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Latest Paper:
Keywords:
Chee-Keong Toh,
Baidah Ahmad,
Richie Soong,
Khoon-Leong Chuah,
Sze-Huey Tan,
Siew-Wan Hee,
Swan-Swan Leong,
Eng-Huat Tan,
Wan-Teck Lim
*Department of Medical Oncology, National Cancer Centre; daggerOncology Research Institute, National University Singapore, Centre for Life Sciences; double daggerDepartment of Pathology, Tan Tock Seng Hospital; section signDivision of Clinical Trials and Epidemiological Sciences, National Cancer Centre Singapore; and parallelCentre of Quantitative Biology, Duke-National University of Singapore Graduate Medical School, Singapore.
INTRODUCTION:: Epidermal growth factor receptor (EGFR) mutations are more common in lung adenocarcinoma and in female patients of East-Asian origin. We aimed to assess the expression of female hormone receptors in East-Asian lung adenocarcinomas, their correlation with EGFR mutations, and prognostic significance. METHODS:: Estrogen receptor (ER)alpha, ERbeta, progesterone receptor (PR), and Her-2 expression were examined using immunohistochemical methods on 109 lung adenocarcinoma cases. EGFR mutations were analyzed by partially denaturing high performance liquid chromatography. Association of hormone receptor with clinical factors was assessed using the Fisher's exact test. Associations with survival were assessed using the Cox proportional hazard model. RESULTS:: Using scoring criteria routinely used for breast cancer, there were four (4%) ERalpha, one (1%) ERbeta, six (6%) PR, and one (1%) Her-2 positive cases. Considering any staining as positive, 14 (14%) ERalpha, 10 (9%) ERbeta, 12 (12%) PR, and 26 (24%) Her-2 cases were positive. Thirty-nine patients (39%) had EGFR mutations. ERalpha positivity was significantly associated with ERbeta and PR positivity. There were more EGFR mutations seen in tumors with ERss positivity (60%) compared with those with negative expression (37.9%), and there was a trend toward a poorer outcome for patients with tumor that were positive for ERss and Her-2. CONCLUSIONS:: We found that ERalpha, ERbeta, PR, and Her-2 expression in lung adenocarcinoma are present but limited. This suggests that hormonal influence may not be an important factor to account for the high prevalence of lung cancer among the East-Asian women.
Department of Liver Transplantation, Chang Gung Memorial Hospital, Taipei, Chang Gung University College of Medicine, Taoyuan, Taiwan.
Gastrointestinal bleeding caused by peptic ulcer or portal hypertension is a serious complication in liver transplant recipients. However, Gastrointestinal bleeding from hepatic artery origin after liver transplantation is rare. We report duodenal massive bleeding secondary to erosion of hepatic artery after liver transplantation in two patients. This was diagnosed by angiography and treated subsequently by surgical intervention with hepatic artery re-anastomosis. We could not salvage one of these patients who died of complications of graft failure. Therefore, early diagnosis and aggressive surgical intervention may be required in order to salvage both recipient and graft.
Feng Zhu,
Marie Loh,
Jeffrey Hill,
Sumarlin Lee,
King Xin Koh,
Kin Wai Lai,
Manuel Salto-Tellez,
Barry Iacopetta,
Khay Guan Yeoh,
Richie Soong,
The Singapore Gastric Cancer Consortium Sgcc
ABSTRACT: BACKGROUND: Intestinal metaplasia (IM) is an important precursor lesion in the development of gastric cancer (GC). The aim of this study was to investigate genetic factors linked to GC risk for their possible association with IM. A total of 17 polymorphisms in 13 candidate genes were evaluated in a Singapore-Chinese population at high risk of developing GC. METHODS: Genotype frequencies were compared between individuals presenting with (n=128) or without (n=246) IM by both univariate and multivariate analysis. RESULTS: Carriers of the NQO1 609 CT/TT genotype showed an increased risk of IM in individuals who were seropositive for Helicobacter pylori (HP+; OR=2.61, 95%CI: 1.18-5.80, P=.018). The IL-10 819 TC/CC genotype was also associated with increased risk of IM in HP+ individuals (OR=2.32, 95%CI: 1.21-4.43, P= .011), while the PTPN11 GA/AA genotype was associated with increased risk in HP- individuals (OR=2.51, 95%CI: 1.16-5.40, P= .019), but lower risk in HP+ subjects (OR= .46, 95%CI: .21- .99, P= .048). CONCLUSION: Polymorphisms in NQO1, IL-10 and PTPN11, in combination with HP status, could be used to identify individuals who are at increased risk of developing IM and therefore GC.
Cancer Science Institute of Singapore (CSI), National University of Singapore (NUS), Singapore.
Keywords:
A Multicenter Blinded Study to Evaluate KRAS Mutation Testing Methodologies in the Clinical Setting.
Vicki Whitehall,
Kayla Tran,
Aarti Umapathy,
Fabienne Grieu,
Chelsee Hewitt,
Tiffany-Jane Evans,
Tuty Ismail,
Wei Qi Li,
Peter Collins,
Paul Ravetto,
Barbara Leggett,
Manuel Salto-Tellez,
Richie Soong,
Stephen Fox,
Rodney J Scott,
Alexander Dobrovic,
Barry Iacopetta
From the Conjoint Gastroenterology Laboratory,* Royal Brisbane and Women's Hospital Research Foundation Clinical Research Centre, the Queensland Health Clinical and Statewide Services, Pathology Queensland and Queensland Institute of Medical Research, Herston, Australia; the Department of Tissue Pathology, Institute of Clinical Pathology and Medical Research, Westmead Hospital, Sydney, Australia; the School of Surgery, University of Western Australia, Perth, Australia; the Molecular Pathology Research and Development Laboratory, Department of Pathology, Peter MacCallum Cancer Centre, Melbourne, Australia; the Hunter Medical Research Institute, Newcastle, Australia; the Department of Pathology, National University of Singapore, Singapore; the Cancer Science Institute Singapore,** National University of Singapore, Singapore; DxS Ltd, Manchester, United Kingdom; and the Department of Pathology, University of Melbourne, Parkville, Australia.
Evidence that activating mutations of the KRAS oncogene abolish the response to anti-epidermal growth factor receptor therapy has revolutionized the treatment of advanced colorectal cancer. This has resulted in the urgent demand for KRAS mutation testing in the clinical setting to aid choice of therapy. The aim of this study was to evaluate six different KRAS mutation detection methodologies on two series of primary colorectal cancer samples. Two series of 80 frozen and 74 formalin-fixed paraffin-embedded tissue samples were sourced and DNA was extracted at a central site before distribution to seven different testing sites. KRAS mutations in codons 12 and 13 were assessed by using single strand conformation polymorphism analysis, pyrosequencing, high resolution melting analysis, dideoxy sequencing, or the commercially available TIB Molbiol (Berlin, Germany) or DxS Diagnostic Innovations (Manchester, UK) kits. In frozen tissue samples, concordance in KRAS status (defined as consensus in at least five assays) was observed in 66/80 (83%) cases. In paraffin tissue, concordance was 46/74 (63%) if all assays were considered or 71/74 (96%) using the five best performing assays. These results demonstrate that a variety of detection methodologies are suitable and provide comparable results for KRAS mutation analysis of clinical samples.
Department of Chemistry, University of Toronto, Toronto, Ontario, Canada; Department of Chemical and Physical Sciences, University of Toronto Mississauga, Mississauga, Ontario, Canada.
Diffusion of various poly(ethylene glycol)(PEG) tracers of well-defined molecular weight and narrow polydispersity confined within the aqueous interstices between positively magnetically aligned bicelles was measured using pulsed-field-gradient (1)H nuclear magnetic resonance. The bicelles consisted of mixtures of dimyristoylphosphatidylcholine (DMPC), dimyristoylphosphatidylglycerol (DMPG), and dihexanoylphosphatidylcholine (DHPC) in the molar ratios q =[100 DMPC +5 DMPG]/[DHPC]= 3.5, 4.5, and 5.5, to which Yb(3+) had been added in the ratio 1:75 Yb(3+)/phospholipid. The field gradients were applied such that diffusion was measured in the direction parallel to the normal to the bicelles' planar regions, thereby rendering the experiment sensitive to the ability of PEG to traverse lamellar defects within the bicelles. The pulsed-field-gradient nuclear magnetic resonance diffusive intensity decays were diffusion-time-independent in all cases, with diffusive displacements corresponding to many hundreds of bicellar lamellae. This permitted a description of such diffusive decays in terms of a mean behavior involving a combination of straight obstruction effects common to all PEG, with hindrance to diffusion proportional to the relative size of a given PEG with respect to the size of the lamellar defects. Across the range of PEG molecular weights (200-4600) and bicelle compositions examined, the apparent radial dimension of the lamellar defects decreased from 165 A with q = 3.5 to 125 A with q = 5.5. This is opposite to the trend predicted from static geometric models of either bicelle disks or perforated lamellae. Qualitatively, the observed trend suggests that mobility of the obstructions to diffusion will need to be considered to reconcile these differences.
Department of Materials Science and Engineering, Johns Hopkins University, Baltimore, MD, 21218, USA.
Here, we employed the Hill equation, used broadly to characterize cooperativity in protein-ligand binding, to describe the dimerization of transmembrane (TM) helices in hydrophobic environments. The Hill analysis of wild-type fibroblast growth factor receptor 3 (FGFR3) TM domain dimerization gives a Hill coefficient of ~1 for lipid bilayers but only ~ .2 for sodium dodecyl sulfate (SDS) micelles. We propose that this finding is indicative of heterogeneity in FGFR3 TM dimer structure and stability in SDS micelles. We further speculate that (1) the Hill equation can be used as a tool to assess the existence of multiple structural states of TM dimers in different hydrophobic environments and (2) the structural heterogeneity, detectable by Hill analysis, may be the underlying reason for the broad peaks and the low resolution NMR studies of peptides in detergents.
Matthew Davids,
Amanda Charlton,
Swee-Siang Ng,
Mei-Ling Chong,
Kevin Laubscher,
Mohammed Dar,
Jeffrey Hodge,
Richie Soong,
Boon Cher Goh
Department of Haematology/Oncology, National University Health System, Singapore, Singapore.
Keywords:
Departments of Chemistry and Biophysics, University of Michigan, Ann Arbor, Michigan 48109, and Department of Chemical and Physical Sciences, University of Toronto at Mississauga, Mississauga, Canada.
Self-association of human islet amyloid polypeptide (hIAPP) is correlated with the development of type II diabetes by the disruption of cellular homeostasis in islet cells through the formation of membrane-active oligomers. The toxic species of hIAPP responsible for membrane damage has not been identified. In this study, we show by pulsed field gradient NMR spectroscopy that the monomeric form of the toxic, amyloidogenic human variant of IAPP (hIAPP) adopts a temperature dependent compact folded conformation that is absent in both the nontoxic and nonamyloidogenic rat variant of IAPP and absent in hIAPP at low temperatures, suggesting this compact form of monomeric hIAPP may be linked to its later aggregation and cytotoxicity. In addition to the monomeric form of hIAPP, a large oligomeric species greater than 100 nm in diameter is also present but does not trigger the nucleation-dependent aggregation of IAPP at 4 degrees C, indicating the large oligomeric species may be an off-pathway intermediate that has been predicted by kinetic models of IAPP fiber formation. Furthermore, analysis of the polydispersity of the calculated diffusion values indicates small oligomeric species of hIAPP are absent in agreement with a recent ultracentrifugation study. The absence of small oligomeric species in solution suggests the formation of small, well-defined ion channels by hIAPP may proceed by aggregation of monomeric IAPP on the membrane, rather than by the insertion of preformed structured oligomers from the solution state as has been proposed for other amyloidogenic proteins.
