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Biomedical subjects

R M Vohra

Publications and source records attributed to R M Vohra.

13 recordsLinked to original sources

A thermostable D-hydantoinase isolated from a mesophilic Bacillus sp.AR9.

A thermostable hydantoinase has been characterized from a mesophilic Bacillus sp.AR9. The hydantoinase produced by this Bacillus sp.AR9 is strictly D-specific and is constitutively produced with high yields (4500 U/ml) in this strain. The enzyme is not only alkalo- and thermostable but has a pH and temperature optimum of 9.5 and 65 degrees C, respectively, which is advantageous for the bioconversion of DL-5-monosubstituted-hydantoin derivatives. The enzyme has a half life of 80 minutes at 70 degrees C and loses only 33% of its activity in 4 hr at 60 degrees C. The enzyme has a broad substrate specificity with a maximum of 100% with hydantoin and about 26% with dihydrouracil. Co+ + ions enhance the activity of the enzyme by more than 60%.

Amidohydrolases

Novel assay for screening rifamycin B-producing mutants.

A simple method that allows easy identification of rifamycin B-producing strains is described. This method involves the use of an enzyme, rifamycin oxidase, which converts inactive rifamycin B to active rifamycin S. In this method, colonies to be tested are grown in pairs. The two colonies are then transferred to two plates seeded with a sensitive strain of Staphylococcus aureus, one plate of which contains the enzyme rifamycin oxidase. All paired colonies which show a larger inhibition zone diameter on the enzyme-containing plate are identified as rifamycin B producers.

Microbiological Techniques

Production of laccase by Curvularia sp.

A Curvularia sp. isolated from soil was found to contain laccase activity toward guaiacol as substrate. The organism produced an extracellular laccase in a medium containing yeast extract, peptone and dextrose. Initial medium pH 4.0 and cultivation temperature 30 degrees C were found to be most suitable for maximum enzyme production. The optimum pH and temperature for laccase activity were found to be 5.2 and 50 degrees C, respectively. Under optimum conditions, the enzyme had a Km (guaiacol) of 0.75 mmol/L and a V of 1.50 CU min-1 ml-1. Some divalent metal ions inhibited laccase activity at very low concentrations.

Hydrogen-Ion Concentration

Comparative analysis of glycosylated hemoglobins by ion-exchange column chromatography and high-performance liquid chromatography in patients with hemoglobinopathies.

Cation-exchange chromatography gives falsely decreased values for glycosylated hemoglobins (GHbs) in patients with abnormal hemoglobins (Hbs) such as S, D, G, C, E, and O. This decrease is thought to be proportional to the percentage of abnormal Hb present. In the authors' study, cation-exchange column chromatographic GHb values on 84 nondiabetic patients heterozygous for Hb S, 28 AS diabetic patients, and 23 nondiabetic patients heterozygous for Hb C were calculated to account for the percentage of abnormal Hb, and the resulting values were compared with the GHb values obtained by high-performance liquid chromatography (HPLC). There existed a good correlation between the calculated GHb and the GHb obtained by HPLC (r = 0.92 for AS and r = 0.94 for AC). In patients with elevated Hb F, chromatographic GHb values are falsely high. In such cases, correction can be made by subtracting the Hb F value from the observed GHb. In laboratories where cation exchange chromatography is used, accurate determination of GHb can be made by adjusting observed values for portion of the abnormal Hb present.

Chromatography, High Pressure Liquid

Monitoring of phenobarbitone in epileptic children.

Seventy-five children with different nutritional status, who were receiving phenobarbitone for treatment of various seizure disorders, were monitored for their plasma steady state level, therapeutic efficacy and toxicity. A wide inter individual variation in the steady state level was observed. About 10 percent of them had subtherapeutic level, while nearly 30 percent of them had potentially toxic levels, the remaining were within therapeutic range of 10-25 micrograms/ml. Poor compliance was found to be an important contributing factor for the variations in the level. Steady state levels were significantly higher in children with grade II protein energy malnutrition (PEM) than normally nourished children. A good correlation existed between plasma drug level and therapeutic response in nearly 60 percent of the children. Clinical toxicity was observed in nearly two thirds of the children, sedation and behavioral problems being the most common. The importance of monitoring the drug level is discussed for the proper management of epileptic children.

Child

Monitoring of drug therapy in epileptic children.

Twenty children who were receiving phenytoin either alone or in combination with phenobarbitone, were monitored for their plasma steady state levels. A wide interindividual variation was observed in steady state plasma levels. Among children who were receiving only phenytoin, nearly 50% had drug levels above 10 micrograms/ml. It was observed that children with drug levels above 10 micrograms/ml exhibited good therapeutic response. Two children who were presented with acute toxicity showed drug levels above 40 micrograms/ml. Children receiving combination of phenytoin and phenobarbitone showed extreme degree of variation in drug levels which was reflective of drug interaction. In view of the wide interindividual variation in level of phenytoin and the unpredictability of interaction with other anticonvulsants, the monitoring of drug levels become mandatory.

Child

Serum ferritin levels in hematologic malignant neoplasms.

Data from 90 patients with a variety of hematologic malignant neoplasms were studied to determine the relation between changes in serum ferritin concentration and the clinical status of the patients. Patients with Hodgkin's disease, non-Hodgkin's lymphoma, multiple myeloma, blastic crisis of chronic myelocytic leukemia, acute myeloblastic leukemia and acute lymphoblastic leukemia were found to have significantly elevated serum ferritin levels. Further study of serum ferritin concentration in certain hematologic malignant neoplasms might provide a valuable insight into the role of serum ferritin determination in the diagnosis and follow-up of patients with malignant diseases.

Female

Hemophiliac with hemolytic anemia resulting from factor VIII concentrate.

Bilateral herniorrhaphy was successfully performed on a group AB hemophiliac with cirrhosis of the liver. Adequate hemostasis was maintained with infusions of commercial factor VIII concentrates and fresh frozen plasma. An anti-A antibody mediated hemolytic reaction occurred in the postoperative period. Hemolysis subsided after the cessation of commercial factor VIII infusions. The risk of such hemolytic reactions could be eliminated through the use of group-specific cryoprecipitated factor VIII.

ABO Blood-Group System