Atripla<Superscript>R</Superscript>/anti-TB combination in TB/HIV patients. Drug in focus

Background

Co-administration of anti-tuberculosis and antiretroviral therapy is often inevitable in high-burden countries where tuberculosis is the most common opportunistic infection associated with HIV/AIDS. Concurrent use of rifampicin and several antiretroviral drugs is complicated by pharmacokinetic drug-drug interaction.

Method

Pubmed and Google search following the key words tuberculosis, HIV, emtricitabine, tenofovir efavirenz, interaction were used to find relevant information on each drug of the fixed dose combination Atripla^R

Results

Information on generic name, trade name, pharmacokinetic parameter, metabolism and the pharmacokinetic interaction with Anti-TB drugs of emtricitabine, tenofovir, and efavirenz was obtained.

Conclusion

Fixed dose combination of emtricitabine/tenofovir/efavirenz (ATRIPLA^R) which has been approved by Food and Drug Administration shows promising results as far as safety and efficacy is concerned in TB/HIV co-infection patients, hence can be considered effective and safe antiretroviral drug in TB/HIV management for adult and children above 3 years of age.

     

Bone remodeling of the Homo heidelbergensis mandible; the Atapuerca-SH sample.

Growth by bone remodeling is one of the key mechanisms responsible for skeletal morphology. This mechanism consists of the coordinated activity of two cellular groups: osteoblasts and osteoclasts, which are responsible for bone deposition and resorption, respectively. Information obtained from the study of these remodeling growth fields allows us to understand how species-specific craniofacial form is achieved. These data can help to explain the facial growth differences among Primates, both extinct and extant. The aim of this study was to obtain the distribution of growth remodeling fields of the Homo heidelbergensis mandible (Atapuerca-SH sample), and to infer the growth processes responsible for its specific morphology. A Reflected Light Microscope (RLM) was used to identify the microfeatures of the bone surface related to bone deposition and resorption. Results show that H. heidelbergensis presents a specific growth field distribution, which differs slightly between immature and adult individuals. Interpretation of these maps indicates that the mandible of H. heidelbergensis presents noteworthy variability in the symphyseal region. Two distinct patterns of growth are seen, one of those unique for this species and the other similar to that of Homo sapiens. The lingual side of the mandibular corpus has a resorption area found only in this species and one that includes a variable extension in immature and adult individuals. Finally, the mandibular ramus is characterized, among other aspects, by a large resorption field on its buccal surface. Considering the mandible as a whole, the bone remodeling pattern obtained in this work shows that lower facial growth in H. heidelbergensis is dominated mainly by forward growth, illustrated by the strong inward displacement of the ramus, which is in agreement with the Enlow's “V” growth principle.     

Molecular Systematics of Middle American Cichlid Fishes and the Evolution of Trophic-Types in ‘Cichlasoma(Amphilophus)’ and ‘C.(Thorichthys)’

The majority of Middle American cichlids are placed in the informal assemblage ‘Cichlasoma.’ The group is divided into eight sections which appear to be based primarily on trophic morphology. Although several members of ‘Cichlasoma’ have been used in ecomorphological, behavioral, and biogeographic studies, no phylogenetic hypotheses for the group exist. In an attempt to develop a better understanding of the phylogenetic relationships of ‘cichlasomine’ cichlids, we examined the evolution of the trophic specialization, substratum-sifting, in two sections, ‘Cichlasoma(Thorichthys)’ and ‘C.(Amphilophus),’ to determine whether the trait reflects common ancestry. We sequenced the complete mitochondrial cytochromebgene for 19 cichlids representing six sections of ‘Cichlasoma,’ and representatives of other Neotropical Cichlidae. Additional cichlid, and noncichlid outgroup sequences were included for a total of 22 taxa. The molecular phylogeny supports the recognition of the section ‘C.(Thoricthys)’ as a natural group, and we place those cichlids in the genusThorichthys.The phylogeny also depicts ‘C.(Amphilophus)’ as paraphyletic, with substratum-sifters and generalized predators forming separate nonsister clades. We recommend that the substratum-sifting clade of the section ‘C.(Amphilophus)’ be placed in the resurrected genusAstatheros.The generalized predator clade of ‘C.(Amphilophus)’ contains only two species, ‘C. (A.) citrinellum’ and ‘C. (A.) labiatum,’ which we place in the genusAmphilophus.The phylogenetic hypotheses generated indicate that the substratum-sifting generaThorichthysandAmphilophusdo not share a common ancestor. Reconstruction of the evolution of substratum-sifting is equivocal, requiring either the independent evolution of the trait on two separate occasions or its presence in a more inclusive clade and subsequent loss in nonsubstratum sifting species.     

尾巨桉化学成分的研究

运用多种色谱手段分离纯化尾巨桉的化学成分,并通过波谱法对分离到的化合物进行结构鉴定。结果表明：从尾巨桉叶和根中分离并鉴定了5个化合物,分别为鞣花酸(ellagic acid,1)、3-O-甲基并没食子酸(3-O-methylellagic acid,2)、3,3′-O-二甲基鞣花酸(3,3′-di-O-methylellagic acid,3)、3-O-甲基鞣花酸4′-O-α-L-吡喃鼠李糖苷(3-O-methylellagic acid 4′-O-α-L-rhamnopyranoside,4)、反式对羟基肉桂酸((E )-p-hydroxy-cinnamic acid,5)。其中,化合物2~5为首次从该植物中分离得到。     

Chemical constituents from Anthemis wiedemanniana Fisch. & Mey.

The lipophilic extract of the aerial parts of Anthemis wiedemanniana Fisch. & Mey, a Turkish endemic species, was investigated. In addition to one new natural product, namely 3,4,4-trimethyl-6-carboxy-cyclohex-2-ene-1-one, five known sesquiterpene lactones, five methylated flavonoids, one simple phenolic derivative and one nor-isoprenoid were isolated. Among the sesquiterpene lactones, canin was found to be the main compound.