BackgroundThe tumor necrosis factor receptor superfamily, member 4 (OX40) and its ligand (OX40L) are members of the tumor necrosis factor superfamily and play roles as costimulatory immunomodulators to combat infectious diseases as well as cancers. Presently, many therapeutic agents focused on OX40 and OX40L are in trials for antitumor efficacy. In Pakistan, oral squamous cell carcinoma (OSCC) is the second most prevalent cancer with a mortality of 50% despite the availability of various therapeutic modalities. Data regarding serum levels of OX40 in patients with OSCC is lacking. Therefore, the study aimed to assess the OX40 levels in serum and their association with the clinicopathological features of the tumor.
MethodologyA cross-sectional study was conducted and serum samples of 78 biopsy-confirmed OSCC patients were collected prior to any treatment along with 10 healthy persons after informed consent. Serum levels of OX40 were measured via sandwich enzyme-linked immunosorbent assay (ELISA).
ResultsThe mean serum levels of OX40 were 1.65 ± 0.64 ng/ml and 2.39 ± 0.58 ng/ml in early and late-stage disease patients of OSCC, respectively (p =<0.005). However, based on gender and tumor site, male gender and buccal mucosa tumors in late-stage OSCC patients showed higher mean levels of OX40, 2.42± 0.58 ng/ml and 2.41 ± 0.58 ng/ml (p =<0.05), respectively. Patients with well-differentiated tumors demonstrated mean serum levels of 2.28 ng/ml, and in moderately differentiated tumors, the mean levels were 2.19 ng/ml (p =0.47).
ConclusionsA high OX40 level is associated with advanced-stage disease and a poor prognosis, possibly reflecting the immune-exhausted status against OSCC.
Objective: To determine the frequency of Klebsiella pneumoniae Carbapenemase (bla KPC ) and New Delhi Metallo-Beta-Lactamase (bla NDM ) resistant genes among clinical isolates of Enterobacterales in a set of Karachi population.
Toxoplasmosis is a parasitic disease that is transmitted by a variety of routes, including the ingestion of raw or undercooked meat. It infects roughly one-third of the world's population and is caused by Toxoplasma gondii, an obligate intracellular parasite. The goal of this research is to detect the existence and genotypes of T. gondii in beef and mutton, two of the most widely consumed red meats in Gaza, Palestine, using both ELISA and PCR techniques. For this purpose, 60 red meat samples were collected from butcheries in Gaza city, during the period from January to March 2021. These samples were divided evenly between beef and mutton. This study found that beef is devoid of T. gondii, whether tested using ELISA or PCR. On the contrary, both approaches detected T. gondii in mutton; however, the percentage of positive samples reported differed. For example, whereas T. gondii was detected in 14 (46.66 %) of 30 samples using ELISA, only 5 (16.66 %) of positive samples were detected using PCR. The genotyping results of the current investigation showed that the three DNA isolates were T. gondii type II. A Chisquare test was also implemented to evaluate the prevalence of T. gondii and the type of red meat samples (mutton and beef) examined using PCR and ELISA. Similarly, in the detection of T. gondii, a comparison of the PCR approach and ELISA was conducted, and all of these relationships were shown to be statistically significant, with p values < 0.05. Meanwhile, this investigation found that beef samples were devoid of T. gondii infection. Regardless of whether it was examined with an ELISA or a PCR, this study revealed the occurrence of T. gondii in mutton. The current study also concluded that eating raw or undercooked mutton is a potential risk factor for the transmission of T. gondii infection to humans. Besides, the occurrence of T. gondii type II in the three genotyped ADNA isolates.
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