipid-linked saccharides up to (Man)5-(GlcNAc)2. The solubilized glycosyltransferases retained up to about 60% of the activity after two weeks of storage at 4 degrees C. The biosynthesis of glycolipids was stimulated by a mixture of lipids obtained by extracting the mammary microsomes with CHCl3/CH3OH (2:1). A labeled lipid-linked tetrasaccharide of the structure Man alpha 1----3 Man beta----GlcNAc beta----GlcNAc was isolated by labeling baby hamster kidney cells with [2-3H]mannose under conditions of glucose starvation followed by extraction of the cells with CHCl3/CH3OH (2:1) and separation of the lipids by high-performance liquid chromatography. When this lipid-linked tetrasaccharide was incubated with the solubilized bovine mammary microsomes and GDP-Man, it was elongated to a lipid-linked heptasaccharide having the structure Man alpha 1----2Man alpha 1----2Man alpha 1----3(Man alpha 1----6)Man beta----GlcNAc beta----GlcNAc. The kinetics of the elongation reaction also revealed the intermediary formation of smaller amounts of lipid-linked pentasaccharide and hexasaccharide. The elongation reaction did not require any divalent metal ion and had a broad pH optimum between 6.8 and 7.6. The lack of inhibition of the elongation reaction by EDTA or amphomycin support earlier studies that GDP-Man rather than mannosylphosphoryldolichol, is the direct donor of mannosyl residues for the biosynthesis of glycolipids up to (Man)5(GlcNAc)2. Mannosylphosphorylretinol was ineffective as mannosyl donor for the elongation reaction.

Animals↗

A new fluorescent tag for labeling of saccharides.

Potential aldehyde groups of N-acetylglucosamine and its di- and tri-saccharides were coupled with 7-amino-4-methylcoumarin (AMC) by reductive amination in the presence of sodium cyanoborohydride. The products were purified by silica gel chromatography. Acid hydrolysis and digestion with glycosidases gave the expected products. One picomole of the sugar-AMC complexes could be detected after thin-layer chromatography by fluorescence under uv light. The sensitivity of the detection of the fluorescently labeled carbohydrates is comparable to that of NaB3H4 labeling.

Acetylglucosamine↗

Characterization of lipid-linked octa- through undecasaccharides implicated in the biosynthesis of Saccharomyces cerevisiae mannoproteins.

The lipid-linked oligosaccharide Glc3-Man9(GlcNAc)2 (Glc, glucose; Man, mannose; GlcNAc, N-acetylglucosamine) serves as a precursor for the biosynthesis of the inner core portion of the asparagine-linked polysaccharide of Saccharomyces cerevisiae mannoproteins. It has been shown previously that incubation of a microsomal preparation from this organism with UDP-N-acetylglucosamine and GDP-[14C]mannose gives rise to a series of lipid-linked oligosaccharides of the general structure Mann(GlcNAc)2, with n from 1 to 9. A structural characterization of Man1- to Man5(GlcNAc)2 oligosaccharides indicated that the major structures among these were identical to the intermediates proposed for the biosynthesis of animal glycoproteins (C. Prakash and I. K. Vijay, Biochemistry 21:4810-4818, 1982). In the present study, the structural characterization of the Man6- through Man9(GlcNAc)2 species was conducted. The Man6- through Man8(GlcNAc)2 species have two isomers, whereas Man9(GlcNAc)2 is monoisomeric. One isomer each of Man6- through Man8(GlcNAc)2 and the monoisomeric Man9(GlcNAc)2 are identical to the intermediates for the biosynthesis of asparagine-linked glycoproteins in animal systems. It is proposed that the steps of the lipid-linked assembly of the carbohydrate precursor for S. cerevisiae mannoproteins are identical to those of the major pathway in animal systems. A lack of acceptor substrate specificity by the mannosyltransferases, as observed with in vitro studies with animal systems, also might be responsible for the biosynthesis of multiple isomers reported here.

Chemical Phenomena↗