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1.
Am J Hum Genet ; 108(4): 739-748, 2021 04 01.
Article in English | MEDLINE | ID: mdl-33711248

ABSTRACT

Neurochondrin (NCDN) is a cytoplasmatic neural protein of importance for neural growth, glutamate receptor (mGluR) signaling, and synaptic plasticity. Conditional loss of Ncdn in mice neural tissue causes depressive-like behaviors, impaired spatial learning, and epileptic seizures. We report on NCDN missense variants in six affected individuals with variable degrees of developmental delay, intellectual disability (ID), and seizures. Three siblings were found homozygous for a NCDN missense variant, whereas another three unrelated individuals carried different de novo missense variants in NCDN. We assayed the missense variants for their capability to rescue impaired neurite formation in human neuroblastoma (SH-SY5Y) cells depleted of NCDN. Overexpression of wild-type NCDN rescued the neurite-phenotype in contrast to expression of NCDN containing the variants of affected individuals. Two missense variants, associated with severe neurodevelopmental features and epilepsy, were unable to restore mGluR5-induced ERK phosphorylation. Electrophysiological analysis of SH-SY5Y cells depleted of NCDN exhibited altered membrane potential and impaired action potentials at repolarization, suggesting NCDN to be required for normal biophysical properties. Using available transcriptome data from human fetal cortex, we show that NCDN is highly expressed in maturing excitatory neurons. In combination, our data provide evidence that bi-allelic and de novo variants in NCDN cause a clinically variable form of neurodevelopmental delay and epilepsy, highlighting a critical role for NCDN in human brain development.


Subject(s)
Alleles , Epilepsy/genetics , Intellectual Disability/genetics , Mutation/genetics , Nerve Tissue Proteins/genetics , Neurodevelopmental Disorders/genetics , Adolescent , Base Sequence , Cell Line , Child, Preschool , Consanguinity , Female , Humans , Infant , Language Development Disorders/genetics , Male , Mutation, Missense , Neurites , Pakistan
2.
Brain ; 146(12): 5031-5043, 2023 12 01.
Article in English | MEDLINE | ID: mdl-37517035

ABSTRACT

MED27 is a subunit of the Mediator multiprotein complex, which is involved in transcriptional regulation. Biallelic MED27 variants have recently been suggested to be responsible for an autosomal recessive neurodevelopmental disorder with spasticity, cataracts and cerebellar hypoplasia. We further delineate the clinical phenotype of MED27-related disease by characterizing the clinical and radiological features of 57 affected individuals from 30 unrelated families with biallelic MED27 variants. Using exome sequencing and extensive international genetic data sharing, 39 unpublished affected individuals from 18 independent families with biallelic missense variants in MED27 have been identified (29 females, mean age at last follow-up 17 ± 12.4 years, range 0.1-45). Follow-up and hitherto unreported clinical features were obtained from the published 12 families. Brain MRI scans from 34 cases were reviewed. MED27-related disease manifests as a broad phenotypic continuum ranging from developmental and epileptic-dyskinetic encephalopathy to variable neurodevelopmental disorder with movement abnormalities. It is characterized by mild to profound global developmental delay/intellectual disability (100%), bilateral cataracts (89%), infantile hypotonia (74%), microcephaly (62%), gait ataxia (63%), dystonia (61%), variably combined with epilepsy (50%), limb spasticity (51%), facial dysmorphism (38%) and death before reaching adulthood (16%). Brain MRI revealed cerebellar atrophy (100%), white matter volume loss (76.4%), pontine hypoplasia (47.2%) and basal ganglia atrophy with signal alterations (44.4%). Previously unreported 39 affected individuals had seven homozygous pathogenic missense MED27 variants, five of which were recurrent. An emerging genotype-phenotype correlation was observed. This study provides a comprehensive clinical-radiological description of MED27-related disease, establishes genotype-phenotype and clinical-radiological correlations and suggests a differential diagnosis with syndromes of cerebello-lental neurodegeneration and other subtypes of 'neuro-MEDopathies'.


Subject(s)
Cataract , Epilepsy, Generalized , Epilepsy , Movement Disorders , Neurodevelopmental Disorders , Female , Humans , Infant , Child, Preschool , Child , Adolescent , Young Adult , Adult , Middle Aged , Epilepsy/genetics , Cerebellum/pathology , Neurodevelopmental Disorders/genetics , Epilepsy, Generalized/pathology , Movement Disorders/diagnostic imaging , Movement Disorders/genetics , Atrophy/pathology , Cataract/genetics , Cataract/pathology , Phenotype , Mediator Complex/genetics
3.
J Inherit Metab Dis ; 46(6): 1195-1205, 2023 11.
Article in English | MEDLINE | ID: mdl-37711075

ABSTRACT

Biallelic variants in genes for seven out of eight subunits of the conserved oligomeric Golgi complex (COG) are known to cause recessive congenital disorders of glycosylation (CDG) with variable clinical manifestations. COG3 encodes a constituent subunit of the COG complex that has not been associated with disease traits in humans. Herein, we report two COG3 homozygous missense variants in four individuals from two unrelated consanguineous families that co-segregated with COG3-CDG presentations. Clinical phenotypes of affected individuals include global developmental delay, severe intellectual disability, microcephaly, epilepsy, facial dysmorphism, and variable neurological findings. Biochemical analysis of serum transferrin from one family showed the loss of a single sialic acid. Western blotting on patient-derived fibroblasts revealed reduced COG3 and COG4. Further experiments showed delayed retrograde vesicular recycling in patient cells. This report adds to the knowledge of the COG-CDG network by providing collective evidence for a COG3-CDG rare disease trait and implicating a likely pathology of the disorder as the perturbation of Golgi trafficking.


Subject(s)
Adaptor Proteins, Vesicular Transport , Congenital Disorders of Glycosylation , Humans , Glycosylation , Adaptor Proteins, Vesicular Transport/genetics , Fibroblasts/metabolism , Congenital Disorders of Glycosylation/genetics , Phenotype
4.
J Mol Struct ; 1274: 134442, 2023 Feb 15.
Article in English | MEDLINE | ID: mdl-36337589

ABSTRACT

Reacting two equivalents of sterically hindered 1,3-bis(2,6-diethylphenyl)thiourea ligand (L) with CoCl2, NiBr2, PdX2 (X = Cl; Br) and ZnI2 in acetonitrile afforded the corresponding bulky thiourea ligand stabilized four coordinated monomeric [L2CoCl2] (1), [L2NiBr2] (2), [L2PdX2] (3a: X = Cl; 3b: X = Br) and [L2ZnI2] (4.2CH3CN) complexes. Compound 1, 2 and 4.2CH3CN are tetrahedral whereas Pd complexes (3a and 3b) are square planar. In solution, palladium complexes are dominated by cis-isomers. Structural characterization shows inter- and intramolecular hydrogen bonding. Hirshfeld surface and fingerprint plots indicated significant intermolecular interactions in the crystal network. Molecular docking analysis revealed relatively higher SARS-CoV-2 enzyme interacting abilities of the synthesized complexes compared to the free ligand. All compounds have been characterized by elemental analyses, NMR spectroscopy and single-crystal X-ray diffraction.

5.
Pak J Med Sci ; 39(5): 1301-1306, 2023.
Article in English | MEDLINE | ID: mdl-37680846

ABSTRACT

Objective: To determine the association of different blood groups in patients with Dengue fever and their relationship with the severity of the illness. Methods: A hospital-based descriptive study was conducted in the Dengue Isolation Ward of Lady Reading Hospital Peshawar from March 2020 to September 2020. Patients with Dengue fever were included in the study. The severity of the illness was categorized as "Dengue fever (DF)", "Dengue hemorrhagic fever (DHF)", and "Dengue shock syndrome (DSS)". The patients' blood groups were determined as A, B, AB, and O groups. All the data were recorded and analyzed using SPSS® version 23. Chi-square (χ2) and student t-test were applied, and a p-value of ≤0.05 was considered significant. Results: Out of 160 patients, 119(74.4%) were males; the patient's mean age was 38.09±15.68 SD, IQR=25 years. Greater proportion (28%) of the young men (up to 40 years) was affected compared to 9% young women. Fever (99%) and body aches (96%) were the most common presentation of DF, complicated by bleeding in 30.6% and shock in 9.4% of the patients. The majority (63.1%) of the patients had DF; 27.5% had DHF, and 9.4% had DSS. Sixty three (39.4%) patients had blood Group-B and 5.6% had Group-AB (p=0.97). The proportion of patients with different blood groups and the type/severity of the DF were almost identical except the fact that none of the patient with group AB had DSS. There was significant gender difference of hemoglobin (p=0.008, 95%CI=0.439, 2.844), hematocrit (p=0.012, 95%CI=0.00974, 0.07946); and Alanine Aminotransferase levels (p=0.002, 95%CI=-332.032, -72.233). Conclusion: Patients with blood Group-B were more frequent and AB was least commonly affected by the Dengue-virus infections. However, no association was found between a particular blood group and disease severity. Greater proportions of the younger men had Dengue infections.

6.
Int J Neurosci ; : 1-6, 2022 Jun 12.
Article in English | MEDLINE | ID: mdl-35645363

ABSTRACT

BACKGROUND: Cockayne syndrome (CS) is a rare neurodegenerative disorder characterized by impaired neurological functions, cachectic dwarfism, microcephaly and photosensitivity. Complementation assays identify two groups of this disorder, CS type I (CSA) and CS type II (CSB), caused by mutations in ERCC8 and ERCC6, respectively. OBJECTIVES: This study aimed to investigate the genetic basis of a consanguineous Pakistani family with three affected individuals presenting with typical clinical symptoms of CS. METHODS: We employed whole exome sequencing of the proband and then Sanger sequenced all the family members to confirm its segregation in the family. Different bioinformatics tools were used to predict pathogenicity of this variant. RESULTS: Variants were filtered according to the pedigree structure. We identified a novel homozygous variant (c.202A>T; p.Ile68Phe) in ERCC8 gene in the proband. The variant was found to segregate in the family. CONCLUSIONS: These findings add to the genetic heterogeneity of ERCC8 and expands the mutation spectrum. Also, identification of this variant can facilitate prenatal diagnosis/genetic counselling set ups in Pakistan where this disease largely remains undiagnosed.

7.
J Mol Struct ; 1253: 132308, 2022 Apr 05.
Article in English | MEDLINE | ID: mdl-34980930

ABSTRACT

Copper(II) carboxylate complexes [Cu2(OOCR)4L2] (1) and [Cu2(OOCR`)4OCO(R`)CuL2]n (2), where L = 2-methyl pyridine, R = 2-chlorophenyl acetate and R` = 2-fluorophenyl acetate were synthesized and characterized by FT-IR spectroscopy and single crystal X-ray analysis. Complex 1 exhibits the typical paddlewheel array of a dinuclear copper(II) complex with carboxylate ligands. In complex 2, this scaffold is further extended into a polymeric arrangement based on alternate paddlewheel and square planar moieties with distinct coordination spheres. The complexes showed better 2,2-diphenyl-1-picrylhydrazyl (DPPH) and hydroxyl radical scavenging activities and have been found to be more potent antileishmanial agents than their corresponding free ligand acid species. UV-Vis absorption titrations revealed good DNA binding abilities {Kb = 9.8 × 104 M-1 (1) and 9.9 × 104 M-1 (2)} implying partial intercalation of the complexes into DNA base pairs along with groove binding. The complexes displayed in vitro cytotoxic activity against malignant glioma U-87 (MG U87) cell lines. Computational docking studies further support complex-DNA binding by intercalation. Molecular docking investigations revealed probable interactions of the complexes with spike protein, the nucleocapsid protein of SARS-CoV-2 and with the angiotensin converting enzyme of human cells.

8.
Genet Med ; 23(11): 2138-2149, 2021 11.
Article in English | MEDLINE | ID: mdl-34244665

ABSTRACT

PURPOSE: We aimed to define a novel autosomal recessive neurodevelopmental disorder, characterize its clinical features, and identify the underlying genetic cause for this condition. METHODS: We performed a detailed clinical characterization of 19 individuals from nine unrelated, consanguineous families with a neurodevelopmental disorder. We used genome/exome sequencing approaches, linkage and cosegregation analyses to identify disease-causing variants, and we performed three-dimensional molecular in silico analysis to predict causality of variants where applicable. RESULTS: In all affected individuals who presented with a neurodevelopmental syndrome with progressive microcephaly, seizures, and intellectual disability we identified biallelic disease-causing variants in Protocadherin-gamma-C4 (PCDHGC4). Five variants were predicted to induce premature protein truncation leading to a loss of PCDHGC4 function. The three detected missense variants were located in extracellular cadherin (EC) domains EC5 and EC6 of PCDHGC4, and in silico analysis of the affected residues showed that two of these substitutions were predicted to influence the Ca2+-binding affinity, which is essential for multimerization of the protein, whereas the third missense variant directly influenced the cis-dimerization interface of PCDHGC4. CONCLUSION: We show that biallelic variants in PCDHGC4 are causing a novel autosomal recessive neurodevelopmental disorder and link PCDHGC4 as a member of the clustered PCDH family to a Mendelian disorder in humans.


Subject(s)
Intellectual Disability , Microcephaly , Neurodevelopmental Disorders , Cadherin Related Proteins , Cadherins/genetics , Humans , Intellectual Disability/genetics , Microcephaly/genetics , Neurodevelopmental Disorders/genetics , Pedigree , Phenotype , Seizures/genetics
10.
Thromb J ; 18: 29, 2020.
Article in English | MEDLINE | ID: mdl-33132763

ABSTRACT

Left ventricular thrombus (LVT) is associated with a significant risk of ischemic stroke (IS) and peripheral embolization. Societal guidelines recommend the use of warfarin, with direct oral anticoagulants (DOACs) only for patients unable to tolerate warfarin. We studied the natural history of LVT with anticoagulation (AC) with emphasis on comparing warfarin and DOAC use. In this single center study, we identified patients with a confirmed LVT. Type and duration of anticoagulation, INR levels and clinical outcomes (bleeding, ischemic stroke or peripheral embolization, and thrombus resolution) were recorded. LVT was confirmed in a total of 110 patients. Mean age was 59 + 14 years. 79% were men. Underlying etiology was chronic ischemic cardiomyopathy in 58%, non-ischemic cardiomyopathy in 23%. AC was started in 96 (87%) patients. At 1 year follow up, 11 patients (10%) had a stroke while on any AC (2 had hemorrhagic stroke and 9 had IS). Of those with IS, 7 were on warfarin (71% of those had subtherapeutic INR) and 2 patients on DOACs had IS. The 1-year risk of any stroke was 15% in warfarin group (12% risk of ischemic stroke) compared to 6% in the DOACs group (p = 0.33). 37 (63%) patients on warfarin and 18 (53%) on DOACs had resolution of thrombus (p = 0.85). One-year risk of stroke with LVT is high (10%) even with AC. Most patients IS on warfarin had subtherapeutic INR. There was no statistical difference in stroke risk or rate of thrombus resolution between warfarin and DOACs treated patients.

11.
Entropy (Basel) ; 22(2)2020 Feb 10.
Article in English | MEDLINE | ID: mdl-33285976

ABSTRACT

This study comprehensively explores the generalized form of two-dimensional peristaltic motions of incompressible fluid through temperature-dependent physical properties in a non-symmetric channel. Generation of entropy in the system, carrying Joule heat and Lorentz force is also examined. Viscous dissipation is not ignored, for viewing in-depth, effects of heat transmission and entropy production. The modeling of equations is tracked first in fixed and then in wave frame. The resultant set of coupled non-linear equations are solved numerically by utilizing NDSolve in Mathematica. Comparison between NDSolve and the numerical results obtained through bvp4c MATLAB is made for the validation of our numerical codes. The attained results are found to be in excellent agreement. The impact of control parameters on the velocity profiles, pressure gradient, heat transfer, streamlines and entropy production are studied and discussed graphically. It is witnessed that entropy production and heat transfer are increased significantly subject to the enhancement of Hartman number, Brinkman number and electrical conductivity parameter. Hence, choosing appropriate values of physical parameters, performance and efficiency of flow structure and system can be improved. The results reported provide a virtuous insight into bio energy systems providing a useful standard for experimental and extra progressive computational multiphysics simulations.

12.
Hum Mutat ; 40(7): 899-903, 2019 07.
Article in English | MEDLINE | ID: mdl-30927481

ABSTRACT

Biallelic and pathogenic variants in the RTTN gene, encoding the centrosomal protein Rotatin, are associated with variable degrees of neurodevelopmental abnormalities, microcephaly, and extracranial malformations. To date, no reported case has reached their third decade. Herein, we report on a consanguineous family with three adult members, age 43, 57, and 60 years respectively, with primary microcephaly, developmental delay, primordial dwarfism, and brachydactyly segregating a homozygous splice site variant NM_173630.3:c.5648-5T>A in RTTN. The variant RTTN allele results in a nonhypomorphic skipping of exon 42 and a frameshift [(NP_775901.3:p.Ala1883Glyfs*6)]. Brain MRI of one affected individual showed markedly reduced volume of cerebral lobes and enlarged sulci but without signs of neural migration defects. Our assessment of three adult cases with a biallelic RTTN variant shows that a predicted shortened Rotatin, lacking the C-terminal end, are associated with stationary clinical features into the seventh decade. Furthermore, our report adds brachydactyly to the phenotypic spectrum in this pleiotropic entity.


Subject(s)
Brachydactyly/genetics , Cell Cycle Proteins/genetics , Dwarfism/genetics , Frameshift Mutation , Microcephaly/genetics , Adult , Alleles , Cell Cycle Proteins/chemistry , Consanguinity , Exons , Female , Genetic Predisposition to Disease , Humans , Male , Middle Aged , Pedigree
13.
Int J Neurosci ; 129(9): 890-895, 2019 Sep.
Article in English | MEDLINE | ID: mdl-30892110

ABSTRACT

Aim: Neuronal ceroid lipofuscinosis (NCLs) are the most common neurodegenerative disorders, with global incidence of 1 in 100,000 live births. NCLs affect central nervous system, primarily cerebellar and cerebral cortices. Juvenile neuronal ceroid lipofuscinosis (JNCL), also known as Batten disease, is the most common form of NCLs. JNCL is primarily caused by pathogenic mutations in CLN3 gene, which encodes a transporter transmembrane protein of uncertain function. The 1.02 kb deletion is the most common mutation in CLN3 that results in frame shift and a premature termination leading to nonfunctional protein. Here, we invetigated a large consanguineous family consisting of four affected individuals with clincal symptoms suggestive of Juvenile neuronal ceroid lipofuscinosis. Materials and methods: We conducted clinial and radilogical investigation of the family and performed NGS based Gene Panel sequencing comprising of five hundred and forty five candidate genes to characterize it at genetic level. Results: We identified a novel homozygous c.181_183delGAC mutation in the CLN3 gene seggregating witht the disorder in the family. The mutation induces in-frame deletion, deleting one amino acid (p.Asp61del) in CLN3 protein. The deleted amino acid aspartic acid plays an important role as general acid in enzymes active centers as well as in maintaining the ionic character of proteins. Conclusion: Our finding adds to genetic variability of Juvenile neuronal ceroid lipofuscinosis associated with CLN3 gene and a predicted CLN3 protein interacting domain site.


Subject(s)
Membrane Glycoproteins/genetics , Molecular Chaperones/genetics , Mutation/genetics , Neuronal Ceroid-Lipofuscinoses/diagnostic imaging , Neuronal Ceroid-Lipofuscinoses/genetics , Adolescent , Humans , Male , Pakistan , Pedigree
14.
Ann Neurol ; 82(4): 562-577, 2017 Oct.
Article in English | MEDLINE | ID: mdl-28892560

ABSTRACT

OBJECTIVE: Autosomal recessive primary microcephaly (MCPH) is a rare condition characterized by a reduced cerebral cortex accompanied with intellectual disability. Mutations in 17 genes have been shown to cause this phenotype. Recently, mutations in CIT, encoding CRIK (citron rho-interacting kinase)-a component of the central spindle matrix-were added. We aimed at identifying novel MCPH-associated genes and exploring their functional role in pathogenesis. METHODS: Linkage analysis and whole exome sequencing were performed in consanguineous and nonconsanguineous MCPH families to identify disease-causing variants. Functional consequences were investigated by RNA studies and on the cellular level using immunofluorescence and microscopy. RESULTS: We identified homozygous mutations in KIF14 (NM_014875.2;c.263T>A;pLeu88*, c.2480_2482delTTG; p.Val827del, and c.4071G>A;p.Gln1357=) as the likely cause in 3 MCPH families. Furthermore, in a patient presenting with a severe form of primary microcephaly and short stature, we identified compound heterozygous missense mutations in KIF14 (NM_014875.2;c.2545C>G;p.His849Asp and c.3662G>T;p.Gly1221Val). Three of the 5 identified mutations impaired splicing, and 2 resulted in a truncated protein. Intriguingly, Kif14 knockout mice also showed primary microcephaly. Human kinesin-like protein KIF14, a microtubule motor protein, localizes at the midbody to finalize cytokinesis by interacting with CRIK. We found impaired localization of both KIF14 and CRIK at the midbody in patient-derived fibroblasts. Furthermore, we observed a large number of binucleated and apoptotic cells-signs of failed cytokinesis that we also observed in experimentally KIF14-depleted cells. INTERPRETATION: Our data corroborate the role of an impaired cytokinesis in the etiology of primary and syndromic microcephaly, as has been proposed by recent findings on CIT mutations. Ann Neurol 2017;82:562-577.


Subject(s)
Cytokinesis/genetics , Gene Expression Regulation/genetics , Kinesins/genetics , Microcephaly/genetics , Mutation/genetics , Oncogene Proteins/genetics , Caspase 7/metabolism , Cell Movement/genetics , Cells, Cultured , Child , Child, Preschool , Family Health , Female , Fibroblasts/physiology , Genome-Wide Association Study , Humans , Intracellular Signaling Peptides and Proteins/genetics , Intracellular Signaling Peptides and Proteins/metabolism , Male , Microcephaly/diagnostic imaging , Microcephaly/pathology , Protein Serine-Threonine Kinases/genetics , Protein Serine-Threonine Kinases/metabolism , Tubulin/metabolism
15.
BMC Med Genet ; 18(1): 144, 2017 12 06.
Article in English | MEDLINE | ID: mdl-29207948

ABSTRACT

BACKGROUND: Spinocerebellar ataxias comprise a large and heterogeneous group of disorders that may present with isolated ataxia, or ataxia in combination with other neurologic or non-neurologic symptoms. Monoallelic or biallelic GRID2 mutations were recently reported in rare cases with cerebellar syndrome and variable degree of ataxia, ocular symptoms, hypotonia and developmental delay. CASE PRESENTATION: We report on a consanguineous family with autosomal recessive childhood onset of slowly progressive cerebellar ataxia and delayed psychomotor development in three siblings. MRI of an adult and affected family member revealed slightly widened cerebral and cerebellar sulci, suggesting generalized brain atrophy, and mild cerebellar atrophy. Using whole exome sequencing we identified a novel homozygous missense variant [c.2128C > T, p.(Arg710Trp)] in GRID2 that segregates with the disease. The missense variant is located in a conserved region encoding the extracellular serine-binding domain of the GluD2 protein and predicts a change in conformation of the protein. CONCLUSION: The widespread supratentorial brain abnormalities, absence of oculomotor symptoms, increased peripheral muscle tone and the novel missense mutation add to the clinical and genetic variability in GRID2 associated cerebellar syndrome. The neuroradiological findings in our family indicate a generalized neurodegenerative process to be taken into account in other families segregating complex clinical features and GRID2 mutations.


Subject(s)
Brain/pathology , Mutation, Missense , Receptors, Glutamate/genetics , Adult , Aged , Amino Acid Sequence , Atrophy , Base Sequence , Binding Sites , Brain/diagnostic imaging , Cerebellar Ataxia/genetics , Cerebellum/diagnostic imaging , Cerebellum/pathology , Consanguinity , Developmental Disabilities/genetics , Female , Homozygote , Humans , Magnetic Resonance Imaging , Male , Middle Aged , Models, Molecular , Pedigree , Protein Conformation , Protein Domains , Receptors, Glutamate/chemistry , Receptors, Glutamate/metabolism , Serine/metabolism , Exome Sequencing
16.
J Pak Med Assoc ; 67(1): 12-14, 2017 Jan.
Article in English | MEDLINE | ID: mdl-28065946

ABSTRACT

OBJECTIVE: To analyse morphological types, location in the large bowel and demographic characteristics of colonic polyps. METHODS: The retrospective descriptive study was conducted at the Department of Pathology, Sultan Qaboos University Hospital, Muscat, Oman, and comprised biopsy specimens of colonic polyps from patients related to a two-year period from 2011 to 2012. Demographic data, types of polyps, anatomical location and grade of dysplasia were analysed. SPSS 20 was used for statistical analysis. RESULTS: There were 160 biopsy specimens from 143 patients. Of the patients, 91(63.6 %) were male and 52(36.4%) were female. The mean age was 55.27+-14.2 years. Of the 160 polyps, 37((23.1%) were in the rectum. The most common type was the adenomatous polyp in 88(55.0%) cases followed by hyperplastic polyps 51(31.9%) and inflammatory polyps 21(13.1%). Of the 88 adenomatous polyps, 23(26%) showed high-grade dysplasia. CONCLUSIONS: The commonest colon polyp type was adenomatous polyp. Screening programmes, such as stool occult blood testing and colonoscopies, are recommended.


Subject(s)
Colonic Polyps/epidemiology , Adult , Aged , Aged, 80 and over , Female , Humans , Male , Middle Aged , Oman/epidemiology , Retrospective Studies , Tertiary Care Centers , Young Adult
17.
J Pak Med Assoc ; 67(12): 1923-1926, 2017 Dec.
Article in English | MEDLINE | ID: mdl-29256544

ABSTRACT

Follicular dendritic cell sarcoma (FDCS) is a rare intermediate grade sarcoma involving a variety of nodal and extra nodal sites. It has two histological subtypes, conventional and inflammatory pseudotumour like variant. We report this interesting case of FDCS presenting colonic intussusception at Shifa International Hospital, Islamabad, Pakistan. Conventional FDCS presenting as a colocolic intussusception is an unusual presentation, and to our knowledge, has never been reported previously. It has wide morphological spectrum on light microscopy and has characteristic immune-reactivity for dendritic cell markers (CD21, CD23, and CD35). Surgical excision is required in all cases while role of adjuvant chemotherapy and radiotherapy is not clearly demonstrated in literature.


Subject(s)
Dendritic Cell Sarcoma, Follicular , Adolescent , Colonic Diseases , Dendritic Cell Sarcoma, Follicular/diagnosis , Dendritic Cell Sarcoma, Follicular/pathology , Dendritic Cell Sarcoma, Follicular/surgery , Diagnosis, Differential , Female , Humans , Immunohistochemistry , Intussusception
18.
J Pak Med Assoc ; 67(7): 1107-1108, 2017 Jul.
Article in English | MEDLINE | ID: mdl-28770898

ABSTRACT

This descriptive study was carried out at Pathology Department, Shifa International Hospital from 2007 to 2016; all sex cord stromal tumours diagnosed during this time period were included. Epithelial, germ cell and metastatic tumours were excluded from the study. A total of 1254 Ovarian tumours were brought to Shifa of which47 (4%) were labeled as sex cord stromal tumours. Of these 36( 76 %)were granulosa cell tumour (adult33, juvenile3), 7 were labeled as sertoli leydig cell tumours (15%), 3 as thecoma/ fibroma group (7%)and only one case was labeled as microcystic stromal tumour of the ovary (2%). Overall age range for sex cord stromal tumours was 42 (12-71). Immunohistochemistry was done in 41 out of 47 cases. Sex cord stromal tumours of the ovary are rare tumours comprising 4% of the total. Adult Granulosa cell tumour is the commonest tumour seen in our study.


Subject(s)
Granulosa Cell Tumor/epidemiology , Ovarian Neoplasms/epidemiology , Sertoli-Leydig Cell Tumor/epidemiology , Thecoma/epidemiology , Adolescent , Adult , Aged , Biomarkers, Tumor/metabolism , Calbindin 2/metabolism , Child , Female , Granulosa Cell Tumor/metabolism , Humans , Inhibins/metabolism , Keratins/metabolism , Middle Aged , Ovarian Neoplasms/metabolism , Pakistan/epidemiology , Sertoli-Leydig Cell Tumor/metabolism , Sex Cord-Gonadal Stromal Tumors/epidemiology , Sex Cord-Gonadal Stromal Tumors/metabolism , Thecoma/metabolism , Young Adult
19.
Macromol Rapid Commun ; 37(1): 47-52, 2016 Jan.
Article in English | MEDLINE | ID: mdl-26479068

ABSTRACT

Polymer microcavities with adjustable openings and surface roughness are fabricated on a large scale via single-hole poly(glycidyl methacrylate) (PGMA) swelling seed particles. The size of openings of these microcavities can be adjusted by changing the amount of hydrophilic monomer, and the degree of surface roughness is easily regulated relying on the adjustment of the polarity of monomer. Furthermore, the morphology of PGMA/poly(styrene-methacrylic acid) (PGMA/P(S-MAA)) microparticles from microcavity to erythrocyte shape is controlled by the polarity of seed surface. From transmission electron microscopy images of PGMA/P(S-MAA) microparticles, a fresh polymer particle appears in the cavity. To confirm this phenomenon, thermal annealing process in dioxane/water solution is carried out. Considering the flexibility of polymers, the openings and closing of the prepared microparticles are regulated following the increase in volume ratio of dioxane/water. Ball-in-bowl-shaped PGMA/P(S-MAA) microparticles are further presented, which proves secondary nucleation of monomer in the polymerization stage.

20.
Lipids Health Dis ; 15(1): 162, 2016 Sep 20.
Article in English | MEDLINE | ID: mdl-27647503

ABSTRACT

BACKGROUND: Chia (Salvia hispanica L.) seeds have been described as a good source of lipids, protein, dietary fiber, polyphenolic compounds and omega-3 polyunsaturated fatty acids. The consumption of chia seed oil helps to improve biological markers related to metabolic syndrome diseases. The oil yield and fatty acids composition of chia oil is affected by several factors such as pre-treatment method and size reduction practices. Therefore, the main mandate of present investigate was to study the effect of different seed pre-treatments on yield, fatty acids composition and sensory acceptability of chia oil at different storage intervals and conditions. METHODS: Raw chia seeds were characterized for proximate composition. Raw chia seeds after milling were passed through sieves to obtain different particle size fractions (coarse, seed particle size ≥ 10 mm; medium, seed particle size ≥ 5 mm; fine, seed particle size ≤ 5 mm). Heat pre-treatment of chia seeds included the water boiling (100 C°, 5 min), microwave roasting (900 W, 2450 MHz, 2.5 min), oven drying (105 ± 5 °C, 1 h) and autoclaving (121 °C, 15 lbs, 15 min) process. Extracted oil from pre-treated chia seeds were stored in Tin cans at 25 ± 2 °C and 4 ± 1 °C for 60-days and examined for physical (color, melting point, refractive index), oxidative (iodine value, peroxide value, free fatty acids), fatty acids (palmitic, stearic, oleic, linoleic, α-linolenic) composition and sensory (appearance, flavor, overall acceptability) parameters, respectively. RESULTS: The proximal composition of chia seeds consisted of 6.16 ± 0.24 % moisture, 34.84 ± 0.62 % oil, 18.21 ± 0.45 % protein, 4.16 ± 0.37 % ash, 23.12 ± 0.29 % fiber, and 14.18 ± 0.23 % nitrogen contents. The oil yield as a result of seed pre-treatments was found in the range of 3.43 ± 0.22 % (water boiled samples) to 32.18 ± 0.34 % (autoclaved samples). The oil samples at day 0 indicated the maximum color (R and Y Lovibond scale) value for oven drying while at storage day 60 (25 ± 2 °C), the highest color value was found for autoclave pre-treatment. The slightly increasing trend of color values for all treatments was observed during the storage period. The lowest iodine value (182.83 ± 1.18 g/100 g at storage day 0 & 173.49 ± 1.21 g/100 g at storage day 60, 25 ± 2 °C) was calculated for autoclaved samples while the maximum iodine value (193.42 ± 1.14 g/100 g at storage day 0 & 190.36 ± 1.17 g/100 g at storage day 60, 25 ± 2 °C) was recorded for raw chia samples. The significant increasing trend for all treatments was observed in case of peroxide value and free fatty acids production during storage. Maximum decrease in linoleic (35 %) and α-linolenic (18 %) fatty acids was observed in autoclaved samples. The oil from pre-treated seed samples obtained decreasing scores for sensory parameters throughout the storage period at different conditions. CONCLUSIONS: As a result, chia seeds are an important source of lipids and essential fatty acids. The water boiling and high temperature processing of chia seeds provides instability to lipids during storage at room temperature. However, detailed investigation is required on the processing performance and storage stability of food products supplemented with pre-treated chia seeds and furthers their effect on biological system.


Subject(s)
Fatty Acids, Omega-3/chemistry , Lipids/chemistry , Plant Oils/chemistry , Salvia/chemistry , Dietary Fiber/metabolism , Fatty Acids, Omega-3/metabolism , Hot Temperature , Oxidation-Reduction , Plant Oils/metabolism , Seeds/chemistry , Water/chemistry
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