The Cytokine Profile in Sudanese Patients Infected with COVID-19 in Kassala State, Eastern Sudan Abubaker Awad Ramli, Mohammed Osman Hussien, Abdualmoniem O Musa, Mohammed Adel Shanawaz, Eman O Bakri, Jamal B Salim, Abubakr Omer, Khalid Eltahir Kheiralla, Nadir Musa Abuzeid Jundishapur Journal of Microbiology, 2024 Background: Research is ongoing to better understand the immune response and the role of cytokines in COVID-19's pathogenicity and clinical heterogeneity. Objectives: This study aimed to assess the levels of tumor necrosis factor (TNF)-α, interleukin (IL)-17, IL-6, IL-10, and IL-4 in the blood of patients infected with severe acute respiratory syndrome (SARS)-CoV-2 in Kassala State, Eastern Sudan, compared to healthy individuals residing in the same state. Methods: This case-control study was conducted on 90 adult patients with COVID-19 infection at Kassala Teaching Hospital (KTH), confirmed by RT-PCR, and compared to 90 age- and sex-matched healthy subjects as controls. Serum samples were collected and analyzed for cytokine levels using the enzyme-linked immunosorbent assay (ELISA). Results: The levels of TNF-α, IL-17, and IL-10 in patients were significantly higher (P = 0.021, 0.000, and 0.015, respectively) than those in the control group. Conversely, the IL-4 levels were significantly lower (P = 0.000) in patients than in controls. A comparison between mild, moderate, and severe groups showed that the levels of TNF-α and IL-10 were higher in the severe group than in the mild and moderate groups, whereas the levels of IL-4 decreased with increasing disease severity without reaching significant differences. Tumor necrosis factor-α, IL-17, and IL-4 could predict the disease severity of 2019-nCoV infections according to the area under the curve (AUC) of the receiver operating curve (ROC). Conclusions: Our findings suggest that TNF-α, IL-17, IL-10, and IL-4 can serve as indicators and reliable predictors of severe illness in Sudanese patients with COVID-19.
Association of Human Leukocyte Antigen (HLA) class II (DRB1 and DQB1) alleles and haplotypes with Rheumatoid Arthritis in Sudanese patients Adil Ahmed Ali, Khalid Eltahir Khalid, Somaya Elhaj Mohammed, Mohammed Salman Akhtar, Osman Khalafalla Saeed Frontiers in Immunology, 2023 The aim of this study was to determine the Human Leukocyte Antigen (HLA) class II (DRB1 and DQB1) alleles and haplotype frequency in Rheumatoid Arthritis (RA) in the Sudanese population. The frequency of HLA-DRB1 and -DQB1 alleles and DRB1-DQB1 haplotypes were determined in 122 RA patients and 100 controls. HLA alleles were genotyped by the polymerase chain reaction-sequence specific primers (PCR-SSP) method. In RA patients, HLA-DRB1*04 and *10 alleles were high in frequency (9.6% vs 14.2%, P = 0.038 and P = 0.042, respectively), and dependently on anti-citrullinated protein antibodies (ACPAs) seropositivity (P = 0.044 and P = 0.027, respectively). In contrast, the frequency of the HLA-DRB1*07 allele was significantly low in patients than in controls (11.7% vs 5.0%, P = 0.010). Moreover, the HLA-DQB1*03 allele was strongly associated with RA risk (42.2%, P = 2.2x10-8), whereas, HLA-DQB1*02 and *06 showed protective effects against RA (23.1% and 42.2%, P = 0.024 and P = 2.2x10-6, respectively). Five different HLA haplotypes, DRB1*03-DQB1*03 (P = 0.00003), DRB1*04-DQB1*03 (P = 0.00014), DRB1*08-DQB1*03 (P = 0.027), DRB1*13-DQB1*02 (P = 0.004), and DRB1*13-DQB1*03 (P = 3.79x10-8) were significantly associated with RA risk, while 3 protective haplotypes, DRB1*03-DQB1*02 (Pc = 0.008), DRB1*07-DQB1*02 (Pc = 0.004), and DRB1*13-DQB1*06 (Pc = 0.02) were identified. This is the first study determining the association between HLA class II alleles and haplotypes and RA risk in our population.
Effect of tactile kinesthetic stimulation on preterm infants’ weight and length of hospital stay in Khartoum, Sudan Ragaa G. Ahmed, Gaafer I. Suliman, Walyeldin A. Elfakey, Karimeldin M. Salih, Ehab I. El-Amin, Waled A. Ahmed, Khalid E. Khalid Saudi Medical Journal, 2015 Objectives: To determine the effect of 7 days tactile kinesthetic stimulation (TKS) on preterm infants’ weight and hospital stays in Khartoum State, Sudan. Methods: This is a quasi-experimental study, it was conducted in 4 hospitals between January and June 2013, Khartoum, Sudan, and it involved 160 preterm infants randomly assigned into the case and control groups (80 neonates in each). Preterm infants in the control group received routine nursing care, while preterm infants in the case group received TKS for 3 periods, 15 minute per day for 7 constitutive days, in addition to routine care. Data was collected using a structured self-designed and validated questionnaire, checklist, and weighting scale. Weight gain and hospital stay were compared between the 2 groups. Results: Over the constitutive 7 days, the case group gained significantly more weight (1071gm versus 1104gm) compared with the control group (1077gm versus 1084gm) (1084.55±90.74) who gained only 6.9gm within the same 7 days without TKS treatment. The mean difference in weight gain was significant (p=0.00). The hospital stay for preterm infants in the case group was significantly shorter (18.05±9.36 versus 25.47±10.25; p=0.00). Conclusion: Tactile kinesthetic stimulation for preterm infants has a beneficial effect on weight gain and earlier discharge from hospital, which are sequentially efficient and cost effective.
Outcomes of arteriovenous fistula for hemodialysis in Sudanese patients: single-center experience. Saudi Journal of Kidney Diseases and Transplantation an Official Publication of the Saudi Center for Organ Transplantation Saudi Arabia, 2012
Prostate-specific antigen level and risk of bone metastasis in Sudanese patients with prostate cancer. Saudi Journal of Kidney Diseases and Transplantation an Official Publication of the Saudi Center for Organ Transplantation Saudi Arabia, 2011
The effects of gum arabic oral treatment on the metabolic profile of chronic renal failure patients under regular haemodialysis in Central Sudan Adil Ahmed Ali, Khalid Eltom Ali, Abd Eigani Fadlalla, Khalid Eltahir Khalid Natural Product Research, 2008 This study aimed at assessing the effect of gum arabic (Acacia senegal) oral treatment on the metabolic profile of chronic renal failure (CRF) patients. A total of 36 CRF patients (under regular haemodialysis) and 10 normal subjects participated in this study. The patients were randomly allocated into three groups–group A: 12 CRF patients under low-protein diet (LPD) (<40 g day−1) and gum arabic (50 g day−1) treatment; group B: 14 CRF patients under LPD and gum arabic, iron (ferrous sulphate, 200 mg day−1) and folic acid (5 mg day−1) treatment; group C (control group): 10 CRF patients under LPD and iron and folic acid treatment and group D: 10 normal volunteers (on normal diet) under daily dose of 50 g gum arabic. Each of the above treatments was continued for three consecutive months. Blood samples were collected from each subject before treatment and twice per month “pre-dialysis” for 3 months. Biochemical parameters measured were: serum urea, serum creatinine, serum uric acid, serum calcium and serum phosphorus. By the end of the 3 months of treatment, serum urea levels significantly decreased by 31.2 and 44.18% for group A and B, respectively, compared with the baseline (0.01 < p < 0.001) and control group (p < 0.05). Serum creatinine levels significantly decreased in the groups of gum users (A, B and D) by 9.94, 12.65 and 11.7%, respectively, compared with the control group (p < 0.001). There was a significant decrease (p < 0.05) in serum uric acid levels by 14 and 19.9% for group A and B, respectively, compared with the baseline. Serum calcium levels increased by 12.64, 15.75 and 8.75% for group A, B and D, respectively, and these increases were significantly different (0.05 < p < 0.001) from baseline and control group for groups A and B. Serum phosphorus levels significantly decreased by 22.54% for group A, 17.69% for group B and 7.71% for group D, compared with the baseline (0.05 < p < 0.001). From this study, we conclude that oral administration of gum arabic could conceivably alleviate adverse effects of CRF.
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The effects of gum arabic oral treatment on the metabolic profile of chronic renal failure patients under regular haemodialysis in Central Sudan AA Ali, KE Ali, AE Fadlalla, KE Khalid Natural product research 22 (1), 12-21 , 2008 2008 Citations: 131
Effect of tactile kinesthetic stimulation on preterm infants’ weight and length of hospital stay in Khartoum, Sudan RG Ahmed, GI Suliman, WA Elfakey, KM Salih, EI El-Amin, WA Ahmed, ... Saudi medical journal 36 (2), 196-199 , 2015 2015 Citations: 49
Outcomes of Arteriovenous Fistula for Hemodialysis in Sudanese Patients: Single-Center Experience GM Ahmed, MO Mansour, M Elfatih, KE Khalid, MEIM Ahmed Saudi Journal of Kidney Diseases and Transplantation 23 (1), 152-157 , 2012 2012 Citations: 25
Vitamin D receptor gene polymorphisms in Sudanese children with type 1 diabetes KE Khalid AIMS Genetics 3 (03), 167-176 , 2016 2016 Citations: 21
CTLA-4 (+ 49A/G) polymorphism in type 1 diabetes children of Sudanese population KEK Kheiralla Global medical genetics 8 (01), 011-018 , 2021 2021 Citations: 20
Prostate Specific Antigen and Risk of Bone Metastasis in Sudanese Patients with Prostate Cancer KE Khalid, A IB, ME Ahmed, EA Khalid Saudi J Kidney Dis Transpl 22 (5), 1041-1043 , 2011 2011 Citations: 20
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Antimycobacterial Activity and Gas Chromatography-Mass Spectrometry (GC-MS) Analysis of Henna (Lawsonia Inermis) Leaves extract. EA Anwar Mohammed Abdelrahman, Khalid Eltahir Kheiralla, Nuha Ibrahim, Asrar ... Arabian Journal of Medicinal and Aromatic Plants (AJMAP) 6 (3), 1-9 , 2020 2020 Citations: 7
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