Gender differences in healthy ranges for serum alanine aminotransferase levels in adolescence

Background & Aims

There is a worldwide epidemic of obesity among adolescents who subsequently are at increased risk for the development of non alcoholic fatty liver disease (NAFLD). The serum alanine aminotransferase (ALT) is the most frequently used test for screening these individuals, but no age and gender-specific upper limits of normal (ULN) based on healthy population data in children are available. The objective of the present study was to define ULN for ALT in healthy children in order to use this as a tool for case finding.

Methods

A total of 975 school children (aged 7–18 years) were included in the study cohort. Highly significant correlations (all p<0.001) were noted between ALT values and measures of BMI, systolic and diastolic blood pressure, insulin levels, HOMA-IR, total cholesterol and triglyceride concentrations. In order to define the population with no risk factors, we excluded subjects having abnormal values for factors that correlated with ALT. This population comprised 186 boys and 185 girls.

Results

In boys, median serum ALT levels were 16 IU/L and 9, 11, 18, and 30 IU/L for the 5th, 25th, 75th, and 95th percentiles. In girls, median serum ALT was 13, and 7, 9, 16, and 21 IU/L for the 5th, 25th, 75th, and 95th percentiles, respectively. The ULNs for ALT were 30 IU/L and 21 IU/L for boys and girls respectively. We found a linear relationship between age and ALT in females (p<0.001) but not in males. By multiple logistic regression, independent predictors of an elevated ALT included the BMI, waist hip ratio and levels of serum total cholesterol. In females, age was an additional inverse predictor.

Conclusions

In children and adolescents, these normal limits for ALT should be applied. Those with persistent elevations should be investigated further.     

Effect of penconazole and drought stress on the essential oil composition and gene expression of Mentha pulegium L. (Lamiaceae) at flowering stage

Effect of penconazole (PEN) on the expression level of two genes in the biosynthesis pathway of monoterpenes, isopiperitenone reductase (iPR) and pulegone reductase (PR), and essential oil (EO) compounds were studied at flowering stage of Mentha pulegium L. under drought stress. Plants were grown with different levels of field capacity (100 and 50 %) with or without PEN (15 mg l^?1). Results showed that drought stress decreased the growth and productivity parameters. PEN treatment to drought-stressed plants decreased the negative effects of drought stress on these parameters. The EO yield increased by about 1.6 times under drought stress, and the highest amount of EO was obtained in drought-stressed with PEN. Drought stress increased pulegone and decreased menthone percentage, and the highest pulegone percentage (78.2 % of total constituents) was obtained in drought-stressed with PEN treatment. Semi-quantitative RT-PCR showed drought stress increased the expression level of iPR and PR genes. PEN treatment promoted the impact of drought stress on iPR gene expression and repressed PR gene expression. Our results suggest that PEN may be a useful tool for the regulation of monoterpene metabolism in M. pulegium under stress condition.     

Purification of plasmid DNA with polymer-salt aqueous two-phase system: optimization using response surface methodology

An experimental design was used to optimize plasmid purification from an alkaline lysate of Escherichia coli cells using PEG-sodium citrate aqueous two-phase systems (ATPS), and to evaluate the influence of pH, PEG molecular weight, tie line length, phase volume ratio, and lysate load. To build the mathematical model and minimize the number of experiments for the design parameters, response surface methodology (RMS) with an orthogonal rotatable central composite design was defined based on the conditions found for the highest purification by preliminary tests. The adequacy of the calculated models for the plasmid recovery and remaining RNA were confirmed by means of variance analysis and additional experiments. Analysis of contours of constant response as a function of pH, PEG molecular weight, tie line length, and cell lysate load for three different phase volume ratios revealed different effects of these five factors on the studied parameters. Plasmid recovery of 99% was predicted for a system with PEG 400, pH 6.9, tie line length of 38.7%, phase volume ratio of 1.5, and lysate load of 10% (v/v). Under these conditions the predicted RNA removal was 68%.     

A serological screening assay of human immunodeficiency virus type 1 antibodies based on recombinant protein p24-gp41 as a fusion protein expressed in Escherichia coli

The objective of this study was expression of a recombinant fusion protein p24-gp41 to gain a proper folding pattern of the proteins which could be recognized by specific antibodies against human immunodeficiency virus type 1 (HIV-1) for development of a reliable serodiagnostic kit. Serodiagnostic method using enzyme-linked immunosorbent assay (ELISA) with the expressed recombinant fusion protein p24-gp41 was carried out to test the sensitivity and specificity of the protein using human sera and various reference panels from Boston Biomedica Inc. (BBI). The level of the expression was determined to be 30% and the final recovery from fermentation and purification process was calculated as 80 mg/L with more than 98% purity. The developed ELISA assay was demonstrated to have 100 and 99.5% sensitivity and specificity, respectively, detecting anti-HIV-1 antibody using 900 positive and 10,000 negative human sera. The developed assay showed reliable results in comparison with other reference HIV ELISA kits using various BBI panels as well. In conclusion, the recombinant fusion protein p24-gp41 was expressed and used to develop a serodiagnostic kit for screening of the HIV-1 with high sensitivity (100%) and specificity (99.5%) which could be useful for screening large groups of blood donors.     

Plasma GBP2 promoter methylation is associated with advanced stages in breast cancer

Blood methylated cell-free DNA (cfDNA) as a minimally invasive cancer biomarker has great importance in cancer management. Guanylate binding protein 2 (GBP2) has been considered as a possible controlling factor in tumor development. GBP2 gene expression and its promoter methylation status in both plasma cfDNA and tumor tissues of ductal carcinoma breast cancer patients were analyzed using SYBR green comparative Real-Time RT-PCR and, Methyl-specific PCR techniques, respectively in order to find a possible cancer-related marker. The results revealed that GBP2 gene expression and promoter methylation were inversely associated. GBP2 was down-regulated in tumors with emphasis on triple negative status, nodal involvement and higher cancer stages (p<0.0001). GBP2 promoter methylation on both cfDNA and tumor tissues were positively correlated and was detected in about 88% of breast cancer patients mostly in (Lymph node positive) LN+ and higher stages. Data provided shreds of evidence that GBP2 promoter methylation in circulating DNA may be considered as a possible effective non-invasive molecular marker in poor prognostic breast cancer patients with the evidence of its relation to disease stage and lymph node metastasis. However further studies need to evaluate the involvement of GBP2 promoter methylation in progression-free survival or overall survival of the patients.     

Degradation of formaldehyde in packed-bed bioreactor by kissiris-immobilized Ralstonia eutropha

The ability of the Ralstonia eutropha cells to utilize formaldehyde (FA) as the only source of carbon and energy was studied in the kissiris-immobilized cell bioreactor (KICB) in batch-recirculation and continuous modes of operation. In batch-recirculation experiments, the test bacterium could tolerate concentrations of FA up to 1,400 mg/L at 30°C and aeration rate equal to 0.75 vvm (r _S = 7.25 mg/L/h, q S = 0.019 g_FA/g_cell/h). However, further increase of initial FA concentration resulted in degradation reaction of FA to stop at 1,600 mg/L. Results of continuous mode experiments showed that the biodegradation performance of the KICB was dependent on both feed flow rate and inlet FA concentration parameters. The optimum feed flow rate which corresponded to the highest biodegradation rate (r _S = 240.3 mg/L/h) was observed at Q = 18 mL/min when KICB did not operate under the external mass transfer limiting regime. Substrate inhibition kinetics (Edwards and Luong equations) were used to describe the experimental specific degradation rates data. According to the Luong model, the values of the maximum specific degradation rate (q _max), half-saturation coefficient (K _S), the maximum allowable FA concentration (S _m), and the shape factor (n) were 0.178 g_FA/g_cell/h, 250.9 mg/L, 1,600 mg/L, and 1.86, respectively.