Αρχειοθήκη ιστολογίου

Δευτέρα 16 Οκτωβρίου 2017

Coquitlam General & Sedation Dentistry: creating beautiful smiles

"At Coquitlam General & Sedation Dentistr y our top priority is patient care and comfort," says Shainaz, one of the clinic's two administrative assistants. "Our entire team works hard to make sure all patients are comfortable with both, their planned treatment and the actual process."



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Isolation and Potential Biocementation of Calcite Precipitation Inducing Bacteria from Colombian Buildings

Abstract

Microbiological induced calcium carbonate or calcite precipitation (MICP) has become a highly researched issue due to its multiple applications in the construction industry, being a promising alternative with a great biotechnological importance. In this work, potential calcite precipitation inducing bacteria were isolated from mortar and concrete samples of different buildings at the National University of Colombia. Eighteen crystal-precipitating strains were recovered in Urea-CaCl2 solid medium. The 16S rRNA gene sequencing identified isolates as Arthrobacter, Psychrobacillus and Rhodococcus genera. It is reported, for the first time, the calcite precipitation by P. psycrodurans and R. qingshengii. Optical microscopy and Scanning Electron Microscopy showed crystals with irregular and spherical shapes, and beige and white colours. Furthermore, crystals formation appeared to be strain-specific. X-Ray diffraction analysis confirmed crystals composition as CaCO3. Biocementation tests showed that MICP treatments of mortar cubes using P. psycrodurans caused an increase in their compressive strength compared to control samples. The positive action of a native MICP strain in mortar blocks biomineralization is shown, which is of great interest and potential for the construction industry.



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Corrigendum to “Clusters of Galaxies in a Weyl Geometric Approach to Gravity”



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Cholecystokinin receptor antagonist alters pancreatic cancer microenvironment and increases efficacy of immune checkpoint antibody therapy in mice

Abstract

Advanced pancreatic ductal adenocarcinoma (PDAC) has typically been resistant to chemotherapy and immunotherapy; therefore, novel strategies are needed to enhance therapeutic response. Cholecystokinin (CCK) has been shown to stimulate growth of pancreatic cancer. CCK receptors (CCKRs) are present on pancreatic cancer cells, fibroblasts, and lymphocytes. We hypothesized that CCKR blockade would improve response to immune checkpoint antibodies by promoting influx of tumor-infiltrating lymphocytes (TILs) and reducing fibrosis. We examined the effects of CCKR antagonists or immune checkpoint blockade antibodies alone or in combination in murine models of PDAC. Monotherapy with CCKR blockade significantly decreased tumor size and metastases in SCID mice with orthotopic PDAC, and in C57BL/6 mice, it reduced fibrosis and induced the influx of TILs. Immune-competent mice bearing syngeneic pancreatic cancer (Panc02 and mT3-2D) that were treated with the combination of CCK receptor antagonists and immune checkpoint blockade antibodies survived significantly longer with smaller tumors. Tumor immunohistochemical staining and flow cytometry demonstrated that the tumors of mice treated with the combination regimen had a significant reduction in Foxp3+ T-regulatory cells and an increase in CD4+ and CD8+ lymphocytes. Masson's trichrome stain analysis revealed 50% less fibrosis in the tumors of mice treated with CCKR antagonist compared to controls and compared to checkpoint antibody therapy. CCKR antagonists given with immune checkpoint antibody therapy represent a novel approach for improving survival of PDAC. The mechanism by which this combination therapy improves the survival of PDAC may be related to the decreased fibrosis and immune cells of the tumor microenvironment.



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Editorial Board

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Publication date: October 2017
Source:Oral Surgery, Oral Medicine, Oral Pathology and Oral Radiology, Volume 124, Issue 4





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Society Page

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Publication date: October 2017
Source:Oral Surgery, Oral Medicine, Oral Pathology and Oral Radiology, Volume 124, Issue 4





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Information for Readers

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Publication date: October 2017
Source:Oral Surgery, Oral Medicine, Oral Pathology and Oral Radiology, Volume 124, Issue 4





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The insufficient integration of medicine into clinical dental education: a missed opportunity or an ethical dilemma?

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Publication date: October 2017
Source:Oral Surgery, Oral Medicine, Oral Pathology and Oral Radiology, Volume 124, Issue 4
Author(s): Jeffrey Bennett




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3-D computed tomography measurement of mandibular growth after costochondral grafting in growing children with temporomandibular joint ankylosis and jaw deformity

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Publication date: October 2017
Source:Oral Surgery, Oral Medicine, Oral Pathology and Oral Radiology, Volume 124, Issue 4
Author(s): Jieyun Zhao, Dongmei He, Chi Yang, Chuan Lu, Yihui Hu, Dong Huang, Edward Ellis
ObjectiveThe aim of this study was to evaluate the long-term results after costochondral grafting (CCG) in growing children with temporomandibular joint ankylosis and jaw deformity by 3-dimensional computed tomography (CT) measurement.Study DesignPatients with unilateral TMJ ankylosis and jaw deformity treated by CCG from 2010 to 2014 were evaluated. Their CT data within 1 week after operation and after at least 2 years of follow-up were analyzed using ProPlan CMF 1.4 software. Maximal incisal opening (MIO), condyle–ramus heights, chin deviation, and growth of CCG were measured and compared before and after the operation and at the last follow-up. SPSS 17.0 software was used for statistical analysis.ResultsSeven patients were included in the study. The mean follow-up period was 46.4 months. Five of 7 patients treated with this protocol experienced good mouth opening and symmetric mandibular growth. One patient achieved good mouth opening but not symmetric growth, and 1 patient experienced ankylosis again.ConclusionsCCG can be a reliable method to treat temporomandibular joint ankylosis with jaw deformity in growing children. Continued growth occurs in the children, but long-term outcomes require further investigation.



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Comparative analysis of imaging techniques for diagnostic accuracy of peri-implant bone defects: a meta-analysis

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Publication date: October 2017
Source:Oral Surgery, Oral Medicine, Oral Pathology and Oral Radiology, Volume 124, Issue 4
Author(s): Lauren Oliveira Lima Bohner, Eduardo Mukai, Elisa Oderich, André Luís Porporatti, Camila Pacheco-Pereira, Pedro Tortamano, Graziela De Luca Canto
ObjectiveThe aim of this study was to systematically review the literature regarding diagnostic accuracy of imaging techniques in detecting peri-implant bone defects.Study DesignThe search was performed in 8 electronic databases from April to May 2016 and updated in September 2016. Studies that assessed imaging techniques to detect peri-implant bone defects were analyzed.ResultsThe search yielded 680 articles published from 1991 to 2016. Of these, 12 studies were considered eligible for this review. The selected studies evaluated the use of cone beam computed tomography (CBCT), intraoral radiography (IR), computed tomography, and panoramic radiography. The sensitivity for CBCT was 59%, whereas the specificity was 67%. For IR, the sensitivity was 60%, and the specificity was 59%. Area under the curve values in receiver operating characteristic (ROC) analysis were 69% for CBCT and 63% for IR. For CBCT, the highest value for positive predictive value was 0.94, negative predictive value was 0.98, positive likelihood ratio was 21.3, and negative likelihood ratio was 1.28. For IR, the highest positive predictive value was 1.0, negative predictive value 1.0, positive likelihood ratio 50.0, and negative likelihood ratio 0.70. The highest diagnostic odds ratio was 80 for CBCT and 4.45 for IR. No conclusion could be drawn for additional techniques.ConclusionsBoth CBCT and IR showed a clinically acceptable performance for assessing peri-implant bone defects.



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The Plant Endoplasmic Reticulum



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Genome Instability



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OX NCBI_TaxID=9606; RN [1] RP NUCLEOTIDE SEQUENCE [MRNA] ... T.R.; RT "Transcriptional variants of serum/glucocorticoid regulated kinase 1 RT .... Nedd4-2 and the serum and glucocorticoid inducible kinase RT SGK1.

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hovergen: sgk1_rat

DE RecName: Full=Serine/threonine-protein kinase Sgk1; DE EC=2.7.11.1; DE AltName: Full=Serum/glucocorticoid-regulated kinase 1; GN ...

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Machine learning identifies breast lesions likely to become cancer

A machine learning tool can help identify which high-risk breast lesions are likely to become cancerous, according to a new study appearing online in the journal Radiology. Researchers said the technology has the potential to reduce unnecessary...

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Magnitude of Muscle Strength and Mass Adaptations Between High-Load Resistance Training Versus Low-Load Resistance Training Associated with Blood-Flow Restriction: A Systematic Review and Meta-Analysis

Abstract

Background

Low-load resistance training (< 50% of one-repetition maximum [1RM]) associated with blood-flow restriction (BFR-RT) has been thought to promote increases in muscle strength and mass. However, it remains unclear if the magnitude of these adaptations is similar to conventional high-load resistance training (> 65% 1RM; HL-RT).

Objective

To compare the effects of HL- versus BFR-RT on muscle adaptations using a systematic review and meta-analysis procedure.

Methods

Studies were identified via electronic databases based on the following inclusion criteria: (a) pre- and post-training assessment of muscular strength; (b) pre- and post-training assessment of muscle hypertrophy; (c) comparison of HL-RT vs. BFR-RT; (d) score ≥ 4 on PEDro scale; (e) means and standard deviations (or standard errors) are reported from absolute values or allow estimation from graphs. If this last criterion was not met, data were directly requested from the authors.

Results

The main results showed higher increases in muscle strength for HL- as compared with BFR-RT, even when considering test specificity, absolute occlusion pressure, cuff width, and occlusion pressure prescription. Regarding the hypertrophic response, results revealed similar effects between HL- and BFR-RT, regardless of the absolute occlusion pressure, cuff width, and occlusion pressure prescription.

Conclusions

Based on the present data, maximum muscle strength may be optimized by specific training methods (i.e., HL-RT) while both HL- and BFR-RT seem equally effective in increasing muscle mass. Importantly, BFR-RT is a valid and effective approach for increasing muscle strength in a wide spectrum of ages and physical capacity, although it may seem particularly of interest for those individuals with physical limitations to engage in HL-RT.



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Aclaración sobre la evaluación de la obstrucción nasal mediante rinomanometría y escalas subjetivas y medición del éxito terapéutico médico y quirúrgico

Publication date: Available online 14 October 2017
Source:Acta Otorrinolaringológica Española
Author(s): Francisco Larrosa, Isam Alobid




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Migración digestiva y expulsión espontánea de un tubo de derivación salivar de Montgomery

Publication date: Available online 14 October 2017
Source:Acta Otorrinolaringológica Española
Author(s): Pablo Torrico Román




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Myopericytoma of the tongue base: A case report

Publication date: Available online 16 October 2017
Source:Acta Otorrinolaringológica Española
Author(s): Stefano Rubino, Rita De Berardinis, Daniele Colombo, Alessandro De Padova




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Diagnóstico y tratamiento de la otitis media secretora infantil: recomendaciones CODEPEH

Publication date: Available online 13 October 2017
Source:Acta Otorrinolaringológica Española
Author(s): Faustino Núñez-Batalla, Carmen Jáudenes-Casaubón, Jose Miguel Sequí-Canet, Ana Vivanco-Allende, Jose Zubicaray-Ugarteche
La incidencia y prevalencia de la otitis media secretora infantil (OMS) son elevadas, sin embargo, existen evidencias de que solo una minoría de profesionales sigue las recomendaciones de las guías para su manejo clínico. Con objeto de mejorar el diagnóstico y el tratamiento de la OMS, para prevenir y/o reducir sus consecuencias sobre el desarrollo del niño, la Comisión para la Detección Precoz de la Hipoacusia (CODEPEH) ha realizado una amplia revisión de la literatura científica sobre la materia y ha elaborado un documento de recomendaciones para una correcta actitud clínica ante la OMS, abordando métodos diagnósticos y tratamiento médico y quirúrgico. Entre otros, no usar ninguna medicación, especialmente corticoides y antibióticos, siendo la espera vigilada la primera medida a tomar durante 3 meses. Si persiste la OMS, el otorrinolaringólogo valorará el tratamiento quirúrgico. En niños que presentan comorbilidades de diversa entidad, el impacto de la OMS es superior por lo que hay que actuar de forma inmediata, sin espera vigilada.The incidence and the prevalence rates of otitis media with effusion (OME) are high. However, there is evidence that only a minority of professionals follow the recommendations provided in clinical practice guidelines. For the purpose of improving diagnosis and treatment of OME in children to prevent and/or reduce its impact on children's development, the Commission for the Early Detection of Deafness (CODEPEH) has deeply reviewed the scientific literature on this field and has drafted a document of recommendations for a correct clinical reaction to of OME, including diagnosis and medical and surgical treatment methodology. Among others, medication, in particular antibiotics and corticoids, should not be prescribed and 3 months of watchful waiting should be the first adopted measure. If OME persists, an ENT doctor should assess the possibility of sugical treatment. The impact of OME in cases of children with a comorbidity is higher, so it requires immediate reaction, without watchful waiting.



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Aclaración sobre la evaluación de la obstrucción nasal mediante rinomanometría y escalas subjetivas y medición del éxito terapéutico médico y quirúrgico

Publication date: Available online 14 October 2017
Source:Acta Otorrinolaringológica Española
Author(s): Francisco Larrosa, Isam Alobid




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Migración digestiva y expulsión espontánea de un tubo de derivación salivar de Montgomery

Publication date: Available online 14 October 2017
Source:Acta Otorrinolaringológica Española
Author(s): Pablo Torrico Román




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Myopericytoma of the tongue base: A case report

Publication date: Available online 16 October 2017
Source:Acta Otorrinolaringológica Española
Author(s): Stefano Rubino, Rita De Berardinis, Daniele Colombo, Alessandro De Padova




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Diagnóstico y tratamiento de la otitis media secretora infantil: recomendaciones CODEPEH

Publication date: Available online 13 October 2017
Source:Acta Otorrinolaringológica Española
Author(s): Faustino Núñez-Batalla, Carmen Jáudenes-Casaubón, Jose Miguel Sequí-Canet, Ana Vivanco-Allende, Jose Zubicaray-Ugarteche
La incidencia y prevalencia de la otitis media secretora infantil (OMS) son elevadas, sin embargo, existen evidencias de que solo una minoría de profesionales sigue las recomendaciones de las guías para su manejo clínico. Con objeto de mejorar el diagnóstico y el tratamiento de la OMS, para prevenir y/o reducir sus consecuencias sobre el desarrollo del niño, la Comisión para la Detección Precoz de la Hipoacusia (CODEPEH) ha realizado una amplia revisión de la literatura científica sobre la materia y ha elaborado un documento de recomendaciones para una correcta actitud clínica ante la OMS, abordando métodos diagnósticos y tratamiento médico y quirúrgico. Entre otros, no usar ninguna medicación, especialmente corticoides y antibióticos, siendo la espera vigilada la primera medida a tomar durante 3 meses. Si persiste la OMS, el otorrinolaringólogo valorará el tratamiento quirúrgico. En niños que presentan comorbilidades de diversa entidad, el impacto de la OMS es superior por lo que hay que actuar de forma inmediata, sin espera vigilada.The incidence and the prevalence rates of otitis media with effusion (OME) are high. However, there is evidence that only a minority of professionals follow the recommendations provided in clinical practice guidelines. For the purpose of improving diagnosis and treatment of OME in children to prevent and/or reduce its impact on children's development, the Commission for the Early Detection of Deafness (CODEPEH) has deeply reviewed the scientific literature on this field and has drafted a document of recommendations for a correct clinical reaction to of OME, including diagnosis and medical and surgical treatment methodology. Among others, medication, in particular antibiotics and corticoids, should not be prescribed and 3 months of watchful waiting should be the first adopted measure. If OME persists, an ENT doctor should assess the possibility of sugical treatment. The impact of OME in cases of children with a comorbidity is higher, so it requires immediate reaction, without watchful waiting.



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Childhood acute lymphoblastic leukemia

Childhood acute lymphoblastic leukemia (C-ALL): A type of cancer of the bone marrow that produces immature lymphocytes (a type of blood cell) in the bloodstream. This is the most common type of cancer in children and progresses quickly if not treated. Symptoms can include easy bruising, fever, weakness, bone or joint pain, loss of appetite, and painless enlargement of the lymph nodes. Past treatment for cancer and certain genetic conditions (including Fanconi anemia, Down syndrome, and ataxia-telangiectasia) affect the risk of having childhood ALL.

The exact cause of C-ALL is poorly understood. Also known as childhood acute lymphocytic leukemia.



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Diagnostic pathology of early systemic cancer: ERBB2 gene amplification in single disseminated cancer cells determines patient survival in operable esophageal cancer

Abstract

Early metastatic dissemination and evolution of disseminated cancer cells (DCCs) outside the primary tumor is one reason for the failure of adjuvant therapies because it generates molecular geno- and phenotypes different from primary tumors which still underlie therapy decisions. Since ERBB2 amplification in esophageal DCCs but not in primary tumor cells predict outcome, we aimed to establish an assay with diagnostic reliability for single DCCs or circulating tumor cells (CTCs). For this we evaluated copy number alterations of more than 600 single DCCs from multiple cancer types to define reference regions suitable for quantification of target regions, such as ERBB2. We then compared ERBB2 quantitative PCR (qPCR) measurements with fluorescent in situ hybridization (FISH) data of various breast cancer cell lines and identified the aberration-calling threshold. The method was applied to two independent cohorts of esophageal cancer patients from Hamburg (n = 59) and Düsseldorf (n = 53). We found a high correlation between the single cell qPCR assay and the standard FISH assay (R = 0.98) and significant associations between amplification and survival for both patient cohorts (Hamburg (HH), p = 0.033; Düsseldorf (D), p = 0.052; pooled HH+D, p = 0.002) when applied to DCCs of esophageal cancer patients. Detection of a single ERBB2-amplified DCC was the most important risk factor for death from esophageal cancer (relative risk = 4.16; 95% CI = 1.887- 9.184; p < 0.001). In our study, we detected ERBB2-amplified cells in 7% of patients. These patients could benefit from anti-ERBB2 targeting therapies. This article is protected by copyright. All rights reserved.



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The impact of socioeconomic status on stage specific prostate cancer survival and mortality before and after introduction of PSA test in Finland

Abstract

Socioeconomic status (SES) has an impact on prostate cancer (PCa) outcomes. Men with high SES have higher incidence and lower mortality of PCa versus lower SES males. PCa cases diagnosed in Finland in 1985-2014 (N=95076) were identified from the Finnish Cancer Registry. Information on education level (EL) was obtained from Statistics Finland. EL was assessed with three-tiered scale: basic, upper secondary and higher education. PCa stage at diagnosis was defined as localized, metastatic or unknown. Years of diagnosis 1985-1994 were defined as pre-PSA period and thereafter as post-PSA period. We report PCa-specific survival (PCSS) and relative risks (RR) for PCa specific mortality (PCSM) among cancer cases in Finland, where healthcare is 100% publicly reimbursed and inequality in healthcare services low. Men with higher EL had markedly better 10-year PCSS: 68% vs 63% in 1985-1994 and 90% vs 85% in 1995-2004 compared to basic EL in localized PCa. The RR for PCSM among men with localized PCa and higher EL compared to basic EL was 0.76(95%confidence interval (CI) 0.66-0.88) in 1985-1994 and 0.61(95%CI 0.53-0.70) in 1995-2004. Variation in PCSS and PCSM between EL categories was evident in metastatic PCa, too. The difference in PCSM between EL categories was larger in the first 10-year post-PSA period than before that but decreased thereafter in localized PCa, suggesting PSA testing became earlier popular among men with high EL. In summary, higher SES/EL benefit PCa survival both in local and disseminated disease and the effect of EL was more pronounced in early post-PSA period. This article is protected by copyright. All rights reserved.



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The human PKP2/Plakophilin-2 gene is induced by Wnt/β-catenin in normal and colon cancer-associated fibroblasts

Abstract

Colorectal cancer results from the malignant transformation of colonic epithelial cells. Stromal fibroblasts are the main component of the tumour microenvironment, and play an important role in the progression of this and other neoplasias. Wnt/β-catenin signalling is essential for colon homeostasis, but aberrant, constitutive activation of this pathway is a hallmark of colorectal cancer. Here we present the first transcriptomic study on the effect of a Wnt factor on human colonic myofibroblasts. Wnt3A regulates the expression of 1136 genes, of which 662 are upregulated and 474 are downregulated in CCD-18Co cells. A set of genes encoding inhibitors of the Wnt/β-catenin pathway stand out among those induced by Wnt3A, which suggests that there is a feedback inhibitory mechanism. We also show that the PKP2 gene encoding the desmosomal protein Plakophilin-2 is a novel direct transcriptional target of Wnt/β-catenin in normal and colon cancer-associated fibroblasts. PKP2 is induced by β-catenin/TCF through three binding sites in the gene promoter and one additional binding site located in an enhancer 20 kb upstream from the transcription start site. Moreover, Plakophilin-2 antagonizes Wnt/β-catenin transcriptional activity in HEK-293T cells, which suggests that it may act as an intracellular inhibitor of the Wnt/β-catenin pathway. Our results demonstrate that stromal fibroblasts respond to canonical Wnt signalling and that Plakophilin-2 plays a role in the feedback control of this effect suggesting that the response to Wnt factors in the stroma may modulate Wnt activity in the tumour cells. This article is protected by copyright. All rights reserved.



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A low frequency haplotype spanning SLX4/FANCP constitutes a new risk locus for early-onset breast cancer (

Abstract

Only a fraction of breast cancer (BC) cases can be yet explained by mutations in genes or genomic variants discovered in linkage, genome-wide association and sequencing studies. The known genes entailing medium or high risk for BC are strongly enriched for a function in DNA double strand repair. Thus, aiming at identifying low frequency variants conferring an intermediate risk, we here investigated 17 variants (MAF: 0.01-0.1) in 10 candidate genes involved in DNA repair or cell cycle control. In an exploration cohort of 437 cases and 1189 controls we show the variant rs3810813 in the SLX4/FANCP gene to be significantly associated with both BC (≤60 years; OR=2.6(1.6-3.9), p=1.6E-05) and decreased DNA repair capacity (≤60 years; beta=37.8(17.9-57.8) p=5.3E-4). BC association was confirmed in a verification cohort (N=2441). Both associations were absent from cases diagnosed >60 years and stronger the earlier the diagnosis. By imputation we show that rs3810813 tags a haplotype with 5 additional variants with the same allele frequency (R2 > 0.9), and a pattern of association very similar for both phenotypes (cases <60 years p<0.001, the Bonferroni threshold derived from unlinked variants in the region). In young cases (≤60 years) carrying the risk haplotype, micronucleus test results are predictive for BC (AUC >0.9). Our findings propose a risk variant with high penetrance on the haplotype spanning SLX4/FANCP to be functionally associated to BC predisposition via decreased repair capacity and suggest this variant is carried by a fraction of these haplotypes that is enriched in early onset BC cases. This article is protected by copyright. All rights reserved.



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CCDC6: The identity of a protein known to be partner in fusion

Abstract

Coiled Coil Domain Containing 6 gene, CCDC6, was initially isolated as part of a tumorigenic DNA originated by the fusion of CCDC6 with the tyrosine kinase of RET receptor, following a paracentric inversion of chromosome 10. For a long time CCDC6 has been considered as an accidental partner of the RET protooncogene, providing the promoter and the first 101 aa necessary for the constitutive activation of the oncogenic Tyrosine Kinase (TK) RET in thyroid cells. With the advent of more refined diagnostic tools and bioinformatic algorithms, an exponential growth in fusion genes discoveries has allowed the identification of CCDC6 as partner of genes other than RET in different tumor types.

CCDC6 gene product has a proper role in sustaining the DNA damage checkpoints in response to DNA damage. The inactivation of CCDC6 secondary to chromosomal rearrangements or gene mutations could enhance tumor progression by impairing the apoptotic response upon the DNA damage exposure, contributing to the generation of radio- and chemo-resistance. Preclinical studies indicate that the attenuation of CCDC6 in cancer, while conferring a resistance to cisplatinum, sensitizes the cancer cells to the small molecule inhibitors of Poly (ADP-ribose) polymerase (PARP1/2) with a synthetic lethal effect.

Several CCDC6 mutations and gene rearrangements have been described so far in different types of cancer and CCDC6 may represent a possible predictive biomarker of tumor resistance to the conventional anticancer treatments. Nevertheless, the detection of a CCDC6 impairment in cancer patients may help to select, in future clinical trials, those patients who could benefit of PARP-inhibitors treatment alone or in combination with other treatments. This article is protected by copyright. All rights reserved.



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Enzyme replacement therapy prevents loss of bone and fat mass in murine homocystinuria

Abstract

Skeletal and connective tissue defects are the most striking symptoms in patients suffering from classical homocystinuria (HCU). Here, we determined body composition and bone mass in three mouse models of HCU and assessed whether a long-term administration of enzyme replacement therapy (ERT) corrected the phenotype. The mouse models of HCU were analyzed using dual-energy X-ray absorptiometry and the data were complemented by plasma biochemical profiles. Both the mouse model lacking CBS (KO) and the one expressing human CBS mutant transgene on a mouse CBS null background (I278T) showed marked bone loss and decreased weight mostly due to a lower fat content compared to negative controls. In contrast, the HO mouse expressing the human CBS WT transgene on a mouse CBS null background showed no such phenotype despite similar plasma biochemical profile to the KO and I278T mice. More importantly, administration of ERT rescued bone mass and changes in body composition in the KO mice treated since birth and reversed bone loss and improved fat content in the I278T mice injected after the development of clinical symptoms. Our study suggests that ERT for HCU may represent an effective way of preventing the skeletal problems in patients without a restricted dietary regime.

This article is protected by copyright. All rights reserved



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A novel inborn error of the Coenzyme Q10 biosynthesis pathway: Cerebellar ataxia and static encephalomyopathy due to COQ5 C-Methyltransferase deficiency

Abstract

Primary coenzyme Q10 (CoQ10; MIM# 607426) deficiencies are an emerging group of inherited mitochondrial disorders with heterogonous clinical phenotypes. Over a dozen genes are involved in the biosynthesis of CoQ10, and mutations in several of these are associated with human disease. However, mutations in COQ5 (MIM# 616359), catalyzing the only C-methylation in the CoQ10 synthetic pathway, have not been implicated in human disease.

Here, we report three female siblings of Iraqi-Jewish descent, who had varying degrees of cerebellar ataxia, encephalopathy, generalized tonic-clonic seizures and cognitive disability. Whole exome and subsequent whole genome sequencing identified biallelic duplications in the COQ5 gene, leading to reduced levels of CoQ10 in peripheral white blood cells of all affected individuals and reduced CoQ10 levels in the only muscle tissue available from one affected proband. CoQ10 supplementation led to clinical improvement and increased the concentrations of CoQ10 in blood.

This is the first report of primary CoQ10 deficiency caused by loss of function of COQ5, with delineation of the clinical, laboratory, histological and molecular features, and insights regarding targeted treatment with CoQ10 supplementation.

This article is protected by copyright. All rights reserved



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Exploring computer science students’ continuance intentions to use Kattis

Abstract

Teaching programming concepts to enhance students' problem solving and computational thinking skills is a challenging task, especially when students enter college with little to no preparation, or they lack the interest or capacity for programming. Online platforms that serve as automated practice and assessment systems have been offered as potential tools for supporting programming skills development, providing feedback, and motivating students. The present article discusses the use of an online automated practice and assessment system called Kattis for homework assignments and final project in three computer science courses. The goal of the present study was to ascertain students' continuance intentions to use Kattis. We attempt to address this by using partial least squares on data from a survey of 50 students. The findings of the present study suggest that continuance intentions to use Kattis is driven by students' level of satisfaction with the system, the degree of students' confirmation of expectations, and the perceived usefulness of the system.



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Correction to: Thyroid 2016;26:1343–1421. DOI: 10.1089/thy.2016.0229

Thyroid , Vol. 0, No. 0.


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The Role of Chemokines in Thyroid Carcinoma

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Thyroid , Vol. 0, No. 0.


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Combination of A-T advancement flap and crescentic flap: A novel approach to repair surgical defect above the eyebrow

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Snehal Desale, Chih-Jung Hsu

Indian Journal of Dermatology, Venereology, and Leprology 2017 83(6):717-719



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Vitiligo pathogenesis is interlinked with pigment homeostasis: A new concept

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Ratnam Attili, Sasi Kiran Attili

Indian Journal of Dermatology, Venereology, and Leprology 2017 83(6):630-634



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The nail as an investigative tool in medicine: What a dermatologist ought to know

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Chander Grover, Shikha Bansal

Indian Journal of Dermatology, Venereology, and Leprology 2017 83(6):635-643

The nail is an important skin appendage, but not many dermatologists are aware of the importance it receives outside our specialty. This article focuses on the nail in non-dermatological contexts. The nail is a keratinized matrix capable of continuous growth with the ability to incorporate various compounds within its structure. Therefore it can be used to monitor long-term consumption of drugs. It is also an excellent source of germ-line DNA for genetic analyses. With an increased undrstanding of nail physiology, there is now a better understanding of its connection to various pathologies as well. Nails, being peripherally placed, are easy to sample without significant discomfort to the patient, making them a valuable diagnostic tool. For this narrative review, we carried out a PubMed search using the key words "nail clipping," "nail DNA," "nail diabetes mellitus;" "nail clipping oncology," and "nail forensics". Retrieved articles were searched for information pertaining to non-dermatologic uses of nail for evaluation, which is presented in a narrative fashion. It is clear from recent literature that the nail is not just an inert skin appendage, but a dynamic window into the ever-changing metabolic and genetic milieu. We highlight the numerous roles of nail specimens, as well as point towards future research needed therein.

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Pseudoainhum and autoamputation associated with lamellar ichthyosis

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Biswanath Behera, Debasis Gochhait, Devinder Mohan Thappa

Indian Journal of Dermatology, Venereology, and Leprology 2017 83(6):728-729



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Traction alopecia: A neglected entity in 2017

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Christiana Oyinlola Akingbola, Jui Vyas

Indian Journal of Dermatology, Venereology, and Leprology 2017 83(6):644-649

Traction alopecia was first described in 1904 but is still a cause of scarring hair loss in young women worldwide. It is unique in being initially a reversible then an irreversible (scarring) form of alopecia. Linked to tightly-pulled hairstyles, it is seen across all races. The pattern of hair loss depends on the style creating it but most commonly affects the frontotemporal hairline. There are some new examination findings associated with traction alopecia, which are traction folliculitis, the fringe sign and hair casts (pseudonits) on dermatoscopy. These may prove key in prompting early specialist referral. The mainstay of current treatment is cessation of the contributing hairstyles. Camouflage, anti-inflammatory or growth-stimulating topical preparations are second line treatments. In later stages of severe traction alopecia hair transplantation may be the only effective treatment. The evidence basis for medical intervention with topical agents is anecdotal at best. Furthermore, additional research is required to clarify the pathogenesis of this biphasic alopecia. Until then, prompt diagnosis and identification of causative hairstyles are focus of current dermatological practice.

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Clinical and serological characteristics of nail psoriasis in Indian patients: A cross-sectional study

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Deepashree Daulatabad, Chander Grover, Bineeta Kashyap, Amit Kumar Dhawan, Archana Singal, Iqbal R Kaur

Indian Journal of Dermatology, Venereology, and Leprology 2017 83(6):650-655

Background: Nail involvement in psoriasis is common with a lifetime incidence of 80-90%. It may reflect severity of cutaneous involvement and predict joint disease. Yet it remains, poorly studied and evaluated especially in Indian psoriatic patients. Aim: The present study was undertaken to evaluate clinical and serological profile of nail involvement in psoriasis and to assess quality of life impairment associated with nail involvement in Indian patients. Methods: Consecutive patients with nail psoriasis were assessed for severity of cutaneous disease (psoriasis area severity index score) and nail disease (nail psoriasis severity index score). The impairment in quality of life attributable to nail disease was scored with nail psoriasis quality of life 10 score. All patients were also assessed for joint disease and tested for inflammatory and serological markers as erythrocyte sedimentation rate, C-reactive protein, rheumatoid factor and anti-cyclic citrullinated peptide antibodies. Results: In our cohort of 38 patients with nail psoriasis, 9 had concomitant psoriatic arthritis. The mean psoriasis area severity index was 14.4 ± 9.6 (range = 0.4–34). The most commonly recorded psoriatic nail changes were pitting (97.4%), onycholysis (94.7%) and subungual hyperkeratosis (89.5%). The mean nail psoriasis severity index score was 83.2 ± 40.1 (range = 5–156) and mean nail psoriasis quality of life 10 was 1.1 ± 0.4. Erythrocyte sedimentation rate and C-reactive protein were raised in 22/38 (57.9%) and 15/38 (39.5%) patients, respectively; rheumatoid factor was positive in 5/38 (13.2%) and anti-cyclic citrullinated peptide antibody was raised in 4/38 (10.5%) patients. Limitations: Small sample size and lack of a control group. Conclusions: In Indian patients with nail psoriasis, severity of nail involvement was found to be poorly correlated with the extent of cutaneous disease. In addition the impact of nail disease on patient's quality of life was found to be minimal. This suggests the need for a quality of life questionnaire suited to the Indian population. Serological markers were raised overall in the study patients and more so in the patients with concomitant arthritis.

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Dermoscopy and patch testing in patients with lichen planus pigmentosus on face: A cross-sectional observational study in fifty Indian patients

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Vinod Kumar Sharma, Vishal Gupta, Piyush Pahadiya, Kamal Kumar Vedi, Sudheer Arava, M Ramam

Indian Journal of Dermatology, Venereology, and Leprology 2017 83(6):656-662

Background: Lichen planus pigmentosus (LPP) is a common cause of facial melanosis in the dark-skinned population. At present, information on dermoscopy and patch testing in LPP is limited. Objectives: To describe dermoscopic findings and study the role of patch testing in patients with LPP on the face. Methods: Facial lesions of 50 patients with LPP were studied dermoscopically, followed by histological evaluation. Patch and photopatch tests with the Indian Standard Series and Scandinavian series, respectively, and patient's own cosmetics were performed on all patients. Results: The most common dermoscopic finding was dots and/or globules (43/50, 86%) in different patterns: hem-like (20.9%), arcuate (18.6%), incomplete reticular (39.5%), complete reticular (7%), and not otherwise specified (14%). Other patterns were exaggerated pseudoreticular pattern, accentuation of pigmentation around follicular openings, targetoid appearance, and obliteration of the pigmentary network. There were 26 relevant patch tests in 17 (34%) patients: para-phenylenediamine (n = 5), nickel (n = 3), colophony, perfume mix and fragrance mix (n = 2 each), thiuram mix and 3,3,4,5-tetrachlorosalicylanilide (n = 1 each), and patients' own products (n = 9). The only positive photopatch test was to fentichlor. No clinical or histological finding differed significantly based on patch test results. The only dermoscopic finding to be statistically associated with a positive patch test was the non-characteristic arrangement of dots/globules (P = 0.042). Limitations: Dermoscopic features were not correlated with clinical features or disease duration. Implications of patch testing on the management of LPP cannot be commented upon as ours was a cross-sectional study. Conclusions: The present study describes the dermoscopic findings of facial lesions in LPP. Our patch test results suggest a probable role of allergens in causing LPP on the face.

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Unusually high incidence of multifocal epithelial hyperplasia in children of the Nahuatl population of Mexico

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Constantino Ledesma-Montes, Amilcar Mendez-Mendoza

Indian Journal of Dermatology, Venereology, and Leprology 2017 83(6):663-666

Background: Multifocal epithelial hyperplasia is an uncommon disease of the oral mucosa caused by the human papilloma virus. Aim: To study the clinical and pathological findings of multifocal epithelial hyperplasia detected during an oral examination of 343 Mexican Nahuatl children from a single primary school in El Paso de Cupilco, Mexico. Methods: A thorough oral examination was performed in all children and clinical data (age, gender, location and number of lesions) were documented and analyzed. Results: Multifocal epithelial hyperplasia was diagnosed in 110 of the 343 children (32.3%). The ages of the children varied from 5 to 15 years, and of these, 56.3% were girls. The lesions were asymptomatic, 0.2 to 3.0 cm in diameter, soft, round to oval, smooth surfaced, sessile papulonodules, similar in colour to that of the surrounding mucosa. The lesions were commonly seen on the buccal mucosa and tongue, and most affected children (85%) had less than 5 lesions. Children in the 7 to 10 years age group were most often affected. Limitations: Human papillomavirus typing was not done owing to a lack of facilities. Conclusions: There is a high incidence of multifocal epithelial hyperplasia in Nahuatl children with a predilection for females.

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Yellapragada SubbaRow – The unsung Indian biochemist behind methotrexate and other drugs

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Ankit H Bharti, Yogesh S Marfatia

Indian Journal of Dermatology, Venereology, and Leprology 2017 83(6):733-735



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Low plasma zinc levels in androgenetic alopecia

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Kumpol Aiempanakit, Sawangpong Jandee, Kanokphorn Chiratikarnwong, Thavatchai Chuaprapaisilp, Sauvarat Auepemkiate

Indian Journal of Dermatology, Venereology, and Leprology 2017 83(6):741-741



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Cutaneous plasmacytosis: A rare entity with unique presentation

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Subhra Dhar, Lalthleng Liani, Kamlakar Patole, Sandipan Dhar

Indian Journal of Dermatology, Venereology, and Leprology 2017 83(6):673-676

Primary cutaneous plasmacytosis is a rare cutaneous disorder with extensive cutaneous plaques/papules mainly on the trunk and face. Cases have mostly been documented from Japan. We present here a rare case of cutaneous plasmacytosis from India of Mongolian descent. This 50-year-old female from Mizoram had extensive maculo-papular violaceous plaques distributed on the face, axillae, trunk and lower extremities. Initial and repeat skin biopsy revealed dense perivascular and periadnexal mature plasma cells. She also had lymphadenopathy. Serum protein electrophoresis did not reveal any M band and the Bence Jones protein was negative in urine. The patient had multiple superficial lymph nodes and a biopsy from the cervical lymph node showed effacement of normal nodal architecture by sheets of plasma cells. Immuno histochemistry was done from both skin and lymph node biopsies. The kappa and lambda tight chains were not restricted; there by proving the polyclonal nature of the plasma cells. The novelty of the case lies in its classical clinical presentation with histopathological documentation.

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Follicular psoriasis - dermoscopic features at a glance

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Biswanath Behera, Debasis Gochhait, Raj Remya, MR Resmi, Rashmi Kumari, Devinder Mohan Thappa

Indian Journal of Dermatology, Venereology, and Leprology 2017 83(6):702-704



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Meaghan Durgin, Andrew Katz

Meaghan Mary Durgin and Andrew Currin Katz were married Oct. 14 at Willowdale Estate in Topsfield, Mass. The Rev.



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Psychological and lifestyle risk factors for asthma exacerbations and morbidity in children

Asthma is the most common childhood illness and disproportionately affects low-income, minority children who live in urban areas. A range of risk factors are associated with asthma morbidity and mortality, suc...

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Is There a Link between Defects of Thyroid Hormonogenesis and Morphogenesis?

Clinical Thyroidology Oct 2017, Vol. 29, No. 10: 389-391.


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Most Low-Risk Papillary Thyroid Cancers Remain Stable During Active Surveillance

Clinical Thyroidology Oct 2017, Vol. 29, No. 10: 368-370.


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Hypothyroidism in the Differential Diagnosis of Hyponatremia — A Clinical Pearl in Peril

Clinical Thyroidology Oct 2017, Vol. 29, No. 10: 395-397.


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A 10-Gene Classifier Can Accurately Diagnose Malignant Versus Benign Cytologically Indeterminate Thyroid Nodules

Clinical Thyroidology Oct 2017, Vol. 29, No. 10: 375-377.


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Mortality May Be Higher in Older Patients Whose Levels of TSH and Free T4 Are More Variable

Clinical Thyroidology Oct 2017, Vol. 29, No. 10: 385-388.


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Tumor-Volume–Doubling Time of Pulmonary Metastases in Follicular-Cell–Derived Thyroid Carcinoma May Allow More Appropriate Selection of Patients for Multikinase Inhibitor Therapy

Clinical Thyroidology Oct 2017, Vol. 29, No. 10: 378-381.


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Exposure to Flame Retardants Is Inconsistently Associated with Papillary Thyroid Cancer

Clinical Thyroidology Oct 2017, Vol. 29, No. 10: 392-394.


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Subclinical Hyperthyroidism with Serum TSH

Clinical Thyroidology Oct 2017, Vol. 29, No. 10: 382-384.


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Thyroid Cancer Tumor Board: To Surveil or Not to Surveil? That Is the Question

Clinical Thyroidology Oct 2017, Vol. 29, No. 10: 398-400.


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An Akt3 splice variant lacking the serine 472 phosphorylation site promotes apoptosis and suppresses mammary tumorigenesis

The Akt pathway is a well-known promoter of tumor malignancy. Akt3 is expressed as two alternatively spliced variants, one of which lacks the key regulatory serine 472 phosphorylation site. Whereas the function of full-length Akt3 isoform (Akt3/+S472) is well-characterized, that of Akt3/-S472 isoform remains unknown. Despite being expressed at a substantially lower level than Akt3/+S472 in triple negative breast cancer cells, specific ablation of Akt3/-S472, enhanced, whereas overexpression, suppressed mammary tumor growth-consistent with a significant association with patient survival duration relative to Akt3/+S472. These effects were due to induction of apoptosis, which was mediated by Bim upregulation, leading to conformational activation of Bax and caspase-3 processing. Bim accumulation was caused by endocytosis of EGF receptors with concomitant ERK attenuation, which stabilizes BIM. These findings demonstrate an unexpected function of an endogenously expressed Akt isoform in promoting - as opposed to suppressing - apoptosis, underscoring that Akt isoforms may exert dissonant functions in malignancy.

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STK33 promotes growth and progression of pancreatic cancer as a critical downstream mediator of HIF-1{alpha}

The serine/threonine kinase STK33 has been implicated in cancer cell proliferation. Here we provide evidence of a critical role for STK33 in the pathogenesis and metastatic progression of pancreatic ductal adenocarcinoma (PDAC). STK33 expression in PDAC was regulated by the hypoxia-inducible transcription factor HIF-1α. In human PDAC specimens, STK33 was overexpressed and associated with poor prognosis. Enforced STK33 expression promoted PDAC proliferation, migration, invasion and tumor growth, whereas STK33 depletion exerted opposing effects. Mechanistic investigations showed that HIF-1α regulated STK33 via direct binding to a hypoxia response element in its promoter. In showing that dysregulated HIF-1α/STK33 signaling promotes PDAC growth and progression, our results suggest STK33 as a candidate therapeutic target to improve PDAC treatment.

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ATR is a therapeutic target in synovial sarcoma

Synovial sarcoma (SS) is an aggressive soft-tissue malignancy characterised by expression of SS18-SSX fusions, where treatment options are limited. To identify therapeutically actionable genetic dependencies in SS, we performed a series of parallel, high-throughput small interfering RNA (siRNA) screens and compared genetic dependencies in SS tumor cells to those in >130 non-SS tumour cell lines. This approach revealed a reliance of SS tumor cells upon the DNA damage response serine/threonine protein kinase ATR. Clinical ATR inhibitors (ATRi) elicited a synthetic lethal effect in SS tumor cells and impaired growth of SS patient-derived xenografts. Oncogenic SS18-SSX family fusion genes are known to alter the composition of the BAF chromatin-remodeling complex, causing ejection and degradation of wild-type SS18 and the tumor suppressor SMARCB1. Expression of oncogenic SS18-SSX fusion proteins caused profound ATRi sensitivity and a reduction in SS18 and SMARCB1 protein levels, but a SSX18-SSX1 Δ71-78 fusion containing a C-terminal deletion did not. ATRi sensitivity in SS was characterized by an increase in biomarkers of replication fork stress (increased γH2AX, decreased replication fork speed, and increased R-loops), an apoptotic response, and a dependence upon Cyclin E expression. Combinations of cisplatin or PARP inhibitors enhanced the anti-tumor cell effect of ATRi, suggesting that either single agent ATRi or combination therapy involving ATRi might be further assessed as candidate approaches for SS treatment.

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Administering xCT inhibitors based on circadian clock improves antitumor effects

Clock genes encoding transcription factors that regulate circadian rhythms may inform chrono-modulated chemotherapy, where time-dependent dose alterations might affect drug efficacy and reduce side effects. For example, inhibiting the essential cystine transporter xCT with sulfasalazine induces growth arrest in cancer cells. Although the anticancer effects of sulfasalazine have been studied extensively, its effects on transcriptional control of xCT expression have not been studied. Here we show that sulfasalazine administration during the period of increased xCT expression improves its anticancer effects, and that the Clock gene itself induces xCT expression and regulates its circadian rhythm. Our findings highlight the clinical potential of chrono-modulated chemotherapy and the importance of xCT-mediated transcriptional regulation in the utility of such strategies.

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Blocking myristoylation of Src inhibits its kinase activity and suppresses prostate cancer progression

Protein N-myristoylation enables localization to membranes and helps maintain protein conformation and function. N-myristoyltransferases (NMT) catalyze co- or post-translational myristoylation of Src family kinases and other oncogenic proteins, thereby regulating their function. In this study, we provide genetic and pharmacological evidence that inhibiting the N-myristoyltransferase NMT1 suppresses cell cycle progression, proliferation and malignant growth of prostate cancer cells. Loss of myristoylation abolished the tumorigenic potential of Src and its synergy with androgen receptor in mediating tumor invasion. We identified the myristoyl-CoA analog B13 as a small molecule inhibitor of NMT1 enzymatic activity. B13 exposure blocked Src myristoylation and Src localizaiton to the cytoplasmic membrane, attenuating Src-mediated oncogenic signaling. B13 exerted its antiinvasive and antitumor effects against prostate cancer cells with minimal toxic side-effects in vivo. Structural optimization based on structure-activity relationships enabled the chemical synthesis of LCL204 with enhanced inhibitory potency against NMT1. Collectively, our results offer a preclincal proof of concept for the use of protein myristoylation inhibitors as a strategy to block prostate cancer progression.

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Clinical significance of programmed cell death-ligand 1 expression and the immune microenvironment at the invasive front of colorectal cancers with high microsatellite instability

Abstract

Immunotherapy is reportedly effective in colorectal cancers (CRCs) with high microsatellite instability (MSI-H); however, the specific cell types that respond to immune checkpoint therapy are unclear. Herein, we aimed to examine the expression of programmed cell death-ligand 1 (PD-L1) and related proteins in MSI-H and microsatellite-stable (MSS) CRCs to investigate the immune microenvironment at the tumor's invasive front. The MSI status was retrospectively assessed in 499 patients undergoing surgical resection of primary CRC; of these, 48 were classified as MSI-H. Propensity score matching was performed, and tissues from 36 and 37 patients with MSI-H and MSS CRCs, respectively, were immunohistochemically evaluated for PD-L1, PD-1, CD8, and CD68. PD-L1 expression was evaluated separately for tumor cells (PD-L1 [T]) and tumor-infiltrating myeloid cells in the stroma (PD-L1 [I]). PD-L1 (T) was positive in only 5.4% and 36.1% of MSS and MSI-H CRCs, while PD-L1 (I) was positive in 27% and 72.2% of these CRCs, respectively. The PD-L1 (T) and PD-L1 (I) expression levels in MSI-H CRCs significantly correlated with poor differentiation, lymphatic invasion, and vascular invasion (P<0.05), and with early-stage adenocarcinoma and high budding grade (P<0.05), respectively. Significantly more PD-L1 (I), CD8-positive cells, and CD68-positive macrophages were present at the invasive front than in the central tumor in MSI-H CRCs (P<0.005). PD-L1 was expressed on both tumor cells and CD68/CD163-positive (M2) macrophages at the invasive front of MSI-H CRCs. In conclusion, PD-L1-positive tumor cells and M2-type tumor-associated macrophages may contribute to tumor invasion and immune escape at the invasive front. This article is protected by copyright. All rights reserved.



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Comparative responses of diazotrophic abundance and community structure to the chemical composition of paddy soil

Abstract

Diazotrophy is considered as one of the most crucial and dynamic phenomena in the rice field and also a major source of nitrogen input. The objective of this study was to elucidate possible interactions between diverse and dominant diazotrophic bacterial community and organic carbon composition of the paddy soil. Our results suggest that most abundantly found diazotrophs belong to a proteobacteria group and uncultured bacterial forms. A gene abundance study clearly showed significantly higher diazotrophic abundance (P < 0.01) at Chandauli (CHN) as compared to Varanasi (VNS) and Ghazipur (GHJ) districts of Eastern Uttar Pradesh, India, with nitrogenase reductase (nifH) copy number between 1.44 × 103 and 3.34 × 103 copy g−1 soil. Fourier-transform infrared (FT-IR) spectroscopy data identified –CO–, C=O ( \( {\mathrm{NH}}_{2^{-}} \) and –NH–), \( {\mathrm{CH}}_{2^{-}} \) , and OH– as dominant organic functional groups in the paddy soil. Multivariate analysis was performed to get a clear and more accurate picture of interactions between free-living diazotrophs and abiotic soil factors. Regression analysis suggested a similar trend of distribution of different functional groups along each site. Relative abundance and diversity of diazotrophic population increased in response to FT-IR-based soil organic fractions. Maximum number of FT-IR spectral peak at sites in the Chandauli district augmented its bacterial diazotrophic diversity and abundance. Taken together, the present study sheds light on the substrate-driven composition of the microbial population of selected paddy areas.



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Evaluation of antioxidant potential of essential oils of some commonly used Indian spices in in vitro models and in food supplements enriched with omega-6 and omega-3 fatty acids

Abstract

The aim of this study was to evaluate and compare the antioxidant potential of essential oils of some commonly used Indian spices (black pepper, cinnamon, clove, coriander and cumin) in various in vitro models and in food supplements enriched with omega-6 and omega-3 fatty acids. In vitro antioxidant potential was evaluated using 1,1-diphenyl-2-picrylhydrazyl (DPPH) radical-scavenging and Fe2+ ion-chelating methods and lipid oxidation stabilisation potential was evaluated in bulk soybean oil-fish oil mixture and their oil-in-water emulsions using peroxide value (PV), p-anisidine value (p-AV) and total oxidation value as indicators of oxidation. Combination effects using DPPH radical scavenging and Briggs-Rauscher oscillating reaction methods were also evaluated. Test essential oils showed varying degrees of radical scavenging and Fe2+ ion-chelating efficacy. Clove and coriander oils showed significantly higher (P < 0.05) radical scavenging and Fe2+ ion-chelating potential over other tested essential oils as well as BHT and ∞-tocopherol. The anti-lipid peroxidative potential of test essential oils was found in the following decreasing order: clove > coriander > BHT > cinnamon > α-tocopherol > cumin > black pepper. Furthermore, clove and coriander oils showed synergistic antioxidant activity in combination both in DPPH radical scavenging and Briggs-Rauscher oscillating reaction methods whereas other possible combinations showed additive effects. Strong radical scavenging and Fe2+-chelating as well as anti-lipid peroxidative activities of clove and coriander oils provide evidence that clove and coriander oils may serve as a potential source of natural antioxidants for retarding lipid oxidation of food supplements enriched with omega-6 and omega-3 fatty acids.



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Phenotypic influences on the reproductive strategy of the facultative sexual rotifer Brachionus rubens (Monogononta)

Abstract

Facultative sexual species employ a dual reproductive strategy (heterogony) comprising primarily asexual reproduction with intermittent sexual reproduction. Given the higher relative costs of sexual reproduction, elucidating the triggers underlying these transitions might help our understanding of the evolution of (obligate) sex in general. Existing hypotheses into how and when facultative sexuals invest into sex focus largely either on environmental (habitat-deterioration and resource-demanding hypotheses) or genetic factors (condition-dependent hypothesis), but tend to lack experimental evidence, especially with respect to within-population variation. To address this deficit, we examined the influence of several variables that potentially affect fitness (food quality, water temperature, physiological acclimation, and all combinations thereof) on both the lifetime reproduction (total number of offspring) and investment into sexual offspring per female in a clonal population of the monogonont rotifer Brachionus rubens. Investment into sex, both absolutely and relative to lifetime reproduction, was tied most closely to and positively correlated with individual fitness (i.e., lifetime reproduction): individuals with higher fitness invested more into sexual reproduction. These results run contra to the condition-dependent hypothesis and indicate an energy-budget analogue of the resource-demanding hypothesis. Furthermore, investment into sex increased after a period of physiological acclimation to the new conditions, probably because of the amelioration of short-term stress effects or clonal selection. Our results underscore that life history and general phenotypic considerations—here, energetic provisioning of offspring, the presence of a sexual resting stage, and the relative timing of sexual versus asexual reproduction—can modify existing hypotheses based either on environmental or genetic factors alone.



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The American Thyroid Association’s Professional Journals: New Editor-in-Chief for VideoEndocrinology™

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October 16, 2017—Three highly regarded professional journals are published by the American Thyroid Association (ATA): Thyroid, Clinical Thyroidology, and VideoEndocrinology™. Each is under the leadership of an editor-in-chief (EIC) with specialized qualifications.  The ATA is proud to announce that William B. Inabnet, III, MD, will take over the helm of the video-journal at the beginning of 2018.

The incoming EIC of VideoEndocrinology, William B. Inabnet, III, MD, is Chair of the Department of Surgery at Mount Sinai Beth Israel (New York) and the Eugene W. Friedman, MD, Professor of Surgery and Surgical Director of the Diabetes, Obesity, and Metabolism Institute at the Icahn School of Medicine at Mount Sinai. He is also the inaugural Director of Endocrine Surgery Quality for the Mount Sinai Health System.

Dr. Inabnet received his MD from the University of North Carolina at Chapel Hill, NC, and completed his residency in general surgery at Rush Medical College and Rush-Presbyterian-St Luke's Medical Center in Chicago. He completed a fellowship in endocrine surgery at Cochin Hospital in Paris, where he trained under Professor Yves Chapuis, a world leader in the field of endocrine surgery and targeted parathyroidectomy.

An international authority in the field of minimally invasive endocrine surgery, Dr. Inabnet has pioneered new techniques in minimal-access endocrine neck surgery as well as adrenal and pancreatic surgery. In 1998, he helped perform the first endoscopic thyroid resection in the United States (second in the world), and has since helped advance the field of video-endoscopic neck surgery. Dr. Inabnet was among the first surgeons in the United States to introduce remote access thyroid surgery and is one of the few surgeons in the world who performs transaxillary, bilateral axillo-breast approach (BABA) and transoral endoscopic thyroid surgery.

Dr. Inabnet is also a leader in the field of minimally invasive metabolic surgery with an interest in disorders of the endocrine system in obese patients, especially type 2 diabetes and malignancy. He has participated in national and international clinical trials evaluating the role of gastrointestinal surgery in treating diabetes. He holds numerous leadership positions in the American Association of Endocrine Surgeons, the American Association of Metabolic and Bariatric Surgery, the American College of Surgeons, and the ATA.

He has authored more than 180 peer-reviewed articles and book chapters, as well as five textbooks. He lectures throughout the world and is a member of the Southern Surgical Association, the American Surgical Association, the French National Academy of Surgery, and the French Academy of Medicine.

"Dr. Inabnet was selected as Editor-in-Chief by an ATA search committee from a pool of very strong candidates because of his experience with audiovisual production and presentation, his vision, and his prominent position in the field of endocrine surgery. The interest of this outstanding field of candidates in the position speaks to the importance of VideoEndocrinology™, especially to surgeons performing thyroid, parathyroid, and adrenal procedures," says John C. Morris, III, MD, President of the ATA and Professor of Medicine, Mayo Clinic, Rochester, MN. "With Barry's leadership, we look forward to the continued growth and stature of this groundbreaking video-journal, continuing the trajectory established by its inaugural Editor-in-Chief, Dr. Gerard Doherty."

Gerard M. Doherty, MD, Surgeon-in-Chief, Brigham and Women's Hospital, Harvard University, has provided strong leadership for VideoEndocrinology since its inception in 2014. The ATA is very grateful for his invaluable work and guidance in founding the first broad-based video-journal in endocrinology.

Peter A. Kopp, MD, is Editor-in-Chief of the ATA's flagship journal Thyroid and Professor of Medicine, Division of Endocrinology, Metabolism, and Molecular Medicine, Northwestern University Feinberg School of Medicine, Chicago. Thyroid is a monthly, peer-reviewed forum for topics ranging from the molecular biology of the thyroid gland to clinical management of thyroid disorders. The journal Thyroid also publishes quarterly Chinese editions.

Jerome M. Hershman, MD, MS, MACP, is Editor-in-Chief of the ATA's online journal Clinical Thyroidology, which provides a broad-ranging look at the clinical thyroid literature. Dr. Hershman is Distinguished Professor of Medicine Emeritus at the David Geffen School of Medicine at UCLA and Director of the Endocrine Clinic at the West Los Angeles VA Medical Center. He was the Editor of Thyroid from 1991­‒2000.

###

 The American Thyroid Association (ATA) is the leading worldwide organization dedicated to the advancement, understanding, prevention, diagnosis, and treatment of thyroid disorders and thyroid cancer. ATA is an international membership medical society with over 1,700 members from 43 countries around the world. Celebrating its 94th anniversary, the ATA continues to deliver its mission of being devoted to thyroid biology and to the prevention and treatment of thyroid disease through excellence in research, clinical care, education, and public health.  These efforts are carried out via several key endeavors:

 The publication of the highly regarded professional journals Thyroid, Clinical Thyroidology, and VideoEndocrinology

  • Annual scientific meetings
  • Biennial clinical and research symposia
  • Research grant programs for young investigators
  • Support of online professional, public, and patient educational programs
  • Development of guidelines for clinical management of thyroid disease and thyroid cancer


The ATA promotes thyroid awareness and information online through Clinical Thyroidology for the Public and extensive, authoritative explanations of thyroid disease and thyroid cancer in both English and Spanish. The ATA website serves as the clinical resource for patients and the public who look for reliable information on the Internet. Every fifth year, the American Thyroid Association joins with the Latin American Thyroid Society, the European Thyroid Association, and the Asia and Oceania Thyroid Association to cosponsor the International Thyroid Congress (ITC).

The post The American Thyroid Association's Professional Journals: New Editor-in-Chief for VideoEndocrinology™ appeared first on American Thyroid Association.



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Desalination and Nanofiltration through Functionalized Laminar MoS2 Membranes

TOC Graphic

ACS Nano
DOI: 10.1021/acsnano.7b05124
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In silico system pharmacology for the potential bioactive ingredients contained in Xingnaojing Injection (醒脑静注射液) and Its material basis for sepsis treatment

Abstract

Objective

To elucidate the action mechanism of Xingnaojing Injection (醒脑静注射液, XNJI) for sepsis, and to target screen the potential bioactive ingredients.

Methods

An integrated protocol that combines in silico target screen (molecular docking) and database mapping was employed to find the potential inhibitors from XNJI for the sepsis-related targets and to establish the compound–target (C-T) interaction network. The XNJI's bioactive components database was investigated and the sepsis-associated targets were comprehensively constructed; the 3D structure of adenosine receptor A2a and 5-lipoxygenase proteins were established and evaluated with homology modeling method; system network pharmacology for sepsis treatment was studied between the bioactive ingredients and the sepsis targets using computational biology methods to distinguish inhibitors from non inhibitors for the selected sepsis-related targets and C-T network construction.

Results

Multiple bioactive compounds in the XNJI were found to interact with multiple sepsis targets. The 32 bioactive ingredients were generated from XNJI in pharmacological system, and 21 potential targets were predicted to the sepsis disease; the biological activities for some potential inhibitors had been experimentally confirmed, highlighting the reliability of in silico target screen. Further integrated C-T network showed that these bioactive components together probably display synergistic action for sepsis treatment.

Conclusions

The uncovered mechanism may offer a superior insight for understanding the theory of the Chinese herbal medicine for combating sepsis. Moreover, the potential inhibitors for the sepsis-related targets may provide a good source to find new lead compounds against sepsis disease.



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A comparative study of glomerular filtration rate in normal healthy controls and type 2 diabetes mellitus patients in south India

Neelkanth Kote, MD Ranganath

International Journal of Clinical and Experimental Physiology 2017 4(3):148-151

Background and Aim: Diabetes mellitus (DM) is one of the most common metabolic diseases, which is characterized by increased blood glucose levels. DM is the leading cause for chronic kidney disease (CKD) and end-stage renal disease. To estimate the glomerular filtration rate (GFR) of normal healthy controls and type II DM (T2DM) patients using Cockcroft–Gault (CG) formula and to compare the GFR values of normal subjects and T2DM patients (with respect to glycated hemoglobin [HbA1c]). Methods: The total sample size of the study was 60, among which 30 were healthy individuals (controls) and 30 were T2DM patients (subjects with both controlled and uncontrolled HbA1c). A detailed history was taken from the subjects and controls followed by a thorough clinical examination. Blood and urine samples were collected from all the subjects for the estimation of serum creatinine, HbA1c, and urine routine analysis. The GFR is calculated for all the study participants using CG formula, and the results were expressed in the form of graphs and charts. Results: The overall GFR value was well within the normal limits in controls than the subjects. In the present study, the values of GFR were 106.87 + 8.29 and 100.03 + 12.42 in normal healthy controls (Group A) and diabetic subjects (Group B), respectively. In this study, value of HbA1c in healthy control males and females was 6.74 ± 0.39 and6.76 ± 1.04, respectively. Similarly, the value of HbA1c in diabetic subject males and females was 7.32 ± 0.69 and 7.06 ± 1.45, respectively. There was a significant positive correlation between GFR with the degree glycemic control in T2DM of the study population. Conclusion: The present study indicates that the degree of glycemic control in T2DM reflects the ongoing kidney damage by change in GFR of the kidney. The GFR of diabetic subjects is comparatively lower when compared with GFR of normal healthy controls. Our study also shows that there is a higher risk of developing CKD in diabetics with poor glycemic index than diabetics with good glycemic index.

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Dietary cholesterol restriction is not good for health

Gopal Krushna Pal, Nivedita Nanda

International Journal of Clinical and Experimental Physiology 2017 4(3):109-110



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Placebo response in clinical trials: Taming the human brain

Payal Bhardwaj, Raj Kumar Yadav

International Journal of Clinical and Experimental Physiology 2017 4(3):123-128

The use of placebo in comparative clinical trials has exposed another lesser known side of the placebo, i.e., the placebo response. The placebo response is now being increasingly discussed, not only to adjust for the true clinical efficacy of a drug but also to understand the basis of psychological therapy, and benefits in therapeutic areas such as neurological disorders, especially pain. The mechanism of placebo action is multifaceted and works on the levels of brain and biochemical signaling, stimulated by priming and expectations. The imaging data show that certain areas of the brain are hyperactive while some are hypoactive during the placebo-mediated response, and trigger a biochemical pathway that relieves the symptoms. The data also suggest that the extent of benefit, i.e., the effect size of placebo response is directly proportional to positive expectations associated with the treatment, trust on the treating doctor, and certain beliefs associated with previous treatment. Although placebos incite a positive response, these might compromise or artifact the true efficacy of the drugs, thereby necessitating the need of addressing or minimizing the placebo response. Furthermore, it is important to identify the factors that modulate the placebo response, such as severity and natural burning out of the disease. Therefore, it is important to take a two-pronged approach- first, placebo as a treatment, for example, in neurological diseases, and second, adequately designed studies that minimize the placebo response. In this article, we discuss the placebo response, the mechanism behind it, its implications in clinical trials, and how to address the same.

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Coexistence of epidermal growth factor receptor 19 deletion and 21 point mutation in nonsmall cell lung cancer: A report of 3 cases

Lu Yunyun

International Journal of Clinical and Experimental Physiology 2017 4(3):157-159

The coexistence of an epidermal growth factor receptor (EGFR) 19 deletion and 21 point mutation represents a rare event in patients with nonsmall cell lung cancer. We present three cases of female patients with lung adenocarcinoma who had the double genetic mutations. The patients were all treated with EGFR tyrosine kinase inhibitors (TKIs) because the tumors were judged inoperable. In all cases, tumor progression occurred after a few months. Further studies are needed to determine whether the EGFR-TKI resistance time in patients with double genetic mutations is longer than that in patients with a single mutation.

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Sokolow-Lyon voltage and cornell voltage criteria in the diagnosis of left ventricular hypertrophy in obese individuals

Samata Padaki, Amrut Dambal

International Journal of Clinical and Experimental Physiology 2017 4(3):129-132

Background and Aim: Left ventricular hypertrophy (LVH) marks the ongoing disease process involving the heart. A precise diagnostic tool needs to be established to accurately determine LVH by electrocardiography (ECG), which itself is a predictor of future cardiovascular mortality and morbidity. Assessment of LVH electrocardiographically by Sokolow-Lyon voltage criteria and Cornell voltage criteria in obese individuals. Methods: Obese 50 individuals with LVH secondary to hypertension confirmed by echocardiogram were considered as study subjects. Standard 12-lead ECG was obtained and analyzed for Sokolow-Lyon voltage criteria and Cornell voltage criteria. Statistical analysis was done by unpaired t-test using SPSS package version 20. Results: According to Sokolow-Lyon voltage criteria, 42 cases (38.27 ± 2.96) and 41 controls (37.23 ± 2.01) had LVH which was statistically nonsignificant. According to Cornell voltage criteria, 36 male cases (35.42 ± 2.98) and 36 controls (32.3 ± 2.13) had LVH and it was statistically significant (P < 0.000 1). Ten female cases (26.87 ± 2.01) and 7 controls (22.9 ± 2.36) also had LVH and it was statistically significant (P < 0.002). About 84% of cases were assessed to have LVH by Sokolow-Lyon voltage criteria whereas 92% of cases were assessed to have LVH by Cornell voltage criteria. Conclusion: QRS duration is an independent ECG predictor of the presence of LVH. The Cornell voltage criteria significantly improve identification of LVH relative to Sokolow-Lyon voltage criteria in obese individuals.

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Increased cardiovascular risks in prehypertensives expressing angiotensin-converting enzyme gene polymorphism

Gopal Krushna Pal, Chandrasekaran Adithan, Pravati Pal, Nivedita Nanda, Allampalli Sirisha

International Journal of Clinical and Experimental Physiology 2017 4(3):142-147

Background and Aim: Although angiotensin-converting enzyme (ACE) gene polymorphism has been documented to play an important role in the genesis of hypertension, its role in the development of prehypertension has not been investigated. To study the association of ACE genotypes and their link to SVI and CV risks in young prehypertensives in Indian population. Methods: This cross-sectional study was conducted in 172 individuals divided into prehypertensives (n = 57) and normotensives (n = 115) based on their level of systolic blood pressure (SBP) and diastolic blood pressure (DBP). Body mass index, cardiovascular (CV) parameters such as heart rate (HR), SBP, DBP, mean arterial pressure (MAP), rate pressure product, stroke volume, left ventricular ejection time, cardiac output, total peripheral resistance, and baroreflex sensitivity (BRS) were recorded by continuous BP variability (BPV) monitoring using finapres, and sympathovagal imbalance (SVI) was assessed by spectral analysis of HR variability (HRV). Biochemical parameters such as homeostatic model assessment of insulin resistance (HOMA-IR), lipid risk factors, inflammatory markers, renin and oxidative stress (OS) parameters were measured. Genotyping for ACE gene polymorphism (insertion [I]/deletion [D] or ID polymorphism) was done by polymerase chain reaction-restriction fragment length polymorphism methods. Multiple regression analysis was done to assess the association between SVI and metabolic markers, and logistic regression was done to determine the BRS prediction of prehypertension status and CV risks in ACE genotypes. The BPV, HRV, and biochemical parameters were significantly altered in prehypertensives. Results: The ID genotype of ACE was most commonly distributed among the population (33.3% prehypertensives and 50.4% in normotensives). LH-HF ratio, the marker of SVI, was significantly associated with MAP, HOMA-IR, interleukin-6, tumor necrosis factor-alpha, renin, and BRS in ID genotype of prehypertensive population. BRS, the marker of CV risk, had significant prediction of prehypertension status in ID genotypes population. Conclusion: The ACE ID gene polymorphism appears to be the candidate gene for prehypertension. ID contributes to SVI in young prehypertensives attributed by insulin resistance and inflammation. The CV risks are strongly associated with prehypertension status in ID genotypes in prehypertensives.

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Efficacy of Selective Phenolic Compounds on the Activity of Voltage-gated K+ Current in Human Prostate Cancer Cell Line

Kiran George, Raman Malathi

International Journal of Clinical and Experimental Physiology 2017 4(3):133-138

Background and Aim: Phenolic compounds are reported to possess wide range of therapeutic properties against variety of diseases including cancer. Voltage-gated K+ channels (IK) are known to contribute many basic cellular functions in cancer cells. However, only few studies describe the IKcurrent blockade and inhibition of cancer cell growth in prostate cancer cells. To investigate the electrophysiological characteristics of IKchannels in prostate cancer cells. Methods: In the present study, whole-cell patch-clamp technique is used to study the modulatory effect of curcumin, rutin, troxerutin, and resveratrol on IKcurrent in human prostate cancer cell line PC-3. Results: The obtained results show that exposure of PC-3 cells to 200 μM of resveratrol inhibited IKcurrent more than half of the current when compared to control. However, this effect was reversible after application of external solution. Whereas curcumin, rutin, and troxerutin did not show any effect on IKcurrent in PC-3 cells. Conclusion: Our findings reveal that among the various tested compounds, only resveratrol effectively inhibited IK current in PC-3 cells and also this study concludes that not all the anticancer compounds have the ability to inhibit IK current in PC-3 cells.

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Relevancy of free online software and websites in detection of plagiarism

Himel Mondal, Shaikat Mondal

International Journal of Clinical and Experimental Physiology 2017 4(3):139-141

Background and Aim: Plagiarism is disgraceful to authors and opposed in the scientific community. Before submitting articles to journals, authors should check whether the article is unintentionally plagiarized or not. However, online premium plagiarism checking service may not be accessible to many authors. For those authors, there are many websites which offer plagiarism detection service free of cost. The aim of the study was to assess the efficacy of those websites in the detection of plagiarism. Methods: A paragraph of text with 2 verbatim plagiarized sentences, 2 inadequately paraphrased sentences, and 2 perceived unique sentences was used as a tool. This paragraph was checked for plagiarism in 23 popular websites. Results showed by websites were recorded and analyzed. Chi-square test with α = 0.05 was used to compare the proportion of websites. Results: Among 23 websites, only 4 websites (17.39%) detected plagiarism above the expected level. Thirteen (56.52%) websites showed result of 0% plagiarism for the paragraph. Verbatim plagiarism was detected by 6 websites (26.09%) where only 1 website could detect inadequate paraphrasing. Conclusion: The majority of websites offering free plagiarism checking service failed to detect plagiarized content effectively. The level of detected plagiarism differs in the different website for same content. Hence, checking the manuscript in multiple websites would provide relatively better screening result for plagiarism.

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In silico system pharmacology for the potential bioactive ingredients contained in Xingnaojing Injection (醒脑静注射液) and Its material basis for sepsis treatment

Abstract

Objective

To elucidate the action mechanism of Xingnaojing Injection (醒脑静注射液, XNJI) for sepsis, and to target screen the potential bioactive ingredients.

Methods

An integrated protocol that combines in silico target screen (molecular docking) and database mapping was employed to find the potential inhibitors from XNJI for the sepsis-related targets and to establish the compound–target (C-T) interaction network. The XNJI's bioactive components database was investigated and the sepsis-associated targets were comprehensively constructed; the 3D structure of adenosine receptor A2a and 5-lipoxygenase proteins were established and evaluated with homology modeling method; system network pharmacology for sepsis treatment was studied between the bioactive ingredients and the sepsis targets using computational biology methods to distinguish inhibitors from non inhibitors for the selected sepsis-related targets and C-T network construction.

Results

Multiple bioactive compounds in the XNJI were found to interact with multiple sepsis targets. The 32 bioactive ingredients were generated from XNJI in pharmacological system, and 21 potential targets were predicted to the sepsis disease; the biological activities for some potential inhibitors had been experimentally confirmed, highlighting the reliability of in silico target screen. Further integrated C-T network showed that these bioactive components together probably display synergistic action for sepsis treatment.

Conclusions

The uncovered mechanism may offer a superior insight for understanding the theory of the Chinese herbal medicine for combating sepsis. Moreover, the potential inhibitors for the sepsis-related targets may provide a good source to find new lead compounds against sepsis disease.



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Pattern classification of enterovirus 71-associated hand, foot, and mouth disease in chinese medicine: A retrospective study in 433 cases

Abstract

Objective

To determine whether patterns of enterovirus 71 (EV71)-associated hand, foot, and mouth disease (HFMD) were classified based on symptoms and signs, and explore whether individual characteristics were correlated with membership in particular pattern.

Methods

Symptom-based latent class analysis (LCA) was used to determine whether patterns of EV71-HFMD existed in a sample of 433 cases from a clinical data warehouse system. Logistic regression was then performed to explore whether demographic, and laboratory data were associated with pattern membership.

Results

LCA demonstrated a two-subgroup solution with an optimal fifit, deduced according to the Bayesian Information Criterion minima. Hot pattern (59.1% of all patients) was characterized by a very high fever and high endorsement rates for classical HFMD symptoms (i.e., rash on the extremities, blisters, and oral mucosa lesions). Non-hot pattern (40.9% of all patients) was characterized by classical HFMD symptoms. The multiple logistic regression results suggest that white blood cell counts and aspartate transaminase were positively correlated with the hot pattern (adjust odds ratio=1.07, 95% confifidence interval: 1.006–1.115; adjust odds ratio=1.051, 95% confifidence interval: 1.019–1.084; respectively).

Conclusions

LCA on reported symptoms and signs in a retrospective study allowed different subgroups with meaningful clinical correlates to be defifined. These fifindings provide evidence for targeted prevention and treatment interventions.



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Endoscopic ultrasound-guided pancreatic duct drainage: Ready for the prime time?

Marc Giovannini

Endoscopic Ultrasound 2017 6(5):281-284



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A case of a giant cyst in the left lobe of the liver successfully treated with endoscopic ultrasound-guided fine needle aspiration (with video)

Gan Shi, Shengbin Sun, Hui Li, Yan Fan, Yusheng Liao, Dan Zheng, Manling Huang, Heng Zhang

Endoscopic Ultrasound 2017 6(5):343-346



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A multi-institutional consensus on how to perform endoscopic ultrasound-guided peri-pancreatic fluid collection drainage and endoscopic necrosectomy

Jintao Guo, Adrian Saftoiu, Peter Vilmann, Pietro Fusaroli, Marc Giovannini, Girish Mishra, Surinder S Rana, Sammy Ho, Jan-Werner Poley, Tiing Leong Ang, Evangelos Kalaitzakis, Ali A Siddiqui, Jose G De La Mora-Levy, Sundeep Lakhtakia, Manoop S Bhutani, Malay Sharma, Shuntaro Mukai, Pramod Kumar Garg, Linda S Lee, Juan J Vila, Everson Artifon, Douglas G Adler, Siyu Sun

Endoscopic Ultrasound 2017 6(5):285-291

There is a lack of consensus on how endoscopic ultrasound (EUS)-guided pseudocyst drainage and endoscopic necrosectomy should be performed. This survey was carried out amongst members of the EUS Journal Editorial Board to describe their practices in performing this procedure. This was a worldwide multi-institutional survey amongst members of the EUS Journal Editorial Board in May 2017. The responses to a 22-question survey with respect to the practice of EUS-guided pseudocyst drainage and endoscopic necrosectomy were obtained. Twenty-two endoscopists responded to the questionnaire as follows: 72.7% (16/22) were of the opinion that lumen-apposing metal stents (LAMS) should be the standard of care for the creation of an endoscopic cystenterostomy in patients with pancreatic walled-off necrosis (WON); 95.5% (21/22) recommended large diameter (d=15 mm) LAMS for drainage in patients with WON; 54.5% (12/22) would not dilate LAMS after placement into the WOPN; 86.4% (19/22) would not perform endoscopic necrosectomy during the same procedure as the creation of the cystenterostomy; 45.5% (10/22) recommend that agents, such as diluted hydrogen peroxide, should be used to lavage the peri-pancreatic fluid collection (PFC) cavity in patients with WON; and 45.5% (10/22) considered a naso-cystic or other tube to be necessary for lavage of WON after initial drainage. The mean optimal interval recommended for endoscopic necrosectomy procedures after EUS-guided drainage was 6.23 days. The mean optimal interval recommended for repeat imaging in patients undergoing endoscopic necrosectomy was 12.32 days. The mean time recommended for LAMS removal was 4.59 weeks. This is the first worldwide survey on the practice of EUS-guided pseudocyst drainage and endoscopic necrosectomy. There were wide variations in practice and randomized studies are urgently needed to establish the best approach for management of this condition. There is also a pressing need to establish a best practice consensus.

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Endoscopic ultrasonography and rectal duplication cyst in an adult

Fernando M Castro-Poças, Tarcísio P Araújo, Jorge D Silva, Vicente S Gonçalves

Endoscopic Ultrasound 2017 6(5):336-339

Rectal duplication cysts account for 4% of all duplications of the alimentary tract. Presentation in adulthood is rare. An asymptomatic 54-year-old man was referred for endoscopic colorectal cancer screening. A bulging mass covered by normal mucosa was identified in the rectum. Endoscopic ultrasonography (EUS) with fine needle aspiration (FNA) was made for a diagnosis of rectal duplication cyst. The patient was operated and the diagnosis was confirmed. The diagnosis of the rectal duplication cyst is a challenge. EUS may have a singular role when identifying a muscular layer, because this is the only absolutely necessary criterion for the diagnosis. FNA by EUS may eventually identify colorectal and/or heterotypic epithelium that are the other diagnostic criteria of the duplication cyst.

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Endobronchial ultrasonography using a guide sheath technique for diagnosis of peripheral pulmonary lesions

Lei Zhang, Hongxu Wu, Guiqi Wang

Endoscopic Ultrasound 2017 6(5):292-299

Endobronchial ultrasonography using a guide sheath (EBUS-GS) is a novel method used for collecting peripheral pulmonary lesion (PPL) samples. EBUS-GS is performed by introducing a guide sheath-covered miniprobe into the target bronchus and then withdrawing the miniprobe after lesion detection, leaving the guide sheath in situ as a working channel for obtaining lesion samples. EBUS-GS can improve PPL diagnosis rates and be used for obtaining specimens for molecular analysis. In this review, we discuss the clinical applications of EBUS-GS, the factors that affect its diagnostic sensitivity, and potential complications. We also compare EBUS-GS with other available diagnostic techniques and discuss the strengths and limitations of this method.

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The value of endoscopic ultrasound-fine needle aspiration in the suspicion of pancreatic hydatid cyst in endemic areas with negative serology (with video)

César Vivian Lopes, Tiago L Dedavid e Silva, Nélson H.V Coelho, Gabriel O Santos

Endoscopic Ultrasound 2017 6(5):350-351



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