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  1. Article: Cervical Intraepithelial Neoplasia Grade 3 in the Third Trimester of Pregnancy: A Case Report.

    Agrawal, Laksh S / Mohammad, Shazia / Acharya, Neema / Huse, Shreyash

    Cureus

    2023  Volume 15, Issue 10, Page(s) e46703

    Abstract: The incidence of malignancies during pregnancy has been on the rise in the recent years, primarily due to an increase in older age pregnancies. This poses a significant risk to both the mother and the developing fetus. We present the case of a 29-year- ... ...

    Abstract The incidence of malignancies during pregnancy has been on the rise in the recent years, primarily due to an increase in older age pregnancies. This poses a significant risk to both the mother and the developing fetus. We present the case of a 29-year-old woman who experienced intermittent vaginal bleeding during her pregnancy. In the last trimester, the patient presented with abnormal vaginal bleeding and abdominal pain. The gestational age was 37.6 weeks. Notably, to our knowledge,
    Language English
    Publishing date 2023-10-09
    Publishing country United States
    Document type Case Reports
    ZDB-ID 2747273-5
    ISSN 2168-8184
    ISSN 2168-8184
    DOI 10.7759/cureus.46703
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article: Novel Advances in the Role of Selective Estrogen Receptor Modulators in Hormonal Replacement Therapy: A Paradigm Shift.

    Motlani, Gunjan / Motlani, Vidhi / Acharya, Neema / Dave, Apoorva / Pamnani, Soumya / Somyani, Drishti / Agrawal, Shruti

    Cureus

    2023  Volume 15, Issue 11, Page(s) e49079

    Abstract: Estrogen is a key regulatory hormone in the functioning of a female reproductive system. Estrogen hormone regulates many complex physiological processes, which has its role in reproduction and skeletal and cardiovascular systems by acting on estrogen ... ...

    Abstract Estrogen is a key regulatory hormone in the functioning of a female reproductive system. Estrogen hormone regulates many complex physiological processes, which has its role in reproduction and skeletal and cardiovascular systems by acting on estrogen receptors alpha (ERα) and beta (ERβ), which are nuclear transcription factors. Selective estrogen receptor modulators (SERMs) are now being used to treat bone loss, breast carcinoma, and menopausal symptoms, metabolic neurodegenerative because of their characteristics that allow them to function as both estrogen agonists and antagonists, depending on the target tissue. First-generation SERMs, such as Tamoxifen, are used in the management protocol for breast cancer, which is estrogen receptor (ER-positive). Raloxifene is a second-generation SERM that is a valuable adjunct used to treat and prevent osteoporosis in postmenopausal women and prevent compression fractures of the vertebral column. Novel SERM molecules are on the horizon, proven more potent and efficacious in preventing and treating osteoporosis. These include Ospemifene, lasofoxifene, bazedoxifene and arzoxifene. The benefits of Raloxifene versus that of Bazedoxifene are under trial. Despite their therapeutic benefits and actions, these medications are not without adverse effects, such as thromboembolic disorders. Increased risk of uterine cancer has been linked to Tamoxifen. This article delves into the world of SERMs, including their development and discovery. The newer SERMs in late development, ospemifene, lasofoxifene, bazedoxifene, and arzoxifene, are described in detail.
    Language English
    Publishing date 2023-11-19
    Publishing country United States
    Document type Journal Article ; Review
    ZDB-ID 2747273-5
    ISSN 2168-8184
    ISSN 2168-8184
    DOI 10.7759/cureus.49079
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article: A Systematic Review of Vertigo: Negligence in Pregnancy.

    Toshniwal, Vaishnavi / Agrawal, Aman / Toshniwal, Tejas / Toshniwal, Saket / Khanke, Sankalp / Bakshi, Sanket / Acharya, Neema

    Cureus

    2022  Volume 14, Issue 10, Page(s) e29814

    Abstract: From conception to childbirth, there are many physical, hormonal, and psychological changes that a woman undergoes during pregnancy. During this time, balance is also affected, resulting in symptoms like vertigo and unsteadiness. These symptoms can lead ... ...

    Abstract From conception to childbirth, there are many physical, hormonal, and psychological changes that a woman undergoes during pregnancy. During this time, balance is also affected, resulting in symptoms like vertigo and unsteadiness. These symptoms can lead to physical impairment and disability and can develop at any time. Vertigo in pregnancy has not been extensively written about. The subject of a narrative review is vertigo in pregnant patients. In pregnant women, hormonal alterations in the peripheral tissues and inner ear organs may contribute to vertigo. Meniere's disease, mild convulsive positional dizziness, and oculomotor migraines are all commonly exacerbated by pregnancy. Between the second and third trimesters of pregnancy, specific modifications to proprioception and hearing are also detected during physical examination. Patients who are pregnant typically experience these symptoms throughout this time. Some vertigo conditions can worsen during pregnancy, while others can appear at any time. Understanding audio-vestibular symptoms' pathological and clinical relationship during pregnancy requires more study.
    Language English
    Publishing date 2022-10-01
    Publishing country United States
    Document type Journal Article ; Review
    ZDB-ID 2747273-5
    ISSN 2168-8184
    ISSN 2168-8184
    DOI 10.7759/cureus.29814
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article: Lantern on Dome of St. Paul's Cathedral - An Apt Metaphor for a Challenging Leiomyoma.

    Acharya, Neema / Singhal, Sonakshi / Agrawal, Mohit / Singh, Nidhi / Verma, Neha

    Journal of mid-life health

    2020  Volume 11, Issue 3, Page(s) 181–184

    Abstract: Fibroids are ubiquitous in women of the reproductive age group more so in midlife. The cervical fibroids are challenging to operating surgeons because it distorts the surgical anatomy of the pelvis and urogenital system. The metaphor given historically ... ...

    Abstract Fibroids are ubiquitous in women of the reproductive age group more so in midlife. The cervical fibroids are challenging to operating surgeons because it distorts the surgical anatomy of the pelvis and urogenital system. The metaphor given historically to this condition is apt as the uterus appears like a lantern sitting on the dome of cervical fibroid similar to the dome of the cathedral. Here, we report two cases of cervical fibroid in perimenopausal age group of different sizes managed by following specific steps.
    Language English
    Publishing date 2020-09-29
    Publishing country India
    Document type Case Reports
    ZDB-ID 2595412-X
    ISSN 0976-7819 ; 0976-7800
    ISSN (online) 0976-7819
    ISSN 0976-7800
    DOI 10.4103/jmh.JMH_143_19
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: Development associated profiling of chitinase and microRNA of Helicoverpa armigera identified chitinase repressive microRNA.

    Agrawal, Neema / Sachdev, Bindiya / Rodrigues, Janneth / Sree, K Sowjanya / Bhatnagar, Raj K

    Scientific reports

    2013  Volume 3, Page(s) 2292

    Abstract: Expression of chitinase is developmentally regulated in insects in consonance with their molting process. During the larval-larval metamorphosis in Helicoverpa armigera, chitinase gene expression varies from high to negligible. In the five-day ... ...

    Abstract Expression of chitinase is developmentally regulated in insects in consonance with their molting process. During the larval-larval metamorphosis in Helicoverpa armigera, chitinase gene expression varies from high to negligible. In the five-day metamorphic course of fifth-instar larvae, chitinase transcript is least abundant on third day and maximal on fifth day. MicroRNA library prepared from these highest and lowest chitinase-expressing larval stages resulted in isolation of several miRNAs. In silico analysis of sequenced miRNAs revealed three miRNAs having sequence similarity to 3'UTR of chitinase. Gene-targeted specific action of these miRNAs, was investigated by luciferase reporter having 3'UTR of chitinase. Only one of three miRNAs, miR-24, inhibited luciferase expression. Further, a day-wise in vivo quantification of miR-24 in fifth-instar larvae revealed a negative correlation with corresponding chitinase transcript abundance. The force-feeding of synthetic miR-24 induced significant morphological aberrations accompanied with arrest of molting. These miR-24 force-fed larvae revealed significantly reduced chitinase transcript abundance.
    MeSH term(s) 3' Untranslated Regions ; Animals ; Base Sequence ; Cell Line ; Chitinases/chemistry ; Chitinases/genetics ; Chitinases/metabolism ; Gene Expression Profiling ; Gene Expression Regulation, Developmental ; Larva/genetics ; Larva/metabolism ; Metamorphosis, Biological/genetics ; MicroRNAs/genetics ; Molecular Sequence Data ; Moths/enzymology ; Moths/genetics ; Phenotype ; Reproducibility of Results ; Time Factors ; Transcription, Genetic
    Chemical Substances 3' Untranslated Regions ; MicroRNAs ; Chitinases (EC 3.2.1.14)
    Language English
    Publishing date 2013-07-16
    Publishing country England
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 2615211-3
    ISSN 2045-2322 ; 2045-2322
    ISSN (online) 2045-2322
    ISSN 2045-2322
    DOI 10.1038/srep02292
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: Mouse strain variation in SMA(+) myofibroblast development after corneal injury.

    Singh, Vivek / Torricelli, Andre A M / Nayeb-Hashemi, Neema / Agrawal, Vandana / Wilson, Steven E

    Experimental eye research

    2013  Volume 115, Page(s) 27–30

    Abstract: The purpose of present study was to investigate differences in myofibroblast development after haze-generating injury in different commonly used strains of mice. The inbred mouse strains used in this study were Balb/c, C57BL/6, C3H/HeJ and DBA/1J. All ... ...

    Abstract The purpose of present study was to investigate differences in myofibroblast development after haze-generating injury in different commonly used strains of mice. The inbred mouse strains used in this study were Balb/c, C57BL/6, C3H/HeJ and DBA/1J. All mice had uniform irregular phototherapeutic keratectomy with an excimer laser according to a previously published method to generate stromal haze. DBA/1J mice generated significantly greater density of alpha smooth muscle actin (SMA)-positive myofibroblasts in the anterior stroma compared to Balb/c (p < 0.05), C57BL/6 (p < 0.05) and C3H/HeJ (p < 0.01) mice. The C3H/HeJ strain had significantly lower density of SMA-positive myofibroblasts compared to other three mouse strains. These results indicate that mouse strain must be considered in designing experiments and interpreting the results of experiments in which corneal haze and myofibroblast generation is studied in mice. Further investigation of genetics underlying mouse strain variation could provide insight into the corneal wound healing and haze generation processes.
    MeSH term(s) Actins/metabolism ; Animals ; Corneal Injuries ; Corneal Opacity/pathology ; Corneal Stroma/pathology ; Eye Injuries/metabolism ; Eye Injuries/pathology ; Female ; Lasers, Excimer/therapeutic use ; Male ; Mice ; Mice, Inbred BALB C ; Mice, Inbred C3H ; Mice, Inbred C57BL ; Mice, Inbred DBA ; Myofibroblasts/metabolism ; Myofibroblasts/pathology ; Photorefractive Keratectomy ; Wound Healing/physiology
    Chemical Substances Acta2 protein, mouse ; Actins
    Language English
    Publishing date 2013-06-18
    Publishing country England
    Document type Journal Article ; Research Support, N.I.H., Extramural ; Research Support, Non-U.S. Gov't
    ZDB-ID 80122-7
    ISSN 1096-0007 ; 0014-4835
    ISSN (online) 1096-0007
    ISSN 0014-4835
    DOI 10.1016/j.exer.2013.06.006
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article: Purification and characterization of aminopeptidase N from Spodoptera litura expressed in Sf21 insect cells.

    Kaur, Ravinder / Agrawal, Neema / Bhatnagar, Raj

    Protein expression and purification

    2007  Volume 54, Issue 2, Page(s) 267–274

    Abstract: Insecticidal crystal proteins produced by strains of Bacillus thuringiensis cause larval death upon interaction with specific receptors located at the midgut epithelium of susceptible insects. Large quantities of easily purified aminopeptidase and ... ...

    Abstract Insecticidal crystal proteins produced by strains of Bacillus thuringiensis cause larval death upon interaction with specific receptors located at the midgut epithelium of susceptible insects. Large quantities of easily purified aminopeptidase and cadherin-like Cry toxin receptors can facilitate the further study of Cry toxin binding and pore formation. Here, we report the solubilisation and purification of aminopeptidase N from Spodoptera litura (SlAPN). Recombinantly expressed and membrane anchored aminopeptidase N showed differential solubilisation with various ionic and nonionic detergents. The N-lauryl sarcosine (NLS)-solubilised SlAPN was purified to near homogeneity by anion exchange and gel filtration chromatography and refolded to its catalytically active form. The optimized purification regimen lead to >90% purification of the catalytically active SlAPN with 11% recovery and 9-folds purification. The interaction of purified SlAPN with biologically active Cry1C protein has been qualitatively and quantitatively characterized. By ligand blotting experiment, we demonstrated the linearity of interaction of the two purified proteins and lack of interaction of SlAPN with structurally divergent nontoxic Cry1Ac protein. The equilibrium dissociation constant (K(D)) of purified SlAPN for Cry1C was calculated by ELISA (90nM). Interaction of enzymatically inactive SlAPN with Cry1C and catalytic activity of APN-Cry1C complex suggested that the catalytic site and toxin-binding sites of SlAPN do not overlap.
    MeSH term(s) Animals ; Bacterial Proteins/metabolism ; Bacterial Toxins/metabolism ; CD13 Antigens/biosynthesis ; CD13 Antigens/isolation & purification ; Endotoxins/metabolism ; Hemolysin Proteins/metabolism ; Protein Folding ; Protein Interaction Mapping ; Recombinant Proteins/biosynthesis ; Recombinant Proteins/isolation & purification ; Solubility ; Spodoptera/enzymology
    Chemical Substances Bacterial Proteins ; Bacterial Toxins ; Endotoxins ; Hemolysin Proteins ; Recombinant Proteins ; insecticidal crystal protein, Bacillus Thuringiensis ; CD13 Antigens (EC 3.4.11.2)
    Language English
    Publishing date 2007-08
    Publishing country United States
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 1055455-5
    ISSN 1096-0279 ; 1046-5928
    ISSN (online) 1096-0279
    ISSN 1046-5928
    DOI 10.1016/j.pep.2007.03.003
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article: Expression profile of prophenoloxidase-encoding (acppo6) gene of Plasmodium vivax-refractory strain of Anopheles culicifacies.

    Sharma, Anil / Rodrigues, Janneth / Kajla, Mayur K / Agrawal, Neema / Adak, T / Bhatnagar, Raj K

    Journal of medical entomology

    2010  Volume 47, Issue 6, Page(s) 1220–1226

    Abstract: Anopheles culicifacies is the main vector for transmission of Plasmodium vivax malaria in the Indian subcontinent. A strain of An. culicifacies isolated from its natural niche displayed complete refractoriness to P. vivax by melanotic encapsulation of ... ...

    Abstract Anopheles culicifacies is the main vector for transmission of Plasmodium vivax malaria in the Indian subcontinent. A strain of An. culicifacies isolated from its natural niche displayed complete refractoriness to P. vivax by melanotic encapsulation of ookinetes. Prophenoloxidases are key components of the phenoloxidase cascade that leads to recognition and melanization of invading organisms. We isolated and cloned prophenoloxidase-encoding acppo6 gene of An. culicifacies and analyzed its expression profile under various regimens of immune challenge. The acppo6 was differentially expressed during various stages of larval development. The acppo6 transcription was also up-regulated in response to bacteria and Plasmodium vinckei petteri challenge. The transcript levels of the acppo6 gene were higher in naive adult refractory female mosquitoes as compared with female susceptible mosquitoes. Furthermore, the induction of acppo6 in the susceptible strain upon Plasmodium infection was negligible as compared with that of the refractory strain. The observation is suggestive of the role of acppo6 in effectuating a melanotic response in Plasmodium-incompetent naturally occurring refractory An. culicifacies strain.
    MeSH term(s) Amino Acid Sequence ; Animals ; Anopheles/enzymology ; Anopheles/genetics ; Anopheles/parasitology ; Catechol Oxidase/genetics ; Catechol Oxidase/metabolism ; Enzyme Precursors/genetics ; Enzyme Precursors/metabolism ; Female ; Gene Expression Profiling ; Gene Expression Regulation, Enzymologic ; Host-Parasite Interactions/genetics ; Molecular Sequence Data ; Plasmodium vivax/physiology
    Chemical Substances Enzyme Precursors ; pro-phenoloxidase (EC 1.10.3.-) ; Catechol Oxidase (EC 1.10.3.1)
    Language English
    Publishing date 2010-12-13
    Publishing country England
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 410635-0
    ISSN 0022-2585
    ISSN 0022-2585
    DOI 10.1603/me10033
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article: siRNA-directed silencing of transgene expressed in cultured insect cells.

    Agrawal, Neema / Malhotra, Pawan / Bhatnagar, Raj K

    Biochemical and biophysical research communications

    2004  Volume 320, Issue 2, Page(s) 428–434

    Abstract: RNA interference (RNAi) has emerged as a powerful tool to rapidly analyze gene functions in a wide variety of eukaryotic organisms as well as in cultured cell lines. We demonstrate here that RNAi can be applied to study the function of a transgene ... ...

    Abstract RNA interference (RNAi) has emerged as a powerful tool to rapidly analyze gene functions in a wide variety of eukaryotic organisms as well as in cultured cell lines. We demonstrate here that RNAi can be applied to study the function of a transgene expressed in an insect cell line (Spodoptera frugiperda, Sf21). The aminopeptidase N gene (apn) targeted for silencing in the present study was isolated from the midgut of Spodoptera litura larvae and expressed in Sf21 cells using baculovirus expression system. The recombinant APN protein expressed at the surface of Sf21 cells was shown to interact with insecticidal crystal protein, Cry1C, by in vitro experiments. The exogenous addition/transfection of APN dsRNA or siRNA in the cultured cells resulted in partial/complete inhibition of expression of apn leading to the loss of toxin binding to the transgene expressing cells. These experiments highlighted the usefulness of RNAi as a tool to study the function of an expressed transgene in insect cell line and to study the specificity of receptor-ligand interaction.
    MeSH term(s) Animals ; Base Sequence ; Blotting, Northern ; Cells, Cultured ; Gene Silencing/physiology ; Ligands ; RNA ; RNA, Small Interfering/physiology ; Spodoptera/cytology ; Spodoptera/genetics ; Transgenes
    Chemical Substances Ligands ; RNA primers ; RNA, Small Interfering ; RNA (63231-63-0)
    Language English
    Publishing date 2004-07-23
    Publishing country United States
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 205723-2
    ISSN 0006-291X ; 0006-291X
    ISSN (online) 0006-291X
    ISSN 0006-291X
    DOI 10.1016/j.bbrc.2004.05.184
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Article: Expression Profile of Prophenoloxidase-Encoding (acppo6) Gene of Plasmodium vivax-Refractory Strain of Anopheles culicifacies

    Sharma, Anil / Rodrigues, Janneth / Kajla, Mayur K / Agrawal, Neema / Adak, T / Bhatnagar, Raj K

    Journal of medical entomology. 2010 Nov., v. 47, no. 6

    2010  

    Abstract: Anopheles culicifacies is the main vector for transmission of Plasmodium vivax malaria in the Indian subcontinent. A strain of An. culicifacies isolated from its natural niche displayed complete refractoriness to P. vivax by melanotic encapsulation of ... ...

    Abstract Anopheles culicifacies is the main vector for transmission of Plasmodium vivax malaria in the Indian subcontinent. A strain of An. culicifacies isolated from its natural niche displayed complete refractoriness to P. vivax by melanotic encapsulation of ookinetes. Prophenoloxidases are key components of the phenoloxidase cascade that leads to recognition and melanization of invading organisms. We isolated and cloned prophenoloxidase-encoding acppo6 gene of An. culicifacies and analyzed its expression profile under various regimens of immune challenge. The acppo6 was differentially expressed during various stages of larval development. The acppo6 transcription was also up-regulated in response to bacteria and Plasmodium vinckei petteri challenge. The transcript levels of the acppo6 gene were higher in naive adult refractory female mosquitoes as compared with female susceptible mosquitoes. Furthermore, the induction of acppo6 in the susceptible strain upon Plasmodium infection was negligible as compared with that of the refractory strain. The observation is suggestive of the role of acppo6 in effectuating a melanotic response in Plasmodium-incompetent naturally occurring refractory An. culicifacies strain.
    Keywords Anopheles culicifacies ; Plasmodium vivax ; prophenoloxidase ; larval development ; isolation ; molecular cloning ; gene expression
    Language English
    Dates of publication 2010-11
    Size p. 1220-1226.
    Document type Article
    ZDB-ID 410635-0
    ISSN 0022-2585
    ISSN 0022-2585
    DOI 10.1603/ME10033
    Database NAL-Catalogue (AGRICOLA)

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