Evidence of positive selection and concerted evolution in the rapidly evolving PRDM9 zinc finger domain in goats and sheep

Meiotic recombination contributes to augmentation of genetic diversity, exclusion of deleterious alleles and proper segregation of chromatids. PRDM9 has been identified as the gene responsible for specifying the location of recombination hotspots during meiosis and is also the only known vertebrate gene associated with reproductive isolation between species. PRDM9 encodes a protein with a highly variable zinc finger (ZF) domain that varies between as well as within species. In the present study, the ZF domain of PRDM9 on chromosome 1 was characterized for the first time in 15 goat breeds and 25 sheep breeds of India. A remarkable variation in the number and sequence of ZF domains was observed. The number of ZF repeats in the ZF array varied from eight to 12 yielding five homozygous and 10 heterozygous genotypes. The number of different ZF domains was 84 and 52 producing 36 and 26 unique alleles in goats and sheep respectively. The posterior mean of dN/dS or omega values were calculated using the codeml tool of pamlx to identify amino acids that are evolving positively in goats and sheep, as positions -1, +3 and +6 in the ZF domain have been reported to experience strong positive selection across different lineages. Our study identified sites -5, -1, +3, +4 and +6 to be experiencing positive selection. Small ruminant zinc fingers were also found to be evolving under concerted evolution. Our results demonstrate the existence of a vast diversity of PRDM9 in goats and sheep, which is in concert with reports in many metazoans.

Delayed Single Kirschner Wire Compression Technique for Mallet Fracture

Twenty-four mallet fractures which involved at least one third % of the articular surface of the distal interphalangeal joint were treated by open reduction and internal fixation using a single double-ended Kirschner wire at a mean of 9 days after injury (range 4–15). At a mean follow-up of 43 (range 12–18) months the active range of motion, pain and the Warren and Norris criteria were evaluated. The mean active range of motion was from −2° extension (range 0–10°) to 72° flexion (range 50–90°). Nineteen patients were pain free and five suffered from mild pain during strenuous work. The Warren and Norris results were successful in 22 and improved in two cases. Radiographs showed, that all the fractures united in a near-anatomic position but with joint narrowing in six digits.

Recurrence of a Peripheral Ossifying Fibroma as a Pyogenic Granuloma Within 1 Week: A Case Report

INTRODUCTION

Peripheral ossifying fibromas (POFs) and pyogenic granulomas (PGs) are non-neoplastic reactive lesions of gingiva that usually affect young females and are usually located in the anterior maxilla. It is possible to misdiagnose POF as PG, peripheral giant cell granuloma, or odontogenic tumors. Histopathologic examination is recommended and is essential for an accurate diagnosis of such lesions, and differential diagnosis is also important because POFs have a tendency to recur.

CASE PRESENTATION

A clinical case of gingival swelling in the mandibular left second premolar and first molar region on the lingual side, which was diagnosed as a POF on histopathologic examination, is reported. Recurrence of the lesion was seen within 1 week of its excision. The recurrent overgrowth was again excised, thoroughly curetted, and histopathologically confirmed as a PG. No signs of recurrence were seen at the 6-month follow-up.

CONCLUSION

This case shows the importance of complete excision of the lesion to the entire depth with curettage of the adjacent tissues for prevention of recurrence.

Exon skipping creates novel splice variants of DMC1 gene in ruminants

Disrupted meiotic cDNA1 (DMC1) recombinase plays a pivotal role in homology search and strand exchange reactions during meiotic homologous recombination. In the present study, full length coding sequence of DMC1 gene was sequence characterized for the first time from four ruminant species (cattle, buffalo, sheep and goat) and phylogenetic relationship of ruminant DMC1 with other eukaryotes was analyzed. DMC1 gene encodes a putative protein of 340 amino acids in cattle, sheep and buffalo and 341 amino acids in goat. A high degree of evolutionary conservation at both nucleotide and amino acid level was observed for the four ruminant orthologs. In cattle and sheep, novel alternatively spliced mRNAs with skipping of exons 7 and 8 (Transcript variant 1, TV1) were isolated in addition to the full length (FL) transcript. Novel transcript variants with partial skipping of exon 7 and complete skipping of exon 8 (Transcript variant 2, TV2) were found in sheep and goat. The presence of these variants was validated by amplifying cDNA isolated from testis tissue of ruminants using two oligonucleotides flanking the deleted region. To accurately estimate their relative proportions, real-time PCR was performed using primers specific for each variant. Expression level of DMC1-FL was significantly higher than that of TV1 in cattle and TV2 in goat (P < 0.05). Relative ratio for expression of DMC1-FL: TV1: TV2 in sheep was 6.78: 1.43: 1. In-silico analysis revealed presence of splice variants of DMC1 gene across other mammalian species underpinning the role of alternative splicing in functional innovation.

Injectable collagenase Clostridium histolyticum as a nonsurgical treatment for Dupuytren's disease

OBJECTIVE

Nonsurgical treatment of Dupuytren's disease using collagenase Clostridium histolyticum (CCH).

INDICATIONS

Metacarpophalangeal (MP) joint (20-100°) and proximal interphalangeal (PIP) joint (20-80°) contractures.

CONTRAINDICATIONS

Pregnancy, previous hypersensitivity to collagenase or excipients, anticoagulant use within 7 days prior to treatment.

INJECTION TECHNIQUE

CCH injected directly into the Dupuytren's cord weakening the contracted cord. After injection, the patient returns the following day to allow CCH to lyse the collagen within the cord. An extension force is then applied to the involved finger to disrupt the weakened cord.

POSTMANIPULATION MANAGEMENT

Use of extension splint at night, movement instructions during the day.

RESULTS

A total of 120 patients (107 men; 13 women; mean age 62 years, range 30-84 years) were treated. In 49% the little finger, in 44% the ring finger, in 4% the middle finger, and in 3% the index finger was treated. Full release was achieved in 71%, partial release in 26%, and no change in 3% of patients. The median pretreatment contracture for the MP joint was 37° (range 25-100°) and PIP joint 51° (range 30-97°). At 12 months, the mean contracture for the MP joint was 9° (range 0-25°) and for the PIP joint 21° (range 10-36°). Adverse events observed in 96% of patients for 3 months . No tendon ruptures, anaphylactic reactions, or nerve or ligament injuries observed.

POLYMORPHISM IN THE CODING REGION SEQUENCE OF GDF8 GENE IN INDIAN SHEEP

The present study was undertaken to identify polymorphism in the coding sequence of GDF8gene across indigenous meat type sheep breeds. A 1647 bp sequence was generated, encompassing 208 bp of the 5'UTR, 1128 bp of coding region (exon1, 2 and 3) as well as 311 bp of 3'UTR. The sheep and goat GDF8 gene sequences were observed to be highly conserved as compared to cattle, buffalo, horse and pig. Several nucleotide variations were observed across coding sequence of GDF8 gene in Indian sheep. Three polymorphic sites were identified in the 5'UTR, one in exon 1 and one in the exon 2 regions. Both SNPs in the exonic region were found to be non-synonymous. The mutations c.539T > G and c.821T > A discovered in this study in the exon 1 and exon 2, respectively, have not been previously reported. The information generated provides preliminary indication of the functional diversity present in Indian sheep at the coding region of GDF8gene. The novel as well as the previously reported SNPs discovered in the Indian sheep warrant further analysis to see whether they affect the phenotype. Future studies will need to establish the affect of reported SNPs in the expression of the GDF8 gene in Indian sheep population.

Study on relationship between the nutritional status and dental caries in 8-12 year old children of Udaipur City, India

BACKGROUND

The future health of individuals depends on the well being of the children of today. Proper nutrition for children is very important. The most commonly used index of obesity and over weight is Body Mass Index. The growth of children should be monitored using the Body Mass Index (BMI) and risk factors assessed through a dietary and physical activity history. The increase in obesity is attributed to increased carbohydrate consumption among children. Obesity and caries are both diet-based conditions that share a cause that is, excessive ingestion of fermentable carbohydrates.

OBJECTIVE

This study was undertaken to determine the association of nutritional status with dental caries in 8 to 12 year old children of Udaipur city.

METHOD

The present study was conducted on a random sample of 1000 boys and girls, aged 8-12 years. The children were selected from schools located in the Udaipur City, Rajasthan. The schools examined were of government and private sector schools in Udaipur city. The children from schools of Udaipur city was taken in the study with male, female and age group ratio as per distribution in population. A proforma was used to record children's age, gender, school, year, height, weight, parental income and dental caries status. Statistical analysis was done using Statistical Package of Social Science (SPSS Version 15; Chicago Inc., USA).

RESULT

It was found that caries free individuals were more from normal nutritional status group with 134 (13.4 %) subjects where as only 11 (1.1 %) of subjects obese children were found caries free.

CONCLUSION

Study shows that the children with normal BMI for age had more caries in their primary teeth, as well as in their permanent teeth, than the overweight children.

Safety and immunogenicity of a quadrivalent meningococcal conjugate vaccine (MenACYW-DT): a multicenter, open-label, non-randomized, phase III clinical trial

OBJECTIVE

To assess the safety and immunogenicity of a quadrivalent meningococcal (groups A,C,Y,W) polysaccharide diphtheria toxoid conjugate vaccine (MenACYW-DT) in India.

DESIGN

Open-label, descriptive, non-randomized study.

SETTING

Three medical college hospitals, one each in New Delhi, Bengaluru and Mumbai, India.

PARTICIPANTS

300 healthy, vaccine-naïve participants (100 children aged 2-11 years, 100 adolescents aged 12-17 years, and 100 adults aged 18-55 years).

INTERVENTION

One dose (0.5 mL) of MenACYW-DT administered intramuscularly.

MAIN OUTCOME MEASURES

Serum bactericidal antibody titers against A, C, Y, and W were measured before and after MenACWY-DT vaccination. Safety data were also collected.

RESULTS

Thirty days post-vaccination, geometric mean titers rose across all serogroups. Most participants had protective titers >8 (1/dil) across the four serogroups. The percentage (95% CI) achieving >8 (1/dil) in the Adolescent Group was typical - A: 96.9% (91.2%; 99.4%); C: 96.9% (91.2%; 99.4%); Y:100% (96.3%; 100%); W:100% (96.3%; 100%). In general, solicited reactions were mild and short-lived. Unsolicited events were uncommon and unrelated to vaccination.

CONCLUSIONS

MenACYW-DT was well tolerated and elicited a robust and protective immune response 30 days post-vaccination against meningococcal serogroups A, C, Y, and W-135 in the Indian study participants aged 2-55 years.

Curcumin loaded solid lipid nanoparticles ameliorate adjuvant-induced arthritis in rats

BACKGROUND

Rheumatoid arthritis (RA), a chronic and systemic inflammation, results in destruction of joints and cartilages. Effectiveness of curcumin has been established in a wide variety of inflammatory disorders, but its utility as a therapeutic agent is limited by its poor absorption, rapid metabolism and fast systemic elimination. To apprehend these limitations, we propose to use highly bioavailable curcumin loaded solid lipid nanoparticles (C-SLNs) for the treatment of RA.

METHODS

In the present study, the protective effect of curcumin and its SLNs was evaluated in complete Freund's adjuvant (CFA)-induced arthritis in rats.

RESULTS

Arthritic rats exhibited marked decrease in paw withdrawal threshold in Randall-Selitto and von Frey hair test along with decreased reaction time in hot plate. Arthritic rats also showed significant joint hyperalgesia, joint stiffness and increased paw volume along with marked decrease in mobility score. Arthritic rats showed a significant increase in blood leukocyte count, oxidative-nitrosative stress, tumour necrosis factor-α, C-reactive protein, cyclic citrullinated peptide antibody levels and radiological alterations in tibiotarsal joint. C-SLN administration (10 and 30 mg/kg), when compared with free curcumin (10 and 30 mg/kg), significantly and dose dependently ameliorated various symptoms of arthritis in rats, improved biochemical markers and preserved radiological alterations in joints of arthritic rats.

CONCLUSIONS

The current findings suggest the protective potential of curcumin-SLNs in ameliorating CFA-induced arthritis in rats through attenuation of oxido-inflammatory and immunomodulatory cascade. Further, the results emphasize that SLNs are a novel approach to deliver curcumin into the inflamed joints and improve its biopharmaceutical performance.

Pressure distribution in carpometacarpal joint, due to step-off in operatively treated Bennett's fractures

INTRODUCTION

The purpose of the current study was to investigate the effects of residual articular incongruity after Bennett's fracture on load distribution of the joint surface. Our aim was to investigate whether a residual joint step and the altered load distribution led to negative clinical outcomes or symptomatic degenerative osteoarthritis of the trapeziometacarpal joint.

PATIENTS AND METHODS

Twenty-four patients were available for long-term follow-up examination and were contacted by phone, and they returned for follow-up examination. Computed tomography (CT) scans of both carpometacarpal (CMC) joints were performed. CT scans were taken in the sagittal plane of the forearms with a slice thickness of 0.625 mm for three-dimensional reconstruction. The CMC joints were analysed due to a residual step in the joint. Only patients with a residual step-off were included in this study. To determine the areas of maximum density in the joint, CT-osteoabsorptiometry was performed.

RESULTS

Ten patients had the maximum loading area radial and two patients central. The second major position of mineralization was detected central in four patients, volar-ulnar in two patients, radial in one patient, dorso-radial in one patient, volar in one patient and volar-radial in two patients.

CONCLUSION

Finally, no higher loading in the area of the beak fragment could be found. The Wagner technique, even if it results in a persistent 1-2-mm intra-articular step-off of the beak fragment, is still the favourable method for the treatment of Bennett's luxation fractures.

Working Length Determination of Root Canal of Young Permanent Tooth: An In vitro Study

BACKGROUND

Determination of correct working length is one of the keys to success in endodontic therapy.

AIM

The aim of this study was to evaluate the diagnostic efficacy of various methods to determine working length of root canal.

MATERIALS AND METHODS

Tactile method was assessed using digital radiography and compared with electronic method using apex locator. A total sample of 30 single rooted young permanent teeth the (mandibular first premolars) with matured apices were selected for the study. Access cavity preparation was carried out. Working length was measured by tactile method using digital radiography and electronic method using apex locator with no 15 K file. Actual working length was established by grinding of cementum and dentine from the root apex and was observed under stereomicroscope. Data was collected and statistical analysis was carried out with the help of SPSS-15.

RESULTS

The results of this study showed that there was a significant difference between tactile method assessed by digital radiography and electronic method using apex locator.

CONCLUSION

Apex locator was found to be more reliable and accurate when compared with the actual length.

Applanation tonometry: a comparison of the Perkins handheld and Goldmann slit lamp-mounted methods

Purpose

To compare intraocular pressure (IOP) measurements, taken using Perkins applanation tonometry (PAT) and Goldmann applanation tonometry (GAT).

Methods

100 eyes of 100 patients underwent Perkins and Goldmann applanation tonometry, with a randomized order of modality, performed by a masked observer. The right eye was measured, for all subjects, and the data used in statistical analysis. The comparability of results given by the two instruments was evaluated using the Bland–Altman method.

Results

IOP measurements for 100 eyes were obtained (range: 10–44 mmHg). The mean GAT reading was 21.63 mmHg, with standard deviation (SD) 5.69 mmHg. The mean PAT reading was 21.40 mmHg, with SD 5.67 mmHg. The mean difference between readings from Goldmann versus Perkins tonometry was 0.22 mmHg (SD: 0.44 mmHg). The limits of agreement were calculated to be −0.64–+1.08 mmHg (1.96 SD either side of the bias).

Conclusion

The Perkins applanation tonometer yields IOP measurements that are closely comparable with GAT. Therefore, PAT may be used in routine clinical practice, as part of the implementation of national guidelines, or preferred practice patterns, for glaucoma and ocular hypertension.

Transcatheter closure of patent ductus arteriosus

More than three decades have passed since the introduction of transcatheter devices for closure of patent ductus arteriosus, and many occluders have been made available since then. The ideal requirements of any procedure are a user-friendly technique, optimum success rate, no residual anomaly, minimal morbidity/mortality, and comparability or superiority to the existing conventional modality of treatment. With various advancements in device design, delivery and assisted systems, the tremendous procedural safety and effectiveness, along with low cost and widespread availability of these devices makes transcatheter closure of patent ductus arteriosus a preferred therapeutic modality in all age groups, with decreasing demographic trends of surgical management.

Abstract P1-07-07: Targeting reversal of epithelial-mesenchymal transition through FOXM1 inhibition in breast cancer cells

Purpose: Triple-negative breast cancer (TNBC), representing up to 20% of all breast cancer cases, is a highly diverse group of cancer that is associated with an aggressive phenotype, with affected patients having a poorer prognosis. Its treatment has been challenging due to its heterogeneity and the absence of well-defined molecular targets.

Epithelial-to-mesenchymal transition (EMT) is one of the hallmarks of aggressive breast cancers and is associated with increased metastatic potential. TNBCs have been shown to exhibit elevated EMT. Thus, reversal of EMT has been identified as a viable target in the treatment of aggressive breast cancers.

FOXM1 is an oncogenic transcription factor of the Forkhead family and it has a well-defined role in cell proliferation and cell-cycle progression. FOXM1 has been reported to be over-expressed in breast cancer. In prostate cancer, FOXM1 overexpression has been linked to increase EMT. We have previously shown that targeting NF-kB with panepoxydone (PP), an NF-kB inhibitor isolated from Lentinus crinitus (an edible mushroom), has significant antitumor activity against breast cancer cells with a resultant decrease in cell migration and invasion and induction of apoptosis. We have further identified that the FOXM1 promoter has a binding site for NF-kB. Thus, in this study, we investigated whether PP-induced inhibition of breast cancer cell growth could be attributed to FoxM1 activity and EMT reversal.

Experimental Design: The estrogen receptor positive (MCF-7) and three different triple negative (MDA-MB-231, MDA-MB-453, and MDA-MB-468) breast cancer cell lines were selected to observe the effect of PP on FOXM1and EMT markers.

Results: In the current study, we investigated whether panepoxydone- induced inhibition of breast cancer cell growth could be attributed to FoxM1activity and EMT reversal. Breast cancer cells were treated with increasing concentrations of PP and proteins collected after 24 hrs. Panepoxydone treatment significantly reduced FOXM1 expression in MCF-7 and MDA-MB-231 (1.7 and 2.4-fold, respectively, p &lt; 0.05) but not in MDAMB-453 and MDAMB-468 cells when analyzed through western blot analysis. Furthermore, we showed that treatment with PP resulted in alteration of EMT-associated proteins with a significant increase in E-cadherin in all the cell lines (ranging from 1.8 to 4.2-fold, p &lt; 0.05) and a decrease in mesenchymal markers vimentin and zeb1 in the MDA-MB-231 cells (2.5 and 2-fold respectively, p &lt; 0.05).

To further elucidate the relationship between FOXM1 on EMT reversal, we then silenced FOXM1 in MDA-MB-231 cells and evaluated its effect on the EMT-associated markers. Again we noted upregulation of E cadherin (3.5-fold, p&lt; 0.01) and down-regulation of vimentin (4.5-fold, p &lt;0.01) in FOXM1, which was very similar to what was observed in the PP-treated MDA-MB-231 cells.

Conclusion: These studies show, for the first time, the role of FOXM1 in EMT reversal in breast cancer cells. Furthermore, it shows that use of an NF-kB inhibitor, such as panepoxydone, may be helpful in elucidating the relationship between these two transcriptional factors, in the reversal of the EMT phenotype in aggressive breast cancer cells.

Citation Information: Cancer Res 2013;73(24 Suppl): Abstract nr P1-07-07.