Publications by authors named "Akpan N"

Article Synopsis
  • - A national study in Nigeria assessed schistosomiasis seroprevalence among children aged 0 to 14 using blood samples from the 2018 HIV/AIDS Indicator and Impact Survey, finding an overall seroprevalence of 17.2%.
  • - The analysis revealed that higher seroprevalence was linked to being a boy, living in rural areas, and owning animals, while access to improved sanitation and clean drinking water significantly reduced the odds of being seropositive.
  • - The findings underscore the need for targeted prevention strategies, especially for young children and those with animal exposure, to effectively control schistosomiasis in Nigeria.
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This study predicts sediment yield on various landuse surfaces within the Calabar River Catchment, Nigeria. Five experimental plots of 31 by 23 cm (representing urban, farm, grass, bare, and forest surfaces) were established on a convex slope series with a 20% gradient, oriented along the slope strike. Rainfall, morphological, and hydraulic stations were derived for each plot.

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  • In 2017, Nigeria's Plateau and Nasarawa states interrupted the transmission of Onchocerca volvulus, leading to the cessation of ivermectin mass drug administration in January 2018, in line with WHO guidelines.
  • After three years of monitoring, tests on over 15,000 vector flies showed no infective larvae of O. volvulus, resulting in a low infection rate and confirming successful interruption of transmission.
  • In 2021, Nigerian health authorities announced these two states as the first in the country to eliminate transmission of river blindness, but ongoing surveillance is necessary to prevent reintroduction from nearby areas.
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  • The study investigates the prevalence and outcomes of low-level viraemia among people living with HIV in Nigeria, analyzing data from over 400,000 patients receiving antiretroviral therapy (ART).
  • Risk factors for low-level viraemia and virological failure were quantified using regression analysis, revealing that 16% of individuals experienced low-level viraemia, with significant odds of virological failure linked to this condition.
  • Patients receiving optimised ART, particularly integrase strand transfer inhibitors, demonstrated a lower likelihood of virological non-suppression compared to those on other treatments when experiencing low-level viraemia.
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Background: More than 40 million people live in onchocerciasis-endemic areas in Nigeria. For at least 19 y, mass drug administration (MDA) with ivermectin was implemented with at least 65% total population coverage in Kaduna, Kebbi and Zamfara states. Impact surveys done using skin biopsies yielded no infections.

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Background: Osteoarthritis (OA) is a common degenerative condition leading to significant pain, functional limitation, and economic loss. Generalized OA (GOA) is associated with greater morbidity and accounts for 5-25% of total OA cases depending on definition used. This paper aims to determine the frequency and pattern of GOA, compare clinical and laboratory parameters of GOA and non-GOA subjects, then identify independent associations of GOA among Nigerians with knee OA.

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Learning and memory and the underlying cellular correlate, long-term synaptic plasticity, involve regulation by posttranslational modifications (PTMs). Here we demonstrate that conjugation with the small ubiquitin-like modifier (SUMO) is a novel PTM required for normal synaptic and cognitive functioning. Acute inhibition of SUMOylation impairs long-term potentiation (LTP) and hippocampal-dependent learning.

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Purpose: Ocular trauma is common in civilian and military populations. Commotio retinae involves acute disruption of photoreceptor outer segments after blunt ocular trauma, with subsequent photoreceptor apoptosis causing permanent visual impairment. The mechanisms of photoreceptor death in commotio retinae have not previously been described, although caspase-dependent death is important in other nontraumatic retinal degenerations.

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We have previously shown that crushing the optic nerve induces death of retinal ganglion cells by apoptosis, but suppression of CASP2, which is predominantly activated in retinal ganglion cells, using a stably modified short interfering RNA CASP2, inhibits retinal ganglion cell apoptosis. Here, we report that combined delivery of short interfering CASP2 and inhibition of CASP6 using a dominant negative CASP6 mutant activates astrocytes and Müller cells, increases CNTF levels in the retina and leads to enhanced retinal ganglion cell axon regeneration. In dissociated adult rat mixed retinal cultures, dominant negative CASP6 mutant + short interfering CASP2 treatment also significantly increases GFAP+ glial activation, increases the expression of CNTF in culture, and subsequently increases the number of retinal ganglion cells with neurites and the mean retinal ganglion cell neurite length.

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Background: Mutations in either Aβ Precursor protein (APP) or genes that regulate APP processing, such as BRI2/ITM2B and PSEN1/PSEN2, cause familial dementias. Although dementias due to APP/PSEN1/PSEN2 mutations are classified as familial Alzheimer disease (FAD) and those due to mutations in BRI2/ITM2B as British and Danish dementias (FBD, FDD), data suggest that these diseases have a common pathogenesis involving toxic APP metabolites. It was previously shown that FAD mutations in APP and PSENs promote activation of caspases leading to the hypothesis that aberrant caspase activation could participate in AD pathogenesis.

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Objective: The objective of the study was to assess the public health burden of hypertension in the rural communities in southeastern Nigeria (Niger Delta region of Nigeria).

Design/setting: The study was a cross-sectional study in three rural communities in the Cross River and Akwa Ibom States of Nigeria. Demographic, anthropometric information, prior history of hypertension or stroke in each participant or their parents was obtained with a questionnaire.

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In ischemic stroke, apoptosis persists for days to weeks after the onset of an ischemic event. Cysteine-ASPartic proteASEs (caspases) are key mediators of apoptosis and neurodegeneration in stroke. The impact of caspase activity is not restricted to neuronal death, as caspases can exacerbate inflammation and alter glial function.

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Despite extensive research to develop an effective neuroprotective strategy for the treatment of ischemic stroke, therapeutic options remain limited. Although caspase-dependent death is thought to play a prominent role in neuronal injury, direct evidence of active initiator caspases in stroke and the functional relevance of this activity have not previously been shown. Using an unbiased caspase-trapping technique in vivo, we isolated active caspase-9 from ischemic rat brain within 1 h of reperfusion.

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The pattern of arrangement of the lumbrical muscles in the hand of an African population was studied. Sixty-four upper limb specimen from 32 male cadavers between the ages 18 and 40 were obtained from the Department of Anatomy, University of Calabar, Nigeria were used. Ethical approval was granted by the Ethics Committee of the University, and each of the limbs of the cadavers was labeled.

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Caspases, initially identified as a family of proteases regulating cell death, have been found to have nonapoptotic functions as well. Some family members are critical for mediating programmed cell death in development. After development, caspases are downregulated in the nervous system, but continue to perform important nonapoptotic functions relevant for neurogenesis and synaptic plasticity.

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Dysregulation of life and death at the cellular level leads to a variety of diseases. In the nervous system, aberrant neuronal death is an outstanding feature of neurodegenerative diseases. Since the discovery of the caspase family of proteases, much effort has been made to determine how caspases function in disease, including neurodegenerative diseases.

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A parasite-derived neurotrophic factor (PDNF) produced by the Chagas' disease parasite Trypanosoma cruzi binds nerve growth factor (NGF) receptor TrkA, increasing receptor autophosphorylation, and activating phosphatidylinositol 3-kinase (PI3K) and mitogen-activated protein kinase (MAPK/Erk) pathways, and transcription factor CREB. The end-result is enhanced survival and neuritogenesis of various types of neurons. PDNF also enhances the expression and activity of tyrosine hydroxylase, a rate limiting enzyme in the synthesis of dopamine and other catecholamine neurotransmitters.

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There should be a recognisable trend between the incidence of hypereosinophilia and the duration of tropical endomyocardial fibrosis (EMF), if the hypothesis, that EMF is the burnt out phase of eosinophil associated heart disease, is correct. We tested this hypothesis in a prospective study of 89 consecutive EMF cases over an 18 year period at two Nigerian locations (Ife in South West and Calabar in South East). We carefully dated the duration of EMF symptoms at first presentation and screened for hypereosinophilia (eosinophilia > or = 1500/mm3), and their causes.

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For the general practitioner it is extremely difficult to make the diagnosis of the thalamic pain syndrome of Dejerine-Roussy which may develop in patients who have suffered a cerebrovascular accident. Because of this inability, the syndrome is considered rare in Africa. At the Teaching Hospital of the University of Calabar, Calabar, Nigeria two cases were seen recently however.

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