Prevalence of Risk Factors and Lifestyle Choices Associated with Increased Cancer in Participants in Trinidad and Tobago

In the Caribbean, cancer has been identified as the second leading cause of death and has created an immense challenge for healthcare services and expenses throughout the region. According to the World Health Organization (WHO), cancer incidence will increase by 58%, from 2015 to 2035, and cancer mortality throughout this period will increase by 67%. This research project outlined the socio-demographic risk factors and lifestyle choices known to increase the risk of developing various forms of cancer that are present in the population of Trinidad & Tobago. Knowledge of these risk factors will allow members of the public to evaluate their lifestyles. Subsequently, they can determine if they are putting themselves at risk for certain malignancies, since different types of cancers have specific socio- demographic factors and lifestyle choices associated with them.

Measuring sensory nerve action potential electrical power.

Sensory nerve action potential (SNAP) amplitudes are frequently examined for evidence of axonal loss. Because digital nerves have parallel fibers, and parallel voltages do not add, SNAP amplitude may not accurately reflect axonal loss. In contrast, electrical power can be measured for digital nerves, and is additive. In this study we explore the ability of SNAP electrical power (SELP) to discriminate the increased number of axons in fingers with two median digital nerves versus fingers with only one median digital nerve. Antidromic SNAP amplitudes and SELPs were obtained for 15 fingers. Seventeen external resistors, R(ext), were sequentially connected from electrode to ground for SELP determination. The resulting bell-shaped power vs. R(ext) plot was regressed to the power transfer equation, which has a peak that defines SELP. SELPs of two-digital-nerve (median) fingers were 360-670 femtowatts (mean 525 fW). For one-digital-nerve fingers, SELP was 90-230 fW (mean 190 fW). Evaluation of one- vs. two-median-digital-nerve statistics showed the SNAP amplitude difference-of-means to be insignificant, whereas the SELP difference-of-means was 3.3 SD (P < 0.01). Using a criterion of 2 SDs, SNAP amplitude did not discriminate any one-median-digital-nerve fingers, whereas SELP discriminated all with no false positives. Because parallel voltages do not add, SNAP amplitudes may not reflect axonal loss. In contrast, electrical power is additive. We describe the SELP technique and demonstrate its ability to discriminate different numbers of axons as reflected by one digital nerve vs. two digital nerves.

Polymer IgM assembly and secretion in lymphoid and nonlymphoid cell lines: evidence that J chain is required for pentamer IgM synthesis.

The requirements for IgM assembly and secretion were evaluated by introducing a constitutively expressed J-chain cDNA into lymphoid and nonlymphoid cell lines expressing the secretory form of monomer IgM. Assays of cell lysates and supernatants showed that only secretory monomer IgM is required for the synthesis and secretion of hexamer IgM, whereas J chain, as well as the secreted form of monomer, is required for the synthesis and secretion of pentamer IgM. Moreover, J chain facilitates the polymerization process so that pentamer IgM is preferentially synthesized. Other components of the polymerization process were found to be shared by all the cell lines examined, whether the cells were of lymphoid or nonlymphoid origin and had a rudimentary or developed secretory apparatus. These results identify monomer IgM and J chain as the two components that determine the B-cell-specific expression of IgM antibodies and, thus, as the appropriate targets for therapeutic regulation of IgM responses.