FACULTY OF BASIC MEDICAL SCIENCES
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Item Antibodies to lassa virus Z protein and nucleoprtein co-occur in human sera from lassa fever endemic regions(Medical Microbiology and Immunology, 2001) Gunther, S.; Kuhle, O.; Rehder, D.; Odaibo, G. N.; Olaleye, D. O.; Emmerich, P.; Meulen, J.; Schmitz, H.It is not known whether the small 11-kDa Z protein of lassa virus is immunogenic during human lassa virus infection. To obtain evidence for the existence of an antibody response and to test the suitability of these antibodies for serosurveys, sera from lassa fever endemic regions(Guinea and Nigeria, n=75) were tested for co-reactivity to Z protein and nuclcoprotein (NP). Sera from a non-epidemic region (Uganda, n=50) served as a specificty control. Z protien and NP were expressed in Escherichia coli, affinity-purified, and used as antigen in western blot. Indiredt immunofluorescence (IIF) with lassa virus-infested cells was performed for comparison. Due to high unspecific reactivity of the African sera, western blot testing was performed with a 1:1,000 serum dilution. Under these conditions, none of the control sera but 12% of the sera from endemic regions co-reacted with both Z protein and NP. REactivity to Z protien was significantly associated with NP reactivity (p<10-6). Np and Z protein- specific antibodies were co-detected in 33% of the IIF-positive sera and in 5% of the IIF-negative sera (P=0.001). These data provides evidence for apperance of antibodies to Z protien and NP following Lassa virus infection. A recombination blot for detection of both antibody specificities seems to be specific but less sensitive than IIF.Item ANTIMALARIAL AND ANTITUBERCULAR ACTIVITIES OF CRUDE METHANOL EXTRACT AND FRACTIONS OF THE BULB OF CRINUM JAGUS ( Linn.)(2015-02) KOLAWOLE, ADEBOLA OLAYEMICrinum jagus is a medicinal plant used traditionally to treat tuberculosis, malaria and other bacterial infections. However, there are limited documented scientific studies to substantiate the use of this plant. Due to increase in resistance to malaria and tuberculosis drugs, the need for the development of other drugs is pertinent. This study was designed to determine the pharmacological activities of extract and fractions of Crinum jagus. Methanol extract of C. jagus obtained by soxhlet extraction was subjected to phytochemical analysis and fractionated using column chromatography. Antitubercular and antimicrobial activities of the extract and its fractions were evaluated against isolates of Mycobacterium tuberculosis and selected microorganisms using the disc and agar diffusion methods. Antimalarial activity was assessed in vivo using Rane’s test in Plasmodium berghei infected mice (n = 80 in 10 groups) treated orally with tween 80 (control), 10, 25, 50 and 75 mg/kg of extract and its fractions at 10 mg/kg respectively, while chloroquine (10 mg/kg) and arteether (3 mg/kg) groups served as positive controls. Anti-inflammatory potential was assessed in rats using carrageenan-induced paw inflammatory model. In vitro antioxidant potentials were determined spectrophotometrically using 1,1-diphenyl-2-picryl hydrazyl (DPPH), hydroxyl radical scavenging activities, Total Flavonoids Contents (TFC) and Phenolic Contents (TPC) Antioxidant indices- Superoxide dismutase (SOD) and Catalase (CAT) activities and levels of Malondialdehyde (MDA) and reduced Glutathione (GSH) were determined by spectrophotometry. Aspartate (AST) and Alanine (ALT) amino transferases and Alkaline Phosphatase (ALP) were estimated spectrophotometrically. Data were analysed by Student’s t test at p = 0.05. Phytochemical analysis revealed the presence of alkaloids, flavonoids, phenols and steroids in the crude extract. The extract and its fractions (F1, F2 and F3) showed a concentration- dependent inhibition of Mycobacterium tuberculosis, with F1 having the lowest IC50of : 0.22mg/mL relative to rifampicin (IC50 : 0.19mg/mL) and isoniazid (0.23mg/mL). The extract at 10, 25, 50, 75 mg/kg and F1, F2 and F3 at 10 mg/kg suppressed parasitaemia in Plasmodium berghei infected mice by 70.0, 76.0, 79.0, 87.0% and 89.0, 76.0, 78.0% respectively relative to chloroquine (100%) and arteether (89.0%). The extract at 10, 25, 50, 75 mg/kg and F1, F2 and F3 at 10 mg/kg inhibited oedema in rat paws by 26.0, 30.0, 32.0, 66.0% and 80.0, 25.0, 52.0% UNIVERSITY OF IBADAN LIBRARY iii respectively when compared with indomethacin (95.0%). The extract and its fractions significantly scavenged DPPH and hydroxyl radical in vitro. The TPC and TFC of extract, F1, F2 and F3 at 500 μg/ml were 0.310, 0.460, 0.240, 0.380 μg/mg and 0.523, 0.864, 0.396, 0.643 μg/g respectively. The extract and its fractions significantly reduced MDA level while GSH, SOD and CAT levels were increased. Activities of AST, ALT and ALP were significantly increased at 50 and 75 mg/kg body weight of extract . Crinum jagus exhibited antitubercular, antimalarial and anti-inflammatory activities via scavenging of radicals and antioxidative mechanism. This indicates a promising potential of the plant for drug development. Keywords: Crinum jagus, antituberculosis, antimalarial, antioxidant. Word Count: 471 .Item Beneficial effects of leaf extracts of lycoperscon esculentum on wound healing in rats(2015-01) Zamide, E. I.; Ajani, R. S.; Oladapo, O. O.The study was aimed at determining the effects of the methanol extracts of the leaves of Lycoperscon esculentum on the wound healing in Wistar rats. Excisional wounds were inflicted on the upper dorsolateral trunk of normal saline (control) and tomato (Lycoperscon esculentum) leaf treated (TLT) adult rats and thereafter dressed four times daily for three days. Wound dimensions along two perpendicular axes were taken prior to dressings for the purpose of estimation of wound contraction rates. Granulation tissues were excised from five animals in each group and scar tissues obtained from the remaining animals. Fibroplasia and angiogenesis were evaluated histologically. Matched wound contraction rates were higher in the TLT group. Duration of healing was shorter in the TLT (19.80 ± 1.64 days) when compared with control (28.80 ± 4.55 days). Fibroblast counts of granulation tissue were 35.20 ± 17.53 (for TLT) and 24.00 ± 8.00 (for control), with respective angiogenesis counts of 12.60 ± 8.32 and 15.60 ± 5.77. Respective values for fibroblast and angiogenesis of the scar tissues in experimental and control groups were 18.40 ± 3.7 vs 20.80 ± 5.21; and 14.20 ± 1.92 vs 13.20 ± 1.64). Histological sections of the granulation and scar tissues revealed abundance of collagen and paucity of macrophages in the experimental group. Leaf extract of Lycoperscon esculentum promotes wound healing via bactericidal activity, rapid initiation and acceleration of wound contraction, increased fibroblast production and collagen synthesisItem Cadmium level in pregnancy, influence on neonatal birth weight and possible amelioration by some essential trace elements(2013) Ikeh-Tawari, E. P.; Anetor, J. I.; Charles-Davies, M. A.Cadmium (Cd) is currently of great concern in rapidly industrializing countries‑India, China. Their products consumed especially due to increase demand in many developing countries like Nigeria can result in adverse effects. Cd is a ubiquitous environmental pollutant and toxicant and humans are continually exposed to the toxic effects of Cd primarily through food as well as from environmental pollution through industrial activities. Maternal exposure to Cd has been associated with the delivery of low‑birth weight babies and an increase incidence of spontaneous abortion. Cd a toxic metal can displace zinc (Zn) an essential element necessary for normal fetal development and growth. With this consideration, 160 subjects comprising of 125 pregnant and 35 non‑pregnant subjects as controls were recruited for this study. The pregnant subjects were classified according to the three trimesters of pregnancy as followed; 35, 35, and 55 from the first to the third trimesters respectively. The third trimester subjects were followed‑up until after delivery where neonatal parameters (birth weight, head circumference, and length) of babies were measured. 32 (58%) of the women delivered babies with normal birth weight, 19 women (35%) delivered babies with low‑birth weight while four women (7%) delivered babies with high‑ birth weight. Subject who delivered low‑birth weight babies had significantly higher Cd concentration and lower Zn concentration and body mass index when compared with those with normal weight babies. These results suggest that Cd indeed has some toxic effects on neonatal birth weight.Item CARDIOVASCULAR RISK FACTORS IN PREMENOPAUSAL WOMEN WITH BREAST CANCER AFTER OOPHORECTOMY(2013-05) ADIGUN, M. O.Oophorectomy is a management modality for Pre-Menopausal women with Breast Cancer (PMBC) resulting in reduced oestrogen levels and artificial menopause. Metabolic alterations occur during natural menopause while reduced levels of oestrogen (a known cardioprotective factor) may alter plasma lipids, lipoproteins and other cardiovascular risk factors. The effects of low estrogen levels, which occur in oophorectomised women are not known. This study was therefore designed to investigate the effects of oophorectomy on cardiovascular risk factors. In this longitudinal study, 69 women were recruited from the University College Hospital, Ibadan and environs. They consisted of 25 PMBC age-matched with 25 Pre-Menopausal women without Breast Cancer-Control (PreMC) and 19 Post Menopausal women without Breast Cancer as control for oophorectomised women (PostMC). Demographic (age, ethnicity, occupation and educational status), reproductive history (parity, age at menarche and menopause, age at first live birth, stage and duration of disease), Body Mass Index (BMI) and blood pressure (systolic-SBP and diastolic-DBP) were obtained from all groups by standard methods. Blood (10 mL) was collected at the luteal phase from PreMC, PostMC, PMBC before oophorectomy and 1, 3 and 6 months after oophorectomy. Plasma obtained was used for analyses of total Cholesterol (TC), High Density Lipoprotein Cholesterol (HDLC) and triglycerides levels by spectrophotometric methods. Low Density Lipoprotein Cholesterol (LDLC) and Very Low Density Lipoprotein Cholesterol (VLDLC) concentrations were computed using Friedwald’s formulae while estradiol level was assayed by EIA. Ratios of HDLC to TC, LDLC to HDLC and triglyceride to HDLC (indicative of low density lipoprotein particle size) were also evaluated. Data were analysed using ANOVA, Student’s t test and Pearson correlation coefficient and differences significant at p=0.05. Significantly lower triglycerides (134.810.0mg/dL, 171.223.0mg/dL), VLDLC (27.02.9mg/dL, 34.21.9mg/dL) levels and triglyceride to HDLC ratio (5.90.8, 15.04.3) but higher estradiol (261.019.0pg/mL, 102.1229.3pg/ml), DBP (78.82.1mmHg, 70.12.5mmHg) and SBP (1233.8mmHg, 112.43.2mmHg) levels were observed in PMBC before oophorectomy compared with PreMC respectively. PostMC had significantly higher SBP (125.34.9mmHg, 112.43.2mmHg) and TC levels (165.413.1mg/dL, 127.211.4mg/dl) than PreMC respectively. The BMI (kg/m2) of PMBC, PreMC and PostMC were similar (25.0, 25.2 and 26.0 respectively). The PMBC at 3 months had increased levels of triglycerides (182.021.0mg/dL, 135.010.8mg/dL), VLDLC (36.51.4mg/dL, 27.02.0mg/dL) and TC (185.517.6mg/dL, 135.29.8mg/dL) compared with PMBC before oophorectomy respectively. When PMBC at 3 months was compared with PostMC, the HDLC (36.04.1mg/dL, 25.02.7 mg/dL) and estradiol (158.331.5pg/mL, 55.310.6pg/mL) levels were significantly higher. The HDLC level was also higher in PMBC at 6 months compared to PostMC (47.18.8mg/dL, 25.02.7mg/dL). The plasma estradiol level of PMBC before oophorectomy reduced from 261.069pg/mL to 7723.4pg/mL at 1 month, increased to 158.0 31.5pg/mL at 3 months but reduced to 89.025pg/mL at 6 months. Elevated levels of high density lipoprotein and estradiol were found in oophorectomised women with breast cancer. Increased estrogen from one month to six months after oophorectomy could be due to extraglandular estrogen production. The safe effects of oophorectomy on lipids and lipoproteins in premenopausal Nigerian women with breast cancer suggest low cardiovascular risk.Item CATION CONTENT AND FLUXES IN RED CELLS OF NORMAL AND HYPERTENSIVE NIGERIANS(1978-08) ADEROUNMU, A. F.RED CELL SODIUM AND POTASSIUM CONTENT AND FLUXES IN NORMAL AND HYPERTENSIVE NIGERIANS. 1. Erythrocyte sodium, potassium and water content have been determined in 908 Nigerians so as to: 1. establish normal values in Nigerians 2. compare values in Nigerians with known values in other blacks. 3. compare values in Nigerians with those of caucasians. Red cell sodiuum, potassium and water were also determined in 7 caucasians who had been resident in Nigeria for periods varying from 6 months to 18 years. The RBC sodium for Nigerians considerably higher than those of caucasians, but the RBC potassium and water did not show any significant difference. In the course of this work, the normal (control) subjects were grouped according to their genotypes. 3 genotypes were encountered: AA, AS and AC. There was no significant difference in the erythrocyte sodium, potassium and water of the individuals belonging to these 3 genotypes. The results were also analysed for sex and age differences, and none was found. Results of erythrocyte sodium, potassium and water from 3 siblings and their mother were also presented. These results differed, from one another, suggesting that environmental factors are also important and probably just as potent determinants of RBC sodium, potassium and water content as are genetic factors. 2. 100 hypertensive subjects were studied. They were all newly diagnosed, mostly symptomless ambulant subjects who were attending the medical out-patient department of the University College Hospital, Ibadan. Their main pathological finding systemic hypertension. They were followed up for periods varying from 18 months to 3 1/2 years. Investigations were performed on each patient which enabled their being grouped into hypertensives with normal renal function or hypertensives with abnormal renal function. Only those with normal renal function were included in the study. The results obtained for the red cell sodium and potassium were significantly different from those of the Controls. Their red cell water was also significantly different from that of the Controls, but the difference m RBC water was not sufficient to account for the differences in the RBC sodium and potassium. Here again, the RBC sodium and potassium were not related to age or sex. The RBC sodium and potassium content were in no way related to the mean blood pressures. Their values remained the same both before and during treatment. Adequate control and maintenance of the patients blood pressures within the normal range did not affect these two cations. 3. When red cells from Controls and red cells from Hypertensives were exposed to a high sodium load, the RBCs from hypertensive gained a lot more sodium and lost a lot more potassium than the RBCs from Controls. 4. Normal red cells lost their potassium into isotonic sucrose media seven times as fast as red cells from hypertensive subjects. 5. Normal red cells have a slightly higher a tive sodium flux per hour than red cells from hypertensive subjects, but the difference is not statistically significant. The rate constant for active sodium flux is higher for red cells of Controls than for red cells of hypertensive subjects, but the correlation between intracellular sodium content and rate constant is not good (r= -0.43). The rate constant for the red cells of the hypertensives is lower, but it correlates better with the red cell sodium (r =0.53).Item Challenges of endocrine function testing in resource poor settings (letter to the editor) (peer-reviewed)(2009) Charles-Davies, M. A.Item Chlamydial infection, plasma peroxidation and obesity in tubal infertility(2011-12) Nsonwu-Anyanwu, A. C.; Charles-Davies, M. A.; Oni, A. A.; Taiwo, V. O.; Bello, F. A.Background: Genital tract infections and obesity are both sources of oxidative stress. Alterations in immune and antioxidant parameters may arise from this or from an indeterminate autoimmune mechanism. Objective: This study aimed to investigate the association of Chlamydial infection, obesity and oxidative response with tubal infertility in Nigerian women. Methods: It was a case-control study of 40 women with tubal infertility and 32 fertile women, respectively, recruited from the Infertility and Family Planning Clinics respectively, of the University College Hospital, Ibadan, Nigeria. Anthropometric indices were measured in each subject and endocervical swabs were taken to screen for current genital tract infection. Antioxidant, hormonal and immunologic analysis were performed on serum. Results: None of the subjects had current genital tract infections. Chlamydia trachomatis IgG positivity was significantly higher in infertile than in fertile subjects [OR 4.33; 95%CI (0.078-0.681)]. No significant variations were observed in the anthropometric indices, antioxidant parameters and hormones between infertile and the fertile women. Body mass index correlated positively with oxidative stress in infertile subjects. Waist and hip circumferences correlated negatively with oestradiol in women with tubal infertility. Conclusion: Chlamydial infection is associated with tubal factor infertility, however, obesity seems to increase oxidative stress and reduce fertility potential in women with tubal factor infertility.Item Clinical and immunological profile of pediatric HIV infection in Ibadan, Nigeria(SAGE, 2011) Brown, B. J.; Oladokun, R. E.; Odaibo, G. N.; Olaleye, D. O.; Osinusi, K.; Kanki, P.In spite of the increasing number of children living with HIV in Nigeria, published data on their clinical profile are few. We describe the clinical profile at presentation of HIV-infected children at the University College Hospital, Ibadan, in a prospective study. Among 272 children studied (149 [54.8%] males; mean age 4.2 years [range 2 months to 15 years]), infection was acquired through vertical transmission in 252 (92.6%), blood transfusion in 5 (1.80%), and undetermined routes in 15 (5.5%) cases. Clinical features included weight loss (62.5%), prolonged fever (55.4%), generalized lymphadenopathy (48.6%), chronic cough (45.4%), and persistent diarrhea (28.3%). Tuberculosis was present in 45.3%, World Health Organization (WHO) clinical stages 3 and 4 disease in 70.6% and severe immunosuppression in 44.5% of cases. Pediatric HIV in Ibadan is acquired mainly vertically and most cases present with severe disease. Improved access to prevention services and early diagnosis are recommended.Item Combination of reduced levels of serum albumin and alpha-2-macroglobulin differentiates newly diagnosed pulmonary tuberculosis patients from patients on chemotherapy(2009) Adedapo, K. S.; Arinola, O. G.; Ige, O. M.; Adedapo, A. D. A.Pulmonary tuberculosis (PTB) is global disease affecting about one third of the world’s population with its attendant mortality and morbidity. Acute phase proteins have been used in monitoring the progression of infections but not in relation to PTB in this environment. The levels of total protein, albumin, α-2-macroglobulin, transferrin, and haptoglobulin were determined in 23 patients with PTB and 17- age / sex matched PTB-free controls using spectrophotometric and immunodiffusion methods respectively. The result showed that α-2-macroglobulin was significantly raised in PTB patients compared with controls (p<0.001), while the levels of transferrin and albumin were significantly reduced in PTB patients compared with the controls (p<0.001,0.000 respectively). The levels of α-2-macroglobulin and albumin were significantly raised in PTB patients on treatment compared with newly diagnosed PTB patients (p=0.05, p=0.01 respectively). The combination of reduced levels of albumin and α-2-macroglobulin may be used to differentiate newly diagnosed PTB and those on chemotherapyItem Comparatives study of stool antigen test and serology for helicobacter pylori among Nigerian dyspeptic patients-a pilot study(2010) Aje, A. O.; Otegbaye, J. A.; Odaibo, G. N.; Bojuwoye, B. J."OBJECTIVE:The purpose of this study was to compare the stool antigen (SAT) and immunoglobulin G (IgG) serology tests for Helicobacter pylori in dyspeptic patients in Nigeria, and determine their usefulness. METHOD:Forty six patients with dyspepsia and age and sex-matched healthy controls had their blood and stool collected and screened for H. pylori infection using the enzyme linked immunosorbent assay (ELISA) IgG serology and SAT respectively. Prevalence of H. pylori was 67.4% and 78.3%, among dyspeptics and controls respectively ((p = 0.48) with the SAT while the corresponding values for IgG serology were 67.4% and 91.3%, p = 0.005). RESULT:Patients aged > or = 50 years(8) were more positive to SAT (80%), compared with controls (13) which recorded more positivity in the age range 30-39 years (92.9%). The male gender had more positive SAT in patients (n = 15, 75%) but the SAT was more positive among the female controls 22 (84.6%). Controls in the age range < 30 years were more positive to H. pylori IgG while the patients were more positive at = 30 yrs 10 (100%). CONCLUSION:It is concluded that SAT and IgG serology for H. pylori are both useful in diagnosis of the infection, and are fairly comparable in their ability to detect infection, even in area of high endemicity."Item The complexity of circulating HIV type 1strains in Oyo state, Nigeria(Mary Ann Liebert, Inc, 2007) Sankale, J.; Langevin, S.; Odaibo, G. T.; Meloni, S. T.; Ojesina, A. I.; Olaleye, D.; Kanki, P.Multiple HIV-1 subtypes and circulating recombinant forms (CRFs) are known to circulate in west Africa. We undertook a survey of HIVs in Oyo state, in southwestern Nigeria. We analysed 71 samples from Ibadan the capital city, and 33 samples form Saki, 100 miles west of Ibadan. We sequenced part of the gag gene and the envelope C2V3 region from 102 and 89 samples, respectively. In the 87 samples for which both genes were sequenced, subtypes G and CRF02_AG were found in equal proportions (32.2%each). Other samples included CRF06_cpx(8.0%), subtype A (2.3%), C(1.1%), unclassified(1.1%), or discordant sequences suggesting the presence of a large number of recombinants involving CRF02_AG and/or subtype G(20.7%) or other subtypes(2.3%). The subtype/CRF designation was concordant in two gene fragments in the majority of samples evaluated. However, we observed difference in subtype distribution between the two locations with a predominance of subtypes G in Ibadan and CRF02 in Saki. This is first in-depth analysis of HIV variability at a state level in Nigeria. Our analysis revealed a significant level of viral heterogeneity and a geographical difference in subtype distribution, and demostrated that CRF02_AG does not account for the majority of circulating strains.Item THE CONTRIBUTION OF ENDOCRINE DISRUPTING HEAVY METALS TO OESTRADIOL MODULATION AND SEMEN QUALITY NIGERIAN MEN(2011-06) CHUKUKA, OPURUM HAMILTONDeclining male fertility is of global concern and has been linked to the effects of endocrine disruptors on the modulation of oestradiol. These disruptors are also recognised to be toxic to the testes. Selenium and zinc play specific roles in heavy metal detoxification, testosterone metabolism, sperm formation and motility. This study was aimed at identifying the possible contribution of cadmium, lead, selenium and zinc to oestradiol modulation and sperm defects in Nigerian men. One hundred and twenty males (20-54 years) were recruited after informed consent. These were age-matched 77 dyspermics and 43 normospermics recruited from the Urology Clinics of two teaching hospitals in Nigeria. Demographic and anthropometric indices were obtained using a structured questionnaire and standard methods respectively. Semen samples were collected from subjects by masturbation after 3-5 days of abstinence from sexual intercourse. Spermiogram and sperm morphological characteristics were done using WHO guidelines and Tygerberg strict criteria respectively. Ten milliliters of blood was obtained from each participant. Serum and seminal plasma were obtained by centrifugation of clotted blood and semen respectively. Testosterone, oestradiol, prolactin, luteinizing hormone and follicle stimulating hormone were estimated in serum while testosterone and oestradiol were estimated in seminal plasma by enzyme immunoassay method. Cadmium, lead, selenium and zinc were assayed in serum and seminal plasma by atomic absorption spectrophotometry. Data were analysed using t-test, ANOVA and multiple regressions at p=0.05. Forty-eight (62.3%) dyspermics had reduced sperm motility and abnormal morphology while 17 (22%) and 12 (15.6%) had oligospermia and azoospermia respectively. Seminal plasma UNIVERSITY OF IBADAN LIBRARY iii oestradiol was significantly lower in normospermics (0.7±0.04nmol/L) than dyspermics (1.1±0.07nmol/L) while testosterone/oestradiol ratio was significantly higher in normospermics (10.7±0.60) than dyspermics (7.3±0.70). Serum and seminal plasma cadmium were significantly higher in dyspermics (0.3±0.02μg/L; 2.0±0.07μg/L) than normospermics (0.1±0.01μg/L; 1.2±0.07μg/L) respectively. Serum and seminal plasma lead levels were also significantly higher in dyspermics (34.8±0.55μg/dL; 39.2±0.61μg/dL) than normospermics (28.2±0.74μg/dL; 31.9±0.87μg/dL), respectively. Serum and seminal plasma selenium were significantly higher in normospermics (0.9±0.01mg/L; 0.3±0.01mg/L) than dyspermics (0.8±0.01mg/L; 0.2±0.01mg/L) respectively. Serum and seminal plasma zinc were significantly higher in normospermics (7.9±0.16mg/L; 161.9±5.16mg/L) than dyspermics (7.2±0.12mg/L; 141.9±2.77mg/L) respectively. In dyspermic men, increased serum Cd was significantly associated with increased oestradiol in serum (β=0.42) and seminal plasma (β=0.52). Increased seminal plasma Cd was associated with decreased seminal plasma Zn (β =-0.21), decreased % motility (β =-1.03), increased % tail defects (β =0.08) and decreased sperm deformity index (β =-0.21). Increased serum Pb was significantly associated with serum FSH (β = 0.29). Increased seminal plasma Pb was significantly associated with increased serum FSH (β = 0.21). Increased sperm count was significantly associated with decreased serum oestradiol (β =-0.75) and testosterone/oestradiol ratio (β = -0.54); increased seminal plasma oestradiol (β =0.41) and testosterone/oestradiol ratio (β =0.38). Higher sperm deformity index was significantly associated with decreased serum Se/Pb ratio (β =-0.27). UNIVERSITY OF IBADAN LIBRARY iv Cadmium and Pb may cause depletion of Zn and Se which may account for the loss of their protective effect resulting in dyspermia through direct toxicity, oxidative stress, endocrine disruption or other yet unresolved mechanisms. Keywords: Oestradiol, Endocrine disruptors, Trace elements, Semen quality, Male fertility Word count: 494Item Correlation of cag-A serological status with histological parameters of chronic gastritis among dyspeptic patients in south western Nigeria(2012) Oluwasola, A. O.; Otegbayo, J. A.; Ola, S.O.; Ebili, H. O.; Afplabi, A. O.; Odaibo, G. N."BACKGROUND:The aim of this study was to determine the sero-prevalence of Cag-A strains of Helicobacter pylori in both dyspeptic and non-dyspeptic individuals and also correlate the serological status of Gag-A strain of H. pylori with the various graded histological variables of chronic gastritis in the dyspeptic patients. METHODS:Using helicobacter p120 Cag-A enzyme linked immunosorbent assay, Cag-A serology test was carried out on 65 dyspeptic patients and 65 age and sex matched non-dyspeptic controls. The gastric biopsies of the patients were also histologically examined to ascertain the presence, nature and degree of the following histological variables of gastritis: colonisation by H. pylori; inflammation, intestinal metaplasia and mucosal atrophy. The CagA serological status was then correlated with the graded variables. RESULTS:A prevalence of 46.2% and 58.8% seropositivity for Cag-A strain of H. pylori was found among dyspeptic patients and control individuals respectively. Cag-A seropositive patients accounted for nine(81.8%) of the 11 cases with moderate to severe activity and 75% of both cases with mucosal atrophy and cases with intestinal metaplasia. CONCLUSION:Infection with Cag-A positive Helicobacter pylori was equally prevalent among both dyspeptic patients and control subjects studied. CagA seropositivity, however, appeared to be associated with higher inflammatory activity in the mucosa of patients with chronic gastritis and may be associated with intestinal metaplasia and mucosal atrophy in H. pylori-induced chronic gastritis."Item Cytokine profile in Nigerians with tubal infertility(Termedia Publishing House Ltd, 2016) Nsonwu-Anyanwu, A. C.; Charles-Davies, M. A.; Taiwo, V. O.; Bello, F. A.; Bin, L.; Oni, A. A.Background: Immune response to genital Chlamydia trachomatis infection is involved in both immunity and pathology. The cytokine profile during infection has been implicated in the disease outcome, either resolution or severe sequelae. Serum cytokines of Chlamydia positive Nigerian women with tubal infertility were assessed to determine their possible relationship with tubal occlusion. Material and methods: One hundred and fifty age-matched consenting women (100 fertile and 50 with tubal infertility) were recruited based on C. trachomatis antibody positivity and grouped into infertile Chlamydia positive (CTpos) women (n = 50), fertile Chlamydia positive women (n = 50) and fertile Chlamydia negative (CTneg) women as controls (n = 50). High vaginal swabs and endo-cervical swabs were collected for microscopy, culture and gram staining. Cytokines [transforming growth factor β1 (TG F-β1), interferon γ (IFN-γ), tumor necrosis factor α (TNF-α), interleukin (IL )-4, IL -10 and IL-17A] were estimated by ELISA in sera. Data were analyzed using ANOVA, χ2 and Spearman’s correlation at p = 0.05. Results: Lower IFN-γ levels were observed in infertile women compared to fertile women. Fertile CTneg women had significantly higher TNF-α, and TGF-β1 compared to fertile and infertile CTpos women, respectively. Lower IL-10 levels were seen in fertile CTpos women compared to the infertile CTpos group. Vaginal discharge was negatively correlated with TNF-α and IFN-γ and positively with IL-4 in Chlamydia positive women. Conclusions: Chlamydia positive women with tubal infertility have higher IL -10 and lower IFN-γ levels than controls, which may contribute to their development of tubal pathology.Item CYTOTOXICITY OF HEXAVALENT CHROMATE COMPOUNDS IN CH310T1/2 CELLS AND CYTOMODULATION BY SODIUM ARSENITE AND METHANOL EXTRACT OF Rauvolfia vomitora (Afzel) IN MICE.(2015-02) AKINWUMI, K. A.Exposure to certain hexavalent chromate compounds (HCC) causes lung and colon cancers. Their mechanisms of cytotoxicity are unclear, but believed to be affected by ascorbate and particle size. However, their role is not clearly defined. Co-exposure with sodium arsenite (SA) is common, but its effect on HCC toxicity is unknown. Current therapy has side effects, necessitating the search for antidote from unexplored natural products such as Rauvolfia vomitora (RV). This study therefore investigates the effect of particle size and ascorbate on cytotoxity of selected HCC [lead chromate (PbCrO4), barium chromate (BaCrO4), strontium chromate (SrCrO4) and potassium dichromate (K2Cr2O7)] in C3H10T1/2 cells and cytomodulatory effects of SA and RV in mice. The effect of ascorbate, dehydroascorbate and particle size on HCC cytotoxicity in C3H10T1/2 cells was determined by measuring survival fraction and yield of foci by microscopy. Actin and cellular ultrastructure disruption and induction of cell death were assessed by electron and fluorescent microscopy. The molecular mechanisms of cytotoxicity and transformation were evaluated in eighty-four cell death genes using real time (RT2) gene array, while cell cycle analysis was done by flow cytometry. Leaves of RV were air dried, powdered and extracted with methanol. Forty male mice (20-25g) were divided into 8 groups of 5 Swiss albino mice each and treated with water (control), RV (275 mg/Kg), SA (2.5 mg/kg), K2Cr2O7 (12 mg/Kg), SA + K2Cr2O7, RV + SA, RV + K2Cr2O7, RV + SA + K2Cr2O7. Rauvolfia vomitora was given orally for seven days, while K2Cr2O7 and SA were administered on day seven. Serum aspartate and alanine aminotransferases (AST and ALT), catalase, glutathione-S-transferase (GST), glutathione and malondialdehyde (MDA) levels were determined by spectrophotometry. Micronucleated polychromatic erythrocytes (mPCEs) were evaluated by microscopy. Data were analysed using ANOVA and Student’s t- test at p= 0.05. Survival fraction of control cells was 1.0, treatment with PbCrO4 and ≤ 12.5 µM ascorbate or ≤ 2 µM dehydroascorbate decreased it to 0.4. The 15-20 µM ascorbate and 3-4 µM dehydroascorbate reversed it to 0.7. Exposure of cells to small (≤ 3 µm) and large particles (≤ 8 µm) of PbCrO4, BaCrO4 and SrCrO4 resulted in a dose-dependent decrease in survival. The total foci were higher for PbCrO4 (3.8) with large particles and BaCrO4 (6.6) with small particles. Phagocytosis of particles was time-dependent. The HCC treatment led to G2/M and S phase arrest, anucleation, actin disruption and mixed cell death. Thirty-four cell death genes including Bax and Casp3 were up-regulated by 4 folds and six including Bcl-2 and Traf2 were down- regulated in treated cells. Twenty-one anti-apoptotic and autophagy genes including Atg5 and Bcl-2 were up-regulated in PbCrO4 transformed cells. The K2Cr2O7 and/ or SA significantly increased mPCEs, AST, ALT, catalase and MDA levels while glutathione and GST were reduced. The RV restored the markers towards normal values. Cytotoxicty of chromate compounds is particle size and ascorbate dependent. The cytotoxicity might be due to actin disruption, micronuclei induction and cell cycle arrest. Methanol extract of Rauvolfia vomitora modulated the toxicity in mice.Item CYTOTOXICITY OF HEXAVALENT CHROMATE COMPOUNDS IN CH310T1/2 CELLS AND CYTOMODULATION BY SODIUM ARSENITE AND METHANOL EXTRACT OF Rauvolfia vomitora (Afzel) IN MICE.(2015-02) AKINWUMI, KAZEEM AKINYINKAExposure to certain hexavalent chromate compounds (HCC) causes lung and colon cancers. Their mechanisms of cytotoxicity are unclear, but believed to be affected by ascorbate and particle size. However, their role is not clearly defined. Co-exposure with sodium arsenite (SA) is common, but its effect on HCC toxicity is unknown. Current therapy has side effects, necessitating the search for antidote from unexplored natural products such as Rauvolfia vomitora (RV). This study therefore investigates the effect of particle size and ascorbate on cytotoxity of selected HCC [lead chromate (PbCrO4), barium chromate (BaCrO4), strontium chromate (SrCrO4) and potassium dichromate (K2Cr2O7)] in C3H10T1/2 cells and cytomodulatory effects of SA and RV in mice. The effect of ascorbate, dehydroascorbate and particle size on HCC cytotoxicity in C3H10T1/2 cells was determined by measuring survival fraction and yield of foci by microscopy. Actin and cellular ultrastructure disruption and induction of cell death were assessed by electron and fluorescent microscopy. The molecular mechanisms of cytotoxicity and transformation were evaluated in eighty-four cell death genes using real time (RT2) gene array, while cell cycle analysis was done by flow cytometry. Leaves of RV were air dried, powdered and extracted with methanol. Forty male mice (20-25g) were divided into 8 groups of 5 Swiss albino mice each and treated with water (control), RV (275 mg/Kg), SA (2.5 mg/kg), K2Cr2O7 (12 mg/Kg), SA + K2Cr2O7, RV + SA, RV + K2Cr2O7, RV + SA + K2Cr2O7. Rauvolfia vomitora was given orally for seven days, while K2Cr2O7 and SA were administered on day seven. Serum aspartate and alanine aminotransferases (AST and ALT), catalase, glutathione-S-transferase (GST), glutathione and malondialdehyde (MDA) levels were determined by spectrophotometry. Micronucleated polychromatic erythrocytes (mPCEs) were evaluated by microscopy. Data were analysed using ANOVA and Student‟s t- test at p= 0.05. Survival fraction of control cells was 1.0, treatment with PbCrO4 and ≤ 12.5 μM ascorbate or ≤ 2 μM dehydroascorbate decreased it to 0.4. The 15-20 μM ascorbate and 3-4 μM dehydroascorbate reversed it to 0.7. Exposure of cells to small (≤ 3 μm) and large particles (≤ 8 μm) of PbCrO4, BaCrO4 and SrCrO4 resulted in a dose-dependent decrease in survival. The total foci were higher for PbCrO4 (3.8) with large particles and BaCrO4 (6.6) with small particles. Phagocytosis of particles was time-dependent. The HCC treatment led to G2/M and S phase arrest, anucleation, actin disruption and mixed cell death. Thirty-four cell death genes including Bax and Casp3 were up-regulated by 4 folds and six including Bcl-2 and Traf2 were down- regulated in treated cells. Twenty-one anti-apoptotic and autophagy genes including Atg5 and Bcl-2 were up-regulated in PbCrO4 transformed cells. The K2Cr2O7 and/ or SA significantly increased mPCEs, AST, ALT, catalase and MDA levels while glutathione and GST were reduced. The RV restored the markers towards normal values. Cytotoxicty of chromate compounds is particle size and ascorbate dependent. The cytotoxicity might be due to actin disruption, micronuclei induction and cell cycle arrest. Methanol extract of Rauvolfia vomitora modulated the toxicity in mice. Keywords: Hexavalent chromate compounds, Sodium arsenite, Rauvolfia vomitora, Cytotoxicity Word counts: 494Item Demographic and laboratory evidence of non sexual transmission of HIV in Nigeria(MEDIMOND, 2004) Odaibo, G. N.; Bamgbose, G.; Jegede, A. S.; Sankale, J. L.; Omotade, O. O.; Olaleye, D. O.; Kanki, P.Apart from heterosexual transmission, not much is known about the contribution of the other modes of spread of HIV in Africa. To evaluate the importance of non-sexual/non-vertical transmission in adults and children in Nigeria, data from mother-child pairs (community and hospital) and a community HIV surveillance among adult populations in two communities of Oyo State in SW Nigeria were analysed. In the community-based mother-child pair HIV testing, 18 of 476 (3.8%) under 5 years children were positive for HIV antibodies with only one positive mother-child pair. In the hospital surveillance (1996-1997) 10(7.0%) children of 132 mother-child pairs were positive while three (30%) of the 10 mothers were HIV negative. Similarly, 5(10%) of the mothers of 10 H1V positive children (2004) were HIV negative. In another community study, 5(13.2%) of the 38 adults from Ibadan and 12(4.8%) of 251 from Saki who claimed they never had sexual experience were HIV positive. Use of contaminated instruments and blood transfusion remain important routes of transmission of HIV in Nigeria.Item Demographic factors in HIV infected patients seen at UCH, Ibadan, Nigeria.(2005) Ola, S. O.; Ladipo, M. M. A.; Otegbayo, J. A.; Odaibo, G. N.; Bamgboye, E. A.; Nwaorgu, O. G. B.; Shokunbi, W.; Olaleye, O. D."There is a rising rate of Human Immunodeficiency Virus (HIV) infection in Nigeria. Good knowledge of the demographic characteristics of the patients with HIV/AIDS may be of great importance in understanding its epidemiology in Nigeria and could facilitate efforts at curtailing the spread of the infection. The study was planned to determine the demographic factors in Nigerian patients with HIV infection. The study was conducted at the University College Hospital (U.C.H), Ibadan, located in the South West of Nigeria. It was a retrospective study of patients with HIV infection attending the U.C.H. from 1988 to 2002. The data collected from the clinical records of the patients with HIV infection included age, sex, marital status, number of spouses, tribe, occupation, education and their religious affiliation. A total of 460 patients aged 1-76 years with peak at 30-34 years were studied. The male/female ratio was 1.06 and the males were the older group. Traders accounted for 40% with female preponderance while the artisans (19.9%) and the military (2.9%) were mostly males. The patients were of Yoruba (70.6%), Igbo (20.0%) and Hausa (9.1%) races. Among the patients with marital status, majority (71.4%) were married while those separated and widowed accounted for 3.5% and 2.6% respectively. Also, a higher proportion of the female HIV patients were Christians whereas the majority of the males were of Islamic religion. Although, there was a low frequency of records on education, the males had better formal education. In conclusion, the study shows that HIV infection is presently an adult disease affecting the most productive segment of the Nigerian population regardless of the individual occupation, educational status, tribe and religious affiliation. Also, it shows that the infection could be associated with heterosexual intercourse."Item Detection of HIV antigen and cDNA among antibody-negative blood samples in Nigeria(Elsevier Ltd, 2008) Odaibo, G. N.; Taiwo, A.; Aken'Ova, Y. A.; Olaleye, D. O.In developing countries as many as 50% of patients for whom a transfusion is indicated are at risk of dying immediately if transfusion is withheld. It is therefore important that blood transfusion is made as safe as possible. This study was designed to assess the safety of blood transfusion in two large blood banks in Ibadan, Nigeria. Aliquots of 250 samples already screened and passed as negative for HIV-1 and -2 were collected from each of the blood banks. Samples were tested for the presence of HIV-1 antigen (ELAVIA Ag I) and the antigen-positive samples tested for the presence of specific HIV-1 antibodies by Western blot (BioRad, France). All antigen-positive samples were also subjected to PCR. HIV-1 antigen was detected in 6 (1.2%) of the 500 samples, of which 4 (0.8%) and 3 (0.6%) were Western blot-indeterminate and PCR-positive, respectively. Transfusion of HIV-contaminated blood may be contributing significantly to the spread of the virus in Nigeria. There is therefore an urgent need for an organized blood-banking system with facilities for more sensitive assays for the detection of HIV in blood to prevent transmission through transfusion.